US2270188A - Surgical threaded nail and method of applying same - Google Patents

Surgical threaded nail and method of applying same Download PDF

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Publication number
US2270188A
US2270188A US34518840A US2270188A US 2270188 A US2270188 A US 2270188A US 34518840 A US34518840 A US 34518840A US 2270188 A US2270188 A US 2270188A
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Prior art keywords
nails
nail
surgical
threaded
method
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Earl E Longfellow
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Harry Herschel Leiter
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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
    • A61B17/72Intramedullary pins, nails or other devices
    • 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

Description

Jan. 1942. LQNGFELLQW 2,270,1 88

INVENTOR .1 ATTORNEY Patented Jan. 13, 1942 SURGICAL THREADED NAIL AND METHOD OF APPLYING SAME Earl E. Longfellow, Warsaw, Ind., assignor to Harry Herschel Leiter, Warsaw, Ind.

Application July 12, 1940, Serial No. 345,188

3 Claims.

This invention relates to improvements in surgical threaded nails and method for treatment of fracture of the neck of the femur.

An object of the invention is to provide nails adapted to be positioned in the proximal end of a fractured femur bone to hold the fragments thereof in proper apposition without necessity of anchorage means for the nails other than the nails themselves after being applied.

Another object of the invention is to afford nails of simple form that are easily established in place and, after convalescence, are readily removable.

And a further object of the invention is to so form the nails and apply them in such manner that they will tend to remain in the particular positions where placed in the bone without movement relative thereto until intentionally withdrawn.

Other objects and advantages of the invention appear in the following description.

An illustrative embodiment of the invention is shown in the accompanying drawing, in which Fig. 1 is a side view of a nail in which the invention is incorporated; and

Fig. 2 is a fragmentary elevational view of the proximal end of a femur bone showing a line of fracture through the neck thereof and nails applied to hold the fragments thereof in apposition.

The illustrative embodiment of the invention consists of a nail formed of a straight rod, sharpened at one end to form a .drill point I, and the opposite end squared to form a head 2 to which may be applied a suitable wrench or other tool (not shown) by which to turn the nail angularly upon the axis thereof. A portion of the nail, next adjacent th drill pointed end thereof, is smooth and of uniform diameter, as indicated at 3, and the other portion of the nail, between the smooth portion and the head, is of greater diameter than said smooth portion and is threaded as indicated by 4. The difference in the diameters between the smooth portion or shank 3 of the nail and the threaded portion or stock 4 of greater diameter preferably is equal to the depth of the thread cut on the stock.

In applying th invention, after pro-per apposition ha been established at the line of fracture 5 between the femur head 5 and the upper end 1 of the femur bone, drill holes are initially made, more or less divergently, by the use of a suitable instrument (not shown), of such bore as to snugly accommodate the smooth portion 3 of the nail, the drill holes being located between the trochanters and extending through the neck 8 of the femur into the head 6. Nails of selected appropriate lengths are then introduced into the drill holes and turned as with a wrench applied to the squared head so the threads on the stocks become imbedded in the surrounding bone causing the nails to become progressed inwardly until the smooth shanks are projected into the femur head to the desired extent, thus securing the head in place. By this arrangement, the nails are firmly held from unintentional movement in all directions without necessity of other anchorage.

Ordinarily, in the treatment of fractures of the neck of the femur, by use of nails or pin inserted through the neck into the head of the femur, various expedients are applied in connection with the nails or pins for holding them in place, or, are driven in tightly with the expectation they thereby will remain in place more or less securely only because of frictional contact of the smooth walls of the nails or pins with the surrounding bone parts.

In the present instance, the nails, formed with their threaded stocks and smooth shanks of relatively difierent diameters and of suitable lengths, when the nails are finally in place, their threaded stocks extend only into the upperv end I of the femur while the smooth shanks continue past the fracture line into the head, and in this manner the bone fragments are held in proper apposition while the nails are firmly secured in place.

What I claim is:

1. A surgical nail for bone fractures consisting of a rod one end of which is shaped to provide a drill point and its opposite end being shaped to receive a tool by which to turn the nail, that portion of the rod adjacent said point being smooth and of uniform diameter and the remaining portion between said smooth portion and tool receiving end being threaded and of larger diameter than said smooth portion.

