Abstract: A spinal plate system that maintains intervertebral spacing and spinal stability is provided. One embodiment includes a spacer for establishing an initial condition of an adjustable spinal device. The spacer includes a first coupling portion configured to couple selectively with a first segment of the adjustable spinal device, a second coupling portion configured to couple selectively with a second segment of the adjustable spinal device, and a spacer body extending between the first coupling portion and the second coupling portion. The spacer prevents movement of the first segment of the spinal device relative to the second segment when the first coupling portion is coupled selectively with the first segment and the second coupling portion is coupled selectively with the second segment.

Abstract: A modular bone plating system in one embodiment is a bone plate kit including a plurality of bone plates, each of the plurality of bone plates including a male coupling portion, a female coupling portion and a shaft extending between the male coupling portion and the female coupling portion, wherein each of the male coupling portions of each of the plurality of bone plates is configured to couple with each of the female coupling portions of each of the other of the plurality of bone plates.

Abstract: A bone fixation apparatus comprises an extramedullary component, an intramedullary component, and a fastener configured and dimensioned to interconnect the extramedullary component and the intramedullary component. The fastener has a head portion and a shank portion. The head portion is configured and dimensioned to be received in the extramedullary component. The shank portion is configured and dimensioned to be received in the intramedullary component. The fastener has a first longitudinal axis extending through both the head portion and the shank portion. The extramedullary component has a second longitudinal axis. The extramedullary component also includes an elongated surface defining an opening through which the shank portion of the fastener passes when the shank portion is received in the intramedullary component. The opening has a V shape. The V shape is oriented transverse to the first longitudinal axis and to the second longitudinal axis.

Abstract: A bone-fixation system is disclosed, the system comprising a bone plate having a section with a plurality of holes and a recessed area at least partially surrounding one or more of the holes, the recessed area defining a floor surface situated below a top surface of the plate, the floor surface extending at least partially between some or all of the plurality of holes, and an aiming device having a plurality of holes arranged to align with the plurality of holes in the plate and an extension, the extension being receivable within the recessed area and defining a bottom surface adapted to at least partially rest on the floor surface.

Abstract: A system is disclosed for repairing and reconstructing an injured intra-articular, extra-articular ligament or tendon to a bone. The system includes realigning the axis of a bone, and further includes fixing fragments of a bone together. Novel devices, instruments and methods are disclosed, including a cortical loop for engaging a bundle of soft-tissue and capturing the bundle against a bone surface, an anchor for stabilizing a fractured bone, a guide for directing an orthopedic blade, and a hinged external jig arranged to position and guide the blade. Methods are disclosed for connecting soft-tissue to a bone and for bone alignment.

Abstract: The present disclosure includes a method for reducing a bone fracture and an apparatus such as a cable button for use with a bone plate, the cable button including cable button threads, a plurality of cable button apertures, a hex socket, and a hex opening. The present disclosure also includes a method for reducing a bone fracture and an apparatus such as a cable button for use with a bone plate, the cable button including a plurality of legs, where a leg includes a protrusion, where the protrusion engages the bone plate, and the cable button defines at least one cable button aperture.

Abstract: A bone fixation plate assembly includes a proximal plate having a proximal body with a first arm projecting therefrom, the first arm having an elongated expansion slot extending through a portion thereof and a threaded bore formed thereon so as to communicate with the expansion slot. A set screw is received within the threaded bore and has a top surface with a driver engaging feature formed thereon and an encircling perimeter edge. A distal plate has a distal body with a first sleeve projecting therefrom. The first sleeve bounds a socket with the first arm received therein. An access opening is formed on the first sleeve and is configured so that the driver engaging feature of the set screw is accessible through the access opening while at least a portion of the perimeter edge of the set screw is covered by the first sleeve.

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: 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 surgical aiming system is disclosed comprising a one or more fixation plates, an aiming assembly, a one or more nails and a plurality of screws. Said aiming assembly comprising a channeling assembly and a plurality of channels. Said one or more fixation plates comprising a plurality of plate apertures capable of receiving a portion of said plurality of screws. Said plurality of channels in said aiming assembly are capable of aligning a portion of said plurality of screws with said plurality of plate apertures in a first fixation plate. Said plurality of channels receive and align said plurality of screws as they are secured to said first bone. Said first fixation plate being extramedullary attached to a portion of said surface of said first bone; and said plurality of channels of said aiming assembly being aligned to identify a one or more intramedullary locations within said first bone.

