Abstract: An external fixation system for a bone and associated method. The fixation system includes a proximal frame defining a continuous proximal boundary, a distal frame defining a continuous distal boundary, and at least one frame connector configured for interconnecting the proximal and distal frames at any position along at least one of the proximal and distal boundaries.

Abstract: A disposable medical device is especially an articulation for the relative positioning of fixation bars or of pins of an external fixator, having at least a clamping means to be introduced into the medical device, the clamping means comprises an element that alters its appearance when being heated over a threshold temperature, thus giving optical or mechanical information that the device should not be used a second time.

Abstract: A medical apparatus for use with an outrigger and at least one fastening pin to reposition first and second portions of a bone of a mammalian body. The apparatus includes a framework and a first fastening assembly for coupling the framework to the outrigger and thus the at least one fastening pin and the first end portion of the bone. The first end portion of an elongate pin is provided with a sharpened tip for penetrating the second portion of the bone. A second fastening assembly couples the second end portion of the elongate pin to the framework. At least one adjustment assembly is carried by at least one of the framework and the first and second fastening assemblies for moving the first end portion of the elongate pin relative to the outrigger so as to reposition the second portion of the bone relative to the first portion of the bone. A method for using the apparatus is provided.

Abstract: A device which is used to immobilize a threaded support pin (21) in relation to a fixed element (1, 34), the pin being screwed into a bone part (3, 3a, 3b) along an axis. A locking sleeve (13) can be solidly screwed to the fixed element (1, 34, 7) and is provided with an axial bore (19) in order to receive the pin (21). The axis (zz?) of the sleeve screw thread is angularly and/or laterally offset in relation to the axis (yy?) of the pin (21) when the latter is in place on the bone part (3, 3a, 3b), and/or the axis of the bore (19) of the locking sleeve (13) is angularly and/or laterally offset in relation to the screw threaded axis (6).

Abstract: The fixator is an apparatus for repairing fractures of the distal radius and wrist. Distal, pivot, distraction, and radial members provide an anatomically contoured, radiolucent apparatus that permits the wrist to move through a substantially normal range of motion. A means for distraction of the bones by the fixator is also provided. The fixator may be affixed to the lower arm and hand by spaced-apart elongate distal mounting pins with lower ends adapted or mounting in the metacarpal bone and by spaced-apart elongate radial mounting pins with lower ends adapted for mounting in the radius.

Abstract: A distractor frame comprises an upper pin, a lower pin positioned substantially parallel to the upper pin, a pair of adjustment mechanisms, wherein each adjustment mechanism couples to the upper pin and the lower pin such that each adjustment mechanism is positioned generally perpendicular to the upper and lower pins, wherein each adjustment mechanism comprises a shaft, a first pin connector for coupling the upper pin to the shaft, a threaded rod coupled to an end of the shaft, a cylindrical sleeve adapted for threadedly engaging the threaded rod, such that a portion of the shaft and a portion of the threaded rod may be positioned within the cylindrical sleeve, and a second pin connector coupled to the cylindrical sleeve for coupling the lower pin.

Abstract: A unilateral external fixator device that allows for gross manipulation and fine adjustment of deformities in six degrees of freedom. The device may comprise a strut assembly and two compound movable joints, one at each end of the strut assembly. One compound movable joint may comprise two revolute joints, each containing a gear reduction mechanism and may rotate about the strut. The second compound movable joint may contain two revolute joints, each containing a gear reduction mechanism, and may move along the length of the strut assembly. The gear reduction mechanisms may comprise helical spline assemblies that allow for gross and fine adjustment of the fixator.

Abstract: A connecting element for connecting two rods or screws used for bone or vertebra stabilization is provided. The connecting element comprises a connecting portion, a first portion which can be connected to one of the rods and a second portion which can be connected to the other rod. In order that not only rods parallel to each other, but also those inclined at an angle to each other or oblique can be fixed to each other, the first portion is connected to the connecting portion by a device allowing polyaxial orientation.

Abstract: A bone fixator for securing a first bone portion in a position relative to second bone portion is disclosed, including at least two clamping assemblies each for receiving at least one bone pin and a main body disposed between the clamping assemblies. The main body includes at least one joint for orienting the clamping assemblies with respect to each other. The at least one joint may permit pivoting or rotation. Some joints permit the articulation of several components to be simultaneously and releasably lockable.

