JP4104958B2 - Osteosynthesis nail - Google Patents

Osteosynthesis nail Download PDF

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Publication number
JP4104958B2
JP4104958B2 JP2002325425A JP2002325425A JP4104958B2 JP 4104958 B2 JP4104958 B2 JP 4104958B2 JP 2002325425 A JP2002325425 A JP 2002325425A JP 2002325425 A JP2002325425 A JP 2002325425A JP 4104958 B2 JP4104958 B2 JP 4104958B2
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Japan
Prior art keywords
nail
bone
osteosynthesis
ridges
ultrasonic vibration
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.)
Expired - Lifetime
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JP2002325425A
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Japanese (ja)
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JP2004154479A (en
Inventor
直子 梶本
厚美 太田
信夫 荻原
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.)
Bio Map Co Ltd
Ito Co ltd
Original Assignee
Bio Map Co Ltd
Ito Co ltd
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.)
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Publication date
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Priority to JP2002325425A priority Critical patent/JP4104958B2/en
Publication of JP2004154479A publication Critical patent/JP2004154479A/en
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    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates

Description

【0001】
【発明の属する技術分野】
本発明は、骨折の超音波治療に用いられる骨接合用くぎに関するものである。
【0002】
【従来の技術】
図3に従来の骨接合用くぎを用いた骨折治療方法を示す。
まず、同図(a)に示すように、骨1の骨折部2に対して2枚の細長い板3と2本の骨接合用くぎ4を用意する。板3は両端部に挿通穴3aが設けられ、骨接合用くぎ4は、図示のように先端部が尖った細い円柱状をなすものである。
【0003】
次に同図(b)のように、骨折部2を突き合せた状態で骨1の骨折部2を挟む両側面に板3を当てがい、2本の骨接合用くぎ4を骨折部2の両側において板3の挿通穴3aから挿しこんで板3、骨1、板3を貫通させ、三者を一体的に固定する。この状態で一定期間が過ぎると、骨折部2に骨組織が生成されて骨折部2を接合固定することができる。
【0004】
この骨組織の生成を促進するために、骨接合用くぎ4に超音波振動を与えることが考えられるが、従来の骨接合用くぎは、超音波振動を与えることを前提とするものではない。
【0005】
したがって、患部に超音波振動を与えることを前提とする骨接合用くぎに関しては、適当な特許文献を挙げることができない。
【0006】
【発明が解決しようとする課題】
しかしながら、従来の骨接合用くぎ4に超音波振動を与える方法では、振動を骨折部2に十分に伝えることができず、このため骨組織生成の促進効果を十分得ることができず、必要な骨組織が生成されるまで長時間を要するという問題があった。
【0007】
本発明は上記の問題を解決するためのもので、骨折部に超音波振動を効率よく伝えることのできる骨接合用くぎを提供することを目的とするものである。
【0008】
【課題を解決するための手段】
上記の目的を達成するために本発明による骨接合用くぎは、骨折部の周辺の骨に挿入して該骨折部を固定するとともに、外部から超音波振動を与えることによって、挿入されている前記骨に該超音波振動を伝えて前記骨折部の骨組織生成を促進させる骨接合用くぎであって、棒状の芯材と、該芯材の周面に軸方向に沿って形成され、周方向に交互に複数設けられた凸条部及び溝部と、各凸条部間で、外周面が該凸条部よりも内側に存在するように張り渡され、両縁部がそれぞれ凸条部の側面に固定され、前記超音波振動によって共振する薄板とを備えることを特徴とするものである。
【0010】
【作用】
従って、本発明によれば、骨接合用くぎに超音波振動を与えることにより、薄板が共振するので、振動エネルギーが効率よく骨折部に伝達され、従って、骨組織の生成を速やかに行うことができる。
【0011】
【発明の実施の形態】
以下、本発明の実施の形態を図面と共に説明する。
図1は本発明の第1の実施の形態による骨接合用くぎ15を示す。
同図(a)(b)に示すように、先端部の尖った細い棒状の芯材11の周面には、軸方向に複数の溝部12と凸条部13が交互に設けられている。凸条部13の外周面には凹凸13aが形成されている。また、凸条部13間には薄板14が張り渡されている。芯材11及び薄板14の材質としては例えばチタン等が用いられる。
【0012】
薄板14は、図示のようにその両側の縁部が凹凸部13aの下の凸条部13の側面に溶接されている。このため、薄板14の面は凹凸部13aの外周面より内側に存在している。
【0013】
この骨接合用くぎ15を図3において従来の骨接合用くぎ4の代わりに用い、同図(b)の状態とする。尚、骨1には予め骨接合用くぎ15を挿通するための貫通穴が設けられ、この貫通穴に骨接合用くぎ15を挿入することにより、上記の状態となす。次に、骨接合用くぎ15に対して外部の超音波発信装置から超音波振動を与えると、骨接合用くぎ15が振動するが、このとき薄板14が骨1の内部で共振し、振動板として作用する。
【0014】
この場合、薄板14の面が凹凸部13の外周面より内側にあるため、薄板14は溝12内で振動することができる。このように薄板14が超音波振動することにより、薄板14の無い従来の骨接合用くぎ4を用いた場合に比べて振動エネルギーが効率よく骨折部2に伝達され、骨組織を速やかに生成することができる。
【0015】
尚、上記実施の形態では、凸条部13に凹凸部13aを設けているが、骨接合用くぎ15の骨からの抜け止め機能が不要な場合には、凹凸部13aを省略することができる。その場合にも、薄板14の面が凸条部13の外周面より内側に存在するように、薄板14の両縁部が凸条部13の側面に溶接される。また、凹凸部13aとして、例えばねじ加工用のリーマのように、回転によって螺旋状の軌跡を持つ凹凸を設け、骨へねじ込むことができるようにしても良い。
【0016】
図2は本発明の第2の実施の形態による骨接合用くぎ16を示す。
本実施の形態による骨接合用くぎ16は、同図(a))に示すように、先端部の尖った細い棒状の芯材11の内部に空洞部11a設けたものである。即ち、芯材11を円筒状にしたものである。同図(b)は他の形状の空洞部11bを示すもので、芯材11に複数の細い穴を設けたものである。
【0017】
この骨接合用くぎ16を図3において従来の骨接合用くぎ4の代わりに用い、骨1に設けられた貫通穴に骨接合用くぎ16を挿通して同図(b)の状態となし、次に、骨接合用くぎ15に対して超音波振動を与えると、骨接合用くぎ16が振動するが、このとき空洞部11a又は11bの内部でも空気の共振が生じるので、振動エネルギーが効率よく骨折部2に伝達され、骨組織を速やかに生成することができる。
【0018】
尚、芯材11における空洞部の形状は、図2(a)(b)に限ることなく様々な変形が可能である。また、芯材11の外周面にネジ部を設けて、骨接合用くぎ16骨1の貫通穴にネジ込むようにしてもよい。
また、各実施の形態における芯材11の断面形状は、図1、図2に示す形状に限ることなく、種々の変形が可能である。
【0019】
【発明の効果】
以上説明したように、本発明による骨接合用くぎによれば、骨折部を超音波治療する場合おける骨組織生成の促進効果を高めることができ、従来の骨接合用くぎに比べて治療時間を短縮することができる。
【図面の簡単な説明】
【図1】 本発明の実施の形態による骨接合用くぎを示す斜視図及び断面図である。
【図2】 参考例による骨接合用くぎを示す斜視図である。
【図3】 従来の骨接合用くぎを用いた骨折治療方法を示す分解斜視図及び側面図である。
【符号の説明】
