US3710789A - Method of repairing bone fractures with expanded metal - Google Patents

Method of repairing bone fractures with expanded metal Download PDF

Info

Publication number
US3710789A
US3710789A US00095240A US3710789DA US3710789A US 3710789 A US3710789 A US 3710789A US 00095240 A US00095240 A US 00095240A US 3710789D A US3710789D A US 3710789DA US 3710789 A US3710789 A US 3710789A
Authority
US
United States
Prior art keywords
bone
fracture
cylinder
fixation device
fractured
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
US00095240A
Inventor
R Ersek
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
University of Minnesota
Original Assignee
University of Minnesota
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by University of Minnesota filed Critical University of Minnesota
Application granted granted Critical
Publication of US3710789A publication Critical patent/US3710789A/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8085Cortical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2/2846Support means for bone substitute or for bone graft implants, e.g. membranes or plates for covering bone defects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30907Nets or sleeves applied to surface of prostheses or in cement
    • A61F2002/30909Nets
    • A61F2002/30912Nets made of expanded metal, e.g. diamond mesh or metal nets having lozenge-shaped apertures
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00Surgery
    • Y10S606/907Composed of particular material or coated

Definitions

  • ABSTRACT A method of repairing fractures of the bone utilizing expanded metal or similar openwork metal sheeting as a fracture fixation device. Where possible the sheeting is wrapped around the bone, extending on opposite sides of the fracture site, and fastened. For other fractures a strip of the sheet material is secured to the bone on opposite sides of the fracture site or inserted within the medullary cavity. The fixation device holds the bone immobilized while permitting knitting and, at the same time, the surrounding tissue grows into and through the many fenestrations of the metal sheeting to permanently fix the device to the fractured bone.
  • This invention relates to a new system for the repair of fractures of the bone utilizing expanded metal or similar openwork metal sheeting as a fracture fixation device.
  • Expanded metal has been used successfully according to the teachings of my copending application Ser. No. 35,815 as an implant device into the aorta of several animals including dogs, calves and pigs. In that use total success with the implantation of the expanded metal has been achieved. That is to say, there is no rejection phenomenon, there is no foreign body reaction and there is no measurable corrosion of the expanded metal, thus implying that it is biologically accepted.
  • immobilization has been achieved by internal fixation wherein metal plates have been used to secure the two or more fractured ends to each other with long bone screws passing through two surfaces of the bone and thus securing the unstable ends.
  • Internal fixation has also been employed in the form of nails, wires, pins and intramedullary rods.
  • a metal piece is passed through the soft center of the bone to maintain longitudinal alignment and some rotational stability.
  • these intramedullary rods in place have been secured with bone plates that are applied to the outside of the bone and sometimes attached by screws and bolts to the inside of the bone.
  • Screws have been used to fix these steps of the similar bone to each other.
  • This invention relates to fracture fixation means and more specifically to expanded metal as a means for the fixation of fractures.
  • the expanded metal is wrapped around the bone and small truss head screws are placed through the lapped seam and into one cortex of bone, in this way giving longitudinal, rotational and length stability.
  • the unstable members are encased within the cylinder of expanded metal and the screws secured to the more stable end members.
  • FIG. 1 is a fragmentary perspective view of a cylinder of expanded metal
  • FIG. 2 is a fragmentary perspective view of one edge of the sheet material forming the cylinder, showing a preferred form of structure
  • FIG. 3 is a schematic perspective view of a fractured bone repaired with an expanded metal cylinder and affixed with screws;
  • FIG. 4 is a schematic perspective view of a fractured rib having been repaired with expanded .metal and small screws;
  • FIG. 5 is a schematic elevation, partly in section, of a fractured bone repaired with an expanded metal cylinder inserted into the medullary cavity;
  • FIG. 6 is a schematic representation of a portion of the perimeter of the devices of .FIGS. 1 and 3 shown in transverse section.
  • FIG. 1 there is shown a portion of a sheet of expanded metal 10 formed generally into the shape of a cylinder.
  • the longitudinal edges '11 and 12 are provided with a hem by folding the sheet material over and crimping flat.
  • the end edges 13 are desirably also provided with a hem in the same. manner, Preferably, as shown in FIG. 2, a double hem is produced at leading edge 12A so that it may pass easily over the other portions of mesh and will tend to lock it in place.
  • FIG. 3 there is shown schematically a repair in which the proximal end 14 of fractured bone fragment and the distal end 15 of the bone are joined together by, the circumferentially applied cylinder of overlapped expanded metal 10, the cylinder of expanded metal having been secured to these bone fragments, as by the previous drilling of holes and the installation of truss head screws 16.
  • the expanded metal sleeve can be secured by wire or metal straps or bands passed around the sleeve.
  • the fracture site 17 is completely encased in the expanded metal and will get its blood supply from its uninterrupted medullary blood supply since no long screws protrude through the cortex of the bone, and through the myriad of tiny windows in the expanded metal.
  • FIG. 4 The repair of a fractured rib is shown in FIG. 4.
  • the proximal segment 18 and distal segment 19 of rib are here joined at the fracture site 20 by a rectangular sec tion of expanded metal 21 that has secured the two loose ends and is held by truss head screws 22.
  • FIG. 5 there is illustrated the use of a cylinder of expanded metal as an internal fracture fixation device.
  • the proximal segment 23 and distal segment 24 of the bone are joined at the fracture site 25 by a cylinder 26 of expanded metal positioned within the medullary cavity 27 and secured by truss head screws 28.
  • the fixation device may be forced through the soft spongy cellular material within the bone cavity, or, if necessary, a rod or similar tool may be used to initiate a passage for insertion of the expanded metal cylinder.
  • the resiliency of the rolled cylinder as it tends to unwind urges the fixation device into contact with the cavity wall.
  • both internal and external fixation devices may be used, particularly in the case of fractures where the multiple bone fragments are present. These may be packed around an internal cylinder as a core and enveloped by an outer cylinder holding the chips and fragments in place.
  • the openwork fixation device whether in the form of a flat strip of shaped sheet or a sleeve is formed from so-called expanded metal" sheeting which is produced by forming a series of staggered parallel slits in an impervious metal sheet and then stretching the sheet in a direction perpendicular to the slits to open the slits into apertures and expand the metal sheet in that direction while contracting it slightly in the opposite direction.
  • the stretching operation by which the metal sheet is expanded imparts a twist or bend to the undulating flat ribbon-like portions of the metal sheet separating the diamond-shaped apertures which are generally uniformly sized and distributed. This twisting or bending of the metal members between adjacent apertures imparts an angle or direction to the apertures themselves and to the ribbonlike members.
  • the expanded metal sheeting is desirably not flattened prior to forming into a fixation device of appropriate shape.
  • the result as seen schematically in FIG. 6, is that the ribbon-like portions of the sleeve extend angularly relative to the perimeter of the sleeve providing multitude of narrow projecting edges which embed themselves into the tissue wall. The edges may be cuffed if desired or simply smoothed to facilitate entry.
  • the fixation devices are formed to be a size appropriate for the repair being made.
  • the strands and apertures are sized proportionately. It has been found 7 convenient to hem the edges with a few millimeter bend of the expanded metal on all exposed edges. This enables the expanded metal to be passed around the bone and over themuscle and fascia layers. Desirably the surface is sandblasted to provide maximum surface area and mechanical roughness to enable the surrounding biological tissues to adhere to it. Because of the twisted relation of the ribbon-like portions of the sleeve, protrusion, of the surrounding tissue is facilitated.
  • the fixation device is made of deformable material such that it retainsits expanded dimensions. It is formed from a non-toxic material compatible with blood and other body fluids, such as stainless steel. Its walls desirably have a large percentage of open area so as to permit proliferation of the tissues through the openings and over the intervening strand-like or ribbon-like members.
  • the stainless steel expanded metal has great strength and yet is easily worked. Sheet material with multiple fenestrations produced by other means may' be used, for example perforated sheet material in which many closely spaced openings are produced by drilling or stamping.
  • Expanded metal mesh such as is herein described is especially useful in the repair of cranial and maxillary defects where molding must take place at the operating site by the surgeon.
  • This material is easily stretched and bent to form any three-dimensional shape and easily attached to the surrounding bone by fine screws of the same metal.
  • the great surface area of this substance and the many windows allow for total tissue ingrowth so that it acts in a manner similar to the reinforcing rods in reinforced concrete and it is anticipated that this stainless steel substance can remain within the body permanently without adverse effect.
  • the use of expanded metal provides a simple unobtrusive means for the fixation of multiple fractures of ribs, where microscrews are used to fasten a small section of expanded metal right over the fractured site and in this way gaining stability.
  • Expanded metal has been shown to be useful at the University of Minnesota Hospitals laboratory where 304 stainless steel expanded metal as is herein described has been implanted in canine, porcine and bovine experimental animals. It has been found that the material is well accepted for long periods of implantation with no appreciable change in geometry, with no foreign body reaction and with no rejection and with minimal infection.
  • a method of rapidly and positively repairing a fractured bone in a living body which comprises:
  • a thin expanded metal openwork member of strong easily deformable material capable of being shaped into conformity with the surfaces of the fractured bone, and formed from inert non-toxic material compatible with body fluids and tissues,
  • said member including a plurality of longitudinally extending ribbon-like undulating portions interconnected to define a plurality of staggered closely spaced uniformly sized and distributed apertures, the ribbon-like portions being disposed to extend angularly with respect to the bone surfaces, thereby being adapted for mechanical attachment to the fractured bone and for attachment to the surrounding tissue in a living host body, 1
  • fixation device is formed into a cylinder surrounding the bone and spanning the fracture site.
  • a method according to claim 2 further characterized in that said fracture is a multiple fracture, the unstable bone fragments are encased within the cylinder of expanded metal and the cylinder is secured to the stable end bone members on opposite sides of the fracture site.
  • fixation device is formed into a rolled resilient cylinder, said cylinder is inserted in the medullary cavities of the fractured bone ends and permitted to unwind into contact with the cavity walls, and secured by fastening means extending into the cylinder from the external bone surface.
  • a method according to claim 1 further characterized in that:
  • said fracture is a multiple fragmented fracture
  • a first fixation device is formed into a rolled resilient cylinder, inserted into the medullary cavities of the stable end bone members and permitted to unwind into contact with the cavity walls as a core,
  • a second fixation device is formed into an outer cylinder enveloping the bone fragments and core .cylinder.
  • a method according to claim 1 further characterized in that said openwork member is generally rectangular, and at least one of the edges of said member is hemmed by being folded back upon itself prior to being shaped into conformity with the bone surfaces.
  • a device according to claim 6 further characterized in that all of the edges of the member are hemmed.
  • a method according to claim 1 further characterized in that the fracture is a simple fracture and the fixation device is a rectangular strip extending longitudinally along the fractured bone.

