Pediatric long bone fixation device
Methods and devices for applying a compressive force to a growth plate in a long bone of a pediatric patient. A dynamically compressive bone plate is provided for applying the compressive force to the growth plate of the long bone. By applying compressive force to the growth plate in the long bone, the activity of the growth plate is suppressed, inactivated, or otherwise shut down.
1 . A method of suppressing a growth plate in a long bone of a patient, the method comprising:
providing a bone plate having a longitudinal axis and including
an upper surface and a lower surface, wherein the lower surface is configured to contact bone,
a proximal end and a distal end at opposite ends of the longitudinal axis;
a first oblong screw hole defined in the proximal end, wherein the first oblong screw hole has a narrower end and a wider end and the narrower end is closer to the proximal end than the wider end of the first oblong screw hole; and
a second oblong screw hole defined in the distal end, wherein the second oblong screw hole has a narrower end and a wider end and the narrower end is closer to the distal end than the wider end of the second oblong screw hole;
positioning the bone plate against the long bone of the patient, wherein the first oblong screw hole is positioned proximal of the growth plate and the second oblong screw hole is positioned distal of the growth plate; and
fixing the bone plate to the long bone, wherein fixing the bone plate includes directing a first bone screw through the first oblong hole and into the long bone and tightening the first bone screw against the bone plate and fixing the bone plate includes directing a second bone screw through the second oblong hole and into the long bone and tightening the second bone screw against the bone plate, and wherein tightening the first and second bones screws against the bone plate places a compressive force on the growth plate which suppresses the growth plate.
2 . The method of claim 1 , wherein the patient is a pediatric patient.
3 . The method of claim 1 , wherein the bone plate includes a third screw hole and a fourth screw hole.
4 . The method of claim 1 , wherein the wider end of the first oblong screw hole includes threads configured to engage with the first bone screw.
5 . The method of claim 1 , wherein both the first oblong screw hole and the second oblong screw hole have conical sides walls that cause the first and second bone screws to exert axial forces on the long bone as the first and second bone screws are directed into the long bone and tightened against the bone plate.
6 . The method of claim 1 , wherein the first oblong screw hole and the second oblong screw hole each have a teardrop shape.
7 . The method of claim 1 , further including providing a second bone plate and positioning the second bone plate on an opposite side of the long bone, wherein the second bone plate places a compressive force on the growth plate.