WO1992007526A1 - Appareil de fixation osseuse externe - Google Patents

Appareil de fixation osseuse externe Download PDF

Info

Publication number
WO1992007526A1
WO1992007526A1 PCT/US1990/006225 US9006225W WO9207526A1 WO 1992007526 A1 WO1992007526 A1 WO 1992007526A1 US 9006225 W US9006225 W US 9006225W WO 9207526 A1 WO9207526 A1 WO 9207526A1
Authority
WO
WIPO (PCT)
Prior art keywords
members
bone
arched
straight
connect
Prior art date
Application number
PCT/US1990/006225
Other languages
English (en)
Inventor
Igor Klimov
Original Assignee
Igor Klimov
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 Igor Klimov filed Critical Igor Klimov
Priority to PCT/US1990/006225 priority Critical patent/WO1992007526A1/fr
Publication of WO1992007526A1 publication Critical patent/WO1992007526A1/fr

Links

Classifications

    • 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/62Ring frames, i.e. devices extending around the bones to be positioned

Definitions

  • This invention relates to means and methods of correcting bone deformation and, more particularly, to such means using external fixation.
  • the proposed device is designed for use in traumatology and orthopedy in changing the shape of deformed bones; in lengthening the bones and in causing new growth of bone, skin, nerve tissue, blood vessels in deficient limbs, treatment of pseudo-arthrosis and osteomelitis, flesh fractures, open ultisplintered fractures with vast damage to bone and soft tissue.
  • the device has no contra-indications in treatment of adults and, especially, of children.
  • Bone fixators wires and pins can only be immovably connected on the rings. There can be -4 to 8 rings in the device which can bring the weight of the device to 10-1*4 lbs.
  • Ilizarov 197*4 is heavy (10-1 ⁇ 4 lbs), employs many details of various shapes and purposes, and is complicated in usage.
  • the proposed apparatus is multi-purpose and based on a new concept-moving connection between ring and tension rod.
  • Applicant introduced for the first time threaded arched member; and connectors with a measurable dosage of movement by means of nuts on circular and straight members.
  • Wires and pins has a measurable dosage of movement.
  • the present invention permits full accurate mechanical adjustment of rotation is 36 ⁇ degrees which is an improvement over Ilizarov which requires manual adjustment of rotation.
  • Device is simultaneously doing reposition, rotation and lengthening of the bone.
  • the invention provides means and methods of correcting bone deformation comprising arched members adapted to encircle a fractured body member, straight members are adapted to connect to arched members, bone contacting members, means to connect straight members to arched members and means to connect bone contacting members to arched and straight members.
  • a principal object of the invention is to provide new and improved means and methods for correcting bone fractures.
  • Another object of the invention is to provide new and improved means, and methods for correcting bone deformation comprising apparatus wherein arched members are threaded, and wherein connecting members comprise olive members having first and second shaftways perpendicular to each other or three shaftways and means to clamp olive members to arched members, straight members and bone contacting members. Where olive connectors with two or three holes and nuts are assembled from two parts.
  • the invention comprises two arched members 1 and 2, which are adapted to encircle a body member, such as an arm or leg, for a fracture of bone B.
  • Arched members are threaded and may be 1/k OD threaded metal.
  • the members 1 and 2 may be one piece members.
  • Arched member would have to have one side having reversed threads so that Nut 5 could bring the members together to form a continuous, preferably circular member.
  • the straight members 3 and h are threaded metal rods, 1/-4 OD for instance, which are adjustably clamped to circular members 1 and 2.
  • the frame may be polymers, eutectic, ceramic, nylon, etc. materials.
  • Bone contacting members 8 are passed through the bone on both sides of the fracture. These members are preferably stainless steel members. They are * passed through the bone on either side of the fracture and clamped to circular members 1 and 2, and straight members 3 and -4 by means of olive connectors 6 and head olive 10.
  • Fig. 2 and 3 show detail views of a typical connecting olive shape member 12 and 13 having two or three shaftways which are perpendicular to each other. In the connection between the circular members and the straight members, the circular member would pass through one shaftway and the straight member through the other.
  • the olive connections 12, 13 etc. may be clamped to the straight member k by means of nuts 9, and may be clamped to the circular member 2, etc., by means of nuts 9 «
  • Fig.-4 is a perspective view of a two part nut.
  • the frame comprising circular members and straight members are then positioned encircling the arm or leg and the circular members and the straight members are connected together loosely so that they can be adjusted.
  • the bone contracting members 8 etc. are then loosely connected to the circular members and to the straight members, by means of the olive connectors 6.
  • the frame of the present invention is much lighter and more comfortable than other apparati.
  • the frame of the present invention may be applied with the use of a local anesthetic. Care should be taken to avoid the possibility of infection with conventional methods.
  • the apparatus performs:

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (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)

