Abstract: The present invention relates to a fixing tool for an open-wedge high tibial osteotomy, and the fixing tool for an open-wedge high tibial osteotomy, which is installed on a tibia cut open due to an open-wedge tibial osteotomy, includes: a fixing plate which includes a head portion that has a plurality of head nut holes, and an elongated plate that has an upper nut hole, a lower nut hole, and a long hole formed between the upper nut hole and the lower nut hole, and protrudes from one side of the head portion; screws which are coupled to the head nut holes, the upper nut hole, and the lower nut hole so as to fix the fixing plate to the tibia; and a support screw which is installed by being moved along the long hole formed to be spaced apart at a predetermined interval from the upper nut hole formed at a side adjacent to the head portion. Therefore, the fixing tool is closely fixed to a tibia, which has been cut open due to a procedure of a high tibial osteotomy, thereby enabling solid union of the tibia.

Abstract: A universal self-locking anatomical plate for posterior of acetabulum and pelvis, which includes a right plate (1), a plurality of screws (2) and a guiding sleeve (3). The right plate (1) includes a region-a, a region-b, a region-c, a region-d and a region-e, which can respectively fix a certain region of an acetabulum, the region-a is provided thereon with three first locking holes for receiving the locking screws, the region-b is provided thereon with at least two second locking holes, the region-c is provided thereon with two positioning holes and twelve third locking holes, the region-d is provided thereon with three fourth locking holes, and the region-e is provided thereon with one fifth locking hole. The plate has an optimized structure, and has three capabilities: good safety, good stability, and biomechanic matching. Additionally, the fitness of the plate to the surface of the acetabulum mode is good.

Abstract: Devices, systems, and methods for bone stabilization, especially volar distal radius stabilization. The stabilization system may include a bone plate having an elongated portion, an enlarged head portion, and a transition region connecting the elongated portion to the enlarged head portion, and the plate including a plurality of through holes. A plurality of fasteners may be configured to extend through one or more of the plurality of through holes in the bone plate and into the bone. The plate may be used to stabilize a fracture in a long bone, such as a radius.

Abstract: A bone plate has a shaft portion having first and second side surfaces spaced from a centerline of the shaft. A plurality of holes extend from an upwardly facing surface of the shaft to a bone contacting surface. A first hole having a center located closer to the first side of the shaft than the centerline, and a second hole located closer to the second side of the shaft than the centerline. The upwardly facing surface of the shaft having a first tapered area extending from adjacent the first circular hole downwardly towards the second side of the shaft and the upwardly facing surface of the shaft having a second chamfered area extending downwardly from adjacent the second circular hole to the first side of the shaft. The tapered areas having wider and narrower portions with the center of each circular hole located adjacent the wider portion of the tapered area.

Abstract: An angled fixation device, such as an angled screw. This angled fixation device may be used by the surgeon to secure a spacer to a spinal disc space. The proximal end portion of the angled fixation device is driven perpendicular to the anterior wall of the spacer, and so is parallel to the vertebral endplates and in-line with the inserter. The distal end portion of the angled fixation device is oriented at about a 45 degree angle (plus or minus 30 degrees) to the vertebral endplate it enters.

Abstract: A subtalar plate implant (12) for correcting and/or altering the alignment of a hyperpronated foot (10) comprises a plate portion (22) and an insert portion (24) that is connected to the plate portion (22). The plate portion (22) is selectively attachable to a lateral aspect of the calcaneus (16). The insert portion (24) is positionable within the subtalar joint (18). The insert portion (24) includes a top surface (236) that is selectively positionable substantially adjacent to a base of the talus (14), the top surface (236) being angled to allow the talus (14) to articulate over the top surface (236). The insert portion (24) further includes a bottom surface (238) that is selectively positionable substantially adjacent to a dorsal surface of the calcaneus (16). The insert portion (24) can include a groove (356) that is formed along the bottom surface (238) substantially parallel to the plate portion (22).

Abstract: The invention entails metal alloy mono and poly-filament wire reinforced carbon fiber plating system for the fixation of skeletal fractures and osteotomies with electrical bone stimulation. For example, in some embodiments, systems and methods comprise a bone stimulation device by generating an electrical current from an implanted power pack, which travels through wire wrapped in the transverse/perpendicular plane around the mono-poly filament wires within the carbon fiber plate, creating an electromagnetic field. Such systems and methods find use in delayed or non-union events of bone and also in patients with acute bone fractures whom also suffer from other comorbidities predisposing the osteotomy or fracture to a non-union event.

