Abstract: This disclosure describes a surgical implant device comprising a body that includes a porous material forming at least a portion of the body, wherein the porous material is configured to promote bone ingrowth and is porous to a fluid. In addition, one or more fluid channels are formed in the body. The one or more fluid channels are arranged to define a fluidic path that exits into the porous material.

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

Abstract: Methods and devices are disclosed for the optimization of shoulder arthroplasty component design through the use of computed tomography scan data from arthritic shoulders.

Abstract: A radial head assembly is provided that includes a stem, a collar, a locking ring, and an articular member. The stem has a convex articular head on one end thereof. The locking ring has a ring wall, which has a ring opening. The ring wall has an angular outer surface and a slot configured to permit the ring wall to radially expand. The angular outer surface engages an angular portion of an interior surface of the collar. The articular member and the locking ring define an articular space within the collar. The articular space is configured to receive the convex articular head.

Abstract: An elbow prosthesis according to the present teachings can include a stem structure and an articulating component. The stem structure can be operable to be positioned in a bone of a joint. The stem structure can include a stem portion that is operable to be positioned in the bone and a C-shaped body portion having a first retaining mechanism formed thereon. The articulating component can have a second retaining mechanism formed thereon. One of the first and second retaining mechanisms can comprise an extension portion and a first anti-rotation portion. The other retaining mechanism can comprise a receiving portion and a second anti-rotation portion. The articulating component can be advanced from an insertion position to an assembled position, such that the first and second mechanisms cooperatively interlock to inhibit translation and rotation of the articulating component relative to the C-shaped body portion of the stem structure.

Abstract: An orthopedic implant apparatus, said apparatus comprising: a body, said body having a generally cylindrical shape and comprising a first material, a flat bottom surface, a concave upper surface disposed opposite said bottom surface, and a longitudinal axis disposed through the center of said body; a cylindrical bore, said bore disposed along said longitudinal axis through said top surface of said body; a cylindrical plug, said plug comprising a second material and disposed within said bore of said body; and at least one stem, said at least one stem connected to said bottom surface of said body.

Abstract: An elbow prosthesis includes a capitellar implant having an articulating head and a stem. The articulating head includes a first passage along a first axis, a second passage along a second axis, and a receiving groove. The stem includes a proximal end and a connecting end. The connecting end includes a curved body having a bore. The curved body selectively mates with the receiving groove such that the bore axially aligns with the first axis of the first passage in an assembled position for collectively receiving a securing member. The second axis is located between the first axis and the proximal end of the stem.

Abstract: A robotic system can include a high force instrument that amplifies input forces such that output forces are greater than input forces. The high force instrument can include an end effector. The high force instrument can further include a first pulley configured to rotate about a pulley axis and a first jaw member connected to the first pulley by a first drive pin. The high force instrument can also include a second pulley configured to rotate about the pulley axis and a second jaw member connected to the second pulley by a second drive pink. A link can provide a first pivot point about which the first jaw member can pivot and a second pivot point about which the second jaw member can pivot.

Abstract: An elbow prosthesis constructed in accordance to one example of the present teachings can include a capitellar implant having an articulating head and a stem. The articulating head can have a first articulating surface positioned generally between a lateral side and a medial side. A passage can extend through the articulating head from the lateral side to the medial side. The articulating head can define a counterbore formed at the lateral side and that is concentric with the passage. According to other features, the elbow prosthesis can include a coronoid implant that has a body and a stem. The body can have a superior articulating surface that includes a central ridge and an anterior buttress. The central ridge can be configured to accommodate articulation with a trochlea in an implanted position.

Abstract: An implant having an integrated cutting broach and/or cutting burr. The integrated implant may be inserted without requiring separate steps for drilling and broaching bone. The integrated implant assembly may include an integrated implant, a flexible sheath, a delivery rod, and a delivery pin. The implant may have a core which may have any of a variety of cross-sectional geometries. A method for fusing bone may involve inserting the implant laterally through the ilium, through the sacral-iliac joint, and into the sacrum.

Abstract: A radial head prosthesis for implantation in a distal radius. The implant includes a head portion and a stem portion. The stem portion has a cylindrical shaft and tapered tip. The head portion includes a recess for engagement with the stem portion. The head portion includes a first bearing surface for articulation with a humerus, and a second bearing surface for articulation with an ulna. The second bearing surface includes at least one concave and one convex portion immediately adjacent one another.

