US20210298806A2 - Tibial Plateau Leveling Osteotomy Plate with Offset - Google Patents

Tibial Plateau Leveling Osteotomy Plate with Offset Download PDF

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Publication number
US20210298806A2
US20210298806A2 US17/026,931 US202017026931A US2021298806A2 US 20210298806 A2 US20210298806 A2 US 20210298806A2 US 202017026931 A US202017026931 A US 202017026931A US 2021298806 A2 US2021298806 A2 US 2021298806A2
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US
United States
Prior art keywords
plate
plane
proximal portion
apertures
offset
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.)
Pending
Application number
US17/026,931
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English (en)
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US20210085380A1 (en
Inventor
Robert Mark Daye
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Movora LLC
Original Assignee
New Generation Devices Inc
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
Application filed by New Generation Devices Inc filed Critical New Generation Devices Inc
Priority to US17/026,931 priority Critical patent/US20210298806A2/en
Assigned to NEW GENERATION DEVICES, INC. reassignment NEW GENERATION DEVICES, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: DAYE, Robert Mark
Priority to US29/771,085 priority patent/USD945623S1/en
Priority to US17/213,114 priority patent/US20210212738A1/en
Publication of US20210085380A1 publication Critical patent/US20210085380A1/en
Priority to US17/393,616 priority patent/US20210361331A1/en
Publication of US20210298806A2 publication Critical patent/US20210298806A2/en
Priority to US29/829,907 priority patent/USD1018854S1/en
Assigned to MOVORA, LLC reassignment MOVORA, LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: NEW GENERATION DEVICES, INC.
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • A61B17/15Guides therefor
    • A61B17/154Guides therefor for preparing bone for knee prosthesis
    • A61B17/157Cutting tibia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8004Cortical 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
    • A61B17/8014Cortical 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 the extension or compression force being caused by interaction of the plate hole and the screws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical 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
    • A61B17/8057Cortical 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

