Abstract: A fusion plate (1, 20) to assist fusion of a first bone (2) and second bone (3) comprising a rigid elongated plate configured to span the joint between the first and second bones having a C-shaped profile along its length, a thickness of 0.5 to 1.5 mm, and a plurality of holes (11) to receive bone-fixing screws (12) to fix the plate to the first and second bones, wherein the plurality of holes include at least one proximal hole disposed on each side (9, 10) of a proximal end (7) of the plate configured to receive proximal bone fixing screws (12) in an orthogonal fixing screw configuration and at least one hole disposed on each side (9, 10) of a distal end (8) of the plate configured to receive distal bone fixing screws in an orthogonal fixing screw configuration. The plate may be configured for dorso-medial attachment and fusion of a meta-tarsal joint selected from a MetaTarsoPhalangeal joint (MTPJ) and a TarsoMetaTarsal Joint (TMTJ) of the big toe.

Abstract: An orthopedic prosthetic joint comprising a joint couple having a first bearing surface made of a poly aryl ether ketone (PAEK) and a second joint component having a second bearing made of a polymer that is softer than the PAEK such as UHMWPE the first and second bearing surfaces in sliding engagement with one another.

Abstract: An intermedullary nail for targeted arthrodesis of the tibiotalar joint. The intramedullary nail may be advanced through a bore extending through the calcaneus, talus, and into the tibia. In an example, a distal end portion of the intramedullary nail is disposed proximal to the subtalar joint. It has been recognized that creation of a bore for introduction of the intramedullary nail does not significantly disrupt the articular surface area of the subtalar joint. Furthermore, locking fasteners used to secure the intramedullary nail may introduced laterally and/or anteriorly to facilitate benefits in relation to patient placement and manipulation during an operation. Furthermore, arthrodesis may be extended to adjacent anatomy through use of extension plates at least partially secured by locking fasteners also engaging the intramedullary nail.

Abstract: A revision implant component comprising a body having a plurality of screw holes and a tapered head configured to engage a talar dome component of a multi-component ankle prosthesis. A surgical method is disclosed which includes creating an incision in a patient, exposing a multi-component ankle prosthesis implanted in a patient, disassembling at least one component of the multi-component ankle prosthesis, affixing a revision implant component to non-damaged bone using screws, and coupling the revision implant component to a talar dome of the multi-component ankle prosthesis.

Abstract: Instruments, guides, systems and related methods for total ankle prostheses are disclosed. The instruments, guides, systems and related methods facilitate preparation of a tibia and/or talus of a patient for implantation of a total ankle prosthesis therein. The instruments, guides, systems and related methods also facilitate selection of a particular size of a tibial component, a talus component and/or a tibial insert of the total ankle prosthesis that suits the patient. The instruments, guides, systems and related methods include a tibial trial component, a talar trial component and tibial insert trial component that replicate one or more aspects of the tibial component, the talus component and the tibial insert, respectively, of the total ankle prosthesis. The talar trial component includes an articulation surface that articulates with the tibial insert trial component, and slots that facilitate chamfered resection of the patient's talus for the implantation of the talus component thereon.

Abstract: Devices and methods for placing an implant between two bone portions are disclosed. In some embodiments, a method comprises disposing a portion of a flexible member through a first bone portion, through an aperture in a trial implant, and through a second bone portion. The trial implant can be withdrawn to enable an implant to be coupled to the flexible member. The method includes applying tension to the flexible member to urge the implant into the space between two bone portions. In some embodiments, the two bone portions are facets.

Abstract: In various embodiments, a surgical plate includes a body extending between a first planar surface and a second planar surface. The body is configured to couple to a first bone. The first planar surface is configured to couple to a first articulation surface. An anterior articulation portion is coupled to the body. The anterior articulation portion includes a third planar surface extending perpendicular to the first and second planar surfaces and a second articulation surface spaced apart from and coupled to the third planar surface. The second articulation surface is configured to articulate with respect to a second bone.

