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FR2758075A1 - FLEXIBLE SPLINED BUTTONED END - Google Patents

FLEXIBLE SPLINED BUTTONED END Download PDF

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Publication number
FR2758075A1
FR2758075A1 FR9615309A FR9615309A FR2758075A1 FR 2758075 A1 FR2758075 A1 FR 2758075A1 FR 9615309 A FR9615309 A FR 9615309A FR 9615309 A FR9615309 A FR 9615309A FR 2758075 A1 FR2758075 A1 FR 2758075A1
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FR
France
Prior art keywords
buttoned
pin
spindle
flexible
crutched
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.)
Granted
Application number
FR9615309A
Other languages
French (fr)
Other versions
FR2758075B1 (en
Inventor
Brahim Khenifar
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Individual
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Individual
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Publication date
Application filed by Individual filed Critical Individual
Priority to FR9615309A priority Critical patent/FR2758075B1/en
Publication of FR2758075A1 publication Critical patent/FR2758075A1/en
Application granted granted Critical
Publication of FR2758075B1 publication Critical patent/FR2758075B1/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary devices, e.g. pins or nails
    • A61B17/7208Flexible pins, e.g. ENDER pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/685Elements to be fitted on the end of screws or wires, e.g. protective caps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary devices, e.g. pins or nails
    • A61B17/7283Intramedullary devices, e.g. pins or nails with special cross-section of the nail
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/864Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated

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

Abstract

Le dispositif comprend une broche présentant d'un côté une extrémité cannelée (3) propre à recevoir un capuchon protecteur (4) et de l'autre une extrémité boutonnée et béquillée (2) permettant de traiter avec un maximum de sécurité les fractures des os longs de l'enfant et de l'adulte.par.The device comprises a pin having on one side a fluted end (3) suitable for receiving a protective cap (4) and on the other a buttoned and crutched end (2) making it possible to treat bone fractures with maximum safety. lengths of the child and the adult.

Description

Dispositif de traitement des fractures des os longs nar broche souple cannelée a extrémité boutonnée.Device for treating fractures of long bones nar flexible fluted pin with buttoned end.

L'invention concerne des broches utilisées en pratique courante en chirurgie orthopédique et traumatologique pour la synthèse des os long. The invention relates to pins used in current practice in orthopedic and trauma surgery for the synthesis of long bones.

Les broches habituellement utilisées en chirurgie orthopédique et traumatologique comportent 2 extrémités acérées permettant de perforer les corticales osseuses dures. L'utilisation de telles broches n'est cependant pas exempte de danger en cas de fausse route notamment pour les parties molles de voisinage particulièrement fragiles: artère, nerf, et également cartilage de croissance chez l'enfant. En cas de brochage intra-canalaire, la broche est montée dans le canal médullaire jusqu'a être fixée au contact voir dans le cartilage de croissance qui peut être traumatisé par l'extrémité agressive de la broche, ce qui peut engendrer des problèmes de croissance par la suite. The pins usually used in orthopedic and trauma surgery have 2 sharp ends to perforate the hard bone cortices. The use of such pins is not however without danger in the event of a false route, particularly for the soft parts of the neighborhood which are particularly fragile: artery, nerve, and also growth cartilage in children. In case of intra-canal pinning, the pin is mounted in the medullary canal until it is fixed to the contact see in the growth cartilage which can be traumatized by the aggressive end of the pin, which can cause growth problems thereafter.

Actuellement, il existe des broches dont l'extrémité est acérée, pointue ou tranchante donc agress1.ve. De plus les broches une fois coupées à la longueur voulue présentent une autre extrémité qui reste potentiellement agressive pour la peau ou les organes de voisinage, source de douleurs ou d'infections. Currently, there are pins whose ends are sharp, pointed or sharp, therefore aggressive1.ve. In addition, the pins once cut to the desired length have another end which remains potentially aggressive for the skin or the neighboring organs, a source of pain or infections.

L'invention s'est fixée pour but de remédier à ces inconvénients d'agressivité potentielle des 2 extrémités de broches introduites dans le canal médullaire pour le traitement des fractures des os long de l'adulte et de l'enfant de manière simple, sûre, efficace et rationnelle.  The invention has set itself the aim of remedying these drawbacks of potential aggressiveness of the 2 ends of pins introduced into the medullary canal for the treatment of bone fractures along adults and children in a simple, safe manner. , efficient and rational.

