Abstract: A joint implant device is presented. In embodiments, the device may include a central cylindrical anchor with a sharp distal end and a substantially flat proximal portion. In embodiments, the anchor may be provided with at least one longitudinally extending microtube, to convey at least one of blood and nutrients from the distal end to a proximal end. In embodiments, there may be a plurality of microtubes, each having an intake in the distal end and multiple outflows in the proximal portion. In some embodiments the device may include an eyelet through which a suture may be provided for additional fixation into a joint.

Abstract: A screw insertion system has a screw having a threaded shaft and a head. The head has a conically tapered outer surface, the taper increasing in distance from a central longitudinal axis of the screw from a free end of the head towards a larger diameter adjacent the connection between the head and the threaded shaft. The conically tapered head outer surface has preferably two helically extending partially rounded threads. The head has a drive element for engaging a driver. A tubular screw holder has an outer surface and internal bore extending between a leading end and a trailing end for receiving the screw. The leading end having a conically tapered inner threaded portion for engaging the conically tapered outer thread of the screw head. The tubular screw holder outer surface having a diameter less than or equal to the maximum diameter of the conically tapered head.

Abstract: The present disclosure describes an intervertebral disk replacement system. The system can include a tissue-engineered intervertebral disc that is combined with a bioresorbable stabilization system for structural guidance. The system can prevent or reduce intervertebral disk implant displacement and can increase the stiffness when compared to the implantation of the intervertebral disk implant without the stabilization system.

Abstract: A bone screw comprises a shaft defining a longitudinal axis and a minor diameter. The shaft including a core having an angled surface relative to the axis. The angled surface extending from the minor diameter adjacent a proximal portion of the shaft to a distal portion of the shaft, and a wall disposed about the angled surface. The wall including at least one thread having an external thread form. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A device for placing a receiving part of a bone anchoring device onto a head of a bone anchoring element includes a holding portion, a collet configured to be held by the holding portion, the collet having a tubular body extending along a longitudinal axis, and a distal end portion configured to be flexibly expanded and compressed in a radial direction, and a plunger configured to be positioned in the collet. The collet is movable axially relative to the plunger between a first position wherein the distal end portion of the collet is configured to have a first width in a first radial direction and the plunger prevents the distal end portion from assuming a width less than the first width, and a second position wherein the distal end portion of the collet is radially compressible to a second width that is less than the first width.

Abstract: A bone fixation system includes an intramedullary nail and a lag screw. A proximal portion of the intramedullary nail includes a first proximal bore configured to accept the lag screw and a second proximal bore configured to accept a portion of an antirotation screw insertion tool. A distal portion of the intramedullary nail defines at least one opening configured to accept a distal locking screw. The lag screw includes a sheath and a rod mounted for sliding movement within the sheath. The rod has a threaded distal end defining a diagonal bore configured to accept an antirotation screw.

Abstract: A coupling device for use with a bone anchoring element includes a receiving part having first and second ends, a longitudinal axis, and a coaxial passage, and a pressure member having a first portion and an expandable portion connected axially to the first portion forming a seat for the head. The pressure member is movable to a position where the receiving part acts on the expandable portion to clamp the head in the seat. The seat can be asymmetric relative to the longitudinal axis while a central axis of the first portion is coaxial with the longitudinal axis, such that the seat facilitates pivoting of the bone anchoring element in a first direction to a first maximum angle and in an opposite direction to a second maximum angle smaller than the first maximum angle.

Abstract: A system for correcting a position of bones, bone parts, or vertebrae includes a first bone anchor including a shank for anchoring in bone and a receiver for connecting a rod to the shank, a second bone anchor including a shank for anchoring in bone and a receiver for connecting the rod to the shank, and an instrument including a positioning member, a first coupling member for coupling the positioning member to the first bone anchor, and a second coupling member for coupling the positioning member to the second bone anchor. The first and second coupling members are movable relative to one another. The receiver is pivotable relative to the shank for at least one bone anchor. The at least one bone anchor can assume a locked configuration where an angular position of the receiver relative to the shank is locked while the rod remains movable relative to the receiver.

