초록 ▼

Bone plating implants, instruments, systems and methods for fracture fixation are provided. The systems includes the instruments and implants comprising a trial component, handle, aiming block, bone plate, tissue spreader, drill guide, K-wire guide, monoaxial screw-locking inserts, polyaxial screw-l

Bone plating implants, instruments, systems and methods for fracture fixation are provided. The systems includes the instruments and implants comprising a trial component, handle, aiming block, bone plate, tissue spreader, drill guide, K-wire guide, monoaxial screw-locking inserts, polyaxial screw-locking inserts, cable plugs, K-wires, monoaxial screws and polyaxial screws. The methods include the use of the instruments and implants for either open or minimally invasive fracture fixation surgery.

대표청구항 ▼

The invention claimed is: 1. A component for placement adjacent a bone to aid in selecting a bone plate from a plurality of bone plates, said component comprising: a head portion made at least in part from a radiolucent material; and an elongate stem portion extending from said head portion along a

The invention claimed is: 1. A component for placement adjacent a bone to aid in selecting a bone plate from a plurality of bone plates, said component comprising: a head portion made at least in part from a radiolucent material; and an elongate stem portion extending from said head portion along a centerline and made from a radiolucent material, said stem portion having first radiopaque markers located on the elongate stem radiolucent material indicating lengths of at least two plates of said plurality of bone plates and having a plurality of second radiopaque screw hole markers located on the elongate stem radiolucent material on either side of a slot in the elongate stem along a portion of the centerline wherein said head portion includes a connection for receiving a handle and further comprising a locking element adjacent said opening, said locking element adapted for engaging said handle wherein said locking element is a slider element slidably connected with said component and moveable with respect to said head portion into engagement with said handle. 2. The component of claim 1, wherein said connection is an opening. 3. The component of claim 1, wherein said handle is rotatable within said opening. 4. The component of claim 1, wherein said slider element has an open position defined by said opening being larger, and a closed position defined by said opening being smaller. 5. The component of claim 4, wherein said slider element is biased towards said closed position which is adapted for attaching said component to said handle. 6. The component of claim 4, wherein said open position of said slider element allows movement of said handle through said opening. 7. The component of claim 1, wherein said slider element further comprises a tongue and a tab, and is generally parallel to said component. 8. The component of claim 7, wherein said tongue is generally transversely oriented to said tab, and generally parallel to said component. 9. The component of claim 1, wherein said stem portion further comprises at least one slot surrounded at least in part by the second markers indicating positions of screw holes in said bone plate. 10. The component of claim 9, wherein a centerline of said slot is defined by centers of at least two adjacent of said second markers indicating positions of screw holes. 11. The component of claim 1, wherein said head and stem portions are formed as a longitudinally extending plate having a shape generally corresponding to a longitudinal shape of a long bone. 12. The component of claim 1, wherein said head and stem portions have a first side facing towards said bone and a second side facing away from said bone, and wherein said first side aids in selecting a right bone plate, and said second side aids in selecting a left bone plate. 13. A component that facilitates making an incision corresponding to a screw hole in a bone plate that is to be affixed to a fractured bone, said component comprising: a head portion and an elongate radiolucent stem portion, said stem portion having a longitudinally extending slot and a plurality of first and second arcuate radiopaque hole markers on the surface of the radiolucent material of the stem portion indicating positions of corresponding holes in said bone plate, the first and second arcuate radiopaque hole markers located on opposite sides of the slot with concave portions of the first and second members facing each other wherein said head portion includes a connection for receiving a handle further comprising a locking element adjacent said opening, said locking element adapted for engaging said handle wherein said locking element is a slider element slidably connected with said trial component and moveable with respect to said head portion into engagement with said handle. 14. The component of claim 13, wherein a centerline of said slot is defined by centers of said first and second hole markers. 15. The component of claim 14, further comprising third and fourth hole markers. 16. The component of claim 15, wherein said centerline of said slot is defined by centers of said first, second, third and fourth hole markers. 17. The component of claim 16, wherein said second hole marker is not located on a line defined by said first and third hole markers. 18. The component of claim 17, wherein said first, second, third and fourth hole markers are comprised of first and second radiopaque indicators of a circle. 19. The component of claim 18, wherein said first and second visible indicators of said first, second, third and fourth hole markers are on opposite sides of said slot. 20. The component of claim 13, wherein said slot is not straight. 21. The component of claim 13, further comprising multiple slots and more than two hole markers. 22. The component of claim 13, further comprising a radiopaque plate length marker on said stem indicating a length of a bone plate. 23. The component of claim 22, further comprising multiple plate length markers. 24. The component of claim 13, wherein said connection is an opening. 25. The component of claim 24, wherein said handle is rotatable within said opening. 26. The component of claim 13, wherein said slider element has an open position defined by said opening being larger, and a closed position defined by said opening being smaller. 27. The component of claim 26, wherein said slider element is biased towards said closed position which is adapted for attaching said component to said handle. 28. The component of claim 26, wherein said open position of said slider element allows movement of said handle through said opening. 29. The component of claim 13, wherein said slider element further comprises a tongue and a tab, and is generally parallel to said component. 30. The component of claim 29, wherein said tongue is generally transversely oriented to said tab, and generally parallel to said component. 31. The component of claim 13, wherein said head and stem portions have a first side facing towards said bone and a second side facing away from said bone, and wherein said first side aids in selecting a right bone plate, and said second side aids in selecting a left bone plate. 32. A method of locating a position for an incision and providing for the incision to be made, comprising: providing a radiolucent component having a centrally located slot and at least two individual radiopaque hole markers, one marker located on either side of the slot indicating positions of corresponding holes in a subcutaneously located bone plate; releasably adjusting said component relative to said bone plate so as to be located above the skin; and making an incision through said slot corresponding to a selected one of said at least two hole markers. 33. The method of claim 32, further comprising after providing said component, coupling a handle to said bone plate. 34. The method of claim 33, further comprising coupling said component to said handle prior to making said incision. 35. The method of claim 34, further comprising moving said component away from said incision after said incision is made. 36. The method of claim 35, wherein moving said component away from said incision comprises rotating said component on said handle. 37. The method of claim 35, wherein moving said component away from said incision comprises uncoupling said component from said handle. 38. The method of claim 35, further comprising inserting a tissue spreader into said incision and spreading said incision with said tissue spreader. 39. The method of claim 38, further comprising preparing a bone screw hole in a fractured bone through said incision, and inserting a bone screw to attach said bone plate to said fractured bone. 40. The method of claim 33, wherein coupling said handle to said bone plate comprises coupling a block to said bone plate, and coupling said handle to said block. 41. The method of claim 40, further comprising affixing said bone plate to a fractured bone using screws. 42. The method of claim 41, further comprising uncoupling said block from said bone plate and removing said block via manipulation of said handle to which said block is coupled. 43. A method of locating a position for an incision and providing for the incision to be made, comprising: providing a component having a slot and at least two hole markers indicating positions of corresponding holes in a subcutaneously located bone plate; releasably adjusting said component relative to said bone plate; making an incision through said slot corresponding to a selected one of said at least two hole markers; further comprising after providing said component, coupling a handle to said bone plate; further comprising coupling said component to said handle prior to making said incision; wherein releasably adjusting said component relative to said bone plate comprises adjusting said component along a height of said handle.