WO1996029948A1 - Knochenplatte - Google Patents

Knochenplatte Download PDF

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Publication number
WO1996029948A1
WO1996029948A1 PCT/CH1995/000065 CH9500065W WO9629948A1 WO 1996029948 A1 WO1996029948 A1 WO 1996029948A1 CH 9500065 W CH9500065 W CH 9500065W WO 9629948 A1 WO9629948 A1 WO 9629948A1
Authority
WO
WIPO (PCT)
Prior art keywords
plate
bone
longitudinal axis
diameter
hole
Prior art date
Application number
PCT/CH1995/000065
Other languages
English (en)
French (fr)
Inventor
Gilbert Talos
Roland Schmoker
Original Assignee
Synthes Ag, Chur
Synthes (U.S.A.)
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=4549967&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=WO1996029948(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority to AU19448/95A priority Critical patent/AU692846B2/en
Priority to CA002189744A priority patent/CA2189744C/en
Priority to US08/750,114 priority patent/US5709686A/en
Priority to DE59508718T priority patent/DE59508718D1/de
Priority to PCT/CH1995/000065 priority patent/WO1996029948A1/de
Application filed by Synthes Ag, Chur, Synthes (U.S.A.) filed Critical Synthes Ag, Chur
Priority to KR1019960706161A priority patent/KR100329539B1/ko
Priority to ES95912118T priority patent/ES2150558T3/es
Priority to EP95912118A priority patent/EP0760632B1/de
Priority to JP52873896A priority patent/JP3542133B2/ja
Priority to TW085101824A priority patent/TW316843B/zh
Priority to MYPI96001121A priority patent/MY116505A/en
Publication of WO1996029948A1 publication Critical patent/WO1996029948A1/de

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8004Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
    • A61B17/8014Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones the extension or compression force being caused by interaction of the plate hole and the screws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
    • A61B17/8057Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread

Definitions

  • the invention relates to a bone plate, according to the preamble of claim 1.
  • a bone plate is known from FR 742.618, in which the circular plate bores are inclined with respect to the plate normal and have an internal thread. They allow the insertion of bone screws with a second thread section, which is enlarged compared to the usual threaded shaft section, and which corresponds to the internal thread of the plate bore. Due to the inclination of the plate hole, it is also possible to anchor the bone screws in the bone with the inclination specified by the plate hole.
  • a disadvantage of this known bone plate is the fact that the inclination of the bone screws cannot be chosen arbitrarily, but is already predetermined by the inclination of the plate bore and the internal thread contained therein.
  • the invention seeks to remedy this.
  • the invention has for its object to provide a bone plate, the plate holes are such that two different types of screw anchorages are possible.
  • a bone screw with a spherical head can be screwed into the bone in the slot of the plate within a wide, selectable range with an angulation relative to the plate normal.
  • a bone screw with a threaded head can be rigidly screwed vertically to the plate in the partial internal thread of the elongated hole as a pillar screw.
  • the invention solves this problem with a bone plate, which has the features of claim 1.
  • the advantages achieved by the invention are essentially to be seen in the fact that the bone plate according to the invention can be used ubiguously for the most varied of applications (fixation, compression, use as an internal fixator in the sense of a pillar screw), but especially in the maxillofacial area, where it is specifically the three-dimensional adaptability arrives. Further advantages of the invention are the following:
  • FIG. 1 shows a perspective partial view of a bone plate according to the invention
  • FIG. 2 shows a partial top view of the bone plate according to the invention
  • Figure 3 is a partial longitudinal section through the bone plate along the line III-III of Fig. 2.
  • 4 shows a profile cross section orthogonal to the longitudinal direction of the bone plate along the line IV-IV of FIG. 2;
  • FIG. 5 shows a partial longitudinal section through a bone plate according to the invention with a vertically screwed-in bone screw with a double thread
  • FIG. 6 shows a partial longitudinal section through a bone plate according to the invention with an oblique or straight bone screw with a spherical head as a fastening screw without compression
  • FIG. 7 shows a cross section perpendicular to the longitudinal section according to FIG. 6 in the hole region of the bone plate
  • FIG. 8 shows a partial longitudinal section through a bone plate according to the invention with a straight bone screw with a spherical head as a fastening screw with compression.
  • the bone plate shown in FIG. 1 has a plurality of holes 2 arranged in the direction of the longitudinal axis 1 of the plate for receiving different types of bone screws 6 and 7 (shown in FIGS. 5 and 6) which are intended for fixing the bone plate to the bone.
  • the holes 2 are designed as so-called elongated holes, ie the diameter D L in the direction of the longitudinal axis 1 of the plate is greater than the diameter DQ perpendicular to the longitudinal axis 1 of the plate.
  • the lower part of the hole 2 facing the bone application surface 4 is, as shown in FIG. 4, approximately circular-cylindrical in the transverse direction of the plate and, as shown in FIG. 3, widens approximately in the longitudinal direction of the plate towards the bone application surface 4 conical.
  • an internal thread 3 which, ⁇ ⁇ ich construction-related extends only in the side region of the plate over an angular range of approximately 60 ° to 179 °, preferably approximately 90 ° to 150 °.
  • This partial internal thread serves to receive a bone screw 6 with a threaded head 9, shown in FIG. 5.
  • By screwing the external thread of the threaded head 9 with the corresponding (partial) internal thread 3 results a rigid anchoring between bone screw 6 and plate.
  • a bone screw 6 screwed in this way serves as a pillar screw.
  • Bone application surface 4 is to be understood as the surface of the plate which is to be brought into direct contact with the bone.
  • FIG. 8 shows, analogously to FIGS. 6 and 7, a bone plate with a bone screw 7 with a spherical head 8, which can have a compression effect, indicated by the arrow 10.
  • the conical enlargement 5 of the hole 2 as shown in FIG. 3 is carried out with a ball or facet cutter at an angle of 57 ° with respect to the longitudinal axis 1 of the plate, so that the elongated hole for the bone screw 7 functions like a ramp.
  • This special geometry of the hole 2 permits the optional application of different types of bone screws 6, 7 with one and the same plate.

