Abstract: An orthopedic fixation system includes an orthopedic implant and a compression insert transitionable between a natural shape and an insertion shape. The orthopedic implant includes first and second plates with insert slots configured to receive therein a portion of the compression insert. The first and second plates secure with a bone in an opposed relationship while being separated by an expansion whereby the insert slots of the first and second plates align across the expansion. The compression insert, in the insertion shape, inserts into the insert slots of the first and second plates such that the compression insert spans the expansion. The compression insert, due to an attempted transition thereof from the insertion shape to the natural shape, delivers energy stored therein to the first plate and the second plate whereby the orthopedic implant affixes the bone.

Abstract: A modular system is provided for assembling a structure to secure to opposite sides of a fracture in a bone of a subject. The modular system includes a plate with a perimeter including a plurality of openings. The perimeter defines an interior area within the plate. The modular system also includes a link with one or more openings along a linear axis defining the link. The one or more openings of the link include a connector to receive a fastener to be secured in the bone. The plurality of openings of the plate includes a first opening with an inner diameter configured to removably receive an outer diameter of the connector of the link so that the link is rotatably received within the first opening. A method is also provided for assembling the structure using the modular system and securing the assembled structure to opposite sides of the bone fracture.

Abstract: A method and device for repairing a bone fracture include the use of a bone plate and a bone hook that engages the interior of the bone. The method includes the steps of using at least one bone hook that engages the interior of the bone to apply a counterforce to the bone plate installation forces. The bone plate is configured to be positioned over the hook while the bone hook is in place. In an exemplary configuration, two bone hooks are used to position and then hold the ends of the fractured bone. The hooks are positioned through the bone plate and apply a counterforce to the installation of the bone plate. The hooks are removed after the plate is installed. In the case of a rib fracture, with the hook or hooks engaging the interior of the bone, there is minimal disruption to the intercostal material around the fracture and no engagement between the tools and the pleura behind the bone.

Abstract: The present disclosure provides for spinal implants and plates including, for example, expandable plates deployable between a contracted position and an expanded position. The expandable plate may include an expandable body including a first portion and a second portion. The first portion may include a receiving cavity facing the proximal end, and a first through aperture extending in the proximal-to-distal direction. The second portion may include a lower end having a size and shape that corresponds to the receiving cavity, and a second through aperture extending in the proximal-to-distal direction. The expandable plate may include a locking screw and a nut. In at least some embodiments, in a locked position, the locking screw extends through the first through aperture and second through aperture, and is secured to the nut. In various embodiments, in an expanded position the first portion and second portion are farther away from one another relative to a contracted position.

Abstract: Bone plates for engaging bone members are described herein. The bone plates can receive one or more screws to secure the bone plates to an underlying bone member. The one or more screws can be inserted into bone plate holes that can be considered locking or non-locking. The bone plates described herein can have particular combinations of locking and/or non-locking holes. The bone plates can include features that accommodate the underlying anatomy of different types of bone, such as the condylar region of a femur.

Abstract: A modular bone fixation linkage includes a plurality of interconnected links that can angulate with respect to an adjacent one of the links in-plane or out-of-plane. The links can further include fixation holes that are configured to receive fixation members that secure the links to an underlying anatomical structure.

Abstract: An ankle implant for use in ankle arthroplasty in total ankle replacement is provided. The implant includes an upper prosthesis anchored to the tibia and a lower prosthesis anchored to the talus. The lower prosthesis is operable associated with the upper prosthesis. The implant also includes a stem which is rigidly removably connected to the second member. The stem includes a portion for attachment to the calcaneous. The stem is be adapted to be in a first position in the calcaneous when the stem is in a first relative position with respect to the lower prosthesis, and to provide for a second position in the calcaneous when the stem is in a second relative position with respect to the lower prosthesis.

Abstract: Disclosed herein are occipital plates that include a fixation plate portion and at least two extensions integrally connected to the fixation plate portion and extending away from the fixation plate portion. The fixation plate portion has a plurality of through-holes for receiving bone screws that secure the occipital plate to a patient's skull or, specifically, the occiput. Each extension includes a slot for removably receiving a rod connector or a rod-to-rod connector, the slots having an entry area or portion for receiving a connector and a holding area or portion for maintaining the connector in the slot.

