Dynamic bone fixation element and method of using the same

Patent metadata

Field	Value
Publication number	US-9414875-B2
Application number	US-201414246532-A
Country	US
Kind code	B2
Filing date	Apr 7, 2014
Priority date	Dec 17, 2007
Publication date	Aug 16, 2016
Grant date	Aug 16, 2016

Abstract

The present invention relates to dynamic bone fixation elements and a surgical method to stabilize bone or bone fragments. The dynamic bone fixation elements preferably include a bone engaging component and a load carrier engaging component. The bone engaging component preferably includes a plurality of threads for engaging a patient's bone and a lumen. The load carrier engaging component preferably includes a head portion for engaging a load carrier (e.g., bone plate) and a shaft portion. The shaft portion preferably at least partially extends into the lumen. Preferably at least a portion of an outer surface of the shaft portion is spaced away from at least a portion of an inner surface of the lumen via a gap so that the head portion can move with respect to the bone engaging component. The distal end of the shaft portion is preferably coupled to the lumen.

First claim

We claim:

1. A method for coupling a load carrier to a bone of a patient, the method comprising:
aligning the load carrier with the bone, the load carrier defining an opening therein; and
coupling the load carrier to the bone via at least one dynamic bone fixation element having a bone engaging component and a load carrier engaging component, the bone engaging component including a proximal end and a distal end spaced apart from the proximal end along a first direction, and the load carrier engaging component including a head portion and a shaft that extends from the head portion in the first direction into a lumen of the bone engaging component, the coupling including:
rotating the load carrier engaging component to advance the at least one dynamic bone fixation element through the opening about an axis that extends substantially in the first direction so as to cause the bone engaging component to concurrently rotate about the axis and threading of the bone engaging component to engage the bone; and
engaging the head portion of the load carrier engaging component with the load carrier such that at least the head portion is moveable with respect to the bone engaging component along a direction having a directional component that is transverse to the first direction.

2. The method of claim 1 , comprising inserting the distal end of the bone engaging component through the opening after aligning the load carrier with the bone.

3. The method of claim 1 , wherein the at least one dynamic bone fixation element includes at least first and second dynamic bone fixation elements, and the method comprises coupling the load carrier to the bone via the at least first and second dynamic bone fixation elements.

4. The method of claim 3 , wherein:
aligning the load carrier with the bone comprises aligning the load carrier with at least two fragments of the bone that are separated by a fracture such that the load carrier extends across the fracture; and
coupling the load carrier to the bone comprises coupling the load carrier to the at least two fragments.

5. The method of claim 4 , wherein coupling the load carrier to the bone comprises coupling the load carrier to a first of the at least two fragments via the first dynamic bone fixation element and coupling the load carrier to a second of the at least two fragments via the second dynamic bone fixation element.

6. The method of claim 4 , wherein coupling the load carrier to the bone comprises coupling the load carrier to a first of the at least two fragments via both the first dynamic bone fixation element and the second dynamic bone fixation element.

7. The method of claim 4 , wherein coupling the load carrier to the bone comprises coupling the load carrier to one or both of the first and second fragments via one or more standard bone screws in addition to the at least one dynamic bone fixation element.

8. The method of claim 1 , wherein the head portion includes a thread, and engaging the head portion with the load carrier comprises rotating the head portion such that the thread of the head portion engages a thread of the load carrier.

9. The method of claim 1 , comprising making an incision in the patient to access the bone before aligning the load carrier with the bone.

10. The method of claim 9 , comprising closing the incision in the patient after coupling the load carrier to the bone.

11. The method of claim 10 , comprising closing the incision so that the load carrier and the at least one dynamic bone fixation element remain within the patient.

12. The method of claim 1 , wherein the bone engaging portion includes an inner surface that defines the lumen extending from the proximal end and toward the distal end, and the shaft portion has an outer surface that faces the inner surface such that at least a portion of the outer surface of the shaft portion is spaced away from at least a portion of the inner surface of the bone engaging component along a direction that is perpendicular to the first direction so as to permit the head portion to be moveable with respect to the bone engaging component along the direction.

13. The method of claim 1 , wherein rotating the load carrier engaging component comprises engaging both the load carrier engaging component and the bone engaging component with a drive tool such that the drive tool concurrently rotates both the load carrier engaging component and the bone engaging component.

14. The method of claim 1 , wherein the load carrier includes a bone plate.

15. A method for coupling a load carrier to a bone of a patient, the method comprising:
aligning the load carrier with the bone, the load carrier defining an opening therein; and
coupling the load carrier to the bone via at least one dynamic bone fixation element having a bone engaging component and a load carrier engaging component, the bone engaging component including a proximal end and a distal end spaced apart from the proximal end along a first direction, and the load carrier engaging component including an enlarged head portion with at least one slot formed in the enlarged head portion, the coupling including:
rotating the load carrier engaging component to advance the at least one dynamic bone fixation element through the opening about an axis that extends substantially in the first direction so as to cause the bone engaging component to concurrently rotate about the axis and threading of the bone engaging component to engage the bone; and
engaging the enlarged head portion of the load carrier engaging component with the load carrier such that the enlarged head portion is configured to flex about the at least one slot as the bone engaging component moves with respect to the enlarged head portion along a direction having a directional component that is transverse to the first direction.

16. The method of claim 15 , wherein the bone engaging portion has a proximal end that extends from a distal end of the enlarged head portion in the first direction, and the enlarged head portion defines a maximum cross-sectional dimension of the enlarged head portion in a second direction, perpendicular to the first direction, that is greater than a maximum cross-sectional dimension of the proximal end of bone engaging portion.

17. The method of claim 15 , wherein the at least one slot extends into the enlarged head portion substantially along a direction that is parallel to the first direction.

18. The method of claim 15 , wherein the at least one slot extends into the enlarged head portion substantially along a direction that is angled with respect to the first direction.

19. The method of claim 15 , wherein the enlarged head portion is configured to flex about the at least one slot such that a dimension of the at least one slot changes as the enlarged head portion flexes.

20. The method of claim 15 , wherein the enlarged head portion comprises a first inner surface and a second inner surface spaced from the first inner surface so as to define the at least one slot, and the enlarged head portion is configured to flex about the at least one slot so as to change a dimension from the first inner surface to the second inner surface as the bone engaging component moves with respect to the enlarged head portion.

Assignees

• Depuy Synthes Products Inc

Inventors

• Appenzeller Andreas
• Frigg Robert
• Lechmann Beat
• Voisard Cyril
• Zurschmiede Silas
• Hulliger Urs

Classifications

• A61B17/7002

  Longitudinal elements, e.g. rods · CPC title

• A61B17/686

  Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw · CPC title

• A61B17/866

  Material or manufacture · CPC title

• A61B17/88

  Osteosynthesis instruments;} Methods or means for implanting or extracting internal {or external} fixation devices {(A61B17/7074 takes precedence) · CPC title

• A61B17/7035

  Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other · CPC title