An apparatus and method for joining members together using a self-drilling screw apparatus or stapling apparatus are disclosed. The screw apparatus includes a worm drive screw, a spur gear and superior and inferior screws which turn simultaneously in a bi-directional manner. A rotating mechanism drives the first and second screw members in opposite directions and causes the screw members to embed themselves in the members to be joined. The screw apparatus can be used to join members such as bones, portions of the spinal column, vertebral bodies, wood, building materials, metals, masonry, or plastics. A device employing two screws (two-in-one) can be combined with a capping horizontal mini-plate. A device employing three screws can be combined in enclosures (three-in-one). The stapling apparatus includes grip handles, transmission linkages, a drive rod a fulcrum and a cylinder. The staple has superior and inferior segments with serrated interfaces, a teethed unidirectional locking mechanism and four facet piercing elements. The staples can be also be used to join members such as bones, portions of the spinal column, or vertebral bodies.

A fixation implant includes a head, a shank and a distal tip, and one or more of the head, shank and distal tip may be cannulated. The shank includes a threaded ingrowth portion extending from the head to the tapered distal tip that includes external threads, and at least one open network body extending along the length of the ingrowth portion. The open network body selected from one or a combination of a helix, an arrangement of trusses, a scaffold of open and interconnected pores, a porous framework of random open and interconnected pores, and combinations of these.

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 (“SAI”) trajectory. The implants may be coupled to one or more bone stabilizing constructs, such as rod elements thereof.

A bone implant may include a shaft having a proximal end, a distal end, a longitudinal axis, a proximal shaft portion, and a distal shaft portion. The proximal shaft portion may include a first minor diameter, and a first helical thread disposed about the proximal shaft portion defining a first major diameter. The first helical thread may include a first concave undercut surface. The distal shaft portion may include a second minor diameter, and a second helical thread disposed about the distal shaft portion defining a second major diameter. The second helical thread may include a second concave undercut surface. The first and second concave undercut surfaces may be angled towards the distal end of the shaft. The second minor diameter may be smaller than the first minor diameter and the second major diameter may be smaller than the first major diameter.

A process of bone creation between adjacent vertebrae uses an intervertebral stabilizing screw, which includes a main body with an axial through hole, a distal thread and at least one fill hole. A hollow proximal secondary body of the screw includes an external thread a travel stop. The process includes inserting the main body until the distal thread is secured to an upper vertebrae of the adjacent vertebrae such that the at least one fill hole is in inside of the disk, inserting the proximal body until reaching to the limit stop such that the proximal body is threaded inside of a pedicle and secured to a lower vertebrae of the adjacent vertebrae, and injecting a bone remodeling composition into inside of the disk through the axial hole and the at least one fill hole.

A prosthesis assembly (100) for orthopaedic implantation comprises a prosthesis body (110) and an attachment portion (112) coupled to the prosthesis body (110) for attaching the prosthesis assembly (100) to a bone by way of a bone anchor (120) or other fixating means. The attachment portion (112) comprises an opening (130) having a receiving portion (132) with a first cross-sectional transverse width and a retaining portion (134) extending from the receiving portion (132), the retaining portion (134) having a second cross-sectional transverse width, which is less than the first cross-sectional transverse width. A system comprising the prosthesis assembly (100) includes a bone anchor (120) having a fastening member (124) for engaging the opening (130) and a stem (122) for securing to the bone.

A prosthesis assembly is provided that includes a base member that has a helical structure and a cylindrical member opposite the helical structure. The cylindrical member is configured for direct connection with a reverse insert of a reverse shoulder assembly. The cylindrical member is configured for direct connection with a reverse insert spacer in some embodiments. The reverse insert can be inserted into a space defined at least in part by a wall of the cylindrical member and an inferior wall of the of the base member. The helical structure extends between a first end and a second end. The base member also can include one or more pathways. The pathway(s) is accessible from the second end and is directed toward the first end through the helical structure. The pathway is located inward of an outer periphery of the helical structure, e.g., adjacent to an inner periphery of the helical structure. The pathway extends in a space between successive portions of the helical structure. The prosthesis assembly can include a locking device that has a support member and an arm that projects away from the support member. The arm is configured to be disposed in the pathway when the support member is disposed adjacent to the second end of the base member. The arm is disposed through bone in the space between successive portions of the helical structure when the prosthesis assembly is implanted.

An expandable screw for orthopedic insertion and expansion between a collapsed state and an expanded state. The screw has an upper externally-threaded body segment, a lower externally-threaded body segment opposite the upper external thread segments, and an expansion member extending along a longitudinal axis thereof. The expansion member connecting the upper externally-threaded body segment to the lower externally-threaded body segment, and configured during the expansion between the collapsed state and the expanded state to separate the upper externally-threaded body segment from the lower externally-threaded body segment.

A method of preventing bone blowout may include forming a hole in a bone, the hole having a bone hole diameter, and inserting a bone fastener into the hole. The bone fastener may include a shaft having a minor diameter and a helical thread. The helical thread may be disposed about the shaft and 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 minor diameter of the shaft may not be greater than 5% larger the bone hole diameter.

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.