Abstract: System and method for fixing a distal femur having a Hoffa fracture. The system may comprise a main plate, an outrigger plate, and a coupling member that mounts the outrigger plate to the main plate. In an exemplary method, an elongated body portion of the main plate may be secured to a shaft region of the distal femur, and a wider head portion of the main plate may be secured to an end region of the distal femur. The outrigger plate may be mounted on the head portion of the main plate, and an arm of the outrigger plate may be fastened to a condylar fragment of the femur with one or more fasteners, such that the outrigger plate spans and stabilizes the Hoffa fracture.

Abstract: A neutralization plate includes a main body, a pair of upper arms extending upwards from the main body, and a pair of lower arms extending downward from the main body to form a generally X-shape with the pair of upper arms. In addition, the neutralization plate includes a horizontal channel formed across a rear side of a midsection of the main body, an aperture formed in the main body between the pair of lower arms and contiguous to a bottom edge of the horizontal channel, and a lower chute formed between the aperture and a lower edge of the horizontal channel. The lower chute is configured for ends of a suture looped through a fractured bone to be passed through the aperture and down the lower chute to a front side of the main body to be anchored separately from the fractured bone.

Abstract: An implant includes a curved first plate section having a curvature about a longitudinal axis extending in a longitudinal direction. The first plate section has a first hole and a second hole. The first hole and the second hole are positioned to receive respective bone screws for attaching the implant to a first curved surface of a bone having a syndesmosis. A second plate section extends continuously from the first plate section. The second plate section has at least a third hole that is positioned to be offset from the first hole and the second hole in a direction that is anterior or posterior from the first hole and the second hole in a case where the longitudinal axis is aligned along a superior-inferior direction. The third hole is configured to receive at least one screw or at least one button for holding a suture at a position offset from the first line segment hole and the second hole in the anterior or posterior direction, for reducing the syndesmosis.

Abstract: Devices, systems, and methods for bone stabilization, especially proximal humeral stabilization. The stabilization system may include a bone plate having an elongated portion extending along a longitudinal axis and an enlarged head portion extending from the elongated portion. The stabilization system may include an intramedullary nail having an upper portion and a lower portion extending from the upper portion, the upper portion and the lower portion including a plurality of 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/or one or more of the plurality of holes in the intramedullary nail and into the bone. The plate and nail may each be used alone or in combination together to stabilize a fracture in a long bone, such as a humerus.

Abstract: A metatarsal fixation device is provided for fixation of osteotomy or fracture of a distal metatarsal metaphysis bone of the human foot and for fixation of an associated capsule to the metatarsal head. The device includes a metallic bone plate with a series of screw holes along an elongated portion of the plate and a combination of a singular screw hole and a resilient clamp on an end of the elongated portion. The resilient clamp has two arched resilient arms extending laterally outward from an end of the elongated portion. Each arm has a plurality of spikes on an inner surface thereof providing points of contact that compress and attach a metatarsal phalangeal joint capsule portion to the medial and/or lateral aspect of the metatarsal head, thereby facilitating realignment of the metatarsophalangeal joint and respective digit. The resilient arms are biased to grasp lateral sides of a metatarsal head and any associated capsule portion.

Abstract: A method, system, and apparatus for bone fusion. Bone fusion can be performed using an elongated plate having a top face and a bottom face and defining a plurality of screw apertures therethrough. The elongated plate has a longitudinal dimension between a first and second ends and a lateral dimension between first and second sides. The screw apertures are defined in a generally straight line along the longitudinal dimension of the elongated plate, and three or more of the screw apertures are configured to facilitate different trajectories of bone screws through each of the three or more screw apertures. The screw apertures are configured to facilitate trajectories of bone screws to secure at least three bones to the elongated plate.

