Contoured calcaneal plate and a percutaneous drill guide for use therewith
This invention provides a calcaneal plate implanted using a sinus tarsi approach and comprises an anterior section having two locking screw holes, an s-shaped posterior facet section having a four locking holes and which rounds toward the bone at both the inferior and superior edges and is reinforced at the superior edge, and a blade shaped posterior portion having three linearly aligned locking holes and terminating in a tapered portion. There is also, a drill guide assembly having a drill guide column inserted through a hole in a targeting guide and locking to one of the locking holes in the plate, and cannulated drill guide sleeves that lock into holes in the targeting guide in a spaced relation whereby when the targeting guide is locked into the plate, the targeting guide can be used as a handle and wherein locking screws can be implanted percutaneously.
1. A method of performing a calcaneal surgery on a calcaneus comprising the steps of forming a sinus tarsi incision on the lateral side of an ankle; selecting a calcaneal plate having an anterior section having a locking screw hole and a posterior section having a screw hole, locking a drill guide column in the locking screw hole of the anterior section; locking a further drill guide which is cannulated to the targeting guide and implanting a screw through that drill guide to fix the calcaneal plate relative to the calcaneus; locking a targeting guide having a through hole about the drill guide column in a spaced relation; and using the targeting guide as a handle to insert the posterior section of the calcaneal plate through the sinus tarsi incision, wherein the plate has a generally uniform thickness and said posterior section has a thickness greater than the uniform thickness to accommodate weight transfer from tibia to talus to calcaneus.
2. A method of performing a calcaneal surgery as set forth in claim 1 , wherein the sinus tarsi incision is not more than 4 inches in length.
3. A method of performing a calcaneal surgery as set forth in claim 1 wherein the posterior section has a tapered end.
4. A method of performing a calcaneal surgery as set forth in claim 1 wherein the targeting guide has a plurality of holes, and the calcaneal plate has a plurality of holes and the number of targeting guide holes corresponds to the number of calcaneal plate holes.
5. A method of performing a calcaneal surgery as set forth in claim 1 wherein the screw is implanted percutaneously.