Abstract: A direct anterior hip replacement trochanter securement apparatus including a trochanter engager, an implant connector configured to securely connect the trochanter engager to an implant in a femur, and a trochanter engager securer configured to securely hold part of the trochanter engager at a point along the femur below the trochanter.

Abstract: A plantar bone plate and a method are provided for treating fractures of metatarsal bones. The plantar bone plate comprises a generally elongate member having an upper surface and a lower, bone contact surface. Two or more fixation apertures and a compression slot are disposed along a longitudinal dimension of the elongate member. The fixation apertures receive fasteners suitable for fastening the plantar bone plate to a metatarsal bone. The compression slot receives a fastener at an oblique angle for compressing adjacent portions of the metatarsal bone so as to encourage bone fusion. A curvature along the elongate member is configured to mate the plantar bone plate with the anatomy of the plantar aspect of the metatarsal bone. In one embodiment, the curvature is comprised of at least a first bend and a second bend, such that the plantar bone plate mates with the plantar anatomy of the 5th metatarsal.

Abstract: The present disclosure provides a treatment tool cable of satisfactorily treating long tubular bone fractures, such as femoral trochanteric fractures and subtrochanteric fractures. The treatment tool comprises an elastic plate 2 that has a curved shape or that can be curved, the plate comprising at least one pressing portion 20 that is provided at one end in the width direction of the plate and that presses the trochanter 103 of the femur 100 from the posterior side by a restoring force that is generated by deformation of widening the curvature.

Abstract: A hard tissue fixation staple-plate interlocking device can include a recess in a staple body or a plate. The device can also include a locking part of the other of the staple body or plate. The device can be reconfigurable between an insertion configuration and an interlocked configuration. In the insertion configuration, the locking part can slide into the recess in a translation sliding motion that is parallel to a sliding motion of the legs of the staple, as the legs of the staple slide through the holes in the plate. In the interlocked configuration, the locking part can be at least partially in the recess, and recess surface portions can engage part surface portions and inhibit movement of the staple and plate out of the interlocked configuration. Also, multiple staples and screws can be interlocked with the plate, with staples being at non-parallel angles to each other.

Abstract: An orthopedic fixation system fuses bone, bones, or bone pieces in a predetermined anatomical position. The orthopedic fixation system includes an implant that transitions between an unconstrained shape and a constrained insertion shape, a drill guide, first and second K-wires, and a cannulated drill bit. The drill guide and the first and second K-wires retain the bone, bones, or bone pieces in an anatomical position corresponding with the predetermined anatomical position. The cannulated drill bit fits over the first and second K-wires and drills, respectively, first and second drilled holes into the bone, bones, or bone pieces. After insertion of the implant into the first and second drilled holes, the implant attempts to transition from its constrained insertion shape to its unconstrained shape such that the implant continuously compresses the bone, bones, or bone pieces thereby holding the bone, bones, or bone pieces in the predetermined anatomical position.

Abstract: A bone plate has bone facing side, a front side being arranged substantially opposite to and facing away from the bone facing side, and at least a first and a second elongated guiding channel. The first and second guiding channels are configured to receive a flexible elongated member such as, for example, a cerclage wire, and the first and second guiding channel are each further configured to guide the elongated member along a respective first and second guiding channel axis (A, B) from a first to a second lateral region of the bone plate. The first and second guiding channel axes (A, B) cross each other in at least one region of the bone plate outer front side.

Abstract: A closure system may secure a first bone portion to a second bone portion. The closure system may include a bracket, a band and a tensioning device. The bracket may include a first portion adapted to engage the first bone portion and a second portion adapted to engage the second bone portion. The band may engage the bracket and may be adapted to be looped around the first and second bone portions. The tensioning device may include a body and a threaded member. The threaded member may be received in the body and may engage the band such that rotation of the threaded member relative to the body moves a first end of the band relative to a second end of the band.

