METHOD AND APPARATUS FOR A PIN APPARATUS

An acetabular guide system for placing a guide pin near an acetabulum, includes a patient specific acetabular guide including an interior surface and an exterior surface, the exterior surface being configured to have a geometry to register within the acetabulum of a specific patient, a first drill insert configured to be received by the guide at a first location, the first drill insert having a first longitudinal bore configured to be received concentrically in a guide bore of the guide, the guide bore extending exterior to the interior surface, a second drill insert configured to be fixed to a boney portion exterior to the acetabulum at a second location a predetermined distance from the first location, the second drill insert forming a second longitudinal bore, and a selectively removable alignment pin configured to be received by at least one of the first longitudinal bore and the second longitudinal bore. 1. An acetabular guide system for placing a guide pin near an acetabulum , comprising:a patient specific acetabular guide including an interior surface and an exterior surface, the exterior surface being configured to have a geometry to register within the acetabulum of a specific patient;a first drill insert configured to be received by the patient specific acetabular guide at a first location, the first drill insert having a first longitudinal bore configured to be received concentrically in a guide bore of the patient specific acetabular guide, the guide bore extending exterior to the interior surface;a second drill insert configured to be fixed to a boney portion exterior to the acetabulum at a second location a predetermined distance from the first location, the second drill insert forming a second longitudinal bore; anda selectively removable alignment pin configured to be received by at least one of the first longitudinal bore and the second longitudinal bore.2. The acetabular guide system of claim 1 , wherein the second drill insert includes a proximal ...

PATIENT-SPECIFIC ACETABULAR ALIGNMENT GUIDES

An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient. 1. An acetabular device comprising: a bone engagement surface having first and second portions, the first portion configured and shaped to be conforming and complementary to an acetabular rim surface of a specific patient and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of the specific patient in accordance with a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from an image scan of the patient; and', 'a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough, wherein the plurality of guiding formations are arranged and configured relative to the periacetabular area based on a pre-operative plan for the patient., 'a patient-specific acetabular alignment guide including217.-. (canceled)18. An acetabular device comprising: a first surface and a second surface opposite to the first surface, the first surface being patient-specific and made to conform to an acetabular rim surface around an acetabulum of a patient in accordance with a three-dimensional image of the acetabulum of the patient;', 'an inner surface configured to allow access to ...

Guide alignment system and method

An orthopedic device includes a patient-specific acetabular guide that can be used for preparing an acetabulum of a patient to receive an acetabular implant and/or placement of an acetabular prosthesis. The acetabular guide has a body with an outer three-dimensional surface configured to match an acetabulum of a specific patient's hip joint designed from data of the patient's hip joint. The acetabular guide can further include a peripheral annular rim.

Modular lateral hip auguments

An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complementary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant.

Patient-specific acetabular alignment guides

An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient.

Patient-specific hip joint devices

An implant for a femoral head of a patient. The implant includes a shell implantable on the femoral head of the patient and correcting a defect of the femoral head. The shell is designed preoperatively to have a patient-specific first surface for articulation with the patient's acetabulum and a patient-specific periphery mateable with a periphery of the defect. The shell caps the defect and the first surface of the shell is continuous to a remaining healthy surface of the femoral head. The defect can be a bone defect, a cartilage defect or a combination thereof.

Method and apparatus for trialing and implanting a modular femoral hip

A modular femoral hip implant trialing system. The system generally includes a proximal body, a fastener, and a fastener retention member. The proximal body includes a proximal bore, a tapered distal bore, and a passageway connecting the proximal bore to the distal bore. The proximal bore, the distal bore, and the passageway are aligned along a first axis. The fastener includes a head in the proximal bore and a stem in the distal bore, the fastener is aligned along the first axis. The fastener retention member is positioned in the proximal bore and is operable to retain at least a portion of the fastener within the proximal bore.

Patient-specific acetabular alignment guides

A method for inserting an acetabular implant into the acetabulum of a patient. The method includes engaging a patient-specific surface of acetabular alignment guide to a complementary rim surface and periacetabular area of a patient. A plurality of alignment pins are inserted through corresponding alignment apertures of the acetabular alignment guide and into the periacetabular area of the patient. The acetabular alignment guide is removed without removing the alignment pins from the patient. An alignment adapter is coupled to an acetabular inserter over the alignment pins and an acetabular implant is implanted using the acetabular inserter.

Method and apparatus for a pin apparatus

An acetabular guide system for placing a guide pin near an acetabulum, includes a patient specific acetabular guide including an interior surface and an exterior surface, the exterior surface being configured to have a geometry to register within the acetabulum of a specific patient, a first drill insert configured to be received by the guide at a first location, the first drill insert having a first longitudinal bore configured to be received concentrically in a guide bore of the guide, the guide bore extending exterior to the interior surface, a second drill insert configured to be fixed to a boney portion exterior to the acetabulum at a second location a predetermined distance from the first location, the second drill insert forming a second longitudinal bore, and a selectively removable alignment pin configured to be received by at least one of the first longitudinal bore and the second longitudinal bore.

MODULAR LATERAL HIP AUGMENTS

An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complementary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant. 117-. (canceled)18. A femoral implant for a hip , comprising: a lateral surface and a medial surface configured to be positioned adjacent to at least the lateral side of the proximal femoral body implant;', 'a projection extending from the medial surface and being configured to mate with a recess formed in the lateral side of the proximal femoral body implant;', 'an aperture extending through the projection such that the aperture is configured to be coaxially aligned with a lateral bore in the proximal femoral body implant; and', 'at least one threaded bore extending from one of the lateral surface or the medial surface, the threaded bore being configured to receive a plate fastener for securing soft tissue to the lateral plate; and, 'a lateral plate having a T-shaped configuration arranged to be coupled to a lateral side of a proximal femoral body implant, the lateral plate comprisingan implant fastener received through the aperture and configured to be threadably secured to the lateral bore, the fastener having a length sufficient to also pass through a portion of the femur for securing the portion of the femur to the lateral plate and the proximal ...

