Abstract: A new Intra-spinal decompression implant is introduced that comprises of two plate attachments to a titanium metal implant that fits between the spinous processes of the vertebrae in the lower back, decompressing the neuro elements. The invention has a number of new design features including: double axis adjustable side plates, stepped conical tipped body and piercing tips on side plates, among many mentioned in this disclosure, that improves the quality of the surgery and the result for the patient. More examples are given in this application.

Abstract: An intramedullary bone fixation device suitable for treatment of fractures of the tubular bones of the hand or feet. The implantable device can be used singly or introduced through both the radial and ulnar aspects. The device includes a stem having a tip portion at one end and a base member at the opposite end of the stem. The stem and tip portions are configured with a unique configuration and cross section to facilitate insertion into and through the canal and provide the necessary forces on the stem portion within the canal. The base is sized and configured to minimize tissue damage while as the same time providing a strong point of fixation.

Abstract: An anterior cervical plate is adapted to engage at least two vertebrae along the anterior cervical spine. The plate comprises at least one cross connector member connecting two substantially parallel support bars. The anterior surface of the cross connector member is recessed for providing room for the esophagus. The posterior surface of the cross connector member extends slightly into the center of an intervertebral disc space for securing implanted bone graft material, and of course any other suitable intervertebral implant spacer. The preferred configuration of the cross connector member provides torsional resistance for the bone plate. At least two openings are formed in the plate for receiving a fastener therein for fixing the plate to the anterior cervical spine.

Abstract: The device for performing osteosynthesis includes a fixation element, such as a bone plate having a bottom surface designed to bear against the bone, a top surface, and at least one through hole extending from the bottom surface to the top surface, the though hole having a central axis and configured and dimensioned to receive a multiaxially pivotal insert or bushing for a bone screw. A bushing insertable into the through hole, includes a central bore designed to receive a bone screw, the central bore having a longitudinal axis, and a peripheral outer surface designed to be in contact with the through hole. The bushing is configured and dimensioned to be radially compressible and radially expansible, and the cross section of the through hole, which is orthogonal to the central axis, is non-circular. The cross section of the bushing that is orthogonal to the longitudinal axis has a shape that corresponds substantially to the cross section of the through hole of the bone plate.

Abstract: Plate shaping tools may be attached to a plate having pre-assembled guides while the plate is located on the bone to effect alteration of the plate shape in an effective and precise manner. The tools are designed such that a drill and K-wires can be inserted through the guides while the tools are coupled to the guides.

Abstract: A bone plate system for the internal fixation of metacarpal and phalanx fractures of the hand is provided. The plates are structured to permit independent reconfiguration of holes of the plates relative to a longitudinal axis and are configured to orient fasteners to interdigitate with holes displaced along the longitudinal axis. The plates are very thin, and a locking screw with a low profile head design is provided for use therewith.

Abstract: A plating system for stabilization of a bony segment includes a plate engageable to at least first and second bony elements. For spinal stabilization, the plate is attached to the antero-lateral portions of at least first and second vertebrae and is structured to facilitate engagement of the plate to the vertebrae from an approach extending in the anterior-posterior directions.

Abstract: A stabilization device is provided including an axle and a portion that can be affixed to a bone. The device is used to stabilize a joint while allowing motion of the joint along its natural trajectory and it is placed internally in order to prevent pin tract problems. Additionally, methods for using the device are provided that include, in various sequences, inserting the axle into a bone of a joint, adjusting the geometry of the device and attaching the fixable portion to another bone of the joint. The device can be provided as part of a system including an axis trajectory guide useful for locating the axis of rotation of the joint prior to insertion, adjustment and attachment of the device.

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 bone fixation device may include a primary bone plate. The primary bone plate may include an elongate member having a first fastener-receiving passageway therein to receive a first fastener to anchor the primary bone plate to a long bone of a patient, and an enlarged head member extending from the elongate member and having a secondary bone plate-receiving passageway therein. The bone fixation device may also include a secondary bone plate received in the secondary bone plate-receiving passageway and having a second fastener-receiving passageway therein to receive a second fastener to anchor the secondary bone plate to fractured end portions of the long bone of the patient.

