Disclosed is a surgical pin guide. To this end, the present invention provides a surgical pin guide including a guide fixed to an outer circumferential surface of a femur and configured to allow a center pin and a central pressure reducer of a drill handpiece to approach a necrotic region of an expanded area, a guide main body including a handle provided on an upper surface of a block, a center pin-guide hole horizontally pierced at a center of a front surface of the block, and a plurality of side pin-guide holes pierced at predetermined inclination angles with respect to the center pin-guide hole, arranged radially in the front surface of the block, and configured to meet the center pin-guide hole in a rear surface of the block, and a leading body configured to allow the guide main body to be detached from the guide and approach the necrotic region of the femoral head in a rotationally folded state.

A multi-function device useful in a surgical procedure for implanting a cartilage repairing implant in a bone is disclosed. The device includes a plurality of bone defect sizing rings or discs, where each bone defect sizing ring/disc includes a portion that is used to determine the size that correlates to the perimeter shape and size of the cartilage repairing implant. The inventive device also includes a feature that can be used to gauge the proudness of the cartilage repairing implant after the implant has been implanted into a bone.

This disclosure relates to surgical planning systems, instrumentation and methods for repairing bone defects. The planning systems and instrumentation disclosed herein may be utilized to establish trajectories of surgical devices and may be utilized to establish resection surfaces for fusion of adjacent bone surfaces.

A system and method for determining an access trajectory to a target site to safely place a surgical access instrument (e.g., guide wire, dilator, cannula, etc.) through a tissue (e.g., muscle, fat, brain, liver, lung, etc.) without damaging nearby neurovascular structure is described herein. The trajectory determination system includes a nerve stimulation probe and a dilator guide having a plurality of guide channels and registerable to an operating table in a fixed orientation. Motor nerve stimulation (e.g., EMG, MMG) is performed with the stimulation probe positioned in each of said plurality of guide channels to generate a map of nerve locations within intervening anatomical structures (e.g., muscle, bone, etc.) between the dilator guide and the surgical target site. Available access pathways are determined based on the nerve location data and displayed on a display unit.

An interfragmentary guide and plate system is described.

In various embodiments, a surgical instrument, systems including the surgical instrument, and methods of use of the surgical instrument are disclosed. The surgical instrument includes a handle body extending from a proximal end to a distal end substantially along a longitudinal axis. The handle body defines a first channel sized and configured to receive a guide element therein. A plurality of indicators are formed on the handle body. Each of the plurality of indicators correspond to a size of one of a plurality of fixation elements sized and configured for insertion into a bone. A countersink element is coupled to a distal end of the body. The countersink element defines a second channel sized and configured to receive the guide element therethrough that is circumferentially located with and coupled to the first channel. The countersink element includes a head sized and configured to form a countersink in the bone.

Patient specific implant technology, in which an outline representation of a portion of an outer surface of a periphery of a bone volume is determined and the outline representation is used in operations related to implant matching. In addition, an instrument may be made to match a perimeter shape of a Patient Specific Knee Implant with features for locating holes in a distal femur such that posts or lugs in a femoral implant locate the femoral implant centered medial-laterally within an acceptable degree of precision to prevent overhang of either the side of the femoral implant over the perimeter of the distal femur bone resections. Further, a two-dimensional outline representation may be segmented into segments that correspond to resection cuts used in fitting an implant on a portion of a bone and operations related to implant matching may be performed based on the segments.

A device for drilling into bone includes a luer portion having a luer thread. A bit portion is rigidly coupled to the luer portion, the bit portion configured to be detachably coupled to a bit driver. An adapter portion is rigidly coupled to the bit portion. A drilling portion is rigidly coupled to the adapter portion, the drilling portion comprising a flute configured to create a hole in the bone. A channel extends through the luer portion, the bit portion, the adapter portion, and the drilling portion.

A fracture treatment system can include a pair of implants cross-pinned into the medullary canal of a bone, guided by at least one guide wire with at least two diameters. The system allows for more accurate sizing of the length of implants needed to achieve bicortical purchase for enhanced stability, as well as anti-rotation of the fracture site. The more accurate sizing and placement of the cross-pinned implants additionally allow both ends of the implants to recess beneath or be flush with the outer surface of the bone, which can reduce the risk of infection. The guide wire can allow the implants to be inserted using a cannulated technique for easier surgical procedure and better outcome, with the implants having sufficient wall thickness for the desired length to achieve bicortical purchase while keeping the shaft outer diameter of the implant to be similar to a diameter of the guide wire.

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.