Abstract

Die Knochenplatte ist mit mehreren in Richtung der Plattenlängsachse (1) angeordneten Löchern (2) für die Aufnahme von Knochenschrauben versehen. Der Durchmesser DL mindestens eines Loches (2) - in Richtung der Plattenlängsachse (1) gemessen - ist grösser als der Druchmesser DQ dieses Loches (2) senkrecht zur Plattenlängsachse (1) gemessen. Mindestens eines dieser Löcher (2) mit einem kleineren Durchmesser DQ senkrecht zur Plattenlängsachse (1) im Bereich dieses Durchmessers DQ weist ein partielles Gewinde (3) zur Aufnahme einer Knochenschraube mit Gewindekopf auf.

Description

Knochenplatte
Die Erfindung bezieht sich auf eine Knochenplatte, gemäεε dem Oberbegriff des Patentanspruchs 1.
Aus der FR 742.618 ist eine Knochenplatte bekannt, bei welcher die kreisrunden Plattenbohrungen gegenüber der Plattennormalen geneigt sind und ein Innengewinde aufweisen. Sie gestatten die Aufnahme von Knochenschrauben mit einer zweiten - gegenüber der üblichen mit einem Gewinde versehenen Schraubenschaftpartie erweiterten - Gewindepartie, welche mit dem Innengewinde der Plattenbohrung korrespondiert. Durch die Neigung der Plattenbohrung ist es möglich die Knochenschrauben ebenfalls mit der von der Plattenbohrung vorgegeben Neigung im Knochen zu verankern.
Nachteilig bei dieser bekannten Knochenplatte ist der Umstand, daεs die Neigung der Knochenschrauben nicht beliebig wählbar ist, sondern durch die Neigung der Plattenbohrung und des darin enthaltenen Innengewindes bereits vorgegeben ist. Hier will die Erfindung Abhilfe schaffen. Der Erfindung liegt die Aufgabe zugrunde, eine Knochenplatte zu schaffen, deren Plattenbohrungen so beschaffen sind, daεs wahlweise zwei verschiedene Typen von Schraubenverankerungen möglich sind. Bei der ersten Applikationsart kann eine Knochenschraube mit sphäriεchem Kopf im Langloch der Platte innerhalb eines weiten wählbaren Bereiches mit einer Angulation gegenüber der Plattennormalen in den Knochen geschraubt werden. Durch eine Neigung der Plattenlochansenkung ist auch die Erzeugung einer Kompreεsionswirkung möglich.
Bei der zweiten Applikationsart kann eine Knochenschraube mit Gewindekopf als Pfeilerschraube im partiellen Innengewinde des Langlochs mit der Platte in rigider Weise vertikal verschraubt werden.
Die Erfindung löst die gestellte Aufgabe mit einer Knochenplatte, welche die Merkmale des Anspruchs 1 aufweist.
Weitere vorteilhafte Ausgestaltungen der Erfindung sind in den abhängigen Ansprüchen gekennzeichnet.
Die durch die Erfindung erreichten Vorteile sind im wesentlichen darin zu sehen, dass die erfindungsgemässe Knochenplatte für die vielfältigεten Anwendungεfälle (Fixation, Kompression, Verwendung als Fixateur interne im Sinne einer Pfeilerschraube) ubiguitär eingesetzt werden kann, insbesondere jedoch im maxillofazialen Bereich, wo es speziell auf die dreidimensionale Anpassbarkeit ankommt. Weitere Vorteile der Erfindung sind die folgenden:
- Kompatibilität mit den üblichen Kortikalisεchrauben;
- variable Angulationεmöglichkeit der Knochenεchrauben im Plattenloch;
- problemloεe Entfernbarkeit der Schrauben auch über einen intraoralen Zugang,-
- Möglichkeit einer Reoperation mit Verwendung einer neuen Platte,-
- Schraubenkopffixation im Plattenloch mit Knochenεchrauben üblichen Durchmessers,- und
- Ausübung einer Kompressionswirkung mittels Kugelkopfschrauben.
Die Erfindung und Weiterbildungen der Erfindung werden im folgenden anhand der teilweise schematischen Darstellungen eines Ausführungsbeiεpiels noch näher erläutert.
