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US2760488A - Internal bone fixation apparatus - Google Patents

Internal bone fixation apparatus Download PDF

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Publication number
US2760488A
US2760488A US50260855A US2760488A US 2760488 A US2760488 A US 2760488A US 50260855 A US50260855 A US 50260855A US 2760488 A US2760488 A US 2760488A
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Prior art keywords
bone
end
wire
sleeve
portion
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Robert B Pierce
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Robert B Pierce
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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
    • A61B17/683Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00Surgery
    • Y10S606/907Composed of particular material or coated

Description

Aug. 28, 1956 R. B. PIERCE 2,760,488

INTERNAL BONE FIXATION APPARATUS Filed April 20, 1955 HFORNEYS INTERNAL BONE FIXATION APPARATUS Robert B. Pierce, Olivia, Minn.

Application April 20, 1955, Serial No. 502,608 6 Claims. (Cl. 128-52) This invention relates to apparatus for fixing fragments of a bone together in an oblique fracture.

Where a person has suffered an oblique fracture such as in one of the bones in his leg, it is oftentimes desirable to fix the bone fragments together without employing, a plaster cast. In an oblique fracture, the bone fragments must be held together tightly after they have been reduced so that the bone will heal properly and grow straight. The use of a plaster cast for holding the bone fragments together may retard the healing of the leg and flesh areas around the fracture because the circulation of blood may be substantially reduced. Another disadvantage in the use of a plastic cast is the ankylosing effect produced by the cast on the joints adjacent to and on. either side of the fracture site.

An object of my invention is the provision of apparatus of simple and inexpensive construction and operation for fixing together the reduced fragments of a bone in an oblique fracture.

Another object of my invention is to provide a novel apparatus for fixing together the reduced fragments of a bone in an oblique fracture which eliminates the need for a plaster cast and which permits the flesh adjacent the bone fracture to heal in a substantially normal manner.

A further object of my invention is the provision of an improved apparatus for fixing and holding together the reduced bone fragments in an oblique fracture, which apparatus may be left in the leg internally of the flesh While the bone heals and which apparatus will continuously firmly clamp the bone fragments without permitting the same to loosen during the healing of the bone.

These and other objects and advantages of my invention will more fully appear from the following description made in connection with the accompanying drawings wherein like reference characters refer to the same or similar parts throughout the several views and in which:

Fig. 1 is an elevation view of the invention;

Fig. 2 is a cross, section view taken on a plane extending substantially transversely through the apparatus substantially at- 2-2 of Fig. 1, and

Fig. 3 is a section view taken through a persons leg on a vertical plane showing several of the devices constituting the invention secured in the leg bone, the several devices being shown at different stages in their application to the leg.

The invention as best shown in Figs. 1 and 2 comprises an elongated and thin wire or rod which is relatively stiff but may be bent by manual means and which may be easily severed by a pair of pincers or nippers. At the distal end 11 of wire 10, the wire is sharpened as by swaging. Adjacent to the proximal end 12 of the wire 10 an enlargement or enlarged bead 13 is aflixed to the wire. Bead 13 is smoothly rounded and may be formed integrally of the wire. Wire 10 has a threaded portion 14 medially between the opposite ends thereof and adjacent the enlarged bead 13, and a threaded Patented Aug. 28, 1956 portion 14 of the wire extends toward the distal end 11 from bead 13. The diameter of the wire 10 between the threaded portion 14 thereof and the distal end 11 thereof should be somewhat less than the external diameter of the threaded portion 14 thereof.

An elongated sleeve 15 has an inner end portion 16 which is internally threaded and of such internal size as to be threadedly secured on the threaded portion 14 of wire 10. An elongated slot 17 is formed in sleeve 15 and extends longitudinally thereof from the inner end portion 16 through the outer end portion 18 thereof. Slot 17 is of slightly greater width than the diameter of wire 10 so as to permit the wire to pass through the slot. The inner end portion 16 of sleeve 15 may be slightly enlarged and smoothly rounded.

Figure 3 clearly shows the means by which the device is used in fixing the bone fragments together of a reduced oblique fracture. I have found by experience that it is desirable to use several of the devices in fixing an oblique fracture and in the form shown I have used four such devices which may be indicated in general by letters A, B, C and D which are assembled to show the different stages in the operation of the devices. Each of the devices in Fig. 3 is identical to that shown in Figs. 1 and 2 and like numerals and characteristics will therefore be used. Device A is shown in the initial stages in the application to the leg. The pointed distal end of the wire will be drilled through the bone and then the wire will be pulled through the bone substantially in the arrangement that device A is shown. with the bead 13 engaging one of the bone fragments. The sleeve 15 of device A has been. slipped over the distal end of the wire 10 and is partially screwed down toward the bone.

