1289results about "Shoulder joints" patented technology

Surgical systems and instruments for performing shoulder repair procedures using a transhumeral approach are disclosed. The systems include a humeral guide configured to set a path of travel for a guide pin that operates bone preparation instruments with a transhumeral approach. The guide pin can selectively engage one or more bone preparation instruments disposed at a humeral resection surface and operate the tool(s) by powering the guide pin from below the humeral resection surface. A handle assembly can be used to position bone preparation instruments at the surgical site, with the handle assembly being selectively mountable to the humeral guide. The humeral guide can also have a sizer attachment coupled to it to assist in measuring and sizing locations for an implant to be placed on the humeral resection surface. Measuring, reaming, broaching, and implanting actions can all be performed with assistance from the humeral guide.

A reverse shoulder system can include, for example, a glenoid baseplate comprising a longitudinal axis, the glenoid baseplate further including a stem and a central channel within a sidewall of the stem. The stem can include a longitudinal axis. The longitudinal axis of the glenoid baseplate can be angled with respect to the longitudinal axis of the stem, wherein the longitudinal axis of the glenoid baseplate is not perpendicular with respect to the longitudinal axis of the stem. Other components including a glenosphere, tools, and methods of use are also disclosed.

A surgical navigation system for providing computer-aided surgery. The surgical navigation system includes a handheld surgical tool with computer-aided navigation, a graphical user interface module, and optionally an imaging device. The handheld surgical tool includes a handle that may comprise at least one sensor for detecting orientation of the. A computing device and at least one display device are associated with the handheld surgical tool and configured to display a target trajectory of the handheld surgical tool for the surgical procedure.

A surgical planning system for use in surgical procedures to repair an anatomy of interest includes a preplanning system to generate a virtual surgical plan and a mixed reality system that includes a visualization device wearable by a user to view the virtual surgical plan projected in a real environment. The virtual surgical plan includes a 3D virtual model of the anatomy of interest. When wearing the visualization device, the user can align the 3D virtual model with the real anatomy of interest, thereby achieving a registration between details of the virtual surgical plan and the real anatomy of interest. The registration enables a surgeon to implement the virtual surgical plan on the real anatomy of interest without the use of tracking markers.

The invention discloses a preparation method of a bionic bone replacement prosthesis based on a TPMS (Tire Pressure Monitor System) structure and the replacement prosthesis, and relates to a bone prosthesis technology, the preparation method comprises the following steps: S1, based on the structural information of a host femoral head, obtaining the specification and size of each part structure, and establishing a three-dimensional prosthesis model; s2, an alloy material is selected, and a tail end support is prepared through hollow design and trepanning; s3, constructing a bone scaffold matched with the mechanical structure trend of the host bone trabecula by designing a three-period small curved surface structure and adjusting functional parameters, and obtaining a hollow prosthesis by assembling an end face connecting structure; s4, selecting a multi-layer bionic cartilage material, and preparing an outer cartilage cup by matching the multi-layer bionic cartilage material with the surface radian of the femoral head of the host; and S5, the structures of all the parts are assembled and embedded according to the sequence, and cross bolts are embedded. The hollow-out design with sparse inside and dense outside is adopted, so that the prosthesis transmits load more uniformly, stress of surrounding bones is relieved, and bone ingrowth is promoted.

A computer-implemented method of pre-operatively evaluating bone structure for use of a bone graft in a surgical procedure can comprise generating a three-dimensional bone model of a bone of a patient for output in a video display unit, determining a volume of interest (VOI) on the three-dimensional bone model where a bone defect exists, adding an internal bone property for bone matter of the bone structure to the three-dimensional bone model at the volume of interest, analyzing the internal bone property in the volume of interest relative to a treatment for a bone defect, and outputting indicia on the video display unit that indicates utility of a bone graft for the treatment. A surgical planning system can comprise memory having instructions for implementing the computer-implemented method.

A stemless prosthetic shoulder joint may include a prosthetic humeral head and a stemless base. The stemless base may include a collar and an anchor extending from the collar intended to anchor the base into the proximal humerus. The anchor may include various features to enhance the fixation of the base, including hooks, threads, and / or expandable members that may be transitioned from a contracted insertion condition to an expanded implanted condition once the base is positioned in the bone. The anchor and / or collar may also include additional features to enhance fixation, such as geometries and surface features to enhance fixation to bone. The anchor may include a plurality of chisel slots to facilitate removal of bone during a revision surgery.

An orthopaedic joint prosthesis assembly includes a head part of an orthopaedic joint prosthesis component and an alignment guide. The head part has a spherical bearing surface for articulation with a corresponding joint surface, and an assembly surface having a first bore formed in it for receiving a spigot on another part of the orthopaedic joint prosthesis. The bore has a first axis that extends perpendicular to the assembly surface. The alignment guide has an axial portion defining a second axis and an arm extending from the axial portion. The arm includes a distal portion which is configured to engage the assembly surface, with the axial portion being arranged to engage the bearing surface of the head part when the head part is mounted within the guide such that an impaction force applied along the second axis is directed along the first axis.

