An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

A method of positioning a femoral cutting guide on a distal end of a femur establishes at least a first reference plane to perform a distal femoral planar cut. The method includes inserting a mounting member into an intramedullary canal of the femur and coupling a bridge member to the mounting member. The method also includes placing a cutting guide member over a medial anterior portion of the distal femur. The cutting guide member has a first channel that establishes the first reference plane. The bridge member has a bridge channel. A wall of the bridge channel is inserted into the first channel of the cutting guide member. A mounting mechanism generates resistance between the bridge member and the cutting guide member. The resistance is overcome by positioning the cutting guide member relative to the femur.

A bone preparation guide including a first patient-specific portion based on image data of a specific patient's bone and configured to match the patient's specific bone surface. A second patient-specific portion is based on image data of the specific patient's bone and configured to match the patient's specific bone surface. A patient-generic portion is configured to be a bone-facing portion supported by the first and the second patient-specific bone contacting members at a portion of the patient's bone surface not imaged during preparation of a preoperative plan.

Apparatus for use in debriding a bone, said apparatus comprising: an arthroscopic debridement template comprising a body reconfigurable between (i) a first configuration having a first profile and comprising an arc matching the desired curvature of the bone after debridement, and (ii) a second configuration having a second profile, wherein said second profile is smaller than said first profile.

A system for creating at least one model of a bone and implanted implant comprises a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining at least one image of at least part of a bone and of an implanted implant on the bone, the at least one image being patient specific, obtaining a virtual model of the implanted implant using an identity of the implanted implant, overlaying the virtual model of the implanted implant on the at least one image to determine a relative orientation of the implanted implant relative to the bone in the at least one image, and generating and outputting a current bone and implant model using the at least one image, the virtual model of the implanted implant and the overlaying.

An intramedullary (“IM”) nail for internal fixation of a bone is disclosed. In one embodiment, the IM nail may be a retrograde femoral nail. Alternatively, in another embodiment, the IM nail may be a tibial IM nail. In one or more embodiments, the screw holes are arranged and configured to optimize placement of one or more screws, fasteners, or the like. In addition, and/or alternatively, an IM nail may be arranged and configured to facilitate removal of a broken screw.

A cutting block and method for use in preparing a bone during orthopaedic surgery are disclosed. The cutting block comprises a bone attachment face, and a front face opposing the bone attachment face. The cutting block further comprises at least a first group of bone pin holes, each hole being configured for removable receipt of a bone pin. The first group of pin holes includes at least two bone pin holes that extend between the bone attachment face and the front face. The at least two bone pin holes extend parallel to each other in an anterior-posterior direction. The at least two bone pin holes are offset from each other in at least one of a superior-inferior direction or a medial-lateral direction. The at least two bone pin holes are interconnected.

There is provided a surgical instrument for navigated surgeries and systems and methods using such a surgical instrument. The surgical tool comprises a tip; a tool interface, separate from the tip; and an optically trackable target. The tip is configured to probe positions in a space and identify the positions using optical information from the optically trackable target. The tool interface is configured to mate with a surgical tool such that the optical trackable target then provides optical information with which to determine positional information for the surgical tool in the space. In one example, the system provides navigational information during surgery using the surgical instrument, namely, a single integrated tracker instrument with two or more mechanical interfaces for coupling the tracker instrument with anatomical features and/or surgical tools.

One variation of a method for augmenting a surgical field with virtual guidance content includes: accessing a scan representing a tissue of a patient; combining the scan with a generic virtual anatomical model to define a custom virtual anatomical model of the tissue; defining a cut trajectory along an intersection between a virtual model of a surgical implant and the custom virtual anatomical model of the tissue; aligning a virtual cut surface to the cut trajectory to locate the virtual model of the surgical guide relative to the custom virtual anatomical model; accessing an image of a surgical field; detecting the tissue in the image; aligning the custom virtual anatomical model to the tissue detected in the image; defining a target real location for a real surgical guide in the surgical field; and generating a frame depicting the target real location of the surgical guide in the surgical field.

One variation of a method for augmenting a surgical field with virtual guidance content includes: accessing a scan representing a tissue of a patient; combining the scan with a generic virtual anatomical model to define a custom virtual anatomical model of the tissue; defining a cut trajectory along an intersection between a virtual model of a surgical implant and the custom virtual anatomical model of the tissue; aligning a virtual cut surface to the cut trajectory to locate the virtual model of the surgical guide relative to the custom virtual anatomical model; accessing an image of a surgical field; detecting the tissue in the image; aligning the custom virtual anatomical model to the tissue detected in the image; defining a target real location for a real surgical guide in the surgical field; and generating a frame depicting the target real location of the surgical guide in the surgical field.