Abstract: Bone plates having an adjustable joint, and methods of using the bone plates to fix bones.

Abstract: A system for implant delivery includes an implant and an inserter. The implant includes a body that extends between first and second ends. The implant includes retainers extending outwardly from the first and second ends. The retainers are received in corresponding jaws of the inserter. When the implant is connected to the inserter and the inserter is actuated, the implant elastically deforms.

Abstract: Devices and methods for stabilizing bone. The devices and methods may provide a more balanced proximal and distal compression when stabilizing bone. An exemplary device may comprise a staple member including a bridge connecting a first leg to a second leg. The device also may comprise a resilient arm elongated between a fixed end and a free end, and projecting from the first leg and/or from an end region of the bridge adjoining the first leg. At least a portion of the resilient arm intermediate the fixed and free ends may be inwardly adjacent and spaced from an upper region of the first leg.

Abstract: The elbow prosthesis includes an ulnar component that has a bearing end and a stem. The stem attached to the bearing end and extends in a distal direction from it. The elbow prosthesis also has a humeral component that includes a holder end and a stem with the stem extending in a proximal direction from the holder end. The prosthesis further includes at least one bearing member that is connected to the holder end with the bearing end being attached within the holder end to allow for rotation and articulation against the at least one bearing member. The bearing end and holder are attached to each other by a coupling mechanism that includes an opening positioned on the posterior aspect of the holder end and a mating surface on the bearing body. A method of using the elbow prosthesis and a total elbow prosthesis kit are also disclosed.

Abstract: Orthopedic guide, and methods of using the guide, for alignment of bone under fluoroscopic imaging. In an exemplary embodiment, the guide may include a radiopaque rod, a radiolucent carrier, and a radiopaque indicator held by the carrier. The rod and the indicator may be parallel to the same plane, and may form an angle between one another of less than 90 degrees when projected orthogonally onto the plane. The rod may be configured to be aligned with an axis defined by one or more bones of the leg, and the indicator aligned with a joint of the leg, in an anterior-posterior, fluoroscopic view of the leg. The angle formed between the rod and the indicator may correspond to an anatomic orientation of the axis and the joint relative to one another in a frontal plane of the leg.

Abstract: Device and method for reaming bone. In exemplary embodiments, the device may comprise a shaft configured to be rotated about a long axis thereof. The device also may comprise a plurality of cutting members connected to a distal end region of the shaft, rotationally offset from one another about the long axis, and forming a portion of an expandable cutting head. The device further may comprise an inner member configured to be moved with respect to the shaft to change a diameter of the cutting head. In exemplary methods, the device may be utilized to ream a medullary cavity while being pushed or pulled along the medullary cavity.

Abstract: System, including methods and devices, for fixing bone. The system may include a bone plate having two or more plate members connected to one another with one or more movable joints. Each joint may permit the orientation of the plate members to be adjusted relative to one another in a single plane or two or more nonparallel planes. The joint may have a movable configuration and a fixed configuration. Methods of creating the bone plate are also provided.

Abstract: The present disclosure generally relates to an elbow arthoplasty prosthesis that includes an ulnar component, a humeral component, one or more articulation liners, and a retention trap. The ulnar component includes a spherical bearing head that can be inserted into the humeral component in a number of orientations. The articulation liners and the retention trap are operatively engaged to the humeral component to retain the ulnar component within a humeral socket. The present disclosure also relates to methods of assembling and implanting the prosthetic device.

Abstract: System, including methods, apparatus, and kits, for bone fixation using a fixation device including a mounting portion and a fastener that attaches to the mounting portion. In some embodiments, the fixation device may include first and second mounting portions configured to be disposed across a bone from each other and secured with a fastener that extends from one of the mounting portions, through the bone, and to the other mounting portion. The system also may include a tool to facilitate installation of the fixation device.

Abstract: Apparatus and methods for distracting and/or compressing bone. An exemplary apparatus may comprise a rod having a thread. The apparatus also may comprise a first assembly and a second assembly each coupled, or configured to be coupled, to the rod and each configured to be attached to a respective pin extending into bone. The apparatus further may comprise a nut engaged, or configured to be engaged, with the thread and configured to be turned to drive the second assembly along the rod. In some embodiments, at least one of the assemblies may have at least two degrees of rotational freedom that can be eliminated by manipulating a single graspable member. In some embodiments, the rod and the second assembly may have anti-rotation features configured to interact with one another to permit travel of the second assembly along the rod while preventing rotation of the second assembly about the rod.

Abstract: A fastener for fixing bone and a method of fixing bone with the fastener. The fastener may be headless and may be configured to compress bone when driven into at least one bone and across a discontinuity formed by the bone. In an exemplary embodiment, the fastener includes a forward portion, a rear portion, a first thread having a plurality of revolutions in each of the forward and rear portions, and a second thread having a plurality of revolutions in the rear portion and none in the forward portion. The first thread may have a greater average lead in the forward portion than the rear portion. Revolutions of the first thread and the second thread may alternate with one another in the rear portion such that the rear portion is at least double-threaded.

