FR2938753A1 - Acromioclavicular ligament surgery system for installation of ligament artificial plantable at level of shoulder, has anchoring screw whose diameter is smaller than that of calvicular anchoring screw, where screws are connected together - Google Patents

Acromioclavicular ligament surgery system for installation of ligament artificial plantable at level of shoulder, has anchoring screw whose diameter is smaller than that of calvicular anchoring screw, where screws are connected together Download PDF

Info

Publication number
FR2938753A1
FR2938753A1 FR0806643A FR0806643A FR2938753A1 FR 2938753 A1 FR2938753 A1 FR 2938753A1 FR 0806643 A FR0806643 A FR 0806643A FR 0806643 A FR0806643 A FR 0806643A FR 2938753 A1 FR2938753 A1 FR 2938753A1
Authority
FR
France
Prior art keywords
clavicular
ligament
acromion
ligamentoplasty
anchoring
Prior art date
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.)
Withdrawn
Application number
FR0806643A
Other languages
French (fr)
Inventor
Alain Guinounet
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
COMPTOIR HOSPITALIER ORTHOPEDI
Original Assignee
COMPTOIR HOSPITALIER ORTHOPEDI
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 COMPTOIR HOSPITALIER ORTHOPEDI filed Critical COMPTOIR HOSPITALIER ORTHOPEDI
Priority to FR0806643A priority Critical patent/FR2938753A1/en
Publication of FR2938753A1 publication Critical patent/FR2938753A1/en
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0805—Implements for inserting tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0817—Structure of the anchor
    • A61F2002/0841—Longitudinal channel for insertion tool running through the whole tendon anchor, e.g. for accommodating bone drill, guidewire
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0858—Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Therapy (AREA)
  • Rheumatology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

The system has an anchoring screw (1A) placed in an acromion and connected to clavicular anchoring screw (2A) by a ligament. An assembly is mounted on a screwdriver (3B), and the anchoring screws are radio-transparent and made of polyether ether ketone. The anchoring screws are connected together by the ligament, where the ligament represents a ring adapted to length of an acromioclavicular tendon to be repaired. Diameter of the anchoring screw is smaller than diameter of the calvicular anchoring screw.

Description

10 15 20 25 30 35 LIGAMENTOPLASTIE ACROMIO-CLAVICULAIRE ACROMIO-CLAVICULAR LIGAMENTOPLASTY

DOMAINE D'APPLICATION DE L'INVENTION La présente invention a trait au domaine de la réparation des disjonctions acromio-claviculaires avec destruction des ligaments stabilisateurs. L'invention a trait à la mise au point d'un système de ligamentoplastie acromio-claviculaire qui puisse être mis en place, en aveugle, par une technique mini invasive. DESCRIPTION DE L'ART ANTÉRIEUR D'une manière généralement connue, après avoir effectué une incision au dessus du bord antérieur de la clavicule sur 8cm, et ruginé les insertions du trapèze, deux tunnels antéropostérieurs sont forés obliquement au travers de la clavicule, l'un interne à l'aplomb du bord interne de la clavicule, l'autre externe à égale distance du bord externe de la clavicule et du bord externe de la coracoïde. Une boucle métallique est passée dans chaque tunnel : la première boucle dans le premier tunnel transversal. Placer la 2ème boucle dans la lère boucle, puis tirer la lère boucle pour attirer la 2ème dans le tunnel claviculaire par l'arrière . c'est sur cette boucle que sera fixé le fil de traction du ligament. Un passe-fil est utilisé pour passer le ligament sous la coracoïde, puis ce ligament est passé dans le trou externe, et une traction est effectuée jusqu'à ce que la clavicule reprenne sa position anatomique. Le ligament est alors bloqué dans le trou par une cheville. Cette solution d'ancrage acromio-claviculaire demande une grande dextérité et la mise en place est loin d'être aisée. FIELD OF APPLICATION OF THE INVENTION The present invention relates to the field of repair of acromioclavicular disjunctions with destruction of stabilizing ligaments. The invention relates to the development of an acromioclavicular ligamentoplasty system that can be implemented, blindly, by a minimally invasive technique. DESCRIPTION OF THE PRIOR ART In a generally known manner, after having made an incision above the anterior border of the clavicle over 8 cm, and roughened the insertions of the trapezium, two anteroposterior tunnels are drilled obliquely through the clavicle, the one internally above the internal border of the clavicle, the other external equidistant from the outer edge of the clavicle and the outer edge of the coracoid. A metal loop is passed through each tunnel: the first loop in the first transverse tunnel. Place the 2nd loop in the 1st loop, then pull the 1st loop to draw the 2nd loop into the clavicular tunnel from behind. it is on this loop that the traction wire of the ligament will be fixed. A grommet is used to pass the ligament under the coracoid, and then this ligament is passed into the external hole, and traction is made until the clavicle resumes its anatomical position. The ligament is then blocked in the hole by an ankle. This acromioclavicular anchoring solution requires great dexterity and the implementation is far from easy.

