Abstract: An implant for shoulder arthroplasty includes a stem and optionally a head component or a cup component. The stem is sized and shaped to fit into an intramedullary canal of the humerus. The proximal portion of the stem has a concave taper and the distal portion of the stem has a taper. The distal taper includes an anterior-posterior taper and a medial-lateral taper. The shape of the stem loads the metaphysis of the humerus with a greater load than the load applied to the diaphysis of the humerus.

Abstract: Disclosed herein is an implant. The implant can include a body and a plurality of fixation members. The body can define an articular surface and a bone engaging surface opposite the articular surface. The bone engaging surface can define a groove that separates a first section of the bone engaging surface from a second section of the bone engaging surface. The plurality of fixation members can extend from the bone engaging surface.

Abstract: Methods, systems and devices for pre-operatively planned shoulder surgery guides and implants. Pre-operative planning methods for designing glenoid implants and prostheses, particularly with patient-specific augmentation, based on considerations of multiple factors affecting the outcome of shoulder surgery. Methods of using surgery guides and implants, including adaptive glenoid implants, in patients undergoing shoulder surgery.

Abstract: Methods, systems and devices for pre-operatively planned shoulder surgery guides and implants. Pre-operative planning methods for designing glenoid implants and prostheses, particularly with patient-specific augmentation, based on considerations of multiple factors affecting the outcome of shoulder surgery. Methods of using surgery guides and implants, including adaptive glenoid implants, in patients undergoing shoulder surgery.

Abstract: A selection system comprises a ring, a plurality of shims, a measurement device, and at least one glenoid component. The ring is configured to couple to a humerus. A shim of the plurality of shims is configured to couple to the ring. The measurement device is configured to couple to the shim. Each shim of the plurality of shims has a different height when coupled to the ring. The selection system generates measurement data to support the selection of at least one prosthetic component for a shoulder joint in a surgical environment. The shoulder joint geometry can be adjusted by changing shims, changing glenoid component or both. The selection system is removed after the selection of the final prosthetic components for the shoulder joint. The final prosthetic components are installed in the shoulder joint. The measurement device is placed in the shoulder joint and measurement data is generated to verify performance.

Abstract: A selection system comprises a ring, a plurality of shims, a measurement device, and at least one glenoid component. The ring is configured to couple to a humerus. A shim of the plurality of shims is configured to couple to the ring. The measurement device is configured to couple to the shim. Each shim of the plurality of shims has a different height when coupled to the ring. The selection system generates measurement data to support the selection of at least one prosthetic component for a shoulder joint in a surgical environment. The shoulder joint geometry can be adjusted by changing shims, changing glenoid component or both. The selection system is removed after the selection of the final prosthetic components for the shoulder joint. The final prosthetic components are installed in the shoulder joint. The measurement device is placed in the shoulder joint and measurement data is generated to verify performance.

Abstract: A glenoid replacement system, that is securable to a scapula of a patient, may include a glenoid implant. The glenoid implant may further include a prosthetic glenoid articular surface configured to articulate with one of the following: a natural humeral articular surface; an anatomic prosthetic humeral articular surface; and/or a reverse prosthetic humeral articular surface. The glenoid implant may also include a scapular tunnel anchoring feature positioned such that, with the glenoid implant implanted on the scapula, the scapular tunnel anchoring feature is aligned with a scapular tunnel of the scapula to facilitate retention of the glenoid implant on the scapula with a scapular tunnel fastener inserted into the scapular tunnel.

Abstract: An orthopedic trial implant having a plurality of bearing component augments of differing heights, where each augment releasably, slidably connected to the trial implant.

Abstract: A total joint replacement system comprising a first and a second implant system. The first implant system includes a first implant having a first load bearing surface based on a first removed portion of an articular surface of a patient's first bone, and a first anchor having a first threaded region configured to be secured into the first bone, wherein the first anchor is configured to be secured to the first implant. The second implant system includes a second implant having a second load bearing surface based on a second removed portion of an articular surface of a patient's second bone, and a second anchor having a second threaded region configured to be secured into the second bone, wherein the second anchor is configured to be secured to the second implant.

