FR2472373A1 - Epiphysis plate for osteosynthesis - has horizontal arm accommodating obliquely inserted screws - Google Patents

Epiphysis plate for osteosynthesis - has horizontal arm accommodating obliquely inserted screws Download PDF

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Publication number
FR2472373A1
FR2472373A1 FR7931901A FR7931901A FR2472373A1 FR 2472373 A1 FR2472373 A1 FR 2472373A1 FR 7931901 A FR7931901 A FR 7931901A FR 7931901 A FR7931901 A FR 7931901A FR 2472373 A1 FR2472373 A1 FR 2472373A1
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FR
France
Prior art keywords
plate
tibia
horizontal
epiphysis
characterized
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Granted
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FR7931901A
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French (fr)
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FR2472373B1 (en
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Tornier SA
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Tornier SA
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Publication date
Application filed by Tornier SA filed Critical Tornier SA
Priority to FR7931901A priority Critical patent/FR2472373B1/fr
Publication of FR2472373A1 publication Critical patent/FR2472373A1/en
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Publication of FR2472373B1 publication Critical patent/FR2472373B1/fr
Application status is Expired legal-status Critical

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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
    • A61B17/8061Cortical 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

The epiphyseal plate is particularly for osteo-synthesis of bone fractures of the limbs. It is pre-shaped to fit against the bones, its horizontal arm (1a) accommodating screws (4) engaging in the epiphyseal, while its vertical arm (1) has an oblong metaphysical opening (1c) to take an oblique screw (5) for location in the vertical direction. The plate can be designed for use at the level of the upper end of the tibia, its horizontal arm fitting behind the rotulian tendon.

Description

La présente invention est relative à des perfectionnements apportés aux plaques épiphysaires destinées aux ostéosynthèses de fracture des os des membres. The present invention relates to improvements to the epiphyseal plates for fracture osteosynthesis limb bones. Les plaques suivant l'invention sont plus particulièrement destinées aux ostéosynthèses ou ostéotomies épiphysaires ou métaphysaires. The plates according to the invention are more particularly intended for osteosynthesis or osteotomies epiphyseal or metaphyseal.

Il existe de telles plaques mais leur mise en place est difficile du fait que le chirurgien doit lui-même les former de manière qu'elles épousent la forme de l'os. There are such plates but their implementation is difficult because the surgeon has to train himself so that they match the shape of the bone. On comprend aisément que ce formage n est jamais parfait du fait d'abord de la résistance importante de la matière constitutive desdites plaques et d'autre part des efforts considérables qu'il faut développer pour effectuer ces déformations à froid. Understandably, this forming is never perfect the important resistance because of all of the material of said plates and secondly considerable efforts to be developed to perform these cold forming.

La présente invention vise à permettre la réalisation de plaques épiphysaires latéralisées préformées de manière qu'elles puissent coopérer avec les épiphyses de l'humérus, du radius ou du tibia des membres d'un être humain. The present invention is intended to enable the realization of epiphyseal plates lateralized preformed so that they can cooperate with the epiphyses of the humerus, radius or tibia of a human members. L'invention vise encore à permettre la mise en oeuvre de plaques du genre en question susceptibles de s'adapter dans la grande majorité des cas à la forme des épiphyses considérées, leur utilisation dans certaines circonstances permettant la suppression de la contention plâtrée post-operatoire, si bien qu'en définitive elle assure une rééducation plus rapide du patient. The invention also aims to enable the implementation plates of the kind in question may adapt in most cases the shape of the epiphysis considered, their use in certain circumstances for the removal of restraints plastered post-operative so that ultimately it provides faster rehabilitation of the patient.

Le dessin annexé, donné à titre d'exemple, permettra de mieux comprendre 11 invention, les caractéristiques qu'elle présente et les avantages qu'elle est susceptible de procurer The accompanying drawing, given by way of example, will better understand 11 invention, its characteristics and the benefits it can provide
La figure unique du dessin illustre l'utilisation de deux plaques épiphysaires suivant l'invention appliquées à l'épiphyse supérieure du tibia. The single figure of the drawing illustrates the use of two epiphyseal plates according to the invention applied to the upper epiphysis of the tibia. Sur cette figure certaines des vis de fixation n'ont pas été représentées pour ne pas surcharger le dessin. In this figure some of the fixing screws have not been shown in order not to overload the drawing.