Abstract: An implant configured for fusing a first bone segment and a second bone segment during an operative procedure and constructed in accordance to one example of the present disclosure includes an implant body, a first bone interfacing portion and a second bone interfacing portion. The implant body can extend longitudinally between an insertion end and an opposite end. The first bone interfacing portion can be provided on the implant body and be configured to be implanted relative to the first bone segment. The second bone interfacing portion can be provided on the implant body and be configured to be implanted relative to the second bone segment. The first and second bone interfacing portions can be inserted dorsally into the first and second bone segments, respectively.

Abstract: A vertebral fixing system suitable for being mounted on a vertebra of the spine for connecting it to a rod. The system includes: a connecting part suitable for being connected to the rod, a flexible ligature of elongate shape having two free ends suitable for connecting together the connecting part and at least a portion of a vertebra and/or a rib, and an adjustable locking member mounted on the connecting part. The connecting part defines at least one passageway for passing the ligature in such a manner that two distinct strands of the ligature can be engaged in the passageway so that the two strands of the ligature define a first ligature portion forming a loop extending from one side of the connecting part, and second and third ligature portions extending from the other side of the connecting part.

Abstract: An osteotomy plate for maintaining the spacing of a wedge-like opening in bone, the osteotomy plate comprising: a body having a front side and a back side; a key extending out of the back side of the body for disposition in a keyhole formed in the bone along the wedge-like opening; and a plurality of mounting holes for receiving fixation screws therein, the mounting holes being formed in the body such that when the key is disposed in the keyhole, the mounting holes direct the fixation screws into bone on either side of the wedge-like opening.

Abstract: A method for joining of biological elements is disclosed. A plate is placed over a first segment and a second segment. The plate is attached to the first segment and the second segment. A dowel channel is drilled thru a dowel hole of the plate. A dowel is inserted into the dowel channel, wherein the dowel crosses a joining plane of the first segment and the second segment. A locking screw is placed on a top side of the dowel to lock the dowel in place.

Abstract: Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Abstract: According to one example embodiment, a bone fixation plate may include a metaphysis portion, a central column portion, and a lateral column portion. The metaphysis portion is configured to conform to a metaphysis of a volar side of a radius bone. The central column portion is configured to conform to a central column of a diaphysis of the volar side of the radius bone. The lateral column portion is configured to conform to a lateral column of the diaphysis of the volar side of the radius bone.

Abstract: System and methods are shown having a tube-within-tube assembly with a deployable curved deflectable tube or cannula that deploys from a straight cannula or trocar. The curved cannula has a pre-curved distal end to create an angular range of 0° to 180° when fully deployed from the straight trocar. The curve is configured such that the flexible element carrying a treatment device can navigate through the angular range of deployment of the curved cannula. The curved cannula allows the flexible element to navigate through a curve within bone without veering off towards an unintended direction.

Abstract: An orthopedic plate is specifically configured for use in osteotomies, in which part of the plate extends into a portion of a first bone segment and part is external to the cortical surface of an adjacent bone segment to fix the segments to allow them to fuse. The plate has a first end and a second end where the end which is inserted into the bone has a chamfer and a through hole having a hole axis optionally at an oblique angle to the longitudinal axis of the plate, and which can receive a screw, peg or pin. The second end of the plate includes a locking screw hole and optionally including a compression slot extending in a direction toward a screw hole in the opposing end. Optionally, the non-locking hole has a shroud that forms an arc or portion of a cylinder over the hole. A plate driver having a recess that holds the plate is used to insert the plate into the bone.

Abstract: A bone plate for fixing bone fragments to bone is provided. The bone plate comprises an elongated body portion as well as a hook portion. The elongated body portion comprises an attachment opening configured to receive an attachment element for attaching the bone plate to bone. The hook portion extends from an end of the body portion and comprises one or more hooks configured to grasp a bone fragment. Additionally, at least one guiding opening is provided in the hook portion to receive an elongated guiding member for guiding the bone plate towards the bone fragment.

