Abstract: A method for unicompartmental knee replacement. Replacement of a medial or lateral compartment may be through a limited incision and patellofemoral replacement may be through the same incision or another incision. An embodiment may include a trochlear implant and medial implant. Implants may be dimensioned and configured so that bone is located between the implants. Implants may be modular, being assembled inside the body or outside the body prior to implantation.

Abstract: A method and apparatus for replacing damaged meniscal tissue includes a meniscus implant including a porous body having a plurality of interconnected open micro-pores and one or more open cavities for receiving meniscal tissue. The interconnected micro-pores are arranged to allow fluid to flow into the porous body and are in fluid communication with the one or more open cavities.

Abstract: A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur. Thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The replacement device may be defined by four boundary points, and a first and a second surface. The first of four points is 3 to 5 mm from the point of attachment of the anterior cruciate ligament to the femur. The second point is near the bottom edge of the end of the natural articulatar cartilage. The third point is at the top ridge of the right condyle and the fourth point at the top ridge of the left condyle of the femur.

Abstract: A reinforced joint assembly includes a first implant portion secured to a sectioned end of a first bone. A second implant portion is likewise secured to a sectioned end of a second bone and in opposing fashion relative to the first implant to define a joint zone therebetween. The first implant exhibits a first surface profile, whereas the second implant exhibits a second and mating surface profile. A male projection extends from the first surface profile of the first implant and seats within a recess defined within the second implant.

Abstract: A method of preparing a distal femur for implantation of a femoral implant is described. The distal femur is resected to accommodate placement of a trial implant thereon. The trial implant is then placed against the resected distal femur to locate an optimal position for the femoral implant. The trial implant comprises one or more apertures through which holes are drilled in the distal femur and into which trial pegs are inserted into the distal femur to secure the trial implant to the distal femur. The surgeon then evaluates whether the holes in the femur are located appropriately to securely implant the femoral implant onto the femur. The trial implant is ultimately removed in favor of a final implant.

Abstract: A method for treating arthritis of a joint includes identifying a bone lesion in a bone adjacent to the joint; and implanting in the bone a reinforcing member in or adjacent to the bone lesion. A kit for conducting the method includes: (a) at least one reinforcing member having a proximal face adapted to face the joint, a distal face adapted to face away from the joint, and a wedge-shaped edge adapted to pierce bone, wherein the at least one reinforcing member is planar and sterile; and (b) a container adapted to maintain the at least one reinforcing member sterile. Another kit includes: (a) a sterile fluid; (b) a syringe for injecting the fluid into a bone; (c) a curing agent adapted to cure the fluid to polymerize and/or cross-link; and (d) a container adapted to maintain the sterility of contents of the container.

Abstract: A low friction resurfacing implant system including a first implant component having a first bearing surface and a first engagement surface. The first engagement surface is located opposite the first bearing surface. The first implant component has a leading edge and a trailing edge. The first implant component includes teeth that extend from the first engagement surface. The teeth are arranged in a plurality of rows. The teeth in adjacent rows are offset from each other.

Abstract: Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include an asymmetrical femoral component that includes a femoral prosthesis that is configured to attach to a distal portion of a femur. In some such instances, the prosthesis includes a medial condyle and a lateral condyle, wherein a medial-lateral width of an articulation surface of the lateral condyle is approximately 75% or less of a medial-lateral width of an articulation surface of the medial condyle. Other implementations are also discussed.

Abstract: Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include a knee prosthesis that includes a femoral component for replacing at least a portion of a distal end of a femur. In some cases, the femoral component has a posterior condyle that is configured to articulate against a tibial articular surface. In such cases, an articular surface at a proximal portion of the posterior condyle is sized and shaped to extend at least half of an antero-posterior distance between a most posterior portion of the posterior condyle and a plane that is a continuation of a distal one fourth to one third of a posterior cortex of a femoral shaft of the femur. Other implementations are also discussed.

