JP2022543478A - 骨切断および関節再整列処置のための二平面器具 - Google Patents
骨切断および関節再整列処置のための二平面器具 Download PDFInfo
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Abstract
Description
本出願は、2019年8月7日出願の米国特許仮出願第62/883,649号の利益を主張し、その全内容が参照により本明細書に組み込まれる。
Claims (36)
- 骨切断および関節再整列処置のための二平面器具であって、
足の中足骨と対向する楔状骨との間の関節空間内に挿入されるように構成されたスペーサー本体と、
スペーサー本体に結合された支点本体であって、前記支点本体が、中足骨と隣接する中足骨との間の中足骨間空間内に挿入されるように構成されている、支点本体と、を備える、器具。 - 前記スペーサー本体が、前記関節空間内に挿入されるように構成された長さ、前記中足骨と前記対向する楔状骨との間に延在するように構成された厚さ、および前記関節空間の少なくとも一部分にわたって内側から外側方向に延在するように構成された幅を画定し、
前記支点本体が、前記中足骨間空間内に挿入されるように構成された長さ、前記中足骨と前記隣接する中足骨との間に延在するように構成された厚さ、および足に沿って近位から遠位方向に延在するように構成された幅を画定する、請求項1に記載の器具。 - 前記スペーサー本体と前記支点本体との間に延在するブリッジをさらに備え、前記支点本体が、前記ブリッジを介して前記スペーサー本体に結合されている、請求項1または2に記載の器具。
- 前記スペーサー本体が、前記足の第1の平面内に延在するように構成されており、前記支点本体が、前記足の第2の平面内に延在するように構成されており、前記ブリッジ部材が、前記第1の平面から前記第2の平面に移行する、請求項3に記載の器具。
- 前記ブリッジ部材が、前記中足骨の近位側から前記中足骨の外側に延在するように構成されている、請求項3または4に記載の器具。
- 前記スペーサー本体と前記支点本体との間に画定される角度が、60度~120度の範囲内にある、請求項1~5のいずれか一項に記載の器具。
- 前記スペーサー本体が、前記支点本体に固定的に接続されている、請求項1~6のいずれか一項に記載の器具。
- 前記スペーサー本体が、前記スペーサー本体にヒンジ接続されている、請求項1~7のいずれか一項に記載の器具。
- 前記スペーサー本体が、右足および左足の両方における使用を容易にするために、前記支点本体に対して少なくとも180度回転するように構成されている、請求項8に記載の器具。
- 前記スペーサー本体が、前記支点本体に取り外し可能に接続されている、請求項1~9のいずれか一項に記載の器具。
- 前記スペーサー本体が、前記中足骨と前記対向する楔状骨との間の前記関節空間内に延在するように構成された第1の部分と、前記関節空間の上に延在するように構成された第2の部分と、を画定し、前記第2の部分が、骨形成ガイドの受容開口部と係合するように構成されている、請求項1~10のいずれか一項に記載の器具。
- 前記骨形成ガイドが、前記中足骨上に位置決めされるように構成された少なくとも1つの切断スロットを画定し、前記少なくとも1つの切断スロットが、前記対向する楔状骨上に位置決めされるように構成されている、請求項11に記載の器具。
- 前記スペーサー本体の前記第2の部分は、前記スペーサー本体が、前記受容開口部内に挿入されている状態で、前記骨形成ガイドが、前記スペーサー本体に対して少なくとも1つの平面内を移動し得るように、前記骨形成ガイドの前記受容開口部よりも小さいサイズである、請求項11または12に記載の器具。
- 前記スペーサー本体の前記第2の部分が、前記スペーサー本体の少なくとも1つの前面および後面から外向きに延在する棚をさらに備え、前記棚が、前記骨形成ガイドと前記スペーサー本体との間の移動を制限する、請求項13に記載の器具。
- 前記スペーサー本体に恒久的に接合された骨形成ガイドをさらに備える、請求項1~14のいずれか一項に記載の器具。
- 前記支点本体に接続されたハンドルをさらに備え、前記ハンドルが、前記支点本体から離れて突出している、請求項1~15のいずれか一項に記載の器具。
- 前記中足骨が、第1の中足骨であり、
前記対向する楔状骨が、内側楔状骨であり、
前記隣接する中足骨が第2の中足骨である、請求項1~16のいずれか一項に記載の器具。 - 方法であって、
中足骨と対向する楔状骨との間の関節空間内にスペーサー本体を挿入することと、
前記中足骨と隣接する中足骨との間に前記スペーサー本体に結合された支点本体を挿入することと、
前記スペーサーと整列された骨形成ガイドを使用して、骨形成器具をガイドし、前記中足骨の端を形成することと、
前記骨形成ガイドを使用して、前記骨形成器具をガイドし、前記対向する楔状骨の端を形成することと、
少なくとも横断面で前記隣接する中足骨に対して前記中足骨を移動させて、それによって、前記支点本体を中心として前記中足骨を旋回させ、前記中足骨と前記隣接する中足骨との間の中足骨間角度を低減させることと、を含む、方法。 - 前記スペーサー本体が、ブリッジ部材を用いて前記支点本体に結合されている、請求項18に記載の方法。
