Abstract: A system includes a cutting guide having a base body configured to be fixed to a first bone of a patient and a cutting slot block configured to provide a guide for cutting at least one of the first bone and a second bone of the patient. The cutting slot block is rotationally coupled to the base body. The cutting slot block is configured to rotate in a first rotational direction. The cutting guide comprises a distal portion and a proximal portion.

Abstract: The present application provides new and innovative anterior clavicle plates and systems for clavicle fracture fixation. The provided anterior clavicle plate is shaped to better conform to or fit the anterior and lateral surfaces of a patient's clavicle as compared to typical anterior clavicle plates. This improved conformance can help reduce the incidence of tissue irritation, which reduces the chances of a second surgery being needed for removal of the anterior clavicle plate. The improved conformance can also result in an anatomically better fracture reduction than typical anterior clavicle plates and an increased fixation strength. Additionally, an instrument provided by the present application can help a surgeon install the provided anterior clavicle plate more quickly and with increased flexibility and consistency than typical systems.

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: The presently disclosed depth gauge device includes a tube with a measurement rod inserted into one end of the tube. The measurement rod includes a set of indicators associated with length values. A surgeon may translate the provided depth gauge device over a guidewire, which causes the guidewire to force the measurement rod partially out of the tube. Once the depth gauge device contacts bone, the indicator on the measurement rod that lines up with a designated spot on the tube indicates a guidewire depth into bone, which is equal to a screw length that is needed for the procedure. Additionally, the provided depth gauge device is constructed such that the measurement rod maintains its positioning in the absence of applied force. This enables a surgeon to remove the depth gauge device from the bone or completely from the guidewire when obtaining a measurement reading.

Abstract: A new and innovative medical sizing instrument and method are provided for determining an appropriate depth and/or length of a clavicle hook plate for a patient. The provided medical sizing instrument may enable a surgeon to determine an appropriate hook depth without having to switch between different components, such as a series of templates. In an example, a surgeon may insert the medical sizing instrument into a patient the same as the surgeon would a clavicle hook plate, adjust the hook depth on the medical sizing instrument until a hook depth is obtained that appropriately maintains the anatomical alignment of the patient's clavicle and acromion, and read an indicated depth on the medical sizing instrument. The surgeon may then remove the medical sizing instrument from the patient and select the appropriate clavicle hook plate to insert into the patient.

Abstract: A method of manufacturing an apparatus for fixing bone includes mating a first plate with a second plate, where the first plate includes a screw slot and the second plate includes a through hole corresponding to the screw slot; and placing a screw body into the screw slot and the through hole. The screw body includes a screw portion and an insertion portion. The screw body is placed into the screw slot using the insertion portion of the screw body. The method further includes removing the insertion portion of the screw body. The screw portion remains within the screw slot and the through hole after the insertion portion is removed.

Abstract: The present disclosure provides a system, method, and cannulated anchor for treating acute or chronic instability of two boney structures in a patient. The provided cannulated anchor includes an opening through which suture, and in some instances a tendon graft, may be positioned. The cannulated anchor also includes a securing mechanism that helps maintain its position when installed in bone, such as flexible prongs, angled tabs, or ridges. The cannulated anchor is installed by being translated over a k-wire with a cannulated inserter that engages the cannulated anchor. The k-wire passes through the tendon graft, if used, as the cannulated anchor is translated over the k-wire. Passing the k-wire through the tendon graft allows the tendon graft to take up more space within the cannulated anchor's opening versus being biased to one side of the k-wire during insertion.

Abstract: The present application provides a new and innovative device for aiding in screw installation through a distal end of a nail installed in a patient's bone (e.g., humerus). The nail's distal end is disposed away from an insertion point of the nail into the bone. The targeting device includes a targeting body having an outer frame, a flexible member connected to the outer frame, a targeting block having multiple holes and connected to the flexible member such that the flexibility of the flexible member enables the targeting block to translate towards sides of the outer frame, and an adjustment assembly that adjusts and maintains the targeting block's position relative to the sides of the outer frame. The targeting device further includes a base plate removably coupled to the targeting body. The targeting device may be coupled to the nail at the base plate.

Abstract: The present disclosure provides for an interlocking cannula system that includes a handle and a set of cannulas. The set of cannulas includes a sequence of smaller to larger cannulas constructed such that the smaller cannulas may be nested within larger cannulas. Each cannula in the set of cannulas includes a respective locking mechanism configured such that each cannula may be interlocked with each of the other cannulas in the set. The handle is constructed such that each cannula in the set may interlock with the handle by the respective locking mechanism of the cannula. In some instances, the respective locking mechanisms are constructed to enable an ordered release of the cannulas.

