US20020198527A1 - Implantable screw for stabilization of a joint or a bone fracture - Google Patents
Implantable screw for stabilization of a joint or a bone fracture Download PDFInfo
- Publication number
- US20020198527A1 US20020198527A1 US10/174,906 US17490602A US2002198527A1 US 20020198527 A1 US20020198527 A1 US 20020198527A1 US 17490602 A US17490602 A US 17490602A US 2002198527 A1 US2002198527 A1 US 2002198527A1
- Authority
- US
- United States
- Prior art keywords
- screw
- implantable screw
- bone
- thread
- joint
- 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.)
- Abandoned
Links
- 230000006641 stabilisation Effects 0.000 title claims description 19
- 238000011105 stabilization Methods 0.000 title claims description 19
- 208000010392 Bone Fractures Diseases 0.000 title claims description 16
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 62
- 238000003780 insertion Methods 0.000 claims description 11
- 230000037431 insertion Effects 0.000 claims description 11
- 239000004033 plastic Substances 0.000 claims description 7
- 229920003023 plastic Polymers 0.000 claims description 7
- 239000000835 fiber Substances 0.000 claims description 5
- 239000002184 metal Substances 0.000 claims description 5
- 239000000463 material Substances 0.000 claims description 4
- 230000002787 reinforcement Effects 0.000 claims 2
- 239000007943 implant Substances 0.000 description 20
- 210000001503 joint Anatomy 0.000 description 12
- 210000003041 ligament Anatomy 0.000 description 9
- 210000000142 acromioclavicular joint Anatomy 0.000 description 7
- 238000005452 bending Methods 0.000 description 7
- 238000013461 design Methods 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- 210000004417 patella Anatomy 0.000 description 5
- 230000003416 augmentation Effects 0.000 description 4
- 208000014674 injury Diseases 0.000 description 4
- 239000011295 pitch Substances 0.000 description 4
- 238000012546 transfer Methods 0.000 description 4
- 238000004804 winding Methods 0.000 description 4
- 210000000707 wrist Anatomy 0.000 description 4
- 210000000544 articulatio talocruralis Anatomy 0.000 description 3
- 230000003190 augmentative effect Effects 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 230000006735 deficit Effects 0.000 description 3
- 210000002082 fibula Anatomy 0.000 description 3
- 239000012634 fragment Substances 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 210000002303 tibia Anatomy 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 210000003423 ankle Anatomy 0.000 description 2
- 238000005266 casting Methods 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 238000010494 dissociation reaction Methods 0.000 description 2
- 230000005593 dissociations Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 210000001149 inferior tibiofibular joint Anatomy 0.000 description 2
- 210000003991 lunate bone Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000004197 pelvis Anatomy 0.000 description 2
- 210000003189 scaphoid bone Anatomy 0.000 description 2
- 210000001562 sternum Anatomy 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 206010060820 Joint injury Diseases 0.000 description 1
- 206010061223 Ligament injury Diseases 0.000 description 1
- 206010061363 Skeletal injury Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 210000003010 carpal bone Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 210000002683 foot Anatomy 0.000 description 1
- 210000003405 ileum Anatomy 0.000 description 1
- 210000001621 ilium bone Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 210000001037 metacarpus Anatomy 0.000 description 1
- 210000001872 metatarsal bone Anatomy 0.000 description 1
- 210000003789 metatarsus Anatomy 0.000 description 1
- 201000008482 osteoarthritis Diseases 0.000 description 1
- 210000000426 patellar ligament Anatomy 0.000 description 1
- 210000001696 pelvic girdle Anatomy 0.000 description 1
- 210000004061 pubic symphysis Anatomy 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 210000001898 sternoclavicular joint Anatomy 0.000 description 1
- 210000002463 superior tibiofibular joint Anatomy 0.000 description 1
- 210000004233 talus Anatomy 0.000 description 1
- 210000001137 tarsal bone Anatomy 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000003906 tibiofibular joint Anatomy 0.000 description 1
Images
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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/866—Material or manufacture
-
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
-
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
- A61B17/863—Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
Definitions
- the present invention relates in general to an implant for augmenting stabilization of bone joints and in particular to an implant for augmenting stabilization of bone joints with a low relative movement and for interfragmentary stabilization of bone fractures, when primarily tensile forces are to be applied.