Abstract

A method of repairing fractures of the bone utilizing expanded metal or similar openwork metal sheeting as a fracture fixation device. Where possible the sheeting is wrapped around the bone, extending on opposite sides of the fracture site, and fastened. For other fractures a strip of the sheet material is secured to the bone on opposite sides of the fracture site or inserted within the medullary cavity. The fixation device holds the bone immobilized while permitting knitting and, at the same time, the surrounding tissue grows into and through the many fenestrations of the metal sheeting to permanently fix the device to the fractured bone.

Description

1 1 Jan. 16,1973
[ METHOD OF REPAIRING BONE FRACTURES WITH EXPANDED METAL [75] Inventor: Robert A. Ersek, Saint Louis Park,
Minn.
[73] Assignee: The Regents of the University of Minnesota, Minneapolis, Minn.
[22} Filed: Dec. 4, 1970 [21] Appl. No.: 95,240
Related US. Application Data [63] Continuation-impart of Ser. No. 35,815, May 8,
1970, Pat. No. 3,657,744.
52 us. 01. ..128/92 BC, 128/92 D, 128/92 G 51 Inc. or. ..A6lf 5/04 [58] Field of Search..128/92 R, 92 BA, 92' BC, 92 D,
128 92 G, 89 R, 334 R 745,872 5/1944 Germany ..l28/92 BC OTHER PUBLICATIONS Internal Fixation of Fractures by E. B. Mumford, Surgery, Gynecology and Obstetrics, 1934, pps. 194-204.
Preliminary Report on a Device for lntramedullary Fracture Splinting by E. 0. Kane, The International Journal of Surgery, Vol. XXIX, No. 2, Feb. 1916, pages 33-35.
Primary Examiner-Richard A. Gaudet Assistant Examiner-Ronald L. Frinks Attorney-Burd, Braddock & Bartz [5 7] ABSTRACT A method of repairing fractures of the bone utilizing expanded metal or similar openwork metal sheeting as a fracture fixation device. Where possible the sheeting is wrapped around the bone, extending on opposite sides of the fracture site, and fastened. For other fractures a strip of the sheet material is secured to the bone on opposite sides of the fracture site or inserted within the medullary cavity. The fixation device holds the bone immobilized while permitting knitting and, at the same time, the surrounding tissue grows into and through the many fenestrations of the metal sheeting to permanently fix the device to the fractured bone.
PATENTEUJAN 16 I973 INVENTOR. R OBERT A. ERS EK ATTORNEYS METHOD OF REPAIRING BONE FRACTURES WITH EXPANDED METAL This application is a continuation-in-part of my copending application Ser. No. 35,815, filed May 8, 1970, entitled Method For FIxing Prosthetic Implants In A Living Body, now U.S. Pat. No. 3,657,744.
This invention relates to a new system for the repair of fractures of the bone utilizing expanded metal or similar openwork metal sheeting as a fracture fixation device.
Expanded metal has been used successfully according to the teachings of my copending application Ser. No. 35,815 as an implant device into the aorta of several animals including dogs, calves and pigs. In that use total success with the implantation of the expanded metal has been achieved. That is to say, there is no rejection phenomenon, there is no foreign body reaction and there is no measurable corrosion of the expanded metal, thus implying that it is biologically accepted.
In the past fractures of bones in the human or lower animals have been repaired by strict immobilization of the opposing fracture surface. This immobilization has been achieved in two principal ways. Firstly, by external fixation with splints, baskets, plaster casts, and other similar means to maintain alignment and immobilization. This has worked well for simple fractures in which the bone is not completely severed. It has worked less well, but satisfactorily, for those simple fractures where the bone is completely severed. It has worked poorly in those cases where there are more than two bone fragments, several of which may be unstable.
Secondly, immobilization has been achieved by internal fixation wherein metal plates have been used to secure the two or more fractured ends to each other with long bone screws passing through two surfaces of the bone and thus securing the unstable ends. Internal fixation has also been employed in the form of nails, wires, pins and intramedullary rods. In this application a metal piece is passed through the soft center of the bone to maintain longitudinal alignment and some rotational stability. Often these intramedullary rods in place have been secured with bone plates that are applied to the outside of the bone and sometimes attached by screws and bolts to the inside of the bone.
In the prior art some attempts at transplantation of bone have been made wherein a step is cut in'each end of the opposing bone surfaces and a transplanted'piece of bone from a cadaver donor or from another species is then cut to size to fit in the two corresponding steps.
Screws have been used to fix these steps of the similar bone to each other.
Defects in the cranium and maxillae and mandible have been repaired by solid plates of stainless steel, silver and other metals. Wire and silicone rubber have also been used to make up such contour defects.
In the case of multiple fractured ribs, where a loose segment of the thoracic cage existed from several ribs being broken in more than one place, a condition known as flail chest, the fixation of the flailing portion of the chest has been achieved by securing towel clips to an overhanging orthopedic frame and partially hanging the patient by his chest. In this way the loose segment of the thorax can be stabilized so that the patient is able to breathe adequately.
In the prior art, bone screws and intramedullary pins have served well in many cases. However, long rangev results are less gratifying and removal of bone plates and screws and pins is often recommended because the passage of time often allows these devices to minutely work loose. In cases where multiple fragments of bone have resulted from gunshot wounds, or multiple breaks, there has been no convenient way to stabilize many small fragments of bone. In the prior art there is no totally satisfactory method of bridging a gap where a segment of a few inches of bone has been destroyed, to allow the packing of autogenous bone chips to grow long enough to form new bone and bridge the gap.
The use of solid plates for cranium wounds prevents the later use of diagnostic X-rays in the area for a tumor or the like. The use of large bone plates to repair smaller bones has often been a cumbersome procedure and erosion of the bone plate through the thinner overlying muscles and skin has taken place. Attempts to repair ribs in flail chest with large bone plates would result in erosion of the plates and screws through the thin overlying skin and in their present configuration most of the prior art screws would pierce through the rib and possibly pierce the lung.
This invention relates to fracture fixation means and more specifically to expanded metal as a means for the fixation of fractures. In the case where a simple fracture exists with only one crack or break through the bone, the expanded metal is wrapped around the bone and small truss head screws are placed through the lapped seam and into one cortex of bone, in this way giving longitudinal, rotational and length stability. In the application where there are two or more bone fragments, the unstable members are encased within the cylinder of expanded metal and the screws secured to the more stable end members.
The invention is illustrated in the accompanying drawings in which:
FIG. 1 is a fragmentary perspective view of a cylinder of expanded metal;
FIG. 2 is a fragmentary perspective view of one edge of the sheet material forming the cylinder, showing a preferred form of structure;
FIG. 3 is a schematic perspective view of a fractured bone repaired with an expanded metal cylinder and affixed with screws;
FIG. 4 is a schematic perspective view of a fractured rib having been repaired with expanded .metal and small screws;
FIG. 5 is a schematic elevation, partly in section, of a fractured bone repaired with an expanded metal cylinder inserted into the medullary cavity; and
FIG. 6 is a schematic representation of a portion of the perimeter of the devices of .FIGS. 1 and 3 shown in transverse section.
Referring to FIG. 1, there is shown a portion of a sheet of expanded metal 10 formed generally into the shape of a cylinder. The longitudinal edges '11 and 12 are provided with a hem by folding the sheet material over and crimping flat. The end edges 13 are desirably also provided with a hem in the same. manner, Preferably, as shown in FIG. 2, a double hem is produced at leading edge 12A so that it may pass easily over the other portions of mesh and will tend to lock it in place.
In FIG. 3 there is shown schematically a repair in which the proximal end 14 of fractured bone fragment and the distal end 15 of the bone are joined together by, the circumferentially applied cylinder of overlapped expanded metal 10, the cylinder of expanded metal having been secured to these bone fragments, as by the previous drilling of holes and the installation of truss head screws 16. Alternatively, the expanded metal sleeve can be secured by wire or metal straps or bands passed around the sleeve. The fracture site 17 is completely encased in the expanded metal and will get its blood supply from its uninterrupted medullary blood supply since no long screws protrude through the cortex of the bone, and through the myriad of tiny windows in the expanded metal.
The repair of a fractured rib is shown in FIG. 4. The proximal segment 18 and distal segment 19 of rib are here joined at the fracture site 20 by a rectangular sec tion of expanded metal 21 that has secured the two loose ends and is held by truss head screws 22.
In FIG. 5 there is illustrated the use of a cylinder of expanded metal as an internal fracture fixation device. The proximal segment 23 and distal segment 24 of the bone are joined at the fracture site 25 by a cylinder 26 of expanded metal positioned within the medullary cavity 27 and secured by truss head screws 28. The fixation device may be forced through the soft spongy cellular material within the bone cavity, or, if necessary, a rod or similar tool may be used to initiate a passage for insertion of the expanded metal cylinder. The resiliency of the rolled cylinder as it tends to unwind urges the fixation device into contact with the cavity wall. If desired, both internal and external fixation devices may be used, particularly in the case of fractures where the multiple bone fragments are present. These may be packed around an internal cylinder as a core and enveloped by an outer cylinder holding the chips and fragments in place.
Preferably the openwork fixation device, whether in the form of a flat strip of shaped sheet or a sleeve is formed from so-called expanded metal" sheeting which is produced by forming a series of staggered parallel slits in an impervious metal sheet and then stretching the sheet in a direction perpendicular to the slits to open the slits into apertures and expand the metal sheet in that direction while contracting it slightly in the opposite direction. The stretching operation by which the metal sheet is expanded imparts a twist or bend to the undulating flat ribbon-like portions of the metal sheet separating the diamond-shaped apertures which are generally uniformly sized and distributed. This twisting or bending of the metal members between adjacent apertures imparts an angle or direction to the apertures themselves and to the ribbonlike members.
The expanded metal sheeting is desirably not flattened prior to forming into a fixation device of appropriate shape. The result, as seen schematically in FIG. 6, is that the ribbon-like portions of the sleeve extend angularly relative to the perimeter of the sleeve providing multitude of narrow projecting edges which embed themselves into the tissue wall. The edges may be cuffed if desired or simply smoothed to facilitate entry. The fixation devices are formed to be a size appropriate for the repair being made. The strands and apertures are sized proportionately. It has been found 7 convenient to hem the edges with a few millimeter bend of the expanded metal on all exposed edges. This enables the expanded metal to be passed around the bone and over themuscle and fascia layers. Desirably the surface is sandblasted to provide maximum surface area and mechanical roughness to enable the surrounding biological tissues to adhere to it. Because of the twisted relation of the ribbon-like portions of the sleeve, protrusion, of the surrounding tissue is facilitated.
The fixation device is made of deformable material such that it retainsits expanded dimensions. It is formed from a non-toxic material compatible with blood and other body fluids, such as stainless steel. Its walls desirably have a large percentage of open area so as to permit proliferation of the tissues through the openings and over the intervening strand-like or ribbon-like members. The stainless steel expanded metal has great strength and yet is easily worked. Sheet material with multiple fenestrations produced by other means may' be used, for example perforated sheet material in which many closely spaced openings are produced by drilling or stamping.
Expanded metal mesh such as is herein described is especially useful in the repair of cranial and maxillary defects where molding must take place at the operating site by the surgeon. This material is easily stretched and bent to form any three-dimensional shape and easily attached to the surrounding bone by fine screws of the same metal. The great surface area of this substance and the many windows allow for total tissue ingrowth so that it acts in a manner similar to the reinforcing rods in reinforced concrete and it is anticipated that this stainless steel substance can remain within the body permanently without adverse effect. The use of expanded metal provides a simple unobtrusive means for the fixation of multiple fractures of ribs, where microscrews are used to fasten a small section of expanded metal right over the fractured site and in this way gaining stability.
Expanded metal has been shown to be useful at the University of Minnesota Hospitals laboratory where 304 stainless steel expanded metal as is herein described has been implanted in canine, porcine and bovine experimental animals. It has been found that the material is well accepted for long periods of implantation with no appreciable change in geometry, with no foreign body reaction and with no rejection and with minimal infection.
A series of experiments has been performed with l0 dogswherein their radius was sawed through at approximately its midpoint and the surrounding muscle and subcutaneous tissue was separated from the bone. A piece of expanded metal was then wrapped around the bone at the site of the fracture for a distance of approximately 1 inch on each side of the fracture and overlapping about one-half inch. The overlapping ends were then secured with small truss head screws. Of the 10 dogs, one died of infection, one died of anesthesia overdose 22 days after the operation, and the other eight are alive and well and living in Minneapolis. An autopsy was done on the dog that died of anesthesia overdose and it was found that tissue had grown in all the many little windows and that the bone was very well fixed. Movies were made of this dog running across the lawn at the end of ll days. The eight dogs which are alive several months after the operation are being studied for long term effects. All dogs performed some weight bearing on their broken leg within a week after the operation.
It is apparent that many modifications and variations of this invention as hereinbefore set forth may be made without departing from the spirit and scope thereof. The specific embodiments described are given by way of example only and the invention is limited only by the terms of the appended claims.
The embodiments of the invention in which an exclusive property or privilege is claimed are defined as followsi 1. A method of rapidly and positively repairing a fractured bone in a living body which comprises:
A. separating the surrounding muscle and subcutaneous tissue from the fractured bone on opposite sides of the fracture site and bringing the ends of the fractured bones together into normal relation,
B. shaping a fixation device into conformity with the bone surfaces to stabilize the broken segments of the fractured bone, said device comprising:
1. a thin expanded metal openwork member of strong easily deformable material capable of being shaped into conformity with the surfaces of the fractured bone, and formed from inert non-toxic material compatible with body fluids and tissues,
2. said member including a plurality of longitudinally extending ribbon-like undulating portions interconnected to define a plurality of staggered closely spaced uniformly sized and distributed apertures, the ribbon-like portions being disposed to extend angularly with respect to the bone surfaces, thereby being adapted for mechanical attachment to the fractured bone and for attachment to the surrounding tissue in a living host body, 1
C. positioning the device against the exposed bone surfaces on opposite sides of the fracture site,
D. bringing the ends of the fractured bones together into normal relation, and
Efwhile the ends of the bone are held in fixed position, securing the fixation device to the bone on opposite sides of the fracture site, and then restoring the separated muscle and tissue around the fixation device.
2. A method according to claim 1 further characterized in that the fixation device is formed intoa cylinder surrounding the bone and spanning the fracture site.
3. A method according to claim 2 further characterized in that said fracture is a multiple fracture, the unstable bone fragments are encased within the cylinder of expanded metal and the cylinder is secured to the stable end bone members on opposite sides of the fracture site. 7
4. A method according to claim 1 further characterized in that the fixation device is formed into a rolled resilient cylinder, said cylinder is inserted in the medullary cavities of the fractured bone ends and permitted to unwind into contact with the cavity walls, and secured by fastening means extending into the cylinder from the external bone surface.
5. A method according to claim 1 further characterized in that:
A. said fracture is a multiple fragmented fracture,
B. a first fixation device is formed into a rolled resilient cylinder, inserted into the medullary cavities of the stable end bone members and permitted to unwind into contact with the cavity walls as a core,
C. bone fragments are packed around the first core cylinder, and
D. a second fixation device is formed into an outer cylinder enveloping the bone fragments and core .cylinder.
6. A method according to claim 1 further characterized in that said openwork member is generally rectangular, and at least one of the edges of said member is hemmed by being folded back upon itself prior to being shaped into conformity with the bone surfaces.
7. A device according to claim 6 further characterized in that all of the edges of the member are hemmed.
8. A method according to claim 1 further characterized in that the fracture is a simple fracture and the fixation device is a rectangular strip extending longitudinally along the fractured bone.
9. method according to claim 1 further characterized in that said device is secured to said bone by truss head screws.

