JP2017119194A - 骨折固定プレート - Google Patents
骨折固定プレート Download PDFInfo
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- JP2017119194A JP2017119194A JP2017075801A JP2017075801A JP2017119194A JP 2017119194 A JP2017119194 A JP 2017119194A JP 2017075801 A JP2017075801 A JP 2017075801A JP 2017075801 A JP2017075801 A JP 2017075801A JP 2017119194 A JP2017119194 A JP 2017119194A
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- fracture fixation
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- 210000000988 bone and bone Anatomy 0.000 claims abstract description 49
- 238000012800 visualization Methods 0.000 claims abstract description 5
- 210000002435 tendon Anatomy 0.000 claims description 18
- 239000012634 fragment Substances 0.000 claims description 11
- 238000004891 communication Methods 0.000 claims description 4
- 210000003275 diaphysis Anatomy 0.000 claims description 3
- 230000002123 temporal effect Effects 0.000 claims 12
- 210000003739 neck Anatomy 0.000 claims 10
- 230000001009 osteoporotic effect Effects 0.000 abstract description 4
- 238000004873 anchoring Methods 0.000 abstract 1
- 206010017076 Fracture Diseases 0.000 description 73
- 208000010392 Bone Fractures Diseases 0.000 description 70
- 210000000623 ulna Anatomy 0.000 description 23
- 238000001356 surgical procedure Methods 0.000 description 4
- 206010043248 Tendon rupture Diseases 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 230000008685 targeting Effects 0.000 description 3
- 238000005452 bending Methods 0.000 description 2
- 230000000295 complement effect Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 229910000684 Cobalt-chrome Inorganic materials 0.000 description 1
- 206010037802 Radius fracture Diseases 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 210000001188 articular cartilage Anatomy 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000010952 cobalt-chrome Substances 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000002969 morbid Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 201000004595 synovitis Diseases 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
Classifications
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- 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
- A61B17/8061—Cortical 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
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
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- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8863—Apparatus for shaping or cutting osteosynthesis equipment by medical personnel
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
-
- 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
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
-
- 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
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
- A61B17/863—Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
-
- 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
- A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
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- 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)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
Abstract
Description
以下の本発明の説明に関して、「底面」はプレートの骨接触面を指し、「上面」は対向面を指す。
Claims (15)
- 橈骨遠位端の掌側に適用される骨折固定プレートであって、
近位端および遠位端を有するとともに、長手方向の本体軸を規定する細長い本体部分を含む実質的に剛性のプレート(100)を含み、
前記プレートが骨接触面(101)および対向面(102)を含み、
前記プレートが対応する首部分(125、135)によって、前記本体部分の前記遠位端に独立して連結される尺側頭部分(120)及び橈側頭部分(130)を含み、
前記首部分の各々が対応する頭部分の最大幅部よりも狭く形成され、
前記首部分の各々は、対応する首軸(u1、r1)の周りに配置され、かつ、前記本体部分の前記遠位端から対応する頭部分に向かって遠位方向に延び、
前記頭部分の各々が、骨ファスナーを収容するように適合された複数のねじ穴(160)を含み、
前記ねじ穴の各々が骨ファスナーの軸を規定し、
前記本体部分が少なくとも1つのアンカー穴(162)を含み、
前記各首部分に対応する前記首軸の各々は、隣接する首軸から遠位方向に分岐し、
前記尺側頭部分(120)に定義された前記複数の骨ファスナーの軸(a1,a2,a3)は互いに対して傾斜しかつ非同一平面上にあり、かつ、相互に平行な平面に存在しており、
前記橈側頭部分(130)に定義された前記複数の骨ファスナーの軸(a4,a5,a6)は互いに対して傾斜しかつ非同一平面上にあり、かつ、相互に平行な平面に存在している骨折固定プレート。 - 前記尺側頭部分の前記骨接触面は凹面であって、尺側骨幹の骨折した骨片の固定に適合される請求項1に記載の骨折固定プレート。
- 前記橈側頭部分の前記骨接触面は平面であって、橈側骨幹の骨折した骨片の固定に適合される請求項1に記載の骨折固定プレート。
- 前記尺側頭部分及び橈側頭部分は、遠位橈骨の分水界線の近位において掌側に装着されるように構成される請求項1に記載の骨折固定プレート。
- 前記尺側頭部分(120)及び橈側頭部分(130)の1つ以上が、前記頭部分(120、130)に対応する前記首部分を変形させることによって、前記本体部分に対して個別に位置調節可能である請求項1に記載の骨折固定プレート。
- 前記頭部分(120、130)、首部分(125、135)および本体部分が、全体的にY字形状のプレートを構成するように配置されている請求項1に記載の骨折固定プレート。
- 前記尺側頭部分(120)は四角形状を有する請求項1に記載の骨折固定プレート。
