Abstract: A reverse shoulder system can include, for example, a glenoid baseplate comprising a longitudinal axis, the glenoid baseplate further including a stem and a central channel within a sidewall of the stem. The stem can include a longitudinal axis. The longitudinal axis of the glenoid baseplate can be angled with respect to the longitudinal axis of the stem, wherein the longitudinal axis of the glenoid baseplate is not perpendicular with respect to the longitudinal axis of the stem. Other components including a glenosphere, tools, and methods of use are also disclosed.

Abstract: A reverse shoulder system can include, for example, a glenoid baseplate comprising a longitudinal axis, the glenoid baseplate further including a stem and a central channel within a sidewall of the stem. The stem can include a longitudinal axis. The longitudinal axis of the glenoid baseplate can be angled with respect to the longitudinal axis of the stem, wherein the longitudinal axis of the glenoid baseplate is not perpendicular with respect to the longitudinal axis of the stem. Other components including a glenosphere, tools, and methods of use are also disclosed.

Abstract: A glenoid implant includes a body, a plurality of fins, a collet, and a plug. The body has a central aperture therethrough and a plurality of slots. Each of the plurality of fins are coupled with a respective one of the plurality of slots of the boss of the body such that each of the plurality of fins is configured to move from a first generally inward position towards a second generally outward position. The collet including an interior threaded bore and a plurality of deflectable arms. The plug includes a threaded portion and a tip portion configured to engage with and cause the plurality of deflectable arms of the collet to move and cause the plurality of fins to move from the first generally inward position towards the second generally outward position, thereby aiding in securing the body to a scapula of a patient.

Abstract: An orthopaedic bone anchor and suspension device includes a head which, on its upper face, has an opening of a central bore for receiving an expansion device, and, adjoining the underside of the head, a sleeve which is designed as an expansion dowel for anchoring the bone anchor and suspension device in the bone. The bone anchor and suspension device is characterized in that the head has a collar which protrudes outwards past the sleeve, wherein the collar preferably has holes for the attachment of fastening sutures and, on its outer circumference, has at least one recess for grafts.

Abstract: An implant for repairing a joint between a first bone and a second bone includes a first section constructed of a substantially rigid material and a graft constructed of soft tissue having a first end and a second end. The first section has a first end surface configured for positioning against the first bone. The graft is configured for stabilizing the first section relative to the first bone. A first fastener is configured for mounting to the graft and the first section to anchor the graft to the first section. A second fastener is configured for mounting to the graft and the first bone to anchor the graft to the first bone.

Abstract: A suture anchor includes a threaded anchor body having a first central bore in communication with a second central bore. The suture anchor includes an internal eyelet formed of a loop disposed at least partially inside the first central bore. The ends extending from the loop are tied together to form at least one knot which is housed in the second central bore provided at the distal end of the anchor body. The knot increases the pullout strength of the suture even in soft bone, provides increased suture fixation, and eliminates the anchor “pull back.

Abstract: A suture anchor insert comprising a body configured to be inserted into a hole in a bone plate. The body has a proximal end, a distal end, a length extending between the proximal and distal ends and substantially corresponding to a thickness of a bone plate, a sidewall, at least one plate engaging member extending outwardly from the sidewall to secure the body to the bone plate, a recess defined by the sidewall, and a transverse edge formed on the sidewall. A crossbar extends inwardly from the sidewall across the recess such that a free end of the crossbar is normally disposed distally of the transverse edge. The crossbar is flexible such that when a distally directed force is applied, the free end of the crossbar is positionable in the recess. The free end of the crossbar is engageable with the transverse edge to limit proximal motion of the crossbar.

Abstract: An implant for repairing a joint between a first bone and a second bone includes a first section constructed of a substantially rigid material and a graft constructed of soft tissue having a first end and a second end. The first section has a first end surface configured for positioning against the first bone. The graft is configured for stabilizing the first section relative to the first bone. A first fastener is configured for mounting to the graft and the first section to anchor the graft to the first section. A second fastener is configured for mounting to the graft and the first bone to anchor the graft to the first bone.