Les plaques 1, 2 représentées sur la figure du dessin comprennent chacune une branche horizontale la, 2a et une branche verticale lb, 2b. The plates 1, 2 shown in the figure of the drawing each include a horizontal arm la, 2a and a vertical leg lb, 2b. Chacune des branches horizontales la, 2a coopère avec une partie de l'épiphyse 3a du tibia 3, laquelle constitue en fait le plateau tibial. Each of the horizontal branches, 2a cooperates with a portion 3a of the epiphysis of the tibia 3, which in fact constitutes the tibial plateau. La branche horizontale de la plaque externe 1 vient se placer derrière le tendon rotulien et ses trous permettent la mise en place de vis 4 qui viennent s'enfoncer dans l'épiphyse. The horizontal arm of the outer plate 1 is placed behind the patellar tendon and holes enable the establishment of screws 4 which are to sink into the epiphysis. Du fait de la forme arrondie de la branche considérée la fixation par les vis procure une excellente triangulation horizontale, c'est-à-dire que les forces d'appui de cette branche sur ltépiphyse sont concourantes.Les branches verticales des plaques considérées comportent chacune une ouverture oblongue Ic, 2c permettant l'introduction et la mise en place d'une vis 5, 6 qui peut etre orientée de manière oblique en vue de renforcer la solidité du montage l'utilisation des plaques considérées dans les fractures du plateau tibial extrême apporte un montage en forme de console qui augmente la solidité de l'assemblage. Because of the rounded shape of the branch considered the fixing screws provides excellent horizontal triangulation, that is to say that the support forces that branch on ltépiphyse are considered concourantes.Les vertical branches of plates each an oblong opening Ic, 2c for the introduction and placement of a screw 5, 6 which can be oriented obliquely to enhance the strength of the mounting plates using considered in fractures of the tibial plateau extreme provides a mounting shaped bracket which increases the strength of the assembly.

Dans les ostéotomies de tassement externe la réduction du déplacement peut se faire sur la plaque préformée. In osteotomies external compaction reducing displacement can be done on the preformed plate.

Les plaques internes sont utilisées pour la synthèse des fractures du plateau tibial interne, pour les ostéotomies de soustraction pour genu valgum, d'addition pour genu varum. The internal plates are used for the synthesis of fractures of the medial tibial plateau to the subtraction osteotomies for genu valgum addition to genu varum. Dans ce cas le greffon est maintenu par la présence de la plaque et par la vis oblique 6. La branche horizontale de la plaque 2 reçoit des vis 7 semblables à celles 4. In this case the graft is maintained by the presence of the plate and the oblique screw 6. The horizontal leg of the plate 2 receives screw 7 similar to 4.

Les plaques supérieures du tibia offrent de plus la possibilité de réaliser une compression importante lors d'une ostéotomie The upper plate of the tibia also offer the opportunity to achieve significant compression during an osteotomy
Des plaques semblables à celles prévues pour l'extrémité supérieure du tibia peuvent être réalisées en vue de coopérer avec son extrémité inférieure. Similar plates to those provided for the upper end of the tibia can be made to cooperate with its lower end. La plaque repose alors par sa partie diaphysaire (branche verticale) sur la face antéro-interne du tibia et par sa branche horizontale sur la face antérieure de l'épiphyse. The plate then rests with its diaphyseal portion (vertical portion) on the anteromedial surface of the tibia and its horizontal leg on the front side of the epiphysis. Elles permettent de traiter les fractures du quart inférieur de la jambe à condition que leurs branches verticales soient suffisamment longues. They are used to treat fractures of the lower quarter of the leg provided their vertical legs are long enough. L'utilisation de telles plaques à ce niveau est particulièrement intéressante du fait que le montage bien que solide, laisse libre l'articulation tibio-tarsienne. The use of such plates at this level is particularly advantageous that the mounting well as solid, leaves free the ankle joint. On peut en outre supprimer comme indiqué plus haut la contention plâtrée post-opératoire. One can further suppress as indicated above postoperative plaster cast.

Bien entendu les vis 5, 6 peuvent être orientées en vue de coopérer soit avec la diaphyse, soit avec ltepiphyse de chaque os. Of course the screws 5, 6 can be oriented to cooperate with either the shaft or with ltepiphyse of each bone.

