IN2015DN01971A - - Google Patents

Info

Publication number
IN2015DN01971A
IN2015DN01971A IN1971DEN2015A IN2015DN01971A IN 2015DN01971 A IN2015DN01971 A IN 2015DN01971A IN 1971DEN2015 A IN1971DEN2015 A IN 1971DEN2015A IN 2015DN01971 A IN2015DN01971 A IN 2015DN01971A
Authority
IN
India
Prior art keywords
bone
wire
aperture
defines
receiving
Prior art date
Application number
Other languages
English (en)
Inventor
Andreas Appenzeller
Daniel Fluri
Original Assignee
Synthes Gmbh
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
Priority claimed from US13/832,518 external-priority patent/US10004603B2/en
Application filed by Synthes Gmbh filed Critical Synthes Gmbh
Publication of IN2015DN01971A publication Critical patent/IN2015DN01971A/en

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
    • A61B17/68—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
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7208—Flexible pins, e.g. ENDER pins
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7283—Intramedullary pins, nails or other devices with special cross-section of the nail
    • 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
    • A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
    • 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
    • A61B17/8085—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with pliable or malleable elements or having a mesh-like structure, e.g. small strips
    • 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
    • A61B17/56—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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7291—Intramedullary pins, nails or other devices for small bones, e.g. in the foot, ankle, hand or wrist
    • 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
    • A61B2017/8655—Pins or screws or threaded wires; nuts therefor with special features for locking in the bone

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)
  • Prostheses (AREA)
IN1971DEN2015 2012-08-23 2013-08-23 IN2015DN01971A (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201261692673P 2012-08-23 2012-08-23
US201261710830P 2012-10-08 2012-10-08
US201361786937P 2013-03-15 2013-03-15
US13/832,518 US10004603B2 (en) 2012-08-23 2013-03-15 Bone implant
PCT/US2013/056367 WO2014031947A1 (en) 2012-08-23 2013-08-23 Bone implant

Publications (1)

Publication Number Publication Date
IN2015DN01971A true IN2015DN01971A (ja) 2015-08-14

Family

ID=50148671

Family Applications (1)

Application Number Title Priority Date Filing Date
IN1971DEN2015 IN2015DN01971A (ja) 2012-08-23 2013-08-23

Country Status (12)

Country Link
US (1) US9510876B2 (ja)
EP (2) EP2887896B1 (ja)
JP (1) JP6367198B2 (ja)
KR (1) KR102190536B1 (ja)
CN (2) CN108158643A (ja)
BR (1) BR112015003806B1 (ja)
CA (1) CA2882633C (ja)
CO (1) CO7270462A2 (ja)
IN (1) IN2015DN01971A (ja)
RU (1) RU2641858C2 (ja)
TW (2) TWI589264B (ja)
WO (2) WO2014031947A1 (ja)

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2884406B1 (fr) 2005-04-14 2008-10-17 Memometal Technologies Soc Par Dispositif d'osteosynthese intramedullaire de deux parties d'os, notamment de la main et/ou du pied
FR2935601B1 (fr) 2008-09-09 2010-10-01 Memometal Technologies Implant intramedullaire resorbable entre deux os ou deux fragments osseux
US9554836B2 (en) * 2012-06-29 2017-01-31 The Cleveland Clinic Foundation Intramedullary bone stent
US9452005B2 (en) 2012-08-23 2016-09-27 DePuy Synthes Products, Inc. Bone fixation system
US10004603B2 (en) 2012-08-23 2018-06-26 DePuy Synthes Products, Inc. Bone implant
US10485595B2 (en) 2015-07-13 2019-11-26 IntraFuse, LLC Flexible bone screw
US10136929B2 (en) 2015-07-13 2018-11-27 IntraFuse, LLC Flexible bone implant
US10499960B2 (en) 2015-07-13 2019-12-10 IntraFuse, LLC Method of bone fixation
US10154863B2 (en) 2015-07-13 2018-12-18 IntraFuse, LLC Flexible bone screw
US10470807B2 (en) 2016-06-03 2019-11-12 Stryker European Holdings I, Llc Intramedullary implant and method of use
CA3039081A1 (en) * 2016-10-06 2018-04-12 Ao Technology Ag Device for correcting unbalanced growth plate activity and for orthodontic applications
CN109620378B (zh) * 2018-12-27 2021-12-24 创美得医疗器械（天津）有限公司 植入物的定位结构
CN109620377B (zh) * 2018-12-27 2021-12-24 创美得医疗器械（天津）有限公司 植入物的固定装置
CN115087405A (zh) * 2020-01-20 2022-09-20 泰姆得公司 用于保持骨碎片相对于另一骨部分的位置的方法和装置
US20230149059A1 (en) * 2021-11-12 2023-05-18 Conventus Orthopaedics, Inc. Flexible intramedullary nail