Abstract: A bone fixation plate for fixing a fracture part of a bone is disclosed and can stably fix on a surface of a bone. The bone fixation plate has a protruding curved face, an indentation curved face and two rows of through holes. The protruding curved face has a blank portion and two binding portions. A suture is retained in the through holes formed close to two end edges of the binding portions, so that the stability of the bone fixation plate is improved.

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: The invention relates to a closing member for a sternal closure which is adapted to be mounted on a human or animal body in the region of the sternum for closing a cleft therein, wherein the closing member includes a first rear engaging area and a second rear engaging area, wherein, on the one hand, the first rear engaging area is prepared for positive securing on a first mounting area of the sternal closure on the one side of the cleft and, on the other hand, the second rear engaging area is prepared for positive securing on a second mounting area of the sternal closure on the other side of the cleft; to a sternal closure system comprising two first and second securing portions spaced apart from each other and adapted to be mounted on the human or animal body on both sides of a cleft in the region of a sternum as well as such closing member; and to a sternal closure.

Abstract: A bone plate for fixing bone fragments to bone is provided. The bone plate comprises an elongated body portion as well as a hook portion. The elongated body portion comprises an attachment opening configured to receive an attachment element for attaching the bone plate to bone. The hook portion extends from an end of the body portion and comprises one or more hooks configured to grasp a bone fragment. Additionally, at least one guiding opening is provided in the hook portion to receive an elongated guiding member for guiding the bone plate towards the bone fragment.

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: A Static Compression Device (SC device) for active, measurable compression of a spinal fusion graft is disclosed. The SC device attaches to adjacent vertebral bodies or other pieces of bone and works with a compression tool to apply compressive force to adjacent vertebral bodies or pieces of bone to assist fusion. Once compressed, the SC device locks to maintain the compression applied at surgery, while preventing further compression after surgery. In one embodiment, the compression device applies a desired amount of force to allow the surgeon more control over the force applied to a cervical, thoracic or lumbar implant than previously available. The SC device may compresses multiple adjacent vertebrae across adjacent bone graft(s) to facilitate fusion of these vertebrae to treat pain from damaged disks between vertebrae that may on the spinal cord and nerve roots. SC device may also apply compression across fractures to facilitate union.

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 fixation assembly for securing parts of a sternum has a first section having a first attachment structure for securing the first section to a first sternum part. The fixation assembly includes a second section having a second attachment structure for securing the second section to a second sternum part. A mating arrangement is provided defining a mating direction and a predetermined relative position between the first and second sections in a plane perpendicular to the mating direction. At least one holding member is provided for detachably holding the first and second sections in an abutting relationship in the predetermined relative position. This may be achieved in one variant by simultaneous engagement of the first and second sections substantially along the mating direction.

Abstract: A fracture fixation plate system for use on a long bone having a metaphysis and a diaphysis, includes at least one end plate having a head portion for the metaphysis, and at least one diaphyseal plate having a first end and a second end with a plurality of screw holes therebetween. The end plate includes mating structure adapted to mate with and securely couple to at least one end of the at least one diaphyseal plate. The system preferably includes several end plates and diaphyseal plates to accommodate anatomy of various sizes. A method for coupling the plates to the bone is also provided.

Abstract: A bone plate system is provided herein. The system may include a first and a second bone plate, which plates may be affixed to one or more bone portions and each other, so as to align and stabilize the bone and correct a bone fracture. A first bone plate is provided which includes both a bone contacting and a top surface, one of which corresponds to a primary plane. The first bone plate may be configured to engage a bone portion and a secondary plate. A secondary bone plate is provided, which plate is configured to engage the first plate. The secondary plate includes a bone contacting surface, which corresponds to one or more planes or an arc that are provided at an angle or substantially perpendicular to the primary plane. Methods of using such bone plating systems for the reduction, restoration and treatment of bone fractures are provided.

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 through going 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: A sternum fixation device for securing parts of a sternum includes first and second removably associated plates. The first plate has an upper surface and a sternum contacting surface, and at least one hole passing through both of these surfaces for receiving a fastener head. The second plate has at least one attachment member for fixation to the sternum. A release member holds the first and second plates together, and is movably associated with at least one of the first and second plates such that it may be moved to allow separation of the two parts of the sternum.