Abstract: The orthopedic systems are patient-specific and provided with two types of features for positioning and/or fixing the plate to the bone or bone fragments. A method for generating bone plates comprises: generating a model of the bone defect or envisaged osteotomy based on one or more images of the bone and the surgical plan; designing based on said model a model corresponding to the envisioned repair of said bone defect/envisaged result of the osteotomy; generating a bone plate based on the information above, comprising: one or more patient-specific features corresponding to the surface of a bone fragment in the area close to the defect; and one or more fixation features whose position and/or orientation is such that the fixation elements will enter the bone in areas suitable for fixing the bone plate to each bone fragment.

Abstract: Systems for repairing acetabulum fractures can include a bone plate that has openings therein and one or more bolts sized to fit through the openings. The bone plate can cooperate with the head portions of the bolts to prevent them from spinning within the holes as screws are attached to the bolts. Such arrangements can assist in reverse implantation methods in which the bone plate is introduced into the true pelvis of a patient.

Abstract: Provided is a novel system that includes an anterior vertebral body plate with at least one bone spike pivotally attached to the plate and capable of being manually inserted into underlying bone to securely fix the plate to the bone. Also provided is a method of stabilizing cervical vertebrae using the disclosed system.

Abstract: A method of correcting spinal deformity, which includes locating pharmaceutical-loaded implants adjacent to targeted spinal growth plates, and then eluting the pharmaceutical onto the growth plates. Preferably, the method involves correcting spinal deformity by simply inserting a pharmaceutical-eluting pedicle screw onto the concave side of a scoliotic curve. The screw has a cannulated internal reservoir that contains a chondrocyte growth-inducing pharmaceutical (such as a growth factor or small molecule) and at least one fenestration that allows the pharmaceutical to elute onto the vertebral body growth plate.

Abstract: An orthopaedic fixation component attachable to a femur, said femur defining a femur shaft, a femur head and a femur neck extending therebetween, said femur further defining a greater trochanter limiting laterally said femur neck, said orthopaedic fixation component comprising: a shaft section fixation portion and an end section fixation portion extending substantially longitudinally therefrom, said shaft section and end section fixation portions being respectively securable to said femur shaft and said greater trochanter; said end section fixation portion including a pair of end arms, said end arms being configured, sized and positioned to delimit a trochanter receiving recess for substantially fittingly receiving a prominent portion of said greater trochanter.

Abstract: A volar distal radius plate includes a shaft and a head. The head includes a radial side that seats below the volar rim, and an ulnar side with two extending tabs that provide a buttress support to ulnar fragments from the volar rim. The tabs are contoured to be atraumatic to the overlying soft tissue. The tabs can be readily re-orientated to better approximate the volar rim and provide close support to the volar fragments. Each tab includes a single hole specifically sized to closely receive a K-wire in a fixed angle orientation, and which permits 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. Therefore, the plate does not require a dedicated bender. The tabs can also accommodate sutures.

Abstract: A combination of a bone fixation plate for fixation of fractures having a small terminal bone fragment, such as fractures of the distal radius and a holder/impactor for gripping the bone plate and for facilitating impacting the bone plate, with or without predrilled holes. The bone plate includes hook members configured to provide subchondral support to a distal bone fragment, without causing shortening of the fragment into the metaphyseal bone, and without providing a bending torque directed to the base of the plate. The holder/impactor is securely attachable to the bone plate, and includes a striking surface and a distal surface contour overlying and resting adjacent an apex of the hook member. The tooth members of the hook plate are preferably sharpened at their tips and edges to facilitate their impaction.

Abstract: The present invention relates to a device for internal fixation of the bone fragments (2, 3) in a radius fracture (4). The device comprises at least one body (1) for abutment against the bone fragments (2, 3) in the radius fracture (4), and fixing elements (6, 7) which are intended to be locked to the body for fixation of said bone fragments. The body (1) itself has in a distal end portion (1a) at least two predrilled holes (8) for fixing elements (6), and in a proximal end portion (1b) at least two predrilled holes (9) for fixing elements (7).

