WO2005044122A1 - Platte zum stabilisieren distaler radiusfrakturen - Google Patents
Platte zum stabilisieren distaler radiusfrakturen Download PDFInfo
- Publication number
- WO2005044122A1 WO2005044122A1 PCT/EP2004/012385 EP2004012385W WO2005044122A1 WO 2005044122 A1 WO2005044122 A1 WO 2005044122A1 EP 2004012385 W EP2004012385 W EP 2004012385W WO 2005044122 A1 WO2005044122 A1 WO 2005044122A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- shaft
- plate part
- plate
- distal
- plate according
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
Definitions
- the invention relates to a plate for stabilizing distal radius fractures, comprising an elongated shaft with a subsequent distal, anatomically pre-shaped plate part, the envelope of the plate part having an essentially triangular shape, and round holes arranged in the shaft and in the distal plate part, which are conical threaded holes can, with longitudinal axes of the threads which predominantly do not run parallel in the distal plate part, and wherein an offset is formed between the shaft and the plate part, according to the preamble of patent claim 1.
- Distal radius fractures as fractures of the portion of the spoke near the wrist are the most common bony injuries in humans.
- the spoke mostly breaks close to the wrist with or without involvement of the joint surface.
- Serious injuries with fractures of the actual joint surface usually result from axially acting forces on the wrist, which in extreme cases split the spoke into several fragments.
- Such fractures affect e.g. Patients who practice inline skating, motorcycling or snowboarding as a sport.
- volar flexion or Smith fractures are always unstable and an indication for a volar support plate osteosynthesis. If there is a dorsal and / or radial debris zone, there is a risk that the fragments will tip over even after reduction. There is also an indication for surgery here.
- volar angle-stable plates are also preferably used.
- Such an angle-stable plate for the distal radius fracture with an anatomically pre-shaped distal plate part belongs to the prior art and goes back, for example, to Königsee implants and instruments from Osteosynthese GmbH. With the so-called plate after Dr. Petereit with volar application, the operative reduction result is permanently fixed by three angle-stable screws and no intra-operative corrections are necessary.
- This known angle-stable plate for the distal radius fracture has an elongated shaft and a distal plate part, the shaft and plate part being connected via a crank.
- the essentially triangular distal plate part receives the aforementioned angle-stable screws.
- conical threaded holes are made in the plate part.
- this known plate does not allow intraoperative post-modeling due to its very rigid embodiment.
- the triangular shape of the plate part or the respective envelope of this plate part is unequal.
- the envelope has a large number of conical threaded bores, the bore diameter of these threaded bores being selected to be substantially smaller than the diameter of the threaded bores in the shaft.
- the longitudinal axes of the threads of the large number of bores in the distal plate part predominantly form different angles ⁇ to the shaft part, which differ from 90 °.
- the side of the triangle facing away from the shaft has an interruption or a free area, the shaft and plate part forming a Y shape.
- a transverse surface piece is provided on the respective sides of the plate part that forms the Y shape, each of which comprises at least two conical threaded bores.
- the transverse surface pieces can have a different length and / or width and can be angled or cranked with respect to the shaft part.
- the cross-sectional area of the shaft preferably has a curvature, so that irritations of the bone surface can be minimized.
- the corner points of the triangular, distal plate part do not lie on a flat surface.
- Such a plate structure is conceivable here, in which the corner points of the triangular plate part are located on a curved surface.
- the threaded bores in the plate part are on the side of the triangle facing away from the shaft, in an arcuate arrangement.
- the shaft of the radius plate can be fitted.
- This waist is preferably located in the area between the above-mentioned elongated hole and the subsequent fastening hole of larger diameter.
- the bore diameter of the threaded bores in the distal plate part is chosen to be approximately half smaller than the diameter of the screw holes in the shaft of the plate.
- the Y-legs and / or the transverse surface pieces located at the ends of the legs can be easily remodeled.
- the above-mentioned Y shape has the advantage in dorsal use compared to conventional plates that the tubercle listeri does not have to be removed, so that the surgical trauma can be reduced.
- Any multi-fragment fractures that may be present can be fixed very well, in particular by the choice of angle-stable screws with a diameter of essentially 2 mm.
- angle-stable screws with a diameter of essentially 2 mm.
- four to eight, preferably five or six screws with a cortex thread in the screw shaft are used.
- the plate itself is made from implant materials known per se, in particular implant steel or titanium or from titanium alloys.
- Fig. 1 different views of a radius plate volar with closed leg area in the distal plate part
- the distal radius plate each has an elongated shaft 1 which has an arrangement of screw holes with or without conical threaded bores 2 in combination with an elongated hole 3.
- a symmetrical, waist-shaped recess 4 is present in the shaft.
- crank 6 is provided in the transition area from the shaft 1 to the distal plate part 5, so that the desired basic structure corresponding to the anatomical conditions is obtained.
- the cross section of the shaft 1 is provided with a curvature 7, which helps to avoid irritation of the periosteum.
- Fig. 1 is based on an uneven triangular shape of the plate part 5.
