Abstract: Systems, devices, and methods are described for providing orthopedic knee inserts. The orthopedic knee inserts include a surface portion having a lip configured to couple with a mating member of a tibial component, where the lip has recesses that define non-continuous contact regions between the lip and the mating member of the tibial component. Alternatively, or additionally, in certain embodiments the mating member includes a shelf for mating with an insert, the mating member having a plurality of splines disposed along the shelf that form non-continuous contact regions between the mating member and the insert.

Abstract: Surgical methods and tibial implants (46) for accommodating the anterior cruciate ligament (ACL) during unicompartmental or bi-unicompartmental knee arthroplasty procedures.

Abstract: Medical implants, such as orthopedic implants of the type used in partial or total joint replacement procedures, for example. The implants include a porous substrate, and a bearing portion of a polymeric material, for example, which is at least partially molded within the porous substrate. The bearing portion includes a bearing surface that is exposed to an articulating component of another medical implant, and the porous metal substrate contacts the bone for osseointegration of the bone tissue into the porous substrate to anchor the implant. The porous substrate may include biodegradable carrier materials, in the form of one or more layers, that carry biologically active agents such as antibiotics and bone growth factors, for example.

Abstract: An orthopaedic knee prosthesis includes a tibial bearing component with surface features which operate to protect adjacent soft tissues of the natural knee throughout a wide range of flexion. More particularly, the tibial bearing component provides an anterior relief space disposed between the dished lateral and medial articular compartments, in which the relief space is convex as viewed from a sagittal perspective across the medial/lateral extent of the relief space.

Abstract: Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include a tibial component that has an asymmetrical articular plateau that includes a medial tibial condylar surface and a lateral tibial condylar surface. In some cases, at least one of the medial condylar surface and the lateral condylar surface includes a concave articulation surface having a lowest point that disposed from a posterior edge of the tibial component by between about 18% and less than about 35% of a total anteroposterior dimension of the tibial component. Other implementations are also discussed.

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: Orthopaedic assemblies including a tibial component and one of a fixed tibial insert or a rotatable tibial insert. The assemblies may include structure to prevent undesired movement between the tibial component and insert. For example, a retaining tab may be provided on the tibial component that couples to a tab opening on a surface of the tibial insert (either the fixed or rotatable insert). When assembled, the retaining tab may be covered to avoid possible irritation to the patient's surrounding anatomy. The fixed tibial insert may be provided with a tab opening that provides a minimal amount clearance with the retaining tab to help prevent rotation of the fixed tibial insert. The rotatable tibial insert may be provided with a tab opening with more clearance with the retaining tab to allow at least some rotation with the tibial component.

Abstract: Systems and methods for the treatment of a joint are provided. These systems and methods may also include a subchondral treatment of bone of the same joint. These joint treatment methods may be non-surgical or surgical. Also provided are devices and instruments associated with the methods.

Abstract: A knee prosthesis for use during performance of a knee replacement procedure includes a plurality of stem components in a range of various sizes, a plurality of femoral components in a range of various sizes, and a plurality of tibial trays in a range of various sizes. Each of the stem components is compatible with each of the femoral components and the tibal trays. Some of the stem components have a single slot formed therein, with other stem components having a pair of slots formed therein.

Abstract: A tibial tuberosity advancement implant and method includes a spacer body made of biocompatible, biodegradable material and having a main section with at least one bony growth orifice therethrough and a proximal slot and at least one fin extending from the main section by at least one connector. A metal clip is slideable into the proximal slot of the spacer body main section and includes spaced screw holes for securing the spacer body to the advanced tibial tuberosity and the tibia when the implant is placed in the space between the advanced tibial tuberosity and the tibia.

Abstract: A knee prosthesis kit includes an implant and an augment. The implant has a base and a stem extending from the base, and the augment has a base and a conical, cylindrical, or anatomic portion extending from the base. The augment base has at least two openings for receiving fasteners for securing the knee augment to the implant. The portion and the base define a bore for receipt of the implant post. A coupler includes a mating portion for receipt in a bore of an implant post, and a cone-shaped portion extending from the mating portion. A method of providing fixation of knee implants includes securing an augment to an implant and positioning a conical, cylindrical, or anatomic portion of the augment within the intramedullary canal of the tibia or femur.

