WO2006000108A1 - Chirurgischer nagel - Google Patents
Chirurgischer nagel Download PDFInfo
- Publication number
- WO2006000108A1 WO2006000108A1 PCT/CH2004/000381 CH2004000381W WO2006000108A1 WO 2006000108 A1 WO2006000108 A1 WO 2006000108A1 CH 2004000381 W CH2004000381 W CH 2004000381W WO 2006000108 A1 WO2006000108 A1 WO 2006000108A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- nail
- insert
- bore
- transverse bore
- transverse
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7241—Intramedullary pins, nails or other devices with special means of locking the nail to the bone the nail having separate elements through which screws pass
Definitions
- the invention relates to a surgical nail, in particular an intramedullary intramedullary nail, according to the preamble of patent claim 1.
- Locking intramedullary nails is part of the state of the art.
- the insertion of the locking screws or locking bolts (in the following only the term locking screw is used, which should also include the term locking bolt) in the transverse bores of an intramedullary nail is done either with the aid of an imaging method (x-ray control) or a more or less com ⁇ duplicated target device.
- an imaging method x-ray control
- a certain degree of inaccuracy cannot be avoided, i.e. the screw tip cannot be aligned exactly coaxially to the central axis of the cross hole, but deviates from it by a certain amount. So that the locking screw opens into the cross bore despite this target error and can be brought through it, the outside diameter of the screw is undersized relative to the diameter of the cross bore.
- the locking screw can be passed through the transverse bore without any problems despite the target error.
- the locking screw now has a certain amount of play relative to the transverse bore, because of the underdimensioning.
- This game defines the amount by which the main bone fragments, which are fixed in the corresponding locking hole by means of locking screws, can move relative to the nail and thus, due to the rigidity of the nail, also relative to other main bone fragments fastened with the same nail. In order to guarantee the applicability of the lock for the surgeon, this game is inevitable, but it is clinically undesirable for certain indications (e.g. in the case of metaphysical fragments).
- the invention seeks to remedy this.
- the invention has for its object to provide a surgical nail, in particular an intramedullary intramedullary nail, with which the existing play between it and the locking screw can be eliminated without risk and an improved holding force and an improved guiding effect between the locking screw and intramedullary nail can be achieved can.
- the invention solves the problem with a surgical nail, which has the features of claim 1.
- the nail and insert can be sterile packed separately and the surgeon can choose whether to use the nail without insert or with insert, in the latter case the surgeon can insert the insert himself into the transverse bore of the nail and possibly also If the surgeon uses the nail without an insert, it will remain sterile for another use.
- the insert can be at least partially provided with an external thread.
- the longitudinal slot advantageously runs continuously over the entire length of the insert.
- the insert can also have a plurality of longitudinal slots which do not extend over the entire length of the insert, which results in increased flexibility of the insert.
- the longitudinal slots can also be arranged offset on the circumference of the insert or can also be arranged axially one above the other.
- the nail advantageously consists of a material “M” with the tensile strength F z , the compressive strength F d , the density P 2 and the modulus of elasticity E and the insert of a material “m” which has a lower modulus of elasticity e ⁇ E than the material M.
- the insert is preferably essentially congruent to the transverse drilling of the nail.
- the insert can have a bore which is coaxial to its longitudinal axis and the longitudinal slot can communicate with this coaxial bore.
- the elastic modulus "e" of the insert is advantageously e ⁇ 0.8 E, preferably e ⁇ 0.7 E.
- the material "m" of the insert preferably has a tensile strength f z ⁇ F z and a compressive strength f d ⁇ F d .
- the material "m” of the insert can consist of a biocompatible plastic, preferably a polyethylene or a high molecular weight polyethylene (HMWPE). These materials have the advantage that the plastic does not degrade with unknown degradation products.
- the plastic can also a bioresorbable polymer or copolymer, preferably a polylactide. This embodiment initially results in a play-free transverse locking of the intramedullary nail, which is then gradually released again with increasing absorption of the polymer, so that the transverse locking screw is relative to the intramedullary nail and thus also the supplied bone fragments become movable again Bone fragments after fracture consolidation.
- the bioresorbable material has the advantage that the chips generated by inserting a locking screw can be removed from the body.
