A method of fixating a prosthesis to a glenoid is disclosed. The method includes forming a bore in the glenoid; positioning the prosthesis adjacent the glenoid, where the prosthesis includes a head portion and an anchor extending from a rear surface of the head portion; wherein the anchor includes a first fin and a second fin proximal of the first fin; advancing the anchor into the bore until the first fin is implanted within cancellous bone; and further advancing the anchor in the bore until a proximal-facing surface of the second fin is implanted within cancellous bone and abuts cortical bone.

Systems for distracting a facet joint and positioning a permanent implant in the joint are disclosed. The implants serve to retain a distracted position of the facet joint which is achieved with positioning of the leading end of a distraction tool in the facet joint and then distracting or enlarging the joint a desired amount. The permanent implant could be part of the distraction mechanism which can be separated from the delivery tool once the joint has been distracted or an auxiliary implant may be positioned before the distraction mechanism is removed from the distracted joint. The permanent implants can be solid, mechanical devices that may have fixation means thereon to hold them in place or injected fluids such as hydrogels or fluids confined within balloons.

Embodiments may include an attachable fastener, which may include a bondable material that may be secured to the end of an end effector. Vibration may be tuned to occur at a distal end of the fastener. Accordingly, the fastener may be used to generate heat at a distal point of contact. If the contact surface contains bondable material, that material may be softened. If the fastener includes bondable material at the point of contact, that material may also be softened by heat produced by vibration at the contact area. A hard implant or another polymeric material may function as the anvil.

Disclosed are modular anchoring adaptors that can engage with existing features of various spinal cages to help eliminate migration and/or anterior expulsion cause by the instability of the spine, such as lordosis. Such modular adaptors will desirably mate or engage with existing features to enhance anchoring within the vertebral disc space.

Disclosed are modular anchoring adaptors that can engage with existing features of various spinal cages to help eliminate migration and/or anterior expulsion cause by the instability of the spine, such as lordosis. Such modular adaptors will desirably mate or engage with existing features to enhance anchoring within the vertebral disc space.

A stemless prosthetic shoulder joint may include a prosthetic humeral head and a stemless base. The stemless base may include a collar and an anchor extending from the collar intended to anchor the base into the proximal humerus. The base may include a proximal collar having a proximal surface and a bone-engaging surface opposite the proximal surface. The collar may have a superior portion and an inferior portion, the superior portion defining an arc shape and the inferior portion defining a substantially triangular shape.

Hard-tissue implants are provided that include a bulk implant, a face, pillars, slots, and at least one support member. The pillars are for contacting a hard tissue. The slots are to be occupied by the hard tissue. The at least one support member is for contacting the hard tissue. The hard-tissue implant has a Young's modulus of elasticity of at least 3 GPa, and has a ratio of the sum of (i) the volumes of the slots to (ii) the sum of the volumes of the pillars and the volumes of the slots of 0.40:1 to 0.90:1. Methods of making and using hard-tissue implants are also provided.

A tibial implant for knee arthroplasty includes a tibial plate, a tibial keel, and at least one anchoring projection. The tibial plate is sized and shaped for placement on a proximal end of a tibia of a patient. The tibial plate includes opposite proximal and distal surfaces with the distal surface configured to engage the end of the tibia. The tibial keel extends distally from the distal surface of the tibial plate and is configured to be inserted into the proximal end of the tibia. The anchoring projection extends distally from the distal surface of the tibial plate and is configured to be inserted into the proximal end of the tibia.

Techniques for implantable orthopedic pain management devices are disclosed, including a saddle configured to axially align a top contoured surface to a bone surface and to axially align a bottom contoured surface to another bone surface, and a peripheral protrusion disposed on a peripheral surface of the saddle, the peripheral protrusion being configured to maintain dynamic stability of the saddle between the bone surface and the another bone surface.

A kit for preparing an intervertebral disc space for receiving an implant (100) includes a plurality of trials (152) having different sizes. Each trial (152) includes a body (154) insertible into an intervertebral disc space, the body (154) having a leading end (162), a trailing end (164), a top surface (156) and a bottom surface (160), the top surface of the body having a first groove (176) formed therein. Each implant also includes a flange (166) secured to the trailing end (164) of the body (154), the flange (166) having a first channel (180) aligned with the first groove (176), wherein each of the different sized trials has a different flange thickness. The flange thickness controls advancement of a cutting tool such as a chisel (192) into the first groove at the top surface of the trial body, which controls the depth of the cut into vertebral bone.