Abstract: Securing plate assemblies, systems, and methods thereof. A hinge plate assembly includes a first body portion having a groove extending into the first body and a second body portion having a tongue extending outwardly therefrom and inserted into the groove. A securing member secures the tongue in the groove.

Abstract: An orthopaedic device for securing between first and second regions of bone separated by a growth plate, the orthopaedic device comprising: a first portion to secure to a first fixing location on the first bone region; a second portion to secure to a second fixing location on the second bone region, the first fixing location and the second fixing location being laterally offset relative to a longitudinal axis of the bone; wherein the first and second portions are pivotally coupled between a first coupling location on the first portion and a second coupling location on the second portion such that movement of the first and second portions away from each other in a direction parallel to the longitudinal axis of the bone causes relative rotation of the first bone region and the second bone region thereby reducing the lateral offset of the first location and the second location.

Abstract: The present disclosure provides for spinal implants and plates including, for example, expandable plates deployable between a contracted position and an expanded position. The expandable plate may include an expandable body including a first portion and a second portion. The first portion may include a receiving cavity facing the proximal end, and a first through aperture extending in the proximal-to-distal direction. The second portion may include a lower end having a size and shape that corresponds to the receiving cavity, and a second through aperture extending in the proximal-to-distal direction. The expandable plate may include a locking screw and a nut. In at least some embodiments, in a locked position, the locking screw extends through the first through aperture and second through aperture, and is secured to the nut. In various embodiments, in an expanded position the first portion and second portion are farther away from one another relative to a contracted position.

Abstract: A method for securing a first interacting element to a second interacting element is provided. The first interacting element includes a lateral surface established by a first surface and a second surface and at least a portion of the lateral surface includes a thread receipt. The second interacting element includes a distal end and a proximal end that establishes a body therebetween. The body has a thread that is configured to at least partially engage with the thread receipt of the first interacting element. The second interacting element is then inserted at least partially through the surface of an object. The thread receipt of the first interacting element is then abutted adjacent to the thread of the second interacting element. Upon rotation of the second interacting element the thread of the second interacting element at least partially engaged with the thread receipt of the first interacting element.

Abstract: A fastener, for example a bone screw, is sized to pass through a hole of an implant, for example a bone plate, the fastener having a shaft or anchor portion engageable with body tissue, and a head portion. A locking cap secures to the bone plate and covers the head to block the head and inhibit screw back out. Alternatively, or additionally, a locking disc located in the plate hole resiliently deflects downward to allow screw insertion, but is blocked to limit or prevent upward deflection so that screw back out is inhibited.

Abstract: A tether assembly may be attached to a bone to correct a rotational deformity. The bone may have a growth plate that separates a first section of the bone from a second section of the bone. The tether assembly may have a tether member with a first end, a second end, and a central portion extending between the first end and the second end. The first end may have a closed outer wall that defines and fully bounds a first aperture. The second end may have an open outer wall that defines and partially bounds a second aperture. The open outer wall may define a slot in communication with the second aperture. The first and second ends may be securable to the first and second sections of the bone via coupling members inserted through the first and second apertures and anchored in the first and second sections, respectively.

Abstract: A bone plate that includes an upper surface defined by at least two flat surfaces and a bone contacting surface defined by at least two flat surfaces.

Abstract: A bone repair system, kit and method for percutaneous repair of a bone segment containing a first bone segment and a second bone segment in a patient, each bone segment having a drill hole. The system comprises a longitudinal member configured to contact the first bone segment and the second bone segment and having at least one opening and cleats on the side adapted to contact the first bone segment and the second bone segment; a first fastener assembly configured to be disposed through the opening of the longitudinal member to hold the longitudinal member in place through the opening and the hole in the first bone segment; and a second fastener assembly configured to be disposed through the opening of the longitudinal member to hold the longitudinal member in place through the opening and the hole in the second bone segment.

