Abstract: Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. A pedicle-based intradiscal implant for stabilizing an inferior vertebra and a superior vertebra may include a bendable rod configured to engage bone, a bone fastener defining a channel for receiving the bendable rod, and a locking cap for securing the bone fastener and the bendable rod. The implant may be positioned through a pedicle of an inferior vertebra and the bendable rod may be deployable into the vertebral body of the inferior vertebra, through the disc space, and into the vertebral body of the superior vertebra to stabilize the spine.

Abstract: Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. A pedicle-based intradiscal implant for stabilizing an inferior vertebra and a superior vertebra may include a bendable rod configured to engage bone, a bone fastener defining a channel for receiving the bendable rod, and a locking cap for securing the bone fastener and the bendable rod. The implant may be positioned through a pedicle of an inferior vertebra and the bendable rod may be deployable into the vertebral body of the inferior vertebra, through the disc space, and into the vertebral body of the superior vertebra to stabilize the spine.

Abstract: An intramedullary intertrochanteric fracture fixation device includes an intramedullary nail having a proximal portion and a distal portion, a neck screw and a set screw assembly (264, 262, 266). The intramedullary nail defines an angulated opening in the proximal portion and includes an axial bore extending through a proximal end of the nail and into the angulated opening. The proximal portion further includes a compartment defined by an upper stop, a lower stop and a sidewall. The sidewall of the compartment defines a slot. The neck screw is insertable the angulated opening and includes a length and an exterior surface defining a groove. The set screw assembly (264, 262, 266) is pre-operatively assembled within the proximal portion of the intramedullary nail and selectively moveable into the compartment for preventing rotational movement of the neck screw within the angulated opening of the intramedullary nail. The set screw is cannulated to receive a guidewire when pre-operatively assembled.

Abstract: Systems and methods for fixing bone using an intramedullary nail locked to an encircling anchor including a bushing and a locking member. An exemplary system may include any combination of the nail, one or more bushings, one or more locking members, an instrument to guide installation of the bushing, at least one drill, and a driver that attaches to the bushing. The instrument may define a guide axis and be configured to be coupled to a bone such that the guide axis extends across the bone. The instrument may be used to guide a drill, the bushing, and/or the locking member along the guide axis into the bone. The nail may be configured to be placed along the medullary canal of the bone such that the nail extends through the bushing, and the locking member may be configured to lock the nail to the bushing.

Abstract: A bone fixation system comprises a first fastener configured to anchor into a first vertebrae, a second fastener configured to anchor into a second vertebrae, and a set screw to retain the second fastener to the first fastener. The first fastener includes a shaft extending along a longitudinal axis and a head. The shaft includes a first cylindrical body. The head of the first fastener includes a second cylindrical body defining a passageway having an interior surface. The passageway defines a longitudinal axis that is different than the longitudinal axis of the shaft. The first cylindrical body of the shaft and the second cylindrical body of the head are angled relative to each other. A head of the second fastener is configured to engage the interior surface of the passageway of the head of the first fastener. The set screw retains the head of the second fastener in the passageway.

Abstract: A trochanteric fracture nail system includes: a trochanteric fracture nail and a lag screw system adapted and configured for fixation medially through the trochanteric fracture nail. The trochanteric fracture nail includes: a substantially cylindrical wall defining a longitudinal bore; at least one lateral bore intersecting the longitudinal bore; and a detent on an inner surface of at least one of the at least one lateral bore. The lag screw system includes a lag screw and an interference member. The lag screw includes: an annular body defining a substantially hollow central bore; and a keel located along the annular body. The keel is adapted and configured to substantially lie within an outer profile of the annular body when in a neutral position. The interference member is adapted and configured to displace the keel radially to resist motion of the annular body by engaging with the detent of the trochanteric fracture nail.

Abstract: The cephalomedullary nailing system of this invention contributes to solving three main problems: reduce fractures, improve assembly biomechanics to ensure the load axis is favorable as possible for bony fragments and prevent femoral neck collapse as well as offset and limb length loss, hence avoiding the possibility of reduced abductor power. The system is based on specific screw channel geometry and the placement of an additional locking screw, allowing the nail to turn 360° and facilitating nail insertion through the screw.

Abstract: An intra-osseous support structure can be used to fixate opposed portions of bone. In some examples, the intra-osseous support structure is positioned in openings formed in adjacent portions of bones. Fasteners are inserted through the bone portions to secure the intra-osseous support structure in the bones. Depending on the application, one or more external bone plates may also be applied to the bone portions. The external bone plate may be in compression while the intra-osseous support structure is in tension under load in situ.

