CA2396850A1 - Volar fixation system - Google Patents

Volar fixation system Download PDF

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Publication number
CA2396850A1
CA2396850A1 CA002396850A CA2396850A CA2396850A1 CA 2396850 A1 CA2396850 A1 CA 2396850A1 CA 002396850 A CA002396850 A CA 002396850A CA 2396850 A CA2396850 A CA 2396850A CA 2396850 A1 CA2396850 A1 CA 2396850A1
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CA
Canada
Prior art keywords
axis
peg holes
head portion
volar
peg
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.)
Granted
Application number
CA002396850A
Other languages
French (fr)
Other versions
CA2396850C (en
Inventor
Jorge L. Orbay
James Leone
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.)
Biomet CV Gibraltar
Original Assignee
Hand Innovations, Inc.
Jorge L. Orbay
James Leone
Depuy Products, Inc.
Biomet C.V.
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 US09/735,228 external-priority patent/US6440135B2/en
Application filed by Hand Innovations, Inc., Jorge L. Orbay, James Leone, Depuy Products, Inc., Biomet C.V. filed Critical Hand Innovations, Inc.
Priority to CA2676225A priority Critical patent/CA2676225C/en
Publication of CA2396850A1 publication Critical patent/CA2396850A1/en
Application granted granted Critical
Publication of CA2396850C publication Critical patent/CA2396850C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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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
    • A61B17/8061—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
    • A61B17/56—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
    • 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
    • A61B17/7208—Flexible pins, e.g. ENDER pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—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
    • 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
    • A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
    • 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
    • A61B17/1782—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hand or wrist
    • 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
    • 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
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8625—Shanks, i.e. parts contacting bone tissue
    • A61B17/863—Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/902—Cortical plate specifically adapted for a particular bone

Abstract

A volar fixation system (100) includes a T-shaped plate (102) intended to be positioned against the volar side of the radial bone, a plurality of bone screws (104) for securing the plate (102) along a non--fractured portion of the radial bone, and a plurality of bone pegs (108) which extend through the threaded pea holes (130, 132, 134 and 136) in the plate (102) and into bone fragments of a Colles' fracture. Various peg hole and peg arrangements are disclosed, including an embodiment in which the pegs (108) can be articulated through a range of angles within respective peg holes and fixed at a desired angle within the range.

Claims (70)

