Abstract: Prostheses and methods for treating canine cruciate ligament disease are disclosed comprising placement of a specifically configured implant on the femur or tibia to displace targeted muscle or connective tissue associated with the stifle joint so as to reduce cranial tibial thrust.

Abstract: A knee prosthesis includes a femoral component, a tibial component, and a coupling component interconnecting the femoral component and the tibial component. The tibial component includes ball. The femoral component is configured to move relative to the tibial component. The coupling component defines an internal cavity including a first spherical end portion and a second spherical end portion. The internal cavity is dimensioned to receive the ball of the tibial component. The ball is repositioned between the first spherical end portion and the second spherical end portion of the internal cavity upon movement of the femoral component relative to the tibial component.

Abstract: A femoral prosthesis and a knee prosthesis are provided. The femoral prosthesis includes a condyle surface having a first surface section contacting a tibial joint surface over a first range of flexion angles and a second surface section contacting the tibial joint surface over a second range of flexion angles; the first range of flexion angles from a first to a second flexion angle; the second range of flexion angles from the second to a third flexion angle; the first flexion angle selected from ?20° to 0°, the second flexion angle selected from 45° to 75°, the third flexion angle selected from 50° to 90° and the third flexion angle greater than the second flexion angle; the first surface section having a radius of curvature of a constant length, and the second surface section having a radius of curvature that decreases from a front end to the rear end.

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: Certain embodiments generally provide an improved tibial base member comprising keel portions that allow one or both cruciate ligaments to be preserved. Other embodiments provide improved lateral and/or medial inserts having a mesial lip that helps relieve and or prevent impingement between the femoral component and the tibial eminence. Other embodiments provide improved femoral components having various chamfers to provide additional clearance with respect to the tibial eminence and posterior cruciate ligament without decreasing bone coverage.

Abstract: The present invention relates to a method for in situ biomimetic mineralization of polymeric hydrogels, where the incorporated CaP phase can be selectively tuned in chemical composition and morphology to mimic bone and dental mineral. The present invention also relates to a method to coat a substrate with apatite material, the resulting product and the use of the product.

Abstract: A knee arthroplasty system may have a femoral joint prosthesis with a femoral bone engagement surface with an anterior portion, a posterior portion, and a distal portion that connects the anterior portion to the posterior portion. A first femoral anchoring member may protrude from the distal portion, and may be connected to the anterior portion with a primary femoral web. A tibial resection guide may have a base member and a guide member with a slot that guides a cutting blade to resect the tibial plateau. The guide member may slide along an arcuate path relative to the base member.

Abstract: Embodiments of an implant assembly for reverse shoulder arthroplasty is disclosed. In one embodiment, the implant assembly comprises a humeral component and an adaptor coupled to the humeral component. The humeral component comprises a stem portion and a neck portion. The stem portion is configured for fixation to a humerus, and the neck portion is angularly oriented relative to the stem portion. The adaptor comprises a first bearing surface and a second bearing surface opposite the first bearing surface. The first bearing surface interfaces with an articulating surface of the neck portion to allow the adaptor to rotate relative to the humeral component in a plane that is generally parallel to the articulating of the neck portion. The second bearing surface is configured to interface with a glenosphere component to allow the glenosphere component to articulate relative to the adaptor.

Abstract: Pathology of the human knee can arise from excessive and/or uneven loading of regions within the joint. Methods and apparatus are disclosed that enable displacement of soft tissue around the knee, without displacing or severing bone thereby altering the mechanical load distribution within the joint in a less invasive manner than previous techniques.

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 tibia tray 1006.

Abstract: The invention concerns a tibial prosthetic component comprising a plate (100) for forming a tibial plateau of a tibia (16), wherein a peripheral region of the plate (100) has a thickness of less than 3 mm. The invention also concerns a tibial prosthetic component having a keel of depth less than 9 mm. The invention also concerns a method of selecting a tibial prosthetic component comprising receiving measurements of at least one physical attribute of an individual into whom the tibial prosthetic component is to be implanted, selecting a thickness of a plate (100) and depth of keel of the tibial prosthetic component based on the measurements and providing a tibial prosthetic component comprising a plate (100) having the selected thickness and a keel having the selected depth.

Abstract: An implantable assembly (21) for a knee joint includes a force absorber assembly (33) connected to a first attachment structure (25) for a tibia and a second attachment structure (29) for a femur. The absorber assembly includes a cylinder body (47) connected to the first attachment structure and a piston (41) connected to the second attachment structure. The piston includes a first portion (39) connected to the second attachment structure and a second portion receivable in a cylinder body opening (43) of the cylinder body, the second portion of the piston being of greater flexibility than the first portion of the piston.