Claims (10)

1. A method of rapidly and positively repairing a fractured bone in a living body which comprises: A. separating the surrounding muscle and subcutaneous tissue from the fractured bone on opposite sides of the fracture site and bringing the ends of the fractured bones together into normal relation, B. Shaping a fixation device into conformity with the bone surfaces to stabilize the broken segments of the fractured bone, said device comprising: 1. a thin expanded metal openwork member of strong easily deformable material capable of being shaped into conformity with the surfaces of the fractured bone, and formed from inert non-toxic material compatible with body fluids and tissues, 2. said member including a plurality of longitudinally extending ribbon-like undulating portions interconnected to define a plurality of staggered closely spaced uniformly sized and distributed apertures, the ribbon-like portions being disposed to extend angularly with respect to the bone surfaces, thereby being adapted for mechanical attachment to the fractured bone and for attachment to the surrounding tissue in a living host body, C. positioning the device against the exposed bone surfaces on opposite sides of the fracture site, D. bringing the ends of the fractured bones together into normal relation, and E. while the ends of the bone are held in fixed position, securing the fixation device to the bone on opposite sides of the fracture site, and then restoring the separated muscle and tissue around the fixation device.
2. said member including a plurality of longitudinally extending ribbon-like undulating portions interconnected to define a plurality of staggered closely spaced uniformly sized and distributed apertures, the ribbon-like portions being disposed to extend angularly with respect to the bone surfaces, thereby being adapted for mechanical attachment to the fractured bone and for attachment to the surrounding tissue in a living host body, C. positioning the device against the exposed bone surfaces on opposite sides of the fracture site, D. bringing the ends of the fractured bones together into normal relation, and E. while the ends of the bone are held in fixed position, securing the fixation device to the bone on opposite sides of the fracture site, and then restoring the separated muscle and tissue around the fixation device.
2. A method according to claim 1 further characterized in that the fixation device is formed into a cylinder surrounding the bone and spanning the fracture site.
3. A method according to claim 2 further characterized in that said fracture is a multiple fracture, the unstable bone fragments are encased within the cylinder of expanded metal and the cylinder is secured to the stable end bone members on opposite sides of the fracture site.
4. A method according to claim 1 further characterized in that the fixation device is formed into a rolled resilient cylinder, said cylinder is inserted in the medullary cavities of the fractured bone ends and permitted to unwind into contact with the cavity walls, and secured by fastening means extending into the cylinder from the external bone surface.
5. A method according to claim 1 further characterized in that: A. said fracture is a multiple fragmented fracture, B. a first fixation device is formed into a rolled resilient cylinder, inserted into the medullary cavities of the stable end bone members and permitted to unwind into contact with the cavity walls as a core, C. bone fragments are packed around the first core cylinder, and D. a second fixation device is formed into an outer cylinder enveloping the bone fragments and core cylinder.
6. A method according to claim 1 further characterized in that said openwork member is generally rectangular, and at least one of the edges of said member is hemmed by being folded back upon itself prior to being shaped into conformity with the bone surfaces.
7. A device according to claim 6 further characterized in that all of the edges of the member are hemmed.
8. A method according to claim 1 further characterized in that the fracture is a simple fracture and the fixation device is a rectangular strip extending longitudinally along the fractured bone.
9. A method according to claim 1 further characterized in that said device is secured to said bone by truss head screws.
US00095240A 1970-12-04 1970-12-04 Method of repairing bone fractures with expanded metal Expired - Lifetime US3710789A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US9524070A 1970-12-04 1970-12-04

Publications (1)

Publication Number Publication Date
US3710789A true US3710789A (en) 1973-01-16

Family

ID=22250869

Family Applications (1)

Application Number Title Priority Date Filing Date
US00095240A Expired - Lifetime US3710789A (en) 1970-12-04 1970-12-04 Method of repairing bone fractures with expanded metal

Country Status (1)

Country Link
US (1) US3710789A (en)

