Abstract: Milling and drilling tools and soft tissue management techniques are provided for arthroplasty that facilitate intraoperative and postoperative efficacy and ease of use. In one embodiment, resiliently biased soft tissue protective sleeves surround a side cutting tool and are interposed along the longitudinal axis of the cutting tool, preferably adjacent each side of the bone. The soft tissue protective sleeves are biased to track along the contour of the side of the bone and prevent the cutting tool from being exposed to soft tissue during the resection. In another embodiment, a pilot drill is initially utilized to create an initial bore in the bone to be resected. The pilot drill preferably has an end cutting arrangement and a non-cutting removal channel that minimizes the tendency of the pilot drill bit to drift off-axis as the initial bore in the bone is created.

Abstract: The present invention relates to an orthopedic plate and screw system and instruments for surgical fixation of a small bone or bones. The plate facilitates three dimensional contouring to provide for a variety of applications and to accommodate individual variation in bone shape. The plate has a modified x shape including a central trunk portion including one or more screw holes along a longitudinal axis and a set of divergent upper and an oppositely extending set of divergent lower arms, each arm including screw holes which are placed at a radially equal distance but which diverging asymmetrically from the longitudinal axis relative to its paired upper or lower mate. The screws of the system are self-starting, self-tapping screws including the option of partial or full cannulation.

Abstract: Methods and apparatus for knee arthroplasty, including implants, positioning and alignment guides, cutting guides, cutting tools and techniques for the femur and/or tibia.

Abstract: Methods and apparatus for knee arthroplasty, including implants, positioning and alignment guides, cutting guides, cutting tools and techniques for the femur and/or tibia.

Abstract: The present invention is a fully contoured calcaneal plate having substantially no planar surfaces except at the origin. The contoured plate includes radiused sections, one extending inferior to superior is curved inferior to superior in a shape which is close to cylindrical and which approximates the shape of the cuboid bone. The second radiused section is curved in the vicinity of the anterior strut, and in particular at the inferior portion of the plate, to accommodate the peroneal tubercle. The plate has a rectangular or modified ovoid body section and a dog boned shaped tail with triangular placed holes for fixation.

Abstract: A drill having a head that has a modified egg shape. The distal most end of the drill head is rounded and has a smaller diameter with a cutting bevel which flares into an area having a maximum diameter that is slightly larger than the diameter of the corresponding screw or implant that is used in the surgical procedure. The distal end of the drill also includes a plurality of cutting flutes which extend part of the way up the narrower portion of the drill head just up to the area having the maximum diameter. This drill can then be used to turn a countersink area into the bone at the implant site.

Abstract: A cutting tool is provided with an arcuate cutting blade that preferably engages a guide tool to create a curved resected surface during an arthorplasty procedure. In one embodiment, a depth of the cutting blade is sufficient to permit the simultaneous creation of resected surfaces on two bones that articulate, such as both the femor and the tibia for a given condyle, without the need to reposition the guide or the leg. In another embodiment, a cutting member has a generally rectangular cross-section along a longitudinal axis with a first and second surface having cutting teeth defined thereon and a third and fourth surface adapted to interface with a cutting guide positioned proximate the bone. In this embodiment, the cutting tool can resect the bone in two different directions without reorienting the cutting member.

Abstract: A distal radius plate having a head with a complex palm shaped profile which flares from the sides of the plate to a leading edge that includes a central oblique linking area that helps to mark the placement of the plate relative to the radius. Further, the plate includes an oblique depression that extends from the rounded pinky side of the head and gradually morphs into the elevated styloid prominence in one diagonal direction, and rises less gradually upward into the lunate prominence on the other side of the head. A proximal plate portion mimics the spiral of the radial bone as it spirals along the longitudinal axis, and includes a tighter radial bend. The head includes holes or bores for pegs which extend into the distal portion of the radius to lock fragments into position. In the first embodiment, the angles of the pegs are fixed. In a second embodiment, one or more of the peg holes are provided with a variable axis locking mechanism assembly and the remaining holes are fixed.

Abstract: An orthopedic plate and fastener system is provided for fixation of bones which has an implant that can selectably be used to achieve fixed angle and variable locking of the fasteners, as well as non-locking of the fasteners. The system includes a variable locking assembly that includes a locking insert, having threads which mates with internal threads of a through opening in the implant. The system also provides for locking fixed angle fixation, and non-locking variable angle fixation, all of which can be used with the threaded holes of the plates. The locking insert is provided on a ring driver, which is similar to or acts as the drill guide used with the locking fasteners of the present. Thus, the invention also relates to a method of enabling surgery where the surgeon can select the mode of fixation of fasteners between variable axis locking, variable axis non-locking, and fixed angle locking fixation, all utilizing the same fastener opening within the implant.

Abstract: Methods and apparatus for orthopedic implants.