Abstract: A prosthetic device control apparatus includes at least one sensor worn by a user. The sensor(s) determines a user's movement. A control module is in communication with the sensor(s). The control module communicates movement information to a prosthetic. A method for controlling a prosthetic device includes sensing a user's movement, communicating the movement through a control module to a prosthetic device; and controlling the movement of a prosthetic device.

Abstract: The invention features a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

Abstract: A glenoid implant has an anatomically formed body including of metal and/or plastic materials. It further has a contact surface adapted to extend the surface of a glenoid and to bear a humerus. In the implant body, there is at least one hole with a screw head seating area for holding the head of a screw, which may be screwed into a glenoid for fixedly attaching the glenoid implant.

Abstract: An exoskeleton mechanism according to the present disclosure includes: a fixed frame positioned to correspond to an upper physique; a rotatable frame positioned to correspond to a lower physique and coupled to the fixed frame by a hinge unit to be rotatable in the vertical direction; a support frame for supporting a terminal; a first motor mounted to the fixed frame and connected to the rotatable frame to drive the rotatable frame to rotate in the vertical direction; motors mounted to the rotatable frame and connected to the support frame to drive the support frame to rotate in the vertical direction and in the horizontal direction and rotate around an axis (roll axis) of the lower physique; links for connecting the first motor and the rotatable frame; and links for connecting the motors and the support frame.

Abstract: The elbow prosthesis includes an ulnar component that has a bearing end and a stem. The stem is attached to the bearing end and extends in a distal direction from it. The elbow prosthesis also has a humeral component that includes a holder end and a stem with the stem extending in a proximal direction from the holder end. The prosthesis further includes at least one bearing member that is connected to the holder end with the bearing end being attached within the holder end to allow for rotation and articulation against the at least one bearing member. The bearing end and holder end are attached to each other by a coupling mechanism that includes an opening positioned on the posterior aspect of the holder end and a mating surface on the bearing body. A method of using the elbow prosthesis and a total elbow prosthesis kit are also disclosed.

Abstract: A prosthesis assembly for use with a scapula in one embodiment includes an acromion spacer unit, a first articulation surface on an inferior surface of the acromion spacer unit, a bone contacting surface on a superior surface of the acromion spacer unit, and a bone mounting member extending sideways from the acromion spacer unit and oriented such that when the acromion spacer unit is mounted on a scapula, the acromion spacer unit is positioned at a height above the height of a midpoint of a glenoid fossa of the scapula.

Abstract: Apparatuses, kits, and methods for cementing an orthopedic implant to a bone, post attachment, are disclosed in some aspects of the present disclosure. A kit can include a prosthetic component and a cement applicator. The prosthetic component can include an attachment profile that corresponds to a mating profile formed on or in a bone. The cement applicator can be configured to apply a bone cement between the bone and the prosthetic component following alignment between the prosthetic component and the bone or another prosthetic component. The kit can also include a bone cement. A method can include positioning the prosthetic component adjacent to the bone, aligning the prosthetic component relative to the bone or another prosthetic component, and applying a bone cement between the bone and the aligned prosthetic component.

Abstract: Instrumentation and assembly for arthroscopic elbow surgery which includes a humeral component. The humeral component is installed in a trough formed in the humeral condyle. The trough may be formed by using a plurality of drill pins and a plurality of corresponding cutters (and optionally a template). The two drill pins are passed through the template and drilled into the humerus, and cutters are advanced over the corresponding drill pins to form the trough. The humeral component may be employed in conjunction with an ulnar implant.

Abstract: An elbow prosthesis can include a capitellar implant that has an articulating head and a stem. The articulating head can have a first substantially hemispherical portion and a second portion that collectively extend between lateral and medial sides of the articulating head and are separated by a plane. The first and second portions can generally extend between the lateral and medial sides. The second portion can generally have an attachment lobe that extends on the lateral side and that defines a passage therethrough. The passage can extend at least partially on the second portion.

Abstract: A patient-specific alignment guide includes a three-dimensional engagement surface customized in a pre-operating planning stage by computer imaging to closely mate and conform to a corresponding bone portion of a patient's elbow joint. The patient-specific alignment guide defines a first longitudinal guiding bore aligned with a reference axis associated with the elbow joint of patient when the alignment guide is mounted onto the corresponding bone portion.

