Abstract: A bunion repair system includes a primary bunion screw having a cannulated interior and a threaded exterior and an offset channel connecting the cannulated interior with the threaded exterior, and a head portion, and a secondary support, the secondary support sized for placement within the offset channel and having a length sufficient to extend from the head portion through the channel and to extend past the threaded exterior of the primary bunion screw.

Abstract: Disclosed is plate insertion tool useful with bone plates having a body and a pair of retainers, such as facing, inwardly extending fingers, for clamping a bone plate therebetween, and a pusher movable relative to the body between a fully disengaged position and a fully engaged position, the pusher in use engaging a shoulder of the compression plate. When the pusher is in an engaged position, the legs of the plate are temporarily tensioned by bending the legs away from the body of the plate. The body of the tool includes a pivot joint about which said pusher pivots. The tool may be used to temporarily tension the legs of the plate prior to insertion into holes in a bone.

Abstract: Disclosed is a bone graft harvesting device that includes a cutter section and a housing section secured to one another via a removable fastener, such as a manually operable screw. One of these sections includes a proximal end having a shaft configured for connection to a drill or other rotary tool, and the other may include a scoop for facilitation of removal of harvested bone from a patient. The cutter section and housing section may be separated from one another upon harvesting of bone from a patient to access harvested bone in a cavity of the housing.

Abstract: A staple instrument includes a staple holder comprising a pair of jaws, a drive shaft, a rotational handle, and a coupling to convert rotational motion of the handle into axial advancement of the shaft. A distal end of the shaft cooperates with the staple holder to cause three-point bending of a staple bridge to thereby open the legs of the staple.

Abstract: Disclosed is an intramedullary nail useful in the repair of fibular fractures. The nail has a proximal portion with a threaded outer surface and a threaded distal portion. The distal portion may have a tapered or partially tapered configuration or a staggered configuration. The nail may be used with a placement jig that has holes aligned with transverse holes in the nail to enable placement of securement screws and other devices. An associated kit and method are also disclosed.

Abstract: Disclosed is plate insertion tool useful with bone plates having a body and a pair of retainers, such as facing, inwardly extending fingers, for clamping a bone plate therebetween, and a pusher movable relative to the body between a fully disengaged position and a fully engaged position, the pusher in use engaging a shoulder of the compression plate. When the pusher is in an engaged position, the legs of the plate are temporarily tensioned by bending the legs away from the body of the plate. The body of the tool includes a pivot joint about which said pusher pivots. The tool may be used to temporarily tension the legs of the plate prior to insertion into holes in a bone.

Abstract: A surgical staple is provided having a bridge and at least a first leg and a second leg. The bridge has a first end and a second end. The surgical staple has a first extension of the bridge adjacent the first end of the bridge and extending on an opposite side of the first leg relative to the second leg and a second extension of the bridge adjacent the second end of the bridge and extending on an opposite side of the second leg relative to the first leg. The bridge may also have a waisted or reduced width mid-section.

Abstract: A staple instrument includes a staple holder comprising a pair of jaws, a drive shaft, a rotational handle, and a coupling to convert rotational motion of the handle into axial advancement of the shaft. A distal end of the shaft cooperates with the staple holder to cause three-point bending of a staple bridge to thereby open the legs of the staple.

Abstract: Apparatus and methods are described for use in securing a first bone relative to a second bone using a pair of surgical staples or, alternatively, a surgical staple and a bone screw. When a pair of staples are used, one of the legs of one of the staples may pass between the legs of the another of the staples. When a staple and a bone screw are used, the bone screw may pass between the legs of the staple. A guide tool can be used during the drilling of the holes for the legs of the staples or the legs of the staple and a bone screw. The guide tool provides guides for drilling guide holes for the staples or for the screw and staple.

Abstract: A surgical staple is provided having a bridge and at least a first leg and a second leg. The bridge has a first end and a second end. The surgical staple has a first extension of the bridge adjacent the first end of the bridge and extending on an opposite side of the first leg relative to the second leg and a second extension of the bridge adjacent the second end of the bridge and extending on an opposite side of the second leg relative to the first leg. The bridge may also have a waisted or reduced width mid-section.