A method of designing an orthopedic implant comprising: (a) iteratively evaluating possible shapes of a dynamic orthopedic implant using actual anatomical shape considerations and kinematic shape considerations; and, (b) selecting a dynamic orthopedic implant shape from one of the possible shapes, where the dynamic orthopedic implant shape selected satisfies predetermined kinematic and anatomical constraints.

An implant includes a body including a substrate and a bone interfacing lattice disposed on the substrate. The bone interfacing lattice includes at least two layers of elongate curved structural members. In addition, the at least two layers of elongate curved structural members include a first layer adjacent the substrate and a second layer adjacent the first layer. Also, the first layer has a first compressibility and the second layer has a second compressibility, wherein the second compressibility is greater than the first compressibility. Further, an interface between the first layer and the second layer is a transition region having a thickness within which the elongate curved structural members of the first layer are intermingled with the elongate curved structural members of the second layer such that a boundary of the first layer overlaps with a boundary of the second layer.

A method of implanting a shoulder prosthesis assembly is provided where the method includes advancing by rotation a base member, that includes a cylindrical member and a helical structure, into a resection face of a humerus of a patient such that the helical structure is submerged in and engages cancellous bone of and does not extend distally of an epiphysis of the humerus, the cylindrical member being accessible at the resection face of the humerus when the base member is so advanced; advancing a locking device into the base member until at least one elongate member spans a space between adjacent portions of the helical structure to contact the cancellous bone in the space; and inserting a retention portion of a reverse articular insert into the cylindrical member of the base member to directly connect the reverse articular insert with the cylindrical member of the base member.

An example method includes obtaining, by one or more processors, a target atlas of a particular patient on which an arthroplasty procedure is to be performed; selecting, by the one or more processors and based on a comparison of values of the target atlas and a plurality of reference atlases of other patients on which the arthroplasty procedure has been performed, at least one reference atlas of the plurality of reference atlases of the other patients; and determining, by the one or more processors and based on the selected at least one reference atlas, one or both of an implant size and an implant alignment for the particular patient.

A humeral prosthesis for replacing a proximal humerus includes a prosthesis body which includes a lateral surface, a medial surface, an anterior surface, a posterior surface, and a first superior surface. The lateral surface has a spherical curvature. The anterior and posterior surfaces are each planar and each intersect the first superior surface, the lateral surface, and the medial surface. A first bore extends through the first superior surface and into the prosthesis body. The prosthesis body also includes a plurality of suture openings.

A method of designing an orthopedic implant comprising: (a) iteratively evaluating possible shapes of a dynamic orthopedic implant using actual anatomical shape considerations and kinematic shape considerations; and, (b) selecting a dynamic orthopedic implant shape from one of the possible shapes, where the dynamic orthopedic implant shape selected satisfies predetermined kinematic and anatomical constraints.

Disclosed herein are systems and methods for evaluating implant condition and associated patient condition. A method for determining an implant condition can include the steps of receiving implant vibration data from an implant coupled to a bone of a patient, receiving patient reported data from the patient, and generating an implant loosening score from the implant vibration data and the patient reported data. The implant vibration data can be generated by a sensor associated with the implant. The implant loosening score can be related to movement of implant with respect to the bone.

A humeral implant is provided. The implant includes a humeral stem including a plurality of fins. At least one fin comprises a serrated bottom edge. A radial distance between an inner bottom edge of the at least one fin and a centerline of the humeral implant increases along a distal length of extension of the at least one fin. At least the serrated bottom edge of the at least one fin is configured to cut into and compact bone of the metaphysis of a humerus toward relatively denser cancellous bone of a peripheral portion of the humerus when press-fit therein, thereby providing sufficient press-fitting for cementless fixation of the humeral stem into the humerus. Related kits and methods are also provided.

A trial neck piece for a joint endoprosthesis is designed for temporary arrangement on a separate shaft body (60) that is insertable into a tubular bone (9). It comprises a fastening region (12) which can be plugged temporarily onto a head part (61) of the shaft body (60) by means of a plug connection (l l), and a neck region (IO) for receiving a joint element (19) of the joint endoprosthesis. The trial neck piece (I) is designed as a separate, plug-on attachment piece which, with its fastening region (12), can be plugged with form-fit engagement onto the head part (61) and locked. A latching device (2) is provided which comprises a plurality of latching stages for different height stages of the trial neck piece (I). The invention thus makes available an easily attachable trial neck piece which can be arranged in a defined manner in different height positions in order, on the one hand, to obtain a secure and defined arrangement and, on the other hand, to permit the setting of different heights. The invention further relates to an arrangement with a trial neck piece and with an excavating tool, in particular a reamer, and to an instrument set comprising a trial neck piece and an insertion instrument.

A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Disclosed are prosthesis systems and methods that provide porous fixation rings by which the articulating surfaces of the implant can be exchanged such that the anatomic surfaces can be converted to reverse surfaces, while not exchanging the fixation components. Also disclosed herein are methods by which the surgeon can implant an inset anatomic articulating glenoid implant whereby at a later date, can remove the anatomic articulating surface and replace it with a reverse articulating surface such that the primary means of fixation remains well fixed in the glenoid fossa at the moment of articular exchange.