Abstract: Orthopedic surgical implants include an implant plate. The implant plate may include a proximal plate segment having a generally concave proximal bone engaging portion. A middle plate segment may extend from the proximal plate segment. The middle plate segment may have a generally convex middle bone engaging portion. A distal plate segment may extend from the middle plate segment. The distal plate segment may have a distal bone engaging portion. At least one proximal fastener opening may be provided in the proximal plate segment of the implant plate. At least one distal fastener opening may be provided in the distal plate segment of the implant plate. At least one proximal compression fastener may extend through the at least one proximal fastener opening. At least one distal tension fastener may extend through the at least one distal fastener opening. The orthopedic surgical implants may be suitable for repair of a fractured femoral neck and pertrochanteric fractures.

Abstract: A plate for fracture fixation, a system and methods are provided including a plurality of individually adjustable heads and various features and accessories to achieve: a.) superior fixation of the plate to osteoporotic diaphyseal bone; b.) improved visualization of the fracture line; c.) intraoperative adjustability to achieve better contact of the plate and the bone; d.) reduced risk of post-surgery tendon rupture; d.) improved fixation of small volar marginal fragments; e.) improved targeting and fixing of particular fractured bone fragments and, f.) reduced surgical operation time.

Abstract: A system and method of diagnosing tissue integrity related to a joint of a patient may include imaging a first bone of the joint of the patient, determining a bone density profile of the first bone based on results of the imaging step, comparing the bone density profile of the first bone to at least one reference bone density profile of a reference first bone, and predicting an integrity of a tissue with respect to the first bone based on the comparison. The first bone may be a tibia and the bone density profile of the tibia may include a bone density profile of a sulcus of a medial tibial condyle of the tibia. The tissue may be an anterior cruciate ligament (“ACL”) and the predicting step may include predicting the integrity of both an anteromedial bundle and a posterolateral bundle of the ACL.

Abstract: A bone repair system and method for percutaneously fixing a first bone segment to a second bone segment, such as rib bone segments, in a body of a patient include drilling a first hole through the first bone segment and a second hole through the second bone segment, and feeding a first tether through the first hole and a second tether through the second hole, each tether having a proximal end and a distal end. The first and second tether distal ends are withdrawn from the body while the first and second tether proximal ends have not passed through the first and second bone segments, respectively. A reinforcing member, such as a bone plate, having first and second openings, is passed onto the first and second tether distal ends, and the reinforcing member is pulled into engagement with the first and second bone segments guided by the tethers.

Abstract: A medical device that may include a main body and a plurality of hooks. The main body includes a length extending along an axis between first and second ends. The main body may be deformable such that the axis forms an arch shape corresponding to a shape of a mandibular jaw or a maxillary jaw. The main body may include a plurality of sections each having first and second edges defining a first width and a plurality of openings disposed between the first and second edges and extending through a thickness of the main body. The main body may include a plurality of recessed portions defining a second width disposed between adjacent ones of the sections. Each of the hooks may extend from a corresponding one of the sections.

Abstract: Various systems, devices, and methods for improved bone fixation are disclosed. The system includes a bone plate and a plurality of variable angle screws. The bone plate comprises titanium and the variable angle screws comprise a TiMo alloy treated to have a hardness of at least 35 HRC. A method of manufacturing an implant is also disclosed. The method includes machining the TiMo alloy having a first hardness value and a first % elongation to form an implant; heat treating, quenching, and ageing the bone fastener to have a second hardness value that can be greater than the first hardness value and a second % elongation that can be both less than the first % elongation and greater than about 3% elongation.

Abstract: A device for containing bone graft material includes an outer sleeve including a first proximal longitudinal split extending along a length thereof and a first distal longitudinal split extending along a length thereof and an inner sleeve connected to the outer sleeve via at least one strut so that a bone graft collecting space is defined therebetween, the inner sleeve including a second distal longitudinal split extending along a length thereof in combination with an interstitial mesh extending circumferentially between the inner and outer sleeves to hold graft material in the bone graft collecting space, the interstitial mesh including a third longitudinal split extending along a length thereof so that a distal side of the device may be spread open to open the distal longitudinal slot from the outer sleeve, through the interstitial mesh and the inner sleeve to a space radially within the inner sleeve.

