Abstract: An adjustable fixation clamp having first and second clamp assemblies positioned about a shaft. The clamp assemblies may each have a pair of vise plates. Each pair of vise plates may define at least two receiving portions and insertion portions intersecting the receiving portions. The receiving portions of one clamp assembly may receive at least two fixation components such as screws, pins or wires. The receiving portions of the other clamp assembly may receive at least one connector such as a rod, bar and/or ring. A biasing structure may be positioned between the first and second clamp assemblies and may allow for the fixation components to be snapped into the receiving portions through the insertion portions. Two or more adjustable fixation clamps may be used to form an external fixation system. At least two screws, pins or wires may be inserted into bone and one of the clamp assemblies may be attached thereto. A guide may be used for insertion of screws, pins or wires into bone.

Abstract: A two-piece clamping element comprises two separate, i.e., non-integral, opposing first and second clamping jaws forming a laterally open cavity to receive a pin or rod-shaped element. Each clamping jaw has a bore aligned with one another to receive a screw, wherein a pivot bearing is arranged opposite said cavity allowing the two opposing clamping jaws to come in contact to one another. The pivot bearing comprises at least one set of complementary part-cylindrical bearing surface portions. An anti-rotation pin extends between the two jaw members.

Abstract: An external fixation component includes a capture member defining opposing grooves on opposite lateral sides of the capture member for capture of an element of an orthopedic fixation system. The capture member includes a base and a head coupled to the base to define a component axis that extends through the base and through the head. The base and the head are coupled for relative lateral translation in opposing directions such that the element can be captured by the capture member in either of the opposing grooves.

Abstract: A screw nail correcting apparatus used for treating ingrown nails seen in human feet and/or hands adapts to different nail widths and to the changes that may occur in time on the same nail and practically enables pulling of the nail with an amount of force complying with the requirement. The fact that the apparatus is not a single piece and that it can be mounted separately from both sides of the nail provides ease of use, and the screw mobile part in the middle thereof helps to adjust the tautness according to the requirement of the nail at the concerned moment.

Abstract: An orthopedic brace having length adjustable supports is provided. The brace comprises upper and lower supports rotatably connected by a hinge. Each of the supports comprises an elongate portion having a channel along part of its length, and a sliding upright nesting within the channel. The upright is longitudinally translatable within the channel so that the support length is adjustable. Flanges are provided along edges of the channel to prevent lateral separation of the upright from the channel. A spring-biased button protrudes from a surface of the channel. The button cooperates with one of a plurality of holes in the upright, providing a positive lock to retain the upright in one of a number of predetermined positions. The upright is also completely removable from the channel. Removal of the upright shortens the brace. Straps cooperate with brackets on the supports and/or uprights to secure the brace to a patient's leg.

Abstract: An external fixation device for the setting and corrective treatment of bone fractures is disclosed. The device comprises a splint member having a first and a second axially slidable and mutually fastenable base portions for adjusting the length of the splint member and a plurality of bone pins. Each of the base portions of the splint member includes mountings for the bone pins to traverse the site of the bone fracture in a multi-angle and multi-planar pin configuration, so as to permit direct fixation of the fracture and provide a significant degree of stability.

Abstract: The present invention includes a system, kit and apparatus to aid in the realignment of one or more bones of a patient. The present invention provides a substantially rigid orthopedic stabilization scaffold for attachment of one or more external fixators for the realignment of one or more bones of a patient. The orthopedic stabilization scaffold includes a first anchorable frame and a second anchorable frame that are removably attachable to an operating table and connected adjustably by one or more crossbars.

Abstract: A system for fixing a wire to a surface of an external fixator having a wire adapted to extend through bony structure fastened with respect to the surface. A bolt having a shaft which comprises a threaded section, a head section and at least one clamping element is provided wherein the bolt is adapted to extend through an opening in the external fixation element with a nut, and clamps the wire to the surface. A counter torque tool is used to provide a counter torque while fastening the wire with the bolt and the nut. The bolt comprises a counter torque opening and wherein the counter torque tool comprises a section which is adapted to engage into the counter torque opening of the bolt to apply the counter torque.

