WO2001028441A1 - External fixation system - Google Patents

External fixation system Download PDF

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Publication number
WO2001028441A1
WO2001028441A1 PCT/US2000/028981 US0028981W WO0128441A1 WO 2001028441 A1 WO2001028441 A1 WO 2001028441A1 US 0028981 W US0028981 W US 0028981W WO 0128441 A1 WO0128441 A1 WO 0128441A1
Authority
WO
WIPO (PCT)
Prior art keywords
bone
support rod
fixation system
external fixation
bone portion
Prior art date
Application number
PCT/US2000/028981
Other languages
French (fr)
Inventor
Stephen B. Walulik
Kirk J. Bailey
Sean P. Curry
John Scott Mahaffey
Original Assignee
Electro-Biology, Inc.
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 Electro-Biology, Inc. filed Critical Electro-Biology, Inc.
Priority to JP2001531040A priority Critical patent/JP2003511192A/en
Priority to AU12178/01A priority patent/AU1217801A/en
Priority to EP00973694A priority patent/EP1229846B1/en
Priority to AT00973694T priority patent/ATE540627T1/en
Publication of WO2001028441A1 publication Critical patent/WO2001028441A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6466—Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/645—Devices extending alongside the bones to be positioned comprising a framework
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6491—Devices extending alongside the bones to be positioned allowing small-scale motion of bone ends
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66—Alignment, compression or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/62—Ring frames, i.e. devices extending around the bones to be positioned