- 前記橈側頭部分(130)は三角形状を有する請求項1に記載の骨折固定プレート。
- 前記本体部分(110)の前記骨接触面が縦方向にシリンダー状の凹面である請求項1に記載の骨折固定プレート。
- 前記アンカー穴(162)の少なくとも1つがねじ付きであり、かつ固定用ファスナーの軸を規定する請求項1に記載の骨折固定プレート。
- Kワイヤーを収容するように適合された1つ以上の穴(161)をさらに含む請求項1に記載の骨折固定プレート。
- Kワイヤーを収容するように適合された前記穴(161)の少なくとも1つが、前記頭部分(120、130)の少なくとも1つに配置されている請求項11に記載の骨折固定プレート。
- 前記頭部分の1つ以上に複数の縫合糸用穴(164)をさらに含む請求項1に記載の骨折固定プレート。
- 前記複数の縫合糸用穴(164)のうちの少なくとも2つが、前記対向面(102)上の前記縫合糸用穴間に延在する縫合糸用穴連通チャネルを通って連通している請求項13に記載の骨折固定プレート。
- 前記2つの首部分(125、135)および2つの頭部分(120、130)が、それらの間において骨折線の可視化を容易にし、腱を収容しかつ腱に当たらないように適合された間隙を規定する請求項6に記載の骨折固定プレート。
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161442595P | 2011-02-14 | 2011-02-14 | |
US61/442,595 | 2011-02-14 | ||
US201161531485P | 2011-09-06 | 2011-09-06 | |
US61/531,485 | 2011-09-06 | ||
US201161536316P | 2011-09-19 | 2011-09-19 | |
US61/536,316 | 2011-09-19 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013553478A Division JP2014512865A (ja) | 2011-02-14 | 2012-02-06 | 骨折固定プレート |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2017119194A true JP2017119194A (ja) | 2017-07-06 |
JP6317501B2 JP6317501B2 (ja) | 2018-04-25 |
Family
ID=46637484
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013553478A Pending JP2014512865A (ja) | 2011-02-14 | 2012-02-06 | 骨折固定プレート |
JP2017075801A Active JP6317501B2 (ja) | 2011-02-14 | 2017-04-06 | 骨折固定プレート |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013553478A Pending JP2014512865A (ja) | 2011-02-14 | 2012-02-06 | 骨折固定プレート |
Country Status (6)
Country | Link |
---|---|
US (2) | US8814918B2 (ja) |
EP (1) | EP2675378B1 (ja) |
JP (2) | JP2014512865A (ja) |
CA (1) | CA2864470C (ja) |
ES (1) | ES2663362T3 (ja) |
WO (1) | WO2012112327A2 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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KR20230069720A (ko) * | 2021-11-12 | 2023-05-19 | 충남대학교산학협력단 | 골 고정용 임플란트 및 이를 포함하는 골 고정장치 |
KR20230106824A (ko) * | 2022-01-07 | 2023-07-14 | 충남대학교산학협력단 | 반려동물 손목관절 고정술용 임플란트 및 이를 포함하는 골 고정장치 |
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US7951176B2 (en) | 2003-05-30 | 2011-05-31 | Synthes Usa, Llc | Bone plate |
EP1658015A1 (de) | 2003-08-26 | 2006-05-24 | Synthes GmbH | Knochenplatte |
US11259851B2 (en) | 2003-08-26 | 2022-03-01 | DePuy Synthes Products, Inc. | Bone plate |
US8574268B2 (en) | 2004-01-26 | 2013-11-05 | DePuy Synthes Product, LLC | Highly-versatile variable-angle bone plate system |
US11291484B2 (en) | 2004-01-26 | 2022-04-05 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
US10251757B2 (en) * | 2008-09-17 | 2019-04-09 | Skeletal Dynamics Llc | Grooved slot allowing adjustment of the position of a bone fixation device for osteosynthesis |
US9107713B2 (en) * | 2011-09-06 | 2015-08-18 | DePuy Synthes Products, Inc. | Pancarpal arthrodesis bone plate |
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WO2016186847A1 (en) * | 2015-05-19 | 2016-11-24 | Exsomed International IP, LLC | Distal radius plate |
US10245091B2 (en) | 2015-12-30 | 2019-04-02 | Exsomed Holding Company, Llc | Dip fusion spike screw |
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CN106175905B (zh) * | 2016-08-10 | 2019-02-15 | 唐佩福 | 一种用于复杂髋臼骨折的解剖锁定导向钢板 |
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US10624686B2 (en) | 2016-09-08 | 2020-04-21 | DePuy Synthes Products, Inc. | Variable angel bone plate |
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US11191645B2 (en) | 2017-09-05 | 2021-12-07 | ExsoMed Corporation | Small bone tapered compression screw |
US11147681B2 (en) | 2017-09-05 | 2021-10-19 | ExsoMed Corporation | Small bone angled compression screw |
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US11026727B2 (en) | 2018-03-20 | 2021-06-08 | DePuy Synthes Products, Inc. | Bone plate with form-fitting variable-angle locking hole |
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JP6317501B2 (ja) | 2018-04-25 |
US20230044584A1 (en) | 2023-02-09 |
JP2014512865A (ja) | 2014-05-29 |
CA2864470A1 (en) | 2013-08-23 |
US20120209333A1 (en) | 2012-08-16 |
WO2012112327A2 (en) | 2012-08-23 |
EP2675378A4 (en) | 2015-11-04 |
CA2864470C (en) | 2019-03-12 |
EP2675378B1 (en) | 2017-12-20 |
US8814918B2 (en) | 2014-08-26 |
WO2012112327A3 (en) | 2012-10-18 |
ES2663362T3 (es) | 2018-04-12 |
EP2675378A2 (en) | 2013-12-25 |
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