JP5917569B2 - 関節形成プレート - Google Patents
関節形成プレート Download PDFInfo
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- JP5917569B2 JP5917569B2 JP2013552180A JP2013552180A JP5917569B2 JP 5917569 B2 JP5917569 B2 JP 5917569B2 JP 2013552180 A JP2013552180 A JP 2013552180A JP 2013552180 A JP2013552180 A JP 2013552180A JP 5917569 B2 JP5917569 B2 JP 5917569B2
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- plate
- bone
- connector rod
- fuselage
- arthroplasty
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- 238000011882 arthroplasty Methods 0.000 title claims description 57
- 210000000988 bone and bone Anatomy 0.000 claims description 91
- 230000007246 mechanism Effects 0.000 claims description 21
- 210000004872 soft tissue Anatomy 0.000 claims description 9
- 239000012634 fragment Substances 0.000 claims description 8
- 210000004095 humeral head Anatomy 0.000 description 33
- 210000002758 humerus Anatomy 0.000 description 29
- 206010017076 Fracture Diseases 0.000 description 16
- 210000000323 shoulder joint Anatomy 0.000 description 13
- 208000010392 Bone Fractures Diseases 0.000 description 12
- 238000000034 method Methods 0.000 description 12
- 230000008439 repair process Effects 0.000 description 11
- 241001653121 Glenoides Species 0.000 description 6
- 208000002103 Shoulder Fractures Diseases 0.000 description 4
- 230000036770 blood supply Effects 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 210000002436 femur neck Anatomy 0.000 description 4
- 210000003484 anatomy Anatomy 0.000 description 3
- 230000035876 healing Effects 0.000 description 3
- 239000007943 implant Substances 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 230000000399 orthopedic effect Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 210000002435 tendon Anatomy 0.000 description 3
- 206010020462 Humerus fracture Diseases 0.000 description 2
- 238000002679 ablation Methods 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 230000001054 cortical effect Effects 0.000 description 2
- 238000002594 fluoroscopy Methods 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 230000017074 necrotic cell death Effects 0.000 description 2
- 210000002976 pectoralis muscle Anatomy 0.000 description 2
- 230000002265 prevention Effects 0.000 description 2
- 230000002441 reversible effect Effects 0.000 description 2
- 210000000513 rotator cuff Anatomy 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 210000000689 upper leg Anatomy 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- 206010020100 Hip fracture Diseases 0.000 description 1
- 208000007981 Humeral Fractures Diseases 0.000 description 1
- 208000031294 Upper limb fractures Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 206010003246 arthritis Diseases 0.000 description 1
- 210000001188 articular cartilage Anatomy 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 239000002639 bone cement Substances 0.000 description 1
- 230000008468 bone growth Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000001010 compromised effect Effects 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 230000005786 degenerative changes Effects 0.000 description 1
- 210000000852 deltoid muscle Anatomy 0.000 description 1
- 208000020089 femoral neck fracture Diseases 0.000 description 1
- 210000000245 forearm Anatomy 0.000 description 1
- 210000004394 hip joint Anatomy 0.000 description 1
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000001009 osteoporotic effect Effects 0.000 description 1
