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: Assemblies and methods for fixation of bone or bone fragments using an orthopedic plate having a slot that causes the bone or bone fragments to compress as a screw is inserted into the slot and rotated therein. By anchoring the orthopedic plate to a first bone or bone fragment and rotating the screw into the second bone or bone fragment at an angle that may be up to approximately fifteen degrees from perpendicular to the top surface of the orthopedic plate, the screw head causes the orthopedic plate to traverse away from the first screw thereby causing the first bone or bone fragment to be drawn toward and/or compress with the second bone or bone fragment.

Abstract: There is an implant, comprising a plate portion at a first end, and a stem portion at a second end extending away from an end of the plate portion. In one embodiment, the plate portion comprises a first lobe with a first screw hole; and a second lobe with a second screw hole, wherein the first lobe is adjacent to the second lobe. There is also method of inserting an implant, comprising preparing a patient's bones, performing an osteotomy on the patient's bones to form a first bone segment and a second bone segment, aligning the first bone segment and the second bone segment and inserting an implant into an intramedullary canal in the second bone segment.

Abstract: A system for use during surgical procedures. The system includes an implant and a tool. The implant combines a modular adjustable cage and a shim that locks the cage into position, after the cage has been adjusted to its final position and at its final height, in situ. The tool combines an expander and an inserter. A related method of using the system is also provided.

Abstract: A bone plate for the compression of a fracture site or osteotomy of a bone includes a bone plate assembly having a plate body shaped and configured for an anatomical location on a patient. The plate body has an upper surface, a lower, bone contacting surface, medial and lateral side surfaces connecting the upper and lower surfaces and at least one screw hole extending through the plate body. The bone plate further includes an access hole extending between the upper and lower surfaces and defining an inner surface shaped to indicate the anatomical location on the patient. This configuration allows the surgeon to easily determine which bone plate should be used for the operation, thereby avoiding costly mistakes during surgery. The bone plate may further include an adjustable screw hole for repositioning the bone plate relative to the fracture site.

Abstract: In one form, a bone compression device is provided having a shape-retentive bone plate with an initial, unflexed configuration and a flexed configuration. The bone plate may be shifted to the flexed configuration and secured to bones using bone screws of the bone compression device. Once the bone plate has been secured to the bones, the bone plate returns toward its unflexed configuration which compresses the bones.

Abstract: Clavicle fixation devices and methods thereof. A clavicle fixation device includes an elongated plate extending between first and second ends, the elongated plate defining a plurality of spaced apart screw holes. At least one pair of relief cuts extends into the elongated plate on opposite sides thereof, the at least one pair of relief cuts axially positioned between a pair of the spaced apart screw holes and at least one pair of suture holes along opposite sides of the elongated plate, the at least one pair of suture holes axially positioned between a pair of the spaced apart screw holes. At least one pair of relief cuts is axially aligned with a pair of suture holes to define combined holes on opposite sides of the elongated plate.

Abstract: A bone plate that includes apertures for bone screws and locking screws is disclosed. The locking screws can be in an aperture adjacent to the locking screw aperture such that when the locking bone screws and locking screws are in place, the head of the locking screw at least partially covers the head of the bone screw. In another example, the locking screw aperture is threaded, and the locking screw is placed on top of the bone screw.

Abstract: Disclosed herein are a reversible bone plate template and a method for using the same to size an implant. The bone plate template may include first and second portions. The second portion may be wider than the first portion and asymmetrical about a longitudinal axis. A section between the first and second portions may allow the second portion to be moved between first and second positions such that either a first or a second surface may be a bone contacting surface. A method for sizing an implant with a bone plate template may include determining whether a first or second surface is to be placed on bone, moving a portion of the bone plate template, placing it on bone and selecting an implant based upon the bone plate template.

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 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: The invention concerns a bone plate system comprising: a bone fastening element comprising a shaft with a first thread, the fastening element further comprising a head with a second thread on its outer surface, the outer surface having a first hardness; and a bone plate having a second hardness which is smaller than the first hardness, the bone plate comprising a through hole for receiving the bone fastening element. The head is oxygen diffusion hardened.

Abstract: A targeting device (100) for use in fixation of bone fragments at a bone fracture. The targeting device comprises an elongated body portion (110) comprising a first body end (111), an opposed second body end (112), and body through holes (113a, 113b, 113c) extending from the first body end to the second body end for guiding a respective fixation means (303; 303a, 303b, 303c) through the body portion. In its second body end the body portion is configured with a snap-fitting means (114) configured to removably attach a fixation plate (150) to the body portion such that fixation through holes (151) of the plate are located in line with a respective body through hole and, when in use, to provide a surface of the plate to abut a surface of an outer bone fragment for subsequent fixation of the plate to the fragment. The targeting device comprises further a bracket (120).

