Abstract: A variable length headless compression screw insertion system includes a compression screw and a driver assembly for driving the compression screw into a bone. The compression screw has a bone screw and a compression sleeve coupled to the bone screw. The bone screw includes a proximal end having an external threading threadably received in the compression sleeve, and the compression sleeve includes a proximal end having a predefined drive feature and an external threading. The driver assembly includes a sleeve coupler adapted to threadably receive the external threading of the compression sleeve. A ram driver is coupled to the sleeve coupler and has a predetermined length such that its distal end is shaped to contact the proximal end of the bone screw to prevent translation of the bone screw relative to the compression sleeve.

Abstract: Methods, devices, and kits include an orthopedic screw that is configured to be at least partially withdrawn from bone segment(s) and has, in part, a shaft extending from a distal end to a proximal end, screw threads with a first threaded alignment formed on the distal end, an unthreaded shank, a head positioned on the proximal end, and an enlarged terminal end segment of the head that includes (1) a socket for receiving a tool adapted for rotating the screw into the bone segment(s), and (2) a threaded cannula portion centrally located at a focus point of the enlarged terminal end and extending along a cannula for at least a portion of a length of the head comprising a second threaded alignment opposite the first threaded alignment and configured to receive an instrument head.

Abstract: Various bone fixation wires and methods of making bone fixation wires are described. A bone fixation wire includes an elongate member defining an outer wall, a retaining member disposed on the outer wall between the elongate member first end and the geometric midpoint of the axial length of the elongate member on the lengthwise axis, and a stopping member disposed on the elongate member and contacting the retaining member. The elongate member comprises a first material and the stopping member comprises a second material that is different from the first material.

Abstract: A condylar fracture fixation system for use with an intramedullary nail includes a longitudinally extending rod having first and second ends, each end having outwardly extending threads or ridges. The rod extends along a first longitudinal axis which extends in a medial-lateral direction in use. A first and second nut is provided each nut having first and second ends. The second end of each nut having an opening formed by a plurality of resilient legs for respectively receiving the first and second ends of the rod. The second end of the first and second nuts include ridges or threads extending into the opening in each nut. The inwardly extending ridges of nuts respectively engaging the outwardly extending threads or ridges of the rod. A flexible washer is connected to the first end of each nut.

Abstract: A bone fixation screw device for implantation into a bone of a patient is disclosed. The screw device includes a screw body having an outer surface. A plurality of outer screw threads extends around the outer surface of the screw body. A plurality of apertures or passages is defined through the outer surface. A plurality of anchors can extend out of corresponding apertures in the screw body. The anchors can be inserted into a patient's bone to further fixate and purchase the bone screw within the patient's bone. The screw body can include an inner cavity, the plurality of apertures each being open to the inner cavity. The anchors can extend out of corresponding apertures from the inner cavity.

Abstract: Methods and devices for stabilizing spinal anatomical structures. Some example methods may include introducing a curved segment of an elongate fastener placement rod adjacent to a bone, providing a fastener at the leading end of the curved segment, and/or securing the fastener in place with respect to the bone.

Abstract: Embodiments herein are generally directed to fastener or fixation members, such as bone screws, for use in orthopedic stabilization assemblies. Some embodiments herein are directed to a spinal stabilization system or a method of installation of a spinal stabilization system that can include a spinal stabilization anchor including a compressible head, a distal collar separated from the head by a channel, and an elongate, longitudinally-curved shank extending therefrom. The shank further can include at least one friction member.

Abstract: The present disclosure relates to a tissue repair assembly. The assembly includes an interference device and a fixation device coupled to the interference device, wherein the fixation device includes a coupling portion and a capturing portion. Other assemblies and methods are also disclosed.

Abstract: A tissue fixation system is provided for dynamic and rigid fixation of tissue. A fastener connected with an elongate fastening member, such as a cable, wire, suture, rod, or tube, is moved through a passage between opposite sides of tissue. A medical device is used to secure the fastener to the elongate fastening member. The medical device includes a tensioning mechanism for tensioning the elongate fastening member. As crimping mechanism is used to secure the fastener to the elongated member, where a cutting mechanism cut the excess portion of the elongated member.