Method and apparatus for implanting a prosthesis

Disclosed is a system for engaging and holding a prosthesis both axially and rotationally relative to an inserter assembly. The inserter assembly can engage an acetabular prosthesis in a selected position, such as axially, with a first portion and then or subsequently engage the acetabular prosthesis with a second portion in a rotationally fixed manner. The acetabular prosthesis can then be inserted into a prepared acetabulum according to a disclosed method with the inserter assembly. The inserter assembly can then be removed from the acetabular prosthesis to allow for reduction of a femur.

Acetabular cup inserter handle

Disclosed is an acetabular positioning and insertion instrument. Additionally, a method of positioning an acetabular prosthesis with an insertion instrument is disclosed. The positioning instrument can include engaging members to contact an acetabular prosthesis and holding it relative to a portion of the instrument for both rotational and positioning of the prosthesis.

Patient-specific acetabular guides and associated instruments

A surgical kit for preparing a joint surface to receive an implant includes a patient-specific guide for a joint surface. The patient-specific guide has a patient-specific surface complementary to a surface of the joint for nesting engagement, and a guiding element oriented along a patient-specific alignment axis. The alignment axis is determined during a preoperative plan of the specific patient for implant alignment. The kit includes a guiding tool couplable to the guiding element of the patient-specific guide and a three-dimensional orientation device removably couplable the guiding tool for intra-operative calibration, such that, after calibration, the orientation device can be removably coupled to a shaft of a surgical instrument to align the shaft along the alignment axis.

PATIENT-SPECIFIC ACETABULAR GUIDES AND ASSOCIATED INSTRUMENTS

A patient-specific acetabular guide can be used for preparing an acetabulum of a patient to receive an acetabular implant. The acetabular guide includes a patient-specific engagement surface designed to be complementary and mateable with a corresponding surface of the patient's pelvic anatomy. The acetabular guide is designed during a pre-operative plan for the patient by a three-dimensional reconstruction of the anatomy of the patient using two-dimensional medical images. The patient-specific engagement surface has a first portion mateable with a portion of the acetabulum of the patient. The acetabular guide includes a guiding element that extends from the acetabular guide opposite to the first portion of engagement surface. The guiding element defines a bore designed to be oriented along an alignment axis for an acetabular implant when the acetabular guide is engaged to the acetabulum.

METHOD AND APPARATUS FOR IMPLANTING A MODULAR FEMORAL HIP

A method of implanting a prosthetic component is disclosed that includes attaching a guide rod to the prosthetic component, removably coupling the guide rod to a shaft extending from a handle, and positioning the prosthetic component in an anatomical feature. The method also includes impacting an impaction portion of the handle and uncoupling the guide rod from the shaft, leaving the guide rod attached to the prosthetic component. The method further includes positioning a reamer over the guide rod to create a reamed opening in the anatomical feature. 1. A method of implanting a modular prosthetic component , comprising:attaching a guide rod to the prosthetic component;removably coupling the guide rod to a shaft extending from a handle;positioning the prosthetic component in an anatomical feature;impacting an impaction portion of the handle; anduncoupling the guide rod from the shaft to remove the shaft, leaving the guide rod attached to the prosthetic component.2. The method of claim 1 , further comprising attaching the guide rod to the prosthetic component by threading the guide rod into the prosthetic component.3. The method of claim 1 , further comprising rotationally fixing the guide rod to the handle.4. The method of claim 3 , further comprising threading the guide rod into the prosthetic component using the handle.5. The method of claim 1 , further comprising impacting the impaction portion of the handle until the prosthetic component is driven to a desired depth in the anatomical feature.6. The method of claim 5 , further comprising using numbered indicia on the shaft to determine when the prosthetic component is driven to the desired depth.7. The method of claim 1 , further comprising impacting a striker plate that is fixed to the shaft to remove the prosthetic component from the anatomical feature when the prosthetic component is misaligned with respect to the anatomical feature.8. The method of claim 1 , further comprising removably coupling the guide rod ...

Method And Apparatus For Trialing And Implanting A Modular Femoral Hip

A modular femoral hip implant trialing system. The system generally includes a proximal body, a fastener, and a fastener retention member. The proximal body includes a proximal bore, a tapered distal bore, and a passageway connecting the proximal bore to the distal bore. The proximal bore, the distal bore, and the passageway are aligned along a first axis. The fastener includes a head in the proximal bore and a stem in the distal bore, the fastener is aligned along the first axis. The fastener retention member is positioned in the proximal bore and is operable to retain at least a portion of the fastener within the proximal bore.

Assembly Tool For Modular Implant And Associated Method

A method of implanting a modular implant having a proximal implant and a distal implant into an anatomic site includes sequentially assembling a plurality of components of an assembly tool on to the proximal and distal implants and holding corresponding tapers of the proximal and distal implants separated by a selected separation distance by the assembly tool. The method also includes impacting the proximal and distal implants to an anatomic depth without changing the separation distance by impacting the assembly tool, and actuating the assembly tool to lock the corresponding tapers of the proximal and distal implants without removing the assembly tool. 1. A method for implanting a modular implant having a proximal implant and a distal implant into an anatomic site , the method comprising:engaging a distal portion of a first coupler to a proximal implant;releasably connecting a handle member over the first coupler;passing a second coupler through the handle member and the first coupler;engaging a distal portion of the second coupler through the proximal implant to a distal implant;engaging a compression member to a proximal portion of the second coupler through the handle member;rotating the compression member to hold corresponding tapers of the proximal and distal implants separated by a selected separation distance;impacting the proximal and distal implants to an anatomic depth by impacting the compression member while holding the tapers separated by the separation distance; androtating the compression member to reduce the separation distance and fully lock the corresponding tapers of the proximal and distal implants without removing the compression member.2. The method of claim 1 , wherein releasably connecting the handle member over the first coupler includes actuating a locking member coupled to the handle member.3. The method of claim 1 , further comprising:engaging an anti-rotation tab of the handle member to a groove of the proximal implant; androtating the ...