Abstract: A prosthesis suited for orthopedic implantation possesses a multi-piece stem component that supports an artificial joint surface that can articulate with another artificial joint surface in various ways. The prosthesis can be assembled in a snap fit and/or interlocking fashion that provides positive locking means without the use of screws or other fasteners. The prosthesis can accommodate fitment of a plastic joint surface made, e.g., from ultra high molecular weight polyethylene. The prosthesis is well suited for use in an ankle replacement system that can be installed using minimally invasive intramedullary guidance established with respect to the major axis of the tibia by minimally invasive access through the calcaneus, through an incision in the bottom of the foot. The prosthesis makes possible the installation of a total ankle system using minimally invasive anterior access to the ankle joint for making bony cuts and to install prosthesis components.

Abstract: At least one embodiment comprises a talus implant comprising: a body section; a neck section; a crown, wherein the crown is positioned at a top portion of the body section; at least one wing coupled to the body section, wherein the wing extends out from the body section. At least one embodiment further comprises at least one screw hole positioned in at least one of the neck section and the body section. In at least one embodiment the outer surface of the implant is polished. In at least one embodiment a portion of the outer surface is polished while a portion of the outer surface is roughened.

Abstract: An ankle prosthesis comprising a tibial implant, a talar implant and an insert to articulate the implants. The top face of the tibial implant having an anchoring fin, and the bottom face is articulated with the top surface of the insert. The bottom face of the talar implant includes an anchor to the talar bone, and the top face is articulated with the bottom surface of the insert. The articulation surface being saddle-shaped and including a longitudinal central groove allowing the insert to move longitudinally and rotate transversely. The top face of the tibial implant includes, on its anterior edge, a shield covering the bottom anterior portion of the tibia, and the tibial face is inclined and forms an angle with the horizontal of between 15° and 45°. Passages are provided in the shield for bone screws passing through in an ascending manner and open on the inclined tibial face.

Abstract: The present invention relates to a stabilized ankle prosthesis configured for use in patients with compromised soft tissue in the ankle. The prosthesis of the present invention is a two-component design comprising a stabilizing lip configured to constrain movement in the general direction of compromised soft tissue.

Abstract: A total ankle prosthesis that includes a talar component that has a bone contacting side for contacting a talus and an articular side opposite the bone contacting side. The articular side has first and second condyles separated by an intercondylar notch. The first condyle defines a spheroidal convex surface. The prosthesis also includes a tibial component that has a bone contacting side for contacting a tibia and an articular side. The articular side has first and second condyles separated by an intercondylar spine. The first condyle of the tibial component defines a concave surface. The concave surface has a condylar edge that defines a perimeter thereof and a plurality of articular portions positioned between anterior and posterior extents of the condylar edge. A first articular portion of the articular portions is spheroidal and a second articular portion is defined by a cylindrical helix.

Abstract: The present disclosure pertains to ankle prostheses. In an example embodiment, the ankle prosthesis comprises an adjustable and replaceable intermediate implant that is disposed between a tibial implant and a talar implant. The intermediate implant is adjustable relative to the tibial implant and can be interlocked therewith once adjusted. Methods of using, fitting, and adjusting the device are also described. Still other embodiments are described.

Abstract: An artificial joint includes a first joint assembly and a second joint assembly. The first joint assembly is adapted to be connected to a first bone and has a first contacting surface, wherein the first contacting surface includes a first convex arc surface, a second convex arc surface, and a third convex arc surface. The second joint assembly is adapted to be connected to a second bone and has a second contacting surface, wherein the second contacting surface is in contact with the first contacting surface and includes a first concave arc surface, a second concave arc surface, and a third concave arc surface, and the first concave arc surface, the second concave arc surface, and the third concave arc surface respectively correspond to the first convex arc surface, the second convex arc surface, and the third convex arc surface.

