CA2536045A1 - Orthopaedic implant and bone screw assembly - Google Patents
Orthopaedic implant and bone screw assembly Download PDFInfo
- Publication number
- CA2536045A1 CA2536045A1 CA002536045A CA2536045A CA2536045A1 CA 2536045 A1 CA2536045 A1 CA 2536045A1 CA 002536045 A CA002536045 A CA 002536045A CA 2536045 A CA2536045 A CA 2536045A CA 2536045 A1 CA2536045 A1 CA 2536045A1
- Authority
- CA
- Canada
- Prior art keywords
- engaging member
- bone
- implant
- bone portion
- transverse aperture
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/744—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to an intramedullary nail
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/164—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans intramedullary
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
- A61B17/1668—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the upper femur
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1684—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the shoulder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/725—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with locking pins or screws of special form
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/746—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to a plate opposite the femoral head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1604—Chisels; Rongeurs; Punches; Stamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1633—Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7283—Intramedullary pins, nails or other devices with special cross-section of the nail
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
Abstract
An apparatus for treating fractures. The apparatus may include one or both of an implant, such as an intramedullary nail (100), and a fastening assembly (200)), such as a lag screw (202) and compression screw assembly (204). The implant has a proximal section with a transverse aperture (118). The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. The engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments. This configuration is useful for, among other things, compressing a fracture.
Claims (12)
1. Apparatus for treating a bone fracture, comprising a bone implant adapted to be connected to a first bone portion and containing a transverse aperture and a fastening assembly adapted to be received in the transverse aperture, characterized in that the fastening assembly comprises:
a. an engaging member adapted to slide in the implant transverse aperture and to engage a second bone portion, the engaging member including cooperation structure adapted to cooperate with a compression member;
b. the compression member adapted to be received in the implant transverse aperture, and adapted to contact and cooperate with the engaging member to preclude the engaging member from rotating in the transverse aperture, and to control sliding of the engaging member in the transverse aperture, wherein the compression member:
1. contacts the second bone portion when installed in order, together with the engaging member, to preclude the second bone portion from rotating relative to the engaging member; and
a. an engaging member adapted to slide in the implant transverse aperture and to engage a second bone portion, the engaging member including cooperation structure adapted to cooperate with a compression member;
b. the compression member adapted to be received in the implant transverse aperture, and adapted to contact and cooperate with the engaging member to preclude the engaging member from rotating in the transverse aperture, and to control sliding of the engaging member in the transverse aperture, wherein the compression member:
1. contacts the second bone portion when installed in order, together with the engaging member, to preclude the second bone portion from rotating relative to the engaging member; and
2. cooperates with the engaging member to preclude rotation of the engaging member relative to the implant, and thus preclude the second bone portion from rotating relative to the first bone portion.
2. Apparatus according to claim 1 further characterized in that the compression member is adapted, when adjusted, to apply tension to the engaging member and thereby apply compression between the first bone portion and the second bone portion.
2. Apparatus according to claim 1 further characterized in that the compression member is adapted, when adjusted, to apply tension to the engaging member and thereby apply compression between the first bone portion and the second bone portion.
3. Apparatus according to claim 1 further characterized in that the compression member is at least partially nested with a portion of the engaging member.
4. Apparatus according to claim 1 further characterized in that the compression member includes a threaded portion, and the engaging member includes a threaded portion adapted to cooperate with the compression member threaded portion in order to control sliding of the engaging member in the stabilizing structure transverse aperture.
5. Apparatus according to claim 1 further comprising a set screw received in said implant, said set screw adapted to preclude sliding of the engaging member in the transverse aperture.
6. Apparatus according to claim 1 further characterized in that the transverse aperture is asymmetrical in cross section and contains a first portion adapted to receive at least part of the engaging member and a second portion adapted to receive at least part of the compression member.
7. Apparatus according to claim 1 further characterized in that the implant includes a proximal section which is asymmetrical in cross section about at least one axis.
8. A process for repairing bone, comprising:
a. providing a device for treating bone fractures, the device comprising a bone implant adapted to be connected to a first bone portion and containing a transverse aperture, and a fastening assembly adapted to slide within the transverse aperture, the fastening assembly characterized in that it comprises an engaging member and a compression member, the engaging member adapted to engage a second bone portion, and the engaging member and the compression member configured so that the compression member contacts and interacts with a portion of the device and a portion of the engaging member to enable controlled movement between the first and second bone portions;
b. connecting the device to the first bone portion;
c. preparing at least one opening in the first bone portion corresponding in location and orientation to the engaging member and to the compression member;
d, engaging the second bone portion with the engaging member;
e. inserting the compression member so as to contact the second bone portion; and f. causing the compression member to interact with a portion of the engaging member and thereby apply compression to the second bone portion relative to the first bone portion.