Abstract: The invention concerns a bone plate system comprising: a bone fastening element comprising a shaft with a first thread with a first lead length, the fastening element further comprising a head with a second thread on its outer surface, the second thread having a second lead length, the outer surface having a first hardness; and a bone plate with a second hardness which is smaller than the first hardness, the bone plate comprising a non-threaded through hole in a non-assembled state for receiving the bone fastening element, the hole comprising a first hole portion with a first three-dimensional shape and a second hole portion with a second, different three-dimensional shape. The first lead length substantially equals the second lead length, and the second thread is arranged to irreversible deform the wall of the hole to form a female thread on the wall.

Abstract: A TPLO plate configured to accommodate flexible strands (flexible loops) attached to tissue to be attached to bone. The TPLO plate has one or more suture eyelets, to allow the user (surgeon) to pass a flexible strand through the eyelets and attach/reattach the tissue to the plate at the anatomical location, and to improve the rotational stability of the joint or bone. The eyelets may have various shapes, forms and configurations and may be provided on or within a surface of the TPLO 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 one or more flexible strands.

Abstract: A surgical guide comprising a body including an inner surface that defines a cavity configured for disposal of a surgical instrument. The body further defining an opening communicating with the cavity. A connector disposable with the opening and engageable with a surgical robot. A release is engageable with the connector. Systems, spinal constructs, implants and surgical instruments are disclosed.

Abstract: Clavicle fixation devices and methods thereof. A clavicle fixation device includes an elongated plate extending between first and second ends, the elongated plate defining a plurality of spaced apart screw holes. At least one pair of relief cuts extends into the elongated plate on opposite sides thereof, the at least one pair of relief cuts axially positioned between a pair of the spaced apart screw holes and at least one pair of suture holes along opposite sides of the elongated plate, the at least one pair of suture holes axially positioned between a pair of the spaced apart screw holes. At least one pair of relief cuts is axially aligned with a pair of suture holes to define combined holes on opposite sides of the elongated plate.

Abstract: Provided are a locking steel plate and a locking steel plate assembly with the locking steel plate. Herein, the locking steel plate may include a steel plate body, an elastic block hook and a limit groove. The steel plate body is provided with a mounting hole, and the mounting hole may include a first hole section and a second hole section having a cross section area less than that of the first hole section. The elastic block hook is provided inside the first hole section, a first end of the elastic block hook is connected with the steel plate body, and a second end of the elastic block hook bends toward the second hole section. The limiting groove is provided on an inner wall of the second end of the elastic block hook.

Abstract: An implant for bone fixation is presented. The implant comprises an elongated member configured to be wound around bone parts that are to be fixed. Further, an engagement feature is provided that is coupled to the elongated member and configured to engage a portion of the elongated member so as to secure the implant in a loop around the bone parts. A fastening member is arranged between and coupled to the elongated member and the engagement member. The fastening member comprises at least one opening for receiving a bone fastener. In one variant, at least one visual indicator indicating a region of the fastening member to be severed in order to detach the implant is provided. In another variant, at least one of the engagement member and the elongated member are coupled to the fastening member by injection molding.

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: The present disclosure relates to a cervical vertebra anterior fixation and fusion system maintaining natural height and the fixing plate. The fixing plate is provided with a plate body, wherein the plate body is provided with windows, locking members and screw fixing holes to be matched with screws. A minimum distance between an upper side wall and a lower side wall of the window in a vertical axis direction is 3-8 mm; and a minimum distance between a left side wall and a right side wall of the window in a transverse axis direction is 12.1-18 mm. The present disclosure further relates to a method for performing anterior cervical intervertebral disc resection and fusion by applying the fixation and fusion system.

Abstract: A medial plate for treating fractures along a clavicle, comprising a plate body including a longitudinal component extending from a first end to a second end and an extension extending from the second end, the second end configured to be mounted over a medial head, a first set of variable angle holes extending through a portion of the longitudinal component including the second end of the longitudinal component and the extension, each of the first set of variable angle holes extending through the plate body along a central axis so that a bone screw is insertable therethrough at a user-selected angle relative to the central axis, and a plurality of combination holes extending through the longitudinal component, each of the plurality of combination holes includes a first portion configured to receive a bone screw at a user-selected angle and a second portion configured to receive a compression screw.

