JP2007506450A - 骨プレート - Google Patents
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Abstract
【選択図】 図1
Description
特許文献1により一般的な骨プレートが周知である。骨プレートに対する骨ネジの傾斜角およびその角度安定固定は、この周知の装置の場合、ネジ頭とプレート穴との間に配置されたリングによって影響される。この構造における不利点は、一方では、追加の構造部品(リング)による費用がかかる製造、きわめて小さなリングがプレート穴から落下、または押し出され、これが装置を使用不能にしてしまう危険性、他方では、リングがネジの挿入前に軸に対応して配置される必要があるため、手間がかかる手術手技である。
本発明は、請求項1の特徴を有する骨プレートで上記課題を解決する。
本発明によって達成される利点は、本発明による骨プレートにより、骨ネジが所定の(通常はプレート平面上に直交に位置する)穴軸から偏向する角度でも挿入され、かつこの位置でロックされうるが、それによって―周知の装置の場合のように―安定性を大きく失うことがない点に実質的に確認される。
プレート穴の内側カバー面における少なくとも3個の凹みによって―骨ネジが傾斜状態でも―ネジ頭のためのセンタリング支持が生じ、これにより均一の負荷配分がもたらされる。ヘッドネジを有する骨ネジおよび雌ネジを有するプレート穴において、ヘッドネジは―ネジが傾斜状態では―プレート穴における凹みよって中断されるネジ山を「飛び越える」が、それに交わることはない。
本発明による骨プレートの別の利点は、プレート穴における少なくとも3個の凹みがドリルまたはガイドブッシュのガイドに使用される可能性であり、これらによって骨ネジは挿入に際してガイドされうる。この場合、ドリルまたはガイドブッシュは―従来技術の場合のように―プレート穴へネジ込まれる必要はなく、凹みにより、プレート穴へただ挿入することができ、これにより簡単な方法で穴軸の中心と方向が生じる。さらに、挿入されるドリルまたはガイドブッシュはその先端でプレート穴の形状の負の形を有するだけでよく、何らかのネジ、またはその他の同様に作用する構造物を必要としない。必要に応じて、スナップ機構も結合されうる。
特定の実施形態においては、プレート穴の内側カバー面には三次元構造が備えられている。これは対応する構造化ヘッドネジのガイドに役立つ。三次元構造は巨視的であり、かつ好ましくは、部分的または完全なネジ山、リブ、または***から成る。内側カバー面は、多条ネジも支えうる。
N個の凹みによって形成されるN個の「穴リブ」の上面形状は、この場合、挿入される骨ネジとの適合性が促進されるように形成されることが好ましい。これは従来のらせん形のネジの形、***の有無によるネジ状の形、または一定数の溝もしくはリブでありうるし、または***の有無による準ネジでもありうる。溝またはリブの数は、好ましくは、つねに奇数である(例えば、3、5、7、または9)。
内側カバー面は、凹面、好ましくは、球形、円錐形、または楕円形に構成されうる。この形は、骨ネジの内側カバー面との最初の接触に際して、従来技術による装置において部分的に該当するように、あらかじめ骨プレートを介して骨へ圧縮力をかけることなく骨ネジが自動的にプレート穴へ引き込まれることによって骨ネジの進入に有利である。
N個の凹みは、それぞれ中心軸から見て360°/Nの間隔で配置されている。凹みは、好ましくは、少なくとも1°、最高でも119°の周辺の拡張部を有する。この場合、凹みは、内側カバー面をN個のカバー面部分へ分ける。
特定の実施形態においては、凹みは内側カバー面の範囲のみにある。他の実施形態においては、凹みは半径方向に穴軸から内側カバー面の範囲にわたって延在する。
凹みは、上面から下面まで円筒形または円錐形に延在しうる。それによって、凹みがキルシュナーワイヤの予備穴あけまたは挿入のためのドリルブッシュの固定に使用されうる利点が生じる。したがって、ドリルブッシュはプレート穴へネジ込まれる必要なく、挿入されるだけでよく、この場合にネジ支持部を損傷することがない。
骨プレートは、銅もしくはチタンまたはプラスチックからも成りうる。プラスチックプレートの場合、かかる骨プレートは、40−70%の破断伸びおよび3000−6000N/mm2の弾性モジュールを有するポリアクリルエーテルケトン(PEAK)またはポリエーテルエーテルケトン(PEEK)製であることが好ましい。しかし、80−120%の破断伸びおよび2000−3500N/mm2の弾性モジュールを有するポリスルホンが使用されうる。さらに、1.5−2.5%の破断伸びおよび5000−20’000N/mm2の弾性モジュールを有する液晶ポリマー(LCP)も適している。最後に、10−50%の破断伸びおよび2000−3’500N/mm2の弾性モジュールを有するポリオキシメチレン(POM)、かつ0.2−1.0%の破断伸びおよび12000−20’000N/mm2の弾性モジュールを有するポリフェニレンスルフィド(PPS)も使用されうる。
プラスチックプレートにおいては、プレート穴は金属のネジインサートとしても構成されうる。反対に、金属の骨プレートにおいては、プレート穴はポリマーのネジインサートとして構成されうる。
本発明および本発明の発展形態を以下、複数の実施例の部分的概略図を用いてさらに詳細に述べる。
図1は、円錐形のプレート穴を有する骨プレートを示す縦断面図である。
図2は、球状のプレート穴を有する骨プレートを示す縦断面図である。
図3は、プレート穴の内側カバー面における3個の凹みを有する骨プレートを示す図である。
