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WO2010107403A1 - Vis de compression pour hanche à porte-lame, coulissante, antirotative et verrouillante (mis a chs) à invasion minimale - Google Patents

Vis de compression pour hanche à porte-lame, coulissante, antirotative et verrouillante (mis a chs) à invasion minimale Download PDF

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Publication number
WO2010107403A1
WO2010107403A1 PCT/TR2010/000044 TR2010000044W WO2010107403A1 WO 2010107403 A1 WO2010107403 A1 WO 2010107403A1 TR 2010000044 W TR2010000044 W TR 2010000044W WO 2010107403 A1 WO2010107403 A1 WO 2010107403A1
Authority
WO
WIPO (PCT)
Prior art keywords
screw
antirotator
blade
hip
hip 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.)
Ceased
Application number
PCT/TR2010/000044
Other languages
English (en)
Inventor
Fuat Akpinar
Nihat Tosun
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Tst Rakor Ve Tibbi Aletler Sanayi Ve Ticaret Ltd Sirketi
Original Assignee
Tst Rakor Ve Tibbi Aletler Sanayi Ve Ticaret Ltd Sirketi
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Tst Rakor Ve Tibbi Aletler Sanayi Ve Ticaret Ltd Sirketi filed Critical Tst Rakor Ve Tibbi Aletler Sanayi Ve Ticaret Ltd Sirketi
Priority to RU2011140300/14A priority Critical patent/RU2011140300A/ru
Priority to EP10724151A priority patent/EP2408388A1/fr
Publication of WO2010107403A1 publication Critical patent/WO2010107403A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90—Guides therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
    • 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
    • A61B17/744—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
    • 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
    • A61B17/846—Nails or pins, i.e. anchors without movable parts, holding by friction only, with or without structured surface
    • A61B17/848—Kirschner wires, i.e. thin, long nails
    • 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
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8872—Instruments for putting said fixation devices against or away from the bone
    • 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
    • A61B2017/8655—Pins or screws or threaded wires; nuts therefor with special features for locking in the bone

Definitions

  • This invention is related to the minimal invasive, compressive, locking, antirotator sliding blade holder hip screw which provides fusion by fixing bones in case of single or multiple fractures of femoral neck bones.
  • This invention is related to the antirotator blade holder femoral head hip screw being able to overcome the disadvantages determined above, providing bone fusion by bone fixation, being able to make compression.
  • FIG. 4 View of the cortex bone screw
  • FIG. 5 The threaded compression screw and its top view
  • MIS A CHS Minimal invasive, compressive, locking, antirotator sliding blade holder hip screw
  • Cannulated sled bearing inserter of the cannulated hip screw (MIS A CHS) 8. Guide for the cortex bone screw
  • This invention is the minimal invasive, compressive, locking, antirotator sliding blade holder hip screw (MIS A CHS) which provides fusion by fixing bones in case of single or multiple neck fractures of femoral bones; and its feature is being consisted of that kirchner guide wire (1), minimal invasive, compressive, locking, antirotator sliding blade holder hip screw (2), spongios threaded part of MIS A CHS (2-1), hole through the hip screw (2-2), cortex bone screw socket for compression (2-3), tapered neck of the hip screw (2-4), gradually thicken last part of the hip screw (2-5), slide socket of the antirotator blade up to the end of the hip screw (2-6), threaded socket of the compression screw (2-7), step inhibiting the hip screw to sink into the bone (2-8), antirotator blade (3), propulsive screw socket of the antirotator blade (3-1), sliding part of the antirotator blade (3-2), back part of the antirotator blade (3-3), threaded compression screw (4), sliding propulsor of the antirotator sliding blade (5),
  • the invention is the compressive, antirotator blade holder cannulated femur head hip screw (MIS A CHS); and its feature is that operation incision is small.
  • the invention is the compressive, antirotator blade holder cannulated femur head hip screw (MIS A CHS); and its feature is that application period is too short and easy. Usage of scopy is the least for reduction control and placing the guide kirschner wire (1). Infection risk is too low.
  • the invention is the minimal invasive, compressive, locking, antirotator sliding blade holder hip screw (MIS A CHS); and its feature is characterized that the screw can be sent to the head from lateral through the neck with any desired angle not a stable angle.
  • MIS A CHS minimal invasive, compressive, locking, antirotator sliding blade holder hip screw
  • the interlocking screw can be easily applied from superio lateral to infero-medial with a guide. There is no need for scopy.
  • the invention is the compressive, antirotator blade holder cannulated femur head hip screw (MIS A CHS); and its feature is providing positive effect to union because of not being preventing slide compression in the fracture region (because of not being Z- effect) and migration of the screw (MIS A CHS) to the joint (cut out problem) is minimized.
  • the screw prevents the head's rotation on the threaded part with the blade, in MIS A CHS system.
  • Patient is lay to an orthopaedic operation table.
  • a 2.4mm threaded pointed wire that will prevent the head rotation is sent from trochanteric major to the head in the way that won't obstruct the main hip screw (MIS A CHS) to be placed.
  • a threaded pointed wire having diameter 2.4mm is placed from proximal lateral femur, from the middle-bottom part of the neck to the middle of the head till 8- 10mm to the subcondral distance; and fracture reduction and the hip screw (MIS A CHS) position are controlled by scopy. 5. 2cm incision is made for the sieve that will be placed over the guide wire and the portal is widened by reaching to the bone with a pair of scissors, the sleeve is placed.
  • the length of the hip screw is measured with the same length screw or the measuring gauge.
  • Lateral cortex neck and head are holed with an adjustable and special length marked drill over the guide wire. Bone raspings from drilling are put with a special cannula to the fracture region by reaching there from the hole opened.
  • Secondary compression is made by placing the threaded compression screw.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)