Abstract: A method is for connecting an outrigger to a clamp in an external fixation system. A moveable member and a slide lock are couplied to an elongated member of the outrigger. The elongated member has a length, a distal end, a proximal end and a threaded portion on the distal end. The threaded portion has a keyed portion. The moveable member is moveable along the elongated member. The slide lock has a keyed portion and an engagement surface. The distal end of the elongated member is coupled to an opening of the clamp such that the engagement surface of the slide lock engages a portion of the clamp. The keyed portion of the threaded portion and the keyed portion of the slide lock are operably associated with each other to permit longitudinal movement of the slide lock along the length of the elongated member while preventing rotation. The engagement surface of the slide lock has a non-smooth texture and faces in a direction that is away from the moveable member.

Abstract: A fixation clamp for use in an external fixation clamp has a clamping assembly having a reception to accommodate a fixation element. The clamp has a locking element extending through the clamping assembly for blocking the position in a defined angular position. A washer is arranged between the locking element and a central opening of the clamping assembly having a cutout extending radially from the through opening such that the washer is mountable and demountable in a radial direction to a locking element longitudinal axis. The cutout has a smaller distance between its sidewalls then the diameter of the through opening. The locking element has circular cross-section below its head portion adapted to fit through the through opening of the washer but larger than the opening of the cutout and has at least one pair of parallel beveled surfaces spaced closer than the distance between sidewalls of the washer cutout.

Abstract: A method of positioning an external adjustment device relative to a patient includes placing a magnetic viewing sheet adjacent to a patient and identifying the location of an implanted magnetic assembly using the magnetic viewing sheet by visualizing a magnetic image of the implanted magnetic assembly in the magnetic viewing sheet. The external adjustment device is placed on the patient adjacent to the location where the magnetic image was located.

Abstract: An insert (70) for a clamping element with two jaws to clamp a rod-shaped element comprises an inner cavity (144) to accommodate a rod-shaped element and at least one flange element (153) at one longitudinal end of the insert intended to abut against the clamping element. The flange element (153) comprises clamping members (161) to reduce the available room within the inner cavity (144) for the rod-shaped element to be clamped and to clamp the flange element (153) between the rod-shaped element and an outer clamping surface of the clamping element to prohibit any longitudinal movement of the clamped insert.

Abstract: The present disclosure provides an external fixation strut for an external fixation device having a ball joints that can be attached to the outer or inner surface of the ring and locked to increase overall stability of the external fixation device. Some embodiments of the fixation strut include a first ball joint coupled to a first end portion of a strut housing, the strut housing having an axial bore defined therethrough. A second ball joint is coupled to a second end portion of a threaded elongated member. The threaded elongated member is threadably coupled to an adjustment mechanism, which is rotatably coupled to an upper end portion of an adjustment sleeve. The adjustment sleeve is slidably disposed in the axial bore of the strut housing, and is used to effect coarse strut length adjustments. Gradual strut adjustments are effected by translating the elongated member.

Abstract: A method for determining the proper configuration of a fixator or other medical device to correct a given deformity by solving the simultaneous equations representing the kinematic chain for the device. One skilled in the art would appreciate that x-rays, clinical evaluations, or a combination of both may be used to determine the distal and proximal mounting characteristics, including the use of digital x-rays with images from an imaging device to reduce or eliminate the needs for a physician to take measurements. The technique can be expanded to other medical evaluations. Additionally, one skilled in the art would appreciate that the method of the present invention could be written as one or more sets of instructions stored on a computer-readable medium that could be executed by a computer.

Abstract: An external fixation device for holding bone fragments in place includes a housing having a number of rotationally adjustable pin holders, each of which is held by a clamping member that simultaneously clamps the pin holder within an internal mounting surface of the housing and a bone pin within the pin holder. A first embodiment includes a number of pin mounting structures, each of which can include a single pin holder. A second embodiment includes one or two pin mounting structures, each of which holds a row of pin holders that is clamped in place by a single clamping member. Other embodiments are formed by fastening together a group of elements to form different housing configurations.

Abstract: A system for tracking the position of an instrument relative to an area of interest. The system includes an instrument and an instrument guide mounted to the instrument. The instrument guide carries a first localizer proximate the instrument. The first localizer is movable relative to the instrument. The system also includes a fixator configured to be attached to the area of interest. The fixator carries a second localizer proximate the area of interest. The second localizer is movable relative to the area of interest. The first and second localizers are movable in order that the first and second localizers are in communication such that the position of one of the first and second localizers is known relative to the position of the other of the first and second localizers.

