WO1993018716A1 - Bone fixation system - Google Patents
Bone fixation system Download PDFInfo
- Publication number
- WO1993018716A1 WO1993018716A1 PCT/GB1993/000566 GB9300566W WO9318716A1 WO 1993018716 A1 WO1993018716 A1 WO 1993018716A1 GB 9300566 W GB9300566 W GB 9300566W WO 9318716 A1 WO9318716 A1 WO 9318716A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- fixation
- bone
- screw
- cerclage
- fixation means
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8695—Washers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30721—Accessories
- A61F2/30739—Devices connected to the proximal part of an endoprosthetic femoral shaft for reinforcing or replacing the trochanters, e.g. the greater trochanter
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S606/00—Surgery
- Y10S606/907—Composed of particular material or coated
- Y10S606/908—Bioabsorbable material
Definitions
- the present invention relates to a bone fixation system, and particularly (though not exclusively) to a system that may be employed in bone implant surgery such as hip replacement operations, or subsequent surgical treatment of the bone structure in the region of an implant.
- the term 'bone fixation' is intended to cover not only the connection of bone to bone but also the connection of components to bone.
- Cerclage is a known fixation technique in which a bone is encircled by a flexible member such as a cable which is drawn tight and clamped. This may serve to hold portions of bone or bone graft together and/or to retain some surgically applied component.
- a flexible member such as a cable which is drawn tight and clamped.
- This may serve to hold portions of bone or bone graft together and/or to retain some surgically applied component.
- D.M.Dall Techniques in Orthop. 1991; (3):7-16. This describes, among other things, use of a bone fastener for the greater trochanter, as disclosed in US-A-4,269,180.
- This known bone fastener is a generally H-shaped implant comprising a base structure including a pair of limbs joined by a bridge, the bridge being bounded by a front face, a rear face and- edge faces, a plurality of teeth protruding from the base structure, all the teeth lying on the .same side of the base structure, and at least one hole in the base structure for receiving a cable, the hole being elongate in form, extending lengthways through the bridge, and being open at each end.
- the bridge is adapted to be crimped so that cable(s) can be passed through the hole(s), pulled tight, and then locked by crimping.
- Fig. 1 is a drawing, taken from the cited paper, showing a femur 10 that has undergone reconstructive surgery including use of a fastener 12 according to US-A- 4,269,180.
- the greater trochanter 16 was cut (osteotomised) to facilitate installation in the bone cavity of an internal bone graft 14 and the stem of a prosthesis (not shown but c.f. stem 71 in Fig. 7).
- the greater trochanter 16 was reattached to the femur 10 by means of the fastener 12 and cerclage cables 18.
- a fracture 20 of the femur was surgically treated with a further application of cerclage techniques.
- a disadvantage of cerclage fixation is that it tends to provide relatively little resistance to some forms of displacement, e.g. relative rotation of components and/or portions of bone and/or bone grafts encircled by cerclage cables. Furthermore some shapes and locations are not well suited to cerclage.
- a second technique involves screws, which are screwed into bone. A screwed connection is commonly quite good at resisting relative displacement such as rotation. But particularly where the bone is weak, e.g. being spongy, a screwed connection will be of low mechanical strength. Furthermore, if screwing were to be substituted for cerclage for securing the bone grafts 22 shown in Fig.
- a bone fixation system comprising first and second fixation means each having at least one fixation element receiving means, wherein said first fixation, means comprises a cerclage fixation means, having a body which defines at least one passage for a cerclage cable and has deformable portions which are deformable to crimp a cerclage cable in said passage, said passage constituting a said fixation element receiving means; and said second fixation means comprises a screw fixation means having at least one screw receiving opening constituting a said fixation element receiving means; said first and second fixation means having complementary mutual engagement formations so that they can be located together to form a composite fixation means capable of fixation by means of both at least one cerclage cable and at least one screw.
- At least one of the first and second fixation means is elongate and has a plurality of fixation element securement means.
- an elongate fixation means has a plurality of engagement formations along its length, so that a complementary engagement formation of another fixation means is selectively engageable at plural locations.
- the cerclage fixation means comprises a ladder body comprising a pair of elongate side limbs bridged by a plurality of longitudinally spaced bridges.
- the bridges may provide the cerclage cable passages and deformable crimping portions.
- a screw fixation means may comprise a shaped, e.g. tapered, boss, and the side limb portions of the ladder body may provide a complementarily shaped recess.
- the invention provides a kit of parts comprising a multiplicity of first and second fixation means, whereby a range of composite fixation means can be provided.
- a cerclage fixation means (which may be usable in a composite fixation means as defined above), comprising an elongate ladder member having respective elongate side portions at both lateral sides, and a multiplicity of bridge portions connecting side portions, adjacent bridge portions being spaced so as to define openings; there being through-holes for cerclage cables extending across the ladder member through at least some of the bridge portions.
- a ladder member may have means for receiving fixing screws. These may be apertured portions for receiving screws directly and/or formations (e.g. sockets) in which screw receiving means are engageable.
- the invention provides a method of connecting or supporting an article or assembly (preferably comprising a bone) which comprises connecting thereto a fixation means provided by the invention according to the first, second or third aspect.
