WO2009021624A1 - Dispositif de fixation de fractures osseuses - Google Patents

Dispositif de fixation de fractures osseuses Download PDF

Info

Publication number
WO2009021624A1
WO2009021624A1 PCT/EP2008/006246 EP2008006246W WO2009021624A1 WO 2009021624 A1 WO2009021624 A1 WO 2009021624A1 EP 2008006246 W EP2008006246 W EP 2008006246W WO 2009021624 A1 WO2009021624 A1 WO 2009021624A1
Authority
WO
WIPO (PCT)
Prior art keywords
plate
implant
bone
screws
relative
Prior art date
Application number
PCT/EP2008/006246
Other languages
German (de)
English (en)
Inventor
Marc A. Riner
Ernst Kehrli
Stephan Ingold
Frank Sautter
Pierre Hoffmeyer
Original Assignee
Smith & Nephew Orthopaedics Ag
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 Smith & Nephew Orthopaedics Ag filed Critical Smith & Nephew Orthopaedics Ag
Publication of WO2009021624A1 publication Critical patent/WO2009021624A1/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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7283—Intramedullary pins, nails or other devices with special cross-section of the nail
    • 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
    • A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • A61B17/8047—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers wherein the additional element surrounds the screw head in the plate hole
    • 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
    • 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
    • A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
    • 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
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3662—Femoral shafts
    • A61F2/367—Proximal or metaphyseal parts of shafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/38—Joints for elbows or knees
    • A61F2/389—Tibial components
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/40—Joints for shoulders
    • A61F2/4059—Humeral shafts
    • A61F2002/4062—Proximal or metaphyseal parts of shafts