Cited By (123)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4313434A (en) * 1980-10-17 1982-02-02 David Segal Fracture fixation
US4655203A (en) * 1983-09-20 1987-04-07 Materials Consultants Oy Bone fracture surgical device
US4674488A (en) * 1985-03-04 1987-06-23 American Hospital Supply Corporation Method of treating bone fractures to reduce formation of fibrous adhesions
US4820305A (en) * 1986-11-03 1989-04-11 Harms Juergen Place holder, in particular for a vertebra body
EP0433852A1 (en) * 1989-12-22 1991-06-26 Leibinger GmbH Grid for osteosynthesis or for attaching of artificial members of the body
US5035714A (en) * 1989-07-18 1991-07-30 Sulzer Brothers Limited Reinforcement for a bone cement bed
US5108435A (en) * 1989-09-28 1992-04-28 Pfizer Hospital Products Group, Inc. Cast bone ingrowth surface
US5139497A (en) * 1991-11-25 1992-08-18 Timesh, Inc. Orbital repair implant
US5190545A (en) * 1991-08-27 1993-03-02 Pfizer Hospital Products Group, Inc. Cerclage wire positioning insert
US5250048A (en) * 1991-01-28 1993-10-05 Ferdinand Gundolf Stabilizing element for osteosynthesis of bone fragments, especially for the fixation of bone fractures
US5275602A (en) * 1989-12-04 1994-01-04 Gunze Limited Bone-joining articles
US5281226A (en) * 1989-03-31 1994-01-25 Davydov Anatoly B Missing portion of a tubular bone
US5286249A (en) * 1989-10-31 1994-02-15 Thibodaux Peggy L Brace for fixation of bone fractures
US5380328A (en) * 1993-08-09 1995-01-10 Timesh, Inc. Composite perforated implant structures
US5676699A (en) * 1990-09-10 1997-10-14 Laboratorium fur experimentalle Chirurgie, Forschungsinstitut Bone regeneration membrane
US5681310A (en) * 1994-07-20 1997-10-28 Yuan; Hansen A. Vertebral auxiliary fixation device having holding capability
US6113603A (en) * 1996-05-10 2000-09-05 Medoff; Robert J. Graft constraint device
US6120504A (en) * 1998-12-10 2000-09-19 Biomet Inc. Intramedullary nail having dual distal bore formation
US6261289B1 (en) 1998-10-26 2001-07-17 Mark Levy Expandable orthopedic device
US6312467B1 (en) 1995-07-18 2001-11-06 Iowa State University Research Foundation, Inc. Method of restructuring bone
US20020032444A1 (en) * 1999-12-09 2002-03-14 Mische Hans A. Methods and devices for treatment of bone fractures
US6364909B1 (en) 1995-07-18 2002-04-02 Iowa State University Research Foundation, Inc. Method of restructuring bone
US20020120270A1 (en) * 2001-02-28 2002-08-29 Hai Trieu Flexible systems for spinal stabilization and fixation
US20020123750A1 (en) * 2001-02-28 2002-09-05 Lukas Eisermann Woven orthopedic implants
US6554833B2 (en) 1998-10-26 2003-04-29 Expanding Orthopedics, Inc. Expandable orthopedic device
US6585770B1 (en) 1997-06-02 2003-07-01 Sdgi Holdings, Inc. Devices for supporting bony structures
US20030180689A1 (en) * 2000-08-16 2003-09-25 Arx Thomas Von Dental splint
US6652585B2 (en) 2001-02-28 2003-11-25 Sdgi Holdings, Inc. Flexible spine stabilization system
US20040006391A1 (en) * 1999-10-22 2004-01-08 Archus Orthopedics Inc. Facet arthroplasty devices and methods
EP1391186A1 (en) * 2002-08-21 2004-02-25 BIEDERMANN MOTECH GmbH Method for manufacturing a tubular spacer, and spacer
US20040044413A1 (en) * 2001-10-30 2004-03-04 Schulter Carl W. Biocompatible form and method of fabrication
US20040088053A1 (en) * 2002-10-30 2004-05-06 Hassan Serhan Regenerative implants for stabilizing the spine and devices for attachment of said implants
US20040210226A1 (en) * 2000-10-20 2004-10-21 Trieu Hai H. Anchoring devices and implants for intervertebral disc augmentation
US20040230201A1 (en) * 2003-05-14 2004-11-18 Archus Orthopedics Inc. Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces
US20040236328A1 (en) * 2003-05-23 2004-11-25 Paul David C. Spine stabilization system
US20050015154A1 (en) * 2003-06-25 2005-01-20 Baylor College Of Medicine Office Of Technology Administration Tissue integration design for seamless implant fixation
US20050027361A1 (en) * 1999-10-22 2005-02-03 Reiley Mark A. Facet arthroplasty devices and methods
US20050043799A1 (en) * 1999-10-22 2005-02-24 Archus Orthopedics Inc. Facet arthroplasty devices and methods
US20050070928A1 (en) * 2003-09-09 2005-03-31 Harri Heino Bioabsorbable band system
US20050085819A1 (en) * 2003-08-28 2005-04-21 Ellis Thomas J. Bone plates
US20050119748A1 (en) * 1999-10-22 2005-06-02 Reiley Mark A. Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces
US20050131406A1 (en) * 2003-12-15 2005-06-16 Archus Orthopedics, Inc. Polyaxial adjustment of facet joint prostheses
US20050143818A1 (en) * 2003-05-14 2005-06-30 Hansen Yuan Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces
US20050159749A1 (en) * 2004-01-16 2005-07-21 Expanding Orthopedics, Inc. Bone fracture treatment devices and methods of their use
US20050171547A1 (en) * 2004-01-29 2005-08-04 Aram Tony N. Surgical instrument, and related methods
US20050240266A1 (en) * 2004-04-22 2005-10-27 Kuiper Mark K Crossbar spinal prosthesis having a modular design and related implantation methods
US20050240265A1 (en) * 2004-04-22 2005-10-27 Kuiper Mark K Crossbar spinal prosthesis having a modular design and related implantation methods
US20050261770A1 (en) * 2004-04-22 2005-11-24 Kuiper Mark K Crossbar spinal prosthesis having a modular design and related implantation methods
US20050267579A1 (en) * 1999-10-22 2005-12-01 Reiley Mark A Implantable device for facet joint replacement
US20050273165A1 (en) * 2004-06-04 2005-12-08 Bryan Griffiths Soft tissue spacer
US20060041311A1 (en) * 2004-08-18 2006-02-23 Mcleer Thomas J Devices and methods for treating facet joints
US20060052785A1 (en) * 2004-08-18 2006-03-09 Augostino Teena M Adjacent level facet arthroplasty devices, spine stabilization systems, and methods
US20060079895A1 (en) * 2004-09-30 2006-04-13 Mcleer Thomas J Methods and devices for improved bonding of devices to bone
US20060085075A1 (en) * 2004-10-04 2006-04-20 Archus Orthopedics, Inc. Polymeric joint complex and methods of use
US20060100707A1 (en) * 2003-07-08 2006-05-11 David Stinson Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces
US7052498B2 (en) 1998-10-26 2006-05-30 Expanding Orthopedics, Inc. Expandable orthopedic device
US20060149375A1 (en) * 2003-05-14 2006-07-06 Yuan Hansen A Prostheses, Tools And Methods For Replacement Of Natural Facet Joints With Artificial Facet Joint Surfaces
US20060264950A1 (en) * 2005-05-18 2006-11-23 Nelson Charles L Minimally Invasive Actuable Bone Fixation Devices
US20070079517A1 (en) * 2004-04-22 2007-04-12 Augostino Teena M Facet joint prosthesis measurement and implant tools
US20070088358A1 (en) * 2005-03-22 2007-04-19 Hansen Yuan Minimally Invasive Spine Restoration Systems, Devices, Methods and Kits
US20070093833A1 (en) * 2004-05-03 2007-04-26 Kuiper Mark K Crossbar spinal prosthesis having a modular design and related implantation methods
US20070233256A1 (en) * 2006-03-15 2007-10-04 Ohrt John A Facet and disc arthroplasty system and method
US20070276374A1 (en) * 2005-03-02 2007-11-29 Richard Broman Arthroplasty revision system and method
US20080015585A1 (en) * 2005-03-22 2008-01-17 Philip Berg Minimally invasive spine restoration systems, devices, methods and kits
US7344539B2 (en) 2001-03-30 2008-03-18 Depuy Acromed, Inc. Intervertebral connection system
US20080077132A1 (en) * 2006-09-25 2008-03-27 Medoff Robert J Bone fixation device having integral fixation member
US20080082171A1 (en) * 2004-04-22 2008-04-03 Kuiper Mark K Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies
US20080103501A1 (en) * 2006-08-11 2008-05-01 Ralph Christopher R Angled Washer Polyaxial Connection for Dynamic Spine Prosthesis
US20080125805A1 (en) * 1999-12-09 2008-05-29 Mische Hans A Method and devices for the treatment of nasal sinus disorders
US20080132896A1 (en) * 2006-11-22 2008-06-05 Sonoma Orthopedic Products, Inc. Curved orthopedic tool
US20080140078A1 (en) * 2006-11-22 2008-06-12 Sonoma Orthopedic Products, Inc. Surgical tools for use in deploying bone repair devices
US20080149115A1 (en) * 2006-11-22 2008-06-26 Sonoma Orthopedic Products, Inc. Surgical station for orthopedic reconstruction surgery
US20080161805A1 (en) * 2006-11-22 2008-07-03 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US20080172095A1 (en) * 2007-01-11 2008-07-17 Salerni Anthony A Bone Loss Plate
US20080177310A1 (en) * 2000-10-20 2008-07-24 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20080255560A1 (en) * 2004-05-21 2008-10-16 Myers Surgical Solutions, Llc Fracture Fixation and Site Stabilization System
US20080287959A1 (en) * 2005-09-26 2008-11-20 Archus Orthopedics, Inc. Measurement and trialing system and methods for orthopedic device component selection
US20080292161A1 (en) * 2004-04-22 2008-11-27 Funk Michael J Implantable orthopedic device component selection instrument and methods
US20090018542A1 (en) * 2007-07-11 2009-01-15 Sonoma Orthopedic Products,Inc. Fracture fixation devices, systems and methods incorporating a membrane
US20090024147A1 (en) * 2007-07-18 2009-01-22 Ralph James D Implantable mesh for musculoskeletal trauma, orthopedic reconstruction and soft tissue repair
US20100094347A1 (en) * 2005-05-18 2010-04-15 Nelson Charles L Fracture fixation device, tools and methods
US20110218585A1 (en) * 2010-03-08 2011-09-08 Krinke Todd A Apparatus and methods for bone repair
US8066750B2 (en) 2006-10-06 2011-11-29 Warsaw Orthopedic, Inc Port structures for non-rigid bone plates
US8221461B2 (en) 2004-10-25 2012-07-17 Gmedelaware 2 Llc Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies
WO2012103164A1 (en) * 2011-01-25 2012-08-02 Synthes Usa, Llc Expandable bone fixation implant
US8287538B2 (en) 2008-01-14 2012-10-16 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US20140005732A1 (en) * 2012-07-02 2014-01-02 The Cleveland Clinic Foundation Bone fixation apparatus
US8906022B2 (en) 2010-03-08 2014-12-09 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
US8956394B1 (en) 2014-08-05 2015-02-17 Woven Orthopedic Technologies, Llc Woven retention devices, systems and methods
US8961516B2 (en) 2005-05-18 2015-02-24 Sonoma Orthopedic Products, Inc. Straight intramedullary fracture fixation devices and methods
US8961518B2 (en) 2010-01-20 2015-02-24 Conventus Orthopaedics, Inc. Apparatus and methods for bone access and cavity preparation
US9060820B2 (en) 2005-05-18 2015-06-23 Sonoma Orthopedic Products, Inc. Segmented intramedullary fracture fixation devices and methods
USD740427S1 (en) 2014-10-17 2015-10-06 Woven Orthopedic Technologies, Llc Orthopedic woven retention device
US9155574B2 (en) 2006-05-17 2015-10-13 Sonoma Orthopedic Products, Inc. Bone fixation device, tools and methods
US9283006B2 (en) 2011-09-22 2016-03-15 Mx Orthopedics, Corp. Osteosynthetic shape memory material intramedullary bone stent and method for treating a bone fracture using the same
US9585695B2 (en) 2013-03-15 2017-03-07 Woven Orthopedic Technologies, Llc Surgical screw hole liner devices and related methods
US9724138B2 (en) 2011-09-22 2017-08-08 Arthrex, Inc. Intermedullary devices for generating and applying compression within a body
US9730739B2 (en) 2010-01-15 2017-08-15 Conventus Orthopaedics, Inc. Rotary-rigid orthopaedic rod
US9770278B2 (en) 2014-01-17 2017-09-26 Arthrex, Inc. Dual tip guide wire
US9814499B2 (en) 2014-09-30 2017-11-14 Arthrex, Inc. Intramedullary fracture fixation devices and methods
US20170354503A1 (en) * 2016-06-13 2017-12-14 DePuy Synthes Products, Inc. Bone Graft Cage
US9907593B2 (en) 2014-08-05 2018-03-06 Woven Orthopedic Technologies, Llc Woven retention devices, systems and methods
US9936991B2 (en) 2015-01-30 2018-04-10 Union Surgical, Llc Bone fracture treatment apparatus and method
USD815741S1 (en) * 2015-02-11 2018-04-17 Johnson & Johnson Medical Gmbh Surgical mesh implant
US9943351B2 (en) 2014-09-16 2018-04-17 Woven Orthopedic Technologies, Llc Woven retention devices, systems, packaging, and related methods
JP2018512233A (en) * 2015-03-31 2018-05-17 デピュイ・シンセス・プロダクツ・インコーポレイテッド Bone graft cage
US9999454B2 (en) 2013-12-05 2018-06-19 A&E Advanced Closure Systems, Llc Bone plate system and method
US20180168812A1 (en) * 2015-03-31 2018-06-21 DePuy Synthes Products, Inc. Bone Graft Cage
US10022132B2 (en) 2013-12-12 2018-07-17 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US10123831B2 (en) 2015-03-03 2018-11-13 Pioneer Surgical Technology, Inc. Bone compression device and method
US20190000628A1 (en) * 2011-02-28 2019-01-03 DePuy Synthes Products, Inc. Modular tissue scaffolds
US10357367B2 (en) * 2017-09-11 2019-07-23 DePuy Synthes Products, Inc. Patient-specific mandible graft cage
US10433942B2 (en) 2014-08-27 2019-10-08 Johnson & Johnson Medical Gmbh Surgical implant
US10555758B2 (en) 2015-08-05 2020-02-11 Woven Orthopedic Technologies, Llc Tapping devices, systems and methods for use in bone tissue
US10695181B2 (en) 2016-02-16 2020-06-30 DePuy Synthes Products, Inc. Bone graft cage
US10918426B2 (en) 2017-07-04 2021-02-16 Conventus Orthopaedics, Inc. Apparatus and methods for treatment of a bone
US20210332314A1 (en) * 2020-04-23 2021-10-28 The Trustees Of Indiana University Gut bioreactor and methods for making the same
US11344346B2 (en) 2018-06-29 2022-05-31 Pioneer Surgical Technology, Inc. Bone plate system
US11395681B2 (en) 2016-12-09 2022-07-26 Woven Orthopedic Technologies, Llc Retention devices, lattices and related systems and methods
US11504240B2 (en) 2020-06-04 2022-11-22 DePuy Synthes Products, Inc. Modular bone graft cage
US11596419B2 (en) 2017-03-09 2023-03-07 Flower Orthopedics Corporation Plating depth gauge and countersink instrument
USD980427S1 (en) * 2019-08-14 2023-03-07 Transit Scientific, LLC Expandable medical device
US11877779B2 (en) 2020-03-26 2024-01-23 Xtant Medical Holdings, Inc. Bone plate system