Definitions

  • the present disclosure relates to a tibial plateau leveling osteotomy plate (TPLO) with an offset, typically for use in veterinary surgery, with an animal, such as, but not limited to, a canine, a feline, or other quadruped animal species, both domestic and exotic.
  • TPLO tibial plateau leveling osteotomy plate
  • TPLO tibial plateau leveling osteotomy
  • Variations of anatomy can also lead to similar issues of plate offset from bone surface and angulation, even if the tibial plateau is rotated (leveled) without intentionally or unintentionally inducing translation in the mediolateral plane. Due to this unusual anatomy, an out-of-parallel plate application can result using the standard angle-stable TPLO plate.
  • the present disclosure relates to a tibial osteotomy leveling plateau (TPLO) plate with offset.
  • the TPLO plate with offset includes distal portion, an offset portion, and a proximate portion.
  • the distal portion includes attachment apertures to secure the TPLO plate with offset to the body of the tibia.
  • the proximal portion includes attachment apertures to secure the TPLO plate to an upper portion of a tibia or the osteotomized section of a tibia.
  • the offset portion connects the proximal portion and the distal portion in an offset relation.
  • the offset portion, or step or jog can be at 90° (i.e., perpendicular) or less than 90° with respect to both the distal portion and the proximal portion, such that the distal portion and the proximal portion are in parallel planes offset from each other. However, a section of the distal portion may be twisted, rotated or inclined with respect to the plane of the remaining section of the distal portion.
  • the TPLO plate typically allows mediolateral translation of the tibial plateau segment during TPLO and further typically allows the concurrent treatment of cranial cruciate ligament rupture and medial patella luxation.
  • the TPLO plate is typically adapted to patients with trumpet-shaped or markedly flared proximal tibial anatomy or to patients with profound medial buttress (without necessitating extensive buttress elevation).
  • the TPLO plate further is typically designed to facilitate TPLO plate placement parallel to the tibial long-axis and TPLO screw placement parallel to the joint surface. By providing multiple plates with different offsets, the surgeon is allowed to choose the preferred tibial plateau (tuberosity) translation or adapt to variable anatomy.
  • FIG. 1 is a perspective view of a tibial plateau leveling osteotomy plate with offset apparatus
  • FIG. 2 is a top view of the apparatus shown in FIG. 1 ;
  • FIG. 3 is a side view of the apparatus shown in FIG. 1 ;
  • FIG. 4 illustrates a side view of the apparatus of FIG. 1 implanted in a canine's leg
  • FIG. 5 illustrates a top view of the apparatus of FIG. 1 implanted in the canine's leg
  • FIG. 6 illustrates a further side view of the apparatus of FIG. 1 implanted in a canine's leg.
  • the present disclosure relates to a tibial plateau leveling osteotomy (TPLO) plate with offset for a tibial plateau leveling osteotomy.
  • the offset allows for translation of the osteotomized segment medially or laterally for alignment of the tibia, patella and quadriceps.
  • This plate can be used for an apparatus in veterinary surgery for orthopedic surgical translation of an osteotomized segment in canines, felines, and other quadruped animal species, both domestic and exotic.
  • the plate can be used to repair a torn cranial cruciate ligament while concurrently repairing a chronic pre-existing patella luxation.
  • the TPLO plate with offset allows translation of a proximal tibial segment while maintaining plate alignment parallel to a tibial long axis and screw alignment parallel a joint surface to minimize the risk of unacceptable screw impingement.
  • the TPLO with offset minimizes plate-to-bone distance to minimize a risk of screw failure, and allows a surgeon to adapt to abnormal anatomy while maintaining a plate parallel to the tibial long axis to reduce risk of complications.
  • the present disclosure relates to a tibial osteotomy leveling plateau (TPLO) plate with an offset.
  • the TPLO plate with offset includes distal portion, an offset portion, and a proximate portion.
  • the distal portion includes attachment apertures to secure the TPLO plate with offset to the body of the tibia.
  • the proximal portion includes attachment apertures to secure the TPLO plate to an upper portion of a tibia or the osteotomized section of a tibia.
  • the offset portion connects the proximal portion and the distal portion in an offset relation.
  • the offset portion can be at 90° with respect to both the distal portion and the proximal portion such that the distal portion and the proximal portion are in parallel planes offset from each other.
  • the length of the offset portion can be varied.
  • FIGS. 1-3 show the TPLO plate with offset, indicated generally at 10 .
  • FIG. 1 shows a perspective view
  • FIG. 2 shows a top view
  • FIG. 3 shows a side view of the TPLO plate 10 with offset.
  • the TPLO plate with offset 10 comprises three portions: a distal portion 20 , an offset portion 30 , and a proximal portion 40 .
  • the distal portion 20 includes one or more dual attachment apertures such as the illustrated dual-attachment apertures 22 , 26 .
  • a one single attachment aperture 24 can also be included to secure the plate 10 to the body of the tibia.
  • Apertures 22 , 24 , 26 include respective chamfered entrances 22 a, 24 a, 26 a to capture an attachment device (see elements 200 , FIGS. 4 and 6 ), and can have threaded portions 22 b, 24 b, and 26 b for locking/threaded fixation hardware.
  • dual attachment apertures 22 , 26 are formed with two axes of rotation, offset from one another, 22 c, 22 d and 24 c, 24 d, respectively, each axis of which can have threaded portions.
  • a pilot aperture 21 can be used for preliminary attachment. Any suitable type of attachment aperture can be used such as a single position aperture 24 or multiple position apertures 22 and 26 .
  • the apertures can be locking, as shown, with threading at lower portions thereof, or non-locking.
  • the apertures can also be compression apertures.
  • the attachment apertures 22 , 24 , 26 can be positioned linearly along a center or longitudinal axis of the distal portion 20 for proper attachment to a bone. However, the attachment apertures 22 , 24 , 26 can also be offset from the center axis of the distal portion 20 if desired.
  • An end 28 of the distal portion 20 can be contoured to be elevated away from the bone of the distal tibia so as not to impede tibial soft tissues. For example, a clearance of 1-2 mm may be provided.