Abstract: Disclosed is a bone fusion or implant, method and system for arthrodesis of a human ankle fusing the distal end of a tibia, talus and/or a calcaneus bone by employing a single anatomically lateral incision to the tibia, fibula, talus and calcaneus region, removing some or all of a fibula in the incision area and attaching the implant to the tibia, talus and/or calcaneus in a generally central area of the ankle. The removed portion of the fibula is morsilized and made into a paste and mixed with an autologous platelet concentrate that is applied as a bone graft to the implant site thereby enhancing the arthrodesis site and enhancing hemostasis.

Abstract: A bone fixation assembly includes a side plate for mounting on a bone and a barrel for receiving a portion of a lag screw, and configured to be inserted into a hole in the side plate. A mechanical spring located at the upper portion of the barrel biases a first detent portion toward a locking position with a second detent portion located on the side plate such that rotation of the barrel within the hole from a first position to a second position causes a compressing portion on the detent portion to contact a compressing portion on the second detent portion thereby compressing the mechanical spring so as to allow the barrel to be rotated to a third position wherein the mechanical spring is allowed to bias the first detent portion into the locking position such that a retaining portion of the first detent is adjacent to a retaining portion of the second detent and rotation of the barrel with respect to the side plate is restricted.

Abstract: A spinal implant assembly is provided for stabilizing the spine. The assembly includes an elongated plate, bolts, and nuts. The plate is fixed to vertebrae spanning an injury or deformity to a disc or vertebra using the bolts and nuts. Screws can provide additional stability. The nuts are configured to extend through the plate to clamp the plate between collars on both the bolts and nuts.

Abstract: A lumbar plate assembly for use between at least two vertebral bodies is disclosed. The assembly includes a lumbar plate having at least one opening for each vertebral body, a screw configured to secure the lumbar plate to a vertebra through the at least one opening, and a rotatable locking mechanism proximate the least one opening configured to rotate from a first configuration to a second configuration, the first configuration allowing the screw to pass into the opening and the second configuration engaging the screw to prevent withdrawal of the screw from the opening.

Abstract: A method and means of cranial bone flap fixation that provides, among other things, the re-opening, resetting and/or repositioning of the bone flap during neurosurgical procedures. The instrumentation central to this method and means is MR and CT-visible to aid in imaging-based localization of it. The method and means can also be used in other types of medical procedures where certain kinds of hard or firm tissue fixation is desirable according to the method of the invention.

Abstract: An orthopaedic implant system includes an orthopaedic implant implantable at a selected location within a corporeal body and configured for delivering at least one therapeutic agent to the corporeal body. The implant includes a reservoir and a plurality of channels. The reservoir is configured for receiving the at least one therapeutic agent. The plurality of channels are configured for conveying the at least one therapeutic agent from the reservoir to a treatment site relative to the corporeal body.

Abstract: The implant according to the invention is intended to be used as a replacement for an orbita bottom and optionally also for the medial orbita wall. The implant comprises the form of a single-piece preformed plate or grid which comprises a first segment, a second segment and a third segment. The first segment is designed in accordance with the form of the orbita bottom and the second segment is designed according to the form of the medial side-wall. The first and second segments adjoin each other along a first preset breaking line. The third segment adjoins the first segment and is arranged for fixing the implant to the lateral orbita edge.

Abstract: The invention concerns a plate for fixing bone fragments, where the plate consists of a pressed molded body of wire, preferably a pressed knitted fabric.

Abstract: A periarticular bone plate for the internal fixation of a fractured, proximal tibia of a surgical patient includes a shaft member connected to a head member, a top surface, a bottom surface, a posterior edge, an anterior edge and a plurality of holes extending between the top and bottom surfaces for receiving fasteners for attaching the plate to the bone. The head member is offset relative to the shaft member in each of a frontal and sagittal planes of the proximal tibia.

Abstract: A periarticular bone plate for the internal fixation of a fractured, proximal tibia of a surgical patient includes a shaft member connected to a head member, a top surface, a bottom surface, a posterior edge, an anterior edge and a plurality of holes extending between the top and bottom surfaces for receiving fasteners for attaching the plate to the bone. The head member is offset relative to the shaft member in each of a frontal and sagittal planes of the proximal tibia.