DESCRIPTION DE L'INVENTION Partant de ces constatations et d'un cahier des charges préétabli, la demanderesse a mené des recherches qui ont abouti à un concept nouveau de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE qui permet d'utiliser une technique proche des techniques percutanées. Ce dispositif a l'avantage de mettre à disposition un ancillaire qui simplifie grandement la technique de pose en permettant une préparation simultanée de la zone claviculaire et de la zone coracoïdienne. Pour éviter les artéfacts d'imageries futures, ce système de ligamentoplastie utilise des systèmes d'ancrage proximal et distal non métalliques et plus précisément en PEEK. Les concepts fondamentaux de l'invention venant d'être exposés ci-dessus dans leur forme la plus élémentaire, d'autres détails et caractéristiques ressortiront plus clairement à la lecture de la description qui suit et en regard des dessins annexés, donnant à titre d'exemple non limitatif, un mode de réalisation du système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE conforme à l'invention. BRÈVE DESCRIPTION DES DESSINS La figure lA est une vue en perspective d'un mode de réalisation de la vis d'ancrage situé dans l'acromion permettant le passage (11) du double ligament, et précisant son mode d'entraînement rectangulaire (12). La figure 1B est une vue de profil de la vis d'ancrage de l'acromion. La figure 1C est une vue de profil de la vis d'ancrage de l'acromion précisant la zone de passage d'une partie du ligament (11). La figure 1D est une vue de dessus de ladite vis d'ancrage de l'acromion précisant les zones de passage (11) du double ligament et la zone (12) d'entraînement de ladite vis. La figure 2A est une vue en perspective d'un mode de réalisation de la vis d'ancrage située dans la clavicule, permettant le passage (11) du double ligament, et précisant son mode d'entraînement rectangulaire (12). La figure 2B est une vue de profil de la vis d'ancrage claviculaire précisant le passage (11) du ligament. La figure 2C est une coupe suivant l'axe AA précisant le passage (11) du ligament, la zone d'entraînement (12) de la vis d'ancrage claviculaire et la zone(13) de dégagement permettant un passage plus aisé du système d'entraînement de cette vis d'ancrage. La figure 2D est une vue de dessus de ladite vis d'ancrage claviculaire précisant les zones (11) de passage du ligament, et précisant son mode d'entraînement rectangulaire (12). La photocopie 3A est une vue de l'ensemble du système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE précisant en lA la vis d'ancrage destinée à l'Acromion, en 2A la vis d'ancrage claviculaire, en 10 le double ligament, et en 3B le système complet d'entraînement (tournevis spécifique). La figure 3B est une vue en perspective d'un mode de réalisation du système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE précisant en lA la vis d'ancrage de l'acromion, en 2A la vis d'ancrage claviculaire, en 3B le système complet d'entraînement de l'implant Acromio Claviculaire, en 11 le passage du ligament. La figure 3B' est une vue de profil d'un mode de réalisation du système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE précisant en lA la vis d'ancrage de l'acromion en 2A la vis d'ancrage claviculaire en 11 le passage du ligament et en 3B le système complet d'entraînement de l'implant de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE. BREVE DESCRIPTION DE L'ANCILLAIRE DE MISE EN PLACE DU SYSTEME DE LIGAMENTOPLASTIE ACROMIO 5 