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WO2017074275A1 - A clamping plate having a screw through which bone cement can be injected from - Google Patents

A clamping plate having a screw through which bone cement can be injected from Download PDF

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Publication number
WO2017074275A1
WO2017074275A1 PCT/TR2016/000147 TR2016000147W WO2017074275A1 WO 2017074275 A1 WO2017074275 A1 WO 2017074275A1 TR 2016000147 W TR2016000147 W TR 2016000147W WO 2017074275 A1 WO2017074275 A1 WO 2017074275A1
Authority
WO
WIPO (PCT)
Prior art keywords
screw
bone
injected
bone cement
clamping plate
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/TR2016/000147
Other languages
French (fr)
Inventor
Tolga TOLUNAY
Teyfik DEMIR
Kagan Arslan ARSLAN
Vedat BICICI
Izzet BINGOL
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Tobb Ekonomi Ve Teknoloji Universitesi
Original Assignee
Tobb Ekonomi Ve Teknoloji Universitesi
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
Application filed by Tobb Ekonomi Ve Teknoloji Universitesi filed Critical Tobb Ekonomi Ve Teknoloji Universitesi
Publication of WO2017074275A1 publication Critical patent/WO2017074275A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • 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
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/864Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated

Definitions

  • This invention is related to a clamping plate to be used in humerus operations, having a screw through which bone cement can be injected from, in order to ensure the fixation of the plate at the position it has been placed on and which is used in order to fix the locking-clamping plates that have been attached onto the humerus.
  • breaking The separation of the bone that may occur due to external or internal forces is called breaking.
  • breaking of the bone may be a fracture or it may lead to several broken bones relating to the shock absorbing capability of the bone and the degree of the forces that affect the breaking of the bone.
  • a bone named humerus is present between the forearm and the shoulder of humans.
  • the breakages that may occur in this humerus may occur from direct impact or axial forces towards the elbow. Besides this, the humerus may also break due to old age.
  • a method of treating the breaking of the humerus may be a plaster cast.
  • Some types of humerus breakages are treated with surgical methods. Frequently plate screw method is preferred during orthopedic surgical treatment processes. In some cases surgical treatment is applied using cylindrical shaped titanium screws.
  • this structure that has been placed using a surgical operation may change position or location in time due to the fact that the bone structure it has been placed on is mobile. The screw may become worn and it may start moving inside the bone. As a result the patient may have to be re- operated on.
  • the aim of the invention is to provide a clamping plate having screws through which bone cement can be injected from, used in fixing the locking clamping plates onto the humerus.
  • Another aim of the invention is to provide a clamping plate having screws through which bone cement can be injected from, which enable the locking clamping plates to stay fixed at the position they have been initially attached to.
  • Another aim of the invention is to provide a clamping plate having bone cement injectable screws through which bone cement can be injected from.
  • Figure 1 is the rear view of the screws shown on the clamping plate through which bone cement can be injected from.
  • Figure 2 is the front view of the screws shown on the clamping plate through which bone cement can be injected from.
  • Figure 3 is the perspective view of the clamping plate having screws through which bone cement can be injected from.
  • Figure 4 is the cross-sectional view of the clamping plate having screws through which bone cement can be injected from.
  • Clamping plate having screws through which bone cement can be injected from.
  • the clamping plate (1) to be used in humerus operations, having screws through which bone cement can be injected from, in order to ensure the fixation of the plate at the position has been placed on and which is used in order to fix the locking clamping plates that have been attached onto the humerus basically comprises,
  • - at least a pointed tip (5) located at the end of the screw (2) that is to be attached to the bone, designed to have a smaller diameter than the diameter of the screw (2) in order for the screw (2) to open space for said tip, thereby being enable to transfer to the bone the force applied to the end of the screw (2) that has not been attached to the bone, as high pressure,
  • the clamping plate (1) having screws through which bone cement can be injected from is formed of a screw (2).
  • the helical screw thread (3) located around the screw (2) and which wraps around the screw, enables the movement of the screw (2) on the bone onto which it shall be attached to, when the screw (2) carries out a rotation movement in a certain direction.
  • the movement amount of the clamping plate (1) having screws through which bone cement can be injected from can be measured by means of the spaces of the helical screw threads (3) and the desired amount of movement can also be obtained by adjusting the helical screw thread (3) spaces.
  • the channel (4) located inside the screw (2) and preferably at the centre of the screw enables the injected bone cement to move through the screw (2).
  • the geometry of the channel (4) may be according to the shape of the clamping plate (1) having a bone cement injectable screw, and therefore it enables the bone cement to reach each bone it has been attached to.
  • a pointed tip (5) is provided on the screw (2) having a diameter smaller than the screw (2) diameter, in accordance with the geometry of the screw (2). By means of this pointed tip (5), the screw (2) can open a path for itself on the bone. Moreover the pointed tip (5) can transfer the force applied onto the screw (2) due to its diameter at the highest possible pressure and it enables the clamping plate (1) having screws through which bone cement can be injected from to be attached into the bone.
  • the small channels (6) that are again provided on the screw (2) which can be attached to the desired screw (2) region, positioned preferably vertically into the channel (4) located thereon, enable the bone cement that has been injected into the screw (2) to be transferred to the bone and therefore fixes the screw (2) inside the bone. Additionally, the small channels (6) also enable the bone cement to reach the bone at the desired intervals. Moreover the bone cement injected by means of the screw (2) again fills into the small channels (6) located again on the screw (2) and the small channels (6) expand when said cement dries. By means of this expansion the clamping plate having screws through which bone cement can be injected from fits precisely into the bone and its chance of movement in the bone is reduced.
  • a head (7) located on the screw (2) at the end of the screw (2) which has not been attached to the bone has been provided.
  • a groove (8) is located on the head (7) in order to ensure the attachment of the apparatus to screw (2) and to provide the movement of the screw (7).
  • this groove (8) the desired apparatus can be attached to the screw (2) and the movement of the bone inside the screw (2) is enabled at the desired precision and amount.
  • the screw (2) provided on the clamping plate (1) having screws through which bone cement can be injected from is positioned such that the pointed tip (5) is at the forefront when it is inserted into the hole opened in the bone.
  • bone cement exits out of the small channels (6) provided on the clamping plate (1) having screws through which bone cement can be injected from and the cement completely fills the surrounding area of the opened small channels (6).
  • the bone cement stays in the form it has been positioned at, by means of the clamping plate (1) having screws through which bone cement can be injected from, and any kind of discharge of the cement is prevented.
  • the bone cement exits out of the small channels (6) and contacts the bone and therefore enables the precise fixation of the clamping plate (1) having screws through which bone cement can be injected from.
  • the clamping plate (1) having screws through which bone cement can be injected from is precisely fixed and its displacement from its position is completely prevented.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

This invention is related to a clamping plate (1) to be used in humerus operations, having screws through which bone cement can be injected from, in order to ensure the fixation of the plate at the position it has been placed on and which is used in order to fix the locking clamping plates that have been attached onto the humerus.

