An expandable implant includes a top support assembly defining an upper surface configured to engage a first portion of bone, a first central aperture extending from the upper surface to an interior of the implant, and a first grid structure surrounding the first central aperture; a bottom support assembly defining a lower surface configured to engage a second portion of bone, a second central aperture extending from the lower surface to the interior, and a second grid structure surrounding the second central aperture; and a control assembly coupled to the top support assembly and the bottom support assembly and configured to control relative movement between the top support assembly and the bottom support assembly between a collapsed position and an expanded position.

A minimally invasive intervertebral implant includes a circuitous body defining a luminal axis extending longitudinally therethrough. The circuitous body includes proximal and distal ends oppositely disposed along a lateral axis of the circuitous body. Each of the proximal and distal ends includes an aperture disposed therethrough such that the circuitous body includes a first configuration wherein the proximal and distal ends are at a maximum separation and a second configuration wherein the proximal and distal ends are closer together than in the first configuration.

There is disclosed a bone fixation device that can include a cage having an optional mesh portion. The bone fixation device can be configured to couple a leg portion to a foot portion of a user's body. In at least one embodiment, the device includes at least one cage having a plurality of struts forming cells. There can be an optional mesh portion having a pre-set porosity that can be either constant or variable in density. In at least one embodiment there can be a cage portion which is substantially spherical shaped. Alternatively, the device can be substantially egg shaped. In at least one embodiment there can be a central post hole for receiving a post. In another embodiment at least one plate or shaft can connect to the cage.

An artificial knee joint comprises a femoral condyle prosthesis and a tibial plateau prosthesis; wherein the tibial plateau prosthesis includes a medial tibial plateau prosthesis and a lateral tibial plateau prosthesis disposed at both sides of the tibial plateau intercondylar eminence, respectively. The artificial knee joint further comprises a locating pin for fixing the tibial plateau prosthesis. The bottom surface of the tibial plateau prosthesis is provided with a prosthetic notch, and the tibia below the tibial plateau prosthesis is provided with a tibial notch. The prosthetic notch corresponds to the tibial notch, together forming a limiting hole for accommodating the locating pin. The cooperation between the locating pin and the limiting hole can ensure relative position stability and balance between the medial tibial plateau prosthesis and the lateral tibial plateau prosthesis.

Artificial intervertebral discs include an annulus fibrosus portion and a nucleus pulposus portion. Annulus fibrosus portions disclosed and contemplated herein include a plurality of layers. Fibers within the layers are arranged to provide a crisscross pattern between adjacent layers. Nucleus pulposus portions disclosed and contemplated herein can include a flexible, sealed enclosure.

A surgical instrument comprises an outer sleeve including an inner surface that defines a cavity. An inner shaft is fixed with the outer sleeve and extends within the cavity. The inner shaft includes a drive engageable in a torque interface with a first mating surface of a bone fastener. An inner sleeve is disposed between the inner shaft and the outer sleeve. The inner sleeve is axially fixed and rotatable relative to the outer sleeve. The inner sleeve includes an element connectable in a connection interface with a second mating surface of the bone fastener. Systems, spinal implants and methods are disclosed.

An implant includes an interbody device having a front, a rear, a first lateral side, a second lateral side, a central cavity, and a plurality of bores extending into the rear of the interbody device, each arced bore being configured to receive an arced anchoring member.

A synthetic material can comprise a plurality of rigid components. Each rigid component can be spaced from each adjacent rigid component to define respective interstices between each rigid component and each adjacent rigid component. A flexible material can be disposed within each respective interstice and can extend between and connect to adjacent rigid components.

The methods disclosed herein of generating three-dimensional lattice structures and reducing stress shielding have applications including use in medical implants. One method of generating a three-dimensional lattice structure can be used to generate a structure lattice and/or a lattice scaffold to support bone or tissue growth. One method of reducing stress shielding includes generating a structural lattice to provide sole mechanical spacing across an area for desired bone or tissue growth. Some examples can use a repeating modified rhombic dodecahedron or radial dodeca-rhombus unit cell. Some methods are also capable of providing a lattice structure with anisotropic properties to better suit the lattice for its intended purpose.

A method of implanting a medical implant includes resecting a long bone along a shaft of the bone so as to form a resected surface and remove a metaphysis of the bone. A tapered bore is reamed through the resected surface of the long bone and into an intramedullary canal thereof. A tapered portion of a stem of a medical implant is fully seated within the tapered bore so as to form a press-fit between the tapered portion of the stem and the long bone and so that a collar disposed at an end of the stem is offset from the resected surface so as to form a gap between the resected surface and the collar.