Abstract: The present invention 10 discloses a bridge cap comprising a compressible resilient material having a substantially oval shape with a planar surface on the distal ends 24 thereof. The bridge cap 10 has a cavity 28 with a pliable material 30 therein whereby the bridge cap can be releasably positioned on protruding pins 16 such that the pins extending from the fixator devices can be covered to prevent inadvertent potentially damaging contact with the protruding pins especially while sleeping.

Abstract: A connecting element is created for connecting two rods (6, 9) or screws used for bone or vertebra stabilisation. The connecting element has a connecting part (10), a first part connectable to one of the rods and a second part connectable to the other rod. The connecting part is adjustable in length in the direction of the connecting axis of the first part and the second part and can therefore be adapted to different rod distances.

Abstract: A device for external fixation of a fracture of the proximal end of the ulna includes an frame having a distal elongated portion extending below the ulna, holding a number of pins extending upward into the shaft portion, and a proximal portion extending rearward, and upward around the proximal end of the ulna, holding a medullar pin extending into a medullar channel and a number of pins extending into fragments of the fractured ulna.

Abstract: A fixture is configured to provide external fixation of a fractured end portion of a bone by including a first number of holes for pins extending from the fixture into one or more fragments in the end portion and a second number of holes for pins extending from the fixture into the bone shaft. The second number of holes includes a hole within a sliding structure allowing a single pin to be moved with a fixture to provide extension between the fragments and the shaft. A first version of the fixture includes a sliding block through which rods extend to hold pins directed laterally into the fragments(s), and a sliding for clamping pins within the first number of holes. A second version of the fixture includes an arcuate portion in which the first number of holes extend in radial directions.

Abstract: Bone fixators for securing and/or repairing fractures and/or other defects of a distal radius and wrist. The bone fixators may include, among others, (1) a distal mounting element configured to be mounted in a metacarpal bone, or other hand bone, (2) a proximal mounting element configured to be mounted in the radius, the ulna, or other arm bone, (3) a distal member configured to be secured to the distal mounting element, (4) a proximal member configured to be secured to the proximal mounting element, and/or (5) a coupling, connecting the proximal member and the distal member, configured to allow immobilization, as well as adjustable flexion, rotation, and/or translation of the distal member relative to the proximal member.

Abstract: An external fixation system having an improved fixation component for constructing a stable, adjustable fixation system that cooperates with other systems, and methods of use thereof.

Abstract: A simplified external bone fixator assembly is provided which allows the surgeon to snap a bone fixation rod into the assembly at any location along the length of the rod. The invention does not require “threading” of the assembly onto the rod starting at the end and sliding it down the length of the rod to the desired location. In particular, a bone pin locking assembly is provided for use with standard bone fixation rods and bone pins. The assembly includes a bone pin vise, a single-piece fixation rod attachment member and a coupling to allow relative adjustment of pin vise and rod attachment member. The single-piece rod attachment member has two opposing jaws that loosely capture the bone fixation rod when the surgeon presses the rod into the attachment member. The assembly may be rigidly fixed to the rod using a bolt which tightens the attachment member onto the rod.

Abstract: Methods, systems, and devices according to this invention provide drill guides for optimal placement of fixation elements, such as half pins, into a patient's bone. According to one embodiment, a collar frame with a collar adapted to receive a bar of an orthopedic external fixation system such that the collar may be moved linearly or rotationally about the bar is coupled to a guide frame including a bore through which a fixation element of the external fixation system may be inserted. The coupling between the collar frame and the guide frame allows for them to rotate about at least one axis relative to each other. In one embodiment, the collar frame and the guide frame may rotate about three axes relative to each other.

Abstract: An apparatus and method for restricting movement of a patient's head. The apparatus includes a frame and a plurality of constraints engaged with the frame to exactly constrain the patient's head relative to the frame.