Family Cites Families (53)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AT366254B (de) * 1979-12-14 1982-03-25 Ender Josef Instrumentarium zur reposition und fixation von per- und subtrochanteren frakturen sowie einen teil dieses instrumentariums bildendes einsatzstueck
IT1132843B (it) * 1980-09-15 1986-07-09 Cise Spa Placca per giunzioni di porzioni d'osso separate da frattura
RO89820B1 (ro) 1985-11-05 2002-06-28 îNTREPRINDEREA INDUSTRIA TEHNICO MEDICALA Implanturi elastice, pentru osteosinteza elastica stabila, a fracturilor femurului si, respectiv, tibiei, precum si instrumentar de lucru
SU1367961A1 (ru) * 1986-08-27 1988-01-23 В.В.Сердюк, А.А.Юрков и А.И.Попов Устройство дл остеосинтеза
US5281225A (en) 1989-06-07 1994-01-25 Guglielmo Vicenzi Intramedullary pin with self-locking end for metadiaphyseal fractures of long bones
US5324307A (en) * 1990-07-06 1994-06-28 American Cyanamid Company Polymeric surgical staple
FR2722545B1 (fr) 1994-07-18 1996-09-27 Advanced Technical Fabrication Agrafe a ondulations
FR2728155B1 (fr) 1994-12-20 1998-06-19 Foliguet Jean Marc Bernard Epingle monobloc elastique a deux branches pour l'osteosynthese
EP0873718A3 (en) 1995-04-28 1998-11-04 Gazzani, Romolo Igino Devices for osteosynthesis
US5913896A (en) * 1995-11-28 1999-06-22 Medtronic, Inc. Interwoven dual sinusoidal helix stent
AT937U3 (de) * 1996-03-26 1996-12-27 Stoffella Rudolf Dr Implantat zur fixierung einer osteotomie
US5725532A (en) * 1996-09-10 1998-03-10 Shoemaker; Steven Integrated surgical reduction clamp and drill guide
US5766176A (en) * 1996-09-11 1998-06-16 Walter Lorenz Surgical, Inc. Formable mesh
GB9701994D0 (en) 1997-01-31 1997-03-19 Surgical Technology Uk Limited Surgical fixation peg
IT1292085B1 (it) 1997-06-05 1999-01-25 Bartolomei Claudio Di Dispositivo per la sintesi endomidollare elastica delle fratture di ossa
CA2341553A1 (en) 1998-08-25 1998-10-15 Medartis Ag Osteosynthetic fixation device
US6436099B1 (en) * 1999-04-23 2002-08-20 Sdgi Holdings, Inc. Adjustable spinal tether
DE50013117D1 (de) 1999-08-30 2006-08-17 Zimmer Gmbh Marknagel für den Humerus
US7695502B2 (en) 2000-02-01 2010-04-13 Depuy Products, Inc. Bone stabilization system including plate having fixed-angle holes together with unidirectional locking screws and surgeon-directed locking screws
US20040236170A1 (en) * 2000-11-15 2004-11-25 Ducksoo Kim Method for surgically joining a ventricular assist device to the cardiovascular system of a living subject using a piercing introducer assembly
US7811286B2 (en) 2001-02-12 2010-10-12 Robert J. Medoff Implant device for applying compression across a fracture site
US20030153918A1 (en) * 2002-02-14 2003-08-14 Putnam Matthew D. Volar fixation plate
US20050101961A1 (en) 2003-11-12 2005-05-12 Huebner Randall J. Bone screws
US7179260B2 (en) 2003-09-29 2007-02-20 Smith & Nephew, Inc. Bone plates and bone plate assemblies
EP1567071B1 (en) * 2002-11-19 2012-05-30 Acumed LLC Adjustable bone plates
RU2245685C2 (ru) * 2003-02-03 2005-02-10 Клепиков Сергей Александрович Устройство для компрессионного остеосинтеза
US7776076B2 (en) 2004-05-11 2010-08-17 Synthes Usa, Llc Bone plate
ES2348987T3 (es) 2003-08-26 2010-12-21 Synthes Gmbh Placa para hueso.
US20050137604A1 (en) * 2003-10-23 2005-06-23 Assell Robert L. Method and apparatus for introducing material along an access path to a treatment site
RU2253395C1 (ru) * 2003-11-26 2005-06-10 Ковалёв Пётр Владимирович Способ оперативного лечения переломов проксимального отдела плечевой кости
US20050136764A1 (en) * 2003-12-18 2005-06-23 Sherman Michael C. Designed composite degradation for spinal implants
US8979846B2 (en) 2004-04-12 2015-03-17 Navin N Thakkar Flexible nail assembly for fractures of long bones
US20060058796A1 (en) * 2004-09-14 2006-03-16 Hartdegen Vernon R Compression brace
CN1306911C (zh) * 2004-12-30 2007-03-28 潘滔 记忆合金自锁式箍环
SE528331C2 (sv) * 2005-04-08 2006-10-24 Eulogic Ab Kirurgiskt stift
US7931681B2 (en) 2005-04-14 2011-04-26 Warsaw Orthopedic, Inc. Anti-backout mechanism for an implant fastener
US20060276793A1 (en) 2005-05-26 2006-12-07 Amedica Corporation Bone fixation plate with self-locking screws
DE202005019277U1 (de) * 2005-10-14 2006-02-02 Stryker Leibinger Gmbh & Co. Kg Knochenplatte mit wenigstens zwei Langlöchern und Knochenplattensystem
US8444682B2 (en) * 2006-09-13 2013-05-21 The University Of Hong Kong Shape memory locking device for orthopedic implants
US8398690B2 (en) 2007-02-07 2013-03-19 Apex Biomedical Company, Llc Rotationally asymmetric bone screw
US8128626B2 (en) * 2007-04-24 2012-03-06 Flexfix, Llc System and method for delivery conformation and removal of intramedullary bone fixation devices
CA2732648C (en) * 2008-08-01 2017-07-18 Skeletal Dynamics, Llc Internal joint stabilizer device, system and method of use
US20110009912A1 (en) 2008-08-07 2011-01-13 Eduardo Gonzalez-Hernandez Fixed angle dual prong pin fixation system
CN102458284B (zh) 2009-05-15 2016-01-27 史密夫和内修有限公司 多轴紧固件系统和方法
WO2011130606A2 (en) 2010-04-15 2011-10-20 Hay J Scott Pre-stressed spinal stabilization system
US20120004690A1 (en) * 2010-06-25 2012-01-05 Eduardo Gonzalez-Hernandez Screw fixation system
EP2618758A1 (en) * 2010-09-20 2013-07-31 Synthes GmbH Method for joining two or more segments of a surgical implant
KR101964030B1 (ko) * 2010-10-27 2019-04-02 신세스 게엠바하 뼈 임플란트
EP2667809B1 (en) 2011-01-25 2015-11-04 Synthes GmbH Expandable bone fixation implant
TWI536952B (zh) 2011-06-27 2016-06-11 陳瑾惠 現場可變形迷你骨板及其變形方法
US9433452B2 (en) * 2012-08-03 2016-09-06 Nextremity Solutions, Llc Bone fixation device and method
US9452005B2 (en) 2012-08-23 2016-09-27 DePuy Synthes Products, Inc. Bone fixation system
US10004603B2 (en) 2012-08-23 2018-06-26 DePuy Synthes Products, Inc. Bone implant

