Abstract: The present invention relates to stable fixation of spine segments, allowing for fusion in, e.g., skeletally mature patients. More particularly, the invention relates to a bone fixation device that can be affixed to vertebrae of a spine to provide reduction (or enlargement) capabilities and allow for fixation in the treatment of various conditions, including, e.g., spondyloslisthesis, degenerative disc disease, fracture, dislocation, spinal tumor, failed previous fusion, and the like, in the spine. The invention also relates to a method for delivering and implanting the bone fixation device.

Abstract: Orthopaedic plate and spreader apparatuses and methods for distracting and compressing bones and fractured bones in a patient. A first orthopaedic plate and tab assembly has ratcheting teeth on the plate and tab for distracting two bone surfaces to a desire wedge shape. The plate may have longitudinal and diametral curvatures. A second orthopaedic plate and tab assembly has a female plate with ratcheting teeth configured to mate with a male plate with ratcheting teeth for compression and distraction of two bone surfaces. The ratcheting teeth of the first and second orthopaedic plate and tab assemblies may be one way ratcheting teeth or two way ratcheting teeth. Surgical methods for inserting the implants within the patient.

Abstract: A fixation device for the fixation of bone fragments, applicable to the mutual fastening of bone fragments temporarily separated during a surgical operation or as a result of a trauma. The device is also suitable for the fixation of a bone flap in the replacement thereof in a corresponding aperture made in the cranium or cranial bone mass. The device is made of biocompatible material and comprises a flexible strip and fastening means, the strip having a length allowing the formation of a fastening loop tightly fastening the bone fragments to be joined together. The fastening means are provided with at least one opening provided with interlocking means allowing the passage of a free end of the strip and preventing its extraction in the direction opposite to the insertion.

Abstract: A fixation device for the fixation of bone fragments, applicable to the mutual fastening of bone fragments temporarily separated during a surgical operation or as a result of a trauma. The device is also suitable for the fixation of a bone flap in the replacement thereof in a corresponding aperture made in the cranium or cranial bone mass. The device is made of biocompatible material and comprises a flexible strip and fastening means, the strip having a length allowing the formation of a fastening loop tightly fastening the bone fragments to be joined together. The fastening means are provided with at least one opening provided with interlocking means allowing the passage of a free end of the strip and preventing its extraction in the direction opposite to the insertion.

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: According to one embodiment, a bone fixation system includes a plate having a first opening a beam configured to traverse through the first opening and reside proximate to a subchondral fragment of bone in an installed position. The beam may be operable to rotate about an axis of rotation proximate to the first opening and reposition the subchondral fragment of bone.

Abstract: A fixation device for the fixation of bone fragments, applicable to the mutual fastening of bone fragments temporarily separated during a surgical operation or as a result of a trauma. The device is also suitable for the fixation of a bone flap in the replacement thereof in a corresponding aperture made in the cranium or cranial bone mass. The device is made of biocompatible material and comprises a flexible strip and fastening means, the strip having a length allowing the formation of a fastening loop tightly fastening the bone fragments to be joined together. The fastening means are provided with at least one opening provided with interlocking means allowing the passage of a free end of the strip and preventing its extraction in the direction opposite to the insertion.

Abstract: An implantable prosthesis system including a selectively applied bone growth promoting agent is disclosed. The types of prostheses which may include a selectively applied bone growth promoting agent include rods, fracture plates, screws, as well as other types of prostheses. Additionally, the structural composition of many types of prostheses may be modified to help induce bone ingrowth and allow for fusion with the implantable prosthesis.

Abstract: Systems and methods for stabilizing portions of bone are provided. In some aspects, a bone plate system includes a plate configured to be fastened to at least one bone portion. The plate includes a keel slot and a locking assembly. The bone plate system also includes a keel configured to extend into the at least one bone portion through the keel slot. The locking assembly is configured to substantially prevent the keel from dislodging from the plate when the keel extends into the at least one bone portion through the keel slot.

