A bone joint repair and replacement assembly. A first portion comprising a bone plate is configured to attach to a distal or proximal end of a bone proximate the joint, generally coaxially with an axis defined by the bone. A second portion comprising an articular surface is configured to attach to the first portion, generally normal with respect to the axis, and inserted into the joint. Although versions of the assembly can be configured for use with several different pivotal joints, the invention is particularly suitable for full or partial replacement of an elbow, wherein the articular surface is pivotally attached to the first portion. Another embodiment of the invention is provided to repair a fractured bone head proximate the joint, and still another embodiment of the invention is provided to repair rotator cuff-related shoulder injuries.

A prosthesis assembly is provided that includes a base member that has a helical structure and one or more pathways. The helical structure extends between a first end and a second end. The pathway is accessible from the second end and is directed toward the first end through the helical structure. The pathway is located inward of an outer periphery of the helical structure, e.g., adjacent to an inner periphery of the helical structure. The pathway extends in a space between successive portions of the helical structure. The prosthesis assembly includes a locking device that has a support member and an arm that projects away from the support member. The arm is configured to be disposed in the pathway when the support member is disposed adjacent to the second end of the base member. The arm is disposed through bone in the space between successive portions of the helical structure when the prosthesis assembly is implanted.

Provided is a method of manufacturing a prosthesis for a fractured long bone of a patient, the method including the steps of: A) providing data representative of the fractured long bone in a patient; B) based on said data, designing the prosthesis specifically to the patient, the prosthesis including a stem part that is configured to secure fragment(s) of the fractured long bone at chosen securing position(s) that will apply chosen mechanical stress onto the bone fragments and reduce the risk of osteonecrosis of the bone fragments.

Stemless components and fracture stems for joint arthroplasty, such as shoulder arthroplasty, are disclosed. Also, methods and devices are disclosed for the optimization of shoulder arthroplasty component design through the use of medical imaging data, such as computed tomography scan data.

A prosthesis assembly is provided that includes a base member that has a helical structure and one or more pathways. The helical structure extends between a first end and a second end. The pathway is accessible from the second end and is directed toward the first end through the helical structure. The pathway is located inward of an outer periphery of the helical structure, e.g., adjacent to an inner periphery of the helical structure. The pathway extends in a space between successive portions of the helical structure. The prosthesis assembly includes a locking device that has a support member and an arm that projects away from the support member. The arm is configured to be disposed in the pathway when the support member is disposed adjacent to the second end of the base member. The arm is disposed through bone in the space between successive portions of the helical structure when the prosthesis assembly is implanted.

Stemless components and fracture stems for joint arthroplasty, such as shoulder arthroplasty, are disclosed. Also, methods and devices are disclosed for the optimization of shoulder arthroplasty component design through the use of medical imaging data, such as computed tomography scan data.

A stemless prosthetic shoulder joint may include a prosthetic humeral head and a stemless base. The stemless base may include a collar and an anchor extending from the collar intended to anchor the base into the proximal humerus. The anchor may include various features to enhance the fixation of the base, including hooks, threads, and/or expandable members that may be transitioned from a contracted insertion condition to an expanded implanted condition once the base is positioned in the bone. The anchor and/or collar may also include additional features to enhance fixation, such as geometries and surface features to enhance fixation to bone. The anchor may include a plurality of chisel slots to facilitate removal of bone during a revision surgery.

A humeral implant system, for example, includes an implant and a cutting guide system. The implant is a spherical wedge having an elongated curved upper surface having a first edge and a spaced apart second edge, a first surface having a curved upper edge joined to the first edge of the elongated curved upper surface, and a second surface having a curved upper edge joined to the second edge of the elongated curved upper surface. A lower edge of the first surface is joined to a lower edge of the second surface. The first surface and the second surface are disposed at an angle. The cutting system has a body having a first guide and a second guide for resecting a cutout in a humeral head, in which the cutout has a first surface and a second surface corresponding to the first surface and the second surface of the implant.

A shoulder implant system comprising a glenoid implant; a baseplate comprising an implant facing surface to face the glenoid implant; wherein the glenoid implant comprises at least one fixation element configured to engage with at least one fixation element of the baseplate; wherein the at least one fixation element of the glenoid implant comprises a center post having a distal end; wherein the at least one fixation element of the baseplate comprises a center post receptacle; wherein the baseplate comprises an outer periphery; wherein the implant facing surface of the baseplate comprises a channel which extends from the outer periphery of the baseplate to the center post receptacle of the baseplate; and wherein the channel is configured such that, during an assembly of the glenoid implant and the baseplate, the distal end of the post is movable in the channel from the outer periphery of the baseplate to the center post receptacle of the baseplate.

A human shoulder replacement that includes a housing with a narrow bearing articulator that can rotate to achieve the range of motion of a normal shoulder joint. The narrow bearing articulator contains a partially spherical bearing. The narrow bearing articulator fits into a housing that itself is recessed into a cavity cut into the Glenoid Fossa. The housing is typically a short cylindrically shaped receptacle that is screwed into the bone. The bearing has a shaft that passes through a drilled hole in the Humerus. The shaft is bolted at its distal end with a head that can be recessed into the Humerus. A penetrating screw is driven through a plate attached to the Humerus, through the Humerus itself, and through a hole in the shaft in the interior of the Humerus.