A bone plate system includes, for example, a bone plate and at least one bone plate hole cap. The bone plate includes a body having a first surface, a bone-engaging surface, and a plurality of through-openings. The bone plate hole cap includes a body having a first surface, a second surface, and a peripheral surface. The bone plate hole cap is securable in at least one of the through-openings in the bone plate. When the bone plate hole cap is secured in the through opening, the second surface of the bone plate hole cap is disposed adjacent to the bone-engaging surface of the bone plate. The bone plate with the bone plate hole cap secured in the through-hole increases the bending strength of a portion of the bone plate across the bone plate hole cap compared to the portion of the bone plate without the bone plate hole cap.

A plating system includes a bone plate including an aperture. A locking member is receivable in the aperture to attach the bone plate to a joint. The plating system includes a guide including a body having a first end portion, a second end portion, an attachment portion attached to the bone plate, and a rotating portion including a sleeve to receive a drill or a guide wire. The first end portion of the body is rotationally connected to the attachment portion to pivot the body about a first axis to move the sleeve, and the rotating portion is rotationally connected to the second end portion of the body of the guide to pivot the rotating portion about a second axis to move the sleeve. The rotating portion translates along the second axis to move the sleeve, and the sleeve defines one of a plurality of trajectories.

Methods for understanding external and internal anatomy of bones through the use of imaging data and 3D modeling to facilitate the design of anatomically correct plates, devices and implants are disclosed. In one aspect the method results in an implant or plate that includes at least one curved surface wherein a contour of the at least one curved surface corresponds to an anatomic shape of a subject. The anatomic shape of the subject being determined based on an image of the bone.

Methods and apparatus are disclosed for excising a joint between first and second bones to define a resected joint, approximating the first and second bones to reduce the resected joint, and fixing the first and second bones relative to each other. The excising step can be performed using a cut guide that is movable from a first orientation to cut the first bone to a second orientation to cut the second bone. A compressor block can be driven over temporary fixation members that extends into the first and second bones to reduce the resected joint. A staple, along or in combination with other fixation elements, can then permanently fix the first bone to the second bone.

A fixation device includes a first anchor portion configured to join to a first bone portion, a second anchor portion configured to join to a second bone portion, and an intermediate component that extends between the first anchor portion and the second anchor portion. The intermediate component is configured to expand, contract, and angulate enabling constrained movement of the second bone portion with respect to the first bone portion. The second anchor portion has a larger configuration relative to the first anchor portion, thereby preventing the second bone portion from depressing below the first bone portion.

A bone plate (1) for positioning along a medial or lateral portion of a clavicle including an upper surface (2) which, in an operative position, faces away from the clavicle, a lower surface (3) which, in the operative position, faces toward the clavicle, a non-linear central longitudinal axis (4), a middle portion (5) of the length L.sub.M, a left terminal portion (6) of the length L.sub.L extending from the left end of the middle portion having a plurality of circular screw holes (8) for receiving bone screws, and a right terminal portion (7) of the length L.sub.R extending from the right end of the middle portion having a plurality of circular screw holes (9) for receiving bone screws. The total length L of the bone plate corresponds to L=L.sub.M+L.sub.L+L.sub.R, and at least one of the circular screw holes is a variable angle screw hole.

A femur fixation system includes an intramedullary nail that includes a first bending stiffness and a bone plate that includes a second bending stiffness and a second torsional stiffness. In the femur fixation system either at least one of the second torsional stiffness compensates for the first torsional stiffness and the first torsional stiffness is insufficient to enable the intramedullary nail to stabilize the bone fracture independently of the bone plate or the first bending stiffness compensates for the second bending stiffness and the second bending stiffness is insufficient to enable the bone plate to stabilize the bone fracture independently of the intramedullary nail.

Apparatus and methods are provided for using a plate to fuse bones together, including reducing or stabilizing a fracture or osteotomy. Legs of the plate are inserted into pre-drilled guide holes in one of the bones and one or more screws are inserted through apertures and into another of the bones to secure the plate to the bones. A plate insertion tool can be used to temporarily tension the legs prior to insertion into predrilled guide holes in a bone by bending or pivoting the legs away from the body. A tensioning tool can be used to tension the plate after the legs are inserted into the guide holes in the bone and during the insertion of one or more of the screws.

A bone plate and method for use thereof affords use of at least two surgical approaches to attach the bone plate to a fractured bone to facilitate reduction and repair thereof. The bone plate includes two domains extending in different directions from a transition zone. The directions in which each of the two domains extend are generally opposite, and the transition zone is configured to afford portions of the two domains to be substantially disposed in planes that are transverse to one another.

The present disclosure relates to an apparatus for closed reduction of a bone fracture. The apparatus includes at least: a pulling adaptor including: a handle configured to be gripped by an operator; an insertion rod that is extended from the handle in a longitudinal direction of the handle, and configured to be inserted into the bone fracture which is depressed in at least one area thereof; and a pulling lug that is bent and extended from an end of the insertion rod such that a longitudinal direction of the pulling lug is perpendicular to a longitudinal direction of the insertion rod or such that the pulling lug is inclined with respect to the insertion rod, the pulling lug being configured to be inserted into the at least one depressed area of the bone fracture, in order to pull the bone fracture.