An implant and method for fusing adjacent spinal vertebrae is disclosed. In an embodiment for a spinal implant of the present invention, the implant includes a spacer body assembly and two retention members. The two retention members each include split fork tangs wherein the tangs of each retention member are simultaneously extendable from the spacer body assembly into the adjacent vertebra. A method of fusing adjacent vertebrae includes the step of inserting an implant between adjacent vertebrae with retention members. The method also includes the step of configuring the retention members wherein a portion of each tang of a retention member simultaneously extends from the implant into one of the adjacent vertebra.

An adjustable spacer modular device for the treatment of an articulation of the human body, comprising a fitting central body provided with an end having a substantially flat first surface, a head adapted to be arranged within an articular cavity, wherein the head comprising a cap and a base opposite to said cap, wherein the cap and the base are radiused to each other, a rod-like element, adapted to be fixedly connected at a bone end, first means for connecting the head to the central body, wherein the first connection means are adjustable and adapted to adjust the inclination of the head with respect to the central body along a longitudinal plane and/or along a transverse plane of the human body.

A method for manufacturing a prosthetic hip acetabulum includes the following steps. First, one provides an insertion cup (1) having an inner concave receiving surface (3) having an opening surface (5) contained in an opening plane (P), and having an outer annular receiving structure (6). Next, one provides an installation and positioning insert (7) having a peripheral annular attachment structure (10) shaped to engage with the receiving surface (9) of the structure (6), fitting around that structure. Next, one heats the insert (7) in order to increase its size. Next, one fits the attachment structure (10) around the receiving surface (9) of the receiving structure (6). Finally, one cools the insert (7) to room temperature to reduce its size and achieve radial tightening of the attachment structure (10) on the outer annular receiving structure (6).

Fixation systems, kits and methods for vertebral interbody fusions are provided. The fixation systems fix an intervertebral cage in the spine to resist left to right rotation, flexion and/or extension. In one embodiment, the fixation system contains two keels that are insertable into an attachment portion or an anterior wall of an intervertebral cage. Each keel contains a blade with two flanges, in the shape of half of an I-beam. The attachment portion may be one or more pieces that mate to form the attachment portion, such as an I-beam attachment portion. The blades can be straight or curved. Preferably the fixation systems are modular, allowing for parts to be interchanged to suit the patient's needs. The fixation systems may be provided in a kit, preferably with more than two keels having different sizes and/or shapes, more than one cage, and/or more than one attachment portion.

A spinal implant adapted to be positioned within a disc space between adjacent vertebrae includes a first intradiscal element, a second intradiscal element, and a coupling mechanism. The first and second intradiscal elements include respective first and second outer surfaces adapted to be positioned adjacent an endplate of respective first and second adjacent vertebrae. The first and second intradiscal elements further include respective first and second medial surfaces that are opposite the respective first and second outer surfaces, where the second medial surface is adapted to generally face the first medial surface upon assembly of the first intradiscal element with the second intradiscal element. The coupling mechanism is associated with the first and second medial surfaces and is adapted to provide relative rotational movement between the first and second intradiscal elements in a plane generally parallel with the first and second medial surfaces.

Methods and apparatus for posterior lumbar interbody fusion (PLIF) surgical procedures. The apparatus includes a sleeve assembly for guiding an interbody graft into position between adjacent anatomical structures. The sleeve includes a first piece having a first internal ramp and a second piece having a second internal ramp opposite the first internal ramp, and an elastic band configured to connect the first and second pieces together. The first and second internal ramps comprise a V shape with an opening therebetween through which the interbody graft is urged during the surgical procedure.

In some embodiments, a surgical method includes creating an incision in a patient, exposing a multi-component prosthesis implanted in a patient, disassembling at least one component of the multi-component prosthesis, and coupling a first revision implant component to a first component of the multi-component prosthesis. The revision implant component has a body including at least one of a projection or an opening that is complementary to a feature of the first component of the multi-component prosthesis for coupling the revision implant component to the first component of the multi-component prosthesis.

A method for implanting a medical device in a knee joint of a human patient, said method comprising the steps of cutting the skin of a human patient, dissecting an area of the knee joint, introducing the medical device comprising a first part and second part into the knee joint, and attaching the first part and second part of the medical device such that said medical device clasps a portion of a bone of the knee joint.

Shoulder arthroplasty systems and configurations for components thereof are described. For example, implant systems for a total should arthroplasty (TSA), hemi shoulder arthroplasty, and reverse should arthroplasty (RSA) are described. In addition, exemplary configurations for baseplates, glenoid components, glenosphere components, humeral components, humeral head components, humerosocket components, connectors, and adaptors, are described.

An implant for use in spinal surgery comprises a resilient element having an inflatable cavity. It is formed of a biologically compatible material and is arranged for placement between end plates of adjacent vertebra. The implant may also include a wound disc replacement element. A method of performing spinal surgery on a patient comprises securely mounting a patient onto a patient support table; imaging a spinal region of the patient; building up a three-dimensional image file of the spinal region of the patient; storing the image file; and utilizing the image file for planning and carrying out computer controlled spinal surgery on the patient utilizing the implant. A computer-controlled surgical implant system comprises a steerable endosurgical implanting assembly operative to install the implant at a desired location in a patient; and a computerized controlled, which operates the steerable endosurgical implanting assembly.