Abstract: The present disclosure relates to a tibial osteotomy system. The system includes a base plate configured to interface with the tibia which includes a body with a first pair of apertures configured to receive a first pair of stabilization elements, a first end with a first aperture, and a second end with a second aperture. The system also includes a measuring arm coupled with the first end of the base plate via the first aperture and having a third aperture aligned with the first aperture to receive a first screw, and a cut guide pivotably coupled with the second end of the base plate via the second aperture and having a fourth aperture aligned with the second aperture to receive a second screw therein. The cut guide also has a slot, a measurement flag releasably couplable within the slot, and a protrusion configured to receive a second stabilization element.

Abstract: Instruments, guides, systems and related methods for total ankle prostheses are disclosed. The instruments, guides, systems and related methods facilitate preparation of a tibia and/or talus of a patient for implantation of a total ankle prosthesis therein. The instruments, guides, systems and related methods also facilitate selection of a particular size of a tibial component, a talus component and/or a tibial insert of the total ankle prosthesis that suits the patient. The instruments, guides, systems and related methods include a tibial trial component, a talar trial component and tibial insert trial component that replicate one or more aspects of the tibial component, the talus component and the tibial insert, respectively, of the total ankle prosthesis. The talar trial component includes an articulation surface that articulates with the tibial insert trial component, and slots that facilitate chamfered resection of the patient's talus for the implantation of the talus component thereon.

Abstract: A distractor system for use in a joint between two bone surfaces of an anatomical structure includes, for example, distractor and at least one detachable tool comprising a body having a proximal portion and a distal portion, said proximal portion being releasably attachable to at least one of a first end of the distractor and/or a second end of the distractor. The distal portion of the detachable tool being operably positionable in the joint between the two bone surfaces of the anatomical structure. The detachable tools may include a detachable paddle.

Abstract: Guides, implants, devices, instruments, systems, and assemblies for achieving bone fusion are disclosed. A bone fusion system, including an implant template, a guide wire for insertion through the implant template, a bone plate for receiving the guide wire, and an alignment guide apparatus for coupling to the bone plate. Methods of using a bone fusion system for achieving bone fusion are also disclosed.

Abstract: The present invention discloses a moveable bone plate implantation system, controlled movement assembly, and method. The moveable bone plate implantation system includes a movement instrument, translation member removeably coupled to the movement instrument, and a bone plate detachably connected to the translation member. The controlled movement assembly includes a translation member and a bone plate. The translation member includes a shaft with a first end and a second end and a head portion at the first end. The head portion includes an engagement groove recessed into the head portion and a lip extending out from a bottom portion of the engagement groove. The bone plate includes an engagement aperture for receiving the engagement groove and the lip engages a bottom surface of the bone plate during translation of the bone plate. A method for moving bones is also disclosed.

Abstract: A bone plate system includes, for example, a bone plate and at least one bone plate hole cap. The bone plate includes a body having a first surface, a bone-engaging surface, and a plurality of through-openings. The bone plate hole cap includes a body having a first surface, a second surface, and a peripheral surface. The bone plate hole cap is securable in at least one of the through-openings in the bone plate. When the bone plate hole cap is secured in the through opening, the second surface of the bone plate hole cap is disposed adjacent to the bone-engaging surface of the bone plate. The bone plate with the bone plate hole cap secured in the through-hole increases the bending strength of a portion of the bone plate across the bone plate hole cap compared to the portion of the bone plate without the bone plate hole cap.

Abstract: Knotless suture-based implant systems and related methods for joining bone and/or tissue portions is disclosed. The implant systems include a flexible anchor tube comprising an annular side wall defining an internal cavity, a first longitudinal end and a second longitudinal end. The implant systems also comprise a suture that extends through the side wall of the anchor tube a plurality of times and forms a free loop portion that extends from the side wall. The implant systems further comprise at least one suture passer extending through a portion of the loop portion of the suture configured to translate first and second end portions of the suture through the loop portion via translation of the at least one suture passer. The suture extends along a pattern that allows the suture to slide through the anchor tube when the first and second end portions of the suture are tensioned.

Abstract: Instruments, guides, systems and related methods for total ankle prostheses are disclosed. The instruments, guides, systems and related methods facilitate preparation of a tibia and/or talus of a patient for implantation of a total ankle prosthesis therein. The instruments, guides, systems and related methods also facilitate selection of a particular size of a tibial component, a talus component and/or a tibial insert of the total ankle prosthesis that suits the patient. The instruments, guides, systems and related methods include a tibial trial component, a talar trial component and tibial insert trial component that replicate one or more aspects of the tibial component, the talus component and the tibial insert, respectively, of the total ankle prosthesis. The talar trial component includes an articulation surface that articulates with the tibial insert trial component, and slots that facilitate chamfered resection of the patient's talus for the implantation of the talus component thereon.