Definitions

  • the present invention relates to a device for fixation of bone fractures, in particular in the proximal Beieich a humerus, distal, but also proximal region of a femur, and / or proximal Beieich a tibia, according to the Obeibeg ⁇ ff of claim 1.
  • the present case involves the healing of comorbid, joint-near multipart fractures of the proximal humerus, distal but also proximal femur and proximal tibia. It is important to fix the individual fragments with angular stability.
  • humeral prostheses are used for joint-preserving reconstruction After implantation of the prosthesis and reduction of the fracture scions, these are fixed by suture material both to the prosthesis and to one another. typically tuberculum minor and tuberculum major, the muscles of the shoulder musculature attack, and with early mobilization and poor fracture, they can dislocate bone-only fragments held by sutures due to the muscular forces that occur, and all these problems must be resolved.
  • the present invention has the object to provide a device for the fixation of bone fractures, especially complicated joint-near bone fractures available, with the improved repositioning of the original anatomical conditions can be achieved without the problem of Pe ⁇ ostkompression occurs. Also, the construction should be such that there is no "impmgement" hazard.
  • the Voi ⁇ chtung should be suitable for both a cemented and non-cementing implantation. If a prosthesis with a condyle is to be implanted, after the reduction of the fracture fragment, it must also be able to be fixed with the standard suture material
  • the plate can be fixed angularly and distance stable with screws on the implant, for example, nail odci a body connected to the nail.
  • screws on the implant for example, nail odci a body connected to the nail.
  • the screws themselves, a blade, but also sleeves, through which the plate fixing screws extend serve.
  • Implant fixed plate can screw screws polyaxial, angle stable, odei polj-axial angle stable in the individual detached fragments screwed and thus fix relative to the nail stable
  • an essential point of the present invention is that the plate is fixable at both a predetermined distance from the implant, for example a nail or a shaft of the latter, both in terms of stability and spacing.
  • so-called "press plates” are always fixed on the nail introduced on the mtramedullar, meaning that the position of the plate is determined by the bone and not by the fixation on the nail or implant.
  • Fig. 1 is a modular upper arm prosthesis according to the invention Voiichtung for
  • FIG. 2 shows the prosthesis according to FIG. 1 in a perspective view
  • the implant shown in Figures 1 and 2 represents a modular Obei aimpicture consisting of shaft 1 1, Koipus 1 8 and ball head f 1 9 is the connection between Body and shaft is a cone connection 20, which is fixed dutch by a proximi by the Koipus 1 8 hindiuchgeschreibte clamping screw 2 1
  • the head 19 is just if fixed by a cone-type connector 25 on an adapter 26.
  • the adapter 26 is connected by a clamping screw 22 with the Koipus 18.
  • the longitudinal axis of the clamping slide 22 is offset laterally relative to the head center axis 23.
  • the head 1 9 is therefore eccentrically attached to the coaxial 1 8
  • the advantages of the voigc-called modulaic structure need not be discussed here, since the invention relates to a relative to the Koipus 18 angle and distance stable fixieibaie plate 14.
  • This plate 14 is three-dimensionally shaped and adapted to the bone area to be fixed.
  • the corresponding device for fixation is designated by the reference numeral 10.
  • This device is not only suitable for fixation of bone fractures in the proximal region of a humerus, i. in association with an upper arm prosthesis, but also for the fixation of bone fractures in the distal or proximal region of a femur and / or proximal region of a tibia It comprises - as already mentioned - a plate 14, which at a nail in the medullary canal of the fractured bone or intiamedullar plazierbaren , Shank, od. Like.
  • Implant here body of a Oberaimprothese, by means of screws 12, a blade 13 and / or a clamping mechanism 17 on the implant 1 1 and 18 is fixieibar, wherein the plate 14 holes 1 5 for recording, in particular angularly stable recording of bone screws 16 has.
  • the plate 14 is in a predetermined position relative to the implant 1 1 or 1 8, possibly even at a predetermined distance from the bone itself wmkel- and fixed in space stable.
  • the plate 14 is preferably shaped according to the outer shape of the bone area to be fixed.
  • the screws 12 and / or blade 13 and in particular also the clamping mechanism 17 are preferably connected to the plate 14 so that the plate 14 with the screws, blade and / or clamping mechanism relative to the implant 1 1 and 1 8 mitbewegbar is so, that a voibestimmte angular and distance-stable relative position between plate 14 and implant 1 1 or 1 8 is superimposed adjustable.
  • the bores 15 for the bone screws 16 are in the plate 14 in voi certain way emblazoned, so that the bone screws 16 are.
  • the bone fins have 1 6 voizugswcise fferably whose at least the plate 14 zugekehitc side sth a- misphaiisch formed according to an approximately hemispha ⁇ schenmorco réelle on the bone ⁇ bgewandten side of the or holes 15 in the plate 14th