Abstract: A bone plate includes a bone-contacting surface, an upper surface opposite the bone-contacting surface, and a hole having a circumference and extending from the upper surface to the bone-contacting surface. The hole includes a first portion having a plurality of substantially parallel lips, each lip extends around the circumference of the hole and defines a diameter of the hole. The diameters of the hole, as defined by the lips, decrease in a direction from the upper surface to a center of the hole and increase in a direction from the center of the hole toward the bone-contacting surface.

Abstract: The invention is a staple comprising a bridge member having a spherical top surface and a spherical opposing bottom surface defining a constant thickness between and having a constant thickness and a first pair of a first leg and a second leg and a second pair of a first leg and a second leg where the first and second pair of legs are spaced apart along the axis and are joined to the bridge member.

Abstract: Prosthetic augments to improve muscle mechanics are disclosed herein. A prosthetic augment of the present disclosure includes an augment member configured to engage a bone, the augment member having a first face adapted for contacting the bone; and a second face adapted for contacting an underside of a muscle, wherein at least a portion of the second face includes a bulbous surface adapted to alter a wrapping angle of the muscle around the bone, wherein a first thickness is defined between the first face and the second face at a first position on the augment member, wherein a second thickness is defined between the first face and the bulbous surface of the second face, and wherein the first thickness and the second thickness are not equivalent so as to result in the augment member having a non-uniform thickness.

Abstract: Disclosed herein are a reversible bone plate template and a method for using the same to size an implant. The bone plate template may include first and second portions. The second portion may be wider than the first portion and asymmetrical about a longitudinal axis. A section between the first and second portions may allow the second portion to be moved between first and second positions such that either a first or a second surface may be a bone contacting surface. A method for sizing an implant with a bone plate template may include determining whether a first or second surface is to be placed on bone, moving a portion of the bone plate template, placing it on bone and selecting an implant based upon the bone plate template.

Abstract: A device for bone fixation comprising: a bone plate (1) which has a plate hole (2) suitable for receiving a bone screw (20), the plate hole (2) having an inner wall (4) made of a material which has a hardness Hp; and a hollow cylinder- or hollow cone-shaped insert which is mounted in the plate hole (2), at least partially abuts the inner wall (4) and is suitable for accommodating the head (21) of a bone screw (20), the insert (10) being arranged in the plate hole (2) such that it is secured against rotation and consisting of a material that has a hardness HE<Hp.

Abstract: Clavicle fixation devices and methods thereof. A clavicle fixation device including an elongated plate extending between first and second ends and defining a central portion, a first end portion between the central portion and the first end, and a second end portion between the central portion and the second end. The elongated plate has a contour which complements the contour of a clavicle anterior or superior surface. The elongated plate defines a plurality of spaced apart screw holes. The first end portion narrows moving from the central portion to the first end.

Abstract: In one embodiment, an anterior cervical transarticular fixation implant including a cervical plate including a central body, lateral wings that extend laterally outward from the central body, each lateral wing including a fastener opening configured to receive a fastener configured to thread into vertebrae, and locking mechanisms configured to selectively lock the fasteners in place.

Abstract: Clavicle fixation devices and methods thereof. A clavicle fixation device includes an elongated plate extending between first and second ends, the elongated plate defining a plurality of spaced apart screw holes. At least one pair of relief cuts extends into the elongated plate on opposite sides thereof, the at least one pair of relief cuts axially positioned between a pair of the spaced apart screw holes and at least one pair of suture holes along opposite sides of the elongated plate, the at least one pair of suture holes axially positioned between a pair of the spaced apart screw holes. At least one pair of relief cuts is axially aligned with a pair of suture holes to define combined holes on opposite sides of the elongated plate.

Abstract: A bone plate having at least one variable angle locking hole is described. The variable angle locking hole allows a bone anchor having a threaded head to be driven into underlying bone while oriented at an angle with respect to a central hole axis of the hole that is within a range of angles at which the head is configured to threadedly mate with the at least one thread of the bone plate. Accordingly, the bone anchor can be driven into the underlying bone until the threaded head threadedly purchases with the bone plate inside the variable angle locking hole.

Abstract: Anterior spinal implant devices for reducing spinal malalignment and associated systems and methods are disclosed herein. A spinal implant system configured in accordance with embodiments of the present technology can include, for example, a first vertebral support implanted at an anterior region of a first vertebra of a patient, a second vertebral support implanted at an anterior region of a second vertebra inferior to the first vertebra, and an alignment system configured to be releasably coupled to the first and second vertebral supports. The first and second vertebral supports can extend into and interlock with each other within an interbody space between the first and second vertebrae when the first and second vertebral supports are aligned. The alignment system is configured to reduce angular, vertical, and linear malalignment of the first and second vertebrae relative to each other.