Abstract: Instruments, devices, systems and methods for maintaining, correcting and/or fusing joint deformities are disclosed. The system includes a first translation mechanism, a second translation mechanism coupled to the first translation mechanism, and a third translation mechanism coupled to the second translation mechanism, and a tower coupled to the third translation mechanism. Methods of assembling and using the alignment guides for maintaining, correcting and/or fusing joint deformities are also disclosed.

Abstract: A distractor system for use in a joint between two bone surfaces of an anatomical structure includes, for example, distractor and at least one detachable tool comprising a body having a proximal portion and a distal portion, said proximal portion being releasably attachable to at least one of a first end of the distractor and/or a second end of the distractor. The distal portion of the detachable tool being operably positionable in the joint between the two bone surfaces of the anatomical structure. The detachable tools may include a detachable paddle.

Abstract: A surgical method surgical method includes collecting a set of patient data, identifying at least one significant point from the set of patient data, creating a surgical guide based on the at least one significant point and the patient data, and coupling the surgical guide with a calcaneum of a patient. The surgical method also includes performing at least one cut into the calcaneum using the surgical guide, wherein the at least one cut forms a recess in the calcaneum and defines a first calcaneal portion positioned substantially anteriorly from the recess and a second calcaneal portion positioned substantially posteriorly from the recess, shifting at least one of the first calcaneal portion and the second portion in a medial direction by placing an implant at least partially within the recess, and coupling the implant with the first calcaneal portion and the second calcaneal portion.

Abstract: Implants, and surgical methods are disclosed herein. The implant includes a first fiber population that includes at least one non-resorbable fiber and an arrangement of non-resorbable fibers that includes a plurality of gaps between portions of the at least one non-resorbable fiber. Further, the implant includes a second fiber population that includes at least one resorbable fiber and an arrangement of resorbable fibers that includes a positioning of the at least one resorbable fiber that traverses the plurality of gaps.

Abstract: Instruments, systems and methods for using the same for correcting bone deformities in the lower extremity are disclosed. An implant insertion and removal system, including an insertion instrument that has a body portion with a handle portion at a first end of the body portion and a coupling member extending away from the handle portion to a second end of the body portion, and an engagement member rotatably coupled to the coupling member of the body portion. Specifically, instruments and systems used for hammertoe procedures are disclosed.

Abstract: A method for performing an arthroplasty of a subtalar joint includes making at least one incision adjacent the subtalar joint, accessing the subtalar joint defined superiorly by a first articular surface and inferiorly by a second articular surface, and preparing at least one of the first articular surface and the second articular surface to form first and second interfacing surfaces. The method further includes identifying at least one landmark of the first interfacing surface and the second interfacing surface, determining at least one significant point on at least one of the first interfacing surface and the second interfacing surface relative to the at least one landmark, and placing at least one trial implant. The method also includes securing an implant positioned substantially inferior relative to the first interfacing surface and substantially superior relative to the second interfacing surface, stabilizing the subtalar joint, and closing the at least one incision.

Abstract: Instruments, devices, systems and methods for maintaining, correcting and/or fusing joint deformities are disclosed. The system includes a first translation mechanism, a second translation mechanism coupled to the first translation mechanism, and a third translation mechanism coupled to the second translation mechanism. Methods of assembling and using the alignment guides for maintaining, correcting and/or fusing joint deformities are also disclosed.

Abstract: The present invention discloses an alignment guide apparatus, system, and method. The alignment guide apparatus includes a body, a fixation insert, a guide pin, and a screw. The body may include an arm with a first end and a second end, an attachment portion at the first end, and an alignment portion at the second end. The fixation insert may be configured to pass through the attachment portion and the guide pin may be configured to pass through the alignment portion. The screw may be configured to engage the guide pin. The alignment system may include a bone plate, an alignment guide, a screw, at least one first fastener, and at least one second fastener. A method for moving a joint is also disclosed.

Abstract: Laser-based implant guide systems and methods that align an implant with an axis of an anatomical structure of interest are disclosed. The systems include a target base configured to couple to a patient in alignment with the axis, and a target member configured to couple to the target base that includes a visual indication of the location of the axis. The systems further include an implant guide that includes a laser device and a resection guide. The implant guide is configured to adjust at least one of the position and the orientation of the laser device with respect to the anatomical structure of interest such that a laser line projecting from the laser device is aligned with the visual indication of the target member, and the resection guide facilities implantation of the implant in a resected portion of the anatomical structure of interest in alignment with the axis.

Abstract: Instruments, devices, systems and methods for maintaining, correcting and/or fusing joint deformities are disclosed. The system includes a first translation mechanism, a second translation mechanism coupled to the first translation mechanism, and a third translation mechanism coupled to the second translation mechanism, and a tower coupled to the third translation mechanism. Methods of assembling and using the alignment guides for maintaining, correcting and/or fusing joint deformities are also disclosed.

Abstract: Implant guides, devices, systems and methods for implants to correct bone deformities and fractures in the lower extremity are disclosed. Specifically, implant guides, devices, systems and methods used for implants to correct bone deformities and/or fractures in the foot and ankle are disclosed.