JP2002360599A - Screw for bone coapatation having escape preventive function - Google Patents

Screw for bone coapatation having escape preventive function

Info

Publication number
JP2002360599A
JP2002360599A JP2001207062A JP2001207062A JP2002360599A JP 2002360599 A JP2002360599 A JP 2002360599A JP 2001207062 A JP2001207062 A JP 2001207062A JP 2001207062 A JP2001207062 A JP 2001207062A JP 2002360599 A JP2002360599 A JP 2002360599A
Authority
JP
Japan
Prior art keywords
screw
tip
thread
screw body
bone
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2001207062A
Other languages
Japanese (ja)
Inventor
Ikushi Yamada
郁史 山田
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to JP2001207062A priority Critical patent/JP2002360599A/en
Publication of JP2002360599A publication Critical patent/JP2002360599A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74Devices for the head or neck or trochanter of the femur
    • A61B17/742Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74Devices for the head or neck or trochanter of the femur
    • A61B17/742Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
    • A61B17/746Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to a plate opposite the femoral head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8685Pins or screws or threaded wires; nuts therefor comprising multiple separate parts

Abstract

PROBLEM TO BE SOLVED: To provide a screw for preventing the entire part of the screw from deviating downward and causing a pain when a fracture portion is invaginated by bone coapatation using the screw. SOLUTION: The screw is formed of a structure which is capable of separating a screw end and a screw body and inserting both to each other and sliding both with each other.

Description

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION

【0001】[0001]

【発明が属する技術分野】本発明は、医療整形外科分野
において骨折部や骨切り部を接合するための螺子であ
り、例えば大腿骨頚部内側骨折に用いる。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a screw for joining a fracture or an osteotomy in the field of medical orthopedics, and is used, for example, for a medial fracture of a femoral neck.

【0002】[0002]

【従来の技術】この種の整形外科手術では、例えば大腿
骨頚部内側骨折において図1で示すような中空螺子1を
用いて骨接合術を行っている。
2. Description of the Related Art In this type of orthopedic surgery, osteosynthesis is performed using a hollow screw 1 as shown in FIG. 1 for, for example, a medial fracture of a femoral neck.

【0003】この中空螺子1を用いる骨接合術では、図
2で示すように大腿骨2の骨折部3を中空螺子1で固定
する。
In the osteosynthesis using the hollow screw 1, a fracture 3 of a femur 2 is fixed with the hollow screw 1 as shown in FIG.

【0004】[0004]

【発明が解決しようとする課題】上記固定方法には次に
述べるような解決を必要とする課題が残されていた。
The above-mentioned fixing method has a problem that requires a solution as described below.

【0005】この中空螺子1を用いる骨接合術では、図
3で示すように大腿骨2の骨折部3が互いに陥入し、陥
入部4が生じることがあった。
[0005] In the osteosynthesis using the hollow screw 1, as shown in FIG. 3, the fractured portions 3 of the femur 2 may be invaded with each other, and the invaginated portion 4 may be formed.

【0006】このとき、螺子全体が下方にずれるため螺
子後端が突き出て突出部5が生じた。
At this time, since the entire screw is shifted downward, the rear end of the screw protrudes, and a protrusion 5 is formed.

【0005】突出部5が生じることにより、中空螺子1
が大腿部皮膚6を圧迫し痛みの原因となることがあっ
た。
[0005] The protrusion 5 causes the hollow screw 1
Sometimes squeezed the thigh skin 6 and caused pain.

【0007】そこで本発明は、上記した従来技術の課題
を解決して、突出部5が生じる可能性を低くすることに
より、中空螺子1が大腿部皮膚6を圧迫し痛みの原因と
なる可能性の低い骨接合用螺子を提供する。
Accordingly, the present invention solves the above-mentioned problems of the prior art and reduces the possibility that the projecting portion 5 is formed, so that the hollow screw 1 can press the thigh skin 6 and cause pain. To provide a less prone osteosynthesis screw.