Abstract: A bone plate is asymmetric and includes a straight body and a cross arm. The plate has first and second sides, each with the same structure. The body and cross arm include nodes separated by deformable bridges. Each node defines a screw hole, and wings extending laterally therefrom. The wings taper in thickness between the first and second sides. Screw holes are threaded into the nodes. Each of the first and second sides of the body and cross arm define longitudinal channels in the nodes. The plate can be shaped to the bone by deformation at the bridges or removal of portions of the plate at bridges. A pair of benders, each with clamp bracket and clamping bolt threadedly coupled within a threaded hole of the bracket, is also provided for shaping the plate.

Abstract: A system for securing bones together across a joint includes a transfixation screw and a plate. The plate includes an elongate spine having a transfixation screw hole disposed along the spine. The transfixation screw hole includes an inner surface configured to direct the transfixation screw through the transfixation screw hole such that the transfixation screw extends alongside the bridge portion at a trajectory configured to pass through a first position on the first bone and a second position on the second bone once the plate is placed across the joint. The transfixation screw includes a head configured to abut the inner surface of the transfixation screw hole and a shaft configured to contiguously extend through the first bone, across the joint, and into the second bone.

Abstract: A proximal humerus fracture plate for promoting healing of a fracture of a human humerus, comprising: an upper section having at least one screw hole for receiving an upper screw, the trajectory of the screw hole is a lateral to medial orientation; a transitional section having at least one screw hole for receiving a middle screw, the transitional section integral with the upper section and curved sufficiently to avoid a deltoid tuberosity, the middle screw fixing the transitional section along a lateral cortex of the humerus; and, a lower section having at least one screw hole for receiving a lower screw, the trajectory of the screw hole is an anterior to posterior orientation, the lower section integral with the transitional section.

Abstract: A bone repair system, kit and method for percutaneous repair of a bone segment containing a first bone segment and a second bone segment in a patient, each bone segment having a drill hole. The system comprises a longitudinal member configured to contact the first bone segment and the second bone segment and having at least one opening and cleats on the side adapted to contact the first bone segment and the second bone segment; a first fastener assembly configured to be disposed through the opening of the longitudinal member to hold the longitudinal member in place through the opening and the hole in the first bone segment; and a second fastener assembly configured to be disposed through the opening of the longitudinal member to hold the longitudinal member in place through the opening and the hole in the second bone segment.

Abstract: A bone plate for the compression of a fracture site or osteotomy of a bone includes a bone plate body having a plurality of screw holes and bone screws accommodated in the screw holes. At least one of the screw holes is teardrop shaped having a wide portion and a narrow portion. The bone screw selected for use in the screw hole can be either a locking screw or a non-locking screw, as the screw hole can accept both types.

Abstract: A fixation device is disclosed for the fixation of proximal humerus fractures includes an implantable humerus plate having a proximal portion adapted to be positioned at a head and medial calcar of the humerus, a distal portion adapted to be positioned along a shaft of the humerus, and a plurality of calcar openings provided through the proximal portion adapted to receive calcar fasteners that extend into the medial calcar. The calcar fasteners are grouped into a rafted configuration and the tips of each fastener are positioned into the calcar region so that torsional forces bearing upon the calcar regions are distributed into the rafted fastener support, thereby avoiding varus collapse of the humerus head after fixation of the fracture.

Abstract: In some embodiments, apparatus for the fixation of proximal humerus fractures includes an implantable humerus plate having a proximal portion adapted to be positioned at a head and medial calcar of the humerus, a distal portion adapted to be positioned along a shaft of the humerus, and a plurality of calcar openings provided through the proximal portion adapted to receive calcar fasteners that extend into the medial calcar.

Abstract: A bone fixation device that includes a rail body housing that has a top portion, a bottom portion, a first end portion, a second end portion, and a rail channel extending along a longitudinal axis of the rail body housing. The rail channel is defined between the top portion, the bottom portion, the first end portion, and the second end portion. The movable clamp assembly is movably coupled to the rail body housing within the rail channel and the position of the movable clamp assembly within the rail channel is adjustable. The movable clamp assembly also includes at least one semi-spherical collet defining a central channel configured to receive a bone fastener and orient the bone fastener in any of a plurality of orientations with respect to the rail body housing.

Abstract: A bone plate is provided including a first slot oriented along a longitudinal axis and a slider longitudinally displaceable along the first slot, said slider including a second slot oriented transversely to the longitudinal axis.

