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METHOD AND APPARATUS FOR FORMING A WEDGE-LIKE OPENING IN A BONE FOR AN OPEN WEDGE OSTEOTOMY

机译:用于在骨中形成楔形开口的楔形开口的方法和装置

摘要

In one form of the present invention, there is provided an apparatus forforming a wedge-like opening in a bone for an open wedge osteotomy, theapparatus comprising: targeting apparatus for identifying a cutting planethrough the bone and a boundary line for terminating a cut made along thecutting plane, wherein the boundary line is located within the bone; and anapex pin for disposition along the boundary line for providing (i) a positivestop at the boundary line for limiting cutting along the cutting plane, and(ii) a cylindrical opening extending along the boundary line so as to minimizethe occurrence of stress risers within the bone when the bone on either sideof the cut is moved apart so as to form the wedge-like opening in the bone. Inanother form of the present invention, there is provided a method for forminga wedge-like opening in a bone for an open wedge osteotomy, the methodcomprising: positioning targeting apparatus relative to the bone, so as toidentify a cutting plane through the bone and a boundary line for terminatinga cut made along the cutting plane, wherein the boundary line is locatedwithin the bone/ and positioning an apex pin along the boundary line so as toprovide (i) a positive stop at the boundary line for limiting cutting alongthe cutting plane, and (ii) a cylindrical opening extending along the boundaryline so as to minimize the occurrence of stress risers within the bone whenthe bone on either side of the cut is moved apart so as to form the wedge-likeopening in the bone; cutting the bone along the cutting plane, with the cutterminating at the boundary line; and moving the bone on either side of thecut apart so as to form the wedge-like opening in the bone.
机译:在本发明的一种形式中,提供了一种用于在骨头上形成楔形开口以进行楔形截骨术,装置,包括:用于识别切割平面的瞄准装置穿过骨骼和边界线,以终止沿骨骼的切割切割平面,其中边界线位于骨内;和沿边界线布置的顶针,用于提供(i)在边界线上停止以限制沿切割平面的切割,并且(ii)沿边界线延伸的圆柱形开口,以最大程度地减少当两侧的骨头都在骨头内出现应力上升时将切口的一部分分开以在骨中形成楔形开口。在本发明的另一种形式,提供了一种形成方法骨中的楔形开口用于楔形截骨术,该方法包括:相对于骨骼定位靶向装置,以便确定穿过骨骼的切割平面和用于终止的边界线沿切割平面进行的切割,其中边界线位于在骨头内/沿着边界线定位一个顶点钉,以便在边界线处提供(i)正止挡,以限制沿切割平面,以及(ii)沿边界延伸的圆柱孔线以最大程度地减少骨骼内应力上升时的发生切口两侧的骨头分开以形成楔形在骨头上开口;沿着切割平面切割骨头终止于边界线;并在两边移动骨头切开以便在骨头上形成楔形开口。

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