Abstract: An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

Abstract: The present invention preferably provides for a method of forming and the resulting solid polymer gel composition comprising polyethylene imine and at least one hydrogen bonding polymer. The composition has a greater viscosity than either of the polyethylene imine or the hydrogen bonding polymer alone and is injectable immediately after mixing of the polyethylene imine and the at least one hydrogen bonding polymer. A method of tissue repair may include mixing about 9.25% (w/w) to about 13.65% (w/w) polyethylene imine and about 18.02% (w/w) to about 26.62% (w/w) polyvinyl alcohol to form an injectable composition; injecting the injectable composition into a cavity within a human body; and allowing the composition to solidify in situ. A kit may include a multi-barrel syringe at least one barrel is loaded with polyethylene imine and at least another barrel is loaded with at least one hydrogen bonding polymer.

Abstract: A trial implant assembly is provided that includes a threaded shaft having exterior threading adjacent a distal end and a trial implant that includes a trial base having an interiorly threaded through hole couplable to the distal end of the shaft and a trial head having a superior endplate and an inferior endplate and a support connecting the superior endplate to the inferior endplate. A variety of visualization windows are provided through the trial implant as well as a variety of mechanically adjustable stops to prevent over insertion of the trial head within the intervertebral disc space.

Abstract: A bone screw driving system includes a screw having a head and a shaft extending from the head. The screw includes a stepped opening extending in the shaft that includes a first portion and a second portion having a greater cross-sectional dimension than the first portion. The bone screw driving system further includes a screw driver having a driver shaft that defines a tip configured to engage the screw head. The driver further includes a pin extending from the tip and sized to fit within the opening. The pin includes an abutment movable to a locked configuration in the second portion of the opening, wherein the abutment defines a cross-sectional dimension greater than that of the first portion of the opening.

Abstract: A dilator system includes a series of sequential dilators. A first dilator has an elongated body having a major axis and a minor axis, the minor axis being substantially normal to the major axis. A second dilator has an elongated body having a major axis and a minor axis, the minor axis of the second dilator being substantially normal to the major axis of the second dilator. A bore of the second dilator is configured to matingly receive the first dilator in such a way that the major axis of the second dilator is aligned with the minor axis of the first dilator and the minor axis of the second dilator is aligned with the major axis of the first dilator.

Abstract: A method and apparatus assisting safe one-handed insertion of an implant. An implant implantation device has a frame which includes a trigger mechanism, an outer sleeve mechanically coupled to the frame, an inner shaft having a grabber for mechanically engaging an implant, the inner shaft slidably disposed within the outer sleeve, and a retaining element disposed over the inner shaft for directing the grabber toward a closed position. An implant clip has a first member, a second member pivotally coupled to the first member, a first implant holder pivotally coupled to the first member, the coupling causing the implant clip to have a closed position and an open position, and a second implant holder, the second implant holder pivotally coupled to the second member, a surface of the first implant holder and a surface of the second implant holder remaining substantially parallel to each other while the first member and the second member pivot between the closed position and the open position.

Abstract: A hook plate assembly includes a bone plate extending along a longitudinal axis from a first end to a second end and including an upper surface facing away from a bone, a bone contacting surface, a plate hole extending therethrough from the upper surface to the bone contacting surface and a connection section arranged at the second end. The plate hole is sized and shaped to receive a bone fixation element therethrough in combination with a hook including a connecting portion configured to connect the hook to the connection section of the bone plate and a fastening element releasably coupling the hook to the bone plate.

Abstract: An adjustable length bone screw is provided that has a shaft that can be cut at any of several predetermined positions. The adjustable length bone screws can be provided in a kit containing many bone screws having the same or different initial lengths, and these screws can be cut to the desired length for use in the surgical procedure prior to, or during, the surgical procedure. The adjustable length bone screws have a plurality of threaded shaft sections that are separated by a plurality of unthreaded shaft sections along the length of the shaft. The threaded sections have preferably at least two cutting flutes extending longitudinally along the shaft. The invention provides the adjustable length bone screws, a tool for cutting the bone screws to a desired length, kits containing the bone screws and optionally the cutting tool, and methods for using the screws and/or the cutting tool in preparation for or during a surgical procedure.

Abstract: A method and device are for attaching a bone plate to a bone includes the steps of placing a first surface of a wire insertion device against the bone, inserting a reference wire through an opening of the wire insertion device extending therethrough from the first surface of the wire insertion device to a second surface of the wire insertion device, removing the wire insertion device from the reference wire and positioning a bone plate on the bone by moving the bone plate in a transverse direction relative to a longitudinal axis of the reference wire so that the reference wire is received within a slot of the bone plate, the bone plate including a first surface facing toward the bone and a second surface opposing the first surface, the slot open to a lateral side surface connecting edges of the first and second surfaces.

