WO1997016128A1 - Systeme modulaire externe d'immobilisation - Google Patents

Systeme modulaire externe d'immobilisation Download PDF

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Publication number
WO1997016128A1
WO1997016128A1 PCT/BG1995/000010 BG9500010W WO9716128A1 WO 1997016128 A1 WO1997016128 A1 WO 1997016128A1 BG 9500010 W BG9500010 W BG 9500010W WO 9716128 A1 WO9716128 A1 WO 9716128A1
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WO
WIPO (PCT)
Prior art keywords
diameter
modular
equal
supporting elements
ring
Prior art date
Application number
PCT/BG1995/000010
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English (en)
Inventor
Stanislav Georgiev Nestorov
Original Assignee
Stanislav Georgiev Nestorov
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 Stanislav Georgiev Nestorov filed Critical Stanislav Georgiev Nestorov
Priority to PCT/BG1995/000010 priority Critical patent/WO1997016128A1/fr
Priority to EP95944866A priority patent/EP0868152A1/fr
Priority to AU36946/95A priority patent/AU3694695A/en
Publication of WO1997016128A1 publication Critical patent/WO1997016128A1/fr

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Classifications

    • 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
    • A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6425—Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint

Definitions

  • the invention relates to human and veterinary medicine and can be used in orthopedics and traumatology in the treatment of traumae and deformations of various parts of the locomotory system for the building of external fixation devices used in reposition, fixation and traction.
  • the former comprise mainly pairs of intersecting flexible transfixing pins fixed to flat distance rings, which engird the bone and have holes on their periphery, and hard rectilinear carriers - adjustable and one-piece rods keeping two rings at a distance from one another, while in the latter hard implants are used, such as transfixing pins and half-pins, fastened and fixed to a framework of special holders.
  • Another modular external fixation system known is the axial-radial system of Orthofix using mainly hard implants. It is build of cylindrical coupling elements and compression-distraction mechanisms directly connected by hinges, the coupling elements being simultaneously implant holders. Flat distance rings for radial fixation with flexible transfixing pins are also used.
  • This modular system is very flexible, but the supporting distance between the implant series is preset and depends upon the length of the distractor. Besides, the use of multiple hinge joints for long distances ensures the system's convenience and safety only when applied in local fractures.
  • the modular elements used are relatively wide in diameter which renders the construction of the device heavier and causes discomfort to the patient.
  • An extra-focal fixing device for transosteal syndesis in traction and compression is also known to exist for use in orthopedics and traumatology (US 5021054) and it includes rectilinear and curved supporting elements which may be coupled by modular coupling elements that can fix the implants to the framework by means of additional plates with straight knurled clamping surfaces. Regardless to its versatility, the coupling element does not grant stability of the connection but when the supporting elements have a polyhedral section, without additional protection against slippage, the positioning capacities being thereby reduced.
  • the coupling element is bulky and with a complex and non-technological construction which does not allow the building of simplified versatile devices.
  • the supporting elements are smooth cylindrical rectilinear and curved rods - one-piece or adjustable.
  • the adjustable supporting elements are compression-distraction mechanisms which may be also monoaxial.
  • a one-piece supporting element curved at angle can be used as well.
  • the construction of the one-piece parts of the supporting elements is not secured against deformability.
  • the coupling elements are two types: 1 ) for fixing the supporting elements to the frame and 2) universal ball joints to fix the implants to the frame.
  • the coupling elements for fixing the supporting elements consist of two hinged parts having holes whose radius is at least equal to the radius of the supporting element's cross-section.
  • Each part is slitted on one of its ends along the hole, perpendicularly to the hinge's axis, the slitted parts being clamped up by a screw joint at the side of the slitted end, thus fixing the supporting element.
  • This construction allows the coupling, at different angles, of two supporting elements lying in two parallel or perpendicular planes, the two parts being retained by clamping along the axis of the hinge of the osculating surfaces which are riffled.
  • the element is bulky and can couple only two supporting elements.
  • the universal ball joints are prismatic junctions connected by a hinge and at least one junction consists of two parts forming an opening for the supporting elements and having opposite clamping arched areas, the radius of the arc being at least equal to the radius of the supporting elements' section.
  • the fixing of the supporting element into the opening is obtained by using a unilaterally located screw joint, consisting of a screw passing subsequently through threaded holes made into two flat elements in which the parts comprising the clamping opposite arched areas are fixed by a hinge, this screw being fastened with a nut.
  • the axes of the screw joint and the supporting element are situated in two parallel planes, the screw joint's axis being immobile.
  • the implants are fixed by means of another junction of the universal ball joint similarly comprising two clamping surfaces with oppositely disposed arched areas.
