A bone plate assembly has the screws on one plate, either distal or proximal to the fracture, placed through round holes perpendicular to long axis of a first bone thus securing the plate rigidly to the bone on one side relative to the fracture. The screw holes can be either threaded on non-threaded. On the other side of the fracture, the bone fragment is first secured with an inclined screw placed from less than 90 to 10 degrees towards the fracture. As the screw is tightened it advances away from the fracture pulling the first bone, securely attached, plate towards the fracture site and thus compressing the fracture.

The present invention relates to dynamic bone fixation elements and a surgical method to stabilize bone or bone fragments. The dynamic bone fixation elements preferably include a bone engaging component and a load carrier engaging component. The bone engaging component preferably includes a plurality of threads for engaging a patient's bone and a lumen. The load carrier engaging component preferably includes a head portion for engaging a load carrier (e.g., bone plate) and a shaft portion. The shaft portion preferably at least partially extends into the lumen. Preferably at least a portion of an outer surface of the shaft portion is spaced away from at least a portion of an inner surface of the lumen via a gap so that the head portion can move with respect to the bone engaging component. The distal end of the shaft portion is preferably coupled to the lumen.

A bone screw is disclosed. A head includes a driver-receiving element formed thereon. A shank having a proximal portion, which is integrally connected to the head, and a distal portion maintains a constant diameter from the proximal portion to the distal portion. Three helical threads extend around the shank from the proximal portion to the distal portion. The three helical threads are symmetrically and helically aligned and advance uniformly along the length of the shank for each revolution to define a thread depth that remains constant along the length of the shank. The three helical threads respectively include three leads, which are offset by approximately 120° from each another. A tip is integrally connected to the distal portion of the shank and the tip intersects with a flute to define a self-tapping point.

The invention features bone screws having a threaded screw body and a screw head attached to one end of the screw body, the bone screw further including: a) an interior channel extending longitudinally through the screw head and through at least a portion of the screw body, wherein the interior channel has a width of less than 5.0 millimeters; and b) a plurality of radially-disposed delivery channels connecting the interior channel to the exterior of the screw body, each delivery channel having exterior openings. The invention further features devices that include a bone screw and a delivery manifold detachably attached to the screw head of the bone screw. In addition, the invention features methods of treating a patient having a bone defect by using a bone screw described herein.

A kit for orthopedics, preferably for osteosynthesis, has a mechanical fixing system that includes a plate for straddling between two bone fragments and fixing screws for fixing the plate to the two bone fragments. The plate has a thickness of about 0.5-4 mm and conical through holes, the fixing screws each having a head, a self-tapping stem, and a conical collar interposed between the head and the self-tapping stem to define a conical coupling within a corresponding conical through hole of the plate. The heads of the fixing screws have a upper surfaces with a recessed and shaped mark for coupling with the tip of a screwing tool and external side walls with a thread for engaging a gripping tool. When the conical collar is inserted into a corresponding conical through hole of the plate, the head protrudes outwardly from the plate.

An instrument for holding and inserting a bone anchor into a bone is provided, where the bone anchor includes a shank for anchoring in the bone and a head. The instrument includes a holding member for holding the head of the bone anchor and has a plurality of arms configured to at least partially encompass the head, where the arms include an inner surface forming a seat for the head. The instrument also includes a drive shaft for engaging the head of the bone anchor and defining a longitudinal axis of the instrument. The instrument further includes a displacement member configured to act on the holding member. The holding member can assume a first configuration in which it is configured to permit the head to enter the seat and a second configuration in which it is configured to hold the head in the seat.

An embodiment of a body bead for a bone fracture fixation device, such as a rodscrew, includes at least one pocket and at least one tab. Each of the at least one pocket is configured to engage a respective one of at least one tab of an adjacent body bead and to withstand, without being significantly deformed, a torque of at least three N.Math.m while rotating with the adjacent body bead. And each of the at least one tab is configured to engage a respective one of at least one pocket of another adjacent body bead and to withstand, without being significantly deformed, a torque of at least three N.Math.m while rotating with the other adjacent body bead.

The disclosure provides a spinal implant having spinal anchors comprising a bone anchor and a receiver configured to securely and polyaxially receive the bone anchor. Further, provided herein are methods for using the spinal implant.

A variety of K-wires with imbedded plates are disclosed that allow for the plate in K-wire to be secured to the bone after insertion. Further, a donut shaped washer for capturing and securing the K-wire is disclosed. Also, a screw with a channel is disclosed that has a head shaped to capture and secure the K-wire. Finally, embodiments of a slotted washer are disclosed that captures and secures the K-wire.

An orthopedic instrument for manipulating (e.g., compressing or distracting) one or more patient's bone fragments is disclosed. In one embodiment, the orthopedic instrument includes forceps having first and second arms and first and second handles, respectively. Each arm including a coupling mechanism for selectively engaging removable tips or bell housings. Each tip or bell housing including a first end arranged and configured to mate with a fastener hole or opening formed in a bone plate, a second end arranged and configured to receive a head portion of a bone fastener, and an intermediate portion arranged and configured to couple to the coupling mechanism of the first and second arms. In addition, the orthopedic instrument may include a force sensing mechanism or gauge arranged and configured to measure an amount of force being applied across the bone fracture.