A system for an anatomical total shoulder arthroplasty or reverse total shoulder arthroplasty can include an infinitely adjustable augment angle baseplate, an implant, a baseplate, an engagement member, and a prosthetic head. The infinitely adjustable augment angle baseplate can be configured to be secured to a first bone of a patient. The implant can be insertable into a second bone of a patient. The baseplate can be insertable into the implant and configured to be attached to the second bone of the patient. The engagement member can be couplable to either of the infinitely adjustable augment angle baseplate or the baseplate. The prosthetic head can be couplable to the other of the infinitely adjustable augment angle baseplate or the baseplate. The prosthetic head can be engageable with the engagement member to form a prosthetic joint between the first bone and the second bone.

A reverse shoulder system can include, for example, a glenoid baseplate comprising a longitudinal axis, the glenoid baseplate further including a stem and a central channel within a sidewall of the stem. The stem can include a longitudinal axis. The longitudinal axis of the glenoid baseplate can be angled with respect to the longitudinal axis of the stem, wherein the longitudinal axis of the glenoid baseplate is not perpendicular with respect to the longitudinal axis of the stem. Other components including a glenosphere, tools, and methods of use are also disclosed.

Disclosed are prosthesis systems and methods that provide ways by which the articulating surfaces of the implant can be exchanged such that the anatomic surfaces can be converted to reverse surfaces, while not exchanging the fixation components. Also disclosed herein are methods by which the surgeon can implant an inset anatomic articulating glenoid implant whereby at a later date, can remove the anatomic articulating surface and replace it with a reverse articulating surface such that the primary means of fixation remains well fixed in the glenoid fossa at the moment of articular exchange.

Systems and methods for a customized reusable guide for shoulder replacements. In an example embodiment, a method comprises providing an alignment compass base, wherein the alignment compass base is configured to enable rotational orientation of a radial offset insert and a K-wire guide tube with respect to a guide base, inserting the guide base component into the alignment compass base, inserting the radial offset insert into the guide base component, rotating, using a first alignment tool, the radial offset insert to a first orientation angle with respect to the guide base component, inserting the K-wire guide tube into the radial offset insert, rotating, using a second alignment tool, the K-wire guide tube to a second orientation angle with respect to the guide base component.

In some aspects, a shoulder implant with improved joint mobility, includes a backing component, a neutral non-inclined bearing component, and a peg. The neutral non-inclined bearing component is located on a concave side of the backing component. The bearing component is made from a different material than the backing component and is configured to touch a glenosphere having a center of rotation, wherein the bearing component is substantially radially symmetrical. The peg extends from the backing component and is configured to be connected to a humeral stem. The longitudinal axis of the peg of the backing component is offset from the center of rotation of the glenosphere and the longitudinal axis of the backing component is aligned with the center of rotation of the glenosphere.

An implant imaging system (200) is disclosed. The implant imaging system 200 may be provided on a joint implant made of polymer. The implant imaging system (200) includes one or more metal plates (212) including at least one bone contacting surface ‘B’. The metal plates (212) are disposed on a joint implant. Further, the bone contacting surface ‘B’ metal plates (212) are coated with one or more coatings of osteoconductive material. The presence of osteoconductive material increases the rate of osteointegration of the joint implant.

Methods, systems and devices for pre-operatively planned shoulder surgery guides and implants. Pre-operative planning methods for designing glenoid implants and prostheses, particularly with patient-specific augmentation, based on considerations of multiple factors affecting the outcome of shoulder surgery. Methods of using surgery guides and implants, including adaptive glenoid implants, in patients undergoing shoulder surgery.

Systems, devices, and methods for preparing a glenoid to receive an implant using a transhumeral approach are disclosed. Various tools, such as a reamer attachment, can be disposed in a glenohumeral space proximate to the glenoid, and then a driver or other shaft can be separately introduced into the glenohumeral space. The driver can be coupled to the reamer attachment and then operated to treat or otherwise prepare the glenoid to receive an implant. After the reamer attachment is no longer needed to perform the desired treatment, it can be detached from the driver and both the reamer attachment and driver can be removed from the glenohumeral space. The disclosed systems, devices, and methods can be performed with or without a guidewire, and various other instruments, such as those for identifying a center of the glenoid, can be used.

An apparatus can include an osteotome blade including an elongate main body extending from a proximal end to a distal end, the elongate main body having a curved cross-section and defining a helical path along at least a portion of a longitudinal axis of the elongate main body, wherein the distal end includes a distal cutting edge.

A method is disclosed for making a glenoid guide that includes obtaining scapula surface profile information of a specific patient, providing a manufacturing plan for making the glenoid guide having at least one patient specific contact surface configured to contact a portion of the glenoid rim or glenoid surface and for making the guide having a rotation control feature forming member, and adapting the manufacturing plan to specify the location of the rotation control forming feature relative to a portion of the glenoid determined to benefit from augmentation based on the surface profile information.