WO2000067652A2 - Implantat zur operativen versorgung von schenkelhalsbrüchen und dgl. - Google Patents
Implantat zur operativen versorgung von schenkelhalsbrüchen und dgl. Download PDFInfo
- Publication number
- WO2000067652A2 WO2000067652A2 PCT/EP2000/004274 EP0004274W WO0067652A2 WO 2000067652 A2 WO2000067652 A2 WO 2000067652A2 EP 0004274 W EP0004274 W EP 0004274W WO 0067652 A2 WO0067652 A2 WO 0067652A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- screw
- sliding
- implant
- implant according
- locking
- Prior art date
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
- A61B17/56—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
Definitions
- Implant for the operative treatment of fractures of the femur and dql Implant for the operative treatment of fractures of the femur and dql.
- the invention relates to an implant for the operative care of z.
- Such implants for the operative treatment of fractures, in particular fractures of the femoral neck, have proven themselves.
- the implant according to the invention is suitable for the operative care of a wide variety of fractures, for the sake of simplicity only the use of an embodiment of the implant for the operative care of a femoral neck fracture in the form of a slide screw according to the invention is described below. However, the invention is not limited to this.
- the surgical treatment of a fracture of the femoral neck is carried out in such a way that the fracture is first reduced and a Kirschner wire is inserted between the femoral head and the femur in the planned course of the screw channel to be created. Once the Kirschner wire has been inserted in the correct position, the Kirschner wire is drilled through with a two-step drill and the two-part sliding screw is inserted into the resulting drilling channel.
- the front part of the sliding screw has a screw thread with which it is screwed into the femoral head.
- a sliding sleeve is used, which receives the bolt-side end of the sliding screw, and the sliding screw is supported in this sliding sleeve with axial play.
- the invention is therefore based on the object of developing an implant of the type mentioned at the outset in such a way that it can be placed using a minimally invasive technique and that there is improved healing.
- an essential feature of the inventive concept according to claim 1 is that the sliding pulse now at least partially has an external thread on the outer circumference with which the sliding sleeve can be screwed into the drilling channel.
- the invention includes both a design of the sliding screw with a circumferentially provided thread on the outer circumference and another embodiment in which the screw thread is only partially present on the outer circumference.
- the invention is also intended to protect a special locking device for implants. Protection in the form of independent independent claim 2 is sought for this locking device.
- the basic principle of the locking device according to this feature of the invention is based on the fact that the guided sliding possibility of the implant causes the fracture to be subjected to compression when walking under weight. However, if the leg is relieved, the compression will undesirably decrease again. This is where the invention comes in, which ensures that the compression once achieved by loading remains secured in the long run. This is achieved by the locking device on the implant.
- the principle of the arrangement of a locking device can therefore be applied to all implants that allow a so-called dynamic compression.
- the invention also provides an area of application which also includes self-locking interfragmentary tension screws or intramedullary nails.
- Such an intramedullary nail consists of a solid material (e.g. implant steel or titanium) with cross holes arranged at both ends. It is used to stabilize fractures of long tubular bones (e.g. thigh or lower leg) in the medullary cavity of the bone.
- the intramedullary nail splits the fracture and allows axial compression of the bone fragments brought together and splinted through the intramedullary nail.
- the rotation of the bone fragments must be prevented by a turnstile on the intramedullary nail.
- bolts are provided in transverse bores of the intramedullary nail perpendicular to its longitudinal axis and act as a turnstile.
- the transverse bores are each designed as an elongated hole oriented in the axial direction.
- the bolts are therefore guided with play in the respective elongated hole in the transverse bore.
- the sliding screw When the sliding screw is designed as an intramedullary nail, provision is therefore made for it to be telescopic and to have a locking device with which once compression is ensured and wound healing can thus be significantly improved.
