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 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.

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.

The invention relates to a bone implant, comprising a main body, which has, in its outer region, an open-cell porous lattice structure, which is formed from a plurality of regularly arranged elementary cells, the elementary cells being in the form of an assembled structure and each being composed of an interior and of a plurality of interconnected bars surrounding the interior. The porous lattice structure is provided with a bone-growth-promoting coating comprising calcium phosphate, the calcium phosphate coating having a hydroxylapatite proportion forming a pore inner coating extending into the depth of the porous lattice structure.

The invention relates to an augmentation device comprising an annular cone surrounding a channel extending through the cone from a proximal cone end to a distal cone end of the cone. The invention further relates to an augmentation system comprising such an augmentation device and an applicator, as well as an implantation method of an augmentation device using such an augmentation system.

A motion preserving spinal implant is presented for use in placement between intervertebral space for total replacement of a degenerated spinal disc. The motion preserving spinal implant has a pair of end plates sandwiched around an inner core and an outer core, with the inner core being concentrically positioned within the outer core. The outer core encapsulates the inner core and provides adequate sealing of the inner core while maintaining flexibility and elasticity to advantageously support physiological movements. The inner core is constructed of an elastomeric material and acts as a solid diaphragm in order to resist and withstand localized compression and other forces. The end plates provide anchoring and fusion with adjoining vertebra and hold the inner and outer cores in place. The motion preserving spinal implant restores the normal height and natural function of the degenerated spinal disc and preserves the natural motion of the spine.

A surgical instrument and method are provided for removal of a spinal implant from the intervertebral disc space. The instrument includes a carriage body for interfacing with the implant, a housing for interfacing with the vertebrae, and a handle portion having a first portion rotatably coupled with a proximal end of the housing and a second portion rotatably engageable with a proximal attachment portion of the carriage body. A central passage of the housing extends between the proximal end and a distal engagement surface of the housing. The central passage is dimensioned to mate with the carriage body. Rotation of the handle portion about an axis causes translational movement of the carriage body along the axis. A modular inserter/distractor apparatus and method and an anchor remover and method are also provided.

Augment element for knee prosthesis, comprising a metal body of a substantially truncated conical shape configured to be inserted into a bone extremity and having an outer surface comprising a metal trabecular surface. The metal body being hollow with an axial through-cavity defining a plurality of substantially annular transversal sections. The metal body is inclined in a direction of inclination, so as to define at least one eccentricity between a first transversal section at a first end of the axial through-cavity and a second transversal section at a second end of the axial through-cavity. The augment element further comprises a plurality of through-slits in the metal body, open from the first end up to an intermediate portion on the metal body, wherein the plurality of through-slits is configured for a radial compression of the metal body, locally reducing a circumference of the substantially annular transversal sections during insertion of the augment element, and increasing a press-fit towards a bone portion.

A holding device for assembling orthopaedic implants includes: a stand including a columnar structure with an opening formed in the structure and configured to accept a stem and a groove formed in the structure that is configured to accept a portion of an orthopaedic implant to rotatably lock the orthopaedic implant in the opening and a base coupled to the structure and configured to stabilize the structure on a surface; and an angle set including a ring rotatably coupled to the structure and a fork configured to engage the orthopaedic implant and carried by the ring.