【0008】[0008]

【課題を解決するための手段】本発明による骨接合用螺
子は、本来一体であった中空螺子を、螺子先部と螺子体
部に分離し、互いが挿入でき、互いがスライドする構造
になっている。このため、骨折部3が互いに陥入し、陥
入部4が生じるような力が働くとき、螺子先部と、螺子
体部間でスライドする。それにより、螺子全体が下方に
ずれ螺子後端が突き出て突出部5が生じる現象を抑える
ことが出来る。
The osteosynthesis screw according to the present invention has a structure in which an originally integral hollow screw is separated into a screw tip portion and a screw body portion, which can be inserted into each other and slide with each other. ing. For this reason, when the fractured parts 3 are mutually invaginated and a force acting to generate the invaginated part 4 is applied, the fractured part 3 slides between the screw tip part and the screw body part. Thereby, it is possible to suppress a phenomenon in which the entire screw is displaced downward and the rear end of the screw protrudes to form the protruding portion 5.

【0009】[0009]

【発明の実施の形態】以下に、本発明による骨接合用螺
子についての望ましい発明の実施の形態に基づいて詳細
に説明する。
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The osteosynthesis screw according to the present invention will be described below in detail based on a preferred embodiment of the present invention.

【0010】第1実施例の骨接合用螺子は、図4で示す
ように、螺子先部7は、螺子体部8内に挿入できる構造
になっている。螺子先部7には骨を固定するためのねじ
山部9がある。また、大腿骨から、螺子体部8がずれに
くくするために、大腿骨皮質骨に固定できるねじ山部1
0がある。また螺子先部7及び螺子体部8は、その挿入
のためのガイドワイヤを挿入するために中空構造になっ
ている。
The osteosynthesis screw of the first embodiment has a structure in which the screw tip 7 can be inserted into the screw body 8 as shown in FIG. The screw tip 7 has a thread 9 for fixing the bone. Further, in order to prevent the screw body portion 8 from being easily displaced from the femur, the thread portion 1 which can be fixed to the femoral cortical bone is provided.
There is 0. The screw tip 7 and the screw body 8 have a hollow structure for inserting a guide wire for the insertion.

【0011】第2実施例の骨接合用螺子は、図5で示す
ように螺子先部7を螺子体部8に挿入したのち、螺子先
部7が螺子体部8から螺子先部方向へ逸脱しないよう
に、螺子先部7後端に逸脱防止用突起部11、螺子体部
8先端に逸脱防止用突起部12をもつ。
In the screw for osteosynthesis of the second embodiment, as shown in FIG. 5, after the screw tip 7 is inserted into the screw body 8, the screw tip 7 deviates from the screw body 8 toward the screw tip. To prevent this, a protrusion 11 for preventing departure is provided at the rear end of the screw tip 7, and a protrusion 12 for preventing departure at the tip of the screw body 8.

【0012】第3実施例の骨接合用螺子は、図6で示す
ように第1実施例の螺子先部7と螺子体部8を、引き寄
せるための圧迫螺子13がある。圧迫螺子13にはねじ
山部14及びねじ頭部15があり、ねじ山部14は、螺
子先部7のねじ山部16にねじ込む構造になっている。
一方螺子体部8には、突起部17がある。圧迫螺子13
を、ねじ山部14にねじ込んだとき、ねじ頭部15は、
突起部17を超えることが出来ないので、螺子先部7
は、螺子体部8に、引き寄せられる。
The osteosynthesis screw of the third embodiment has a compression screw 13 for drawing the screw tip 7 and the screw body 8 of the first embodiment as shown in FIG. The compression screw 13 has a thread portion 14 and a screw head 15, and the thread portion 14 is configured to be screwed into the thread portion 16 of the screw tip 7.
On the other hand, the screw body 8 has a projection 17. Compression screw 13
Is screwed into the thread portion 14, the screw head 15
Since the protrusion 17 cannot be exceeded, the screw tip 7
Is drawn to the screw body portion 8.