  • the fixing is obtained by using at least two screw joints whose axes are perpendicular to the plane formed by the axes of the implants.
  • This type universal ball joint allows the building of external fixation devices of various constructions, but regardless to its high flexibility and versatility, this ball joint is too bulky and complicates the frame's construction.
  • the unilateral clamping of the supporting element leads to the creation of uneven contact forces which lowers the quality of fixation.
  • the reliability of the joints thus obtained is based uniquely upon the clamping force resulting from the fastening of the screw joint.
  • the coupling elements secure the joining of two elements whose axes do not lie in the same plane, which in turn reduces the capacities of the system.
  • the absence of a direct link between the supporting elements allowing to fix steadily their disposition at angle to one another so that the axes of two directly connected neighboring elements define one and the same plane also results in lowered flexibility and increased voluminosity of the devices thus built. Moreover, there is no additional protection againsl slippage.
  • a problem of the present invention is to create a modular external fixation system allowing to connect two and more supporting elements of the system so that the axes of all supporting elements in a joint could define one and the same plane.
  • Another problem which finds a solution is the reduction of the supporting elements in volume and weight by increasing their rigidity.
  • a problem finding its solution is the improvement of the coupling in terms of reliability by preventing the relative shift between the coupled elements upon fixation, simultaneously obtaining a more regular clamping and an increase of the supporting elements in rigidity.
  • a modular external fixation system comprising supporting elements with a circular section of 2 ⁇ in diameter - one-piece and adjustable ones, and modular coupling elements with at least one hole into which the end of another coupling element or an implant fixable to the bone is inserted, said system comprising at least one more coupling element which is a flat body with thickness h, and which has holes with a diameter D, greater than the diameter 2 ⁇ of supporting elements.
  • the supporting elements are one-piece and adjustable.
  • the adjustable supporting elements are monoaxial compression-distraction mechanisms, their ends having a diameter equal to the diameter of the whole supporting elements.
  • the whole parts of the supporting elements can be can be arched.
  • the external surface of the supporting elements iseither grooved or riffled or is made of a material with better friction properties.
  • the supporting elements can be pre-strained compound bodies consisting of a tube whose outer surface is grooved and in which a core of an elastic material, softer than the material of the tube, is placed and at least one of the tube's ends is unrolled towards the core.
  • the pre-straining of the supporting elements aimed at increasing their rigidity is obtained by stuffing said core made of a softer elastic material into the tube by means of pressing, after which the core is submitted to additional radial straining by knurling the external surface of the tube in order to groove it, while the linear straining is obtained by unrolling the tube's ends towards the core of the construction.
  • the increase of the supporting element in rigidity allows the reduction of its diameter.
  • the modular external fixation system may comprise at least two supporting elements, whose ends are connected directly by a ball joint, where the radius of the spherical surfaces is Rsph, the first spheric part having sharp edges or tips on its surface, while the other spheric surface is smooth and made of a material softer than the material of the first spherical part.
  • the ball joint is fixed with a cover nut mounted on the supporting element will t a spherical head, this nut being tightened up on a thread M made on the outer cylindrical surface of the spherical seat.
  • the end of the nut's internal hole opposite to the thread is shaped like a spherical seat with a radius Rsph and a centered holein which an end of a supporing element enters and whose diameter is greater than 2 ⁇ and smaller than the diameter 2Rsph of the spherical head.
  • the modular extemal fixation system may comprise at least two supporting elements whose ends form a threaded coupling, the first supporting element having one end topped by a thread and the second supporting element having one end topped by a grooved seat.
  • the modular coupling elements are compound monoaxial bodies, each of them comprising a stepped body, whose axis defines the axis of the modular coupling element, this stepped body having one step with a maximum diameter dJ and a length greater than the supporting element's radius r, next to which step, on one side at least, there is a step with a diameter d equal to the diameter d of the flat coupling element's holes at the most and greater than the diameter 2r of the supporting elements' cross-section.
  • the length / of the step with a diameter d is smaller than the thickness h of the flat coupling element and is at least equal to the radius r of the supporting elements' cross-section.
  • This step ends with an extremity with a thread M l , whose outer diameter is equal to the diameter d at the most.
  • a hole Perpendicularly to the stepped body's axis, there is a hole, whose axis form one and the same plane with the axis of the stepped body, the diameter of this hole being at least equal to the diameter 2 ⁇ of the supporting elements, so that the surface perpendicular to the stepped body's axis and forming the fore-part of the step with the greatest diameter dl passes through the hole.
