An intervertebral implant that can be surgically introduced between adjacent vertebrae and expanded in situ to occupy an optimal space between the vertebrae. The implant is inserted into the evacuated disc space obliquely and then oriented so as to extend laterally across the anterior adjacent vertebrae with its outer ends of the implant supported by the cortical rims on the opposite sides of the vertebrae. The implant has two body members with a space therebetween so the implant may be then distracted and a spacer of predetermined thickness that may be inserted within the space between the body members so as to maintain a desired amount of distraction. The upper and lower surfaces of the implant may have a desired lordotic angle. A method of using an implant is disclosed which permits endoscopic visualization of the disc space.

A medical device for implantation in a hip joint of a patient; the hip joint having a caput femur integrated with a collum femur having a collum and caput center axis, extending longitudinal along the collum and caput femur, in the center thereof. The medical device comprises an elongated portion adapted to at least partially replace the collum femur, wherein said elongated portion is adapted to be at least one of integrated in and connected to a prosthetic spherical portion adapted to replace the caput femur, and wherein said prosthetic spherical portion in turn is adapted to be movably placed in a prosthetic replacement for the acetabulum having at least one extending portion for clasping said prosthetic spherical portion. Said elongated portion comprises a restricting portion adapted to restrict the motion range of the spherical portion in relation to said prosthetic replacement for the acetabulum. Said restricting portion of said elongated portion comprises at least one recess adapted to receive a portion of said prosthetic artificial acetabulum, when implanted, to enable an advantageous motion range in relation to said prosthetic replacement for the acetabulum.

Some embodiments of the invention provide an apparatus that (1) delivers a fusion member between two vertebral bodies after at least a portion of the fibrocartilaginous disc between the vertebral bodies has been removed, and (2) affixes the fusion member to the vertebral bodies. In some embodiments, the apparatus includes (1) a fusion member that is delivered and positioned between the vertebral bodies, (2) a delivery mechanism that delivers and positions the fusion member between the vertebral bodies, and (3) an anchoring member that affixes the fusion member to the vertebral bodies.

A medical device for implantation in a hip joint of a patient is provided. The hip joint has a caput femur integrated with a collum femur having a collum and caput center axis, extending longitudinal along the collum and caput femur, in the center thereof. The medical device comprises an elongated portion adapted to at least partially replace the collum femur. The elongated portion is adapted to be connected to a prosthetic spherical portion adapted to replace the caput femur. The prosthetic spherical portion in turn is adapted to be movably placed in a prosthetic replacement for the acetabulum comprising at least one extending portion adapted to clasp said prosthetic spherical portion. The elongated portion comprises a restricting portion adapted to restrict the motion range of the spherical portion in relation to said prosthetic replacement for the acetabulum. The restricting portion of the elongated portion is adapted to enable an advantageous motion range in relation to said prosthetic replacement for the acetabulum.

An orthopaedic fixation assembly for prosthetic biologic attachment. The orthopaedic fixation assembly may include a main body with a longitudinally-extending stem having a proximal end, a distal end, and a cavity body. An anchor plug may be configured to be received within the stem cavity, and securable thereto via complementary mating surfaces. A spindle structure may be fixedly attached to the proximal end of the longitudinally-extending stem and protrude outwardly therefrom such that a portion of the structure extends externally beyond the resected cavity of the bone that may prevent rotational motion of the spindle. The spindle structure may have at least one compliant biasing member configured to apply a compressive force to the surrounding bone. A porous coating may be at the juncture between stem and spindle structure, on the spindle, and the splines and anti-rotation chocks, improving the initial stability of the implant and facilitating long-term bone ingrowth.

An expandable implant is disclosed having an adjustable height for insertion between two adjacent bony structures or joint surfaces, for example between two adjacent spinal vertebrae. The implant includes at least one gear associated with at least one threaded shaft. Rotation of the gear engages the threaded shaft to expand the implant. The implant can be inserted in a collapsed configuration and expanded in situ. The invention also provides methods for using the implant to facilitate arthrodesis or fusion of adjacent joint surfaces or spinal vertebrae.

The disclosed medical device comprises an elongated portion adapted to at least partially replace the collum femur wherein said elongated portion is adapted to be at least one of integrated in and connected to a prosthetic spherical portion adapted to replace the caput femur, and wherein said prosthetic spherical portion in tum is adapted to be movably placed in a prosthetic replacement for the acetabulum having at least one extending portion for clasping said prosthetic spherical portion. Further, the elongated portion comprises a restricting portion adapted to restrict the motion range of the spherical portion in relation to said prosthetic replacement for the acetabulum, and wherein said restricting portion of said elongated portion comprises at least one recess adapted to receive a portion of said prosthetic artificial acetabulum, when implanted, to enable an advantageous motion range in relation to said prosthetic replacement for the acetabulum.

An articular component is provided that includes an articular body having an articular surface, a bone anchor, a coupling portion, and a coupler. The bone anchor includes a distal end configured to be lodged in a bone and a proximal face. The coupling portion includes a recessed area in the articular body disposed between the articular surface and the distal end of the bone anchor. The coupler includes a first portion configured to mate with the coupling portion at a selected rotational position, and a second portion opposite the first portion, wherein the second portion is configured to couple, directly or indirectly, the articular body with the bone anchor.

A laminoplasty implant system includes a spacer implant configured for insertion into an interlaminal space defined by a cut into a lamina of a vertebra. The spacer implant includes a first end and a second end, and a tunnel extending axially between the first end and the second end. The laminoplasty implant system also includes a single fastener implant configured for insertion through the tunnel when the spacer implant is inserted into the interlaminal space. The fastener implant includes a head and a fastener portion. The head is configured to abut against a portion of the spacer implant and to extend axially from the first end into the lamina of the vertebra. The fastener portion is configured to extend through the tunnel and to extend axially from the second end into a lateral mass of the vertebra.

A method of implanting a shoulder prosthesis assembly is provided where the method includes advancing by rotation a base member, that includes a cylindrical member and a helical structure, into a resection face of a humerus of a patient such that the helical structure is submerged in and engages cancellous bone of and does not extend distally of an epiphysis of the humerus, the cylindrical member being accessible at the resection face of the humerus when the base member is so advanced; advancing a locking device into the base member until at least one elongate member spans a space between adjacent portions of the helical structure to contact the cancellous bone in the space; and inserting a retention portion of a reverse articular insert into the cylindrical member of the base member to directly connect the reverse articular insert with the cylindrical member of the base member.