Arthrodesis implant for finger joints and related methods

• US 8,506,641 B2
• Filed: 09/03/2008
• Issued: 08/13/2013
• Est. Priority Date: 09/03/2008
• Status: Active Grant

• Current Assignee: UPEX Holdings LLC
• Original Assignee: Cleveland Clinic Foundation
• Inventors: Graham, Thomas James, Bamberger Do, H. Brent, Calandruccio, James Howard, Wiedrich, Thomas A., Focht, Louise M., Higgins, James
• Primary Examiner(s): Willse, David H
• Assistant Examiner(s): SHIPMON, TIFFANY P
• Application Number:
  US12/203,244
• Publication Number:
  US 20100057214A1
• Time in Patent Office: 1,805 Days
• Field of Search: 623 2111- 2117, 606/906, 606/280, 606/71, 606281-283, 606/291, 606/289
• US Class Current: 623/21.15
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 17/863 with thread interrupted or changing its form along shank, other than constant taper
• CPC Class Codes: A61B 17/8685 comprising multiple separate parts

Abstract

An arthrodesis implant is for a finger joint of a hand of a patient. The arthrodesis implant may include an extramedullary proximal anchor including a first member having a fastener-receiving passageway therethrough to receive a fastener to anchor the first member to an extramedullary portion of a proximal bone of the finger joint of the hand of the patient. The arthrodesis implant may also include an intramedullary distal anchor having a second member for being anchored within an intramedullary portion of a distal bone of the finger joint of the hand of the patient, and a coupling for securing the first and second members together.

Claims

1. An arthrodesis implant for a finger joint of a hand of a patient comprising:

an extramedullary proximal anchor comprising a first member having at least one fastener-receiving passageway extending entirely therethrough to receive at least one fastener to anchor said first member to an extramedullary portion of a proximal bone of the finger joint of the hand of the patient;

an intramedullary distal anchor comprising a second member including a threaded shaft for being anchored within an intramedullary portion of a distal bone of the finger joint of the hand of the patient;

a coupling for securing said first and second members together, said coupling formed from a tube connected to said first member and extending transversely therefrom; and

a threaded sleeve that extends into said tube and threadably receives said threaded shaft of said second member for securing said first and second members together, said threaded sleeve being positioned between said threaded shaft and said tube, said second member engaging said coupling to prevent relative movement between the second member and the coupling.

2. The arthrodesis implant according to claim 1, wherein said threaded sleeve includes a tool engaging head.

3. The arthrodesis implant according to claim 2 wherein an end of said tube spaced from said first member has an internal reduced diameter portion defining a stop for engagement by said threaded sleeve and second member to prevent all relative longitudinal movement between said threaded sleeve and said tube.

4. The arthrodesis implant according to claim 1 wherein said tube extends transversely from said first member at an angle in a range of 20 to 90 degrees.

5. The arthrodesis implant according to claim 1 wherein said first member comprises an elongate curved body.

6. The arthrodesis implant according to claim 5 wherein said elongate curved body has rounded corner portions.

7. The arthrodesis implant according to claim 1 wherein said second member comprises a cylindrical body having a textured surface.

8. The arthrodesis implant according to claim 1 wherein each fastener-receiving passageway extends straight through the entire first member.

9. The arthrodesis implant according to claim 1 wherein the first member is substantially planar.

10. The arthrodesis implant according to claim 1 wherein the fastening arrangement prevents all relative movement between the first and second members.

11. The arthrodesis implant according to claim 1 wherein the first member is free of threads.

12. The arthrodesis implant according to claim 1 wherein the fastening arrangement extends along the direction of extension of the coupling.

13. The arthrodesis implant according to claim 1 wherein an end of the tube spaced from the first member has an internal reduced diameter portion, the sleeve and the second member engaging oppositely facing surfaces of the reduced diameter portion to prevent all longitudinal movement of the sleeve and second member relative to the coupling.

14. The arthrodesis implant according to claim 13, wherein the oppositely facing surfaces of the reduced diameter portion face directions that extend parallel to the longitudinal direction of the coupling.

15. An arthrodesis implant for a finger joint of a hand of a patient comprising:

an extramedullary proximal anchor comprising a first elongate curved member having at least one fastener-receiving passageway therethrough to receive at least one fastener to anchor said first elongate curved member to an extramedullary portion of a proximal bone of the finger joint of the hand of the patient;

an intramedullary distal anchor comprising a second member that includes a threaded shaft for being anchored within an intramedullary portion of a distal bone of the finger joint of the hand of the patient;

a coupling comprising a tube connected to said first elongate curved member and extending transversely therefrom, and

a threaded sleeve that extends into said tube and threadably receives said threaded shaft of said second member for securing said first elongate curved member and said second member together, said threaded sleeve being positioned between said threaded shaft and said tube, said second member engaging said coupling to prevent relative movement between the second member and the coupling.

16. The arthrodesis implant according to claim 15 wherein said threaded sleeve includes a tool engaging head.

17. The arthrodesis implant according to claim 16 wherein an end of said tube spaced from said first member has an internal reduced diameter portion defining a stop for engagement by said threaded sleeve and second member to prevent all relative longitudinal movement between said threaded sleeve and said tube.

18. The arthrodesis implant according to claim 15 wherein said tube extends transversely from said first elongate curved member at an angle in a range of 20 to 90 degrees.

19. The arthrodesis implant according to claim 15 wherein said second member comprises a cylindrical body having a textured surface.

20. The arthrodesis implant according to claim 15 wherein each fastener-receiving passageway extends straight through the entire first member.

21. The arthrodesis implant according to claim 15 wherein the first member is substantially planar.

22. The arthrodesis implant according to claim 15 wherein the fastening arrangement prevents all relative movement between the first and second members.

23. The arthrodesis implant according to claim 15 wherein the first member is free of threads.

24. The arthrodesis implant according to claim 15 wherein the fastening arrangement extends along the direction of extension of the coupling.

25. The arthrodesis implant according to claim 15 wherein an end of the tube spaced from the first member has an internal reduced diameter portion, the sleeve and the second member engaging oppositely facing surfaces of the reduced diameter portion to prevent all longitudinal movement of the sleeve and second member relative to the coupling.

26. The arthrodesis implant according to claim 25, wherein the oppositely facing surfaces of the reduced diameter portion face directions that extend parallel to the longitudinal direction of the coupling.

27. An arthrodesis implant for a finger joint of a hand of a patient comprising:

a first anchor member having at least one straight passageway extending entirely therethrough, each of the at least one passageways for receiving a fastener to anchor the first member to an extramedullary portion of a proximal bone of the finger joint of the hand of the patient;

a second anchor member having a threaded shaft and for being anchored within an intramedullary portion of a distal bone of the finger joint of the hand of the patient;

a tubular coupling connected to and extending transversely from the first member, an end of the tube spaced from the first member having an internal reduced diameter portion; and

a threaded sleeve that extends into the coupling and threadably receives the threaded shaft of the second member, the threaded sleeve being positioned between the threaded shaft and the coupling and engaging the reduced diameter portion of the coupling to prevent relative movement of the second member in a first direction relative to the coupling, the second member engaging the reduced diameter portion of the coupling to prevent relative movement of the second member in a second direction opposite the first direction relative to the coupling.

28. The arthodesis implant according to claim 27 wherein the sleeve and the second member engage oppositely facing surfaces of the reduced diameter portion to prevent all longitudinal movement of the sleeve and second member relative to the coupling.

29. The arthrodesis implant according to claim 28, wherein the oppositely facing surfaces of the reduced diameter portion face directions that extend parallel to the longitudinal direction of the coupling.