An osteotomy guide (100) includes an inner surface (102) that faces the bone (300), and an outer surface (104) opposite the inner surface (102) along an outward direction (D.sub.o). The inner surface (102) defines proximal and distal bone contacting regions (118,120) that are spaced from one another by a gap (124) that extends into the inner surface (102) towards the outer surface (104). The guide (100) includes an ascending guide surface (134) that extends along an ascending direction so as to define an ascending cutting path into the bone (300). The guide (100) includes a transverse guide surface (138) that extends along a transverse direction so as to define a transverse cutting path into the bone (300).

According to some embodiments, systems and methods are provided for non-invasively detecting the force generated by a non-invasively adjustable implantable medical device and/or a change in dimension of a non-invasively adjustable implantable medical device. Some of the systems include a non-invasively adjustable implant, which includes a driven magnet, and an external adjustment device, which includes one or more driving magnets and one or more Hall effect sensors. The Hall effect sensors of the external adjustment device are configured to detect changes in the magnetic field between the driven magnet of the non-invasively adjustable implant and the driving magnet(s) of the external adjustment device. Changes in the magnetic fields may be used to calculate the force generated by and/or a change in dimension of the non-invasively adjustable implantable medical device.

An orthopedic plate has a first end including a locking screw hole that receives a locking screw and spaced from that hole is a closed compression housing that extends from the bone-facing side of the plate and which receives a compression screw that forms an angle of from about 10° to about 70° with a longitudinal axis of the plate. The compression housing is not located on the medial line of the plate, but is peripheral to the medial line, either in the longitudinal or the medial direction of the plate.

An osteotomy surgical apparatus according to the present invention includes a bone cutting blade used for cutting bone tissue and a guard disposed so as to overlap the bone cutting blade in a side view of the bone cutting blade. A distal end of the guard is disposed at a position retracted rearward relative to a blade edge of the bone cutting blade.

Disclosed in an orthopedic implant that comprises a spacer portion having a superior portion and an inferior portion, and a staple portion. The staple portion is integral with the spacer portion and comprises a crown portion and first and second leg portions, the first and second leg portions having distal end that converge from the crown portion and that are composed of a material that has superelastic properties at body temperatures, whereby the first and second leg portions are configured to impart a compressive biasing force when the implant is installed with the legs under tension.

A system includes a first spacer sized and configured to be received within a resected bone space of a first bone and a second spacer sized and configured to be coupled to a second bone. The first spacer and the second spacer each include a body extending between a bone contacting surface and a coupling surface. At least one shim is positioned between the first and second spacers. The shim includes a body extending between a first coupling surface and a second coupling surface. The first spacer, the second spacer, and the at least one shim position the first and second bones in a predetermined alignment. An adjustable guide including a guide adapter and a guide body is configured to couple to the first spacer and is adjustable on a first axis.

A wedge osteotomy method inserts a first wire into a first bone of the foot, distal from tissue to be removed. A second wire is inserted into a second bone, so the tissue to be removed is distal from the second wire. A cut guide is pivoted about the first wire, until a first axis of the cut guide is parallel with a longitudinal axis of the first metatarsal. The cut guide has a slot perpendicular to the first axis for guiding a cutter to cut bone, while the first axis is aligned with the longitudinal axis of the first metatarsal. The cut guide is then pivoted about the second wire, until the first axis is aligned with the longitudinal axis of the talus, and bone is cut through the slot, to form a second planar cut into or through bone material.

A method of joining adjacent bone includes providing a medical device having a first implant portion, a second implant portion attached to the first implant portion, and a driver assembly having an instrument adapted to form an opening in bone. The driver assembly is integrally connected to and removably attached to the second implant portion at a connection, distal from the first implant portion. The driver assembly further has a wire driver extending therefrom, distal from the first implant portion. The method further includes inserting the wire driver into a wire driver tool; placing the first implant portion against a first bone structure; inserting the first implant portion into the first bone structure; removing the second implant portion from the driver assembly; using the driver assembly to form an opening in a second bone structure, adjacent to the first bone structure; and inserting the second implant portion into the opening.

A tibial tuberosity advancement (TTA) system is configured to maintaining a tuberosity in an advanced position relative to a tibial body. The TTA system includes an implant, a spacer, and a spacer fixation member.

Various embodiments of wedge plates configured to promote bone growth are disclosed. Generally, a wedge plate comprises a first bone contact section, a second bone contact section, and a wedge section located between the first bone contact section and the second bone contact section. The wedge section is sized and configured to be received within a wedge formed in a bone. The wedge section comprises at least one feature configured to promote bone growth. A bone growth stimulant may be located within the at least one feature.