A targeting system for aligning an axis of a targeting sleeve and a bore in a distal end portion of an intramedullary nail is proposed, the targeting device comprising a distal targeting arm with a first end being configured to be coupled to a trailing end of an intramedullary nail, an adjusting device, the adjusting device being configured to be coupled to the distal targeting arm. The adjusting device may comprise an adjusting element and a nail follower including two targeting holes each being configured to receive a sleeve assembly. The adjusting element may cooperate with the nail follower such that the positions of the two targeting holes are adjustable so as to correspond to respective locking holes at a leading end of the intramedullary nail, even when the nail is bent.

A implanting device for driving a fastener or fixation element into bone is described. Also described are methods for using a implanting device for driving a fastener or fixation element into bone and a kit comprising a pneumatic implanting device for driving a fastener or fixation element into bone.

An intramedullary nail extractor including a central body, a rotatable sleeve and a clamping member. The central body includes a proximal end for attachment to an extractor, a distal end having a hook for engaging an intramedullary nail, and a threaded intermediate portion between the proximal end and the distal end. The rotatable sleeve threadedly engages the threaded intermediate portion of the central body, and the clamping member is operatively engaged by the rotatable sleeve and moveable relative to the central body.

Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail.

A femoral nail includes a proximal section, a distal section remote from the proximal section, and an intermediate section disposed between the proximal section and distal section and having first and second curved portions. The first curved portion is positioned closer to the proximal section than the second curved portion. The second curved portion is curved in a first plane, and the first curved portion is curved in the first plane and a second and third plane.

A system and methods are provided for treating radial head fractures. The system includes an implant, a sterile instrument kit for radial head arthroplasty, and a head sizer and assembly tray for sizing and assembling implants. The implant includes a head that is coupled with a stem. The head is adapted to be placed into sliding contact with a capitellum of the radiocapitellar joint. The stem is configured to be inserted into a hole reamed into a medullary canal of the radial head. The sterile instrument kit comprises a multiplicity of instruments including any one or more of trial heads and trial stems, a starter awl, a reamer, a planar, an inserter cap, and an impactor. The instruments are configured for implanting the implant into the radiocapitellar joint such that the implant restores biomechanical properties of the joint.

Intramedullary nails, aiming guide assemblies, and methods. The aiming guide assembly can include an aiming guide having a collet and a connection bolt configured to engage a connection bolt driver. The connection bolt may be self-retaining and engage with the connection bolt driver in a manner to prevent unintentional disengagement.

An orthopaedic surgical instrument assembly includes a surgical reamer, a cannulated broach, and an instrument handle. The broach includes a bore sized to slide over a shaft of the reamer. The handle attaches to the broach and also includes a bore sized to slide over a shaft of the reamer. A modular broach assembled from a number of broach segments may be used. Methods associated with the surgical instrument assembly are also disclosed.

A cannulated nail extractor including an extractor having a proximal end for connecting to an extraction device, a distal end opposite the proximal end, and a connector extending from the distal end. The cannulated nail extractor further includes an engagement wire having an enlarged proximal end configured to engage the extractor and an enlarged distal end configured to engage a distal end of the cannulated nail. The cannulated nail extractor further includes a positioning wire for insertion into the cannulated nail for urging the enlarged distal end of the engagement wire into engagement with the distal end of the cannulated nail, whereby exerting an extraction force on the extractor produces extraction force by engagement of the enlarged distal end of the engagement wire on the distally facing end of the cannulated nail.

A method of performing an arthroplasty procedure on a shoulder that includes the following steps, among others. A step of accessing a posterior aspect of the humeral head. A step of cutting the humeral head in a posterior-to-anterior direction so as to form a resected bone surface. A step of cutting at least one channel into the resected bone surface and through a posterior aspect of the humeral cortex, the at least one channel extending in a posterior-anterior direction. A step of attaching a first component including a base plate of a joint replacement system to the resected bone surface, the base plate including at least one fin that is received within the at least one channel. A step of attaching a second component of the joint replacement system to the base plate.