The invention relates to a revision prosthesis shaft of a revision joint endoprosthesis for anchoring in an elongate bone (9), in particular femur. The surface is designed for adhesive agent-free fastening in the proximal epimetaphysis (91) and the diaphysis (92) of the bone. According to the invention, a distal epimetaphyseal extension (2) is provided at the far end of the shaft (12), the tip of which extension reaches into the distal epimetaphysis (93) of the bone. The extension (2) is designed for fastening in the distal epimetaphysis (93) by means of an adhesive agent (3), in particular bone cement. The invention combines the advantages of cement-free fastening, namely of the shaft in itself in the diaphysis (92), with the advantages of cemented fastening, namely of the extension in the distal epimetaphysis (93). Even in difficult cases in which sufficient hold previously could not be achieved for lack of fastening distance in the diaphysis, stable anchoring can thus be achieved. This increases the safety and longevity of the revision. The invention further relates to a corresponding implantation method.

A spinal bone graft includes one or more cortical bone portions forming a first unit. The first unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms at least one first undercut. The bone graft also includes one or more cortical bone portions forming a second unit. The second unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms either at least one second undercut, or at least one connector. In the former, at least one connector is received in each of the first and second undercuts to interconnect the first and second units. In the latter, the at least one connector of the second unit is received in the first undercut of the first unit to interconnect the first unit and second unit.

An implant system comprises an implant plate adapted to be positioned on a surface of a resected bone. The implant plate has a plurality of openings. A plurality of independently positionable pegs attach the implant plate to the bone. Each peg has a longitudinal axis and comprises: a peg body and a retaining device. The peg body is inserted into a peg hole in the bone. The peg body has a transverse dimension in a direction normal to the longitudinal axis, the transverse dimension larger than the openings of the plate. The retaining device is separate from the peg body, and is configured to attach to the peg body, with at least a first portion of the retaining device positioned above an upper surface of the implant plate, and a connecting portion of the retaining device extending through one of the openings of the implant plate.

Devices and methods for treating one or more damaged, diseased, or traumatized portions of the spine, including intervertebral discs, to reduce or eliminate associated back pain. In one or more embodiments, the present invention relates to an expandable interbody spacer. The expandable interbody spacer may comprise a first jointed arm comprising a plurality of links pivotally coupled end to end. The expandable interbody spacer further may comprise a second jointed arm comprising a plurality of links pivotally coupled end to end. The first jointed arm and the second jointed arm may be interconnected at a proximal end of the expandable interbody spacer. The first jointed arm and the second jointed arm may be interconnected at a distal end of the expandable interbody spacer.

Intervertebral spinal fusion implants for interbody fusion of the anterior column of the spine are described. The implants have a substantially bi-convex or a substantially offset bi-convex shape. The implants are placed through a transforaminal or posterior approach at an oblique insertion angle. The implants have an outermost point on the superior convex surface and an outermost point on the inferior convex surface and four edges of differing heights. The outermost superior and inferior points of the implants are connected with the four edges with convex surfaces of different curvatures. The curvatures of the convex surfaces of the implants are designed to match the curvatures of concave vertebral surfaces when the implants are inserted at an oblique insertion angle.

A spinal construct includes a first endplate that is configured to engage a first vertebral surface. An expandable member is connected with the first endplate and includes a mating element. A second endplate is configured to engage a second vertebral surface and includes an in-situ guide surface engageable with the mating element to connect the member with the second endplate. Systems and methods are disclosed.

Implants for the fusion or fixation of two bone segments are described. For example, the implants can be used for the fusion or fixation of the sacroiliac joint. The implants can include fenestrations, have a rectilinear overall cross-sectional area, and have a curvature. Some implants can also be used to rescue failed implants.

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.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The fusion device described herein is capable of being installed inside an intervertebral disc space at a minimum to no distraction height and for a fusion device capable of maintaining a normal distance between adjacent vertebral bodies when implanted.

A spinal bone graft includes one or more cortical bone portions forming a first unit. The first unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms at least one first undercut. The bone graft also includes one or more cortical bone portions forming a second unit. The second unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms either at least one second undercut, or at least one connector. In the former, at least one connector is received in each of the first and second undercuts to interconnect the first and second units. In the latter, the at least one connector of the second unit is received in the first undercut of the first unit to interconnect the first unit and second unit.