WO2004107996A1 - Appareil et procede de fixation orthopedique - Google Patents

Appareil et procede de fixation orthopedique Download PDF

Info

Publication number
WO2004107996A1
WO2004107996A1 PCT/US2003/016939 US0316939W WO2004107996A1 WO 2004107996 A1 WO2004107996 A1 WO 2004107996A1 US 0316939 W US0316939 W US 0316939W WO 2004107996 A1 WO2004107996 A1 WO 2004107996A1
Authority
WO
WIPO (PCT)
Prior art keywords
filament
bone
screw
hole
retaining washer
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/US2003/016939
Other languages
English (en)
Inventor
Alan Chervitz
T. Wade Fallin
Robert W. Hoy
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
MedicineLodge Inc
Original Assignee
MedicineLodge Inc
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
Priority claimed from US09/863,174 external-priority patent/US6520965B2/en
Priority to US09/981,927 priority Critical patent/US6960213B2/en
Priority claimed from US09/981,927 external-priority patent/US6960213B2/en
Application filed by MedicineLodge Inc filed Critical MedicineLodge Inc
Priority to AU2003247436A priority patent/AU2003247436A1/en
Priority to PCT/US2003/016939 priority patent/WO2004107996A1/fr
Priority to EP03817158A priority patent/EP1565115A4/fr
Publication of WO2004107996A1 publication Critical patent/WO2004107996A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/842—Flexible wires, bands or straps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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

