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

Abstract: A distal volar fixation plate includes a body portion and a head portion angled upwards relative to the body portion. The head portion includes a lower surface, a central portion, a radial side and an ulnar side. The head portion defines a buttress portion extends greater distally on the ulnar side than on the radial side to support the volar lip of the lunate fossa.

Abstract: The invention relates to a plate fixed between two bone parts by way of screws engaged in holes formed in the thickness of the plate. The plate comprises an angled member or rib which is inclined according to an angle of between about 30° and 60° in relation to the plane defined by the plate. The angled member or rib has a hole for engaging a screw and is located in the central part of the width, over a determined part of the length of the plate, so that the screw brings the two bone parts into a compressive position.

Abstract: An implantable orthopedic assembly comprises an occipital plate and one or more repositionable clamping assemblies for securing a stabilizing rod to the plate. When unlocked, the clamping assembly may be laterally and rotationally repositioned along a supporting rail. Locking occurs when a stabilizing rod is secured in the clamping assembly. The rod exerts a force upon a locking component, causing the locking component to exert a force upon the supporting rail. This force pulls a surface of the clamping assembly base into contact with the rail, effectively locking the clamping assembly base at a fixed position. The clamping assembly may further comprise a loading component to exert a stabilizing force on the locking component, keeping the clamping assembly positionally stable while adjustments are made prior to locking.

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 patella, olecranon, greater trochanter, greater tuberosity, radial styloid, lateral or medial malleoli, or lateral malleolus.

Abstract: A device to maintain temporary engagement among a bone plate and a bone, the device comprising: (a) a first appendage positioned opposite a second appendage, the first and second appendages including an arcuate vertical profile that partially defines an interior region; (b) a platform concurrently coupled to the first and second appendages, the platform also partially defining the interior region, the platform including a handle and a locator projection extending into the interior region, at least one of the first and second appendages is biased with respect to the platform; and, (c) a first finger grip operatively coupled to at least one of the first and the second appendages, the first projection extending away from the interior region.

Abstract: A bone plate secured by both a screw and a post. The head of the post may act as a cam that prevents screw backout. Preferably, the shaft of the first post passes partially through the first post through hole so that the distal unthreaded portion of its shaft substantially extends beyond the plate and the proximal threaded portion of its shaft substantially remains in the first post through hole.

Abstract: An implant for treating a bone includes an outer sleeve extending longitudinally from a proximal end to a distal end and including a lumen extending therethrough and an inner element sized and shaped to be slidably received within the lumen of the outer sleeve, the inner element extending longitudinally from a proximal end received within the lumen to a distal end including a bone-engaging element, the implant movable between an expanded configuration in which the inner element is in a distal-most position relative to the outer sleeve and a shortened configuration in which the inner element slides proximally relative to the outer element.

Abstract: A dynamic bone fixation element can include a sleeve elongate along a first direction and a fixation member. The sleeve can define a channel that extends from a proximal end through to a distal end along the first direction. The channel has a first cross-sectional dimension. The fixation member has a head, a shaft extending from the head and elongate along a second direction, and an abutment member extending from the shaft and integral with the shaft, wherein the shaft extends through the channel such that the sleeve is captured between the abutment member and the head. At least a portion of the shaft that is within the channel has a second cross-sectional dimension that is less than the first cross-sectional dimension such that the fixation member is moveable with respect to the sleeve along a direction that has a directional component transverse to the first direction.

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 bone plate has a body with an outer surface and a bone-contacting surface with a channel formed at a periphery of the body, and a suture member having an end slidably received in the channel. The suture member has an end extending outwardly of the channel. The channel is formed along at least one side of the body. The suture member includes a retainer member received in the channel, a shank extending through the channel, and a loop member affixed to the end of the shank opposite the retainer member. The loop member has a shape suitable so as to allow a suture to be affixed thereto. The body has a slot communicating with the channel and opens at the outer surface so as to allow the suture member to be inserted into the channel.

Abstract: A bone plate locking system including a threaded screw body having a proximal end and a distal end and a plate with a through-hole. The proximal end includes a head. The head includes an upper portion, a groove adjacent the upper portion and a lower portion adjacent the groove, wherein a center-axis of the groove is off-axis to a center-axis of the threaded screw body. A locking ring configured to reside within the groove of the head. The through-hole includes an upper portion, a groove adjacent the upper portion and a lower portion adjacent the groove. The head is receivable in the through-hole. The locking ring is rotatably positioned around the groove of the head such that in an unlocked position the locking ring is outside the groove of the through-hole and in a locked position the locking ring is at least partially within the groove of the through-hole.

