Arthroplasty components include an articular surface and a bone-facing surface. In some examples, the bone-facing surface bears at least one anchoring element adapted for an oblique implantation trajectory. The anchoring element includes a reinforcement plate, a dowel, and surface features. Each surface feature resists forces acting along a different direction. In other examples, the bone-facing surface bears anchoring elements that deform along the primary or longest axis of the anchoring element during insertion. In yet other examples, the bone-facing surface is enlarged relative to the articular surface so that at least a portion of the perimeter of the articular surface is circumscribed by the perimeter of the bone-facing surface.

A drill guide includes a working portion and a shaft, with a joint formed between the working portion and the shaft so that the shaft is movable relative to the working portion about the joint. The working portion includes at least one drill guide hole which receives a drill for making a hole in a bone. The joint isolates the working portion from unintentional movements of the shaft so that the working portion remains stable against a bone surface. The joint also enables the shaft to be used as a retractor or pry bar against surrounding anatomical structures if desired. The drill guide may be included in a system with an implant component and/or other surgical instruments.

Low profile offset reamers include reamer heads with outer diameters that are substantially greater than the overall height of the working portion, which includes the reamer head, a reamer coupler, and a working tip that supports the reamer head and reamer coupler. The overall height is measured parallel to the rotational axis of the reamer head, and the outer diameter is measured perpendicular to the rotational axis.

A method of performing an arthroplasty procedure on a shoulder that includes the following steps, among others. A step of accessing a posterior aspect of the humeral head. A step of cutting the humeral head in a posterior-to-anterior direction so as to form a resected bone surface. A step of cutting at least one channel into the resected bone surface and through a posterior aspect of the humeral cortex, the at least one channel extending in a posterior-anterior direction. A step of attaching a first component including a base plate of a joint replacement system to the resected bone surface, the base plate including at least one fin that is received within the at least one channel. A step of attaching a second component of the joint replacement system to the base plate.

A glenoid implant for reverse shoulder prosthesis, having a base for anchoring the implant to a bone formed by a rod configured to extend through the thickness of the bone from a glenoid fossa, the rod including through-holes, and by screws for anchoring the rod configured to cross radially the rod, via the through-holes, and the bone, when the glenoid implant is implanted on the bone.

Systems and methods for modifying a shoulder joint configuration exhibiting wear that take into account resultant of forces responsible for the wear of the glenoid surface from geometric characteristics of wear.

The present technology relates generally to devices and methods for arthroplasty procedures. In some embodiments, for example, a device is disclosed for use during an arthroplasty procedure of a joint of a patient, the joint extending between a first joint end of a first bone and an abutting second joint end of a second bone of the patient. The device includes an end plate configured and arranged for disposing over the first joint end of the first bone, a longitudinal plate extending from the end plate and configured and arranged for disposing along a medial, longitudinal surface of the first bone, and a stem extending from the end plate and suitable for extending along an intra-medullary canal of the first bone. When installed, at least one fastener extends at least partially through the first bone and couples the longitudinal plate to the first bone.

This set (J) comprises glenoid components (S1, S2, M1, M2, L1, L2) that each include a body (S1.1, S2.1, M1.1, M2.1, L1.1, L2.1) defining, on two of its opposite faces, respectively, a joint surface (S1.2, S2.2, M1.2, M2.2, L1.2, L2.2), intended to cooperate with a humeral head, and a bearing surface (S1.3, S2.3, M1.3, M2.3, L1.3, L2.3) bearing against the socket of a shoulder blade. In this set, the glenoid components are provided in several different sizes (S, M, L), respectively defined by the dimensions of the joint surface of their body. At least two glenoid components (S1 and S2, M1 and M2, L1 and L2) of which the bearing surfaces (S1.3 and S2.3, M1.3 and M2.3, L1.3 and L2.3) respectively have different dimensional geometries are provided so as to allow the surgeon to improve the durability of the mechanical cooperation between the implanted component and the operated socket.

A shoulder prosthesis includes a humeral portion and a scapular portion, each having an osseointegrable component and an articular component. The osseointegrable component in the humeral portion includes a humeral body produced as a semicircular asymmetrical cage having a proximal circular ring base facing the scapular portion and an eccentric distal cylindrical base in opposite position, which are connected by arms having one or more holes for favoring the growth of bone tissue and facilitating anchorage to the bone, the proximal circular ring base being configured to be interchangeably coupled with the articular component for an anatomical prosthesis or a concave insert for a reverse prosthesis. The osseointegrable component in the scapular portion includes a glenoid base-plate of asymmetric form for coupling to an articular component, such as a concave glenoid insert, for an anatomical prosthesis or a glenosphere for a reverse prosthesis.

An intervertebral implant component of an intervertebral implant includes an outer surface for engaging an adjacent vertebra and an inner surface. A keel extends from the outer surface and is designed to be disposed in a slot provided in the adjacent vertebra. This keel extends in a plane which is non-perpendicular to the outer surface; and preferably there are two of the keels extending from the outer surface which are preferably offset laterally from one another. In another embodiment, an anterior shelf is provided at an anterior end of the outer surface, and this anterior shelf extends vertically away from the inner surface in order to help prevent bone growth from the adjacent vertebra towards the inner surface. Further in accordance with disclosed embodiments, various materials, shapes and forms of construction of the component and/or keel provide various benefits.