Abstract: In some embodiments, the present invention provides a reverse shoulder glenoid prosthesis which supports the attachment of multiple different types of modular attachments that can: 1) provide additional scapular fixation (ie external to the glenoid) in order to improve glenoid implant fixation in cases of severe bone loss/fracture, 2) provide joint line lateralization to improve tissue stability in cases of severe glenoid/scapula bone loss, 3) facilitate use and containment of glenoid bone graft in cases of severe glenoid/scapula bone loss—particularly in those cases in which the glenoid defect is uncontained/peripheral 4) achieve glenoid fixation while at the same time reconstructing the scapular bone in cases of scapula fractures, glenoid fractures, and/or acromial fractures, and 5) provide improved rTSA joint biomechanics, particularly posterior rotator cuff efficiency by changing the line of action of the infraspinatus and teres minor muscles to improve their muscle tension, and also increase each muscle'

Abstract: A glenoid implant system may include a main body formed of a polymer, a base, and an anchor formed of metal. The main body may define an articulating surface and an opposite bone-contacting surface. The base may be formed in the bone-contacting surface of the main body, the base including a hole formed therein. The anchor may have a main section and a threaded post extending from the main section. The anchor may include a plurality of ribs extending in a longitudinal direction of the main section, the plurality of ribs being spaced apart from one another in a circumferential direction of the main section. The anchor may further include a plurality of wedges disposed on a base of the anchor, the plurality of wedges adapted to contact the base formed in the bone-contacting surface of the main body when the threaded post is received within the threaded hole.

Abstract: A system is disclosed herein for providing a kinetic assessment and preparation of a prosthetic joint comprising one or more prosthetic components. The system comprises a prosthetic component including sensors and circuitry configured to measure load, position of load on a curved surface, joint stability, range of motion, and impingement. In one embodiment, the system is for a cup and ball joint of a musculoskeletal system. The system further includes a computer having a display configured to graphical display quantitative measurement data to support rapid assimilation of the information. The kinetic assessment measures joint alignment under loading that will be similar to that of a final joint installation. The kinetic assessment can use trial or permanent prosthetic components. Furthermore, adjustments can be made to the applied load magnitude, position of load, and joint alignment by various means to fine-tune an installation.

Abstract: A stemless humeral shoulder assembly having a base member and an anchor advanceable into the base member. The base member can include a distal end that can be embedded in bone and a proximal end that can be disposed at a bone surface. The base member can also have a plurality of spaced apart arms projecting from the proximal end to the distal end. The anchor can project circumferentially into the arms and into a space between the arms. When the anchor is advanced into the base member, the anchor can be exposed between the arms. A recess can project distally from a proximal end of the anchor to within the base member. The recess can receive a mounting member of an anatomical or reverse joint interface.

Abstract: A shoulder arthroplasty kit includes a combination sizer and guide device with a base portion including a rim configured to be positioned against a resected surface of a humerus. A cavity which is configured to receive a mounting portion of a humeral base component extends proximally from the base portion, the cavity. The combination sizer and guide device includes a convex outer surface which replicates at least a part of an outer bearing surface of a humeral head component. A bore which is perpendicular to the distal plane extends between the cavity and the convex outer surface. The kit further includes a guide pin with a maximum diameter sized to fit within the bore such that the guide pin is guided by the bore during insertion of the guide pin into the resected surface of the humerus.

Abstract: Robotic system and methods for robotic arthroplasty. The robotic system includes a machining station and a guidance station. The guidance station tracks movement of various objects in the operating room, such as a surgical tool, a humerus of a patient, and a scapula of the patient. The guidance station tracks these objects for purposes of displaying their relative positions and orientations to the surgeon and, in some cases, for purposes of controlling movement of the surgical tool relative to virtual cutting boundaries or other virtual objects associated with the humerus and scapula to facilitate preparation of bone to receive a shoulder implant system.

