Abstract: An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A number of methods for using the surgical instruments to prepare the bones is also disclosed.

Abstract: Methods, apparatuses, and systems for performing robotic joint arthroscopic surgery are disclosed. The disclosed systems use a surgical robot network that receives medical images of a patient and generates a 3D rendering of the various medical images. A surgeon or physician is enabled to select workflow objects (such as various tools). The workflow objects can be selected in a sequence for performing actions on the 3D rendering. Data related to the workflow objects and actions in relation to the 3D rendering are stored. The surgeon or physician is enabled to select and perform various repairing techniques and input calculations of the actions performed. The user inputs, workflow objects, and actions with respect to the 3D rendering are sent to a surgical robot for performing robotic joint arthroscopic surgery.

Abstract: An orthopaedic surgical instrument includes a customized patient-specific surgical instrument having a body. A cutting guide slot extends through the body. A pair of first arms extends posteriorly from the body. Each arm includes a first customized patient-specific negative contour configured to receive a portion of a first corresponding positive contour of one of a patient's femoral condyles. A second arm extends proximally from the body. The second arm has a second customized patient-specific negative contour configured to receive a portion of a second corresponding positive contour of an anterior surface of the patient's femur. A method of performing a surgical procedure is also disclosed.

Abstract: A method of implant a knee prosthesis includes forming a bone void at an end of a bone, implanting a void filler in the bone void, and implanting a knee prosthesis onto the end of the bone so that a stem of the knee prosthesis is received by the void filler.

Abstract: Provided is a method for designing a patient-specific surgical device for performing knee surgery, which includes determining a first alignment axis and/or a second alignment axis from a knee joint in extension and/or flexion respectively and subsequently designing said surgical device based on the first and/or second alignment axes. Also provided is a method of manufacturing a patient-specific surgical device designed by the aforementioned method. A patient-specific surgical device designed and/or manufactured by the above methods and a method of performing knee surgery with said patient-specific surgical device is further provided.

Abstract: A surgical implant for a proximal carpal row replacement surgery employs a scanned image of each of the scaphoid, lunate and triquetrum bones for generating a unitary, homogeneous model defining a fused shape for implantation as the proximal carpal row. The implant utilizes a contralateral image of healthy bones of the patient for generating the replacement model, and employs shrink-wrap and smoothing processing to generate the unitary replacement. The resulting implant replaces the intercalary bone structures of the scaphoid, lunate and triquetrum with a single appliance, and is slideably engaged with the distal carpal row via a surgical tunnel and tethered by a resectioned tendon, ligament, or other connective member. The implant facilitates wrist function since the unitary implant replaces skeletal structures that are encapsulated by adjacent bones and frequently move as a unit, while eliminating gaps, voids and ligaments between the intercalary structure.

Abstract: The present invention relates to an implant playing a role as a joint in coupling a revision implant in revision total knee arthroplasty and, more specifically, to an offset adapter unit comprising an adapter which couples a femoral member or a tibial member to a stem member in revision total knee arthroplasty; and a nut coupled to the adapter, thereby improving the strength by considering fracture occurring in the narrowest area.

Abstract: A femoral component (2) of a knee joint prosthesis has a bearing surface (4) for articulation with a tibial bearing surface and an opposite bone facing surface (6). The bone facing surface has anterior (18), posterior (20), distal (22), anterior chamfer (24) and posterior chamfer (26) portions. Medial (42, 52, 356) and lateral rails (40, 50, 350) are provided on the distal portion or on at least one of the anterior chamfer portion and posterior chamfer portions of the bone facing surface so that there is at least one recess (46, 54, 354, 360) between the rails.

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: A system for performing a total joint arthroplasty procedure on a patient's damaged bone region. A CT image or other suitable image is formed of the damaged bone surfaces, and location coordinate values (xn,yn,zn) are determined for a selected sequence of bone surface locations using the CT image data. A mathematical model z=f(x,y) of a surface that accurately matches the bone surface coordinates at the selected bone slice locations, or matches surface normal vector components at selected bone surface locations, is determined. The model provides a production file from which a cutting jig and an implant device (optional), each patient-specific and having controllable alignment, are fabricated for the damaged bone by automated processing.

Abstract: A unicondylar resurfacing femoral component including a metallic base member and a polymeric articulation member. The metallic base member includes a main body and a retention member extending from the main body configured to be secured within a condyle of a femur. The polymeric articulation member is coupled to the main body of the metallic base member and includes an articulation surface configured to articulate directly against a planar surface of a metallic tibial component.

