Fracture fixation device, tools and methods

• US 9,259,250 B2
• Filed: 04/11/2013
• Issued: 02/16/2016
• Est. Priority Date: 11/22/2006
• Status: Active Grant

• Current Assignee: Arthrex Incorporated
• Original Assignee: Sonoma Orthopedic Products Incorporated (Arthrex Incorporated)
• Inventors: Saravia, Heber, Hauck, Brian A., Pham, Trung, Nelson, Charles L., Anderson, Arthur E. III, Bowen, William W., McDaniel, Stephen R.
• Primary Examiner(s): Philogene, Pedro
• Assistant Examiner(s): SUMMITT, LYNNSY M
• Application Number:
  US13/861,315
• Publication Number:
  US 20130231665A1
• Time in Patent Office: 1,041 Days
• Field of Search: 606 62- 68, 606/282, 606/320, 606/105, 606/86.R
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1725 for applying transverse screws or pins through intramedullary nails or pins
• CPC Class Codes: A61B 17/7241 the nail having separate elements through which screws pass
• CPC Class Codes: A61B 17/7266 with fingers moving radially outwardly
• CPC Class Codes: A61B 17/8872 Instruments for putting said fixation devices against or away from the bone A61B17/7074, A61B17/808 take precedence

Abstract

Bone fixation methods and devices with an elongate body having a longitudinal axis and having a flexible state and a rigid state, a plurality of grippers, a rigid hub connected to the elongated body, and an actuator operably connected to the grippers to deploy the grippers from a first shape to an expanded second shape. One method can include inserting a bone fixation device into an intramedullary space of the bone to place at least a portion of an elongate body of the fixation device in a flexible state on one side of the fracture and at least a portion of a rigid hub on another side of the fracture, and operating an actuator to deploy a plurality of grippers of the fixation device to engage an inner surface of the intramedullary space to anchor the fixation device to the bone.

Claims

1. A method of repairing a fracture of a long bone, the method comprising:

advancing a bone fixation device across a fracture of an intramedullary space of a long bone,

wherein the bone fixation device comprises a rigid hub, a plurality of gripper elements, and an elongate body,

wherein the rigid hub comprises a first end and a second end and the rigid hub is advanced to a position spanning the fracture;

operating an actuator from the second end of the rigid hub so as to inhibit movement of the elongate body; and

deploying the plurality of gripper elements of the bone fixation device from an advancement configuration to a deployed configuration extending radially outwardly from the elongate body so as to engage an inner surface of the intramedullary space to anchor the bone fixation device to the long bone,

further comprising inserting a screw into the bone on one side of the fracture and through the rigid hub so that, when implanted, the gripper elements and the screw affix the bone fixation device to the bone on the one side of the fracture,

wherein the step of advancing a bone fixation device is performed while the rigid hub has a preformed bore, the step of inserting a screw comprising inserting the screw through the bone and the preformed bore,

wherein the rigid hub has a plurality of preformed holes, the method comprising inserting a first screw dorsal to volar through two portions of the bone and a first and second of the preformed holes and inserting a second screw volar to dorsal through two other portions of the bone and a third and fourth of the preformed holes.

2. The method of claim 1 wherein the operating step comprises rotating the actuator with respect to the bone fixation device.

3. The method of claim 1 wherein the operating step comprises pivoting at least one of the plurality of gripper elements away from a longitudinal axis of the elongate body.

4. The method of claim 3 wherein the operating step comprises pivoting at least two of the plurality of gripper elements away from the longitudinal axis of the elongate body.

5. The method of claim 3 wherein the pivoting step comprises moving at least two bone engaging surfaces of the plurality of gripper elements into engagement with the bone.

6. The method of claim 3 wherein the pivoting step comprises moving at least three of the plurality of gripper elements away from the longitudinal axis of the elongate body, the at least three of the plurality of gripper elements being disposed circumferentially around the elongate body at the same axial position.

7. The method of claim 3 wherein the pivoting step comprises pivoting a pair of the plurality of gripper elements disposed on opposite sides of the elongate body at the same axial position so that two surfaces of each of the gripper elements engage the inner surface of the intramedullary space.

8. The method of claim 7 wherein the pivoting step comprises rotating the plurality of gripper elements in a first direction.

9. The method of claim 1 wherein the long bone is any one of the group consisting of a radius, ulna, humerus, clavicle, femur, tibia, and fibula.

10. The method of claim 1 further comprising forming a bore through the bone prior to inserting the screw.

11. The method of claim 1 further comprising inserting a third screw proximal to distal through two more portions of the bone and fifth and sixth of the preformed holes of the hub.

12. The method of claim 1 further comprising attaching a drill alignment guide to the rigid hub and aligning a drill bit with the hub using the drill alignment guide, wherein the screw is inserted in the bone using a hole in the bone drilled with the aligned drill bit.

13. The method of claim 1 wherein advancing the bone fixation device into the intramedullary space of the bone comprises the use of a guidewire.

14. The method of claim 13 wherein the guidewire is used to guide tools in preparing the intramedullary space of the bone prior to advancing the bone fixation device.

15. The method of claim 1, wherein the fixation device is inserted into an opening in a second portion of the bone, wherein the elongate body of the fixation device comprises a tubular body having a generally helical cut, the generally helical cut facilitating flexing along the elongate body when the elongate body is inserted into the intramedullary space through the opening;

the generally helical cut defining a wave superimposed on a helical cut along a circumferential turn of the generally helical cut, the wave engaging an adjacent circumferential turn of the generally helical cut so as to transmit torque along the elongate body; and

wherein the method further comprises rigidizing the elongate body from a flexible state to a rigid state by imposing an axial load on the tubular body in response to rotating the actuator about an axis of the rigid hub so as to inhibit axial flexing along the tubular body.

16. The method of claim 1, wherein the fixation device is inserted into an opening in a second portion of the bone, wherein the elongate body of the fixation device comprises a tubular body having a plurality of segments, the plurality of segments facilitating flexing along the elongate body when the elongate body is inserted into the intramedullary space through the opening;

the plurality of segments configured to transmit torque along the elongate body; and

wherein the method further comprises rigidizing the elongate body from a flexible state to a rigid state by imposing an axial load on the tubular body in response to rotating the actuator about an axis of the rigid hub so as to inhibit flexing along the tubular body.