A device provides a variety of fracture fixation options should a fracture occur after total hip arthroplasty or total knee arthroplasty, and provides associated methods and apparatus for application of provided fixation. The ability to pre-engineer fracture fixation contingent solutions into femoral or tibial components provides for a distinct clinical advantage in the planning and execution for periprosthetic fracture fixation. Said methods and apparatus include targeting devices which allow for intimate association of fixed angle locking screws in pre-drilled holes in an existing prosthetic, femoral nail, or other components including additional fixation components. Such apparatus and methods further include the use of alignment devices and other components to allow for ease of repair of fractures utilizing the pre-engineered solutions.

An assembly used in osteosynthesis comprising a delivery instrument in combination with an implant wherein the delivery instrument releasably holds the implant in a first configuration prior to attachment of the implant to bone. The delivery instrument allows the implant to be affixed to bone before the implant is released from the instrument. And the instrument may comprise guide means for drills, depth gauges, screws, pins, pegs, blades and or drivers which are used or implanted when the implant is releasably attached to the instrument. After the implant is affixed to bone and released from the delivery instrument, the implant assumes at least a second configuration which provides compression and or distraction and or control of spatial orientation.

A suture threader configured to thread sutures through suture holes in a bone plate, including: a base; a plurality of hooks attached to the base, wherein the plurality of hooks are arranged at positions on the base corresponding the suture holes on the bone plate.

Surgical constructs, assemblies and methods of tissue fixation are disclosed. An anterior glenoid guide is a cuboid block configured to be introduced via the rotator interval to lie on the anterior glenoid. The guide has an internal thread for a handle and two flanges which lie on the anterior glenoid. On the anterior face (opposite the neck of the glenoid), the guide is provided with two holes which are sized to receive a drill guide. The holes mate with slots such that the block can be removed after sutures and fixation devices are installed. The anterior glenoid guide can be an arthroscopic anterior glenoid graft guide.

Disclosed are orthopedic implant kits. One disclosed kit comprises an implant having a joint head portion, the joint head portion having a generally convex distal surface and generally concave proximal surface, the implant comprising a post portion protruding proximally from the proximal surface, the post portion having a dorsal surface and a ventral surface (which is a plantar surface in the case of a metatarsal bone) and including a first threaded aperture extending therebetween, and a bone screw. The bone screw has a threaded shaft complementary to the threaded surface of the post portion and preferably is configured to provide bicortical fixation of the implant.

Implant positioning devices and fastener guides for implant positioning devices are disclosed for assisting in positioning orthopaedic fixation devices (such as bone plates, etc.). A fastener guide may include a body with slits in a first end of the body that form a guide arm proximal to the first end of the body. The guide arm is configured to releasably hold a fastener in the fastener guide. The fastener guide may also be coupled to a bone plate to facilitate ease of alignment and insertion of the fastener into a fastener apertures of the bone plate.

An embodiment includes a bone fixation system comprising: a plate; and a tool; wherein: (a) the plate includes a hole to receive a bone anchor, (b) the hole includes a shelf, (c) the shelf includes a number of recesses; and (d) the hole is unthreaded and includes no resilient parts; wherein: (a) a distal end of the tool includes one or more lobes, (b) a number of lobes is no greater than the number of recesses, (c) each of the one or more lobes is configured to mate with one of the recesses. Other embodiments are described herein.

A bone fusion assembly includes a bone plate having a plurality of through openings extending therethrough. The through openings include at least one fusion screw opening sized to allow a screw guide to be at least partially inserted therein and a plurality of fixation screw through openings. The screw guide includes a body having a proximal end, a distal end, and a through-passage extending between the proximal end and the distal end. A K-wire a sized to extend through the through-passage in the body of the screw guide.

An implant for use in orthognathic surgery of a mandible may include a longitudinal plate member and a plurality of pre-configured guides coupled to the plate member. The longitudinal plate member is pre-bent to correspond to the post-operative shape of the mandible; and the guides are pre-configured to align the plate member with the mandible when the implant is positioned against the mandible after the mandible has been separated.

A bone fastening device includes a ready-to-assemble plate assembly including hingedly secured first, second, third, and fourth plates, first insertion members, second insertion members, a plurality of upper half adjustment members, and a plurality of lower half adjustment members; and a plurality of screws configured to drive through the first, second, third, and fourth plates into the broken bone.