FR2671966A3 - Device for reducing factures - Google Patents
Device for reducing factures Download PDFInfo
- Publication number
- FR2671966A3 FR2671966A3 FR9200398A FR9200398A FR2671966A3 FR 2671966 A3 FR2671966 A3 FR 2671966A3 FR 9200398 A FR9200398 A FR 9200398A FR 9200398 A FR9200398 A FR 9200398A FR 2671966 A3 FR2671966 A3 FR 2671966A3
- Authority
- FR
- France
- Prior art keywords
- ring
- rod
- head
- femur
- screw
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- 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
- A61B17/746—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 a plate opposite the femoral head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/3011—Cross-sections or two-dimensional shapes
- A61F2002/30138—Convex polygonal shapes
- A61F2002/30146—Convex polygonal shapes octagonal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—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
- 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
- A61F2002/30364—Rotation about the common longitudinal axis
- A61F2002/30367—Rotation about the common longitudinal axis with additional means for preventing said rotation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0017—Angular shapes
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
Description
La présente invention concerne un dispositif pour réduire les fractures notamment du trochanter, du condyle et du col du fémur.The present invention relates to a device for reducing fractures, particularly of the trochanter, condyle and neck of the femur.
Les dispositifs connus de ce type, par exemple pour réduire les fractures du col du fémur, comprennent une plaque, apte à être appliquée par l'intermédiaire d'une vis contre le corps du fémur, et pourvue d'une bague coaxiale à l'axe de la tête du fémur, et une tige ayant une extrémité conformée en vis pour son vissage dans la tête du fémur, et une extrémité logée dans la bague et bloquée à l'intérieur de cette dernière.Known devices of this type, for example for reducing fractures of the neck of the femur, comprise a plate, capable of being applied by means of a screw against the body of the femur, and provided with a ring coaxial with the axis of the head of the femur, and a rod having one end shaped into a screw for screwing it into the head of the femur, and one end housed in the ring and locked inside the latter.
Dans ces dispositifs connus, quelques inconvénients ont été relevés concernant la possibilité de positionner la plaque par rapport à la tige après que cette dernière a été engagée in situ.In these known devices, some drawbacks have been noted concerning the possibility of positioning the plate relative to the rod after the latter has been engaged in situ.
Le but de la présente invention est par conséquent de réaliser un dispositif qui permet un positionnement angulaire plus précis entre la plaque et la tige afin de satisfaire à pratiquement toutes les exigences.The object of the present invention is therefore to provide a device which allows more precise angular positioning between the plate and the rod in order to meet practically all requirements.
A cet effet, le dispositif pour réduire des fractures, telles que du trochanter, du condyle et du col du fémur, du type comprenant une plaque susceptible d'être appliquée, au moyen de vis, contre le corps de l'os et pourvue d'une bague, et une tige ayant une extrémité conformée en vis pour son vissage dans la tête de l'os, et une extrémité logée dans la bague et bloquée à l'intérieur de cette dernière, est remarquable, selon l'invention, en ce que l'extrémité de la tige logée dans la bague est liée, de façon rotative, à la bague même au moyen d'une liaison prismatique polygonale. To this end, the device for reducing fractures, such as the trochanter, the condyle and the neck of the femur, of the type comprising a plate capable of being applied, by means of screws, against the body of the bone and provided with 'a ring, and a rod having one end shaped into a screw for its screwing in the head of the bone, and one end housed in the ring and locked inside the latter, is remarkable, according to the invention, in that the end of the rod housed in the ring is rotatably connected to the ring even by means of a prismatic polygonal connection.
Les figures du dessin annexé feront bien comprendre comment l'invention peut être réalisée. Sur ces figures, des références identiques désignent des éléments semblables.The figures of the appended drawing will make it clear how the invention can be implemented. In these figures, identical references designate similar elements.
La figure 1 montre une vue en coupe du dispositif conforme à l'invention, appliqué à un fémur fracturé au niveau du col.Figure 1 shows a sectional view of the device according to the invention, applied to a fractured femur at the neck.
La figure 2 montre une vue éclatée du dispositif.Figure 2 shows an exploded view of the device.
La figure 3 est une vue en coupe du dispositif selon la ligne III-III de la figure 1.FIG. 3 is a sectional view of the device according to line III-III of FIG. 1.