- the joints of the body have different ranges of movement. In addition to the joints in the main axes of movement of the extremities as well as the mandibular joint, some of which have relative movements of a considerable extent, there are many joints with a low relative range of movement.
- Typical examples of this include the acromioclavicular joint as the connection between the shoulder blade and the collar bone (acromioclavicular joint), the joint between the collar bone and the breastbone or sternum (sternoclavicular joint), the iliosacral joint, the pubic symphysis, the articulated connections between the tibia and fibula (proximal and distal tibiofibular joints), the joints between the wrist (carpal bones) and the foot (tarsal bones) as well as the joints between the bones of the metacarpus (metacarpal joints) and those of the metatarsus (metatarsal joints).
- the best known representative of the first group is the so-called locking screw.
- the two partners in the joint are secured rigidly relative to one another by a direct screw connection, which guarantees congruence of the joint, but blocks relative movement of the joint.
- Similar functions are achieved by bridging the joint with Kirschner's wires, optionally supplemented by wire cerlage or by using rigid osteosynthesis plates (especially in the area of the pelvis).
- Known representatives of the second group include plastic cords or bands made of absorbable or non-absorbable materials (literature: R. W. Fremerey et al. (1996) “Surgical treatment of acute, complete rupture of the AC joint,” Kirchirurg [Trauma Surgeon] 99:341-5), wire cables in the technique proposed by LABITZKE (literature: R. Labitzke (1982) “Wire cables and intraosseous pressure distribution systems in surgery,” Chirurg [Surgeon] 53:741-3) or the use of wire cerclage.
- a typical representative of the fourth group is the joint plate developed by Ramanzadeh for stabilization of ruptures of the acromioclavicular joint.
- this plate has the disadvantage that it is difficult to adjust the correct congruence of the joint, and the axes of rotation of the joint and the implant do not match, so the natural movement of the joint is at least partially blocked.
- this is achieved with an implant which augments the ligament connections reliably in joints with a small relative movement, while causing little or no impairment of the natural range of movement of the joint by providing an implantable screw which has a flexible shaft for stabilization of a joint or a bone.
- the present invention resolves prior art problems by providing the design of an implant which guarantees a transfer of tensile forces almost exclusively, whereas there is little or no transfer of bending torque, compressive forces and transverse forces through the flexible shaft and by providing an implantable screw for stabilization of a joint or a bone fracture comprising an elongated body with a proximal head portion and a distal insertion portion having a thread, wherein the head portion and the insertion portion are interconnected by a flexible shaft.
- Such a screw makes it possible for both bones involved in a joint injury or both fragments involved in a bone injury to be joined by one or more screws which have a flexible shaft.
- This design of the implant guarantees transfer of tensile forces almost exclusively, while bending moments, compressive forces and transverse forces are not transmitted at all by the flexible shaft or only to a slight extent.
- the screw is preferably installed so that the axis of the screw corresponds to the direction of the resultant force of the ligament connection of the joint. Ideal augmentation of the joint can be achieved in this way.
- the screw is introduced at a right angle to the plane of the fracture and causes interfragmentary compression due to the tensile force.
- this invention is suitable for a so-called minimally invasive implantation.
- the screw according to this invention may be designed for use in surgery so that primarily tensile forces are transmitted but no significant bending moment is transmitted.
- the screw according to this invention may be designed so that it can be introduced into the medullary cavity of a fractured bone by way of a so-called creep screw, thereby adapting to the contour of the medullary cavity, which is usually curved.
- planar axial moment of inertia of the screw is 30% less, preferably more than 50% less than that of a screw having the same outside diameter.
