Bone compression device and method
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 method of preloading a bone compression device for subsequent application of the bone compression device to bones, the bone compression device including an elongated resilient member having an unloaded configuration wherein the elongated resilient member has either a bent or a straight shape, the elongated resilient member further having a loaded configuration wherein the elongated resilient member has the other of the bent or the straight shape, the method comprising:
moving bone anchor receiving portions of the bone compression device relative to each other from a first configuration of the bone anchor receiving portions to a second configuration of the bone anchor receiving portions, the moving of the bone anchor receiving portions causing the elongated resilient member to shift from the unloaded configuration to the loaded configuration; and
after moving the bone anchor receiving portions to the second configuration thereof, connecting at least one restraint to a body which is connected to one of the bone anchor receiving portions, the body being separate and distinct from the at least one restraint and the one bone anchor receiving portion, to inhibit the bone anchor receiving portions from moving from the second configuration back toward the first configuration thereof which keeps the elongated resilient member from shifting from the loaded configuration back toward the unloaded configuration.
2. The method of claim 1 , wherein moving the bone anchor receiving portions relative to each other includes increasing a distance between the bone anchor receiving portions.
3. The method of claim 1 , further comprising engaging a tool with one of the bone anchor receiving portions; and
moving the bone anchor receiving portions relative to each other includes using the tool to move the one bone anchor receiving portion relative to the other bone anchor receiving portion.
4. The method of claim 1 , further comprising engaging tools with the bone anchor receiving portions; and
moving the bone anchor receiving portions relative to each other includes using the tools to move the bone anchor receiving portions relative to each other.
5. A method of preloading a bone compression device for subsequent application of the bone compression device to bones, the bone compression device including an elongated resilient member having an unloaded configuration wherein the elongated resilient member has either a bent or a straight shape, the elongated resilient member further having a loaded configuration wherein the elongated resilient member has the other of the bent or the straight shape, the method comprising:
moving bone anchor receiving portions of the bone compression device relative to each other from a first configuration of the bone anchor receiving portions to a second configuration of the bone anchor receiving portions, the moving of the bone anchor receiving portions causing the elongated resilient member to shift from the unloaded configuration to the loaded configuration; and
after moving the bone anchor receiving portions to the second configuration thereof, applying at least one restraint to inhibit the bone anchor receiving portions from moving from the second configuration back toward the first configuration thereof which keeps the elongated resilient member from shifting from the loaded configuration back toward the unloaded configuration;
wherein moving the bone anchor receiving portions relative to each other includes reconfiguring first and second portions of the elongated resilient member between a first configuration wherein the first and second portions extend transversely to each other and a second configuration wherein the first and second portions are coaxial with each other.
6. A method of preloading a bone compression device for subsequent application of the bone compression device to bones, the bone compression device including an elongated resilient member having an unloaded configuration wherein the elongated resilient member has either a bent or a straight shape, the elongated resilient member further having a loaded configuration wherein the elongated resilient member has the other of the bent or the straight shape, the method comprising:
moving bone anchor receiving portions of the bone compression device relative to each other from a first configuration of the bone anchor receiving portions to a second configuration of the bone anchor receiving portions, the moving of the bone anchor receiving portions causing the elongated resilient member to shift from the unloaded configuration to the loaded configuration;
after moving the bone anchor receiving portions to the second configuration thereof, applying at least one restraint to inhibit the bone anchor receiving portions from moving from the second configuration back toward the first configuration thereof which keeps the elongated resilient member from shifting from the loaded configuration back toward the unloaded configuration;
engaging a first tool with one of the bone anchor receiving portions and engaging a second tool with the other of the bone anchor receiving portions; and
moving the bone anchor receiving portions relative to each other includes using the tools to move the bone anchor receiving portions relative to each other.
7. A method of preloading a bone compression device for subsequent application of the bone compression device to bones, the bone compression device including an elongated resilient member having an unloaded configuration wherein the elongated resilient member has either a bent or a straight shape, the elongated resilient member further having a loaded configuration wherein the elongated resilient member has the other of the bent or the straight shape, the method comprising:
moving bone anchor receiving portions of the bone compression device relative to each other from a first configuration of the bone anchor receiving portions to a second configuration of the bone anchor receiving portions, the moving of the bone anchor receiving portions causing the elongated resilient member to shift from the unloaded configuration to the loaded configuration; and
after moving the bone anchor receiving portions to the second configuration thereof, applying at least one restraint to inhibit the bone anchor receiving portions from moving from the second configuration back toward the first configuration thereof which keeps the elongated resilient member from shifting from the loaded configuration back toward the unloaded configuration;
providing a tool having a distal end portion configured to be connected to the bone compression device, the tool having a cannula sized to permit a bone screw to be advanced therethrough and into an opening of one of the bone anchor receiving portions.
