An orthopaedic implant includes a patella component having a metal base with a polymer bearing molded thereto. A method for making a patella component is also disclosed.

The present invention relates to a modular knee prosthesis assembly kit for replacement of resected articular surfaces of a distal femur of a first patient side. The kit comprises at least one bi-condylar component sized and shaped to substantially replace resected posterior and distal condylar bone portions; and at least a first trochlear groove component and a second trochlear groove component, each sized and shaped to replace a resected trochlear groove bone portion. The first trochlear groove component comprises a first patella articulation path defining a first trochlear groove direction angle. The second trochlear groove component comprises a second patella articulation path defining a second trochlear groove direction angle. An assembly of the bi-condylar component and one of the first and second trochlear groove components forms a substantially complete femoral knee prosthesis. The second trochlear groove direction angle is different from the first trochlear groove direction angle.

Aspects of the present disclosure relate to systems, devices and methods for performing a surgical step or surgical procedure with visual guidance using an optical head mounted display. Aspects of the present disclosure relate to systems, devices and methods for displaying, placing, fitting, sizing, selecting, aligning, moving a virtual implant on a physical anatomic structure of a patient and, optionally, modifying or changing the displaying, placing, fitting, sizing, selecting, aligning, moving, for example based on kinematic information.

In one aspect, an implant for replacing subject tissue includes a nonbiologic portion and a biologic portion grown on the nonbiologic portion. The biologic portion may be grown on the nonbiologic portion before being implanted in the subject. The nonbiologic portion may comprise a porous metal substrate (e.g., scaffolding). The nonbiologic portion may be formed by 3D printing (i.e., additive manufacturing). The nonbiologic portion may be patient-specific. A robot may be used to shape the implant before implantation and/or to shape bone being replaced/resurfaced.

In one embodiment of the disclosure, a prosthetic bone implant includes a prosthesis and a tissue attachment structure connected to the prosthesis. The tissue attachment structure includes a connective structure connected to the prosthesis and an interface structure connected to the connective structure. The interface structure is configured for attachment of tissue thereto. When the interface structure is subject to tension, the connective structure changes in shape.

The disclosure provides an articular gasket prosthesis and an articular prosthesis with the articular gasket prosthesis. The articular gasket prosthesis includes an elastic gasket disposed between a first skeleton and second skeleton forming a joint, the elastic gasket including: an elastic matrix, having a first contact surface facing the first skeleton and a second contact surface facing the second skeleton; and multiple synovial fluid passages, distributed in the elastic matrix and communicating the first contact surface and the second contact surface, the multiple synovial fluid passages being disposed according to a predetermined manner to gradually increase hardness of the elastic matrix from a center to an edge and gradually decrease elasticity of the elastic matrix from the center to the edge.

A femoral component (2) for mounting onto a femur and being adapted to articulate with a tibial bearing component in a knee prosthesis comprises proximal end portions (7, 10) adapted to be oriented towards the femur when the femoral component (2) is mounted thereon, and distal end portions adapted to be oriented towards the tibial bearing component when the knee prosthesis is fully extended. The proximal end portions (7) comprise posterior proximal end portions which are located on an posterior side of the femoral component and an anterior proximal end portion (10) which is located on an anterior side of the femoral component (2). The femoral component (2) further comprises a medial condyle (13) and a lateral condyle (14) which each extend from one of the posterior proximal end portions beyond the distal portions and towards the anterior proximal end portion (10) of the femoral component (2). The medial and lateral condyles (13, 14) form a condylar gap between each other, wherein the medial condyle (13) and the lateral condyle (14) are shaped to articulate with the tibial bearing component through a range of motion, in which a full extension of the knee prosthesis corresponds to zero degrees flexion of the knee prosthesis and positive flexion corresponds to greater than zero degrees flexion of the knee prosthesis. The femoral component (2) further comprises a sagittal plane extending in a proximal/distal direction and further extending through the condylar gap from the anterior side to the posterior side of the femoral component (2). A patellar groove (16) extends from the condylar gap towards the anterior proximal end portion (10) of the femoral component (2) along a mathematical curve (17). The mathematical curve (17), when looking onto the anterior side of the femoral component, is canted towards a medial side (18) of the femoral component (2) relative to the sagittal plane when the patellar groove (16) extends proximally. The patellar groove (16) is formed by a concave groove section (19) on the anterior side of the femoral component (2), the groove section (19) having a groove base (20). The femoral component (2) further comprises a medial ridge section (21) and a lateral ridge section (22) which are disposed adjacent the groove section (19) and each have a convex shape. The medial ridge section (21) forms the medial condyle (13) and a medial extension (23) to the medial condyle (13) towards the a

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.

Disclosed herein are joint implants and methods for tracking joint implant performance. A method for monitoring a joint implant performance may include coupling a first implant to a first bone of a joint, the first implant including at least one magnetic marker. Coupling a second implant to a second bone of the joint, the second implant including at least one magnetic sensor to detect a position of the magnetic marker. Performing a first joint stress test to measure a baseline joint stability value, the baseline joint stability value being generated by the at least one magnetic sensor. Performing a second joint stress test to measure a second joint stability value, the second joint stability value being generated by the at least one magnetic sensor. Determining joint stability of the joint by comparing the baseline joint stability value to the second joint stability value.

Aspects of the present disclosure relate to systems, devices and methods for performing a surgical step or surgical procedure with visual guidance using an optical head mounted display. Aspects of the present disclosure relate to systems, devices and methods for displaying, placing, fitting, sizing, selecting, aligning, moving a virtual implant on a physical anatomic structure of a patient and, optionally, modifying or changing the displaying, placing, fitting, sizing, selecting, aligning, moving, for example based on kinematic information.