Abstract: A tibial trial insert includes an upper plate and lower plate. An adjustment arrangement between the upper and lower plates is actuatable to adjust a gap between the upper and lower plates. The adjustment arrangement includes a first lift with a first lever arm arrangement and a second lift with a second lever arm arrangement. Each lever arm arrangement is indirectly connected to the upper and lower plates and pivotally movable to vary its length and adjust the gap between the upper and lower plates. The first lift includes an actuator coupled to the first lever arm arrangement. Actuation of the actuator varies the length of the first lever arm arrangement. The adjustment arrangement includes a coupling that couples the second lift to the first lift and configured such that the length of the second lever arm arrangement is varied synchronously to the first lever arm arrangement.

Abstract: An orthopedic prosthesis includes a joint replacement portion that has a first side, a second side opposite the first side, and a screw hole that extends through the joint replacement portion from the first side and through the second side. The prosthesis also includes a peg that extends from the second side and that has a concave relief surface that partially defines the screw hole.

Abstract: An orthopedic implant with an inferior portion having a tibia contact surface configured to extend over a tibia; a superior portion opposite to the inferior portion having a tendon contact surface configured to change a position of a patellar tendon by lifting or tilting the patellar tendon when the curved surface of the first portion is engaged with the tibia; and a fixation mechanism adapted to attach the orthopedic implant to the tibia, the orthopedic implant being further configured to change shape from a first configuration to a second configuration in response to a load applied between the tendon contact surface and the tibia contact surface. The invention also addresses corresponding methods.

Abstract: A method of joining adjacent bone includes providing a medical device having a first implant portion, a second implant portion attached to the first implant portion, and a driver assembly having an instrument adapted to form an opening in bone. The driver assembly is integrally connected to and removably attached to the second implant portion at a connection, distal from the first implant portion. The driver assembly further has a wire driver extending therefrom, distal from the first implant portion. The method further includes inserting the wire driver into a wire driver tool; placing the first implant portion against a first bone structure; inserting the first implant portion into the first bone structure; removing the second implant portion from the driver assembly; using the driver assembly to form an opening in a second bone structure, adjacent to the first bone structure; and inserting the second implant portion into the opening.

Abstract: The present disclosure relates to an artificial ankle joint tibial component and, more particularly, to an artificial ankle joint tibial component of an implant that is implanted into a body, the implant including: a body part having a contact surface in contact with a resected surface of a distal end of a tibia of a joint and a joint surface facing a joint; and a fixing part formed to extend a predetermined length upwards from the contact surface, wherein the fixing part is configured as a single body formed to extent a predetermined length upwards from the center in the front area of the contact surface and includes a wing extending to one side, and wherein the wing includes at least one posterior wing that extends at a predetermined angle relative to an AP line, thereby preventing stress from being concentrated on one wing to avoid a fracture thereof and increasing the contact area between a bone and an implant to strengthen fixing force, prevent rotation, and disperse stress, so that bone resorption aroun

Abstract: A surgical guide assembly for performing a knee osteotomy procedure, the assembly comprising: a body for securing to a patient's tibia bone; and a plurality of guide modules removably attachable to the body, each guide module being adapted to receive a corresponding surgical tool and to guide the corresponding surgical tool along a predetermined path during the knee osteotomy procedure.

Abstract: A tibial component of a knee prosthesis includes a tibial plate and a tibial insert, and anterior and posterior abutments projecting from an upper face of the tibial plate. The anterior abutment extends along at least part of the tibial plate and the posterior abutment extends for at least part of the tibial plate and comprises a part forming a promontory and an anterior cut-out, in particular central, in the form of a window formed in the anterior abutment opening onto the posterior face of the latter opposite the part forming the promontory. The tibial insert has a face upper, a face lower and a lateral face, which has a shape matching the part forming the promontory, characterised in that at least one flexible tab in the form of a hook projects centrally from an anterior face of the insert and locks by snap-fitting, into the anterior cut-out.

Abstract: A tibial implant includes one or more stiffness-modifying features to reduce the stiffness of one or more sections of the tibial implant. The stiffness-modifying features may include slots, recesses, or passageways defined in various locations of the tibial implant to selectively reduce the stiffness of a tibial insert and/or tibial base of the tibial implant.

Abstract: According to one example, a bearing component for a knee arthroplasty is disclosed. The bearing component can optionally comprise any one or combination of: a medial compartment having an medial articular surface with a medial articular track and having a first thickness as measured at the medial articular track between the medial articular surface a medial distal surface; and a lateral compartment having a lateral articular surface with a lateral articular track and having a second thickness as measured at the lateral articular track between the lateral articular surface a lateral distal surface; wherein the medial articular surface at the medial articular track and the lateral articular surface at the lateral articular track each have an inclination so as to form an acute angle with respect to a resected proximal surface of a tibia.

