FR2704140A3 - Vis à ligament, destiné à fixer un transplant en fibres souples dans un tunnel osseux. - Google Patents

Vis à ligament, destiné à fixer un transplant en fibres souples dans un tunnel osseux. Download PDF

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Publication number
FR2704140A3
FR2704140A3 FR9213105A FR9213105A FR2704140A3 FR 2704140 A3 FR2704140 A3 FR 2704140A3 FR 9213105 A FR9213105 A FR 9213105A FR 9213105 A FR9213105 A FR 9213105A FR 2704140 A3 FR2704140 A3 FR 2704140A3
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France
Prior art keywords
screw
ligament
tunnel
transplant
bone
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
Application number
FR9213105A
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English (en)
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FR2704140B3 (fr
Inventor
Hublin Claude
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Individual
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Individual
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
Application filed by Individual filed Critical Individual
Priority to FR9213105A priority Critical patent/FR2704140B3/fr
Publication of FR2704140A3 publication Critical patent/FR2704140A3/fr
Application granted granted Critical
Publication of FR2704140B3 publication Critical patent/FR2704140B3/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8645—Headless screws, e.g. ligament interference screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0817—Structure of the anchor
    • A61F2002/0841—Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0858—Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Rheumatology (AREA)
  • Neurology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Rehabilitation Therapy (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

Vis à ligament destinée à la fixation dans les tunnels osseux de transplants ligamentaires souples (allogreffe, autogreffe ou synthétique). La vis est cylindrique, elle est vissée dans l'axe du même tunnel osseux que celui où est ancré le néoligament, et ne comporte aucune protubérance. Elle est caractérisée par: - un filetage à grand pas comportant un bord arrondi (2) - un noyau dont la partie céphalique présente une section progressivement croissante (5) assurant un blocage du transplant contre l'orifice cortical du tunnel osseux, - des encoches (6) disposées à sa tête pour permettre un blocage secondaire par repousse osseuse - un canal axial pour le passage d'une broche - une empreinte hexagonale (7).

