A bone fastener includes a distal member having a proximal portion and a closed distal tip. The distal member includes an outer surface engageable with a first cortical surface and a second cortical surface. The proximal portion includes an inner surface that defines a longitudinal cavity and at least one fenestration in communication therewith. Systems, spinal constructs, surgical instruments and methods are disclosed.

The present disclosure describes a bone screw for use in orthopedic procedures. The bone screw includes a shank portion having a helical thread and a head portion also having a helical thread. The head portion has a reverse frustoconical shape, with the conical taper decreasing in the proximal direction.

A bone anchor includes an anchor member including a first material, and having a tubular section extending along a longitudinal axis, a region configured to expand radially outwards from the longitudinal axis, and a bone engagement structure projecting from at least a portion of the expandable region of the tubular section, and a core member including a second material, and configured for insertion into and connection to the anchor member. When the core member is in the anchor member and is actuated relative to the anchor member, the tubular section is adjustable between a first position where the expandable region of the tubular member has a first length and a first maximum diameter, to a second position where the expandable region of the tubular member has a length shorter than the first length and a maximum diameter greater than the first maximum diameter.

A pivotal bone anchor assembly includes a receiver having upright arms defining a receiver channel for receiving an elongate rod, and an axial bore extending downward from the receiver channel to a bottom opening. The upright arms include break-off extensions, outer horizontally extending curvate tool engagement grooves, and side apertures extending inwardly from outer surfaces of the upright arms to deformable crimp wall portions adjacent the axial bore. The assembly also includes a shank having an anchor portion and an integral upper portion that is positionable in the axial bore of the receiver with the shank extending downward through the bottom opening. The assembly further includes an insert with an insert channel positionable within the axial bore and having opposing depressions formed into side surfaces that are configured to cooperate with the crimp wall portions of the receiver to maintain the insert channel in alignment with the receiver channel.

In one embodiment, a bone screw includes a shaft having a proximal shaft end and a distal shaft end spaced from the proximal shaft end in a distal direction along a central axis. The shaft is helically threaded between the proximal and distal shaft ends. A tip extends from the distal shaft end in the distal direction, and defines a plurality of lands with cutting flutes disposed between adjacent lands. Each land has a bore-cutting edge that extends from an inner cutting edge end to an outer cutting edge end. The inner cutting edge end is disposed at a center of the distal end of the tip, and the outer cutting edge end is spaced from the center of the distal end of the tip. The bore-cutting edges may blunt the feel of the tip so as to reduce the likelihood of soft-tissue damage.

A provisional engagement feature for selectively connecting a fastener such as a screw to a driving tool, the fastener incorporating a head with a recess extending therein and a projection contained within the recess for engagement with a corresponding engagement feature and/or selective locking feature of the driving tool.

The present invention relates to a wing-shaped angle steel plate and a bone shaft fixation system. The wing-shaped angle steel plate comprises a wing fitting portion and a body fixation portion which are fixedly connected to each other. The wing fitting portion is used for supporting a fracture end and has a structure matched with an inner side surface of a bone shaft. The body fixation portion is used for fixing the wing fitting portion and has a structure matched with a front side of the bone shaft. The body fixation portion is provided with at least two first locking holes for passing through first locking screws at an intersection site with the wing fitting portion and is further provided with at least two second locking holes for passing through second locking screws in the structure matched with the front side of the bone shaft. In the wing-shaped angle steel plate, the wing fitting portion and the body fixation portion of the present invention are connected to each other and cooperate to fix and support the bone shaft fracture end site, and effectively ensure and help stable reduction and healing of the fracture sites.

A twist-drivable pin assembly includes first and second drivers, each having a driving end which can be received in a bore in the end of a twist-drivable pin, and an opposite end at which torque can be applied. The cross-sectional shape of each of the drivers at its driving end has a first plurality of apexes whose relative locations coincide with the apexes of a regular polygon such as a hexagon. The drivers differ from one another in their cross-sectional shapes at the driving end by virtue of one or more faces of at least one of the drivers between adjacent pairs of apexes having a groove formed in it. Each of first and second twist-drivable pins has a bore extending into it which is defined by a second plurality of apexes arranged as a regular polygon such as a hexagon and which is open at one end.

A coupling assembly for coupling a rod to a bone anchoring element, including a receiving part having first and second ends, a recess at the first end for the rod, and an accommodation space for a head of the bone anchoring element, the accommodation space having an opening at the second end to permit insertion of the head into the receiving part, a retainer element configured to be arranged at least partially in the accommodation space and to hold at least part of the head, and a spring element configured to be arranged at least partially in the accommodation space and to be compressed in an axial direction. The retainer element and the spring element are separate parts. When the retainer element and the spring element are in the accommodation space of the receiving part in a first position, the spring element extends into the recess of the receiving part.

A surgical implant according to an exemplary aspect of the present disclosure includes, among other things, a body that extends along a longitudinal axis between a drive head and a tip. The body includes a cannulation disposed about the longitudinal axis and extending form the tip to the drive head, a solid thread that wraps around the body and a porous region circumferentially extending about the body between adjacent revolutions of the solid thread. In another embodiment, the surgical implant may include a wedge having at least one porous region that extends continuously around a wedge body between an inner wall and an outer wall.