Abstract: Disclosed herein are unicompartmental femoral and tibial arthroplasty jigs for respectively assisting in the performance of unicompartmental femoral and tibial arthroplasty procedures on femoral and tibial arthroplasty target regions. The jigs each include a mating surface. The mating surface of the femoral jig is configured to matingly receive and contact a generally planar area of an anterior side of a femoral shaft generally proximal of the patellar facet border and generally distal an articularis genu. The mating surface of the tibial jig is configured to matingly receive and contact a generally planar area of an anterior side of a tibial shaft distal of the tibial plateau edge and generally proximal of the tibial tuberosity.

Abstract: A method of manufacturing a patient-customized tibial element for use in artificial knee joint surgery. A tibial element data table regarding sizes of proximal tibial prostheses is formed. Standard molds able to cover the tibial element data table are manufactured. A standard mold is selected from the standard molds in order to manufacture a patient-customized proximal tibial prosthesis. A proximal tibial prosthesis fitting a patient is formed using the selected standard mold.

Abstract: An orthopedic device includes a femoral implant having a non-custom internal bone engagement surface. The femoral implant includes at least nine parameters adjusted preoperatively to correspond to a specific patient. The parameters can include patient-specific lengths, such as, for example, medial and lateral condyle widths and notch height, and patient-specific medial and lateral angles.

Abstract: A method of generating a patient specific prosthetic implant is described, which includes: generating a three dimensional electronic representation of a human anatomical feature of a unique patient; identifying one or more representative surface curvature features on the three dimensional electronic representation; and associating the three dimensional electronic representation with a virtual implant template of the human anatomical feature selected from a database of virtual implant templates, and comparing fit of the identified representative surface curvature features of the three dimensional electronic representation with corresponding surface curvature features of the virtual implant template. The virtual implant template is selected to have the most similar corresponding surface curvature features.

Abstract: A method and system for performing a total joint arthroplasty procedure on a patient's damaged bone region. A CT image or other suitable image is formed of the damaged bone surfaces, and location coordinate values (xn,yn,zn) are determined for a selected sequence of bone surface locations using the CT image data. A mathematical model z=f(x,y) of a surface that accurately matches the bone surface coordinates at the selected bone splice locations, or matches surface normal vector components at selected bone surface locations, is determined. The model provides a production file from which a cutting jig and an implant device (optional), each patient-specific and having controllable alignment, are fabricated for the damaged bone by automated processing.

Abstract: A prosthetic femoral component (10) for an orthopedic prosthesis has a canted patellar groove adapted for optimal patella/component interaction, with the component configured to have a medial or lateral cant depending upon the method of implantation. The femoral component defines a distal “component transverse plane,” which is a plane tangent to the distal-most points of the component condyles (12, 14). In a “mechanical” implantation, the component transverse plane is substantially normal to the mechanical femoral axis of the femur after the component has been implanted. Where the femoral component is configured to be “mechanically oriented” in this manner, the component has a medially canted patellar groove. On the other hand, an “anatomic” implantation is one in which, after the component has been implanted, the component transverse plane is substantially parallel to an “anatomic” transverse plane.

Abstract: A femoral prosthetic component comprises a pair of condyles having an intercondylar notch interposed substantially therebetween. Each of the pair of condyles comprises an edge that borders the intercondylar notch. At least one of the pair of condyles comprises a condylar notch disposed within the respective edge of the at least one of the pair of condyles.

Abstract: Systems and methods for providing deeper knee flexion capabilities, more physiologic load bearing, and improved patellar tracking for knee prosthesis patients. In some instances, such systems and methods include a knee prosthesis that includes a femoral component for replacing at least a portion of a distal end of a femur. While the femoral component can include any feature, in some cases, it includes a condylar surface configured to articulate with an articular surface of a tibia. In some cases, the femoral component also includes a proximal extension that extends from a proximal, posterior portion of the condylar surface. In such cases, the proximal extension provides the femoral component with a concave articulation surface that is configured to articulate against a portion of the tibia. Other implementations are also described.

Abstract: Various embodiments of methods for obtaining kinematic information regarding a joint, including information regarding the joint in a weight-bearing position, are disclosed, as well as methods of designing implants, instruments, and surgical repair systems based on the kinematic information.

