Mandibular fixation plate
A bone fixation implant is provided that includes a bone fixation plate and a plurality of fasteners. The bone fixation plate corresponds generally to stress lines imparted onto the mandible during anatomical function of the mandible. Thus, the bone fixation plate includes a primary leg and an auxiliary leg extending obliquely out from the primary leg.
1. A method of bone fixation comprising the steps of:
orienting a mandibular bone plate in a position relative to a mandible such that: 1) a substantially straight primary leg of the mandibular bone plate is generally parallel to a portion of a posterior border of the mandible, and 2) an auxiliary leg of the mandibular bone plate that is elongate along a substantially curved central axis is generally parallel to a sigmoid notch of the mandible;
securing a portion of the primary leg to a first bone fragment of the mandible while the mandibular bone plate is in the position; and
securing a portion of the auxiliary leg to a second bone fragment of the mandible while the mandibular bone plate is in the position, wherein the second bone fragment is separated from the first bone fragment by a fracture of the mandible.
2. The method of claim 1 , wherein the step of securing a portion of the primary leg includes the steps of:
aligning a hole of the mandibular bone plate that is defined by the primary leg with a portion of the first bone fragment with respect to a direction that is normal to the portion of the first bone fragment; and
inserting a bone fastener through the hole along the direction and into the first bone fragment.
3. The method of claim 2 , wherein the hole is a first hole, the bone fastener is a first bone fastener, the direction is a first direction, and the step of securing a portion of the auxiliary leg includes the steps of:
aligning a second hole of the mandibular bone plate that is defined by the auxiliary leg with a portion of the second bone fragment with respect to a second direction that is normal to the portion of the second bone fragment; and
inserting a second bone fastener through the second hole along the second direction and into the second bone fragment.
4. The method of claim 3 , wherein the portion of the primary leg is a first portion of the primary leg, and the method further comprises the step of:
securing a second portion of the primary leg to the second bone fragment of the mandible while the mandibular bone plate is in the position.
5. The method of claim 4 , wherein the portion of the second bone fragment is a first portion of the second bone fragment, the step of securing a second portion of the primary leg includes the steps of:
aligning a third hole of the mandibular bone plate that is defined by the primary leg with a second portion of the second bone fragment with respect to a third direction that is normal to the second portion of the second bone fragment; and
inserting a third bone fastener through the third hole along the third direction and into the second bone fragment.
6. The method of claim 5 , wherein the orienting step includes the step of:
aligning the primary leg with the fracture such that a third portion of the primary leg that is devoid of bone fixation holes is aligned with the fracture with respect to a direction perpendicular to a direction the first bone fragment is separated from the second bone fragment by the fracture.
7. The method of claim 1 , wherein the step of securing a portion of the auxiliary leg includes the steps of:
aligning a hole of the mandibular bone plate that is defined by the auxiliary leg with a portion of the second bone fragment with respect to a direction normal to the portion of the second bone fragment; and
inserting a bone fastener through the hole along the direction and into the second bone fragment.
8. The method of claim 1 , wherein the portion of the primary leg is a first portion of the primary leg, and the method further comprises the step of:
securing a second portion of the primary leg to the second bone fragment of the mandible while the mandibular bone plate is in the position.
9. The method of claim 8 , wherein the step of securing a second portion of the primary leg includes the steps of:
aligning a hole of the mandibular bone plate that is defined by the primary leg with a portion of the second bone fragment with respect to a direction that is normal to the portion of the second bone fragment; and
inserting a bone fastener through the hole along the direction and into the second bone fragment.
10. The method of claim 1 , wherein the orienting step includes the step of:
aligning the primary leg with the fracture such that a portion of the primary leg that is devoid of bone fixation holes is aligned with the fracture with respect to a direction perpendicular to a direction the first bone fragment is separated from the second bone fragment by the fracture.
11. A method of bone fixation comprising the steps of:
abutting a first surface of a mandibular bone plate against a mandible in a position such that: 1) a substantially straight primary leg of the mandibular bone plate is generally aligned with a stress line of the mandible with respect to a direction normal to the first surface, and 2) an auxiliary leg of the mandibular bone plate that is elongate along a substantially curved central axis is generally aligned with a second stress line of the mandible;
securing a portion of the primary leg to a first bone fragment of the mandible while the mandibular bone plate is in the position; and
securing a portion of the auxiliary leg to a second bone fragment of the mandible while the mandibular bone plate is in the position, wherein the second bone fragment is separated from the first bone fragment by a fracture of the mandible.
12. The method of claim 11 , wherein the step of securing a portion of the primary leg includes the steps of:
aligning a hole of the mandibular bone plate that is defined by the primary leg with a portion of the first bone fragment with respect to a direction that is normal to the portion of the first bone fragment; and
inserting a bone fastener through the hole along the direction and into the first bone fragment.
13. The method of claim 12 , wherein the hole is a first hole, the bone fastener is a first bone fastener, the direction is a first direction, and the step of securing a portion of the auxiliary leg includes the steps of:
aligning a second hole of the mandibular bone plate that is defined by the auxiliary leg with a portion of the second bone fragment with respect to a second direction that is normal to the portion of the second bone fragment; and
inserting a second bone fastener through the second hole along the second direction and into the second bone fragment.
14. The method of claim 13 , wherein the portion of the primary leg is a first portion of the primary leg, and the method further comprises the step of:
securing a second portion of the primary leg to the second bone fragment of the mandible while the mandibular bone plate is in the position.
15. The method of claim 14 , wherein the portion of the second bone fragment is a first portion of the second bone fragment, the step of securing a second portion of the primary leg includes the steps of:
aligning a third hole of the mandibular bone plate that is defined by the primary leg with a second portion of the second bone fragment with respect to a third direction that is normal to the second portion of the second bone fragment; and
inserting a third bone fastener through the third hole along the third direction and into the second bone fragment.
16. The method of claim 15 , wherein the orienting step includes the step of:
aligning the primary leg with the fracture such that a third portion of the primary leg that is devoid of bone fixation holes is aligned with the fracture with respect to a direction perpendicular to a direction the first bone fragment is separated from the second bone fragment by the fracture.
17. The method of claim 11 , wherein the step of securing a portion of the auxiliary leg includes the steps of:
aligning a hole of the mandibular bone plate that is defined by the auxiliary leg with a portion of the second bone fragment with respect to a direction normal to the portion of the second bone fragment; and
inserting a bone fastener through the hole along the direction and into the second bone fragment.
18. The method of claim 11 , wherein the portion of the primary leg is a first portion of the primary leg, and the method further comprises the step of:
securing a second portion of the primary leg to the second bone fragment of the mandible while the mandibular bone plate is in the position.
19. The method of claim 18 , wherein the step of securing a second portion of the primary leg includes the steps of:
aligning a hole of the mandibular bone plate that is defined by the primary leg with a portion of the second bone fragment with respect to a direction that is normal to the portion of the second bone fragment; and
inserting a bone fastener through the hole along the direction and into the second bone fragment.
20. The method of claim 11 , wherein the orienting step includes the step of:
aligning the primary leg with the fracture such that a portion of the primary leg that is devoid of bone fixation holes is aligned with the fracture with respect to a direction perpendicular to a direction the first bone fragment is separated from the second bone fragment by the fracture.