Abstract: A surgical cable and crimp device is provided. The cable has an enlargement (bead) affixed to one of its ends. The crimp member includes two holes. One of the holes includes a slot and a cavity. The cavity is sized to accept the bead of the cable, and the slot is sized to receive the flexible cable but not allow the bead to pass through. The other hole is a simple through hole. The cable can be inserted to loop the bone isolated from the crimp member. After the beaded end of the surgical cable is fastened to the crimp, the cable is passed through the simple through hole. The cable is then tensioned by the application thereto of a tensioning tool with the tool applied to the cable and to an abutment face of the crimp member.

Abstract: Method of stabilizing a sternum with a fastening member defining a plurality of cleats. In the method, the fastening member may be disposed on a sternum having a discontinuity, with the fastening member spanning the discontinuity and the cleats contacting the sternum. The fastening member may be arranged with a wire or cable such that the wire or cable extends twice through the fastening member and forms a loop around a portion of the sternum. The fastening member may be crimped to secure both ends of the loop to the fastening member.

Abstract: A minimally invasive skeletal fixation device includes two curved tubes and two positioning members. The two curved tubes are attached to each other and are in communication with each other. The positioning members are coupled to the curved tubes. The device is applicable to surgical operations for treating bone fractures and offers the advantages of small incision size, simple structure, easy operation, improved performance of surgical operation, and flexible adjustment of installation sites of Kirschner pins.

Abstract: A surgical tensioning device for holding separated tissues in contact with one another. The device comprises a frame having two opposing first and second sides and a lower surface and an upper surface, and a band for extending around said separated tissues to be held together in conjunction with said frame. The band has two ends attached to the sides of the frame releasably. When the ends are secured to the sides of the frame, the band establishes a path of tension along its length that extends linearly between the two ends of the band.

Abstract: A method for trochanteric reattachment can include positioning a femoral prosthesis relative to a proximal portion of a femur. A first portion of a self-locking adjustable flexible member construct can be coupled to a first attachment region of the prosthesis, and a second portion of the self-locking adjustable flexible member construct can be coupled to a second attachment region of the femoral prosthesis, where the second portion can be opposite the first portion. A trochanter can be positioned relative to the femur and a trochanteric engaging region of the prosthesis, and the self-locking adjustable flexible member construct can be positioned around an outer surface of the trochanter. Free ends of the self-locking adjustable flexible member construct can be tensioned to draw the trochanter into secure engagement with the prosthesis and the femur via the self-locking adjustable flexible member construct in an absence of a knot.

Abstract: System, including methods, apparatus, and kits for binding bone. The system may include an encircling member and a fastening member that secures the encircling member in a loop around a portion of bone. In some embodiments, the fastening member may include any combination of the following: a cutting window, a guide aperture to guide a jaw of a crimping tool to a crimp region of the fastening member, multiple crimp regions, and/or apertures to receive adjustable prong members, among others.

Abstract: A surgical fastening mechanism for releasably locking an implantable tether includes a housing having a central channel. The housing has an entry aperture, an exit aperture and a side channel extending therebetween. A roller element has a sidewall with an aperture therethrough and the roller is slidably disposed at least partially in the central channel such that the entry and exit apertures are at least partially aligned with the roller aperture. This permits passage of the tether therethrough. Rotation of the roller element in a first direction winds the tether around the roller thereby creating a friction interface between the roller element, the housing and the tether. A locking mechanism is operably connected with either the housing or the roller element and is adapted to prevent rotation of the roller in the central channel and also adapted to prevent release of the tether from the roller.

Abstract: A device for treating a bone comprises a cable block including a first lumen extending from a first proximal opening in a proximal face of the cable block to a first distal opening in a distal face thereof, the first lumen being configured to receive a cerclage cable including an enlarged end. The cable block further includes a second lumen extending from a second proximal opening in the proximal face to a second distal opening in the distal face and being configured to receive a portion of the cable extending from the enlarged end while preventing the enlarged end from passing therethrough. The cable block includes a slot connecting distal portions of the first and second lumens and being at least as large as the second lumen in combination with a crimpable locking member including a channel configured to receive the portion of the cable extending from the enlarged end.