Le problème que se propose de résoudre l'invention est: - d'assurer une bonne stabilité du foyer de fracture, - de rendre non agressives les 2 extrémités de la broche utilisée et introduite dans le canal médullaire. Pour résoudre un tel problème, la broche comporte d'un côté une extrémité boutonnée et béquillée qui permettra après perforation de la corticale externe par une pointe carrée de monter à l'aide d'un mandrin la broche souple boutonnée dans le canal médullaire. Son extrémité boutonnée et avantageusement béquillée lui permettra, même en l'absence d'alignement parfait du foyer de fracture de cathétériser plus facilement l'autre fragment fracturaire. De plus son extrémité boutonnée, en cas de fausse route et donc de sortie malencontreuse du canal médullaire, rend la broche non agressive pour les tissus de voisinage: artère, nerf, muscle qu'elle épargne. Enfin lorsque le foyer de fracture est passé, la broche est montée progressivement jusqu'à se ficher dans la métaphyse opposée de l'os long au contact du cartilage de croissance chez l'enfant. L'extrémité boutonnée de la broche souple là encore permet d'épargner le cartilage de croissance fragile.The problem which the invention proposes to solve is: - to ensure good stability of the fracture site, - to make the two ends of the pin used and introduced into the medullary canal non-aggressive. To solve such a problem, the spindle has on one side a buttoned and crutched end which will allow after perforation of the external cortex by a square point to mount using a mandrel the flexible pin buttoned in the medullary canal. Its buttoned and advantageously crutched end will allow it, even in the absence of perfect alignment of the fracture site, to more easily catheterize the other fracture fragment. In addition, its buttoned end, in the event of a false route and therefore an unfortunate exit from the medullary canal, makes the spindle non-aggressive for the surrounding tissues: artery, nerve, muscle that it spares. Finally when the focal point of the fracture has passed, the spindle is gradually mounted until it plugs into the opposite metaphysis of the long bone in contact with the growth cartilage in children. The buttoned end of the flexible pin again helps save the fragile growth cartilage.

Lorsaue le positionnement de la broche est satisfaisant, celle-ci est sectionnée à la longueur adéquate : L'autre extrémité de la broche extra-corticale est généralement située juste sous la peau risquant alors de la perforer ultérieurement et en particulier lors de la mise en charge qui crée une compression et souvent un recul du matériel d'ostéosynthèse. L'utilisation d'une broche cannelée à l'une des extrémités (brevet N" 9607911 du 20/06/96) permettra de remédier à cet inconvénient en plaçant sur son extrémité renflée un capuchon protecteur å expansion.  When the positioning of the spindle is satisfactory, it is cut to the appropriate length: The other end of the extra-cortical spindle is generally located just under the skin then risking puncturing it later and in particular during insertion. load which creates compression and often a retreat of the osteosynthesis material. The use of a grooved pin at one end (patent N "9607911 of 20/06/96) will make it possible to remedy this drawback by placing a protective expansion cap on its swollen end.

Dans ces conditions, on comprend que l'agressivité potentielle de la broche est neutralisée à ses 2 extrémités - d'un côté par une extrémité boutonnée et béquillée, - de l'autre, après section à la longueur voulue, par application sur son extrémité cannelée d'un capuchon protecteur. Under these conditions, we understand that the potential aggressiveness of the spindle is neutralized at its 2 ends - on one side by a buttoned and crutched end, - on the other, after sectioning to the desired length, by application to its end fluted with a protective cap.

Ce type d'amélioration intéresse tous les diamètres de broches souples utilisées pour la synthèse intra-canalaire des os longs de l'adulte et de l'enfant, quel qu'en soit la longueur, le diamètre ou le matériau utilisé: acier inoxydable, titane ou tout autre matériau bio-compatible. This type of improvement concerns all the diameters of flexible pins used for the intra-canal synthesis of long bones in adults and children, whatever their length, diameter or material used: stainless steel, titanium or any other bio-compatible material.

L'invention est exposée ci-après plus en détail avec des dessins annexés dans lesquels: - la figure 1 est une vue longitudinale de la broche souple cannelée à extrémité boutonnée, - la figure 2 montre un exemple d'utilisation pour une fracture transversale des 2 os de la jambe chez l'enfant.  The invention is set out below in more detail with appended drawings in which: - Figure 1 is a longitudinal view of the flexible fluted spindle with buttoned end, - Figure 2 shows an example of use for a transverse fracture of the 2 leg bones in children.

Comme le montre la figure I cette broche comporte d'un côté une extrémité cannelée (3) sur laquelle pourra être fixée un capuchon protecteur (4) et de l'autre côté une extrémité boutonnée et avantageusement béquillée (2) permettant de passer le foyer de fracture avec facilité et de façon atraumatique. As shown in Figure I this pin has on one side a grooved end (3) on which can be fixed a protective cap (4) and on the other side a buttoned end and advantageously crutched (2) allowing to pass the hearth fracture with ease and atraumatically.

Les avantages ressortent bien de la description, en particulier on souligne et on insiste sur: - la sécurité d'emploi grâce à son extrémité boutonnée non agressive en cas de fausse route, ni pour le cartilage de croissance chez l'enfant, ni pour les parties molles. The advantages clearly emerge from the description, in particular it emphasizes and insists on: - job security thanks to its non-aggressive buttoned end in the event of a false route, neither for growth cartilage in children, nor for soft parts.

- la forme béquillée de son extrémité facilitera le passage du foyer fracturaire même non parfaitement réduit.- the crutched shape of its end will facilitate the passage of the fracture site even if not perfectly reduced.