Abstract: A joint spacer for an orthopedic procedure including a first plate, a second plate, a coupling device, and a spacer insert receiving portion. The first plate includes a first bone facing surface and a first inner surface. The second plate includes a second bone facing surface and a second inner surface facing the first inner surface. The coupling device couples the first plate and the second plate together. The spacer insert receiving portion of at least one of the first inner surface or the second inner surface is configured to receive at least one spacer insert between the first plate and the second plate to space the first plate and the second plate apart a distance corresponding to an optimal interval between bones of a joint.

Abstract: An orthopaedic surgical instrument includes a cup including an outer surface having an opening positioned on a component-engaging side and an inner wall extending from the opening of the outer surface to a back wall. The inner wall having a plurality of stepped surfaces facing the component-engaging side. Each of the plurality of stepped surfaces is sized to receive a platform of a tibial tray.

Abstract: A system and method is disclosed herein for measuring bone slope or tilt of a prepared bone surface of the muscular-skeletal system. The system comprises a three-axis accelerometer for measuring position, rotation, and tilt. In one embodiment, the three-axis accelerometer can be housed in a prosthetic component that couples to a prepared bone surface. The system further includes a remote system for receiving, processing, and displaying quantitative measurements from one or more sensors. A bone is placed in extension. The three-axis accelerometer is referenced to a bone landmark of the bone when the bone is in extension. The three-axis accelerometer is then coupled to the prepared bone surface with the bone in extension. The slope or tilt of the bone surface is measured. In the example, the slope or tilt of the bone surface corresponds to at least one surface of the prosthetic component attached thereto.

Abstract: A surgical instrument for use in an orthopaedic arthroplasty procedure includes a shaft having a first end and a second end and an impactor head disposed at the second end of the shaft. The impactor head includes first and second spaced ends, two spaced impaction surfaces disposed at the second end, and a cavity disposed between the impaction surfaces. The cavity is adapted to accommodate posterior-stabilizing spines of at least a first tibial implant component and a second tibial implant component having a size different than a size of the first tibial implant component. Each of the impaction surfaces includes a first section with a contour that conforms to a contour of a bearing surface of the first tibial implant component and a second section with a contour that conforms to a contour of a bearing surface of the second tibial implant component.

Abstract: In some embodiments, a surgical method includes creating an incision in a patient, exposing a multi-component prosthesis implanted in a patient, disassembling at least one component of the multi-component prosthesis, and coupling a first revision implant component to a first component of the multi-component prosthesis. The revision implant component has a body including at least one of a projection or an opening that is complementary to a feature of the first component of the multi-component prosthesis for coupling the revision implant component to the first component of the multi-component prosthesis.

Abstract: A tibial orthopaedic prosthesis assembly for use during performance of a knee replacement procedure includes one or more tibial augments configured to be coupled to a tibial tray. Each tibial augment includes an exterior side surface of varying angulation relative to a top surface of the tibial augment.

Abstract: Fired magnesium oxide stabilized zirconia ceramic body having a highly smooth, polished or otherwise equivalent surface has, on at least part of the surface, a metal/metal alloy coating. The fired ceramic body can be a magnesium oxide stabilized tetragonally toughened zirconia. The coating can be from a metal or metal alloy other than by tantalum vapor deposition, and can include a titanium metal or alloy. The coated magnesium oxide stabilized zirconia ceramic can be a tool or an orthopedic implant or component for an orthopedic implant, which can be a load bearing implant or component for a load bearing implant having an articular surface and a nonarticular surface where the metal or metal alloy coating is on at least part of the nonarticular surface. Plasma arc spraying under vacuum may be employed.

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 surgical method for tibia osteotomy includes attaching a patient-specific alignment guide to a corresponding surface of a tibia of a patient for whom the alignment guide is customized during a pre-operative planning stage and making a partial bone cut in the tibia through a planar slot of the alignment guide. The planar slot is oriented at a patient-specific angle relative to an anatomic axis of the patient and the angle is customized during the pre-operative planning stage. The method includes opening the bone cut to form an opening wedge, and inserting a patient-specific implantable wedge into the opening wedge.

