WO2007076075A3 - Method and apparatus for performing an open wedge, high tibial osteotomy - Google Patents

Method and apparatus for performing an open wedge, high tibial osteotomy Download PDF

Info

Publication number
WO2007076075A3
WO2007076075A3 PCT/US2006/049147 US2006049147W WO2007076075A3 WO 2007076075 A3 WO2007076075 A3 WO 2007076075A3 US 2006049147 W US2006049147 W US 2006049147W WO 2007076075 A3 WO2007076075 A3 WO 2007076075A3
Authority
WO
WIPO (PCT)
Prior art keywords
wedge
fixation screw
tibial osteotomy
high tibial
disposition
Prior art date
Application number
PCT/US2006/049147
Other languages
French (fr)
Other versions
WO2007076075A2 (en
Inventor
Kelly G Ammann
Vincent P Novak
Robert E Schneider
Ralph E Burns
Original Assignee
Ibalance Medical Inc
Kelly G Ammann
Vincent P Novak
Robert E Schneider
Ralph E Burns
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US11/350,333 external-priority patent/US8496662B2/en
Priority claimed from US11/352,103 external-priority patent/US8211112B2/en
Priority claimed from US11/396,490 external-priority patent/US8888785B2/en
Priority claimed from US11/607,321 external-priority patent/US7967823B2/en
Application filed by Ibalance Medical Inc, Kelly G Ammann, Vincent P Novak, Robert E Schneider, Ralph E Burns filed Critical Ibalance Medical Inc
Publication of WO2007076075A2 publication Critical patent/WO2007076075A2/en
Publication of WO2007076075A3 publication Critical patent/WO2007076075A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • A61B17/15Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • A61B17/15Guides therefor
    • A61B17/151Guides therefor for corrective osteotomy
    • A61B17/152Guides therefor for corrective osteotomy for removing a wedge-shaped piece of bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1615Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1675Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8095Wedge osteotomy devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B2017/1602Mills
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30721Accessories
    • A61F2/30734Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
    • A61F2002/30736Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect

Abstract

Apparatus for performing an open wedge, high tibial osteotomy, the apparatus comprising a wedge- shaped implant for disposition in a wedge-shaped opening created in the tibia, wherein the wedge-shaped implant comprises at least one key for disposition in at least one corresponding keyhole formed in the tibia adjacent to the wedge-shaped opening created in the tibia, wherein each of the at least one keys comprises an interior bore for receiving a fixation screw, at least one fixation screw for disposition in the interior bore of the at least one key, and further wherein the apparatus is configured so that when the at least one fixation screw is received in the interior bore, the at least one fixation screw terminates within the bore.
PCT/US2006/049147 2005-12-22 2006-12-22 Method and apparatus for performing an open wedge, high tibial osteotomy WO2007076075A2 (en)

Applications Claiming Priority (22)

Application Number Priority Date Filing Date Title
US75336605P 2005-12-22 2005-12-22
US60/753,366 2005-12-22
US11/350,333 2006-02-08
US11/350,333 US8496662B2 (en) 2005-01-31 2006-02-08 Method and apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy
US11/352,103 US8211112B2 (en) 2005-01-31 2006-02-09 Multi-part implant for open wedge knee osteotomies
US11/352,103 2006-02-09
US11/396,490 2006-04-03
US11/396,490 US8888785B2 (en) 2005-01-31 2006-04-03 Method and apparatus for performing an open wedge, high tibial osteotomy
US83517206P 2006-08-02 2006-08-02
US60/835,172 2006-08-02
US83529206P 2006-08-03 2006-08-03
US83526806P 2006-08-03 2006-08-03
US83526906P 2006-08-03 2006-08-03
US60/835,268 2006-08-03
US60/835,269 2006-08-03
US60/835,292 2006-08-03
US84752706P 2006-09-27 2006-09-27
US60/847,527 2006-09-27
US86059506P 2006-11-22 2006-11-22
US60/860,595 2006-11-22
US11/607,321 2006-12-01
US11/607,321 US7967823B2 (en) 2005-01-31 2006-12-01 Method and apparatus for performing an open wedge, high tibial osteotomy

Publications (2)

Publication Number Publication Date
WO2007076075A2 WO2007076075A2 (en) 2007-07-05
WO2007076075A3 true WO2007076075A3 (en) 2007-12-13

Family

ID=46206107

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/049147 WO2007076075A2 (en) 2005-12-22 2006-12-22 Method and apparatus for performing an open wedge, high tibial osteotomy

Country Status (1)

Country Link
WO (1) WO2007076075A2 (en)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5674296A (en) * 1994-11-14 1997-10-07 Spinal Dynamics Corporation Human spinal disc prosthesis
US6461359B1 (en) * 1999-11-10 2002-10-08 Clifford Tribus Spine stabilization device
US20040039387A1 (en) * 2002-08-22 2004-02-26 Larry Gause System for stabilizing a portion of the spine
US20050075641A1 (en) * 2003-10-03 2005-04-07 Linvatec Corporation Osteotomy system
US20050273114A1 (en) * 2004-05-07 2005-12-08 Novak Vincent P Open wedge osteotomy system and surgical method

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5674296A (en) * 1994-11-14 1997-10-07 Spinal Dynamics Corporation Human spinal disc prosthesis
US6461359B1 (en) * 1999-11-10 2002-10-08 Clifford Tribus Spine stabilization device
US20040039387A1 (en) * 2002-08-22 2004-02-26 Larry Gause System for stabilizing a portion of the spine
US20050075641A1 (en) * 2003-10-03 2005-04-07 Linvatec Corporation Osteotomy system
US20050273114A1 (en) * 2004-05-07 2005-12-08 Novak Vincent P Open wedge osteotomy system and surgical method

Also Published As

Publication number Publication date
WO2007076075A2 (en) 2007-07-05

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