Orthopaedic fixation device, system and method
An implantable fixation device for rejoining opposed portions of a separated bone. The device including two corresponding plates that are configured to be aligned and coupled to a bone, such as a sternum, pre-resection of the bone or prior to cutting/separating the bone. The placement of the corresponding plates provides a gap between the edges of the plates that face one another allowing for and guiding a cutting tool for separating the bone. After the bone has been cut and the desired surgical procedure performed, the plates also assist in realigning and fixation of the bone portions. At least one plate includes a ratchet mechanism that is configured to tighten a locking element and draw the two plates together and into alignment with one another.
1. A bone rejoining system, comprising:
a first bone plate including a first hole;
a second bone plate including a second hole;
a holder for removably holding the first bone plate and the second bone plate in an initial plate configuration and for guiding a first fastener through the first hole and a second fastener through the second hole for attaching the first bone plate and the second bone plate, respectively, to a bony structure in the initial plate configuration, the initial plate configuration comprising a predetermined longitudinal alignment of the first bone plate and the second bone plate relative to one another and a pre-determined lateral alignment of the first bone plate and the second bone plate relative to one another, the pre-determined lateral alignment including a lateral gap between a first face of the first bone plate and a second face of the second bone plate, the lateral gap running in a longitudinal direction along the first bone plate and the second bone plate so as to fully separate the first face from the second face in the longitudinal direction, the lateral gap having a target width in the initial plate configuration, the target width allowing a cutting instrument to be passed between the first face and the second face to cut underlying bone following attachment of the first bone plate and the second bone plate to the bony structure;
a first pulling element extendable laterally between the first bone plate and the second bone plate following attachment of the first bone plate and the second bone plate to the bony structure and following an increase in size of the lateral gap from the target width to a second width that is larger than the target width, the first pulling element engageable with the first bone plate and the second bone plate and usable to pull the first bone plate and the second bone plate relatively closer to one another to decrease the lateral gap from the second width toward the target width; and
a first alignment member extendable laterally between the first bone plate and the second bone plate following attachment of the first bone plate and the second bone plate to the bony structure and following the increase in size of the lateral gap from the target width to the second width, the first alignment member engageable with the first bone plate and the second bone plate for maintaining the pre-determined longitudinal alignment of the first bone plate relative to the second bone plate as the lateral gap is being decreased toward the target width.
2. The bone rejoining system of claim 1 , wherein the first pulling element comprises a ratchet mechanism.
3. The bone rejoining system of claim 2 , wherein the ratchet mechanism comprises a ratchet wheel.
4. The bone rejoining system of claim 3 , wherein the ratchet wheel is rotatably received in the first bone plate.
5. The bone rejoining system of claim 4 , wherein the first pulling element further comprises an elongated locking member engageable with the ratchet wheel.
6. The bone rejoining system of claim 5 , wherein the elongated locking member includes a first end connectable to the second bone plate and a second end engageable with the ratchet wheel for being wound around the ratchet wheel as the ratchet wheel is being rotated in the first bone plate.
7. The bone rejoining system of claim 1 , wherein the first alignment member comprises a shear pin.
8. The bone rejoining system of claim 7 , wherein the shear pin is extendable from the second bone plate for receipt in a shear pin receiving receptacle in the first bone plate.
9. The bone rejoining system of claim 8 , wherein the shear pin can attain a retracted first position in which the shear pin does not extend past the second face of the second bone plate and an extended second position in which the shear extends past the second face of the second bone plate.
10. The bone rejoining system of claim 1 further comprising a second alignment member extendable laterally between the first bone plate and the second bone plate following attachment of the first bone plate and the second bone plate to the bony structure and following the increase in size of the lateral gap from the target width to the second width, the second alignment member engageable with the first bone plate and the second bone plate for maintaining the pre-determined longitudinal alignment of the first bone plate relative to the second bone plate as the lateral gap is being decreased toward the target width.
11. The bone rejoining system of claim 1 , wherein the holder comprises a first guide for guiding the first fastener through the first hole and a second guide for guiding the second fastener through the second hole.
12. The bone rejoining system of claim 1 , wherein at least one of the first bone plate and the second bone plate includes one or more additional holes for receiving a corresponding fastener therethrough.