Abstract: The present disclosure is directed, at least in part, to a method of producing ceramic layers on magnesium and its alloys, a magnesium implant with a ceramic layer made by the method, and a magnesium implant having a biocompatible ceramic layer substantially free of material which impairs the biocompatibility of said biocompatible ceramic layer.

Abstract: An implant extends along a central axis, and includes first and second members spaced along the central axis. The implant can include a compliant interface. The compliant interface includes a plurality of spring members, the plurality of spring members arranged to space apart the first member from the second member along the central axis.

Abstract: Systems and methods for registering objects with a surgical navigation system are described herein. In one embodiment, a method for registering objects with a surgical navigation system can include detecting identification information associated with an object using a sensing device coupled to a digital data processor and detecting a position-tracking array using the sensing device. The method can also include searching a digital data store coupled to the digital data processor that contains a listing of objects and associated identification information to identify an object having identification information that matches the identification information detected by the sensing device, and registering with the surgical navigation system an association between the position-tracking array and the identified object.

Abstract: A method for performing an orthopaedic surgical procedure on an acetabulum of a patient includes the steps of securing an acetabular shell component to an acetabulum of a patient and securing a first insert to an acetabular shell component configured to be implanted within an acetabulum of a patient. The method further includes the steps of securing a second insert to the first insert such that the outer surface of the second insert contacts the inner surface of the first insert and securing a femoral head configured to be secured to a femoral stem to the second insert such that the outer surface of the femoral head contacts the inner surface of the second insert.

Abstract: A bone fixation implant is provided that includes a bone fixation plate and a plurality of fasteners. The bone fixation plate corresponds generally to stress lines imparted onto the mandible during anatomical function of the mandible. Thus, the bone fixation plate includes a primary leg and an auxiliary leg extending obliquely out from the primary leg.

Abstract: An implant for use in orthognathic surgery of a maxilla may include a longitudinal plate member and a plurality of pre-shaped fingers extending from an upper edge of the plate member. The longitudinal plate member is pre-shaped to correspond to the pre-operative shape of the maxilla; and the fingers are pre-shaped to correspond to the shape of the maxilla. The fingers may be pre-shaped to correspond to either the pre-operative shape or the post-operative shape of the maxilla.

Abstract: An intervertebral prosthesis or disk prosthesis comprising a front side, a rear side, an upper side which can be placed on the base plate of vertebral body, a lower side which can be placed on the base plate of a vertebral body, a right side, a left side, a cavity which can receive a fluid hydraulic osteocementum, an opening in the cavity and several outlets out from the cavity. The total of the transversal surfaces of the outlets SV on the front side, the total of the transversal surfaces of the outlets SH on the rear side, the total of the transversal surfaces of the outlets SR on the right side and the total of the transversal surfaces of the outlets on the left side satisfy the following conditions: SL>SR or SR>SL or SH>SV or SV>SH.

Abstract: An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

Abstract: An intervertebral implant for implantation between an upper vertebra and a lower vertebra having a central axis. The implant may have a first member with a top surface for contacting at least a portion of the upper vertebra and a bottom surface as well as a second member with a top surface and a bottom surface for contacting at least a portion of the lower vertebra. An elastic spacer may be disposed between the first member and the second member. Contraints may be employed to to limit the amount of lateral movement between the first and second members.

Abstract: An anchor-in-anchor fixation system is provided for securing underlying structure, such as bone. The fixation system includes a first bone anchor having a shaft for fixation to underlying bone, and a head that defines an internal bore. A second bone anchor extends through the bore and into underlying bone. A fixation assembly is also provided that includes one or more fixation systems coupled to an auxiliary attachment member configured for long bone fixation, spinal fixation, or fixation of other bones as desired.

Abstract: A relatively inexpensive cannula is sized by including indica on a cannulated dilator that is used to measure the depth of a body cavity, and in one embodiment with the use of a cuttable fixture inserted into an initially enlarged dilator retractor made from a cuttable material the excess of the dilator retractor is snipped by a commercial cutter. A tool engaging the end of the cannulated dilator provides leverage on the cannulated dilator for rotation as it is forced into the body cavity, a pusher tool provides leverage on the dilator retractor for inserting the dilator retractor into the body cavity. A clamp that fits the top of the dilator retractor serves to support the dilator retractor through an arm to a rigid structure. In an alternate embodiment one of a series of sized dilator retractors are selected commensurate with the measurement attained by the scaled cannulated dilator.