- Fig. 1 is a perspective view of a bone structure with bone fixation elements of the prior art
- Fig. 2 is a perspective view of a fractured bone with fixation elements according to a first embodiment of the present invention
- Fig. 3 is a perspective view on a larger scale of a part of a ladder plate of the first embodiment
- Fig. 4 is a perspective view of a single-screw fixation means of the first embodiment
- Fig. 5 is a section on V-V in Fig. 2;
- Fig. 6 is a perspective view from beneath of a part of a many-screw fixation means of the first embodiment
- Fig. 7 shows a practical application of the first embodiment in treating a femur which has a fracture at the tip of the prosthetic stem
- Fig. 8 is a perspective view showing another practical application to treat a complex fracture with a butterfly fragment
- Figs. 9 and 10 are front and side views of a bone structure with a variant of the first embodiment;
- Fig. 11 shows a bone structure with a further variant of the first embodiment;
- Fig. 12 is a side elevation of a bone structure with fixation elements according to a second embodiment of the invention
- Fig. 13 is a side elevation on a larger scale showing portions of the fixation means of the second embodiment
- Fig. 14 is a side elevation on a still larger scale showing a variant of the embodiment shown in Fig. 13; and Figs. 15 and 16 are like views of further variants;
- Fig. 17A is a top plan view of a ladder plate with screw holes, and
- Fig. 17b_ is a section on y-y;
- Fig. 18 is a perspective view of another form of elongate fixation means
- Fig. 19 is a sectional view on XX-XX in Fig. 18 with a sleeve element engaged in a slot;
- Fig. 20 is a view like that of Fig. 2 showing another embodiment
- Fig. 21 shows details of the components of the Fig. 20 embodiment separated
- Fig. 22 is a view like that of Fig. 21 but showing a variant
- Fig. 23 is a section of a ladder plate e.g. as shown in Fig. 3, on XIX-XIX;
- Fig. 24 is a view similar to that of Fig. 23 showing a modification
- Fig. 25 shows a detail of modified cerclage fixation component
- Fig. 26 shows a detail of modified screw fixation component
- Fig. 27 is a view like that of Fig. 21 but showing a further embodiment.
- FIG. 2 shows a bone 30 having a fracture 32.
- the bone is held together by a composite fixation means 34 comprising a ladder plate 36, a single-screw fixation means
- the 36 is a unitary body having the form of a pair of side limbs 39 connected by bridges 42 (Fig. 3). Thus there are defined a plurality of openings 44, each approximately rectangular in plan.
- the underside 46 of the plate 36 is curved to conform to the surface of the bone 30 to which it is to be applied. Pairs of holes 48 pass through the plate 36 in the region of each bridge 42. (A variant could have single holes. )
- Each opening 44 is delimited by an edge 46 that generally extends at right angles to the upper surface 49 of the plate. However, at intermediate regions of the longitudinal portions, there are taper portions 50 which together define an engagement formation delimiting a socket in the opening 44, spaced from the adjacent bridges 42.
- Fig. 4 shows a single-screw fixation means 38. This has a body with a pair of opposed faces 54 that have a complementary taper to the taper portions 50 in the ladder plate 36. The body also has a hole 56 to accommodate the shaft of a screw 58, and a counter-sunk portion 59 to accommodate the head.
- the hole and counter-sinking may be relatively large so that a screw can be angled so that its angle of penetration into the bone can be adapted to particular circumstances.
- the width of the fixation means between the tapered faces 54 substantially corresponds to the width of the opening 44
- the fixation means in the longitudinal direction is substantially narrower than the opening 44 (in this example being no wider than the longitudinal extent of the taper portions 50) .
- the single screw fixation means 38 is located in an opening 44, it is still possible to crimp an adjacent bridge 42 with a crimping tool.
- distortion of a bridge caused by crimping does not interfere with subsequent location of a (single or many-screw) fixation means.
- Fig.2 also shows a many-screw fixation means 40, whose underside is shown in Fig. 6. It can be seen that it has the form of an elongate plate 60 whose underside has a plurality of bosses 62 each of which has a form substantially corresponding to that of a single-screw fixation means 38. Of course, the spacing of these bosses 62 corresponds to the spacing of the openings 44 in the ladder-plate 36. Thus, as shown in Fig. 2, the many-screw fixation means 40 can be located at a required position along the length of the ladder plate 36.
- the ladder plate 36 may first be mounted on the bone 30 and secured there by cerclage, the cerclage cables 64 being passed through holes 48. Each loop of cable is pulled tight and then locked in place by crimping a respective bridge 42, in a generally conventional way. Thereafter one or more single-screw and/or many-screw fixation means can be coupled to the ladder plate, and fixed to the bone 30 by means of screws 38. Note that the complementary engagement formations are spaced from the bridges 42, so that the deformation of the bridges associated with the crimping of the cables 64 does not affect the proper seating.
- Fig. 7 shows a composite fixation means 34 generally as previously described, applied to a situation similar to that shown in Fig. 1, namely to a femur which has received an implant 70 and subsequently sustained a fracture 72.
- a ladder plate 36 which extends on both sides of the fracture 72 and is secured to the bone 30 by cerclage cable 74.
- the ladder plate 36 has six openings 44. The lower three of these are covered by a three-screw fixation means 76, while the upper three contain single-screw fixation means 38 (not shown).
- These are secured to the bone by means of unicortical screws 78; that is, by relatively short screws that extend only a short way into the central cavity. Thus their use is not prevented by the presence of the shank of the implant 70.
- bicortical screws 80 which extend diametrally across the bone and engage both cortices.
- Fig. 8 shows a seven-opening ladder plate 81 and a five-opening ladder plate 82 used for bracing a complex fracture 83 with a butterfly fragment 84.
- the end openings of at least the upper ladder plate 81 contain single-screw fixation means 38, which are screwed to the bone.
- Fig. 9 and 10 show a variant in which the many-screw fixation means 90 extends beyond the ladder plate 36.
- it is formed as a T-plate insert.
- it remote from the ladder plate 36 it has a cross-piece 92 having screw-receiving openings 94.
- it is contoured to embrace the bone, in this case being adapted for treatment of a supracondylar fracture.
- a contoured ladder plate 100 in this example, in conjunction with two single-screw fixation means 38 ) .
- Figs. 12 and 13 show a second type of embodiment differing from those previously described in that the ladder plate 136 is intended to locate over the many-screw fixation means 140, which is located against the bone 30.
- the many-screw fixation means 140 also has an additional functionality. Thus it projects beyond the ladder plate 136 and has a generally conventional formation 200 for engaging a sliding hip-screw 202, for use in fixation of the femoral head 204 in a subcapital fracture 205 .
- the many-screw fixation means 140 is generally similar to that shown in Fig. 6, in that it has bosses 162. However, in the intended mode of use, these face away from the bone.
- the opposite face 206 which lies against the bone, will generally be contoured to fit it.
