TWM479112U - Sleeve type bone screw - Google Patents

Sleeve type bone screw Download PDF

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Publication number
TWM479112U
TWM479112U TW103202465U TW103202465U TWM479112U TW M479112 U TWM479112 U TW M479112U TW 103202465 U TW103202465 U TW 103202465U TW 103202465 U TW103202465 U TW 103202465U TW M479112 U TWM479112 U TW M479112U
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TW
Taiwan
Prior art keywords
nail
bone
bone screw
sleeve
male thread
Prior art date
Application number
TW103202465U
Other languages
Chinese (zh)
Inventor
Xiang-Wei Luo
zhi-hui Chen
Pei-Yuan Li
Original Assignee
Plus Biotechnology Co Ltd A
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 Plus Biotechnology Co Ltd A filed Critical Plus Biotechnology Co Ltd A
Priority to TW103202465U priority Critical patent/TWM479112U/en
Priority to CN201410177848.1A priority patent/CN104825220A/en
Publication of TWM479112U publication Critical patent/TWM479112U/en

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Description

套管式骨螺釘Cannulated bone screw 【0001】【0001】

本創作係有關於一種骨螺釘,其尤指一種於骨螺釘之釘身部位套設套管,將釘身連同套管設置於骨皮質中,利用套管維持釘身可作小幅度晃動之空間,以促進骨痂生長、加速骨折癒合之套管式骨螺釘。The present invention relates to a bone screw, which particularly relates to a sleeve which is arranged on the nail body of the bone screw, and the nail body and the sleeve are placed in the cortical bone, and the sleeve is used to maintain the nail body and can be used for small shaking. A cannulated bone screw that promotes the growth of the epiphysis and accelerates the healing of the fracture.

【0002】【0002】

骨折是指骨頭因直接或間接承受外力而發生破裂或折斷的現象,外力通常會在骨折部位造成骨細胞、血管、骨間質受損,甚至傷及骨骼周圍的骨膜或肌肉組織。Fracture refers to the phenomenon that the bone is broken or broken due to direct or indirect external force. External force usually causes damage to bone cells, blood vessels and interstitial bones at the fracture site, and even damages the periosteum or muscle tissue around the bone.

【0003】[0003]

骨折癒合必須經過一系列發炎、修補以及再塑形的過程:骨折發生後首先進入發炎反應期,最初,骨折部位會因為出血而形成出現血腫的症狀,血腫又會在受傷後六至八小時內逐漸凝結成含有網狀纖維的血塊,由於骨折創傷損害內骨膜與外骨膜,使得局部血流供應中斷,造成骨折部位附近的血液供給不良,周邊的細胞組織產生壞死現象,血塊與壞死組織在骨折部位引發局部的無菌性發炎反應,從壞死組織釋放出來的發炎介質可引起血管擴張、血管通透性增加,以利免疫細胞進入骨折部位,同時也會導致血漿滲出血管外而造成局部水腫。毛細血管可藉由血管內皮起始細胞的引導新生於骨折部位,吞噬細胞與成纖維細胞也會匯入此處而逐漸形成肉芽組織,隨後再轉化為纖維組織,纖維組織形成的纖維性骨痂填充於骨折部位的斷骨之間,初步將骨折斷端連接在一起。發炎反應的過程大約要花二至三周才能完成。Fracture healing must go through a series of processes of inflammation, repair, and reshaping: the fracture first enters the inflammatory response period. Initially, the fracture site will develop hematoma due to hemorrhage. The hematoma will be within six to eight hours after the injury. Gradually condensed into blood clots containing reticular fibers. The fractures damage the inner periosteum and the periosteum, causing the local blood flow supply to be interrupted, resulting in poor blood supply near the fracture site, necrosis of surrounding cell tissue, and clots of blood clots and necrotic tissue. The site causes a local aseptic inflammatory reaction. The inflammatory mediator released from the necrotic tissue can cause vasodilation and increased vascular permeability, so that the immune cells can enter the fracture site, and the plasma can also ooze out of the blood vessel and cause local edema. Capillaries can be newly introduced into the fracture site by the initiation of vascular endothelial cells, and phagocytic cells and fibroblasts also merge into the granulation tissue, which is then transformed into fibrous tissue, fibrous tissue formed by fibrous tissue. Filled between the broken bones of the fracture site, the fracture ends are initially connected together. The process of inflammatory reaction takes about two to three weeks to complete.

【0004】[0004]

骨折部位的修補反應則需要四至八周的時間,包含軟骨內骨化、外骨痂形成、內骨痂形成等過程,軟骨內骨化指的是進入骨折部位取代血腫的纖維組織轉變為軟骨,並經過增生、變性、鈣化等作用逐漸骨化、形成骨頭的過程;外骨痂形成又稱為骨膜內骨化,因骨折受損的外骨膜內包含的造骨細胞生長並形成外骨痂,此過程在骨折後二十四小時內即開始進行,約一周後可長出新骨,新骨緊貼在骨皮質的表面而填充在骨折斷端之間;內骨痂是由骨髓腔骨內膜和骨髓細胞形成,填充於骨折斷端的髓腔之間,內骨痂因處於內部,血液供應較不佳,故生長較慢。The repair of the fracture site takes four to eight weeks, including intra-articular ossification, external epiphysis formation, and internal callus formation. The intra-chondral ossification refers to the transformation of the fibrous tissue into the fracture site to replace the hematoma, and The process of ossification and bone formation through hyperplasia, degeneration, calcification, etc.; the formation of external epiphysis is also called intraosseous ossification, and the osteoblasts contained in the outer periosteum that are damaged by the fracture grow and form external epiphyses. It begins within 24 hours after the fracture, and a new bone can be grown about one week later. The new bone is placed close to the surface of the cortical bone and filled between the fracture ends; the internal epiphysis is composed of the endocardium and bone marrow of the bone marrow cavity. The cells are formed and filled between the medullary cavities at the fracture end. The internal osteophytes are internal and the blood supply is poor, so the growth is slow.

【0005】[0005]

修補反應開始之初,斷骨的斷端處於高應力環境下,而加速纖維組織的形成,使得斷端受到的應力逐漸降低,當斷端處於中等壓力、中等氧濃度的環境下時,可加速纖維組織分化形成軟骨的過程,纖維軟骨形成的纖維性骨痂生成並填充在兩段骨端間,可進一步降低骨折部位的應力,促進軟骨內骨化的作用,當骨折部位因血管新生、骨痂生成填充而處於高氧濃度、低應力的環境下時,將使得造骨細胞大量增殖、形成不成熟骨,而促進骨膜內骨化的作用,內外骨痂將不斷鈣化至強度足夠抵抗因肌肉收縮而引起的各種剪力、旋轉力。At the beginning of the repair reaction, the broken end of the broken bone is in a high stress environment, and the formation of the accelerated fiber structure causes the stress on the broken end to gradually decrease. When the broken end is in a medium pressure and medium oxygen concentration environment, it can be accelerated. The process of fiber tissue differentiation to form cartilage, the fibrous epiphysis formed by fibrocartilage is filled and filled between the two segments of the bone, which can further reduce the stress at the fracture site and promote the ossification of the cartilage. When the fracture site is due to angiogenesis and bone When the sputum is filled and is in a high oxygen concentration and low stress environment, it will cause a large number of osteoblasts to proliferate and form immature bone, and promote the periosteal ossification. The internal and external epiphyses will be calcified to a sufficient strength to resist muscles. Various shearing and rotating forces caused by shrinkage.

