External fixation device

• US 4,450,834 A
• Filed: 08/07/1981
• Issued: 05/29/1984
• Est. Priority Date: 10/18/1979
• Status: Expired due to Term

• Current Assignee: DePuy ACE Medical Co. (Johnson & Johnson)
• Original Assignee: Ace Orthopedic Manufacturing, Inc. (Johnson & Johnson)
• Inventors: Fischer, David A.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Shedd, C. W.
• Application Number:
  US06/290,740
• Time in Patent Office: 1,026 Days
• Field of Search: 128/92 EB, 128/92 A, 128/1 R, 128/92 D
• US Class Current: 606/80
• CPC Class Codes: A61B 17/62 Ring frames, i.e. devices extending around the bones to be positioned A61B17/6433 , A61B17/66 take precedence
• CPC Class Codes: A61B 17/645 comprising a framework A61B17/6425, A61B17/6441 take precedence
• CPC Class Codes: A61B 17/6466 with pin-clamps movable along a solid connecting rod
• CPC Class Codes: A61B 17/66 Alignment, compression or distraction mechanisms

Abstract

An improved external fixation device is disclosed composed of a pair of arcuate frame segments and multiple adjustment rods and pin holders, which cooperate with one another as well as plural pins extending through the soft tissue and bone of a patient to rigidly immobilize a bone fracture and permit compression, neutralization or distraction of the fracture from a location external to the body.

Claims

1. A method of installing a pin extending from the soft tissue and bone of a user substantially parallel with a previously installed pin in an external fixation device comprising the steps of:

clamping an exposed free end of said previously installed pin into one aperture of a multi-aperture pin holder;

inserting a tubular sheath through an adjacent one of said apertures in said pin holder;

extending said sheath through said soft tissue to contact said bone;

inserting a drill through said sheath to drill a hole through said bone along an axis parallel to the axis of said sheath;

removing said drill from said sheath;

measuring the diameter of said bone at the location of said hole;

inserting a pin through said sheath and into said hole drilled in said bone;

withdrawing said sheath from said pin holder while maintaining said pin within said bone; and

clamping the exposed free end of the newly installed pin into said adjacent aperture in said pin holder.

2. The method of claim 1 wherein said sheath insertion step comprises the further step of striking said sheath to anchor said sheath into the cortices of said bone.

3. The method of claim 1 wherein said measuring step comprises the steps of:

inserting a depth gauge having a calibrated handle portion, a probe portion, and an indicator tab attached to said probe portion and reciprocable along the length of said handle portion, through said sheath to contact the end of said probe portion against the proximal surface of said bone;

visually inspecting the axial position of said indicator tab along the length of said calibrated handle to obtain an initial depth reading;

lowering said probe portion through said drilled hole in said bone to contact the distal surface of said bone by reciprocating said indicator tab along the length of said calibrated handle portion;

visually inspecting the axial position of said indicator tab along the length of said calibrated handle portion to obtain a final depth reading; and

calculating the difference between said initial and final depth readings, said difference representing the diameter of said bone.

4. The method of claim 1 wherein said previously installed pin passes from said pin holder through the bone to a second pin holder on the opposite side of the bone, the method further comprising passing the pin being installed through the bone into said second pin holder and clamping the pin therein.

5. The method of claim 1 wherein after inserting said sheath into said aperture and before inserting said drill in said sheath, said sheath is clamped in said holder by clamping means in said holder.