Definitions

  • the present invention relates generally to an orthopedic surgical procedure, and more particularly to an external fixation system for bones.
  • U.S. Patent No. 5,620,442 to Bailey et al. discloses an apparatus for the external fixation of small bones.
  • the apparatus is illustrated to include a bone screw clamp for receiving a first bone screw which is connected to a first bone portion.
  • the external fixator further includes a bone screw clamp which is operable to receive a second bone screw connected to the second bone portion.
  • the first and second bone screw clamps include a spherical portion.
  • the external fixator further includes a connection member for securing the spherical portions of the bone screw clamps.
  • the connection member defines a radiographic window to permit radiographic examination of the bone fracture without removing the apparatus.
  • U.S. Patent No. 5,620,442 is hereby incorporated by reference as if fully set forth herein.
  • fixators including the type described above, have proven to be effective in fixating bones, they nevertheless can be the subject of certain improvements.
  • conventional external fixation devices often do not provide the flexibility required for particular applications.
  • the invention relates to an external fixation system operable for securing two portions of bone in a fixed relationship to each other including various interchangeable components which can be selected by a surgeon.
  • An advantage of the present invention is to provide an external fixation system for bones and a related method that permit independent placement of bone pins at various positions and angular orientations along a bone.
  • Another advantage of the present invention is to provide an external fixation system for bones and a related method that incorporate a universal base clamp which can be placed any free space along a support rod without requiring the removal of other elements that may be secured to the support rod.
  • Another advantage of the present invention is to provide an external fixation system for bones and a related method that include a plurality of distinct components including cooperating serrated portions for facilitating interconnection between the components.
  • a related advantage of the present invention is to provide an external fixation system for bones and a related method that include a plurality of distinct components each including one of a cylindrical rod and a rod receiving portion to facilitate interconnection between the components and a cylindrical support rod. Additional advantages and features of the present invention will become apparent from the following description and appended claims, taken in conjunction with the accompanying drawings.
  • Figures 1A and 1 B illustrate a first exemplary construct of components of the external fixation system according to the teachings of the preferred embodiment of the present invention in operative association with a tibia.
  • Figure 2 illustrates a second exemplary construct of components of the external fixation system according to the teachings of the preferred embodiment of the present invention in operative association with a tibia, the second construct incorporating a compression/distraction arrangement.
  • Figures 3A and 3B illustrate a third exemplary construct of components of the external fixation system according to the teachings of the preferred embodiment of the present invention in operative association with a tibia, the third construct incorporating a ring assembly.
  • Figures 4A and 4B are views of a universal clamp assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figures 5A through 5C are views of a bar-to-bar clamp body of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figures 6A and 6B are views of a three pin clamp assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figures 7A and 7B are views of a five pin clamp assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figures 8A and 8B are views of a telescoping post of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figures 9A and 9B are views of a first ring connector assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figures 10A and 10B are views of a second ring connector assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figures 11A through 11 D are views of a bone pin clamp body of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figures 12A through 12C are views of a post assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figure 13 is a side elevational view a bar clamping unit of a compression/distraction arrangement of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figures 14A through 14C are views of a variable connector body of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • Figure 15 is a side elevational view of the bar clamping unit and threaded rod receiving unit the compression/distraction assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
  • FIGS 1 through 3 illustrated are three constructs of cooperating components of the system 10 for external fixation of bone according to the preferred embodiment of the present invention.
  • a first construct of components of the system 10 is shown securing a fracture 12 of a bone 14.
  • the system 10 is illustrated as being used to secure a bone fracture 12 of a tibia 14.
  • the system 10 is used to secure the bone portions 16 and 18 in a fixed relationship so as to permit the fractured portions to fuse properly.
  • Figure 2 illustrates a second construct of the system 10 shown operatively attached to the tibia 14.
  • a third construct of the system 10 is illustrated attached to the tibia 14. While the system 10 is shown throughout Figures 1 through 3 in conjunction with a tibia
  • the components of the present invention are illustrated to generally include a universal clamp assembly 20, bar-to-bar clamp body 22, a three pin clamp assembly 24, a five pin clamp assembly 26, a telescoping post 28, a first ring connector assembly 30, a second ring connector assembly 32, a bone pin clamp body 34, and a post assembly 36.
  • the components are illustrated to additionally include a compression/distraction arrangement 38 including a pair of clamping assemblies 40 and an externally threaded drive rod 42.
  • the components include a variable connector body 44, a ring assembly 46, and a plurality of cylindrical, smooth support rods 48.
  • the support rods 48 include main support rods which are typically oriented to extend generally parallel to the axis of the bone 14 or at an acute angle relative to the bone 14 and supplemental support rods.