- a further advantage is the possibility of realizing a possibly different temporally different strength of the angle-stable locking of the locking screw, ie to achieve a gradual reduction in the holding force.
- the material "m" of the insert advantageously has a lower density pi than the material M with the density p 2 , preferably pi ⁇ 0.8 p 2 .
- the nail When the nail is used as a locking nail, it has a locking screw or a locking bolt which can be passed through its insert in its transverse bore, the shaft of which has a diameter “d” which obeys the conditions a> d ⁇ b.
- the transverse bore can be suitable Expand towards the surface of the nail, preferably in the form of a conical section, which has the advantage that an insert inserted therein with a corresponding conical section can no longer move axially in the direction of insertion.
- the diameter "d" of the external thread is advantageously a> d ⁇ b, and "d" is preferably at least 5% smaller than the smaller of the two dimensions a, b.
- the insert can consist of a pin with a conically widened head.
- the insert can also consist of a centrally pierced pin with a plurality of peripherally arranged, conical extensions which can engage in corresponding cavities or in the longitudinal bore of the nail in the area of the transverse bore in the form of a click lock.
- FIG. 1 shows a perspective view of a continuous ("undone marrow nail with a transverse bore and a matching insert as well as a transverse locking screw);
- FIG. 2 shows a longitudinal section through the intramedullary nail according to FIG. 1;
- FIG. 3 shows a longitudinal section rotated through 90 ° through the intramedullary nail according to FIG. 1;
- FIG. 4 shows an enlarged schematic view of the profile of the transverse bore of the Marknagels according to FIG. 1;
- FIG. 5 shows a one-piece insert with a transverse bore which, after insertion, is approximately aligned with the nail cannulation
- FIG. 6 shows a partial longitudinal section through a further, modified intramedullary nail with a modified one-piece insert
- FIG. 7 shows a partial longitudinal section through a further, modified intramedullary nail with a modified one-piece insert
- FIG. 8 is a perspective view of a modified insert for an elongated cross hole.
- FIG. 9 is a perspective view of a modified insert for a normal, circular cylindrical cross hole.
- the surgical nail 1 shown in FIGS. 1-3 is an intramedullary intramedullary nail for long bones with a central axis 2, which is made of a metal or a metal alloy, ie a material with relatively high strength (tensile strength F z , compressive strength F d and modulus of elasticity E).
- the nail 1 has a transverse bore 3 with the transverse axis 4, which runs as an elongated hole with the cross-sectional profile F and runs transverse to the central axis 2. As shown in FIG.
- the transverse bore 3 has a cross-sectional profile F which has a maximum in the direction of the central axis 2 Length a and perpendicular to it has a maximum width b.
- the nail can also have further transverse bores 3 (round or oval), not shown in the drawing.
- a hollow insert 10 is provided for insertion into the transverse bore 3, which has a continuous longitudinal slot 15.
- the dimensioning of the insert 10 is congruent to the transverse bore 3, or is selected such that a press fit results during the insertion, thereby preventing the insert 10 from falling out of the transverse bore 3.
- the insert 10 consists of a material "m" of lower strength, in particular a lower modulus of elasticity (compared to the material M of the intramedullary nail).
- the insert 10 has a longitudinal bore 14 coaxial with its longitudinal axis 13 and a transverse bore 24 corresponding to its cannulation perpendicularly after insertion into the intramedullary nail.
- FIG. 6 shows a variant of a one-piece insert 10, which consists of a pin 17 with a conically enlarged head 18, which can be inserted into a correspondingly designed transverse bore 3 in the nail 1.
- FIG. 7 shows a further variant of a one-piece insert 10, which consists of a centrally pierced pin 19 with a plurality of peripherally arranged, conical extensions 20, which in corresponding cavities 21, or in the longitudinal bore 23 of the nail 1 in the area of the Cross hole 3 can engage in the form of a click lock.
- the transverse bore 3 of the nail 1 is geometrically adapted accordingly.
- FIG. 8 shows a further variant of an insert 10 for an elongated hole transverse bore shown.
- a central arrangement can also be selected.
- the insert 10 has a transverse bore 24 corresponding perpendicularly to its cannulation after insertion into the intramedullary nail.
