Apparatus and methods for bone fracture repair. The apparatus may include a structural support for positioning a first bone segment relative to a second bone segment. The apparatus may include an anchoring substrate. The anchoring substrate may be configured to compress the first bone segment to the second bone segment. The anchoring substrate may transmit tension from a distal bone segment anchor in the first bone segment to a proximal bone segment anchor in the second bone segment. The apparatus may be configured to be deployed percutaneously in an inner cavity of a bone. The apparatus may be installed in an open fracture. The apparatus may be expanded, self-expanding or configured for mechanically actuation. Some embodiments of the apparatus may include a central axis member that may be used in conjunction with expansion of one or both of the structural support and the anchoring substrate to configure the apparatus.

An implant system for use in orthopedic surgery for fixation of bone includes an intramedullary nail and a coupling unit. The intramedullary nail has a proximal portion defining a longitudinal axis and a transverse bore. The proximal portion includes a bore defining a first axis and a guiding structure defining a second axis, wherein the first axis and the second axis are substantially parallel to the longitudinal axis of the proximal portion of the intramedullary nail and are spaced apart from each other. The coupling unit is movably arranged within the proximal portion and includes a substantially cylindrical pin and a drive member with a through hole. The guiding structure is configured to slidably receive the substantially cylindrical pin, such that the pin can engage within a groove of a bone fastener configured to penetrate the transverse bore of the intramedullary nail.

The present invention provides a method for stabilizing a fractured bone. The method includes positioning an elongate rod in the medullary canal of the fractured bone and forming a passageway through the cortex of the bone. The passageway extends from the exterior surface of the bone to the medullary canal of the bone. The method also includes creating a bonding region on the elongate rod. The bonding region is generally aligned with the passageway of the cortex. Furthermore, the method includes positioning a fastener in the passageway of the cortex and on the bonding region of the elongate rod and thermally bonding the fastener to the bonding region of the elongate rod while the fastener is positioned in the passageway of the cortex.

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. In some embodiments, the proximal end may further include a cross-locking feature, which includes a second bone anchor that interlocks with a first bone anchor, for example, for enhanced bone purchase and bony fixation.

An intramedullary nail implant for positioning in a bone having a head and a shaft defining an intramedullary canal. The implant includes a distal portion having a shaft extending along a central axis and configured for positioning within the intramedullary canal. A proximal portion extends proximally from the distal portion. The proximal portion defines a contact surface which extends at least in part medially of the central axis such that it is configured to extend within a medial portion of the bone head. A method of implanting the nail is also provided.

Described is a locking intramedullary nail for insertion in the medullary cavity of hollow bones for treating bone fractures or for joint stiffening. The nail comprises an oblong shaft having at least one holder for a locking screw. In the region of an opening a roller or ball-shaped sleeve having a bore for receiving the locking screw is arranged. The sleeve which is supported in the shaft in a freely pivotable manner can be locked in a positionally stable manner in the shaft. This affords the ability to introduce the locking screws during the implantation of the intramedullary nail at an optimum angle for the respective anatomical or pathological situation of the patient and to subsequently lock it permanently at a constant angle.

An implant or endoprosthesis suitable to be implanted in human or animal tissue includes two (or more than two) parts to be joined in situ. Each one of the parts includes a joining location, the two joining locations facing each other when the device parts are positioned for being joined together, wherein one of the joining locations includes a material which is liquefiable by mechanical vibration and the other one of the joining locations includes a material which is not liquefiable by mechanical vibration and a structure (e.g. undercut cavities or protrusions) suitable for forming a positive fit connection with the liquefiable material. The joining process is effected by pressing the two device parts against each other and by applying ultrasonic vibration to one of the device parts when the two parts are positioned relative to each other such that the two joining locations are in contact with each other.

Devices, systems, and methods for bone stabilization, especially proximal humeral stabilization. The stabilization system may include a bone plate having an elongated portion extending along a longitudinal axis and an enlarged head portion extending from the elongated portion. The stabilization system may include an intramedullary nail having an upper portion and a lower portion extending from the upper portion, the upper portion and the lower portion including a plurality of holes. A plurality of fasteners may be configured to extend through one or more of the plurality of through holes in the bone plate and/or one or more of the plurality of holes in the intramedullary nail and into the bone. The plate and nail may each be used alone or in combination together to stabilize a fracture in a long bone, such as a humerus.

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.

An interlocking intramedullary rod assembly for treating a fracture of a bone, the interlocking intramedullary rod assembly comprising: an intramedullary rod comprising a distal section and a proximal section; a distal interlocking screw comprising a distal end and a proximal end; and a proximal interlocking screw comprising a distal end and a proximal end; wherein the distal section of the intramedullary rod comprises a static distal seat for receiving the distal interlocking screw, and the proximal section of the intramedullary rod comprises a dynamic proximal seat for receiving the proximal interlocking screw; and further wherein the static distal seat is configured to secure the distal interlocking screw to the intramedullary rod such that the distal interlocking screw cannot move relative to the intramedullary rod, and the dynamic proximal seat is configured to secure the proximal interlocking screw to the intramedullary rod such that the angle between the distal end of the proximal interlocking screw and the proximal section of the intramedullary rod can be reduced but not increased. The proximal interlocking screw can provide dual plane compression at the fracture site, which includes linear compression at the fracture site and angular compression at the fracture site. The angular compression can be effected either during the surgery or after the surgery when the patient weightbears.