Instruments, guides, systems and related methods for total ankle prostheses are disclosed. The instruments, guides, systems and related methods facilitate preparation of a tibia and/or talus of a patient for implantation of a total ankle prosthesis therein. The instruments, guides, systems and related methods also facilitate selection of a particular size of a tibial component, a talus component and/or a tibial insert of the total ankle prosthesis that suits the patient. The instruments, guides, systems and related methods include a tibial trial component, a talar trial component and tibial insert trial component that replicate one or more aspects of the tibial component, the talus component and the tibial insert, respectively, of the total ankle prosthesis. The talar trial component includes an articulation surface that articulates with the tibial insert trial component, and slots that facilitate chamfered resection of the patient's talus for the implantation of the talus component thereon.

An intervertebral implant can include a core and a flexible end plate. The core can have a core body that is elongate along a first direction and defines first and second outer surfaces. The flexible end plate can define an inner surface and an opposed bone facing surface that is configured to abut a vertebral body. The flexible end plate can be coupled to the core such that at least a portion of the inner surface faces the first outer surface and is spaced from the first outer surface. The flexible end plate is configured to resiliently flex toward a compressed configuration such that as the flexible end plate flexes toward the compressed configuration, a first end moves relative to the core along the first direction and the portion of the inner surface moves toward the first outer surface.

Stand-alone interbody fusion devices for engagement between adjacent vertebrae. The stand-alone interbody fusion devices may include a spacer and one or more inserts or members coupled to the spacer. The inserts or members may be configured and designed to provide the apertures which are designed to retain bone fasteners, such as screws, and secure the implant to the adjacent vertebrae.

Disclosed is a cage for minimally invasive surgery, the cage including a main body part inserted into a space between a vertebra and an adjacent vertebra, and having lengthwise first and second end parts connected rotatably to each other, and a dilatation induction part provided in an inner space of the main body part, the dilatation induction part being configured to dilate a lengthwise middle part of the main body part by moving to a position at which the first and second end parts of the main body part are connected to each other.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

A wing-shaped stemless hip joint prosthesis comprises a wing-shaped cup body which can be tightly covered on the femoral neck and the intertrochanter to fix an artificial spherical end and the femoral tissue into a whole, wherein the wing-shaped cup body integrally in an inverted cup form is inversely buckled outside the residual end of the femoral neck and is reinforced through a center lock pin and a tail pin; the wing-shaped cup body is provided with a lesser trochanter protecting wing buckled outside the lesser trochanter and a cup wing covered outside the intertrochanter line to acquire the additional supports and to be more stable accordingly; and the wing-shaped cup body is further provided with a large opening or hole so as to contain the nourishing blood vessels of the femur, accordingly decreasing the damage rate of the nourishing blood vessels and improving the postoperative recovery effect.

A flexible hip joint stem includes a shoulder body connecting piece, a flexible stem body, a stem tail, and a center regulating rod. The flexible stem body includes an inner-layer cylinder and an outer-layer cylinder. The inner-layer cylinder and the outer-layer cylinder are both composed of spiral springs, where the spring wire width of the spiral springs is basically equal to the screw pitch. The regulating rod passes through the shoulder body connecting piece and the flexible stem body, and is fixed with the stem tail by screwing the threads, which allows the inner-layer cylinder and the outer-layer cylinder to produce a certain degree of elastic deformation, limits the range of the elastic deformation, and enables the flexible hip joint stem to have sufficient supporting strength as a whole.

A method of treating a spine includes implanting a spinal implant within a patient. The spinal implant includes a first member having a first wall defining an axial passageway and a first opening, the first opening being in communication with the axial passageway. A second member includes a second wall defining an axial channel having the first member disposed therein, the second wall defining a second opening in communication with the axial channel. Bone graft is injected through the first opening and into the axial passageway and through the second opening and into the axial channel after the spinal implant is implanted within the patient.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

An expandable vertebral body implant, and methods of assembly and using the implant. The vertebral body implant includes a body with a first end and a second end, a rotating member rotatably coupled to the first end of the body, wherein an end includes a plurality of first notches inset into the rotating member, an extension member moveably coupled to the rotating member, and a locking member positioned on an interior of the body. Methods for assembling and using the vertebral body implant are also disclosed.