On peut aussi réaliser des plaques d'extrémité inférieure d'humérus que lton utilise pour les ostéosynthèses des fractures supra, sus ou inter-condyliennes. It is also possible end plates lower humerus that LTON used for osteosynthesis of fractures supra, addition or inter-condylar. Elles sont mises en place par voie postérieure transtricipitale ou transolecrannienne. They are implemented by post or transtricipitale transolecrannienne way.

On peut également réaliser des plaques d'extrémité inférieure de radius pour ostéosynthèses des fractures marginales antérieures, des os téotomies de cal vicieux ou des reprises de fractures. end plates lower radius for osteosynthesis previous marginal fractures, bone téotomies malunion or reversals of fractures can also be realized. La réduction s'effectue par la plaque. The reduction is achieved by the plate. Dans le cas du radius la plaque ne présente pas la forme d'une équerre mais celle d'un Y. In the case of the radius plate not in the form of a square but of a Y.

On a ainsi réalisé des plaques épiphysaires préformées latéralisées qui sont peu encombrantes, donc qui n'amènent pas de gêne particulière pour le patient et qui permettent la réalisation d'une fixation très solide. We thus achieved preformed lateralized epiphyseal plates that are somewhat cumbersome, so that does not cause particular discomfort for the patient and allow the realization of a very strong attachment.

Il doit d'ailleurs être entendu que la description qui précède n'a été donnée qu'à titre d'exemple et qu'elle ne limite nullement le domaine de l'invention dont on ne sortirait pas en remplaçant les détails d'exécution décrits par tous autres équivalents. It should also be understood that the above description has been given as an example and does not limit the scope of the invention which would not depart by replacing the execution details described by any other equivalents.

Claims (4)

REVENDICATIONS
1. Plaque épiphysaire caractérisée en ce qu'elle est préformée de manière à épouser les formes des os, sa branche horizontale étant traversée par des vis propres a s'engager dans l'épiphyse pour constituer une triangulation horizontale tandis que sa branche verticale est pourvue d'une ouverture oblongue métaphysaire permettant l'utilisation d'une vis oblique qui assure une triangulation verticale. 1. epiphyseal plate characterized in that it is preformed so as to match the shapes of bones, its horizontal branch being traversed by own screws to engage in the epiphysis to constitute a horizontal triangulation while its vertical leg is provided a metaphyseal oblong opening permitting the use of an inclined screw which ensures vertical triangulation.
2. Plaque épiphysaire suivant la revendication 1, caractérisée en ce qu'elle est agencée pour être utilisée au niveau de l'extrémité supérieure du tibia et à l'extérieur, sa branche horizontale venant se placer derrière le tendon rotulien. 2. epiphyseal plate according to claim 1, characterized in that it is arranged to be used at the upper end of the tibia and to the outside, its horizontal leg being placed behind the patellar tendon.
3. Plaque épiphysaire suivant la revendication 1, caractérisée en ce qu'elle comporte une forme lui permettant d'être utilisée au niveau de l'extrémité supérieure du tibia et à l'intérieur. 3. epiphyseal plate according to claim 1, characterized in that it comprises a form allowing it to be used at the upper end of the tibia and inside.
4. Plaque épiphysaire suivant la revendication 1, caractérisée en ce qu'elle comporte une forme lui permettant de coopérer avec l'extrémité inférieure du tibia, sa branche verticale reposant contre la face antérointerne de cet os tandis que sa branche horizontale coopère avec la face antérieure de l'apiphyse. 4. epiphyseal plate according to claim 1, characterized in that it comprises a shape enabling it to cooperate with the lower end of the tibia, its vertical leg resting against the antérointerne surface of this bone while its horizontal leg cooperates with the face prior to apiphyse.
FR7931901A 1979-12-24 1979-12-24 Expired FR2472373B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR7931901A FR2472373B1 (en) 1979-12-24 1979-12-24

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Application Number Priority Date Filing Date Title
FR7931901A FR2472373B1 (en) 1979-12-24 1979-12-24

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FR2472373A1 true FR2472373A1 (en) 1981-07-03
FR2472373B1 FR2472373B1 (en) 1984-10-19

