Surgical screw and washer

A - Human Necessities – 61 – B

Patent

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Details

A61B 17/84 (2006.01) A61B 17/064 (2006.01) A61F 2/08 (2006.01) A61B 17/86 (2006.01)

Patent

CA 2164215

A surgical fastener for fixation of graft tendon (26) in a bone hole comprising a screw (10) having a head (11), neck (12), and shank (13), and a washer (17) disposed about the neck. The tendon (26) is attached to the washer (17) so as to ensure that the tendon (26) is immobilised between the head (11) of the screw (10) and the wall of the bone hole thereby reducing pistoning under load and reducing graft failure. In one embodiment, the fastener includes a bone plug (38) disposed about the neck (12) of the screw (10) between the head (11) and the washer (17), the neck (12) being adapted to laterally press the bone plug (38) and thereby immobilise a tendon (26) attached to the washer between the bone plug (38) and the wall of the bone hole. In another embodiment, the invention consists in a surgical staple (60) having two substantially parallel legs (61), a transverse head member (62) and a washer (66) which holds a loop of tendon (26) under the staple (60) when it is inserted into a bone.

L'invention concerne une fixation chirurgicale conçue pour fixer un tendon greffé (26) dans un trou ménagé dans l'os. La fixation comprend une vis (10) comportant une tête (11), un col (12), une queue (13) et une rondelle (17) positionnée autour du col. Le tendon (26) est fixé à la rondelle (17) de manière à assurer qu'il soit immobilisé entre la tête (11) de la vis (10) et la paroi du trou dans l'os, réduisant ainsi l'écrasement dû à une charge et réduisant l'échec de la greffe. Selon une version, la fixation comprend un obturateur (38) positionné autour du col (12) de la vis (10), entre la tête (11) et la rondelle (17), le col (12) étant conçu pour appuyer latéralement sur l'obturateur (38) et immobiliser ainsi un tendon (26) fixé à la rondelle entre l'obturateur (38) et la paroi du trou dans l'os. Selon une autre version, l'invention consiste en une agrafe chirurgicale (60) comportant deux pattes (61) sensiblement parallèles, un élément de tête transversal (62) et une rondelle (66) qui maintient une boucle de tendon (26) sous l'agrafe lorsque celle-ci est insérée dans l'os.

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