En se référant à ces figures, le fémur est indiqué par la référence numérique 1, la tête de fémur par la référence numérique 2 et, par la référence numérique 3 une fracture située au niveau du col 4. La tête 2 est logée dans l'acétabule 5 pour former l'articulation de la hanche.Referring to these figures, the femur is indicated by the reference numeral 1, the femur head by the reference numeral 2 and, by the reference numeral 3 a fracture located at the level of the neck 4. The head 2 is housed in the acetabulum 5 to form the hip joint.
Le dispositif pour réduire la fracture 3 porte la référence numérique 6 et il comprend une plaque ou platine 7 pourvue de trous 8, et une bague 9 formant, avec la plaque 7, un corps unique. La plaque 7 est façonnée afin d'épouser la surface externe du fémur à laquelle est fixée la plaque 7 au moyen de vis 10 qui traversent les trous 8.The device for reducing the fracture 3 carries the reference numeral 6 and it comprises a plate or plate 7 provided with holes 8, and a ring 9 forming, with the plate 7, a single body. The plate 7 is shaped so as to follow the external surface of the femur to which the plate 7 is fixed by means of screws 10 which pass through the holes 8.
La bague 9 forme avec la plaque 7 un angle obtus tel qu'elle peut s'engager dans un trou 11 ménagé dans le fémur sensiblement coaxialement à l'axe de la tête fémorale 2. La bague 9 est pourvue d'un logement 12 de section prismatique, par exemple octogonal qui, vers l'extérieur, prolonge coaxialement un logement cylindrique 13 de diamètre supérieur de façon à définir ainsi un épaulement annulaire 14.The ring 9 forms with the plate 7 an obtuse angle such that it can engage in a hole 11 formed in the femur substantially coaxially with the axis of the femoral head 2. The ring 9 is provided with a housing 12 of prismatic, for example octagonal, section which, towards the outside, coaxially extends a cylindrical housing 13 of greater diameter so as to thus define an annular shoulder 14.
Dans le logement 12 est insérée une tige 15 percée axialement par un canal 16. La tige 15 s'engage dans un trou 17 coaxial au trou 11, mais de diamètre inférieur, et traversant la zone de fracture 3.In the housing 12 is inserted a rod 15 pierced axially by a channel 16. The rod 15 engages in a hole 17 coaxial with the hole 11, but of smaller diameter, and crossing the fracture zone 3.
La tige 15 présente une partie terminale façonnée sensiblement en vis conique 18 avec un filetage très prononcé, et une partie terminale opposée 19, de section octogonale, complémentaire de celle du logement 12 de la bague 9. La tige 15 et la bague 9 sont ainsi liées en rotation par cette liaison prismatique. Bien que la partie intermédiaire aux parties d'extrémité 18, 19 ait dans cet exemple une section octogonale, elle pourrait toutefois avoir une tout autre section, par exemple circulaire.The rod 15 has an end part shaped substantially as a conical screw 18 with a very pronounced thread, and an opposite end part 19, of octagonal section, complementary to that of the housing 12 of the ring 9. The rod 15 and the ring 9 are thus linked in rotation by this prismatic connection. Although the intermediate portion to the end portions 18, 19 in this example has an octagonal section, it could however have a completely different section, for example circular.
Le canal 16, en correspondance de la partie 19, est taraudé pour permettre le vissage d'une vis 20 engagée à travers le logement 13, et dont la tête présente un rebord 21 qui s'applique contre l'épaulement 14.The channel 16, in correspondence with the part 19, is tapped to allow the screwing of a screw 20 engaged through the housing 13, and the head of which has a flange 21 which is applied against the shoulder 14.
Par conséquent, après avoir vissé la tige 15 dans la tête fémorale 2, il est possible d'accoupler la partie octogonale 19 de la tige 15 dans le logement 12 de la bague 9, après avoir orienté la plaque de façon à pouvoir être fixée au corps du fémur. Ensuite, en vissant la vis 20, on détermine le blocage et la compression de la tête 2 au corps du fémur le long de la zone de fracture 3.Consequently, after having screwed the rod 15 into the femoral head 2, it is possible to couple the octagonal part 19 of the rod 15 into the housing 12 of the ring 9, after having oriented the plate so that it can be fixed to the body of the femur. Then, by screwing the screw 20, the blocking and compression of the head 2 to the body of the femur are determined along the fracture zone 3.