Abstract: Apparatus and methods for bone fracture repair. The apparatus may include a structural support for positioning a first bone segment relative to a second bone segment. The apparatus may include an anchoring substrate. The anchoring substrate may be configured to compress the first bone segment to the second bone segment. The anchoring substrate may transmit tension from a distal bone segment anchor in the first bone segment to a proximal bone segment anchor in the second bone segment. The apparatus may be configured to be deployed percutaneously in an inner cavity of a bone. The apparatus may be installed in an open fracture. The apparatus may be expanded, self-expanding or configured for mechanically actuation. Some embodiments of the apparatus may include a central axis member that may be used in conjunction with expansion of one or both of the structural support and the anchoring substrate to configure the apparatus.

Abstract: A screw guide assembly includes a guide body extending along a central longitudinal axis. The guide body has a proximal end portion having an attachment face extending perpendicular to the longitudinal axis and a distal end portion having a screw support member extending away from the longitudinal axis. The screw support member is configured to allow for the insertion of a screw at an angle oblique relative to the longitudinal axis. A wire guide is removably inserted into the screw support member. A method of inserting a screw using the assembly is also disclosed.

Abstract: The invention relates to an orthopedic locking screw, an orthopedic locking system, and a method for manufacturing an orthopedic locking screw. The orthopedic locking screw may be used for locking an intramedullary nail. The orthopedic locking screw comprises a screw shaft. The screw shaft comprises a recess. The recess extends at least partially along a longitudinal axis of the screw shaft. The recess extends at least partially along a chord of a cross section of the screw shaft. A surface of a circular segment comprising the chord is at least partially provided with a threaded portion.

Abstract: An implant system for use in orthopaedic surgery for fixation of bone includes an intramedullary nail and a coupling member. The intramedullary nail includes a proximal portion defining a longitudinal axis. The proximal portion includes an axial bore defining an axis substantially parallel to the longitudinal axis of the proximal portion and a transverse bore configured to receive a bone fastener. The coupling member includes a through hole and is movably arranged within the axial bore of the proximal portion. Further, the coupling member includes a drive portion and a bone fastener engagement portion. The drive portion is in one variant non-rotatably coupled to the bone fastener engagement portion. The bone fastener engagement portion is configured to engage the bone fastener penetrating the transverse bore. In one variant the engagement is realized via an extended contact region.

Abstract: The invention primarily relates to fastening and stabilizing tissues, implants, and/or bondable materials, such as the fastening of a tissue and/or implant to a bondable material, the fastening of an implant to tissue, and/or the fastening of an implant to another implant. This may involve using an energy source to bond and/or mechanically to stabilize a tissue, an implant, a bondable material, and/or other biocompatible material. The invention may also relate to the use of an energy source to remove and/or install an implant and/or bondable material or to facilitate solidification and/or polymerization of bondable material.

Abstract: Compression devices for joining tissue and methods for using and fabricating the same.

Abstract: A bone fixation device for treatment of a bone fracture includes a fixation screw defining a transverse opening, a fixation arm configured for inserting the fixation screw through a bone fracture, a set screw, and an aiming arm configured for inserting the set screw into the transverse opening and engagement with the fixation screw. The set screw stabilizes the fixation screw.

Abstract: An intramedullary nail implant for positioning in a bone having a head and a shaft defining an intramedullary canal. The implant includes a distal portion having a shaft extending along a central axis and configured for positioning within the intramedullary canal. A proximal portion extends proximally from the distal portion. The proximal portion defines a contact surface which extends at least in part medially of the central axis such that it is configured to extend within a medial portion of the bone head. A method of implanting the nail is also provided.

Abstract: The invention comprises a method for fixating bones in the foot by aligning the bones in their desired position, inserting a screw in the aligned bones, inserting at least one transverse element near the head or tip of the screw, and tightening the screw to compress the bones. The screw comprises a shaft having first and second ends with spirally wound screw threads beginning near the first end and extending along the shaft. Advantageously, the screw is cannulated and screw threads are formed on an interior surface of the cannulation. Illustratively, the transverse elements may be staples, open-ended washers, or open-ended nuts. Reduction instruments and drill guides used in the invention are also disclosed.