  • a ring-shaped body made of a material softer than that of the stepped body is mounted on the step with ⁇ diameter d, the height of the ring being greater than the length / of the step with a diameter d.
  • the radius of the arc being at least equal to the radius of the hole cut into the stepped body and the height of the segment being smaller than the radius of the arc.
  • the stepped and the ring-shaped bodies are fixed to each other with a clamping nut, tightened up on the extremity with a thread M 1 of the stepped body, so that if there is a supporting element mounted in the hole of the stepped body, the arched cuts on the ring-shaped body press this supporting element to the wall of the stepped body's hole.
  • the ring-shaped body's soft material penetrates into the riffles on the supporting element's surface, contributing Ihus additionally to avoid the relative shifting of the supporting element to the coupling element.
  • the modular coupling element intended to connect supporting elements, on the other side of the step with a greatest diameter dl of the stepped body, there is a symmetric step with a diameter d and a length / having an extremity ending with a thread M 1 , a hole being pierced therein whose diameter is equal to 2 ⁇ at least and whose axis is parallel, perpendicular or at angle to the axis of the first hole and perpendicular to the stepped body's axis.
  • Another ring-shaped body with arched slits is mounted on the second step with a diameter d and is fixed with a clamping nut.
  • a step is made, with a diameter at least equal to the diameter d and a length /, having along its periphery a slot whose width is at least equal to the implanted pin's diameter, this slot being perpendicular to the stepped body's axis, its own axis being at a distance a from the forepart of the step with a greatest diameter d 7.
  • This step in turn has an extremity ending with a thread M 1.
  • a pin guide which is a body with central axial symmetry and a hole whose diameter is at least equal to the diameter of the peripherally slotted step and whose length is at least equal to the length of the peripherally slotted step, is mounted on it.
  • the hole with a smaller diameter has a diameter equal or greater than the outer diameter of the stepped body's thread M 1.
  • the periphery of a fixation pin guide is cut by a slit forming a plane perpendicular to the central axis.
  • the slit's width is equal or greater than the width of the stepped body's peripheral slot and the plane passing through its middle is at a distance from the forepart of the end with the wider hole, which distance is at the most equal to the distance a from the stepped body.
  • a step is made whose diameter is equal to the outer diameter of the thread M 1 and on which the implants' holders are mounted.
  • This step has a length that the most equal to the thickness of the implants' holders.
  • These are two flat collars with a central hole whose diameter is at least equal to the outer diameter of the thread Ml , one front of each collar bearing arched slots by the sides of the central hole into which slots the implants are inserted.
  • the position of the flat collars is fixed by a nut tightened on a thread Ml cut on the end of the step on which the collars are mounted. Tnis make of the hard implants' holders allows to adjust the construction thus built to the implants by revolving the flat collars around the element's axis and, in particular, to the hole intended for a supporting element to pass through.
  • the modular external fixation system allows the building of a variety of external fixation devices and grants the applicability of the traumatologic opthopaedist's approach in all types of local and general traumae of the locomotory system by using coupling elements and elements securing both the spatial and plane disposition of the system's component elements with no limitations as far as repositioning of the device is concerned.
  • the system allows to construct lighter and more reliable modular external fixation devices using all types of implants by increasing the moment of friction where the supporting elements are fixed and by improving the way to fasten and fix the implants to the coupling elements.
  • the use of a set of standardized modular coupling elements increases the system's universality and reduces its price.
  • the reduced volume of the modular coupling elements renders the system more compact and the devices built therewith are lighter and more convenient to the patient.
  • Making the coupling elements of materials of various rigidity leads to manifold higher reliability providing additional protection against slippage.
  • Figure 1 represents a longitudinal section of a supporting element's one-piece part
  • Figure 2 represents a view of different embodiments of one-piece supporting elements
  • Figure 3 shows an adjustable supporting element representing a compression- distraction mechanism
  • Figure 4 represents ⁇ plan view and a side section of a flat coupling element
  • Figure 5 shows a supporting element with a grooved spherical head
  • Figure 6 represents a magnified partial view of a grooved spherical head.
  • Figure 7 shows a supporting element with a spherical seat- Figure 8 represents a section of a supporting element with a two-piece smooth spherical head
  • Figure 9 represents a section of a supporting element with a grooved spherical seat
  • Figure 10 represents a section of a ball joint between two supporting elements
  • Figure 1 1 represents a section of a threaded coupling between two supporting elements
  • Figure 12 represents a disassembled modular coupling element for supporting elements
  • Figure 13 represents a section of a variation of a ring-shaped body with stepped central hole
