JP4671963B2 - 整形外科用プレートおよびスクリューアセンブリ - Google Patents
整形外科用プレートおよびスクリューアセンブリ Download PDFInfo
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- JP4671963B2 JP4671963B2 JP2006525533A JP2006525533A JP4671963B2 JP 4671963 B2 JP4671963 B2 JP 4671963B2 JP 2006525533 A JP2006525533 A JP 2006525533A JP 2006525533 A JP2006525533 A JP 2006525533A JP 4671963 B2 JP4671963 B2 JP 4671963B2
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- 230000000399 orthopedic effect Effects 0.000 title description 2
- 230000006835 compression Effects 0.000 claims abstract description 160
- 238000007906 compression Methods 0.000 claims abstract description 160
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 117
- 238000000034 method Methods 0.000 claims abstract description 18
- 230000006641 stabilisation Effects 0.000 claims description 19
- 238000011105 stabilization Methods 0.000 claims description 19
- 230000000087 stabilizing effect Effects 0.000 claims description 6
- 230000008878 coupling Effects 0.000 claims description 2
- 238000010168 coupling process Methods 0.000 claims description 2
- 238000005859 coupling reaction Methods 0.000 claims description 2
- 239000007943 implant Substances 0.000 abstract description 17
- 230000001054 cortical effect Effects 0.000 abstract description 13
- 239000012634 fragment Substances 0.000 abstract description 12
- 239000000463 material Substances 0.000 abstract description 10
- 208000010392 Bone Fractures Diseases 0.000 description 21
- 210000000689 upper leg Anatomy 0.000 description 21
- 230000007704 transition Effects 0.000 description 14
- 210000001624 hip Anatomy 0.000 description 11
- 238000005452 bending Methods 0.000 description 8
- 230000008901 benefit Effects 0.000 description 8
- 210000002758 humerus Anatomy 0.000 description 8
- 208000008924 Femoral Fractures Diseases 0.000 description 7
- 238000003780 insertion Methods 0.000 description 7
- 230000037431 insertion Effects 0.000 description 7
- 230000007246 mechanism Effects 0.000 description 7
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- 210000002436 femur neck Anatomy 0.000 description 2
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- 230000002441 reversible effect Effects 0.000 description 2
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- 230000001154 acute effect Effects 0.000 description 1
- 238000011882 arthroplasty Methods 0.000 description 1
- 230000007850 degeneration Effects 0.000 description 1
- 238000009826 distribution Methods 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
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- 230000008439 repair process Effects 0.000 description 1
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- 210000000323 shoulder joint Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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- 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
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/744—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to an intramedullary nail
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- A61B17/164—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans intramedullary
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- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
- A61B17/1668—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the upper femur
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- A61B17/1684—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the shoulder
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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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- A61B17/17—Guides or aligning means for drills, mills, pins or wires
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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
- 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
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
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- A—HUMAN NECESSITIES
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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
- 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
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
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- A—HUMAN NECESSITIES
