110results about "Toe joints" patented technology

An instrument system includes a first cut guide and an actuation instrument. The actuation instrument includes an upper portion having a handle and a first cannulation, and a lower portion releasably couplable with the upper portion. The lower portion includes a shaft, a second cannulation, wherein the second cannulation is coaxial and in fluid communication with the first cannulation, and a paddle configured to abut a resected surface of a first bone. The instrument system also includes a compression mechanism releasably couplable with the lower portion, the compression assembly couplable with the first bone and a second bone The compression assembly includes an actuator configured to bias at least one of the first bone and the second bone toward the other of the first bone and the second bone. A method for using the instrument system is also disclosed herein.

Expandable wedge implants and related methods. The expandable implant may include a bottom endplate, a top endplate pivotably connected to the bottom endplate, an actuator with curved ramps configured to mate with angled ramps on the top endplate, and a drive screw configured to move the actuator to thereby expand the top endplate relative to the bottom endplate. The expandable implants may be configured to correct pes planus or a flatfoot deformity using Evans and / or Cotton procedures during foot surgery.

A calcaneal plate inserter tool includes a body portion, a plate retainer assembly coupled to the body portion, a sled coupled to the body portion and movable relative to the body portion, and a lock coupled to the body portion. The lock is operable between a lock position and an unlocked position. The lock impedes movement of the sled relative to the body portion when in the lock position. The sled also includes a guide portion.

Various embodiments of implant systems and related apparatus, and methods of operating the same are described herein. In various embodiments, an implant for interfacing with a bone structure includes a web structure, including a space truss, configured to interface with human bone tissue. The space truss includes two or more planar truss units having a plurality of struts joined at nodes. Implant are optimized for the expected stress applied at the bone structure site.

Bone and joint surface reconstruction methods are disclosed for the therapeutic amelioration of joint defects caused by various conditions, injuries, and diseases to help eliminate or reduce pain and return the joint to its proper bio-mechanical function without the need to replace fully or partially the anatomical joint. The joint may specifically include mammalian joints such as the femorotibial joint, for example. The methods disclosed herein leverage the significant role the subchondral bone plays in the health status of the afflicted joint.

Various embodiments of implant systems and related apparatus, and methods of operating the same are described herein. In various embodiments, an implant for interfacing with a bone structure includes a web structure, including a space truss, configured to interface with human bone tissue. The space truss includes two or more planar truss units having a plurality of struts joined at nodes. Implant are optimized for the expected stress applied at the bone structure site.

A surgical guide for osteosynthesis surgery is disclosed. The surgical guide includes a guide body comprising a head and a base, the head extending from one end of the base. The surgical guide also includes a guiding portion allowing the surgical guide to be positioned on a targeting wire inserted into a bone and a locking device configured to secure the surgical guide on the targeting wire when the surgical guide is positioned on the targeting wire. The surgical guide also includes a targeting arm adapted to cooperate with the base of the guide body so as to be displaceable relative to the guide body, the targeting arm having at a distal end thereof at least one opening for supporting the at least one guiding wire.

The present disclosure relates to an implant having a proximal portion, a distal portion and a central portion positioned between the proximal portion and the distal portion. The implant further includes a longitudinal axis with the proximal portion, the distal portion and the central portion being centered along the longitudinal axis. Further disclosed is an implant system that includes an implant having a proximal portion including an opening, a distal portion including a threading, a tip, and a tapping feature at the tip, and a central portion having at least one flat on an outer surface The central portion is disposed between the proximal and distal portions. The implant system also includes an insertion instrument configured to be releasably coupled with the implant.

A sacroiliac joint implant is formed from a web structure having a space truss with two or more planar truss units having a plurality of struts joined at nodes. The web structure is configured for fusion of a sacroiliac joint.

The invention relates to a resorptive intramedullary implant between two bones or two bone fragments. The implant includes a single-piece body (1) having a generally elongate shape and having, at each end, areas for anchoring to the bone portions in question, characterized in that one of said areas (A1) has a cylindrical cross-section while the other area (A2) has a flat cross-section.

A method of securing bones for fusion includes positioning an implant guide sleeve on a first bone, a second bone, and across a separation between the first bone and the second bone, the method further includes using the implant guide sleeve to guide creation of a first implant hole in the first bone and to guide creation of a second implant hole in the second bone, aligning an inserter operably connected to the implant with the implant guide sleeve, and advancing the inserter relative to the implant guide sleeve to position the implant in contact with the first bone and the second bone, wherein the implant bridges the first bone and the second bone.

