FR2800268A1 - ORTHOPEDIC PLATE OF SUTURE AND ANCILLARY FOR THE PLACEMENT OF SUCH A PLATE - Google Patents
ORTHOPEDIC PLATE OF SUTURE AND ANCILLARY FOR THE PLACEMENT OF SUCH A PLATE Download PDFInfo
- Publication number
- FR2800268A1 FR2800268A1 FR9913615A FR9913615A FR2800268A1 FR 2800268 A1 FR2800268 A1 FR 2800268A1 FR 9913615 A FR9913615 A FR 9913615A FR 9913615 A FR9913615 A FR 9913615A FR 2800268 A1 FR2800268 A1 FR 2800268A1
- Authority
- FR
- France
- Prior art keywords
- plate
- orthopedic
- suture
- lights
- plate according
- 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
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- 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
- A61B17/809—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with bone-penetrating elements, e.g. blades or prongs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0417—T-fasteners
-
- 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
- A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Rheumatology (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)
- Rehabilitation Therapy (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
Abstract
Plaque orthopédique de suture présentant deux lumières pour le passage d'un fil de suture, d'un ligament ou d'un tendon artificiel caractérisé en ce que la plaque présente deux prolongements tubulaires (10, 11) creux s'ouvrant sur lesdites lumières (2, 3).Orthopedic suture plate having two lumens for the passage of a suture, a ligament or an artificial tendon characterized in that the plate has two hollow tubular extensions (10, 11) opening onto said lumens ( 2, 3).
Description
PLAQUE ORTHOPEDIQUE DE SUTURE ET ANCILLAIREORTHOPEDIC PLATE OF SUTURE AND ANCILLARY
POUR LA MISE EN PLACE D'UNE TELLE PLAQUE. FOR THE PLACEMENT OF SUCH A PLATE.
La présente invention concerne le domaine des prothèses pour la chirurgie orthopédique, et plus particulièrement le domaine des plaques orthopédiques de suture ou pour l'utilisation avec des ligaments ou des tendons artificiels. Diverses interventions chirurgicales impliquent la mise en place sur une zone osseuse d'une suture, devant The present invention relates to the field of prostheses for orthopedic surgery, and more particularly to the field of orthopedic suture plates or for use with artificial ligaments or tendons. Various surgical procedures involve placing a suture over a bony area in front
conserver une certaine mobilité.maintain some mobility.
Le principe général est décrit dans le brevet américain US5,250,055 concernant une méthode pour poser une The general principle is described in American patent US Pat. No. 5,250,055 concerning a method for laying a
suture sur une tête humérale.suture on a humeral head.
Le problème qui se pose alors est celui des frottements exercés par la suture sur l'os, et l'érosion ou The problem which then arises is that of friction exerted by suturing on the bone, and erosion or
cisaillement qui en résulte.resulting shear.
L'objet de la présente invention est de proposer une plaque de protection présentant deux lumières pour le passage d'un fil de suture, d'un ligament ou d'un tendon artificiel caractérisé en ce que la plaque présente deux prolongements tubulaires creux s'ouvrant sur lesdites lumières. Une telle plaque permet de protéger la partie The object of the present invention is to provide a protective plate having two lumens for the passage of a suture, a ligament or an artificial tendon characterized in that the plate has two hollow tubular extensions s' opening on said lights. Such a plate protects the part
osseuse, et facilite la pose par un chirurgien. bone, and facilitates placement by a surgeon.
De préférence, les prolongements tubulaires forment Preferably, the tubular extensions form
un angle d'environ 45 avec le plan de la plaque. an angle of about 45 with the plane of the plate.
Avantageusement, les prolongements tubulaires sont parallèles. Selon une variante particulière, la zone Advantageously, the tubular extensions are parallel. According to a particular variant, the area
périphérique des lumières est chanfreinée. peripheral of the lights is chamfered.
De préférence, la plaque présente deux zones oblongues chanfreinées longitudinales se raccordant chacune à Preferably, the plate has two oblong longitudinal chamfered zones each connecting to
l'une des lumières.one of the lights.