- the flexibility in the shaft area can be achieved by a wire cable, a wire bundle, a cord, a spiral or multiple webs and by fibers.
- the wire cable or wire bundle is reinforced on the outside by sleeves or a spiral. Twisting of the wire cable or wire bundle is thereby limited when a torsional moment is applied, and thus the wire cable or wire bundle is stabilized.
- the bending movement of the shaft can be limited by the size of the sleeve or the spiral windings and their spacing relative to one another.
- the threaded part has a bone thread.
- the head part has a wrench socket and has a smooth surface or a bone thread matching the threaded part, depending on the intended application of the implant, said thread having a larger diameter and a smaller thread pitch than the bone thread in the threaded part.
- the implantable screw has wrench sockets in the head part as well as in the threaded part. This allows a stepped wrench to act on these wrench sockets in synchronization.
- FIG. 1 is a bone screw according to the present invention, whose shaft is configured for flexibillity as a wire cable or as a wire bundle;
- FIG. 2 is a bone adjusting screw, whose shaft is configured for flexibility as a wire cable or as a wire bundle;
- FIG. 3 is a bone screw, with a bone thread on the distal side from the head and whose shaft is configured for flexibility as a wire cable or as a wire bundle, with a bone thread at the proximal head side, which has a larger diameter and a smaller thread pitch than the bone thread distal from the head;
- FIG. 4 is a screw, which has a bone thread on one side, with a shaft configured for flexibility as a wire cable, a cord or a wire bundle, and a bolt on the other side with a metal thread and a hexagon socket head nut screwed onto it;
- FIG. 5 is a bone screw, whose shaft is configured to be flexible in the manner of a spiral spring
- FIG. 6 a is a bone screw, which is preferably made of a biocompatible plastic with a flexible shaft composed of multiple webs;
- FIG. 6 b is a hexagon head wrench for use with the bone screw of FIG. 6 a;
- FIG. 7 is a bone screw, wherein the shaft consists of multiple fibers which are anchored alternately in the head part and in the threaded part of the bone screw,
- FIG. 8 is an embodiment of a bone screw according to the present invention for stabilization of the ankle joint (distal tibiofibular joint, syndesmosis);
- FIG. 9 is a further embodiment for stabilization of the acromioclavicular joint
- FIG. 10 is another embodiment for stabilization of the iliosacral joint
- FIG. 11 is another embodiment for stabilization in the area of the wrist with scapholunate dissociation
- FIG. 12 is yet another embodiment for interfragmentary traction screws in the area of the patella with a fracture of the patella;
- FIG. 13 is a bone screw according to FIG. 4, where the wire cable or the wire bundle is reinforced by individual sleeves.
- FIG. 1 there is shown a a bone screw, whose head part 1 and whose threaded part 2 are flexibly interconnected by a wire cable or a wire bundle 3 .
- the wire cable or the wire bundle is fixedly connected in the head part as well as in the threaded part through suitable connection methods (e.g., pressed, glued, soldered or welded connections).
- suitable connection methods e.g., pressed, glued, soldered or welded connections.
- FIG. 2 shows a bone locking screw which has a head part 4 , which is provided with a bone thread, and a threaded part 5 , which are flexibly interconnected by a wire cable or wire bundle 6 analogeous to FIG. 1.
- the thread on the head part and the threaded part are of the same size and the thread flanks are the same. In this way, a previously defined distance between two bones to be joined is established, regardless of the tightening torque of the screw.
- FIG. 3 shows a bone screw with a thread-bearing head part 7 , which is flexibly connected to threaded part 9 by a wire cable or a wire bundle 8 analogeous to FIG. 1.
- the thread on the head part has a larger diameter in comparison with the threaded part and it has a smaller thread pitch.
- FIG. 4 shows a screw which has a threaded part 10 on one side with a bone thread which is connected flexibly by a wire cable, a wire bundle or a cord 11 to a bolt 12 , which has a metal or plastic thread.
- a hexagon socket head nut 13 is screwed onto this bolt.
