Abstract: The present disclosure provides medical instruments and medical instrument components having targeted torsional failure. Such targeted torsional failure helps prevent a surgeon from applying excessive torque that may damage an implant or bone, and also helps avoid the problems and complications that arise when medical instruments break within patients during surgical procedures. To provide such targeted torsional failure, the disclosed medical instrument components include a breakaway section designed so that the component breaks at a desired amount of torque, at a desired location, and in a desired way. The provided medical instrument components may also include a sleeve to increase side-loading strength that may otherwise be reduced due to the breakaway section. The increased side-loading strength may help prevent accidental bending-type failures. The presently disclosed medical instrument component therefore provides targeted torsional failure without sacrificing side-loading strength.

Abstract: The present disclosure provides medical instruments and medical instrument components having targeted torsional failure. Such targeted torsional failure helps prevent a surgeon from applying excessive torque that may damage an implant or bone, and also helps avoid the problems and complications that arise when medical instruments break within patients during surgical procedures. To provide such targeted torsional failure, the disclosed medical instrument components include a breakaway section designed so that the component breaks at a desired amount of torque, at a desired location, and in a desired way. The provided medical instrument components may also include a sleeve to increase side-loading strength that may otherwise be reduced due to the breakaway section. The increased side-loading strength may help prevent accidental bending-type failures. The presently disclosed medical instrument component therefore provides targeted torsional failure without sacrificing side-loading strength.

Abstract: The present disclosure provides new and innovative bone anchors and bone anchor insertion systems that enable smaller bone holes by eliminating the need for a cannula to transport the bone anchor. The provided bone anchors and insertion systems also help prevent damage to suture used in a bone anchor insertion procedure. The bone anchor includes a securement portion that surrounds a core portion. The securement portion includes multiple wings that are shape-set to be splayed outward from the core portion, though may be bent towards or away from the core portion in response to an applied force. The core portion includes a rod extending from a head. The rod includes a drive feature such that a surgeon may engage an inserter with the rod to drive the bone anchor through a bone hole. The bone hole walls maintain the bone anchor in a compressed state.

Abstract: A nail for compressing two bone parts to treat bone fractures or osteotomies is provided. The nail has an elongate smooth portion and an elongate threaded portion that is constructed for generating axial compression along a length of the elongate threaded portion between two bone parts. The nail may also have one or more apertures for installing one or more crossing screws through the nail. An installation instrument particularly constructed to install the provided nail is provided. A first and second portion of the provided nail installation instrument may rotate relative to one another when a locking mechanism is disengaged, but are locked in position relative to one another when the locking mechanism is engaged, which enables installation of the provided nail.

Abstract: Bone plates having an adjustable joint, and methods of using the bone plates to fix bones.

Abstract: Bone anchors and bone anchor insertion systems are provided that enable smaller bone holes for inserting a bone anchor by eliminating the need for a cannula. Smaller bone holes may help reduce patient recovery times. The provided bone anchor includes two flexible wings extending from a base portion that splay away from the base portion's central axis at rest, though may be bent towards or away from the central axis in response to an applied force. The bone anchor includes a drive feature that enables an inserter to couple and decouple to the bone anchor. A surgeon may drive the bone anchor through a bone hole via the coupled inserter while the bone hole maintains the bone anchor in a compressed state, and may decouple the inserter when the bone anchor is properly positioned, thereby eliminating the need for a cannula.

Abstract: The present disclosure provides medical instruments and medical instrument components having targeted torsional failure. Such targeted torsional failure helps prevent a surgeon from applying excessive torque that may damage an implant or bone, and also helps avoid the problems and complications that arise when medical instruments break within patients during surgical procedures. To provide such targeted torsional failure, the disclosed medical instrument components include a breakaway section designed so that the component breaks at a desired amount of torque, at a desired location, and in a desired way. The provided medical instrument components may also include a sleeve to increase side-loading strength that may otherwise be reduced due to the breakaway section. The increased side-loading strength may help prevent accidental bending-type failures. The presently disclosed medical instrument component therefore provides targeted torsional failure without sacrificing side-loading strength.

Abstract: Bone plates having an adjustable joint, and methods of using the bone plates to fix bones.

Abstract: Bone plates having an adjustable joint, and methods of using the bone plates to fix bones.