a. providing a device for treating bone fractures, the device comprising a bone implant adapted to be connected to a first bone portion and containing a transverse aperture, and a fastening assembly adapted to slide within the transverse aperture, the fastening assembly characterized in that it comprises an engaging member and a compression member, the engaging member adapted to engage a second bone portion, and the engaging member and the compression member configured so that the compression member contacts and interacts with a portion of the device and a portion of the engaging member to enable controlled movement between the first and second bone portions;
b. connecting the device to the first bone portion;
c. preparing at least one opening in the first bone portion corresponding in location and orientation to the engaging member and to the compression member;
d, engaging the second bone portion with the engaging member;
e. inserting the compression member so as to contact the second bone portion; and f. causing the compression member to interact with a portion of the engaging member and thereby apply compression to the second bone portion relative to the first bone portion.
9. A process according to claim 8 further characterized in that connecting the device to the first bone portion comprises inserting the device in the first bone portion.
10. A process according to claim 8 further characterized in that the second bone portion is a femoral head.
11. A process according to claim 8 further characterized in that preparing at least one opening in the first bone portion corresponding in location and orientation to the engaging member and to the compression member comprises preparing openings in the bone portion which are not coaxial with respect to each other.
12. A process according to claim 8 further characterized in that the implant comprises a proximal portion that includes a cross section which is asymmetrical with respect to at least one axis of the cross section, and connecting the implant to the first bone portion includes:
a. preparing interior portions of the bone using a tool which in turn includes a mortise chisel adapted to shape the bone corresponding at least in part to the shape of the implant proximal portion cross section; and b. inserting the implant into the bone as shaped by the tool.
a. preparing interior portions of the bone using a tool which in turn includes a mortise chisel adapted to shape the bone corresponding at least in part to the shape of the implant proximal portion cross section; and b. inserting the implant into the bone as shaped by the tool.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/658,351 US20050055024A1 (en) | 2003-09-08 | 2003-09-08 | Orthopaedic implant and screw assembly |
US10/658,351 | 2003-09-08 | ||
PCT/US2004/029195 WO2005025436A1 (en) | 2003-09-08 | 2004-09-08 | Orthopaedic implant and bone screw assembly |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2536045A1 true CA2536045A1 (en) | 2005-03-24 |
CA2536045C CA2536045C (en) | 2011-11-15 |
Family
ID=34226764
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2536049A Active CA2536049C (en) | 2003-09-08 | 2004-09-08 | Orthopaedic plate and screw assembly |
CA2536045A Active CA2536045C (en) | 2003-09-08 | 2004-09-08 | Orthopaedic implant and bone screw assembly |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2536049A Active CA2536049C (en) | 2003-09-08 | 2004-09-08 | Orthopaedic plate and screw assembly |
Country Status (11)
Country | Link |
---|---|
US (9) | US20050055024A1 (en) |
EP (2) | EP1663038B1 (en) |
JP (6) | JP4671963B2 (en) |
AT (2) | ATE382300T1 (en) |
AU (4) | AU2004272039B2 (en) |
CA (2) | CA2536049C (en) |
DE (2) | DE602004026079D1 (en) |
DK (1) | DK1663037T3 (en) |
ES (2) | ES2341962T3 (en) |
PT (1) | PT1663037E (en) |
WO (2) | WO2005025436A1 (en) |
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US7988691B2 (en) | 2007-02-13 | 2011-08-02 | Depuy Products, Inc. | Orthopaedic trauma bone plate kit |
US8177786B2 (en) | 2007-03-30 | 2012-05-15 | Depuy Products, Inc. | Orthopaedic trauma hip screw assembly and associated method |
WO2008128662A1 (en) | 2007-04-19 | 2008-10-30 | Stryker Trauma Gmbh | Hip fracture device with barrel and end cap for load control |
US8734494B2 (en) | 2007-04-19 | 2014-05-27 | Stryker Trauma Gmbh | Hip fracture device with static locking mechanism allowing compression |
FR2916338B1 (en) | 2007-05-22 | 2009-07-31 | Groupe Lepine Sarl | OSTEOSYNTHESIS EQUIPMENT OF THE "SCREW-PLATE" TYPE. |
US20090088804A1 (en) | 2007-09-27 | 2009-04-02 | Depuy Products, Inc. | Plate holder assembly having movable guide component |
US8114079B2 (en) | 2008-03-31 | 2012-02-14 | Depuy Products, Inc. | Intramedullary nail with coupled shafts |
JP5291719B2 (en) | 2008-10-31 | 2013-09-18 | 株式会社ロバート・リード商会 | Bone fixation member and femoral fixation system |
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2003
- 2003-09-08 US US10/658,351 patent/US20050055024A1/en not_active Abandoned
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2004
- 2004-09-08 JP JP2006525533A patent/JP4671963B2/en active Active
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- 2004-09-08 WO PCT/US2004/029199 patent/WO2005025437A1/en active Application Filing
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2007
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