Abstract: An apparatus and method for fixing a patient's jaw by using arcuate arch bars which are fastened to both the upper and lower teeth using a plurality of zip ties. The arch bars are provided with bores and zip ties are passed through these bores and fastened to the patient's teeth. Each arch bar is provided with interarch receptacles which receive and engage a zip tie. The receptacles are rotatable and are generally aligned between the upper and lower arch bars. Additional zip ties with opposed teeth are passed through the upper and lower pairs of arch bar receptacles and tightened to fix the lower jar to the upper jaw.

Abstract: The present invention relates to a percutaneous patellar osteosynthesis system applicable to any type of fracture of the knee cap, formed by two arms that contain two multidirectional movable securing devices for fitting to any type of knee cap, in which the arms close in a parallel manner by means of a scissors closure mechanism in order to keep the fragments confined and secured by means of a “zipper” based on manual compression. The devices for securing the knee cap have antero-posterior, up/down and also lateral mobility in order to mobilize the fractured fragments and to achieve a reduction and a satisfactory knee cap joint congruence. The arms have slidable guides for placing the implant in any required direction in order to keep the fragments stable, the guides slide on the arms and the parallelism sought in this type of fixing is achieved without having to be based on manual calculation, the latter customarily being used in broad tissue dissection.

Abstract: An outrigger for connecting to an external bone fixation clamp comprises an elongated member having a length, a proximal end and a distal end, the distal end having a threaded portion. The outrigger also comprises a connecting member operably associated with the elongated member, the connecting member having a tightening portion at a proximal end and a gripping portion at a distal end, the gripping portion having a greater diameter than the tightening portion. The outrigger also comprises a slide lock disposed about the threaded portion, the slide lock being longitudinally movable along the length of the threaded portion and having a non-smooth engagement surface configured to engage a non-smooth surface of the external bone fixation clamp in order to prevent rotation of the elongated member relative to the external bone fixation clamp.

Abstract: An elevator assembly includes a vertical shaft carrying a lower horizontal jaw held in fixed position relative to the shaft. The shaft carries an horizontally extending dorsal plate that can adjust vertically relative to the lower jaw by means of the vertical shaft. A targeting wing couples to the elevator shaft and is selectively adjustable up and down along the shaft by means of an elevator adjustment screw. The targeting wing includes at least one horizontal slot that is adapted to slideably receive a soft tissue protector and needle assembly. The soft tissue protector can lock in the slot of the targeting wing by rotating its oval body about 90-degrees clockwise.

Abstract: Apparatuses and methods for externally fixing and precisely adjusting fractures, such as fractures near the ankle, are disclosed. In one embodiment, an external fixation apparatus includes a first member attachable to a first bone segment through pins, a second member coupled to the first member through a lockable ball joint, wherein first and second ends of the second member may be translated transversely relative to a longitudinal axis of the second member, and a pin clamp coupled to and rotatable about the second member through a lockable joint and attachable to a second bone segment. The pin clamp and the second member may be releasably coupled.

Abstract: A method of positioning an external adjustment device relative to a patient includes placing a magnetic viewing sheet adjacent to a patient and identifying the location of an implanted magnetic assembly using the magnetic viewing sheet by visualizing a magnetic image of the implanted magnetic assembly in the magnetic viewing sheet. The external adjustment device is placed on the patient adjacent to the location where the magnetic image was located.

Abstract: An external fixation device for holding bone fragments in place includes a housing having a number of rotationally adjustable pin holders, each of which is held by a clamping member that simultaneously clamps the pin holder within an internal mounting surface of the housing and a bone pin within the pin holder. A first embodiment includes a number of internal mounting surfaces, each of which can include a single pin holder. A second embodiment includes one or two internal mounting surfaces, each of which holds a row of pin holders that is clamped in place by a single clamping member.

Abstract: The present invention relates to a device for fixation of a bone fracture. The device comprises at least one appliance (1) for placing close to the bone fracture, and fixing elements in the form of pins (2) which are intended to be locked to the appliance (i) in order to fix the bone fracture (3).

