Abstract: A system is proposed including an intramedullary nail with a longitudinal nail axis, a first lateral portion, a second lateral portion opposite to the first lateral portion, and a longitudinal bore. The nail has a locking hole arrangement having a first bore being formed in the first lateral portion and a second bore being formed in the second lateral portion. An axis of the first bore and an axis of the second bore are arranged with an offset from each other, and are arranged so that a locking member such as a screw may frictionally engage within both the first bore and the second bore.

Abstract: In one embodiment, the present invention is a method of fusing fractures of a femoral neck using a bone plate including the steps of: placing a bone plate on the femur; inserting an assembly of a bone screw and a locking ring in an opening in the plate; simultaneously threading the locking ring and the bone screw in the femur; threading the bone screw in the femur to compress the fracture; creating a space between the locking ring and the bone screw; and allowing the bone screw to move towards the locking ring when the femur is loaded. In another embodiment, the present invention is a bone plating system including a bone plate having a plurality of openings; at least one bone screw capable of being received through the opening and into a bone; at least one end cap fixedly insertable in the opening; and a layer of polymeric material interposed between the end cap and the top of the head.

Abstract: An implantation pin kit and a method for implanting an implantation pin includes a cannulated implantation pin having a channel and a heating device. The channel of the pin extends in a longitudinal direction of the pin and connects a proximal opening at a proximal end of the pin with a distal opening at a distal end of the pin. The channel of the pin and the heating device are adapted such that the heating device can be accommodated within at least a portion of the channel of the pin. The heating device is adapted to thermally heat material comprised in at least one of the pin and the heating device. Thereby, meltable material of the pin can be liquefied or additional liquefied meltable material can be inserted into the pin and the liquefied material can then be push towards and out of the distal opening in order to augment and fix the implantation pin in a target structure.

Abstract: The present disclosure relates to software used in planning the correction of bone deformities preoperatively or postoperatively, and in particular relates to virtually manipulating rings and struts of an external fixation frame in order to plan the steps for making a desired correction to two or more bone portions of a patient. The software can be used prior to surgery, allowing a user to virtually define a bone deformity, and virtually add and manipulate fixation rings and struts to the bone deformity. Based on the virtual manipulations, a correction plan can be generated that describes length adjustments that should be made to the plurality of model struts over a period of time to correct the bone deformity. The software can also be used after surgical fixation of the fixation frame and struts to the deformed bone.

Abstract: System for inserting an augmentation pin into an augmentation screw, comprising a pin inserter with an axial through-bore and a lateral opening, a pin-magazine with a pin-retainer for an augmentation pin, wherein the pin-magazine may be placed in the lateral opening of the pin-inserter and an augmentation pin in the pin-retainer may be aligned with the axial through-bore. The augmentation pin may be pushed by means of a pusher from the pin-magazine into an augmentation screw, when the augmentation screw is arranged in front of the pin-inserter.

Abstract: A bone fastener for use in orthopaedic surgery for anchoring an intramedullary nail to bone has a shaft with a front region and a rear region adjacent to the front region. The rear region has one or more explantation grooves helically arranged for facilitating the explantation of the bone fastener. Two axially spaced apart grooves or groove sections are separated by a flat shaft portion defining an outside diameter of the rear region, wherein the rear region has a core diameter greater than a core diameter of the front region.

Abstract: A torque limiter has an outer sleeve whose interior wall possesses at least one peripheral groove and a plurality of recesses running parallel to the axis. An elastic ring is inserted in each groove. A rolling-element cage has the same number of slots as the number of recesses possessed by the outer sleeve that receives it. A plurality of the rolling elements that are inserted into the rolling element slots. The inner sleeve which slots into the rolling-element cage and whose exterior wall possesses the same number of V-shaped notches—running parallel to the axis—as the number of rolling element slots is provided. A tool or system is provided to restrict the relative torsion between the rolling-element cage and the outer sleeve between a first received position—and a second received position—when the outer sleeve is loosened by rotation and the rolling elements which slot into the notches on the inner sleeve change position vis-à-vis the recesses on the outer sleeve.

Abstract: A rack for holding at least one surgical screw is described. The rack comprises a body in which at least one bore is provided and at least two support elements surrounding the bore. The support elements protrude from a first level defined on or in the body and are configured to support the screw head on a second level above the first level. The support elements are spaced apart from each other to define spaces therebetween for enabling fluid communication between the surface and the bore. Further, a system is described comprising the above mentioned rack and one or more surgical screws accommodated in the rack.

Abstract: A targeting system for aligning an axis of a targeting sleeve and a bore in a distal end portion of an intramedullary nail is proposed, the targeting device comprising a distal targeting arm with a first end being configured to be coupled to a trailing end of an intramedullary nail, an adjusting device, the adjusting device being configured to be coupled to the distal targeting arm. The adjusting device may comprise an adjusting element and a nail follower including two targeting holes each being configured to receive a sleeve assembly. The adjusting element may cooperate with the nail follower such that the positions of the two targeting holes are adjustable so as to correspond to respective locking holes at a leading end of the intramedullary nail, even when the nail is bent.