Description

DESCRIPTION
A CLAMPING PLATE HAVING A SCREW THROUGH WHICH BONE CEMENT CAN BE INJECTED FROM
Technical Field
This invention is related to a clamping plate to be used in humerus operations, having a screw through which bone cement can be injected from, in order to ensure the fixation of the plate at the position it has been placed on and which is used in order to fix the locking-clamping plates that have been attached onto the humerus.
Prior Art
The separation of the bone that may occur due to external or internal forces is called breaking. The case of breaking of the bone, may be a fracture or it may lead to several broken bones relating to the shock absorbing capability of the bone and the degree of the forces that affect the breaking of the bone.
A bone named humerus is present between the forearm and the shoulder of humans. The breakages that may occur in this humerus may occur from direct impact or axial forces towards the elbow. Besides this, the humerus may also break due to old age. A method of treating the breaking of the humerus may be a plaster cast. Some types of humerus breakages are treated with surgical methods. Frequently plate screw method is preferred during orthopedic surgical treatment processes. In some cases surgical treatment is applied using cylindrical shaped titanium screws. However, this structure that has been placed using a surgical operation, may change position or location in time due to the fact that the bone structure it has been placed on is mobile. The screw may become worn and it may start moving inside the bone. As a result the patient may have to be re- operated on.
A pedicle screw which enables the injection of cement there-through and which has a cannula located at the centre is described in the WO2009029056 numbered international patent application document, of the known state of the art.
Aims of the Invention The aim of the invention is to provide a clamping plate having screws through which bone cement can be injected from, used in fixing the locking clamping plates onto the humerus.
Another aim of the invention is to provide a clamping plate having screws through which bone cement can be injected from, which enable the locking clamping plates to stay fixed at the position they have been initially attached to.
Another aim of the invention is to provide a clamping plate having bone cement injectable screws through which bone cement can be injected from.
Detailed Description of the Invention
The clamping plate having screws through which bone cement can be injected from provided in order to reach the aim of the invention has been illustrated in the attached figures, wherein said figures;
§ekil 1. Figure 1 is the rear view of the screws shown on the clamping plate through which bone cement can be injected from.
§ekil 2. Figure 2 is the front view of the screws shown on the clamping plate through which bone cement can be injected from. §ekil 3. Figure 3 is the perspective view of the clamping plate having screws through which bone cement can be injected from.
§ekil 4. Figure 4 is the cross-sectional view of the clamping plate having screws through which bone cement can be injected from.
The parts in the figures have each been numbered and the references of each number have been listed below.
1. Clamping plate having screws through which bone cement can be injected from.
2. Screw
3. Helical screw thread
4. Channel
5. Pointed tip
6. Small Channel
7, Head
8. Groove
The clamping plate (1) to be used in humerus operations, having screws through which bone cement can be injected from, in order to ensure the fixation of the plate at the position has been placed on and which is used in order to fix the locking clamping plates that have been attached onto the humerus basically comprises,
at least a screw (2),
- at least a helical screw thread (3) located around the screw (2), which enables the movement of the screw (2) on the bone onto which it is attached to, when the screw (2) carries out a rotation movement in a certain direction, at least a channel (4) located in the centre of the screw (2) which is used to fix the bone, and through which the bone cement reaches the bone,
- at least a pointed tip (5) located at the end of the screw (2) that is to be attached to the bone, designed to have a smaller diameter than the diameter of the screw (2) in order for the screw (2) to open space for said tip, thereby being enable to transfer to the bone the force applied to the end of the screw (2) that has not been attached to the bone, as high pressure,
at least a small channel (6) opened on the screw (2) preferably proximal to the bone in order to enable the injected bone cement to reach the bone,