Abstract: A tool for implementing a correction plan in an external fixation frame having a plurality of adjustment elements or screws, for example, generally includes a driver, a motor, a controller, and a processor. The driver is adapted to engage and rotate each of the screws. The motor is coupled the driver and adapted to rotate the driver. The controller is connected to the motor and configured to control operation of the motor. The a processor adapted configured to: receive correction plan data; receive identification data including information for identifying at least one of the plurality of screws; determine movement of at least one of the plurality of the screws based on the correction plan data and the identification data; and send signals indicative of the determined movement to the controller in order to rotate at least one of the plurality of screws according to a predetermined correction plan.

Abstract: External fixation devices and methods of use are provided. A device for external fixation of a joint includes a first pin block for connection to a first skeletal element and a second pin block for connection to a second skeletal element. The device includes a connection assembly that is releasably attached to at least one of the pin blocks. The device is locked in an original position when the connection assembly is attached to both of the pin blocks, and is unlocked when the connection assembly is detached from at least one of the pin blocks.

Abstract: A telescopically adjustable strut for use with orthopedic external fixators has a first end and a second end and includes a universal-hinged connector provided at each of the first and second ends for connecting the strut to orthopedic external fixator base members. The universal-hinged connector is configured and adapted for pivoting the strut relative to the base members and to lock the universal-hinged connector at a desired angle.

Abstract: A polymeric external fixator element, such as a rod or a pin or a clamp, has at least one contacting surface. At least one of the contacting surfaces of the element responsible to establish connection between the element and a different external fixator element is provided with a rough ablated structure. The clamping can be improved if one of the polymeric elements comprise fibers having fiber parts protruding above the surface.

Abstract: An external fixator implant screw with an intercalated head, of which one embodiment for lag screw mode has a spherical head, and a partial thread. The spherical head in countersunk bone exerts concentric wide contact on insertion at various angles to surface. Optional canalization of central rod allows guide wire technique and optional mobility of head allows variable shaft length between head and thread. Another embodiment for use in basic implant mode, in a single bone fragment, at right angles to bone surface, has a conical head with limited basal contact on bone, the head being integrated to a solid rod and is fully threaded from head to leading tip. In both embodiments, the load transmission is renewable from outside in case of loosening, without reopening any wound. The implant is made of biocompatible material.

Abstract: An orthopedic external fixation system may include a distal bar having a curvature that varies along its length, an uncurved proximal bar, a plurality of proximal embedding members, and a plurality of distal embedding members. The proximal and the distal embedding members, sized and shaped for embedding in bone, may attach directly or indirectly to the proximal bar and the distal bar, respectively.

Abstract: An alignment plate having a viewing window and three adjustable strut members enables a surgeon to better place external fixation pins and an external fixation ring system relative to a desired anatomical feature of the lower extremity.

Abstract: An external fixation device for the setting and corrective treatment of bone fractures is disclosed. The device comprises a splint member having a first and a second axially slidable and mutually fastenable base portions for adjusting the length of the splint member and a plurality of bone pins. Each of the base portions of the splint member includes mountings for the bone pins to traverse the site of the bone fracture in a multi-angle and multi-planar pin configuration, so as to permit direct fixation of the fracture and provide a significant degree of stability.

Abstract: An external fixator assembly structured for placement and use substantially adjacent the ankle area of the body and including a support assembly comprising at least one base segment and one or two contoured segments disposed substantially on opposite sides of the ankle area. Each of the contoured segments includes a contoured portion having a either different or substantially equivalent angular and/or convergent configurations disposed along a length or height of the ankle area. At least one transfixion member may be connected along the length of the contoured portion(s) as well as a remainder of the contoured segment(s) so as to extend transversely inward there from into operative engagement with tissue associated with the ankle area patient's body.

Abstract: Systems, device and methods are described for maintaining concentric reduction of the proximal interphalangeal (PIP) joint of a finger with few as two orthopedic pins, one inserted through the head of the proximal phalanx concentric with the axis of rotation of the joint (i.e., a transverse pin), and the other through the middle phalanx at a location between the PIP and distal interphalangeal (DIP) joint (a dorsal pin), and applying a force between the two pins. A surgical kit is described which may include such components as a dorsal pin, a transverse pin, a pin placement guide for use in reducing the joint fracture dislocation and then drilling holes for the pins or for inserting self-drilling pins, and a fixation device for coupling and applying a force between the dorsal and transverse pins. The components of the surgical kit are described, including various configurations of the fixation device.

