A method and instrumentation for performing a patellofemoral arthroplasty orthopedic procedure includes coupling an anterior cutting block to a femur of a patient such that the cutting block references local anatomy of the femur. The anterior cutting block is used to perform a number of bone cuts to establish a trochlear cavity in the femur. The trochlear cavity is formed such that a trochlear prosthesis may be inset into the cavity and substantially flush with the surrounding cartilage. A finishing burring guide and burr bit may be used to detail the shape and/or size of the trochlear cavity. Additionally, a trochlear drill guide may be used to facilitate establishing peg holes in the patient's femur to receive corresponding pegs of the trochlear prosthesis.

A method of surgically preparing a sacroiliac joint comprising: a) approaching a sacroiliac joint space with a joint preparation tool comprising a cutting element including an exterior having an asymmetric cutting band such that the first side includes a first surface having a first texture and the second side includes a second surface having a second texture, the first and second textures being different such that the first texture is substantially smoother than the second texture; and b) delivering at least a portion of the cutting element non-transversely into the sacroiliac joint space for decortication, the cutting element being oriented in the sacroiliac joint space such that the first surface opposes the generally softer sacrum and the second surface opposes the generally harder ilium in order to more aggressively prepare the surface of the ilium while not over-preparing the sacrum to provide a robust biologic environment for intra-articular fusion.

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.

Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Surgical instruments, systems, and methods for performing an osteotomy are disclosed herein. A surgical system includes a body with a distal end, a proximal end, a first surface, and a second surface. The surgical system can include cutting blades positioned on the first surface and/or the second surface. The surgical system can include columns of cutting blades positioned on the first surface and/or the second surface. The surgical system can include rows of cutting blades positioned on the first surface and/or the second surface.

A method and instrumentation for performing a patellofemoral arthroplasty orthopaedic procedure includes coupling an anterior cutting block to a femur of a patient such that the cutting block references local anatomy of the femur. The anterior cutting block is used to perform a number of bone cuts to establish a trochlear cavity in the femur. The trochlear cavity is formed such that a trochlear prosthesis may be inset into the cavity and substantially flush with the surrounding cartilage. A finishing burring guide and burr bit may be used to detail the shape and/or size of the trochlear cavity. Additionally, a trochlear drill guide may be used to facilitate establishing peg holes in the patient's femur to receive corresponding pegs of the trochlear prosthesis.

Equipment for inserting a joint prosthesis, in particular a femur component of a knee prosthesis, comprises a base frame having a guiding plate and a laterally protruding primary gage, a fastening device on the bone, and a curved milling gage having a main body and a guiding piece, which can be moved along a curved guiding path relative to the main body and has a receptacle for an abrasive tool. Furthermore, the equipment comprises an aligning device, which places the curved milling gage in a clearly defined relative position when the curved milling gage is inserted into the base frame. Due to the precise positioning in conjunction with the curved guiding path, the mounting seat can be prepared easily without damaging surrounding tissue. Thus, even large and complexly shaped prostheses, such as knee joint prosthesis, can be reproducibly inserted in an easy and safe manner.

A surgical sagittal saw blade assembly and cutting guide for use with the blade assembly. The blade assembly includes a static bar from which a moving blade head protrudes. The blade head is reciprocated by a drive link internal to the bar. The cutting guide has a body that is positioned adjacent where the blade is to be used to cut tissue. The cutting guide has an outer surface over which the blade assembly is positioned. The cutting guide has a constraining feature. The constraining feature holds the blade bar to the body of the guide so the blade assembly can move over the body while being constrained from movement above the outer surface of the body. The constraining feature is mounted to the body of the cutting guide so as to be able to move while constraining guide retains the blade bar.

This invention discloses methods and devices using an improved surgical saw blade for resecting bone tissue during surgical procedures. The surgical saw blade may be used on oscillating, reciprocating, rotary or vibrational surgical saws. The disclosure describes the use of a cutting blade to resect hone tissue without excessive temperature rise during typical surgical procedures. The cutting blade provides a self-clearing design that includes at least two teeth disposed to prevent accumulation of bone chips within the proximity of the teeth. The design of the cutting blade allows the mechanical motion of the blade and other interactions between the blade and the tissue to remove accumulated bone chips and prevent excessive temperature rise.

A surgical sagittal saw blade assembly and cutting guide for use with the blade assembly. The blade assembly includes a static bar from which a moving blade head protrudes. The blade head is reciprocated by a drive link internal to the bar. The cutting guide has a body that is positioned adjacent where the blade is to be used to cut tissue. The cutting guide has an outer surface over which the blade assembly is positioned. The cutting guide has a constraining feature. The constraining feature holds the blade bar to the body of the guide so the blade assembly can move over the body while being constrained from movement above the outer surface of the body. The constraining feature is mounted to the body of the cutting guide so as to be able to move while constraining guide retains the blade bar.