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR590290A (en) * 1924-12-10 1925-06-13 Collin & Cie Osteosynthesis splint
DE745872C (en) * 1939-12-17 1944-05-19 Ernst Pohl Inner rail for tubular bones
US2537070A (en) * 1948-12-27 1951-01-09 Puy Mfg Company Inc De Surgical appliance and method for fixation of bone fragments
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

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR590290A (en) * 1924-12-10 1925-06-13 Collin & Cie Osteosynthesis splint
DE745872C (en) * 1939-12-17 1944-05-19 Ernst Pohl Inner rail for tubular bones
US2537070A (en) * 1948-12-27 1951-01-09 Puy Mfg Company Inc De Surgical appliance and method for fixation of bone fragments
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

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
Internal Fixation of Fractures by E. B. Mumford, Surgery, Gynecology and Obstetrics, 1934, pps. 194 204. *
Preliminary Report on a Device for Intramedullary Fracture Splinting by E. O. Kane, The International Journal of Surgery, Vol. XXIX, No. 2, Feb. 1916, pages 33 35. *

Cited By (272)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1982001311A1 (en) * 1980-10-17 1982-04-29 David Segal Fracture fixation
US4313434A (en) * 1980-10-17 1982-02-02 David Segal Fracture fixation
US4655203A (en) * 1983-09-20 1987-04-07 Materials Consultants Oy Bone fracture surgical device
US4674488A (en) * 1985-03-04 1987-06-23 American Hospital Supply Corporation Method of treating bone fractures to reduce formation of fibrous adhesions
US4820305A (en) * 1986-11-03 1989-04-11 Harms Juergen Place holder, in particular for a vertebra body
US5281226A (en) * 1989-03-31 1994-01-25 Davydov Anatoly B Missing portion of a tubular bone
US5035714A (en) * 1989-07-18 1991-07-30 Sulzer Brothers Limited Reinforcement for a bone cement bed
US5108435A (en) * 1989-09-28 1992-04-28 Pfizer Hospital Products Group, Inc. Cast bone ingrowth surface
US5286249A (en) * 1989-10-31 1994-02-15 Thibodaux Peggy L Brace for fixation of bone fractures
US5275602A (en) * 1989-12-04 1994-01-04 Gunze Limited Bone-joining articles
EP0433852A1 (en) * 1989-12-22 1991-06-26 Leibinger GmbH Grid for osteosynthesis or for attaching of artificial members of the body
US5676699A (en) * 1990-09-10 1997-10-14 Laboratorium fur experimentalle Chirurgie, Forschungsinstitut Bone regeneration membrane
US5250048A (en) * 1991-01-28 1993-10-05 Ferdinand Gundolf Stabilizing element for osteosynthesis of bone fragments, especially for the fixation of bone fractures
US5190545A (en) * 1991-08-27 1993-03-02 Pfizer Hospital Products Group, Inc. Cerclage wire positioning insert
US5139497A (en) * 1991-11-25 1992-08-18 Timesh, Inc. Orbital repair implant
US5380328A (en) * 1993-08-09 1995-01-10 Timesh, Inc. Composite perforated implant structures
US5681310A (en) * 1994-07-20 1997-10-28 Yuan; Hansen A. Vertebral auxiliary fixation device having holding capability
US6312467B1 (en) 1995-07-18 2001-11-06 Iowa State University Research Foundation, Inc. Method of restructuring bone
US6364909B1 (en) 1995-07-18 2002-04-02 Iowa State University Research Foundation, Inc. Method of restructuring bone
US6719793B2 (en) 1995-07-18 2004-04-13 Iowa State University Research Foundation, Inc. Method of restructuring bone
US6113603A (en) * 1996-05-10 2000-09-05 Medoff; Robert J. Graft constraint device
US6585770B1 (en) 1997-06-02 2003-07-01 Sdgi Holdings, Inc. Devices for supporting bony structures
US6261289B1 (en) 1998-10-26 2001-07-17 Mark Levy Expandable orthopedic device
US7052498B2 (en) 1998-10-26 2006-05-30 Expanding Orthopedics, Inc. Expandable orthopedic device
US7601152B2 (en) 1998-10-26 2009-10-13 Expanding Orthopedics, Inc. Expandable orthopedic device
US6554833B2 (en) 1998-10-26 2003-04-29 Expanding Orthopedics, Inc. Expandable orthopedic device
US7670339B2 (en) 1998-10-26 2010-03-02 Expanding Orthopedics, Inc. Expandable orthopedic device
US6120504A (en) * 1998-12-10 2000-09-19 Biomet Inc. Intramedullary nail having dual distal bore formation
US20060009847A1 (en) * 1999-10-22 2006-01-12 Reiley Mark A Facet arthroplasty devices and methods
US20080091202A1 (en) * 1999-10-22 2008-04-17 Reiley Mark A Facet Arthroplasty Devices and Methods
US20070265706A1 (en) * 1999-10-22 2007-11-15 Reiley Mark A Facet arthroplasty devices and methods
US20070282445A1 (en) * 1999-10-22 2007-12-06 Reiley Mark A Facet arthroplasty devices and methods
US20040049275A1 (en) * 1999-10-22 2004-03-11 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20040049277A1 (en) * 1999-10-22 2004-03-11 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20040049276A1 (en) * 1999-10-22 2004-03-11 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20040049278A1 (en) * 1999-10-22 2004-03-11 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20040049281A1 (en) * 1999-10-22 2004-03-11 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20040049274A1 (en) * 1999-10-22 2004-03-11 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20080015583A1 (en) * 1999-10-22 2008-01-17 Reiley Mark A Facet arthroplasty devices and methods
US20080015696A1 (en) * 1999-10-22 2008-01-17 Reiley Mark A Facet arthroplasty devices and methods
US7691145B2 (en) 1999-10-22 2010-04-06 Facet Solutions, Inc. Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces
US20080086213A1 (en) * 1999-10-22 2008-04-10 Reiley Mark A Facet arthroplasty devices and methods
US20080091210A1 (en) * 1999-10-22 2008-04-17 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US7608106B2 (en) 1999-10-22 2009-10-27 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20080091201A1 (en) * 1999-10-22 2008-04-17 Reiley Mark A Facet Arthroplasty Devices and Methods
US8066740B2 (en) 1999-10-22 2011-11-29 Gmedelaware 2 Llc Facet joint prostheses
US20060100709A1 (en) * 1999-10-22 2006-05-11 Reiley Mark A Facet arthroplasty devices and methods
US8066771B2 (en) 1999-10-22 2011-11-29 Gmedelaware 2 Llc Facet arthroplasty devices and methods
US20050027361A1 (en) * 1999-10-22 2005-02-03 Reiley Mark A. Facet arthroplasty devices and methods
US20080091268A1 (en) * 1999-10-22 2008-04-17 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20040006391A1 (en) * 1999-10-22 2004-01-08 Archus Orthopedics Inc. Facet arthroplasty devices and methods
US20050043799A1 (en) * 1999-10-22 2005-02-24 Archus Orthopedics Inc. Facet arthroplasty devices and methods
US8070811B2 (en) 1999-10-22 2011-12-06 Gmedelaware 2 Llc Facet arthroplasty devices and methods
US20090018585A1 (en) * 1999-10-22 2009-01-15 Reiley Mark A Facet arthroplasty devices and methods
US20050119748A1 (en) * 1999-10-22 2005-06-02 Reiley Mark A. Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces
US20080097613A1 (en) * 1999-10-22 2008-04-24 Reiley Mark A Prostheses, Systems and Methods for Replacement of Natural Facet Joints With Artificial Facet Joint Surfaces
US8092532B2 (en) 1999-10-22 2012-01-10 Gmedelaware 2 Llc Facet arthroplasty devices and methods
US20050137706A1 (en) * 1999-10-22 2005-06-23 Reiley Mark A. Facet arthroplasty devices and methods
US20050137705A1 (en) * 1999-10-22 2005-06-23 Reiley Mark A. Facet arthroplasty devices and methods
US20080097438A1 (en) * 1999-10-22 2008-04-24 Reiley Mark A Facet Arthroplasty Devices and Methods
US20080200953A1 (en) * 1999-10-22 2008-08-21 Reiley Mark A Facet Joint Prostheses
US20050149190A1 (en) * 1999-10-22 2005-07-07 Reiley Mark A. Facet arthroplasty devices and methods
US20080097437A1 (en) * 1999-10-22 2008-04-24 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US8163017B2 (en) 1999-10-22 2012-04-24 Gmedelaware 2 Llc Facet arthroplasty devices and methods
US20050234552A1 (en) * 1999-10-22 2005-10-20 Reiley Mark A Facet arthroplasty devices and methods
US20080097612A1 (en) * 1999-10-22 2008-04-24 Reiley Mark A Facet Arthroplasty Devices and Methods
US20080097439A1 (en) * 1999-10-22 2008-04-24 Reiley Mark A Facet Arthroplasty Devices and Methods
US20080097609A1 (en) * 1999-10-22 2008-04-24 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20050251256A1 (en) * 1999-10-22 2005-11-10 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US20070255411A1 (en) * 1999-10-22 2007-11-01 Reiley Mark A Facet arthroplasty devices and methods
US20050267579A1 (en) * 1999-10-22 2005-12-01 Reiley Mark A Implantable device for facet joint replacement
US20060009848A1 (en) * 1999-10-22 2006-01-12 Reiley Mark A Facet arthroplasty device and methods
US20050283238A1 (en) * 1999-10-22 2005-12-22 Reiley Mark A Facet arthroplasty devices and methods
US20060009849A1 (en) * 1999-10-22 2006-01-12 Reiley Mark A Facet arthroplasty devices and methods
US8007498B2 (en) * 1999-12-09 2011-08-30 Mische Hans A Methods and devices for treatment of bone fractures
US9351772B2 (en) 1999-12-09 2016-05-31 Hans A. Mische Method and devices for the treatment of nasal sinus disorders
US20080125805A1 (en) * 1999-12-09 2008-05-29 Mische Hans A Method and devices for the treatment of nasal sinus disorders
US20020032444A1 (en) * 1999-12-09 2002-03-14 Mische Hans A. Methods and devices for treatment of bone fractures
US7048542B2 (en) * 2000-08-16 2006-05-23 Medartis Ag Dental splint
US20030180689A1 (en) * 2000-08-16 2003-09-25 Arx Thomas Von Dental splint
US20040210226A1 (en) * 2000-10-20 2004-10-21 Trieu Hai H. Anchoring devices and implants for intervertebral disc augmentation
US20080177310A1 (en) * 2000-10-20 2008-07-24 Archus Orthopedics, Inc. Facet arthroplasty devices and methods
US7326249B2 (en) 2001-02-28 2008-02-05 Warsaw Orthopedic, Inc. Flexible spine stabilization systems
US20060200140A1 (en) * 2001-02-28 2006-09-07 Lange Eric C Flexible spine stabilization systems
US7041138B2 (en) 2001-02-28 2006-05-09 Sdgi Holdings, Inc. Flexible spine stabilization systems
US6852128B2 (en) 2001-02-28 2005-02-08 Sdgi Holdings, Inc. Flexible spine stabilization systems
US6827743B2 (en) 2001-02-28 2004-12-07 Sdgi Holdings, Inc. Woven orthopedic implants
US20050119749A1 (en) * 2001-02-28 2005-06-02 Lange Eric C. Flexible spine stabilization systems
US7229441B2 (en) 2001-02-28 2007-06-12 Warsaw Orthopedic, Inc. Flexible systems for spinal stabilization and fixation
US20020123750A1 (en) * 2001-02-28 2002-09-05 Lukas Eisermann Woven orthopedic implants
US20020120270A1 (en) * 2001-02-28 2002-08-29 Hai Trieu Flexible systems for spinal stabilization and fixation
US20050043733A1 (en) * 2001-02-28 2005-02-24 Lukas Eisermann Woven orthopedic implants
