A targeting guide is disclosed includes a handle extending substantially along a longitudinal axis. The longitudinal handle defines one or more burr holes extending from a first side of the handle to a second side of the handle. A head is coupled to a distal end of the longitudinal handle. The head defines a plurality of guide holes sized and configured to receive a k-wire therethrough.

A system includes a cutting guide and a cutting template. The cutting guide has a body including a plurality of sides that together define a cavity that is accessible via an opening defined by a first side of the plurality of sides. A second side of the plurality of sides defines at least two elongate slots. The second side is disposed adjacent to the first side and at a distance from an opposed third side. Each of the at least two slots is in communication with the cavity and disposed at a different location along the second side. The cutting template has a body defining at least one elongate slot. The cutting template is configured to be engaged with the cutting guide such that the at least one elongate slot of the cutting template aligns with at least one of the at least two elongate slots of the cutting guide.

Implementations described and claimed herein provide a distal leading portion of a composite spinal implant for implantation in a spinal facet joint. In one implementation, the distal leading portion includes a distal leading end, a proximal trailing end, a first face, and a second face. The distal leading end has a distal surface generally opposite a proximal surface of the proximal trailing end. The first face has a first surface that is generally parallel with a second surface of the second face. The first and second faces extend between the distal leading end and the proximal trailing end, such that the first and second surfaces slope upwardly from the distal lead end to the proximal trailing end along a length of extending proximally. The first and second surfaces having one or more textured features adapted to provide friction with the spinal facet joint.

An instrumentation system that includes a reamer sleeve having a reamer wall and a wedge body, the reamer wall being oriented about a central longitudinal axis. The reamer wall includes an inner passage that is sized to receive insertion of a reference instrument that is structured for placement in a canal in a bone. The inner passage can be centrally oriented about a longitudinal axis that is offset from at least the central longitudinal axis of the reamer wall. The wedge body can have a wedge surface that extends axially in a direction that is non-parallel and non-perpendicular to the central longitudinal axis. The apparatus also can include a cap having an opening that is sized to receive insertion of the wedge body. The cap can further include an inner wall having a tapered wall section that is oriented to matingly engage the wedge surface of the wedge body.

A targeting guide is disclosed includes a handle extending substantially along a longitudinal axis. The longitudinal handle defines one or more burr holes extending from a first side of the handle to a second side of the handle. A head is coupled to a distal end of the longitudinal handle. The head defines a plurality of guide holes sized and configured to receive a k-wire therethrough.

A guide apparatus for a surgical cutting tool includes a plurality of plates arranged in parallel with a guide plane. The plates form opposing bearing surfaces spaced apart over a clearance distance that defines an opening. A sheath includes a cylindrical portion that extends along a longitudinal axis and forms an interior passage extending through cylindrical portion along the longitudinal axis. The cylindrical portion of the sheath slidably engages the opening through the clearance distance, and the interior passage of the sheath receives a rotary cutting head of the surgical cutting tool in an operating configuration.

Reciprocating rasps for the surgical preparation of the bone prior to the implantation of a glenoid or acetabular component with complex geometry are disclosed. Surgical methods for the use of such reciprocating rasps are also disclosed. Some of the methods include inserting a guide pin into the glenoid of the patient, advancing a reciprocating surgical rasp over the guide pin, reciprocating the surgical rasp so as to abrade bone tissue to form a cavity shaped to receive the glenoid component, and implanting the glenoid component in the cavity.

A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

An instrumentation system that includes a reamer sleeve having a reamer wall and a wedge body, the reamer wall being oriented about a central longitudinal axis. The reamer wall includes an inner passage that is sized to receive insertion of a reference instrument that is structured for placement in a canal in a bone. The inner passage can be centrally oriented about a longitudinal axis that is offset from at least the central longitudinal axis of the reamer wall. The wedge body can have a wedge surface that extends axially in a direction that is non-parallel and non-perpendicular to the central longitudinal axis. The apparatus also can include a cap having an opening that is sized to receive insertion of the wedge body. The cap can further include an inner wall having a tapered wall section that is oriented to matingly engage the wedge surface of the wedge body.

Provided is a method of resecting a humerus, including positioning a multi-part guide on the humerus, where the multi-part guide includes a support portion and a positioning jig; advancing at least two mounting pins through the support portion along diverging paths; removing the positioning jig; and resecting the humerus with reference to a cutting surface of the support portion.