Abstract: An external orthopaedic fixator for elbow joints comprising: proximal anchoring means intended to be integrally associated to a proximal bone of a patient's upper limb; distal anchoring means intended to be integrally associated to a distal bone of a patient's upper limb; an articulator hinging together said proximal and distal anchoring means along a hinging axis, intended to be positioned in correspondence with an elbow joint connecting said proximal and distal bones; said articulator comprising a radiotransparent centering window intended to frame the elbow joint when positioning the external orthopaedic fixator, said hinging axis passing through said centering window.

Abstract: A clamp applicable to both temporary and definitive orthopaedic external fixation systems comprising a first coupling element having a pair of opposite jaws defining one or more seats to house a first component of the orthopaedic external fixation system. A second coupling element comprises a pair of opposite jaws defining one or more seats to house a second component of the orthopaedic external fixation system. An interconnection pin passes through and connects the first and second coupling elements along an axis of rotation. A fastening means is arranged to bring the clamp from a slack configuration. The first and second coupling elements are relatively rotatable along the axis of rotation to a locked configuration, and are relatively rotatable with each other. These fastening means include manually operable temporary fastening means to temporarily lock the clamp, and definitive fastening means operable with a fastening tool, to definitively lock the clamp.

Abstract: A pair of clamps are attached to a damaged bone one each side of a fracture site during a surgical reduction, one clamp on each side of the fracture site, after which the two clamps are slidably engaged to a single pivotal alignment bar, with the clamps then being adjusted to properly align the bone for a surgical attachment using a bone plate which is secured between the respective bone and each respective clamp, holding the bone in place with the bone in proper alignment for the attachment of screws through the plate into the bone, stabilizing the fracture site during the plate attachment procedure.

Abstract: The present invention relates to a frame for attaching to a patient. The present invention also relates to a stereoguide and a member for attaching to a patient. The present invention also relates to a method for manufacturing the frame, member and stereoguide of the present invention. The frame, member and stereoguide are constructed from a composite material comprising a matrix material and electromagnetically inert fibers.

Abstract: In one preferred embodiment according to the present invention, an external fixation device for the foot and ankle of the human anatomical skeleton includes a yoke, three adjusters, and a base (or foot plate). The foot plate selectively couples to the yoke without the need of any tools, thereby enabling the patient to self attach and remove the foot plate from an existing circular fixation structure.

Abstract: The present invention relates to orthopedic fixation systems, assemblies, devices and related methods for reduction or treatment of a fractured bone of a patient.

Abstract: An external fixation component includes two capture members adapted to capture independently a first and a second element of an external fixation system. A rotation member is provided between the two capture members, coupled to both capture members such that the coupling allows the two capture members to rotate about three axes relative to each other. Each capture member comprises a central locking screw extending therethrough and defining a longitudinal axis of the associated capture member. The rotation member comprises two rotation blockers, each blocker providing one interface surface adapted to be in contact with a complementary interface surface of one of the capture members, each blocker further provides a surface opposite to the interface surface comprising an inner cylindrical surface. The rotation member comprises a central disc element forming a rolling surface as complementary surface to the inner cylindrical surface of the corresponding rotation blocker.

Abstract: An external midface distractor is disclosed for attachment to the bones of a patient's cranium and midface region for performing an osteogenesis procedure to gradually lengthen a portion of the craniofacial skeleton. The midface distractor generally includes an external halo assembly for engaging the patient's cranium, a central adjustment assembly, a vertical central rod, at least one horizontal cross piece assembly including at least one distraction screw, and at least one bone engaging portion which is mounted to the targeted facial bone to be distracted. The midface distractor may also include various individual adjustment mechanisms that provide surgeons greater and more precise control over the distraction vector than is available with current devices. That is, the midface distractor may provide surgeons with additional anterior-posterior and medial-lateral adjustments, thus permitting surgeons to more precisely and accurately control the direction of distraction.

Abstract: Disclosed embodiments relate to a fixation device for use in supporting and/or aligning an injured body part. An exemplary disclosed fixation device uses a pair of thumb wheel control elements to provide controlled rotational micromovements of a joint fracture. The control elements, their associated drive systems, and at least a tension member allow for converting a rotational force to a translational force to be applied to a driven article in one direction. In addition, the fixation device may incorporate a drive system that introduces a simultaneous longitudinal translation of bone pins with rotation, in order to provide for a translated point of origin of rotation between the fixation device and the affected body part supported by the fixation device.

