Bone compression device and method
View Patent ↗In one form, a bone compression device is provided having a shape-retentive bone plate with an initial, unflexed configuration and a flexed configuration. The bone plate may be shifted to the flexed configuration and secured to bones using bone screws of the bone compression device. Once the bone plate has been secured to the bones, the bone plate returns toward its unflexed configuration which compresses the bones.
1. A surgical kit comprising:
a plurality of bone anchors;
a bone plate having bone anchor receiving portions with through openings sized to receive the bone anchors, the bone plate having a flexed configuration and an unflexed configuration;
a plurality of elongated manipulators having distal end portions configured to be connected to the bone anchor receiving portions of the bone plate and proximal end portions opposite the distal end portions; and
cannulas of the manipulators extending between the distal and proximal end portions thereof and being aligned with the through bores of the bone plate when the distal end portions of the manipulators are connected to the bone anchor receiving portions of the bone plate, the cannulas being sized to permit the bone anchors to be advanced through the cannulas and into the through bores of the bone plate,
wherein the bone anchor receiving portions of the bone plate include lips and the distal end portions of the manipulators include side walls with openings therein sized to receive the lips of the bone anchor receiving portions.
2. The surgical kit of claim 1 wherein the bone anchor receiving portions of the bone plate include lobes and the distal end portions of the manipulators includes sockets sized to receive the lobes.
3. The surgical kit of claim 1 wherein each of the manipulators includes a fulcrum portion and a leverage portion spaced apart from each other on opposite sides of the cannula of the manipulator, the fulcrum portion being configured to contact an upper surface of one of the bone anchor receiving portions of the bone plate and the leverage portion being configured to contact a lower surface of the one bone anchor receiving portion.
4. The surgical kit of claim 1 wherein the bone plate bone anchor receiving portions include lobes and the manipulator distal end portions include sockets sized to receive the lobes with the lobes and sockets being configured to form a mating, non-rotatable fit when the distal end portions of the manipulators are connected to the bone anchor receiving portions of the bone plate.
5. The surgical kit of claim 1 wherein the bone plate includes a resilient intermediate portion connecting the bone anchor receiving portions and the intermediate portion has a straight shape with the bone plate in the flexed configuration thereof and a bent shape with the bone plate in the unflexed configuration thereof.
6. The surgical kit of claim 1 wherein the unflexed configuration of the bone plate orients the bone anchor receiving portions of the bone plate to extend transverse to each other and the flexed configuration of the bone plate orients the bone anchor receiving portions of the bone plate to be coplanar with each other.
7. A surgical kit comprising:
a plurality of bone anchors;
a bone plate having bone anchor receiving portions with through openings sized to receive the bone anchors, the bone plate having a flexed configuration and an unflexed configuration;
a plurality of elongated manipulators having distal end portions configured to be connected to the bone anchor receiving portions of the bone plate and proximal end portions opposite the distal end portions; and
cannulas of the manipulators extending between the distal and proximal end portions thereof and being aligned with the through bores of the bone plate when the distal end portions of the manipulators are connected to the bone anchor receiving portions of the bone plate, the cannulas being sized to permit the bone anchors to be advanced through the cannulas and into the through bores of the bone plate,
wherein the bone plate bone anchor receiving portions include lobes and the bone plate includes a narrowed, intermediate portion extending between the lobes; and
the distal end portions of the manipulators include sockets sized to receive the lobes of the bone plate and the sockets include notches that receive the intermediate portion of the bone plate.
8. The surgical kit of claim 7 wherein the intermediate portion is resilient and has a straight shape with the bone plate in the flexed configuration thereof and a bent shape with the bone plate in the unflexed configuration thereof.
9. A surgical kit comprising
a plurality of bone anchors;
a bone plate having bone anchor receiving portions with through openings sized to receive the bone anchors, the bone plate having a flexed configuration and an unflexed configuration;
a plurality of elongated manipulators having distal end portions configured to be connected to the bone anchor receiving portions of the bone plate and proximal end portions opposite the distal end portions;
cannulas of the manipulators extending between the distal and proximal end portions thereof and being aligned with the through bores of the bone plate when the distal end portions of the manipulators are connected to the bone anchor receiving portions of the bone plate, the cannulas being sized to permit the bone anchors to be advanced through the cannulas and into the through bores of the bone plate; and
a restraint having portions configured to be connected to the manipulators.