Abstract: A plate system and method comprising a plate and a screw having an integral resilient lock. The screw comprises a head that has a portion that is adapted to be compressible as it is screwed into bone using a tool. After the screw head is received in the plate and the tool is removed therefrom, the screw head decompresses or expands into a locking or receiving area, thereby locking the screw in the plate. The plate is adapted to have at least one or a plurality of detents or lips for cooperating with at least a portion of the screw head to retain the screw in the plate and prevent it from withdrawing therefrom.

Abstract: A bone-fixation system is disclosed, the system comprising a bone plate having a section with a plurality of holes and a recessed area at least partially surrounding one or more of the holes, the recessed area defining a floor surface situated below a top surface of the plate, the floor surface extending at least partially between some or all of the plurality of holes, and an aiming device having a plurality of holes arranged to align with the plurality of holes in the plate and an extension, the extension being receivable within the recessed area and defining a bottom surface adapted to at least partially rest on the floor surface.

Abstract: A bone fixation apparatus comprises an extramedullary component, an intramedullary component, and a fastener configured and dimensioned to interconnect the extramedullary component and the intramedullary component. The fastener has a head portion and a shank portion. The head portion is configured and dimensioned to be received in the extramedullary component. The shank portion is configured and dimensioned to be received in the intramedullary component. The fastener has a first longitudinal axis extending through both the head portion and the shank portion. The extramedullary component has a second longitudinal axis. The extramedullary component also includes an elongated surface defining an opening through which the shank portion of the fastener passes when the shank portion is received in the intramedullary component. The opening has a V shape. The V shape is oriented transverse to the first longitudinal axis and to the second longitudinal axis.

Abstract: Occipital plate systems are described. The occipital plate systems can include a novel occipital plate having an upper portion and lower portion. The lower portion can include an opening for receiving one or more lateral members therethrough. The lateral members include top and/or side apertures for receiving lateral connectors that are attached to polyaxial screw receiving members. The occipital plate systems can also include low-profile clamping arms that are operably attached to an occipital plate via an extension member and articulating joint member. The clamping arms, along with tension cables attached intermittently along its length, can be used in addition to or instead of screws and hooks to secure an occipital plate system to vertebrae.

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: An apparatus for supporting a bone includes a plate configured for positioning on a tension side of the bone. Two or more fasteners are configured to extend from an opposite side of the bone to the plate, and engage the plate after extending through the bone. The plate has an attachment mechanism operable to engage with the fasteners. In other aspects, a method of performing a surgical procedure includes positioning a plate on a tension side of a bone, and forming a hole from an opposite side of the bone to the plate. A fastener is inserted through the hole to the plate, and the plate is adjusted into position on the bone surface on the tension side of the bone. One or more additional holes are formed from the opposite side of the bone to the plate, and one or more additional fasteners are inserted.

Abstract: An orthopedic plate assembly for supporting a bone can include a y-shaped first plate and a second plate separate from the first plate. The first plate can be attached to the bone and have a center line. The first plate can include an elongate body attachable to a first portion of the bone and extending along the center line and first and second arms transversely extending from an end of the body. The first and second arms can define an aperture in the first plate. The second plate can be attached to the bone. The second plate can have a first end and a second end opposite the first end configured to be disposed on and engaged with the first arm and the second arm, respectively. The second plate can be configured to span the aperture transverse to the center line when engaged with the first and second arms.

Abstract: An intravertebral device for modulating vertebral growth without changing spinal mobility or compressing the intervertebral disc. By implanting the device around the vertebral growth plate, on the convex side of the curvature, a compression is induced on one side of the growth plate during the vertebral growth. This local growth modulation decreases significantly the vertebral wedging and corrects the global deformity of the spine. The device provides a minimally invasive and fusionless way of correcting spinal curvatures while preserving the intervertebral disc.