Definitions

  • This invention relates to surgical apparatus and methods in general, and more particularly to surgical apparatus and methods for fixing bone and soft tissue in place during trauma and reconstructive surgery.
  • Bone fixation sometimes also referred to as fracture fixation, is an established art.
  • Fixation screws, and fixation screws in combination with metal plates are widely used in the art to stabilize bone so as to facilitate healing.
  • Surgical cables, and surgical cables in combination with metal plates are also well known in the bone fixation art. Cables, and cables in combination with plates, are generally used in situations where the use of screws, or screws in combination with plates, is not suitable.
  • cables, and cables in combination with plates are frequently used in the fixation of long oblique fractures resulting from high energy trauma such as a motor vehicle accident.
  • screw fixation is frequently not adequate for fractures that are highly comminuted, and fixation with cables, or cables in combination with plates, is required.
  • Cables are also sometimes used in conjunction with screws, and in conjunction with screws in combination with plates.
  • cables may be used in conjunction with screws, and screws in combination with plates, where a screw strips its threads in deployment, or where screws, or screws in combination with plates, are deemed insufficient for the fixation at hand.
  • soft tissue may need to be attached to bone.
  • a ligament may need to be attached to bone during trauma and reconstructive surgery.
  • bone fixation may also be necessary, and such bone fixation may involve the use of screws, and/or cables and plates, either alone or in combination with one another.
  • one object of the present invention is to provide improved apparatus for use in bone fixation.
  • Another object of the present invention is to provide improved apparatus for use in bone fixation which involves the use of bone screws, metal plates and/or cables.
  • And another object of the present invention is to provide improved apparatus for attaching soft tissue to bone, where screws may be used to help effect fixation to bone.
  • a further object of the present invention is to provide an improved method for attaching soft tissue to bone.
  • a novel filament retaining washer for mounting about the shank of a bone screw deployed in a bone whereby to retain the filament to the bone
  • the filament retaining washer comprising a structure having a screw hole extending therethrough for receiving therein the shank of the bone screw deployed in the bone, whereby to secure the structure to the bone, the screw hole defining a first axis, and the structure having a filament hole extending therethrough for receiving a filament therein so as to retain the filament to the structure, the filament hole defining a second axis extending substantially perpendicular to the first axis, with the second axis being aligned with a bone screw extending through the screw hole.
  • a filament retaining washer for mounting about the shank of a bone screw deployed in a bone whereby to retain the filament to the bone
  • the filament retaining washer comprising a body; a downwardly projecting extension connected to the body and having a screw hole extending therethrough for receiving therein the shank of the bone screw deployed in the bone, whereby to secure the downwardly projecting extension to the bone, the screw hole defining a first axis; and an upwardly projecting extension connected to the body and having a filament hole extending therethrough for receiving a filament therein so as to retain the filament to the upwardly projecting extension, the filament hole defining a second axis extending substantially perpendicular to the first axis, with the second axis being aligned with a bone screw extending through the screw hole.
  • a system for securing an object to a bone comprising a bone screw; a washer comprising a body, a downwardly projecting extension connected to the body and having a screw hole extending therethrough for receiving therein the shank of the bone screw deployed in the bone, whereby to secure the downwardly projecting extension to the bone, the screw hole defining a first axis, and an upwardly projecting extension connected to the body and having a filament hole extending therethrough, for receiving a filament therein so as to retain the filament to the upwardly projecting extension, the filament hole defining a second axis extending substantially perpendicular to the first axis, with the second axis being aligned with a bone screw extending through the screw hole; and a filament received by the filament hole, the filament securing the object to the bone.
  • a method for securing an object to a bone comprising providing a screw, a filament and a suture retaining washer, the suture retaining washer comprising a body, a downwardly projecting extension connected to the body and having a screw hole extending therethrough for receiving therein the shank of a bone screw deployed in the bone, whereby to secure the downwardly projecting extension to the bone, the screw hole defining a first axis, and an upwardly projecting extension connected to the body and having a filament hole extending therethrough for receiving a filament therein so as to retain the filament to the upwardly projecting extension, the filament hole defining a second axis extending substantially perpendicular to the first axis, with the second axis being aligned with a bone screw extending through the screw hole; securing the washer to the bone with the screw, with the filament extending through the filament hole; and using the. filament to secure the object to the bone.