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Cited By (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0290138A2 (en) * 1987-04-07 1988-11-09 POLLOCK, Richard Allison Method of manufacturing of anatomical precontoured plates
US4905679A (en) * 1988-02-22 1990-03-06 M P Operation, Inc. Bone fracture reduction device and method of internal fixation of bone fractures
US4966599A (en) * 1987-04-07 1990-10-30 Pollock Richard A Anatomical precontoured plating, instruments and methods
GR1000131B (en) * 1989-04-11 1991-07-31 Ilias Panagiotopoulos Metallic plate for fractures and osteotomies fixation.
US5304180A (en) * 1992-01-17 1994-04-19 Slocum D Barclay Tibial osteotomy fixation plate
WO1996009012A1 (en) * 1994-09-19 1996-03-28 Handelman, Joseph, H. Fixation plate for long bone fractures and method of use
WO1996025118A1 (en) * 1995-02-14 1996-08-22 Collux Ab L-plate
EP0947176A3 (en) * 1998-03-31 2000-02-09 Steve Bernirschke Orthopaedic bone plant
US6077266A (en) * 1999-01-15 2000-06-20 Medoff; Robert J. Method of enabling bone screws to be installed at an angle in underlying bone
WO2005048888A1 (en) * 2003-11-21 2005-06-02 Enztec Limited A surgical procedure
WO2005048857A1 (en) 2003-11-18 2005-06-02 Synthes Gmbh Set of osteosynthesis plates
US7695472B2 (en) 2003-03-26 2010-04-13 Swiss Orthopedic Solutions Sa Locking bone plate
US7722653B2 (en) 2003-03-26 2010-05-25 Greatbatch Medical S.A. Locking bone plate
US7905883B2 (en) 2003-03-26 2011-03-15 Greatbatch Medical S.A. Locking triple pelvic osteotomy plate and method of use
US8080010B2 (en) 2004-03-25 2011-12-20 Greatbatch Medical S.A. Device and template for canine humeral slide osteotomy
FR2965470A1 (en) * 2010-10-05 2012-04-06 Small Bone Innovations Internat Osteosynthesis equipment for permitting osteosynthesis of distal end of left radial bone of hand, has bone plate including distal secondary branches implanted at level of distal part of bone on lateral side of bone
US8568417B2 (en) 2009-12-18 2013-10-29 Charles River Engineering Solutions And Technologies, Llc Articulating tool and methods of using
US9237910B2 (en) 2012-01-26 2016-01-19 Acute Innovations Llc Clip for rib stabilization
US9775657B2 (en) 2011-09-30 2017-10-03 Acute Innovations Llc Bone fixation system with opposed mounting portions
EP3284427A1 (en) * 2016-08-17 2018-02-21 Globus Medical, Inc. Volar distal radius stabilization system
US9956015B2 (en) 2014-07-03 2018-05-01 Acumed Llc Bone plate with movable joint
EP3375391A1 (en) * 2017-03-13 2018-09-19 Globus Medical, Inc. Volar distal radius stabilization system
US10143503B2 (en) 2014-03-26 2018-12-04 Olympus Terumo Biomaterials Corp. Bone plate and bone plate system
US10383668B2 (en) 2016-08-17 2019-08-20 Globus Medical, Inc. Volar distal radius stabilization system

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7717945B2 (en) 2002-07-22 2010-05-18 Acumed Llc Orthopedic systems
AU2003295749B2 (en) 2002-11-19 2007-12-06 Acumed Llc Adjustable bone plates
US7635365B2 (en) 2003-08-28 2009-12-22 Ellis Thomas J Bone plates
US20050240187A1 (en) 2004-04-22 2005-10-27 Huebner Randall J Expanded fixation of bones

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2405062A1 (en) * 1977-10-10 1979-05-04 Dayan Robert Surgical repair plate for lower fractures of femur - has concave cross section and enlarged end with staggered countersunk screw holes
FR2405705A1 (en) * 1977-10-14 1979-05-11 Dayan Robert Surgical repair plate for tibia upper end fracture - has elongated length with enlarged head and countersunk for fixing screws
FR2405706A1 (en) * 1977-10-14 1979-05-11 Dayan Robert Surgical repair plate for humerus lower end fracture - has end with unequal curved branches and countersunk holes for fixing screws

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2405062A1 (en) * 1977-10-10 1979-05-04 Dayan Robert Surgical repair plate for lower fractures of femur - has concave cross section and enlarged end with staggered countersunk screw holes
FR2405705A1 (en) * 1977-10-14 1979-05-11 Dayan Robert Surgical repair plate for tibia upper end fracture - has elongated length with enlarged head and countersunk for fixing screws
FR2405706A1 (en) * 1977-10-14 1979-05-11 Dayan Robert Surgical repair plate for humerus lower end fracture - has end with unequal curved branches and countersunk holes for fixing screws

