A fusion device assembly for fusion of a joint, including a first screw portion, including a first distal end, a first proximal end, a first radially outward facing surface, and a first hole, a second screw portion, including a second distal end, a second proximal end, and a second radially outward facing surface, and a section, including a first end slidably engaged with the first hole, a second end non-rotatably secured to the second distal end, and a third radially outward facing surface.

An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

An implant insertion tool for use during a surgical procedure to implant an acetabular cup component into a surgically-prepared acetabulum of a patient's hip includes a metallic elongated shaft, a removable polymeric grip, and a locking nut to secure the grip to the elongated shaft. Such a modular design allows the implant insertion tool to be dissembled prior to sterilization.

Disclosed herein are systems and methods for intervertebral body fusion that provide more robust support within the disc space. Intervertebral body fusion devices can have a unitary monolithic body including a plurality of body segments interconnected with each other by flexure members. Devices can be configured to be inserted through an opening in a compressed configuration and then expanded within the disc space to an expanded configuration. In the expanded configuration, devices can have a greater mediolateral or transverse to the disc space footprint. This wider footprint provides greater support for the vertebrae relative to the size of the opening through which the device is inserted. Insertion devices for inserting, expanding and extracting such implants are also disclosed.

A retention system includes a first member having an inner surface defining a first thread form. The first thread form includes a first stage having a first pitch and a second stage having a second pitch that is greater than the first pitch. A second member includes a shaft and a neck. The shaft includes an outer surface defining a second thread form configured to engage the first thread form to lock the second member with the first member. The neck includes a smooth unthreaded section. Methods of use are disclosed.

A hip implant is provided that includes a metal acetabular cup to be inserted into an acetabulum of the pelvis, a femoral head and neck portion with a polymer femoral head molded onto a metal formal head base that is attached to a metal femoral neck rod configured to be inserted into the neck of a femur, and a metal main body shaft configured to be inserted into a femoral shaft region of the femur and secured by bone screws. The head base may have stabilizing features, such as dimples and peripheral mounds, over which the femoral head is molded. The main body shaft also has diagonal hole located at the center line of the neck of the femur to receive the femoral neck rod at an adjustable angle. The femoral head interfaces with the acetabular cup as a smooth plastic-to-metal spherical-surface joint.

The femoral neck preserving hip implant includes a polymer femoral head molded onto a femoral head base, which is attached to a femoral neck rod to be inserted into the femoral neck of a patient. A metal acetabular cup is inserted into an acetabulum anatomy of a pelvis. The femoral head interfaces with the acetabular cup as a smooth plastic-to-metal spherical-surface joint. A main body shaft to be inserted into a femoral shaft has a diagonal hole therethrough located at a center line of the femur's neck to receive the femoral neck rod at a specified angle. A secured lock mechanism in the main body shaft above the diagonal hole is screwed down to compressively engage the femoral neck rod. Both the diagonal hole and the end of the femoral neck rod may have a slight taper. The femoral neck rod also has a radially outward extending flange that forms a contact feature that sits upon the resection plane of the femoral neck to stabilize against axial force loading.

An orthopedic system for delivery of a therapeutic agent to a bone includes an elongate stem adapted to be inserted into an intramedullary canal, an inlet configured to receive the therapeutic agent, and one or more outlets configured to deliver the therapeutic agent to the bone. The elongate stem may comprise one or more protrusions to engage the bone, and one or more channels extending longitudinally therein, fluidly coupled to the inlet. The therapeutic agent flows from the inlet through the one or more channels and exits into the intramedullary canal through the one or more outlets. The system may be configured to allow one or more dimensions of the system to be adjusted to accommodate the anatomy of a patient.

Disclosed herein are an implant with an attachment feature and a method for attaching to the same. The implant may include a cavity with a porous layer disposed within a non-porous layer wherein the non-porous layer defines a chamber. The chamber may receive and confine liquefiable material and direct liquefiable material to permeate through the porous layer. A method of attaching a device to the implant may include liquefying a liquefiable portion of the device and allowing the liquefied material to interdigitate with the second layer and then solidify to prevent pullout.

An insertion instrument for expandable spinal implants includes an elongate member, a shuttle, and a worm gear. The elongate member includes a handle portion of a proximal end and an end effector on a distal end, wherein the end effector is configured to be releasably engaged to an expandable spinal implant. The shuttle is slidably disposed within a cavity defined within the end effector and includes a wedged shaped distal end configured to engage an expandable spinal implant. The worm gear is rotatably disposed within the cavity defined in the end effector and is in mechanical communication with the shuttle, such that rotation of the worm gear effectuates movement of the shuttle. Distal movement of the shuttle effectuates articulation of an expandable spinal implant. A method of performing surgery is also disclosed.