Bone plate with varying rigidity

• US 6,001,099 A
• Filed: 06/08/1998
• Issued: 12/14/1999
• Est. Priority Date: 06/08/1998
• Status: Expired due to Term

• Current Assignee: Acumed Llc (Berkshire Hathaway Incorporated)
• Original Assignee: Acumed Llc (Berkshire Hathaway Incorporated)
• Inventors: Huebner, Randall J.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): GOLDBERG, JONATHAN D
• Application Number:
  US09/093,415
• Time in Patent Office: 554 Days
• Field of Search: 606/69, 606/70, 606/71, 606/61, 606/60
• US Class Current: 606/281
• CPC Class Codes: A61B 17/80 Cortical plates , i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
• CPC Class Codes: A61B 17/8004 with means for distracting or compressing the bone or bones
• CPC Class Codes: A61B 17/8085 with pliable or malleable elements or having a mesh-like structure, e.g. small strips A61B17/8071, A61B17/8076 take precedence

Abstract

An apparatus and method for securing a discontinuity in a bone. The apparatus generally comprises a bone plate with varying rigidity that includes a bridge portion configured to span the discontinuity and two anchor portions configured to contact the bone on opposite sides of the discontinuity. At least one anchor portion is an elongate structure having at least three apertures adapted to receive fasteners for affixing the elongate anchor portion to the bone. The minimum rigidity of the elongate anchor portion between the apertures second and third most distant from the bridge portion exceeds the minimum rigidity between the apertures first and second most distant from the bridge portion. In addition, the separation in the elongate anchor portion between the apertures first and second most distant from the bridge portion exceeds the separation between the apertures second and third most distant from the bridge portion. The method includes the step of securing a discontinuity in a bone using a bone plate with varying rigidity.

Claims

1. An elongate bone plate with varying rigidity for securing a discontinuity in a bone, the bone plate being formed of a bio-compatible material and comprising:

a bridge portion configured to span the discontinuity in the bone; and

two anchor portions extending outward from the bridge portion and configured to contact the bone on opposite sides of the discontinuity, at least one anchor portion being an elongate structure having at least three apertures adapted to receive fasteners for affixing the elongate anchor portion to the bone;

wherein in the elongate anchor portion the width of the anchor portion about the apertures first and second most distant from the bridge portion exceeds the minimum width of the anchor portion between such apertures;

wherein in the elongate anchor portion the minimum rigidity of the anchor portion between the apertures second and third most distant from the bridge portion exceeds the minimum rigidity of the anchor portion between the apertures first and second most distant from the bridge portion; and

wherein in the elongate anchor portion the separation between the apertures first and second most distant from the bridge portion exceeds the separation between the apertures second and third most distant from the bridge portion.

2. The bone plate of claim 1, wherein the apertures in the elongate anchor portion are substantially colinear.

3. The bone plate of claim 1, wherein the bone plate is of substantially uniform thickness.

4. The bone plate of claim 3, wherein the apertures in the elongate anchor portion are substantially colinear.

5. The bone plate of claim 1, wherein the cross-sectional area of the elongate anchor portion perpendicular to an axis connecting pairs of apertures is varied to vary the rigidity of the anchor portion.

6. The bone plate of claim 1, wherein the rigidity of the material comprising the elongate anchor portion is varied to vary the rigidity of the anchor portion.

7. The bone plate of claim 1, wherein the rigidity of the elongate anchor portion is substantially the same about each aperture.

8. The bone plate of claim 1, wherein the separation between adjacent apertures in the elongate anchor portion increases as the distance of the apertures from the bridge portion increases.

9. The bone plate of claim 1, wherein the minimum rigidity between adjacent apertures in the elongate anchor portion decreases as the distance of the apertures from the bridge portion increases.

10. The bone plate of claim 9, wherein the separation between each such pair of adjacent apertures increases as the distance of such pairs from the bridge portion increases.

21. The bone plate of claim 1, wherein in the elongate anchor portion the width of the anchor portion about the apertures second and third most distant from the bridge portion exceeds the minimum width of the anchor portion between such apertures.

22. The bone plate of claim 21, wherein in the elongate anchor portion the minimum width of the anchor portion between the apertures second and third most distant from the bridge portion exceeds the minimum width of the anchor portion between the apertures first and second most distant from the bridge portion.

23. The bone plate of claim 1, wherein the width of at least a portion of the elongate anchor portion undulates, the width of the anchor portion being a local maximum about the apertures first, second, and third most distant from the bridge portion, the width of the anchor portion being a local minimum between adjacent pairs of such apertures.

