An orthopedic instrument or inserter arranged and configured to insert, position (e.g., align), and remove, if necessary, an orthopedic implant (e.g., a femoral stem or implant). In one embodiment, the inserter and femoral stem are configured to enable the inserter to be quickly and easily coupled to the femoral stem via, for example, a quick-connect, non-threaded connection. Moreover, in one or more preferred embodiments, the inserter is configured to be angularly adjustable relative to the femoral stem. For example, the angular position of the inserter may be adjusted relative to the position of the femoral stem to accommodate different patient anatomy and/or various surgical approaches. In one embodiment, the inserter includes a ball-shaped head portion for coupling to a cavity formed in the femoral stem.

Shoulder arthroplasty systems and configurations for components thereof are described. For example, implant systems for a total should arthroplasty (TSA), hemi shoulder arthroplasty, and reverse should arthroplasty (RSA) are described. In addition, exemplary configurations for baseplates, glenoid components, glenosphere components, humeral components, humeral head components, humerosocket components, connectors, and adaptors, are described.

In one embodiment, a prosthetic component includes a plurality of fixation pads coupled to a body portion. The fixation pads may be formed of a first material suitable for attachment to bone, and the body portion may be formed of a second material different from the first material and suitable to provide a bearing surface for a joint.

A prosthesis to replace a portion of the anatomy, such as the humerus, can include a first shell. A second prosthesis can be positioned relative to the shell to provide the bearing surface to articulate with a glenoid prosthesis or glenoid. The second prosthesis can include a connection portion to engage a connection portion in the shell.

A subtalar joint implant (20) is disclosed for replacing a natural subtalar joint existing between the talus (102) and calcaneum (104) bones of a patient. In an embodiment the implant comprises talar (22) and calcaneal (24) portions that are configured to slide over each other in the implanted state. The implant is shaped so that the sliding is constrained to trajectories that involve pivoting of the talar portion relative to the calcaneal portion about a pivot point (36) or a line (38) of pivot points.

An intervertebral implant includes a body with a first face, a second face connected to the first face, and an axis of rotation. The body defines a hollow space for connecting to an insertion device, the hollow space being accessible through an opening formed between the first and second faces. The opening is elongate and extends around the axis of rotation to facilitate pivoting of the implant relative to the insertion device about the axis of rotation to a first angular position and a second angular position. The implant further includes a first abutment surface that engages the insertion device in a form-fit manner at the first angular position, and a second abutment surface that engages the insertion device in a form-fit manner at the second angular position. The opening can also engage the insertion device to hold the implant at at least one additional angular position.

Intervertebral implant (1) comprising (i) a first elongated implant member (20) with a longitudinal axis (221), an upper surface (222) and a lower surface (223) for apposition to the endplates of two adjacent vertebrae, and with a lateral circumferential surface (224) and (ii) a second elongated implant member (30) with a longitudinal axis (321), an upper surface (322) and a lower surface (323) for apposition to the same endplates and with a lateral circumferential surface (324). Said elongated implant members (20, 30) are rotatably coupled to a central body (10) for rotation in a central plane (101 essentially parallel to said upper and lower surfaces. Further, a) said first and second elongated implant members (.sub.20, 30) comprise each an inner end portion (225;325) which comprises a segment of a toothed wheel (220;320) with gear teeth (23;33) and with an axis of rotation (227;327) essentially orthogonal to the central plane of the intervertebral implant; and a free outer portion (226;326); and whereby said free outer portions (226;3.sub.26) of said first and second elongated implant members (20, 30) are rotatable around the axis of rotation (227;327) of the segment of a toothed wheel (220;320) of their respective inner end portions (225;325).

A modular humeral implant for an inverted shoulder prosthesis includes a humeral stem having, on the one hand, a diaphyseal keel of elongate shape, extending along a diaphyseal axis and shaped to be engaged in a medullary cavity of a humerus, and, on the other hand, a metaphyseal portion. A humeral spacer is mounted on the metaphyseal portion of the humeral stem and has a lower face facing the metaphyseal portion, the lower face having a peripheral portion projecting laterally from the metaphyseal portion and covered at least partially with a porous or rough metal surface coating promoting an osseointegration. A humeral insert is fastened on the humeral spacer and has a hemispherical cup shaped to receive a glenosphere of a glenoid implant.

An implant (30) for a mammalian bone joint (3) for spacing a first bone (2) of the joint from a second bone (1) of the joint while allowing translational movement of the second bone in relation to the first bone is described. The implant comprises (a) a distal part (31) configured for intramedullary engagement with an end of the second bone, (b) a proximal part (34) having a platform (15) configured for non-engaging abutment of an end of the first bone and translational movement thereon, and (c) an articulating coupling (10, 16) provided between the distal and proximal ends allowing controlled articulation of the first and second bones. The bone-abutting platform is shaped to conform to and translate upon the end of the first bone. A kit for assembly to form the implant of the invention, and the use of the implant to treat osteoarthritis in a bone joint, are also described.

An implant or endoprosthesis suitable to be implanted in human or animal tissue includes two (or more than two) parts to be joined in situ. Each one of the parts includes a joining location, the two joining locations facing each other when the device parts are positioned for being joined together, wherein one of the joining locations includes a material which is liquefiable by mechanical vibration and the other one of the joining locations includes a material which is not liquefiable by mechanical vibration and a structure (e.g. undercut cavities or protrusions) suitable for forming a positive fit connection with the liquefiable material. The joining process is effected by pressing the two device parts against each other and by applying ultrasonic vibration to one of the device parts when the two parts are positioned relative to each other such that the two joining locations are in contact with each other.