JP5426376B2 - 骨固定システムおよび使用方法 - Google Patents
骨固定システムおよび使用方法 Download PDFInfo
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- JP5426376B2 JP5426376B2 JP2009523013A JP2009523013A JP5426376B2 JP 5426376 B2 JP5426376 B2 JP 5426376B2 JP 2009523013 A JP2009523013 A JP 2009523013A JP 2009523013 A JP2009523013 A JP 2009523013A JP 5426376 B2 JP5426376 B2 JP 5426376B2
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- bone
- instrument
- fastener
- bone fastener
- elongate element
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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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7241—Intramedullary pins, nails or other devices with special means of locking the nail to the bone the nail having separate elements through which screws pass
-
- 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
- A61B17/683—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
-
- 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
-
- 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
- A61B17/725—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with locking pins or screws of special form
-
- 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
- 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
- A61B2017/681—Alignment, compression, or distraction mechanisms
Description
前記骨髄内ロッド30は骨螺子33によって適所に固定される。一旦適所に固定されると前記骨髄内ロッド30は前記断片24を整列しかつ安定化するのに役に立つ。
また、領域52は前記骨12の前記骨髄内管18に位置しながら前記骨係合位置にまで移動してもよい。そのような方法を用いることで、前記骨係合表面53は前記骨髄内管18を取り巻く前記皮質の骨物質上の表面と係合する。
Claims (14)
- 貫通して延びる少なくとも3つの横方向の孔を有し腓骨の骨髄内管内で受け止められるように配置された細長部材と、
前記少なくとも3つの横方向の孔の第1のものを通って延び前記腓骨の第1の部分と係合するように配置された第1の骨螺子と、
前記少なくとも3つの横方向の孔の第2のものを通って延び前記腓骨の第2の部分と係合するように配置された第2の骨螺子と、
少なくとも3つの横方向に延びる前記孔の第3のものおよび前記少なくとも3つの横方向に延びる孔の前記第3のものと一直線に並んだ前記腓骨および隣接する脛骨を貫通して延びる通路を通って延びるように配置した可撓性のある細長要素と、
第1の骨用留め具と、
第2の骨用留め具とを有し、
前記第1の骨用留め具は、第1の骨係合表面を有し、かつ該第1の骨用留め具を前記可撓性のある細長要素の第1の部分と作用して結合するための第1の結合構造を有し、
前記第1の骨用留め具は前記可撓性のある細長要素の前記第1の部分を前記脛骨の外部表面に固定するように配置され、
前記第2の骨用留め具は、第2の骨係合表面および前記可撓性のある細長要素の第2の部分を受け止めるために貫通して延びる孔をもった突起を有し、かつ該第2の骨用留め具を前記細長要素の前記第2の部分と作用して結合するための第2の結合構造を有し、
前記第2の骨用留め具は、前記可撓性のある細長要素の張力によって前記腓骨と脛骨との間の動きが制限されるように前記第2の骨用留め具の前記突起を前記腓骨の前記外部表面に係合することによる張力の下で、前記腓骨の外部表面に前記可撓性のある細長要素の前記第2の部分を、固定するように配置された器具。 - 前記第2の骨係合表面は凹面である請求項1に記載の器具。
- 前記第2の骨係合表面は外部の骨表面に略一致するように形成された請求項2に記載の器具。
- 前記第2の骨係合表面は前記腓骨の前記外部表面に略一致するように形成された請求項2に記載の器具。
- 前記第1の骨係合表面は平坦である請求項4に記載の器具。
- 前記可撓性のある細長要素は円柱状である請求項1に記載の器具。
- 前記可撓性のある細長要素はその長手方向に沿って一定の直径を有する請求項6に記載の器具。
- 前記第1の結合構造は、前記可撓性のある細長要素の前記第1の部分に圧着されて配置された第1のフェルールを有する請求項1に記載の器具。
- 前記第2の結合構造は、前記可撓性のある細長要素の前記第2の部分に圧着されて配置された第2のフェルールを有する請求項1に記載の器具。
- 前記第1および第2の骨係合表面が略相互に向き合い、かつ前記突起が前記第1の骨用留め具に向かって延びるように配置され、
前記第1の結合構造の前記第1のフェルールは、前記第1の骨用留め具での前記第2の骨用留め具から遠い側で前記可撓性のある細長要素の前記第1の部分に圧着され、
前記第2の結合構造の前記第2のフェルールは、前記第2の骨用留め具での前記第1の骨用留め具から遠い側で前記可撓性のある細長要素の前記第2の部分に圧着された請求項9に記載の器具。 - 前記突起は、前記第2の骨用留め具の中央部分に対して偏心した位置に位置する請求項1に記載の器具。
- 前記突起は、前記第2の骨用留め具の中央部分に位置した請求項1に記載の器具。
- 前記突起は、前記可撓性のある細長部材の前記第3の孔に少なくとも部分的に延びるように設けられた請求項1に記載の器具。
- 前記第2の骨係合表面が湾曲して前記第2の骨係合表面の第1の部分が第1の方向にある前記腓骨上に力を及ぼし、前記第2の骨係合表面の第2の部分は、前記第1の方向に関しある角度の第2の方向に前記腓骨上にある力を及ぼす請求項1に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/461,502 | 2006-08-01 | ||
US11/461,502 US7963966B2 (en) | 2000-06-06 | 2006-08-01 | Bone fixation system and method of use |
PCT/US2007/074832 WO2008016910A2 (en) | 2006-08-01 | 2007-07-31 | Bone fixation system and method of use |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2013245864A Division JP2014113483A (ja) | 2006-08-01 | 2013-11-28 | 骨固定システムおよび使用方法 |
Publications (2)
Publication Number | Publication Date |
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JP2009545404A JP2009545404A (ja) | 2009-12-24 |
JP5426376B2 true JP5426376B2 (ja) | 2014-02-26 |
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JP2009523013A Expired - Fee Related JP5426376B2 (ja) | 2006-08-01 | 2007-07-31 | 骨固定システムおよび使用方法 |
JP2013245864A Pending JP2014113483A (ja) | 2006-08-01 | 2013-11-28 | 骨固定システムおよび使用方法 |
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JP2013245864A Pending JP2014113483A (ja) | 2006-08-01 | 2013-11-28 | 骨固定システムおよび使用方法 |
Country Status (4)
Country | Link |
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US (3) | US7963966B2 (ja) |
EP (3) | EP2046213B1 (ja) |
JP (2) | JP5426376B2 (ja) |
WO (1) | WO2008016910A2 (ja) |
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US20150342651A1 (en) | 2015-12-03 |
JP2014113483A (ja) | 2014-06-26 |
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WO2008016910A2 (en) | 2008-02-07 |
US9839455B2 (en) | 2017-12-12 |
WO2008016910A3 (en) | 2008-09-25 |
JP2009545404A (ja) | 2009-12-24 |
EP2046213A2 (en) | 2009-04-15 |
EP2792324B1 (en) | 2019-04-24 |
EP2046213B1 (en) | 2014-06-25 |
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