US20050038435A1 - Intramerdullary canal diameter reducer background of the invention - Google Patents
Intramerdullary canal diameter reducer background of the invention Download PDFInfo
- Publication number
- US20050038435A1 US20050038435A1 US10/362,664 US36266403A US2005038435A1 US 20050038435 A1 US20050038435 A1 US 20050038435A1 US 36266403 A US36266403 A US 36266403A US 2005038435 A1 US2005038435 A1 US 2005038435A1
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- canal
- block
- intramedullary
- bone
- diameter reducer
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- ZVXYUZYWRZVRNA-FQEVSTJZSA-N CCCCCCCCCCCCCC[C@@](C)(CN)C(C)C Chemical compound CCCCCCCCCCCCCC[C@@](C)(CN)C(C)C ZVXYUZYWRZVRNA-FQEVSTJZSA-N 0.000 description 1
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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Definitions
- the present invention is directed to techniques and apparatus for reducing the toggle and/or misalignment of a fracture fixed with an intramedullary device as it is loaded. More specifically, but not exclusively, the present invention relates generally to a bioresorable intramedullary canal diameter reducer adapted to be placed within a specific point within the intramedullary canal. While the present invention was developed for reducing the intramedullary canal diameter at a specific point, certain applications may be in other areas.
- FIG. 1 there is illustrated an example of a fracture repair wherein the diameter of a portion of the intramedullary canal is greater than the largest intramedullary rod or nail that can fit within the bone.
- the diameter of the canal can vary over it's length and as a result of this difference in diameter the fracture fragments can “toggle” or become misaligned due to “shear” as the fracture is loaded.
- One embodiment of the present invention might include a canal diameter reducer adapted to be placed within an intramedullary canal comprising a block of material having a shape, size and dimensions appropriate for being located within the intramedullary canal alongside an intramedullary member.
- the term intramedullary member is used herein to include intramedullary rods and intramedullary nails.
- the block stabilizes the intramedullary member and prevents toggling and/or misalignment due to shear.
- Another embodiment of the invention is a canal diameter reducer adapted to be placed within an intramedullary canal and involving an elongated block having a concave inner surface extending longitudinally of the block.
- the block is adapted to be placed in the canal between an intramedullary member and the wall of the canal to prevent toggling and misalignment due to shear.
- the block is adapted to contact the intramedullary member with the concave inner surface of the block.
- Still another embodiment of the invention involves a canal diameter reducer including a block having a convex outer surface which is provided with a series of projections for engagement with the bone to prevent movement relative to the bone.
- the block is adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal with the series of projections in engagement with the wall of the canal.
- the block is adapted to engage the intramedullary member to prevent toggling and misalignment due to shear.
- Still a further embodiment of the invention is a canal diameter reducer having tapered ends and a longitudinally extending aperture sized for reception of a guide wire.
- the block also has at least one hole therethrough for attachment of a suture.
- the block is adapted to be placed in the intramedullary canal between the intramedullary member and the wall of the canal to prevent toggling and misalignment due to shear.
- Still a further embodiment of the invention is a canal diameter reducer having tapered ends and a concave inner surface extending longitudinally of the block.
- the block also has a convex outer surface.
- the tapered ends extend from the convex outer surface to the concave inner surface and taper in such a manner as to cause the outer surface to extend longitudinally a greater distance than the inner surface.
- the block is adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal to prevent toggling and misalignment due to shear.
- the block contacts the intramedullary member with the concave inner surface.
- Still another embodiment of the invention is a canal diameter reducer adapted to be placed within an intramedullary canal comprising an elongated block having a concave inner surface extending longitudinally of the block.
- the block has a convex outer surface which is provided with a series of projections for engagement with the bone to prevent movement relative to the bone.
- the block has tapered ends which extend from the convex outer surface to the concave inner surface and taper in such a manner as to cause the outer surface to extend longitudinally a greater distance than the inner surface.
- the block has a longitudinally extending aperture sized for reception of a guide wire and also has at least one hole therethrough for attachment of a suture.
- the block is adapted to be placed in the intramedullary canal with the concave inner surface in contact with an intramedullary member to prevent toggling and/or misalignment due to shear.
- Still another embodiment of the invention is a process for reducing the toggle and misalignment of a fracture fixed with an intramedullary member.
- the process comprises forming an entry opening in the fractured bone in the end of the bone leading into the intramedullary canal.