Abstract: A modular bone plate includes a first plate member including a first connection portion having a first hole and a second plate member including a second connection portion having a second hole. The first plate member is connectable to the second plate member when the first plate member and the second plate member are arranged such that the first hole and the second hole overlap. The modular bone plate also includes a connector member that is insertable into the first hole and the second hole when the first hole and the second hole overlap such as to connect the first plate member and the second plate member. The connector member includes a passage that is configured to accommodate a portion of a bone anchor therein.

Abstract: A variety of K-wires with imbedded plates are disclosed that allow for the plate in K-wire to be secured to the bone after insertion. Further, a donut shaped washer for capturing and securing the K-wire is disclosed. Also, a screw with a channel is disclosed that has a head shaped to capture and secure the K-wire. Finally, embodiments of a slotted washer are disclosed that captures and secures the K-wire.

Abstract: A minimally invasive hip arthroplasty technique involves intramedullary insertion of an elongate femoral broach into a femur. The broach has a superior lateromedial transverse bore. A reaming rod is then located through the transverse bore and the neck of the femur. A cutting head is coupled to a distal end of the reaming rod via an incision. An orthogonal drive arm of an arthroplasty jig may also be inserted behind the cutting head to press the cutting head to ream the acetabulum while the reaming rod rotates the cutting head.

Abstract: Bone plates for engaging bone members are described herein. The bone plates can receive one or more screws to secure the bone plates to an underlying bone member. The one or more screws can be inserted into bone plate holes that can be considered locking or non-locking. The bone plates described herein can have particular combinations of locking and/or non-locking holes. The bone plates can include features that accommodate the underlying anatomy of different types of bone, such as the condylar region of a femur.

Abstract: A bone plate for treating acromioclavicular dislocations includes a shaft including a lateral portion sized and shaped to be positioned along a superior aspect of a lateral clavicle, the shaft including a plurality of openings extending therethrough for receiving bone fixation elements therein and a hook member extending from the shaft so that, in an operative position, the hook member is hooked under an acromion and the lateral portion of the shaft is positioned on the superior aspect of the lateral clavicle, the lateral portion of the shaft being substantially rounded so that the hook member is movable in one of an anterior direction and a posterior direction while the shaft maintains contact with the superior aspect of the lateral clavicle without any portion of the lateral portion of the shaft protruding beyond a surface of the lateral clavicle.

Abstract: Described is a femur fracture fixation device for treating a fractured, proximal end portion of a femur. The femur fracture fixation device comprises: an intramedullary nail; an extramedullary plate, including a main body portion for attachment to a lateral surface of the femur, and a posterior support portion extending from the main body portion for attachment to a posterior surface of the greater trochanter region of the femur; and a bone fastener, configured for insertion through an opening of the main body portion of the extramedullary plate, through an opening of the intramedullary nail, and into the head portion of the femur.

Abstract: Disclosed is a system and method for fusing two bones within a mammal. More particularly described is such a system and method for a transcortical fusion system wherein which a plate is affixed in a longitudinal slot or aperture cut into the anterior portion of the tibia and the talus, thereby achieving a fusion of the joint while placing the fusion site in the joint in compression.

Abstract: A bone plate assembly and method of utilizing same are disclosed. The assembly includes at least two plates affixed to the bone in two different locations. One of the plates includes a porous bone in-growth surface, and may be entirely porous. The assembly may further include at least one bone screw and cable for affixing the plates to the bone. In the method of use, the plates may be affixed by the screws and/or cables and the plate including the porous surface may be left in place after bone is allowed to grow therein.

Abstract: A pectus bar stabilizer insertion tool can include a first handle, a second handle, a first head, a second head, and a locking shaft. The first handle can include a first distal portion. The second handle can include a second distal portion, and the second handle can be pivotably coupled to the first handle. The first and second handles can be moveable between an open position and a closed position. The first head can be coupled to the first distal portion and can be engageable with a first portion of a stabilizer. The first head can include a driver engageable with a lock of the stabilizer. The second head can be coupled to the second distal portion and can be engageable with a second portion of the stabilizer. The locking shaft can be coupled to the driver and operable to lock and unlock the stabilizer to a pectus bar.

