Abstract: A fracture treatment system can include a pair of implants cross-pinned into the medullary canal of a bone, guided by at least one guide wire with at least two diameters. The system allows for more accurate sizing of the length of implants needed to achieve bicortical purchase for enhanced stability, as well as anti-rotation of the fracture site. The more accurate sizing and placement of the cross-pinned implants additionally allow both ends of the implants to recess beneath or be flush with the outer surface of the bone, which can reduce the risk of infection. The guide wire can allow the implants to be inserted using a cannulated technique for easier surgical procedure and better outcome, with the implants having sufficient wall thickness for the desired length to achieve bicortical purchase while keeping the shaft outer diameter of the implant to be similar to a diameter of the guide wire.

Abstract: An orthopedic instrument for insertion of an orthopedic device into an intramedullary canal of a bone is disclosed. The orthopedic instrument can include an elongate post and a stud. The post can have a longitudinal axis and can extend along the longitudinal axis between a first end portion and a second end portion. The stud can be connected to the post along a portion of a longitudinal length thereof comprising a first end part, A second part of the stud can be free to elastically deflect laterally with respect to the longitudinal axis when subjected to a bending load and return to a first position when unloaded.

Abstract: An intraosseous screw for deposit into a bone structure and retaining a soft tissue therein. The intraosseous screw includes a body and a retention member. The body defines an axial cavity in which soft tissue can be deposited and a window that permits the soft tissue to contact the bone structure in which the intraosseous screw is deposited. The retention member is positioned within the axial cavity and at least partially defines an opening through which a suture connected to soft tissue can pass to facilitate anchoring of the soft tissue within the axial cavity. The intraosseous screw can be combined with a passing suture, driver, and/or peg to provide a system for associating soft tissue with a bone structure. The intraosseous screw can be utilized in a method in which soft tissue is deposited into a bone structure after the interosseous screw is fully deposited in the bone structure.

Abstract: A method of repairing plantar plate tears of an individual through augmentation that includes cutting an incision above a damaged area of a plantar plate on an individual, spreading the tissue with a plantar plate joint distractor, inserting a drill insertion member into the plantar drill guide and at a drilling angle over tissue at or near the damaged area of the plantar plate, drilling, with a drill bit and at the drilling angle, into the tissue at or near the damaged area of the plantar plate, attaching a K-wire to a graft, pulling, with the K-wire, the graft across a damaged area of the plantar plate augmenting the damaged area of the plantar plate, and manipulating an interference-type screw through the plantar plate and either or both the K-wire and the graft to engage and compress the graft for fixation.

Abstract: Disclosed herein are an implant with an attachment feature and a method for attaching to the same. The implant may include a cavity with a porous layer disposed within a non-porous layer wherein the non-porous layer defines a chamber. The chamber may receive and confine liquefiable material and direct liquefiable material to permeate through the porous layer. A method of attaching a device to the implant may include liquefying a liquefiable portion of the device and allowing the liquefied material to interdigitate with the second layer and then solidify to prevent pullout.

Abstract: Described herein are retrograde femoral nails and insertion systems suitable for stabilizing femoral fractures of the shaft and femur. After reaming the femoral canal, the intramedullary nail may be inserted with a retrograde approach through the knee. The nail includes four-start threaded holes in the distal region. The nail also includes oblique distal holes with a trajectory that targets the bone in the posterior condyles. The insertion instrumentation assembly and system includes an insertion handle with a retaining thread that prevents the connection bolt from falling out. An assembly shaft is also included, which assists the user in connecting the nail to the insertion handle. The system further includes an aiming guide with a retention mechanism that holds driver sleeves in place. The aiming guide also contains a hole to position a locking washer holder to interface with the nail.