Abstract: System, including apparatus and methods, for bending a bone fixation device, such as a bone plate during a surgical procedure. In some embodiments, the system may include an instrument having (a) a clamp with jaws and (b) a graspable handle portion that is manipulable while a bone plate is located between the jaws to bend the bone plate by application of pressure with the jaws at alternating positions along the bone plate. The clamp may allow the bone plate to be reoriented from an orientation for in-plane bending to an orientation for out-of-plane bending, and vice versa, while the bone plate remains between the jaws.

Abstract: Bone plates having an adjustable joint, and methods of using the bone plates to fix bones.

Abstract: System, including methods, devices, and kits, for hip fixation. The system may include a fixation element configured to be placed obliquely into a proximal femur and anchored in a head of the proximal femur. The system also may include a plate member including (a) a mounting portion configured to be placed on and attached to a lateral cortex of the proximal femur and (b) a barrel portion configured to be placed into a lateral region of the proximal femur and positioned around a portion of the fixation element. The system further may include a compliant member positioned or positionable at least partially in the plate member and configured to be reversibly deformed in response to a load applied to the head of the proximal femur, to change an angular orientation of the fixation element with respect to the plate member.

Abstract: System, including methods, devices, and kits, for hip fixation. The system may include a support member defining an aperture and including an intramedullary nail for a proximal femur or a plate member for a proximal femur. The system also may include a fixation element having a compliant region and configured to be received in the aperture of the support member such that the fixation element extends out of the support member from the aperture and into a head of the proximal femur and is slideable with respect to the support member along a long axis defined by the fixation element. The system further may include a set of stiffening inserts each insertable into the fixation element and configured to stiffen the compliant region differently from one another.

Abstract: System, including methods, devices, and kits, for hip fixation. The system may comprise an intramedullary nail configured to be placed longitudinally into a proximal femur. The system also may comprise a fixation element configured to be placed transversely through the nail, such that the fixation element is slideable along its long axis in the nail and extends out of the nail to a head of the proximal femur and is anchored in the head. A compliant member may be located in the nail and configured to deform reversibly in response to a load applied to the head of the proximal femur after placement of the fixation element, to reversibly change an angular orientation of the fixation element with respect to the nail.

Abstract: Bone plates having an adjustable joint, and methods of using the bone plates to fix bones.

Abstract: Bone plates having an adjustable joint, and methods of using the bone plates to fix bones.

Abstract: System, including methods, devices, and kits, for hip fixation. The system may include a fixation element configured to be placed obliquely into a proximal femur and anchored in a head of the proximal femur. The system also may include a plate member including (a) a mounting portion configured to be placed on and attached to a lateral cortex of the proximal femur and (b) a barrel portion configured to be placed into a lateral region of the proximal femur and positioned around a portion of the fixation element. The system further may include a compliant member positioned or positionable at least partially in the plate member and configured to be reversibly deformed in response to a load applied to the head of the proximal femur, to change an angular orientation of the fixation element with respect to the plate member.

Abstract: System, including methods, devices, and kits, for hip fixation. The system may comprise an intramedullary nail configured to be placed longitudinally into a proximal femur. The system also may comprise a fixation element configured to be placed transversely through the nail, such that the fixation element is slideable along its long axis in the nail and extends out of the nail to a head of the proximal femur and is anchored in the head. A compliant member may be located in the nail and configured to deform reversibly in response to a load applied to the head of the proximal femur after placement of the fixation element, to reversibly change an angular orientation of the fixation element with respect to the nail.

Abstract: System, including methods, devices, and kits, for hip fixation. The system may include a support member defining an aperture and including an intramedullary nail for a proximal femur or a plate member for a proximal femur. The system also may include a fixation element having a compliant region and configured to be received in the aperture of the support member such that the fixation element extends out of the support member from the aperture and into a head of the proximal femur and is slideable with respect to the support member along a long axis defined by the fixation element. The system further may include a set of stiffening inserts each insertable into the fixation element and configured to stiffen the compliant region differently from one another.

Abstract: System, including apparatus and methods, for bending a bone fixation device, such as a bone plate during a surgical procedure. In some embodiments, the system may include an instrument having (a) a clamp with jaws and (b) a graspable handle portion that is manipulable while a bone plate is located between the jaws to bend the bone plate by application of pressure with the jaws at alternating positions along the bone plate. The clamp may allow the bone plate to be reoriented from an orientation for in-plane bending to an orientation for out-of-plane bending, and vice versa, while the bone plate remains between the jaws.