Abstract

Cette invention concerne une vis pour tête fémorale de hanche (MIS A CHS) qui permet la fusion par fixation des os dans le cas de fractures de col simples ou multiples des os fémoraux, ayant les caractéristiques suivantes : fil-guide pour Kirchner (1), vis de compression pour hanche à porte-lame, coulissante, antirotative et verrouillante (MIS A CHS) à invasion minimale (2), partie filetée des vis à os spongieux du système MIS A CHS (2-1), trou traversant la vis pour hanche (2-2), manchon de vis à os cortical pour la compression (2-3), collet conique de la vis pour hanche (2-4), dernière partie s'épaississant progressivement de la vis pour hanche (2-5), manchon à coulisse de la lame antirotative jusqu'à l'extrémité de la vis pour hanche (2-6), manchon fileté de la vis de compression (2-7), butée empêchant la vis pour hanche de se noyer dans l'os (2-8), lame antirotative (3), manchon de vis de propulsion de la lame antirotative (3-1), partie coulissante de la lame antirotative (3-2), partie arrière de la lame antirotative (3-3), vis de compression filetée (4), propulseur coulissant de la lame coulissante antirotative (5), stabilisateur de vis pour hanche (MIS A CHS) (6), mécanisme d'insertion canulé porte-traîneau pour vis pour hanche canulée (MIS A CHS) (7), guide pour la vis à os corticale (8) et vis à os corticale (9).
PCT/TR2010/000044 2009-03-16 2010-03-15 Vis de compression pour hanche à porte-lame, coulissante, antirotative et verrouillante (mis a chs) à invasion minimale Ceased WO2010107403A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
RU2011140300/14A RU2011140300A (ru) 2009-03-16 2010-03-15 Минимально инвазивный, компрессирующий, блокирующий бедренный винт-держатель с антиротационным скользящим лезвием
EP10724151A EP2408388A1 (fr) 2009-03-16 2010-03-15 Vis de compression pour hanche à porte-lame, coulissante, antirotative et verrouillante (mis a chs) à invasion minimale

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR2009/02053A TR200902053A2 (tr) 2009-03-16 2009-03-16 Mi̇ni̇mal i̇nvasi̇v, kompresyonlu, ki̇li̇tli̇, dönmeyi̇ engelleyi̇ci̇ kayici kamali kalça vi̇dasi ( mis a chs) @
TR2009/02053 2009-03-16

Publications (1)

Publication Number Publication Date
WO2010107403A1 true WO2010107403A1 (fr) 2010-09-23

Family

ID=42340467

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/TR2010/000044 Ceased WO2010107403A1 (fr) 2009-03-16 2010-03-15 Vis de compression pour hanche à porte-lame, coulissante, antirotative et verrouillante (mis a chs) à invasion minimale

Country Status (4)

Country Link
EP (1) EP2408388A1 (fr)
RU (1) RU2011140300A (fr)
TR (1) TR200902053A2 (fr)
WO (1) WO2010107403A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013000071A1 (fr) * 2011-06-28 2013-01-03 Spinologics Inc. Vis à os et système et procédé de fixation d'un os
CN104138293A (zh) * 2013-05-08 2014-11-12 刘瑾 一种腰骶椎经皮椎弓根螺钉置入定位器
US20170100182A1 (en) * 2015-10-07 2017-04-13 Stabiliz Orthopaedics, LLC Bone fracture fixation device with transverse set screw and aiming guide
CN112075996A (zh) * 2020-09-14 2020-12-15 刘继坤 一种骨科手术用定位及其锁紧装置
CN114917012A (zh) * 2022-05-19 2022-08-19 中国人民解放军联勤保障部队第九〇九医院 股骨颈骨折空心钉固定定位导向器

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070270848A1 (en) * 2006-05-01 2007-11-22 Lin Shih-Wei Interlocking hip screw

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070270848A1 (en) * 2006-05-01 2007-11-22 Lin Shih-Wei Interlocking hip screw

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013000071A1 (fr) * 2011-06-28 2013-01-03 Spinologics Inc. Vis à os et système et procédé de fixation d'un os
US9861411B2 (en) 2011-06-28 2018-01-09 Spinologics Inc. Bone screw, and bone fixation system and method
US10117694B2 (en) 2011-06-28 2018-11-06 Spinologics Inc. Bone screw, and bone fixation system and method
CN104138293A (zh) * 2013-05-08 2014-11-12 刘瑾 一种腰骶椎经皮椎弓根螺钉置入定位器
CN104138293B (zh) * 2013-05-08 2016-09-21 刘瑾 一种腰骶椎经皮椎弓根螺钉置入定位器
US20170100182A1 (en) * 2015-10-07 2017-04-13 Stabiliz Orthopaedics, LLC Bone fracture fixation device with transverse set screw and aiming guide
US11213334B2 (en) * 2015-10-07 2022-01-04 Stabiliz Orthopaedics, LLC Bone fracture fixation device with transverse set screw and aiming guide
CN112075996A (zh) * 2020-09-14 2020-12-15 刘继坤 一种骨科手术用定位及其锁紧装置
CN112075996B (zh) * 2020-09-14 2021-08-06 杭州键嘉机器人有限公司 一种骨科手术用定位及其锁紧装置
CN114917012A (zh) * 2022-05-19 2022-08-19 中国人民解放军联勤保障部队第九〇九医院 股骨颈骨折空心钉固定定位导向器

Also Published As

Publication number Publication date
TR200902053A2 (tr) 2010-02-22
RU2011140300A (ru) 2013-04-27
EP2408388A1 (fr) 2012-01-25

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