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Skeletal Dynamics

A Miami-based medical device company founded in 2007 that is solely focused on upper extremity orthopedic implants and instrumentation.

Last updated September 27, 2026

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Overview

Skeletal Dynamics is an American medical device company headquartered in Miami, Florida, and founded in 2007. It describes itself as the only medical device company solely focused on the upper extremity, meaning the hand, wrist, forearm, distal elbow, and humerus. The company develops orthopedic implants, fixation systems, and surgical instrumentation intended to address unmet clinical needs in upper extremity and trauma surgery. The company's stated mission is to become the premier upper extremity company in the world. Its development process is guided by practicing upper extremity surgeons, with engineering teams taking direction from these surgeons through an iterative design process. Skeletal Dynamics organizes its work around four stated pillars: being exclusively upper extremity, innovation based on science, world-class education, and trusted service. Its product portfolio includes the Proximal Humerus Fixation System, engineered for stability, subchondral support, and resistance to varus collapse using a central peg surrounded by anatomically divergent screws; the Hand Nailing Set, which offers threaded hand nails with Net Zero Compression and smooth nails with locking and transfixion screws for intramedullary fixation of metacarpal and phalanx fractures; and the PROTEAN Hand Plating System for multi-fragmentary injuries, CMC osteotomies, and PIP fracture dislocations. The company also markets solutions across the hand, wrist and forearm, distal elbow, and humerus. Skeletal Dynamics sells through a selected distributor network and supports surgeon education through internationally attended Surgeon Summits, local and regional lab training, live case observation, peer-to-peer cadaveric training, and grand rounds support. It is a privately held company and does not appear to be listed on a public stock exchange.

History

Skeletal Dynamics was founded in 2007 with the goal of understanding the clinical challenges of upper extremity surgery and providing innovative, science-based solutions to solve unmet clinical needs. From its base in Miami, Florida, the company built its identity around a single surgical sub-specialty: the upper extremity. It states that it is the only medical device company solely focused on the upper extremity, a focus it says aligns it with the upper extremity and trauma specialists it supports and allows it to dedicate 100% of its resources to that sub-specialty. The company's development model is surgeon-driven. According to its own account, its development process is led by visionary, highly tenured, practicing surgeons who understand the daily clinical challenges of their peers, and its engineering teams take direction from these surgeons through a constantly iterative process. The company frames this as producing "the surgeon's solution to unmet clinical needs," with designs driven by surgeons and supported by engineering rather than the other way around. Over time Skeletal Dynamics assembled a portfolio spanning the hand, wrist and forearm, distal elbow, and humerus. Notable offerings include the Proximal Humerus Fixation System, the Hand Nailing Set for intramedullary fixation of metacarpal and phalanx fractures, and the PROTEAN Hand Plating System for indications ranging from multi-fragmentary injuries to CMC osteotomies and PIP fracture dislocations. Alongside product development, the company invested in surgeon education, offering internationally attended Surgeon Summits, local and regional lab training, live case observation, peer-to-peer cadaveric training, and grand rounds support. It also selects distributors based on individual qualifications, reflecting a service-oriented go-to-market approach. The company remains privately held and continues to operate as an upper extremity-focused orthopedic device maker.

  • 2007

    Skeletal Dynamics is founded with the goal of addressing unmet clinical needs in upper extremity surgery.

  • Company markets the Proximal Humerus Fixation System, Hand Nailing Set, and PROTEAN Hand Plating System across hand, wrist and forearm, distal elbow, and humerus applications.

Products and positioning

Exclusively focused on upper extremity surgery, offering surgeon-driven, science-based implants and instrumentation with world-class education and trusted service.

  • Proximal Humerus Fixation System

    Engineered for stability, subchondral support, and resistance to varus collapse utilizing a powerful central peg surrounded by anatomically divergent screws.

  • Hand Nailing Set

    One set, two solutions for intramedullary fixation of metacarpal and phalanx fractures: threaded hand nails with Net Zero Compression and smooth nails with locking and transfixion screws.

  • PROTEAN Hand Plating System

    Designed for indications from multi-fragmentary injuries to CMC osteotomies to PIP fracture dislocations.

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