A humeral head implant system includes a head component including a first articulating surface, a second bottom surface extending from the first spherical articulating surface, a first cavity extending a first distance into the head component from the second bottom surface, and a second cavity extending into the head component along a cavity axis. The head component defines a head axis extending through a center of the first articulating surface parallel to the cavity axis. A base component defines a slot extending from a first width to a second width. An insert component includes an insert body, a first engagement feature, and a slot engagement feature. The first engagement feature is received in the second cavity along the cavity axis. The insert body has an insert thickness less than the first distance, and the slot engagement feature slides into the slot in a direction transverse to the cavity axis.

Systems, methods, and devices are disclosed for surgical systems comprising an applicator having a first shaft, an implant having a first member pivotably and detachably coupled to the first shaft, and a second member for converting rotational motion of the implant to a translational offset, and at least one of a sensor for determining the offset or an indicator for indicating the offset, provided that the indicator is not a protrusion located at an end of the applicator. A controller may be provided, the controller being configured to receive offset data from the sensor, determine an angle of the implant in a patient using dimensions of the implant and the offset, and display a current position of the implant relative to patient anatomy. The applicator may have a second shaft slidably disposed on the first shaft along an axis defined by a longitudinal axis of the applicator.

An intervertebral fusion implant for fusion of adjacent vertebrae, includes a main body having a first leg, a second leg, and an intermediate articulated joint, a pivoting blade is rotatably attached to the first leg, a guiding trough that includes two lateral side walls and two end-faces, one being stationary and one being movable and formed by a traveller movable along the guiding trough to vary its distance to the stationary end-face, the traveller being rotatably attached to the other end of the pivoting blade, wherein an attachment device is provided at the stationary end-face, and a second attachment device is provided at the traveller, which includes an aperture for passage of the holding instrument, wherein a lifting mechanism includes a lifting plate adjustable between retracted and raised states, the lifting plate being spaced from a top surface of the legs and forming a bearing for an adjacent vertebrae end-plate.

The present disclosure pertains to ankle prostheses. In an example embodiment, the ankle prosthesis comprises an adjustable and replaceable intermediate implant that is disposed between a tibial implant and a talar implant. The intermediate implant is adjustable relative to the tibial implant and can be interlocked therewith once adjusted. Methods of using, fitting, and adjusting the device are also described. Still other embodiments are described.

Disclosed herein are aspects of expandable interbody devices having an unobstructed graft material containment space. Such expandable interbody devices have a structure in which an overall plan view area of the graft material containment space is devoid of elements of the expandable interbody device enabling adjustment of the expandable interbody devices between a collapsed configuration and displaced configuration (e.g., an expanded configuration and/or a tilted configuration). In this manner, expandable interbody devices configured in accordance with embodiments of the disclosures made herein do not have obstructions within the graft material containment space thereof that limit the available volume of graft material and associated bony material growth that may be contained within the graft material containment space.

Provided is a vertebral spacer including a columnar main-body portion attached to individual cut end portions of the cut vertebral arch by screws, wherein the main-body portion is provided with two accommodating holes formed inside the main-body portion at positions spaced in a longitudinal direction of the main-body portion, and individually accommodating head portions of the screws, the individual accommodating holes are provided with openings through which the head portions are inserted into the accommodating holes from outside the main-body portion, and the openings have diameters greater than diameters of shaft portions of the screws, smaller than diameters of the head portions, and increased to a size that is greater than the diameters of the head portions.

A device is provided including a distal nail portion and a proximal nail portion that can be connected to each other to attain a rigid configuration. The device is to be placed internally within the medullary cavities of bones. The device is placed intramedullarily in order to minimize incision size, excessive bone resection and post-operative tendon damage and tenderness. Additionally, one particular method for using the device is provided that includes placing and affixing the distal nail in bone, placing the proximal nail in bone, connecting the distal nail to the proximal nail, doing the desired geometrical adjustments, affixing the proximal nail to the distal nail by tightening the connection and affixing the proximal nail to attain a rigid configuration.

A system is provided which includes an articulating component, a post, a reception member and a bone engaging member. The articulating component includes an articulating surface and a second surface opposite the articulating surface. The post is disposed below the second surface. The reception member is configured to receive the post. The bone engaging member is configured to be embedded in a bone, wherein the bone engaging member is configured to receive the reception member. The reception member includes a reception member inside surface, wherein the reception member inside surface faces the post when the post is received by the reception member. A first portion of the reception member inside surface defines a tapered configuration and the reception member inside surface comprises at least one ratchet interface.

An intervertebral fusion implant for the fusion of two adjacent vertebrae includes an elongate, adjustable support body, of which the lower and upper cover surfaces are designed to bear on end-plates of the adjacent vertebrae, wherein a side bracket is provided, which is pivotable laterally about a hinge, and of which the bottom face and top face are designed to bear on the end-plates. The support body furthermore is provided, on the cover surface thereof, with a lifting plate which, by means of a lifting mechanism, is adjustable in height between a retracted state and a raised state in which the lifting plate forms a bearing for one of the end-plates. Thereby, both adaptions of width as well as of height are achieved.

A joint spacer has first and second endplates, with each having a bone engaging surface, and at least two cams with an inclined cam surface positioned on an opposite side. First and second slides, each having ramps with an inclined surface are engaged with the cams of the endplate. The first slide has an angled portion at an end, and the second slide has a hinge portion. A threaded shaft has a hinge portion connected to the slide hinge portion, connecting the shaft to the slide, enabling the shaft to pivot. A nut is threaded to the shaft, and can contact and interfere with the angled portion of the first slide to drive the first slide with respect to the second slide. This results in engagement of the cams and ramps to drive the endplates apart to increase the spacer height.