Guide assembly for intramedullary fixation and method of using the same

• US 9,662,153 B2
• Filed: 05/06/2014
• Issued: 05/30/2017
• Est. Priority Date: 12/17/2007
• Status: Active Grant

• Current Assignee: Wright Medical Technology Incorporated (Stryker Corporation)
• Original Assignee: Wright Medical Technology Incorporated (Stryker Corporation)
• Inventors: Tan, Virak, Larsen, Scott, Warburton, Mark J.
• Primary Examiner(s): BATES, DAVID W
• Application Number:
  US14/271,067
• Publication Number:
  US 20140243839A1
• Time in Patent Office: 1,120 Days
• CPC Class Codes: A61B 17/164 intramedullary
• CPC Class Codes: A61B 17/1686 for the hand or wrist
• CPC Class Codes: A61B 17/1725 for applying transverse screws or pins through intramedullary nails or pins
• CPC Class Codes: A61B 17/1735 for rasps or chisels
• CPC Class Codes: A61B 17/1782 for the hand or wrist
• CPC Class Codes: A61B 17/72 Intramedullary pins, nails or other devices A61B17/744 takes precedence
• CPC Class Codes: A61B 17/90 Guides therefor
• CPC Class Codes: A61B 17/921 for intramedullary devices
• CPC Class Codes: A61B 2017/00915 for radioactive radiation
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/062 penetration depth

Abstract

A guide assembly for facilitating placement of a fixation member within a medullary canal of a radius is provided. According to one embodiment, a guide assembly includes a guide fastener configured to attach to a fixation member and a guide member configured to receive the guide fastener such that the guide member is secured to the fixation member. The guide assembly also includes an interchangeable distal guide member configured to engage and be disengaged from the guide member. The distal guide member defines a plurality of fastener guide openings for guiding respective fasteners through a plurality of fastener openings defined in the fixation member.

Claims

1. A method for placing a fixation member within a medullary canal of a radius, the method comprising:

defining a side aperture in the radius that extends into a medullary canal thereof;

attaching a guide member to the fixation member with a guide fastener;

inserting the fixation member through the side aperture until the fixation member is positioned in the medullary canal;

attaching an interchangeable distal guide member to the guide member after the fixation member is positioned in the medullary canal, wherein the distal guide member defines a plurality of fastener guide openings;

defining a plurality of fastener openings within the radius via the plurality of fastener guide openings defined in the distal guide member that align with a plurality of fastener openings defined in the fixation member; and

advancing a plurality of bone fasteners through the plurality of fastener guide openings defined in the distal guide member and the plurality of fastener openings defined in the fixation member and the radius.

2. A method of claim 1, further comprising attaching an interchangeable proximal guide member to the distal guide member, wherein the proximal guide member defines a plurality of fastener guide openings.

3. A method of claim 2, further comprising defining a plurality of fastener openings within the radius via the plurality of fastener guide openings defined in the proximal guide member that align with a plurality of fastener openings defined in the fixation member that are located proximally of the plurality of fastener openings defined via the distal guide member.

4. A method of claim 1, further comprising detaching the distal guide member from the guide member while the member is attached to the fixation member.

5. A method of claim 1, wherein inserting the fixation member through the side aperture comprises inserting the fixation member through a lateral surface of a widened end of the radius subjacent an articular cartilage surface.

6. A method of claims 1, wherein inserting the fixation member through the side aperture comprises inserting the fixation member through the radial styloid process.

7. A method of claim 1, wherein defining the fastener openings within the radius via the distal guide member comprises defining at least three of the fastener openings within the radius, and

wherein advancing the bone fasteners through the fastener guide openings defined in the distal guide member and the fastener openings defined in the fixation member and the radius comprises advancing at least three of the bone fasteners.

8. A method of claim 1, wherein one of the fastener openings defined in the fixation member defines a guide portion and a fastener portion,

wherein attaching the guide member to the fixation member with the guide fastener comprises engaging the guide fastener with the guide portion, and

wherein advancing the bone fasteners through the fastener openings defined in the fixation member comprises engaging one of the bone fasteners with the fastener portion.

9. A method of claim 1, further comprising detaching the distal guide member from the guide member while the guide member is attached to the fixation member by the guide fastener.

10. A method of claim 1, wherein inserting the fixation member through the side aperture comprises positioning the fixation member such that the fixation member extends out of the side aperture.

11. A method of claim 1, wherein attaching the distal guide member to the guide member comprises aligning a first fastener guide opening defined in the guide member with a second fastener guide opening defined in the distal guide member, and

wherein attaching the guide member to the fixation member with the guide fastener comprises inserting the guide fastener through the first fastener guide opening and the second fastener guide opening.

12. A method of claim 11, wherein attaching the distal guide member to the guide member further comprises inserting a protrusion defined by the guide member, through which the first fastener guide opening extends, into the second fastener guide opening.

13. A method of claim 1, wherein defining the fastener openings within the radius comprises inserting a drill guide through an opening extending through the guide fastener.

14. A method of claim 1, wherein attaching the distal guide member to the guide member comprises inserting at least a portion of the guide member into a clot defined in the distal guide member.

15. A method of claim 1, further comprising respectively inserting a tissue protector through each of the fastener guide openings of the proximal guide member and the fastener guide openings of the distal guide member.

16. A method of claim 15, further comprising respectively inserting a drill guide through each tissue protector.

17. A method of claim 16, further comprising respectively inserting a k-wire through each drill guide in order to determine a depth of drilling into the radius based on a measurement reading on each drill guide.

18. A method of claim 4, wherein attaching the proximal guide member to the distal guide member comprises attaching the proximal guide member to the distal guide member via threaded engagement.

19. A method of claim 4, wherein attaching the proximal guide member to the distal guide member comprises engaging an alignment pin of the distal guide member with an opening defined in the proximal guide member.