- the ladder plate 136 is generally similar to that shown in Fig. 3, notably in having bridges 142, cable holes 148 and openings with taper portions defining sockets 150. But in the intencad configuration of use, the sockets enlarge towards the bone, and the opposite face 146 will generally be planar. Particularly when a ladder plate is intended to locate over the screw fixation means, it may be desirable for the ladder plate (or other cerclage component) also to be fixable with screws. Where the two fixation means overlap, they may have screw openings in register. Thus Fig. 14 shows a variant of Fig.
- a ladder plate 136' has at least a portion 36' that resembles the ladder plate 36 shown in Figs. 2 and 3, with holes 48 and openings 44 that can receive screw plate inserts, e.g. single screw plate inserts 38.
- the underlying screw plate 140' has holes in register with the screw-holes 56 of the inserts 38 when these are in the openings 44.
- screws can be used to connect the ladder plate 136' to the screw plate 140', and to secure both of them to an underlying bone.
- the screw plate 140' need not then have bosses 162.
- Fig. 15 shows an alternative in which a ladder plate 136" has a portion 36" with openings 44" with double socket formations 50", widening towards the top and bottom faces.
- the underlying screw plate 140" then has small bosses 162" for seating in the lower portions of the double sockets; and screw plate inserts 38" seat in the upper portions of the sockets 50".
- Fig. 16 shows a further variant in which a screw plate insert 238 has a lower threaded portion 238a for engaging a complementary thread 239 in the underlying screw plate 240.
- This idea of connecting together the two fixation means can be applied to other forms of fixation means, and can be effected with other forms of connecting element.
- Fig. 17 a and b show a variant in which a ladder plate
- 336 is similar to the plate 36 as shown in Fig. 2, but has screw holes 357. Such a plate may be used on its own or in conjunction with a screw plate. A plate for use on its own may have a multiplicity of screw holes 357. It may then only have small ladder openings 344' since there would be no need for the larger, socket-providing openings 344.
- Figs. 18 and 19 show another type of embodiment in which an element corresponding to the ladder plate of (e.g. ) Fig. 2 is an underlying screw plate 340, having alternating countersunk screw holes 356 and slots 390.
- the slots which may have tapered or straight walls, receive mating portions 392 of crimp sleeves 394. These have portions 396 that project from the slots 390 and have through-holes 398. The projecting portions are deformable to crimp a cable in a hole 398 or pair of holes.
- Fig. 20 shows a presently preferred embodiment having an elongate cerclage fixation device in the form of a ladder plate 436 (with crimpable bridges 442 and socket portions 450) .
- This engages on top of an elongate screw fixation device 440 which has projecting bosses 462 and a lower face 406 which is curved to lie against the surface of a bone 30.
- Each boss has an opening 456 for a screw 58. It may be generally desirable for screw openings to be staggered, as shown here, so that the screws do not tend to produce a line of weakness in the bone.
- Other details are similar to those shown in Figs. 12 and 13.
- Fig. 21 shows portions of the devices 436,440 separated.
- the screw fixation device 440 has a wide base plate 460 which extends laterally beyond the projections 462.
- the ladder plate 436 is a flat plate of the same width.
- Fig. 22 shows a variant in which the screw fixation device 540 is relatively narrower, the base plate 560 in the example being of the same width as the projections 562.
- the cerclage fixation device 536 is channel shaped, so that it locates over and substantially conceals the screw fixation device.
- Fig. 27 shows that a ladder plate 636 need not have continuous side portions. It can have staggered short portions 639 connected by bridges 642.
- the resulting zig ⁇ zag plate 636 can embrace bosses 662 on an elongate screw fixation plate 660.
- the bosses 662 are laterally staggered.
- the screw openings 656 can also be staggered as is desirable.
- holes for cerclage cables are simple uniform bores 400 as shown in Fig. 23. However it may be preferable for a bore to follow an arcuate path, e.g. in parallel with a curved rear surface 406. Alternatively or additionally a bore may have shaped mouths 404 as shown in Fig. 24, to provide a smoother cable path around the bore.
- Fig. 25 shows a detail of a cerclage fixing device 636 to illustrate a variant form of crimping bridge.
- the device 636 has side portions 639 connected by bridges 642.
- the bridges 642 have portions of reduced width adjacent the side portions 639 (shown here as due to opposed pairs of scallops 690). This is to facilitate crimping and reduce the risk of cracks at the bridge/side portion junction.
- Fig. 26 shows a modified screw plate insert 638. This comprises deformable material to assist seating in a socket of a cerclage fixation device, to reduce fretting, and to allow for deformation when an assembly is secured to a bone.
- the components must all be made of biocompatible materials.
- the ladder plates and screw fixation means will be of metal, for example stainless steel, chrome cobalt, or titanium alloy, optionally with liners (as described with reference to Fig. 26) of biocompatible deformable plastics materials. All metal components of a single system (which may include the cable) should be of the same material, or materials which are compatible, to avoid electrolytic effects.
- the component which is intended to locate against the bone may have formations to assist gripping to the bone surface, such as serrations or "teeth".
- Fixation systems embodying the present invention may be used in human and veterinary surgery. Of course, the same principles will also be applied to connection . of elements in other lelds.