  • the proximal portion 40 includes attachment apertures 42 , 44 , 46 , formed along the edge of proximal portion in a semi-circular configuration, which are used to secure the proximal portion 40 of the plate 10 to an upper portion of a bone, such as an osteotomized section of a tibia. Similar to attachment apertures 22 , 24 , 26 , attachment apertures 42 , 44 , 46 include respective chamfered entrances 42 a, 44 a, 46 a to capture an attachment device (see elements 200 , FIGS. 4 and 6 ), and can have threaded portions 42 b, 44 b, and 46 b for locking/threaded fixation hardware.
  • a pilot aperture 41 illustrated as configured as a hemispherical blind aperture, can be used for preliminary attachment.
  • the proximal portion 40 can take on any suitable shape, such as linear, triangular, etc. As shown in the Figures, the proximal portion 40 could have a general triangular shape with first and second bulges 52 and 56 corresponding to attachment apertures 42 and 46 , a generally straight edge 53 , leading to a curved edge 54 , around attachment aperture 44 , and an edge 55 with a scalloped indentation between attachment apertures 44 and 46 .
  • the attachment apertures 42 , 44 , 46 can be positioned in any location on the proximal portion 40 for proper attachment to an osteotomized segment of a bone.
  • attachment aperture 44 can be positioned at the apex of the plate 10 with its center being at a center plane running the length of the plate 10
  • attachment aperture 42 can be positioned towards the offset portion, flanking attachment aperture 44 .
  • An end 48 of the proximal portion 40 can be contoured to be elevated away from the bone of the distal tibia so as not to impede tibial soft tissues. For example, a clearance of 1-2 mm can be provided.
  • Each attachment aperture 42 , 44 , 46 can comprise a fully or partially rounded exterior surface. It should be understood that the proximal portion 40 can contain any number of attachment apertures, such as two or more.
  • Each of the attachment apertures 22 , 24 , 26 , 42 , 44 , 46 can be designed to receive a fastener, such as a bolt, a screw, or any other applicable fastening device (see element 200 , FIGS. 4 and 6 ) Accordingly, these apertures can be threaded, tapered, rounded, etc. In the case of the dual attachment apertures 22 , 26 , these apertures can have multiple locations (e.g., apertures) for receiving a fastener, such as a screw.
  • Each of the attachment apertures 22 , 24 , 26 , 42 , 44 , 46 can be aligned and extend through the front and back of generally planar faces.
  • the diameter of the attachment apertures 22 , 24 , 26 , 42 , 44 , 46 can vary such that they can accept appropriate sized screw, or other fastener.
  • the attachment apertures 22 , 24 , 26 , 42 , 44 , 46 could be 3.5 mm in diameter, to allow for the placement of a 3.5 mm cortical bone screw.
  • These apertures can be sized to have a sufficient diameter such that the head of the screw, such as a 3 5 mm cortical screw, fits flush with the distal and proximal portions 20 and 40 .
  • Other sized bone screws, such as 2.0 mm, 2.7 mm, or 3.5 mm cortical bone screws can also be used, and the apertures could be sized accordingly to the given application.
  • the apertures 22 , 24 , 26 , 42 , 44 , 46 can have a round or oblong profile to act as compression type holes.
  • the overlapping holes include angled surfaces that create a compression effect as the TPLO plate 10 is attached to the bone 100 , such that while the plate 10 is connected to a bone 100 via screws 200 mounted through the apertures a compressive force is imparted to the bone sections which causes the bone sections to move towards the center of the plate 10 .
  • the apertures 22 , 24 , 26 , 42 , 44 , 46 are shown with locking screw holes are threaded and designed to work with different designs of locking screws 200 .
  • Locking screws 200 thread into the plate 10 as well as into the bone 100 .
  • the offset portion 30 links the distal portion 20 and the proximal portion 40 such that the proximal portion 40 is situated on a plane offset from the distal portion 20 but generally parallel thereto.
  • the offset portion 30 can be oriented at angle A of 90° with respect to the distal and proximal portions 20 and 40 , and this angle can be varied if desired. Accordingly, there is a first angle between the distal portion 20 and the offset portion 30 , and a second angle between the offset portion 30 and the proximal portion 40 .
  • the offset portion 30 is generally perpendicular to the distal and proximal portions 20 and 40 .
  • the angle of the offset portion 30 could be less than perpendicular to facilitate manufacturing by stamping.
  • the length of the offset portion 30 can be varied as suitable to the given application.
  • a 3.5 mm plate can be designed with different offsets to allow for a range of accommodations. Any amount of offset could be engineered into the TPLO plate 10 , such as a range of, for example, between 3 mm and 10 mm or more or less.
  • the proximal portion 40 may optionally include a bend 63 thereby causing an angle or curvature 64 (see FIG.
  • proximal portion 40 has a twist or a bend 63 to better attach to a osteotomized section of bone and further causing a portion of the proximal portion 40 to be on a plane which is twisted, rotated or inclined with respect to the plane of the remaining portion of the proximal portion 40 .
  • This twist, rotation or inclination is illustrated by a rotation C about axis B, or an inclination of axis B as indicated by arrow D in FIG. 3 .
  • the proximal portion can be angled or turned about a long axis of the plate 10 so that a contact face of the proximal portion 40 is at an angle with respect to a contact face of the distal portion 20 .
  • proximal portion 40 immediately adjacent to offset portion 30 is in a plane parallel with that of distal portion 20 .
  • Other embodiments may include a proximal portion 40 which is entirely in a plane parallel to that of distal portion 20 .
  • the lower surface of distal portion 20 can include undercuts 70 , 72 (some embodiments includes similar undercuts on the opposite unillustrated side of distal portion 20 ).
  • the TPLO plate 10 with offset can be formed from any number of biocompatible, implantable materials. These materials include, but are not limited to, 316 stainless steel, titanium, or ultra-high-molecular-weight polyethylene. Exposed edges of the plate 10 can be rounded and smooth. The length of the plate 10 can vary with the size of the patient. Similarly, the thickness of the plate 10 can vary with the size of the patient.
  • FIGS. 4, 5 and 6 illustrate the TPLO plate with offset 10 affixed to a canine's leg bone 100 and attached by attachment elements 200 .
  • FIGS. 4 and 6 illustrate a side view of the TPLO plate 10 with offset affixed to the canine's leg.
  • the distal end 20 of the plate 10 is secured to the body of the canine's tibia.
  • the proximal end 40 of the plate 10 is secured to an osteotomized section of the canine's tibia.
  • FIG. 5 illustrates a top view of the TPLO plate with offset 10 affixed to the canine's leg.