CLAVICULAIRE : La figure 4A est une vue en perspective du foret étagé de préparation des loges (20) de la vis d'ancrage de l'acromion et (21) de la vis d'ancrage claviculaire.DESCRIPTION OF THE INVENTION Based on these findings and a set of pre-established specifications, the applicant has conducted research that has resulted in a new concept of LIGAMENTOPLASTIE ACROMIO CLAVICULAR that allows to use a technique close to percutaneous techniques. This device has the advantage of providing an ancillary which greatly simplifies the technique of installation by allowing simultaneous preparation of the clavicular zone and the coracoid area. To avoid future imaging artifacts, this ligamentoplasty system uses non-metallic proximal and distal anchoring systems and more specifically PEEK. The basic concepts of the invention having been described above in their most elementary form, other details and characteristics will emerge more clearly on reading the description which follows and with reference to the appended drawings, giving nonlimiting example, an embodiment of the LIGAMENTOPLASTY ACROMIO CLAVICULAR system according to the invention. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1A is a perspective view of an embodiment of the anchor screw located in the acromion allowing the passage (11) of the double ligament, and specifying its rectangular drive mode (12) . Figure 1B is a side view of the anchor screw of the acromion. Figure 1C is a side view of the anchor screw of the acromion specifying the passage zone of a portion of the ligament (11). Figure 1D is a top view of said anchor screw acromion specifying the passage zones (11) of the double ligament and the zone (12) for driving said screw. FIG. 2A is a perspective view of an embodiment of the anchoring screw located in the clavicle, allowing passage (11) of the double ligament, and specifying its rectangular drive mode (12). Figure 2B is a side view of the clavicular anchor screw specifying the passage (11) of the ligament. FIG. 2C is a section along the axis AA specifying the passage (11) of the ligament, the training zone (12) of the clavicular anchoring screw and the zone (13) of clearance allowing an easier passage of the system drive this anchor screw. FIG. 2D is a view from above of said clavicular anchoring screw specifying zones (11) for passage of the ligament, and specifying its rectangular drive mode (12). Photocopy 3A is a view of the entire LIGAMENTOPLASTY ACROMIO CLAVICULAR system specifying in lA the anchoring screw for the Acromion, in 2A the clavicular anchoring screw, in the double ligament, and in 3B the system. complete drive (specific screwdriver). FIG. 3B is a perspective view of an embodiment of the LIGAMENTOPLASTIC ACROMIO CLAVICULAR system specifying in Ia the anchoring screw of the acromion, in 2A the clavicular anchoring screw, in 3B the complete training system. implant Acromio Clavicular, in 11 the passage of the ligament. FIG. 3B 'is a profile view of an embodiment of the LIGAMENTOPLASTIC ACROMIO CLAVICULAR system specifying in IA the anchoring screw of the acromion at 2A the clavicular anchoring screw at 11 the passage of the ligament and at 3B the complete LIGAMENTOPLASTY ACROMIO CLAVICULAR implant drive system. BRIEF DESCRIPTION OF THE ANCILLARY FOR THE PLACEMENT OF THE ACROMIO CLAVICULAR LIGAMENTOPLASTY SYSTEM FIG. 4A is a perspective view of the step drill for preparing the boxes (20) of the anchor screw of the acromion and (21) the clavicular anchor screw.