Abstract: A bone fixation member can be configured to secure first and second bone segments of a target bone together in a compressed approximated position. The bone fixation member can include a strap made of a first material, a locking head extending from a proximal end of the strap, and a leader portion extending from a distal end of the strap. The locking head can have a housing and a strap receiving slot that extends through the housing, slot is configured to receive a distal end of the strap. The housing can be tapered such that a distal end of the housing has a thickness that is greater than the thickness of a proximal end of the housing. The leader portion can be configured to be more flexible than the strap. The leader portion can be made of a second material that is different than the first material.

Abstract: A system for securing a bone fixation device to a bone comprises a flexible longitudinal element configured to wrap about and stabilize one of a target portion of bone and a bone stabilizing element. The longitudinal element includes a plurality of projections extending distally from a first surface thereof. Each projection includes a proximal abutting surface in combination with a bone fixation element including a channel extending therethrough sized and shaped to slidably receive therein a portion of the longitudinal element distal of the head. The bone fixation element includes a recess shaped to receive the head and prevent the head from being drawn distally through the channel. The bone fixation element or the longitudinal element includes a tab configured to engage one of the proximal abutting surfaces to prevent the projections of the longitudinal element from moving proximally relative to the tab.

Abstract: A brace for supporting an exterior surface of a damaged bone including a plurality of elongated members interconnected at each of intermediate overlapping and end-to-end locations. An additional pair of end disposed supports is pivotally interconnected to outermost of the elongated interconnected members. A pair of elongated ties seating through apertures formed in the end disposed supports. The brace is adapted to being placed in encircling fashion over the damaged bone, following which the ties are displaced relative to at least one of the end disposed supports in order to cause the elongated members to inter-extend in scissor-like fashion in order to tighten the brace against the bone and to apply a preferred degree of compressive and immobilizing force around the damaged exterior bone.

Abstract: A device for treating a bone comprises a cable block including a first lumen extending from a first proximal opening in a proximal face of the cable block to a first distal opening in a distal face thereof, the first lumen being configured to receive a cerclage cable including an enlarged end. The cable block further includes a second lumen extending from a second proximal opening in the proximal face to a second distal opening in the distal face and being configured to receive a portion of the cable extending from the enlarged end while preventing the enlarged end from passing therethrough. The cable block includes a slot connecting distal portions of the first and second lumens and being at least as large as the second lumen in combination with a crimpable locking member including a channel configured to receive the portion of the cable extending from the enlarged end.

Abstract: A flexible cable for sternal reconstruction, the cable including first and second ends, the first end of the cable including a crimp fitting member, and the crimp fitting member including a flattened disk-like head. Also provided are methods for sternal reconstruction including wrapping a flexible cable having first and second ends around the sternum, tensioning the flexible cable to a desired tension and securing the tensioned cable, wherein the first end of the cable includes a crimp fitting member, and the crimp fitting member includes a flattened disk-like head.

Abstract: A spinal implant system for restricting flexion of a spine includes an elongate band proportioned to engage at least two spinous processes. During use, the band is positioned engaging the spinous processes at a spinal segment of interest, where it restricts flexion at the segment. The length and tension of the band may be adjustable following to implantation using percutaneous or transcutaneous means.

Abstract: Cerclage system, including methods, devices, and kits, for stabilizing bone, such as a sternum. The cerclage system may include a wire or cable that encircles bone, and a bone plate to which segments of the wire or cable lock. The cerclage system also or alternatively may include a tensioner for applying tension to a wire or cable.

Abstract: The invention provides systems and methods for sternum repair. A sternum repair device may include a central body, which may include a plurality of bands and buckles, such that a band extends from the central body and is received by a buckle component. The band may wrap around the sternum and the device may be tightened to keep the separate sternum pieces together.

Abstract: A suture clamp comprising a plurality of elements positioned together in a row, each element of the plurality of elements having a lower portion separated from an upper portion by a flexible neck, each element of the plurality of elements including a slot having an outwardly facing opening, the slots from the plurality of elements configured to accept a suture element through the row of elements and secure the suture element. A method of clamping a suture, including applying a biasing force to at least one element into the first position to provide access to the outwardly facing opening of the slot, passing the suture through a tissue layer, receiving the suture into the slot through the outward facing opening, and removing the biasing force to form a tortuous path between adjacently positioned elements of the plurality of elements.