- la protection assurée par le capuchon protecteur adapté sur la partie cannelée rend l'autre extrémité de la broche sectionnée non agressive pour la peau (réduisant les risques de douleurs, de perforation cutanée, d'infection et d'agression des tissus de voisinage).- the protection provided by the adapted protective cap on the grooved part makes the other end of the sectioned spindle non-aggressive for the skin (reducing the risk of pain, skin perforation, infection and attack on neighboring tissues) .

- de plus la broche souple au niveau de sa partie I est de diamètre constant. - In addition, the flexible spindle at its part I is of constant diameter.

Claims (5)

REVENDICATIONS -1- Dispositif de traitement des fractures des os longs de l'adulte et de l'enfant caractérisé en ce qu'il comprend une broche souple de diamètre constant et non agressive à ses deux extrémités.-1- Device for treating fractures of long bones in adults and children, characterized in that it comprises a flexible pin of constant diameter and not aggressive at its two ends. -2- Dispositif selon la revendication 1 caractérisé en ce que l'élément 1 est une broche dont l'une des extrémités est avantageusement boutonnée et béquillée.-2- Device according to claim 1 characterized in that the element 1 is a pin whose one end is advantageously buttoned and crutched. -3- Dispositif selon la revendication 1 caractérisé en ce que l'élément 1 est une broche dont l'autre extrémité est cannelée propre à recevoir après section à la longueur souhaitée un capuchon protecteur à expansion.-3- Device according to claim 1 characterized in that the element 1 is a pin whose other end is grooved clean to receive after section to the desired length a protective expansion cap. -4- Dispositif selon la revendication 1 caractérisé en ce que l'élément 1 est une broche de longueur et de diamètre variable selon la taille de l'os à traiter.-4- Device according to claim 1 characterized in that the element 1 is a spindle of length and variable diameter depending on the size of the bone to be treated. -5- Dispositif selon la revendication I caractérisé en ce que l'élément 1 est une broche réalisée en titane, acier inoxydable ou tout autre matériau biocompatible. -5- Device according to claim I characterized in that the element 1 is a pin made of titanium, stainless steel or any other biocompatible material.
FR9615309A 1997-01-08 1997-01-08 FLEXIBLE SPLINED BUTTONED END Expired - Fee Related FR2758075B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR9615309A FR2758075B1 (en) 1997-01-08 1997-01-08 FLEXIBLE SPLINED BUTTONED END

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9615309A FR2758075B1 (en) 1997-01-08 1997-01-08 FLEXIBLE SPLINED BUTTONED END

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FR2758075A1 true FR2758075A1 (en) 1998-07-10
FR2758075B1 FR2758075B1 (en) 2000-09-01

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2921247A1 (en) * 2007-09-25 2009-03-27 Memometal Technologies Soc Par Osteosynthesis or arthrodesis device for e.g. blocking leg joint, has rod with rectangular dissymmetric transversal section for obtaining rigidity in one direction and flexibility in another direction for following internal cortex

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4135507A (en) * 1977-05-20 1979-01-23 Harris Leslie J Condylocephalic nail for fixation of pertrochanteric fractures
EP0094489A2 (en) * 1982-05-18 1983-11-23 HOWMEDICA INTERNATIONAL, INC. Zweigniederlassung Kiel Bone nail for the treatment of fractures of the proximal part of the femur, and the appropriate tools
JPS59203550A (en) * 1983-04-30 1984-11-17 忽那 龍雄 Bone connecting material
EP0465866A1 (en) * 1990-06-15 1992-01-15 Schewior, Thomas, Dr.med. Wire or nail with holding means, especially for a fixator
FR2750032A1 (en) 1996-06-20 1997-12-26 Khenifar Brahim OSTEOSYNTHESIS BROOCH

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4135507A (en) * 1977-05-20 1979-01-23 Harris Leslie J Condylocephalic nail for fixation of pertrochanteric fractures
EP0094489A2 (en) * 1982-05-18 1983-11-23 HOWMEDICA INTERNATIONAL, INC. Zweigniederlassung Kiel Bone nail for the treatment of fractures of the proximal part of the femur, and the appropriate tools
JPS59203550A (en) * 1983-04-30 1984-11-17 忽那 龍雄 Bone connecting material
EP0465866A1 (en) * 1990-06-15 1992-01-15 Schewior, Thomas, Dr.med. Wire or nail with holding means, especially for a fixator
FR2750032A1 (en) 1996-06-20 1997-12-26 Khenifar Brahim OSTEOSYNTHESIS BROOCH
EP0813846A1 (en) * 1996-06-20 1997-12-29 Brahim Khenifar Osteosynthesis pin

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2921247A1 (en) * 2007-09-25 2009-03-27 Memometal Technologies Soc Par Osteosynthesis or arthrodesis device for e.g. blocking leg joint, has rod with rectangular dissymmetric transversal section for obtaining rigidity in one direction and flexibility in another direction for following internal cortex

Also Published As

Publication number Publication date
FR2758075B1 (en) 2000-09-01

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