Abstract: Disclosed is a prosthetic augment designed to reconstruct a lateral tuberosity shape of a humerus in a subject having proximal bone loss that includes a humeral adapter tray configured to connect a humeral liner of a reverse shoulder prosthesis to a humeral stem of the reverse shoulder prosthesis and an augment member having a first face adapted for contacting the humeral stem of the reverse shoulder prosthesis and a second face adapted for contacting an underside of a muscle, wherein at least a portion of the second face includes a bulbous surface adapted to alter a wrapping angle of the muscle around the lateral tuberosity, and wherein the second face has a radius of curvature selected from one of a constant radius of curvature or a variable radius of curvature.

Abstract: The invention relates to a prosthesis for implantation into a living body in the form of a magnetic artificial joint, in particular an artificial shoulder joint, comprising: a) a first prosthesis member comprising a socket member, b) a second prosthesis member comprising a head member, c) one of the socket member and the head member is at least partially composed as a permanent magnet and the other one of the socket member and the head member is at least partially composed of a magnetic material, or the socket member and the head member are both at least partially composed as a permanent magnet, d) the socket member comprises a recess on a surface side to be coupled with the head member, the recess comprising a concavely contoured contact surface, e) the head member comprises a projection on a surface side to be coupled with the socket member, the projection comprising a convexly contoured contact surface, f) the convexly contoured contact surface is adapted to the concavely contoured contact surface, such th

Abstract: The improved glenoid fossa prosthesis for repair of a scapular deficient patient includes a base with a fixed flange, and a separable flange. A conical taper on the base and a complimentary locator edge positively orient the separable flange when joined with the base for affixation by screw. A plurality of flange fixation screws penetrates the scapular tissue between the flanges for affixation of the flanges thereto. The flange thickness is variable to approximate the topography of the scapular tissue in the affixation area to minimize tissue trimming during fitment. A cutting mask attaches to the deficient scapula in the glenoid fossa area to guide the physician in trimming scapular tissue for fitment. A cortical screw further fixates the base to the scapular tissue. A second conical taper on the base serves as a mount for a glenoid sphere (reverse shoulder) or socket (standard shoulder) repair configuration.

Abstract: A modular variable blade augment including an augment component and a blade component. The blade component includes a buttress portion and a neck portion, with the neck portion having a body segment and a face segment that is contoured for mating engagement with an outer surface of the acetabular shell. The augment component has a first opening sized and shaped to receive insertion of the body segment, and which is also sized to accommodate selective adjustment of linear and angular orientations of the blade component relative to the augment component when the body segment is positioned in the first opening. Additionally, the body segment has a length that is sized to facilitate direct contact of the face segment with the acetabular shell when the modular variable blade augment is in an assembled configuration. Further, cement can be injected into the internal cavity to unitize the connection between the acetabular shell and the blade component.

Abstract: A modular shoulder prosthesis is provided. The modular prosthesis includes a stem, an anatomic insert, and a reverse insert. The stem is a unitary body that includes a distal shaft portion and a proximal portion. The proximal portion includes a stem face configured to directly couple to both the anatomic insert and reverse insert. The stem face includes a first engagement feature configured to couple directly to the reverse insert and a second engagement feature configured to couple directly to the anatomic insert. The stem can also include a metaphyseal portion between the shaft portion and proximal portion designed for use in humeral fracture repair procedures. The metaphyseal portion can include a medial arm and two lateral arms extending between the shaft portion and proximal portion, A window can be defined between the medial arm and the lateral arms, and a gap can be formed between the lateral arms.

Abstract: A joint spacer is provided for treatment of a joint of a human subject, the joint spacer including a pouch having a wall including a dermal graft material. The joint spacer is configured to be inserted into a space of the joint, and is shaped, when the pouch is inserted into the space and filled, to provide mechanical support to the joint. Other embodiments are also described.

Abstract: An implant for shoulder arthroplasty includes a stem and optionally a head component or a cup component. The stem is sized and shaped to fit into an intramedullary canal of the humerus. The proximal portion of the stem has a concave taper and the distal portion of the stem has a taper. The distal taper includes an anterior-posterior taper and a medial-lateral taper. The shape of the stem loads the metaphysis of the humerus with a greater load than the load applied to the diaphysis of the humerus.

