EP1478290A1 - Device for externally immobilizing broken bones - Google Patents
Device for externally immobilizing broken bonesInfo
- Publication number
- EP1478290A1 EP1478290A1 EP03739462A EP03739462A EP1478290A1 EP 1478290 A1 EP1478290 A1 EP 1478290A1 EP 03739462 A EP03739462 A EP 03739462A EP 03739462 A EP03739462 A EP 03739462A EP 1478290 A1 EP1478290 A1 EP 1478290A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- ball
- socket
- ball socket
- bone
- bones
- 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.)
- Withdrawn
Links
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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/64—Devices extending alongside the bones to be positioned
- A61B17/6416—Devices extending alongside the bones to be positioned with non-continuous, e.g. hinged, pin-clamp connecting element
-
- 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, non-slip
Definitions
- the invention relates to a device for external fixation of broken bones according to the preamble of claim 1.
- a device of this type is known from DE 19746687 AI.
- This known device is disadvantageous in that the balls and ball sockets of the ball joints are designed with a smooth surface, with the result that excessively high locking forces have to be applied to determine the relative positions of the links if the fixing device is to be really stiff even under load.
- the object of the invention is therefore to improve a device of the type mentioned in the introduction so that it has better dimensional stability in the fixed state.
- FIG. 1 shows the fixing device according to the invention attached to a finger
- Fig. 2 (a) - (d) a link of the fixing device according to the invention in a view from the side, from behind, from above and in perspective, and
- Fig. 1 shows the device for external fixation of broken bones attached to a finger.
- the devices device has a multi-bar with links 1, as shown in FIGS. 2 and 3.
- links 1 as shown in FIGS. 2 and 3.
- those are provided which carry a bone nail 9.
- the members 1 Apart from the end members, the members 1 have a ball 2 at one end and a ball socket 3 at the other end.
- the ball socket 3, and thus also the ball 2 extends geometrically over more than one hemisphere, so that joined links do not easily separate from one another. Links are joined together with elastic deformation of the ball socket, which is facilitated by slots 4.
- the relative position of adjacent links 1 is determined with the aid of clamping brackets 6 which surround the ball socket on the outside, by means of which, in the tensioned state, the ball socket 3 is pressed against the ball 2 of the adjacent link which surrounds the ball socket.
- the surfaces of ball 2 and ball socket 3 are provided with a surface roughening.
- This roughening can be achieved in the case of metal parts, that is to say in the case of a ball and ball socket made of metal or in any case with a metal surface, by die sinking erosion.
- a similar surface structure can be achieved with plastic ball and ball socket by EDM the surface of the mold in which these parts are cast, at least in the parts that determine the ball and ball socket. The roughness of the mold surface obtained in this way is then reflected on the product cast in the mold.
- Another possibility for obtaining the surface roughness is knurling the ball and ball socket.
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a device for externally immobilizing broken bones, particularly bones of the extremities. According to the invention, interspaced bone pins (9), which are provided for insertion into the bone while passing through the skin and soft-tissue mantle are arranged on a multi-articulation rod. This multi-articulation rod can be placed on the outside of the body while extending along a broken bone and comprises elements (1), which are interconnected in a ball-and-socket type manner and which can be fixed in selected relative positions. The elements (1) have a ball (2) on one end and a ball socket (3) on the other end, and the ball (2) of one element is located inside the ball socket (3) of an adjacent element. The ball and ball socket each geometrically extend over more than one hemisphere, and the surfaces of the ball (2) and ball socket (3) are roughened.
Description
Vorrichtung zur externen Fixierung von gebrochenen Knochen Device for external fixation of broken bones
Beschreibungdescription
Die Erfindung betrifft eine Vorrichtung zur externen Fixierung von gebrochenen Knochen gemäß dem Oberbegriff des Anspruchs 1.The invention relates to a device for external fixation of broken bones according to the preamble of claim 1.