Modular Lateral Hip Auguments

An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complementary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant.

Method And Apparatus For Preparing A Proximal Femur

A system for preparing a proximal femur can include a broach that includes a broach body having an anterior side, a posterior side, a lateral side and a medial side. The medial side can have a roughened cutting surface. The lateral side can have a smooth, non-cutting surface. The system can further comprise a cutting scribe assembly and a cutting guide assembly. 1. A system for preparing a proximal femoral implant for a proximal femoral prosthesis , the system comprising:a member configured to be placed in a proximal femur for preparing the proximal femur, the member having at least one notch formed into the member;a shelf body that engages the member for estimating a location of a calcar shelf during trialing;wherein the shelf body is configured to selectively engage the member.2. The system of wherein the shelf body is generally in the form of a U-shape that comprises a first finger claim 1 , a second finger claim 1 , and a central connecting portion.3. The system of wherein the first and second fingers are on opposite ends of the central connecting portion.4. The system of wherein a first protrusion is provided on the first finger and a second protrusion is provided on the second finger to provide a positive locating interaction of the shelf body into that at least one notch.5. The system of wherein the first and second protrusions provide a tactile feedback that the shelf body is positively located in an assembled position with the at least one notch.6. The system of wherein the first and second protrusions provide tactile feedback by slidably translating along the at least one notch followed by positive location of the first and second protrusions and into at least one inset.7. The system of wherein the shelf body is compliant to allow for flexing outwardly of the first and second fingers during slidable translation of the first and second protrusion across opposing surfaces.8. The system of wherein the at least one notch includes a plurality of notches claim 4 ...

Patient-Specific Hip Joint Devices

An implant for a femoral head of a patient. The implant includes a shell implantable on the femoral head of the patient and correcting a defect of the femoral head. The shell is designed preoperatively to have a patient-specific first surface for articulation with the patient's acetabulum and a patient-specific periphery mateable with a periphery of the defect. The shell caps the defect and the first surface of the shell is continuous to a remaining healthy surface of the femoral head. The defect can be a bone defect, a cartilage defect or a combination thereof. 1. An implant for a femoral head , the implant comprising a shell implantable on a femoral head of the patient and configured preoperatively to correct a defect of the femoral head , the shell having a patient-specific first surface for articulation with the patient's acetabulum and a patient-specific periphery mateable with a periphery of the defect , such that the first surface of the shell is continuous to a remaining healthy surface of the femoral head and the shell replaces and corrects the defect.2. The implant of claim 1 , wherein the femoral implant includes a second surface opposite to the first surface and engageable with the femoral head.3. The implant of claim 2 , wherein the second surface is patient-specific.4. The implant of claim 2 , further comprising a fixator for coupling the femoral implant to the femoral head.5. The implant of claim 4 , wherein the fixator is modularly coupled to the shell.6. The implant of claim 1 , where the defect is a bone defect claim 1 , a cartilage defect or a combination thereof.7. The implant of claim 1 , further comprising a resorbable stem extending from the implant for securing the implant to the femoral head.8. An implant for a femoral head claim 1 , the implant comprising:a first surface configured to replace a defective area of a bone defect of the femoral head, the first surface being patient-specific and conforming with the patient's acetabulum for ...

Method And Apparatus To Identify Coordinated Components

A prosthetic system is disclosed that can have a feature for identifying an aspect of the prosthetic member and related instruments. The identification feature can identify cooperating components of the prosthetic system, such as an implant and instruments for use with the implant.

Method And Apparatus For Implanting A Modular Femoral Hip

A method of implanting a prosthetic component is disclosed that includes attaching a guide rod to the prosthetic component, removably coupling the guide rod to a shaft extending from a handle, and positioning the prosthetic component in an anatomical feature. The method also includes impacting an impaction portion of the handle and uncoupling the guide rod from the shaft, leaving the guide rod attached to the prosthetic component. The method further includes positioning a reamer over the guide rod to create a reamed opening in the anatomical feature. 1. An insertion system for implanting a prosthetic component , comprising:a handle including an impaction portion;a shaft extending from and fixed to the handle;a guide rod removably couplable to the shaft, wherein the guide rod is adapted to be rotationally fixed relative to the impaction portion and removably attached to the prosthetic component; anda coupling mechanism adapted to removably couple the guide rod to the shaft.2. The insertion system of claim 1 , wherein the impaction portion includes a first hole extending at least partially therethrough and having an inner hex surface that aligns with an outer hex surface on a proximal end of the guide rod to rotationally fix the guide rod within the impaction portion.3. The insertion system of claim 1 , wherein the coupling mechanism includes a sleeve that captures at least one ball bearing in at least a first hole in the shaft.4. The insertion system of claim 3 , wherein the coupling mechanism further includes at least one pin that extends through the shaft to axially fix the sleeve to the shaft and a biasing member that biases the sleeve relative to at least one end of the shaft.5. The insertion system of claim 3 , wherein the shaft includes a second hole extending axially through the shaft that is adapted to axially receive the guide rod.6. The insertion system of claim 3 , wherein the shaft includes a first rim surface that axially abuts a second rim surface on ...