  • a method for securing an object to a bone comprising providing a screw, a filament and a suture retaining washer, the suture retaining washer comprising a structure having a screw hole extending therethrough for receiving therein the shank of the bone screw deployed in the bone, whereby to secure the structure to the bone, the screw hole defining a first axis, and the structure having a filament hole extending therethrough for receiving a filament therein so as to retain the filament to the structure, the filament hole defining a second axis extending substantially perpendicular to the first axis, with the second axis being aligned with a bone screw extending through the screw hole; securing the washer to the bone with the screw, with the filament extending through the filament hole; and using the filament to secure the object to the bone.
  • a filament retaining washer for mounting about the shank of a bone screw deployed in a bone whereby to retain the filament to the bone
  • the filament retaining washer comprising: a body; a downwardly projecting extension connected to the body and having a screw hole extending therethrough for receiving therein the shank of the bone screw deployed in the bone, whereby to secure the downwardly projecting extension to the bone, the screw hole defining a first axis; and an upwardly projecting extension connected to the body and having a filament hole extending therethrough for receiving a filament therein so as to retain the filament to said upwardly projecting extension, the filament hole defining a second axis extending substantially perpendicular to the first axis, with the upwardly projecting extension being displaced laterally and longitudinally from the downwardly projecting extension.
  • a filament retaining washer for mounting about the shank of a bone screw deployed in a bone whereby to retain the filament to the bone
  • the filament retaining washer comprising: a structure having a screw hole extending therethrough for receiving therein the shank of the bone screw deployed in the bone, whereby to secure the structure to said bone, the screw hole defining a first axis, and the structure having a filament hole so as to retain the filament to the structure, the filament hole defining a second axis extending substantially perpendicular to the first axis, with the second axis " " extending parallel to a third axis extending through the first axis.
  • Fig. 1 is a perspective view showing a novel surgical fastening system securing together two bone segments
  • FIG. 2 is perspective view of a cable retaining washer which forms part of the surgical fastening system shown in Fig. 1;
  • Fig. 3 is an exploded side view, in section, of a bone screw, cable retaining washer and bone plate which form part of the surgical fastening system shown in Fig. 1;
  • Fig. 4 is a perspective view of an alternate form of cable retaining washer formed in accordance with the present invention.
  • Fig. 5 is a perspective view of another alternative form of cable retaining washer formed in accordance with the present invention.
  • Fig. 6 is a perspective view of still another alternative form of cable retaining washer formed in accordance with the present invention.
  • Fig. 7 is a perspective view of yet another alternative form of cable retaining washer formed in accordance with the present invention.
  • Fig. 8 is a perspective view of a bone screw, cable retaining washer and bone plate which comprise another embodiment of the present invention.
  • Fig. 9 is a side view, in section, of the apparatus shown in Fig. 8;
  • Fig. 10 is a side view, partially in section, showing a bone screw securing the cable retaining washer of Fig. 2 directly to a bone;
  • Fig. 11 is a perspective view showing an alternative form of surgical fastening system formed in accordance with the present invention.
  • Fig. 12 is a perspective view of a suture retaining washer which forms part of the surgical fastening system shown in Fig. 11;
  • Fig. 13 is a partial sectional view of a bone screw and suture retaining washer which form part of the surgical fastening system shown in Fig. 11;
  • Fig. 14 is a perspective view showing a suture loop attaching a piece of surgical mesh to a suture retaining washer
  • Fig. 15 is a view similar to that of Fig. 11, except showing the assembly of Fig. 14 secured to a bone;
  • Figs. 18-16 are schematic views showing another alternative form of cable retaining washer
  • Fig. 19 is a schematic view showing another alternative form of cable retaining washer
  • Fig. 20 is a schematic view showing still another alternative form of cable retaining washer
  • Fig. 21 is a schematic view of yet another form of cable retaining washer
  • Fig. 22 is a schematic view of another form of cable retaining washer
  • Fig. 23 is a schematic view of another form of cable retaining washer.
  • Fig. 24-26 are schematic views showing an alternative form of suture retaining washer.
  • FIGs. 1-3 there is shown a surgical fastening system 5 which comprises one preferred form of the invention.
  • Surgical fastening system 5 generally comprises a bone plate 6, a plurality of bone screws 9, a plurality of cable retaining washers 12, and a plurality of cable loops 15.
  • the term “cable” is intended to encompass braided cable, wire and the like.
  • Bone plate 6 is deployed so that the bone plate extends across the fracture line 18 of two bone segments 20, 21.
  • the heads 25 (Fig. 3) of bone screws 9 engage cable retaining washers 12, while the shanks 27 of bone screws 9 extend through screw holes 30 in cable retaining washers 12, through screw holes 33 in bone plate 6 and into bone segments 20, 21, whereby to secure bone plate 6 to bone segments 20, 21 and, the in process, to secure bone segments 20, 21 together.
  • cable loops 15 encircle bone segments 20, 21 and are secured to cable retaining washers 12, whereby cable loops 15 further secure bone segments 20, 21 to bone plate 6 and, as a result, to one another.
  • Bone plate 6 is of the sort well known in the art.
  • bone plate 6 generally comprises an elongated body 35 penetrated by the aforementioned screw holes 33.
  • the bone plate's top surface 36 generally includes recesses 40 about the top ends of screw holes 33; in conventional bone plate applications, recesses 40 receive the semi-spherical undersides of the heads 25 of bone screws 9.
  • Bone screws 9 are also of the sort well known in the art. Bone screws 9 comprise the aforementioned head 25 and the aforementioned shank 27.