Abstract: The present invention relates to a surgical drill guide having an anchoring mechanism for locking the drill guide to a bone plate. The anchoring mechanism is adapted to be received through an opening of a bone plate and rotated to lock the drill guide to the bone plate. The anchoring mechanism can be rotated by a driver, which has a distal end key that fits into a corresponding socket of on the proximal portion of the anchoring mechanism. The present invention also relates to a kit including a bone plate, a driver, and the drill guide and a method for using the kit to perform surgery.

Abstract: An attachment device for attaching a bone plate to a bone having a medullary canal is provided. The attachment device comprises a central portion having a recess to accommodate the bone plate and at least two lateral fixation support members projecting from the central portion. The lateral fixation support members are arranged on opposite sides of the central portion, wherein each lateral fixation support member comprises a hole extending through the lateral fixation support member and are adapted to accommodate a fixation element therethrough to fix the attachment device to bone. The angles of the hole axes of the holes are different with respect to a perpendicular bisector of the centers of the holes and the hole axes lie outside of the medullary canal.

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

Abstract: An orthopedic screw fastener system, includes at least one screw, consisting in each case of a screw head and of a screw shank, the screw head being provided with a thread, and at least one plate with a thickness, provided with at least one through-bore which is able to receive a screw. The plate has a through-opening, formed by at least two through-bores, each through-bore being defined by a midpoint and by a radius, and the through-bores are offset relative to each other and intersect each other in such a way that intersection lines and/or intersection surfaces form, which extend into the depth of the through-opening.

Abstract: Apparatus for treating a bone fracture, the apparatus comprising: an anchoring tube comprising a hollow elongated shaft adapted for disposition in a hole formed in a bone and having a distal end, a proximal end and a lumen extending therebetween, and a substantially planar plate mounted to the proximal end of the hollow elongated shaft and adapted for disposition against the outer surface of the bone; wherein the plate comprises a top surface and a bottom surface, and further wherein the bottom surface of the plate is convex, such that when the anchoring tube is disposed in a hole formed in a bone and is rotated about the longitudinal axis of the hollow elongated shaft, the convex bottom surface of the plate maintains supporting contact with the outer surface of the bone.

Abstract: Embodiments provide a method and device for plate osteosynthesis of a bone fracture that allows angle-stable fixation of the bone fracture, while permitting elastic axial motion at the fracture site in a controlled, symmetric manner to stimulate fracture healing. Embodiments pertain to a bone plate having an outer surface and a bone-facing surface. The bone plate incorporating internal sliding elements containing a threaded receiving hole for bone screws that have a correspondingly threaded screw head. The sliding elements undergo controlled displacement parallel to the longitudinal axis of the plate but are substantially constrained against displacement perpendicular to the longitudinal axis of the plate. The bone screws with threaded heads may be rigidly fixed to the threaded receiving holes in the sliding elements without compressing the bone plate onto the bone surface. Sliding elements are elastically suspended inside the bone plate and undergo dynamic motion.

Abstract: A bone plate system for the internal fixation of a fractured bone of a patient has a bone plate with one or more threaded bone fastener apertures and one or more non-threaded bone fastener apertures. The system also has a plurality of bone fasteners, each with a shaft and a head. The heads are dimensioned and configured to threadedly engage the threaded bone fastener apertures to provide a fixed angle locking construct. The heads also are dimensioned and configured to directly engage the non-threaded bone fastener apertures to provide a polyaxial non-locking compressive construct.

Abstract: A bone plate has an underside on the side of the bone, an upper side and a plurality of holes in the plate connecting the underside with the upper side, with a central hole axis. At least one of these holes in the plate has an internal jacket surface that tapers towards the underside, while the internal jacket surface has N?3 recesses which extend radially away from the axis of the hole.

Abstract: Systems for lower extremity fusion and arthroplasty include fusion spacers, bone plates, and articular prostheses fixed to bone by blade anchors. Examples are shown for anterior, lateral, and medial approaches.

Abstract: A bone repair kit, comprising: (a) a composite material bone plate having at least one hole; and (b) at least one fixation component sized for locking in said hole and having a head, wherein said head has a geometry including at least one protrusion, which geometry does not match a geometry of said hole. This mismatch can support locking at a range of angles, such as 5-15 degrees between the fixation component and an axis of the hole.

Abstract: The present disclosure relates to retention devices for surgical procedures and, more specifically, relates to variable angle retention devices to mount bone to a plate material.

