DE3743638A1 - Osteosynthesis or reconstruction plates - Google Patents
Osteosynthesis or reconstruction platesInfo
- Publication number
- DE3743638A1 DE3743638A1 DE19873743638 DE3743638A DE3743638A1 DE 3743638 A1 DE3743638 A1 DE 3743638A1 DE 19873743638 DE19873743638 DE 19873743638 DE 3743638 A DE3743638 A DE 3743638A DE 3743638 A1 DE3743638 A1 DE 3743638A1
- Authority
- DE
- Germany
- Prior art keywords
- plate
- bone
- osteosynthesis
- plates
- reconstruction
- 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
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 18
- 238000001356 surgical procedure Methods 0.000 claims abstract description 8
- 208000010392 Bone Fractures Diseases 0.000 claims description 7
- 239000012634 fragment Substances 0.000 claims description 5
- 206010061274 Malocclusion Diseases 0.000 claims description 2
- 206010028980 Neoplasm Diseases 0.000 claims description 2
- 238000002271 resection Methods 0.000 claims 1
- 230000000087 stabilizing effect Effects 0.000 claims 1
- 206010017076 Fracture Diseases 0.000 abstract description 11
- 230000014759 maintenance of location Effects 0.000 abstract description 4
- 230000006978 adaptation Effects 0.000 abstract description 3
- 230000029663 wound healing Effects 0.000 abstract description 2
- 230000003111 delayed effect Effects 0.000 abstract 1
- 230000001174 ascending effect Effects 0.000 description 4
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 238000002591 computed tomography Methods 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000004468 Craniofacial Abnormalities Diseases 0.000 description 1
- 206010016717 Fistula Diseases 0.000 description 1
- 208000002607 Pseudarthrosis Diseases 0.000 description 1
- 206010039580 Scar Diseases 0.000 description 1
- 206010044565 Tremor Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000023753 dehiscence Effects 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
Classifications
-
- 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
-
- 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
-
- 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
- A61B17/8004—Cortical 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
- A61B17/8014—Cortical 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00858—Material properties high friction or non-slip
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Die Osteosynthese- bzw. Rekonstruktionsplatten nach Anspruch 1 und mit den von der AO vorgeschlagenen sphärischen Gleitlochprinzip (s. Skizze 1a-d), dienen der funktionsstabilen anatomischen Fixierung von Knochenfragmenten nach Frakturen, z. B. in der Ex tremitäten und craniofacialen Chirurgie, bei der chirurgischen Behandlung von craniofacialen Anomalien, Malokklusionen und der Rekonstruktion nach tumorchirurgischen Eingriffen.The osteosynthesis or reconstruction plates according to claim 1 and with the spherical sliding hole principle proposed by the AO (see sketch 1a-d), serve the functionally stable anatomical Fixation of bone fragments after fractures, e.g. B. in the Ex tremors and craniofacial surgery, in surgical Treatment of craniofacial abnormalities, malocclusions and the Reconstruction after tumor surgery.
Die je nach Indikation zu verwendenden Platten (z. B. bei der Extremitätenchirurgie Abb. 1 oder cranialen Chirurgie Abb. 2) weisen auf der Unterseite, die dem Knochen anliegt, eine sphä rische Noppung auf. Abb. 1 und Skizze 1b-d.Depending on the indication, the plates to be used (e.g. in extremity surgery Fig. 1 or cranial surgery Fig. 2) have a spherical nub on the underside, which lies against the bone. Fig. 1 and sketch 1b-d.
Durch diese noppenförmige Gestaltung der Plattenunterseite paßt sich die Platte dem Makrorelief des Knochens genauer an. (s. CT- Bilder des Unterkiefers in Abb. 3d, Abb. 5b.)Due to this knob-shaped design of the underside of the plate, the plate adapts more precisely to the macro relief of the bone. (see CT images of the lower jaw in Fig. 3d, Fig. 5b.)
Es entsteht somit ein homogeneres Gefüge zwischen Knochen- und Osteosyntheseplatte.This creates a more homogeneous structure between bone and Osteosynthesis plate.
