Disclosed is a system for delivering a facet screw assembly to a facet joint. The system includes a facet screw assembly and a delivery device. The distal end of the delivery device includes a facet screw engagement feature, which is keyed to a corresponding delivery device engagement feature. In other embodiments, the system may include a facet screw assembly, a facet access guide, a washer sizer tool removably engaged with the facet access guide, a lateral mass decorticator guide slidably and removably engaged with the washer size tool, a washer implant delivery tool removably engaged with the facet access guide and detachably coupled to the facet screw assembly, and optionally an impact handle detachably coupled to the facet access guide, washer sizer tool, and washer implant delivery tool.

A surgical instrument system includes a pair of side-specific orthopaedic surgical instrument assemblies. The right-limb side-specific instrument assembly is kitted so as to be devoid of left-limb side-specific instruments and vice versa.

The present invention relates to an expandable prosthetic implant device for engagement between vertebrae generally comprising an inner member, outer member, gear member and a locking assembly positioned coaxial with respect to each other such that the inner and outer members are moveable relative to each other along an axis. The gear member is axially fixed to the outer member and freely rotatable with respect to the outer member and the gear member threadedly engages a threaded portion of the inner member to translate inner member along the axis. The implant is configured to engage the vertebrae in a predetermined alignment and the gear member includes gear teeth exposed to the exterior and configured to be accessible by a tool member at a plurality of angular positions around the perimeter of the implant device.

A methodology for grafting together adjacent bony structures is provided using an implant device having an endplate with an inner disc portion and outer ring portion spaced from the inner disc portion by a connecting wall disposed there between. An endplate interior surface includes a retaining structure for securing the endplate to one of the bony structures, and endplate an exterior surface has an integrally formed socket. A ball-joint rod has a longitudinally extending body and an end, and at least a portion of the ball-joint rod end is curvilinear in shape. The curvilinear ball-joint rod end is rotatably disposed in the endplate socket to fixedly interconnect the bony structures.

Disclosed is a prosthetic augment designed to reconstruct a lateral tuberosity shape of a humerus in a subject having proximal bone loss that includes a humeral adapter tray configured to connect a humeral liner of a reverse shoulder prosthesis to a humeral stem of the reverse shoulder prosthesis and an augment member having a first face adapted for contacting the humeral stem of the reverse shoulder prosthesis and a second face adapted for contacting an underside of a muscle, wherein at least a portion of the second face includes a bulbous surface adapted to alter a wrapping angle of the muscle around the lateral tuberosity, and wherein the second face has a radius of curvature selected from one of a constant radius of curvature or a variable radius of curvature.

Instruments, guides, systems and related methods for total ankle prostheses are disclosed. The instruments, guides, systems and related methods facilitate preparation of a tibia and/or talus of a patient for implantation of a total ankle prosthesis therein. The instruments, guides, systems and related methods also facilitate selection of a particular size of a tibial component, a talus component and/or a tibial insert of the total ankle prosthesis that suits the patient. The instruments, guides, systems and related methods include a tibial trial component, a talar trial component and tibial insert trial component that replicate one or more aspects of the tibial component, the talus component and the tibial insert, respectively, of the total ankle prosthesis. The talar trial component includes an articulation surface that articulates with the tibial insert trial component, and slots that facilitate chamfered resection of the patient's talus for the implantation of the talus component thereon.

An orthopedic joint prosthesis may include a first component, a bearing component, and a third component. The first component has a base and a keel protruding from the base to extend into a first bone. The keel's longitudinal axis is offset from a geometric center of the base. The base has a first articular surface and the bearing component has a second articular surface shaped to articulate with the first articular surface. A feature unitary with the first component reversibly attaches to the bearing component. The bearing component has a third articular surface shaped to articulate with a fourth articular surface on the third component. A distraction feature of the bearing component is shaped to provide alignment and/or distraction between the first articular surface and the fourth articular surface during insertion of the bearing component into a joint space between the first and second bones.

A system for replacing a hip joint can include a first acetabular cup formed of a first material and having a first inner diameter and a first thickness. A second acetabular cup can be formed of a second material and having a second inner diameter and a second thickness. A first femoral hip prosthesis can include a first femoral head that is alternately accommodated by either of the first or second acetabular cups. A bearing can be adapted to be interposed between the first femoral head and one of the first or second acetabular cups. The first and second inner diameters can be the same. The first thickness can be less than the second thickness. The first material can be distinct from the second material.

A disc replacement device including a first body member with a convex articulation surface and a second body member with a concave articulation surface is disclosed. When operably positioned, the convex articulation surface engages the concave articulation surface to provide for movement therebetween. The disc replacement device also includes a first opening in the first body member and a second opening in the second body member, wherein the openings are angled and extends from the front aspects of the body members through the external surfaces. The disc replacement device further includes at least two bone fasteners for insertion into the first and second openings to secure the disc replacement device to a first and second vertebra. An interbody motion device and fusion implant, as well as a surgical method for implantation are also disclosed.

A knee prosthesis includes a tibial component, a bearing and a femoral component. The tibial component includes a platform and at least one rib extending upwardly and forwardly, a front edge of upper surface of the platform is provided with at least one front lug boss, and back edge of the upper surface of the platform is provide with at least one back lug boss. The lower surface of the bearing is provided with a groove matching with the at least one rib, a front slot matching with the front lug boss and a back slot; the femoral component is articulated with the bearing; at least one rib is provided with a medial wall and a lateral wall, one of the them is provided with a bent portion and formed with a first inclined surface which extends in a direction away from the other one.