An expandable vertebral device includes a base assembly having end portions that are movable relative to one another via adjustment of an adjustment mechanism at the first end portion. A plurality of movable plates are movably disposed at the base assembly and are at least vertically movable relative to the base assembly as the end portions are moved relative to one another. Each of the end portions has a pair of vertical guide elements and may have a pair of lateral guide elements. Each of the movable plates includes a vertical guide that moves along the respective vertical guide element and may have a lateral guide that moves along a respective lateral guide element. When the adjustment mechanism is adjusted to draw the end portions toward one another, the movable plates move outward from a longitudinal axis of the base assembly as the guides move along the respective guide elements.

An intervertebral implant with two opposite contact surfaces configured to bear regionally on vertebral bodies and are spaced apart from each other along a vertical axis and are each arranged on support elements which are adjustable relative to each other. The support elements are guided adjustably relative to each other along a circular arc contour oriented on a longitudinal axis extending perpendicular to the vertical axis in such a way that, by adjustment of the two support elements relative to each other along the circular arc contour, a spacing of the two contact surfaces with respect to the vertical axis and/or an angle setting of the two contact surfaces relative to each other can be predefined and/or modified.

An expandable intervertebral fusion implant, including an inferior component, including a first top surface, a first bottom surface, a first end including a first worm rotatably arranged therein, the first worm including a through-hole operatively arranged to allow material to be injected therethrough and into a central hole of expandable intervertebral fusion implant, and a second end including a second worm rotatably arranged therein, a superior component, including a second top surface, a second bottom surface, a third end, and a fourth end, and a first expansion mechanism including a first screw, the first screw including a first bottom end connected to the inferior component and a first top end connected to the superior component, wherein as the first worm is rotated in a first circumferential direction, the first screw rotates in a second circumferential direction and the superior component is displaced relative to the inferior component.

A sacroiliac joint implant system includes a primary implant configured to be received in a sacroiliac joint of a patient and a secondary implant configured to couple with the primary implant. The primary implant includes a body extending from a proximal end to a distal end and a plurality of threads extending from the body. The secondary implant includes a first anchor configured to anchor within a sacrum of the patient and a second anchor configured to anchor within an ilium of the patient.

A knee joint prosthesis is configured to move between an extended position and a flexion position. The knee joint prosthesis includes a femoral component configured to be mounted to a femur, and a tibial component configured to be mounted to a tibia. The tibial component is configured to engage the femoral component to form the knee joint prosthesis. A post is fixedly connected to one of the femoral component and the tibial component and has a helical surface at a terminal end thereof. A recess is defined on the other of the femoral component and the tibial component and has a helical surface. The helical surfaces of the post and recess are configured to engage in order to cause relative rotation between the femoral and tibial components as the knee joint prosthesis moves between the extended and flexion positions.

A spinal implant apparatus that is an expandable spacer including features to minimize or eliminate spacer cant or offset during and after completing the expansion process. The spacer includes a top component, a base component in engagement with the top component, and an expansion mechanism arranged to change the top component's position with respect to the base component. The mechanism for causing expansion may be a screw, a cam, a wedge or other form of distracting device. In one embodiment, the expandable spacer includes a base component with a set of towers and a top component with a set of corresponding silos, where the towers and silos are configured to minimize or eliminate tilt of the top component as it extends upwardly from the base component.

Expandable spinal implants, systems and methods are disclosed. An expandable spinal implant may include a first endplate, a second endplate, and a moving mechanism that is operably coupled to the first and second endplates. The moving mechanism may include a wedge, a first sliding frame and a second sliding frame disposed on opposite sides of the wedge, a screw guide housing a rotatable first set screw and a rotatable second set screw opposite the first set screw. The first set screw may be operably coupled to the second sliding frame and the second set screw may be operably coupled to the wedge. The moving mechanism may operably adjust a spacing between the first and second endplates upon simultaneous rotation of the first and second set screws and operably adjust an angle of inclination between the first and second endplates upon translating the first set screw or second set screw.

Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. The implant or a portion thereof may be composed of a shape-memory material, which has a curved shape-memory orientation and a temporarily straight orientation. The implant may be configured to be inserted into a pedicle of an inferior vertebra, through the vertebral body of the inferior vertebra, and into the vertebral body of the superior vertebra to thereby stabilize the inferior and superior vertebrae.

A modular knee joint prosthesis is configured to move between an extended position and a flexion position. The modular knee joint prosthesis includes a femoral component that is configured to be mounted to a femur. The femoral component has a first cutout or opening in a central region thereof for receiving a femoral insert. The modular knee joint prosthesis also includes a tibial component that is configured to (i) be mounted either directly or indirectly to a tibia, and (ii) engage the femoral component. The tibial component has a second cutout or opening in a central region thereof for receiving a tibial insert. A kit includes the modular knee joint prosthesis, at least two of the femoral inserts having different geometries, and at least two of the tibial inserts having different geometries.

Methods and apparatus for providing correction of one or more maladies or conditions of the spinal column of a living being. In one embodiment, the apparatus includes an implantable device configured to be selectively adjustable in one or more portions thereof so as to permit correction of asymmetries or irregularities of the spinal column via insertion into one or more affected intervertebral disc spaces. In one variant, the implantable device includes upper and lower host elements which are hinged or can pivot relative to one another, and an insertable distraction mechanism which is adjustable to enable one side or the other of the implantable device to alter height. In another variant, both sides of the implantable device can be adjusted for height via the host elements and one or more pivots or hinges. In one implementation, the distraction mechanism is adjustable from multiple approaches into the disc space.