Il doit être noté que la section octogonale de la tige 15 et du logement 12 permet de positionner la plaque 7 selon des déplacements angulaires de 45 , tandis que des positions intermédiaires peuvent être corrigées par de légers vissages de la tige dans la tête 2, jusqu'à l'obtention d'un alignement parfait entre la tige 15 et le logement 12. Le dispositif 6 de l'invention atteint par conséquent les objectifs fixés.It should be noted that the octagonal section of the rod 15 and of the housing 12 makes it possible to position the plate 7 according to angular displacements of 45, while intermediate positions can be corrected by slight screwings of the rod in the head 2, up to 'to obtain perfect alignment between the rod 15 and the housing 12. The device 6 of the invention therefore achieves the objectives set.
En particulier, il permet de diminuer les temps de recherche de l'alignement entre la tige 15 et la plaque 7, et donc, en définitif, le temps d'intervention. En outre, le dispositif permet d'éviter les rotations excessives de la tige, qui peuvent entraîner des effets critiques surtout en ce qui concerne la capacité d'ancrage de la partie 18 de la tige dans la tête 2. Une précaution est de remarquer que les corrections angulaires de la tige ne peuvent se produire qu'au vissage, puisque la forme conique de la partie à vis 18 provoquerait, au dévissage, un excessif desserrage de l'ancrage dans la tête 2. In particular, it makes it possible to reduce the search times for alignment between the rod 15 and the plate 7, and therefore, ultimately, the intervention time. In addition, the device makes it possible to avoid excessive rotation of the rod, which can cause critical effects especially with regard to the anchoring capacity of the part 18 of the rod in the head 2. A precaution is to note that the angular corrections of the rod can only occur when screwing, since the conical shape of the screw part 18 would cause, when unscrewing, excessive loosening of the anchoring in the head 2.
Claims (3)
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ITBO910011U IT224673Z2 (en) | 1991-01-24 | 1991-01-24 | DEVICE TO REDUCE TROCANTERIC, CONDYLIC AND NECK OF FEMORE FRACTURES. |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| FR2671966A3 true FR2671966A3 (en) | 1992-07-31 |
| FR2671966B3 FR2671966B3 (en) | 1992-12-31 |
Family
ID=11337186
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| FR9200398A Expired - Lifetime FR2671966B3 (en) | 1991-01-24 | 1992-01-16 | DEVICE FOR REDUCING FRACTURES. |
Country Status (2)
| Country | Link |
|---|---|
| FR (1) | FR2671966B3 (en) |
| IT (1) | IT224673Z2 (en) |
Cited By (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6004322A (en) * | 1994-10-25 | 1999-12-21 | Sdgi Holdings, Inc. | Modular pedicle screw system |
| US6176861B1 (en) | 1994-10-25 | 2001-01-23 | Sdgi Holdings, Inc. | Modular spinal system |
| US7229445B2 (en) | 2004-06-21 | 2007-06-12 | Synthes (Usa) | Bone plate with bladed portion |
| EP0925038A4 (en) * | 1996-07-17 | 2008-12-31 | Designs Inc Orthopedic | Surgical fastener assembly |
| US7951176B2 (en) | 2003-05-30 | 2011-05-31 | Synthes Usa, Llc | Bone plate |
| US10335211B2 (en) | 2004-01-26 | 2019-07-02 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
| US10342586B2 (en) | 2003-08-26 | 2019-07-09 | DePuy Synthes Products, Inc. | Bone plate |
| US10624686B2 (en) | 2016-09-08 | 2020-04-21 | DePuy Synthes Products, Inc. | Variable angel bone plate |
| US10772665B2 (en) | 2018-03-29 | 2020-09-15 | DePuy Synthes Products, Inc. | Locking structures for affixing bone anchors to a bone plate, and related systems and methods |
