Method of bone fixation with slender spanning members disposed outside bone

• US 8,475,504 B2
• Filed: 07/17/2008
• Issued: 07/02/2013
• Est. Priority Date: 07/19/2007
• Status: Active Grant

• Current Assignee: Acumed Llc (Berkshire Hathaway Incorporated)
• Original Assignee: Acumed Llc (Berkshire Hathaway Incorporated)
• Inventors: Gillard, Joel, Huebner, Randall J., Horst, Steven P.
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): Hoffman, Marcia
• Application Number:
  US12/175,223
• Publication Number:
  US 20090069851A1
• Time in Patent Office: 1,811 Days
• Field of Search: 606/60, 606/70, 606/71, 606/278, 606280-287, 606/289, 606/291
• US Class Current: 606/281
• CPC Class Codes: A61B 17/1684 for the shoulder
• CPC Class Codes: A61B 17/1778 for the shoulder
• CPC Class Codes: A61B 17/8009 the plate having a ratchet
• CPC Class Codes: A61B 17/8023 Variable length plates adjustable in both directions
• CPC Class Codes: A61B 17/8042 the additional component being a cover over the screw head
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 17/808 Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
• CPC Class Codes: A61B 17/8645 Headless screws, e.g. ligament interference screws
• CPC Class Codes: A61B 17/8861 Apparatus for manipulating flexible wires or straps devices for inserting Kirschner wires A61B17/1697

Abstract

System, including methods, apparatus, kits, and components, for bone fixation using a pair of slender spanning members to span a fracture outside bone.

Claims

1. A method of fixing bone, comprising:

selecting a bone having a discontinuity near an end of the bone;

providing a fixation device including a plate member and a U-shaped spanning component connected to the plate member with a clamp of the plate member formed at least in part by an upper plate, a lower plate, and a locking screw, the spanning component having a pair of legs that are round in cross section and that overlap the plate member and extend axially from the plate member to a pair of heads each defining an opening, the clamp being adjustable between a first configuration that permits the spanning component to slide parallel to a long axis of the plate member and a second configuration that fixes the spanning component to the plate member;

placing the fixation device as a unit through an incision and onto the bone such that each leg spans the discontinuity and the plate member is arranged longitudinally on the bone and on an opposite side of the discontinuity from the end of the bone and the pair of heads; and

attaching the fixation device to the bone using fasteners placed into the bone through apertures of the lower plate that are not covered by the upper plate and through the opening of each head.

2. The method of claim 1, wherein the step of placing includes a step of moving the plate member longitudinally along the bone from the incision by manipulating an insertion tool that is attached to the fixation device before the step of placing.

3. The method of claim 2, wherein the insertion tool includes a guide portion, and wherein the step of attaching includes a step of advancing fasteners to the apertures of the lower plate along paths defined by the guide portion.

4. The method of claim 1, wherein the U-shaped spanning component has a junction region that extends from one leg to the other leg, and wherein the junction region and the legs have the same average diameter.

5. The method of claim 1, wherein the U-shaped spanning component has a junction region that extends from one leg to the other leg, and wherein the junction region is round in cross section.

6. The method of claim 1, wherein the U-shaped spanning component has a junction region that extends from one leg to the other leg, and wherein the junction region is connected to the bone only via the legs after the step of attaching.

7. The method of claim 1, wherein the step of attaching does not adjust a compression applied to the spanning component by the clamp.

8. The method of claim 1, wherein a compression applied to the spanning component by the clamp is adjustable after the step of attaching, while the fasteners placed through apertures of the lower plate remain stationary.

9. The method of claim 1, wherein the step of placing includes a step of advancing heads of fasteners into engagement with the lower plate.

10. The method of claim 1, wherein fasteners placed through apertures of the lower plate are threaded fasteners, further comprising a step of sliding the spanning component parallel to a long axis of the plate member after the step of attaching, without turning any of the threaded fasteners after the step of attaching.

11. The method of claim 1, further comprising a step of compressing the bone longitudinally with the fixation device, after the step of attaching, with the clamp loosened such that the spanning component is slidable along the plate member, and a step of tightening the clamp after the step of compressing such that the spanning component is fixed to the plate member.

12. A method of fixing bone, comprising:

selecting a bone having a discontinuity near an end of the bone;

providing a fixation device including a plate member and a U-shaped spanning component connected to the plate member with a clamp of the plate member, the spanning component having a pair of legs overlapping the plate member and extending axially from the plate member to a pair of heads each defining an opening;

placing the fixation device as a unit through an incision and onto the bone such that each leg spans the discontinuity and the plate member is arranged longitudinally on the bone; and

attaching the fixation device to the bone using fasteners placed into the bone through apertures of the plate member and through the opening of each head,

wherein the plate member includes a first plate disposed under a second plate, and wherein the fasteners extend through the first plate and not the second plate after the step of attaching.

13. The method of claim 12, wherein the step of placing includes a step of moving the plate member longitudinally along the bone from the incision by manipulating an insertion tool that is attached to the fixation device before the step of placing.

14. The method of claim 13, wherein the insertion tool includes a guide portion, and wherein the step of attaching includes a step of advancing fasteners to the apertures of the plate member along paths defined by the guide portion.

15. The method of claim 12, wherein the U-shaped spanning component has a junction region that extends from one leg to the other leg, and wherein the junction region and the legs have the same average diameter.

16. The method of claim 12, wherein the U-shaped spanning component has a junction region that extends from one leg to the other leg, and wherein the junction region is round in cross section.

17. The method of claim 12, wherein the U-shaped spanning component has a junction region that extends from one leg to the other leg, and wherein the junction region is connected to the bone only via the legs after the step of attaching.

18. The method of claim 12, wherein the step of attaching does not adjust a compression applied to the spanning component by the clamp.

19. The method of claim 12, wherein a compression applied to the spanning component by the clamp is adjustable after the step of attaching, while the fasteners placed through apertures of the plate member remain stationary.

20. The method of claim 12, wherein the step of placing includes a step of advancing heads of fasteners into engagement with the first plate.

21. The method of claim 12, wherein fasteners placed through apertures of the plate member are threaded fasteners, further comprising a step of sliding the spanning component parallel to a long axis of the plate member after the step of attaching, without turning any of the threaded fasteners after the step of attaching.

22. The method of claim 12, further comprising a step of compressing the bone longitudinally with the fixation device, after the step of attaching, with the clamp loosened such that the spanning component is slidable along the plate member, and a step of tightening the clamp such that the spanning component is fixed to the plate member.