A surgical system includes a first trackable marker configured to be coupled to a first bone of a joint, a second trackable marker configured to be coupled to a second bone of the joint, and a tracking system configured to track a position of the first trackable marker and a position of the second trackable marker. A controller is configured to receive an input from a user specifying a user-input native deformity of the joint and determine, based on the position of the first trackable marker and the position of the second trackable marker, a detected native deformity of the joint. The controller is further configured to compare the detected native deformity of the joint to the user-input native deformity of the joint and generate an alert in response to a disagreement between the detected native deformity of the joint and the user-input native deformity of the joint.

Devices, systems and methods are provided for facilitating knee balancing during a knee replacement surgery. A system can include a force sensor, a main body, a moveable sensor platform, and an adjustment mechanism. The force sensor can sense one or more forces applied within a knee joint, including forces applied on a medial side and a lateral side. The movable sensor platform can be coupled between the force sensor and the main body. The adjustment mechanism can adjust the moveable sensor platform, relative to the main body, thereby adjusting a collective height of the system. A method can include inserting portions of a knee balancing system into a gap formed between a cut distal end of a femur and a cut proximal end of a tibia, adjusting an adjustable mechanism of the system to increase or decrease a collective system height, and sensing and displaying the medial and lateral forces.

Systems and methods may be used to perform robot-aided surgery. A system may include a display device and a computing device including a memory device with instructions. The instructions can cause the system to access surgical data, calculate medial and lateral gap data, calculate a recommended component set, and generate a graphical user interface. Accessing surgical data can include accessing soft tissue data indicative of at least tension in soft tissues surrounding a surgical location. The graphical user interface can include an interactive trapezoidal graphic overlaid onto a graphical representation of a distal femur and a proximal tibia. The interactive trapezoidal graphic can include a graphical representation of a medial total gap, a lateral total gap, and a recommended spacer size. The interactive trapezoidal graphic can update in response to adjustments in implant parameters to assist in surgical planning.

An orthopedic distraction device is provided. The orthopedic distraction device includes a first upper paddle for engaging a first bone of a joint, a lower paddle for engaging a second bone of the joint and a displacement mechanism. The displacement mechanism includes a drive assembly operable to move the upper paddle relative to the lower paddle. The lower paddle is releasably connected to the displacement mechanism.

A joint balancing insert with an actuated mechanism is for balancing a joint during a joint surgery is disclosed. The joint balancing insert includes a first plate, a second plate and an actuator there between. The second plate includes an integrated mounting portion for mounting a cutting block used to guide surgical cuts of the joint during the joint surgery. Various configurations of the integrated mounting portion may be implemented in the insert to provide for mounting various types of cutting blocks, such as cutting blocks for tibial cuts, femoral cuts, and distal femoral cuts.

A tibial trial insert includes an upper plate and lower plate. An adjustment arrangement between the upper and lower plates is actuatable to adjust a gap between the upper and lower plates. The adjustment arrangement includes a first lift with a first lever arm arrangement and a second lift with a second lever arm arrangement. Each lever arm arrangement is indirectly connected to the upper and lower plates and pivotally movable to vary its length and adjust the gap between the upper and lower plates. The first lift includes an actuator coupled to the first lever arm arrangement. Actuation of the actuator varies the length of the first lever arm arrangement. The adjustment arrangement includes a coupling that couples the second lift to the first lift and configured such that the length of the second lever arm arrangement is varied synchronously to the first lever arm arrangement.

Systems, methods, kits, and devices for transferring kinematic alignment references from the distal aspect of a femur to the proximal aspect of an adjacent tibia. An exemplary assembly includes a distally referencing linking drill guide assembly comprising: a linking drill guide comprising: a femoral portion, the femoral portion configured to engage a first femoral engagement member, a tibial portion, the tibial portion configured to engage a first tibial engagement member, and a body connecting the femoral portion to the tibial portion, and a femoral referencing instrument, the femoral referencing instrument having a first complimentary femoral engagement member, wherein the assembly has an engaged configuration when the first femoral engagement member engages the first complimentary femoral engagement member, and wherein the assembly has a disengaged configuration when the first femoral engagement member does not engage the first complementary femoral engagement member.

An exemplary method, and corresponding instrumentation, of balancing the ligaments of a knee during flexion is disclosed. In one embodiment, the method includes forming initial resection cuts in a patient' femur and tibia, and subsequently placing the knee in flexion to form a flexion space between the posterior femoral condyles and the resected tibial surface. The method may further include sequentially inserting one or more flexion spacers into the flexion space, and selecting the flexion spacer that provides the ligaments with equal tension. The flexion spacers may include a medial platform and a lateral platform wherein, for at least one of the flexion spacers, the lateral platform has a greater thickness than the medial platform. The method may further include engaging an alignment sizing tool with the selected flexion spacer, forming a pair of pin holes in the femur, and mounting a cutting block to the femur using the pin holes.

A method of operating a surgical instrument for use in a knee replacement surgical procedure includes assembling a ligament balancer instrument assembly by selecting from a number of differently sized tibial paddles and femoral paddles and thereafter securing the assembled ligament balancer instrument assembly to a distraction instrument.

A tibial resection assisting device includes: a femoral paddle including a first contact surface brought into contact with a resection surface of a distal portion of a femur; and a tibial paddle including a second contact surface brought into contact with a proximal portion of a tibia that is unresected. The femoral paddle is mounted to a base disposed at an anterior side of a knee joint. A movable body mounted to the base is movable in an orthogonal direction to the first contact surface. The tibial paddle is mounted to the movable body and is swingable about a swing shaft that extends in an anterior-posterior direction of the knee joint, the anterior-posterior direction being parallel to the first contact surface. Further, a reference guide mounted to the base is movable in the orthogonal direction and is intended for positioning a tibial cutting guide.