Systems and methods for producing osteotomies

• US 6,547,793 B1
• Filed: 02/18/2000
• Issued: 04/15/2003
• Est. Priority Date: 12/06/1996
• Status: Expired due to Fees

• Current Assignee: David A. Mcguire
• Original Assignee: David A. Mcguire
• Inventors: McGuire, David A.
• Primary Examiner(s): REIP, DAVID OWEN
• Application Number:
  US09/506,714
• Time in Patent Office: 1,152 Days
• Field of Search: 606/60, 606/62, 606/65, 606/66, 606/72, 606/73
• US Class Current: 606/310
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 17/15 Guides therefor arrangements for guiding straight saw blades in general B23D51/025
• CPC Class Codes: A61B 17/151 for corrective osteotomy
• CPC Class Codes: A61B 17/171 for external fixation
• CPC Class Codes: A61B 17/66 Alignment, compression or distraction mechanisms
• CPC Class Codes: A61B 17/683 comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
• CPC Class Codes: A61B 17/8891 at its periphery
• CPC Class Codes: Y10S 606/907 Composed of particular material or coated
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

Systems and methods for producing minimally invasive osteotomies to correct angular deformities of bones in and about the knee are disclosed. A method includes locating a plane in which the angle exhibited by the deformity is situated. An oblique cut is then made along a surface of the bone, such that the cut is transverse to the plane in which the angle is situated. Thereafter, the bone pieces are rotated about the cut relative to one another until a desired alignment between the bone pieces is achieved. To maintain the bone pieces in alignment, a device having an elongated body for extending into a tunnel between the bone pieces is provided. The system also includes a rigid member fixedly positioned at one end of the body. The rigid member is transverse to the body to engage one bone piece. The system further includes a locking mechanism at an opposite end of the body to engage the other bone piece. The system permits the bone pieces to be pulled against one another between the rigid member and the locking mechanism.

Claims

1. A device for maintaining in approximation bone pieces produced from an osteotomy procedure, the device comprising:

an elongated body for extending into a tunnel between the bone pieces, the body having a distal and a proximal end;

an anchoring member rotatably positioned at the end transverse to the body to engage one bone piece;

a locking mechanism at the proximal end of the body to engage the other bone piece, such that the bone pieces may be pulled against one another between the rigid member and the locking mechanism wherein the locking mechanism comprises a threaded portion along the proximal end of the body and a complementarity threaded member for engaging the threaded portion; and

a rigid sleeve having a substantially smooth interior surface extending along the length of the bone tunnel so as to permit the elongated body to slide through the tunnel.

2. A device as set forth in claim 1, wherein the elongated body has a length sufficiently long so as to allow the device to extend through both bone pieces.

3. A device as set forth in claim 2, wherein the locking mechanism remains substantially outside of the bone tunnel.

4. A device as set forth in claim 1, wherein the elongated body is situated entirely within the bone tunnel.

5. A device as set forth in claim 4, wherein the locking mechanism extends into the bone tunnel.

6. A device as set forth in claim 1, wherein the rotatably positioned anchoring member is axially aligned to the elongated body when said anchoring member is in a non-deployed mode.

7. A device as set forth in claim 1, wherein the rotatably positioned anchoring member is capable of being deployed after introduction into the bone tunnel, such that said anchoring member is transverse to the elongated body when in a deployed mode.

8. A device for maintaining in approximation bone pieces produced from an osteotomy procedure, the device comprising:

an elongated body for extending into a tunnel between the bone pieces, the body having a distal end and a proximal end;

an anchoring member positioned at the distal end of the body for engaging against one bone piece; and

a locking mechanism at the proximal end of the body to engage the other bone piece, such that the bone pieces may be pulled against one another between the anchoring member and the locking mechanism;

a locking mechanism at the proximal end of the body to engage the other bone piece, such that the bone pieces may be pulled against one another between the rigid member and the locking mechanism wherein the locking mechanism comprises a threaded portion along the proximal end of the elongated body and a complementarily threaded member for engaging the threaded portion; and

a rigid sleeve having a substantially smooth interior surface extending along the length of the bone tunnel so as to permit the elongated body to slide through the tunnel.

9. A device as set forth in claim 8, wherein the device is made from a biocompatible material sufficiently strong to pull the bone pieces against one another.

10. A device as set forth in claim 8, wherein the anchoring member is pivotally-connected to the elongated body.

11. A device as set forth in claim 8, wherein the elongated body has a length sufficiently long so as to allow the device to extend through both bone pieces.

12. A device as set forth in claim 11, wherein the locking mechanism remains substantially outside of the bone tunnel.

13. A device as set forth in claim 8, wherein the elongated body is situated entirely within the bone tunnel.