- Such a two-part implant consists of a sliding screw and the associated sliding sleeve. It can now be installed using a minimally invasive surgical technique because the sliding screw is anchored directly into the bone via the external thread. There is no screw-on plate. After the first pre-drilling with a Kirschner wire and after checking, the final drill channel can be drilled with a two-step drill over the lying Kirschner wire and the two-part sliding screw can be used immediately be screwed into the drilling channel via a skin incision. The screwing in is carried out in such a way that both the sliding screw itself and the sliding sleeve encompassing the sliding screw are screwed in together with a tool.
- both the sliding screw is screwed into the femoral head in a single operation and at the same time - with the same rotation - the sliding sleeve is also screwed into the opposite femur, because the two parts are non-rotatably connected to each other by means of the tool and therefore the screwing movements in the screwing channel carry out.
- the two-part implant is provided with a locking device between one and the other part.
- This locking device only allows an axial displacement of the two parts in the direction in which the two parts are subjected to thrust. However, if the two parts are subjected to tension, the shift is locked.
- the slide screw When designing the implant as a sliding screw, it is essential that the fracture surface is compressed, i. H. the slide screw should be constantly subjected to tension to allow compression of the fracture surfaces. In the opposite direction, however, axial play of the sliding screw in the sliding sleeve should be ensured. It is known that sintering occurs in the area of the fracture surfaces during the healing process, which therefore move and interlock with one another, as a result of which the sliding screw is subjected to thrust. This thrust is to be absorbed by the locking device and this ensures that no thrust forces acting on the fracture surfaces can occur.
- the axial adjustment play of the sliding screw in the sliding sleeve should be selected so that the sliding, lateral end of the sliding sleeve does not come out of the sliding sleeve and leads to soft tissue irritation.
- the locking device consists of a ratchet and this in turn consists of a ring that is radially inward in the Sliding sleeve is attached and which cooperates with an associated sawtooth-like catch on the outer circumference of the sliding screw.
- a locking blade is provided instead of the locking ring, which also interacts with a sawtooth-like external toothing of the sliding screw.
- slots are arranged on the sliding screw, into which slots the locking ring or the locking blade engage.
- a kinematic reversal of the aforementioned embodiments provides that the sawtooth-like toothing is arranged on the inner circumference of the sliding sleeve, while the locking ring or the locking blade is connected to the sliding screw.
- corresponding slots can be incorporated on the inner circumference of the sliding sleeve instead of the sawtooth-shaped latching.
- spring-loaded bolts or other known machine elements can also be used, which implement such a locking mechanism.
- Figure 1 schematically shows a femoral neck fracture with explanation of the parts
- FIG. 1 the supplied by the two-part slide screw according to the invention
- Figure 3 a two-part sliding screw in a first embodiment
- Figure 4 a second embodiment of a two-part sliding screw
- Figure 5 the front view of an embodiment of a sliding screw
- FIG. 6 an embodiment of FIG. 4 modified from FIG.
- FIG. 7 an embodiment of a modified compared to FIG. 5
- FIG. 8 shows an embodiment of the FIG.
- Figure 9 another embodiment of a locking device.
- FIG. 1 A typical fracture of the femur is shown in FIG. 1, the femoral head 2 being broken off from the femur 1.
- the fracture surfaces that form are labeled 3 and 4.
- the fracture is first repositioned in order to bring the fracture surfaces 3, 4 together as shown in FIG. 2, then a Kirschner wire is first drilled from position 21 in the course of the planned course of the screw and the position is checked. The Kirschner wire is then drilled through with a two-stage drill and the two-part sliding screw 5, 7 is screwed into the bore in each case.
- two two-part sliding screws are thus arranged next to one another. It consists of the sliding screw 7 itself and the associated sliding sleeve 5.
- the sliding sleeve 7 consists of a screw 9 with a front threaded head 8, which is screwed into the femoral head 2.
- the rear part of the screw bolt 9 is axially displaceably mounted in the receiving bore 10 of a sliding sleeve 5, which according to the invention is provided with an external thread 6.