1. A volar fixation plate, comprising:
a substantially rigid plate including a distal head portion and a proximal body portion angled relative to said head portion, said head portion defining a plurality of threaded peg holes adapted to individually receive fixation pegs therein, said peg holes defining a plurality of axes at least two of which are oblique relative to each other, and said body portion including at least one screw hole.
2. A volar fixation plate according to claim 1, wherein:
each of said at least two axes is oblique in two dimensions relative to another of said at least two axes.
3. A volar fixation plate according to claim 1, wherein:
said head portion defines a medial side and a lateral side, and said peg holes are arranged in a generally medial to lateral direction wherein successive lateral peg holes are situated distally relative to adjacent peg holes.
4. A volar fixation plate according to claim 1, wherein:
said peg holes each having a center substantially lying along a parabolic curve.
5. A volar fixation plate according to claim 1, wherein:
said head portion includes exactly four peg holes.
6. A volar fixation plate according to claim 5, wherein:
said head portion including a lower surface, and a first of said plurality of peg holes defines a first axis of said plurality of axes directed normal to said lower surface, a second of said plurality of peg holes defines a second axis of said plurality of axes angled approximately 5° distal and 7.5° lateral relative to the first axis, a third of said plurality of peg holes defines a third axis of said plurality of axes angled approximately 10° distal and 15° lateral relative to the first axis, and a fourth of said plurality of peg holes defines a fourth axis of said plurality of axes angled approximately 20° distal and 20° lateral relative to the first axis.
7. A volar fixation plate according to claim 6, wherein:
said first peg hole is most medial, said second peg hole is laterally adjacent said first peg hole, said third peg hole is laterally adjacent said second peg hole, and said fourth peg hole is laterally adjacent said third peg hole.
8. A volar fixation plate according to claim 1, wherein:
said head portion includes a lower surface, and a first of said plurality of peg holes defines a first axis of said plurality of axes directed substantially normal to said lower surface, a second of said plurality of peg holes defines a second axis of said plurality of axes angled approximately 1-7° distal and 1-7° lateral relative to the first axis, a third of said plurality of peg holes defines a third axis of said plurality of axes angled approximately 7-13° distal and 7-13° lateral relative to the first axis, and a fourth of said plurality of peg holes defines a fourth axis of said plurality of axes angled approximately 10-30° distal and 10-30° lateral relative to the first axis.
9. A volar fixation plate according to claim 1, wherein:
said head portion includes a lower surface, and a first of said plurality of peg holes defines a first axis of said plurality of axes directed substantially normal to said lower surface, a second of said plurality of peg holes defines a second axis of said plurality of axes angled approximately 2.5° distal and 2.5° lateral relative to the first axis, a third of said plurality of peg holes defines a third axis of said plurality of axes angled approximately 10° distal and 10° lateral relative to the first axis, and a fourth of said plurality of peg holes defines a fourth axis of said plurality of axes angled approximately 20° distal and 20° lateral relative to the first axis.
10. A volar fixation plate according to claim 1, wherein:
said head portion is angled approximately 18° relative to said body portion.
11. A volar fixation plate according to claim 1, wherein:
said head portion and said body portion are provided in a substantially T-shaped configuration relative to each other, with said body portion intersecting said head portion.
12. A volar fixation plate according to claim 1, wherein:
said volar plate is made from a titanium alloy.
13. A volar fixation plate, comprising:
a substantially rigid plate including a distal head portion and a proximal body portion angled relative to said head portion,
14 said head portion defining a plurality of threaded peg holes adapted to individually receive fixation pegs therethrough, said peg holes linearly arranged in a generally medial to lateral direction wherein successive lateral peg holes are situated distally relative to adjacent peg holes, and said body portion including at least one screw hole.
14. A volar fixation plate according to claim 13, wherein:
said peg holes define a plurality of axes at least two of which are oblique relative to each other.
15. A volar fixation plate according to claim 13, wherein:
each of said at least two axes is oblique in two dimensions relative to another of said at least two axes.
16. A volar fixation plate according to claim 13, wherein:
said head portion includes a lower surface, and a first of said plurality of peg holes defines a first axis of said plurality of axes directed substantially normal to said lower surface, a second of said plurality of peg holes defines a second axis of said plurality of axes angled approximately 1-7° distal and 1-7° lateral relative to the first axis, a third of said plurality of peg holes defines a third axis of said plurality of axes angled approximately 7-13° distal and 7-13° lateral relative to the first axis, and a fourth of said plurality of peg holes defines a fourth axis of said plurality of axes angled approximately 10-30° distal and 10-30° lateral relative to the first axis.
17. A volar fixation plate according to claim 13, wherein:
said head portion includes a lower surface, and a first of said plurality of peg holes defines a first axis of said plurality of axes directed substantially normal to said lower surface, a second of said plurality of peg holes defines a second axis of said plurality of axes angled approximately 2.5° distal and 2.5° lateral relative to the first axis, a third of said plurality of peg holes defines a third axis of said plurality of axes angled approximately 10° distal and 10° lateral relative to the first axis, and a fourth of said plurality of peg holes defines a fourth axis of said plurality of axes angled approximately 20° distal and 20° lateral relative to the first axis.