Abstract: A tibial prosthesis including an articulating component and a tray component with a rim that extends proximally to support the articulating component, the tray component enabling flexion of the rim relative to a bone-contacting surface of the tray component.

Abstract: A bicruciate retaining tibial implant baseplate includes a tibial baseplate with medial and lateral condylar portions configured to receive bearing inserts. The baseplate includes an anterior bridge connecting the medial and lateral portions. A posterior wall of the anterior bridge may be angled to provide downward force on a correspondingly angled anterior portion of the tibial eminence when the baseplate is implanted. A method of preparing the tibia for implant includes a punch tower and punch guide configured to both cut the anterior tibial eminence and provide protection to the tibial eminence during resection of the proximal tibia.

Abstract: An orthopedic prosthesis includes a tibial implant and a tibial insert. The tibial implant includes an upper surface, a medial side, a lateral side and a first locking structure provided on the upper surface where the medial side and the lateral side of the tibial implant are defined by a medial-lateral midline. The tibial insert includes a second locking structure provided on its bottom surface. The first and second locking structures are configured for engaging each other along an engagement direction vector when the tibial insert is inserted into the tibial base towards the posterior side. The engagement direction vector is angled away from the medial-lateral midline of the tibial implant towards the medial side of the tibial implant by a predetermine angle.

Abstract: According to one aspect of the present invention, there is provided a tibial component (10), suitable for use in an orthopedic prosthesis, which prosthesis includes a femoral component and a spacer bearing (70), the tibial component comprising a planar tibial plate (15) having an upper bearing surface (30) and a lower attachment surface (20), and the tibial plate further having at least one spacer bearing attachment means for removably securing the spacer bearing to the tibial plate.

Abstract: A tibial insert includes a base and a post extending from the base along a longitudinal axis. The post has a medial surface, a lateral surface, and a height along the longitudinal axis. The medial surface has a medial section, and the lateral surface has a lateral section oriented substantially parallel to the medial section. The medial section and the lateral section each have a width in a substantially anterior-posterior direction that is sufficient to enable varus/valgus constraint over a flexion/extension range from extension to about 90 to 120 degrees of flexion when the tibial insert is mated with a femoral component.

Abstract: A tibial tuberosity advancement implant and method includes a spacer body made of biocompatible, biodegradable material and having a main section with at least one bony growth orifice therethrough and a proximal slot and at least one fin extending from the main section by at least one connector. A metal clip is slideable into the proximal slot of the spacer body main section and includes spaced screw holes for securing the spacer body to the advanced tibial tuberosity and the tibia when the implant is placed in the space between the advanced tibial tuberosity and the tibia.

Abstract: The present disclosure is directed to orthopedic implants and methods of rapid manufacturing orthopedic implants using in vivo data specific to an orthopedic implant or orthopedic trial. Specifically, the instant disclosure utilizes permanent orthopedic implants and orthopedic trials (collectively, “implants”) outfitted with kinematic sensors to provide feedback regarding the kinematics of the trial or implant to discern which implant is preferable, and thereafter rapid manufacturing the implant.

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: A knee joint prosthesis can include a tibial component that can have a tibial tray. The tibial tray can include a platform-like tray that defines a superior surface and an inferior surface. The platform-like tray can have a tray perimeter and a raised wall formed on the inferior surface. The raised wall can be offset inboard relative to the tray perimeter. Porous material can be disposed on the inferior surface of the platform-like tray at a location generally between the raised wall and the tray perimeter.

Abstract: A tibial insert includes a platform defining an upper bearing surface and a bottom surface. A keel of the tibial insert is coupled to the bottom surface of the platform and includes a bore extending along a width of the keel. The bore is formed to receive a fastener therein.

Abstract: A tibial prosthesis has a bearing component configured for an anterior-medial insertion, which advantageously avoids the extensor mechanism of the knee. A tibial tray may include a banana-shaped boss that corresponds to a notch formed in the bearing component. After the bearing component is inserted along the anterior-medial path, the boss is received within the notch by rotating the bearing component with respect to the tibial tray. This rotation seat the bearing component upon the tibial tray in the manner of a fixed-bearing prosthesis. Alternatively, the boss and notch may define angled central axes which allow straight anterior-medial insertion of the bearing component and locking engagement to the tibial tray.

