Osteotomy Plate Keyhole Design for Tibial Stability

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Solution Overview

Problem

Open wedge osteotomies of the knee are procedurally challenging due to difficulties in creating a wedge-like opening in the bone with precision and minimizing trauma to surrounding tissues, and stabilizing the tibia during healing.

Innovation Solution

A novel method and apparatus involving an osteotomy plate with a keyhole design and mounting holes for fixation screws, and a system that includes a positioning guide, slope guide, apex pin, keyhole drill guide, and cutting guide to form precise osteotomy cuts and stabilize the tibia with a wedge-shaped implant.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If conventional open wedge osteotomy methods are used, then the procedure can be performed, but precision in creating the wedge-like opening is insufficient and trauma to surrounding tissues increases

Engineering Contradiction:
Improveprecision in creating wedge-like openingVSAvoidtrauma to surrounding tissues
Core Design Contradiction:
Manufacturing precisionVSObject-affected harmful factors

Solution Approach 1:

The patent applies preliminary action by pre-positioning the osteotomy plate with keyhole drill guides and cutting guides before making the osteotomy cuts. The positioning guide is attached to the tibia first, establishing precise reference points and orientations for subsequent cutting operations. This preliminary setup ensures that the wedge-like opening is created with exact dimensions and orientation, minimizing deviations that could cause tissue trauma.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent uses intermediary devices including the positioning guide, cutting guides, and keyhole drill guides as mediators between the surgeon and the bone. These intermediary tools translate the surgical plan into precise physical actions, ensuring that cuts are made at exact locations and angles while protecting surrounding soft tissues from inadvertent damage during the osteotomy process.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Stability of the object's composition

If conventional stabilization methods are used, then the tibia can be stabilized, but the complexity of the procedure increases and stability during healing is insufficient

Engineering Contradiction:
Improvestability of tibia during healingVSAvoidcomplexity of stabilization procedure
Core Design Contradiction:
Stability of the object's compositionVSDevice complexity

Solution Approach 1:

The patent merges multiple functions into the osteotomy plate itself. The plate integrates fixation holes for screws, keyhole drill guide receptacles, and positioning features all in one device. This consolidation reduces the number of separate components and steps needed for stabilization while providing comprehensive fixation and guidance functions, thereby reducing procedural complexity compared to using multiple separate devices.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The osteotomy plate serves multiple functions simultaneously: it acts as a fixation device to stabilize the bone segments, a guide for drilling keyholes for additional fixation, and a positioning reference for the osteotomy cuts. This multi-functionality reduces the overall complexity of the stabilization system compared to using separate specialized devices for each function.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Data Source

PatentUS8906026B2Method and apparatus for performing an open wedge, high tibial osteotomy
Publication Date: 2014.12.09 ARTHREX INC
  • US8906026B2 patent drawing
  • US8906026B2 patent drawing
  • US8906026B2 patent drawing

AI summary

An osteotomy plate for maintaining the spacing of a wedge-like opening in bone, the osteotomy plate comprising: a body having a front side and a back side; a key extending out of the back side of the body for disposition in a keyhole formed in the bone along the wedge-like opening; and a plurality of mounting holes for receiving fixation screws therein, the mounting holes being formed in the body such that when the key is disposed in the keyhole, the mounting holes direct the fixation screws into bone on either side of the wedge-like opening.