  • the supplemental support rods 48' one of which is shown in Figure 1 B, may be provided in various lengths.
  • the components of the system 10 of the present invention may be combined in an infinite number of combinations and orientations to secure and rigidly interconnect a plurality of bone screws or pins 50 which are engaged with the bone portions 16 and 18. This flexibility of the system 10 permits a surgeon to independently place a bone 50 at a limitless number of positions along the bone 14 or angular orientations with respect to the bone 14.
  • the universal clamp assembly 20 of the present invention is illustrated.
  • the universal clamp assembly 20 includes a clamp portion 52 having first and second halves 54 and 56 which cooperate to define a bar receiving aperture 58 for receiving one of the support rods 48, the telescoping post 28 or the post assembly 36. It will be understood that in the exemplary embodiment the support rods 48, telescoping post 28 and post assembly 36 each have a substantially identical diameter.
  • the first and second halves 54 and 56 include aligning apertures 60 and 62, respectively, for receiving a locking bolt or fastener 64.
  • the aperture 62 of the second half 56 includes a counterbored portion 66 for receiving a portion of a head 68 of the fastener 64.
  • An outer surface 70 of the first half 54 is formed to include a serrated portion 72 having a plurality of serrations radially extending from the opening of the aperture 60.
  • the serrated portion 72 is adapted to engage substantially identical serrated portions provided on cooperating components of the system 10 of the present invention as will be discussed below.
  • the universal base clamp 20 is the fundamental component of the system 10 of the present invention.
  • the universal base clamp 20 is designed to be easily placed anywhere along a support rod 48, for example (even between two previously locked universal base clamps 20).
  • the bar-to-bar clamp body 22 of the present invention is illustrated.
  • the bar-to-bar clamp body 22 is generally C-shaped to define a rod receiving aperture 80 and includes first and second ends 76 and 78 which are spaced apart by an opening 82.
  • the first and second ends 76 and 78 include aligning apertures 84 and 86, respectively, for receiving a fastener such as the fastener 64 described above with respect to the universal clamp assembly 20.
  • the aperture 86 of the second end 78 is internally threaded.
  • An outer surface 88 of the first end 76 is formed to include a serrated portion 72.
  • the bar-to-bar clamp body 22 is attached to a cooperating component of the system 10 of the present invention through engagement of the fastener 64 with the apertures 84 and 86. In such engagement, the serrated portions 72 of the components are interlocked thereby preventing relative rotation. Tightening of the fastener 64 draws the ends 76 and 78 of the bar-to-bar clamp body 22 toward one another. As a result, a support rods 48, telescoping post 28 or post assembly 36 positioned within the aperture 80 is secured relative to the bar-to-bar clamp body 22 and in turn secured relative to the cooperating component.
  • the pin clamp assembly 24 of the present invention is illustrated.
  • the pin clamp assembly 24 is operative for receiving and securing up to three bone pins 50 engaged with the bone 14.
  • the bone pin clamp 28 includes a main body member 90 and a cover member 92.
  • the main body member 90 defines three bone pin rests 94.
  • the bone pin rests or grooves 94 are substantially V-shaped and are operable to engage the sides of the bone pins 50.
  • the cover member 92 of the pin clamp assembly 24 is able to be inserted over the bone pins 50 when the bone pins 50 are located in the grooves 94.
  • the cover member 92 includes a pair of apertures 96 which each allow a threaded fastener 98 to pass through the cover member 32 and into a threaded aperture 100 of the main body member 90. Tightening of the fasteners 98 rotationally and longitudinally secures the bone pins 50 relative to the pin clamp assembly 24.
  • the base member 90 and the cover member 92 are both formed to integrally include cylindrical extensions 102 and 104, respectfully.
  • the ends of each of the cylindrical extensions 102 and 104 are both formed to include a serrated portion 72.
  • Each of the cylindrical extensions 102 and 104 includes an internally threaded aperture 106 sized to receive a fastener 64.
  • the five pin clamp assembly 26 is shown particularly in Figures 7A and 7B.
  • the construction of the five pin clamp assembly 26 is identical to the construction of the three pin clamp assembly 26, with the exception that the five pin clamp assembly 26 is formed to include two additional bone pin rests 94.
  • the five pin clamp assembly 26 includes three bone pin rests 94 between the fasteners 98, whereas the three pin clamp assembly 24 includes a single bone pin rest 94 between the fasteners. Due to the similarity between the two pin clamp assemblies 24 and 26, like reference numbers are used in the drawings.
  • the telescoping post 28 includes a cylindrical post portion 108 and a mounting flange portion 110.
  • the cylindrical post portion 108 has a diameter substantially equal to the diameter of the support rods 48 and thereby may be securely received within rod receiving apertures of cooperating components of the system 10 of the present invention.
  • the mounting flange portion 110 includes an aperture 112 for receiving a fastener 64.
  • a lower side 114 of the mounting flange portion 110 includes a serrated portion 72 for cooperating with the serrated portions of cooperating components of the system 10 in a manner discussed above.
  • the first ring connector assembly 30 of the present invention is illustrated.
  • the first ring connector assembly includes a main body 116 and a fastener 118.
  • An upper portion 120 of the main body 116 defines a vertically extending aperture 122 which is internally threaded to receive the externally threaded fastener 118.
  • a lower portion 124 of the main body 116 includes a pair of spaced apart sides 126 and 128 and an aperture 130 horizontally passing therethrough. Both of the sides 126 and 128 are formed to include a serrated portion 72 radially surrounding the aperture 130 which is adapted to interface with cooperating components of the system 10 including a serrated portion 72 in a manner discussed above.
  • the fastener 118 is adapted to pass through one of a plurality of apertures formed in a frame 132 of the ring assembly 46 for securing the first ring connector assembly 32 thereto.
