Abstract: A fixation device serves in facilitating reduction and repair of a fractured bone such as a clavicle or a pelvis. The fixation device includes a bone plate adapted to overlie and contact bone fragments of a fractured bone. The bone plate can include tines extending outwardly from the edge thereof to contact the exterior of and support the bone fragments.

Abstract: A system and method of angularly stable fixation of an implant on a bone includes the steps of making at least one hole in the bone by means of a bone drill. An implant is placed on the bone in a desired position and joining the implant with the bone, such that the implant is prevented from rotation about its attachment point. A system is provided for use in the above described method. The system comprises a bone drill, an implant and a sonotrode for angularly stable fixation of the implant on the bone. The system can further comprise a joining element to join the implant with the bone.

Abstract: A cervical fixation system and method for repairing odontoid fractures includes securing an anterior plate to caudal portion of C2 body below the odontoid neck. The anterior plate houses lag screw within a posterior shaft. A cannulated fixation device crosses the fracture site with fixation into the cephalad fragment. The lag screw can be pulled caudally into the plate with a compression screw to apply a compression force across the fracture site.

Abstract: Removable drill guide tips are provided for simultaneous assembly relative to the holes of a bone plate. The drill guide tips are used as a guide for a drill bit without any additional extension and then removed with a tool to allow insertion of a screw within the same hole in the bone plate. Alternatively, the drill guide tips may be used with an extension to extend the effective length of the drill guide.

Abstract: A bone fixation system that may be configured to move at least one of a first bone segment and a second bone segment relative to the other, is disclosed. The system may include a first lever and a second lever pivotally coupled to the first lever. The first lever may include a first handle, a first jaw extending from the first handle, and an aperture extending through the first jaw. The aperture may be configured to receive a fixation element to thereby fixedly couple the first lever to a bone plate. The second lever may include a second handle, a second jaw extending from the second handle, and an aperture extending through the second jaw. The aperture may be configured to receive a temporary fixation element to operatively couple the second lever to the second bone segment.

Abstract: Osteosynthesis constructs for treating bone fractures and bone screws for use in such systems are disclosed. The bone screws include a threaded front section configured for engagement with cortical bone, a threaded mid-section and an unthreaded neck section configured for limited movement within the near cortex of the bone. Osteosynthesis constructs of the type disclosed promote secondary healing by allowing for substantially parallel motion at the near and far cortex within the effective motion range for callus formation.

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 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 device to maintaining temporary engagement with a bone plate and a bone, the device comprising: (a) a first biased appendage positioned opposite a second biased appendage, the first and second biased appendages including an arcuate vertical profile that partially defines an interior region; (b) a platform concurrently coupled to the first and second biased appendages, the platform also partially defining the interior region, the platform including a through hole open to the interior region; and, (c) a first tab extending from at least one of the first biased appendage, the second biased appendage, and the platform, the first tab extending into the interior region to engage a bone plate.

Abstract: Systems, including methods, apparatus, and kits, for fixing bones, such as rib bones, with bone plates.

Abstract: A bone plate configured to accommodate flexible strands (flexible loops) attached to soft tissue to be attached to bone. The bone plate has a plurality of recessed eyelets on the distal edge of the plate, to allow the user (surgeon) to pass a flexible strand through the recessed eyelets and reattach the soft tissue to the plate at the anatomical location where the tissue was dissected. The recessed eyelets may have various shapes, forms and configurations and may be provided on or within a surface of the bone plate in any number, depending on the characteristics of the fractured bone or bone segments, or of the plate design. The eyelets preferably receive a flexible strand for fixation of soft tissue to the bone plate.

Abstract: The present invention relates to a bone plating system and method for fracture fixation of bone. The bone plating system includes a bone plate, at least one locking screw, and at least one non-locking screw. The bone plate has locking holes with threads and non-locking holes. The locking screws have a shaft with a thread for engaging bone and a head with a thread configured and dimensioned to mate with the thread of the locking holes. The non-locking screws have a thread for engaging bone and a non-threaded head. Both the locking and non-locking screws remain seated in their respective holes for substantially as long as the bone plate is implanted. The non-locking screws compress the bone plate against the bone and hold fracture reduction while the locking screws are secured to the plate at a fixed angular relationship. The mixed fixation achieved by this bone plating system and method is particularly useful for treatment of per-articular fractures.