It is good practice when applying the device to the fractured bone to operate all the devices substantially simultaneously, particularly the device adjacent the ends of the oblique fracture. When the devices are substantially in the condition of device A as shown traction should be applied to the distal ends of the devices and particularly the two end devices, A and D in the form shown, so as to cause the beads 13 of each of the devices to engage the bone. After the traction has been applied to the distal end of the device the sleeve 15 will be screwed down onto the bone substantially into the condition of the device B so as to cause the inner end portion 16 thereof to engage the bone in a position substantially opposite the bead 13 and to cause the bonefragments to be tightly clamped together. The wire 10 will then be bent at a position within the sleeve 15 and within the flesh of the leg so as to cause the wire to extend outwardly through the slot 17 of the sleeve 15 and extend substantially transversely of the sleeve, to be in the condition of device C as shown. The proximal end 12 of wire 10 will have been severed at a position inwardly of the skin of the leg. As is shown in.

device D, the sleeve 15 will thereafter be severed at a position below the skin of the leg and the wire 10' will also be severed and will be bent to be wholly contained below the skin of the leg. Because the wire extends laterally through the sleeve 15, the sleeve cannot rotate with respect to the wire and therefore cannot loosen itself from the bone.

After all of the devices A, B, C and D have been put into the condition of device D as shown, the area of the skin through which the devices have been inserted will be closed by any suitable means such as by clamps or sutures. The flesh is permitted to heal and the fixation devices are left in the limb so as to hold the bone at the fracture site until it is completely healed.

After the bone has healed the leg will again be cut open to remove the fixation devices. The sleeve 15 and the wire will be severed at a position between the bend in the wire and the inner end portion 16 of the sleeve. The inner end portion of the sleeve will be unscrewed from the wire 10 and the remaining wire and bead 13 will be withdrawn from the opposite side of the bone.

It should be noted that the various devices A, B, C and D which are used to hold the bone fragments at the fracture site may be inserted from opposite sides of the leg so as to assure proper fixation of the bone.

It will be seen that I have provided new and improved apparatus of simple and inexpensive construction for securely fixing bone fragments together in an oblique fracture without the need for a plaster cast and which apparatus is relatively easy to apply to the fractured bone and to remove therefrom.

It will, of course, be understood that various changes may be made in the form, detail, arrangement and proportion of the parts without departing from the scope of my invention which consists of the matter described herein and set forth in the appended claims.

What is claimed is:

1. A surgical appliance for fixation of fragments of bones in an oblique fracture, comprising an elongated wire having a distal end insertable through such fragments at the fracture site and having a proximal end, said wire having an enlargement therein adjacent said proximal end and said wire having a threaded portion disposed in proximity with said enlargement and extending toward said distal end therefrom, an internally threaded sleeve removably and threadably mounted on said wire and having an outer end extending toward said distal end of said wire and having an inner end extending toward said enlargement, said sleeve having an elongated slot therein extending longitudinally thereof and inwardly from said outer end thereof, whereby when the wire extends through the bone fragments with said enlargement engaging one side of the bone and the inner end of said sleeve engaging the other side of the bone for clamping the same against said enlargement, said wire may be bent within said sleeve to extend outwardly through said slot therein to prevent said sleeve from turning and shifting away from the bone.

2. Apparatus for fixing reduced bone fragments in an oblique fracture, comprising a thin and elongated rod having distal and proximal ends and having a threaded portion disposed intermediate of said ends, an enlarged bead fixed to said rod and being disposed between said threaded portion and said proximal end, an elongated sleeve having an internally threaded inner end portion and having an outer end portion, and said sleeve also having a slot therein extending longitudinally thereof and through said outer end portion, said sleeve being slidable on said rod adjacent the distal end thereof and being threadably mounted on said threaded portion of said rod, whereby said sleeve will be removed from said rod to permit said distal end thereof to be inserted through such bone fragments and said sleeve will be threadably shifted on said rod toward said bead for clamping the bone fragments therebetween, and said wire will be bent at a position within said sleeve to extend outwardly through said slot thereof.

