DYNAMIC EXTERNAL ATTACHMENT DEVICE FOR OSTEOSYNTHESIS

Abstract

Pair of dynamic external fixation devices (100) for the reduction of fractures of bone fragments, said devices (100) being arranged on either side of a first bone portion traversed by a first pin (10) in a proximal position and a second bone portion traversed by a second pin (11) in distal position, while each of the dynamic external fixation devices (100) includes a first body (1) having a longitudinal axis profile (X, X), having a proximal bore (5) passing through an axis (Y, Y) in combination with the first pin (10), said first body (1) being embedded in a first coil spring (8), while said first spring (8) is nested in a second coil spring (12), mounted in conjunction with a second body mounted in conjunction on said first body (1), while the second body is mounted in conjunction with the second pin (11).

Claims

1. A pair of dynamic external fixation devices (100) for the reduction of fractures of bone fragments, said devices (100) being arranged on either side of a first portion of bone (O1) traversed by a first pin (10) in the proximal position and a second portion of bone (O2) traversed by a second pin (11) in a distal position, each of the dynamic external fixation devices (100) comprising a first body (1) having a longitudinal axis profile (X, X), having at least one proximal bore (5) passing through an axis (Y, Y) passed through by the first pin (10), said first body (1) being embedded in a first coil spring (8), characterized in that said first spring (8) is nested in a second coil spring (12) which is at least partially embedded in or stopped against a second body (13, 16, 18) which is either fitted around, or inserted in said first body (1), while the second body (13, 16, 18) is either fitted around, or is mounted in abutment against, or is fitted around the second spring (8) which abuts against the second pin (11).

2. The pair of dynamic external fixation devices (100) according to claim 1, wherein the first body (1) comprises a lumen (6) arranged longitudinally along the axis (X, X).

3. The pair of dynamic external fixation devices (100) according to claim 1, wherein the second body is a collar (18) in combination with and mounted at the end of the distal end of the second spring (12), while the distal end of said collar (18) interacts with the second pin (11) arranged in the lumen (6), oriented parallel to the axis (Y, Y) passing through the proximal bore (5).

4. The pair of dynamic external fixation devices (100) according claim 2, wherein the second body is a pivot (13) comprising: (i) a head (13a) comprising a distal bore (14) interacting with the second pin (11), (ii) a body (13b) cooperating with the lumen (6) oriented perpendicularly to the axis (Y, Y) passing through a proximal bore (5), and (iii) a closing element (13c) arranged in opposition to the head (13a).

5. The pair of dynamic external fixation devices (100) according to claim 4, wherein each of the devices (100) comprises a collar (18) in combination with and mounted at the end of the distal end of the second spring (12), while the distal end of said collar (18) interacts with the proximal end of the pivot (13).

6. The pair of dynamic external fixation devices (100) according to claim 4, wherein each of the devices (100) comprises a collar (18) comprising a thread complementary to the coil of the second spring (12), and said collar (18) is mounted rotationally on the second coil spring (12), while the distal end of the second spring (12) interacts with the proximal end of the pivot (13).

7. The pair of dynamic external fixation devices (100) according to claim 1, wherein the second body is a first collar (16) comprising a distal through bore (17), axially oriented parallel to the axis (Y, Y) of the proximal bore (5), the second pin (11) interacting with said distal through bore (17).

8. The pair of dynamic external fixation devices (100) according to claim 7, wherein each of the devices (100) comprises a second collar (18) comprising a thread complementary to the coil of the second spring (12), said second collar (18) rotationally mounted on the second coil spring (12), the distal end of the second spring (12) interacting with the proximal end of the first collar (16).

9. The pair of dynamic external fixation devices (100) according to claim 7, wherein each of the devices (100) comprises a second collar (18) in combination with the distal end of the second spring (12), said second collar (18) mounted at the end of the second spring (12), the distal end of said second collar (18) interacting with the proximal end of the first collar (16).