Also Published As

Publication number Publication date
RU2641858C2 (ru) 2018-01-22
CN104736082A (zh) 2015-06-24
CN108158643A (zh) 2018-06-15
TWI589264B (zh) 2017-07-01
BR112015003806B1 (pt) 2021-02-23
CA2882633A1 (en) 2014-02-27
WO2014031947A1 (en) 2014-02-27
KR102190536B1 (ko) 2020-12-16
JP6367198B2 (ja) 2018-08-01
WO2014031951A1 (en) 2014-02-27
US9510876B2 (en) 2016-12-06
TW201412282A (zh) 2014-04-01
EP2887893B1 (en) 2017-08-09
BR112015003806A2 (pt) 2017-07-04
TWI630900B (zh) 2018-08-01
RU2015109944A (ru) 2016-10-10
US20140058391A1 (en) 2014-02-27
CO7270462A2 (es) 2015-05-19
TW201424675A (zh) 2014-07-01
KR20150048164A (ko) 2015-05-06
JP2015526205A (ja) 2015-09-10
EP2887896B1 (en) 2017-04-19
CN104736082B (zh) 2018-03-30
EP2887893A1 (en) 2015-07-01
EP2887896A1 (en) 2015-07-01
CA2882633C (en) 2020-07-21

Similar Documents

Publication Publication Date Title
IN2015DN01971A (ja)
GB2532721B (en) Bone fixation plate
EP3622905C0 (en) FEATURES TO RESTRICT USE FOR SURGICAL INSTRUMENT
EP3148459A4 (en) Lateral mass fixation implant
IL243599A0 (en) surgical implant
IL240398A0 (en) surgical implant
IL240349A0 (en) surgical implant
ZA201603812B (en) Bone filler implanting system
EP2852342A4 (en) BONE FASTENING DEVICE
IL240534A0 (en) surgical implant
PT3079612T (pt) Sistema de fixação de anca compatível à base de hastes
IN2014DN08676A (ja)
HUE036355T2 (hu) Csonttörések kezelésére szolgáló külsõ rögzítõszerkezet
EP2978387A4 (en) DENTAL IMPLANT POSITIONING SYSTEM
HK1219907A1 (zh) 來自非哺乳動物組織的脫細胞化的生物材料
EP2811928A4 (en) BONE CENTER FOR ELASTIC OSTEOSYNTHESIS
IN2014KN02620A (ja)
MX340259B (es) Formulaciones de testosterona.
EP2964135A4 (en) INTRA-BONE DENTAL IMPLANT SUPPORT MECHANISM
EP2988685A4 (en) SPINAL STABILIZED FASTENING DEVICE
EP2967888A4 (en) FIXING BONE IMPLANTS
GB201403946D0 (en) Components for bone fixation devices
EP3242636A4 (en) Fixation mechanism for an implant
SI3021784T1 (sl) Povezovalna naprava za zobne vsadke
PT3148461T (pt) Dispositivo de fixação para fraturas ósseas