ACETABULAR CUP INSERTER HANDLE

Disclosed is an acetabular positioning and insertion instrument. Additionally, a method of positioning an acetabular prosthesis with an insertion instrument is disclosed. The positioning instrument can include engaging members to contact an acetabular prosthesis and holding it relative to a portion of the instrument for both rotational and positioning of the prosthesis. 1. A system for positioning an acetabular prosthesis into a subject , comprising:a graspable portion extending from a first end to a second end;a moveable projection extending from the graspable portion;a biasing member contacting a first wall of the graspable portion and a second wall of the moveable projection and biasing the moveable projection to at least a first biased position;a biasing rod interconnected with the moveable projection; andat least one holding finger moveable from a second biased position to an unbiased position, wherein the second biased position is biased away from a central axis of the biasing rod and is biased at least by the biasing rod when the biasing rod is in a rod biasing position.2. The system of claim 1 , further comprising:an impaction surface define by the first end of the graspable portion;wherein the moveable projection is near the second end of the graspable portion.3. The system of claim 1 , further comprising:a tube extending from the second end of the graspable portion;wherein the biasing rod is moveable within the tube.4. The system of claim 3 , wherein the moveable projection and the biasing rod are fixedly interconnected so that movement of the moveable projection moves the biasing rod.5. The system of claim 4 , wherein the biasing member is a resilient member and biases both the moveable projection and the biasing rod in a first direction away from the first end of the graspable portion to the first biased and the rod biasing position.6. The system of claim 3 , wherein the at least one holding finger includes an axis of rotation member that engages a wall ...

Method And Apparatus For Implanting A Prosthesis

Disclosed is a system for engaging a prosthesis and for implanting the same. The system can include a component or plurality of components to engage an acetabular prosthesis in both rotational and axial fixation. A method of using the insertion assembly is also disclosed. In addition, a method of assembling, disassembling, and cleaning the insertion assembly is disclosed. 1. A system to implant a prosthesis into a subject , comprising:a handle member extending from a first end to a second end and defining a through-bore through at least a portion of the handle member;a threaded member extending from a first end to a second end, the threaded member having threads formed at the first end to threadably engage the prosthesis and a slotted region at the second end; anda projection extending into the through-bore formed in the handle member to engage the slotted region to hold the threaded member in the handle member;wherein the slotted region includes a first portion and a second portion separate from the first portion that includes an uninterrupted area defined relative to the threaded member.2. The system of claim 1 , further comprising:a driving member configured to rotate the threaded member about a long axis of the threaded member to both engage the threaded member within the through-bore of the handle member and rotate the threaded member to threadably engage the prosthesis.3. The system of claim 2 , wherein the first portion is discontinuous about the threaded member and includes a double “J” shape slot configuration.4. The system of claim 2 , wherein the first portion that is discontinuous about the threaded member includes a first opening through a first wall defining a walled groove and a second opening through a second wall defining the walled groove;wherein the first wall is spaced apart from the second wall and the first wall is nearer the threaded end than the second wall.5. The system of claim 1 , wherein the first end has an external surface that is keyed ...

Patient-Specific Shoulder Guide

A method for inserting an acetabular implant into the acetabulum of a patient. The method includes engaging a patient-specific surface of acetabular alignment guide to a complementary rim surface and periacetabular area of a patient. A plurality of alignment pins are inserted through corresponding alignment apertures of the acetabular alignment guide and into the periacetabular area of the patient. The acetabular alignment guide is removed without removing the alignment pins from the patient. An alignment adapter is coupled to an acetabular inserter over the alignment pins and an acetabular implant is implanted using the acetabular inserter. 1. A method for inserting an acetabular implant into the acetabulum of a patient , the method comprising:engaging a patient-specific surface of acetabular alignment guide to a complementary rim surface and periacetabular area of a patient;inserting a plurality of alignment pins through corresponding alignment apertures of the acetabular alignment guide and into the periacetabular area of the patient;removing the acetabular alignment guide without removing the alignment pins from the patient;guiding a first alignment adapter coupled to an acetabular inserter over the alignment pins; andimplanting an acetabular implant with the acetabular inserter.2. The method of claim 1 , wherein guiding a first alignment adapter coupled to an acetabular implant inserter over the alignment pins comprises inserting the alignment pins through complementary apertures of the first alignment adapter.3. The method of claim 1 , further comprising:removing the acetabular inserter and the first alignment adapter;guiding a second alignment adapter coupled to an impactor over the alignment pins; andimpacting the acetabular implant with the impactor.4. The method of claim 3 , wherein guiding a second alignment adapter coupled to an impactor over the alignment pins comprises inserting the alignment pins through complementary apertures of the second alignment ...

Patient-Specific Acetabular Guides And Associated Instruments

A surgical kit for preparing a joint surface to receive an implant includes a patient-specific guide for a joint surface. The patient-specific guide has a patient-specific surface complementary to a surface of the joint for nesting engagement, and a guiding element oriented along a patient-specific alignment axis. The alignment axis is determined during a preoperative plan of the specific patient for implant alignment. The kit includes a guiding tool couplable to the guiding element of the patient-specific guide and a three-dimensional orientation device removably couplable the guiding tool for intra-operative calibration, such that, after calibration, the orientation device can be removably coupled to a shaft of a surgical instrument to align the shaft along the alignment axis. 1. A surgical kit for preparing a joint surface to receive an implant , the surgical kit comprising:a patient-specific guide for a joint surface, the patient-specific guide having a patient-specific surface complementary to a surface of the joint for nesting engagement and a guiding element oriented along a patient-specific alignment axis, the alignment axis determined during a preoperative plan of the specific patient for implant alignment;a guiding tool couplable to the guiding element of the patient-specific guide; anda three-dimensional orientation device removably couplable the guiding tool for intra-operative calibration, such that, after calibration, the orientation device can be removably coupled to a shaft of a surgical instrument to align the shaft along the alignment axis.2. The surgical kit of claim 1 , further comprising a reamer orientable along the alignment axis using the orientation device.3. The surgical kit of claim 1 , further comprising an implant inserter orientable along the alignment axis using the orientation device.4. The surgical kit of claim 1 , further comprising a plurality of orientation devices.5. The surgical kit of claim 4 , wherein the orientation devices ...

