Source: https://patents.google.com/patent/EP1079750B1/en
Timestamp: 2020-01-28 21:47:18
Document Index: 782594622

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EP1079750B1 - Connecting element for a monolateral external fixation system for traumatology and orthopaedics - Google Patents
Connecting element for a monolateral external fixation system for traumatology and orthopaedics Download PDF
EP1079750B1
EP1079750B1 EP19980919021 EP98919021A EP1079750B1 EP 1079750 B1 EP1079750 B1 EP 1079750B1 EP 19980919021 EP19980919021 EP 19980919021 EP 98919021 A EP98919021 A EP 98919021A EP 1079750 B1 EP1079750 B1 EP 1079750B1
EP19980919021
EP1079750A1 (en
2001-03-07 Publication of EP1079750A1 publication Critical patent/EP1079750A1/en
2006-08-02 Publication of EP1079750B1 publication Critical patent/EP1079750B1/en
A device for external fixation of parts of broken bones, comprising a longitudinal connecting element (1) with a centre axis (7). In the direction of the centre axis, the connecting element (1) is telescopic and torsionally rigid. Jaws (2) for the fixation of bone screws can be detachably arranged on said connecting element (1). The connecting element (1) has a centre part (8) and two outer parts (16; 17) that can be displaced along the centre axis (7). The connecting element (1) can be extended on both sides by means of said displaceable outer parts (16; 17) and has the same diameter lengthwise apart from a small centre piece. The interchangeable centre piece (8) and outer parts (16; 17) render the connecting element (1) selectably rigid.
The invention relates to a device for externally fixing parts of broken bones according to the preamble of patent claim 1.
From the prior art, EP 0 011 258 A1 ORTHOFIX discloses a device for externally fixing the parts of a broken bone. This known invention comprises an elongate central body consisting of two mutually displaceable parallel to its longitudinal axis parts, each part of the central body carries a clamping device for insertable into a bone part nails or bone screws, and acting on the two parts of the center body pressure and traction device , The clamping devices are mounted by means of ball joints at the ends of the displaceable parts of the center body, which allows a pivoting of the clamping devices and the usable in the bone parts nails or screws with three degrees of freedom.
Another known from the prior art device for external fixation of bone by means of pins is disclosed in US 5,160,335 WAGENKNECHT. This known invention comprises a fixation rod, which can also be telescopic, with clamping elements for holding the bone pins, connecting parts with curved bearing surfaces for the clamping elements and brackets for fastening the clamping elements with the connecting parts on the fixation rod. The connecting parts are designed so that the clamping elements are pivotable with respect to the brackets with three degrees of freedom.
Both known from the prior art devices have the disadvantage that the fixation rod is indeed telescoping but the movement of the parts to be telescoped by an externally attached to the fixation rod pressure and traction device or by a fixing rod attached to the locking screw is caused. In addition, in both known devices, the fixation rod can only be extended on one side and the fixation rod does not have the same diameter over its entire length, so that the jaws can not be mounted anywhere on the fixation rod.
The invention aims to remedy this situation. The invention has for its object to design a connecting element which is internally and both sides extendable. This allows double-sided extensions, which could halve the treatment time. Also, the rigidity of the connecting element should be selectable by the substitutability of the various parts by parts which consist of different materials.
The invention achieves the stated object with a device for the external fixing of parts of broken bones, which has the features of claim 1.
In a preferred embodiment of the device according to the invention, this device comprises a longitudinal connecting element with a central axis. The connecting element is telescopically rotatable on both sides in the direction of this central axis and it can be releasably attached on the connecting element jaws for fixing bone screws or pins. The connecting element comprises a middle part and two outer parts which can be displaced along the central axis. By means of the sliding outer parts, the connecting element can be extended on both sides and has the same diameter over its length. The interchangeability of the middle part and the outer parts allows a selectable stiffness of the connecting element.
Yet another embodiment of the device according to the invention differs from the previously described embodiment in that the connecting element consists of a cylindrical middle part and two concentric hollow cylindrical outer parts. The outer parts are axially slidably mounted on the central part and torsionally telescopic.