Abstract: A spinal implant has two pairs of mounting plates or “staples,” two rods, and a crosslink. Each mounting plate mounts to a lateral side of a spinous process. Each rod interconnects a pair of mounting plates. The crosslink is disposed through the interspinous space and interconnects the rods. The crosslink hinders movement of the rods away from each other. The rods have a flexural modulus less than the mounting plates. The rod flexibility allows a small amount of relative movement of the vertebrae, which may be helpful in promoting fusion.

Abstract: A bone plate, having a bone screw and a rotatable lock for retaining the bone screw in place, includes a retainer element and/or a stop element. The retainer element inhibits the lock from being pushed off of the bone plate, while the stop element limits the rotational range of motion of the lock.

Abstract: A T-shaped plate for osteosynthesis, has at least three first attachment holes (124) and second attachment holes (113) including a curved linkage area (13). The epiphysis portion has a recess (34) with a curved profile from one end to the other of the T-bar when viewed from the top, and a curved profile when viewed from the side, and the diaphysis portion is straight and rigid. The plate is non-deformable at normal temperatures. The leg of the T has a rounded inner surface (56). The linkage area (13) has an S-shaped longitudinal cross-section, the ends (132, 133) of which that are adjoined with the bar and leg of the T, respectively, are substantially parallel to one another.

Abstract: A dynamic cervical plate includes a first end section and a second end section. In embodiments, the dynamic cervical plate may include one or more middle sections positioned between the first and second end sections. Each section may be longitudinally repositionable. Each section may include a plurality of openings for receiving threaded fasteners such as a self-starting screw or a self-tapping screw. In addition, each section may include an orifice for releasably mating with a drill guide. Each of the end sections may include a notch at one end for aligning with the drill guide or fixation pins. In one embodiment, a pin is used to interconnect the sections. In other embodiments, support bars are used to limit flexure between sections. In embodiments, one or more locking elements and/or one or more support bars may operably interconnect each section.

Abstract: The invention relates to bone plate assembly having bone plate and bone screws for compressing and locking of bone plates for stabilizing fractured fragments of a bone.

Abstract: Aspects of the present disclosure include a bone plate and/or a bone plate system. The bone plate includes an elongate body, which body includes a distal portion and a proximal portion. The proximal portion includes at least one projection extending there from, which projection is configured for contacting a bone portion, e.g., a fractured bone portion, so as to aid in the reduction thereof. In some variations, the proximal portion includes a plurality of projections, e.g., reduction aids. Methods of using such a bone plate having reduction aids by itself, or in conjunction with a second bone plate, for the reduction, restoration and treatment of a bone fracture are also provided.

Abstract: Bone plate systems are provided for surgical implants and bone repair. The bone plate is multi-tiered for receiving bone anchors screws for securing a plurality of bones or bone fragments in a desired relationship. The plate members include throughbores for receiving a pivot base therein, with head ends of the bone anchors being secured in the pivot bases. The throughbores may permit and define a translation path for the pivot base and the bone anchor secured therein relative to the plate. Pivot members extending between the pivot base and the plate member facilitate pivoting and optional translation of the pivot base relative to the plate. With the bone anchor seated within the pivot base, an apparatus for inhibiting screw back out is employed.

Abstract: A surgical implant device capable of conforming to a variety of surface topographies facilitates the growth and regeneration of site to which the device is applied. The device employs a plurality of elongate members supporting a column of discrete, rotatable elements in contact with each adjacent element. Anchor plates secure the respective ends of the elongate members, such anchor plates attachable to bone. The implant device provides and ordered array of individually rotatable elements to form a surface that permits bodily fluids to pass therethough.

Abstract: A retractor has a proximal portion comprising a first side portion having a first longitudinal edge and a second side portion having a second longitudinal edge. The first and second portions being movable relative to each other such that the first and second longitudinal edges can be positioned in close proximity to each or spaced apart by a selected distance. A distal portion has an outer surface and an inner surface partially defining a passage. The distal portion is capable of having a configuration when inserted within the patient wherein the cross-sectional area of the passage at a first location is greater than the cross-sectional area of the passage at a second location, wherein the first location is distal to the second location.