Abstract: An orthopedic measurement system is disclosed to measure leg alignment. The measurement system includes a tri-axial gyroscope configured to measure movement of a leg. The gyroscope is coupled to a tibia of the leg. For example, the gyroscope can be placed in an insert or tibial prosthetic component that couples to the tibia. The gyroscope is used to measure alignment relative to the mechanical axis of the leg. The leg alignment measurement is performed by putting the leg through a first leg movement and a second leg movement. The gyroscope outputs angular velocities on the axes the sensor is rotated about. The gyroscope is coupled to a computer that calculates the alignment of the leg relative to the mechanical axis from the gyroscope measurement data.

Abstract: Embodiments of the invention include a knee arthroplasty trialing system and method with a femoral component and a tibial trial that has one or more spacers and one or more articular trials. Some embodiments include spacers and articular trials that may be moved in and out of the joint space without significantly distracting the femoral component away from the tibial trial. Some spacers and trials are configured to be inserted and removed from a joint space substantially along an anterior-posterior axis.

Abstract: Systems for joint arthroplasty include prostheses which are secured to bone with sliding anchors. Examples include unicondylar and bicondylar knee prostheses for hemi-arthroplasty and total arthroplasty. Instruments guide the anchors into proper engagement with the prosthetic components. Methods of using the prostheses and instruments are disclosed.

Abstract: Systems and methods may be used to perform robot-aided surgery. A system may include a robotic controller to monitor a position and orientation of an end effector coupled to an end of a robotic arm. The robotic controller may apply a force to a bone using the end effector, such as via a soft tissue balancing component. The robotic controller may determine soft tissue balance using information from a tracking system, such as a position of a first tracker affixed to the bone. The soft tissue balance may be output, such as to a display device.

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: A knee joint implant is capable of resolving issues of conventional cementless or uncemented implants. The knee joint implant improves fixing force of the implant in a vertical direction and provides improved initial fixation for the implant.

Abstract: An artificial knee joint includes a tibial component implanted into the proximal end of a tibia, and a bearing component coupled to the tibial component, in which the tibial component includes an interference prevention portion capable of preventing interference with the bearing component when the bearing component is inserted diagonally and the bearing component includes a protrusion coupled to the interference prevention portion.

Abstract: A system and method for nondestructive inspection of a unitized composite structures is provided. The system includes an infrared thermographic camera and a carriage that can be mounted on, for example, adjacent frames of the unitized composite structure. The carriage can move along the length of the frames while the infrared thermographic camera collects and analyzes thermographic images of the frame, skin, and stiffeners. The carriage can be moved to other frames and the inspection continued until the entire unitized composite structure has be inspected.

Abstract: A smart part comprising: a body, manufactured by a three dimensional (3D) additive manufacturing (AM) process, having high-stress and low-stress sections, wherein when the smart part is in operational use the high-stress section is subjected to higher stress than the low-stress section; a resistive strain gauge embedded within the body during the AM process at the high-stress section, wherein the strain gauge is configured to produce a variable output; and a temperature sensor embedded within the body during the AM process at the low-stress section, wherein the temperature sensor is configured to produce a variable output based on temperature.

Abstract: A semi-synthetic hybrid material having a pH from 7 to 7.4 includes an inorganic fraction and a cross-linked organic fraction. The method for producing this material, and osteosynthesis devices or implants made of semi-synthetic hybrid material are also described.

Abstract: The present disclosure provides alert implants that comprise a medical device and an implantable reporting processor (IRP), where one example of such a medical device includes a component for a total knee arthroplasty (TKA) such as a tibial extension, a femoral component for hip replacements, a breast implant, a distal rod for arm or leg breakage repair, a scoliosis rod, a dynamic hip screw, a spinal interbody spacer, and tooling and methods that may be used to form the alert implant, and uses of such alert implants in the health maintenance of patients who receive the implant.

Abstract: The invention relates to a femoral component (1) of a knee replacement assembly. The knee replacement assembly is arranged to articulate about an articulation axis (X). The femoral component comprises an outer surface (100), wherein the outer surface is arranged to define a replacement condyle; and an inner surface (200), opposed to the outer surface, wherein the inner surface is adapted for attachment to a prepared distal femur. The inner surface comprises portions (210, 220, 230, 240) provided with mutually-parallel ridges (201) and grooves (202). The ridges and grooves are arranged to provide an increased or reduced stiffness of the femoral component when cantilevered about the articulation axis compared with a stiffness of the femoral component when cantilevered about a transverse axis.

