Intramedullary intertrochanteric fracture fixation appliance and fitting device
First Claim
1. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, said neck screw having proximal and distal ends, anti-rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, said rod proximal end having means for positively locating a removable fitting device in position on said rod proximal end, and said positive locating means being constructed and arranged for said anti-rotation means to be operated with the fitting device in its positively located position.
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Accused Products
Abstract
An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having an angulated opening to receive a femoral neck screw, said rod having a co-axial bore extending into said angulated opening, anti-rotation means located in said bore to selectively prevent rotation of said neck screw in the rod and the open end of said bore being provided with means to positively locate a removable fitting device on the proximal end of the rod and so that said anti-rotation means can be operated with the fitting device in position.
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Citations
34 Claims
- 1. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, said neck screw having proximal and distal ends, anti-rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, said rod proximal end having means for positively locating a removable fitting device in position on said rod proximal end, and said positive locating means being constructed and arranged for said anti-rotation means to be operated with the fitting device in its positively located position.
- 14. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means including locking means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, and adjustable means for permitting sliding movement between said rod and said neck screw along a portion of the length of said neck screw in only one direction to maintain bone fragments on opposite sides of a fracture under compression while said anti-rotation means remains operative to prevent rotation of said neck screw.
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23. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means operative through said bore for selectively preventing rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, adjustable means for effecting sliding movement between said rod and said neck screw over a selected portion of the length of said neck screw while sand anti-rotation means remains operative to prevent rotation of said neck screw, said anti-rotation means includes a longitudinally extending groove formed in said neck screw and a set screw located in said bore having a distal end received in said groove, and wherein said groove is in the form of an inclined ramp which cooperates with said set screw to provide the selected length of sliding movement along said neck screw.
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24. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means operative through said bore for selectively preventing rotation of of said neck screw in said rod opening, adjustable means for effecting sliding movement between said rod and said neck screw over a selected portion of the length of said neck screw while sand anti-rotation means remains operative to prevent rotation of said neck screw, a removable fitting device, said rod proximal end having means for positively locating said removable fitting device in position on said rod proximal end, and said positive locating means being constructed and arranged for said anti-rotation means to be operated with the fitting device in its positively located position.
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25. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means operative through said bore for selectively preventing rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, adjustable means for effecting sliding movement between said rod and said neck screw over a selected portion of the length of said neck screw while sand anti-rotation means remains operative to prevent rotation of said neck screw, a removable fitting device positively located on the rod proximal end by said locating means, said removable fitting device having an access opening means through which said anti-rotation means can be operated when the fitting device is in its positively located position, and said removable fitting device having guide means for accurately guiding a hole forming mechanism adapted to form a hole in a femoral end head into which said neck screw is adapted to be received.
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26. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means operative through said bore for selectively preventing rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, adjustable means for effecting sliding movement between said rod and said neck screw over a selected portion of the length of said neck screw while sand anti-rotation means remains operative to prevent rotation of said neck screw, a removable fitting device positively located on the rod proximal end by said locating means, said removing fitting device having an access opening means through which said anti-rotation means can be operated when the fitting device is in its positively located position, said removable fitting device having guide means for accurately guiding a hole forming mechanism adapted to form a hole in a femoral end head into which said neck screw is adapted to be received, and said guiding means includes a tunnel locator.
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27. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means operative through said bore for selectively preventing rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, adjustable means for effecting sliding movement between said rod and said neck screw over a selected portion of the length of said neck screw while sand anti-rotation means remains operative to prevent rotation of said neck screw, a removable fitting device positively located on the rod proximal end by said locating means, said removing fitting device having an access opening means through which said anti-rotation means can be operated when the fitting device is in its positively located position, said removable fitting device having guide means for accurately guiding a hole forming mechanism adapted to form a hole in a femoral end head into which said neck screw is adapted to be received, and said guiding means includes a tunnel locator, and said tunnel locator is aligned with said angulated opening.
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28. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means operative through said bore for selectively preventing rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, adjustable means for effecting sliding movement between said rod and said neck screw over a selected portion of the length of said neck screw while sand anti-rotation means remains operative to prevent rotation of said neck screw, a removable fitting device positively located on the rod proximal end by said locating means, said removing fitting device having an access opening means through which said anti-rotation means can be operated when the fitting device is in its positively located position, said removable fitting device having guide means for accurately guiding a hole forming mechanism adapted to form a hole in a femoral end head into which said neck screw is adapted to be received, and said guiding means includes a tunnel locator, said tunnel locator is aligned with said angulated opening, a removable tension adjuster extending through said tunnel locator adapted for connection to the neck screw proximal end, and said tension adjuster includes adjustment means for applying tension to said neck screw.
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29. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means operative through said bore for selectively preventing rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, adjustable means for effecting sliding movement between said rod and said neck screw over a selected portion of the length of said neck screw while sand anti-rotation means remains operative to prevent rotation of said neck screw, a removable fitting device positively located on the rod proximal end by said locating means, said removing fitting device having an access opening means through which said anti-rotation means can be operated when the fitting device is in its positively located position, said removable fitting device having guide means for accurately guiding a hole forming mechanism adapted to form a hole in a femoral end head into which said neck screw is adapted to be received, and said guiding means includes a tunnel locator, said tunnel locator is aligned with said angulated opening, a removable tension adjuster extending through said tunnel locator adapted for connection to the neck screw proximal end, and said tension adjuster includes adjustment means for applying tension to said neck screw, said tunnel locator includes proximal and distal ends, and said adjustment means engages the tunnel locator proximal end to apply a compression force thereon between said adjustment means and said rod.
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30. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means operative through said bore for selectively preventing rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, adjustable means for effecting sliding movement between said rod and said neck screw over a selected portion of the length of said neck screw while sand anti-rotation means remains operative to prevent rotation of said neck screw, a removable fitting device positively located on the rod proximal end by said locating means, said removing fitting device having an access opening means through which said anti-rotation means can be operated when the fitting device is in its positively located position, said removable fitting device having guide means for accurately guiding a hole forming mechanism adapted to form a hole in a femoral end head into which said neck screw is adapted to be received, and said guiding means includes a tunnel locator, said tunnel locator is aligned with said angulated opening, a removable tension adjuster extending through said tunnel locator adapted for connection to the neck screw proximal end, and said tension adjuster includes adjustment means for applying tension to said neck screw, said tunnel locator includes proximal and distal ends, and said adjustment means engages the tunnel locator proximal end to apply a compression force thereon between said adjustment means and said rod, and said tension adjuster includes means to drivingly engage said neck screw to rotate the same to desired position of fixation.
- 33. An intramedullary intertrochanteric fracture fixation appliance comprising an intramedullary rod having proximal and distal ends, an angulated opening in said proximal end, said rod having a generally axial bore through said proximal end opening into said angulated opening, a femoral neck screw at least partially housed in and projecting from said angulated opening, anti-rotation means operative through said bore for selectively preventing rotation means operative through said bore for selectively preventing rotation of said neck screw in said rod opening, and said anti-rotation means being further cooperative with adjustments means for permitting sliding movement between said rod and said neck screw in only one direction over a selected portion of the length of said neck screw while said anti-rotation means remains operative to prevent rotation of said neck screw.
Specification