A glenoid implant system may include a main body formed of a polymer, a base, and an anchor formed of metal. The main body may define an articulating surface and an opposite bone-contacting surface. The base may be formed in the bone-contacting surface of the main body, the base including a hole formed therein. The anchor may have a main section and a threaded post extending from the main section. The anchor may include a plurality of ribs extending in a longitudinal direction of the main section, the plurality of ribs being spaced apart from one another in a circumferential direction of the main section. The anchor may further include a plurality of wedges disposed on a base of the anchor, the plurality of wedges adapted to contact the base formed in the bone-contacting surface of the main body when the threaded post is received within the threaded hole.

According to some embodiments, a method of inserting a lateral implant within an intervertebral space defined between an upper vertebral member and a lower vertebral member includes creating a lateral passage through a subject in order to provide minimally invasive access to the intervertebral space, at least partially clearing out native tissue of the subject within and/or near the intervertebral space, positioning a base plate within the intervertebral space, wherein the base plate comprise an upper base plate and a lower base plate and advancing an implant between the upper base plate and the lower base plate so that the implant is urged into the intervertebral space and the upper vertebral member is distracted relative to the lower vertebral member.

Humeral prosthetic implants, systems, kits and methods of forming and using the humeral prosthetic implants, systems and kits are disclosed. The humeral prosthetic implants include proximal cup portions and distal stem portions, wherein the proximal cup portion is joined to the distal stem portion at a desired offset and/or angle configured based on an analysis of the humeral diaphysis and/or metaphysis offset in a patient. The humeral prosthetic implants may also include an adapter configured to join the proximal cup component with the stem component, wherein the adapter is configured to join the stem component to the stemless cup at a desired offset and/or angle.

A bone graft retention plate for implantation into a human glenoid and provides stabilization and compression of bony graft material is disclosed. The plate includes channels or apertures for suture or polymer retention cerclage that exhibit curved, smooth surfaces within the plate to allow the retention cerclage to pass through the plate while limiting friction and thus protecting the integrity of the retention means. The plate also includes surface features, such as spikes and posts, to provide further stabilization and implantation positioning. The plate features result in the distribution of forces across the surface area of a bone graft and achieve satisfactory compression of the bone graft against the glenoid without using fixation screws. An associated implantation technique uses a cerclage of suture or tape to bind the implant within the glenoid and may be employed in both open and arthroscopic surgical procedures.

An interbody spinal fusion cage for posterior interbody fusion procedures includes a superior member and an inferior member connected to each other via a joint. The joint allows the interbody spinal fusion cage to achieve lordosis even if implanted non-orthogonal to the sagittal plane. For example, the joint can be a hinge oriented non-normal to a longitudinal axis of the interbody spinal fusion cage, a polyaxial ball joint, and/or a universal joint. Complementary locking mechanisms, such as locking teeth or a ratchet-and-pawl arrangement, can be provided near the posterior ends of the superior and inferior members in order to prohibit the posterior ends of the superior and inferior members from separating from each other in situ. Bone holes can be provided in the superior and inferior members.

An improved cage that has an anchoring system and method of use thereof. The anchoring system has movable/expandable jaw portions that can expand vertically (i.e., upward and downward relative to the respective superior and inferior surfaces of the cage) so that the cage can be more securely implanted in position. The superior and inferior expandable portions of the anchoring system move vertically by the rotation of one or more spindles that is incorporated in the jaw mechanism (and/or by the rotation of a lead screw that is incorporated in the cage). In some embodiments, the medical implant (such as a cage) is itself non-expandable (i.e., the height of the medical implant does not change). In other embodiments, the medical implant (such as a cage) can be expanded independently of the anchoring system.

A fixation member inserter instrument attaches to an interbody spacer and assists in the insertion of the interbody spacer into the intravertebral spacer. The distal end of the fixation member inserter instrument includes a fixation member guide with two or more fixation members that is configured to simultaneously deliver the two or more fixation members during the fixation member impaction process. The interbody spacer is attached to the inserter instrument by a threaded rod adjacent to the main body of the fixation member inserter instrument. There is an impaction rod extending through the device which connects to the two or more fixation members in the fixation member guide. When the impaction rod is impacted on a proximal end, the distal end contacts the two or more fixation members simultaneously and forces them into the vertebral body at the same time.

A system for converting a first joint prosthesis to a second joint prosthesis in-situ includes a plurality of inserts having a bone interface side and a component facing side and a plurality of articulating components having a cavity configured to receive at least one of the plurality of inserts. The plurality of inserts may be unicompartmental, bicompartmental, or tricompartmental. The inserts may be made of metal and may have a bone contacting surface made of a porous metal. The plurality of articulating components may be unicompartmental, bicompartmental, or tricompartmental. The articulating components may be sized and shaped to cover one or more of the plurality of bone interface components and span a distance therebetween. The articulating components may be made of a polymer.

An implant is provided for performing spinal fusion. The implant includes an implant body having a leading side and a trailing side at opposing ends along a longitudinal axis. Between the leading side and trailing side are an upper surface, a lower surface, an anterior side, and a posterior side. At least one keel structure is provided extending from the implant body for penetration into an adjacent vertebral body. A trial sizer and keel cutter may be utilized to form keel channels within the vertebral body to receive the keel structure.

This invention corresponds to a prosthesis for total or hip resurfacing replacement, which comprises a prosthetic femoral head made of highly cross-linked polyethylene, with a diameter ranging from 38 mm to 64 mm, to articulate with a cup or acetabular component made of metal. When the invention applies to total hip replacement, the polyethylene head includes a metal core, which contains inside the female counterpart (14) to mate with the male counterpart (13) of a Morse taper, located at the upper end of the femoral component. The use of this type of head for total hip replacement, articulated with an ultra-polished acetabular cup, reduces the risk of dislocation, transmits less angular and torque forces to the Morse taper than large metal heads, and avoids the problems related to the metal-metal bearing or with the use of large metal heads with thin polyethylene. When the invention relates to hip resurfacing replacement, the highly cross-linked polyethylene femoral head has a lower polyethylene extension or stem with or without internal metal reinforcement (151) or a metal stem integrated into a metal-back (152). Using these types of heads for hip resurfacing replacement heads eliminates the problems associated with metal-on-metal resurfacing replacements.