FR2768916A1 - Surgical staple for tibial osteotomy - Google Patents

Surgical staple for tibial osteotomy Download PDF

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Publication number
FR2768916A1
FR2768916A1 FR9712313A FR9712313A FR2768916A1 FR 2768916 A1 FR2768916 A1 FR 2768916A1 FR 9712313 A FR9712313 A FR 9712313A FR 9712313 A FR9712313 A FR 9712313A FR 2768916 A1 FR2768916 A1 FR 2768916A1
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France
Prior art keywords
branch
osteotomy
branches
clip
parts
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Legal status (The legal status 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 status listed.)
Granted
Application number
FR9712313A
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French (fr)
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FR2768916B1 (en
Inventor
Yves Seti
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Transysteme SA
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Transysteme SA
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Publication date
Application filed by Transysteme SA filed Critical Transysteme SA
Priority to FR9712313A priority Critical patent/FR2768916B1/en
Publication of FR2768916A1 publication Critical patent/FR2768916A1/en
Application granted granted Critical
Publication of FR2768916B1 publication Critical patent/FR2768916B1/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/15—Guides therefor
    • A61B17/151—Guides therefor for corrective osteotomy
    • A61B17/152—Guides therefor for corrective osteotomy for removing a wedge-shaped piece of bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8095—Wedge osteotomy devices
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Rheumatology (AREA)
  • Surgical Instruments (AREA)

Abstract

The staple has two branches (1-2) connected by a cross piece (3). At least one of the branches is formed of a memory material so that after placing of the staple in position, it is returned to a position nonparallel to the other branch by heating.

Description

AGRAFE D'OSTEOTOMIE TIBIALE.TIBIAL OSTEOTOMY STAPLE.

La présente invention concerne une agrafe d'ostéotomie tibiale destinée à fixer l'une contre l'autre deux parties d'un os après enlèvement d'une portion de celui-ci. The present invention relates to a tibial osteotomy clip intended to fix one against the other two parts of a bone after removal of a portion thereof.

L'agrafe d'ostéotomie selon l'invention est particulièrement adaptée à l'ostéotomie tibiale destinée à rectifier un tibia mal orienté en lui conférant une valgisation déterminée.The osteotomy clip according to the invention is particularly suitable for tibial osteotomy intended to rectify a badly oriented tibia by giving it a determined valgization.

Il est connu dans l'ostéotomie tibiale d'utiliser des agrafes pour serrer l'une contre l'autre les deux parties de l'os et favoriser ainsi sa soudure par ostéosynthèse. It is known in the tibial osteotomy to use staples to tighten the two parts of the bone against one another and thus promote its welding by osteosynthesis.

Cependant, les agrafes connues à branches parallèles n assurent pas un bon serrage des deux portions de l'os qui du fait de l'enlèvement d'un coin osseux sont normalement écartées l'une de l'autre et peuvent avoir tendance à revenir à cet écartement.However, the known staples with parallel branches do not ensure a good tightening of the two portions of the bone which due to the removal of a bony wedge are normally separated from one another and may tend to return to this spacing.

La présente invention vise à obvier à ces inconvénient en réalisant une agrafe à capacité de- serrage des deux parties de l'os l'une contre l'autre et qui en outre soit facile à retirer après consolidation de l'os. The present invention aims to obviate these drawbacks by producing a clip with the capacity of tightening the two parts of the bone against each other and which, moreover, is easy to remove after consolidation of the bone.

A cet effet, l'agrafe d'ostéotomie selon l'invention destinée à fixer l'une contre l'autre deux parties d'un os, par exemple après enlèvement d'une portion de celui-ci pour obtenir une valgisation, ladite agrafe étant constituée de deux branches 1-2 réunies par une traverse 3 se caractérise essentiellement en ce que au moins une des branches est réalisée en un matériau à mémoire de forme préconditionnée en fabrication en sorte qu'après mise en place de l'agrafe, ladite branche puisse prendre par réchauffement une position non parallèle à l'autre branche. For this purpose, the osteotomy clip according to the invention intended to fix one against the other two parts of a bone, for example after removal of a portion of it to obtain a valgisation, said clip consisting of two branches 1-2 joined by a cross 3 is essentially characterized in that at least one of the branches is made of a shape memory material preconditioned in manufacturing so that after the staple is put in place, said branch can take by heating a position not parallel to the other branch.

Suivant une autre caractéristique de l'invention, l'agrafe est constituée en deux parties, l'une constituée par une branche et l'autre par la traverse et l'autre branche, les deux parties étant assemblées par un moyen amovible autorisant leur séparation pour permettre d'enlever l'agrafe de l'os. According to another characteristic of the invention, the clip is made up of two parts, one consisting of a branch and the other consisting of the cross-member and the other branch, the two parts being assembled by a removable means allowing their separation to remove the staple from the bone.

