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: There is provided a staple instrument for inserting and removing staples from bone. A rotational drive shaft is turned to provide finite adjustments to open and close jaws used to hold and adjust the legs of a staple. A converter coupling converts the rotational motion of the drive shaft to liner motion to operate an articulated linkage system that moves the jaws. The jaws include a sharp edge to engage under a bridge of a staple inserted in bone segments and a convex pry surface that cooperates with the edge to pry a staple from the bone segments when the instrument is pulled away from the bone segments.

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 calcaneal plate inserter tool includes a body portion, a plate retainer assembly coupled to the body portion, a sled coupled to the body portion and movable relative to the body portion, and a lock coupled to the body portion. The lock is operable between a lock position and an unlocked position. The lock impedes movement of the sled relative to the body portion when in the lock position. The sled also includes a guide portion.

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: A Lisfranc reconstruction device includes a pair of operator grips mechanically linked to a first arm that includes a barrel and a second arm that includes a jaw whereby motion of the grips is mechanically transformed into relative translation of the barrel and the jaw for compression of a portion of a Lisfranc joint complex therebetween. The device includes a retention mechanism, such as a ratchet, to enable retention of the barrel and jaw when the desired position has been reached. The device may be provided in the form of a kit that includes a wire guide sleeve, a pilot wire, and a Lisfranc screw, in particular a cannulated Lisfranc screw that is sized to travel over the wire in a defined trajectory to facilitate proper screw placement. The device may be used for reconstruction of a traumatic injury to the Lisfranc joint complex.

Abstract: There is provided a staple instrument for inserting and removing staples from bone. A rotational drive shaft is turned to provide finite adjustments to open and close jaws used to hold and adjust the legs of a staple. A converter coupling converts the rotational motion of the drive shaft to liner motion to operate an articulated linkage system that moves the jaws. The jaws include a sharp edge to engage under a bridge of a staple inserted in bone segments and a convex pry surface that cooperates with the edge to pry a staple from the bone segments when the instrument is pulled away from the bone segments.

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 calcaneal plate inserter tool includes a body portion, a plate retainer assembly coupled to the body portion, a sled coupled to the body portion and movable relative to the body portion, and a lock coupled to the body portion. The lock is operable between a lock position and an unlocked position. The lock impedes movement of the sled relative to the body portion when in the lock position. The sled also includes a guide portion.

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: A Lisfranc reconstruction device includes a pair of operator grips mechanically linked to a first arm that includes a barrel and a second arm that includes a jaw whereby motion of the grips is mechanically transformed into relative translation of the barrel and the jaw for compression of a portion of a Lisfranc joint complex therebetween. The device includes a retention mechanism, such as a ratchet, to enable retention of the barrel and jaw when the desired position has been reached. The device may be provided in the form of a kit that includes a wire guide sleeve, a pilot wire, and a Lisfranc screw, in particular a cannulated Lisfranc screw that is sized to travel over the wire in a defined trajectory to facilitate proper screw placement. The device may be used for reconstruction of a traumatic injury to the Lisfranc joint complex.

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: Apparatus and methods are provided for using a plate to fuse bones together, including reducing or stabilizing a fracture or osteotomy. Legs of the plate are inserted into pre-drilled guide holes in one of the bones and one or more screws are inserted through apertures and into another of the bones to secure the plate to the bones. A plate insertion tool can be used to temporarily tension the legs prior to insertion into predrilled guide holes in a bone by bending or pivoting the legs away from the body. A tensioning tool can be used to tension the plate after the legs are inserted into the guide holes in the bone and during the insertion of one or more of the screws.

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.