The present invention relates to dynamic bone fixation elements and a surgical method to stabilize bone or bone fragments. The dynamic bone fixation elements preferably include a bone engaging component and a load carrier engaging component. The bone engaging component preferably includes a plurality of threads for engaging a patient's bone and a lumen. The load carrier engaging component preferably includes a head portion for engaging a load carrier (e.g., bone plate) and a shaft portion. The shaft portion preferably at least partially extends into the lumen. Preferably at least a portion of an outer surface of the shaft portion is spaced away from at least a portion of an inner surface of the lumen via a gap so that the head portion can move with respect to the bone engaging component. The distal end of the shaft portion is preferably coupled to the lumen.

A system for securing bones together across a joint includes a transfixation screw and a plate. The plate includes an elongate spine having a transfixation screw hole disposed along the spine. The transfixation screw hole includes an inner surface configured to direct the transfixation screw through the transfixation screw hole such that the transfixation screw extends alongside the bridge portion at a trajectory configured to pass through a first position on the first bone and a second position on the second bone once the plate is placed across the joint. The transfixation screw includes a head configured to abut the inner surface of the transfixation screw hole and a shaft configured to contiguously extend through the first bone, across the joint, and into the second bone.

A surgical plate system, components and methods of using are described. A surgical plate system includes a plate having an anterior surface, a posterior surface, a longitudinal axis, a transverse axis and a through hole passing through the anterior and posterior surfaces. A variable fastener is configured and dimensioned to connect to the plate, the variable fastener having a head and a shaft extending distally from the head. The head is configured to assume different proximal end diameters. The head, in a first configuration allows inward flexing to reduce a diameter of the head to allow the head to pass through an entrance opening of the through hole. In a second configuration, the head is prevented from flexing inwardly thereby preventing the head from backing out of the entrance opening, while allowing articulation of the head, within the through hole, relative to the plate.

A disposable single indication orthopedic trauma surgical kit has no bone plates other than a single bone plate precountoured and sized to match an anatomic shape of a portion of a bone of a patient's extremity. The single bone plate has a plurality of fastener apertures. The surgical kit also has a plurality of fasteners with heads that are dimensioned to mate with the fastener apertures. The surgical kit also has a disposable torque driver adapted to engage the fastener heads. The foregoing components are contained in a sterile sealed container.

An orthopedic implant including an outer surface and at least one opening extending through the outer surface for receiving a fastener for coupling the implant to a patients bone or bone portion/fragment. The opening including a plurality of fins circumferentially disposed about the opening for engaging threads formed on a head portion of the fastener to secure the fastener to the implant. The plurality of fins being arranged and configured in first and second vertically spaced rows of fins. At least one of the fins including a different configuration, property, etc. relative to at least one of the other plurality of fins. In one embodiment, each of the first and second fins in a vertically stacked relationship includes a different configuration from the other of the first and second fins in that stack. In one embodiment, the different configuration includes a different length, a different thickness, or a combination thereof.

A bone plate includes a plate body defining an interior surface that defines a combination hole that includes intersecting locking and compression holes that each extend between outer and bone-facing surfaces of the plate body. A central axis of the compression hole is spaced from a central axis of the locking hole in an offset direction. A locking surface of the plate body defines the locking hole and at least one locking structure therein. A compression surface of the plate body defines the compression hole. An intersection boundary between the locking and compression surfaces is configured to translate the bone plate in the offset direction during contact between the intersection boundary and a head of a compression screw as it advances within the combination hole along an insertion axis offset from the central axis of the locking hole at an offset distance in a direction having a directional component in the offset direction.

A kit for orthopedics, preferably for osteosynthesis, has a mechanical fixing system that includes a plate for straddling between two bone fragments and fixing screws for fixing the plate to the two bone fragments. The plate has a thickness of about 0.5-4 mm and conical through holes, the fixing screws each having a head, a self-tapping stem, and a conical collar interposed between the head and the self-tapping stem to define a conical coupling within a corresponding conical through hole of the plate. The heads of the fixing screws have a upper surfaces with a recessed and shaped mark for coupling with the tip of a screwing tool and external side walls with a thread for engaging a gripping tool. When the conical collar is inserted into a corresponding conical through hole of the plate, the head protrudes outwardly from the plate.

The disclosure provides a fixation device for internal fixation of an osteotomy below the tibial tuberosity. The fixation plate including a top-end portion including three pinholes, three screw holes, and a first Combi hole; a bottom-end portion including a second Combi hole, two screw holes, and one pinhole; and a connection portion connecting the top-end portion to the bottom-end portion. The top-end portion is capable of fixating the portion of the tibia above a cut of the osteotomy, and the bottom-end portion is capable of fixating the portion of the tibia below the cut.

Systems, devices, and methods for providing orthopedic augments having recessed pockets that receive a fixation material. The orthopedic augments include an outer surface that interfaces with a patient's tissue or bone, an inner surface that interfaces with an implant and having a recessed pocket configured to receive a fixation material, a rim around at least a portion of the recessed pocket, and a port in the rim, wherein the recessed pocket extends along the inner surface in at least a lateral direction from the port.

An assembly used in osteosynthesis comprising a delivery instrument in combination with an implant wherein the delivery instrument releasably holds the implant in a first configuration prior to attachment of the implant to bone. The delivery instrument allows the implant to be affixed to bone before the implant is released from the instrument. And the instrument may comprise guide means for drills, depth gauges, screws, pins, pegs, blades and or drivers which are used or implanted when the implant is releasably attached to the instrument. After the implant is affixed to bone and released from the delivery instrument, the implant assumes at least a second configuration which provides compression and or distraction and or control of spatial orientation.