Abstract: A humeral nail can include a nail longitudinal axis extending from a proximal portion to a distal portion, a first proximal through bore defining a first screw trajectory, a second proximal through bore defining a second screw trajectory, a third proximal through bore defining a third screw trajectory, a descending through bore defining a descending screw trajectory, and a calcar through bore defining a calcar screw trajectory. The first, second and third screw trajectories extend transverse to the nail longitudinal axis, the descending screw trajectory extends anterior to posterior and proximal to distal, and the calcar screw trajectory extends distal to proximal, anterior to posterior, and lateral to medial. In some examples, the calcar through bore defines at least two calcar screw trajectories.

Abstract: A bone plate for treating periprosthetic fractures includes a head portion sized and shaped so that, in an operative position, a proximal end thereof aligns with a vastus ridge of a greater trochanter of a femur. The plate also includes a shaft portion extending distally from the head portion. The shaft portion includes offset holes to receive bone fixation elements therethrough. Each of the offset holes includes a first hole positioned on a first side of a longitudinal axis of the plate and a second hole positioned on a second side of the longitudinal axis opposite the first side so that bone fixation elements inserted therethrough extend anterior and posterior of a prosthetic received within the femur. The first and second holes are staggered relative to one another along a length of the shaft portion and extending beyond longitudinal edges of the shaft portion.

Abstract: A bone plate for treating periprosthetic fractures includes a head portion to be positioned along a greater trochanter of a bone. The head portion includes pairs of bone fixation element receiving openings extending therethrough from a first surface of the plate which, when the plate is in an operative position, faces away from the bone, and a second surface which, when the plate is in the operative position, faces toward the bone. A pair of cable holes extend through the head portion from a first longitudinal side connecting the first and second surfaces to a second longitudinal side connecting the first and second surfaces. The head portion includes a pair of hooks for engaging a superior ridge of the greater trochanter. The plate also includes a shaft portion extending distally from the head portion to extend along a portion of the bone distal of the greater trochanter.

Abstract: A bone plate for treating periprosthetic fractures includes a head portion to be positioned along a greater trochanter of a bone. The head portion includes pairs of bone fixation element receiving openings extending therethrough from a first surface of the plate which, when the plate is in an operative position, faces away from the bone, and a second surface which, when the plate is in the operative position, faces toward the bone. A pair of cable holes extend through the head portion from a first longitudinal side connecting the first and second surfaces to a second longitudinal side connecting the first and second surfaces. The head portion includes a pair of hooks for engaging a superior ridge of the greater trochanter. The plate also includes a shaft portion extending distally from the head portion to extend along a portion of the bone distal of the greater trochanter.

Abstract: Various intramedullary implants, instruments, and methods are disclosed herein. In an example, a compression instrument is used to provide internal compression of bones adjoining a joint or bones spanning a fracture to cause compression of the joint or fracture.

Abstract: Apparatus and methods for treatment of a bone. The apparatus may include a mesh anchoring substrate extending longitudinally between a base and a hub. The base may have a base first end adjacent the mesh, a base second end opposite the base first end, and a cannula extending through the base. The apparatus may include a support. The support may include an elongated body extending between an end of the support and a flange. The end of the support may be configured to be removably coupled to a coupling mechanism in the hub. The flange may be configured for being seated outside the base against the base second end. A maximum circumference of the elongated body may be not greater than a cannula circumference.

Abstract: Various modular implants and modular implant systems are disclosed herein, as are methods of implanting the same. The modular implant systems can include modular implants that are stacked on each other to define a modular implant system, which in an example can be used to replace or augment a void in bone. The modular implants can interact with an intramedullary implant to, for instance, assist with a fusion procedure.

Abstract: Various modular implants and modular implant systems are disclosed herein, as are methods of implanting the same. The modular implant systems can include modular implants that are stacked on each other to define a modular implant system, which in an example can be used to replace or augment a void in bone. The modular implants can interact with an intramedullary implant to, for instance, assist with a fusion procedure.

Abstract: A plate for treating a bone includes a plate body extending along a longitudinal axis from a first end to a second end and being sized, shaped and contoured to be positioned along a desired surface of a bone. The plate also includes a slotted opening extending through the plate body and defined by a first portion sized and shaped to permit a head portion of a bone fixation element fixed to the bone to be passed therethrough and a second elongated portion extending along the longitudinal axis from the first portion in communication with the first portion, the second portion sized to prevent the head portion of the bone fixation element from being passed therethrough so that, when the head portion of the bone fixation element is received through the first portion, the plate is slidable relative thereto such that the second portion engages the head portion of the bone fixation element.

Abstract: A medical implant apparatus for total elbow arthroplasty is provided. The apparatus includes: a first rod member comprising a first nut, an eye hook, a first end, and a second end, wherein the first nut is disposed at the first end and the eye hook is disposed at the second end; a second rod member rotatably coupled to the first rod member, the second rod member comprising a first linear portion, a second linear portion, and an arcuate portion disposed between the first linear portion and the second linear portion, the arcuate portion being configured to form a predetermined angle between the first rod member and the second rod member; a positioning nut coupled to the first linear portion of the second rod member; and an aperture disposed in the eye hook.

