A system of toggle type suture anchors is disclosed. The plurality of suture anchors is connected in series by a plurality of independently cinchable working suture loops with one working suture loop connecting each pair of anchors in series to form a chain. Each of the suture anchors as connected by working suture loops allows tensioning of the working suture between itself and the prior anchor implanted in the serial string. Further, each anchor includes a loop type locking mechanism to lock the cinchable working suture loop subsequent to tensioning so that the loop remains fixed in size during cyclic loading during joint use. This creates an independently tensioned suture stitch between each implanted suture anchor and the just previously implanted anchor. In total the system as implanted creates a high density, continuous array of anchor-to-anchor stitches for robust securement of soft tissue to bone.

A method to guide in preparation of a bone relies on an instrument having a shaft with a working end and a stop member. The shaft is free to translate along an axis. Surgical planning data is registered to the bone to determine intra-operative coordinates of the desired axis and depth. The instrument holder is positioned by the bone so the stop member contacts the instrument holder to prevent translating beyond the desired depth. Alternatively, an arm is manipulated to align the instrument with the desired axis. The working end rests on the bone to define a linear separation to the desired depth. By proximally translating the instrument holder to contact the stop member and distally translating the instrument holder along the shaft, the stop member physically stops translating beyond the desired depth. A surgical system for performing the methods is provided; a reamer or impactor are also disclosed.

An implant having a unitary body includes an intramedullary portion and an extramedullary portion. The intramedullary portion is sized and structured to be received within an intramedullary canal of a first bone and defines a longitudinal axis. The extramedullary portion includes a surface defining an axis that is disposed at an angle with respect to the longitudinal axis. An aperture defined along the extramedullary portion is sized and configured to receive a fastener therein for coupling the extramedullary portion of the implant to a second bone.

An implant extractor assembly that includes a handle, and a mount connectable to the handle. The mount includes a main body, a quick connect about a proximal end of the main body, and an L-shaped connector about a distal end of the main body. The L-shaped connector includes a through hole having a longitudinal axis transverse to a longitudinal axis of the main body.

An implant and method for fixation of long bones. The implant provides rotational, longitudinal, and bending stability. The implant comprises one or more elongated members that span the intramedullary cavity of a long bone, a distal tip that expands radially relative to the long axis of the implant, and a locking mechanism at the proximal end of the implant.

Disclosed herein are rasp adapters, rasp systems, and method of use thereof. The rasp adapter can include a body and a retention element. The body can define a body cavity, a handle opening, and a trunnion bore. The retention element can be located within the body cavity and can include a knuckle and a heal. The knuckle can be located proximate to and movable into and out of the trunnion bore. The heal can be located proximate the handle opening. Movement of the retention element due to a force applied to the heal can cause movement of the retention element and movement of the knuckle into the trunnion bore.

The invention is defined by the claims set forth herein; however, briefly, the invention herein is an extractor for a human femoral component with a trunnion neck comprising, a plurality of extractor sections, including a first section with a first axis, a second section with a second axis, and a third section with a third axis; a body with a threaded hole defined therein that is provided with a clamping body section and a central body section, a pivoting member with first end, a second end, and a pivot hole defined thereinbetween that includes a clamping structure located at the second end that is shaped to clamp the trunnion neck of the femoral component; and a pivot that secures the pivoting member to the body by extending through the pivot hole defined in the pivoting member and the pivot hole defined in the fulcrum structure of the body.

This disclosure relates to systems for assisting surgeons in implanting joint replacement implant components. One aspect provides a system for assisting a surgeon in implanting a joint replacement implant component during a surgery of replacing a joint. The system comprises: an instrument for medullary canal preparation; a video camera to capture image data of the instrument; a computer system to: store a surgical plan; determine a pose of the instrument relative to the bone or the joint based on the image data from the video camera; assess the pose of the instrument against the surgical plan; and provide an indication to the surgeon of a clinical consequence of the pose in relation to the surgical plan.

Arcuate fixation members with varying configurations and/or features are provided, along with additional components for use therewith in provided intervertebral implants. The arcuate fixation members may be of different lengths, cross sectional geometries, and/or cross sectional areas. Applications of intervertebral implants utilizing arcuate fixation members are particularly suitable when a linear line-of-approach for delivering fixation members is undesirable.

Arcuate fixation members with varying configurations and/or features are provided, along with additional components for use therewith in provided intervertebral implants. The arcuate fixation members may be of different lengths, cross sectional geometries, and/or cross sectional areas. Applications of intervertebral implants utilizing arcuate fixation members are particularly suitable when a linear line-of-approach for delivering fixation members is undesirable.