Abstract: The invention concerns an ankle prosthesis (100), comprising a talar component (200) which includes a talar upper face (201) defining a first articular surface (202) and which extends between a talar anterior edge (203) and an opposite talar posterior edge (204) according to a first average direction, said first articular surface (202) being curved according to said first average direction, said first articular surface (202) comprising a first curved portion (202A) and a second curved portion (202B), each extending according to said first average direction, said first curved portion (202A) having a first curvature and said second curved portion (202B) having a second curvature, said prosthesis (100) being characterized in that said first curved portion (202A) and said second curved portion (202B) define respectively an anterior portion and a posterior portion of said first articular surface (202), said first curvature being greater than said second curvature.

Abstract: A method and system provide and use a patellar implant. The patellar implant includes a superior portion, an inferior portion opposite to the superior portion, and an anterior portion. The superior portion being configured to reside below a patellar tendon and to elevate and/or tilt the patellar tendon. The inferior portion is configured to be seated in proximity to a tibia. The anterior portion is between the superior portion and the inferior portion. The anterior portion is placed in proximity to a patella. In one aspect, the method includes inserting the implant beneath the patellar tendon and between the patella and a position at which the patellar tendon is affixed to the tibia. In this aspect, the method also includes affixing the implant.

Abstract: A method and system provide and use a patellar implant. The patellar implant includes a superior portion, an inferior portion opposite to the superior portion, and an anterior portion. The superior portion being configured to reside below a patellar tendon and to elevate and/or tilt the patellar tendon. The inferior portion is configured to be seated in proximity to a tibia. The anterior portion is between the superior portion and the inferior portion. The anterior portion is placed in proximity to a patella. In one aspect, the method includes inserting the implant beneath the patellar tendon and between the patella and a position at which the patellar tendon is affixed to the tibia. In this aspect, the method also includes affixing the implant.

Abstract: A system for modifying a talocalcaneal spatial relationship in a foot in a body, including a subtalar spacer having an articulating surface and implanted in the sinus tarsi of the foot and a fastener that fastens the subtalar spacer to a bone surface in the foot, in which the articulating surface of the subtalar spacer directs relative movement between the calcaneus and the talus of the foot.

Abstract: An intervertebral implant component of an intervertebral implant includes an outer surface for engaging an adjacent vertebra and an inner surface. A keel extends from the outer surface and is designed to be disposed in a slot provided in the adjacent vertebra. This keel extends in a plane which is non-perpendicular to the outer surface; and preferably there are two of the keels extending from the outer surface which are preferably offset laterally from one another. In another embodiment, an anterior shelf is provided at an anterior end of the outer surface, and this anterior shelf extends vertically away from the inner surface in order to help prevent bone growth from the adjacent vertebra towards the inner surface. Further in accordance with disclosed embodiments, various materials, shapes and forms of construction of the component and/or keel provide various benefits.

Abstract: An ankle arthroplasty system may have a talar prosthesis and a tibial prosthesis, each of which has an articular surface and a bone engagement surface. Each bone engagement surface may have an anterior-posterior curvature and a medial-lateral curvature with a convex shape. A burr with a rotatable cutting element may be used to form a prepared surface on the talus or the tibia to receive the corresponding prosthesis. A cutting guide may be used to guide motion of the burr; the cutting guide may include a base and an arm movably coupled to the base. One of the base and the arm may have a guide surface, and the other may have a follower that slides along the guide surface to constrain motion of the burr such that the prepared surface has at least one concave curvature and one convex curvature.

Abstract: The present invention relates to a stabilized ankle prosthesis configured for use in patients with compromised soft tissue in the ankle. The prosthesis of the present invention is a two-component design comprising a stabilizing lip configured to constrain movement in the general direction of compromised soft tissue.