  • the second ring connector assembly 32 of the present invention is illustrated. Rather than interfacing with cooperating components of the system 10 including a serrated portion 72, the second ring connector assembly 32 is adapted to interface with cooperating components including a rod receiving aperture, such as the universal clamp assembly 20 and the bar-to-bar clamp body 22.
  • the second ring connector assembly 32 includes a main body portion 132 and a cylindrical extension 134. To facilitate clamping within one of the rod receiving apertures, the cylindrical extension 134 has a diameter substantially equal to the support rods 48.
  • the main body 132 defines a pair of apertures 136 which are internally threaded for receiving a pair of threaded fasteners 118 identical to the fastener described with respect to the first ring connector assembly 30.
  • the fasteners 118 are adapted to pass through a pair of the plurality of apertures formed in the frame 132 of the ring assembly 46 for securing the second ring connector assembly thereto.
  • the bone pin clamp body 34 of the present invention defines an aperture 138 for receiving a bone pin 50.
  • the pin clamp body 34 includes an upper flange portion 140 and a lower flange portion 142 which are separated by a gap 144.
  • the gap 144 intersects the aperture 138.
  • the upper and lower flange portions 140 and 142 are formed to include aligning apertures 146 and 148 for receiving a fastener 64.
  • the aperture 148 of the lower flange portion 142 is internally threaded.
  • An upper surface 150 of the upper flange portion 140 includes a serrated portion 72 surrounding the aperture 146.
  • the serrated portion 72 is adapted to interface with serrated portions of cooperating components of the system 10 of the present invention in a manner discussed above.
  • a cooperating component is secured to the bone pin clamp body 34 with a fastener 64
  • tightening of the fastener 64 causes the gap 144 between the upper and lower flange portions 140 and 142 to decrease and the aperture 138 to slightly constrict.
  • a bone pin 50 disposed within the aperture 138 is longitudinally and rotationally fixed with respect to the bone pin clamp body 34.
  • the post assembly 36 generally includes a cylindrical sleeve 152 and a threaded fastener 154.
  • the cylindrical sleeve 152 includes a central portion 156 and first and second enlarged ends 158 and 160.
  • the cylindrical sleeve 152 has a diameter substantially equal to the diameter of the support rods 48 and can similarly interface with cooperating components including a rod receiving aperture, such as the universal clamp assembly 20, in a manner discussed above.
  • the cylindrical sleeve 152 defines an elongated aperture 162 for receiving the fastener 154.
  • An outer end of the first enlarged end 158 includes a serrated portion 72 surrounding the aperture 162.
  • the fastener 154 extends beyond the serrated portion and is externally threaded.
  • An opposite end of the fastener 154 includes a recess 164 for receiving a tool (not shown) used to rotate the fastener 154 relative to the cylindrical sleeve 152.
  • the serrated portion 72 is adapted to interface with serrated portions 72 of cooperating components of the system 10 of the present invention in a manner discussed above.
  • the serrated portion 72 is particularly intended to cooperate with the 3 pin and 5 pin clamp assemblies.
  • the variable connector body 44 of the present invention generally includes a main body 166 and a cylindrical portion 168 extending from the main body 166.
  • the main body 166 includes a pair of spaced apart sides 170 and 172 and an internally threaded aperture 174 passing therethrough. Both of the sides 170 and 172 are formed to include a serrated portion 72 radially surrounding the aperture 174 which is adapted to interface with cooperating components of the system 10 including a serrated portion 72 in a manner discussed above.
  • the cylindrical portion 168 has a diameter substantially equal to the diameter of the support rods 48 and thereby may be securely received within rod receiving apertures of cooperating components of the system 10 of the present invention in a manner discussed above.
  • the clamping assemblies 40 of the distraction arrangement 38 each include a bar clamping unit 178 and a threaded rod receiving unit 180.
  • the bar clamping unit 178 includes a lower portion 182 and a pair of substantially identical upper portions 184. Each of the upper portions 184 cooperates with the lower portion 182 to define an aperture 186 for receiving one of the support rods 48.
  • the upper portions 184 each include an apertures 188 which each allow a threaded fastener 190 to pass therethrough and into an aligning threaded aperture 192 provided in the lower portion 182. Tightening of the fasteners 190 secures the support rods 48.
  • a pair of the support rods 48 are non-rotatably retained in a parallel and spaced apart relationship.
  • the clamping assemblies 40 includes a first aperture (not specifically shown) which is internally threaded for receiving the drive rod 42.
  • the clamping assemblies 40 additionally include a second aperture 194 oriented substantially perpendicular to the first aperture.
  • the second aperture 194 allows a threaded fastener 196 to pass therethrough and into an aligning internally threaded aperture 198 provided in the lower portion 182 of the bar clamping unit 178 for securing the bar clamping unit 178 to the threaded rod receiving unit 180.
  • the fastener 190 of a second of the bar clamping units 178 which is associated with the other one of the support rods 48 must be loosened to permit the support rod 48 to slide in its aperture 186.
  • one of the bar clamping units 178 is permitted to translate with respect to one of the support rods 48 and the other of the clamping units 178 is permitted to translate relative to the other of the support rods 48.
  • rotation of the drive rod 42 in a first direction causes relative movement between the clamping assemblies 40 such that they approach one another and the bone 14 is compressed.
  • rotation of the drive rod 42 in a second direction causes relative movement between the clamping assemblies 40 such that they diverge from one another and the bone 14 is distracted.
  • the ring assembly 46 of the present invention is shown in the exemplary construct of Figures 3A and 3B.
  • a substantially identical ring assembly is shown and described in commonly assigned U.S. Serial No.

