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Delete 		NXT-5PROV NXT-5, 6, 7, 8 Figures 6B, 6C, 6D, 6E, 6F, and 6G are front view, rear view, distal end view, proximal end view, left side view, and right side view respectively of the lateral bone plate of FIG. 6A, according to one embodiment. The lateral bone plate 600 can include a plurality of fastener openings 618. The plurality of fastener openings 618 may be positioned at a variety of locations along a length of the lateral bone plate 600, including on, or within, one or more extenders (e.g., proximal extender 614 and/or distal extender 616). Alternatively, or in addition, the plurality of fastener openings 618 may be included in one or more of the connectors (e.g., first connector 610 and/or second connector 612). The figures include multiple examples of one or more fastener openings 618, not all of which are identified with a reference numeral to aide in readability of the figures. In addition, a user may include one or more fasteners along a length of the lateral bone plate 600 with a head of the fastener impinging (i.e. pinching) the lateral bone plate 600 against a cortex of the bone. 117 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 Alternatively, or in addition, the body 602, first connector 610, second connector 612, proximal extender 614, and/or distal extender 616 may not include one or more openings such as fastener opening 618. Instead, the body 602, first connector 610, second connector 612, proximal extender 614, and/or distal extender 616 may be made from a material that permits a fastener to penetrate the body 602, first connector 610, second connector 612, proximal extender 614, and/or distal extender 616 and thereby tap its own opening. 118 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 In certain embodiments, the connectors (e.g., first connector 610 and/or second connector 612) can include two parts: one part connected to the lateral bone plate 600 and another part connected to an extender. For example, FIGs 6B-6E illustrate a proximal plate part 620 connected to a proximal end 604 of the lateral bone plate 600 and a distal plate part 622 connected to a distal end 606 of the lateral bone plate 600. 119 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 Figure 7 is an exploded view of the lateral bone plate 600 of FIG. 6A and proximal extender 614 and a distal extender 616, according to one embodiment. Figure 7 illustrates how the proximal extender 614 and/or distal extender 616 can connect to the lateral bone plate 600 using connectors (e.g., first connector 610 and/or second connector 612) for a variety of fixation needs of a patient. In certain embodiments, the first connector 610 includes a proximal plate part 620 of the lateral bone plate 600 and a proximal extender part 624 of the proximal extender 614 and the second connector 612 includes a distal plate part 622 of the lateral bone plate 600 and a distal extender part 626 of the distal extender 616. 120 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 Those of skill in the art will recognize that a variety of different connector designs may be used for one or more of the connectors. Each of these designs is within the scope of the present disclosure. In the illustrated embodiment, the first connector 610 and second connector 612 are configured such that the parts of the lateral bone plate 600 slidably engage with the corresponding part of the extender (e.g., proximal extender 614 / distal extender 616). In certain embodiments, the connectors are configured such that the extenders can be positioned at various positions longitudinally along the lateral surface of the long bone, (e.g., femur 102). Figure 7 illustrates extenders that include a plurality of fastening positions 628 within a slot of each of the extenders. 121 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 The extenders (e.g., proximal extender 614 and/or distal extender 616) may be used as primary fixation devices each alone or in combination with a body 602. For example, a proximal extender 614 can be used without a body 602 or a distal extender 616. Similarly, distal extender 616 can be used without a body 602 or a proximal extender 614. The body 602 can be used with one of the distal extender 616 and the proximal extender 614. Or, a distal extender 616 and a proximal extender 614 can be used without a body 602. Alternatively, or in addition, the extenders may be used to provide secondary/supplemental fixation together with other fixation devices/techniques for fixation regardless of a position of a fracture (i.e., mid, distal, proximal sections of a long bone) or the type of bone (e.g., femur, tibia, humerus, etc.). In addition, one or more extenders may be used together with an intramedullary nail 100 or intramedullary nail system 200 without the body 602. 122 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 Figure 5D is a top view of a head 530 of the lateral approach fastener 528 of FIG. 5C, according to one embodiment. The head 530 can include a drive recess 538. The drive recess 538, or other torque-receiving is configured to receive a drive member of a fastening tool (not shown) used to install the lateral approach fastener 528. The drive recess 538 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 recess 538 can be centered on a longitudinal axis of the lateral approach fastener 528 which aligns with a longitudinal axis of a lateral approach fastener opening 526 when the lateral approach fastener 528 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 recess 538 can be reversed and thus comprise an embodiment within the scope of the present disclosure. 112 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 In one embodiment, the distal extender 616 may include a slot 630 that passes through the distal extender part 626. The slot 630 may serve to accept a fastener that secures the distal extender part 626 to a corresponding distal plate part 622 when the lateral bone plate 600 and distal extender 616 are deployed together. In one embodiment, the distal extender part 626 and distal plate part 622 can be secured to each other through the slot 630 and a set screw (see FIG. 14A) that may engage threads of a fastener opening in the distal plate part 622. Advantageously, the slot 630 enables an operator to position the distal extender 616 relative to the lateral bone plate 600 at an almost infinite number of positions along the slot 630. In this manner, a user can adapt a lateral bone plate 600 and distal extender 616 to particular needs of a patient and/or a fixation scenario. 124 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 Figure 8C illustrates one example of how the distal extender part 626 can slidably engage with the distal plate part 622. The distal extender part 626 can include a pair of lips 632 that slidably engage the distal plate part 622 when the two parts are joined. 