Abstract: An implant system for use in orthopaedic surgery for fixation of bone includes an intramedullary nail and a coupling member. The intramedullary nail includes a proximal portion defining a longitudinal axis. The proximal portion includes an axial bore defining an axis substantially parallel to the longitudinal axis of the proximal portion and a transverse bore configured to receive a bone fastener. The coupling member includes a through hole and is movably arranged within the axial bore of the proximal portion. Further, the coupling member includes a drive portion and a bone fastener engagement portion. The drive portion is in one variant non-rotatably coupled to the bone fastener engagement portion. The bone fastener engagement portion is configured to engage the bone fastener penetrating the transverse bore. In one variant the engagement is realized via an extended contact region.

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 end may further include a cross-locking feature, which includes a second bone anchor that interlocks with a first bone anchor, for example, for enhanced bone purchase and bony fixation.

Abstract: A method to secure and stabilize an intramedullary nail in the medullary canal of a fractured hip including the steps of positioning the intramedullary nail within the medullary canal, positioning an alignment tool including a plurality of alignment bores on the intramedullary nail to align drill bits to drill holes or channels in the femur neck, femur cortex and upper and lower portions of the intramedullary nail, threading a femur neck screw through the corresponding alignment bore into a channel in the femur neck, through the hole in the upper portion of the intramedullary nail and into the head, threading a locking screw through the corresponding alignment bore and a hole in the proximal cortex and channel in the lower portion of the intramedullary nail and into the distal cortex, threading a stabilizer member through the corresponding alignment bore until the distal end portion engages the proximal surface of the intramedullary nail to limit lateral movement of the intramedullary nail thereby stabilizing

Abstract: A surgical device and method for performing arthrodesis are disclosed. The device includes a bone fixation plate, a jig, and a guiding unit. The plate has several fastener-accommodating apertures. The jig has a base for engaging the plate with several bolt-accommodating apertures positioned to align with the plate apertures and a cannulated guide attached to the jig's arm. The cannulated guide has a bore. The arm is oriented at an oblique angle relative to the jig's base. The guiding unit has a first end with a wire guide tube and a drill guide tube affixed to its second end. The wire guide tube and the drill guide tube have an outer diameter with a diameter less than the inner diameter of the cannulated guide of the jig so as to enter into the cannulated guide for the fusion process.

Abstract: A system to stabilize a fracture includes an intramedullary rod having first and second ends and configured for placement within a medullary bone canal of a bone. The intramedullary rod includes a first rod hole at the second end. An intramedullary rod plate has first and second plate holes. A first fastener includes a shaft portion and a threaded head portion. The shaft portion of the first fastener passes through the first plate hole, through an outer surface of the bone, and through the first rod hole at the second end of the intramedullary rod such that the first fastener secures the intramedullary rod plate to the intramedullary rod. The threaded head portion of the first fastener mates with threads in the first plate hole. A second fastener passes through the second plate hole and into the bone to secure the intramedullary rod plate to the bone.

Abstract: The present invention relates to an apparatus for affixing intramedullary devices in a body. In particular the apparatus comprises a jig affixable to an intramedullary nail. There is also provided a method of determining the position of holes to be drilled through a bone which align with holes in the nail.

Abstract: A screw guide assembly includes a guide body extending along a central longitudinal axis. The guide body has a proximal end portion having an attachment face extending perpendicular to the longitudinal axis and a distal end portion having a screw support member extending away from the longitudinal axis. The screw support member is configured to allow for the insertion of a screw at an angle oblique relative to the longitudinal axis. A wire guide is removably inserted into the screw support member. A method of inserting a screw using the assembly is also disclosed.

Abstract: The invention relates to an improved-structure instrument (1) for allowing the alignment of fixing screws (2) to be inserted in transverse holes (3, 13) of nails (4) for long bones, in particular medullary nails, of the type comprising an arched arm (15) having a free distal end (6) connectable to a proximal end (16) of a head (7) of the nail (4) in which the transverse holes (3, 13) are formed, and a proximal handle portion (5), as well as a connection portion (20) between the distal end (6) and the proximal handle portion (5). Advantageously, the connection portion (2) comprises at least one through-hole (23, 33) for receiving a guide tube (10) for a drilling bit, the through-hole (22, 33) having an axis coinciding with the axis of one of the transverse holes (3, 13) and manually operated quick-locking means (25) are associated with the through-hole (23, 33) so as to lock in a stable position the corresponding tube (10) inserted in the instrument (1).