Abstract: Apparatus and methods are described for use in securing a first bone relative to a second bone using a pair of surgical staples or, alternatively, a surgical staple and a bone screw. When a pair of staples are used, one of the legs of one of the staples may pass between the legs of the another of the staples. When a staple and a bone screw are used, the bone screw may pass between the legs of the staple. A guide tool can be used during the drilling of the holes for the legs of the staples or the legs of the staple and a bone screw. The guide tool provides guides for drilling guide holes for the staples or for the screw and staple.

Abstract: Disclosed is plate insertion tool useful with bone plates having a body and a pair of retainers, such as facing, inwardly extending fingers, for clamping a bone plate therebetween, and a pusher movable relative to the body between a fully disengaged position and a fully engaged position, the pusher in use engaging a shoulder of the compression plate. When the pusher is in an engaged position, the legs of the plate are temporarily tensioned by bending the legs away from the body of the plate. The body of the tool includes a pivot joint about which said pusher pivots. The tool may be used to temporarily tension the legs of the plate prior to insertion into holes in a bone.

Abstract: Disclosed is a bone graft harvesting device that includes a cutter section and a housing section secured to one another via a removable fastener, such as a manually operable screw. One of these sections includes a proximal end having a shaft configured for connection to a drill or other rotary tool, and the other may include a scoop for facilitation of removal of harvested bone from a patient. The cutter section and housing section may be separated from one another upon harvesting of bone from a patient to access harvested bone in a cavity of the housing.

Abstract: A surgical staple is provided having a bridge and at least a first leg and a second leg. The bridge has a first end and a second end. The surgical staple has a first extension of the bridge adjacent the first end of the bridge and extending on an opposite side of the first leg relative to the second leg and a second extension of the bridge adjacent the second end of the bridge and extending on an opposite side of the second leg relative to the first leg. The bridge may also have a waisted or reduced width mid-section.

Abstract: A staple instrument includes a staple holder comprising a pair of jaws, a drive shaft, a rotational handle, and a coupling to convert rotational motion of the handle into axial advancement of the shaft. A distal end of the shaft cooperates with the staple holder to cause three-point bending of a staple bridge to thereby open the legs of the staple.

Abstract: Apparatus and methods are described for use in securing a first bone relative to a second bone using a pair of surgical staples or, alternatively, a surgical staple and a bone screw. When a pair of staples are used, one of the legs of one of the staples may pass between the legs of the another of the staples. When a staple and a bone screw are used, the bone screw may pass between the legs of the staple. A guide tool can be used during the drilling of the holes for the legs of the staples or the legs of the staple and a bone screw. The guide tool provides guides for drilling guide holes for the staples or for the screw and staple.

Abstract: A staple instrument is provided. The staple instrument includes a staple holder, a rotational drive shaft, and a linkage operatively coupled to the staple holder. The linkage is configured to expand the staple holder via an expansion motion imparted thereon. A converter coupling intermediate the rotational drive shaft and the linkage converts rotational motion of the rotational drive shaft into expansion of the staple holder. The staple instrument also includes a housing that supports the linkage, converter coupling, and rotational drive shaft. The rotational drive shaft has a stop surface that engages a corresponding surface formed in the housing to inhibit proximal translation of the rotational drive shaft relative to the housing.

Abstract: A staple instrument is provided. The staple instrument includes a staple holder, a rotational drive shaft, and a linkage operatively coupled to the staple holder. The linkage is configured to expand the staple holder via an expansion motion imparted thereon. A converter coupling intermediate the rotational drive shaft and the linkage converts rotational motion of the rotational drive shaft into expansion of the staple holder. The staple instrument also includes a housing that supports the linkage, converter coupling, and rotational drive shaft. The rotational drive shaft has a stop surface that engages a corresponding surface formed in the housing to inhibit proximal translation of the rotational drive shaft relative to the housing.