CA1070453A - Supracondylar prosthetic nail - Google Patents

Supracondylar prosthetic nail

Info

Publication number
CA1070453A
CA1070453A CA280,962A CA280962A CA1070453A CA 1070453 A CA1070453 A CA 1070453A CA 280962 A CA280962 A CA 280962A CA 1070453 A CA1070453 A CA 1070453A
Authority
CA
Canada
Prior art keywords
nail
midportion
head
prosthetic
configuration
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
Application number
CA280,962A
Other languages
French (fr)
Inventor
Robert E. Zickel
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Application granted granted Critical
Publication of CA1070453A publication Critical patent/CA1070453A/en
Expired legal-status Critical Current

Links

Classifications

    • 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
    • A61B17/7208Flexible pins, e.g. ENDER pins

Abstract

ABSTRACT OF THE DISCLOSURE

A prosthetic nail for stabilizing fractures in the supracondylar area of the femur has in its plan configuration, an elongated flat shape and tapers over a substantial portion of its entire length from a relatively thick head section to a relatively thin tip section. The nail, in its elevational con-figuration, has a thin elongated midportion with two curved ends.
The larger head end has different inside and outside radii which cause it to be thickest at its extremity. The thinner tip end is shorter than the head end. The nail, in plain configuration, is about 279.4 mm. long. A hole for a lag screw is provided through the head end either at right angles to the elevational length of the nail or at a slight inward inclination thereto. The lag screw is threaded for retention in bone.

Description

107(~53 This invention relates to prosthetic nails implantable in bone.
Various elongated prosthetic nails of biocompatible metal are used for stabilizing fractures in bones. Such nails usually have a pointed tip end and a larger head secured to the bone in which they are implanted. An aim of this invention is to provide an efficient prosthetic nail for stabilizing fractures, particularly those in the supracondylar area of the femur.
According to the invention, there is provided a prosthetic nail of biocompatible metal implantable in bone for stabilizing fractures therein, particularly in the supracondylar area of the femur, wherein the nail is substantially flat and elongated and, in its plan configuration, tapers from a head to a rounded blunt tip approximately half the thickness of the head while, in its elevational configuration, the nail has a relative-ly thin tapered elongated midportion merging with a head end and a shorter tip end, both ends extending arcuately on the same side of the midportion, the inner and outer radii of the head end providing an enlarged thickness at the extremity thereof at which a retaining screw hole is axially disposed at an angle to the midportion in the elevational configuration.
More particularly, the prosthetic nail is made flat with substantially rectangular cross sections tapering from a larger (0.4 x 0.5 inch) head to a thin (0.2 x 0.05 inch~ blunt 5 rounded tip. The plan configuration of the nail tapers from a 1~7(~45:~

0.4 inch head to a 0.2 inch flat blunt ~ip. The elevational configuration has a relatively thin tapered midsection about 0.1 inch thick with two upwardly curved ends. The head end arcuately tapers out to a 0.5 inch thick head, which retains a lag screw for a length of about 2.5 inches. The tip has a radius of about 1.75 inches for a length of about one inch. The head is s~uared off around the lag screw hole which is disposed at a suitable angle for insertion in the bone such as perpendicular to the length of the nail or at a slightly smaller angle. The lag screw has threads and a length suitable for retention in the bone, for example, from about two to three inches.
In order that the invention may be fully understood, it will now be described in conjunction with the accompanying - drawings, in which:
Fig. 1 is a schematic view in elevation of a fractured supracondylar portion of the femur with a pair of prosthQtic nails embodying this invention inserted therein;
Fig. 2 is a view in elevation of one of the supra-condylar prosthetic nails shown in Fig. l;
Fig. 3 is a top plan view of the nail shown in Fig. 2;
Fig. 4 is a left end view in elevation of the nail shown in F ig . 2;
Fig. 5 is a partial view of a modificativn of the nail shown in Fig. 2;
Fig. 6 is a view in elevation of one of the lag screws shown in F ig . 1;
Fig. 7 is a left end head view of the lag screw shown in Fig. ~; and Fig. ~ is a right end tip view of the lag screw shown in Fig. 6.