Es zeigen:
Fig. l eine perεpektiviεche Teilansicht einer erfindungsgemässen Knochenplatte,-
Fig. 2 eine partielle Aufεicht auf die Knochenplatte gemäεε der Erfindung;
Fig. 3 einen partiellen Längsschnitt durch die Knochenplatte längs der Linie III-III von Fig. 2; Fig. 4 einen zur Längsrichtung der Knochenplatte orthogonalen Profilquerschnitt längs der Linie IV-IV von Fig. 2;
Fig. 5 einen partiellen Längsεchnitt durch eine erfindungεgemässe Knochenplatte mit εenkrecht einge- εchraubter Knochenεchraube mit Doppel-Gewinde,-
Fig. 6 einen partiellen Längsεchnitt durch eine erfindungsgemäεse Knochenplatte mit εchräg oder gerade durchgeführter Knochenεchraube mit εphäriεchem Kopf alε Befestigungsschraube ohne Kompression,-
Fig. 7 einen senkrecht zum Längsschnitt nach Fig. 6 stehenden Querschnitt im Lochbereich der Knochenplatte; und
Fig. 8 einen partiellen Längsschnitt durch eine erfindungsgemässe Knochenplatte mit gerade durchgeführter Knochenschraube mit sphärischem Kopf als Befestigungs¬ schraube mit Kompression. Die in Fig. 1 dargestellte Knochenplatte besitzt mehrere in Richtung der Plattenlängsachse 1 angeordnete Löcher 2 für die Aufnahme von (in den Fig. 5 und 6 dargestellten) verschiedenen Typen von Knochenεchrauben 6 und 7, die zur Fixierung der Knochenplatte am Knochen bestimmt sind.
Die Löcher 2 sind, wie in den Fig. 2 - 4 im Detail dargestellt, als sogenannte Langlöcher ausgebildet, d.h. der Durchmesεer DL iεt in Richtung der Plattenlängεachεe 1 gemessen grösser alε der senkrecht zur Plattenlängsachse 1 stehende Durchmesser DQ.
Der untere, der Knochenapplikationsfläche 4 zugewandte Teil des Loches 2 ist - wie in Fig. 4 gezeigt - in der Querrichtung der Platte annähernd kreiszylindrisch ausgebildet und erweitert sich - wie in Fig. 3 gezeigt - in der Längsrichtung der Platte gegen die Knochenapplikationsfläche 4 hin annähernd konisch. Im kreiszylindrischen Abschnitt des Loches 2 ist ein Innengewinde 3 angebracht, welcheε εich konεtruktionεbedingt nur im Seitenbereich der Platte über einen Winkelbereich von je etwa 60° - 179°, vorzugεweise etwa 90° - 150° erstreckt.
Dieses partielle Innengewinde dient dazu eine - in Fig. 5 dargestellte - Knochenschraube 6 mit Gewindekopf 9 aufzunehmen. Durch Verschraubung des Aussengewindes der Gewindekopfes 9 mit dem korrespondierenden (partiellen) Innengewinde 3 ergibt sich eine rigide Verankerung zwischen Knochenschraube 6 und Platte. Eine derart verschraubte Knochenschraube 6 dient als Pfeiler¬ schraube.
Der obere, der Knochenkontaktfläche 4 abgewandte Teil des Loches 2 ist oval ausgebildet und mit einer konischen Erweiterung 5 versehen, welche dazu dient eine - in den Fig. 6 und 7 dargestellte - Knochenschraube 7 mit einem kugeligen Kopf 8 gleitend aufzunehmen. Unter Knochenapplikationsfläche 4 ist dabei die im wesentlichen unmittelbar mit dem Knochen zu kontaktierende Fläche der Platte zu verstehen.
In Fig. 8 ist analog zu den Fig. 6 und 7 eine Knochenplatte mit einer Knochenschraube 7 mit einem kugeligen Kopf 8 dargestellt welche durch den Pfeil 10 angedeutet eine Kompressionεwirkung auεüben kann. Dazu wird die koniεche Erweiterung 5 des Loches 2 wie in Fig. 3 dargestellt - mit einem Kugel- oder Facetten-Fräser unter einem Winkel von 57° gegenüber der Plattenlängsachse 1 ausgeführt, so dass das entstehende Langloch für die Knochenschraube 7 wie eine Rampe funktioniert.
Diese spezielle Geometrie des Loches 2 gestattet die wahlweise Applikation von verschiedenen Typen von Knochenschrauben 6,7 mit ein und derselben Platte.

