Abstract: A body tissue fixation apparatus includes a plate having oppositely disposed outer and tissue-contacting surfaces, and at least one fixation hole extending between the outer and tissue-contacting surfaces along a longitudinal axis. The fixation hole is defined in part by an inner hole surface having at least one serration. At least one fixation device of the body tissue fixation apparatus has a shank and a head portion, the shank being insertable through the fixation hole in the plate to affix the plate to the body tissue member upon rotation of the head portion. At least one deformable member is connected to the head portion, the deformable member extending laterally in a direction substantially perpendicular to the longitudinal axis and being adapted to deflect to engage with at least one serration formed on the inner hole surface. A method for using the body tissue fixation apparatus is also described.

Abstract: The present invention is directed to a bone plate and its method of use for reducing a bone fracture, the bone plate having a longitudinal axis, the bone plate comprising an upper surface, a lower surface, a first hole for engaging a head of a first bone anchor. The first hole is configured and adapted to fix a shaft of the first bone anchor along a first axis. A second hole is spaced apart from the first hole along the longitudinal axis. The second hole is for engaging a head of a second bone anchor, and is configured and adapted to fix a shaft of the second bone anchor along a second axis. The first hole and the second hole are configured such that the first axis and the second axis define a single plane and intersect at a point below the lower surface. The shafts of the first and second bone anchors may touch or nearly touch at the point of intersection, such that the first and second bone anchors form a truss.

Abstract: An orthopedic implant structure is provided for joining and retaining components of a multi-part orthopedic device. The orthopedic implant joining and retaining structure may be embodied in two or more components of the multi-part orthopedic device. In one form, the multi-part orthopedic implant structure is a resilient snap structure such as a resilient flange in one part and a channel structure formed in another part of an orthopedic implant. A channel of the channel structure may have a cavity formed at a rear of the channel that accepts a configured lip formed on an end of the resilient flange. According to another embodiment, the retaining structure includes resilient snap flanges formed on an interconnection component of the multi-part orthopedic implant. A corresponding bore in another part of the multi-part orthopedic implant receives the interconnection component.

Abstract: A method for utilizing a sternal closure device for securing and retaining longitudinally divided halves of a sternum, the device having two sets of anterior and posterior longitudinally extended brace members with brace joining mechanisms extending through the sternal halves to join the anterior brace members to the posterior brace members, such that the sternal halves are compressed between the anterior and posterior brace members, and transverse bridging members that laterally connect the two sets of brace members, with securing mechanisms to retain the two sets of brace members in a contracted configuration with the sternal halves in abutting relation.

Abstract: Methods, systems, and kits for occipital-cervical spinal fixation are provided. A plate configured for attachment to the occipital bone has two arms extending out from either side, which turn downwards parallel to one another. A first bend is disposed in the arms, such that the arms extend down from the occipital bone behind the spinous process of the C1 and C2 vertebrae, upon installation. A second bend in the arms allows attachment to the C2 vertebra. The system may be dimensioned for pediatric installation. A bone graft material may be held in place between the cervical vertebrae and the skull by installing a cable to the installed system to retain the bone graft material in place.

Abstract: A system for fixing a fracture near a joint of a bone comprises (a) an intramedullary device including a longitudinal body and a head, the longitudinal body extending from a proximal end to a distal end, the head being attached to the proximal end of the longitudinal body; and (b) a plate implantable into a head portion of the bone to provide support to a joint zone, the plate engageable with the intramedullary device. The plate is substantially U-shaped and includes a midsection and a pair of arms extending from the midsection, the pair of arms forming a space therebetween, the space sized and shaped to accommodate the head of the intramedullary device.

Abstract: A humeral fracture fixation system is provided and includes a nail-plate fixation device having a plate-like head portion, an intramedullary nail portion, and a bent neck portion therebetween which creates an angle between the plate and nail portions. The upper surface of the nail portion is substantially straight for contact with the endosteum and the nail portion includes threaded holes for machine screws. The head portion includes locking holes for receiving fixed-angle bone support elements, and K-wire alignment holes. The front of the head portion includes suture holes while presenting a smooth profile. A specific implantation jig and screw guide cannula are also provided.