Abstract: A joint prosthesis system is suitable for cemented fixation. The system has two metal implant components and a bearing. One of the metal implant components has an articulation surface for articulation with the bearing. The other metal implant component has a mounting surface for supporting the bearing. One of the metal implant components includes an extension, such as a stem or pegs, with an exposed outer surface. The metal implant component from which the extension extends comprises titanium and the exposed outer surface of the extension comprises a different form of titanium. A method of making the joint prosthesis is also disclosed.

Abstract: Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include a modular component, wherein the modular component is configured to attach to a femoral component, and wherein the femoral component is configured to attach to a distal portion of a femur. In some cases, the modular component includes an articular surface that is configured to increase a surface area of an articulation surface of a proximal portion of a posterior condyle of the femoral component. Other implementations are also discussed.

Abstract: A system for manipulating energy transferred by members defining a joint. The system includes a first attachment structure configured to be attached to a first member of the joint and a second attachment structure configured to be attached to a second member of the joint. There is also an adjustable energy absorbing device attached to the first attachment structure and second attachment structure, wherein adjusting the energy absorbing device changes the load manipulating characteristics of the energy absorbing device.

Abstract: A system of surgical instruments for use with at least a first implant and a second implant of the same type but different sizes is provided. The system includes a first container containing at least a first surgical instrument of a first type that is size specific and a second surgical instrument of a second type that is size specific; a second container containing at least a third surgical instrument of the first type and a fourth surgical instrument of the second type, wherein both the third and fourth instruments are of a second size that is different from the first size and that corresponds to the second implant; and a third container containing at least a fifth surgical instrument of a third type that is size independent.

Abstract: An instrument system for setting the internal-external rotation of a prosthetic femoral component with respect to a proximal tibia has a bone resection instrument having a planar surface for engaging a planar surface of a resected distal femur. The bone resection instrument system has a cutting guide for guiding a tool for resecting a posterior surface of the distal femur and forming a cylindrical surface on the posterior condyle intersecting the planar surface. The cylindrical surface defined by an axis extending in a direction generally perpendicular to the resected planar surface. The system includes a trial component having a planar surface for engaging the planar surface of the resected distal femur and having posterior condyles having a cylindrical anteriorly facing surface engagable with the resected cylindrical surface on the posterior condyle.

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: Artificial joint prostheses, including hip, knee and shoulder joints, are described. In some aspects, an artificial joint prosthesis includes: a bone-facing surface of an 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, the non-contact surface adjacent to the bone-facing surface of the artificial joint prosthesis; at least one fluid deflection structure attached to the non-contact surface, the fluid deflection structure positioned to direct a flow of synovial fluid away from the bone-prosthesis interface in vivo; and at least one particle retaining structure positioned to contact the directed flow of synovial fluid and configured to retain particles present within the synovial fluid.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints. In some embodiments, an artificial joint prosthesis includes: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a first component of the artificial joint prosthesis including a contact surface of the artificial joint prosthesis, the first component fabricated from at least one polymer and a plurality of magnetic particles; and a second component of the artificial joint prosthesis including at least one magnet configured to create a magnetic field within the artificial joint, the at least one magnet positioned to form a magnetic field directed to influence a location of debris including the magnetic particles in the joint to a position distinct from the bone-prosthesis interface in vivo.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints. In some embodiments, a artificial joint prosthesis includes: 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, the non-contact surface adjacent to the bone-facing surface of the artificial joint prosthesis; at least one fluid deflection structure positioned adjacent to the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo; and a mechanism attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints.

Abstract: A system and method for sharing and absorbing energy between body parts. In one particular aspect, the system facilitates absorbing energy between members forming a joint such as between articulating bones.

