An implant assembly may include a first component having a proximal plate and a distal portion extending from the proximal plate, a first screw of a first type, and a first screw of a second type. The proximal plate may have a proximal face, a distal face configured to abut bone, and a periphery. The proximal plate may define a plurality of apertures. An opening may be defined by the proximal plate and extend through the distal portion. Each of the plurality of apertures may be disposed between the opening and the periphery. The first screw of the first type may be sized and configured to be received in the opening and engage bone. The first screw of the second type may be sized and configured to be received in at least one of the plurality of apertures.

A prosthesis assembly is provided that includes a base member that has a helical structure and one or more pathways. The helical structure extends between a first end and a second end. The pathway is accessible from the second end and is directed toward the first end through the helical structure. The pathway is located inward of an outer periphery of the helical structure, e.g., adjacent to an inner periphery of the helical structure. The pathway extends in a space between successive portions of the helical structure. The prosthesis assembly includes a locking device that has a support member and an arm that projects away from the support member. The arm is configured to be disposed in the pathway when the support member is disposed adjacent to the second end of the base member. The arm is disposed through bone in the space between successive portions of the helical structure when the prosthesis assembly is implanted.

Bone implants, including methods of use and assembly. The bone implants, which are optionally composite implants, generally include a distal anchoring region and a growth region that is proximal to the distal anchoring region. The distal anchoring region can have one or more distal surface features that adapt the distal anchoring region for anchoring into iliac bone. The growth region can have one or more growth features that adapt the growth region to facilitate at least one of bony on-growth, in-growth, or through-growth. The implants may be positioned along a posterior sacral alar-iliac (“SAT”) trajectory. The implants may be coupled to one or more bone stabilizing constructs, such as rod elements thereof.

A prosthesis assembly is provided that includes a base member that has a helical structure and one or more pathways. The helical structure extends between a first end and a second end. The pathway is accessible from the second end and is directed toward the first end through the helical structure. The pathway is located inward of an outer periphery of the helical structure, e.g., adjacent to an inner periphery of the helical structure. The pathway extends in a space between successive portions of the helical structure. The prosthesis assembly includes a locking device that has a support member and an arm that projects away from the support member. The arm is configured to be disposed in the pathway when the support member is disposed adjacent to the second end of the base member. The arm is disposed through bone in the space between successive portions of the helical structure when the prosthesis assembly is implanted.

A joint replacement implant may include a shaft having a proximal end, a distal end, and a threaded shaft portion, a helical thread disposed about the shaft defining a length of the threaded shaft portion and including a concave undercut surface angled towards one of the proximal end and the distal end of the shaft, and an attachment feature at the proximal end of the joint replacement implant. The attachment feature may be configured to couple an articular member to the joint replacement implant. The articular member may include at least one artificial articular surface that may be shaped to replace at least a portion of a natural articular surface of a joint of a patient.

A shoulder assembly is provided which includes a base member including a collar; a helical structure extending from the collar in a distal direction; and a first pathway projecting distally of the collar and through the helical structure adjacent to an inner periphery thereof, the first pathway being generally transverse to the helical structure and extending in a space between successive portions of the helical structure; and a locking device comprising a proximal support and a first arm projecting distally of the proximal support, the first arm configured to be disposed in the first pathway projecting distally of the collar when the proximal support is disposed adjacent to the collar; where the first arm is disposed through bone in the space between successive portions of the helical structure when the shoulder assembly is implanted.

Bone implants, including methods of use and assembly. The bone implants, which are optionally composite implants, generally include a distal anchoring region and a growth region that is proximal to the distal anchoring region. The distal anchoring region can have one or more distal surface features that adapt the distal anchoring region for anchoring into iliac bone. The growth region can have one or more growth features that adapt the growth region to facilitate at least one of bony on-growth, in-growth, or through-growth. The implants may be positioned along a posterior sacral alar-iliac (“SAI”) trajectory. The implants may be coupled to one or more bone stabilizing constructs, such as rod elements thereof.

A humeral anchor assembly is provided that includes a humeral anchor and at least one screw. The humeral anchor is configured to form a part of or support a part of a shoulder prosthesis. The humeral anchor has a distal portion configured to be anchored in a proximal region of a humerus and a proximal portion. The proximal portion includes a proximal face configured to engage an articular component within a periphery thereof. The proximal portion also includes at least one aperture disposed adjacent to the periphery. The at least one screw is disposed through the at least one aperture. The screw has a first end portion engaged with the proximal portion of the anchor and a second end portion disposed in or through cortical bone of the humerus.

Bone implants, including methods of use and assembly. The bone implants, which are optionally composite implants, generally include a distal anchoring region and a growth region that is proximal to the distal anchoring region. The distal anchoring region can have one or more distal surface features that adapt the distal anchoring region for anchoring into iliac bone. The growth region can have one or more growth features that adapt the growth region to facilitate at least one of bony on-growth, in-growth, or through-growth. The implants may be positioned along a posterior sacral alar-iliac (“SAI”) trajectory. The implants may be coupled to one or more bone stabilizing constructs, such as rod elements thereof.

A prosthesis assembly is provided that includes a base member (104) that has a helical structure (224) and one or more pathways. The helical structure extends between a first end and a second end. The pathway is accessible from the second end and is directed toward the first end through the helical structure. The pathway is located inward of an outer periphery of the helical structure, e.g., adjacent to an inner periphery of the helical structure. The pathway extends in a space between successive portions of the helical structure. The prosthesis assembly includes a locking device (108) that has a support member and an arm (110) I/O that projects away from the support member. The arm is configured to be disposed in the pathway when the support member is disposed adjacent to the second end of the base member. The arm is disposed through bone in the space between successive portions of the helical structure when the prosthesis assembly is implanted.