Disclosed is a system to engage one or more tools. In the system, a drive shaft and collet may be assembled to engage and disengage, selectively, a plurality of tools. A guide may be used with the system to select various features of a procedure, such as depth and position.

A kit of tarsometatarsal joint arthrodesis tools include a metatarsal multi-tool, a first ray multi-tool, a cuneiform cut guide, and a joint compressor-distractor. The metatarsal multi-tool is configured for securement to a first metatarsal establishing an anatomic reference for carrying out a surgical procedure and guiding a surgeon to perform the metatarsal base cut. The first ray multi-tool is configured for securement to the first metatarsal using a fixation method. The first ray multi-tool is also configured to be secured to the medial cuneiform. The cuneiform cut guide is configured for removable attachment to the first ray multi-tool and is configured to guide the surgeon to perform the cuneiform head cut. The compressor-distractor is configured to apply a force to the first ray multi-tool such that the position of the first metatarsal may be adjusted toward or away from the medial cuneiform.

Systems and methods for tibial plateau leveling osteotomy (TPLO) are disclosed. According to some embodiments, an osteotomy method may include cutting a tibia with an arcuate cut to separate a tibial plateau of the tibia from a tibial base of the tibia, rotating the tibial plateau relative to the tibial base from a first orientation to a second orientation, and, with the tibial plateau in the second orientation relative to the tibial base, securing an implant to the tibia to secure the tibial plateau to the tibial base. Securing the implant to the tibia may include embedding a first leg of the implant into the tibial base, and embedding a second leg of the implant into the tibial plateau such that the first and second legs apply compression urging the tibial plateau toward the tibial base.

A novel and improved elbow prosthesis and method of implanting same including a novel aggregate prosthesis having a retaining system in conjunction with a set plate.

An attachment for a drill includes an inner housing configured to be coupled to the drill. The attachment also includes an outer housing positioned at least partially around the inner housing. The attachment also includes a vertical guide coupled to or integral with the inner housing. The attachment also includes a horizontal guide coupled to or integral with the outer housing. The attachment also includes a guide adapter configured to move along the vertical guide and the horizontal guide. The inner housing and the vertical guide are configured to move vertically with respect to the outer housing and the guide adapter, and the inner housing and the guide adapter are configured to move laterally with respect to the horizontal guide and the outer housing.

Systems, devices and methods are described for surgical guide instruments. For example, this disclosure describes surgical guide instruments for assisting in countersinking shelves for deep brain stimulation lead locking mechanisms.

Methods, systems and devices for pre-operatively planned shoulder surgery guides and implants. Pre-operative planning methods for designing glenoid placement guides and depth-control pins based on considerations of multiple factors affecting the outcome of shoulder surgery. Methods of using surgery guides and implants, including glenoid placement guides and depth-control pins, in patients undergoing shoulder surgery.

Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Various embodiments of devices, systems, and methods for surgical procedures, including spring-fit guides for improved guidance of surgical instruments, are disclosed.

Methods for temporarily fixing an orientation of a bone or bones. Methods of correcting a bunion deformity. Bone positioning devices. Methods of using a bone positioning device. Bone preparation guides. Methods of using a bone preparation guide.