at least a head (7) located on the screw (2) at the end of the screw (2) which has not been attached to the bone,
- at least a groove (8) located on the head (7) enabling the screw (2) to be rotated around itself by having a rotator inserted therein and thereby also enabling the screw (2) to move inside the bone.
According to a preferred application of the invention, the clamping plate (1) having screws through which bone cement can be injected from is formed of a screw (2). The helical screw thread (3) located around the screw (2) and which wraps around the screw, enables the movement of the screw (2) on the bone onto which it shall be attached to, when the screw (2) carries out a rotation movement in a certain direction. Moreover the movement amount of the clamping plate (1) having screws through which bone cement can be injected from can be measured by means of the spaces of the helical screw threads (3) and the desired amount of movement can also be obtained by adjusting the helical screw thread (3) spaces. The channel (4) located inside the screw (2) and preferably at the centre of the screw enables the injected bone cement to move through the screw (2). Besides this, the geometry of the channel (4) may be according to the shape of the clamping plate (1) having a bone cement injectable screw, and therefore it enables the bone cement to reach each bone it has been attached to. A pointed tip (5) is provided on the screw (2) having a diameter smaller than the screw (2) diameter, in accordance with the geometry of the screw (2). By means of this pointed tip (5), the screw (2) can open a path for itself on the bone. Moreover the pointed tip (5) can transfer the force applied onto the screw (2) due to its diameter at the highest possible pressure and it enables the clamping plate (1) having screws through which bone cement can be injected from to be attached into the bone. The small channels (6) that are again provided on the screw (2) which can be attached to the desired screw (2) region, positioned preferably vertically into the channel (4) located thereon, enable the bone cement that has been injected into the screw (2) to be transferred to the bone and therefore fixes the screw (2) inside the bone. Additionally, the small channels (6) also enable the bone cement to reach the bone at the desired intervals. Moreover the bone cement injected by means of the screw (2) again fills into the small channels (6) located again on the screw (2) and the small channels (6) expand when said cement dries. By means of this expansion the clamping plate having screws through which bone cement can be injected from fits precisely into the bone and its chance of movement in the bone is reduced. A head (7) located on the screw (2) at the end of the screw (2) which has not been attached to the bone has been provided. A groove (8) is located on the head (7) in order to ensure the attachment of the apparatus to screw (2) and to provide the movement of the screw (7). By means of this groove (8) the desired apparatus can be attached to the screw (2) and the movement of the bone inside the screw (2) is enabled at the desired precision and amount.
According to a another application of the invention, the screw (2) provided on the clamping plate (1) having screws through which bone cement can be injected from is positioned such that the pointed tip (5) is at the forefront when it is inserted into the hole opened in the bone.
According to a another application of the invention, bone cement exits out of the small channels (6) provided on the clamping plate (1) having screws through which bone cement can be injected from and the cement completely fills the surrounding area of the opened small channels (6).
According to a another application of the invention, by means of the screw (2) provided on the clamping plate (1) having screws through which bone cement can be injected from, the bone cement stays in the form it has been positioned at, by means of the clamping plate (1) having screws through which bone cement can be injected from, and any kind of discharge of the cement is prevented. The bone cement exits out of the small channels (6) and contacts the bone and therefore enables the precise fixation of the clamping plate (1) having screws through which bone cement can be injected from.
According to a another application of the invention, by means of the discharging of the bone cement from the small channels (6) which moves through the channel (4) provided on the clamping plate (1) having screws through which bone cement can be injected from, the clamping plate (1) having screws through which bone cement can be injected from is precisely fixed and its displacement from its position is completely prevented.

