Sternal closure cerclage, plate implant and instrumentation

A closure system for securing a first bone portion to a second bone portion, the closure system comprising:

• a bracket including a plurality of bracket apertures, the bracket configured to be secured to the first and second bone portions;
• a cerclage configured to be looped around the first and second bone portions;
• and
• a plurality of fastener guides preloaded with fasteners, wherein the plurality of fastener guides are configured to be aligned with the plurality of bracket apertures, and the preloaded fasteners are configured to be driven through the bracket aperture into the first bone portion or the second bone portion.

A method, comprising:

• looping a cerclage around first and second bone portions, the cerclage configured to be tensioned to adjoin the first bone portion to the second bone portion;
• positioning a bracket over the first and second bone portions, the bracket comprising a plurality of bracket apertures;
• aligning a plurality of fastener guides with the plurality of bracket apertures, wherein each of the plurality of fastener guides comprises an elongated tube and includes a preloaded fastener, wherein the plurality of fastener guides are connected to form a guide unit in a shape corresponding to a shape of the bracket;
• and
• driving the plurality of preloaded fasteners through the bracket apertures and into the first or second bone portion.

A closure system for securing a first bone portion to a second bone portion, the closure system comprising:

• a bracket including a plurality of bracket apertures, the bracket configured to be secured to the first and second bone portions;
• and
• a guide unit including a plurality of fastener guides preloaded with fasteners,
• wherein each fastener guide of the plurality of fastener guides comprises an elongated tube,
• wherein a shape of the guide unit corresponds to a shape of the bracket and the fastener guides are configured to align with the bracket apertures, and
• wherein the preloaded fasteners are configured to be driven through the bracket apertures into the first bone portion or the second bone portion.

A closure system for securing a first bone portion to a second bone portion, the closure system comprising:

• a bracket including a plurality of bracket apertures, the bracket configured to be secured to the first and second bone portions;
• and
• a guide unit including:
• a plurality of fastener guides;
• and
• a plurality of fasteners;
• wherein each of the plurality of fastener guides is preloaded with a fastener of the plurality of fasteners;
• wherein each of the plurality of fastener guides is configured to be aligned with a respective one of the plurality of bracket apertures such that a shape of the guide unit corresponds to a shape of the bracket;
• wherein each of the plurality of preloaded fasteners is configured to be driven out of the guide unite and through the bracket aperture into the first bone portion or the second bone portion to secure the bracket to the first and second bone portions.