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: Expandable fixation assemblies, expandable cranial fixation assemblies, and expandable intervertebral implant assemblies are provided for securing structures to bone and for securing bones and/or bone segments with respect to each other. An expansion member can be moved through at least a portion of an expandable fixation body, thereby causing expansion of the expandable fixation body, such that bone engagement features of the expandable fixation body engage surrounding structure, such as bone.

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: A soft tissue fixation system, most typically applicable to orthopedic joint repairs, such as anterior cruciate ligament (ACL) knee repair procedures, comprises an implant which is placeable in a tunnel disposed in a portion of bone, wherein the tunnel is defined by walls comprised of bone. A first member is deployable outwardly to engage the tunnel walls for anchoring the implant in place in the tunnel, and a second member is deployable outwardly to engage tissue material to be fixed within the tunnel. The second member also functions to move the tissue material outwardly into contact with the tunnel walls to promote tendon-bone fixation. Extra graft length is eliminated by compression of the tendon against the bone at the aperture of the femoral tunnel, which more closely replicates the native ACL and increases graft stiffness. The inventive device provides high fixation of tendon to bone and active tendon-bone compression.

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 shape memory polymer material containing at least one two dimensional region having a first amount of stored stress in a first direction and a second amount of stored stress higher than the first amount of stored stress in a second direction, wherein the two dimensional region is capable of changing shape in only one of the first or second directions.

Abstract: A method and device to correct hammertoes. The device includes a bone implant having a screw with a threaded end or a pin and a sleeve adaptable to accept the screw or mate with the pin. The sleeve includes an external surface having threads on a distal end of the sleeve and an expanding feature along a proximate portion of the sleeve. When the implant is implanted into a joint through a percutaneous incision and the screw is rotated about its longitudinal axis when mated with the threaded portion of the sleeve, the expanding feature may be expanded compress the joint using the cancellous threads on a distal bone in the joint and the expanding feature on a proximate bone in the joint. In embodiments having pins, the pin is axially driven when locked in the sleeve by the locking mechanism thereby radially expanding the expanding feature to compress a joint using the cancellous threads on a distal bone in the joint and the expanding feature on a proximate bone in the joint.

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: The invention relates to an endosseous implant capable of being implanted into osseous tissue. The implant comprises an attachment device (3), comprising: a so-called gripping portion (31) for gripping the osseous tissue, a so-called expansion portion (32), said two portions being mobile in relation to each other, engaging mechanical connection means (33, 33a, 33b), located on the gripping portion (31) on the one hand and on the expansion portion (32) on the other hand, such that the relative mobility of the two portions has at least one degree of freedom, and such that a relative movement of said two portions causes an extension of the gripping portion, said extension causing the gripping portion to engage with the osseous tissue. The endosseous implant can in particular be used in the dental field.

Abstract: A subtalar implant (1) for stabilising the subtalar joint in the human foot includes a longitudinal axis (L) extending between a front end (13) and a rear end (14), wherein a first anchor portion (2) is arranged to the side of the longitudinal axis (L) and a second anchor portion (3) is arranged to the side of the longitudinal axis (L). In accordance with the invention, a spreading mechanism (5) to spread apart the implant as a result of relative displacement of the first and second anchor portion (2, 3) at an angle to the longitudinal axis (L) are provided.

Abstract: Surgical anchoring systems and methods are employed for the correction of bone deformities. The anchoring system and its associated instrument may be suitable for surgical repair of hallux valgus, tarsometatarsal sprains, ankle ligament reconstruction, spring ligament repair, knee ligament reinforcement, acromioclavicular sprains, coracoclavicular sprains, elbow ligament repair, wrist and hand ligamentous stabilization or similar conditions. The anchoring system may include a fixation system for anchoring two or more sections of bone or other body parts and a system for aligning of one section relative to another section.