Method And Apparatus For Implanting A Prosthesis

Disclosed is a system for engaging and holding a prosthesis both axially and rotationally relative to an inserter assembly. The inserter assembly can engage an acetabular prosthesis in a selected position, such as axially, with a first portion and then or subsequently engage the acetabular prosthesis with a second portion in a rotationally fixed manner. The acetabular prosthesis can then be inserted into a prepared acetabulum according to a disclosed method with the inserter assembly. The inserter assembly can then be removed from the acetabular prosthesis to allow for reduction of a femur. 1. A system to position an acetabular prosthesis in a subject , comprising:a rod extending from a first threaded end to a second end;a handle member distinct from the rod and extending from a first end to a second end and defining an internal bore configured to receive at least a portion of the rod;a connection mechanism to interconnect the rod at a first selected position within the bore of the handle member including a locking sleeve and a bearing member configured to be urged into contact with the rod by the locking sleeve;wherein the first threaded end of the rod is configured to be moved between the first selected position and at least a second position.2. The system of claim 1 , wherein the rod has an outer surface that defines a first detent and a second detent spaced apart from the first detent;wherein the bearing member is configured to separately engage both the first detent and the second detent.3. The system of claim 2 , further comprising:a biasing member configured to bias the locking sleeve in a first direction;wherein the locking sleeve defines a ramp surface;wherein when the bearing member is engaging at least one of the first detent or the second detent and the locking sleeve is biased in the first direction the rod is axially fixed relative to the handle member.4. The system of claim 3 , wherein the handle member includes at least an opening through the first ...

Method And Apparatus For Implanting A Modular Femoral Hip

A method of implanting a prosthetic component is disclosed that includes attaching a guide rod to the prosthetic component, removably coupling the guide rod to a shaft extending from a handle, and positioning the prosthetic component in an anatomical feature. The method also includes impacting an impaction portion of the handle and uncoupling the guide rod from the shaft, leaving the guide rod attached to the prosthetic component. The method further includes positioning a reamer over the guide rod to create a reamed opening in the anatomical feature. 1. A method of implanting a prosthetic component , comprising:providing a handle that includes an impaction portion and a shaft extending from the handle;coupling a guide rod to the shaft to at least rotationally fix the guide rod relative to the impaction portion;removably attaching the guide rod to the prosthetic component; anduncoupling the guide rod from the shaft.2. The method of claim 1 , further comprising:providing a first hole extending at least partially through the impaction portion having an inner hex surface that aligns with an outer hex surface on a proximal end of the guide rod to rotationally fix the guide rod within the impaction portion.3. The method of claim 1 , wherein uncoupling the guide rod from the shaft includes providing a sleeve to capture at least one ball bearing in at least a first hole in the shaft.4. The method of claim 3 , wherein uncoupling the guide rod from the shaft includes:providing at least one pin that extends through the shaft to axially fix the sleeve to the shaft; andproviding a biasing member that biases the sleeve relative to an end of the shaft.5. The method of claim 3 , further comprising:providing a second hole extending axially through the shaft to axially receive the guide rod.6. The method of claim 3 , further comprising:providing a first flat annular surface of the shaft that axially abuts a second flat annular surface on the guide rod.7. The method of claim 6 , ...

PATIENT-SPECIFIC ACETABULAR GUIDES AND ASSOCIATED INSTRUMENTS

A patient-specific acetabular guide can be used for preparing an acetabulum of a patient to receive an acetabular implant. The acetabular guide includes a patient-specific engagement surface designed to be complementary and mateable with a corresponding surface of the patient's pelvic anatomy. The acetabular guide is designed during a pre-operative plan for the patient by a three-dimensional reconstruction of the anatomy of the patient using two-dimensional medical images. The patient-specific engagement surface has a first portion mateable with a portion of the acetabulum of the patient. The acetabular guide includes a guiding element that extends from the acetabular guide opposite to the first portion of engagement surface. The guiding element defines a bore designed to be oriented along an alignment axis for an acetabular implant when the acetabular guide is engaged to the acetabulum. 1engaging an acetabular area of the patient with a complementary surface of a patient-specific acetabular guide;supporting an alignment rod on a support device attached to the patient's pelvis;orienting the alignment rod to be parallel to an alignment axis for inserting the acetabular implant, the alignment axis determined during a preoperative plan of the patient and coinciding with a center axis of a guiding element of the acetabular guide;drilling a pilot hole in the acetabulum through a bore of the guiding element along the center axis;removing the acetabular guide;guiding an alignment pin of a reamer in the pilot hole such that the alignment pin is parallel to the alignment rod; andreaming the acetabulum.. A method for reaming and preparing an acetabulum of a patient for an acetabular implant, the method comprising: This application claims the benefit of provisional application 61/446,660, filed Feb. 25, 2011.This application is a continuation-in-part of U.S. application Ser. No. 12/973,214, filed Dec. 20, 2010, which is a continuation-in-part of U.S. application Ser. No. 12/ ...

Method And Apparatus For Driving A Member

A method and tool for driving a bit. The tool includes a handle extending along a longitudinal axis between a first end and a second end. The handle can be in a first configuration to provide a first drive ration. In a second configuration, such as a T-shaped configuration, a gear assembly can be disengaged to provide a second drive ratio for the bit driving system.

Modular Lateral Hip Auguments

An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complementary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant. 1. An implant for a hip , comprising: a first surface and a second surface opposite the first surface;', 'a projection extending from the second surface and having a shape adapted to mate with a complementary shaped recess formed in the lateral side of the proximal femoral body implant;', 'an aperture extending through the projection such that the aperture is adapted to be coaxially aligned with a lateral bore in the femoral body implant; and, 'a lateral plate adapted to be coupled to a lateral side of a femoral body implant, the lateral plate comprisingone or more threaded bores extending from one of the first surface and the second surface, each of the threaded bores being configured to receive a plate fastener for securing soft tissue to the one of the first surface and the second surface; andan implant fastener received through the aperture and adapted to be threadably secured to the lateral bore.2. The implant of claim 1 , wherein the projection includes a tapered cylindrical portion and the recess in the femoral body implant includes a complementary shaped tapered counterbore adapted to receive the tapered portion in a press fit configuration.3. ...

