This disclosure relates to surgical devices and methods for repairing bone defects. The defect indicators disclosed herein may be utilized to indicate a precise location of the defect associated with an articular surface of a joint.

A method comprises the steps of: fixing a distal end of a first member of a surgical instrument with tissue, the surgical instrument including a second member having a longitudinal passageway configured for disposal of the first member and being connected with a navigation component such that the distal end is disposable with the passageway at a selected distance from the navigation component, the navigation component being positioned relative to a sensor to communicate a signal representative of an orientation of the first member; removing the second member from the first member; and connecting a third member with the first member along the orientation such that a distal end of the third member is fixed with the tissue. Systems, spinal implants, constructs and instruments are disclosed.

A method of preparing a tarsometatarsal joint can include imaging a tarsometatarsal joint of a patient between a metatarsal and a cuneiform to determine a size and/or angle of a wedge-shaped bone portion to be cut at the tarsometatarsal joint. The method can include obtaining a bone preparation guide that includes a first guide surface positionable over the metatarsal and a second guide surface positionable over the cuneiform, where an angle of the first guide surface relative to the second guide surface is selected corresponding to the size and/or angle of the wedge-shaped bone portion to be cut as determined via imaging of the tarsometatarsal joint. The method can include positioning the guide surfaces over the metatarsal and cuneiform and guiding a tissue removing instrument with the guide surfaces to cut an end of the metatarsal and to cut an end of the cuneiform.

A technique of providing user guidance for surgical navigation is provided. A method implementation of the technique includes obtaining a predetermined spatial relationship between an optical tracking pattern and a through-hole extending through an implant, obtaining image data of the optical tracking pattern acquired by an imaging unit attached to a surgical instrument, obtaining a spatial relationship between the surgical instrument and the imaging unit at a point in time when the image data have been acquired, determining a spatial relationship between the surgical instrument and the through-hole, obtaining a plurality of predefined spatial relationships between the surgical instrument and the through-hole, and triggering simultaneous display of an indication of the plurality of predefined spatial relationships and an indication of the spatial relationship between the surgical instrument and the through-hole.

A composite comprising: a barrier, said barrier being configured to selectively pass water, and said barrier being degradable in the presence of water; a matrix material for disposition within said barrier, wherein said matrix material has a flowable state and a set state, and wherein said matrix material is degradable in the presence of water; and at least one reinforcing element for disposition within said barrier and integration with said matrix material, wherein said at least one reinforcing element is degradable in the presence of water, and further wherein, upon the degradation of said at least one reinforcing element in the presence of water, provides an agent for modulating the degradation rate of said matrix material in the presence of water.

This disclosure relates to surgical planning systems, instrumentation and methods for repairing bone defects. The planning systems and instrumentation disclosed herein may be utilized to establish trajectories of surgical devices and may be utilized to establish resection surfaces for fusion of adjacent bone surfaces.

A modular uniplanar pedicle screw assembly for use with a polyaxial bone fastener. The modular assembly comprises a uniplanar tulip assembly adapted to be coupled to a head of the polyaxial bone fastener, wherein the uniplanar tulip assembly includes a longitudinal slot. The modular assembly further includes an adapter having a lower portion and an upper portion. The lower portion is sized and shaped to be received in a recess of the bone fastener head. The upper portion extends from the lower portion and is adapted to slide along the longitudinal slot of the uniplanar tulip assembly to allow movement of the uniplanar tulip assembly in a first plane along a direction that is parallel to a longitudinal axis of the longitudinal slot, the longitudinal slot preventing movement of the uniplanar tulip assembly in a second plane lateral to the first plane relative to the bone fastener.

A bone screw and method of using the same for immobilizing a joint, the bone screw including a screw head, an elongate shaft having a threaded outer wall and a helically-shaped slot extending through the outer wall and longitudinally along the shaft. The slot extends longitudinally along a middle section of the threaded outer wall, terminating short of the proximal and distal ends of the shaft, or the slot extends through the distal end and/or to the proximal end of the shaft immediately adjacent to the screw head. The slot includes a cutting edge that is arranged to engage bone when the screw advances therethrough for cutting away a portion of the bone. A reservoir is located within the elongate shaft for collecting bone that is cut away or removed by the cutting edge.

A bone locking system is applied to join multiple broken bone fragments, including a self-tapping nut having a cylindrical structure, the self-tapping nut having an outside surface including an external threading portion, the external threading portion being formed, through recessing, a tapping notch, the self-tapping nut having an inside surface including an internal threading portion, a tool portion being formed in the inside surface of the self-tapping nut at an upper end thereof, the self-tapping nut being embedded in a cortical bone portion of each broken bone fragment; and a fixing bolt corresponding to the internal threading portion of the self-tapping nut, the fixing bolt being screwed into and fixed in the self-tapping nut to join each of broken bone fragments. A bone plate having a fixing hole is selectively provided. The fixing bolt penetrates through the fixing hole of the bone plate and is screwed into the self-tapping nut.

A spinal cross-connector comprises an elongated member, a first connector and a second connector. The first connector and the second connector are configured to receive spinal rods and adaptable to directly attach with pedicle screws. The first connector includes a first collet head, a first clamp and a first locking means. The second connector includes a second collet head, a second clamp and a second locking mans. The first locking means is configured to tighten over a first collet head and engage with the first connector. Similarly, the second locking means is configured to tighten over a second collet head and engage with the second connector. The engagement of the first locking means with the first connector and the second locking means with the second connector locks the spinal cross-connector.