Abstract: An expandable screw includes generally a shaft, a head, and a cut pattern. The shaft includes a longitudinal axis, an outer surface including a thread to engage bone, and an expandable region configurable between a first state with a first radius measured from the longitudinal axis to the outer surface and a second state having a second radius measured from the longitudinal axis to the outer surface. The head coupled with the shaft at a neck is configured to receive a driving instrument to insert and drive the shaft into the bone when the expandable region is in the first state. The cut pattern on the shaft permits at least partial nesting of a first portion of the expandable region within a second portion of the expandable region in the second state.

Abstract: An attachment device with a radially expandable section is disclosed. The attachment device can have helical threads, for example, to facilitate screwing the attachment device into a bone. Methods of using the same are also disclosed. The attachment device can be positioned to radially expand the expandable section in cancellous bone substantially surrounded by cortical bone.

Abstract: The present invention is directed to a hybrid bone fixation element including a threaded proximal cortical bone contacting portion for threadably engaging the cortical portion of a human bone and a non-threaded expandable distal cancellous portion for engaging the cancellous portion of the human bone. The hybrid bone fixation element can be used, for example, as a pedicle screw, a bone screw or in any other type of bone fixation application.

Abstract: Methods of stabilizing the sacroiliac joint by placing an expandable device in the joint to generate laterally opposing forces against the iliac and sacral surfaces of the SI joint to securely seat the device in a plane generally parallel to the SI joint. The expandable device is coated with or otherwise contains a bone material to promote fusion of the joint. The expandable device used in methods of the present invention can be, for example, an expandable cage, a balloon, a balloon-expandable stent or a self-expanding stent.

Abstract: In one embodiment, the present invention is a method of arthrodeses or osteosyntheses of a first bone part and a second bone part, including the steps of positioning a first fixation zone of an implant in the first bone part and a second fixation zone of the implant in the second bone part, both the first and second zones made of shape-memory material and, prior to positioning the bone parts, are in an inner position; and while the first fixation zone is within the first bone part and the second fixation zone is within the second bone part, fixating the respective first and second fixation zones within the respective bone parts through shape-memory action at body temperature.

Abstract: Implementations of the present disclosure provide a fastener including a tip portion, a proximal portion, an advancement mechanism and an expandable member. The tip portion has a first surface. The proximal portion is configured for coupling to the tip portion and has a second surface. The mechanism advances the first surface toward the second surface. The expandable member includes a first end abutting the first surface of the tip portion and a second end abutting the second surface of the proximal portion. Advancement of the two surfaces toward each other advances the first end of the expandable member toward the second end of the expandable member. The expandable member is configured to expand in response to the advancement. At least one of the ends of the expandable member is a free end extending under and configured to rotate with respect to an abutting one of the first or second surfaces.

Abstract: An improved fastener apparatus includes an outer sleeve which is moved into a patient's body tissue. A distal end portion of the outer sleeve is expanded in the patient's body tissue. An inner sleeve is moved axially through the outer sleeve and a distal end of the inner sleeve is expanded in the patient's body tissue. The fastener apparatus may be provided with an external thread convolution on either or both of the inner and outer sleeves. During expansion of the distal end portion of either the inner or outer sleeve, a proximal end portion of the outer sleeve may be gripped and pulled to offset forces applied to the distal end portion of one of the sleeves. Although inner and outer sleeves may advantageously be utilized, the fastener apparatus may be constructed with only a single sleeve or three or more sleeves if desired. A secondary fastener assembly may be moved through a main fastener assembly.

Abstract: A bone screw includes a head portion and shank portion. The shank portion includes a regularly outwardly expanding threaded portion.

Abstract: A surgical device for treating the pathology of flat feet, the device comprising an outer casing; and an expansion member suitable for moving inside said outer casing in a compression direction, for causing said outer casing to expand radially; the surgical device being provided with non-return check means shaped to allow the expansion member to move in the compression direction towards an operating position inside the outer casing and to oppose movement of the expansion member in the reverse direction once said operating position is reached, so as to prevent the expansion member from being expelled.

