Disclosed herein is an intervertebral disc prosthesis comprising a first cantilever arm; the first cantilever arm comprising a shaft that is affixed to a disc; a second cantilever arm that comprises a plurality of rods that contact the disc; the plurality of rods being equidistant from a central axis of the shaft; and a third cantilever arm that comprises a platform to which are attached a plurality of rings; the rings being concentrically disposed about the shaft; the rings being in operative communication with each other; where the plurality of rods contacts the platform; and where the second cantilever arm has more degrees of freedom than the first cantilever arm, while the third cantilever arm has a number of degrees of freedom that are greater than or equal to the number of degrees of the second cantilever arm.

The strength of bone implant attached to a bone is improved by using hybrid inserts which have stems and wings having bone ingrowth surface features and caps having outer surfaces of cured polymethyl methacrylate (PMMA). The stems and wings of the hybrid inserts are inserted into living bone and the bone implant is attached to the hybrid inserts with PMMA cement. Over time, the bone grows into the bone ingrowth surface features. The bone ingrowth strengthens the bonding of the hybrid inserts and the bone implant with the bone over time. The hybrid inserts increase the shear, tensile and torque strength of the bone implants. Bone inserts that do not have ingrowth surface features loosen over time.

The invention relates to a prosthesis comprising a first component (10) and a second component (60), wherein the first and second components have respective inter-engaging parts (24,64) and wherein at least one of the first or second components comprises an anti-rotational element (32,66) configured to resist rotational movement between the inter-engaging parts and wherein the inter-engaging parts share an axis of rotation such that they are engageable in a plurality of relatively rotated positions and wherein the axis of rotation of the inter-engaging part of one of the first or second components is parallel to but offset from a central axis of said first or second component.

The present disclosure provides intramedullary mandibular implants for the temporomandibular joint. The mandibular implants include a stem portion, a collar portion and a head portion. The stem, collar and head portions may be integral. The stem portion may define an inferior end and the head portion may define a superior end of the implants. The head portion may be arcuate in the sagittal plane to provide an articulating surface with a fossa or a fossa component. The collar portion may be intermediate of the head and stem portions and form a channel between an interior surface of the collar portion and an exterior surface of the stem portion. In use, the stem portion may be implanted within a condyle of a mandible such that an end portion of the condyle is situated within the channel of the implant and the head portion articulates with the fossa or fossa component.

Embodiments of forming custom interbody implants that may be used to stabilize region(s) formed between mammalian bony segments, including systems and methods to produce a custom interbody element that may be used to stabilize or couple region(s) formed between two or more mammalian bony segments. Other embodiments may be described and claimed.

An implant system includes a first portion, a second portion, and a third portion. The first portion includes a hydrogel; the second portion includes a porous material and the hydrogel in pores of the porous material; and the third portion includes the porous material. The first portion is free of the porous material and the third portion is free of the hydrogel. The third portion has non-uniform lateral cross-section.

A metatarsal hemi-arthroplasty implant may include a convex outer surface overlaying a concave inner surface wherein the convex outer surface is shaped to replace an articular surface of a distal end of a metatarsus. The implant may further include a stem that is configured to be inserted into an intramedullary canal of the metatarsus. The stem may extend from the concave inner surface along a longitudinal axis of the implant, and may have an outward-facing surface disposed at a first angle relative to the longitudinal axis, at least one flute extending along the length, and at least one radial groove formed in the outward-facing surface. The implant may further include a plurality of rib members distributed about the stem member to connect the stem to the inner concave surface. Each of the rib members may have a distally-facing surface disposed at a second angle relative to the longitudinal axis.

There is disclosed a bone fixation device that can include a cage having an optional mesh portion. The bone fixation device can be configured to couple a leg portion to a foot portion of a user's body. In at least one embodiment, the device includes at least one cage having a plurality of struts forming cells. There can be an optional mesh portion having a pre-set porosity that can be either constant or variable in density. In at least one embodiment there can be a cage portion which is substantially spherical shaped. Alternatively, the device can be substantially egg shaped. In at least one embodiment there can be a central post hole for receiving a post. In another embodiment at least one plate or shaft can connect to the cage.

A bone insert includes a cap having a convex top surface, an elongated stem, 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 space volume between the host bone and a bone implant. The cap can be made of a material and/or have surface features that create a strong bond with the cement when the liquid cement cures. The stem can be made of a material and/or have bone ingrowth surface features that create a strong bond with the bone.

This invention provides coral-based scaffolds for cartilage repair, and instruments for insertion and utilization of same within a site of cartilage repair.