【0006】[0006]

骨折癒合的最後一個階段為再塑型時期,經過再塑型過程使不成熟骨轉化為成熟骨,此過程中破骨細胞將不成熟骨破壞、再吸收後,成骨細胞進入空隙並形成成熟骨,最後藉由一連續以成熟骨取代不成熟骨的過程,骨折處的骨痂可轉變成正常的骨皮質及骨髓質的狀態,而完成骨重塑的過程。兒童發生骨折後的再塑型過程需要大約一至二年,成人則需要大約二至四年的時間。The last stage of fracture healing is the remodeling stage. After the remodeling process, the immature bone is transformed into mature bone. During this process, the osteoclast destroys and reabsorbs the immature bone, and the osteoblast enters the gap and matures. Bone, and finally, by replacing the immature bone with mature bone, the osteophytes at the fracture can be transformed into normal cortical and medullary states, and the process of bone remodeling is completed. It takes about one to two years for a child to undergo a remodeling process after a fracture, and an adult for about two to four years.

【0007】【0007】

請參閱第一圖,其係為習知骨螺釘的使用狀態示意圖;如第一圖所示,習知的骨螺釘10包含釘頭100與釘身102兩部份,當骨板2置於斷骨3上方,骨螺釘10穿入骨板2的骨釘孔20時,釘身102穿過鑽設在斷骨3頂部骨皮質30的孔洞300與骨髓質32,並鎖固在斷骨3底部的骨皮質30內,同時釘頭100則鎖固在骨釘孔20內。其中,釘頭100藉其外緣的一第一陽螺紋1000與骨釘孔20內緣的一第一陰螺紋200螺合,釘身102則藉由其尖端向上延伸的一第二陽螺紋1020鎖固在骨皮質30內。Please refer to the first figure, which is a schematic diagram of the state of use of the conventional bone screw; as shown in the first figure, the conventional bone screw 10 includes the nail head 100 and the nail body 102, when the bone plate 2 is placed off. Above the bone 3, when the bone screw 10 penetrates the bone nail hole 20 of the bone plate 2, the nail body 102 passes through the hole 300 and the bone marrow 32 drilled in the cortical bone 30 at the top of the broken bone 3, and is locked at the bottom of the broken bone 3 Within the cortical bone 30, the nail head 100 is then locked in the nail hole 20. Wherein, the nail head 100 is screwed by a first male thread 1000 of the outer edge thereof with a first female thread 200 of the inner edge of the nail hole 20, and the nail body 102 is extended by a second male thread 1020 extending from the tip end thereof. Locked in the cortical bone 30.

【0008】[0008]

習知的骨螺釘10可將骨板2固定在斷骨3表面,且由於斷骨3的骨皮質30設有孔洞300,骨螺釘10在安裝後,釘身102仍可小幅度地晃動而刺激骨痂生長。然而,隨著骨痂的生長,此孔洞300也會癒合,使得釘身102無法晃動,而失去刺激骨折部位的纖維組織生長、分化為軟骨、形成骨痂的效果。The conventional bone screw 10 can fix the bone plate 2 on the surface of the broken bone 3, and since the bone cortex 30 of the broken bone 3 is provided with a hole 300, after the bone screw 10 is installed, the nail body 102 can still be shaken by a small amount to stimulate Osteophytes grow. However, as the epiphysis grows, the hole 300 will heal, so that the nail body 102 cannot be shaken, and the fiber tissue that stimulates the fracture site is lost, differentiates into cartilage, and forms an osteophyte.

【0009】【0009】

有鑑於此,本創作提出一種套管式骨螺釘,包含骨螺釘與套設於骨螺釘釘身部位的套管,利用埋設在骨皮質孔洞中的套管結構使孔洞不會過早癒合,維持釘身可以進行小幅度晃動的空間,而可延續骨螺釘的釘身對骨折部位造成適度刺激以促進骨痂生長的作用。In view of this, the present invention proposes a cannulated bone screw comprising a bone screw and a cannula sheathed on the bone screw body portion, and the cannula structure embedded in the cortical bone hole prevents the hole from healing prematurely and maintains The nail body can perform a small amount of shaking space, and the nail body of the bone screw can cause moderate stimulation to the fracture site to promote the growth of the epiphysis.

【0010】[0010]

本創作之主要目的,係提供一種套管式骨螺釘,其套管套設於骨螺釘之釘身並隨骨螺釘一同設置於骨皮質中,利用套管維持釘身可作小幅度晃動之空間,以促進骨痂生長、加速骨折癒合之套管式骨螺釘。The main purpose of the present invention is to provide a cannulated bone screw, the sleeve is sleeved on the bone body of the bone screw and placed in the cortical bone together with the bone screw, and the space for the small body can be shaken by using the sleeve to maintain the nail body. A cannulated bone screw that promotes the growth of the epiphysis and accelerates the healing of the fracture.

【0011】[0011]

本創作之次要目的,係提供一種套管式骨螺釘,其骨螺釘之釘頭與釘身可進行拆解或組合,使內徑小於釘頭與釘身螺紋外徑之套管可於釘頭與釘身分離時套設於釘身,並安裝於釘頭與釘身螺紋之間。The secondary purpose of the present invention is to provide a cannulated bone screw, the nail head and the nail body of the bone screw can be disassembled or combined, so that the inner diameter of the sleeve smaller than the outer diameter of the nail head and the nail body can be nailed. The head is sleeved on the body when separated from the body and is mounted between the nail head and the body thread.

【0012】[0012]

本創作之另一目的,係提供一種套管式骨螺釘,其套管由複數套管瓣組合而成,使內徑小於釘頭與釘身螺紋外徑之套管可套設並安裝於釘頭與釘身螺紋之間。Another object of the present invention is to provide a cannulated bone screw, the sleeve of which is composed of a plurality of sleeves, so that a sleeve having an inner diameter smaller than the outer diameter of the nail head and the threaded body can be sleeved and mounted on the nail. Between the head and the body thread.

