Plating concept for distal radial fractures

• US 9,370,386 B2
• Filed: 11/23/2010
• Issued: 06/21/2016
• Est. Priority Date: 11/27/2009
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Cicoira, Franco, Galm, Andre, Langer, Martin, Kerstan, Dirk, Dutoit, Christof, Rocci, Mirko
• Primary Examiner(s): SEVILLA, CHRISTIAN ANTHONY
• Application Number:
  US12/952,756
• Publication Number:
  US 20110218576A1
• Time in Patent Office: 2,037 Days
• Field of Search: 606/70, 606/71, 606/86.R, 606/96, 606/98, 606280-286, 606/289
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1728 for holes for bone plates or plate screws
• CPC Class Codes: A61B 17/1782 for the hand or wrist
• 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

Abstract

A bone fixation plate comprises a plate body extending from a first end configured for placement over a shaft of a bone to a second end configured and dimensioned for placement over an epiphysis of the bone, an outer diameter of the plate body increasing from the first end to the second end to substantially conform to dimensions of the bone. An opening extends through the plate from a first surface which faces away from the bone when mounted thereonto to a second surface which faces the bone when in the desired orientation, the opening being positioned so that, when mounted over the bone, a fracture of the bone is visible therethrough to aid in alignment of the bone plate. First and second holes extend through the plate, each of the first and second holes being structured to lockingly engage a threaded head of a bone fixation device inserted thereinto.

Claims

1. A bone fixation plate, comprising:

a plate body extending from a first end to a second end, the first end being configured and dimensioned for placement over a shaft of a bone, the second end being configured and dimensioned for placement over an epiphysis of the bone, an outer width of the plate body increasing from the first end to the second end to substantially conform to dimensions of the bone;

an opening extending through the plate from a first surface which, when the plate is mounted on the target bone in a desired orientation, faces away from the bone to a second surface, which when in the desired orientation, faces the bone, the opening being positioned so that, when the plate is mounted over a target portion of the bone, a fracture of the bone is visible therethrough to aid in alignment of the bone plate, wherein a first side and a second side of the opening extend parallel to respective lateral sides of the plate body from a distal end of the opening to a proximal end of the opening;

first and second holes extending through the plate from the first surface to the second surface, each of the first and second holes being structured to lockingly engage a threaded head of a bone fixation device inserted thereinto; and

a variable angle compression hole extending through the bone plate from the first surface to the second surface and comprising a first compression opening adjacent and open to a second compression opening,

wherein the first compression opening is substantially circular and the second compression opening is substantially oval.

2. The bone fixation plate of claim 1, wherein a shape of the opening substantially matches an outer shape of a portion of the plate body surrounding the opening.

3. The bone fixation plate of claim 1, wherein an outer shape of a distal portion of the plate body surrounding the opening is substantially triangular.

4. The bone fixation plate of claim 1, wherein the plate body is configured and dimensioned for placement over a distal radius.

5. The bone fixation plate of claim 1, wherein the opening is defined by first and second lateral walls of the plate and a distal wall, a width of the first wall is substantially equal to that of the second wall.

6. The bone fixation plate of claim 1, wherein a distal portion of the plate body is substantially triangular.

7. The bone fixation plate of claim 6, further comprising an elongate shaft extending proximally from the distal portion of the plate body.

8. The bone fixation plate of claim 1, wherein the first and second holes are fixed angle holes, and wherein hole axes of the first and second holes, when projected from the second surface, do not intersect one another.

9. The bone fixation plate of claim 1, wherein the first and second holes are variable angle holes configured to lockingly engage a threaded head of a bone fixation device inserted thereinto at any user selected angle relative to a hole axis of the corresponding one of the first and second variable angle holes within a permitted range of angulation.

10. The bone fixation plate of claim 9, wherein the first variable angle hole is formed as a central bore intersected by a plurality of peripheral bores opening into the central bore.

11. The bone fixation plate of claim 1, further comprising a wire hole extending through the plate body configured and dimensioned to receive a Kirschner wire therethrough.

12. The bone fixation plate of claim 8, wherein the first and second fixed angle holes extend through a distal wall of the plate body.

13. The bone fixation device of claim 1, wherein the first hole is distal of the second hole.

14. The bone fixation plate of claim 3, further comprising a threaded locking hole at a proximal end of the distal portion of the plate body.

15. The bone fixation plate of claim 1, wherein the opening further comprises a partially circular indentation extending distally thereinto, the indentation being configured to receive a portion of a bone fixation device therethrough.

16. A bone fixation system, comprising:

a bone fixation plate having a plate body extending from a first end configured and dimensioned for placement over a shaft of a bone to a second end configured and dimensioned for placement over an epiphysis of the bone, an outer diameter of the plate body increasing from the first end to the second end to substantially conform to dimensions of the bone, an opening extending through the plate from a first surface which, when the plate is mounted on the target bone in a desired orientation, faces away from the bone to a second surface, which when in the desired orientation, faces the bone, the opening being positioned so that, when the plate is mounted over a target portion of the bone, a fracture of the bone is visible therethrough to aid in alignment of the bone plate, and first and second holes extending through the plate from the first surface to the second surface, each of the first and second holes being structured to lockingly engage a threaded head of a bone fixation device inserted thereinto, wherein a first side and a second side of the opening extend parallel to respective lateral sides of the plate body from a distal end of the opening to a proximal end of the opening; and

an aiming device having a hooked arm and a handle, the hooked arm being configured as an elongated element with a pointed tip at a distal end configured and dimensioned to contact an outer portion of the target bone, the handle being slidably positionable along the elongated element and positioned adjacent the bone fixation plate so that a bone fixation device inserted through the handle aligns with one of the first and second holes of the bone fixation plate.

17. The bone fixation system of claim 16, further comprising a tightening mechanism on the handle configured to lock a position of the handle relative to an aiming arm.

18. The bone fixation system of claim 16, wherein the first and second holes are fixed angle holes, wherein a longitudinal axis of the second hole is configured to prevent intersection with a longitudinal axis of the first hole.

19. The bone fixation system of claim 16, wherein the first and second holes are variable angle holes.

20. The bone fixation system of claim 19, wherein the first and second variable angle holes are formed with respective central holes being surrounded by a plurality of outer bores open thereto.

21. The bone fixation system of claim 16, wherein the pointed tip and a portion of the distal end of the hooked arm comprise an opening extending therethrough and configured to permit insertion of a drill bit therethrough.

22. The bone fixation system of claim 21, wherein the pointed tip is removably attached to the hooked arm.