Abstract: There is provided a tibial component comprising: a tibial tray with an inferior side; and a support member connected to the inferior side of the tibial tray, the support member having a stem portion, the support member further comprising at least one opening. In one embodiment, the at least one opening is constructed and arranged to receive a sawblade or an osteotome. In another embodiment, the at least one opening is comprised of solid material but is radio-lucent. In yet another embodiment, the at least one opening is comprised of solid material and is frangible.

Abstract: Disclosed herein is a kit that includes a humeral stem having a central longitudinal axis, the humeral stem configured to attach to a resected bone; a first tuberosity component having a first thickness relative to the central longitudinal axis of the humeral stem; a second tuberosity component having a second thickness relative to the central longitudinal axis of the humeral stem, wherein the first thickness of the first tuberosity component is different than the second thickness of the second tuberosity component; and at least one proximal segment configured to engage at least one of the first tuberosity component and the second tuberosity component. In an embodiment, the first thickness of the first tuberosity component is at least 20 mm relative to the central axis of the humeral stem, and the second thickness of the second tuberosity component is at least 20 mm relative to the central axis of the humeral stem.

Abstract: The subject matter includes systems, methods, and prosthetic devices for joint reconstruction surgery. A computer-assisted intraoperating planning method can include accessing a first medical image providing a first view of a joint within a surgical site as well as receiving selection of a first component of a modular prosthetic device implanted in the first bone of the joint. The method continues by displaying a graphical representation of the first component of the modular prosthetic device overlaid on the first medical image, and updating a graphical representation of the first component based on receiving positioning inputs representative of an implant location of the first component relative to landmarks on the first bone visible within the first medical image. The method concludes by presenting a selection interface enabling visualization of additional components of the modular prosthetic device virtually connected to the first component and overlaid on the first medical image.

Abstract: Surgical implant systems, methods, and components are described herein. More particularly, the disclosure relates to joint arthroplasty systems, methods, and components. Particular embodiments described herein can be used to modify the subtalar joint (e.g., posterior facet of the subtalar joint), calcaneocuboid, talonavicular, and any other suitable joint. An exemplary implant system comprises a first implant component, a second implant component, and an insert.

Abstract: A modular shoulder prosthesis system, in at least one embodiment, provides flexibility in shoulder replacements and ability to switch between a traditional anatomic Total Shoulder Replacement (ta-TSR) to a reverse Total Shoulder Replacement (r-TSR). Optionally, the system provides for a modular adaptation for the glenoid side in a Total Shoulder Replacement (TSR). The system includes a baseplate, a modular component, a humeral stem and a modular humeral component. The baseplate includes a base with a pair of notches extending down from the top surface on opposed sides of the base. The modular component and the modular humeral component configured to cooperate with each other. The baseplate is capable of attachment to different modular components and the humeral stem is capable of attachment to different modular humeral components to facilitate both ta-TSR and r-TSR with a change in the modular component and change in the modular humeral component.

Abstract: A partial resurfacing implant for use in repairing an articular cartilage defect site that includes a top articulating portion having a top surface that is configured with at least one radius of curvature to approximate the surface contour of the articular cartilage surrounding the defect site. The implant also includes a supporting plate that has a top surface and a bottom surface. The top surface is attached to the top articulating portion by a locking mechanism. The bottom surface of the supporting plate is constructed to facilitate the insertion of the implant into the defect site. Extending from the bottom surface of the supporting plate is at least one implant fixation portion. The at least one implant fixation portion is integrally connected to and is oriented about normal relative to the bottom surface. A method of repairing an articular cartilage defect with the partial joint resurfacing implant is also disclosed.

Abstract: The improved glenoid fossa prosthesis for repair of a scapular deficient patient includes a base with a fixed flange, and a separable flange. A conical taper on the base and a complimentary locator edge positively orient the separable flange when joined with the base for affixation by screw. A plurality of flange fixation screws penetrates the scapular tissue between the flanges for affixation of the flanges thereto. The flange thickness is variable to approximate the topography of the scapular tissue in the affixation area to minimize tissue trimming during fitment. A cutting mask attaches to the deficient scapula in the glenoid fossa area to guide the physician in trimming scapular tissue for fitment. A cortical screw further fixates the base to the scapular tissue. A second conical taper on the base serves as a mount for a glenoid sphere (reverse shoulder) or socket (standard shoulder) repair configuration.