- 前記スペーサー本体を挿入すること、および前記支点本体を挿入することが、前記ブリッジ部材を介して前記支点本体に結合された前記スペーサー本体を含む単一器具を挿入することを含む、請求項19に記載の方法。
- 前記単一器具を挿入することが、前記中足骨の近位横方向角に対して前記ブリッジ部材を位置決めすることを含む、請求項20に記載の方法。
- 前記スペーサー本体が、前記支点本体に固定的に接続されている、請求項18~21のいずれか一項に記載の方法。
- 前記スペーサー本体と前記支点本体との間に画定される角度が、60度~120度の範囲内にある、請求項18~22のいずれか一項に記載の方法。
- 前記スペーサー本体と前記支点本体との間に画定される角度を調整することをさらに含む、請求項18~24のいずれか一項に記載の方法。
- 前記スペーサー本体が、前記支点本体にヒンジで取り付けられており、前記スペーサー本体と前記支点本体との間に画定される前記角度を調整することが、ヒンジ接続を中心として前記支点本体に対して前記スペーサー本体を回転させることを含む、請求項24に記載の方法。
- 前記スペーサー本体と前記支点本体との間に画定される前記角度を調整することが、前記スペーサー本体を前記支点本体に接続する材料の可鍛性区分を曲げることを含む、請求項24に記載の方法。
- 前記スペーサー本体を前記関節空間内に挿入することが、前記スペーサー本体の第2の部分が前記関節空間の上に延在している状態で前記スペーサー本体の第1の部分を前記関節空間内に挿入することを含み、前記骨形成ガイドを前記スペーサー本体の前記第2の部分と整列することをさらに含む、請求項18~26のいずれか一項に記載の方法。
- 前記スペーサー本体の前記第2の部分は、前記スペーサー本体の前記第2の部分が挿入される前記骨形成ガイドの受容開口部よりも小さいサイズであり、前記スペーサー本体が、前記受容開口部内に挿入された状態で、前記スペーサー本体に対して前記骨形成ガイドを少なくとも1つの平面内で移動させることをさらに含む、請求項27に記載の方法。
- 前記スペーサー本体の前記第2の部分が、前記スペーサー本体の少なくとも1つの前面および後面から外向きに延在する棚をさらに備え、前記棚が、前記骨形成ガイドと前記スペーサー本体との間の移動を制限する、請求項28に記載の方法。
- 前記骨形成ガイドが、前記スペーサー本体に恒久的に接続されており、前記スペーサー本体を前記関節空間内に挿入することが、前記骨形成ガイドを前記中足骨および前記対向する楔状骨上に位置決めすることを含む、請求項18~29のいずれか一項に記載の方法。
- 前記支点本体から離れて非ゼロ度の角度で突出するハンドルをさらに備え、前記支点本体を挿入することが、前記中足骨および前記隣接する中足骨へのアクセスを提供する切開部から離れて横方向に組織を開創することと、前記ハンドルと前記支点本体との間に形成された組織開創空間内で前記切開部から離れて前記組織を保持することと、をさらに含む、請求項18~30のいずれか一項に記載の方法。
- 前記中足骨が、第1の中足骨であり、
前記対向する楔状骨が、内側楔状骨であり、
前記隣接する中足骨が第2の中足骨である、請求項18~31のいずれか一項に記載の方法。 - 前記関節空間から少なくとも前記スペーサー本体を除去することと、前記中足骨の形成された端を前記対向する楔状骨の形成された端に対して圧縮することと、前記中足骨の前記形成された端を前記対向する楔状骨の前記形成された端に固定することと、をさらに含む、請求項18~32のいずれか一項に記載の方法。
- 少なくとも前記スペーサー本体を除去することが、前記スペーサー本体に結合された前記支点本体を除去することをさらに含む、請求項33に記載の方法。
- 前記中足骨の前記形成された端を前記対向する楔状骨の前記形成された端に固定することが、足根中足骨関節にわたって固定部材を挿入することを含む、請求項18~34のいずれか一項に記載の方法。
- 前記中足骨の前記端を形成すること、および前記対向する楔状骨の前記端を形成することが、前記中足骨を前記隣接する中足骨に対して移動させた後に、前記中足骨の前記端および前記対向する楔状骨の前記端の一方または両方を形成することを含む、請求項18~35のいずれか一項に記載の方法。
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US201962883649P | 2019-08-07 | 2019-08-07 | |
US62/883,649 | 2019-08-07 | ||
PCT/US2020/045393 WO2021026448A1 (en) | 2019-08-07 | 2020-08-07 | Bi-planar instrument for bone cutting and joint realignment procedure |
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CA3146564A1 (en) | 2021-02-11 |
US20230248350A1 (en) | 2023-08-10 |
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