Abstract: A bone plate for treating periprosthetic fractures includes a head portion sized and shaped so that, in an operative position, a proximal end thereof aligns with a vastus ridge of a greater trochanter of a femur. The plate also includes a shaft portion extending distally from the head portion. The shaft portion includes offset holes to receive bone fixation elements therethrough. Each of the offset holes includes a first hole positioned on a first side of a longitudinal axis of the plate and a second hole positioned on a second side of the longitudinal axis opposite the first side so that bone fixation elements inserted therethrough extend anterior and posterior of a prosthetic received within the femur. The first and second holes are staggered relative to one another along a length of the shaft portion and extending beyond longitudinal edges of the shaft portion.

Abstract: A bone plate for treating periprosthetic fractures includes a head portion to be positioned along a greater trochanter of a bone. The head portion includes pairs of bone fixation element receiving openings extending therethrough from a first surface of the plate which, when the plate is in an operative position, faces away from the bone, and a second surface which, when the plate is in the operative position, faces toward the bone. A pair of cable holes extend through the head portion from a first longitudinal side connecting the first and second surfaces to a second longitudinal side connecting the first and second surfaces. The head portion includes a pair of hooks for engaging a superior ridge of the greater trochanter. The plate also includes a shaft portion extending distally from the head portion to extend along a portion of the bone distal of the greater trochanter.

Abstract: Various modular implants and modular implant systems are disclosed herein, as are methods of implanting the same. The modular implant systems can include modular implants that are stacked on each other to define a modular implant system, which in an example can be used to replace or augment a void in bone. The modular implants can interact with an intramedullary implant to, for instance, assist with a fusion procedure.

Abstract: Various intramedullary implants, instruments, and methods are disclosed herein. In an example, a compression instrument is used to provide internal compression of bones adjoining a joint or bones spanning a fracture to cause compression of the joint or fracture.

Abstract: An encasement for coating a bone plate with a substrate includes a sidewall structure having an upper edge and a cover disposed on the upper edge of the sidewall structure. The encasement includes a base from which the sidewall structure rises such that the sidewall structure, the cover and the base combine to create an open interior space of the encasement. An aperture in the sidewall structure provides access to the open interior space of the encasement and a plurality of cover protrusions extend from the cover into the open interior space. The encasement blather includes a plurality of base protrusions extending from the base directly opposing the plurality of cover protrusions. A combined height of an individual cover protrusion and all opposing base protrusion is less than or equal to a height of the sidewall structure.

Abstract: A humeral nail can include a nail longitudinal axis extending from a proximal portion to a distal portion, a first proximal through bore defining a first screw trajectory, a second proximal through bore defining a second screw trajectory, a third proximal through bore defining a third screw trajectory, a descending through bore defining a descending screw trajectory, and a calcar through bore defining a calcar screw trajectory. The first, second and third screw trajectories extend transverse to the nail longitudinal axis, the descending screw trajectory extends anterior to posterior and proximal to distal, and the calcar screw trajectory extends distal to proximal, anterior to posterior, and lateral to medial. In some examples, the calcar through bore defines at least two calcar screw trajectories.

Abstract: A plate for treating a bone includes a plate body extending along a longitudinal axis from a first end to a second end and being sized, shaped and contoured to be positioned along a desired surface of a bone. The plate also includes a slotted opening extending through the plate body and defined by a first portion sized and shaped to permit a head portion of a bone fixation element fixed to the bone to be passed therethrough and a second elongated portion extending along the longitudinal axis from the first portion in communication with the first portion, the second portion sized to prevent the head portion of the bone fixation element from being passed therethrough so that, when the head portion of the bone fixation element is received through the first portion, the plate is slidable relative thereto such that the second portion engages the head portion of the bone fixation element.

Abstract: Systems and methods for measuring an intramedullary length for an orthopedic implant are described herein. A reamer system comprises a reamer shaft and a first reamer head. The reamer shaft comprises a proximal end having a drive coupler, a distal end having a reamer coupler, and markers located along the reamer shaft proximate the proximal end. The first reamer head comprises a head coupler configured to connect with the reamer coupler, and one or more cutting flutes located distal to the head coupler. The markers provide an indication of lengths of the system from a distal tip of the cutting flutes to each of the markers. The markers can be radiopaque. A method of employing the reamer system to measure the intramedullary length is described herein.

Abstract: An encasement for coating a bone plate with a substrate includes a sidewall structure having an upper edge and a cover disposed on the upper edge of the sidewall structure. The encasement includes a base from which the sidewall structure rises such that the sidewall structure, the cover and the base combine to create an open interior space of the encasement. An aperture in the sidewall structure provides access to the open interior space of the encasement and a plurality of cover protrusions extend from the cover into the open interior space. The encasement further includes a plurality of base protrusions extending from the base directly opposing the plurality of cover protrusions. A combined height of an individual cover protrusion and an opposing base protrusion is less than or equal to a height of the sidewall structure.

Abstract: An intramedullary nail comprises longitudinal channel, a first transverse passage and a second transverse passage. A lag screw extends through the first transverse passage of the intramedullary nail. An anti-rotation shaft extends through the second transverse passage of the intramedullary nail. A cannulated lag screw lock is positioned in the intramedullary shaft and engages the lag screw. The anti-rotation shaft extends through a cross channel in the lag screw lock. A second shaft lock is positioned in the intramedullary nail with the second shaft lock engaging the anti-rotation shaft. In at least one embodiment, the lag screw lock includes a substantially cylindrical body portion rotatably connected to a threaded head portion. In at least one embodiment, the second shaft lock is provided as an end cap including a threaded upper portion and a lower post portion that extends into the lag screw lock.