【0013】[0013]

為達到上述所指稱之主要目的與功效,本創作揭示了一種套管式骨螺釘,其包含一骨螺釘與一套管,該骨螺釘並包含一釘頭與一釘身,該釘頭設置於該骨螺釘之頂部,該釘身之一端連接於該釘頭,該套管套設於該釘身並與該釘身間保持一空隙。In order to achieve the above-mentioned main purpose and efficacy, the present invention discloses a cannulated bone screw comprising a bone screw and a sleeve, the bone screw comprising a nail head and a nail body, the nail head being disposed on The top of the bone screw is connected to the nail head at one end, and the sleeve is sleeved on the nail body and maintains a gap with the nail body.

【0014】[0014]

使用時,將本創作之套管式骨螺釘穿入一骨板包含之一骨釘孔與該骨板下方之一斷骨,該釘頭鎖固於該骨釘孔內,該套管埋設於該斷骨頂部之一骨皮質鑽設之一孔洞,該釘身穿過該套管、該斷骨中央之一骨髓質並鎖固於該斷骨底部之該骨皮質,該套管與該釘身間之該空隙使該釘身於本創作之套管式骨螺釘安裝後進行小幅度之晃動,利用該釘身晃動產生之應力可刺激纖維組織增生並分化形成軟骨,以加速骨折部位之癒合。When in use, the cannulated bone screw of the present invention is inserted into a bone plate comprising a bone nail hole and one of the broken bones below the bone plate, the nail head is locked in the bone nail hole, and the sleeve is buried in the bone plate. One of the tops of the broken bone drills a hole in the cortex, the nail passes through the sleeve, one of the bone marrow in the center of the broken bone, and is locked to the cortical bone at the bottom of the broken bone, the sleeve and the nail The gap between the body causes the nail to be shaken by a small amount after the installation of the cannulated bone screw of the present invention, and the stress generated by the shaking of the nail body can stimulate the fibrous tissue to proliferate and differentiate into cartilage to accelerate the healing of the fracture site. .

【0015】[0015]

為達到上述所指稱之次要目的與功效,本創作之套管式骨螺釘之該釘頭中央進一步包含一連接孔,該連接孔內緣與該釘身頂部分別設有互補之螺紋,使該釘身可與該釘頭螺合或分離。In order to achieve the above-mentioned secondary purpose and effect, the center of the nail head of the sleeve-type bone screw of the present invention further includes a connecting hole, and the inner edge of the connecting hole and the top of the nail body are respectively provided with complementary threads, so that The body can be screwed or separated from the nail head.

【0016】[0016]

使用時,可先將該釘身穿過該骨板之該骨釘孔、該斷骨頂部之該孔洞以及該骨髓質,並鎖固於該斷骨底部之骨皮質,隨後將該套管由該釘身頂部套入並埋設於該孔洞內,最後將該釘頭藉由該連接孔螺合於該釘身頂部之同時將該釘頭鎖固於該骨釘孔。In use, the nail body may first pass through the nail hole of the bone plate, the hole of the top of the broken bone, and the bone marrow, and lock the cortical bone at the bottom of the broken bone, and then the sleeve is The top of the nail body is nested and embedded in the hole, and finally the nail head is screwed to the top of the nail body by the connecting hole to lock the nail head to the nail hole.

【0017】[0017]

為達到上述所指稱之另一目的與功效,本創作之套管式骨螺釘之該套管進一步 包含複數套管瓣,該些套管瓣分別於相鄰之套管瓣相連並組合為該套管,使該些套管瓣可於該釘身周圍組合為該套管而套設於該釘身。In order to achieve the other purpose and effect mentioned above, the sleeve of the sleeve-type bone screw of the present invention further comprises a plurality of cannula valves which are respectively connected to adjacent sleeves and combined into the sleeve. The tube is configured such that the sleeves can be sleeved around the body to fit the sleeve.

【0018】[0018]

使用時,將該些套管瓣於該釘身周圍組合為該套管並埋設於該孔洞,並使該釘身穿過該骨板之該骨釘孔而鎖固於該斷骨底部之該骨皮質,同時將該釘頭鎖固於該骨釘孔內。In use, the sleeves are assembled around the body as the sleeve and embedded in the hole, and the nail is passed through the bone hole of the bone plate to lock the bottom of the broken bone. The cortical bone is simultaneously locked in the nail hole.

10‧‧‧骨螺釘10‧‧‧ bone screw

100‧‧‧釘頭100‧‧‧nail head

1000‧‧‧第一陽螺紋1000‧‧‧first male thread

1002‧‧‧固定孔1002‧‧‧Fixed holes

1004‧‧‧第三陰螺紋1004‧‧‧ third female thread

102‧‧‧釘身102‧‧‧

1020‧‧‧第二陽螺紋1020‧‧‧Second male thread

1022‧‧‧第三陽螺紋1022‧‧‧third male thread

1024‧‧‧延伸部1024‧‧‧Extension

1026‧‧‧止擋件1026‧‧‧stops

12‧‧‧套管12‧‧‧ casing

120‧‧‧套管瓣120‧‧‧ casing flap

122‧‧‧第四陽螺紋122‧‧‧fourth male thread

124‧‧‧彈片124‧‧‧Shrap

14‧‧‧空隙14‧‧‧ gap

2‧‧‧骨板2‧‧‧ bone plate

20‧‧‧骨釘孔20‧‧‧ bone nail hole

200‧‧‧第一陰螺紋200‧‧‧first female thread

3‧‧‧斷骨3‧‧‧Broken bone

30‧‧‧骨皮質30‧‧‧Bone cortex

300‧‧‧孔洞300‧‧‧ holes

32‧‧‧骨髓質32‧‧‧Bone marrow

【0019】[0019]

第一圖:其係為習知骨螺釘之使用狀態示意圖;The first picture: it is a schematic diagram of the state of use of the conventional bone screw;

第二圖:其係為本創作第一實施例之使用狀態剖面示意圖;The second figure is a schematic cross-sectional view of the state of use of the first embodiment of the creation;

第三A圖:其係為本創作第二實施例之使用狀態剖面示意圖;Figure 3A is a schematic cross-sectional view showing the state of use of the second embodiment of the present invention;

第三B圖:其係為本創作第二實施例之使用狀態俯視示意圖;Figure 3B is a top plan view showing the state of use of the second embodiment of the present invention;

第四A圖:其係為本創作第三實施例之使用狀態剖面示意圖;Figure 4A is a schematic cross-sectional view showing the state of use of the third embodiment of the present creation;

第四B圖:其係為本創作第三實施例之結構立體示意圖;Figure 4B is a perspective view showing the structure of the third embodiment of the creation;

第五圖:其係為本創作第四實施例之結構立體示意圖;Figure 5 is a perspective view showing the structure of the fourth embodiment of the present invention;

第六圖:其係為本創作第五實施例之使用狀態剖面示意圖;Figure 6 is a schematic cross-sectional view showing the state of use of the fifth embodiment of the present invention;

第七圖:其係為本創作第六實施例之使用狀態剖面示意圖;Figure 7 is a schematic cross-sectional view showing the state of use of the sixth embodiment of the present invention;

第八A圖:其係為本創作第七實施例之使用狀態剖面示意圖;及Figure 8 is a schematic cross-sectional view showing the state of use of the seventh embodiment of the present invention; and

第八B圖:其係為本創作第七實施例之結構立體示意圖。Figure 8B is a perspective view showing the structure of the seventh embodiment of the present invention.

