Abstract: An intervertebral implant includes opposing upper and lower endplates that are configured to engage respective vertebral surfaces in an intervertebral space. The implant carries a plurality of bone fixation spikes that extend out from each endplate. The spikes define a plurality of outer surfaces that extend from a base to a tip. The spikes are laterally staggered, and have a height that increases along a longitudinal direction from the front toward the rear of the implant, and a define recess formed in at least one outer surfaces.

Abstract: A system and method for further improving upon an ability of a surgeon to reduce or eliminate impaction forces when installing or assembling a prosthesis. An implant includes a surface treatment for aiding operations with the implant. For example, some surface treatments provide an asymmetry in installation versus removal to bias the associated implant deeper into an installation site.

Abstract: An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient.

Abstract: A customized patient-specific orthopaedic instrument for facilitating implantation of an acetabular cup prosthesis in a coxal bone of a patient and method of use is disclosed. The customized patient-specific orthopaedic instrument includes a customized patient-specific acetabular reaming guide. The customized patient-specific acetabular reaming guide includes a longitudinal passageway for an acetabular reamer and a plurality of arms with attached feet. Each foot of the reaming guide is positioned relative to the body based on the contours of the coxal bone of the patient and a predetermined degree of version and inclination angles of the acetabular cup prosthesis when implanted in the patient's coxal bone.

Abstract: A method of shoulder replacement surgery is described in which an implant is placed on a surface of a glenohumeral joint while keeping the joint located. The method includes creating a first non-bony passage to the joint, inserting the implant through the passage into the joint, and replacing a surface of the joint with the implant without dislocation of the joint.

Abstract: A cotyle including a metallic insertion acetabular shell having an outer, essentially hemispherical, convex anchoring face formed in such a way as to be anchored in a cotyloid cavity of the pelvis of a patient, and a concave receiving face. The cotyle also includes a fixed definitive articular ceramic insert having an outer face engaging in the concave receiving face of the metallic insertion acetabular shell, and an inner receiving face including a concave, essentially hemispherical, articular surface for allowing the engagement and pivoting of a femoral prosthesis head or a mobile articular insert. The cotyle is packed in its assembled sterile state, with the definitive fixed articular ceramic insert engaged in the metallic insertion acetabular shell having a peripheral receiving structure that can receive means for fixing an impacter for positioning a cotyle and is designed in such a way that the impacter can be fixed to the cotyle in the presence of the definitive fixed articular ceramic insert.

Abstract: A spinal fixation system includes a pedicle screw having a longitudinal axis. A fixation element is configured to connect the pedicle screw to at least one additional pedicle screw. A coupling mechanism includes a pedicle screw securing device adapted to secure the coupling mechanism to the pedicle screw and a fixation element securing device configured to secure the coupling mechanism to the fixation element. A fastening mechanism is configured to fasten both the pedicle screw securing device and the fixation element securing device. The fastening mechanism is located along the longitudinal axis of the pedicle screw.

Abstract: The invention relates to a ball-and-socket implant (I), in particular an acetabular implant, preferably in the shape of a spherical cup shell, said implant having at least one region with a surface structure (2, 7). The at least one region extends between the equator and the pole of the spherical cup shell. The surface structure comprises a plurality of structural elements (6), each of which is formed by a plurality of intersecting ridges (3, 8) with opposite inclinations. The number of structural elements (6) on the equator (5) or on a circle of latitude near the equator is the same as on a circle of latitude near the pole. The ridges (3, 8) have a curvature such that the inclination of the ridges with respect to the circles of latitude, and thus an angle between a tangent of the ridge curvature and a circle of latitude, continuously increases from the equator (5) to the pole (4).

Abstract: Prosthetic element including a metal cap having inside an acetabular seating and method to make it. At least part of the cap is a lattice having open and intercommunicating cavities. At least part of the lattice is formed, without a continuity break, by geometric meshes of polygonal shape repeated in space over all or part of the body, having a cellular geometry with elementary cells open and contiguous, to define a plurality of polygons with spatial development delimiting the cavities. Each geometric mesh has a first polygonal part with four sides, each of the sides being an angled segment, and a second part being an angled segment and a third part being an angled segment. Each angled segment has first and second consecutive rectilinear segments forming an angle at an intersection of each pair of its first and the second consecutive segments. The first polygonal part has non co-planar vertexes.

Abstract: It is an object of the present invention to provide an improved orthopedic implant system with satisfied biological, mechanical and morphological compatibilities. Solid metal femoral stem and solid metal acetabular head are covered with diffusion-bonded foamed-shaped sheet made of commercially pure titanium or titanium alloy(s). The open-cells in said foamed metal sheet are impregnated with biocompatible polymethyl methacrylate resin cement, which is reinforced with selected oxides including alumina, magnesia, zirconia, or a combination of these oxides along with an application of a small amount of a metal primer agent.