An intervertebral disc includes a superior endplate having an upper vertebral contacting surface and a lower bearing surface, wherein the upper vertebral contacting surface of the superior endplate has a central portion that is raised relative to a peripheral portion of the superior endplate, and wherein the lower bearing surface has a concavity disposed opposite the raised central portion. The disc includes an inferior endplate having a lower vertebral contacting surface and an upper surface, wherein the lower vertebral contacting surface of the inferior endplate has a central portion and wherein the upper bearing surface has a concavity disposed opposite the central portion. A core is positioned between the upper and inferior endplates, the core having upper and lower core bearing surfaces configured to mate with the bearing surfaces of the upper and inferior endplates. The upper vertebral contacting surface of the superior end plate has a different shape than the lower vertebral contacting surface of the inferior end plate.

An artificial intervertebral disc with shock absorption includes upper and lower plates disposed about a shock absorbing movable core. The upper and lower plates have an outer surface which engages a vertebrae and an inner bearing surface. The shock absorbing core includes a unitary member of a rigid material having at least one lateral cut between upper and lower surfaces of the core to allow the upper and lower surfaces to move resiliently toward and away from each other. This allows the core to absorb forces applied to it by the vertebrae.

Intervertebral implant (1) comprising (i) a first elongated implant member (20) with a longitudinal axis (221), an upper surface (222) and a lower surface (223) for apposition to the endplates of two adjacent vertebrae, and with a lateral circumferential surface (224) and (ii) a second elongated implant member (30) with a longitudinal axis (321), an upper surface (322) and a lower surface (323) for apposition to the same endplates and with a lateral circumferential surface (324). Said elongated implant members (20, 30) are rotatably coupled to a central body (10) for rotation in a central plane (101 essentially parallel to said upper and lower surfaces. Further, a) said first and second elongated implant members (.sub.20, 30) comprise each an inner end portion (225;325) which comprises a segment of a toothed wheel (220;320) with gear teeth (23;33) and with an axis of rotation (227;327) essentially orthogonal to the central plane of the intervertebral implant; and a free outer portion (226;326); and whereby said free outer portions (226;3.sub.26) of said first and second elongated implant members (20, 30) are rotatable around the axis of rotation (227;327) of the segment of a toothed wheel (220;320) of their respective inner end portions (225;325).

A modular humeral implant for an inverted shoulder prosthesis includes a humeral stem having, on the one hand, a diaphyseal keel of elongate shape, extending along a diaphyseal axis and shaped to be engaged in a medullary cavity of a humerus, and, on the other hand, a metaphyseal portion. A humeral spacer is mounted on the metaphyseal portion of the humeral stem and has a lower face facing the metaphyseal portion, the lower face having a peripheral portion projecting laterally from the metaphyseal portion and covered at least partially with a porous or rough metal surface coating promoting an osseointegration. A humeral insert is fastened on the humeral spacer and has a hemispherical cup shaped to receive a glenosphere of a glenoid implant.

According to one example, a bearing component for a knee arthroplasty is disclosed. The bearing component can optionally comprise any one or combination of: a medial compartment having an medial articular surface with a medial articular track and having a first thickness as measured at the medial articular track between the medial articular surface a medial distal surface; and a lateral compartment having a lateral articular surface with a lateral articular track and having a second thickness as measured at the lateral articular track between the lateral articular surface a lateral distal surface; wherein the medial articular surface at the medial articular track and the lateral articular surface at the lateral articular track each have an inclination so as to form an acute angle with respect to a resected proximal surface of a tibia.

A system comprised of custom radiographically designed tibial and talar cutting guides, a tibial reaming guide and bit, and instrumentalities for use in total ankle replacement surgery and a computer-based system and method for making the custom radiographically designed tibial and talar cutting guides.

This disclosure relates to shield guide assembly and methods for restoring functionality to a joint. The shield guide assembly disclosed herein include a shield dimensioned to block access through the shield onto an adjacent bone surface region during formation of one or more features along the surgical site.

A spinal cage with a wall extending in a longitudinal direction defining an interior space is disclosed. There is also provided a deployable element in movable relation to the spinal cage.

The invention discloses an improved wedging cage within the sacroiliac (SI) joint and fixation screw(s). The wedging cage is adapted to be positioned between the sacrum and the lilac bone (e.g., the sacroiliac joint), and the wedging cage is effective to receive one or more fixation or axial screws to fasten the wedging cage and secure the wedging cage to the adjacent pelvic bones to provide a combination effect of fusion and/or fixation. Accordingly, the improved fixation screw assemblies promote flexibility and adaptability due to the adjustable head being movable to a locked and unlocked position relative to the screw body when implanted onto a substrate.

Devices and methods are provided for treatment of the cervical spine. The devices and methods allow for treatment to be delivered from a lateral or posterior-lateral location of a subject, proximate to the cervical region of the spine. One exemplary embodiment of a spinal implant includes an elongate cage member and a plate member appended to a proximal end of the cage member. The plate member can be oriented in a manner such that it is asymmetric with respect to a long axis of the cage member. In another exemplary embodiment, an implant includes a cage member having a distal end that has an asymmetrical, bulleted shape such that the distal end is biased towards a superior or cranial direction. In a third exemplary embodiment, an implant includes a spinal fixation element and at least two mounting eyelets formed thereon. Exemplary methods related to implanting spinal implants from a lateral or posterior-lateral location are also provided.