Abstract: A bone plate for fixation of proximal humerus fractures comprises an elongated shaft portion having a first width and a head portion connected to the shaft portion having a second width greater than the first width. The head portion and the shaft portion define a common longitudinal axis. At least one first screw hole may be located in the head portion, and at least one second screw hole may be located in the shaft portion. At least one of the first and second holes is configured to engage a head of a bone screw to form an angularly stable connection with the bone screw.

Abstract: A substantially rigid plate is secured to a medial portion of a clavicle relative to a fracture in the clavicle. The plate is positioned so that it extends at least partially over a distal portion of the clavicle relative to the fracture. The plate has surfaces that define a first opening through which a suture can pass. A hole is formed in the clavicle. A washer may be positioned at a side of the plate opposite the clavicle. Alternatively, the plate may include suture holes or edge features for securing a suture. A suture is secured to the washer, to at least one suture hole or to at least one edge feature, and extends through the first opening, through the hole in the clavicle and is secured to the coracoid process.

Abstract: A system for fracture reduction includes a reduction plate for reducing a fracture between a first bone segment and a second bone segment. The reduction plate includes, on a first side of the reduction plate, a travel slot and a screw hole. The travel slot is configured to slidably engage a first positioning element that extends into the first bone segment through the travel slot and the first screw hole is configured to affix the first side of the reduction plate to the first bone segment. The reduction plate includes, on a second side of the reduction plate, an adjustment hole and a second screw hole. The adjustment hole is configured to engage a second positioning element that extends into the second bone segment through the adjustment hole and the second screw hole is configured to affix the second side of the reduction plate to the second bone segment.

Abstract: A growth control device includes a bone plate having a stepped profile defined by a first level, a second level and an intermediate ramp connecting the first and second levels. The first level includes a first threaded hole for receiving a first bone fastener and the second level includes a second threaded hole for receiving a second bone fastener. The bone plate includes a proximal pair of side female notches, a distal pair of side female notches, a proximal guide hole and a distal guide hole.

Abstract: A plating system and method include a bone plate with at least a first vertebral engaging portion and a second vertebral engaging portion connected by flexible intermediate portions to permit translation of the vertebrae to which the bone plate is attached. The bone plate may further include a guide assembly extending between the vertebral engaging portions that permits at least uni-directional translation while enhancing resistance of the bone plate to bending forces.

Abstract: One embodiment provides a system which can include a pair of plates pivotably coupled to each other by a hinge. The plates can attach to posterior surfaces of vertebrae. The posterior surfaces can be on vertebral facets or can be exposed by removal of the facets. The hinge can be coupled to the plates in such a manner that the hinge is positioned adjacent to a center of rotation about which the vertebrae rotate relative to each other when the spine extends or flexes. The hinge can include a ball and socket, pin and pin hole, screw, etc and a sealing jacket. The system can include a piston for allowing the system to stretch and compress with the spine. Travel stops can be included in the hinge and piston. Multiple levels of the spine can be stabilized by systems with pairs of plates keyed to align with each other.

Abstract: A posterior spinal prosthesis is configured to cover exposed portions of a spinal column especially, but not necessarily, as a result of a medical spinal procedure and particularly, to provide posterior coverage of an exposed spinal cord, soft tissue, Foramen and/or adipose tissue, associated with one or more vertebrae as a result of the removal the spinous processes and/or the spinous process and laminar hoods from the one or more vertebrae of the spine as a result of a spinal decompression procedure or other reason. A plate forming the prosthesis is connectable to spine rod constructs implanted on lateral sides of the vertebrae and projects in the posterior direction relative to the connection. The plate is generally curved in the superior/inferior direction to provide either a lordotic or kyphotic curvature depending on the portion of the spine to which the prosthesis is utilized.

Abstract: The present invention is directed to a drill guide and methods of using a drill guide with a plate having at least one slotted hole extending therethrough. The drill guide positions a bone engaging fastener away from the ends of the slot, allowing compression or distraction of the bony segment to which the plate is attached.

