Polyaxial locking plate

• US 5,954,722 A
• Filed: 07/29/1997
• Issued: 09/21/1999
• Est. Priority Date: 07/29/1997
• Status: Expired due to Term

• Current Assignee: Depuy Acromed Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Acromed Incorporated (Johnson & Johnson)
• Inventors: Bono, Frank S.
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/902,061
• Time in Patent Office: 784 Days
• Field of Search: 606/69, 606/70, 606/71, 606/61, 606/60, 606/72, 606/73
• US Class Current: 606/281
• CPC Class Codes: A61B 17/1728 for holes for bone plates or plate screws
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• 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 17/8057 the interlocking form comprising a thread
• CPC Class Codes: A61B 17/863 with thread interrupted or changing its form along shank, other than constant taper

Abstract

A locking plate apparatus for engagement with a bone is provided in accordance with the present invention. Locking plate apparatus includes a plate that has a body portion and an internal wall defining a plate hole through body portion and a bushing with a passageway therethrough. Bushing is sized for polyaxial rotation within plate hole. Locking plate apparatus also includes an attachment component that has a leading portion sized for extension through passageway and into bone and an opposite trailing portion. Trailing portion presses bushing against internal wall of plate to forrn a friction lock between bushing and plate in a selected polyaxial position.

Claims

1. A locking plate apparatus for engagement with a bone, the apparatus comprising:

a plate including a body portion and an internal wall defining a plate hole through the body portion,

a bushing including a radially exterior surface and an opposite radially interior surface defining a passageway, the exterior surface being sized to permit polyaxial rotation of the bushing within the plate hole, and

a bone screw including a leading portion sized for extension through the passageway and into the bone and an opposite trailing portion sized to press the bushing against the internal wall of the plate to form a friction lock between the bushing and the plate in a selected polyaxial position, the bone screw including threads having a single lead adjacent the leading portion and a multiple lead adjacent the trailing portion.

2. The locking plate apparatus of claim 1, wherein the single and multiple leads are formed for engagement with the bushing.

3. The locking plate apparatus of claim 1, wherein the interior surface of the bushing includes threads configured to receive the multiple lead of the bone screw.

4. The locking plate apparatus of claim 1, wherein the leading portion of the bone screw is sized for engagement with the interior surface of the bushing.

5. The locking plate apparatus of claim 1, wherein the plate is formed to include a plurality of holes therethrough, a plurality of bushings are movably coupled within the plate holes respectively, and a plurality of bone screws are provided for extension through passageways for selectively locking the position of the bushings relative to the plate.

6. A locking plate apparatus for engagement with a bone, the apparatus comprising:

a plate including a body portion and an internal wall defining a plate hole througb the body portion,

a bushing including a radially exterior surface and an opposite radially interior surface defining a passageway, the exterior surface being sized to permit polyaxial rotation of the bushing within the plate hole, and

a bone screw including a leading portion sized for extension through the passageway and into the bone and an opposite trailing portion sized to press the bushing against the internal wall of the plate to form a friction lock between the bushing and the plate in a selected polyaxial position, the interior surface of the bushing including threads configured to receive at least a portion of the threads of the bone screw, the bushing is formed to include a slot that extends between the exterior surface and the interior surface and that has an initial pre-determined dimension, and the trailing portion has a tapered portion that diverges away from the leading portion and the tapered portion is sized to radially expand the exterior surface to form a friction lock between the bushing and the plate.

7. A locking plate apparatus for engagement with a bone, the apparatus comprising:

a plate including a body portion and an internal wall defining a plate hole through the body portion,

a bushing including a radially exterior surface and an opposite radially interior surface defining a passageway, the exterior surface being sized to permit polyaxial rotation of the bushing within the plate hole, the bushing being formed to include a slot extending between the exterior surface and the interior surface and having an initial pre-determined dimension and

an attachment component including a leading portion sized for extension through the passageway and into the bone and an opposite trailing portion sized to press the bushing against the internal wall of the plate to form a friction lock between the bushing and the plate in a selected polyaxial position and the trailing portion having a tapered portion diverging away from the leading portion and the tapered portion being sized to radially expand the exterior surface to form a friction lock between the bushing and the plate, the interior surface of the bushing including threads and the tapered portion of the attachment component including threads configured to engage the threads of the bushing.