Abstract: Aspects of the present disclosure include a bone plate and/or a bone plate system. The bone plate includes an elongate body, which elongate body includes a top and a bottom surface as well as a distal portion, a proximal portion, and an intercalating portion disposed between the distal and proximal portions. The elongate body also includes a flange member, which flange member is configured for contacting a bone portion, e.g., a fractured bone portion, so as to aid in the stabilization and correct anatomical reduction thereof.

Abstract: One embodiment includes at least a fixed element designed to be secured to a vertebra or sacrum, at least a mobile linking element and at least an intermediate element that articulates the mobile element relative to the fixed element. The intermediate element is received in an internal volume of the mobile element and is deformable, so as to be introduced by impingement into the inner volume. The fixed element is received at least partly in an internal volume of the intermediate element and has a position for use wherein said fixed element has three degrees of freedom in rotation, but is linked in translation, relative to the intermediate element.

Abstract: A system for fixation of fractures is disclosed. The system comprises a chassis and one or more fixation elements in the form of screws and/or pins. Each fixation element is received in the chassis in such a way that it is locked by friction regarding movement in axial, rotational and angular directions. The friction is preferably given by the material of the chassis having an elasticity giving locking effect by friction on the fixation elements.

Abstract: Removable guide tips are pre-assembled into threaded holes of a fracture fixation plate. The guide tips may be used with or without drill guides to guide a drill along the axes of threaded holes defined in the plate. In addition, the tips may be used with bending tools to contour the plate laterally, longitudinally and with twist. More particularly, such plate contouring can be performed while the plate is located on the bone.

Abstract: A method for promoting fusion of and/or stabilizing a facet joint between two adjacent vertebrae comprises clamping the two adjacent vertebrae across the facet joint to apply a compressive force across the joint. Apparatus for promoting fusion of and/or stabilizing a facet joint comprises at least one cinchable tether and at least one locking member coupled with the tether for locking the cinched tether to maintain compressive force across the facet joint. The tether is adapted to extend through at least one hole through each of two adjacent vertebrae, across the facet joint.

Abstract: Various spinal plating systems for use in treating spinal pathologies are provided. In certain exemplary embodiments, the spinal plating systems can be configured to allow a surgeon to select a bone screw construct having a particular range of motion for attaching a spinal plate to bone as needed based on the intended use. In one exemplary embodiment, the spinal plating system includes a first bone screw that is polyaxially movable relative to the spinal plate, and a second bone screw that has a range of motion that is substantially limited to a single plane.

Abstract: The invention relates to bone compression devices and bone compression systems, and in particular, to bone compression devices and systems for use in connection with vertebrae. The bone compression devices and bone compression systems are disposed, or installed, along at least one bone to maintain the at least one bone in a desired spatial relationship. Broadly, the invention is directed to a bone compression device for placing in communication with at least one bone having a bone radius of curvature, the bone compression device comprising a plate having a pre-formed shape, a deformed shape, and at least one elastic shape therebetween, the pre-formed shape having a preformed radius of curvature less than the bone radius of curvature, the deformed shape having a deformed radius of curvature greater than the bone radius of curvature, and at least one of the at least one elastic shapes having an elastic radius of curvature that substantially corresponds to the bone radius of curvature.

Abstract: The invention relates to a system for the minimally invasive treatment of a bone fracture, especially of a proximal humeral or femoral fracture. The inventive system has an osteosynthesis plate having a supporting section in the cortical substance and an additional fastening section on the bone. A second linking section of the guide element and the shaft of the fixing element are configured as an axially displaceable anti-tilt slide bearing. The system has at least one anti-twist screw in the supporting section for preventing the detached bone fragment from rotation.

Abstract: Methods for treating spinal pathologies, and more specifically methods for treating articulating surfaces of facet joints of cervical vertebrae. The methods involve providing artificial articulating surfaces for facet joint articular facets. In addition, various types of rasps may be used to prepare the articulating surfaces prior to placement of the artificial articulating surfaces.

Abstract: A method and device are provided for reducing abnormal vertebral orientation using a fixation plate that is used in conjunction with a positioning tool to reduce spinal deviation and properly position and secure adjacent vertebrae for fusion of the spine. The disclosed embodiments are particularly useful in minimally invasive surgical techniques such as laterally performed anterolisthesis and retrolisthesis.

