Abstract:
Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. An augment provided for an acetabular implant may be adjustably positionable around the implant. An implant may have one or more slots that mate with connections on the augment and allow the augment to move within the slot. An augment may be translated, rotated, or moved in any other way to achieve a desired orientation prior to locking the augment in place relative to the implant. The augment may be locked by a screw or other locking mechanism that holds the augment in place. The locking mechanism may be releasable to allow for repositioning of the augment.
Abstract:
Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. A mounting member may be used to attach to an implant and anchor the implant to a patient's bone or soft tissue. The mounting member may be integral with the implant or may be provided as a separate component. A mounting member may be adjustably positionable around the implant to provide flexibility and allow the mounting member to meet needs of a particular patient and implant.
Abstract:
Systems and methods provide patient-specific cutting blocks that allow for bone resurfacing procedures, such as milling or burring, with simplified devices. A computer assisted surgical cutting block is produced having a surface region that matches with the surface region of a patient's bone to be altered. A cutting tool may be provided having a contoured bone mating surface and a contoured and patient-specific shaped cutting guide surface, which is located in a plane above the bone mating surface. One or more channels are provided in the cutting block, and as the surgeon moves the cutting tool (a milling or burring, for example) in the channels the tool cuts the bone both laterally along the surface of the bone and vertically into the bone according to the cutting guide surface and other preselected surface features of the cutting block.
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:
An acetabular prosthetic device for implantation in an iliac canal and acetabulum of an ilium comprises a stem and an acetabular component. The stem may be configured to be implanted in the iliac canal. The acetabular component may be configured to be implanted in the acetabulum and fixed to the stem. The acetabular component may further comprise a connection portion to adjustably connect the acetabular component to the stem such that the acetabular component is configured to be oriented in a plurality of orientations before being fixed to the stem.
Abstract:
An acetabular prosthetic device for implantation in an iliac canal and acetabulum of an ilium comprises a stem and an acetabular component. The stem may be configured to be implanted in the iliac canal. The acetabular component may be configured to be implanted in the acetabulum and fixed to the stem. The acetabular component may further comprise a connection portion to adjustably connect the acetabular component to the stem such that the acetabular component is configured to be oriented in a plurality of orientations before being fixed to the stem.
Abstract:
Patient-matched devices according to certain embodiments may include a patient-matched surface that generally conforms to a portion of the patient's anatomy, and an alignment mechanism that is positioned at a fixed orientation with respect to the patient-matched surface. In some embodiments, the alignment mechanism is an alignment post extending away from the patient-matched surface along a predetermined axis. This axis may be pre-operatively determined to correspond to (or at least indirectly reflect) the proper orientation of surgical instruments and/or implants that are used in the surgery. An alignment base and platform may selectively couple to the patient-matched device and other instruments (such as a reamer or an impactor). The surgeon may use alignment indicators on the alignment platform to ensure that the proper orientation is maintained throughout the surgery.
Abstract:
Systems, devices, and methods for accurately aligning a reference pin within a patient's acetabulum are provided. A patient's acetabular anatomy is imaged and modeled using a computer modeling approach to identify landmarks on the patient's acetabulum. A coordinate system is applied to the anatomical model, and a desired implant axis is defined based on the applied coordinate system. A guide device is created with one or more guide passages aligned with the desired implant axis for accurately placing an acetabular reference pin. The guide devices are patient-matched to an individual patient's anatomy and are expandable to provide an adequate grip on the acetabulum during pin placement. A reference pin fixed into the acetabulum provides a reference axis that corresponds to the desired implant access and can be used for alignment of tools and implants in the acetabulum.
Abstract:
Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. Mounting members include, for example, flanges, blades, hooks, and plates. In some embodiments, the orthopedic attachments may be adjustably positionable about the base member or other attachments, thereby providing modularity for assembling and implanting the device, and various securing and/or locking mechanisms may be used between the components of the implant.
Abstract:
Surgical systems and methods are disclosed for creating a 3D model of a patient's affected area using an imaging device, using the model to determine an implant orientation and position, creating patient-matched instrumentation, placing the patient-matched instrumentation on the patient's anatomy, registering a computer-assisted surgical tool, and acquiring registration information. The methods and systems also include associating the surgical tool with a computer to perform a computer assisted surgery. Also disclosed are embodiments of patient-matched instrumentation to acquire registration information.