WO2007089637A3 - Assemblies for the reduction of a fracture - Google Patents

Assemblies for the reduction of a fracture Download PDF

Info

Publication number
WO2007089637A3
WO2007089637A3 PCT/US2007/002257 US2007002257W WO2007089637A3 WO 2007089637 A3 WO2007089637 A3 WO 2007089637A3 US 2007002257 W US2007002257 W US 2007002257W WO 2007089637 A3 WO2007089637 A3 WO 2007089637A3
Authority
WO
WIPO (PCT)
Prior art keywords
fracture
implant
buttress
reducer
bone fragment
Prior art date
Application number
PCT/US2007/002257
Other languages
French (fr)
Other versions
WO2007089637A2 (en
Inventor
Nicholas S Ritchey
Nathaniel Kelley Grusin
Gene Edward Austin
Original Assignee
Smith & Nephew Inc
Nicholas S Ritchey
Nathaniel Kelley Grusin
Gene Edward Austin
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 Smith & Nephew Inc, Nicholas S Ritchey, Nathaniel Kelley Grusin, Gene Edward Austin filed Critical Smith & Nephew Inc
Priority to US12/162,172 priority Critical patent/US8628531B2/en
Priority to AU2007210064A priority patent/AU2007210064B2/en
Priority to CN2007800102338A priority patent/CN101404944B/en
Priority to EP07762754.5A priority patent/EP1976442B1/en
Priority to JP2008552462A priority patent/JP2009524494A/en
Publication of WO2007089637A2 publication Critical patent/WO2007089637A2/en
Publication of WO2007089637A3 publication Critical patent/WO2007089637A3/en
Priority to US13/477,385 priority patent/US8628532B2/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60—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
    • A61B17/16—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
    • A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7216—Intramedullary pins, nails or other devices for bone lengthening or compression
    • A61B17/7225—Intramedullary pins, nails or other devices for bone lengthening or compression for bone compression
    • 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
    • A61B17/8019—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 where the means are a separate tool rather than being part of the plate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7291—Intramedullary pins, nails or other devices for small bones, e.g. in the foot, ankle, hand or wrist

Abstract

A controlled removable fracture-reducing assembly (10) for reducing a bone fracture. According to one embodiment of the present invention, a controlled removable fracture reducing assembly (10) includes an implant (12), a reducer (14), a buttress (16), and a locking device (18) that engage a proximal bone fragment (2) and a distal bone fragment (4). The implant (12) is secured to the distal bone fragment (4) by the locking device (18). The buttress (16) engages the implant (12) through an opening (30). The reducer (14) contains a compressing screw (24) that applies a force (60) on the buttress (16), reducing the fracture. According to another embodiment of the invention, the reducer (114) contains a cam mechanism (124) which applies a force (186) on the buttress (116), which does not engage the implant (112), that pushes the proximal bone fragment (102) to reduce the fracture. According to another embodiment of the invention, the reducer (214) is a jacking mechanism that pushes the proximal bone fragment (202) while pulling the implant (212) and distal fragment (204) to reduce the fracture.
PCT/US2007/002257 2006-01-27 2007-01-26 Assemblies for the reduction of a fracture WO2007089637A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
US12/162,172 US8628531B2 (en) 2006-01-27 2007-01-26 Assemblies for the reduction of a fracture
AU2007210064A AU2007210064B2 (en) 2006-01-27 2007-01-26 Assemblies for the reduction of a fracture
CN2007800102338A CN101404944B (en) 2006-01-27 2007-01-26 Assemblies for the reduction of a fracture
EP07762754.5A EP1976442B1 (en) 2006-01-27 2007-01-26 Assemblies for the reduction of a fracture
JP2008552462A JP2009524494A (en) 2006-01-27 2007-01-26 Fracture reduction assembly
US13/477,385 US8628532B2 (en) 2006-01-27 2012-05-22 Assemblies and methods for the reduction of a fracture

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US76298806P 2006-01-27 2006-01-27
US60/762,988 2006-01-27