Abstract: A T-shaped plate for osteosynthesis, has at least three first attachment holes (124) and second attachment holes (113) including a curved linkage area (13). The epiphysis portion has a recess (34) with a curved profile from one end to the other of the T-bar when viewed from the top, and a curved profile when viewed from the side, and the diaphysis portion is straight and rigid. The plate is non-deformable at normal temperatures. The leg of the T has a rounded inner surface (56). The linkage area (13) has an S-shaped longitudinal cross-section, the ends (132, 133) of which that are adjoined with the bar and leg of the T, respectively, are substantially parallel to one another.

Abstract: A bone plate system for securing a plurality of bones is provided including a plate member, a locking device of the bone plate, and a surgical cable having a trailing end for being connected to the bone plate and a leading end for being advanced around the bones and into the locking device. The surgical cable may be tensioned to approximate the bones, urge the bones together, and seat the bone plate against the bones. The locking device may be reconfigured to a locked configuration to fix the bone plate to the surgical cable. The bone plate further includes a plurality of throughbores for receiving bone anchors that rigidly fix the bone plate to the bones. The bone plate system utilizes the tensile strength of the surgical cable and the rigid fixation between the bone anchors and the bone plate to resist relative movement of the bones.

Abstract: A bone plate system and method for implanting the bone plate. The bone plate may include a head portion and a shaft portion, the shaft portion having a longitudinal axis and comprising a plurality of discrete aperture clusters. Each aperture cluster may include a non-threaded, non-locking bone fastener aperture configured to provide a polyaxial compressive construct and at least one threaded, locking bone fastener aperture. Once aligned with the bone, a first bone fastener is inserted into the bone through at least one of the non-threaded apertures in a direction normal to the longitudinal axis, compressing the bone along the longitudinal axis of the shaft portion of the bone plate. A second bone fastener is inserted into the bone through at least one of the threaded, locking bone fastener apertures in a direction oblique to the longitudinal axis and securing the bone plate to the bone.

Abstract: An alignment guide system is disclosed that includes a first alignment guide and a second alignment guide. The first and second alignment guides are adapted to couple to plates affixed to a bone or other body part and guide the plates together to close a resection or opening in the bone or other body part. The alignment guide system allows for an easy one person closure of the resection or opening in the bone or other body part.

Abstract: A fixation system includes a plate comprising a top surface, a bottom surface, a central longitudinal axis, at least one fixation hole extending between the top and bottom surfaces and 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: A method for treating a mandible including forming an initial digital 3D model of a mesh graft containment device based on dimensions of a target space of a mandible to be filled via the graft containment device, the 3D model of the graft containment device defined via a buccal surface, a lingual surface, a superior surface and an inferior surface, individually adjusting one of the buccal surface and the lingual surface relative to a first midplane, which extends through a longitudinal axis of the graft containment device between the buccal and lingual surfaces, to add or remove bulk along a desired portion of the 3D model of the graft containment device to form an adjusted 3D model, and forming a final graft containment device for placement in the target space of the mandible based on the adjusted 3D model.

Abstract: The present disclosure relates, according to some embodiments, to orthopedic implantable device technology, and more specifically to variable angle implantable devices, systems, and methods.

Abstract: A method for treating a spine is provided. The method includes the steps of: disposing an interbody implant adjacent a first vertebral surface and a second vertebral surface of an intervertebral disc space, the interbody implant engaging the vertebral surfaces at a selected angular orientation; connecting the interbody implant with at least one of the vertebral surfaces via at least one fastener that is engaged with the interbody implant and fixed with the vertebral surface such that the at least one fastener is movable to a plurality of axial orientations relative to the interbody implant; and manipulating the vertebral surfaces such that the at least one fastener is fixed relative to the interbody implant. Spinal implants, surgical instruments and systems are disclosed.

Abstract: Methods and devices for correcting hallux valgus and tailor's bunion are disclosed. An implant includes a bone engaging feature on each end connected by an intermediate portion. The implant is configured to be positioned on the dorsal side of the metatarsals and stabilizes two adjacent metatarsals toward one another, thereby decreasing the intermetatarsal angle. Depending on the severity of the deformity, a single or multiple implants may be used. In addition, the implant may be used as an adjunctive device in combination with other surgical procedures.

