Fracture fixation device
Assemblies for securing a fractured or weakened bone within a subject's body are provided. The assembly includes a frame having an adjustable flexible member construct thereon. The adjustable flexible member construct is disposed in the frame such that the adjustable flexible member and the frame encircle the fractured or weakened bone.
1. An orthopedic fixation assembly, comprising:
an adjustable suture construct, the adjustable suture construct including a free end that extends through a longitudinal passage in the suture construct to form an adjustable loop, wherein, with the free end extending through the longitudinal passage in the suture construct to form the adjustable loop, the free end can be pulled through the longitudinal passage to decrease a size of the adjustable loop;
a first fixation element coupled to a first part of the adjustable suture construct;
a second button coupled to a second part of the adjustable suture construct; and
a fixation plate situated between the first fixation element and the second button with the adjustable suture construct extending through an opening in the fixation plate,
wherein the second button includes at least a first hole, a second hole, and a third hole with a summit of the adjustable suture construct passing through the first hole and the second hole and with the free end of the adjustable suture construct passing through the third hole.
2. The orthopedic fixation assembly of claim 1 , wherein the first fixation element is a first button.
3. The orthopedic fixation assembly of claim 1 , wherein the second button is disposed in the opening in the fixation plate.
4. The orthopedic fixation assembly of claim 1 , wherein the fixation plate is elongated.
5. The orthopedic fixation assembly of claim 1 further comprising a fastener extending through a second opening in the fixation plate.
6. The orthopedic fixation assembly of claim 1 , wherein the free end is a first free end, the longitudinal passage is a first longitudinal passage, and the adjustable loop is a first adjustable loop, the adjustable suture construct further including a second free end that extends through a second longitudinal passage in the suture construct to form a second adjustable loop.
7. The orthopedic fixation assembly of claim 6 , wherein the first longitudinal passage is separate from the second longitudinal passage in the adjustable suture construct.
8. The orthopedic fixation assembly of claim 6 , wherein, with the first free end extending through the first longitudinal passage in the adjustable suture construct to form the first adjustable loop and with the second free end extending through the second longitudinal passage in the adjustable suture construct to form the second adjustable loop, the first free end can be pulled through the first longitudinal passage to decrease the size of the first adjustable loop without decreasing a size of the second adjustable loop and the second free end can be pulled through the second longitudinal passage to decrease the size of the second adjustable loop without decreasing the size of the first adjustable loop.
9. An orthopedic fixation assembly, comprising:
an adjustable suture construct, the adjustable suture construct including a first free end that extends through a first longitudinal passage in the suture construct to form a first adjustable loop and a second free end that extends through a second longitudinal passage in the suture construct to form a second adjustable loop, wherein, with the first free end extending through the first longitudinal passage in the suture construct to form the first adjustable loop and with the second free end extending through the second longitudinal passage in the suture construct to form the second adjustable loop, the first free end can be pulled through the first longitudinal passage to decrease a size of the first adjustable loop and the second free end can be pulled through the second longitudinal passage to decrease a size of the second adjustable loop;
a first fixation element coupled to a first part of the adjustable suture construct;
a second button coupled to a second part of the adjustable suture construct, wherein the second button includes at least a first hole, a second hole, and a third hole with a summit of the adjustable suture construct passing through the first hole and the second hole and with the first free end of the adjustable suture construct passing through the third hole; and
a fixation plate situated between the first fixation element and the second button with the adjustable suture construct extending through an opening in the fixation plate.
10. The orthopedic fixation assembly of claim 9 , wherein the first free end extends through the first longitudinal passage without extending through the second longitudinal passage, and wherein the second free end extends through the second longitudinal passage without extending through the first longitudinal passage.
11. The orthopedic fixation assembly of claim 9 , wherein the second free end passes through a fourth hole in the second button.
12. The orthopedic fixation assembly of claim 9 , wherein the first free end and the second free end of the adjustable suture construct pass through the first fixation element.
13. The orthopedic fixation assembly of claim 12 , wherein the first fixation element is a first button.
14. The orthopedic fixation assembly of claim 9 , wherein the first free end extends into the suture construct through a first aperture in the suture construct, longitudinally within the suture construct along the first longitudinal passage, and out of the suture construct through a fourth aperture in the suture construct to form the first adjustable loop, and wherein the second free end extends into the suture construct through a second aperture in the suture construct, longitudinally within the suture construct along the second longitudinal passage, and out of the suture construct through a third aperture in the suture construct to form the second adjustable loop, the first aperture, the second aperture, the third aperture, and the fourth aperture all being separate apertures in the suture construct.
15. The orthopedic fixation assembly of claim 9 , wherein the first longitudinal passage is separate from the second longitudinal passage in the adjustable suture construct.
16. The orthopedic fixation assembly of claim 15 , wherein, with the first free end extending through the first longitudinal passage in the adjustable suture construct to form the first adjustable loop and with the second free end extending through the second longitudinal passage in the adjustable suture construct to form the second adjustable loop, the first free end can be pulled through the first longitudinal passage to decrease the size of the first adjustable loop without decreasing a size of the second adjustable loop and the second free end can be pulled through the second longitudinal passage to decrease the size of the second adjustable loop without decreasing the size of the first adjustable loop.
17. An orthopedic fixation assembly, comprising:
a fixation plate with a first side for positioning against a first bone surface which is opposite a second bone surface;
an adjustable suture construct extending through an opening in the fixation plate for extending through bone located between the first bone surface and the second bone surface, wherein the adjustable suture construct includes a suture having a suture body, a first free end, and a second free end, the suture body defining a hollow passage in the suture body that is situated between the first free end and the second free end of the suture, the first free end of the suture extending through a first aperture in the suture body, along a first longitudinal portion of the hollow passage, and out a second aperture in the suture body to form a first adjustable loop, the second free end of the suture extending through a third aperture in the suture body, along a second longitudinal portion of the hollow passage, and out a fourth aperture in the suture body to form a second adjustable loop, wherein the first aperture, the second aperture, the third aperture, and the fourth aperture are all separate apertures in the suture body, wherein, with the first free end extending along the first longitudinal portion of the hollow passage to form the first adjustable loop and with the second free end extending along the second longitudinal portion of the hollow passage to form the second adjustable loop, the first free end can be pulled through the first longitudinal portion of the hollow passage to decrease a size of the first adjustable loop and the second free end can be pulled through the second longitudinal portion of the hollow passage to decrease a size of the second adjustable loop;
a first fixation element coupled to a first part of the adjustable suture construct for positioning along the second bone surface; and
a second button coupled to a second part of the adjustable suture construct for positioning on a second side of the fixation plate
wherein the second button includes at least a first hole, a second hole, and a third hole with a summit of the suture passing through the first hole and the second hole and with the first free end of the suture passing through the third hole.
18. The orthopedic fixation assembly of claim 17 further comprising a fastener extending through a second opening in the fixation plate.
19. The orthopedic fixation assembly of claim 17 , wherein the first free end and the second free end of the suture pass through the first fixation element.
20. The orthopedic fixation assembly of claim 19 , wherein the second button is disposed in the opening in the fixation plate.
21. The orthopedic fixation assembly of claim 17 , wherein the first fixation element is a first button.