Method And Apparatus For Preparing An Implantation Site

A bone preparation system, such as a broach, includes at least a first member and a second member. The first member and the second member may be connected. Both the first member and the second member, when attached to the first member, are configured to directly contact and broach an anatomy. 1. A system to broach an anatomy , the system comprising:a first member having a first length extending between a first end and a second end;a cutting portion formed along at least a portion of the first length of the first member;a first connection portion having a second length extending from the second end of the first member to a terminal end, the first connection portion further having a first attachment portion and a second attachment portion, each of the first attachment portion and the second attachment portion is configured to engage a modular extension member in a first configuration, the modular extension member is configured to be driven directly into a bone of the anatomy in the first configuration;wherein the first connection portion is configured to be driven directly into a bone of the anatomy in a second configuration and the cutting portion is configured to prepare the bone for an implant.2. The system of claim 1 , further comprising:the modular extension member that includes a third length extending between a third end of the modular extension member and a fourth end of the modular extension member,wherein the first attachment portion includes a first threaded portion,wherein the modular extension member includes a second threaded portion configured to threadably engage the first threaded portion of the first member in the first configuration.3. The system of claim 2 , wherein the extension member further includes a bore extending along a fourth length from the third end to a bore terminal end claim 2 , the second threaded portion is disposed within the bore near the third end and extends partially along the fourth length towards the bore terminal end.4. The ...

Method And Apparatus For Preparing An Implantation Site

A bone preparation system, such as a broach, includes at least a first member and a second member. The first member and the second member may be connected. Both the first member and the second member, when attached to the first member, are configured to directly contact and broach an anatomy. 1. An assembly to broach an anatomy , comprising:a first member extending from a first end to a second end;a first member cutting portion formed along at least a portion of a length of the first member between the first end and the second end;a connection portion extending from the second end, the connection portion extending from the second end to a connection member terminal end;wherein the connection member terminal end is tapered relative to a connection member proximal end adjacent to the second end of the first member;wherein the first member cutting portion is configured to prepare the anatomy for an implant.2. The assembly of claim 1 , further comprising:a broach extension member having an extension member cutting portion;wherein the broach extension member is configured to connect to the connection portion of the first member.3. The assembly of claim 2 , wherein the connection member includes an external thread and the broach extension member has an internal thread claim 2 , wherein the external thread and the internal thread interact to connect the broach extension member to the first member.4. The assembly of claim 2 , wherein the first member cutting portion and the extension member cutting portion cooperate to form a single cutting configuration of the connected first member and the broach extension member.5. The assembly of claim 4 , wherein the first member is tapered from the first end to the second end.6. The assembly of claim 4 , wherein a first member external perimeter of the first member at the second end is substantially equivalent to a broach extension member external perimeter of the broach extension member.7. The assembly of claim 1 , wherein the ...

Instrument Case

A surgical instrument tray assembly according to the principles of the present disclosure includes an outer case, an inner tray, and a handle. The inner tray is configured to fit within the outer case and is releasably attached to the outer case. The handle is securely coupled to the inner tray such that the surgical instrument tray assembly, including the outer case and the inner tray, is transportable with a single hand by engaging the handle. 1. A surgical instrument tray assembly , comprising:an outer case having an open top;an inner tray configured to fit entirely within an interior of the outer case, the inner tray being releasably attached to the outer case;a case lid configured to at least partially cover the open top of the outer case, the case lid being releasably attached to the outer case; anda first handle hinged to the inner tray and configured to extend through the case lid when the case lid is releasably attached to the outer case such that the surgical instrument tray assembly, including the outer case and the inner tray, is transportable with a single hand by engaging the first handle.2. The surgical instrument tray assembly of claim 1 , wherein the first handle is coupled to the center of the inner tray.3. (canceled)4. The surgical instrument tray assembly of claim 1 , wherein the first handle is attached to an inner surface of a closed bottom of the inner tray.5. The surgical instrument tray assembly of claim 4 , wherein the first handle is configured to extend away from the closed bottom and beyond an open top of the inner tray.6. The surgical instrument tray assembly of claim 1 , wherein the case lid defines an opening and the first handle extends through the opening when the inner tray is disposed within the outer case and the case lid is placed over the open top of the outer case.710-. (canceled)11. A surgical instrument tray assembly claim 1 , comprising:an outer case having a closed bottom and an open top;an inner tray configured to fit ...

Guide Assembly For Lateral Implants And Associated Methods

A method for use in guiding a lateral fastener into a lateral bore of a femoral body implant. The method can use an outrigger having an arm portion, a leg portion that extends from the arm portion, and an alignment tube that extends from the leg portion. The method can further use a support pad and an adjustable shaft member that couples to the support pad and the leg portion. A shaft member can be adjustably maintained in a position relative to the leg portion by a quick-release system. 1. A method for positioning a femoral body implant , comprising:providing a guide assembly having an outrigger with an arm portion, a leg portion, a support pad coupled to the leg portion, and an alignment tube extending from the leg portion;coupling a medial end of the outrigger arm portion to a proximal femoral body implanted in a femur such that the alignment tube is coaxial with a lateral bore in the proximal femoral body implant;positioning an implantable support plate adjacent to at least a portion of a lateral side of the femur;advancing an alignment sleeve against the support plate and tightening to a desired compression;forming a bore in the femur coaxial with the lateral bore of the proximal femoral body implant by advancing a drill through the alignment tube until a stop member engages a first end of the alignment tube;engaging the support pad against a side of the support plate opposite the femur by moving a clamp member to a release position and advancing the support pad relative to the leg portion and into engagement with the support plate; andinserting a lateral fastener with a selected length through the support pad and implantable support plate and into threaded engagement with the lateral bore of the proximal femoral body implant.2. The method of claim 1 , further comprising:determining the selected length of the lateral fastener by determining a position of a marker on the alignment sleeve relative to one of a plurality of indicia on the alignment tube, wherein ...

