An intervertebral disc is provided having an upper plate, a lower plate, and a core. The upper and lower plates include outer vertebral body contacting surfaces which are provided with attachment enhancing features to ensure bone integration. The attachment enhancing features shown include one or more fins, serrations and teeth. An opposite surface of the plates from the vertebral body contacting surfaces is formed with a recess which serves as a bearing surface for the core. In order to form an intervertebral disc with a lower disc height, at least one of the recesses is provided opposite a corresponding dome shaped portion on the vertebral body contacting surfaces. This allows the plates to be formed with a thinner profile for a smaller overall disc height. In addition to providing a lower overall height to the artificial disc, the dome shaped portion of the plates also provides a more anatomically shaped outer vertebral body contacting surface.

An implant stabilizes two adjacent bones of a joint, while enabling a natural kinematic relative movement of the bones. Support components are connected to each bone of the joint, and a flexible core is interposed between them. The core and at least one of the support components are provided with a smooth sliding surface upon which the core and support component may slide relative to each other, enabling a corresponding movement of the bones. The surfaces may have a mating curvature, to mimic a natural movement of the joint. The core is resilient, and may bend or compress, enabling the bones to move towards each other, and or to bend relative to each other.

A spinal implant has a first member defining a longitudinal axis. A second member includes an axial cavity configured for disposal of the first member. A third member is rotatable relative to the first member and defines a transverse cavity. A locking element is disposable in the transverse cavity and engageable with the first member to fix the third member relative to the first member. Systems and methods of use are disclosed.

The invention relates to a prosthesis for implantation into a living body in the form of a magnetic artificial joint, in particular an artificial shoulder joint, comprising: a) a first prosthesis member comprising a socket member, b) a second prosthesis member comprising a head member, c) one of the socket member and the head member is at least partially composed as a permanent magnet and the other one of the socket member and the head member is at least partially composed of a magnetic material, or the socket member and the head member are both at least partially composed as a permanent magnet, d) the socket member comprises a recess on a surface side to be coupled with the head member, the recess comprising a concavely contoured contact surface, e) the head member comprises a projection on a surface side to be coupled with the socket member, the projection comprising a convexly contoured contact surface, f) the convexly contoured contact surface is adapted to the concavely contoured contact surface, such that the head member can be coupled in a rotatably jointed manner to the socket member in the nature of a ball/ball-socket joint, g) wherein the convexly contoured contact surface can perform a generally slip-fee rolling motion or a combined slipping and rolling motion on the concavely contoured contact surface in reaction to a change of an angle between the first and the second prosthesis member, and the convexly contoured contact surface can be shifted across the concavely contoured contact surface within a shifting area.

The present invention provides a next generation, closed profile, total disc replacement device with mechanical features designed to sustain, restrain and guide the larger motions required to preserve normal mechanical motion, while at the same time, providing a flexion component to guide and restrain the finer motions reached at the extremes of the mechanical motion preservation components.

A vertebral facet distractor includes an elongated generally cylindrical contour including a first end surface, a second end surface, an outer sidewall, an inner sidewall, and a central lumen having an opening in one of the first end surface and the second end surface. The outer sidewall may be provided with a surface irregularity, such as a screw thread. The vertebral facet distractor may further include a holder including an elongated body and a tip that extends through the opening and is engaged with the contour. The tip may be provided with a screw thread that is engaged with the contour or may engage the contour in an interference fit.

Provided is a method for converting a modular anatomic shoulder implant to a modular reverse shoulder implant, wherein the modular anatomic shoulder implant and the modular reverse shoulder implant have novel configurations.

Bone implants, including methods of use and assembly. The bone implants, which are optionally composite implants, generally include a distal anchoring region and a growth region that is proximal to the distal anchoring region. The distal anchoring region can have one or more distal surface features that adapt the distal anchoring region for anchoring into iliac bone. The growth region can have one or more growth features that adapt the growth region to facilitate at least one of bony on-growth, in-growth, or through-growth. The implants may be positioned along a posterior sacral alar-iliac (“SAT”) trajectory. The implants may be coupled to one or more bone stabilizing constructs, such as rod elements thereof.

A bone joint implant (1) has a proximal part (120) for translational motion over the trapezium in a first carpometacarpal joint and a distal part (110) for intramedullary engagement in the first metacarpal bone. An articulating coupling (103, 121, 123) is for multi-axial motion with translational movement over a bone in one part (120) and rotation in the other part (110) about the articulating coupling (121, 103). A flange (105) extends radially and around the coupling to limit relative rotational motion of the proximal and distal parts about the coupling, and to provide resilience for contact between the proximal and distal parts. The flange has a contoured surface (101) matching an abutting surface (125) of the proximal part (122) upon articulation of the parts in use to extreme positions. The flange (105) is included in an insert (100) in a stem (111) of the distal part (110), the flange extending proximally of the stem (111) and prohibiting contact between the proximal part (120) and the stem (111) during articulation.

Provided is an artificial spinal disc including an upper disc formed in a plate shape with top coupled to an upper vertebra, a protruding joint portion protruding from a lower surface of the upper disc, and a lower disc formed in a plate shape with bottom coupled to a lower vertebra wherein the protruding joint portion is seated on an upper surface of the lower disc. According to the foregoing description, the artificial disc is implanted through the lateral or anterolateral approach to the spine, rather than the anterior approach, and such lateral implantation is straightforward.