A method of modifying a bone surface for receiving an implant includes: positioning a contour guide at a first bone and a second bone and across a separation between the first bone and the second bone; using the contour guide to modify a surface region of at least one of the first bone and the second bone to form a modified surface region at one or both of the first bone and the second bone; and positioning an implant in contact at least with the modified surface region.

An improved surgical system and procedure for correcting a deformity between first and second bones using an alignment guide based on a correction factor. The correction factor can be based on a virtual model of the first and second bones in a deformed configuration and a corrected configuration. In the virtual corrected configuration, first and second virtual axes can be fixed in the respective first and second bones. When reverted to the virtual deformed configuration, the orientation of the first and second axes can be used to determine the correction factor. The alignment guide is used to insert one or more k-wires into each of the first and second bones in a deformed configuration. A correction guide is passed along the k-wires to rotate and / or translate the first bone relative to the second bone into the corrected configuration.

A bone part is repaired by a process. A first implant is attached to a first bone part. The first implant corresponds to an intraoperatively defined or an intraoperatively selected cutting path. A preoperatively defined second implant is attached to the first implant. The first implant and the second implant together augment the first bone part.

A system for deploying a fixation member into an aperture of a bone fastener includes a guide having a body that includes a proximal end and a distal end. The guide includes a guide member coupled to the body near the proximal end. The guide member is configured to guide placement of the fixation member to secure the bone fastener. The system includes an engagement member coupled to the body near the distal end. The engagement member is configured to engage the bone fastener such that the guide member is rotatable, relative to the bone fastener, about an engagement axis to the guide member at any of the plurality of relative orientations about the engagement axis.

An improved surgical system and procedure for correcting a deformity between first and second bones using an alignment guide based on a correction factor. The correction factor can be based on a virtual model of the first and second bones in a deformed configuration and a corrected configuration. In the virtual corrected configuration, first and second virtual axes can be fixed in the respective first and second bones. When reverted to the virtual deformed configuration, the orientation of the first and second axes can be used to determine the correction factor. The alignment guide is used to insert one or more k-wires into each of the first and second bones in a deformed configuration. A correction guide is passed along the k-wires to rotate and / or translate the first bone relative to the second bone into the corrected configuration.

Apparatus and methods are disclosed for correcting deformities in a patient's foot. In one example, a metatarsus adductus is addressed using a pin placement guide that is angulated to be placed in alignment with a cuneiform and a metatarsal, such that the TMT joint can be subsequently cut, and the metatarsal moved into proper alignment. Th pin placement guide can be a variable angle guide, or a kit of fixed-angle pin placement guides can be provided.

Disclosed are sterile instruments and instrument kits for use in surgery, said instruments including a reamer assembly comprising a reamer depth stop and a reamer, a grommet placer instrument, and a sizing instrument for use in joint implant surgery. The disclosure also concerns a kit for use in joint implant surgery, comprising said reamer assembly, said grommet placer instrument, a wire guide, comprising a wire guide body, and a guide wire. A method for using one or more of the instruments and kit as described herein is also provided.

Systems, methods, and devices described herein relate an implant adapted to be placed in a bone in the metatarsophalangeal joint or a metacarpophalangeal joint. In some embodiments, the implant includes a head portion extending from a first surface to a second surface and having a plurality of layers located between the first surface and the second surface. In some embodiments, the first surface is lubricious. In some embodiments, the implant comprises a post portion extending from the second surface of the head portion to a bone facing surface.

A system configured to guide one or more wires or fixation elements toward one or more bone segments of extremity bones is provided.

Various embodiments of implant systems and related apparatus, and methods of operating the same are described herein. In various embodiments, an implant for interfacing with a bone structure includes a web structure, including a space truss, configured to interface with human bone tissue. The space truss includes two or more planar truss units having a plurality of struts joined at nodes. Implants may be coated with or include fibers or particles to enhance bone growth around and through the implant.

An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.