Again, a further embodiment of the inventive device differs from the embodiments described above only in that the cross section of the central part has a polygonal outer shape and the cross section of the outer parts has a corresponding polygonal outer shape of the central part polygonal inner shape. Also in this embodiment, the outer parts are axially slidably mounted on the central part. The telescoping, without the outer parts can rotate against each other or with respect to the middle part, is ensured by the polygonal outer shape of the central part and by the likewise polygonal inner shape of the outer parts.
Another embodiment of the inventive device differs from the embodiments described above only in that the outer lateral surface of the central part is designed as a splined shaft and the outer parts have a corresponding inner shape in cross section.
Another embodiment of the inventive device differs from the embodiments described above only in that the axial position of the outer parts relative to the central part by means of transport spindles is adjustable and fixable. The transport spindles can be operated from the outer ends of the connecting element and allow a one- or two-sided extension of the connecting element without the transport spindles influencing each other.
Yet another embodiment of the device according to the invention differs from the previously described embodiment in that the transport spindles can be blocked by end pieces that can be screwed into the outer parts.
Another embodiment of the inventive device differs from the embodiment described above in that one of the end pieces is a Dynamisierungsdeckel and by a gradual unscrewing this dynamizing cover the axial clamping of the threaded spindle can be released millimeterweise, whereby the outer part is axially displaceable by a controllable amount and As a result, a dynamization of the fracture can be achieved.
Other embodiments of the inventive device differ from the embodiments described above only in that the rigidity of the connecting element can be selected by the choice of material of the central part and the outer parts. The following materials are conceivable for the central part, for the central part with the transport device, which can be realized for example by a transport thread, and for the outer parts:
Thus, combinations of different materials for the middle part and the outer parts can be produced, whereby the rigidity of the connecting element can be influenced.
Again, another embodiment of the inventive device differs from the embodiments described above only in that can be used on the central part between the outer parts of an intermediate element which is displaceable and rotationally fixed on the central part. In addition, this intermediate element has the same outer diameter as the outer parts, whereby one or more jaws for fixing bone screws or pins can be releasably attached to this intermediate element. A continuous slot in the intermediate element along the longitudinal axis of the intermediate element makes it possible for the intermediate element thus slotted to be fixed on the central part by the clamping force of a jaw mounted on the intermediate element. Instead of a single slot, the intermediate element may also have two slots mounted on two opposite sides.
The advantages achieved by the invention are essentially to be seen in the fact that the connecting element is internally extendable on both sides and has the same outer diameter over its entire length with the exception of a small center piece. As a result, the jaws, which serve to receive and fix the bone screws, can be attached anywhere on the connecting element. An additional intermediate element allows the placement of one or more jaws also at a location between the outer parts. In addition, middle part and outer parts, which consist of different materials, join together, whereby the rigidity of the connecting element can be influenced.
Figure 1 is an elevation of an embodiment of the inventive device with two jaws for fixing bone screws.
2 shows a longitudinal section through the connecting element of an embodiment of the device according to the invention; and
Fig. 3. a partial view of an embodiment of the inventive device.
Fig. 1 shows an embodiment of the device according to the invention with a connecting element 1 with the central axis 7. The hollow cylindrical outer parts 16, 17 and the central part 8 are arranged coaxially to the central axis 7. The outer parts 16, 17 are provided with bores in such a way that they rest on the Central part 8 are slidable and can be moved in the direction of the central axis, whereby the connecting element is telescopic in both directions. Jaws 2 for receiving and fixing bone screws 3 are detachably fastened on the outer parts 16; 17. The jaws 2 can be displaced along the central axis 7 onto the outer parts 16; 17 and, if required, further jaws 2 can also be inserted.
