JPH07213535A - Bone marrow pin for restoring bone - Google Patents
Bone marrow pin for restoring boneInfo
- Publication number
- JPH07213535A JPH07213535A JP6011122A JP1112294A JPH07213535A JP H07213535 A JPH07213535 A JP H07213535A JP 6011122 A JP6011122 A JP 6011122A JP 1112294 A JP1112294 A JP 1112294A JP H07213535 A JPH07213535 A JP H07213535A
- Authority
- JP
- Japan
- Prior art keywords
- bone
- pipe
- pin
- hole
- bone marrow
- 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.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary devices, e.g. pins or nails
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary devices, e.g. pins or nails
- A61B17/7233—Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone
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)
Abstract
Description
【0001】[0001]
【産業上の利用分野】この発明は、長管骨の骨折治療、
あるいは複雑骨折や腫瘍などで欠損した骨を修復する場
合に使用する骨整復用髄内ピンに関するものである。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to fracture treatment of long bones,
Alternatively, the present invention relates to an intramedullary pin for bone reduction that is used when repairing a bone lost due to a complicated fracture or a tumor.
【0002】[0002]
【従来の技術と課題】骨折治療は、骨折した骨の断端同
士を整復し、なるべく動かないように固定することによ
って行われている。2. Description of the Related Art Fracture treatment is performed by reducing the stumps of fractured bones and fixing them so that they do not move as much as possible.
【0003】ところで、骨折した骨同士を固定する方法
としては、従来、骨の外面にプレートを沿わせて固定す
る方法と、骨の骨髄腔にピンを挿通して固定する方法が
広く用いられているが、近年では、後者のピンを用いる
方法が主流になってきている。By the way, as a method of fixing fractured bones to each other, a method of fixing a plate along the outer surface of the bone and a method of inserting a pin into the bone marrow cavity of the bone and fixing the bone have been widely used. However, in recent years, the latter method using a pin has become mainstream.
【0004】これは、骨折治療のメカニズムが解明され
るにしたがって、プレートよりもピンの方が骨折治療が
早く、確実に行われるということが分かってきたからで
ある。This is because, as the mechanism of fracture treatment has been elucidated, it has been found that the pin can treat the fracture faster and more reliably than the plate.
【0005】即ち、骨折した骨の断端同士は、常にある
程度の力で圧迫、接合されている方が骨折治療が早くな
るのであるが、プレートを骨の外面に沿わせて、このプ
レートに骨折したそれぞれの骨を固定すると、骨の断端
同士の距離が、手術によって固定した当初の距離を一定
に保つため、骨の断端同士に圧迫、接合する力が加わら
ない。これに対し、骨髄腔にピンを挿通して、骨折した
骨を固定した場合、骨と骨は常に体重を支えるために圧
迫、接合され、また、骨の周囲の筋肉によっても、圧
迫、接合が助長されるので、骨の癒合が早く、確実に行
われるのである。That is, it is faster to treat the fractured ends of the fractured bone with a certain amount of force at all times, but the fracture treatment is faster. When the respective bones are fixed, the distance between the stumps of the bones is kept constant at the initial distance fixed by the surgery, so that no force is applied to the stumps of the bones so as to press or join them. On the other hand, when inserting a pin into the bone marrow cavity and fixing the fractured bone, the bone and the bone are always pressed and joined to support the weight, and the muscles around the bone also press and join the bone. As it is promoted, bone healing will be quick and reliable.
【0006】ところが、ピンを用いる固定方法にも、次
のような問題点がある。However, the fixing method using pins also has the following problems.
【0007】まず、ピンが挿通される骨髄腔というの
は、骨に栄養を供給する血管や骨髄液の存在する空間で
あるから、骨髄腔に太いピンを挿通して骨髄腔を埋め尽
くしてしまうと、骨に栄養等が供給されなくなり、骨の
癒合が大幅に遅れるか、癒合しなくなってしまう。First, since the bone marrow cavity into which the pin is inserted is a space in which blood vessels supplying nutrients to bone and bone marrow fluid exist, a thick pin is inserted into the bone marrow cavity to fill the bone marrow cavity. Then, nutrients are not supplied to the bone, and the fusion of the bone is significantly delayed or does not heal.
