US20060058796A1 - Compression brace - Google Patents
Compression brace Download PDFInfo
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- US20060058796A1 US20060058796A1 US10/940,396 US94039604A US2006058796A1 US 20060058796 A1 US20060058796 A1 US 20060058796A1 US 94039604 A US94039604 A US 94039604A US 2006058796 A1 US2006058796 A1 US 2006058796A1
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- fastener
- compression
- bone
- fasteners
- brace
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- 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
- A61B17/56—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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/66—Alignment, compression or distraction mechanisms
-
- 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7059—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
- A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
- A61B17/8014—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones the extension or compression force being caused by interaction of the plate hole and the screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—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
- A61B17/8085—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with pliable or malleable elements or having a mesh-like structure, e.g. small strips
-
- 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
-
- 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
- A61B17/1775—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
-
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8872—Instruments for putting said fixation devices against or away from the bone
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
-
- 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
- A61B2017/681—Alignment, compression, or distraction mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
Definitions
- the surgical device may be configured such that there is play between the fastener 100 and the fastener retaining portion 10 .
- the fastener hole 20 of the brace member is substantially smooth, i.e. unthreaded.
- the shaft 110 of the fastener 100 is sized to provide play between the shaft 100 and the fastener hole 20 . As indicated in FIG. 7 , this configuration allows the fastener 100 to be selectively angled into bone during use of the device.
- the compression brace 1 is used primarily for fixation of arthrodeses and osteotomies.
- the compression brace 1 can also be used in place of conventional plates, such as cuboid plates, hind or mid-foot plates, or calcaneal plates.
Abstract
A surgical device for pressing and retaining adjacent bones against one another comprising a compression brace and separate fasteners. The compression brace has at least two fastener retaining portions. Each fastener retaining portion has a fastener hole therethrough for receiving a fastener, such as a screw or pin. A pair of bridge members are positioned between the fastener retaining portions, and are spaced apart from one another to form a compression opening. The compression bracket can include a plurality of fastener retaining portions and a plurality of compression openings. In some embodiments, the fasteners are maintained in a substantially fixed relation with the fastener retaining portion. The brace is installed on adjacent bones such that a fastener engages each bone. The compression opening is spread apart to draw the fasteners toward one another, and thereby compress the adjacent bones together.
Description
- Not applicable
- Not applicable
- Not applicable
- The present invention relates generally to orthopedic surgery, and more particularly to devices and methods for reduction of fractures and osteotomies by drawing bones together.
- U.S. Pat. No. 2,597,342 (Lang) discloses the use of a compressible fastener for joining boards together. The Lang fastener includes a central loop portion and claw members that extend from diametrically opposed sides of the central loop. The loop is preferably a parallelogram. Each claw member has two claws. Each claw has downwardly turned ends with inwardly turned portions which are configured to penetrate and engage boards. In operation, the claw members are set astraddle adjacent board members. The central loop is then expanded outward to draw the opposing arms toward one another and thereby fasten the adjacent boards together.
- The earliest use of a compression opening in a surgical application appears to be U.S. Pat. No. 4,887,601 (Richards). Richards discloses an adjustable surgical staple having a slotted spine and downwardly depending legs on opposing ends of the spine. The legs are bent toward or away from the spine. However, a straight leg embodiment is discussed with reference to
FIGS. 7 and 8 . The Richards staple appears to have been intended for use in ophthalmic surgery. - The use of a compressible bone staples for fracture reduction is disclosed in U.S. Pat. No. 5,449,359 (Groiso); U.S. Pat. No. 5,660,188 (Groiso); U.S. Pat. No. 5,853,414 (Groiso); U.S. Pat. No. 5,947,999 (Groiso); and U.S. Pat. No. 5,993,476 (Groiso) (collectively, “the Groiso patents”). However, the Groiso patents, which are incorporated herein by reference, disclose the use of staples having downwardly depending legs for engaging adjacent bones. The Groiso compression bone staples suffer from several drawbacks. Staples having opposing spaced-apart bridges can be difficult and therefore expensive to manufacture. See e.g. U.S. Pat. No. 5,947,999 (Col. 1, lines 48-52). Positioning holes in the bones such that they align with the legs of the staple can be challenging, and typically requires specialized instrumentation. Additionally, staple legs tend to splay outward during use in vivo, which may reduce the compressive force of the staple. Staples can pull out of the bones. The configuration of staples also reduces intra-operative choices. In order to accommodate varying inter-axis and leg length requirements, it is necessary to provide a wide array of staple sizes, which requires extra inventory. A staple conventionally has legs of the same length and diameter/cross-section, which may make the staple unsuitable for situations in which it is desirable to have a longer or larger leg on one side of the staple. Thus, even with a large inventory of staple sizes, intra-operative choices may be limited.
- One of the Groiso patents, U.S. Pat. No. 5,947,999, discloses a compressible bone staple that has a pair of wing members extending from opposing ends of the staple, each wing member having apertures therein for receiving a screw for fastening the clip member to a bio-organic tissue member. However, the '999 patent does not teach elimination of the downwardly depending leg portions of the staple. In fact, Groiso teaches away from elimination of the leg portions by noting “the aim of attaining a desired spacing between bone fragments could be obtained with connecting elements such as plates and screws, but these are much bulkier, require major surgical procedures for the placing thereof and the possibility of trauma is increased.” U.S. Pat. No. 5,947,999 (Col. 2, lines 55-59). Additionally, the '999 patent is direct toward connecting soft tissues (tendons and ligaments) to bone.
- U.S. Pat. No. 4,444,181 (Wevers et al.) discloses a bone clip for repair of bones in vivo including a body having a slot in a central portion thereof and a pair of downwardly depending legs on either end of the body. After the clip is inserted in opposing bones, opposing bridges are compressed toward one another (rather than expanded) to shorten the clip and thereby draw the bones together.
- The use of bone screws and bone plates to reduce fractures is well known in the art. However, as far as the applicant is aware, no attempt has been made to provide a brace and screw combination that has the ability to pull bone fragments together in the efficient and highly effective manner described herein. There is thus a need for a surgical device having the following characteristics and advantages over the prior art.
- It is an object of the invention to provide an improved means of compressing adjacent bones together in surgical applications.
- It is an object of the invention to provide a substitute for surgical compression staples that has superior anchorage in bone.
- It is an object of the invention to increase intra-operative choices by allowing a surgeon to select desired lengths and diameters of fasteners.
- It is an object of the invention to reduce inventory by allowing a surgeon to mix and match between braces and fasteners.
- The foregoing objects and advantages are achieved by providing a surgical device for pressing and retaining adjacent bones against one another comprising a compression brace and separate fasteners. The compression brace has at least two fastener retaining portions. Each fastener retaining portion has a fastener hole therethrough for receiving a fastener. A pair of bridge members are positioned between the fastener retaining portions, and are spaced apart from one another to thereby form a compression opening between the fastener retaining portions. Each bridge member is preferably substantially V-shaped. The fasteners are sized and configured to pass through the fastener hole and retain the compression bracket on bones. The fasteners preferably have a lengthwise shaft sized to pass through the fastener hole and an upper retainer portion sized and configured to retain the fastener in the fastener hole. In one embodiment, the fasteners are screws having a lower thread positioned to engage bone. In an alternative embodiment, the fasteners are pins. The compression bracket can include a plurality of fastener retaining portions and a plurality of compression openings.
- The device is preferably provided with a means for selectively locking the fasteners in the fastener holes to maintain the fasteners in a substantially fixed relation with the fastener retaining portion. Alternatively, the fastener hole of the brace member may be substantially smooth. The shaft of at least one of the fasteners can be sized to provide play between the shaft and the fastener hole, such that the fastener can be selectively angled into bone during use of the device.
- The foregoing and other objects, features, aspects and advantages of the invention will become more apparent from the following detailed description of the invention when considered in conjunction with the accompanying drawings.
-
FIG. 1 is a top view of one preferred embodiment of a compression brace of the invention, showing the brace in an uncompressed configuration. -
FIG. 2 is a top view of the compression brace ofFIG. 1 , showing the brace in a compressed configuration and featuring a pair of screws disposed in the brace. -
FIG. 3 is a side cross-section of view taken along 3-3 ofFIG. 1 . -
FIG. 4 is a side partial cross-section view illustrating use of the compression brace of the invention to reduce a fracture by drawing adjacent bones together, featuring the brace in an uncompressed configuration prior to reduction of the fracture. -
FIG. 5 is a side partial cross-section view illustrating use of the compression brace of the invention to reduce a fracture by drawing adjacent bones together, featuring the brace in a compressed configuration. -
FIG. 6 is a top view of a preferred embodiment of the compression brace of the invention, featuring an unthreaded fastener hole. -
FIG. 7 is a side cross-section view taken along 7-7 ofFIG. 6 , and illustrating radial play of a screw within the unthreaded fastener hole. - FIGS. 8A-C show views of one preferred embodiment of the invention, featuring a pair of compression brackets joined end-to-end.