Abstract: An intramedullary bone fixation device that includes a shaft with a flexible region. The flexible region may be configured to flex from a first shape to a second shape as the shaft moves along a curved medullary canal. For example, the bone fixation device may include a distal bone screw that is configured to move along the curved medullary canal of first and second segments of a fractured bone (e.g., two segments of a broken rib) and fasten to the segment bone segment. The bone fixation device may include a locking member (e.g., a proximal bone screw) that is configured to lock the shaft to the first bone segment. For example, the shaft may be fixed to the distal bone screw and ratchetably coupled to the shaft such that the first and second bone segments can be compressed together by urging together the distal bone screw and the locking member.

Abstract: The disclosure relates to medical devices and methods of manufacturing medical devices. An intramedullary rod includes a head member, a shaft member partially disposed within a distal recess of the head member, and an outer body member disposed circumferentially around the shaft member and a portion of the head member. Medical device systems and methods of manufacturing medical devices are also described.

Abstract: An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.

Abstract: A vertebral implant device is described comprising a wedge, a plate having an external surface configuration and one or more plate tine, a staple having one or more staple tine and a coupling device. The coupling devices is configured to couple the wedge, the plate and the staple whereby when the vertebral implant is secured in a vertebral body, the external surface configuration of the plate alters the relative orientation of a superior endplate surface plane and an inferior endplate surface plane of the vertebral body and alters the alignment of the spine. In some embodiments, plate tines and staple tine are configured to frictionally engage the vertebral body. In some embodiments, the coupling device is a screw and a nut. In some embodiments, interchangeable wedges are used to provide multiple implant device configurations.

Abstract: The bone screw with internal extendable is a bone screw with an internal, extendable tang. The tang—part of a tang system—is concealed within the body of the screw until after placement. After the screw is threaded into the bone, the internal tang system is pushed out of the bone screw body, forcing one or more tangs to extend out of the body and into the bone. A driver allows the user to control the different steps of insertion, including converting rotational motion of a knob into linear motion of a rod, the rod moving through the screw body to force the tang to exit the bone screw body. The one or more tangs preferably exit the bone screw body at a tang exit portal formed by one or more tang exit guide surfaces.

Abstract: Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail. In some embodiments, the proximal opening may contain one or more relief cuts.

Abstract: The present invention relates to an improved orthopaedic device for athrodesis, in particular for the arthrodesis or fusion of a joint, for example an ankle joint, of the type comprising of a nail having head and tip ends opposed to each other; at least a first portion of the nail having an axis of symmetry; a single circular first transverse hole made in the first portion near the head of the nail and extended according to its own axis perpendicularly to the axis of symmetry; a slotted second transverse hole still made in the first portion of the nail and extended perpendicular to both the first axis of symmetry; and to the axis of the first transverse hole; and the slotted second transverse hole being made at a greater distance with respect to the head of the nail than the distance from the head of the first transverse hole.

Abstract: Medical devices are provided, comprising a medical device and a sensor.

Abstract: An arthrodesis nail and nail adapter system having multiple coupling positions includes a bent arthrodesis nail and a nail adapter. The nail has multiple evenly spaced notches. The nail adapter has multiple evenly spaced protrusions corresponding to the notches. An arthrodesis nail adapter and target arm system having multiple coupling positions includes a nail adapter and a target arm. The nail adapter has a predetermined coupling orientation with a bent arthrodesis nail. The target arm has multiple coupling positions with the nail adapter. The arthrodesis nail and nail adapter system allows rotation of the bent nail for reduction of ankle deformity.

Abstract: Intramedullary systems, expandable intramedullary nails, expandable anchors, and methods of using the same. The intramedullary system may include an expandable intramedullary nail configured to extend into an intramedullary canal of a long bone and/or one or more expandable anchors configured to extend at an angle transverse to the intramedullary nail. The intramedullary nails and/or anchors may include one or more integrated expansion mechanisms that allow for insertion in a contracted configuration and expansion into a deployed configuration to lock the relative position and prevent axial rotation and translation of the system.