Abstract: A mobile tibial assembly includes a tibial tray and a tibial insert. The tibial tray includes a closed track. The tibial insert includes a stem configured to be inserted into the closed track and retained therein. The tibial insert is movable along the closed track once inserted.

Abstract: An orthopaedic knee prosthesis is provided including a tibial baseplate component having a distal, bone-contacting surface with one or more fixation structures extending distally therefrom, in which the fixation structures are asymmetrically arranged within the baseplate periphery.

Abstract: Disclosed are designs, methods and systems for manufacturing implants, implant components, features of implant components, and/or related tools using solid freeform fabrication or additive metals technologies.

Abstract: An attachment mechanism, method of manufacture and method of use are described for releasably attaching a first component and a second component of an orthopaedic apparatus. The attachment mechanism comprises a boss extending from a surface of the first component, and having a free end and a side wall. A retaining mechanism is provided in the second component. The retaining mechanism comprises a plurality of walls defining an aperture in the second component to receive the boss therein. At least part of one of the plurality of walls is a resiliency flexible member engineered to apply sufficient force to a part of the side wall of the boss when inserted in the aperture to provide an interference fit between the boss and the plurality of walls of the aperture to releasably retain the boss within the aperture.

Abstract: Methods, systems, and apparatuses are disclosed for a tibial component having shock absorbing features.

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 implant resection system for preparing an implant site to replace a defect in an articular surface of a first bone includes a guide configured to be coupled generally perpendicular to the first bone proximate to the defect. The guide includes a body portion defining a plurality of excision passageways. The excision passageways each define a generally cylindrical core pathway configured to extend generally perpendicular to the first bone which partially overlaps with an adjacent generally cylindrical core pathway. A projection associated with each of the plurality of the generally cylindrical core pathways defines a truncated cylindrical excision site extending through a portion of the articular surface. Each truncated cylindrical excision site partially overlaps with at least one adjacent truncated cylindrical excision site.

Abstract: A base component for a tibial implant has a lateral compartment and a medial compartment spaced from the lateral compartment defining an open central section therebetween. A connecting portion connects the medial and lateral compartments at an anterior end of the base component which anterior end is located adjacent the anterior tibia. The open central section of the base component intermediate the spaced medial and lateral compartments is open to a posterior end of the base component. The medial and lateral compartments have a bone contacting surface and a superiorly facing surface. The connecting portion has a curved anteriorly facing surface and has a first angled surface extending at an angle from adjacent the anterior end of the base component at a bone contacting surface of the connecting portion superiorly to a posterior end of the connecting portion. The first angled surface defining an anterior end of the open central section.

Abstract: An orthopedic prosthesis includes a tibial implant and a tibial insert. The tibial implant includes an upper surface, a medial side, a lateral side and a first locking structure provided on the upper surface where the medial side and the lateral side of the tibial implant are defined by a medial-lateral midline. The tibial insert includes a second locking structure provided on its bottom surface. The first and second locking structures are configured for engaging each other along an engagement direction vector when the tibial insert is inserted into the tibial base towards the posterior side. The engagement direction vector is angled away from the medial-lateral midline of the tibial implant towards the medial side of the tibial implant by a predetermine angle.

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: Methods provide a non-eluting antioxidant doped UHMWPE in the form of an implant bearing component. The process includes the steps of: (a) providing a preform; (b) irradiating the preform with ?-irradiation to crosslink the UHMWPE; (c) doping the crosslinked preform by exposing it to an antioxidant composition at a temperature below the melting point of the UHMWPE; (d) removing the doped material from contact with the antioxidant composition; and then (e) annealing by heating the doped material at a temperature above 30° C. and below the melting point of the UHMWPE; followed by (f) making an implant bearing component from the doped material, wherein at least 1 mm but no more than about 15 mm of material are removed to make the component.

