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US8182489B2 Active / In Force US ⏱️ 1.7 years remaining

Method and apparatus for performing an open wedge osteotomy

Assignee: Arthrex Inc
•
Filing: 2008-08-07
•
Granted: 2012-05-22
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Expires: 2028-08-07
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Abstract

Abstract A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises: an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; and threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position.

Inventors

  • 👤 Justin L. Horacek

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-08 19:53
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/56; A61B17/58; A61B17/68; A61B17/80; A61B17/8095

Claims Analysis

Total Claims: 23
Claim 1
Independent Claim 136 words
A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises: an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; and an osteotomy plate for covering at least a portion of the entrance of the wedge-like opening; and threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position.
Claim 2
Independent Claim 136 words
A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises: an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; and an osteotomy plate for covering at least a portion of the entrance of the wedge-like opening; and threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position.
Claim 3
Dependent Claim 39 words
A method according to claim 1 wherein the osteotomy plate is secured to the bone after the elongated body is threadingly advanced into the wedge-like opening, whereby to prevent retraction of the elongated body out of the wedge-like opening.
Claim 4
Dependent Claim 21 words
A method according to claim 1 wherein the osteotomy plate is secured to the exterior of the bone using bone screws.
Claim 5
Dependent Claim 23 words
A method according to claim 1 wherein the osteotomy plate comprises a projection for engagement with the proximal end of the elongated body.
Claim 6
Dependent Claim 17 words
A method according to claim 4 wherein the projection encompasses the proximal end of the elongated body.
Claim 7
Dependent Claim 26 words
A method according to claim 4 wherein the elongated body comprises a recess, and further wherein the projection is sized to be received in the recess.
Claim 8
Dependent Claim 14 words
A method according to claim 1 wherein the elongated body comprises fenestrations formed therethrough.
Claim 9
Independent Claim 151 words
A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises: an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon and a crossbore for receiving a fixation element therethrough; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position; and passing a fixation element through the crossbore and into the bone after the elongated body has been threadingly advanced into the wedge-like opening.
Claim 10
Independent Claim 151 words
A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises: an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon and a crossbore for receiving a fixation element therethrough; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position; and passing a fixation element through the crossbore and into the bone after the elongated body has been threadingly advanced into the wedge-like opening.
Claim 11
Dependent Claim 28 words
A method according to claim 8 wherein the elongated body is tapered distally so as to facilitate positioning and advancement of the elongated body into the wedge-like opening.
Claim 12
Dependent Claim 16 words
A method according to claim 9 wherein the elongated body is tapered along its entire length.
Claim 13
Dependent Claim 35 words
A method according to claim 8 wherein the proximal end of the elongated body is provided with a recess for receiving an appropriate driver used to threadingly advance the elongated body into the wedge-like opening.
Claim 14
Dependent Claim 14 words
A method according to claim 8 wherein the fixation element comprises a toe screw.
Claim 15
Dependent Claim 14 words
A method according to claim 8 wherein the fixation element comprises a toe pin.
Claim 16
Dependent Claim 41 words
A method according to claim 8 further comprising the step of drilling a bore in the bone, with the distal end of the elongated body being positioned in the bore prior to threadingly advancing the elongated body into the wedge-like opening.
Claim 17
Dependent Claim 18 words
A method according to claim 14 wherein the bore is drilled after the wedge-like opening has been created.
Claim 18
Dependent Claim 16 words
A method according to claim 15 wherein the bore is over-drilled relative to the wedge-like opening.
Claim 19
Independent Claim 161 words
A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position; and drilling a bore in the bone, with the distal end of the elongated body being positioned in the bore prior to threadingly advancing the elongated body into the wedge-like opening, wherein the bore is drilled before the wedge-like opening has been created.
Claim 20
Independent Claim 161 words
A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position; and drilling a bore in the bone, with the distal end of the elongated body being positioned in the bore prior to threadingly advancing the elongated body into the wedge-like opening, wherein the bore is drilled before the wedge-like opening has been created.
Claim 21
Dependent Claim 20 words
A method according to claim 17 wherein the bore is drilled after the cut has been formed in the bone.
Claim 22
Independent Claim 155 words
A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises: an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon and a crossbore for receiving a fixation element therethrough, wherein one end of the crossbore opens on the proximal end of the elongated body and the other end of the crossbore opens intermediate the elongated body; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; and threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position.
Claim 23
Independent Claim 155 words
A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises: an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon and a crossbore for receiving a fixation element therethrough, wherein one end of the crossbore opens on the proximal end of the elongated body and the other end of the crossbore opens intermediate the elongated body; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; and threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position.

References Cited (Backward Citations)

US5766251A Cited
US5865847A Cited
US5947968A Cited
US20020038123A1 Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2015-05-22 2015-11-21 2016-05-22 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2019-05-22 2019-11-21 2020-05-22 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2023-05-22 2023-11-21 2024-05-22 $7700.00 Window Closed / Lapsed

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