Abstract: An improved means for fixation of a fractured coronoid process of the proximal ulna. A substantially rigid plate is secured to the anterior aspect of the proximal ulna relative to a fracture of the coronoid process of the ulna. The plate contains a hook feature at the proximal aspect and is positioned so that it extends over the proximal/anterior aspect of the coronoid process relative to the fracture. The plate has surfaces that define a plurality of openings through which suture and/or screws can pass. The openings may contain a recess at a side of the plate opposite the ulna. At least one hole is formed in the ulna. At least one anchor may be secured to a flexible device, positioned at a side of the plate opposite the ulna, secured to another anchor on the posterior aspect of the ulna and the flexible device tensioned. At least one screw may be inserted through the plate and into the coronoid process or a bone fragment securing it to the plate.

Abstract: An implantable intramedullary fixation structure adapted to be received in the intramedullary canal of a long bone is disclosed comprising a plurality of elongated segments. Each segment has a first end and a complementarily-shaped second end such that the first end of a segment cooperatively engages the second end of an adjacent segment. The segments define a guide aperture so as to be receivable over a guide for positioning in the intramedullary canal.

Abstract: A flexible cable for sternal reconstruction, the cable including first and second ends, the first end of the cable including a crimp fitting member, and the crimp fitting member including a flattened disk-like head. Also provided are methods for sternal reconstruction including wrapping a flexible cable having first and second ends around the sternum, tensioning the flexible cable to a desired tension and securing the tensioned cable, wherein the first end of the cable includes a crimp fitting member, and the crimp fitting member includes a flattened disk-like head.

Abstract: A continuous loop of material for use in mammals, particularly humans. One embodiment may have an air entanglement section therein and method of making the same. Another embodiment includes a hollow braided length having a first inner section and a second inner section, the sections formed by radially inserting the ends into the hollow braid and passing it along a portion of the hollow interior. These embodiments may also include a bone engagement member incorporated therein. A further embodiment is a loop assembly having a length of fiber, the length of fiber having two ends, and a bone engagement member having an end receiving member to securely receive the two respective ends therein.

Abstract: A fixation device for the fixation of bone fragments, applicable to the mutual fastening of bone fragments temporarily separated during a surgical operation or as a result of a trauma. The device is also suitable for the fixation of a bone flap in the replacement thereof in a corresponding aperture made in the cranium or cranial bone mass. The device is made of biocompatible material and has a flexible strip and fastening mechanism, the strip having a length allowing the formation of a fastening loop tightly fastening the bone fragments to be joined together. The fastening mechanism is provided with at least one opening provided with an interlocking mechanism allowing the passage of a free end of the strip and preventing its extraction in the direction opposite to the insertion.

Abstract: A constraining apparatus includes a constraining structure that captures a first and a second anatomical structure. A motion limiting member coupled with the constraining structure is adapted to provide a force resistant to relative movement of the first anatomical structure away from the second anatomical structure. A regulating member is detachably coupled with the motion limiting member or the constraining structure and is adapted to change the resistant force provided by the motion limiting member when the regulating member is in direct engagement with the motion limiting member or constraining structure.

Abstract: A line lock includes a body at least partially bounding two passageways that cooperate to receive a locking portion of a line such as a suture in such a manner that the locking portion can only be drawn through the passageways along one direction. A second suture locking portion may also received by the passageways, or by one of the two passageways in combination with a third passageway. The body may have an elongated, compact shape that is easily implantable in the body.

Abstract: A device for fixing a rod to an osseous structure. The device is configured to receive the rod with the main axis oriented in a first direction. The device includes a main body, a first fastening member directly connected to the main body and accessible from an outer surface of the main body for fastening the rod to the main body, and a second fastening member, also directly connected to the main body, offset with respect to the first fastening member in said first direction, and separately accessible from an outer surface of the main body for fastening to the main body. A flexible elongate member is provided to attach the main body to the osseous structure. The first and second fastening members are arranged so that the flexible elongate member can be fastened adjacent to the rod.

Abstract: A crimp configured to fix a cable about a bone includes a body extending from a proximal end to a distal end and a first channel extending through the body from the proximal end to the distal end, the first channel being sized and shaped to permit a cable to be slid therethrough along with a second channel extending through the body from the proximal end to the distal end, the second channel being sized and shaped to permit a cable to be slid therethrough and a deformable extension attached to the proximal end of the body, the extension including a lumen aligned with the second channel and sized and shaped to permit the cable to be slid therethrough.

Abstract: The present disclosure includes a method for reducing a bone fracture and an apparatus such as a cable button for use with a bone plate, the cable button including cable button threads, a plurality of cable button apertures, a hex socket, and a hex opening. The present disclosure also includes a method for reducing a bone fracture and an apparatus such as a cable button for use with a bone plate, the cable button including a plurality of legs, where a leg includes a protrusion, where the protrusion engages the bone plate, and the cable button defines at least one cable button aperture.

