The present invention concerns a method for obtaining an implantable plate for healing a fractured joint of a patient, comprising the steps of: 1) providing a 3D representation of a bone structure in a zone around a joint fracture, the zone comprising essentially all fragments of broken or ruptured bones and at least the ends of unbroken bones which form part of the fractured joint; 2) identifying different bone fragments within said 3D representation; 3) simulating a reduction of said bone fragments into a full joint; 4) calculating optimal parameter values for an implantable plate; 5) obtaining the implantable plate taking into account the calculated parameter values, whereby in step 3, the reduction is simulated by automatedly fitting positions and orientations of said bone fragments to a 3D representation of a healthy joint of said patient.

An implant for insertion into the disc space between vertebrae. The implant including a spacer portion, a plate portion coupled to the spacer portion, a plurality of bone fixation elements for engaging the vertebrae and a retention mechanism for preventing the bone fixation elements from postoperatively uncoupling from the implant.

Tools and methods for expanding a precursor hole in a host material to receive a fixture. The precursor hole is enlarged by a rotary tool having helical flutes and interposed lands. The flutes have a negative rake angle. The lands each have a working edge that cuts the host material when the tool is rotated in a cutting direction, and that condenses the host material when the tool is rotated in a densifying direction. The body of the rotary tool has a stopper section that plugs the hole when a certain depth is reached. When the tool is used with a copious wash of irrigating fluid at or below the necessary depth, hydraulic pressure builds inside the precursor hole. The hydraulic pressure can be advantageously exploited in cutting mode to autograft a slurry of host material particles into the sidewalls of the hole and create an incipient densifying crust.

An oblique metatarsal shortening osteotomy system comprising a cut guide, wherein the cut guide comprises one or more pre-drilled fixation holes, wherein the cut guide can be placed on a metatarsal bone to enable an oblique shortening osteotomy of varying lengths, and wherein the pre-drilled fixation holes enable fixation of the cut guide to the metatarsal bone. The cut guide may comprise a central block. The cut guide may comprise one or more fixation flanges. The cut guide may comprise one or more slots to enable cuts to be made in a metatarsal. The cut guide may enable metatarsal compression through pre-drilling without need for alternative techniques. Angulation of the pre-drilling may allow for fixation to allow for intramedullary fixation to be placed within a medullary canal of an osteotomized metatarsal.

An orthopedic fixation system includes an implant transitionable between a natural shape and an insertion shape and an implant retainer. The implant includes a transition section deformable to move the implant between the natural shape and the insertion shape. The implant includes a first post and a second post protruding therefrom across the transition section. The first post and second post each include an opening therethrough, whereby, when the implant resides in the insertion shape, the opening of the first post and the opening of the second post align. The implant retainer being configured to insert in the openings of the first and second posts when the implant resides in the insertion shape such that the implant retainer interconnects the first post and second post while spanning the transition section, thereby constraining the implant in the insertion shape.

An intramedullary nail includes one or more nail openings extending therethrough. The intramedullary nail is implantable within a medullary canal of the bone. A bone plate is configured to engage an outer surface of the bone. The bone plate includes one or more plate openings extending therethrough. The plate openings are spaced about the bone plate such that the bone plate is positionable to axially align the plate openings with the nail openings when the intramedullary nail is implanted within the medullary canal of the bone. An aiming guide includes one or more targeting openings. The targeting openings are spaced about the aiming guide such that the aiming guide is positionable to axially align the targeting openings with the plate openings and the nail openings for extending one or more stabilizing fasteners therethrough when the intramedullary nail is implanted within the medullary canal of the bone.

Guides, implants, devices, instruments, systems, and assemblies for achieving bone fusion are disclosed. A bone fusion system, including an implant template, a guide wire for insertion through the implant template, a bone plate for receiving the guide wire, and an alignment guide apparatus for coupling to the bone plate. Methods of using a bone fusion system for achieving bone fusion are also disclosed.

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.

An implant includes a curved first plate section having a curvature about a longitudinal axis extending in a longitudinal direction. The first plate section has a first hole and a second hole. The first hole and the second hole are positioned to receive respective bone screws for attaching the implant to a first curved surface of a bone having a syndesmosis. A second plate section extends continuously from the first plate section. The second plate section has at least a third hole that is positioned to be offset from the first hole and the second hole in a direction that is anterior or posterior from the first hole and the second hole in a case where the longitudinal axis is aligned along a superior-inferior direction. The third hole is configured to receive at least one screw or at least one button for holding a suture at a position offset from the first line segment hole and the second hole in the anterior or posterior direction, for reducing the syndesmosis.

A plate holder instrument includes a base and a clamp. The clamp is displaceable relative to the base in a longitudinal direction and forms a plate receiving recess with the base. The clamp is displaceable between a released position to allow a bone plate to be loaded into and removed from the plate receiving recess, and a clamped position to lock a plate in the plate receiving recess. An actuator is displaceable relative to the base in a first direction to move the clamp to the released position and a second direction to move the clamp to the clamped position. The plate holder instrument can be combined with one or more surgical instruments, bone plates, screws, tools, taps, depth gauges, screw drivers and/or other accessories as a kit.