Abstract: A talar implant, comprising: a superior surface, defined by an arc having at least one first radius; an inferior surface, defined by an arc having at least one second radius, a lateral side; a medial side; a posterior portion having a first width; and an anterior portion having a second width; wherein the implant is configured to restore a tibio-talar joint tension, wherein the superior surface is separated from the inferior surface by a thickness, wherein the at least one first radius is smaller than the at least one second radius, wherein the center of the arc having at least one first radius is offset from the center of the arc having at least one second radius in at least one plane of the talar implant, and wherein the anterior portion further comprises an extension configured to provide support.

Abstract: A talus surface implant has an arc shaped body with a top side interfacing to the tibia and a bottom side having at least one post for interfacing with holes in the talus and a plurality of spikes for interfacing with the surface of the talus. Preferably the implant is double arc shaped.

Abstract: A hemi-prosthesis implant comprises a replacement-joint part with an articulation surface for tribological pairing with a joint surface of a natural joint counterpart. The articulation surface is embodied with a coating applied on a substrate. The substrate provides a relief for the adhesion of the coating. The relief may comprise one or more of a plurality of grooves, a plurality of teeth, a ribbing, and a roughened surface. The relief may be embodied entirely or partially outside the articulation surface. The replacement joint part may optionally comprise a ventilation feature, and the articulation surface may be formed by injection molding on the substrate. The hemi-prosthesis implant may be part of an implant set that includes both a hemi-prosthesis implant and a total prosthesis implant, either of which can be chosen intraoperatively.

Abstract: A system for modifying a talocalcaneal spatial relationship in a foot in a body, including a subtalar spacer having an articulating surface and implanted in the sinus tarsi of the foot and a fastener that fastens the subtalar spacer to a bone surface in the foot, in which the articulating surface of the subtalar spacer directs relative movement between the calcaneus and the talus of the foot.

Abstract: A method and implant to treat anterior cruciate ligament (ACL) injuries are disclosed. The method involves advancing the insertion of the patellar ligament to the proximal tibia. The implant includes a spacer (30) which is inserted between the patellar ligament and the tibia and fixed to the tibia. The spacer decreases the angle between the patellar ligament and the tibia plateau and consequently modifies the internal joint force, restoring stability to the joint even if the ACL is ruptured. The method and implants are applicable to both human and canine patients.

Abstract: Ankle prosthesis (400) comprising a tibial component (100), a talar component (200) and an intermediate component (300) interposed between said tibial component (100) and said talar component (300). The prosthesis has an anatomical shape and enables restoration of articular functionalities. Also described are a tool for the shaping of a talus, which shaping is aimed at the implant of the talar component (200) of said prosthesis (400), and a surgical tool for enabling a shaping of the tibia aimed at the implantation of the tibial component (100).

Abstract: A subtalar joint implant (20) is disclosed for replacing a natural subtalar joint existing between the talus (102) and calcaneum (104) bones of a patient. In an embodiment the implant comprises talar (22) and calcaneal (24) portions that are configured to slide over each other in the implanted state. The implant is shaped so that the sliding is constrained to trajectories that involve pivoting of the talar portion relative to the calcaneal portion about a pivot point (36) or a line (38) of pivot points.

Abstract: Devices and methods are disclosed for joint replacement.

Abstract: The invention is a subtalar implantable to expand after implantation. The subtalar implant has two or more expansion segments or wings. In all forms, the expansion wings are hinged on the distal portion of the subtalar implant which causes only the proximal portion of the wing to expand relative to the midplane of the implant. The expansion wings and the entire subtalar implant are threaded to prevent the implant from backing out of the sinus tarsi once implanted. In one form, the subtalar implant includes an integral expansion screw that, when rotated, expands the expansion wings. In another form, the subtalar implant includes a separate expansion screw that, when rotated, expands the expansion wings. The integral and the separate expansion screw includes a socket that accepts a like driver tool for rotating the expansion screw and expanding the expansion wings.