Abstract: A system and method facilitating replacement of comminuted bone fractures or portions thereof adjacent bone joints. The system and method employs a prosthesis to replace at least a portion of the comminuted bone fractures. The prosthesis serves in reproducing the articular surface of the portion or portions of the comminuted bone fractures that are replaced. In doing so, the prosthesis serves in restoring joint viability and corresponding articulation thereof.

Abstract: A bone plating system comprising: a plate, where the plate is low-profile and capable of contouring to a bone; a variable number of screw holes, locking or non-locking; at least one channel or tunnel through the plate; and at least one flexible device passing through the channel or tunnel and passing through soft tissue attached to the bone. The low profile plate, in combination with the flexible device passing through the surrounding soft tissue, functions as a tension band and acts to neutralize the muscle forces tending to pull the bone apart at a fracture. The low profile tension band plating system is targeted for periarticular tensile fractures for repair of the greater trochanter.

Abstract: A volar fixation system includes a plate intended to be positioned against the volar side of the radial bone. The plate includes threaded holes for receiving fasteners which lock relative to the plate.

Abstract: An assembly for rigid bone fixation includes a plate and a screw. The screw can be rotated freely within the plate in a non-locking configuration to secure the plate against the bone. A locking mechanism is engaged to prevent the screw from moving relative the plate. In one embodiment, the plate includes a threaded portion and a non-threaded portion. The screw head rotates within the non-threaded portion to tighten the screw and pull the plate against the bone. The locking mechanism can include a moveable nut that rotates within the threaded portion of the plate to lock the screw and plate in a locking mode. The locking mechanism can include a second screw to actuate and expansion portion of screw inserted into the bone. The assembly can be used for rigid fixation of bones that experience cyclic loads, such as the sternum and mandible. Methods of rigid bone fixation are also described.

Abstract: A spinal device in which a plate is placed on both sides of the lamina spinous process. The plates include horizontal and diagonal slots through which anchoring screws may be placed and secured. The screws may pass through the base of the spinous process and lamina structure. The plates may have cut-out portions on the ventral side to accommodate the lamina when reduction is performed. The diagonal slots preferably have an apex proximate to the dorsal side and open at the ventral side. The two plates can be mirror images of each other, and, when secured together by the screws, forms a stable construct that can sandwich the spinous process.

Abstract: A disposable single indication orthopedic trauma surgical kit has no bone plates other than a single bone plate precontoured and sized to match an anatomic shape of a portion of a bone of a patient's extremity. The single bone plate has a plurality of fastener apertures. The surgical kit also has a plurality of fasteners with heads that are dimensioned to mate with the fastener apertures. The surgical kit also has a disposable torque driver adapted to engage the fastener heads. The foregoing components are contained in a sterile sealed container.

Abstract: An implantable internal dynamic splint device that replaces or augments the function of a muscle that is antagonized at a joint by a functional muscle is described. The device comprises an elastic body, a first tissue-attaching component adapted to be attached to a bone, and a second tissue-attaching component adapted to be attached to a bone or a soft tissue. Also disclosed is a method for treating muscle function deficiency using the internal dynamic splinting device. The method comprises the steps of making an incision at a target site on a subject, attaching the first tissue-attaching component of the internal dynamic splinting device to a first bone, attaching the second tissue-attaching component of the internal dynamic splinting device to a second bone or a soft tissue, and closing the incision. A method for compensating muscle function deficiency on a side of a joint using the device is also disclosed.

Abstract: A cervical plate is disclosed. The plate includes plate body with a first end adapted for attachment to a first vertebra in a cephalad relation to the plate body and a second end adapted for attachment to second vertebra in a caudad relation to the plate body. The plate body being of a first thickness at the first end and of a second thickness at the second end, the first thickness being smaller than the second thickness, and the plate body transitioning from the first thickness to the second thickness in a graduated manner.

