Methods are described for stabilizing dysfunctional bone structures. The methods include the step of providing prostheses having an elongated body with dual, i.e., first and second, threaded ends and an intervening central region. The threaded ends have helical threads wound thereon that extend from the intervening central region to the ends of the first and second threaded ends. The methods further include the steps of creating a pilot opening in the dysfunctional bone structures and inserting the prostheses into the pilot opening and, thereby dysfunctional bone structure.

A bone fixation system is provided for use in the spine between vertebrae. The system comprises a first fastener configured to anchor into a first vertebrae, a second fastener configured to anchor into a second vertebrae, and a set screw to retain the second fastener to the first fastener. The first fastener includes a shaft extending along a longitudinal axis and a head. The shaft includes a first cylindrical body. The head of the first fastener includes a second cylindrical body defining a passageway having an interior surface. The passageway defines a longitudinal axis that is different than the longitudinal axis of the shaft. The first cylindrical body of the shaft and the second cylindrical body of the head are angled relative to each other. The second fastener includes a shaft and a head. The head of the second fastener is configured to engage the interior surface of the passageway of the head of the first fastener. The set screw also engages the interior surface of the passageway and retains the head of the second fastener in the passageway.

A fastener with improved threading for resisting multi-axial forces and off-axis loading scenarios is provided. The fastener may include a shaft and a plurality of helical threads disposed about the shaft. The plurality of helical threads may include a first helical thread and a second helical thread adjacent the first helical thread. The first helical thread may include a first concave undercut surface and a first convex undercut surface. The second helical thread may include a second concave undercut surface and a second convex undercut surface. When the fastener is viewed in section along a plane intersecting a longitudinal axis of the shaft, the first concave undercut surface and the second convex undercut surface may be oriented toward the proximal end of the shaft, and the first convex undercut surface and the second concave undercut surface may be oriented toward the distal end of the shaft.

Disclosed is a medical device having a substrate having an exposed surface and a texture over at least part of the exposed surface. The texture includes a plurality of nanofeatures that inhibit bacterial adhesion on the surface and that also inhibit bacterial growth on the surface and have a size range between about 0.01 nanometers and about 1,000 nanometers. The texture can include a plurality of nanofeatures applied thereto such that the texture has a first particle size at a first location, a second particle size at a second location, and a gradient of particle size from the first particle size to the second particle size between the first location and the second location.

The present invention relates to an osseous pin (1) for bone fracture fixation. The pin comprises a threaded front section (2) and an unthreaded rear section (3). The threaded front section is configured with two or more kerfs (4) to facilitate breaking of the pin at any one of said kerfs. The present invention also relates to a guide sleeve for use in insertion of the osseous pin (1) into bone fragments at a bone fracture and breaking of said pin at the kerf (4) closest to the entrance site of the pin into the bone fragments. The present invention also relates to an extraction member for use in extraction of the osseous pin (1) from bone fragments at a healed bone fracture and a kit, comprising said components.

Bone transplant made of a cortical bone substance having a screw shank and a screw head for introducing a screwing-in torque. Both the screw shank and the screw head are provided with an external thread, in which at least the external thread of the screw shank is a multi-start thread. Due to the design, on the one hand a certain stroke can be achieved with fewer revolutions or in a shorter time, whereby the screwing-in behavior is improved and the tendon tissue is protected. On the other hand, the use of multiple threads provides a high surface area for the tendon tissue to grow on the tendon anchor, which improves fixation of the tendon and increases rotational stability. The bone transplant according to the invention thus ensures good fixation of the tendon and can be implanted quickly.

A screw implant is provided for the distraction, fusion, or compression of two adjacent bone structures or two adjacent bone fragments. The implant is a fully threaded screw with a headless proximal end having a drive engagement feature and a blunt distal end for insertion into bone or related tissue. The implant has roughened and porous surfaces throughout and is fully coated with hydroxyapatite and/or tri-calcium phosphate to allow for bone in-growth. The implant may have uniform low pitch cortical threads, or variable pitch threads, with low pitch cortical threads on one end and larger pitch cancellous threads on the other end. The implant may be used for the distraction of spinal vertebrae. The implants may have a cannulation channel and fenestrations.

A composition and methods of making or use thereof include a plurality of fibers forming a shape for augmenting fixation of a bone screw, or the plurality of fibers form a shape having a peg portion and a sheet portion to augment tendon to bone repair. The physical presence of the plurality of fibers provides initial fixation, while the use of an osteoinductive material provides long term enhancement of bone formation around the site of the bone screw or the tendon to bone repair.

A surgical tool having an integrated orthopedic anchor and an anchor coupler are proposed. When an anchor (100) is coupled and fixed to an anchor coupling portion (220) of an anchor coupler (200), arc recesses (130a) formed in through-holes (130) and arc recesses (221a) formed at an anchor coupling portion (220) are fitted to each other, so suture insertion holes (20) aligned with holes in the anchor coupling portion (220) and having wide inlets are formed and a suture (10) may be easily connected. Further, when the anchor coupler (200) is rotated and pressed in surgery, the protruding front ends (221) separated at the anchor coupling portion (220) and protruding through the through-holes (130) at both sides of the front end of the anchor body (110) bore a bone tissue while covering an outer surface of the front end portion of the anchor (100).

A surgical instrument comprises an outer sleeve including an inner surface that defines a cavity. An inner shaft is fixed with the outer sleeve and extends within the cavity. The inner shaft includes a drive engageable in a torque interface with a first mating surface of a bone fastener. An inner sleeve is disposed between the inner shaft and the outer sleeve. The inner sleeve is axially fixed and rotatable relative to the outer sleeve. The inner sleeve includes an element connectable in a connection interface with a second mating surface of the bone fastener. Systems, spinal implants and methods are disclosed.