Abstract: A knee prosthesis constructed in accordance to the present disclosure includes a femoral component and a boss. The femoral component can have a first condylar portion and a second condylar portion connected by an inner condylar portion that defines an intercondylar recess, the inner condylar portion having a first engagement portion comprising a first plurality of engaging members extending therefrom. The boss can have a longitudinal body extending along a boss axis between first and second ends. The first end can be configured to selectively mate with a stem. The second end can include a second engagement portion comprising a second plurality of engaging members extending therefrom. The second engagement portion of the boss can be selectively coupled to the first engagement portion of the femoral component in a plurality of discrete positions to attain a corresponding plurality of angles of the boss axis relative to the femoral component.

Abstract: A surgical instrument including a pre-cut trial mounted on a pre-cut line which is cut shallower than a genuine-cut line. The pre-cut trial is modeled after the genuine implant which is mounted on resected surfaces formed by performing genuine-cutting and comprised of an end resected surface, posterior and anterior resected surfaces, and posterior and anterior chamfer-resected surfaces on the distal end of a femur, and the pre-cut trial is mounted on the pre-cut line, thus observing the extended and flexed positions of the femur and the state of flexion thereof so as to make judgment if the genuine implant is appropriate.

Abstract: A manufacturing system for a surgical kit includes surgical tools and an implant for cartilage repair in an articulating surface of a joint. The design system includes the basic blocks of: I. Receiving design parameters for a surgical kit in a computer controlled manufacturing system, the design parameters for the surgical kit representing a model for a medical implant and a guide tool for implanting the implant; II. Manufacturing a medical implant dependent on the design parameters; and III. Manufacturing a guide tool for implanting the implant dependent on design parameters.

Abstract: Knee prostheses featuring components that more faithfully replicate the structure and function of the human knee joint in order to provide, among other benefits: greater flexion of the knee in a more natural way by promoting or at least accommodating internal tibial rotation in a controlled way, replication of the natural screw home mechanism, and controlled articulation of the tibia and femur respective to each other in a more natural way. In a preferred embodiment, such prostheses include an insert component disposed between a femoral component and a tibial component, the insert component preferably featuring among other things a reversely contoured posterolateral bearing surface that helps impart internal rotation to the tibia as the knee flexes.

Abstract: A design system for a surgical kit includes surgical tools and an implant. The design system includes the basic blocks of: I. Determining physical parameters for cartilage damage in a joint; II. Generating design parameters of a medical implant; and III. Generating design parameters of a set of tools for implanting the implant.

Abstract: The invention provides methods and systems that control the application of a material onto micro-rough implant surfaces. Thus, the present invention provides method of applying crystalline nanoparticles onto the surface of an implant to produce an implant with a crystalline nanoparticle layer on its surface, the method comprising: providing an implant substrate body; applying crystalline nanoparticles onto the surface of the implant; and rotating the implant, to produce an implant with a crystalline nanoparticle layer on its surface. This method of nanoparticle application is designed to promote the integration of implants, such as dental and orthopedic screws, into living tissue, and offers the ability to control the thickness and uniformity of the nanoparticle layer, in one or several layers, while simultaneously retaining the microroughness of the implant.

Abstract: A tibial prosthesis, and, particularly, a fixed bearing tibial prosthesis has a two-pronged securement mechanism. The securement mechanism may or may not be angled. Advantageously, the securement mechanism, working alone or in cooperation with other securement features, minimizes micromotion between the tibial tray and tibial bearing component.

Abstract: A knee implant includes a femoral component having first and second femoral component surfaces. The first femoral component surface is for securing to a surgically prepared compartment of a distal end of a femur. The second femoral component surface is configured to replicate the femoral condyle. The knee implant further includes a tibial component having first and second tibial component surfaces. The first tibial component surface is for contacting a proximal surface of the tibia that is substantially uncut subchondral bone. At least a portion of the first tibial component surface is a mirror image of the proximal tibial surface. The second tibial component surface articulates with the second femoral component surface.