【0013】以上の構成による、手術例を図7に示す。
術後、大腿骨2の骨折に陥入部4が生じても、ひとつ
は、螺子先部7が螺子体部8内をスライドすること、も
うひとつは、ねじ山10が、大腿骨2の皮質骨に固定さ
れているという理由により、図3で示したような突出部
は生じない。
FIG. 7 shows an example of an operation having the above configuration.
After the operation, even if the invaginated portion 4 occurs in the fracture of the femur 2, one is that the screw tip 7 slides in the screw body 8, and the other is that the thread 10 is the cortical bone of the femur 2. 3 does not have a protrusion as shown in FIG.

【0014】なお、本発明は上記した実施例に限定され
るものではなく要旨の範囲内において各種の変形を採り
得るものである。
It should be noted that the present invention is not limited to the above-described embodiment, but can adopt various modifications within the scope of the gist.

【0015】[0015]

【発明の効果】上記した説明から明らかなように、本発
明による骨接合用螺子は、螺子の突出による皮膚の痛み
を予防できる。
As is clear from the above description, the screw for osteosynthesis according to the present invention can prevent skin pain due to protrusion of the screw.

【図面の簡単な説明】[Brief description of the drawings]

【図1】従来の中空螺子の説明図。FIG. 1 is an explanatory view of a conventional hollow screw.

【図2】従来の中空螺子の説明図。FIG. 2 is an explanatory view of a conventional hollow screw.

【図3】従来の中空螺子の説明図。FIG. 3 is an explanatory view of a conventional hollow screw.

【図4】本発明の第1実施例の説明図。FIG. 4 is an explanatory diagram of the first embodiment of the present invention.

【図5】本発明の第2実施例の説明図。FIG. 5 is an explanatory view of a second embodiment of the present invention.

【図6】本発明の第3実施例の説明図。FIG. 6 is an explanatory view of a third embodiment of the present invention.

【図7】本発明の使用法の説明図。FIG. 7 is an explanatory diagram of the use of the present invention.

【符号の説明】[Explanation of symbols]

1 中空螺子 2 大腿骨 3 骨折部 4 陥入部 5 突出部 6 皮膚 7 螺子先部 8 螺子体部 9 ねじ山部 10 ねじ山部 11 突起部 12 突起部 13 圧迫螺子 14 ねじ山部 15 ねじ頭部 16 ねじ山部 17 突起部 DESCRIPTION OF SYMBOLS 1 Hollow screw 2 Femur 3 Fracture part 4 Depressed part 5 Projection part 6 Skin 7 Screw tip part 8 Screw body part 9 Thread part 10 Thread part 11 Projection part 12 Projection part 13 Compression screw 14 Thread part 15 Screw head 16 Thread 17 Projection

Claims (5)

