Abstract: An intervertebral implant comprising a lower implant part, having a central axis and an apposition section, designed to rest against the covering surface of the adjacent lower vertebra and an upper implant part comprising a bore with an internal thread, a central axis and an apposition section, designed to rest against the covering surface of the adjacent upper vertebra. Specifically, the lower and upper implant parts are secured in relation to each other against rotation about the central axis and a threaded screw with an external thread is guided in the upper implant part and connected to the lower implant part, the external thread cooperating with the internal thread. The lower and upper implant parts, and the threaded screw lie coaxially along their common central axis, the threaded screw being connected to the lower implant part so that it is axially fixed but able to rotate.

Abstract: A generally rectangular intra-spinous spacer preferably made of bone material advantageously has a low potential for bone fusion. The spacer has depressions sized and positioned on opposite sides to receive spinal processes. The depressions reduce the amount of bone-to-spinal process contact. A fixation strap of the spacer secured either to both the superior and inferior spinous processes or to only one of the superior or inferior processes laterally maintains the implanted position of the spacer and limits either flexion and extension, just flexion, or just extension.

Abstract: The device for performing osteosynthesis includes a fixation element, such as a bone plate having a bottom surface designed to bear against the bone, a top surface, and at least one through hole extending from the bottom surface to the top surface, the though hole having a central axis and configured and dimensioned to receive a multiaxially pivotal insert or bushing for a bone screw. A bushing insertable into the through hole, includes a central bore designed to receive a bone screw, the central bore having a longitudinal axis, and a peripheral outer surface designed to be in contact with the through hole. The bushing is configured and dimensioned to be radially compressible and radially expansible, and the cross section of the through hole, which is orthogonal to the central axis, is non-circular. The cross section of the bushing that is orthogonal to the longitudinal axis has a shape that corresponds substantially to the cross section of the through hole of the bone plate.

Abstract: An osteotomy guide is provided for cutting a bone, such as the medial distal tibia, to facilitate an ankle replacement. The osteotomy guide includes a positioning device having a number of fixation points, a first guide member structured to align with a first portion of the bone, in order to perform a first procedure, thereon, and a second guide member structured to align with a second portion of the bone, in order to perform a second procedure thereon. The fixation points engage the bone and maintain alignment of the first guide member with respect to the first portion during the first procedure, and maintain alignment of the second guide member with respect to the second portion during the second procedure, in order that the first procedure and the second procedure are substantially reproducible.

Abstract: A system for performing a less invasive surgical procedure and, in particular, devices and methods for spinal fixation. The system comprises dilation tool(s), at least one working/insertion cannula, a plurality of screws, at least one fixation rod for connecting the screws, and a rod inserter. The dilation tool(s) may be used to dilate an incision made in a patient to form an opening. An insertion cannula may be attached to a screw and inserted into the opening. The screws may be polyaxial screws and may be inserted into the vertebrae using a screwdriver. An operator may then move the insertion cannula to manipulate a head portion of the screws such that the head portions may be aligned to receive a fixation rod. A rod inserter may be used to insert a fixation rod into the head portions.

Abstract: Translational bone fixation assemblies, kits containing such assemblies, and methods of use are described herein. The described assemblies may be used in spinal fusion procedures in which a damaged or diseased disc (or part of a disc) is removed from between a pair of vertebrae and a spinal fusion spacer is placed between the vertebrae. The assemblies may be applied to an anterior portion of the affected vertebrae to span the affected disc space, and may be fixed to the vertebrae using bone screws. The assemblies may function to maintain the vertebrae aligned during the initial period following fixation in which fusion of the spacer to the adjacent vertebrae occurs. The assemblies may also function to share some of the axial spinal load applied to the fusion spacer to prevent extreme subsidence of the spacer into the vertebral body, such as where the patient has poor bone quality.

Abstract: The present invention is directed to an inflatable device for use in restoring the anatomy of diseased or fractured bone. The inflatable device may be a balloon of varied size or shape to conform to the bone to be treated and may be deployed in any type of bone where collapsed fractures of cortical bone may be treated by restoring the bone from its inner surface. Once the bone has been sufficiently restored the balloons may be deflated and removed, or may remain inside the bone. The balloon may have multiple layers to provide desired surface characteristics, resistance to puncture and tearing, or other beneficial properties, as appropriate for the particular application of the device.

Abstract: A device for fixation of vertebral bodies including a longitudinal support with a central axis and two or more anchoring elements. Each anchoring element having a longitudinal axis, a front end, and a back end. The longitudinal axis of each anchoring element may be arranged at an angle of between 65 degrees and 115 degrees relative to the central axis of the longitudinal support, while the anchoring elements are designed to abut the back end. The anchoring elements may be shaped in the form of a blade toward the front end.

Abstract: A Craniofacial Fracture Reduction Assembly is disclosed, the assembly providing a surgeon with precise control over the surgical reduction of fractured craniofacial bone pieces. The fracture reduction assembly may include a reduction platform, and a threaded fragment manipulator. The reduction platform has top and bottom surfaces and at least one receiving hole in communication therewith. The receiving hole is configured to accept a fragment manipulator. The fragment manipulator may comprise an elongated member having a bone engaging portion for engaging a targeted fractured bone piece and a center threaded portion. Working in combination with a reduction nut, the fragment manipulator provides accurate control over the fragment reduction vector. In use, the bone engaging end of the fragment manipulator is inserted through the receiving hole in the reduction platform and then into the fracture region where it engages the targeted fractured bone piece.