3. The structure recited in claim 2 and said sleeve having an enlargement at the inner end thereof for engaging the bone and clamping the same without causing injury thereto.

4. The structure recited in claim 2 and said rod being sharpened at the distal end thereof to permit the distal end of the rod to be drilled through the bone fragments at the fracture site.

5. Apparatus for fixing the bone fragments in an oblique fracture which has been reduced, comprising an elongated wire having a proximal end and a distal end and having an enlarged bead thereon for engaging one of the bone fragments through which the distal end of the wire is extended, said wire having a threaded portion disposed in proximity with said head and extending toward said distal end therefrom, an elongated sleeve having an internally threaded inner end portion and having an outer end portion, said sleeve being threadably mounted on said wire with the inner end portion thereof disposed adjacent said bead and with the outer end portion thereof extending toward said distal end, the inner end portion of said sleeve and said head cooperating to clamp the fractured and reduced bone fragments therebetween, said sleeve having an elongated slot extending longitudinally thereof through said outer end portion and into proximity with said inner end portion, said wire and said sleeve both being constructed of a severable material, whereby said wire will be bent at a position within said sleeve to extend outwardly through the slot thereof for restricting shifting of said sleeve longitudinally of the wire, and when the bone is healed, said sleeve and wire may both be severed between the inner end portion of said sleeve and the bend in the Wire to permit the sleeve to be removed from the wire and thereby permit the wire to be removed from the bone.

6. Apparatus for fixing reduced bone fragments in an oblique fracture, comprising an elongated wire having a distal end insertable through such fragments at the fracture site and having a proximal end, said wire having an enlarged bead disposed intermediate of said ends and having a threaded portion disposed in proximity with said head and extending toward said distal end therefrom, an internally threaded sleeve removably and threadably mounted on said wire and having an inner end extending toward said bead for engaging the bone and for cooperating with said bead in clamping the bone therebetween, whereby said wire may be severed adjacent said sleeve and adjacent said head to permit the flesh to heal around the fracture as said bone fragments grow back together and said wire and sleeve may be removed after the bone has healed.

References Cited in the file of this patent UNITED STATES PATENTS 2,143,922 Longfellow Jan. 17, 1939 FOREIGN PATENTS 1,045,555 France July 15, 1953

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Cited By (69)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3809075A (en) * 1973-03-29 1974-05-07 A Matles Bone splint
US4006740A (en) * 1974-07-22 1977-02-08 Mstislav Vasilievich Volkov Surgical apparatus for external transosteal fixation of bone fragments and joint ends
US4230096A (en) * 1978-09-05 1980-10-28 Zeff Robert H Method of implanting transcutaneous connector
US4312336A (en) * 1978-11-10 1982-01-26 Orthofix S.R.1. External axial fixation unit
DE3146634A1 (en) * 1981-11-25 1983-06-01 Aesculap Werke Ag Element set for osteosynthesis
US4456005A (en) * 1982-09-30 1984-06-26 Lichty Terry K External compression bone fixation device
EP0201905A3 (en) * 1985-05-13 1988-11-02 Gerald Dr. Hauer Self-retaining permanently tensionable synthetic tie
US4976712A (en) * 1990-03-30 1990-12-11 Vanderslik Julius Retaining sleeve for surgical pin
FR2649310A1 (en) * 1989-07-04 1991-01-11 Kapandji Adalbert Intrafocal pin with reducing effect for osteosynthesis of fractures
US5609595A (en) * 1993-03-25 1997-03-11 Pennig; Dietmar Fixation pin for small-bone fragments
US5919194A (en) * 1997-07-21 1999-07-06 Anderson; David L. Orthopaedic implant
US6083244A (en) * 1996-09-13 2000-07-04 Tendon Technology, Ltd. Apparatus and method for tendon or ligament repair
US6302887B1 (en) * 1998-07-20 2001-10-16 Joseph John Spranza Hardware for high strength fastening of bone
US20030149436A1 (en) * 2002-02-04 2003-08-07 Mcdowell Charles L. Fixation and compression fastener assembly for bone fractures
US20040024420A1 (en) * 1996-09-13 2004-02-05 Tendon Technology, Ltd. Apparatus and methods for securing tendons or ligaments to bone
US20040167519A1 (en) * 2002-11-20 2004-08-26 Millennium Medical Technologies, Inc. Convertible threaded compression device and method of use
US20040193217A1 (en) * 1996-09-13 2004-09-30 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
EP1562466A2 (en) * 2002-11-20 2005-08-17 Millennium Medical Technologies, Inc. Compression bone fragment wire
US7601165B2 (en) 2006-09-29 2009-10-13 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable suture loop
US7608092B1 (en) 2004-02-20 2009-10-27 Biomet Sports Medicince, LLC Method and apparatus for performing meniscus repair
US7608098B1 (en) 2004-11-09 2009-10-27 Biomet Sports Medicine, Llc Bone fixation device
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7905903B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7914539B2 (en) 2004-11-09 2011-03-29 Biomet Sports Medicine, Llc Tissue fixation device
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US8034090B2 (en) 2004-11-09 2011-10-11 Biomet Sports Medicine, Llc Tissue fixation device
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8409257B2 (en) 2010-11-10 2013-04-02 Warsaw Othopedic, Inc. Systems and methods for facet joint stabilization
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
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US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
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US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
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FR1045555A (en) * 1948-01-08 1953-11-30 Adrema Maschinenbau Printing machine addresses