Claims

Patentanεprüche
1. Knochenplatte mit mehreren in Richtung der Plattenlängεachεe (1) angeordneten Löchern (2) für die Aufnahme von Knochenschrauben, dadurch gekennzeichnet, dass
A) der Durchmesser DL mindestens eines Loches (2) in Richtung der Plattenlängsachse (1) gemessen grösser ist als der Durchmeεεer DQ dieses Loches (2) senkrecht zur Plattenlängsachse (l) gemesεen,- und
B) mindeεtenε eineε dieεer Löcher (2) mit einem kleineren Durchmeεεer DQ senkrecht zur Plattenlängsachse (1) im Bereich dieses Durchmesεers DQ ein partielles Gewinde (3) zur Aufnahme einer Knochenεchraube mit Gewindekopf aufweist.
2. Knochenplatte nach Anspruch l, dadurch gekennzeichnet, dass mindestens eines der Löcher (2) mit einem kleineren Durchmeεser DQ in seinem oberen, der Knochenkontaktfläche (4) abgewandten Teil, eine konkave, vorzugsweise sphärische Erweiterung (5) zur Aufnahme einer Knochenschraube mit einem kugeligen Kopf aufweist.
3. Knochenplatte nach Anspruch 1 oder 2, dadurch gekennzeichnet, dass das Verhältnis zwischen DL/DQ im Bereich von 1,01 - 3,00, vorzugsweise von 1,1 - 1,5 liegt.
PCT/CH1995/000065 1995-03-27 1995-03-27 Knochenplatte WO1996029948A1 (de)

Priority Applications (11)

Application Number Priority Date Filing Date Title
JP52873896A JP3542133B2 (ja) 1995-03-27 1995-03-27 骨板
CA002189744A CA2189744C (en) 1995-03-27 1995-03-27 Bone plate
US08/750,114 US5709686A (en) 1995-03-27 1995-03-27 Bone plate
DE59508718T DE59508718D1 (de) 1995-03-27 1995-03-27 Knochenplatte
PCT/CH1995/000065 WO1996029948A1 (de) 1995-03-27 1995-03-27 Knochenplatte
AU19448/95A AU692846B2 (en) 1995-03-27 1995-03-27 Bone plate
KR1019960706161A KR100329539B1 (ko) 1995-03-27 1995-03-27 뼈고정판
ES95912118T ES2150558T3 (es) 1995-03-27 1995-03-27 Placa para osteosintesis.
EP95912118A EP0760632B1 (de) 1995-03-27 1995-03-27 Knochenplatte
TW085101824A TW316843B (de) 1995-03-27 1996-02-14
MYPI96001121A MY116505A (en) 1995-03-27 1996-03-26 Bone plate

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CH1995/000065 WO1996029948A1 (de) 1995-03-27 1995-03-27 Knochenplatte

Publications (1)

Publication Number Publication Date
WO1996029948A1 true WO1996029948A1 (de) 1996-10-03

Family

ID=4549967

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CH1995/000065 WO1996029948A1 (de) 1995-03-27 1995-03-27 Knochenplatte

Country Status (11)

Country Link
US (1) US5709686A (de)
EP (1) EP0760632B1 (de)
JP (1) JP3542133B2 (de)
KR (1) KR100329539B1 (de)
AU (1) AU692846B2 (de)
CA (1) CA2189744C (de)
DE (1) DE59508718D1 (de)
ES (1) ES2150558T3 (de)
MY (1) MY116505A (de)
TW (1) TW316843B (de)
WO (1) WO1996029948A1 (de)

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DE59508718D1 (de) 2000-10-19
US5709686A (en) 1998-01-20
CA2189744A1 (en) 1996-10-03
TW316843B (de) 1997-10-01
KR100329539B1 (ko) 2002-11-13
MY116505A (en) 2004-02-28
JP3542133B2 (ja) 2004-07-14
AU692846B2 (en) 1998-06-18
ES2150558T3 (es) 2000-12-01
EP0760632B1 (de) 2000-09-13
JPH10501444A (ja) 1998-02-10
CA2189744C (en) 2003-09-16
AU1944895A (en) 1996-10-16
EP0760632A1 (de) 1997-03-12

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