Radius-plate assembly
View Patent ↗An assembly for reducing a fracture between an epiphysis and a diaphysis of a bone has a bone plate having a fan-shaped outer end formed with a plurality of outer holes and a bar-shaped inner end extending along a longitudinal axis from the outer end and formed with a plurality of inner holes. The plate further is formed on the bar-shaped inner end with a longitudinally extending throughgoing guide slot and between the guide slot and the outer holes with an aperture. A slide has a longitudinally extending leg with an inner end formed with a guide formation engaged into and longitudinally slidable along the guide slot and a crosspiece overlying the aperture and engaging the bone plate to both transverse sides of the aperture. The crosspiece is formed with a transversely elongated slide slot, and a slide screw engaged through the slide.
1. An assembly reducing a fracture between an epiphysis and a diaphysis of a bone, the assembly comprising:
a bone plate having a fan-shaped outer end formed with a plurality of outer holes and a bar-shaped inner end extending along a longitudinal axis from the outer end and formed with a plurality of inner holes, the plate being adapted to be screwed through the outer holes to the epiphysis and through the inner holes to the diaphysis, the plate further being formed on the bar-shaped inner end with a longitudinally extending throughgoing guide slot and between the guide slot and the outer holes with an aperture of a predetermined transverse width and of a longitudinal length generally equal to a length of the guide slot;
a slide having a longitudinally extending leg with an inner end formed with a guide formation engaged into and longitudinally slidable along the guide slot and a crosspiece overlying the aperture and of a transverse width at least equal to the transverse width of the aperture such that crosspiece engages the bone plate to both transverse sides of the aperture, the crosspiece being formed with a transversely elongated slide slot; and
a slide screw engaged through the slide.
2. The assembly defined in claim 1 wherein the slide is T-shaped.
3. The assembly defined in claim 1 wherein the aperture is generally triangular or trapezoidal.
4. The assembly defined in claim 1 wherein the outer part of the bone plate lies generally in a plane forming a small acute angle with a plane of the inner part of the bone plate.
5. The assembly defined in claim 4 wherein the angle is between 5° and 15°.
6. The assembly defined in claim 1 wherein the guide slot has a length of between 6 mm and 12 mm.
7. The assembly defined in claim 1 wherein the transverse width of the slide slot is between 12 mm and 14 mm.
8. The assembly defined in claim 1 wherein the aperture has an open area equal to between one-half and four-fifths of the length of the diaphysis at the fracture.
9. The assembly defined in claim 1 wherein a head of the slide screw bears toward the bone on the slide and presses the slide against the bone plate.
10. The assembly defined in claim 1 , further comprising:
a tool filtrable against the outer part of the bone plate and formed with holes alignable with the outer holes for drilling holes through same and fitting screws into the drilled holes.
11. A method of reducing a fracture between an epiphysis and a diaphysis of a bone, using an assembly having:
a bone plate having a fan-shaped outer end formed with a plurality of outer holes and a bar-shaped inner end extending along a longitudinal axis from the outer end and formed with a plurality of inner holes, the plate further being formed on the bar-shaped inner end with a longitudinally extending throughgoing guide slot and between the guide slot and the outer holes with an aperture of a predetermined transverse width and of a longitudinal length generally equal to a length of the guide slot;
a slide having a longitudinally extending leg with an inner end formed with a guide formation engaged into and longitudinally slidable along the guide slot and a crosspiece overlying the aperture and of a transverse width at least equal to the transverse width of the aperture such that crosspiece engages the bone plate to both transverse sides of the aperture, the crosspiece being formed with a transversely elongated slide slot; and
a slide screw engaged through the slide slot and through the aperture with the diaphysis, the transverse width of the aperture being substantially greater than the slide screw such that the bone plate can move transversely relative to the slide screw,
the method comprising the steps of sequentially:
screwing the outer part to the epiphysis through the outer holes to anchor the bone plate to the epiphysis;
screwing the slide screw through the slide slot and aperture into the diaphysis; and
shifting the bone plate and the epiphysis it is anchored to longitudinally relative to the diaphysis with sliding of the pivot formation in the guide slot to reduce the fracture and transversely relative to the diaphysis with to correct transverse offset of the diaphysis and epiphysis at the fracture.