The three-dimensional lattice structures disclosed herein have applications including use in medical implants. Some examples of the lattice structure are structural in that they can be used to provide structural support or mechanical spacing. In some examples, the lattice can be configured as a scaffold to support bone or tissue growth. Some examples can use a repeating modified rhombic dodecahedron or radial dodeca-rhombus unit cell. The lattice structures are also capable of providing a lattice structure with anisotropic properties to better suit the lattice for its intended purpose.

An augment device for a joint endoprosthesis, the device including a sleeve surrounding a channel extending through the sleeve. The sleeve is formed of porous material for ingrowth of bony material, the sleeve comprising an inner face and an outer face. The sleeve further comprises a wall surrounding the channel, the wall being made of solid material and forming a sandwich structure with the porous material, wherein the wall forms a bulkhead between the inner face and the outer face. Thereby, the bulkhead wall will stop inflow of any cement across the sleeve from its inner to its outer face. The porous material on the outer face will be kept free from cement and its capability to promote bone ingrowth is reliably preserved. The augment devices are preferably provided as a set having different sizes and straight or stepped bottoms for improved versatility and maximum preservation of natural bone matter.

An interbody cage which comprises a cage body and a mobile rotational element which, when said mobile element is rotated around a longitudinal axis of the body of the cage, may engage one or both adjoining vertebrae and temporally distract the intervertebral space for easier insertion of the cage body. The rotational element may also be designed to durably engage the adjoining vertebrae after its rotation, so as to allow a durable increase of the distraction of the vertebrae. Methods of insertion of the interbody cage are provided wherein the vertebrae are first distracted by the insertion of the cage or of the mobile element, then further distracted by rotation of the mobile element, before the cage is fully inserted into the intervertebral space without the body's superior and inferior surfaces fully engaging the vertebrae in the process.

In accordance with one aspect, a spinal implant for fusing vertebral bones is provided that includes a monolithic body for being inserted between bones. The body has a through opening of the body for receiving bone growth material and a wall of the body extending about the through opening. The wall includes nubs extending into the through opening that increase the surface area of the wall available for bone on-growth.

An orthopaedic prosthesis is disclosed. The orthopaedic prosthesis includes a frame including a plurality of beams defining an open-cell structure and a shell applied to the frame. The frame includes a proximal arm, a distal arm, and a central body connecting the proximal arm to the distal arm. The shell extends over the proximal arm, the distal arm, and the central body of the frame. A method of implanting an orthopaedic prosthesis is also disclosed.

The present invention relates to a vertebral system comprising a vertebral implant (2) and a plurality of inserts, said implant being designed to be implanted in a vertebral segment composed of at least two vertebrae and including a body (20) the walls whereof delimit a cavity (23) leading to the outside of the body (20) through at least one opening in at least one of said walls, at least one passage (21) passing through the implant (2) from the periphery to an upper or lower surface to receive a bone-anchoring device (1) capable of anchoring the implant (2) in at least one of said vertebrae, the system being characterized in that it includes at least two inserts selected from among the following inserts: at least one graft insert (3, 3A, 3B, 4, 5A, 5B, 6A, 6B, 6C, 6D, 202, 250) capable of being colonized by bone tissue and/or receiving at least one bone tissue graft and/or at least one substitute;
and/or at least one bone-anchoring insert (210) comprising said passage (21) capable of receiving said bone-anchoring device (1).

In accordance with one aspect, a spinal implant for fusing vertebral bones is provided that includes a monolithic body for being inserted between bones. The body has a through opening of the body for receiving bone growth material and a wall of the body extending about the through opening. The wall includes nubs extending into the through opening that increase the surface area of the wall available for bone on-growth.

A placeholder for vertebrae or vertebral discs includes a tubular body, which along its jacket surface has a plurality of breakthroughs or openings for over-growth with adjacent tissue. The placeholder includes at least a second tubular body provided with a plurality of breakthroughs and openings at least partially inside the first tubular body. The first and second tubular bodies can have different cross-sectional shapes, can be are arranged inside one another by press fit or force fit or can be connected to each other via connecting pins and arranged side by side to one another in the first body.

An orthopaedic prosthesis is disclosed. The orthopaedic prosthesis includes a frame including a plurality of beams defining an open-cell structure and a shell applied to the frame. The frame includes a proximal arm, a distal arm, and a central body connecting the proximal arm to the distal arm. The shell extends over the proximal arm, the distal arm, and the central body of the frame. A method of implanting an orthopaedic prosthesis is also disclosed.

An interbody cage which comprises a cage body and a mobile rotational element which, when said mobile element is rotated around a longitudinal axis of the body of the cage, may engage one or both adjoining vertebrae and temporally distract the intervertebral space for easier insertion of the cage body. The rotational element may also be designed to durably engage the adjoining vertebrae after its rotation, so as to allow a durable increase of the distraction of the vertebrae. Methods of insertion of the interbody cage are provided wherein the vertebrae are first distracted by the insertion of the cage or of the mobile element, then further distracted by rotation of the mobile element, before the cage is fully inserted into the intervertebral space without the body's superior and inferior surfaces fully engaging the vertebrae in the process.