18. A volar fixation plate according to claim 13, wherein:
said head portion is angled approximately 18° relative to said body portion.
19. A volar fixation plate according to claim 13, wherein:
said head portion and said body portion are provided in a substantially T-shaped configuration relative to each other, with said body portion intersecting said head portion.
20. A volar fixation plate, comprising:
a substantially rigid plate including a distal head portion and a proximal body portion, said head portion defining a plurality of threaded peg holes adapted to individually receive fixation pegs therein, said plurality of peg holes defining a plurality of axes, a first axis of said plurality of axes directed substantially normal to a lower surface of said head portion, a second of said plurality of axes angled approximately 1-7° distal and 1-7° lateral relative to the first axis, a third axis of said plurality of axes angled approximately 7-13°
distal and 7-13° lateral relative to the first axis, and a fourth axis of said plurality of axes angled approximately 10-30°
distal and 10-30°
lateral relative to the first axis, and said body portion including at least one screw hole.
21. A volar fixation plate according to claim 18, wherein:
said second axis is angled approximately 2.5° distal and 2.5°
lateral relative to the first axis, said third axis is angled approximately 10° distal and 10°
lateral relative to the first axis, and said fourth axis is angled approximately 20° distal and 20°
lateral relative to the first axis.
22. A volar fixation plate according to claim 18, wherein:
said head portion defines a medial side and a lateral side, and said peg holes are arranged in a generally medial to lateral direction wherein successive lateral peg holes are situated distally relative to adjacent peg holes.
23. A volar fixation plate according to claim 18, wherein:
said peg holes are linearly arranged.
24. A volar fixation plate according to claim 18, wherein:
said peg holes lie on a curve.
25. A volar fixation plate according to claim 22, wherein:
said curve is a parabolic curve.
26. A volar fixation system, comprising:
a) a substantially rigid plate including a distal head portion and a proximal body portion, said head portion defining a plurality of threaded peg holes defining a plurality of axes at least two of which are oblique relative to each other, and said body portion including at least one screw hole;
and b) a plurality of pegs each having a threaded head portion and a shaft portion, said threaded head portion sized to engage said threaded peg holes and said shaft portion sized to be received through said peg holes such that each of said shaft portions extends along a respective one of said plurality of the axes.
27. A volar fixation system according to claim 26, wherein:
each of said at least two axes is oblique in two dimensions relative to another of said at least two axes.
28. A volar fixation system according to claim 26, wherein:
said head portion of each of said pegs includes a hex socket.
29. A volar fixation system according to claim 26, wherein:
said head portion of each of said pegs includes a rounded head.
30. A volar fixation system according to claim 26, wherein:
said head portion of each of said pegs includes a no. 5 thread.
31. A volar fixation system according to claim 26, wherein:
said shaft portion of each of said pegs is a non-threaded cylinder.
32. A volar fixation system according to claim 26, further comprising:
c) at least one screw adapted to be received in said at least one screw hole.
33. A volar fixation system according to claim 31, wherein:
said at least one screw is a self-tapping screw.
34. A volar fixation system according to claim 26, further comprising:
c) a guide plate adapted to be positioned over at least a portion of said volar plate, said guide plate including a plurality of guide holes, and when said guide plate is positioned over said volar plate, said guide holes and said peg holes together define a drill guide adapted to axially direct a drill therethrough.
35. A volar fixation system according to claim 26, wherein:
said volar plate and said guide plate include mating elements which align said guide plate over said volar plate.
36. A volar fixation system according to claim 26, wherein:
said shaft portion is approximately 0.0675 inch in diameter and approximately 0.76 inch in length.
37. A volar fixation system according to claim 26, wherein:
said head portion of said plate is angled relative to said body portion of said plate.
38. A volar fixation system, comprising:
a) a substantially rigid plate including a distal head portion and a proximal body portion angled relative to said head portion, said head portion defining a plurality of peg holes adapted to individually receive fixation pegs therein, said peg holes having an upper portion and a lower portion, said upper portion having a first internal thread, and said lower portion having spherical radius of curvature, said body portion including at least one screw hole;
b) a plurality of pegs each having a head portion and a shaft portion, said shaft portion sized to be received through said peg holes, and said head portion having an outer surface with substantially a same spherical radius of curvature as said lower portion of said peg holes; and c) a plurality of set screws each having a body including a second thread rotationally engageable with said first thread, and a proximal rotational engagement means for engaging said set screw and applying a rotational force thereto, wherein when said pegs are provided into respective peg holes, each said peg may be positioned at any angle within a predefined range of angles relative to an axis normal to a lower surface of said head portion of said plate, and once so positioned, respective set screws when thread into said upper portions of said peg holes fix said pegs in their respective angles.
39. A volar fixation system according to claim 38, wherein:
said predefined range includes 20° relative to said axis normal to said lower surface of said head portion of said plate.
40. A volar fixation system according to claim 38, wherein:
said lower portion of each of said peg holes is processed to have a relatively high coefficient of friction.
