A spinal implant is provided including an upper surface, a lower surface, a front surface and a back surface, two side surfaces extending between the upper surface and the lower surface, the two side surfaces extending between the front surface and the back surface and an opening positioned closer to the back surface than the front surface. The opening is provided to contain graft material that spans between a cortical rim of the upper vertebral body and the cortical rim of the lower vertebral body. The method includes packing the opening with graft material, wherein the graft, material spans between the decorticated cortical rim of the upper vertebral body and the decorticated cortical rim of the lower vertebral body.

A spinal implant is provided including an upper surface, a lower surface, a front surface and a back surface, two side surfaces extending between the upper surface and the lower surface, the two side surfaces extending between the front surface and the back surface and an opening positioned closer to the back surface than the front surface. The opening is provided to contain graft material that spans between a cortical rim of the upper vertebral body and the cortical rim of the lower vertebral body. The method includes packing the opening with graft material, wherein the graft material spans between the decorticated cortical rim of the upper vertebral body and the decorticated cortical rim of the lower vertebral body.

An implant comprises a substrate and a coating on a surface of the substrate, and the coating comprises silicon nitride and has a thickness of from about 1 to about 15 micrometer. A method of providing the implant comprises coating a surface of the implant substrate with the coating comprising silicon nitride and having a thickness of from about 1 to about 15 micrometer by physical vapour deposition.

The invention relates to an acetabular cup (4) and a cup insert (3) for a hip joint prosthesis (12), wherein the cup insert (3) is coupled to the acetabular cup by means of a clamping cone (5) of a conical clamping device in the equatorial region (7) of the two components (3, 4) and, in the unloaded state of the cup insert (3), a gap (8) is provided between the two components (3, 4) below the clamping cone (5) to the pole (6), said gap being delimited by the radial contours of the two components (3, 4). In order to reduce the tensile stresses in the cup insert, the radial contours of the two components (3, 4) have identical geometric elements in the same order, starling front the lower cone end (9) to the pole (6), and tangential or substantially tangential transitions exist between the geometric elements.

Methods for improving the wear performance of silicon nitride and/or other ceramic materials, particularly to make them more suitable for use in manufacturing biomedical implants.

An orthopedic implant having a subsurface level ceramic layer generally includes a base material, an intermix layer molecularly integrated with the base material that includes a mixture of the base material and a plurality of subsurface level ceramic-based molecules implanted into the base material, and an integrated ceramic surface layer molecularly integrated with and extending from the intermix layer forming at least part of a molecular structure of an outer surface of the orthopedic implant. The integrated ceramic surface layer and the base material thereafter cooperate to sandwich the intermix layer in between.

The process for producing an orthopedic implant having an integrated ceramic surface layer includes steps for positioning the orthopedic implant inside a vacuum chamber, emitting a relatively high energy beam into the at least two different vaporized metalloid or transition metal atoms in the vacuum chamber to cause a collision therein to form ceramic molecules, and driving the ceramic molecules with the ion beam into an outer surface of the orthopedic implant at a relatively high energy such that the ceramic molecules implant therein and form at least a part of the molecular structure of the outer surface of the orthopedic implant, thereby forming the integrated ceramic surface layer.

An expandable intervertebral implant for an intervertebral fusion is provided. The implant includes a first endplate, a second endplate, a translation member and an auger mounted to the translation member and extending through the second endplate. The first endplate includes a sloped anterior face and a sloped posterior face. The second endplate includes a posteriorly facing sloped surface for matingly engaging the sloped anterior face of the first endplate. The translation member includes an anteriorly facing sloped surface for matingly engaging the sloped posterior face of the first endplate.

Spinal interbody cages are provided that include a bulk interbody cage, a top face, a bottom face, a top mesh structure, a bottom mesh structure, pillars, and slots. The top and bottom faces are exterior surfaces of the bulk interbody cage having a top central opening and a bottom central opening, respectively. The top and bottom mesh structures extend from the bulk interbody cage across the top central opening and the bottom central opening, respectively. The pillars are for contacting vertebral bodies. The slots are to be occupied by bone of the vertebral bodies and/or by bone of a bone graft. The spinal interbody cage has a Young's modulus of elasticity of at least 3 GPa, and has a ratio of the sum of (i) the volumes of the slots to (ii) the sum of the volumes of the pillars and the volumes of the slots of 0.40:1 to 0.90:1.

An expandable intervertebral implant for an intervertebral fusion is provided. The implant includes a first endplate, a second endplate, a translation member and an auger mounted to the translation member and extending through the second endplate. The first endplate includes a sloped anterior face and a sloped posterior face. The second endplate includes a posteriorly facing sloped surface for matingly engaging the sloped anterior face of the first endplate. The translation member includes an anteriorly facing sloped surface for matingly engaging the sloped posterior face of the first endplate.