Abstract: A system for providing dual compression to a bone joint may include an elongate device having a distal portion receivable within a distal bone tunnel formed in a distal bone of the bone joint, an intermediate portion receivable within an intermediate bone tunnel formed in an intermediate bone of the bone joint, and a proximal portion receivable within a proximal bone tunnel formed in a proximal bone of the bone joint. An intermediate carriage within the intermediate portion may couple with the intermediate bone and translate distally to provide a first compression force between the intermediate bone and the distal bone, and a proximal carriage within the proximal portion may couple with the proximal bone and translate distally to provide a second compression force between the proximal bone and the intermediate bone.

Abstract: Systems and related methods for preparing and treating damage in an ankle joint. The system may include one or more of a reamer, a surgical device, a tibial implant, a placement tool, and a talar implant. The reamer may prepare an intramedullary canal for implantation of an implant. The reamer may include a plurality of nested reamer elements that may be expanded into the intramedullary canal. The surgical device may include a housing containing the reamer and be configured to orient the reamer with the intramedullary canal. The tibial implant may include a plurality of stem components. The placement tool may be configured to combine the plurality of stem components. The talar implant may be configured to be implanted in a talus.

Abstract: An improved joint implant apparatus, system, and method. The system includes an implant having a bone-facing articular surface configured to replace at least part of a natural articular surface of a bone adjacent to a joint. The system also includes a transosseous coupler and a bone anchor configured to reside proximate another surface of the bone, separated from the natural articular surface by a bone tunnel. The bone anchor is configured to couple the transosseous coupler to the bone such that the transosseous coupler retains the implant in place on the natural articular surface of the bone.

Abstract: A compression staple system for bone fixation may include a compression staple configured to span first and second bone portions. The staple may apply compression between the first and second bone portions. An inserter may be configured to releasably engage the staple. The inserter may include a stationary jaw including a first retention mechanism and a moveable jaw including a second retention mechanism. The moveable jaw may be moveable between a closed configuration wherein the stationary jaw may be spaced apart from the moveable jaw a first distance, and an open configuration wherein the stationary jaw may be spaced apart from the moveable jaw a second distance greater than the first. The staple may be captive within the inserter in the closed configuration. The staple may be releasable from the inserter in the open configuration, and the stationary and moveable jaws may remain parallel between the close and open configurations.

Abstract: A bone implant, system, and method for retaining a bone fragment. The implant includes at least one hook that includes a base extending proximal to a proximal end of the implant, a bend, and a prong that extends from the bend. The prong slidably engages a guide feature that guides the at least one hook into a corresponding opening in the bone fragment.