Abstract: A bone plate having a shape of an “X”. The bone plate includes an upper side, an underside facing the bone, a middle part and, adjoining thereon, a peripheral region, which encloses the four extensions of the “X” and in which four plate boreholes are accommodated. The plate boreholes have means, which are suitable for the rigid, angularly stable anchoring of bone screws which may be introduced therein.

Abstract: A device for repairing a defect in a soft tissue is disclosed, the device including a first anchor engaging a first surface of the soft tissue on a first side of the defect, the first anchor having a locking mechanism, a second anchor for engaging against a second side of the soft tissue on a second side of the defect, and a suture adjustably connecting the second anchor to the first anchor.

Abstract: Methods and instruments are provided for connecting a rod extending along a patient's spinal column to a misaligned vertebra. The method comprises implanting a bone anchor in the misaligned vertebra, attaching an approximating device to the implanted bone anchor and rod, approximating the vertebra toward the rod using the approximating device, and connecting the rod to the bone anchor on the approximated vertebra. In certain embodiments the approximating device may include a winch mechanism. In other embodiments the approximating device is a cannula used in conjunction with a guide system.

Abstract: An improved sliding patellar replacement component is provided. Various combinations of translational and/or rotational degrees of freedom are provided by boss and channel configurations between the base subcomponent of the replacement component and the articulating subcomponent of the patellar replacement component. In one embodiment, spin about one axis is restricted by a spin stop that may be movable to allow for ease of assembly. Alternatively, the boss and channel are configured to function as a spin stop. Assembly of the patellar replacement component in one embodiment is simplified by the provision of a boss assembly region.

Abstract: In an intervertebral implant, having an upper part that has a support face for a vertebra and a lower part that has a support face for an adjacent vertebra, on each of which parts engagement elements, which are accessible from one side of the intervertebral implant, for a manipulation instrument are disposed, in order to minimize the structural height of the intervertebral implant upon insertion into an intervertebral space, it is proposed that the upper part and lower part each have protrusions and recesses aimed at the respectively other part, which are offset laterally from one another in such a way that when the upper part has been brought close to the lower part they mesh with one another; and that the engagement elements on the upper part and on the lower part are each disposed in protrusions of these parts in such a way that the engagement elements of the upper part and lower part are located side by side and at least partly overlap in the direction of the height of the intervertebral implant.

Abstract: The invention provides a hydrogel composition comprising water and a hydrophilic polymer, wherein the hydrogel composition has (a) an ultimate tensile strength of about 10 kPa or more, (b) a compressive strength of about 70 kPa or more, or (c) an ultimate tensile strength of about 10 kPa or more and a compressive strength of about 70 kPa or more. The invention further provides methods for producing a hydrogel composition.

Abstract: Reciprocating rasps for the surgical preparation of the bone prior to the implantation of a glenoid or acetabular component with complex geometry are disclosed. Surgical methods for the use of such reciprocating rasps are also disclosed. A reciprocating rasp for use in the surgical preparation of an acetabulum includes a shaft having a first end configured to be secured in a chuck of a reciprocating tool, and a cutting head secured to a second end of the shaft. The cutting head includes a cutting surface having a plurality of cutting teeth arranged in a geometry that corresponds with a geometry of the acetabular component, and an alignment guide that is devoid of cutting teeth and configured to cooperate with a complementary alignment guide of an acetabular trial instrument when the cutting head is secured to the second end of the shaft.

Abstract: Methods and devices that utilize segmental fixation between several adjacent vertebrae, thus allowing each vertebrae to be adjusted independently, are provided. In general, the device includes a spinal anchoring element that is adapted to seat at least one spinal fixation element, and a closure mechanism that is adapted to mate to the spinal anchoring element to lock the at least one spinal fixation element in a fixed position relative to the spinal anchoring element.

Abstract: A burr guide assembly is described for guiding a burr tool during a procedure wherein the burr tool is used to cut a bone. The guide assembly includes a housing which is configured to be attached to the bone, a guide sleeve attached to the housing such that the guide sleeve can freely pivot about a pivot axis within a defined range, and a burr tool. The guide sleeve has a bore that extends along its length, which is located eccentrically within the guide sleeve. The burr tool has a cutting portion that is configured to be at least partially disposed within the bore. The guide sleeve is mounted within the housing such that the cutting portion is substantially restricted to movement in a plane that is perpendicular to the pivot axis.

Abstract: An acetabular prosthesis system configured to be coupled to a surgically-prepared acetabulum includes an acetabular shell, an augment component, and a fastener configured to couple the acetabular shell and the augment component together.