【特許請求の範囲】[Claims] 【請求項1】本発明による逸脱予防機能を備えた骨接合
用螺子は、螺子先部と螺子体部からなり、螺子先部は螺
子体部内に挿入でき、挿入後は互いにスライドする形状
になっており、螺子先部には螺子山がきってあり、螺子
体部の基部にも螺子山がきっている。螺子先部と螺子体
部はガイドワイヤをとおすために中空構造となっていて
る。
An osteosynthesis screw having a departure prevention function according to the present invention comprises a screw tip and a screw body, and the screw tip can be inserted into the screw body and slide into each other after insertion. The screw thread is cut at the screw tip, and the screw thread is cut at the base of the screw body. The screw tip and the screw body have a hollow structure for passing a guide wire.
【請求項2】請求項1に述べたものであって、螺子先部
は螺子体部内に挿入でき、挿入後は互いにスライドする
形状になっており、螺子先部には螺子山がきってある骨
接合用螺子であるが、螺子体部の基部には螺子山がきっ
てなくてもよく、螺子先部と螺子体部は中空構造でなく
てもよい。
2. A screw head according to claim 1, wherein the screw tip can be inserted into the screw body, and slides with each other after the insertion, and the screw tip has a thread. Although it is an osteosynthesis screw, the screw thread may not be cut off at the base of the screw body, and the screw tip and the screw body may not have a hollow structure.
【請求項3】請求項1,2に述べたものであって、螺子
先部を螺子体部に挿入したとき、螺子先部が螺子体部か
ら螺子先部方向へ逸脱しないように逸脱防止用突起をも
つもの。
3. The device according to claim 1, wherein when the screw tip is inserted into the screw body, the screw tip does not deviate from the screw body toward the screw tip. Those with protrusions.
【請求項4】請求項1,2,3に述べたものであって、
螺子先部を螺子体部に挿入したのち、螺子先部で固定し
た骨を螺子体部方向に引き寄せるための骨折部圧迫用螺
子が挿入できるもの。骨折部圧迫用螺子は、螺子先部内
部の圧迫用螺子山にねじ込んで固定するが、このとき螺
子体部の圧迫用突起で圧迫用螺子の螺子頭部は、から回
りするため螺子先部で固定した骨は螺子体部方向に引き
寄せられる。
4. The method as set forth in claim 1, 2 or 3, wherein
After inserting the screw tip into the screw body, a screw for fracture compression for pulling the bone fixed by the screw tip toward the screw body can be inserted. The screw for compressing the fractured part is screwed into the compression screw thread inside the screw tip and fixed.However, at this time, the screw head of the compression screw is turned from the screw protrusion by the compression projection of the screw body, so that the screw tip is The fixed bone is drawn toward the screw body.
【請求項5】請求項1,2,3,4に述べたものであっ
て、螺子先部が螺子体部内に挿入できるのではなく、螺
子体部が螺子先部内に挿入できるもの。
5. The method according to claim 1, wherein the screw tip is not inserted into the screw body, but the screw body is inserted into the screw tip.
JP2001207062A 2001-06-05 2001-06-05 Screw for bone coapatation having escape preventive function Pending JP2002360599A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2001207062A JP2002360599A (en) 2001-06-05 2001-06-05 Screw for bone coapatation having escape preventive function

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2001207062A JP2002360599A (en) 2001-06-05 2001-06-05 Screw for bone coapatation having escape preventive function

Publications (1)

Publication Number Publication Date
JP2002360599A true JP2002360599A (en) 2002-12-17

Family

ID=19043098

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2001207062A Pending JP2002360599A (en) 2001-06-05 2001-06-05 Screw for bone coapatation having escape preventive function

Country Status (1)

Country Link
JP (1) JP2002360599A (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004069065A1 (en) * 2003-02-10 2004-08-19 Cell Center Cologne Gmbh Dynamic epiphysial telescopic screw
WO2008128662A1 (en) * 2007-04-19 2008-10-30 Stryker Trauma Gmbh Hip fracture device with barrel and end cap for load control
US9254153B2 (en) 2007-04-19 2016-02-09 Stryker Trauma Gmbh Hip fracture device with static locking mechanism allowing compression
RU188428U1 (en) * 2018-09-25 2019-04-11 Общество С Ограниченной Ответственностью "Сахил" SCREW FOR OSTEOSYNTHESIS OF THE FEMORAL NECK
CN112790849A (en) * 2020-12-30 2021-05-14 南方医科大学 Two-way pressurization limit for a distance slip screw of thighbone neck and screwdriver

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004069065A1 (en) * 2003-02-10 2004-08-19 Cell Center Cologne Gmbh Dynamic epiphysial telescopic screw
WO2008128662A1 (en) * 2007-04-19 2008-10-30 Stryker Trauma Gmbh Hip fracture device with barrel and end cap for load control
AU2008241022B2 (en) * 2007-04-19 2011-03-10 Stryker European Holdings I, Llc Hip fracture device with barrel and end cap for load control
US9254153B2 (en) 2007-04-19 2016-02-09 Stryker Trauma Gmbh Hip fracture device with static locking mechanism allowing compression
RU188428U1 (en) * 2018-09-25 2019-04-11 Общество С Ограниченной Ответственностью "Сахил" SCREW FOR OSTEOSYNTHESIS OF THE FEMORAL NECK
CN112790849A (en) * 2020-12-30 2021-05-14 南方医科大学 Two-way pressurization limit for a distance slip screw of thighbone neck and screwdriver

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