| US10820930B2 (en) | 2016-09-08 | 2020-11-03 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US10905476B2 (en) | 2016-09-08 | 2021-02-02 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US10925651B2 (en) | 2018-12-21 | 2021-02-23 | DePuy Synthes Products, Inc. | Implant having locking holes with collection cavity for shavings |
| US11013541B2 (en) | 2018-04-30 | 2021-05-25 | DePuy Synthes Products, Inc. | Threaded locking structures for affixing bone anchors to a bone plate, and related systems and methods |
| US11026727B2 (en) | 2018-03-20 | 2021-06-08 | DePuy Synthes Products, Inc. | Bone plate with form-fitting variable-angle locking hole |
| US11259851B2 (en) | 2003-08-26 | 2022-03-01 | DePuy Synthes Products, Inc. | Bone plate |
| US11291484B2 (en) | 2004-01-26 | 2022-04-05 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
-
1991
- 1991-01-24 IT ITBO910011U patent/IT224673Z2/en active IP Right Grant
-
1992
- 1992-01-16 FR FR9200398A patent/FR2671966B3/en not_active Expired - Lifetime
Cited By (22)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6004322A (en) * | 1994-10-25 | 1999-12-21 | Sdgi Holdings, Inc. | Modular pedicle screw system |
| US6176861B1 (en) | 1994-10-25 | 2001-01-23 | Sdgi Holdings, Inc. | Modular spinal system |
| US6379357B1 (en) | 1994-10-25 | 2002-04-30 | Sdgi Holdings, Inc. | Modular spinal system |
| EP0925038A4 (en) * | 1996-07-17 | 2008-12-31 | Designs Inc Orthopedic | Surgical fastener assembly |
| US11419647B2 (en) | 2003-05-30 | 2022-08-23 | DePuy Synthes Products, Inc. | Bone plate |
| US7951176B2 (en) | 2003-05-30 | 2011-05-31 | Synthes Usa, Llc | Bone plate |
| US9931148B2 (en) | 2003-05-30 | 2018-04-03 | DePuy Synthes Products, Inc. | Bone plate |
| US10231768B2 (en) | 2003-05-30 | 2019-03-19 | DePuy Synthes Products, Inc. | Methods for implanting bone plates |
| US10653466B2 (en) | 2003-05-30 | 2020-05-19 | DePuy Synthes Products, Inc. | Bone plate |
| US10342586B2 (en) | 2003-08-26 | 2019-07-09 | DePuy Synthes Products, Inc. | Bone plate |
| US11259851B2 (en) | 2003-08-26 | 2022-03-01 | DePuy Synthes Products, Inc. | Bone plate |
| US10335211B2 (en) | 2004-01-26 | 2019-07-02 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
| US11291484B2 (en) | 2004-01-26 | 2022-04-05 | DePuy Synthes Products, Inc. | Highly-versatile variable-angle bone plate system |
| US7229445B2 (en) | 2004-06-21 | 2007-06-12 | Synthes (Usa) | Bone plate with bladed portion |
| US10624686B2 (en) | 2016-09-08 | 2020-04-21 | DePuy Synthes Products, Inc. | Variable angel bone plate |
| US10905476B2 (en) | 2016-09-08 | 2021-02-02 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US10820930B2 (en) | 2016-09-08 | 2020-11-03 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US11529176B2 (en) | 2016-09-08 | 2022-12-20 | DePuy Synthes Products, Inc. | Variable angle bone plate |
| US11026727B2 (en) | 2018-03-20 | 2021-06-08 | DePuy Synthes Products, Inc. | Bone plate with form-fitting variable-angle locking hole |
| US10772665B2 (en) | 2018-03-29 | 2020-09-15 | DePuy Synthes Products, Inc. | Locking structures for affixing bone anchors to a bone plate, and related systems and methods |
| US11013541B2 (en) | 2018-04-30 | 2021-05-25 | DePuy Synthes Products, Inc. | Threaded locking structures for affixing bone anchors to a bone plate, and related systems and methods |
| US10925651B2 (en) | 2018-12-21 | 2021-02-23 | DePuy Synthes Products, Inc. | Implant having locking holes with collection cavity for shavings |
Also Published As
| Publication number | Publication date |
|---|---|
| ITBO910011U1 (en) | 1992-07-24 |
| ITBO910011V0 (en) | 1991-01-24 |
| IT224673Z2 (en) | 1996-06-27 |
| FR2671966B3 (en) | 1992-12-31 |
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