- FIG. 9 shows a further variant of an insert 10 for a normal, circular cylindrical cross bore 3 of a nail 1.
- the insert 10 has an external thread 16 on its outer surface, which preferably corresponds to an internal thread provided in the transverse bore 3 of the nail 1.
- the insert 10 has a transverse bore 24 corresponding perpendicularly to its cannulation after insertion into the intramedullary nail.
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Abstract
Description
Claims
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/630,726 US8109930B2 (en) | 2004-06-23 | 2004-06-23 | Surgical nail |
EP04737130A EP1758513B1 (de) | 2004-06-23 | 2004-06-23 | Chirurgischer nagel |
AU2004320921A AU2004320921A1 (en) | 2004-06-23 | 2004-06-23 | Surgical nail |
CA2571494A CA2571494C (en) | 2004-06-23 | 2004-06-23 | Surgical nail |
AT04737130T ATE417560T1 (de) | 2004-06-23 | 2004-06-23 | Chirurgischer nagel |
DE502004008710T DE502004008710D1 (de) | 2004-06-23 | 2004-06-23 | Chirurgischer nagel |
PCT/CH2004/000381 WO2006000108A1 (de) | 2004-06-23 | 2004-06-23 | Chirurgischer nagel |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/CH2004/000381 WO2006000108A1 (de) | 2004-06-23 | 2004-06-23 | Chirurgischer nagel |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2006000108A1 true WO2006000108A1 (de) | 2006-01-05 |
Family
ID=34957683
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/CH2004/000381 WO2006000108A1 (de) | 2004-06-23 | 2004-06-23 | Chirurgischer nagel |
Country Status (7)
Country | Link |
---|---|
US (1) | US8109930B2 (de) |
EP (1) | EP1758513B1 (de) |
AT (1) | ATE417560T1 (de) |
AU (1) | AU2004320921A1 (de) |
CA (1) | CA2571494C (de) |
DE (1) | DE502004008710D1 (de) |
WO (1) | WO2006000108A1 (de) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2008134264A1 (en) * | 2007-04-27 | 2008-11-06 | Synthes Usa, Llc | Implant devices constructed with metallic and polymeric components |
US8241287B2 (en) | 2003-01-23 | 2012-08-14 | Stryker Trauma Gmbh | Implant for osteosynthesis |
Families Citing this family (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7186153B2 (en) * | 2004-10-13 | 2007-03-06 | Carrier Corporation | Side entry terminal pin |
US9308031B2 (en) | 2007-01-26 | 2016-04-12 | Biomet Manufacturing, Llc | Lockable intramedullary fixation device |
US9320551B2 (en) | 2007-01-26 | 2016-04-26 | Biomet Manufacturing, Llc | Lockable intramedullary fixation device |
AU2008219247B2 (en) * | 2007-02-23 | 2012-11-29 | Zimmer Gmbh | Implant for fracture care |
US7918853B2 (en) | 2007-03-20 | 2011-04-05 | Smith & Nephew, Inc. | Orthopaedic plate and screw assembly |
DE102013005414A1 (de) * | 2013-03-28 | 2014-10-02 | Dietmar Wolter | Osteosynthesesystem für die multidirektionale, winkelstabile Versorgung von Frakturen von Röhrenknochen umfassend einen Marknagel und Knochenschrauben |
GB201403032D0 (en) * | 2014-02-20 | 2014-04-09 | Invibio Ltd | Medical device |
ES2758098T3 (es) * | 2014-05-16 | 2020-05-04 | Stryker European Holdings I Llc | Tornillo de bloqueo ortopédico para un sistema de fijación ortopédica y método para asegurar un tornillo de bloqueo ortopédico |
US11076897B2 (en) | 2015-11-18 | 2021-08-03 | Stryker European Holdings I, Llc | Orthopedic locking screw for an orthopedic fastening system |
CN108309421B (zh) * | 2017-01-18 | 2022-05-10 | 香港中文大学 | 内植物混合系统及制造方法 |
US10758280B2 (en) | 2017-10-09 | 2020-09-01 | Acumed Llc | System and method for bone fixation using a nail locked to an encircling anchor |