Abstract

An external fixation system (10) for securing a first bone portion in a fixed relationship with respect to a second bone portion. The fixation system (10) includes at least one cylindrical support rod (48) and a plurality of universal clamp assemblies (20) for engagement with at least one support rod (48). The fixation system (10) additionally includes various other distinct components for interconnecting the support rod (48) with bone pins (50) engaged with the bone. Some of the other components are formed to include serrations for engaging corresponding serrations provided on the universal clamp assemblies (20). Some of the components include a cylindrical portion, whereas other of the components include a rod receiving portion adapted to receive the at least one support rod or one of the cylindrical portions. These interchangeable and distinct components allow for a greater degree of surgeon flexibility in producing a desired construction to secure bone portions with bone pins (50).

Description

EXTERNAL FIXATION SYSTEM BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates generally to an orthopedic surgical procedure, and more particularly to an external fixation system for bones.
2. Description of the Related Art
In various orthopedic surgical procedures, it is often necessary to secure two or more portions of bone in a relatively fixed relationship to each other. This need is often a result of a fracture which has occurred to the bone. To ensure that the bone can properly regenerate and fuse the fractures of the bone, it is important that the various bone portions be fixed at the desired position during bone regeneration.
Various external fixation devices for the repair of traumatized bone are known. For example, commonly assigned U.S. Patent No. 5,620,442 to Bailey et al. discloses an apparatus for the external fixation of small bones. The apparatus is illustrated to include a bone screw clamp for receiving a first bone screw which is connected to a first bone portion. The external fixator further includes a bone screw clamp which is operable to receive a second bone screw connected to the second bone portion. The first and second bone screw clamps include a spherical portion. The external fixator further includes a connection member for securing the spherical portions of the bone screw clamps. The connection member defines a radiographic window to permit radiographic examination of the bone fracture without removing the apparatus. U.S. Patent No. 5,620,442 is hereby incorporated by reference as if fully set forth herein.
While known fixators, including the type described above, have proven to be effective in fixating bones, they nevertheless can be the subject of certain improvements. In this regard, conventional external fixation devices often do not provide the flexibility required for particular applications. Thus, it would be advantageous to provide an external fixation system with a plurality of interchangeable and distinct components which allow for a greater degree of surgeon flexibility in producing a desired construction.
SUMMARY OF THE PRESENT INVENTION According to one aspect of the present invention, the invention relates to an external fixation system operable for securing two portions of bone in a fixed relationship to each other including various interchangeable components which can be selected by a surgeon.
An advantage of the present invention is to provide an external fixation system for bones and a related method that permit independent placement of bone pins at various positions and angular orientations along a bone.
Another advantage of the present invention is to provide an external fixation system for bones and a related method that incorporate a universal base clamp which can be placed any free space along a support rod without requiring the removal of other elements that may be secured to the support rod.
Another advantage of the present invention is to provide an external fixation system for bones and a related method that include a compression/distraction arrangement for relatively translating a pair of spaced apart support rods. Another advantage of the present invention is to provide an external fixation system for bones and a related method that include a telescoping bone screw clamp that allows a surgeon to displace a bone pin from a support rod.
Another advantage of the present invention is to provide an external fixation system for bones and a related method that include a plurality of distinct components including cooperating serrated portions for facilitating interconnection between the components.
A related advantage of the present invention is to provide an external fixation system for bones and a related method that include a plurality of distinct components each including one of a cylindrical rod and a rod receiving portion to facilitate interconnection between the components and a cylindrical support rod. Additional advantages and features of the present invention will become apparent from the following description and appended claims, taken in conjunction with the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS Figures 1A and 1 B illustrate a first exemplary construct of components of the external fixation system according to the teachings of the preferred embodiment of the present invention in operative association with a tibia.
Figure 2 illustrates a second exemplary construct of components of the external fixation system according to the teachings of the preferred embodiment of the present invention in operative association with a tibia, the second construct incorporating a compression/distraction arrangement.
Figures 3A and 3B illustrate a third exemplary construct of components of the external fixation system according to the teachings of the preferred embodiment of the present invention in operative association with a tibia, the third construct incorporating a ring assembly.
Figures 4A and 4B are views of a universal clamp assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
Figures 5A through 5C are views of a bar-to-bar clamp body of the external fixation system according to the teachings of the preferred embodiment of the present invention.
Figures 6A and 6B are views of a three pin clamp assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention. Figures 7A and 7B are views of a five pin clamp assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
Figures 8A and 8B are views of a telescoping post of the external fixation system according to the teachings of the preferred embodiment of the present invention. Figures 9A and 9B are views of a first ring connector assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
Figures 10A and 10B are views of a second ring connector assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
Figures 11A through 11 D are views of a bone pin clamp body of the external fixation system according to the teachings of the preferred embodiment of the present invention. Figures 12A through 12C are views of a post assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
Figure 13 is a side elevational view a bar clamping unit of a compression/distraction arrangement of the external fixation system according to the teachings of the preferred embodiment of the present invention.
Figures 14A through 14C are views of a variable connector body of the external fixation system according to the teachings of the preferred embodiment of the present invention.
Figure 15 is a side elevational view of the bar clamping unit and threaded rod receiving unit the compression/distraction assembly of the external fixation system according to the teachings of the preferred embodiment of the present invention.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT The following description of the preferred embodiment of the present invention is merely exemplary in nature and is in no way intended to limit the invention or its application or uses.
Referring initially to Figures 1 through 3, illustrated are three constructs of cooperating components of the system 10 for external fixation of bone according to the preferred embodiment of the present invention. In Figures 1A and 1B, a first construct of components of the system 10 is shown securing a fracture 12 of a bone 14. In particular, the system 10 is illustrated as being used to secure a bone fracture 12 of a tibia 14. The system 10 is used to secure the bone portions 16 and 18 in a fixed relationship so as to permit the fractured portions to fuse properly. Figure 2 illustrates a second construct of the system 10 shown operatively attached to the tibia 14. In Figure 3, a third construct of the system 10 is illustrated attached to the tibia 14. While the system 10 is shown throughout Figures 1 through 3 in conjunction with a tibia
