Abstract: Examples of the invention relate to a compression fastener and methods of use, including using an inserter to apply a pre-stress to the compression fastener, for compressing first and second bone portions or a bone portion together.

Abstract: A bone cut guide includes a first portion having a first cut slot and having an aperture for receiving a wire to connect the first portion to a first bone. A second portion has a second cut slot and a second aperture for receiving a second wire to connect the second portion to a second bone. The first portion and the second portion are movably connected to each other to allow the first bone and the second bone to move relative to each other.

Abstract: Examples of the invention relate to methods, implants, including bone plates, and instruments for compressing first and second bone portions or a bone portion and an implant together.

Abstract: A system for fixating a bone includes a buckle having a plurality of lock bars and a hook. A cord may connect the hook with an opposite end of the buckle and around a bone. The buckle may include lock bars on the opposite end of the buckle to receive the cord and allow a frictional resistance to a loosening of the cord around the bone to facilitate a reduction of a fracture of the bone.

Abstract: A bone displacement system includes an anchoring portion, a tool engaging portion, a compression distraction mechanism, a lateral body and a distal body. The anchoring portion has an aperture for receiving a wire to connect the anchoring portion to a proximal bone. The anchoring portion is connectable to a downwardly depending member for holding a tissue portion. The tool engaging portion is connected to the anchoring portion and is configured to connect a tool thereto. The compression-distraction mechanism is connected to the anchoring portion. The lateral body is connected to the compression-distraction mechanism and engageable with a lateral bone. The distal body is connected to the compression-distraction mechanism. The distal body has an aperture for receiving a wire to connect the distal body to a distal bone. The compression-distraction mechanism is configured to move the anchoring portion relative to the distal body.

Abstract: A bone cut guide includes a first portion having a first cut slot and having an aperture for receiving a wire to connect the first portion to a first bone. A second portion has a second cut slot and a second aperture for receiving a second wire to connect the second portion to a second bone. The first portion and the second portion are movably connected to each other to allow the first bone and the second bone to move relative to each other.

Abstract: A fusion implant and fusion members for fusing target bones of an upper extremity. The fusion implant including internally threaded apertures of a first thread lead, and the fusion members including threading of the first thread lead and threading of a second thread lead that is less than the first thread lead. The fusion implant and a targeting instrument being configured to couple to one another in a predefined orientation. The predetermined orientation resulting in alignment of aspects of the fusion implant with aspects of the targeting instrument. A guide clamp for facilitating forming of an implant cavity in adjacent bones for implantation of the fusion implant therein. A surgical method for facilitating fusion of adjacent target bones utilizing a fusion implant, fusion members, a targeting instrument and a guide clamp to reduce space between the adjacent bones such that they at least abut one another.

Abstract: A torque limiting ratcheting handle for a medical instrument is provided that includes a ratchet shifter, a tool connector, a torque coupler, and a rear power housing. The handle provides clockwise and counterclockwise ratcheting and limits the amount of torque in one direction while allowing for maximal torque in the opposite direction. In one aspect, the ratcheting handle may include a drive shaft removeably connected to a power tool or, alternatively, to a handle grip for manual manipulation.

Abstract: A bone displacement system includes an anchoring portion, a tool engaging portion, a compression distraction mechanism, a lateral body and a distal body. The anchoring portion has an aperture for receiving a wire to connect the anchoring portion to a proximal bone. The tool engaging portion is connected to the anchoring portion and is configured to connect a tool thereto. The compression-distraction mechanism is connected to the anchoring portion. The lateral body is connected to the compression-distraction mechanism by a ratchet. The lateral body has a downwardly depending portion for contacting a lateral bone. The distal body is connected to the compression-distraction mechanism. The distal body has an aperture for receiving a wire to connect the distal body to a distal bone. The compression-distraction mechanism is configured to move the anchoring portion relative to the distal body.

Abstract: A system for fixating a bone includes a buckle having a plurality of lock bars and a hook. A cord may connect the hook with an opposite end of the buckle and around a bone. The buckle may include lock bars on the opposite end of the buckle to receive the cord and allow a frictional resistance to a loosening of the cord around the bone to facilitate a reduction of a fracture of the bone.

