An intramedullary nail implant for positioning in a bone having a head and a shaft defining an intramedullary canal. The implant includes a distal portion having a shaft extending along a central axis and configured for positioning within the intramedullary canal. A proximal portion extends proximally from the distal portion. The proximal portion defines a contact surface which extends at least in part medially of the central axis such that it is configured to extend within a medial portion of the bone head. A method of implanting the nail is also provided.

A method to secure and stabilize an intramedullary nail in the medullary canal of a fractured hip including the steps of positioning the intramedullary nail within the medullary canal, positioning an alignment tool including a plurality of alignment bores on the intramedullary nail to align drill bits to drill holes or channels in the femur neck, femur cortex and upper and lower portions of the intramedullary nail, threading a femur neck screw through the corresponding alignment bore into a channel in the femur neck, through the hole in the upper portion of the intramedullary nail and into the head, threading a locking screw through the corresponding alignment bore and a hole in the proximal cortex and channel in the lower portion of the intramedullary nail and into the distal cortex, threading a stabilizer member through the corresponding alignment bore until the distal end portion engages the proximal surface of the intramedullary nail to limit lateral movement of the intramedullary nail thereby stabilizing the intramedullary nail in the medullary canal and removing the alignment tool from the upper portion of the intramedullary nail.

A method of reducing a fractured bone of a patient is disclosed. The method may include generating a fractured bone surface image from image data of the fractured bone structure of the patient. A reduced bone surface image of the fractured bone structure of the patient may be formed. In some embodiments, an implant image may be superimposed in an installation position on the reduced bone surface image. A patient specific jig image may be superimposed proximate the implant image and the bone image, according to the installation position of the implant. In some embodiments, control data from the patient specific jig image may be generated.

An arthrodesis nail and nail adapter system having multiple coupling positions includes a bent arthrodesis nail and a nail adapter. The nail has multiple evenly spaced notches. The nail adapter has multiple evenly spaced protrusions corresponding to the notches. An arthrodesis nail adapter and target arm system having multiple coupling positions includes a nail adapter and a target arm. The nail adapter has a predetermined coupling orientation with a bent arthrodesis nail. The target arm has multiple coupling positions with the nail adapter. The arthrodesis nail and nail adapter system allows rotation of the bent nail for reduction of ankle deformity.

Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail. In some embodiments, the proximal end may further include a cross-locking feature, which includes a second bone anchor that interlocks with a first bone anchor, for example, for enhanced bone purchase and bony fixation.

An intramedullary assembly for intraosseous bone fusion includes a lag screw member and a tapered screw member. The lag screw member includes a first elongated body, where the first elongated body includes a first threaded portion at a first end and a bulbous portion at a second end. The tapered screw member is coupled to the lag screw member, and the tapered screw member includes a second elongated body, where the second elongated body includes a second threaded portion at a third end, and an opening at a fourth end.

A surgical instrument having a first assembly with a first radio-opaque portion providing a profile of a first portion of an intramedullary implant or canal in a bone, and a second assembly having a second radio-opaque portion providing a profile of a second portion of the intramedullary implant or canal. The surgical instrument may also include a third radio-opaque portion providing an alignment feature to provide a fluoroscopic planar check for the surgical instrument.

Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail.

A targeting system (1) for the guided insertion of a guide wire (50) or a bone screw comprising: a stabilization body (2) fixed to the bone by means of stabilization screws (3); a guide sleeve (4) adapted to receive a guide cannula (5) for the insertion of the guide wire (50) or bone screw; articulated connection means (6) adapted to connect the stabilization body (2) to the guide sleeve (4) and allow the relative spatial position of the guide sleeve (4) to be varied with respect to the stabilization body (2).

Systems and methods are provided for processing X-ray images, wherein the methods are implemented as a software program product executable on a processing unit of the systems. Generally, an X-ray image is received by the system, the X-ray image being a projection image of a first object and a second object. The first and second objects are classified, and a respective 3D model of the objects is received. At the first object, a geometrical aspect like an axis or a line is determined, and at the second object, another geometrical aspect like a point is determined. Finally, a spatial relation between the first object and the second object is determined based on a 3D model of the first object, a 3D model of the second object, and the information that the point of the second object is located on the geometrical aspect of the first object.