Abstract: A targeting system for use with a bone plate includes a body having an upper side and an opposite lower side, a first lateral side and a second opposite lateral side, a first plurality of holes extending through the upper and lower sides and arranged in a first pattern, a second plurality of holes extending through the first and second lateral sides and arranged in a different second pattern.

Abstract: A bone distraction device having a ratchet and pawl assembly such that incremental rotation is allowed in one direction and prevented in the other, and further having a quick release mechanism such that the ratchet and pawl mechanism can be released to allow free rotation in both directions. The device has a pawl housing mounted onto a rod housing, the pawl housing having a sloping transition shoulder diminishing to transition onto the outer surface of the rod housing. In other embodiments, the device has a sleeve housing with an enlarged end telescopically mounted onto a rod housing, the enlarged end having a sloping transition shoulder diminishing to transition onto the outer surface of the sleeve housing.

Abstract: Anterior cervical instrumentation systems, methods, and devices are disclosed. Systems may facilitate immobilizing or providing support for the cervical portion of the vertebral column of a patient. A device may comprise a plate having two channels located in a proximal to distal direction, and may further comprise at least one aperture. The device may further comprise attachment elements such as attachment cross-links and spacer cross-links, and fasteners. The plate and the attachment elements may be secured to the vertebrae by passing fasteners through apertures and channels. The length of the plate, position and number of the attachment cross-links, position and number of spacer cross-links and degree of movement may be intraoperatively selected by the surgeon to provide an optimal application and procedural outcome. Uniform components of the devices and systems allow for a more streamlined and simplified method of treating spinal conditions.

Abstract: A plate for securing two bone segments in a tibial plateau levelling osteotomy procedure having a body with an elongate distal portion and a proximal portion extending laterally and a plurality of apertures for receiving fixing means wherein at least two of the apertures are adapted to receive fixing means and at least one of the said apertures is adapted to receive a removable plug which extends proud of the bone-facing surface. One of the apertures has a camming surface configured such that upon insertion of the fixing means the bone fragments are urged together thereby promoting healing without deleterious compression of the surface of the bone.

Abstract: An implant for use in orthognathic surgery of a mandible may include a longitudinal plate member and a plurality of pre-configured guides coupled to the plate member. The longitudinal plate member is pre-bent to correspond to the post-operative shape of the mandible; and the guides are pre-configured to align the plate member with the mandible when the implant is positioned against the mandible after the mandible has been separated.

Abstract: A bone plate comprises a body including an elongated opening extending therethrough, the opening being open at a distal end of the body and including a distal portion and a proximal portion, the distal portion having a width smaller than a width of the proximal portion, the width being a dimension between two longitudinal sides of the opening extending parallel to a longitudinal axis of the body, the body further including an insert including a head portion and a base portion, the base portion being shaped to be slidably mounted within the proximal portion of the opening, a diameter of the base portion being larger than a width of the distal portion of the opening such that the base portion is prevented from exiting the opening through the distal portion thereof, the insert further including a central fixation element receiving hole configured to receive a bone fixation element therethrough.

Abstract: An implantable fixation device for rejoining opposed portions of a separated bone. The device including two corresponding plates that are configured to be aligned and coupled to a bone, such as a sternum, pre-resection of the bone or prior to cutting/separating the bone. The placement of the corresponding plates provides a gap between the edges of the plates that face one another allowing for and guiding a cutting tool for separating the bone. After the bone has been cut and the desired surgical procedure performed, the plates also assist in realigning and fixation of the bone portions. At least one plate includes a ratchet mechanism that is configured to tighten a locking element and draw the two plates together and into alignment with one another.

Abstract: A compression force magnifier including a vertical axis through a body and a proximal surface of the body sloped at a predetermined angle relative to the vertical axis. A flat distal surface of the body is disposed opposite the proximal surface. A bore is disposed through the body from the proximal surface through the distal surface. The body is connected to an arm having a connection opening configured to allow connection of the body to a bone plate. The connection opening has a connection axis spaced from the vertical axis.