In Fig. 2 is a longitudinal section through the connecting element 1 of an embodiment of the inventive device is shown. The connecting element 1 comprises as telescopic elements the middle part 8 and the outer parts 16, 17 which can be slid on this middle part 8, the middle part 8 and the outer parts 16, 17 being hollow cylindrical. The outer lateral surface 21 of the central part 8 is formed as a splined shaft. Corresponding to this spline, the bores 22 are formed at the inner ends 23, 24 of the outer parts 16, 17, so that the outer parts 16, 17 are rotationally telescopable. At the outer axial ends 25, 26 of the Inner part 27 are provided in the middle part 8, into which the threaded spindles 19, 20 provided for the axial displacement of the outer parts 16, 17 can be screwed in or out, whereby the axial length of the connecting element 1 is determined. For the axial fixation of the threaded spindles 19, 20 are in the outer parts 16, 17 at the outer ends 28; 29 sleeves 31 and end pieces 30, 38 inserted into the holes of the outer parts 16, 17 so that the rims 32, which are attached to the one ends 33,34 of the threaded spindles 19, 20 axially clamped between sleeves 31 and end pieces 30; are. If a dynamization of the fracture can be achieved, the axial clamping of the threaded spindle (20) can be released millimeter by a gradual unscrewing the end piece (38). As a result, the outer part (17) is axially displaceable by a controllable amount. By the elastic ring (40) used as dynamisierungsdeckel tail (38) is held in an adjustable position and protected from falling out.
In Fig. 3, an embodiment of the inventive device is shown, which differs from that in Figs. 1 and 2 in that an intermediate element 35 is additionally arranged on the middle part 8 between the driven apart outer parts 16; This intermediate element 35 is slidable on the middle part 8 and arranged rotationally fixed by means of a bore 37 corresponding to the spline design of the central part 8. The intermediate element 35 has a continuous one side along the central axis (7) Slot (39). The fixing of the axial position of the intermediate element 35 via the clamping force of the jaws 2, whereby the intermediate element 35 is pressed together and clamped on the central part (8).
Device for the external fixation of fragments of fractured bones, said device comprising a longitudinal connecting element (1) with a centre axis (7), whereby
A) the connecting element (1) is telescopable in the direction of said centre axis (7) in rotationally immobile fashion;
B) fastening jaws (2) can be detachably mounted on the connecting element (1) for fastening bone screws (3);
C) the connecting element (1) incorporates a central member (8) as well as two outer parts (16, 17) designed to be movable along the centre axis (7) on said central member (8); and
D) by means of the outer parts (16, 17) which can be moved in and out at the opposite ends (25, 26) of the central member (8), the connecting element (1) is bilaterally extensible; characterized in that
E) the axial position of the outer parts (16, 17) relative to the central member (8) is both adjustable and lockable by means of drive elements (19, 20) provided inside the outer parts (16, 17).
Device as in claim 1, characterized in that the central member (8) and, respectively, the outer parts (16, 17) consist of different materials and that each part (8, 16, 17) is exchangeable so as to permit controlling the degree of rigidity of the connecting element (1) as a whole by assembling it from components (8, 16, 17) consisting of different materials.
Device as in claim 1 or 2, characterized in that the outer parts (16, 17) are of a uniform diameter over their entire length.
Device as in one of the claims 1 to 3, characterized in that the outer parts (16, 17) which are provided at opposite ends (25, 26) of the central member (8), can be moved in and out independent of one another.
Device as in one of the claims 1 to 4, characterized in that the outer surface of the central member (8) is in the form of a keyed shaft and that the outer parts (16, 17) feature a correspondingly matching inside cross section.
Device as in one of the claims 1 to 5, characterized in that the said drive elements (19, 20) are threaded drive spindles which can be screwed into and out of the central member (8).
Device as in claim 6, characterized in that the drive spindles serving as the drive elements (19, 20) are positionally lockable by means of terminal elements (30, 38) which can be screwed into the outer parts (16, 17).
Device as in claim 7, characterized in that at least one of the terminal elements (30, 38) screwed into the outer parts (16, 17) is in the form of a dynamic-adjustment end cap with an elastic collar (40), the dynamic adjustment consisting in the progressive unscrewing of at least one such end cap (30, 38) which permits the millimeter-by-millimeter relaxation of the axial clamping of at least one drive element (19, 20) and thus the axial movement of at least one outer part (16, 17) by a controllable amount so as to achieve a dynamic adjustment of the fracture.