- a further step is inserting a block through the entry opening into the intramedullary canal to reduce the diameter of the intramedullary canal.
- an intramedullary member is inserted through the opening into the intramedullary canal to a position alongside the block.
- One object of the present invention is to provide a unique intramedullary canal diameter reducer.
- FIG. 1 is an illustrative cross sectional view of a intramedullary rod within a fracture repair that is manifesting a toggle type deficiency.
- FIG. 2 is an illustrative view of one embodiment of the present invention intramedullary canal diameter reducer positioned within a fracture repair.
- FIG. 3 is an illustrative end view of the intramedullary canal diameter reducer of FIG. 2 .
- FIG. 4 is an enlarged illustrative end view of the intramedullary canal diameter reducer of FIG. 2 removed from the surgical location.
- FIG. 4A is a view similar to FIG. 4 of an alternative embodiment of the invention.
- FIG. 5 is an illustrative front view of the intramedullary canal diameter reducer of FIG. 4 .
- FIG. 6 is an illustrative sectional view of the intramedullary canal diameter reducer of FIG. 4 taken along the line 6 - 6 of FIG. 5 .
- the intramedullary canal reducer 20 which is a body or block 19 positioned within the intramedullary canal 21 of the tibia 22 .
- the intramedullary canal diameter varies within the long bone and is typically widest at the proximal and distal ends and narrowest at the ishmus.
- the intramedullary rod 23 is introduced within the tibia 22 through an entry opening 24 formed in the end of the tibia.
- the canal reducer 20 is positioned between the wall 25 of the bone defining a portion of the intramedullary canal 21 and the outer surface 26 of the rod 23 .
- the present invention will be described in terms of the tibia, however it is applicable to other bones including but not limited to repair of fractures of the femor and humerus. Further, the term intramedullary rod will be utilized to describe the present invention, however the present invention is equally applicable for use with intramedullary nails.
- the intramedullary canal reducer 20 is utilized to locally reduce the diameter of the intramedullary canal and fill the gap between the intramedullary canal wall and the outer surface 26 of the rod 23 . This localized filling of the gap acts to stabilize the rod 23 within the intramedullary canal 21 and minimize or prevent “toggling” and/or misalignment due to shear.
- the term diameter as utilized herein refers not only to the technical geometric term but also to the non-technical usage referring to an approximation of the width of an opening.
- the canal reducer 20 has at least one suture 27 coupled thereto and that extends out of the entry hole 24 to facilitate removal of the reducer if necessary and to be used to hold the canal reducer 20 in position during insertion of the intramedullary rod 23 .
- the introduction of the intramedullary rod 23 will tend to push the canal reducer 20 down the intramedullary canal 21 unless the reducer is held in place.
- the present invention is not limited to the use of a suture 27 as the holding mechanism and contemplates other structures and quantities to accomplish this task. Further, in another embodiment of the present invention the canal reducer 20 does not include the suture 27 or other holding mechanisms.
- the canal reducer 20 includes at least one hole 31 for attaching the suture 27 to the body of the reducer. In the preferred embodiment there are four suture attachment holes 31 formed in the body 19 of the reducer 20 . Further, the canal reducer includes an aperture 30 extending through the length of the body and adapted to receive a guide wire therein. With reference to FIG. 6 , the aperture 30 is shown in phantom lines. The guide wire is utilized to help guide the canal reducer 20 into position and a K-wire may be utilized to temporarily hold the reducer in position.
- the surface of the reducer that is designed to be disposed adjacent to the bone has a surface treatment to minimize or prevent movement of reducer and temporarily hold it in position.
- the surface 29 may be provided with a series of projections 32 for engagement with the bone to prevent movement relative to the bone.
- An alternate embodiment of the present invention does not include the aperture 30 .
- the reducer block 19 is shaped, sized and dimensioned appropriately to be located within the intramedullary canal alongside the intramedullary rod 23 with the concave elongated inner surface 33 of the reducer in contact with the surface 26 of the rod.
- the outer surface 29 of the body is convex so as to better fit against and engage the wall 25 of the bone of the intramedullary canal.
- the tapered ends 35 of the body 19 extend from the convex outer surface 29 to the concave inner surface and taper in such a manner as to cause the outer surface to extend longitudinally a greater distance than the inner surface 29 . The tapered ends facilitate inserting the reducer through the entry opening 24 .