Abstract: A bone plate assembly includes a plate, at least one bone screw, and at least one cap member. The screw extends into a through hole of the plate and a head of the screw seats in the through hole. The plate includes an undercut slot adjacent to the through hole. The cap includes at least one tab member that extends radially outward. The cap is mounted in the through hole with the tab member positioned in the undercut slot to inhibit the screw from backing out of the plate. In some arrangements, the tab member is rotatable within the undercut slot from an unlocked position to a locked position.

Abstract: An orthopedic bone plate system having a bone plate for placement adjacent one or more vertebral bodies. The system further includes a locking element including a compression member and a fixation member wherein the compression member includes an aperture and at least one deformable portion. A bone fastener is also included in the present system which includes a bone engaging portion and a stem portion. The stem is capable of being slidably received within the aperture of the compression member while the locking member is capable of being received within an aperture of the bone plate. As the compression member is brought into proximity of a vertebral body along the longitudinal axis of the bone fastener, an increasing force is exerted against the fixation member and translated to the bone plate. The resultant force translated back to the fixation member to the compression member which causes the deformable portion of the compression member to clamp the bone fastener relative to the bone plate.

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. The system provides for a low installed profile, enhancing patient comfort and facilitating healing, and also provides for quick and easy access to the thoracic cavity for re-do sternotomies, if needed.

Abstract: A bone plate system is provided that includes bone plates and bone anchor assemblies for being inserted into bone plate bores to secure the bone plates to one or more bones. In one aspect, the bone plate system includes a bone anchor assembly having a locking cap and a locking fastener connected to a head portion of a bone anchor. The bone anchor assembly is driven into a bone plate bore before the locking fastener is shifted to expand the locking cap and fix the bone anchor assembly within the bore. In another aspect, the bone plate system includes a bone anchor assembly having a locking cap that deflects radially inward due to contact with the bone plate at large bone anchor assembly insertion angles. In addition, a bone anchor assembly having a preassembled condition with a locking cap resisting back out of a locking fastener.

Abstract: An orthopedic plate has a first end including a locking screw hole that receives a locking screw and spaced from that hole is a dosed compression housing that extends from the bone-facing side of the plate and which receives a compression screw that forms an angle of from about 10° to about 70° with a longitudinal axis of the plate. The compression housing is not located on the medial line of the plate, but is peripheral to the medial line, either in the longitudinal or the medial direction of the plate.

Abstract: A bone fixation assembly can include a suture button, a bone plate, and a suture assembly. The suture button can include a body that has a first end surface, a second end surface, and a circumferential outer surface. A first pair of passages can be formed through the body from the first end surface to the second end surface. The circumferential outer surface can include at least one protrusion or retaining rib extending radially therefrom. The bone plate defines an aperture. The suture button is configured to be at least partially received into the aperture in an assembled position such that the retaining rib engages the bone plate and inhibits withdrawal of the suture button from the aperture in the assembled position. The suture assembly includes a suture engaging member and a suture configured to couple the suture engaging member in the suture button.

Abstract: This disclosure provides a plate having at least a first aperture and a second aperture, and at least a first annulus adaptable to be disposed within the first aperture and at least a second annulus adaptable to be disposed within the second aperture. Further provided is at least a first screw adaptable to be disposed within the first annulus and at least a second screw adaptable to be disposed within the second annulus, wherein the first and second screws are each engageable with its respective first and second annulus.

Abstract: The assembly supports the trailing end of a lag screw or hip nail device being used to immobilize a hip fracture, and enables the compression of the fractured bone ends together, thereafter enabling sliding of the femoral head together with the lag screw or hip nail laterally, while simultaneously limiting their rotation, thereby promoting healing of the fracture.

Abstract: The subject matter of the invention is a load carrier for a bone fixation system, with a locally varying material strength with unchanging material elasticity, and a method for producing such a load carrier. The load carrier, matched in view of the load flow acting on the fixation system, can also be used in critical anatomical regions, e.g. for hand implants.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The retaining mechanism comprises a stratum, a retaining element and a spring element. The stratum comprising a first surface, a second surface, and a hole extending between the first surface and the second surface, wherein the second surface is configured to engage at least a portion of the bone. The retaining element comprises a first position that permits a fastener to be passed through the hole, and a second position that at least partially overlaps the hole. The spring element is configured to engage the stratum and configured to engage the retaining element such that the spring element helps maintain the retaining element in its second position so as to help prevent inadvertent backing out of the fastener after the fastener has been fully inserted into the hole.