10 La figure 5A est une vue en perspective du taraud étagé de préparation des loges de vissage (30) de la vis d'ancrage de l'acromion et (31) de la vis d'ancrage claviculaire, et (32) le système d'entraînement du taraud.Fig. 5A is a perspective view of the step screw for preparing the screw boxes (30) of the anchor screw of the acromion and (31) of the clavicular anchor screw, and (32) the locking system. drive the tap.

15 De manière préférentielle : - le ligament est artificiel ; - la vis d'ancrage de l'acromion (A) et la vis d'ancrage claviculaire (2A) sont radio-transparentes ; 20 - les vis d'ancrage de l'acromion et de la clavicule sont reliées entre elles par un ligament (10) ; le ligament (10) représente un anneau adapté à la longueur du tendon acromioclaviculaire à réparer ; 25 - la vis d'ancrage de l'acromion (1A) possède un diamètre plus petit que le diamètre de la vis d'ancrage claviculaire (2A) ; - le diamètre des passages (11) des vis d'ancrage (1A) et (2A) est inférieur au diamètre du 30 passage prévu pour éviter tout déchirement du ligament lors de la mise en place du système ; - le foret étagé (4A) et le taraud (5A) sont canulés et sont guidés par une broche mise en place par l'homme de l'art dans la clavicule et 35 l'acromion. Preferentially: the ligament is artificial; the anchor screw of the acromion (A) and the clavicular anchor screw (2A) are radiolucent; The anchoring screws of the acromion and the clavicle are interconnected by a ligament (10); the ligament (10) represents a ring adapted to the length of the acromioclavicular tendon to be repaired; The anchoring screw of the acromion (1A) has a diameter smaller than the diameter of the clavicular anchoring screw (2A); the diameter of the passages (11) of the anchoring screws (1A) and (2A) is smaller than the diameter of the passage intended to prevent any tearing of the ligament during the installation of the system; the stepped drill bit (4A) and the tap (5A) are cannulated and are guided by a pin put in place by those skilled in the art in the clavicle and the acromion.

Claims (8)

REVENDICATIONS1 - Système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE destiné à la mise en place d'un ligament artificiel implantable par chirurgie mini-invasive au niveau de l'épaule, CARACTÉRISÉ PAR LE FAIT QUE le susdit système est constitué d'une vis d'ancrage (1A) qui sera située dans l'acromion et reliée à une vis d'ancrage claviculaire (2A) par l'intermédiaire d'un ligament (10), l'ensemble monté sur un tournevis d'entraînement (3B). CLAIMS1 - ACROMIO CLAVICULAR LIGAMENTOPLASTIC LIGAMENTOPLASTY SYSTEM for the placement of an implantable artificial ligament by minimally invasive surgery at the shoulder, CHARACTERIZED BY THE FACT THAT the aforesaid system consists of an anchor screw (1A ) which will be located in the acromion and connected to a clavicular anchor screw (2A) via a ligament (10), the assembly mounted on a drive screwdriver (3B). 2 - Système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE, selon la revendication 1, CARACTERISE EN CE QUE la vis d'ancrage de l'acromion (1A) et la vis d'ancrage claviculaire (2A) sont radio-transparentes et sont fabriquées en PEEK. 2 - ACROMIO CLAVICULAR LIGAMENTOPLASTY SYSTEM, according to claim 1, CHARACTERIZED IN THAT the anchor screw of the acromion (1A) and the clavicular anchoring screw (2A) are radiolucent and are made of PEEK. 3 - Système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE selon l'une des revendications précédentes CARACTERISÉ EN CE QUE les vis d'ancrage de l'acromion et de la clavicule sont reliées entre elles par un ligament (10) ET EN CE QUE le ligament (10) représente un anneau adapté à la longueur du tendon acromio claviculaire à réparer. 3 - ACROMIO CLAVICULAR LIGAMENTOPLASTY SYSTEM according to one of the preceding claims CHARACTERIZED IN THAT the anchoring screws of the acromion and the clavicle are interconnected by a ligament (10) AND THAT the ligament (10) represents a ring adapted to the length of the acromioclavicular tendon to be repaired. 