Volar distal radius stabilization system
Devices, systems, and methods for bone stabilization, especially volar distal radius stabilization. The stabilization system may include a bone plate having an elongated portion, an enlarged head portion, and a transition region connecting the elongated portion to the enlarged head portion, and the plate including a plurality of through holes. A plurality of fasteners may be configured to extend through one or more of the plurality of through holes in the bone plate and into the bone. The plate may be used to stabilize a fracture in a long bone, such as a radius.
1. A bone plate for stabilizing a bone, comprising:
an elongated portion extending along a longitudinal axis;
an enlarged head portion extending along a second axis from a first end to a second end:
a transition region connecting the elongated portion to the enlarged head portion, the second end of the enlarged head portion is a free end; and
a plurality of through holes extending through the enlarged head portion, the transition region, and the elongated portion and configured to receive one or more fasteners to secure the bone plate to the bone;
wherein the transition region is curved and connects to the first end of the enlarged head portion, wherein at least a portion of the elongated portion extends along a curved trajectory;
wherein the elongated portion includes a slot for receiving a sliding fastener for provisional alignment of the bone plate, and
wherein the longitudinal axis and the second axis are generally perpendicular;
wherein a length of the slot is approximately a third of a length of the elongated portion.
2. The bone plate of claim 1 , wherein the plurality of through holes includes a first plurality of fixed angle holes positioned in general alignment along the enlarged head portion, and the one or more fasteners include one or more fixed angle fasteners configured to be received in the fixed angle holes, the one or more fixed angle fasteners configured to be aimed at a radio-carpal joint and a distal radio-ulnar joint.
3. The bone plate of claim 1 , wherein the plurality of through holes includes a polyaxial hole positioned proximate to the end portion of the enlarged head portion connected to the transition region, and the one or more fasteners include a polyaxial fastener configured to be received in the polyaxial hole, the polyaxial fastener configured to be aimed at a radial styloid.
4. The bone plate of claim 1 , wherein the elongated slot allows for proximal-distal and medial-lateral adjustment of the plate.
5. The bone plate of claim 1 , wherein the transition region extends at an angle relative to the longitudinal axis.
6. The bone plate of claim 1 , wherein the enlarged head portion extends at an angle relative to the transition region.
7. The bone plate of claim 1 , wherein the one or more fasteners include fasteners having self-forming threads on a head portion of the fasteners, which are configured to lock to at least one of the plurality of through holes on the plate.
8. The bone plate of claim 1 , wherein the plate further comprises a second plurality of openings configured as k-wire holes to receive one or more k-wires.
9. The bone plate of claim 1 , wherein the plate includes a plurality recesses located along the elongated portion between the through holes, and the plurality of recesses are configured to facilitate bending of the plate.
10. A bone plate configured to stabilize a radius, comprising: an elongated portion extending along a longitudinal axis,
an enlarged head portion extending along a second axis from a first end to a second end, and
a transition region connecting the elongated portion to the enlarged head portion;
a plurality of fixed angle holes positioned in general alignment along the elongated portion and configured to receive a corresponding plurality of fixed angle fasteners;
a polyaxial hole positioned proximate to the end portion of the enlarged head portion connected to the transition region, the polyaxial hole configured to receive a polyaxial fastener; and
an elongated slot formed in the elongated portion and configured to receive a fastener to allow proximal-distal and medial-lateral adjustment of the bone plate,
wherein the transition region is curved and connected to the first end of the enlarged head portion, the second end of the enlarged head portion is a free end, wherein at least a portion of the elongated portion includes scalloped edges;
wherein a length of the elongated slot is approximately a third of a length of the elongated portion.
11. The bone plate of claim 10 , wherein the transition region extends at an angle relative to the longitudinal axis.
12. The bone plate of claim 10 , wherein the enlarged head portion extends at an angle relative to the transition region.
13. The bone plate of claim 10 , wherein the plate further comprises a second plurality of openings configured as k-wire holes to receive one or more k-wires.
14. The bone plate of claim 10 , wherein the plate includes a plurality recesses located along the elongated portion between the through holes, and the plurality of recesses are configured to facilitate bending of the plate.