Abstract: The medical implant (1) according to the present invention comprises a first, generally elongate portion (20) extending along the longitudinal axis A, intended to be inserted into the first bone (P1) and comprising first attachment means (24), and a second, also elongate, portion (30) following another longitudinal axis B, intended to be inserted into the second bone (P2) and comprising second attachment means (34), wherein said first and second portions (20, 30) are connected together via a connecting bridge (40) which is centered about the orthonormal axes X, Y, Z of said implant (1), providing for at least one axial offset of the second portion (30) with respect to the first portion (20) such that the longitudinal axis B of the second portion (30) is positioned in at least one direction forming an angle (?) relative to the longitudinal axis A of the first portion (20) and is offset by at least a certain distance along at least one of the axes XX?, YY? and ZZ? of the connecting bridge (40) in order to avoid

Abstract: A surgical instrument for fitting a U-shaped osteosynthesis clip having two side bars linked together at the proximal ends by a transverse bar, the transverse bar and the proximal portions forming a proximal region of the clip, the instrument including: at least one recess intended for provisionally receiving the proximal region of the osteosynthesis clip, the distal ends of the two side bars projecting from the instrument; at least blocking means capable of preventing the translation movement of the transverse bar in the proximal and distal directions; at least anti-rotation means preventing the clip from rotating about the transverse bar; and spacing means capable of engaging with the proximal region in order to increase the distance between the distal ends of the two side bars. The invention also relates to a kit including such an instrument and to a clip intended for being received in such an instrument.