Devices and methods for orthopedic support are disclosed. The device can have a first rigid section hingedly attached to a second rigid section. The device can be curved or rotated around obstructions along an access path to a target site. The device can be delivered to an intervertebral location in a patient.

A method for controlling generation of biologically desirable voids in a composition placed in proximity to bone or other tissue in a patient by selecting at least one water-soluble inorganic material having a desired particle size and solubility, and mixing the water-soluble inorganic material with at least one poorly-water-soluble or biodegradable matrix material. The matrix material, after it is mixed with the water-soluble inorganic material, is placed into the patient in proximity to tissue so that the water-soluble inorganic material dissolves at a predetermined rate to generate biologically desirable voids in the matrix material into which bone or other tissue can then grow.

The present invention relates to a medical implant for cartilage and/or bone repair at an articulating surface of a joint. The implant comprises a contoured implant body and at least one extending post. The implant body has an articulating surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint, where the said articulating and bone contact surfaces face mutually opposite directions and said bone contact surface is provided with the extending post. A cartilage contact surface connects the articulating and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The articulating surface has a layer that consists of titanium nitride (TiN) as the wear-resistant material. The cartilage contact surface has a coating that substantially consists of a material having chondrointegration properties.

A prosthesis for a synovial joint arthroplasty within a human body is provided. The prosthesis includes a first prosthetic component, the first prosthetic component including a first surface and the first prosthetic component being formed of a copolymer elastomer compound, the copolymer elastomer compound including a thermoplastic elastomer, a plurality of long glass fibers, the long glass fibers being randomly dispersed throughout the thermoplastic elastomer, a number of the plurality of long glass fibers protruding outward from the first surface of the first prosthetic component and a plurality of beads, the beads being randomly dispersed throughout the thermoplastic elastomer, a number of the plurality of beads protruding outward from the first surface of the first prosthetic component; a second prosthetic component, the second prosthetic component including a second surface, the second surface of the second prosthetic component positioned proximate the first surface of the first prosthetic component to engage the plurality of long glass fibers protruding from the first surface of the first prosthetic component and the plurality of beads protruding from the first surface of the first prosthetic component allowing the second surface of the second prosthetic component to slide relative to the first surface of first prosthetic component while contacting the plurality of long glass fibers protruding outward from the first surface of the first prosthetic component and the plurality of beads protruding outward from the first surface of the first prosthetic component, a gap, the gap created by the voids between the second surface of the second prosthetic component, the first surface of the first prosthetic component and the plurality of long glass fibers that protrude outward from the first surface of the first prosthetic component and between the second surface of the second prosthetic component, the first surface of the first prosthetic component and the plurality of beads that protrude outward from the first surface of the first prosthetic component, the gap further disposed between the first surface of the first prosthetic component and the second surface of the second prosthetic component to allow the passage of fluid between the first surface of the first prosthetic component and the second surface of the second prosthetic component, a first trough, the first trough formed as the plurality of long glass fibers protruding outward from the first surface are forced into the thermoplastic elastomer as the prosthesis is loaded, the first trough positioned proximate the plurality of long glass fibers and extending a perimeter of the plurality of long glass fib

A medical implant for cartilage repair at an articulating surface of a joint. The implant includes an implant body and at least one extending post. The implant body has an articulate surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint. A cartilage contact surface connects the articulate and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The cartilage contact surface has a coating that includes bioactive material.

An implant having a unitary body includes an intramedullary portion and an extramedullary portion. The intramedullary portion is sized and structured to be received within an intramedullary canal of a first bone and defines a longitudinal axis. The extramedullary portion includes a surface defining an axis that is disposed at an angle with respect to the longitudinal axis. An aperture defined along the extramedullary portion is sized and configured to receive a fastener therein for coupling the extramedullary portion of the implant to a second bone.

A surface-treated intervertebral fusion cage is provided, including a main body and a porous structure portion. The porous structure portion is arranged at the corresponding position of the upper and lower parts of the main body. The surface-treated intervertebral fusion cage can improve the biocompatibility, and the surface etching and thermal treatment can increase the coating coverage and increase the mechanical toughness of the cage of the present invention.

A medical implant for cartilage repair at an articulating surface of a joint includes a contoured, substantially plate shaped, implant body and at least one extending post. The implant body has an articulate surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint, where the articulate and bone contact surfaces face mutually opposite directions and the bone contact surface is provided with the extending post. A cartilage contact surface connects the articulate and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The cartilage contact surface has a coating that substantially only includes a bioactive material.

A reduced pressure delivery system for applying reduced pressure tissue treatment to a tissue site is provided. The system includes a manifold delivery tube and a balloon having an inner space. The balloon is capable of assuming collapsed and expanded positions. The system further includes a manifold having a plurality of flow channels. The manifold is disposed within the inner space of the balloon. A sharp tip is configured to be delivered within the manifold delivery tube to puncture the balloon.

Systems, methods, and apparatuses are provided for delivering reduced pressure to a subcutaneous tissue site, such as a bone tissue site. In one instance, a manifold for providing reduced pressure to a subcutaneous tissue includes a longitudinal manifold body formed with at least one purging lumen and a reduced-pressure lumen. The manifold further includes a plurality of manifolding surface features or slits formed on the second, tissue-facing side of the longitudinal manifold body and a plurality of apertures formed in the longitudinal manifold body on the second, tissue-facing side. The plurality of apertures fluidly couple the reduced-pressure lumen and the manifolding surface features or slits. The manifold further includes an end cap fluidly coupling the reduced-pressure lumen and the at least one purging lumen. Other systems, apparatuses, and methods are presented.