JP2022099392A5 - - Google Patents

Claims (18)

A fracture fixation system comprising:
a plate having a hole extending laterally through the plate, the laterally extending hole configured to receive the first wire when the plate is placed against the bone; When,
said plate having a recess for receiving and securing a first end of a first wire;
the plate includes an entry hole and an exit hole at opposite ends of a first hole allowing the first wire to pass through the plate;
and a screw for capturing said first wire within said first hole to maintain a desired tension on said first wire. The first hole is the first of a plurality of laterally extending holes through the plate, and the first wire is for connecting the plate to bone for retaining bone. 2. The system of claim 1, wherein the first wire of a plurality of wires passing through the plurality of holes. A second plate positioned opposite the bone such that the first wire can pass through such that when the first wire is tightened, the first plate and the second plate are secured to the bone. 2. The system of claim 1, further comprising a second plate having a second hole configured to . 3. The system of claim 1, further comprising a fastener configured to tension the first wire. The fastener includes a post configured to be received in the post hole of the plate and a cross hole configured to allow a first wire to pass therethrough; 5. The system of claim 4, adapted to be rotatable within the post hole for tightening about the fastener. 6. The system of claim 5, wherein the fastener includes a lower end and a drive end that are threadable together, the drive end being threaded into a cavity in the lower end. . 7. The system of claim 6, wherein the lower end comprises a hole entrance and a hole exit bounding the cross hole. a nest between the lower end and the drive end to retain the first wire within the cross hole and prevent movement of the first wire within the cross hole; 8. The system of claim 7, comprising: 9. The system of claim 8, wherein the nest provides a clamping linear force on the first wire when the lower end is threadedly engaged with the drive end. The plate comprises a first portion with the plurality of laterally extending holes and a second portion with a plurality of openings for receiving a plurality of screws for connecting the plate to bone. 2. The system of claim 1, wherein a A fastening fixation method comprising:
aligning the opposing portions of the fractured bone for bone reduction;
placing a plate over the fractured bone;
attaching a first end of a wire to the plate and wrapping the wire around the bone;
threading a wire through the holes in the plate from the entry hole to the exit hole;
tightening the wire to apply tension to the bone;
and securing the second end of the wire to the plate. said hole being the first of a plurality of laterally extending holes passing through said plate, and connecting ends of a plurality of other wires to said plate; 12. The method of claim 11, further comprising passing through a plurality of laterally extending holes and connecting opposite ends of the plurality of other wires to the plate for bone fixation. Attaching the first end of the wire includes inserting the first wire into a recess in the plate, and connecting the second end includes using screws to connect the second end to the plate. 12. The method of claim 11, comprising connecting to a plate. The tightening step includes passing the wire through cross holes in a fastener having ends received in post holes of the plate and rotating the fastener to tension the wire. 12. The method of claim 11. 15. The fastener of claim 14, wherein the fastener comprises a lower end and a drive end which are threadably engageable with each other such that the drive end is threaded into a cavity in the lower end. Method. The fastener has a nest between the lower end and the drive end, and the lower end and the drive end are nested to prevent movement of the first wire within the cross hole. 16. The method of claim 15, further comprising engaging the drive end with the lower end to retain the wire in nesting therebetween. 12. The method of claim 11, wherein winding the wire around the bone includes passing the wire through a second hole in a second plate on the opposite side of the bone from the plate. 12. The method of claim 11, further comprising securing a plate to bone with screws through openings in the plate.