A method for removing a stem portion of an orthopedic implant from a bone comprises exposing an implanted orthopedic implant having a body portion, a stem portion interconnected to the body and a porous metal section forming an interconnection between the body and the stem portion. A cutting tool is mounted on a holder connected to an exposed surface of the orthopedic implant. The porous section is aligned with the cutting tool mounted on the holder. The entire porous section is cut by moving the cutting tool therethrough in a direction transverse to the stem portion axis. The implant body portion is then removed and then the stem portion is removed from the bone. The cutting tool may be a saw or chisel which may be mounted on a guide fixed to the body portion.

A surgical apparatus is configured to support at least one bone cut for installation of a prosthetic component. The installed prosthetic component will have reduced alignment error. The surgical apparatus is configured to distract a first compartment to a first predetermined load value while allowing a moving support structure to pivot freely. A distraction lock mechanism is then engaged to prevent movement of a distraction mechanism that raises or lowers the moving support structure relative to a fixed support structure. The moving support structure has M-L tilt angle that is measured. A M-L tilt mechanism is engaged to forcibly equalize the first and second compartments. Engaging the M-L tilt mechanism prevents the moving support structure from freely pivoting. The at least one bone cut relates to the first and second compartments equalized and the M-L tilt angle.

A system is disclosed herein for providing a kinetic assessment and preparation of a prosthetic joint comprising one or more prosthetic components. The system comprises a prosthetic component including sensors and circuitry configured to measure load, position of load, and joint alignment. The system further includes a remote system for receiving, processing, and displaying quantitative measurements from the sensors. The kinetic assessment measures joint alignment under loading that will be similar to that of a final joint installation. The kinetic assessment can use trial or permanent prosthetic components. Furthermore, adjustments can be made to the applied load magnitude, position of load, and joint alignment by various means to fine-tune an installation. The kinetic assessment increases both performance and reliability of the installed joint by reducing error that is introduced by elements that load or modify the joint dynamics not taken into account by prior assessment methods.

A system for irrigating an infected implant area, the system comprising an irrigation tool, and a navigation system for tracking movement of the irrigation tool. The system also includes a processing circuit programmed to determine an area to be irrigated, the irrigation area including at least a surface of an implant and patient tissue, and control the irrigation tool to automatically adjust a speed of a spray of irrigation fluid from the irrigation tool to provide a first speed when debridement is of the surface of the implant and a second speed when the debridement is of the patient tissue.

A implant extractor for removing an implant is provided. The implant extractor includes an extractor head having a laterally extending blade, an intermediate portion adjacent to the blade, and a laterally extending strike plate adjacent to the intermediate portion, the blade including a proximal side for mating with the implant; a shaft having proximal and distal ends, the distal end of the shaft being coupled to the extractor head; and a handle coupled to the proximal end of the shaft.

A system for preparing a femur to receive an implant includes a saw blade positionable in a first saw blade slot of a distal cutting block and operable to form an axial cut surface on the patient's femur. The saw blade carries on a first side thereof nominal A/P sizing indicia that increments negatively from an anterior top of concavity of the medial condyle to a posterior top of concavity of the medial condyle, when the saw blade is positioned on the axial cut surface of the patient's femur. The saw blade also carries nominal M/L sizing indicia on a second, opposing side of the saw blade. An A/P chamfer cutting block is positionable on the axial cut surface of the femur and is coupled to at least one rotational guide that rotationally orients the A/P chamfer cutting block relative to the patient's femur.

A surgical template system for use in working on a bone comprises: a tool guide block comprising at least one guide aperture for receiving and guiding a tool to work on a bone; locating means comprising a plurality of locating members, each member having a respective end surface for positioning against a surface of the bone; and attachment means for non-adjustably attaching the tool guide block to the locating means such that, when attached, the member end surfaces are secured in fixed position with, respect to each other, for engaging different respective portions of the surface of the bone, and the at least one guide aperture is secured in a fixed position with respect to the end surfaces. Corresponding methods of manufacturing a surgical template system, methods of manufacturing locating means for a surgical template system, methods of fitting a prosthesis to a bone, surgical methods, and surgical apparatus are described.

Instruments and components for improving the accuracy of resection of the proximal tibia in a kinematic alignment total knee arthroplasty (“TKA”). Instruments include an adjustable double tibial stylus instrument comprising: a first wide convex stylus tip and a second wide convex stylus tip at a second distal end of the second stylus. The wide convex stylus tips may be fixed components of the adjustable double stylus instrument, or the wide convex stylus tips may be detachable.

A system for preparing a bone for implantation of a component of an orthopedic implant device. The system includes a forming tool having a sleeve member that is selectively received within a handle member. The sleeve member has a guide slot that is sized to receive axial passage of at least a portion of a guide. The guide slot and/or sleeve member may be positioned and/or configured to facilitate at least linear and/or rotational displacement of the forming tool about, or relative to, the guide, and thereby provide a degree of freedom in the location at which the forming tool may form a shape or opening in the bone relative to one or more reference axes. The handle member may include a connection member that is structured to be operably coupled to a bone preparation device that is structured to facilitate the displacement of bone material.

A surgical instrument system for use in a total knee arthroplasty includes a reference block that is attachable to a femur. The reference block has a block front side and a block rear side lying opposite the block front side. At least one compensation element has an element rear side and, lying opposite along the proximal-distal axis, a contact face for contacting a lateral condyle and/or medial condyle. A connection system has at least one connection portion on the reference block. At least one complementary connection portion is disposed on the compensation element. The connection system is configured to releasably attach the compensation element on the block front side. The compensation element in the attached state does not completely cover the block front side. The connection system is configured so that the compensation element is attachable in different positions on the block front side by the connection system.