Abstract: A bone plate sized and shaped for fixation to a phalangeal bone includes a head extending from a first end to a second end and having first, second and third fixation element holes extending therethrough and arranged in a triangular configuration on the head, an outer wall of the head having a triangular shape corresponding to the triangular configuration, a bone contacting surface of the head being contoured to conform to the anatomy of a lateral surface of a phalangeal head and a shaft extending from the head, the shaft including fourth and fifth plate holes separated from one another by an elongated fixation element hole elongated in a direction parallel to a longitudinal axis of the shaft.

Abstract: A bone plate has a first and a second surface opposite to the first surface, and a deformable contact surface region. The plate has a through hole defining a through hole axis and an inner surface of the bone plate and extending from the first surface through the bone plate to the second surface. The contact surface may be formed by at least part of the inner surface, wherein the deformable contact region comprises a plurality of cavities at least partially surrounding the through hole and each extending in a height direction of the bone plate. Alternately, the deformable contact region may comprise at least one cavity surrounding the through hole in a circumferential direction of the through hole. Also provided is a bone plate system comprising the bone plate and a fastening member being configured to cooperate with the deformable contact region of the bone plate.

Abstract: An external fixation system and method for realigning, compressing or distracting broken bones has a planar ring element with an adjustable device having a body releasably mounted on the ring element. The adjustable device includes a first member for movement in a direction generally perpendicular to the ring element. A second member is mounted on the first member for movement in a direction parallel to the first member and with respect to a circumference of the planar ring element. The method includes inserting a k-wire through a first piece of bone and affixing the k-wire to the ring element. Then inserting a second k-wire through a second piece of bone and affixing the k-wire to the adjustable device second member. The pieces of bone are realigned, compressed or distracted by adjusting at least one of a first and second adjustable members forming the device.

Abstract: Disclosed is a device that is configured to be implanted adjacent interspinous processes of a patient. In one aspect, a spinal implant device comprises: a spacer region adapted to be positioned between first and second spinous processes of first and second vertebral bodies to limit movement of the first spinous process and the second spinous process toward one another; and an attachment region attached to the spacer region, the attachment region adapted to attach to the first spinous process via a fastener, the attachment region comprising a pair of pads having attachment elements that are configured to attach onto the spinous process.

Abstract: A template for use in producing an implant for use in spinal or other orthopedic fixation is provided, where the template is adjustable between a first configuration in which the template is capable of bending in response to a force and is capable of retaining a bent shape, and a second configuration in which the template assumes a memorized shape in response to directing the temperature of the template to value that is at or above a recovery level, where the recovery level is above body temperature. A spinal or orthopedic implant is formed by duplicating the bent shape of the template.

Abstract: The various embodiments disclosed herein relate to bone fixation or fusion devices, including intramedullary fixation or fusion devices that are implanted around the target bone. Certain device embodiments relates to devices that can be bent or otherwise deformed to replicate the natural or desired curve of the bone or joint being treated. In addition, other embodiments relate to implantation devices that can be used to implant or position the bone fixation or fusion devices.

Abstract: A rib fixation system having a bone plate and mono-cortical bone screws adapted for affixation to a rib, the security of the system being enhanced by providing paired sets of screw-receiving openings, wherein the offset axis of each opening of the paired set is approximately ten degrees off from the normal axis in the transverse direction toward the longitudinal midline of the bone plate and is also approximately ten degrees off the normal axis in the longitudinal direction, with the offset axis of each opening in a paired set being turned toward the other opening in the paired set.

Abstract: A posterior vertebral plating system comprising a plate and a plurality of attachment members. The plate has a plurality of holes extending through the plate from an upper surface to a lower surface, and the plate is configured to extend along the posterior side of at least two vertebrae adjacent at least one boney structure of each of the vertebrae. The holes are spaced in such a way that a first plurality of holes is positionable over a boney structure of a first vertebra to define a plurality of fixation points to the first vertebra and a second plurality of holes is positionable over boney structure of a second vertebra to define a plurality of fixation points to the second vertebra. The attachment members are insertable through the holes of the plate and into the boney structure of a corresponding vertebra to fix the plate to the vertebra.