41. A volar fixation system according to claim 38, wherein:
said outer surface of said head portion of each of said pegs is processed to have a relatively high coefficient of friction.
42. A volar fixation system according to claim 38, wherein:
said peg holes are linearly arranged.
43. A volar fixation system according to claim 40, wherein:
said linear arrangement is at an oblique angle relative to an axis through said body portion of said plate.
44. A volar fixation system according to claim 38, wherein:
said head portion defines a medial side and a lateral side, and said peg holes are arranged in a generally medial to lateral direction wherein successive lateral peg holes are situated distally relative to adjacent peg holes.
45. A volar fixation system according to claim 38, wherein:
said peg holes lie along a curve.
46. A volar fixation system according to claim 38, wherein:
said head portion includes exactly four peg holes.
47. A volar fixation system according to claim 38, wherein:
a taper is provided at an intersection of said head and said shaft of each of said pegs.
48. A volar fixation system according to claim 38, wherein:
a bevel is provided about a lower opening of each of said peg holes.
49. A volar fixation system according to claim 38, wherein:
each of said head portions of said pegs is concave, and each of said set screws includes a distal convex portion seating with said concave head portions.
50. A volar fixation system according to claim 49, wherein:
said concave and convex portions are each defined by a substantially same radius.
51. A volar fixation system according to claim 38, wherein:
said outer surface of said head portion defines a shape that is substantially a spherical portion but less than a hemisphere.
52. A volar fixation system according to claim 38, wherein:
said rotational engagement means of each of said set screws is a hex socket.
53. A volar fixation system according to claim 38, wherein:
said shaft portion of each of said pegs is a non-threaded cylinder.
54. A volar fixation plate, comprising:
a substantially rigid T-shaped plate including a distal head portion and a proximal body portion angled relative to said head portion, said head portion defining a plurality of peg holes adapted to individually receive fixation pegs therethrough, said peg holes each having an upper portion and a lower portion, the lower portion having spherical radius of curvature, said body portion including at least one screw hole.
55. A volar fixation plate according to claim 54, wherein:
each said upper portion includes a thread.
56. A volar fixation plate according to claim 54, wherein:
each said lower portion is processed to have a relatively high coefficient of friction.
57. A volar fixation plate according to claim 54, wherein:
said peg holes are linearly arranged.
58. A volar fixation plate according to claim 54, wherein:
said head portion defines a medial side and a lateral side, and said peg holes are arranged in a generally medial to lateral direction wherein successive lateral peg holes are situated distally relative to adjacent peg holes.
59. A volar fixation plate according to claim 54, wherein:
said peg holes lie along a curve.
60. A volar fixation plate according to claim 54, wherein:
said head portion includes exactly four peg holes.
61. A peg for insertion into a peg hole in a fracture fixation system, comprising:
a) a head having an outer surface with a first substantially spherical radius of curvature and a concavity with a second substantially spherical radius of curvature, said head defining less than a hemisphere; and b) a cylindrical shaft coupled to said head, said shaft including a taper adjacent said head.
62. A peg according to claim 61, wherein:
said outer surface of said head portion is processed to have a relatively high coefficient of friction.
63. A peg according to claim 61, wherein:
said shaft is non-threaded.
64. A set screw for set a peg in a peg hole, comprising:
a body including a thread, a proximal rotational engagement means for engaging said set screw and applying a rotation force thereto, and a distal hemispherical portion.
65. A set screw according to claim 64, wherein:
said distal hemispherical portion defines a radius smaller than a radius of said body.
66. A set screw according to claim 64, wherein:
said rotational engagement means is a hex socket.
67. A method of aligning and stabilizing a Colles' fracture of the radius bone at the wrist, the radius bone having a volar side and a dorsal side, and the fracture including at least one bone fragment, said method comprising:
a) providing a rigid substantially T-shaped plate having a head portion and a body portion intersecting said head portion, said head portion including a plurality of threaded peg holes defining a plurality of axes, at least two of said plurality of axes being oblique in two dimensions relative to another of said at least two axes, and said body portion including a plurality of screw holes;
b) positioning said plate against the volar side of the radius bone;
c) inserting at least one bone screw through at least one of sid plurality of screw holes to secure said volar plate to the radius;
d) aligning said at least one bone fragment with the radius;
e) drilling holes through said plurality of peg holes into said at least one fragment;
f) providing a plurality of pegs having an externally threaded head and an elongate shaft; and g) inserting said pegs through said peg holes and into the drilled holes and threadably securing said threaded heads in said peg holes.
68. A method according to claim 67, wherein:
each of said at least two axes is oblique in two dimensions relative to another of said at least two axes.
69. A method according to claim 67, further comprising:
h) prior to drilling holes, providing and positioning a guide plate on said volar plate, said guide plate having guide holes which when aligned with said peg holes on said volar plate define a guide path for drilling.
70. A method according to claim 69, further comprising:
i) after drilling holes, removing said guide plate.
CA002396850A 2000-02-01 2001-01-29 Volar fixation system Expired - Lifetime CA2396850C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA2676225A CA2676225C (en) 2000-02-01 2001-01-29 Volar fixation system