Abstract: A method for sternal closure of a separated sternum includes applying an adhesive to a portion of an incision between at least a first sternum portion and at least a second sternum portion and maintaining the first sternum portion proximate to the second sternum portion until the adhesive has bonded with the first sternum portion and the second sternum portion. The adhesive may be applied over substantially the entire length of the incision or may be applied in intervals. The method for sternal closure may also include compressing the first sternum portion and the second sternum portion together using one or more compression devices and introducing adhesive to contact regions where the compressive devices contact the sternum. The method may also include cutting an interface feature in the first and second sternum portions or spanning the incision between the first and second interface portions with a structural support.

Abstract: Spinal stabilization mechanisms act to prevent lateral bending, extension, and rotation across adjacent vertebrae. Methods for spinal stabilization includes placing one or more anchors at each vertebral level, positioning one or more sutures around each anchor at each level such that the each suture forms a loop or band around two adjacent anchors, applying tension to the ends of each suture to tighten the suture loop around the anchors and welding overlapping ends of each suture together to form suture bands connecting the anchors and thereby preventing lateral bending, extension, and rotation of the spinal segment. An in-growth component is placed over the anterior portions of the three adjacent vertebrae and the disk space therebetween. An anti-adhesion patch is placed over the in-growth component, anchors and elongate members. The anti-adhesion patch has one or more notches that provide access to at least two of the anchors and a flap extending from between the notches.

Abstract: The invention provides systems and methods for sternum repair. A sternum repair device may include a central body, which may include a plurality of bands and buckles, such that a band extends from the central body and is received by a buckle component. The band may wrap around the sternum and the device may be tightened to keep the separate sternum pieces together. Various band tensioning devices, systems and methods are disclosed.

Abstract: A cerclage device includes a base member, a cerclage member, and a drive member. The base member has a length sufficient to allow for manual holding by a user, an interior space extending from a distal end toward a proximal end, and a slot extending from the distal end toward the proximal end. The cerclage member has a long side with a proximal end and a distal end and a curvature in one direction about its long side at least at the distal end. The cerclage member allows for attaching a suture and fits within and is straightened by the base member within the interior space when in a retracted position. When the drive member is attached to the cerclage member movement of the engagement portion in the slot pushes and pulls the cerclage member to/from the straightened position from/to the extended curved position.

Abstract: A bone fixation assembly which may include a bone fixation element, a collet and a flexible line. The bone fixation element may comprise a first and second passageway and at least the first passageway is configured to receive the collet. The flexible line passes through both passageways and is secured through the second passageway. The collet may be advanced into the first passageway causing the collet to circumferentially engage the flexible line fixing it in place. Instrumentation for securing the collet includes a collet driver, a counter torque instrument and a tensioner.

Abstract: In order to improve an implant for the dorsal stabilization of a human or animal spinal column, comprising an attachment device for placing in position against and/or fixing to spinous processes of adjacent vertebrae of the spinal column, such that it can be used for the dynamic dorsal stabilization of the spinal column, it is suggested that the implant comprise at least one spacer element which is associated with the attachment device and designed in such a manner that it alters its external shape and/or its elastic properties as a result of a change in ambient conditions and/or forces acting on it. Furthermore, an improved implant system for the dorsal stabilization of a human or animal spinal column is suggested.

Abstract: A system for securing a bone fixation device to a bone comprises a flexible longitudinal element configured to wrap about and stabilize one of a target portion of bone and a bone stabilizing element. The longitudinal element includes a plurality of projections extending distally from a first surface thereof. Each projection includes a proximal abutting surface in combination with a bone fixation element including a channel extending therethrough sized and shaped to slidably receive therein a portion of the longitudinal element distal of the head. The bone fixation element includes a recess shaped to receive the head and prevent the head from being drawn distally through the channel. The bone fixation element or the longitudinal element includes a tab configured to engage one of the proximal abutting surfaces to prevent the projections of the longitudinal element from moving proximally relative to the tab.

Abstract: A surgical tensioning device for dynamically holding two tissue portions in contact with one another comprises a resilient body having a plurality of spring elements, and a plurality of stop members for limiting travel of the spring elements in order to control energy stored or delivered by the spring elements. A length of suture is also provided, wherein a first end of the suture is connected to the resilient body at a first attachment point and a second end of the suture is connected to the resilient body at a second attachment point. In one embodiment, the stop members contact one another to limit compression of the spring elements. When the suture is placed in tension, the spring elements move to an extended configuration and the stop members move apart, creating gaps between ends of each of the stop members.