Abstract: Bone screws and bone plates are provided that offer the surgeon the ability to either assemble the screws to the plate, or the plate to the screws, depending on the surgeon's preference and the patient's circumstances. The bone screws and bone plates of the present invention include a combination of geometric configurations that allow the screws and plates to fit together from different assembly directions. Additionally, the bone screws and bone plates can include material resilience features to allow expansion/contraction during assembly to allow bi-directional attachment to one another.

Abstract: A fixation system including a bone plate having at least a first fixation hole for receiving a bone screw, and a groove in communication with the first fixation hole; a resilient clip disposed the groove; and a drill guide having a tip portion configured to engage the resilient clip when the tip portion is inserted into the first fixation hole.

Abstract: A tissue retractor and guide device for use in securing a spinal fixation plate to a spine is provided. In general, the device includes an elongate member having a guide member formed thereon or mated thereto with at least one pathway for receiving a tool. The guide member is adapted to be juxtapositioned on a spinal implant, while the distal portion of the elongate member is effective to retract tissue disposed adjacent to the guide member.

Abstract: Bone plates with an upper surface, a bone contacting surface, and a plurality of holes extending through the upper and bone contact surfaces for receiving bone screws are disclosed. Each hole interchangeably accepts a compression screw for compression of a fracture and a locking screw that threads into the bone plate. Provisional fixation of a bone plate to a bone may be accomplished using provisional fixation pins through the screw-receiving holes of the bone plate.

Abstract: A bone fixation system includes a plate and a set of fixation locking screws. The plate defines a set of locking screw holes each having an internal thread. Each respective locking screw has a head with an external structure that is adapted to self-tap into the internal thread of a given locking screw hole to secure the respective first-type fixation locking screw at an surgeon-directed angle relative to the plate. This angle is defined during forcible insertion and rotation of the respective locking screw into the given screw hole. The system may also include unidirectional locking screws. In a preferred embodiment the plate and first-type of screw are made of different metals, with the plate made of titanium alloy and the screw made of cobalt chrome alloy.

Abstract: A bone fixing device (10) for fixing bone pieces together. The bone fixing device has a pair of spaced apart fixing portions (12), each having at least one hole (14) dimensioned such that a bone screw can extend there through; and a pair of substantially rigid connecting members (18) extending between the fixing portions, the connecting members being deformable without substantially losing rigidity. In use, each fixing portion is fixed to one or more of the bone pieces by a respective one of the bone screws such that the connecting members extend across one or more fissures between the bone pieces. The connecting members are simultaneously deformed such that the fissures are closed with the bone pieces held in compression.

Abstract: A system (10) and associated method are provided for mechanically fixating a region of a skull to a portion of a spine. A plate (20) is provided to contact a region of the skull and be secured thereto. A spinal rod (22) is configured to extend from a location adjacent the plate (20) to a location adjacent at least one vertebra (30). A variable connection (24) is provided to secure the rod (22) to the plate (20). The variable connection (24) has a first mode wherein the relative position of the rod (22) to the plate (20) can be adjusted and a second mode wherein the relative position of the rod (22) to the plate (20) is locked at a particular value selected to maintain a desired curvature of the spine.

Abstract: An intramedullary fixation device having a distal section; a proximal section; a connecting member for adjustably securing the distal and proximal sections end to end along a longitudinal axis; means for securing the proximal section to a first bone; and means for securing the distal section to a least one different bone. The connecting member is rotated to provide compression across a bone arthrodesis site to be stabilized and fused. Also described is a method of utilizing the intramedullary fixation device with an outrigger assembly.

Abstract: A bone anchor, orthopaedic device and orthopaedic system are described. A bone anchor for use in an orthopaedic procedure which comprises a bone fixation portion provided with a plurality of fixation openings, the fixation openings each being adapted to receive a fixation device for fixing the bone fixation portion to a bone of a patient, and a device attachment portion provided with a first attachment opening and a second attachment opening, the first attachment opening and the second attachment opening being connected to each other by a solid stabilizing portion and being adapted to receive an attachment device for attaching the device attachment portion to an orthopaedic device.