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FIG. 9 provides views of one preferred embodiment of the invention, featuring a plurality of clip members radiating from a shared fastener retaining portion. -
FIG. 10 provides views of one preferred embodiment of the invention, featuring a plurality of compression brackets joined end-to-end via shared fastener retaining portions, and including a branching compression bracket. -
FIG. 11 is a side view of a preferred embodiment of a screw type fastener for use in the invention. -
FIG. 12 is a side perspective view of a preferred embodiment of a pin-type fastener for use in the invention. -
FIG. 13 provides views of one preferred embodiment of the invention, featuring a pair of compression brackets joined end-to-end via a shared fastener retaining portion. -
FIG. 14 provides views of one preferred embodiment of the invention. -
FIG. 15 provides views of one preferred embodiment of the invention. -
FIG. 16 provides views of one preferred embodiment of the invention. -
FIG. 17 provides views of one preferred embodiment of the invention. -
FIG. 18 provides views of one preferred embodiment of the invention. -
FIG. 19 provides views of one preferred embodiment of the invention. -
FIG. 20 is a perspective view of one embodiment of a drill guide instrument for use in installing the compression brackets of the invention. -
FIG. 21 provides perspective views of drivers for use with the drill guide instrument ofFIG. 20 . -
FIG. 22 provides views of a snap-off screw for use with the compression brace of the invention. - In the following detailed description of the preferred embodiments, reference is made to the accompanying drawings which form a part hereof, and in which are shown by way of illustration specific embodiments in which the invention may be practiced. It is to be understood that other embodiments may be utilized and structural changes may be made without departing from the scope of the present invention.
- As shown in
FIGS. 4 and 5 , the invention is a surgical device for pressing and retainingadjacent bones FIG. 4 , the invention includes, generally, acompression brace 1 andfasteners 100 for securing the brace onbones FIG. 5 , compression of thebrace 1 presses the adjacent bone fragments 301, 302 together. - As shown in
FIG. 1 , in a preferred embodiment thecompression brace 1 has at least twofastener retaining portions 10. Eachfastener retaining portion 10 has a fastener hole or bore 20 therethrough for receiving afastener 100. In a preferred embodiment shown inFIG. 3 , a thread 22 is provided in thefastener hole 20. As indicated in the side view ofFIG. 3 , thebrace 1 can be considered to have a tissue orosteo side 2, which sits against the bones during use, and an opposing side orouter surface 3. As shown inFIG. 3 , thefastener retaining portion 10 preferably has acounterbore 30 formed in theouter surface 3. Thecounterbore 30 is preferably substantially in axial alignment with thefastener hole 20. Thecounterbore 30 is preferably spherical. Thecounterbore 30 is sized and configured to provide countersinking of anupper retainer portion 150 of afastener 100 in thefastener retaining portion 10 of thecompression brace 1. - A pair of
bridge members fastener retaining portions 10. Thebridge members 50A, SOB preferably extend directly from thefastener retaining portions 10, but may be spaced from one or both of the fastener retaining portions, such as by a shared extension portion disposed between thebridge members 50A, SOB andfastener retainer portions 10. Thebridge members compression opening 70 between thefastener retaining portions 10. The bridge members SOA, SOB and thecompression opening 70 are used to compress thefastener retaining portions 10 andfasteners 100 toward one another, in a manner described in further detail below. - In the preferred embodiment shown in
FIG. 1 , thebridge members linear portions 51, 52, which normally join one another at an obtuse angle when thebrace 10 is in an uncompressed configuration. When opposing expansion forces are applied to thebridges FIG. 1 , central portions of thebridge members fastener retaining portions 10 toward one another.FIG. 2 demonstrates the configuration of the compression brace ofFIG. 1 after it has been compressed a selected amount. Note that inFIG. 2 , thecompression brace 1 has contracted generally along its lengthwise axis, while the opposingbridge members bridge members fastener retaining portions 10 apart, particularly when using a V-shaped opening, which can be useful for certain surgical applications, such as distractions. In this manner, thecompression brace 1 can be used both for compression and distraction, as well as to provide for fine-tuning of bone gap sizes and compressive forces. Pinching can also be used to force thefastener retaining portions 10 toward one another, resulting in compression. -
Bridge members bridges deformable compression opening 70. InFIG. 6 , thebridge members compression opening 70.FIG. 6 also shows an embodiment in which a chamfer is formed along the upper edge of thecompression brace 1. - As shown in
FIG. 4 ,fasteners 100 are used to secure thebracket 1 toadjacent bones fastener 100 is sized and configured to pass through afastener hole 20 and to retain thecompression bracket 1 onbones Fasteners 100 of differing diameter can be used. For example, if angulation of thefasterner 100 is desired, a smaller diameter may be used. Thefasteners 100 may be locking or non-locking. In a preferred embodiment shown inFIG. 11 , eachfastener 100 has alengthwise shaft 110 sized to pass through at least one of the fastener holes 20, and anupper retainer portion 150 sized and configured to retain thefastener 100 in thefastener hole 20. As shown inFIG. 11 , theretainer portion 150 is preferably a circumferential head of the type used in conventional screws. Thehead 150 is preferably provided with a self-retaining drive mechanism, such as press-fit drive slots 155. - As shown in
FIG. 11 , thefastener 100 is preferably ascrew 100, in which case theshaft 110 is provided with alower thread 112 that is positioned to engage bone. Thelower thread 112 is preferably self-tapping and self-drilling in bone. To facilitate tapping of thelower thread 112 into bone, a cutting means 115 is preferably provided on or adjacent the tip of thescrew 100. Cutting means are well known to those of skill in the art of surgical screws. - As shown in
FIG. 12 , an alternativepreferred fastener 100 is apin 100. Thepin 100 shown inFIG. 12 has an enlarged head orfastener retainer portion 150 configured to retain thepin 100 in thefastener retainer member 10. Theshaft 110 of thepin 100 preferably has a substantially smooth outer surface. - In a preferred embodiment shown in
FIG. 11 , anupper thread 120 is provided on theshaft 110 adjacent the head of thefastener 100 for use in engaging the internal thread 22 in thefastener hole 20. In a preferred embodiment, theupper thread 120 of thefastener 100 and the internal thread 22 of thecompression brace 1 serve to maintain thefastener 100 in a substantially fixed relation to thefastener retaining portion 10. For example, inFIG. 5 , anupper thread 120 has maintained thefasteners 100 in a substantially perpendicular relation to thefastener retainer portion 10. In the preferred embodiment ofFIG. 5 , thefasteners 100 have maintained a substantially fixed relation even after thecompression bracket 1 has been compressed to draw thebones fastener hole 20 andcounterbore 30. In the prior art uni-body compression staples disclosed in the Groiso patents, the pins of the staples tend to splay outward significantly during use in vivo, decreasing the compressive strength of the staples. - The invention may be provided with a means 130 for selectively locking the
fastener 100 in thefastener hole 20. In the preferred embodiment shown inFIG. 11 , the locking means 130 is provided by forming theupper thread 120 from double-lead threads lead threads fastener 100 in thefastener hole 20 via locking interaction with the single internal thread 22 of thefastener hole 20. One advantage of a double-lead type of locking means 130 is that the threads can be configured such that thecompression bracket 1 can be reused, for example if it becomes necessary to remove and replace or reposition theoriginal fastener 100. Other locking means include mismatched threads. - As shown in
FIG. 7 , the surgical device may be configured such that there is play between thefastener 100 and thefastener retaining portion 10. In the preferred embodiment shown inFIG. 7 , thefastener hole 20 of the brace member is substantially smooth, i.e. unthreaded. Additionally, theshaft 110 of thefastener 100 is sized to provide play between theshaft 100 and thefastener hole 20. As indicated inFIG. 7 , this configuration allows thefastener 100 to be selectively angled into bone during use of the device. - Snap-off screws, such as the type shown in
FIG. 22 , can be used asfasteners 100. The snap-off surgical screw shown inFIG. 22B is similar to the screws described above in that it has ahead 150, an upper threadedpart 120 providing a locking thread 130 distal to the head, and abore thread 112 distal to the locking thread 130. Additionally, ashaft extension 160 extends above the poly-axial head for use in rotating and driving the screw. Theshaft extension 160 is axially aligned with thescrew 100. A distal end of theshaft extension 160 is fixedly connected to thehead 150 of the screw by anarrow shaft 161. After thescrew 100 is inserted, theshaft 160 is broken off of thescrew 100 at the point of thenarrow shaft 161. -
FIGS. 14-17 provide views of various embodiments ofcompression brackets 1 of the invention. The bracket shown inFIGS. 14A-14C has an elongatedcompression opening 70.FIGS. 15A-15C show acompression bracket 1 having a spaced apartbridge members bridge members compression bracket 1 having spaced apartbridge members bridge members FIG. 16 are straight, and thus lack the V-shaped configuration of other embodiments. The configuration ofFIG. 16 is particularly adapted for situations in which it may be desirable to obtain compression by bending thebridge members bridges FIGS. 17A-17C has a straight and generallynarrow compression opening 70, but is provided with diametrically opposed distal curved portions for use in engaging thebridge members compression opening 70. -
FIGS. 18A-18C show yet another embodiment in which the opposing bridge, and hence thecompression opening 70, are eliminated in favor of a single bridge 50. The single bridge 50 can be bent in order to draw the opposingfastener retaining portions 10 together. Otherwise, the embodiment shown inFIGS. 18A-18C can be provided with the various threaded and unthreaded variations described above. -