【0008】このため、従来、骨髄腔に挿通されるピン
は、骨髄腔内に十分な空間が残るように細い径のものを
使用しなければならなかったが、骨髄腔に挿通されるピ
ンの径が骨髄腔よりも細いと、骨折した骨と骨とがズレ
を起したり、捻転したりしやすい。For this reason, conventionally, it has been necessary to use a pin having a small diameter so that a sufficient space remains in the bone marrow cavity. If the diameter is smaller than the medullary cavity, the fractured bones are likely to be misaligned or twisted.
【0009】円筒形の骨と骨とが、ズレると、骨の断端
面同士が2点で接触することになり、骨の癒合が大幅に
遅れるという問題が生じる。When the cylindrical bones are displaced from each other, the stump surfaces of the bones come into contact with each other at two points, which causes a problem that the fusion of the bones is significantly delayed.
【0010】また、骨折した骨と骨とが捻転した場合、
例えば、大腿骨が捻転したときには、つま先の向きが正
しい方向を向かなくなってしまう。If the fractured bone and the bone are twisted,
For example, when the femur is twisted, the toes are not oriented in the correct direction.
【0011】上記骨と骨とが捻転するという問題は、ピ
ンの両端に横穴をあけて、この横穴にさらに細い横止め
ネイルを打ち込むという従来からの技術によって一応防
止できるが、ピンの両端に形成した小さな横孔に横止め
ネイルを打ち込むには、骨髄腔内に挿通されたピンの横
孔の位置を、レントゲンによって透視して確認しながら
行う必要があり、医師、患者がともに長時間に亘って大
量の放射線を被爆するという問題がある。The problem of twisting of the bone can be prevented by the conventional technique of forming lateral holes at both ends of the pin and driving a narrower lateral stop nail into the lateral holes, but it is formed at both ends of the pin. In order to drive the lateral stop nail into the small lateral hole, it is necessary to check the position of the lateral hole of the pin inserted in the bone marrow cavity by seeing through the X-ray. There is a problem of being exposed to a large amount of radiation.
【0012】そこで、この発明は、骨と骨とがズレを起
こさず、骨髄を温存し、しかもレントゲンによって透視
しなくても、横止めネイルの打ち込みが可能な骨整復用
髄内ピンを提供しようとするものである。[0012] Therefore, the present invention provides an intramedullary pin for bone reduction capable of driving a lateral stop nail without causing bone misalignment, preserving the bone marrow, and without seeing through radiography. It is what
【0013】[0013]
【課題を解決するための手段】この発明に係る骨整復用
髄内ピンは、骨髄腔内にほぼ隙間なく挿入される太さの
パイプからなり、このパイプの壁面の全面に、壁面を貫
通する貫通孔を多数形成したものである。An intramedullary pin for bone reduction according to the present invention comprises a pipe having a thickness that can be inserted into a medullary cavity with almost no space, and the wall surface of the pipe penetrates the wall surface. A large number of through holes are formed.
【0014】[0014]
【作用】上記パイプは、骨髄腔内にほぼ隙間なく挿入さ
れるため、骨と骨とがズレを起こさない。The above-mentioned pipe is inserted into the medullary cavity with almost no space, so that the bones do not shift from each other.
【0015】そして、上記パイプの壁面には、全面に多
数の貫通孔が形成されているので、パイプを骨髄腔内に
隙間なく挿通しても、血液等の流れに支障が生じず、貫
通孔を通じて骨に栄養が供給される。Since a large number of through holes are formed on the entire wall surface of the pipe, even if the pipe is inserted into the bone marrow cavity without a gap, the flow of blood or the like is not hindered and the through holes are formed. Nourishment is supplied to the bone through.
【0016】また、パイプの壁面には、多数の貫通孔が
形成されているので、横止めネイルを打ち込む際に、レ
ントゲンで透視しなくても、横止めネイルを挿通する貫
通孔を容易に捜し出すことが可能となる。Further, since a large number of through holes are formed on the wall surface of the pipe, when the lateral stop nail is driven in, the through hole through which the lateral stop nail is inserted can be easily found even if the lateral stop nail is not seen through. It becomes possible.
