The present invention provides a method for generating a bone fixation implant and related preoperative planning. The method comprises a first step of determining at least the orientation and the position of the fixation means, based on a 3D model of the bone fragments. The method may include a second step of defining the shape of one or more bone plates, based on the output of the first step. The method may further include a third step determining tools for applying fixation means during surgery, according the optimized configuration defined in the first step and applying the bone plates from the second step. The method may even further include a fourth step, quantifying construct stability for a given patient following surgery, thereby allowing early weightbearing.

In one aspect, an implant configured to attach a first bone section to a second bone section comprises an intramedullary portion and an extramedullary portion. The intramedullary portion is configured for insertion into the first bone section. The ex-tramedullary portion is configured to abut a surface of the second bone section and includes a first fastener aperture configured to eceive a bone fastener inserted in the second bone section. The intramedullary portion and the extramedullary portion are coupled such that the extramedullary portion is rotatable with respect to the intramedullary portion.

A bone reduction and plate fixation forceps including a first arm having a proximal part including a handle and a bifurcated distal part in which a first bone engaging jaw and second bone engaging jaw are configured to engage a first surface of a fractured bone on each side of the fracture, and a second arm having a proximal part including a handle and a distal part comprising a third bone engaging jaw configured to engage a second surface of the fractured bone to clamp the bone between the first and second arm. At least one of the first bone engaging jaws and second bone engaging jaws has a proximal to distal bridge shape.

A patient monitoring system, including: a bone plate configured to be secured to a bone; a plurality of sensors on the bone plate configured to: measure a parameter; transmit a data signal communicating the measured parameter value; and wherein the transmitted data signals from the plurality of sensors are time division multiplexed; and an external wireless reader including an antenna, a processor, and wireless communication radio, wherein the external wireless reader is configured to: transmit an modulated RF signal; and receive the time division multiplexed transmitted data signals from the plurality of sensors.

A surgical kit and a method for performing osteotomy is disclosed. The surgical kit comprises at least two lateral plates and a central plate. The two lateral plates are scaled and fixed over a surgical bone adjacent to each other with an exact distance measured by the scaled lateral plates while the central plate is over two lateral plates to maintain the alignment. The distance is equal to the shortening amount of bone based on the pre-operative measurements. The central plate slides laterally over the two lateral plates to expose the surgical site of the bone. Shortening osteotomy is performed to shorten the bone equal to the distance between the two lateral plates. The central plate then laterally slides over the two lateral plates to achieve the anatomic alignment. Further, the central plate and the two lateral plates are securely fixed to the bone using one or more fasteners.

A system includes a first spacer sized and configured to be received within a resected bone space of a first bone and a second spacer sized and configured to be coupled to a second bone. The first spacer and the second spacer each include a body extending between a bone contacting surface and a coupling surface. At least one shim is positioned between the first and second spacers. The shim includes a body extending between a first coupling surface and a second coupling surface. The first spacer, the second spacer, and the at least one shim position the first and second bones in a predetermined alignment. An adjustable guide including a guide adapter and a guide body is configured to couple to the first spacer and is adjustable on a first axis.

In one aspect, a bone anchor assembly is provided having a bone anchor with a head, a resilient locking cap extending about a portion of the bone anchor head, and a cap drive member having a depending annular wall. In another form, a bone plate system is provided including a bone plate having an elongated throughbore and a resilient support member received therein. In another aspect, an insertion device is provided for manipulating and inserting a spinal device at or within a spinal joint. The insertion device is configured to actively pivot the implant about the implant gripping end of the device and to allow manipulation and release of the implant in any pivoted orientation from approximately 0 to 90 degrees.

A packaging system includes a packaging container and a packaging element. The packaging container include a first half having a base surface and an outer wall defining an inset receiving area, a second half sized and configured to couple to the first half in a locking relationship, and a coupling element extending from the base surface of the first half. The packaging element includes a central coupling body defining an opening sized and configured to receive the coupling element of the packaging container therethrough and a plurality of secondary coupling elements each coupled to an outer perimeter of the central coupling body. A plurality of surgical elements are each coupled to one of the plurality of secondary coupling elements.

A packaging system includes a packaging container and a packaging element. The packaging container include a first half having a base surface and an outer wall defining an inset receiving area, a second half sized and configured to couple to the first half in a locking relationship, and a coupling element extending from the base surface of the first half. The packaging element includes a central coupling body defining an opening sized and configured to receive the coupling element of the packaging container therethrough and a plurality of secondary coupling elements each coupled to an outer perimeter of the central coupling body. A plurality of surgical elements are each coupled to one of the plurality of secondary coupling elements.

A medical implant includes a first implant body and a pre-coating covering at least a portion of an outer surface of the first implant body. The pre-coating has a negative Poisson's ratio. A method of making a medical implant includes applying a precursor material on a surface of a first implant body, the first implant body having a positive Poisson's ratio. A stimulus is applied to the precursor material, the stimulus causing the precursor material to form a coating having a negative Poisson's ratio