WO1999035989A1 - Clou d'osteosynthese intramedullaire a usage universel et son appareil de visee - Google Patents

Clou d'osteosynthese intramedullaire a usage universel et son appareil de visee Download PDF

Info

Publication number
WO1999035989A1
WO1999035989A1 PCT/AT1999/000010 AT9900010W WO9935989A1 WO 1999035989 A1 WO1999035989 A1 WO 1999035989A1 AT 9900010 W AT9900010 W AT 9900010W WO 9935989 A1 WO9935989 A1 WO 9935989A1
Authority
WO
WIPO (PCT)
Prior art keywords
intramedullary nail
nail
locking
head
universal
Prior art date
Application number
PCT/AT1999/000010
Other languages
German (de)
English (en)
Inventor
Hans Habernek
Claus Herza
Original Assignee
Hans Habernek
Claus Herza
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 Hans Habernek, Claus Herza filed Critical Hans Habernek
Priority to AU18641/99A priority Critical patent/AU1864199A/en
Priority to DE29980004U priority patent/DE29980004U1/de
Priority to CH01422/00A priority patent/CH694570A5/de
Publication of WO1999035989A1 publication Critical patent/WO1999035989A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1721—Guides or aligning means for drills, mills, pins or wires for applying pins along or parallel to the axis of the femoral neck
    • 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
    • A61B17/74—Devices for the head or neck or trochanter of the femur
    • A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
    • A61B17/744—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to an intramedullary nail

Definitions

  • the universal implant system is one of the biomechanical aids of medical technology for the treatment of broken bones on long bones.
  • severe bone fractures on tubular bones are opened by opening the bones at one end and introducing a so-called intramedullary nail, which is spread apart or locked by means of screws which are screwed into the bone through holes transverse to the nail axis.
  • a wide variety of designs have developed which can be used for the upper arm, upper leg and lower leg.
  • a universal implant system which can be used on all 3 long bones is desirable. This is solved according to the invention with the universal implant system as described below:
  • the universal intramedullary nail (1) is used to treat complex fractures of the upper arm, thigh and lower leg.
  • 5 holes in the proximal and 3 in the distal nail end should allow locking in the sagital and frontal plane of the respective bone end.
  • There is a sagittal thin hole (2) in the proximal end for locking the upper arm or shin head.
  • the holes (3) and (5) are used to lock the upper arm or shin head in the frontal plane and are thicker.
  • the holes (4) and (6) are made even thicker and accommodate screws for fixing the femoral neck to the thigh in the sagita plane at an angle of 120 ° - 140 °.
  • the distal nail end (12) there is a thin hole (10) in the sagittal and two thin holes (9, 11) in the frontal plane for receiving screws in the upper arm and shin end or in the upper arm, thigh and Shin ends.
  • the proximal nail end is thickened starting distal to the hole (6).
  • a 6 ° - 12 ° curve leads to the thinner, round shaft.
  • the nail lengths range from 200 - 400mm and are graded in steps.
  • the universal aiming device (15) is used to lock the proximal nail end. It is placed on the nail so that it fits into the orientation groove of the nail (14) with its orientation tongue (25).
  • a special screw (16) fixes it in the internal thread (13) of the nail (1).
  • This screw has a knurled head (23), which is used to tighten the screw by hand and drive in the nail. There is a hexagon (24) below the head for tightening the screw.
  • the drill sleeve guides (17, 18, 19) serve to accommodate screw sleeves (26) and drill sleeves (27) for setting locking screws in the frontal plane on the upper arm or thigh and in the sagittal plane on the shinbone head.
  • the drill sleeve-ifli stanchions (21, 22) are intended for locking in the frontal plane on the shinbone head and are located on a crossbar (20) of the aiming device that can be implemented for right and left (shinbone head!), Which is secured with the screws (28.) and dowel pin (31) is fixed on the required side.
  • a handle (29) is used to hold the target device.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Neurology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

