Bone plate system
A bone plate system having a retainer for resisting back-out of a bone anchor from a throughbore of a bone plate is provided. In one aspect, a bone plate system having a resilient retainer disposed in a bone plate throughbore with a pair of elongate arm portions of the resilient retainer extending along opposite sides of the throughbore. In another aspect, a bone plate system having a resilient retainer with a pair of elongate interference portions completely exposed in the throughbore and spaced from each other across the throughbore to retain a head of a bone anchor received in the throughbore. In addition, a bone plate system having a resilient retainer with a pair of opposite end portions disposed within a groove of a throughbore wall such that a bone anchor may be inserted into the throughbore without contacting either of the opposite end portions of the retainer.
1. A bone plate system comprising:
a bone plate;
a throughbore of the bone plate;
a bone anchor having an enlarged head and a shank depending therefrom, the bone anchor having a longitudinal axis extending between the head and the shank, the head including a rotary drive structure and an upwardly facing surface extending around the rotary drive structure;
a wall of the bone plate extending about the throughbore for supporting the bone anchor head in the throughbore, the bone plate wall and the bone anchor head configured to permit the bone anchor to be inserted into and extend obliquely in the throughbore with a raised portion of the upwardly facing surface of the bone anchor head at one side of the throughbore and a lowered portion of the upwardly facing surface of the bone anchor head at or adjacent an opposite side of the throughbore;
a resilient retainer disposed in the throughbore;
bone plate engaging portions of the resilient retainer secured to the bone plate at the opposite sides of the throughbore;
a pair of elongate arm portions of the resilient retainer connecting the bone plate engaging portions and extending in the throughbore spaced apart from each other, the elongate arm portions being configured to allow the raised portion of the upwardly facing surface of the bone anchor head at the one side of the throughbore to be above the bone plate engaging portion at the one side of the throughbore with the bone anchor head seated in the throughbore;
interference portions of the elongate arm portions extending in the throughbore intermediate the bone plate engaging portions and being configured to allow the interference portions to be above the lowered portion of the upwardly facing surface of the bone anchor head so that the interference portions are in interference with the lowered portion of the upwardly facing surface of the bone anchor head to resist back-out of the bone anchor from the throughbore; and
the bone anchor head and the retainer interference portions are configured so that no portion of the bone anchor head extends laterally over the retainer interference portions with the bone anchor inserted into and extending obliquely in the throughbore and the interference portions extending above the lowered portion of the upwardly facing surface of the bone anchor head.
2. The bone plate system of claim 1 wherein the elongate arm portions of the resilient retainer include transition portions extending transverse to the interference portions that provide clearance for the bone anchor head to extend obliquely in the throughbore.
3. The bone plate system of claim 1 wherein the interference portions extend in the throughbore spaced from the bore wall so that the interference portions are completely exposed in the throughbore.
4. The bone plate system of claim 1 wherein the upwardly facing surface has an annular configuration and the bone anchor head includes a lower curved surface and a radially outer corner junction between the annular upwardly facing surface and the lower curved surface; and
the raised portion of the bone anchor head includes a portion of the annular upwardly facing surface at the outer corner junction of the bone anchor head.
5. The bone plate system of claim 4 wherein the lowered portion of the bone anchor head includes a portion of the upwardly facing surface of the bone anchor head.
6. The bone plate system of claim 1 wherein the bone plate wall includes a throughbore seat for engaging the bone anchor head, the seat having a narrow portion disposed at the one side of the throughbore and a wide portion disposed at or adjacent the opposite side of the throughbore.
7. The bone plate system of claim 1 wherein the bone plate wall includes a recess that opens to the throughbore and the bone plate engaging portions of the resilient retainer are disposed in the recess at the opposite sides of the throughbore.
8. The bone plate system of claim 1 wherein the resilient retainer has a generally looped configuration about the throughbore with a predetermined length about the throughbore and a transverse cross-sectional configuration that is substantially uniform along at least a majority of the length of the retainer.
9. The bone plate system of claim 8 wherein the transverse cross-sectional configuration of the resilient retainer is substantially uniform along the entire length of the retainer.
10. A bone plate system comprising:
a bone plate;
a plurality of throughbores of the bone plate;
a plurality of bone anchors for extending through respective throughbores;
one of the bone anchors having a head portion for being received in one of the throughbores, a shank portion depending from the head portion, and a longitudinal axis;
a rotary drive structure of the bone anchor head portion;
a substantially annular upwardly facing surface of the bone anchor head portion extending about the rotary drive structure;
the bone anchor head portion having no portion thereof that extends laterally over the annular upwardly facing surface;
a resilient retainer associated with the one throughbore;
an elongate body of the resilient retainer extending about the one throughbore;
an intermediate curved portion of the retainer body having a predetermined curvature; and
curved retention portions of the retainer body with the intermediate curved portion intermediate the curved retention portions along the retainer body, the curved retention portions having different curvatures than the curvature of the intermediate curved portion and being configured to shift apart to permit the head portion of the one bone anchor to be advanced into the one throughbore and shift back toward each other above the annular upwardly facing surface of the bone anchor head portion to inhibit back out of the one bone anchor from the one throughbore.
11. The bone plate system of claim 10 wherein the curved retention portions of the retainer body have a more gradual curvature than the curvature of the intermediate curved portion.
12. The bone plate system of claim 10 wherein the retainer body includes another intermediate curved portion intermediate the curved retainer portions along the retainer body and the intermediate curved portions have different curvatures from each other and the curved retention portions of the retainer body.
13. The bone plate system of claim 10 wherein the bone plate includes a bore wall extending about the one throughbore and a recess in the wall extending outwardly from the throughbore; and
the elongate body of the resilient retainer has a cross-sectional configuration transverse to a length thereof and the intermediate curved portion of the retainer body is disposed entirely within the recess outwardly from the throughbore for the entirety of the cross-section of the intermediate curved portion.
14. The bone plate system of claim 10 wherein the bone anchor head portion includes a curved lower surface and a radially outer corner junction between the annular upwardly facing surface and the lower curved surface.
15. The bone plate system of claim 10 wherein the annular upwardly facing surface of the bone anchor head is flat.
16. The bone plate system of claim 10 wherein the bone plate includes a bore wall extending about the one throughbore and the curved retention portions of the retainer body are spaced from the bore wall to be completely exposed in the throughbore.
17. The bone plate system of claim 10 wherein the curved retention portions both have one of a concave curvature and a convex curvature and the retainer body includes curved portions adjacent the curved retention portions along the retainer body having the other of the concave curvature and the convex curvature.
18. The bone plate system of claim 10 wherein the curved retention portions have the same curvatures.
19. The bone plate system of claim 10 wherein the elongate body of the resilient retainer has an outer perimeter and the intermediate curved portion and the curved retention portions extend along the perimeter at different positions along the perimeter.