  • Figure 14 represents a section of a modular coupling element for supporting elements with parallel holes
  • Figure 15 represents a section of a modular coupling element for supporting elements with perpendicular holes
  • Figure 16 shows an embodiment of a modular coupling element for supporting elements with a two-part step with a greatest diameter dl;
  • Figure 17 represent a half-section/half-view of an embodiment of a modular coupling element - pin strainer
  • Figure 18 shows a pin strainer's stepped body
  • Figure 19 represents a longitudinal section of affixation pin guide
  • Figure 20 represents a cross-section through the fixation pin guide's slit and holes
  • Figure 21 represents a longitudinal section of a modular of a modular coupling element - pin holder
  • Figure 22 represents half-section/half-view of an embodiment of a modular coupling element-screw holder
  • Figure 23 represents a plan view of a flat coupling element with coupling and supporting elements mounted
  • Figure 24 represents a side view of a flat coupling element with modular coupling elements mounted
  • Figure 25 shows parallel coupling of supporting elements using a modular coupling element
  • Figure 26 represents ⁇ cross-section of ⁇ modular coupling element - pin strainer with a transfixing pin mounted
  • Figure 27 represents a modular coupling element pin holder with pins mounted and axonometry of a supporting element
  • Figure 28 shows a model device applied in a treatment for fracture in the area of the ankle-joint and the foot
  • Figure 29 shows the device from Figure 28 used as a dynamic ligamentotaxis.
  • the modular external fixation system comprises the following basic component elements: supporting elements 1 with one-piece parts 2 and adjustable supporting elements 3, a flat coupling element 4, a modular coupling element for supporting elements 5, a modular coupling element - a pin strainer 6, a modular coupling element for hard implants 7, a ball joint
  • the adjustable supporting elements 3 in Figure 3 are monoaxial compression- distraction mechanisms which can be implemented as a dynamic construction.
  • the one-piece parts 2 of the supporting elements 1 can be (see Figure 3): rectilinear, curved at angle, in particular L-shaped 10 or arched 1 1 . They consist of (see Figure 1 ): a cylindrical tube 12 with an outer diameter 2r and with riffles 13 on its surface, a core 14 made of a soft elastic material, for example duralumin being stuck into said tube 12 made of a hard material, for example chrome-nickel steel and at least one end 15 of said tube 12 is unrolled towards said core 14.
  • Figures 5-10 show the ball joint 8 and its different parts.
  • the one-piece part 2 of the supporting element 1 in Figure 5 has on one of its ends a spherical head 16 with a radius Rsph and at least 1 /3 of the spheric surface has grooves 17 with sharp edges 18 (Figure 6).
  • the spherical head 16 is made of a hard material, for example chrome- nickel steel. In an embodiment not shown on the drawings, diamond crystals forming sharp tips can be stuck into the sharic head's material.
  • the one-piece part 2 of the supporting element 1 ends by a spherical seat 19 with a radius Rsph, said seat being made of a soft material, for example duralumin.
  • a thread M is cut on the outer cylindrical surface of said spherical seat
  • the spheric seat is a grip.
  • the spherical head is made of two parts: a base 20 made of a hard material, for example steel, said base being a hemisphere with a centered hole 21 into which an end 20 of a supporting element 1 is fastened.
  • the end 2 is topped with a thread 22 which protrudes out of the plane separating surface 23 of said base 20 and is fastened into a blind hole 24 of the upper hemisphere 25 made of a soft material, for example plastic.
  • a slot 27, concentric to the spherical head's axis 26, is cut into said flat separating surface 23 of said base 20 and a ledge 28 of the hemisphere 25 having the shape and dimensions of the slot 27 is inserted into said slot.
  • the spherical seat 29, made of a hard material, for example steel, has grooves 17 with sharp edges 18 and a thread M is cut into its outer cylindrical surface.
  • a releasing slit 30 is cut into the spherical seat bottom.
  • a pin 31 may be additionally inserted to prevent an undesirable rotation round the axis 26.
  • the separating surface 23 of the base 20 is part of another sphere whose radius is greater than Rsph, the corresponding surface of the upper hemisphere 25 being a negative image of said separating surface 23 of said base 20. Reduction of the devices in weight and cost is achieved in the embodiments shown in Figures 8 and 9.
  • the spherical head's making of a soft material results in a manifold increase of the spherical seat in durability, said spherical seat being made here of a harder material, i.e. a possibility of a multiple use of the metal part is thus created.
  • the fixing of the ball joint 8 is shown in Figure 10, a grooved spherical head and a smooth spherical seat being given as an example thereof.
  • the spherical head 16 is mounted into the spherical seat 19 and is tightened to the supporting element 1 by a cover nut 33 passing through the one-piece part 2 of said supporting element 1.
  • the cover nut 33 has an inner thread M on one of its ends while the other end is shaped as a spherical seat 34 with a radius Rsph and having a centered hole 35, whose radius is greater than the radius r of the section of the one-piece parts 2 of the supporting elements 1 and smaller than the radius Rsph of the spheric head 16.
  • the length of the thread M is at the most equal to 1 /2 of the height of said cover nut 33.