Abstract: A system for penetrating the lateral cortex of a long bone includes a tubular cortex penetrator having an inner surface and an outer surface, a proximal end, and a distal end comprising a beveled cutting edge configured to penetrate the lateral cortex. A guide wire is configured to pass over the tubular cortex penetrator, and a guide sleeve is configured to surround the outer surface of the tubular cortex penetrator. A hollow extraction screw with an axial bore, a proximal end, a distal end, and a threaded cutting edge is configured to pass through the axial bore of the hollow extraction screw; and the hollow extraction screw is configured to retract into a distal end of a bore through the tubular cortex penetrator.

Abstract: A bone screw for sacroiliac joint fusion is characterized by a longitudinal bone screw and a cylindrical sleeve received on a proximal end of the bone screw. The sleeve has axially extending fins or flutes on its outer surface that extend generally from one end of the sleeve to the other end of the sleeve. This feature allows the sleeve to resist reverse rotation which, in turn, aids in preventing back-out of the bone screw once installed. The bone screw has a self-tapping tip that allows the bone screw to be installed without need for a pilot hole, and self-harvesting geometry that gathers and retains bone shavings in and along the bone screw that are produced by bone screw installation for use as graft for bone fusion.

Abstract: The invention is a half pin for use in conjunction with external fixators, in which the half pin has a thin hydroxyapatite coating over a substantial portion thereof, a not-sharp hole-finding tip, and a variable pitch pattern in the threaded portion of the half pin. The hydroxyapatite coating must be thin—40-70 microns, deposited by plasma spray—and with limited porosity and pore size, and must extend not only over all the threads of the half pin but also a substantial portion of the unthreaded shaft proximal to the threaded end. The invention also includes a pin cube for use in association with the coated half pins. Wires may also be coated with the hydroxyapatite coating.

Abstract: A device for drilling into bone includes a luer portion having a luer thread. A bit portion is rigidly coupled to the luer portion, the bit portion configured to be detachably coupled to a bit driver. An adapter portion is rigidly coupled to the bit portion. A drilling portion is rigidly coupled to the adapter portion, the drilling portion comprising a flute configured to create a hole in the bone. A channel extends through the luer portion, the bit portion, the adapter portion, and the drilling portion.

Abstract: A device for fixation of inner and outer bone fragments comprises at least three fixation means (5), at least one tilting preventing means (6) and a securing plate (7). The fixation means (5) are configured to allow, during secondary compression of the inner and outer bone fragments (2, 3), a sliding movement of the fixation means and said outer bone fragment relative to one another and thereby an interruption of an engagement of the securing plate (7) with the outer bone fragment (3) without affecting the angular position of the fixation means relative to the securing plate and relative to one another. The tilting preventing means (6) is configured to allow, during said secondary compression, a sliding movement of the at least one tilting preventing means and said outer bone fragment (3) relative to one another and thereby an interruption of the engagement of the securing plate (7) with the outer bone fragment.

Abstract: The invention relates to a plate fixed between two bone parts by way of screws engaged in holes formed in the thickness of said plate. The plate comprises an angled member or rib which is inclined according to an angle of between about 30° and 60° in relation to the plane defined by the plate. The angled member or rib has a hole for engaging a screw and is located in the central part of the width, over a determined part of the length of the plate, so that the screw brings the two bone parts into a compressive position.

Abstract: A first bone portion may be secured to a second bone portion by forming a hole in the first bone portion and the second bone portion and inserting a bone screw into the hole. The bone screw may have a proximal member, a distal member, and a tension member with a proximal end coupled to the proximal member and a distal end coupled to the distal member. Torque may be applied to the bone screw to move the distal member away from the proximal member such that the tension member elongates and urges the distal member to move toward the proximal member. The torque may be transmitted from the proximal member to the distal member via a torque transmission feature. A bending transmission feature, displaced proximally or distally from the torque transmission feature, may be positioned to share bending loads between the proximal member and the distal member.