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- 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
- A61B17/7283—Intramedullary pins, nails or other devices with special cross-section of the nail
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- A—HUMAN NECESSITIES
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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
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- 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)
Description
102 近位側部分
104 移行部分
106 遠位側部分
108 外側面
109 内側面
110 第1の側面
112 第1の丸み付けした角
114 第2の丸み付けした角
116 第2の側面
118 横軸開口
120 近位側円形開口
122 遠位側円形開口
128 近位端開口
130 長手方向穴
132 ショルダー
134,136 側面
140 強度低下スロット
142 逆とげ
144 フィン
146 長手方向溝
150 圧迫プレート
170 関節周囲プレート
190 上腕骨釘
200 締結具アセンブリ
202 ラグスクリュー
204 圧迫スクリュー
206 円筒部
208 ねじ切り端部
210 ねじ切り部
212 チャネル
214 ねじ切り部
215 頭部
300 工具
302 ドリルビット
304 柄ノミ
400 締結具アセンブリ
401 スリーブ
402 ラグスクリュー
404 圧迫スクリュー
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 圧迫スクリュー
606 円筒部
608 ねじ切り端部
610 十字スクリュー
612 頭部
614 ねじ切り部
702 ラグスクリュー
704 圧迫ペグ
706 円筒部
708 ねじ切り端部
710 開口
712 キー
714 スロット
1100 髄内釘
1108 外側面
1109 内側面
1128 開口
Claims (12)
- 第1の骨部分の外面に連結されるよう構成された安定化構造体を含み、横軸開口、および前記横軸開口内に収容されるよう構成された締結アセンブリを含む骨折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.前記安定化構造体の横軸開口内で摺動し、第2の骨部分と係合するよう構成され、圧迫部材と協働するよう構成された協働構造体を含む係合部材と、
b.前記安定化構造体の横軸開口内に収容されるよう構成され、前記係合部材が前記横軸開口内で回転することを防ぎ、前記係合部材の前記横軸開口内での摺動を制御するように、前記係合部材と接触し協働するよう構成された前記圧迫部材とを含み、
前記圧迫部材が、
1.正常に取り付けられると、前記第2の骨部分が前記係合部材に対して回転することを防ぐように、前記係合部材とともに前記第2の骨部分に接触し、
2.前記係合部材が前記安定化構造体に対して回転することを防ぎ、それにより前記第2の骨部分が前記第1の骨部分に対して回転することを防ぐように、前記係合部材と協働することを特徴とする装置。 - 前記安定化構造体が圧迫プレートであることを特徴とする請求項1に記載の装置。
- 前記安定化構造体が関節周囲プレートであることを特徴とする請求項1に記載の装置。
- 前記圧迫部材が、調整されると前記係合部材に張力を加え、それによって前記第1の骨部分と前記第2の骨部分との間に圧迫を加えるよう構成されていることを特徴とする請求項1に記載の装置。
- 前記圧迫部材が少なくとも部分的に前記係合部材の一部と入れ子になっていることを特徴とする請求項1に記載の装置。
- 前記圧迫部材がねじ切り部を含み、前記係合部材の前記安定化構造体の横軸開口内での摺動を制御するために、前記係合部材が、前記圧迫部材のねじ切り部と協働するよう構成されたねじ切り部を含むことを特徴とする請求項1に記載の装置。
- 前記横軸開口は断面非対称であり、前記係合部材の少なくとも一部を収容するよう構成された第1の部分、および前記圧迫部材の少なくとも一部を収容するよう構成された第2の部分を含むことを特徴とする請求項1に記載の装置。
- 前記圧迫部材が前記係合部材に設けられた外側チャネル内に部分的に入れ子になることを特徴とする請求項5に記載の装置。
- 人間以外の骨を修復するための方法であって、
a.第1の骨部分の外面に連結されるよう構成された安定化構造体を含み、かつ前記安定化構造体に設けられた横軸開口、および前記横軸開口内で摺動するよう構成された締結アセンブリを含む、骨折を治療するためのデバイスを提供するステップであって、係合部材および圧迫部材を含む締結アセンブリであって、前記係合部材が第2の骨部分と係合するよう構成され、前記係合部材および前記圧迫部材が、前記第1の骨部分と前記第2の骨部分との間の動きを制御することを可能にするように、前記圧迫部材が前記安定化構造体の一部および前記係合部材の一部と接触し相互作用する形状である締結アセンブリを特徴とするステップと、
b.前記第1の骨部分に前記安定化構造体を連結するステップと、
c.前記係合部材および圧迫部材と位置および向きが対応する、少なくとも1つの開口を前記第1の骨部分に準備するステップと、
d.前記第2の骨部分を前記係合部材に係合するステップと、
e.前記第2の骨部分に接触するように前記圧迫部材を挿入するステップと、
f.前記圧迫部材を前記係合部材の一部と相互作用させ、それにより前記第2の骨部分に、前記第1の骨部分に対する圧迫を加えるステップと、を含む方法。 - 前記第2の骨部分が大腿骨頭部であることを特徴とする請求項9に記載の方法。
- 前記係合部材および圧迫部材と位置および向きが対応する、前記少なくとも1つの開口を前記第1の骨部分に準備するステップが、互いに同軸でない開口を骨部分に準備するステップを含むことを特徴とする請求項9に記載の方法。
- 前記安定化構造体が圧迫プレートまたは関節周囲プレートであることを特徴とする請求項9に記載の方法。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/658,351 US20050055024A1 (en) | 2003-09-08 | 2003-09-08 | Orthopaedic implant and screw assembly |
PCT/US2004/029199 WO2005025437A1 (en) | 2003-09-08 | 2004-09-08 | Orthopaedic plate and screw assembly |
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Publication Number | Publication Date |
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JP2007504861A JP2007504861A (ja) | 2007-03-08 |
JP4671963B2 true JP4671963B2 (ja) | 2011-04-20 |
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JP2006525532A Active JP4654186B2 (ja) | 2003-09-08 | 2004-09-08 | 整形外科用インプラント及び骨ねじアセンブリ |
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 |
JP2013122604A Active JP5744968B2 (ja) | 2003-09-08 | 2013-06-11 | 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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JP2006525532A Active JP4654186B2 (ja) | 2003-09-08 | 2004-09-08 | 整形外科用インプラント及び骨ねじアセンブリ |
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 |
JP2013122604A Active JP5744968B2 (ja) | 2003-09-08 | 2013-06-11 | 整形外科用インプラント及び骨ねじアセンブリ |
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) | ATE382300T1 (ja) |
AU (4) | AU2004272038B2 (ja) |
CA (2) | CA2536049C (ja) |
DE (2) | DE602004026079D1 (ja) |
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ES (2) | ES2297487T3 (ja) |
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