Abstract: A combination bone fixation/immobilization apparatus is adapted to stabilize a patient's foot and ankle. A foot plate is adapted to have one or more transfixation wires or pins or screws fixed thereto. A substantially rigid leg support assembly is adapted to receive a patient's leg, the leg support comprising a cuff and a strap adapted to secure the cuff around the patient's leg. The leg support is rigidly attached to the foot plate. A patient's foot may thereby be fixed with transfixation wires, or pins or screws and simultaneously immobilized with respect to the ankle and lower leg.

Abstract: A bone fixation apparatus and method are provided that allow a user to push bone pins into engagement with bones with more precision and accurate feel as to proper engagement and the clamping forces between the pins and bone over prior devices utilizing applicator guns and the like. Fine tuning of the clamping forces is also contemplated. Compact and highly ergonomic bone fixators are provided which allow the user to remain close to the pin application site during clamping of the pins onto the bone. Significant flexiblity is preferably incorporated by having two adjustably connected positioner bodies which can each mount a pin holder module releasably attached thereto. A fixation system with improved rigidity is also provided by way of independent clamping members for each of a pair of rod mounts on each pin positioner.

Abstract: Bone fixators for securing and/or repairing fractures and/or other defects of a distal radius and wrist. The bone fixators may include, among others, (1) a distal mounting element configured to be mounted in a metacarpal bone, or other hand bone, (2) a proximal mounting element configured to be mounted in the radius, the ulna, or other arm bone, (3) a distal member configured to be secured to the distal mounting element, (4) a proximal member configured to be secured to the proximal mounting element, and/or (5) a coupling, connecting the proximal member and the distal member, configured to allow immobilization, as well as adjustable flexion, rotation, and/or translation of the distal member relative to the proximal member.

Abstract: The invention relates to medicine, in particular to spinal surgery and is used for curing spinal diseases and injuries in specialized departments of vertebrology and neurosurgery. The inventive device includes not more than nine fixing units. Each unit bears two fixing elements fastened to it which are embodied in the form of a threaded stem, the working ends of which are implanted in roots of vertebra arches angularly at 35-45° to the sagittal plane of the vertebra. The fixing units are connected to each other in groups of three with the aid of threaded ties, thereby forming support units. Two of the units are side units and one is intermediate unit. The intermediate unit is connected to the side support units so that it can move with the aid of the connecting hinge junctions. Dosed displacement is performed by moving distraction nuts.

Abstract: An external fixator includes a main body and an outrigger for extending over a fractured joint, such as a wrist joint. The main body can be positioned next to a right arm, or flipped over and positioned next to a left arm. The outrigger is attachable to extend either to the left or to the right of the main body, as appropriate. A distal body is removeably connectable to the distal end of the main body, and the distal body can be affixed to bone on the opposite side of the fracture to immobilize the joint where the fracture occurs. The distal body is connected to the main body with an adjustable securement section which provides six degrees of adjustment freedom. The outrigger is attached to the main body through a slide plate in a dual rail configuration which provides two dimensions of adjustment. Fragment pin supports ride in a track of the outrigger, and provide seven degrees of adjustment freedom for directed fixation of fragments at the fracture site.

Abstract: A connecting element is created for connecting two rods (6, 9) or screws used for bone or vertebra stabilisation. The connecting element has a connecting part (10), a first part connectable to one of the rods and a second part connectable to the other rod. The connecting part is adjustable in length in the direction of the connecting axis of the first part and the second part and can therefore be adapted to different rod distances.

Abstract: A unilateral external fixator device that allows for gross manipulation and fine adjustment of deformities in six degrees of freedom. The device may comprise a strut assembly and two compound movable joints, one at each end of the strut assembly. One compound movable joint may comprise two revolute joints, each containing a gear reduction mechanism and may rotate about the strut. The second compound movable joint may contain two revolute joints, each containing a gear reduction mechanism, and may move along the length of the strut assembly. The gear reduction mechanisms may comprise helical spline assemblies that allow for gross and fine adjustment of the fixator.

Abstract: An external bridging/non-bridging bone fixation device including at least a first member and a second member. The first member is implanted substantially permanently on an arm bone during an entire healing process. Whereas the second member is adapted to be substantially temporarily implanted and affixed between the first member and a metacarpal of the associated hand. The second member may be a singular rigid piece or may be formed of several modular pieces affixed together. In particular, the second member may be hinged to allow for an offset or angled implantation. Also, the second member may include a plurality of pieces that are rigidly held together after implantation to allow for high selectivity by a physician. The bridging/non-bridging bone fixation device allows for a bridging adaptation during an initial portion of healing and a non-bridging adaptation during the extended healing process to reduce the possibility of stiffness and plaques due to prolonged periods of immobility.

