Truss Implant Technology™ is Therapeutic By Design™
Truss Implant Technology™ provides a synergistic relationship between the hierarchical surface roughness and the macro architecture11.
After surface features initiate osteogenic activity, the structural mechanics of the truss implant provide a mode of action that converts physiologic load into therapeutic strain at the surgical site, amplifying osteogenic activity in local osteo-biologic material12.
This therapeutic effect provides ongoing support while biologic fusion takes place13.
Therapeutic Implants
Our research has helped us fine tune this revolutionary approach to implant design.
Yesterday’s Endpoint….
…is Today’s Baseline
Surface Properties
Precisely engineered roughness triggers healthy, natural cellular responses at the microscopic level.
Mechanical Environment
Strategic strain distribution stimulates osteogenic and angiogenic gene expression pathways.
Biological Integration
The combined effects of surface roughness and mechanical strain is designed to accelerate bone regeneration beyond traditional designs.
This synergy delivers therapeutic strain to the surgical site, amplifying osteogenic activity.
4WEB’s TRUSS Implant Technology™ redefined the standard of care as the first FDA-cleared 3D printed interbody fusion device with an Advanced Structural Design. Every 4WEB implant continues that legacy, delivering innovation, strength, and performance to every procedure.
4WEB Offers the Following FDA-Cleared Implant Systems:
- Cervical Spine Truss System™
- Cervical Spine Truss System™ - Stand Alone
- Cervical Spine Plating Solution
- Cervical Spine Truss System™ 2.0 – Integrated Plate
- Anterior Spine Truss System™
- Anterior Spine Truss System™ - Stand Alone
- Lumbar Spine Plating Solution
- Lateral Spine Truss System™
- Posterior Spine Truss System™
- SI Joint Truss System™



Open Architecture Design
Open Architecture Design allows for greater graft volume and bone growth throughout the implant compared to annular designs.



Snowshoe Interface = Subsidence Resistance
The Snowshoe Interface optimizes load distribution, maximizes endplate contact, and has superior resistance to subsidence when compared to traditional open interbody devices4,5,6,7,8.

50x MagnificationHierarchical Surface Roughness
Macro to nano-scale surface features stimulate gene expression and cell differentiation, initiating osteogenic activity3.
Advanced Structural Design
Advanced Structural Design converts load into therapeutic strain, amplifying osteogenic activity at the surgical site1,2,10.
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