【0020】[0020]

為使 貴審查委員對本創作之特徵及所達成之功效有更進一步之瞭解與認識,謹佐以較佳之實施例及配合詳細之說明,說明如後:In order to give your reviewers a better understanding and understanding of the characteristics of the creation and the efficacies achieved, please provide a better example and a detailed description of the following:

【0021】[0021]

本創作之套管式骨螺釘,其特色在於:將其套管套設於骨螺釘之釘身並隨骨螺釘一併埋設於骨皮質中,利用套管維持釘身可作小幅度晃動之空間,而達成促進骨痂生長、加速骨折癒合之目的。此外,為使套管可套設於骨螺釘之釘身,本創作可進一步於釘頭與釘身間加入可拆解之設計,於依序安裝釘身、套管、釘頭後組合釘頭與釘身,使該套管可套設於釘身部位,另,也可進一步於該套管加入可拆解之設計,使套管由複數套管瓣組合而成並套設於釘身部位。The sleeve-type bone screw of the present invention is characterized in that the sleeve is sleeved on the nail body of the bone screw and embedded in the cortical bone together with the bone screw, and the space of the nail body can be used for small shaking by the sleeve. And achieve the purpose of promoting bone growth and accelerating fracture healing. In addition, in order to make the sleeve can be set on the nail body of the bone screw, the creation can further add a detachable design between the nail head and the nail body, and the nail head, the sleeve and the nail head are sequentially assembled after the nail head is assembled. The body can be sleeved on the body of the nail body, and the detachable design can be further added to the sleeve, so that the sleeve is assembled from the plurality of sleeves and sleeved on the nail body. .

【0022】[0022]

首先請參閱第二圖,其係本創作第一實施例之使用狀態剖面示意圖;如第二圖所示,本創作之套管式骨螺釘包含一骨螺釘10與一套管12,該骨螺釘10包含一釘頭100與一釘身102,該釘頭100設置於該骨螺釘10之頂部,該釘身102之一端連接於該釘頭100,該套管12則套設於該釘身102並與該釘身102間保持一空隙14。Referring first to the second drawing, which is a schematic cross-sectional view of the first embodiment of the present invention; as shown in the second figure, the cannulated bone screw of the present invention comprises a bone screw 10 and a cannula 12, the bone screw 10 includes a nail head 100 and a nail body 102. The nail head 100 is disposed on the top of the bone screw 10. One end of the nail body 102 is connected to the nail head 100, and the sleeve 12 is sleeved on the nail body 102. A gap 14 is maintained between the body 102 and the body 102.

【0023】[0023]

一骨板2具有至少一骨釘孔20,該骨板2設置於一斷骨3之上,該斷骨3之外側為一骨皮質30且內側為一骨髓質32,於該斷骨3頂部之該骨皮質30鑽設一孔洞300,該骨螺釘10之該釘身 102穿入該孔洞300、該骨髓質32,並鎖固於該斷骨3底部之該骨皮質30,該套管12隨該釘身100埋設於該骨皮質30之該孔洞300,該骨螺釘10之該 釘頭 100則鎖固於該骨板2之該骨釘孔20。A bone plate 2 has at least one bone hole 20, the bone plate 2 is disposed on a broken bone 3, the outer side of the broken bone 3 is a cortical bone 30 and the inner side is a bone marrow 32, at the top of the broken bone 3 The bone cortex 30 is drilled with a hole 300 through which the body 102 of the bone screw 10 penetrates, the bone marrow 32, and the cortical bone 30 at the bottom of the broken bone 3, the sleeve 12 As the body 100 is embedded in the hole 300 of the cortical bone 30, the nail head 100 of the bone screw 10 is locked to the nail hole 20 of the bone plate 2.

【0024】[0024]

透過上述元件之設置,本創作之套管式骨螺釘可藉由將該套管12埋設於該骨皮質30之該孔洞300中,使該孔洞300不會太快癒合,並透過該套管12與該釘身102間保持之該空隙14,使得該骨螺釘10安裝於該骨板2與該斷骨3後,該釘身102仍可進行小幅度之晃動,刺激該斷骨3,加速骨折部位之纖維組織生長與分化,以利骨痂形成並加速後續骨折癒合之過程。Through the arrangement of the above components, the cannulated bone screw of the present invention can be buried in the hole 300 of the cortical bone 30 by the sleeve 12 so that the hole 300 does not heal too quickly and penetrates the sleeve 12 The gap 14 is maintained between the bone body 102 and the bone screw 10 is mounted on the bone plate 2 and the broken bone 3, and the nail body 102 can still be shaken by a small amount to stimulate the broken bone 3 and accelerate the fracture. The fibrous tissue growth and differentiation of the site is used to facilitate the formation of the epiphysis and accelerate the subsequent healing of the fracture.

【0025】[0025]

此外,該釘頭100外緣進一步設有一第一陽螺紋1000,該骨釘孔20內緣進一步設有一第一陰螺紋200,該第一陽螺紋1000與該第一陰螺紋200為互補之結構,故該釘頭100可透過該第一陽螺紋1000與該第一陰螺紋200之螺合而鎖固於該骨釘孔20。In addition, the outer edge of the nail head 100 is further provided with a first male thread 1000, and the inner edge of the nail hole 20 is further provided with a first female thread 200, and the first male thread 1000 and the first female thread 200 are complementary structures. Therefore, the nail head 100 can be locked to the nail hole 20 through the screwing of the first male thread 1000 and the first female thread 200.

【0026】[0026]

另,該釘身102於遠離該釘頭100之一端表面進一步設有一第二陽螺紋1020,故,本實施例中該釘身102可透過該第二陽螺紋1020鎖固於該斷骨3底部之該骨皮質30。In addition, the second body male thread 1020 is further disposed on a surface of the nail body 102 away from the end surface of the nail head 100. Therefore, in the embodiment, the nail body 102 can be locked to the bottom of the broken bone 3 through the second male thread 1020. The cortical bone 30.

【0027】[0027]

透過於該 釘頭100、該釘身102(以及該骨釘孔200)等元件設置螺紋,可利用螺合方式使該骨螺釘10分別與該骨板2、該斷骨3結合,以達成將該骨板2鎖固於該斷骨3表面之功效。By providing a thread on the nail head 100, the nail body 102 (and the nail hole 200), the bone screw 10 can be combined with the bone plate 2 and the broken bone 3 by screwing to achieve The bone plate 2 is locked to the surface of the broken bone 3.