  • the screws 12 can be screwed into the implant or into the coypus 18 by fixing the plate 14 relative to the implant 1 1 or in this case the body 18 through threaded shoulders 27.
  • Windchulsen 27 itself also in threaded holes 28 of the plate 14 are screwed, so that duich countering these two threads between Schiaube 12 and threaded sleeve 27 on the one hand and between threaded sleeve 27 and plate 14 on the other hand fixation of the plate 14 at voibestimmtem distance from the implant 1 1 or 18 can be ordered.
  • the slopes of the aforementioned threads are different.
  • Fig. 2 can be seen very well, the plate 14 at the upper proximal end two smaller holes 29, which serve Zui attachment of suture.
  • FIG. 3 shows an alternative Ausbowungsfoim for the distance-stable Fixieiung the plate 14 against a nail or shank 1 1.
  • a blade 13 is inserted with through hole 30.
  • a fastening screw 12 extends through which the Fixieiung on the shaft 1 1 eidecit.
  • On the Untciseite of the screw head 31 is a genffelte Anlagc- surface to fix the screw 12 in the screwed state
  • the blade 13 may also pierce through the shaft 11; Of course, then an axial stop for the blade 13 relative to the shaft 1 1 must be voititium to Fixie the blade 13 relative to the shaft and to the other and the plate 14th
  • the fixation of the plate 14 with respect to the shaft 11 is shown by a type of threaded rod, which is fixable within the shaft 11 with a distal screw shaft, in particular a sliding barrel 32.
  • the fixation of the plate 14 with respect to the shaft 11 is similar to that of the embodiment of Fig. 4, with the underside, that the threaded rod which supports the fixation tube 12 against the plate 14 Implant defined in a threaded sleeve 33 is einschraubbai which ⁇ viedeium schiaubveunden with the shaft 1 1.
  • the threaded rod 12 is formed in two parts in this Ausryiungsfoim
  • the clamping pins 34 each have a threaded bore 36 in the plate 14.
  • the clamping pins 34 are firmly bound by a clamping sleeve 37 that can be inserted into the threaded portion 36 of the plate 14, so that the plate 14 is at a certain distance from it Implant 11 or 18 clamped on at least one clamping pin 34 is fixieibar
  • the screwing and unscrewing of both clamping pin 34 and clamping sleeve 37 is indicated in Fig 8 with the double arrows 38, 39
  • the clamping sleeve 37 is preferably designed as Schlitzhulse with axial slot 40.
  • Fei ner is the outward or the end facing away from the bone of the clamping sleeve 37 t ⁇ chteifor- mig extended, so that they biased when screwing into the zugcoidnete threaded bore 36 of the plate 14 radially inwardly against the clamping pin 34 wild
  • the bone hole facing away from the threaded hole By means of the clamping sleeve 37, therefore, the plate 14 is fixated to the clamping pins 34 at a predetermined distance from the implant, ie co-tip 18 of an upper arm prosthesis
  • the plates 14 are each provided with a through bore, into which sleeves 41 and 42, respectively, with internal threads are inserted, with the relative position of the sleeves 41, 42 inside the protruding holes in the plate 14 on the sleeves 41, 42 integrally formed peripheral flanges 43, 44 is determined
  • Scheiubmuttein 45, 46 zugeoidnet have a réellegew inde corresponding to the internal thread of the sleeves 41, 42 on the eiw suspected mecanicgew inde serve ziu receiving dei mounting screws 12 fui the plate 14 relative to the implant, w obei the relative position of the plate 14 by locking of sleeve 41, 42 on the one hand and associated nut 45, 46 on the other hand can be fixed.
  • the sleeve 41 protrudes in the bore of the plate 14 in a detrimental manner.
  • the associated opening of the plate bore is extended according to a funnel.
  • the bore in the plate 14 is continuously cylindrical.
  • a ring extension 47 is still provided, which serves for centering the nut 46 within the bore in the plate 14.
  • This annular shoulder 47 further has a funnel-like widening opening towards the bone into which the associated end of the sleeve 42 can be fitted. This results in a mutual alignment of sleeve 42 and nut 46 within the bore in the plate 14th
  • the orientation of the threaded sleeve 41 is effected exclusively by the truncated cone-shaped outer periphery, which can be fitted into a corresponding funnel-like opening of the plate 14.
  • the plate 14 may also be designed so that no bone screws 16 are used, but only additional suture can be anchored to the plate 14.
  • the plate 14 can also be provided with integrally formed force carriers, via which the connection takes place to the intramedullary implant
  • the plate 14 may be anatomical bearing both symmetrical and as ) m met ⁇ sch trained. In any case, the plate should be adapted to the bone shape to be fixed
  • the present invention also relates to a Zielgerat for safely locating the holes in the intramedullary implant introduced, eg body 1 8 a humetus or Obeiarmprothese, which is characterized in that it is on the intramedullary implant introduced fixieibai.
  • This target device may comprise a target globe extending proximally at the bone, with cylindrical sleeves directed toward the protrusions in the implant, and then passing the fastening screws for the plate 14 therethrough All maids kept open in the education submission days have been identified as having been individually or individually registered. in combination against the state of the art are new
  • connection 22 Longitudinal axis of the clamping schiaubsee connection 22

