Implants and instruments for providing an ideal trajectory for the insertion of instruments and screws during implantation of an interbody implant in a spinal surgery are disclosed.

Implantable fixation devices for rejoining opposed portions of a separated bone. The devices include plates that may be affixed to a rib and realign separated portions of the rib or other body part. The devices may also include various locking mechanisms that receive a cable that may be used to realign and bring together separated portions of a bone or other body part. The devices may further include plates that may be affixed to a sternum and realign separated portions of the sternum or other body part.

A device includes an outer sleeve of flexible material forming an outer conduit extending longitudinally therethrough for the insertion of a bone treatment device (“BTD”) to target sites within a living body. A distal opening of the outer conduit is open so that, when the outer sleeve is in a desired position within the body, BTD is inserted through the outer conduit exits the outer sleeve adjacent to a target portion of a bone. The device also includes an inner sleeve received within the outer sleeve and defining an inner conduit within the outer conduit to form a protective covering. The inner sleeve is split longitudinally. Portions of the inner sleeve on opposite sides of the split are coupled to one another so that a diameter of the inner conduit is adjustable in response to forces exerted thereon by one of BTD and tissues surrounding the outer sleeve.

A method comprises the steps of: fixing a distal end of a first member of a surgical instrument with tissue, the surgical instrument including a second member having a longitudinal passageway configured for disposal of the first member and being connected with a navigation component such that the distal end is disposable with the passageway at a selected distance from the navigation component, the navigation component being positioned relative to a sensor to communicate a signal representative of an orientation of the first member; removing the second member from the first member; and connecting a third member with the first member along the orientation such that a distal end of the third member is fixed with the tissue. Systems, spinal implants, constructs and instruments are disclosed.

A surgical technique can be performed utilizing a detachable driver-implant system and comparatively small surgical incision. The clinician can make an incision through the skin of the patient and retract the skin along the incision to expose a first bone region. The clinician can insert an implant into one or more bone portions using a detachable driver-implant system and then detach the driver, leaving the implant in the one or more bone portions. The clinician can reposition the skin of the patient at least partially over the end of the implant to expose a second bone region not exposed while the first bone region was exposed. After optionally performing one or more surgical steps on second bone region, the clinician can reposition the skin to again expose the first bone region. The clinician can then reattach the driver to the implant and remove the implant from the bone portions.

An extracorporeal bone compressing link and apparatus and method using same. Active devices that incorporate the extracorporeal bone compressing link can transport and compress bone through external means by acting on conventional bone fasteners including but not limited bone fasteners including but not limited to screws, pins or wires that penetrate through the skin and fixate into bone.

This disclosure describes exemplary screw and intramedullary devices that are better able to bring bone fragments into close proximity with each other, generate a compressive load, and maintain that compressive load for a prolonged period of time while healing occurs. The devices are made of a shape memory material.

A pedicle insulator implant is designed to protect the nerves and surrounding tissue from injury by pedicle screws or other surgical devices and instruments. The implant is configured to shield a fixture, reduce nerve root irritation, and diminish loosening of the fixture, when the fixture is implanted into the void of a target site. The implant includes features for stabilizing and securing the implant within the void at the target site. For example, in one embodiment, the implant includes one or more ridges and one or more teeth sections that stabilize the implant against rotational and extractive forces that could disturb the implant.

The cephalomedullary nailing system of this invention contributes to solving three main problems: reduce fractures, improve assembly biomechanics to ensure the load axis is favorable as possible for bony fragments and prevent femoral neck collapse as well as offset and limb length loss, hence avoiding the possibility of reduced abductor power. The system is based on specific screw channel geometry and the placement of an additional locking screw, allowing the nail to turn 360° and facilitating nail insertion through the screw.

An improved method of fusing the sacroiliac joint and tools for accomplishing the same is disclosed. In one embodiment, the present invention is a method that uses an intra-articular joint fusion device for connecting the sacrum and ilium that includes creating a first incision in the patient's skin proximal to the patient's sacroiliac joint, inserting a surgical channel tool into the incision from the patient's posterior, creating a void in the sacroiliac joint, inserting a fusion implant into the void, the fusion implant having at least one fixation element for engagement with bone tissue in the articular surfaces of the sacrum and the ilium, and driving the fusion implant into the void such that the at least one fixation element engages with bone tissue in an articular surface of at least one of the sacrum and ilium, and the fusion implant fixes relative positions of the sacrum and ilium.