WO2009013568A1 - Dispositif chirurgical pour la connexion d'os fracturés - Google Patents

Dispositif chirurgical pour la connexion d'os fracturés Download PDF

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Publication number
WO2009013568A1
WO2009013568A1 PCT/IB2007/052899 IB2007052899W WO2009013568A1 WO 2009013568 A1 WO2009013568 A1 WO 2009013568A1 IB 2007052899 W IB2007052899 W IB 2007052899W WO 2009013568 A1 WO2009013568 A1 WO 2009013568A1
Authority
WO
WIPO (PCT)
Prior art keywords
sleeve
elongated member
surgical device
screw
thread
Prior art date
Application number
PCT/IB2007/052899
Other languages
English (en)
Inventor
Nilli Del Medico
Original Assignee
Nilli Del Medico
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 Nilli Del Medico filed Critical Nilli Del Medico
Priority to PCT/IB2007/052899 priority Critical patent/WO2009013568A1/fr
Publication of WO2009013568A1 publication Critical patent/WO2009013568A1/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
    • A61B17/56—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
    • A61B17/746—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 a plate opposite the femoral head
    • 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

Definitions

  • the present invention relates to the surgical setting of fractured bones, particularly to the setting and connecting of the upper part of the femur to the femur shaft, without exposing the bone through a long and wide incision of the overlying tissue and skin by using a technique known as percutaneous connection.
  • a suitably pre-drilled connector plate is positioned and secured by screws to the fractured neck of the femur, and screws are driven through the plate and into holes drilled through the femur shaft and into the femoral head for compressing the bone parts and achieving a quick healing.
  • the invention relates to a surgical device for percutaneous connection of fractured bones comprising both the plate and the added components to remain in the patient's body.
  • EP 0 617 927 Bl discloses a surgical device for percutaneous connection of a fractured upper part of the femur to the femur shaft, according to the preamble of claim 1.
  • the known device provides for a connector plate with two screw-threaded bores for two elongated, partially threaded members or screws to be inserted into the fractured bone, with their outer end portions positioned and movable both axially and rotatably in a sleeve the end of which is adapted for engagement of a screwdriver.
  • a single elongated smooth member partially fitted within a sleeve carrying a portion for the engagement of a screwdriver, the cross-sections of said member and the inner cross- sections of said sleeve being such as to prevent any rotation of the former without requiring additional components.
  • said cross sections are hexagonal and according to another non-limiting embodiment said cross sections provide for a round shape with at least a flat portion such as for example those defined by a circle and a cord, or more generally a polygonal cross section with N sides.
  • the free end portion of the sleeve i.e.
  • the one providing for engagement means of a screwdriver are formed with an inner groove for receiving and holding a plug preventing or limiting the axial displacement of the elongated member.
  • an auxiliary equipment for positioning and securing the connector plate comprising guide means comprising a plug and an inner groove, or guide member, comprising a hollow bolt, and allowing for the insertion of a Kirschner wire used to hold bone fragments in place.
  • the auxiliary equipment can be easily extracted though leaving the Kirschner wire inserted: the hollow bolt is threaded into the inner groove, or guide member, and it can slip on the Kirschner wire upon extraction.
  • a cut is provided in the auxiliary equipment for allowing the axial extraction of the inner groove, or guide member, and a less extended incision is provided too for applying the Kirschner wire.
  • Figure 1 is a front view illustrating a connector plate according to the invention
  • Figure 2 is a cross-section side view of the connector plate of Figure 1 also showing the screws for securing the plate to the bone;
  • Figures 3 and 4 illustrate two embodiments of an elongated member to be inserted into the bone according to the invention
  • Figure 5 is a cross-section side view of an embodiment of a (hexagonal as shown in the side cross section) sleeve according to the invention.
  • Figure 6 is a side view of another (flattened as shown in the side cross section) embodiment of a sleeve according to the invention.
  • Figure 7 shows an embodiment of the auxiliary equipment according to the invention.
  • FIGS 8 and 9 illustrate the operations of the auxiliary equipment.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & 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)