Abstract: A self-gripping hernia prosthesis including a layer of repair fabric and a plurality of tissue grips protruding from a surface of the repair fabric. The grip may be fabricated independent of the repair fabric and subsequently attached to the layer of fabric. A backing layer may be employed to secure each grip to the repair fabric. Each base may include a base that is located between the repair fabric and the backing layer. Alternatively, the base may be attached directly to the backing layer. The tissue grips may be configured to minimize entanglement with the repair fabric.

Abstract: The present invention is directed to a bone plate and its method of use for reducing a bone fracture, the bone plate having a longitudinal axis, the bone plate comprising an upper surface, a lower surface, a first hole for engaging a head of a first bone anchor. The first hole is configured and adapted to fix a shaft of the first bone anchor along a first axis. A second hole is spaced apart from the first hole along the longitudinal axis. The second hole is for engaging a head of a second bone anchor, and is configured and adapted to fix a shaft of the second bone anchor along a second axis. The first hole and the second hole are configured such that the first axis and the second axis define a single plane and intersect at a point below the lower surface. The shafts of the first and second bone anchors may touch or nearly touch at the point of intersection, such that the first and second bone anchors form a truss.

Abstract: Briefly, the invention relates to a surgical tool and method for forming a pilot bore by inserting a guide wire into bone. More particularly, the device includes a cannulated hand grip and driving tool used for the rotation of a bone or pedicle screw into bone. The rear portion of the hand grip includes a slide assembly that is suited to grip a guide wire. The slide assembly includes a user adjustable stop to control the sliding movement of the guide wire. The rear surface of the slide is constructed to be impacted with a hammer or similar device, whereby the stop prevents the guide wire from penetrating the bone further than desired. A jack member is included to allow the wire to be precisely retracted.

Abstract: An implant system is disclosed. The system may include an implant receiver having a base and a first arm and a second arm extending from the base in a longitudinal direction towards an open end. The first arm and second arm may define a receiving cavity therebetween. The first and second arm may each include an outside thread pattern for rotatably supporting a nut movable in the longitudinal direction and an inside thread pattern for rotatably supporting a set screw movable in the longitudinal direction. A rod may be selectively positioned within the receiving cavity at an intermediate elevation between the base and the open end and the rod may be supported by the nut. The set screw may be tightened against the rod thereby locking the rod and nut at the intermediate elevation. In some embodiments, the first and second arms may include a plurality of breakoff locations.

Abstract: A system and method for improving installation of a prosthesis, particularly an acetabular cup. The system and method may include implementation of a constant velocity relative motion between a prosthesis and an installation site. For example, an installation system may be fixed relative to the installation site, with the prosthesis fixed into an initial position. The prosthesis is moved at constant speed (i.e., with minimal if any acceleration or applied impulses) relative to the installation site. That is, one or both of the prosthesis or the installation site may be in motion. Resistive forces to installation of a prosthesis may thus be reduced by maintaining the prosthesis constantly in motion relative to the installation site. Securing a processing/implanting tool directly to the installation site may offer advantages.

Abstract: A bone plate for implanting in a femur bone having a prosthesis implanted therein includes a shaft portion defining a plurality of holes and a trochanteric portion proximal to the shaft portion having two arms forming a concave shape and defining a plurality of first holes for receiving screws such that when implanted, the two arms at least partially wrap around and attach to the femur bone. The bone plate may include at least one bendable extension positioned between both of the arms. Each of the extensions may define at least one second hole.

Abstract: A device for fixation of bone fragments (4, 8) comprises a locking plate (1) for fixation on the outside of an outer bone fragment (4). The locking plate has a distal portion (1 a) with at least one first hole (6), extending through the locking plate, for a distal fixing means (2) and a proximal portion (1 b) with a second hole (7), extending through the locking plate, for a proximal fixing means (3). The locking plate (1) is configured also with a third hole (9) which is located between said at least one first hole (6) in the distal portion (1 a) of the locking plate and said second hole (7) in the proximal portion (1 b) of the locking plate and this third hole extends as the other holes through the locking plate.

