Embodiments provide methods, apparatuses, and systems for fixation of a fractured bone. In various embodiments, the systems and plates may provide elastic suspension of the receiving holes relative to the osteosynthesis plate. This elastic suspension may promote load distribution between the screws that connect a bone segment to the plate, thereby reducing stress risers and load shielding effect. In addition, stress at the screw holes, and within the construct as a whole, is reduced by incorporation of these elastic elements in the plate. Additionally, in some embodiments, for instance if fracture healing by callus formation is desired, elastic suspension of the receiving holes relative to the osteosynthesis plate may enable small, controlled amounts of relative motion between bone fragments connected by the plate, which may promote fracture healing by callus formation.

Bone plates and bone plate systems are provided in which a bone plate includes a plurality of bone screw holes formed therein and positioned in laterally adjacent pairs. Positioned between the laterally adjacent pairs of bone screw holes are stabilizing strut. The bone plate system can additionally include windows positioned between longitudinally adjacent struts. Transverse bone screw planes can extend across the superior and inferior edges of the bone screw holes and define the minimum longitudinal boundaries of the windows. A guide device adapted for mating with the bone plate is also disclosed.

The present invention includes devices, systems and methods for the storage, retrieval and placement of plates having wedges. A wedge plate tray includes an upper portion and at least one recessed portion, the recessed portion including a cavity sized to house the wedge and an additional cavity sized to accommodate placement and movement of an arm of an insertion instrument. The insertion instrument includes two arms connected at a hinge, a tip of each arm including a mating connector sized to engage a complementary mating connector on the wedge. In one embodiment of the method, the insertion instrument can be used to place the wedge plate in an osteotomy and where the wedge is a mobile wedge, a plate component can be adjusted to a desired position for securement while using the insertion instrument to hold the wedge in place in the osteotomy.

An orthopedic implant including an outer surface and at least one opening extending through the outer surface for receiving a fastener for coupling the implant to a patients bone or bone portion/fragment. The opening including a plurality of fins circumferentially disposed about the opening for engaging threads formed on a head portion of the fastener to secure the fastener to the implant. The plurality of fins being arranged and configured in first and second vertically spaced rows of fins. At least one of the fins including a different configuration, property, etc. relative to at least one of the other plurality of fins. In one embodiment, each of the first and second fins in a vertically stacked relationship includes a different configuration from the other of the first and second fins in that stack. In one embodiment, the different configuration includes a different length, a different thickness, or a combination thereof.

Bone plates for engaging bone members are described herein. The bone plates can receive one or more screws to secure the bone plates to an underlying bone member. The one or more screws can be inserted into bone plate holes that can be considered locking or non-locking. The bone plates described herein can have particular combinations of locking and/or non-locking holes. In addition, instruments such as distal and proximal aiming guides can accompany the bone plates to guide one or more screws into the bone plates.

Devices and methods for bone fixation including a bone fixation system including a bone plate or intervertebral spacer including a plurality of apertures dimensioned to receive bone fasteners and at least one polymeric element capable of transitioning from a solid state to a flowable state. The polymeric element transitions to a flowable state as a result of exposure to ultrasonic vibration. The polymeric element is placed on the bone plate or intervertebral spacer adjacent a fastener in an aperture and acts to prevent rotational and/or translational movement of the fastener relative to the bone plate or intervertebral spacer.

The present invention provides a spinal plate which is used to perform fixation surgery on a spine in orthopedic surgery and neurosurgery. The spinal plate comprises a central body and a pair of rotation portions which are disposed on both sides in a longitudinal direction of the central body and each of the pair of rotation portions has bone screw. The spinal plate also comprises spike screw in each of the pair of rotation portions. Each of the pair of rotation portions include a rotation connection portion, and the central body includes a rotation support portion. Rotation pins are used to connect the central body with the pair of rotation portions disposed on both sides in a longitudinal direction of the central body and enable the pair of rotation portions to rotate clockwise or counterclockwise with respect to the central body.

A fastener, for example a bone screw, is sized to pass through a hole of an implant, for example a bone plate, the fastener having a shaft or anchor portion engageable with body tissue, and a head portion. A locking cap secures to the bone plate and covers the head to block the head and inhibit screw back out. Alternatively, or additionally, a locking disc located in the plate hole resiliently deflects downward to allow screw insertion, but is blocked to limit or prevent upward deflection so that screw back out is inhibited.

The invention concerns a bone plate system comprising: a bone fastening element comprising a shaft with a first thread with a first lead length, the fastening element further comprising a head with a second thread on its outer surface, the second thread having a second lead length, the outer surface having a first hardness; and a bone plate with a second hardness which is smaller than the first hardness, the bone plate comprising a non-threaded through hole in a non-assembled state for receiving the bone fastening element, the hole comprising a first hole portion with a first three-dimensional shape and a second hole portion with a second, different three-dimensional shape. The first lead length substantially equals the second lead length, and the second thread is arranged to irreversible deform the wall of the hole to form a female thread on the wall.

Intervertebral endoprosthesis discs suitable for surgical implantation between two vertebrae having and methods thereof. The prosthetic disc may have an endoprosthesis body including an anterior region and a posterior region designed to be positioned between a first vertebra and a second vertebra with a first and second movable insert positioned rotatably in anterior cavities and is rotatable to adjust the fasteners.