Claims

1. The clamping plate (1) to be used in humerus operations, having screws through which bone cement can be injected from, in order to ensure the fixation of the plate at the position it has been placed on and which is used in order to fix the locking clamping plates that have been attached onto the humerus is characterized in that it comprises,
at least a screw (2),
at least a helical screw thread (3) located around the screw (2), which enables the movement of the screw (2) on the bone onto which it is attached to, when the screw (2) carries out a rotation movement in a certain direction, at least a channel (4) located in the centre of the screw (2) which is used to fix the bone, and through which the bone cement reaches the bone,
at least a small channel (6) opened on the screw (2) preferably proximal to the bone in order to enable the injected bone cement to reach the bone.
2. A clamping plate (1) having screws through which bone cement can be injected from, characterized in that it comprises at least a pointed tip (5) located at the end of the screw (2) that is to be attached to the bone, designed to have a smaller diameter than the diameter of the screw (2) in order for the screw (2) to open space for said tip, thereby being enable to transfer to the bone the force applied to the end of the screw (2) that has not been attached to the bone, as high pressure.
A clamping plate (1) having screws through which bone cement can be injected from, characterized by a least a head (7) located on the screw (2) at the end of the screw (2) which has not been attached to the bone.
A clamping plate (1) having screws through which bone cement can be injected from, characterized by at least at a groove (8) located on the head (7) enabling the screw (2) to be rotated around itself by having a rotator inserted therein and thereby also enabling the screw (2) to move inside the bone.
5. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a least a helical screw thread (3) which enables the measurement of the amount of movement.
6. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a least a helical screw thread (3) which enables the adjustment of the amount of movement desired by means of the spaces provided between the threads.
7. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a least a channel (4) which can be formed having the desired geometry and therefore which enables the transfer of bone cement to the bone.
8. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a least a pointed tip (5) which enables the screw (2) to open a path for itself in the bone.
9. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a least a pointed tip (5) which transfers the force applied onto the screw (2) at the highest possible pressure.
10. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a small channel (6) which enables the transfer from the desired space, of bone cement injected through the screw (2).
11. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a small channel (6) which enables precise fitting into the bone, and reduces the possibility of the screw to move inside the bone.
12. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a groove (8) which enables the apparatus to be attached to the screw (2) and enables the screw (2) to move at the desired precision and the desired amount inside the bone.
13. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a screw (2) which has been positioned such that the pointed tip (5) is at the forefront when it is inserted into the hole opened in the bone.
14. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a small channel (6) which enables the bone cement to be filled around the area that has been bored.
15. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a screw (2) which prevents any kind of loosening.
16. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a small channel (6) which enables the bone cement to contact the bone and increases fixation thereof.
17. A clamping plate (1) having screws through which bone cement can be injected from, characterized by a small channel (6) which enables the bone cement to contact the bone and increases fixation thereof and prevents the screw from moving from the position it has been placed in.
PCT/TR2016/000147 2015-10-26 2016-10-24 A clamping plate having a screw through which bone cement can be injected from Ceased WO2017074275A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR2015/13360 2015-10-26
TR201513360 2015-10-26

