A prosthesis that mechanically couples with both cancellous bone and cortical bone of a glenoid includes a head portion comprising a rear surface and an articular surface, an anchor member, and a plurality of deformable fins extending radially outward from the anchor member. The anchor member includes a distal end and a proximal end connected to the rear surface of the head portion. The plurality of deformable fins extend radially outward from the anchor member and includes at least a first proximal fin adjacent to the rear surface of the head portion positioned to engage with the cortical bone. The anchor member may also include at least one distal fin located proximate the distal end of the anchor member positioned to engage with the cancellous bone.

A tibial component of a total knee prosthesis which includes a base element provided with a medial portion and a lateral portion, which can be fixed on the proximal surface of the tibia-; The base element has shape and dimensions that are complementary to those of at least one protective insert (one single insert or two separate inserts: one medial and one lateral). —— In particular, the medial portion is provided with coupling elements for coupling by pressure to the insert (a configuration generally termed “fixed insert”). ——— By contrast, the at least one insert is resting on the lateral portion.

An apparatus may include a body extending from a first end to a second end. The first end of the body may include a first coupling element, and the second end of the body may include a second coupling element. The second end of the body may include a first engagement element that extends inwardly into the body and may be disposed between a peripheral edge of the body and the second coupling element. Methods are also disclosed.

An adjustable spinal fusion intervertebral implant is provided that can comprise upper and lower body portions that can each have proximal and distal wedge surf aces disposed at proximal and distal ends thereof. An actuator shaft disposed intermediate the upper and lower body portions can be actuated to cause proximal and distal protrusions to converge towards each other and contact the respective ones of the proximal and distal wedge surfaces. Such contact can thereby transfer the longitudinal movement of the proximal and distal protrusions against the proximal and distal wedge surfaces to cause the separation of the upper and lower body portions, thereby expanding the intervertebral implant. The upper and lower body portions can have side portions that help facilitate linear translational movement of the upper body portion relative to the lower body portion.

A spinal jack adapted for installation between first and second vertebral processes, including first and second inter-expandable jack halves arranged between retracted and expanded positions. Each of the jack halves further includes gripping portions adapted for engaging the vertebral processes. A geared mechanism provides for expanding or retracting the jack halves in order to establish a corrected adjusted orientation between the processes.

A spinal jack adapted for installation between first and second vertebral processes, including first and second inter-expandable jack halves arranged between retracted and expanded positions. Each of the jack halves further includes gripping portions adapted for engaging the vertebral processes. A worm gear mechanism provides for expanding or retracting the jack halves in order to establish a corrected adjusted orientation between the processes and includes each of stationary rotatable slave gears along with support stems with integrated worm gear interfaces for expanding the jack halves relative to each other.

A surgical implant includes a tray extending from a first end to a second end along a first plane, the tray including an upper surface and a lower surface, a first post coupled to and extending from the tray away from the first plane and configured to be inserted into a bone portion, the first post including a first opening extending through the first post, a second post coupled to and extending from the tray away from the first plane and configured to be implanted into the bone portion, the second post including a second opening extending through the second post, and a fastener removably coupled to the first post and the second post, the fastener extending from a first fastener end to a second fastener end through the first opening and the second opening.

A method for removing a stem portion of an orthopedic implant from a bone comprises exposing an implanted orthopedic implant having a body portion, a stem portion interconnected to the body and a porous metal section forming an interconnection between the body and the stem portion. A cutting tool is mounted on a holder connected to an exposed surface of the orthopedic implant. The porous section is aligned with the cutting tool mounted on the holder. The entire porous section is cut by moving the cutting tool therethrough in a direction transverse to the stem portion axis. The implant body portion is then removed and then the stem portion is removed from the bone. The cutting tool may be a saw or chisel which may be mounted on a guide fixed to the body portion.

An extraction tool for removing an installed artificial disc from a spine is provided. The extraction tool is impacted between the artificial disc and the vertebrae and engages the artificial disc to allow a surgeon to remove the artificial disc from the spine.

The invention primarily relates to fastening and stabilizing tissues, implants, and/or bondable materials, such as the fastening of a tissue and/or implant to a bondable material, the fastening of an implant to tissue, and/or the fastening of an implant to another implant. This may involve using an energy source to bond and/or mechanically to stabilize a tissue, an implant, a bondable material, and/or other biocompatible material. The invention may also relate to the use of an energy source to remove and/or install an implant and/or bondable material or to facilitate solidification and/or polymerization of bondable material.