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 prosthetic ankle comprising a talar component and a tibial component. At least a portion of top surface of the talar component has a convex curvature, relative to a location above the top surface, in the anterior to posterior direction as viewed in a sagittal plane cross-section, a concave curvature relative to a location above the top surface, in the medial to lateral direction, and an average radius of curvature of at least a major portion of the medial side of the top surface of the talar component is larger than an average radius of curvature of at least a major portion of the lateral side of the top surface of the talar component as viewed in sagittal plane cross-sections on the lateral and medial sides. A bearing component for location between the tibial and talar component is also described.

Abstract: Surgical methods for multi-component ankle prosthesis are provided that include use of a guide arm, a ratchet arm frame configured to be coupled slidably to the guide arm, a ratchet arm configured to be coupled to the ratchet arm frame, and a sagittal sizing guide body configured to be coupled to the ratchet arm. Methods including a sagittal sizing guide body include positioning a first radiopaque object at a first position and a second radiopaque object located at a second position that is spaced apart from the first position.

Abstract: A bone plate for fixation to a phalanx includes a head extending from a first end to a second end and having first and second fixation element holes extending therethrough, a connection portion extending from the second end of the head to a third end along the central longitudinal axis, the connection portion including an oblong hole elongated in a direction parallel to the central longitudinal axis, and a shaft extending from the third end of the connection portion to a fourth end along the central longitudinal axis. The shaft includes third and fourth fixation element holes extending along the central longitudinal axis. The shaft includes a plurality of first projections and a plurality of second projections. The first and second projections include corresponding projection fixation element holes extending therethrough and being connected to the shaft. The first and second projections are alternatingly provided on the shaft.

Abstract: A subtalar joint prosthesis that is adapted to replace the natural subtalar joint that exists between a patient's talus and calcaneus bones includes talar and calcaneal components. Each of these is configured to have a shape that is herein defined as being a portion of the boundary surface of a frustum. Meanwhile, these components' inner surfaces are configured to: (a) generally follow the anatomic contour of the original joint surface to which each component is to be attached, and (b) minimize each components's average thickness, consistent with providing sufficient strength and rigidity for the components, so as to require minimum bone resection for the implantation of these components.

Abstract: A bone implant is disclosed. The implant comprises a body having a bone contact surface and an articulation surface. A first flange extends longitudinally from the bone contact surface. The flange defines a first screw hole configured to receive a targeted screw therethrough. The targeted screw couples the implant to a bone.

Abstract: An endoprosthesis for replacing the ankle joint includes a lower component which is configured to be connected to the ankle bone, an upper component which is configured to be connected to the shin bone, and an intermediate part which forms a slide joint both with the lower and upper components. The intermediate part, which is wedge-shaped in sagittal section, is provided in order to compensate for anatomical or surgical irregularities. The upper component can also be wedge-shaped in frontal or sagittal section.

Abstract: A revision implant component comprising a body having a plurality of screw holes and a tapered head configured to engage a talar dome component of a multi-component ankle prosthesis. A surgical method is disclosed which includes creating an incision in a patient, exposing a multi-component ankle prosthesis implanted in a patient, disassembling at least one component of the multi-component ankle prosthesis, affixing a revision implant component to non-damaged bone using screws, and coupling the revision implant component to a talar dome of the multi-component ankle prosthesis.

Abstract: A talar implant is disclosed. The implant comprises a body comprising a bone contact surface and an articulation surface. A stem extends longitudinally from the bone contact surface. The stem comprises one or more features sized and configured to prevent rotational movement, anterior/posterior movement, and medial/lateral movement. The stem is configured to be received within a hole a talus.

Abstract: A system comprising instrumentalities and methods for removing intramedullary stem component pieces of a tibial implant from a distal tibia.

Abstract: The invention relates to an ankle prosthesis including a talar implant, a tibial implant, and an intermediate implant designed to be mounted to move relative to said talar implant in order to impart mobility to the ankle, said prosthesis further including embedded adjustment structure designed to alternate between a releasing state, in which they allow the intermediate implant to move relative to the tibial implant, and a locking state, in which they hold the prosthesis in the chosen assembly configuration, said prosthesis being characterized in that said adjustment structure can be controlled to be operable while the prosthesis is in the assembled state in vivo.