L'invention concerne un clou d'ostéosynthèse intramédullaire à usage universel (1) destiné à soigner des fractures complexes du bras, de la cuisse et de la jambe et comportant cinq perçages (2-6) à son extrémité proximale et trois perçages (9, 10, 11) à son extrémité distale. Ce clou est associé à un appareil de visée servant de moyen auxiliaire mécanique pour la mise en place des vis de blocage au niveau de l'extrémité proximale.
PCT/AT1999/000010 1998-01-19 1999-01-13 Clou d'osteosynthese intramedullaire a usage universel et son appareil de visee WO1999035989A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
AU18641/99A AU1864199A (en) 1998-01-19 1999-01-13 Universally applicable intramedullary nail and target device pertaining thereto
DE29980004U DE29980004U1 (de) 1998-01-19 1999-01-13 Universell anwendbarer Marknagel mit zugehörigem Zielgerät
CH01422/00A CH694570A5 (de) 1998-01-19 1999-01-13 Universell anwendbarer Marknagel mit zugehörigem Zielgerät.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AT2298U AT2708U1 (de) 1998-01-19 1998-01-19 Universalimplantatsystem bestehend aus einem universell anwendbaren marknagel mit zugehörigem zielgerät
ATGM22/98 1998-01-19

Publications (1)

Publication Number Publication Date
WO1999035989A1 true WO1999035989A1 (fr) 1999-07-22

Family

ID=3479471

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/AT1999/000010 WO1999035989A1 (fr) 1998-01-19 1999-01-13 Clou d'osteosynthese intramedullaire a usage universel et son appareil de visee

Country Status (5)

Country Link
AT (1) AT2708U1 (fr)
AU (1) AU1864199A (fr)
CH (1) CH694570A5 (fr)
DE (1) DE29980004U1 (fr)
WO (1) WO1999035989A1 (fr)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1086655A1 (fr) * 1999-09-23 2001-03-28 Aesculap Ag Instrument de réduction pour la fixation de fractures osseuses
EP1095626A1 (fr) * 1999-11-01 2001-05-02 Sulzer Orthopedics Ltd. Clou centromédullaire pour le radius
US6629976B1 (en) 1999-11-01 2003-10-07 Sulzer Orthopedics, Ltd. Radius marrow nail
EP1346696A3 (fr) * 2002-03-21 2003-11-26 Stryker Trauma GmbH Clou verrouillable et appareil de visée
EP1402831A2 (fr) * 2002-08-28 2004-03-31 Stryker Trauma GmbH Clou huméral
FR2861576A1 (fr) * 2003-10-31 2005-05-06 Jean Michel Cognet Dispositif d'osteosynthese des fractures de l'extremite proximale du cubitus
EP1935361A1 (fr) * 2006-12-19 2008-06-25 Zimmer Technology, Inc. Système de fixation d'os
CN102885645A (zh) * 2012-10-16 2013-01-23 储旭东 胫骨平台后外侧髁解剖钢板
US8808292B2 (en) 2008-11-11 2014-08-19 Zimmer Gmbh Orthopedic screw
CN106667561A (zh) * 2015-11-10 2017-05-17 胡军 一种用于股骨粗隆间骨折微创手术的动力髋装置
US11051864B2 (en) 2012-08-30 2021-07-06 DePuy Synthes Products, Inc. Intramedullary fixation assembly

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19945611B4 (de) * 1999-09-23 2005-11-24 Aesculap Ag & Co. Kg Proximaler Humerusnagel
DE102011109209A1 (de) 2011-08-02 2013-02-07 Wittenstein Ag Schnittstelle für einen Marknagel