FIGS. 19A-19D show an embodiment that combines the features of prior art surgical staples with the advantages provided by thecompression bracket 1 of the present invention. As shown inFIG. 19A , the combined staple-compression bracket includes opposingbridge members fastener retaining portion 10 having the configuration and characteristics described above. However, the opposing end of the device is provided with a downwardly depending leg 200. The downwardly depending leg 200 is preferably provided with means for securing the leg 200 in bone, such as the proximal 201 and distal 202 teeth or serrations shown inFIG. 19C . - As shown in
FIGS. 8-10 and 13, thecompression bracket 1 can include a plurality offastener retaining portions 10 and a plurality ofcompression openings 70. In the embodiment shown inFIGS. 8A-8C , a pair of compression brackets are joined end-to-end in a unitary or unibody compression bracket structure. FIGS. 13A-C show an end-to-end configuration in whichbridge members fastener retaining portion 10. InFIGS. 9A-9C , a plurality ofbridge members fastener retaining portion 10. InFIGS. 10A-10C , a plurality ofcompression brackets 1 are joined end-to-end via sharedfastener retaining portions 10.FIG. 10 also includes a compression bracket that branches off from the main chain via a sharedfastener retaining portion 10. Multi-part compression brackets can also be configured to include adjacent compression openings that are not separated by afastener retaining member 20. Multi-compression brackets such as those shown inFIGS. 8-10 are particularly suited for fixation or distraction of multi-part fractures, such as when a bone fractures into more than two fragments. The multi-compression bracket embodiments shown inFIGS. 8-10 are merely exemplary preferred embodiments of the invention, and are intended to provide those with skill in the art with the building blocks necessary to configure a wide variety of multi-compression bracket configurations, all of which would fall within the scope of the invention. - One of the advantages of the invention over the prior art is that it enables a surgeon to intra-operatively select various combinations of brace and fastener sizes and configurations to accommodate the operative condition of a particular surgical site, thus providing greater options while decreasing staple inventory. To further enhance options, compression braces 1 can be provided with a combination of threaded and unthreaded holes. Such a configuration could be used, for example, in situations where it is desirable to provide a perpendicularly locked fastener on one end of the
brace 1, while providing selective angulation of thefastener 100 on the opposing end of the brace. The same effect can be obtained by selecting afastener 100 sized to permit angulation through a relatively larger threadedhole 20, such that the threads of thehole 20 do not substantially impinge on the selected degree of angulation. Similarly, a combination of locking and non-locking threads can be used. - The
compression brace 1 is used primarily for fixation of arthrodeses and osteotomies. Thecompression brace 1 can also be used in place of conventional plates, such as cuboid plates, hind or mid-foot plates, or calcaneal plates. - In operation, the
compression brace 1 is used as follows. After preparation of the surgical site, thecompression brace 1 is placed onadjacent bones bone fragment 301 and one of the fastener holes 302 is on the second bone or bone fragment (seeFIG. 4 ). The first andsecond bones compression brace 1 is secured on thefirst bone 301 by inserting afastener 100 through one of the fastener holes 20 and into thefirst bone 301. Thecompression brace 1 is secured to thesecond bone 302 by inserting afastener 100 through one of the fastener holes 20 and into the second bone. Thebridge members compression brace 1 are then spread apart to draw thefasteners 100 and thebones bridge members adjacent bones gap 300 between thebones bones gap 300. With fractures having more than two bone fragments, more than onecompression brace 1 can be used to fix the fracture. Alternatively, a multi-compression bracket such as the embodiments shown inFIGS. 8-10 can be used to fix the various bone fragments. In one embodiment of the method, holes are drilled into thebones fasteners 100 are then installed in the drilled holes. Pre-drilling is unnecessary if self-drilling fasteners 100 are used. - The
compression bracket 1 can also be used as a distraction plate, such as for opening osteotomies (e.g. HTO or spine distraction). By applying a force to bridgemembers fasteners 100 apart. Thedevice 1 can be used to open a space to allow insertion of a spacer, and then used to close the space in order to sandwich the spacer between adjacent bones. - The
compression bracket 1 can be installed with or without specialized instrumentation.FIG. 20 shows a preferreddrill guide instrument 300 for use in installing the compression braces 1. Thedrill guide 300 includes a handle or mountingarm 310 having anextension portion 312. Astationary guide base 318 is fixedly mounted on an upper end of theextension portion 312. As shown inFIG. 20 , anadjustable guide base 328 is slidably and adjustably engaged to thestationary guide base 318 via anadjustment member 320 having alengthwise opening 321 therethrough. A locking means 312 is provided for selectively locking theadjustable guide base 328 relative to thestationary guide base 318. In the embodiment shown inFIG. 20 , the locking means is aring 330 threaded on theextension portion 312. - A
first drill guide 301 is fixedly mounted on thestationary guide base 318, while asecond drill guide 302 is fixedly mounted on theadjustable guide base 328. The drill guides 301, 302 are preferably removable from the drill guide instrument in order to accommodate selected sizes and configurations offasteners 100 and compression braces 1. A distal end of thedrill guide side slot 304 therethrough for accommodating acompression brace 1, in the manner shown inFIG. 20 . - As indicated in
FIG. 20 , eachdrill guide FIG. 20 , the sleeves are sized to receive and provide rotational guidance to driver components such as drill bit 380 (preferred embodiment shown inFIG. 21A ) or a screwdriver 390 (preferred embodiment shown inFIG. 21B ). As shown inFIGS. 21A and 21B , thedriver components cylindrical shaft portion 384 sized to permit guided rotation within the drill guides 301, 302. Astop 386 is provided on theshaft 384. Thestop 386 is sized and positioned to abut against thedrill guide guide base drill guide instrument 300 to prevent over drilling. Thedrive components bit driver component 380 is provided with adrill bit 381. As shown inFIG. 21B , thescrew driver component 390 is provided with ascrew driver head 391 configured to match thefasteners 100. Various sizes and types ofdrill bits 381 andscrewdrivers 391 can be used with thedrill guide instrument 300, depending on intra-operative conditions. A tamping driver (not shown) can be provided for insertingpins 100 with thedrill guide instrumentation 300. - As indicated in
FIG. 20 , thedrill guide instrument 300 can be adjusted to the size of a selectedcompression brace 1 simply by sliding thesecond drill guide 302 relative to thefirst drill guide 301 until a suitable position is reached, and then locking thesecond drill guide 302 in place via the locking means 330. Thedrill guide instrument 300 aligns the axes of thedriver components - Spreading of the
bridge members bridge members - The device and method can be used to join, fix and maintain bones in various procedures, including: LisFranc arthrodesis; mono or bi-cortical osteotomies in the forefoot; first m etatarsophalangeal arthrodesis; Akin osteotomy; midfoot and hindfoot arthrodeses or osteotomies; fixation of osteotomies for hallux valgus treatment (Scarf and Chevron); and arthrodeses of the metatarsocuneiform joint to reposition and stabilize the metatarsus primus varus; carpal bone fusion; wrist fusion; elbow fracture; and metacarpal fractures.
- The
compression brace 1 andfasteners 100 are preferably made of suitable biocompatible materials having sufficient mechanical strength and elasticity for the desired applications of theinvention 1. Suitable materials include medical grade titanium alloys, medical grade stainless steel, and cobalt chrome. A memory metal, such as nitinol, can be incorporated into the invention. Suitable non-metallic biocompatible materials can also be used. Further, thebrace 1 orfasteners 100 can be made of a suitable bio-absorbable material, such that the components are eventually absorbed by the body after healing of the bone parts. - Unless the context indicates otherwise, the term “bone” as used herein includes whole bones as well as bone fragments (i.e. the two or more fragments of a particular bone that remain after the bone has been fractured, either completely or incompletely).
- Although the present invention has been described in terms of specific embodiments, it is anticipated that alterations and modifications thereof will no doubt become apparent to those skilled in the art. It is therefore intended that the following claims be interpreted as covering all alterations and modifications that fall within the true spirit and scope of the invention.
Claims (14)
1-15. (canceled)
16. A surgical device for pressing and retaining adjacent bones against one another, such as to reduce a fracture, comprising:
a compression brace,
said compression brace having at least two fastener retaining portions, each said fastener retaining portion having a fastener hole therethrough for receiving a fastener, said fastener hole having an internal thread,
a pair of bridge members positioned between said fastener retaining portions, said bridge members spaced apart from one another to thereby form a compression opening between said fastener retaining portions, and
at least two fasteners, each said fastener having
a lengthwise shaft sized to pass through said fastener hole and a head portion sized and configured to retain said fastener in said fastener hole,
an upper thread on said shaft adjacent said head of said fastener for engaging said internal thread in said fastener hole to thereby maintain said fastener in a substantially fixed relation to said fastener retaining portion.
17. The device of claim 16 , wherein said substantially fixed relation between said fastener and said fastener retaining portion is substantially perpendicular.
