Monocortical pin (1) for an external fixator for temporary and/or permanent fixing applications for treating bone fractures and connecting two or more bone fragments together, comprising an elongated cylindrical stem (2) which extends along a longitudinal axis (X) and a conical portion (3) with a tip having an external thread for inserting the pin (1) inside a bone; where said elongated cylindrical stem (2) has a flattened surface (2a) which lies along a reference plane (A) parallel to the longitudinal axis (X) and said conical portion (3) with the tip has an overall length, measured along the longitudinal axis, equal to the diameter (d) of the stem (2) +20% of said diameter (d); said monocortical pin (1) is characterized in that the conical portion (3) comprises a tip (31) which has a centring zone (33) which extends longitudinally over a length equal to 6-8% of the diameter (d) of the stem (2), and a threaded portion (32); moreover the conical portion (3) comprises two base cones (3a and 3b) having two different angles of conicity, a first base cone (3a) in a distal position with respect to the elongated cylindrical stem (2) of the monocortical pin and a second base cone (3b) in a proximal position with respect to the elongated cylindrical stem (2) of the monocortical pin; said first base cone (3a) having an angle of conicity of 13°; said second base cone (3b) having an angle of conicity of 26°.

The invention relates to a bone anchor for triangular iliosacral osteosynthesis. The bone anchor includes an ilium screw having a first longitudinal direction and an iliosacral screw having a second longitudinal direction. The ilium screw, in a thread-free portion, has a preferably elongated-hole-like through-opening transversely to the first longitudinal direction, and the iliosacral screw has such a smaller outer diameter in relation to the ilium screw that the iliosacral screw can be guided through the through-opening and can be screwed proceeding from the ilium into the sacrum, through the ilium screw.

In one aspect, a bone anchor assembly is provided having a bone anchor with a head, a resilient locking cap extending about a portion of the bone anchor head, and a cap drive member having a depending annular wall. In another form, a bone plate system is provided including a bone plate having an elongated throughbore and a resilient support member received therein. In another aspect, an insertion device is provided for manipulating and inserting a spinal device at or within a spinal joint. The insertion device is configured to actively pivot the implant about the implant gripping end of the device and to allow manipulation and release of the implant in any pivoted orientation from approximately 0 to 90 degrees.

A locking element is configured to be used with a polyaxial bone anchor. The locking element including a central axis, a bottom side, a top side opposite to the bottom side, and a peripheral surface portion that extending completely around the locking element that has an external thread. The bottom side defines a first recess facing toward the bottom side for accommodating and applying a force in a direction toward the bottom side to at least the portion of the head of the polyaxial bone anchor. The top side defines a second recess having a non-circular cross-section in a plane perpendicular to the central axis for torqueable engagement with a driver.

A fracture treatment system can include a pair of implants cross-pinned into the medullary canal of a bone, guided by at least one guide wire with at least two diameters. The system allows for more accurate sizing of the length of implants needed to achieve bicortical purchase for enhanced stability, as well as anti-rotation of the fracture site. The more accurate sizing and placement of the cross-pinned implants additionally allow both ends of the implants to recess beneath or be flush with the outer surface of the bone, which can reduce the risk of infection. The guide wire can allow the implants to be inserted using a cannulated technique for easier surgical procedure and better outcome, with the implants having sufficient wall thickness for the desired length to achieve bicortical purchase while keeping the shaft outer diameter of the implant to be similar to a diameter of the guide wire.

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.

A compression nut for treating a bone includes a head and a body extending longitudinally from the head to a free end. The body includes an exterior threading along an exterior surface of a threaded portion of the body separated from the head via an unthreaded portion. The nut also includes a channel extending longitudinally through the body. The channel includes an interior threaded extending along an interior surface of the channel configured to threadedly engage an end of a locking screw received therein.

A helicoil interference fixation system comprising: a helicoil comprising a helical body comprising a plurality of turns separated by spaces therebetween, the helical body terminating in a proximal end and a distal end, and at least one internal strut extending between at least two turns of the helical body; and an inserter for turning the helicoil, the inserter comprising at least one groove for receiving the at least one strut; the helicoil being mounted on the inserter such that the at least one strut of the helicoil is mounted in the at least one groove of the inserter, such that rotation of the inserter causes rotation of the helicoil.

Modular surgical instruments and related methods are disclosed herein, e.g., for performing rod reduction, derotation, and/or set screw insertion during spinal surgery. An exemplary system can include an instrument body configured to couple to a bone anchor assembly to provide a modular platform for carrying out various steps of a surgical procedure. For example, the instrument body can receive a reduction instrument therethrough for reducing a spinal rod into the bone anchor assembly. A derotation instrument can be attached to the reduction instrument for performing derotation maneuvers or applying other manipulation forces. A modular driver or handle adapter can be attached to the reduction instrument and/or to the derotation instrument to facilitate rod reduction. Any of the instrument body, the reduction instrument, and the derotation instrument can include a working channel therethrough. A set screw or closure mechanism, and a driver instrument for applying the set screw or closure mechanism to the bone anchor assembly, can be inserted through the working channel.

The present invention provides, in one aspect, a bone fixation device, the bone fixation device having a shaft, the shaft including a drive end and a tip end, at least a portion of the shaft configured to anchor into bone. The shaft further includes a first non-resorbable section extending from the tip end of the shaft, a second non-resorbable section extending from the drive end of the shaft, and a resorbable section. The resorbable section includes a tip side and a drive side, the resorbable section is between the first non-resorbable section and the second non-resorbable section, with the tip side of the resorbable section coupling to the first non-resorbable section and the drive side coupling to the second non-resorbable section.