458 results about "Fracture reduction" patented technology

Devices, kits, and methods are provided for reducing a bone fracture, e.g., a vertebral compression fracture, is provided. The device comprises a plurality of resilient wires composed of a biocompatible material, such as a biocompatible polymer (e.g., polymethylmethacrylate (PMMA)). The wires can be introduced into the cavity of the bone structure to form a web-like arrangement therein. The web-like arrangement can be stabilized by applying uncured bone cement onto the arrangement to connect the wires at their contacts point. The bone cavity can then be filled with a bone growth enhancing medium.

Systems and methods provide for the fixation of osteoporotic and non-osteoporotic long bones, especially Colles' fractures. A cannula having a circumferential opening is inserted into cancellous bone and directed such that the circumferential opening faces the fracture. The cannula is further adapted to receive an expandable structure, the expandable structure being inserted through the cannula until it is in registration with the circumferential opening. The expandable structure is expanded through the circumferential opening into cancellous bone and toward the fracture. The expansion of the expandable structure through the circumferential opening toward the fracture causes compression of cancellous bone and moves fractured cortical bone, thus creating a cavity proximal to the fracture. The cavity is then filled with a flowable bone filling material and the material allowed to harden.

The present invention is directed to a bone plate and its method of use for reducing a bone fracture, the bone plate having a longitudinal axis, the bone plate comprising an upper surface, a lower surface, a first hole for engaging a head of a first bone anchor. The first hole is configured and adapted to fix a shaft of the first bone anchor along a first axis. A second hole is spaced apart from the first hole along the longitudinal axis. The second hole is for engaging a head of a second bone anchor, and is configured and adapted to fix a shaft of the second bone anchor along a second axis. The first hole and the second hole are configured such that the first axis and the second axis define a single plane and intersect at a point below the lower surface. The shafts of the first and second bone anchors may touch or nearly touch at the point of intersection, such that the first and second bone anchors form a truss.

Method and apparatus for pre-operative planning of orthopedic surgical procedures. The pre operative planning includes the steps of image acquisition, calibration scaling and registration, fracture reduction or matching of prosthesis, application of fixation elements and creating of planning reports.

Devices and methods are provided for treating a bone structure (such as, e.g., reducing a bone fracture, e.g., a vertebral compression fracture, or stabilizing adjacent bone structure, e.g., vertebrae) is provided. The device comprises rigid or semi-rigid members, each of which comprises a common base and a plurality of ribs that extent along the a longitudinal portion of the common base. The device is configured to be placed in a collapsed state by engaging the pluralities of ribs of the members in an interposed arrangement, and configured to be placed in a deployed state by disengaging the pluralities of ribs. The ribs can be any shape, e.g., flutes, that allows opposing ribs to intermesh with one another. In this manner, the device has a relatively small profile when placed in the collapsed state, so that it can be introduced through small openings within the bone structure, while preserving the shear strength of the members during deployment of the device.

A system for treating an abnormal vertebral body such as a compression fracture. In an exemplary embodiment, the system includes a biocompatible flow-through implant structure configured with a three-dimensional interior web that defines flow openings therein for cooperating with a two-part hardenable bone cement. The flow-through structure is capable of compacted and extended shapes and in one embodiment provides a gradient in flow openings for controlling flow parameters of a bone cement injected under high pressure into the interior thereof. The flow-through implant structure is configured for transducing cement injection forces into a selected direction for moving apart cortical endplates of a vertebra to reduce a fracture. In one embodiment, the flow-through implant structure is coupled to an Rf source for applying Rf energy to a two-part bone cement to accelerate curing of the cement to thereby allow on-demand alterations of cement viscosity. The Rf system allows for control of bone cement polymerization globally or regionally to prevent cement extravasion and to direct forces applied to a vertebra to reduce a fracture.

Systems and methods insert an expandable body in a collapsed configuration into a space defined between cortical bone surfaces. The space can, e.g., comprise a fracture or an intervertebral space. The systems and methods cause expansion of the expandable body within the space, thereby pushing apart the cortical bone surfaces to, e.g., reduce the fracture or push apart adjacent vertebral bodies as part of a therapeutic procedure.

Apparatus to facilitate reduction and fixation of a fracture by drawing together the fracture by applying tension to a reduction wire are disclosed. These apparatus include a bone plate for the fixation of a fractured bone having a plurality of fastener openings so that the bone plate may be secured by a plurality of fasteners across a reduced fracture to fixate a reduced fracture. The bone plate is configured with a channel that receives a reduction wire so that the reduction wire may extend between the bone plate and a reduction wire mount such as a bone screw. Methods of use of the present invention include fastening the bone plate to a first side of the fracture, fastening a reduction wire mount to a second side of the fracture, fastening a reduction wire to the reduction wire mount, receiving the reduction wire in the channel, applying tension to the reduction wire to draw the bone plate and the reduction wire mount together thereby reducing the fracture, and fixating the fracture by fastening the bone plate to the second side of the fracture.

