A fastener device includes an anchor body that defines a through hole. The anchor body further includes an inner surface that defines a least a portion of the through hole. The fastener includes a head, a threaded shaft that extends out with respect to the head in a distal direction, and a neck between the head and threaded shaft. The head includes an outer surface configured to articulate along the inner surface when the fastener head is inserted in the through hole. At least a portion of the outer surface is convex and defines a portion of a sphere that defines a first diameter. The neck defines a second diameter and the fastener defines a ratio of the first diameter to the second diameter in a range between about 2 to 1 and about 3 to 1.

A fixation system (900) for the fixation of a first bone fragment (932) relative to a second bone fragment (934); the fixation system (900) comprising at least one first bone engagement element engagable with the first bone fragment (932), wherein the first bone engagement element has an elongate body portion, a proximal end, a distal end, and a passageway extending through the body portion from the proximal end to the distal end, at least one further bone engagement element engageable with the second bone fragment (934) and having a tensile element (920) securement portion for affixing a tensile element (920) to the further bone engagement element; wherein the tensile element (920) passing the first bone engagement element when engaged with the first bone fragment (932) is fixed relative to the further bone engagement element when engaged with the second bone fragment (934) by the tensile element (920) securement portion; such that the first bone fragment (932) is affixed relative to the second bone fragment (934) from tensile stress in the tensile element (920).

A titanium screw that permits the adaptation of PEEK (polyether ether ketone) capsules at both ends, enabling vertical and horizontal, uni or bidirectional appositional bone reconstructions. The screw has a length selected between 6, 8 and 10 mm; whereas the PEEK capsules have a diameter of 4.5 mm and a height of 1.5 mm. Accordingly, it is possible to retract the soft tissue and maintain the space necessary for bone reconstruction. By minimizing compression to the bone graft, this device optimizes tissue reconstruction, oftentimes crucial for the placement of implants.

Assemblies and methods for fixation of bone or bone fragments using an orthopedic plate having a slot that causes the bone or bone fragments to compress as a screw is inserted into the slot and rotated therein. By anchoring the orthopedic plate to a first bone or bone fragment and rotating the screw into the second bone or bone fragment at an angle that may be up to approximately fifteen degrees from perpendicular to the top surface of the orthopedic plate, the screw head causes the orthopedic plate to traverse away from the first screw thereby causing the first bone or bone fragment to be drawn toward and/or compress with the second bone or bone fragment.

A pedicle bone fastener may include a shaft, a helical thread, and an integrated attachment feature. The shaft may include a proximal end, a distal end, and a longitudinal axis. The helical thread may be disposed about the shaft along the longitudinal axis between the proximal and distal ends of the shaft. The helical thread may include a first undercut surface and a second undercut surface. The first undercut surface may be angled toward one of the proximal end and the distal end of the shaft and the second undercut surface may be angled toward the other one of the proximal end and the distal end of the shaft. The integrated attachment feature may be disposed at the proximal end of the shaft and configured to be adjustably secured to a spinal stabilization implement.

This invention provides an anchoring apparatus comprising a primary anchor and a secondary anchor. The primary anchor defines a primary bore, a tail section, and a head section. The head section defines a pair of substantially parallel bores extending through the head section of the primary anchor. The secondary anchor is sized and configured to mate with the head section of the primary anchor at a head section opening of the primary bore.

A navigation-guided surgery fixation (NGSF) system. The NGSF system may include a fixation member for fixating an intraoral surgical guide. The fixation member may include a shank portion and a shaft portion, the shaft portion extending out from an end portion of the shank portion, and wherein the shank portion has a diameter greater than that of the shaft portion; and a sleeve member, wherein the sleeve member may include a through-hole substantially the same size of the shank portion and configured to receive the shank portion therein.

An orthopedic assembly is described that comprises an orthopedic device, an anchor, and a locking mechanism. The orthopedic device can be a plate member having an aperture that is configured to receive the anchor. The anchor can include a head, neck and shank portion. The head portion can include a plurality of arms separated by grooves that are capable of splaying. The assembly is configured such that when the locking mechanism is inserted into the head portion, this causes expansion of the arms of the head. This expansion locks and secures the anchor to the orthopedic device. Various instruments are provided that can deliver the locking mechanism to the anchor, and can provide impact to lock functionality.

Orthopedic fixation devices and methods of installing the same. The orthopedic fixation device may include a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element and a retention member is configured to allow polyaxial rotation of the bone fastener and also to lock the bone fastener in place upon application of a force on a saddle and clamp in the coupling element.

A system for inserting an anchor member into bone includes a receiving member and an anchor member receivable within the receiving member. The receiving member is elongate along a longitudinal axis and has a proximal end and a distal end spaced from the proximal end along the longitudinal axis. The receiving member has an internal surface that defines a transmission element. The anchor member includes an engagement element configured to rotatably engage the transmission element such that the transmission element is configured to drive the anchor member in a distal direction relative to the transmission element so as to rotatably decouple the engagement element from the transmission element. The distal direction extends from the proximal end to the distal end of the receiving member and is parallel with the longitudinal axis.