10. The pair of dynamic external fixation devices (100) according to claim 1, wherein the first body (1) comprises a proximal portion (2), in which is arranged at least one proximal through bore (5) collaborating with the first pin (10), a central portion (3), and a distal portion (4).

11. The pair of dynamic external fixation devices (100) according to claim 10, wherein the proximal portion (2) has a more prominent section than that of the central portion (3) and distal portion (4), and wherein the junction of the proximal portion (2) and the central portion (3) forms a shoulder (7) serving as a compression stop for the first coil spring (8).

12. The pair of dynamic external fixation devices (100) according to claim 11, wherein the proximal end of the first spring (8) is engaged in a recess (9), arranged in line with the shoulder (7), the said first spring (8) is blocked rotationally by the recess (9) and stops against the shoulder (7).

13. The pair of dynamic external fixation devices (100) according to claim 12, wherein the central portion (3) comprises a proximal central portion (3a) and a second central portion (3b), wherein the proximal central portion (3a) is of a more prominent section as compared to said second central portion (3b), wherein the junction of the proximal central portion and second central portion (3a, 3b) forms a second shoulder (15) serving as a stop at the proximal end of the second spring (12) in the extreme distraction position.

14. The pair of dynamic external fixation devices (100) according to claim 13, wherein the proximal portion (2) of the first body (1) comprises a truncated cylindrical section including a section comprising two parallel sides and two sides shaped concave in opposition.

15. The pair of dynamic external fixation devices (100) according to claim 14, wherein a diameter of the coil of the second spring (12) is greater than a diameter of the coil of the first spring (8).

16. The pair of dynamic external fixation devices (100) according to claim 2, wherein the first body (1) comprises a proximal portion (2), in which is arranged at least one proximal through bore (5) collaborating with the first pin (10), a central portion (3), and a distal portion (4).

17. The pair of dynamic external fixation devices (100) according to claim 3, wherein the first body (1) comprises a proximal portion (2), in which is arranged at least one proximal through bore (5) collaborating with the first pin (10), a central portion (3), and a distal portion (4).

18. The pair of dynamic external fixation devices (100) according to claim 4, wherein the first body (1) comprises a proximal portion (2), in which is arranged at least one proximal through bore (5) collaborating with the first pin (10), a central portion (3), and a distal portion (4).

19. The pair of dynamic external fixation devices (100) according to claim 5, wherein the first body (1) comprises a proximal portion (2), in which is arranged at least one proximal through bore (5) collaborating with the first pin (10), a central portion (3), and a distal portion (4).

20. The pair of dynamic external fixation devices (100) according to claim 6, wherein the first body (1) comprises a proximal portion (2), in which is arranged at least one proximal through bore (5) collaborating with the first pin (10), a central portion (3), and a distal portion (4).

Description

[0025] Other features and advantages of the invention will become apparent from the description which follows, with reference to the accompanying drawings which are given by way of non-limiting examples.

[0026] FIGS. 1 to 6 are views of the dynamic external fixation device (100), according to one embodiment of the invention.

[0027] FIG. 1 is a perspective view of a pair of dynamic external fixation devices (100) in use.

[0028] FIG. 2 is a perspective view of a dynamic external fixation device (100).

[0029] FIG. 3 is a view from above according to (D) of FIG. 2.

[0030] FIG. 4 is a front view according to (F) of FIG. 2.

[0031] FIG. 5 is a partial view, in perspective, of the dynamic external fixing device (100), illustrating the first body (1) in combination with the second spring (13).

[0032] FIG. 6 is a partial perspective view of the dynamic external fixation device (100) illustrating the second body.

[0033] FIG. 7 is a perspective view of a dynamic external fixation device (100) according to another embodiment of the invention.

[0034] FIGS. 8 to 10 are views of a dynamic external fixation device (100) according to an embodiment of the invention.

[0035] FIG. 8 is a perspective view of a dynamic external fixation device (100) in the extreme traction position.

