Abstract: A system for securing first and second bones together across a joint includes a fixation plate comprising a body having a longitudinal axis and first and second ends. A locking screw hole is disposed proximate to the first end. One or more attachment screw holes are disposed in the body. The system includes a screw comprising an elongate hollow body having openings at first and second ends and having a tip at the first end and a head at the second end.

Abstract: Systems, methods, and kits incorporate a fusion member for vertebral processes. The fusion member may be unitary or modular. The fusion member comprises extensions configured to be crimped to vertebral processes. The extensions may comprise tabs configured to be deformed to further penetrate the vertebral processes. The tabs may also lock together modular components of the fusion member. The fusion member may comprise fasteners extending between the extensions. The fusion member may comprise a cage with a movable cover or a graft retention feature.

Abstract: A minimally invasive dilation device includes a stylus, a plurality of rigid arms radially arrayed about the stylus, and a dilating member positioned between the stylus and the arms. An outer flexible sleeve may be circumferentially secured to the arms, lying within or without the plurality of arms. An inner mesh may surround the stylus and dilating member. The device may be introduced into tissue toward a targeted area, while in a closed configuration. The dilating member may be a balloon or a cannula. During dilation, the arms are pushed radially outward, expanding the device and dilating the surrounding tissue. A cannula may be inserted inside the plurality of arms to keep the arms in an open configuration, and the stylus and inner mesh may be withdrawn, providing an open passageway through the device to the targeted area. The device may be used with a neural monitoring system.

Abstract: Systems, methods, and kits incorporate a fusion member for vertebral processes. The fusion member may be unitary or modular. The fusion member comprises extensions configured to be crimped to vertebral processes. The extensions may comprise tabs configured to be deformed to further penetrate the vertebral processes. The tabs may also lock together modular components of the fusion member. The fusion member may comprise fasteners extending between the extensions. The fusion member may comprise a cage with a movable cover or a graft retention feature.

Abstract: A system for contouring a locking plate includes a locking plate and at least one bender. The locking plate includes a plurality of threaded screw holes connected to one another by one or more ribs. The at least one bender includes a threaded tip configured to threadably engage one or more of the plurality of threaded screw holes and a shoulder operable to transmit mechanical force to the locking plate once the threaded tip is threadably engaged with one of the plurality of threaded screw holes.

Abstract: Systems for trauma and/or joint fusion implants and instruments include transarticular screw and intra-articular washer, polyaxial screw and plate, single- and multi-level polyaxial bone clamps, and minimally invasive adaptations.

Abstract: A surgical instrument includes a clamp having a handle with a pair of substantially parallel prongs or tines extending from the handle, all formed as a unitary body or article of manufacture. The handle and prongs define a channel to receive a knife. The knife includes a handle, a scalpel, and an extension arm coupling the scalpel to the handle. The clamp defines a minor image about a central axis. In this way, the surgeon need not concern himself with whether the knife is oriented properly within the channel. Also, the extension arm of the knife includes graduations to assist the surgeon in predetermining precisely the distance of cut in using the instrument. The upper prong of the clamp includes a downwardly extending capture pad having a bottom surface substantially parallel to the inner surface of the lower prong.

Abstract: A plate for securing bones together includes an elongate spine having at least one groove spanning along a length of the spine parallel to a central axis of the spine, and a plurality of arms extending laterally from the spine, the plurality of arms comprising at least one arm on a first side of the spine and at least one arm on a second side of the spine.

Abstract: According to one embodiment, a bone fixation system includes a plate having a first opening a beam configured to traverse through the first opening and reside proximate to a subchondral fragment of bone in an installed position. The beam may be operable to rotate about an axis of rotation proximate to the first opening and reposition the subchondral fragment of bone.

Abstract: According to one example embodiment, a radial fusion plate includes a first portion and a fusion portion. The first portion is configured to conform to a dorsal side of a radius bone between a second compartment and a fourth compartment of the radius bone. The fusion portion is distal to the first portion and configured to conform to a scaphoid and a lunate. The first portion includes scaphoid hole and a lunate hole.