Selon un mode de réalisation particulier, la plaque présente une longueur d'environ 16 mm, et en ce que l'entraxe According to a particular embodiment, the plate has a length of approximately 16 mm, and in that the center distance
des lumières est d'environ 12 mm.lights is about 12mm.
De préférence, la hauteur des prolongements tubulaires est d'environ 3,5 mm et la section extérieure des Preferably, the height of the tubular extensions is approximately 3.5 mm and the external section of the
prolongements tubulaires est d'environ 4 mm. tubular extensions is approximately 4 mm.
Selon une variante spécifique, l'extrémité des According to a specific variant, the end of the
prolongements tubulaires présente un chanfrein intérieur. tubular extensions has an internal chamfer.
L'invention concerne également un ancillaire pour la pose d'une plaque orthopédique de suture présentant deux lumières pour le passage d'un fil de suture, d'un ligament ou d'un tendon artificiel et deux prolongements tubulaires creux s'ouvrant sur lesdites lumières caractérisé en ce qu'il présente deux pointes aptes à former deux canaux incurvés dans lesquels viennent se loger lesdits prolongements de la plaque orthopédique. L'invention sera mieux comprise à la lecture de la The invention also relates to an ancillary device for fitting an orthopedic suture plate having two lumens for the passage of a suture thread, a ligament or an artificial tendon and two hollow tubular extensions opening onto said sutures. lights characterized in that it has two points capable of forming two curved channels in which are housed said extensions of the orthopedic plate. The invention will be better understood on reading the
description qui suit, se référant à un exemple non limitatif description which follows, referring to a nonlimiting example
de réalisation et aux figures annexées ou: - La figure 1 représente une vue de dessus d'une plaque selon l'invention; - La figure 2 représente une vue selon un plan de coupe longitudinal d'une plaque selon l'invention; La figure 3 représente une vue selon un plan de coupe transversal d'une plaque selon l'invention; - La figure 4 représente une schématique d'un of realization and in the appended figures or: - Figure 1 represents a top view of a plate according to the invention; - Figure 2 shows a view along a longitudinal section plane of a plate according to the invention; Figure 3 shows a view along a transverse sectional plane of a plate according to the invention; - Figure 4 shows a schematic of a
ancillaire selon l'invention.instrument according to the invention.
Les figures annexées illustrent un exemple non The attached figures illustrate an example not
limitatif d'une plaque selon l'invention. limiting of a plate according to the invention.
Elle est constituée par une plaque en titane (1) présentant une longueur de 19 millimètres et une largeur de 9 It consists of a titanium plate (1) with a length of 19 millimeters and a width of 9
millimètres. L'épaisseur de la plaque est de 2,0 millimètres. millimeters. The thickness of the plate is 2.0 millimeters.
Les angles de la plaque sont arrondis avec un rayon de courbure d'environ 3 millimètres. Le bord de la plaque est The angles of the plate are rounded with a radius of curvature of about 3 millimeters. The edge of the plate is
arrondi avec un rayon de courbure de 2 millimètres. rounded with a radius of curvature of 2 millimeters.
La plaque présente dans l'exemple décrit un cintre The plate in the example describes a hanger
dont le rayon est d'environ 3Omm.whose radius is about 30mm.
La plaque présente deux lumières (2, 3) oblongues, de forme sensiblement elliptique. Les bords (4, 5) de ces lumières (2, 3) sont chanfreinés à 45 sur une profondeur The plate has two oblong slots (2, 3), of substantially elliptical shape. The edges (4, 5) of these lights (2, 3) are chamfered at 45 to a depth
d'environ 0,5 millimètres.about 0.5 millimeters.
Les lumières (2, 3) sont prolongées vers le centre The lights (2, 3) are extended towards the center
par des zones chanfreinées (6, 7) oblongues longitudinales. by oblong longitudinal chamfered zones (6, 7).
L'écartement entre les centres des deux lumières The spacing between the centers of the two lights
est de 12 millimètres.is 12 millimeters.