【0028】[0028]

請參閱第三A圖與第三B圖,其係本創作第二實施例之使用狀態剖面示意圖與使用狀態俯視示意圖;如第三A圖所示,本實施例與第一實施例之主要差別在於:本實施例中該釘頭100中央進一步包含一連接孔1002,該連接孔1002內緣進一步設有一第三陰螺紋1004,該釘身102與該釘頭100連接之一端外緣設有一第三陽螺紋1022, 該第三陽螺紋1022與該第三陰螺紋1004為互補之結構,故該釘身102可透過該第三陽螺紋1022與該第三陰螺紋1004之螺合而連接於該 釘頭100之該連接孔1002。Please refer to FIG. 3A and FIG. 3B, which are schematic cross-sectional views of the use state of the second embodiment of the present invention and a top view of the use state; as shown in FIG. 3A, the main difference between the embodiment and the first embodiment In the embodiment, the center of the nail head 100 further includes a connecting hole 1002. The inner edge of the connecting hole 1002 is further provided with a third female thread 1004. The nail body 102 and the nail head 100 are connected to the outer edge of the nail head 100. The third male thread 1022, the third male thread 1022 and the third female thread 1004 are complementary structures, so the nail body 102 can be connected to the third male thread 1022 and the third female thread 1004 by screwing The connecting hole 1002 of the nail head 100.

【0029】[0029]

透過上述元件之設置,使本創作之套管式骨螺釘中該骨螺釘10包含之該釘頭100與該釘身102便於組合與拆解,而可於該套管12之內徑小於該釘頭100(之 該第一陽螺紋1000 )之外徑與該釘身102之該第二陽螺紋1020之外徑時,將該套管12套設於該釘身102,相較於製作時即將該套管12製作於該釘身102外側,將該骨螺釘10之該釘頭100與該釘身102設計為可拆解式較節省成本。Through the arrangement of the above components, the nail head 10 included in the bone screw 10 of the present invention is conveniently combined and disassembled with the nail body 100, and the inner diameter of the sleeve 12 can be smaller than the nail. When the outer diameter of the head 100 (the first male thread 1000) and the outer diameter of the second male thread 1020 of the nail body 102, the sleeve 12 is sleeved on the nail body 102, as compared with the production The sleeve 12 is formed on the outside of the body 102, and the nail head 100 of the bone screw 10 and the body 102 are designed to be detachable and cost-effective.

【0030】[0030]

使用本實施例之套管式骨螺釘時,首先將該釘身102穿過於該斷骨3頂部之該骨皮質30鑽設之該孔洞300、通過該骨髓質32並透過該第二陽螺紋1020鎖固於該斷骨3底部之該骨皮質30,隨後將該套管12由該釘身102頂端套入該釘身102並埋設於該斷骨3頂部之該骨皮質30,最後將該釘頭100由該釘身102頂端旋入該骨釘孔20,此時該釘頭100外緣之該第一陽螺紋1000與該骨釘孔20內緣之該第一陰螺紋200螺合,且該釘頭100中央之該固定孔1002內緣之該第三陰螺紋1004與該釘身102上端之該第三陽螺紋1022螺合。When the cannulated bone screw of the embodiment is used, the body 102 is first passed through the hole 300 drilled in the cortical bone 30 at the top of the broken bone 3, through the bone marrow 32 and through the second male thread 1020. Locking the cortical bone 30 at the bottom of the broken bone 3, and then inserting the sleeve 12 from the top end of the nail body 102 into the nail body 102 and embedding the cortical bone 30 at the top of the broken bone 3, and finally the nail The head 100 is screwed into the nail hole 20 by the top end of the nail body 102, and the first male thread 1000 of the outer edge of the nail head 100 is screwed with the first female thread 200 of the inner edge of the nail hole 20, and The third female thread 1004 of the inner edge of the fixing hole 1002 at the center of the nail head 100 is screwed with the third male thread 1022 of the upper end of the nail body 102.

【0031】[0031]

為使設置於該釘頭100外緣之該第一陽螺紋1000與設置於該釘頭100內緣之該第三陰螺紋1004可同時分別與該第一陰螺紋200及該第三陽螺紋1022螺合,該第一陽螺紋1000及該第一陰螺紋200之螺合方向應與該第三陽螺紋1022及該第三陰螺紋1004之螺合方向相反,即,由固定視角觀之,當該第一陽螺紋1000以順時針方向旋轉可與該第一陰螺紋200螺合時,該第三陽螺紋1022應以逆時針方向旋轉才可與該第三陰螺紋1004螺合。The first male thread 1000 disposed on the outer edge of the nail head 100 and the third female thread 1004 disposed on the inner edge of the nail head 100 can simultaneously be respectively associated with the first female thread 200 and the third male thread 1022. The screwing direction of the first male thread 1000 and the first female thread 200 should be opposite to the screwing direction of the third male thread 1022 and the third female thread 1004, that is, viewed from a fixed viewing angle. When the first male thread 1000 is rotated in the clockwise direction to be screwed with the first female thread 200, the third male thread 1022 should be rotated in the counterclockwise direction to be screwed with the third female thread 1004.

【0032】[0032]

如第三B圖所示,當該釘頭100相對該骨釘孔200順時針旋轉時,該釘身102相當於相對該釘頭100逆時針旋轉,使得該釘頭100外緣之該第一陽螺紋1000與該釘頭100內緣之該第三陰螺紋1004可同時分別與該骨板2具有之骨釘孔內緣之該第一陰螺紋200及該釘身102外緣之該第三陽螺紋1022螺合。As shown in FIG. B, when the nail head 100 rotates clockwise relative to the nail hole 200, the nail body 102 corresponds to counterclockwise rotation with respect to the nail head 100, so that the outer edge of the nail head 100 is the first The third female thread 1004 of the male thread 1000 and the inner edge of the nail head 100 can simultaneously simultaneously with the first female thread 200 of the inner edge of the nail hole of the bone plate 2 and the third edge of the outer edge of the nail body 102 The male thread 1022 is screwed.

【0033】[0033]

請再參閱第三A圖,為使該釘頭100可於旋入該骨釘孔20之同時與該釘身102之該第三陽螺紋1022螺合,該釘身102可進一步包含一延伸部1024(該釘頭100上方虛線處),將該釘頭100旋入該骨釘孔20時,可藉工具固定該延伸部1024,以使該釘頭100與該釘身102間可作相對轉動,螺合該第三陰螺紋1004與該第三陽螺紋1022。另,於該釘頭100旋入該骨釘孔20後,再將該延伸部1024裁去即可。Referring to FIG. 3A, in order to enable the nail head 100 to be screwed into the third male thread 1022 of the nail body 102 while being screwed into the nail hole 20, the nail body 102 may further include an extension portion. 1024 (the dotted line above the nail head 100), when the nail head 100 is screwed into the nail hole 20, the extending portion 1024 can be fixed by a tool, so that the nail head 100 and the nail body 102 can be rotated relative to each other. The third female thread 1004 and the third male thread 1022 are screwed. In addition, after the nail head 100 is screwed into the nail hole 20, the extension portion 1024 can be cut off.