14, it will be appreciated that the system 10 may be used with other bones as well. It will also be appreciated that the three constructions illustrated in Figures 1 through 3 are merely exemplary applications.
The structure and function of the individual cooperating components of the system 10 will be described with general reference to Figures 1 through
15. The components of the present invention are illustrated to generally include a universal clamp assembly 20, bar-to-bar clamp body 22, a three pin clamp assembly 24, a five pin clamp assembly 26, a telescoping post 28, a first ring connector assembly 30, a second ring connector assembly 32, a bone pin clamp body 34, and a post assembly 36. The components are illustrated to additionally include a compression/distraction arrangement 38 including a pair of clamping assemblies 40 and an externally threaded drive rod 42. Further, the components include a variable connector body 44, a ring assembly 46, and a plurality of cylindrical, smooth support rods 48. The support rods 48 include main support rods which are typically oriented to extend generally parallel to the axis of the bone 14 or at an acute angle relative to the bone 14 and supplemental support rods. The supplemental support rods 48', one of which is shown in Figure 1 B, may be provided in various lengths. As will become apparent below, the components of the system 10 of the present invention may be combined in an infinite number of combinations and orientations to secure and rigidly interconnect a plurality of bone screws or pins 50 which are engaged with the bone portions 16 and 18. This flexibility of the system 10 permits a surgeon to independently place a bone 50 at a limitless number of positions along the bone 14 or angular orientations with respect to the bone 14. With reference to Figures 4A and 4B, the universal clamp assembly 20 of the present invention is illustrated. The universal clamp assembly 20 includes a clamp portion 52 having first and second halves 54 and 56 which cooperate to define a bar receiving aperture 58 for receiving one of the support rods 48, the telescoping post 28 or the post assembly 36. It will be understood that in the exemplary embodiment the support rods 48, telescoping post 28 and post assembly 36 each have a substantially identical diameter.
The first and second halves 54 and 56 include aligning apertures 60 and 62, respectively, for receiving a locking bolt or fastener 64. The aperture 62 of the second half 56 includes a counterbored portion 66 for receiving a portion of a head 68 of the fastener 64. An outer surface 70 of the first half 54 is formed to include a serrated portion 72 having a plurality of serrations radially extending from the opening of the aperture 60. The serrated portion 72 is adapted to engage substantially identical serrated portions provided on cooperating components of the system 10 of the present invention as will be discussed below.
An end 74 of the fastener 64 opposite the head 68 is externally threaded. When the fastener 64 engages an internally threaded aperture of a cooperating component and is rotated to draw the cooperating component against the first half 56, the first and second halves 56 of the clamp portion 52 are drawn together to thereby securely clamp one of the support rods 48, for example, within the aperture 58. The rod receiving aperture 58 is sized to receive one of the support rods 48, the telescoping post 28 or the post assembly 36. The universal base clamp 20 is the fundamental component of the system 10 of the present invention. The universal base clamp 20 is designed to be easily placed anywhere along a support rod 48, for example (even between two previously locked universal base clamps 20). This can be cone by sliding the first half 54 up the fastener 64 and then rotating the first half 54 ninety degrees. This feature allows a surgeon to add components during the application without the inconvenience of unlocking clamps 20 already in place. With reference to Figures 5A through 5C, the bar-to-bar clamp body 22 of the present invention is illustrated. The bar-to-bar clamp body 22 is generally C-shaped to define a rod receiving aperture 80 and includes first and second ends 76 and 78 which are spaced apart by an opening 82. The first and second ends 76 and 78 include aligning apertures 84 and 86, respectively, for receiving a fastener such as the fastener 64 described above with respect to the universal clamp assembly 20. The aperture 86 of the second end 78 is internally threaded. An outer surface 88 of the first end 76 is formed to include a serrated portion 72. In use, the bar-to-bar clamp body 22 is attached to a cooperating component of the system 10 of the present invention through engagement of the fastener 64 with the apertures 84 and 86. In such engagement, the serrated portions 72 of the components are interlocked thereby preventing relative rotation. Tightening of the fastener 64 draws the ends 76 and 78 of the bar-to-bar clamp body 22 toward one another. As a result, a support rods 48, telescoping post 28 or post assembly 36 positioned within the aperture 80 is secured relative to the bar-to-bar clamp body 22 and in turn secured relative to the cooperating component.
With reference to Figures 6A and 6B, the three pin clamp assembly 24 of the present invention is illustrated. The pin clamp assembly 24 is operative for receiving and securing up to three bone pins 50 engaged with the bone 14. The bone pin clamp 28 includes a main body member 90 and a cover member 92. The main body member 90 defines three bone pin rests 94. The bone pin rests or grooves 94 are substantially V-shaped and are operable to engage the sides of the bone pins 50.
The cover member 92 of the pin clamp assembly 24 is able to be inserted over the bone pins 50 when the bone pins 50 are located in the grooves 94. The cover member 92 includes a pair of apertures 96 which each allow a threaded fastener 98 to pass through the cover member 32 and into a threaded aperture 100 of the main body member 90. Tightening of the fasteners 98 rotationally and longitudinally secures the bone pins 50 relative to the pin clamp assembly 24. To facilitate secure attachment of the pin clamp assembly 24 to other cooperating components of the system 10 of the present invention, the base member 90 and the cover member 92 are both formed to integrally include cylindrical extensions 102 and 104, respectfully. The ends of each of the cylindrical extensions 102 and 104 are both formed to include a serrated portion 72. Each of the cylindrical extensions 102 and 104 includes an internally threaded aperture 106 sized to receive a fastener 64.
The five pin clamp assembly 26 is shown particularly in Figures 7A and 7B. The construction of the five pin clamp assembly 26 is identical to the construction of the three pin clamp assembly 26, with the exception that the five pin clamp assembly 26 is formed to include two additional bone pin rests 94. In this regard, the five pin clamp assembly 26 includes three bone pin rests 94 between the fasteners 98, whereas the three pin clamp assembly 24 includes a single bone pin rest 94 between the fasteners. Due to the similarity between the two pin clamp assemblies 24 and 26, like reference numbers are used in the drawings.
Turning now to Figures 8A and 8B, the telescoping post 28 of the present invention is illustrated. The telescoping post 28 includes a cylindrical post portion 108 and a mounting flange portion 110. The cylindrical post portion 108 has a diameter substantially equal to the diameter of the support rods 48 and thereby may be securely received within rod receiving apertures of cooperating components of the system 10 of the present invention. The mounting flange portion 110 includes an aperture 112 for receiving a fastener 64. A lower side 114 of the mounting flange portion 110 includes a serrated portion 72 for cooperating with the serrated portions of cooperating components of the system 10 in a manner discussed above.