~070~5;~
In Fig. 1 is shown a pair of supracondylar prosthetic nails 10 and 12A securing a T-shaped fracture designated by phantom lines 14 in the supracondylar area 16 of femur 18, which is partially shown in Fig. 1. Lag screw 20 secures the head of nails 10 and 12A to the supracondylar area of femur 18 and secures the split condylar portions of femur 18 together. Nails 10 and 12 are inserted with their longer ends disposed within the intra-medullary canal (not shown~ of femur 18.
Figs. 2-4 sho~ details of nail 10. An elevational con-figuration is shown in Fig. 2 with a substantially straight thin midportion 22 disposed between upwardly curved head end 24 and upwardly curved tip end 26. Midportion 22 tapers from a maximum thickness of about 0.5 inch (3.43 mm) to a minimum thickness of about 0.055 inch (1.40 mm). Head end 24 is formed, for example, by an outer radius of 3.25 inches (82.5 mm.) having a center of rotation disposed 3.115 inches (75.12 mm.) above midportion 22.
The inner radius of 2.25 inches (57.1 mm.) is tangent to the upper edge of midportion 22. Curved head portion extends about 2.5 inches (63.5 mm.) longitudinally from straight midportion 22.
Curved tip end 26 extends longitudinally about one inch from straight midportion 22, has parallel outer and upper radii of about 1.75 inch (44.4 mm.) forming an arc of about 30.
Fig. 3 shows the plan configuration with an overall length of about 11 inches ~279.4 mm.) and with a tapered inter-mediate portion I extending from about 4.25 inches (107.9 mm.) from a distance H about 1.25 inches (31.7 mm.) from the head of nail lOo Intermediate portion I tapers from about 0.410 inch (10.41 mm.) ad~acent the head of nail 10 to 0.224 inch (5.63 mm.).
The rest of the plan configuration of nail 10 has parallel sides.
Plan tip 28 has a rounded blunt end of full radius.

~ 07(~53 Head end 24 shown in Fig. 2 ha~ square top and side ends, 30 and 32, which contain hole 34 for receiving lag screw 20 shown in Figs 6-8. Hole 34 has its axis 36 disposed sub-stantially perpendicular to the length of nail 10. This is de-scribed as a lateral configuration for lag screw 20. Fig. 5shows what is described as a medial disposition for lag screw 20 by inclination of its axis 36A inwardly at an angle A of about 15~ relative to a perpendicular line 38A to the length of nail 12A. Lag screw holes 34 and 34A have upper counter-sunk ends 40 and 40A.
Supracondylar nails 10 and 12A may be used for stabiliz-ing various types of fractures of the supracondylar area of the femur either singly or in pairs. ~ails 10 and 12A and screws 20 are made of a biocompatible metal such as the cobalt-chromium alloy known as "Vitallium" a trademark of Howmedica, Inc., a corporation of Delaware, U. S. A.
The flat configuration of nails 10 and 12A helps pre-vent rotational displacement of the implanted nail. The gentle taper over substantially their entire length provides variable resistance to bending in different length portions in a manner similar to that obtained by a varying layer spring. The blunt dull tip end prevents the wall of the intramedullary canal from being pierced. Nails 10 and 12A are intended for use in stabiliz-ing fractures in the distal 1/3 area of the femur, for repairing various types of fractures such as T-shaped, condylar or any other fracture in the distal 1/3 area.
Figs. 6-8 show lag screw 20 which may vary in length, for example, from about two to three inches. It has a tapered flat head with a hexagonal socket. The tip is pointed and has 0 V-shaped sel~-tapping threads for firm bone engagement.

Claims (6)

