Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment.

Embodiments of bony region stabilization and fusion constructs are described generally herein including bony fixation elements including porous, bone fusion enabling or promoting regions or osteo conductive enabling or promoting regions. Other embodiments may be described and claimed.

A polyaxial bone screw assembly includes a threaded shank body having an integral upper portion receivable in an integral receiver, the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. A down-loadable compression insert with tool receiving arm extensions, a down-loadable friction fit split retaining ring and an up-loadable shank upper portion cooperate to provide for pop-or snap-on assembly of the shank with the receiver either prior to or after implantation of the shank into a vertebra. The shank and receiver once assembled cannot be disassembled.

An implant includes a component for fixed attachment to a bone. An underpass layer of a porous material is disposed on a first side of the component for fixed attachment. At least one strut is provided on the underpass layer. The at least one strut has a first surface contacting the underpass layer and a second surface opposite the first surface. The at least one strut comprises a non-porous material. An additional layer of the porous material fills a respective volume adjacent the at least one strut. The additional layer extends from a first side of the underpass layer to a predetermined height at or above the second surface of the at least one strut.

A compression screw comprising a threaded shaft and a head associated with the proximal end of the shaft. The head has a plurality of outwardly extending projections spaced from one another so as to define a plurality of recesses there between for receiving a screw drive in such a way that rotational force may be transferred from the screw drive to the screw. The projections of the head may be provided with suture fixation holes or a suture coupling may be positioned over the shaft so as to extend between the projections of the head.

The invention relates to a surgical bone screw comprising a shaft which has a bone thread and comprising a blocking means for interacting with a bone plate or for directly anchoring in the bone, in particular in the cortical bone. The surgical bone screw also comprises a screw head which has a rotationally symmetrical enveloping contour. The blocking means has a rib structure with at least one flank structure portion extending in the circumferential direction. According to the invention, the lateral surface of the enveloping contour has a constant or stepped concave progression, and the rib structure flank portion which extends in the circumferential direction is interrupted at least once in the circumferential direction, in particular multiple times, such that at least one elevation, in particular a plurality of elevations which are spaced in the circumferential direction, is produced in order to interact with the bone plate or with the bone in a blocking manner.

A receiving part of a bone anchoring device includes a channel adjacent a first end for receiving a bone fixation element, the channel forming two free legs each having an engagement structure for engaging a locking element to lock the bone fixation element in the channel, an outer surface portion, and at least one projection for engaging an instrument to connect the instrument to the receiving part. The projection projects radially outwardly from the outer surface portion, is spaced apart axially from the first end of the receiving part, and has a circumferential width less than a circumferential width of the legs. The projection has a first side wall that faces the first end. At least part of the first side wall is inclined towards the first end as the first side wall extends circumferentially, to form a region of the projection that narrows towards the first end.

The present application relates to an implantation set including a tool or an aid, and at least one bone contact member adapted thereto, therefore a device designed for direct contact with a bone, the bone contact member having a greater hardness in a region intended for contact by the tool or aid than the tool or aid in a region intended for contact with the bone contact member.

A bone screw includes a shaft including at least one thread having an external thread form and defining at least one cavity. The shaft includes at least one tissue gathering member disposed to direct tissue into the at least one cavity. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

The invention concerns a bone plate system comprising: a bone fastening element comprising a shaft with a first thread with a first lead length, the fastening element further comprising a head with a second thread on its outer surface, the second thread having a second lead length, the outer surface having a first hardness; and a bone plate with a second hardness which is smaller than the first hardness, the bone plate comprising a non-threaded through hole in a non-assembled state for receiving the bone fastening element, the hole comprising a first hole portion with a first three-dimensional shape and a second hole portion with a second, different three-dimensional shape. The first lead length substantially equals the second lead length, and the second thread is arranged to irreversible deform the wall of the hole to form a female thread on the wall.