  • Cable restraining washer 12 comprises a body 45 having a bottom surface 48 (Fig. 3) for engaging the top surface 36 of bone plate 6, a downwardly projecting extension 50 for seating in a recess 40 in bone plate 6, and an upwardly projecting extension 55 for receiving and restraining at least one cable loop 15.
  • Downwardly projecting extension 50 preferably has a semi-spherical configuration similar to the semi-spherical underside of a head 25 of a bone screw 9 so as to seat in one of the recesses 40 commonly formed in bone plate 6.
  • a recess 60 is formed in body 45, in alignment with the downwardly projecting extension 50 and screw hole 30.
  • Recess 60 is sized so as to receive the head 25 of a bone screw 9
  • screw hole 30 is sized so as to receive the shank 27 of a bone screw 9.
  • cable restraining washer ll can be mounted to bone plate 6 so that the washer's downwardly projecting extension 50 seats in a recess 40 formed in bone plate 6, and a bone screw 9 may be passed through the cable retaining washer 12 so that the head 25 of the screw 9 is seated in the washer' s recess 60 and so that the shank 27 of the bone screw 9 passes through the washer's screw hole 30, through the screw hole 33 formed in bone plate 6, and into a bone segment 20, 21, whereby to secure the cable retaining washer 12 and bone plate 6 to one another, and to a bone segment 20, 21.
  • Cable retaining washer 12 also comprises the upwardly projecting extension 55 for receiving and retaining one or more cable loops 15. More particularly, cable retaining washer 12 also comprises at least one cable hole 65 extending perpendicular to the axis of the washer's screw hole 30. Cable hole 65 is sized to slidingly receive a cable loop 15. A threaded set screw hole 67 extends downwardly from the top surface 70 of the washer's upwardly projecting extension 55. The bottom end of set screw hole 67 intersects the at least one' cable hole 65 (Fig. 3) . A set screw 73 is positioned in set screw hole 67.
  • Surgical fastening system 5 is intended to be used as follows.
  • bone plate 6 is positioned against bone segments 20, 21. Then bone screws 9 are used to secure cable retaining washers 12 and bone plate 6 to one another and to bone segments 20, 21. Next, cable loops 15 are passed through cable holes 65 in the cable retaining washers 12, and then set screws 73 are used to lock cable loops 15 to the washers.
  • Cable retaining washer 112 which comprises an alternative form of the invention.
  • Cable retaining washer 112 is substantially the same as the cable retaining washer 12 described above, except that it also includes a second upwardly projecting extension 55, .along with that extension's associated cable holes (s) 65, set screw hole 67, and set screw 73.
  • a cable retaining washer 212 which comprises another alternative form of the invention.
  • Cable retaining washer 212 is substantially the same as the cable retaining washer 12 described above, except that its upwardly projecting extension 255 lacks the set screw hole 67 and set screw 73 for locking a cable loop 15 within a cable hole 65.
  • upwardly projecting extension 255 is formed so as to be crimpable, whereby to mechanically lock a cable loop 15 within a cable hole 65.
  • upwardly projecting extension 255 is formed with a trapezoidal cross-section such as that shown in Fig. 5, whereby to facilitate crimping of the upwardly extending projection 255 about the cable.
  • Cable retaining washer 312 which comprises another alternative form of the invention.
  • Cable retaining washer 312 is substantially the same as the cable retaining washer 212 described above, except that it includes a second upwardly projecting extension 255.
  • a cable retaining washer 412 which comprises another alternative form of the invention.
  • Cable retaining washer 412 is substantially the same as the cable retaining washer 312 described above, except that each of the upwardly projecting extensions 255 has only one cable hole 65 formed therein.
  • the downwardly projecting extension 55 has a semi-spherical configuration so as essentially replicate the semi-spherical underside of the head 25 of a bone screw 9, whereby it may be received in the recess 40 formed in bone plate 6.
  • a bone plate 506 which is provided with an elongated recess 540 and a cable retaining washer 512.
  • Cable retaining washer 512 is substantially the same as the cable retaining washer 212 shown in Fig. 5, except that the downwardly projecting extension 50 of cable retaining washer 212 (Fig. 5) has been replaced with a downwardly projecting extension 550 having a cross-sectional profile matching that of the bone plate's elongated recess 540.
  • the cable retaining washers 12, 112, 312, and 412 may also have their downwardly projecting extensions 50 replaced with similar downwardly projecting extensions 550, whereby they can mate securely with recesses 540 of a bone plate 506.
  • the bone screw passes through the cable retaining washer and directly into a bone segment 20, 21.
  • cable retaining washers 12, 112, 212, 312, 412 and/or 512 may be used in this way, with the downwardly projecting extensions bearing against, and generally penetrating into, bone segment 20, 21. See, for example, Fig. 10, where cable retaining washer 12 is shown engaging a bone segment 20, 21.
  • the bottom surface of the cable retaining washer can be modified so as to reduce, or entirely remove, the downwardly projecting extension.
  • Suture retaining washer 612 which comprises another form of the invention.
  • Suture retaining washer 612 comprises a body 645.
  • Suture retaining washer 612 also comprises a downwardly projecting extension 650 for seating in a recess 40 of a bone plate 6 or for engaging the outer surface of a bone segment 20, 21.
  • Suture retaining washer 612 also comprises at least one upwardly projecting extension 655 for receiving and retaining at least one suture loop 615.
  • a screw hole 30 is formed in downwardly projecting extension 650 and a recess 60 is formed in body 645.
  • Recess 60 is sized to receive the head 25 of a bone screw 9