図4は、プレート穴の内側カバー面におけるより強い凹みを有する図3による骨プレートの変型である。
図5は、内側カバー面において楕円系に構成されたプレート穴の4つの凹みを有するネジインサートを有する骨プレートを示す図である。
図6は、挿入された骨ネジを有する上から見た図1による骨プレートを示す斜視図である。
図7は、挿入された骨ネジを有する下から見た図1による骨プレートを示す斜視図である。
図8は、傾斜なしに挿入された骨ネジを有する骨プレートを示す縦断面図である。
図9は、傾斜して挿入された骨ネジを有する骨プレートを示す縦断面図である。
図2および5においては、さらに別の実施形態が示されており、ここではプレート穴3が長穴として構成されている。骨プレートは、主にプラスチック(PEEK)から成り、その中に挿入されるチタン製の金属のネジインサート9を有し、これらがプレート穴3を形成する。プレート穴3は、この実施形態では4個の凹みを有し、これらは半径方向に穴軸5から内側カバー面4の範囲にわたって延在する。内側カバー面4は、4つのカバー面部分に分けられる。凹みは骨プレート1の全高にわたって上面8から下面2まで円錐状に延在する。さらに、内側カバー面4には多条ネジの形で三次元構造7が備えられている。この実施形態は、骨プレートが主に金属(チタン)から成り、その中に挿入されるプラスチック(PEEK)製のネジインサート9を有し、これらがプレート穴3を形成することによって材料的に逆転されうる。
図8においては、その中に傾斜なしに挿入された骨ネジ10を有する骨プレート1が示されている。骨プレート1のプレート穴の内側カバー面4および骨ネジ10の頭部11は、互いに位置合わせしたネジ山13を有する。
図9においては、図8と同様の変型が示されているが、ここでは骨ネジ10は傾斜している。
4 内側カバー面 5 穴軸 6 凹み
7 三次元構造 8 上面 9 ネジインサート
10 骨ネジ 11 頭部 13 ネジ山
Claims (31)
- 骨側下面(2)と、上面(8)と、中央穴軸(5)を有する前記下面(2)を前記上面(8)と結合させる複数のプレート穴(3)とを有し、前記プレート穴(3)の少なくとも1つが、前記下面(2)に向かって先細になる内側カバー面(4)を有する骨プレート(1)において、
A)前記内側カバー面(4)が、前記穴軸(5)から半径方向に延在するN≧3個の凹み(6)を有し、かつ
B)前記内側カバー面(4)が、追加として三次元構造(7)を備えている
ことを特徴とする骨プレート(1)。 - 前記内側カバー面(4)が凹面で構成されていることを特徴とする請求項1に記載の骨プレート(1)。
- 前記内側カバー面(4)が球状、円錐形、または楕円形で構成されていることを特徴とする請求項2に記載の骨プレート(1)。
- 前記プレート穴(3)の少なくとも1つが長穴として構成されていることを特徴とする請求項1〜3のいずれか1つに記載の骨プレート(1)。
- 前記三次元構造が巨視的であり、かつ好ましくは、部分的または完全なネジ山、リブ、または***から成ることを特徴とする請求項1〜4のいずれか1つに記載の骨プレート(1)。
- 前記Nの凹み(6)がそれぞれ前記中央軸(5)から見て360°/Nの間隔で配置されていることを特徴とする請求項1〜5のいずれか1つに記載の骨プレート(1)。
- 前記凹み(6)が少なくとも1°の周辺拡張部を有することを特徴とする請求項1〜6のいずれか1つに記載の骨プレート(1)。
- 前記凹み(6)が最高でも119°の周辺拡張部を有することを特徴とする請求項1〜7のいずれか1つに記載の骨プレート(1)。
- 前記凹み(6)が前記内側面(4)の範囲のみにあることを特徴とする請求項1〜8のいずれか1つに記載の骨プレート(1)。
- 前記凹み(6)が前記穴軸(5)から前記内側カバー面(4)の範囲を越えて延在することを特徴とする請求項1〜9のいずれか1つに記載の骨プレート(1)。
- 前記凹み(6)が前記内側カバー面(4)をN個のカバー面部分に分けることを特徴とする請求項1〜10のいずれか1つに記載の骨プレート(1)。
- 前記凹み(6)が前記上面(8)から前記仮面(2)まで円筒形または円錐形に延在することを特徴とする請求項1〜11のいずれか1つに記載の骨プレート(1)。
- 前記凹み(6)が前記骨プレート(1)の全高にわたって前記上面(8)から前記下面(2)まで延在することを特徴とする請求項1〜12のいずれか1つに記載の骨プレート(1)。
- 鋼またはチタンから成ることを特徴とする請求項1〜13のいずれか1つに記載の骨プレート(1)。
- 前記内側カバー面(4)が多条ネジを支えることを特徴とする請求項5〜14のいずれか1つに記載の骨プレート(1)。
- 前記内側カバー面(4)が前記穴軸(5)に対して横方向に周辺に回るリブを有することを特徴とする請求項5〜15のいずれか1つに記載の骨プレート(1)。
- 前記骨プレート(1)がプラスチックで製造されていることを特徴とする請求項1〜16のいずれか1つに記載の骨プレート(1)。
- 40−70%の破断伸びおよび3000−6000N/mm2の弾性モジュールを有するポリアクリルエーテルケトン(PEAK)またはポリエーテルエーテルケトン(PEEK)で製造されていることを特徴とする請求項17に記載の骨プレート(1)。
- 80−120%の破断伸びおよび2000−3500N/mm2の弾性モジュールを有するポリスルホンで製造されていることを特徴とする請求項17に記載の骨プレート(1)。
- 1.5−2.5%の破断伸びおよび5000−20’000N/mm2の弾性モジュールを有する液晶ポリマー(LCP)で製造されていることを特徴とする請求項17に記載の骨プレート(1)。
