Abstract: Alignment guide systems, fixation guide devices, and methods for positioning and inserting an intramedullary nail are disclosed. The alignment guide system includes a targeting guide with a first end and a second end, an alignment wire rotatably engaging a second end of the targeting guide, and a guide sleeve insert engaging an opening in the first end of the targeting guide. The fixation guide device including a frame including a first end and a second end, a compression device slidingly coupled to the first end of the frame, and the intramedullary nail secured to a nail attachment apparatus of the frame. A method of inserting an intramedullary nail into two bones for fixation of the two bones is also disclosed.

Abstract: Alignment instruments may include joint-line referencing systems having an alignment arm having a body with first and second portions defining first and second sides. The first portion has at least one first pin tube through-hole extending from the first to the second side. The second portion has a first opening on the first side. A pin tube guide member is receivable in the first through-hole. The pin tube guide member has a passageway therethrough. An angelwing alignment member includes a portion receivable in the first opening of the alignment arm. An alignment foot is secured to the second portion, and the alignment foot has a handle and a shim. The shim is positionable in a joint between a first bone and a second bone, the alignment arm is alignable relative to a first bone, and the pin tube guide is operable for securing a pin into the first bone.

Abstract: The present disclosure relates to an alignment system. The alignment system includes a clamp portion including a curved member configured to contact a medial portion of a first metatarsal of a patient, and a retention element configured to releasably couple with a second metatarsal of the patient. The alignment system also includes an alignment portion releasably coupled with the clamp portion and including an alignment bar and an extension coupled with the alignment bar and configured to releasably couple with a guide arm. The retention element includes a shaft and a pair of protrusions extending from a distal-most point of the shaft, with the pair of protrusions extend substantially parallel to one another. Also disclosed is a method of coupling the alignment system to the anatomy of a patient, specifically to two bones in the foot of the patient.

Abstract: Devices, systems, implants and methods for achieving ligament fixation are disclosed. An implant includes a head member and an anchor member coupled to the head member. The implant includes tension member that couples the head member to the anchor member. The head member and the anchor member include a cannulation that receives the tension member therein. The implant may include a coupling member positioned between and coupling the head member and the anchor member, the coupling member including a cannulation that receives the tension member therethrough. Insertion instruments for inserting an implant for ligament fixation are also disclosed. Methods of using an implant for achieving ligament fixation are also disclosed.

Abstract: Guides, systems, and methods for maintaining, correcting and/or fusing joint deformities are disclosed. The guide system including a cut guide, an alignment guide, and at least one directional wire. The cut guide including a base portion, an extension member extending away from a bottom surface of the base portion, and at least one arm extending away from an end of the base portion. The alignment guide, including a base portion, a first extension member extending away from a bottom surface of the base portion in a first direction, and a second extension member extending away from the bottom surface of the base portion in a second direction. Methods of using a guide system for maintaining, correcting and/or fusing joint deformities are also disclosed.

Abstract: Guides, instruments, devices, systems and methods for maintaining, correcting and/or resurfacing the multiple bones of a joint are disclosed. The guide system includes a cut guide and an alignment guide for engagement with the cut guide. The guide system also includes a cleaning system with a guide and a cutting instrument. Methods of using the guide system and cleaning system are also disclosed.

Abstract: Alignment guide systems, fixation guide devices, and methods for positioning and inserting an intramedullary nail are disclosed. The alignment guide system includes a targeting guide with a first end and a second end, an alignment wire rotatably engaging a second end of the targeting guide, and a guide sleeve insert engaging an opening in the first end of the targeting guide. The fixation guide device including a frame including a first end and a second end, a compression device slidingly coupled to the first end of the frame, and the intramedullary nail secured to a nail attachment apparatus of the frame. A method of inserting an intramedullary nail into two bones for fixation of the two bones is also disclosed.

Abstract: Implants, devices, and methods for maintaining, correcting and/or fusing joint deformities are disclosed. The implant a first member, a second member, and an insert with a top surface and a bottom surface. The top surface couples to the first member and the bottom surface engages the second member. Kits and methods of using the implants for maintaining, correcting and/or fusing joint deformities are also disclosed.

Abstract: Devices, systems, implants and methods for achieving ligament fixation are disclosed. An implant includes a head member and an anchor member coupled to the head member. The implant includes tension member that couples the head member to the anchor member. The head member and the anchor member include a cannulation that receives the tension member therein. The implant may include a coupling member positioned between and coupling the head member and the anchor member, the coupling member including a cannulation that receives the tension member therethrough. Insertion instruments for inserting an implant for ligament fixation are also disclosed. Methods of using an implant for achieving ligament fixation are also disclosed.

