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    Fixation device for metaphyseal long bone fractures
    1.
    发明授权
    Fixation device for metaphyseal long bone fractures 有权
    干al端长骨骨折固定装置

    公开(公告)号：US06730090B2

    公开(公告)日：2004-05-04

    申请号：US10159611

    申请日：2002-05-30

    申请人： Jorge L. Orbay ,  Javier Castañeda

    发明人： Jorge L. Orbay ,  Javier Castañeda

    IPC分类号： A61B1780

    CPC分类号： A61B17/7208 ,  A61B17/7233 ,  Y10S606/902

    摘要： A fixation device is provided which includes a proximal nail portion and a distal plate portion. The nail portion includes a flexible tapered section, and a rigid distal section larger in diameter and is adapted to be inserted into a medullary canal of a fractured bone. The plate portion has a low, narrow profile and includes three longitudinally displaced peg holes, each of which is adapted to orient a peg in a different orientation from the others. The plate portion is adapted to be positioned on the outside of a fractured bone when the nail portion is within the medullary canal. The device provides the benefits of both an intramedullary nail and a bone plate in a single device. The fixation device permits a minimally invasive treatment of the metaphyseal fractures that may otherwise be undertreated.

    摘要翻译： 提供一种固定装置，其包括近端指甲部分和远侧板部分。 指甲部分包括柔性锥形部分和直径更大的刚性远侧部分，并且适于插入到骨折的骨髓中。 板部分具有低的狭窄轮廓，并且包括三个纵向移动的栓孔，每个孔被适配成使钉与另一方向不同的取向定向。 当指甲部分在髓质管内时，板部分适于定位在骨折骨的外侧。 该装置在单个装置中提供髓内钉和骨板的优点。 固定装置允许对另外可能被治疗的干al端骨折进行微创治疗。

    Fracture fixation system
    2.
    发明授权
    Fracture fixation system 有权
    骨折固定系统

    公开(公告)号：US06273892B1

    公开(公告)日：2001-08-14

    申请号：US09388879

    申请日：1999-09-02

    申请人： Jorge L. Orbay ,  Javier Castañeda ,  Ernesto Hernandez

    发明人： Jorge L. Orbay ,  Javier Castañeda ,  Ernesto Hernandez

    IPC分类号： A61B1758

    CPC分类号： A61B17/7291 ,  A61B17/1682 ,  A61B17/1686 ,  A61B17/7208 ,  A61B17/921

    摘要： A fracture fixation system is provided for the insertion of a fixation pin into the medullary canal of a fractured metacarpal, metatarsal, or phalangeal bone for stable bone fixation. The system includes one or more pins and an instrument for implanting the pins. According to one embodiment of the invention, the instrument includes a main handle and a pin handle movable relative to the main handle. The main handle includes a distal end, a drill coupled to the distal end, and a longitudinal slot which receives the pin handle. The drill includes a shaft having a distal boring tip and a groove proximal the boring tip for guiding the fixation pin. The pin handle is shaped and sized to slidably move within the longitudinal slot. Each pin preferably includes a curved, distal end. The distal end rests within the groove of the drill shaft. Movement of the pin handle within the slot of the main handle distally relative to the main handle causes the distal end of the pin to move relative to the drill shaft. In use, the main handle of the instrument is manipulated to subcutaneously introduce the drill into the metacarpal, metatarsal, or phalangeal base, and the pin handle is then moved relative to the main handle to introduce a pin into the bone until it extends through the medullary canal on either side of the fracture. Several pins may likewise be inserted to torsionally immobilization of the fracture.

    摘要翻译： 提供骨折固定系统用于将固定销插入骨折的掌骨，跖骨或趾骨的髓管中用于稳定的骨固定。 该系统包括一个或多个引脚和用于植入引脚的器械。 根据本发明的一个实施例，仪器包括主手柄和相对于主手柄可移动的销柄。 主手柄包括远端，联接到远端的钻头和容纳销柄的纵向槽。 该钻具包括具有远端钻尖和远近钻尖的槽，用于引导固定销。 销手柄的形状和尺寸可在纵向槽内可滑动地移动。 每个销优选地包括弯曲的远端。 远端位于钻杆轴的槽内。 销把手在主把手的狭槽内相对于主把手向远侧运动导致销的远端相对于钻杆轴移动。 在使用中，操作器械的主把手将皮下将钻头引入掌骨，跖骨或趾骨基部，然后相对于主手柄移动针柄，以将针引入骨中，直到其延伸通过 骨折两侧的髓管。 同样可以插入多个销以扭曲地固定骨折。

    Intramedullary fixation device for metaphyseal long bone fractures and methods of using the same
    3.
    发明授权
    Intramedullary fixation device for metaphyseal long bone fractures and methods of using the same 有权
    用于干al端长骨骨折的髓内固定装置及其使用方法

    公开(公告)号：US06706046B2

    公开(公告)日：2004-03-16

    申请号：US10315787

    申请日：2002-12-10

    申请人： Jorge L. Orbay ,  Javier Castañeda

    发明人： Jorge L. Orbay ,  Javier Castañeda

    IPC分类号： A61B1780

    CPC分类号： A61B17/863 ,  A61B17/1725 ,  A61B17/1728 ,  A61B17/1782 ,  A61B17/7233 ,  A61B17/8057 ,  A61B17/8061

    摘要： A fixation system includes a device having a nail portion and a plate portion, preferably horizontally and vertically offset relative to the nail portion by a neck portion. The nail portion includes threaded screw holes, and the plate portion includes longitudinally displaced peg holes, each of which is adapted to orient a peg in a different orientation from the others. The system also includes unicortical screws having a reasonably large head adapted to seat against the outer surface of the bone and a threaded shaft adapted to engage in the screw holes, and pegs adapted to engage in the peg holes. Bone is clamped between the nail portion and the head of the unicortical screws. The pegs provide stabilization and support for subchondral fragments. Moreover, as the pegs preferably enter the subchondral fragments from a plurality of directions, additional fixation of the device into the bone is provided.