Abstract: An elbow prosthesis according to the present teachings can include a stem structure and an articulating component. The stem structure can be operable to be positioned in a bone of a joint. The stem structure can include a stem portion that is operable to be positioned in the bone and a C-shaped body portion having a first retaining mechanism formed thereon. The articulating component can have a second retaining mechanism formed thereon. One of the first and second retaining mechanisms can include an extension portion and a first anti-rotation portion. The other retaining mechanism can include a receiving portion and a second anti-rotation portion. The articulating component can be advanced from an insertion position to an assembled position, such that the first and second mechanisms cooperatively interlock to inhibit translation and rotation of the articulating component relative to the C-shaped body portion of the stem structure.

Abstract: A method for implanting a prosthesis system for replacement of a head portion of a proximal radius includes determining a distance between a proximal radius and a humerus. The method also includes selecting one of a first head component or a second head component based on the determination. The first and second head components have unique heights. The method further includes connecting the selected first or second head component to an articulation component and connecting a stem component to the selected first or second head component.

Abstract: A modular elbow prosthesis including an ulnar component and a humeral component. The ulnar component includes an ulnar head and an ulnar stem. The humeral component includes a humeral head and a humeral stem. The humeral component also includes a locking system for securing the humeral head onto the humeral stem.

Abstract: An elbow prosthesis can include a humeral component having a yoke, an ulnar component having a head, a humeral bearing positionable in a base of the humeral component, an ulnar bearing assembly configured to engage with the head, and a pin extendable through the bearing assembly and the head. The pin can be extendable into first and second ears of the yoke to enable pivotable movement of the ulnar component relative to the humeral component. The elbow prosthesis can include a first fastener insertable through the first ear of the yoke and configured to engage with the pin, and a second fastener insertable through the second ear of the yoke and configured to engage with the pin.

Abstract: An elbow prosthesis constructed in accordance to one example of the present teachings can include a first stem structure that is operable to be positioned in a first bone of a joint. The first stem structure can include a first stem portion and a cage structure. The first stem portion may be operable to be positioned in the first bone. The cage structure can be formed generally between an inner sidewall and an outer surface. The stem portion can have opposing surfaces that define a disconnect formed entirely through the cage structure from the inner sidewall to the outer surface. A first bearing component can have an exterior cage opposing surface. The first bearing component can be selectively inserted into the cage structure from an insertion position to an installed position. A fastener can be threadably advanced into an engaged position with the cage structure to reduce a gap defined between the opposing surfaces of the disconnect while radially contracting the cage structure around the first bearing.

Abstract: A multi-component joint assembly incorporated into reconditioned end surfaces established between a first bone and opposing second bone. A first component is anchored into a reconditioned end surface of the first bone and exhibits a first exposed support surface. A second component is anchored into a reconditioned end surface of at least one of radius and ulna bones and exhibits a second exposed support surface. An intermediate component is supported in articulating fashion between the first and second anchored components. A plurality of micro debris entrapment chamber subassemblies are incorporated into the components and communicate with at least one of the articulating surfaces for isolating and capturing debris resulting from joint wear.

Abstract: Methods of forming polymeric articles using plasma treated polymer resins, and orthopedic implants comprising a polymeric article wherein the polymeric article has reactive groups bonded to polymer molecules in an interior region of the polymeric article.

Abstract: A surgical process for affixing an elbow implant into the ulna has the steps of separating the olecranon process from the ulna so as to expose an end of an intermedullary canal of the ulna, inserting a stem of the elbow implanted into the intermedullary canal such that an end of the stem extends outwardly of the end of the ulna, and affixing the olecranon process onto the exposed end of the ulna. A hole is drilled through the olecranon process such that the hole is axially aligned with the intermedullary canal of the ulna. This hole is drilled prior to the step of separating.

Abstract: A joint prosthesis is provided and may include first and second stem structures and first and second bearing members. The first stem structure may include a generally U-shaped portion having first and second legs. The second stem structure may include first and second bearing surfaces. The first bearing member may be removably coupled to the first leg and may include a first laterally facing bearing surface rotatably contacting the first bearing surface. The second bearing member may be removably coupled to the second leg and may include a second laterally facing bearing surface rotatably contacting the second bearing surface. The first laterally facing bearing surface may be disposed between the first leg and a first lateral side of the second stem. The second laterally facing bearing surface may be disposed between the second leg and a second lateral side of the second stem. The second lateral side may oppose the first lateral side.

Abstract: The present teachings provide an ulnar head implant. The implant can include a head component adapted to articulate with a portion of the anatomy. The head component can define a coupling bore through a surface. The implant can also include a stem component having a base and a post that extends from the base for insertion into a prepared portion of an anatomy. The base can include a coupling feature. The implant can include an intermediate component receivable within the coupling bore and couplable to the coupling feature to couple the head component to the stem component.