D'autres avantages et caractéristiques de l'invention apparaitront à la lecture de la description ciaprès d'une forme de réalisation de l'invention donnée à titre d'exemple non limitatif et illustrée par les dessins joints dans lesquels - la figure 1 est une vue de l'agrafe selon l'invention, - les figures 2 à 8 représentent schématiquement la mise en place de l'agrafe selon l'invention. Other advantages and characteristics of the invention will appear on reading the following description of an embodiment of the invention given by way of nonlimiting example and illustrated by the accompanying drawings in which - Figure 1 is a view of the clip according to the invention, - Figures 2 to 8 schematically represent the establishment of the clip according to the invention.

Telle que représentée aux dessins annexés (figures 1 et 8), l'agrafe selon l'invention est constituée de deux branches 1-2 réunies par une traverse 3. As shown in the accompanying drawings (Figures 1 and 8), the clip according to the invention consists of two branches 1-2 joined by a cross 3.

Les deux branches 1-2 sont de même longueur et sont en position de repos ou de mise en place sensiblement parallèles.The two arms 1-2 are of the same length and are in the substantially parallel position of rest or placement.

Avantageusement, selon une des caractéristiques essentielles de l'invention, au moins une des branches est réalisée en un matériau à mémoire de forme, ladite branche étant préconditionnée en fabrication en sorte qu'après mise en place dans l'os, elle puisse prendre par réchauffement une position non parallèle à l'autre branche.Advantageously, according to one of the essential characteristics of the invention, at least one of the branches is made of a shape memory material, said branch being preconditioned in manufacturing so that after being placed in the bone, it can take up warming up a position not parallel to the other branch.

Avantageusement, la branche à mémoire de forme est préconditionnée pour s'orienter, sous l'action du réchauffement obtenue par circulation de sérum physiologique chauffé, en pincement vers l'autre branche suivant un axe sécant à celle-ci, ce qui contribue à reserrer les portions de l'os à rapprocher pour leur consolidation. Advantageously, the shape memory branch is preconditioned to orient itself, under the action of the warming obtained by circulation of heated physiological serum, by pinching towards the other branch along an axis intersecting it, which contributes to tightening the portions of the bone to be brought together for their consolidation.

L'agrafe selon l'invention est constituée en deux parties fixées l'une à l'autre de manière à former une pièce unique pour la mise en place et pouvant être séparées l'une de l'autre pour permettre ltenlèvement.  The clip according to the invention is made up of two parts fixed to each other so as to form a single piece for positioning and which can be separated from one another to allow removal.

A cet effet, la première partie comprend la branche supérieure 1 et la deuxième partie comprend la branche inférieure 2 à mémoire de forme et la traverse 3.To this end, the first part comprises the upper branch 1 and the second part comprises the lower branch 2 with shape memory and the crosspiece 3.

La fixation des deux parties s'effectue par un moyen, soit amovible, soit sécable au niveau de la traverse 3 et d'une patte arrière 4 de la branche 1. The two parts are fixed by means, either removable or breakable at the cross member 3 and a rear leg 4 of the branch 1.

Ce moyen peut être un système à vis 5 et écrou, l'écrou pouvant être porté par la patte 4 ou réalisé par un filetage dans l'épaisseur de celle-ci.This means can be a screw and nut system 5, the nut being able to be carried by the tab 4 or produced by a thread in the thickness of the latter.

De préférence, l'agrafe est réalisée en un métal biocompatible.Preferably, the clip is made of a biocompatible metal.

Comme représentée aux dessins, chacune des branches est constituée par une bande de métal. As shown in the drawings, each of the branches consists of a metal strip.

La bande supérieure 1 présente à l'arrière une patte 4 conformée en chape entre les ailes de laquelle se loge l'extrémité de la traverse 3.The upper strip 1 has at the rear a tab 4 shaped as a yoke between the wings of which the end of the cross member 3 is housed.

La bande inférieure 2 est une bande plane de même largeur que la précédente dont une portion est repliée à angle droit pour réaliser la traverse 3.The lower strip 2 is a flat strip of the same width as the previous one, a portion of which is folded at right angles to make the cross-member 3.

Avantageusement, la traverse 3 subit un double pli 6 de déviation.Advantageously, the cross member 3 undergoes a double fold 6 of deflection.

Les figures 2 à 8 illustrent la réalisation de l'ostéotomie tibiale et la mise en place de l'agrafe selon l'invention. Figures 2 to 8 illustrate the production of the tibial osteotomy and the positioning of the clip according to the invention.

Après repérage (fig. 2), un dispositif viseur 7 est présenté sur l'os et deux broches de maintien 8 sont mises en place.After identification (fig. 2), a sighting device 7 is presented on the bone and two holding pins 8 are put in place.

Un sciage par un trait de scie est réalisé en 9 au-dessus du viseur.Sawing with a saw cut is made at 9 above the viewfinder.