2. A surgical nail pointed at one end and having smooth and threaded portions adjoining each other intermediate it ends both of which are respectively of uniform diameter throughout their lengths, the diameter of said outer threaded portion being greater than that of said smooth portion.

3. A method for treatment of a bone fracture, said method consisting of drilling holes of uniform bores through one bone fragment past the fracture line convergently into the adjacent fragment after apposition of said fragments is established, then inserting in said holes nails each of which has a smooth shank that when in place extends past the fracture line and initially fits the bore of the drilled hole, said nail having a threaded stock tapped into the hole in the distal fragment to secure the nail in place therein.

EARL E. LONGF'ELLOW.

US2270188A 1940-07-12 1940-07-12 Surgical threaded nail and method of applying same Expired - Lifetime US2270188A (en)

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Cited By (30)

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Publication number Priority date Publication date Assignee Title
US4059102A (en) * 1974-08-01 1977-11-22 National Research Development Corporation Bone securing devices
US5665087A (en) * 1996-03-26 1997-09-09 Huebner; Randall J. Method and screw for repair of olecranon fractures
US5891150A (en) * 1996-12-04 1999-04-06 Chan; Kwan-Ho Apparatus and method for fixing a ligament in a bone tunnel
US20020045902A1 (en) * 1999-08-09 2002-04-18 Bonutti Peter M. Method of securing tissue
US20030181800A1 (en) * 2002-03-20 2003-09-25 Bonutti Peter M. Methods of securing body tissue
US20050101961A1 (en) * 2003-11-12 2005-05-12 Huebner Randall J. Bone screws
US20050149030A1 (en) * 2003-12-19 2005-07-07 Depuy Spine, Inc. Facet joint fixation system
US20060015108A1 (en) * 1996-08-19 2006-01-19 Bonutti Peter M Tissue fixation device
US20060089646A1 (en) * 2004-10-26 2006-04-27 Bonutti Peter M Devices and methods for stabilizing tissue and implants
US20060241695A1 (en) 2000-03-13 2006-10-26 Bonutti Peter M Method of using ultrasonic vibration to secure body tissue with fastening element
US7235079B2 (en) 2004-11-18 2007-06-26 Acumed Llc Composite bone fasteners
US20070169706A1 (en) * 2006-01-24 2007-07-26 United Ware Corporation Window support
US20080195145A1 (en) * 2007-02-13 2008-08-14 Bonutti Peter M Tissue fixation system and method
US20090024161A1 (en) * 2006-02-07 2009-01-22 Bonutti Peter M Methods and devices for utilizing thermal energy to bond, stake and/or remove implants
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US9060767B2 (en) 2003-04-30 2015-06-23 P Tech, Llc Tissue fastener and methods for using same
US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
US9173650B2 (en) 2006-02-07 2015-11-03 P Tech, Llc Methods and devices for trauma welding
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9381096B2 (en) 2012-09-13 2016-07-05 Biomet Manufacturing, Llc Method and apparatus to identify coordinated components
US9439642B2 (en) 2006-02-07 2016-09-13 P Tech, Llc Methods and devices for utilizing bondable materials
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus
US9888916B2 (en) 2004-03-09 2018-02-13 P Tech, Llc Method and device for securing body tissue
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods

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US4059102A (en) * 1974-08-01 1977-11-22 National Research Development Corporation Bone securing devices
US5665087A (en) * 1996-03-26 1997-09-09 Huebner; Randall J. Method and screw for repair of olecranon fractures
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US20060015108A1 (en) * 1996-08-19 2006-01-19 Bonutti Peter M Tissue fixation device
US5891150A (en) * 1996-12-04 1999-04-06 Chan; Kwan-Ho Apparatus and method for fixing a ligament in a bone tunnel
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US20020045902A1 (en) * 1999-08-09 2002-04-18 Bonutti Peter M. Method of securing tissue
US20050149029A1 (en) * 1999-08-09 2005-07-07 Bonutti Peter M. Method of securing tissue
US6860885B2 (en) * 1999-08-09 2005-03-01 Bonutti Ip, Llc Method of securing tissue
US20050203521A1 (en) * 1999-08-09 2005-09-15 Bonutti Peter M. Method of securing tissue
US8128669B2 (en) 1999-08-09 2012-03-06 P Tech, Llc. Method of securing tissue
US7481831B2 (en) 1999-08-09 2009-01-27 Marctec, Llc. Method of securing tissue
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US20060241695A1 (en) 2000-03-13 2006-10-26 Bonutti Peter M Method of using ultrasonic vibration to secure body tissue with fastening element
US9884451B2 (en) 2000-03-13 2018-02-06 P Tech, Llc Method of using ultrasonic vibration to secure body tissue
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
US9986994B2 (en) 2000-03-13 2018-06-05 P Tech, Llc Method and device for securing body tissue
US9067362B2 (en) 2000-03-13 2015-06-30 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US8747439B2 (en) 2000-03-13 2014-06-10 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus
US9877793B2 (en) 2002-03-20 2018-01-30 P Tech, Llc Robotic arthroplasty system
US9585725B2 (en) 2002-03-20 2017-03-07 P Tech, Llc Robotic arthroplasty system
US9155544B2 (en) 2002-03-20 2015-10-13 P Tech, Llc Robotic systems and methods
US9808318B2 (en) 2002-03-20 2017-11-07 P Tech, Llc Robotic arthroplasty system
US9629687B2 (en) 2002-03-20 2017-04-25 P Tech, Llc Robotic arthroplasty system
US9271779B2 (en) 2002-03-20 2016-03-01 P Tech, Llc Methods of using a robotic spine system
US9149281B2 (en) 2002-03-20 2015-10-06 P Tech, Llc Robotic system for engaging a fastener with body tissue
US20030181800A1 (en) * 2002-03-20 2003-09-25 Bonutti Peter M. Methods of securing body tissue
US9486227B2 (en) 2002-03-20 2016-11-08 P Tech, Llc Robotic retractor system
US9271741B2 (en) 2002-03-20 2016-03-01 P Tech, Llc Robotic ultrasonic energy system
US9192395B2 (en) 2002-03-20 2015-11-24 P Tech, Llc Robotic fastening system
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US9962162B2 (en) 2003-04-30 2018-05-08 P Tech, Llc Tissue fastener and methods for using same
US9060767B2 (en) 2003-04-30 2015-06-23 P Tech, Llc Tissue fastener and methods for using same
US20050101961A1 (en) * 2003-11-12 2005-05-12 Huebner Randall J. Bone screws
US20050149030A1 (en) * 2003-12-19 2005-07-07 Depuy Spine, Inc. Facet joint fixation system
US9888916B2 (en) 2004-03-09 2018-02-13 P Tech, Llc Method and device for securing body tissue
US9226828B2 (en) 2004-10-26 2016-01-05 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9999449B2 (en) 2004-10-26 2018-06-19 P Tech, Llc Devices and methods for stabilizing tissue and implants
US20060089646A1 (en) * 2004-10-26 2006-04-27 Bonutti Peter M Devices and methods for stabilizing tissue and implants
US9814453B2 (en) 2004-10-26 2017-11-14 P Tech, Llc Deformable fastener system
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
US20110060375A1 (en) * 2004-10-26 2011-03-10 Bonutti Peter M Expandable introducer system and methods
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US9867706B2 (en) 2004-10-26 2018-01-16 P Tech, Llc Tissue fastening system
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US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
US20070169706A1 (en) * 2006-01-24 2007-07-26 United Ware Corporation Window support
US20090024161A1 (en) * 2006-02-07 2009-01-22 Bonutti Peter M Methods and devices for utilizing thermal energy to bond, stake and/or remove implants
US9439642B2 (en) 2006-02-07 2016-09-13 P Tech, Llc Methods and devices for utilizing bondable materials
US9421005B2 (en) 2006-02-07 2016-08-23 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
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US9610073B2 (en) 2006-02-07 2017-04-04 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
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