Abstract: The invention relates to an intramedullary nail for the application of a pharmaceutical fluid, comprising a fluid-conducting first conduit means, which runs axially in the intramedullary nail and which can be connected to a first reservoir for the pharmaceutical fluid, and at least one lead-through, which connects the first conduit means in a fluid-conducting manner to an outer surface of the intramedullary nail. The invention furthermore relates to a method for the treatment of bone fractures and for the application of a pharmaceutical fluid into the area of a bone canal by means of an intramedullary nail.

Abstract: The invention relates to the intramedullar nail fixation (13) of the femoral bone that is used in the field of orthopedics and traumatology, in particular, in the pediatric orthopedics field; Its features include the follows; Removal of many negativities in the treatments of femoral proximal area fractures seen in the child age group, young and old bone rotation surgeries, malunion, nonunion and deformities, and in order to make positive contribution to the healing processes of patients, the proximal femoral de-rotation nail (13), by which location can be fixed by turning in an angular way, and by which the operator can perform rotation as much as necessary by fixing rotation angle, and which is formed with the proximal component (1) and the distal component (2), which can perform rotational movement on each other and can fix its location, was developed.

Abstract: An implantable bone elongation device including an inner rod defining an internal cavity housing a rotational actuator having an output shaft connected to a lead screw disposed at the end of the inner rod and in threaded engagement with a threaded inner surface of an outer rod. Rotation of the lead screw converts rotation motion into linear motion resulting in telescopic movement of the outer rod relative to the inner rod. Rotational motion is converted into linear motion by components disposed in a parallel configuration thereby minimizing the overall length of the bone elongating device while maintaining a maximum stroke length. In various embodiments, additional components, such as electronic circuit boards, electrical power supply or battery power source, may be housed within the internal cavity formed by the inner rod.

Abstract: A femoral nail includes a proximal section, a distal section remote from the proximal section, and an intermediate section disposed between the proximal section and distal section and having first and second curved portions. The first curved portion is positioned closer to the proximal section than the second curved portion. The second curved portion is curved in a first plane, and the first curved portion is curved in the first plane and a second and third plane.

Abstract: Disclosed is a fixing bone plate, which comprises a plate body. The plate body is provided with a plate main part and a locking portion passing through the plate body. The plate main part is connected to the locking portion at the corresponding two ends of the plate body. The fixing bone plate also comprises an attachment portion. The attachment portion is provided with a bone attachment surface. The attachment portion is disposed on the other side of the locking portion. The plate body can be manufactured by using a metal laser additive manufacturing technique or a 3D metal printing technique. The fixing bone plate can be accurately positioned and stably combined with a human bone according to morphological characteristics of bones.

Abstract: According to an aspect, a spacing element for spacing a fixation plate away from a bone to which the fixation plate is secured is provided. The spacing element has a body with a bone interface side and a plate interface side and sidewalls extending thereinbetween, said bone interface side having a bone contacting surface having contours conforming to surface contours of the bone. A corresponding fixation plate, fixation plate kit, and method for designing a patient-specific spacing element are also provided.

Abstract: An orthopaedic surgical instrument for use in resecting a patient's bone is disclosed. In some embodiments, the instrument may be for single patient use and may be disposed of at the end of each surgical procedure.

Abstract: Assemblies of one or more implant structures make possible the achievement of diverse interventions involving the fusion and/or stabilization of the SI-joint and/or lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. The representative lumbar spine interventions, which can be performed on adults or children, include, but are not limited to, SI-joint fusion or fixation; lumbar interbody fusion; translaminar lumbar fusion; lumbar facet fusion; trans-iliac lumbar fusion; and the stabilization of a spondylolisthesis.

Abstract: A component of an artificial joint according to an exemplary aspect of the present disclosure includes, inter alia, a hollow tube including bone ingrowth material. Further, the hollow tube is selectively expandable. The bone ingrowth material allows the component to become biologically fixed to adjacent bone. Further, expansion of the hollow tube increases friction between the hollow tube and the adjacent bone, which increases stability.