18. The device of claim 16 , wherein said upper thread comprises double lead threads, said double-lead threads providing selective locking of said fastener in said fastener hole
19. The device of claim 16 , wherein at least one of said fasteners is a screw, said shaft of said screw having a lower thread positioned to engage bone.
20. The device of claim 19 , wherein said lower thread is self-drilling in bone.
21. The device of claim 20 , further comprising a cutting means along said tip of said screw for facilitating initial engagement of bone by said lower thread.
22. The device of claim 16 , wherein at least one of said fasteners is a pin.
23. The device of claim 16 , further comprising each said fastener retaining portion having a counterbore formed in an upper surface thereof, said counterbore substantially in axial alignment with said fastener hole, said counterbore sized and configured to provide countersinking of said upper retainer portion of said fastener in said fastener retaining portion.
24. The device of claim 16 , wherein each said bridge member is substantially V-shaped.
25. The device of claim 16 , wherein said compression brace includes a plurality of fastener retaining portions and a plurality of compression openings.
26. A method of compressing and retaining first and second adjacent bones together, such as to reduce a fracture, comprising:
providing a compression brace, said compression brace having at least two fastener retaining portions, each said fastener retaining portion having a fastener hole therethrough for receiving a fastener, said fastener hole having an internal thread, a pair of bridge members positioned between said fastener retaining portions, said bridge members spaced apart from one another to thereby form a compression opening between said fastener retaining portions;
providing at least two fasteners, each said fastener having a lengthwise shaft sized to pass fastener hole, and an upper thread on said shaft adjacent said head of said fastener for engaging said internal thread in said fastener hole to thereby maintain said fastener in a substantially fixed relation to said fastener retaining portion;
placing the compression brace on the bones such that one of said fastener holes is on the first bone and one of said fastener holes is on the second bone;
securing the compression brace on the first bone by threading one of said fasteners into one of said fastener holes and into the first bone;
securing the compression brace on the second bone by threading one of said fasteners into a second one of said fastener holes and into the second bone; and
spreading the bridge members of the compression brace apart to thereby draw said fasteners and said bones toward one another.
27. The method of claim 1, further comprising, prior to said step of securing the compression bracket on the bones, forming a hole in each of the bones for receiving the fasteners.
28. The method of claim 1, wherein said bridge members are spread until said bones contact one another.
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US11/060,965 US8221478B2 (en) | 2004-09-14 | 2005-02-18 | Snap-off surgical screw |
PCT/US2005/032333 WO2006031692A2 (en) | 2004-09-14 | 2005-09-09 | Snap-off surgical screw |
US12/582,210 US20100036430A1 (en) | 2004-09-14 | 2009-10-20 | Compression brace |
US14/172,547 US20140316470A1 (en) | 2004-09-14 | 2014-02-04 | Compression brace |
US14/329,429 US20150012004A1 (en) | 2004-09-14 | 2014-07-11 | Compression brace |
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US11/060,965 US8221478B2 (en) | 2004-09-14 | 2005-02-18 | Snap-off surgical screw |
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US14/172,547 Abandoned US20140316470A1 (en) | 2004-09-14 | 2014-02-04 | Compression brace |
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US14/172,547 Abandoned US20140316470A1 (en) | 2004-09-14 | 2014-02-04 | Compression brace |
US14/329,429 Abandoned US20150012004A1 (en) | 2004-09-14 | 2014-07-11 | Compression brace |
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Cited By (55)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060235405A1 (en) * | 2005-03-31 | 2006-10-19 | Hawkes David T | Active compression orthopedic plate system and method for using the same |
US20060243340A1 (en) * | 2005-03-22 | 2006-11-02 | Wheeler Dennis L | Apparatus and method for attaching fencing material |
US20070093839A1 (en) * | 2005-09-12 | 2007-04-26 | Beckendorf Brandon G | Compression staple |
US20070160443A1 (en) * | 2006-01-09 | 2007-07-12 | Ming-Yi Tseng | Fixing nail |
US20070162013A1 (en) * | 2005-12-09 | 2007-07-12 | Depuy Spine, Inc. | Spinal plate and drill guide |
US20080255620A1 (en) * | 2007-03-30 | 2008-10-16 | Strauss Kevin R | Anterior Vertebral Plate With Spike Fixation |
US20090036930A1 (en) * | 2004-01-08 | 2009-02-05 | David Mark Allison | Bone fixing device |
US20090069851A1 (en) * | 2007-07-19 | 2009-03-12 | Acumed Llc | Bone fixation with slender spanning members disposed outside bone |
US20100211071A1 (en) * | 2009-02-13 | 2010-08-19 | Lettmann Jason W | Methods and devices for treating hallux valgus |
US20100241165A1 (en) * | 2009-03-18 | 2010-09-23 | Depuy Spine, Inc. | Laminoplasty methods using hinge device |
US20110009866A1 (en) * | 2009-07-09 | 2011-01-13 | Orthohelix Surgical Designs, Inc. | Osteotomy plate, plate driver and method for their use |
US20110034924A1 (en) * | 2009-08-10 | 2011-02-10 | Virak Tan | Orthopedic external fixator and method of use |
US20110046681A1 (en) * | 2008-10-02 | 2011-02-24 | Bernard Prandi | Orthopedic implant in the form of a plate to be fixed between two bone parts |
US20110077656A1 (en) * | 2009-09-25 | 2011-03-31 | Sand Paul M | Methods and devices for treating a structural bone and joint deformity |
US20110130789A1 (en) * | 2007-01-17 | 2011-06-02 | Paul Shurnas | Lispranc repair using suture anchor-button construct |
US20110218580A1 (en) * | 2010-03-08 | 2011-09-08 | Stryker Trauma Sa | Bone fixation system with curved profile threads |
US20110288589A1 (en) * | 2008-06-06 | 2011-11-24 | Simpirica Spine, Inc. | Methods and apparatus for locking a band |
US20120191104A1 (en) * | 2011-01-21 | 2012-07-26 | Jost Reto | Depth Probe for the Humeral Head |
US20120226277A1 (en) * | 2009-08-10 | 2012-09-06 | Virak Orthopedic Research Llc | Orthopedic external fixator and method of use |
US20130012949A1 (en) * | 2011-07-08 | 2013-01-10 | Mtp Solutions, Llc | Osteotomy guide and method |
US20130018425A1 (en) * | 2010-03-26 | 2013-01-17 | The General Hospital Corporation | System and methods for in vivo adjustable bone plate |
EP2584984A2 (en) * | 2010-06-23 | 2013-05-01 | Genesis Fracture Care, Inc. | Flexible plate fixation of bone fractures |
US8551143B2 (en) | 2011-10-11 | 2013-10-08 | Brent Lane Norris | Low profile periarticular tension band plating system with soft tissue neutralization cable tunnel/channel |
WO2013185863A1 (en) * | 2012-06-13 | 2013-12-19 | Hipp Medical Ag | Tensioning element for fixing the fracture ends of the bones in a bone fracture |
US8647369B2 (en) | 2010-05-19 | 2014-02-11 | Josef E. Gorek | Minimal profile anterior bracket for spinal fixation |
US8652141B2 (en) | 2010-01-21 | 2014-02-18 | Tarsus Medical Inc. | Methods and devices for treating hallux valgus |
US8696719B2 (en) | 2010-06-03 | 2014-04-15 | Tarsus Medical Inc. | Methods and devices for treating hallux valgus |
US8753380B2 (en) | 2010-08-02 | 2014-06-17 | Tongji University | Separable pedicle screw |
US20140180342A1 (en) * | 2012-08-30 | 2014-06-26 | Wright Medical Technology, Inc. | Implant for osteotomy, tool for inserting the implant, and method of inserting the implant using the tool |
US8790379B2 (en) | 2010-06-23 | 2014-07-29 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
US20140257420A1 (en) * | 2011-10-10 | 2014-09-11 | William Casey Fox | Shape changing bone implant and method of use for enhancing healing |