La plaque présente sur sa face arrière deux prolongements cylindriques (10, 11) débouchant dans les lumières (2, 3). Ces prolongements sont constitués par deux éléments tubulaires creux présentant une section extérieure de The plate has on its rear face two cylindrical extensions (10, 11) opening into the slots (2, 3). These extensions consist of two hollow tubular elements having an outer section of
4 millimètres et une section intérieure de 2,5 millimètres. 4 millimeters and an interior section of 2.5 millimeters.
Ils sont inclinés de 45 par rapport au plan de la plaque (1). They are inclined by 45 relative to the plane of the plate (1).
L'extrémité de ces éléments tubulaires est chanfreinée à The end of these tubular elements is chamfered at
l'intérieur sur une longueur d'au moins 0,5 millimètre. the interior over a length of at least 0.5 millimeter.
Les éléments tubulaires sont insérés de force dans les lumières, ou maintenus par soudure ou l'ensemble de la The tubular elements are forcibly inserted into the openings, or held by welding or the whole of the
plaque est obtenu par micro fonderie. plate is obtained by micro foundry.
Ils peuvent présenter une forme tubulaire They can have a tubular shape
tronconique, avec une conicité d'environ 5 . frustoconical, with a taper of about 5.
Ils sont destinés à l'ancrage de la plaque sur l'os et au passage du ligament, qui conserve une certaine mobilité They are intended for anchoring the plate on the bone and for the passage of the ligament, which retains a certain mobility
sans risque d'érosion de la matière osseuse. without risk of erosion of bone material.
L'ancillaire est représenté en figure 4. Il présente la forme d'un manche (21) prolongé d'une tige (20) The ancillary is shown in Figure 4. It has the shape of a handle (21) extended by a rod (20)
portant deux pointes (22, 23) incurvées. carrying two curved points (22, 23).
Le chirurgien prend l'ancillaire manche vers le haut de l'épaule, pointes tournées vers l'os. Il enfonce les deux pointes (22, 23) dans l'os par un mouvement circulaire de levier. Les pointes ressortent donc vers le haut/extérieur de l'humérus. Il prend ensuite les ligaments aiguillés, dont les aiguilles présentent un rayon de courbure identique à celui des pointes (22, 23). Il passe les aiguilles et ligaments dans le même chemin fait par l'instrument, les aiguilles ressortant par l'humérus sur la partie haute extérieure. Le chirurgien The surgeon takes the ancillary sleeve up the shoulder, points facing the bone. He pushes the two points (22, 23) into the bone with a circular lever movement. The tips therefore protrude upwards / outwards from the humerus. He then takes the needle ligaments, the needles of which have a radius of curvature identical to that of the tips (22, 23). It passes the needles and ligaments in the same path made by the instrument, the needles emerging through the humerus on the upper outer part. The surgeon
peut alors suturer les muscles.can then suture the muscles.
Il passe deux fois les ligaments dans chacun des trous, une fois du bas vers le haut, et une fois du haut vers le bas. Deux brins sortent alors de chaque trou sur la partie extérieure basse de la tête humérale. Comme l'entraxe de la plaque est similaire à celui de l'instrument, et que le diamètre de chacune des pointes de l'instrument est égal à celui de l'extérieur des cylindres de la plaque, la plaque vient d'ajuster parfaitement dans les deux trous ainsi réalisés. Il passe alors deux brins dans chacun des trous de la plaque, positionne la plaque contre l'os, puis vient nouer It passes the ligaments twice through each of the holes, once from the bottom to the top, and once from the top to the bottom. Two strands then come out of each hole on the lower outer part of the humeral head. As the center distance of the plate is similar to that of the instrument, and the diameter of each of the tips of the instrument is equal to that of the outside of the cylinders of the plate, the plate has just adjusted perfectly in the two holes thus made. It then passes two strands through each of the holes in the plate, positions the plate against the bone, then ties
les ligaments sur le dessus de la plaque. the ligaments on top of the plate.
