US2607339A - Adjustable fracture nail guide - Google Patents

Adjustable fracture nail guide Download PDF

Info

Publication number
US2607339A
US2607339A US154646A US15464650A US2607339A US 2607339 A US2607339 A US 2607339A US 154646 A US154646 A US 154646A US 15464650 A US15464650 A US 15464650A US 2607339 A US2607339 A US 2607339A
Authority
US
United States
Prior art keywords
nail
guide
block
femur
apertures
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
Application number
US154646A
Inventor
James W Price
Original Assignee
James W Price
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 James W Price filed Critical James W Price
Priority to US154646A priority Critical patent/US2607339A/en
Application granted granted Critical
Publication of US2607339A publication Critical patent/US2607339A/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1721Guides or aligning means for drills, mills, pins or wires for applying pins along or parallel to the axis of the femoral neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1703Guides or aligning means for drills, mills, pins or wires using imaging means, e.g. by X-rays

Description

Aug. 19, 1952 J. w. PRICE ADJUSTABLE FRACTURE NAIL GUIDE- 2 SHEETS-SHEET 1 Filed April 7, 1950 INVENTOR ATTORNEY Aug. 19, 1952 J, w, PRlCE 2,607,339

ADJUSTABLE FRACTURE NAIL GUIDE A Filed April '7,l 195o 2 SHEETS-SHEET 2 INVENTOR d? yuan maar ATTORNEY Patented Aug. 19, 1952 UNITED A,

James W.`Price,Roanoke,fVa. L y l Y p ApplicationApril?, 1950, 'SerialNm 1544646 1 Y .'In recent years great and fbenecial advances have been made in bone surgery. One commonly practiced bone surgery operation is the fixation of the fractured neck of a femur by the use of a fracture nail or pin. Y

While preparing for the insertion of a vfracture nail, such Ias the Well .known Sn'iith-Petersen nail, many X-ray pictures from various 4angles are made to determine the exact angle at which the nail should be inserted into the fractured neck of the femur.

rAn object of my invention is to provide a fracture nail guide which may be readily adjusted to introduce a fracture nail intothe neck of the femur at a proper anglejto the shaft of the femur.

8. Claims. (Cl. 12S-92) A further object isto provide an adjustable y guide for the proper angular introduction of a direction wire and/or the subsequent introduction of a fracture nail into the neck of a femur.

A still further object is to .provide an adjustable fracture vnailV gui-de which may be readily changed to direct a fracture nail at any elected degree of several different degrees of angulari'ty.

yIn the drawings:

Fig. 1 is a View in sideelevation;

Fig. 2 is a view infront elevation;

Fig. 3 is an enlarged irregular vertical crosssection taken on the line 3--3 of Fig. 1, looking in the direction of thegarrows; A

Fig. 4 is an enlarged perspective view of the portion ofthe guide adapted to y'be held against the shaft of a femur;

Fig. 5 is an enlarged perspective view, partly broken away, showing the nai-lor pin directing portion of the guide;

there maybe .a diierec'e in this, fdesired angle, the same varying 'as muchas from'5110""v to..135'. By the `use of. my adjustablefguide, that angle may be suitablyset before the' fracture nail'is introduced I'through the. guide andin'to vthe neck ofthe femurj vI p The adjustable nail guideLis.provided` with a suitablefhandle I0. conveniently made o'fA a lat metal bar and to the end ofvvhichV aknurled hand .grip l2.may bes'ecured 'Thehandle III is suitablysecured toa .nail or .pin .guide or tumbler I4 .by conventional screws 51B.' `The A,nail or pin guideor tumbler l-4 isprefei'ablyfmade of one piece -of stainless steel ,or'other non-'corrosive metal and through whihkjlehannelor .bore i8 is machined .having y.a7proper;diameterv'so that a ,selected.fracture'lnail andor ladirection wire guiding sleeve ZUJmay passl `YThe ltumbler or block `I4 4is lalso machined te .provide studs 2-2 outstanding `from its oppo's'itefsides, .or theblock may bedrilled :and tapped for. a si-iitable `pivot stud.