Abstract: A bone plate and system is provided. The bone fixation plate conforms to the contour of an irregularly shaped bone and eliminates the need for pre-bending or intraoperative bending of the plate. The bone plate is applied to the bone in a generally flat condition and the process of installing and tightening the bone screws in the prescribed order serves to contour the plate to the plate to the underlying bone while providing sufficient strength to effect bone healing. The geometry of the plate allows the plate to follow the contour of an irregularly shaped bone, preventing prominence and patient palpability and streamlining the surgical procedure.

Abstract: A method of performing a decompressive craniectomy includes removing a bone flap from a cranium, attaching one end of a movable plate to one end of the bone flap, and attaching another end of the movable plate to the cranium. The movable plate is configured to allow the bone flap to move to accommodate swelling of intracranial contents.

Abstract: An improved means for fixation of a fractured coronoid process of the proximal ulna. A substantially rigid plate is secured to the anterior aspect of the proximal ulna relative to a fracture of the coronoid process of the ulna. The plate contains a hook feature at the proximal aspect and is positioned so that it extends over the proximal/anterior aspect of the coronoid process relative to the fracture. The plate has surfaces that define a plurality of openings through which suture and/or screws can pass. The openings may contain a recess at a side of the plate opposite the ulna. At least one hole is formed in the ulna. At least one anchor may be secured to a flexible device, positioned at a side of the plate opposite the ulna, secured to another anchor on the posterior aspect of the ulna and the flexible device tensioned. At least one screw may be inserted through the plate and into the coronoid process or a bone fragment securing it to the plate.

Abstract: A system for fixing fractured bone portions of a distal humerus in position with respect to one another. In one embodiment, the system includes a plate portion, a projection portion, and a fixation post. The plate portion includes a surface for contacting a posterior portion of the distal humerus adjacent one of a lateral side and a medial side thereof. The projection portion extends outwardly from the plate portion and includes an aperture for receiving the fixation post. The fixation post includes at least one fenestration, and extends from adjacent the one of the lateral and medial sides of the distal humerus to adjacent the other of the lateral and medial sides of the distal humerus.

Abstract: An interlocking bone plate system includes an outer bone plate for being arranged outside a broken bone, an inner bone plate for being installed inside the medullary cavity of the broken bone, and screws for being inserted through and engaged with the outer bone plate and the broken bone and then engaged with the inner bone plate so as to interlock the out and inner bone plates together. The inner bone plate provides an added support in addition to the support provided by the outer bone plate, enhancing the structural strength of the whole bone fixation structure and lowering the risk of failed surgery.

Abstract: An apparatus can include a plate member having a top surface, a bottom surface and a hole extending between the top and bottom surfaces. The plate member hole can have a spherically shaped sidewall. A right-hand helical thread can be formed in the sidewall of the plate member hole, and a left-hand helical cut can be formed in the sidewall of the plate member hole intersecting the right-hand helical thread. The left-hand helical cut can be configured to reduce a portion of a contact surface area of the right-hand helical thread and the sidewall of the plate member hole.

Abstract: A fixation device for the fixation of bone fragments, applicable to the mutual fastening of bone fragments temporarily separated during a surgical operation or as a result of a trauma. The device is also suitable for the fixation of a bone flap in the replacement thereof in a corresponding aperture made in the cranium or cranial bone mass. The device is made of biocompatible material and comprises a flexible strip and fastening means, the strip having a length allowing the formation of a fastening loop tightly fastening the bone fragments to be joined together. The fastening means are provided with at least one opening provided with interlocking means allowing the passage of a free end of the strip and preventing its extraction in the direction opposite to the insertion.

Abstract: A fixation augmentation device (FAD) comprising a generally tubular body having a first end and a second end, said body having an opening adapted to receive a screw therein; a collar attached to the first end of said body, said collar having a non-circular shape and having an opening which is aligned with the opening in said body; and at least one flange disposed at the second end of said body, wherein said at least one flange is extendable from said body in response to a screw being inserted into the hole of said body.

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 patella, olecranon, greater trochanter, greater tuberosity, radial styloid, lateral or medial malleoli, or lateral malleolus.