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 solution is disclosed for deploying a fixation member into an aperture of a bone fastener. The solution may include a guide having a body that includes a proximal end and a distal end. The guide may also include a guide member coupled to the body near the proximal end. The guide member may be configured to guide placement of the fixation member to secure the bone fastener. The solution may include an engagement member coupled to the body near the distal end. The engagement member can be configured to engage the bone fastener such that the guide member is rotatable, relative to the bone fastener, about an engagement axis to the guide member at any of the plurality of relative orientations about the engagement axis.

Abstract: A bone screw, and method of using the same, are described. The bone screw includes a head, a distal threaded portion, and an expandable intermediate portion. The intermediate portion is expandable in response to a force being applied from an unstressed or relaxed state to a stressed or unrelaxed state. A removable core pin may be inserted into the intermediate portion to stretch or stress and/or stabilize the intermediate portion.

Abstract: A tissue retractor device includes a first retractor, a second retractor and a band extending between the first retractor and the second retractor. The first and second retractors are configured to grasp edges of an incision while the band is configured to form an anatomy space and wrap around a patient's body part, while. At least one of the first retractor and the second retractor includes a first arcuate portion, a first connection portion and a first cam portion positioned between the first arcuate portion and the first connection portion. The first cam portion includes a cam surface for contacting the skin of a patient outside of an incision. The length of the band extending between the first retractor and the second retractor is adjustable.

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: The present disclosure provides devices, systems and methods of bone fixation. The disclosed devices, systems and methods facilitate secure fixation of first and second bone segments, such as to promote fusion thereof. The devices may include at least one bone engagement projection extending from an engagement surface of a plate portion for implantation into the first bone segment. A portion of the plate portion spaced from the at least one bone engagement projection may include at least one bone fixation aperture. The least one bone fixation aperture may allow for a one bone engagement projection to be inserted therethrough and into the second bone segment to affix the plate portion to the second bone segment. In some embodiments, the at least one bone fixation aperture may be a compression slot.

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

Abstract: A gastrocnemius knife and retractor system and kit includes a surgical knife and a soft tissue retractor. The soft tissue retractor is configurable to move from a collapsed mode to an expanded mode and back again, and can be inserted through a small incision when in the collapsed mode. Once inside the incision, the soft tissue retractor is expanded to permit visualization and accessibility of the surgery site. The surgical knife is then introduced and guided along a path in the frame of the soft tissue retractor, thereby incising the desired tissue. Once the tissue is incised, the surgical knife is withdrawn, followed by the soft tissue retractor after it is collapsed.

Abstract: A compression force magnifier comprising: an engaging surface for attaching to a bone plate; a ramped component above the engaging surface, the ramped component having a bottom surface adjacent the engaging surface and an angled upper surface; and a hole extending through the ramped component and the engaging surface.

Abstract: An orthopedic implant carrier system has a carrier with a front cover, a back cover, and a linking member pivotally connected to the front cover and the back cover, such that the front cover and back cover are opposably movable about the linking member, with respect to each other. At least one insert connector is connected to the carrier, with an insert releasably connectable to the at least one insert connector. The insert has a pocket, with a plurality of orthopedic implants organized by implant type, size, and length.

Abstract: The present disclosure provides devices, systems and methods of bone fixation. The disclosed devices, systems and methods facilitate secure fixation of first and second bone segments, such as to promote fusion thereof. The devices may include at least one bone engagement projection extending from an engagement surface of a plate portion for implantation into the first bone segment. A portion of the plate portion spaced from the at least one bone engagement projection may include at least one bone fixation aperture. The least one bone fixation aperture may allow for a one bone engagement projection to be inserted therethrough and into the second bone segment to affix the plate portion to the second bone segment. In some embodiments, the at least one bone fixation aperture may be a compression slot.

Abstract: Bone plate systems, resection guides, implants, and methods are disclosed. A bone plate system may include a plate including a plurality of openings and a resection guide. A plate may include a body with a first end and a second end, at least two openings in the body, a first opening positioned in the first end and a second opening positioned in the second end, and an alignment marking disposed on a surface of the body. A guide may include a body with a first end and a second end, at least one first opening in the first end of the body, and at least one second opening in the second end of the body. Surgical methods for using the bone plate system, resection guides, and implants are also disclosed.

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 compression force magnifier including a vertical axis through a body and a proximal surface of the body sloped at a predetermined angle relative to the vertical axis. A flat distal surface of the body is disposed opposite the proximal surface. A bore is disposed through the body from the proximal surface through the distal surface. The body is connected to an arm having a connection opening configured to allow connection of the body to a bone plate. The connection opening has a connection axis spaced from the vertical axis.

Abstract: The present disclosure provides staples, and corresponding staple guides, for applying a compressive force between biological elements. The staples may include a bridge portion and a pair of tines extending from the bridge portion configured for implantation into biological elements. The tines may be spaced a first distance in a first state of the bridge portion. The bridge portion may be elastically deformable into a second state with the pair of tines spaced a second distance that is greater than the first distance and the tines pre-loaded to apply a compressive force therebetween. The guides may include a staple engagement portion operable to maintain the biased state of the staple, and/or a drill guide portion operable to facilitate the formation of apertures spaced the second distance in the biological elements.

Abstract: Instruments, devices and methods for releasing soft tissue are disclosed. A tissue release instrument may include a distractor and blade assembly. The distractor may include a guide channel positioned along an edge of the distractor and wherein the blade assembly fits into the guide channel and is configured to slide within the channel of the distractor. Methods for assembling and using the instrument and devices to release soft tissue are also disclosed.