Eine Vorrichtung dieser Art ist aus DE 19746687 AI bekannt. Diese bekannte Vorrichtung ist insofern nachteilig, als die Kugeln und Kugelpfannen der Kugelgelenke mit glatter Oberfläche ausgebildet sind, mit der Folge, dass übermäßig hohe Feststellkräfte zur Festlegung der Relativlagen der Glieder aufgebracht werden müssen, wenn die Fixiervorrichtung auch unter Belastung wirklich steif sein soll.A device of this type is known from DE 19746687 AI. This known device is disadvantageous in that the balls and ball sockets of the ball joints are designed with a smooth surface, with the result that excessively high locking forces have to be applied to determine the relative positions of the links if the fixing device is to be really stiff even under load.
Aufgabe der Erfindung ist es daher, eine Vorrichtung der eingangs genannten Art so zu verbessern, dass sie im fixierten Zustand bessere Formstabilität aufweist.The object of the invention is therefore to improve a device of the type mentioned in the introduction so that it has better dimensional stability in the fixed state.
Diese Aufgabe wird erfindungsgemäß durch eine Vorrichtung zur externen Fixierung von gebrochenen Knochen mit den Merkmalen des Anspruchs 1 gelöst .This object is achieved according to the invention by a device for external fixation of broken bones with the features of claim 1.
Vorteilhafte Weiterbildungen der Erfindung sind Gegenstand der Unteransprüche .Advantageous developments of the invention are the subject of the dependent claims.
Im Folgenden wird eine Ausführungsform der Erfindung anhand der beigefügten Zeichnungen beschrieben. Auf diesen zeigtAn embodiment of the invention is described below with reference to the accompanying drawings. Pointing to this
Fig. 1 die erfindungsgemäße Fixiervorrichtung angebracht an einem Finger,1 shows the fixing device according to the invention attached to a finger,
Fig. 2 (a) - (d) ein Glied der erfindungsgemäßen Fixiervorrichtung in einer Ansicht von der Seite, von hinten, von oben und in Perspektive, undFig. 2 (a) - (d) a link of the fixing device according to the invention in a view from the side, from behind, from above and in perspective, and
Fig. 3 (a) - (c) das Glied der Fig. 2 mit aufgesetztem gespanntem Spannbügel in einer Ansicht von der Seite, von hinten und von oben bei teilweise entferntem Spannbügel .Fig. 3 (a) - (c) the link of Fig. 2 with the tensioned clamp attached in a view from the side, from behind and from above with the clamp removed partially.
Fig. 1 zeigt die Vorrichtung zur externen Fixierung von gebrochenen Knochen angebracht an einen Finger. Die Vorrich-
tung weist einen Vielgelenkstab mit Gliedern 1 auf, wie sie in den Fig. 2 und 3 gezeigt sind. An den erforderlichen Stellen werden statt der einfachen Glieder 1 solche vorgesehen, die einen Knochennagel 9 tragen.Fig. 1 shows the device for external fixation of broken bones attached to a finger. The devices device has a multi-bar with links 1, as shown in FIGS. 2 and 3. At the required points, instead of the simple limbs 1, those are provided which carry a bone nail 9.
Die Glieder 1 weisen abgesehen von den Endgliedern an einem Ende eine Kugel 2 und am anderen Ende eine Kugelpfanne 3 auf . Die Kugelpfanne 3 und damit auch die Kugel 2 erstreckt sich geometrisch über mehr als eine Halbkugel, so dass zusammengefügte Glieder sich nicht ohne weiteres voneinander lösen. Das Zusammenfügen von Gliedern erfolgt unter elastischer Ver- formung der Kugelpfanne, die durch Schlitze 4 erleichtert wird. Die Festlegung der Relativlage benachbarter Glieder 1 erfolgt mit Hilfe von die Kugelpfanne außen umgebenden Spannbügeln 6, durch die im gespannten Zustand die Kugelpfanne 3 gegen die Kugel 2 des benachbarten Glieds, die die Kugelpfanne umgibt, gedrückt wird.Apart from the end members, the members 1 have a ball 2 at one end and a ball socket 3 at the other end. The ball socket 3, and thus also the ball 2, extends geometrically over more than one hemisphere, so that joined links do not easily separate from one another. Links are joined together with elastic deformation of the ball socket, which is facilitated by slots 4. The relative position of adjacent links 1 is determined with the aid of clamping brackets 6 which surround the ball socket on the outside, by means of which, in the tensioned state, the ball socket 3 is pressed against the ball 2 of the adjacent link which surrounds the ball socket.
