An exemplary method, and corresponding instrumentation, of balancing the ligaments of a knee during flexion is disclosed. In one embodiment, the method includes forming initial resection cuts in a patient' femur and tibia, and subsequently placing the knee in flexion to form a flexion space between the posterior femoral condyles and the resected tibial surface. The method may further include sequentially inserting one or more flexion spacers into the flexion space, and selecting the flexion spacer that provides the ligaments with equal tension. The flexion spacers may include a medial platform and a lateral platform wherein, for at least one of the flexion spacers, the lateral platform has a greater thickness than the medial platform. The method may further include engaging an alignment sizing tool with the selected flexion spacer, forming a pair of pin holes in the femur, and mounting a cutting block to the femur using the pin holes.

An orthopaedic knee prosthesis includes a femoral component having a condyle surface. The condyle surface is defined by one or more radii of curvatures, which are controlled to reduce or delay the onset of anterior translation of the femoral component relative to a tibial bearing.

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 implant has a soft tissue attachment structure, and a surface defining a trough. An ingrowth plate spans a portion of the trough and defines a suture tunnel between the ingrowth plate and the trough for receiving suture. The ingrowth plate bows convexly away from the surface and is perforated to facilitate long-term ingrowth and biologic fixation of soft tissue to the implant.

The disclosure provides an articular gasket prosthesis and an articular prosthesis with the articular gasket prosthesis. The articular gasket prosthesis includes an elastic gasket disposed between a first skeleton and second skeleton forming a joint, the elastic gasket including: an elastic matrix, having a first contact surface facing the first skeleton and a second contact surface facing the second skeleton; and multiple synovial fluid passages, distributed in the elastic matrix and communicating the first contact surface and the second contact surface, the multiple synovial fluid passages being disposed according to a predetermined manner to gradually increase hardness of the elastic matrix from a center to an edge and gradually decrease elasticity of the elastic matrix from the center to the edge.

A femoral component (2) for mounting onto a femur and being adapted to articulate with a tibial bearing component in a knee prosthesis comprises proximal end portions (7, 10) adapted to be oriented towards the femur when the femoral component (2) is mounted thereon, and distal end portions adapted to be oriented towards the tibial bearing component when the knee prosthesis is fully extended. The proximal end portions (7) comprise posterior proximal end portions which are located on an posterior side of the femoral component and an anterior proximal end portion (10) which is located on an anterior side of the femoral component (2). The femoral component (2) further comprises a medial condyle (13) and a lateral condyle (14) which each extend from one of the posterior proximal end portions beyond the distal portions and towards the anterior proximal end portion (10) of the femoral component (2). The medial and lateral condyles (13, 14) form a condylar gap between each other, wherein the medial condyle (13) and the lateral condyle (14) are shaped to articulate with the tibial bearing component through a range of motion, in which a full extension of the knee prosthesis corresponds to zero degrees flexion of the knee prosthesis and positive flexion corresponds to greater than zero degrees flexion of the knee prosthesis. The femoral component (2) further comprises a sagittal plane extending in a proximal/distal direction and further extending through the condylar gap from the anterior side to the posterior side of the femoral component (2). A patellar groove (16) extends from the condylar gap towards the anterior proximal end portion (10) of the femoral component (2) along a mathematical curve (17). The mathematical curve (17), when looking onto the anterior side of the femoral component, is canted towards a medial side (18) of the femoral component (2) relative to the sagittal plane when the patellar groove (16) extends proximally. The patellar groove (16) is formed by a concave groove section (19) on the anterior side of the femoral component (2), the groove section (19) having a groove base (20). The femoral component (2) further comprises a medial ridge section (21) and a lateral ridge section (22) which are disposed adjacent the groove section (19) and each have a convex shape. The medial ridge section (21) forms the medial condyle (13) and a medial extension (23) to the medial condyle (13) towards the a

Methods are disclosed for designing a tibial implant to minimize cortical impingement of a keel or other fixation structure when the tibial implant is implanted in the tibia bone. The design of the keel or other fixation structure on the tibial baseplate can be based on determining a common area between defined cancellous regions of at least two tibia bones. Methods are disclosed for designing a femoral component having a stem extension such that the stem can be sufficiently placed in the diaphysis of the femur when the femoral component is implanted. The method includes determining a canal axis in a femur that creates adequate engagement between a reamer and the diaphysis of the femur.

According to one example, a femoral prosthesis system is provided that has a plurality of sizing options using two families of femoral prostheses is disclosed. The second family of femoral prostheses can have a predetermined increase in femoral posterior condylar offset relative to the first family of femoral prosthesis. In one example, the second family of femoral prostheses can have the predetermined increase in the femoral posterior condylar offset while maintaining substantially a same femoral medial-lateral condylar extent relative to a comparably sized one of the first family of femoral prostheses.

A joint prosthesis system includes a femoral component that has an articular side, a bone facing side, and medial and lateral condylar portions. The medial and lateral condylar portions at least partially define an intercondylar recess located therebetween and have a first concave surface extending in a mediolateral direction across the medial and lateral condylar portions. A first modular component has a second concave surface and is connectable to the femoral component such that, when the first modular component is connected to the femoral component, the first and second concave surfaces come together to form a transverse opening extending in the mediolateral direction. A first tibial assembly has a baseplate component and a head extending therefrom. The head defines an axle opening that extends therethrough. An axle is configured to be received within the transverse opening and axle opening so as to connect the tibial assembly to the femoral component.

The invention relates to an implant with a shank which is insertible into a bone cavity, which shank is made of a plastic, in particular of a bioincompatible plastic, and defines at least one bone contact face, wherein the bone contact face is provided or coated with a first biocompatible bone contact layer or bears a biocompatible bone contact layer, wherein the shank of the implant is intended to be anchored in the bone cavity without bone cement and wherein the first bone contact layer is formed entirely closed.