- the threaded part with the bone thread is screwed into the bone by way of a stud bolt. This is done by means of a cannulated wrench which is pushed over the wire cable or the wire bundle or the cord and the bolt and meshes with the hexagon insert bit 14 of the threaded part.
- the hexagon socket head nut is screwed onto the bolt with a metal thread by means of a cannulated hexagon socket wrench.
- the wire cable or wire bundle that projects on the hexagon socket or the projecting cord is shortened with a knife forceps.
- FIG. 5 shows a variation of a bone screw 15 , whose shaft 16 is designed in the form of a spiral.
- an elastic component is added in this variation.
- the amount of flexibility and elasticity of the shaft depends to a great extent on the design of the spiral. Large spirals have only a low flexibility and elasticity, whereas small spirals are highly elastic and flexible.
- Such a design variant is especially suitable for intramedullary screwing of bones with curved surfaces, e.g., as so-called creep screws in the area of the pelvis.
- the shaft length is limited by a wire cable, a wire bundle, a chain, a fiber or a flexible pin (not shown), preferably arranged in the spiral.
- FIG. 6 a shows a bone screw 17 , which is preferably suitable for being fabricated from absorbable or non-absorbable plastics and is designed so that it can be manufactured by the casting technology.
- the flexibility of the shaft here is achieved due to the fact that it consists of multiple webs 18 .
- the extent of the flexibility of this variant is defined by the number and dimensions of the webs and by the material properties of the material used.
- the webs are capable of transmitting the torsion moments which occur in tightening the screw only to a very limited extent, it is especially advantageous if a hexagon head 21 , 22 (or a different type of wrench socket) is provided in both the threaded part 19 and the head part 20 , so that a torsion load on the webs is prevented when using a corresponding stepped hexagon head wrench according to FIG. 6 b .
- the threaded part is cannulated 23 , so that application of the screw can take place through a corresponding guide wire.
- FIG. 7 shows a bone screw 24 , which is equally suitable for fabrication from an implant metal as well as from absorbable or non-absorbable plastics and which is designed so that the individual components can be manufactured by the casting technology.
- the flexibility of the shaft is achieved by the fact that it consists of multiple fibers 25 which are either held in eyelets 26 , 27 , anchored alternately in the head part 28 and in the threaded part 29 of the screw according to the figure or are each securely anchored in the head part and in the threaded part. Since this variant can transmit only tensile forces, a hexagon head socket 30 , 31 (or a different type of wrench socket) is to be provided in both the head part and in the threaded part, analogeous to FIG. 6 a , permitting the use of a stepped wrench according to FIG. 6 b , with which the head part and threaded part can be screwed equally into the bone.
- syndesmosis ligament connection between the fibula 34 and the tibia 35 in the area of the ankle joint.
- the natural relative movement between the fibula and tibia is preserved due to the flexible shaft.
- the dimensions of the bone screw are selected so that it can be introduced into the bone through the boreholes in a conventional osteosynthesis plate when there is a concomitant fracture of the lateral malleolus.
- FIG. 9 shows another embodiment of a bone screw with a flexible shaft 37 according to FIG. 1 in the area of the ligament connection between the shoulder blade 38 and the collar bone 39 , on the acromioclavicular joint 40 .
- the rupture of all three ligaments involved in this connection is diagramed schematically (acromioclavicular ligament 41 , trapezoid ligament 42 , conoid 43 ).
- the screw is screwed into the coracoid process 44 through the collar bone.
- the natural relative movement between the collar bone and the shoulder blade is maintained due to the flexible shaft.
- a high position of the collar bone which would lead to incongruence of the acromioclavicular joint, is impossible.
- FIG. 10 shows another embodiment of a bone screw having a flexible shaft 45 according to FIG. 4 in the area of the ligament connection between the sacrum 46 and the iliac bone 47 (iliosacral joint 48 ).
- stabilization is accomplished by screwing one or more screws with a flexible shaft into the bone.
- the natural relative movement between the sacrum and the ileum is preserved due to the flexible shaft.
