Apparatus for intramedullary fixation broken bones

• US 5,334,184 A
• Filed: 06/30/1992
• Issued: 08/02/1994
• Est. Priority Date: 06/30/1992
• Status: Expired due to Fees

• Current Assignee: Lev A. Bimman
• Original Assignee: Lev A. Bimman
• Inventors: Bimman, Lev A.
• Primary Examiner(s): ISABELLA, DAVID J
• Application Number:
  US07/906,385
• Time in Patent Office: 763 Days
• Field of Search: 606/60, 606/61, 606/62, 606/63, 623/16, 623/18, 623/23
• US Class Current: 606/63
• CPC Class Codes: A61B 17/7216 for bone lengthening or compression A61B17/7258 takes precedence
• CPC Class Codes: A61B 17/7258 with laterally expanding parts, e.g. for gripping the bone
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30

Abstract

An apparatus comprising an internal bone fixation apparatus for supporting and securing together two sections of a fractured elongated bone within a patient'"'"'s body. Generally, the apparatus includes first and second fixation portions which are disposed in holes formed in the internal cavity of the fractured bone on respective sides of the fracture, and a means for connecting these fixation portions together. In the preferred version of the present invention, the connecting means is adjustable such that the first and second fixations portions can be drawn together or spread apart in the longitudinal direction, thereby similarly moving the first and second sections of the fractured bone. In addition, the structural and securing portions of the invention are made from strong resilient metals, that are not necessarily compatible for long term contact with the body of the patient. However, the metals are completely isolated from any contact with the body of the patient by insulating materials which are compatible.

Claims

1. An internal bone fixation apparatus for supporting and securing together two sections of a fractured elongated bone within a patient'"'"'s body, the apparatus comprising:

a) a first fixation portion disposed in a hole formed in the internal cavity of a first section of the fractured bone on one side of the fracture wherein the first fixation portion includes a first means for securing the first fixation portion in the hole formed in the internal cavity of the first section of the fractured bone, and a first means for insulating the securing means from contact with the patient'"'"'s body, and wherein the first securing means comprises;

a1) an expansion bolt which is of a generally hollow shape and open at both ends, in an unexpanded state, wherein a first end of the expansion bolt has a internally threaded section, and a second end has a flanged section having an outer diameter larger than the remainder of the expansion bolt, and a radially expandable section is disposed between the internally threaded section and the flanged section which includes a plurality of longitudinal slats, the longitudinal slats being deformable to an expanded state wherein they bulge outward when a longitudinal compressive force is applied to ends of the expandable section and tightly presses against a surrounding surface contacted, and,

a2) a screw which is of a generally cylindrical shape and has a flange which forms a boundary between a first threaded section on a first end of the screw and the remainder of the screw, and wherein the diameter of the remainder of the screw is sized so that it is slidable through an inner bore of the hollow expansion bolt, whereas the flange is larger than the bore and not slideable therethrough, and wherein the screw has a second threaded section on a second end opposite the flange, the second threaded section matable with the internally threaded section of the expansion bolt, and wherein,

a3) the screw is disposed within the bore of the expansion bolt such that the second threaded section of the screw is mated with the internally threaded section of the expansion bolt and a surface of the flange of the screw is in contact with the flanged section of the expansion bolt, and the expandable section is in one of (i) the unexpanded state prior to the securing of the first fixation portion in the hole formed in the internal cavity of the first section of the fractured bone, and (ii) the expanded state after such securing, the securing being accomplished by rotating the screw within the expansion bolt such that a compressive force is applied to the ends of the expansion section;

b) a second fixation portion disposed in a hole formed in the internal cavity of a second section of the fractured bone on the opposite side of the fracture from the first section of the fractured bone wherein the second fixation portion includes a second means for securing the second fixation portion in the hole formed in the internal cavity of the second section of the fractured bone, and a second means for insulating the securing means from contact with the patient'"'"'s body, and wherein the second securing means is identical to the first securing means; and

c) a means for connecting the first fixation portion to the second fixation portion wherein the connecting means is adjustable such that the first and second fixations portions can be one of (i) drawn together, and (ii) spread apart in a longitudinal direction, thereby similarly moving the first and second sections of the fractured bone so that a desired length of the overall elongated bone can be obtained.