Abstract: Disclosed herein are methods of designing and fabricating prosthetic implants having a sagittal wall in which at least a portion thereof traverses a non-linear path. A method of fabricating such a prosthetic implant may include generating a virtual bone model based on image information obtained from at least one bone, determining a proposed height of the prosthetic implant at a first location on the virtual bone model, determining a proposed resection depth into the at least one bone at the first location based at least in part on the proposed height of the prosthetic implant, and determining a curved resection path across a portion of the virtual bone model. The curved resection path may intersect the first location and the prosthetic implant may have a curved sagittal wall corresponding to the curved resection path.

Abstract: Disclosed herein are an implant with a suture passage and a method of attaching sutures to the same. The implant may include a suture pocket having a first pocket, a second pocket, and a suture hole disposed therebetween. The first pocket may have a first wall segment, the second pocket may have a second wall segment, and the suture hole may have a first sidewall segment extending from a first opening to a second opening. The first wall segment, the second wall segment, and the first sidewall segment may form a contiguous wall. A method of attaching a suture to the implant may include placing a tip of a suture needle on the first wall segment, sliding the suture needle into the first opening and pushing the suture needle through the suture hole.

Abstract: Methods, systems and apparatuses are disclosed including apparatuses that can be used in a total knee replacement procedure. According to one example, a tibial implant is disclosed. The tibial implant can be configured for attachment to a tibia in a knee arthroplasty and can include a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis and a fixation member. Each of the lateral portion and the medial portion can have a distal surface configured to interface with a resected proximal surface of a tibia. The fixation member can be coupled to and extend both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion.

Abstract: Methods and systems for providing feedback to guide selection of an artificial bone flap. A user interface for planning a neurosurgical procedure is provided, the neurosurgical procedure including closing of an opening in a portion of a patient's skull using an artificial bone flap. 3D dimensions of the opening are determined using at least pre-operative three-dimensional (3D) imaging data. One or more parameters for selecting an artificial bone flap are determined, where the one or more parameters are based on at least the 3D dimensions of the opening. Output indicating one or more recommended available artificial bone flaps suitable for closing the opening is provided, the recommendation being based on the determined one or more parameters.

Abstract: In some embodiments, a method for determining a deformity in a bone surface comprises performing a scan of a healthy bone and a diseased bone; creating 3-dimensional (3D) representations of a current surface of the diseased bone; constructing an estimated healthy surface in 3D for the diseased bone based on the surface of the healthy bone; and identifying a deformity in the diseased bone by comparing the estimated healthy surface to the current surface of the diseased bone. In some embodiments, the scan is performed using high resolution peripheral quantitative computed tomography (HR-pQCT).

Abstract: A method for planning an arthroplasty procedure on a patient bone. The method may include accessing generic bone data stored in a memory of a computer, using the computer to generate modified bone data by modifying the generic bone data according to medical imaging data of the patient bone, using the computer to derive a location of non-bone tissue data relative to the modified bone data, and superimposing implant data and the modified bone data in defining a resection of an arthroplasty target region of the patient bone.

Abstract: A knee replacement, a kit for a knee replacement, and a method for performing a knee replacement are provided. A tibial fixed component of the knee replacement is configured to be permanently inserted into a resected tibia of a patient. A tibial modular component of the knee replacement is removably attachable to the tibial fixed component and has an upper surface to interface with a femoral component. The tibial modular component is removable from the tibial fixed component so that in the event that the fit of the knee replacement is not correct, the tibial modular component may be replaced with a differently sized tibial modular component without removing the tibial fixed component from the bone.

Abstract: A femoral component (101) for a knee prosthesis, the femoral component (101) comprising: a body portion (103) having: a lateral portion (109) and a medial portion (111) when in an implanted configuration, wherein a parasagittal plane is located at the intersection between the lateral portion (109) and the medial portion (111); and a patella track (105) extending anterior-posteriorly around the body portion (103), wherein the patella track (105) comprises a first patella track portion (105a) that is directed laterally away from the parasagittal plane as it extends towards a posterior end of the patella track (105).

Abstract: A computer assisted surgical system for guiding bone cutting operations of an arthroplasty surgery is provided. The computer assisted surgical system includes a cutting guide having a guiding surface for mounting to a bone and a computer. The computer is in communication with the cutting guide and configured to generate a bone model of the first bone without the use of pre-operative bone images, determine a position of an implant model having a bone interface surface on the bone model, determine a position of the cutting guide on the first bone based on the determined position of the implant model on the bone model, and position the guiding surface of the cutting guide to one of a plurality of predetermined cut configurations relative to the bone interface surface.

