Distal bone anchors for bone fixation with secondary compression

• US 20020143335A1
• Filed: 11/13/2001
• Published: 10/03/2002
• Est. Priority Date: 03/30/2001
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Triage Medical, Inc (Johnson & Johnson)
• Inventors: Culbert, Brad S., von Hoffmann, Gerard, Cachia, Victor V.
• Granted Patent: US 6,908,465 B2
• Time in Patent Office: Days
• US Class Current: 606/67
• CPC Class Codes: A61B 17/68 Internal fixation devices , including fasteners and spinal fixators, even if a part thereof projects from the skin bone staples A61B17/0642
• CPC Class Codes: A61B 17/742 having one or more longitudinal elements oriented along or parallel to the axis of the neck
• CPC Class Codes: A61B 17/744 the longitudinal elements coupled to an intramedullary nail
• CPC Class Codes: A61B 17/746 the longitudinal elements coupled to a plate opposite the femoral head
• CPC Class Codes: A61B 17/8625 Shanks, i.e. parts contacting bone tissue
• CPC Class Codes: A61B 17/8685 comprising multiple separate parts
• CPC Class Codes: A61B 17/869 characterised by an open form, e.g. wire helix

Abstract

Disclosed is a bone fracture fixation device, such as for reducing and compressing fractures in the proximal femur. The fixation device includes an elongate body with a helical cancellous bone anchor on a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device. The device is rotated into position across the fracture or separation between adjacent bones and into the adjacent bone or bone fragment, and the proximal anchor is distally advanced to apply secondary compression and lock the device into place. The device may also be used for soft tissue attachments.

Claims

1. A femoral neck fracture fixation device, comprising:

an elongate body, having a proximal end and a distal end;

a helical anchor on the distal end, the helical anchor being wrapped about a minor diameter and an outer edge of the helical anchor defining an outer boundary;

a first retention structure on the body, proximal to the anchor; and

a proximal anchor, moveably carried by the body,

wherein the proximal anchor is movable in the distal direction with respect to the body and the retention structure resists proximal movement of the proximal anchor with respect to the body.

2. A femoral neck fracture fixation device as in claim 1, wherein the helical flange is wrapped about a central core.

3. A femoral neck fracture fixation device as in claim 2, wherein the outer boundary and the minor diameter are generally cylindrical.

4. A femoral neck fracture fixation device as in claim 3, wherein the minor diameter tapers distally.

5. A femoral neck fracture fixation device as in claim 3, wherein at a distal end of the distal anchor the outer boundary tapers.

6. A femoral neck fracture fixation device as in claim 3, wherein the helical flange is a generally flat blade.

7. A femoral neck fracture fixation device as in claim 1, wherein the helical flange comprises at least a first flange, and a second flange.

9. A femoral neck fracture fixation device as in claim 2, wherein the central core includes an axial lumen.

10. A femoral neck fracture fixation device as in claim 9, wherein the helical flange comprises at least a first flange, a second flange, and a third flange.

11. A femoral neck fracture fixation device as in claim 10, wherein the outer boundary and the minor diameter are generally cylindrical.

12. A femoral neck fracture fixation device as in claim 10, wherein at least the third flange is removed so as to expose the axial lumen.

13. A femoral neck fracture fixation device as in claim 12, wherein the outer boundary and the minor diameter are generally cylindrical.

14. A femoral neck fracture fixation device as in claim 9, wherein the central core tapers in a distal direction so as to expose the axial lumen.

15. A femoral neck fracture fixation device as in claim 14, wherein the axial lumen is exposed at approximately a longitudinal center of the distal anchor.

16. A femoral neck fracture fixation device as in claim 1, wherein the helical flange is wrapped about an axial lumen.

17. A femoral neck fracture fixation device as in claim 16, wherein the outer boundary and the minor diameter have a generally cylindrical shape.

18. A femoral neck fracture fixation device as in claim 17, wherein the helical flanges comprises at least a first flange and a second flange spirally wrapped about the axial lumen.

19. A femoral neck fracture fixation device as in claim 18, wherein the first and second flange include sharpened tips.

20. A femoral neck fracture fixation device as in claim 9, wherein minor diameter tapers in a distal direction.

21. A femoral neck fracture fixation device as in claim 20, wherein at a distal end of the distal anchor the minor diameter is approximately equal to zero.

22. A femoral neck fracture fixation device as in claim 20, wherein the outer boundary also tapers in a distal direction.

