Bone repair system, kit and method

A kit for surgical repair of a fractured bone involving a first bone segment and a second bone segment, comprising:

• a first tether and a second tether each having a proximal end and a distal end configured to be inserted into a first guide tube and a second guide tube respectively;
• a longitudinal member having at least one opening configured to receive a first fastener assembly and a second fastener assembly wherein the longitudinal member is configured to be in contact with the first and second bone segments and has cleats on the side configured to be in contact with the first and second bone segments;
• a first fastener assembly having a longitudinal channel configured for passing the first tether therethrough and further configured to hold the longitudinal member against the first bone segment;
• and
• a second fastener assembly having a longitudinal channel configured for passing the second tether therethrough and further configured to hold the longitudinal member against the second bone segment.

A method of percutaneously fixing a first bone segment to a second bone segment in a body of a patient, comprising:

• drilling a first hole through the first bone segment and a second hole through the second bone segment;
• feeding a first guide tube through the first hole and a second guide tube through the second hole, each guide tube having a proximal end and a distal end;
• withdrawing the first and second guide tube distal ends from the body while the first and second guide tube proximal ends have not passed through the first and second bone segments respectively;
• feeding a first tether through the first guide tube and a second tether through the second guide tube, each tether having a proximal end and a distal end;
• withdrawing the first and second tether distal ends from the body while the first and second tether proximal ends have not passed through the first and second bone segments respectively;
• removing the guide tubes from the body while keeping the first and second tethers in the body;
• passing a longitudinal member having at least one opening and cleats on the side contacting the first bone segment and the second bone segment onto the first and second tether ends;
• pulling the longitudinal member into engagement with the first and second bone segments guided by the tethers;
• and
• securing the longitudinal member to the first bone segment with a first fastener assembly through the first hole and the opening in the longitudinal member and to the second bone segment with a second fastener assembly through the second hole and the opening in the longitudinal member to fix the first bone segment to the second bone segment.