An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

A rotary mill is disclosed comprising a body portion (4) having a milling surface (10) and a central bore (20) extending along an axis of rotation (18) of the body portion (4); and a guide portion (6) having a guide body (22) and a guide peg (24) extending from the guide body (22), the guide peg (24) operable to be received in the central bore (20) of the body portion (4), the guide body (22) having at least one alignment feature (28, 30) which is the same as that of a prosthesis component. A method of implanting a unicondylar femoral component is also disclosed, the method comprising, a) reaming the femoral condylar surface to accept the unicondylar femoral component; b) drilling peg holes for affixing the unicondylar femoral component; c) affixing a guide portion of a rotary mill onto the prepared condylar surface using the drilled peg holes; d) reaming a portion of bone anterior to the affixed guide portion; e) removing the guide portion from the bone; and f) affixing a unicondylar femoral component to the prepared condylar surface.

This disclosure is directed to a resilient interpositional arthroplasty implant for application into a joint to pad cartilage defects, cushion, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. The walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability so as to enable immediate limb use after outpatient surgery. Appendages of the implant may repair or reconstruct tendons or ligaments, and menisci by interpositional inflatable or compliant polymer arthroplasties that promote anatomic joint motion.

An arrangement for minimizing the amount of bone initially required to be resected off surfaces of a knee joint prepared using a plurality of user-operable adjustable extension tabs that define a stability gap derived from gap measurements taken in each of extension, mid-flexion and flexion, wherein the stability gap is commensurate with a reference plane derivable from the arrangement wherein a final bone resection with a corresponding bone surface with said reference plane provides for optimum balanced angular movement between the tibia component and the femoral component of the prosthetic knee joint post-surgery.

A spacer for a knee replacement prosthesis. The spacer may include a lower surface, which has a locking component adapted to interlock with a tibial tray, an upper surface, the upper surface having a pair of condyle support platforms; and a frame positioned therebetween for anchoring the upper and lower surfaces thereto, the frame having a hollowed center defined by internal cavities. In some exemplary embodiments, the spacer may further include a fluid delivery system for localized antibiotic treatment to the surrounding joint. The delivery system may include a reservoir disposed within the internal cavity, a septum operatively connected to the reservoir, and fluid delivery element for dispensing a liquid medicament from the reservoir to the surrounding infection. The fluid delivery system may interact with external components to refill, communicate with, and control the system.

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.

A knee prosthesis for total knee replacement has femoral and tibial joint components. The femoral component has a medial condyle, a lateral condyle and an intercondylar recess between the condyles. The condyles have in sagittal profile a spiral outer surface with increasing anterior-to-posterior radii of curvature, such as radii that follow a Fibonacci sequence ratio per every quadrant. The tibial component is lateral-medial mirror symmetric in coronal profile and has shallow concave medial and lateral condyle surfaces for receiving corresponding condyles of the femoral component as bearing surfaces when the femoral and tibial components are biased together under applied tension by ligaments. The shallow concave condyle surfaces in sagittal profile have sharp radii of curvature near anterior and posterior ends of the condyle surfaces that can accommodate up to 5° anterior and up to 6° posterior misplacement error and up to 4° rotational mismatch between the femoral and tibial components.

An orthopaedic system includes a tibial insert and a femoral component configured to articulate on the tibial insert. The tibial insert includes an articular surface, and the femoral component includes a femoral articular surface having decreasing radii of curvature posteriorly. The articular surface of the tibial insert includes an increased anterior lip to improve stability of the femoral component.