The present invention relates to a bone plating system and method for fracture fixation of bone. The bone plating system includes a bone plate, at least one locking screw, and at least one non-locking screw. The bone plate has locking holes with threads and non-locking holes. The locking screws have a shaft with a thread for engaging bone and a head with a thread configured and dimensioned to mate with the thread of the locking holes. The non-locking screws have a thread for engaging bone and a non-threaded head. Both the locking and non-locking screws remain seated in their respective holes for substantially as long as the bone plate is implanted. The non-locking screws compress the bone plate against the bone and hold fracture reduction while the locking screws are secured to the plate at a fixed angular relationship. The mixed fixation achieved by this bone plating system and method is particularly useful for treatment of per-articular fractures.

The invention relates to a method of creating a curvilinear cavity within a vertebral body or other bony structure. The invention also relates to devices that may be used to perform the steps to create the curvilinear cavity. In one embodiment, a method of forming a curvilinear void in bony structure may include the steps of accessing a bony structure with a cannula, inserting a distal end of a drill device through the cannula and into the bony structure, manipulating the distal end of the drill device to create a curvilinear void in the bony structure, enlarging the void by expansion of a balloon element mounted to the drill device, and deflating the balloon element and removing the drill device from the cannula.

Embodiments of the present invention include products and methods for reducing fractures with the aid of image guidance. In one embodiment, products and methods are directed to reduction for the placement of an intramedullary nail.

An intramedullary bone plate with sheath having an intramedullary stem, a bone plate head and a neck that connects the intramedullary stem to the bone plate head in a manner where the stem and head are offset from each other longitudinally and axially in the sagittal plane. The bone plate head includes a sheath recess wherein non-threaded bone screw holes and a threaded sheath screw hole are located. Bone screws are inserted through the sheath recess and oriented at set angles allowing for bone fragment fixation and fracture reduction. A sheath element is placed within the boundaries of the sheath recess and secured with the sheath screw. The intramedullary stem includes longitudinal flutes in its distal portion and a bi-arced geometry in its proximal portion providing for stabilization of the implanted device. The bone plate head configuration provides for more complete fracture capture and multiple fixation modalities.

The invention relates to a novel type of an external fixation device having a carrying structure (1; 40) of interconnected elements (2, 5, 6) comprising an extendible central body (2), and clamps (5, 6) for bone screws respectively articulated on opposed ends (3, 4) of the central body (2), said central body comprising two parts (8, 9) telescoping slidable one on the other, each of said parts (8, 9) including a first portion (8a; 9a) of elongate shape formed integrally with a second end portion (8b; 9b) of substantially cylindrical shape, said first portions (8a, 9a) of the parts (8, 9) being slidably coupled to each other by means of a driving groove (7) formed longitudinally in one the first portion (8a) and a corresponding slide (7a) formed longitudinally in the other first portion (9a) and means being provided in said parts (8, 9) for stopping their sliding movement characterized in that it further comprises at least one plate (27; 41; 42; 43; 60) having predetermined contour shape and thickness, at least one recess (28; 44; 47; 51) formed on the surface of at least one of the interconnected elements (2, 5, 6) and having its contour shape matching the contour shape of said at least one plate (27; 41; 42; 43; 60), and means (30, 31; 46, 46a; 49, 50 53, 54) for releasably securing said at least one plate (27; 41; 42; 43; 60) in said at least one recess (28; 44; 47; 51).

A device for fixation of the navicular bone of the foot includes a truss plate defining a plurality of holes for receive bone screws therethrough. The holes are staggered along the length and width of the plate to minimize the overall width of the plate and to ensure that bone screws passing through all holes do not conflict within the bone. The plate includes a medial section configured for attachment to the medial aspect of the navicular and a dorsal section that is curved into a hook shape for attachment to the dorsal aspect of the bone. The hook shape helps retain and reduce the bone fragments of a fractured navicular. The plate further defines a plurality of cut-outs between struts supporting the screw hole locations, wherein the cut-outs are configured to receive bone fasteners therethrough.

Methods, systems, and computer readable media for automated intraoperative surgical guidance in medical images are disclosed. A system and method generally for analyzing subject image data, calculating surgical decision risks and autonomously providing recommended pathways or actions that support the decision-making process of a surgeon to predict optimized implant and subject outcomes (ex. implant guidance, fracture reduction, anatomical alignment) by a graphical user interface.