US8852252B2 (en) | 2008-12-23 | 2014-10-07 | Orthofix S.R.L. | Endosseous screws and orthopaedic device to assist the rigid osteosynthesis of fractures |
US20140316472A1 (en) * | 2013-04-17 | 2014-10-23 | Leroy Rise | Low-Profile, High Tension Mesh Plate for Subcutaneous Fracture Fixation |
JP2014531939A (en) * | 2011-09-30 | 2014-12-04 | アキュート・イノヴェーションズ・エルエルシー | Bone fixation system with opposing mounting parts |
US9017331B2 (en) | 2011-07-27 | 2015-04-28 | William Casey Fox | Bone staple, instrument and method of use and manufacturing |
US9138219B2 (en) | 2010-12-29 | 2015-09-22 | Tarsus Medical Inc. | Methods and devices for treating a syndesmosis injury |
US9295508B2 (en) | 2012-02-03 | 2016-03-29 | Zimmer, Inc. | Bone plate for elastic osteosynthesis |
US9451957B2 (en) | 2011-07-27 | 2016-09-27 | William Casey Fox | Bone staple extrusion instrument and method of use and manufacturing |
US9480513B2 (en) | 2011-03-02 | 2016-11-01 | Hipp Medical Ag | Clamping element for setting a bone fracture as well as modular fixation device comprising same and method for producing same |
AU2016203422B2 (en) * | 2010-06-23 | 2017-03-30 | Zimmer, Inc | Flexible plate fixation of bone fractures |
US20170196604A1 (en) * | 2014-07-10 | 2017-07-13 | Crossroads Extremity Systems, Llc | Bone implant and means of insertion |
US20170202552A1 (en) * | 2014-07-10 | 2017-07-20 | Crossroads Extremity Systems, Llc | Bone implant with anti-rotation |
WO2017163080A1 (en) * | 2016-03-24 | 2017-09-28 | Apio Implants Limited | Bone ties and staples for use in orthopaedic surgery |
US9924986B2 (en) | 2009-12-18 | 2018-03-27 | Charles River Engineering Solutions And Technologies, Llc | Articulating tool and methods of using |
US20180263673A1 (en) * | 2016-11-22 | 2018-09-20 | Catherine A. Mazzola | Flexible Spine Plate |
US10299842B2 (en) | 2013-12-20 | 2019-05-28 | Crossroads Extremity Systems, Llc | Bone plates with dynamic elements |
US10945725B2 (en) | 2017-02-06 | 2021-03-16 | Crossroads Extremity Systems, Llc | Implant inserter |
US11123117B1 (en) | 2011-11-01 | 2021-09-21 | Nuvasive, Inc. | Surgical fixation system and related methods |
US11179149B2 (en) | 2017-02-07 | 2021-11-23 | Crossroads Extremity Systems, Llc | Counter-torque implant |
US11202626B2 (en) | 2014-07-10 | 2021-12-21 | Crossroads Extremity Systems, Llc | Bone implant with means for multi directional force and means of insertion |
US11317951B2 (en) | 2013-12-20 | 2022-05-03 | Crossroads Extremity Systems, Llc | Bone plates with dynamic elements |
US11324538B2 (en) | 2019-12-04 | 2022-05-10 | Biomet Manufacturing, Llc | Active bone plate |
USD961081S1 (en) | 2020-11-18 | 2022-08-16 | Crossroads Extremity Systems, Llc | Orthopedic implant |
US20220378478A1 (en) * | 2021-05-28 | 2022-12-01 | William Casey Fox | Extracorporeal bone compressing link and apparatus and method using same |
US20230126301A1 (en) * | 2021-01-04 | 2023-04-27 | Brent Schultz | Tensegrity external fixation system to distract bones |
Families Citing this family (55)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2916954B1 (en) * | 2007-06-05 | 2011-11-25 | Small Bone Innovations Internat | OSTEOSYNTHESIS CLIP |
US7604640B2 (en) * | 2007-06-14 | 2009-10-20 | Zimmer Spine Austin, Inc. | Device and system for applying rotary impact |
GB0712247D0 (en) * | 2007-06-25 | 2007-08-01 | I J Smith & Nephew Ltd | Medical device |
WO2009039513A1 (en) * | 2007-09-20 | 2009-03-26 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum of a hip joint |
EP2397083B1 (en) * | 2007-11-02 | 2014-05-07 | Biomet C.V. | Elbow fracture fixation system |
US20090131984A1 (en) * | 2007-11-19 | 2009-05-21 | Linares Miguel A | Spine support implant including inter vertebral insertable fluid ballastable insert and inter-vertebral web retaining harnesses |
US20220175372A1 (en) * | 2008-02-15 | 2022-06-09 | Cilag Gmbh International | Releasable layer of material and surgical end effector having the same |
US8257406B2 (en) | 2008-02-19 | 2012-09-04 | Orthohelix Surgical Designs, Inc. | Orthopedic plate for use on a single ray in the midfoot |
US8167918B2 (en) * | 2008-02-19 | 2012-05-01 | Orthohelix Surgical Designs, Inc. | Orthopedic plate for use in the MTP joint |
US8257403B2 (en) * | 2008-02-19 | 2012-09-04 | Orthohelix Surgical Designs, Inc. | Orthopedic plate for use in the midfoot |
DE102010016812A1 (en) * | 2009-06-08 | 2011-03-17 | Z.-Medical Gmbh & Co. Kg | bone screw |
US10136884B2 (en) | 2009-07-17 | 2018-11-27 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a retractable sheath |
US10238379B2 (en) | 2009-07-17 | 2019-03-26 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US9149268B2 (en) | 2009-07-17 | 2015-10-06 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US11246585B2 (en) | 2009-07-17 | 2022-02-15 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US9179905B2 (en) * | 2009-07-17 | 2015-11-10 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
US11197663B2 (en) | 2009-07-17 | 2021-12-14 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
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US10426456B2 (en) | 2009-07-17 | 2019-10-01 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
EP2340777B1 (en) * | 2009-12-30 | 2014-11-05 | Medartis AG | Osteosynthesis plate for fractures near joints or osteotomies |
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CA2839629A1 (en) * | 2011-06-29 | 2013-01-03 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
WO2013013218A2 (en) | 2011-07-20 | 2013-01-24 | Horwitz Michael H | Minimal incision removable bone screw, driver, and method of use |
US9855036B2 (en) | 2013-11-13 | 2018-01-02 | Arthrex, Inc. | Staples for generating and applying compression within a body |
US20150257801A1 (en) * | 2014-03-13 | 2015-09-17 | Mx Orthopedics, Corp. | Plates for generating, applying and maintaining compression within a body |
US8956361B2 (en) | 2011-12-19 | 2015-02-17 | Amendia, Inc. | Extended tab bone screw system |
US10405903B1 (en) * | 2012-05-04 | 2019-09-10 | Xtraverse, LLC | Fasteners with shape changing zigzag structures and methods using same |
US8998904B2 (en) | 2012-07-17 | 2015-04-07 | Fastforward Surgical Inc. | Winged tether plate and method of use for reducing angular bone deformity |
US9452005B2 (en) | 2012-08-23 | 2016-09-27 | DePuy Synthes Products, Inc. | Bone fixation system |
US10004603B2 (en) | 2012-08-23 | 2018-06-26 | DePuy Synthes Products, Inc. | Bone implant |
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KR102183272B1 (en) * | 2012-08-23 | 2020-11-27 | 신세스 게엠바하 | Bone fixation system |
US20140180348A1 (en) * | 2012-12-21 | 2014-06-26 | Wright Medical Technology, Inc. | Trajectory guide |
US10258378B2 (en) | 2013-03-15 | 2019-04-16 | Dne, Llc | External bone fixation system |
US9370380B2 (en) | 2013-03-15 | 2016-06-21 | Dne, Llc | External bone fixation system |
US10292694B2 (en) | 2013-04-22 | 2019-05-21 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone |
WO2015009808A1 (en) | 2013-07-16 | 2015-01-22 | Fastforward Surgical Inc. | Bone plate for reducing angular bone deformity and method of using |
JP6650395B2 (en) | 2013-11-11 | 2020-02-19 | アースレックス インコーポレイテッド | Screw to generate and apply compression in the body |
US10016198B2 (en) | 2014-11-13 | 2018-07-10 | Arthrex, Inc. | Staples for generating and applying compression within a body |
US9999454B2 (en) | 2013-12-05 | 2018-06-19 | A&E Advanced Closure Systems, Llc | Bone plate system and method |
AU2014362199B2 (en) | 2013-12-12 | 2019-07-11 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US20150230839A1 (en) * | 2014-02-20 | 2015-08-20 | Nicholas Riccione | Shark Staple |
EP2957247A1 (en) * | 2014-04-22 | 2015-12-23 | Stryker European Holdings I, LLC | Plates with countersinks |
WO2015179652A1 (en) | 2014-05-21 | 2015-11-26 | Nextremity Solutions, Inc. | Staples and staple delivery and drill guides |