Abstract
Description
Claims
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/302,883 US5665089A (en) | 1992-03-19 | 1993-03-19 | Bone fixation system |
DK93906704T DK0631493T3 (en) | 1992-03-19 | 1993-03-19 | Bone Fixation System |
AU37611/93A AU677003B2 (en) | 1992-03-19 | 1993-03-19 | Bone fixation system |
JP51637593A JP3388741B2 (en) | 1992-03-19 | 1993-03-19 | Bone fixation system |
DE69316885T DE69316885T2 (en) | 1992-03-19 | 1993-03-19 | BONE FASTENING ARRANGEMENT |
CA002132315A CA2132315C (en) | 1992-03-19 | 1993-03-19 | Bone fixation system |
EP93906704A EP0631493B1 (en) | 1992-03-19 | 1993-03-19 | Bone fixation system |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB9206018.5 | 1992-03-19 | ||
GB929206018A GB9206018D0 (en) | 1992-03-19 | 1992-03-19 | Bone fixation system |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1993018716A1 true WO1993018716A1 (en) | 1993-09-30 |
Family
ID=10712462
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/GB1993/000566 WO1993018716A1 (en) | 1992-03-19 | 1993-03-19 | Bone fixation system |
Country Status (11)
Country | Link |
---|---|
US (1) | US5665089A (en) |
EP (1) | EP0631493B1 (en) |
JP (1) | JP3388741B2 (en) |
AU (1) | AU677003B2 (en) |
CA (1) | CA2132315C (en) |
DE (1) | DE69316885T2 (en) |
DK (1) | DK0631493T3 (en) |
ES (1) | ES2113529T3 (en) |
GB (1) | GB9206018D0 (en) |
WO (1) | WO1993018716A1 (en) |
ZA (1) | ZA931992B (en) |
Cited By (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0604082A1 (en) * | 1992-12-21 | 1994-06-29 | SMITH & NEPHEW RICHARDS, INC. | Attachment apparatus |
FR2744011A1 (en) * | 1996-01-25 | 1997-08-01 | Richard Rossin | Spinal osteosynthesis device |
US6183478B1 (en) | 1999-02-04 | 2001-02-06 | Depuy Orthopaedics, Inc. | Temporary fixation device |
EP1887948A2 (en) * | 2005-06-02 | 2008-02-20 | Medicinelodge, Inc. | Bone implants with integrated line locks |
US8142434B2 (en) | 2007-10-17 | 2012-03-27 | Stryker Trauma Gmbh | Cam-locking of cable for fracture plate |
US8419736B2 (en) | 2004-04-21 | 2013-04-16 | Synthes Usa, Llc | Sternal reconstruction system |
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US10820935B2 (en) | 2017-02-03 | 2020-11-03 | Stryker European Holdings I, Llc | Tensioning cable locking device |
GB2586181A (en) * | 2019-06-24 | 2021-02-10 | Nextremity Solutions Inc | Fracture fixation system and method |
US11413077B2 (en) | 2016-01-22 | 2022-08-16 | A&E Advanced Closure Systems, Llc | Bone plate having a connector and a connector for a surgical loop |
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Families Citing this family (141)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19633865A1 (en) * | 1996-08-16 | 1998-02-19 | Guenter Prof Dr Med Lob | Endoprosthesis |
US5718717A (en) | 1996-08-19 | 1998-02-17 | Bonutti; Peter M. | Suture anchor |
US5810824A (en) * | 1997-02-13 | 1998-09-22 | Chan; Kwan-Ho | Surgical fastener assembly and method for bone fracture fixation |
US6045551A (en) * | 1998-02-06 | 2000-04-04 | Bonutti; Peter M. | Bone suture |
US5897557A (en) * | 1998-03-13 | 1999-04-27 | Chin; Albert K. | Bone fracture reinforcement structure and method |
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US6099527A (en) * | 1998-04-30 | 2000-08-08 | Spinal Concepts, Inc. | Bone protector and method |
US5993452A (en) * | 1998-08-24 | 1999-11-30 | Biomet Inc. | Cerclage system |
US6261289B1 (en) | 1998-10-26 | 2001-07-17 | Mark Levy | Expandable orthopedic device |
US6554833B2 (en) | 1998-10-26 | 2003-04-29 | Expanding Orthopedics, Inc. | Expandable orthopedic device |
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US6280446B1 (en) | 1999-10-28 | 2001-08-28 | Armand N. Blackmore | Tubular splint |
US6635073B2 (en) | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
US6712820B2 (en) * | 2000-02-01 | 2004-03-30 | Hand Innovations, Inc. | Fixation plate system for dorsal wrist fracture fixation |
US20040153073A1 (en) | 2000-02-01 | 2004-08-05 | Hand Innovations, Inc. | Orthopedic fixation system including plate element with threaded holes having divergent axes |
US6767351B2 (en) | 2000-02-01 | 2004-07-27 | Hand Innovations, Inc. | Fixation system with multidirectional stabilization pegs |
US7695502B2 (en) | 2000-02-01 | 2010-04-13 | Depuy Products, Inc. | Bone stabilization system including plate having fixed-angle holes together with unidirectional locking screws and surgeon-directed locking screws |
US6706046B2 (en) | 2000-02-01 | 2004-03-16 | Hand Innovations, Inc. | Intramedullary fixation device for metaphyseal long bone fractures and methods of using the same |
US7857838B2 (en) | 2003-03-27 | 2010-12-28 | Depuy Products, Inc. | Anatomical distal radius fracture fixation plate |
US7207993B1 (en) * | 2000-02-03 | 2007-04-24 | Pioneer Laboratories, Inc. | Apparatus and method for repairing the femur |
US7094251B2 (en) | 2002-08-27 | 2006-08-22 | Marctec, Llc. | Apparatus and method for securing a suture |