- the sliding screw 7 can move axially displaceably in the receiving bore 10 in the direction of the arrows 11, a sliding section 12 being provided which ensures that the rear end face of the screw bolt 9 does not protrude from the rear end face of the sliding sleeve 5, because otherwise this would lead to soft tissue irritation.
- a tool is provided which engages both on the rear face of the sliding sleeve 5 and on the face of the screw bolt 9 and connects the two parts to one another in a rotationally fixed manner.
- the two parts can be screwed simultaneously from position 21 in FIG. 2 into the screw channels aligned with one another.
- a locking device is provided, which is shown in several exemplary embodiments in FIGS. 4 to 9.
- the locking device In a first embodiment of the locking device, it consists of a locking ring 13 which is fixedly connected to the sliding sleeve 15, the radially inner part of the locking ring 13 being seated on barb-like locking teeth 14. In this way, it is ensured that the screw bolt 9 is under tension, because when the fracture surfaces 3, 4 are sintered, the screw bolt is displaced in the direction of arrow 11 'into the sliding sleeve 15, whereby the locking ring 13 jumps over a projection of the locking teeth 14 , and engages in the nearest locking teeth.
- FIG. 5 shows that the locking teeth 14 need not be circumferentially arranged, it can also be provided that the locking teeth 14a are only partially provided on the circumference of the screw bolt 9.
- FIG. 5 also shows indicated cannulas 19 which are arranged on the outer circumference of the sliding screw 7 and which are open to the outside in order to receive the Kirschner wire.
- FIG. 6 shows as a modified exemplary embodiment that one or more latches 16 can be used instead of a latching ring 13.
- the respective locking pawl is chamfered in its own direction and interacts with the steep flank of the locking teeth 14.
- a sliding screw 27 can also be formed in that, instead of the locking teeth 14, slots 18 are machined in the surface of the space bolt 9, into which the locking ring 13 or the locking pawls 16 engage.
- the bolt 9 does not have to be fully formed, it can also consist of a hollow material, so that the two-part sliding screw can be inserted over the lying Kirschner wire.
- FIG. 9 shows the kinematic reversal of the function of the locking device compared to the locking devices according to FIGS. 4 to 8 described there. It is shown that the locking ring 13 or the locking pawls 16, which are associated with the locking teeth, can be connected to the screw bolt of the sliding screw 17 24 or slits cooperate on the inner circumference of a sliding sleeve 25.
- a screw thread 20 is arranged on the outer circumference of the respective sliding sleeve 5, 15, 25, with which it is possible to insert and remove the two-part sliding screw by a minimally invasive intervention.
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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)
Abstract
Description
Claims
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP00938633A EP1124498A2 (de) | 1999-05-11 | 2000-05-11 | Implantat zur operativen versorgung von schenkelhalsbrüchen und dgl. |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE29908360.8 | 1999-05-11 | ||
DE29908360U DE29908360U1 (de) | 1999-05-11 | 1999-05-11 | Gleitschraube zur operativen Versorgung von z.B. Schenkelhalsbrüchen |