With reference to Figures 9A and 9B, the first ring connector assembly 30 of the present invention is illustrated. The first ring connector assembly includes a main body 116 and a fastener 118. An upper portion 120 of the main body 116 defines a vertically extending aperture 122 which is internally threaded to receive the externally threaded fastener 118. A lower portion 124 of the main body 116 includes a pair of spaced apart sides 126 and 128 and an aperture 130 horizontally passing therethrough. Both of the sides 126 and 128 are formed to include a serrated portion 72 radially surrounding the aperture 130 which is adapted to interface with cooperating components of the system 10 including a serrated portion 72 in a manner discussed above. The fastener 118 is adapted to pass through one of a plurality of apertures formed in a frame 132 of the ring assembly 46 for securing the first ring connector assembly 32 thereto.
With reference to Figures 10A and 10B, the second ring connector assembly 32 of the present invention is illustrated. Rather than interfacing with cooperating components of the system 10 including a serrated portion 72, the second ring connector assembly 32 is adapted to interface with cooperating components including a rod receiving aperture, such as the universal clamp assembly 20 and the bar-to-bar clamp body 22. The second ring connector assembly 32 includes a main body portion 132 and a cylindrical extension 134. To facilitate clamping within one of the rod receiving apertures, the cylindrical extension 134 has a diameter substantially equal to the support rods 48. The main body 132 defines a pair of apertures 136 which are internally threaded for receiving a pair of threaded fasteners 118 identical to the fastener described with respect to the first ring connector assembly 30. In a similar manner, the fasteners 118 are adapted to pass through a pair of the plurality of apertures formed in the frame 132 of the ring assembly 46 for securing the second ring connector assembly thereto.
With reference to Figures 11A through 11 D, the bone pin clamp body 34 of the present invention is illustrated. The bone pin clamp body 34 defines an aperture 138 for receiving a bone pin 50. The pin clamp body 34 includes an upper flange portion 140 and a lower flange portion 142 which are separated by a gap 144. The gap 144 intersects the aperture 138. The upper and lower flange portions 140 and 142 are formed to include aligning apertures 146 and 148 for receiving a fastener 64. The aperture 148 of the lower flange portion 142 is internally threaded.
An upper surface 150 of the upper flange portion 140 includes a serrated portion 72 surrounding the aperture 146. The serrated portion 72 is adapted to interface with serrated portions of cooperating components of the system 10 of the present invention in a manner discussed above. When a cooperating component is secured to the bone pin clamp body 34 with a fastener 64, tightening of the fastener 64 causes the gap 144 between the upper and lower flange portions 140 and 142 to decrease and the aperture 138 to slightly constrict. As a result, a bone pin 50 disposed within the aperture 138 is longitudinally and rotationally fixed with respect to the bone pin clamp body 34.
Turning now to Figures 12A through 12C, the post assembly 36 of the present invention is illustrated. The post assembly 36 generally includes a cylindrical sleeve 152 and a threaded fastener 154. The cylindrical sleeve 152 includes a central portion 156 and first and second enlarged ends 158 and 160. The cylindrical sleeve 152 has a diameter substantially equal to the diameter of the support rods 48 and can similarly interface with cooperating components including a rod receiving aperture, such as the universal clamp assembly 20, in a manner discussed above.
The cylindrical sleeve 152 defines an elongated aperture 162 for receiving the fastener 154. An outer end of the first enlarged end 158 includes a serrated portion 72 surrounding the aperture 162. The fastener 154 extends beyond the serrated portion and is externally threaded. An opposite end of the fastener 154 includes a recess 164 for receiving a tool (not shown) used to rotate the fastener 154 relative to the cylindrical sleeve 152. The serrated portion 72 is adapted to interface with serrated portions 72 of cooperating components of the system 10 of the present invention in a manner discussed above. The serrated portion 72 is particularly intended to cooperate with the 3 pin and 5 pin clamp assemblies.
With reference to Figures 14A through 14C the variable connector body 44 of the present invention will be described. The variable connector body 44 generally includes a main body 166 and a cylindrical portion 168 extending from the main body 166. The main body 166 includes a pair of spaced apart sides 170 and 172 and an internally threaded aperture 174 passing therethrough. Both of the sides 170 and 172 are formed to include a serrated portion 72 radially surrounding the aperture 174 which is adapted to interface with cooperating components of the system 10 including a serrated portion 72 in a manner discussed above. The cylindrical portion 168 has a diameter substantially equal to the diameter of the support rods 48 and thereby may be securely received within rod receiving apertures of cooperating components of the system 10 of the present invention in a manner discussed above.
With reference to Figures 13 and 15, the compression/distraction arrangement 38 of the present invention will be described. The clamping assemblies 40 of the distraction arrangement 38 each include a bar clamping unit 178 and a threaded rod receiving unit 180. The bar clamping unit 178 includes a lower portion 182 and a pair of substantially identical upper portions 184. Each of the upper portions 184 cooperates with the lower portion 182 to define an aperture 186 for receiving one of the support rods 48. The upper portions 184 each include an apertures 188 which each allow a threaded fastener 190 to pass therethrough and into an aligning threaded aperture 192 provided in the lower portion 182. Tightening of the fasteners 190 secures the support rods 48. When the bar clamping units 178 are used in tandem, a pair of the support rods 48 are non-rotatably retained in a parallel and spaced apart relationship. The threaded rod receiving unit 180 of each of the clamping assemblies
40 includes a first aperture (not specifically shown) which is internally threaded for receiving the drive rod 42. The clamping assemblies 40 additionally include a second aperture 194 oriented substantially perpendicular to the first aperture. The second aperture 194 allows a threaded fastener 196 to pass therethrough and into an aligning internally threaded aperture 198 provided in the lower portion 182 of the bar clamping unit 178 for securing the bar clamping unit 178 to the threaded rod receiving unit 180.
When the compression/distraction arrangement 38 is incorporated into a construct, as shown in Figure 2 for example, the threads of the apertures receiving the drive rod 42 progress in opposing directions. To operate the compression/distraction arrangement 38, the fastener 190 of a first one of the bar clamping units 178 which is associated with one of the support rods 48 must be loosened to permit the support rod 48 to slide within the aperture 186.
Similarly, the fastener 190 of a second of the bar clamping units 178 which is associated with the other one of the support rods 48 must be loosened to permit the support rod 48 to slide in its aperture 186. In this manner, one of the bar clamping units 178 is permitted to translate with respect to one of the support rods 48 and the other of the clamping units 178 is permitted to translate relative to the other of the support rods 48. At this point, rotation of the drive rod 42 in a first direction causes relative movement between the clamping assemblies 40 such that they approach one another and the bone 14 is compressed. Conversely, rotation of the drive rod 42 in a second direction causes relative movement between the clamping assemblies 40 such that they diverge from one another and the bone 14 is distracted.
The ring assembly 46 of the present invention is shown in the exemplary construct of Figures 3A and 3B. A substantially identical ring assembly is shown and described in commonly assigned U.S. Serial No.
09/086,256, filed June 28, 1998. U.S. Serial No. 09/086,256 is incorporated by reference as if fully set forth herein.
The foregoing discussion discloses and describes merely exemplary embodiments of the present invention. One skilled in the art will recognize from such discussion and from the accompanying drawings and claims, that various changes, modifications and variations can be made therein without departing from the spirit and scope of the invention.

