Osteotomy Plate Wedge Opening Bone Alignment

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Solution Overview

Problem

Open wedge high tibial osteotomies pose challenges in creating precise wedge-like openings in the tibia with minimal trauma to surrounding tissues and stabilizing the bone segments during healing.

Innovation Solution

A novel osteotomy system comprising a positioning guide, slope guide, apex pin, keyhole drill guide, posterior protector, and cutting guide, along with a wedge-shaped implant, is used to create a precise osteotomy cut and open wedge-like opening, ensuring alignment with anatomical planes and minimizing tissue invasion, while providing stabilization through keyholes and fixation screws.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If a wedge-like opening is created in the tibia using conventional techniques, then the osteotomy can be performed, but the precision of the opening and trauma to surrounding tissue increase

Engineering Contradiction:
Improveprecision of wedge-like openingVSAvoidtrauma to surrounding tissue
Core Design Contradiction:
Manufacturing precisionVSObject-affected harmful factors

Solution Approach 1:

The patent applies preliminary action by using a positioning guide and apex pin to pre-establish the exact location and orientation of the osteotomy cut before actually making the cut. The positioning guide is inserted into the tibia and the apex pin is positioned at the apex of the wedge, allowing the surgeon to accurately mark and then make the osteotomy cut at the predetermined location with minimal deviation, thereby improving precision while reducing unnecessary trauma to surrounding tissues.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent uses an intermediary approach by introducing a positioning guide as a mediator tool between the surgeon and the tibia. This positioning guide serves as a template that transfers the planned osteotomy geometry to the actual bone surface, enabling precise wedge-like opening creation without directly manipulating the bone with excessive force or precision tools that could cause trauma. The guide acts as a buffer that ensures accuracy while minimizing direct tissue damage.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Ease of operation

If the tibia is manipulated to open the wedge-like opening, then the bone can be reoriented, but stability of the upper and lower portions during healing decreases

Engineering Contradiction:
Improvemanipulation of tibiaVSAvoidstability of bone segments
Core Design Contradiction:
Ease of operationVSStability of the object's composition

Solution Approach 1:

The patent applies preliminary action by pre-positioning the apex pin at the apex of the wedge-like opening before manipulation occurs. This apex pin serves as a predetermined anchor point that will maintain the reoriented bone segments in place during healing. By establishing this reference point in advance, the surgeon can manipulate the tibia to open the wedge and achieve the desired reorientation, while the pre-positioned apex pin ensures stability is maintained throughout the healing process.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent uses the apex pin as an intermediary element that mediates between the manipulated bone segments and the healing process. The apex pin is inserted into the apex of the wedge-like opening and serves as a stable reference that maintains the spatial relationship between the upper and lower portions of the tibia during manipulation and healing. This intermediary structure allows the bone to be reoriented while providing continuous stability without requiring complex fixation mechanisms.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Productivity

If conventional osteotomy techniques are used, then the procedure can be completed, but surgical precision and repeatability are reduced

Engineering Contradiction:
Improvecompletion of osteotomy procedureVSAvoidsurgical precision
Core Design Contradiction:
ProductivityVSMeasurement precision

Solution Approach 1:

The patent applies preliminary action by using a positioning guide that is inserted and secured in the tibia before the osteotomy cut is made. This positioning guide pre-establishes the exact geometry, location, and orientation of the wedge-like opening that will be created. By having this pre-planned template in place, the surgeon can complete the osteotomy procedure with high precision and repeatability, as the positioning guide ensures that each cut and manipulation step follows the predetermined plan, eliminating variability and improving measurement precision.

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentEP2086434B1Apparatus for performing an open wedge, high tibial osteotomy
Publication Date: 2016.03.23 ARTHREX INC
  • EP2086434B1 patent drawingFigure 1
  • EP2086434B1 patent drawingFigure 2
  • EP2086434B1 patent drawingFigure 3

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 protrusion extending out of the back side of the body for disposition in 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 protrusion is disposed in the wedge-like opening, the mounting holes direct the fixation screws into bone on either side of the wedge-like opening.