Bone particle compositions and kits are provided that include a biologically-resorbable cement and a plurality of processed bone particles. A first portion of the processed bone particles in the compositions have a shape configured to interconnect with one another, while a second portion of the processed bone particles having an irregular shape. Methods for treating a bone defect are also provided wherein an effective amount of the bone particle compositions are administered to a site of a bone defect in a subject.

In accordance with one or more embodiments herein, a system for optimizing an implant position in an anatomical joint of a patient is provided. The system comprises a storage media and a processor which is configured to: receive medical image data representing a three dimensional image of the joint from the storage media; obtain a three dimensional virtual model of the joint which is based on the received medical image data; identify damage in the joint based on the received medical image data and/or the three dimensional virtual model of the joint; select a suitable implant template based on the identified damage; and position the selected implant template in the three dimensional virtual model of the joint. The processor is configured to position the implant template by: placing the implant template so that at least a major part of the damage is covered; and optimizing the tilt of the implant axis in order to minimize the total penetration into the bone.

In accordance with one or more embodiments herein, a system for optimizing a position of an implant having an individually customized implant hat H and at least one implant protrusion P extending from the implant hat H in the direction of an implant axis A in an anatomical joint of a patient is provided. The system comprises a storage media 110 and a processor 120 which is configured to: receive medical image data representing a three dimensional image of the joint from the storage media 110; obtain a three dimensional virtual model of the joint which is based on the received medical image data; identify damage in the joint based on the received medical image data and/or the three dimensional virtual model of the joint; define an implant area that covers at least a major part of the identified damage; position a virtual implant template having an implant hat H corresponding to said implant area in the three dimensional virtual model of the joint; and generate a customized top surface of the implant hat H to correspond to a simulated healthy cartilage surface. The processor is configured to position the virtual implant template by: placing the virtual implant template so that the cross section area of the implant hat H in a direction perpendicular to the implant axis A covers at least a major part of the damage; and optimizing the tilt of the implant axis A, while maintaining the position of the cross section area of the implant hat H in the joint, by minimizing at least one of the maximum penetration depth D.sub.max into the bone along the circumference of the implant hat H; the total volume of bone and/or cartilage to be removed for implanting the implant; and/or the surface area of the implant penetration into the bone.

A radial head prosthesis for implantation in a distal radius. The implant includes a head portion and a stem portion. The stem portion has a cylindrical shaft and tapered tip. The head portion includes a recess for engagement with the stem portion. The head portion includes a first bearing surface for articulation with a humerus, and a second bearing surface for articulation with an ulna. The second bearing surface includes at least one concave and one convex portion immediately adjacent one another.

A method for treating a bone includes cutting away a portion of the bone, including cutting non-planar features into the bone for engagement by implant components. The method further includes fitting the multiple implant components to the bone, with at least some of the multiple implant components engaging the non-planar features cut into the bone. The implant components interlock such that later added implant components secure earlier added implant components in place on the bone.

Sacro-iliac joint stabilizing implants adapted for implanting across a SI joint from a dorsal approach. Methods of, and delivery tools adapted for implanting sacro-iliac joint stabilizing implants across a SI joint from a dorsal approach.

A method and apparatus for spinal fusion at the facet joint using an irregularly shaped implant where the orientation of the implant can be preselected before implantation.

A method for treating a spine is provided. The method includes the steps of: disposing an interbody implant adjacent a posterior portion of an intervertebral disc space; connecting a surgical instrument with at least one fixation element fastened with tissue adjacent the posterior portion; and manipulating the surgical instrument such that tissue adjacent the posterior portion engages the interbody implant and one or more vertebra rotate about the interbody implant. Spinal implants, surgical instruments and systems are disclosed.

A radial head prosthesis for implantation in a distal radius. The implant includes a head portion and a stem portion. The stem portion has a cylindrical shaft and tapered tip. The head portion includes a recess for engagement with the stem portion. The head portion includes a first bearing surface for articulation with a humerus, and a second bearing surface for articulation with an ulna. The second bearing surface includes at least one concave and one convex portion immediately adjacent one another.

A method for treating a spine is provided. The method includes the steps of: disposing an interbody implant adjacent a posterior portion of an intervertebral disc space; connecting a surgical instrument with at least one fixation element fastened with tissue adjacent the posterior portion; and manipulating the surgical instrument such that tissue adjacent the posterior portion engages the interbody implant and one or more vertebra rotate about the interbody implant. Spinal implants, surgical instruments and systems are disclosed.