10. The surgical kit of claim 9 wherein the portions of the restraint include openings sized to receive the proximal portions of the manipulators.
11. A method of stabilizing a plurality of bones, the method comprising:
pivoting manipulators connected to a bone plate to flex the bone plate;
positioning the flexed bone plate adjacent bones;
guiding bone anchors into through bores of the bone plate using the manipulators; and
securing the flexed bone plate to the bones with the bone anchors.
12. The method of claim 11 wherein guiding the bone anchors into the through bores of the bone plate using the manipulators includes advancing the bone anchors through cannulas of the manipulators and into the through bores of the bone plate.
13. The method of claim 11 wherein the manipulators are connected to end portions of the bone plate having the through bores therein; and
pivoting the manipulators to flex the bone plate includes flexing an intermediate portion of the bone plate between the end portions.
14. The method of claim 11 wherein pivoting the manipulators to flex the bone plate includes reconfiguring the bone plate from a bent configuration to a substantially flat configuration.
15. The method of claim 11 wherein pivoting the manipulators connected to the bone plate to flex the bone plate includes engaging distal portions of the manipulators with notched profiles of the bone plate and shifting proximal handle portions of the manipulators together.
16. The method of claim 11 wherein positioning the flexed bone plate adjacent the bones using the manipulators includes positioning the bone plate using the manipulators while lobes of the bone plate are received in openings of the manipulators and the bone plate lobes and manipulators form mating, non-rotatable connections therebetween.
17. The method of claim 11 wherein the manipulators are elongated and pivoting the manipulators to flex the bone plate includes pivoting the manipulators from a first orientation wherein the manipulators extend transverse to each other to a second orientation wherein the manipulators extend substantially parallel to each other.
18. The method of claim 11 further comprising connecting a restraint to the manipulators to fix the manipulators relative to each other while positioning the flexed bone plate adjacent the bones and guiding the bone anchors into the through bores of the bone plate using the manipulator.
19. The method of claim 18 further comprising disconnecting the restraint from the manipulators to permit the manipulators to move relative to each other and be disconnected from the bone plate.
20. A method of stabilizing a plurality of bones, the method comprising:
positioning a deformed bone plate adjacent bones using manipulators connected to the deformed bone plate;
advancing bone anchors through cannulas of the manipulators connected to the deformed bone plate and into through bores of the deformed bone plate; and
driving the bone anchors into the bones to secure the deformed bone plate to the bones.
21. The method of claim 20 wherein positioning the deformed bone plate adjacent the bones using the manipulators includes keeping the cannulas of the manipulators aligned with the through bores of the deformed bone plate.
22. The method of claim 20 wherein positioning the deformed bone plate adjacent the bones using the manipulators includes maintaining end portions of the deformed bone plate having the through bores therein at least partially within openings of the manipulators.
23. The method of claim 20 further comprising deforming the bone plate by moving the manipulators relative to each other.
24. The method of claim 23 wherein deforming the bone plate includes reconfiguring the bone plate from a bent configuration to a substantially flat configuration.
25. The method of claim 20 further comprising disconnecting the manipulators from the deformed bone plate and permitting the deformed bone plate to urge the bones together.
26. The method claim 20 further comprising fixing the manipulators relative to each other and keeping the manipulators fixed relative to each other and connected to the deformed bone plate while positioning the deformed bone plate adjacent the bones and advancing bone anchors through the cannulas of the manipulators.
27. The method of claim 26 wherein fixing the manipulators relative to each other includes connecting a restraint to the manipulators.
28. The method of claim 20 wherein advancing the bone anchors through cannulas of the manipulators and into the through bores of the deformed bone plate includes connecting a driver instrument to one of the bone anchors and advancing the connected driver and bone anchor through the cannula of one of the manipulators.
29. The method of claim 20 further comprising providing the deformed bone plate, wherein providing the deformed bone plate includes chilling the bone plate.