An apparatus is provided for fusing bones of the human body. The apparatus comprises a bone plate which generally is a member having one or more fixation apertures, configured to receive fasteners, and an insert aperture. The bone plate comprises a semi-rigid material, such as a biocompatible metal or Polyetheretherketone (PEEK), possessing a tensile strength suitable for immobilizing bones. A convertible insert is configured to be retained within the insert aperture. The convertible insert is configured to optimally direct a fastener towards a chosen point of purchase for fixating or compressing bones. In some embodiments, the insert is configured to direct a fastener at an oblique angle relative to a plane of the fusion plate. In some embodiments, the insert is configured to direct a fastener at a substantially right angle relative to the fusion plate.

Apparatus for the fixed-angle fixation and compression of a fracture site or osteotomy of a bone includes a bone plate having a plurality of holes and bone screws with a threaded head. The bone screws accommodated in the holes are screwed into the bone. At least one of the holes is a combination of two circular holes of different diameter. As screwing of the bone screw into the bone proceeds through a final stage, engagement of the threads on the head with threads in the combination hole effects relative longitudinal displacement between the plate and the bone whereby it is possible to simplify simultaneous fixed angle fixation and compression of the fracture or osteotomy with use of a single screw. Threads on the head of the bone screw engage threads in the hole which is a combination of the two hole to effect relative motions.

A bone plate system is for osteosynthesis with a bone plate, a bone screw, the screw head of which has, at least in sections, a surface structure, a further bone screw, the screw head of which has, at least in sections, a surface structure, a through-hole, which is configured to hold the bone screw polyaxially, a further through-hole, which is associated with the through-hole and configured to hold the further bone screw, a perforation which connects the through-hole and the further throughhole, and a bulge, which is formed opposite to the perforation on the through-hole, extending the latter, hi the screwed-in state, the bone screw and the further bone screw are affixed at a fixed angle in many dimensions by virtue of the screw heads of the bone screw and the further bone screw being secured against a relative notion in relation to one another and in relation to the bone plate by a tensioned multi-point mount, in which attachments of the bone screw are formed in the through-hole at both transition regions between the bulge and the through-hole section respectively adjacent to the bulge.

A modular bone plate includes a first plate member including a first connection portion having a first hole and a second plate member including a second connection portion having a second hole. The first plate member is connectable to the second plate member when the first plate member and the second plate member are arranged such that the first hole and the second hole overlap. The modular bone plate also includes a connector member that is insertable into the first hole and the second hole when the first hole and the second hole overlap such as to connect the first plate member and the second plate member. The connector member includes a passage that is configured to accommodate a portion of a bone anchor therein.

A system for achieving maxillo-mandibular fixation includes a bone fixation device including a bone fixation body formed from a plurality of links. The links define corresponding crests and valleys so as to impart flexibility into the bone fixation body. Thus, the bone fixation body can be aligned with the dental arch of the mandible and maxilla as necessary, and subsequently fastened to the underlying bone. Each bone fixation device includes at least one securement location on the fixation body that can attach to a securement device, such that the securement device fixes or stabilizes the mandible and the maxilla with respect to each other.

An assembly including an implantable part designed to be fastened to at least one bone or bone portions to be joined and at least one screw for fastening the implantable part to the at least one bone or bone portions. The implantable part includes at least one tapped hole and the screw includes a head designed to be engaged in the tapped hole. The tapped hole is cylindrical and includes at least one radial notch emerging in a surface of the implantable part through which the screw is designed to be engaged in the tapped hole. The radial notch produces an interruption in the tapping included by the tapped hole. The head of the screw is conical, with an apical angle of between 15 and 25°.

A bone anchor locking device for receiving a bone anchor having a shank and an enlarged head, the device has a bone anchor, a dome and a conical split washer. The receiving portion has a base extending radially outward and inwardly to a wall. The dome has a center aperture sized to pass a bone anchor. The split washer has an inner conical surface sloped to slide and expand against at least a portion of the base on insertion of a bone anchor to allow a maximum diameter of a head of a bone anchor to pass and thereafter the split washer retracts overlying the maximum diameter of the head to prevent a bone anchor from backing out.

A ratchet fastener includes a base including a fastening portion including threads and a ratchet portion including teeth and a ratchet wheel disposed in mating arrangement with the teeth. The ratchet fastener is configured to receive a tether. The ratchet wheel is configured to be rotated to tighten the tether.

System, including methods, apparatus, and kits, for bone fixation using a fixation device including a mounting portion and a fastener that attaches to the mounting portion. In some embodiments, the fixation device may include first and second mounting portions configured to be disposed across a bone from each other and secured with a fastener that extends from one of the mounting portions, through the bone, and to the other mounting portion. The system also may include a tool to facilitate installation of the fixation device.

An aiming guide system configured for connection to a bone plate including an aiming arm and a connection assembly. The aiming arm has a rigid body extending from a proximal end to a distal end with a plurality of aiming holes defined through the rigid body between the proximal end and the distal end thereof. The distal end defines an attachment slot through the body. The connection assembly is configured to engage an attachment screw hole of the bone plate and the attachment slot such that the aiming arm is fixed in position relative to the bone plate with each of the aiming holes aligned with a respective hole along the bone plate.