Abstract: A system for contouring a locking plate includes a locking plate and at least one bender. The locking plate includes a plurality of threaded screw holes connected to one another by one or more ribs. The at least one bender includes a threaded tip configured to threadably engage one or more of the plurality of threaded screw holes and a shoulder operable to transmit mechanical force to the locking plate once the threaded tip is threadably engaged with one of the plurality of threaded screw holes.

Abstract: A bone fracture fixation system including a bone plate having a contour that substantially matches the contour of an underlying bone. The bone fracture fixation system can also include a jig that can be moved relative to non-parallel cannulas guided by the jig into operative position relative to a bone plate. In one embodiment, the jig includes grooves which do not completely surround the perimeter of the cannulas guided by the jig. The bone fracture fixation system can also include a jig including guides having a position and orientation which is adjustable relative to other ones of the guides. In one embodiment, the jig includes two portions that can articulate with respect to each other. The bone fracture fixation system can also include a wire bender that can bend a wire greater than 180 degrees so that both ends of the wire can be inserted into a fractured bone.

Abstract: Methods, instruments, and kits for attaching cranial plates. One embodiment implements a method which includes releasably attaching a plate to an instrument (using retaining members of the instrument) and placing the plate on a cranium (using an elongated and offset handle of the instrument). The method can include drilling a hole in the cranium, tapping the hole, and placing the screw in the hole using the instrument which defines a pattern of holes corresponding to, a pattern of holes on the plate. The drilling of the hole, tapping of the hole, and placing of the screw can occur by engaging one of the instrument holes with, respectively, a drill bit shank, a tap shank, and a screw head having a common diameter corresponding to a diameter of the instrument hole. The method can include selecting the plate, the drill bit, the tap, and the screw from a kit.

Abstract: The present invention relates to a series of orthopedic plates for use in repair of a clavicle. The plate has a Y-shaped profile or an X-shaped profile which includes an elongate central trunk with a complex contour and wither one or two terminal pairs of arms that have a first arm and a second arm that form differing angles and lengths relative to the trunk portion of the plate. The arms include locking screw holes where the screws converge toward each other to provide for multiplanar fixatio but which do not impinge.

Abstract: Disclosed is a device comprising at least one intervertebral implant (3) and at least one plate (4,5) that is to be connected to the intervertebral implant (3) and an adjacent spine (21-23). The intervertebral implant (3) is connected to at least two spaced-apart plates (4,5). One end of both plates (4,5) respectively forms a fixable joint along with the intervertebral implant (3). Preferably, at least one of the plates (5,4) is embodied in a Z-shaped or L-shaped manner. The inventive device provides for great adaptability to the anatomic characteristics of the spinal column and a modular structure while the number of parts is kept small.

Abstract: A locking fracture plate may become a dynamic locking plate with the removal of a single set screw. The set screw removal may be done at the time of the initial implantation of the fracture plate, or several weeks later after the fracture has been allowed to consolidate. The device of the present invention may allow for the set screw to be removed percutaneously under x-ray control. The dynamized plate may allow for fracture compression but not for fracture displacement (loss or reduction) by rotation or sheer. The dynamized plate, with the set screw removed, may still protect the fracture from rotation and sheer. While conventional fracture plates may rigidly hold the bones in place, thereby potentially slowing bone fusion, or, in extreme cases, resulting in nonunion of the fracture, the fracture plate of the present invention may allow for fracture compression and, therefore, permit bone healing, growth and repair.

Abstract: A bone plate (10) is described which is adapted for use in situ to fix a spatial relationship of at least two bone parts (80). The bone plate (10) has at least one pair of the bone screw apertures that are adjoined by a relief-space contiguous with the open space of the screw apertures themselves. An adjoined aperture pair forms a complex aperture and has a center-to-center distanced of the apertures along an axis running through the centers of the apertures. The center-to-center distance d is equal to or greater than the sum of the radii (r1+r2) of the heads of the individual bone screw used with the aperture pair. At least one of the screw apertures (24) has a screw head seat (34) having at least one relief notch (84) set into a surface of the screw head seat (34). The relief notch 84 provides desirable advantages that are not similarly accomplished in their absence, such as a clearance passage for a tensioning wire 88 or a receiver for a self-locking insert 92.