Umständliches und zeitraubendes Anpassen herkömmlicher Osteosynthese platten mit planer knochenseitiger Unterseite lassen sich auf ein Minimum reduzieren und die Narkosedauer läßt sich dadurch verkürzen. Die Gefahr der Plattenlockerung, die mit lokaler Infektion, Ver änderung im Bereich der Weichteile und der Operationsnarbe und im ungünstigsten Fall mit Fistelbildung und Auftreten von Dehiszenzen einhergehen, läßt sich durch die noppenförmige Bauweise günstig beein flussen. Die Noppen, die im günstigen Fall in die Tiefe des Makro reliefs des Knochens eingreifen, führen zur erhöhten Retention zwi schen Platte und Bruchenden, dadurch zur verbesserten Stabilisation der Bruchenden (s. Abb. 1-6). Das Risiko von Pseudoarthrosen und Wundheilungsstörungen können damit günstig beeinflußt werden. Cumbersome and time-consuming adaptation of conventional osteosynthesis plates with a flat underside on the bone side can be reduced to a minimum and the duration of anesthesia can be shortened. The risk of loosening of the plate, which is associated with local infection, changes in the area of the soft tissues and the surgical scar and, in the worst case, with fistula formation and the occurrence of dehiscences, can be favorably influenced by the knob-shaped construction. The knobs, which in the favorable case reach into the depth of the macro relief of the bone, lead to increased retention between the plate and the fracture ends, thereby improving the stabilization of the fracture ends (see Fig. 1-6). The risk of pseudoarthrosis and wound healing disorders can thus be influenced favorably.
Abb. 3 und 4 zeigen an hand computertomographisch erstellter Schichtbilder des Ramus ascendens des menschlichen Unterkiefers die individuell unterschied lichen Strukturen des Knochens, das Makrorelief (D), die Dichte des Knochens im Dichteprofil (F) entlang einer Strecke (E). In der Fotomontage ist mit A die in Anspruch 1 aufgeführte Platte gekennzeichnet, mit C Schraube mit halbkugelförmigen Schraubenkopf und mit G das Gleitloch. Figs. 3 and 4 show the individually different structures of the bone, the macrorelief (D) , the density of the bone in the density profile (F) along a path (E) using computed tomography slice images of the ascending ramus of the human lower jaw. In the photomontage, the plate listed in claim 1 is identified by A , by C a screw with a hemispherical screw head and by G the gliding hole.
Abb. 3 Computertomographisches Schichtbild des Ramus ascendens mit nach Anspruch 1 beschriebenen Platte als Fotomontage. Fig. 3 Computed tomographic slice of the ascending ramus with plate described in claim 1 as a photomontage.
Abb. 4 Computertomographische Schichtbilder des menschlichen Ramus Ascendens zwischen Incisura semilunaris und Foramen mandibulae und Fotomontage der Platte nach Anspruch 1. Fig. 4 Computed tomographic slices of the human ascending ramus between the incisura semilunaris and foramen mandibulae and photomontage of the plate according to claim 1.
Abb. 5 und 6 Computertomographische Schichtbilder des Ramus ascendens; A Platte nach Anspruch 1 als Fotomontage, B Knochenmakrorelief. Fig. 5 and 6 computed tomography slices of the ascending ramus; A plate according to claim 1 as a photomontage, B bone macro relief.
Skizze 1a bis d.Sketch 1a to d.
Prinzip der dynamischen Compression Platte mit modifiziert gestalteter Platten unterseite.Principle of the dynamic compression plate with modified plates bottom.
- a) Sphärisches Gleitprinzip; Schraube mit halbkugelförmigem Schraubenkopf gleitet beim Eindrehen am bruchspaltfernen Ende des Schraubenloches mit dem Knochenfragment zum Bruchspalt hin.a) spherical sliding principle; Screw with a hemispherical screw head slides when screwing in at the end of the screw hole away from the fracture gap the bone fragment towards the fracture gap.
- b) Eindrehen der Schraube am bruchspaltfernen Ende des Schraubenloches.b) Screw in the screw at the end of the screw hole far from the fracture gap.
- c) Eindrehen der rechten Schraube; Schraube gleitet mit Knochenfragment zum Bruchspalt hin.c) screwing in the right screw; Screw slides to the bone fragment Fracture gap.
