The invention relates to a revision prosthesis shaft of a revision joint endoprosthesis for anchoring in an elongate bone (9), in particular femur. The surface is designed for adhesive agent-free fastening in the proximal epimetaphysis (91) and the diaphysis (92) of the bone. According to the invention, a distal epimetaphyseal extension (2) is provided at the far end of the shaft (12), the tip of which extension reaches into the distal epimetaphysis (93) of the bone. The extension (2) is designed for fastening in the distal epimetaphysis (93) by means of an adhesive agent (3), in particular bone cement. The invention combines the advantages of cement-free fastening, namely of the shaft in itself in the diaphysis (92), with the advantages of cemented fastening, namely of the extension in the distal epimetaphysis (93). Even in difficult cases in which sufficient hold previously could not be achieved for lack of fastening distance in the diaphysis, stable anchoring can thus be achieved. This increases the safety and longevity of the revision. The invention further relates to a corresponding implantation method.

An implant that couples a first bone and a second bone includes a body that defines a first joint surface, a second joint surface, and a median plane. The first joint surface includes a first central region that articulates with the first bone. The second joint surface includes a second central region that articulates with the second bone, and the second central region is disposed on an opposite side of the median plane of the body relative to the first central region. The first and second central regions correspond to profiles of first and second axial segments, respectively, the first and second axial segments are each one of a cylinder, a cone, and a torus and are centered on first and second axes, respectively, and the first and second axes, as projected on the median plane, are substantially perpendicular to each other. The first joint surface further defines a first peripheral region adjacent the first central region and the first axial segment has a first cross section that has a smaller curvature in the first central region of the first joint surface than in the first peripheral region of the first joint surface.

A surgical system includes an implant having a first attachment mechanism and an insertion instrument having a proximal end, a distal end, and a second attachment mechanism disposed at the distal end for removable connection with the first attachment mechanism. The proximal end of the insertion instrument is pivotable with respect to the implant. The insertion instrument can include an inserter and a guide. A method of using the surgical system is provided.

Disclosed are interosseous cages interposed between two bones. The cage includes at least one body with two bearing faces each bearing face being configured so as to come into contact with the two bones, the body being produced from a first material having a given strength, a through cavity produced in the body opening onto the two faces and an insert defined between two end faces and having a cross section which is at most equal to the cross section of the through cavity, in a manner such that the insert is slid into the cavity, this insert furthermore being configured in a manner such that its end faces are respectively a continuation of the two faces when the insert is in the cavity, the insert being produced from a second material which is stronger than the first material. Application primarily to the production of intervertebral cages.

A system includes a first spacer sized and configured to be received within a resected bone space of a first bone and a second spacer sized and configured to be coupled to a second bone. The first spacer and the second spacer each include a body extending between a bone contacting surface and a coupling surface. At least one shim is positioned between the first and second spacers. The shim includes a body extending between a first coupling surface and a second coupling surface. The first spacer, the second spacer, and the at least one shim position the first and second bones in a predetermined alignment. An adjustable guide including a guide adapter and a guide body is configured to couple to the first spacer and is adjustable on a first axis.

Photodynamic devices for replacement of an articular head of a bone are provided. In an embodiment, a photodynamic device includes a photodynamic support member and an articular member attachable, either fixedly or removably, to the photodynamic support member and having a bearing surface. In an embodiment, the articular member includes a recess designed to receive the photodynamic support member. In an embodiment, the photodynamic support member includes an opening into which a shaft of the articular member can be inserted to attach the articular member to the photodynamic support member.

The disclosure relates to a spinal intervertebral body fusion device including an adjustable spacer, a first and second pushing piece, and an operative piece. The adjustable spacer includes a first and second supporting plate. The first supporting plate portion is movably installed on the second supporting plate portion. The first and second supporting plate portions form a first and second opening respectively located at two opposite sides of the adjustable spacer. The first pushing piece located at the first opening and is partially clamped by the first and second supporting plate portions. The second pushing piece located at the second opening is partially clamped by the first and second supporting plate portions. The operative piece is movably disposed through the second pushing piece and screwed to the first pushing piece. The operative piece has an annular slot, and the second pushing piece is partially located in the annular slot.

One aspect relates to a device for producing a spacer having

a stem mold which has an inner space, wherein the inner space is accessible via a proximal opening and wherein the stem mold has a proximal wall which peripherally delimits the proximal opening of the stem mold,

a head mold which has in the interior thereof a hollow space, wherein the hollow space has a spherical surface-shaped inner surface and is accessible via a distal opening, wherein the head mold has a distal wall which peripherally delimits the distal opening of the head mold,

a metal core which has a stem part, a head part and a flange, wherein the flange projects out from the metal core, is arranged between the stem part and the head part and has a proximal surface and a distal surface,

wherein the stem mold and the stem part are shaped such that the stem part is arranged in the inner space, when the proximal wall is resting against the distal surface, and wherein the head mold and the head part are shaped such that the head part is arranged in the hollow space, when the distal wall is resting against the proximal surface.

A system includes a first spacer sized and configured to be received within a resected bone space of a first bone and a second spacer sized and configured to be coupled to a second bone. The first spacer and the second spacer each include a body extending between a bone contacting surface and a coupling surface. At least one shim is positioned between the first and second spacers. The shim includes a body extending between a first coupling surface and a second coupling surface. The first spacer, the second spacer, and the at least one shim position the first and second bones in a predetermined alignment. An adjustable guide including a guide adapter and a guide body is configured to couple to the first spacer and is adjustable on a first axis.

A joint replacement system that includes an acetabular cup implant that has an outer surface, a drill bit that has a cutting surface, and a guide separately formed from the acetabular cup implant. The guide has a body that defines first and second guide openings each adapted to receive the drill bit. The system also includes void filler prosthesis that has an implant facing surface and first and second portions connected to the implant facing surface. The first and second portions each have an outer surface that has a geometry corresponding to the cutting surface of the drill bit such that the first and second portions can be received in respective openings in a bone formed by the drill bit.