Abstract: A bone support structure is formed with opposing dynamization windows, and spacers of a bioresorbable material are positioned within the dynamization windows. The dynamization windows are longer than they are wide. The spacers may be integrally formed as a single insert. The bone support assembly is used with a bone fastener such as a bone screw which is advanced transversely through both the insert and the bone. The bone fastener is smaller across than the dynamization windows, so each spacer spaces the bone fastener relative to its dynamization window. As the spacers resorb, stress (at least in one direction) is increasingly transmitted through the fracture site rather than through the bone support structure. The positioning of the bone fastener, the shape and size of the dynamization windows and spacers, and the material of the spacers all allow design control over the type and amount of dynamization seen at the fracture site.

Abstract: The invention provides a method of providing a metallic orthopaedic implant with a micron or nanometer-scale surface roughness to facilitate acceptance of tissue and bone growth or apposition after implantation while maintaining the structural integrity of the orthopaedic implant. The invention also provides a metallic orthopaedic implant comprising a metallic body and metallic elements adhered to a portion of the surface of the metallic body to define a three-dimensional porous surface geometry, wherein at least some of the metallic elements have a micron or nanometer-scale surface roughness.

Abstract: The invention provides a method of providing a metallic orthopaedic implant with a micron or nanometer-scale surface roughness to facilitate acceptance of tissue and bone growth or apposition after implantation while maintaining the structural integrity of the orthopaedic implant. The invention also provides a metallic orthopaedic implant comprising a metallic body and metallic elements adhered to a portion of the surface of the metallic body to define a three-dimensional porous surface geometry, wherein at least some of the metallic elements have a micron or nanometer-scale surface roughness.

Abstract: A surgical assembly for resecting a greater tubercle from a humerus of a patient during performance of a shoulder replacement procedure. The surgical assembly includes a cutting tool for resecting the greater tubercle from the humerus. The surgical assembly also includes a tool guide member having a tool guide surface defined therein. The tool guide surface is configured to position the cutting tool in a predetermined position relative to the greater tubercle of the humerus. A method of resecting a greater tubercle from a humerus of a patient during performance of a shoulder replacement procedure is also disclosed.

Abstract: A jig for trialing a head and conjoining portion of a humeral (shoulder) prosthesis and transferring the spatial positioning to a final implant allows a surgeon to adjust humeral head position thereof in three-dimensional space with respect to a humeral component of the humeral prosthesis that has been either previously implanted into a humerus of a patient or not. The jig utilizes a rotatable body such as a sphere that is non-translatable relative to a jig body. A trial implant construct, having a head and neck that is fixed relative to one another (is spatially positioned), is placed in the jig with the neck thereof in contact with the rotatable sphere. As the head is caused to align with markings on the jig and situated flush with the jig, the rotatable sphere replicates the angular position of the neck with respect to a fixed position head.

Abstract: A spacer assembly is provided for use in spinal surgeries. The spacer assembly includes a spacer having opposite ends and a side wall extending between the opposite ends and at least one end cap coupled to at least one of the opposite ends of the spacer. Each end cap includes an inner end facing the spacer, an outer end having a serrated surface, and a side wall extending between the inner and outer ends. The side wall of each end cap is formed for engagement with the side wall of the spacer to provide a mechanical connection between the end cap and the spacer.

Abstract: Disclosed are bilayer matrices of a polysaccharide such as collagen (COL) and another polysaccharide such as hyaluronic acid (HA) with various COL/HA ratios. Each layer has a porous structure. These materials are useful for tissue regeneration, particularly when used with orthopedic implants and drug delivery.

Abstract: A bone anchor is provided that can toggle in two planes for secure anchorage within a bone cavity. The bone anchor includes an oblique suture channel configured such that a suture strand extending through the bone anchor can be tensioned to toggle the bone anchor inside the bone cavity. The suture strand can be located on the same side of the anchor body to maximize the area of the anchor surface which engages bone, resulting in increased engagement into bone and resistance to tensile forces.

Abstract: The invention provides an implantable article, a method of preparing the same, and methods of modifying a ceramic-coated implantable article. The implantable article comprises a biocompatible substrate and a bioactive ceramic surface coating into which a biological agent is incorporated. The preparation and modification of an implantable article involve incubating a biocompatible substrate surface or pre-existing ceramic coating thereon with a composition comprising (i) a biological agent, (ii) calcium ions, (iii) phosphate ions, and (iv) a liquid carrier.