Cited By (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0290138A2 (en) * 1987-04-07 1988-11-09 POLLOCK, Richard Allison Method of manufacturing of anatomical precontoured plates
EP0290138A3 (en) * 1987-04-07 1989-01-25 Richard Allison Pollock Anatomical precontoured plating, instruments and method
US4966599A (en) * 1987-04-07 1990-10-30 Pollock Richard A Anatomical precontoured plating, instruments and methods
US4905679A (en) * 1988-02-22 1990-03-06 M P Operation, Inc. Bone fracture reduction device and method of internal fixation of bone fractures
GR1000131B (en) * 1989-04-11 1991-07-31 Ilias Panagiotopoulos Metallic plate for fractures and osteotomies fixation.
US5304180A (en) * 1992-01-17 1994-04-19 Slocum D Barclay Tibial osteotomy fixation plate
WO1996009012A1 (en) * 1994-09-19 1996-03-28 Handelman, Joseph, H. Fixation plate for long bone fractures and method of use
WO1996025118A1 (en) * 1995-02-14 1996-08-22 Collux Ab L-plate
US5718704A (en) * 1995-02-14 1998-02-17 Medoff; Robert J. L-shape surgical buttress plate
EP0947176A3 (en) * 1998-03-31 2000-02-09 Steve Bernirschke Orthopaedic bone plant
US6077266A (en) * 1999-01-15 2000-06-20 Medoff; Robert J. Method of enabling bone screws to be installed at an angle in underlying bone
US7905883B2 (en) 2003-03-26 2011-03-15 Greatbatch Medical S.A. Locking triple pelvic osteotomy plate and method of use
US7740648B2 (en) 2003-03-26 2010-06-22 Greatbatch Medical S.A. Locking bone plate
US7695472B2 (en) 2003-03-26 2010-04-13 Swiss Orthopedic Solutions Sa Locking bone plate
US7722653B2 (en) 2003-03-26 2010-05-25 Greatbatch Medical S.A. Locking bone plate
WO2005048857A1 (en) 2003-11-18 2005-06-02 Synthes Gmbh Set of osteosynthesis plates
US8114081B2 (en) 2003-11-18 2012-02-14 Synthes Usa, Llc Osteosynthesis plate set
CN1878508B (en) 2003-11-18 2011-06-01 辛迪思有限公司 Osteosynthesis plate set
AU2003280078B2 (en) * 2003-11-18 2010-07-01 Synthes Gmbh Set of osteosynthesis plates
WO2005048888A1 (en) * 2003-11-21 2005-06-02 Enztec Limited A surgical procedure
US8080010B2 (en) 2004-03-25 2011-12-20 Greatbatch Medical S.A. Device and template for canine humeral slide osteotomy
US9808297B2 (en) 2008-10-10 2017-11-07 Acute Innovations Llc Bone fixation system with opposed mounting portions
US9924986B2 (en) 2009-12-18 2018-03-27 Charles River Engineering Solutions And Technologies, Llc Articulating tool and methods of using
US8568417B2 (en) 2009-12-18 2013-10-29 Charles River Engineering Solutions And Technologies, Llc Articulating tool and methods of using
FR2965470A1 (en) * 2010-10-05 2012-04-06 Small Bone Innovations Internat Osteosynthesis equipment for permitting osteosynthesis of distal end of left radial bone of hand, has bone plate including distal secondary branches implanted at level of distal part of bone on lateral side of bone
US9775657B2 (en) 2011-09-30 2017-10-03 Acute Innovations Llc Bone fixation system with opposed mounting portions
US9237910B2 (en) 2012-01-26 2016-01-19 Acute Innovations Llc Clip for rib stabilization
US10143503B2 (en) 2014-03-26 2018-12-04 Olympus Terumo Biomaterials Corp. Bone plate and bone plate system
US9956015B2 (en) 2014-07-03 2018-05-01 Acumed Llc Bone plate with movable joint
US10159515B2 (en) 2014-07-03 2018-12-25 Acumed Llc Bone plate with movable joint
EP3284427A1 (en) * 2016-08-17 2018-02-21 Globus Medical, Inc. Volar distal radius stabilization system
US10383668B2 (en) 2016-08-17 2019-08-20 Globus Medical, Inc. Volar distal radius stabilization system
EP3375391A1 (en) * 2017-03-13 2018-09-19 Globus Medical, Inc. Volar distal radius stabilization system

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