Claims (8)
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9913615A FR2800268B1 (en) | 1999-10-29 | 1999-10-29 | ORTHOPEDIC SUTURE AND ANCILLARY PLATE FOR THE PLACEMENT OF SUCH A PLATE |
PCT/FR2000/003012 WO2001030252A1 (en) | 1999-10-29 | 2000-10-27 | Suture orthopaedic plate and ancillary for setting same |
AU12837/01A AU1283701A (en) | 1999-10-29 | 2000-10-27 | Suture orthopaedic plate and ancillary for setting same |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9913615A FR2800268B1 (en) | 1999-10-29 | 1999-10-29 | ORTHOPEDIC SUTURE AND ANCILLARY PLATE FOR THE PLACEMENT OF SUCH A PLATE |
Publications (2)
Publication Number | Publication Date |
---|---|
FR2800268A1 true FR2800268A1 (en) | 2001-05-04 |
FR2800268B1 FR2800268B1 (en) | 2002-04-19 |
Family
ID=9551552
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
FR9913615A Expired - Fee Related FR2800268B1 (en) | 1999-10-29 | 1999-10-29 | ORTHOPEDIC SUTURE AND ANCILLARY PLATE FOR THE PLACEMENT OF SUCH A PLATE |
Country Status (3)
Country | Link |
---|---|
AU (1) | AU1283701A (en) |
FR (1) | FR2800268B1 (en) |
WO (1) | WO2001030252A1 (en) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
IT1321281B1 (en) * | 2000-05-30 | 2004-01-08 | Istituti Ortopedici Rizzoli | BUTTON PLATE FOR RECONSTRUCTIVE LESION-BONE SURGERY, ESPECIALLY FOR MASSIVE INJURIES OF THE HEADS |
WO2021080689A1 (en) * | 2019-10-16 | 2021-04-29 | Ponce Brent Andrew | Glenoid bone graft retention plate |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5250055A (en) | 1992-06-08 | 1993-10-05 | Orthopedic Systems Inc. | Method and apparatus for tying suture to bone |
US5366480A (en) * | 1990-12-24 | 1994-11-22 | American Cyanamid Company | Synthetic elastomeric buttressing pledget |
US5591168A (en) * | 1993-10-25 | 1997-01-07 | Tornier S.A. | Device for stabilizing fractures of the upper end of the femur |
US5634926A (en) * | 1995-04-25 | 1997-06-03 | Jobe; Richard P. | Surgical bone fixation apparatus |
US5645588A (en) * | 1993-02-11 | 1997-07-08 | Acufex Microsurgical, Inc. | Graft attachment device |
FR2747913A1 (en) * | 1996-04-25 | 1997-10-31 | Decuypere Dominique | Synthetic ligament fastener |
-
1999
- 1999-10-29 FR FR9913615A patent/FR2800268B1/en not_active Expired - Fee Related
-
2000
- 2000-10-27 AU AU12837/01A patent/AU1283701A/en not_active Abandoned
- 2000-10-27 WO PCT/FR2000/003012 patent/WO2001030252A1/en active Application Filing
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5366480A (en) * | 1990-12-24 | 1994-11-22 | American Cyanamid Company | Synthetic elastomeric buttressing pledget |
US5250055A (en) | 1992-06-08 | 1993-10-05 | Orthopedic Systems Inc. | Method and apparatus for tying suture to bone |
US5645588A (en) * | 1993-02-11 | 1997-07-08 | Acufex Microsurgical, Inc. | Graft attachment device |
US5591168A (en) * | 1993-10-25 | 1997-01-07 | Tornier S.A. | Device for stabilizing fractures of the upper end of the femur |
US5634926A (en) * | 1995-04-25 | 1997-06-03 | Jobe; Richard P. | Surgical bone fixation apparatus |
FR2747913A1 (en) * | 1996-04-25 | 1997-10-31 | Decuypere Dominique | Synthetic ligament fastener |
Also Published As
Publication number | Publication date |
---|---|
FR2800268B1 (en) | 2002-04-19 |
AU1283701A (en) | 2001-05-08 |
WO2001030252A1 (en) | 2001-05-03 |
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ST | Notification of lapse |