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
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- 230000002035 prolonged effect Effects 0.000 description 1
- 210000001991 scapula Anatomy 0.000 description 1
- 230000003966 vascular damage Effects 0.000 description 1
- 210000005166 vasculature Anatomy 0.000 description 1
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Classifications
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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
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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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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
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- A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
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- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
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-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
- F04C2270/00—Control; Monitoring or safety arrangements
- F04C2270/04—Force
- F04C2270/041—Controlled or regulated
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
(1) 関節形成プレートにおいて、
骨の表面に固定されるように構成された固定プレートと、
前記固定プレートを通って開口するボアを備えた、前記固定プレートから延びる胴体、および、前記胴体の前記ボア内部をスライドするように構成されたコネクタロッドを含む、コネクタ組立体と、
前記固定プレートから離れるように前記胴体から延びる前記コネクタロッドの端部に連結されるか、または連結されるように構成されたベアリング表面を含む、関節接合構成要素と、
を備え、
前記コネクタ組立体は、前記コネクタロッドを前記胴体内へ、または前記胴体から外へスライドさせるように構成された調節機構、および前記関節接合構成要素を前記固定プレートからしっかりと離間させるように前記胴体内部で前記コネクタロッドの位置をロックするように構成されたロック機構を組み込んでいる、関節形成プレート。
(2) 実施態様1に記載の関節形成プレートにおいて、
前記コネクタロッドおよび前記胴体の前記ボアは、前記コネクタロッドが前記胴体内部で回転するのを防ぐための、対応する係合特徴部を有する、関節形成プレート。
(3) 実施態様2に記載の関節形成プレートにおいて、
前記対応する係合特徴部は、前記コネクタロッドまたは前記胴体のうちの一方から延びるボスを含み、前記ボスは、前記胴体の軸に平行に延びている、前記コネクタロッドおよび前記胴体のうちのもう一方の内部に形成された溝にスライド可能に係合するように構成される、関節形成プレート。
(4) 実施態様1〜3のいずれかに記載の関節形成プレートにおいて、
前記調節機構は、調節スリーブを含み、前記調節スリーブは、前記胴体内部に回転可能に配され、前記調節スリーブおよび前記コネクタロッド上の対応するねじ山を通じて前記コネクタロッドに連結可能であり、前記コネクタロッドに対して前記調節スリーブを回転させると、前記コネクタロッドが、前記胴体内へ、または前記胴体の外へスライドして、前記関節接合構成要素と前記固定プレートとの間の距離を調節する、関節形成プレート。
(5) 実施態様4に記載の関節形成プレートにおいて、
前記ロック機構は、ロックねじを含み、前記ロックねじは、前記調節スリーブを通過し、前記コネクタロッド内部に形成されたボア内に受容されるように構成され、対応するねじ山を通じて前記コネクタロッドに連結可能であり、前記ロックねじを前記コネクタロッドのボアにねじ込むことにより、前記調節スリーブと前記コネクタロッドとの間のさらなる移動が妨げられる、関節形成プレート。
前記胴体の前記ボアは、環状フランジをさらに含み、前記調節スリーブは、前記フランジの第1の側に位置するヘッド部分を含み、前記ロックねじは、ヘッド部分を含み、
前記ロックねじが前記コネクタロッドのボアに係合すると、前記環状フランジは、前記調節スリーブの前記ヘッド部分と前記ロックねじの前記ヘッド部分との間に位置付けられる、関節形成プレート。
(7) 実施態様6に記載の関節形成プレートにおいて、
前記調節スリーブの前記ヘッド部分および前記ロックねじの前記ヘッド部分は双方、前記調節スリーブおよび前記ロックねじを別々に回転させるためドライバの先端部を別々に受容するように構成されたソケットを含む、関節形成プレート。
(8) 実施態様1〜7のいずれかに記載の関節形成プレートにおいて、
前記固定プレートは、前記コネクタ組立体に連結可能なヘッド部分、および前記骨の側方表面に沿って遠位に延びるように構成された細長い本体部分を含み、前記細長い本体部分は、前記固定プレートを前記骨に固定するための骨ファスナーを受容するように構成された複数のファスナー穴を含む、関節形成プレート。
(9) 実施態様8に記載の関節形成プレートにおいて、
前記細長い本体部分は、骨ファスナーを受容するように構成された細長いスロットをさらに含み、前記固定プレートは、前記骨の表面に沿ってスライドすることができる、関節形成プレート。
(10) 実施態様8または9に記載の関節形成プレートにおいて、
前記固定プレートのヘッド部分は、骨の断片および軟組織を前記固定プレートに固定するための少なくとも1つの縫合糸穴を含む、関節形成プレート。
前記骨の前記端部において関節接合骨表面の骨折部分を除去することと、
前記骨の前記骨折端部の側方表面に固定プレートを固定することであって、前記固定プレートは、ボアを備えた胴体、および前記胴体の前記ボア内部でスライドするように構成されたコネクタロッドを含むコネクタ組立体に連結され、前記胴体の前記ボアは、前記固定プレートを通って開口しており、関節接合構成要素が、前記固定プレートから離れるように前記胴体から延びる、前記コネクタロッドの端部に連結されるか、または連結されるように構成されたベアリング表面を含む、ことと、
前記胴体から延びる前記コネクタロッドの長さを調節するために、前記コネクタロッドを、前記胴体内へ、または前記胴体の外へスライドさせることと、
前記関節接合構成要素を前記固定プレートからしっかりと離間させるように、前記胴体内部の前記コネクタロッドの位置をロックすることと、
を含む、方法。
(12) 実施態様11に記載の方法において、
前記骨の前記端部において関節を整復することと、