Abstract: Embodiments of the invention provide a bone compression device for fixing first and second bone fragments together. The device includes an elongated fastener threadedly receivable within an anchor and a lock movably positioned within the anchor bore to lock the fastener and anchor against relative rotation. The lock may include an externally threaded locking screw threadedly receivable within the anchor coaxial with the fastener shank. The locking screw can be advanced within the anchor bore to lock the position of the fastener shank portion within the anchor bore. Embodiments of the device may be inserted within first and second bores formed in two bone fragments and tightened to compress the two bone fragments together.

Abstract: Prosthesis, tools and surgical methods treat joint instability by avoiding loosening over time. A shoulder prosthesis includes a humeral member with a humeral joint surface and a humeral fixation member and a glenoid member comprising a glenoid body with a glenoid joint surface, and a glenoid fixation member attaching the glenoid body to a scapula. The glenoid fixation member may be attached orthogonally to the scapula. A dampener may be included to absorb loads that may loosen one or more components of the prosthesis.

Abstract: Facet fixation implants include a cap member with a circular base portion and an eccentric raised portion. The raised portion includes first and second lobes and is smoothly contoured to provide an unobtrusive profile when implanted. Beveled teeth project from the implant to provide fixation and compression across the facet joint. The cap member includes an offset aperture which receives a fastener. Tools, guiding instruments and methods for implantation of the implants are disclosed.

Abstract: An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

Abstract: A fixation system configured to releasably secure an orthopedic implant to a bone. The orthopedic implant has at least one lumen extending from a proximal portion to a distal portion configured to extend through cortical portions and into cancellous portions of the bone. The fixation system includes a flowable biomaterial that flows through the lumen into the cancellous portion of the bone in an expanded configuration with at least one dimension greater than a corresponding dimension on the orthopedic implant located generally along a pull-out direction of the orthopedic implant. An insert is positioned in the lumen and in engagement with the flowable biomaterial located in the cancellous portion of the bone, such that the orthopedic implant is detachable from the biomaterial in the cancellous portion of the bone to facilitate subsequent removal of the orthopedic implant from the bone.

Abstract: Bone screws suitable for use with treatment of bones such as phalanges, particularly distal or terminal phalanges, and methods of using the bone screws are disclosed. Exemplary bone screws include a shaft having a thread about at least a portion of the shaft and at least one blade attached to the shaft. The at least one blade can be configured to bury into a bone to capture bone fragments and/or to securely attach to a bone.

Abstract: A bone anchoring element includes a shaft for anchoring in a bone, the shaft having a tubular body. The shaft comprises a plurality of barb elements, wherein each barb element is formed as continuous one-piece part with the tubular body. Each each barb element is moveable between a first position adjacent to the tubular body and a second position further from the tubular body than the first position. The barb elements are arranged along at least one helical line around an axis of the shaft.

Abstract: A fixation system configured to releasably secure an orthopedic implant to a bone. The fixation system including at least one expandable member that is inserted through the lumen and positioned in cancellous bone near the distal portion of the orthopedic implant. A delivery tube delivers a flowable biomaterial to the expandable member. The expand fixation structure includes at least one dimension greater than a corresponding dimension on the orthopedic implant to secure the orthopedic implant in the bone. An insert is secured in the lumen to releasably attach the fixation system to the orthopedic implant. The expandable member is detachable from the orthopedic implant to facilitate subsequent removal of the orthopedic implant from the bone.

Abstract: Expandable support devices for tissue repair are disclosed. The devices can be used to repair hard or soft tissue, such as bone or vertebral discs. A method of repairing tissue is also disclosed. Surgical devices and methods for adjusting (e.g., removing, repositioning, resizing) deployed orthopedic expandable support devices are also disclosed. The expandable support devices can be engaged and surgically implanted by an engagement device and affixed to bone to provide stability and support for the devices. The expandable support devices are attachable to spinal fixation devices such as screws or plates, and may be used to support such devices when placed in weakened or damaged areas of bone.

Abstract: Disclosed is a fixation device for sacroiliac joint stabilization. The fixation device includes an elongated body comprising a bone anchor at a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device. In one embodiment, the device is inserted through the ilium of the pelvis and the bone anchor is rotated into position within the sacrum. The proximal anchor is distally advanced with respect to the bone anchor to provide compression across the sacroiliac joint.