The nail orpin guide -I4 is' also provided. with l a transversely :drilled bore yor channel '24 within Fig. 6 is an enlarged perspective `view of the Y guiding sleeve through which a direction wire may be inserted; i y i Fig. 7 is a view -in side elevation showing the adjustable guide `positioned against "the shaft `of a' femur showing a direction wire inserted through the guiding sleeve andl into vthe fractured neck ofY the femur; and

y Fig. 8 is a view in side elevation showing the adjustable guide in proper position, a fracture pin or nail inserted through the guide and partially into a femur, andin"dotte d 'l`ines, the representation of a naildriver secured to the hea'd of a fracture nail. l

'In a great many instanceswhen a'fra'cture nail is to be inserted into the fractured neck of a femur, it Will be found that the .nailj must be introduced through the .trochanter 'at an .angle of 120 'from the shaft of the 'femur bone. Often the shaft of a femur bone.

.After the -lug'sl andstheir .cups 2 -6 .have thus been positioned within the borevfZll; the guide I4 is -placed between two gplates ger lblocks 32 which Vare provided with-'concave faces34. The two concave faces 34 whenplacedtogether form a concave surface `which 'is 4'adapted to :lie against The blocks 32 are suitably secured togetherltheir adjusted position by screws 315. f f;

Apertures -40 vare provided' inith'e upper yportion ofthe platesor'blocks 32 to fprovideia sufficient amount of tolerance so ,that'the studsj22'imay be pivotally `positioned Vt-lfie'rein.` Alsotlie plates or blocks 32 are providedwithla' "plurality of apertures 4|, 42, 43,v 44,j"'45jarrd 46' positioned arcu'ately 'from the` apertu 40, bein-g radially equidistant therefrom.- The aperturesil', y43 land 45 are Vpositioned approximately 5' out'foff'alli-gn- I 3 ment, transversely, with the apertures 42, 44, and 46 respectively.

As recited above, the channel or bore I8 is provided through the nail guide I4 so that either a guiding sleeve 20 may be placed therein for the introduction of a guide wire 2| if it should be desired to utilize a guide wire for the subsequent introduction of a fracture nail, or for the direct introduction and guiding of a fracture nail. Normally, if a'guide wireV 2| is used, eitherv a cannulated or a drilled nail 'is subsequentlyinserted into the fractured neck of the femur, its insertion being directed by the guide wire 2|. In order to properly insert such a nail, the guiding sleeve 20 will be removed from the bore |8 and a drilled or cannulated nail 50 willgbe*placed-y ,f j v Y a block having a concave face and spaced-apart 4 1221/22 1271/2", 132%", 1371/2; or at any other desirable degree of angularity, the possible change in angularity being approximately 5. Obviously any other degrees of angularity may readily be provided by adjusting the positions of the apertures 4| to 46.

I claim: 1. An adjustable fracture nail guide including a block adapted to lie along the shaft of a femur, a drilled. block pivoted between plates extending from the first mentioned block, and spring urged studs extending outwardly from said drilled block f Aand adapted to fit into alternate apertures posiover the guide wire 2| which is leftterriporarily v in its directed position within the neckV of the tioned inthe said plates at points equally spaced from the said pivot point.

2.- An adjustable fracture nail guide including plates extending outwardly from near one end femur. i f

In Fig. 8 I have shown, in dotted lines, a nail driver 52 which.maybefscrew-threaded into the head of the nail 50 in order to properly drive the nail through the nail guide and into the fractured neck Yof the femur. It. will be understood, of course, that the bore I8will provide commercial tolerance so that aV nail 50 and/or: a nail driver 52 may readily pass therethrough.' Generally a nail driver is used tomaterially assist in k,directing the nail, but the driver is not essential', particularly when my nail guide is used. l l

