Osteotomy wedge device, kit and methods for realignment of a varus angulated knee

• US 6,008,433 A
• Filed: 04/23/1998
• Issued: 12/28/1999
• Est. Priority Date: 04/23/1998
• Status: Expired due to Fees

• Current Assignee: Kevin R. Stone
• Original Assignee: Kevin R. Stone
• Inventors: Stone, Kevin R.
• Primary Examiner(s): SNOW, BRUCE EDWARD
• Application Number:
  US09/064,958
• Time in Patent Office: 614 Days
• Field of Search: 623/16, 623/17, 623/18, 623/20, 433/175, 606/60, 606/61, 606/70, 606/74, 606/88
• US Class Current: 623/20.14
• CPC Class Codes: A61B 17/68 Internal fixation devices , including fasteners and spinal fixators, even if a part thereof projects from the skin bone staples A61B17/0642
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 17/809 with bone-penetrating elements, e.g. blades or prongs bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233
• CPC Class Codes: A61B 17/8095 Wedge osteotomy devices
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/30734 Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/4603 for insertion or extraction of endoprosthetic joints or of accessories thereof
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30156 triangular
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30266 wedge-shaped parallelepipeds
• CPC Class Codes: A61F 2002/30273 pyramidal
• CPC Class Codes: A61F 2002/3028 polyhedral different from parallelepipedal and pyramidal
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30593 : hollow
• CPC Class Codes: A61F 2002/30726 : Centering or guiding rods, e.g. for insertion of femoral shafts
• CPC Class Codes: A61F 2002/30736 : Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
• CPC Class Codes: A61F 2002/30772 : Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2002/30785 : parallel
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/4677 : using a guide wire
• CPC Class Codes: A61F 2210/0004 : bioabsorbable
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2230/0019 : rectangular
• CPC Class Codes: A61F 2230/0023 : triangular
• CPC Class Codes: A61F 2230/0063 : Three-dimensional shapes
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2230/0082 : parallelepipedal
• CPC Class Codes: A61F 2230/0086 : Pyramidal, tetrahedral, or wedge-shaped
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00173 : Graphite
• CPC Class Codes: A61F 2310/00293 : containing a phosphorus-containing compound, e.g. apatite
• CPC Class Codes: A61F 2310/00365 : Proteins; Polypeptides; Degradation products thereof

Abstract

The invention provides an osteotomy device, and kit and methods for realigning varus angulated knees. The device involves a substantially wedge-shaped body having two intersecting principal surfaces angularly offset. These principal surfaces extend in a direction of a drive axis about a principal plane from an insertion end to a drive surface at a drive end. At least one of the principal surfaces is adapted to engage mechanically a surface adjacent thereto. The drive surface is also adapted to receive a force in the direction of the drive axis toward the insertion end. The kit of the present invention includes substantially such an osteotomy device having cannular opening along its drive axis and an osteotomy pin. A method of the invention involves making a transverse incision partially into the tibia; realigning tibial portions above and below the incision with respect to each other to create a predetermined angle A between opposing faces of the incision, thereby creating a wedge-shaped opening; providing a substantially wedge-shaped body having two angularly offset intersecting principal surfaces, wherein at least one of the surfaces is adapted to engage mechanically a surface adjacent thereto; and driving the body into the opening. Another invention method involves making the incision and realigning the tibia substantially as described above followed by positioning an osteotomy pin within the wedge-shaped opening; and placing the substantially wedge-shaped body having a cannular opening along a drive axis within the wedge-shaped opening such that the pin is positioned in the cannular opening of the body.

Claims

1. An osteotomy device comprising:

a substantially wedge-shaped body having two principal surfaces angularly offset by an angle A and intersecting to form a vertex, said principal surfaces extending at least in part about a principal plane from said vertex at an insertion end to a drive surface at a drive end, said principal plane containing a drive axis extending from said vertex toward said drive surface, and said drive surface extending at least in part in a direction transverse to said principal plane, wherein at least one of said principal surfaces is adapted to engage mechanically a surface adjacent thereto, wherein at least one of said principal surfaces is a resorbable material, wherein said drive surface is adapted to receive a force in the direction of said drive axis toward said insertion end, and wherein said substantially wedge-shaped body has a portion defining a cannular opening extending from said vertex along said drive axis.

2. An osteotomy device according to claim 1 wherein at least one of said principal surfaces has a saw-tooth contour along said principal surface.

3. An osteotomy device according to claim 1 wherein said angle A ranges from about 5 degrees to about 25 degrees.

4. An osteotomy device according to claim 1 wherein said substantially wedge-shaped body has a length measured from said insertion end to said drive end ranging from about 20 millimeters to about 100 millimeters.

5. An osteotomy device according to claim 1, wherein said resorbable material is selected from the group consisting of PGA and collagen.

6. An osteotomy device according to claim 1 wherein said resorbable material has a plurality of pores ranging in size from about 50 micrometers to about 500 micrometers.

7. An osteotomy device according claim 1 wherein at least one of said principal surfaces comprises a roughened outer surface.

8. An osteotomy device according to claim 1, wherein said body has a plurality of holes on at least one of said principal surfaces.

9. A kit for realigning a varus angulated knee that comprises:

A. a substantially wedge-shaped body having two principal surfaces angularly offset by an angle A and intersecting to form a vertex, said principal surfaces extending at least in part about a principal plane from said vertex at an insertion end to a drive surface at a drive end, said principal plane containing a drive axis extending from said vertex toward said drive surface, and said drive surface extending at least in part in a direction transverse to said principal plane, wherein at least one of said principal surfaces is adapted to engage mechanically a surface adjacent thereto, wherein said drive surface is adapted to receive a force in the direction of said drive axis toward said insertion end, and wherein said body has a portion defining a cannular opening along said drive axis extending from said vertex in said principal plane, and

B. an osteotomy pin for placement within said cannular opening.

10. An osteotomy kit according to claim 9 wherein at least one of said principal surfaces has a saw-tooth contour along said principal surface.

11. An osteotomy kit according to claim 9 wherein said angle A ranges from about 5 degrees to about 25 degrees.

12. An osteotomy kit according to claim 9 wherein said substantially wedge-shaped body has a length measured from said insertion end to said drive end ranging from about 20 millimeters to about 100 millimeters.

13. An osteotomy kit according to claim 9, wherein at least one of said principal surfaces is a resorbable material.

14. An osteotomy kit according to claim 13, wherein said resorbable material is selected from the group consisting of PLA, PGA and collagen.

15. An osteotomy kit according to claim 13 wherein said resorbable material has a plurality of pores ranging in size from about 50 micrometers to about 500 micrometers.

16. An osteotomy kit according claim 9 wherein at least one of said principal surfaces is a nonporous material.

17. An osteotomy kit according claim 16 wherein said non-porous material comprises a roughened outer surface.

18. An osteotomy kit according claim 16 wherein said non-porous material is selected from the group consisting of titanium, graphite and steel.

19. An osteotomy kit according to claim 16 wherein said body has a plurality of holes on at least one of said principal surfaces.