Description

La presente invention porte sur une vis particulière utilisée dans la chirurgie osseuse et articulaire, pour fixer des transplants ligamentaires de tous types qui remplacent ou suppléent des ligaments défectueux.
Clest une vis è Ligament.
Elle permet de fixer solidement tous ligaments a l'os directement dans un tunnel osseux.
Cette vis spéciale est placée directement dans le me me tunnel osseux. Elle se place dans itaxe du tunnel, d'od la qualification retenue d'axiale.
La solidité de la fixation du ligament dans le tunnel au moyen de cette vis procède des deux mecanismes Suivants
- application du ligament contre les parois du tunnel
par la vis
- blocage du ligament conte Itentrée du tunnel
qui est particulièrement dur. entant formé d'os
cortical.
Pour ce faire, la vis présente les caracteristiques suivantes: - Elle est atraumatique pour éviter de léser le transplant:
* son filet est mousse (arrondi à grand rayon) pour
appuyer par une grande surface, d'une part sur les
parois spongieuses du tunnel, et d'autre part sur
la paroi spongieuse elle même
* le pas de son filet est long pour limiter le frotte
ment de son bord mousse sur les fibres lors de la
mise en place.
- Elle a un noyau large pour occuper un grand volume
du tunnel et ainsi appliquer le transplant sur l'os
spongieux des parois du tunnel. Ce moyen de fixation
mécanique primaire permet la repousse osseuse entre
les fibres du transplant jusqu'd obtention d'une fi
xation biologique secondaire.
- Le noyau large s'évase en tronc de c3ne au niveau de la tête de la vis. Comme cette tête vient forcé
ment se positionner au niveau de l'orifice cortical du
tunnel les fibres du transplant sont bloquées de
façon ferme a cet endroit.
Ce système de blocage - interne a la vis - permet
de garder une vis cylindrique sur toute sa longueurs
pouvant être vissée complètement dans le tunnel, ne
faisant aucune saillie et laissant ainsi toute liberté
au jeu musculaire et tendineux.
- La tête de la vis comporte des encoches en nombres
et tailles adaptes réparties sur toute a circonfé
rence, dans lesquelles l'os peut repousser.
Ceci permet d'obtenir une fixation biologique qui
prendra le relai de la fixation mécanique par blocage
au niveau de la tête.
- Elle possSde une extrémité distale en forme de cone
tronqué pour favoriser l'insertion et une perforation
axiale qui admet une broche-guide mousseS
Ainsi la vis est guidée par la broche qui traverse
le tunnel dtun orifice cortical 9 l'autre, en s' appu-
yant sur eux. De ce fait la vis ne peut dévier dans
le spongieux.
Le guidage, en cas de serrage non conforme, permet
d'enlever la vis et de la remplacer par la vis de
diamètre idéal.
- La tête de la vis comporte une empreinte hexagonale
permettant l'utilisation d'un des tournevis standard
de salle d'opération.
La vis à ligament permet de fixer des transplants.
* autogreffe: tendon, ligament, aponévrose, prélevés
sur l'individu dans le manie temps opé
ratoire
* allogreffe; tendon, ligament, aponévrose, prélevés
sur un autre individu. Ces tissus ont
été traités industriellement et stockés
déshydratés et stériles
* synthétique: fibres de tous types, tressées, tricotEes
ou juxtaposées.
Elle pourrait être aussi utilisée dans les cas de:
* xénogreffe
* fibres collagènes synthétiques
Plus généralement, cette vis permet de fixer tous les transplants constitués de fibres souples dans des tunnels
Osseux.
Un grand éventail de tailles permet d'utiliser cette vis dans toutes les grandes artjculattons où elle répondra à des besoins spécifiques.
Ces vis seront réalisées en métal ou alliage biocompatibles ainsi qu'en tous matériaux bocompatible-s résorbables.
Grâce aux caractéristiques décrites c-de;ssus et comme le montre la figure 2 de la planche ci jointes la vis a ligament présente une somme de particuliratés qui lui sont propres et qui en font son originalité et son intérêt.
1. La fixation du transplant, a distance de l'articulation,
laissant une bonne longueur de transplant en contact
avec l'os spongieux sur toute sa circonférence représente
l'avantage majeur:
- il permet le maintien de la precision du positionnement
du transplant pendant toute la durée de la réhabitation
tissulaire
- il permet la repousse osseuse sur toute la périphérie
du transplant à son site d'insertion.
2. L'ancrage direct du transplant dans le tunnel permet
une incision cutanée plus courte:
- le temps opératoire est raccourci car il n'est plus
nécessaire de faire, à coté du tunnel, un autre forage
taraudage pour visser une rondelle, ou de dégager
un espace pour agrafer le transplant - l'avantage esthétique est certaiti.
3. La vis, de par sa forme cylindrique et sa position
axiale dans le tunnel, fait bouchon et empêche toute
fuite de synovie â partir de l'articula-tian,

Claims (4)

  1. un tunnel osseux.
    REVENDICATIONS 1) Vis destinées i la fixation de transpl ants souples dans
    ticale du tunnel.
    blocage efficace du transplant contre. la portion cor
    une section progressivement croissante, assurant un
    supérieure de leur noyau, située dans la tête, présente
    Ces vis sont toutes caractérisées en çe que la partie
    forage.
    Elles se placent dans l'axe du ;t;unnel- osseux: un seul
    Le diametre des vis est constant
    saillie.
    Elles sont cylindriques et donc sans protubérance: aucune
  2. 2) Vis selon revendication ci-dessus, caractérisées en
    ce que les filets sont disposés melon une helice à grand
    pas pour limiter la durée du frottement, et que le bord
    des filets comporte un arrondi popr réduire le traumatisme.
  3. 3) Vis selon revendications 1 et 2 caractérisées en ce
    qu'elles comportent a leur tête n six pans creux permet
    tant l'utilisation d'un des tournevis Standard de salle
    d'opération.
  4. 4) Vis selon les revendications ci-dessus caractérisées
    en ce qu'elles comportent un pprçage axial sur toute
    leur longueur pour permettre l passage d'une broche
    destinée au guidage et à l'amovibilité, et a leur extré-
    mité distale, une portion tronconique destinée a faciliter
    l'introduction et la mise en place.
FR9213105A 1992-11-02 1992-11-02 Vis à ligament, destiné à fixer un transplant en fibres souples dans un tunnel osseux. Expired - Lifetime FR2704140B3 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR9213105A FR2704140B3 (fr) 1992-11-02 1992-11-02 Vis à ligament, destiné à fixer un transplant en fibres souples dans un tunnel osseux.