    摘要翻译： 固定系统包括具有指甲部分和板部分的装置，优选地通过颈部相对于指甲部分水平和垂直地偏移。 指甲部分包括螺纹螺纹孔，并且板部分包括纵向移位的钉孔，每个钉孔适于将栓钉定向成不同于另一个的钉。 该系统还包括具有相当大头部的单皮质螺钉，其适于抵靠骨的外表面，并且适于接合在螺钉孔中的螺纹轴和适于接合在钉孔中的钉。 骨头夹在指甲部分和单皮质螺钉的头部之间。 钉子为软骨下碎片提供稳定和支撑。 此外，由于钉优选地从多个方向进入软骨下碎片，因此提供了将装置额外固定到骨中。

    Modular fracture fixation plate system with multiple metaphyseal and diaphyseal plates
    9.
    发明授权
    Modular fracture fixation plate system with multiple metaphyseal and diaphyseal plates 有权
    具有多个干al端和骨干板的模块化骨折固定板系统

    公开(公告)号：US08062296B2

    公开(公告)日：2011-11-22

    申请号：US11082401

    申请日：2005-03-17

    申请人： Jorge L. Orbay ,  Javier E. Castaneda ,  Edward Mebarak

    发明人： Jorge L. Orbay ,  Javier E. Castaneda ,  Edward Mebarak

    IPC分类号： A61B17/56

    CPC分类号： A61B17/8061 ,  A61B17/80 ,  A61B17/8004 ,  A61B17/8042 ,  A61B2017/00004

    摘要： A fracture fixation plate system for use on a long bone having a metaphysis and a diaphysis, includes at least one end plate having a head portion for the metaphysis, and at least one fragment plate having a first end and a second end with a plurality of screw holes therebetween. The end plate includes mating structure adapted to mate with and securely couple to at least one end of the at least one fragment plate. The system preferably includes several end plates and fragment plates to accommodate anatomy of various sizes.

    摘要翻译： 一种在具有干ysis端和骨干的长骨上使用的骨折固定板系统，包括至少一个端板，其具有用于干ysis端的头部，以及至少一个碎片板，其具有第一端和具有多个 螺丝孔。 端板包括适于与至少一个碎片板的至少一端配合并牢固地联接的配合结构。 该系统优选地包括若干端板和碎片板以适应各种尺寸的解剖结构。

    Bone plate with variable torsional stiffness at fixed angle holes
    10.
    发明授权
    Bone plate with variable torsional stiffness at fixed angle holes 有权
    在固定角度孔处具有可变扭转刚度的骨板

    公开(公告)号：US07867261B2

    公开(公告)日：2011-01-11

    申请号：US11557429

    申请日：2006-11-07

    申请人： Robert Sixto, Jr. ,  Jose Luis Francese ,  Jorge L. Orbay

    发明人： Robert Sixto, Jr. ,  Jose Luis Francese ,  Jorge L. Orbay

    IPC分类号： A61B17/80

    CPC分类号： A61B17/80 ,  A61B17/8085 ,  A61B2017/00004

    摘要： A bone plate includes at least one torsional modification feature (TMF). Each TMF is structured to decrease the torsional rigidity of the plate relative to longitudinally opposite portions, but may be modified to increase the torsional rigidity thereat. Each TMF is defined by beams contiguous with the lateral sides of the plate, and an opening extending laterally therebetween. In a preferred embodiment, opposed projections extend into the opening to define threaded discontinuous wall portions for receiving an insert, such as a set screw. In one embodiment, bioabsorbable and/or bioactive inserts may be used to temporarily increase the torsional rigidity of the plate during initial fixation and thereafter have reduced torsional rigidity to mimic normal callus. The plate is preferably used with fixed angle fasteners that may be subject to high torsional loads post-operatively.

    摘要翻译： 骨板包括至少一个扭转修改特征（TMF）。 每个TMF被构造成降低板相对于纵向相对部分的扭转刚度，但是可以被修改以增加其上的扭转刚度。 每个TMF由与板的侧面相邻的梁以及横向延伸的开口限定。 在优选实施例中，相对的突出部延伸到开口中以限定用于接收插入件（例如固定螺钉）的螺纹不连续壁部分。 在一个实施方案中，可以使用生物可吸收和/或生物活性插入物来暂时增加初始固定期间板的扭转刚度，此后具有降低的扭转刚度以模拟正常愈伤组织。 该板最好与固定角紧固件一起使用，固定角紧固件可能在操作后经受高扭转载荷。