A distal femoral joint replacement system includes a femoral component having condylar articular surfaces, a stem extending from the femoral component, and a void filler for filling a bone void within a femur. The void filler includes a body and a plurality of legs extending from the body. The body has a sidewall defining an opening for receipt of the stem which extends along a length of the body and extends through the sidewall so as to form a side-slot in the sidewall that extends along an entire length of the sidewall. The plurality of legs each have a first end connected to the body and a second end remote from the body. The legs each have an outer surface that tapers between the first and second ends and is configured to register with a corresponding inner surface of a bone void when implanted in an end of the femur.

An acetabular cage or device is disclosed. In one embodiment, the acetabular cage includes a cup portion configured for implantation in an acetabulum and a flange extending from the cup portion. The flange including a first, bone contacting surface configured to face bony tissue surrounding the acetabulum when the cup portion is implanted into the acetabulum and a second, top surface opposite the first surface. The flange includes a flexible portion and a fixation portion, the fixation portion including one or more fixation features configured to facilitate fixation of the flange to the bony tissue surrounding the acetabulum. The flexible portion is arranged and configured to enable the flange, and hence the fixation portion, to move relative to the cup portion to facilitate placement of the flange relative to the bony tissue.

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 resection guide includes a first body portion and a second body portion. The first body portion has a first bone engagement structure and defines a first plurality of holes. The second body portion has a second bone engagement structure and defines a second plurality of holes. The first body portion and the second body portion are operable to separate a first anatomical structure of a patient and a second anatomical structure of the patient. A cutting guide defines at least one guide aperture that is operable for guiding a cutting tool for use in resecting a portion of the second anatomical structure of the patient. The cutting guide is positionable relative to the first body portion.

A surgical instrument for operating hip joint osteoarthritis in a human patient is provided. The hip joint comprises an acetabulum, being a part of the pelvic bone, and a caput femur, being the proximal part of the femoral bone. The surgical instrument is adapted to assist in the operating of the hip joint osteoarthritis from the abdominal side of the pelvic bone of said human patient.

A medical device for delivering an action to an area of a hip joint or its surroundings, inside a human body, is provided. The hip joint of a patient comprises a collum femur and a ball shaped caput femur, being the proximal parts of the femoral bone, and an acetabulum, being a bowl shaped part of the pelvic bone. The medical device comprising; an elongated member, having a length axis along its elongated distribution, comprising a first portion, adapted to enter the body of the patient, and a mechanical element, adapted to be used during an operation in the hip joint or its surroundings, inside the body. The first portion of the elongated member comprises a holding member adapted to hold the mechanical element inside the body of the patient, wherein the first portion of the elongated member have a first portion cross-section area substantially perpendicular to the length axis of the elongated member. The first portion is adapted to pass through a hole, in a bone of the patient, the hole having a hole cross-section area. The first portion cross-section area, is adapted to be smaller than said hole cross-section area. The mechanical element have a functional status, ready to deliver said action inside said body, when held by the holding member inside the body of the patient. The mechanical element is adapted to have a mechanical element cross-sectional area substantially perpendicular to the length axis of the elongated member, substantially larger than the first portion cross-sectional area and adapted to be unable to pass through the hole, when the mechanical element is in the functional status.

A bone plate system may include a bone plate having a bone-facing side, an obverse side displaced from the bone-facing side by a thickness of the bone plate, a first end, and second end displaced from the first end along a longitudinal length of the bone plate. The bone plate may have a first fastener hole extending through the bone plate between the bone-facing side and the obverse side, a second fastener hole extending through the bone plate between the bone-facing side and the obverse side, and a plug extending outwardly from the bone-facing side. The plug may have a cross-sectional shape, perpendicular to the thickness, that is elongated along the longitudinal length.

Described is an acetabular assembly comprising: an acetabular cup component (100) having an outer convex surface (104), an inner concave surface (106) defining a cup cavity, and a plurality of openings (116) that extend between the inner concave surface and the outer convex surface and that are configured to accommodate a fastener for attaching the acetabular cup component to an acetabulum of a patient; an insert bearing liner (200) defined by an inner concave surface (202) and an outer convex surface (206), and configured to be located at least partially within die cup cavity of the acetabular cup component; and a plurality of spacers (300) that are configured to be inserted into the plurality of openings in the acetabular cup component from the inner concave surface.

Intervertebral spacer assemblies, systems, and methods thereof. A method of insertion includes inserting an intervertebral spacer and plate together using an insertion tool and, upon removal of the insertion tool, the intervertebral spacer and plate are no longer considered connected/coupled and act as separate components.

A method for fixating an artificial convex caput femur surface to the pelvic bone of a patient, the method comprising the steps of: exposing the acetabulum surface, creating a hole or recess in the pelvic bone from the acetabulum side of the pelvic bone, providing the artificial convex caput femur, comprising an elongated member to the hip joint, inserting said elongated member in said hole, and performing an action on the acetabulum side of the pelvic bone such that the elongated member is structurally changed on the abdominal side of the pelvic bone or inside the pelvic bone.