前記ロック機構を解放することと、
前記関節内の張力を変化させるために長さ調節機構を用いて前記コネクタ組立体の長さを調節することと、
をさらに含む、方法。
Claims (8)
- 関節形成プレートにおいて、
骨の表面に固定されるように構成された固定プレートと、
前記固定プレートを通って開口するボアを備えた、前記固定プレートから延びる胴体、および、前記胴体の前記ボア内部をスライドするように構成されたコネクタロッドを含む、コネクタ組立体と、
前記固定プレートから離れるように前記胴体から延びる前記コネクタロッドの端部に連結されるか、または連結されるように構成されたベアリング表面を含む、関節接合構成要素と、
を備え、
前記コネクタ組立体は、前記コネクタロッドを前記胴体内へ、または前記胴体から外へスライドさせるように構成された調節機構、および前記関節接合構成要素を前記固定プレートからしっかりと離間させるように前記胴体内部で前記コネクタロッドの位置をロックするように構成されたロック機構を組み込んでおり、
前記調節機構は、調節スリーブを含み、前記調節スリーブは、前記胴体内部に回転可能に配され、前記調節スリーブおよび前記コネクタロッド上の対応するねじ山を通じて前記コネクタロッドに連結可能であり、前記コネクタロッドに対して前記調節スリーブを回転させると、前記コネクタロッドが、前記胴体内へ、または前記胴体の外へスライドして、前記関節接合構成要素と前記固定プレートとの間の距離を調節し、
前記ロック機構は、ロックねじを含み、前記ロックねじは、前記調節スリーブを通過し、前記コネクタロッド内部に形成されたボア内に受容されるように構成され、対応するねじ山を通じて前記コネクタロッドに連結可能であり、前記ロックねじを前記コネクタロッドのボアにねじ込むことにより、前記調節スリーブと前記コネクタロッドとの間のさらなる移動が妨げられる、関節形成プレート。 - 請求項1に記載の関節形成プレートにおいて、
前記コネクタロッドおよび前記胴体の前記ボアは、前記コネクタロッドが前記胴体内部で回転するのを防ぐための、対応する係合特徴部を有する、関節形成プレート。 - 請求項2に記載の関節形成プレートにおいて、
前記対応する係合特徴部は、前記コネクタロッドまたは前記胴体のうちの一方から延びるボスを含み、前記ボスは、前記胴体の軸に平行に延びている、前記コネクタロッドおよび前記胴体のうちのもう一方の内部に形成された溝にスライド可能に係合するように構成される、関節形成プレート。 - 請求項1に記載の関節形成プレートにおいて、
前記胴体の前記ボアは、環状フランジをさらに含み、前記調節スリーブは、前記フランジの第1の側に位置するヘッド部分を含み、前記ロックねじは、ヘッド部分を含み、
前記ロックねじが前記コネクタロッドのボアに係合すると、前記環状フランジは、前記調節スリーブの前記ヘッド部分と前記ロックねじの前記ヘッド部分との間に位置付けられる、関節形成プレート。 - 請求項4に記載の関節形成プレートにおいて、
前記調節スリーブの前記ヘッド部分および前記ロックねじの前記ヘッド部分は双方、前記調節スリーブおよび前記ロックねじを別々に回転させるためドライバの先端部を別々に受容するように構成されたソケットを含む、関節形成プレート。 - 請求項1〜5のいずれか1項に記載の関節形成プレートにおいて、
前記固定プレートは、前記コネクタ組立体に連結可能なヘッド部分、および前記骨の側方表面に沿って遠位に延びるように構成された細長い本体部分を含み、前記細長い本体部分は、前記固定プレートを前記骨に固定するための骨ファスナーを受容するように構成された複数のファスナー穴を含む、関節形成プレート。 - 請求項6に記載の関節形成プレートにおいて、
前記細長い本体部分は、骨ファスナーを受容するように構成された細長いスロットをさらに含み、前記固定プレートは、前記骨の表面に沿ってスライドすることができる、関節形成プレート。 - 請求項6または7に記載の関節形成プレートにおいて、
前記固定プレートのヘッド部分は、骨の断片および軟組織を前記固定プレートに固定するための少なくとも1つの縫合糸穴を含む、関節形成プレート。
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GB201007656D0 (en) | 2010-05-07 | 2010-06-23 | Depuy Ireland Ltd | Rotatable collar for a prosthetesis |
GB201101896D0 (en) | 2011-02-04 | 2011-03-23 | Depuy Ireland Ltd | Arthroplasty plate |
GB201105243D0 (en) | 2011-03-29 | 2011-05-11 | Depuy Ireland | An implant |
US8623089B2 (en) | 2011-08-07 | 2014-01-07 | Zimmer Knee Creations, Inc. | Subchondral treatment of joint pain of the spine |
US9271772B2 (en) | 2011-10-27 | 2016-03-01 | Toby Orthopaedics, Inc. | System and method for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints |
US9398928B2 (en) * | 2012-09-28 | 2016-07-26 | DePuy Synthes Products, Inc. | Adjustable height arthroplasty plate |
US10136933B2 (en) | 2012-10-30 | 2018-11-27 | Zimmer, Inc. | Orthopedic connections |
US8968409B2 (en) | 2013-03-13 | 2015-03-03 | DePuy Synthes Products, LLC | Orthopaedic implant and method of installing same |
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2011
- 2011-02-04 GB GBGB1101896.7A patent/GB201101896D0/en not_active Ceased
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2012
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EP2670360B1 (en) | 2015-03-25 |
AU2012213548A1 (en) | 2013-08-22 |
US9066805B2 (en) | 2015-06-30 |
JP2014511213A (ja) | 2014-05-15 |
AU2012213548B2 (en) | 2016-02-25 |
US20150272643A1 (en) | 2015-10-01 |
US20130338780A1 (en) | 2013-12-19 |
EP2670360A1 (en) | 2013-12-11 |
CA2826204A1 (en) | 2012-08-09 |
WO2012104285A1 (en) | 2012-08-09 |
CN103533912B (zh) | 2015-10-07 |
CN103533912A (zh) | 2014-01-22 |
GB201101896D0 (en) | 2011-03-23 |
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