Abstract: A humeral anchor assembly is provided that includes a humeral anchor and at least one screw. The humeral anchor is configured to form a part of or support a part of a shoulder prosthesis. The humeral anchor has a distal portion configured to be anchored in a proximal region of a humerus and a proximal portion. The proximal portion includes a proximal face configured to engage an articular component within a periphery thereof. The proximal portion also includes at least one aperture disposed adjacent to the periphery. The at least one screw is disposed through the at least one aperture. The screw has a first end portion engaged with the proximal portion of the anchor and a second end portion disposed in or through cortical bone of the humerus.

Abstract: The subject matter includes a system and method for providing graphical feedback visualizing forces within a joint through a range of motion of the joint. The method can comprise receiving position data, receiving force data, and generating a graphical representation based on the position data and the force data. The receiving position data can include data for at least one bone of a joint while the at least one bone is moved through a range of motion (ROM). The receiving force data can occur concurrently to receiving the position data and using one or more processors, the force data can be collected from at least one force sensor embedded within a trial prosthesis in the joint. The graphical representation can illustrate changes in the force data versus locations of the bone as it moved through the ROM.

Abstract: A glenoid implant is disclosed which has a protruding surface on a first side arranged to engage the surface of a cavity formed in a glenoid extending between peripheral glenoid surfaces and a flat surface adjacent the protruding surface of the implant arranged to engage the peripheral glenoid surfaces adjacent the cavity. The implant also has a wear-resistant surface on a second side opposite the flat surface and the protruding surface.

Abstract: A bone plate having a first, bone-facing surface and an opposing second surface has an elongate shaft portion and a head portion that is shorter and wider in comparison thereto, with at least one through hole extending through the bone plate from the first surface to the second surface in the shaft portion. The through hole comprises a variable-angle portion with a hole axis configured to receive a threaded head of a locking screw therein at a desired angle within a permitted range of angulation relative to the hole axis. The second surface has at least one depression which extends therein along a portion of the second surface between the side wall and the through hole, the depression extending about a periphery of the through hole.

Abstract: A reverse modular humeral implant for implantation into a humerus that includes a natural humeral shaft and a natural humeral head. The implant includes a humeral stem implantable into the natural humeral shaft, and an adapter couplable to the humeral stem, the adapter including an anchoring projection configured to be coupled to a convex bearing.

Abstract: Surgical implant systems, methods, and components are described herein. More particularly, the disclosure relates to joint arthroplasty systems, methods, and components. Particular embodiments described herein can be used to modify the subtalar joint (e.g., posterior facet of the subtalar joint), calcaneocuboid, talonavicular, and any other suitable joint. An exemplary implant system comprises a first implant component, a second implant component, and an insert.

Abstract: A stemless humeral component for replacing the humeral head of a patient's humerus includes a support flange having a number of cantilevered legs extending distally away from a bottom surface thereof. Instruments and methods for surgically installing the stemless humeral component are also disclosed.

Abstract: A unicondylar resurfacing femoral component including a metallic base member and a polymeric articulation member. The metallic base member includes a main body and a retention member extending from the main body configured to be secured within a condyle of a femur. The polymeric articulation member is coupled to the main body of the metallic base member and includes an articulation surface configured to articulate directly against a planar surface of a metallic tibial component.

Abstract: A prosthesis that mechanically couples with both cancellous bone and cortical bone of a glenoid includes a head portion comprising a rear surface and an articular surface, an anchor member, and a plurality of deformable fins extending radially outward from the anchor member. The anchor member includes a distal end and a proximal end connected to the rear surface of the head portion. The plurality of deformable fins extend radially outward from the anchor member and includes at least a first proximal fin adjacent to the rear surface of the head portion positioned to engage with the cortical bone. The anchor member may also include at least one distal fin located proximate the distal end of the anchor member positioned to engage with the cancellous bone.

