Various embodiments of an expandable interbody cage device configured to reduce subsidence into an endplate of a vertebral body by including a plurality of arms that engage the cortical tissue of the vertebral body. The plurality of arms increase the surface area and improve distribution of force, especially around stronger parts of the endplate such as the cortical bone at the rim of the endplate. The expandable interbody cage device maintains a low or slim profile while in a closed configuration during insertion between vertebrae and is further operable to laterally expand into an open configuration that increases the surface area of the expandable interbody cage device after insertion to securely engage the expandable interbody cage device between the vertebra. The expandable interbody cage device further includes one or more ports and/or cavities in which bone graft material can be disposed within.

Expandable spinal interbody implants include a body and at least one extendable support element connected thereto. Such an implant may include a second extendable support element and a tool selectively positionable with respect to the implant so as to independently or simultaneously expand both extendable support elements. In another example, such an implant may include, at each of a first and second location, a respective movable member and a respective locking element. The at least one extendable support element may be actuatable to expand so as to induce movement of at least one of the movable members away from the body. The locking elements at each of the first and second locations may be selectively lockable such that, when locked, the locking element restrains movement of the associated movable member at that location away from the body without restraining movement of the other movable member away from the body.

Methods and systems are provided for a hinge knee system. A hinge knee system may comprise a femoral component; an insert; a tibial tray configured to be coupled to the insert; a tibial bushing configured to be disposed between the tibial tray and the insert; a poly locking screw configured to secure the tibial tray to the insert; a hinge box configured to be disposed between the femoral component and the insert; one or more cross-pin bushings configured to be disposed within the hinge box; a cross-pin configured to secure the hinge box to the femoral component; a hinge post configured to couple the hinge box to the tibial tray; and a hinge post set screw configured to secure the hinge box to the hinge post.

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.

This invention relates generally to spine surgery and, in particular, to a surgical implant for separating adjacent spinal vertebrae.

A bone structural device including a plurality of bone structural segments, wherein adjacent bone structural segments are pivotally connected to one another about a pivot axis, and the bone structural segments are expandable in height, which is in a direction generally parallel to the pivot axis.

A joint spacer has first and second endplates, with each having a bone engaging surface, and at least two cams with an inclined cam surface positioned on an opposite side. First and second slides, each having ramps with an inclined surface are engaged with the cams of the endplate. The first slide has an angled portion at an end, and the second slide has a hinge portion. A threaded shaft has a hinge portion connected to the slide hinge portion, connecting the shaft to the slide, enabling the shaft to pivot. A nut is threaded to the shaft, and can contact and interfere with the angled portion of the first slide to drive the first slide with respect to the second slide. This results in engagement of the cams and ramps to drive the endplates apart to increase the spacer height.

A spinal fusion implant has a parallelepiped main body with a rotatably mounted retention plate secured to its distal end. The distal retention plate has a first position co-planar with the main body and a second, deployed position normal to the plane of the main body. The distal retention plate is in the first position when the main body is inserted between adjacent vertebral bodies and is in the second position after the main body is inserted between adjacent vertebral bodies. In further embodiments, a proximal retention plate is permanently deployed in normal relation to the main body or both the distal and proximal retention plates are rotatably mounted and both are deployed co-planar to the main body before insertion and normal to the main body after insertion.

An acetabular hip implant includes a plurality of rings secured to an acetabular shell component. A method of fabricating a customized, patient-specific version of such an implant is also disclosed.

An expandable spinal implant is provided having first and second endplates hinged along one end or otherwise connected by pins, protrusions and channels, or similar mechanisms and an expansion mechanism(s) disposed therebetween configured to expand the first and second endplates from each other. Also provided are expandable spinal implants that may be expanded in a parallel manner to increase the height of the device while maintaining a lordotic angle. Other spinal implants may provide dual expansion whereby both height and lordotic angle are adjusted. Various implants, systems and methods are disclosed.