US20080132950A1 (en) * 2001-02-28 2008-06-05 Lange Eric C Flexible spine stabilization systems
US6652585B2 (en) 2001-02-28 2003-11-25 Sdgi Holdings, Inc. Flexible spine stabilization system
US7341601B2 (en) 2001-02-28 2008-03-11 Warsaw Orthopedic, Inc. Woven orthopedic implants
US20040078082A1 (en) * 2001-02-28 2004-04-22 Lange Eric C. Flexible spine stabilization systems
US20060009846A1 (en) * 2001-02-28 2006-01-12 Hai Trieu Flexible systems for spinal stabilization and fixation
US7344539B2 (en) 2001-03-30 2008-03-18 Depuy Acromed, Inc. Intervertebral connection system
US20080097440A1 (en) * 2001-09-25 2008-04-24 Reiley Mark A Prostheses, Systems and Methods for Replacement of Natural Facet Joints With Artificial Facet Joint Surfaces
US20080097446A1 (en) * 2001-09-25 2008-04-24 Reiley Mark A Prostheses, Systems and Methods for Replacement of Natural Facet Joints With Artificial Facet Joint Surfaces
US20040044413A1 (en) * 2001-10-30 2004-03-04 Schulter Carl W. Biocompatible form and method of fabrication
US6911046B2 (en) * 2001-10-30 2005-06-28 Cagenix, Inc. Biocompatible form and method of fabrication
US20040098128A1 (en) * 2002-08-21 2004-05-20 Lutz Biedermann Method for the manufacture of a tubular spacer and spacer
EP1391186A1 (en) * 2002-08-21 2004-02-25 BIEDERMANN MOTECH GmbH Method for manufacturing a tubular spacer, and spacer
US7131995B2 (en) 2002-08-21 2006-11-07 Biedermann Motech Gmbh Method for the manufacture of a tubular spacer and spacer
US7682392B2 (en) 2002-10-30 2010-03-23 Depuy Spine, Inc. Regenerative implants for stabilizing the spine and devices for attachment of said implants
US20040088053A1 (en) * 2002-10-30 2004-05-06 Hassan Serhan Regenerative implants for stabilizing the spine and devices for attachment of said implants
US20080275505A1 (en) * 2003-05-14 2008-11-06 Hansen Yuan Prostheses, Tools and Methods for Replacement of Natural Facet Joints With Artificial Facet Joint Surfaces
US9198766B2 (en) 2003-05-14 2015-12-01 Gmedelaware 2 Llc Prostheses, tools, and methods for replacement of natural facet joints with artificial facet joint surfaces
US20080125814A1 (en) * 2003-05-14 2008-05-29 Archus Orthopedics, Inc. Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces
US20050143818A1 (en) * 2003-05-14 2005-06-30 Hansen Yuan Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces
US20040230201A1 (en) * 2003-05-14 2004-11-18 Archus Orthopedics Inc. Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces
US20070168029A1 (en) * 2003-05-14 2007-07-19 Yuan Hansen A Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces
US8409254B2 (en) 2003-05-14 2013-04-02 Gmedelaware 2 Llc Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces
US20060149375A1 (en) * 2003-05-14 2006-07-06 Yuan Hansen A Prostheses, Tools And Methods For Replacement Of Natural Facet Joints With Artificial Facet Joint Surfaces
US7608104B2 (en) 2003-05-14 2009-10-27 Archus Orthopedics, Inc. Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces
US20040236328A1 (en) * 2003-05-23 2004-11-25 Paul David C. Spine stabilization system
US6986771B2 (en) 2003-05-23 2006-01-17 Globus Medical, Inc. Spine stabilization system
US6989011B2 (en) 2003-05-23 2006-01-24 Globus Medical, Inc. Spine stabilization system
US20040236327A1 (en) * 2003-05-23 2004-11-25 Paul David C. Spine stabilization system
EP1680049A2 (en) * 2003-06-25 2006-07-19 Baylor College of Medicine Tissue integration design for seamless implant fixation
US10213309B2 (en) 2003-06-25 2019-02-26 Biedermann Technologies Gmbh & Co. Kg Tissue integration design for seamless implant fixation
US11833052B2 (en) 2003-06-25 2023-12-05 Biedermann Technologies Gmbh & Co. Kg Tissue integration design for seamless implant fixation
EP1680049A4 (en) * 2003-06-25 2009-08-19 Biedermann Motech Gmbh Tissue integration design for seamless implant fixation
US9364330B2 (en) 2003-06-25 2016-06-14 Biedermann Technologies Gmbh & Co. Kg Tissue integration design for seamless implant fixation
US20050015154A1 (en) * 2003-06-25 2005-01-20 Baylor College Of Medicine Office Of Technology Administration Tissue integration design for seamless implant fixation
US20060265070A1 (en) * 2003-07-08 2006-11-23 David Stinson Prostheses and methods for replacement of natural facet joints with artificial facet joint surfaces
US20060100707A1 (en) * 2003-07-08 2006-05-11 David Stinson Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces
US8231655B2 (en) 2003-07-08 2012-07-31 Gmedelaware 2 Llc Prostheses and methods for replacement of natural facet joints with artificial facet joint surfaces
US8523907B2 (en) 2003-07-08 2013-09-03 Gmedelaware 2 Llc Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces
US7635365B2 (en) * 2003-08-28 2009-12-22 Ellis Thomas J Bone plates
US20050085819A1 (en) * 2003-08-28 2005-04-21 Ellis Thomas J. Bone plates
US20050070928A1 (en) * 2003-09-09 2005-03-31 Harri Heino Bioabsorbable band system
US7648504B2 (en) * 2003-09-09 2010-01-19 Bioretec Ltd Bioabsorbable band system
US20050131406A1 (en) * 2003-12-15 2005-06-16 Archus Orthopedics, Inc. Polyaxial adjustment of facet joint prostheses
US9056016B2 (en) 2003-12-15 2015-06-16 Gmedelaware 2 Llc Polyaxial adjustment of facet joint prostheses
US20080177332A1 (en) * 2003-12-15 2008-07-24 Archus Orthopedics, Inc. Polyaxial adjustment of facet joint prostheses
US7828802B2 (en) 2004-01-16 2010-11-09 Expanding Orthopedics, Inc. Bone fracture treatment devices and methods of their use
US20050159749A1 (en) * 2004-01-16 2005-07-21 Expanding Orthopedics, Inc. Bone fracture treatment devices and methods of their use
US20050171547A1 (en) * 2004-01-29 2005-08-04 Aram Tony N. Surgical instrument, and related methods
US20080082171A1 (en) * 2004-04-22 2008-04-03 Kuiper Mark K Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies
US20070079517A1 (en) * 2004-04-22 2007-04-12 Augostino Teena M Facet joint prosthesis measurement and implant tools
US20050240264A1 (en) * 2004-04-22 2005-10-27 Archus Orthopedics, Inc. Anti-rotation fixation element for spinal prostheses
US20050240266A1 (en) * 2004-04-22 2005-10-27 Kuiper Mark K Crossbar spinal prosthesis having a modular design and related implantation methods
US8491635B2 (en) 2004-04-22 2013-07-23 Gmedelaware 2 Llc Crossbar spinal prosthesis having a modular design and related implantation methods
US20050240265A1 (en) * 2004-04-22 2005-10-27 Kuiper Mark K Crossbar spinal prosthesis having a modular design and related implantation methods
US20050261770A1 (en) * 2004-04-22 2005-11-24 Kuiper Mark K Crossbar spinal prosthesis having a modular design and related implantation methods
US8425557B2 (en) 2004-04-22 2013-04-23 Gmedelaware 2 Llc Crossbar spinal prosthesis having a modular design and related implantation methods
US20080292161A1 (en) * 2004-04-22 2008-11-27 Funk Michael J Implantable orthopedic device component selection instrument and methods
US8675930B2 (en) 2004-04-22 2014-03-18 Gmedelaware 2 Llc Implantable orthopedic device component selection instrument and methods
US20080091204A1 (en) * 2004-04-22 2008-04-17 Kuiper Mark K Crossbar spinal prosthesis having a modular design and related implantation methods
US7674293B2 (en) 2004-04-22 2010-03-09 Facet Solutions, Inc. Crossbar spinal prosthesis having a modular design and related implantation methods
US8187303B2 (en) 2004-04-22 2012-05-29 Gmedelaware 2 Llc Anti-rotation fixation element for spinal prostheses
US8496687B2 (en) 2004-04-22 2013-07-30 Gmedelaware 2 Llc Crossbar spinal prosthesis having a modular design and related implantation methods
US20080091205A1 (en) * 2004-04-22 2008-04-17 Kuiper Mark K Crossbar Spinal Prosthesis Having a Modular Design and Related Implantation Methods
US20070093833A1 (en) * 2004-05-03 2007-04-26 Kuiper Mark K Crossbar spinal prosthesis having a modular design and related implantation methods
US20080255560A1 (en) * 2004-05-21 2008-10-16 Myers Surgical Solutions, Llc Fracture Fixation and Site Stabilization System
US7887587B2 (en) 2004-06-04 2011-02-15 Synthes Usa, Llc Soft tissue spacer
US20050273165A1 (en) * 2004-06-04 2005-12-08 Bryan Griffiths Soft tissue spacer
US8945220B2 (en) 2004-06-04 2015-02-03 DePuy Synthes Products, LLC Soft tissue spacer
US20110098760A1 (en) * 2004-06-04 2011-04-28 Bryan Griffiths Soft Tissue Spacer
US20060058791A1 (en) * 2004-08-18 2006-03-16 Richard Broman Implantable spinal device revision system
US20060052785A1 (en) * 2004-08-18 2006-03-09 Augostino Teena M Adjacent level facet arthroplasty devices, spine stabilization systems, and methods
US20060041311A1 (en) * 2004-08-18 2006-02-23 Mcleer Thomas J Devices and methods for treating facet joints
US8398681B2 (en) 2004-08-18 2013-03-19 Gmedelaware 2 Llc Adjacent level facet arthroplasty devices, spine stabilization systems, and methods
US20060079895A1 (en) * 2004-09-30 2006-04-13 Mcleer Thomas J Methods and devices for improved bonding of devices to bone
US20080140121A1 (en) * 2004-10-04 2008-06-12 Archus Orthopedics, Inc. Polymeric joint complex and methods of use
US20090024219A1 (en) * 2004-10-04 2009-01-22 Archus Orthopedics, Inc. Polymeric joint complex and methods of use
US20060085075A1 (en) * 2004-10-04 2006-04-20 Archus Orthopedics, Inc. Polymeric joint complex and methods of use
US20080177309A1 (en) * 2004-10-04 2008-07-24 Archus Orthopedics, Inc. Polymeric joint complex and methods of use
US8221461B2 (en) 2004-10-25 2012-07-17 Gmedelaware 2 Llc Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies
US20070276374A1 (en) * 2005-03-02 2007-11-29 Richard Broman Arthroplasty revision system and method
US7914556B2 (en) 2005-03-02 2011-03-29 Gmedelaware 2 Llc Arthroplasty revision system and method
US20070088358A1 (en) * 2005-03-22 2007-04-19 Hansen Yuan Minimally Invasive Spine Restoration Systems, Devices, Methods and Kits
US8496686B2 (en) 2005-03-22 2013-07-30 Gmedelaware 2 Llc Minimally invasive spine restoration systems, devices, methods and kits
US20080015585A1 (en) * 2005-03-22 2008-01-17 Philip Berg Minimally invasive spine restoration systems, devices, methods and kits
US8961516B2 (en) 2005-05-18 2015-02-24 Sonoma Orthopedic Products, Inc. Straight intramedullary fracture fixation devices and methods
US7942875B2 (en) 2005-05-18 2011-05-17 Sonoma Orthopedic Products, Inc. Methods of using minimally invasive actuable bone fixation devices