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: A bone rivet is provided that may be used as an alternative to a bone screw for bone fixation. The bone rivet includes a head and a threaded shaft that can be expanded upon installing the bone rivet into bone. A channel extends through the bone rivet and is shaped corresponding to a bulb of a mandrel used for installing the bone rivet. A first section of the channel has a smaller width than the mandrel's bulb to enable the bulb to expand the threaded shaft and a second section is sized to have a greater width. The installation process eliminates the task of rotating a typical bone screw during its installation. The threaded shaft also includes a cutting flute, which cuts a thread path for the threaded shaft into the bone thereby reducing the amount of torque needed to rotate and remove the bone rivet from bone.

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: An anchor device for attaching suture material to bone includes a body portion having a first end and a second end. The body portion includes a trabecular mesh core that at least partially defines a central bore between the first end and the second end. The trabecular mesh core includes a plurality of openings configured to receive/allow/facilitate bone growth through the trabecular mesh core. The body portion also includes at least one thread extending spirally along an exterior of the trabecular mesh core. The anchor device further includes a post at least partially positioned within the central bore and rotatably coupled to the body portion, wherein the post comprises a fork extending from the second end of the body portion and configured to attach soft tissue to the bone using the suture material. The body portion and the post are additively manufactured from a biocompatible material.

Abstract: The present disclosure provides for a wrist arthroplasty system and method that enable an expedient surgical procedure, maintain wrist motion, and reduce the likelihood of implant loosening. The system includes a capitate implant, a radial implant, and a resection instrument. The capitate implant includes a convex head formed to interface with a concave socket of the radial implant. The capitate implant includes a single stem formed to be secured within a patient's capitate bone. The radial implant includes lips formed to increase wrist joint motion and to help prevent dislocation of the capitate implant from the radial implant. The resection instrument may be used in combination as a measurement tool for determining the proper implant size, a guide for properly positioning the implants, and a trial tool for testing trial implant components before securing the final radial and capitate implants.

Abstract: A bone screw is provided with a resilient component that enables a surgeon to measure the amount of compression effected by the bone screw during installation and dynamically maintain that compression across the provided bone screw during fracture healing. The provided bone screw includes a leading component, a trailing component, and a resilient component that may be compressed between the leading and trailing components and which is arranged such that the bone screw's axial rigidity is maintained. The leading and trailing components may be engaged together or independently by a driving instrument. Advancing or receding only the leading component or only the trailing component alters a compression force effected by the bone screw between two bone fragments, enabling a surgeon to set a desired compression force. A measurement tool is also provided that may be used to measure an amount of compression force effected by an installed bone screw.

Abstract: Bone anchors and bone anchor insertion systems are provided that enable smaller bone holes for inserting a bone anchor by eliminating the need for a cannula. Smaller bone holes may help reduce patient recovery times. The provided bone anchor includes two flexible wings extending from a base portion that splay away from the base portion's central axis at rest, though may be bent towards or away from the central axis in response to an applied force. The bone anchor includes a drive feature that enables an inserter to couple and decouple to the bone anchor. A surgeon may drive the bone anchor through a bone hole via the coupled inserter while the bone hole maintains the bone anchor in a compressed state, and may decouple the inserter when the bone anchor is properly positioned, thereby eliminating the need for a cannula.

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: A nail for compressing two bone parts to treat bone fractures or osteotomies is provided. The nail has an elongate smooth portion and an elongate threaded portion that is constructed for generating axial compression along a length of the elongate threaded portion between two bone parts. The nail may also have one or more apertures for installing one or more crossing screws through the nail. An installation instrument particularly constructed to install the provided nail is provided. A first and second portion of the provided nail installation instrument may rotate relative to one another when a locking mechanism is disengaged, but are locked in position relative to one another when the locking mechanism is engaged, which enables installation of the provided nail.

Abstract: The presently disclosed depth gauge device includes a tube with a measurement rod inserted into one end of the tube. The measurement rod includes a set of indicators associated with length values. A surgeon may translate the provided depth gauge device over a guidewire, which causes the guidewire to force the measurement rod partially out of the tube. Once the depth gauge device contacts bone, the indicator on the measurement rod that lines up with a designated spot on the tube indicates a guidewire depth into bone, which is equal to a screw length that is needed for the procedure. Additionally, the provided depth gauge device is constructed such that the measurement rod maintains its positioning in the absence of applied force. This enables a surgeon to remove the depth gauge device from the bone or completely from the guidewire when obtaining a measurement reading.