The present invention provides a uni-compartmental knee joint prosthesis (1) which includes a tibial component (2) and a femoral component (3). The tibial component (2) has a fixation portion (10) adapted to be fixed to an upper end of a prepared tibia (T) in a patient, and a bearing portion (30) presenting an articulation surface (32) formed from a ceramic material, wherein the bearing portion (30) is adapted for movement relative to the fixation portion (10). The femoral component (3) is adapted to be fixed to a lower end of a prepared femur (F) in a patient, and comprises a body portion (50) presenting an articulation surface (56) formed from a ceramic material for engagement with the articulation surface (32) of the tibial component (2). The articulation surfaces (32, 56) of the tibial and femoral components are adapted for essentially congruent engagement over a full range of movement of the prosthesis.

Tibial prosthesis having one or more fins for use in a total or unicompartmental knee athroplasty procedure are disclosed. The one or more fins can be adapted to fix a tibial prosthesis to the tibia and can engage with corresponding channels formed in the resected tibia. Additionally, intercondylar components and methods for use in a total or unicompartmental knee athroplasty procedure are disclosed. The intercondylar component can be integral with or attached to a baseplate configured for attachment to a partially resected proximal surface of the tibia that retains at least a portion of the intercondylar eminence and the anterior cruciate ligament (ACL) and/or the posterior cruciate ligament (PCL). Inner surfaces of the intercondylar component can be configured to engage with at least a portion of the intercondylar eminence remaining with the partially resected tibia. In an example, the intercondylar component or the one or more fins can be formed of a porous material, such as to facilitate bone growth.

A tibial tray for a resurfaced proximal portion of a tibia for a knee replacement for a patient includes, for example, a body having a superior portion, and an inferior tibia-engaging portion having a peripheral inferiorly-extending portion contactable with an underlying cortical bone and/or spaced apart from the underlying inner surface of the cortical of the tibia of the patient. In some embodiments in the total knee replacement, a greater portion of a shearing force acting transversely on the tibial tray and the resected portion of the proximal portion of the tibia of the patient is resisted by the at least one inferiorly-extending wall and the periphery of the resected proximal portion of the tibia compared to a portion of the shearing force being resisted along the center inferior surface of the tibial tray and the resected cancellous bone surface. Methods, robotic systems, and cutting guides are also disclosed.

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.

An orthopedic prosthesis includes a joint replacement portion that has a first side, a second side opposite the first side, and a screw hole that extends through the joint replacement portion from the first side and through the second side. The prosthesis also includes a peg that extends from the second side and that has a concave relief surface that partially defines the screw hole.

Implants include fixation features which slidingly receive fixation elements. The fixation features may be negative or positive features, such as undercut channels or posts. Examples include unicompartmental tibial trays having a ridge protruding from the bone-facing side, an undercut channel formed within the ridge. Instruments are disclosed for preparing a ridge-receiving feature in bone.

The disclosure provides a meniscus substitute and a knee joint prosthesis with the meniscus substitute. The meniscus substitute includes: a base body, disposed on a tibial plateau or a tibial plateau prosthesis of a tibia; a polymer joint body, disposed on the base body; and a bone screw, disposed in the tibia in a penetration manner and connected with the base body.

Methods of selecting and implanting prosthetic devices for use as a replacement meniscus are disclosed. The selection methods include a pre-implantation selection method and a during-implantation selection method. The pre-implantation selection method includes a direct geometrical matching process, a correlation parameters-based matching process, and a finite element-based matching process. The implant identified by the pre-implantation selection method is then confirmed to be a suitable implant in the during-implantation selection method. Methods of implanting meniscus prosthetic devices are also disclosed.

The exemplary embodiments of the present disclosure are described and illustrated below to encompass methods and devices for designing patient specific prosthetic cutting jigs and, more specifically, to devices and methods for segmenting bone of the knee and the resulting cutting guides themselves. Moreover, the present disclosure relates to systems and methods for manufacturing customized surgical devices, more specifically, the present disclosure relates to automated systems and methods of arthroplasty cutting guides, systems and methods for image segmentation in generating computer models of knee joint.

The present invention resolves the main problems of bone-sparing resurfacing surgery of the medial compartment of the knee in dogs and in people. With a hard, low abrasion, low friction coating of the implant (100), such as ADLC or pyrolytic carbon, it is possible to resurface only one side of the joint. In this case, the tibia plateau resurfacing with a concave recess on its femur-facing surface provides not only pain-free mobility but also the necessary stability of the joint with a deficient cruciate ligament. The planar osteotomy of the medial condyle, with or without resurfacing, can also be used to emulate TPLO procedure limited to the medial compartment of the stifle.