Um bei gleicher durch die Spannbügel 6 aufgebrachter Preßkraft eine Verbesserung der Fixierung der Relativlage benachbarter Glieder zu erzielen, sind die Oberflächen von Kugel 2 und Kugelpfanne 3 mit einer Oberflächenaufrauhung versehen.In order to improve the fixation of the relative position of adjacent members with the same pressing force applied by the clamping bracket 6, the surfaces of ball 2 and ball socket 3 are provided with a surface roughening.
Diese Aufrauhung kann bei Metallteilen, also bei einer Kugel und Kugelpfanne aus Metall oder jedenfalls mit metallener Oberfläche durch Senkerosion erreicht werden. Bei Kugel und Kugelpfanne aus Kunststoff läßt sich eine ähnliche Oberflächenstruktur erreichen, indem die Formoberfläche der Form, in der diese Teile gegossen werden, jedenfalls in den Teilen, die die Kugel und Kugelpfanne bestimmen, senkerodiert wird. Die auf diese Weise gewonnene Rauhigkeit der Formoberfläche bildet sich dann auf dem in der Form gegossenen Produkt ab.This roughening can be achieved in the case of metal parts, that is to say in the case of a ball and ball socket made of metal or in any case with a metal surface, by die sinking erosion. A similar surface structure can be achieved with plastic ball and ball socket by EDM the surface of the mold in which these parts are cast, at least in the parts that determine the ball and ball socket. The roughness of the mold surface obtained in this way is then reflected on the product cast in the mold.
Eine weitere Möglichkeit der Gewinnung der Oberflächenrauhigkeit besteht in einer Rändelung von Kugel und Kugelpfanne.Another possibility for obtaining the surface roughness is knurling the ball and ball socket.
Bei Kunststoffteilen kommt auch ein rauher Auftrag auf die ursprünglich glatten Oberflächen von Kugel und Kugelpfanne in Betracht. Eine weitere Möglichkeit zur Verbesserung der Stabi-
lisierung der Relativlage aneinander anschließender Glieder besteht darin, die Oberflächen von Kugel und Kugelpfanne nach Art eines Klettverschlusses auszubilden.
In the case of plastic parts, a rough application to the originally smooth surfaces of the ball and ball socket can also be considered. Another way to improve the stability lization of the relative position of adjoining links consists in forming the surfaces of the ball and ball socket in the manner of a Velcro fastener.
Claims
1. Vorrichtung zur externen Fixierung von gebrochenen Knochen, insbesondere Knochen der Extremitäten, wobei an einem außerhalb des Körpers längs eines gebrochenen Knochens anord- baren Vielgelenkstab mit Gliedern (1) , die kugelgelenkartig miteinander verbunden und in ausgewählten Relativlagen festlegbar sind, in Abständen Knochennägel (9) zur Einbringung in den Knochen durch Haut und Weichteilmantel hindurch angebracht sind, wobei die Glieder (1) an einem Ende eine Kugel (2) und am anderen Ende eine Kugelpfanne (3) aufweisen und die Kugel (2) eines Glieds in der Kugelpfanne (3) eines anschließenden1. Device for the external fixation of broken bones, in particular bones of the extremities, whereby on a multi-joint rod, which can be arranged outside the body along a broken bone, with links (1) which are connected to each other like a ball joint and can be fixed in selected relative positions, at intervals bone nails ( 9) are attached for insertion into the bone through the skin and soft tissue, the limbs (1) having a ball (2) at one end and a ball socket (3) at the other end and the ball (2) of a link in the ball socket (3) a subsequent one
Glieds liegt und wobei sich Kugel und Kugelpfanne geometrisch jeweils über mehr als eine Halbkugel erstrecken, dadurch gekennzeichnet, dass Kugel (2) und Kugelpfanne (3) eine Oberflächenaufrauhung aufweisen.The limb lies and the ball and ball socket each extend geometrically over more than one hemisphere, characterized in that the ball (2) and ball socket (3) have a surface roughening.
2. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, dass Kugel (2) und Kugelpfanne (3) eine Metalloberfläche aufweisen und dass die Oberflächen senkerodiert sind.2. Device according to claim 1, characterized in that the ball (2) and ball socket (3) have a metal surface and that the surfaces are die-cut.
3. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, dass Kugel (2) und Kugelpfanne (3) in einer Form mit senkerodierter Formoberfläche gegossene Kunststofformteile sind.3. Device according to claim 1, characterized in that the ball (2) and ball socket (3) are molded plastic parts in a mold with a die-cut surface.
4. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, dass die Oberflächen von Kugel (2) und Kugelpfanne (3) nach Art eines Klettverschlusses ausgebildet sind. 4. The device according to claim 1, characterized in that the surfaces of the ball (2) and ball socket (3) are designed in the manner of a Velcro fastener.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE20202048U DE20202048U1 (en) | 2002-02-11 | 2002-02-11 | Device for external fixation of broken bones |
DE20202048U | 2002-02-11 | ||
PCT/EP2003/001295 WO2003068085A1 (en) | 2002-02-11 | 2003-02-10 | Device for externally immobilizing broken bones |
Publications (1)
Publication Number | Publication Date |
---|---|
EP1478290A1 true EP1478290A1 (en) | 2004-11-24 |
Family
ID=7967617
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP03739462A Withdrawn EP1478290A1 (en) | 2002-02-11 | 2003-02-10 | Device for externally immobilizing broken bones |
Country Status (7)
Country | Link |
---|---|
US (1) | US20050038425A1 (en) |
EP (1) | EP1478290A1 (en) |
CN (1) | CN1301688C (en) |
AU (1) | AU2003210233A1 (en) |
CA (1) | CA2475650A1 (en) |
DE (1) | DE20202048U1 (en) |
WO (1) | WO2003068085A1 (en) |
Families Citing this family (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ES2318671T3 (en) * | 2006-03-31 | 2009-05-01 | Stryker Trauma Sa | ELEMENT OF EXTERNAL FIXER THAT HAS AN EROSIONATED RUGOUS SURFACE. |
CH702239B1 (en) | 2008-06-17 | 2011-05-31 | Kai-Uwe Lorenz | An apparatus for external fixation of bone fractures. |
EP2421454A4 (en) | 2009-04-23 | 2013-12-11 | Spinal Elements Inc | Transverse connectors |
US9066757B2 (en) | 2009-08-10 | 2015-06-30 | Virak Orthopedic Research Llc | Orthopedic external fixator and method of use |
US8282636B2 (en) | 2009-08-10 | 2012-10-09 | Imds Corporation | Orthopedic external fixator and method of use |
ITVR20130013A1 (en) * | 2013-01-21 | 2014-07-22 | Tecres Spa | EXTERNAL FIXING DEVICE FOR THE TREATMENT OF BONE FRACTURES |
WO2014140879A2 (en) * | 2013-03-15 | 2014-09-18 | Biomet C.V. | Polyaxial pivot housing for external fixation system |
DE102018105223A1 (en) | 2018-03-07 | 2019-09-12 | Heiko Durst | Device for external fixation of bone fractures |
CN108969083A (en) * | 2018-05-29 | 2018-12-11 | 西安交通大学医学院第附属医院 | A kind of flexible combination prolonged type fracture fixation device |
Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AT353394B (en) * | 1975-12-18 | 1979-11-12 | Helmut Haemmerle | BONE NAIL |
WO1991019429A1 (en) * | 1990-06-18 | 1991-12-26 | Ellis Frampton E Iii | Shoe sole structures |
FR2683446A1 (en) * | 1991-11-08 | 1993-05-14 | Hardy Jean Marie | MODULAR EXTERNAL FIXER FOR IMMOBILIZING A FRACTURE FIREPLACE. |
FR2715825A1 (en) * | 1994-02-09 | 1995-08-11 | Soprane Sa | Self-aligning rod for spinal osteosynthesis apparatus |
