Bone fixation device and method

• US 9,433,452 B2
• Filed: 08/03/2012
• Issued: 09/06/2016
• Est. Priority Date: 08/03/2012
• Status: Active Grant

• Current Assignee: Zimmer Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Nextremity Solutions, LLC
• Inventors: Weiner, Lon, Katchis, Stuart D., Pepper, John R.
• Primary Examiner(s): LAWSON, MATTHEW JAMES
• Application Number:
  US13/566,517
• Publication Number:
  US 20140039561A1
• Time in Patent Office: 1,495 Days
• Field of Search: 606280-299, 606902-906, 623/21.11, 623/21.15
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/80 Cortical plates , i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
• CPC Class Codes: A61B 17/8004 with means for distracting or compressing the bone or bones
• CPC Class Codes: A61B 17/8014 the extension or compression force being caused by interaction of the plate hole and the screws
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 17/809 with bone-penetrating elements, e.g. blades or prongs bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233

Abstract

In a method and system for corrective surgery of a bone, a bone is cut into a first bone segment and a second bone segment. A plate is positioned over the first bone segment and the second bone segment such that at least one member of the plate is positioned to engage the second bone segment. The at least one member of the plate is inserted into the second bone segment. At least one bone screw is screwed into the first bone segment through at least one compression slot of the plate causing an application of compressive force to secure the first bone segment and the second bone segment to form a corrective construct. The at least one member is positioned at an angle or an offset from the second plate segment.

Claims

1. A bone fixation system, comprising:

a plate comprising;

a first segment comprising;

at least two members each including a first portion and a second portion angled with respect to the first portion and defining a free end, the second portions being and configured for engagement with a second bone segment; and

a planar second segment that is elongated along a first direction comprising;

at least one compression opening including a first radius at a first end, a second radius at a second end that is larger than the first radius, side surfaces tangentially connecting the first and second radii, and a chamfer such that the compression opening is configured for receiving at least one male fixation member therethrough and into a first bone segment so that the fixation member acts against the chamfer to translate the plate and thereby apply a compressive force to secure the first bone segment with the second bone segment to form a corrective construct; and

at least one substantially circular fixation aperture,

wherein the first portions of the at least two members comprise linear portions that diverge from each other as they extend from the second segment to the second portions along the first direction, and are coplanar with the second segment, and wherein the first portions of the at least two members form a void that extends therebetween that is elongated along the first direction.

2. The system of claim 1, wherein the first and second bone segments are segments of bone.

3. The system of claim 2, further comprising a guide configured to be placed over the bone and to facilitate cutting thereof into the first bone segment and the second bone segment.

4. The system of claim 3, wherein the plate is configured to be placed over the first bone segment and the second bone segment based on a corrective angle of the first bone segment and the second bone segment.

5. The system of claim 1, further comprising:

a compressive force device configured to apply a compressive force to the at least two members causing engagement of the second portions of the at least two members with the second bone segment.

6. The system of claim 1, wherein the male fixation member is at least one of a screw, pin, bolt, or nail.

7. The system of claim 1, wherein a head portion of the male fixation member interacts with the chamfer of the compression opening proximate to the first radius after insertion therethrough to translate the plate.

8. The system of claim 1, further comprising:

a stapling mechanism configured to apply a compressive force to the at least two members causing engagement of the second portions of the at least two members with the second bone segment.

9. The system of claim 8, wherein an angulation of the at least two members causes the at least two members to move downward as the plate is tightened such that the at least two members do not expulse from the bone.

10. The system of claim 1, wherein the second portions of the at least two members comprise fixation means for affixing to the second bone segment.

11. The system of claim 10, wherein the fixation means comprises at least one of:

teeth, barbs, or a surface irregularity for securing to the second bone segment.

12. The system of claim 1, wherein the plate is an asymmetric plate.

13. The system of claim 1, wherein the at least two members are configured to be centralized after engagement with the second bone segment, and the at least two members are aligned with respect to each other in a coronal plane at a corrective shift based on the plate.

14. The system of claim 1, wherein the first segment and the second segment are connected by a hinged connection.

15. The system of claim 1, wherein the first segment and the second segment have a same thickness.

16. The system of claim 1, wherein the first segment and the second segment comprise a first material.

17. The system of claim 1, wherein the plate further comprises:

a third segment coupling the first segment and the second segment.

18. The system of claim 17, wherein the third segment comprises a first thickness and the first segment and the second segment comprise a second thickness.

19. The system of claim 17, wherein the third segment comprises a first material and the first segment and the second segment comprise a second material.

20. The system of claim 1, wherein the at least two members comprise a tine or a staple.

21. The system of claim 1, wherein the second portions of the at least two members are nearly perpendicular to an axis of the second bone segment.

22. The system of claim 1, wherein the first plate segment and the second plate segment form a Y-shape.

23. The system of claim 1, wherein the second portions of the at least two members extend perpendicularly from the respective first portions.

24. The system of claim 1, further including the at least one male fixation member, and wherein the at least one male fixation comprises at least one bone screw with an enlarged head portion.

25. The system of claim 24, wherein the second radius at the second end of the at least one compression opening matches the head portion of the at least one bone screw such that the second end supports a final position of the at least one bone screw.

26. The system of claim 25, wherein the compression opening is configured such that the at least one bone screw is screwed into the first bone segment through the at least one compression opening proximate to the first radius to affect compression between the first bone segment and the second bone segment by causing the plate to translate with respect to the at least one bone screw along a second direction that opposes the first direction to thereby pull the second bone segment towards the first bone segment.

27. The system of claim 25, wherein the first radius and second radius of the at least one compression slot are spaced along the first direction with the second radius being proximate to the first segment.

28. The system of claim 1, wherein the at least one compression opening is configured such that the fixation member acts against the chamfer to translate the plate along a second direction that opposes the first direction.

29. The system of claim 1, wherein the plate includes a concave end extending between the second portions of the first segment.

30. The system of claim 1, wherein the second portions of the first segment define an outermost end of the plate along the first direction.

31. A bone fixation system, comprising:

a plate comprising;

a first segment comprising;

at least two members each including a first portion and a second portion angled with respect to the first portion and defining a free end, the second portions being configured for engagement with a second bone segment; and

a boss hole extending through the first segment; and

a planar second segment that is elongated along a first direction comprising;

at least one compression slot positioned proximate to a first end of the second segment including a first radius at a first end, a second radius at a second end that is larger than the first radius, side surfaces connecting the first and second radii, and a chamfer such that the compression slot is configured to receive at least one bone screw therethrough proximate to the first radius and into a first bone segment such that a head portion of the at least one bone screw acts against the chamfer to translate the plate with respect to the at least one bone screw and thereby secure the first bone segment with the second bone segment to form a corrective construct; and

a boss positioned proximate to a second end of the second segment that is opposite the first end thereof and configured to engage the boss hole in the first segment and allow the first segment to rotate relative to the second segment,

wherein the first portions of the at least two members of the first segment are linear and diverge from each other as they extend from the second segment to the second portions along the first direction, and wherein the first portions of the at least two members form a void that extends therebetween that is elongated along the first direction.

32. The system of claim 31, wherein the second portions of the first segment define an outermost end of the plate along the first direction.

33. The system of claim 31, wherein the first portions of the first segment are coplanar with the second segment.