Publications (1)

Publication Number Publication Date
WO2017074275A1 true WO2017074275A1 (en) 2017-05-04

Family

ID=57406312

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/TR2016/000147 Ceased WO2017074275A1 (en) 2015-10-26 2016-10-24 A clamping plate having a screw through which bone cement can be injected from

Country Status (1)

Country Link
WO (1) WO2017074275A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11160592B2 (en) 2018-10-18 2021-11-02 Biedermann Technologies Gmbh & Co. Kg Method of using bone plate with polyaxial injection screws
CN113648041A (en) * 2021-02-02 2021-11-16 浙江德康医疗器械有限公司 An internal fixation repair system for intertrochanteric fractures of the femur

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7250055B1 (en) * 2003-08-26 2007-07-31 Biomet Manufacturing Corp. Method and apparatus for cement delivering buttress pin
US7338493B1 (en) * 2002-06-28 2008-03-04 Biomet Manufacturing Corp. Method and apparatus for cementing a screw anchor
WO2009029056A1 (en) 2007-08-24 2009-03-05 Ihsan Solaroglu Cement injectable transpedicular screws
US20090157078A1 (en) * 2007-12-17 2009-06-18 Mikol Edward J Apparatus and Methods of Repairing Bone Defects
US20100298889A1 (en) * 1999-10-12 2010-11-25 Lothar Wilberg Bone screw
US20110060373A1 (en) * 2009-09-09 2011-03-10 Russell Thomas A Bone screws and methods of use thereof

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100298889A1 (en) * 1999-10-12 2010-11-25 Lothar Wilberg Bone screw
US7338493B1 (en) * 2002-06-28 2008-03-04 Biomet Manufacturing Corp. Method and apparatus for cementing a screw anchor
US7250055B1 (en) * 2003-08-26 2007-07-31 Biomet Manufacturing Corp. Method and apparatus for cement delivering buttress pin
WO2009029056A1 (en) 2007-08-24 2009-03-05 Ihsan Solaroglu Cement injectable transpedicular screws
US20090157078A1 (en) * 2007-12-17 2009-06-18 Mikol Edward J Apparatus and Methods of Repairing Bone Defects
US20110060373A1 (en) * 2009-09-09 2011-03-10 Russell Thomas A Bone screws and methods of use thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11160592B2 (en) 2018-10-18 2021-11-02 Biedermann Technologies Gmbh & Co. Kg Method of using bone plate with polyaxial injection screws
CN113648041A (en) * 2021-02-02 2021-11-16 浙江德康医疗器械有限公司 An internal fixation repair system for intertrochanteric fractures of the femur

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