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

Abstract: A method and system is provided for repairing bone fractures at locations where high levels of stability are required. The system employs two plates to buttress a fracture from both the dorsal and volar sides. The plates are affixed to one another using screws that are installed from a volar plate, through the bone and into a dorsal plate. The method provides for use of a directional guide that allows the precise placement of Kirschner wires for temporary fixation of the fracture, installation of a first bone fixation plate using the installed K-wires for alignment, installation of a second bone plate adjacent the bone to be repaired and opposite the first bone plate, and installation of cannulated fasteners between the two opposing bone plates such that the fasteners rigidly engage both of the bone plates.

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 bone plate used in conjunction with various procedures to correct certain deformities, such as a Latarjet procedure. The bone plate is provided with a plurality of spikes having a truncated, pyramidal shape with a plurality of sides or faces that converge to a tip line. The height of each spike is of about 2.5 to about 3 mm. The design of the spikes allows the plate to stay in the right position by simply pressing the plate with the fingers on the bone or using a specific instrument (before the fixation holes are drilled and the fixation devices such as screws are secured). The bone plate may be provided with side, lateral faces that have a non-uniform width (i.e., a wedged profile) to allow for orthograde placement of the fixation device, even in the case of angled bone surfaces.

Abstract: A lockable pin plate assembly which has a pin plate adapted to be secured to stable bone and provided with pin holes for pins for pinning an unstable bone fragment. One or more pin holes are engageable by pins of an integral U-pin. The pins have stop surfaces thereon which are resiliently displaced when the pins are seated to automatically and self-lock the pin and the pin plate to oppose withdrawal and backing out of the pins from the pin plate. In a preferred embodiment, each pin of the U pin has a leading portion and a trailing portion, the leading portion being of smaller diameter to pass freely through an elliptical hole in the pin plate whereas the trailing portion is of larger size to become locked in the pin hole as it is advanced therein.

Abstract: A bone plate and plating system are for use of the same are disclosed. The bone plate includes a body having a span sufficient to overlap a portion of a bone. A screw hole extends through the body in order to receive a bone screw to attach for engaging the plate to the bone. The screw hole includes a counterbore having a beveled surface that intersects at a pinch point a bore having a conical surface of revolution that transitions into the bone engaging surface of the body. The beveled surface includes a variable geometry defining interleaved and rotationally-spaced contact and non-contact bone screw regions.

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: 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 bone plate includes (a) a body having a first surface which, in an operative configuration, faces away from a bone on which the plate is to be mounted and a second surface, which in the operative configuration, faces the bone, the body including a first section extending along a first longitudinal axis and a second section extending along a second longitudinal axis angled with respect to the first longitudinal axis; (b) a first hole extending through the body from the first surface to the second surface and defining a first hole axis, the first hole being structured to lockingly engage a head of a first bone anchor inserted therein such that a shaft of the first bone anchor extends along the first hole axis; and (c) a second hole extending through the body and spaced apart from the first hole. The second hole defines a second hole axis and is structured to lockingly engage a head of a second bone anchor inserted therein such that a shaft of the second bone anchor extends along the second hole axis.

Abstract: A lockable pin plate assembly which has a pin plate adapted to be secured to stable bone and provided with pin holes for pins for pinning an unstable bone fragment. One or more pin holes are engageable by pins of an integral U-pin. The pins have stop surfaces thereon which are resiliently displaced when the pins are seated to automatically and self-lock the pin and the pin plate to oppose withdrawal and backing out of the pins from the pin plate. In a preferred embodiment, each pin of the U pin has a leading portion and a trailing portion, the leading portion being of smaller diameter to pass freely through an elliptical hole in the pin plate whereas the trailing portion is of larger size to become locked in the pin hole as it is advanced therein.

Abstract: A volar distal radius plate includes a shaft and a head. The head includes a radial side that seats below the volar rim, and an ulnar side with two extending tabs that provide a buttress support to ulnar fragments from the volar rim. The tabs are contoured to be atraumatic to the overlying soft tissue. The tabs can be readily re-orientated to better approximate the volar rim and provide close support to the volar fragments. Each tab includes a single hole specifically sized to closely receive a K-wire in a fixed angle orientation, and which permits 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. Therefore, the plate does not require a dedicated bender. The tabs can also accommodate sutures.