Abstract: Implantable assemblies/devices and methods are provided for manipulating energy transferred by members defining an articulating anatomical joint, wherein the members collectively define a path of motion. Assemblies/devices are provided with a first component configured to be attached to a first anatomical member of the anatomical joint, a second component configured to be attached to a second anatomical member of the anatomical joint; and a tension member joining the first and second components. The tension member is placed under tension to absorb energy transferred by the anatomical members when the first component is attached to the first anatomical member and the second component is attached to the second anatomical member and a distance between locations of attachment of the first and second components becomes smaller then an implant-defined distance between the locations.

Abstract: An assembly system configured to seat a first orthopedic component having either a male taper or a female taper with a second orthopedic component having the other of a male taper or a female taper. In one embodiment, the assembly system includes a taper seating connector having a fastener and a bushing moveable retained on the fastener. The fastener may be connected to the first orthopedic component and the bushing may be positioned adjacent the second orthopedic component. The corresponding tapers on the first and second orthopedic components may be configured to secure the first and second orthopedic components together. Thus, by exerting a sufficient force on the bushing, the bushing will move along the fastener, transferring the force to the second orthopedic component. In this manner, the corresponding tapers of the first and second orthopedic components may be seated.

Abstract: Knee prostheses featuring components that more faithfully replicate the structure and function of the human knee joint in order to provide, among other benefits: greater flexion of the knee in a more natural way by promoting or at least accommodating internal tibial rotation in a controlled way, replication of the natural screw home mechanism, and controlled articulation of the tibia and femur respective to each other in a more natural way. In a preferred embodiment, such prostheses include an insert component disposed between a femoral component and a tibial component, the insert component preferably featuring among other things a reversely contoured posterolateral bearing surface that helps impart internal rotation to the tibia as the knee flexes.

Abstract: A multi-function impactor for use with an orthopaedic implant, such as a knee joint, is described. The head of the impactor has a pair of curved recesses for mating with condylar parts of a femoral implant and flat faces for mating with a tibial implant. An extended formation is also provided for use with the inter-condylar notch of the femoral implant. A v-shaped notch in the extended formation is also provided to impact a tibial insert. The impactor can be made from a single moulded plastics part.

Abstract: A tibial component for use with a resected tibia can include a medial tray portion adapted to engage a portion of the resected tibia and a lateral tray portion adapted to engage a portion of the resected tibia. A linkage can couple the medial tray portion to the lateral tray portion such that at least one of the medial tray portion and the lateral tray portion is pivotable relative to the other of the medial tray portion and the lateral tray portion to position the medial tray portion and the lateral tray portion at separate angles with respect to each other.

Abstract: The present invention relates to a method of modifying a surface characteristic (e.g., wear resistance and/or corrosion resistance) of a cobalt-chromium based alloy article. The method comprises plasma treating the article at a temperature in the range of from 300° C. to 700° C. and at a pressure of from 100 Pa to 1500 Pa for 1 hour to 50 hours in an atmosphere comprising at least one carbon-containing gas, whereby to introduce carbon into a surface region of said article. The present invention also resides in a surface-hardened cobalt-chromium based article producible by the method of the invention. The article is characterised by having a surface region comprising a supersaturated solid solution of carbon in cobalt or a surface region comprising a supersaturated solid solution of carbon in cobalt and chromium carbides. Surface hardened articles producible by the method of the invention include medical implants and engineering components.

Abstract: Devices, tools and techniques for the design, selection and/or modification of patient-specific implants, instruments and related methods are disclosed. Various embodiments include the use of double joint lines, particularly for treating severe deformities during joint repair and/or replacement surgeries.