Abstract: An orthopedic medical apparatus and methods are disclosed, among which are a cylindrical orthopedic plate and clamps and fixation members for attaching the plate to tissue such as bone tissue. In one embodiment, the plate includes sides and ends that are cylindrical, and the clamps are adapted to fit thereto. Additional apparatus in the form of a lateral connecting member and a connecting plate usable with the orthopedic plate are also disclosed. Methods for using the disclosed apparatus are also described.

Abstract: An improved olecranon fracture repair device and system. The device includes standoffs to minimize compression of a patient's triceps muscle and tendon. A buttress plate curved to approximate the olecranon process radius accepts a plurality of fixation screws is sized such that the distal end of the plate extends forward of the triceps tendon fibro-osseous junction. The system includes an installation tool having a positioning plate with a movable member. The positioning plate serves as a stabilizing device, a medullary cavity penetration drill template, and a fixture for guiding the intramedullary pins into the cavities. The movable member allows for removal of the tool following partial insertion of the repair device intramedullary pins.

Abstract: A bone screw is provided for securing a medical device to bone. The bone screw can engage with a bone screw hole in a medical device, such as an anterior cervical plate or sternal closure plate. Embodiments of the bone screw can include a screw head, a smooth cylindrical shaft region, a first and a second cylindrical shaft region with external threading, a tapered shaft region with external threading and one or more recessed flutes, and a sharp tip without threading or fluting. The external threading in the first and the second cylindrical shaft regions can have different pitches and crests. The external threading on the tapered shaft region can be tapered.

Abstract: An implant comprises an elongated plate having a first major face and at least one locking screw hole, to receive a locking fastener oriented normal to the major face. The elongated plate has a wall with a flat surface normal to the first major face. A non-locking screw hole is located between the locking screw hole and the wall. The non-locking screw hole is configured to receive a non-locking fastener oriented at an acute angle relative to the locking fastener.

Abstract: An assembly including an implantable part designed to be fastened to at least one bone or bone portions to be joined and at least one screw for fastening the implantable part to the at least one bone or bone portions. The implantable part includes at least one tapped hole and the screw includes a head designed to be engaged in the tapped hole. The tapped hole is cylindrical and includes at least one radial notch emerging in a surface of the implantable part through which the screw is designed to be engaged in the tapped hole. The radial notch produces an interruption in the tapping included by the tapped hole. The head of the screw is conical, with an apical angle of between 15 and 25°.

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: Methods and devices for stabilizing ligaments of the canine stifle joint are described. In one embodiment, a device for promoting stability of the stifle joint in a canine subject is provided. The device includes a buttress comprising an intra-articular portion and an extra-articular portion, where the intra-articular portion of the buttress is fenestrated. The device also includes a keel coupled to the extra-articular portion of the buttress, and one or more fasteners configured to attach the device to the stifle joint.

Abstract: The present teachings provide an implant. The implant can include an implant body partially defining at least one threaded aperture. The implant can also include a bone fastener including a threaded portion threadably engaged with the at least one threaded aperture. The threaded aperture can circumferentially surround no more than 180° of the bone fastener.

Abstract: A trochanter attachment device can include a plate for attachment to an inner portion of a greater trochanter of a femur, a collar for attaching the plate to a hip implant, and a fastener for securing the collar to a hip implant. The trochanter attachment device can include a groove or other feature for receiving a reinforcing material, such as a wire or a cable, such as to reinforce an attachment of the device to the greater trochanter and/or the hip implant. The trochanter attachment device can include an insert attachable to the plate and configured to attach the plate to the greater trochanter. All or a portion of the plate and/or the insert can include a porous material, such as to promote bone ingrowth of the greater trochanter.

Abstract: A spinal fixation device for securing to a spine includes a body having one or more longitudinal members extending between a pair of wedge members. Each wedge member defines one or more openings therethrough for the reception of a bone screw. The wedge members are disposed on opposite ends of the one or more longitudinal members. One of the wedge members is positionable within a first intervertebral space and the other wedge member is positionable within a second intervertebral space. The one or more longitudinal members define a length that spans one or more vertebrae. The one or more longitudinal members are positionable within the one or more vertebrae when the wedge members are positioned within the respective first and second intervertebral spaces to maintain the body in a minimal profile orientation relative to the spine.