US9138222B2 (en) | 2000-03-13 | 2015-09-22 | P Tech, Llc | Method and device for securing body tissue |
US6872210B2 (en) | 2001-02-23 | 2005-03-29 | James P. Hearn | Sternum fixation device |
US8231662B2 (en) * | 2006-10-17 | 2012-07-31 | Acumed Llc | Bone fixation with a strut-stabilized bone plate |
US7717945B2 (en) | 2002-07-22 | 2010-05-18 | Acumed Llc | Orthopedic systems |
US20050240187A1 (en) | 2004-04-22 | 2005-10-27 | Huebner Randall J | Expanded fixation of bones |
US7189237B2 (en) * | 2002-11-19 | 2007-03-13 | Acumed Llc | Deformable bone plates |
US20070173840A1 (en) * | 2006-01-11 | 2007-07-26 | Huebner Randall J | Bone plate with cover |
US7537604B2 (en) * | 2002-11-19 | 2009-05-26 | Acumed Llc | Bone plates with slots |
US8475504B2 (en) * | 2007-07-19 | 2013-07-02 | Acumed Llc | Method of bone fixation with slender spanning members disposed outside bone |
US6520965B2 (en) * | 2001-05-23 | 2003-02-18 | Alan Chervitz | Apparatus and method for orthopedic fixation |
US6960213B2 (en) * | 2001-05-23 | 2005-11-01 | Medicinelodge, Inc. | Apparatus and method for orthopedic fixation |
WO2004107996A1 (en) * | 2001-05-23 | 2004-12-16 | Medicinelodge, Inc. | Apparatus and method for orthopedic fixation |
US6406478B1 (en) * | 2001-05-24 | 2002-06-18 | Robert W. H. Kuo | Bone reinforcement plate for use on the spine |
US6719765B2 (en) | 2001-12-03 | 2004-04-13 | Bonutti 2003 Trust-A | Magnetic suturing system and method |
AU2002220448B2 (en) * | 2001-12-24 | 2005-06-30 | Synthes Gmbh | Device for performing osteosynthesis |
US6723098B1 (en) * | 2002-03-12 | 2004-04-20 | Mrugesh K. Shah | Bone fixation plate having clip members |
US9155544B2 (en) | 2002-03-20 | 2015-10-13 | P Tech, Llc | Robotic systems and methods |
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US7164360B2 (en) * | 2002-08-14 | 2007-01-16 | Mark Schiebler | Multi-use linkage device |
AR037254A1 (en) * | 2002-11-06 | 2004-11-03 | Horacio Abramson | AN APPARATUS FOR CORRECTION OF MALFORMATIONS OF THE TORACICA BOX, SUCH AS "PECTUS EXCAVATUM" AND "PECTUS CARINATUM" AND METHOD FOR CORRECTION OF "PECTUS CARINATUM" |
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KR101081269B1 (en) | 2002-11-19 | 2011-11-08 | 어큠드 엘엘씨 | Adjustable bone plates |
US7425213B2 (en) | 2002-12-10 | 2008-09-16 | Depuy Products, Inc. | Method of endosteal nailing |
US7582088B2 (en) * | 2003-02-07 | 2009-09-01 | Dsm Ip Assets B.V. | Bone fixing device |
EP1444960A1 (en) * | 2003-02-07 | 2004-08-11 | DSM IP Assets B.V. | Bone fixing device |
WO2004084742A1 (en) | 2003-03-24 | 2004-10-07 | Theken Surgical Llc | Spinal implant adjustment device |
EP1464295A3 (en) | 2003-04-01 | 2006-04-26 | Zimmer GmbH | Implant |
GB0307648D0 (en) * | 2003-04-02 | 2003-05-07 | Benoist Girard Sas | Greater trochanter re-attachment device |
US7497864B2 (en) | 2003-04-30 | 2009-03-03 | Marctec, Llc. | Tissue fastener and methods for using same |
US7070600B2 (en) * | 2003-07-16 | 2006-07-04 | Silverman Barry J | Device for treatment of orthopedic fractures |
US7153325B2 (en) * | 2003-08-01 | 2006-12-26 | Ultra-Kinetics, Inc. | Prosthetic intervertebral disc and methods for using the same |
US7635365B2 (en) | 2003-08-28 | 2009-12-22 | Ellis Thomas J | Bone plates |
MY130919A (en) * | 2003-09-19 | 2007-07-31 | Mattel Inc | Multidirectional light emitting diode unit |
US8105367B2 (en) | 2003-09-29 | 2012-01-31 | Smith & Nephew, Inc. | Bone plate and bone plate assemblies including polyaxial fasteners |
NZ547930A (en) * | 2003-11-18 | 2009-07-31 | Synthes Gmbh | Set of osteosynthesis plates |
US8080014B2 (en) | 2004-12-15 | 2011-12-20 | Koninklijke Philips Electronics N.V. | System and method for hyoidplasty |
US7828802B2 (en) * | 2004-01-16 | 2010-11-09 | Expanding Orthopedics, Inc. | Bone fracture treatment devices and methods of their use |
US20080027440A1 (en) * | 2004-01-30 | 2008-01-31 | Dsm Ip Assets B.V. | Fixing Device For Clamping The Ends Of A Surgical Cable Used For Fixing Bone Parts |
US20080039873A1 (en) | 2004-03-09 | 2008-02-14 | Marctec, Llc. | Method and device for securing body tissue |
US7544208B1 (en) | 2004-05-03 | 2009-06-09 | Theken Spine, Llc | Adjustable corpectomy apparatus |
JP4423101B2 (en) * | 2004-05-11 | 2010-03-03 | 矢崎総業株式会社 | Wire plate fixing plate, wire harness protection protector and fixing clip |
US7229444B2 (en) * | 2004-08-25 | 2007-06-12 | Howmedica Osteonics Corp. | Trochanteric cerclage plate |
US9173647B2 (en) | 2004-10-26 | 2015-11-03 | P Tech, Llc | Tissue fixation system |
US20060089646A1 (en) | 2004-10-26 | 2006-04-27 | Bonutti Peter M | Devices and methods for stabilizing tissue and implants |
US9463012B2 (en) | 2004-10-26 | 2016-10-11 | P Tech, Llc | Apparatus for guiding and positioning an implant |
US9271766B2 (en) | 2004-10-26 | 2016-03-01 | P Tech, Llc | Devices and methods for stabilizing tissue and implants |