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US09/495,854 US6358250B1 (en) 2000-02-01 2000-02-01 Volar fixation system
US09/495,854 2000-02-01
US09/524,058 2000-03-13
US09/524,058 US6364882B1 (en) 2000-02-01 2000-03-13 Volar fixation system
US09/735,228 US6440135B2 (en) 2000-02-01 2000-12-12 Volar fixation system with articulating stabilization pegs
US09/735,228 2000-12-12
PCT/US2001/002605 WO2001056452A2 (en) 2000-02-01 2001-01-29 Volar fixation system

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA2676225A Division CA2676225C (en) 2000-02-01 2001-01-29 Volar fixation system

Publications (2)

Publication Number Publication Date
CA2396850A1 true CA2396850A1 (en) 2001-08-09
CA2396850C CA2396850C (en) 2009-11-24

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CA2676225A Expired - Lifetime CA2676225C (en) 2000-02-01 2001-01-29 Volar fixation system
CA002396850A Expired - Lifetime CA2396850C (en) 2000-02-01 2001-01-29 Volar fixation system

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US (2) US6358250B1 (en)
EP (1) EP1251790B1 (en)
AT (1) ATE326912T1 (en)
AU (2) AU3301501A (en)
BR (1) BR0108011A (en)
CA (2) CA2676225C (en)
DE (1) DE60119890T2 (en)
IL (1) IL150980A (en)
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DE60119890T2 (en) 2007-05-10
AU3301501A (en) 2001-08-14
EP1251790B1 (en) 2006-05-24
CA2676225C (en) 2012-01-17
MXPA02007250A (en) 2003-09-22
EP1251790A4 (en) 2004-04-14
ATE326912T1 (en) 2006-06-15
CA2676225A1 (en) 2001-08-09
BR0108011A (en) 2004-12-07
CA2396850C (en) 2009-11-24
US6364882B1 (en) 2002-04-02
WO2001056452A2 (en) 2001-08-09
WO2001056452A3 (en) 2002-01-24
US6358250B1 (en) 2002-03-19
DE60119890D1 (en) 2006-06-29
IL150980A (en) 2009-11-18
AU2001233015B2 (en) 2005-08-11
EP1251790A2 (en) 2002-10-30

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