Telescopic nail (2) for the treatment of fractures or deformations of long bones, as for example in the case of osteogenesis imperfecta or pseudo-arthrosis. comprising: a hollow stem (2); a rod (10) telescopically inserted into said hollow stem (2); a first fastening element (20) coupled to an end of said hollow stem (2) for fixing to a first long bone end; a second fastening element (30) coupled to an end of said rod (10) for fixing to a second long bone end.

Advantageously, one end of said hollow stem (2) is provided with coupling means (40) for coupling to an end of a tool which can be inserted into a cavity formed in the bone for insertion of the nail.

A bone fixation assembly may include an elongate fixation member and a flexible tensioning element. The elongate fixation member may include a central longitudinal axis, a distal portion couplable to a first bone fragment of a bone, and a proximal portion couplable to a second bone fragment of the bone to provide fixation of the second bone fragment relative to the first bone fragment. The flexible tensioning element may be couplable to the proximal and distal portions of the elongate fixation member to secure the elongate fixation member to the bone. The flexible tensioning element may be configured to span a bone fracture intermediate the first bone fragment and the second bone fragment to preload the bone fracture in compression to resist tensile force imparted across the bone fracture, thereby maintaining fixation of the first bone fragment relative to the second bone fragment.

In one embodiment, the present invention is a method of arthrodesis or osteosyntheses of a first bone part and a second bone part, including the steps of positioning a first fixation zone of an implant in the first bone part and a second fixation zone of the implant in the second bone part, both the first and second zones made of shape-memory material and, prior to positioning the bone parts, are in an inner position; and while the first fixation zone is within the first bone part and the second fixation zone is within the second bone part, fixating the respective first and second fixation zones within the respective bone parts through shape-memory action at body temperature.

An intramedullary bone fixation device that includes a shaft with a flexible region. The flexible region may be configured to flex from a first shape to a second shape as the shaft moves along a curved medullary canal. For example, the bone fixation device may include a distal bone screw that is configured to move along the curved medullary canal of first and second segments of a fractured bone (e.g., two segments of a broken rib) and fasten to the segment bone segment. The bone fixation device may include a locking member (e.g., a proximal bone screw) that is configured to lock the shaft to the first bone segment. For example, the shaft may be fixed to the distal bone screw and ratchetably coupled to the shaft such that the first and second bone segments can be compressed together by urging together the distal bone screw and the locking member.

A device for fixation of inner and outer bone fragments comprises at least three fixation means (5), at least one tilting preventing means (6) and a securing plate (7). The fixation means (5) are configured to allow, during secondary compression of the inner and outer bone fragments (2, 3), a sliding movement of the fixation means and said outer bone fragment relative to one another and thereby an interruption of an engagement of the securing plate (7) with the outer bone fragment (3) without affecting the angular position of the fixation means relative to the securing plate and relative to one another. The tilting preventing means (6) is configured to allow, during said secondary compression, a sliding movement of the at least one tilting preventing means and said outer bone fragment (3) relative to one another and thereby an interruption of the engagement of the securing plate (7) with the outer bone fragment. The tilting preventing means (6) is also configured to prevent or counteract tilting of the device.

According to some embodiments, an implant for correcting a deformity in or near a joint of a subject includes an implant body having an internal lumen, a suture side hole or window extending through a wall of the implant body and providing access to the internal lumen through an exterior of the implant body, a tension assembly comprising a first bone anchor and a second bone anchor, wherein the first and second bone anchors are configured to be placed on opposite sides of the implant body, and an adjustable suture loop coupling the first bone anchor to the second bone anchor, wherein at least a portion of the at least one adjustable suture loop is positioned within the internal lumen of the implant body.

A compression nut for treating a bone includes a head and a body extending longitudinally from the head to a free end. The body includes an exterior threading along an exterior surface of a threaded portion of the body separated from the head via an unthreaded portion. The nut also includes a channel extending longitudinally through the body. The channel includes an interior threaded extending along an interior surface of the channel configured to threadedly engage an end of a locking screw received therein.

An implant and method for fixation of long bones. The implant provides rotational, longitudinal, and bending stability. The implant comprises one or more elongated members that span the intramedullary cavity of a long bone, a distal tip that expands radially relative to the long axis of the implant, and a locking mechanism at the proximal end of the implant.

The invention comprises a medical implant system with implant having a fastener hole for a fastener and further including a fusion screw, positioned to avoid interference with the implant fastener. The medical implant system also includes a guide that is mounted in the fastener hole and from an edge of the implant which provides for defined adjustability for angulation, and optionally depth, to allow for placement of the fusion screw so as to avoid impingement with the implant and the fasteners that secure it in place. The invention also relates to a method of surgery using the system.

An implantable device may be provided with first and second bone anchors, at least one suture and a force-generating component. In some embodiments, the first bone anchor is configured to anchor in or on a first bone segment and the second bone anchor is configured to anchor in or on a second bone segment. The at least one suture may interconnect the first bone anchor and the second bone anchor. The force-generating component may be connected to the at least one suture and configured to impart a force thereto. The first bone anchor, the second bone anchor, the at least one suture and the force-generating component may be configured to cooperate together to draw the first bone segment and the second bone segment toward one another with a force in a predetermined range. Methods of device construction and use are also provided.