Abstract: Implementations of devices for use in cervical spinal operations. Implementations may include a template including a central hole therethrough and two or more screw holes therethrough. The central hole may be configured to be inserted over a handle of a trial. The template may be configured to place a first of the two or more screw holes over a rostral vertebra and to place a second of the two or more screw holes over a caudal vertebra. Implementations may also include a template including a central hole therethrough and two or more screw holes therethrough. The central hole may be configured to couple over an inserter. The template may be configured to place a first of the two or more screw holes over a rostral vertebra and to place a second of the two or more screw holes over a caudal vertebra.

Abstract: A method for implanting a spinal plate includes the steps of displaying information about target vertebrae on which the implantation is to be performed and inserting a spacing device between two adjacent vertebrae to achieve a desired relationship there between. The method further includes planning placement of the spinal plate to achieve a desired relationship between the two adjacent vertebrae and defining a virtual cutting boundary on a virtual representation of each of the first and the second vertebrae according to the planned placement of the spinal plate. The method further includes tracking the vertebrae using a tracking array and tracking a position of a cutting tool held by a force feedback device as the tool is manipulated to form a sculpted cavity independently on each vertebrae for receiving the spinal plate, and providing force feedback to the user indicative of interaction between the tool and the virtual cutting boundary.

Abstract: In an exemplary embodiment, the present invention provides an orthopedic plate blocking assembly that can be used for the fixation or fastening of an orthopedic plate to bone tissue. In particular, the present invention, in one embodiment, provides an orthopedic plate having a plurality of cavities where each cavity is configured and dimensioned to receive a bone anchoring member. The orthopedic plate further provides a blocking mechanism having a plurality of blocking members that block the bone anchoring members to prevent the bone anchoring members from “backing out” of cavities once the bone anchoring members are finally seated in the cavities.

Abstract: A resorbable bone plate includes an elongated base member with a plurality of countersinks formed on the top surface. The countersinks provide a location for screw holes to be drilled through the plate and into a bone. Screws can then be inserted through the holes and into the bone. The countersinks allow the screw heads to remain flush or close to flush to the top surface of the bone plate, thereby reducing the overall profile of the system. The bottom surface of the bone plate is solid to provide significant resistance to deformation. The bone plate can have countersinks formed in a variety of configurations to provide a multitude of options for a surgeon to select a screw insertion location.

Abstract: The present invention discloses a step off bone plate, bone plate insertion system, and method of use. The step off bone plate includes a body with a first end and a second end, the body includes a first portion with a first curvature, a second portion with a second curvature, and a connecting portion coupled to the first portion at a first end and coupled to the second portion at a second end. The bone plate insertion system includes a step off bone plate and an alignment guide apparatus. A method of using the step off bone plate is also disclosed.

Abstract: A spinal implant for stabilizing first and second vertebrae. The spinal implant includes an intervertebral spacer and a bone stabilization member configured to be coupled to the intervertebral spacer. The bone stabilization member includes a plurality of bone screw openings and a plurality of bone screws extendable through the bone screw openings to secure the bone stabilization member to the vertebrae. A retention member, which is slidably coupled to the bone stabilization member, is linearly slidable between a first position and a second position while coupled to the bone stabilization member. In the first position, each of the bone screws is permitted to be inserted into the bone screw openings, and in the second position the retention member at least partially covers each of the bone screw openings to prevent a bone screw from backing out of the respective bone screw opening.

Abstract: A fracture fixation plate s stem for use on a long bone having metaphysis and a diaphysis, includes at least one end plate having ahead portion for the metaphysis, and at least one diaphyseal plate having a first end and a second end with a plurality of screw holes therebetween. The end plate includes mating structure adapted to mate with and securely couple to at least one end of the at least one diaphyseal plate. The system preferably includes several end plates and diaphyseal plates to accommodate anatomy of various sizes. A method for coupling the plates to the bone is also provided.

Abstract: Implant devices for the internal fixation of fractured bones, and more particularly to ankle plates for the tibia bone are disclosed and include an anterolateral tibia plate having an L-shaped body including a proximal portion defining a longitudinal axis, and a distal portion defining a traverse axis, and having a support bridge connected between the proximal portion and the distal portion. Implant devices disclosed also include an anterior tibia plate having an elongated first portion, a second portion that widens outward with respect to the elongated first portion, and a plurality of removable tabs attached to the outer edge of the second portion. Implant devices disclosed also include a medial tibia plate having an elongated shaft with a proximal portion and a distal portion. The distal portion is configured to extend proximate to a base of medial malleolus, and has a curvature with respect to a longitudinal axis defined by the elongated shaft. The distal portion may include a plurality of removable tabs.