【0034】[0034]

請參閱第四A圖與第四B圖,其係本創作第三實施例之使用狀態剖面示意圖與結構立體示意圖;如第四A圖所示,本實施例與第一實施例之主要差別在於:本實施例中該套管12為可拆解之設計,該套管12進一步包含複數套管瓣120,該些套管瓣120可分別與其相鄰之套管瓣120相連並組合為該套管12。Please refer to FIG. 4A and FIG. 4B, which are schematic sectional views and structural schematic views of the third embodiment of the present invention; as shown in FIG. 4A, the main difference between the present embodiment and the first embodiment is that In the present embodiment, the sleeve 12 is of a detachable design, and the sleeve 12 further includes a plurality of sleeves 120, which can be respectively connected to the adjacent sleeves 120 and combined into the sleeve. Tube 12.

【0035】[0035]

透過上述元件之設置,使本創作之套管式骨螺釘中該套管12便於在該骨螺釘10之該釘身102外圍進行組合,而可於該套管12之內徑小於該釘頭100(之該第一陽螺紋1000)之外徑與該釘身102之該第二陽螺紋1020之外徑時,將該套管12套設於該釘身102,相較於製作時即將該套管12製作於該釘身102外側或第二實施例中將該骨螺釘10之該釘頭100與該釘身102設計為可拆解式之方式,以該些套管瓣120組合為該套管12之方式較節省成本。Through the arrangement of the above components, the sleeve 12 of the present cannulated bone screw is conveniently combined on the periphery of the body 102 of the bone screw 10, and the inner diameter of the sleeve 12 can be smaller than the nail head 100. When the outer diameter of the first male thread 1000 and the outer diameter of the second male thread 1020 of the nail body 102 are set, the sleeve 12 is sleeved on the nail body 102, which is the same as that at the time of manufacture. The tube 12 is formed on the outside of the nail body 102 or in the second embodiment, the nail head 100 of the bone screw 10 and the nail body 102 are designed in a detachable manner, and the sleeves 120 are combined into the sleeve. The way of tube 12 is more cost effective.

【0036】[0036]

此外,使用本實施例之套管式骨螺釘時,可於將該骨螺釘10穿入該骨釘孔20前即將該些套管瓣120於該釘身102外側(該第二陽螺紋1020上方)組合為該套管12,或於該骨螺釘10穿入該骨釘孔20、鑽設於該骨皮質30之該孔洞300或該骨髓質32後,再將該些套管瓣120組合為該套管12,隨後將該套管12埋設於該骨皮質30之該孔洞300,最後將該第二陽螺紋1020鎖固於該斷骨3底部之該骨皮質30之同時,使該釘頭100之該第一陽螺紋1000螺合於該骨釘孔20之該第一陰螺紋200即完成安裝。In addition, when the cannulated bone screw of the embodiment is used, the sleeves 120 can be outside the nail body 102 before the bone screw 10 is inserted into the bone nail hole 20 (above the second male thread 1020) Combining the cannula 12 into the cannula 12, or after the bone screw 10 penetrates the bone nail hole 20, drilled into the hole 300 of the cortical bone 30 or the bone marrow 32, the sleeves 120 are combined into The sleeve 12 is then embedded in the hole 300 of the cortical bone 30, and finally the second male thread 1020 is locked to the cortical bone 30 at the bottom of the broken bone 3, so that the nail head is The first male thread 1000 of 100 is screwed to the first female thread 200 of the nail hole 20 to complete the installation.

【0037】[0037]

請參閱第五圖,其係本創作第四實施例之結構立體示意圖;如第五圖所示,本實施例與第一實施例之主要差別在於:本實施例中,該骨螺釘10之該釘頭100之外徑由其 頂部向底部遞減,同時該骨板2之該骨釘孔20之內徑應由其頂部向底部遞減(第五圖中並未畫出該骨板2,請參考第二A圖),此結構可使得將該骨螺釘10鎖固於該骨板2時,該釘頭100較易於鎖入該骨釘孔20,且使該釘頭100鎖入後較不易反向脫離該骨釘孔20。Please refer to the fifth figure, which is a perspective view of the structure of the fourth embodiment of the present invention; as shown in the fifth figure, the main difference between the embodiment and the first embodiment is that in the embodiment, the bone screw 10 is The outer diameter of the nail head 100 is decreased from the top to the bottom thereof, and the inner diameter of the bone nail hole 20 of the bone plate 2 should be decreased from the top to the bottom thereof (the bone plate 2 is not shown in the fifth figure, please refer to 2A)), the structure can make the nail head 100 lock into the bone nail hole 20 when the bone screw 10 is locked to the bone plate 2, and the nail head 100 is less likely to be reversed after being locked. The nail hole 20 is detached.

【0038】[0038]

同樣地,由於該套管12之內徑小於該釘頭100之該第一陽螺紋1000之外徑,而無法由該釘頭100套入該釘身102,且該套管12之內徑小於該釘身102之該第二陽螺紋1020之外徑與該止擋件1026之外徑,而無法由該釘身102之尖端套入該釘身102,本實施例也可採用如第二實施例中該釘頭100與該釘身102為可拆解式或第三實施例中該套管12由複數套管瓣120組合而成之設計,使該套管12可套設於該釘身102,並位於該釘頭100下方、該第二陽螺紋1020上方。Similarly, since the inner diameter of the sleeve 12 is smaller than the outer diameter of the first male thread 1000 of the nail head 100, the nail head 100 cannot be inserted into the nail body 102, and the inner diameter of the sleeve 12 is smaller than The outer diameter of the second male thread 1020 of the nail body 102 and the outer diameter of the stopper 1026 cannot be inserted into the nail body 102 from the tip end of the nail body 102. This embodiment can also adopt a second implementation. In the example, the nail head 100 and the nail body 102 are detachable or the sleeve 12 is combined with the plurality of sleeves 120 in the third embodiment, so that the sleeve 12 can be sleeved on the nail body. 102, and located below the nail head 100, above the second male thread 1020.

