Instruments and methods for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a passer able to pass a member through the bone tunnels.

A multi-barrel drill guide and anchor deployment assembly with an elongated body extending along a longitudinal axis having a proximal end and a distal end, an elongated distal guide tube attached to and extending from the distal end, a handle extending from the elongated body between the proximal end and the distal end, and a sliding inserter movably connected to the elongated body and configured to move between the proximal and distal ends of the elongated body. The elongated body has a first channel extending from the proximal end to the distal end and a second channel extending from the distal end to a position between the distal and proximal ends. The second channel extends at an angle relative to the first channel and intersects the first channel at a convergence area at the distal end.

A bone cut guide includes a stem having a stem longitudinal axis and an anchoring portion proximal to the stem and connected to the stem by a cut body. The anchoring portion includes an anchoring opening configured to receive a wire therethrough to connect the anchoring portion to a bone. The cut body includes a cut slot configured to receive a saw to cut the bone.

Arthroscopic devices adapted for minimally invasive procedures, such as bone augmentations and reconstructive surgery, are provided. The arthroscopic devices include a drill guide adapted for efficiently and accurately positioning pilot holes and surgical instrumentation relative to the bone; a surgical cable, such as an elastomeric surgical cable, adapted for applying a compressive force across the bone fragments after the surgical repair to promote healing; and a tensioner and crimping device for applying tension to the surgical cable and securing the surgical cable in place. A surgical procedure is also disclosed where a cerclage is applied arthroscopically by passing a member such as an elastomeric ribbon through the glenoid and a bone graft, where the member is tensioned and fixed into place to hold the bone graft in firm contact with the glenoid to facilitate healing.

An offset guide that places a surgical tool through a bone of a surgical joint. The offset guide may hold the surgical joint in a reduced configuration at a first location along the bone; the first location preferred for engaging the bone. The offset guide may engage the bone with a hook that engages two opposing sides of the bone to center the surgical tool through the bone. The offset guide may guide placement of a surgical tool through the bone center at a second location along the bone, the second location offset from the first location. The second location may be a preferable location for receiving the surgical tool therethrough. The surgical tool may include both a drill and an implant insertion tool. The implant insertion tool may place an implant at the second location, while the offset guide holds the surgical joint.

The present invention relates to a cable pulling device (1) for orthopedic bone transport, comprising: a main body (2); a worm gear mechanism (4) disposed in the main body (2), and a reel (8) set into rotation by the worm gear mechanism (4) and meant to wind up a cable which is secured to a transport bone segment.

Embodiments of devices, apparatuses, kits, and methods for repairing a human joint by suturing biological tissue to the articular surface of a bone at the joint (e.g., repairing defects in the humerus at the glenoid joint after an anterior shoulder dislocation) are described herein. Biological tissue may include hard tissue such as bone or a joint socket or soft tissue such as cartilage, ligaments, tendons, or muscle tissue.

A suture transport system is disclosure for placing a flexible member along a tunnel, the system including a means of transporting a flexible member along a tunnel from a first opening in the tunnel through to a second opening at an opposite end of the tunnel, such that the flexible member extends from both the first and second opening. The system also includes a means of capturing a portion of the flexible member at the second opening, to inhibit the flexible member from retracting into the tunnel second opening. The means of capturing includes an aperture for capturing the portion of the flexible member.

A passive retrieving interosseous suture passing instrument (10) having a guide handle (13) with a proximal end for grasping and a distal end for engagement with a bone (11) to which suture (22) is to be attached. The bone (11) is provided with a first tunnel (15), and a suture retrieving arm (12) carried at the distal end of the guide handle (13) is provided with a distal tip dimensioned to be received in the first tunnel (15).

A universal drill guide for use in position the location of holes to be drilled for insertion of bone staples. The drill guide has first and second legs pivotally secured to one another and first and second jaw members, each of the jaw members being provided with a drill guide. An indexer connected to the first and second legs includes a biaser, e.g., a spring to bias the first and second legs in a direction away from one another and a latch, catch or the like for selectively, releasably holding the first and second legs in a predetermined desired spacing.