Abstract: A cover for use in protecting a resected surface of a long bone for use in joint arthroplasty is provided. The cover includes a generally planar portion having opposed generally parallel first and second surfaces defining a periphery extending from the first surface and the second surface. The cover also includes a lip extending from the first surface at the periphery of the planar portion in a direction not planar with the generally planar portion.

Abstract: The present disclosure provides a cut guide for use in preparation of the distal femur to form the anterior, anterior chamfer, distal, posterior chamfer and posterior facets as well as the intercondylar box cuts utilized to prepare a femoral intercondylar box. To allow for the use of a single cutting guide to make all of these femoral osteotomies, the present disclosure implements an orthopedic guide assembly including a primary guide body with a secondary guide body rotatably connected to the primary guide body. With this configuration, the secondary guide body can be rotated into an operable position to guide a femoral osteotomy and may also be rotated into an inoperable position in which it is moved from a configuration (i.e., the operable position) in which it acts as a barrier to movement of an osteotome across a guide surface of the primary guide body.

Abstract: Custom surgical guides based on the patient's unique anatomy that can be quickly and accurately applied intra-operatively without navigation are disclosed. The device is created using preoperative MRI images and uniquely conforms to the bone in the region of the desired tunnel. The images are filtered and used to generate computerized three dimensional models of the patient's anatomy. The models can be introduced through a portal and applied to the bone denuded of soft tissue.

Abstract: A method for laterally accessing a lumbosacral intervertebral disc space of a patient includes positioning the patient laterally and making an incision to provide lateral access to the patient's iliac crest. A bracket (24) may be placed on the iliac crest and a retractor (28) may be attached to the bracket such that a distal end of the retractor is positioned over the lumbosacral intervertebral disc space while a proximal end of the retractor provides an entry space for a surgeon to insert at least one tool (90). The surgeon may perform a surgical procedure on the lumbosacral intervertebral disc space through a channel (49) defined by the retractor.

Abstract: An intervertebral joint assembly includes an upper support and a lower support, each of which has two or more components. The upper and lower support components are arranged in situ to form the upper and lower supports, respectively. By arranging the supports in situ, the supports can be introduced from the back of the patient, for example with an arthroscope. Each of the upper and lower supports has a surface adapted to engage a vertebra and a surface adapted to engage the other support or an intermediate member to form an articulate joint which articulates the joint assembly. In some embodiments, the components of the upper and lower supports are assembled in situ, for example with pivoting, telescoping or bending, to form the upper and lower supports, respectively. The supports can be attached to vertebrae with pedicles screws, and/or other anchors attached to the supports.

Abstract: The equipment for removing cement from bone cavities consists of an elongated body, hollow inside, that can be inserted inside a cement-filled bone cavity, and at least one rod for extracting the elongated body buried in the cement, that can be inserted inside the elongated body. The elongated body comprises a plurality of rigid elements aligned with each other and associated to one another by the interposition of spacer elements, tubular in shape and coaxial to the elongated body, the rigid elements including removable means for connecting to the extraction rod which are arranged inside the elongated body.

Abstract: An implant for the purpose of osteosynthesis, for the immobilization and stabilization of tubular bones, especially of tubular bones that have a fracture or an osteotomy, especially of rib bones, comprises at least a first implant component that has an attachment section with means of attachment for the purpose of attaching the first implant component to a tubular bone, especially in a region of the tubular bone close to a fracture or osteotomy. The first implant component further has a connection section, with the connection section being formed for insertion of a second implant component and immobilization of the second implant component in a position adjustable relative to the first implant component. The connection section comprises a guide device for the purpose of guiding the second implant component as the second implant component is being positioned relative to the first implant component.

Abstract: A medical screwdriver configured to avoid disengaging from a screw during implantation of the screw at a surgical site, the screwdriver including an outer shaft having a housing in which is located a piston and a spring, an inner shaft, and a collar. When the collar is rotated in a first direction the collar is positioned at a first position and the inner shaft is rotationally coupled to the outer shaft. When the collar is rotated in a second direction opposite the first direction, the collar moves to a second position and the inner shaft is unlocked from the outer shaft.

Abstract: A device (1) for use in the surgical treatment of a patient suffering from funnel chest characterized in that it comprises a plate adapted to be fitted underneath the skin of the patient, and further characterized in that, in use, said plate can be attached to the patient's sternum and the curvature, length and width of the plate being such that the plate extends on both sides of the sternum and on the outside of the patient's thorax and is supported by the ribs to hold up the sternum.

Abstract: A crosslink is provided for securing orthopedic implants, such as facet joint replacement implants, together. The crosslink has a pair of implant coupling components, a pair of rod coupling components, a rod, and a pair of fasteners. Each facet joint implant may include a semicylindrical interface received in a resilient member of the corresponding implant coupling component to permit relative cephalad/caudal adjustment between the crosslink and the implants. The resilient members grip the semicylindrical interface of the implant to enable at least temporary attachment of the implant coupling components to the implants independently of the rod. Clocking features on the semicylindrical interfaces and on the interfacing areas of the implant coupling components and rod coupling components may limit assembly of the crosslink to discrete relative orientations and prevent play after assembly. The fasteners secure the rod coupling components to the rod at the desired positions along the rod.