1 骨2 骨折部3 板3a 挿通穴11 芯材13 凸条部13a 凹凸部14 薄板1骨接合用くぎ
[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an osteosynthesis nail used for ultrasonic treatment of fractures.
[0002]
[Prior art]
FIG. 3 shows a conventional fracture treatment method using an osteosynthesis nail.
First, as shown in FIG. 2A, two elongated plates 3 and two osteosynthesis nails 4 are prepared for the fracture portion 2 of the bone 1. The plate 3 is provided with insertion holes 3a at both ends, and the osteosynthesis nail 4 has a thin cylindrical shape with a sharp tip as shown in the figure.
[0003]
Next, as shown in FIG. 2 (b), the plates 3 are placed on both sides of the fractured portion 2 of the bone 1 with the fractured portion 2 butted, and the two osteosynthesis nails 4 are attached to the fractured portion 2. The plate 3, the bone 1, and the plate 3 are inserted through the insertion holes 3 a of the plate 3 on both sides, and the three are fixed integrally. When a certain period of time passes in this state, bone tissue is generated in the fractured part 2 and the fractured part 2 can be joined and fixed.
[0004]
In order to promote the generation of the bone tissue, it is conceivable to apply ultrasonic vibration to the osteosynthesis nail 4, but the conventional osteosynthesis nail is not premised on applying ultrasonic vibration.
[0005]
Therefore, no suitable patent document can be cited for an osteosynthesis nail that presupposes applying ultrasonic vibration to the affected area.
[0006]
[Problems to be solved by the invention]
However, the conventional method of applying ultrasonic vibration to the osteosynthesis nail 4 cannot sufficiently transmit the vibration to the fractured part 2, and therefore the effect of promoting the generation of bone tissue cannot be sufficiently obtained. There is a problem that it takes a long time to generate bone tissue.
[0007]
The present invention is intended to solve the above-described problems, and an object of the present invention is to provide an osteosynthesis nail that can efficiently transmit ultrasonic vibration to a fractured portion.
[0008]
[Means for Solving the Problems]
In order to achieve the above object, an osteosynthesis nail according to the present invention is inserted into a bone around a fractured portion to fix the fractured portion, and is inserted by applying ultrasonic vibration from the outside. An osteosynthesis nail that transmits the ultrasonic vibration to a bone to promote generation of bone tissue in the fracture portion, and is formed along the axial direction on the circumferential surface of the rod-shaped core material and the core material , A plurality of ridges and grooves provided alternately, and between the ridges , the outer peripheral surface is stretched so as to exist inside the ridges, and both edges are side surfaces of the ridges, respectively. And a thin plate that is resonated by the ultrasonic vibration .
[0010]
[Action]
Therefore, according to the present invention, by applying ultrasonic vibration to the nail for osteosynthesis, since the thin plate resonates, the vibration energy is efficiently transmitted to the fracture, thus, it is carried out rapidly the production of bone tissue Can do.
[0011]
DETAILED DESCRIPTION OF THE INVENTION
Embodiments of the present invention will be described below with reference to the drawings.
FIG. 1 shows an osteosynthesis nail 15 according to a first embodiment of the present invention.
As shown in FIGS. 2A and 2B, a plurality of groove portions 12 and protruding stripe portions 13 are alternately provided in the axial direction on the peripheral surface of a thin rod-shaped core member 11 having a sharp tip. Concavities and convexities 13 a are formed on the outer peripheral surface of the ridge 13. Further, a thin plate 14 is stretched between the ridges 13. As a material of the core material 11 and the thin plate 14, for example, titanium or the like is used.
[0012]
As shown in the figure, the thin plate 14 is welded to the side surface of the ridge portion 13 below the concavo-convex portion 13a at both edges. For this reason, the surface of the thin plate 14 exists inside the outer peripheral surface of the uneven part 13a.
