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: A trial system for an implantable joint replacement includes a guide assembly having a baseplate and a guide plate, the guide plate rotatable relative to the base plate about a rotation axis extending through the guide plate and the baseplate while directly connected to the baseplate. An adjustment mechanism is actuable to selectively control the rotational juxtaposition of the guide plate relative to the baseplate. The rotation axis may be medially offset from the center of the guide assembly. A single instrument may be used to rotate the guide plate relative to the base plate and lock the plates in the selected juxtaposition. The guide plate provides in situ positionable cutting guidance for implantation of prosthetic joint components. The system may further include an articulating insert trial mounted on the guide assembly to determine preferred joint alignment and/or optimal positioning of the guide plate.

Abstract: A trial system for an implantable joint replacement includes an articular insert having an insert body and an insert post captive to the insert body. The insert post is translatable relative to the insert body while remaining captive to the insert body. An aperture on the insert body forms a path, which may be arcuate, along which the insert post can translate. An axis of rotation about which the insert post translates passes through the insert body, and may be medially offset from the center of the body. A flexible element may connect the insert post to the insert body. In one method of use, the trial system is engaged with a femoral component and a tibial component during a prosthetic total knee joint implantation procedure to determine selection of an implantable articular insert which provides knee joint articulation closely matching the articulation of a natural knee.

Abstract: Modular bone implants, means of assembly, and their method of use are presented.

Abstract: A knee implantation system for replacing a portion of a knee joint includes an unicondyler tibial implant configured to replace a portion of a tibia that includes a first member and a second member. The first member has a body portion that includes an articulating surface for replacing only a single superior articulating surface of the tibia. The second member has a textured surface. The second member is removably connected to the body portion and the textured surface is disposed about opposite the articulating surface.

Abstract: An endoprosthetic device includes a monolithic meniscal implant having a three-dimensional patient-specific tibial engagement surface nesting in and complementary to a proximal surface of the proximal tibia of a patient and a femoral articulating surface opposite to the tibial engagement surface for articulating with a femoral condyle of the patient. The meniscal implant includes a first portion and a second remainder portion, wherein the first portion is compressible relative to the second remainder portion.

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 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 a solid metal portion and a porous metal portion. The porous metal portion has surfaces with different characteristics, such as roughness, to improve bone fixation, ease removal of the implant component in a revision surgery, reduce soft tissue irritation, improve the strength of a sintered bond between the solid and porous metal portions, or reduce or eliminate the possibility of blood traveling through the porous metal portion into the joint space. A method of making the joint prosthesis is also disclosed. The invention may also be applied to discrete porous metal implant components, such as augment.

Abstract: The present invention provides a modular device for restoring individual joint kinematics using minimally invasive surgical procedures. The modular implants include distinct components that include tethering means. The modular implants provide intraoperative surgical options for articular constraint and facilitate proper alignment and orientation of the joint to restore kinematics as defined by the individual patient anatomy.

Abstract: A femoral prosthesis may be formed as a femoral component incorporating a base material and an articulating material. In one exemplary embodiment, the base material is a metal and the articulating material is a polymer. Specifically, the base material provides strength and rigidity to the femoral component, while the articulating material contacts a tibial prosthesis or natural tibia during joint articulation. In one exemplary embodiment, the articulating material forms the articulating surface of one or more condyle portions of the femoral component.

Abstract: A tibial augment for use with a knee joint prosthesis, composed of annular members of different stock sizes, each size being configured to fit within a cavity formed in a human tibia. The augment may include a stepped distal surface. A provisional (temporary) tibial augment used to ensure a proper fit for the permanent augment is also provided. The provisional may include grooves configured to cooperate with a set of ribs on a tong-like holder used for removing the provisional from the cavity. A pusher for use implanting the tibial augment is also provided. In addition, a system for creating a cavity in a human tibia is also described. The system preferably includes a guide with a slot therein and a set of osteotomes that are inserted within different portions of the slot. Methods for using the tools and/or implanting the prosthetic devices discussed above are also described.

Abstract: Methods and apparatuses for attaching tissue structures to orthopaedic implants. In one exemplary embodiment, the methods and apparatuses are used to attach soft tissue and/or bone to a proximal tibial implant. In another exemplary embodiment, the methods and apparatuses are used to attach soft tissue and/or bone to a proximal femoral implant.

Abstract: A method includes the acts of sliding a first end of a flexible first line through a channel in a first bone anchor. A portion of the first line is connected to an implant having a top articular surface and an opposing bone apposition surface. The first line extending between the implant and the first bone anchor is then tensioned. While the tensioning force is maintained on the first line, the first line is secured to the first bone anchor.

Abstract: The present invention relates to methods for making oxidation resistant medical devices that comprise polymeric materials, for example, ultra-high molecular weight polyethylene (UHMWPE). The invention also provides methods of making antioxidant-doped medical implants, for example, doping of medical devices containing cross-linked UHMWPE with vitamin E by diffusion and materials used therein.