  • one end 2 of a supporting element 1 is topped by a thread M2, while one end 2 of another supporting element 1 is topped with a threaded seat 36.
  • the outer diameter of the thread M2 may be equal to the diameter 2f of the one-piece parts 2 and the supporting elements 1 .
  • the flat coupling element 4 has a thickness h and holes with a diameter D, greater than the diameter 2 ⁇ of supporting elements 1 , located on concentric circumferences with diameters Dl, which concentre with said flat coupling element 4.
  • a preferred embodiment is shown in Figure 4 where the flat coupling element 4 is a flat ring having holes 37 with a diameter D, located on a circumference whose diameter Di is the mean diameter of the ring's hole inner diameter and its outer diameter.
  • Each modular coupling element 5 for supporting elements shown in Figures 12-16 is a cylindrical junction and includes a stepped cylindrical body 38 which has at least one step 39 with a greatest diameter dl and a length greater than 2r, said step having bilateral symmetric steps 40 with a diameter d and a length /.
  • the diameter d is selected to secure free slipping upon mounting the step 40 into the hole 37 of the flat coupling element 4.
  • the length / of said step 40 is smaller than the thickness of the flat coupling element 4 and is at least equal to the radius r of the cross-section of the supporting elements 1 .
  • Each step 40 ends by a thread M whose outer diameter is at the most equal to the diameter d.
  • holes 41 are pierced having a diameter selected to allow free movement of the one-piece parts 2 with a diameter 2r of the supporting elements 1.
  • the surfaces perpendicular to the axis 42 of the stepped body 38 and shaping the fronts of the step 39 with a greatest diameter pass through one of the diameters of each hole 41 .
  • the axes of the two holes 41 may be parallel ( Figure 14), perpendicular ( Figure 15), or at angle to each other.
  • the diameter of the step 40 is greater Ihan the diameler of the hole 41 so that supporting walls 43 are formed on the step 40.
  • the stepped body is made of a hard material, for example chrome-nickel steel.
  • Figure 16 shows a variation of a modular coupling element 5 for supporting elements where the step 39 with a diameter d is divided into two parts fixed together by a cylindrical piece 44 with a smaller diameter which for example may be equal to the diameter 2 ⁇ of the one- piece parts 2 of the supporting elements 1 .
  • Ring-shaped bodies 45 are mounted on both steps 40 of the stepped body 38, the height of the ring being greater than the length / of the step 40 with a diameter d and their outer diameter being equal to the diameter d? of the step 39, while their inner diameter is at least equal to the diameter d of the step 40.
  • each ring-shaped body bears two opposite arched co-axial slits 46 in the form of segments of the ring's cylindric surface, the diameter of the arc being at least equal to the radius r of the cross- section of the one-piece parts 2 of the supporting elements 1 and the segment's height being smaller than the arc's radius.
  • the ring-shaped body is made of a soft material, for example duralumin.
  • Figure 13 shows a variation of a ring-shaped body where the inner hole is stepped and the hole with a smaller diameter has a diameter smaller than the diameter d of the step 40, while the hole with a greater diameter has a diameter at least equal to the diameter d of the step 40 and a length greater of equal to the length of said step 40.
  • the ring-shaped body 45 is fixed to the stepped body 38 by a nut 49, tightened on the end with a thread M.
  • the modular coupling element - pin strainer 6 shown in Figure 17 is a compound body comprising a stepped body 50, a ring-shaped body 45, a fixation pin guide 51 , and two clamping nuts 49.
  • the stepped body 50 made of a hard material, for example chrome-nickel steel, has one step 39 with a greatest diameter also dl .
  • One of the ends by the step 39 with a diameter dl is shaped for a supporting element with a step 40 having a diameter d and a hole 41 to be fixed thereinto.
  • the other end after the step with a diameter d I has a step 52 with a diameter at least equal to the diameter d into whose periphery a slot 53 is cut, its width being at least equal to the diameter of the flexible transfixing pin, said slot being perpendicular to the axis of the stepped body 50 and at a distance a from the front of the step 39 with a greatest diameter.
  • the step 39 with a greatest diameter dl has here a length greater than the radius of the hole 41.
  • the stepped body 50 has a thread M 1 at each of its two ends.
  • the step 39 may be divided into two parts fixed together by a cylindrical piece with a smaller diameter.
  • a fixation pin guide 51 is mounted, said fixation pin guide being a prismatic body with a stepped centered hole 54, whose greater diameter is equal or greater than the diameter of the step 52, while the length of the hole with a greater diameter is at least equal to the length of the step 52.
  • the hole with a smaller diameter has a diameter equal to or greater than the outer diameter of the thread iM I.
  • the periphery of the fixation guide pin 52 is slitted up to the central axis at the most, this slit 55 having a width equal to or greater than the width of the slot 53 on the stepped body 50.
  • the separating surface of the slit 55 is perpendicular to the axis 56 of the fixation pin guide 51 and is at a distance equal to or shorter than the distance a.
  • two parallel holes 57 are pierced, their diameter corresponding to the diameter of the implanted pin and their axes lying in the separating surface of the slit 55, the distance between said holes 57 being at least equal to the greater radius of the stepped hole 54.
  • the fixation pin guide 51 is fixed with a nut 49 to the stepped body 50.