【0017】[0017]
【実施例】以下、この発明の実施例について説明する。Embodiments of the present invention will be described below.
【0018】この発明に係る骨整復用髄内ピンは、図1
に示すように、壁面全面に多数の貫通孔2が形成された
パイプ1からなる。このパイプ1は、図2に示すよう
に、骨髄腔に隙間なく挿入される太さに形成されてい
る。The intramedullary pin for bone reduction according to the present invention is shown in FIG.
As shown in, the pipe 1 is formed with a large number of through holes 2 formed on the entire wall surface. As shown in FIG. 2, the pipe 1 is formed to have a thickness that can be inserted into the bone marrow cavity without a gap.
【0019】また、上記パイプ1を形成する素材として
は、ステンレス、チタン合金がある。Materials for forming the pipe 1 include stainless steel and titanium alloy.
【0020】上記貫通孔2は、一端側が長さ方向に長い
長孔に形成され、その他は横止めネイルAが挿通可能な
大きさの円孔に形成されている。The through hole 2 is formed as a long hole whose one end side is long in the length direction, and the other is formed as a circular hole having a size through which the lateral stop nail A can be inserted.
【0021】上記のように構成される骨整復用髄内ピン
を使用しての骨折治療は、次のようにして行う。Fracture treatment using the intramedullary pin for bone reduction configured as described above is performed as follows.
【0022】骨折した骨の骨髄腔にほぼ隙間なく挿入さ
れる太さのパイプ1を用意する。そして、このパイプ1
を骨折した骨と骨との骨髄腔に挿通して、骨折した骨と
骨を整復する。この後、極細のドリルを用いて、骨折端
から離れた場所に穿孔を行い、パイプ1の壁面に形成し
た多数の貫通孔2の一つを捜した後、この骨孔をドリル
で拡大する。次いで、この骨孔を経由して、反対側の骨
にもドリルで骨孔を穿けた後、横止めネイルAを、図2
に示すように、打ち込む。パイプ1の壁面の貫通孔2
は、全面に多数形成されているので、極細のドリルを用
いて穿孔すれば、容易に一つの貫通孔2を捜し出すこと
ができる。A pipe 1 having a thickness to be inserted into the bone marrow cavity of a fractured bone with almost no space is prepared. And this pipe 1
Is inserted into the bone marrow cavity between the fractured bone and the bone to reduce the fractured bone and the bone. After that, using a very fine drill, a hole is drilled at a location away from the fracture end, one of the many through holes 2 formed in the wall surface of the pipe 1 is searched, and then this bone hole is enlarged by a drill. Next, after drilling a bone hole through the bone hole to the bone on the opposite side, the lateral stop nail A is attached to the bone shown in FIG.
Drive in as shown in. Through hole 2 on the wall of pipe 1
Since many are formed on the entire surface, one through-hole 2 can be easily found by making a hole with an ultra-fine drill.
【0023】図2に示す実施例では、横止めネイルA
が、パイプ1に対して直交するように2本打ち込まれて
いる。このように、パイプ1の一端側の貫通孔2を長孔
に形成して、この長孔に横止めネイルAを打ち込むと、
横止めネイルAが長孔の貫通孔2内において長さ方向に
移動可能になるため、骨折した骨と骨の断端面に体重等
によって圧迫、接合する力が働き、骨の癒合が早く、確
実に行われる。In the embodiment shown in FIG. 2, a lateral stop nail A is used.
However, two pipes are driven so as to be orthogonal to the pipe 1. In this way, when the through hole 2 on one end side of the pipe 1 is formed into a long hole and the lateral stop nail A is driven into this long hole,
Since the lateral stop nail A becomes movable in the longitudinal direction within the through hole 2 of the long hole, the force of pressing and joining the fractured bone and the stump surface of the bone by the weight and the like works, and the fusion of the bone is quick, Definitely done.