11. An elongate bone plate with varying rigidity for securing a mid-shaft discontinuity in a bone, the bone plate being formed of a bio-compatible material and comprising:

a bridge portion configured to span the mid-shaft discontinuity in the bone, the bridge portion having opposed ends; and

two oppositely directed anchor portions extending outward from the opposed ends of the bridge portion to define a long axis and configured to contact the bone on opposite sides of the discontinuity, each anchor portion having, at each point along the long axis, a cross-sectional area transverse to the long axis, and each anchor portion having at least three apertures adapted to receive fasteners for affixing the elongate anchor portion to the bone;

wherein in each anchor portion the minimum cross-sectional area between the apertures second and third most distant from the bridge portion exceeds the minimum cross-sectional area between the apertures first and second most distant from the bridge portion; and

wherein in each anchor portion the separation between the apertures first and second most distant from the bridge portion exceeds the separation between the apertures second and third most distant from the bridge portion.

12. The bone plate of claim 11, wherein the bone plate is of substantially uniform thickness.

13. The bone plate of claim 11, wherein the bone plate is symmetric about at least one axis.

14. The bone plate of claim 13, wherein each anchor portion has three apertures.

15. The bone plate of claim 14, wherein the minimum cross-sectional area occurs at a point substantially midway between such apertures.

16. The bone plate of claim 11, wherein the apertures in at least one anchor portion are substantially colinear.

17. The bone plate of claim 11, wherein the separation between adjacent apertures in at least one anchor portion increases as the distance of the apertures from the bridge portion increases.

18. The bone plate of claim 11, wherein the minimum cross-sectional area of the anchor portion between each pair of adjacent apertures decreases as the distance of such pairs from the bridge portion increases.

19. The bone plate of claim 18, wherein the separation between each such pair of adjacent apertures increases as the distance of such pairs from the bridge portion increases.

20. A method of securing a discontinuity in a bone, the method comprising:

(a) providing a bone plate with varying rigidity, the bone plate including;

a bridge portion configured to span the discontinuity in the bone; and

two anchor portions extending outward from the bridge portion and configured to contact the bone on opposite sides of the discontinuity, at least one anchor portion being an elongate structure having at least three apertures adapted to receive fasteners for affixing the elongate anchor portion to the bone;

wherein in the elongate anchor portion the width of the anchor portion about the apertures first and second most distant from the bridge portion exceeds the minimum width of the anchor portion between such apertures;

wherein in the elongate anchor portion the minimum rigidity of the anchor portion between the apertures second and third most distant from the bridge portion exceeds the minimum rigidity of the anchor portion between the apertures first and second most distant from the bridge portion; and

wherein in the elongate anchor portion the separation between the apertures first and second most distant from the bridge portion exceeds the separation between the apertures second and third most distant from the bridge portion

(b) reducing the discontinuity; and

(c) affixing the bone plate to the bone so that the two anchor portions contact the bone on opposite sides of the discontinuity and the bridge portion spans the discontinuity.

24. An elongate bone plate with varying rigidity for securing a discontinuity in a bone, the bone plate being formed of a bio-compatible material and comprising:

a bridge portion configured to span the discontinuity in the bone; and

two anchor portions extending outward from the bridge portion and configured to contact the bone on opposite sides of the discontinuity, at least one anchor portion being an elongate structure having at least three apertures adapted to receive fasteners for affixing the elongate anchor portion to the bone;

wherein in the elongate anchor portion the rigidity of the material comprising the anchor portion is varied to vary the rigidity of the anchor portion;

wherein in the elongate anchor portion the minimum rigidity of the anchor portion between the apertures second and third most distant from the bridge portion exceeds the minimum rigidity of the anchor portion between the apertures first and second most distant from the bridge portion; and

wherein in the elongate anchor portion the separation between the apertures first and second most distant from the bridge portion exceeds the separation between the apertures second and third most distant from the bridge portion.

25. An elongate bone plate with varying rigidity for securing a discontinuity in a bone, the bone plate being formed of a bio-compatible material and comprising:

a bridge portion configured to span the discontinuity in the bone; and

two anchor portions extending outward from the bridge portion and configured to contact the bone on opposite sides of the discontinuity, at least one anchor portion being an elongate structure having at least three apertures adapted to receive fasteners for affixing the elongate anchor portion to the bone;

wherein in the elongate anchor portion the rigidity of the anchor portion about each aperture is substantially the same, and the minimum rigidity of the anchor portion between the apertures second and third most distant from the bridge portion exceeds the minimum rigidity of the anchor portion between the apertures first and second most distant from the bridge portion; and

wherein in the elongate anchor portion the separation between the apertures first and second most distant from the bridge portion exceeds the separation between the apertures second and third most distant from the bridge portion.