Abstract: A steel plate for funnel chest orthopaedic surgery includes a supporting plate (1), a fixing piece (2), a telescopic fixing piece (3), a guiding head (4) and screws (6). The supporting plate (1) is an elongate steel plate. One end of the supporting plate (1) is designed to be integrated with the fixing piece (2), and the other end is provided with a size-adjusting strap (5). The telescopic fixing piece (3) is an elongate steel plate with the same width as that of the supporting plate (1). One end of the telescopic fixing piece (3) is designed to be integrated with the fixing piece (2), and the other end is provided with a groove. The guiding head (4) is an elongate steel plate with the same width as that of the supporting plate (1). One end of the guiding head (4) is provided with a hook, and the other end is provided with a groove.

Abstract: Disclosed embodiments relate to a customized assembly of osteosynthesis plates. The customized assembly of osteosynthesis plates is custom-made, for example I-shaped and/or L-shaped and/or cross-shaped and/or crow's-foot-shaped ones which are themselves customized according to the operation to be carried out and the future anatomy of the patient, characterized in that the osteosynthesis plates are connected together by a rod, the rod further comprising two protrusions (4) protruding from the rod towards the nasal orifice (8) of the patient into positions that correspond to the two ends (5, 6) of the base (7) of the nasal orifice (8) of the patient. The invention can be used during dental occlusion operations, for example.

Abstract: An improved anterior cervical plating system and methods of cervical fusion using such a system are provided. The cervical plating system includes an interlocking mechanism that integrated into each of the plates such that any two plates may cooperatively engage through the interlocking mechanism such that a new cervical plate can be interconnected with a pre-existing plate during revision surgery without removal of the pre-existing plate.

Abstract: A bone fixation plate assembly includes a proximal plate having a proximal body with a first arm projecting therefrom, the first arm having an elongated expansion slot extending through a portion thereof and a threaded bore formed thereon so as to communicate with the expansion slot. A set screw is received within the threaded bore and has a top surface with a driver engaging feature formed thereon and an encircling perimeter edge. A distal plate has a distal body with a first sleeve projecting therefrom. The first sleeve bounds a socket with the first arm received therein. An access opening is formed on the first sleeve and is configured so that the driver engaging feature of the set screw is accessible through the access opening while at least a portion of the perimeter edge of the set screw is covered by the first sleeve.

Abstract: A plate is provided for the treatment of bone fractures, the plate having a first surface and a second surface, the second surface being opposed to the first surface and being adapted to face a bone surface. At least one of the first and second surfaces defines at least one generally linearly shaped portion of a boundary of at least one cross section of the plate.

Abstract: A plating system includes moveable plate segments to vary the overall length of the plate. The plating system is capable of both passive and active dynamization and has the ability to produce the former from the latter.

Abstract: A stifle stabilization system is provided herein. The system comprising a femoral component having a leg portion and bottom portion, the bottom portion including an interconnected coupling member protruding therefrom, an articular sliding insert component defining a channel corresponding in size and shape to at least part of the coupling member, and a tibial component having a first proximal planar portion defining a slot, the slot being of corresponding and complementary shape to the articular sliding insert component to receive the articular sliding insert component therein, wherein, when the channel receives the at least part of the coupling member and the articular sliding insert component is received in the slot of the tibial component, the tibial component is interlocked with the femoral component with translational and rotational movement therebetween.

Abstract: The invention relates to a plate-implant for use in osteosynthesis, comprising at least one first plate component with throughbores for receiving fastening screws and a connection means, at least one second plate component with throughbores for receiving fastening screws and a receiving means for receiving a connection means. According to the invention, each plate component is slidable in one direction relative to the other plate component, the plate components being provided with a device limiting their slide path relative to each other. The device comprises a clamping screw (18) having a thread and a screw head and, in the mounted state of the two plate components (2, 3), the thread cooperates with the connection means (5) and the screw head with a longitudinal borehole (14) provided in the second plate component (3) in such a way that a clamping effect is obtained between the screw head and the longitudinal borehole (14) and between the connection means (5) and the receiving means (6).

Abstract: A method and system is provided for repairing bone fractures at locations where high levels of stability are required. The system employs two plates to buttress a fracture from both the dorsal and volar sides. The plates are affixed to one another using screws that are installed from a volar plate, through the bone and into a dorsal plate. The method provides for use of a directional guide that allows the precise placement of Kirschner wires for temporary fixation of the fracture, installation of a first bone fixation plate using the installed K-wires for alignment, installation of a second bone plate adjacent the bone to be repaired and opposite the first bone plate, and installation of cannulated fasteners between the two opposing bone plates such that the fasteners rigidly engage both of the bone plates.

