An implant for a human includes a body having a superior surface, an inferior surface, a distal surface, and a proximal surface. The proximal surface is configured to engage the talus and the calcaneus of an adult human, and the distal surface configured to engage at least the first and fourth metatarsals of the adult human. The distal surface has a largest distal height and a largest distal width that is greater than the largest distal height, and the proximal surface has a largest proximal height and a largest proximal width that is greater than the largest proximal height.

According to one aspect of the disclosure, a prosthetic implant system includes a first articulation component, a base, and a second anchor. The base may have a proximal portion and a first anchor extending in a distal direction along a longitudinal first anchor axis. The proximal portion of the base may be configured to couple to the first articulation component. The second anchor may be formed separately from the base and may extend along a longitudinal second anchor axis. The base may include a channel extending from a first opening in the proximal portion of the base through a second opening in a distal portion of the first anchor. The channel may be sized and shaped to receive the second anchor therethrough. When the second anchor is received within the channel, the longitudinal first anchor axis may be oblique to the longitudinal second anchor axis.

A spinal bone graft includes one or more cortical bone portions forming a first unit. The first unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms at least one first undercut. The bone graft also includes one or more cortical bone portions forming a second unit. The second unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms either at least one second undercut, or at least one connector. In the former, at least one connector is received in each of the first and second undercuts to interconnect the first and second units. In the latter, the at least one connector of the second unit is received in the first undercut of the first unit to interconnect the first unit and second unit.

A system for spinal surgery includes a prosthesis comprising a plurality of bone anchors which engage an intervertebral construct for fusion or motion preservation. The fusion construct comprises a spacer optionally encircled by a jacket. The motion preservation construct may comprise an articulating disc assembly or an elastomeric disc assembly. Any of the constructs may occupy the intervertebral disc space between adjacent vertebrae after removal of an intervertebral disc. The anchors slidingly engage the construct to securely fix the prosthesis to the vertebrae. The anchors and jacket of the fusion construct provide a continuous load path across opposite sides of the prosthesis so as to resist antagonistic motions of the spine.

The invention relates to a prosthesis comprising a first component (10) and a second component (60), wherein the first and second components have respective inter-engaging parts (24,64) and wherein at least one of the first or second components comprises an anti-rotational element (32,66) configured to resist rotational movement between the inter-engaging parts and wherein the inter-engaging parts share an axis of rotation such that they are engageable in a plurality of relatively rotated positions and wherein the axis of rotation of the inter-engaging part of one of the first or second components is parallel to but offset from a central axis of said first or second component.

Disclosed is a system for engaging and holding a prosthesis both axially and rotationally relative to an inserter assembly. The inserter assembly can engage an acetabular prosthesis in a selected position, such as axially, with a first portion and then or subsequently engage the acetabular prosthesis with a second portion in a rotationally fixed manner. The acetabular prosthesis can then be inserted into a prepared acetabulum according to a disclosed method with the inserter assembly. The inserter assembly can then be removed from the acetabular prosthesis to allow for reduction of a femur.

A spinal bone graft includes one or more cortical bone portions forming a first unit. The first unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms at least one first undercut. The bone graft also includes one or more cortical bone portions forming a second unit. The second unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms either at least one second undercut, or at least one connector. In the former, at least one connector is received in each of the first and second undercuts to interconnect the first and second units. In the latter, the at least one connector of the second unit is received in the first undercut of the first unit to interconnect the first unit and second unit.

Various embodiments of implant systems and related apparatus, and methods of operating the same are described herein. In various embodiments, an implant for interfacing with a bone structure includes a web structure, including a space truss, configured to interface with human bone tissue. The space truss includes two or more planar truss units having a plurality of struts joined at nodes. Implants may include biodegradable polymer particles contained within biocompatible fibers. The biodegradable polymer particles may include bone growth promoting agents that are released as the particles degrade over time.

This invention corresponds to a prosthesis for total or hip resurfacing replacement, which comprises a prosthetic femoral head made of highly cross-linked polyethylene, with a diameter ranging from 38 mm to 64 mm, to articulate with a cup or acetabular component made of metal. When the invention applies to total hip replacement, the polyethylene head includes a metal core, which contains inside the female counterpart (14) to mate with the male counterpart (13) of a Morse taper, located at the upper end of the femoral component. The use of this type of head for total hip replacement, articulated with an ultra-polished acetabular cup, reduces the risk of dislocation, transmits less angular and torque forces to the Morse taper than large metal heads, and avoids the problems related to the metal-metal bearing or with the use of large metal heads with thin polyethylene. When the invention relates to hip resurfacing replacement, the highly cross-linked polyethylene femoral head has a lower polyethylene extension or stem with or without internal metal reinforcement (151) or a metal stem integrated into a metal-back (152). Using these types of heads for hip resurfacing replacement heads eliminates the problems associated with metal-on-metal resurfacing replacements.

A cage to be inserted between vertebrae reduces a risk of damage to organs and nerves in the process of insertion surgery and facilitates the process of insertion surgery. The cage can be inserted in one insertion direction between a plurality of vertebrae, wherein the insertion direction forms a predetermined insertion angle with respect to the anterior aspect of the spine, and an upper surface and a lower surface of the cage are provided to correspond to a lower surface and an upper surface of the vertebrae. Also, the cage is stably fixed, and side effects after surgery is reduced. Also, the surgery time is reduced, and a burden on the patient is reduced. In addition, advantages of anterior insertion and direct lateral insertion are combined, and thus post-surgery outcomes in patients may be improved.