The present invention relates to a portable medical drill impact attachment device. The device can be used for improving the accuracy and reliability of orthopedic surgeries and procedures by obviating a manual device such as a hammer for creating an impact. The attachment device is used for creating impact forces that can be transferred onto a bone, disc, joint, etc. The device features a housing that includes a rotary motion transformer and an impact mechanism assembly. The attachment transforms the rotational motion of a drill into reciprocal motion, and also enables a user to adjust and control the frequency and energy of the impact. An impactor tool can be detachably-attached to a quick-change tool gripper for providing an impact on a bone, disc or joint of a patient without applying any manual force.

A method of ankle replacement includes forming an anterior cut in a bone and forming a stem hole in a distal end of the bone. The stem hole is formed using a plurality of broaches positioned against the distal end of the bone through the anterior cut. A first portion and a second portion of a stem implant are inserted into the stem hole through the anterior cut in the bone. The first portion is coupled to the second portion using a coupling device inserted through the anterior cut in the bone. The stem implant is impacted into the stem hole using an offset impactor.

Disclosed herein are reference feet for inserters and method of use thereof. The reference feet can include a body, a tine, a first arm, and a first base. The body can have a longitudinal axis and define an engagement fixture oriented parallel to the longitudinal axis and sized to receive a complementary fixture of an inserter. The tine can extend from the body along the longitudinal axis and including a protuberance sized to engage a stop of the inserter. The first arm can extend from the body. The first base can be attached to the first arm and have a planar surface arranged at an angle relative to the longitudinal axis.

Various exemplary surgical impacting tool interfaces and methods of using surgical impacting tool interfaces are provided. In general, a surgical impacting tool includes a locking assembly configured to releasably attach to an adapter. In response to engagement with the adapter, the locking assembly is configured to move from an unlocked configuration, in which the adapter is not releasably attached to the surgical impacting tool (nor is any other adapter releasably attached to the surgical impacting tool via the locking assembly), to a locked configuration, in which the adapter is releasably attached to the surgical impacting tool via the locking assembly. The locking assembly is configured to receive the adapter in a longitudinal direction along a longitudinal axis defined by the locking assembly and to automatically lock the adapter to the surgical impacting tool.

Various exemplary surgical impacting tool interfaces and methods of using surgical impacting tool interfaces are provided. In general, a surgical impacting tool includes a locking assembly configured to releasably attach to an adapter. In response to engagement with the adapter, the locking assembly is configured to move from an unlocked configuration, in which the adapter is not releasably attached to the surgical impacting tool (nor is any other adapter releasably attached to the surgical impacting tool via the locking assembly), to a locked configuration, in which the adapter is releasably attached to the surgical impacting tool via the locking assembly. The locking assembly is configured to receive the adapter in a longitudinal direction along a longitudinal axis defined by the locking assembly and to automatically lock the adapter to the surgical impacting tool.

This disclosure includes fasteners for coupling an implant to tissue (e.g., soft-tissue and/or bone), fabric-like implants, and assemblies with fasteners pre-loaded with implants. The present implants generally comprise at least one flexible, fibrous layer that is substantially planar in a flattened state. In some embodiments of the present assemblies for delivery of a fastener, the assembly comprises fastener cartridge, a fibrous implant wrapped around a portion of the cartridge, a fastener extending through the implant, and an elongated shield disposed around the implant and the cartridge such that the implant is retained between the cartridge and the shield. Kits comprise a plurality of fasteners pre-loaded with implants. Some of the present kits also include one or more of the present fastener-delivery apparatuses or tools; for example, a plurality of pre-loaded fasteners with a single, reloadable tool; a plurality of tools each pre-loaded with a fastener that is pre-loaded with an implant; and/or a plurality of cartridges each pre-loaded with a fastener that is pre-loaded with an implant, and a common tool for use with the cartridges.

An orthopaedic surgical instrument may include an elongated body with a broach end and an impactor end. The body may be straight or curved. A latch lever may be pivotally coupled to the elongated body. The latch lever may be moveable between an open position and a latched position in which the latch lever is retained within the body. A surgical broach may be rigidly attached to the broach end of the elongated body. An automated surgical impactor may be attached to the impactor end.

An orthopaedic surgical instrument may include an elongated body with a broach end and an impactor end. The body may be straight or curved. A latch lever may be pivotally coupled to the elongated body. The latch lever may be moveable between an open position and a latched position in which the latch lever is retained within the body. A surgical broach may be rigidly attached to the broach end of the elongated body. An automated surgical impactor may be attached to the impactor end.

An orthopaedic surgical instrument may include an elongated body with an implant end and an impactor end. A latch lever may be pivotally coupled to the elongated body. The latch lever may be moveable between an open position and a latched position in which the latch lever is retained within the body. An acetabular shell component may be rigidly attached to the implant end of the elongated body. An automated surgical impactor may be attached to the impactor end.

An orthopaedic surgical instrument may include an elongated body with an implant end and an impactor end. A latch lever may be pivotally coupled to the elongated body. The latch lever may be moveable between an open position and a latched position in which the latch lever is retained within the body. An acetabular shell component may be rigidly attached to the implant end of the elongated body. An automated surgical impactor may be attached to the impactor end.