A spinal implant system is provided for bridging an intervertebral space between vertebral bodies bordering the intervertebral space. The spinal implant system includes at least one adjustable end cap and a spinal implant. The end cap can be used with additional end caps and/or the spinal implant. Multiple end caps can be stacked on top of one another, and one end cap can be attached to a first end of the spinal implant, and another end cap can be attached to a second end of the spinal implant. Thus, one or more of the end caps can be attached to either end of the spinal implant.

A method of treating a spine includes implanting a spinal implant within a patient. The spinal implant includes a first member having a first wall defining an axial passageway and a first opening, the first opening being in communication with the axial passageway. A second member includes a second wall defining an axial channel having the first member disposed therein, the second wall defining a second opening in communication with the axial channel. Bone graft is injected through the first opening and into the axial passageway and through the second opening and into the axial channel after the spinal implant is implanted within the patient.

Shoulder arthroplasty systems and configurations for components thereof are described. For example, implant systems for a total should arthroplasty (TSA), hemi shoulder arthroplasty, and reverse should arthroplasty (RSA) are described. In addition, exemplary configurations for baseplates, glenoid components, glenosphere components, humeral components, humeral head components, humerosocket components, connectors, and adaptors, are described.

In one aspect, an implant configured to attach a first bone section to a second bone section comprises an intramedullary portion and an extramedullary portion. The intramedullary portion is configured for insertion into the first bone section. The ex-tramedullary portion is configured to abut a surface of the second bone section and includes a first fastener aperture configured to eceive a bone fastener inserted in the second bone section. The intramedullary portion and the extramedullary portion are coupled such that the extramedullary portion is rotatable with respect to the intramedullary portion.

A pedicle bone fastener may include a shaft, a helical thread, and an integrated attachment feature. The shaft may include a proximal end, a distal end, and a longitudinal axis. The helical thread may be disposed about the shaft along the longitudinal axis between the proximal and distal ends of the shaft. The helical thread may include a first undercut surface and a second undercut surface. The first undercut surface may be angled toward one of the proximal end and the distal end of the shaft and the second undercut surface may be angled toward the other one of the proximal end and the distal end of the shaft. The integrated attachment feature may be disposed at the proximal end of the shaft and configured to be adjustably secured to a spinal stabilization implement.

An apparatus including a humeral tray (120) configured to be mounted to a proximal end of a humeral stem (100), and an insert (130) positioned on an outer surface of the humeral tray configured to articulate with a glenosphere (110); wherein the insert is not attached to the humeral tray such that the insert can articulate and move relative to the humeral tray.

A temporomandibular joint replacement system includes a condylar component secured with a mandibular bone and a fossa component with a fossa backing secured with a zygomatic bone, the fossa having an open-ended concave fossa dome with a post-center peak to allow for mediolateral and anterior translation with a rounded, oblong condylar head of the condylar component. The bone-interfacing surfaces are anatomically-contoured to their respective bone surfaces and formed with materials and textures which promote osseointegration with the joint replacement.

A temporomandibular joint replacement system includes a condylar component secured with a mandibular bone and a fossa component with a fossa backing secured with a zygomatic bone and slidably attached with a removable fossa lining, the fossa lining having an open-ended concave fossa dome with a post-center peak to allow for mediolateral and anterior translation with a rounded, oblong condylar head of the condylar component. The slidable attachment mechanism of the fossa backing and fossa lining is laterally-oriented to allow for post-implantation removal and replacement without disturbing any bone or bone-interfacing components. The bone-interfacing surfaces are anatomically-contoured to their respective bone surfaces and formed with materials and textures which promote osseointegration with the joint replacement.

A system is disclosed herein for providing a kinetic assessment and preparation of a prosthetic joint comprising one or more prosthetic components. The system comprises a prosthetic component including sensors and circuitry configured to measure load, position of load on a curved surface, joint stability, range of motion, and impingement. In one embodiment, the system is for a ball and socket joint of a musculoskeletal system. The system further includes a computer having a display configured to graphical display quantitative measurement data to support rapid assimilation of the information. The kinetic assessment measures joint alignment under loading that will be similar to that of a final joint installation. The kinetic assessment can use trial or permanent prosthetic components. Furthermore, adjustments can be made to the applied load magnitude, position of load, and joint alignment by various means to fine-tune an installation.

The invention relates to a prosthesis for movably coupling os metacarpale I of a hand to a second metacarpal bone of the hand, which prosthesis includes a first and a second element. The first element includes a first attachment member, which first attachment member is configured for attachment to os metacarpale I, and the second element comprises a second attachment member, which second attachment member is configured for attachment to the second metacarpal bone, which first and second element are movable relative to each other. The second metacarpal bone is os metacarpale II of the hand and the second attachment member is configured to be arranged from the radial side of os metacarpale II. The invention also relates to a combination of a prosthesis according to the invention and at least one fastening means.