Abstract

Appareil de fixation osseuse externe servant à corriger des déformations osseuses. L'appareil comprend des éléments en forme d'arc (1, 2, 5) conçus pour entourer un membre fracturé, des éléments droits (3, 4) conçus pour être reliés aux éléments en arc, et des éléments (8) entrant en contact avec l'os. Le dispositif comprend en outre des éléments de raccordement (6, 7 et 9-14) servant à raccorder les éléments droits aux éléments en arc, ainsi que les éléments entrant en contact avec l'os aux éléments en arc et droits respectivement, de sorte que le dispositif présente des ajustements filetés en continu autour des éléments en arc et le long des éléments droits, et peut être mécaniquement réglé.
PCT/US1990/006225 1988-04-11 1990-11-02 Appareil de fixation osseuse externe WO1992007526A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/US1990/006225 WO1992007526A1 (fr) 1988-04-11 1990-11-02 Appareil de fixation osseuse externe

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US17988188A 1988-04-11 1988-04-11
PCT/US1990/006225 WO1992007526A1 (fr) 1988-04-11 1990-11-02 Appareil de fixation osseuse externe

Publications (1)

Publication Number Publication Date
WO1992007526A1 true WO1992007526A1 (fr) 1992-05-14

Family

ID=26781760

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1990/006225 WO1992007526A1 (fr) 1988-04-11 1990-11-02 Appareil de fixation osseuse externe

Country Status (1)

Country Link
WO (1) WO1992007526A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5451225A (en) * 1993-06-10 1995-09-19 Texas Scottish Rite Hospital For Crippled Children Fastener for external fixation device wires and pins
US5968043A (en) * 1993-06-10 1999-10-19 Texas Scottish Rite Hospital For Children Plastic double nut mechanism enabling rigid orthopedic distraction
US10010350B2 (en) 2016-06-14 2018-07-03 Stryker European Holdings I, Llc Gear mechanisms for fixation frame struts
US10874433B2 (en) 2017-01-30 2020-12-29 Stryker European Holdings I, Llc Strut attachments for external fixation frame

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2014638A (en) * 1933-01-28 1935-09-17 Heintz & Kaufman Ltd Inductance connecter
US2055024A (en) * 1934-08-07 1936-09-22 Jr Joseph E Bittner Fracture reducing splint
SU745510A1 (ru) * 1975-03-06 1980-07-07 За витель Белов и И. Н. Сеюков Аппарат дл остеосинтеза
US4220146A (en) * 1979-01-18 1980-09-02 Cloutier Jean Marie Biplanar joint distractor
US4273116A (en) * 1978-06-27 1981-06-16 Claude Chiquet Device for external fixation of bone fragments
SU854378A1 (ru) * 1979-03-07 1981-08-15 Центральная Клиническая Больница Сибирского Отделения Ан Ссср Аппарат дл внеочагового остеосинтеза
US4365624A (en) * 1979-01-16 1982-12-28 Jaquet Orthopedie Sa External bone-anchoring element
US4624249A (en) * 1984-12-04 1986-11-25 Medicuba Orthopedic external fixing apparatus

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2014638A (en) * 1933-01-28 1935-09-17 Heintz & Kaufman Ltd Inductance connecter
US2055024A (en) * 1934-08-07 1936-09-22 Jr Joseph E Bittner Fracture reducing splint
SU745510A1 (ru) * 1975-03-06 1980-07-07 За витель Белов и И. Н. Сеюков Аппарат дл остеосинтеза
US4273116A (en) * 1978-06-27 1981-06-16 Claude Chiquet Device for external fixation of bone fragments
US4365624A (en) * 1979-01-16 1982-12-28 Jaquet Orthopedie Sa External bone-anchoring element
US4220146A (en) * 1979-01-18 1980-09-02 Cloutier Jean Marie Biplanar joint distractor
SU854378A1 (ru) * 1979-03-07 1981-08-15 Центральная Клиническая Больница Сибирского Отделения Ан Ссср Аппарат дл внеочагового остеосинтеза
US4624249A (en) * 1984-12-04 1986-11-25 Medicuba Orthopedic external fixing apparatus

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5451225A (en) * 1993-06-10 1995-09-19 Texas Scottish Rite Hospital For Crippled Children Fastener for external fixation device wires and pins
US5630814A (en) * 1993-06-10 1997-05-20 Texas Scottish Rite Hospital For Crippled Children Fastener for external fixation device wires and pins
US5968043A (en) * 1993-06-10 1999-10-19 Texas Scottish Rite Hospital For Children Plastic double nut mechanism enabling rigid orthopedic distraction
US10010350B2 (en) 2016-06-14 2018-07-03 Stryker European Holdings I, Llc Gear mechanisms for fixation frame struts
US11504160B2 (en) 2016-06-14 2022-11-22 Stryker European Operations Holdings Llc Gear mechanisms for fixation frame struts
US11974781B2 (en) 2016-06-14 2024-05-07 Stryker European Operations Holdings Llc Gear mechanisms for fixation frame struts
US10874433B2 (en) 2017-01-30 2020-12-29 Stryker European Holdings I, Llc Strut attachments for external fixation frame
US11723690B2 (en) 2017-01-30 2023-08-15 Stryker European Operations Holdings Llc Strut attachments for external fixation frame

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