8. The locking plate apparatus of claim 7, wherein the attachment component is a bone screw.

9. The locking plate apparatus of claim 8, wherein

the interior surface of the bushing includes threads configured to receive at least a portion of the threads of the bone screw.

10. The locking plate apparatus of claim 9, wherein the bushing is formed to include a slot that extends between the exterior surface and the interior surface and that has an initial pre-determined dimension.

11. A locking plate apparatus for engagement with a bone, the apparatus comprising:

a plate including a body portion and an internal wall defining a plate hole through the body portion,

a bushing including a radially exterior surface and an opposite radially interior surface defining a passageway, the exterior surface being sized to permit polyaxial rotation of the bushing within the plate hole, the bushing being formed to include a slot extending between the exterior surface and the interior surface and having an initial pre-determined dimension and

an attachment component including a leading portion sized for extension through the passageway and into the bone and an opposite trailing portion sized to press the bushing against the internal wall of the plate to form a friction lock between the bushing and the plate in a selected polyaxial position, and the trailing portion has a tapered portion diverging away from the leading portion and the tapered portion being sized to radially expand the exterior surface to form a friction lock between the bushing and the plate, the interior surface of the bushing includes threads and the attachment component is a bone screw with threads formed for engagement with the threads of the bushing.

12. A locking plate apparatus suitable for attachment with a bone, the apparatus comprising:

a plate being formed to include a distal surface, a proximal surface configured for engagement with the bone, and an internal wall defining a plate hole extending between the distal and proximal surfaces,

a bushing including a radially exterior surface and an opposite interior surface defining a passageway, the exterior surface being sized for insertion into the plate hole of the plate and for engagement with the internal wall to couple movably the bushing to the plate,

an attachment component sized for extension in the passageway, the attachment component including a leading portion and an opposite trailing portion, the trailing portion having a tapered portion that diverges away from the leading portion and is sized for pressing the bushing toward the internal wall of the plate to form a friction lock between the bushing and the plate, the passageway having a first pre-determined diameter and the tapered portion having a second diameter that is greater than the first pre-determined diameter, the tapered portion of the attachment component including threads that engage the interior surface of the bushing.

13. The locking plate apparatus of claim 12, wherein the leading portion has a third diameter that is less than the first pre-determined diameter.

14. The locking plate apparatus of claim 12, wherein the bushing is formed to include a radial slot between the exterior and interior surfaces and the passageway has an expanded diameter that is greater than the first pre-determined diameter when the tapered portion engages the interior surface of the bushing.

15. The locking plate apparatus of claim 12, wherein the interior surface of the bushing includes threads and the leading portion of the attachment component includes threads that engage the threads of the bushing.

16. A locking plate apparatus suitable for attachment with a bone, the apparatus comprising:

a plate being formed to include a distal surface, a proximal surface configured for engagement with the bone, and an internal wall defining a plate hole extending between the distal and proximal surfaces,

a bushing including a radially exterior surface and an opposite interior surface defining a passageway, the exterior surface being sized for insertion into the plate hole of the plate and for engagement with the internal wall to couple movably the bushing to the plate, and

an attachment component sized for extension in the passageway, the attachment component including a leading portion and an opposite trailing portion, the trailing portion having a tapered portion that diverges away from the leading portion and is sized for pressing the bushing toward the internal wall of the plate to form a friction lock between the bushing and the plate, the attachment component is a bone screw with threads including a single lead adjacent the leading portion and a multiple lead adjacent the trailing portion.

17. The locking plate apparatus of claim 16, wherein the passageway has a first pre-determined diameter and the tapered portion has a second diameter that is greater than the first pre-determined diameter.

18. The locking plate apparatus of claim 16, wherein the interior surface of the bushing includes threads to receive the multiple lead of the bone screw.

