# US 5,700,267 A · Method for repairing bone fractures using bone-lock system

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- Number: US 5,700,267 A
- Document ID: US5700267A
- Status: Granted
- Kind: A
- Application number: 08/704,463
- Filed: 1996-08-15
- Granted: 1997-12-23
- Earliest claimed: 1996-08-15
- Assignees: Kinetikos Medical, Inc.
- Inventors: Mark Gerald Urbanski
- Web page: https://patentgrep.com/patent/US5700267A

## CPC

- A61B 17/68: Internal fixation devices {, including fasteners and spinal fixators, even if a part thereof projects from the skin (bone staples A61B17/0642)}
- A61B 17/1728: {for holes for bone plates or plate screws}
- A61B 17/1739: {specially adapted for particular parts of the body}
- A61B 17/1686: {for the hand or wrist}
- A61B 2017/1602: {Mills}
- Y10S 606/907: Composed of particular material or coated
- Y10S 606/908: Bioabsorbable material
- Y10S 606/911: Memory material
- Y10S 606/916: Tool for installing or removing orthopedic fastener
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- Y10S: TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS

## Abstract

Bone fractures are stabilized by submerging a bone-lock mending key into the bone, avoiding detection of the key through the skin. A fractured bone typically includes two bone segments having complementary surfaces that mate at the fracture site. Bone repair begins by forming respective gripping channels in the two bone segments. The gripping channels are positioned such that, when the segments are mated at the fracture site, the channels form a continuous gripping socket that spans the fracture. The gripping socket is shaped to provide a longitudinal passage with multiple extensions proceeding outward from the passage. The extensions may comprise fingers, branches, and other apertures channeled outward from the longitudinal passage, thereby forming gripping features such as ridges, flanges, and other protuberances of bone. As an example, the gripping socket may form a "caterpillar" pattern, formed by multiple adjacent circular holes that are positioned in a line with a central passage extending through the circles. After forming the gripping socket, the bone segments are held together at the fracture site while a mending key is pressed into the socket. The mending key includes an elongated spar bearing multiple gripping protrusions shaped and sized to complementarily fit the socket's gripping features. Accordingly, when pressed into the socket, the socket's gripping features engage the key's gripping protrusions, thereby holding the mending key in place and stabilizing the bone segments.

## Claims

### Claim 1

A method for re-attaching first and second parts of a bone, said parts having mating surfaces defined by a fracture, the method comprising the steps of:
abutting the mating surfaces; and
while continuing to abut the mating surfaces, performing steps comprising:
defining a line of multiple holes from the first mating part to the second mating part via the fracture;
excavating paths between the holes to form a gripping socket defined by the holes and the paths therebetween;
aligning a rigid mending key with the gripping socket, said mending key having a shape substantially similar to the gripping socket but sufficiently larger in size to provide a snug fit upon insertion of the mending key into the gripping socket; and
pressing the mending key a predetermined distance into the gripping socket, the mending key engaging the gripping socket to hold the bone parts together.

### Claim 2 (depends on 1)

The method of claim 1, the line being a substantially straight line.

### Claim 3 (depends on 1)

The method of claim 1, the first and second bone parts having an outer cortical layer, the predetermined distance being selected such that the mending key when passed into the gripping socket is substantially flush with the outer cortical layer.

### Claim 4 (depends on 1)

The method of claim 1, the excavating step comprising a step of sawing paths between the holes.

### Claim 5 (depends on 1)

The method of claim 1, the mending key comprising an elongated spar having multiple gripping protrusions extending therefrom.

### Claim 6 (depends on 1)

The method of claim 1, the key being made of Titanium.

### Claim 7 (depends on 1)

The method of claim 1, the key being made of a bio-absorbable material.

### Claim 8

A method for repairing a bone fracture that defines first and second segments of bone, a method comprising the steps of:
defining respective first and second gripping channels in the first and second segments, the gripping channels being positioned such that the first and second gripping channels form a continuous gripping socket when the first and second segments are abutted at the fracture, the gripping socket including multiple gripping features having one or more predetermined shapes;
abutting the first and second segments at the fracture;
continuing to abut the first and second segments at the fracture while performing steps comprising:
placing a shapeable mending material into the gripping socket; and
hardening the mending material in place to form a rigid mending key having one or more gripping protrusions shaped to substantially compliment the gripping features, the gripping protrusions engaging the gripping features to prevent the bone segments from moving away from each other.

