A humeral guide is provided that has a first portion or member configured to be positioned on a portion of a proximal humerus. The first portion or member can be configured to rest in a complementary manner on the portion of the proximal humerus. The humeral guide can be configured with apertures defining trajectories through bone, the pin trajectories being diverging in some case and in some cases being selected to enhanced support. A second portion or member and a third portion or member of the humeral guide are configured to be positioned on first and second lateral portions of the humerus distal to a location intended for resection, e.g., between an anatomical neck and a distal end of the humerus. The second and third portions or members or portions are configured to rest in a complementary manner on the first and second lateral portions of the humerus. The humeral guide can be configured to avoid soft tissue between a bone facing side and the humerus. The humeral guide can have a removeable jig portion.

Implementations described and claimed herein provide a spinal facet cage implant for implantation in a spinal facet joint. In one implementation, the implant includes a distal leading end, a proximal trailing end, a first face, and a second face. The distal leading end has a distal surface generally opposite a proximal surface of the proximal trailing end. The first face has a first surface that is generally parallel with a second surface of the second face. The first and second faces extend between the distal leading end and the proximal trailing end. The first and second surfaces having one or more textured features adapted to provide friction with the spinal facet joint. One or more windows are defined in the first and/or second surfaces, and one or more side windows are defined in the first and/or second side surfaces.

An oscillating surgical rasp for use in the surgical preparation of a glenoid of a patient prior to implantation of an augmented glenoid prosthesis comprises an attachment head and a cutting head secured to the attachment head. The attachment head has a body that extends along a longitudinal axis from a first end configured to be secured in a chuck of an oscillating tool to a second end secured to the cutting head. The first end of the body of the attachment head defines an axis of oscillation that extends orthogonal to the longitudinal axis of the oscillating surgical rasp. Surgical methods for the use of such oscillating rasps are also disclosed.

A separable surgical guide instrument is configured to be inserted minimally invasively into a patient's soft tissue, and includes a guide body and a guide aperture that extends through the guide body. The guide body has a distal end that includes a first distal end portion and a second distal end portion that are arranged such that at least one of the first and second distal end portions is movable with respect to the other of the first and second distal end portions between 1) a closed position whereby the first and second distal end portions are concurrently insertable into a bone fixation aperture of a bone plate, and 2) an open position whereby the first distal end portion is spaced from the second distal end portion a sufficient distance such that the first and second distal end portions are not concurrently insertable into the bone fixation aperture.

A spinal joint distraction system is disclosed and may include a driver assembly with a tubular shaft, a pair of implant holder arms, an implant distractor, an internal actuator, and a distractor knob, the system also including a delivery device with a tubular shaft, a receiving assembly, and a pair of forks, where the delivery device is adapted for slidable insertion of the driver assembly, the system also including an implant, a chisel, and an injector. Several embodiments of an implant are disclosed as well a method of placing an implant.

A system includes a cutting guide and a cutting template. The cutting guide has a body including a plurality of sides that together define a cavity that is accessible via an opening defined by a first side of the plurality of sides. A second side of the plurality of sides defines at least two elongate slots. The second side is disposed adjacent to the first side and at a distance from an opposed third side. Each of the at least two slots is in communication with the cavity and disposed at a different location along the second side. The cutting template has a body defining at least one elongate slot. The cutting template is configured to be engaged with the cutting guide such that the at least one elongate slot of the cutting template aligns with at least one of the at least two elongate slots of the cutting guide.

The present invention relates generally to a prosthetic spinal disc for replacing a damaged disc between two vertebrae of a spine. The present invention also relates to a method for implanting a prosthetic spinal disc via anterior or anterior lateral implantation. Other surgical approaches for implanting the prosthetic disc may also be used.

An orthopedic reamer connector includes a holder section shaped to allow for connection of an orthopedic reamer, the holder section including a connection surface and two pairs of holders associated with the connection surface, each of the two pairs of holders having a first holder and a second holder that forms an acute angle relative to the first holder, the first holders being opposed to each other by about 180 degrees and the second holders being opposed to each other by about 180 degrees; and a stop section mechanically interlocked with the holder section so as to prevent relative rotation therebetween and including a pair of stops associated with each of the two pairs of holders, each of the pair of stops having a first stop associated with the first holder and a second stop associated with the second holder.

The invention provides an osteotome which includes a curved guide member extending distally from its medial side. This curved guide member interfaces with the medial curvature of the femoral canal. The guide member guides the osteotome using the internal bone geometry of the femoral canal instead of relying on external anatomical landmarks.

A method of surgically preparing a proximal end of a tibia includes inserting an intramedullary orthopaedic surgical instrument into a medullary canal of the tibia, securing an attachment device to the intramedullary orthopaedic surgical instrument, attaching a cutting block to the attachment device, resecting the proximal end of the tibia using the cutting block to form a surgically-prepared surface, positioning a tibial base trial on the surgically-prepared surface, and inserting a keel punch through a slot defined in the tibial base trial and into the surgically-prepared surface of the tibia.