Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Methods of use for bone and joint stabilization devices are described in which the devices are tensioned after anchoring during a medical procedure and remain active in maintaining axial tension for continued compression of the subject anatomy.

A crimp cap apparatus includes: a crimp sleeve having a peripheral wall defining an exterior surface and an interior passage sized to receive a tensile member having a predetermined outer diameter, the crimp sleeve being configured such that it can be crimped around the tensile member by an application of mechanical force which reduces its dimensions from a first size to a second, smaller size; and a cap having a bottom surface, a convex top surface, a central bore extending from the bottom surface to the top surface for receiving the crimp sleeve, wherein the cap includes a clamping structure disposed in the central bore and configured to permit elastic deflection in response to being pressed over the crimp sleeve the crimp sleeve and apply a clamping force there-to to secure the cap in place.

Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

A sternum fixation device includes a plate having a first end and a second end, a right lateral edge and a left lateral edge, an inner side configured for placement against the sternum, and an outer side. A first lobe includes a band socket defined as a blind recess in the outer side of the plate. The band socket includes a right lateral stop and a left lateral stop opposite the right lateral stop. A right lateral channel is defined in the first lobe from the right lateral edge to the band socket, the right lateral channel defined above a right side floor in the socket. A left lateral channel opposite the right lateral channel is defined in the first lobe from the left lateral edge to the band socket, the left lateral channel defined above a left floor in the socket.

A system, a method, and instruments for manipulating a surgical cord into spinal implants to assist in correcting a spinal deformity are described. The system may include a tensioner, a tensioner extension, and a counter tensioner. One of the instruments can include an elongate body, a dual coupler, and a nose member. The elongate body has a flexible cylindrical member adapted to carry tension along a longitudinal axis, where the flexible cylindrical member is sized to receive a surgical cord through a lumen within the flexible cylindrical member. The dual coupler is disposed on a proximal end of the elongate body, and include a bore for receiving a nose portion of a tensioner and for guiding the surgical cord into the tensioner. The nose member is disposed on a distal end of the elongate body, and be adapted to discharge the surgical cord from the elongate body.

A band tensioner includes a shank, a head, and a tensioning mechanism disposed within the head. The shank is configured to secure the band tensioner to a first bony element and the head is secured to an end of the shank. The tensioning mechanism is configured to lengthen and shorten a flexible implant relative to the head of the band tensioner.

Implants, systems, and methods for securing a flexible band, thereby providing a desired correction to the spine. The implant may secure the flexible band to patient anatomy without the use of pedicle screws or spinal rods. The implant may include a locking member configured to secure the band. The band may be looped around bony anatomy and tensioned to achieve correction and provide fixation as an alternative to pedicle screws and spinal rods during spinal deformity surgery.

A surgical connector useful to link spine rods together. The connector may be used adjacent a pair of mounting screws in one vertebra to limit movement between the screws or may be used to apply a lateral force to a portion of the spine to change curvature. A method of performing spinal surgery is also provided to reinforce a patient's spine.

An external orthopedic fixation device. The external orthopedic device includes a radius fixing member, a metacarpus fixing member, and a coupling member. The radius fixing member is configured to be secured to a radius bone of a patient. The metacarpus fixing member is configured to be secured to a metacarpus bone of the patient. The coupling member is disposed between the radius fixing member and the metacarpus fixing member. The coupling member is configured to connect the radius fixing member and the metacarpus fixing member.