Techniques for implantable orthopedic pain management devices are disclosed, including a saddle configured to axially align a top contoured surface to a bone surface and to axially align a bottom contoured surface to another bone surface, and a peripheral protrusion disposed on a peripheral surface of the saddle, the peripheral protrusion being configured to maintain dynamic stability of the saddle between the bone surface and the another bone surface.

Techniques for implantable orthopedic pain management devices are disclosed, including incising an opening in a synovial capsule substantially surrounding a joint, using a first tool to form an enlarged opening in the synovial capsule, determining whether to modify the joint, the joint being modified using a second tool if a bone structure coupled to one or more bones is found within the joint and the bone structure is configured to limit articulation of the one or more bones when an implantable device is inserted into the synovial capsule and the joint, and inserting the implantable device into the synovial capsule through the enlarged opening, the implantable device being inserted into the joint using a third tool.

An implant that couples a first bone and a second bone includes a body that defines a first joint surface, a second joint surface, and a median plane. The first joint surface includes a first central region that articulates with the first bone. The second joint surface includes a second central region that articulates with the second bone, and the second central region is disposed on an opposite side of the median plane of the body relative to the first central region. The first and second central regions correspond to profiles of first and second axial segments, respectively, the first and second axial segments are each one of a cylinder, a cone, and a torus and are centered on first and second axes, respectively, and the first and second axes, as projected on the median plane, are substantially perpendicular to each other. The first joint surface further defines a first peripheral region adjacent the first central region and the first axial segment has a first cross section that has a smaller curvature in the first central region of the first joint surface than in the first peripheral region of the first joint surface.

Techniques for implantable orthopedic pain management devices are disclosed, including incising an opening in a synovial capsule substantially surrounding a joint, using a first tool to form an enlarged opening in the synovial capsule, determining whether to modify the joint, the joint being modified using a second tool if a bone structure coupled to one or more bones is found within the joint and the bone structure is configured to limit articulation of the one or more bones when an implantable device is inserted into the synovial capsule and the joint, and inserting the implantable device into the synovial capsule through the enlarged opening, the implantable device being inserted into the joint using a third tool.

Techniques for implantable orthopedic pain management devices are disclosed, including a saddle configured to axially align a top contoured surface to a bone surface and to axially align a bottom contoured surface to another bone surface, and a peripheral protrusion disposed on a peripheral surface of the saddle, the peripheral protrusion being configured to maintain dynamic stability of the saddle between the bone surface and the another bone surface.

A method of suturing a surgical site after implantation, in a carpometacarpal joint of a hand of a patient, of an implant assembly including a first implant having a first suture and a second suture secured to the first implant via a double-loop configuration, the first suture including a first and second suture ends, the second suture including third and fourth suture ends, the surgical site including a capsular flap substantially C-shaped and attached to a trapezial side of the hand, the method including: extending the first and third suture ends in first and second directions across the implant assembly and through first and second punctures, respectively, in the capsular flap; and extending the second and fourth suture ends through the second and first punctures, respectively, where the second and fourth suture ends do not cross over one another or any other suture end.

A trapezium implant for replacing the distal articular surface of the trapezium at the carpo-metacarpal joint of the thumb by press fit insertion into a prepared channel in a target trapezium, and an insertion guide system and method for inserting the implant. The implant has a saddle-shaped articular surface configured to articulate with a natural existing base of a first metacarpal, articular surface features mimicking natural trapezium bone anatomy and preserving two centers of rotation of the carpo-metacarpal joint, and a single keel extending from a mounting surface and configured to embed the implant into the thickest area of the target trapezium. The single keel minimizes damage to the trapezium and improves surgical implantation. The target trapezium is prepared using an implant insertion guide system including at least one cutting guide and a slot guide, each of which is releasably securable and configured to receive a cutting device.