- gaping of the joint gap is reliably prevented due to the screw having a flexible shaft.
- FIG. 11 shows another embodiment of a bone screw having a flexible shaft 49 according to FIG. 4 in the area of the wrist in the case of a ruptured ligament between the scaphoid bone 50 and the lunate bone 51 (scapholunate dissociation).
- Repositioning and stabilization are accomplished by screwing a screw having a flexible shaft into the bone.
- Kirschner's wires the natural relative movement between the scaphoid bone and the lunate bone is preserved due to the flexible shaft.
- the wrist bones that have been screwed together cannot yield laterally.
- FIG. 12 shows another embodiment of bone screws with a flexible shaft 52 , 53 according to FIG. 1 with a transverse fracture of the patella 54 .
- the tensile forces conducted from the quadriceps tendon over the patella and into the patellar tendon are transferred through the two bone screws with a flexible shaft and the two fragments of the patella are compressed together.
- FIG. 13 shows a bone screw according to FIG. 4, where wire cable or wire bundle is reinforced by individual sleeves 55 .
- wire cables tend to twist and coil up when a torsion moment is introduced in the opposite direction to their winding. Due to the fact that sleeves or a spiral are pushed onto the wire cable or the wire bundle, this twisting can be limited, and at the same time, a stabilization of the wire cable can be achieved due to the resulting clamping of the wire cable in the sleeve or the spiral. This allows higher torsion moments to be transmitted than is possible with an unreinforced wire cable or wire bundle.
- the extent of the bending of the flexible screw shaft can be limited.
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- 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)
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- Surgical Instruments (AREA)
- Prostheses (AREA)
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/174,906 US20020198527A1 (en) | 2001-06-21 | 2002-06-18 | Implantable screw for stabilization of a joint or a bone fracture |
| US11/100,844 US7625395B2 (en) | 2001-06-21 | 2005-04-07 | Implantable screw for stabilization of a joint or a bone fracture |
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE10129490A DE10129490A1 (de) | 2001-06-21 | 2001-06-21 | Implantierbare Schraube zur Stabilisierung einer Gelenkverbindung oder eines Knochenbruches |
| DE10129490.5 | 2001-06-21 | ||
| US30126701P | 2001-06-27 | 2001-06-27 | |
| US10/174,906 US20020198527A1 (en) | 2001-06-21 | 2002-06-18 | Implantable screw for stabilization of a joint or a bone fracture |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US11/100,844 Continuation US7625395B2 (en) | 2001-06-21 | 2005-04-07 | Implantable screw for stabilization of a joint or a bone fracture |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US20020198527A1 true US20020198527A1 (en) | 2002-12-26 |
Family
ID=7688667
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US10/174,906 Abandoned US20020198527A1 (en) | 2001-06-21 | 2002-06-18 | Implantable screw for stabilization of a joint or a bone fracture |
| US11/100,844 Expired - Lifetime US7625395B2 (en) | 2001-06-21 | 2005-04-07 | Implantable screw for stabilization of a joint or a bone fracture |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US11/100,844 Expired - Lifetime US7625395B2 (en) | 2001-06-21 | 2005-04-07 | Implantable screw for stabilization of a joint or a bone fracture |