8. A method of applying a bone compression device to bones, the bone compression device including bone anchor receiving portions and an elongated resilient member, the bone anchor receiving portions having a first configuration which places the elongated resilient member in an unloaded configuration wherein the elongated resilient member has either a bent or a straight shape, the bone anchor receiving portions having a second configuration which places the elongated resilient member in a loaded configuration wherein the elongated resilient member has the other of the bent or straight shape, the method comprising:
positioning the bone compression device against the bones with the bone anchor receiving portions in the second configuration and the elongated resilient member in the loaded configuration;
permitting at least one restraint to hold the bone anchor receiving portions in the second configuration, the holding of the bone anchor receiving portions in the second configuration maintaining the elongated resilient member in the loaded configuration;
driving shanks of bone screws through openings of the bone anchor receiving portions of the bone compression device and into engagement with the bones; and
disconnecting the at least one restraint from a body connected to one of the bone anchor receiving portions, the body being separate and distinct from the at least one restraint and the one bone anchor receiving portion, to permit the elongated resilient member to shift from the loaded configuration toward the unloaded configuration and urge the bone anchor receiving portions of the bone compression device from the second configuration back toward the first configuration.
9. The method of claim 8 , wherein removing the at least one restraint to permit the elongated resilient member to shift from the loaded configuration toward the unloaded configuration includes decreasing a distance between the bone anchor receiving portions.
10. The method of claim 8 , wherein removing the at least one restraint to permit the elongated resilient member to shift from the loaded configuration toward the unloaded configuration includes changing an angle between two straight portions of the elongated resilient member.
11. The method of claim 8 , wherein the bone anchor receiving portions each have a through opening for receiving a bone screw and a central axis of the through opening, the bone compression device including a longitudinal axis intersecting the central axes of the through openings when the bone anchor receiving portions are in the first configuration and the second configuration.
12. The method of claim 8 wherein permitting the at least one restraint to hold the bone anchor receiving portions in the second configuration includes permitting the at least one restraint to extend intermediate the bone anchor receiving portions and removing the at least one restraint includes removing the at least one restraint from being intermediate the bone anchor receiving portions.
13. The method of claim 8 further comprising seating heads of the bone screws against unthreaded surfaces of the bone anchor receiving portions.
14. A method of applying a bone compression device to bones, the bone compression device including bone anchor receiving portions and an elongated resilient member, the bone anchor receiving portions having a first configuration which places the elongated resilient member in an unloaded configuration wherein the elongated resilient member has either a bent or a straight shape, the bone anchor receiving portions having a second configuration which places the elongated resilient member in a loaded configuration wherein the elongated resilient member has the other of the bent or straight shape, the method comprising:
positioning the bone compression device against the bones with the bone anchor receiving portions in the second configuration and the elongated resilient member in the loaded configuration;
permitting at least one restraint to hold the bone anchor receiving portions in the second configuration, the holding of the bone anchor receiving portions in the second configuration maintaining the elongated resilient member in the loaded configuration;
driving shanks of bone screws through openings of the bone anchor receiving portions of the bone compression device and into engagement with the bones; and
removing the at least one restraint to permit the elongated resilient member to shift from the loaded configuration toward the unloaded configuration and urge the bone anchor receiving portions of the bone compression device from the second configuration back toward the first configuration;
wherein driving shanks of bones screws through openings of the bone anchor receiving portions includes advancing one of the bone screws through a cannula of a tool connected to the bone compression device.
15. A method of applying a bone compression device to bones, the bone compression device including bone anchor receiving portions and an elongated resilient member, the bone anchor receiving portions having a first configuration which places the elongated resilient member in an unloaded configuration wherein the elongated resilient member has either a bent or a straight shape, the bone anchor receiving portions having a second configuration which places the elongated resilient member in a loaded configuration wherein the elongated resilient member has the other of the bent or straight shape, wherein at least one restraint holds the bone anchor receiving portions in the second configuration which maintains the elongated resilient member in the loaded configuration, the method comprising:
positioning the bone compression device against the bones with the bone anchor receiving portions in the second configuration and the elongated resilient member in the loaded configuration;
driving shanks of bone screws through openings of the bone anchor receiving portions of the bone compression device and into engagement with the bones; and
removing the at least one restraint to permit the elongated resilient member to shift from the loaded configuration toward the unloaded configuration and urge the bone anchor receiving portions of the bone compression device from the second configuration back toward the first configuration;
wherein the elongated resilient member has first and second portions extending transversely to each other with the elongated resilient member in one of the loaded configuration and the unloaded configuration; and
wherein the first and second portions of the elongated resilient member are coaxial with each other with the elongated resilient member in the other of the loaded configuration and the unloaded configuration.
16. The method of claim 15 , wherein removing the at least one restraint to permit the elongated resilient member to shift from the loaded configuration toward the unloaded configuration includes decreasing a distance between the bone anchor receiving portions.
17. The method of claim 15 , wherein removing the at least one restraint to permit the elongated resilient member to shift from the loaded configuration toward the unloaded configuration includes changing an angle between the first and second portions of the elongated resilient member.
18. The method of claim 15 , wherein the bone anchor receiving portions each have a through opening for receiving a bone screw and a central axis of the through opening, the bone compression device including a longitudinal axis intersecting the central axes of the through openings when the bone anchor receiving portions are in the first configuration and the second configuration.
19. The method of claim 15 wherein permitting the at least one restraint to hold the bone anchor receiving portions in the second configuration includes permitting the at least one restraint to extend intermediate the bone anchor receiving portions and removing the at least one restraint includes removing the at least one restraint from being intermediate the bone anchor receiving portions.