  • screw hole 30 is sized to receive the shank 27 of bone screw 9.
  • suture retaining washer 612 can be mounted to bone plate 6 so that the downwardly projecting extension 650 seats in a corresponding recess 40 in bone plate 6, and a bone screw 9 may be passed through the suture retaining washer 612 so that the head 25 of the screw 9 is seated in the washer's recess 60 and the shank 27 of the bone screw 9 passes through the washer's screw hole 30, through the screw hole 33 in bone plate 6, and into a bone segment 20, 21, whereby to secure suture retaining washer 612 and bone plate 6 to one another, and to a bone segment 20, 21.
  • suture retaining washer 612 can be mounted directly to a bone segment 20, 21 by seating downwardly projecting extension 650 against a bone segment 20, 21, and then passing a bone screw 9 through the suture retaining washer 612 so that the head 25 of the screw 9 is seated in the washer's recess 60 and the shank 27 of the bone screw 9 passes through the washer's screw hole 30 and into a bone segment 20, 21.
  • Suture retaining washer 612 also comprises at least one upwardly projecting extension 655 for receiving and retaining one or more loops 615. More particularly, suture retaining washer 612 also comprises at least one upwardly projecting extension 655, with each upwardly projecting extension having at least one suture hole 65 extending perpendicular to the axis of the washer's screw hole 30. Suture hole 65 is sized to slidingly receive a suture loop 615.
  • suture loops 615 can be used to secure soft tissue to bone segments 20, 21.
  • suture loops 615 can be used to attach a surgical mesh 675 to bone segments 20, 21, or to attach other objects to bone segments 20, 21.
  • Cable retaining washer 712 which comprises an alternative form of the invention.
  • Cable retaining washer 712 is substantially the same as the cable retaining washer 212 described above, except that its upwardly projecting extension 755 has its one or more cable holes 65 extending along an axis substantially aligned with the head 25 of screw 9. Again, the upwardly projecting extension 755 may be crimped about a cable loop 15 extending through a cable hole 65.
  • Cable retaining washer 812 which comprises another alternative form of the invention.
  • Cable retaining washer 812 is substantially the same as the cable retaining washer 712 described above, except that it includes a second upwardly projecting extension 755 which also has its one or more cable holes 65 substantially aligned with the head 25 of screw 9. Again, the upwardly projecting extensions may be crimped about a cable loop 15 extending through a cable hole 65.
  • Cable retaining washer 912 which comprises another alternative form of the invention.
  • Cable retaining washer 912 is substantially the same as the cable retaining washer 12 described above, except that its upwardly projecting extension 955 has its one or more cable holes extending along an axis substantially aligned with the head 25 of screw 9. Again, set screw 78 may be tightened down so as to secure a cable loop 15 to the cable retaining washer.
  • Cable retaining washer 1012 which comprises another alternative form of the invention.
  • Cable retaining washer 1012 is substantially the same as the cable retaining washer 912 described above, except that it includes a second upwardly projecting extension 955 which also has its one or more cable holes 65 substantially aligned with the head 25 of screw 9. Again, a set screw 78 may be tightened down so as to secure a cable loop 15 to the cable retaining washer.
  • a cable retaining washer 1112 which comprises another alternative form of the invention.
  • Cable retaining washer 1112 is substantially the same as the cable retaining washer 212 described above, except that the upwardly projecting extension 255 is replaced with a displaced extension 1155 having one or more cable holes 65 extending therethrough.
  • displaced extension 1155 is preferably formed in the same plane as body 45 and downwardly projecting extension 50, and is displaced both laterally (i.e., along the axis labeled "X" in Fig. 22) and longitudinally (i.e., along the axis labeled "Y” in Fig. 22) from downwardly projecting extension 50.
  • a cable retaining washer 1212 which comprises another alternative form of the invention.
  • Cable retaining washer 1212 is substantially the same as the cable retaining washer discussed above, except that it includes a second displaced extension 1155.
  • the one or more cable holes 65 of one displaced extension 1155 are aligned with the one or more cable holes 65 of the other displaced extension 1155.
  • the two displaced extensions 1155 may be diametrically opposed from one another.
  • Figs. 24-26 there is shown a suture retaining washer 1312 which comprises another alternative form of the invention.
  • Suture retaining washer 1312 is substantially the same as the suture retaining washer 612 described above, except that body 645 and upwardly projecting extensions 655 are omitted, and the at least one suture hole 65 is formed directly in the side wall of downwardly projecting extension 650.
  • at least two suture holes 65 are provided, and the two suture holes are aligned with one another so as to receive a single suture loop 615 therethrough, such as is shown in Fig. 26.
  • each suture hole 65 has its entrances and rounded somewhat so as to permit the suture to be slidingly adjusted therethrough prior to fully tightening down bone screw 9.
  • suture retaining washer 1312 may, optionally, be constructed so that the head of the bone screw will lock the suture to the washer when the bone screw is fully tightened down.
  • Suture retaining washer 1312 may be secured directly to a bore segment 20, 21 if desired, or it may be secured to a bone plate which is disposed between suture retaining washer 1312 and a bone segment 20, 21.
  • Suture retaining washer 1312 is preferably formed so that it has a diameter substantially the same as the head of a bone screw 9 passing therethrough, so that the washer can fit beneath the head of the bone screw and thereby present a minimal peripheral profile.