23. A femoral neck fracture fixation device as in claim 1, wherein the minor diameter is approximately equal to zero.

24. A femoral neck fracture fixation device as in claim 23, wherein the helical flange has a generally V-shaped cross-section.

25. A femoral neck fracture fixation device as in claim 23, wherein the helical flange has a generally rectangular cross-section.

27. A femoral neck fracture fixation device as in claim 26, wherein the helical flange is wrapped about a central core.

28. A femoral neck fracture fixation device as in claim 27, wherein the outer boundary and the minor diameter are generally cylindrical.

29. A femoral neck fracture fixation device as in claim 28, wherein at a distal end of the distal anchor the minor diameter tapers.

30. A femoral neck fracture fixation device as in claim 28, wherein at a distal end of the distal anchor the outer boundary tapers.

31. A femoral neck fracture fixation device as in claim 28, wherein the helical flange is a generally flat blade.

32. A femoral neck fracture fixation device as in claim 27, wherein the helical flange comprises at least a first flange and a second flange.

33. A femoral neck fracture fixation device as in claim 32, wherein the outer boundary and the minor diameter are generally cylindrical.

34. A femoral neck fracture fixation device as in claim 27, wherein the central core defines an axial lumen.

35. A femoral neck fracture fixation device as in claim 34, wherein the helical flange comprises at least a first flange, a second flange, and a third flange.

36. A femoral neck fracture fixation device as in claim 35, wherein the outer boundary and the minor diameter are generally cylindrical.

37. A femoral neck fracture fixation device as in claim 35, wherein at least the third flange is removed so as to expose the axial lumen.

38. A femoral neck fracture fixation device as in claim 37, wherein the outer boundary and the minor diameter are generally cylindrical.

39. A femoral neck fracture fixation device as in claim 34, wherein the central core tapers in a distal direction so as to expose the axial lumen.

40. A femoral neck fracture fixation device as in claim 39, wherein the axial lumen is exposed at approximately a longitudinal center of the distal anchor.

41. A femoral neck fracture fixation device as in claim 26, wherein the helical flange is wrapped about an axial lumen.

42. A femoral neck fracture fixation device as in claim 41, wherein the outer boundary and the minor diameter have a generally cylindrical shape.

43. A femoral neck fracture fixation device as in claim 42, wherein the helical flanges comprises at least a first flange and a second flange spirally wrapped about the axial lumen.

44. A femoral neck fracture fixation device as in claim 43, wherein the first and second flange include sharpened tips.

45. A femoral neck fracture fixation device as in claim 34, wherein minor diameter tapers in a distal direction.

46. A femoral neck fracture fixation device as in claim 45, wherein at a distal end of the distal anchor the minor diameter is approximately equal to zero.

47. A femoral neck fracture fixation device as in claim 45, wherein the outer boundary also tapers in a distal direction.

48. A femoral neck fracture fixation device as in claim 26, wherein the minor diameter is approximately equal to zero.

49. A femoral neck fracture fixation device as in claim 48, wherein the helical flange has a generally V-shaped cross-section.

50. A femoral neck fracture fixation device as in claim 48, wherein the helical flange has a generally rectangular cross-section.

8. A femoral neck fracture fixation device as in claim 8, wherein the outer boundary and the minor diameter are generally cylindrical.

26. A bone fracture fixation device, comprising:

an elongate body having a proximal end and a distal end;

a cancellous bone anchor on the distal end;

the cancellous bone anchor comprising a helical flange wrapped about a central core or axial lumen, an outer edge of the helical anchor defining an outer boundary and the central core or axial lumen defining a minor diameter;

a proximal anchor axially movably carried on the body; and

complimentary surface structures in between the body and the proximal anchor that permit advancing the proximal anchor in the distal direction to tighten the fixation device but that resist axial proximal movement of the proximal anchor.

51. A bone fracture fixation device, comprising:

an elongate body, having a proximal end and a distal end;

a helical anchor on the distal end,

a first retention structure on the body, proximal to the anchor; and

a proximal anchor, moveably carried by the body and having a tubular housing, the tubular housing having at least one barb extending radially outwardly from the tubular housing and defining an engagement surface that lies within a plane that is transverse to a longitudinal axis of the tubular housing,

wherein the proximal anchor is movable in the distal direction with respect to the body and the retention structure resists proximal movement of the proximal anchor with respect to the body.

52. A bone fracture fixation device as in claim 51, wherein the proximal anchor includes a flange, which defines a bone contacting surface that generally faces the engagement surface.