Abstract: A kit for replicating an implantable prosthetic devices includes a model implant, a geometric tool, and an insert. The model implant may include a first curved surface, and the first curved surface may include a first cutout formed. The geometric tool may include a second curved surface having a second cutout. The geometric configuration of the second cutout may be substantially identical to the geometric configuration of the first cutout of the model implant. The insert may be configured to be engaged with both the first cutout and the second cutout.

Abstract: A femoral prosthetic component comprises a pair of condyles having an intercondylar notch interposed substantially therebetween. Each of the pair of condyles comprises an edge that borders the intercondylar notch. At least one of the pair of condyles comprises a condylar notch disposed within the respective edge of the at least one of the pair of condyles.

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: A knee arthrodesis implant has a femur nail and a tibia nail. A connecting module has two longitudinally separated half shells that when connected form a passage. One end of the connecting module is coupled to a femur nail neck and the other end is coupled to a tibia nail neck. The half shells have a plurality of corresponding recesses extending perpendicularly to the passage. Each recess receives a tensioning screw, and tightening the tensioning screws couples the femur and tibia nail necks to the connecting module by holding the femur and tibia nail necks within the passage by frictional contact. Each of the two half shells is angled along its length, an angle of one of the half shells corresponding to an angle of the other of the half shells, allowing the tibia nail and femur nail to extend from the passage at an angle from one another.

Abstract: A prosthetic femoral component (10) for an orthopaedic prosthesis has a canted patellar groove adapted for optimal patella/component interaction, with the component configured to have a medial or lateral cant depending upon the method of implantation. The femoral component defines a distal “component transverse plane,” which is a plane tangent to the distal-most points of the component condyles (12,14). In a “mechanical” implantation, the component transverse plane is substantially normal to the mechanical femoral axis of the femur after the component has been implanted. Where the femoral component is configured to be “mechanically oriented” in this manner, the component has a medially canted patellar groove. On the other hand, an “anatomic” implantation is one in which, after the component has been implanted, the component transverse plane is substantially parallel to an “anatomic” transverse plane.

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

Abstract: A knee prosthesis including a knee component and an indexing boss. The knee component includes a first engagement portion. The indexing boss includes a first terminal end surface, a second terminal end surface, and a second engagement portion at the second terminal end surface. The first terminal end surface and the second terminal end surface are arranged along non-parallel planes. The first and the second engagement portions are configured to selectively couple together at a plurality of rotational orientations to attain a corresponding plurality of angular orientations of the indexing boss relative to the knee component due to the first and the second terminal end surfaces being arranged along non-parallel planes.

Abstract: Disclosed is a trial implant having a body and a tab. The body may include a recess and may be sized to closely approximate a permanent implant. The tab may be more durable than the body, and may be disposed within the body and wholly contained within the recess. Also disclosed is a method of performing a trialing procedure including providing a trial implant as described, providing a tool to attach to the tab, inserting the implant onto a resected joint, evaluating and extracting the implant. The same procedure may then be performed with a second implant. The method may further include a tool having an attachment portion that is substantially or wholly contained within the recess. A kit is disclosed including a plurality of trial implants of incrementally different shapes and sizes. The kit may further include a tool. Also disclosed is a method of making the described implant.

Abstract: Disclosed herein are systems and methods for shaping bone voids during revision procedures of total knee replacements. The systems disclosed herein generally include a cannulated reamer assembly, a reaming guide assembly, a guide tube assembly, a trial stem assembly, and an optional insertion/removal tool. Metaphyseal reconstruction devices can be used to fill the bone voids in conjunction with the systems and methods disclosed herein.

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 modular knee prosthesis system includes a femoral component having a stem and a sleeve. The system is modular, and provides the surgeon with the option of distally offsetting the joint line by controlling the relative axial positions of the stem and the sleeve. Alternative options include providing sleeves with tapered bores of different diameters, providing a shim to be placed between the sleeve and the stem and providing the stems as adapters having different diameters.

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

Abstract: 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: Methods are disclosed for designing a tibial implant to minimize cortical impingement of a keel or other fixation structure when the tibial implant is implanted in the tibia bone. The design of the keel or other fixation structure on the tibial baseplate can be based on determining a common area between defined cancellous regions of at least two tibia bones. Methods are disclosed for designing a femoral component having a stem extension such that the stem can be sufficiently placed in the diaphysis of the femur when the femoral component is implanted. The method includes determining a canal axis in a femur that creates adequate engagement between a reamer and the diaphysis of the femur.

