Abstract: Methods of repairing cartilage defects are provided. The cartilage defect is identified and shaped to prepare the cartilage defect for a localized therapy. The cartilage defect is isolated with an isolation device. The localized therapy is then delivered to the cartilage defect through the isolation device.

Abstract: An external fixator includes a main body and an outrigger for extending over a fractured joint, such as a wrist joint. The main body can be positioned next to a right arm, or flipped over and positioned next to a left arm. The outrigger is attachable to extend either to the left or to the right of the main body, as appropriate. A distal body is removeably connectable to the distal end of the main body, and the distal body can be affixed to bone on the opposite side of the fracture to immobilize the joint where the fracture occurs. The distal body is connected to the main body with an adjustable securement section which provides six degrees of adjustment freedom. The outrigger is attached to the main body through a slide plate in a dual rail configuration which provides two dimensions of adjustment. Fragment pin supports ride in a track of the outrigger, and provide seven degrees of adjustment freedom for directed fixation of fragments at the fracture site.

Abstract: An instrument kit for reaming a cavity within a resected head of a bone is provided. The kit includes a reaming guide, at least two adaptor sleeves and a reamer. The reaming guide includes an elongate stem portion insertable into a cavity extending into the bone from a resection surface at the head of the bone and a neck portion. The at least two adapter sleeves are mountable upon the reaming guide. Each adapter sleeve has a longitudinal axis, being generally cylindrical and a bore configured to receive part of the neck portion of the reaming guide. When the adapter sleeve is mounted upon the neck portion of a reaming guide inserted into a cavity in a bone the reamer is arranged to ream a cavity into the resection surface of the bone around the neck portion.

Abstract: Apparatus for treating a fracture of a bone of a subject including an intramedullary (IM) nail insertable into a medullary canal of the bone of the subject. The IM nail has a proximal head that defines at least one hole therethrough. A sleeve, which includes a locking mechanism, is engaged with the hole when the sleeve is inserted in the hole. This engagement prevents rotational movement between the sleeve and the nail and inward and outward longitudinal movement of the sleeve relative to the nail.

Abstract: Methods and devices are provided for replacing a spinal disc. In an exemplary embodiment, artificial disc replacements and methods are provided wherein at least a portion of a disc replacement can be implanted using a posterolateral approach. With a posterolateral approach, the spine is accessed more from the side of the spinal canal through an incision formed in the patient's back. A pathway is created from the incision to the disc space between adjacent vertebrae. Portions of the posterolateral annulus, and posterior lip of the vertebral body may be removed to access the disc space, leaving the remaining annulus and the anterior and posterior longitudinal ligaments in tact. The disc implant can be at least partially introduced using a posterolateral approach, yet it has a size that is sufficient to restore height to the adjacent vertebrae, and that is sufficient to maximize contact with the endplates of the adjacent vertebrae.

Abstract: A bone stabilizer assembly includes a fixation element, a coupling element, and a compression nut. The fixation element is adapted to engage a bone and having a head portion and shank portion. The coupling element has an internal bore sized to receive the shank portion of the fixation element and a pyramid-shaped seat for supporting the head portion of the fixation element. The coupling element is adapted to receive a stabilizer rod. The compression nut is engagable with the coupling element and is adapted to rotatingly move distally into the coupling element to translate a force to the head portion through the rod and the saddle such that the head portion is forced against the seat of the coupling element to prevent relative movement between the fixation element and the coupling element.

Abstract: A bone screw is created, with a thread section with a tip at a first end and a head for engaging with a screwdriver at the opposite second end, which serves as traction element to connect shattered or split off parts of bones to one another. So that fusion of the screw with the bones can take place, the thread section is constructed as tubular and its wall has a plurality of recesses.

Abstract: The invention includes a system and method for loosening of tissue. In one embodiment, an intervertebral tissue removal system includes at least one abrading member for abrading tissue in an area to be cleared and at least one expandable member operable to be expanded from a first condition to a second condition, wherein the volume defined by the at least one expandable member in the second condition is greater than the volume defined by the at least one expandable member in the first condition, the at least one expandable member operably connected to the at least one abrading member such that as the at least one expandable member expands from the first condition to the second condition, the at least one abrading member is moved from a first position to a second position.

Abstract: A tensor/ligament balancer for use in measuring a gap existing between an anatomy is provided. The tensor/ligament balancer can include a first paddle. The tensor/ligament balancer can also include a second paddle movable relative to the first paddle. The tensor/ligament balancer can further include a biasing member operable to apply a substantially constant force on the second paddle to move the second paddle relative to the first paddle. At a first position, the second paddle can be substantially adjacent to the first paddle. The second paddle can be automatically movable away from the first paddle to a second position by applying the substantially constant force to the second paddle.

Abstract: A powered surgical handpiece includes a chuck assembly with a chuck having apertures. The chuck assembly is surrounded by a collar having slots on an inner face. The apertures and slots receive balls. In use, the collar is moved axially toward the handpiece against a spring force so that the chuck is viewable. A base tab of a cutting accessory is inserted into the chuck. When the collar is released, detents of the base tab are radially aligned with at least two balls and apertures. When a biasing spring moves the collar outwardly, the respective balls move radially inwardly into the detents to fixedly lock the cutting accessory. The handpiece includes a single eccentric gear shaft that receives a rotary force at one end and moves about an orbital path at a second end. An oscillator receiver of an oscillator receives the barrel. Movement of the barrel about the orbital path results in oscillation of the oscillator about its axis.

