Abstract: A patient specific guide for hip replacement for patients undergoing hip replacement surgery. The guide works for correction of the acetabulum defects based on a finite element model, which detect the bone quality and guide the surgeons for the optimum screws trajectories. The guide surface reflects the acetabular morphology which provide a correct posting of the cup, especially for the complex case as bone loss, severe fractures and tumors. CT-scan images are used to construct the 3D model of the acetabulum bone, therefore a finite element and virtual surgery planning methods are applied to create the electronic file of the patient specific guide. In final step, the 3D printers are used to produce the patient specific guide.

Abstract: Provided herein are surgical lighting devices, systems, and methods. In particular, provided herein are sterile surgical lights and uses thereof.

Abstract: A surgical tool-piece and a coupling mechanism for a surgical tool-piece are provided. The surgical tool-piece is configured to be driving by a driving mechanism. The surgical tool-piece comprises a shaft having a longitudinal axis running from a distal end of the shaft to a coupling portion at a proximal end of the shaft. The coupling portion comprises a driving section comprising at least three indentations located around the circumference of the coupling portion, each indentation being configured to receive a corresponding driving element of the driving mechanism to secure the tool-piece both longitudinally and rotationally.

Abstract: A tether assembly may be attached to a bone to correct a rotational deformity. The bone may have a growth plate that separates a first section of the bone from a second section of the bone. The tether assembly may have a tether member with a first end, a second end, and a central portion extending between the first end and the second end. The first end may have a closed outer wall that defines and fully bounds a first aperture. The second end may have an open outer wall that defines and partially bounds a second aperture. The open outer wall may define a slot in communication with the second aperture. The first and second ends may be securable to the first and second sections of the bone via coupling members inserted through the first and second apertures and anchored in the first and second sections, respectively.

Abstract: A bone plate assembly and method of utilizing same are disclosed. The assembly includes at least two plates affixed to the bone in two different locations. One of the plates includes a porous bone in-growth surface, and may be entirely porous. The assembly may further include at least one bone screw and cable for affixing the plates to the bone. In the method of use, the plates may be affixed by the screws and/or cables and the plate including the porous surface may be left in place after bone is allowed to grow therein.

Abstract: A cutting system includes a material removal tool having a fluid nozzle with an adjustable diameter, a workpiece including a target shape for removal, and a controller operable to adjust the diameter of the nozzle to vary fluid flow and control an amount of material removed by the material removal tool. The controller is adapted to adjust the nozzle to vary the fluid flow based on a position of the nozzle and workpiece data preoperatively obtained from the workpiece via a continuous feedback loop. A method of cutting a bone is also provided.

Abstract: A fastener delivery tool may comprise a sheath assembly having at least one position retention member proximate a distal end of the sheath assembly, and a handle assembly coupled to a proximal end of the sheath assembly, the handle assembly comprising a housing, a trigger handle, and an insert connector. An external force applied to the trigger handle may cause displacement of the trigger handle relative to a rest position, and displacement of the trigger handle from the rest position within a first displacement range may impart a first amount of force on the insert connector relative to the applied external force and displacement of the trigger handle from the rest position within a second displacement range may impart a second amount of force on the insert connector relative to the applied external force, with the first amount of force being greater than the second amount of force.

Abstract: Disclosed are laminoplasty devices and systems, kits that include such laminoplasty devices or systems or components thereof; and methods of assembling and using such laminoplasty devices and systems. In particular, articulating laminoplasty devices are provided that allow lamina plates to be adjusted angularly and transitionally with respect to a cage connecting the lamina plates. Also provided are laminoplasty plates that are configured so as to be assembled with a bone graft housing, and which provide an opening configured to facilitate bone graft insertion into the housing. Further provided are expandable laminoplasty fixation systems that include a lateral mass plate, a lamina plate and a set screw that when screwed and unscrewed, allows one to contract and expand the plates with respect to one another.

Abstract: The present invention relates to a guide module having oblique installation pins, the guide module including: a first installation pin unit penetratively inserted into one side of an aligned bone; a second installation pin unit penetratively inserted into the other side of the aligned bone; a reposition guide unit simultaneously penetrated by the first installation pin unit and the second installation pin unit and being simultaneously in contact with one side of the aligned bone and the other side of the aligned bone; and a compression guide unit disposed adjacent to the reposition guide unit and simultaneously penetrated by the first installation pin unit and the second installation pin unit, in which imaginary central axes of holes of the reposition guide unit penetrated by the first installation pin unit and the second installation pin unit are spaced apart, at a predetermined interval in a vertical direction, from imaginary central axes of holes of the compression guide unit.

Abstract: Various embodiments of an intervertebral implant comprise a body extending longitudinally along a primary axis, a baseplate, a plurality of elongated arms having a vertebral support surface, the arms being articulated such that the implant has a folded-back position in which the arms are close to each other, and a deployed position in which the arms are moved away from each other, and expansion means between the folded-back and deployed positions, comprising at least two branches pivotably mounted relative to each other and attached to the elongated arms by guide means such that translation of the expansion means parallel to the primary axis causes pivoting of the branches and moves the arms away from each other.