Abstract: A fracture fixation system, particularly for a fracture at the distal end of the radius, in which a buttress pin is secured to a stable bone fragment by a bone screw and washer, and distal ends of the buttress pin are bent out of the plane of the buttress pin to engage and support a distal bone fragment. The legs of the buttress pin are spaced apart more narrowly at a U-shaped bend of the buttress pin where the buttress pin can be engaged by a conventional washer and bone screw and more widely where the bent ends engage the distal bone fragment. The washer has tabs for counter bearing against the legs to prevent spinning of the washer when the bone screw is installed. The washer can also support a fixation element which can be engaged in the distal fragment to provide additional support therefor.

Abstract: A method for placing a fixation member around a bone for internal fixation of the bone includes (a) inserting a first member of a cerclage tool through an incision and into a vicinity of the bone, the first member extending from a first proximal end comprising a first handle portion and along a first central portion to a first distal end comprising a first bent tube portion; (b) inserting a second member of the cerclage tool through the incision and into the vicinity of the bone, the second member extending from a second proximal end comprising a second handle portion and along a second central portion to a second distal end comprising a second bent tube portion; (c) joining the first and second members together to form a continuous tube with the first bent tube portion and the second bent tube portion that encircles the bone, wherein the first bent tube portion and the second bent tube portion cross over one another to form a non-zero angle at a location that is proximal of the bone when viewed from a direct

Abstract: A surgical cable system having a length of cable and a locking body on which a first cable end is operatively located. The locking body defines a receiver for a first portion of the cable with the cable formed into a first loop that resides generally in a first plane. A locking structure on the locking body cooperates with the first portion of the cable to maintain the first loop in a tensioned state. The locking structure has an actuator that is operable to change the state of the locking structure. The locking structure is changeable from a released state into a locked state as an incident of one of: a) moving at least a part of the actuator along and/or around an axis that is generally parallel to the first plane; and b) moving a part of the cable length along a first line that is generally parallel to the first plane.

Abstract: A bone fixation assembly which may include a bone fixation element, a collet and a flexible line. The bone fixation element may comprise a first and second passageway and at least the first passageway is configured to receive the collet. The flexible line passes through both passageways and is secured through the second passageway. The collet may be advanced into the first passageway causing the collet to circumferentially engage the flexible line fixing it in place. Instrumentation for securing the collet includes a collet driver, a counter torque instrument and a tensioner.

Abstract: A bone fixation system includes at least one bone fixation member and a bone fixation instrument. The bone fixation member includes a strap and a locking mechanism. The strap can be pulled through the locking mechanism so as to form a loop about a target bone so as to secure first and second bone segments in an approximated, compressed configuration. The bone fixation instrument is configured to apply tension to the loop about the target bone. The fixation instrument includes a tension assembly that is configured to secure a free end of the bone fixation member to the fixation instrument. The tension assembly is further configured to pull the free end so as to increase tension in the loop while the tension in the loop is less than a select tension. The fixation instrument further includes a cutter assembly.

Abstract: A bone fixation system includes at least one bone fixation member and a bone fixation instrument. The bone fixation member includes a strap and a locking mechanism. The strap can be pulled through the locking mechanism so as to form a loop about a target bone so as to secure first and second bone segments in an approximated, compressed configuration. The bone fixation instrument is configured to apply tension to the loop about the target bone. The fixation instrument includes a tension assembly that is configured to secure a free end of the bone fixation member to the fixation instrument. The tension assembly is further configured to pull the free end so as to increase tension in the loop while the tension in the loop is less than a select tension. The tension assembly is unable to further increase tension in the bone fixation member once the tension in the bone fixation member has reached the select tension.

Abstract: A system for securing a bone fixation device to a bone comprises a flexible longitudinal element configured to wrap about and stabilize one of a target portion of bone and a bone stabilizing element. The longitudinal element includes a plurality of projections extending distally from a first surface thereof. Each projection includes a proximal abutting surface in combination with a bone fixation element including a channel extending therethrough sized and shaped to slidably receive therein a portion of the longitudinal element distal of the head. The bone fixation element includes a recess shaped to receive the head and prevent the head from being drawn distally through the channel. The bone fixation element or the longitudinal element includes a tab configured to engage one of the proximal abutting surfaces to prevent the projections of the longitudinal element from moving proximally relative to the tab.