Abstract: A Kirschner wire clamp is used to reliably and simply fix bone plates to a bone surface. The wire clamp consists of a tubular guide member for receiving a Kirschner wire. The guide member has a bore surrounded by a wall and a base for engaging a hole in a bone plate such as a bone screw hole. A spring clamp is mounted adjacent an open end of the tubular guide bore opposite the base which clamps the Kirschner wire to the guide member after the wire has been fixed in bone. The Kirschner wire clamp can be aligned simply and reliably by the guide member, and by the clamping mechanism, can be reliably fixed to the Kirschner wire.

Abstract: An intramedullary nail has a posterior side, an anterior side, a proximal portion and a distal portion is described. A transverse bore is arranged in the proximal portion and is configured to receive a bone engagement member. The transverse bore includes at least two recesses formed at an inner wall of the transverse bore, wherein one recess is arranged on the posterior side and the other recess is arranged on the anterior side of the transverse bore of the intramedullary nail.

Abstract: A bone nail has a shaft with a leading section and a trailing section, wherein the trailing section includes an end surface having at least one depressed portion and at least one elevated portion. The transition between one of the depressed portions and the adjacent elevated portion is smooth. The end surface is formed so as to transmit rotational forces as well as translational forces from a medical device to the shaft of the bone nail, when the medical device is coupled at the end surface to the trailing section of the bone nail.

Abstract: A handling device for handling an augmentation implant is proposed, comprising an elongated housing having an axial through-bore for accommodating a sonotrode of an ultrasound applicator, and a lateral opening for inserting a pin magazine with an augmentation pin, wherein the axial through-bore and the lateral opening are connected to each other. The handling device further comprises a distal implant portion for fastening a proximal end of the augmentation implant at the housing, and a proximal tool portion for driving and/or augmenting the augmentation implant.

Abstract: A protractor for use with an external fixation frame is provided. The protractor may include a face having angle designations thereon and a set of opposed and extending flanges projecting from said face. The flanges may connect to a portion of an external fixation frame, such as a ring (or other component) of the frame. The face may also include a post member to which a rotatable dial is mounted. An elongate member may be pivotally connected to a portion of the post member and may include a clamp. The clamp may be used to connect to an alternate portion of an external fixation frame, such as a strut of the frame. Thus, the protractor may be connected to two points on an external fixation frame so as to measure the angle between such points. Related methods of using the aforementioned protractor are also disclosed.

Abstract: A method for the antimicrobial provision of implant surfaces with silver, in which the method comprises an anodizing of the implant surface with an electrolyte, in which the electrolyte has a silver-yielding substance. Alternatively, the method comprises a silver implantation or a silver PVD deposition.

Abstract: A method of correcting a bone deformity includes fixing first and second support members to first and second fragments of a bone, respectively. The first support member may have a receiver connected thereto. First and second tracking devices are connected to the first and second bone fragments, respectively. A deformity correction plan is determined, and a position of the first support member is adjusted relative to the second support member based on the plan. Location data is transmitted from the first and second trackers to the receiver. Based on the tracker location data, a real position of the first and second bone fragments is determined. The real position of the first and second bone fragment is compared to the deformity correction plan, and the deformity correction plan is reprogrammed based on the comparison. The first and second support members may then be adjusted based on the reprogrammed deformity correction plan.

Abstract: An intramedullary nail has a driving end portion and a non-driving end portion with a longitudinal axis. The non-driving end portion comprises a locking hole arrangement with a sequence of four holes, i.e. spaced from non-driving to driving end a first hole, a second hole, a third hole, and a fourth hole. The first hole and the fourth hole have a corresponding first orientation and the second hole and the third hole have a corresponding second orientation.

Abstract: The insertion tool and pusher system of the present invention includes a bone screw having a head and a shaft. An annular washer is adapted to be mounted on the bone screw shaft. An insertion tool having a longitudinally extending shaft with an axial bore therethrough is provided for receiving the bone screw. The shaft has a first end with a washer retention surface surrounding the insertion tool cannulated shaft bore. The washer is held on the retention surface which positions the washer to receive the bone screw shaft. Pin-like spring elements are used to hold the washer in position. A plate is mounted on an outer surface at the first end of the inserter shaft, the plate having a bone contacting surface.

Abstract: A method for implanting a longitudinal intramedullary nail into the tibia comprises inserting the tibia nail along a plane of symmetry through the tuberositas tibiae. Thereby, the tuberositas tibiae can be used during nail insertion to correctly align the nail and the target arm to the symmetry plane of the bone. This means, that the whole construct, the nail attached to the target arm, has to be inserted in external rotation.

Abstract: An implant system for fixation of bone includes an intramedullary nail, an extramedullary plate, and a bone fastener. The intramedullary nail has a connecting opening defining a first axis and a transverse opening defining a second axis and is configured to receive the bone fastener. The bone fastener is configured to penetrate a first through opening of the extramedullary plate and the transverse opening of the intramedullary nail. The implant system comprises a connecting fastener to fasten the extramedullary plate to the intramedullary nail by insertion through the second through opening of the extramedullary plate and the connecting opening of the intramedullary nail. The first axis is oblique with respect to a longitudinal axis of the intramedullary nail and parallel to the second axis of the transverse opening. Thus, the extramedullary plate can move parallel to the longitudinal axis of the bone fastener towards the intramedullary nail.