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2143922A (en) * 1936-09-16 1939-01-17 Harry Herschel Leiter Bone surgery appliance
FR1045555A (en) * 1948-01-08 1953-11-30 Adrema Maschinenbau Printing machine addresses

Cited By (123)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3809075A (en) * 1973-03-29 1974-05-07 A Matles Bone splint
US4006740A (en) * 1974-07-22 1977-02-08 Mstislav Vasilievich Volkov Surgical apparatus for external transosteal fixation of bone fragments and joint ends
US4230096A (en) * 1978-09-05 1980-10-28 Zeff Robert H Method of implanting transcutaneous connector
US4312336A (en) * 1978-11-10 1982-01-26 Orthofix S.R.1. External axial fixation unit
USRE31809E (en) * 1978-11-10 1985-01-22 Orthofix S.R.L. External axial fixation unit
DE3146634A1 (en) * 1981-11-25 1983-06-01 Aesculap Werke Ag Element set for osteosynthesis
US4456005A (en) * 1982-09-30 1984-06-26 Lichty Terry K External compression bone fixation device
EP0201905A3 (en) * 1985-05-13 1988-11-02 Gerald Dr. Hauer Self-retaining permanently tensionable synthetic tie
FR2649310A1 (en) * 1989-07-04 1991-01-11 Kapandji Adalbert Intrafocal pin with reducing effect for osteosynthesis of fractures
US4976712A (en) * 1990-03-30 1990-12-11 Vanderslik Julius Retaining sleeve for surgical pin
US5609595A (en) * 1993-03-25 1997-03-11 Pennig; Dietmar Fixation pin for small-bone fragments
US6984241B2 (en) 1996-09-13 2006-01-10 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US6083244A (en) * 1996-09-13 2000-07-04 Tendon Technology, Ltd. Apparatus and method for tendon or ligament repair
US7708759B2 (en) 1996-09-13 2010-05-04 Tendon Technology, Ltd. Apparatus and methods for securing tendons or ligaments to bone
US7611521B2 (en) 1996-09-13 2009-11-03 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US20040024420A1 (en) * 1996-09-13 2004-02-05 Tendon Technology, Ltd. Apparatus and methods for securing tendons or ligaments to bone
US20040193217A1 (en) * 1996-09-13 2004-09-30 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US5919194A (en) * 1997-07-21 1999-07-06 Anderson; David L. Orthopaedic implant
US6302887B1 (en) * 1998-07-20 2001-10-16 Joseph John Spranza Hardware for high strength fastening of bone
US20030149436A1 (en) * 2002-02-04 2003-08-07 Mcdowell Charles L. Fixation and compression fastener assembly for bone fractures
EP1562466A2 (en) * 2002-11-20 2005-08-17 Millennium Medical Technologies, Inc. Compression bone fragment wire
US7517350B2 (en) * 2002-11-20 2009-04-14 Orthopediatrics Corp. Convertible threaded compression device and method of use
US20040167519A1 (en) * 2002-11-20 2004-08-26 Millennium Medical Technologies, Inc. Convertible threaded compression device and method of use
EP1562466A4 (en) * 2002-11-20 2009-11-11 Millennium Medical Technologie Compression bone fragment wire
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