【0039】[0039]

請參閱第六圖,其係本創作第五實施例之結構示意圖;如第六圖所示,本實施例與第一實施例之主要差別在於:本實施例中,該骨螺釘10之該釘身102進一步設有一止擋件1026,以止擋該套管12,避免該套管12由該骨皮質30滑落至該骨髓質32,而無法發揮防止該骨皮質30之該孔洞300癒合以保持該釘身102小幅度晃動之空間之功效。該止擋件1026之結構可如第六圖中所示由至少一凸點構成,也可為一環狀結構,該止擋件1026之外徑應至少大於該套管12之內徑,以達成止擋該套管12由該骨皮質30滑入該骨髓質32之目的。Please refer to the sixth figure, which is a schematic structural view of the fifth embodiment of the present invention; as shown in the sixth figure, the main difference between the embodiment and the first embodiment is that: in the embodiment, the nail of the bone screw 10 The body 102 is further provided with a stop member 1026 to stop the sleeve 12 from being prevented from sliding from the cortical bone 30 to the bone marrow 32, thereby preventing the hole 300 of the cortical bone 30 from healing to maintain The effect of the space of the nail body 102 shaking slightly. The structure of the stopper 1026 may be formed by at least one bump as shown in the sixth figure, or may be an annular structure, and the outer diameter of the stopper 1026 should be at least larger than the inner diameter of the sleeve 12 to The stop is achieved by the cannula 12 being slid into the bone marrow 32 by the cortical bone 30.

【0040】[0040]

本實施例同樣可結合如第二實施例中該釘頭100與該釘身102為可拆解式或第三實施例中該套管12由複數套管瓣120組合而成之設計,使該套管12可於該套管12之內徑小於該釘頭100(之該第一陽螺紋1000)之外徑與該釘身102之該第二陽螺紋1020、該止擋件1026之外徑時套設於該釘身102之該止擋件1026上方處。This embodiment can also be combined with the design that the nail head 100 and the nail body 102 are detachable in the second embodiment or the sleeve 12 is combined by the plurality of sleeves 120 in the third embodiment. The inner diameter of the sleeve 12 can be smaller than the outer diameter of the nail head 100 (the first male thread 1000) and the second male thread 1020 of the nail body 102 and the outer diameter of the stopper 1026. The sleeve is disposed over the stop 1026 of the body 102.

【0041】[0041]

請參閱第七圖,其係本創作第六實施例之結構示意圖;如第七圖所示,本實施例與第一實施例之主要差別在於:本實施例中,該套管12之外緣進一步設有一第四陽螺紋122,該第四陽螺紋122可鎖固於該斷骨3頂部之該骨皮質30之該孔洞300內,而同樣可避免該套管12由該骨皮質30滑落至該骨髓質32,而無法發揮防止該骨皮質30之該孔洞300癒合以保持該釘身102小幅度晃動之空間之功效。Please refer to the seventh figure, which is a schematic structural view of the sixth embodiment of the present invention; as shown in the seventh figure, the main difference between the present embodiment and the first embodiment is that: in the present embodiment, the outer edge of the sleeve 12 Further, a fourth male thread 122 is disposed, and the fourth male thread 122 can be locked in the hole 300 of the cortical bone 30 at the top of the broken bone 3, and the sleeve 12 can be prevented from sliding down to the cortical 30. The bone marrow 32 does not function to prevent the hole 300 of the cortical bone 30 from healing to maintain a small amount of shaking of the body 102.

【0042】[0042]

本實施例亦可結合如第二實施例中該釘頭100與該釘身102為可拆解式或第三實施例中該套管12由複數套管瓣120組合而成之設計,由於本實施例中該套管12之外緣進一步設有該第四陽螺紋122,分別製作為複數套管瓣120時結構較為複雜,故將該釘頭100與該釘身102製作為可拆解式之方式與本實施例之搭配較果較佳。This embodiment can also be combined with the design that the nail head 100 and the nail body 102 are detachable in the second embodiment or the sleeve 12 is combined by the plurality of sleeves 120 in the third embodiment. In the embodiment, the outer edge of the sleeve 12 is further provided with the fourth male thread 122. When the plurality of sleeves 120 are respectively formed, the structure is relatively complicated, so that the nail head 100 and the nail body 102 are made detachable. The manner of the combination with the embodiment is better.

【0043】[0043]

請參閱第八A圖與第八B圖,其係本創作第七實施例之使用狀態剖面示意圖與結構立體示意圖;如第八A圖與第八B圖所示,本實施例與第一實施例之主要差別在於:本實施例中,該 套管12之外側進一步設有至少一彈片124,該彈片124受骨皮質30之該孔洞300內緣擠壓,藉由彈性卡固於該孔洞300內,避免該套管12滑落至該骨髓質32,使該 套管12可持續設置於該骨皮質30之該孔洞300內,以保持可供該釘身102小幅度晃動之空間。Please refer to FIG. 8A and FIG. 8B, which are schematic sectional views and structural schematic views of the seventh embodiment of the present invention; as shown in FIG. 8A and FIG. 8B, the present embodiment and the first embodiment are shown. The main difference is that in the embodiment, the outer side of the sleeve 12 is further provided with at least one elastic piece 124. The elastic piece 124 is pressed by the inner edge of the hole 300 of the cortical bone 30, and is elastically clamped to the hole 300. The sleeve 12 is prevented from slipping to the bone marrow 32, so that the sleeve 12 can be continuously disposed in the hole 300 of the cortical bone 30 to maintain a space for the nail body 102 to shake slightly.

【0044】[0044]

此外,本實施例中該骨螺釘10之該釘身102之外徑由該第四陽螺紋122上方處向該釘身102之頂部遞減,相較於前述實施例,此結構造成該釘身102與該套管12間之該空隙14較大,而使該釘身102可進行較大幅度之晃動。In addition, in the present embodiment, the outer diameter of the body 102 of the bone screw 10 is decreased from the upper portion of the fourth male thread 122 toward the top of the nail body 102. Compared with the foregoing embodiment, the structure causes the nail body 102 to be formed. The gap 14 between the sleeve 12 and the sleeve 12 is relatively large, so that the body 102 can be shaken to a large extent.

【0045】[0045]

本實施例亦可結合如第二實施例中該釘頭100與該釘身102為可拆解式或第三實施例中該套管12由複數套管瓣120組合而成之設計,以將該套管12設置於該釘身102之外側。This embodiment can also be combined with the design that the nail head 100 and the nail body 102 are detachable in the second embodiment or the sleeve 12 is combined by the plurality of sleeves 120 in the third embodiment. The sleeve 12 is disposed on the outer side of the body 102.

【0046】[0046]

綜上所述,本創作係提供一種套管式骨螺釘,其包含一骨螺釘與一套管,該骨螺釘包含一釘頭與一釘身,該釘頭設置於該骨螺釘之頂部,該釘身之一端連接於該釘頭,該套管套設於該釘身且與該釘身間保持一空隙,透過將該套管設置於骨皮質,使該骨螺釘鎖入骨板與骨皮質後仍可於該套管與該釘身間之該空隙中小幅度地晃動,而可利用該骨螺釘之晃動適當刺激骨折部位組織,以促進骨痂生長、加速骨折癒合。In summary, the present invention provides a cannulated bone screw comprising a bone screw and a sleeve, the bone screw comprising a nail head and a nail body, the nail head being disposed on the top of the bone screw, One end of the nail body is connected to the nail head, and the sleeve is sleeved on the nail body and maintains a gap with the nail body. After the sleeve is placed on the cortical bone, the bone screw is locked into the bone plate and the cortical bone. The rock can still be shaken a small amount in the gap between the sleeve and the nail body, and the bone screw can be used to appropriately stimulate the tissue of the fracture site to promote the growth of the callus and accelerate the fracture healing.

