This disclosure describes spinal implants with anchoring elements including an aperture for delivery of injectable materials. In one aspect, a spinal implant includes a body defining one or more injection ports and one or more channels, the one or more injection ports configured to receive flowable material and to provide the flowable material to the one or more channels; and one or more anchoring elements protruding from a surface of the body, the one or more anchoring elements each defining an aperture coupled to the one or more channels and configured to receive the flowable material from the one or more channels and to provide/output the flowable material from the aperture.

Threaded sacro-iliac joint stabilization (e.g., fusion, fixation) implants and methods of implantation and manufacture. Some implants include a threaded distal region, an optionally threaded central region, and an optionally threaded proximal region. The distal, central, and proximal regions have lengths such that when the implant is laterally implanted across a SI joint, the distal region can be positioned in a sacrum, the central region can be positioned across an SI-joint, and the proximal region can be positioned in an ilium.

The present disclosure provides an implant component assembly for a joint replacement. The assembly comprises an implant component, the implant component including an interface part for attaching another implant component and an assembly channel. The assembly further comprises an assembly screw for securing the other implant component to the implant component, the assembly screw having a longitudinal axis, a screw head, and a screw shank and being insertable into the assembly channel. A screw retention unit of the assembly is configured for keeping the assembly screw within the assembly channel and allowing rotation of the assembly screw about the longitudinal axis.

One aspect of the present disclosure relates to a tissue integration device. The tissue integration device can be produced by forming a polymer mixture into a shape. The polymer mixture can include a polymer resin and a growth-promoting medium. Next, at least one polymer forming the polymer resin can be oriented in at least one direction. The shaped polymeric material can then be formed into the tissue integration device.

Stemless components and fracture stems for joint arthroplasty, such as shoulder arthroplasty, are disclosed. Also, methods and devices are disclosed for the optimization of shoulder arthroplasty component design through the use of medical imaging data, such as computed tomography scan data.

An intervertebral implant for implantation in an intervertebral space between vertebrae. The implant includes a body extending from an upper surface to a lower surface. The body has a front end, a rear end and a pair of spaced apart first and second side walls extending between the front and rear walls such that an interior chamber is defined within the front and rear ends and the first and second walls. The body defines an outer perimeter and an inner perimeter extending about the internal chamber. At least one of the side walls is defined by a solid support structure and an integral porous structure, the porous structure extending from the outer perimeter to the inner perimeter. The porous structure embeds or encapsulates at least a portion of the solid support structure.

A spinal implant includes a body having opposite first and second end walls and opposite first and second side walls. The side walls each extend from the first end wall to the second end wall. A first cap is coupled to top ends of the walls. A second cap is coupled to bottom ends of the walls. The implant includes an opening extending through the caps such that the first cap defines a first ledge extending from the walls to the opening and the second cap defines a second ledge extending from the walls to the opening. Systems and methods of use are disclosed.

An orthopedic prosthesis for stimulating bone growth may include a substrate having at least one bone-facing surface and at least one internal surface, at least one piezoelectric nanostructure coupled to the at least one bone-facing surface of the substrate, at least one charge storing material placed within the orthopedic prosthesis proximate the at least one internal surface, and an interconnect in electrical communication with the at least one piezoelectric nanostructure and the charge storing material. The at least one piezoelectric nanostructure may be configured to generate an electric charge in response to at least one mechanical force applied to the at least one piezoelectric nanostructure and the interconnect may be configured to transfer the electric charge to the at least one charge storing material to promote bone in-growth within the orthopedic prosthesis and/or on the at least one bone-facing surface.

An expandable implant having superior and inferior endplates disposed on opposite sides of a core is disclosed. The superior endplate may include a first screw engagement surface disposed on a proximal end thereof and the inferior endplate may include a second screw engagement surface disposed on a proximal end thereof. A pin may extend through corresponding pin apertures of the superior endplate, the inferior endplate, and the core. In various embodiments, the superior endplate and inferior endplate are hingedly connected to the core via the pin. The implant may include a locking screw movable between a locked position and an unlocked position. In the locked position, the locking screw may urge an engagement surface of the superior endplate and inferior endplate such that corresponding interior surfaces of the superior and inferior endplates frictionally engage against a corresponding exterior surface of the core.

Provided herein are implants and methods for producing implants. In at least one embodiment, the implants include sheet-based, triply periodic, minimal surface (TPMS) portions. According to one embodiment, the TPMS portions include a gyroid architecture that provides for improved osseointegration and mechanical performance over previous implants due to novel ratios of porosity to compressive strength, among other features. In one or more embodiments, the gyroid architecture is organized into unit cells that demonstrate anisotropic mechanical performance along an insertion direction. In various embodiments, the present methods include novel selective laser melting (SLM) techniques for forming the TPMS portions of implants in a manner that reduces defect formation, thereby improving compressive performance and other implant properties.