- the side of the triangle facing away from the shaft 1, i.e. the side 8 has a large number of conical threaded bores 9 of smaller diameter than that diameter of the screw holes 2 in the shaft 1.
- the longitudinal axes of the threads of the plurality of bores in the plate part 5 are at different angles ⁇ towards the plate part, where ⁇ has an amount that deviates from 90 °.
- the numbered 1 to 6 Bore designation has the angular dimensions given in the figure in the range from 60 ° to 89 °.
- the end view of the plate according to Fig. 1 with a recognizable distal plate end makes it clear that the corner points of this approximately triangular plate part do not lie on a flat surface but on a curved surface that is adapted to the anatomical conditions.
- the representation of the thread according to Fig. 1 relates to the large number of threaded holes in the distal plate part 5, the conical embodiment providing the necessary angular stability when a screw with a complementary thread is screwed into the screw head.
- a shaft 1 with conical threaded bores 2 and elongated hole 3 and waist recess 4 is also provided.
- the basic shape of the plate there corresponds to a Y.
- a transverse surface piece 11 is provided on the respective sides of the plate shape 10 forming the Y shape, the transverse surface pieces 11, as can be seen in FIG. 2, have a different length or else width.
- the longitudinal axes of the transverse surface pieces 11 run as shown in FIG. 2 at an angle to each other or correspond approximately to an arc according to FIG. 3.
- the side view of the Y-plate part 10 according to FIG. 2 shows the anatomically adapted cranked shape of the two finger-like legs of the Y-plate part 10.
- the longitudinal axes of the threaded bores predominantly have a non-parallel, ie angled, position to one another.
- the shape of the Y-plate part 10 makes it possible, depending on the type of fracture or the fracture fragments present, to carry out a slight re-modeling.
- the Y shape also has the advantage that the tuberculosis m listeri, which is a bone protrusion, does not have to be removed in dorsal application.
- an angle-stable screw connection is provided both in the area of the shaft 1 and in the distal part 5 of the plate, i.e. near the joint gap possible. Multi-fragment fractures can be fixed very well, in particular by choosing angle-stable screws in the distal plate area with a diameter of essentially 2 mm.
- the embodiment of the radius plate according to FIG. 2 is based on a non-symmetrical Y-plate part configuration, the shorter leg of the plate part 10 preferably being offset toward the shaft 1.
- the thickness of the plate material is in the range of essentially 1 mm to 3 mm, implant steel, titanium or a titanium alloy being used as the material.
Landscapes
- 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 (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2006538729A JP2007509730A (ja) | 2003-11-05 | 2004-11-02 | 橈骨遠位端骨折を固定するためのプレート |
EP04797528A EP1684651A1 (de) | 2003-11-05 | 2004-11-02 | Platte zum stabilisieren distaler radiusfrakturen |
CA002544742A CA2544742A1 (en) | 2003-11-05 | 2004-11-02 | Plate used to stabilise distal radius fractures |
US10/578,567 US7867260B2 (en) | 2003-11-05 | 2004-11-02 | Plate used to stabilise distal radius fractures |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10351501 | 2003-11-05 | ||
DE10351501.1 | 2003-11-05 | ||
DE10356904.9 | 2003-12-05 | ||
DE10356904A DE10356904B4 (de) | 2003-11-05 | 2003-12-05 | Platte zum Stabilisieren distaler Radiusfrakturen |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2005044122A1 true WO2005044122A1 (de) | 2005-05-19 |
Family
ID=34575415
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2004/012385 WO2005044122A1 (de) | 2003-11-05 | 2004-11-02 | Platte zum stabilisieren distaler radiusfrakturen |
Country Status (5)
Country | Link |
---|---|
US (1) | US7867260B2 (de) |
EP (1) | EP1684651A1 (de) |
JP (1) | JP2007509730A (de) |
CA (1) | CA2544742A1 (de) |
WO (1) | WO2005044122A1 (de) |
Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2007190209A (ja) * | 2006-01-19 | 2007-08-02 | Hiroaki Sakano | 背側プレート、掌側プレート、背側ガイドブロック、掌側ガイドブロック、プレートロックネジ、ドリルガイド、鋼線ガイド、鈍棒、橈骨遠位端背側整復器具及び橈骨遠位端掌側整復器具 |
WO2011072107A1 (en) * | 2009-12-11 | 2011-06-16 | Synthes Usa, Llc | Mandibular fixation plate |
JP2011189174A (ja) * | 2011-05-31 | 2011-09-29 | Hidetoshi Onoe | 骨プレート |
US8287538B2 (en) | 2008-01-14 | 2012-10-16 | Conventus Orthopaedics, Inc. | Apparatus and methods for fracture repair |
US8906022B2 (en) | 2010-03-08 | 2014-12-09 | Conventus Orthopaedics, Inc. | Apparatus and methods for securing a bone implant |