Abstract: Devices and methods are disclosed for joint replacement.

Abstract: A position adjustment device having a tool holder is locked to at least two pins projecting from respective anterior facing locations near a distal end of a tibia of a patient. The position adjustment device is adjusted. The position adjustment device is locked with the tool holder at first coordinates in the proximal-distal and medial-lateral directions. The distal end of the tibia is resectioned with a tool positioned on the tool holder, while the tool holder is in the first coordinates in the proximal-distal and medial-lateral directions. The tool is removed from the tool holder. A tibia trial is placed on the resectioned tibia using the tool holder, while the tool holder is in the first coordinates in the proximal-distal and medial-lateral directions. The tibia trial has a size and shape of a tibial tray of an ankle replacement system.

Abstract: A glenoid component is provided to reduce glenoid loosening when implanted in orthopedic joint replacement/reconstruction, such for a shoulder. The glenoid component can include pegs or a keel and articulating surface geometry that uses complex, non-spherical geometry to recreate a level of constraint that is adequate, but not excessive, to thereby mitigate loosening of the glenoid component after implantation. In addition, some embodiments provide that peak stresses both within cement and at an interface of the cement and a supportive component can be reduced. Further, geometry of the pegs can allow stresses to be evenly applied to a cement mantle formed in the supportive component. Finally, the pegs can be configured to desired lengths in order to avoid placement in areas of the supportive component, for example, that have insufficient bone stock.

Abstract: A semi-constrained polyaxial ankle joint replacement implant has a dual bearing component, a tibial component or plate adapted for attachment to a tibia or fibula bone, and a talar component or plate adapted for attachment to a talus or calceneus bone of the foot. The dual bearing component includes a superior bearing providing gliding articulation/translation between it and the tibial component, and an inferior bearing providing gliding articulation/translation between it and the talar component. The tibial plate has peripheral transversely extending flanges that semi constrain or limit movement relative to the superior bearing and/or vice versa. The inferior bearing has a flange extending upwardly from the superior surface thereof that is received in an opening in the intermediate plate to semi constrain or limit movement relative between the two components.

Abstract: A system for modifying a talocalcaneal spatial relationship in a foot in a body, including a subtalar spacer having an articulating surface and implanted in the sinus tarsi of the foot and a fastener that fastens the subtalar spacer to a bone surface in the foot, in which the articulating surface of the subtalar spacer directs relative movement between the calcaneus and the talus of the foot.

Abstract: An acetabular cup prosthesis comprising an acetabular cup having a rim and comprising a metal band applied around the outer circumference of the acetabular cup prosthesis and adjacent to said rim.

Abstract: A total ankle replacement system, novel surgical method for total ankle replacement, and novel surgical tools for performing the surgical method are described. The total ankle replacement system includes the calcaneus in fixation of a lower prosthesis body, thereby significantly increasing the amount of bone available for fixation of the lower prosthesis body and allowing the lower prosthesis body to be anchored with screws. The total ankle replacement system further includes a long tibial stem which can also be anchored into the tibia with, for example, screws, nails, anchors, or some other means of attachment. The novel surgical arthroscopic method allows introduction of ankle prostheses into the ankle joint through an exposure in the tibial tubercle. Various novel surgical instruments, such as a telescoping articulating reamer and a talo-calcaneal jig, which facilitate the novel surgical method, are also described.

Abstract: Devices, instruments and associated methods for the subchondral treatment of osteoarthritis in small joints are provided. In addition, a method for treating joint pain in small joints is provided. These small joints may be ankle, elbow or wrist joints. The methods may target one of many different access points having trajectories with a common focal point at or near the small joint. The instruments may limit access to areas within or near the small joint by providing predefined entry paths that avoid damage to surrounding tissues.

Abstract: Ankle replacement devices are disclosed. Methods of making and using ankle replacement devices are also disclosed.