Targeted screw for talar dome fixation

1. An implant system, comprising:

a talar dome implant, comprising:

a body having a bone contact surface and an articulation surface, the articulation surface comprising a first hemisphere and a second hemisphere with a groove therebetween; and

a first flange extending longitudinally from the bone contact surface, the flange defining a first screw hole configured to receive a targeted screw therethrough; and

a single-piece targeted drill guide comprising a first portion having a curvature and cross-section configured to match a curvature and cross-section of the articulation surface of the implant and a second portion extending longitudinally from the first portion, the second portion defining at least one guide hole therethrough, wherein the guide hole has a predetermined angle through the second portion so that when a drill passes through the guide hole, an axis of the drill passes through the first screw hole formed in the flange.

2. The implant system of claim 1 , wherein the first screw hole is located in a center of the first flange.

3. The implant system of claim 1 , wherein the first flange defines a second screw hole configured to receive a targeted screw therethrough.

4. The implant system of claim 3 , wherein the first screw hole and the second screw hole are horizontally aligned.

5. The implant system of claim 1 , wherein the first flange extends longitudinally from an anterior portion of the body.

6. The implant system of claim 1 , wherein the first flange extends longitudinally from a posterior portion of the body.

7. The implant system of claim 1 , comprising a second flange extending longitudinally from the bone contact surface, the second flange defining a second screw hole configured to receive a targeted screw therethrough.

8. The implant system of claim 7 , wherein the first screw hole in the first flange and the second screw hole in the second flange are aligned such that a single targeted screw passes through the first screw hole and the second screw hole when inserted into a bone.

9. A method for coupling an implant to a bone using the system of claim 1 , the method comprising:

locating the implant at a predetermined location of a bone;

coupling the drill guide to the implant; and

forming a first screw channel through the bone by inserting a drill through the at least one guide hole and the first screw hole.

10. The method of claim 9 , further comprising:

removing the drill from the screw channel;

uncoupling the drill guide from the implant; and

inserting a first screw into the first screw channel and the first screw hole to couple the implant to the bone.

11. The method of claim 10 , wherein the first screw channel extends through the bone and into an adjacent bone, and wherein the first screw is inserted through the first screw channel in the bone and into the adjacent bone to fuse the bone and the adjacent bone.

12. The method of claim 9 , further comprising forming a second screw channel through the bone by inserting the drill through a second drill guide hole and a second screw hole defined by the first flange.

13. The method of claim 12 , further comprising:

inserting a first targeted screw into the first screw channel and through the first screw hole in the flange; and

inserting a second targeted screw into the second screw channel and through the second screw hole in the flange.

14. The method of claim 9 , further comprising forming a second screw channel through the bone by inserting the drill through a second drill guide hole and a second screw hole defined by a second flange of the implant.