Abstract: A method for treating arthritis of a joint includes identifying a bone lesion in a bone adjacent to the joint; and implanting in the bone a reinforcing member in or adjacent to the bone lesion. A kit for conducting the method includes: (a) at least one reinforcing member having a proximal face adapted to face the joint, a distal face adapted to face away from the joint, and a wedge-shaped edge adapted to pierce bone, wherein the at least one reinforcing member is planar and sterile; and (b) a container adapted to maintain the at least one reinforcing member sterile. Another kit includes: (a) a sterile fluid; (b) a syringe for injecting the fluid into a bone; (c) a curing agent adapted to cure the fluid to polymerize and/or cross-link; and (d) a container adapted to maintain the sterility of contents of the container.

Abstract: A bearing component 2 for a joint replacement prosthesis comprises a first bearing element 4; a second bearing element 6, and a linking element 8, operatively connecting the first and second bearing elements 4, 6 and permitting relative motion there between. The flexible linking element 8 prevents dislocation of mobile bearings in a total knee replacement prosthesis. The invention also relates to a bridging element which retains the linking element 8 with some play, which acts as a ligament support 2051, and which causes a deflection of the line of action of a ligament 1018. A joint replacement prosthesis is also disclosed comprising a biasing element 1140 or a tensioning element 1220 operatively coupled to the artificial ligament 1018. The biasing element 1140 or tensioning element 1220 may be housed in the stem of a tibial tray 1006.

Abstract: Disposable modular spacer device of the articulation of a knee including a tibial element, constrainable to an end of the tibial bone in proximity of the articulation of the knee and including a lower surface and an upper surface provided with a radius of curvature R2, and a femoral element, including an inner surface, constrainable to an end of the femoral bone at the articulation of the knee and an outer convex surface, provided with a radius of curvature R1 and in contact with the upper surface of the tibial element, the tibial element and the femoral element having various dimensions or sizes, the tibial element being configured so as to be coupled with any size of the femoral element to adapt the dimensions of the modular spacer device with the dimensions of the bone ends to which it should be connected.

Abstract: A method for preparing at least a first bone for receiving a prosthesis can include positioning an IM member in a bone. A scaffold, skeleton or frame can be located onto the bone at a desired location. An alignment assembly can be coupled to the frame. The alignment assembly can be moved relative to the IM member to position the frame at a desired location relative to the bone. The frame can be fixed to the bone at the desired location. A cavity can be reamed into the bone using at least a portion of the alignment assembly as a guide. The alignment assembly can be removed from the frame. A cutting block can be coupled to the first attachment portion. Cuts can be prepared in the bone using the cutting block as a guide.

Abstract: A medical prosthesis for use within the body which is formed of radiation treated ultra high molecular weight polyethylene having substantially no detectable free radicals, is described. Preferred prostheses exhibit reduced production of particles from the prosthesis during wear of the prosthesis, and are substantially oxidation resistant. Methods of manufacture of such devices and material used therein are also provided.

Abstract: A method for treating arthritis of a joint includes identifying a bone lesion in a bone adjacent to the joint; and implanting in the bone a reinforcing member in or adjacent to the bone lesion. A kit for conducting the method includes: (a) at least one reinforcing member having a proximal face adapted to face the joint, a distal face adapted to face away from the joint, and a wedge-shaped edge adapted to pierce bone, wherein the at least one reinforcing member is planar and sterile; and (b) a container adapted to maintain the at least one reinforcing member sterile. Another kit includes: (a) a sterile fluid; (b) a syringe for injecting the fluid into a bone; (c) a curing agent adapted to cure the fluid to polymerize and/or cross-link; and (d) a container adapted to maintain the sterility of contents of the container.

Abstract: Disclosed herein are methods and devices for repairing articular surfaces in a knee joint. The articular surface repairs are customizable or highly selectable for each patient and geared toward providing optimal fit and function. Kits are also provided to enable customized repairs to be performed.

