An apparatus and method for aligning an acetabular cup. The apparatus may include an acetabular cup (150, 10) and/or a protractor (30) and/or a depth gauge tool (90) and may be provided in the form of a surgical kit. Components of the apparatus may allow an angle of rotation of an acetabular cup about an axis (111) of the cup relative to an anatomical feature of a patient to be determined when the acetabular cup implant is placed in the acetabulum of the patient. Components of the apparatus may allow an amount of overhang between a rim (12, 162) of an acetabular cup and an edge of the acetabulum to be determined. The acetabular cup may be an acetabular trial cup (10) or and acetabular cup implant (150). Embodiments of the invention may allow both the angle of rotation about the cup axis and the amount of overhang between the rim and the acetabulum edge to be determined.

An apparatus and method for aligning an acetabular cup. The apparatus may include an acetabular cup (150, 10) and/or a protractor (30) and/or a depth gauge tool (90) and may be provided in the form of a surgical kit. Components of the apparatus may allow an angle of rotation of an acetabular cup about an axis (111) of the cup relative to an anatomical feature of a patient to be determined when the acetabular cup implant is placed in the acetabulum of the patient. Components of the apparatus may allow an amount of overhang between a rim (12, 162) of an acetabular cup and an edge of the acetabulum to be determined. The acetabular cup may be an acetabular trial cup (10) or and acetabular cup implant (150). Embodiments of the invention may allow both the angle of rotation about the cup axis and the amount of overhang between the rim and the acetabulum edge to be determined.

A system for intramedullary preparations comprises a directional reamer including a flexible drive shaft having a proximal end and a distal end, and a cutting head operably connected to the distal end of the flexible drive shaft. The system further includes a means of displacing the distal end of the flexible drive shaft and deflecting the cutting head to selectively shape a medullary canal in a bone. A follower sleeve is also include in the system and has a proximal end and a distal end in the form of a collar, with the follower sleeve being configured to accept the flexible drive shaft. The system additionally includes a reaming plunger that extends through the follower sleeve and is positioned adjacent to the flexible drive shaft such that the reaming plunger engages the collar of the follower sleeve to deflect the cutting head.

A system for intramedullary preparations comprises a directional reamer including a flexible drive shaft having a proximal end and a distal end, and a cutting head operably connected to the distal end of the flexible drive shaft. The system further includes a means of displacing the distal end of the flexible drive shaft and deflecting the cutting head to selectively shape a medullary canal in a bone. A follower sleeve is also include in the system and has a proximal end and a distal end in the form of a collar, with the follower sleeve being configured to accept the flexible drive shaft. The system additionally includes a reaming plunger that extends through the follower sleeve and is positioned adjacent to the flexible drive shaft such that the reaming plunger engages the collar of the follower sleeve to deflect the cutting head.

The surgery of revision knee arthroplasty is complex one for both of one and two stages for constraint and hinged implants. The inventor create a method and device to overcome the difficulties of this surgery as determining the size of the revision prosthesis and position of it on the bone after cut and replacement of the failed primary prosthesis. This method enable the surgeons to overcome the abnormalities, distortions and artifacts on bone surface which resulted from the CT scan due to the primary implant. It enables the surgeons to detect the size and position of the implant, also uses land marks on bone surface to design and product the device which use to perform the bone cutting. The device enables the surgeon to determine and guiding the bone cuts below the cement plane in case of cemented implants. Also guiding to the bone cuts below the implant surface in case of cement-less implants.

The present invention provides a technique for percutaneous intramedullary fixation. A protective outer sheath is provided for internal fixation of the proximal tibia. Additionally, a unique intramedullary plate is provided that is adapted for percutaneous insertion into the intramedullary canal of a long bone. A plate holder is also provided that may be utilized through the outer sheath to drive and position a fixation plate within the intramedullary canal.

According to some embodiments, a method of treating a skin surface of a subject comprises heating a skin surface, abrading native skin tissue of a subject using a microdermabrasion device, wherein using the microdermabrasion device comprises moving the microdermabrasion device relative to the skin surface while simultaneously delivering at least one treatment fluid to the skin surface being treated and cooling the abraded skin surface.

According to some embodiments, a method of treating a skin surface of a subject comprises heating a skin surface, abrading native skin tissue of a subject using a microdermabrasion device, wherein using the microdermabrasion device comprises moving the microdermabrasion device relative to the skin surface while simultaneously delivering at least one treatment fluid to the skin surface being treated and cooling the abraded skin surface.

A method of changing a configuration of a bone by placing a bone plate and a spacing assembly in a cutting state wherein: a) the bone plate is connected to the bone and overlies a surface of the bone; and b) the spacing assembly cooperates between the bone plate and bone so as to maintain a gap region. A cutting instrument is used to cut into the bone towards the gap region and at least substantially through the bone between first and second bone portions. After cutting into the bone, the bone plate and spacing assembly are changed from the cutting state into a second state. An apparatus allows performance of the method.

A system, method, and device for drilling holes (420, 422) in a target bone (414) are described. For example, the system includes a cutting tool (330), a navigation system (310) configured to track a position of the cutting tool, and a computer-assisted surgical (CAS) system (340) operably connected to the cutting tool and the navigation system. The CAS system can be configured to determine an implant component (100) to be implanted on the target bone (414), determine a cutting block position for preparing the target bone to receive the implant component, determine a plurality of pin locations (420, 422) for securing the cutting block (416) based upon the determined cutting block position, and selectively provide instructions to the cutting tool to cut a hole when the cutting tool is in a position adjacent to at least one of the determined plurality of pin locations.