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CH631338A5 (en) * 1977-04-23 1982-08-13 Howmedica Thigh and lower leg locking nail
DE3245680A1 (de) * 1982-03-30 1983-10-13 Howmedica International, Inc. Zweigniederlassung Kiel, 2301 Schönkirchen Distales zielgeraet fuer einen verriegelungsnagel
US4622959A (en) * 1985-03-05 1986-11-18 Marcus Randall E Multi-use femoral intramedullary nail
EP0332857A1 (fr) * 1988-03-14 1989-09-20 Synthes Ag Chur Clou endo-médullaire tibial pour le traitement des fractures de la jambe
EP0447824A1 (fr) * 1990-03-20 1991-09-25 Synthes AG, Chur Clou intramedullaire à sections conformeés
US5167663A (en) * 1986-12-30 1992-12-01 Smith & Nephew Richards Inc. Femoral fracture device
EP0599752A1 (fr) * 1992-11-24 1994-06-01 Fixano Sa Dispositif d'ostéosynthèse pour fracture trochantérienne ou trochantéro-diaphysaire
ATE114442T1 (de) * 1987-12-14 1994-12-15 Howmedica Intramedulläre, intertrochanterische bruchfixierungsvorrichtung sowie montagevorrichtung.
US5472444A (en) * 1994-05-13 1995-12-05 Acumed, Inc. Humeral nail for fixation of proximal humeral fractures

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CH631338A5 (en) * 1977-04-23 1982-08-13 Howmedica Thigh and lower leg locking nail
DE3245680A1 (de) * 1982-03-30 1983-10-13 Howmedica International, Inc. Zweigniederlassung Kiel, 2301 Schönkirchen Distales zielgeraet fuer einen verriegelungsnagel
US4622959A (en) * 1985-03-05 1986-11-18 Marcus Randall E Multi-use femoral intramedullary nail
US5167663A (en) * 1986-12-30 1992-12-01 Smith & Nephew Richards Inc. Femoral fracture device
ATE114442T1 (de) * 1987-12-14 1994-12-15 Howmedica Intramedulläre, intertrochanterische bruchfixierungsvorrichtung sowie montagevorrichtung.
EP0332857A1 (fr) * 1988-03-14 1989-09-20 Synthes Ag Chur Clou endo-médullaire tibial pour le traitement des fractures de la jambe
EP0447824A1 (fr) * 1990-03-20 1991-09-25 Synthes AG, Chur Clou intramedullaire à sections conformeés
EP0599752A1 (fr) * 1992-11-24 1994-06-01 Fixano Sa Dispositif d'ostéosynthèse pour fracture trochantérienne ou trochantéro-diaphysaire
US5472444A (en) * 1994-05-13 1995-12-05 Acumed, Inc. Humeral nail for fixation of proximal humeral fractures

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1086655A1 (fr) * 1999-09-23 2001-03-28 Aesculap Ag Instrument de réduction pour la fixation de fractures osseuses
DE19945612C1 (de) * 1999-09-23 2001-05-10 Aesculap Ag & Co Kg Repositionsinstrumentarium
EP1095626A1 (fr) * 1999-11-01 2001-05-02 Sulzer Orthopedics Ltd. Clou centromédullaire pour le radius
US6629976B1 (en) 1999-11-01 2003-10-07 Sulzer Orthopedics, Ltd. Radius marrow nail
EP1346696A3 (fr) * 2002-03-21 2003-11-26 Stryker Trauma GmbH Clou verrouillable et appareil de visée
US8057476B2 (en) 2002-08-28 2011-11-15 Stryker Trauma Gmbh Humeral nail
EP1402831A3 (fr) * 2002-08-28 2006-02-08 Stryker Trauma GmbH Clou huméral
EP1402831A2 (fr) * 2002-08-28 2004-03-31 Stryker Trauma GmbH Clou huméral
FR2861576A1 (fr) * 2003-10-31 2005-05-06 Jean Michel Cognet Dispositif d'osteosynthese des fractures de l'extremite proximale du cubitus
EP1935361A1 (fr) * 2006-12-19 2008-06-25 Zimmer Technology, Inc. Système de fixation d'os
US8808292B2 (en) 2008-11-11 2014-08-19 Zimmer Gmbh Orthopedic screw
US11051864B2 (en) 2012-08-30 2021-07-06 DePuy Synthes Products, Inc. Intramedullary fixation assembly
CN102885645A (zh) * 2012-10-16 2013-01-23 储旭东 胫骨平台后外侧髁解剖钢板
CN106667561A (zh) * 2015-11-10 2017-05-17 胡军 一种用于股骨粗隆间骨折微创手术的动力髋装置

