Bone fixation system

• US 10,716,606 B2
• Filed: 08/23/2013
• Issued: 07/21/2020
• Est. Priority Date: 08/23/2012
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Appenzeller, Andreas, Fluri, Daniel
• Primary Examiner(s): Prone, Christopher D.
• Application Number:
  US14/422,844
• Publication Number:
  US 20150223853A1
• Time in Patent Office: 2,524 Days
• CPC Class Codes: A61B 17/8047 wherein the additional element surrounds the screw head in the plate hole A61B17/8052 takes precedence
• 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 17/8605 Heads, i.e. proximal ends projecting from bone
• CPC Class Codes: A61B 17/869 characterised by an open form, e.g. wire helix

Abstract

A bone fixation system has a bone implant with an implant body. The implant body defines an upper surface, a bone-facing surface spaced from the upper surface along a transverse direction, and at least one aperture defined by an inner wall. A bone fixation element is configured for insertion at least partially through the aperture. The bone fixation element has a head and a shaft that extends relative to the head in a distal direction. The head defines a ridge and at least one thread that is spaced from the ridge in the distal direction. The ridge is configured to compress a bone implant against the at least one thread so as to fixedly retain the bone implant with respect to the head.

Claims

1. A bone fixation system comprising:

a bone implant including an implant body comprising first and second wire segments that respectively define first and second threaded inner walls that face each other along a lateral direction and collectively define a threaded inner wall,

wherein the implant body defines an outer surface having an upper surface portion, a bone-facing surface portion opposite the upper surface portion, and a convex surface portion extending between the threaded inner wall and the upper surface portion,

the implant body further defining a bone fixation aperture that extends through the implant body from the upper surface portion to the bone-facing surface portion along a distal direction that is substantially perpendicular to the lateral direction, the bone fixation aperture at least partially defined by the threaded inner wall, wherein the convex surface portion is convex in a plane defined by the lateral and distal directions; and

a bone fixation element including a head and a shaft that extends with respect to the head in the distal direction and is configured to be driven into a fixation site,

wherein the bone fixation element further defines a stop surface and the head defines at least one thread that is spaced from the stop surface in the distal direction, the at least one thread is configured to threadedly engage the threaded inner wall as the bone fixation element rotates to threadedly advance the head in the distal direction in the bone fixation aperture, and the at least one thread of the head defines a major diameter that is less than a major diameter of the threaded inner wall such that a gap is defined between the at least one thread of the head and the threaded inner wall along a line extending along the distal direction,

wherein, when the at least one thread is threadedly engaged with the threaded inner wall of the bone implant, at least a portion of each of the threaded inner wall and the convex surface portion is captured between the stop surface and the at least one thread of the head, and the stop surface is configures to compress the at least a portion of each of the threaded inner wall and the convex surface portion as the head threadedly advances in the bone fixation aperture,

wherein the at least one thread of the head comprises a first surface and a second surface, such that, when the head distally advances in the bone fixation aperture, the second surface becomes a leading surface and the first surface becomes a trailing surface, and

wherein, during the compression, the head is moveable in the bone fixation aperture (1) from a first position in which a first portion of the gap is defined between the trailing surface and the threaded inner wall and a second portion of the gap is defined between the leading surface and the threaded inner wall, (2) to a second position in which an entirety of the gap is disposed between the leading surface and the threaded inner wall.

2. The bone fixation system as recited in claim 1, wherein the stop surface is aligned with the bone implant in the distal direction when the at least a portion of each of the threaded inner wall and the convex surface portion is captured between the stop surface and the at least one thread.

3. The bone fixation system as recited in claim 2, wherein rotation of the bone fixation element after the at least one thread has threadedly engaged the threaded inner wall brings the stop surface into contact with the bone implant.

4. The bone fixation system as recited in claim 3, wherein further rotation of the bone fixation element when the stop surface is in contact with the bone implant drives the stop surface in the distal direction, thereby compressing the threaded inner wall and the at least a portion of the convex surface portion against the at least one thread.

5. The bone fixation system as recited in claim 4, wherein further rotation of the bone fixation element compresses the threaded inner wall against the leading surface.

6. The bone fixation system as recited in claim 5, wherein the stop surface is defined by a ridge that defines an outer cross-sectional dimension, and the major diameter of the head is less than the outer cross-sectional dimension.

7. The bone fixation system as recited in claim 6, wherein the head defines the ridge.

8. The bone fixation system as recited in claim 6, wherein after the ridge is in contact with the bone implant, the head defines a proximal-most surface and a distal-most surface, and the proximal-most surface does not project out with respect to the bone implant in a proximal direction that is opposite the distal direction.

