A system for providing fixation of first and second bones includes a drill guide that receives a drill bit to create first and second holes in the first and second bones, respectively. Guide pins can be driven into the first and second holes. The guide pins are received by a surgical saw to guide the surgical saw toward a joint between the first and second bones, thereby creating a third hole in each of the bones across the joint. The guide pins are then removed, and an implant can be inserted into the bones, such that a first leg of the implant is disposed in the first hole, a second leg of the implant is disposed in the second hole, and a keel of the implant is disposed in the third hole.

A surgical device includes an body extending from a proximal end to a distal end. The distal end of the body defines a notch sized and configured to receive a reamer. A coupling assembly is supported by the body and includes a reamer guide body disposed at the distal end of the body. The reamer guide body configured to move between a first position and a second position in which the reaming guide body extends at least partially across the notch. A locking assembly is supported by the body and is configured to releasably engage the coupling assembly to maintain the reamer guide body in the second position.

In various embodiments, a surgical instrument, systems including the surgical instrument, and methods of use of the surgical instrument are disclosed. The surgical instrument includes a handle body extending from a proximal end to a distal end substantially along a longitudinal axis. The handle body defines a first channel sized and configured to receive a guide element therein. A plurality of indicators are formed on the handle body. Each of the plurality of indicators correspond to a size of one of a plurality of fixation elements sized and configured for insertion into a bone. A countersink element is coupled to a distal end of the body. The countersink element defines a second channel sized and configured to receive the guide element therethrough that is circumferentially located with and coupled to the first channel. The countersink element includes a head sized and configured to form a countersink in the bone.

Methods for temporarily fixing an orientation of a bone or bones. Methods of correcting a bunion deformity. Bone positioning devices. Methods of using a bone positioning device. Bone preparation guides. Methods of using a bone preparation guide.

A bone positioning guide may be used as part of a bunion correction procedure. The bone positioning guide can include a bone engagement member configured to be positioned on a medial side of a first metatarsal of a foot and a tip separated from the bone engagement member by a distance effective to position the tip on a lateral side of a second metatarsal and in an intermetatarsal space between the second metatarsal and a third metatarsal. The bone positioning guide can also include a mechanism operable to reduce the distance between the bone engagement member and the tip, thereby causing the first metatarsal to move in at least a transverse plane to reduce an intermetatarsal angle between the first metatarsal and the second metatarsal.

A cutting guide includes a body and a rotatable device. The body includes a top portion, a bottom portion parallel to the top portion, and a side portion connecting the top and the bottom portions. The rotatable device is coupled to one end of the top portion of the body, and includes a pivotal element and a handle. The handle in the rotatable device has a first portion coupled to the pivotal element, and a second portion configured to be rotated around an axis of the pivotal element. Each of the top portion of the body, the side portion of the body, the bottom portion of the body, and the handle has one respective edge providing a respective guide surface for cutting a bone in a surgical procedure.

An ankle arthroplasty system may have a talar prosthesis and a tibial prosthesis, each of which has an articular surface and a bone engagement surface. Each bone engagement surface may have an anterior-posterior curvature and a medial-lateral curvature with a convex shape. A burr with a rotatable cutting element may be used to form a prepared surface on the talus or the tibia to receive the corresponding prosthesis. A cutting guide may be used to guide motion of the burr; the cutting guide may include a base and an arm movably coupled to the base. One of the base and the arm may have a guide surface, and the other may have a follower that slides along the guide surface to constrain motion of the burr such that the prepared surface has at least one concave curvature and one convex curvature.

A rasp for use with a powered surgical handpiece comprises opposed proximal and distal ends and a rasp region. The proximal end includes a mount portion. The mount portion defines a pivot axis. The rasp region extends between the mount portion and the distal end and includes the distal end. The rasp region has opposed first and second surfaces connecting at a common edge. The first surface is convex and the second surface is concave. The rasp region has a plurality of cutting projections disposed on at least one of the first surface and the second surface. The rasp region has a center axis substantially parallel to the pivot axis.

Bone cutting guides and bone cutting guide assemblies are disclosed that are useful for preparing a bone in a joint space, such as those in mid-foot region joints, to prepare the cartilage end of the bone for receiving cartilage repairing implants such as hydrogel implants.

A system includes a first spacer sized and configured to be received within a resected bone space of a first bone and a second spacer sized and configured to be coupled to a second bone. The first spacer and the second spacer each include a body extending between a bone contacting surface and a coupling surface. At least one shim is positioned between the first and second spacers. The shim includes a body extending between a first coupling surface and a second coupling surface. The first spacer, the second spacer, and the at least one shim position the first and second bones in a predetermined alignment. An adjustable guide including a guide adapter and a guide body is configured to couple to the first spacer and is adjustable on a first axis.