Abstract: A system for treating a bone includes an insertion device for an intramedullary nail. A first end includes a channel extending therethrough so that, when the insertion device is coupled to an intramedullary nail, the channel of the device is aligned with and in communication with a channel of the nail. The system also includes a guide sleeve extending from a proximal end to a distal end and including a first bend extending along a portion of a length thereof so that a longitudinal axis of a distal portion of the sleeve is angled with respect to a longitudinal axis of a remaining portion of the sleeve. In an operative position, the distal end of the sleeve is inserted into the channel of the device and the remaining portion of the sleeve extends toward a lateral side of a bone being treated.

Abstract: The present invention provides a fused femoral stem system, including a curved short handle, a fixing mechanism and a femoral head prosthesis, one end of the curved short handle is provided with a conical connector, the conical connector is cooperatively connected with a conical connecting hole of the femoral head prosthesis, the other end of the curved short handle is inserted from the osteotomy surface of the femoral neck and stretches to the position of a medullary cavity below a small trochanter, and the curved short handle is connected and fixed with a large trochanter through the fixing mechanism. The present invention has the beneficial effects that, after the growing-in osseointegration with the sclerotin surrounding the proximal bone bed of the host after the surgery of the whole system, the mechanical influence on the retained femoral neck and the sclerotin in the vicinity of the large and small trochanters is substantially similar to the biomechanical state prior to the surgery.

Abstract: Systems and methods for fixing bone using an intramedullary nail locked to an encircling anchor including a bushing and a locking member. An exemplary system may include any combination of the nail, one or more bushings, one or more locking members, an instrument to guide installation of the bushing, at least one drill, and a driver that attaches to the bushing. The instrument may define a guide axis and be configured to be coupled to a bone such that the guide axis extends across the bone. The instrument may be used to guide a drill, the bushing, and/or the locking member along the guide axis into the bone. The nail may be configured to be placed along the medullary canal of the bone such that the nail extends through the bushing, and the locking member may be configured to lock the nail to the bushing.

Abstract: A bone fracture internal fixator for repairing a bone fracture of a femoral neck that allows load to be applied to the associated bone parts evenly, and increases the connecting strength between the femoral head and femoral shaft while minimizing the risk of the femoral head being torn apart by the inner connecting member by increasing the diameter of the inner fixing member. The central axial line of the femoral head is offset from the central axial line of the intramedullary nail placed in the medullary cavity of the femoral shaft. In order to bring the inner fixing member such as a lag screw configured to be inserted through the femoral neck close to the central axial line of the femoral neck, the central axial line of the through hole for receiving the inner fixing member is offset from the central axial line of the intramedullary nail.

Abstract: In one embodiment, an intramedullary nail has a nail body that has a proximal end and a distal end that are offset from one another such that the body is elongate from the proximal end to the distal end. The body has an outer surface, and an inner surface. The inner surface defines a cannulation that extends into the proximal end towards the distal end. The body defines a proximal bone-anchor hole that extends into the outer surface and entirely through the nail, and a distal bone-anchor hole that extends into the outer surface and entirely through the intramedullary nail at a location between the proximal bone-anchor hole and the distal end. The nail also defines an access hole extends into the outer surface between the leading portion and the trailing portion. The access hole terminates at the cannulation and is in communication with the cannulation.

Abstract: A trochanteric nail for insertion in an intramedullary canal of a bone for treating bone fractures. The nail may include an elongate body having a head portion and a stem portion. One or more openings may be provided in the head portion for receiving an anchoring member, such as a bone screw, for fastening the nail within the bone. An intermediate opening may also be provided in the stem portion for receiving an anchoring member. A distal area of the nail may include or be free from anchoring members. In addition, a set of nails may be provided with each of the nails of the set of nails having different length in which the intermediate opening is the same distance from the proximal end for each of the nails.

Abstract: A bone screw extender reattachment system including an elongated reattachment rod having a proximal and a distal end. The distal end of the elongated reattachment rod includes a tip configured to attach to a head of a bone screw. The elongated reattachment rod is configured so that a screw extender assembly having an inner sleeve, an outer housing and an extender head can slide over the reattachment rod. The bone screw extender reattachment system also includes a tension plunger having a plunger-type heed and an elongated shaft configured to slide over the reattachment rod so as to communicate with the screw extender assembly.

Abstract: Fracture fixation devices and methods achieve stabilization of a bone fragment. A nail section of the device is dimensioned to be positioned within an intramedullary canal of a bone such that the nail section spans a fracture site in the bone. The nail section bends into a post-insertion configuration different from a pre-insertion configuration when inserted into the intramedullary canal. The nail fastening section is connected to the nail section by a connecting element on a first side of the fracture site. At least a portion of the nail fastening section is positioned outside the bone. A first end of the nail section and a second end of the nail fastening section are positioned on an opposite second side of the fracture site when the fracture fixation device is implanted in the bone.