Abstract: A bone displacement system includes a body having a first arm and a second arm. The first arm is connected to a first leg configured to engage a plate configured to be located on a first bone portion. The second arm is connected to a second leg configured to be connected to a second bone portion. A force application fixture is coupled to the first arm and the first leg and configured to apply a force between the first arm and the first leg. The plate has screw holes aligned to allow screws to connect the plate to the first bone portion and the second bone portion after a movement of the first bone portion relative to the second bone portion by the force applied by the force application fixture.

Abstract: A fracture fixation system includes a plate having a laterally extending bore passing therethrough and configured to receive a first wire when the plate is placed in contact with a bone. The plate has a recess for receiving and securing a first end of a first wire, and includes an entry hole and an exit hole to at opposite ends of a first bore to allow the first wire to pass through the plate. A screw is configured to capture said the wire in the first bore to maintain a desired tension on the first wire.

Abstract: A bone displacement system includes an anchoring portion, a tool engaging portion, a compression distraction mechanism, a lateral body and a distal body. The anchoring portion has an aperture for receiving a wire to connect the anchoring portion to a proximal bone. The tool engaging portion is connected to the anchoring portion and is configured to connect a tool thereto. The compression-distraction mechanism is connected to the anchoring portion. The lateral body is connected to the compression-distraction mechanism by a ratchet. The lateral body has a downwardly depending portion for contacting a lateral bone. The distal body is connected to the compression-distraction mechanism. The distal body has an aperture for receiving a wire to connect the distal body to a distal bone. The compression-distraction mechanism is configured to move the anchoring portion relative to the distal body.

Abstract: A bone displacement system includes a removable guide and frame. The removable guide includes a proximal anchoring portion and a distal anchoring portion. The proximal anchoring portion has a proximal anchoring aperture for receiving a first wire to connect the guide to a proximal bone. The distal anchoring portion has a distal anchoring aperture for receiving a second wire to connect the guide to a distal bone. The guide includes a slot configured to receive a tool. The frame includes a compression-distraction mechanism and a rotation mechanism. The compression-distraction mechanism is connected to the rotation mechanism and engageable with the proximal bone. The rotation mechanism includes a distal aperture for receiving the second wire to connect the rotation mechanism to the distal bone, and the compression-distraction mechanism is configured to move the rotation mechanism and the distal bone relative to the proximal bone. Further disclosed is a bone displacement method.

Abstract: A bone displacement system includes an anchoring portion, a tool engaging portion, a compression distraction mechanism, a lateral body and a distal body. The anchoring portion has an aperture for receiving a wire to connect the anchoring portion to a proximal bone. The anchoring portion is connectable to a downwardly depending member for holding a tissue portion. The tool engaging portion is connected to the anchoring portion and is configured to connect a tool thereto. The compression-distraction mechanism is connected to the anchoring portion. The lateral body is connected to the compression-distraction mechanism and engageable with a lateral bone. The distal body is connected to the compression-distraction mechanism. The distal body has an aperture for receiving a wire to connect the distal body to a distal bone. The compression-distraction mechanism is configured to move the anchoring portion relative to the distal body.

Abstract: An osteotomy implant device includes a housing defining a cavity and having a central plane extending therethrough. The housing includes a first bone engaging surface and a second bone engaging surface. The second bone engaging surface disposed on an opposing side of the central plane from the first bone engaging surface. The osteotomy implant device also includes a cutting member. The cutting member rotatable coupled to the housing. The cutting member rotatable about an axis between a first position and a second position. The cutting member entirely disposed within the cavity between the first bone engaging surface and the second bone engaging surface in the first position. A portion of the cutting member extends beyond at least the first bone engaging surface or the second bone engaging surface of the housing in the second position.

Abstract: An osteotomy implant device including a tapered wedge, a first cylindrical post spaced from a distal side of the tapered wedge, a second cylindrical post spaced from the proximal side of the tapered wedge, and a middle bridge spanning lengthwise from the first cylindrical post to said second cylindrical post.

Abstract: A fibular nail for repairing distal fibular fractures is provided that does not require a transfibular-transtibial interlocking screw for stabilization. The nail provides transverse apertures permitting fixation of the proximal and distal portions of a fractured fibula to the nail. The nail has apertures for securing the fibula to the nail on the proximal side of a fracture and on the distal side of a fracture. Optionally, the nail may be connected to the tibia for stabilization.