Abstract: Methods and apparatus for performing knee arthroplasty, including, but not limited to, bicruciate retaining knee arthroplasty, are described herein. Methods and apparatus for preparing a distal femur for a femoral implant as well as methods and apparatus for preparing a proximal tibia for a tibial implant are described. These methods and apparatus, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures, while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures.

Abstract: Methods and apparatus for performing knee arthroplasty, including, but not limited to, bicruciate retaining knee arthroplasty, are described herein. Methods and apparatus for preparing a distal femur for a femoral implant as well as methods and apparatus for preparing a proximal tibia for a tibial implant are described. These methods and apparatus, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures, while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures.

Abstract: A knee joint prosthesis for implantation to replace a portion of a knee joint. The knee joint prosthesis includes a tibial tray and a bearing member that engages the tibial tray. The prosthesis also includes an insert with a base that is fixed to the bearing member and an extension portion that extends away from the bearing member and the tibial tray. The extension portion has an axis, and the extension portion includes a threaded portion. The prosthesis further includes a post that is rotatably coupled to the extension portion, and the post is rotatable about the axis of the extension portion relative to the insert. Furthermore, the prosthesis includes a retention member that threadably couples to the threaded portion of the insert to limit movement of the post along the axis away from the bearing member and the tibial tray.

Abstract: Methods and apparatus for performing knee arthroplasty, including, but not limited to, bicruciate retaining knee arthroplasty, are described herein. Methods and apparatus for preparing a distal femur for a femoral implant as well as methods and apparatus for preparing a proximal tibia for a tibial implant are described. These methods and apparatus, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures, while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures.

Abstract: A prosthesis for replacing an articulating portion of bone is provided. The prosthesis can include an adaptor operable to replace a portion of the bone. The prosthesis can further include a sleeve coupled to the adaptor. The sleeve can define an offset coupling axis. The prosthesis can also include an articulating portion operable to replace the articulating portion of the bone. The sleeve can be positionable to couple the articulating portion to the offset coupling axis at a predetermined orientation.

Abstract: Provided is a novel modular tibial prosthesis that includes an articulation component formed by direct pressure molding of a resin composition into a tibial tray component to provide a factory formed resin-metal composite structure a tibial tray module. The tibial tray component being capable of releasable attachment to an underlying keel element. A method of manufacture of the tibial prosthesis is also disclosed.

Abstract: A method is provided for delivering an implant for replacing a portion of an articular surface. The method may include forming a socket in an articulating feature that is capable of moving relative to the articular surface. An implant may be placed in the socket and the articulating feature may be moved relative to the articular surface to generally align the socket with an implant site formed in the articular surface. The implant may be transferred from the socket into the implant site.

Abstract: Modular bone implants, means of assembly, and their method of use are presented.

Abstract: A prosthetic knee system includes a tibial tray, a non-rotating tibial insert, and a rotating tibial insert. The non-rotating tibial insert and the rotating tibial insert are selectively coupleable to the tibial tray such that a fixed or a mobile orthopaedic prosthesis may be configured. In some embodiments, the tibial tray may be a fixed or mobile tibial tray. Additionally, in some embodiments, the prosthetic knee system may include a femoral component.

Abstract: The present disclosure relates to prosthetic knee implants (100), components (101,102,103,104,105) of prosthetic knee implants, and methods of fixating the components to one another and, especially fixation of the implants to bone.

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.

Abstract: A replacement knee implant has a femoral implant and a tibial implant, each of which are inset in a bone surface. The tibial implant is generally elongated with one end rounded and an opposite end conforming to the shape of the tibia, and is made of a metal alloy or a ceramic. The upper surface is dished while the lower surface is planar and can be parallel or sloped relative to the upper surface. The femoral implant for implementation in a femoral condyle is rounded such that, when implemented, the femoral implant is flush at the anterior and posterior sides and protruding away from the femur between the anterior and posterior ends. The femoral implant can have an elongated keel for extending into the femur, and can be made from a highly cross-linked polyethylene.

Abstract: A modular tibial implant includes a tibial baseplate having a top surface, a bottom surface, and first and second openings extending between the top and bottom surfaces, and a bone engaging element having a distal end, a proximal end, and a longitudinal axis extending between the distal and proximal ends, the proximal end of the bone engaging element having a threaded opening alignable with the first opening of the tibial baseplate and a post insertible into the second opening of the tibial baseplate. The implant include a threaded fastener insertible into the aligned first opening and threaded opening, wherein the threaded fastener is rotatable for securing the proximal end of the bone engaging element to the bottom surface of the tibial baseplate, and a cam element insertible into the second opening of the tibial baseplate for engaging the post.