EP0868152A1 (en) * | 1995-10-27 | 1998-10-07 | Stanislav Georgiev Nestorov | Modular external fixation system |
CN1208358A (en) * | 1995-12-11 | 1999-02-17 | 普里莫戴尔有限责任公司 | Construction system |
US6127596A (en) * | 1998-01-23 | 2000-10-03 | Sulzer Orthopedics Inc. | Implantable orthopedic prosthesis having tissue attachment surface and method of manufacture |
CN2379102Y (en) * | 1998-04-18 | 2000-05-24 | 左学禹 | External fixator for osteosynthesis |
US6216640B1 (en) * | 1998-10-09 | 2001-04-17 | Ethical Products, Inc. | Pet toy |
-
2002
- 2002-02-11 DE DE20202048U patent/DE20202048U1/en not_active Expired - Lifetime
-
2003
- 2003-02-10 CA CA002475650A patent/CA2475650A1/en not_active Abandoned
- 2003-02-10 CN CNB038036878A patent/CN1301688C/en not_active Expired - Fee Related
- 2003-02-10 AU AU2003210233A patent/AU2003210233A1/en not_active Abandoned
- 2003-02-10 WO PCT/EP2003/001295 patent/WO2003068085A1/en not_active Application Discontinuation
- 2003-02-10 US US10/504,090 patent/US20050038425A1/en not_active Abandoned
- 2003-02-10 EP EP03739462A patent/EP1478290A1/en not_active Withdrawn
Non-Patent Citations (1)
Title |
---|
See references of WO03068085A1 * |
Also Published As
Publication number | Publication date |
---|---|
CN1630490A (en) | 2005-06-22 |
WO2003068085A1 (en) | 2003-08-21 |
AU2003210233A1 (en) | 2003-09-04 |
CA2475650A1 (en) | 2003-08-21 |
CN1301688C (en) | 2007-02-28 |
US20050038425A1 (en) | 2005-02-17 |
DE20202048U1 (en) | 2002-06-13 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
DE19603285B4 (en) | Intramedullary nail | |
EP0689798B1 (en) | Device for connecting vertebrae | |
DE602005000399T2 (en) | Device for connecting the rod of a spinal osteosynthesis device to a vertebral bone and osteosynthesis system with this device | |
DE69929406T2 (en) | Device for fixing the spine | |
EP0565216B1 (en) | Medullar nail | |
EP0865259B1 (en) | Orthopaedic fixing system | |
DE3611319C2 (en) | ||
DE4110123A1 (en) | ELASTIC CLAMP | |
EP1184009A1 (en) | Linking device for use on the stirrup of auditory ossicles | |
WO2001056489A1 (en) | Bone plate | |
DE3839859A1 (en) | Bone plate | |
EP1287787A1 (en) | Implant for the fixation of bone fractures | |
DE2007214A1 (en) | Elbow joint prosthesis | |
DE3729840C1 (en) | Medullary cavity - locking nail | |
DE2835831A1 (en) | ARTIFICIAL KNEE JOINT | |
WO2003068085A1 (en) | Device for externally immobilizing broken bones | |
DE102010001583A1 (en) | Rail for immobilizing a joint | |
WO2002025121A1 (en) | Sheet metal clamp | |
DE102007008406A1 (en) | Finger joint prosthesis | |
EP2306943A1 (en) | Articulated insert | |
DE69923064T2 (en) | SYNTHESIS DEVICE FOR ORTHOPEDICS AND TRAUMATOLOGY | |
WO1999020194A1 (en) | External fixing device for broken bones, especially for extremities | |
EP2214596B1 (en) | Implant | |
DE102012104173B4 (en) | Orthosis joint to support an anatomical joint | |
AT406117B (en) | ADJUSTABLE ORTHOSIS |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
17P | Request for examination filed |
Effective date: 20040908 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LI LU MC NL PT SE SI SK TR |
|
AX | Request for extension of the european patent |
Extension state: AL LT LV MK RO |
|
17Q | First examination report despatched |
Effective date: 20090922 |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
|
18D | Application deemed to be withdrawn |
Effective date: 20100203 |