Devices, systems, techniques and methods for determining the fit of an implant and for determining one or more prognosticators, indicators or risk factors of postoperative performance are provided.

Methods and devices are disclosed for the optimization of shoulder arthroplasty component design through the use of computed tomography scan data from arthritic shoulders.

A method for performing a cranioplasty includes the steps of prefabricating a sonolucent craniofacial implant based upon information generated by preoperative scans, creating a cranial, craniofacial, and/or facial defect, and attaching the craniofacial implant to the cranial, craniofacial, and/or facial defect. The craniofacial implant is composed of a material that is sonolucent and exhibits attenuation of less than 6 dB/cm.

Patient-specific craniofacial implants structured for filling bone voids or planned bone voids in the cranium and face as well as for simultaneously providing soft tissue reconstruction and/or augmentation for improved aesthetic symmetry and appearance of face and skull. Pterional or temporal voids or defects generally result from a chronic skull or lateral facial deformity along with a compromised temporalis muscle or soft tissue distortion from previous surgery. When muscle and fat atrophy occurs in the pterion or temporal face, temporal hollowing deformity generally results where there would be soft tissue but for the atrophy. The patient-specific craniofacial implants with dual-purpose herein are configured to have an augmented region adjacent the temporal region of the face and cranium in order to prevent and/or correct any such temporal hollowing deformity and to utilize this newfound space to strategically embed implantable neurotechnologies for improved outcomes.

A method for performing a cranioplasty includes the steps of prefabricating a sonolucent craniofacial implant based upon information generated by preoperative scans, creating a cranial, craniofacial, and/or facial defect, and attaching the craniofacial implant to the cranial, craniofacial, and/or facial defect. The craniofacial implant is composed of a material that is sonolucent and exhibits attenuation of less than 6 dB/cm.

The present disclosure includes fixation devices, such as an orthopedic screw or implant, that comprises one or more porous elements or fenestrations to aid in osteo-integration of the fixation device. The fixation device may be additively manufactured using biocompatible materials such that the solid and porous aspects of the screw are fused together into a single construct. In yet another aspect, the fixation device comprises at least a portion or section incorporating a porous structure, which enables bony ingrowth through the porous section/portion of the screw, and thereby facilitates biocompatibility and improve mechanical characteristics. Methods for using the fixation device are also described herein.

An example system for designing a patient matched implant for an orthopedic joint repair surgical procedure includes a memory configured to store a model of a bone of a patient; and processing circuitry. The processing circuitry may be configured to: obtain the model of the bone of the patient; obtain a template model of an implant; determine a shape of a surface of the implant; determine a volume between the shape of the surface of the implant and a surface of the bone defined by the model of the bone; generate, based on the determined volume and the template model, a patient matched implant model; and output a file representing the patient matched implant model.

Operative lengths of muscles can be determined. For example, this document describes techniques for measuring operating muscle lengths of the infraspinatus, teres minor, and subscapularis through the internal-external rotation range of motion before and after implantation of RSA components. In some embodiments, the techniques described herein can be advantageously used as a part of preoperative surgical planning Such pre-surgical planning can help to select optimal prosthetic implants, ensure fewer surgical complications, and attain better patient outcomes.

A surgical system includes a trial connected with a first image guide oriented relative to a sensor to communicate a signal representative of the trial relative to a patient anatomy. A tracking device includes the sensor and communicates with a processor to generate a storable image of the trial relative to the patient anatomy for display from a monitor. A spinal implant is connected with a second image guide oriented relative to the sensor to communicate a signal representative of the spinal implant relative to the patient anatomy. The sensor receives the signal of the second image guide and communicates with the processor to generate an image of the spinal implant in real time for display from the monitor in a configuration to align the spinal implant in real time with the stored image of the trial. In some embodiments, methods, spinal constructs, implants and surgical instruments are disclosed.

A system configured to design a customized implant includes a cutting tool, a tracker, and design software. The cutting tool is configured to resect bone from an anatomical bone along a cutting path, thereby creating a contoured bone surface. The tracker is configured to track at least a portion of the cutting path and store the at least a portion of the cutting path in a memory. The design software is configured to design an implant having a contoured implant surface that matches the contoured bone surface based at least in part on the stored cutting path.