Abstract: An adjustable fixation clamp having first and second clamp assemblies positioned about a shaft. The clamp assemblies may each have a pair of vise plates. Each pair of vise plates may define at least two receiving portions and insertion portions intersecting the receiving portions. The receiving portions of one clamp assembly may receive at least two fixation components such as screws, pins or wires. The receiving portions of the other clamp assembly may receive at least one connector such as a rod, bar and/or ring. A biasing structure may be positioned between the first and second clamp assemblies and may allow for the fixation components to be snapped into the receiving portions through the insertion portions. Two or more adjustable fixation clamps may be used to form an external fixation system. At least two screws, pins or wires may be inserted into bone and one of the clamp assemblies may be attached thereto. A guide may be used for insertion of screws, pins or wires into bone.

Abstract: A system for securing a bone fixation device to a bone comprises a flexible longitudinal element configured to wrap about and stabilize one of a target portion of bone and a bone stabilizing element. The longitudinal element includes a plurality of projections extending distally from a first surface thereof. Each projection includes a proximal abutting surface in combination with a bone fixation element including a channel extending therethrough sized and shaped to slidably receive therein a portion of the longitudinal element distal of the head. The bone fixation element includes a recess shaped to receive the head and prevent the head from being drawn distally through the channel. The bone fixation element or the longitudinal element includes a tab configured to engage one of the proximal abutting surfaces to prevent the projections of the longitudinal element from moving proximally relative to the tab.

Abstract: Bone implantable devices and methodologies permit careful application of biologically active substances and management of bone growth processes. The device includes a body defining a carrier receiving area for locating adjacent bone. Carrier material is located in the carrier receiving area. Substance is delivered onto carrier material through a port. A pathway delivers substance from the carrier receiving area to the bone surface. The body may be in the form of a spinal fusion cage, facet fusion screw, artificial joint, bone fixation plate, interbody graft, IM nail, hip stem, or other bone-to-bone appliances or bone-to-device appliances. In use, carrier is installed in the carrier receiving area of the device. The device is then implanted adjacent a bone. The substance is applied to the carrier for subsequent delivery to the bone. By doping carrier material after device implantation, inadvertent contact of the substance with non-target bone is more easily eliminated.

Abstract: Minimally invasive methods and devices are provided for positioning a spinal fixation element in relation to adjacent spinal anchors. In an exemplary embodiment, the device is a percutaneous access device that can be coupled to a spinal anchor, and the method includes the step of positioning a spinal fixation element through at least one sidewall opening of at least two percutaneous access devices such that the spinal fixation element extends in a lengthwise orientation that is substantially transverse to the longitudinal axis of each percutaneous access device. The spinal fixation element can then be advanced in the lengthwise orientation to seat the spinal fixation element in or adjacent to the receiver heads of at least two adjacent spinal anchors. A fastening element or other closure mechanism can then be applied to each spinal anchor to engage the spinal fixation element within the receiver heads of the adjacent anchors.

Abstract: An improved tibial plateau leveling osteotomy plate is disclosed. The plate is contoured in its proximal head portion to more closely resemble the structure of the tibial bone segment that is cut and rotated during the procedure. The plate also preferably has screw holes in the proximal head portion that are machined through the pre-contoured proximal head portion and are designed to angle the screw in a targeted screw path with respect to the osteotomy.

Abstract: An intervertebral implant for fusing vertebrae is disclosed. The implant may have a body with curved, posterior and anterior faces separated by two narrow implant ends, superior and inferior faces having a plurality of undulating surfaces for contacting vertebral endplates, and at least one depression in the anterior or posterior face for engagement by an insertion tool. The implant may also have one or more vertical through-channels extending through the implant from the superior face to the inferior face, a chamfer on the superior and inferior surfaces at one of the narrow implant ends, and/or a beveled edge along a perimeter of the superior and inferior faces. The implant configuration facilitates transforaminal insertion of the implant into a symmetric position about the midline of the spine so that a single implant provides balanced support to the spinal column. The implant may be formed of a plurality of interconnecting bodies assembled to form a single unit.

Abstract: Implementations of the present disclosure provide a fastener including a tip portion, a proximal portion, an advancement mechanism and an expandable member. The tip portion has a first surface. The proximal portion is configured for coupling to the tip portion and has a second surface. The mechanism advances the first surface toward the second surface. The expandable member includes a first end abutting the first surface of the tip portion and a second end abutting the second surface of the proximal portion. Advancement of the two surfaces toward each other advances the first end of the expandable member toward the second end of the expandable member. The expandable member is configured to expand in response to the advancement. At least one of the ends of the expandable member is a free end extending under and configured to rotate with respect to an abutting one of the first or second surfaces.

Abstract: A method for providing joint arthroplasty includes resecting an end portion of a long bone, preparing a central longitudinal opening in a medullary canal of the long bone, providing a prosthetic stem component, installing the prosthetic stem component into the opening in a medullary canal, providing a reamer including an opening for receiving the prosthetic stem component, positioning the reamer onto the prosthetic stem component with the opening of the reamer positioned at least partially over the prosthetic stem component, reaming a portion of the long bone with the reamer, removing the reamer, and installing a prosthetic body component onto the prosthetic stem component.

Abstract: A surgical retractor includes a plurality of blade assemblies interconnected by a plurality of racks. One or more of the blade assemblies is movable along a rack to selectively expand the retractor. At least one of the blade assemblies includes a blade that is rotatably connected to the blade assembly and that is rotatable independent of other blades of the retractor.