  • Said pin guide is made of a hard material, for example chrome-nickel steel.
  • the modular coupling element 7 for hard implants also comprises a stepped body 58, a ring-shaped body 45 and clamping nuts 49 in addition to two clamping collars 59.
  • the stepped body 58 is also made of a hard material, steel for example, and has a step 39 with a greater diameter dl.
  • One of the ends is shaped as an end for a supporting element to be fixed thereinto through a step 40 on which a ring-shaped body 45 is mounted ending with another step with a thread Ml on which a clamping nut 49 is tightened and whose hole is perpendicular to the axis and has a diameter at least equal to the diameter 2r of the cross-section of the one piece parts 2 of the supporting elements.
  • step 39 with a greatest diameter dl has a length greater than the radius of the hole 41 .
  • the other end, posterior to the step is shaped as a step 60 with a diameter at least equal to the outer diameter of the thread M 1, which has a smooth cylindrical section whose length is equal to or smaller than the thickness of two clamping collars 59, and ends with a thread M 1.
  • the clamping collars 59 are made of an insulator and represent flat round bodies with a centered hole into which the step 60 is inserted, the opposite fronts of each clamping collar 59 bearing arched slots 61 , symmetric to the centered hole's axis and at a distance b from each other, the arc's radius being equal to the radius of the implants and said clamping collars' height being smaller than the arc's radius.
  • the clamping collars are fixed with a clamping nut 49, tightened on the thread M 1.
  • the step 39 is divided into two parts.
  • Figure 22 shows a variation of a modular coupling element 7 for hard implants with a prolonged step 39, where the end intended for the fixing of the clamping collars 59 of said prolonged step 39 and one of the clamping nut's 49 ends are shaped as supporting steps 62 with an outer diameter equal to the outer diameter of the clamping collars 59.
  • the system's component elements may be made of material other than metals, e.g. material permeable to X-rays and other kinds of rays.
  • the component elements of the modular coupling elements may be shaped as a polyhedral prism whose circumscribed cylinder has a cross-section diameter dl.
  • Figures 23 and 24 show couplings of the system's elements where the axes of two or more elements 1 lay in one or more parallel planes.
  • Modular coupling elements 5 for supporting elements are mounted to the flat coupling element 4 by inserting the steps 40 of the modular coupling elements 55 into the holes 37 of the flat coupling element 4 and fixing them with a nut 49.
  • the one-piece parts 2 of supporting elements 1 are fixed into holes 41 on the other end of the elements 5 by means of nuts 49.
  • the riffles 13 of the supporting element 1 penetrate into the material of the ring-shaped bodies 45 and thus provide additional protection of the system against slippage.
  • the position of the supporting elements 1 is adjusted by loosening nuts 49, orientation in the desired direction, and subsequent tightening of nuts 49.
  • the spatial position of the axes of the supporting elements 2 and 3 in Figure 10 is adjusted by tightening the cover nut 33 after orientation in the desired direction.
  • the grooves or tips on the spherical part made of a hard material penetrate into the soft material of the other spherical part, the contact surface being thus increased and hence additional protection against slippage being secured.
  • the supporting elements shown in Figure 25 are fixed by tightening of nuts 49 and clamping the ring-chapped bodies 45 to the supporting elements 1. Thereby, the riffles 13 of the supporting elements 1 penetrate into the material of the ring shaped bodies 45 to prevent slippage.
  • Figure 26 shows a modular coupling element - pin strainer 6 on which a modular pin 63 is mounted, the end 64 of the transfixing pin 63 being passed through the inner end of the first hole 57 so that it passes through the slit 55 of the fixation pin guide 51 and enters the second hole 57 through its outer end.
  • the straining of the transfixing pin 63 is adjustable by turning the fixation pin guide 51 in a counter ⁇ clockwise direction, in this instance, and fixing it subsequently by means of a nut 49.
  • the hard implant 65 in Figure 27 are mounted to the module 7 by clamping into the arched slots 61 of the clamping collars 59 by tightening a nut 49.
  • the position of the hard implants 65 to the axis of said module 7 can be adjusted by rotation of the clamping collars 59 round this axis, the supporting element 1 is mounted into the hole 41 of the stepped body 58 and is fixed with a nut 49, so that the supporting element's riffles penetrate the material of the ring-shaped body 45 and secure the elements against mutual slippage.
  • the modular external fixation system proposed can be used in a flexible building of various devices for osteosyndhesis, the three-support device shown in Figures 28 and 29 for treating ankle and foot fractures being given only as an example to illustrate the capacities of the modular system.
  • a treatment can be performed in traumatology for a malleolar, talar or calcaneal fracture of the heel and their combination by ligamentotaxis which may be also a dymanic one throughout the different phases of the treatment, as shown in Figure 29.
  • the implants are connected by modular coupling elements 7 to supporting elements, all or part of them adjustable in the form of compression- distraction mechanisms, a dosed traction along the arms being eventually performed throughout the phases of the treatment for diastasis of the ankle-joint.
  • the flat coupling element plays the role of an artificial joint bearing the burden created.

