A cylindrical plug to close a femoral opening drilled in a femur to receive an intramedullary cutting guide, to prevent bleeding from the opening after removal of the intramedullary cutting guide from the opening.

The bone screw with internal extendable is a bone screw with an internal, extendable tang. The tang—part of a tang system—is concealed within the body of the screw until after placement. After the screw is threaded into the bone, the internal tang system is pushed out of the bone screw body, forcing one or more tangs to extend out of the body and into the bone. A driver allows the user to control the different steps of insertion, including converting rotational motion of a knob into linear motion of a rod, the rod moving through the screw body to force the tang to exit the bone screw body. The one or more tangs preferably exit the bone screw body at a tang exit portal formed by one or more tang exit guide surfaces.

The disclosure relates to orthopedic screws and methods of manufacturing orthopedic screws. An orthopedic screw has an inner core member defining a proximal radiopaque thread and a distal radiopaque thread, and an outer body member defining a radiolucent outer body member external thread that is continuous with the proximal radiopaque thread and the distal radiopaque thread.

A method for securing a fractured bone includes inserting an intramedullary nail into an intramedullary canal of the bone; driving a bone screw into the bone such that a head of the bone screw is anchored in a cortical region of the bone; installing a bone plate against the bone to cover the head of the bone screw with an inner surface of the bone plate; and driving a plate screw through a plate hole of the bone plate into the underlying bone.

A bone fastener includes a screw shaft having a proximal portion and a distal portion. The proximal portion is formed by a first manufacturing method and defines a distal face. The distal portion is formed onto the distal face by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

A combined inserter for insertion of an intramedullary nail and a bone plate together. The combined inserter includes a body that includes a longitudinal axis, a distal end, and a proximal end. The combined inserter includes an intramedullary nail coupler coupled to the body and configured to couple to an intramedullary nail; and a bone plate coupler coupled to the body and configured to couple to a bone plate.

An intramedullary nail includes a shaft between a proximal end and a distal end. The distal end includes a first bend that extends from an anterior side of the intramedullary nail toward a posterior side and a second bend that extends from the posterior side toward the anterior side of the intramedullary nail. The two bends transfer an insertion force on a distal end of the intramedullary nail to, and along a longitudinal axis of the shaft of the intramedullary nail.

A bone plate includes body having a bone-facing surface that faces a first side of the long bone when the bone plate is in use. The long bone includes the first side, a second side, a third side, and a fourth side. The bone plate also includes a low-profile fixation assembly that can secure one end to the long bone. The low-profile fixation assembly fixates the one end to the long bone by approaching the one end from one of the second side, the third side, and the fourth side of the long bone.

Bone marrow access apparatus includes a bone penetrating member and a cap. The bone penetrating member includes a tubular insertion portion, and a head portion provided at a proximal end of the tubular insertion portion. A cross-sectional shape of the head portion is wider than a cross-sectional shape of the tubular insertion portion. A recess is provided in the head portion, and an internal channel is provided through the head portion and the tubular insertion portion. The cap accommodates the head portion of the bone penetrating member therein. The cap includes a lower wall which covers at least a part of a distal side of the head portion, and a projection which projects into the recess of the head portion.

The present disclosure generally pertains to methods and systems for fusing a joint. The disclosure includes mechanically immobilizing the joint by insertion of a bone screw, the bone screw including a screw shaft operatively coupled to a screw head, the screw shaft including a longitudinal axis, a channel extending along the longitudinal axis, a first shaft wall section, a second shaft wall section and a third shaft wall section. Fusing of the joint includes inserting the screw into a first bone, a second bone and a joint formed between the first bone and the second bone. Insertion further includes cutting bone pieces away from the first bone using the third shaft wall section of the bone screw and directing the first bone pieces into a helical depression formed in the third shaft wall section.