- 10−50%の破断伸びおよび2000−3’500N/mm2の弾性モジュールを有するポリオキシメチレン(POM)で製造されていることを特徴とする請求項17に記載の骨プレート(1)。
- 0.2−1.0%の破断伸びおよび12000−20’000N/mm2の弾性モジュールを有するポリフェニレンスルフィド(PPS)で製造されていることを特徴とする請求項17に記載の骨プレート(1)。
- 金属、プラスチック、または炭素繊維強化プラスチックで製造されていることを特徴とする請求項17に記載の骨プレート(1)。
- 前記少なくとも1つのプレート穴(3)への角度安定固定に適した先細になる頭部(11)と、骨における固定に特定のネジ山部(12)とを有する、少なくとも1つの骨ネジ(10)を含んで成ることを特徴とする請求項1〜23のいずれか1つに記載の骨プレート(1)。
- 前記頭部(11)が凸面、好ましくは、球形、または円錐形に構成されていることを特徴とする請求項24に記載の骨プレート(1)。
- 前記頭部(11)が三次元構造(13)を有することを特徴とする請求項24または25のいずれか1つに記載の骨プレート(1)。
- 前記骨ネジ(10)の前記頭部(11)が前記内側カバー面(4)よりも硬い材料で構成されることを特徴とする請求項24〜26のいずれか1つに記載の骨プレート(1)。
- 前記内側カバー面(4)および前記骨ネジ(10)の前記頭部(5)が互いに位置合わせしたネジを有することを特徴とする請求項24〜27のいずれか1つに記載の骨プレート(1)。
- 前記プレート穴(3)の少なくとも1つが金属のネジインサート(9)として構成されていることを特徴とする請求項16〜28のいずれか1つに記載の骨プレート(1)。
- 金属材料で構成され、かつ前記プレート穴(3)の少なくとも1つがポリマーのネジインサート(9)として構成されていることを特徴とする請求項1〜28のいずれか1つに記載の骨プレート(1)。
- 骨プレート(1)のプレート穴(3)への配置に特定の端で前記プレート穴(3)の前記内側カバー面(4)の形状に対して負の形状を有することを特徴とする請求項1〜30のいずれか1つに記載の骨プレート(1)とともに使用するドリルブッシュ。
Applications Claiming Priority (2)
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PCT/CH2003/000577 WO2005018472A1 (de) | 2003-08-26 | 2003-08-26 | Knochenplatte |
EP03818256A EP1658015A1 (de) | 2003-08-26 | 2003-08-26 | Knochenplatte |
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JP2010250329A Division JP5275322B2 (ja) | 2010-11-08 | 2010-11-08 | 骨プレート |
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JP4999327B2 JP4999327B2 (ja) | 2012-08-15 |
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JP2005508136A Expired - Lifetime JP4999327B2 (ja) | 2003-08-26 | 2003-08-26 | 骨プレート |
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US (6) | US8343196B2 (ja) |
EP (3) | EP1731107B1 (ja) |
JP (1) | JP4999327B2 (ja) |
KR (1) | KR101030651B1 (ja) |
CN (1) | CN1819799B (ja) |
AR (1) | AR045493A1 (ja) |
AT (2) | ATE473702T1 (ja) |
AU (1) | AU2003254686B2 (ja) |
BR (1) | BR0318428A (ja) |
CA (1) | CA2536960C (ja) |
CL (1) | CL2004002168A1 (ja) |
DE (6) | DE50312893D1 (ja) |
ES (2) | ES2381965T3 (ja) |
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JP2011529346A (ja) * | 2008-07-29 | 2011-12-08 | シンセス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 可変角度ロック型骨プレート |
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JP2010233915A (ja) * | 2009-03-31 | 2010-10-21 | Olympus Terumo Biomaterials Corp | 骨プレートおよび骨プレートシステム |
JP2013528075A (ja) * | 2010-06-02 | 2013-07-08 | シンセス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 骨プレート |
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