A trial system for determining a suitable proximal body implant for hip replacement surgery comprises a separator instrument, a trial body attachable to a distal stem, and an insert. The insert is positioned within the trial body to receive the separator instrument. As the separator instrument is rotated about its axis, a ramp element of the insert guides a pin of the separator instrument, so as to separate the trial body from the distal stem. Additional apparatus, methods, and systems are disclosed.

This invention relates to a surgical device for preparing the knee joint of a patient undergoing to partial knee replacement. The device is patient specific and has information about implant size, alignment and bone cut. This device consists of two parts, one is related to femoral template and the other one is related to tibial template. The femoral template positioned to a predefined location on the femur bone based on virtual planning of the surgery on specific software using 3D imaging. The femoral template allows to perform the posterior distal cut, drill and detect the location of the two holes relevant to the distal cut and implant pegs, while the tibial template allows the surgeon to make the tibial horizontal and vertical cuts; beside that, it has double slots which allows the surgeon to make extra bone removal if needed or when deciding to use larger size of polyethylene insert.

An apparatus for extraction of osseous tissue is disclosed. The apparatus includes a fixed portion and a clamp oriented along a generally central area of the fixed portion. The apparatus includes a first bone cutting device and a second bone cutting device coupled to the fixed portion and oriented around the clamp. The first bone cutting device and the second bone cutting device are coupled to the fixed portion using respective joints that accommodate orientations of the first bone cutting device and the second bone cutting device relative to the fixed portion along different horizontal and vertical axes. The clamp is configured to engage a first bone portion during a surgical procedure. The first bone cutting device and the second bone cutting device are configured to remove a second bone portion.

A method for correcting position of an osteotomy guide tool and an orthopedic operation system are disclosed. A trackable element mounted on the osteotomy guide tool or on the robotic arm tracks the position of the osteotomy guide tool and generates position information of the trackable element. According to the current position and the desired position of the trackable element, a robotic arm drives the osteotomy guide tool and the trackable element to move, until the trackable element is moved to the desired position. This method does not need to consider the absolute position accuracy of the robotic arm, and does not rely on the experience of the surgeon. The tool has several guiding features, which can provide guides for osteotomy operations, so that the same osteotomy guide tool can perform multiple operations of osteotomy and punching, thus greatly reducing the operation time and improving the operation efficiency.

Methods of tissue repair. At least one example method includes: pulling a tissue in place over a bone location; abutting a distal end of a guide tool against the tissue at a first location, and driving a first bone anchor through a delivery tube of the guide tool, through the tissue, and into the bone at the first location, the first bone anchor coupled to a first suture line; abutting the distal end of the guide tool against the tissue at a second location displaced from the first location, and then driving a second bone anchor through the delivery tube, through the tissue, and into the bone at the second location, the second bone anchor associated with the first suture line; withdrawing the guide tool away from the tissue; and tightening the first suture line to create a first suture over the tissue.

A cutting device is provided that includes an expandable tube having a base and a hollow interior for receiving the implant therein. The expandable tube includes cutting segments extending from the base and terminating to form a distal end of the expandable tube. At least one of the cutting segments has a cutting end with cutting teeth at the distal end of the expandable tube. Spring shaped sections are provided that extend the cutting segments. A method for removing an implant from a target bone is also provided based on the cutting device. A system for removing material directly surrounding an outer surface of an implant in an intramedullary canal of a target bone is also provided based on the cutting device and a sheath. A retractable opening is formed of leaflets at a distal end of the sheath, and a proximal end opposite the distal end.

Hip arthroplasty apparatus and methods are described to determine an orientation of an acetabular cup impactor, the acetabular cup impactor being moveable to a desired orientation relative to a patient's pelvic region for implantation of an acetabular cup. In one embodiment an electronic orientation sensor is transitionable between a first location on the patient's pelvic region and a second location on the acetabular cup impactor. At the first location, the orientation sensor is adapted to record a reference orientation of the patient's pelvic region. At the second location the orientation sensor is adapted to determine an orientation of the acetabular cup impactor relative to the reference orientation.

The disclosure herein relates to various surgical methods for implanting a prosthesis in a patient. In particular, in some embodiments, a surgical method for preparing a knee of a patient to implant a customized knee prosthesis comprising: identifying epiphysary axis (2) of the patient tibia (1) by connecting the center of the tibial plateau with the center of the growth plate remnant on a preoperative planning; and performing a tibial cut (3) perpendicular to the epiphysary axis (2) of the tibia (1).

A bone fixation element is described. The bone fixation element includes first and second channels, a connection channel, and at least one fenestration. The first channel includes a first proximal channel portion and a first distal channel portion. The first proximal channel portion extends from a proximal end of the first channel toward a distal end, and the first distal channel portion extends from the first proximal channel portion to the distal end. The connection channel extends between the distal end of the first channel and a distal end of the second channel such that the first channel is in fluid communication with the second channel via the connection channel. The at least one fenestration extends from at least one of the first and second channels to an outer surface of the bone fixation element.

Systems and methods for robotically distracting a disc space are provided for implantation of an intervertebral prosthetic disc. The system includes a 3D modeling system for creating a 3D model of first and second vertebra adjacent the disc space and identifying positions of the first and second vertebrae. A robotic distractor precisely opens the disc space just large enough to receive a selected intervertebral disc. A computing system stores and processes the 3D model and the positions of the first and second vertebrae before and after distraction. A surgeon interface on the computing system allows the surgeon to select an intervertebral disc prosthesis to be implanted and a desired distraction distance or force to be achieved.