A cutting guide for periacetabular osteotomy comprises at least a first main body having a longitudinal opening for the insertion of a cutting instrument, extending from a first end to a second end of the first main body and at least two positioning and fixing arms extending away from the first main body from opposite sides with respect to the longitudinal opening, in order to correctly position the first main body on a bone and fix it thereto through respective fastening members.

A minimally invasive hip arthroplasty technique involves intramedullary insertion of an elongate femoral broach into a femur. The broach has a superior lateromedial transverse bore. A reaming rod is then located through the transverse bore and the neck of the femur. A cutting head is coupled to a distal end of the reaming rod via an incision. An orthogonal drive arm of an arthroplasty jig may also be inserted behind the cutting head to press the cutting head to ream the acetabulum while the reaming rod rotates the cutting head.

A method of performing arthroplasty of an anatomical joint for receipt of an implant is disclosed. The method includes developing a preoperative plan, designing a patient specific guide based on the preoperative plan, obtaining the patient specific guide, placing the patient specific guide relative to the identified bone, fixing a pair of pins into the bone to establish an Alpha plane and executing the preoperative plan while referencing the Alpha plane. A desired amount of remaining first bone is determined based on a condition of the anatomical joint and a desired orientation of the implant. The patient specific guide includes a pair of bores defined therein and located in positions to accept a complementary pair of pins. The bores are arranged at locations on the patient specific guide to orient the respective pins in a direction optimized for surgeon access to the first bone and to establish the Alpha plane.

A system and method provide for image-guided implant placement as a function of at least one intraoperative image during a surgical procedure. At least one computing device is configured by executing code stored in non-transitory processor readable media to process at least one preoperative image to assess axial rotation and/or sagittal pelvic inclination. Further, as a function of a plurality of identified anatomical landmarks in the at least one preoperative image, at least one of distances, angles, and areas is measured. Thereafter, as a function of calculations associated with the at least one of distances, angles, and areas, axial rotation associated with at least one image is measured. Thereafter, at least one value associated with placement of an implant during the surgical procedure is adjusted and information associated therewith is provided via a graphical user interface.

In another embodiment, a hip joint navigation jig is provided that includes an anatomical interface comprising a bone engagement portion. A registration jig is also provided that is coupled, e.g., removeably, with the anatomical interface. A rotatable member is provided for rotation about an axis that is not vertical when the jig is mounted to the bone adjacent to a hip joint and the registration jig is coupled with the anatomical interface. An anatomy engaging probe is coupled with the rotatable member for rotation about the axis and is translatable to enable the probe to be brought into contact with a plurality of anatomical landmarks during a procedure. An inertial sensor is coupled with the probe to indicate orientation related to the landmarks, the sensor being disposed in a different orientation relative to horizontal when the probe is in contact with the landmarks.

A combination drill guide and depth gauge surgical instrument for use during a surgical procedure to implant an acetabular cup component into a surgically-prepared acetabulum of a patient's hip includes an elongated shaft having a drill guide on an end thereof. The instrument also includes a retractable depth probe that may be used to gauge the depth of the holes drilled by use of the drill guide. A method of using such an instrument is also disclosed.

A computer-aided method of pre-operative planning of hip joint replacement is provided for establishing, from patient-specific images, femoral and acetabular implant sizes and cut planes. Image slices of a patient's hip joint are obtained. Coordinate positions of selected femur and acetabulum points (e.g., femoral head center, major trochanter midpoint, femoral shaft midpoint, acetabular rim high points and lowest point) in the images are marked, which allows the planning tool to perform a best fit analysis to offer a range of suitable implant and surgical cut plane parameters for selection by a surgeon. Patient-specific surgical jigs can then be constructed for the proximal femur and acetabulum of the hip joint corresponding to a surgeon selection between standard, mini, short-stem, and resurfacing hip replacement components and in accord with the surgeon-selected parameters.

A hip joint navigation system is provided that includes a base having at least one channel disposed therethrough for receiving a pin for mounting the base to the pelvis. A mount feature is disposed on a top surface. A registration jig is configured to couple with the base and to engage anatomical landmarks. In some aspects, a patient specific jig system for hip replacement is provided including an engagement surface formed to closely mate to acetabular bone contours of a specific patient and a registration feature configured to be in a pre-determined orientation relative to an acetabulum the patient when the jig is coupled with acetabular bone contours of the specific patient. In other aspects, methods of using the systems are provided.

The present disclosure involves object recognition as a method of registration, using a stereoscopic camera on Augmented Reality (AR) glasses or an endoscope as the image capture technology. Exemplary objects include surgical tools, anatomical components or features, such as bone or cartilage, etc. By detecting just a portion of the object in the image data of the surgical scene, the present disclosure may register and track a portion of the patient's anatomy, such as the pelvis, the knee, etc. The present disclosure also optionally displays information on the AR glasses themselves, such as the entire pelvis, the femur, the tibia, etc. The present disclosure may include combinations of the foregoing features, and may eliminate the need for electromagnetic, inertial, or infrared stereoscopic tracking as the tracking technology.

Tools for cutting bone, specifically cutting a hemispherical cavity in bone. Preferably, tools including an adaptor device configured to provide independent control of the cutting orientation.