Abstract: A system, devices and methods are provided for facilitating stabilization of periarticular fractures. The system includes a compression plate and one or more of a cerclage cable for encircling the bone and securing the compression plate to the bone, a crimp lug for securing the cable in tension relative to the bone and/or a plate, and a supplemental plate coupled to the compression plate and adapted to receive bicortical or unicortical bone screws to further secure the compression plate relative to the bone. In addition, the system includes a cable tensioner for temporarily retaining the cable in tension and then applying a tension to the cable until a desired compression is effected between a plate and bone and while a cable retaining structure is secured to the cable to retain the applied tension on the cable. Also provided is a jig for use with plates for minimally invasive fracture stabilization.

Abstract: A spinal plate system that maintains intervertebral spacing and spinal stability is provided. In an embodiment, a spinal compression plate may include two or more plates coupled together form an adjustable-length plate. Compression of a spinal compression plate movement may mimic natural settling of bones in a spine and/or distribute at least a portion of a vertebral load to an implant positioned between two vertebrae. Maintaining at least a portion of the vertebral load on an insert may increase bone growth and increase fusion between an implant and surrounding vertebrae.

Abstract: A spinal implant for stabilizing first and second vertebrae. The spinal implant includes an intervertebral spacer and a bone stabilization member configured to be coupled to the intervertebral spacer. The bone stabilization member includes a plurality of bone screw openings and a plurality of bone screws extendable through the bone screw openings to secure the bone stabilization member to the vertebrae. A retention member, which is slidably coupled to the bone stabilization member, is linearly slidable between a first position and a second position while coupled to the bone stabilization member. In the first position, each of the bone screws is permitted to be inserted into the bone screw openings, and in the second position the retention member at least partially covers each of the bone screw openings to prevent a bone screw from backing out of the respective bone screw opening.

Abstract: A bone plate structure adapted to fix a bone in an affected part is provided. The bone plate structure includes first and second bone plates. The first bone plate has a first stacking portion and a first extending portion and is adapted to be moved onto the bone through a wound of the affected part. The second bone plate has a second stacking portion and a second extending portion and is adapted to be moved onto the bone through the wound. When the first and second bone plates are located on the bone, the second bone plate is adapted to be moved relatively to the first bone plate, such that the first and second stacking portions are stacked with each other and the first and second extending portions are expanded relatively. A surgery device and a method for bone plate implant suitable for the bone plate structure is also provided.

Abstract: A bone plate has a main body configured to position adjacent bones with respect to each other. The main body includes a plurality of separate layers bonded together. Each layer is comprised of a radiolucent material and has a first aperture and a second aperture that extend through the layer. The layers are all stacked such that the first apertures of all of the layers are aligned with each other and the second apertures of all of the layers are aligned with each other. An insert can be positioned within the first aperture.

Abstract: An implant for the purpose of osteosynthesis, for the immobilization and stabilization of tubular bones, especially of tubular bones that have a fracture or an osteotomy, especially of rib bones, comprises at least a first implant component that has an attachment section with means of attachment for the purpose of attaching the first implant component to a tubular bone, especially in a region of the tubular bone close to a fracture or osteotomy. The first implant component further has a connection section, with the connection section being formed for insertion of a second implant component and immobilization of the second implant component in a position adjustable relative to the first implant component. The connection section comprises a guide device for the purpose of guiding the second implant component as the second implant component is being positioned relative to the first implant component.

Abstract: A dynamic bone plate and method of bone compression is disclosed. The dynamic bone plate comprises a first bone plate component and a second bone plate component. The first bone plate component comprises at least one hole configured for receiving bone screws for attachment to a first bone segment; and a male component. The second bone plate component comprises at least one hole configured for receiving bone screws for attachment to a second bone segment; and a female component configured for mating with the male component of the first bone plate component.

Abstract: An adaptable bone fixation plate and bone fixation system are configured to provide an anterior spinal plate with anterior pedicle screws includes a first plate section adjustably coupled to a second plate section using an arrangement that provides both superior-inferior adjustability of the plate sections as well as lateral adjustability of the plate sections to orient the first and second plate sections with respect to the desired orientation and disposition of two or more bone screws.

