A spinal interbody fusion device for use in a plurality of surgical approaches includes a cage, a top end, a bottom end, and at least a first side representing the width of the cage and at least a second side representing a length of the cage. The cage includes fixation holes and inserter holes, with each fixation hole being configured for accepting a screw or anchor and each inserter hole being accessible for one or more surgical approaches for performing a spinal fusion. Also included are methods for selecting a size of an intervertebral implant and methods of surgically approaching a spine of a patient for spinal surgical procedures.

The invention discloses an improved wedging cage within the sacroiliac (SI) joint and fixation screw(s). The wedging cage is adapted to be positioned between the sacrum and the lilac bone (e.g., the sacroiliac joint), and the wedging cage is effective to receive one or more fixation or axial screws to fasten the wedging cage and secure the wedging cage to the adjacent pelvic bones to provide a combination effect of fusion and/or fixation. Accordingly, the improved fixation screw assemblies promote flexibility and adaptability due to the adjustable head being movable to a locked and unlocked position relative to the screw body when implanted onto a substrate.

Devices and methods are provided for treatment of the cervical spine. The devices and methods allow for treatment to be delivered from a lateral or posterior-lateral location of a subject, proximate to the cervical region of the spine. One exemplary embodiment of a spinal implant includes an elongate cage member and a plate member appended to a proximal end of the cage member. The plate member can be oriented in a manner such that it is asymmetric with respect to a long axis of the cage member. In another exemplary embodiment, an implant includes a cage member having a distal end that has an asymmetrical, bulleted shape such that the distal end is biased towards a superior or cranial direction. In a third exemplary embodiment, an implant includes a spinal fixation element and at least two mounting eyelets formed thereon. Exemplary methods related to implanting spinal implants from a lateral or posterior-lateral location are also provided.

A prosthesis for reconstruction of a distal radioulnar joint, after resection of a part of the ulna, includes a first prosthesis member, fixation members and a second prosthesis member. The first prosthesis member is configured for fixation to the distal end portion of the ulna. The fixation members are configured to extend into the radius via said distal end portion of the ulna for locking said distal end portion of the ulna to the radius. The second prosthesis member is configured for fixation to the ulna close to said distal end portion of the ulna. The second prosthesis member is also configured to extend into said space for being joined with the first prosthesis member in a manner which allows said first and second prosthesis members to at least pivot and rotate relative to each other.

A medical grade thermoplastic or polymer implant with an osteoconductive coating is provided, specifically for corrections of the distal and proximal interphalangeal toe joints of the foot. The implant can be either straight or angled, and can be either solid or cannulated for insertion. The implant is sized and shaped depending on the specific anatomy and desired correction. End portions of the implant may be coated with an osteoconductive coating that promotes bone growth, but may reduce radiolucency. Thus, a central portion of the implant may remain uncoated to increase radiolucency of the implant at the region where two bones come together.

A distractor includes a first plate and a second plate. The first plate includes an outer surface having a surface irregularity provided thereon and an inner surface having a protrusion provided thereon. The second plate includes an outer surface having a surface irregularity provided thereon and an inner surface having a recess provided thereon. The protrusion engages with the recess in a ball and socket configuration that permits relative movement of the first and second plates.

Disclosed are surgical implants for providing therapy to a treatment site, tool sets and methods for percutaneously accessing and deploying the implants within the spines. The treatment site may be a vertebral body, disc, and/or motion segments in the lumbar and sacral regions of the spine.

An implant including a first segment at a first end, a second segment at a second end, and an intermediate segment coupled to the first segment on a first end and coupled to the second segment on a second end. The first segment may include an insertion tip at the first end of the implant and a body portion adjacent to the insertion tip, the insertion tip extending out from the body portion. The second segment may include an end member at the second end of the implant and a body portion adjacent to the end member, the end member extending out from the body portion. The second segment may include a plurality of tip portions spaced about a longitudinal axis of the second segment, and the tip portions each including at least one barb formed by a taper portion and an engagement portion extending radially into the tip portion.

Improved tools and procedures relate to the immobilization of the sacroiliac joint for the treatment of pain associated with the joint. Kits comprise, for example, a guide element and an immobilization element of a biocompatible material with a size and shape suitable for placement within the sacroiliac joint. Suitable immobilization elements include, for example, pins, nails, screws, darts, wedges, shims and hardening material. A bioactive agent can be delivered into the joint to compliment the immobilization and promote healing. Suitable procedures can be done in a less invasive procedure through a cannula or the like.

The invention relates to a shaft for a femoral neck prosthesis, which comprises an anchoring area (27, 29) which is arranged inside the femur in order to anchor the prosthesis into bone, a head area which is axially adjacent to the anchoring area (27, 29) on the proximal side, said head area comprising a device (13) which is connected to the prosthesis head (15), in addition to a distal end which is arranged opposite the head area in the axial direction of the anchoring area (27, 29). The invention is characterised in that the maximum cross-sectional dimension of the head area is at the most equal and, in particular, smaller than the maximum diameter of the anchoring area (27, 29), in such a manner that the maximum cross-sectional dimension of the shaft (11) is in the anchoring area (27, 29).