CA2975320A1 (en) | 2015-01-28 | 2016-08-04 | Arthrex, Inc. | Self-compressing screws for generating and applying compression within a body |
US10123831B2 (en) | 2015-03-03 | 2018-11-13 | Pioneer Surgical Technology, Inc. | Bone compression device and method |
US20170000533A1 (en) | 2015-07-02 | 2017-01-05 | First Ray, LLC | Compression implants, instruments and methods |
US10357260B2 (en) | 2015-11-02 | 2019-07-23 | First Ray, LLC | Orthopedic fastener, retainer, and guide methods |
KR101666527B1 (en) * | 2015-12-14 | 2016-10-24 | 권용원 | implant apparatus for promote bone growth |
US10172645B2 (en) | 2016-05-20 | 2019-01-08 | Fastforward Surgical Inc. | Method of correcting hallux varus joint deformity |
US11291476B2 (en) | 2016-06-10 | 2022-04-05 | Dne, Llc | External bone fixation system |
DE102017119657B4 (en) * | 2017-08-28 | 2019-03-14 | botiss biomaterials GmbH | Dental screw |
JP7382976B2 (en) | 2018-06-29 | 2023-11-17 | パイオニア サージカル テクノロジー インコーポレイテッド | bone plate system |
US11540898B2 (en) | 2018-09-21 | 2023-01-03 | Nexxt Spine, LLC | Bone screw with frangible tracking tag |
US11877779B2 (en) | 2020-03-26 | 2024-01-23 | Xtant Medical Holdings, Inc. | Bone plate system |
Citations (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2580821A (en) * | 1950-10-21 | 1952-01-01 | Nicola Toufick | Spring impactor bone plate |
US2597342A (en) * | 1945-06-16 | 1952-05-20 | Bocjl Corp | Compressible fastener |
US2780223A (en) * | 1955-05-17 | 1957-02-05 | Paul B Haggland | Fracture plate |
US4444181A (en) * | 1980-11-10 | 1984-04-24 | Queen's University At Kingston | Bone clip |
US4887601A (en) * | 1987-11-06 | 1989-12-19 | Ophthalmic Ventures Limited Partnership | Adjustable surgical staple and method of using the same |
US4905679A (en) * | 1988-02-22 | 1990-03-06 | M P Operation, Inc. | Bone fracture reduction device and method of internal fixation of bone fractures |
US5449359A (en) * | 1991-09-05 | 1995-09-12 | Groiso; Jorge A. | Elastic clip for osteosynthesis |
US5616142A (en) * | 1994-07-20 | 1997-04-01 | Yuan; Hansen A. | Vertebral auxiliary fixation device |
US5643265A (en) * | 1995-04-13 | 1997-07-01 | Fastenetix, L.L.C. | Dynamic compression polyaxial locking screw plate assembly |
US5766176A (en) * | 1996-09-11 | 1998-06-16 | Walter Lorenz Surgical, Inc. | Formable mesh |
US5785712A (en) * | 1996-04-16 | 1998-07-28 | Terray Corporation | Reconstruction bone plate |
US5947999A (en) * | 1996-12-03 | 1999-09-07 | Groiso; Jorge A. | Surgical clip and method |
US5984925A (en) * | 1997-07-30 | 1999-11-16 | Cross Medical Products, Inc. | Longitudinally adjustable bone plates and method for use thereof |
US6093188A (en) * | 1997-11-10 | 2000-07-25 | Murray; William M. | Adjustable bone fixation plate |
US6129730A (en) * | 1999-02-10 | 2000-10-10 | Depuy Acromed, Inc. | Bi-fed offset pitch bone screw |
US20020022843A1 (en) * | 1999-05-05 | 2002-02-21 | Michelson Gary K. | Screws of cortical bone and method of manufacture thereof |
US6364882B1 (en) * | 2000-02-01 | 2002-04-02 | Hand Innovations, Inc. | Volar fixation system |
US20030153919A1 (en) * | 2002-02-12 | 2003-08-14 | Harris Peter M. | Self-locking bone screw and implant |
US6616669B2 (en) * | 1999-04-23 | 2003-09-09 | Sdgi Holdings, Inc. | Method for the correction of spinal deformities through vertebral body tethering without fusion |
US20040002708A1 (en) * | 2002-05-08 | 2004-01-01 | Stephen Ritland | Dynamic fixation device and method of use |
US6755832B2 (en) * | 2001-04-03 | 2004-06-29 | Inion Ltd. | Bone plate implant |
US20050021035A1 (en) * | 2002-01-22 | 2005-01-27 | Groiso Jorge Abel | Bone staple and methods for correcting bone deficiencies by controllably suppressing and/or inducing the growth of the epiphyseal plate |
US20050065522A1 (en) * | 2003-03-27 | 2005-03-24 | Orbay Jorge L. | Low profile distal radius fracture fixation plate |
US20050277937A1 (en) * | 2004-06-10 | 2005-12-15 | Leung Takkwong R | Bone plating system |
US7036701B2 (en) * | 2002-05-31 | 2006-05-02 | Worldwide Safety, Llc | Trash disposal method |
US7128744B2 (en) * | 1999-09-13 | 2006-10-31 | Synthes (Usa) | Bone plating system |
US7297146B2 (en) * | 2004-01-30 | 2007-11-20 | Warsaw Orthopedic, Inc. | Orthopedic distraction implants and techniques |
Family Cites Families (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4488843A (en) * | 1982-07-16 | 1984-12-18 | Illinois Tool Works Inc. | Reusable one piece drive fastener |
FR2625430A1 (en) | 1987-12-30 | 1989-07-07 | Guinounet Alain | LOCKING SCREW OF OSTEOSYNTHESIS PLATE AND METHOD OF MANUFACTURING SAME |
DE3831657A1 (en) * | 1988-09-17 | 1990-03-22 | Boehringer Ingelheim Kg | DEVICE FOR THE OSTEOSYNTHESIS AND METHOD FOR THE PRODUCTION THEREOF |
US5059194A (en) * | 1990-02-12 | 1991-10-22 | Michelson Gary K | Cervical distractor |
DE4323434C1 (en) | 1993-07-13 | 1995-02-16 | Arcus Elektrotech | Shear bolt |
FR2781998B1 (en) | 1998-08-07 | 2000-11-10 | Hassan Razian | PROSTHETIC ELEMENT, IMPLANTABLE INTO A BONE, WITH SEPARABLE HANDLING HEAD |
US5971987A (en) * | 1998-09-18 | 1999-10-26 | Ethicon, Inc. | Biocompatible absorbable polymer fastener and driver for use in surgical procedures |
US6332887B1 (en) * | 1999-04-06 | 2001-12-25 | Benjamin D. Knox | Spinal fusion instrumentation system |
CN1184932C (en) * | 2000-06-26 | 2005-01-19 | 库尔斯恩蒂斯股份公司 | Bone plate for osteosynthesis |
US6726687B2 (en) | 2000-12-08 | 2004-04-27 | Jackson Roger P | Closure plug for open-headed medical implant |
FR2825015B1 (en) | 2001-05-23 | 2003-10-24 | Jean Yves Coillard | BONE IMPLANT SCREW |
US6875215B2 (en) * | 2002-02-15 | 2005-04-05 | John Stanley Taras | Distraction pin for fracture fixation |
US7811312B2 (en) * | 2002-12-04 | 2010-10-12 | Morphographics, Lc | Bone alignment implant and method of use |
DE50306417D1 (en) | 2003-02-12 | 2007-03-15 | Synthes Gmbh | SCREW WITH INTEGRATED SCREWDRIVER |
US7416553B2 (en) * | 2003-04-09 | 2008-08-26 | Depuy Acromed, Inc. | Drill guide and plate inserter |
US7776047B2 (en) * | 2003-04-09 | 2010-08-17 | Depuy Spine, Inc. | Guide for spinal tools, implants, and devices |
-
2004
- 2004-09-14 US US10/940,396 patent/US20060058796A1/en not_active Abandoned
-
2005
- 2005-02-18 US US11/060,965 patent/US8221478B2/en active Active
- 2005-09-09 WO PCT/US2005/032333 patent/WO2006031692A2/en active Application Filing
-
2009
- 2009-10-20 US US12/582,210 patent/US20100036430A1/en not_active Abandoned
-
2014
- 2014-02-04 US US14/172,547 patent/US20140316470A1/en not_active Abandoned
- 2014-07-11 US US14/329,429 patent/US20150012004A1/en not_active Abandoned
Patent Citations (31)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2597342A (en) * | 1945-06-16 | 1952-05-20 | Bocjl Corp | Compressible fastener |
US2580821A (en) * | 1950-10-21 | 1952-01-01 | Nicola Toufick | Spring impactor bone plate |
US2780223A (en) * | 1955-05-17 | 1957-02-05 | Paul B Haggland | Fracture plate |
US4444181A (en) * | 1980-11-10 | 1984-04-24 | Queen's University At Kingston | Bone clip |
US4887601A (en) * | 1987-11-06 | 1989-12-19 | Ophthalmic Ventures Limited Partnership | Adjustable surgical staple and method of using the same |
US4905679A (en) * | 1988-02-22 | 1990-03-06 | M P Operation, Inc. | Bone fracture reduction device and method of internal fixation of bone fractures |
US5660188A (en) * | 1991-05-09 | 1997-08-26 | Groiso; Jorge A. | Procedure for applying an elastic clip |
US5853414A (en) * | 1991-05-09 | 1998-12-29 | Groiso; Jorge A. | Elastic clip for osteosynthesis |
US5449359A (en) * | 1991-09-05 | 1995-09-12 | Groiso; Jorge A. | Elastic clip for osteosynthesis |
US5616142A (en) * | 1994-07-20 | 1997-04-01 | Yuan; Hansen A. | Vertebral auxiliary fixation device |
US5643265A (en) * | 1995-04-13 | 1997-07-01 | Fastenetix, L.L.C. | Dynamic compression polyaxial locking screw plate assembly |
US5785712A (en) * | 1996-04-16 | 1998-07-28 | Terray Corporation | Reconstruction bone plate |