Abstract: Single-piece prosthesis elements chosen from among acetabular cup for hip prosthesis, tibial component and femoral component for knee prosthesis, comprising a body (2) of ceramic material or ceramic matrix composite material, a bioactive porous coating (4) of glass material, glass-ceramic material or glass-ceramic matrix material applied to the surface of said body intended for anchoring with the bone tissue, where said bioactive porous coating (4) is anchored to the body surface (2) by means of a glass or glass-ceramic phase layer.

Abstract: A prosthetic knee system includes a tibial tray, a non-rotating tibial insert, and a rotating tibial insert. The non-rotating tibial insert and the rotating tibial insert are selectively couplable to the tibial tray such that a fixed or a mobile orthopaedic prosthesis may be configured. In some embodiments, the tibial tray may be a fixed or mobile tibial tray. Additionally, in some embodiments, the prosthetic knee system may include a femoral component.

Abstract: A structure improvement of orthopaedic implant includes a tibial baseplate, a tibial insert, and a reinforcement. The tibial baseplate forms a recess having a bottom that has a central portion defining a through hole extending through the tibial baseplate. The through hole has a top circumference that defines a circumferential groove extending outward. The tibial insert has a bottom forming a projection corresponding to the recess of the tibial baseplate for press-fitting to the tibial baseplate. A support is formed on at a central portion of a top of the tibial insert and defines a bore that extends through the tibial insert. The tibial insert forms two curved surfaces on opposite sides of the support to support contact and rolling. The reinforcement is inset in the tibial insert and includes a sleeve and a bolt.

Abstract: A surgical kit includes a patient-specific alignment guide having a three-dimensional engagement surface custom-made by computer imaging to conform to a corresponding portion of a patient's tibial bone. The patient-specific alignment guide defines an elongated planar slot for guiding a blade. The planar slot is oriented at a selected angle and at a selected position relative to an anatomic axis of the patient when the engagement surface engages the corresponding portion of the tibial bone. The selected angle and selected position are determined during a pre-operative planning stage.

Abstract: A tibial knee joint prosthesis for attachment to a suitably prepared tibial bone, providing bearing portions in the lateral and medial compartments. The lateral and medial bearing surfaces of the component are inclined at different angles in the anterior to posterior direction of the knee, so that when mounted to the tibia, the lateral bearing surface of the prosthesis is higher than the medial bearing surface to the posterior side of the knee. In this way the lateral ligament is tightened progressively more than the medial ligament as the knee moves from extension to flexion, resulting in increased stability in the lateral compartment.

Abstract: A surgical procedure and a device used in the procedure according to which one end portion of a guide rod is inserted into the condyle of a damaged area of a human. The rod is used as a guide for a drill bit and a chisel to cut an opening in the condyle.

Abstract: The present invention relates to a tibial prosthesis having an articulating component and a tray component. The articulating component is configured for attachment to the tray component. Additionally, the articulating component may be attached to the tray component in a first condition in which the articulating component is at least rotatable relative to the tray component. This allows for the tray component to be attached to the tibia in a position that provides for proper rotation of the tray component with respect to the tibia and/or prevents the tray component from overhanging the resected tibia. Then, the articulating component may be rotated and/or translated to a position that provides for proper alignment of the articulating component with a femoral prosthesis. Once in this positioned, a locking mechanism is used to rotationally fix the articulating component to the tray component.

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 provisional prosthetic system and the surgical methods for utilizing the same. In one embodiment, the provisional prosthetic system includes a keel and a plate configured to be secured to the keel. The keel may further include a body and at least one fin extending outwardly therefrom. The fin functions to prevent rotation of the keel once it is implanted within a bone. In one embodiment, the plate includes a captured screw having a flanged head and external threads. The captured screw is retained by the plate and configured to secure the plate to the keel. In this embodiment, the captured screw extends through an aperture in the plate. Further, the captured screw may be retained by the plate due to the interaction of the flange head and external threads of the captured screw with the top and bottom surfaces of the plate, respectively.

Abstract: Ceramic surface can be coated with a metal or metal alloy and have extraordinary holding power between the surface and coating. For example, MgTTZ can be coated with CPT and may have a static shear strength for the coated surface of at least about 2,000 or 3,000 or 5,000 or 7,000 pounds or greater. The coated ceramic may be a prosthetic surgical load bearing implant.

Abstract: An adjustable tibial trial insert includes an upper plate having an upper articular surface and a lower plate. A height-adjustment mechanism of the insert is coupled to and positioned generally between the upper plate and the lower plate and is configured to move between a closed position where the upper and lower plates are adjacent each other and an opened position where the upper and lower plates are spaced-apart from each other in order to adjust a height or thickness of the insert.

