A surgical implant includes a deployable, retractable, or removable ramped nose. During insertion of the implant, the ramped nose is deployed such that the ramped nose can serve to distract a space into which the implant is inserted. At some point during or after insertion, the ramped nose can be collapsed and removed or retracted so that it does not extend beyond the space into which the implant is inserted, while the implant extends at full height throughout the space into which the implant is inserted. The implant includes an implant body having a deployable ramped nose adapted to selectively extend from the body and transition from a first height proximate the implant body to a second, shorter, height distal from the implant body. The deployable ramped nose is adapted to distract an implant site upon insertion of the implantable medical device.

An orthopedic trial apparatus (100) including an orthopedic component (110) having a distal shaft portion (112) positionable within a passage in a bone and a proximal shaft portion (114) extending from the distal shaft portion, and a proximal trial assembly (120) engaged with the proximal shaft portion of the orthopedic component. The proximal trial assembly includes a proximal spacer (130) component and a proximal trial component (150). The proximal spacer component is rotationally engaged with the proximal shaft portion of the orthopedic component to substantially prevent relative rotation therebetween about a longitudinal axis. The proximal trial component is axially coupled to the proximal spacer component to prevent disengagement of the proximal trial component from the proximal spacer component while permitting selective rotation of the proximal trial component relative to the proximal spacer component about the longitudinal axis.

A prosthetic component (2) adapted to be mounted to a bone as part of a knee prosthesis comprises a spacing element for compensating resected bone. The prosthetic component (2) further comprises a main body (6) with a contact surface (7) configured to abut the spacing element and a fixation mechanism (9) for fixing the spacing element between the contact surface (7) and the bone.

The fixation mechanism (9) comprises a receiving portion (10) located at the contact surface (7). The fixation mechanism (9) further comprises an insert (11) for insertion into the receiving portion (10) and a fastening element adapted to engage with the insert (11). The receiving portion (10) is adapted to fix the insert (11) via a bayonet joint connection such that the fastening element, extending through the spacing element and engaging with the insert (11), fixes the spacing element to the contact surface (7).

An acetabular prosthesis for use in a hip arthroplasty surgical procedure is disclosed. The acetabular prosthesis includes a ceramic acetabular shell liner component configured to be secured to an acetabular shell component. The acetabular prosthesis also includes a metal ring affixed to and encircling the ceramic acetabular shell liner component. The acetabular prosthesis also includes an augment molded to and distally extending from the metal ring. The augment is shaped to modify a range of motion of a femoral prosthetic component when the femoral prosthetic component is fitted into the ceramic acetabular shell liner component. Other embodiments are also disclosed.

An acetabular prosthesis for use in a hip arthroplasty surgical procedure is disclosed. The acetabular prosthesis includes an acetabular liner assembly to be secured to an acetabular shell component. The acetabular liner assembly includes a ceramic acetabular shell liner component. The acetabular liner assembly also includes a metal ring affixed to and encircling the ceramic acetabular shell liner component. The metal ring includes a proximal rim shaped to define a lead-in surface.

An intervertebral spacer may include a fastener channel configured to receive a fastener, a locking member channel, and a locking member. The locking member channel may include an inner wall and one or more inner wall engagement features. The locking member may include an anti-backout member, a collet retainable within the locking member channel, and one or more collet engagement features. The locking member may be rotatable within the locking member channel between an unlocked position and a locked position. The one or more collet engagement features may engage the one or more inner wall engagement features in order to retain the locking member in either the unlocked position or the locked position, such that the anti-backout member may selectively obstruct the fastener channel and prevent the fastener from backing out of the fastener channel.

An insertion assembly may include a DTS guide and an inserter tool configured to couple an intervertebral spacer having a fastener channel configured to receive a fastener and a locking member channel with a first engagement feature. The inserter tool may include a second engagement feature configured to engage the first engagement feature and removably couple the inserter tool with the intervertebral spacer. The DTS guide may include a shaft lumen configured to receive the inserter tool and slidably couple with the inserter tool. The DTS guide may also include a DTS guide channel configured to receive the fastener and a DTS guide wing. The DTS guide wing may abut against a surface of the intervertebral spacer to align the DTS guide channel with the fastener channel and guide the fastener through the DTS guide channel and into the fastener channel.

An interspinous posterior device (IPD) is described. The IPD has a body and bone fixation elements on either side of the body, each of said bone fixation elements having a ratchet locking mechanism for fixing the body to successive spinous processes of a mammalian vertebra. Each of the bone fixation elements is independently adjustable by ratcheting it separately and independently of the other bone fixation elements. The body of the IPD has a dynamic configuration and a non-dynamic configuration, wherein the dynamic configuration allows for both extension and flexion of the successive spinous processes and the non-dynamic configuration prohibits extension of the successive spinous processes. The IPD also includes a removable extension restriction block, wherein the extension restriction block can optionally be inserted in the body to prohibit extension or can be removed from the body to allow extension.

Implant assemblies for reverse shoulder arthroplasty are disclosed. In one embodiment, the implant assembly comprises a humeral component, an adaptor fixed to the neck of the humeral component, and a glenosphere bearing component coupled to the adaptor. The glenosphere bearing component comprises a first bearing surface that interfaces with an articulating surface of the adaptor to allow the adaptor to rotate relative to the adaptor and humeral component. The adaptor and the glenosphere bearing component form a locking mechanism that prevents the adaptor from decoupling from the glenosphere bearing component while allowing the adaptor to remain rotatable relative to the glenosphere bearing component after the implant assembly is implanted in the patient The second bearing surface is configured to interface with a glenosphere component to allow the glenosphere bearing component to articulate relative to the glenosphere component.

An expandable implant includes an upper main support of bone, a lower main support coupled to the upper main support, the lower main support comprising a first coupling feature and a second coupling feature being substantially parallel to the first coupling feature, and a control assembly configured to control relative movement between the upper main support and the lower main support, the control assembly including a first control member configured to engage the upper main support and the lower main support and interface with the first coupling feature a second control member configured to engage the upper main support and the lower main support and interface with the second coupling feature, and a control shaft configured to be received by the first control member and the second control member, wherein manipulation of the control shaft causes relative movement between the upper main support and the lower main support.