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9213105A FR2704140B3 (fr) 1992-11-02 1992-11-02 Vis à ligament, destiné à fixer un transplant en fibres souples dans un tunnel osseux.

Publications (2)

Publication Number Publication Date
FR2704140A3 true FR2704140A3 (fr) 1994-10-28
FR2704140B3 FR2704140B3 (fr) 1995-04-21

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Cited By (56)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0669110A2 (fr) * 1994-02-14 1995-08-30 SMITH & NEPHEW DYONICS INC Vis d'interférence avec âme conique double
US5961521A (en) * 1993-06-04 1999-10-05 Smith & Nephew, Inc. Surgical screw and washer
EP0941705A3 (fr) * 1998-03-10 2000-02-02 Howmedica Inc. Vis et méthode pour fixation sur un substrat du type osseux
US6036695A (en) * 1996-02-22 2000-03-14 Smith & Nephew, Inc. Surgical instrument
US6056752A (en) * 1997-10-24 2000-05-02 Smith & Nephew, Inc. Fixation of cruciate ligament grafts
US6123710A (en) * 1995-04-12 2000-09-26 Smith & Nephew, Inc. Process and article for knee reconstruction
US6235057B1 (en) * 1995-01-24 2001-05-22 Smith & Nephew, Inc. Method for soft tissue reconstruction
EP1110510A1 (fr) * 1999-12-23 2001-06-27 Karl Storz GmbH & Co. KG Vis entraíné hors du centre
WO2004084745A1 (fr) * 2003-03-28 2004-10-07 Synthes Ag Chur Vis de verrouillage
US6802862B1 (en) 1995-01-24 2004-10-12 Smith & Nephew, Inc. Method for soft tissue reconstruction
WO2006007739A1 (fr) * 2004-07-23 2006-01-26 Synthes Gmbh Vis
FR2895664A1 (fr) * 2005-12-29 2007-07-06 Fournitures Hospitalieres Ind Vis transcalcaneum pour arthrodese de la cheville
WO2007147634A1 (fr) * 2006-06-23 2007-12-27 Michel Collette Dispositif d'ancrage osseux
US9433407B2 (en) 2012-01-03 2016-09-06 Biomet Manufacturing, Llc Method of implanting a bone fixation assembly
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
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US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
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US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
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US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
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US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5961521A (en) * 1993-06-04 1999-10-05 Smith & Nephew, Inc. Surgical screw and washer
EP0669110A3 (fr) * 1994-02-14 1995-11-15 Smith & Nephew Dyonics Vis d'interférence avec âme conique double.
EP0669110A2 (fr) * 1994-02-14 1995-08-30 SMITH & NEPHEW DYONICS INC Vis d'interférence avec âme conique double
US6235057B1 (en) * 1995-01-24 2001-05-22 Smith & Nephew, Inc. Method for soft tissue reconstruction
US6802862B1 (en) 1995-01-24 2004-10-12 Smith & Nephew, Inc. Method for soft tissue reconstruction
US6123710A (en) * 1995-04-12 2000-09-26 Smith & Nephew, Inc. Process and article for knee reconstruction
US6036695A (en) * 1996-02-22 2000-03-14 Smith & Nephew, Inc. Surgical instrument
US6056752A (en) * 1997-10-24 2000-05-02 Smith & Nephew, Inc. Fixation of cruciate ligament grafts
EP0941705A3 (fr) * 1998-03-10 2000-02-02 Howmedica Inc. Vis et méthode pour fixation sur un substrat du type osseux
EP1110510A1 (fr) * 1999-12-23 2001-06-27 Karl Storz GmbH & Co. KG Vis entraíné hors du centre
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