Abstract: An intervertebral implant with a central axis, a top part, a bottom part, a joint comprising a joint part and a joint shell, and a joining means. The top part has a top apposed surface that is suitable for placing it on a vertebra situated above it; The bottom part has a bottom apposed surface, that is suitable for placing it on a vertebra situated below it. One of the two parts is operatively associated with a convex joint part and the other part to a matching joint shell. The joint part and the joint shell are mounted against one another in a sliding manner such that the top part and the bottom part can rotate relative to one another at least about one axis of rotation. The joining means holds the top part and the bottom part together without impairing the capability of the joint to pivot while allowing a clearance between the joint part and the joint shell.

Abstract: An instrument kit for performing a repair procedure on a meniscal tear in a knee for use in combination with a mechanical repair device is disclosed. The instrument kit includes at least one template including an elongate body defining X, Y and Z axes. The elongate body adapted for insertion in a knee of the patient to approximate a path to a meniscal tear within the knee. The elongate body has a length defining the X-axis. The instrument kit including a first template having a linear elongate body, a second template having a distal end portion which is offset in a direction of the Y-axis, and a third template having a distal end portion which is offset in a direction of the Z-axis.

Abstract: A system for treating an annular defect of an intervertebral disc is provided. The system comprises a cannula for accessing a nucleus pulposus of the intervertebral disc, an expandable spacing device, and a material delivery instrument. The expandable spacing device has a first deflated position and a second inflated position. The spacing device is sized to pass through the cannula when in the first deflated position and the spacing device has a predetermined shape in the second inflated position. The material delivery instrument is adapted to inflate the spacing device from the first deflated position to the second inflated position by injecting a biocompatible material into the spacing device. In another aspect, a method of treating at least one annular defect of an intervertebral disc is provided.

Abstract: Surgical implants for neighboring bones are disclosed herein. Preferred implants are configured to be implanted into the scaphoid and lunate. Preferred implants include a first plate configured to be implanted into the scaphoid and a second plate configured to be implanted into the lunate wherein said first and second plates are couple together by a rotatable rod.

Abstract: In a sternum closure device for fixing two sternum portions to be connected to one another, comprising an inner contact element for abutment on the inner surface of the sternum, at least one clamping element fixed to this contact element and projecting transversely from it and at least one outer contact element for abutment on the outer side of the sternum which can be clamped against the inner contact element by means of the clamping element guided through the intermediate space between the sternum portions, it is suggested in order to hinder the separation of the sternum as little as possible during any renewed operation that the inner contact element consist of two parts which are separate from one another and each of which is designed to abut on one of the two sternum portions and that connecting means be provided for the releasable connection of the two parts arranged next to one another.

Abstract: A bone screw comprising a threaded shank having a longitudinal axis and including a first helical threading extending along a first length of the threaded shank portion and a second helical threading extending from a location proximately adjacent the first helical threading and along a second length of the threaded shank portion. The first helical threading defines a first volume between adjacent thread turns along the first length, and the second helical threading defines a second volume between adjacent thread turns along the second length, with the first volume being different from the second volume.

Abstract: An implant that is implanted between adjacent spinous processes for the relief of pain associated with the spine. The device has a spacer to distract apart the adjacent spinous processes. To minimize trauma to the patient, the device has a tapered tissue expander to distract a previously created opening between the adjacent spinous processes. The device also has two wings. The position of one wing is adjustable to allow for ease of assembly in a patient.

Abstract: A system and method for placing an implant into or onto supporting bone, or between adjacent bones, without impaction is disclosed. The system includes an implant, a distracter, and a sleeve. Optionally, the invention includes an alignment guide, a surgical navigational tracker, and a bone displacer. The sleeve is structured to interpose the implant and supporting bone and provide a differential engagement force between the sleeve-implant interface and the sleeve-bone interface to preferentially move the implant into, onto or between supporting bone structures.

Abstract: The present invention is directed to an allograft intervertebral implant sized and configured for insertion between adjacent vertebral bodies in a spinal fusion surgery. The implant is preferably manufactured from two or more pieces of allograft bone joined together by a joint, more preferably a dovetail joint. The dovetail joint being sized and configured to substantially follow the exterior shape or surface (e.g. perimeter) of the intervertebral implant. The intervertebral implant may also include one or more bone pins for joining the allograft pieces, the pins being inserted into the implant at an angle substantially perpendicular with respect to the dovetail joint. The intervertebral implant may also include one or more through-bores for receiving ostegenic or bone graft material. The intervertebral implant is preferably sized and configured for insertion during a T-PLIF or PLIF procedure.

Abstract: Bone treatment plate assemblies, methods of fabrication, and methods of use. Such assemblies comprise spring structures assembled to bone treatment plates. The spring structure comprises elongate bands, and springs between the bands, urging the bands against structure of the plate. Spring width is less than spring height and/or one or more protuberances extending from the band or bands cooperate with one or more detents in the plate thereby to arrest longitudinal movement of the spring structure with respect to the plate.