Abstract: A fixation device for reduction and fixation of fractures of the talus bone of the foot includes a thin titanium alloy plate having a lower wing configured for attachment to the lateral aspect of the talus and an upper wing configured for attachment to the dorsal aspect of the talus. The plate includes a substantially perpendicular or right angle bend between the lower and upper wings. In one embodiment, each wing includes three screw holes arranged in a generally triangular pattern. Two holes on each plate are situated in tabs and the center of the plate has a reduced width so that the plate presents a minimal profile. One of the tabs on the upper wing is bent away from the lower wing at a pre-determined angle so that the wing conforms to the shape of the talus. In an alternative embodiment, the upper wing includes a step portion between the lower wing and the bent tab and carrying one screw hole. In this embodiment, the bent tab is generally elongated with one or two screw holes disposed along its length.

Abstract: An osteosynthesis implant includes at least one coupling in the form of a swivel joint. Each swivel joint includes at least one planar or annular swivel element and two connecting arms that define a pivot axis. The coupling permits rotation about each pivot axis. The implant and coupling may be formed of unitary construction, or a separate coupling may be connectable to the implant. The coupling may receive a bone fastener such as a bone screw, or may be used in applications that require the coupling to directly support portions of the body such as spinal features.

Abstract: A bone fixation system includes a fixation plate including at least one fixation hole and at least one fastener. The fastener includes a coupler and a shank for engaging a bone. The coupler is threadably engaged with the fixation hole and includes an aperture receiving a proximal portion of the shank. The proximal portion of the shank can move relative to the coupler. The proximal portion of the shank includes a driver engagement recess for rotating the shank and the coupler together relative to the fixation plate without rotating the shank relative to the coupler and for threading the coupler to the fixation hole.

Abstract: Systems, devices and methods are disclosed for treating fractures. The systems, devices and methods may include one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and a compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture and a cross-section that may be shaped to more accurately conform to the anatomical shape of cortical bone and to provide additional strength and robustness in its lateral portions, preferably without requiring significant additional material. The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. In some embodiments, the engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments.

Abstract: The present disclosure generally relates to a fixation device for positioning and immobilizing at least two adjacent vertebrae. In particular, in one or more embodiments, the present disclosure relates to an anterior clivus plate that immobilizes at least two adjacent vertebrae.

Abstract: A medical device having body contacting surfaces provided with a film of amorphous calcium phosphate having a thickness of 1 nm to 10000 nm and an average dissolution rate calculated as the time taken to remove 95% of the film of at least 1 nm h?1 as determined in accordance with ASTM Standard P1926-03. The characteristics of the film are such that the film is relatively rapidly dissolved from the surface by body fluids. This dissolution of the surface film of amorphous calcium phosphate is sufficiently fast to prevent the attachment of bacteria, thus preventing them forming a biofilm and keeping the cells in a planktonic (non-biofilm) state where they are more vulnerable to the body's defences. The invention is particularly applicable to implants (e.g. orthopaedic implants such as prosthetic hips) but may also be applied to “non-implanted” devices such as surgical instruments.

Abstract: The present invention relates to a vertebral osteosynthesis plate to maintain relative vertebral orientation correction using a correction instrument. The osteosynthesis plate has an overall rectangular shape and comprises at least four slots to insert, in each, fixation devices, wherein at least two of the slots opens onto a lateral edge of the osteosynthesis plate to enable positioning and fixation of the plate with no prior removal of the relative vertebral orientation correction instrument. The edge of the plate is defined by an edge located in the same direction as the longitudinal direction of the plate. The longitudinal direction of the plate is roughly identical to that of the direction of the spinal column.

Abstract: A plating system and method include a bone plate with at least a first hole therethrough between an upper surface and a lower surface of the bone plate to receive an anchor for engaging the plate to a bony segment. The system and method also include a retaining member engageable to the bone plate that includes a head with an outer perimeter having a ramped or camming portion that is positionable in contact with the anchor to prevent the anchor backing out of the first hole.

Abstract: A bone distractor, preferably an alveolar ridge distractor, having first and second bone plates sized and configured to engage opposing bone segments and an interconnecting mechanism operatively associated with the first and second bone plates such that rotation of an activation screw causes the second bone plate to move with respect to the first bone segment. The distractor may also include a housing having a first housing member operatively associated with the first bone plate and a second housing member operatively associated with the second bone plate, the second housing member being pivotally coupled to the first housing member such that the orientation of the second bone plate may be varied with respect to the first bone plate. Moreover, the second housing member may include a releasable closure cap so that the second bone plate may be easily removed and/or replaced, the second bone plate being provided in varying shapes and sizes.