Abstract: A plating system for stabilization of a bony segment includes a plate engageable to at least first and second bony elements. For spinal stabilization, the plate is attached to the antero-lateral portions of at least first and second vertebrae and is structured to facilitate engagement of the plate to the vertebrae from an approach extending in the anterior-posterior directions.

Abstract: The present invention relates to an osteosynthesis system (1) comprising at least one bone plate (2), at least one blade (3) and at least one bone anchor (4). The blade (3) is configured such as to be insertable at a predefined angle (?) in relation to the bone plate (2) through a through hole (8) provided on a first longitudinal portion (6) of said bone plate (2) and into a bone. The blade (3) comprises at least one opening (9) which is configured such as to be aligned with at least one bone anchor hole (5) provided on a second part (7) of the bone plate (2) when the blade (3) is fully inserted into said through hole (8), such that the bone anchor (4) may be inserted through said bone anchor hole (5) and said opening (9).

Abstract: A vertebral cleat and a vertebral support system employing the vertebral cleat is provided. Preferably, the vertebral cleat includes a base member having a superior and an inferior surface; an elongate keel portion having a cutting edge thereon depending from the inferior surface of the base member; and a spike portion depending from the inferior surface of the base member, the spike portion having a height that is greater than a height of the elongate keel portion. There is also provided a tool for grasping and implanting the vertebral cleat in a plurality of insertion configurations.

Abstract: A bone fixation plate for fixation of fractures having a small terminal bone fragment, such as fractures of the distal radius. The plate includes an elongated body, and two hook members extending from a first end of the elongated body. A contoured region is configured to approximate the surface contour of the distal radius proximate the volar rim, the dorsal rim, or the radial arm. Each hook member is configured to provide subchondral support to a distal bone fragment, without causing shortening of the fragment into the metaphyseal bone, and without providing a bending torque directed to the base of the plate. The tooth members of the hook plate are preferably sharpened at their tips and edges to facilitate their impaction. A holder/impactor for gripping the radial hook plate, and for further facilitating impacting of the hook plate without the need to pre-drill pilot holes, is also provided.

Abstract: An implant (10) for anchoring on a bone (1) has a plurality of anchoring pins (20) which extend away from a fastening side of the implant and are provided for anchoring the implant in the bone. In different areas of the fastening side of the implant, the pin arrangement and/or the geometry of the pins are chosen differently. In particular, in different areas of the fastening side of the implant, the volume of the anchoring pins (20) per unit of surface area of the fastening side of the implant is different, preferably in such a way that the geometry and/or arrangement of the pins (20) is chosen according to the proportion of bone tissue in the total tissue of the bone substance, opposite which the area of the fastening side is provided, in such a way that, in areas where there is a relatively higher proportion of bone tissue as a whole, less tissue is displaced by the anchoring pins than in areas where there is a relatively smaller proportion of bone tissue.

Abstract: Various methods and devices are provided for navigating through bone. In one embodiment, a bone navigation device is provided and includes a bone penetrating member configured to be implanted in bone and having at least one optical waveguide extending therethrough. The optical waveguide is adapted to illuminate tissue surrounding the device and to receive reflected/transmitted light from the tissue to determine the optical characteristics of the tissue, thus facilitating navigation through the tissue. At least one window can be formed in the bone penetrating member for allowing light from the at least one optical waveguide to illuminate the tissue, and for receiving the reflected light.

Abstract: A bone fixation plate for fixation of fractures having a small terminal bone fragment, such as fractures of the lateral malleolus. The bone fixation plate includes an elongated body, and two hook members extending from a first end of the elongated body. Each hook member curves back upon a bottom surface of the elongated body, back towards a second end of the elongated body, and terminating in a pointed prong region. The elongated body includes a first region, a second region, and an angled region disposed between the first and second region. The prong region has a longitudinal axis that is substantially parallel to a longitudinal axis of the angled region of the elongated body of the bone plate. A double barreled drill guide and associated interchangeable cooperating inner drill guides and gauges are provided to facilitate the drilling of pilot holes in a terminal bone fragment for axial insertion of the pointed prong regions of the hook members.

