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 a spinal rod and/or a pedicle screw. The implant has a locking mechanism to secure the band. The band may be looped around bony anatomy and tensioned to achieve correction and provide fixation as an alternative or supplement to pedicle screws and spinal rods during spinal deformity surgery. Tensioners may be used that allow for multiple positions for attachment between the tensioner and a band clamp inserter.

A delivery device delivers a compression plate to a fracture line in a bone. The delivery device includes a body that retains the compression plate in a strained condition, the body including a proximal end, a distal end, and a first beam. The delivery device also includes a cover plate attached to and moveable relative to the body, the cover plate including a second beam. A space is defined between the first beam and the second beam that receives the compression plate. The delivery device also includes a compression clip that retains the compression plate in the space.

A method of bone fixation includes placing a bone plate adjacent to a lesser trochanter on a medial aspect of a femur such that at least a portion of the lesser trochanter is positioned between appendages of the bone plate, wrapping cables coupled to the bone plate about a first and second bone fragment of a proximal femur, and tightening the cables to secure the first and second bone fragments together.

Tension isolating adjustable adapters are disclosed, along with kits and systems containing same, as well as methods of production and use thereof. The tension isolating adjustable adapters include a percutaneous device holder that can be releasably connected to a percutaneous device via a locking element, and a tensioning member that engages the percutaneous device holder. The tensioning member has at least one tension pad that is shaped and configured to be disposed about the percutaneous device insertion site in the patient's skin, and the engagement of the tensioning member(s) to the percutaneous device holder allows for adjustment of the tension pad(s).

Implant tensioning and/or implant anchor deployment devices are described. Certain embodiments may be recognized in the form of a so-called tensioning “gun.” Other embodiments take a simpler and more compact form. Various optional features are described in connection with these embodiments. Optional aspects of anchor embodiments for the subject implants are also described. Some of these features are coordinated for use with the implant tensioning and anchor deployment instrument, others are not.

A cerclage cable system is disclosed which includes a bone plate, one or more securing devices, and one or more cerclage cables. The bone plate includes a plurality of bone plate apertures thereupon, wherein the bone plate is configured to be affixed to a bone. The one or more securing devices include a body having a proximal end and a distal end, wherein at least one securing device aperture is disposed toward the proximal end, wherein the distal end of the securing device is configured to be inserted into and received by the plurality of bone plate apertures. The one or more cerclage cables include two terminal ends, wherein the one or more cerclage cables are wrapped around the bone, wherein one terminal end of the one or more cerclage cables is passed through at least one securing device aperture.

A tissue fixation system is provided for dynamic and rigid fixation of tissue. A fastener connected with an elongate fastening member, such as a cable, wire, suture, rod, or tube, is moved through a passage between opposite sides of tissue. A medical device is used to secure the fastener to the elongate fastening member. The medical device includes a tensioning mechanism for tensioning the elongate fastening member. As crimping mechanism is used to secure the fastener to the elongated member, where a cutting mechanism cut the excess portion of the elongated member.

Various methods and devices are provided for tensioning a tether. In one embodiment, a tether tensioning device is provided and includes an elongate shaft adapted to be positioned adjacent to a bone anchor implanted in bone, and a tensioning mechanism pivotally associated with the elongate shaft and adapted to couple to a tether seated across the bone anchor and to pivot relative to the elongate shaft to apply a tensioning force to the tether.

Tether tensioning instruments, such as instruments used to tension and/or lock a tether about a spinal feature to assist in spinal fixation, and related methods and systems. In some embodiments, the instrument may comprise a handle, a tensioner base coupled with the handle, at least a portion thereof being movably coupled to the handle, and a tether coupling member coupled with the tensioner base and configured to fixedly engage a tether. The instrument may further comprise a tensioner tip movably coupled with the tensioner base, wherein at least a portion of the tensioner base is biased away from the tensioner tip, and wherein the instrument is configured to allow for step-wise movement of the tensioner tip away from the tensioner base to increase tension between the tether and an element of the spinal fixation system.

Tensioner instruments, systems, and methods of tensioning flexible bands in-situ. The tensioner instrument may include first and second pivoting arms with a base for pinching and pulling the flexible band to provide tension. The tensioner instrument system may include a clip inserter and a ratcheting tensioner for tensioning the band through an implant. The instruments may be configured to apply and maintain tension to the flexible band, thereby providing the desired correction to the spine.