Abstract: Interbody fusion devices including deployable fixation members. The implant may include a spacer, optionally, an end member coupled to the spacer, and one or more fixation members configured to extend into adjacent vertebrae. The fixation members may include screws, nails, shims, tangs, spikes, staples, pins, blades, fins, or the like, and combinations thereof.

Abstract: A drill guide for use with a bone plate is provided in accordance with various aspects of the present teachings. The drill guide can include a body and a quick-connect coupling arrangement. The body can have a proximal end, a distal end and can define a guide passage therebetween. The distal end can have a bone plate engaging portion. The quick-connect coupling arrangement can be associated with the bone plate engaging portion, and can include first and second lobes projecting radially outward from an outer surface of the bone plate engaging portion. The bone plate engaging portion and the first and second lobes can be operable to be slidably received in a bone screw hole in the bone plate so as to removably couple the drill guide to the bone plate in a predetermined orientation relative to the bone screw hole.

Abstract: A locking mechanism for a polyaxial locking screw is provided, together with a polyaxial locking assembly for locking a receiving member to a substrate. Also provided is a plating system for pelvic reconstruction.

Abstract: Implant devices for the internal fixation of fractured bones, and more particularly to ankle plates for the tibia bone are disclosed and include an anterolateral tibia plate having an L-shaped body including a proximal portion defining a longitudinal axis, and a distal portion defining a traverse axis, and having a support bridge connected between the proximal portion and the distal portion. Implant devices disclosed also include an anterior tibia plate having an elongated first portion, a second portion that widens outward with respect to the elongated first portion, and a plurality of removable tabs attached to the outer edge of the second portion. Implant devices disclosed also include a medial tibia plate having an elongated shaft with a proximal portion and a distal portion. The distal portion is configured to extend proximate to a base of medial malleolus, and has a curvature with respect to a longitudinal axis defined by the elongated shaft. The distal portion may include a plurality of removable tabs.

Abstract: A bone plate includes a first surface which, when the bone plate is positioned over a bone, faces the bone, and a second surface opposing the first surface, the bone plate comprising an elongate shaft portion extending along a longitudinal axis of the bone plate and including a plurality of through holes extending therethrough from the first surface to the second surface to receive a bone anchor therethrough and a head portion extending from an end of the elongate shaft portion along a length smaller than a length of the elongate shaft portion, a width of the head between lateral walls connecting edges of the first and second surface being greater than a width of the shaft distance between the lateral walls, wherein the second surface includes a cavity extending between a first one of the plurality of through holes situated closest to the head portion and the head portion.

Abstract: A spinal implant may include a frame having a plurality of attachment portions each configured to be received by a head of a bone anchor, a cover extending between at least two portions of the frame, and a plurality of spaces between the cover and the frame each of which is configured to accommodate the head of a bone anchor. Some embodiments may include a frame having a plurality of segments connected by joints. Some embodiments may have two or more covers in sliding engagement with one another and a plurality of attachments depending from transverse members, wherein each of the plurality of attachments includes a recess configured for receiving a mounting rod. Related methods are also disclosed.

Abstract: A plate for treating calcaneal fractures comprises a first portion extending along a first longitudinal axis from a first end to a second end and including a plurality of first openings extending therethrough extending along a second longitudinal axis from the a first end connected to the second end of the first portion to a second end, the first and second portions being angled relative to one another such that, when the plate is positioned along a desired portion of a calcaneus bone, the first and second portions extend parallel to a superior surface of the bone bordering a subtalar joint, the second portion including a plurality of second openings extending therethrough, wherein each of the first and second openings are configured to receive a bone fixation element therein at a user-selected angle relative to a central axis thereof.

Abstract: An apparatus for coupling with a fixation rod to allow spinal compression, distraction, and fixation along an antero-lateral aspect of a spine includes an elongated plate, first and second fixation screws, and a first arm. The elongated plate includes a first aperture at a superior end and a second aperture at an inferior end. The first fixation screw is received by the first aperture and engages a first body portion of a first vertebra. The second fixation screw is received by the second aperture and engages a second body portion of a second vertebra. The first arm extends transversely from a first base portion on the elongated plate and includes a first hook to couple with a first portion of the fixation rod.

Abstract: A device for repairing Hallux Valgus (HV) is disclosed comprising a first arm adapted to be affixed inside the canal of the first metatarsus (1MT) of a human foot, a second arm adapted to be affixed inside the canal of the second metatarsus (2MT) of a human foot and a spring mechanism connected between the first arm and the second arm, active to push the 1MT closer to the 2MT. The device may comprise fixating means adapted to fixate said first arm inside said MT and said second arm inside said 2MT and the spring mechanism is removable from the first and the second arms.