Abstract: The present application generally relates to orthopedic systems, and in particular, to systems including independent plates and spacers. A plating system can include a spacer and a plate that is independent from the spacer. A number of locking mechanisms can be provided to secure the plate to the spacer. In some cases, the spacer includes a pair of notches that extend on an outer surface of the spacer. The plate can include a pair of lateral extensions that can engage the notches to secure the plate to the spacer. In other cases, the spacer includes an opening including a pair of inlets. The plate can include an enclosed posterior extension that can be received in the pair of inlets to secure the plate to the spacer.

Abstract: The invention relates to an articulating joint spacer for temporary replacement of a joint, whereby the joint spacer comprises two spacer parts which each comprise one sliding surface on which the spacer parts, in the patient-inserted state, touch against each other in mobile manner and roll off on each other, and the remaining spacer parts are made, at least in part, of a second bone cement that contains at least one water-soluble antibiotic. The invention also relates to a method for producing a two-part articulating joint spacer, in which a sliding surface is formed in both spacer parts from a low-abrasion first bone cement and at least the surfaces of the remaining spacer parts, at least 50% thereof, are formed with a second bone cement that contains at least one water-soluble antibiotic.

Abstract: A method of using an orthopedic implant includes providing a main body, as well as a porous augment having a bone ingrowth surface. The main body is removably attached with another surface of the porous augment to form an orthopedic implant. A portion of a bone is extracted from the body of a patient and, subsequently, the orthopedic implant is implanted into the body of the patient. The porous augment is positioned such that a bone interfacing surface of the porous augment interfaces with a cut surface of the bone from which the portion of bone is extracted to facilitate bone ingrowth into the porous augment.

Abstract: An implant having components comprising an oxidized zirconium bearing surface adapted to decrease pain, lower friction, and minimize wear when coupled with natural femoral articular cartilage. The implant components also provide for reduced backside wear effects in fixed and mobile implants. The implant components further provide for more ideal wear coupling between components in mobile bearing implants.

Abstract: An orthopedic knee prosthesis includes a femoral component which exhibits enhanced articular features, minimizes removal of healthy bone stock from the distal femur, and minimizes the impact of the prosthesis on adjacent soft tissues of the knee.

Abstract: The present application generally relates to orthopedic systems, and in particular, to systems including independent plates and spacers. A plating system can include a spacer and a plate that is independent from the spacer. A number of locking mechanisms can be provided to secure the plate to the spacer. In some cases, the spacer includes a pair of notches that extend on an outer surface of the spacer. The plate can include a pair of lateral extensions that can engage the notches to secure the plate to the spacer. In other cases, the spacer includes an opening including a pair of inlets. The plate can include an enclosed posterior extension that can be received in the pair of inlets to secure the plate to the spacer.

Abstract: An implantable device for treating disc degenerative disease and arthritis of the spine. The implant is sized for placement into an intravertebral disc space. The implant has a body with a predetermined, defined, repeating, three-dimensional pattern at least partially on at least one of its surfaces. The pattern is adapted to create a surface area of bone-contacting features that enhance in-growth and biological attachment to a biocompatible material. Also disclosed are process steps for making the implant.

Abstract: An orthopaedic knee prosthesis includes a femoral component which exhibits enhanced articular features, minimizes removal of healthy bone stock from the distal femur, and minimizes the impact of the prosthesis on adjacent soft tissues of the knee.

Abstract: A joint prosthesis comprises a distal component for anchoring to a first bone, a proximal component for anchoring to a second bone, and a coupling piece that, together with the first component, forms a flexion bearing around a first axis and, together with the second component, forms a rotary bearing formed by the pin and the bearing bush around a second axis oriented transversely to the first axis. The rotary bearing comprises a multi-layer bearing insert, having a sliding sleeve surrounding the pin and a support sleeve that encloses said sliding sleeve and is fastened to the coupling piece by means of a securing element, wherein the securing element comprises an actuation unit within the support sleeve and can be connected to the coupling piece such as to ensure tensile strength by means of two aligned bores in the support sleeve and the coupling piece.

Abstract: An improved implant having components comprising an oxidized zirconium bearing surface adapted to decrease pain, lower friction, and minimize wear when coupled with natural femoral articular cartilage. The improved implant components also provide for reduced backside wear effects in fixed and mobile implants. The improved implant components further provide for more ideal wear coupling between components in mobile bearing implants.

