Method and device for internal fixation of bone fractures

• US 5,480,400 A
• Filed: 10/01/1993
• Issued: 01/02/1996
• Est. Priority Date: 10/01/1993
• Status: Expired due to Term

• Current Assignee: Medtronic Spine LLC (Medtronic Plc)
• Original Assignee: Berger J. Lee
• Inventors: Berger, J. Lee
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/130,434
• Time in Patent Office: 823 Days
• Field of Search: 606/63, 606/60, 606/153, 606/191-194, 606/108, 604/96, 128/898
• US Class Current: 606/60
• CPC Class Codes: A61B 17/7225 for bone compression
• CPC Class Codes: A61B 17/7258 with laterally expanding parts, e.g. for gripping the bone
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence

Abstract

The present invention is directed toward a method for performing an internal fixation of fractures of tubular bones using a balloon catheter fixation device which is inflated inside the bone and tightened by applying pressure on the catheter outside of the bone to apply a compression force across the fracture site enhancing the stability of the fractured bone and promoting osseous healing.

Claims

1. A method of setting a fractured bone by compression comprising the steps of:

a) cutting an aperture into one portion of the fractured bone away from the site of the fracture allowing communication with the medullary cavity of the bone;

b) inserting a balloon catheter device through the aperture cut in the bone into the medullary cavity of the bone;

c) guiding the balloon catheter device past the fracture site into another portion of the fractured bone;

d) inflating the balloon of the balloon catheter device to a sufficient diameter so that the balloon catheter device is held securely in place by the positive pressure of the balloon applied to the intramedullary walls of the bone; and

e) tightening the attached catheter with the fixed balloon in place to align the fracture and compress the proximal and distal portions of the fractured bone together.

2. The method of claim 1 wherein said balloon is inflated with sterile saline solution by means of a syringe remote from incision.

3. The method of claim 2 wherein the balloon inflation pressure is monitored by a pressure gauge.

4. The method of claim 1 including the step of;

f) securing the catheter firmly to the bone at the insertion site.

5. The method of claim 4 wherein said securing step uses a screw as the securing device.

6. The method of claim 4 wherein said securing step uses a peg as the securing device.

7. The method of claim 4 wherein said securing step uses a post as the securing device.

8. The method of claim 1 wherein said cutting step uses an awe to cut the aperture.

9. The method of claim 1 wherein said cutting step uses a drill to cut the aperture.

10. A method of setting a fractured bone by compression comprising the steps of:

a) cutting an aperture into one portion of the fractured bone away from the site of the fracture allowing communication with the medullary cavity of the bone;

b) passing a guide wire attached to a balloon catheter through the aperture and into the medullary canal of the bone past the site of the fracture;

c) inserting an elastic balloon catheter device through the aperture cut in the bone into the medullar cavity of the bone;

d) guiding the elastic balloon catheter device past the fracture site into another portion of the fractured bone;

e) inflating the balloon of the balloon catheter device to its maximum diameter so that the balloon catheter device is held securely in place by the positive pressure of the balloon applied to the intramedullary walls of the bone;

f) tightening the attached catheter with the fixed balloon in place to align the fracture with the elastic force of the catheter compressing the proximal and distal portions of the fractured bone together.

11. An assembly for setting fractured bones comprising a balloon catheter with tubing having an inner lumen and an inflatable balloon with fluted sides secured to said tubing at the distal end thereof, said balloon with fluted sides being in fluid communication with the lumen of said tubing, a guide wire mounted to said balloon and means separate from said balloon catheter adapted to be mounted in a portion of said fractured bone distal from said balloon with fluted sides to receive said tubing and hold said balloon catheter when said balloon with fluted sides is inflated in a fixed stressed condition to provide compression to the fracture site of fractured bone portions.