Anatomical wedge implant

1. An osteotomy implant system comprising:

a wedge shaped core having a central plane extending therethrough;

a first bone engaging surface extending at an acute angle relative to the central plane on a first side of the core; and

a second bone engaging surface disposed on an opposing side of the central plane from the first bone engaging surface on a second side of the core, the second bone engaging surface extending at the acute angle relative to the central plane,

wherein the first and second bone engaging surfaces comprise an osteoconductive structure, and

wherein the first surface has a perimeter having a plurality of linear edges and wherein the perimeter is shaped such that the core is asymmetrical relative to all axes bisecting and extending perpendicular to each of the plurality of linear edges.

2. The osteotomy implant system according to claim 1 , wherein the osteoconductive structure is undetectable by imaging.

3. The osteotomy implant system according to claim 1 , further comprising a fixation plate having a first opening and a second opening space from the first opening farther than a distance between the first generally planar bone engaging surface and a second generally planar bone engaging surface.

4. The osteotomy implant system according to claim 3 , wherein the core comprises a peripheral portion having a threaded aperture formed therein.

5. The osteotomy implant system according to claim 4 , wherein the fixation plate further has a third opening located between the first opening and the second opening such that, when the fixation plate is secured over the core, the third opening is aligned with the threaded aperture.

6. The osteotomy implant system according to claim 1 , wherein the at least one of the surfaces has an osteoconductive structure with a thickness of less than 800 microns.

7. The osteotomy implant system according to claim 6 , wherein the thickness is between 5 nanometers and 800 microns.

8. The osteotomy implant system according to claim 1 , wherein the first generally planar bone engaging surface and the second generally planar bone engaging surface are transparent to imaging.

9. The osteotomy implant system according to claim 1 , wherein the first generally planar bone engaging surface and the second generally planar bone engaging surface are visible to imaging.

10. The osteotomy implant system according to claim 1 , wherein the osteoconductive structure comprises a titanium plasma spray.

11. The osteotomy implant system according to claim 1 , wherein the core is sized and shaped such that at least 50% of the perimeter of the core is contained within an osteotomy site.

12. An osteotomy implant system comprising:

a wedge shaped core;

a first bone engaging surface disposed on a first side of the core; and

a second bone engaging surface disposed on a second side of the core,

wherein the first and second bone engaging surfaces comprise an osteoconductive structure, and

wherein the first surface has a perimeter having a first linear edge, a first curved edge directly attached to the first linear edge and having a first radius of curvature, a second linear edge directly attached to the first curved edge, a second curved edge directly attached to the second linear edge, a third linear edge directly attached to the second curved edge, a third curved edge directly attached to the third linear edge and having a second radius of curvature, a fourth curved edge directly attached to the third curved edge, a fifth curved edge directly attached to the fourth curved edge and having a third radius of curvature, and a sixth curved edge directly attached to the fifth curved edge and having a fourth radius of curvature, wherein each of the first, second, third, and fourth radii of curvature are all different from the others of the first, second, third, and fourth remaining radii of curvature, and

wherein the perimeter is shaped such that the core is asymmetrical relative to all axes bisecting and extending perpendicular to each of the plurality of linear edges.