Constructs, devices, and methods for dynamically compressing tissue. An exemplary construct comprises a dynamic tensioning device configured to be implanted in a subject and defining a suture-coupling site. The dynamic tensioning device may be deformable superelastically from a resting state to a stretched state. A suture may be connected to the dynamic tensioning device at the suture-coupling site.

An implantable fixation device for rejoining opposed portions of a separated bone. The device including two corresponding plates that are configured to be aligned and coupled to a bone, such as a sternum, pre-resection of the bone or prior to cutting/separating the bone. The placement of the corresponding plates provides a gap between the edges of the plates that face one another allowing for and guiding a cutting tool for separating the bone. After the bone has been cut and the desired surgical procedure performed, the plates also assist in realigning and fixation of the bone portions. At least one plate includes a ratchet mechanism that is configured to tighten a locking element and draw the two plates together and into alignment with one another.

A bone plate kit may be provided for a foot or ankle orthopedic procedure, such as a lapidus procedure. In some examples, the bone plate kit includes a sterile container that holds multiple unicortical bone plate fasteners and one or more bone plates. For example, the kit may contain two bone plates configured to be used together during a tarsal-metatarsal fusion procedure. Each of the two bone plates may be configured to span different regions of a tarsal-metatarsal joint. The unicortical bone plate fasteners can be used to secure the two bone plates to the first metatarsal and medial cuneiform of a patient undergoing a procedure. In some configurations, one of the bone plates is a helical bone plate while the other bone plate may or may not be a helical bone plate.

In one aspect, a bone plate system that includes a bone plate having a plurality of elongated through openings. The bone plate system includes a plurality of bone screws and a plurality of sliders in the elongated through openings of the bone plate that receive the bone screws. The bone plate system includes at least one resilient member for being configured to apply a biasing force to each of the sliders to urge the slider toward one end portion of a respective through opening. Further, the bone plate system includes at least one actuator having an interference position in which the actuator inhibits shifting of the sliders toward the one end portion of the through opening and a clearance position in which the actuator permits the at least one resilient member to urge the sliders and the bone screws received therein toward the one end portion of the through openings.

Devices, systems, and methods for bone stabilization, especially ulna head stabilization. The stabilization system may include a bone plate having an elongated portion extending along a longitudinal axis between a proximal end and a distal end. The bone plate defines a plurality of through holes extending through the elongated portion. A plurality of fasteners are configured to extend through one or more of the plurality of through holes in the bone plate and configured to secure the bone plate to the bone. The proximal end of the elongate portion has an arcuate configuration.

A modular bone fixation implant includes a center post having exterior bone engaging features and configured to be implanted within a bone. The center post includes an aperture at an outer end of the center post. One or more interchangeable modular components may be placed within the bone and anchored to the aperture of the center post. Interchangeable modular components may include staples, bone plates, and spacers, each having at least a first end including a post engaging arm sized and shaped to seat within an interlocking feature of the aperture. A locking screw is provided to anchor all components to the center post when the interchangeable modular components have been placed.

Various embodiments of cervical plates for treating the spine are provided. The cervical plates include an access surface and a bone facing surface. The cervical plate further includes at least one hole between the access surface and the bone facing surface. The hole includes a trajectory surface that guides an anchor into a corner or edge of a vertebral body, wherein a portion of the hole extends into the disc space region. In some embodiments, the cervical plate includes a ledge to support high angle screw insertion. In some embodiments, an interbody implant is provided. The cervical plate and the interbody spacer can have a corresponding curvature.

An insertion guide for guiding a fastener having a head and a shaft. The insertion guide includes a sidewall constructed of a biocompatible material having an entrance end, an exit end, and a cavity extending from the entrance end to the exit end. The sidewall has a guide portion and a fastener connector portion. The guide portion of the sidewall extends from the entrance end toward the exit end, and the fastener connector portion of the sidewall extends from the exit end toward the guide portion. The sidewall in the guide portion is configured such that the cavity has a first cross-sectional distance greater than the head of the fastener. The sidewall in the fastener connector portion has a second cross-sectional distance greater than the shaft, and less than the head.

An orthopedic plate is specifically configured for use in osteotomies, in which part of the plate extends into a portion of a first bone segment and part is external to the cortical surface of an adjacent bone segment to fix the segments to allow them to fuse. The plate has a first end and a second end where the end which is inserted into the bone has a chamfer and a through hole having a hole axis optionally at an oblique angle to the longitudinal axis of the plate, and which can receive a screw, peg or pin. The second end of the plate includes a locking screw hole and optionally including a compression slot extending in a direction toward a screw hole in the opposing end. Optionally, the non-locking hole has a shroud that forms an arc or portion of a cylinder over the hole. A plate driver having a recess that holds the plate is used to insert the plate into the bone.

A flexible plastic, resin or polymer material forming a trial plate for use is surgery of bones including spine and extremities. The trial plate having at least one radio opaque region and guides for positioning. A kit may be provided containing at least one flexible trial plate.