- the canal reducer 20 includes geometric features such as the tapered ends 35 to facilitate introduction of the intramedullary rod adjacent the reducer (already in position).
- the canal reducer is preferably formed of a bioresorbable material having a plurality of hole/pores 36 formed therein. The number and size of the holes/pores 36 and the material selection can be varied to alter the rate of resorbation.
- the suture holes 31 are not shown in FIGS. 5 and 6 . However, alternatively the holes 36 can serve as suture holes.
- One type of material that could be used to form the canal reducer 20 is referred to as Bioresorbable PLLA and is described in U.S. Pat. No. 5,919,234, which is incorporated herein by reference.
- the canal reducer 20 may be solid, fabricated from sheet material or extruded. Also it may be shaped or formed in the operating room or it may be shaped or formed prior to the operation. Further it may be fabricated from allograft bone or xenograft bone. Further, a variety of sizes and geometric shapes are contemplated herein and the present invention is not intended to be limited to only one geometric shape as other geometric shapes are contemplated herein.
- intramedullary member is used in the claims to include intramedullary rods and intramedullary nails.
Abstract
A canal diameter reducer (20) is placed within the intramedullary canal (21) alongside an intramedullary rod (23) to stabilize the intramedullary rod and prevent toggling and/or misalignment due to shear. The canal reducer is an elongated block (19) which may be guided into position by a guide wire and may be held in position during insertion of the rod by a suture (27) extending through hole 31. The reducer (20) is inserted through an entry opening (24) formed in the end of the fractured bone (22). The canal reducer may be fabricated from allograft bone or xenograft bone.
Description
- The present invention is directed to techniques and apparatus for reducing the toggle and/or misalignment of a fracture fixed with an intramedullary device as it is loaded. More specifically, but not exclusively, the present invention relates generally to a bioresorable intramedullary canal diameter reducer adapted to be placed within a specific point within the intramedullary canal. While the present invention was developed for reducing the intramedullary canal diameter at a specific point, certain applications may be in other areas.
- With reference to
FIG. 1 , there is illustrated an example of a fracture repair wherein the diameter of a portion of the intramedullary canal is greater than the largest intramedullary rod or nail that can fit within the bone. As can be observed inFIG. 1 , the diameter of the canal can vary over it's length and as a result of this difference in diameter the fracture fragments can “toggle” or become misaligned due to “shear” as the fracture is loaded. - One embodiment of the present invention might include a canal diameter reducer adapted to be placed within an intramedullary canal comprising a block of material having a shape, size and dimensions appropriate for being located within the intramedullary canal alongside an intramedullary member. The term intramedullary member is used herein to include intramedullary rods and intramedullary nails. The block stabilizes the intramedullary member and prevents toggling and/or misalignment due to shear.
- Another embodiment of the invention is a canal diameter reducer adapted to be placed within an intramedullary canal and involving an elongated block having a concave inner surface extending longitudinally of the block. The block is adapted to be placed in the canal between an intramedullary member and the wall of the canal to prevent toggling and misalignment due to shear. The block is adapted to contact the intramedullary member with the concave inner surface of the block.
- Still another embodiment of the invention involves a canal diameter reducer including a block having a convex outer surface which is provided with a series of projections for engagement with the bone to prevent movement relative to the bone. The block is adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal with the series of projections in engagement with the wall of the canal. The block is adapted to engage the intramedullary member to prevent toggling and misalignment due to shear.
- Still a further embodiment of the invention is a canal diameter reducer having tapered ends and a longitudinally extending aperture sized for reception of a guide wire. The block also has at least one hole therethrough for attachment of a suture. The block is adapted to be placed in the intramedullary canal between the intramedullary member and the wall of the canal to prevent toggling and misalignment due to shear.
- Still a further embodiment of the invention is a canal diameter reducer having tapered ends and a concave inner surface extending longitudinally of the block. The block also has a convex outer surface. The tapered ends extend from the convex outer surface to the concave inner surface and taper in such a manner as to cause the outer surface to extend longitudinally a greater distance than the inner surface. The block is adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal to prevent toggling and misalignment due to shear. The block contacts the intramedullary member with the concave inner surface.