4 - Système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE selon l'une des revendications précédentes CARACTERISÉ EN CE QUE la vis d'ancrage de l'acromion (1A) possède un diamètre plus petit que le diamètre de la vis d'ancrage claviculaire (2A). 4 - ACROMIO CLAVICULAR LIGAMENTOPLASTY SYSTEM according to one of the preceding claims CHARACTERIZED IN THAT the anchor screw of the acromion (1A) has a diameter smaller than the diameter of the clavicular anchoring screw (2A). 5 - Système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE selon l'une des revendications précédentes CARACTERISÉ EN CE QUE le ligament s'insère complètement dans les passages (11) prévus dans les vis d'ancrage (1A) et (2A) ET EN CE QUE le diamètre du ligament (10) est inférieur au diamètre du passage prévu pour éviter tout déchirement du ligament lors de la mise en place du système. 5 - ACROMIO CLAVICULAR LIGAMENTOPLASTY SYSTEM according to one of the preceding claims CHARACTERIZED IN THAT the ligament completely fits into the passages (11) provided in the anchoring screws (1A) and (2A) AND IN THAT the diameter ligament (10) is smaller than the diameter of the passage intended to prevent tearing of the ligament during the establishment of the system. 6 - Système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE selon l'une des revendications précédentes CARACTERISÉ EN CE qu'il comprend , en outre, un ancillaire de mise en place constitué de deux éléments, le premier de ces éléments étant constitué d'un foret étagé (4A) pour lequel la partie (20) est adaptée à la loge de la vis d'ancrage de l'acromion et la partie (21) à la loge de la vis d'ancrage claviculaire. 6 - ACROMIO CLAVICULAR LIGAMENTOPLASTY SYSTEM according to one of the preceding claims CHARACTERIZED IN THAT it comprises, in addition, an establishment ancillary consisting of two elements, the first of these elements consisting of a stepped drill (4A ) for which the portion (20) is adapted to the box of the anchor screw of the acromion and the portion (21) to the box of the clavicular anchor screw. 7 - Système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE selon la revendication 6 CARACTERISE EN CE QUE le deuxième élément de l'ancillaire est constitué d'un taraud (5A) pour lequel la partie (30) est adaptée à la vis d'ancrage de l'acromion et la partie (31) à la vis d'ancrage claviculaire. 7 - ACROMIO CLAVICULAR LIGAMENTOPLASTY SYSTEM according to claim 6 CHARACTERIZED IN THAT the second element of the ancillary consists of a tap (5A) for which the portion (30) is adapted to the anchoring screw of the acromion and the portion (31) to the clavicular anchor screw. 8 - Système de LIGAMENTOPLASTIE ACROMIO CLAVICULAIRE selon les revendications 6 et 7 selon l'une des revendications précédentes CARACTERISÉ EN CE QUE le foret étagé et le taraud sont canulés et qu'ils sont guidés par une broche mise en place dans la clavicule et dans l'acromion. 25 30 35 8 - ACROMIO CLAVICULAR LIGAMENTOPLASTY SYSTEM according to claims 6 and 7 according to one of the preceding claims CHARACTERIZED IN THAT the stepped drill and the tap are cannulated and they are guided by a pin placed in the clavicle and in the acromion. 25 30 35
FR0806643A 2008-11-26 2008-11-26 Acromioclavicular ligament surgery system for installation of ligament artificial plantable at level of shoulder, has anchoring screw whose diameter is smaller than that of calvicular anchoring screw, where screws are connected together Withdrawn FR2938753A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR0806643A FR2938753A1 (en) 2008-11-26 2008-11-26 Acromioclavicular ligament surgery system for installation of ligament artificial plantable at level of shoulder, has anchoring screw whose diameter is smaller than that of calvicular anchoring screw, where screws are connected together