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

La présente invention concerne une rondelle de retenue de filament (12) conçue pour être montée autour de la tige d'une vis à os (9) déployée dans un os, afin de retenir le filament (15) sur l'os (20, 21). Cette rondelle de retenue de filament (12) comprend une structure (45) qui présente un trou de vis traversant (30) conçu pour recevoir la tige (27) de la vis à os (9) déployée dans l'os (20, 21), afin de fixer la structure (45) sur l'os (20, 21), ce trou de vis (30) définissant un premier axe. La structure (45) présente un trou à filament traversant (65) conçu pour recevoir un filament (15), afin de retenir le filament (15) sur la structure (45), ce trou à filament (65) définissant un second axe qui est sensiblement perpendiculaire au premier axe.
PCT/US2003/016939 2001-05-23 2003-05-30 Appareil et procede de fixation orthopedique Ceased WO2004107996A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US09/981,927 US6960213B2 (en) 2001-05-23 2001-10-17 Apparatus and method for orthopedic fixation
AU2003247436A AU2003247436A1 (en) 2003-05-30 2003-05-30 Apparatus and method for orthopedic fixation
PCT/US2003/016939 WO2004107996A1 (fr) 2001-05-23 2003-05-30 Appareil et procede de fixation orthopedique
EP03817158A EP1565115A4 (fr) 2003-05-30 2003-05-30 Appareil et procede de fixation orthopedique

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/863,174 US6520965B2 (en) 2001-05-23 2001-05-23 Apparatus and method for orthopedic fixation
US09/981,927 US6960213B2 (en) 2001-05-23 2001-10-17 Apparatus and method for orthopedic fixation
PCT/US2003/016939 WO2004107996A1 (fr) 2001-05-23 2003-05-30 Appareil et procede de fixation orthopedique

Publications (1)

Publication Number Publication Date
WO2004107996A1 true WO2004107996A1 (fr) 2004-12-16

Family

ID=56290433

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/016939 Ceased WO2004107996A1 (fr) 2001-05-23 2003-05-30 Appareil et procede de fixation orthopedique

Country Status (1)

Country Link
WO (1) WO2004107996A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8142434B2 (en) 2007-10-17 2012-03-27 Stryker Trauma Gmbh Cam-locking of cable for fracture plate
US9101426B2 (en) 2012-10-11 2015-08-11 Stryker Trauma Sa Cable plug
US10499968B2 (en) 2014-08-08 2019-12-10 Stryker European Holdings I, Llc Cable plugs for bone plates
US10820935B2 (en) 2017-02-03 2020-11-03 Stryker European Holdings I, Llc Tensioning cable locking device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5190545A (en) * 1991-08-27 1993-03-02 Pfizer Hospital Products Group, Inc. Cerclage wire positioning insert
US5665089A (en) * 1992-03-19 1997-09-09 Dall; Desmond Meiring Bone fixation system
US5810824A (en) * 1997-02-13 1998-09-22 Chan; Kwan-Ho Surgical fastener assembly and method for bone fracture fixation
US5993449A (en) * 1995-11-30 1999-11-30 Synthes (Usa) Bone-fixing device
US6053921A (en) * 1997-08-26 2000-04-25 Spinal Concepts, Inc. Surgical cable system and method
US6120505A (en) * 1995-06-01 2000-09-19 Acumed, Inc. Wire clamp assembly