Publications (3)
Publication Number | Publication Date |
---|---|
WO2000067652A2 true WO2000067652A2 (de) | 2000-11-16 |
WO2000067652A3 WO2000067652A3 (de) | 2001-04-19 |
WO2000067652B1 WO2000067652B1 (de) | 2001-06-07 |
Family
ID=8073413
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2000/004274 WO2000067652A2 (de) | 1999-05-11 | 2000-05-11 | Implantat zur operativen versorgung von schenkelhalsbrüchen und dgl. |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP1124498A2 (de) |
DE (1) | DE29908360U1 (de) |
WO (1) | WO2000067652A2 (de) |
Cited By (45)
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---|---|---|---|---|
EP1379186A1 (de) * | 2001-03-30 | 2004-01-14 | Triage Medical, Inc. | Distale knochenanker zur knochenfixierung mit sekundärer kompression |
WO2004069065A1 (en) * | 2003-02-10 | 2004-08-19 | Cell Center Cologne Gmbh | Dynamic epiphysial telescopic screw |
EP1452146A1 (de) * | 2003-02-27 | 2004-09-01 | Stryker Leibinger GmbH & Co. KG | Kompressionsknochenschraube |
EP1523278A2 (de) * | 2002-07-19 | 2005-04-20 | Triage Medical, Inc. | Verfahren und vorrichtung zur wirbelsäulenfixierung |
US7044953B2 (en) | 2003-02-27 | 2006-05-16 | Stryker Leibinger Gmbh & Co. Kg | Compression bone screw |
EP2055252A1 (de) * | 2001-03-30 | 2009-05-06 | Interventional Spine, Inc. | Distale Knochenanker zur Knochenfixierung mit sekundärer Kompression |
US7591823B2 (en) * | 2001-10-18 | 2009-09-22 | Lagwire, Llc | System and method for the fixation of bone fractures |
US7686807B2 (en) | 2001-03-22 | 2010-03-30 | Interventional Spine, Inc. | Tool for bone fixation device |
EP2240103A1 (de) * | 2007-12-07 | 2010-10-20 | OrthoIP, LLC | System und verfahren zur fixierung von knochenfrakturen |
US7938832B2 (en) | 2006-04-21 | 2011-05-10 | Interventional Spine, Inc. | Method and apparatus for spinal fixation |
US9028534B2 (en) | 2001-10-18 | 2015-05-12 | Orthoip, Llc | Bone screw system and method |
US9060809B2 (en) | 2001-10-18 | 2015-06-23 | Orthoip, Llc | Lagwire system and method for the fixation of bone fractures |
US9408648B2 (en) | 2001-03-30 | 2016-08-09 | Interventional Spine, Inc. | Method and apparatus for bone fixation with secondary compression |
US9839530B2 (en) | 2007-06-26 | 2017-12-12 | DePuy Synthes Products, Inc. | Highly lordosed fusion cage |
US9883951B2 (en) | 2012-08-30 | 2018-02-06 | Interventional Spine, Inc. | Artificial disc |
US9895236B2 (en) | 2010-06-24 | 2018-02-20 | DePuy Synthes Products, Inc. | Enhanced cage insertion assembly |
US9913727B2 (en) | 2015-07-02 | 2018-03-13 | Medos International Sarl | Expandable implant |
US9931223B2 (en) | 2008-04-05 | 2018-04-03 | DePuy Synthes Products, Inc. | Expandable intervertebral implant |
US9962189B2 (en) | 2004-12-08 | 2018-05-08 | Decima Spine, Inc. | Method and apparatus for spinal stabilization |
US10058433B2 (en) | 2012-07-26 | 2018-08-28 | DePuy Synthes Products, Inc. | Expandable implant |
US10070893B2 (en) | 2004-12-08 | 2018-09-11 | Decima Spine, Inc. | Method and apparatus for spinal stabilization |
US10166056B2 (en) | 2013-07-03 | 2019-01-01 | DePuy Synthes Products, Inc. | Method and apparatus for sacroiliac joint fixation |
US10293147B2 (en) | 2004-08-03 | 2019-05-21 | DePuy Synthes Products, Inc. | Telescopic percutaneous tissue dilation systems and related methods |