US9060820B2 (en) 2005-05-18 2015-06-23 Sonoma Orthopedic Products, Inc. Segmented intramedullary fracture fixation devices and methods
US20070233105A1 (en) * 2005-05-18 2007-10-04 Nelson Charles L Minimally invasive actuable bone fixation devices
US20060264951A1 (en) * 2005-05-18 2006-11-23 Nelson Charles L Minimally Invasive Actuable Bone Fixation Devices Having a Retractable Interdigitation Process
US7846162B2 (en) 2005-05-18 2010-12-07 Sonoma Orthopedic Products, Inc. Minimally invasive actuable bone fixation devices
US8287541B2 (en) 2005-05-18 2012-10-16 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US20060264950A1 (en) * 2005-05-18 2006-11-23 Nelson Charles L Minimally Invasive Actuable Bone Fixation Devices
US7914533B2 (en) 2005-05-18 2011-03-29 Sonoma Orthopedic Products, Inc. Minimally invasive actuable bone fixation devices
US20100094347A1 (en) * 2005-05-18 2010-04-15 Nelson Charles L Fracture fixation device, tools and methods
US20060264952A1 (en) * 2005-05-18 2006-11-23 Nelson Charles L Methods of Using Minimally Invasive Actuable Bone Fixation Devices
US8287539B2 (en) 2005-05-18 2012-10-16 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US20080287959A1 (en) * 2005-09-26 2008-11-20 Archus Orthopedics, Inc. Measurement and trialing system and methods for orthopedic device component selection
US20070233256A1 (en) * 2006-03-15 2007-10-04 Ohrt John A Facet and disc arthroplasty system and method
US9155574B2 (en) 2006-05-17 2015-10-13 Sonoma Orthopedic Products, Inc. Bone fixation device, tools and methods
US8702755B2 (en) 2006-08-11 2014-04-22 Gmedelaware 2 Llc Angled washer polyaxial connection for dynamic spine prosthesis
US20080103501A1 (en) * 2006-08-11 2008-05-01 Ralph Christopher R Angled Washer Polyaxial Connection for Dynamic Spine Prosthesis
US20080077132A1 (en) * 2006-09-25 2008-03-27 Medoff Robert J Bone fixation device having integral fixation member
US8066750B2 (en) 2006-10-06 2011-11-29 Warsaw Orthopedic, Inc Port structures for non-rigid bone plates
US20080161805A1 (en) * 2006-11-22 2008-07-03 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US7909825B2 (en) 2006-11-22 2011-03-22 Sonoma Orthepedic Products, Inc. Fracture fixation device, tools and methods
US8439917B2 (en) 2006-11-22 2013-05-14 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US20110144645A1 (en) * 2006-11-22 2011-06-16 Sonoma Orthopedic Products, Inc. Fracture Fixation Device, Tools and Methods
US9259250B2 (en) 2006-11-22 2016-02-16 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US20080132896A1 (en) * 2006-11-22 2008-06-05 Sonoma Orthopedic Products, Inc. Curved orthopedic tool
US20080140078A1 (en) * 2006-11-22 2008-06-12 Sonoma Orthopedic Products, Inc. Surgical tools for use in deploying bone repair devices
US20080149115A1 (en) * 2006-11-22 2008-06-26 Sonoma Orthopedic Products, Inc. Surgical station for orthopedic reconstruction surgery
US8197520B2 (en) 2007-01-11 2012-06-12 Salemi Anthony A Bone loss plate
US20080172095A1 (en) * 2007-01-11 2008-07-17 Salerni Anthony A Bone Loss Plate
US20090018542A1 (en) * 2007-07-11 2009-01-15 Sonoma Orthopedic Products,Inc. Fracture fixation devices, systems and methods incorporating a membrane
US20110152865A1 (en) * 2007-07-18 2011-06-23 Biodynamics Llc Implantable mesh for musculoskeletal trauma, orthopedic reconstruction and soft tissue repair
US9814577B2 (en) 2007-07-18 2017-11-14 Biodynamics Llc Implantable mesh for musculoskeletal trauma, orthopedic reconstruction and soft tissue repair
US20090024147A1 (en) * 2007-07-18 2009-01-22 Ralph James D Implantable mesh for musculoskeletal trauma, orthopedic reconstruction and soft tissue repair
US9517093B2 (en) 2008-01-14 2016-12-13 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US9788870B2 (en) 2008-01-14 2017-10-17 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US10603087B2 (en) 2008-01-14 2020-03-31 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US11399878B2 (en) 2008-01-14 2022-08-02 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US8287538B2 (en) 2008-01-14 2012-10-16 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US9730739B2 (en) 2010-01-15 2017-08-15 Conventus Orthopaedics, Inc. Rotary-rigid orthopaedic rod
US8961518B2 (en) 2010-01-20 2015-02-24 Conventus Orthopaedics, Inc. Apparatus and methods for bone access and cavity preparation
US9848889B2 (en) 2010-01-20 2017-12-26 Conventus Orthopaedics, Inc. Apparatus and methods for bone access and cavity preparation
US20110218585A1 (en) * 2010-03-08 2011-09-08 Krinke Todd A Apparatus and methods for bone repair
US8906022B2 (en) 2010-03-08 2014-12-09 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
US9993277B2 (en) 2010-03-08 2018-06-12 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
WO2012103164A1 (en) * 2011-01-25 2012-08-02 Synthes Usa, Llc Expandable bone fixation implant
US8906074B2 (en) 2011-01-25 2014-12-09 DePuy Synthes Products, LLC Expandable bone fixation implant
US20190000628A1 (en) * 2011-02-28 2019-01-03 DePuy Synthes Products, Inc. Modular tissue scaffolds
US10500053B2 (en) * 2011-02-28 2019-12-10 DePuy Synthes Products, Inc. Modular tissue scaffolds
US11793644B2 (en) 2011-02-28 2023-10-24 DePuy Synthes Products, Inc. Modular tissue scaffolds
US20160324551A1 (en) * 2011-09-22 2016-11-10 Mx Orthopedics, Corp. Osteosynthetic shape memory material intramedullary bone stent and method for treating a bone fracture using the same
US10603088B2 (en) 2011-09-22 2020-03-31 Arthrex, Inc. Intermedullary devices for generating and applying compression within a body
US9724138B2 (en) 2011-09-22 2017-08-08 Arthrex, Inc. Intermedullary devices for generating and applying compression within a body
US9283006B2 (en) 2011-09-22 2016-03-15 Mx Orthopedics, Corp. Osteosynthetic shape memory material intramedullary bone stent and method for treating a bone fracture using the same
US20160066970A1 (en) * 2012-01-05 2016-03-10 The Cleveland Clinic Foundation Bone fixation apparatus
US20140005732A1 (en) * 2012-07-02 2014-01-02 The Cleveland Clinic Foundation Bone fixation apparatus
US9585695B2 (en) 2013-03-15 2017-03-07 Woven Orthopedic Technologies, Llc Surgical screw hole liner devices and related methods
US9999454B2 (en) 2013-12-05 2018-06-19 A&E Advanced Closure Systems, Llc Bone plate system and method
US10022132B2 (en) 2013-12-12 2018-07-17 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US10076342B2 (en) 2013-12-12 2018-09-18 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US9770278B2 (en) 2014-01-17 2017-09-26 Arthrex, Inc. Dual tip guide wire
US10588677B2 (en) 2014-08-05 2020-03-17 Woven Orthopedic Technologies, Llc Woven retention devices, systems and methods
US9808291B2 (en) 2014-08-05 2017-11-07 Woven Orthopedic Technologies, Llc Woven retention devices, systems and methods
US8992537B1 (en) 2014-08-05 2015-03-31 Woven Orthopedic Technologies, Llc Woven retention devices, systems and methods
US11376051B2 (en) 2014-08-05 2022-07-05 Woven Orthopedic Technologies, Llc Woven retention devices, systems and methods
US9532806B2 (en) 2014-08-05 2017-01-03 Woven Orthopedic Technologies, Llc Woven retention devices, systems and methods
US9907593B2 (en) 2014-08-05 2018-03-06 Woven Orthopedic Technologies, Llc Woven retention devices, systems and methods
US8956394B1 (en) 2014-08-05 2015-02-17 Woven Orthopedic Technologies, Llc Woven retention devices, systems and methods
US10433942B2 (en) 2014-08-27 2019-10-08 Johnson & Johnson Medical Gmbh Surgical implant
US9943351B2 (en) 2014-09-16 2018-04-17 Woven Orthopedic Technologies, Llc Woven retention devices, systems, packaging, and related methods
US10548648B2 (en) 2014-09-30 2020-02-04 Arthrex, Inc. Intramedullary fracture fixation devices and methods
US9814499B2 (en) 2014-09-30 2017-11-14 Arthrex, Inc. Intramedullary fracture fixation devices and methods
USD740427S1 (en) 2014-10-17 2015-10-06 Woven Orthopedic Technologies, Llc Orthopedic woven retention device
US9936991B2 (en) 2015-01-30 2018-04-10 Union Surgical, Llc Bone fracture treatment apparatus and method
USD815741S1 (en) * 2015-02-11 2018-04-17 Johnson & Johnson Medical Gmbh Surgical mesh implant
US11857231B2 (en) 2015-03-03 2024-01-02 Pioneer Surgical Technology, Inc. Bone compression device and method
US10932833B2 (en) 2015-03-03 2021-03-02 Pioneer Surgical Technology, Inc. Bone compression device and method
US10123831B2 (en) 2015-03-03 2018-11-13 Pioneer Surgical Technology, Inc. Bone compression device and method
US10292822B2 (en) * 2015-03-31 2019-05-21 DePuy Synthes Products, Inc. Bone graft cage
US10258472B2 (en) * 2015-03-31 2019-04-16 DePuy Synthes Products, Inc. Bone graft cage
US20180168812A1 (en) * 2015-03-31 2018-06-21 DePuy Synthes Products, Inc. Bone Graft Cage
JP2018512233A (en) * 2015-03-31 2018-05-17 デピュイ・シンセス・プロダクツ・インコーポレイテッド Bone graft cage
US10555758B2 (en) 2015-08-05 2020-02-11 Woven Orthopedic Technologies, Llc Tapping devices, systems and methods for use in bone tissue
US10695181B2 (en) 2016-02-16 2020-06-30 DePuy Synthes Products, Inc. Bone graft cage
US20170354503A1 (en) * 2016-06-13 2017-12-14 DePuy Synthes Products, Inc. Bone Graft Cage
US10507110B2 (en) * 2016-06-13 2019-12-17 DePuy Synthes Products, Inc. Bone graft cage
US11051944B2 (en) 2016-06-13 2021-07-06 DePuy Synthes Products, Inc. Bone graft cage
US11395681B2 (en) 2016-12-09 2022-07-26 Woven Orthopedic Technologies, Llc Retention devices, lattices and related systems and methods
US11596419B2 (en) 2017-03-09 2023-03-07 Flower Orthopedics Corporation Plating depth gauge and countersink instrument
US10918426B2 (en) 2017-07-04 2021-02-16 Conventus Orthopaedics, Inc. Apparatus and methods for treatment of a bone
US10357367B2 (en) * 2017-09-11 2019-07-23 DePuy Synthes Products, Inc. Patient-specific mandible graft cage
US11344346B2 (en) 2018-06-29 2022-05-31 Pioneer Surgical Technology, Inc. Bone plate system
USD980427S1 (en) * 2019-08-14 2023-03-07 Transit Scientific, LLC Expandable medical device
US11877779B2 (en) 2020-03-26 2024-01-23 Xtant Medical Holdings, Inc. Bone plate system
US20210332314A1 (en) * 2020-04-23 2021-10-28 The Trustees Of Indiana University Gut bioreactor and methods for making the same
US11840681B2 (en) * 2020-04-23 2023-12-12 The Trustees Of Indiana University Gut bioreactor and methods for making the same
US11504240B2 (en) 2020-06-04 2022-11-22 DePuy Synthes Products, Inc. Modular bone graft cage

