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TW201909848A - Sacro-iliac bone screw - Google Patents

Sacro-iliac bone screw Download PDF

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Publication number
TW201909848A
TW201909848A TW106126642A TW106126642A TW201909848A TW 201909848 A TW201909848 A TW 201909848A TW 106126642 A TW106126642 A TW 106126642A TW 106126642 A TW106126642 A TW 106126642A TW 201909848 A TW201909848 A TW 201909848A
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TW
Taiwan
Prior art keywords
male thread
wall
sleeve
thread
bone nail
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TW106126642A
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Chinese (zh)
Inventor
林松彥
許家豪
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高雄醫學大學
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Priority to TW106126642A priority Critical patent/TW201909848A/en
Publication of TW201909848A publication Critical patent/TW201909848A/en

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Abstract

A bone screw includes: a shaft and a sleeve. The shaft has a first male thread and a second male thread at two ends thereof. The sleeve is fitted over the shaft, and a first end and a second end opposite to the first end. On an inner wall of the first end is a female thread engaged with the first male thread, on an outer wall of the first end is a third male thread, on an outer wall of the second end is a forth male thread, a pitch of the forth male thread is greater than that of the third male thread, and the inner wall of the second end communicates with that of the first end so that the shaft optionally penetrates to the second end after penetrating to the first end.

Description

骶髂骨釘Tibial nail

本創作關於一種骨釘,且特別攸關一種骶髂骨釘。This creation is about a kind of bone nail, and it is especially related to a kind of patella nail.

骶髂關節脫位為骨盆骨折造成的常見創傷之一。骨盆呈閉合環形結構,其為由骶骨、位於骶骨兩側的髂骨、與位於髂骨前端的恥骨所組成,而骶骨與髂骨之間透過骶髂關節連接。因此,骶髂關節對於骨盆的穩定性與完整性相當重要。若骨盆骨折後骶髂關節復位不佳,則可能導致骨盆內的臟器功能紊亂、腰部疼痛、或下肢行動不便等病徵。Dislocation of the ankle is one of the common traumas caused by pelvic fractures. The pelvis has a closed annular structure composed of the humerus, the humerus on both sides of the humerus, and the pubic bone at the front end of the humerus, and the tibia and the tibia are connected through the ankle joint. Therefore, the ankle joint is important for the stability and integrity of the pelvis. If the ankle joint is not properly restored after a pelvic fracture, it may cause organ dysfunction in the pelvis, pain in the lower back, or inconvenience in lower limb movement.

骨盆發生骨折時,目前臨床上多採用骶髂骨釘固定斷骨。然而,礙於所採用之骨釘的結構設計,其無法提供有效的穩定力致使斷骨容易晃動。而且,其對骶髂關節無加壓效果進而無法復位。若要達到骶髂關節復位,則須額外進行融合術。When the pelvis is fractured, the humeral nail is often used to fix the broken bone. However, due to the structural design of the nail used, it does not provide an effective stabilizing force to cause the broken bone to easily shake. Moreover, it has no pressurizing effect on the ankle joint and cannot be reset. In order to achieve an ankle reduction, additional fusion is required.

職是之故,解決目前採用之骶髂骨釘於臨床上的問題確實為本創作所屬技術領域人士及/或業者積極解決的課題之一。For the sake of the job, the problem of solving the clinical problem of the currently used tibia nail is indeed one of the topics actively solved by the technical field and/or the industry to which the author belongs.

本創作之一目的在於提出一種新穎的骨釘,其可解決習用之骶髂骨釘於臨床上易造成斷骨晃動的問題。One of the aims of the present invention is to propose a novel bone nail which can solve the problem that the conventional patella nail is easy to cause bone sloshing in the clinic.

本創作之另一目的在於提出一種新穎的骨釘,其可解決習用之骶髂骨釘於臨床上對骶髂關節無加壓效果的問題。Another object of the present invention is to propose a novel bone nail which can solve the problem that the conventional patella nail has no clinical effect on the ankle joint.

於是,為達成上述及/或其他目的,本創作提出一種骨釘,其包含:一桿體、以及一套管。桿體具有一第一公螺紋以及一第二公螺紋於其二端。套管為套接桿體且具有一第一端以及一相對於第一端的第二端,第一端內壁設有一嚙合第一公螺紋的母螺紋,第一端外壁設有一第三公螺紋,第二端外壁設有一第四公螺紋,第四公螺紋的螺距大於第三公螺紋的螺距,且第二端內壁與第一端內壁連通,使桿體自套管第一端穿入後,可選擇地穿至第二端。Thus, in order to achieve the above and/or other objects, the present invention proposes a bone nail comprising: a rod body, and a sleeve. The rod body has a first male thread and a second male thread at its two ends. The sleeve is a socket body and has a first end and a second end opposite to the first end, the first end inner wall is provided with a female thread for engaging the first male thread, and the first end outer wall is provided with a third Thread, the second end outer wall is provided with a fourth male thread, the fourth male thread has a pitch larger than the third male thread pitch, and the second end inner wall is in communication with the first end inner wall, so that the rod body is self-sleeve first end After piercing, it is optionally worn to the second end.