Abstract: Fractured bone treatment methods and fractured bone treatment assemblies are described. According to one aspect, a fractured bone treatment method includes generating an attractive magnetic force proximate to a fracture in a fractured bone and maintaining pieces of the fractured bone in proper anatomical positions with respect to one another using the attractive magnetic force.

Abstract: A clamping device for an external fixation system includes a post component having a yaw axis, a first clamp secured to the post component and rotatable about the yaw axis, and a second clamp secured to the post component and rotatable about the yaw axis relative to the first clamp. The device includes a tightening component configured in a manner that an action of tightening the tightening component simultaneously locks both the first and second clamps in a gripping arrangement and substantially eliminates their relative rotation about the yaw axis. Interdigitating components can be spaced apart by high spring rate biasing elements that so as to allow for smooth adjustment of the clamping device components relative to each other until the appropriate position is achieved and until after a sufficiently high clamping load has been applied.

Abstract: A clamp for an external fixation system includes a body having a bottom portion and semi-spherical top portion. The top portion has a threaded bore provided along a longitudinal axis: The clamp includes a clamp assembly having a base with a semi-spherical cavity and a lid positioned over the base to house at least one pin between the base and the lid. The base and the lid have a bore provided along a longitudinal axis thereof. A fastening member is provided that extends through the bore in the base and the lid of the clamp assembly and is secured within the threaded bore of the top portion of the body. The bores in the base and the lid have a diameter that is greater than the diameter of the fastening member.

Abstract: Methods and apparatus are provided for coupling a spatial frame and a brace using a coupling device having a quick-release mechanism. The spatial frame may be secured to an appendage, and the brace may support the appendage. The coupling device may include a linkage that comprises: a mounting member adapted to be detachably coupled to the brace and to a fixator post adapted to be detachably coupled the spatial frame; a position fixing member adapted to adjustably immobilize the fixator post in a coupled position when the fixator post is coupled to the mounting member; and a quick-release mechanism adapted to detachably couple the mounting member to the brace; wherein the quick-release mechanism is further adapted to be engaged and disengaged repeatedly by hand and without separate tools. Numerous other aspects are provided.

Abstract: A medical apparatus for use with an outrigger and at least one fastening pin to reposition first and second portions of a bone of a mammalian body. The apparatus includes a framework and a first fastening assembly for coupling the framework to the outrigger and thus the at least one fastening pin and the first end portion of the bone. The first end portion of an elongate pin is provided with a sharpened tip for penetrating the second portion of the bone. A second fastening assembly couples the second end portion of the elongate pin to the framework. At least one adjustment assembly is carried by at least one of the framework and the first and second fastening assemblies for moving the first end portion of the elongate pin relative to the outrigger so as to reposition the second portion of the bone relative to the first portion of the bone. A method for using the apparatus is provided.

Abstract: An external fixator includes a main body and an outrigger for extending over a fractured joint, such as a wrist joint. The main body can be positioned next to a right arm, or flipped over and positioned next to a left arm. The outrigger is attachable to extend either to the left or to the right of the main body, as appropriate. A distal body is removeably connectable to the distal end of the main body, and the distal body can be affixed to bone on the opposite side of the fracture to immobilize the joint where the fracture occurs. The distal body is connected to the main body with an adjustable securement section which provides six degrees of adjustment freedom. The outrigger is attached to the main body through a slide plate in a dual rail configuration which provides two dimensions of adjustment. Fragment pin supports ride in a track of the outrigger, and provide seven degrees of adjustment freedom for directed fixation of fragments at the fracture site.

Abstract: An external fixation device for holding bone fragments in place includes a housing having a number of rotationally adjustable pin holders, each of which is held by a clamping member that simultaneously clamps the pin holder within an internal mounting surface of the housing and a bone pin within the pin holder. A first embodiment includes a number of internal mounting surfaces, each of which can include a single pin holder. A second embodiment includes one or two internal mounting surfaces, each of which holds a row of pin holders that is clamped in place by a single clamping member. Other embodiments include such pin holders arranged with elements including an array of pin holding positions for fixing fragments at a fractured end of a bone, such as a fractured distal radius.