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

Abstract: An intramedullary nail is suggested comprising a nail shaft with a lateral recess, with an expansion element being arranged in that recess, and an adjustment screw for adjusting the position and orientation of the expansion element relative to the nail shaft. A threaded bore may be formed in the nail shaft, wherein the threaded bore extends through the nail shaft and into the recess and is adapted to receive the adjustment screw.

Abstract: The low profile screw base comprises a screw base body and a positioning compression ring. An assembly hole penetrates longitudinally through the screw base body. A U-shaped slot for a connecting rod to pass through is provided on an upper portion of the screw base body. The inner wall of the screw base body on the opposite sides of the U-shaped slot is provided with internal threads. Snapping protrusions are formed on the inner wall of the screw base body on the opposite sides of the U-shaped slot below the internal threads. A lower ball socket matched with the round head of the ball screw is arranged in the assembly hole of the lower portion of the screw base body. The positioning compression ring used for compressing the round head is snap fitted above the lower ball socket and below the snapping protrusions (6).

Abstract: The present invention relates to a method for fixing an intramedullary cavity nail for the treatment of unstable trochanteric fractures and to a targeting device for use in performing the steps of said method. According to the method, a recess (16) for a femur neck screw (8) for fixing the cavity nail (2) is provided in at least the lateral cortex of the femoral shaft (FS) in close distal proximity to a hole (9) for the femur neck screw such that bone fragment(s) located distally of the fracture and bone fragment(s) located proximally of the fracture relatively seen can be displaced towards each other. A targeting head (5) of the targeting device (1) is configured with a targeting bore (14) which is alignable with a point on the femoral shaft (FS) in close distal proximity to the hole (9) for the femur neck screw (8) for use in providing at said point, said recess (16) for the femur neck screw.

Abstract: A modular bone plate is provided including at least a first and a second member each having a top surface and a bottom surface, the first member comprising a male connection portion with a single hole extending from the top surface to the bottom surface and the second member comprising a female connection portion with a single hole extending from the top surface to the bottom surface, wherein the male connection portion is insertable into the female connection portion such that the holes overlap and wherein an anchor or a plug member is insertable into the holes when they overlap.

Abstract: A fixation device for treating an epiphyseal fracture, comprises a shaft extending longitudinally along a central axis from a first end to a second end configured to slidably engage a bone implant opening and a having a maximum radius r and a spherical head element attached to the first end of the shaft and having a radius R>r, the spherical head element configured to be inserted into a fragmented portion of bone such that the fragmented portion rotates about the spherical head element relative to the central axis of the shaft.

Abstract: A spinal fixation aiming apparatus includes a spinal fixation aiming device, a first adjustment unit, a second adjustment unit, and an extendible/retractable bar. The spinal fixation aiming device includes an arc guide rail, an arc slide unit, and a tool holder that is movable to and selectively fixed at a predetermined position. The arc guide rail, the arc slide unit, and the tool holder are each made of a light-transmitting materials. To use, the extendible/retractable bar is attached to an operation table and adjustment is made with the first adjustment unit, the second adjustment unit, and the extendible/retractable bar for setting a position of the spinal fixation aiming device to an angle and a height according to the patient. Further, according to the need of the surgical operation, a collaborative operation of the arc guide rail and the arc slide unit can be conducted for angular adjustment.

Abstract: The present disclosure describes various embodiments of a plate and guide that enable fixation of a fractured bone while reducing damage to tissue in the vicinity of the fractured bone. The plate may be sized and dimensioned such that the plate may be slid underneath a muscle or other tissue and positioned into a proper location for providing fixation of the plate to the fractured bone without requiring cutting of the muscle or other tissue. The guide may be sized and dimensioned to interface with the plate such that the guide is place over the top of the muscle or other tissue, thereby enabling the guide to be used for providing screws or other devices (e.g., rods, K-wires, etc.) to the plate in a proper orientation to provide fixation to the fractured bone without requiring cutting of the muscle or other tissue.