Abstract: The invention concerns monolithic foam sleeves that comprises titanium or titanium alloy foam having a porosity of 50 to 85% and possesses a proximal surface, a distal end, an interior wall that defines an interior channel and extends from the proximal surface to the distal end; and a terraced outer surface that tapers such that said sleeve is widest at the proximal surface and most narrow at the distal end.

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: A reinforcement device (10) suitable for use with a prosthesis, such as a unicompartmental tibial component prosthesis. The reinforcement device is positionable between said component prosthesis and a surgically resected area of bone, for example, the tibia of a patient. The reinforcement device (10) includes a plate-like main body (12) extending from an anterior end (13) to a posterior end (14) and having an upper surface (16) and a lower surface (17). The lower surface (17) is engageable with a fixing means, such as a bone cement (25), to fix the tibial component to a surgically resected area of tibia. The main body (12) also has a plurality of perforations (15) therethrough.

Abstract: The invention relates to an inlay which is suitable for an endoprosthesis, in particular a joint prosthesis. This inlay essentially comprises a flexible pad 5, a first flexible membrane 2 resting on the pad, and a second membrane 3, extending parallel to and above said membrane, in which support elements 5 are clipped. The support elements 4 rest with their undersides 4e on the first membrane 2, and with their surfaces 4a form a sliding and bearing surface for the joint head which is to be connected to the bone. The pad 5, composed of a liquid or gel-like medium, is situated in a well 1, and the two membranes 2 and 3 are fixed to the lateral walls 1a of the well by means of screws 6 and nuts 7.

Abstract: A trialing assembly for use during knee replacement procedures to determine size and position of a tibial plate implant as well as the size and thickness of the articular surface prior to implantation of the implant. The trialing assembly includes a broaching plate having a tibia engaging bottom surface adapted for placement atop a tibia and an opposite top surface, the bottom and top surfaces extending between an anterior edge and a posterior edge of the broaching plate. The broaching plate includes an anterior rail and a posterior rail protruding superiorly from the top surface and extending along the anterior and posterior edges, respectively. A trialing plate is configured to removably fit atop the broaching plate between the anterior and posterior rails. The trialing plate includes an engagement member extending from a superior surface of the trialing plate and adapted to engage with an articular surface provisional.

Abstract: An orthopaedic prosthesis includes a tibial bearing and a femoral component configured to articulate with the tibial bearing. The tibial bearing and the femoral component are configured to promote outward axial rotation of the femoral component with respect to the tibial component during knee flexion.

Abstract: An orthopaedic prosthesis includes a tibial bearing and a femoral component configured to articulate with the tibial bearing. The tibial bearing and the femoral component are configured to promote outward axial rotation of the femoral component on the tibial component during knee flexion.

Abstract: Embodiments of the present invention provide a trial coupler system for use in preparing a patient for an implant. Certain embodiments provide a system including a coupling device (20) and a trial component interface (40) that allows a trial stem (100) to be offset in relation to the respective trial components at an orientation that matches the geometry of the patient. Once the precise positioning is obtained, the trial coupler device (10) can be locked while on the patient's bone so the assembly can be removed without disturbing the desired orientation.

Abstract: In one embodiment, a method for treating an infected implant area of a knee joint comprises surgically accessing the implant area, and inserting a tibial component into the tibia using an antibiotic-impregnated material. A femoral component is formed that is configured to interact with the tibial component by stable knee joint articulation and motion. The femoral component is formed of an antibiotic-impregnated material using a mold. The femoral component is attached to the femur using an antibiotic-impregnated material, and the tibial component is interfaced with the femoral component to form a stable temporary knee joint capable of reducing the spread of infection while permitting movement of the knee joint.

Abstract: An implant (6) is provided for implantation in a condyle (21) of a proximal tibia. The implant is shaped in such a way that an anterior edge (63) at least approximately simulates the anterior contour of the tibial plateau (2). The implant is dimensioned such that it does not extend as far as the margin of the tibial plateau in the posterior and lateral directions and is shaped like a plate in such a way that it is free from form-fit anchoring elements and can be pushed in the manner of a drawer into a recess of the tibial plateau and can be cemented. The implant permits maximum preservation of the bone tissue and soft tissue, and the necessary resection and the implantation can both be performed by what is essentially a purely anterior approach.

Abstract: A tibial prosthesis has tibial articular surfaces including a medial articular surface in a medial compartment and a lateral articular surface in a lateral compartment. The medial articular surface follows a first arcuate track having a first radius of curvature and a first posterior segment extending along a posterior aspect of the medial compartment to a first superior-interior location. The lateral articular surface follows a second arcuate track having a second radius of curvature and a second posterior segment extending along a posterior aspect of the lateral compartment to a second superior-inferior location. The second posterior segment has a slope extending in an inferior direction along the posterior aspect of the lateral compartment such that the second superior-inferior location is spaced a predetermined distance in an inferior direction from the first superior-inferior location.

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. A surgical method for knee anthroplasty is also disclosed.