2. The bone fixation apparatus of claim 1 wherein:

a) the screws in each of said fixation portions are made of a resilient steel which has qualities not compatible for long term contact with the patient'"'"'s body;

b) the expansion bolts in each of said fixation portions is made of a steel not compatible for long term contact with the patient'"'"'s body, and wherein the longitudinal slats of the expandable section thereof are flexible enough to deform under the compressive force exerted by the screw, but resilient enough to exert a significant force against the surrounding surface contacted when the expandable section is in the expanded state.

3. The bone fixation apparatus of claim 1 wherein:

a) the first means for insulating the first securing means from contact with the patient'"'"'s body wherein the first securing means is contained completely within the first insulating means, the first insulating means comprising;

a1) a housing which is of a generally hollow cylindrical shape, closed at one end and open at another, and disposed in the hole formed in the internal cavity of the first section of the fractured bone, and wherein a flanged section exists at the open end which has a larger outer diameter than a remainder of the housing such that a back face of the flanged section of the housing abuts an end of said section of the fractured bone and the outer diameter of the remainder of the housing is such that it is snugly disposed in the hole formed in said internal cavity and the inner diameter is larger than the securing means contained completely therein, and,

a2) a quantity of an insulating compound sufficient to completely fill all voids existing between the interior surface of the housing and the therein disposed securing means, and wherein,

a3) the exterior surface of the housing is tightly pressed against the surface of the bone within said hole by the securing means; and

,

b) the second means for insulating the second securing means from contact with the patient'"'"'s body wherein the second securing means is contained completely within the second insulating means, the second insulating means being identical to the first insulating means.

4. The bone fixation apparatus of claim 3 wherein:

a) the housing is made of a plastic material compatible for long term contact with the patient'"'"'s body; and

,

b) the insulating compound comprises a material which is compatible for long term contact with the patient'"'"'s body, and which is initially fluid, but hardens after installation, the hardened compound providing sufficient adhesion and resistive strength to prevent release of the securing means.

5. The bone fixation apparatus of claim 4 wherein the hole formed in the intramedullary cavity of the second section of the fractured bone is made coaxial to the hole formed in the intramedullary cavity of the first section of the fractured bone.

6. The bone fixation apparatus of claim 5 wherein the first fixation portion includes a screw protruding from the center of the hole formed in the first section of the fractured bone and having right-hand threads, and wherein the second fixation portion includes a screw protruding from the center of the hole formed in the second section of the fractured bone and having left-hand threads, and wherein further, the adjustment means comprises:

a) a screw coupling having a generally hexagonal cross-section along its longitudinal length, with a central bore which includes a first internally threaded section at one end having right-hand threads which are mated with the screw in the first fixation portion and a second internally threaded section at another end having left-hand threads which are mated with the screw in the second fixation portion, wherein said adjustment is accomplished by rotating the screw coupling a first direction to draw together the first and second sections of the fractured bone, and rotated an opposite direction to spread apart the first and second sections of the fractured bone.

7. The bone fixation apparatus of claim 1 wherein:

a) the first means for insulating the first securing means from contact with the patient'"'"'s body wherein the first securing means is disposed within the first insulating means, the first insulating means comprising;

a1) a housing which is of a generally hollow cylindrical shape, closed at one end and open at another and disposed in the hole formed in the internal cavity of the first section of the fractured bone, and wherein a flanged section exists at the open end which has a larger outer diameter than a remainder of the housing and includes an indented section at the open end thereof which has a larger diameter than an internal bore of the housing and a depth equal to the flanged section of the expansion bolt such that said flanged section of the expansion bolt is disposed completely within the indented section and a back face of the flanged section of the housing abuts an end of said section of the fractured bone, and wherein, the outer diameter of the remainder of the housing is such that it is snugly disposed in the hole formed in said internal cavity and the inner diameter is larger than said remainder of the expansion bolt which is disposed therein and the interior length is such than the length of said remainder of the screw is contained completely therein, and,

a2) a quantity of an insulating compound sufficient to completely fill all voids existing between the interior surface of the housing and the therein disposed remainders of the expansion bolt and screw, when the expandable section of the expansion bolt is in its expanded state, and wherein,

a3) the exterior surface of the housing tightly presses against the surface of the bone within said hole when the expandable section is in the expanded state after said securing; and

,

b) the second means for insulating the second securing means from contact with the patient'"'"'s body wherein the second securing means is disposed within the second insulating means, the second insulating means being identical to the first insulating means.