Abstract: An orthodontic implant structure (2) that is used by being implanted in bone in an oral cavity includes a first screw (6, 6B) having a screw body (6b) and an engaging portion (14), a plate securing implement (12, 13), a second screw, and a base plate having a first surface (4p) and a second surface (4q) and in which a first attachment hole (24A, 24B) and a second attachment hole (26) are formed.

Abstract: Implantable bone fixations apparatus comprising a pair of plates (1 and 1?) provided with holes (11, 12, 13) for receiving compression and/or locking screws and with longitudinal slots (15), characterized by a union element (3) disposed between the plates (1, 1?) such as to bridge the bone parts that need to be united, the union element (3) comprising rods that cooperate with the longitudinal slots (15) of the plates (1, 1?).

Abstract: A surgical fixation system including a base plate, a plurality of anchors and a locking element. The base plate has at least a pair of fixation apertures configured to receive at least a portion of the anchors therethrough. The fixation apertures are located within the base plate such that upon proper placement of the base plate within a surgical target site, one of the fixation apertures is positioned over a first bone segment (e.g., a first vertebral body), and the other fixation aperture is positioned over a second bone segment (e.g., a second vertebral body).

Abstract: A maxillofacial orthognathic fixation implant assembly and its method of production and use, the implant being an assembly of an upper anchor implant member, a lower anchor implant member and at least one bridging implant member, the anchor implant members being adapted to be securely mounted to a maxilla and the at least one bridging implant member being adapted to connect the upper anchor implant member to the lower anchor implant member in a fixed and rigid manner. With the anchor implant members affixed to the maxilla and the maxilla surgically separated between the upper and lower anchor implant members to create a lower portion detached an upper portion, the at least one bridging implant member is connected between the upper and lower anchor implant members to secure and maintain the lower portion of the maxilla in a desired post-operative position relative to the upper portion of the maxilla.

Abstract: An implantable growing rod assembly adapted to be secured along a length of a spine for treating deformities of the spine. The assembly includes a housing, a fixed rod extending along a longitudinal axis away from the housing, and an expansion rod extendible from the housing along the longitudinal axis. A driver assembly is fixed to the housing and adapted to translate the expansion rod along the longitudinal axis.

Abstract: Bone plates for engaging bone members are described herein. The bone plates can receive one or more screws to secure the bone plates to an underlying bone member. The one or more screws can be inserted into bone plate holes that can be considered locking or non-locking. The bone plates described herein can have particular combinations of locking and/or non-locking holes. In addition, instruments such as distal and proximal aiming guides can accompany the bone plates to guide one or more screws into the bone plates.

Abstract: A bone plate fixation system for fixation of the distal radius bone includes a bone plate having an elongate shaft portion and a triangular-shaped head portion, with each portion defining a number of bone screw openings extending therethrough for receipt of bone screws. The triangular-shaped head portion may define an elongate visualization window having a window length extending across a width of the bone plate. At least some of the openings include flexible fins protruding radially inward into the opening and deflectable by the head of a bone screw to retain the bone screw in position within the opening. In one embodiment, the bone plate has an outer perimeter that is substantially symmetrical relative to a longitudinal axis of the bone plate. In another embodiment, the elongate shaft portion includes an elongate slot having a length extending along the longitudinal axis.

Abstract: A method and system for reducing and affixing two separated bone segments, the system having a bone plate with a pair of positioning slots, and a pair of elongated manipulating members with anchoring structures, the anchoring structures sized to pass through the positioning slots and for advancement into the bone segments. The bone plate is loosely mounted to the bone segments across the separation gap and a manipulating member is screwed into each bone segment through a positioning slot. The manipulating members are then used to reposition the bone segments by moving them together longitudinally within the slots. Fixation bone screws are inserted into the bone segments through screw receiving apertures to securely affix the bone plate to the repositioned bone segments. The manipulating members are then removed.

Abstract: A modular bone fixation linkage includes a plurality of interconnected links that can angulate with respect to an adjacent one of the links about at least one axis, such as three axes. The links can further include fixation holes that are configured to receive bone anchors that secure the links to an underlying anatomical structure.