Abstract: Drill guides allow an implant to be partially inserted after the holes are drilled and before the drill guide has been removed from the surgical location.

Abstract: An orthopedic screw extractor device including a shaft, an end portion about a first end of the shaft for securing to a handle, and a screw extracting tip about a second end of the shaft opposite the first end. The screw extracting tip further includes a generally frustoconical shape having a side at an angle of about 5 to 15 degrees relative to a longitudinal axis of the screw extracting tip. The screw extracting tip further includes first, second and third screw threads and first, second and third flutes circumferentially spaced about the screw extracting tip and extending across an entire length of the screw extracting tip. Each of the screw threads has a lead of about 0.07 to 0.12 inches, a pitch of about 0.02 to 0.04 inches, a thread angle of about 40 to 50 degrees, and a depth of about 0.01 to 0.02 inches.

Abstract: An anchor trajectory guide and methods of use thereof are provided. The guide includes a body that has a medial side. The medial side can be placed over a lateral side of a fixation plate. The anchor trajectory guide also includes a locator and a plurality of guide apertures. The locator is disposed on or through the medial side of the body. The locator can be mated with the fixation plate. The guide apertures are disposed through the body at positions corresponding to define anchor locations and orientations to provide good purchase adjacent to or in cortical bone around a medial side of a humerus.

Abstract: A prosthesis for replacing a natural articular surface on a bone may have a joint facing side with an articular surface, a bone anchoring side with a bone engagement surface, and a bone engagement pad secured to at least part of the bone engagement surface. The bone engagement pad may have a transverse portion extending transverse to a length of the bone, and one or more protruding portions extending generally perpendicular to the transverse portion. The transverse portion may have a pad bone-facing surface with a first porosity level, and a pad joint-facing surface on an opposite side of the transverse portion from the pad bone-facing surface, with a second, lower porosity level. The bone engagement surface may be formed via a first manufacturing process selected from the group consisting of forging, milling, and casting. The bone engagement pad may be formed via an additive manufacturing process.

Abstract: The present invention relates to an internal fixator device (1) of the bone plate type to be used as synthesis means in anatomical regions or epiphyses/metaphyses with poor coating of soft tissue, of the type comprising a two-lobe or eight-shaped bone plate (2) comprising a pair of lobed portions (23, 24) which are linked by a central linking portion (15) and in each of which at least one through-hole (3, 4) is formed to receive a corresponding bone fixation screw (5). Advantageously, each of the pair of lobed portions (23, 24) of the bone plate (2) has an upper surface (7) inclined relative to a reference plane (X) coinciding with a second upper surface of the linking central portion (15) of the bone plate (2), and a lower surface (6) configured for contact with the bone and inclined relative to the same reference plane (X) with a smaller inclination.

Abstract: Disclosed is a positioning instrument that includes: two branches equipped at the proximal end thereof with an opposite jaw between which the graft is positioned, the two branches moving closer to one another by a translation movement; and a drill bush including a first hole and a second hole, separated by a distance and sized for the passage and guidance of a bone drill bit. Also disclosed are an instrument kit as well as a method for attaching a graft.

Abstract: A device for positioning a bone plate includes a body having a first end having a first curved portion and a second end having a second curved portion. Each curved portion terminates at an abutment. Each abutment has a first diameter and the curved portions have a second diameter less than the first diameter. The first end secures the positioning device to a bone plate and the second end secures the positioning device to a soft tissue elevator.

Abstract: The disclosure provides a fixation device for internal fixation of an osteotomy below the tibial tuberosity. The fixation plate including a top-end portion including three pinholes, three screw holes, and a first Combi hole; a bottom-end portion including a second Combi hole, two screw holes, and one pinhole; and a connection portion connecting the top-end portion to the bottom-end portion. The top-end portion is capable of fixating the portion of the tibia above a cut of the osteotomy, and the bottom-end portion is capable of fixating the portion of the tibia below the cut.

Abstract: A bone, cartilage, and disk removal tool assembly is provided with a motor mounted in a housing. A spindle is mounted for rotation to the housing. A rack-and-pinion mechanism is operably driven by the motor and connected to the spindle to oscillate the spindle for providing a rotary oscillating cutting operation. According to at least another embodiment, a plurality of cams is supported in the housing and driven for rotation by the motor. A plurality of followers is mounted for rotation to the housing, in engagement with the plurality of cams so that one rotation of the plurality of cams oscillates the plurality of followers more than once while preventing over-rotation of the plurality of followers. A peak angular acceleration of the spindle is less than nine million radians per second squared.

Abstract: A polyaxial bone anchoring device includes a receiving part configured to be pivotably connected to a head of an anchoring element, the receiving part having a channel for receiving a rod and an accommodation space having an opening for accommodating the head, and a sleeve-like insert piece having a sleeve axis and a spherical segment-shaped outer surface portion. The insert piece is configured to be positioned around a portion of the head in the receiving part and to pivot in the receiving part, and includes a first part and a separable second part configured to be connected with the first part by a connection structure configured to permit translational movement between the first part and the second part in a direction transverse to the sleeve axis, while preventing movement between the first part and the second part in a direction parallel to the sleeve axis.