Abstract: The invention relates to a pelvic or scapular bone plate implant having a planar or curved outer frame portion. The frame has a surface which can be aligned with a surface of a bone to which the bone plate is to be implanted. The plate has a flap portion, the outer frame portion at least partially surrounds the flap portion such that the bone contacting surface the flap portion is located within the outer boundary of the frame portion. The flap portion is connected with the outer frame portion via a material interconnection which allows the flap to be bent with respect to the frame. A method for implanting such a bone plate implant is also taught.

Abstract: A remotely controllable growing rod device comprises a housing containing on-board electronics and supporting drive assemblies operable to extend or retract associated extension elements projecting along the axis of the device. Each extension element terminates in an anchor element configured to be anchored to a part of the spine, such as the pedicle of a vertebral body. Each drive assembly includes a micromotor and a threaded interface between the motor and the corresponding extension element. The on-board electronics includes a microprocessor, a power supply, such as an inductive power supply, and a receiver/transmitter. The microprocessor is configured to receive remotely transmitted movement data through the receiver and to control actuation of the drive assemblies to move the associated extension elements. Multiple growing rod devices implanted within a patient may communicate to a common on-board microprocessor through an implanted data bus.

Abstract: A bone plate for a fracture between an epiphysis and a diaphysis has an outer part unitarily formed with a fan-shaped outer end having a plurality of outer holes and an inner end extending from the outer end. A bar-shaped inner part has an outer end juxtaposed with the inner end of the outer part and formed inward of its outer end with a plurality of inner holes. A pivot is provided between the inner end of the outer part and the outer end of the inner part. Formations juxtaposed with the pivot on the inner end of the outer part and on the outer end of the inner part are lockable together in each of a plurality of angularly offset fixed positions of the inner and outer parts. When the formations are pressed together the inner and outer parts are locked angularly relative to each other.

Abstract: A bone fixation system has a first fixation device. The first fixation device has a first longitudinally extending bone insertion blade having an orienting portion, and a first plate extending transversely from the first bone insertion blade and positionable along a surface of a bone. The bone fixation system further has a second fixation device. The second fixation device has second longitudinally extending bone insertion blade orientatively interactive with the orienting portion, and a second plate extending transversely from the second bone insertion blade and positionable along the surface of the bone adjacent the first plate. When assembled, the second bone insertion blade has an orientation that is based on an orientation of the orienting portion.

Abstract: A bone plate formed of a fiber-reinforced polymer composite, comprising a radiopaque marker that delineates at least a part of the contour of the plate. In some embodiments, the radiopaque marker comprises a metal wire section embedded proximal to an edge of the contour, for example at a distance of 1 mm from an edge of the contour. In some embodiments, the radiopaque marker extends along a head portion of the plate, and/or along a stem portion of the plate. In some embodiments, the metal wire is formed as an intermittent line. Alternatively, the wire is formed as a continuous line.

Abstract: A screw fixation system includes a plate having opposed first and second surfaces, and a hole defined in the plate which extends between the first and second surface. A screw is included having a head and a shaft extending from the head and defining a longitudinal axis for the screw, the shaft of the screw being configured and adapted to be inserted into the hole. A retainer is circumferentially positioned around the shaft of the screw and proximate to the screw head. The retainer is configured to engage with the plate proximate the hole when the shaft of the screw has been inserted into the hole so as to resist removal of the screw from the hole and to allow removal of the screw from the hole when a preset torque is applied to the screw.

Abstract: The invention relates to an anti-infective spacer for osteosynthesis plates comprising a plate having at least one opening for accommodating a screw, whereby the plate is made up of at least one biocompatible material, in which at least one antimicrobial substance is distributed, dispersed or dissolved. The invention also relates to a set comprising at least one osteosynthesis plate and at least one said spacer, preferably comprising at least one screw for each recess of each spacer.

Abstract: Systems and methods for stabilizing portions of bone are provided. In some aspects, a bone fixation system can include a plate configured to be fastened to a growing bone to control growth of the bone in at least one direction. The system can include a keel structure having a longitudinal axis. The keel can extend from the plate into the bone to permit bone growth along the keel longitudinal axis on one side of the bone while the plate generally inhibits growth on the other side of the bone.