Abstract: A system and method for loading a suture construct on a soft tissue graft with a graft assembly. The graft assembly includes a frame with an opening extending between a proximal end and a distal end. The frame has a wall with a first side extending to a first edge and a second side extending to a second edge. A lumen extends between the first side and the second side and a plurality of channels extend through the wall between the first edge and the second edge. The graft assembly also includes a transverse hole extending through the proximal end of the frame and a pin removably inserted into the transverse hole.

Abstract: Innovative orthopedic implant assemblies, devices, and methods are provided. One example assembly includes two implant devices. An example implant device includes two ends oppositely located with a bulbous portion located at one end and a screw portion located at the opposite end. An example second implant device includes two ends oppositely located with a looped portion defining an aperture located at one end and a nail portion located at the opposite end. The nail portion can include a tip and a smooth or substantially smooth portion. The second implant device can be implanted into a bone by striking the looped portion to facilitate the tip and at least part of the nail portion penetrating the bone.

Abstract: An intramedullary nail assembly includes a body and an inlay. The body has an outer surface and an opposing inner surface. The outer surface extends from a leading end of the body to a trailing end of the body. The inner surface defines a cannulation that extends into the trailing end towards the leading end. The body comprises a leading body portion that defines the leading end, and a trailing body portion that defines the trailing end. The inlay is positionable within the cannulation of at least one of the leading body portion and the trailing body portion. The inlay includes an engagement member configured to engage the body to removably lock the inlay within the cannulation of the body.

Abstract: Innovative orthopedic implant assemblies and devices are provided. One example assembly includes two implant devices. An example implant device includes two ends oppositely located with a bulbous portion located at one end and a screw portion located at the opposite end. An example second implant device includes two ends oppositely located with a looped portion defining an aperture located at one end and a nail portion located at the opposite end. The nail portion can include a tip and a smooth or substantially smooth portion. The second implant device can be implanted into a bone by striking the looped portion to facilitate the tip and at least part of the nail portion penetrating the bone.

Abstract: A prosthesis for at least a portion of a bone, in particular a bone or portion thereof to which, in the natural condition, a tendon of a muscle is attached, wherein the prosthesis is manufactured of a metal or an alloy thereof and is provided with at least one area situated in the surface of the prosthesis that faces outward once the prosthesis has been placed in the body, the area being formed by a layer provided with open spaces that are connected to each other, wherein the open spaces are dimensioned for allowing the growth of bone tissue therein.

Abstract: In one embodiment, an anatomical implant template has a template body having opposed first and second terminal ends. The template body bends so as to change the body from a first configuration, whereby the body extends from the first terminal end to the second terminal end along a first path, to a second configuration, whereby the body extends from the first terminal end to the second terminal end along a second path, different from the first path, the second path conforming more closely to the curvature of the at least one anatomical body. The body supports at least one device that outputs at least one signal from which a shape of the body in the second configuration can be ascertained. The anatomical implant template can further communicate the at least one signal to a computing device that generates signals for bending an anatomical implant.

Abstract: An instrumentation system (100) and an intramedullary femoral nail system (1) for antegrade or retrograde implantation with laterally inserted bone screws, the system comprising a nail stem (2) having a multi-featured proximal end (3), a distal end and a central conduit (22) configured to accommodate a fastener (4), wherein the multi-featured proximal end (3) comprises a plurality of holes (20) configured to accommodate at least two bone screws (50, 52), wherein the first bone screw (50) is at an angle that is horizontal relative to the central conduit (22) and is on a coronal plane, and the second bone screw (52) is at an angle of between 120° to 130° relative to the central conduit (22).

Abstract: Suture locking clamps for securing prostheses such as heart valves or annuloplasty rings with sutures and without using knots improve the ease of implantation. The clamps have opposed clamp halves separated by a slot opening to one side and surrounded by a biasing member such as one or more C-clip springs. Sutures pass laterally into the slot which is held open by a retention member positioned between the clamp halves. The locking clamp slides along the sutures into position, the tension of the sutures is adjusted, and the retention member removed to allow the biasing member to clamp the sutures between the clamp halves. A delivery tool used to deliver and deploy the locking clamps contains a number of clamps within a delivery tube in a stack and bonded together for safety and a common retention member. The tool has a longitudinal channel on one side for entry of sutures.