【0024】[0024]
【発明の効果】以上のように、この発明に係る骨整復用
髄内ピンを使用すると、長管骨の骨折治療を、早く確実
に行うことができるという効果がある。As described above, when the intramedullary pin for bone reduction according to the present invention is used, there is an effect that the fracture treatment of a long bone can be performed quickly and surely.
【図1】この発明に係る骨整復用髄内ピンの一実施例を
示す一部を省略した正面図FIG. 1 is a front view with one part omitted showing an embodiment of an intramedullary pin for bone reduction according to the present invention.
【図2】同上の使用状態を示す断面図FIG. 2 is a cross-sectional view showing a usage state of the same as above.
1 パイプ 2 貫通孔 A 横止めネイル B 生体活性型骨セメント 1 Pipe 2 Through Hole A Lateral Nail B Bioactive Bone Cement
Claims (3)
のパイプからなり、このパイプの壁面の全面に、壁面を
貫通する貫通孔を多数形成した骨整復用髄内ピン。1. An intramedullary pin for bone reduction, comprising a pipe having a thickness that can be inserted into a medullary cavity with almost no space, and having a large number of through holes penetrating through the wall surface of the pipe.
を、パイプの長さ方向に長い長孔に形成したことを特徴
とする骨整復用髄内ピン。2. An intramedullary pin for bone reduction, characterized in that a through hole provided on one end side of the pipe is formed as an elongated hole elongated in the length direction of the pipe.
スによって形成されている請求項1又は2に記載の骨整
復用髄内ピン。3. The intramedullary pin for bone reduction according to claim 1 or 2, wherein the pipe is made of a titanium alloy or stainless steel.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP6011122A JPH07213535A (en) | 1994-02-02 | 1994-02-02 | Bone marrow pin for restoring bone |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP6011122A JPH07213535A (en) | 1994-02-02 | 1994-02-02 | Bone marrow pin for restoring bone |
Publications (1)
Publication Number | Publication Date |
---|---|
JPH07213535A true JPH07213535A (en) | 1995-08-15 |
Family
ID=11769218
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP6011122A Pending JPH07213535A (en) | 1994-02-02 | 1994-02-02 | Bone marrow pin for restoring bone |
Country Status (1)
Country | Link |
---|---|
JP (1) | JPH07213535A (en) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR100393256B1 (en) * | 2000-06-27 | 2003-07-31 | 박일형 | Intramedullary nail and interlocking method of distal screw through the nail |
WO2004028383A1 (en) * | 2002-09-27 | 2004-04-08 | Synthes Ag Chur | Intramedullary nail |
US9788871B2 (en) | 2002-08-10 | 2017-10-17 | Howmedica Osteonics Corp. | Method and apparatus for repairing the mid-foot region via an intramedullary nail |
-
1994
- 1994-02-02 JP JP6011122A patent/JPH07213535A/en active Pending
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR100393256B1 (en) * | 2000-06-27 | 2003-07-31 | 박일형 | Intramedullary nail and interlocking method of distal screw through the nail |
US9788871B2 (en) | 2002-08-10 | 2017-10-17 | Howmedica Osteonics Corp. | Method and apparatus for repairing the mid-foot region via an intramedullary nail |
US9867642B2 (en) | 2002-08-10 | 2018-01-16 | Howmedica Osteonics Corp. | Method and apparatus for repairing the mid-foot region via an intramedullary nail |
US10238437B2 (en) | 2002-08-10 | 2019-03-26 | Howmedica Osteonics Corp. | Method and apparatus for repairing the mid-foot region via an intramedullary nail |
US10925650B2 (en) | 2002-08-10 | 2021-02-23 | Howmedica Osteonics Corp. | Method and apparatus for repairing the mid-foot region via an intramedullary nail |
US11666363B2 (en) | 2002-08-10 | 2023-06-06 | Howmedica Osteonics Corp. | Method and apparatus for repairing the mid-foot region via an intramedullary nail |
WO2004028383A1 (en) * | 2002-09-27 | 2004-04-08 | Synthes Ag Chur | Intramedullary nail |
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