Abstract: According to one example, a tibial bearing component for articulation with a medial condyle and a lateral condyle of a femoral component in a knee replacement procedure is disclosed. The tibial bearing component can include a distal surface and an articular surface opposing the distal surface. The articular surface can include a medial compartment and a lateral compartment configured for articulation with the medial condyle and the lateral condyle of the femoral component, respectively. The lateral compartment can have a lateral articular track with a lateral anterior-posterior extent. The lateral articular track can comprise a plurality of distal-most points along a proximal surface of the lateral compartment that are contacted by the lateral condyle during rollback of the femoral component. The medial compartment can differ in configuration from the lateral compartment and can have an anterior lip height of between about 9 mm and about 13 mm.

Abstract: A patient-specific osteotomy guide according to the present disclosure includes a three-dimensional bone-engaging inner surface configured to closely mate and conform to a corresponding portion of a specific patient's tibia. A resection slot at a patient-specific position and orientation to guide a cutting tool to perform an osteotomy according to a preoperative plan for the patient. An axial guide at a patient-specific position and orientation to guide a tool to perform an ACL/PCL reconstructive procedure according to a preoperative plan for the patient.

Abstract: Surgical methods and tibial implants for accommodating the anterior cruciate ligament during unicompartmental or bi-unicompartmental knee arthroplasty procedures.

Abstract: Methods, techniques and apparatuses are disclosed including exemplary methods of performing a knee arthroplasty of the tibia. One exemplary method can include determining at least a depth of a distal fixation feature of a tibial implant, and forming a metaphyseal recess in a proximal portion of the tibia. The recess can be configured to receive the distal fixation feature therein and can be sized to exceed at least the depth of the distal fixation feature such that when a distal surface of the tibial implant contacts a proximal surface of the proximal portion of the tibia and the distal fixation feature is received in the metaphyseal recess, a gap remains between the distal fixation feature and one or more surfaces that form a portion of the metaphyseal recess.

Abstract: Knee prosthesis includes a femoral component adapted to fit on a distal end of the femur and a tibial insert component. The femoral component includes a measured anterior/posterior dimension defined by the posterior condyle surface and the interior surface of the anterior flange and a distal peg provided on a distal bone facing surface of each of the lateral and medial condylar structures, wherein the distal pegs are positioned at a midpoint of the measured anterior/posterior dimension. The implant system provides two distinct sizing segments and the tibial insert has a medial tibial aspect ratio of 0.74 and a lateral tibial aspect ratio of 0.65 to 0.68 for all sizes.

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: A method for removing a stem portion of an orthopedic implant from a bone comprises exposing an implanted orthopedic implant having a body portion, a stem portion interconnected to the body and a porous metal section forming an interconnection between the body and the stem portion. A cutting tool is mounted on a holder connected to an exposed surface of the orthopedic implant. The porous section is aligned with the cutting tool mounted on the holder. The entire porous section is cut by moving the cutting tool therethrough in a direction transverse to the stem portion axis. The implant body portion is then removed and then the stem portion is removed from the bone. The cutting tool may be a saw or chisel which may be mounted on a guide fixed to the body portion.

Abstract: A component of an artificial joint according to an exemplary aspect of the present disclosure includes, inter alia, a hollow tube including bone ingrowth material. Further, the hollow tube is selectively expandable. The bone ingrowth material allows the component to become biologically fixed to adjacent bone. Further, expansion of the hollow tube increases friction between the hollow tube and the adjacent bone, which increases stability.

Abstract: The invention relates to a knee prosthesis with a tibial part (1) that has concave or plane condylar bearing surfaces (2, 3). According to the invention, the lateral condylar bearing surface (2) merges into a preferably convex end portion (4) that falls away in the dorsal direction.

Abstract: Provided is an artificial knee joint implant with which the balance between ligaments can be properly adjusted. An artificial knee joint implant includes a plurality of types of tibial plates-having tibia-side sliding faces that slide against femoral components and respectively having at least either the tibia-side sliding faces at different positions with respect to a tibia in a state where the tibial plates are fixed to a tibial tray attached to a tibia, or the tibia-side sliding faces in different shapes.

Abstract: A method of manufacturing a joint implant for a joint of a specific patient includes obtaining a three-dimensional image of a bone of the joint of the specific patient from medical imaging scans of the bone of the patient and determining on the three-dimensional image a resection plane for contacting a corresponding planar surface of the joint implant for the specific patient. The method includes determining a three-dimensional image of a porous structure of a bone layer along the resection plane from the medical imaging scans of the patient. The joint implant is manufactured with a layer of a patient-specific porous construct attached to the planar surface of the joint implant. The layer of the patient-specific porous construct substantially replicates the porous structure of the bone layer of the specific patient.