Abstract: Embodiments herein are generally directed to spinal implants for use in orthopedic stabilization assemblies. In some embodiments, these implants may be used in conjunction with laminoplasty or laminectomy procedures.

Abstract: An adjustable occipital plate includes a fixation plate, at least one lateral rod configured to be coupled to said fixation plate, at least one laterally sliding link configured to be coupled to and configured to be compressed around said at least one lateral rod to create a friction fit, and at least one rod connector coupled to said at least one laterally sliding link that is configured to receive at least one posterior cervical rod.

Abstract: A medial column bone plate, comprises a first portion which, when the plate is positioned along a medial column of a foot in a desired position, extends along a navicular, the first portion including at least two first variable angle holes extending therethrough, each of the first variable angle holes configured to receive a bone fixation element therethrough at a user-selected angle relative to a central axis thereof and a second portion extending distally from the first portion so that when the plate is in the desired position, the second portion extends along a medial cuneiform, the second portion including at least one second variable angle hole configured to receive a bone fixation element therein at a user-selected angle relative to a central axis thereof and a first compression slot extending therethrough in combination with a third portion extending distally from the second portion so that the third portion extends along a first metatarsal of the medial column in the desired position, the third portio

Abstract: A method for securing a vertebra during healing of a fracture within a pars area of the vertebra is described. In certain embodiments, the method includes providing a plate that has an outer shape similar to a shape of a pedicle and/or lamina of the vertebra, and an inner section that facilitates access to the pars area when the plate is secured to the vertebra.

Abstract: The present invention is a method and device for the correction and reduction of bone deformities, such as metatarsus primus adductus, using a plate body with winged buttresses and dorsal loop. The method and device can be affixed to a bone without any drilling or violating of the bone and can use a tethering technique which does not require drilling into the second metatarsal, nor does it require the placement of a prominent suture knot/button device medially along the first metatarsal.

Abstract: A bone joint repair and replacement assembly. A first portion comprising a bone plate is configured to attach to a distal or proximal end of a bone proximate the joint, generally coaxially with an axis defined by the bone. A second portion comprising an articular surface is configured to attach to the first portion, generally normal with respect to the axis, and inserted into the joint. Although versions of the assembly can be configured for use with several different pivotal joints, the invention is particularly suitable for full or partial replacement of an elbow, wherein the articular surface is pivotally attached to the first portion. Another embodiment of the invention is provided to repair a fractured bone head proximate the joint, and still another embodiment of the invention is provided to repair rotator cuff-related shoulder injuries.

Abstract: A bone plate has a first frame portion with a plurality of apertures. The apertures may have central axes angled with respect to a bone contacting surface adjacent thereto at an angle of other than 90°. The plate has a second plate portion comprising a plurality of apertures therethrough and has a first end connected to the first plate portion. The plate has a third plate portion having first and second ends respectively connected to a second end of the second plate portion and to the first plate portion at a point thereon closer to a center of the first plate portion than the first end of the second plate portion to the first plate portion. The first, second and third plate portions having an arcuate shape capable of conforming to an arcuate bone surface, the bone contacting surface forming a concave portion of the arcuate shape.

Abstract: A spinal implant may include a frame having a plurality of attachment portions each configured to be received by a head of a bone anchor, a cover extending between at least two portions of the frame, and a plurality of spaces between the cover and the frame each of which is configured to accommodate the head of a bone anchor. Some embodiments may include a frame having a plurality of segments connected by joints. Some embodiments may have two or more covers in sliding engagement with one another and a plurality of attachments depending from transverse members, wherein each of the plurality of attachments includes a recess configured for receiving a mounting rod. Related methods are also disclosed.

Abstract: An orthopedic plate system comprises a plurality of fasteners such as pegs or screws and a plate having two sets of holes for the fasteners. The first set of at least one hole includes internal threads that receive a fastener having a head which includes external threads that mate with the internal threads of the hole to lock the fastener at a fixed angle relative to the plate. The second set of at least one hole is devoid of internal threads and has a concavely rounded internal surface and which receives a convexly rounded external surface of a locking insert, which receives a variable axis fastener. The variable axis fastener causes the locking insert to expand to lock the variable axis fastener at a selected angle relative to the plate.