A metatarsus adductus technique may involve cutting an end of one or both of a second metatarsal and an intermediate cuneiform to create a wedge-shaped opening between the end of the second metatarsal and the intermediate cuneiform. The method may further involve cutting an end of one or both of a third metatarsal and a lateral cuneiform to also create a wedge-shaped opening between the end of the third metatarsal and the lateral cuneiform. The second metatarsal and the third metatarsal can then be moved in a transverse plane to close a metatarsus adductus angle. Movement of the second and third metatarsal may close the wedge-shaped openings forming during bone cutting. With the second and third metatarsals appropriately realigned, the clinician can fixate the moved position of the second metatarsal and the third metatarsal.

The invention relates to a kit comprising at least one insert (10, 20) and a plate (1) for treating a bone, specifically a clavicle (B). The plate (1) has a receptacle (6) for the insert (10, 20). The insert (10, 20) has an outer contour (C″) and/or the receptacle (6) has an inner contour (C), wherein the outer contour (C″) and the inner contour (C) fit each other such that the insert (10, 20) inserted into the receptacle (6) can pivot about an axis which runs substantially parallel to a plate top side (0).

The invention relates to a screw (1), preferably a bone screw, comprising a shaft (2) with a tip (3), a head (4) and a thread (5). The shaft further comprises a longitudinal axis (A). An array of radial cross-sectional surfaces (Q) of the head (4) extend through the longitudinal axis (A) of the screw (1), the location of each radial cross-sectional surface (Q) being defined by an azimuth angle (6) in a plane (E) perpendicular to the longitudinal axis (A). Each radial cross-sectional area (Q) has an area defined by the longitudinal axis (A) and the outer surface of the screw (8). The thread (5) extends into the head (4) in such a way that the surface areas of the radial cross-sectional surfaces (Q′) in a first azimuth angle range (9) are constant and the surface areas of the radial cross-sectional surfaces (Q″) in a second azimuth angle range (10), which is different from the first, have a different, preferably smaller, value than the surface areas in the first azimuth angle range (9). The first azimuth angle range (9) is at most 350°, preferably at most 345°.

The present application is generally directed to implantable systems, devices and related methods pertaining to spinal surgery. In particular, the present application discloses a frame and spacer system for inserting into a disc space. The frame and spacer system is of low profile. The frame can receive different fixation devices, including threaded and non-threaded fixation devices.

A surgical system includes an instrument portal comprising a first proximal end, a first distal end, and a first elongated member, the first elongated member comprising a first bore defining a first diameter, wherein the first bore extends from the first distal end to the first proximal end, wherein the maximum clearance of the instrument portal is the first diameter, and a drill guide reducer configured to be inserted into the instrument portal, the drill guide reducer comprising an elongated cylindrical member defining an outside diameter such that the drill guide reducer is sized to fit within the instrument portal and defining an inner diameter configured to receive a drill guide, wherein the inner diameter of the drill guide reducer is smaller than the first diameter of the instrument portal.

A surgical system includes an instrument portal comprising a first proximal end, a first distal end, and a first elongated member, the first elongated member comprising a first bore defining a first diameter, wherein the first bore extends from the first distal end to the first proximal end, wherein the maximum clearance of the instrument portal is the first diameter, and a drill guide reducer configured to be inserted into the instrument portal, the drill guide reducer comprising an elongated cylindrical member defining an outside diameter such that the drill guide reducer is sized to fit within the instrument portal and defining an inner diameter configured to receive a drill guide, wherein the inner diameter of the drill guide reducer is smaller than the first diameter of the instrument portal.

Bone plate and instrument systems include interconnections and locking mechanisms to fix the bone plates to the instruments, and guide features that aim k-wires, drills, and/or fasteners to pass through holes in the bone plates when the bone plates are fixed to the instruments. The locking mechanisms include elongated flexible elements that connect to the bone plates.

Bone plate and instrument systems include interconnections and locking mechanisms to fix the bone plates to the instruments, and guide features that aim k-wires, drills, and/or fasteners to pass through holes in the bone plates when the bone plates are fixed to the instruments. The locking mechanisms include elongated flexible elements that connect to the bone plates.

A bone plate including a long-plate-shaped main section to be disposed on a side surface of a diaphysis, a transverse section to be disposed on the side surface of an epiphysis, a coupling section coupling the transverse section and the main section to each other. The main section is twisted relative to the transverse section around an axis parallel to a longitudinal axis of the main section. when the bone plate is viewed in a transverse direction of the main section, the bone plate has a shape in conformity to the shin bone such that the coupling section is inclined relative to a longitudinal direction of the main section and the main section and the transverse section are bent to have a cranked shape in which the main section and the transverse section are offset relative to each other in a thickness direction of the bone plate.

A system and method for sharing and absorbing energy between body parts. In one particular aspect, the system facilitates absorbing energy between members forming a joint such as between articulating bones.