In adjusting the nail guide for use, X-rays will rst be taken, and by the subsequentuse of protractors or the like, theangle between the axis of the shaft of the femur'and the axis of the :neck of the femur may be determined. I-Iavingthus determinedthe'angle, the nail guide will be adjusted until the lug 28 is seated in its proper aperture` to provide the desired` angle between the concave faces 34 and the axisnof the bore I8'. As shown in Figs. '7 and 8, the lug 28 has been positioned within the aperture 43 and consequently the axis of the bore |8 is at 120 from the axis of the surface of the concave faces 34 of the guide block or plate 32. As shown in Fig. 1, the lug 28 is seated in the aperture 4| and consequently the bore |8 is at an angle of* 110 vfrom the axis of the concave faces 34 of the block 32.V Y Y Y In view of the f act that the apertures 4| and 42, 43 and 4 4, and Alvliivandlli areno't in alignment, it will be understood that the lug 28 onv one side, when in engagement with an aperture, will be so aligned with its complementary lug 29 and cup 21, that the latter will not be in a position ftov exrtend within an aperture ontheir side of the guide. Thus, angular adjustment may be changed by approximately 5 by first positioning a ylug 28 Within the aperture 4|, subsequently the lug 29 within the aperturev42','ixt, the lug 28 within the aperture 43, etc., until'fthe desired degree of angularity is attained.- It will be understood that the apertures 4|, 43 and 45 will thus vbe positioned to'eiect Ya change yof the angle .between the axis of the faces 34 and theaxis of the bore I8 the equivalent'of 10.v Any suitable'distance apart may be provided,but it has been found that it would be impractical to 'have the apertures positioned closer together. a :ya f

Likewise it will bei understood, underv theabove circumstances; that it probablyjwillfbe desirable to produce one adjustable guide which may be adjusted to direct a nail at 110, 115271209, 125,

jfonsay 1o71/2,f1121/2, 1171/21, 1221/22 1271/2?,

1321/5 and/or to have a guide, provided in order to be adjustable to angles such as 1121/2", 1171/2", 1

thereof, aligned apertures in said plates, a solid block having a drilled bore p-ivoted at the said apertures, the drilled bore in said block being transverse to the axis of the said pivot points, and a plurality of spaced-apart apertures in said plates positioned radially to the rst mentioned apertures.

3. An adjustable fracture nail guide including a positioning portion adapted to lie along the shaft of a femur bone, a block, having a bore therethrough, pivotally secured tothe said positioning portion, a plurality of spaced-apart apertures in opposite sides of the said positioning portion, and spring-urged studsheld within` the said block and adapted to penetrateY alternate apertures. 4. An adjustable fracture nail guide including a positioning block adapted to lie along the shaft of a femur bone, spaced-apart plates extending from the said block, a solid block having a bore therethrough and pivotally secured to the said positioning block between the said plates, apertures in the said plates equally spaced from the said pivot point, the said solid block having' an additional bore therethrough positioned transversely to the first mentioned bore, and outwardly urged spring pressed studs adapted tov engage selected individual apertures. t Y

5. A fracture nail guide including a block having a concave face and spaced-apart plates extending from the opposite side thereof, a solid block pivotally secured between the said plates and having a drilled bore therethrough, ay plurality of apertures in said plates spaced radially from the pivot point of the-said solid block, and spring urged studs adapted to protrude laterally from the said solid block.

6. A fracture nail guide including a block having a concave face and spaced-apart plates extendingfrom the opposite side thereof, ablock pivotally secured between the said plates and'having a bore therethrough laterally to they said rst mentioned block, a plurality ofv spaced-apart apertures in said plates equidistant fromthe pivot point of the said solid blockfand trans'- versely positioned spring-urged studs within the Y said solid block and adapted-to become engaged in the said spaced-apart apertures.

'7. An adjustable fracture nail guide including a block adapted to lie along the shaft of a femur, a drilled tumbler pivoted between plates extending from the said block, spring urged studs-'extending outwardly from said drilled tumbler'and adapted to fit into alternate -apertures positioned in the said plates at pointsequally spaced from the said pivot point. l v

8. An adjustable fracture nail guide including JAMES W. PRICE.

6 I REFERENCES CITED The following references are of record in the file of this patent:

UNITED STATES PATENTS Name Date Nauth May 7, 1940 OTHER REFERENCES Number 10 Surgery, Gynecology and Obstetrics for Sept.

1938, pages 356-362. (Original in Scientic Library, C'op'y in 12S-92.4.)