Abstract: A fixation device for connecting a stabilization device to a bone comprises a first member comprising a first portion for attachment to a bone; a second member comprising a second portion for attachment to a bone and connected to the first member by a pivotal connection such that the first and second portions are spaced apart by an adjustable distance, at least one of the first and second members further comprising a portion for mounting a connector adapted to secure a stabilization device.

Abstract: A longitudinally curved adjustable bone plate comprising a first plate having an end defined by at least two spaced prongs, and an end having means to fasten the plate to a body structure, e.g., the bone; and a second plate having an end defined by at least two straight bores for receiving the prongs, and an end having means to fasten the plate to a body structure, e.g., a bone; and a locking assembly for locking the prongs in the bores and fixing the overall length of the plate.

Abstract: A plate and screw assembly for fixation of at least a first vertebrate to a second vertebrate in a spinal column is disclosed. The plate and screw assembly includes a plate member that extends over a portion of at least the first vertebrate. At least a first screw hole extends through the plate and is sized to receive a first screw. The first screw extends through the first screw hole to engage the cylindrical side section of the first vertebrate to secure the first vertebrate to the plate member. At least a second screw hole extends through the plate member and is sized to receive a second screw. The second screw extends through the second screw hole to engage one of the flat base sections of the second vertebrate.

Abstract: A cervical plate having a plurality of boreholes and one or more openings for aligning or positioning the boreholes on a vertebra. Vertices, axes and sides of the openings may be used to align the cervical plate with the midline of vertebrae and may be used to position the boreholes to ensure bone fasteners advanced through the boreholes engage cortical regions of the vertebrae. Rings positioned in the boreholes may inhibit withdrawal of the bone fasteners from the cervical plate or vertebrae after installation.

Abstract: The present disclosure includes a method for reducing a bone fracture and an apparatus such as a cable button for use with a bone plate, the cable button including cable button threads, a plurality of cable button apertures, a hex socket, and a hex opening. The present disclosure also includes a method for reducing a bone fracture and an apparatus such as a cable button for use with a bone plate, the cable button including a plurality of legs, where a leg includes a protrusion, where the protrusion engages the bone plate, and the cable button defines at least one cable button aperture.

Abstract: A plate for contacting at least two cervical vertebrae of a spine, including a first portion configured to contact the first cervical vertebra of the spine, the first portion including a hole arranged on a longitudinal axis of the plate and configured to receive a screw adapted to be screwed into the anterior tubercle of the first cervical vertebra. The plate also includes a second portion configured to contact at least one of the second and third cervical vertebrae of the spine, the second portion including a pair of holes arranged on an axis substantially perpendicular to the longitudinal axis of the plate, each of the holes in the pair of holes being configured to receive a screw adapted to be screwed into the body of one of the second and third cervical vertebrae.

Abstract: Disclosed is a multi-axial occipito-cervical connection system that enables an occipital rod to be coupled to a cervical rod in a manner that permits multi-axial, relative movement between the two rods about a predetermined location, such as the heads of the rods. The system includes a locking mechanism that can be actuated to lock the relative positions of the rods. The rods can provide an interconnection between one or more attachments on the skull (such as an occipital attachment) and one or more attachments to the spine (such as spine screws).

Abstract: A spinal stabilization system includes an implant and instrumentation for stabilizing the spine. In one embodiment, the system includes a plate having a side rail and a channel extending adjacent the side rail. A pedicle screw assembly is positioned in the channel in releasable engagement with the side rail. The pedicle screw assembly includes a polyaxial screw seated in a lower housing having a lower locking flange. An upper housing having an upper locking flange secures the plate to the lower housing. The side rail of the plate is releasably engaged between the upper locking flange and the lower locking flange. The upper and lower housings include on-board locking mechanisms for fixing components in the screw assembly. The screw assembly and plate are inserted and oriented by remote manipulation. Minimally invasive techniques for inserting the implant are performed with the instrumentation, and cause minimal disturbance to surrounding tissue.