Claims

CLAIMS WHAT IS CLAIMED IS:
1. An external fixation system for securing a first bone portion in a fixed relationship to a second bone portion by a first bone pin connected to the first bone portion and a second bone portion connected to a second bone portion, the external fixation system comprising: at least one support rod; a plurality universal clamp assembly each including a threaded fastener, each universal clamp assembly further including first and second halves defining an aperture receiving the at least one support rod, the first half being movable along the fastener relative to the half to permit entry of the at least one support rod into the aperture without sliding the universal clamp along the length of the at least one support rod.
2. The external fixation system of claim 1 , further comprising a telescoping bone screw clamp interconnecting the first bone pin and one of the universal clamp assemblies such that the first bone pin from a support rod.
3. An external fixation system for securing a first bone portion in a fixed relationship to a second bone portion by a first bone pin connected to the first bone portion and a second bone portion connected to a second bone portion, the external fixation system comprising: a first support rod interconnected to the first bone pin; a second support rod interconnected to the second bone pin; a compression/distraction mechanism including first and second support rod clamping units, an externally threaded drive rod and first and second rod receiving units, the first and second rod clamping units each defining a pair of apertures receiving the first and second support rods in a spaced apart relationship, the first and second drive rod receiving units attached to the first and second support rod clamping units, the threaded drive rod rotatably received by both of the first and second drive rod receiving units such that rotation of the drive rod in a first direction causes relative movement between the first and second support rod clamping units so that they approach one another and rotation of the drive rod in a second direction causes relative movement between the first and second support rod clamping units so that they diverge from one another.
PCT/US2000/028981 1999-10-21 2000-10-20 External fixation system WO2001028441A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2001531040A JP2003511192A (en) 1999-10-21 2000-10-20 External fixation system
AU12178/01A AU1217801A (en) 1999-10-21 2000-10-20 External fixation system
EP00973694A EP1229846B1 (en) 1999-10-21 2000-10-20 External fixation system
AT00973694T ATE540627T1 (en) 1999-10-21 2000-10-20 EXTERNAL FIXATION SYSTEM

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/422,377 1999-10-21
US09/422,377 US6277119B1 (en) 1999-10-21 1999-10-21 External fixation system
US10/074,329 US6702814B2 (en) 1999-10-21 2002-02-12 Clamp assembly for an external fixation system

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WO2001028441A1 true WO2001028441A1 (en) 2001-04-26

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PCT/US2003/004068 WO2003068082A1 (en) 1999-10-21 2003-02-12 Clamp assembly for an external fixation system

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PCT/US2003/004068 WO2003068082A1 (en) 1999-10-21 2003-02-12 Clamp assembly for an external fixation system

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US (2) US6277119B1 (en)
EP (1) EP1229846B1 (en)
JP (1) JP2003511192A (en)
AU (1) AU1217801A (en)
WO (2) WO2001028441A1 (en)

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EP1229846B1 (en) 2012-01-11
WO2003068082A1 (en) 2003-08-21
WO2003068082B1 (en) 2005-01-20
US20020151892A1 (en) 2002-10-17
EP1229846A4 (en) 2003-02-05
JP2003511192A (en) 2003-03-25
US6277119B1 (en) 2001-08-21
EP1229846A1 (en) 2002-08-14
AU1217801A (en) 2001-04-30
US6702814B2 (en) 2004-03-09

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