9. The bone fixation system as recited in claim 4, wherein, from the second positionof the head in the bone fixation aperture:

1) contact between the bone implant and the at least one thread prevents the bone implant from moving relative to the bone fixation element in the distal direction, and

     2) contact between the convex surface portion of the bone implant and the stop surface prevents the bone implant from moving relative to the bone fixation element in a proximal direction that is opposite the distal direction.

10. The bone fixation system as recited in claim 1, wherein the bone implant comprises a bone plate.

11. The bone fixation system as recited in claim 1, wherein the shaft comprises at least one thread that is configured for threaded purchase in the fixation site as the head threadedly advances in the bone fixation aperture.

12. The bone fixation system as recited in claim 1, wherein the bone fixation element is elongate within a central axis, the stop surface is defined by a ridge that defines an outer cross-sectional dimension in a direction that intersects the central axis and is perpendicular to the central axis, and the major diameter of the at least one thread is less than the outer cross-sectional dimension of the ridge.

13. The bone fixation system as recited in claim 12, wherein the shaft defines at least one thread configured to threadedly purchase with underlying bone as the shaft is rotatably driven into the underlying bone.

14. The bone fixation system as recited in claim 13, wherein the at least one thread of the head defines a lead, and the at least one thread of the shaft defines a lead that is equal to the lead of the at least one thread of the head.

15. The bone fixation system as recited in claim 13, wherein the at least one thread of the head defines a lead, and the at least one thread of the shaft defines a lead that is greater than the lead of the at least one thread of the head.

16. A bone fixation system comprising:

an implant body that includes first and second wire segments that are spaced from each other along a lateral direction in a manner collectively defining a bone fixation aperture along a distal direction and a threaded inner wall within the bone fixation aperture, wherein the distal direction is offset from the lateral direction, and the first and second wire segments each define an upper surface and a convex outer surface extending from the threaded inner wall and the upper surface; and

a bone fixation element including a head and a shaft that extends with respect to the head in the distal direction, wherein the head defines a stop surface and at least on thread that is spaced from the stop surface in the distal direction,

wherein the at least one thread is configured to threadedly engage the threaded inner wall such that, as the head threadedly advances in the distal direction in the bone fixation aperture, the stop surface contacts the convex outer surface and subsequently compresses at least a portion of each of the threaded inner wall and the convex outer surface against at least one thread, and

wherein the first and second wire segments define a first neck at a first end of the bone fixation aperture and a second neck at a second end of the bone fixation aperture opposite the first end along a longitudinal direction, the longitudinal direction is substantially perpendicular to the lateral direction and offset from the distal direction, and the first and second wire segments each continuously extend from the first neck to the second neck along a shared plane that includes the lateral and longitudinal directions.

17. The bone fixation system as recited in claim 16, wherein the at least one thread defines a leading surface and a trailing surface, the leading surface is spaced from the trailing surface in the distal direction, and the at least one thread is further configured to threadedly engage the threaded inner wall such that, as the head threadedly advances in the distal direction in the bone fixation aperture, a gap is defined between the at least a portion of the threaded inner wall and the leading surface of the at least one thread while the at least a portion of the threaded inner wall contacts the trailing surface of the at least one thread.

18. The bone fixation system as recited in claim 17, wherein 1) contact between the at least a portion of the threaded inner wall and the trailing surface of the at least one thread prevents the bone implant from moving relative to the bone fixation element in the distal direction, and 2) contact between the convex surface portion and the stop surface prevents the bone implant from moving relative to the bone fixation element in a proximal direction that is opposite the distal direction.

19. A bone fixation system, comprising:

an implant body that includes first and second wire segments that are spaced from each other along a lateral direction in a manner collectively defining a bone fixation aperture along a distal direction and a threaded inner wall within the bone fixation aperture, wherein the distal direction is offset from the lateral direction, and the first and second wire segments each define an upper surface and a convex outer surface extending from the threaded inner wall and the upper surface; and

a bone fixation element including a head and a shaft that extends with respect to the head in the distal direction, wherein the head defines a stop surface and at least one thread that is spaced from the stop surface in the distal direction,

wherein the at least one thread has a trailing surface and a leading surface disposed in the distal direction with respect to the trailing surface, and the at least one thread of the head and the threaded inner wall of the implant body are cooperatively configured such that rotation of the bone fixation element within the bone fixation aperture threadedly advances the bone fixation element and drives the stop surface in the distal direction, thereby

     1) compressing at least a portion of the threaded inner wall and at least a portion of the convex outer surface against the at least one thread, such that the at least a portion of the threaded inner wall contacts the trailing surface of the at least one thread, and

     2) during the compression, advancing the head from a first position, in which a first portion of a gap is defined between the trailing surface and the threaded inner wall and a second portion of the gap is defined between the leading surface and the threaded inner wall, to a second position in which the gap is disposed between the leading surface and the threaded inner wall.