[0013]
This osteosynthesis nail 15 is used in FIG. 3 in place of the conventional osteosynthesis nail 4 and is in the state shown in FIG. The bone 1 is previously provided with a through hole for inserting the osteosynthesis nail 15, and the osteosynthesis nail 15 is inserted into the through hole to achieve the above state. Next, when ultrasonic vibration is applied to the osteosynthesis nail 15 from an external ultrasonic transmission device, the osteosynthesis nail 15 vibrates. At this time, the thin plate 14 resonates inside the bone 1, and the diaphragm Acts as
[0014]
In this case, since the surface of the thin plate 14 is inside the outer peripheral surface of the uneven portion 13 a , the thin plate 14 can vibrate in the groove 12. As the thin plate 14 is ultrasonically vibrated in this way, vibration energy is efficiently transmitted to the fractured part 2 as compared with the case where the conventional osteosynthesis nail 4 without the thin plate 14 is used, and bone tissue is quickly generated. be able to.
[0015]
In the above-described embodiment, the convex and concave portion 13 is provided with the concave and convex portion 13a. However, when the function of preventing the bone joining nail 15 from coming off from the bone is unnecessary, the concave and convex portion 13a can be omitted. . Also in that case, both edge portions of the thin plate 14 are welded to the side surfaces of the ridge 13 so that the surface of the thin plate 14 exists inside the outer peripheral surface of the ridge 13. Further, as the concavo-convex portion 13a, for example, a concavo-convex portion having a spiral locus by rotation, such as a reamer for screw machining, may be provided so as to be screwed into the bone.
[0016]
FIG. 2 shows an osteosynthesis nail 16 according to a second embodiment of the present invention.
The osteosynthesis nail 16 according to the present embodiment is provided with a hollow portion 11a inside a thin rod-shaped core material 11 with a sharp tip as shown in FIG. That is, the core material 11 is cylindrical. FIG. 2B shows a hollow portion 11b having another shape, in which a plurality of thin holes are provided in the core material 11. FIG.
[0017]
The osteosynthesis nail 16 is used in place of the conventional osteosynthesis nail 4 in FIG. 3, and the osteosynthesis nail 16 is inserted into the through hole provided in the bone 1 to achieve the state shown in FIG. Next, when ultrasonic vibration is applied to the osteosynthesis nail 15, the osteosynthesis nail 16 vibrates. At this time, air resonance also occurs inside the cavity 11a or 11b, so that the vibration energy is efficiently obtained. It is transmitted to the fractured part 2 and bone tissue can be quickly generated.
[0018]
The shape of the hollow portion in the core material 11 is not limited to that shown in FIGS. Further, a screw portion may be provided on the outer peripheral surface of the core material 11 and screwed into the through hole of the bone joining nail 16.
Moreover, the cross-sectional shape of the core material 11 in each embodiment is not restricted to the shape shown in FIG. 1, FIG. 2, A various deformation | transformation is possible.
[0019]
【The invention's effect】
As described above, according to the osteosynthesis nail according to the present invention, the effect of promoting the generation of bone tissue in ultrasonic treatment of a fractured part can be enhanced, and the treatment time is longer than that of a conventional osteosynthesis nail. It can be shortened.
[Brief description of the drawings]
1 is a perspective view and a cross-sectional view showing a nail for osteosynthesis according to the present onset Ming embodiment.
FIG. 2 is a perspective view showing an osteosynthesis nail according to a reference example .
FIG. 3 is an exploded perspective view and a side view showing a fracture treatment method using a conventional osteosynthesis nail.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Bone 2 Fracture part 3 Plate 3a Insertion hole 11 Core material 1 3 Convex line part 13a Concavity and convexity part 14 Thin plate 1 5 Bone joint