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows:
1. A prosthetic nail of biocompatible metal implantable in bone for stabilizing fractures therein, particularly in the supracondylar area of the femur, wherein the nail is substantially flat and elongated and, in its plan configuration, tapers from a head to a rounded blunt tip approximately half the thickness of the head while, in its elevational configuration, the nail has a relatively thin tapered elongated midportion merging with a head end and a shorter tip end, both ends extending arcuately on the same side of the midportion, the inner and outer radii of said head end providing an enlarged thickness at the extremity thereof at which a retaining screw hole is axially disposed at an angle to said midportion in the elevational configuration.
2. A prosthetic nail according to claim 1, wherein said retaining screw hole is axially disposed at a right angle to the direction of said midportion in elevational configuration,
3. A prosthetic nail according to claim 1, wherein said retaining screw hole is axially disposed toward the median line of said head end at an angle of about 105° to the direction of said midportion in elevational configuration.
4. A prosthetic nail according to any of claims 1 to 3, wherein said head end in elevational configuration is squared off at its top and terminal side.
5. A prosthetic nail according to any of claims 1 to 3, wherein the taper of the nail in the plan configuration has about a 2:1 ratio and is localized to an intermediate portion of the nail extending from a parallel-sided head section to a parallel-sided tip section which begins at about the middle of the nail.
6. A prosthetic nail according to any of claims 1 to 3, wherein the arcuate tip end in elevational configuration sub-stantially continues the thickness of the thinner end of said tapered elongated midportion.
CA280,962A 1976-07-19 1977-06-20 Supracondylar prosthetic nail Expired CA1070453A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US05/706,470 US4011863A (en) 1976-07-19 1976-07-19 Supracondylar prosthetic nail

Publications (1)

Publication Number Publication Date
CA1070453A true CA1070453A (en) 1980-01-29

Family

ID=24837719

Family Applications (1)

Application Number Title Priority Date Filing Date
CA280,962A Expired CA1070453A (en) 1976-07-19 1977-06-20 Supracondylar prosthetic nail

Country Status (8)

Country Link
US (1) US4011863A (en)
JP (2) JPS5336982A (en)
BE (1) BE856663A (en)
CA (1) CA1070453A (en)
CH (1) CH615822A5 (en)
DE (1) DE2731056C3 (en)
FR (1) FR2358871A1 (en)
GB (1) GB1574790A (en)