Abstract: An intramedullary (IM) nail insertion assembly includes an IM nail extending longitudinally from a proximal end to a distal end. A proximal portion of the IM nail has an internal threading. The IM nail insertion assembly also includes a connecting screw extending longitudinally from a proximal end to a distal end. A distal portion of the connecting screw has an external threading for engaging the internal threading of the TM nail. One of the proximal portion of the IM nail and the distal portion of the connecting screw has a feature to resist a disengagement of the proximal portion from the distal portion.

Abstract: A surgical device includes an elongate body extending from a proximal end to a distal end. The distal end of the elongate body defines a notch sized and configured to receive a reamer. A coupling assembly is supported by the elongate body and includes a reamer guide body disposed at the distal end of the elongate body. The reamer guide body configured to move between a first position and a second position in which the reaming guide body extends at least partially across the notch. A locking assembly is supported by the elongate body and is configured to releasably engage the coupling assembly to maintain the reamer guide body in the second position.

Abstract: An endcap for engaging a proximal end of an intramedullary nail. The endcap includes a body extending from a first end to a second end and configured to engage a channel of an intramedullary nail. The endcap also includes a head portion at the first end of the body. The head portion includes a recess sized and shaped to receive a driving element of a drive shaft. The recess includes elastic tabs extending radially toward a central axis of the recess to engage and retain a driving element received therein.

Abstract: The present application discloses embodiments related to an implant and a method of forming an implant configured to treat a fractured bone. The implant can include a body having a proximal end, a distal end, and an outer surface extending from the proximal end to the distal end, wherein the body defines a central axis extending from the proximal end to the distal end; and a high tensile strand positioned adjacent the body such that at least a portion of the strand extends at least partially along the outer surface of the body in a direction substantially parallel with the central axis, and wherein the strand is loaded with an active agent.

Abstract: Intramedullary rods, targeting devices, intramedullary rod systems, intramedullary rod kits, and methods of placing an intramedullary rod in a bone are described. An intramedullary rod comprises a head member having a first end, a second end, and a body extending between the first end of the head member and the second end of the head member. The head member is formed of a first material and defines a circumferential flange and a circumferential shoulder. The circumferential flange extends radially outwardly from the head member and the circumferential shoulder is disposed between the first end of the head member and the circumferential flange. A shaft member extends from the head member and a head extension is partially disposed over the head, member. The head extension is formed of a second material that is different than the first material and has an end contacting the circumferential shoulder of the head member.

Abstract: The present disclosure provides an apparatus comprising a wire having a first end and a second end opposite the first end. A first portion of the wire including the first end comprises a malleable region that is configured to remain deformed after bending, and a second portion of the wire including the second end comprises a superelastic region that is configured to return to a straight configuration after bending.

Abstract: An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

Abstract: A compression nut for treating a bone includes a head and a body extending longitudinally from the head to a free end. The body includes a first portion including an exterior surface tapering from the head toward a second portion. An exterior threading extends along an exterior surface of both the first portion and the second portion of the body. The nut also includes a channel extending longitudinally through the body. The channel includes an interior threaded extending along an interior surface of the channel configured to threadedly engage a portion of a locking screw therein.

Abstract: A compression nut for treating a bone includes a head and a body extending longitudinally from the head to a free end. The body includes an exterior threading along an exterior surface of a threaded portion of the body separated from the head via an unthreaded portion. The nut also includes a channel extending longitudinally through the body. The channel includes an interior threaded extending along an interior surface of the channel configured to threadedly engage an end of a locking screw received therein.

Abstract: In one embodiment, an intramedullary nail has a body that includes proximal and distal ends and an inner surface that defines at least one locking hole that extends into an outer surface of the body so as to receive a bone anchor to lock the nail in a medullary canal of a bone. The body has a first biocompatible material that defines at least a portion of the outer surface. The nail has a second material that is different from, and at least partially encapsulated in, the first material. The second material can produce at least one of an electrical current and a magnetic field, and is supported by the nail body such that a position of the at least one bone-anchor locking hole can be detected based on the at least one of the electrical current and the magnetic field.