WO2006069089A2 (en) | 2004-12-21 | 2006-06-29 | Packaging Service Corporation Of Kentucky | Cervical plate system |
US20060207607A1 (en) | 2005-02-08 | 2006-09-21 | Mark Hirotsuka | System and method for percutaneous palate remodeling |
US8096303B2 (en) | 2005-02-08 | 2012-01-17 | Koninklijke Philips Electronics N.V | Airway implants and methods and devices for insertion and retrieval |
US8371307B2 (en) | 2005-02-08 | 2013-02-12 | Koninklijke Philips Electronics N.V. | Methods and devices for the treatment of airway obstruction, sleep apnea and snoring |
US9089323B2 (en) | 2005-02-22 | 2015-07-28 | P Tech, Llc | Device and method for securing body tissue |
DE602005004375T2 (en) * | 2005-03-11 | 2009-01-22 | Orthofix S.R.L., Bussolengo | Device for osteosynthesis of proximal humerus fractures |
GB0505505D0 (en) * | 2005-03-17 | 2005-04-27 | Dall Desmond Meiring | Configurable bone fixation system |
US8100955B2 (en) | 2005-03-17 | 2012-01-24 | Spinal Elements, Inc. | Orthopedic expansion fastener |
US7621942B2 (en) * | 2005-03-21 | 2009-11-24 | Zimmer Spine, Inc. | Variable geometry occipital fixation plate |
US7951198B2 (en) * | 2005-05-10 | 2011-05-31 | Acumed Llc | Bone connector with pivotable joint |
CN101272743B (en) | 2005-07-25 | 2011-01-26 | 史密夫和内修有限公司 | Polyaxial fastener systems |
US8382807B2 (en) | 2005-07-25 | 2013-02-26 | Smith & Nephew, Inc. | Systems and methods for using polyaxial plates |
US7905909B2 (en) | 2005-09-19 | 2011-03-15 | Depuy Products, Inc. | Bone stabilization system including multi-directional threaded fixation element |
US11278331B2 (en) | 2006-02-07 | 2022-03-22 | P Tech Llc | Method and devices for intracorporeal bonding of implants with thermal energy |
US8496657B2 (en) | 2006-02-07 | 2013-07-30 | P Tech, Llc. | Methods for utilizing vibratory energy to weld, stake and/or remove implants |
US7967820B2 (en) | 2006-02-07 | 2011-06-28 | P Tech, Llc. | Methods and devices for trauma welding |
US11253296B2 (en) | 2006-02-07 | 2022-02-22 | P Tech, Llc | Methods and devices for intracorporeal bonding of implants with thermal energy |
US20070225715A1 (en) * | 2006-03-24 | 2007-09-27 | Depuy Products, Inc. | Fastening system for internal fixation |
US7837717B2 (en) | 2006-03-24 | 2010-11-23 | Depuy Products, Inc. | Fastening system for internal fixation |
US11246638B2 (en) | 2006-05-03 | 2022-02-15 | P Tech, Llc | Methods and devices for utilizing bondable materials |
US8852250B2 (en) * | 2006-05-18 | 2014-10-07 | Linvatec Corporation | Graft fixation implant |
US20070288020A1 (en) * | 2006-06-02 | 2007-12-13 | United Orthopedic Corporation | Soft tissue fixation device for organs proximate shankbone |
US20080021475A1 (en) * | 2006-07-24 | 2008-01-24 | Steven Alan Lawrie | Orthopaedic appliances |
US20080077132A1 (en) * | 2006-09-25 | 2008-03-27 | Medoff Robert J | Bone fixation device having integral fixation member |
US8147527B2 (en) | 2006-11-28 | 2012-04-03 | Zimmer Spine, Inc. | Adjustable occipital plate |
US8246662B2 (en) * | 2006-12-27 | 2012-08-21 | Zimmer Spine, Inc. | Modular occipital plate |
US8636737B2 (en) | 2006-12-27 | 2014-01-28 | Zimmer Spine, Inc. | Modular occipital plate |
US8617185B2 (en) | 2007-02-13 | 2013-12-31 | P Tech, Llc. | Fixation device |
US20080234679A1 (en) * | 2007-02-13 | 2008-09-25 | Sarin Vineel K | Trochanteric grip |
CA2676778C (en) | 2007-02-28 | 2015-08-11 | Synthes Usa, Llc | Grooved crimp with a set screw |
US7722611B2 (en) * | 2007-03-05 | 2010-05-25 | Depuy Products, Inc. | Method of treating a clavicle fracture |
WO2008114347A1 (en) * | 2007-03-16 | 2008-09-25 | Fujitsu Limited | Antenna arranging method and mounting device for communication device, and antenna device |
EP2400899A4 (en) | 2009-02-24 | 2015-03-18 | P Tech Llc | Methods and devices for utilizing bondable materials |
US9220547B2 (en) | 2009-03-27 | 2015-12-29 | Spinal Elements, Inc. | Flanged interbody fusion device |
EP2965702B1 (en) * | 2009-05-12 | 2018-11-07 | Synthes GmbH | Bone fixation element with self-retaining cable tie |
US8568417B2 (en) | 2009-12-18 | 2013-10-29 | Charles River Engineering Solutions And Technologies, Llc | Articulating tool and methods of using |
FR2956971B1 (en) * | 2010-03-08 | 2012-03-02 | Memometal Technologies | PLATE OSTEOSYNTHESIS SYSTEM |
FR2956972B1 (en) * | 2010-03-08 | 2012-12-28 | Memometal Technologies | ARTICULATED OSTEOSYNTHESIS PLATE |
KR101219266B1 (en) * | 2010-08-13 | 2013-01-18 | 박지선 | Lesser Trochanter Fixation Apparatus For The Stable Replacement Of The Artificial Hip Joint By Rigid Fixation Around Of The Femoral Lesser Trochanter Fractures |
US9084644B2 (en) | 2011-02-02 | 2015-07-21 | DePuy Synthes Products, Inc. | Bone fixation assembly |
WO2012174385A2 (en) | 2011-06-15 | 2012-12-20 | Smith & Nephew, Inc. | Variable angle locking implant |
GB2558433B (en) | 2011-09-30 | 2018-12-12 | Acute Innovations Llc | Bone fixation system with opposed mounting portions |