Abstract: A system and method for attaching soft tissue to bone is provided. In general, the apparatus includes an expandable body that is configured to expand into bone, and an expander pin that is adapted to be driven into the expandable body. The device can also include a tissue attachment apparatus that can be used to secure tissue to the device, thereby providing a method for attaching tissue to bone.

Abstract: This invention relates to an intervertebral motion disc having an articulation interface and a locking interface.

Abstract: Spinal rod approximator for seating a stabilizing rod in a rod-receiving portion of a spinal implant and inserting closure mechanism is provided. In one embodiment, a spinal rod approximator is provided including a body with gripping branches, inserter shaft, threaded collar, and outer sleeve.

Abstract: A system for transplanting a bone plug from a donor site to a recipient site extracts the bone plug from the donor site, and then places a bone plug delivery device having a tip which is at least translucent and, preferably, clear over a tube containing the bone plug. The tip is then placed substantially over a pre-formed hole in the recipient site, whereafter the bone plug is forced from the tube, through the transparent tip, and into the pre-formed hole.

Abstract: The present invention provides a sliding and locking knot that does not require an additional half hitch to lock and suture retaining structures having such a knot. The sliding and locking knot has a low knot profile suitable for use in surgical areas with low clearance and to avoid interference with surrounding tissue. Additionally, the sliding and locking knot maintains suture strength and is easy to form. Also provided are methods for anchoring tissue to a bony structure using the bone anchor and sliding and locking knot of the present invention.

Abstract: An intervertebral prosthesis for implantation between adjacent vertebrae of the human spine is shown. The prosthesis is formed as a unitary cage body configured and sized to be inserted between adjacent vertebrae in a single step implantation procedure. The cage body is banana shaped as viewed from above, the body having an exterior surface and an interior surface, the interior surface defining an internal recess for receiving cancellous bone material during an implantation procedure. The cage body can be formed as an interlinked mesh.

Abstract: A porous three-dimensional tissue repair matrix is provided which is biodegradable. The matrix is preferably formed from mineralized collagen where the mineral comprises particulate calcium phosphate immobilized in the matrix.

Abstract: A transverse connector for a spinal column corrective device for interconnecting two components connectable with vertebrae of a spinal column includes a first member having a body portion and a connector portion extending from the body portion, the connector portion including an opening for receiving the first component, a second member having a body portion and a connector portion extending from the body portion, the connector portion including an opening for receiving the second component, and a clamp extending between the first and second member body portions, the clamp being movable into a tightened position to lock the first and second members into position relative to one another, and a loosened position to permit adjustment of the position of the first and second members relative to one another. The first and second member body portions having mating retaining surfaces to prevent relative movement between the first and second members when the clamp is in the tightened position.

Abstract: A flexion gap instrument is configured to mate with a ligament tensioning tool, such as known distraction devices and pivoting knee balancers. The instrument facilitates making A/P resections in the femur for placement of a femoral prosthesis component to maintain an optimum symmetric flexion gap, which will avoid the risk of medial or lateral laxity in flexion, instability of articulating component dislocation. The instrument includes a base that is configured to sit within the ligament tensioning device, and a vertically extending upstanding portion that is configured to mate with a cutting block or other knee arthroplasty instrument that must be positioned relative to the distal end of the femur. The upstanding portion includes a measurement plate that bears a scale indicating a flexion gap distance.

Abstract: A joint prosthesis (10) for cooperation with a long bone (12) and a second bone (26) for use in arthroplasty is provided. A cavity (20) is formed in the long bone (12) and defined by an inner wall (30) of the long bone (12). The prosthesis (10) includes a stem component (32) including a distal portion (34) of the stem component (32) for placement at least partially within the cavity (20) of the long bone (12) and for securing to the long bone (12). The stem component (32) defines a longitudinal axis (36) of the stem component (32). The prosthesis (10) also includes a second component (32) securable to the second bone (26) and for cooperation with the stem component (32). The prosthesis (10) further includes a bearing (40) for placement in the cavity (20) between the stem component (32) and the long bone (12) so that the distal portion of the stem component (32) is spaced from the inner wall (30) of the long bone (12).

Abstract: An assembly such as an anchor screw, bone plate, offset hook, post, transverse connector or other spinal anchor for anchoring to bone and clamping a linkage such as a rod, wire cable or the like. The assembly has a top member with an open slot to receive the linkage, and a twist-lock closure cap to close the open end, capturing the linkage in the slot. One closure cap fits over and around the top member, with a set of segmented protrusions that extend through a corresponding set of protruding flange segments spaced about the circumference of the top member. The cap is configured to rotate and lock against the top member like a flange-locking bayonet mount when turned through a limited degree of rotation.