En figure 3 est représentée la fixation de la partie haute 10 du viseur et le défonceur 11 qui est utilisé jusqu'à la graduation désirée. In Figure 3 is shown the fixing of the upper part 10 of the viewfinder and the router 11 which is used up to the desired graduation.

En figure 4 est représenté le sciage du coin osseux 12 au moyen du viseur. In Figure 4 is shown the sawing of the bone wedge 12 by means of the viewfinder.

Le sciage s'effectue suivant un premier trait 13 jusqu'à une profondeur correspondant à la longueur de l'agrafe.Sawing is carried out along a first line 13 to a depth corresponding to the length of the staple.

Le sciage s'effectue suivant un deuxième trait 14 correspondant à l'angle de valgisation choisi.Sawing is carried out along a second line 14 corresponding to the chosen angle of valuation.

Après retrait du viseur, le coin osseux 12 est extrait (figure 5), la jambe est alors portée doucement au valgus par une rotation schématisée par la flèche 15, ce qui a pour effet de rapprocher les sections 13/14 (figure 6). After removal of the viewfinder, the bony wedge 12 is extracted (FIG. 5), the leg is then gently brought to the valgus by a rotation shown diagrammatically by the arrow 15, which has the effect of bringing sections 13/14 (FIG. 6) together.

Pendant toute cette procédure, le défonceur est en position. During this entire procedure, the router is in position.

Au stade suivant (figure 7), le viseur 7 est à nouveau monté sur le défonceur 11. In the next stage (FIG. 7), the viewfinder 7 is again mounted on the router 11.

Un trait de scie est réalisé sous le viseur en 16 pour affaiblir la paroi corticale de l'os.A line of saw is made under the viewfinder at 16 to weaken the cortical wall of the bone.

Le défonceur est alors retiré et l'agrafe est mise en place au moyen de la pince porte-agrafe 17 puis elle est enfoncée par impact (figure 8). The router is then removed and the staple is put in place by means of the staple holder pliers 17 and then it is pressed in by impact (FIG. 8).

Claims (5)

REVENDICATIONS 1. Agrafe d'ostéotomie tibiale destinée à fixer l'une contre l'autre deux parties d'un os par exemple après enlèvement d'une portion de celui-ci, ladite agrafe étant constituée de deux branches (1-2) réunies par une traverse (3) caractérisée en ce que au moins une des branches est réalisée en un matériau à mémoire de forme en sorte qu'après mise en place de l'agrafe, elle puisse prendre par réchauffement une position non parallèle à l'autre branche qui interdise son retrait. 1. Clip of tibial osteotomy intended to fix one against the other two parts of a bone for example after removal of a portion of this one, said clip being made up of two branches (1-2) joined by a cross-member (3) characterized in that at least one of the branches is made of a shape memory material so that after the staple has been put in place, it can take on a position which is not parallel to the other branch by heating which prohibits its withdrawal. 2. Agrafe d'ostéotomie selon la revendication 1 caractérisée en ce qu'elle est constituée en deux parties fixées ensemble par un moyen amovible permettant de séparer l'une de l'autre les deux parties pour permettre leur enlèvement. 2. Osteotomy clip according to claim 1 characterized in that it consists of two parts fixed together by a removable means for separating one from the other the two parts to allow their removal. 3. Agrafe d'ostéotomie selon les revendications 1 et 2 caractérisée en ce que l'une des branches (1) et la traverse (3) sont reliées à une patte (4) de l'autre branche (2) par vis (5). 3. Osteotomy clip according to claims 1 and 2 characterized in that one of the branches (1) and the crosspiece (3) are connected to a lug (4) of the other branch (2) by screws (5 ). 4. Agrafe d'ostéotomie selon les revendications 1, 2 et 3 caractérisée en ce que la branche (1) est réalisée en un métal à mémoire de forme. 4. Osteotomy clip according to claims 1, 2 and 3 characterized in that the branch (1) is made of a metal with shape memory. 5. Agrafe d'ostéotomie selon les revendications 1 et 44 caractérisée en ce que la branche (2) fixée à la traverse (3) est réalisée en un métal bio-compatible.  5. Osteotomy clip according to claims 1 and 44 characterized in that the branch (2) fixed to the crosspiece (3) is made of a bio-compatible metal.
FR9712313A 1997-10-01 1997-10-01 TIBIAL OSTEOTOMY STAPLE Expired - Fee Related FR2768916B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR9712313A FR2768916B1 (en) 1997-10-01 1997-10-01 TIBIAL OSTEOTOMY STAPLE

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9712313A FR2768916B1 (en) 1997-10-01 1997-10-01 TIBIAL OSTEOTOMY STAPLE

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FR2768916A1 true FR2768916A1 (en) 1999-04-02
FR2768916B1 FR2768916B1 (en) 2000-02-25

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