US10390963B2 (en) | 2006-12-07 | 2019-08-27 | DePuy Synthes Products, Inc. | Intervertebral implant |
US10398563B2 (en) | 2017-05-08 | 2019-09-03 | Medos International Sarl | Expandable cage |
US10413422B2 (en) | 2013-03-07 | 2019-09-17 | DePuy Synthes Products, Inc. | Intervertebral implant |
US10433977B2 (en) | 2008-01-17 | 2019-10-08 | DePuy Synthes Products, Inc. | Expandable intervertebral implant and associated method of manufacturing the same |
US10500062B2 (en) | 2009-12-10 | 2019-12-10 | DePuy Synthes Products, Inc. | Bellows-like expandable interbody fusion cage |
US10537436B2 (en) | 2016-11-01 | 2020-01-21 | DePuy Synthes Products, Inc. | Curved expandable cage |
US10548741B2 (en) | 2010-06-29 | 2020-02-04 | DePuy Synthes Products, Inc. | Distractible intervertebral implant |
US10575883B2 (en) | 2014-12-15 | 2020-03-03 | Smith & Nephew, Inc. | Active fracture compression implants |
US10888433B2 (en) | 2016-12-14 | 2021-01-12 | DePuy Synthes Products, Inc. | Intervertebral implant inserter and related methods |
US10940016B2 (en) | 2017-07-05 | 2021-03-09 | Medos International Sarl | Expandable intervertebral fusion cage |
US11344424B2 (en) | 2017-06-14 | 2022-05-31 | Medos International Sarl | Expandable intervertebral implant and related methods |
US11395626B2 (en) | 2006-12-07 | 2022-07-26 | DePuy Synthes Products, Inc. | Sensor for intervertebral fusion indicia |
US11426286B2 (en) | 2020-03-06 | 2022-08-30 | Eit Emerging Implant Technologies Gmbh | Expandable intervertebral implant |
US11426290B2 (en) | 2015-03-06 | 2022-08-30 | DePuy Synthes Products, Inc. | Expandable intervertebral implant, system, kit and method |
US11446156B2 (en) | 2018-10-25 | 2022-09-20 | Medos International Sarl | Expandable intervertebral implant, inserter instrument, and related methods |
US11452607B2 (en) | 2010-10-11 | 2022-09-27 | DePuy Synthes Products, Inc. | Expandable interspinous process spacer implant |
US11510788B2 (en) | 2016-06-28 | 2022-11-29 | Eit Emerging Implant Technologies Gmbh | Expandable, angularly adjustable intervertebral cages |
US11596523B2 (en) | 2016-06-28 | 2023-03-07 | Eit Emerging Implant Technologies Gmbh | Expandable and angularly adjustable articulating intervertebral cages |
US11612491B2 (en) | 2009-03-30 | 2023-03-28 | DePuy Synthes Products, Inc. | Zero profile spinal fusion cage |
US11752009B2 (en) | 2021-04-06 | 2023-09-12 | Medos International Sarl | Expandable intervertebral fusion cage |
US11911287B2 (en) | 2010-06-24 | 2024-02-27 | DePuy Synthes Products, Inc. | Lateral spondylolisthesis reduction cage |
USRE49973E1 (en) | 2013-02-28 | 2024-05-21 | DePuy Synthes Products, Inc. | Expandable intervertebral implant, system, kit and method |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6793678B2 (en) | 2002-06-27 | 2004-09-21 | Depuy Acromed, Inc. | Prosthetic intervertebral motion disc having dampening |
WO2008128663A2 (en) | 2007-04-19 | 2008-10-30 | Stryker Trauma Gmbh | Hip fracture device with static locking mechanism allowing compression |
US8398636B2 (en) | 2007-04-19 | 2013-03-19 | Stryker Trauma Gmbh | Hip fracture device with barrel and end cap for load control |
US11850160B2 (en) | 2021-03-26 | 2023-12-26 | Medos International Sarl | Expandable lordotic intervertebral fusion cage |
US12090064B2 (en) | 2022-03-01 | 2024-09-17 | Medos International Sarl | Stabilization members for expandable intervertebral implants, and related systems and methods |