Abstract: Methods and apparatus for knee arthroplasty, including implants, positioning and alignment guides, cutting guides, cutting tools and techniques for the femur and/or tibia.

Abstract: A locking mechanism assembly to allow locking of a fastener in an orthopedic implant having its axis at a variable angle relative to the axis of threaded through opening in the implant. The assembly includes a locking insert, having threads which mates with the threads of the through opening and which includes a smooth opening that forms a torque driving recess and an annular flange. A fixator has a head portion with external threads of a harder material than that which forms the through opening so that the threads of the fixator will deform the insert to lock the fixator in a desired position relative to the plate.

Abstract: An orthopedic plate is specifically configured for use in osteotomies, in which part of the plate extends into a portion of a first bone segment and part is external to the cortical surface of an adjacent bone segment to fix the segments to allow them to fuse. The plate has a first end and a second end where the end which is inserted into the bone has a chamfer and a through hole having a hole axis optionally at an oblique angle to the longitudinal axis of the plate, and which can receive a screw, peg or pin. The second end of the plate includes a locking screw hole and optionally including a compression slot extending in a direction toward a screw hole in the opposing end. Optionally, the non-locking hole has a shroud that forms an arc or portion of a cylinder over the hole. A plate driver having a recess that holds the plate is used to insert the plate into the bone.

Abstract: A cutting tool for creating resected surfaces of bone during arthroplasty procedures has a single offset handle arm that presents a narrower effective width than a width of the cutting profile of the cutting tool along a longitudinal axis of the cutting profile. Preferably, the single offset handle arm creates a cutting tool with a generally L-shaped outline simultaneously accounting for soft tissue/incision geometry and bony geometry to accommodate both in facilitating ease of use and minimal displacement of soft tissue during cutting. The cutting tool can be snaked into position through an incision approximately the size of the width of the handle arm, instead of requiring an incision that is essentially the width of the cutting path of the cutting tool. In alternate embodiments, the cutting tool is a milling tool, a wireplasty cutting tool, a band saw or reciprocating cutting tool.

Abstract: The present invention relates to an orthopedic plate and screw system and instruments for surgical fixation of a small bone or bones including specifically the small bones of the spine. The plate facilitates three dimensional contouring to provide for a variety of applications and to accommodate individual variation in bone shape. The plate has a modified x shape including a central trunk portion including one or more screw holes along a longitudinal axis and a set of divergent upper and an oppositely extending set of divergent lower arms, each arm including screw holes which are placed at a radially equal distance but which diverging asymmetrically from the longitudinal axis relative to its paired upper or lower mate. The screws of the system are self-starting, self-tapping screws including the option of partial or full cannulation. In a further embodiment, the plate is intended for use through the length of the spine.

Abstract: A partially threaded compression wire with a trocar insertion point is inserted into a first bone fragment and a mating button is crimped into position on the wire to cause compression between the first bone fragment and a second bone fragment. A cannulated instrument applies tension to the wire and crimps the button. In a second embodiment, the wire further includes an internally threaded screw or helix. In the related method, the threaded wire is implanted ante grade or retrograde into the first bone segment and a button is crimped to the wire to apply compression to a second bone segment either cutaneously or percutaneously.

Abstract: Methods and apparatus for performing arthoplasty utilizes a plurality of apertures created in a bone, each aperture having a cross section defined perpendicular to an axis of the aperture that intersects a plane of a resected surface to be created in the bone and also intersects a peripheral rim border that externally delineates the resected surface. A pin feature is inserted into each of the plurality of apertures and the resected surface is created by guiding a cutting tool along at least a line of contact of the pin features. An implant can then be attached to the resected surface.

Abstract: The present invention relates to an orthopedic plate and screw system and instruments for surgical fixation of a small bone or bones. The plate facilitates three dimensional contouring to provide for a variety of applications and to accommodate individual variation in bone shape. The plate has a modified x shape including a central trunk portion including one or more screw holes along a longitudinal axis and a set of divergent upper and an oppositely extending set of divergent lower arms, each arm including screw holes which are placed at a radially equal distance but which diverging asymmetrically from the longitudinal axis relative to its paired upper or lower mate. The screws of the system are self-starting, self-tapping screws including the option of partial or full cannulation.

Abstract: The present invention relates to an orthopedic plate and screw system and instruments for surgical fixation of a small bone or bones including specifically the small bones of the spine. The plate facilitates three dimensional contouring to provide for a variety of applications and to accommodate individual variation in bone shape. The plate has a modified x shape including a central trunk portion including one or more screw holes along a longitudinal axis and a set of divergent upper and an oppositely extending set of divergent lower arms, each arm including screw holes which are placed at a radially equal distance but which diverging asymmetrically from the longitudinal axis relative to its paired upper or lower mate. The screws of the system are self-starting, self-tapping screws including the option of partial or full cannulation. In a further embodiment, the plate is intended for use through the length of the spine.