A modification to the prototypical compression (dynamic or sliding) hip screw is described which expands the utility and surgical indications of this frequently used fracture fixation device to include the fracture pattern commonly referred to as a “reverse obliquity fracture” of the proximal femur. This fracture pattern is poorly secured with current generation hip screws, frequently necessitating the use of intramedulary fracture fixation devices or external fixation hardware. The described modification blocks telescopic sliding of the femoral head lag screw within the cylindrical barrel of the side plate and allows for secure locking of the lag screw within the side plate, preventing any relative motion between the screw and plate once fracture reduction has been achieved. In a locked mode, the proximal fracture fragment(s) is prevented from displacing laterally relative to the distal (diaphysial) fragment, as occurs commonly when a reverse obliquity fracture or a comminuted intertrochanteric femur fracture is fixed with a conventional hip screw. No change in routine fracture reduction or insertion technique is required to use the Locking Compression Hip Screw. Additionally, the described modification does not preclude use of the Locking Compression Hip Screw in a dynamic or sliding mode, if desired, when used to fix the more common femoral neck or intertrochanteric fracture patterns.

Bones fracture in any number of various ways and, in order to properly reduce a fracture, it may be necessary to place compression screws in any number of combinations along a bone plate to bring the various bone fragments together. A bone plate is provided with an optimal number and combination of threaded holes and non-threaded holes. In embodiments, the bone plate comprises one or more “hole pairs” in which a non-threaded hole and a threaded hole are placed adjacent to one another. The use of hole pairs enables a surgeon to place a compression screw and a locking screw in close proximity, facilitating both bone reduction and bone plate stabilization in a proximate location on the bone plate. In embodiments, the bone plate has an optimal thickness that promotes structural integrity while maximizing the number and combination of holes and reducing the profile of seated screws.

Reduction of a bone fragment of a bone fracture at a bone fracture site is accomplished through a minimally invasive access passage utilizing instruments having a working head actuated from a location remote from the bone fracture site, between an insertion configuration dimensioned and configured to present a minimal cross-sectional area for ready passage through the minimally invasive access passage and a working configuration dimensioned and configured to establish an essentially rigid working face of substantially greater cross-sectional area than the minimal cross-sectional area. The working head is actuated into the working configuration and manipulated from the remote location while in the working configuration to engage the working face with the bone fragment and manipulate the bone fragment into an anatomically appropriate reduced position at the bone fracture site.

A system and a method for reducing a proximal fractured humerus includes a fracture reduction plate and an elongated pin including a plurality of threads. The elongated pin is configured to be inserted through the fracture reduction plate and engage with a humeral head. The fracture reduction plate is placed on the fractured humerus and provisionally secured. Sutures may be used to guide the fracture reduction plate into place on the fractured humerus. Next, the elongated pin is engaged with the humeral head at a superior angle relative to the humerus and the fracture is reduced. The elongated pin may be used to push the humeral head in a superior direction while pulling on the humeral head using the sutures. The fracture reduction plate can then be secured to the humerus and the elongated pin removed. Bone graft material may be applied to the fracture reduction site.

A method and system of computer assistance to the preparation of the reduction of a fracture such that a patient's bony fragments areseparated into first and second bone segments, with in bone segments being symmetrical to a third bone element The method includes the steps of determining a first representation or bone model of the surface of the first bone segment, a second representation, at an initial position, of the second segment, and a third representation of the third bone element; determining by symmetry a fourth representation of the first and second bone segments of the fractured bone in the absence of a fracture, the fourth representation being matched with the first representation; matching the second representation with the fourth representation at a final position; and providing, by an interface element information representative of the difference between the initial position and the final position.

The invention discloses a fracture traction reduction guiding device of a long bone. The device comprises a driving mechanical arm, a driven mechanical arm, a photoelectric tracer, an end effector, a trolley, a tracking mark component and a spatial point acquisition unit. The tracking mark component is installed on the fracture position of the long bone. The spatial point acquisition unit is held by a doctor. A prop A of the driving mechanical arm and a prop B of the driven mechanical arm are installed on the upper panel of the shell of the trolley respectively. The photoelectric tracer is installed on the end cover of a rocker A of the driving mechanical arm. The end effector is installed on the end cover of a rocker B of the driven mechanical arm. A computer system is arranged in the wagon box of the trolley. The driving mechanical arm has the same structure with the driven mechanical arm. The fracture traction resetting guiding device of the long bone can assist the doctor to finish the reduction operation of 3D geometry of a wounded limb and the mechanical arm is used for fixing the distant end of the wounded limb to improve the accuracy of reduction and to reduce the radiation of X-ray. The tracking mark component is arranged on the fractured bone that needs to be operated, so the position of a characteristic point marked by the tracking mark component is easier to be tracked by the photoelectric tracer.