TPLO plate with suture holes for rotational stability
A TPLO plate configured to accommodate flexible strands (flexible loops) attached to tissue to be attached to bone. The TPLO plate has one or more suture eyelets, to allow the user (surgeon) to pass a flexible strand through the eyelets and attach/reattach the tissue to the plate at the anatomical location, and to improve the rotational stability of the joint or bone. The eyelets may have various shapes, forms and configurations and may be provided on or within a surface of the TPLO bone plate in any number, depending on the characteristics of the fractured bone or bone segments, or of the plate design. The eyelets preferably receive one or more flexible strands.
1. A TPLO plate assembly for treating a canine, comprising:
a TPLO plate positioned proximate to a tibia, the TPLO plate comprising:
a rigid body having a longitudinal axis, a first surface, and a bone-contacting surface opposed to the first surface;
a plurality of openings extending from the first surface through the body and to the bone-contacting surface;
one to three suture eyelets extending from the first surface through the body and to the bone-contacting surface;
at least one fixation device received within at least one of the plurality of openings of the rigid body for securing the TPLO plate to the tibia;
a flexible strand received within at least one of the one to three suture eyelets for attaching tissue to the rigid body;
a suture passer for feeding the flexible strand through a tunnel formed in the tibia, wherein the suture passer is an instrument that includes a nitinol loop for capturing the flexible strand; and
a C-ring guide instrument for preparing the tunnel in the tibia, wherein the C-ring guide instrument includes a C-shaped indicator probe configured to engage at least one of the one to three suture eyelets.
2. The TPLO plate assembly of claim 1 , wherein the flexible strand is a free suture.
3. The TPLO plate assembly of claim 1 , wherein the suture passer is a suture/needle construct with a curved needle swaged onto a suture.
4. The TPLO plate assembly of claim 1 , wherein the plurality of openings include circular openings with a first diameter, and wherein the suture eyelets are circular and have a second diameter, wherein the first diameter is at least four times greater than the second diameter.
5. The TPLO plate assembly of claim 1 , wherein the plurality of openings further include oval openings.
6. The TPLO plate assembly of claim 1 , wherein the plurality of openings are through holes with rounded edges.
7. The TPLO plate assembly of claim 1 , wherein the suture eyelets are chamfered suture eyelets or contain fillets.
8. A surgical kit comprising:
a tibial plateau leveling osteotomy plate, comprising:
a rigid body extending along a longitudinal axis and including a proximal region, a distal region, a first surface, and a bone-contacting surface opposed to the first surface, wherein the bone contacting surface is shaped to conform to a contour of a canine tibia;
a plurality of apertures formed through the rigid body for securing the rigid body to the canine tibia;
a K-wire hole formed through the distal region and adapted to accommodate a K-wire for positioning the bone-contacting surface against the canine tibia;
a suture eyelet formed through the proximal region and adapted to accommodate a flexible strand for connecting a tissue to the rigid body;
a first recess formed in the first surface and extending from an edge of the proximal region to the suture eyelet; and
a second recess formed in the bone contacting surface and extending from the edge,
wherein the first recess and the second recess each include a first recessed wall and a second recessed wall that are angled toward one another in a direction toward the suture eyelet, and
wherein the surgical kit further includes a guide instrument for preparing a tunnel in the canine tibia, and the guide instrument includes a C-shaped indicator probe configured to engage the suture eyelet.