8. The bone fixation apparatus of claim 7 wherein the connection means comprises:

a) a means for adjustment; and

b) a third means for insulating the adjustment means from contact with the patient'"'"'s body.

9. The bone fixation apparatus of claim 8 wherein the hole formed in the internal cavity of the second section of the fractured bone is made coaxial to the hole formed in the internal cavity of the first section of the fractured bone.

10. The bone fixation apparatus of claim 9 wherein the first threaded section of the screw in the first fixation portion has right-hand threads and the first threaded section of the screw in the second fixation portion has left-hand threads, and wherein further, the adjustment means comprises:

a) a screw coupling having a generally hexagonal cross-section along its longitudinal length, with a central bore which includes a first internally threaded section at one end having right-hand threads which are mated with the first treaded section of the screw in the first fixation portion and a second internally threaded section at another end having left-hand threads which are mated with the first threaded section of the screw in the second fixation portion, wherein said adjustment is accomplished by rotating the screw coupling a first direction to draw together the first and second sections of the fractured bone, and rotated an opposite direction to spread apart said first and second sections of the fractured bone.

11. The bone fixation apparatus of claim 10 wherein the third insulating means comprises:

a) a tube having a generally hollow cylindrical shape which is open at both ends, and wherein the tube has an inner diameter equal to the outer diameter of the flanged sections of the housings in the first and second fixation portions and sufficient length to traverse the distance between the ends of the first section of the fractured bone and the second section of the fractured bone, and wherein further, an inner surface at each end of the tube contacts an outer periphery of the flanged sections of said housings, respectively, and each end face of the tube contacts the end faces of the first and second bone sections, respectively; and

b) a quantity of an insulating compound sufficient to completely fill all voids existing between the interior surface of the tube and the therein disposed screw coupling and first threaded sections of the screws of said first and second fixation portions.

12. The bone fixation apparatus of claim 11 wherein:

a) the screws in each of said fixation portions and the screw coupling are made of a resilient steel which has qualities not compatible for long term contact with the patient'"'"'s body;

b) the expansion bolts in each of said fixation portions is made of a steel not compatible for long term contact with the patient'"'"'s body, and wherein the slats of the expandable section thereof are flexible enough to deform under the compressive force exerted by the screw, but resilient enough to exert a significant force against the interior surface of the housing when the expandable section is in the expanded state;

c) the housing is made of a plastic material compatible for long term contact with the patient'"'"'s body;

d) the insulating compound used in the top and bottom fixation portions comprises a material which is compatible for long term contact with the patient'"'"'s body, and which is initially fluid, but hardens after installation, the hardened compound providing sufficient adhesion and resistive strength to prevent backing off of the slats and screws;

e) the insulating compound used in the connection portion comprises a material which is compatible for long term contact with the patient'"'"'s body, and which is initially fluid, but hardens after installation, the hardened compound providing sufficient adhesion and resistive strength to prevent rotation of the screw coupling and movement of the first and second sections of the fractured bone relative to each other; and

,

f) the tube further includes a longitudinal slot along its entire length such that the tube can be installed by spreading it apart at the slot a sufficient distance to allow the tube to be placed around the screw coupling and first threaded sections of the screws of said first and second fixation portions and in contact with the flanged sections of said housings and said sections of the fractured bone, and wherein the tube is made of a plastic material compatible for long term contact with the patient'"'"'s body which is flexible enough to allow the tube to be spread open at the slot, but resilient enough that the tube returns to its original shape after being released from spreading, and wherein the interior of the tube is filled with insulating compound through the slot.