Country Status (8)
| Country | Link |
|---|---|
| US (2) | US20020198527A1 (fr) |
| EP (1) | EP1273269B1 (fr) |
| JP (1) | JP4740513B2 (fr) |
| AU (1) | AU4888102A (fr) |
| CA (1) | CA2391115A1 (fr) |
| DE (2) | DE10129490A1 (fr) |
| ES (1) | ES2278830T3 (fr) |
| ZA (1) | ZA200204327B (fr) |
Cited By (208)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030078584A1 (en) * | 2001-10-18 | 2003-04-24 | Kishore Tipirneni | System and method for fixation of bone fractures |
| EP1430845A1 (fr) * | 2002-12-19 | 2004-06-23 | Stryker Trauma GmbH | Moyen d' osteosynthese comprenant un clou intramedullaire, une vis et un manchon élastique |
| WO2004069065A1 (fr) * | 2003-02-10 | 2004-08-19 | Cell Center Cologne Gmbh | Vis télescopique dynamique pour épiphyse |
| US20040225289A1 (en) * | 2003-05-07 | 2004-11-11 | Biedermann Motech Gmbh | Dynamic anchoring device and dynamic stabilization device for bones, in particular for vertebrae, with such an anchoring device |
| US20050113929A1 (en) * | 2000-02-16 | 2005-05-26 | Cragg Andrew H. | Spinal mobility preservation apparatus |
| US20050143823A1 (en) * | 2003-12-31 | 2005-06-30 | Boyd Lawrence M. | Dynamic spinal stabilization system |
| US20050154390A1 (en) * | 2003-11-07 | 2005-07-14 | Lutz Biedermann | Stabilization device for bones comprising a spring element and manufacturing method for said spring element |
| US20050177240A1 (en) * | 2004-02-06 | 2005-08-11 | Jason Blain | Vertebral facet joint prosthesis and method of fixation |
| US20050216003A1 (en) * | 2004-03-03 | 2005-09-29 | Biedermann Motech Gmbh | Bone anchoring element for anchoring in a bone or vertebra, and stabilization device with such a bone anchoring element |
| WO2005092226A1 (fr) * | 2004-03-26 | 2005-10-06 | Synthes Gmbh | Vis à os avec articulation |
| US20060079898A1 (en) * | 2003-10-23 | 2006-04-13 | Trans1 Inc. | Spinal motion preservation assemblies |
| US20060155297A1 (en) * | 2003-10-23 | 2006-07-13 | Ainsworth Stephen D | Driver assembly for simultaneous axial delivery of spinal implants |
| US20060195099A1 (en) * | 2005-02-15 | 2006-08-31 | Apex Abc, Llc | Bone screw for positive locking but flexible engagement to a bone |
| US20060235414A1 (en) * | 2005-04-14 | 2006-10-19 | Sdgi Holdings, Inc. | Intervertebral joint |
| WO2006122218A2 (fr) | 2005-05-10 | 2006-11-16 | Acumed Sports Medicine Llc | Dispositif a articulation pivotante pour solidariser des os |
| US7235079B2 (en) | 2004-11-18 | 2007-06-26 | Acumed Llc | Composite bone fasteners |
| US20070162026A1 (en) * | 2001-10-18 | 2007-07-12 | Fxdevices Llc | System and method for a cap used in the fixation of bone fractures |
| US20070168036A1 (en) * | 2003-10-23 | 2007-07-19 | Trans1 Inc. | Spinal motion preservation assemblies |
| US20070260248A1 (en) * | 2001-10-18 | 2007-11-08 | Fxdevices, Llc | Cannulated bone screw system and method |
| US20070270804A1 (en) * | 2006-02-02 | 2007-11-22 | Chudik Steven C | Acromioclavicular joint repair system |
| US20080004707A1 (en) * | 2003-10-23 | 2008-01-03 | Cragg Andrew H | Prosthetic nucleus apparatus and method |
| US20080154316A1 (en) * | 2004-08-09 | 2008-06-26 | Inbone Technologies, Inc. | Systems and methods for the fixation or fusion bone related applications |
| US20080177333A1 (en) * | 2006-10-24 | 2008-07-24 | Warsaw Orthopedic, Inc. | Adjustable jacking implant |
| US20080177291A1 (en) * | 2006-11-01 | 2008-07-24 | Jensen David G | Orthopedic connector system |