Abstract: An apparatus is designed to attach an implant to bone in a manner that permits rotational adjustment of the implant about multiple axes prior to securement via the apparatus. The apparatus includes separate rotational and translational fasteners that can be individually locked to independently restrict rotation and translation of the implant relative to the bone. The rotational fastener includes an interpositional member, an expandable engagement member, and a rotational locking member that urges the expandable engagement member to advance along the interpositional member. The resulting expansion of the engagement member causes it to engage the implant. The rotational fastener is slidable along a fixation member implanted in the bone until the translational fastener is applied to restrict relative translation between the rotational fastener and the bone.

Abstract: A bone screw for treating a bone fracture having a detent assembly on a body portion thereof. The detent assembly includes a detent member that is movable between a first and second position. The detent assembly operative to secure the body whereby said plunger portion moves independent of said body. The bone screw may also include a plunger assembly having a plunger with a threaded portion and a plunger portion. The plunger portion is slidably disposed within a chamber of the body.

Abstract: The present disclosure relates to a fixation device. The fixation device includes a base portion including a first leg, a second leg, and a groove located between the first and second legs and a top portion extending from the base portion. A tissue repair device and a method of tissue repair are also disclosed.

Abstract: A bone anchoring element includes a shaft for anchoring in a bone, the shaft having a tubular body. The shaft comprises a plurality of barb elements, wherein each barb element is formed as continuous one-piece part with the tubular body. Each barb element is moveable between a first position adjacent to the tubular body and a second position further from the tubular body than the first position. The barb elements are arranged along at least one helical line around an axis of the shaft.

Abstract: A device and method for fixating soft tissue to hard tissue with the aid of a suture anchor and a suture or with the aid of a headed anchor, wherein the anchor is forced into the hard tissue and then anchored therein by in situ liquefaction of a material having thermoplastic properties. The device includes a vibration tool and the anchor and possibly a support element, wherein the anchor includes an anchor foot and a thermoplastic sleeve. The thermoplastic sleeve includes the material having thermoplastic properties. The anchor foot has a distal end suitable for being forced into hard tissue and it is connected to the distal end of the vibration tool and the thermoplastic sleeve sits on a proximal face of the anchor foot , the vibration tool and/or a proximal portion of the anchor foot extending into or through the thermoplastic sleeve.

Abstract: The present invention relates generally to medical/dental devices for fixing bone fractures, anchoring of bones, or anchoring of prosthetics to bones. The device generally relates to molly bolts, expandable screws, or devices/screws with expansion or locking mechanisms. More particularly, the present invention concerns an implant assembly which includes a tubular body portion that can be positively secured within a bore in a bone or prosthetic by expander mechanism at both ends of the tubular body portion.

Abstract: An orthopedic fastener is designed to attach an implant to bone in such a manner that, until the fastener is tightened, the implant may be rotationally adjusted against the bone. The implant may have a semispherical bone apposition surface that permits polyaxial rotation of the implant against the bone. The orthopedic fastener has an interpositional member and a compression member. The interpositional member may be a split ring with a conical exterior surface that mates with a conical surface of the implant. The compressing member has a threaded bore that engages a proximal end of a fixation member implanted in the bone such that, in response to rotation of the compression member, the interpositional member is sandwiched securely between the implant and the compression member. The conical surface of the implant compresses the interpositional member about a semispherical surface of the compression member, thereby restricting rotation of the implant.

Abstract: Silver and/or zinc ion releasing implants, systems and method of operating, inserting and activating/inactivating them are described. In some variations the implant is configured as a bone implant that includes a bone-screw or intramedullary rod like body configured to receive a treatment cartridge having a plurality of ion-releasing members configured as an anode that can controllably engage with a catheter to turn galvanic release of ions on/off as desired. These devices may be configured to release silver ions (and/or zinc ions) above a predetermined level for a predetermined period of time and may maintain a concentration of ions over a relatively large volume of tissue. The ion-releasing members may be configured to reduce or prevent implant movement.