- d) Festziehen der linken Schraube; hierdurch kommt es zur Adaption, Kompression und durch die sphärische Noppung der Plattenunterseite zur Retention und Friktion zwischen Platte und Bruchenden.d) tighten the left screw; this leads to adaptation, compression and due to the spherical knot on the underside of the plate for retention and Friction between plate and break ends.
Abb. 1 und 2 Fig. 1 and 2
Anwendungsbeispiele für Osteosyntheseplatten.Application examples for osteosynthesis plates.
Abb. 1 Osteosyntheseplatte mit sphärisch genoppter Plattenunterseite, die sich dem Makrorelief des Knochens günstig anpaßt. Durch diese Bauweise wird eine höhere Retention und Friktion zwischen Platte und Bruchenden erzielt. Fig. 1 Osteosynthesis plate with a spherically nubbed plate underside, which adapts favorably to the macrorelief of the bone. This design results in a higher retention and friction between the plate and the break ends.
Abb. 2 Stabilisierung craniofacialer Frakturen durch Plattenosteo synthese. Fig. 2 Stabilization of craniofacial fractures by plate osteosynthesis.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19873743638 DE3743638A1 (en) | 1987-12-22 | 1987-12-22 | Osteosynthesis or reconstruction plates |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19873743638 DE3743638A1 (en) | 1987-12-22 | 1987-12-22 | Osteosynthesis or reconstruction plates |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| DE3743638A1 true DE3743638A1 (en) | 1989-07-06 |
| DE3743638C2 DE3743638C2 (en) | 1993-04-15 |
Family
ID=6343319
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE19873743638 Granted DE3743638A1 (en) | 1987-12-22 | 1987-12-22 | Osteosynthesis or reconstruction plates |
Country Status (1)
| Country | Link |
|---|---|
| DE (1) | DE3743638A1 (en) |
Cited By (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2738477A1 (en) * | 1995-09-11 | 1997-03-14 | Landanger Landos | IMPROVEMENT ON IMPLANTABLE PLATES IN MAXILLOFACIAL SURGERY |
| US5702396A (en) * | 1995-03-27 | 1997-12-30 | Hoenig; Johannes Franz | Osteosynthesis plate |
| US7229445B2 (en) | 2004-06-21 | 2007-06-12 | Synthes (Usa) | Bone plate with bladed portion |
| US7951176B2 (en) | 2003-05-30 | 2011-05-31 | Synthes Usa, Llc | Bone plate |
| US9855082B2 (en) | 2009-05-12 | 2018-01-02 | DePuy Synthes Products, Inc. | Readjustable locking plate hole |
| US10335211B2 (en) | 2004-01-26 | 2019-07-02 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
| US10342586B2 (en) | 2003-08-26 | 2019-07-09 | DePuy Synthes Products, Inc. | Bone plate |
| US10624686B2 (en) | 2016-09-08 | 2020-04-21 | DePuy Synthes Products, Inc. | Variable angel bone plate |
| US10772665B2 (en) | 2018-03-29 | 2020-09-15 | DePuy Synthes Products, Inc. | Locking structures for affixing bone anchors to a bone plate, and related systems and methods |
| US10820930B2 (en) | 2016-09-08 | 2020-11-03 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US10905476B2 (en) | 2016-09-08 | 2021-02-02 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US10925651B2 (en) | 2018-12-21 | 2021-02-23 | DePuy Synthes Products, Inc. | Implant having locking holes with collection cavity for shavings |
| US11013541B2 (en) | 2018-04-30 | 2021-05-25 | DePuy Synthes Products, Inc. | Threaded locking structures for affixing bone anchors to a bone plate, and related systems and methods |
| US11026727B2 (en) | 2018-03-20 | 2021-06-08 | DePuy Synthes Products, Inc. | Bone plate with form-fitting variable-angle locking hole |
| US11259851B2 (en) | 2003-08-26 | 2022-03-01 | DePuy Synthes Products, Inc. | Bone plate |