Also Published As

Publication number Publication date
DE29980004U1 (de) 2000-12-21
AU1864199A (en) 1999-08-02
CH694570A5 (de) 2005-04-15
AT2708U1 (de) 1999-03-25

Similar Documents

Publication Publication Date Title
DE69910827T2 (de) Externe fixierungsvorrichtung, insbesondere für knöchelbrüche
EP0613663B1 (fr) Cheville intramédullaire à module
DE69934999T2 (de) Behandlung von knochenfrakturen
EP0514662B1 (fr) Instrument chirurgical pour positionner des éléments de fixation d'ostéosynthèse en particulier les vis osseuses
DE69922023T2 (de) Befestigungsgerät für medizinische bohrlehre
DE10348932B4 (de) System zur minimalinvasiven Versorgung einer proximalen Humerus- oder Femurfraktur
DE60014042T2 (de) Axialer äusserer Fixateur
EP1725177B1 (fr) Outil de repositionnement
DE68924114T2 (de) Führungsinstrument zum Durchbohren der Knochenrinde, geeignet zum Auffinden der Löcher von Marknägeln.
DE2532539A1 (de) Chirurgischer apparat zum aeusseren perknoechernen fixieren von knochensplittern und gelenkenden
EP1354562B1 (fr) Système d' ostéosynthèse
EP1273271B1 (fr) Instrument chirurgical
WO1999020195A1 (fr) Dispositif d'osteosynthese
EP0736286A2 (fr) Instrument auxiliaire pour ostéosynthèse permettant de traiter des fractures subtrochantériennes et pertrochantériennes, ainsi que des fractures du col du fémur
DE2554805A1 (de) Nagelimplantationssystem fuer hueftoperationen
WO1999035989A1 (fr) Clou d'osteosynthese intramedullaire a usage universel et son appareil de visee
AT509852B1 (de) Flexibler humerusnagel
EP1643917A1 (fr) Dispositif de visee
DE602005004100T2 (de) Multifunktionale Fixationsvorrichtung zur Repositionierung und Stabilisierung von Knochenfrakturen insbesondere mit Kirschnerdrähten
EP1648318B1 (fr) Dispositif pour fixer un support longitudinal a un element de fixation d'os
DE102007029090A1 (de) Vorrichtung zur Osteosynthese gelenknaher Knochenfrakturen
DE60129169T2 (de) Fixateur für hand- und fussknochen
DE4306724A1 (de) Vorrichtung zum Ausrichten von Bohrern bei der distalen Fixierung von chirurgischen Marknägeln
WO2008129401A1 (fr) Vis de compression avec élément à fil métallique
DE9101321U1 (de) Fixateur externe

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AL AM AT AU AZ BA BB BG BR BY CA CH CN CU CZ DE DK EE ES FI GB GE GH GM HR HU ID IL IS JP KE KG KR KZ LC LK LR LS LT LU LV MD MG MK MN MW MX NO NZ PL PT RO RU SD SE SG SI SK SL TJ TM TR TT UA UG US UZ VN YU

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): GH GM KE LS MW SD SZ UG ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE BF BJ CF CG CI CM GA GN GW ML MR NE SN TD TG

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
121 Ep: the epo has been informed by wipo that ep was designated in this application
NENP Non-entry into the national phase

Ref country code: KR

NENP Non-entry into the national phase

Ref country code: CA

122 Ep: pct application non-entry in european phase