Family Cites Families (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4095591A (en) * | 1977-01-27 | 1978-06-20 | Richards Manufacturing Co., Inc. | Compression screw system |
US4190044A (en) * | 1978-08-16 | 1980-02-26 | Wood Eugene W | Telescoping intermedullary pin |
SU1082415A1 (ru) * | 1982-04-13 | 1984-03-30 | Каунасский Медицинский Институт | Устройство дл соединени костных отломков |
US4456005A (en) * | 1982-09-30 | 1984-06-26 | Lichty Terry K | External compression bone fixation device |
US4640271A (en) * | 1985-11-07 | 1987-02-03 | Zimmer, Inc. | Bone screw |
US4940467A (en) | 1988-02-03 | 1990-07-10 | Tronzo Raymond G | Variable length fixation device |
DE8900121U1 (de) | 1989-01-04 | 1990-02-15 | Mecron Medizinische Produkte Gmbh, 1000 Berlin | Vorrichtung zur Kompressionsverschraubung |
FR2674119B1 (fr) * | 1991-03-22 | 1993-06-18 | Fixano Productions | Dispositif de guidage du glissement des vis d'osteosynthese pour fracture intra-capsulaire du col du femur. |
US5167664A (en) * | 1991-08-26 | 1992-12-01 | Zimmer, Inc. | Ratcheting bone screw |
FR2698261B1 (fr) | 1992-11-24 | 1995-03-17 | Lacaffiniere Jean Yves De | Dispositif de guidage d'une double vis du col du fémur pour clou trochantéro-diaphysaire verrouillé. |
DE19504115A1 (de) | 1995-02-08 | 1996-08-14 | Laghaollah Dr Med Elhami | Vorrichtung zur Behandlung von Schenkelhalsfrakturen |
DE19505609A1 (de) | 1995-02-18 | 1996-08-29 | Aesculap Ag | Vorrichtung zur Versorgung von Knochenbrüchen |
JPH08322848A (ja) * | 1995-06-01 | 1996-12-10 | Masato Narushima | 骨折部固定用スクリュー装置 |
JPH09224954A (ja) * | 1996-02-26 | 1997-09-02 | Asahi Optical Co Ltd | 骨接合材 |
US5893850A (en) * | 1996-11-12 | 1999-04-13 | Cachia; Victor V. | Bone fixation device |
DE29709725U1 (de) | 1997-06-04 | 1997-08-21 | Aesculap AG & Co. KG, 78532 Tuttlingen | Implantat |
-
1999
- 1999-05-11 DE DE29908360U patent/DE29908360U1/de not_active Expired - Lifetime
-
2000
- 2000-05-11 WO PCT/EP2000/004274 patent/WO2000067652A2/de not_active Application Discontinuation
- 2000-05-11 EP EP00938633A patent/EP1124498A2/de not_active Withdrawn
Non-Patent Citations (1)
Title |
---|
None |
Cited By (90)
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US7686807B2 (en) | 2001-03-22 | 2010-03-30 | Interventional Spine, Inc. | Tool for bone fixation device |
US9408648B2 (en) | 2001-03-30 | 2016-08-09 | Interventional Spine, Inc. | Method and apparatus for bone fixation with secondary compression |
US10111695B2 (en) | 2001-03-30 | 2018-10-30 | DePuy Synthes Products, Inc. | Distal bone anchors for bone fixation with secondary compression |
EP1379186A1 (de) * | 2001-03-30 | 2004-01-14 | Triage Medical, Inc. | Distale knochenanker zur knochenfixierung mit sekundärer kompression |
US10349991B2 (en) | 2001-03-30 | 2019-07-16 | DePuy Synthes Products, Inc. | Method and apparatus for bone fixation with secondary compression |
EP1379186A4 (de) * | 2001-03-30 | 2006-07-26 | Triage Medical Inc | Distale knochenanker zur knochenfixierung mit sekundärer kompression |
EP2055252A1 (de) * | 2001-03-30 | 2009-05-06 | Interventional Spine, Inc. | Distale Knochenanker zur Knochenfixierung mit sekundärer Kompression |
US9028534B2 (en) | 2001-10-18 | 2015-05-12 | Orthoip, Llc | Bone screw system and method |
US9060809B2 (en) | 2001-10-18 | 2015-06-23 | Orthoip, Llc | Lagwire system and method for the fixation of bone fractures |
