Prostheses are described for stabilizing dysfunctional bone structures. The prostheses have proximal and distal ends, and an expandable mid-region disposed therebetween. The expandable mid-region includes a plurality of deflectable elongate members that are configured and adapted to transition from a compressed configuration to a deflected configuration when released from a deployment apparatus, whereby the plurality of deflectable elongate members deflects outwardly when the elongated member is inserted into a pilot opening of a dysfunctional bone structure, whereby the plurality of elongate members exerts a retaining force on the internal surface of the pilot opening and secures the elongated member in the pilot opening and, thereby, the dysfunctional bone structure.

Configurations are described for conducting minimally invasive medical interventions utilizing elongate instruments and assemblies thereof to stabilize and/or fixate a sacro-iliac joint. In one embodiment, a tool assembly may be advanced from a posterior approach into the SI junction and configured to create a defect defined at least in part by portions of both the sacrum and the ilium, the defect having a three dimensional shape defined in part by at least one noncircular cross sectional shape in a plane substantially perpendicular to the longitudinal axis of the tool assembly. After a defect is created, the tool assembly may be retracted and a prosthesis deployed into the defect.

The fusion device for fusing a synovial joint of a human or animal patient, in particular a human facet joint, finger joint or toe joint, includes two pin-shaped anchorage portions and arranged therebetween a stabilization portion. The anchorage portions include a thermoplastic material which is liquefiable by mechanical vibration. The stabilization portion preferably has a surface which is equipped for enhancing osseointegration. The anchorage portions have a greater thickness and a greater depth than the stabilization portion. Then the fusion device is pushed between the articular surfaces and mechanical vibration, in particular ultrasonic vibration, is applied to the proximal face of the fusion device. Thereby the liquefiable material is liquefied where in contact with the bone tissue and penetrates into the bone tissue, where after re-solidification it constitutes a positive fit connection between the fusion device and the bone tissue.

Methods are described for conducting minimally invasive medical interventions utilizing instruments and assemblies thereof to stabilize and/or fixate a dysfunctional sacroiliac (SI) joint. In one embodiment, a defect creation assembly is advanced from a posterior approach into the SI joint and configured to create pilot SI joint opening; portions of which being disposed in the sacrum and ilium bone structures. After the pilot SI joint opening is created, a prosthesis is press-fit into the pilot SI joint opening, wherein the pilot SI joint opening transitions to a larger post-prosthesis insertion SI joint opening and the prosthesis is securely engaged to the sacrum and ilium bone structures.

Systems are described for stabilizing a dysfunctional sacroiliac (SI) joint of a subject. The systems include a tool assembly and a defect creation assembly, and a prosthesis. The tool assembly is adapted to create a pilot SI joint opening in the dysfunctional SI joint; portions of which being disposed in the sacrum and ilium bone structures. The prosthesis is sized and configured to be press-fit into the pilot SI joint opening, wherein the pilot SI joint opening transitions to a larger post-prosthesis insertion SI joint opening and the prosthesis is securely engaged to the sacrum and ilium bone structures. The system optionally includes an image capture apparatus adapted to capture images reflecting positions and/or orientations of the tool assembly when disposed in the subject's body.

An expandable interbody fusion device and an associated instrument for inserting the device into an intervertebral disc space, expanding the device and for use in delivering graft material into the device once expanded in the disc space. The device is small enough to fit through Kambin's triangle yet is capable of expanding both in the vertical direction to accommodate spinal lordosis and in the lateral direction to provide sufficient structural support for opposing vertebral bodies laterally within the disc space. A process of forming textured top and bottom surfaces of the device by initially laser ablating each surface with a nano-second pulsed laser followed by laser ablating those surfaces with a femto-second pulsed laser.

The present invention relates to a stabilized ankle prosthesis configured for use in patients with compromised soft tissue in the ankle. The prosthesis of the present invention is a two-component design comprising a stabilizing lip configured to constrain movement in the general direction of compromised soft tissue.

An intervertebral spacer may include a fastener channel configured to receive a fastener, a locking member channel, and a locking member. The locking member channel may include an inner wall and one or more inner wall engagement features. The locking member may include an anti-backout member, a collet retainable within the locking member channel, and one or more collet engagement features. The locking member may be rotatable within the locking member channel between an unlocked position and a locked position. The one or more collet engagement features may engage the one or more inner wall engagement features in order to retain the locking member in either the unlocked position or the locked position, such that the anti-backout member may selectively obstruct the fastener channel and prevent the fastener from backing out of the fastener channel.

The present invention relates to a stabilized ankle prosthesis configured for use in patients with compromised soft tissue in the ankle. The prosthesis of the present invention is a two-component design comprising a stabilizing lip configured to constrain movement in the general direction of compromised soft tissue.

An intervertebral spacer assembly may include a first intervertebral spacer with a superior surface configured to engage a superior vertebral body, an inferior surface configured to engage an inferior vertebral body, and a proximal surface with a first fastener channel. The assembly may further include a first fastener and a locking member with a first anti-backout member. The first intervertebral spacer or the locking member may have a locking member channel. The other may have a compressible collet insertable into the locking member channel to couple the locking member to the first intervertebral spacer such that the locking member is rotatable relative to the first intervertebral spacer between an unlocked position in which the first anti-backout member does not obstruct the first fastener channel, and a locked position in which the first anti-backout member obstructs the first fastener channel to retain the first fastener in the first fastener channel.