Abstract: A bone fixing system useful for holding bone in position, and a method for installing the same are disclosed. The ends of a conformable ligature are passed around bones, bone grafts, tendons, plates, rods, fasteners, or other anatomical or implanted structures, and the like to form a loop extending from a first portion of a body. The ends of the conformable ligature are passed through the body and extend out a second portion of the body. The ends may be attached to a tensioning tool and a selected tension may be applied. A closure member may engage an engagement portion of the body to create a friction force to hold the conformable ligature in place without significant movement relative to the body.

Abstract: This disclosure provides a system for securing a bone to a rod, the system comprising a ligature, a body, and two fasteners. The ligature has two free ends and an intermediate portion therebetween, the intermediate portion being configured to engage a bone. A portion of a rod can be fastened to the body using one of the fasteners. The ligature can be fastened to the body using another one of the fasteners. The two fasteners are distinct from one another and are adapted to fasten two free end portions of the ligature to the body independently from fastening the portion of the rod to the body.

Abstract: A vertebral fixing system comprising a connecting part with two longitudinal elements coupled to each other at a first end and having mutually facing recesses for receiving a rod. A portion of a flexible ligature extends through orifices of the two longitudinal elements to define a loop opposite two free ends of the flexible ligature. The two longitudinal elements are engaged at a second end of the connecting part via a locking means. When the two longitudinal elements of the connecting part are locked at the second end of the connecting part, two strands of the flexible ligature are pinched between the rod and a wall of the mutually facing recesses of the two longitudinal elements of the connecting part, preventing the flexible ligature from moving in translation relative to the connecting part.

Abstract: System, including methods, apparatus, and kits, for replacing a damaged surgical wire, such as a surgical wire that has broken during or after installation around bone. The system may include a connector with at least one ferrule for attaching a substitute wire to a damaged wire and provides a method of replacing a damaged wire with a substitute wire by using the damaged wire as a leader for travel of the substitute wire around bone.

Abstract: Surgical anchoring systems and methods are employed for the correction of bone deformities. The anchoring system and its associated instrument may be suitable for surgical repair of hallux valgus, tarsometatarsal sprains, ankle ligament reconstruction, spring ligament repair, knee ligament reinforcement, acromioclavicular sprains, coracoclavicular sprains, elbow ligament repair, wrist and hand ligamentous stabilization or similar conditions. The anchoring system may include a fixation system for anchoring two or more sections of bone or other body parts and a system for aligning of one section relative to another section.

Abstract: Assemblies for securing fractured bone are provided. The assembly includes a first fixation element, a second fixation element, and an adjustable flexible member construct. The first fixation element having a male or a female sleeve is secured within a first portion of the fractured bone. The second fixation element having the other of the male or female sleeve telescopically received within the one of the male or female sleeve is secured within a second portion of the fractured bone. The adjustable flexible member construct extends between the first and second fixation elements and has at least one adjustable loop coupled to the first fixation element and the second fixation element and a pair of adjusting ends extending through an opening in the first fixation element. The pair of adjusting ends can be pulled to reduce a diameter of the adjustable loop and to compress fragments of the fractured bone.

Abstract: A bone plate mounted on a bone. The bone plate has at least one opening for receiving a flush mounted cam. A through-bore passes from a side surface to opposing side surface of the bone plate. The through-bore has a diameter sized to allow insertion of a cable. A portion of the through-bore intersects with a peripheral portion of the opening. A second opening also passes from the side surface to opposing side surface. A cable may be inserted in the second opening, wrapped around the bone and its free end inserted in the through-bore. The cable may be tightened around the bone. The flush mounted cam can be rotated in place. Rotation of the cam results in the cam surface squeezing the cable between concave cam surface and walls of the opening, thereby locking the cable in the tightened state.

Abstract: A bone fixing system useful for holding bone in position, and a method for installing the same are disclosed. The ends of a conformable ligature are passed around bones, bone grafts, tendons, plates, rods, fasteners, or other anatomical or implanted structures, and the like to form a loop extending from a first portion of the blocking body. The ends of the conformable ligature are passed through the blocking body and extend out a second portion of the body. The ends may be attached to a tensioning tool and a selected tension may be applied. A closure member may engage an engagement portion of the blocking body to create a friction force to hold the conformable ligature in place without significant movement relative to the blocking body.