Abstract: A bone plate including a combination locking and compression screw hole having a top opening and a bottom opening, the top opening being generally circular and including a widthwise dimension and a lengthwise dimension normal to the widthwise dimension, where an interior wall of the bone plate extends between the top opening and the bottom opening, where at least a portion of the interior wall proximate the top opening is threaded, and where at least one of the widthwise dimension and the lengthwise dimension is decreased between the top opening to the bottom opening, while the other of the widthwise dimension and the lengthwise dimension does not substantially decrease between the top opening and the bottom opening.

Abstract: A method of expanding the spinal canal of a vertebra including inserting a bone anchor into a first lamina of the vertebra, cutting completely through the first lamina to create a space in the first lamina, cutting partially through a second, contra-lateral lamina of the vertebra to create a partial cut in the second lamina, engaging a first segment of a plate with the bone anchor, pivoting the bone anchor and the first lamina about the partial cut in the second lamina to increase the extent of the space in the first lamina, and connecting a second segment of the plate to a portion of the vertebra across the space from the first segment of the plate such that the plate spans the space and stabilizes the vertebra.

Abstract: An occipital plate for use in an occipitocervical fixation procedure to stabilize the base of a patient's skull with respect to the patient's neck. The occipital plate of the invention is made up of a middle portion having left and right sides, and left and right hinged legs extending outward in opposite directions from the left and right sides of the middle portion. Each of the left and right hinged legs uses a hinge mechanism to secure a spinal rod to the occipital plate.

Abstract: A bone plate locking system including a threaded screw body having a proximal end and a distal end and a plate with a through-hole. The proximal end includes a head. The head includes an upper portion, a groove adjacent the upper portion and a lower portion adjacent the groove, wherein a center-axis of the groove is off-axis to a center-axis of the threaded screw body. A locking ring configured to reside within the groove of the head. The through-hole includes an upper portion, a groove adjacent the upper portion and a lower portion adjacent the groove. The head is receivable in the through-hole. The locking ring is rotatably positioned around the groove of the head such that in an unlocked position the locking ring is outside the groove of the through-hole and in a locked position the locking ring is at least partially within the groove of the through-hole.

Abstract: A bone plate has a body with an outer surface and a bone-contacting surface with a channel formed at a periphery of the body, and a suture member having an end slidably received in the channel. The suture member has an end extending outwardly of the channel. The channel is formed along at least one side of the body. The suture member includes a retainer member received in the channel, a shank extending through the channel, and a loop member affixed to the end of the shank opposite the retainer member. The loop member has a shape suitable so as to allow a suture to be affixed thereto. The body has a slot communicating with the channel and opens at the outer surface so as to allow the suture member to be inserted into the channel.

Abstract: An orthopedic plate assembly for supporting a bone can include a y-shaped first plate and a second plate separate from the first plate. The first plate can be attached to the bone and have a center line. The first plate can include an elongate body attachable to a first portion of the bone and extending along the center line and first and second arms transversely extending from an end of the body. The first and second arms can define an aperture in the first plate. The second plate can be attached to the bone. The second plate can have a first end and a second end opposite the first end configured to be disposed on and engaged with the first arm and the second arm, respectively. The second plate can be configured to span the aperture transverse to the center line when engaged with the first and second arms.

Abstract: A bendable bone plate (10) is disclosed which is adapted for use in situ as a conformable bone splint to fix the spatial relationship of at least two bone parts (80). The bone plate (10) has an elongated plate (11) made of a bendable material. A plurality of screw apertures (24) extending through the top (14) and bottom (16) surfaces are disposed along the length (L) of the plate. Bone screws (28) are inserted through the apertures into the underlying bone parts (80) to anchor the elongated plate (11) to the bone parts (80). At least two of the screw apertures (24) are disposed as a closely spaced pair (40) of screw apertures (24) with a “bend relief zone” (60) disposed between the closely spaced apart screw apertures (24). The bend relief zone (60) is disposed to allow the elongated plate (11) to be bent across the bend relief zone (60) up to a certain angle (A) without deforming the screw apertures (24) adjacent the bend relief zone (60).

