Abstract: Systems for trauma and/or joint fusion implants and instruments include transarticular screw and intra-articular washer, polyaxial screw and plate, single- and multi-level polyaxial bone clamps, and minimally invasive adaptations.

Abstract: A system for securing first and second bones together across a joint includes a fixation plate comprising a body having a longitudinal axis and first and second ends. A locking screw hole is disposed proximate to the first end. One or more attachment screw holes are disposed in the body. The system includes a screw comprising an elongate hollow body having openings at first and second ends and having a tip at the first end and a head at the second end.

Abstract: According to one embodiment, a bone fixation system includes a plate having a first opening a beam configured to traverse through the first opening and reside proximate to a subchondral fragment of bone in an installed position. The beam may be operable to rotate about an axis of rotation proximate to the first opening and reposition the subchondral fragment of bone.

Abstract: According to one example embodiment, a radial fusion plate includes a first portion and a fusion portion. The first portion is configured to conform to a dorsal side of a radius bone between a second compartment and a fourth compartment of the radius bone. The fusion portion is distal to the first portion and configured to conform to a scaphoid and a lunate. The first portion includes scaphoid hole and a lunate hole.

Abstract: A screw system includes a screw and a washer assembly captive to the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction. Various auxiliary fixation features are disclosed.

Abstract: According to one example embodiment, a radius fixation plate includes a body portion configured to conform to a radius bone between a first extensor compartment and a second extensor compartment and dimensioned such that the body portion does not violate the first extensor compartment or the second extensor compartment. A first fixation device is configured to traverse through a first opening of the body portion and engage at least part of a radial styloid of the radius bone.

Abstract: According to one example embodiment, a bone fixation plate may include a metaphysis portion, a central column portion, and a lateral column portion. The metaphysis portion is configured to conform to a metaphysis of a volar side of a radius bone. The central column portion is configured to conform to a central column of a diaphysis of the volar side of the radius bone. The lateral column portion is configured to conform to a lateral column of the diaphysis of the volar side of the radius bone.

Abstract: A screw system includes a screw and a washer assembly captive to the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction.

Abstract: An implant for use on a joint-facing end of a bone includes a cap having convex outer surface overlying a concave inner surface and a stem protruding from the inner surface such that an edge of the cap surrounds the stem and overhangs a portion of the stem leading up to the inner surface. The stem may further include a plurality of raised ridges parallel to its length that begin near a tip of the stem and extend onto the portion of the stem overhung by the edge.

Abstract: In accordance with a particular embodiment of the present invention, an implantation tool includes an elongate inner shaft having first and second ends. The tool also includes a first post coupled to the elongate inner shaft proximate the first end of the elongate inner shaft. The first post is configured to engage with a component to couple the component with the elongate inner shaft. The tool further includes a hollow outer shaft defining a longitudinal axial bore within which the elongate inner shaft is disposed. The hollow outer shaft is able to slide along the elongate inner shaft from a first longitudinal position to a second longitudinal position. The hollow outer shaft includes a first locking arm. Moving the hollow outer shaft from the first longitudinal position to the second longitudinal position moves the locking arm closer to the first post.

Abstract: The present disclosure provides for a midface distraction system which includes a cannulated distraction rod having a socket disposed adjacent a first end, and a threaded portion disposed between the socket and a second end of the rod. The midface distraction system may further include a cannulated malar pin having a flange at a first end and a second end configured to form a moveable coupling between the cannulated malar pin and the socket.

Abstract: Systems, methods, and kits incorporate a fusion member for vertebral processes. The fusion member may be unitary or modular. The fusion member comprises extensions configured to be crimped to vertebral processes. The extensions may comprise tabs configured to be deformed to further penetrate the vertebral processes. The tabs may also lock together modular components of the fusion member. The fusion member may comprise fasteners extending between the extensions. The fusion member may comprise a cage with a movable cover or a graft retention feature.

Abstract: A bone plate assembly including at least one bone plate, polyaxially adjustable fixation elements and a polyaxially adjustable locking mechanism. A first plate includes at least one polyaxial element for lockable connection with a fixation pad, and a connection feature which allows the plate to translate and polyaxially rotate relative to the locking mechanism. A second plate includes at least one polyaxial element for connection with a fixation pad and a connection feature for non-rotatable connection with the locking mechanism. The locking mechanism allows translation and polyaxial adjustment of the first plate relative to the second plate and locks the first and second plates via a taper lock. The fixation pad includes a deflectable spacer configured to prevent premature locking of the pad. Methods for implantation of the bone plate assembly between two bone structures are disclosed. Instrumentation for implantation, compression and locking of the bone plate assembly is disclosed.

Abstract: An apparatus for cutting a radial cut in a surgical plate includes a top jaw element, a bottom jaw element, a removable top insert operable to be coupled to the top jaw element, and a removable bottom insert operable to be coupled to the bottom jaw element, a first top radial cutting element and a second top radial cutting element coupled to the removable top insert, and a first bottom radial cutting element and a second bottom radial cutting element coupled to the removable bottom insert. The radial cutting elements provide a radial cut of the surgical plate. The apparatus also includes a first alignment post and a second alignment post coupled to the removable bottom insert. The alignment posts are operable to align the surgical plate on the removable bottom insert.

Abstract: A system for securing bones together across a joint includes a transfixation screw and a plate. The plate includes an elongate spine having a transfixation screw hole disposed along the spine. The transfixation screw hole includes an inner surface configured to direct the transfixation screw through the transfixation screw hole such that the transfixation screw extends alongside the bridge portion at a trajectory configured to pass through a first position on the first bone and a second position on the second bone once the plate is placed across the joint. The transfixation screw includes a head configured to abut the inner surface of the transfixation screw hole and a shaft configured to contiguously extend through the first bone, across the joint, and into the second bone.

Abstract: A plate for securing bones together includes an elongate spine having at least one groove spanning along a length of the spine parallel to a central axis of the spine, and a plurality of arms extending laterally from the spine, the plurality of arms comprising at least one arm on a first side of the spine and at least one arm on a second side of the spine.

Abstract: A system for establishing a trajectory for a pilot hole includes a plate comprising a screw hole defined by a rim and an inner surface surrounding the screw hole, and a drill guide comprising a body having a guide well formed therein, the guide well defined by a wide opening in the body disposed opposite a narrow opening in the body and an interior surface that tapers from the wide opening to the narrow opening, the narrow opening surrounded by a tip of the body, the tip configured to fit into the screw hole.

Abstract: A system for lockably engaging bone screws into a fixation plate may include a locking fixation plate including a threaded screw hole defined by an inner surface surrounding the threaded screw hole, the inner surface comprising an upper countersink and a threaded portion, the threaded portion comprising a pair of threads arranged in a double helix configuration, and a screw comprising a generally conical head tapering into a generally cylindrical shaft that ends at a tip and a single thread beginning near the tip and extending along the generally cylindrical shaft and onto the generally conical head, a thread height of the single thread being constant over a majority of the generally cylindrical shaft and tapering as the thread extends onto the head.

Abstract: A bone anchor includes a screw portion configured to penetrate a bone. The screw portion includes a retention thread extending at least part of a length of the screw portion and a tip at a first end of the screw portion. The bone anchor includes a protrusion adjacent a second end of the screw portion. The second end is opposite the first end of the screw portion. The protrusion comprises a plurality of external sides forming a shape and a rounded interior surface enclosing a protrusion recess. The rounded interior surface includes a recess thread configured to retain a component at least partially in the protrusion recess. The protrusion has a maximum width that is less than a maximum diameter of the screw portion such that a shoulder is formed where the protrusion meets the second end of the screw portion.