Abstract: A bone plate having a rear face and opposing front face, adapted to be abutted on a bone, and a through hole extending between the front and rear faces, and attached to a bone to be set by applying the bone plate to the bone, and by screwing a screw into the bone through the through hole. The bone plate has a blind first dimple provided in at least one of the faces thereof other than the rear face. One acute gripping tip of a pair of bone forceps may be abutted on the bone, with the other acute griping tip of the bone forceps being engaged in the first dimple. The first dimple is configured so as to converge from an opening portion thereof on the dimple-provided face toward a bottom portion thereof, whereby the other acute gripping tip of the bone forceps can slide toward the bottom portion.

Abstract: A plating system for stabilization of a bony segment includes a plate engageable to at least first and second bony elements. For spinal stabilization, the plate is attached to the antero-lateral portions of at least first and second vertebrae and is structured to facilitate engagement of the plate to the vertebrae from an approach extending in the anterior-posterior directions.

Abstract: A spinal correction system for the correction or arrest of scoliosis or spinal deformity in immature spines includes a bridge member, a pair of spaced apart legs extending substantially perpendicularly therefrom, and a fastener retaining portion extending substantially longitudinally from each end of the bridge member.

Abstract: A prosthetic is provided for replacing a vertebral disc. The prosthesis can comprise first and second endplates formed of a ceramic material, each including an articulating contact surface and a bone facing surface. The contact surface of the first endplate can have a shape complementary to the contact surface of the second endplate, thereby facilitating articulation of the first and second endplates while in contact with one another. The device can further include at least one non-ceramic bone attachment element mated with at least one of the bone facing surfaces, such that the bone attachment element covers less than a full area of the bone facing surface.

Abstract: A device for supporting and/or assisting in bone fusion, particularly in the spine, is described. A plate member is provided, along with two or more attachment members that are anchorable to bones. In one embodiment, the plate member has a slot near one end and an aperture at another end. The attachment members include threaded posts for connection to the plate member via the latter's slot(s) and aperture(s). Alternatively, attachment members need not have a threaded post, and attachment members may be connected to the plate member via a bone bolt or similar fixation member. The slot(s) allow a single plate member to be used for a variety of operative situations and anatomies. A device for repositioning bones and a method for using the disclosed devices is also described.

Abstract: A spinal implant clamps to the spinous processes and provides an osteointegration material between the spinous processes so that there may be osteointegration between the spinous processes and a portion of the implant located in the interspinous space. The implant includes first and second plates, a post that extends between the plates and into at least one of the plates, a locking mechanism for locking the relative positions of the plates, and an osteointegration sleeve. The sleeve is disposed between the first and second plates and has an inner surface defining a longitudinal through-passage that is disposed about an outer surface of the post. The sleeve includes osteointegration material and is distinct from the post. The osteointegration material of the sleeve may be, for example, allograft bone or a bone growth material such as bone morphogenetic protein. Related methods are also described.

Abstract: A lockable pin plate assembly which has a pin plate adapted to be secured to stable bone and provided with pin holes for pins for pinning an unstable bone fragment. One or more pin holes are engageable by pins of an integral U-pin. The pins have stop surfaces thereon which are resiliently displaced when the pins are seated to automatically and self-lock the pin and the pin plate to oppose withdrawal and backing out of the pins from the pin plate.

Abstract: The present invention relates to pedicle implements, in particular pedicle implants that involve screws. The present invention includes a handle, a pointy tip, a shaft, a cannula located therethrough and mini protrusions used to prevent toggling. The crux of the present invention is the ability of the user to create an accurate pilot hole via the pointy tip. In addition, the present invention allows the user the ability to insert a pedicle probe through the cannula out through the pointy tip. This allows the user to perform the cannulation portion of the procedure without the use of any thrombatic agents.