A system and method for forming a hip implant offering minimal invasiveness is described. The system comprises means for positioning the implant under optical and X-ray control, an implant and an applicator for screwing and expanding the implant. The implant includes an insert body and an expansion tube with cut-outs and slits defining legs. The legs expand radially through windows in the insert body when the expansion tube is pushed against the sloped distal portion of the insert body. The expansion process may be ensured by using an anti-rotation device to prevent the insertion tube from rotating within the insert body. Applicator and implant are provided with means preventing cold welding during the implantation process.

A minimally invasive surgical procedure for replacing a hip joint is provided. A main incision is initiated at a point being a projection of a tip of a greater trochanter and extends proximally about a distance in the range of from 1 cm to 8 cm in line with the femoral axis. An inline capsulotomy is performed, while keeping muscles and posterior capsule intact, to expose the hip joint capsule for accessing the hip joint. The femoral canal is prepared for receipt of a femoral implant. The femoral head is resected and removed out of the acetabulum. A step of acetabular preparation is performed using a retractor comprising two tip rails, each tip rail having a plurality of tines. Related tools, devices, systems and methods are also provided.

Various exemplary methods, systems, and devices for blood flow are provided. In general, an implant can be configured to be implanted in bone and to delay clotting of blood flowing from the bone. The implant can include an anti-coagulation agent to delay the clotting of the blood. The anti-coagulation agent can be a coating on the implant, can be natural to a material forming the implant, or can be impregnated into a material forming the implant. In an exemplary embodiment, the implant is implanted in a bone in a surgical procedure for securing a soft tissue to bone, such as a rotator cuff repair procedure or an anterior cruciate ligament (ACL) repair procedure.

A device having a bone screw with a body, an outer thread and a proximal screw head. A fluid-permeable conduit is disposed in the body, begins at the head and opens out into a fluid outlet opening that is spaced apart from the head in the distal direction. An axial groove extends from the fluid outlet opening to the screw head. The base of the groove is deeper than the base of the outer thread. A cap detachably connects with the screw head, in which a fluid-permeable conduit is disposed, which opens out into the conduit of the bone screw. A hose for feeding fluid is connected or connectable in a fluid-permeable manner with the inlet opening on the cap so that a pharmaceutical fluid is pressable out of the fluid outlet opening through the hose, through the conduit of the cap and through the conduit of the bone screw.

A surgical implant assembly includes a surgical implant, a bone plate, and fixation devices. The surgical implant includes a top surface, a bottom surface disposed in opposed relation relative to the top surface, first and second surfaces interconnecting the top and bottom surfaces, and a front surface. First ends of the first and second side surfaces define a back surface extending across a first end of the surgical implant, and the front surface extends across a second end of the surgical implant and interconnects second ends of the first and second side surfaces. At least one cavity is defined in the surgical implant. The bone plate includes an elongate body extending between first and second end portions. The elongate body is positionable adjacent the front surface of the surgical implant. The fixation devices are configured to secure the surgical implant or the bone plate to osseous tissue.

A bone fastener includes a screw shaft having a proximal portion and a distal portion. The proximal portion is formed by a first manufacturing method and defines a distal face. The distal portion is formed onto the distal face by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

A disposable device for treatment of infections of human limbs, particularly limbs having long bones susceptible to stabilization by intramedullary nailing. The device includes a tubular member made of a relatively rigid and biologically compatible material, having pores for impregnation with drugs or medicaments for infection treatment prior to or during insertion thereof in the stabilization site. An assembly for treatment of human limb infections including such device.

A bone fastener includes a screw shaft having a proximal portion and a distal portion. The proximal portion is formed by a first manufacturing method and defines a distal face. The distal portion is formed onto the distal face by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

A system and method for sharing and absorbing energy between body parts. In one particular aspect, the system facilitates absorbing energy between members forming a joint such as between articulating bones.

The invention provides a drug-releasing implant, comprises the implant for fixing the surgical site, said implant is provided with the drug cavity for storing drug, said drug cavity is filled with liquid drug; said implant is further provided with micro pipeline, the micro pipeline passes through the drug cavity and the surface of the implant, the drug in the drug cavity is slowly released to the surgical site through the micro pipeline. The implant can effectively fix the bone at the surgical site (fracture site), after the surgery is completed, the drug set in implant's drug cavity slowly releases to the fracture site through micro pipeline, achieve local application of drug and reduce oral medication, so that decrease the fracture patients' medical expenses and psychological stresses, improve the utility of the device.