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0806643A FR2938753A1 (en) 2008-11-26 2008-11-26 Acromioclavicular ligament surgery system for installation of ligament artificial plantable at level of shoulder, has anchoring screw whose diameter is smaller than that of calvicular anchoring screw, where screws are connected together

Publications (1)

Publication Number Publication Date
FR2938753A1 true FR2938753A1 (en) 2010-05-28

Family

ID=40776569

Family Applications (1)

Application Number Title Priority Date Filing Date
FR0806643A Withdrawn FR2938753A1 (en) 2008-11-26 2008-11-26 Acromioclavicular ligament surgery system for installation of ligament artificial plantable at level of shoulder, has anchoring screw whose diameter is smaller than that of calvicular anchoring screw, where screws are connected together

Country Status (1)

Country Link
FR (1) FR2938753A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014140782A2 (en) * 2013-03-15 2014-09-18 Wanderley José Guilherme De Pinho Velho Polymer osteosynthesis/translaminar screw for surgical spine treatment

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1332729A1 (en) * 2002-01-16 2003-08-06 Mikai Manufacturing Co. S.R.L. Device for femoral fixation of the anterior or posterior cruciate neoligament for arthroscopic reconstruction of the cruciate ligament
US20060271192A1 (en) * 2005-03-04 2006-11-30 Olsen Raymond E Self Fixing Assembled Bone-Tendon-Bone Graft
EP1797845A1 (en) * 2005-12-19 2007-06-20 Ethicon, Inc. Arthroscopic implants with integral fixation devices
US20080269743A1 (en) * 2007-04-25 2008-10-30 Alaska Hand Research, Llc Method and Device for Stabilizing Joints With Limited Axial Movement

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1332729A1 (en) * 2002-01-16 2003-08-06 Mikai Manufacturing Co. S.R.L. Device for femoral fixation of the anterior or posterior cruciate neoligament for arthroscopic reconstruction of the cruciate ligament
US20060271192A1 (en) * 2005-03-04 2006-11-30 Olsen Raymond E Self Fixing Assembled Bone-Tendon-Bone Graft
EP1797845A1 (en) * 2005-12-19 2007-06-20 Ethicon, Inc. Arthroscopic implants with integral fixation devices
US20080269743A1 (en) * 2007-04-25 2008-10-30 Alaska Hand Research, Llc Method and Device for Stabilizing Joints With Limited Axial Movement

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014140782A2 (en) * 2013-03-15 2014-09-18 Wanderley José Guilherme De Pinho Velho Polymer osteosynthesis/translaminar screw for surgical spine treatment
WO2014140782A3 (en) * 2013-03-15 2014-12-04 Wanderley José Guilherme De Pinho Velho Polymer osteosynthesis/translaminar screw for surgical spine treatment

Similar Documents

Publication Publication Date Title
US8202297B2 (en) Technique for tissue fixation by reeling in and anchoring suture attached to tissue
AU2012318767B2 (en) Double-loop endobutton, ovoid tunnel guide, and method of ACL re-construction using the ovoid tunnel guide and double-loop endobutton
US8764360B2 (en) Strap connector
US9788875B2 (en) Crimp with an insert to hold a cable
AU2012318691B2 (en) Ovoid tunnel guide and method of ACL re-construction
WO2010059648A3 (en) Device and method for tendon, ligament or soft tissue repair
WO2007146338A3 (en) Glossal engagement system and method
AU2016211581A1 (en) Ligament fixation device and method
EP2517671A3 (en) Apparatus for facilitating deployment of an endoluminal prosthesis
WO2007018972A3 (en) Tissue puncture closure device with track plug
ATE550995T1 (en) TISSUE PUNCTURE CLOSURE SYSTEM WITH RELEASABLE AUTOMATIC TAMPING SYSTEM
FR2893836A1 (en) Surgical implant for fixing e.g. aritfical ligament in knee joint, has hook comprising lugs disposed on either side of tunnel inlet so that hook rests on solid parts of femur and not on part with reduced thickness at tunnel position
ES2815973T3 (en) System to control a relationship between a first and second body in a person
FR2938753A1 (en) Acromioclavicular ligament surgery system for installation of ligament artificial plantable at level of shoulder, has anchoring screw whose diameter is smaller than that of calvicular anchoring screw, where screws are connected together
US11786358B2 (en) Apparatus and method for anatomic ACL reconstruction
FR2957781A1 (en) LUMBAR CAGE INTENDED TO BE INSERTED BETWEEN TWO VERTEBRAL BODIES AND ANATOMIC GENERAL FORM FOR FILLING THE INTERVERTEBRAL SPACE
WO2009125085A2 (en) Transcortical anchoring device
KR101168524B1 (en) Apparatus for aiding dental implant treatment
Bouchaouch et al. Les traumatismes de l’étage antérieur de la base du crane: à propos d’une série de 136 cas
EP1967150A1 (en) Vertebral anchoring device using an intrapedicular nail
Chagou et al. Technique de Blount dans le traitement des fractures supra condyliennes du coude chez l’enfant: à propos de 68 cas
Zizah et al. L’enclouage centromedullaire dans les fractures bifocales de la jambe: à propos de 16 cas
Boukhris et al. La pubalgie du sportif de haut niveau: place du traitement chirurgical, à propos d’une série continue de 100 cas
Letonturier Neurologie
MD2490G2 (en) Removable blade dental implant

Legal Events

Date Code Title Description
ST Notification of lapse

Effective date: 20120731