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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)
  • 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)
US17/026,931 2019-09-20 2020-09-21 Tibial Plateau Leveling Osteotomy Plate with Offset Pending US20210298806A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
US17/026,931 US20210298806A2 (en) 2019-09-20 2020-09-21 Tibial Plateau Leveling Osteotomy Plate with Offset
US29/771,085 USD945623S1 (en) 2019-09-20 2021-02-19 Tibial plate
US17/213,114 US20210212738A1 (en) 2019-09-20 2021-03-25 Tibial Plateau Leveling Osteotomy Plate with Offset
US17/393,616 US20210361331A1 (en) 2019-09-20 2021-08-04 Tibial Plateau Leveling Osteotomy Plate with Offset
US29/829,907 USD1018854S1 (en) 2020-09-21 2022-03-08 Tibial plate

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201962903110P 2019-09-20 2019-09-20
US17/026,931 US20210298806A2 (en) 2019-09-20 2020-09-21 Tibial Plateau Leveling Osteotomy Plate with Offset

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US29/771,085 Continuation USD945623S1 (en) 2019-09-20 2021-02-19 Tibial plate
US17/213,114 Continuation-In-Part US20210212738A1 (en) 2019-09-20 2021-03-25 Tibial Plateau Leveling Osteotomy Plate with Offset

Publications (2)

Publication Number Publication Date
US20210085380A1 US20210085380A1 (en) 2021-03-25
US20210298806A2 true US20210298806A2 (en) 2021-09-30

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Application Number Title Priority Date Filing Date
US17/026,931 Pending US20210298806A2 (en) 2019-09-20 2020-09-21 Tibial Plateau Leveling Osteotomy Plate with Offset

Country Status (5)

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US (1) US20210298806A2 (fr)
EP (1) EP4031039A4 (fr)
AU (1) AU2020351246A1 (fr)
CA (1) CA3155188A1 (fr)
WO (1) WO2021055932A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD1018854S1 (en) 2020-09-21 2024-03-19 Movora, Llc Tibial plate

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD945623S1 (en) * 2019-09-20 2022-03-08 New Generation Devices, Inc. Tibial plate

Family Cites Families (9)

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Publication number Priority date Publication date Assignee Title
WO2006091827A2 (fr) * 2005-02-25 2006-08-31 Regents Of The University Of California Dispositif et gabarit pour osteotomie de lame humerale canine
US8523921B2 (en) * 2006-02-24 2013-09-03 DePuy Synthes Products, LLC Tibial plateau leveling osteotomy plate
US8317842B2 (en) * 2007-11-30 2012-11-27 Biomet C.V. Distal tibia plating system
US8262707B2 (en) 2008-07-31 2012-09-11 Biomet C.V. Periarticular bone plate with biplanar offset head member
KR20150032287A (ko) 2012-06-14 2015-03-25 신세스 게엠바하 경골 결절 전진과 관련된 임플란트/시술
US9980760B2 (en) 2014-11-19 2018-05-29 Paragon 28, Inc. Step off bone plates, systems, and methods of use
US10258396B2 (en) * 2015-04-21 2019-04-16 Mwi Veterinary Supply Co. TPLO bone plate
CN106037914A (zh) * 2016-08-12 2016-10-26 朱文川 一种可降解可显影胫骨近端后外方锁定内固定装置
CN107928774B (zh) 2017-12-06 2024-05-28 上海凯利泰医疗科技股份有限公司 一种胫骨近端外侧锁定板

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD1018854S1 (en) 2020-09-21 2024-03-19 Movora, Llc Tibial plate

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Publication number Publication date
EP4031039A1 (fr) 2022-07-27
AU2020351246A1 (en) 2022-04-14
US20210085380A1 (en) 2021-03-25
WO2021055932A1 (fr) 2021-03-25
EP4031039A4 (fr) 2023-10-25
CA3155188A1 (fr) 2021-03-25

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