Abstract: An intramedullary nail includes (a) a longitudinal nail body extending from a proximal end to a distal end and having a central longitudinal axis and a diameter D, the nail body being configured for insertion into a medullary cavity of a bone, the nail body having a proximal portion and a distal portion longitudinally separated from one another; (b) a first transverse hole extending through the distal portion of the nail body at an angle transverse to the central longitudinal axis and defining a first transverse hole axis, the first transverse hole axis being offset from the central longitudinal axis of the nail body; and (c) a second transverse hole extending through the distal portion of the nail body at an angle transverse to the central longitudinal axis and defining a second transverse hole axis. The first transverse hole axis intersects the second transverse hole axis.

Abstract: The present invention is directed to a porous or permeable containment device for implanting into the interior volume of a targeted vertebral body for use in restoring the anatomy of the targeted vertebral body. The containment device is expandable from an insertion configuration to an expanded configuration via, for example, a bone filler material. The containment device preferably permits the bone filler material to flow out of the containment device via, for example, one or more pores, one or more flow-directing tentacles, etc. so that the bone filler material may interdigitates with the surrounding bone tissue. The containment device is preferably configured to have a pre-determined, ‘dog-bone’ shape, when in the expanded configuration.

Abstract: An assembly tool for assembly of a first component of a prosthesis to a second component of the prosthesis. The tool includes a housing defining a housing longitudinal axis thereof. An internal component is also provided and is connected to the second component and includes an actuating device and an actuator rod defining a second longitudinal axis that is coexistent with the housing longitudinal axis. The internal component is adapted to provide relative motion of the internal component with respect to the housing when the actuating device is moved relative to the housing in at least a direction transverse to the housing longitudinal axis and the actuator rod of the internal component is moved relative to the housing in a direction parallel to the housing longitudinal axis.

Abstract: A registration pointer includes a camera located in an elongated shaft having a distal end configured to be contacted to a bone of a patient to register the bone to a computer assisted orthopaedic surgery system. The camera may be a hemispherical camera and may include a panoramic camera and a wide-angle camera equipped with a fish-eye lens. The registration pointer is configured to transmit images received by the cameras to the computer assisted orthopaedic surgery system for display thereon. The computer assisted orthopaedic surgery system may be configured to generate an image, such as a hemispherical image, based on the images received from the registration pointer.

Abstract: A device for treating fractures of a bone comprises a plurality of arms, each extending from a proximal end to a distal end and movable in a three-dimensional space, the proximal end of each arm coupled to a frame and a plurality of couplings, each of the couplings coupled to a distal end of each of the plurality of arms, the coupling lockingly receiving a bone fixation element secured to a corresponding bone fragment such that each of the arms is coupled to a corresponding fragment of the bone in combination with a mechanical unit moving each of the arms relative to the frame and a controller receiving data corresponding to a desired final position of the fragments relative to one another and controlling the mechanical unit to move the arms relative to one another to achieve the desired final position of the bone fragments relative to one another.

Abstract: An adjustable balloon that includes a handle having an inflation port, an access cannula, a rotary handle, an inner sleeve and sharp tip. The inner sleeve extends within the access cannula to support compliant, inflatable structure. The access cannula may be retracted into the handle by operation of the rotary handle to expose the inflatable structure, such that the inflatable structure may have an adjustable length. The access cannula may include length indicators to show a length of the inflatable structure as a result of the access cannula being withdrawn into the handle.

Abstract: A bone plate having a shape of an “X”. The bone plate includes an upper side, an underside facing the bone, a middle part and, adjoining thereon, a peripheral region, which encloses the four extensions of the “X” and in which four plate boreholes are accommodated. The plate boreholes have means, which are suitable for the rigid, angularly stable anchoring of bone screws which may be introduced therein.

Abstract: Methods and instruments are provided for connecting a rod extending along a patient's spinal column to a misaligned vertebra. The method comprises implanting a bone anchor in the misaligned vertebra, attaching an approximating device to the implanted bone anchor and rod, approximating the vertebra toward the rod using the approximating device, and connecting the rod to the bone anchor on the approximated vertebra. In certain embodiments the approximating device may include a winch mechanism. In other embodiments the approximating device is a cannula used in conjunction with a guide system.

Abstract: A system for locking an intramedullary nail to a bone includes a first plate sized and shaped to be inserted through a channel of an intramedullary nail and dimensioned to prevent its passing through a locking hole of the intramedullary nail and a second plate sized and shaped to be positioned along a portion of an exterior of a hole drilled in the bone and dimensioned to prevent its passing through the hole drilled in the bone along with a connector couplable to the first and second plates and slidable through the channel of the intramedullary nail to extend through the locking hole from an interior of the channel to an exterior of a bone in which the intramedullary nail has been inserted.

Abstract: The present invention relates in general to implantable flexible bone composites, and method for preparing the same. The flexible bone composite includes at least one polymeric layer and at least one calcium-containing layer. The polymeric layer can be a polymeric layer including a synthetic polymer. The calcium-containing layer can include a calcium compound such as ?-Ca3(PO4)2. The flexible bone composites of the invention are useful as bone void fillers and have improved handling characteristics.

Abstract: Reciprocating rasps for the surgical preparation of the bone prior to the implantation of a glenoid or acetabular component with complex geometry are disclosed. Surgical methods for the use of such reciprocating rasps are also disclosed. A reciprocating rasp for use in the surgical preparation of an acetabulum includes a shaft having a first end configured to be secured in a chuck of a reciprocating tool, and a cutting head secured to a second end of the shaft. The cutting head includes a cutting surface having a plurality of cutting teeth arranged in a geometry that corresponds with a geometry of the acetabular component, and an alignment guide that is devoid of cutting teeth and configured to cooperate with a complementary alignment guide of an acetabular trial instrument when the cutting head is secured to the second end of the shaft.