CN103987327A (en) | 2011-10-05 | 2014-08-13 | 马克·A·多德森 | Modular retractor and related method |
WO2013113015A1 (en) | 2012-01-26 | 2013-08-01 | Acute Innovations Llc | Clip for rib stabilization |
US9101426B2 (en) | 2012-10-11 | 2015-08-11 | Stryker Trauma Sa | Cable plug |
US10076377B2 (en) | 2013-01-05 | 2018-09-18 | P Tech, Llc | Fixation systems and methods |
EP4309601A3 (en) * | 2013-02-07 | 2024-03-27 | CircumFix Solutions, Inc. | Sternum fixation device and method |
US9999454B2 (en) * | 2013-12-05 | 2018-06-19 | A&E Advanced Closure Systems, Llc | Bone plate system and method |
WO2015112991A1 (en) * | 2014-01-27 | 2015-07-30 | Dallis James | Implantable medical device for restoring alignment and stabilizing bone fractures |
WO2015183485A1 (en) | 2014-05-30 | 2015-12-03 | DePuy Synthes Products, Inc. | Bone fixation assembly |
EP3164093B1 (en) | 2014-07-03 | 2024-02-14 | Acumed LLC | Bone plate with movable joint |
US10123832B2 (en) | 2014-08-08 | 2018-11-13 | Stryker European Holdings I, Llc | Surgical forceps system |
US10499968B2 (en) | 2014-08-08 | 2019-12-10 | Stryker European Holdings I, Llc | Cable plugs for bone plates |
US20160143663A1 (en) * | 2014-11-24 | 2016-05-26 | Stryker European Holdings I, Llc | Strut plate and cabling system |
EP3250155A4 (en) | 2015-01-27 | 2018-08-22 | Spinal Elements Inc. | Facet joint implant |
WO2016134160A1 (en) * | 2015-02-18 | 2016-08-25 | Treace Medical Concepts, Inc. | Bone plating kit for foot and ankle applications |
US10993750B2 (en) | 2015-09-18 | 2021-05-04 | Smith & Nephew, Inc. | Bone plate |
US10058393B2 (en) | 2015-10-21 | 2018-08-28 | P Tech, Llc | Systems and methods for navigation and visualization |
EP3184064B1 (en) * | 2015-12-23 | 2019-05-01 | Stryker European Holdings I, LLC | Bone plate with guiding channels |
KR101625177B1 (en) * | 2016-01-07 | 2016-06-07 | 주식회사 지에스엠코리아 | Implant for fixing the femoral |
TWI583345B (en) * | 2016-05-12 | 2017-05-21 | 國立成功大學 | Bone plate assembly |
US10675071B2 (en) * | 2016-10-07 | 2020-06-09 | Acumed Llc | System and method for bone fixation using a plate straddled by a retainer |
US10952781B2 (en) * | 2016-12-08 | 2021-03-23 | DePuy Synthes Products, Inc. | Cable saddle |
WO2019178673A1 (en) * | 2018-03-21 | 2019-09-26 | Panthera Dental Inc. | Subperiosteal dental implant |
BR112021005206A2 (en) | 2018-09-20 | 2021-06-08 | Spinal Elements, Inc. | spinal implant device |
IT201800009065A1 (en) * | 2018-10-01 | 2020-04-01 | Medico Nilli Del | Device for the cerclage of fractured bones and a cerclage system using such a device |
WO2020097484A1 (en) * | 2018-11-09 | 2020-05-14 | Daniel Chan | Fracture fixation system |
US11911284B2 (en) | 2020-11-19 | 2024-02-27 | Spinal Elements, Inc. | Curved expandable interbody devices and deployment tools |
US20220338911A1 (en) * | 2021-04-21 | 2022-10-27 | Daniel Robert Schlatterer | Periprosthetic hip fracture cabling system |
Citations (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR438428A (en) * | 1911-12-21 | 1912-05-17 | Lucien Luttrell Miner | Bracelet plate and metal pieces to bring together the two broken parts of a bone |
CH335797A (en) * | 1955-06-03 | 1959-01-31 | Ulrich & Co | Auxiliary device in the form of a bone plate intended for the healing of bone fractures |
CH373516A (en) * | 1959-09-01 | 1963-11-30 | Maurice E Dr Med Mueller | Device for the surgical fixation of bone fragments in limbs |
GB1173480A (en) * | 1967-08-18 | 1969-12-10 | Jean-Nicolas Muller | Improvements in means for use in Surgically Joining Parts of Fractured Bones |
US3604414A (en) * | 1968-08-29 | 1971-09-14 | Nicomedes Borges | Bone setting device |
FR2357229A1 (en) * | 1976-07-06 | 1978-02-03 | Partridge Anthony | TIE FOR USE IN ORTHOPEDIC SURGERY |
EP0048038A1 (en) * | 1980-09-15 | 1982-03-24 | CISE- Centro Informazioni Studi Esperienze S.p.A. | Plate for setting a broken bone |
EP0242267A1 (en) * | 1986-04-10 | 1987-10-21 | Peters | Bone fixation plate assembly provided with sutures |
EP0347658A1 (en) * | 1988-06-18 | 1989-12-27 | Howmedica GmbH | Bone plate, especially for small bones |
WO1990004366A1 (en) * | 1988-10-18 | 1990-05-03 | Freddy Rafael Astudillo Ley | A device for closing sternum in heart surgery |
DE4212635A1 (en) * | 1991-06-14 | 1992-12-17 | Woo Shin Cho | WIRE-FASTENABLE BONE PLATE FOR INTERNAL FASTENING OF A BREAK |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4776330A (en) * | 1986-06-23 | 1988-10-11 | Pfizer Hospital Products Group, Inc. | Modular femoral fixation system |
US5087260A (en) * | 1989-09-15 | 1992-02-11 | Fixel Irving E | Total femoral hip system |
CA1317173C (en) * | 1989-11-08 | 1993-05-04 | Amnon Foux | Plate for broken bone fixation |
US5190545A (en) * | 1991-08-27 | 1993-03-02 | Pfizer Hospital Products Group, Inc. | Cerclage wire positioning insert |
CH686339A5 (en) * | 1991-12-10 | 1996-03-15 | Synthes Ag | Nut for the plate fixation. |