US154646A 1950-04-07 1950-04-07 Adjustable fracture nail guide Expired - Lifetime US2607339A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US154646A US2607339A (en) 1950-04-07 1950-04-07 Adjustable fracture nail guide

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US154646A US2607339A (en) 1950-04-07 1950-04-07 Adjustable fracture nail guide

Publications (1)

Publication Number Publication Date
US2607339A true US2607339A (en) 1952-08-19

Family

ID=22552165

Family Applications (1)

Application Number Title Priority Date Filing Date
US154646A Expired - Lifetime US2607339A (en) 1950-04-07 1950-04-07 Adjustable fracture nail guide

Country Status (1)

Country Link
US (1) US2607339A (en)

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3719186A (en) * 1971-04-22 1973-03-06 Univ Alabama In Birmingham Surgical instrument for placement of bone pins and holes therefor
US3727611A (en) * 1971-07-01 1973-04-17 R Schultz Alignment means for inserting guide wire prior to inserting hip nail for a fractured hip
US3835849A (en) * 1973-01-26 1974-09-17 Guire G Mc Bone clamp and adjustable drill guide
US4383527A (en) * 1981-02-20 1983-05-17 Howmedica, Inc. Device for guiding the insertion of surgical wires into bone tissue
US4450835A (en) * 1981-02-20 1984-05-29 Howmedica, Inc. Method and system for inserting a surgical wire
US4522201A (en) * 1983-04-14 1985-06-11 Tongue John R Orthopedic surgery drill guide apparatus
WO1985004092A1 (en) * 1984-03-14 1985-09-26 Magnus Odensten A drill guiding and aligning device and a drill rod and a milling device to be used in connection therewith
US4917111A (en) * 1987-10-15 1990-04-17 Dietmar Pennig Instrument for aiming and hole forming for implantation of locking nails of the like
US5133715A (en) * 1991-02-04 1992-07-28 Lenzo Salvatore R Surgical device for open reduction of bone fractures
US5312411A (en) * 1992-10-27 1994-05-17 Smith & Nephew Richards, Inc. Uni-compartmental femoral knee instruments and prosthesis
US5741266A (en) * 1996-09-19 1998-04-21 Biomet, Inc. Pin placement guide and method of making a bone entry hole for implantation of an intramedullary nail
US5785709A (en) * 1993-05-10 1998-07-28 Hospital For Joint Diseases Orthopaedic Institute Apparatus and method for performing a surgical procedure on bone lesions
USD433506S (en) * 1999-06-04 2000-11-07 Asfora Wilson T Double drill guide
US20050015093A1 (en) * 2003-07-16 2005-01-20 Suh Sean S. Plating system with compression drill guide
US20050027301A1 (en) * 2003-08-01 2005-02-03 Pascal Stihl Drill guide assembly for a bone fixation device
US20080027451A1 (en) * 2004-06-03 2008-01-31 Zimmer Technology, Inc. Method and apparatus for preparing a glenoid surface
US7357804B2 (en) 2003-08-13 2008-04-15 Synthes (U.S.A.) Quick-release drill-guide assembly for bone-plate
US20080200917A1 (en) * 2007-02-15 2008-08-21 Lin Shih-Wei Targeting device for femur intertrochanteric fracture
US20100152745A1 (en) * 2008-12-15 2010-06-17 Spinecore, Inc. Adjustable pin drill guide and methods therefor
US9408646B2 (en) 2003-09-03 2016-08-09 DePuy Synthes Products, Inc. Bone plate with captive clips
US9414870B2 (en) 2003-09-03 2016-08-16 DePuy Synthes Products, Inc. Translatable carriage fixation system

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2200120A (en) * 1938-04-30 1940-05-07 Walter W Nauth Fracture nail guide

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2200120A (en) * 1938-04-30 1940-05-07 Walter W Nauth Fracture nail guide