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  • Prostheses (AREA)

Abstract

Le système modulaire externe d'immobilisation peut être utilisé en orthopédie et en traumatologie pour soigner des traumatismes et des déformations de différentes parties du système locomoteur et, en particulier, pour des opérations de repositionnement, d'immobilisation et d'extension. Le système comprend des éléments de support ajustables d'une pièce à section circulaire et surface externe cannelée, et des éléments d'accouplement modulaires pour accoupler des éléments de support entre eux ou pour accoupler un élément de support à des implants. Le système comprend, en outre, un élément d'accouplement plat avec des trous permettant d'installer les éléments d'accouplement modulaires pour accouplement avec la partie plate correspondante des éléments de support respectifs. Chaque élément d'accouplement modulaire a un corps en escalier avec des trous et des corps annulaires avec des fentes, réalisés avec des matériaux de rigidité différente.
PCT/BG1995/000010 1995-10-27 1995-10-27 Systeme modulaire externe d'immobilisation WO1997016128A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
PCT/BG1995/000010 WO1997016128A1 (fr) 1995-10-27 1995-10-27 Systeme modulaire externe d'immobilisation
EP95944866A EP0868152A1 (fr) 1995-10-27 1995-10-27 Systeme modulaire externe d'immobilisation
AU36946/95A AU3694695A (en) 1995-10-27 1995-10-27 Modular external fixation system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/BG1995/000010 WO1997016128A1 (fr) 1995-10-27 1995-10-27 Systeme modulaire externe d'immobilisation