| US11291484B2 (en) | 2004-01-26 | 2022-04-05 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CH462375A (en) * | 1966-06-22 | 1968-09-15 | Synthes Ag | Osteosynthetic pressure plate |
| US3469573A (en) * | 1966-05-04 | 1969-09-30 | Michael A Florio | Orthopedic clamp |
| DE2708704A1 (en) * | 1976-03-04 | 1977-09-08 | Meyrueis Jean Paul Prof | PLATE FOR BONE JOINT |
| WO1989004150A1 (en) * | 1987-11-03 | 1989-05-18 | Synthes Ag | Implant for osteosynthesis |
-
1987
- 1987-12-22 DE DE19873743638 patent/DE3743638A1/en active Granted
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3469573A (en) * | 1966-05-04 | 1969-09-30 | Michael A Florio | Orthopedic clamp |
| CH462375A (en) * | 1966-06-22 | 1968-09-15 | Synthes Ag | Osteosynthetic pressure plate |
| DE2708704A1 (en) * | 1976-03-04 | 1977-09-08 | Meyrueis Jean Paul Prof | PLATE FOR BONE JOINT |
| WO1989004150A1 (en) * | 1987-11-03 | 1989-05-18 | Synthes Ag | Implant for osteosynthesis |
Cited By (22)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5702396A (en) * | 1995-03-27 | 1997-12-30 | Hoenig; Johannes Franz | Osteosynthesis plate |
| FR2738477A1 (en) * | 1995-09-11 | 1997-03-14 | Landanger Landos | IMPROVEMENT ON IMPLANTABLE PLATES IN MAXILLOFACIAL SURGERY |
| US10653466B2 (en) | 2003-05-30 | 2020-05-19 | DePuy Synthes Products, Inc. | Bone plate |
| US7951176B2 (en) | 2003-05-30 | 2011-05-31 | Synthes Usa, Llc | Bone plate |
| US9931148B2 (en) | 2003-05-30 | 2018-04-03 | DePuy Synthes Products, Inc. | Bone plate |
| US10231768B2 (en) | 2003-05-30 | 2019-03-19 | DePuy Synthes Products, Inc. | Methods for implanting bone plates |
| US11419647B2 (en) | 2003-05-30 | 2022-08-23 | DePuy Synthes Products, Inc. | Bone plate |
| US11259851B2 (en) | 2003-08-26 | 2022-03-01 | DePuy Synthes Products, Inc. | Bone plate |
| US10342586B2 (en) | 2003-08-26 | 2019-07-09 | DePuy Synthes Products, Inc. | Bone plate |
| US10335211B2 (en) | 2004-01-26 | 2019-07-02 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
| US11291484B2 (en) | 2004-01-26 | 2022-04-05 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
| US7229445B2 (en) | 2004-06-21 | 2007-06-12 | Synthes (Usa) | Bone plate with bladed portion |
| US10799275B2 (en) | 2009-05-12 | 2020-10-13 | DePuy Synthes Products, Inc. | Readjustable locking plate hole |
| US9855082B2 (en) | 2009-05-12 | 2018-01-02 | DePuy Synthes Products, Inc. | Readjustable locking plate hole |
| US10624686B2 (en) | 2016-09-08 | 2020-04-21 | DePuy Synthes Products, Inc. | Variable angel bone plate |
| US10820930B2 (en) | 2016-09-08 | 2020-11-03 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US10905476B2 (en) | 2016-09-08 | 2021-02-02 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US11529176B2 (en) | 2016-09-08 | 2022-12-20 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US11026727B2 (en) | 2018-03-20 | 2021-06-08 | DePuy Synthes Products, Inc. | Bone plate with form-fitting variable-angle locking hole |
| US10772665B2 (en) | 2018-03-29 | 2020-09-15 | DePuy Synthes Products, Inc. | Locking structures for affixing bone anchors to a bone plate, and related systems and methods |
| US11013541B2 (en) | 2018-04-30 | 2021-05-25 | DePuy Synthes Products, Inc. | Threaded locking structures for affixing bone anchors to a bone plate, and related systems and methods |
| US10925651B2 (en) | 2018-12-21 | 2021-02-23 | DePuy Synthes Products, Inc. | Implant having locking holes with collection cavity for shavings |
Also Published As
| Publication number | Publication date |
|---|---|
| DE3743638C2 (en) | 1993-04-15 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 8110 | Request for examination paragraph 44 | ||
| D2 | Grant after examination | ||
| 8363 | Opposition against the patent | ||
| 8331 | Complete revocation |