Abstract: An osteosynthesis device that is both resorbable and radiopaque, produced using gradually degrading materials, includes at least one plate and a set of screws made of resorbable material, in which the plate consists of a composite mixture including i) a resorbable polymer or copolymer compound and ii) an inorganic filler that consists of at least one resorbable ceramic. The screws can be made of resorbable polymer, or of a composite mixture with at least one resorbable ceramic. The device is totally resorbable and radiopaque, and it offers a high level of safety, ensuring a strong and durable fixation of the screws to the plate and in the bone during the entire period needed for bone uniting.

Abstract: The present invention relates to a bone plating system and method for fracture fixation of bone. The bone plating system includes a bone plate, at least one locking screw, and at least one non-locking screw. The bone plate has locking holes with threads and non-locking holes. The locking screws have a shaft with a thread for engaging bone and a head with a thread configured and dimensioned to mate with the thread of the locking holes. The non-locking screws have a thread for engaging bone and a non-threaded head. Both the locking and non-locking screws remain seated in their respective holes for substantially as long as the bone plate is implanted. The non-locking screws compress the bone plate against the bone and hold fracture reduction while the locking screws are secured to the plate at a fixed angular relationship. The mixed fixation achieved by this bone plating system and method is particularly useful for treatment of per-articular fractures.

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 system and associated method are provided for mechanically fixating a region of a skull to a portion of a spine. A plate is provided to contact a region of a skull and be secured thereto. A spinal rod is configured to extend from a location adjacent the plate to a location adjacent at least one vertebra. An adjustable housing is provided to secure the rod to the plate, and has a first position wherein the relative position of the rod to the plate can be adjusted and a second position wherein the relative position of the rod to the plate is secured.

Abstract: A single to multi-level spine plate has configured bone screw bores that cooperate with bone screws to retain a bone screw in a determinative position. In one form, the determinative position is a self-capture position wherein the bone screw is retained without the aid of any additional bone screw retention device. In another form, the determinative position is a limited angulation orientation of a bone screw relative to the spine plate. This limited angulation may be different for end plate bone screw bores than for middle plate bone screw bores. The bone screw bores may be configured to prohibit angulation once set. In another form, the determinative position is the reception of a cooperating bone screw at a centroid of the bone screw bore when installed.

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: Bone plate systems are provided for surgical implants and bone repair. The bone plate is multi-tiered for receiving bone anchors screws for securing a plurality of bones or bone fragments in a desired relationship. The plate members include throughbores for receiving a pivot base therein, with head ends of the bone anchors being secured in the pivot bases. The throughbores may permit and define a translation path for the pivot base and the bone anchor secured therein relative to the plate. Pivot members extending between the pivot base and the plate member facilitate pivoting and optional translation of the pivot base relative to the plate. With the bone anchor seated within the pivot base, an apparatus for inhibiting screw back out is employed.

Abstract: A bone fixation element includes a threaded head and a shaft extending along a longitudinal axis from a proximal end to a distal end, an outer surface of the head being one of carburized and nitrided and including a first groove extending into an outer surface of the head along a path interrupting the threading and extending along an angle counter to an angle of the threading.

Abstract: Tissue repair suture plates and methods of use are provided which can, in general, allow soft tissue to be secured to bone. In one embodiment, a tissue repair suture plate can include a plurality of openings formed therethrough that can each be configured to have one or more sutures passed therethrough. Each of the sutures can be configured to be coupled to a soft tissue to be positioned against bone for healing thereagainst such that the soft tissue can have multiple sutures coupled thereto at different areas thereof. One or more bone fixation elements can be coupled to the plate and can be configured to attach the plate to the bone. The plate can be configured to move between a first configuration in which the plate has a first maximum length and a second configuration in which the plate has a second, greater maximum length.

Abstract: Systems, devices, and methods for longitudinal closure of a dissected sternum are provided. The system includes first and second reinforcing members, fasteners, and closure members. Each reinforcing member is configured to be placed on an outer surface of a respective sternum portion, such that each reinforcing member is longitudinally disposed on an opposite side of a sternum opening with respect to the other reinforcing member. Fasteners may be placed in holes defined in the reinforcing members to secure a respective reinforcing member to a corresponding sternum portion. The closure members, which may be sternal closing wires, may then be wrapped around the sternum portions and the reinforcing members transversely to close the sternum opening. Because the reinforcing members include extended regions having lateral edges that extend away from a midline of the respective reinforcing member, the closure members are moved away from the edges of the bone.