Similar Documents

Publication Publication Date Title
US3710789A (en) Method of repairing bone fractures with expanded metal
EP0423420B1 (en) Bone fracture reduction and fixation devices with identity tags
EP0566255B1 (en) Perforated metallic panels and strips for internal fixation of bone fractures and for reconstructive surgery
US4119091A (en) Tie for use in bone fracture surgery
KR101257450B1 (en) Disposable device for treatment of infections of human limbs
JPS581442A (en) Automatic hook for connecting spinel side part
US6491693B1 (en) Method of promoting osteogenesis by application of a vacuum to affected bone areas, and device for same
WO2004086982A2 (en) An implant for treating idiopathic scoliosis
JPH08196538A (en) Tissue sticking apparatus for surgery with elastomer component and method of attaching mesh for surgery to said tissue
US20040087955A1 (en) Tubular internal fixation for bone fractures and prostheses
RU2202302C2 (en) Plate and method for repairing damaged bone structures in zygomatico-orbito- maxillary complex
US6186965B1 (en) Dissolvable septal splint and method of using the same
JPH04501816A (en) Device for restoring lost tubular bone
Bennett Surgery of the avian beak
RU115645U1 (en) CONNECTING BRACKET FOR OSTEOSYNTHESIS OF SPONES
Huynh et al. Avian skull orthopedics
RU2405487C1 (en) Method of surgical treatment of comminuted fracture of proximal part of humerus, clamp and implant for its realisation
Senn A new method of direct fixation of the fragments in compound and ununited fractures
RU2336043C1 (en) Method of surgical treatment of achilles tendon rupture
Sengezer et al. Reconstruction of midface bone defects with vitallium micromesh
Güven Self-curing acrylic in the treatment of unstable zygomatic arch fracture
JP2969217B2 (en) Rib joint
RU190629U1 (en) BELT CLAMPS
RU2796438C1 (en) Method for distraction lengthening of the stump of the metacarpal bone
CN212729951U (en) Novel fracture fixing prosthesis