Abstract: A bone stabilizing plate includes two plate portions, each affixable to bones of a patient, the plate portions telescoping together with mating rails and grooves. A limiter associated with one of the plate portions sliding engages one a catch associated with the other of the plate portions, when the plate portions are telescoped together, and resists stops telescoping when the plate portions are telescoped a predetermined distance apart. Once the limiter and catch are engaged, the plate portions enable imposition of a minimum compressive force between bones connected to the plates. The limiter is resiliently positioned to deflect into a relief formed in its respective plate portion. A groove positioned proximate the catch enables free telescoping motion limited by the engagement of the catch and limiter, whereby the minimum compressive force between bones is maintained, and Wolfe's Law may apply.

Abstract: A modular bone plate includes a first plate member including a first connection portion having a first hole and a second plate member including a second connection portion having a second hole. The first plate member is connectable to the second plate member when the first plate member and the second plate member are arranged such that the first hole and the second hole overlap. The modular bone plate also includes a connector member that is insertable into the first hole and the second hole when the first hole and the second hole overlap such as to connect the first plate member and the second plate member. The connector member includes a passage that is configured to accommodate a portion of a bone anchor therein.

Abstract: Securing plate assemblies, systems, and methods thereof. A hinge plate assembly includes a first body portion having a groove extending into the first body and a second body portion having a tongue extending outwardly therefrom and inserted into the groove. A securing member secures the tongue in the groove.

Abstract: A fixation device is disclosed for the fixation of proximal humerus fractures includes an implantable humerus plate having a proximal portion adapted to be positioned at a head and medial calcar of the humerus, a distal portion adapted to be positioned along a shaft of the humerus, and a plurality of calcar openings provided through the proximal portion adapted to receive calcar fasteners that extend into the medial calcar. The calcar fasteners are grouped into a rafted configuration and the tips of each fastener are positioned into the calcar region so that torsional forces bearing upon the calcar regions are distributed into the rafted fastener support, thereby avoiding varus collapse of the humerus head after fixation of the fracture.

Abstract: The present invention discloses a moveable bone plate implantation system, controlled movement assembly, and method. The moveable bone plate implantation system includes a movement instrument, translation member removeably coupled to the movement instrument, and a bone plate detachably connected to the translation member. The controlled movement assembly includes a translation member and a bone plate. The translation member includes a shaft with a first end and a second end and a head portion at the first end. The head portion includes an engagement groove recessed into the head portion and a lip extending out from a bottom portion of the engagement groove. The bone plate includes an engagement aperture for receiving the engagement groove and the lip engages a bottom surface of the bone plate during translation of the bone plate. A method for moving bones is also disclosed.

Abstract: A spine stabilization system having a base plate having a plurality of screw holes and a plurality of corresponding screw locking mechanisms. The present invention also provides an extension plate having a plurality of screw holes and corresponding screw locking mechanisms. The extension plate is dimensioned and configured with an extension portion, the extension portion having a screw hole and a screw locking mechanism and a finger portion having a connection element and to contact and connect with the base plate. The base plate is provided a graft window having edges, wherein at least one of the edges being configured to receive and connect with the connection element.

Abstract: Disclosed herein are a bone plating system and a method for utilizing the same. The bone plating system may include first and second bone plates in contact with respective first and second bones, a cross-connector, a cutting guide and a targeter device. The cross-connector may have a first end and an opposite second extending along a longitudinal axis from the first bone plate to the second bone plate. The cutting guide may have an elongate body placed on one of the first or second bones. The targeter device may have a drill guide to align the cross-connector with the first and second bone plates. A method for fixing the bone plating system to the first and second bone may include using the targeter device.

Abstract: Embodiments are disclosed that relate generally to orthopedic treatments, and more particularly, but not by way of limitation, to devices, apparatuses, kits, and methods for an orthopedic device comprising one or more osteotomy plates, guides, and/or cutters (e.g., for bunion removal or for stabilizing a joint or a cut/break line of a fracture).