Abstract: Methods and devices are shown for a composite material that is easily applied to a surface such as a bone defect in need of filling or reinforcement, etc. The composite material provides good mechanical properties such as compressive strength upon curing in the presence of water. Selected materials and methods as described are further bioabsorbable with absorption rates that are controllable to provide desired morphology over time. In selected embodiments a pharmaceutical agent further provides benefits such as bone growth, infection resistance, pain management, etc.

Abstract: The implant according to the invention is intended to be used as a replacement for an orbita bottom and optionally also for the medial orbita wall. The implant comprises the form of a single-piece preformed plate or grid which comprises a first segment, a second segment and a third segment. The first segment is designed in accordance with the form of the orbita bottom and the second segment is designed according to the form of the medial side-wall. The first and second segments adjoin each other along a first preset breaking line. The third segment adjoins the first segment and is arranged for fixing the implant to the lateral orbita edge.

Abstract: The present invention generally relates to mandibular prostheses. More particularly, the invention relates to a condylar-head replacement for reconstruction of the temporomandibular joint after resection of the condyloid process. The present invention provides a condylar-head replacement comprising a condylar-head attachment that may be adjustably positioned on a reconstruction plate to achieve various condylar-head heights. The condylar-head height adjustment allows the condylar-head replacement to be fit to a particular patient. The condylar-head replacement of the present invention obviates the need for custom fabrication of a condylar-head replacement for a patient.

Abstract: A device for binding a cable about a fractured bone to stabilize a fracture comprises a slot including a distal opening sized to receive an enlarged end of a cable and a proximal opening sized to permit the cable to slide therethrough while preventing the enlarged end from passing therethough and a bore sized to slidably receive the cable, the bore extending to a proximal opening in combination with a locking element channel extending to a distal end opening into the bore and a locking element movable into a locking position in which a distal end of the locking element extends into the bore to engage a portion of the cable received therein and lock the cable in a desired position within the bore.

Abstract: A tool is disclosed for use in forming holes in bone and for driving a cannulated fastener into the formed hole. The tool may having a cutting tip for drilling a hole into bone, and may have a shaft and sleeve for accepting the cannulated fastener and for driving it into the drilled hole. The tool may be adjustable to allow fasteners of different lengths to be accepted, while ensuring that a portion of the cutting tip protrudes beyond the end of the fastener. A multiple-screw tool is also disclosed that allows more than one cannulated fastener at a time to be stacked on the tool, thus speeding the installation process.

Abstract: A bone plate for fixation of proximal humerus fractures comprises an elongated shaft portion having a first width and a head portion connected to the shaft portion having a second width greater than the first width. The head portion and the shaft portion define a common longitudinal axis. At least one first screw hole may be located in the head portion, and at least one second screw hole may be located in the shaft portion. At least one of the first and second holes is configured to engage a head of a bone screw to form an angularly stable connection with the bone screw.

Abstract: A device (100) for creating a tunnel through soft tissue, comprises an elongated insertion member including a lumen extending therethrough to a distal opening, the elongated insertion member being sized to he inserted into the body via an opening of no more than 35 mm diameter and a tunneling member (108) received in the lumen for movement between an insertion configuration in which a tissue penetrating distal tip is received within the lumen and a tunneling configuration in which the distal tip extends distally from the distal opening by a desired distance in combination with a handle (104) coupled to a proximal end of the insertion member, the handle remaining outside the body and including a first actuator (106) for moving the tunneling member between the insertion and tunneling configurations.

Abstract: An intervertebral implant having a lower implant part and an upper implant part. The lower implant part has an outer casing, a hollow cylindrical cavity, an axis of rotation, and an apposition part for contacting the lower vertebra. The upper implant part has an essentially circularly cylindrical shaft, which has an external thread, for extending into the cavity of the lower implant part, an axis of rotation, and an apposition part for contacting the upper vertebra. The two implant parts may be secured to prevent rotation about their axis of rotation. The implant also includes a ring with an internal thread, disposed between the two implant parts and interacts with the external thread of the upper implant part. Rotating the ring permits the distance between the two apposition parts to be adjusted. The ring may be axially fixed but rotatively movably with the lower implant part.

Abstract: An implant for use in bone fixation, includes combination of the two materials: metal and plastic. The implant defines several passages with axles (3) running through the implant, which are suitable for receiving a bone fixation device, such as a bone screw. The passages are provided with a peripheral perimeter, which is made of a different materiel than the material of the implant surrounding the perimeter. The implant is, on the one hand, not too rigid and, on the other hand, does not present problems as regards the screw-implant interface.

Abstract: A device for securing an intramedullary implant within a bone, comprises a bolt having a first portion extending proximally from a distal end of the bolt and a second portion extending proximally from a proximal end of the first portion to a proximal end of the bolt. A length of the bolt is selected to substantially match a thickness of a portion of bone through which it is to be inserted and a length of the second portion being selected to substantially equal a distance from a point on an outer surface of the bone through which the bolt is to be inserted into the bone to an outer surface of the implant so that, when the bolt is fully inserted into the bone, the distal end of the second portion abuts an outer surface of the implant.

Abstract: A bone fixation system including a fixation device having an upper surface, a lower surface and at least one opening extending therethrough and defining a first axis substantially perpendicular to the upper surface, the opening including a plurality of isolated protrusions formed on an inner surface thereof and a bone engaging member insertable through the opening at a selected angle of orientation relative to the first axis, the bone engaging member having a threaded head portion, wherein upon tightening of the bone engaging member, the threaded head portion of the bone engaging member mates with one or more protrusions of the opening to lock the bone engaging member to the plate at the selected angle of orientation relative to the first axis, and wherein the protrusions exhibit the same pitch as the threads on the bone engaging member prior to insertion of the bone engaging member in the opening.