Bone transport external fixation frame
Disclosed herein are systems and methods for manipulating the orientation of a plurality of bone fragments with respect to one another. A bone transport frame including first and second rings, a plurality of elongate struts, and a plurality of ring transport assemblies for orienting a first bone segment with respect to a second bone segment is disclosed. A third ring may be included in the bone transport frame for orienting a third bone segment with respect to the first and second bone segments. Manipulation of an adjustable member of the bone transport frame can transport a ring in either a proximal or distal direction with respect to other rings of the frame. Manipulation of another adjustable member of the bone transport frame can translate a central axis of one of the rings either toward or away from the central axes of the plurality of elongate struts.
1. A bone transport frame comprising:
a first proximal ring;
a second medial ring positioned distal to the first proximal ring in an assembled condition of the bone transport frame;
a third distal ring positioned distal to the second medial ring in the assembled condition of the bone transport frame;
a plurality of elongate struts each having a longitudinal axis, the plurality of elongate struts being operably coupled to the first, second, and third rings in the assembled condition of the bone transport frame; and
a plurality of ring transport assemblies each coupling the second medial ring to a respective one of the plurality of elongate struts in the assembled condition of the bone transport frame,
wherein each of the plurality of ring transport assemblies is translatable along the longitudinal axis of a respective one of the plurality of elongate struts in the assembled condition of the bone transport frame such that, as the plurality of ring transport assemblies translate relative to the plurality of elongate struts, the second medial ring also translates towards one of the first proximal ring and the third distal ring, and away from the other of the first proximal ring and the third distal ring,
wherein a portion of each of the plurality of ring transport assemblies is rotatable with respect to the longitudinal axis of a respective one of the plurality of elongate struts in the assembled condition of the bone transport frame.
2. The bone transport frame of claim 1 , wherein the first, second, and third rings each include a plurality of through-holes that extend through upper and lower surfaces of the respective rings.
3. The bone transport frame of claim 2 , further comprising a plurality of pin retention members and bone pins adapted to couple the first and third rings to a first bone fragment and a second bone fragment respectively.
4. The bone transport frame of claim 3 , wherein each pin retention member is configured to be coupled to a respective one of the through-holes of the first or third rings.
5. The bone transport frame of claim 3 , further comprising a plurality of wire retention members and bone wires adapted to couple the first and third rings to the first and second bone fragments respectively.
6. The bone transport frame of claim 5 , wherein each wire retention member is configured to operatively couple to a respective one of the through-holes of the first or third rings.
7. The bone transport frame of claim 1 , further comprising a plurality of distal flange members each coupling the third distal ring to a respective one of the plurality of elongate struts in the assembled condition of the bone transport frame.
8. The bone transport frame of claim 7 , wherein each of the plurality of distal flange members is translatable along the longitudinal axis of a respective one of the plurality of elongate struts in the assembled condition of the bone transport frame.
9. The bone transport frame of claim 1 , further comprising a plurality of proximal flange members each coupling the first proximal ring to a respective one of the plurality of elongate struts in the assembled condition of the bone transport frame, each proximal flange member including a first through-hole adapted to receive a first coupling member for coupling a first end of the proximal flange member to the first proximal ring and a second through-hole adapted to receive the respective elongate strut therethrough.
10. The bone transport frame of claim 9 , wherein each proximal flange member further includes a third through-hole adapted to receive a second coupling member for rigidly coupling the first end of the proximal flange member to the first proximal ring.
11. The bone transport frame of claim 1 , further comprising a plurality of first adjustable members, each first adjustable member operatively coupled to a respective one of the plurality of elongate struts, wherein activation of one of the first adjustable members translates a respective one of the plurality of ring transport assemblies along the longitudinal axis of a respective one of the plurality of elongate struts in the assembled condition of the bone transport frame.
12. The bone transport frame of claim 11 , wherein the first adjustable member of each of elongate strut is configured to be positioned at a proximal end portion of the elongate strut.
13. The bone transport frame of claim 1 , wherein each of the ring transport assemblies includes a ball jointed flange configured to couple the second medial ring to a respective one of the plurality of elongate struts.
14. The bone transport frame of claim 13 , wherein a first portion of each of the ball jointed flanges is coupled to the second medial ring and a second portion of each of the ball jointed flanges is coupled to the respective one of the plurality of elongate struts in the assembled condition of the bone transport frame.
15. The bone transport frame of claim 14 , wherein each ball jointed flange enables the second medial ring to rotate with respect to the first proximal ring such that a first longitudinal axis extending through a center of the first proximal ring is oblique to a second longitudinal axis extending through a center of the second medial ring.
16. The bone transport frame of claim 14 , wherein the first portion of each of the ball jointed flanges is coupled to the second medial ring with a retaining pin extending through a through-hole of the second medial ring and a corresponding through-hole of the ball jointed flange in an assembled condition of the bone transport frame.
17. The bone transport frame of claim 14 , wherein the first portion of each of the ball jointed flanges includes at least two through-holes and the second portion of each of the ball jointed flanges includes at least one through-hole.