Abstract: Disclosed are systems, devices and methods for optimizing the manufacture and/or production of patient-specific orthopedic implants. The methods include obtaining image data of a patient, selecting a blank implant to be optimized for the patient, and modifying the blank implant utilizing techniques disclosed herein to alter specific features of the implant to conform to the patient's anatomy.

Abstract: A posterior stabilized knee orthopaedic prosthesis includes a tibial bearing and a femoral component configured to articulate with the tibial bearing. The tibial bearing includes a spine having a concave cam surface and a convex cam surface. The femoral component includes a posterior cam having a concave cam surface and a convex cam surface. During flexion, the concave cam surface of the posterior cam contacts the convex cam surface of the spine and the convex cam surface of the posterior cam contacts the concave cam surface of the spine.

Abstract: A base component for a tibial implant has a lateral compartment and a medial compartment spaced from the lateral compartment defining an open central section therebetween. A connecting portion connects the medial and lateral compartments at an anterior end of the base component which anterior end is located adjacent the anterior tibia. The open central section of the base component intermediate the spaced medial and lateral compartments is open to a posterior end of the base component. The medial and lateral compartments have a bone contacting surface and a superiorly facing surface. The connecting portion has a curved anteriorly facing surface and has a first angled surface extending at an angle from adjacent the anterior end of the base component at a bone contacting surface of the connecting portion superiorly to a posterior end of the connecting portion. The first angled surface defining an anterior end of the open central section.

Abstract: Systems and methods for providing deeper knee flexion capabilities, more physiologic load bearing and improved patellar tracking for knee prosthesis patients. Such systems and methods include a tibial component for replacing at least part of a proximal portion of a tibia. In some cases, the tibial component includes an articulation feature that forms a projection that projects from a posterior portion of at least one of a medial articulation surface and a lateral articulation surface of the tibial component. In some cases, the articulation feature is contained within an area of the tibial component that is selected from a lateral portion which is lateral to a medial-most portion of an intercondylar surface, and a medial portion, which is medial to a lateral-most portion of the intercondylar surface, and wherein the intercondylar surface is disposed on an object selected from the tibial component and the proximal portion of the tibia.

Abstract: A surgical instrument including at least one tibial phantom generally corresponding to at least certain features of the tibial implant. The tibial phantom includes a top surface adapted to move freely against the prepared bottom end of the tibia. At least one talus phantom generally corresponding to at least certain features of the talus implant is engaged with the prepared top surface of the talus. At least one phantom skid is located between the tibial phantom and the talus phantom. The phantom skid is engaged with the tibial phantom such that dynamic engagement between the phantom skid and the talus phantom through at least extension and flexion of the ankle joint positions the tibial phantom on the prepared bottom end of the tibia. The phantom skid can either be a part of the tibial phantom or a separate component.

Abstract: Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include a tibial component that has an asymmetrical articular plateau that includes a medial tibial condylar surface and a lateral tibial condylar surface. In some cases, at least one of the medial condylar surface and the lateral condylar surface includes a concave articulation surface having a lowest point that disposed from a posterior edge of the tibial component by between about 18% and less than about 35% of a total anteroposterior dimension of the tibial component. Other implementations are also discussed.

Abstract: A bone joint repair and replacement assembly. A first portion comprising a bone plate is configured to attach to a distal or proximal end of a bone proximate the joint, generally coaxially with an axis defined by the bone. A second portion comprising an articular surface is configured to attach to the first portion, generally normal with respect to the axis, and inserted into the joint. Although versions of the assembly can be configured for use with several different pivotal joints, the invention is particularly suitable for full or partial replacement of an elbow, wherein the articular surface is pivotally attached to the first portion. Another embodiment of the invention is provided to repair a fractured bone head proximate the joint, and still another embodiment of the invention is provided to repair rotator cuff-related shoulder injuries.

Abstract: A method of implanting a prosthesis based on bone density of a bone is provided. A first bone density of the bone may be determined at a first portion of the bone. A second bone density of the bone may be determined at a second portion of the bone. A first desired amount of bone removal may be determined at the first portion of the bone based on the first bone density. A second desired amount of bone removal may be determined at the second portion of the bone based on the second bone density. The desired amounts of bone may be removed from the first and second portions of the bone. A prosthesis may be selected and implanted.