The present disclosure is directed to composite bone grafts and to methods for providing such grafts for orthopedic and other surgical uses in a subject in need thereof. In some embodiments, the present disclosure provides a method for producing a composite bone graft, the method comprising, for example, the steps of: (i) selecting at least one donor site on at least one subject; (ii) removing at least one piece of bone, comprising cortical bone, from the at least one donor site; (iii) machining the at least one piece of bone to produce at least two bone components, each having a surface comprising at least one of a protuberance and a recess thereon; and (iv) joining the at least two machined bone components to produce a composite bone graft.

Disclosed is an assembly and method for implant installation between adjacent vertebral bodies of a patient. The implant has a support body and a rotatable insert therein and the support body is curved for installation between adjacent vertebral bodies transforaminally. An installation instrument is also disclosed for removable attachment to implant and engagement with the rotatable insert to selectively permit rotation between the insert and the support body. The installation instrument extends along a longitudinal tool axis and when the installation instrument is in a first position the insert is rotationally fixed with respect to the support body and when the installation instrument is in a second position the support body may rotate with respect to the insert.

An implant resection system for preparing an implant site to replace a defect in an articular surface of a first bone includes a first guide configured to be coupled generally to the first bone. The first guide includes a body portion defining a channel configured to receive a pin, wherein the pin is configured to penetrate and form a longitudinally disposed bore within the first bone. The implant resection system further includes a second guide configured to be coupled generally perpendicular to the first bone proximate to the defect by way of the bore. The second guide includes a drill bit configured to form an excision site through a portion of the articular surface in preparation of receipt of an implant.

A transforaminal lumbar interbody (TLIF) implant, installation tool, and method of use includes a TLIF implant having a cavity, a first slot extending along an outside surface of a first lateral wall, and a second slot extending along an outside surface of a second lateral wall, the slots configured to receive an installation tool for holding the TLIF implant. The cavity houses a first impacted blade and a second impacted blade. When driven by the installation tool, guides in the walls of the cavity direct the impacted blades along the inside of the cavity such that ends of the blades extend from the cavity and beyond the implant body. The end of the first impacted blade extends from an upper side of the cavity and beyond the implant body, while the end of the second impacted blade extends from a lower side of the cavity and beyond the implant body.

The present invention implements a set of grooves/ridges created on Ti at the circumferential direction to increase surface area of implant in contact with bone. These grooves/ridges protect nanofiber matrix (NFM) made with Polycaprolactone (PCL) electrospun nanofiber (ENF) and collagen at the groove from physiological loading. Controlled fabrication of a ridge made with titanium nitride (TiN) around the circumference of Ti is provided using a plasma nitride deposition technique. PCL ENF may be deposited along the sub-micrometer grooves using the electrospin setup disclosed. The method provides for fabrication of microgroove on Ti using machining or TiN deposition and filling the microgrooves with the NFM. This method has proven through experimentation to be successful in increasing in vivo mechanical stability and promoting osseointegration on Ti implants. The immobilization of MgO NP and FN with the PCL-CG NFM on microgrooved Ti as provided in the invention optimizes biological performances of Ti.

Multiple, small, staple-like supports are inserted through a small tube into the disc space then rotated into position on the edge of the vertebral bodies. The tooth-like geometry of the proximal and distal faces of these staples mates with the outer edge of the vertebral body, extending past the front of the endplate anteriorly. The staples have teeth that dig into the endplate on the inside of the rim as well.

A spinal interbody implant includes a two-component cage and expander. The two-component cage, when assembled, accepts the expander through a reverse dovetail configuration between the assembled cage and the expander. The expander has a pair of legs that move within and along lateral channels formed by and between the two cage components for increasing the height of the two cage components relative to one another. The amount of expansion of the cage is determined by the height of the pair of expander legs. The cage accepts different expanders each having pairs of legs of different heights in order to provide different amounts of cage expansion and thus the interbody implant. The front of each expander leg is arch shaped for reception in the lateral channels of the assembled cage and to progressively expand the two cage components relative to one another as the expander is received by the assembled cage.

Techniques and systems for distracting a spinal disc space and supporting adjacent vertebrae are provided. Trial instruments are insertable into the disc space to determine a desired disc space height and to select a corresponding implant. Implants can be also be self-distracting and the implant providing the desired disc space height can be implanted in the spinal disc space.

An orthopaedic surgical instrument includes a cup including an outer surface having an opening positioned on a component-engaging side and an inner wall extending from the opening of the outer surface to a back wall. The inner wall having a plurality of stepped surfaces facing the component-engaging side. Each of the plurality of stepped surfaces is sized to receive a platform of a tibial tray.

A spinal fusion device for implantation between spinal vertebrae includes an implant member having an opposed upper and lower surface, an outer sidewall having an aperture having internal threads, and an inner sidewall defining a central opening. A plate member is attached to the implant member such that the plate member is perpendicular relative to the implant member and includes a plurality of angled apertures for receiving anchoring fasteners and a central aperture for receiving a locking fastener. A locking member is attached to the cage member. The locking member includes a tubular shaft having internal threads that is inserted through the aperture of the outer sidewall of the implant member. A locking fastener is inserted through the central aperture of the plate member and into the locking member to thereby lock the spinal fusion device in position.