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5190545A (en) * 1991-08-27 1993-03-02 Pfizer Hospital Products Group, Inc. Cerclage wire positioning insert
US5665089A (en) * 1992-03-19 1997-09-09 Dall; Desmond Meiring Bone fixation system
US6120505A (en) * 1995-06-01 2000-09-19 Acumed, Inc. Wire clamp assembly
US5993449A (en) * 1995-11-30 1999-11-30 Synthes (Usa) Bone-fixing device
US5810824A (en) * 1997-02-13 1998-09-22 Chan; Kwan-Ho Surgical fastener assembly and method for bone fracture fixation
US6053921A (en) * 1997-08-26 2000-04-25 Spinal Concepts, Inc. Surgical cable system and method

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP1565115A4 *

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8142434B2 (en) 2007-10-17 2012-03-27 Stryker Trauma Gmbh Cam-locking of cable for fracture plate
US9101426B2 (en) 2012-10-11 2015-08-11 Stryker Trauma Sa Cable plug
US10499968B2 (en) 2014-08-08 2019-12-10 Stryker European Holdings I, Llc Cable plugs for bone plates
US10820935B2 (en) 2017-02-03 2020-11-03 Stryker European Holdings I, Llc Tensioning cable locking device

Similar Documents

Publication Publication Date Title
US6960213B2 (en) Apparatus and method for orthopedic fixation
US6520965B2 (en) Apparatus and method for orthopedic fixation
EP2134279B1 (fr) Dispositif pour fracture de la hanche à mécanisme de verrouillage statique permettant une compression
US5797908A (en) External fixator assembly and clamp therefor
US5443464A (en) External fixator apparatus
US7048736B2 (en) Device for fixation of spinous processes
US9247963B2 (en) Bone compression device and methods
JP5270339B2 (ja) 多軸プレートを使用するためのシステムおよび方法
US8114078B2 (en) Intramedullary nail for femur fracture fixation
US5380325A (en) Osteosynthesis device for spinal consolidation
US5690632A (en) Osteosynthesis screw fastener having angularly adjustable threads and methods of use therefor
US6921400B2 (en) Modular intramedullary nail
US8267974B2 (en) Clamping device
US5269784A (en) Screw nut for plate osteosynthesis
JP5025862B2 (ja) 骨固定機構
US8226692B2 (en) Device for osteosynthesis
EP1330198B1 (fr) Connecteur pour tige et dispositif d'ancrage rachidien
CA2445303C (fr) Fixation anterieure de la colonne vertebrale au moyen d'une plaque a verrouillage simple
EP1536734B1 (fr) Bouchon de fermeture et vis de fixation emboites et dotes de tetes autocassantes
US8679162B2 (en) Polyaxial bone anchors with increased angulation
EP0600938B1 (fr) Piece d'insertion de positionnement de cable de cerclage
US20060217710A1 (en) Occipital fixation system and method of use
US20050165400A1 (en) Variable angle locked bone fixation system
AU762865B2 (en) Device for securing spinal rods
NZ520840A (en) Bone fixation assembly

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

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

AL Designated countries for regional patents

Kind code of ref document: A1

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

121 Ep: the epo has been informed by wipo that ep was designated in this application
WWE Wipo information: entry into national phase

Ref document number: 2003817158

Country of ref document: EP

WWP Wipo information: published in national office

Ref document number: 2003817158

Country of ref document: EP

WWW Wipo information: withdrawn in national office

Ref document number: 2003817158

Country of ref document: EP

NENP Non-entry into the national phase

Ref country code: JP