JP2011036716A - 整形外科用インプラント及び骨ねじアセンブリ - Google Patents
整形外科用インプラント及び骨ねじアセンブリ Download PDFInfo
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- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 165
- 239000007943 implant Substances 0.000 title claims abstract description 60
- 230000000399 orthopedic effect Effects 0.000 title description 2
- 238000001356 surgical procedure Methods 0.000 title 1
- 230000006835 compression Effects 0.000 claims abstract description 177
- 238000007906 compression Methods 0.000 claims abstract description 177
- 238000000034 method Methods 0.000 claims description 23
- 230000008569 process Effects 0.000 claims description 16
- 230000008878 coupling Effects 0.000 claims description 5
- 238000010168 coupling process Methods 0.000 claims description 5
- 238000005859 coupling reaction Methods 0.000 claims description 5
- 230000003993 interaction Effects 0.000 abstract 1
- 206010017076 Fracture Diseases 0.000 description 30
- 208000010392 Bone Fractures Diseases 0.000 description 26
- 210000000689 upper leg Anatomy 0.000 description 23
- 230000007704 transition Effects 0.000 description 17
- 239000012634 fragment Substances 0.000 description 12
- 210000001624 hip Anatomy 0.000 description 10
- 239000000463 material Substances 0.000 description 9
- 238000005452 bending Methods 0.000 description 8
- 230000008901 benefit Effects 0.000 description 8
- 210000002758 humerus Anatomy 0.000 description 7
- 230000007246 mechanism Effects 0.000 description 7
- 208000008924 Femoral Fractures Diseases 0.000 description 6
- 230000000712 assembly Effects 0.000 description 6
- 238000000429 assembly Methods 0.000 description 6
- 238000005553 drilling Methods 0.000 description 6
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 5
- 230000000295 complement effect Effects 0.000 description 4
- 210000002303 tibia Anatomy 0.000 description 4
- 230000017531 blood circulation Effects 0.000 description 3
- 230000009471 action Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000002436 femur neck Anatomy 0.000 description 2
- 210000003625 skull Anatomy 0.000 description 2
- 206010069135 Periprosthetic fracture Diseases 0.000 description 1
- 210000000588 acetabulum Anatomy 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 238000011882 arthroplasty Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 210000004394 hip joint Anatomy 0.000 description 1
- 238000011540 hip replacement Methods 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000004062 sedimentation Methods 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 210000000323 shoulder joint Anatomy 0.000 description 1
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- 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
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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- 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
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- 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
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- 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
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
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- Animal Behavior & Ethology (AREA)
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- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Neurology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