[0036] FIG. 9 is a perspective view of a dynamic external fixation device (100) in the extreme distraction position.

[0037] FIG. 10 is a sectional view of FIG. 8.

[0038] FIGS. 11 and 12 are views of the dynamic external fixation device (100), according to another embodiment of the invention.

[0039] FIG. 11 is a perspective view of the dynamic external fixation device (100).

[0040] FIG. 12 is a perspective view of a pivot (14).

[0041] The invention is thus, as illustrated in FIG. 1, in the form of a pair of dynamic external fixation devices (100), arranged on either side of two parts of bone to be consolidated, namely a first portion of bone (O1) located in the proximal portion and a second portion of bone (O2) located in the distal portion. The pair of dynamic external fixation devices (100) is connected by two pins (10, 11), that is, a first pin (10) in the proximal position, and a second pin (11) in a distal position, which cross right through the bone portions (O1, O2) to be consolidated.

[0042] In addition, a dynamic external fixation device (100) according to the invention comprises a first body (1), having a longitudinal profile, of the general axis (X, X), mounted in cooperation with a second body. Each of the two bodies is mounted together with a coil spring (8, 12). The coil springs (8, 12) are mounted nested in opposition, their respective coils being assembled one with the other.

[0043] The second spring (12) is nested in rotation in the first spring (8). The second spring (12) is subjected to movements of rotation, compression and expansion, while the first spring (8) is only subjected to compression and expansion movements.

[0044] According to the embodiments, the second spring (12) advantageously has a larger coil diameter than the first spring (8). This characteristic allows the rotation of the second spring (12) by a collar (18) rotationally mounted on the latter by a suitable thread, as explained in more detail in the following description.

[0045] According to other embodiments, the two springs (8, 12) have the same diameter of the coil, advantageously when the second body, namely a collar (18) is mounted, in combination, at the end, of the distal end of the second spring (8).

[0046] Note that adjustment of the traction or distraction of the two bone portions (O1, O2), via the pins (10, 11), is achieved by the rotation of the second spring (12). This rotational movement of the second spring (12) is advantageously generated either alone, or by the rotation of the second body or by the rotation of a collar (18). In distraction, one of the two or both springs (8, 12) undergo(es) advantageously a compression movement, while in tension, these or one of these advantageously undergo(es) an expansion.

[0047] Note that the first body (1) comprises a proximal portion (2), in which is arranged at least one proximal bore (5) passing through an axis (Y, Y), a central portion (3), and a distal portion (4).

[0048] According to one embodiment, the first body (1) comprises a proximal bore (5).

[0049] According to some embodiments, the first body (1) comprises two proximal bores (5), more preferably three proximal bores (5). These latter are advantageously aligned along one axis parallel to the other axis (X, X).

[0050] According to some embodiments, at least the distal portion (4) comprises a longitudinal lumen (6) along the axis (X, X). The plane passing through the lumen (6) is arranged parallel to the axis (Y, Y) passing through one proximal bore (5), but it could be otherwise, the plane passing through the lumen (6) is arranged perpendicularly to the axis (Y, Y) passing through the proximal bore (5).

[0051] It should be noted that the proximal portion (2) of the first body (1) has a more prominent section than that of the central (3) and distal (4) part. The junction of the proximal portion (2) and the central portion (3) forms a first shoulder (7) serving as a compression stop for the first coil spring (8), mounted at least along the central portion (3).

[0052] According to one feature, the proximal end of the first spring (8) is engaged in a recess (9), arranged in line with the first shoulder (7). The first spring (8) is thus locked in rotation by the recess (9) and stops against the first shoulder (7) during compression movement.

[0053] According to another feature, the proximal portion (2) has a truncated cylindrical section. This section, according to one embodiment, as illustrated in FIG. 5, has two parallel sides and two concave-shaped sides in opposing position. This particular configuration allows minimal obstruction when one or both external fastening device(s) (100) is/are placed, for example, between two fingers.