Abstract: The present invention relates invention relates to devices and methods for the fixation and stabilization of orthopedic fractures and more specifically to stabilization of compression fractures of spinal vertebrae. The systems comprise cannulated orthopedic screws and mechanical expandable implants introducible through the lumen of such screws. In certain embodiments the cannulated implants are expandable within an intraosseous space to introduce scaffold-like structures such that subsequent introduction of a bone cement forms a composite in situ. The devices and methods are also particularly useful for stabilizing the orthopedic screws.

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

Abstract: A removable anchoring pedicle screw includes an implant mounting screw, an anchor screw, and a nose piece. The anchor screw is configured to be rotated relative to the implant mounting screw such that the nose piece engages an expandable anchor. The expandable anchor is disposed between the implant mounting screw and the nose piece such that rotation of the anchor screw relative to the implant mounting screw causes expansion of the expandable anchor.

Abstract: A bone fastener for stabilizing bone fragments includes a single or multiple components coupleable with one another and displaceable to a locked position of the bone fastener.

Abstract: The present invention relates to a screw for fixing vertebra comprising a cage as a prosthesis which can be extended to be protruded beyond an external diameter of a screw, and improving the drawback from detaching from the spine following surgical procedures.

Abstract: A fixation assembly having one or more insertions member that include one or more expandable and retractable anchoring inserts positioned along at least a portion of the insertion member and methods of use thereof are disclosed.

Abstract: A bone fastener system including a bone fastener having cavities for receiving locking screws traverse to a longitudinal axis. The bone fastener includes a proximal end connected to a head, a distal end and an elongated shank defining a longitudinal axis. The elongated shank has an inner surface defining an inner cavity extending from the proximal end to the distal end along the longitudinal axis. The inner cavity is configured to receive a guide wire. The system includes a first locking screw and the bone fastener further comprises a second cavity defined by an inner surface disposed at an angle transverse to the longitudinal axis configured to receive a first locking screw.

Abstract: Disclosed is a fixation device for sacroiliac joint stabilization. The fixation device includes an elongated body comprising a bone anchor at a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device. In one embodiment, the device is inserted through the ilium of the pelvis and the bone anchor is rotated into position within the sacrum. The proximal anchor is distally advanced with respect to the bone anchor to provide compression across the sacroiliac joint.

Abstract: The present disclosure relates to a tissue repair assembly. The assembly includes an interference device and a fixation device coupled to the interference device, wherein the fixation device includes a coupling portion and a capturing portion. Other assemblies and methods are also disclosed.

Abstract: A bone anchoring device includes a shaft for anchoring in a bone and a head, the shaft including a first section having a plurality of barb elements, the barb elements being elastically deformable relative to the body of the shaft, and a second section including a bone thread for engagement with the bone. The first section is located near the tip of the shaft and allows insertion by pushing whereas the second section provides enhanced resistance against pull-out.

Abstract: A bone screw for treating a bone fracture having a detent assembly on a body portion thereof. The detent assembly includes a detent member that is movable between a first and second position. The detent assembly operative to secure the body whereby said plunger portion moves independent of said body. The bone screw may also include a plunger assembly having a plunger with a threaded portion and a plunger portion. The plunger portion is slidably disposed within a chamber of the body.

Abstract: Various methods and devices are provided for bone screw fixation. In one exemplary embodiment, the methods and devices provide a bone fixation device that includes a receiving head having a recess adapted to seat a spinal rod therein and a shank extending distally from the receiving head. An anti-rotation mechanism can be located distal of a distal end of the receiving head and around a proximal portion of the shank, and it can be configured to interact with bone to prevent rotation of at least a portion of the bone fixation device relative to the bone.

Abstract: Medical implants are formed at least in part from porous metal wherein the pores of the metal are filled with a hardenable material. The hardenable material can be used to assist in the manufacture of the implant, permitting detailed machining of the implant. Further, the hardenable material can be a resorbable material that strengthens the implant during implantation but is resorbed, once implanted, to permit bone growth and infiltration. Further, in an alternate embodiment, the hardenable material can be a thermoplastic material that can be heated by ultrasonic energy to create an adhesive bond between a fastener and bone structure.

Abstract: A bone anchoring element includes a shaft for anchoring in a bone, the shaft having a tubular body. The shaft comprises a plurality of barb elements, wherein each barb element is formed as continuous one-piece part with the tubular body. Each barb element is moveable between a first position adjacent to the tubular body and a second position further from the tubular body than the first position. The barb elements are arranged along at least one helical line around an axis of the shaft.