Abstract: The invention relates to a base component for a tibial implant, comprising a lateral compartment (14), a medial compartment (12) and an anterior connection portion (16) which connects the lateral compartment (14) and the medial compartment (12) to one another at anterior. A portion (18) open to posterior is provided between the lateral compartment (14) and the medial compartment (12). The lateral component (14) and the medial component (12) each have a lower side and an upper side, with at least one of the lower sides being configured for the fastening of the base component to the tibia. A marginal web (22, 22?) is formed at at least one of the compartments (12, 14), starting from the upper side, said marginal web forming a receiving shell for a meniscus component (30, 32) of the tibial implant together with the upper side of the compartment.

Abstract: Disclosed herein are tools for repairing articular surfaces repair materials and for repairing an articular surface. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: Implantable assemblies/devices and methods are provided for manipulating energy transferred by members defining an articulating anatomical joint, wherein the members collectively define a path of motion. Assemblies/devices are provided with a first component configured to be attached to a first anatomical member of the anatomical joint, a second component configured to be attached to a second anatomical member of the anatomical joint; and a tension member joining the first and second components. The tension member is placed under tension to absorb energy transferred by the anatomical members when the first component is attached to the first anatomical member and the second component is attached to the second anatomical member and a distance between locations of attachment of the first and second components becomes smaller then an implant-defined distance between the locations.

Abstract: A system and method for attaching soft tissue to bone is provided. In general, the apparatus includes an expandable body that is configured to expand into bone, and an expander pin that is adapted to be driven into the expandable body. The device can also include a tissue attachment apparatus that can be used to secure tissue to the device, thereby providing a method for attaching tissue to bone.

Abstract: A prosthetic knee joint includes: (a) a femoral member comprising rigid material with a convex, wear-resistant femoral contact surface including a convex ridge; (b) a tibial assembly including: (i) at least one cup comprising rigid material with a body and a rim substantially thicker than the body defining a wear-resistant cup contact surface; (ii) a rigid base; and (iii) a spring support interconnecting the cup and the base, the spring support elastically deflectable permitting controlled pivoting of the at least one cup; (c) wherein the cup contact surface bears against the femoral contact surface, transferring axial and lateral loads between the cup and femoral member, while allowing pivoting between the cup and femoral member; and (d) wherein the at least one cup allows the rim to deform elastically, permitting the cup contact surface to conform in an irregular shape to the femoral contact surface, when the knee joint is loaded.

Abstract: A method of synthetic grafting of bone-tendon-bone autograft harvest sites using preformed synthetic trapezoidal implants. The implants are formed of tricalcium phosphate, an osteoconductive bone graft substitute and filler, which allows for simultaneous controlled absorption and promotion of osteogenesis. The implants are preferably pretreated or presoaked intraoperatively in autologous blood, or autologous conditioned plasma, or bone marrow aspirate products to enhance healing ability. The implants are trimmed to match the patellar pole shape, pressed into place in the bone voids, and oversewn to complete the procedure.

Abstract: Methods and devices are disclosed relating improved articular models, implant components, and related guide tools and procedures. In addition, methods and devices are disclosed relating articular models, implant components, and/or related guide tools and procedures that include one or more features derived from patient-data, for example, images of the patient's joint. The data can be used to create a model for analyzing a patient's joint and to devise and evaluate a course of corrective action. The data also can be used to create patient-adapted implant components and related tools and procedures.

Abstract: One embodiment of the present invention relates to a system in which a knee prosthesis is capable of conversion from a cruciate retaining type prosthesis to a posterior stabilizing type prosthesis. Another embodiment of the present invention relates to a system in which a knee prosthesis is converted from a cruciate retaining type prosthesis to a posterior stabilizing type prosthesis. Another embodiment of the present invention relates to a method in which a knee prosthesis is capable of conversion from a cruciate retaining type prosthesis to a posterior stabilizing type prosthesis. Another embodiment of the present invention relates to a method in which a knee prosthesis is converted from a cruciate retaining type prosthesis to a posterior stabilizing type prosthesis. Another embodiment of the present invention relates to a method of making a knee prosthesis that is capable of conversion from a cruciate retaining type prosthesis to a posterior stabilizing type prosthesis.