Abstract: The present invention provides for a variety of fracture fixation options should a fracture occur after total hip arthroplasty or total knee arthroplasty, and provides associated methods and apparatus for application of provided fixation. The ability to pre-engineer fracture fixation contingent solutions into femoral or tibial components provides for a distinct clinical advantage in the planning and execution for periprosthetic fracture fixation. Said methods and apparatus include targeting devices which allow for intimate association of fixed angle locking screws in pre-drilled holes in an existing prosthetic, femoral nail, or other components including additional fixation components. Use of pre-engineered fracture fixation contingent solutions into femoral or tibial components provides for a distinct clinical advantage in the planning and execution for periprosthetic fracture fixation.

Abstract: A plate for adjusting the position of a first piece of bone with respect to a second piece of bone, comprising a first section comprising a first upper exterior surface, a first lower exterior surface, a first outer edge, a first distal end, a first coupling end across the first section from the first distal end, at least one first section bone screw hole, and a first bone screw in the at least one first section bone screw hole, a second section comprising a second upper exterior surface, a second lower exterior surface, a second outer edge, a second distal end, a second coupling end across the second section from the second distal end, at least one second section bone screw hole, and a second bone screw in the at least one second section bone screw hole, and a gear disposed between the first section and the second section.

Abstract: A device for early stabilizing of distracted tissue that includes a first implant, a second implant, a sliding expansion mechanism and a stabilizer. The first implant is capable of being attached to a first tissue region. The second implant is capable of being attached to a second tissue region. The sliding expansion mechanism engages the first implant and the second implant for distracting the first implant away from the second implant to create a distraction space for formation of the distracted tissue. The stabilizer rigidly fixes the first implant and the second implant after disengagement of the sliding expansion mechanism to rigidly stabilize the distracted tissue. The stabilizer includes in whole or in part a biodegradable, bioerodible or bioresorbable material.

Abstract: A method for early stabilizing of distracted connective tissue. A distraction site is at least partially covered with biodegradable, bioerodible or bioresorbable materials before a distraction procedure takes place. Distraction is performed on a connective tissue at the distraction site. The distracted connective tissue is stabilized using the biodegradable, bioerodible or bioresorbable materials.

Abstract: A bone fracture fixation system including a bone plate having a contour that substantially matches the contour of an underlying bone. The bone fracture fixation system can also include a jig that can be moved relative to non-parallel cannulas guided by the jig into operative position relative to a bone plate. In one embodiment, the jig includes grooves which do not completely surround the perimeter of the cannulas guided by the jig. The bone fracture fixation system can also include a jig including guides having a position and orientation which is adjustable relative to other ones of the guides. In one embodiment, the jig includes two portions that can articulate with respect to each other. The bone fracture fixation system can also include a wire bender that can bend a wire greater than 180 degrees so that both ends of the wire can be inserted into a fractured bone.

Abstract: A variable angle locking screw assembly that includes a plate material, a screw, and a washer at least partially located within the plate material, the washer and screw cooperating to create a wedge locking the screw in one of a plurality of axial and rotational positions, where the locked position may be undone and adjusted by manipulation of at least one of the screw and washer.

Abstract: A spinal fixation plate that is adapted to be implanted in a variety of positions in the occiput is provided. In general, the plate has a substantially planar configuration and it includes a mid-line or central portion having several thru-bores formed therein, and first and second opposed branch portions that extend from the central portion and that also include at least one thru-bore formed therein. The configuration of the branch portions relative to the central portion, as well as the position of the mid-line thru-bores formed in the central portion in relation to the thru-bore(s) formed in each branch portion, allow the spinal fixation plate to be implanted in a variety of positions in the occiput, thus allowing the optimal implant site to be selected.

Abstract: Systems for trauma and/or joint fusion implants and instruments include transarticular screw and intra-articular washer, polyaxial screw and plate, single- and multi-level polyaxial bone clamps, and minimally invasive adaptations.

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: A volar fixation system includes a plate intended to be positioned against the volar side of the radial bone. The plate includes holes having a predefined axis along which fasteners can be received and locked relative to the plate. A guide is provided that seats on the plate to guide a drill in axial alignment with the holes in plate.

Abstract: A pectus bar stabilizer assembly and method includes a first base part separable from a second base part. The first and second base parts combine to define a channel therebetween. A pectus bar is received by the channel and a retainer assembly retains the pectus bar in the channel.