Abstract: A bone plate includes at least one torsional modification feature (TMF). Each TMF is structured to decrease the torsional rigidity of the plate relative to longitudinally opposite portions, but may be modified to increase the torsional rigidity thereat. Each TMF is defined by beams contiguous with the lateral sides of the plate, and an opening extending laterally therebetween. In a preferred embodiment, opposed projections extend into the opening to define threaded discontinuous wall portions for receiving an insert, such as a set screw. In one embodiment, bioabsorbable and/or bioactive inserts may be used to temporarily increase the torsional rigidity of the plate during initial fixation and thereafter have reduced torsional rigidity to mimic normal callus. The plate is preferably used with fixed angle fasteners that may be subject to high torsional loads post-operatively.

Abstract: A system for performing surgical repair of the spine includes a distractor and a permanently implanted bone plate system. A surgical repair methodology is also disclosed that employs an implanted bone plate system with a substantially void internal volume which is attached to adjacent vertebrae subsequent to the distraction and/or adjustment of curvature of the vertebrae and prior to the excision of disc and/or end plate tissue through the bone plate. The device further facilitates the subsequent delivery of an interbody repair device for the purpose of either fusion or dynamic stabilization, such as by disc arthroplasty. The plate may be permanently implanted, such as when a fusion between the attached vertebral bodies is desired, but it need not be permanently implanted.

Abstract: A plate for stabilizing distal radius fractures, comprising a longitudinal shaft with an adjacent distal, anatomically preformed plate part, with the envelope of the plate part having an essentially triangular shape, and threaded bores with longitudinal axes arranged in both the shaft and the distal plate part and being cone-like at least at the distal plate end, which extend in a predominately non-parallel manner in the distal plate part, and wherein a bend is formed between the shaft and the plate part.

Abstract: A surgical fixing device for the fixing of adjacent bone parts is provided. A first engaging element is provided for engaging the underside of the two bone parts and a second engaging element is provided for engaging the upper side of the bone parts. A tensioning device connects the two engaging elements to each other through an interspace between the bone parts and permanently fixes the two engaging elements with respect to each other in a tensioned manner when they engage the underside and the upper side of the bone parts. To make it easier to apply the fixing device, at least one elastic tensioning element is provided which displaces a supporting surface applied to the upper side of the bone parts toward the first engaging element, so that the supporting surface and the first engaging element can be moved away from each other against the force of the elastic tensioning element.

Abstract: A plate is provided for the treatment of bone fractures, the plate having a first surface and a second surface, the second surface being opposed to the first surface and being adapted to face a bone surface. At least one of the first and second surfaces defines at least one generally linearly shaped portion of a boundary of at least one cross section of the plate.

Abstract: Device and method for bone fixation. The device may comprise a bone plate including a plate body and a locking element. The plate body may define a plurality of openings configured to receive fasteners that secure the plate body to bone. The plurality of openings may include an elongate opening. The locking element, in turn, may define a through-hole disposed under the elongate opening for placement closer to bone than the elongate opening. The locking element may be configured to be disposed in threaded engagement with a fastener received by the locking element at the through-hole from the elongate opening. The locking element may be connected slidably to the plate body, in the absence of the fastener, to permit movement of the through-hole along the elongate opening.

Abstract: A system and method for facilitating the installation of spinals support members on consecutive vertebrae where the optimal positioning of screws does not form a straight line. The system includes a first plate spanning a first and second vertebrae, a second plate spanning the second vertebrae and a third vertebrae and an offset member coupling the first plate to the second plate at a defined angle to accommodate the anatomical variations of the patients vertebrae.

Abstract: A fixation system includes a plate comprising at least one fixation hole comprising an undercut therein, and at least one passage intersecting one of the undercuts. At least one resilient clip is disposed in at least a portion of the undercut, with the at least one clip having a pair of generally parallel sides and an end tab. At least one fastener is provided and comprises a head and a threaded shaft, with the head comprising a perimetral groove extending around at least a portion thereof and an instrument receiving portion. The at least one clip is configured and dimensioned to seat in the undercut with the end tab extending within the passage, and the at least one fastener is configured and dimensioned to be received in the at least one fixation hole and securable therein when the at least one clip abuts the perimetral groove of the head.