Abstract: A polyaxial bone screw assembly includes a threaded shank body member having an upper portion with an internal drive and, alternatively, a laterally extending alignment rib or fin. The bone screw assembly also includes a lockable receiver coupling member, an open retainer ring member having a slit or gap and a compression insert member. An inset conical or cylindrical surface on the shank upper portion frictionally engages a similarly shaped inner surface of the retainer ring. The receiver includes a restrictive lower opening that allows for uploading the shank upper portion and compressed retainer ring into the receiver cavity, but prevents passage of the retainer ring out of the receiver once the ring inner surface engages the conical surface of the shank upper portion.

Abstract: Methods and devices for locking a fastener in a thru-bore are provided herein. In one exemplary embodiment, a spinal anchor is provided that includes a bone engaging fastener, an anti-backout mechanism, and a locking mechanism. The anti-backout mechanism can be movable between a retracted position in which it is disposed within the fastener and a deployed position in which is extends from the bone engaging fastener. The locking mechanism can be matable to the bone engaging fastener and can be configured to move the anti-backout mechanism from the retracted position to the deployed position. In the deployed position, the anti-backout mechanism can prevent the bone engaging fastener from backing out of a thru-bore in a spinal plate.

Abstract: A fixation assembly having one or more insertions member that include one or more expandable and retractable anchoring inserts positioned along at least a portion of the insertion member and methods of use thereof are disclosed.

Abstract: A removable anchoring pedicle screw includes an implant mounting screw, an anchor screw, and a nose piece. The anchor screw is configured to be rotated relative to the implant mounting screw such that the nose piece engages an expandable anchor. The expandable anchor is disposed between the implant mounting screw and the nose piece such that rotation of the anchor screw relative to the implant mounting screw causes expansion of the expandable anchor.

Abstract: An arthrodesis anchor is formed as a monolithic piece for ease of handling and use, having two ends, one of which has prongs supporting barbs extending radially therefrom. The other end may have threads or barbs. A neck between may circular in cross section and be sized from about 0.045 inches to about 0.08 inches and may be conveniently sized at 0.062 inches for bending to accommodate final alignment of joints to be bonded. Optionally, a shank next to the neck may receive a tool for threading the anchor into a joint. The proximal and intermediate phalangial joints may be trimmed and pilot drilled, after which a first end may be inserted by a tool, typically into the proximal joint by threading or linear insertion of barbed prongs. The second end having barbed prongs may then be inserted into a pilot drilled into the base of the intermediate joint.

Abstract: A bone screw for treating a bone fracture having a plunger assembly and a detent assembly on a body portion thereof. The detent assembly includes a detent member that is movable between a first and second position. The plunger assembly includes a threaded engagement portion and a plunger portion. The plunger portion is slidably disposed within a chamber of the body. The detent assembly operative to secure the body whereby said plunger portion moves independent of said body.

Abstract: A bone anchoring device includes a shaft for anchoring in a bone and a head, the shaft including a first section having a plurality of barb elements, the barb elements being elastically deformable relative to the body of the shaft, and a second section including a bone thread for engagement with the bone. The first section is located near the tip of the shaft and allows insertion by pushing whereas the second section provides enhanced resistance against pull-out.

Abstract: An improved method for attaching soft tissue to bone by passing a suture through an opening in the bone, e.g., a transosseous tunnel, and affixing the soft tissue with the suture. The improvement, for preventing the suture from migrating through the bone at the end of the opening, includes placing a eyelet into an end of the bone opening and passing the suture through the eyelet, as well as through the opening in the bone, in order to affix the soft tissue to the bone with the suture.

Abstract: A bone screw includes a screw shaft extending longitudinally along a screw axis and a screw head extending from a proximal end of the screw shaft and configured to be releasably coupled to a surgical tool. The bone screw also includes a through hole defining a through hole axis and extending through the screw head, the through hole axis intersecting the screw axis at an acute angle ?, the through hole being adapted to receive therein a second screw and tapering from a first end at a proximal end of the screw head to a second end opening to an outer surface of the screw head.