[0054] According to an additional feature, the central portion (3) is composed of two parts, namely a first portion (3a) of larger section and a second portion (3b) of a less prominent section. The junction of these latter two parts (3a, 3b) of the central portion (3) forms a second shoulder (15), serving as a stop for the second spring (12), in an extreme distraction position.

[0055] According to some embodiments, the second portion (3b) advantageously has a full section in order to limit the size of the lumen (6) arranged at least in the distal portion (4) and thus to limit the displacement of the second pin (11), inserted in the latter.

[0056] Additionally, the second body advantageously has a cylindrical section and an internal diameter equal to or substantially greater than the outside diameter of the distal portion (4) of the first body (1), but it could be otherwise, the internal diameter of the second body is equal to or substantially greater than the diameter of the second spring (12).

[0057] According to one embodiment, as illustrated in FIGS. 2 to 6, the first body (1), as illustrated in more detail in FIG. 5, comprises a longitudinal lumen arranged parallel to the axis (Y, Y) passing through a proximal bore (5). The second pin (11) in the distal portion (4) is arranged in the lumen (6). The second body, as further illustrated in FIG. 6, is a collar (18) in combination with the distal end of the second coil spring (12). The assembly constituted by the collar (18) and the second spring (12) is rotationally mounted on the first body (1). The distal portion of the second body stops against the second pin (11). The second body is thus located between the two pins (10, 11), more precisely limited by the second pin (11) and the proximal portion (2) of the first portion body (1), more precisely limited by the central portion (3) of the latter. Grooves (19) are provided at the distal end of the second body to facilitate engaging and holding the body against the second pin (11).

[0058] According to an alternative of the invention, as illustrated in FIG. 7, the first body comprises a lumen (6) arranged parallel to the axis (Y, Y) passing through a proximal bore (5), while the second body is a collar (18) rotationally mounted on the second spring (12). The second body comprises in its inner wall a thread complementary to the coil of the second spring (12). The second spring (12) is further rotationally mounted on the first body (1). The distal portion of the second spring (12) stops against the second pin (11). The second pin (11) in the distal portion (4) is arranged in the lumen (6).

[0059] According to one embodiment, as illustrated in FIGS. 8 to 10, the second body is a first collar (16) comprising a distal bore (17) with an axis oriented parallel to the axis (Y, Y) of the proximal bore (5), the second pin (11) being arranged in the bore (17). The second spring (12) is mounted in cooperation with the first collar (16), namely, the distal end of the second spring (12) stops against the proximal portion of the first collar (16), while a second collar (18) is rotationally mounted on the second spring (12). The second collar (18) comprises in its inner wall a thread complementary to the coil of the second spring (12).

[0060] According to an alternative of the previous embodiment, the second collar (18) is not rotationally mounted on the second spring (12), but at the end of the latter.

[0061] According to another alternative of the preceding embodiment, the external fixing device (100) does not comprise a second collar (18).

[0062] According to another embodiment, as illustrated in FIG. 11, the lumen (6) is arranged perpendicular to the axis (Y, Y) passing through a proximal bore (5). The second body is a pivot (13), comprising a distal bore (14). The pivot (13) is inserted into the lumen (6). This pivot (13) consists of a head (13a) comprising a distal bore (14), a body (13b) cooperating with the lumen (6) and a closure element (13c). It is understood that the second pin (11) is inserted into the distal bore (14) of the head (13a) of the pivot (13), to be arranged parallel to the first pin (10). One collar (18), as shown in more detail in FIG. 6, is in combination with the distal end of the second coil spring (12). The assembly constituted by the collar (18) and the second spring (12) is rotationally mounted on the first body (1). The distal end of the collar (18) stops against the proximal portion of the pivot (13).

[0063] According to an alternative of the preceding embodiment, the second collar (18) is not mounted at the end on the second spring (12), but rotationally on the latter.

[0064] According to another alternative of the preceding embodiment, the external fixation device (100) does not comprise a second collar (18).