Abstract: A posterior stabilized knee orthopaedic prosthesis assembly includes a tibial bearing, a primary femoral component, and a revision femoral component. Each of the primary and revision femoral components is configured to separately articulate with the tibial bearing. However, each of the primary and revision femoral components has different geometry. The primary femoral component includes a posterior cam having a posterior cam surfacing including a concave cam surface and a convex cam surface. The revision femoral component includes a posterior cam having only a convex cam 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: A tibial implant includes a baseplate having a proximally facing surface surrounded at least in part by a proximally extending wall. The wall has a ramp surface extending from the wall towards the baseplate proximally facing baseplate surface and a bore located distally of the ramp. A polyethylene bearing insert is mounted on the baseplate and has a distally facing surface engaging the proximally facing surface of the baseplate. The distally facing bearing insert surface has a recess and the insert has a side surface with a passageway extending from the recess through the insert side surface. A spring detent is mounted in the bearing insert recess and has a moveable pin biased outwardly of the bearing insert side surface and into the bore of the baseplate.

Abstract: A temporary knee replacement assembly and kit includes a tibial plate that attaches to the tibia, a tibial rod that extends through the plate into the medullary cavity and abuts the plate. A femoral plate attaches to the femur, and a femoral rod extends through the second plate into the femur medullary cavity and abuts the plate. A locking spacer connects the two rods. The spacer may be length adjustable or may be provided in multiple sizes for length selection. One or both of the rods may include a bone cement/antibiotic coating to provide antibiotic treatment to the tissue. The kit may include multiple tibial and femoral rods, multiple tibial and femoral plates, and multiple locking spacers, to accommodate different applications.

Abstract: Articular repair implants, implant components, systems, methods, and tools are disclosed. Various embodiments provide improved features for knee joint articular repair systems designed for posterior stabilization, including deep-dish configurations, and box, cam, and/or post features. Additionally, various embodiments include patient-adapted (e.g., patient-specific and/or patient-engineered) features.

Abstract: A prosthesis for replacing a knee joint between a femur and a tibia can include a femoral component, a tibial component, a bearing and a yoke assembly. The yoke assembly can have a yoke disposed between the bearing and the femoral component and an axle having an axle axis. The axle can hingedly couple the yoke with the femoral component. Rotation of the femoral component about a rotation axis that is perpendicular to the axle axis causes concurrent rotation of the yoke about the rotation axis.

Abstract: An implantable orthopaedic knee prosthesis includes a component that is configured to be coupled to a surgically-prepared bone. A fixation side of the component includes a fixation surface that has an angled cement pocket formed therein.

Abstract: A method of assembling a knee joint prosthesis for replacing a portion of a knee joint. The method includes rotatably coupling a post to an extension portion of an insert extending from a bearing member, and coupling a femoral component for articulation on the bearing member.

Abstract: Certain embodiments generally provide an improved tibial base member comprising keel portions that allow one or both cruciate ligaments to be preserved. Other embodiments provide improved lateral and/or medial inserts having a mesial lip that helps relieve and/or prevent impingement between the femoral component and the tibial eminence. Other embodiments provide improved femoral components having various chamfers to provide additional clearance with respect to the tibial eminence and posterior cruciate ligament without decreasing bone coverage.

Abstract: A prosthetic knee joint assembly includes a femoral component that engages a femur and at least one bearing that supports articulation of the femoral component thereon. Also, the assembly includes a tibial tray that engages a tibia and that supports the bearing. A ligament link coupling component is included on the femoral component or the tibial tray. The ligament link coupling component is operable to couple to a ligament link to couple the ligament link to the femoral component or the tibial tray. Moreover, the assembly includes an opening included on the other of the femoral component or the tibial tray. The ligament link is received in the opening to bypass the other of the femoral component or the tibial tray to operably couple to the respective one of the femur or the tibia.

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

Abstract: An artificial knee joint includes a femoral component and a tibial plate. The femoral component includes a first joint face disposed adjacent to a medial collateral ligament of a patient, and a second joint face disposed adjacent to a lateral collateral ligament of the patient. The first and second joint faces respectively have first and second medial pivot guide portions. A reference face extending orthogonal to the left-right direction is defined between the first and second joint faces. An amount ?D2 of decrease in a distance D2 between the second contact portion on the second medial pivot guide portion and the reference face in accordance with an increase per unit flexion angle is greater than an amount ?D1 of decrease in a distance D1 between the first contact portion on the first medial pivot guide portion and the reference face in accordance with the increase per unit flexion angle.

Abstract: A multi-component joint assembly incorporated into reconditioned end surfaces established between an upper bone and an opposing lower bone. A first component is anchored into the upper reconditioned bone end surface and exhibits a first exposed support surface, a second component is anchored into the lower reconditioned bone end surface and exhibits a second exposed support surface. A spherical shaped and multi-directional supporting component is supported between the first and second anchored components.