- Still another embodiment of the invention is a canal diameter reducer adapted to be placed within an intramedullary canal comprising an elongated block having a concave inner surface extending longitudinally of the block. The block has a convex outer surface which is provided with a series of projections for engagement with the bone to prevent movement relative to the bone. The block has tapered ends which extend from the convex outer surface to the concave inner surface and taper in such a manner as to cause the outer surface to extend longitudinally a greater distance than the inner surface. The block has a longitudinally extending aperture sized for reception of a guide wire and also has at least one hole therethrough for attachment of a suture. The block is adapted to be placed in the intramedullary canal with the concave inner surface in contact with an intramedullary member to prevent toggling and/or misalignment due to shear.
- Still another embodiment of the invention is a process for reducing the toggle and misalignment of a fracture fixed with an intramedullary member. The process comprises forming an entry opening in the fractured bone in the end of the bone leading into the intramedullary canal. A further step is inserting a block through the entry opening into the intramedullary canal to reduce the diameter of the intramedullary canal. Finally an intramedullary member is inserted through the opening into the intramedullary canal to a position alongside the block.
- One object of the present invention is to provide a unique intramedullary canal diameter reducer.
- Further, forms, objects, features, aspects, benefits, advantages and embodiments of the present invention shall become apparent from the description and drawings provided herewith.
-
FIG. 1 is an illustrative cross sectional view of a intramedullary rod within a fracture repair that is manifesting a toggle type deficiency. -
FIG. 2 is an illustrative view of one embodiment of the present invention intramedullary canal diameter reducer positioned within a fracture repair. -
FIG. 3 is an illustrative end view of the intramedullary canal diameter reducer ofFIG. 2 . -
FIG. 4 is an enlarged illustrative end view of the intramedullary canal diameter reducer ofFIG. 2 removed from the surgical location. -
FIG. 4A is a view similar toFIG. 4 of an alternative embodiment of the invention. -
FIG. 5 is an illustrative front view of the intramedullary canal diameter reducer ofFIG. 4 . -
FIG. 6 is an illustrative sectional view of the intramedullary canal diameter reducer ofFIG. 4 taken along the line 6-6 ofFIG. 5 . - For the purpose of promoting an understanding of the principles of the invention, reference will now be made to the embodiments illustrated in the drawings and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the invention is thereby intended. Any alterations and further modifications in the described embodiments, and any further applications of the principles of the invention as described herein are contemplated as would normally occur to one skilled in the art to which the invention relates.
- With reference to
FIG. 2 , there is illustrated one embodiment of theintramedullary canal reducer 20 which is a body orblock 19 positioned within theintramedullary canal 21 of thetibia 22. As illustrated inFIG. 2 , the intramedullary canal diameter varies within the long bone and is typically widest at the proximal and distal ends and narrowest at the ishmus. Theintramedullary rod 23 is introduced within thetibia 22 through an entry opening 24 formed in the end of the tibia. Thecanal reducer 20 is positioned between thewall 25 of the bone defining a portion of theintramedullary canal 21 and theouter surface 26 of therod 23. The present invention will be described in terms of the tibia, however it is applicable to other bones including but not limited to repair of fractures of the femor and humerus. Further, the term intramedullary rod will be utilized to describe the present invention, however the present invention is equally applicable for use with intramedullary nails. - The
intramedullary canal reducer 20 is utilized to locally reduce the diameter of the intramedullary canal and fill the gap between the intramedullary canal wall and theouter surface 26 of therod 23. This localized filling of the gap acts to stabilize therod 23 within theintramedullary canal 21 and minimize or prevent “toggling” and/or misalignment due to shear. The term diameter as utilized herein refers not only to the technical geometric term but also to the non-technical usage referring to an approximation of the width of an opening. In installing thecanal reducer 20 theentry opening 24 is formed in the end of the bone and thecanal reducer 20 is introduced through the entry opening prior to the insertion of theintramedullary rod 23. Further, in one embodiment thecanal reducer 20 has at least onesuture 27 coupled thereto and that extends out of theentry hole 24 to facilitate removal of the reducer if necessary and to be used to hold thecanal reducer 20 in position during insertion of theintramedullary rod 23. The introduction of theintramedullary rod 23 will tend to push the canal reducer 20 down theintramedullary canal 21 unless the reducer is held in place. The present invention is not limited to the use of asuture 27 as the holding mechanism and contemplates other structures and quantities to accomplish this task. Further, in another embodiment of the present invention thecanal reducer 20 does not include thesuture 27 or other holding mechanisms. - With reference to