Abstract: Provided is a method of open reduction and internal fixation of a bone of a patient using a fixation device. The method includes analyzing the bone to obtain a fracture profile, wherein the fracture profile includes data corresponding to a physical structure of the bone, shaping the fixation device using the data of the fracture profile, heat treating the fixation device by heating the fixation device to a first temperature, cooling the fixation device to a second temperature lower than the first temperature, securing the fixation device to the bone, and heating the fixation device to a third temperature lower than the first temperature and greater than the second temperature to reduce the bone.

Abstract: A compressive intramedullary rod includes first and second concentric shafts configured to engage with each other in a telescopic manner along a longitudinal axis, through a screw mechanism integrated in the first concentric shaft. The screw mechanism includes a bolt in an upper portion for mounting onto the first concentric shaft, and an externally threaded rod in a lower portion for engaging with an internally threaded first channel of the second concentric shaft. The second concentric shaft includes a second channel extending along corresponding length, and the externally threaded rod portion includes a third channel extending along corresponding length. Further, the second channel fully aligns with the third channel, when first and second concentric shafts engage in a telescopic manner upon rotation of the screw mechanism. The first and second concentric shafts include first and second set of guide holes for coupling to proximal and distal fragments of bone.

Abstract: A surgical instrument configured to enable simultaneously driving a bone screw into a boney structure of a patient and delivering of a blade within the patient adjacent the bone screw is disclosed. The surgical instrument may include an elongated outer-sheath extending in a longitudinal direction from a proximal end to a distal end, for example. The elongated outer-sheath may include an interior cavity that defines a centrally disposed longitudinal axis that extends in the longitudinal direction, for example. The surgical tool may include a central-sheath disposed within the interior cavity that extends in the longitudinal direction, for example. The surgical instrument may further include an inner-shaft rotatably supported by the central-sheath that extends in the longitudinal direction, for example. The inner-shaft may include a driver configured to selectively drive a bone screw upon rotation of the inner-shaft about the longitudinal axis, for example.

Abstract: A system includes an intraosseous sliding osteotomy (ISO) plate including a body extending between a first end, a second end, a first surface, a second surface, and a perimeter wall. The body defines at least one fastener aperture extending from the first surface to the second surface. A plate handle is configured to be coupled to the ISO plate. The plate handle includes a body including a handle portion and a head portion. The head portion defines at least one aperture. A locking element includes a locking portion sized and configured to extend through the at least one aperture defined in the head portion of the plate handle to couple the plate handle to the ISO plate.

Abstract: Provided is an intramedullary (IM) rod for bone fixation. The IM rod is configured to be placed in an intramedullary cavity of a center portion of a part of a fractured bone which is required to be fixed to another part of the fractured bone, and lengthily extends in a direction of the part of the fractured bone, wherein the IM rod includes a plurality of guide holes configured to guide fasteners which are inserted through the part of the fractured bone and fastened to the other part of the fractured bone, and the plurality of guide holes include a main hole and a pair of sub-holes provided at positions forming vertices of a triangle together with the main hole.

Abstract: An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

Abstract: An augment device includes a hollow sleeve surrounding a channel extending through the hollow sleeve from a top to a bottom of the hollow sleeve, the hollow sleeve comprising a wall having an inner face and an outer face. The hollow sleeve includes at least one bending joint, the bending joint being configured for compressing the channel. Thereby the hollow sleeve may be compressed under an external force, leading to a decreased circumference and width of the hollow sleeve. This leads to a gap between the perimeter of the augment device and surrounding bone material, breaking any connections. By virtue of this, a much facilitated removal of the augment device can be achieved. Further, an extraction tool includes grippers for engaging and compressing the augment device, and further instruments, particularly a jig, for achieving an effective removal.