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)
  • Prostheses (AREA)

Abstract

Dispositif (10) de fixation de fractures osseuses, en particulier dans la zone proximale d'un humérus, comprenant un clou, une tige ou un implant de même nature (11, 18) qui peut être placé dans le canal médullaire de l'os fracturé ou dans la moelle osseuse et une plaque (14) qui peut être fixée au moyen de vis (12) ou similaires à l'implant (11, 18) et qui présente des perçages (15) destinés à recevoir, en particulier dans une position angulaire stable, des vis à os (16). La plaque (14) peut être fixée dans une position prédéterminée par rapport à l'implant (11, 18) et aussi, le cas échéant, à une certaine distance de l'os selon un angle et un écartement stables.
PCT/EP2008/006246 2007-08-10 2008-07-29 Dispositif de fixation de fractures osseuses WO2009021624A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102007037872.8 2007-08-10
DE102007037872A DE102007037872A1 (de) 2007-08-10 2007-08-10 Vorrichtung zur Fixation von Knochenfrakturen

Publications (1)

Publication Number Publication Date
WO2009021624A1 true WO2009021624A1 (fr) 2009-02-19

Family

ID=39930653

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2008/006246 WO2009021624A1 (fr) 2007-08-10 2008-07-29 Dispositif de fixation de fractures osseuses

Country Status (2)

Country Link
DE (1) DE102007037872A1 (fr)
WO (1) WO2009021624A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010031098A2 (fr) * 2008-09-16 2010-03-25 Christian Haininger Implant, en particulier clou médullaire, pour le traitement d'une fracture de l'humérus proximal
CN102499750A (zh) * 2011-09-29 2012-06-20 朱立军 用于肱骨大结节骨折的固定接骨板
US9463054B2 (en) 2011-11-25 2016-10-11 Stryker European Holdings I, Llc Implant system for bone fixation

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050049594A1 (en) * 2001-04-20 2005-03-03 Wack Michael A. Dual locking plate and associated method
WO2005060845A1 (fr) * 2003-12-09 2005-07-07 Aesculap, Inc. Ensemble de fixation d'os et procede de fixation
US20060155275A1 (en) * 2003-01-15 2006-07-13 Christian Dongar Device for immobilishing an osteosynthesis pin in a bone part
WO2006102110A1 (fr) * 2005-03-17 2006-09-28 Smith & Nephew, Inc. Adaptateur de tete de vis pour lame osseuse
US7179259B1 (en) * 2004-06-04 2007-02-20 Biomet Manufacturing Corp. Instrument assembly for lateral implant
WO2007035440A1 (fr) * 2005-09-20 2007-03-29 Dvo Extremity Solutions, Llc Plaque osseuse intramédullaire à gaine

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CH492447A (de) 1968-06-17 1970-06-30 Xavier Halloran William Fixiervorrichtung für gebrochene Knochen
US5190544A (en) 1986-06-23 1993-03-02 Pfizer Hospital Products Group, Inc. Modular femoral fixation system
PL162734B1 (pl) * 1990-05-04 1994-01-31 Jerzy Cieplak Stabilizator do unieruchamiania odlamów kostnych PL
DE4141152C2 (de) * 1991-12-13 1993-09-30 Pennig Dietmar Osteosynthesehilfsmittel bei pertrochantem Oberschenkelhalsbruch
US5472444A (en) 1994-05-13 1995-12-05 Acumed, Inc. Humeral nail for fixation of proximal humeral fractures
SE522202C2 (sv) * 2001-10-29 2004-01-20 Gen Orthopedics Internat Ab System för fixering av frakturer
EP1398001B1 (fr) 2002-09-03 2008-08-06 Dietmar Prof. Dr. Pennig Système de fixation pour fractures d'os
AU2003281881A1 (en) * 2002-11-13 2004-06-03 Orthoplex Llc Anchoring system for fixing objects to bones
EP1750604A1 (fr) * 2004-04-12 2007-02-14 Thakkar Dr. Navin Ensemble implant pour fracture femorale proximale
US8753343B2 (en) * 2004-12-23 2014-06-17 Hans Ulrich Staeubli Bone fixing device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050049594A1 (en) * 2001-04-20 2005-03-03 Wack Michael A. Dual locking plate and associated method
US20060155275A1 (en) * 2003-01-15 2006-07-13 Christian Dongar Device for immobilishing an osteosynthesis pin in a bone part
WO2005060845A1 (fr) * 2003-12-09 2005-07-07 Aesculap, Inc. Ensemble de fixation d'os et procede de fixation
US7179259B1 (en) * 2004-06-04 2007-02-20 Biomet Manufacturing Corp. Instrument assembly for lateral implant
WO2006102110A1 (fr) * 2005-03-17 2006-09-28 Smith & Nephew, Inc. Adaptateur de tete de vis pour lame osseuse
WO2007035440A1 (fr) * 2005-09-20 2007-03-29 Dvo Extremity Solutions, Llc Plaque osseuse intramédullaire à gaine