Abstract: Bone harvesting system including methods and devices for obtaining and/or removing osseous debris from a bone using an auger having a flexible, helical fin projecting from a shaft. In an exemplary method, a leading end region of the auger is placed into a reamed portion of a bone's medullary cavity via an entry site extending into the bone. Osseous debris is driven toward the entry site with the auger. At least a portion of the osseous debris that has passed through the entry site is collected outside the bone. In some embodiments, the leading end region of the auger is deformed by contact between the helical fin and a wall of the medullary cavity, to conform the helical fin in the leading end region to a portion of the medullary cavity.

Abstract: A method for bone reconstruction includes aligning a first hone with a second bone using a plurality of guidewires to correct rotational deformity of the first and second bones. A first module of a targeting apparatus is positioned in proximity to the first bone. A tip of the first module is engaged with the first bone. A second module of the targeting apparatus is positioned in proximity to the second bone. A tip of the second module is engaged with the second bone. Alignment of the first module and the second module is secured. The alignment is verified using a guidewire, the guidewire wire is inserted through a passage extending through the second module. A length between the first bone and the second bone is determined using a depth gauge. An implant is selected based on the determined length for delivery along the passage extending through the second module.

Abstract: Systems and methods for fixing bone using an intramedullary nail locked to an encircling anchor including a bushing and a locking member. An exemplary system may include any combination of the nail, one or more bushings, one or more locking members, an instrument to guide installation of the bushing, at least one drill, and a driver that attaches to the bushing. The instrument may define a guide axis and be configured to be coupled to a bone such that the guide axis extends across the bone. The instrument may be used to guide a drill, the bushing, and/or the locking member along the guide axis into the bone. The nail may be configured to be placed along the medullary canal of the bone such that the nail extends through the bushing, and the locking member may be configured to lock the nail to the bushing.

Abstract: System and method for fixing a distal femur having a Hoffa fracture. The system may comprise a main plate, an outrigger plate, and a coupling member that mounts the outrigger plate to the main plate. In an exemplary method, an elongated body portion of the main plate may be secured to a shaft region of the distal femur, and a wider head portion of the main plate may be secured to an end region of the distal femur. The outrigger plate may be mounted on the head portion of the main plate, and an arm of the outrigger plate may be fastened to a condylar fragment of the femur with one or more fasteners, such that the outrigger plate spans and stabilizes the Hoffa fracture.

Abstract: Devices and methods for stabilizing bone. The devices and methods may provide a more balanced proximal and distal compression when stabilizing bone. An exemplary device may comprise a staple member including a bridge connecting a first leg to a second leg. The device also may comprise a resilient arm elongated between a fixed end and a free end, and projecting from the first leg and/or from an end region of the bridge adjoining the first leg. At least a portion of the resilient arm intermediate the fixed and free ends may be inwardly adjacent and spaced from an upper region of the first leg.

Abstract: Orthopedic guide, and methods of using the guide, for alignment of bone under fluoroscopic imaging. In an exemplary embodiment, the guide may include a radiopaque rod, a radiolucent carrier, and a radiopaque indicator held by the carrier. The rod and the indicator may be parallel to the same plane, and may form an angle between one another of less than 90 degrees when projected orthogonally onto the plane. The rod may be configured to be aligned with an axis defined by one or more bones of the leg, and the indicator aligned with a joint of the leg, in an anterior-posterior, fluoroscopic view of the leg. The angle formed between the rod and the indicator may correspond to an anatomic orientation of the axis and the joint relative to one another in a frontal plane of the leg.

Abstract: Apparatus and method for fixing a bone using a plate and a coupler that are connected to one another with flexible members. The plate may be configured to be attached to a shaft region of a bone. The coupler may be configured to be disposed on an end region of the bone, and may define a bore and an aperture. The flexible members may include a first flexible member and a second flexible member, each including a wire or cable. The first flexible member may be configured to extend from the plate, through the bore, and back to the plate. The second flexible member may be configured to extend from the plate to the coupler on a path that approaches the coupler transverse to a line that is parallel to the bore. The apparatus and method may be used to stabilize the greater trochanter of a femur.

Abstract: Systems and methods for bone fixation using a plate straddled by a retainer. In an exemplary system, the plate may be an elongated plate configured to be disposed longitudinally on a bone. The retainer may have a body interconnecting a pair of mounting regions. The body may define a recess, and each mounting region may define a first aperture and a second aperture. The retainer may be configured to be mated with the plate to position a section of the plate in the recess such that the retainer straddles the plate. The first apertures may be configured to define through-axes that are tangential to the bone, to enable use with a line including wire and/or cable, and each second aperture may be configured to define a through-axis that extends through opposite sides of the bone while avoiding a medullary canal thereof, to enable use with a threaded fastener.

Abstract: System, including apparatus and methods, for ankle fusion using a device for separating a first bone and a second bone of an ankle region. In some embodiments, the device may comprise an expandable spacer including first and second bone-contacting surface regions facing away from one another and configured to be abutted with the first and second bones, respectively. A distance between the first and second bone-contacting surface regions may be adjustable to change the separation of the first and second bones. The first bone-contacting surface region may correspond to a portion of a sphere and may be configured to be disposed at least partially in a concavity formed surgically in the first bone. The expandable spacer offers improved control over the length of the lower limb and the orientation of the foot during ankle fusion surgery.