US8961518B2 (en) | 2010-01-20 | 2015-02-24 | Conventus Orthopaedics, Inc. | Apparatus and methods for bone access and cavity preparation |
US9339315B2 (en) | 2010-03-08 | 2016-05-17 | Stryker European Holdings I, Llc | Bone fixation system with curved profile threads |
US9370386B2 (en) | 2009-11-27 | 2016-06-21 | DePuy Synthes Products, Inc. | Plating concept for distal radial fractures |
US9730739B2 (en) | 2010-01-15 | 2017-08-15 | Conventus Orthopaedics, Inc. | Rotary-rigid orthopaedic rod |
US10022132B2 (en) | 2013-12-12 | 2018-07-17 | Conventus Orthopaedics, Inc. | Tissue displacement tools and methods |
US10918426B2 (en) | 2017-07-04 | 2021-02-16 | Conventus Orthopaedics, Inc. | Apparatus and methods for treatment of a bone |
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US7951176B2 (en) | 2003-05-30 | 2011-05-31 | Synthes Usa, Llc | Bone plate |
US11259851B2 (en) | 2003-08-26 | 2022-03-01 | DePuy Synthes Products, Inc. | Bone plate |
DE20321245U1 (de) | 2003-08-26 | 2006-06-14 | Synthes Gmbh | Knochenplatte |
US11291484B2 (en) | 2004-01-26 | 2022-04-05 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
US8574268B2 (en) | 2004-01-26 | 2013-11-05 | DePuy Synthes Product, LLC | Highly-versatile variable-angle bone plate system |
US8523921B2 (en) | 2006-02-24 | 2013-09-03 | DePuy Synthes Products, LLC | Tibial plateau leveling osteotomy plate |
US8551144B2 (en) | 2008-04-22 | 2013-10-08 | Collab Comlo, LLC | Bone plate system configurable as static or dynamic implant |
US8894693B2 (en) * | 2008-06-12 | 2014-11-25 | Valorisation Recherche Hscm, Limited Partnership | Orthopaedic fixation component and method |
US10603090B2 (en) | 2011-09-06 | 2020-03-31 | Skeletal Dynamics, Inc. | Fracture fixation plate, system and methods of use |
US8986353B2 (en) | 2009-07-09 | 2015-03-24 | Orthohelix Surgical Designs, Inc. | Osteotomy plate, plate driver and method for their use |
FR2956971B1 (fr) | 2010-03-08 | 2012-03-02 | Memometal Technologies | Systeme d'osteosynthese a plaque |
FR2956972B1 (fr) | 2010-03-08 | 2012-12-28 | Memometal Technologies | Plaque d'osteosynthese articulee |
US8603148B2 (en) | 2010-05-07 | 2013-12-10 | Raymond B. Raven, III | System for treating bone fractures |
US8518042B2 (en) * | 2010-10-19 | 2013-08-27 | Biomet Manufacturing, Llc | Orthopedic plate assembly for a distal radius having re-contouring features and method for using same |
TWM417131U (en) * | 2010-12-24 | 2011-12-01 | Univ Nat Taiwan Science Tech | Improving bony plate structure |
EP2675378B1 (de) * | 2011-02-14 | 2017-12-20 | Skeletal Dynamics, LLC | Bruchfixierungsplatte |
US8709092B2 (en) | 2011-02-16 | 2014-04-29 | Genesis Medical Devices, LLC | Periprosthetic fracture management enhancements |
US9480510B2 (en) | 2011-03-23 | 2016-11-01 | Spinecraft, LLC | Devices, systems and methods of attaching same to the spine |
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US11331128B2 (en) | 2016-08-17 | 2022-05-17 | Globus Medical Inc. | Distal radius stabilization system |
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US10420596B2 (en) | 2016-08-17 | 2019-09-24 | Globus Medical, Inc. | Volar distal radius stabilization system |
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-
2004
- 2004-11-02 EP EP04797528A patent/EP1684651A1/de not_active Withdrawn
- 2004-11-02 WO PCT/EP2004/012385 patent/WO2005044122A1/de active Application Filing
- 2004-11-02 US US10/578,567 patent/US7867260B2/en not_active Expired - Fee Related
- 2004-11-02 CA CA002544742A patent/CA2544742A1/en not_active Abandoned
- 2004-11-02 JP JP2006538729A patent/JP2007509730A/ja active Pending
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Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
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JP4644606B2 (ja) * | 2006-01-19 | 2011-03-02 | 裕昭 坂野 | 橈骨遠位端背側整復器具 |
JP2007190209A (ja) * | 2006-01-19 | 2007-08-02 | Hiroaki Sakano | 背側プレート、掌側プレート、背側ガイドブロック、掌側ガイドブロック、プレートロックネジ、ドリルガイド、鋼線ガイド、鈍棒、橈骨遠位端背側整復器具及び橈骨遠位端掌側整復器具 |
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US9993277B2 (en) | 2010-03-08 | 2018-06-12 | Conventus Orthopaedics, Inc. | Apparatus and methods for securing a bone implant |
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JP2011189174A (ja) * | 2011-05-31 | 2011-09-29 | Hidetoshi Onoe | 骨プレート |
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Also Published As
Publication number | Publication date |
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JP2007509730A (ja) | 2007-04-19 |
CA2544742A1 (en) | 2005-05-19 |
US20070123886A1 (en) | 2007-05-31 |
EP1684651A1 (de) | 2006-08-02 |
US7867260B2 (en) | 2011-01-11 |
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