Abstract: A fracture fixation system in which a plate is secured to stable bone and posts are inserted at varying angles into an unstable bone fragment by engaging in rotatable bearings which are fixedly secured in the plate when the posts are fully engaged in the bone fragment. The bearings are formed as truncated spherical members having a number of longitudinal slots extending partway along the length of the bearing to form petals which are expanded outwardly when the posts are advanced in the bearing to produce non-uniform distribution of forces between the bearing and the plate which generate force couples to resist angulation of the posts and loss of fracture fixation. Various other ways of producing non-uniform force distribution are described.

Abstract: A surgical system for stabilizing a first bone segment to a second bone segment, the system comprising a plate having a first end and a second end, wherein the first end is configured to be secured to the first bone segment and the second end is configured to be secured to the second bone segment, and further wherein the plate has a structural integrity sufficient to stabilize the first bone segment to the second bone segment. Further embodiments comprise a supplemental plate for stabilizing a third bone segment to the second bone segment.

Abstract: A bone plate assembly utilizing at least one bone screw for fixation of adjacent bones of a spine including a base plate having at least one aperture extending therethrough and screw retaining mechanism mounted and movable on the plate between locked and unlocked positions relative to the aperture for preventing the bone screw from backing out from the base plate.

Abstract: A device for treating a bone comprises a cable block including a first lumen extending from a first proximal opening in a proximal face of the cable block to a first distal opening in a distal face thereof, the first lumen being configured to receive a cerclage cable including an enlarged end. The cable block further includes a second lumen extending from a second proximal opening in the proximal face to a second distal opening in the distal face and being configured to receive a portion of the cable extending from the enlarged end while preventing the enlarged end from passing therethrough. The cable block includes a slot connecting distal portions of the first and second lumens and being at least as large as the second lumen in combination with a crimpable locking member including a channel configured to receive the portion of the cable extending from the enlarged end.

Abstract: A method for securing neighboring bone plates by an implant includes the steps of resting an inner contact element of the implant on inner faces of the bone plates, resting an outer contact element of the implant on outer faces of the bone plates, connecting the inner contact element and the outer connecting element by a flexible tensioning element, forming a knot between free strands of the tensioning element, wherein the knot is a slip knot, and pushing the knot in a recess of the outer contact element with the knot being positioned at least partially below an outer surface of the outer contact element.

Abstract: In one aspect, a bone plate system is provided including a bone plate and a plurality of cable connector devices configured to be inserted into throughbores formed in bone portions and through openings of the bone plate member aligned therewith. The cable connector devices each include opposite end portions with one end portion configured to abut against the bone adjacent the throughbore and the other end portion configured to be operatively fixed to the bone plate member with the cable portion extending therebetween and in the bone throughbore for securing the bone plate member to the bone portion with the cable connector devices including a cable portion thereof extending in the bone throughbore.

Abstract: A metatarsal fixation device is provided for fixation of osteotomy or fracture of a distal metatarsal metaphysis bone of the human foot and for fixation of an associated capsule to the metatarsal head. The device includes a metallic bone plate with a series of screw holes along an elongated portion of the plate and a combination of a singular screw hole and a resilient clamp on an end of the elongated portion. The resilient clamp has two arched resilient arms extending laterally outward from an end of the elongated portion. Each arm has a plurality of spikes on an inner surface thereof providing points of contact that compress and attach a metatarsal phalangeal joint capsule portion to the medial and/or lateral aspect of the metatarsal head, thereby facilitating realignment of the metatarsophalangeal joint and respective digit. The resilient arms are biased to grasp lateral sides of a metatarsal head and any associated capsule portion.

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 bone plate with a new design that prevents the bushing from rotating and/or dislodging from the screw hole during screw insertion. The plate is provided with through-holes having internal walls with at least one flat that is configured to align with a corresponding flat provided on the outer wall of the bushing. The bushing is inserted by orienting the bushing in a direction perpendicular to the through-hole of the plate so that the center of the bushing is aligned with the center of the through-hole and the flat on the bushing is aligned with the flat on the through-hole of the bone plate. The bushing is introduced into the through hole until the centers are aligned, and then the bushing is rotated about 90 degrees so that the bushing is captured within the through-hole of the plate. Once captured, the bushing cannot rotate, dislodge from, or come out of the plate unless the bushing is turned 90 degrees.