Abstract: A device is provided including a rotating portion that can be attached to a plate affixed to a first bone forming a joint and a portion that can be affixed to a second bone of the joint. The device is placed internally in order to prevent pin tract problems and to stabilize the joint while allowing motion of the joint along its natural trajectory. Additionally, a method for using the device is provided that includes attaching the rotating portion to a plate attached to a first bone forming a joint, and attaching the fixable portion to a second bone of the joint.

Abstract: The invention relates to a pelvic or scapular bone plate implant having a planar or curved outer frame portion. The frame has a surface which can be aligned with a surface of a bone to which the bone plate is to be implanted. The plate has a flap portion, the outer frame portion at least partially surrounds the flap portion such that the bone contacting surface the flap portion is located within the outer boundary of the frame portion. The flap portion is connected with the outer frame portion via a material interconnection which allows the flap to be bent with respect to the frame. A method for implanting such a bone plate implant is also taught.

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: An interchangeable orthopedic blade that includes an internal portion and an external portion. The internal portion threads onto either a pre-installed K-wire or a pre-installed screw so as to more accurately place the interchangeable orthopedic blade in, without excessive damage to, the bone when repairing a fracture in the bone, and ultimately providing absolute stable fixation by the interchangeable orthopedic blade holding the fracture in its anatomic position and resisting applied forces while healing, to thereby provide a stable anatomic restoration and eliminate a need for revision surgery due to failure of fixation or malunion. The internal portion is received in the external portion, and rotates relative to the external portion, but has the external portion move non-rotatably axially with the internal portion into the bone as the internal portion threads onto either the pre-installed K-wire or the pre-installed screw.

Abstract: Embodiments of apparatuses, kits, and methods for securing portions of bone (e.g., for an osteotomy).

Abstract: According to one example embodiment, a radial fusion plate includes a first portion and a fusion portion. The first portion is configured to conform to a dorsal side of a radius bone between a second compartment and a fourth compartment of the radius bone. The fusion portion is distal to the first portion and configured to conform to a scaphoid and a lunate. The first portion includes scaphoid hole and a lunate hole.

Abstract: Spinal fixation plates for maintaining adjacent vertebrae in and fixed position are provided. In an exemplary embodiment, the plate includes opposed superior and inferior portions that are angled in a direction anterior to an anterior face of a mid-portion of the plate. The plate also includes a curvature formed therein about a longitudinal axis in a sagittal plane thereof. In use, when the plate is attached to adjacent vertebrae, the angle of the superior and inferior portions and the curvature in the plate are effective to position one or more thru-bores formed in the superior and inferior portions at the anterior rims of the adjacent vertebrae. In another embodiment, a spinal fixation plate is provided that is adapted to engage and mate to a fusion cage or other vertebral implant disposed between adjacent vertebra. The present invention also provides spinal fixation kits or assemblies, and methods for implanting the same.

Abstract: A semi-constrained screw and a cervical plate assembly that engages to a cervical area of the human vertebrae system are disclosed. The semi-constrained screw and cervical plate assembly includes a cervical plate and one or more semi-constrained bone screws. Each semi-constrained bone screw includes an elongated shank, which is mechanically and releasably coupled to a head portion. The head portion includes one or more threaded segments which define one or more slits therebetween. As the semi-constrained bone screw is driven through the screw opening in the cervical plate and into the bone, the head portion allows poly-axial movement of the shank relative to the head portion.

Abstract: A suture attachment clip and method for assisting in the attachment or re-attachment of soft tissue to bone. The clip generally comprises a head having a shape suitable for allowing the passage of a suture during attachment of soft tissue to bone. One or more clips can be secured to a bone plate through a variety of means, including a snap configuration, a screw configuration, and a bendable prong configuration. The clip can also be continuous with an adjacent clip, thus forming a multi-clip assembly that can either be secured to a bone plate or secured directly to a bone without a bone plate.

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.