Abstract: A process of forming a fastener with improved threading to resist multi-axial forces and off-axis loading scenarios is provided. The process may include placing first and second mill tools adjacent a shaft of the fastener having a proximal end and a distal end, rotating the shaft and the first and second mill tools, and translating the first and second mill tools along at least part of a length of the shaft to form: a first concave undercut surface oriented toward the proximal end, a first convex undercut surface oriented toward the distal end, a second concave undercut surface oriented toward the distal end, and a second convex undercut surface oriented toward the proximal end.

Abstract: A process of forming a fastener with improved threading to resist multi-axial forces and off-axis loading scenarios is provided. The process may include placing first and second mill tools adjacent a shaft of the fastener having a proximal end and a distal end, rotating the shaft and the first and second mill tools, and translating the first and second mill tools along at least part of a length of the shaft to form: a first concave undercut surface oriented toward the proximal end, a first convex undercut surface oriented toward the distal end, a second concave undercut surface oriented toward the distal end, and a second convex undercut surface oriented toward the proximal end.

Abstract: A fastener with improved threading for resisting multi-axial forces and off-axis loading scenarios is provided. The fastener may include a shaft and a plurality of helical threads disposed about the shaft. The plurality of helical threads may include a first helical thread and a second helical thread adjacent the first helical thread. The first helical thread may include a first concave undercut surface and a first convex undercut surface. The second helical thread may include a second concave undercut surface and a second convex undercut surface. When the fastener is viewed in section along a plane intersecting a longitudinal axis of the shaft, the first concave undercut surface and the second convex undercut surface may be oriented toward the proximal end of the shaft, and the first convex undercut surface and the second concave undercut surface may be oriented toward the distal end of the shaft.

Abstract: A joint replacement implant may include a shaft having a proximal end, a distal end, and a threaded shaft portion, a helical thread disposed about the shaft defining a length of the threaded shaft portion and including a concave undercut surface angled towards one of the proximal end and the distal end of the shaft, and an attachment feature at the proximal end of the joint replacement implant. The attachment feature may be configured to couple an articular member to the joint replacement implant. The articular member may include at least one artificial articular surface that may be shaped to replace at least a portion of a natural articular surface of a joint of a patient.

Abstract: A pedicle bone fastener may include a shaft, a helical thread, and an integrated attachment feature. The shaft may include a proximal end, a distal end, and a longitudinal axis. The helical thread may be disposed about the shaft along the longitudinal axis between the proximal and distal ends of the shaft. The helical thread may include a first undercut surface and a second undercut surface. The first undercut surface may be angled toward one of the proximal end and the distal end of the shaft and the second undercut surface may be angled toward the other one of the proximal end and the distal end of the shaft. The integrated attachment feature may be disposed at the proximal end of the shaft and configured to be adjustably secured to a spinal stabilization implement.

Abstract: A method of preventing bone blowout may include forming a hole in a bone, the hole having a bone hole diameter, and inserting a bone fastener into the hole. The bone fastener may include a shaft having a minor diameter and a helical thread. The helical thread may be disposed about the shaft and may include a first undercut surface and a second undercut surface. The first undercut surface may be angled toward one of the proximal end and the distal end of the shaft, and the second undercut surface may be angled toward the other one of the proximal end and the distal end of the shaft. The minor diameter of the shaft may not be greater than 5% larger the bone hole diameter.

Abstract: A pedicle bone fastener may include a shaft, a helical thread, and an integrated attachment feature. The shaft may include a proximal end, a distal end, and a longitudinal axis. The helical thread may be disposed about the shaft along the longitudinal axis between the proximal and distal ends of the shaft. The helical thread may include a first undercut surface and a second undercut surface. The first undercut surface may be angled toward one of the proximal end and the distal end of the shaft and the second undercut surface may be angled toward the other one of the proximal end and the distal end of the shaft. The integrated attachment feature may be disposed at the proximal end of the shaft and configured to be adjustably secured to a spinal stabilization implement.

Abstract: A fastener with improved threading for resisting multi-axial forces and off-axis loading scenarios is provided. The fastener may include a shaft and a plurality of helical threads disposed about the shaft. The plurality of helical threads may include a first helical thread and a second helical thread adjacent the first helical thread. The first helical thread may include a first concave undercut surface and a first convex undercut surface. The second helical thread may include a second concave undercut surface and a second convex undercut surface. When the fastener is viewed in section along a plane intersecting a longitudinal axis of the shaft, the first concave undercut surface and the second convex undercut surface may be oriented toward the proximal end of the shaft, and the first convex undercut surface and the second concave undercut surface may be oriented toward the distal end of the shaft.

Abstract: A process of forming a fastener with improved threading to resist multi-axial forces and off-axis loading scenarios is provided. The process may include placing first and second mill tools adjacent a shaft of the fastener having a proximal end and a distal end, rotating the shaft and the first and second mill tools, and translating the first and second mill tools along at least part of a length of the shaft to form: a first concave undercut surface oriented toward the proximal end, a first convex undercut surface oriented toward the distal end, a second concave undercut surface oriented toward the distal end, and a second convex undercut surface oriented toward the proximal end.