Abstract: The present invention relates to a positioning device (100, 100?, 100?) for securing an intramedullary nail (19) in a long bone, said positioning device comprising a guide bow (1), with an adjusting device (3) and a sleeve guide (2), wherein the adjusting device (3) has a targeting device (5); and wherein the targeting device (5) is designed to receive a locking device (21) or an instrument (23) for acting on the locking device (21); and wherein the sleeve guide (2) has a sleeve (7), which sleeve (7) is mounted in the sleeve guide (2) such that it can be rotated and/or slid relative to the sleeve guide (2); and wherein the sleeve (7) has a longitudinal through-opening for receiving a guiding device therein.

Abstract: An intramedullary device, having a first longitudinal axis extending between a proximal end and a distal end thereof, is provided. The intramedullary device may include a first bore and a second bore. The first bore may include a second longitudinal axis and may extend through the intramedullary device between a first opening and a second opening. The second longitudinal axis may define a first angle (?1) with the first longitudinal axis. The second bore may include a third longitudinal axis and may extend through the intramedullary device between the first opening and a third opening. The third longitudinal axis may define a second angle (?2) with the first longitudinal axis.

Abstract: An implant arranged for integration into a skeletal bone of a patient, comprising: a body having at least one end, the body being arranged to substantially mimic a portion of a skeletal bone; wherein the at least one end includes an enlarged portion arranged to, in use, prevent migration of the implant into the flesh of a patient.

Abstract: An intramedullary nail system is provided with at least one resilient, elongate nail body configured to extend axially along a medullary bone cavity, and at least one bone anchor. The bone anchor includes a distal bone engagement portion configured to secure the anchor to a bone, a proximal nail engagement portion configured to receive a portion of the nail body therethrough, and a tightening mechanism configured to move from a movable state in which the nail body may slide axially and rotate through the engagement portion and a fixed state in which the nail body is prevented from moving relative to the engagement portion. Methods of use and surgical kits are also provided.

Abstract: An orthopaedic implant for use with a fastener having at least one of threads and grooves includes a body defining a long axis. The body includes an inner wall defining an elongated slot. The inner wall includes a pair of opposing walls and a single projection disposed on the inner wall. When the fastener is inserted into the slot, the single projection slidably fits within a groove of the fastener to limit sliding of the implant over the fastener along an axis substantially transverse to the long axis and to permit sliding of the implant over the fastener along the long axis.

Abstract: A bone nail apparatus includes a bone nail, a light source unit and a focalizing unit. The bone nail has a tube wall and at least one through hole. The tube wall is enclosed to form a receiving space. The at least one through hole extends through the tube wall and communicates with the receiving space. The light source unit includes a light emitter and at least one light transmission tube. The at least one light transmission tube is connected to the light emitter and receives a light therefrom. The at least one light transmission tube is received in the receiving space of the bone nail. Each light transmission tube has a light-outputting end aligned with a respective one of the at least one through hole. The focalizing unit has a light-receiving face facing one of the at least one through hole.

Abstract: A system for locking an intramedullary nail to a bone includes a first plate sized and shaped to be inserted through a channel of an intramedullary nail and dimensioned to prevent its passing through a locking hole of the intramedullary nail and a second plate sized and shaped to be positioned along a portion of an exterior of a hole drilled in the bone and dimensioned to prevent its passing through the hole drilled in the bone along with a connector couplable to the first and second plates and slidable through the channel of the intramedullary nail to extend through the locking hole from an interior of the channel to an exterior of a bone in which the intramedullary nail has been inserted.

Abstract: A femur supporting device includes a femoral stem having a plurality of inclined passages. The femoral stem includes an inner side and an outer side. Each inclined passage includes an outlet in the inner side and an inlet in the outer side. Each inclined passage inclines upward from the inlet to the outlet. A plurality of supporting rods extends through the inclined passages. A first engaging end of each supporting rod extends out of the outlet of one of the inclined passages. A second engaging end of each supporting rod extends out of the inlet of one of the inclined passages. The first engaging end of each supporting rod is engaged with one of a plurality of first engaging portions in a trochanter head. The second engaging end of each supporting rod is engaged with one of a plurality of second engaging portions of a fixing unit.