FIGS. 3-6 theintramedullary canal reducer 20 will be described in greater detail. Thecanal reducer 20 includes at least onehole 31 for attaching thesuture 27 to the body of the reducer. In the preferred embodiment there are foursuture attachment holes 31 formed in thebody 19 of thereducer 20. Further, the canal reducer includes anaperture 30 extending through the length of the body and adapted to receive a guide wire therein. With reference toFIG. 6 , theaperture 30 is shown in phantom lines. The guide wire is utilized to help guide thecanal reducer 20 into position and a K-wire may be utilized to temporarily hold the reducer in position. In another form of the present invention the surface of the reducer that is designed to be disposed adjacent to the bone has a surface treatment to minimize or prevent movement of reducer and temporarily hold it in position. As an example, as shown inFIG. 4A thesurface 29 may be provided with a series ofprojections 32 for engagement with the bone to prevent movement relative to the bone. An alternate embodiment of the present invention does not include theaperture 30. - The
reducer block 19 is shaped, sized and dimensioned appropriately to be located within the intramedullary canal alongside theintramedullary rod 23 with the concave elongatedinner surface 33 of the reducer in contact with thesurface 26 of the rod. Theouter surface 29 of the body is convex so as to better fit against and engage thewall 25 of the bone of the intramedullary canal. The tapered ends 35 of thebody 19 extend from the convexouter surface 29 to the concave inner surface and taper in such a manner as to cause the outer surface to extend longitudinally a greater distance than theinner surface 29. The tapered ends facilitate inserting the reducer through theentry opening 24. - In one embodiment the
canal reducer 20 includes geometric features such as the tapered ends 35 to facilitate introduction of the intramedullary rod adjacent the reducer (already in position). The canal reducer is preferably formed of a bioresorbable material having a plurality of hole/pores 36 formed therein. The number and size of the holes/pores 36 and the material selection can be varied to alter the rate of resorbation. The suture holes 31 are not shown inFIGS. 5 and 6 . However, alternatively theholes 36 can serve as suture holes. One type of material that could be used to form thecanal reducer 20 is referred to as Bioresorbable PLLA and is described in U.S. Pat. No. 5,919,234, which is incorporated herein by reference. However, other types of material both bioresorbable and otherwise are contemplated herein. Thecanal reducer 20 may be solid, fabricated from sheet material or extruded. Also it may be shaped or formed in the operating room or it may be shaped or formed prior to the operation. Further it may be fabricated from allograft bone or xenograft bone. Further, a variety of sizes and geometric shapes are contemplated herein and the present invention is not intended to be limited to only one geometric shape as other geometric shapes are contemplated herein. - While the invention has been illustrated and described in detail in the drawings and the foregoing description, the same is to be considered as illustrative and not restrictive in character, it being understood that only the preferred embodiment has been shown and described and that all changes, equivalents, and modifications that come within the spirit of the invention defined by the following claims are desired to be protected. The term intramedullary member is used in the claims to include intramedullary rods and intramedullary nails.
Claims (22)
1. A canal diameter reducer adapted to be placed within an intramedullary canal comprising a block of material having a shape, size and dimension appropriate for being located within the intramedullary canal alongside an intramedullary member, said block stabilizing the intramedullary member and preventing toggling and/or misalignment due to shear.
2. A canal diameter reducer adapted to be placed within an intramedullary canal comprising an elongated block having a concave inner surface extending longitudinally of said block, said block being adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal to prevent toggling and misalignment due to shear, said block being adapted to contact said intramedullary member with said concave inner surface.
3. A canal diameter reducer adapted to be placed within an intramedulary canal comprising a block having a convex outer surface which is provided with a series of projections for engagement with bone to prevent movement relative to bone, said block being adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal with said series of projections in engagement with the wall of the canal, said block being adapted to engage said intramedullary member to prevent toggling and misalignment due to shear.
4. A canal diameter reducer adapted to be placed within an intramedullary canal comprising an elongated block having tapered ends and a longitudinally extending aperture sized for reception of a guide wire, said block also having at least one hole therethrough for attachment of a suture, said block being adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal to prevent toggling and misalignment due to shear.
5. A canal diameter reducer adapted to be placed within an intramedullary canal comprising an elongated bock having tapered ends and a concave inner surface extending longitudinally of said block, said block having a convex outer surface, said tapered ends extending from said convex outer surface to said concave inner surface and tapering in such a manner as to cause the outer surface to extend longitudinally a greater distance than said inner surface, said block being adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal to prevent toggling and misalignment due to shear, said block being adapted to contact said intramedullary member with said concave inner surface.
