Assemblies for securing fractured bone are provided. The assembly includes a first fixation element, a second fixation element, and an adjustable flexible member construct. The first fixation element having a male or a female sleeve is secured within a first portion of the fractured bone. The second fixation element having the other of the male or female sleeve telescopically received within the one of the male or female sleeve is secured within a second portion of the fractured bone. The adjustable flexible member construct extends between the first and second fixation elements and has at least one adjustable loop coupled to the first fixation element and the second fixation element and a pair of adjusting ends extending through an opening in the first fixation element. The pair of adjusting ends can be pulled to reduce a diameter of the adjustable loop and to compress fragments of the fractured bone.

Sacral fixation implants can include first and second implant segments. One of the first and second implant segments is received in the other of the first and second implant segments, and the first and segments can be fixed with respect to movement toward and away from each other, thereby stabilizing a sacral fracture.

Components and associated methods of manufacture for bone and joint stabilization devices or systems are described in which medical devices are provided that include a rotatable foot as a distal anchor. The devices are tensioned during a medical procedure after applying a proximal anchor or anchoring head and remain active under tension for continued compression of the anatomy to be treated.

Orthopedic implants capable of compressing adjacent bone segments into which they are inserted, effective for the fusion, management and repair of bone joints and bone fractures, and methods for their installation, are described. One embodiment of such implants includes an elongated shaft coated to encourage bony in-growth, having a non-round cross section, and a flange at one end, which is laterally inserted into a preformed insertion path formed in adjacent bone segments traversing a joint or fracture location, to the point where further insertion is blocked by the flange intersecting one of the bone segments. The other end of the shaft may have a portion of male thread protruding out of the insertion path in the second of the bone fragments and adapted to be mated to a fastener having female thread. When the fastener is tightened against the outside of the second bone segment, perhaps using a washer, the joint or fracture is compressed and stabilized resulting in an effective fusion of the joint or fracture when the bone secures itself in the insertion path to the shaft's bony in-growth surfaces on both sides of the joint or fracture line.

A surgical method for stabilizing a fractured bone, comprises optionally realigning two portions of the bone impacted by the fracture, followed by drilling a hole through at least the first portion of bone and preferably the second portion of bone across the interface defined by the fracture. A flexible thread is threaded forward through the hole and a rear section of the thread anchored to the first portion of bone. The thread is pulled taut, holding the first bone portion relative to the second bone portion in a healing position. With the thread taut, a front section of the thread is anchored relative to the bone, thereby maintaining the first bone portion and second bone portion in the healing position.

A system and method for the surgical correction of a bunion deformity allows for correction of a bunion deformity. The method includes: drilling a hole across a first metatarsal and through a second metatarsal; placing a tube from outside the first metatarsal through the hole across the first and second metatarsals; pushing a first button through the tube until the first button exits the tube through a medial side of the second metatarsal; flipping the first button to engage the first button against the second metatarsal and applying a lateral tension on the suture strand; manually pushing the first metatarsal and the second metatarsal together to correct intermetatarsal angular deformity; pulling free ends of the suture strand of the suture-button construct to advance a second button of the suture-button construct and to engage the second button against the first metatarsal; and securing the second button against the first metatarsal.

The invention is directed in various aspects to a compression fixation system that includes coupling components and locking assemblies for connecting two or more separate elements in a fixed arrangement. For example, the system is useful for connecting and compressing two or more elements selected from bones and bone fragments. The system includes a substantially linear coupling component, such as, for example, a Kirschner Wire (“K-Wire”) and locking assembly elements that engage with the coupling component in a coaxial orientation. The coupling component includes at least a linear portion and an anchor portion, the anchor portion configured to be fixed within or adjacent to a first one of the elements to be connected and the linear portion configured to be fixed adjacent to a second one of the elements to be connected, where the locking assembly is attached coaxially with and locked against the second element to achieve compression and fixation.

A system including a bone punch tool and a needle guide. The bone punch tool can include a support arm having a support arm proximal portion and a support arm distal portion, a pivot arm having a pivot arm proximal portion and a pivot arm distal portion, and an arcuate punch configured to punch through bone. The pivot arm distal portion can be pivotably coupled to the support arm distal portion, such that the pivot arm proximal portion is configured to be moved away from the support arm proximal portion to extend the arcuate punch into a punch position to punch an arcuate hole through bone. The needle guide can be configured to guide a needle through the arcuate hole.

The present invention provides decorticating screws and insertion tools for implanting the decorticating screws. The screws anchor into a first and a second bone to fuse the two bones together. The screws include a rotatable bladed section to decorticate a joint space between the first and second bone. The screws also optionally include a cap to secure the screws in the bone and apply compression to the joint to be fused. In some embodiments, the decorticating screws are useful for sacroiliac (SI) joint fusion.

An apparatus and method are provided for a syndesmosis treatment construct configured to be placed into a cinched configuration that presses a first bone against a second bone. The syndesmosis treatment construct comprises a proximal fixator to contact the first bone and a distal fixator to contact the second bone. A first suture and a second suture are parallelly looped through the proximal fixator and oppositely looped through the distal fixator. Distal ends of the first and second sutures are fixated within a washer disposed between the proximal fixator and the first bone. Proximal ends of the first and second sutures are passed through openings in the washer and through the proximal fixator. Pulling of the proximal ends by a practitioner places the syndesmosis treatment construct into a cinched configuration. Any of various suitable suture knots may be formed so as to fixate the cinched configuration.