Abstract: A multi-component elbow joint assembly incorporated into reconditioned end surfaces established between an upper humerus bone and opposing lower radius and ulna bones. The assembly includes a first component anchored into the upper humerus reconditioned end surface and exhibits a first exposed support surface. A second component is anchored into the lower reconditioned bone end surface of at least one of the radius and ulna bones and exhibits a second exposed support surface. An intermediate component is supported in at least one of eccentric or rotational fashion between the first and second anchored components.

Abstract: A radial head prosthesis for implantation in a distal radius. The implant includes a head portion and a stem portion. The stem portion has a cylindrical shaft and tapered tip. The head portion includes a recess for engagement with the stem portion. The head portion includes a first bearing surface for articulation with a humerus, and a second bearing surface for articulation with an ulna. The second bearing surface includes at least one concave and one convex portion immediately adjacent one another.

Abstract: Artificial joint prosthetic components including synovial fluid deflection structures are described. Embodiments of artificial joint prosthesis include those with: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a non-contact surface of the artificial joint prosthesis; and at least one fluid deflection structure positioned on the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo.

Abstract: System, including apparatus, methods, and kits, for replacement of the proximal end of a radial bone with a prosthesis having a floating articular member. The prosthesis may include a head portion connected or connectable to a stem portion. While the stem portion remains operatively connected to the head portion, the head portion and/or an articular member thereof may be permitted to float in position relative to the stem portion. The head portion/articular member may float transversely (e.g., translationally) and/or rotationally with respect to the stem portion. The articular member may articulate with a humeral bone or both a humeral bone and an ulnar bone. In some embodiments, the head portion may include a fixed member for articulation with an ulnar bone and a floating member for articulation with a humeral bone.

Abstract: The elbow prosthesis includes an ulnar component that has a bearing end and a stem. The stem is attached to the bearing end and extends in a distal direction from it. The elbow prosthesis also has a humeral component that includes a holder end and a stem with the stem extending in a proximal direction from the holder end. The prosthesis further includes at least one bearing member that is connected to the holder end with the bearing end being attached within the holder end to allow for rotation and articulation against the at least one bearing member. The bearing end and holder end are attached to each other by a coupling mechanism that includes an opening positioned on the posterior aspect of the holder end and a mating surface on the bearing body. A method of using the elbow prosthesis and a total elbow prosthesis kit are also disclosed.

Abstract: A method and apparatus for replacing a selected portion of the anatomy is described. In particular, a prosthesis can be provided to replace a portion of an articulating joint, such as an elbow. The apparatus can be modular for various reasons and each of the modular portions can include a different dimension to achieve a selected result. For example, the prosthesis can achieve a different size condylar replacement, a selected offset, a selected articulation, or combinations thereof.

Abstract: Instrumentation and assembly for arthroscopic elbow surgery which includes a humeral component. The humeral component is installed in a trough formed in the humeral condyle. The trough may be formed by using a plurality of drill pins and a plurality of corresponding cutters (and optionally a template). The two drill pins are passed through the template and drilled into the humerus, and cutters are advanced over the corresponding drill pins to form the trough. The humeral component may be employed in conjunction with an ulnar implant.

Abstract: According to various embodiments, provided is a prosthesis system for replacement of a head portion of a proximal radius. The system can include a first polymeric articulation component having a first locking portion and a metal head component having a second locking portion. The second locking portion can mate with the first locking portion to form a first locking mechanism to initially couple the first articulation component to the head component. The head component can define a locking channel. The system can also include a stem component having a protrusion receivable in the locking channel. The protrusion can define a bore, and the stem component can be adapted to be coupled to the radius. The system can also include a fastener received through the locking channel and into the bore to provide a second locking mechanism that couples the head component to the stem component.

Abstract: The present teachings provide an ulnar head implant. The implant can include a head component adapted to articulate with a portion of the anatomy. The head component can define a coupling bore through a surface. The implant can also include a stem component having a base and a post that extends from the base for insertion into a prepared portion of an anatomy. The base can include a coupling feature. The implant can include an intermediate component receivable within the coupling bore and couplable to the coupling feature to couple the head component to the stem component.

Abstract: Methods and instrumentation for arthroscopic elbow surgery which include a humeral component. The humeral component is installed in a trough formed in the humeral condyle. The trough may be formed by using a plurality of drill pins and a plurality of corresponding cutters (and optionally a template). The two drill pins are passed through the template and drilled into the humerus, and cutters are advanced over the corresponding drill pins to form the trough. The humeral component may be employed in conjunction with an ulnar implant.