Abstract: A tibia component of a knee arthroplasty to be connected to a tibia includes a first tibia connecting structure and a second tibia connecting structure. The first tibia connecting structure can be inserted into a radial groove on the tibia along a radial direction of the tibia to limit the motion of the tibia component in the axial direction of the tibia. The second tibia connecting structure can be inserted into an axial groove on the tibia along the axial direction of the tibia to limit the motion of the tibia component in the radial direction of the tibia. The first and the second connecting structures provide the radial and axial bonding force to the tibia and the knee arthroplasty, so that the amount of bone cement used can be reduced and may beneficial to revision knee arthroplasty operation.

Abstract: An implantable orthopaedic knee prosthesis includes a component that is configured to be coupled to a surgically-prepared bone. A fixation side of the component includes a fixation surface that has an angled cement pocket formed therein.

Abstract: An energy absorbing system, useful for attachment across a patient's joint, includes portions which are formed entirely or in part of a non-metallic material, e.g., PAEK, and thus reduces the possibility of the formation of metal debris in vivo. The system can include a flexibility-enhanced piston, retained within a spring, which reduces the possibility of tissue impingement with the system.

Abstract: A joint prosthesis includes e.g., a femoral component and a tibial component. The medial and lateral condylar articular surfaces may have substantially uniform and equal radii from full extension to about 90° of flexion. From 90°, the lateral condylar articular surface has a smaller radius than the medial condylar articular surface such that the medial condyle gradually becomes increasingly more proud than the lateral condyle to facilitate internal rotation of the tibia at deep flexion. Also, the tibial articular component may include a post intermediate the medial and lateral compartments that engages a cam on the femoral articular component between the medial and the lateral condylar articular surfaces. The cam and post become congruent at flexion angles of approximately 70° flexion and mate symmetrically during the first 20°-30° of further flexion, and then mate asymmetrically at greater degrees of flexion to force internal rotation of the tibia.

Abstract: A knee implant for use in total knee arthroplasty, the implant including a femoral component having a trochlear groove and an intercondylar notch, a tibial component engaged with the femoral component, and a patellar component having an upper domed surface, wherein the domed surface is configured for at least line contact articulation with the trochlear groove of the femoral component.

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: An orthopaedic knee prosthesis includes a tibial bearing and a femoral component configured to articulate with the tibial bearing. The femoral component includes a condyle surface curved in the sagittal plane. The radius of curvature of the condyle surface decreases gradually between early-flexion and mid-flexion. Additionally, in some embodiments, the radius of curvature may be increased during mid-flexion.

Abstract: Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include a modular patella-femoral component. This modular patella-femoral component can include several characteristics, including a modular anterior flange that has an anterior femoral articulation surface that is configured to articulate against a patella in a knee joint, a posterior surface that is configured to be attached to an anterior portion of a femur, and a distal end that is configured to couple to a proximal end of an anterior portion of a femoral prosthesis, which is configured to couple to a distal portion of the femur. Other implementations are also described.

Abstract: This disclosure is directed to a resilient interpositional arthroplasty implant for application into a knee joint to pad cartilage defects, cushion a joint, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. Rather than using periosteal harvesting for cell containment in joint resurfacing, the walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability to avoid extrusion or dislocation.

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 joint assembly incorporated into reconditioned end surfaces established between an upper bone and an opposing lower bone. The assembly includes a first component anchored into a first of the reconditioned bone end surfaces and exhibiting a first exposed support surface and a second component anchored into a second of the reconditioned bone end surfaces and exhibiting a second exposed support surface further including a flexible and conveyable closed loop belt relatively displaceable upon contact with the first support surface. Entrapment pockets can be formed within the implantable components and for collecting wear particles and debris from the belt and in order to extend the life of the joint assembly.

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

Abstract: Tibial inserts and tibial femoral systems are provided for improved knee reconstruction systems. External rotation of a knee joint implant is enhanced by modifications to the post, providing a recess that allows clearance of the post against the corners of a box wall within the femoral component. The rotation provides for a more natural knee joint motion of the implant. The depth, size, and location of the post relief may be modified for certain applications to provide both improved rotational motion and constraint against undesirable motion of the knee.

Abstract: An implantable orthopaedic knee prosthesis includes a femoral component including an articular surface configured to engage a tibial bearing and a laterally-angled trochlear groove defined in the articular surface. The trochlear groove of the femoral component is configured to receive a patella component in a first location at a first degree of flexion and a second location at a second degree of flexion. The second degree of flexion is greater than the first degree of flexion. An arced imaginary line defines a central section of the trochlear groove. When the femoral component is viewed in a first coronal plane extending through the first location, the arced imaginary line has a first radius of curvature. When the femoral component is viewed in a second coronal plane extending through the second location, the arced imaginary line has a second radius of curvature that is less than the first radius of curvature.

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.