The present disclosure includes, in one embodiment, a tensioner instrument having a body having a channel and a plurality of arms projecting outward from the body, each arm including a cleat having a slot adapted to receive a suture; a base member positioned within the channel of the body; an actuating mechanism having a first coupling member adapted to engage a second coupling member on the body to removeably couple the actuating mechanism to the body; and a universal joint adapted to allow for relative movement between the base member and the body such that, when each suture is positioned within each cleat and the actuating mechanism is actuated, the tensioner applies uniform tension to each suture positioned in each cleat.

An intraosseous screw for deposit into a bone structure and retaining a soft tissue therein. The intraosseous screw includes a body and a retention member. The body defines an axial cavity in which soft tissue can be deposited and a window that permits the soft tissue to contact the bone structure in which the intraosseous screw is deposited. The retention member is positioned within the axial cavity and at least partially defines an opening through which a suture connected to soft tissue can pass to facilitate anchoring of the soft tissue within the axial cavity. The intraosseous screw can be combined with a passing suture, driver, and/or peg to provide a system for associating soft tissue with a bone structure. The intraosseous screw can be utilized in a method in which soft tissue is deposited into a bone structure after the interosseous screw is fully deposited in the bone structure.

An orthopaedic implant includes: an implant body including a biocompatible material and configured to be implanted at an anatomical location, the implant body defining an attachment region on an outer surface of the implant body; and an adjustable holder attached to the implant body and having a compression surface facing the attachment region. The adjustable holder is configured to be implanted at the anatomical location with the implant body and adjustably compress at least one of a soft tissue or a graft material between the compression surface and the attachment region.

Suture delivered patches adapted for interposition, augmentation or repair devices for use in tendon and ligament repair, including rotator cuff repair, have been developed as well as methods for their delivery using suture guided arthroscopic methods. The repair patches may be provided from suitable biocompatible materials. The patches may be delivered using anchored sutures already in use during a surgical repair including, open, minimally invasive, endoscopic, and arthroscopic repair procedures. Additionally, fixation of the suture delivered repair patch is secured along with the normal suture securing workflow of the one or more sutures used to deliver the patch.

A tendon anchoring assembly that includes an anchor and a washer. The anchor includes an elongated body and a substantially circular head and the washer includes an inferior face having gripping protrusions, and a through hole sized to receive a portion of the substantially circular head. A shoulder implant assembly that can be used in conjunction with the tendon anchoring assembly is also disclosed.

An orthopedic medical device assembly that includes a first bearing for attachment to an implant and a second bearing for attachment to an implant, such as a glenosphere.

An osteotome having a shaft assembly that includes a guide extending in a longitudinal direction of the shaft assembly, and a blade adjacent the guide and extending in the longitudinal direction of the shaft assembly.

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. A collapsible tube is positioned about the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel and the collapse of the tube to form an anchor.

An orthopaedic implant includes an implant body comprising a biocompatible material and configured to be implanted at an anatomical location, the implant body defining a surface; and a porous material at least one of attached to and integral with the surface of the implant body, the porous material having a plurality of grooves formed therein.

A method of coupling a first portion of an anatomy to a second portion of the anatomy includes coupling first and second bones of the anatomy with a bone-tendon-bone implant. The bone-tendon-bone implant has a first bone end, a second bone end and a replacement tendon between the first and second bone ends. The first and second bone ends are positioned in corresponding first and second bores of the first and second bones. The first bone end is secured to the first bone with a first bone anchor. A second anchor coupled to the bone-tendon-bone implant is passed through and outside the second bore. The second anchor is coupled to an adjustable suture construct having two adjustable suture loops. Tensioning at least one of first and second ends of the adjustable suture construct tensions the replacement tendon and positions the first bone relative to the second bone.