Abstract: A system for fracture reduction includes a reduction plate for reducing a fracture between a first bone segment and a second bone segment. The reduction plate includes, on a first side of the reduction plate, a travel slot and a screw hole. The travel slot is configured to slidably engage a first positioning element that extends into the first bone segment through the travel slot and the first screw hole is configured to affix the first side of the reduction plate to the first bone segment. The reduction plate includes, on a second side of the reduction plate, an adjustment hole and a second screw hole. The adjustment hole is configured to engage a second positioning element that extends into the second bone segment through the adjustment hole and the second screw hole is configured to affix the second side of the reduction plate to the second bone segment.

Abstract: A screw system includes a screw and a washer assembly captive to the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction. A cannula insertion system includes an instrument and a cannula. The instrument may include a dilator. The cannula insertion system may have a locked setting in which the dilator is fixed relative to the cannula, and an unlocked setting in which the dilator is slidable relative to the cannula. A surgical method uses the cannula insertion system to implant the screw system.

Abstract: A bone plate assembly including at least one bone plate, polyaxially adjustable fixation elements and a polyaxially adjustable locking mechanism. A first plate includes at least one polyaxial element for lockable connection with a fixation pad, and a connection feature which allows the plate to translate and polyaxially rotate relative to the locking mechanism. A second plate includes at least one polyaxial element for connection with a fixation pad and a connection feature for non-rotatable connection with the locking mechanism. The locking mechanism allows translation and polyaxial adjustment of the first plate relative to the second plate and locks the first and second plates via a taper lock. The fixation pad includes a deflectable spacer configured to prevent premature locking of the pad. Methods for implantation of the bone plate assembly between bone structures are disclosed. Instrumentation for implantation, compression and locking of the bone plate assembly is disclosed.

Abstract: A screw system includes a screw and a washer assembly captive to the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction. Various auxiliary fixation features are disclosed.

Abstract: According to one example embodiment, a radius fixation plate includes a body portion configured to conform to a radius bone between a first extensor compartment and a second extensor compartment and dimensioned such that the body portion does not violate the first extensor compartment or the second extensor compartment. A first fixation device is configured to traverse through a first opening of the body portion and engage at least part of a radial styloid of the radius bone.

Abstract: According to one example embodiment, a bone fixation plate may include a metaphysis portion, a central column portion, and a lateral column portion. The metaphysis portion is configured to conform to a metaphysis of a volar side of a radius bone. The central column portion is configured to conform to a central column of a diaphysis of the volar side of the radius bone. The lateral column portion is configured to conform to a lateral column of the diaphysis of the volar side of the radius bone.

Abstract: A screw system includes a screw and a washer assembly captive to the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction.

Abstract: An implant for use on a joint-facing end of a bone includes a cap having convex outer surface overlying a concave inner surface and a stem protruding from the inner surface such that an edge of the cap surrounds the stem and overhangs a portion of the stem leading up to the inner surface. The stem may further include a plurality of raised ridges parallel to its length that begin near a tip of the stem and extend onto the portion of the stem overhung by the edge.

Abstract: In accordance with a particular embodiment of the present invention, an implantation tool includes an elongate inner shaft having first and second ends. The tool also includes a first post coupled to the elongate inner shaft proximate the first end of the elongate inner shaft. The first post is configured to engage with a component to couple the component with the elongate inner shaft. The tool further includes a hollow outer shaft defining a longitudinal axial bore within which the elongate inner shaft is disposed. The hollow outer shaft is able to slide along the elongate inner shaft from a first longitudinal position to a second longitudinal position. The hollow outer shaft includes a first locking arm. Moving the hollow outer shaft from the first longitudinal position to the second longitudinal position moves the locking arm closer to the first post.

Abstract: The present disclosure provides for a midface distraction system which includes a cannulated distraction rod having a socket disposed adjacent a first end, and a threaded portion disposed between the socket and a second end of the rod. The midface distraction system may further include a cannulated malar pin having a flange at a first end and a second end configured to form a moveable coupling between the cannulated malar pin and the socket.