Bone plate and method for use in a tibial plateau leveling osteotomy (TPLO)
A tibial plateau leveling osteotomy (TPLO) system is provided for surgical correction of a stifle joint of an animal. The system includes a bone plate, fixed angle locking screw, compression screw, and a K-wire. The bone plate includes first surface and a second surfaces having common structure such that each can be positioned against the bone. The plate has a first shaft portion with a dynamic compression screw hole having a major length both extending along a first axis, and second shaft portion with a second axis and K-wire slot defining a major axis angled relative to the second axis but parallel to the first axis. The locking screw has double lead threads and the threaded holes in the plate have quad-lead threads.
1. A bone plate for use with a K-wire in a tibial plateau leveling osteotomy (TPLO) to stabilize a stifle joint of a four-legged mammal, comprising:
a top surface and a bottom surface opposite the top surface,
a shaft with a first portion and a second portion laterally angled relative to each other, and
a head extending from the first portion of the shaft, the head having at least one head screw hole for receiving a bone anchor,
the first portion having an oblong dynamic compression hole with a major diameter defining a major axis along a longest length of the dynamic compression hole, and
the second portion having at least one shaft screw hole and at least one K-wire slot, the K-wire slot having a length longer than a width, the length defining a slot axis extending substantially parallel to the major axis of the dynamic compression hole and the width adapted in size to closely receive the K-wire, the K-wire slot extending from the top surface completely through to the bottom surface along the length of the K-wire slot.
2. The bone plate of claim 1 , wherein at least one of the head and shaft screw holes has quad lead threads.
3. The bone plate of claim 2 , in combination with a bone anchor having a head with threads that consists of dual threads.
4. The bone plate of claim 1 , wherein the first portion and the second portion are laterally angled relative to each at between 10°-35°.
5. The bone plate of claim 1 , wherein the first portion and the second portion are laterally angled relative to each at 22.5°±2.5°.
6. The bone plate of claim 1 , where the first and second portions extend within a common plane.
7. The bone plate of claim 1 , wherein:
the bottom surface is for placement against the bone, and
the at least one head screw hole includes first and second head screw holes which have respective first and second fixed central axes extending through the first and second head screw holes of the plate, the first and second central axes converging toward each other.
8. The bone plate of claim 7 , wherein the first and second fixed central axes are defined by threads extending about the first and second head screw holes.
9. A bone plate for use with a K-wire in a tibial plateau leveling osteotomy (TPLO) to stabilize a stifle joint of a four-legged mammal, comprising:
a top side and a bottom side opposite the top side,
a head portion having at least one threaded screw hole for receiving a bone anchor,
a shaft with a first portion having a first axis, and a second portion having a second axis, the first and second axis laterally angled relative to each other by a non-zero angle,
the first portion extending from the head portion and including a dynamic compression screw hole with a major diameter extending coaxial with the first axis,
the second portion having,
at least one screw hole, and
a K-wire slot having a width and a length longer than the width, the width sized to closely accommodate the K-wire, and the length defining a third axis,
wherein the third axis is parallel with the first axis and angled at the nonzero angle relative to the second axis.
10. The bone plate of claim 9 , wherein the nonzero angle is between 10°-35°.
11. The bone plate of claim 9 , wherein the nonzero angle is between 22.5°±2.5°.
12. The bone plate of claim 9 , wherein the first and second portions of the shaft are in plane with each other.
13. A bone plate for use with a K-wire in a tibial plateau leveling osteotomy (TPLO) to stabilize a stifle joint of a four-legged mammal, comprising:
a top surface and a bottom surface opposite the top surface,
a head portion having a first threaded screw hole for receiving a bone anchor, and second and third screw holes,
a shaft with a first portion and a second portion laterally angled relative to each by an angle,
the first portion extending from the head portion and including a dynamic compression screw hole with a major diameter defining a first axis intersecting the first threaded screw hole, the second and third screw holes of the head portion located on opposite sides of the first axis,
the second portion having,
a plurality of screw holes spaced along a length of the second portion, defining a second axis between the plurality of screw holes, and
a K-wire slot having a width and a length longer than the width, the width sized to closely accommodate the K-wire, and the length defining a third axis,
wherein the second axis is angled relative to the first axis, and the third axis is parallel to the first axis.
14. The bone plate of claim 13 , wherein the second axis is laterally angled by 10°-35° relative to the first axis.
15. The bone plate of claim 13 , wherein the second axis is laterally angled by 22.5°±2.5° relative to the first axis.
16. The bone plate of claim 13 , wherein the first and second portions of the shaft are in plane with each other.
17. The bone plate of claim 13 , wherein the second and third screw holes are bent out of plane with the shaft.
18. The bone plate of claim 13 , wherein at least one of:
a) the first threaded screw hole in the head portion, and
b) the plurality of screw holes in the second portion of the shaft, include quad lead threads.