Fracture plates, systems, and methods
Devices, systems, and methods of bone stabilization. The bone stabilization system includes a bone plate having an upper surface and a lower surface configured to be in contact with bone, the bone plate having an opening extending from the upper surface to the lower surface. The opening is configured to receive a fastener, which may be either a locking fastener or a compression fastener. The locking fastener has a threaded head portion configured to engage and lock to the bone plate, and the compression fastener is configured to dynamically compress the bone.
1. A stabilization system comprising:
a bone plate, having a proximal end and a distal end, the bone plate further having an upper surface and a lower surface configured to be in contact with bone, the bone plate having a through-opening extending from the upper surface to the lower surface at the proximal end, the through-opening including a threaded portion proximate to the lower surface and a non-threaded portion proximate to the upper surface;
a fastener configured to engage the through-opening and to secure the bone plate to the bone, wherein the through-opening is configured to receive one of a locking fastener and a compression fastener;
a plurality of holes, each configured to receive a locking screw, dispersed along a width of the bone plate at the distal end, wherein a diameter of each of the plurality of holes is smaller than a diameter of the through-opening; and
a syndesmotic hole having at least three different co-axial bores and configured to receive any of a suture button, a locking screw, and a non-locking screw.
2. The stabilization system according to claim 1 , wherein the non-threaded portion is generally conical in shape such that the non-threaded portion is wider near the upper surface of the plate and narrower toward the threaded portion.
3. The stabilization system according to claim 2 , wherein the non-threaded portion has a generally concave surface.
4. The stabilization system according to claim 1 , wherein the threaded portion and the non-threaded portion are co-axial.
5. The stabilization system according to claim 1 , wherein the stabilization system comprises the locking fastener and wherein the locking fastener has a threaded head portion configured to engage the threaded portion and to lock to the bone plate.
6. The stabilization system according to claim 1 , wherein the stabilization system comprises the compression fastener and wherein the compression fastener has a substantially smooth head portion configured to engage the non-threaded portion and to dynamically compress the bone.
7. The stabilization system according to claim 1 , wherein the non-threaded portion comprises a conical portion, adjacent to the threaded portion and a bowl portion, adjacent to the conical portion.
8. The stabilization system according to claim 7 , wherein the conical portion has a maximum diameter proximate to the bowl portion and wherein the bowl portion comprises a bowl diameter, larger than the maximum diameter.
9. The stabilization system according to claim 7 , wherein the bowl portion comprises a side wall and an annular surface between the side wall and the conical portion.
10. The stabilization system according to claim 9 , wherein the bowl portion is configured to receive and retain a button located on the annular surface and within the side wall.
11. The stabilization system according to claim 10 , wherein the stabilization system further comprises the compression fastener and the compression fastener comprises the button, the button further having a lower surface configured to engage the annular surface and at least one thread hole in communication with the through-hole when the lower surface is in engagement with the annular surface.
12. The stabilization system of claim 1 , wherein the stabilization system comprises the locking fastener and the locking fastener comprises a threaded head portion that is a self-forming thread configured to displace material in the threaded portion of the plate to lock the fastener to the plate.
13. A stabilization system comprising:
a bone plate, having a proximal end and a distal end, the bone plate further having an upper surface and a lower surface configured to be in contact with bone, the bone plate having a through-opening extending from the upper surface to the lower surface at the proximal end, the through-opening including a threaded portion proximate to the lower surface and a non-threaded portion proximate to the upper surface;
a locking fastener configured to be received by the through-opening and configured to be inserted into the bone, wherein the locking fastener has a threaded head portion configured to lock to the bone plate;
a compression fastener configured to be received by the through-opening and configured to be inserted into the bone, wherein the compression fastener has a substantially smooth portion configured to dynamically compress the bone;
a plurality of holes, each configured to receive a locking screw, dispersed along a width of the bone plate at the distal end, wherein a diameter of each of the plurality of holes is smaller than a diameter of the through-opening; and
a syndesmotic hole having at least three different co-axial bores and configured to receive any of a suture button, a locking screw, and a non-locking screw.
14. The stabilization system according to claim 13 , wherein the non-threaded portion comprises a conical portion, adjacent to the threaded portion and a bowl portion, adjacent to the conical portion.
15. The stabilization system according to claim 14 , wherein the compression fastener is configured to be received by the conical portion.
16. The stabilization system according to claim 14 , wherein the compression fastener is configured to be received by the bowl portion.
17. The stabilization system according to claim 16 , wherein the compression fastener comprises a first button configured for insertion into the bowl portion and a second button configured to engage the bone, distal from the bone plate.
18. The stabilization system according to claim 13 , wherein the threaded head portion is a self-forming thread configured to displace material of the plate to lock the fastener to the plate.
19. A stabilization system comprising:
a bone plate, having a proximal end and a distal end, the bone plate further having an upper surface and a lower surface configured to be in contact with bone, the bone plate having a through-opening extending from the upper surface to the lower surface at the proximal end; and
a plurality of holes, each configured to receive a locking screw, dispersed along a width of the bone plate at the distal end, wherein a diameter of each of the plurality of holes is smaller than a diameter of the through-opening,
wherein the through-opening is formed by at least three different co-axial bores including:
a first bore having an internal thread and a first diameter;
a second bore having an unthreaded conical side wall and a second diameter, greater than the first diameter; and
a third bore having an annular surface surrounding the side wall and a third diameter, greater than the second diameter,
wherein the through-opening is configured to receive any of a suture button, a locking screw, and a non-locking screw.
20. The stabilization system according to claim 19 , further comprising at least one of:
a locking fastener configured to be received by the through-opening and configured to be inserted into the bone, wherein the locking fastener has a threaded head portion configured to lock to the bone plate at the internal thread; and
a compression fastener configured to be received by the through-opening and configured to be inserted into the bone, wherein the compression fastener has a substantially smooth portion configured to engage one of the conical side wall and the annular surface and dynamically compress the bone.