Abstract: An apparatus and method are provided for restricting movement of a patient's head. The apparatus includes a frame and a plurality of constraints engaged with the frame to exactly constrain the patient's head relative to the frame.

Abstract: An external fixator includes a main body and an outrigger for extending over a fractured joint, such as a wrist joint. The main body can be positioned next to a right arm, or flipped over and positioned next to a left arm. The outrigger is attachable to extend either to the left or to the right of the main body, as appropriate. A distal body is removeably connectable to the distal end of the main body, and the distal body can be affixed to bone on the opposite side of the fracture to immobilize the joint where the fracture occurs. The distal body is connected to the main body with an adjustable securement section which provides six degrees of adjustment freedom. The outrigger is attached to the main body through a slide plate in a dual rail configuration which provides two dimensions of adjustment. Fragment pin supports ride in a track of the outrigger, and provide seven degrees of adjustment freedom for directed fixation of fragments at the fracture site.

Abstract: The invention applies to the field of medicine, particularly to bone surgery. The invention relates to a monolateral orthopedic external fixation device for immobilizing a fractured bone having a rigid support, at least two pins screwed into the bone and joined to the rigid support by a connecting mechanism comprising a pin-holding device composed of two identical parts forming a clamp whose two opposing faces have depressions. These depressions are able to receive and hold pins with diameters from 3 to 6 mm.

Abstract: An external fixation system for treating bone fractures, comprising a first support and a second support respectively for first and second series of locking clamps for pins to be inserted in portions of a bone formed by a fracture edge, further comprising connection elements interposed between the first and second supports, which allow adjustable relative rotation between said first and second supports about an axis that substantially coincides with a longitudinal axis of the bone.

Abstract: The present invention provides a clamp assembly which allows the surgeon to snap a bone fixation assembly onto a bone fixation rod at an intermediate location along the length of the rod. It is not necessary to “thread” the clamp onto the rod starting at the end and sliding it down the length of the rod to the desired location. In particular, this invention provides a novel clamp assembly for use with standard bone fixation rods, and bone pins. The clamp allows the interconnection of a bone fixation rod with a bone pin locking assembly including a bone pin vise. The clamp is a single-piece construction, having a jaw capable of loosely capturing the bone fixation rod when the surgeon presses the jaw onto the rod. The assembly may be rigidly fixed to the rod using a bolt which tightens the jaw onto the rod.

Abstract: A simplified external bone fixator assembly is provided which allows the surgeon to snap a bone fixation rod into the assembly at any location along the length of the rod. The invention does not require “threading” of the assembly onto the rod starting at the end and sliding it down the length of the rod to the desired location. In particular, a bone pin locking assembly is provided for use with standard bone fixation rods and bone pins. The assembly includes a bone pin vise, a single-piece fixation rod attachment member and a coupling to allow relative adjustment of pin vise and rod attachment member. The single-piece rod attachment member has two opposing jaws that loosely capture the bone fixation rod when the surgeon presses the rod into the attachment member. The assembly may be rigidly fixed to the rod using a bolt which tightens the attachment member onto the rod.

Abstract: A modular external fixation system includes a plurality of modular components, each formed of a non-metallic material. One of the modular components is a modular rod that is provided in a single initial length and then cut to a length appropriate for a particular external fixation procedure. Another modular component is an interlocking element that can be mounted on one end of the modular rod and that includes an interlocking feature for engagement with other modular components. The system can also include a distraction arm that can be mounted at one end of the fixation framework. The arm includes a bar portion configured to be grasped to apply a distraction force along the construct. The arm can be pivotably mounted so that it can be pivoted to a distraction position, or to other positions, including one position in which the arm bears against the foot of an instrumented leg, and another position in which the arm acts to support the entire leg.