Abstract: A spinal stabilization system includes an implant and instrumentation for stabilizing the spine. In one embodiment, the system includes a plate having a side rail and a channel extending adjacent the side rail. A pedicle screw assembly is positioned in the channel in releasable engagement with the side rail. The pedicle screw assembly includes a polyaxial screw seated in a lower housing having a lower locking flange. An upper housing having an upper locking flange secures the plate to the lower housing. The side rail of the plate is releasably engaged between the upper locking flange and the lower locking flange. The upper and lower housings include on-board locking mechanisms for fixing components in the screw assembly. The screw assembly and plate are inserted and oriented by remote manipulation. Minimally invasive techniques for inserting the implant are performed with the instrumentation, and cause minimal disturbance to surrounding tissue.

Abstract: Aspects of the present disclosure include a bone plate and/or a bone plate system. The bone plate includes an elongate body, which body includes a distal portion and a proximal portion. The proximal portion includes at least one projection extending there from, which projection is configured for contacting a bone portion, e.g., a fractured bone portion, so as to aid in the reduction thereof. In some variations, the proximal portion includes a plurality of projections, e.g., reduction aids. Methods of using such a bone plate having reduction aids by itself, or in conjunction with a second bone plate, for the reduction, restoration and treatment of a bone fracture are also provided.

Abstract: An apparatus and method for reducing and fixing fractures, for example, a proximal humeral fracture. A jacking device releasably attached to a locking plate presses against an inferior aspect of the head to rotate the head into anatomic alignment. Suture material stitched into the soft tissue superior to the head pulls the superior end of the head and guides and steers the head. The suture material passes through suture holes in the superior end of the plate. The jacking device positions and holds the head in an anatomic neck/shaft angle, thereby allowing the head to be fixed to the locking plate. In one such embodiment, a swivel bushing in the plate receives the jacking device and allows the angle of the device to be adjusted as desired. To aid in the fluoroscopic visualization during surgery, a radiolucent retractor is used to avoid blocking the surgeon's view.

Abstract: Disclosed is a dynamic cervical plate system that may be adjusted to length, locked in place to provide compression, and will automatically shorten its length to maintain compression. The system includes spinal cages coupled to the plate which provide intervertebral spacers for excised discs. The cervical plate system has a flat elongated shaft adapted to span the intervertebral space and has at least two screw receivers spaced along the length of the plate. The screw receivers each have screw holes for accepting the heads of bone screws. The spinal cage is coupled to the plate and interposed between the screw receivers.

Abstract: An anterior cervical plating system is disclosed that includes an anterior cervical plate with a locking mechanism feature, bone screws, and a locking element. The bone screws fasten the anterior cervical plate to the spinal vertebrae and locking elements are inserted into a housing to prevent withdrawal of the bone screws from the vertebrae. The anterior cervical plate has at least one pair of adjacent bone screw holes, with the housing mounted perpendicularly between adjacent bone screw holes. When the bone screws are fully inserted into the vertebrae through the anterior cervical plate, the locking element prevents the retraction of the bone screws from the vertebrae. The elastically-deformable locking element holds the bone screws inside the screw holes.

Abstract: The disclosure includes a bone plate extender and extension system. The system includes a first bone plate extender and may additionally include a bone fixation element and/or an additional bone plate. The bone plate extender may be affixed to a bone portion at one end, for instance, a fractured bone portion, via a bone fixation element, and associated with a second bone plate at an opposite end, so as to facilitate alignment and stabilization of the bone and thereby correct and treat a bone fracture. The bone plate extender may include an extended body, which includes a bone plate engagement portion, a bone fixation portion, and an intercalating portion there between. In certain variations, the extended body is planar, and in certain variations the extended body is angled, curved or arced. Methods of using such bone plate extension systems for the reduction, restoration and treatment of bone fractures are also provided.

Abstract: A bone plate system is provided herein. The system may include a first and a second bone plate, which plates may be affixed to one or more bone portions and each other, so as to align and stabilize the bone and correct a bone fracture. A first bone plate is provided which includes both a bone contacting and a top surface, one of which corresponds to a primary plane. The first bone plate may be configured to engage a bone portion and a secondary plate. A secondary bone plate is provided, which plate is configured to engage the first plate. The secondary plate includes a bone contacting surface, which corresponds to one or more planes or an arc that are provided at an angle or substantially perpendicular to the primary plane. Methods of using such bone plating systems for the reduction, restoration and treatment of bone fractures are provided.