Surgery – Instruments – Orthopedic instrumentation
Patent
1995-04-25
1996-10-08
Tucker, Guy
Surgery
Instruments
Orthopedic instrumentation
606 62, 606 65, 606 73, A61B 1772
Patent
active
055626670
ABSTRACT:
A femoral intramedullary rod has a thin or reduced proximal segment so as to provide room for the use of femoral hip screws. Use of the rod for femoral shaft fixation permits subsequent independent treatment of an ipsilateral femoral hip fracture as an isolated injury, regardless of whether initially detected. Different rod embodiments are formed by the omission of different proximal portions of the rod. It is in such portions that the femoral screws may be placed to set hip fractures. The rod is cannulated for installation over a guide wire. Internal rod threads, below the thin proximal segment in some embodiments, are used for initial installation of the rod with a driving member screwed into such threads. Without driving forces on the thin proximal segment, such segment can be made even thinner. Once the rod is seated, hip screws may be installed if there is a detected hip fracture. Subsequent to healing, the femoral screws and interlocking screws (if any) may be removed. A hollow reamer sized for clearance over the intramedullary rod may be placed down over the top of the rod to cut away any bony tissue ingrown into the proximal end. Thereafter, the rod is extracted with a suitable extraction device.
REFERENCES:
patent: 1951278 (1934-03-01), Ericsson
patent: 2518019 (1950-08-01), Kane
patent: 2531734 (1950-11-01), Hopkins
patent: 2761444 (1956-09-01), Luck
patent: 3554193 (1973-01-01), Konstantinou
patent: 4055172 (1977-10-01), Ender et al.
patent: 4506662 (1985-03-01), Anapliotis
patent: 4622959 (1986-11-01), Marcus
patent: 4705027 (1987-11-01), Klaue
patent: 4817591 (1989-04-01), Klaue
patent: 4846162 (1989-07-01), Meohring
patent: 4865025 (1989-09-01), Buzzi et al.
patent: 4877019 (1989-10-01), Vives
patent: 4881535 (1989-11-01), Sohngen
patent: 4911153 (1990-03-01), Border
patent: 4913137 (1990-04-01), Azer et al.
patent: 4928679 (1990-05-01), Chagneau et al.
patent: 4981481 (1991-01-01), Kranz et al.
patent: 4988350 (1991-01-01), Herzberg
patent: 5009664 (1991-04-01), Sievers
patent: 5032125 (1991-07-01), Durham et al.
patent: 5053035 (1991-10-01), McLaren
patent: 5057103 (1991-10-01), Davis
patent: 5057110 (1991-10-01), Kranz et al.
patent: 5066296 (1991-11-01), Chapman et al.
patent: 5084053 (1992-01-01), Ender
patent: 5112333 (1992-05-01), Fixel
patent: 5122141 (1992-06-01), Simpson et al.
patent: 5122146 (1992-06-01), Chapman et al.
patent: 5127914 (1992-07-01), Calderale et al.
patent: 5176681 (1993-01-01), Lawes et al.
patent: 5201735 (1993-04-01), Chapman et al.
patent: 5356410 (1994-10-01), Pennig
patent: 5429640 (1995-07-01), Shuler
Harryman et al., "Ipsilateral Femoral Neck And Shaft Fractures. Report Of Two Cases Using An Alternative Technique," pp. 183-188; 1986; Clinical Orthopedics And Related Research.
Browner et al., "Current Status Of Locked Intramedullary Nailing: A Review," pp. 183.varies.195; 1987; Journal Of Orthopedic Trauma, Raven press LTD., New York.
Hudson, "Locking Nailing: An Aid To Distal Targetting," pp. 129, 130; 1989; vol. 20, No. 3, Injury: The British Journal Of Accident Surgery, London, Eng.
Swiontkowski, "Ipsilateral Femoral Shaft & Hip Fractures," pp. 73-84; Jan., 1987; vol. 18, No. 1, Orthopedic Clinics Of North America.
Klemm et al., "Interlocking Nailing Of Complex Fractures Of The Femur and Tibia," pp. 89-100, Nov. 1986; No. 212, Clinical Orthopedics & Related Research K. B. Lippincott Company, Philadelphia, Pa.
Skjeldal et al., "Interlocking Medullary Nails-Radiation Doses In Distal Targeting," pp. 179-181; 1987; vol. 106, Archives Of Orthopedic & Traumatic Surgery.
Pennig et al., "A New Distal Aiming Device For Locking Nail Fixation," pp. 1725-1727; Dec., 1988; vol. 11, No. 12, Operative Technique Section, Klinick Und Poliklinik, Munster, West Germany.