【解決手段】この装置は、髄内釘(100)などのインプラント、ならびにラグスクリュー(202)及びコンプレッションスクリューアセンブリ(204)などの締結アセンブリ(200)のうちの一方または両方を備えることができる。インプラントは、横断開口(118)を備える近位区間を有する。締結アセンブリは、インプラントの横断開口内で、制御されたやり方で摺動するように受けられる。係合部材及び圧迫装置は、圧迫装置がインプラントの一部及び係合部材の一部と相互作用して、第1の骨部分と第2の骨片との間の制御された動きが可能になるように構成される。この構成はとりわけ、骨折部の圧迫に有用である。
【選択図】図1
Description
102 近位区間
104 移行区間
106 遠位区間
108 外側面
109 内側面
118 横断開口
120 円形開口
122 円形開口
124 遠位開口
126 スロット
128 近位端開口
132 肩
142 逆とげ
144 フィン
146 長手溝
150 圧迫プレート
170 関節周囲プレート
200 締結アセンブリ
202 ラグスクリュー
204 コンプレッションスクリュー
206 本体
208 ねじ切り端部
210 ねじ切り部
212 溝
214 ねじ切り区間
215 頭部区間
300 道具
302 ドリルビット
304 ほぞ穴チゼル
400 代替締結アセンブリ
401 スリーブ
402 ラグスクリュー
404 コンプレッションスクリュー
502 圧迫ペグ
503 スロット
504 キー
506 ラチェット歯
602 ラグスクリュー
604 コンプレッションスクリュー
606 本体
608 ねじ切り端部
610 十字線スクリュー
612 頭部
614 ねじ切り部
702 ラグスクリュー
704 圧迫ペグ
706 本体
708 ねじ切り端部
710 開口
712 キー
714 スロット
Claims (6)
- 第1の骨部分に結合されるように為され横断開口を有する骨インプラントと、前記横断開口で受けるように為された締結アセンブリとを備える、骨折部を治療するための装置であって、前記締結アセンブリが、
a.前記インプラントの横断開口内で摺動し第2の骨部分に係合するように為されており、圧迫部材と協働するように為された協働構造を備える係合部材と、
b.前記インプラントの横断開口内で受けられるように為され、前記係合部材が前記横断開口内で回転するのを妨げ、前記係合部材の前記横断開口内での摺動を制御するために、前記係合部材と接触及び協働するように為された圧迫部材とを備え、
前記圧迫部材が、
1.適切に設置されるとき前記第2の骨部分に接触して、前記係合部材と共に、前記第2の骨部分が第1の骨部分に対して回転するのを妨げ、
2.前記係合部材と協働して、前記係合部材が前記インプラントに対して回転するのを妨げ、従って前記第2の骨部分が前記第1の骨部分に対して回転するのを妨げ、
前記圧迫部材がねじ切り部を備え、前記係合部材が、前記固定構造の横断開口内での前記係合部材の摺動を制御するために、前記圧迫部材のねじ切り部と協働するように為されたねじ切り部を備えることを特徴とする装置。 - 骨を修復するためのプロセスであって、
a.骨折を治療するための装置を提供することであって、前記装置が、第1の骨部分に結合されるように為され横断開口を備える骨インプラントと、前記横断開口内で摺動するように為された締結アセンブリとを備え、前記締結アセンブリが、係合部材及び圧迫部材を備え、前記係合部材が第2の骨部分に係合するように為され、前記係合部材及び前記圧迫部材は、前記圧迫部材が前記装置の一部分及び前記係合部材の一部分と接触及び相互作用して、前記第1の骨部分と第2の骨部分との間の動きを制御することが可能になるように構成されることを特徴とする、装置を提供することと、
b.前記装置を前記第1の骨部分に結合することと、
c.前記第1の骨部分に、位置及び向きが前記係合部材及び前記圧迫部材に対応する少なくとも1つの開口を形成することと、
d.前記第2の骨部分を前記係合部材に係合することと、
e.前記圧迫部材を、前記第2の骨部分に接触するように挿入することと、
f.前記圧迫部材を前記係合部材の一部分と相互作用させ、それによって前記第1の骨部分に対応する前記第2の骨部分に圧迫力を加えること、
とを含むことを特徴とするプロセス。 - 前記装置を前記第1の骨部分に結合することが、前記装置を前記第1の骨部分に挿入することであることを更に特徴とする請求項2に記載のプロセス。
- 前記第2の骨部分が大腿骨骨頭であることを更に特徴とする請求項2に記載のプロセス。
- 前記第1の骨部分に、位置及び向きが前記係合部材及び前記圧迫部材に対応する少なくとも1つの開口を形成することが、互いに対して同軸でない開口を前記骨部分に形成することを含むことを更に特徴とする請求項2に記載のプロセス。
- 前記インプラントが、断面の少なくとも1つの軸に関して非対称な断面を有する近位部分を備え、前記インプラントを前記第1の骨部分に結合することが、
a.前記インプラントの近位部分の断面形状に少なくとも部分的に対応する形状に前記骨を形状付けるように為されたほぞ穴チゼルを備える道具を使用して、前記骨の内側部分を下準備することと、
b.前記インプラントを前記道具によって形状付けられたとおりに前記骨に挿入することと
を含むことを更に特徴とする請求項2に記載のプロセス。
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US10/658,351 | 2003-09-08 | ||
US10/658,351 US20050055024A1 (en) | 2003-09-08 | 2003-09-08 | Orthopaedic implant and screw assembly |
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JP2006525533A Active JP4671963B2 (ja) | 2003-09-08 | 2004-09-08 | 整形外科用プレートおよびスクリューアセンブリ |
JP2010237596A Active JP5485855B2 (ja) | 2003-09-08 | 2010-10-22 | 整形外科用インプラント及び骨ねじアセンブリ |
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JP2014214902A Active JP6549368B2 (ja) | 2003-09-08 | 2014-10-21 | 整形外科用インプラント及び骨ねじアセンブリ |
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JP2014214902A Active JP6549368B2 (ja) | 2003-09-08 | 2014-10-21 | 整形外科用インプラント及び骨ねじアセンブリ |
JP2017177721A Pending JP2017217513A (ja) | 2003-09-08 | 2017-09-15 | 整形外科用インプラント及び骨ねじアセンブリ |
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EP (2) | EP1663038B1 (ja) |
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AT (2) | ATE460893T1 (ja) |
AU (4) | AU2004272039B2 (ja) |
CA (2) | CA2536049C (ja) |
DE (2) | DE602004011083T2 (ja) |
DK (1) | DK1663037T3 (ja) |
ES (2) | ES2297487T3 (ja) |
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JP2017148564A (ja) * | 2011-11-18 | 2017-08-31 | シンセス・ゲーエムベーハーSynthes GmbH | 大腿骨頸部骨折用インプラント |
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