Publications (1)

Publication Number Publication Date
WO1997016128A1 true WO1997016128A1 (fr) 1997-05-09

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PCT/BG1995/000010 WO1997016128A1 (fr) 1995-10-27 1995-10-27 Systeme modulaire externe d'immobilisation

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EP (1) EP0868152A1 (fr)
AU (1) AU3694695A (fr)
WO (1) WO1997016128A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003068085A1 (fr) * 2002-02-11 2003-08-21 Gerd Werding Dispositif de fixation externe d'os casses
US7931650B2 (en) 2000-02-02 2011-04-26 Zimmer Technology, Inc. Adjustable bone stabilizing frame system
WO2014140831A3 (fr) * 2013-03-15 2014-12-31 Biomet C.V. Logement de pivot à axes multiples pour système de fixation externe
US9770272B2 (en) 2012-12-12 2017-09-26 Wright Medical Technology, Inc. Orthopedic compression/distraction device
US20210093359A1 (en) * 2019-09-30 2021-04-01 Atlas Technologies, Llc Y-Frame External Bone Fixator

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US2238870A (en) * 1939-02-04 1941-04-15 Herbert H Haynes Ambulatory splint
GB1496738A (en) * 1975-06-10 1977-12-30 Ts Nii Travmatol I Ortoped Im Apparatus for surgical treatment of the knee joint
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US4696293A (en) * 1982-09-30 1987-09-29 Ciullo Jerome V Hinged external fixator
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WO1989009031A1 (fr) * 1988-03-24 1989-10-05 Sheffield City Council Fixateur d'os
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WO1992012683A1 (fr) * 1991-01-15 1992-08-06 Confida S.A.S. Dispositif de blocage a usage unique et dispositif de support osseux
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DE9319433U1 (de) * 1993-12-17 1994-02-10 Reckert, Lothar, 29587 Natendorf Unilateraler Fixateur

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7931650B2 (en) 2000-02-02 2011-04-26 Zimmer Technology, Inc. Adjustable bone stabilizing frame system
US8696668B2 (en) 2000-02-02 2014-04-15 Zimmer, Inc. Adjustable bone stabilizing frame system
WO2003068085A1 (fr) * 2002-02-11 2003-08-21 Gerd Werding Dispositif de fixation externe d'os casses
CN1301688C (zh) * 2002-02-11 2007-02-28 格尔德·沃丁 在外面固定断骨的装置
US10631900B2 (en) 2012-12-12 2020-04-28 Wright Medical Technology, Inc. Orthopedic compression/distraction device
US9770272B2 (en) 2012-12-12 2017-09-26 Wright Medical Technology, Inc. Orthopedic compression/distraction device
US9463045B2 (en) 2013-03-15 2016-10-11 Biomet Manufacturing, Llc Polyaxial pivot housing for external fixation system
US9393045B2 (en) 2013-03-15 2016-07-19 Biomet Manufacturing, Llc. Clamping assembly for external fixation system
US9827011B2 (en) 2013-03-15 2017-11-28 Biomet Manufacturing, Llc Polyaxial pivot housing for external fixation system
US10299830B2 (en) 2013-03-15 2019-05-28 Biomet Manufacturing, Llc Clamping assembly for external fixation system
WO2014140831A3 (fr) * 2013-03-15 2014-12-31 Biomet C.V. Logement de pivot à axes multiples pour système de fixation externe
US20210093359A1 (en) * 2019-09-30 2021-04-01 Atlas Technologies, Llc Y-Frame External Bone Fixator
US11864798B2 (en) * 2019-09-30 2024-01-09 Gitlin LLC Y-frame external bone fixator

Also Published As

Publication number Publication date
AU3694695A (en) 1997-05-22
EP0868152A1 (fr) 1998-10-07

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