Systems and methods for using polyaxial plates

• US 10,080,598 B2
• Filed: 01/26/2015
• Issued: 09/25/2018
• Est. Priority Date: 07/25/2005
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Austin, Gene Edward, Harmon, Jon A., Janna, Sied W., Rains, James K., Schneider, John B., Petteys, Timothy J.
• Primary Examiner(s): Ku, Si Ming
• Application Number:
  US14/605,651
• Publication Number:
  US 20150142063A1
• Time in Patent Office: 1,338 Days
• Field of Search: 606280-299, 606 70, 606 71
• CPC Class Codes: A61B 17/74 Devices for the head or neck or trochanter of the femur trochanteric devices connected to the proximal part of an endoprosthetic femoral shaft A61F2/30739; endoprosthetic internal fixation devices for the head or neck of the femur A61F2/3601
• CPC Class Codes: A61B 17/8033 having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
• CPC Class Codes: A61B 17/8052 immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
• CPC Class Codes: A61B 17/8057 the interlocking form comprising a thread
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 17/8085 with pliable or malleable elements or having a mesh-like structure, e.g. small strips A61B17/8071, A61B17/8076 take precedence
• CPC Class Codes: A61B 17/8605 Heads, i.e. proximal ends projecting from bone
• CPC Class Codes: A61B 17/863 with thread interrupted or changing its form along shank, other than constant taper
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004

Abstract

Embodiments of the present invention provide a bone fixation assembly that can provide polyaxial fixation. The polyaxial fixation may be provided by fins that protrude from an opening in a bone plate or fins that protrude from a fastener head.

Claims

1. A method for securing a bone plate to a bone using polyaxial fixation, comprising:

(a) inserting at least one fastener into an opening of a bone plate, the at least one fastener being at least partially threaded and having a head portion and a shaft portion and the bone plate comprising a lower surface, an upper surface and the opening extending from the lower surface to the upper surface, the opening adapted to receive the at least one fastener without being tapped by the at least one fastener, the opening having an inner surface with a plurality of non-circumferential fins integrally connected to each other, integrally connected to and protruding from, the inner surface, and allowing the fins to engage the threads of the at least one fastener;

(b) orienting the at least one fastener at any one of a plurality of angles relative to the opening such that at least a portion of each of the engaged fins is independently moved toward the upper surface or toward the lower surface; and

(c) securing the bone plate to bone with the at least one fastener.

2. The method of securing a bone plate to a bone using polyaxial fixation of claim 1, wherein either a locking screw or a non-locking screw is inserted in the opening.

3. The method of securing a bone plate to a bone using polyaxial fixation of claim 1, wherein the at least one fastener is removed and re-inserted into an opening of the bone plate at any one of a plurality of angles.

4. The method of securing a bone plate to a bone using polyaxial fixation of claim 1, wherein inserting the at least one fastener into the opening in the bone plate step (a) further comprises using polyaxial fixation to draw a bone fragment into alignment.

5. The method of securing a bone plate to a bone using polyaxial fixation of claim 1, wherein one or more of the fins has tapered sides and ends at a rounded tip.

6. A method for securing a bone plate to a bone using polyaxial fixation, comprising:

(a) inserting a fastener into an opening of a bone plate with the fastener oriented at any one of a plurality of angles relative to the opening without tapping the bone plate, with threads of the fastener engaging a plurality of non-circumferential fins integrally connected to each other, integrally connected to and protruding from, an inner surface of the bone plate defining the opening, wherein the bone plate comprises a lower surface and an upper surface, and the opening extends from the lower surface to the upper surface, the fins each being independently movable toward the upper surface or toward the lower surface in response to engagement with the threads of the fastener; and

(b) securing the bone plate to bone with the fastener.

7. The method of securing a bone plate to a bone using polyaxial fixation of claim 6, wherein the opening has a central axis, and wherein (a) inserting the fastener comprises:

inserting the fastener at an angular offset from the central axis such that the engagement of the fins with the fastener retains the fastener in the opening at the angular offset.

8. The method of securing a bone plate to a bone using polyaxial fixation of claim 6, wherein the method comprises permanently deforming the engaged fins through engagement with the fastener.

9. The method of securing a bone plate to a bone using polyaxial fixation of claim 6, wherein the fins are provided as a series of concavely indented, inwardly protruding fins that are adapted to secure a threaded head of the fastener in place at any one of the plurality of angles.

10. The method of securing a bone plate to a bone using polyaxial fixation of claim 6, wherein the protruding fins form a concave portion of the inner surface.

11. The method of securing a bone plate to a bone using polyaxial fixation of claim 6, wherein the protruding fins have bases that meet the inner surface in substantially the same plane.

12. The method of securing a bone plate to a bone using polyaxial fixation of claim 6, wherein the fins have a tapered shape or a straight shape.