Abstract: The invention comprises a method for fixating bones in the foot by aligning the bones in their desired position, inserting a screw in the aligned bones, inserting at least one transverse element near the head or tip of the screw, and tightening the screw to compress the bones. The screw comprises a shaft having first and second ends with spirally wound screw threads beginning near the first end and extending along the shaft. Advantageously, the screw is cannulated and screw threads are formed on an interior surface of the cannulation. Illustratively, the transverse elements may be staples, open-ended washers, or open-ended nuts. Reduction instruments and drill guides used in the invention are also disclosed.

Abstract: A joint prosthesis assembly, includes a joint prosthesis body (1) made of a first biocompatible non-resorbable material and an anchoring element (2-5) made of a second biocompatible non-resorbable material. The anchoring element (2-5) is arranged to allow rotation of an end portion of the joint prosthesis body (1) with respect to the anchoring element (2-5) when in situ.

Abstract: A system and method for treating a fracture of a bone that produces first and second bone parts separated by a fracture line. A first implant has a first body. A second implant has a second body, A first elongate component can be directed through the bone to cooperate with each of the first and second bodies so that the first and second bodies and first component together act to maintain the first and second bone parts in a desired set relationship. The first component has a lengthwise axis and cooperates with the first body so that the operatively positioned first component is stabilized by the first body in a direction that is transverse to the lengthwise axis of the first component. The first component cooperates with the second body so that the first component is stabilized by the operatively positioned second body.

Abstract: Among other things, there are disclosed embodiments of an intramedullary nail system for use in pediatric cases, including an intramedullary nail and a targeting assembly. Embodiments of the nail may be one-piece and include a proximal portion, a medial portion and a distal portion. The junction of the medial portion and distal portion is a bend that provides a small angle between the medial portion and the distal portion as viewed when the nail is substantially in a medial-lateral plane. The targeting assembly attaches to the proximal portion of the nail securely and enables easy insertion of fixing screws.

Abstract: A method for fusing bones using a guide pin and a fastener is disclosed. The method includes inserting a guide pin into two bones. The guide pin including at least one radial marking. The method also including imaging the two bones and guide pin and analyzing the position of the at least one radial marking of the guide pin relative to the two bones. In addition, the method includes selecting a fastener, inserting a drill over the guide pin, drilling an opening through at least one of the two bones, and inserting the fastener into the opening. The guide pin may include an exterior surface with a first end and a second end, a cutting edge at the first end, and at least one radial marking near the first end. A system including a guide pin, a fastener, and a drill is also disclosed.

Abstract: Various embodiments of the present invention provide systems and methods for treating a proximal humeral fracture. A system according to one embodiment includes a longitudinal member configured to be received within the humeral shaft. The system includes a jig assembly configured to be coupled to the longitudinal member, wherein the jig assembly includes at least one hole defined therethrough that is configured to guide placement of at least one hole in the humeral shaft, and wherein the hole formed in the humeral shaft is configured to align with at least one hole in the humeral implant such that the jig assembly is configured to locate the position of the humeral implant in the humeral shaft.

Abstract: A system including an intramedullary nail and an insert dimensioned to be positioned within the intramedullary nail. The insert can include a rotating component configured to rotate about a rotational axis transverse to a longitudinal axis of the intramedullary nail. The insert can be configured to receive a bone screw, rotate about the rotational axis as the bone screw is positioned at a selected angle of a plurality of angles relative to the intramedullary nail, and lock the bone screw at the selected angle.

Abstract: A system for treating a fracture of a bone with an intramedullary canal. A first implant has a body with an elongate intramedullary portion and a paddle having a surface to engage the bone. The intramedullary portion has a length between first and second lengthwise ends and can be directed into the intramedullary canal to place the first implant into an operative position with the paddle exposed outside of the intramedullary canal. At least one fixation element maintains the implant operatively positioned. The intramedullary portion is elongate with a primary length portion having a first lengthwise axis. At least a portion of the paddle surface faces away from the first lengthwise axis.

Abstract: An aiming device system that is configured to align at least one bone anchor guide to a first distal hole of an intramedullary nail can include an aiming arm that is configured to be operatively coupled to the intramedullary nail and an aiming guide. The aiming arm can define a sliding support that is elongate along a first direction. The aiming guide can include a guide body that defines at least a first bone anchor guide. The aiming guide is attached to the aiming arm such that the aiming guide is selectably movable along the sliding support, and selectably rotatable relative to the aiming arm. When the first bone anchor guide is retaining the guide sleeve, at least one of the selectable movement and selectable rotation of the guide body at least partially aligns the first bone anchor guide with the first distal hole of the intramedullary nail.