Thermal memory springs may form arches, or have coils or spring arms and truss arms that expand from a relaxed state when the thermal memory springs warm to a temperature that is about the body temperature of a human being. The thermal memory springs may be used to expand interbody implants from a compact state into an expanded state once the implant has been inserted into the desired location within the body and the thermal memory springs that form a part of the implant warms to body temperature. Ends of the expanded thermal memory spring may contact a bone surface, thereby being an anti-expulsion edge.

A vertebral body replacement apparatus includes an outer body member having a first end, a second end, and an opening, and an inner body member having a first end, a second end, and an inner surface defining an opening. The first end of the inner body member is received in the opening of the outer body member such that the inner body member and the outer body member are movable relative to one another. A support member has a first end secured within the inner body member and a second end extending a distance beyond the inner body member. The second end of the support member deflects relative to the first end of the outer body member in response to a force applied thereto and returns to a substantially non-deflected condition upon release of the force.

Expandable spinal implants and drivers connected by a bendable joint are disclosed. The flexible connector allows the implant and driver to move to different angular orientations with respect to each other, and to apply rotational force or torque from the driver to the implant and its expansion mechanism. During insertion of an implant into the desired position, the driver may be oriented in the same or different direction than the long axis of the implant. After the spinal implant is placed in the desired position, the driver is used to expand the implant in selected dimensions.

A rollable dispenser for spooled wire includes equiangularly-spaced tubular braces which rigidly interconnect the frames adjacent their circular peripheral edges. One or more wire spools are retained between the platters on removable axles which span the distance between both platters at radial intervals. One or more spools may also be retained by a centrally positioned axle. For a preferred embodiment of the invention, each platter is constructed from a length of circularly-bent tubing, the ends of which are butt welded together to form a hoop. Each platter further includes a circular laminar plate that includes a circular rim, a central hub having a single axle aperture, and radial laminar spokes, each having an axle aperture, which join the rim to the hub.

An adaptable spinal facet joint prosthesis may include a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. Methods of implanting an adaptable spinal facet joint prosthesis may include determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. A facet joint prosthesis implant tool may include a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. Systems for treating spinal pathologies may include intervertebral discs in combination with spinal and facet joint prostheses.

An impaction device (1) intended to impart a blow to a stem, the stem itself being coupled to an element forming an insert intended to be inserted into a receiving element, in particular a ceramic insert in a cup of a cotyloid cavity of a hip; the impaction device (1) including an element (4) forming a barrel defining a channel (5) or an internal chamber that has an opening via which at least part of the stem, in particular a proximal end segment of the stem, can be inserted; means of applying a blow intended to apply to the part of the stem introduced into the chamber a pre-determined blow force; and means (12, 14) for triggering the blow application means.

An interbody spinal cage when implanted can be manipulated non-invasively to change dimensions conforming to contours of adjacent vertebral bones. The interbody spinal cage includes a flexible shell that encases multiple variable-length rods. Each of the multiple variable-length rods includes telescoping tubes and an actuator for increasing and decreasing the length of the telescoping tubes. Each of the variable-length rods includes a retention member to limit movements of the telescoping tubes, wherein the retention member can be engaged and disengaged. Both the retention member and the actuator can be operated from outside the body in which the interbody spinal cage is implanted.

An apparatus, adapted for resiliently holding resected fibula sections, comprises: a first connecting portion adapted for connecting a first resected fibular section of a patient's fibula; a second connecting portion adapted for connecting a second resected fibular section of the patient's fibula; and an elastic portion or member defined between the first connecting portion and the second connecting portion adapted for resiliently holding the first resected fibular section and the second resected fibular section, whereby upon actuation by an impacting force caused by the patient's movement, the elastic portion may resiliently buffer such an impacting force to prevent contacting or rejoining of the first and second resected fibular sections.

An expandable spinal implant configured for positioning within the intervertebral space between adjacent vertebral bodies is disclosed. The spinal implant includes a first body, a second body, a ratchet, and a locking mechanism. The first and second bodies are pivotably affixed to each other on respective first ends thereof and are capable of movement relative to each other in a medial-lateral direction with respect to the adjacent vertebral bodies. The ratchet is pivotably supported within a slot defined in the first body and is capable of engaging the second body thereby permitting movement of the first and second body relative to each other in a first direction, but not in a second direction that is different than the first direction. A method of performing spinal surgery is also disclosed.

A method for implanting a reverse modular humeral implant into a humerus that includes a natural humeral shaft and a natural humeral head. The implant includes a humeral stem implantable into the natural humeral shaft, and an adapter couplable to the humeral stem, the adapter including an anchoring projection configured to be coupled to a convex bearing.