A method and apparatus for changing a configuration of a bone. The method includes the steps of: fixing a first part of a bone plate to the bone at a first location; securing a guide assembly in an operative position in relationship to the bone; engaging a bone part moving assembly with the bone at a second bone location spaced from the first bone location; cutting the bone to define first and second bone sections and so that the bone part moving assembly engages the second bone section and the first bone location is on the first bone section; relatively repositioning the first and second bone sections into a desired relationship and thereby causing a part of the bone part moving assembly to move guidingly, together with the second bone section, in a controlled path; and fixing the first and second bone sections in the desired relationship. The first and second bone sections can be controllably relatively moved lengthwise of the bone plate without requiring guided movement of any component that extends through the bone plate and into the bone.

Periprosthetic bone fixation plates are disclosed including, for example, periprosthetic proximal femur plate, periprosthetic distal femur plate, periprosthetic humerus plate, periprosthetic ring plate, and periprosthetic troch plate. In use, the periprosthetic bone fixation plates are arranged and configured for use in periprosthetic fractures. That is, the periprosthetic plates include one or more features to facilitate positioning and securement of the bone fixation plate to a patients bone that previously received a surgically implanted orthopedic device or implant such as, for example, an intramedullary nail, a hip prosthesis, a knee prosthesis, etc. In use, the one or more features are designed and configured to facilitate avoidance of the previous surgically implanted orthopedic device or implant. In addition, the periprosthetic bone fixation plates are arranged and configured to facilitate plating of a longer working length as compared to existing bone fixation plates (e.g., plating from, for example, femoral condyle to greater trochanter).

A bone plate defines an interior surface that defines: a hole extending through the plate along an axis; plate threads configured for locking with a threaded head of a locking screw; first, second, and third columns sequentially located about the axis; a first corner extending tangentially from the second to the first column; and a second corner extending tangentially from the third to the first column. The first and second corners are substantially equidistantly spaced from the axis. The plate threads extend across the first, second, and third columns and the first and second corners. The interior surface defines a recess between the second and third columns and facing the first column. An apex of the recess is spaced further from the axis than are the first and second corners, such that the recess circumferentially interrupts at least a portion of at least one of the plate threads.

Implementations of devices for use in cervical spinal operations. Implementations may include a template including a central hole therethrough and two or more screw holes therethrough. The central hole may be configured to be inserted over a handle of a trial. The template may be configured to place a first of the two or more screw holes over a rostral vertebra and to place a second of the two or more screw holes over a caudal vertebra. Implementations may also include a template including a central hole therethrough and two or more screw holes therethrough. The central hole may be configured to couple over an inserter. The template may be configured to place a first of the two or more screw holes over a rostral vertebra and to place a second of the two or more screw holes over a caudal vertebra.

A method includes tracking one or more of a plurality of vertebrae of a patient, planning a planned alignment of the plurality of vertebrae, creating an implant placement plan based on the planned alignment, and robotically preparing the plurality of vertebrae to receive an implant in accordance with the implant placement plan.

A cortical shaft bone fixation apparatus includes a housing having a leading portion and a trailing portion, the leading portion configured to fit within a diameter of an affected cortical shaft bone, the leading portion having first and second sections. The apparatus further includes an expansion mechanism adapted to transition the first and second sections from a first position to a second position, the first and second sections providing an outward force against the inside surface of the cortical shaft bone when the first and second sections transition from the first position to the second position, the trailing portion of the housing abutting a leading end of the affected cortical shaft bone. The trailing portion of the housing includes a pair of angled tapers extending inwardly toward each other to a minimum separation distance at an extreme end of the housing.

A cortical shaft bone fixation apparatus includes a housing having a leading portion and a trailing portion, the leading portion configured to fit within a diameter of an affected cortical shaft bone, the leading portion having first and second sections. The apparatus further includes an expansion mechanism adapted to transition the first and second sections from a first position to a second position, the first and second sections providing an outward force against the inside surface of the cortical shaft bone when the first and second sections transition from the first position to the second position, the trailing portion of the housing abutting a leading end of the affected cortical shaft bone. The trailing portion of the housing includes a pair of angled tapers extending inwardly toward each other to a minimum separation distance at an extreme end of the housing.

An in-situ additive-manufacturing system for growing an implant in-situ for a patient. The system has a multi-nozzle dispensing subsystem and a distal control arm. The multi-nozzle dispensing subsystem in one embodiment includes first and second dispensing nozzles. The first and second nozzles include first and second printing-material delivery channels, respectively. In another embodiment, the in-situ additive-manufacturing system includes a multi-material subsystem having a dispensing nozzle including first and second printing material delivery channels. Controlling computing and robotics componentry are provided. In various aspects, respective storage for first and second printing materials, and one or more pumping structures, are provided.

Methods for growing spinal implants in situ using a surgical additive-manufacturing system. In one aspect, the method includes positioning a dispenser at least partially within an interbody space, between a first patient vertebra and a second patient vertebra. The method includes maneuvering the dispensing component within the space to deposit printing material forming an interbody implant part, positioning the dispensing component adjacent the vertebrae, and maneuvering the dispenser adjacent the vertebrae to deposit printing material on an exterior surface of each vertebrae and in contact with the interbody implant part forming an extrabody implant part connected to the interbody implant part and vertebrae, yielding the spinal implant grown in situ connecting the first vertebra to the second vertebra. The extrabody part can be printed around anchors affixed to the vertebrae, and the anchors may be printed in the process.

The fracture fixation plate (1) is suitable for application to the volar surface of a distal radius, wherein the fracture fixation plate (1) has an elongated body section (2) which has a free proximal end (3) and a distal end (4) on which an ulna head section (5) and a radius head section (6) connect, which diverge distally from one another, wherein the two head sections (5; 6) are each independently connected to the distal end (4) of the body section (2) via a corresponding neck section (51; 61), the body section (2) and the two head sections (5; 6) are provided with a number of threaded holes (7) for receiving bone securing elements (8) and the body section (2) also has an elongate compression hole (9), and the fracture fixation plate (1) has a bone contact surface (10) and an opposing surface (11). The bone contact surface (10) is designed such that it is convex in the region of the ulna head section (5) and the bone contact surface (10) is designed as a curved surface in the region of the radius head section (6).