Abstract: Methods and apparatus for immobilizing a synovial joint, such as a sacroiliac (SI) joint are disclosed. In one form, a multipiece fixation device, such as a dowel, includes multiple expandable fasteners that are configured to fix adjacent bones of a synovial joint with respect to one another. The expandable fasteners include expansion portions that are expanded radially via insertion of another expandable fastener or an expansion device to fix the expandable fasteners to the bone. The fixation device may be configured to provide for compression or distraction of the bones of the synovial joint while at the same time stabilizing the joint.

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: 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: An innovative bone anchor and methods for securing connective tissue, such as tendons, to bone are disclosed which permit a suture attachment which lies entirely beneath the cortical bone surface, and wherein the suturing material between the connective tissue and the bone anchor is oriented in a direction generally transverse to the longitudinal axis of the bone anchor, so that axial pull-out forces exerted on the bone anchor are minimized. The suture attachment to the bone anchor involves the looping of a substantial length of suturing material around a shaft of the anchor, thereby avoiding an eyelet connection which requires a knot and which concentrates stress on a very small portion of the suturing material. Thus, failure rates are greatly decreased over conventional techniques, and the inventive procedures are significantly easier to perform than conventional techniques.

Abstract: A method and apparatus for reattaching soft tissue to a selected boney structure using a rivet. Generally, a rivet having first portion and a second portion is provided to fully secure a soft tissue in the boney structure. The first portion of the rivet retains the soft tissue via a suture which is threaded through the first portion. The second portion of the rivet has at least one expanding member which engages the boney structure upon contact with the first portion of the rivet. Thus, the soft tissue is fully secured to the boney structure, ensuring proper healing.

Abstract: A reamer for reaming a portion of a long bone cavity for use in implanting a joint prosthesis. The reamer is used in cooperation with a portion of an orthopaedic implant component and includes an expandable body that is adapted to adjust between a plurality of diameters. A plurality of cutting edges are also included and extend outwardly from the body, the edges adapted for cooperation with bone, and the cutting edges expanding as the expandable body expands.

Abstract: A bone screw includes a head portion and shank portion. The shank portion includes a regularly outwardly expanding threaded portion.

Abstract: A biocompatible expansion bolt includes a central screw and an expansion shell positioned about the central screw. The expansion shell is shaped and dimensioned for controlled expansion between a first diameter and a larger, second diameter, wherein die expansion shell is composed of porous material allowing for tissue in-growth.

Abstract: An improved fastener apparatus includes an outer sleeve which is moved into a patient's body tissue. A distal end portion of the outer sleeve is expanded in the patient's body tissue. An inner sleeve is moved axially through the outer sleeve and a distal end of the inner sleeve is expanded in the patient's body tissue. The fastener apparatus may be provided with an external thread convolution on either or both of the inner and outer sleeves. During expansion of the distal end portion of either the inner or outer sleeve, a proximal end portion of the outer sleeve may be gripped and pulled to offset forces applied to the distal end portion of one of the sleeves. Although inner and outer sleeves may advantageously be utilized, the fastener apparatus may be constructed with only a single sleeve if desired.

Abstract: A system and method to assist in securing a soft tissue replacement in a bone tunnel includes an expandable member having an opening and an expandable portion. A delivery structure includes a connection portion selectively coupled to the opening of the expandable member. The delivery structure is adapted to inject a flowable medium into the expandable member thereby expanding the expandable portion and urging the soft tissue replacement into a bone surface defining the bone tunnel.

Abstract: The present disclosure relates to a shape memory polymer material containing at least one two dimensional region having a first amount of stored stress in a first direction and a second amount of stored stress higher than the first amount of stored stress in a second direction, wherein the two dimensional region is capable of changing shape in only one of the first or second directions.