### Claim 9 (depends on 8)

The method of claim 8, the mending material being bio-absorbable.

### Claim 10 (depends on 8)

The method of claim 8, the step of defining first and second gripping channels comprising the steps of:
drilling a sequence of holes in the first and second bone segments; and
excavating a channel interconnecting the drilled holes.

### Claim 11 (depends on 10)

The method of claim 10, the step of defining first and second gripping channels further comprising the steps of, before the drilling step, using a template to mark hole drilling positions in the first and second bone segments.

### Claim 12 (depends on 11)

The method of claim 11, the step of using the template comprising the steps of:
placing the template over the first and second bone segments, said template having multiple template holes defined therein;
inserting a drill bit into predetermined ones of the template holes and drilling corresponding holes in the first and second bone segments; and
removing the template from the first and second bone segments.

### Claim 13 (depends on 8)

The method of claim 8, the step of defining first and second gripping channels being performed while holding the first and second segments together at the fracture.

### Claim 14 (depends on 8)

The method of claim 8, the bone having an outer cortical layer surrounding an inner cancellous region, the first and second gripping channels extending through the cortical layer and into the cancellous region.

### Claim 15 (depends on 8)

The method of claim 8, the bone having an outer cortical layer surrounding an inner cancellous region, the first and second gripping channels extending into the cortical layer without extending into the cancellous region.

### Claim 16

A method for joining first and second bone members, said bone members having been previously joined at a fracture site to form a unitary piece of bone, said method comprising the steps of:
uniting the first and second bone members at the fracture site;
holding the fractured bone members together at the fracture site while performing steps comprising:
defining a gripping socket from the first bone member to the second bone member across a fracture site, the gripping socket having multiple gripping features;
placing a shapeable mending material into the gripping socket; and
hardening the mending material in place to form a rigid mending key having gripping protrusions complimentarily engaging the gripping socket.

### Claim 17

A method for re-attaching first and second parts of a bone, said parts having mating surfaces defined by a fracture, the method comprising the steps of:
abutting the mating surfaces; and
while continuing to abut the mating surfaces, performing steps comprising:
defining a line of multiple holes from the first mating part to the second mating part via the fracture;
excavating paths between the holes to form a gripping socket defined by the holes and the paths therebetween;
placing a mending material into the gripping socket;
hardening the mending material in place to form a rigid mending key having a shape substantially similar to the gripping socket; and
the hardened mending key engaging the gripping socket to hold the bone parts together.

### Claim 18 (depends on 17)

The method of claim 17, the line being a substantially straight line.

### Claim 19 (depends on 17)

The method of claim 17, the first and second bone parts having an outer cortical layer, the hardened mending key being substantially flush with the outer cortical layer.

### Claim 20 (depends on 17)

The method of claim 17, the excavating step comprising a step of sawing paths between the holes.

### Claim 21 (depends on 17)

Method of claim 17, the mending material being bio-absorbable.

### Claim 22 (depends on 17)

The method of claim 17, the mending material being a fluid.

### Claim 23 (depends on 17)

The method of claim 17, the mending material being a solid.

### Claim 24 (depends on 23)

The method of claim 23, the mending material being a plastic substance.

### Claim 25 (depends on 17)

The method of claim 17, the step of placing the mending material into the gripping socket being performed by scooping the mending material into the gripping socket.

### Claim 26 (depends on 17)

The method of claim 17, the step of placing the mending material into the gripping socket being performed by injecting the mending material into the gripping socket.

### Claim 27 (depends on 17)

The method of claim 17, the step of placing the mending material into the gripping socket being performed by extruding the mending material into the gripping socket.

### Claim 28 (depends on 17)

The method of claim 17, the step of placing the mending material into the gripping socket being performed by pouring the mending material into the gripping socket.