Abstract: Disclosed herein is an apparatus for fixing a cervical spine. The apparatus for fixing a cervical spine includes a plate in which a plurality of screw insertion holes is formed, bone screws inserted into the screw insertion holes and screwed onto a bone fragment through rotation, and a locking part rotatably coupled to the plate to open or close a top of the screw insertion hole. A stepped part of a specific depth is formed on top of the plate. The stepped part includes a rotation area in which the locking part is capable of rotating. A locking part insertion hole is formed in the rotation area so that the locking part is inserted into locking part insertion hole.

Abstract: The present invention relates to an intramedullary nail for proximal femoral fractures. The intramedullary nail comprises an elongate body (1) with a longitudinal bore (2). The elongate body (1) includes a proximal portion (5) with an oblique transverse bore (7) for a proximal locking member and a distal portion (6) with at least one transverse bore (8) for a distal locking member. An inlet end of the oblique transverse bore (7) is configured as a recess (9) with a recessed surface (11). The recessed surface (11) is composed of recessed lateral surface portions (15) and a recessed proximal as well as a recessed distal surface portion (16 and 17 respectively). Each of the recessed lateral surface portions (15) is configured with at least one protuberance (18) for preventing or reducing the risk for misalignment of e.g. a reamer and, if misalignment occurs, this will not affect critical parts of the intramedullary nail.

Abstract: A sliding plate variable angle locking mechanism includes a bone plate, a first sliding plate, a locking ring and a bone screw. The bone plate includes a plate cavity, a bone plate surface and a shelf. The plate hole defines a plate hole diameter. The first sliding plate a central hole that defines a sliding plate hole diameter. The sliding plate hole diameter is smaller than the plate hole diameter. The first sliding plate is positioned in the plate cavity in an assembled configuration. The locking ring is movably mountable to the bone plate. The locking ring hole diameter is greater than the sliding plate hole diameter. The bone screw head diameter is greater than the sliding plate hole diameter. The head threads are configured to form internal threads in the central hole of the first sliding plate when the bone screw is driven into the first sliding plate.

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: The invention relates to a bone screw and a method for locking a bone screw into a bore. The bore can be provided in e.g. an implant, a plate, a nail or the like. The bone screw comprises a head portion with a first axis, a proximal shaft portion with a second axis, and a distal shaft portion with a third axis. The first axis is a center axis extending in a longitudinal direction of the head portion, the second axis is a center axis extending in a longitudinal direction of the proximal shaft portion, and the third axis is a center axis extending in a longitudinal direction of the distal shaft portion. The first and third axes are aligned to each other. The second axis is displaced relative to the first and third axes.

Abstract: A bone screw having a screw member possessing a threaded section and a head and a receiving part at the head end for receiving a rod to be connected to the bone screw is provided. The receiving part has on open first bore and a substantially U-shaped cross-section having two free legs provided with a thread. Furthermore, the receiving part has a second bore on the end opposite to the first bore whose diameter is greater than that of the threaded section and smaller than that of the head. On the bottom of the first bore a seat for the head is provided. In order that the screw member can be pivoted to at least one side by an enlarged angle, the edge bounding the free end of the second bore viewed relative to the axis of the first bore is of asymmetric construction.

Abstract: An internal fixation plate for sternoclavicular join comprises a locating rod junction and the clavicle fixation segment, both with flat cross sections. The locating rod junction and the clavicle fixation segment are not in the same plane, and the transition segment connects in between the locating rod junction and the clavicle fixation segment. The clavicle fixation segment is of a long strip, and screw holes are designed in the clavicle fixation segment. The locating rod junction is movably connected to the cylindrical sternum locating rod, through the connector, and allows the sternum locating rod to rotate and swing relative to the locating rod junction. The internal fixation plate connects the clavicle fixation segment to the sternum locating rod through a movable connection, so as to prevent the sternum locating rod from scratching and enlarging the bone holes in sternum.

Abstract: A bone plate assembly has the screws on one plate, either distal or proximal to the fracture, placed through round holes perpendicular to long axis of a first bone thus securing the plate rigidly to the bone on one side relative to the fracture. The screw holes can be either threaded on non-threaded. On the other side of the fracture, the bone fragment is first secured with an inclined screw placed from less than 90 to 10 degrees towards the fracture. As the screw is tightened it advances away from the fracture pulling the first bone, securely attached, plate towards the fracture site and thus compressing the fracture.