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010031098A2 (fr) * 2008-09-16 2010-03-25 Christian Haininger Implant, en particulier clou médullaire, pour le traitement d'une fracture de l'humérus proximal
WO2010031098A3 (fr) * 2008-09-16 2010-06-17 Christian Haininger Implant, en particulier clou médullaire, pour le traitement d'une fracture de l'humérus proximal
US8486072B2 (en) 2008-09-16 2013-07-16 Christian Haininger Implant for treating a proximal fracture of the humerus
CN102499750A (zh) * 2011-09-29 2012-06-20 朱立军 用于肱骨大结节骨折的固定接骨板
US9463054B2 (en) 2011-11-25 2016-10-11 Stryker European Holdings I, Llc Implant system for bone fixation

Also Published As

Publication number Publication date
DE102007037872A1 (de) 2009-02-12

Similar Documents

Publication Publication Date Title
DE602004007219T2 (de) Implantierbare Orthese und chirurgischer Satz für eine Arthrodese des Knies
EP2349039B1 (fr) Implant, en particulier clou médullaire, pour le traitement d'une fracture de l'humérus proximal
EP1691701B1 (fr) Assemblage de plaques d'ostéosynthèse
EP1430846B1 (fr) Vis à os pour chirurgie rachidienne ou orthopédique
DE69512497T2 (de) Sphärische Oberarmprothese
EP0514662B1 (fr) Instrument chirurgical pour positionner des éléments de fixation d'ostéosynthèse en particulier les vis osseuses
EP1024762B1 (fr) Dispositif d'osteosynthese
DE69635319T2 (de) Mehrachsige verriegelungsanordnung bestehend aus einer schraube, einer schelle und einer platte
DE102010048052B4 (de) Nagel-Schrauben-System für eine Osteosynthese
EP2190369B1 (fr) Dispositif de fixation d'os en position pour le traitement opératoire de fractures
DE19619093B4 (de) Marknagelsystem zur Frakturheilung bzw. Knochenverlängerung
EP1684651A1 (fr) Plaque pour stabiliser des fractures distales de rayons
EP0447824A1 (fr) Clou intramedullaire à sections conformeés
EP2457541A1 (fr) Implant intervertébral
EP1339335A1 (fr) Dispositif pour fixer des os, notamment des corps vertebraux les uns par rapport aux autres
DE102008045291A1 (de) Kniearthrodese-Implantat
EP1714619A1 (fr) Appareil pour réaliser un trou dans des os
DE10335388B4 (de) Satz chirurgischer Referenzierungsvorrichtungen
DE19610741C1 (de) Verriegelungsendoprothese für ein künstliches Hüftgelenk
WO2009021624A1 (fr) Dispositif de fixation de fractures osseuses
WO2005004728A1 (fr) Dispositif de visee
EP2806830B1 (fr) Système d'adaptateur pour endoprothèse
CH701346A2 (de) Vorrichtung zur Führung und Fixierung zweier sich kreuzender Kabel.
DE10356904A1 (de) Platte zum Stabilisieren distaler Radiusfrakturen
EP1549258B1 (fr) Trousse pour le traitement de fractures capitales et sous-capitales de l'humerus

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 08785193

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 08785193

Country of ref document: EP

Kind code of ref document: A1