The disclosure describes systems and methods for altering bone sections in a patient. In one embodiment, a system may include an intramedullary implant including: a housing configured to be secured to a first section of bone, where the housing may include one or more shaft engaging grooves axially extending along an inner surface thereof; a distraction shaft configured to be secured to a second section of bone, where the distraction shaft may include one or more grooves axially extending along an inner surface thereof. The system may further include an actuator disposed within the housing and operably coupled to the distraction shaft, and in response to rotation of the actuator, the one or more grooves of the distraction shaft may engage with the one or more shaft engaging grooves of the housing, causing axial displacement of the distraction shaft relative to the housing.

A three dimensional magnetic sensor attached to a surgical nail is located based on an applied monotonic magnetic field gradient. Another three dimensional magnetic sensor locates a surgical drill. A display generates a real time image of the relative alignment of the surgical drill and of the surgical nail, allowing a surgeon to repair bone fractures.

Apparatus and methods for delivery of an implant at a target site in an interior of a bone. The apparatus may include a plate. The plate may include a bottom surface complementing a surface contour of a bone. The plate may define first holes sized for receiving screws. The plate may define second holes sized for receiving fixation elements. The plate may define an opening. The opening may be sized for providing passage of the implant through the plate. When the bottom surface is seated complementarily against the surface contour, the first holes may point into an interior of the bone and into a volume occupied by the implant in the interior when the implant is positioned at a target site and radially expanded to form a mesh cage.

A system is provided for inserting and securing, through a suprapatellar region of a leg, a nail into a medullary canal of a bone. The system can include a flexible sleeve configured to be partially inserted in the leg. The flexible sleeve can define a leading end and a trailing end spaced apart from the leading end along a first axis. The flexible sleeve can define a first cannulation that extends along the first axis between the leading and trailing ends. The first cannulation can be sized to receive therethrough at least the intramedullary nail. The system can further include a retaining member configured support at least a portion of the flexible sleeve. The retaining member can be configured to position the flexible sleeve through the suprapatellar region of the leg such that the flexible sleeve leading end is aligned with the proximal end of the bone. The intramedullary nail can be insertable through the flexible sleeve and into the medullary canal.

A device is provided including a distal nail portion and a proximal nail portion that can be connected to each other to attain a rigid configuration. The device is to be placed internally within the medullary cavities of bones. The device is placed intramedullarily in order to minimize incision size, excessive bone resection and post-operative tendon damage and tenderness. Additionally, one particular method for using the device is provided that includes placing and affixing the distal nail in bone, placing the proximal nail in bone, connecting the distal nail to the proximal nail, doing the desired geometrical adjustments, affixing the proximal nail to the distal nail by tightening the connection and affixing the proximal nail to attain a rigid configuration.

An aiming device system that is configured to align at least one bone anchor guide to a first distal hole of an intramedullary nail can include an aiming arm that is configured to be operatively coupled to the intramedullary nail and an aiming guide. The aiming arm can define a sliding support that is elongate along a first direction. The aiming guide can include a guide body that defines at least a first bone anchor guide. The aiming guide is attached to the aiming arm such that the aiming guide is selectably movable along the sliding support, and selectably rotatable relative to the aiming arm. When the first bone anchor guide is retaining the guide sleeve, at least one of the selectable movement and selectable rotation of the guide body at least partially aligns the first bone anchor guide with the first distal hole of the intramedullary nail.

A tibiotalar fusion system includes that includes a curved fusion nail and interlocking fasteners, along with delivery instrumentation. The curved ankle fusion nail is delivered with the fasteners in such a manner that the curved ankle fusion nail does not pass through the subtalar (talocalcaneal) joint. The curved fusion nail thus preserves the subtalar (talocalcaneal) joint and the natural motion of the hindfoot within a mammal such as, for example, a human. Additionally, drill guided delivery instrumentation and surgical methods of delivering and fixing the curved tibiotalar nail within a desired anatomical location such as the ankle.

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 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 system (1010, 1110) for identifying a landmark is disclosed. The system includes a field generator (1016, 1116) for generating a magnetic field, an orthopedic implant (1030, 1130) located within the magnetic field, the implant having at least one landmark (1028, 1128), a removable probe (1029, 1129) with a first magnetic sensor (1026, 1126), a landmark identifier (1016, 1116) with a second magnetic sensor (1020, 1120) and a processor (1012, 1112) for comparing sensor data from the first and second sensor and using the set distance to calculate the position of the landmark identifier relative to the at least one landmark. The system allows for blind targeting of one or more landmarks.