Abstract

L'invention porte sur un dispositif chirurgical pour la connexion de la partie supérieure fracturée du fémur à la tige fémorale, le dispositif coopérant avec un équipement auxiliaire pour une introduction et une connexion du dispositif à l'os fracturé. Le dispositif chirurgical comprend une plaque de connecteur en forme de barre (1) avec une partie de tête (4) pour son introduction à travers une petite incision dans la peau, et comporte au moins deux alésages traversants, fraisés (7). Un alésage taraudé, oblique (5), à un angle de 100° à 140° dirigé dans une direction vers le haut, est formé dans la partie de tête pour recevoir un élément allongé (10) devant être introduit dans la partie d'os fracturé. La partie d'extrémité externe dudit élément allongé est positionnée à l'intérieur d'un manchon (14) et est mobile le long d'une direction axiale, l'extrémité externe dudit manchon (14) fournissant en outre un filetage interne engageant un bouchon (20) pour fermer le manchon (14) et empêcher ou limiter le déplacement axial dudit élément allongé (10). L'extrémité externe dudit manchon (14) comporte en outre un filetage (15) correspondant au filetage dans ledit alésage oblique (5) de la plaque de connecteur (1), et des moyens (16) pour l'engagement d'un tournevis. De préférence, l'élément allongé a une section transversale ayant de 1 à N surfaces planes et correspondant à la surface interne dudit manchon (14), ce par quoi ledit élément allongé (10) ne peut pas tourner à l'intérieur dudit manchon.
PCT/IB2007/052899 2007-07-20 2007-07-20 Dispositif chirurgical pour la connexion d'os fracturés WO2009013568A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/IB2007/052899 WO2009013568A1 (fr) 2007-07-20 2007-07-20 Dispositif chirurgical pour la connexion d'os fracturés

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/IB2007/052899 WO2009013568A1 (fr) 2007-07-20 2007-07-20 Dispositif chirurgical pour la connexion d'os fracturés

Publications (1)

Publication Number Publication Date
WO2009013568A1 true WO2009013568A1 (fr) 2009-01-29

Family

ID=39323604

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2007/052899 WO2009013568A1 (fr) 2007-07-20 2007-07-20 Dispositif chirurgical pour la connexion d'os fracturés

Country Status (1)

Country Link
WO (1) WO2009013568A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ITTO20090188A1 (it) * 2009-03-12 2010-09-13 Intrauma S R L Dispositivo di osteosintesi per fratture femorali.
WO2010103494A2 (fr) * 2009-03-12 2010-09-16 Intrauma S.R.L. Plaque d'ostéosynthèse pour fractures du fémur
ITTO20090551A1 (it) * 2009-07-22 2011-01-23 Traumavet S R L Placca di osteosintesi per fratture femorali
CN109077794A (zh) * 2018-08-09 2018-12-25 张晨晨 一种骨科用同平面固定型克氏针预固定导向装置
WO2024121848A1 (fr) * 2022-12-06 2024-06-13 Medical Research & Development Fund for Health Services Bnai Zion Medical Center Dispositif, système et méthode de fixation d'os fracturés

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2834342A (en) * 1956-08-29 1958-05-13 Clyde E Yost Surgical device for the fixation of fractured bones
EP0617927A1 (fr) * 1993-03-28 1994-10-05 Yehiel Gotfried Dispositif chirurgical pour assemblage de morceaux dos fracturés
FR2841459A1 (fr) * 2002-06-28 2004-01-02 Sanortho Dispositif d'osteosynthese mini-invasif, notamment vis-plaque pour la hanche
WO2004110292A2 (fr) * 2003-06-12 2004-12-23 Disc-O-Tech Medical Technologies, Ltd. Dispositif a plaque
FR2860420A1 (fr) * 2003-10-03 2005-04-08 Surfic Technologies Dispositif d'osteosynthese

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2834342A (en) * 1956-08-29 1958-05-13 Clyde E Yost Surgical device for the fixation of fractured bones
EP0617927A1 (fr) * 1993-03-28 1994-10-05 Yehiel Gotfried Dispositif chirurgical pour assemblage de morceaux dos fracturés
FR2841459A1 (fr) * 2002-06-28 2004-01-02 Sanortho Dispositif d'osteosynthese mini-invasif, notamment vis-plaque pour la hanche
WO2004110292A2 (fr) * 2003-06-12 2004-12-23 Disc-O-Tech Medical Technologies, Ltd. Dispositif a plaque
FR2860420A1 (fr) * 2003-10-03 2005-04-08 Surfic Technologies Dispositif d'osteosynthese

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ITTO20090188A1 (it) * 2009-03-12 2010-09-13 Intrauma S R L Dispositivo di osteosintesi per fratture femorali.
WO2010103494A2 (fr) * 2009-03-12 2010-09-16 Intrauma S.R.L. Plaque d'ostéosynthèse pour fractures du fémur
WO2010103494A3 (fr) * 2009-03-12 2010-12-29 Intrauma S.R.L. Plaque d'ostéosynthèse pour fractures du fémur
ITTO20090551A1 (it) * 2009-07-22 2011-01-23 Traumavet S R L Placca di osteosintesi per fratture femorali
CN109077794A (zh) * 2018-08-09 2018-12-25 张晨晨 一种骨科用同平面固定型克氏针预固定导向装置
CN109077794B (zh) * 2018-08-09 2020-07-31 河南科技大学第一附属医院 一种骨科用同平面固定型克氏针预固定导向装置
WO2024121848A1 (fr) * 2022-12-06 2024-06-13 Medical Research & Development Fund for Health Services Bnai Zion Medical Center Dispositif, système et méthode de fixation d'os fracturés

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