A device for treating orthopaedic trauma includes a device body having an exterior surface and a cannulation formed therein that extends from one longitudinal end of the device body to an opposite longitudinal end of the device body and at least one porous ingrowth material region associated with the exterior surface of the device body and fluidly coupled to the cannulation. The at least one porous ingrowth material region is configured to deliver a therapeutic agent from the cannulation to a region outside the device body.

A system for preventing relative motion between bones or sections of bone, for example, an ilium and a sacrum. The system includes an insertion tool and an implant. The implant includes a trunk, a distal anchor, a proximal anchor, and a stem coupled to the trunk. A driver of the insertion tool receives an input for a drive shaft of the insertion tool to draw the stem proximally such that the trunk is drawn towards the insertion tool. The drawing of the trunk and engagement of first and second engagement features is configured to deploy the proximal anchor outwardly. The distal anchor may be an expandable member, and the implant may define a bore extending through the proximal anchor for the distal anchor to receive injectable material. The system may be cannulated such that the insertion tool and the implant may be directed over a guidewire to position the implant.

Bone implants and stabilizing rod coupling assemblies to secure a stabilizing rod relative to the bone implant. Bone implants may include a radially recessed collet receiving region that includes a proximal end with an undercut ledge configuration that is sized and configured to interface with and couple to a collet of a tulip assembly.

A bone anchor for the fixation of bone components and bone fragments, including a shaft, a neck area and a head located in proximal direction and a tip located in distal direction, wherein the bone anchor has a mainly cylindrically shaped hollow chamber extending along the central axis, wherein the hollow chamber is adjacent a transition zone located proximally from a central plane, characterized in that the transition zone at least partially has an inner diameter and the hollow chamber at least partially has an opening diameter, and the opening diameter of the hollow chamber is greater than the inner diameter of the proximal transition zone.

A bone fastener includes a shaft. The shaft includes a wall that defines a longitudinal cavity and a plurality of openings in communication therewith. The openings are disposed in axial alignment along the shaft and the wall is closed exclusive of the openings. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Embodiments are directed to spinal treatments and, more particularly, to a fenestrated pedicle nail, wherein the pedicle nail performs as an anchored system for pedicle instrument constructs that prevents fracturing from over-compressing of bone of poor quality. Embodiments include a pedicle nail comprising a shank and a nail head. The shank may comprise a proximal end and a distal bone engagement end. The nail head may be disposable on the proximal end of the shank, wherein the nail head may threadably engage the proximal end thereof. The nail head may have external bone threads.

A bone insert is provided that includes a cap having a convex top surface made from a plurality of cap micro struts, an elongated stem made from a plurality of stem micro struts, and a barrier between the cap and the stem. The stem of the bone insert is inserted into a hole formed in a host bone until the barrier is pressed against the exposed bone. The bone implant can be placed against a small focus contact point on the cap. Liquid cement can be injected into a large center hole in the cap and the cement can flow through the fenestrations between all of the cap micro struts as well as the space between the bone implant and the bone. The cement can cure to create a high strength structure that provides a strong bond between the bone implant and the host bone.

A medical implant for treating bone defects. The implant has at least one hollow body delimiting an inner chamber in the interior of the hollow body, a fluid feed line connected in a fluid-permeable manner with the inner chamber, and a fluid discharge line connected in a fluid-permeable manner with the inner chamber. The hollow body consists at least in places or wholly of at least one plastic material that is impermeable to liquids and permeable to oxygen and to carbon dioxide, such that oxygen is deliverable from a fluid passed through the hollow body to, and carbon dioxide is absorbable into the fluid from, the surroundings of the hollow body. Also disclosed is a bone defect treatment system having such a medical implant and the fluid, wherein the fluid contains oxygen and is suitable for absorbing oxygen, and to a method for gas-flushing a surface of a medical implant.

An implant for the stabilization and/or fusion of the sacroiliac joint has an elongated, spiraled exterior shape. The implant has a conically tapered inner core with a passage opening which extends in the axial direction along a central longitudinal axis over the entire axial length of the implant and ribs which run outward in a radial manner at least sectionally and which are arranged on the inner core and extend helically in the axial direction around at least one section of the inner core.

Threaded sacro-iliac joint stabilization (e.g., fusion, fixation) implants and methods of implantation and manufacture. Some implants include a threaded distal region, an optionally threaded central region, and an optionally threaded proximal region. The distal, central, and proximal regions have lengths such that when the implant is laterally implanted across a SI joint, the distal region can be positioned in a sacrum, the central region can be positioned across an SI-joint, and the proximal region can be positioned in an ilium.