Abstract: An improved means for fixation of a fractured coronoid process of the proximal ulna. A substantially rigid plate is secured to the anterior aspect of the proximal ulna relative to a fracture of the coronoid process of the ulna. The plate contains a hook feature at the proximal aspect and is positioned so that it extends over the proximal/anterior aspect of the coronoid process relative to the fracture. The plate has surfaces that define a plurality of openings through which suture and/or screws can pass. The openings may contain a recess at a side of the plate opposite the ulna. At least one hole is formed in the ulna. At least one anchor may be secured to a flexible device, positioned at a side of the plate opposite the ulna, secured to another anchor on the posterior aspect of the ulna and the flexible device tensioned. At least one screw may be inserted through the plate and into the coronoid process or a bone fragment securing it to the plate.

Abstract: System, including apparatus and methods, for fixing bone with a bone plate supported temporarily at a slant on bone by a leg member before the bone plate is used as a lever to reposition a region of the bone. In some embodiments, the leg member may be a post member that attaches to the bone plate by threaded engagement with an aperture of the bone plate. In some embodiments, the bone plate and the leg member may be used near the end of a long bone, such as on a distal portion of a radial bone.

Abstract: A spinal fixation assembly has a bone screw with head having a continuously curved spherical outer surface. The curved surface nests in a split annular bushing having a plurality of segments curving around the screw head. The bushing has an outward extending flange that fits into a recess in a socket in a fixation plate. The plate has at least three legs which extend from ends of a cross-member to form one of an H shaped, X shaped or A shaped configuration. Each socket is curved to rotatably receive rotation of the bushing. The socket recess is larger than the bushing flange to allow the bushing to tilt a predetermined amount depending on a thickness of the outward extending flange.

Abstract: An instrument for positioning a bone graft relative to a bone plate includes an instrument body having a plurality of spaced apart graft chambers, a first one of the graft chambers having a first end, a second end, and a chamber length extending between the first end and the second end, the first end of the first graft chamber including a first chamber surface for receiving a first plate segment of a first bone plate, the second end of the first graft chamber including a second chamber surface for receiving a second plate segment of the first bone plate, the first graft chamber including a central chamber surface interposed between the first chamber surface and the second chamber surface for receiving a first bone graft, the central chamber surface having a first chamber length corresponding to the graft length of the first bone grafts.

Abstract: An assembly for reducing a fracture between an epiphysis and a diaphysis of a bone has a bone plate having a fan-shaped outer end formed with a plurality of outer holes and a bar-shaped inner end extending along a longitudinal axis from the outer end and formed with a plurality of inner holes. The plate further is formed on the bar-shaped inner end with a longitudinally extending throughgoing guide slot and between the guide slot and the outer holes with an aperture. A slide has a longitudinally extending leg with an inner end formed with a guide formation engaged into and longitudinally slidable along the guide slot and a crosspiece overlying the aperture and engaging the bone plate to both transverse sides of the aperture. The crosspiece is formed with a transversely elongated slide slot, and a slide screw engaged through the slide.

Abstract: System, including methods, apparatus, and kits, for fixing bones with bone plates having movable locking elements.

Abstract: A fixation device for the fixation of bone fragments, applicable to the mutual fastening of bone fragments temporarily separated during a surgical operation or as a result of a trauma. The device is also suitable for the fixation of a bone flap in the replacement thereof in a corresponding aperture made in the cranium or cranial bone mass. The device is made of biocompatible material and has a flexible strip and fastening mechanism, the strip having a length allowing the formation of a fastening loop tightly fastening the bone fragments to be joined together. The fastening mechanism is provided with at least one opening provided with an interlocking mechanism allowing the passage of a free end of the strip and preventing its extraction in the direction opposite to the insertion.

Abstract: A distal radius plate for repairing distal radius fractures is provided, comprising a proximal member and a distal member, wherein the proximal member includes a pair of proximal screw holes, a pair of distal screw holes; an elongated slot located between the proximal screw holes and the distal screw holes, adapted to allow placement of one or more screws within the slot; and a notch formed into the terminal end of the proximal member adapted to receive a retractor tip. The distal member is inclined with respect to the proximal member, and includes a plurality of holes for pegs and K-wires.