Abstract: Disclosed herein is an implant assembly including an alignment guide for aligning the engagement between a glenosphere and baseplate via a central screw engaged to the baseplate. The glenosphere includes first and second recess portions. The first recess portion of the glenosphere is configured to engage a tapered side surface of the baseplate and the second recess portion of the glenosphere is configured to engage a portion of a head of the central screw projecting outwardly from a top surface of the baseplate when engaged thereto. The portion of the head of the central screw projecting outwardly from the baseplate is slip-fit into the second recess of the glenosphere. This engagement aids the alignment of the glenosphere and the baseplate and helps to ensure the accurate alignment of the tapered engagement of the side surface of the baseplate and the first recess of the glenosphere.

Abstract: A method for implanting a reverse modular humeral implant into a humerus that includes a natural humeral shaft and a natural humeral head. The implant includes a humeral stem implantable into the natural humeral shaft, and an adapter couplable to the humeral stem, the adapter including an anchoring projection configured to be coupled to a convex bearing.

Abstract: A prosthetic implant useful in a cementless application is disclosed. The implant may include a curved bone facing surface and one or more pegs or keels. Preferably, the implant is implanted on a bone surface that has been prepared so as to allow for a snap fit between the implant and the bone.

Abstract: A glenoid component having an offset center of articulation and associated systems and methods.

Abstract: A method of assembling a glenoid assembly. The method includes selecting a base from a plurality of bases. At least one of the plurality of bases has a size different than a size of one of the other of the plurality of bases. The selected base is coupled to an articulating member and the selected base is locked to the articulating member via a locking mechanism.

Abstract: A system and method for repairing a defect on an articular surface. An excision guide is positioned on an articular surface, wherein the excision guide includes a guide head and a guide sleeve disposed on the guide head, wherein the guide head includes a contact surface configured to locate the excision guide relative to the articular surface. A guide pin may be advanced through the guide sleeve and secured to the articular surface, wherein the guide sleeve is configured to receive the guide pin therethrough and position the guide pin at an angle ? relative to an axis generally normal and central to a defect on the articular surface, wherein angle ? is less than 90 degrees.

Abstract: An apparatus can include a base plate. A glenosphere can be configured to be mountable to the base plate. The glenosphere can be adapted to operate with a complementary humeral component. The base plate can include a removable taper member on a side of the base plate facing the glenosphere. The taper member can be configured to mount the glenosphere to the base plate.

Abstract: An apparatus and related method for controlling a load on a human hip joint during normal gait while preserving motion. The approach is intended to treat osteoarthritis of the hip without substantially resisting an angular displacement associated with full mobility of the pelvis and femur bones.

Abstract: A shoulder can include a fixed bearing having a generally spherical articulating surface configured to be coupled to a glenoid. The implant can also include a floating bearing member defining a first spherical bearing surface and a second planar articulating bearing surface. The implant can include a stem defining a stem planar bearing surface coupled to the second planar articulating bearing surface. The second planar articulating bearing surface can cooperate with the stem planar bearing surface to enable the floating bearing to translate relative to the stem.

Abstract: A method of forming a shoulder prosthesis includes forming a concave articular surface into an end portion of a humerus, including compacting bone of the end portion to define the concave articular surface. An implant having a convex articular surface is secured to a glenoid. The concave articular surface of the humerus is articulated with the convex articular surface of the implant.

Abstract: A glenoid support for shoulder prostheses, able to be applied to the glenoid cavity of a shoulder blade. The glenoid support includes at least an attachment plate, an anchoring pin, and a glenoid articulation element. The attachment plate and the anchoring pin are made in distinct parts and able to be selectively separated from each other.

Abstract: A method for assembling a glenoid assembly. The method includes using a base having a first side and an opposing second side. The first side includes a plurality of connection features arranged in an array. The method further includes using a plurality of glenoid attachment members, wherein each of the plurality of glenoid attachment members has a locking mechanism. One of the plurality of glenoid attachment members is selected and is connected to the base by connecting the locking mechanism of the selected one of the plurality of glenoid attachment members to one of the plurality of connection features of the base.