PATIENT-SPECIFIC ACETABULAR ALIGNMENT GUIDES

An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient. 120.-. (canceled)21. A method for inserting an acetabular implant into an acetabulum of a patient , the method comprising:engaging a patient-specific side of an acetabular alignment guide to a complementary rim surface and periacetabular area of a pelvis outside the acetabulum of the patient;inserting a plurality of alignment pins through corresponding alignment apertures of the acetabular alignment guide and into the periacetabular area of the pelvis outside the acetabulum of the patient;removing the acetabular alignment guide without removing the plurality of alignment pins from the periacetabular area of the pelvis of the patient;coupling an acetabular instrument to a patient-specific alignment adapter having a plurality of openings located at patient-specific locations, each of the plurality of openings configured to align with one of the plurality of alignment pins; andguiding the patient-specific alignment adapter along the plurality of alignment pins to engage the acetabular instrument with the acetabulum.22. The method of claim 21 , wherein engagement of the acetabular instrument with the acetabulum comprises reaming the acetabulum with a reamer.23. The method of claim 21 , wherein guiding the patient-specific ...

Guide Alignment System And Method

An orthopedic device includes a patient-specific acetabular guide that can be used for preparing an acetabulum of a patient to receive an acetabular implant and/or placement of an acetabular prosthesis. The acetabular guide has a body with an outer three-dimensional surface configured to match an acetabulum of a specific patient's hip joint designed from data of the patient's hip joint. The acetabular guide can further include a peripheral annular rim. 1. A method of placing a guide pin near an acetabulum with an acetabular guide system , comprising:coupling an inserter to a patient specific acetabular guide via a keyed post, wherein the keyed post is fixed relative to the patient specific acetabular guide;moving the patient specific acetabular guide into the acetabulum;rotating the patient specific acetabular guide relative to the acetabulum with the coupled inserter; anddetermining an alignment of the coupled patient specific acetabular guide with the inserter.2. The method of claim 1 , wherein coupling the inserter to the patient specific acetabular guide via the keyed post includes coupling the inserter in a single predetermined location and orientation relative to the patient specific acetabular guide via the keyed post.3. The method of claim 1 , wherein the keyed post defines a post alignment axis aligned with the patient specific acetabular guide in a single location and orientation.4. The method of claim 3 , wherein rotating the patient specific acetabular guide relative to the acetabulum with the coupled inserter includes rotating the post alignment axis relative to the acetabulum with the coupled inserter.5. The method of claim 1 , wherein determining the alignment of the coupled patient specific acetabular guide with the inserter includes viewing an alignment jig;wherein the alignment jig is associated with the inserter and extends from a shaft of the inserter.6. The method of claim 5 , wherein determining the alignment of the coupled patient specific ...

PATIENT-SPECIFIC HIP JOINT DEVICES

An implant for a femoral head of a patient. The implant includes a shell implantable on the femoral head of the patient and correcting a defect of the femoral head. The shell is designed preoperatively to have a patient-specific first surface for articulation with the patient's acetabulum and a patient-specific periphery mateable with a periphery of the defect. The shell caps the defect and the first surface of the shell is continuous to a remaining healthy surface of the femoral head. The defect can be a bone defect, a cartilage defect or a combination thereof. 120.-. (canceled)21. A method of implanting a femoral implant , the method comprising:removing a defect in a femoral head to define a defect periphery of a removed area in healthy bone;positioning the femoral implant proximate the removed area, the femoral implant having a patient-specific portion and a fixation element;inserting the fixation element into the healthy bone at the removed area; andaligning the patient-specific portion with the defect periphery of the removed area.22. The method of claim 21 , further comprising mating a patient-specific periphery of the patient-specific portion with the defect periphery of the removed area.23. The method of claim 21 , aligning a patient-specific articulating surface of the patient-specific portion with a healthy bone surface surrounding the removed area.24. The method of claim 23 , wherein the patient-specific articulating surface comprises a three-dimensionally curved articulation surface that is configured to replace the defect in the femoral head with a continuation of the healthy bone surface.25. The method of claim 23 , further comprising mating a three-dimensionally curved surface of a patient-specific bone-engaging surface of the patient-specific portion located opposite the patient-specific articulating surface with a correspondingly curved healthy bone surface in the removed area.26. The method of claim 21 , wherein removing the defect in the femoral ...

Patient-specific hip joint devices

A patient-specific acetabular resection guide includes a dome-shaped surface bounded by a periphery. The dome-shaped surface is a three-dimensional patient-specific surface designed to anatomically match and be received into an acetabulum of the patient, based on a three-dimensional image of a hip joint of the patient reconstructed from a medical scan of the hip joint. The resection guide includes a plurality of guiding formations defined on the resection guide and having patient-specific shapes and orientations for guiding corresponding osteotomies relative to the acetabulum for correcting hip dysplasia.

Patient-specific acetabular alignment guides

An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient.

Patient-specific acetabular guides and associated instruments

A method for preparing a joint surface of a patient for an implant, such as, for example, an acetabular implant for a hip joint. According to the method, a patient-specific guide is attached to a complementary joint surface of the patient. The patient-specific guide includes a guiding element oriented along a patient-specific alignment axis. The alignment axis is determined during a preoperative plan of the patient for implant alignment. A shaft of a guiding tool is removably coupled to the guiding element of the guide. A three-dimensional orientation device is removably attached to the shaft of the guiding tool. A position of a bubble of the orientation device is marked with a mark on an outer transparent surface of the orientation device while the guiding tool is oriented along the alignment axis. The marked orientation device can be used for aligning other instruments during the procedure.