Abstract: A buckle useful for cortical fixation has a graft retention loop slidably affixed thereto for movement from a first position adjacent a first end of the buckle to a second position at about the midpoint of the buckle. The buckle, with a graft over the loop, is drawn up lengthwise through a bone tunnel through a tibia and then flipped sideways to rest against the surface of the bone with the loop and graft depending back into the tunnel. The sliding attachment of the loop permits flipping of the buckle minimizes the flipping distance, which is the excess amount of the loop which must be pulled free of the tunnel to allow the buckle to be flipped sideways.

Abstract: Height-adjustable devices suitable for insertion between posterior spinal processes that allow the surgeon to post-operatively adjust the height of the implant.

Abstract: The present invention discloses a securing device that is used to secure a fixation device to two bone portions to promote healing between the two bone portions. The bone portions commonly include a skull bone portion and a skull bone flap or implant, and the fixation device is commonly a cranial clamp. The securing device provides for securing the fixation device in a uniform, single movement as opposed to currently available products. The securing device has two handles pivotably connected, and a gripping means moveably associated with one handle. As the handles are activated, the gripping means travels proximally along the one handle and grips an elongated section of the fixation device and exerts a tensioning force along the shaft of the elongated section prior to the cutting means cutting the elongated shaft to secure the fixation device in place.

Abstract: The invention relates to an aiming device (100) for boring a hole in a region of a bone (300) that lies in the vicinity of a joint. Said device consists of a U-shaped bow (110) comprising at least one contact element (120) on one end and on the other end of the bow (110) a screw spindle (130) that can be displaced in the direction of, or in the opposite direction to the contact element (120), said spindle comprising a rotary grip (132) for clamping the device (100) on the region in the vicinity of the joint. The device also comprises a bore bushing (140), which can be placed on and removed from the end comprising the contact element (120). The compression of the bone that is generated by the bow (110) is maintained after the removal of the bore bushing (140) for the insertion of the bone screw.

Abstract: An interspinous process spacer is generally rectangular and may have an upper face that generally opposes a lower face, front and back sides that generally oppose each other, an end side, and a nose that generally opposes the end side. The spacer preferably has rounded edges between the upper face and the front, end, and back sides and between the lower face and the front, end, and back sides. The nose of the spacer is preferably asymmetrical and tapers integrally, distally, and inwardly from the first and second faces to form a generally pointed or rounded distal tip. A spacer may be inserted laterally into the interspinous space through a small, posterior midline incision, allowing the preservation of the supraspinous ligament. One or more spacers may be placed between spinous processes of adjacent vertebrae, and result in distraction of the spinous processes which may limit extension of the spine.

Abstract: A bone cement collector includes a body having a structure that is permeable to bone cement and has opening for trapping bone cement. The body is releasably attached to an orthopaedic implant component at a location on the implant at which bone cement is likely to escape during positioning of the orthopaedic implant.

Abstract: An instrument for engaging a bone anchor may include a first implant engaging member having a proximal end and a distal end and a second implant engaging member having a proximal end and a distal end. The second implant engaging member may be integrally connected to the first implant engaging member by a pair of opposed integral spring members located proximal to the distal ends of the first and second implant engaging members. Manipulation of the proximal ends of the first and second implant engaging member can cause each of the distal ends to rotate about the pair of opposed spring members to engage at least a portion of a bone anchor. A rod adjusting tool may be connectable to the bone anchor engaging tool and may be axially adjustable relative to the bone anchor tool to adjust a spinal rod relative to the bone anchor.

Abstract: A bone fixation element comprises a shaft extending longitudinally from a proximal end to a distal end and a head connected to the proximal end of the shaft. The head includes a radially outer abutting structure deformable to lockingly engage an inner wall of an opening through a bone plate. Deformation of the abutting structure permits the head to lock the bone fixation element within the opening at any user-selected angle with respect to a central axis of the opening within a permitted range of angulation.

Abstract: A surgical jig for determining an axis extending into the end of a bone (2). The jig comprises a platform (10) arranged to be supported upon a resected surface (4) at an end of a bone (2), first and second clamps (16) and an alignment guide (18). The first and second clamps (16) are coupled to the platform (10) and are arranged to engage first and second portions of a bone lip (6) extending around at least part of the resected surface (4) to secure the platform (10) to the resected surface (4). The alignment guide (18) defines an axis extending into the end of the bone (2), the alignment guide (18) being pivotally coupled to the platform (10). A method of determining an axis extending into the end of a bone (2) using the surgical jig is also disclosed.

Abstract: A banana shaped intevertebral fusion cage having a domed profile, an internal planar wall defining first and second graft chambers, asymmetrically disposed leading and trailing insertion, and an anterior wall recess.