Abstract: The inventive apparatus for transosseous osteosynthesis comprises a detachable repositioning mechanism for axial compression and distraction of bone fragments, the mechanism having a thrust element with two guiding bars. A mobile traverse is mounted on the guiding bars. A lead screw which interacts with a screw orifice of the mobile traverse is fixed in the thrust element. Two side bars for movement of bracing frames, one end of each of the side bars being fixed to the mobile traverse, the other end being fixed to a holder with the aid of a screw clamp. The apparatus has at least two holders, each comprising a hollow body with an inner cylindrical surface, the axis of the body coincides with the axis of a corresponding tightening bolt, and also has a stem on the side surface of the body with an opening, which stem has a threaded portion. A latch is disposed in the holder body and is intended for fixing the holder in the direction of axial movement along the tightening bolt.

Abstract: By providing components securable to anchor pins or screws of different diameters as well as providing clamps which hold associated pins in any position during adjustments, an external fixation or adjustable frame structure is provided which is capable of being quickly and easily assembled in any desired configuration. In the present invention, the frame structure is retained in any assembled configuration in order to allow final adjustments to be made, prior to the final securement of the frame assembly in the precisely desired configuration by closure of each clamp member. In this way, an entire frame assembly is capable of being constructed, adjusted, and readjusted in order to assure each component is oriented in the precisely desired position prior to final closure of the clamping members.

Abstract: The invention relates to a fixation device with clamping jaws and with rods connecting the clamping jaws, said rods being adjustable axially and angularly for positioning relative to the clamping jaws and clampable in the desired position, and with fixation and retaining pins that are receivable in a clampable fashion in the clamping jaws. According to the invention, a fixation pin applicator can be connected in a releasable fashion to the clamping jaws. A fixation pin can be brought into a desired position by means of the fixation pin applicator.

Abstract: Methods, systems, and devices according to this invention provide drill guides for optimal placement of fixation elements, such as half pins, into a patient's bone. According to one embodiment, a collar frame with a collar adapted to receive a bar of an orthopedic external fixation system such that the collar may be moved linearly or rotationally about the bar is coupled to a guide frame including a bore through which a fixation element of the external fixation system may be inserted. The coupling between the collar frame and the guide frame allows for them to rotate about at least one axis relative to each other. In one embodiment, the collar frame and the guide frame may rotate about three axes relative to each other.

Abstract: An external fixation system having an improved fixation component for constructing a stable, adjustable fixation system that cooperates with other systems, and methods of use thereof.

Abstract: A finger suffering from contracture of the proximal interphalangeal (PIP) joint is treated by application of a device that includes two pivotally joined sections, one of which is securable to the middle phalanx of the finger and the other to another portion of the patient's finger, hand or wrist, with an element that applies torque to the sections. The pivot axis of the two sections is dorsal to the finger, and the torque-producing element and the pivot axis define a moment arm whose length varies in inverse relation to the tension applied to the tensioning element. Torque is applied to the PIP joint without a functionally significant torque being applied to the metacarpal phalangeal (MP) joint, and the device requires attachment only to the dorsal aspect of the phalanx that is distal to the joint being treated rather than to both the distal phalanx and the proximal phalanx.

Abstract: The invention relates to a new type of axial unilateral external splint device for stabilizing bone fractures, comprising an extendible rod-like middle body (2) and oppositely located bone screw clamps (5, 6) which are articulated to respective ends (3, 4) of the rod-like middle body (2) by means of ball joints. Advantageously, a ball-and-socket joint (16) is mounted to each clamp (5, 6), within a main body (20) with which a bone screw clamping arrangement (25, 26, 21, 22, 23) is associated or co-operates. Also provided are ancillary members (30) adapted for removable association with the end of each clamp (5, 6) to allow each clamp to be more suitable for use, depending on the different operative installation conditions of the fixator.

Abstract: A fixture is configured to provide external fixation of a fractured distal radius by including a first number of holes for pins extending downward from the fixture into one or more bone fragments and a second number of holes for pins extending downward from the fixture into the shank of the radius. The fixture also includes a sliding block through which rods extend to hold pins directed laterally into the fragment(s). A sliding plate including a number of holes aligned with the first number of holes is moved by a pair of setscrews to clamp the pins extending through the first number of holes. The second number of holes includes a hole within a sliding structure allowing a single pin to be moved with a fixture to provide extension between the fragments and the shank of the radius.

