A reduction and fixation device and a method for non-radiologic closed reduction and nailing with a weight bearable nail for femoral fractures. The reduction and fixation device includes a proximal trifurcation device, a distal trifurcation device, a length adjusting nut, and an alignment rod. The proximal trifurcation device is configured to be attached and secured to a proximal fragment of a fractured femur of a patient. The distal trifurcation device is configured to be attached and secured to a distal fragment of the fractured femur of the patient. The proximal trifurcation device, the distal trifurcation device, the length adjusting nut, and the alignment rod are configured to manipulate a proximal fragment and a distal fragment of a fractured femur to restore their alignment and orientation to a pre-fracture state.

A bone implant comprising an elongate body having a first end and a second end coupled by a shaft is disclosed. The first portion is configured to couple to a first bone. The second portion comprises a first expandable section comprising at least one expandable feature. The first expandable section is configured to be received within a reverse countersink in a second bone in a collapsed state and to expand within the reverse countersink. The expandable feature couples to a bearing surface of the reverse countersink. A surgical tool comprising a shaft and at least one expandable cutting edge is disclosed. The shaft is sized and configured to be received within a canal formed in a bone. The expandable cutting edge is formed integrally with the shaft. The expandable cutting edge is configured to expand from a collapsed position to an expanded position for forming a reverse countersink.

A device is provided including a distal nail portion and a proximal nail portion that can be connected to each other to attain a rigid configuration. The device is to be placed internally within the medullary cavities of bones. The device is placed intramedullarily in order to minimize incision size, excessive bone resection and post-operative tendon damage and tenderness. Additionally, one particular method for using the device is provided that includes placing and affixing the distal nail in bone, placing the proximal nail in bone, connecting the distal nail to the proximal nail, doing the desired geometrical adjustments, affixing the proximal nail to the distal nail by tightening the connection and affixing the proximal nail to attain a rigid configuration.

A system and method for further improving upon an ability of a surgeon to reduce or eliminate impaction forces when installing or assembling a prosthesis. An implant includes a surface treatment and/or foundational structural regions for aiding operations with the implant. For example, some surface treatments and foundational structural regions provide an asymmetry in installation versus removal to bias the associated implant deeper into an installation site.

Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail. In some embodiments, the proximal end may further include a cross-locking feature, which includes a second bone anchor that interlocks with a first bone anchor, for example, for enhanced bone purchase and bony fixation.

An intramedullary nail implant for positioning in a bone having a head and a shaft defining an intramedullary canal. The implant includes a distal portion having a shaft extending along a central axis and configured for positioning within the intramedullary canal. A proximal portion extends proximally from the distal portion. The proximal portion defines a contact surface which extends at least in part medially of the central axis such that it is configured to extend within a medial portion of the bone head. A method of implanting the nail is also provided.

Devices and methods for restructure and stabilization of a fractured or weakened head of a bone are disclosed herein. A device includes a delivery catheter having a proximal end and a distal end, an inner void for passing at least one light sensitive liquid, and an inner lumen; an expandable member releasably engaging the distal end of the delivery catheter; and a light conducting fiber sized to pass through the inner lumen of the delivery catheter and into the expandable member. The expandable member moves from a deflated state to an inflated state when the light sensitive liquid is passed to the expandable member. When the light conducting fiber is in the expandable member, the light conducting fiber is able to disperse the light energy to initiate hardening of the light sensitive liquid within the expandable member to form a photodynamic implant.

The present disclosure provides an intramedullary nail assembly comprising an intramedullary nail and an insert sleeve. The intramedullary nail has a nail longitudinal axis and comprises a cavity being accessible from a nail proximal end, the cavity being confined by a nail inner wall, the cavity having a cavity longitudinal axis. The nail inner wall is provided with a predominantly longitudinal groove and a predominantly transverse groove, the transverse groove and the longitudinal groove communicating with each other at a junction. The insert sleeve is configured to be received within the cavity and comprises a cam radially protruding from the insert sleeve and sized to mate with each of the longitudinal and transverse grooves such that the cam is displaceable within the longitudinal groove from a longitudinal groove proximal end to the junction and is further displaceable towards a terminal end of the transverse groove.

Systems and methods for intermedullary bone fracture fixation are described herein. The fixation device includes a main body having a flexible state and a rigid state. The fixation device further includes a proximal interface coupled to a proximal end of the main body to anchor the fixation device to an exterior surface of the bone and a distal interface coupled to a distal end of the main body to anchor the fixation device to an interior cavity of the bone. The fixation device further includes a locking interface to configured to convert the main body from the flexible state to the rigid state.

Apparatus and method for repairing a fractured bone. The apparatus and methods may involve an intramedullary rod. The rod may include a first elongated member and a second elongated member. Each of the first and second elongated members may be configured to bend in a first direction and to resist bending in a second direction. The first and second elongated members may be arranged such that: (1) the rod is bendable when the first direction of the first elongated member is aligned with the first direction of the second elongated member; and (2) the rod is rigid when the first direction of the first elongated member is aligned with the second direction of the second elongated member. Some embodiments may include rods that have sections that may be configured to be curved and rigid.