19. The locking plate apparatus of claim 18, wherein the multiple lead is positioned on the tapered portion.

20. The locking plate apparatus of claim 18, wherein the threads of the bushing are configured to receive at least a portion of the single lead of the bone screw.

21. The locking plate apparatus of claim 16, wherein the single lead is configured to guide rotation of the bushing within the plate hole about a plurality of axes.

22. A method for coupling two bone portions together, the method comprising the steps of:

providing a locking plate apparatus including a plate having a body portion and at least two plate holes through the body portion, a bushing movably coupled in each plate hole and having a radially exterior surface, an opposite interior surface, and first and second ends defining a passageway therebetween, and at an attachment component for each bushing sized for extension into the passageway, each attachment component including opposite leading and trailing portions, the interior surface of the bushing including threads and the attachment component is a bone screw having threads,

positioning the body portion upon the bone portions so that the plate holes in the plate are situated over bone,

rotating at least one bushing within the plate hole until the first and second ends of the bushing are aligned along an axis that extends through a pre-determined portion of the bone,

inserting the leading portion of the attachment components into the respective passageway, and rotating the bone screw relative to the bushing so that the threads of the bushing lead the leading portion of the bone screw toward the bone

driving the trailing portion of each attachment component through the respective passageway until the leading portion is positioned in the bone and the exterior surface of the bushing is pressed against the body portion to form a friction lock therebetween.

23. The method of claim 22, wherein the trailing portion of the bone screw includes a tapered portion diverging from the leading portion and the driving step includes rotating the bone screw relative to the bushing so that the threads of the bushing lead the tapered portion into the passageway and press the exterior surface of the bushing against the body portion of the plate.

24. A method for coupling two bone portions together, the method comprising the steps of:

providing a locking plate apparatus including a plate having a body portion and at least two plate holes through the body portion, a bushing movably coupled in each plate hole and having a radially exterior surface, an opposite interior surface, and first and second ends defining a passageway therebetween, and at an attachment component for each bushing sized for extension into the passageway, each attachment component including opposite leading and trailing portions, the interior surface of the bushing including threads thereon and the trailing portion of the attachment component including a tapered portion diverging from the leading portion,

positioning the body portion upon the bone portions so that the plate holes in the plate are situated over bone,

rotating at least one bushing within the plate hole until the first and second ends of the bushing are aligned along an axis that extends through a pre-determined portion of the bone,

inserting the leading portion of the attachment components into the respective passageway, and

driving the trailing portion of each attachment component through the respective passageway until the leading portion is positioned in the bone and the exterior surface of the bushing is pressed against the body portion to form a friction lock therebetween, and rotating the tapered portion relative to the bushing so that the threads of the bushing lead the tapered portion into the passageway and press the exterior surface of the bushing against the body portion of the plate.

25. The method of claim 24, wherein the leading portion of the attachment component is threaded and the inserting step includes sliding the leading portion through the passageway so that the threads of the bushing are spaced apart from the threads of the leading portion.

26. A bone fixation apparatus comprising a plate with a plate hole through the plate, a one piece bone fixation screw having a leading portion for extension through the plate hole and into a bone an opposite trailing portion, and an expansion bushing carried in the plate hole, said bushing being threaded to engage the screw and expandable by the trailing portion of the screw frictionally to lock in position in the plate hole.

27. A plate for bridging between and fixing the relative portions of bones, said plate having plate holes adjacent each bone, each plate hole carrying an expandable bushing therein for polyaxial movement selectively to position the axis of the bushing relative to the adjacent bone and a one piece bone screw, the bone screw including a leading portion for penetration into the bone and a trailing portion including threads and expanding the bushing against the plate to friction lock the bushing in a selected position in the plate.

28. A plate and screw apparatus for orthopaedic applications comprising a plate with a plurality of plate holes formed therein, each plate hole having an internal wall, a radially expandable bushing positioned in each plate hole to be held by said internal wall each bushing including an interior surface defining a passageway, and a screw for each plate hole, each screw having a leading portion for extension through the passageway and engaging a bone and a trailing portion including threads sized for engaging and expanding the bushing into locking engagement with the internal wall.