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.

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.

Disclosed are system and methods that use at least one non-threaded anchor and an implant with at least one aperture to join boney structures, where the interaction of the head of the anchor with the implant aperture causes the anchor to move transversely with respect to an initial trajectory. This movement causes compression or distraction of the boney structures which are coupled to the anchors.

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.

An adjustable, knotless button/loop construct for fixation of ankle syndesmosis tibio-fibular diastasis and an associated method of ankle repair using the same. The knotless construct comprises a pair of buttons attached to a flexible, continuous, self-cinching, adjustable loop integrated with two splices that are interconnected. The knotless construct is passed through fibular and tibia tunnels and the buttons are secured on the cortical surfaces of tibia and fibula. One of the buttons (for example, an oblong button) is secured on the medial side of the tibia by passing the button and the flexible, adjustable loop though the fibular and tibia tunnels and then flipping and seating the button outside the tibia. The length of the flexible adjustable loop is adjusted so that the second button (for example, a round button) is appropriately secured on the lateral fibula.

An adjustable, knotless button/loop construct for fixation of ankle syndesmosis tibio-fibular diastasis and an associated method of ankle repair using the same. The knotless construct comprises a pair of buttons attached to a flexible, continuous, self-cinching, adjustable loop integrated with two splices that are interconnected. The knotless construct is passed through fibular and tibia tunnels and the buttons are secured on the cortical surfaces of tibia and fibula. One of the buttons (for example, an oblong button) is secured on the medial side of the tibia by passing the button and the flexible, adjustable loop though the fibular and tibia tunnels and then flipping and seating the button outside the tibia. The length of the flexible adjustable loop is adjusted so that the second button (for example, a round button) is appropriately secured on the lateral fibula.

An embodiment of the invention provides for a system, such as a cervical plate fusion system, that has mechanisms for preventing bone anchors (e.g., screws, pins, and the like) from backing out of the plate. The system prevents both counter-rotation of the screw and axial backing out of the screw. Other embodiments are described herein.