US5766176A (en) * | 1996-09-11 | 1998-06-16 | Walter Lorenz Surgical, Inc. | Formable mesh |
US5993476A (en) * | 1996-12-03 | 1999-11-30 | Groiso; Jorge A. | Surgical clip and method |
US5947999A (en) * | 1996-12-03 | 1999-09-07 | Groiso; Jorge A. | Surgical clip and method |
US5984925A (en) * | 1997-07-30 | 1999-11-16 | Cross Medical Products, Inc. | Longitudinally adjustable bone plates and method for use thereof |
US6364881B1 (en) * | 1997-07-30 | 2002-04-02 | Interpore Cross International | Longitudinally adjustable bone plates and method for use thereof |
US6093188A (en) * | 1997-11-10 | 2000-07-25 | Murray; William M. | Adjustable bone fixation plate |
US6129730A (en) * | 1999-02-10 | 2000-10-10 | Depuy Acromed, Inc. | Bi-fed offset pitch bone screw |
US6616669B2 (en) * | 1999-04-23 | 2003-09-09 | Sdgi Holdings, Inc. | Method for the correction of spinal deformities through vertebral body tethering without fusion |
US20020022843A1 (en) * | 1999-05-05 | 2002-02-21 | Michelson Gary K. | Screws of cortical bone and method of manufacture thereof |
US7128744B2 (en) * | 1999-09-13 | 2006-10-31 | Synthes (Usa) | Bone plating system |
US6364882B1 (en) * | 2000-02-01 | 2002-04-02 | Hand Innovations, Inc. | Volar fixation system |
US6755832B2 (en) * | 2001-04-03 | 2004-06-29 | Inion Ltd. | Bone plate implant |
US20050021035A1 (en) * | 2002-01-22 | 2005-01-27 | Groiso Jorge Abel | Bone staple and methods for correcting bone deficiencies by controllably suppressing and/or inducing the growth of the epiphyseal plate |
US20030153919A1 (en) * | 2002-02-12 | 2003-08-14 | Harris Peter M. | Self-locking bone screw and implant |
US20040002708A1 (en) * | 2002-05-08 | 2004-01-01 | Stephen Ritland | Dynamic fixation device and method of use |
US7036701B2 (en) * | 2002-05-31 | 2006-05-02 | Worldwide Safety, Llc | Trash disposal method |
US20050065522A1 (en) * | 2003-03-27 | 2005-03-24 | Orbay Jorge L. | Low profile distal radius fracture fixation plate |
US7297146B2 (en) * | 2004-01-30 | 2007-11-20 | Warsaw Orthopedic, Inc. | Orthopedic distraction implants and techniques |
US20050277937A1 (en) * | 2004-06-10 | 2005-12-15 | Leung Takkwong R | Bone plating system |
Cited By (124)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20090036930A1 (en) * | 2004-01-08 | 2009-02-05 | David Mark Allison | Bone fixing device |
US20110060372A1 (en) * | 2004-01-08 | 2011-03-10 | David Mark Allison | Bone fixing device |
US20060243340A1 (en) * | 2005-03-22 | 2006-11-02 | Wheeler Dennis L | Apparatus and method for attaching fencing material |
US7993380B2 (en) * | 2005-03-31 | 2011-08-09 | Alphatel Spine, Inc. | Active compression orthopedic plate system and method for using the same |
US20060235405A1 (en) * | 2005-03-31 | 2006-10-19 | Hawkes David T | Active compression orthopedic plate system and method for using the same |
US20070093839A1 (en) * | 2005-09-12 | 2007-04-26 | Beckendorf Brandon G | Compression staple |
US9119677B2 (en) * | 2005-12-09 | 2015-09-01 | DePuy Synthes Products, Inc. | Spinal plate and drill guide |
US20070162013A1 (en) * | 2005-12-09 | 2007-07-12 | Depuy Spine, Inc. | Spinal plate and drill guide |
US9757163B2 (en) | 2005-12-09 | 2017-09-12 | DePuy Synthes Products, Inc. | Spinal plate and drill guide |
US20070160443A1 (en) * | 2006-01-09 | 2007-07-12 | Ming-Yi Tseng | Fixing nail |
US8221455B2 (en) * | 2007-01-17 | 2012-07-17 | Arthrex, Inc. | Lispranc repair using suture anchor-button construct |
US20110130789A1 (en) * | 2007-01-17 | 2011-06-02 | Paul Shurnas | Lispranc repair using suture anchor-button construct |
US8920479B2 (en) * | 2007-03-30 | 2014-12-30 | K2M, Inc. | Anterior vertebral plate with spike fixation |
US20080255620A1 (en) * | 2007-03-30 | 2008-10-16 | Strauss Kevin R | Anterior Vertebral Plate With Spike Fixation |
US8475504B2 (en) * | 2007-07-19 | 2013-07-02 | Acumed Llc | Method of bone fixation with slender spanning members disposed outside bone |
US20090069851A1 (en) * | 2007-07-19 | 2009-03-12 | Acumed Llc | Bone fixation with slender spanning members disposed outside bone |
US20110288589A1 (en) * | 2008-06-06 | 2011-11-24 | Simpirica Spine, Inc. | Methods and apparatus for locking a band |
US9333013B2 (en) | 2008-10-02 | 2016-05-10 | Stryker European Holdings I, Llc | Orthopedic implant in the form of a plate to be fixed between two bone parts |
US8556946B2 (en) | 2008-10-02 | 2013-10-15 | Memometal Technologies | Orthopedic implant in the form of a plate to be fixed between two bone parts |
US9078713B2 (en) | 2008-10-02 | 2015-07-14 | Memometal Technologies | Orthopedic implant in the form of a plate to be fixed between two bone parts |
US10349988B2 (en) | 2008-10-02 | 2019-07-16 | Stryker European Holdings I, Llc | Orthopedic implant in the form of a plate to be fixed between two bone parts |
US20110046681A1 (en) * | 2008-10-02 | 2011-02-24 | Bernard Prandi | Orthopedic implant in the form of a plate to be fixed between two bone parts |
US10993751B1 (en) | 2008-10-02 | 2021-05-04 | Stryker European Operations Holdings Llc | Orthopedic implant in the form of a plate to be fixed between two bone parts |
US11534212B2 (en) | 2008-10-02 | 2022-12-27 | Stryker European Operations Holdings Llc | Orthopedic implant in the form of a plate to be fixed between two bone parts |
US9808297B2 (en) | 2008-10-10 | 2017-11-07 | Acute Innovations Llc | Bone fixation system with opposed mounting portions |
US11911083B2 (en) | 2008-10-10 | 2024-02-27 | Acumed Llc | Bone fixation system with opposed mounting portions |
US11083504B2 (en) | 2008-10-10 | 2021-08-10 | Acumed Llc | Bone fixation system with opposed mounting portions |
US8852252B2 (en) | 2008-12-23 | 2014-10-07 | Orthofix S.R.L. | Endosseous screws and orthopaedic device to assist the rigid osteosynthesis of fractures |
US8870876B2 (en) | 2009-02-13 | 2014-10-28 | Tarsus Medical Inc. | Methods and devices for treating hallux valgus |
US20100211071A1 (en) * | 2009-02-13 | 2010-08-19 | Lettmann Jason W | Methods and devices for treating hallux valgus |
US9155569B2 (en) | 2009-03-18 | 2015-10-13 | DePuy Synthes Products, Inc. | Laminoplasty methods using hinge device |
US20100241165A1 (en) * | 2009-03-18 | 2010-09-23 | Depuy Spine, Inc. | Laminoplasty methods using hinge device |
US8435265B2 (en) * | 2009-03-18 | 2013-05-07 | Depuy Spine, Inc. | Laminoplasty methods using hinge device |
US10368926B2 (en) | 2009-07-09 | 2019-08-06 | Orthohelix Surgical Designs, Inc. | Osteotomy plate, plate driver and method for their use |
US11337737B2 (en) | 2009-07-09 | 2022-05-24 | Orthohelix Surgical Designs, Inc. | Osteotomy plate, plate driver and method for their use |
US9572607B2 (en) | 2009-07-09 | 2017-02-21 | Orthohelix Surgical Designs, Inc. | Osteotomy plate, plate driver and method for their use |
US8986353B2 (en) | 2009-07-09 | 2015-03-24 | Orthohelix Surgical Designs, Inc. | Osteotomy plate, plate driver and method for their use |
US9888949B2 (en) | 2009-07-09 | 2018-02-13 | Orthohelix Surgical Designs, Inc. | Osteotomy plate, plate driver and method for their use |
US20110009866A1 (en) * | 2009-07-09 | 2011-01-13 | Orthohelix Surgical Designs, Inc. | Osteotomy plate, plate driver and method for their use |
US11864803B2 (en) | 2009-07-09 | 2024-01-09 | Orthohelix Surgical Designs, Inc. | Osteotomy plate, plate driver and method for their use |
US20120029517A1 (en) * | 2009-08-10 | 2012-02-02 | Virak Tan | Orthopedic external fixator and method of use |
US8277449B2 (en) * | 2009-08-10 | 2012-10-02 | Imds Corporation | Orthopedic external fixator and method of use |
US20110034924A1 (en) * | 2009-08-10 | 2011-02-10 | Virak Tan | Orthopedic external fixator and method of use |
US9066757B2 (en) * | 2009-08-10 | 2015-06-30 | Virak Orthopedic Research Llc | Orthopedic external fixator and method of use |
EP2464297A4 (en) * | 2009-08-10 | 2015-01-07 | Virak Orthopedic Res Llc | Orthopedic external fixator and method of use |