EP3740145A1 (de) | 2018-01-15 | 2020-11-25 | GLW, Inc. | Hybride intramedulläre stäbe |
US11617604B2 (en) | 2020-04-15 | 2023-04-04 | DePuy Synthes Products, Inc. | Intramedullary nail assembly |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20020103488A1 (en) * | 2000-04-10 | 2002-08-01 | Lower Jerry L. | Intramedullary nail with snap-in window |
DE20300987U1 (de) * | 2003-01-23 | 2003-04-10 | stryker Trauma GmbH, 24232 Schönkirchen | Implantat für die Osteosynthese |
US20030171754A1 (en) * | 2000-05-31 | 2003-09-11 | Nilli Del Medico | Device for fixing bone sections spearated because of a fracture |
WO2004096067A2 (en) * | 2003-04-29 | 2004-11-11 | Grampian University Hospitals Nhs Trust | Bone fixture apparatus |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4970570A (en) * | 1986-10-28 | 1990-11-13 | International Business Machines Corporation | Use of tapered head pin design to improve the stress distribution in the braze joint |
JP3443427B2 (ja) * | 1992-03-11 | 2003-09-02 | ジヤトコ株式会社 | 油圧制御回路用アキュムレータ |
US5281222A (en) * | 1992-06-30 | 1994-01-25 | Zimmer, Inc. | Spinal implant system |
US6183022B1 (en) * | 1995-06-26 | 2001-02-06 | John Derek Guest | Tube coupling bodies |
US6296645B1 (en) * | 1999-04-09 | 2001-10-02 | Depuy Orthopaedics, Inc. | Intramedullary nail with non-metal spacers |
BR8100696U (pt) * | 2001-04-10 | 2002-03-19 | Aziz Rassi Neto | Disposição construtiva introduzida em parafuso de uso cirúrgico |
WO2004098453A2 (en) * | 2003-05-06 | 2004-11-18 | Triage Medical, Inc. | Proximal anchors for bone fixation system |
-
2004
- 2004-06-23 DE DE502004008710T patent/DE502004008710D1/de not_active Expired - Lifetime
- 2004-06-23 EP EP04737130A patent/EP1758513B1/de not_active Expired - Lifetime
- 2004-06-23 CA CA2571494A patent/CA2571494C/en not_active Expired - Lifetime
- 2004-06-23 AU AU2004320921A patent/AU2004320921A1/en not_active Abandoned
- 2004-06-23 WO PCT/CH2004/000381 patent/WO2006000108A1/de active Application Filing
- 2004-06-23 AT AT04737130T patent/ATE417560T1/de not_active IP Right Cessation
- 2004-06-23 US US11/630,726 patent/US8109930B2/en active Active
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20020103488A1 (en) * | 2000-04-10 | 2002-08-01 | Lower Jerry L. | Intramedullary nail with snap-in window |
US20030171754A1 (en) * | 2000-05-31 | 2003-09-11 | Nilli Del Medico | Device for fixing bone sections spearated because of a fracture |
DE20300987U1 (de) * | 2003-01-23 | 2003-04-10 | stryker Trauma GmbH, 24232 Schönkirchen | Implantat für die Osteosynthese |
WO2004096067A2 (en) * | 2003-04-29 | 2004-11-11 | Grampian University Hospitals Nhs Trust | Bone fixture apparatus |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8241287B2 (en) | 2003-01-23 | 2012-08-14 | Stryker Trauma Gmbh | Implant for osteosynthesis |
US8672940B2 (en) | 2003-01-23 | 2014-03-18 | Stryker Trauma Gmbh | Implant for osteosynthesis |
WO2008134264A1 (en) * | 2007-04-27 | 2008-11-06 | Synthes Usa, Llc | Implant devices constructed with metallic and polymeric components |
Also Published As
Publication number | Publication date |
---|---|
US20080255558A1 (en) | 2008-10-16 |
ATE417560T1 (de) | 2009-01-15 |
EP1758513B1 (de) | 2008-12-17 |
EP1758513A1 (de) | 2007-03-07 |
DE502004008710D1 (de) | 2009-01-29 |
AU2004320921A1 (en) | 2006-01-05 |
CA2571494C (en) | 2012-05-29 |
US8109930B2 (en) | 2012-02-07 |
CA2571494A1 (en) | 2006-01-05 |
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