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US12/162,172 A-371-Of-International US8628531B2 (en) 2006-01-27 2007-01-26 Assemblies for the reduction of a fracture
US13/477,385 Continuation US8628532B2 (en) 2006-01-27 2012-05-22 Assemblies and methods for the reduction of a fracture

Publications (2)

Publication Number Publication Date
WO2007089637A2 WO2007089637A2 (en) 2007-08-09
WO2007089637A3 true WO2007089637A3 (en) 2008-01-17

Family

ID=38217736

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/002257 WO2007089637A2 (en) 2006-01-27 2007-01-26 Assemblies for the reduction of a fracture

Country Status (6)

Country Link
US (2) US8628531B2 (en)
EP (1) EP1976442B1 (en)
JP (1) JP2009524494A (en)
CN (1) CN101404944B (en)
AU (1) AU2007210064B2 (en)
WO (1) WO2007089637A2 (en)

Families Citing this family (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2885513B1 (en) * 2005-05-13 2007-08-10 Newdeal S A S Soc Par Actions ARTHRODESIS APPARATUS FOR ARTICULATION, OF THE GENUS ARTICULATION OF THE ANKLE, AND NAIL OF ATHRODESE FOR USE IN SUCH AN APPARATUS
WO2009002890A1 (en) * 2007-06-22 2008-12-31 Anthem Orthopaedics Van, Llc Intramedullary rod with pivotable fastener and method for using same
US8152807B2 (en) * 2008-03-31 2012-04-10 Olecranail Llc Intramedullary device assembly and associated method
FR2932375B1 (en) * 2008-06-16 2011-09-23 Hassan Razian DEVICE FOR REALIZING A DISTRACTION BETWEEN TWO BONES
WO2010042767A1 (en) * 2008-10-11 2010-04-15 Anthem Orthopaedics Van, Llc Intramedullary rod with pivotable and fixed fasteners and method for using same
JP5461083B2 (en) * 2009-07-01 2014-04-02 京セラメディカル株式会社 Osteosynthesis surgical instrument
US20110160728A1 (en) * 2009-12-31 2011-06-30 Amei Technologies, Inc. Intramedullary Compression Nail and Related Method for Jones Fractures
KR102006183B1 (en) * 2011-02-14 2019-08-02 신세스 게엠바하 A bone fixation assembly comprising an intramedullary nail having self-retaining compression slot, and a bone fixation system comprising the same
JP6247644B2 (en) 2012-02-08 2017-12-13 エピックス オーソペディックス インコーポレイテッド Implant insertion device having a continuously adjustable targeting assembly
CN103006310B (en) * 2012-11-20 2015-04-29 上海市浦东新区公利医院 Femoral nail embedding reductor
US9351771B2 (en) 2013-02-08 2016-05-31 Robert Gorsline Systems, methods, and apparatuses for fusion, stabilization, or fixation of bones
EP2961337B1 (en) 2013-02-28 2021-04-28 Feibel, Jonathan Systems and apparatuses for reaming bone elements
US10123828B2 (en) 2013-03-15 2018-11-13 Epix Orthopaedics, Inc. Implantable device with pivotable fastener and self-adjusting set screw
US9907562B2 (en) 2013-03-15 2018-03-06 Paragon 28, Inc. Intramedullary nail fixation guides, devices and methods of use
DE102013005414A1 (en) * 2013-03-28 2014-10-02 Dietmar Wolter Osteosynthesis system for the multidirectional, angularly stable treatment of fractures of long bones including an intramedullary nail and bone screws
US9861409B1 (en) * 2013-09-24 2018-01-09 John M. Agee Method and apparatus for fracture reduction during internal fixation of distal radius fractures
JP6396484B2 (en) * 2014-02-12 2018-09-26 スウェマック・イノヴェーション・アーベー Target setting device and target setting method
USD904616S1 (en) 2014-03-14 2020-12-08 Paragon 28, Inc. Intramedullary fastener
CN106714708B (en) * 2014-07-15 2020-12-01 Ot医疗技术有限公司 Positioning device for fixing a marker pin in a tubular bone
US11033333B2 (en) 2017-04-06 2021-06-15 Stryker European Holdings I, Llc Plate selection user interface and design tool with database
EP3424452B1 (en) 2017-06-16 2024-03-13 Stryker European Operations Holdings LLC Patient-specific bridging plates
CN109171917B (en) * 2018-06-15 2020-06-26 河北医科大学第三医院 Bone block fixing device for proximal comminuted fracture of humerus
US10849665B2 (en) 2018-10-29 2020-12-01 Stryker European Operations Holdings Llc Snap-fit cutting guides and plating systems
CN109938814B (en) * 2019-02-27 2023-12-22 陈伟 Reduction holding device for refractory intertrochanter fracture
WO2021226241A1 (en) 2020-05-06 2021-11-11 Smith & Nephew, Inc. Orthopedic intramedullary nails