| US20080188899A1 (en) * | 2007-02-07 | 2008-08-07 | Apex Biomedical Company, Llc | Rotationally asymmetric bone screw |
| US20080213714A1 (en) * | 2005-11-11 | 2008-09-04 | Alexander Knoch | Rotary Furnace Burner |
| US20080243132A1 (en) * | 2001-10-18 | 2008-10-02 | Fx Devices, Llc | Tensioning system and method for the fixation of bone fractures |
| US20080243191A1 (en) * | 2001-10-18 | 2008-10-02 | Fx Devices, Llc | Adjustable bone plate fixation system and metho |
| US20080262502A1 (en) * | 2006-10-24 | 2008-10-23 | Trans1, Inc. | Multi-membrane prosthetic nucleus |
| US20080269807A1 (en) * | 2007-04-19 | 2008-10-30 | Stryker Trauma Gmbh | Hip fracture device with static locking mechanism allowing compression |
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| US11304733B2 (en) | 2020-02-14 | 2022-04-19 | Spinal Elements, Inc. | Bone tie methods |
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| US12042402B2 (en) | 2020-12-09 | 2024-07-23 | Si-Bone Inc. | Sacro-iliac joint stabilizing implants and methods of implantation |
| CN112932643A (zh) * | 2021-04-20 | 2021-06-11 | 西南医科大学附属医院 | 下胫腓联合微动弹性内固定植入物 |
| US12336745B2 (en) | 2021-05-10 | 2025-06-24 | Trilliant Surgical Llc | Semi-rigid device for orthopedic fixation |
| WO2022240742A1 (fr) * | 2021-05-10 | 2022-11-17 | Trilliant Surgical Llc | Dispositif semi-rigide pour fixation orthopédique |
| US20240081870A1 (en) * | 2021-07-15 | 2024-03-14 | Blue Sky Technologies, LLC | Anchor |
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| US11317956B1 (en) * | 2021-08-26 | 2022-05-03 | University Of Utah Research Foundation | Active compression bone screw |
| US11523852B1 (en) * | 2021-08-26 | 2022-12-13 | University Of Utah Research Foundation | Active compression bone screw |
| US12458413B2 (en) | 2021-12-03 | 2025-11-04 | Si-Bone Inc. | Fusion cages and methods for sacro-iliac joint stabilization |
| US12369952B2 (en) | 2021-12-10 | 2025-07-29 | Spinal Elements, Inc. | Bone tie and portal |
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| US12426871B2 (en) | 2022-08-24 | 2025-09-30 | Globus Medical, Inc. | Systems, devices and methods for implanting suture buttons |
| US12496101B2 (en) | 2022-09-06 | 2025-12-16 | Spinal Elements, Inc. | Bone tie and bone tie inserter |
| WO2024100494A1 (fr) * | 2022-11-09 | 2024-05-16 | DePuy Synthes Products, Inc. | Dispositifs et procédés de réparation de syndesmose à fixation latérale |
| US12433733B2 (en) | 2023-08-15 | 2025-10-07 | Si-Bone Inc. | Pelvic stabilization implants, methods of use and manufacture |
| US11998255B1 (en) | 2023-08-26 | 2024-06-04 | University Of Utah Research Foundation | Cannulated continuous compression screw |
| US12023080B1 (en) | 2023-08-26 | 2024-07-02 | University Of Utah Research Foundation | Cannulated continuous compression screw |
| US12178485B1 (en) | 2023-08-26 | 2024-12-31 | University Of Utah Research Foundation | Cannulated continuous compression screw |
Also Published As
| Publication number | Publication date |
|---|---|
| ES2278830T3 (es) | 2007-08-16 |
| CA2391115A1 (fr) | 2002-12-21 |
| US20050177167A1 (en) | 2005-08-11 |
| US7625395B2 (en) | 2009-12-01 |
| EP1273269B1 (fr) | 2007-01-03 |
| EP1273269A2 (fr) | 2003-01-08 |
| DE50209129D1 (de) | 2007-02-15 |
| JP4740513B2 (ja) | 2011-08-03 |
| DE10129490A1 (de) | 2003-01-02 |
| JP2003010199A (ja) | 2003-01-14 |
| AU4888102A (en) | 2003-01-02 |
| EP1273269A3 (fr) | 2003-12-17 |
| ZA200204327B (en) | 2002-10-24 |
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