Systems for sacroiliac joint stabilization
Systems are described for conducting minimally invasive medical interventions utilizing instruments and assemblies thereof to stabilize and/or fixate a dysfunctional sacroiliac (SI) joint. The systems include a drill guide adapted to create a pilot SI joint opening in the dysfunctional SI joint through an incision comprising a length no greater than 3.0 cm; portions of the pilot SI joint opening being disposed in the sacrum and ilium bone structures. The drill guide includes a tri-mode fixation system adapted to position and stabilize the drill guide during creation of the pilot SI joint opening in the dysfunctional SI joint and delivery of the SI joint prosthesis therein. The systems also include a SI joint prosthesis configured to be inserted into the pilot SI joint opening of the dysfunctional SI joint, and a prosthesis deployment assembly configured to engage the SI joint prosthesis and advance the SI joint prosthesis into the dysfunctional SI joint.
1 . A system for stabilizing a dysfunctional sacroiliac (SI) joint of a subject, said dysfunctional SI joint comprising first and second bone structures, said system comprising:
a tool assembly, a SI joint prosthesis, and a prosthesis deployment assembly,
said tool assembly comprising a guide pin and a drill guide assembly,
said guide pin adapted to be positioned in said dysfunctional SI joint,
said drill guide assembly adapted to create a pilot SI joint opening in said dysfunctional SI joint through an incision comprising a length no greater than 3.0 cm, said pilot SI joint opening comprising first and second portions,
said drill guide assembly comprising a bone dislodging member, a drill guide, and first, second and third drill guide fixation sub-systems,
said bone dislodging member adapted to dislodge portions of bone in said first and second bone structures of said dysfunctional SI joint,
said drill guide comprising a base, a guide pin lumen, a plurality of drill guide lumens, and a plurality of fixation guide lumens,
said guide pin lumen adapted to receive said guide pin therein, said guide pin adapted to guide said drill guide to said dysfunctional SI joint when received in said guide pin lumen,
said first drill guide fixation sub-system comprising a plurality of anchor members adapted to pierce and engage biological tissue, said plurality of anchor members extending from said base of said drill guide,
said second drill guide fixation sub-system comprising a plurality of Kirschner (K)-wires adapted to pierce and engage said first and second bone structures, and SI joint structures proximate thereto,
said third drill guide fixation sub-system comprising a K-wire pin member and a temporary fixation pin, said K-wire pin member and said temporary fixation pin adapted to pierce and engage said first and second bone structures,
said plurality of fixation guide lumens adapted to receive said plurality of K-wires therein, and said plurality of drill guide lumens adapted to receive said K-wire pin member, said temporary fixation pin and said bone dislodging member therein,
said first drill guide fixation sub-system operable when said plurality of anchor members pierces and engages first biological tissue proximate said dysfunctional SI joint,
said second drill guide fixation sub-system operable when said plurality of K-wires is received in said fixation guide lumens and engages said first and second bone structures of said dysfunctional SI joint,
said third drill guide fixation sub-system operable when said K-wire pin member is received in a first drill guide lumen of said plurality of drill guide lumens and engages said first bone structure of said dysfunctional SI joint, and when said K-wire pin member is received in a second drill guide lumen of said plurality of drill guide lumens and engages said second bone structure of said dysfunctional SI joint,
said third drill guide fixation sub-system further operable when said temporary fixation pin is received in said first drill guide lumen of said plurality of drill guide lumens and engages said first bone structure of said dysfunctional SI joint, and when said temporary fixation pin is received in said second drill guide lumen of said plurality of drill guide lumens and engages said second bone structure of said dysfunctional SI joint,
each of said first, second and third drill guide fixation sub-systems being operable when said K-wire pin member is said received in said first drill guide lumen of said plurality of drill guide lumens and said engages said first bone structure of said dysfunctional SI joint, and said bone dislodging member is received in said second drill guide lumen of said plurality of drill guide lumens and creates said first portion of said pilot SI joint opening in said second bone structure of said dysfunctional SI joint, and when said K-wire pin member is said received in said second drill guide lumen of said plurality of drill guide lumens and said engages said second bone structure of said dysfunctional SI joint, and said bone dislodging member is received in said first drill guide lumen of said plurality of drill guide lumens and creates said second portion of said pilot SI joint opening in said first bone structure of said dysfunctional SI joint,
each of said first, second and third drill guide fixation sub-systems further operable when said temporary fixation pin is said received in said first drill guide lumen of said plurality of drill guide lumens and said engages said first bone structure of said dysfunctional SI joint, and said bone dislodging member is received in said second drill guide lumen of said plurality of drill guide lumens and creates said first portion of said pilot SI joint opening in said second bone structure of said dysfunctional SI joint, and when said temporary fixation pin is said received in said second drill guide lumen of said plurality of drill guide lumens and said engages said second bone structure of said dysfunctional SI joint, and said bone dislodging member is received in said first drill guide lumen of said plurality of drill guide lumens and creates said second portion of said pilot SI joint opening in said first bone structure of said dysfunctional SI joint,
said SI joint prosthesis having a proximal end and comprising first and second elongated partially cylindrical sections connected to a bridge section, said bridge section comprising a bridge section proximal end and a bridge section distal end disposed opposite said bridge section proximal end, said bridge section distal end comprising a first tapered region configured and adapted to disrupt at least articular cartilage and cortical bone,
said first elongated partially cylindrical section of said SI joint prosthesis comprising a first internal prosthesis lumen extending from said prosthesis proximal end,
said second elongated partially cylindrical section of said SI joint prosthesis comprising a second internal prosthesis lumen extending from said prosthesis proximal end,
said SI joint prosthesis configured and adapted to be inserted into said pilot SI joint opening,
said prosthesis deployment assembly adapted to engage said SI joint prosthesis and guide said SI joint prosthesis into said pilot SI joint opening.