An implant stabilizes two adjacent bones of a joint, while enabling a natural kinematic relative movement of the bones. Support components are connected to each bone of the joint, and a flexible core is interposed between them. The core and at least one of the support components are provided with a smooth sliding surface upon which the core and support component may slide relative to each other, enabling a corresponding movement of the bones. The surfaces may have a mating curvature, to mimic a natural movement of the joint. The core is resilient, and may bend or compress, enabling the bones to move towards each other, and or to bend relative to each other.

A femoral prosthesis system for an orthopaedic hip implant and method of use is disclosed. The prosthesis system includes a femoral stem component that includes a core body and a casing that encases the core body. The casing can be additively manufactured such that the core body defines a predetermined orientation in the core body among a plurality of permissible predetermined orientations. The femoral stem component can further include a neck and a trunnion that extends from the neck. The neck can extend out with respect to the core body at a predetermined angle within a range of permissible predetermined angles.

Intervertebral spacer implants with dynamic load spreading features responsive to external loads and having attachment mechanisms. The dynamic load spreading features having a native state and a loaded state, which complements vertebral end plate geometry and disperses load to the epiphyseal rim.

A facet fusion tube assembly includes an elongated tube that defines a working channel to accept tools, instruments or materials for conducting a facet fusion. The tube includes a clip on its outer circumference that is configured to engage the outer surface of an adjacent tool or instrument used to access and engage the pedicle. A centering cap can be mounted at the proximal end of the elongated tube to align and center a working tool, such as a burring tool. An inner removable rod can extend through the tube to prevent soft tissue migration into the tube during insertion, and can be used for bone graft packing once the facet joint or other area of the spine is prepared for fusion. In use, the tube is clipped onto an adjacent instrument or tool to anchor the facet fusion tube assembly in a proper orientation relative to the facet joint.

The present invention relates to a discal annular assistance device and the surgical instruments necessary for the insertion and removal thereof. This new device assists the annulus fibrosus following the exeresis of the nucleus pulposus of a lumbar intervertebral disc, to stop accelerated progression towards the discoligamentous instability of a vertebral unit operated on for a nucleus pulposus hernia.

A flexible bone implant includes a proximal stem having a proximal end, a distal end, and a proximal conduit extending from the proximal end to the distal end of the proximal stem, whereby the proximal conduit is open at both the proximal and distal ends of the proximal stem. The implant includes a distal stem having a proximal end, a distal end, and a distal conduit extending from the proximal end to the distal end of the distal stem, whereby the distal conduit is open at both the proximal and distal ends of the distal stem. The implant includes a flexible hinge interconnecting the distal end of the proximal stem with the proximal end of the distal stem for allowing the proximal and distal stems to flex relative to one another. A proximal stem protective tube is disposed within the proximal conduit of the proximal stem and has a length that matches the length of the proximal conduit, and a distal stem protective tube is disposed within the distal conduit of the distal stem and has a length that matches the length of the distal conduit. The proximal stem, the distal stem and the flexible hinge comprise a unitary structure made of a polymer material.

A four-component artificial intervertebral disc may provide six degrees of movement: flexion, extension, lateral bending, axial rotation, axial deflection, and anterior/posterior translation. The disc may include a superior endplate, a superior core, an inferior core, and an inferior endplate. The superior endplate may include a concave mating surface, and the inferior endplate may include a spherical mating surface. The superior endplate may roll across the superior core to provide flexion, extension, and lateral bending. The superior endplate may twist or rotate atop the superior core to provide axial rotation, and the superior endplate may slide over the superior core to provide anterior/posterior translation. The superior core may be connected to the inferior core, and the inferior core may be connected to the inferior endplate. The inferior core may be made from a flexible material that may enable the artificial disc to expand or compress vertically.

A method of treating a hip joint of a human patient using a pelvic drill comprising a driving member, a bone contacting and an operating device for operating said driving member. The method comprise the steps of creating a hole passing through the pelvic bone and into the hip joint of the human patient, and providing at least one hip joint surface to the hip joint, through said hole in the pelvic bone of the human patient. In one embodiment the method includes inserting a needle or tube like instrument into the patient's body for filling a part of the patient's body with gas and thereby expanding a cavity within the body.

An innovative dome toe resurfacing system for performing metatarsophalangeal joint replacement is disclosed. The present invention comprises a prosthetic implant for metatarsophalangeal joint, and one or more cone extensions that covers portions of the prosthesis that extends into the metatarsal bone and phalanx bone. The cone extensions include a plurality of ridges that will catch bone on insertion and provide a press fit. The present invention also includes a cone and cup reaming system wherein one or more reamers will ream a cone/cup shape for the articular surfaces, and prepare the metatarsal and phalangeal canals for the insertion of the cone extensions. The cone extensions have ends that fit the reamed cone/cup shape wherein the cone/cup shape resembles the natural anatomy of articular surfaces of metatarsophalangeal joint.

Osteogenesis scaffold such as for spinal fusion or an intermedullary nail includes a number of arcuate struts. The scaffold may have a functional modulus of elasticity that is a result of the modulus of the material of the struts together with the architecture of the struts, and may be within the range of 5 GPa and 75 GPa. An anisotropy of a physical property such as stiffness, compressive strength or elastic modulus corresponds to the same physical property of native bone in the vicinity of the intended implantation site.