An example implant device includes a base having a surface that mates with bone, and a plurality of tapered protrusions positioned on the base and extending from the surface of the base that mates with bone. A surface of the plurality of tapered protrusions includes a textured surface to increase area for bone growth. An example method for inserting the implant device into bone includes forcing the plurality of tapered protrusions of the implant device into the bone, and securing the implant device in place without cement due to the plurality of tapered protrusions cutting into the bone for fixation of the implant device.

An intersomatic cage, an intervertebral prosthesis, an anchoring device and an instrument for implantation of the cage or the prosthesis and the anchoring device are provided. An intersomatic cage or an intervertebral prosthesis fit closely to the anchoring device, which includes a body of elongated shape on a longitudinal axis, of curved shape describing, along the longitudinal axis, an arc whose dimensions and radius of curvature are designed in such a manner that the anchoring device may be implanted in the vertebral plate of a vertebra by presenting its longitudinal axis substantially along the plane of the intervertebral space, where the anchoring device is inserted, by means of the instrument, through a slot located in at least one peripheral wall of the cage or on at least one plate of the intervertebral disc prosthesis to penetrate into at least one vertebral plate.

A system for spinal surgery includes a prosthesis comprising a plurality of bone anchors which engage an intervertebral construct for fusion or motion preservation. The fusion construct comprises a spacer optionally encircled by a jacket. The motion preservation construct may comprise an articulating disc assembly or an elastomeric disc assembly. Any of the constructs may occupy the intervertebral disc space between adjacent vertebrae after removal of an intervertebral disc. The anchors slidingly engage the construct to securely fix the prosthesis to the vertebrae. The anchors and jacket of the fusion construct provide a continuous load path across opposite sides of the prosthesis so as to resist antagonistic motions of the spine.

A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface and may include a crosslink extending across a vertebral sagittal plane. The inferior implant may comprise an inferior strut, and a polyaxially adjustable, lockable mechanism which may couple the inferior articular surface with a first end of the inferior strut, and couple the inferior articular surface with the crosslink. A second end of the inferior strut may be secured to a polyaxially adjustable, lockable fixation assembly securable in a vertebra. The superior implant may be secured to a polyaxially adjustable lockable fixation assembly securable in a vertebra. The positions of the inferior articular surface and the first end of the inferior strut are independently translatable along a medial-lateral axis of the vertebra prior to lockout by the lockable mechanism. The crosslink may be placed into the lockable mechanism from a posterior approach.

A method of implanting a unicompartmental orthopedic knee implant may include positioning a tibial tray onto a resected patient's tibia, the tibial tray including a body having a joint-facing side opposite a bone-facing side, and inserting a tibial anchor guide into the body of the tibial tray, wherein the tibial anchor guide includes a slot. The method may further include forming a tibia channel in the patient's tibia by inserting a cutting device into the slot of the tibial anchor guide, removing the cutting device from the tibial anchor guide, and inserting a fixation element into the tibia channel, wherein compression is created between the bone-facing side of the body of the tibial tray and the tibia when the fixation element is inserted.

This invention relates to orthopaedic implants having one or more regions of three dimensional lattice that substantially replicate the trabecular orientation within a healthy bone from the same anatomical location as the implant. A method for the manufacture of such orthopaedic implants is also disclosed using additive manufacturing techniques and patient-specific anatomical information.

Prostheses are described for stabilizing dysfunctional bone structures. The prostheses have proximal and distal ends, and an expandable mid-region disposed therebetween. The expandable mid-region includes a plurality of deflectable elongate members that are configured and adapted to transition from a compressed configuration to a deflected configuration when released from a deployment apparatus, whereby the plurality of deflectable elongate members deflects outwardly when the elongated member is inserted into a pilot opening of a dysfunctional bone structure, whereby the plurality of elongate members exerts a retaining force on the internal surface of the pilot opening and secures the elongated member in the pilot opening and, thereby, the dysfunctional bone structure.

A spinal cage with a wall extending in a longitudinal direction defining an interior space is disclosed. There is also provided a deployable element in movable relation to the spinal cage.

The invention discloses an improved wedging cage within the sacroiliac (SI) joint and fixation screw(s). The wedging cage is adapted to be positioned between the sacrum and the lilac bone (e.g., the sacroiliac joint), and the wedging cage is effective to receive one or more fixation or axial screws to fasten the wedging cage and secure the wedging cage to the adjacent pelvic bones to provide a combination effect of fusion and/or fixation. Accordingly, the improved fixation screw assemblies promote flexibility and adaptability due to the adjustable head being movable to a locked and unlocked position relative to the screw body when implanted onto a substrate.

Devices and methods for intervertebral spinal fusion of adjacent intervertebral bodies are provided. An intervertebral spacer is positioned within a narrow disc space between adjacent intervertebral bodies of a patient. The spacer is arranged with upper and lower guides. The guides are adapted to simultaneously guide the deployment of upper and lower anchors of an anchoring device into their respective intervertebral bodies. The spacer is also adapted to lock the upper and lower anchors to the spacer in the deployed position.