External fixator strut

• US 9,155,559 B2
• Filed: 05/10/2013
• Issued: 10/13/2015
• Est. Priority Date: 02/08/2008
• Status: Active Grant

• Current Assignee: Texas Scottish Rite Hospital for Children
• Original Assignee: Texas Scottish Rite Hospital for Children
• Inventors: Ross, John D., Samchukov, Mikhail L., Cherkashin, Alexander M., Birch, John G.
• Primary Examiner(s): Cumberledge, Jerry
• Assistant Examiner(s): PLIONIS, NICHOLAS J
• Application Number:
  US13/891,382
• Publication Number:
  US 20130253513A1
• Time in Patent Office: 886 Days
• Field of Search: 606 53- 59
• US Class Current: 1/1
• CPC Class Codes: A61B 17/62 Ring frames, i.e. devices extending around the bones to be positioned A61B17/6433 , A61B17/66 take precedence
• CPC Class Codes: A61B 17/64 Devices extending alongside the bones to be positioned
• CPC Class Codes: A61B 17/645 comprising a framework A61B17/6425, A61B17/6441 take precedence

Abstract

The present disclosure provides an external fixation strut for an external fixation device having a ball joints that can be attached to the outer or inner surface of the ring and locked to increase overall stability of the external fixation device. Some embodiments of the fixation strut include a first ball joint coupled to a first end portion of a strut housing, the strut housing having an axial bore defined therethrough. A second ball joint is coupled to a second end portion of an elongated member. The elongated member is coupled to an adjustment mechanism, which is coupled to an upper end portion of an adjustment sleeve. The adjustment sleeve is slidably disposed in the axial bore of the strut housing, and is used to effect coarse strut length adjustments. Gradual strut adjustments are effected by translating the elongated member.

Claims

1. An external fixation strut having a longitudinal axis defined therein, the fixation strut comprising:

a strut housing having an axial bore defined therethrough;

a first ball joint coupled to an end portion of the strut housing, the first ball joint including a first ball joint cage and a first ball member, the first ball member being rotatably coupled to the first ball joint cage, the first ball joint cage including a bore defined therethrough, and the first ball member including a circumferential groove defined therein;

a pin inserted through the bore of the first ball joint cage and at least partially into the circumferential groove of the first ball member to at least partially limit rotation of the first ball member relative to the first ball joint cage;

an adjustment sleeve slidably disposed within the axial bore, the adjustment sleeve and the strut housing being releasably coupled by a connector;

an elongated member;

a second ball joint coupled to an end portion of the elongated member; and

an adjustment mechanism having a bore defined therethrough, the elongated member being disposed through the bore, the adjustment mechanism being operable to adjust a longitudinal position of the elongated member relative to the adjustment sleeve.

2. The external fixation strut of claim 1, wherein

the strut housing includes an aperture defined in a wall of the strut housing,

the aperture extends longitudinally along the strut housing,

the adjustment sleeve includes a radial bore, and

the connector includes a screw disposed through the aperture of the strut housing and received in the radial bore.

3. The external fixation strut of claim 2, wherein

the connector includes a washer having a central opening defined therein,

the washer is disposed on an outer surface of the strut housing, and

the screw is disposed through the central opening of the washer, through the aperture of the strut housing, and received in the radial bore.

4. The external fixation strut of claim 1, wherein

the first ball joint includes a first ball stud extending outwardly from the first ball member, and

the first ball stud is operable to be received in an aperture in a first external support member.

5. The external fixation strut of claim 4, wherein the second ball joint includes

a second ball joint cage;

a second ball member rotatably coupled to the second ball joint cage; and

a second ball stud extending outwardly from the second ball member, the second ball stud being operable to be received in an aperture in a second external support member.

6. The external fixation strut of claim 4, wherein the first ball stud includes an end portion.

7. The external fixation strut of claim 4, wherein the first ball stud includes a smooth outer surface, a circumferential groove defined in the outer surface, and a conical tip.

8. The external fixation strut of claim 4, wherein an orientation of the first ball member relative to the first ball joint cage is operable to be substantially fixed.

9. The external fixation strut of claim 8, wherein

the first ball joint cage includes a radial gap defined therethrough,

the radial gap partially splits the first ball joint cage into first and second split portions,

the first split portion includes a first aperture defined therethrough,

the second split portion includes a second aperture defined therethrough, and

the first and second apertures are operable to receive a fastener.