6. The canal diameter reducer of claim 2 wherein said block has a convex outer surface which is provided with a series of projections for engagement with bone to prevent movement relative to bone, said block being adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal with said series of projections in engagement with the wall of the canal.
7. The canal diameter reducer of claim 4 wherein said block has a convex outer surface which is provided with a series of projections for engagement with bone to prevent movement relative to bone, said block being adapted to be placed in the intramedullary canal between an intramedullary member and the wall of the canal with said series of projections in engagement with the wall of the canal.
8. The canal diameter reducer of claim 4 wherein block has a concave inner surface extending longitudinally of said block, said block being adapted to contact said intramedullary member with said concave inner surface.
9. A canal diameter reducer adapted to be placed within an intramedullary canal comprising an elongated block having a concave inner surface extending longitudinally of said block, said block having a convex outer surface which is provided with a series of projections for engagement with bone to prevent movement relative to bone, said block having tapered ends which extend from said convex outer surface to said concave inner surface and taper in such a manner as to cause the outer surface to extend longitudinally a greater distance than said inner surface, said block having a longitudinally extending aperture sized for reception of a guide wire, said block also having at least one hole therethrough for attachment of a suture, said block being adapted to be placed in the intramedullary canal with said concave inner surface in contact with an intramedullary member to prevent toggling and/or misalignment due to shear.
10. The canal diameter reducer of claim 1 wherein said block has a series of holes therethrough and is bioresorbable.
11. The canal diameter reducer of claim 1 which is fabricated from allograft bone.
12. The canal diameter reducer of claim 1 which is fabricated from xenograft bone.
13. The canal diameter reducer of claim 2 wherein said block has a series of holes therethrough and is bioresorbable.
14. The canal diameter reducer of claim 3 wherein said block has a series of holes therethrough and is bioresorbable.
15. The canal diameter reducer of claim 4 wherein said block has a series of holes therethrough and is bioresorbable.
16. A process for reducing the toggle and/or misalignment of a fracture fixed with an intramedullary member which comprises forming an entry opening in the fractured bone in the end of the bone leading into the intramedullary canal, inserting a block through the entry opening into the intramedullary canal to reduce the diameter of the intramedullary canal, and inserting an intramedullary member through the opening into the intramedullary canal to a position alongside said block.
17. The process of claim 16 additionally comprising attaching a suture to the block, holding the suture stationary relative to the bone so as to hold the block in place and prevent the block from being inserted further into the intramedullary canal when the intramedullary member is inserted into the intramedullary canal.
18. The process of claim 16 additionally comprising providing said block with an aperture and guiding said block into the intramedullary canal by means of a guide wire extending through said aperture.
19. The process of claim 16 wherein the block is the canal diameter reducer defined in claim 1 .
20. The process of claim 16 wherein the block is the canal diameter reducer defined in claim 2 .
21. The process of claim 16 wherein the block is the canal diameter reducer defined in claim 5 .
22. The process of claim 16 wherein the block is the canal diameter reducer defined in claim 9.
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US12/173,749 US8123748B2 (en) | 2000-08-22 | 2008-07-15 | Intramedullary canal diameter reducer |
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US10/362,664 US20050038435A1 (en) | 2000-08-22 | 2001-08-22 | Intramerdullary canal diameter reducer background of the invention |
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US8419735B2 (en) * | 2009-05-05 | 2013-04-16 | Synthes Usa, Llc | Nail locking systems |
US9198700B2 (en) | 2009-05-05 | 2015-12-01 | DePuy Synthes Products, Inc. | Nail locking systems |
US9707080B2 (en) | 2013-03-15 | 2017-07-18 | Smed-Ta/Td, Llc | Removable augment for medical implant |
US10582957B2 (en) | 2014-09-19 | 2020-03-10 | Crossroads Extremity Systems, Llc | Bone fixation implant and means of fixation |
Also Published As
Publication number | Publication date |
---|---|
WO2002015767A2 (en) | 2002-02-28 |
US8123748B2 (en) | 2012-02-28 |
US20090005781A1 (en) | 2009-01-01 |
AU8835101A (en) | 2002-03-04 |
WO2002015767A3 (en) | 2002-07-04 |
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