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0073455A2 (en) * 1981-08-28 1983-03-09 Anton Dr. Härle Tensioning device with a bone fastening plate
DE8533134U1 (en) * 1984-11-30 1986-04-03 Institut Straumann Ag, Waldenburg Device for treating a bone
EP1304082A2 (en) * 2000-07-17 2003-04-23 Jorge P. Flores Davila Device and method for bone fixation, compression and distraction
EP1350479A2 (en) * 2002-03-28 2003-10-08 Depuy Orthopaedics, Inc. Fastener and targeting device for an intra-medullary nail

Family Cites Families (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4519100A (en) 1982-09-30 1985-05-28 Orthopedic Equipment Co. Inc. Distal locking intramedullary nail
US4846162A (en) 1987-09-14 1989-07-11 Moehring H David Orthopedic nail and method of bone fracture fixation
US5045708A (en) 1990-08-15 1991-09-03 Cooper William I Radiation shield for protecting internal body organs
US5100404A (en) 1990-09-04 1992-03-31 Beth Israel Hospital Intramedullary nailing method and apparatus
GB9021363D0 (en) 1990-10-02 1990-11-14 Du Pont Canada Article for protection of gonadal region
US5429640A (en) 1992-11-27 1995-07-04 Clemson University Intramedullary rod for fracture fixation of femoral shaft independent of ipsilateral femoral neck fracture fixation
US5352228A (en) * 1993-05-10 1994-10-04 Kummer Frederick J Apparatus and method to provide compression for a locked intramedullary nail
US7722678B2 (en) * 1993-11-01 2010-05-25 Biomet Manufacturing Corp. Intramedullary compliant fixation
JP3441513B2 (en) 1994-05-20 2003-09-02 ペンタックス株式会社 Mounting jig for intramedullary nail
EP1342453B1 (en) * 1997-03-19 2005-08-24 Stryker Trauma GmbH Modular intramedullary nail
DE29712294U1 (en) 1997-07-11 1997-10-16 Blach Guenter X-ray radiation protection apron with integrated thyroid protection
DE20012877U1 (en) 2000-07-26 2001-12-06 Stryker Trauma Gmbh Locking nail
US6652528B2 (en) 2001-07-17 2003-11-25 Biomet, Inc. Intramedullary nail with modular sleeve
WO2003024344A1 (en) * 2001-09-14 2003-03-27 The Regents Of The University Of California System and method for fusing spinal vertebrae
US20030069581A1 (en) 2001-10-04 2003-04-10 Stinson David T. Universal intramedullary nails, systems and methods of use thereof
US7004947B2 (en) * 2002-06-24 2006-02-28 Endius Incorporated Surgical instrument for moving vertebrae
DE20213166U1 (en) * 2002-08-28 2004-01-08 Stryker Trauma Gmbh humeral
US7455673B2 (en) * 2003-07-08 2008-11-25 Yechiel Gotfried Intramedullary nail system and method for fixation of a fractured bone
US6932818B2 (en) * 2003-10-30 2005-08-23 Alfred F. Behrens Intramedullary nail-based bone fracture treatment
US7667214B2 (en) 2005-05-04 2010-02-23 Worldwide Innovations & Technologies, Inc. Radiation attenuation system
FR2885513B1 (en) 2005-05-13 2007-08-10 Newdeal S A S Soc Par Actions ARTHRODESIS APPARATUS FOR ARTICULATION, OF THE GENUS ARTICULATION OF THE ANKLE, AND NAIL OF ATHRODESE FOR USE IN SUCH AN APPARATUS
WO2007038238A2 (en) 2005-09-22 2007-04-05 Xoft, Inc. Lightweight radiation absorbing shield

