Suprapatellar insertion system, kit and method

摘要

A system is provided for inserting and securing, through a suprapatellar region of a leg, a nail into a medullary canal of a bone. The system can include a flexible sleeve configured to be partially inserted in the leg. The flexible sleeve can define a leading end and a trailing end spaced apart from the leading end along a first axis. The flexible sleeve can define a first cannulation that extends along the first axis between the leading and trailing ends. The first cannulation can be sized to receive therethrough at least the intramedullary nail. The system can further include a retaining member configured support at least a portion of the flexible sleeve. The retaining member can be configured to position the flexible sleeve through the suprapatellar region of the leg such that the flexible sleeve leading end is aligned with the proximal end of the bone. The intramedullary nail can be insertable through the flexible sleeve and into the medullary canal.

主权项

1. A system for inserting and securing, through a suprapatellar region of a leg, an intramedullary nail into a medullary canal of a bone, the system comprising:
a flexible sleeve configured to be partially inserted in the leg, the flexible sleeve defining a leading end and a trailing end spaced apart from the leading end in a proximal direction along a first axis, the flexible sleeve defining a first cannulation extending along the first axis between the leading and trailing ends, the first cannulation sized to receive therethrough at least the intramedullary nail, wherein the flexible sleeve is configured to flex so as to change a shape of the first axis from a first configuration to a second configuration, wherein the second configuration is different than the first configuration; a rigid inner sleeve comprising a distal end, a trailing portion and an elongated shaft portion located between the distal end and the trailing portion; a retaining device comprising a handle and a retaining member that extends from the handle, the retaining member configured to releasably lock to the trailing end of the flexible sleeve, the retaining device further configured to releasably lock to the trailing portion of the rigid inner sleeve while the elongated shaft portion is disposed within the first cannulation of the flexible sleeve such that the flexible sleeve and the rigid inner sleeve are prevented from movement with respect to the retaining member along the first axis both in the proximal direction and in a distal direction opposite the proximal direction, wherein the retaining member is configured to position the flexible sleeve through the suprapatellar region of the leg such that the flexible sleeve leading end is aligned with a proximal end of the bone, wherein the intramedullary nail is insertable through the flexible sleeve and into the medullary canal.