Orthopedic implants

An apparatus for placement at an anatomical site, the apparatus including an orthopedic implant, which includes a front end, a rear end, a top, a bottom, a right side, a left side, and a central part connecting the right and left sides. The top surface of the implant has a top surface defining a first sloping surface running downwardly from the front end to the rear end of the implant, and the implant having a second sloping surface running downwardly from one side to the opposite side of the implant, and the first and second sloping surfaces are perpendicular to each other. At least a portion of the implant is shaped to define a porous matrix, the porous matrix being shaped to define a plurality of pores that extend through the porous matrix, the pores being sized to receive inserted bone graft material into the pores. At least the central part has a plurality of said pores therein, and the central part defines at least one fixation passageway that passes through the implant from the top of the implant to the bottom of the implant, the at least one fixation passageway having a diameter larger than an average diameter of the pores and is extending almost perpendicular to said second sloping surface running downwardly from one side to the opposite side of the implant, and is adapted to accept a fixation element.