A prosthetic disc for insertion between adjacent vertebrae includes a core having upper and lower curved surfaces, upper and lower plates, and peripheral restraining structure on at least one of the upper plate, the lower plate and the core. Each plate has an outer surface which engages a vertebra and an inner curved surface which slides over the curved surface of the core. The peripheral restraining structure serves to hold the core against a curved surface of at least one of the plates during sliding movement of the plates over the core.

This disclosure includes apparatus and methods to attach an orthopedic device to a bone. The method can comprise locating a baseplate on a glenoid of a patient, the base plate including at least a first fastener bore, creating a first post hole in the glenoid for locating a first fixation post, the first fixation post including a quasi-spherical head and a porous metal sleeve, and driving the first fixation post through the first fastener bore and into the first post hole. The porous metal sleeve can engage the first post hole and the quasi-spherical head can contact at least the first wall of the first fastener bore to removeably lock the quasi-spherical head to the baseplate. Driving the first fixation post can create an initial compression between the baseplate and the glenoid. The porous metal sleeve can receive bone ingrowth to maintain the initial compression.

Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include a femoral knee replacement component that includes an articular surface, a first interior surface, and a second interior surface, wherein the first and second interior surfaces run substantially parallel to each other. In some cases, the articular surface includes an anterior condylar extension that is configured to replace an anterior articular cartilage of a femur such that the anterior extension is configured to terminate adjacent to a proximal limit of the anterior articular cartilage of the femur. Other implementations are also discussed.

An implant, prosthesis and method of use are described. The implant comprises an articulation component having a bearing surface and a reverse surface arranged to couple to a proximal neck portion of an arthroplasty implant coupled to a bone. A collar is arranged to couple to the reverse surface of the articulation component. The collar defines a neck hole arranged to pass around the coupling between the articulation component and the proximal neck portion of the arthroplasty implant. The collar and the articulation component comprise complementary coupling features to secure the collar to the articulation component. The collar further comprises a plurality of attachment portions to couple the collar to bone fragments or soft tissues. The prosthesis comprises the implant and an arthroplasty implant having a distal portion arranged to be coupled to an end of a long bone and a proximal neck portion.

This invention relates to an intervertebral motion disc having two motion surfaces and. wherein the radius of the upper articulation surface of the core member is greater than the radius of the lower articulation surface of the core member, and wherein the first articulation surface of the core member is spherical and the second articulation surface of the core member is curved and non-spherical.

A modular, customizable system that provides components for assembling an implantable device is provided. The system allows the user to assemble an implantable spine stabilization device that is flexible and allows dynamic stabilization. The same system also provides components for assembling a rigid or non-flexible fusion-enabling spine stabilization device. The components of the system are easily interchangeable, allowing the user the ability to customize the assembled device for a true fit with the patient, as well as allow an easy conversion of the dynamic device into a fusion-enabling device. Associated insertion instruments and methods of use are also disclosed.

An implantable prosthetic hip system generally includes acetabular components, femoral components, and tooling for implanting the components. The acetabular components include an acetabular socket and a bushing received within the acetabular socket. The acetabular socket defines a reamer with cutters for preparing the acetabulum. The femoral components generally include a cutter cap, a head cover, and a screw. Tooling includes a cutting bit that is used to cut a flat on the femoral head. The cutter cap is advanced in a cutting action onto the femoral head to remove the sides of the head and the cutter cap is also implanted on the femoral head. The head cover is positioned on the cutter cap, and retained with a coupling screw. The acetabular socket and the head cover are assembled with a bushing therebetween. Methods of implantation are also provided.

A femoral head resurfacing implant is described comprising an external articulating surface and an internal fixation surface. A stem projects from the center of the internal fixation surface. The internal fixation surface comprises a top surface, surrounding and substantially orthogonal to a long axis of the stem, a chamfer surface extending downwardly and outwardly from the top surface and a side surface extending substantially parallel to the long axis of the stem. At least one projection is arranged on the internal fixation surface to provide a predetermined gap between the top surface and/or chamfer surface and a resected head onto which the implant is to be fitted. Furthermore, the side surface constitutes or comprises a cement containment feature configured to restrict or eliminate outflow of cement from the predetermined gap.

This invention improves upon prior art total disc replacements (TDRs) by more closely replicating the kinematics of a natural disc. The preferred embodiments feature two or more fixed centers of rotation (CORs) and an optional variable COR (VCOR) as the artificial disk replacement (ADR) translates from a fixed posterior COR that lies posterior to the COR of the TDR to facilitate normal disc motion. The use of two or more CORs allows more flexion and more extension than permitted by the facet joints and the artificial facet (AF). AF joint-like components may also be incorporated into the design to restrict excessive translation, rotation, and/or lateral bending.

A method of performing joint arthroplasty includes preparing a flat surface on a long bone, providing an instrument having a body and a punch extending from the body, the punch including a portion thereof having a shape similar to a stem of an implant, positioning a stop on the flat surface, rotating the stop with respect to the surface of the long bone based upon an indicia on one of the body and the stop so as to position the punch rotationally with respect to the surface to a desired orientation when the instrument is at least partially inserted into the stop, using the instrument to form a cavity in the long bone with the punch at the desired rotational orientation with the instrument inserted at least partially within the stop, the cavity having a shape similar to the stem of the implant, and implanting the stem into the cavity.