Device as in one of the claims 1 to 8, characterized in that at least one intermediate element (35) can be positioned on the central member (8) between the outer parts (16, 17) in such manner that it is axially movable on the central member (8) in rotationally immobile fashion and can be locked in a given axial position on the central member (8).
Device as in claim 9, characterized in that at least one fastening jaw (2) can be mounted on the circumferential surface of the intermediate element (35).
Device as in claim 9 or 10, characterized in that the intermediate element (35) is split on one side along the centre axis (7) by means of a continuous slot (39).
Device as in claim 9 or 10, characterized in that the intermediate element (35) is provided with a continuous slot (39) on two mutually opposite sides along the centre axis (7).
Device as in one of the claims 9 to 12, characterized in that the intermediate element (35) is compressible by the clamping force of the jaw (2) and can thus be locked in position on the central member (8).
Device as in one of the claims 1 to 13, characterized in that the outer parts (16, 17) are made out of aluminum.
Device as in one of the claims 1 to 13, characterized in that the outer parts (16, 17) are made out of steel.
Device as in one of the claims 1 to 13, characterized in that the outer parts (16,17) are made out of a carbon-fiber material.
Device as in one of the claims 1 to 13, characterized in that the outer parts (16, 17) are made out of titanium.
Device as in one of the claims 1 to 17, characterized in that the central member (8) is made out of aluminum.
Device as in one of the claims 1 to 17, characterized in that the central member (8) is made out of steel.
Device as in one of the claims 1 to 17, characterized in that the central member (8) is made out of a carbon-fiber material.
Device as in one of the claims 1 to 17, characterized in that the central member (8) is made out of titanium.
Device as in one of the claims 1 to 21, characterized in that the outer surfaces of the outer parts (16, 17) extending coaxially with the centre axis (7) are rotationally symmetrical.
Device as in one of the claims 1 to 22, characterized in that the outer cross section of the central member (8) is polygonal and that the outer parts (16, 17) have a correspondingly matching polygonal inner cross section.
EP19980919021 1998-05-19 1998-05-19 Connecting element for a monolateral external fixation system for traumatology and orthopaedics Expired - Lifetime EP1079750B1 (en)
EP1079750A1 EP1079750A1 (en) 2001-03-07
EP1079750B1 true EP1079750B1 (en) 2006-08-02
EP19980919021 Expired - Lifetime EP1079750B1 (en) 1998-05-19 1998-05-19 Connecting element for a monolateral external fixation system for traumatology and orthopaedics
DE19829523A1 (en) * 1998-07-02 2000-01-05 Michael Butsch for moving apart a one- or two-piece distraction device, possibly separate bone
AU3548400A (en) 2000-04-10 2001-10-23 Synthes Ag Osteosynthetic anchoring element
BR0318590A (en) * 2003-10-30 2006-10-17 Synthes Gmbh interspinous implant
AT548000T (en) 2006-02-01 2012-03-15 Synthes Gmbh Interspinal intervention distance holder
AU1156183A (en) * 1982-01-27 1983-08-12 Templeton, J. Post-fracture bone fixator
BR8807680A (en) 1988-05-26 1990-08-07 V Kurgansky Nauchny Ts Vosstan Apparatus for compression-reduction osteosynthesis
AU648542B2 (en) * 1990-02-05 1994-04-28 Bruce Henry Ide Improvements in and to an external fixation device
1998-05-19 EP EP19980919021 patent/EP1079750B1/en not_active Expired - Lifetime
DE59813676D1 (en) 2006-09-14
US7575575B2 (en) 2009-08-18 Adjustable splint for osteosynthesis with modular components
US9456849B2 (en) 2016-10-04 Fast adjust external fixation connection rod
DE69634545T2 (en) 2006-03-30 Outer fixator for big bone
EP1279372A1 (en) 2003-01-29 Bone screw and a tool for securing the same
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