A bone screw comprising a shaft having a wall, the wall including a minor diameter and at least one thread having an external thread form. The thread form including a first portion comprising a crest of the thread form and a second portion extends between a minor diameter of the thread form and the first portion. The first portion having a solid configuration relative to the second portion. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

A bone fixation device includes (a) a threaded shaft extending from a proximal end to a distal end; (b) a head located at the proximal end of the shaft; (c) a connector threadably engaging the threaded shaft and movable therealong; and (d) an extension member movable between an insertion configuration for insertion through an opening in a cortex of a bone to a locked configuration when pressed against an inner surface of the cortex. The profile of the wing in the locked configuration in the plane perpendicular to the longitudinal axis of the shaft is increased relative to the insertion configuration to distribute forces transmitted between the bone fixation apparatus and the bone over an increased area of the cortex.

A threaded implant for bone fixation is provided. The implant includes a head. The implant includes a shaft extending distally from the head. The shaft includes a distal tip. The shaft includes a first set of threads extending a first predetermined length from the distal tip. The first set of threads are configured to capture cortical bone in one of a foot and/or ankle bone of a patient. The shaft includes a second set of threads extending a second predetermined length from the first set of threads. The second set of threads configured to capture epiphyseal bone in the one of the foot and/or ankle bone. Related methods are also provided.

Reinforced biocomposite materials. According to at least some embodiments, medical implants are provided that incorporate novel structures, alignments, orientations and forms comprised of such reinforced bioabsorbable materials, as well as methods of treatment thereof.

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 insert is provided that includes a cap having a convex top surface made from a plurality of cap micro struts, an elongated stem made from a plurality of stem micro struts, and a barrier between the cap and the stem. The stem of the bone insert is inserted into a hole formed in a host bone until the barrier is pressed against the exposed bone. The bone implant can be placed against a small focus contact point on the cap. Liquid cement can be injected into a large center hole in the cap and the cement can flow through the fenestrations between all of the cap micro struts as well as the space between the bone implant and the bone. The cement can cure to create a high strength structure that provides a strong bond between the bone implant and the host bone.

Certain systems, methods, and devices described herein are configured to dynamically model a patient area for surgery and/or other treatment, dynamically identify one or more features and/or characteristics thereon such as the length and/or elasticity of the posterior longitudinal ligament (PLL), dynamically allow modification of the model, dynamically limit and/or assist in modification of the model, and/or dynamically generate guidelines for generation of patient-specific implants and/or treatment kits for a specific patient.

The present invention provides a drug eluting surgical screw and a method for manufacturing a drug eluting surgical screw. The drug eluting surgical screw may include a shaft having a threaded portion, a head having a drive recess disposed at a proximal end of the shaft, the drive recess having a reservoir region and a driver engagement region, and at least one or more drug eluting components disposed within the reservoir region of the drive recess in a manner that does not substantially impair a connection between a driver and the surgical screw when the driver is operably disposed within the driver engagement region, each of the at least one or more drug eluting components including a carrier matrix and a therapeutic agent, the therapeutic agent being at least 20 wt % of the drug eluting component prior to any implantation of the drug eluting surgical screw.

Threaded sacro-iliac joint stabilization (e.g., fusion, fixation) implants and methods of implantation and manufacture. Some implants include a threaded distal region, an optionally threaded central region, and an optionally threaded proximal region. The distal, central, and proximal regions have lengths such that when the implant is laterally implanted across a SI joint, the distal region can be positioned in a sacrum, the central region can be positioned across an SI-joint, and the proximal region can be positioned in an ilium.

A bone screw is provided that includes a tubular body having a first end and a closed second end. The tubular body has a tubular wall defining a cavity wherein the thickness of the wall in a radial direction is smaller than an inner radius of the cavity and wherein a plurality of recesses is provided extending entirely through the tubular wall into the cavity. The tubular body further includes an exterior bone thread on an exterior tubular surface portion of the tubular wall, a head at the first end configured to engage with a driver to advance the bone screw in the bone, and a tip at the second end. The tubular body, the head and the tip are formed as a single piece.