Abstract: Various embodiments of femoral trochlea prostheses useable in a knee joint. The knee joint includes a patella and a distal femur with a femoral trochlea, or patello-femoral groove. In one embodiment, a femoral trochlea prosthesis includes a distal tail. In another embodiment, a femoral trochlea prosthesis includes a wing or extension portion. In yet another embodiment, a set of femoral trochlea prostheses includes a plurality of prostheses having differing thicknesses. In still another embodiment, a femoral trochlea prosthesis includes a porous medium on various portions of the prosthesis.

Abstract: A trochlear ridge prosthesis includes a curved section, the curved section having a span (RS) and a height (RH) above the span, the ratio of the height to the span being in the range 0.15 to 0.35, and a tail extending from a proximal end of the curved section.

Abstract: Systems, devices, and methods are described for providing orthopedic implants that reduces the negative effects of stress shielding on surrounding bone structure. The orthopedic implants are comprised of two portions, a shell portion that forms an articulation interfaces and an intermediate portion that forms a bone interface. The shell portion is designed to reduce absorption of Carticulation forces and evenly distribute incident forces to the intermediate portion. The intermediate portion is designed to form a strong interface with native bone and transmit forces from the shell into the bone.

Abstract: A knee prosthesis has a femoral component with a medial condyle defining a constant bearing spacing relative to a central sagittal component plane SP, and a lateral condyle defining divergent bearing spacing from the central sagittal component plane along an extension-to-flexion path. High congruence between the medial articulation surfaces creates a pivot point for external rotation at the medial contact area, while lower congruence in the lateral articulation surfaces allows the lateral femoral condyle to track anteriorly and posteriorly during flexion. The amount of lateral condyle bearing spacing divergence is calculated to produce a substantially linear anteroposterior motion profile of the lateral femoral condyle upon the lateral tibia articular surface throughout a wide range of flexion.

Abstract: A femoral component for a prosthetic knee joint has a medial and a lateral condylar portion each having a bearing surface and a bone contacting surface. The medial and lateral condylar portions defining an opening therebetween. The opening is at least partially open to a cavity surrounded by a wall extending proximally from the bone contacting surface of the medial and lateral condylar portions. The wall having an inner surface defining a perimeter of the cavity and medially, laterally and posteriorly facing outer surface portions. The medially laterally and posteriorly facing surface portions being arcuate in shape.

Abstract: Disclosed herein are systems and methods for filling bone voids which may be present at the time of surgery. The systems disclosed herein generally include a baseplate component, a spacer component, and void filler component. The spacer component is generally assembled to the baseplate component with a taper or press-fit, for example, in one of a plurality of selected axial positions. The void filler component is then generally assembled to the spacer component in one of a plurality of selected axial positions. The void filler component preferably has an outer surface with portions having varying diameters such that the outer surface thereof can be received within a canal of a bone and contact the bone forming the canal at different locations in order to aid in stabilizing the assembled components in the canal.

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

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

Abstract: 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: An implant augment (12) includes an augment portion (24) and a fixation portion (28) attached to the augment portion (24). The augment portion (24) has a first surface (40) for contacting a cut surface of an articular end of a bone and a second surface (42) for contacting an implant. The fixation portion (28) extends from the augment portion (24) to contact a cortical surface of a shaft of the bone.

Abstract: Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include a femoral knee replacement component that includes an articular surface, a first interior surface, and a second interior surface, wherein the first and second interior surfaces run substantially parallel to each other. In some cases, the articular surface includes an anterior condylar extension that is configured to replace an anterior articular cartilage of a femur such that the anterior extension is configured to terminate adjacent to a proximal limit of the anterior articular cartilage of the femur. Other implementations are also discussed.

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

Abstract: This disclosure is directed to a resilient interpositional arthroplasty implant for application into a joint to pad cartilage defects, cushion, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. The walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability so as to enable immediate limb use after outpatient surgery. Appendages of the implant may repair or reconstruct tendons or ligaments, and menisci by interpositional inflatable or compliant polymer arthroplasties that promote anatomic joint motion.

Abstract: A femoral prosthetic component comprises a pair of condyles having an intercondylar notch interposed substantially therebetween. Each of the pair of condyles comprises an edge that borders the intercondylar notch. At least one of the pair of condyles comprises a condylar notch disposed within the respective edge of the at least one of the pair of condyles.

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