Abstract: A talar implant system comprises a body. The body includes a bone contact surface and an articulation surface located opposite the bone contact surface. The body defines at least one angled fastener hole extending therethrough from the articulation surface to the bone contact surface along a longitudinal axis. The articulation surface is configured to mimic articulation of the talar dome. A fastener is sized and configured to be received within the at least one fastener hole at a first angle with respect to the longitudinal axis of the fastener hole. A fastener cap is sized and configured to be received within a proximal end of the at least one fastener hole. The fastener cap couples the body to the fastener.

Abstract: Instruments for applying tension to a securing device, such as a cable or wire, for securing bones in place and fastening implants, such as plates, to bones. In some forms, the tensioning instrument is configured with minimal parts for ease of manufacturing and allowing single use applications. The instrument may include a pretensioning mechanism for applying desired preload before connecting a cable to be tensioned to the instrument. The instrument may be sized and configured to remain attached to a tensioned cable while other cables are connected to a bone. In another form, the instrument may be expandable to remove any slack from the securing device and apply tension thereto.

Abstract: A device for containing bone graft material includes a mesh outer sleeve extending longitudinally from a proximal end to a distal end and sized and shaped to correspond to a profile of an outer surface of a target bone. The outer sleeve includes a longitudinal slot extending along a length thereof. The device also includes a mesh inner sleeve connected to an interior surface of the outer sleeve via at least one strut so that a bone graft collecting space is defined therebetween. The inner sleeve is sized and shaped to correspond to a profile of a medullary canal of the target bone. In addition, the device includes an interstitial mesh extending radially away from an exterior surface of the inner sleeve toward an interior surface of the outer sleeve to hold graft material in the bone graft collecting space.

Abstract: A biocompatible membrane comprised of alginate and hyaluronate. The membrane may be used to prevent unwanted scarring after surgery. The tissue adherence and the rate of bioresorption of the membrane may be modified through an external stimulus comprising a sequestering agent and a viscosity modifier.

Abstract: A reference guide tool for conforming a bone plate can include a series of bone templates, each having a distinct three-dimensional shape that replicates portions of various clavicles. Each bone template of the series of bone templates can have a plate engaging surface that is configured to engage a bone plate and provide a reference for the bone plates during structural modification of the bone plate.

Abstract: A device for containing a graft material includes an outer member formed via an outer mesh sheet biased toward a coiled configuration in which the outer mesh sheet is coiled about a longitudinal axis thereof so that, when the outer member is positioned about separated portions of a target bone in an operative position, the outer member reverts to the coiled configuration and contracts about and engages the separated portions. The device also includes an inner member formed via an inner mesh sheet coiled about a longitudinal axis thereof. The inner member is movable between a first biased coiled configuration and a second coiled configuration. A diameter of the inner member in the first coiled configuration is larger than a diameter of the inner member in the second coiled configuration.

Abstract: A device (1) for use in the surgical treatment of a patient suffering from funnel chest characterized in that it comprises a plate adapted to be fitted underneath the skin of the patient, and further characterized in that, in use, said plate can be attached to the patient's sternum and the curvature, length and width of the plate being such that the plate extends on both sides of the sternum and on the outside of the patient's thorax and is supported by the ribs to hold up the sternum.

Abstract: Adjunct material to promote tissue growth is provided. In general, an implantable adjunct can be configured to be applied to tissue by a surgical stapler in conjunction with staples. The adjunct can have one or more medicants releasably retained therein that are effective to provide a desired effect on tissue in-growth in a predetermined manner. One or more characteristics associated with the adjunct can be altered between various implementations to promote organized tissue remodeling in a desired manner during wound healing, such as by encouraging tissue growth to be in a certain direction and/or by discouraging tissue growth in a certain area and/or on a certain structure.

Abstract: A hybrid bone plate has a first plate portion, having a first top surface and a first bottom surface and comprises a hard titanium alloy. A second plate portion has a second top surface and a second bottom surface and comprises a pure titanium or a soft titanium alloy. The first plate portion has a higher material yield strength than the second plate portion. The first plate portion and the second plate portion are connected to each other at a transition region by for example welding wherein in the transition region the first top surface and the second top surface together form a closed top integral surface and the first bottom surface and the second bottom surface together form a closed bottom integral surface.