Abstract: A member of a modular bone plate is provided, the member comprising a top surface defining a top plane; a bottom surface defining a bottom plane; a connection portion including a hole with a center axis that intersects the top plane and the bottom plane; wherein a first portion of the edge of the hole is provided with a projection forming a first free end of the member and wherein a second portion of the edge of the hole is provided with a groove that is configured to accommodate a projection of a connection portion of a second member of the modular bone plate. Furthermore, a modular bone plate having at least two such members is provided.

Abstract: A device for implanting a bone fixation system comprises an insertion instrument extending from a proximal end to a distal end, the distal end having an engagement portion for removably engaging a proximal end of a bone plate, the insertion instrument having an elongated channel extending therethrough to permit insertion of a first protection sleeve therethrough, wherein a longitudinal axis of the elongated channel is coaxial with a longitudinal axis of a first opening extending through the bone plate and a first protection sleeve insertable into the elongated channel and guiding insertion of an anti-rotation screw therethrough and through the bone plate, a longitudinal axis of the first protection sleeve being angled with respect to the longitudinal axis of the elongated channel.

Abstract: Examples of devices and methods for stabilizing a fracture in a bone include a body having an elongate distal portion having an outer surface defining a screw thread and an elongate proximal portion having a non-threaded outer surface.

Abstract: The invention relates to a plate fixed between two bone parts by way of screws engaged in holes formed in the thickness of said plate. The plate comprises an angled member or rib which is inclined according to an angle of between about 30° and 60° in relation to the plane defined by the plate. The angled member or rib has a hole for engaging a screw and is located in the central part of the width, over a determined part of the length of the plate, so that the screw brings the two bone parts into a compressive position.

Abstract: A bone fastener comprises a first member defining an implant cavity. A first part is disposed with the implant cavity and engageable with an implant. A second member is configured to penetrate tissue and includes a mating surface engageable with the first member such that the members are expandable. Implants, spinal constructs, systems, instruments and methods are disclosed.

Abstract: A spinal fixation system comprising at least one fastener having a fastener head at a proximal end and at least one body. The body comprises a rod receiving channel for receiving a fixation rod, a pressure cap for engaging the fastener head, and a fastener head receiving chamber for retaining the fastener head within the body. The fastener head receiving chamber allows for multi-axial movement of the body in relation to the fastener when the pressure cap is disengaged from the fastener head. The body is secured in a mono-axial position in relation to the fastener when the pressure cap is biased against the fastener head.

Abstract: A bone plate assembly is provided including a plate member with a top side (1a) and a bottom side (1b), at least one hole (2) extending from the top side (1a) to the bottom side (1b), an insert (3) arranged in the hole, the insert having a through hole (31), a guide member (4) removably arranged in the through hole of the insert, the guide member having a guide channel (40) and an outer surface portion (41) which engages an inner wall portion (32) of the through hole (31) to allow a pivoting movement of the guide member within the insert.

Abstract: Disclosed is a combined intramedullary and extramedullary bone stabilization and alignment system, which includes both methods and apparatuses for the alignment and stabilization of a first bone or piece of bone to a second bone or piece of bone. Embodiments of the system may include an implant device which has an elongated framework within intramedullary portion and an extramedullary portion which are cannulated. The cannulated aspect of the framework includes a wire aperture through both the intramedullary portion and the extramedullary portion.

