A tibial trial insert system has a bearing component with a superior articulating surface and an inferior surface, a plate component having a superior surface and an inferior surface, and a spacing adjustment assembly arrangeable between the bearing component and the plate component. The spacing adjustment assembly has at least one superior connector element configured to removably engage with the bearing component, and at least one inferior base element configured to removably engage with the plate component. A coupling arrangement movably couples the connector element and the base element in a proximal/distal direction to a limited extent. A plurality of shims are each slidable between the connector element and the base element to adjust a proximal/distal height of the spacing adjustment assembly to adjust a relative proximal/distal spacing between the bearing component and the plate component.

Misaligned bones on opposite sides of a joint are aligned using a first rigid extension securable to one of the misaligned bones using a particular surgical approach, and a second rigid extension having a contacting surface positionable in contact with the other the two misaligned bones from the same surgical approach. The first and second rigid extensions are moved with respect to each other using a lever, whereby a pulling force is exerted on one of the bones, and a pushing force on the other, thereby aligning the first and second misaligned bones.

Various embodiments of an intervertebral implant comprise a body extending longitudinally along a primary axis, a baseplate, a plurality of elongated arms having a vertebral supp01i surface, the arms being articulated such that the implant has a folded-back position in which the arms are close to each other, and a deployed position in which the arms are moved away from each other, and expansion means between the folded-back and deployed positions, comprising at least two branches pivotably mounted relative to each other and attached to the elongated arms by guide means such that translation of the expansion means parallel to the primary axis causes pivoting of the branches and moves the arms away from each other.

Expandable hip stem implants, systems, and methods of implanting a hip stem during a hip arthroplasty are provided. The implant may include a proximal body having a neck terminating at a free end, a distal stem having a proximal portion coupled to the proximal body and a distal portion, and a plurality of expandable bodies aligned around the distal stem. The plurality of expandable bodies have a collapsed configuration and an expanded configuration such that the plurality of expandable bodies expand radially outward away from one another.

Misaligned bones on opposite sides of a joint are aligned using a first rigid extension securable to one of the misaligned bones using a particular surgical approach, and a second rigid extension having a contacting surface positionable in contact with the other the two misaligned bones from the same surgical approach. The first and second rigid extensions are moved with respect to each other using a lever, whereby a pulling force is exerted on one of the bones, and a pushing force on the other, thereby aligning the first and second misaligned bones.

According to one example, an extractor may include a main body and a coupling mechanism. The main body can include a slot configured to receive a fastener that couples the extractor to the tibial prosthesis, a groove extending to a lateral side and a medial side of the slot and a projection at least partially defining a side wall of the groove. The coupling mechanism can be connected to the main body and configured to connect with an instrument.

Spinal cage devices, systems, and methods of assembly and implanting the devices and systems are disclosed. The cage system includes a cage and at least one locking screw assembly configured to couple to the cage. The spinal cage system includes a cage with a body portion, an external plate, and a rod. The body portion includes at least one opening positioned between the first and second ends, a center opening in the first end, and at least one hole adjacent the center opening. The external plate includes an opening and at least two holes on opposite sides of the opening. The rod extends through the center opening in the cage, the first end configured to couple to the external plate, and the second end positioned in the at least one opening. Methods for assembling a spinal cage system and for implanting a cage system are also disclosed.

Spinal cage devices, systems, and methods of assembly and implanting the devices and systems are disclosed. The cage system includes a cage and at least one locking screw assembly configured to couple to the cage. The spinal cage system includes a cage with a body portion, an external plate, and a rod. The body portion includes at least one opening positioned between the first and second ends, a center opening in the first end, and at least one hole adjacent the center opening. The external plate includes an opening and at least two holes on opposite sides of the opening. The rod extends through the center opening in the cage, the first end configured to couple to the external plate, and the second end positioned in the at least one opening. Methods for assembling a spinal cage system and for implanting a cage system are also disclosed.

A tibial trial insert system includes a bearing having a superior articulating surface and an inferior surface; a plate having a superior surface and an inferior fixation surface; a first adjustment assembly and a second adjustment assembly, each adjustment assembly arrangeable between the inferior surface of the bearing and the superior surface of the plate, and each adjustment assembly having a superior connector to engage the bearing and an inferior base to engage the plate. A plurality of shims are slidable between an inferior surface of the connector and a superior surface of the base of the first and/or second adjustment assembly to adjust a proximal/distal height of the respective adjustment assembly to adjust a proximal/distal spacing between the bearing and the plate. The first adjustment assembly allows adjustment of the spacing within a first range. The second adjustment assembly allows adjustment of the spacing within a second range.

A spinal jack adapted for installation between first and second vertebral processes, including a three dimensional and arcuate ergonomic main body constructed from first lower and second upper subset body portions, from which is displaceable an upper body between retracted and expanded positions. Each of the jack halves further includes gripping portions adapted for engaging the vertebral processes and preventing detachment following implantation. A worm gear mechanism is provided for expanding or retracting the jack halves in order to establish a corrected adjusted orientation between the processes.