Abstract: The present subject disclosure provides a novel design for devices and methods for straightening a curved spine by using a reduction tool to move the spine with respect to an attached bone plate.

Abstract: A bone fixation system having a plate with an axle and a blade or “beam” configured to engage with the axle and reside proximate to a subchondral fragment of bone in upon installation of the plate. The beam is operable to rotate about the axle on the plate and reposition the subchondral fragment of bone.

Abstract: According to one embodiment, a bone fixation system includes a plate having a first opening a beam configured to traverse through the first opening and reside proximate to a subchondral fragment of bone in an installed position. The beam may be operable to rotate about an axis of rotation proximate to the first opening and reposition the subchondral fragment of bone.

Abstract: A locking cap for a fracture fixation system according to an exemplary aspect of the present disclosure includes, among other things, a cap body that extends along a longitudinal axis between a proximal end and a distal end. An external thread extends around at least a portion of the cap body. A passage extends inside the cap body from the distal end toward the proximal end. An internal thread extends about a periphery of the passage along at least a portion of a length of the passage.

Abstract: There is provided a spinal implant device for placement between adjacent spinous processes and a pair of opposing facet joints. The spinal implant device includes a fusion cage, first and second fixation plates and a connector for connecting the cage to the plates. The fusion cage includes a superficial face, a deep face, superior and inferior saddle portions, and opposing cage ends. Each cage end defining a facet fusion surface sized and configured to respectively contact the opposing facet joints. The first and second fixation plate are sized and configured to extend along and in contact with the adjacent spinous processes. A method of implanting the device is provided. In another embodiment the device includes the fusion cage.

Abstract: A clip includes a body and a pin. The body includes a first end, a second end, and a backspan extending between the first and second ends. The backspan defines a through hole. Each of the first and second ends of the body are configured to releasably couple to a rail of a dynamic spinal clip between two adjacent segments of a dynamic spinal clip to maintain a span between two adjacent segments. The pin defines a longitudinal axis and includes a head and a shaft. The shaft extends from the head to a tip. The tip is configured to penetrate bone. The shaft is configured and dimensioned to be slidably received through the through hole of the body. The head is sized to prevent the head from passing through the through hole of the body.

Abstract: A glenoid implant for a shoulder prosthesis for implantation in the glenoid of a scapula according to embodiments of the present invention includes a central fixation element; an articular body configured for articulation with a humerus, the articular body comprising a plate, the plate comprising a side configured to be oriented toward the glenoid, the side comprising a central protrusion, wherein the central fixation element comprises a means for mechanically engaging with the central protrusion; a first means for locking rotation of the central fixation element with respect to the glenoid; and a second means for locking rotation of the articular body with respect to the glenoid.

Abstract: A plate for attaching to an anatomic structure. The plate comprises a top surface opposite a bottom surface. An opening through the top and bottom surfaces is configured to receive a fastener to attach the plate to the anatomic structure. The plate comprises spikes configured to penetrate the anatomic structure. With the fastener, the spikes prevent rotational movement of the body relative to the anatomic structure. The bottom surface is concave between the spikes and defines a space configured to accommodate portions of the anatomic structure. Bone pad surfaces are configured to prevent further penetration of the spikes into the anatomic structure when in contact the same. A tracking device for a surgical navigational system can comprise a tracking head coupled to the plate with a mounting arm. The plate, when attached to the anatomic structure, prevents movement of the tracking device relative to the anatomic structure.

Abstract: A fixing arrangement comprises a retaining element and a clamping sleeve which receives a bone screw. The bone screw has a head and a secondary thread and is pivotally mounted in the clamping sleeve. The clamping sleeve has a radially protruding section on the outer casing of the clamping sleeve and at least one track of a clamping thread, which complements the secondary thread, in the interior of the clamping sleeve. In the unclamped state, a free path is formed by a clearance on the clamping sleeve. A protruding section engages into an opening on the receiving seat in a formfitting manner, and the thickened section is shaped to expand towards the rear in the form of a cone. The cone angle is selected such that the free path divided by the tangent of the half-cone angle corresponds to 0.5 to 2.5 times the thread pitch of the secondary thread.

