Provided is a method for converting a modular anatomic shoulder implant to a modular reverse shoulder implant, wherein the modular anatomic shoulder implant and the modular reverse shoulder implant have novel configurations.

A reverse shoulder system can include, for example, a glenoid baseplate comprising a longitudinal axis, the glenoid baseplate further including a stem and a central channel within a sidewall of the stem. The stem can include a longitudinal axis. The longitudinal axis of the glenoid baseplate can be angled with respect to the longitudinal axis of the stem, wherein the longitudinal axis of the glenoid baseplate is not perpendicular with respect to the longitudinal axis of the stem. Other components including a glenosphere, tools, and methods of use are also disclosed.

A surgical guide system comprises a guide body having a receiver and a reference plate joined by a connecting arm, a portion of the receiver and a portion of the reference plate intersecting a guide axis, the guide body operable for at least one bone to be interposed between the receiver and reference plate. The guide body further comprising a shuttle cable configured on the reference plate for engagement with a surgical tool A method includes positioning the surgical guide system on at least one bone, the bone the having a first side and a second side, guiding a surgical tool through a hole in the at least one bony structure, engaging a portion of the shuttle cable, and retrieving a first end of the shuttle cable through the hole.

An anatomy simulator can include a guide body having one or more faces. The anatomy simulator can include a first simulator socket forming a recess in a first face of the one or more faces. The first simulator socket can be configured to receive a first plate. The first simulator socket can include a first base portion. The anatomy simulator can include a bore extending from the base portion of the first simulator socket to an interior of the anatomy simulator. The bore can be configured to receive an alignment mechanism. The first base portion can be angled at a first angle with respect to the first face.

An intramedullary nail implant for positioning in a bone having a head and a shaft defining an intramedullary canal. The implant includes a distal portion having a shaft extending along a central axis and configured for positioning within the intramedullary canal. A proximal portion extends proximally from the distal portion. The proximal portion defines a contact surface which extends at least in part medially of the central axis such that it is configured to extend within a medial portion of the bone head. A method of implanting the nail is also provided.

A method of attaching prosthetic implants to bone, applicable to tibia, patella, acetabulum, glenoid, or femur, includes trimming an articular surface of the bone, leaving a trimmed surface. Holes are punched or drilled into the surface in a predetermined array before polymethyl methacrylate bone cement is used to attach the surface to the implant. In an embodiment, the holes are punched by placing a punch-plate with sharpened punch spikes on the surface, and striking the punch plate to drive punches into the trimmed surface. In another embodiment, holes are drilled using a drilling template with predrilled guidance holes placed on the surface of the bone. In another embodiment, holes are drilled by positioning a robotic drill over the trimmed surface; adjusting a drilling pattern of the robotic drill according to the trimmed surface; and using the robotic drill to drill holes of predetermined depth according to the drilling pattern.

A periprosthetic fracture repair solution that provides a variety of fracture fixation options should a fracture occur after total hip, knee, or especially a total shoulder arthroplasty, and provides associated methods and apparatus for application of provided fixation. The ability to pre-engineer fracture fixation contingent solutions into humeral components provides for a distinct clinical advantage in the planning and execution for periprosthetic fracture fixation. Said methods and apparatus include targeting devices which allow for intimate association of fixed angle locking screws in pre-drilled holes in an existing prosthetic or other components including additional fixation components. Such apparatus and methods further include the use of alignment devices and other components to allow for ease of repair of periprosthetic fractures utilizing the pre-engineered solutions. Such targeting devices are required in specific circumstances as the prosthetics may prevent x-ray imaging and consequently free hand alignment.

A surgical device for controlling a shuttle cable, comprises a shaft, a capture mechanism comprising a first and second jaw and cavity therebetween accessible by a shuttle cable, and a gate connected to a jaw and in rigid communication with a flexible hinge, the hinge operable to allow the gate to deflect from a closed position to an open position by a force acting on the distal side of the gate, wherein the gate resiliently returns from an open position to a closed position, the capture mechanism is operable to allow the shuttle cable to slide axially through a containment aperture. A method comprises guiding the surgical device through a bone aperture, coupling the surgical device to a portion of the shuttle cable; and retrieving the capture mechanism through the aperture to the first side of the bone.

A bone reamer is provided and may include a shaft and a cutting element. The shaft may include a proximal end, a distal end, and a flexible portion. The flexible portion may be disposed between the proximal and distal ends. The cutting element may be carried by the shaft and may include a cutting surface facing the distal end of the shaft. The distal end of the shaft may be offset from the cutting surface.

Devices and methods for performing a surgical step or surgical procedure with visual guidance using an optical head mounted display are disclosed.