Tibial plateau leveling osteotomy plate
An improved tibial plateau leveling osteotomy plate is contoured in its proximal head portion to more closely resemble the structure of the tibial bone segment that is cut and rotated during the procedure. The plate also preferably has screw holes in the proximal head portion that are machined through the pre-contoured proximal head portion and are designed to angle the screw in a targeted screw path with respect to the osteotomy.
1. A bone plate dimensioned for securing two tibial bone segments of a quadrupedal animal as part of a tibial leveling osteotomy procedure, the bone plate comprising:
a distal portion comprising an elongated segment configured for attachment to a shaft of a tibia, the distal portion including a plurality of distal portion screw holes extending therethrough, each distal portion screw hole being configured to accept a screw therethrough to secure the distal portion to the shaft of the tibia and defining a base plane including a bone contacting surface of the distal portion and a mid-plane bisecting the distal portion perpendicular to the base plane;
a proximal portion configured for attachment to a cut-away and repositioned portion of the tibia, the cut-away portion of the tibia comprising an articular surface at which the tibia interacts with a femur, the proximal portion having a bone-contacting surface configured and dimensioned to conform to the cut-away portion of the tibia when the distal portion is coupled to the shaft of the tibia in a desired orientation and when the cut-away portion of the tibia has been re-positioned as desired, at least a portion of the bone-contacting surface of the proximal portion being concave and having a curvature extending about a centerline extending in a centerline plane including a first rotation axis defined by an intersection of the mid-plane with a transverse plane transverse to the mid-plane and the base plane, the centerline plane being rotated relative to the mid-plane about the first rotation axis by a first angle, the centerline plane being rotated by a second angle relative to a second rotation axis defined by an intersection of the transverse plane and the base plane; and
three proximal portion locking screw holes located in the proximal portion and extending through the hone-contacting surface, at least two of the proximal portion locking screw holes being configured, when the bone plate is positioned on the tibia in a desired position, to lock bone screws inserted therethrough along screw axes selected to pass into the cut-away portion of the tibia without intersecting the articular surface, wherein a first one of the proximal portion locking screw holes defines a first screw axis angled so that the first screw axis extends further distally as it passes away from the bone contacting surface into the cut-away portion of the tibia.
2. The bone plate of claim 1 , wherein the first screw axis angles caudally as the first screw axis extends away from the bone-contacting surface into the cut-away portion of the tibia.
3. The bone plate of claim 2 , wherein a second one of the proximal portion locking screw holes is separated distally and cranially from the first proximal portion locking screw hole, the second proximal portion locking hole defining a second screw axis angled so that the second screw axis extends further caudally as it passes away from the bone contacting surface into the cut-away portion of the tibia.
4. The bone plate of claim 2 , wherein a third one of the proximal portion locking screw holes is separated distally and caudally from the first proximal portion locking screw hole, the third proximal portion locking screw hole defining a third screw axis angled so that the third screw axis extends further cranially as it passes away from the bone contacting surface into the cut-away portion of the tibia.
5. The bone plate of claim 4 , wherein the third screw axis angled so that the third screw axis extends further cranially as it passes away from the bone contacting surface into the cut-away portion of the tibia.
6. The bone plate of claim 1 , wherein at least a portion of the bone-contacting surface of the proximal portion is contoured as a part of a cylinder.
7. The bone plate of claim 6 , wherein a radius of the cylinder that defines at least part of the bone-contacting surface of the proximal portion is no greater than 24 mm.
8. The bone plate of claim 7 , wherein the radius of the cylinder that defines at least part of the bone-contacting surface of the proximal portion is no less than 8 mm.
9. The bone plate of claim 6 , wherein a radius of the cylinder that defines at least part of the bone-contacting surface of the proximal portion is between about 22 mm and about 30 mm.
10. The hone plate of claim 6 , wherein a radius of the cylinder that defines at least part of the bone-contacting surface of the proximal portion is between about 12 mm and about 20 mm.
11. A bone plate for securing two tibial bone segments as part of a tibial leveling osteotomy procedure for an animal, the bone plate comprising:
a distal portion comprising an elongated shaft having disposed therein a plurality of distal portion screw holes each designed to accept a screw; and
a proximal portion configured for attachment to a cut-away and repositioned portion of the tibia, the cut-away portion of the tibia comprising an articular surface at which the tibia interacts with a femur, the proximal portion having a bone-contacting surface configured and dimensioned to conform to the cut-away portion of the tibia when the distal portion is coupled to the shaft of the tibia in a desired orientation and when the cut-away portion of the tibia has been re-positioned as desired, the proximal portion comprising at least three proximal portion screw holes each designed to accept a screw, wherein a first proximal portion screw hole is a superior screw hole, a second proximal portion screw hole is a cranial screw hole located distally and cranially from the superior screw hole, and a third proximal portion screw hole is a caudal screw hole located distally and caudally from the superior screw hole, wherein screw hole paths for at least two of the three screw holes of the proximal portion are predetermined and angled to direct screws inserted therethrough, when the bone plate is positioned on the tibia in a desired position, into a central mass of the tibia.
12. The bone plate of claim 11 , wherein the screw hole path of the superior screw hole is angled between 90 and 85 degrees relative to a base plane.
13. The bone plate of claim 12 , wherein the screw hole path of the superior screw hole is angled between 90 and 85 degrees relative to the base plane.
14. The bone plate of claim 11 , wherein the bone plate defines a mid-plane including a longitudinal axis bisecting the elongated shaft, the screw hole path of the superior screw forming an angle of between 2 and 10 degrees relative to the mid-plane.
15. The bone plate of claim 14 , wherein the screw hole path of the superior screw forms an angle of approximately 5 degrees relative to the mid-plane.
16. The bone plate of claim 14 , wherein the screw hole path of the superior screw forms an angle of between 3 and 7 degrees relative to the mid-plane.
17. The bone plate of claim 11 , wherein the bone plate defines a mid-plane including a longitudinal axis bisecting the elongated shaft, the screw hole path of the caudal screw forming an angle of between 1 and 7 degrees relative to the mid-plane.
18. The bone plate of claim 17 , wherein the screw hole path of the caudal screw forms an angle of approximately 3 degrees relative to the mid-plane.
19. The bone plate of claim 17 , wherein the screw hole path of the caudal screw forms an angle of between 2 and 5 degrees relative to the mid-plane.
20. A kit for securing two tibial bone segments to one another as part of a tibial leveling osteotomy procedure for an animal, the kit comprising:
a bone plate including a distal portion comprising an elongated shaft having a plurality of distal portion screw holes each designed to accept a screw and a proximal portion configured for attachment to a cut-away and repositioned portion of the tibia, the cut-away portion of the tibia comprising an articular surface at which the tibia interacts with a femur, the proximal portion having a bone-contacting surface configured and dimensioned to conform to the cut-away portion of the tibia when the distal portion is coupled to the shaft of the tibia in a desired orientation and when the cut-away portion of the tibia has been re-positioned as desired, the proximal portion comprising at least three proximal portion screw holes each designed to accept a screw, wherein a first one of the proximal portion screw holes is a superior screw hole, a second one of the proximal portion screw holes is a cranial screw hole located distally and cranially from the superior screw hole, and a third one of the proximal portion screw holes is a caudal screw hole located distally and caudally from the superior screw hole; and
a plurality of locking bone screws configured, when the bone plate is positioned on the tibia in a desired position, to be locked into first and second ones of the proximal portion screw holes along screw paths selected to pass into the cut-away portion of the tibia without intersecting the articular surface, away from an osteotomy surface of the tibia.