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US4414967A (en) * 1981-06-22 1983-11-15 Minnesota Mining And Manufacturing Company Internal fixation of bone, tendon, and ligaments
US4503847A (en) * 1982-01-15 1985-03-12 Howmedica, Inc. Prosthetic nail
DE8214493U1 (en) * 1982-05-18 1982-09-09 Howmedica International, Inc. Zweigniederlassung Kiel, 2301 Schönkirchen Bone nail for the treatment of fractures in the proximal thigh area
US4457301A (en) * 1982-06-18 1984-07-03 Howmedica Inc. Intramedullary fixation device
FR2572274B1 (en) * 1984-10-29 1989-01-06 Univ Rennes NAIL OF OSTEOSYNTHESIS.
RO89820B1 (en) * 1985-11-05 2002-06-28 îNTREPRINDEREA INDUSTRIA TEHNICO MEDICALA Elastic implants for a stable elastic osteorrhaphy of femoral and tibial fractures, respectively, as well as corresponding instrumentation
SE460014B (en) * 1986-01-31 1989-09-04 John Stefan Nilsson FIXATION DEVICE FOR LABOR FRACTURES
US5281225A (en) * 1989-06-07 1994-01-25 Guglielmo Vicenzi Intramedullary pin with self-locking end for metadiaphyseal fractures of long bones
US7008425B2 (en) * 1999-05-27 2006-03-07 Jonathan Phillips Pediatric intramedullary nail and method
US20040153073A1 (en) * 2000-02-01 2004-08-05 Hand Innovations, Inc. Orthopedic fixation system including plate element with threaded holes having divergent axes
US7857838B2 (en) 2003-03-27 2010-12-28 Depuy Products, Inc. Anatomical distal radius fracture fixation plate
US7695502B2 (en) * 2000-02-01 2010-04-13 Depuy Products, Inc. Bone stabilization system including plate having fixed-angle holes together with unidirectional locking screws and surgeon-directed locking screws
US6706046B2 (en) * 2000-02-01 2004-03-16 Hand Innovations, Inc. Intramedullary fixation device for metaphyseal long bone fractures and methods of using the same
US20060041260A1 (en) * 2000-02-01 2006-02-23 Orbay Jorge L Fixation system with plate having holes with divergent axes and multidirectional fixators for use therethrough
US6893444B2 (en) * 2000-02-01 2005-05-17 Hand Innovations, Llc Bone fracture fixation systems with both multidirectional and unidirectional stabilization pegs
US6767351B2 (en) * 2000-02-01 2004-07-27 Hand Innovations, Inc. Fixation system with multidirectional stabilization pegs
US6527775B1 (en) 2000-09-22 2003-03-04 Piper Medical, Inc. Intramedullary interlocking fixation device for the distal radius
DE10107369B4 (en) * 2001-02-16 2016-03-24 Ernst Wiedemann implant plate
US6660009B1 (en) * 2002-05-15 2003-12-09 Carlos A. Azar Fracture fixation system
US20060149257A1 (en) * 2002-05-30 2006-07-06 Orbay Jorge L Fracture fixation device
US20040111090A1 (en) * 2002-10-03 2004-06-10 The University Of North Carolina At Chapel Hill Modification of percutaneous intrafocal plate system
US20050187551A1 (en) * 2002-12-02 2005-08-25 Orbay Jorge L. Bone plate system with bone screws fixed by secondary compression
US7780664B2 (en) * 2002-12-10 2010-08-24 Depuy Products, Inc. Endosteal nail
US20040193155A1 (en) * 2003-03-27 2004-09-30 Hand Innovations, Inc. Fracture fixation plate with particular plate hole and fastener engagement and methods of using the same
US7635365B2 (en) 2003-08-28 2009-12-22 Ellis Thomas J Bone plates
US7588577B2 (en) * 2004-07-15 2009-09-15 Wright Medical Technology, Inc. Guide assembly for intramedullary fixation and method of using the same
US20060015101A1 (en) * 2004-07-15 2006-01-19 Wright Medical Technology, Inc. Intramedullary fixation assembly and devices and methods for installing the same
US20060122613A1 (en) * 2004-12-02 2006-06-08 Kirsch John M Fixator for a fractured bone
US7905909B2 (en) * 2005-09-19 2011-03-15 Depuy Products, Inc. Bone stabilization system including multi-directional threaded fixation element
GB2450247B (en) * 2007-06-15 2010-01-13 Joel Gillard Rib fixation with an intramedullary nail
US8771283B2 (en) 2007-12-17 2014-07-08 Wright Medical Technology, Inc. Guide assembly for intramedullary fixation and method of using the same
FR2927792A1 (en) * 2008-02-25 2009-08-28 Dominique Persoons S-shaped percutaneous radial nail for treating fracture of radial bone of aged person, has ends with different elasticities, and proximal and distal locking devices, where nail is made of elastic metal alloy and has non-constant diameter
US8668694B2 (en) 2008-06-06 2014-03-11 Steven M. Teeny Bone fixation assemblies and methods of use
US9044282B2 (en) 2008-06-24 2015-06-02 Extremity Medical Llc Intraosseous intramedullary fixation assembly and method of use
US8328806B2 (en) * 2008-06-24 2012-12-11 Extremity Medical, Llc Fixation system, an intramedullary fixation assembly and method of use
US9017329B2 (en) 2008-06-24 2015-04-28 Extremity Medical, Llc Intramedullary fixation assembly and method of use
US8568417B2 (en) 2009-12-18 2013-10-29 Charles River Engineering Solutions And Technologies, Llc Articulating tool and methods of using
WO2012174258A2 (en) * 2011-06-14 2012-12-20 Amit Gupta Intramedullary system for managing a bone fracture
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US11051864B2 (en) * 2012-08-30 2021-07-06 DePuy Synthes Products, Inc. Intramedullary fixation assembly
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CN106725792A (en) * 2017-01-10 2017-05-31 河北医科大学第三医院 A kind of flexible intramedullary nail with pressurization anti-rotation function
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JP6588127B1 (en) * 2018-05-18 2019-10-09 メディカルサン株式会社 Intramedullary nail auxiliary device and intramedullary nail
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Also Published As

Publication number Publication date
CH615822A5 (en) 1980-02-29
DE2731056C3 (en) 1980-03-13
BE856663A (en) 1978-01-09
DE2731056B2 (en) 1979-07-12
FR2358871A1 (en) 1978-02-17
GB1574790A (en) 1980-09-10
JPS5565008U (en) 1980-05-06
DE2731056A1 (en) 1978-01-26
US4011863A (en) 1977-03-15
FR2358871B1 (en) 1980-09-19
JPS6028422Y2 (en) 1985-08-28
JPS5336982A (en) 1978-04-05

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