US7591823B2 (en) * | 2001-10-18 | 2009-09-22 | Lagwire, Llc | System and method for the fixation of bone fractures |
US8109977B2 (en) | 2002-07-19 | 2012-02-07 | Interventional Spine, Inc. | Method and apparatus for spinal fixation |
US7993377B2 (en) | 2002-07-19 | 2011-08-09 | Interventional Spine, Inc. | Method and apparatus for spinal fixation |
EP1523278A2 (de) * | 2002-07-19 | 2005-04-20 | Triage Medical, Inc. | Verfahren und vorrichtung zur wirbelsäulenfixierung |
US9713486B2 (en) | 2002-07-19 | 2017-07-25 | DePuy Synthes Products, Inc. | Method and apparatus for spinal fixation |
EP1523278A4 (de) * | 2002-07-19 | 2007-05-09 | Triage Medical Inc | Verfahren und vorrichtung zur wirbelsäulenfixierung |
EP2100565A1 (de) * | 2002-07-19 | 2009-09-16 | Interventional Spine, Inc. | Vorrichtung zur Wirbelsäulenfixierung |
US7824429B2 (en) | 2002-07-19 | 2010-11-02 | Interventional Spine, Inc. | Method and apparatus for spinal fixation |
WO2004069065A1 (en) * | 2003-02-10 | 2004-08-19 | Cell Center Cologne Gmbh | Dynamic epiphysial telescopic screw |
US7794483B2 (en) | 2003-02-27 | 2010-09-14 | Stryker Leibinger Gmbh & Co. Kg | Compression bone screw |
EP1452146A1 (de) * | 2003-02-27 | 2004-09-01 | Stryker Leibinger GmbH & Co. KG | Kompressionsknochenschraube |
US7044953B2 (en) | 2003-02-27 | 2006-05-16 | Stryker Leibinger Gmbh & Co. Kg | Compression bone screw |
US10293147B2 (en) | 2004-08-03 | 2019-05-21 | DePuy Synthes Products, Inc. | Telescopic percutaneous tissue dilation systems and related methods |
US10070893B2 (en) | 2004-12-08 | 2018-09-11 | Decima Spine, Inc. | Method and apparatus for spinal stabilization |
US9962189B2 (en) | 2004-12-08 | 2018-05-08 | Decima Spine, Inc. | Method and apparatus for spinal stabilization |
US10639074B2 (en) | 2004-12-08 | 2020-05-05 | Decima Spine, Inc. | Method and apparatus for spinal stabilization |
US10667844B2 (en) | 2004-12-08 | 2020-06-02 | Decima Spine, Inc. | Method and apparatus for spinal stabilization |
US9101411B2 (en) | 2006-04-21 | 2015-08-11 | Interventional Spine, Inc. | Method and apparatus for spinal fixation |
US7938832B2 (en) | 2006-04-21 | 2011-05-10 | Interventional Spine, Inc. | Method and apparatus for spinal fixation |
US10398566B2 (en) | 2006-12-07 | 2019-09-03 | DePuy Synthes Products, Inc. | Intervertebral implant |
US11497618B2 (en) | 2006-12-07 | 2022-11-15 | DePuy Synthes Products, Inc. | Intervertebral implant |
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US9883951B2 (en) | 2012-08-30 | 2018-02-06 | Interventional Spine, Inc. | Artificial disc |
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US10575883B2 (en) | 2014-12-15 | 2020-03-03 | Smith & Nephew, Inc. | Active fracture compression implants |
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US9913727B2 (en) | 2015-07-02 | 2018-03-13 | Medos International Sarl | Expandable implant |
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US12023258B2 (en) | 2021-04-06 | 2024-07-02 | Medos International Sarl | Expandable intervertebral fusion cage |
Also Published As
Publication number | Publication date |
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WO2000067652B1 (de) | 2001-06-07 |
WO2000067652A3 (de) | 2001-04-19 |
DE29908360U1 (de) | 2000-09-21 |
EP1124498A2 (de) | 2001-08-22 |
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