Bone and joint surface reconstruction methods are disclosed for the therapeutic amelioration of joint defects caused 2024 / 064830 by various conditions, injuries, and diseases to help eliminate or reduce pain and return the joint to its proper bio-mechanical function without the need to replace fully or partially the anatomical joint. The joint may specifically include mammalian joints such as the metatarsal phalangeal joint or other joint of the foot or ankle, for example. The methods disclosed herein leverage the significant role the subchondral bone plays in the health status of the afflicted joint.WO

Devices, systems, and methods for surgical treatment of mid-foot disorders such as osteoarthritis, spacing disorders, or alignment disorders, including mid-foot arthroplasty devices and systems for the 2nd and 3rd tarsometatarsal (TMT) joint, implants for post-osteotomy spacing and realignment, arthroplasty articular implants, dowel grafts for TMT arthrodesis or fusion, dowel grafts for navicular cuneiform (NC) arthrodesis, dowel grafts for intercuneiform arthrodesis, and / or locking dowels for joint fusion.

Implants, systems, instruments, methods, and kits for metatarsophalangeal joint arthroplasty may include metatarsal arthroplasty implants, repositioning guides, broach tools, inserter tools, and sterilizable packaging configured to facilitate metatarsal arthroplasty surgical procedures. The metatarsal arthroplasty implants may generally include an articular member having a convex articular surface, a concave bone-facing surface opposite the convex articular surface, and at least one side surface intermediate the convex articular surface and the concave bone-facing surface, as well as a central shaft sized for insertion into a metatarsal bone having a central shaft longitudinal axis, a central shaft proximal end coupled to the concave bone-facing surface of the articular member, and a central shaft distal end extending away from the concave bone-facing surface of the articular member along the central shaft longitudinal axis.

A method of modifying a bone surface to receive an implant includes placing a contour guide on a first bone and a second bone across a separation between the first bone and the second bone, modifying the surface area of ​​at least one of the first bone and the second bone using the contour guide to form the modified surface area on one or both of the first bone and the second bone, and positioning an implant in contact with at least the modified surface area.

An orthopedic implant includes an upper portion, a central portion having a greater lateral dimension than that of the upper portion, and a lower portion having a greater lateral dimension than the central portion. The upper portion, the central portion and the lower portion each may have at least one fixation aperture. Further, the upper portion, the central portion and the lower portion may each be non-linear and / or curved relative to at least one plane. An instrument having a body that includes a housing. The body includes a platform, at least one retention mechanism for holding the implant on the platform, an adjustment mechanism to adjust the height of the platform relative to the top surface of the housing, and a lid coupled with the housing with the top surface of the housing and the lid defining a slot configured to receive a cutting instrument.

Internal beam plates and associated instrumentation may be utilized for performing arthrodesis procedures, bone fracture procedures, osteotomy procedures, etc. Exemplary surgical methods that may be performed using the internal beam plates and associated instrumentation include, but are not limited to, lapidus bunionectomy procedures, metatarsophalangeal (MTP) procedures, chevron procedures, fracture repair procedures, etc. The exemplary internal beam plates incorporate an integral beam that is configured to increase strength and stiffness across a fusion site. The exemplary cutting / prep guides are configured to allow surgeons to reduce, prepare, and cut bones for receiving the beam of the internal beam plate using one or more guides.

An apparatus and methods are provided for a dermal cap for resurfacing a metatarsal head of the foot or a metacarpal head of the hand. The dermal cap comprises an outer surface having a convex shape, an inner surface having a concave shape, and a rounded peripheral surface joining the inner surface and the outer surface. The inner surface can be placed onto a bone head such that the outer surface provides a bone head surface resembling the original articular cartilage. The outer surface effectively restores the articular cartilage and thus relieves pain and facilitates better joint function. The dermal cap can be formed by stretching it over a rounded mandrel shaped similarly to the size and anatomy of the bone head to be treated. The dermal cap can be freeze-dried on the rounded mandrel to set the desired anatomy of the dermal cap.

A joint implant can include a proximal joint implant element having a proximal curved interface surface with a plurality of proximal registration features. A distal joint implant element can be rotatably coupled to the proximal joint implant element, and can have a distal curved interface with a plurality of distal registration features that are complementary to the proximal registration features such that the registration features interface together to maintain registration between the proximal and distal joint implant elements. A joint implant element connector can include a proximal pin supporting the proximal joint implant element and a distal pin supporting the distal joint implant element. At least one of the curved interface surfaces can include a protrusion that prevents rotation of the joint implant elements when the protrusion contacts the opposite curved interface surface.