Abstract: Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed.

Abstract: A method of implanting an aggregate joint prosthesis with a side approach to a joint includes exposing a side surface of a joint and positioning a pin member within the joint. Articular surfaces can be drilled and milled, and the prosthesis can be implanted. A set plate can be removed, with the set plate being configured to releasably link at least two components of the aggregate prosthesis.

Abstract: A multi-component elbow joint assembly incorporated into reconditioned end surfaces established between an upper humerus bone and opposing lower radius and ulna bones. The assembly includes a first component anchored into the upper humerus reconditioned end surface and exhibits a first exposed support surface. A second component is anchored into the lower reconditioned bone end surface of at least one of the radius and ulna bones and exhibits a second exposed support surface. An intermediate component is supported in at least one of eccentric or rotational fashion between the first and second anchored components.

Abstract: A modular prosthesis system for replacement of a head portion of a radius. The prosthesis system includes a head component having a first connection portion that connects to a second connection portion and a collar component having the second connection portion and a third connection portion. The system also includes a stem component including a fourth connection portion that connects with the third connection portion, the stem component having a stem anchoring portion that connects to the radius. The collar component provides the modular geometry to the prosthesis without having to have an increased number of head components and stem components with variable lengths and angles.

Abstract: A prosthesis is provided for replacing a portion of a bone making up a joint. The prosthesis is adapted, intraoperatively, to optimize the anatomical alignment of the prosthesis in the joint. In particular, a jig is used to identify the axis of rotation of the joint intraoperatively and to align a portion of the prosthesis with the identified axis. The angle of the head of the prosthesis is adjusted to optimize contact with the appropriate corresponding portions of the joint, at which point the position of the head is fixed to prevent further rotation of the head relative to the remainder of the prosthesis.

Abstract: A modular prosthesis system for replacement of a head portion of a proximal radius includes a monolithic stem component, a head component, and a locking mechanism formed by the stem and head components. The stem component defines a stem anchoring portion having a longitudinal axis and configured to couple to the proximal radius, and a dovetail-shaped first mounting portion on a first end face that extends in a first direction transverse to the longitudinal axis. The head component has a dovetail-shaped second mounting portion on a second end face opposite the first end face slidably engaged with the first mounting portion along the first direction. One of the first and second mounting portions intersects the longitudinal axis. The locking mechanism is formed at an interface between the stem and head components and is engaged through relative translational movement between the stem and head components. A related method is provided.

Abstract: The application relates to a prosthetic canine elbow joint (1) comprising a radioulnar component (12) mountable in a trochlear notch of the ulna (2) and an articular fovea of a radius which is engagable with a humeral component (10) mountable on a trochlear bone portion of a humerus (4) to permit relative movement between the humerus (4) and ulna (2). The humeral component (10) is thus mounted e.g. hooked stably on a piece of bone extending between the medial and lateral condyles thereby making use of the intrinsic strength of bone. The humeral component (10) may include an opening (26) alignable with the supratrochlear foramen to receive the anconeal process (6) of the ulna (2) during articulation of the joint, thereby promoting freedom of movement.

Abstract: Instrumentation for a modular prosthesis having a stem and a neck comprises a handle and an adaptor. The handle extends along an axis. The handle has a distal end and a proximal end. The proximal end has a blunt surface configured to be struck. The adaptor has a male end configured to mate inside the bore of the stem. The adaptor further has a surface configured to mate with the distal end of the handle. The adaptor is configured to have a medial portion and a lateral portion. The medial portion has a relief such that the adaptor is configured to disengage the stem when the adaptor is rotated relative the stem.

Abstract: A bone implant comprises an active agent on at least a portion thereof. The active agent is locally deliverable to bone proximate the implant in at least a two-phased release scheme. A first phase rapidly releases a first quantity of the active agent, and at least a second phase gradually releases a second quantity of the active agent, whereby bone formation stimulated by the active agent is modulated. In one embodiment, a porous implant comprises a porous portion coated with a calcium phosphate compound and which is contacted with a bisphosphonate compound to form a bisphosphonate layer chemically bound to the calcium phosphate at the surface of the porous portion and to form bisphosphonate molecules being non-chemically attached inside the pores of the porous portion. The non-chemically attached bisphosphonate molecules are released in the subject at a rate greater than that of the chemically bound bisphosphonate layer.