External bone fixation device
The present application discloses embodiments related to an external bone fixation device configured to correct bone deformities or repair bone injuries. The device can include a plurality of bases configured to be attached to portions of a bone and a plurality of struts configured to be adjustable in length to change the position and orientation of the plurality of bases and the attached bone portions.
1. A strut configured to be connected to a pair of external bone fixation members along a strut axis, the strut comprising:
a strut body that includes a threaded rod and a sleeve, the threaded rod including a rod body that is elongate along the strut axis, the rod body defining an outer surface that is at least partially threaded, and the sleeve including a sleeve body and a sleeve bore that extends at least into the sleeve body, the sleeve bore configured to receive at least a portion of the threaded rod such that the threaded rod is translatable relative to the sleeve along the strut axis; and
an actuator supported by the strut body and threadedly attached to the threaded rod, such that rotation of the actuator relative to the threaded rod about the strut axis translates at least one or both of the threaded rod and the sleeve relative to the other of the threaded rod and the sleeve along the strut axis, the actuator including a gripping member that is configured to receive a torque that rotates the actuator relative to the threaded rod about the strut axis;
wherein the gripping member includes a body and a gripping member bore that extends through the body of the gripping member, the body of the gripping member having an inner surface that at least partially defines the gripping member bore and an outer surface opposite the inner surface, the gripping member bore is configured to at least partially receive the strut body, and the gripping member further includes a projection that extends out from the outer surface of the gripping member body in a direction away from the inner surface of the gripping member body.
2. The strut of claim 1 , wherein the projection includes at least one side wall extending out from the outer surface of the gripping member body in the direction away from the inner surface of the gripping member body, the at least one side wall configured to receive the torque that rotates the actuator relative to the threaded rod about the strut axis.
3. The strut of claim 2 , wherein the projection defines a height measured from a point where the at least one side wall extends out from the outer surface and in the direction that the at least one side wall extends away from the inner surface, the gripping member further includes an outer diameter defined by the outer surface, and the height is at least 10 percent of the outer diameter.
4. The strut of claim 3 , wherein the height is at least 20 percent of the outer diameter.
5. The strut of claim 1 , wherein the actuator further includes a locking mechanism configured to prevent rotation of the actuator relative to the threaded rod.
6. The strut of claim 5 , wherein the locking mechanism is rotatable about a pivot axis that is angularly offset with respect to the strut axis between a locked configuration and an unlocked configuration, such that when the locking mechanism is in the locked configuration, the locking mechanism prevents rotation of the actuator relative to the threaded rod about the strut axis, and when the locking mechanism is in the unlocked configuration the locking mechanism does not prevent rotation of the actuator relative to the threaded rod about the strut axis.
7. The strut of claim 6 , wherein the locking mechanism includes a lever and a biasing member, the biasing member configured to exert a biasing force on the lever such that the locking mechanism is biased toward the locked configuration.
8. The strut of claim 7 , wherein the biasing force is exerted on the lever in a direction angularly offset with respect to the both the pivot axis and the strut axis.
9. The strut of claim 6 , wherein the projection pivotally supports the locking mechanism about the pivot axis.
10. The strut of claim 1 , wherein at least a portion of the actuator is made from a radiolucent material.
11. The strut of claim 10 , wherein at least a portion of the actuator is made from at least one of PEEK, Ultem, Delrin, and Radel.
12. The strut of claim 10 , wherein at least a portion of the gripping member is made from at least one of PEEK, Ultem, Delrin, and Radel.
13. A strut configured to be connected to a pair of external bone fixation members along a strut axis, the strut comprising:
a strut body that includes a threaded rod and a sleeve, the threaded rod including a rod body that is elongate along the strut axis, the rod body defining an outer surface that is at least partially threaded, and the sleeve including a sleeve body and a bore that extends at least into the sleeve body, the bore configured to receive at least a portion of the threaded rod such that the threaded rod is translatable relative to the sleeve along the strut axis; and
an actuator supported by the strut body and threadedly attached to the threaded rod, such that rotation of the actuator relative to the threaded rod about the strut axis translates at least one or both of the threaded rod and the sleeve relative to the other of the threaded rod and the sleeve along the strut axis,
a joint configured to attach to one of the pair of external bone fixation members, the joint including a first hinge body supported by the threaded rod, a second hinge body configured to attach to the one of the pair of external bone fixation members, and a cross coupling member configured to couple the first hinge body to the second hinge body such that the first hinge body is rotatable relative to the second hinge body about both a first axis that is angularly offset with respect to the strut axis, and a second axis that is angularly offset with respect to both the first axis and the strut axis,
wherein the cross coupling member is substantially spherical.
14. The strut of claim 13 , wherein the joint is not translatable relative to the threaded rod along the strut axis.
15. The strut of claim 13 , wherein the joint is a first joint, and the strut further comprises:
a second joint configured to attach to the other of the pair of external bone fixation members, the second joint including a first hinge body supported by the sleeve, a second hinge body configured to attach to the other of the pair of external bone fixation members, and a cross coupling member configured to couple the first hinge body of the second joint to the second hinge body of the second joint such that the first hinge body of the second joint is rotatable relative to the second hinge body of the second joint about both a third axis that is angularly offset with respect to the strut axis, and a fourth axis that is angularly offset with respect to both the third axis and the strut axis,
wherein the cross coupling member is substantially spherical.
16. The strut of claim 13 , wherein the first hinge body is not rotatable relative to the second hinge body about the strut axis.
17. The strut of claim 13 , wherein the cross coupling member is made from a more radiopaque material than the first and second hinge bodies.
18. The strut of claim 17 , wherein the cross coupling member is made from titanium and the first and second hinge bodies are made from aluminum.
19. The strut of claim 13 , wherein the cross coupling member is radiopaque.
20. A strut configured to be connected to a pair of external bone fixation members along a strut axis, the strut comprising:
a threaded rod including a rod body that is elongate along the strut axis, the rod body defining an outer surface that is at least partially threaded,
a sleeve including a sleeve body, the sleeve body defining an inner surface that defines a bore that extends at least into the sleeve body and is configured to receive a portion of the rod body,
an actuator threadedly attached to the threaded rod and rotatably supported by the sleeve,
wherein one of the inner surface and the rod body supports a track that is elongate along a direction parallel to the strut axis, and the other of the inner surface and the rod body fixedly supports a follower configured to ride along the track such that the threaded rod translates with respect to the sleeve along the strut axis when the actuator is rotated with respect to the sleeve and the threaded rod.
21. The strut of claim 20 , wherein the track is a channel that extends into the inner surface of the sleeve.
22. The strut of claim 21 , wherein the follower is supported by the rod body.
23. The strut of claim 21 , wherein the channel does not extend through the rod body along a direction that is perpendicular to the strut axis.
24. The strut of claim 21 , wherein the sleeve body includes an outer surface opposite the inner surface, and the sleeve defines a slot that extends through the sleeve body from the inner surface to the outer surface.
25. The strut of claim 24 , further comprising a length indicator translatably locked relative to the threaded rod, wherein the sleeve includes markings on the outer surface of the sleeve body, such that a relative position between the length indicator and the marking provides an indication of a length of the strut.
26. The strut of claim 20 , wherein engagement of the follower and the track prevents relative rotation between the sleeve and the threaded rod as the actuator rotates about the sleeve to cause the threaded rod to translate in the bore of the sleeve body.