Abstract: A bone plate comprises a first surface and a second surface in combination with a first hole extending through the bone plate from the first surface to the second surface, the hole including a compression portion and a variable angle portion open to one another by a connecting space. The compression portion includes a sloping surface adapted to engage a head of a bone fixation element inserted thereinto so that the bone fixation element imparts a force to the bone plate to move the bone plate laterally relative to a portion of bone into which the bone fixation element is inserted. The variable angle portion includes a plurality of columns positioned about a circumference of a wall of the variable angle portion. The columns are separated from one another by a plurality of positioned between adjacent pairs of columns and including a plurality of protrusions extending radially inward therefrom.

Abstract: A plate for adjusting the position of a first piece of bone with respect to a second piece of bone, comprising a first section comprising a first upper exterior surface, a first lower exterior surface, a first outer edge, a first distal end, a first coupling end across the first section from the first distal end, at least one first section bone screw hole, and a first bone screw in the at least one first section bone screw hole, a second section comprising a second upper exterior surface, a second lower exterior surface, a second outer edge, a second distal end, a second coupling end across the second section from the second distal end, at least one second section bone screw hole, and a second bone screw in the at least one second section bone screw hole, and a gear disposed between the first section and the second section.

Abstract: An intervertebral implant includes an upper plate having an outer surface and an inner surface, a lower plate having an outer surface and an inner surface, and an intermediate plate having a first surface opposing the inner surface of the upper plate and a second surface opposing the inner surface of the lower plate. The implant includes a first flexible hinge that couples the upper plate and the intermediate plate, and a second flexible hinge that couples the intermediate plate and the lower plate, the first flexible hinge extending along a first axis and the second flexible hinge extending along a second axis that traverses the first axis.

Abstract: Systems and methods for bone anchor removal include a removal guide and a removal instrument. The removal guide includes grooves for guiding the removal instrument to the anchors, and for guiding removal of the anchor. The removal instrument includes a distal working end with a grasping feature designed to engage a portion of the bone anchor and an engagement feature designed to engage the grooves of the removal guide for anchor removal.

Abstract: A bone mill including a base and a mill head that is removably attached to the base. A cutting disc is moveably disposed in the mill head. A motor is disposed in the base. A spindle attached to the motor releasably engages the cutting disk. The spindle is also capable of movement towards and away from the motor. A spring holds the mill head away from the motor. In some versions of the invention, the spring urges the spindle towards the cutting disc. The biasing force exerted by the spring urges the spindle into engagement with the cutting disc. A locking assembly releasably holds the mill head to the base in opposition of the force exerted by the spring.

Abstract: A patellar resection instrument has an integral depth adjustment assembly that is easily, intuitively, and intra-operatively adjustable between a plurality of discrete positions. Each position corresponds to a particular, known depth of resection, and this depth may optionally be inscribed on the depth adjustment knob for easy visual selection and/or confirmation of the resection depth. The depth adjustment assembly provides positive tactile feedback as the stylus is moved between positions. The unique configuration of the depth adjustment assembly maintains the resection depth stylus in a chosen position throughout the patellar resection procedure, even if the procedure causes vibration or other forces to be transmitted to the patellar resection instrument.

Abstract: A rigidizable endoluminal access device includes a handle assembly 110, a flexible neck, a tip, and at least one lumen extending therethrough. Lumens are in fluid communication with entry ports located at the handle assembly and exit ports positioned on the tip. In one embodiment, entry ports and exit ports are angled with respect to one another. Lumens are configured to receive any suitable surgical instrument. The handle assembly includes an over-center toggle mechanism adapted to stiffen the flexible neck.

Abstract: An intervertebral joint assembly includes an upper support and a lower support, each of which has two or more components. The upper and lower support components are arranged in situ to form the upper and lower supports, respectively. By arranging the supports in situ, the supports can be introduced from the back of the patient, for example with an arthroscope. Each of the upper and lower supports has a surface adapted to engage a vertebra and a surface adapted to engage the other support or an intermediate member to form an articulate joint which articulates the joint assembly. In some embodiments, the components of the upper and lower supports are assembled in situ, for example with pivoting, telescoping or bending, to form the upper and lower supports, respectively. The supports can be attached to vertebrae with pedicles screws, and/or other anchors attached to the supports.

Abstract: A process for the production of an implant and to an implant for surgical use in humans or vertebrates, in particular for the replacement, for the partial replacement or for the strengthening of a damaged intervertebral disk or for the replacement, for the partial replacement or for the strengthening of an anatomical joint. The implant includes at least one wire or at least one fiber. The wire or the fiber is present at least partially as a knitted fabric.

Abstract: A patella clamping device has a handle having a first arm and a second arm, the arms each having a first gripping end and a second clamping end. The clamping ends are movable towards the opposite arm by action on the gripping end of each arm. The clamping ends of the first and second arms comprise opposed clamping surfaces. The clamping end of each arm has a body portion having spaced first and second surface defining the opposed surface of each arm. A plurality of pins extend from the first to the second surface. A rotatable toothed jaw member is pivotally mounted on each of the pins. The jaw member has at least one tooth extending outwardly of the opposed surface of each arm for engaging the patella. Each body has a third surface spaced from the second surface to create a slot for receiving a saw blade.