125 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 The distal extender 616 may include one or more fixation features 634. The fixation feature 634 is a section of the distal extender 616 contoured and/or configured to conform to the contour of a portion of a surface of cortex bone adjacent to the distal extender 616 once the distal extender 616 is deployed on a lateral surface of a long bone (e.g., a distal 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 distal extender 616 is installed. In one embodiment, the fixation feature 634 is contoured to engage with, and/or contact a surface of a lateral condyle of a long bone, such as a femur 102. 126 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 Figures 9A, 9B, 9C, 9D, 9E, and 9F are front view, rear view, bottom view, top view, right side view, and left side view respectively of a proximal extender, according to one embodiment. As explained above, the proximal extender 614 may include a plurality of fastener openings 618 configured to receive a variety of different fasteners, such as bone fasteners. The diameters of the plurality of fastener openings 618 may each be the same or may be different among the plurality of fastener openings 618. 127 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 In one embodiment, the proximal extender 614 may also include a slot 630 that passes through the proximal extender part 624. The slot 630 may serve to accept a fastener that secures the proximal extender part 624 to a corresponding proximal plate part 620 when the lateral bone plate 600 and proximal extender 614 are deployed together. In one embodiment, the proximal extender 614 and proximal plate part 620 can be secured to each other through the slot 630 and a set screw (see FIG. 14A) that may engage threads of a fastener opening in the proximal plate part 620. Advantageously, the slot 630 enables an operator to position the proximal extender 614 relative to the lateral bone plate 600 at an almost infinite number of positions along the slot 630. In this manner, a user can adapt a particular lateral bone plate 600 and proximal extender 614 to particular needs of a patient and/or a fixation scenario. 128 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 Figure 9C illustrates one example of how the proximal extender part 624 can slidably engage with the proximal plate part 620. The proximal extender part 624 can include a pair of lips 632 that slidably engage the proximal plate part 620 when the two parts are joined. 129 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 The proximal extender 614 may include one or more fixation features 634. The fixation feature 634 is a section of the proximal extender 614 contoured and/or configured to conform to the contour of a portion of a surface of cortex bone adjacent to the proximal extender 614 once the proximal extender 614 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 614 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. 130 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 In one embodiment, the proximal extender 614 may also include a top opening 636 and one or more neck openings 638. The top opening 636 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 636 can be configured to provide structural support and rigidity to the fixation feature 634. The size and shape of the top opening 636 can vary in different embodiments of the proximal extender 614. 131 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		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 of the proximal extender 614. The size and shape of the neck openings 638 can vary in different embodiments of the proximal extender 614. In one embodiment, the neck openings 638 are oval shaped. 132 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 Figure 1A illustrates an example of a fixation device according to one embodiment of the present disclosure. In one embodiment, the fixation device may comprise an intramedullary nail. The intramedullary nail 100 is illustrated deployed within a long bone, such as a femur 102. The illustrated intramedullary nail 100 is one example of an IMDF that may be used in accordance with the present disclosure. 42 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 The offset section 116 redirects the distal end 104 posteriorly within a distal end of the long bone. For example, in a femur, the offset section 116 redirects the distal end 104 from a conventional entry point (i.e. one that may be used in patient’s without a distal joint prosthesis) that would be between the lateral condyle, medial condyle, and patellar surface to another entry point more posterior between the lateral condyle and medial condyle, such as for example, within the intercondylar fossa (e.g., the posterior intercondyloid fossa). Advantageously, the offset section 116 permits a surgeon to perform a retrograde deployment from a distal end of long bone at an entry point that is more posterior than may be used conventionally. Deploying an intramedullary nail 100 at an entry point that is more posterior can be advantageous where a patient has received a total knee replacement (TKR) or partial knee replacement that includes a femoral component implant that blocks access to the medullary canal by way of an entry point more anterior between the lateral condyle and medial condyles (e.g., at the middle of the intercondylar sulcus). Advantageously, the section 116 can be designed to accommodate a variety of prosthesis that may be deployed with a patient. For example, the section 116 can be configured to account for prosthesis such as a joint or fixation prostheses, femoral component for a partial or total knee replacement (TKR) procedure, a femoral component for a total hip replacement, and/or to address a peri-implant fracture of a patient’s bone. 50 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 The distal end 104 includes an offset section 116. The offset section 116 serves to interconnect a distal end of the distal end 104, the coupling 110, to the remainder of the intramedullary nail 100 (e.g., the shaft 108). The offset section 116 may have a variety of configurations, one example of which is disclosed herein. 49 Added by DJM 8 2021 8/16/21, 12:00 AM
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Delete 		NXT-5PROV NXT-5, 6, 7, 8 The proximal end 106 may include a point 112. The point 112 may comprise a tapered wall that has an increasing smaller diameter until the point 112 comes to a single point or defines a blunt end surface for the point 112. The point 112 serves to facilitate deployment of the intramedullary nail 100 within the medullary cavity/canal. The point 112 can help guide the proximal end 106 through the medullary cavity/canal and can help move bone marrow aside as the intramedullary nail 100 is deployed. In certain embodiments, the proximal end 106 may also include one or more openings (not shown) for accepting a fastener (e.g., a bone screw) used to lock the intramedullary nail 100 in place, or fix the intramedullary nail 100, in place within the long bone. The one or more openings may include internal threads that engage threads of a fastener or may permit the fastener to pass through the intramedullary nail 100 and engage bone on an opposite side of the one or more openings. 48 Added by DJM 8 2021 8/16/21, 12:00 AM

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