Abstract: An orthopedic jig and pins therefore are disclosed that allow the pins to be pre-loaded into apertures through the jig before the jig is positioned at a desired location with respect to a bone during an orthopedic surgical procedure. At least one of the pin and/or jig includes a retention mechanism whereby the pin can be inserted into the bore and releasably restrained therein until the jig is place is the selected position and the pins driven into the bone.

Abstract: Treatment of spinal irregularities, including, in one or more embodiments, dynamic spine stabilizers and systems that can be used to stabilize one or more motion segments in a patient's spine. Spine stabilization systems may comprise a first bone fastener configured to attach the spine stabilization system to a first vertebra. Spine stabilization systems further may comprise a second bone fastener configured to attach the spine stabilization system to a second vertebra. Spine stabilization systems further may comprise a dynamic spine stabilizer configured to connect the first bone fastener and the second bone fastener with at least some relative movement between the first bone fastener and the second bone fastener.

Abstract: A scapholunate stabilisation implant includes a central part having an elastic deformation capacity enabling the traction movements of the implant, and two end parts having an elastic deformation capacity enabling the torsional movements of the implant, the end parts being provided with at least one hole through which the fixing screw is passed, the central part and the end parts being connected by rods that can withstand the torsional deformations of the implant.

Abstract: A bone fixation system having a plate with an axle and a blade or “beam” configured to engage with the axle and reside proximate to a subchondral fragment of bone in upon installation of the plate. The beam is operable to rotate about the axle on the plate and reposition the subchondral fragment of bone.

Abstract: A method of expanding the spinal canal of a vertebra including inserting a bone anchor into a first lamina of the vertebra, cutting completely through the first lamina to create a space in the first lamina, cutting partially through a second, contra-lateral lamina of the vertebra to create a partial cut in the second lamina, engaging a first segment of a plate with the bone anchor, pivoting the bone anchor and the first lamina about the partial cut in the second lamina to increase the extent of the space in the first lamina, and connecting a second segment of the plate to a portion of the vertebra across the space from the first segment of the plate such that the plate spans the space and stabilizes the vertebra.

Abstract: Certain embodiments of the invention provide plates for treating periarticular fractures or other non-full body weight bearing applications that combine polyaxial fixation with a low profile and enhanced contouring that more closely conforms to bone. Such plates can be designed to achieve buttressing effect and/or to be used in a reinforcement mode. Other features can be combined with these. Such plates can be created for use on bone sites such as on a tibia, fibula, metatarsal, calcaneous, other foot bone, humerus, radius, ulna, spinal, maxillofacial, as well as sites on other bones.

Abstract: A device and method for treating a bone includes a bone plate including first and second portions joined to one another via a connecting portion, a rigidity of the connecting portion being less than rigidities of each of the first and second portions in combination with a first sensor mounted on the first portion measuring strain on the first portion and a second sensor mounted on the second portion measuring strain on the second portion.

Abstract: Aspects of the present invention provide implants for augmentation, stabilization, or defect reconstruction of bone tissue, comprising a scaffold portion structured to provide shape to the implant, the scaffold portion comprising one or more of the following: one or more polylactic acid isomer; one or more polyglycolic acid isomer; and/or allogenic bone material, or similar compound.

Abstract: A blade-plate assembly for performing an osteotomy procedure is disclosed. The blade-plate assembly may include a modular blade component configured to be coupled to either a Varus plate component or a Valgus plate component when performing the osteotomy procedure. In some embodiments, the modular blade component includes a support portion and a blade portion that extends outwardly in perpendicular relation to the support portion. The blade portion defines a channel configured to permit passage of a guide wire when performing the osteotomy procedure.

Abstract: Methods of reducing device drag on implantable articles are disclosed herein. The methods include coating the contact surfaces of implantable articles with bioabsorbable lubricating coatings.