A length adjustable modular screw includes a neck assembly and a shank. The neck assembly has proximal and distal ends and includes an expander component and a collet component that are slidably engagable by insertion of the expander component in a through channel of the collet component along a common axis. The length adjustable modular screw also includes a shank suitable for insertion and retention within a bone, the shank including a threaded portion between proximal and distal ends and a socket adapted to coaxially receive at least a portion of the distal end of the neck assembly. The length adjustable modular screw has a length that is selected by splaying at least a portion of the distal end of the engaged expander and collet components of the neck assembly within the socket of the shank.

An implant device (100d) for engagement with a bone of a subject, said the implant device (100d) comprising a distal end (102d), a proximal end (104d), a central shaft (106d), a longitudinal central axis (108d) and a helical thread portion (110d) having a leading edge (114d) and a trailing edge (116d). A portion of the leading edge (114d) extends in a direction towards the distal end (102d) of the implant further than the most distal portion of the root (112d) of the thread portion (110d); and wherein the trailing edge (116d) extends in a direction of from the most proximal portion of the root (112d) in a radial outward direction and towards the distal end (102d); and a crest portion (118d) disposed between the leading edge (114d) and the trailing edge (116d) and wherein said the crest portion (118d) forms a radially outward portion of the thread portion (110d). Hence, the implant device (100d) improved the axial pull-out strength and reduced stress concentration.

A compression nut for treating a bone includes a head and a body extending longitudinally from the head to a free end. The body includes an exterior threading along an exterior surface of a threaded portion of the body separated from the head via an unthreaded portion. The nut also includes a channel extending longitudinally through the body. The channel includes an interior threaded extending along an interior surface of the channel configured to threadedly engage an end of a locking screw received therein.

An anchoring system for a spinal support rod. The anchoring system includes a self-tapping orthopedic fastener that is bored through the ilium via a lateral incision and a mounting receiver that is positioned to receive the orthopedic fastener via a posterior incision. The orthopedic fastener may be implanted from a lateral approach or a posterolateral approach. The mounting receiver may be implanted from a posterior or superior posterior approach.

A sleeve can be adapted to reinforce a bone anchor, and can include a body, a lock, and an actuator. The body can include a first sleeve arm and a second sleeve arm, where each can extend longitudinally along opposing sides of a longitudinal bore open at a distal end of the sleeve. The lock can be coupled to the body and releasably securable to a channel of a head of the bone anchor to secure the sleeve to the anchor.

An anchor assembly can be couplable to a bone and can include an anchor and a housing. The anchor can include a shank securable to bone and a head coupled to a proximal portion of the shank.

Methods and apparatus for immobilizing a synovial joint, such as a sacroiliac (SI) joint are disclosed. In one form, a multipiece fixation device, such as a dowel, includes multiple expandable fasteners that are configured to fix adjacent bones of a synovial joint with respect to one another. The expandable fasteners include expansion portions that are expanded radially via insertion of another expandable fastener or an expansion device to fix the expandable fasteners to the bone. The fixation device may be configured to provide for compression or distraction of the bones of the synovial joint while at the same time stabilizing the joint.

This disclosure includes apparatus and methods to attach an orthopedic device to a bone. The method can comprise locating a baseplate on a glenoid of a patient, the base plate including at least a first fastener bore, creating a first post hole in the glenoid for locating a first fixation post, the first fixation post including a quasi-spherical head and a porous metal sleeve, and driving the first fixation post through the first fastener bore and into the first post hole. The porous metal sleeve can engage the first post hole and the quasi-spherical head can contact at least the first wall of the first fastener bore to removeably lock the quasi-spherical head to the baseplate. Driving the first fixation post can create an initial compression between the baseplate and the glenoid. The porous metal sleeve can receive bone ingrowth to maintain the initial compression.

A woven retention device for interfacing with a bone surface is provided that includes a sleeve body that can surround a fastener, a proximal end for receiving the fastener, and a distal end. The sleeve body includes interwoven monofilaments of different diameters forming a substantially tubular lattice with protuberances distributed on interior and exterior surfaces of the lattice at a predetermined spatial relationship. In a first state, the sleeve body has a plurality of combinations of filament cross-section geometries at the intersection points, forming a plurality of protuberance thicknesses as measured in a radial direction of the sleeve body. In a second state when a fastener is inserted into the tubular lattice, pressure from the fastener is transmitted to the tubular lattice such that the spatial relationship of the protuberances changes according to a function of bone density and an interfacing surface shape of the fastener.

Arcuate fixation members with varying configurations and/or features are provided, along with additional components for use therewith in provided intervertebral implants. The arcuate fixation members may be of different lengths, cross sectional geometries, and/or cross sectional areas. Applications of intervertebral implants utilizing arcuate fixation members are particularly suitable when a linear line-of-approach for delivering fixation members is undesirable.