【0047】[0047]

惟以上所述者,僅為本創作之較佳實施例而已,並非用來限定本創作實施之範圍,舉凡依本創作申請專利範圍所述之形狀、構造、特徵及精神所為之均等變化與修飾,均應包括於本創作之申請專利範圍內。However, the above description is only for the preferred embodiment of the present invention, and is not intended to limit the scope of the present invention, and the variations, modifications, and modifications of the shapes, structures, features, and spirits described in the scope of the patent application. , should be included in the scope of the patent application of this creation.

【0048】[0048]

本創作係實為一具有新穎性、進步性及可供產業利用者,應符合我國專利法所規定之專利申請要件無疑,爰依法提出新型專利申請,祈 鈞局早日賜准專利,至感為禱。This creative department is a novelty, progressive and available for industrial use. It should meet the requirements of patent applications stipulated in China's Patent Law. It is undoubtedly a new type of patent application, and the Prayer Council will grant patents as soon as possible. prayer.

10‧‧‧骨螺釘 10‧‧‧ bone screw

100‧‧‧釘頭 100‧‧‧nail head

1000‧‧‧第一陽螺紋 1000‧‧‧first male thread

102‧‧‧釘身 102‧‧‧

1020‧‧‧第二陽螺紋 1020‧‧‧Second male thread

12‧‧‧套管 12‧‧‧ casing

14‧‧‧空隙 14‧‧‧ gap

2‧‧‧骨板 2‧‧‧ bone plate

20‧‧‧骨釘孔 20‧‧‧ bone nail hole

200‧‧‧第一陰螺紋 200‧‧‧first female thread

3‧‧‧斷骨 3‧‧‧Broken bone

30‧‧‧骨皮質 30‧‧‧Bone cortex

300‧‧‧孔洞 300‧‧‧ holes

32‧‧‧骨髓質 32‧‧‧Bone marrow

Claims (10)

【第1項】[Item 1] 一種套管式骨螺釘,係包含:
一骨螺釘,其包含:
一釘頭,其設置於該骨螺釘之頂部;及
一釘身,其一端係連接於該釘頭;以及
一套管,其係套設於該釘身,且該套管與該釘身間保持一空隙。
A cannulated bone screw comprising:
a bone screw comprising:
a nail head disposed on the top of the bone screw; and a nail body having one end connected to the nail head; and a sleeve sleeved on the nail body, and the sleeve and the nail body Keep a gap.
【第2項】[Item 2] 如申請專利範圍第1項所述之套管式骨螺釘,其中該骨螺釘係鎖固於一骨板之一骨釘孔,該骨釘孔內緣進一步設有一第一陰螺紋,該釘頭外緣進一步設有一第一陽螺紋,且該釘頭係透過該第一陽螺紋螺合於該骨釘孔之該第一陰螺紋。The cannulated bone screw according to claim 1, wherein the bone screw is locked to one of the bone plate holes of the bone plate, and the inner edge of the bone nail hole is further provided with a first female thread, the nail head The outer edge is further provided with a first male thread, and the nail head is screwed to the first female thread of the nail hole through the first male thread. 【第3項】[Item 3] 如申請專利範圍第1項所述之套管式骨螺釘,其中該釘頭之外徑係向底部遞減。The cannulated bone screw of claim 1, wherein the outer diameter of the nail head decreases toward the bottom. 【第4項】[Item 4] 如申請專利範圍第1項所述之套管式骨螺釘,其中該釘身表面進一步設有一第二陽螺紋。The cannulated bone screw of claim 1, wherein the body surface is further provided with a second male thread. 【第5項】[Item 5] 如申請專利範圍第1項所述之套管式骨螺釘,其中該釘頭中央進一步包含一連接孔,該連接孔內緣進一步設有一第三陰螺紋,該釘身進一步設有一第三陽螺紋,且該釘身係透過該第三陽螺紋以螺合方式連接於該釘頭之該第三陰螺紋。The cannulated bone screw of claim 1, wherein the center of the nail head further comprises a connecting hole, the inner edge of the connecting hole further comprises a third female thread, and the body is further provided with a third male thread. And the nail body is screwed to the third female thread of the nail head through the third male thread. 【第6項】[Item 6] 如申請專利範圍第1項所述之套管式骨螺釘,其中該釘身進一步設有一止擋件,該止擋件係止擋該套管。The cannulated bone screw of claim 1, wherein the body is further provided with a stop member that stops the sleeve. 【第7項】[Item 7] 如申請專利範圍第1項所述之套管式骨螺釘,其中該套管外緣進一步包含一第四陽螺紋。The cannulated bone screw of claim 1, wherein the outer edge of the sleeve further comprises a fourth male thread. 【第8項】[Item 8] 如申請專利範圍第1項所述之套管式骨螺釘,其中該套管係包含複數套管瓣,該些套管瓣分別於相鄰之套管瓣相連並組合為該套管。The cannulated bone screw of claim 1, wherein the cannula comprises a plurality of cannula valves connected to adjacent cannula valves and combined into the cannula. 【第9項】[Item 9] 如申請專利範圍第1項所述之套管式骨螺釘,其中該套管外側進一步設有至少一彈片。The cannulated bone screw of claim 1, wherein the outer side of the sleeve is further provided with at least one elastic piece. 【第10項】[Item 10] 如申請專利範圍第1項所述之套管式骨螺釘,其中該釘身之外徑係向頂部遞減。The cannulated bone screw of claim 1, wherein the outer diameter of the body is decreasing toward the top.
TW103202465U 2014-02-12 2014-02-12 Sleeve type bone screw TWM479112U (en)

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CN201410177848.1A CN104825220A (en) 2014-02-12 2014-04-29 Sleeve type bone screw

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CN105193489A (en) * 2015-09-18 2015-12-30 山东康盛医疗器械有限公司 Dynamic-pressurizing-locked bone screw and use method thereof
CN105596076A (en) * 2016-02-26 2016-05-25 创辉医疗器械江苏有限公司 Micro-motion locking screw
US11224470B2 (en) 2018-05-09 2022-01-18 Warsaw Orthopedic, Inc. Bone screw and method of manufacture

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EP2340776B1 (en) * 2007-07-26 2013-01-30 Biedermann Technologies GmbH & Co. KG Fixation device for bones
PL2476386T3 (en) * 2007-12-17 2013-11-29 Synthes Gmbh Dynamic bone fixation element
US8496694B2 (en) * 2009-11-17 2013-07-30 DePuy Synthes Products, LLC Variable angle locking buttress pins
US8287540B2 (en) * 2010-06-18 2012-10-16 Kettering University Easily implantable and stable nail-fastener for skeletal fixation and method

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