10. The external fixation strut of claim 8, wherein

the first ball member includes an aperture defined therethrough,

the aperture is operable to receive a split ball stud disposed through the aperture,

the split ball stud includes an end portion and a flared end portion operable to expand the aperture when the split ball stud is inserted through the aperture.

11. The external fixation strut of claim 8, wherein the first ball joint cage includes a first portion and a locking member operable to engage a surface of the first ball member such that when the locking member is engaged with the first portion the movement of the first ball member is substantially limited.

12. The external fixation strut of claim 8, wherein

the first ball joint cage includes a radial bore,

a locking screw is disposed through the radial bore of the first ball joint cage,

an end portion of the locking screw exerts a frictional force on the first ball member such that movement of the first ball member is substantially limited.

13. The external fixation strut of claim 1, wherein the adjustment sleeve includes a longitudinally extending slot defined therethrough.

14. The external fixation strut of claim 1, wherein the adjustment mechanism includes a locking mechanism.

15. The external fixation strut of claim 1, further comprising an information indicator coupled to the adjustment sleeve or the strut housing.

16. The external fixation strut of claim 15, wherein the information indicator includes an electronic information identifier.

17. The external fixation strut of claim 1, further comprising a device for electronically identifying a strut.

18. The external fixation strut of claim 1, further comprising an electronic device for monitoring strut adjustments.

19. An external fixation strut comprising:

a strut housing having an axial bore defined therethrough and an aperture defined in a wall of the strut housing, the aperture extending longitudinally along the strut housing;

an adjustment sleeve slidably disposed within the axial bore, the adjustment sleeve and the strut housing being releasably coupled by a connector, the adjustment sleeve including a radial bore, and the connector including a screw disposed through the aperture of the strut housing and received in the radial bore;

an elongated member;

a first ball joint coupled to an end portion of the strut housing, the first ball joint including

a first ball joint cage including a bore defined therethrough;

a first ball member rotatably coupled to the first ball joint cage and including a circumferential groove defined therein;

a pin inserted through the bore of the first ball joint cage and at least partially into the circumferential groove of the first ball member to at least partially limit rotation of the first ball member relative to the first ball joint cage; and

a first ball stud extending outwardly from the first ball member, the first ball stud being operable to be received in a ring aperture in an outer or inner surface of a first external fixator ring;

a second ball joint coupled to an end portion of the elongated member; and

an adjustment mechanism that adjusts a longitudinal position of the elongated member relative to the adjustment sleeve.

20. A method of interconnecting first and second fixator rings with a strut, adjusting the strut to a pretreatment strut length, and making strut length adjustments during treatment, the rings each including a plurality of apertures defined in an inner or outer surface of the ring, the method comprising:

providing a first part of the strut, the first part including a first ball joint coupled to an end portion of a strut housing, the strut housing having an axial bore defined therethrough, the first ball joint including a first ball stud, a first ball joint cage and a first ball member, the first ball member being rotatably coupled to the first ball joint cage, the first ball joint cage including a bore disposed therethrough, and the first ball member including a circumferential groove defined therein;

inserting a pin through the bore of the first ball joint cage and at least partially into the circumferential groove of the first ball member to at least partially limit rotation of the first ball member relative to the first ball joint cage;

providing a second part of the strut, the second part including a second ball joint coupled to an end portion of an elongated member;

the elongated member being coupled to an adjustment mechanism, the adjustment mechanism being coupled to an adjustment sleeve, and the second ball joint including a second ball stud;

disposing the adjustment sleeve within the axial bore of the strut housing;

connecting the first ball stud of the first ball joint to a first aperture of the first fixator ring;

connecting the second ball stud of the second ball joint to a second aperture of the second fixator ring;

positioning the adjustment sleeve relative to the strut housing to arrive at the pretreatment strut length;

releasably coupling the adjustment sleeve to the strut housing; and

translating, using the adjustment mechanism, the elongated member to adjust the strut length.

21. The method of claim 20, wherein the first ball stud extends outwardly from the first ball member.

22. The method of claim 20, wherein

the first ball joint cage includes a radial gap splitting the first ball joint cage into first and second split portions,

the first split portion includes a first aperture defined therethrough,

the second split portion includes a second aperture defined therein,

the first and second apertures are operable to receive a fastener,

the first ball stud extends outwardly from the first ball member, and

the method further comprises inserting a fastener through the first aperture in the first split portion and into the second aperture thereby locking the first ball member in a spatial orientation by engaging an end portion of the fastener in the second aperture.