A plate and cage assembly for stabilization of vertebral bodies. The assembly includes at least one fixation member, a cage having a proximal wall, a superior surface and an inferior surface (the superior surface and the inferior surface for engaging adjacent vertebrae), and a plate coupled to the cage and having at least one hole traversing the plate at an angle for insertion of the at least one fixation member into one of the vertebral bodies. The proximal wall of the cage has a blind hole, and the plate has a threaded screw hole aligned with the blind hole in the proximal wall of the cage.

A tibial implant may include a plurality of geometrically conformal implant subunits. The implant subunits may be configured for individual insertion within a wedge-shaped-void of the tibia. The implant subunits may further be configured for assembly in order to provide an implant substantially covering an exposed portion of cortical bone formed when performing a surgical osteotomy. In some embodiments, some or all of the plurality of subunits may be mechanically interlocked with each other. Methods and kits for insertion and assembly of implants are further described.

The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the beating support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee joint to be distracted by a distance equal to the height of a particular shim.

A multi-layered prosthetic element comprises a central body (1; 1′) of a substantially truncated conical shape and having a through axial cavity (2; 2′) open at both ends which gives the central body (1; 1′) a ring-shaped cross-section. The central body (1, 1′) comprises an outer portion (110; 110′), made of trabecular metal material, an inner portion (130; 130′), made of trabecular metal material, and an intermediate portion (120; 120′) made of metal material without significant porosity. The outer portion (110; 110′) and the inner portion (130; 130′) are integrally connected to the intermediate portion (120; 120′). The intermediate portion (120; 120′) is configured to mechanically resist to stresses transmitted to the inner portion (130; 130′) on one side and to the outer portion (110; 110′) on the other side.

A revision-implant receiver (18) is provided for supporting an implant (20) of a revision joint replacement (10). The revision-implant receiver (18) comprises a first receiver element (22) and a second receiver element (24). The first receiver element (22) and the second receiver element (24) are engaged with each other via a hinge element (26).

A humeral implant component connectable to another humeral implant component, the humeral implant component comprising: a longitudinal axis, a first end and a second end, the first end and the second end opposing each other along the longitudinal axis of the humeral implant component, and an interface part for connecting the humeral implant component to the other humeral implant component, wherein the interface part is tapered along the longitudinal axis in a direction from the second end to the first end, the interface part being engageable with a tapered interface part of the other humeral implant component to form a tapered connection between the humeral implant component and the other humeral implant component, wherein the humeral implant component further comprises a through hole extending along the longitudinal axis for locking the tapered connection by a longitudinal fastener.

A porous implant for repairing lost bone stock such as around a prosthetic joint is provided. The porous implant has a composite structure with a solid structure and a porous structure which may be formed monolithically by direct metal laser sintering. The solid structure includes a support structure which extends into the porous structure.

A knee prosthesis kit includes an implant and an augment. The implant has a base and a stem extending from the base, and the augment has a base and a conical, cylindrical, or anatomic portion extending from the base. The augment base has at least two openings for receiving fasteners for securing the knee augment to the implant. The portion and the base define a bore for receipt of the implant post. A coupler includes a mating portion for receipt in a bore of an implant post, and a cone-shaped portion extending from the mating portion. A method of providing fixation of knee implants includes securing an augment to an implant and positioning a conical, cylindrical, or anatomic portion of the augment within the intramedullary canal of the tibia or femur.

Disclosed is a central augment. The central augment can include a body and a protrusion. The body can include a first curved surface shaped to interface with a central portion of a bone and a second surface opposite the first curved surface and defining a recess sized to receive a portion of a prosthetic component. The protrusion can extend from the second surface within the recess.

Methods and systems of augmenting an implant intraoperatively and preparing a cone for revision surgical procedure are disclosed. A system includes a cutting device, a tracking and navigation system and a cutting system in operable communication with the cutting device and the tracking and navigation system. The cutting device includes a communication system, a cutting element, and a plurality of optical trackers. The tracking and navigation system is configured to detect a location of optical trackers. The control system is configured to cause the tracking and navigation system to detect the location of the cutting device, determine a revised shape for an implant cavity, cause the cutting device to cut the implant cavity to the revised shape, select a shape for a cone to be placed in the revised implant cavity, and machine the cone to the selected shape.