Claims (2)

骨折部の周辺の骨に挿入して該骨折部を固定するとともに、外部から超音波振動を与えることによって、挿入されている前記骨に該超音波振動を伝えて前記骨折部の骨組織生成を促進させる骨接合用くぎであって、
棒状の芯材と、
該芯材の周面に軸方向に沿って形成され、周方向に交互に複数設けられた凸条部及び溝部と、
各凸条部間で、外周面が該凸条部よりも内側に存在するように張り渡され、両縁部がそれぞれ凸条部の側面に固定され、前記超音波振動によって共振する薄板とを備えることを特徴とする骨接合用くぎ。
The fractured portion is inserted into a bone around the fractured portion to fix the fractured portion, and by applying ultrasonic vibration from the outside, the ultrasonic vibration is transmitted to the inserted bone to generate bone tissue in the fractured portion. An osteosynthesis nail to promote,
A rod-shaped core material ;
Protruding ridges and grooves formed on the peripheral surface of the core member along the axial direction, and provided alternately in the circumferential direction, and
A thin plate that is stretched between the ridges so that the outer peripheral surface is present inside the ridges, both edges are fixed to the side surfaces of the ridges, and resonates by the ultrasonic vibration. An osteosynthesis nail characterized by comprising.
前記凸条部の外周面に凹凸部が形成されていることを特徴とする請求項1に記載の骨接合用くぎ。The bone nail according to claim 1 , wherein an uneven portion is formed on an outer peripheral surface of the protruding portion.
JP2002325425A 2002-11-08 2002-11-08 Osteosynthesis nail Expired - Lifetime JP4104958B2 (en)

Priority Applications (1)

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Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
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JP4104958B2 true JP4104958B2 (en) 2008-06-18

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