A flexible bone tool including a plurality of links pivotly coupled to each other and collectively define a substantially tubular, bendable body coupled (a) at a proximal end to a holding portion and (b) at a distal end to a bone tissue removing element. The plurality of links includes one or more proximal links having an engaging portion, a wall of which comprising a first aperture and one or more distal links comprising a receiving portion, a wall of which comprising one or more second apertures, the receiving portion being sized and fitted to receive the engaging portion such that the first and second apertures are aligned and at least one pin sized and fitted to be received by the aligned first and second apertures and pivotly couple said proximal and distal links.

Methods of tissue repair. At least one example method includes: pulling a tissue in place over a bone location; abutting a distal end of a guide tool against the tissue at a first location, and driving a first bone anchor through a delivery tube of the guide tool, through the tissue, and into the bone at the first location, the first bone anchor coupled to a first suture line; abutting the distal end of the guide tool against the tissue at a second location displaced from the first location, and then driving a second bone anchor through the delivery tube, through the tissue, and into the bone at the second location, the second bone anchor associated with the first suture line; withdrawing the guide tool away from the tissue; and tightening the first suture line to create a first suture over the tissue.

Methods and devices are provided for implanting a cross-pin through a bone tunnel, such as in an arthroscopic surgical procedure. In general, the methods and devices allow a cross-pin hole to be formed in a medial side of a knee bone such that it intersects a bone tunnel formed in the knee bone. In one embodiment, a cross-pinning guide device is provided that can be configured to angularly position the cross-pin hole relative to the bone tunnel to allow the cross-pin hole to intersect the bone tunnel without passing through another side, e.g., a lateral side, of the knee bone. The knee bone can be a femur or a tibia such that the cross-pin hole and the bone tunnel can each be entirely formed in the femur or in the tibia.

A bone fixation system can be used to stabilize two bone portions intended to be fused together. The system include a bone staple or clip that includes a cross bar and two legs. The system can include a plurality of screws or other additional implant(s) configured to be implanted at an angle to the legs of the bone staple on opposite sides of the interface between two bone portions. The system can improve fixation strength and/or stability of the two bone portions. The fixation system can be used, for example, in small bones such as bones in the foot or hand.

Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

A method of orthopedic treatment includes steps of: by using a computer aided design (CAD) tool based on profile data that is related to a to-be-treated part of a bone of a patient, obtaining a model of a preliminary instrument that substantially fits the to-be-treated part; by using the CAD tool, obtaining a model of a patient specific instrument (PSI) based on the model of the preliminary instrument; producing the PSI based on the model of the PSI, the PSI being adjustable; performing medical operation on the to-be-treated part, and then attaching the PSI to the to-be-treated part; after attaching the PSI to the to-be-treated part, adjusting the PSI such that the PSI is adapted to real conditions of the to-be-treated part.

A bone drill guiding device including a drill entry part comprising a cannula having a distal end portion and sized to receive a bone drill, a drill exit part comprising a fixation tip portion and a coupling that rigidly couples the drill entry part and the drill exit part so that longitudinal axes of the cannula distal portion and the fixation tip portion are arranged on a single mutual axis. In some embodiments, the coupling is a linear sliding coupling that parallels the single mutual axis.

A kit (4000, 5100) including a guiding system and a cannulated bone material removal device, the bone material removal device (4004, 5200) having a longitudinal shaft (4024, 5202) and comprising on the longitudinal shaft a radially expandable cutting portion (4028, 5208) having a longitudinally-oriented cutting edge (2124), the radial expansion comprising an increase of a cross-sectional diameter of the bone material removal device at the longitudinal position of the expandable cutting portion; and the guiding system including an arcuate element (4008, 5102), a guiding element (4010, 5104) configured to be attached to the arcuate element, and a cannula (4002, 5106), slidably insertable into a portion of the arcuate element; wherein the bone material removal device is axially displaceable within said cannula. The kit can be used in anterior cruciate ligament (ACL) reconstruction.

A method of repairing plantar plate tears of an individual through augmentation that includes cutting an incision above a damaged area of a plantar plate on an individual, spreading the tissue with a plantar plate joint distractor, inserting a drill insertion member into the plantar drill guide and at a drilling angle over tissue at or near the damaged area of the plantar plate, drilling, with a drill bit and at the drilling angle, into the tissue at or near the damaged area of the plantar plate, attaching a K-wire to a graft, pulling, with the K-wire, the graft across a damaged area of the plantar plate augmenting the damaged area of the plantar plate, and manipulating an interference-type screw through the plantar plate and either or both the K-wire and the graft to engage and compress the graft for fixation.

A fixation device. At least one example embodiment is a bone anchor comprising: a proximal head; a bollard coupled to the proximal head; a first barb coupled to the bollard, the first barb extends outward a first distance measured perpendicularly from an anchor central axis, the first distance greater than half the transverse dimension of the bollard, and the first barb extends outward at a first radial from the anchor central axis; and a second barb coupled to the first barb, the second barb extends outward a second distance measured perpendicularly from the anchor central axis, the second distance greater than half the transverse dimension of the bollard, and the second barb extends outward at a second radial from the anchor central axis, the second radial at a second rotational orientation at least 36 angular degrees from the first radial.