US5344421A (en) * | 1993-07-16 | 1994-09-06 | Amei Technologies Inc. | Apparatus and method for adjusting a bone plate |
-
1992
- 1992-03-19 GB GB929206018A patent/GB9206018D0/en active Pending
-
1993
- 1993-03-19 AU AU37611/93A patent/AU677003B2/en not_active Expired
- 1993-03-19 ES ES93906704T patent/ES2113529T3/en not_active Expired - Lifetime
- 1993-03-19 JP JP51637593A patent/JP3388741B2/en not_active Expired - Lifetime
- 1993-03-19 CA CA002132315A patent/CA2132315C/en not_active Expired - Lifetime
- 1993-03-19 DE DE69316885T patent/DE69316885T2/en not_active Expired - Lifetime
- 1993-03-19 ZA ZA931992A patent/ZA931992B/en unknown
- 1993-03-19 DK DK93906704T patent/DK0631493T3/en active
- 1993-03-19 US US08/302,883 patent/US5665089A/en not_active Expired - Lifetime
- 1993-03-19 WO PCT/GB1993/000566 patent/WO1993018716A1/en active IP Right Grant
- 1993-03-19 EP EP93906704A patent/EP0631493B1/en not_active Expired - Lifetime
Patent Citations (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR438428A (en) * | 1911-12-21 | 1912-05-17 | Lucien Luttrell Miner | Bracelet plate and metal pieces to bring together the two broken parts of a bone |
CH335797A (en) * | 1955-06-03 | 1959-01-31 | Ulrich & Co | Auxiliary device in the form of a bone plate intended for the healing of bone fractures |
CH373516A (en) * | 1959-09-01 | 1963-11-30 | Maurice E Dr Med Mueller | Device for the surgical fixation of bone fragments in limbs |
GB1173480A (en) * | 1967-08-18 | 1969-12-10 | Jean-Nicolas Muller | Improvements in means for use in Surgically Joining Parts of Fractured Bones |
US3604414A (en) * | 1968-08-29 | 1971-09-14 | Nicomedes Borges | Bone setting device |
FR2357229A1 (en) * | 1976-07-06 | 1978-02-03 | Partridge Anthony | TIE FOR USE IN ORTHOPEDIC SURGERY |
EP0048038A1 (en) * | 1980-09-15 | 1982-03-24 | CISE- Centro Informazioni Studi Esperienze S.p.A. | Plate for setting a broken bone |
EP0242267A1 (en) * | 1986-04-10 | 1987-10-21 | Peters | Bone fixation plate assembly provided with sutures |
EP0347658A1 (en) * | 1988-06-18 | 1989-12-27 | Howmedica GmbH | Bone plate, especially for small bones |
WO1990004366A1 (en) * | 1988-10-18 | 1990-05-03 | Freddy Rafael Astudillo Ley | A device for closing sternum in heart surgery |
DE4212635A1 (en) * | 1991-06-14 | 1992-12-17 | Woo Shin Cho | WIRE-FASTENABLE BONE PLATE FOR INTERNAL FASTENING OF A BREAK |
Cited By (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0604082A1 (en) * | 1992-12-21 | 1994-06-29 | SMITH & NEPHEW RICHARDS, INC. | Attachment apparatus |
FR2744011A1 (en) * | 1996-01-25 | 1997-08-01 | Richard Rossin | Spinal osteosynthesis device |
US6183478B1 (en) | 1999-02-04 | 2001-02-06 | Depuy Orthopaedics, Inc. | Temporary fixation device |
US9265498B2 (en) | 2003-06-11 | 2016-02-23 | Imds Llc | Compact line locks and methods |
US9055984B2 (en) | 2004-04-21 | 2015-06-16 | DePuy Synthes Products, Inc. | Sternal reconstruction system |
US9295507B2 (en) | 2004-04-21 | 2016-03-29 | DePuy Synthes Products, Inc. | Sternal reconstruction system |
US8419736B2 (en) | 2004-04-21 | 2013-04-16 | Synthes Usa, Llc | Sternal reconstruction system |
EP1887948A4 (en) * | 2005-06-02 | 2011-03-02 | Medicinelodge Inc | Bone implants with integrated line locks |
EP1887948A2 (en) * | 2005-06-02 | 2008-02-20 | Medicinelodge, Inc. | Bone implants with integrated line locks |
US8142434B2 (en) | 2007-10-17 | 2012-03-27 | Stryker Trauma Gmbh | Cam-locking of cable for fracture plate |
AU2018208698B2 (en) * | 2012-11-21 | 2020-08-27 | A&E Advanced Closure Systems, Llc | Bone plate system and method |
US10765465B2 (en) | 2012-11-21 | 2020-09-08 | A&E Advanced Closure Systems, Llc | Tensioning instrument |
US11413077B2 (en) | 2016-01-22 | 2022-08-16 | A&E Advanced Closure Systems, Llc | Bone plate having a connector and a connector for a surgical loop |
US10820935B2 (en) | 2017-02-03 | 2020-11-03 | Stryker European Holdings I, Llc | Tensioning cable locking device |
GB2586181A (en) * | 2019-06-24 | 2021-02-10 | Nextremity Solutions Inc | Fracture fixation system and method |
AU2021200479B2 (en) * | 2019-06-24 | 2022-10-27 | Nextremity Solutions, Inc. | Fracture Fixation System And Method |
US11857232B2 (en) | 2019-06-24 | 2024-01-02 | Medartis Ag | Fracture fixation system and method |
US11925397B2 (en) | 2020-06-25 | 2024-03-12 | Medartis Ag | System and method for bone fixation |
Also Published As
Publication number | Publication date |
---|---|
ES2113529T3 (en) | 1998-05-01 |
JP3388741B2 (en) | 2003-03-24 |
ZA931992B (en) | 1994-09-19 |
US5665089A (en) | 1997-09-09 |
GB9206018D0 (en) | 1992-04-29 |
DK0631493T3 (en) | 1998-09-23 |
AU3761193A (en) | 1993-10-21 |
DE69316885D1 (en) | 1998-03-12 |
JPH07506988A (en) | 1995-08-03 |
CA2132315C (en) | 2005-07-05 |
DE69316885T2 (en) | 1998-06-25 |
CA2132315A1 (en) | 1993-09-30 |
EP0631493A1 (en) | 1995-01-04 |
AU677003B2 (en) | 1997-04-10 |
EP0631493B1 (en) | 1998-02-04 |
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