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0073455A2 (en) * 1981-08-28 1983-03-09 Anton Dr. Härle Tensioning device with a bone fastening plate
DE8533134U1 (en) * 1984-11-30 1986-04-03 Institut Straumann Ag, Waldenburg Device for treating a bone
EP1304082A2 (en) * 2000-07-17 2003-04-23 Jorge P. Flores Davila Device and method for bone fixation, compression and distraction
EP1350479A2 (en) * 2002-03-28 2003-10-08 Depuy Orthopaedics, Inc. Fastener and targeting device for an intra-medullary nail

Also Published As

Publication number Publication date
US8628531B2 (en) 2014-01-14
AU2007210064A1 (en) 2007-08-09
US20090048598A1 (en) 2009-02-19
JP2009524494A (en) 2009-07-02
AU2007210064B2 (en) 2013-09-12
CN101404944A (en) 2009-04-08
EP1976442B1 (en) 2018-10-31
US8628532B2 (en) 2014-01-14
CN101404944B (en) 2013-11-20
WO2007089637A2 (en) 2007-08-09
US20120259333A1 (en) 2012-10-11
EP1976442A2 (en) 2008-10-08

Similar Documents

Publication Publication Date Title
WO2007089637A3 (en) Assemblies for the reduction of a fracture
WO2007127255A3 (en) Apparatus and methods for reinforcing bone
WO2009134893A3 (en) Apparatus and methods for inserting facet screws
WO2007082019A3 (en) Spinal implant fixation assembly
WO2007130941A3 (en) Bone attachment devices with a threaded interconnection including a solid lubricious material
WO2004045373A3 (en) Compression bone fragment wire
WO2007056645A3 (en) Joint spacer implant
WO2006119237A3 (en) Orthopedic implant apparatus
WO2009073430A3 (en) Threaded access cannula and methods of using the same
WO2007106774A3 (en) Orthopedic screw system
EP1495733A3 (en) Intramedullary nail system and method for fixation of a fractured bone
WO2011002903A3 (en) Orthopaedic implant and fastener assembly
WO2008057861A3 (en) Uni-directional ratcheting bone plate assembly
WO2006135770A3 (en) Bone screw locking mechanism and method of use
MX2011006324A (en) Endosseous screws and orthopaedic device to assist the rigid osteosynthesis of fractures.
WO2012048004A3 (en) Pedicle screw assembly and method of assembly
WO2007019204A3 (en) Spinal fixation system
WO2006130179A3 (en) Polyaxial bone screw with shank articulation pressure insert and method
WO2009071070A3 (en) Surgical clamp instrument
WO2007136452A3 (en) Rotolock cervical plate locking mechanism
WO2011039502A3 (en) Surgical implant
WO2010129035A3 (en) Surgical instrument guide device
WO2007114864A3 (en) Device and method for holding and inserting one or more components of a pedicle screw assembly
WO2008029404A3 (en) Pelvic anchor brace
WO2008146199A3 (en) Bone screw, in particular for osteosynthesis

Legal Events

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

Ref document number: 2007210064

Country of ref document: AU

WWE Wipo information: entry into national phase

Ref document number: 12162172

Country of ref document: US

Ref document number: 2008552462

Country of ref document: JP

NENP Non-entry into the national phase

Ref country code: DE

WWE Wipo information: entry into national phase

Ref document number: 2007762754

Country of ref document: EP

ENP Entry into the national phase

Ref document number: 2007210064

Country of ref document: AU

Date of ref document: 20070126

Kind code of ref document: A

WWE Wipo information: entry into national phase

Ref document number: 200780010233.8

Country of ref document: CN