Disclosed herein are systems and methods for bone preparation with designed areas having accurate tolerance profiles to enable improved initial fixation and stability for cementless implants and to improve long-term bone ingrowth/ongrowth to an implant. A method of preparing a bone surface to receive a prosthetic implant thereon having an articular surface and a bone contacting surface includes resecting the bone surface at a first location to create a first resected region having a first tolerance profile with a first cross-section, resecting the bone surface at a second location to create a second resected region having a second tolerance profile with a second cross-section less dense than the first cross-section, and contacting the bone contacting surface of the prosthetic implant with the first resected region.

A prosthesis (100, 200) comprising a bone attachment component (106) having one or more fixation structures (124, 224), wherein the prosthesis is configured to be selectively convertible between a mobile bearing prosthesis, in which a barrier (120) is secured to the bone attachment component (106) using the fixation structures, and a constrained bearing prosthesis, in which a bearing component (204) is secured to the bone attachment component (106) using the fixation structures (124, 224).

A replacement knee implant has a femoral implant and a tibial implant, each of which are inset in a bone surface. The tibial implant is generally elongated with one end rounded and an opposite end conforming to the shape of the tibia, and is made of a metal alloy or a ceramic. The upper surface is dished while the lower surface is planar and can be parallel or sloped relative to the upper surface, and can have a keel for fixation. The femoral implant for implementation in a femoral condyle is rounded such that, when implemented, the femoral implant is flush at the anterior and posterior sides and protruding away from the femur between the anterior and posterior ends. The femoral implant can have an elongated keel for extending into the femur, and can be made from a highly cross-linked polyethylene.

A component of an artificial joint according to an exemplary aspect of the present disclosure includes, inter alia, a hollow tube including bone ingrowth material. Further, the hollow tube is selectively expandable. The bone ingrowth material allows the component to become biologically fixed to adjacent bone. Further, expansion of the hollow tube increases friction between the hollow tube and the adjacent bone, which increases stability.

A surgical system includes a tracking system configured to intraoperatively track relative positions of bones of a joint, a user interface configured to obtain a user input indicating a post-operative value for the joint, and a computer programmed to generate, based on the relative positions of the bones and the post-operative value, a planned orientation for an implant to be implanted in the joint, and to generate a surgical plan based on the planned orientation for the implant.

Achieving proper mechanical axis and rotational position of femoral component perpendicular to the tibial component throughout range of motion is necessary for long term successful outcomes of unicondylar knee replacement. Dr. Shrinand V Vaidya's pegless template trial-P.T.T. is an orthopaedic surgical device used to determine mechanical axis, rotation and size of the femoral component. P.T.T. has two holes in anterior part which matches with femoral finishing block of respective size. P.T.T. has central watermark to determine final position of the femoral component. Position of P.T.T. is guided by tibial trial through range of motion and final position is marked over femoral condyle just anterior to the central watermark over P.T.T. Alternatively pins are inserted through the holes in PTT and removed making two holes which can be used for alignment of femoral finishing block.

An artificial knee joint 1 includes: an insert member 2 embedded in a part of a joint surface of a medial condyle MC or lateral condyle LC of a tibia T; and a bridge member 3 disposed underneath the insert member 2, and having a length that allows both ends thereof to be anchored to a cortical bone of a tibia T.

An implant resection system for preparing an implant site to replace a defect in an articular surface of a first bone includes a first guide configured to be coupled generally to the first bone. The first guide includes a body portion defining a channel configured to receive a pin, wherein the pin is configured to penetrate and form a longitudinally disposed bore within the first bone. The implant resection system further includes a second guide configured to be coupled generally perpendicular to the first bone proximate to the defect by way of the bore. The second guide includes a drill bit configured to form an excision site through a portion of the articular surface in preparation of receipt of an implant.

A two-part joint replacement device for replacing damaged soft joint tissue, such as a meniscus or cartilage tissue. In one form, the device may include a free floating soft joint tissue replacement component comprising a first tissue-interface surface shaped to engage a first anatomical (bone and/or cartilage) structure of a joint having damaged soft tissue. The device may also include a free floating rigid base component comprising a second tissue-interface surface shaped to engage a second anatomical (bone and/or cartilage) structure of the joint. The free floating soft joint tissue replacement component may be shaped to slidably interface with the rigid base component. In another form, the free floating soft joint tissue replacement component and the rigid base component are fixed together.

Unicompartmental tibial components are described herein. A first unicompartmental component (10) comprises a plate (12) having a bearing surface (18) and an opposing surface (22) that is configured to be secured to a proximal end of a patient's tibia, wherein the plate further comprises an anterior end (24), an outer side (25), a posterior end (26) and an inner side (27), wherein a mediolateral width W of the plate is defined between the outer and inner sides, and a longitudinal anteroposterior axis (28) extends between the anterior and posterior ends approximately one third of the width of the plate (i.e. 1/3 W) from the lateral side, and defines a longitudinal axis length L of the plate. A first elongate peg (14) protrudes from the opposing surface in the anterior portion, the first elongate peg defining a first peg axis (32). A second elongate peg (16) protrudes from the opposing surface in the anterior portion, the second elongate peg defining a second peg axis (34). The first and second peg axes are disposed at an angle of 45-70 degrees with respect to the longitudinal anteroposterior axis and are substantially parallel to one another such that the first and second pegs protrude posteriorly as well as distally with respect to the plate. An anterior portion of the plate comprises a part of the plate defined by an anterior 60% or less of the longitudinal axis length L, whilst a posterior portion of the plate comprises a part of the plate that is defined by the remaining posterior 40% or more of the longitudinal axis length L. The posterior portion of the opposing surface is free from pegs or other fixation devices, and the first and second elongate pegs are located more than half of the mediolateral width W of the plate from an outer edge of the plate. The component is configured for cementless fixation using an interference fit. Also described is a method of installation and a tool suitable for use in installation.