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 bone plate a re-orientable tab that provides a buttress support to fragments of the surrounding concave joint rim. The tabs can be re-orientated to contact the rim to provide close support. Each tab includes a hole sized to closely receive a K-wire to permit the K-wire to apply a bending load to a tab in situ to bend the tab about a lower recess between the tab and the remainder of the head. A soft tissue anchor is sized to pass through the hole in the tab, and into a hole drilled into the underlying bone. The soft tissue anchor has a bone engaging first portion and second portion comprising a length of flexible suture, to which is affixed a needle. The needle and suture can be used to draw tissue about the joint capsule.

Abstract: The present disclosure relates to an insert sleeve (19) designed for being inserted into a through hole (17) of an implant (11), comprising a body (21) with a through hole (23) defining an axial direction (29) for receiving a bone anchoring element (25), in particular a bone screw, said body (21) being made of a material having a first modulus of elasticity and including multiple recesses (27) arranged in circumferential direction around said through hole (23) of said insert sleeve (19) for reducing a stiffness of said insert sleeve (19) in a direction transverse (31, 33) to said axial direction (29). At least one of said recesses (27) is filled with a filler material (41) having a second modulus of elasticity different from said first modulus of elasticity.

Abstract: The invention proposes a bone plate comprising a bottom side that is to rest against the bone and an upper side opposite to the bone as well as a plurality of holes located along the longitudinal axis of the plate, through which bone screws can be inserted to be anchored to a bone. At least one of these holes is a continuous oblong hole comprising a longitudinal axis running in the direction of the longitudinal axis of the plate. A retaining structure, is provided in a partial area of the lateral side of the oblong hole for engaging the threads of said bone screw to archive an angle-stable fixation of said bone screw in said oblong hole.

Abstract: A bone fixation system has a bone implant with an implant body. The implant body defines an upper surface, a bone-facing surface spaced from the upper surface along a transverse direction, and at least one aperture defined by an inner wall. A bone fixation element is configured for insertion at least partially through the aperture. The bone fixation element defines a proximal end and a distal end spaced from the proximal end along a central axis. The bone fixation element has a head and a shaft that extends relative to the head toward the distal end. The head defines a first ridge, a second ridge spaced from the first ridge, and a groove disposed between the first and second ridges. The groove can receive at least a portion of the inner wall to couple the bone fixation element to the bone implant.

Abstract: A fixation apparatus comprises a holder and a tension sleeve receiving a bone screw, wherein the bone screw has a shaft with a front thread and a head at the rear end, and the holder has a through borehole with a receiving seat, in which the tension sleeve is mounted and able to swivel, while the shaft has a thickening in a rear region, to the front of the head, whose width increases toward the head, and the width of the tension sleeve is larger than the width of the shaft immediately before the thickening and smaller than the greatest width of the thickening. When screwed in, the thickening widens the tension sleeve so that it is pressed by its envelope against the wall of the receiving seat. In this way, an angle-stable pressing is achieved for any given orientation of the bone screw.

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

Abstract: The present invention discloses an approximately ?-shaped improved bone plate structure, fixed on a bone of an animal for maintaining the relative positions of different portions of the bone. One of the other features of the present invention is that bone plate structure comprises at least one contouring portion for allowing the surgeons to intra-operatively adjusting the shape in accordance with the shape of the bone. Furthermore, the present invention may fit the bone with multi-axis, decreasing stress concentration, preventing the opening portion from being unsuitably covered and preventing the wound deformation from being pressed.

Abstract: A fracture fixation system serves in repairing comminuted bone portions of a bone. The fracture fixation system includes a plate having an upper surface, a lower surface opposite the upper surface, one of a screw and a post, and at least one aperture for receiving the one of the screw and the post therethrough. The plate is secured to a main portion of the bone, and the one of the screw and the post is inserted through the at least one aperture through the plate. The portion of the comminuted bone portions is attached to the one of the screw and the post using at least one suture. The one of the screw and the post is rotated to wind the at least one suture therearound to reposition the portion of the comminuted bone portions relative to the main portion of the bone.

Abstract: The invention encompasses a bone screw for use in the human body including a shaft having a threaded region along at least a portion of its length and a screw head including a locking mechanism to secure the screw, for example to a bone plate. In certain embodiments, the thread has an outer diameter dimensioned to pass through the screw hole in the implant. The screw head is configured to cooperatively engage at least a portion of the screw hole of the implant so as to prevent the screw from coming out of the implant and avoided soft tissue damage and other complications associated with unintended screw removal.