Abstract: System, including methods, apparatus, and kits, for expanded bone fixation with bone plates. A bone plate and an extension plate may be provided. The bone plate may be secured to a proximal portion of a humerus and overlapping the greater tuberosity of the humerus using fasteners received in openings defined by the bone plate. The extension plate may be attached to the bone plate and the humerus using (a) a fastener disposed in an aperture defined by the first end region and in threaded engagement with the bone plate and (b) a fastener received in an aperture defined by the second end region and extending into the humerus. The attached extension plate may extend from a position over the greater tuberosity to a position over the lesser tuberosity of the humerus such that the intermediate region is disposed over a biceps tendon.

Abstract: Disclosed herein is a device destined to be coupled to at least one support, and in particular a surgical implant destined to be coupled to a bone. The invention relates generally to a device (1) including a fixing element (3) including a head (3A) and a pin (3B) destined to be anchored in a support. The device further includes an assembly part (4) including a through hole (5), and a ring (6) housed in a manner that can be oriented within the through hole (5). The ring (6) has a passage (6A) shaped so as to allow passage of the pin (3B) and to stop the head (3A). The ring (6) is expandable according to its axial direction between a configuration wherein the ring (6) can be oriented and a configuration wherein the ring (6) is blocked.

Abstract: An orthopaedic bone plate is coupled to a bone having an enlarged head at one end thereof which is attached to a shaft. The bone plate includes an elongate portion, a flared portion and an intermediate portion. The elongate portion is attachable to the bone shaft using a plurality of bone screws. The elongate portion generally defines a longitudinal axis. The flared portion is attachable to the bone head using at least one bone screw. The intermediate portion interconnects the elongate portion and the flared portion. The intermediate portion is structured and arranged to allow the elongate portion and the flared portion to move relative to each other in a direction transverse to the longitudinal axis when the elongate portion and the flared portion are attached to the bone.

Abstract: The present invention relates to an orthopedic plate and screw system and instruments for surgical fixation of a small bone or bones including specifically the small bones of the spine. The plate facilitates three dimensional contouring to provide for a variety of applications and to accommodate individual variation in bone shape. The plate has a modified x shape including a central trunk portion including one or more screw holes along a longitudinal axis and a set of divergent upper and an oppositely extending set of divergent lower arms, each arm including screw holes which are placed at a radially equal distance but which diverging asymmetrically from the longitudinal axis relative to its paired upper or lower mate. The screws of the system are self-starting, self-tapping screws including the option of partial or full cannulation. In a further embodiment, the plate is intended for use through the length of the spine.

Abstract: A bone fixation device comprises a beam including plurality of stacked flexible members. At least one locking member is provided in engagement with the plurality of stacked flexible members. The at least one locking member is configured to retain the plurality of stacked flexible members together in either a locked relationship or an unlocked relationship. In the locked relationship, the at least one locking member compress the plurality of stacked flexible members together. The plurality of stacked flexible members are configured to bend when a threshold force is applied to the beam, provided the plurality of stacked flexible members are in an unlocked relationship. When the plurality of stacked flexible members are in an unlocked relationship, the threshold force is insufficient to bend the plurality of stacked flexible members.

Abstract: Devices and methods for attaching a support to the sacrum. One device may include first and second anchors that mount to the sacrum, and first and second lateral extensions coupled to the anchors to secure the device to the sacrum. A bearing face having a width is positioned between the lateral extensions. The face may have a height in an anterior-posterior direction greater than the spinous process of the sacrum. Further, the bearing face may be oriented in a superior direction when the device is mounted to the sacrum. An implant may be supported by the device to space the sacrum and L5 vertebrae. The implant may be an interspinous device and positioned between the L5 spinous process and the bearing face. The implant is supported at least in part by the bearing face.

Abstract: An assembly includes a plate holder having a body. The assembly further includes a stop structure movable in relation to the body between a first location and a second location. In addition, the assembly includes a bone plate assembly including (i) a bone plate having a plurality of fastener openings defined therein, the bone plate being attached to the body, and (ii) a fastener guide. One of the bone plate and the fastener guide includes a channel, and the other of the bone plate and the fastener guide includes a projection configured to be received in the channel.