Macmillan et al., "A Simplified Technique Of Distal Femoral Screw Insertion For The Grosse-Kempf Interlocking Nail," pp. 252-259; Jan., 1988; No. 226, Clinical Orthopedic And Related Research.
Gill et al., "Ipsilateral Fractures Of The Femoral Neck & Shaft," pp. 293-298; 1990; vol. 4, No. 3, Journal Of Orthopedic Trauma, Raven Press, Ltd., N.Y.
"Femur: Trauma," pp. 513-520; 1990; Orthopedic Knowledge Update Three, American Academy Of Orthopedic Surgeons.
Wiss et al., "Ipsilateral Fractures Of The Femoral Neck & Shaft," pp. 159-166; 1992; vol. 6, No. 2, Journal Of Orthopedic Trauma, Raven Press Ltd., N.Y.
Bucholz et al., "Concomitant Ipsilateral Fractures Of The Hip & Femur Treated With Interlocking Nails," pp. 1402-1406; Nov., 1985, vol. 8, No. 11, Orthopedics Magazine.
Swiontkowski et al., "Ipsilateral Fractures Of The Femoral Neck & Shaft," pp. 260-268; Feb., 1984; vol. 66-A, No. 2, The Journal Of Bone And Joint Surgery, Inc.
Geissler et al., "Operative Management Of Ipsilateral Fractures Of The Hip & Femur," pp. 297-302; 1988; vol. 2, No. 4, Journal Of Orthopedic Trauma, Raven Press, Ltd., New York.
Delee, "Fractures & Dislocations Of The Hip," pp. 1211-1279; 1984; vol. 2, 2nd Ed., Rockwood And Green: Fractures In Adults.
Muller et al., "Femur Proximal," pp. 136, 137; 1991; 3rd Ed., Springer-Verlag, Manual Of Internal Fixation.
"Trauma: Femur," pp. 369-376; 1987; Orthopedic Knowledge Update II, American Academy Of Orthopedic Surgeons.
"The Uniflex nailing System, Surgical Technique," pp. Cover-16; Undated; Biomet, Inc., Warsaw, Indiana, Form Y-BMT-114/013189.
Crouch, "Functional Human Anatomy, 2nd. Ed.," pp. Cover & 158-161; 1972; Henry Kimpton Publishers, London (Printed In U.S.A.).
"Gray's Anatomy," pp. Cover & 183-191; 1974; Running Press Book Publishers, Philadelphia, Pennsylvania.
Jensen et al., "Engineering Drawing & Design, 3rd Ed.," pp. Cover & 178, 179; 1985; McGraw-Hill Book Company, Gregg Division, New York.
Sheet Of Three Figures Concerning Uniflex Nailing System & Article By Swiontkowski; 1 P.; Unknown & 1987, Respectively.
Hughes et al., "The Role Of Computerized Tomography In The Diagnosis Of An Occult Femoral Neck Fracture Associated With An Ipsilateral Femoral Shaft Fracture: Case Report," pp. 296-298; Feb., 1991; vol. 31, No. 2, The Journal Of Trauma, The Williams & Wilkins Company.
Intraflex Interim Intramedullary Pins; 5402-05 Intraflex Long Extracter With Hook & 5402-06 Intraflex Relacement Hook; 1 p. "B 68"; Zimmer, Inc.
Instruments For Medullary Nails; 1 p. No. 3-21; May, 1987; Synthes, Inc.
Universal Nail Insertion Instrument Set; 1 p. No. 1-89s; Jan., 1990; Synthes, Inc.
Tencer et al., "Biomechanical Considerations In Intramedullary Nailing of Femoral Shaft Fractures," pp. 1-5, 1988, Techniques In Orthopedics.
Johnson K. D., "Femoral Shaft Fractures," pp. 1560-1569, 1992, In Skeletal Trauma, vol. 2, W. B. Saunders, Philadelphia, Pa.
Johnson K. D., "Femoral Shaft Fractures," pp. 1598-1606, 1992, In Skeletal Trauma, vol. 2, W. B. Saunders, Philadelphia, Pa.
Harper et al., "Curvature Of The Femur And The Proximal Entry Point For An Intramedullary Rod," pp. 155-161, 1987, Clinical Orthopedics And Related Research.
Bennett F. et al., "Treatment Of Ipsilateral Fractures Of The Hip And Femoral Shaft,"pp. 480-481, 1992, Journal Of Orthopedic Trauma.
Latour, Jr. Robert A.
Shuler Thomas E.
LandOfFree
Intramedullary rod for fracture fixation of femoral shaft indepe does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Intramedullary rod for fracture fixation of femoral shaft indepe, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Intramedullary rod for fracture fixation of femoral shaft indepe will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-54137