Abstract: The present invention provides a simplified external bone fixator assembly which allows the surgeon to snap the assembly onto a bone fixation rod at an intermediate location along the length of the rod. It is not necessary to “thread” the assembly onto the rod starting at the end and sliding it down the length of the rod to the desired location. In particular, this invention provides a novel bone pin locking assembly for use with standard bone fixation rods, and bone pins. The bone pin locking assembly includes a bone pin vise, a single-piece fixation rod clamp, and a coupling to allow relative adjustment of the pin vise and the rod clamp. The rod clamp is a single-piece construction, having a jaw capable of loosely capturing the bone fixation rod when the surgeon presses the jaw onto the rod. The assembly may be rigidly fixed to the rod using a bolt which tightens the jaw onto the rod.

Abstract: This invention is generally in the field of improved methods for the localized delivery of heat and the use thereof for the repair of tissue. The method involves localized induction of hyperthermia in tissue or materials by delivering nanoparticles to the tissue or materials and exposing the nanoparticles to an excitation source under conditions wherein they emit heat. The generation of heat effects the joining of the tissue or materials.

Abstract: The invention relates to a bone screw, particularly for use with external splints in fracture stabilization, comprising an elongate cylindrical body (2) of predetermined length and diameter tapering into a threaded end portion (5) which terminates with a tip (6), and an opposite screw-handling end (3). The screw-handling end (3) has substantially the same diameter as that of the elongate cylindrical body (2) and comprises a flat (7) extending parallel to the axis of the cylindrical body over the main part of the cylinder body portion unoccupied by the thread. In a further embodiment, the screw-handling end (3) is formed with a plurality of flats (8) extending parallel to the axis of the cylinder body (2) at predetermined spacings. These flats extend over the main part of the cylindrical body portion unoccupied by the threadway and alternate with lands (9).

Abstract: A method and apparatus are disclosed for treating bone fractures by the application of intermittent pneumatic compression. The period of compression is sufficient to induce venous stasis at the fracture site. The period of recovery can be about half the period of compression. The applied pressure can be 50% or less of the baseline pressure.

Abstract: A bone fixator for securing a first bone portion in a position relative to second bone portion is disclosed, including at least two clamping assemblies each for receiving at least one bone pin and a main body disposed between the clamping assemblies. The main body includes at least one joint for orienting the clamping assemblies with respect to each other. The at least one joint may permit pivoting or rotation. Some joints permit the articulation of several components to be simultaneously and releasably lockable.

Abstract: A method of treating a bone fracture includes a step of attaching a pair of bone fragments together with an internal screw. An outrigger pin is then attached to the internal screw. An alignment guide is positioned in the internal screw and in the outrigger pin. An external fixator frame is then attached to the outrigger pin. This structure combines the function of an internal screw with an external fixation pin in cases where there are at least two significant bone fragments that need to be compressed together and a need for external buttressing in order for proper healing of the bone fracture.

Abstract: An external fixator for securing a first bone portion in a fixed relationship with respect to a second bone portion includes a longitudinally extending rod and a bone screw clamping assembly. The bone screw clamping assembly receives at least one bone screw. The bone screw clamping assembly is mounted to the rod for relative universal movement about a point through which the rod passes and is normally permitted to longitudinally translate along an axis defined by the rod.

Abstract: By providing components securable to anchor pins or screws of different diameters as well as providing clamps which hold associated pins in any position during adjustments, an external fixation or adjustable frame structure is provided which is capable of being quickly and easily assembled in any desired configuration. In the present invention, the frame structure is retained in any assembled configuration in order to allow final adjustments to be made, prior to the final securement of the frame assembly in the precisely desired configuration by closure of each clamp member. In this way, an entire frame assembly is capable of being constructed, adjusted, and readjusted in order to assure each component is oriented in the precisely desired position prior to final closure of the clamping members.

Abstract: An external fixator for securing a first bone portion in a fixed relationship with respect to a second bone portion includes a longitudinally extending rod and a bone screw clamping assembly. The bone screw clamping assembly receives at least one bone screw. The bone screw clamping assembly is mounted to the rod for relative universal movement about a point through which the rod passes and is normally permitted to longitudinally translate along an axis defined by the rod.