Abstract: A method for attaching soft tissue to bone. The method includes forming a bore in a bone, placing the soft tissue adjacent to the bone and above the bore, at least partially inserting a fixation device into the bore, and delivering biologic material through the soft tissue at an interface area between the soft tissue and 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: Described herein are bone implant having bifurcated struts for distracting and supporting bone, as well as systems and methods for treating bone using them. These self-expanding implants for repairing bone may include two or more bifurcated struts that extend from a central body or shaft in the deployed configuration. The stabilization device may be attached to an inserter. An inserter may be used to hold the stabilization device in a collapsed delivery configuration so that it can be inserted into bone.

Abstract: A fixing element, in particular a peg, for fixing bone fragments, ligaments or the like, has at least two outer sub-elements which divide the fixing element in the longitudinal direction with respect to a separating surface between the at least two outer sub-elements. The at least two outer sub-elements are of such a configuration and are so arranged relative to each other that the fixing element is adapted to be transferred from a compact condition into a laterally or radially expanded condition. The fixing element is of a dovetail-like configuration at its proximal end for coupling to an instrument for holding and introducing the fixing element.

Abstract: This document discusses, among other things, fiducial marker devices, tools, and methods. One example illustrates a combined computed tomography (CT) imagable fiducial locator head, an integral bone screw, and an integral divot for receiving a positioning wand of an image-guided surgical (IGS) workstation. A further example includes a fluid/gel-absorbing coating or cover into which a magnetic resonance (MR) imagable fluid is introduced, thereby permitting both CT and MR imaging. Protective caps and collars may be used to protect the fiducial marker from mechanical impact and/or to guide the fiducial marker during affixation. A bull's-eye or other template is used to select a center of a substantially spherical fiducial marker head on an image, such as for use during patient registration.

Abstract: A method and apparatus for reattaching soft tissue to a selected boney structure using a rivet. Generally, a rivet having first portion and a second portion is provided to fully secure a soft tissue in the boney structure. The first portion of the rivet retains the soft tissue via a suture which is threaded through the first portion. The second portion of the rivet has at least one expanding member which engages the boney structure upon contact with the first portion of the rivet. Thus, the soft tissue is fully secured to the boney structure, ensuring proper healing.

Abstract: A bone plate for use in anterior lumbar spinal fixation has interlocking components to prevent dislodgement of the plate due to anatomical forces. The exposed surface of the plate is smooth to prevent trauma to internal body tissue. The plate spans the intervertebral space with each end attached to an adjacent vertebrae by locking screws threadably engaged with tubular bone anchors. The bone anchors are threaded into the vertebrae and have a reduced diameter leading end which the locking screws expand to lock the anchor in the vertebrae and secure the end of the locking screw in the anchor. The plate has a countersunk cavity including portions overlapping the locking screws. A locking cap fits in the cavity to secure the other end of the locking screws from backing-out of the plate.

Abstract: Described herein are devices and systems for transdiscal fusion of vertebrae and methods for fusing adjacent vertebra. A system may include a device with two anchorable members connectable by an intervening connector forming a continuous passageway therethrough. An anchorable member may have a constrained non-anchoring configuration and a released anchoring configuration. The anchoring configuration typically includes a radially-expanded structure such as a plurality of struts. After positioning the anchorable members into two adjacent vertebral bodies, the anchorable members may be released from their constrained configuration so that they radially self-expand, anchoring the device across the fracture. A flowable bone-filling material may be conveyed into the passageway of the device after implantation, stabilizing it further in the vertebral implantation site.

Abstract: The soft tissue anchor devices, systems and methods described herein may aid in the attachment of ligaments, muscles, tendons, and other soft tissues to bone. These soft tissue anchor devices typically include a self-expanding bone anchor region including an elongate shaft that may be positioned within bone and expanded to anchor to the bone, and one or more soft tissue attachment regions adapted to attach soft tissue thereto.