Patient-specific alignment guide

An orthopedic apparatus includes an alignment guide attachable to one of a femoral joint surface of a femur of a patient. The alignment guide has a patient-specific three-dimensional engagement surface, and at least one guiding portion defining a guiding passage. The engagement surface anatomically matches a corresponding portion of the femoral joint surface.

Patient-specific acetabular guides and associated instruments

A patient-specific acetabular guide can be used for preparing an acetabulum of a patient to receive an acetabular implant. The acetabular guide includes a patient-specific engagement surface designed to be complementary and mateable with a corresponding surface of the patient's pelvic anatomy. The acetabular guide is designed during a pre-operative plan for the patient by a three-dimensional reconstruction of the anatomy of the patient using two-dimensional medical images. The patient-specific engagement surface has a first portion mateable with a portion of the acetabulum of the patient. The acetabular guide includes a guiding element that extends from the acetabular guide opposite to the first portion of engagement surface. The guiding element defines a bore designed to be oriented along an alignment axis for an acetabular implant when the acetabular guide is engaged to the acetabulum.

Patient-specific acetabular guides and associated instruments

A patient-specific acetabular guide can be used for preparing an acetabulum of a patient to receive an acetabular implant. The acetabular guide includes a patient-specific engagement surface designed to be complementary and mateable with a corresponding surface of the patient's pelvic anatomy. The acetabular guide is designed during a pre-operative plan for the patient by a three-dimensional reconstruction of the anatomy of the patient using two-dimensional medical images. The patient-specific engagement surface has a first portion mateable with a portion of the acetabulum of the patient. The acetabular guide includes a guiding element that extends from the acetabular guide opposite to the first portion of engagement surface. The guiding element defines a bore designed to be oriented along an alignment axis for an acetabular implant when the acetabular guide is engaged to the acetabulum.

Patient-Specific Alignment Guide

An orthopedic apparatus includes an alignment guide attachable to one of a femoral joint surface of a femur of a patient. The alignment guide has a patient-specific three-dimensional engagement surface, and at least one guiding portion defining a guiding passage. The engagement surface anatomically matches a corresponding portion of the femoral joint surface.

Patient-Specific Hip Joint Devices

A patient-specific acetabular resection guide includes a dome-shaped surface bounded by a periphery. The dome-shaped surface is a three-dimensional patient-specific surface designed to anatomically match and be received into an acetabulum of the patient, based on a three-dimensional image of a hip joint of the patient reconstructed from a medical scan of the hip joint. The resection guide includes a plurality of guiding formations defined on the resection guide and having patient-specific shapes and orientations for guiding corresponding osteotomies relative to the acetabulum for correcting hip dysplasia.

Patient-specific acetabular guides and associated instruments

A method for preparing a joint surface of a patient for an implant, such as, for example, an acetabular implant for a hip joint. According to the method, a patient-specific guide is attached to a complementary joint surface of the patient. The patient-specific guide includes a guiding element oriented along a patient-specific alignment axis. The alignment axis is determined during a preoperative plan of the patient for implant alignment. A shaft of a guiding tool is removably coupled to the guiding element of the guide. A three-dimensional orientation device is removably attached to the shaft of the guiding tool. A position of a bubble of the orientation device is marked with a mark on an outer transparent surface of the orientation device while the guiding tool is oriented along the alignment axis. The marked orientation device can be used for aligning other instruments during the procedure.

Patient-specific acetabular alignment guides

An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient.

Patient specific alignment guide

An orthopedic apparatus includes an alignment guide attachable to one of a femoral joint surface of a femur of a patient. The alignment guide has a patient-specific three-dimensional engagement surface, and at least one guiding portion defining a guiding passage. The engagement surface anatomically matches a corresponding portion of the femoral joint surface.

Assembly tool for modular implant and associated method

A method of implanting a modular implant having a proximal implant and a distal implant into an anatomic site includes sequentially assembling a plurality of components of an assembly tool on to the proximal and distal implants and holding corresponding tapers of the proximal and distal implants separated by a selected separation distance by the assembly tool. The method also includes impacting the proximal and distal implants to an anatomic depth without changing the separation distance by impacting the assembly tool, and actuating the assembly tool to lock the corresponding tapers of the proximal and distal implants without removing the assembly tool.

Method and apparatus for trialing and implanting a modular femoral hip

A modular femoral hip implant trialing system. The system generally includes a proximal body, a fastener, and a fastener retention member. The proximal body includes a proximal bore, a tapered distal bore, and a passageway connecting the proximal bore to the distal bore. The proximal bore, the distal bore, and the passageway are aligned along a first axis. The fastener includes a head in the proximal bore and a stem in the distal bore, the fastener is aligned along the first axis. The fastener retention member is positioned in the proximal bore and is operable to retain at least a portion of the fastener within the proximal bore.

Modular lateral hip augments

An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complementary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant.

Method and Apparatus for Preparing a Proximal Femur

A system for preparing a proximal femur can include a broach that includes a broach body having an anterior side, a posterior side, a lateral side and a medial side. The medial side can have a roughened cutting surface. The lateral side can have a smooth, non-cutting surface. The system can further comprise a cutting scribe assembly and a cutting guide assembly.

Acetabular guide system for placing a guide pin

Method and apparatus for preparing a proximal femur

A system for preparing a proximal femur can include a broach that includes a broach body having an anterior side, a posterior side, a lateral side and a medial side. The medial side can have a roughened cutting surface. The lateral side can have a smooth, non-cutting surface. The system can further comprise a cutting scribe assembly and a cutting guide assembly.

Apparatus and method for positioning a prosthesis

According to various embodiments, a multi-use tool may include a member having a first surface and a second surface. The first surface can engage at least one of a shell and/or bearing liner for insertion thereof. The second surface may engage at least one of a shell and/or bearing liner for removal thereof.