A minimally invasive method of correcting a bunion includes performing an osteotomy to divide the metatarsal into first and second portions, creating a pocket in the first portion implanting a nail in the pocket, securing a suture to the joint capsule, tensioning the suture to align the great toe with the metatarsal, attaching the suture to the nail, and fastening the nail to the second portion. The nail includes an anchor portion for anchoring in the first portion, a head for attachment to a second portion, a passage for attachment of the suture, a first aperture for a fastener to attach the head with the first portion, and a second aperture for a fastener to attach the head with the second portion.

A sleeve for use with a percutaneous, external fixation device is disclosed, wherein the sleeve includes a sleeve body with an interior space in which the percutaneous device can be disposed, a flange that extends at a substantially perpendicular angle to the sleeve body, and a cutting edge extending from the sleeve body below the flange. The cutting edge is designed for placement in contact with the skin adjacent to the percutaneous device so as to define a leading edge thereof in a primary anticipated direction of migration of the percutaneous device. Kits and assemblies that include sleeves and percutaneous devices are also disclosed. Further disclosed are methods of reducing tension in a patient's skin following placement of the percutaneous device via use of the sleeve, as well as methods of adjusting and readjusting the assembly upon placement.

A system and method for reducing spondylolisthesis. The system includes a bracket comprising a first opening and a second opening, a first and second rod, and a first and second knob. The system may be placed onto a patient's back, the rods may be inserted through the first opening and the second opening and further into a first vertebral part and a second vertebral part. Tightening of a first knob and a second knob on the first and second rod allow for repositioning of the vertebra. Once repositioned, an interspinous implant may be inserted into the interspinous process space, connecting the vertebrae.

A pin removal tool includes a first arm member and a second arm member opposing the first arm member and connected to the first arm member at a pivot axis. The first and second arm members form a first interface therebetween at a first end of the tool configured to remove a headless pin and a second interface therebetween at a second end of the tool configured to remove a headed pin.

The invention involves a device and method for acquiring bone marrow aspirate. The system includes an elongated cannulated fastener having a threaded end for attachment to a bone. The threaded portion includes a directional aperture sized to allow marrow to be drawn into the cannula. The directional aperture also allows the user to direct the aperture in a desired direction within the bone for acquisition of the marrow. The distal end of the cannulated fastener includes a connector which may be in the form of a Luer lock to allow vacuum to be applied to the cannula for drawing the marrow into a syringe or the like.

The present disclosure provides an apparatus comprising a wire having a first end and a second end opposite the first end. A first portion of the wire including the first end comprises a malleable region that is configured to remain deformed after bending, and a second portion of the wire including the second end comprises a superelastic region that is configured to return to a straight configuration after bending.

A system includes a first tool. The first tool includes a first component, a second component, and at least one fastener for coupling the first component to the second component. The first component is coupled to the second component such that a distance between the first component and the second component in a first direction is adjustable. The first tool is configured to provide a controlled adjustment of a first bone relative to a second bone in a second direction that is different from the first direction.

Exemplary cutting and alignment guide assemblies for use in microsurgical, plastic surgical, otolaryngological, maxillofacial, orthopedic, dental, or other surgical procedures include a first section configured to engage a first bone graft section, a second section configured to engage a second bone graft section, a first fixation mechanism configured to couple the first section with the first bone graft section, and a second fixation mechanism configured to couple the second section with the second bone graft section. The first section and the second section can be coupled via a hinge mechanism. Neo-mandible assemblies for implantation at a native mandibular defect of a patient can include a cutting and alignment guide coupled with one or more bone graft sections. In some cases, bone graft sections include bone segments from a fibula of the patient.

A method, system, and apparatus for bone fusion. Bone fusion can be performed using an elongated plate having a top face and a bottom face and defining a plurality of screw apertures therethrough. The elongated plate has a longitudinal dimension between a first and second ends and a lateral dimension between first and second sides. The screw apertures are defined in a generally straight line along the longitudinal dimension of the elongated plate, and three or more of the screw apertures are configured to facilitate different trajectories of bone screws through each of the three or more screw apertures. The screw apertures are configured to facilitate trajectories of bone screws to secure at least three bones to the elongated plate.

Systems are described for conducting minimally invasive medical interventions utilizing instruments and assemblies thereof to stabilize and/or fixate a dysfunctional sacroiliac (SI) joint. The systems include a drill guide having a bone dislodging member adapted to create a pilot SI joint opening in the dysfunctional SI joint through an incision comprising a length no greater than 3.0 cm; portions of the pilot SI joint opening being disposed in the sacrum and ilium bone structures. The drill guide includes a tri-mode fixation system adapted to position and stabilize the drill guide during creation of the pilot SI joint opening in the dysfunctional SI joint and delivery of the SI joint prosthesis therein. The systems also include a SI joint prosthesis configured to be inserted into the pilot SI joint opening of the dysfunctional SI joint, a prosthesis deployment assembly configured to engage the SI joint prosthesis and advance the SI joint prosthesis into the dysfunctional SI joint, and a bone harvesting assembly adapted to extract and collect dislodge bone material from the bone dislodging member after creation of the pilot SI joint opening.