Abstract: An interchangeable orthopedic blade including an internal portion and an external portion. The internal portion more accurately places the interchangeable orthopedic blade in, without excessive damage to, a bone when repairing a fracture in the bone and ultimately provide absolute stable fixation by the interchangeable orthopedic blade holding the fracture in its anatomic position and resisting applied forces while healing, to thereby provide a stable anatomic restoration and eliminate a need for revision surgery due to failure of fixation or malunion. The internal portion is received in the external portion and rotates relative to the external portion, but has the external portion move non-rotatably axially with the internal portion into the bone as the internal portion threads. In a first preferred embodiment, the internal portion is a screw with an externally threaded head. In a second preferred embodiment, the internal portion is an externally threaded set screw.

Abstract: Examples of devices and methods for stabilizing a fracture in a bone include a body having an elongate distal portion having an outer surface defining a screw thread and an elongate proximal portion having a non-threaded outer surface. In one example, a passage is formed through the proximal portion transverse to the longitudinal axis from a first opening on the surface of the proximal portion to a second opening on the surface of the proximal portion.

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 a surgical locking screw for fastening bone parts in the event of a heel fracture, comprising a front end, a rear driving end having a drive for turning the locking screw, and an external thread, which has a constant thread pitch continuously over the axial extent of the external thread, wherein a major diameter of the external thread is constant in a first axial segment of the locking screw and increases with increasing distance from the front end in a second axial segment adjacent to the first axial segment in the direction of the rear end, wherein a minor diameter of the external thread is constant in the first and second axial segments, wherein the external thread extends, at least approximately, axially continuously over the entire axial extent of the locking screw, and wherein the minor diameter of the external thread extends over the entire axial extent of the external thread.

Abstract: A member of a modular bone plate is provided, the member comprising a top surface defining a top plane; a bottom surface defining a bottom plane; a connection portion including a hole with a center axis that intersects the top plane and the bottom plane; wherein a first portion of the edge of the hole is provided with a projection forming a first free end of the member and wherein a second portion of the edge of the hole is provided with a groove that is configured to accommodate a projection of a connection portion of a second member of the modular bone plate. Furthermore, a modular bone plate having at least two such members is provided.

Abstract: Pathology of the human knee can arise from excessive and/or uneven loading of regions within the joint. Methods and apparatus are disclosed that enable displacement of soft tissue around the knee, without displacing or severing bone thereby altering the mechanical load distribution within the joint in a less invasive manner than previous techniques.

Abstract: A drill guide assembly according to an exemplary aspect of the present disclosure includes, among other things, a drill sleeve and an alignment bar spaced from the drill sleeve. A positioning of the drill sleeve is linked to a positioning of the alignment bar.

Abstract: Apparatus for use in debriding a bone, said apparatus comprising: an arthroscopic debridement template comprising a body reconfigurable between (i) a first configuration having a first profile and comprising an arc matching the desired curvature of the bone after debridement, and (ii) a second configuration having a second profile, wherein said second profile is smaller than said first profile.

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: Provided are a lesser trochanter securing device and an artificial joint device. The device includes a basket portion which covers a lesser trochanter, and a buttress plating portion which is joined to a lower edge of the basket portion, extends toward a femoral shaft and is secured and joined to the femoral shaft.

Abstract: A dual reconstructive wire system for use with an anatomy can include a first guide wire, a second guide wire, a first guide instrument, a first cannulated insertion instrument, and a second cannulated insertion instrument. The first guide wire can pass through the first cannulated insertion instrument such that a first end and a second end of the first guide wire extends beyond the first end and the second end, respectively of the first cannulated insertion instrument. The second guide wire can pass through the second cannulation insertion instrument such that a first end and a second end of the second guide wire extends beyond the first end and the second end, respectively of the second cannulated insertion instrument.

Abstract: A bone fixation system comprises an elongated implant shaft extending from a proximal end to a distal end along a central longitudinal axis and including a first channel extending from the proximal end to a side opening formed in a side wall of the implant shaft along a first channel axis. The bone fixation system further comprises a bone plate having a first plate portion and a second plate portion, the first plate portion having a first opening extending therethrough along a first opening axis and the second plate portion having a second opening extending therethrough along a second opening axis, the second opening being configured to receive the implant shaft therethrough to permit insertion thereof into a head of a bone.