Robotic system and methods for robotic arthroplasty are provided. The robotic system includes a machining system and a guidance system. The guidance station tracks movement of one or more of various objects in the operating room, such as a surgical tool, a tibia of a patient, a talus of the patient, or a component of an implant. The guidance system tracks these objects for purposes of displaying their relative positions and orientations to the surgeon and, in some cases, for purposes of controlling movement of the surgical tool of the machining system relative to virtual cutting boundaries or other virtual objects associated with the tibia and talus to facilitate preparation of bone to receive an ankle implant system.

There is disclosed a talus implant comprising a base having at least one hole and at least one pin. There is also a top comprising at least one hole and at least one pin, wherein the top is configured to be inserted into the base. At least one embodiment comprises a tibial implant comprising at least one post and at least one base coupled to the at least one post. Additionally, there is at least one pad coupled to the at least one base, wherein the at least one pad is selectively insertable into and removable from the at least one base. A method for fabricating a talus and tibial implant is disclosed and also a method for inserting a talus implant and a tibial implant into a patient having a damaged talus joint.

In various embodiments, an implant for interfacing with a bone structure includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue. In some embodiments, a method is provided that includes accessing an intersomatic space and inserting an implant into the intersomatic space. The implant includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue.

In the case of known prosthesis systems and socket supplies, the transmission of force is a critical issue. The inventive prosthesis system shall improve known prosthesis systems. According to the invention, a prosthesis system for human limbs is provided, which comprises an implant (101) having at least two joint parts which are movable relative to each other, wherein the first joint part (110) can be connected to a bone part (131, 132) and the second joint part (120) comprises a subcutaneously arrangeable end part (124) on the side being remote from the joint. The invention further relates to a prosthesis system comprising a subcutaneous implant and a socket (170).

An apparatus and method are provided for a syndesmosis treatment construct configured to be placed into a cinched configuration that presses a first bone against a second bone. The syndesmosis treatment construct comprises a proximal fixator to contact the first bone and a distal fixator to contact the second bone. A first suture and a second suture are parallelly looped through the proximal fixator and oppositely looped through the distal fixator. Distal ends of the first and second sutures are fixated within a washer disposed between the proximal fixator and the first bone. Proximal ends of the first and second sutures are passed through openings in the washer and through the proximal fixator. Pulling of the proximal ends by a practitioner places the syndesmosis treatment construct into a cinched configuration. Any of various suitable suture knots may be formed so as to fixate the cinched configuration.

An implant having a porous layer and a molding method thereof includes: a substrate having a bone contact surface being in part in direct contact with a bone of a patient; a porous layer having a void inside; a connecting layer disposed between the bone contact surface and the porous layer to attach the bone contact surface to the porous layer; and a rib detachably coupled to the porous layer, wherein the connecting layer includes at least one constituent component identical to one of constituent components in the bone contact surface to be integrated into the porous layer and the bone contact surface, thereby firmly attaching the porous layer to the bone contact surface. Accordingly, bonding of dissimilar metals is facilitated by inducing the attachment of the bone contact surface of the implant to the porous layer having a void inside, formed by dissimilar metals, through the connecting layer including at least one constituent component identical to one of constituent components of the bone contact surface.

The presented invention is a system for performing reverse ankle replacement in the setting of ankle joint osteoarthritis, and other degenerative conditions of the ankle joint including avascular necrosis. The presented tibial and talar components can be implanted in a cement-less or cemented fashion. The prosthesis of the presented invention consists of (1) a tibial component which includes a planar undersurface with porous texture applied to its upper, non-bearing surfaces, (2) a talar component which includes a bearing surface which is concave, (3) a polyethylene component which includes a bearing undersurface which is convex, and (4) multiple talar component embodiments with or without flanges and/or screw holes for accommodation of bone screws for additional fixation and for permitting sub-talar joint fusion.

Instruments, guides, systems and related methods for total ankle prostheses are disclosed. The instruments, guides, systems and related methods facilitate preparation of a tibia and/or talus of a patient for implantation of a total ankle prosthesis therein. The instruments, guides, systems and related methods also facilitate selection of a particular size of a tibial component, a talus component and/or a tibial insert of the total ankle prosthesis that suits the patient. The instruments, guides, systems and related methods include a tibial trial component, a talar trial component and tibial insert trial component that replicate one or more aspects of the tibial component, the talus component and the tibial insert, respectively, of the total ankle prosthesis. The talar trial component includes an articulation surface that articulates with the tibial insert trial component, and slots that facilitate chamfered resection of the patient's talus for the implantation of the talus component thereon.

A surgical kit suitable for repair of articular surfaces in the talocrural joint, includes: a surgical implant having a cap with an outer surface conforming to a talus dome surface and an inner surface having a central implant anchoring peg extending perpendicularly from said inner surface, a hollow tubular shell suitable for correct pre-drilling for implantation of the surgical joint implant in the dome of the talus, and a saw guide conforming and fixable to the lower portion of the tibia and providing saw guide surfaces in at least one plane, suitable for osteotomy of a lower portion of a tibia to expose the dome of the talus.

An orthopedic implant includes a porous insert having a first insert portion having a first insert thickness and a second insert portion having a second insert thickness. The implant includes a non-metallic structure having a first non-metallic portion having a first non-metallic thickness and a second non-metallic portion having a second non-metallic thickness. The first non-metallic portion is attached to the first insert portion and the second non-metallic portion is attached to the second insert portion. Either or both of the second insert thickness being different from the first insert thickness and the second non-metallic thickness being different from the first non-metallic thickness. The porous insert includes a porous projection extending into the non-metallic structure.