Abstract: The present disclosure relates to a tibial osteotomy system. The system includes a base plate configured to interface with the tibia which includes a body with a first pair of apertures configured to receive a first pair of stabilization elements, a first end with a first aperture, and a second end with a second aperture. The system also includes a measuring arm coupled with the first end of the base plate via the first aperture and having a third aperture aligned with the first aperture to receive a first screw, and a cut guide pivotably coupled with the second end of the base plate via the second aperture and having a fourth aperture aligned with the second aperture to receive a second screw therein. The cut guide also has a slot, a measurement flag releasably couplable within the slot, and a protrusion configured to receive a second stabilization element.

Abstract: Guides, implants, devices, instruments, systems, and assemblies for achieving bone fusion are disclosed. A bone fusion system, including an implant template, a guide wire for insertion through the implant template, a bone plate for receiving the guide wire, and an alignment guide apparatus for coupling to the bone plate. Methods of using a bone fusion system for achieving bone fusion are also disclosed.

Abstract: The present invention discloses a moveable bone plate implantation system, controlled movement assembly, and method. The moveable bone plate implantation system includes a movement instrument, translation member removeably coupled to the movement instrument, and a bone plate detachably connected to the translation member. The controlled movement assembly includes a translation member and a bone plate. The translation member includes a shaft with a first end and a second end and a head portion at the first end. The head portion includes an engagement groove recessed into the head portion and a lip extending out from a bottom portion of the engagement groove. The bone plate includes an engagement aperture for receiving the engagement groove and the lip engages a bottom surface of the bone plate during translation of the bone plate. A method for moving bones is also disclosed.

Abstract: A bone plate system includes, for example, a bone plate and at least one bone plate hole cap. The bone plate includes a body having a first surface, a bone-engaging surface, and a plurality of through-openings. The bone plate hole cap includes a body having a first surface, a second surface, and a peripheral surface. The bone plate hole cap is securable in at least one of the through-openings in the bone plate. When the bone plate hole cap is secured in the through opening, the second surface of the bone plate hole cap is disposed adjacent to the bone-engaging surface of the bone plate. The bone plate with the bone plate hole cap secured in the through-hole increases the bending strength of a portion of the bone plate across the bone plate hole cap compared to the portion of the bone plate without the bone plate hole cap.

Abstract: Implants, and surgical methods are disclosed herein. The implant includes a first fiber population that includes at least one non-resorbable fiber and an arrangement of non-resorbable fibers that includes a plurality of gaps between portions of the at least one non-resorbable fiber. Further, the implant includes a second fiber population that includes at least one resorbable fiber and an arrangement of resorbable fibers that includes a positioning of the at least one resorbable fiber that traverses the plurality of gaps.

Abstract: The present invention discloses an alignment guide apparatus, system, and method. The alignment guide apparatus includes a body, a fixation insert, a guide pin, and a screw. The body may include an arm with a first end and a second end, an attachment portion at the first end, and an alignment portion at the second end. The fixation insert may be configured to pass through the attachment portion and the guide pin may be configured to pass through the alignment portion. The screw may be configured to engage the guide pin. The alignment system may include a bone plate, an alignment guide, a screw, at least one first fastener, and at least one second fastener. A method for moving a joint is also disclosed.

Abstract: Resection guides include a body a plurality of alignment pin through-holes and a plurality of guide through-holes so that the pattern of guide through-holes is operable for receiving a drill for use in resecting the at least a portion of the anatomical structure of the patient. Sweeping reamers include a body having a plurality of alignment pin through-holes and an elongated opening, and a reamer extendable through the elongated opening of the body. Decoupled resection guides include a first body having a plurality of alignment pin through-holes and a second body having a plurality of fixation pin through-holes and at least one guide aperture operable for guiding a cutting tool for use in resecting a portion of the second anatomical structure of the patient. Methods employing the same are disclosed and operable in, for example, total ankle replacement.

Abstract: Implants, devices, systems and methods for maintaining, correcting and/or fusing joint deformities are disclosed. The implant including a first member, a second member, and a coupling member with a first end and a second end, wherein the first end engages the first member and the second end engages the second member. Methods of using the implants for maintaining, correcting and/or fusing joint deformities are also disclosed.

Abstract: Alignment instruments may include joint-line referencing systems having an alignment arm having a body with first and second portions defining first and second sides. The first portion has at least one first pin tube through-hole extending from the first to the second side. The second portion has a first opening on the first side. A pin tube guide member is receivable in the first through-hole. The pin tube guide member has a passageway therethrough. An angelwing alignment member includes a portion receivable in the first opening of the alignment arm. An alignment foot is secured to the second portion, and the alignment foot has a handle and a shim. The shim is positionable in a joint between a first bone and a second bone, the alignment arm is alignable relative to a first bone, and the pin tube guide is operable for securing a pin into the first bone.