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NXT-5PROV NXT-5, 6, 7, 8 a proximal end comprising an arm that extends from the body in one of an anterior direction and a posterior direction in relation to the long bone having the medial bone plate; 194 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 a body configured to contact a medial surface of a long bone; 193 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 3.A medial bone plate for a long bone of a patient, the medial bone plate comprising: 192 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 wherein the body comprises a first bend at one end and a second bend at an opposite end, the first bend angled posteriorly from the longitudinal axis and the second bend angled anteriorly from the longitudinal axis such that the third coupling extends parallel to the longitudinal axis. 191 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 The drive feature 1404, drive recess, or other torque-receiving is configured to receive a drive member of a fastening tool (not shown) used to install the fastener 1400. The drive feature 1404 can be configured to have any one of a variety of shapes including slotted, Torx, Torx plus, Philips, Quadrex, Pozidriv, square recess, tri-wing, spanner, or the like. The drive feature 1404 can be centered on a longitudinal axis of the fastener 1400 which aligns with a longitudinal axis of a fastener opening 618 when the fastener 1400 is inserted into the opening. Of course, those of skill in the art recognize that the shape and configuration of the drive member and the drive feature 1404 can be reversed and thus comprise an embodiment within the scope of the present disclosure. 154 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 a third coupling configured to engage a fourth coupling of an inserter; 189 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 a second coupling configured to engage the first coupling; 188 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 an adapter comprising: 187 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 an intramedullary nail comprising a proximal end, a shaft having a longitudinal axis, and a distal end comprising a first coupling; 186 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 2.An intramedullary nail system for a long bone of a patient, the nail system comprising: 185 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 wherein the distal end comprises a first bend, the first bend angled posteriorly from the longitudinal axis and a second bend angled anteriorly in relation to the longitudinal axis such that the coupling extends parallel to the longitudinal axis. 184 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 a shaft having a longitudinal axis; and 183 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 a proximal end comprising a point and a distal end comprising a coupling; 182 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 1.An intramedullary nail for a long bone of a patient, the nail comprising: 181 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 Advantageously, the fixation system 1200 includes an intramedullary nail 1202 and fixation plate 1204 that, each deployed alone, do not provide sufficient fixation of the long bone, but when deployed together do provide a desired level of fixation of the long bone. Because the intramedullary nail 1202 and fixation plate 1204 are part of a fixation system 1200 that provides sufficient fixation when deployed, one or the other or both of the intramedullary nail 1202 and the fixation plate 1204 can be made from more light weight, thinner, less expensive, lighter, and less rigid materials than if one or the other or both of the intramedullary nail 1202 and fixation plate 1204 were used alone to provide fixation of the long bone. 144 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 In one embodiment, the proximal extender 640 may also include a multi-position slot 642 that passes through a proximal extender part 644. The multi-position slot 642 may serve to accept a fastener that secures the proximal extender part 644 to a corresponding proximal extender part 644 when the lateral bone plate 600 and proximal extender 640 are deployed together. In one embodiment, the proximal extender 640 and proximal extender part 644 can be secured to each other through the multi-position slot 642 and a set screw (see FIG. 14A) that may engage threads of a fastener opening or another opening in the proximal plate part 620. Advantageously, the multi-position slot 642 enables an operator to position the proximal extender 640 relative to the lateral bone plate 600 using one or more predefined positions along the multi-position slot 642. In this manner, a user can adapt a particular lateral bone plate 600 and proximal extender 640 to particular needs of a patient and/or a fixation scenario. 134 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 Figure 10C illustrates one example of how the proximal extender part 644 can slidably engage with the proximal plate part 620. The proximal extender part 644 can include a pair of lips 632 that slidably engage the proximal plate part 620 when the two parts are joined. 135 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 The proximal extender 640 may include one or more fixation features 634. The fixation feature 634 is a section of the proximal extender 640 contoured and/or configured to conform to the contour of a portion of a surface of cortex bone adjacent to or in contact with the proximal extender 640 once the proximal extender 640 is deployed on a lateral surface of a long bone (e.g., a proximal end of the lateral surface of a femur 102). Consequently, the configuration, size, and shape of the fixation feature 634 may vary depending on where the proximal extender 640 is installed. In one embodiment, the fixation feature 634 is contoured to engage with, and/or contact a surface of an upper extremity such a surface alongside the gluteal tuberosity and/or a greater trochanter of a long bone, such as a femur 102. 136 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 In one embodiment, the proximal extender 640 may also include a top opening 646 and one or more neck openings 638. The top opening 646 may serve to reduce the size, weight, and surface area of the fixation feature 634 that covers a part of the long bone. Furthermore, the top opening 646 can be configured to provide structural support and rigidity to the fixation feature 634. The size and shape of the top opening 646 can vary in different embodiments of the proximal extender 640. In one embodiment, the top opening 646 can include an opening 648 between the fastener openings 618 of a fixation feature 634. The opening 648 may facilitate more flexibility in the positioning of parts of a fixation feature 634 during deployment. 137 Added by DJM 8 2021 8/16/21, 12:00 AM
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NXT-5PROV NXT-5, 6, 7, 8 The neck openings 638 may also serve to reduce the size, weight, and surface area of the proximal extender 614 that covers a part of the long bone. Furthermore, the neck openings 638 can be configured to provide structural support and rigidity to a neck section 650 of the proximal extender 640. The size and shape of the neck openings 638 can vary in different embodiments of the proximal extender 640. In one embodiment, the neck openings 638 are oval shaped. 138 Added by DJM 8 2021 8/16/21, 12:00 AM

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