US20120226277A1 (en) * | 2009-08-10 | 2012-09-06 | Virak Orthopedic Research Llc | Orthopedic external fixator and method of use |
US8282636B2 (en) | 2009-08-10 | 2012-10-09 | Imds Corporation | Orthopedic external fixator and method of use |
EP2464297A1 (en) * | 2009-08-10 | 2012-06-20 | Virak Orthopedic Research LLC | Orthopedic external fixator and method of use |
US8795286B2 (en) | 2009-09-25 | 2014-08-05 | Tarsus Medical Inc. | Methods and devices for treating a structural bone and joint deformity |
US8277459B2 (en) | 2009-09-25 | 2012-10-02 | Tarsus Medical Inc. | Methods and devices for treating a structural bone and joint deformity |
US20110077656A1 (en) * | 2009-09-25 | 2011-03-31 | Sand Paul M | Methods and devices for treating a structural bone and joint deformity |
US9924986B2 (en) | 2009-12-18 | 2018-03-27 | Charles River Engineering Solutions And Technologies, Llc | Articulating tool and methods of using |
US11033306B2 (en) | 2009-12-18 | 2021-06-15 | Charles River Engineering Solutions And Technologies, Llc | Articulating tool and methods of using |
US8652141B2 (en) | 2010-01-21 | 2014-02-18 | Tarsus Medical Inc. | Methods and devices for treating hallux valgus |
US20110218580A1 (en) * | 2010-03-08 | 2011-09-08 | Stryker Trauma Sa | Bone fixation system with curved profile threads |
US9339315B2 (en) | 2010-03-08 | 2016-05-17 | Stryker European Holdings I, Llc | Bone fixation system with curved profile threads |
US20130018425A1 (en) * | 2010-03-26 | 2013-01-17 | The General Hospital Corporation | System and methods for in vivo adjustable bone plate |
US8945191B2 (en) | 2010-05-19 | 2015-02-03 | K2M, Inc. | Minimal profile anterior bracket for spinal fixation |
US8647369B2 (en) | 2010-05-19 | 2014-02-11 | Josef E. Gorek | Minimal profile anterior bracket for spinal fixation |
US8696719B2 (en) | 2010-06-03 | 2014-04-15 | Tarsus Medical Inc. | Methods and devices for treating hallux valgus |
US9763713B2 (en) | 2010-06-23 | 2017-09-19 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
US9788873B2 (en) | 2010-06-23 | 2017-10-17 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
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US11406433B2 (en) | 2010-06-23 | 2022-08-09 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
US10716605B2 (en) | 2010-06-23 | 2020-07-21 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
US10507049B2 (en) | 2010-06-23 | 2019-12-17 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
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US8790379B2 (en) | 2010-06-23 | 2014-07-29 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
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US9510879B2 (en) | 2010-06-23 | 2016-12-06 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
US8992583B2 (en) | 2010-06-23 | 2015-03-31 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
US8753380B2 (en) | 2010-08-02 | 2014-06-17 | Tongji University | Separable pedicle screw |
US9358055B2 (en) | 2010-08-02 | 2016-06-07 | Tongji University | Separable pedicle screw |
US9138219B2 (en) | 2010-12-29 | 2015-09-22 | Tarsus Medical Inc. | Methods and devices for treating a syndesmosis injury |
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US9480513B2 (en) | 2011-03-02 | 2016-11-01 | Hipp Medical Ag | Clamping element for setting a bone fracture as well as modular fixation device comprising same and method for producing same |
US20130012949A1 (en) * | 2011-07-08 | 2013-01-10 | Mtp Solutions, Llc | Osteotomy guide and method |
US9907558B2 (en) * | 2011-07-08 | 2018-03-06 | Smith & Nephew, Inc. | Osteotomy guide and method |
US10736641B2 (en) | 2011-07-08 | 2020-08-11 | Smith & Nephew, Inc. | Osteotomy guide and method |
US9743926B2 (en) | 2011-07-27 | 2017-08-29 | William Casey Fox | Bone staple, instrument and method of use and manufacturing |
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US11123117B1 (en) | 2011-11-01 | 2021-09-21 | Nuvasive, Inc. | Surgical fixation system and related methods |
US10022168B2 (en) | 2012-02-03 | 2018-07-17 | Zimmer, Inc. | Bone plate for elastic osteosynthesis |
US10070905B2 (en) | 2012-02-03 | 2018-09-11 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
US9295508B2 (en) | 2012-02-03 | 2016-03-29 | Zimmer, Inc. | Bone plate for elastic osteosynthesis |
US9700361B2 (en) | 2012-02-03 | 2017-07-11 | Zimmer, Inc. | Bone plate for elastic osteosynthesis |
WO2013185863A1 (en) * | 2012-06-13 | 2013-12-19 | Hipp Medical Ag | Tensioning element for fixing the fracture ends of the bones in a bone fracture |
US20140180342A1 (en) * | 2012-08-30 | 2014-06-26 | Wright Medical Technology, Inc. | Implant for osteotomy, tool for inserting the implant, and method of inserting the implant using the tool |
US9517097B2 (en) * | 2013-04-17 | 2016-12-13 | Stc.Unm | Low-profile, high tension mesh plate for subcutaneous fracture fixation |
US20140316472A1 (en) * | 2013-04-17 | 2014-10-23 | Leroy Rise | Low-Profile, High Tension Mesh Plate for Subcutaneous Fracture Fixation |
US10299842B2 (en) | 2013-12-20 | 2019-05-28 | Crossroads Extremity Systems, Llc | Bone plates with dynamic elements |
US11317951B2 (en) | 2013-12-20 | 2022-05-03 | Crossroads Extremity Systems, Llc | Bone plates with dynamic elements |
US11871899B2 (en) | 2013-12-20 | 2024-01-16 | Crossroads Extremity Systems, Llc | Bone plates with dynamic elements |
US11109902B2 (en) | 2013-12-20 | 2021-09-07 | Crossroads Extremity Systems, Llc | Bone plates with dynamic elements |
US20170196604A1 (en) * | 2014-07-10 | 2017-07-13 | Crossroads Extremity Systems, Llc | Bone implant and means of insertion |
US10492841B2 (en) * | 2014-07-10 | 2019-12-03 | Crossroads Extremity Systems, Llc | Bone implant and means of insertion |
US11202626B2 (en) | 2014-07-10 | 2021-12-21 | Crossroads Extremity Systems, Llc | Bone implant with means for multi directional force and means of insertion |
US20170202552A1 (en) * | 2014-07-10 | 2017-07-20 | Crossroads Extremity Systems, Llc | Bone implant with anti-rotation |
US11284887B2 (en) | 2014-07-10 | 2022-03-29 | Crossroads Extremity Systems, Llc | Bone implant with means for multi directional force and means of insertion |
JP2017529886A (en) * | 2014-07-10 | 2017-10-12 | クロスローズ エクストリミティ システムズ リミテッド ライアビリティ カンパニー | Bone implant and means of insertion |
WO2017163080A1 (en) * | 2016-03-24 | 2017-09-28 | Apio Implants Limited | Bone ties and staples for use in orthopaedic surgery |
US20180263673A1 (en) * | 2016-11-22 | 2018-09-20 | Catherine A. Mazzola | Flexible Spine Plate |
US10945725B2 (en) | 2017-02-06 | 2021-03-16 | Crossroads Extremity Systems, Llc | Implant inserter |
US11864753B2 (en) | 2017-02-06 | 2024-01-09 | Crossroads Extremity Systems, Llc | Implant inserter |
US11179149B2 (en) | 2017-02-07 | 2021-11-23 | Crossroads Extremity Systems, Llc | Counter-torque implant |
US11324538B2 (en) | 2019-12-04 | 2022-05-10 | Biomet Manufacturing, Llc | Active bone plate |
USD961081S1 (en) | 2020-11-18 | 2022-08-16 | Crossroads Extremity Systems, Llc | Orthopedic implant |
US20230126301A1 (en) * | 2021-01-04 | 2023-04-27 | Brent Schultz | Tensegrity external fixation system to distract bones |
US11849974B2 (en) * | 2021-01-04 | 2023-12-26 | Brent Schultz | Tensegrity external fixation system to distract bones |
US20220378478A1 (en) * | 2021-05-28 | 2022-12-01 | William Casey Fox | Extracorporeal bone compressing link and apparatus and method using same |
US11944352B2 (en) * | 2021-05-28 | 2024-04-02 | William Casey Fox | Extracorporeal bone compressing link and apparatus and method using same |
Also Published As
Publication number | Publication date |
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WO2006031692A2 (en) | 2006-03-23 |
US20100036430A1 (en) | 2010-02-11 |
US8221478B2 (en) | 2012-07-17 |
US20150012004A1 (en) | 2015-01-08 |
US20140316470A1 (en) | 2014-10-23 |
US20060081553A1 (en) | 2006-04-20 |
WO2006031692A3 (en) | 2006-06-29 |
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