Cited By (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3719186A (en) * 1971-04-22 1973-03-06 Univ Alabama In Birmingham Surgical instrument for placement of bone pins and holes therefor
US3727611A (en) * 1971-07-01 1973-04-17 R Schultz Alignment means for inserting guide wire prior to inserting hip nail for a fractured hip
US3835849A (en) * 1973-01-26 1974-09-17 Guire G Mc Bone clamp and adjustable drill guide
US4383527A (en) * 1981-02-20 1983-05-17 Howmedica, Inc. Device for guiding the insertion of surgical wires into bone tissue
US4450835A (en) * 1981-02-20 1984-05-29 Howmedica, Inc. Method and system for inserting a surgical wire
US4522201A (en) * 1983-04-14 1985-06-11 Tongue John R Orthopedic surgery drill guide apparatus
WO1985004092A1 (en) * 1984-03-14 1985-09-26 Magnus Odensten A drill guiding and aligning device and a drill rod and a milling device to be used in connection therewith
US4917111A (en) * 1987-10-15 1990-04-17 Dietmar Pennig Instrument for aiming and hole forming for implantation of locking nails of the like
US5133715A (en) * 1991-02-04 1992-07-28 Lenzo Salvatore R Surgical device for open reduction of bone fractures
US5312411A (en) * 1992-10-27 1994-05-17 Smith & Nephew Richards, Inc. Uni-compartmental femoral knee instruments and prosthesis
US5785709A (en) * 1993-05-10 1998-07-28 Hospital For Joint Diseases Orthopaedic Institute Apparatus and method for performing a surgical procedure on bone lesions
US5741266A (en) * 1996-09-19 1998-04-21 Biomet, Inc. Pin placement guide and method of making a bone entry hole for implantation of an intramedullary nail
US5895390A (en) * 1996-09-19 1999-04-20 Biomet, Inc. Pin placement guide used in making a bone entry hole for implantation of an intramedullary nail
USD433506S (en) * 1999-06-04 2000-11-07 Asfora Wilson T Double drill guide
US20050015093A1 (en) * 2003-07-16 2005-01-20 Suh Sean S. Plating system with compression drill guide
US7731721B2 (en) 2003-07-16 2010-06-08 Synthes Usa, Llc Plating system with multiple function drill guide
US20050027301A1 (en) * 2003-08-01 2005-02-03 Pascal Stihl Drill guide assembly for a bone fixation device
US7081119B2 (en) 2003-08-01 2006-07-25 Hfsc Company Drill guide assembly for a bone fixation device
US7357804B2 (en) 2003-08-13 2008-04-15 Synthes (U.S.A.) Quick-release drill-guide assembly for bone-plate
US9408646B2 (en) 2003-09-03 2016-08-09 DePuy Synthes Products, Inc. Bone plate with captive clips
US10368927B2 (en) 2003-09-03 2019-08-06 DePuy Synthes Products, Inc. Bone plate with captive clips
US9414870B2 (en) 2003-09-03 2016-08-16 DePuy Synthes Products, Inc. Translatable carriage fixation system
US20080027451A1 (en) * 2004-06-03 2008-01-31 Zimmer Technology, Inc. Method and apparatus for preparing a glenoid surface
US20080200917A1 (en) * 2007-02-15 2008-08-21 Lin Shih-Wei Targeting device for femur intertrochanteric fracture
US20100152745A1 (en) * 2008-12-15 2010-06-17 Spinecore, Inc. Adjustable pin drill guide and methods therefor
US8323292B2 (en) 2008-12-15 2012-12-04 Spinecore, Inc. Adjustable pin drill guide and methods therefor

Similar Documents

Publication Publication Date Title
JP2017127674A (en) Methods and apparatus for determining pin placement during hip surgery
US9333014B2 (en) Bone fixation and reduction apparatus and method for fixation and reduction of a distal bone fracture and malunion
US9433390B2 (en) System for measuring the true dimensions and orientation of objects in a two dimensional image
US5462549A (en) Femoral sizing apparatus
DE60214290T2 (en) Auxiliary device for positioning a humeral part of an elbow prosthesis
US7771433B2 (en) Bone fracture fixation plate shaping system
US5573537A (en) Instrument for probing and reaming a pedicle
US4803976A (en) Sighting instrument
US4643178A (en) Surgical wire and method for the use thereof
EP2023838B1 (en) Bone fixation device
US5916175A (en) Biopsy needle appliance and inserting guide with adjustable sample length and/or needle cutting stroke
US5665086A (en) Instrument for inserting an intramedullary nail in a bone
KR100269983B1 (en) Device for mechanical alignment of bone screws in a medullar nail
US4335715A (en) Osteotomy guide
JP4468635B2 (en) bone plate
US6066122A (en) Needle apparatus and method for marking lesions
US3744495A (en) Method of securing prolapsed vagina in cattle
US3990438A (en) Bone fracture fixation and compression apparatus
US4463758A (en) Computed tomography stereotactic frame
USRE28990E (en) Bipolar electrode structure for monitoring fetal heartbeat and the like
US5330485A (en) Cerebral instrument guide frame and procedures utilizing it
JP4920749B2 (en) Distal targeting device
US5609596A (en) Guide rod holder for manipulating surgical wires and pins
US6423068B1 (en) Method and apparatus for mandibular osteosynthesis
US4781181A (en) Boring sensor for intramedullary nail and corresponding intramedullary nail