A resilient washer has a one-piece washer body. The washer body has a central opening, an upper fastener interfacing section or bowl, a lower structure interfacing section or bowl and a resilient middle portion. The resilient middle portion connects the upper fastener interfacing section or bowl and the lower structure interfacing section or bowl. The resilient middle portion is configured to be locally collapsed when a fastener in the central opening is tightened into a structure. In one embodiment, the upper fastener interfacing section or bowl is annular, wherein the upper fastener interfacing section or bowl has a concavity for holding a head of the fastener. The concavity can be of a hemispherical shape. Preferably, the concavity has a smooth surface to allow polyaxial movement of a fastener.

A medical nail mold suited for casting fusion nails is presented. The medical nail mold contains a base with a base cavity, a tube with a cavity, a locking mechanism to hold together the base and the tube, and a core holder. The base and the tube are connected to align the base cavity with the tube cavity and are locked in place by the locking mechanism. The core holder is aligned with the cavity opposite the base to stabilize a core during use.

The present disclosure discloses a limb bone fixation system capable of automatically transforming from AO (Association for Study of Internal Fixation) to BO (Bio-logical Osteosynthesis) elastic fixation. The system includes a bone nail, a bone bridge, and connecting pieces attached to the bone bridge. The bone bridge is divided into a plate-shaped bone bridge and a rod-shaped bone bridge. A gasket made of a rigid degradable biomaterial is added between all connecting pieces at a broken end of one side of a fracture and the bone bridge, which can form rigid fixation for the fracture at initial fixation.

A method for fusing two adjacent stacked bones includes the following. First, inserting first and second pins into first and second locations of a first surface of one of the two adjacent stacked bones, respectively. Next, inserting a dilator over each of the first and second pins to dilate tissue around the first and second pins. Next, inserting a tissue protector over the dilator and removing the dilator. Next, inserting a cannulated drill through the tissue protector over each of the first and second pins and drilling first and second openings in the first and second locations, respectively, wherein the first and second opening extend through the two adjacent stacked bones. Next, tapping threads in the first opening and inserting a first bone fusing implant in the first opening, wherein the first bone fusing implant comprises threads configured to engage the threads of the first opening. Next, impacting a broach into the second opening to generate a pattern corresponding to a pattern of a second bone fusing implant and then inserting the second bone fusing implant in the second opening.

Anchoring devices, anchoring systems for intervertebral implants, intervertebral implants, and instruments and methods for implanting implants are disclosed. In preferred configurations, these various objects share the feature of comprising or cooperating with an anchoring device having a body comprising at least one curved plate elongated along a longitudinal axis, designed to be inserted through a passage crossing at least a part of implant, in order to penetrate into at least one vertebral endplate and attach implant onto this vertebral endplate by means of at least one stop retaining the implant, characterized in that the body comprises at least one longitudinal rib on at least a part of at least one of its faces, said rib being designed to cooperate with a groove made in passage of implant. In some preferred configurations, anchoring device comprises withdrawal stops or latches, and/or means for withdrawing the anchor from an inserted position.

Spinal implants for limiting flexion of the spine are implanted between a superior spinous process and an inferior spinous process or sacrum. The implants include upper straps which are placed over the upper spinous process, while the lower portions of the implant are attached to the adjacent vertebra or sacrum. The attachments may be fixed, for example using screws or other anchors, or may be non-fixed, for example by placing a loop strap through a hole in the spinous process or sacrum.

Various exemplary methods, systems, and devices for blood flow are provided. In general, an implant can be configured to be implanted in bone and to delay clotting of blood flowing from the bone. The implant can include an anti-coagulation agent to delay the clotting of the blood. The anti-coagulation agent can be a coating on the implant, can be natural to a material forming the implant, or can be impregnated into a material forming the implant. In an exemplary embodiment, the implant is implanted in a bone in a surgical procedure for securing a soft tissue to bone, such as a rotator cuff repair procedure or an anterior cruciate ligament (ACL) repair procedure.

Improved tools and procedures relate to the immobilization of the sacroiliac joint for the treatment of pain associated with the joint. Kits comprise, for example, a guide element and an immobilization element of a biocompatible material with a size and shape suitable for placement within the sacroiliac joint. Suitable immobilization elements include, for example, pins, nails, screws, darts, wedges, shims and hardening material. A bioactive agent can be delivered into the joint to compliment the immobilization and promote healing. Suitable procedures can be done in a less invasive procedure through a cannula or the like.

Anchoring devices, anchoring systems for intervertebral implants, intervertebral implants, and instruments and methods for implanting implants are disclosed. In preferred configurations, these various objects share the feature of comprising or cooperating with an anchoring device having a body comprising at least one curved plate elongated along a longitudinal axis, designed to be inserted through a passage crossing at least a part of implant, in order to penetrate into at least one vertebral endplate and attach implant onto this vertebral endplate by means of at least one stop retaining the implant, characterized in that the body comprises at least one longitudinal rib on at least a part of at least one of its faces, said rib being designed to cooperate with a groove made in passage of implant. In some preferred configurations, anchoring device comprises withdrawal stops or latches, and/or means for withdrawing the anchor from an inserted position.

A bone implant (1) for stabilizing fractured or non-fractured bones comprises an implant body (2), preferably a cylindrical body, extending along a longitudinal axis (3) from a front side (4) to an end side (5). The implant has an implant width (6) extending perpendicularly to the longitudinal axis (3), and a length of the implant body (2) along the longitudinal axis (3) is at least 5 times the width (6) of the implant. The implant body (2) has an outer surface, being at least divided into a first surface (7) and a second surface (8. The first surface (7) comprises an anchorage area (9) which extends at least partially over the outer surface, preferably maximum over half of the outer surface.