Abstract: A tibial base plate for attaching to a resected surface at a proximal end of a tibia is provided. The tibial base plate includes a bridge, a pair of compartments and a stem. The bridge has a first contact surface sitting on the resected surface. The compartments are disposed at opposite sides of the bridge and extend in an anterior-posterior direction to form a notch to accommodate a tibial eminence. Each of the compartments has a second contact surface sitting on the resected surface. The stem is connected to the bridge and the compartments and inset into the proximal end of the tibia. The stem has an outer surface. The outer surface is canted towards the notch as insetting into the proximal end of the tibia. The stem is engaged with a cutting slot on the resected surface into the proximal end of the tibia.

Abstract: An orthopedic prosthesis and a method for rapidly manufacturing the same are provided. The orthopedic prosthesis includes a solid bearing layer, a porous bone-ingrowth layer, and an interdigitating layer therebetween. A laser sintering technique is performed to manufacture the orthopedic prosthesis.

Abstract: A tibial implant system has an ultra-high molecular weight polyethylene tibial insert which can engage with either one of two tibial trays through differing means of engagement. The tibial insert includes a locking wire and locking tab disposed along an anterior surface and a locking recess disposed along a posterior surface. A first polymeric tibial tray includes a bead along an anterior wall and an undercut area along a posterior wall. A second metallic tibial tray includes a plurality of barbs along an anterior wall and an undercut area along a posterior wall.

Abstract: A cemented tibial prosthesis having a bone-contacting surface with a porous outer rim. With the bone-contacting surface seated against a resected proximal tibia, bone cement or another suitable adhesive will travel into the pores of the porous outer rim to enhance the connection between the tibial prosthesis and the tibia.

Abstract: A knee bone cut system and method is disclosed. The knee bone cut system supports cutting an anterior portion of a distal end of a femur. The system comprises a sensored insert, a femoral rotation guide, and a remote system to receive and display sensor data. The sensored insert provide data related to load magnitude, position of load, and leg position. The femoral rotation guide has moveable condyles to adjust condyle position in a rapid manner. A pinch mechanism and lock mechanism respectively move the condyles into contact with the sensored insert. Moreover, the femoral rotation guide can be loaded similar to a final installed insert over a range of motion. For example, the patella can be placed on the femoral rotation guide allowing the patella to load the sensored insert. The femoral insert guide includes guide holes that are used in conjunction with a bone cutting jig.

Abstract: A knee balancing system for measuring performance parameters associated with an orthopedic articular joint comprises a force sensing module and one or more inertial measurement units. The force sensing module comprises a housing that includes an articular surface having a medial portion and a lateral portion, each of which is substantially mechanically isolated from the other. The force sensing module also includes first and second sets of sensors disposed within the housing. The first set of sensors is mechanically coupled to the medial portion of the articular surface and configured to detect information indicative of a first force incident upon the medial portion of the articular surface. The second set of sensors is mechanically coupled to the lateral portion of the articular surface and configured to detect information indicative of a second force incident upon a lateral portion of the articular surface.

Abstract: An implantable device includes at least one solid structure having an external surface and a volume beneath the surface. One or more of a first conductor or set of conductors is disposed externally and/or internally on or within the structure and an array of elongate electrically conductive elements are disposed radially outwardly within the volume. A breach is detected when a conductive fluid intrudes into the volume through the surface.

Abstract: A tibial component for implantation at a resected tibia. The tibial component includes a medial tray, a lateral tray, and a connection member between the medial tray and the lateral tray. A first fastener extends from the medial tray to the connection member along a first pivot axle to pivotably couple the medial tray to the connection member. A second fastener is spaced apart from the first fastener and extends from the lateral tray to the connection member along a second pivot axle to pivotably couple the lateral tray to the connection member. The medial tray and the lateral tray are configured to pivot independently of one another with respect to the connection member.

Abstract: Disclosed herein are tibial baseplates having a medial portion and a lateral portion, each of the medial and lateral portions having a proximal surface and a distal surface opposite the proximal surface. An intermediate portion joins the medial and lateral portions, wherein the intermediate portion has a proximal surface angled to the proximal surfaces of the medial and lateral portions about a longitudinal axis of the tibial baseplate. The proximal surface of the medial portion is stepped from the proximal surface of the lateral portion about the longitudinal axis. The proximal surfaces of the medial and lateral portions are configured to receive corresponding medial and lateral inserts.