依本創作,此骨釘使用於骶骨骨折時,套管可透過第四公螺紋之螺距大於第三公螺紋之螺距的特性來使骶骨與髂骨之間產生相對位移。如此一來,可對位於骶骨與髂骨之間的骶髂關節加壓進行融合。另外,桿體與套管可透過母螺紋嚙合第一公螺紋的特性,使第二公螺紋與第三公螺紋之間產生相對位移,從而連帶造成骶骨的斷骨產生相對位移。如此一來,可對斷骨固定。According to the creation, when the nail is used for the fracture of the tibia, the sleeve can transmit relative displacement between the tibia and the tibia through the characteristic of the pitch of the fourth male thread being larger than the pitch of the third male thread. In this way, the ankle joint pressure between the tibia and the tibia can be fused. In addition, the rod body and the sleeve can mesh with the first male thread through the female thread to make a relative displacement between the second male thread and the third male thread, so that the relative fracture of the broken bone of the tibia is caused by the joint. In this way, the broken bone can be fixed.

為讓本創作上述及/或其他目的、功效、特徵更明顯易懂,下文特舉較佳實施方式,並配合所附圖式,作詳細說明如下:In order to make the above and/or other objects, functions and features of the present invention more obvious and easy to understand, the preferred embodiments are described below, and the detailed description is as follows:

請參照圖1,繪示著本創作之一實施方式的骨釘,其含有一桿體(1)、及一套管(2)。為讓骨母細胞附著以加速骨折癒合,桿體(1)表面與套管(2)表面可為經多孔噴層(porous coating)處理過的。Referring to FIG. 1 , a bone nail according to an embodiment of the present invention is shown, which comprises a rod body (1) and a sleeve (2). In order to attach the osteoblasts to accelerate fracture healing, the surface of the rod (1) and the surface of the cannula (2) may be treated by a porous coating.

如圖2所示,桿體(1)具有一第一端以及一相對於第一端的第二端。第一端設置有一第一公螺紋(11),第二端設置有一第二公螺紋(12)。此外,第二端可向外凸設有一攻螺牙(13),以讓骨釘可攻牙。As shown in Figure 2, the shaft (1) has a first end and a second end opposite the first end. The first end is provided with a first male thread (11) and the second end is provided with a second male thread (12). In addition, the second end can be convexly provided with a tapping tooth (13) to allow the nail to tap.

如圖2所示,套管(2)為套接桿體(1),且其具有一第三端以及一相對於第三端的第四端。第三端內壁設有一母螺紋(21),而母螺紋(21)嚙合桿體(1)的第一公螺紋(11);第三端外壁設有一第三公螺紋(22)。第四端外壁設有一第四公螺紋(23),且第四端內壁與第三端內壁連通,如此桿體(1)自套管(2)第三端穿入後,可選擇地穿至第四端。此外,桿體(1)之第一公螺紋(11)的長度可等於或大於套管(2)之母螺紋(21)的長度,以調整桿體(1)與套管(2)組合後的長度來因應不同位置的骨折。As shown in Fig. 2, the sleeve (2) is a socket rod body (1) and has a third end and a fourth end with respect to the third end. The third end inner wall is provided with a female thread (21), and the female thread (21) engages the first male thread (11) of the rod body (1); the third end outer wall is provided with a third male thread (22). The fourth end outer wall is provided with a fourth male thread (23), and the fourth end inner wall is in communication with the third end inner wall, such that the rod body (1) penetrates from the third end of the sleeve (2), optionally Wear to the fourth end. In addition, the length of the first male thread (11) of the rod body (1) may be equal to or greater than the length of the female thread (21) of the sleeve (2) to adjust the combination of the rod body (1) and the sleeve (2). The length comes in response to fractures in different locations.

又如圖3所示,第四公螺紋(23)的螺距(D1)大於第三公螺紋(22)的螺距(D2)。此外,套管(2)的第四端可向外凸設有一頭部(24),其可避免套管(2)完全埋入骨內。另為提供一工具轉動套管(2),頭部(24)更可設有一凹孔(25),而凹孔(25)形狀可為十字形、一字形、方形、三角形、或星形,但不限於此。As also shown in FIG. 3, the pitch (D1) of the fourth male thread (23) is greater than the pitch (D2) of the third male thread (22). In addition, the fourth end of the sleeve (2) may have a head (24) protruding outwardly to prevent the sleeve (2) from being completely buried in the bone. In addition, in order to provide a tool rotating sleeve (2), the head (24) may further be provided with a recessed hole (25), and the recessed hole (25) may be in the shape of a cross, a shape, a square, a triangle, or a star. But it is not limited to this.

雖然圖2繪示著第三公螺紋(22)與第四公螺紋(23)為不連續的(亦即,兩者之間為非螺紋區域),但能理解的是於其他實施方式中,第三公螺紋(22)與第四公螺紋(23)亦可為連續的。Although FIG. 2 illustrates that the third male thread (22) and the fourth male thread (23) are discontinuous (ie, a non-threaded region therebetween), it can be understood that in other embodiments, The third male thread (22) and the fourth male thread (23) may also be continuous.

雖然圖2繪示著母螺紋(21)自第三端內壁不延伸至第四端內壁(亦即,第四端內壁為非螺紋區域),但能理解的是於其他實施方式中,母螺紋(21)亦可自第三端內壁延伸至第四端內壁。Although FIG. 2 illustrates that the female thread (21) does not extend from the third end inner wall to the fourth end inner wall (ie, the fourth end inner wall is a non-threaded area), it can be understood that in other embodiments The female thread (21) may also extend from the inner wall of the third end to the inner wall of the fourth end.

請參照圖4,進一步說明本實施方式的骨釘使用於骶骨(S)骨折。Referring to Fig. 4, the bone nail of the present embodiment is further described for use in a fracture of the tibia (S).

首先,透過預鑿的孔洞或桿體(1)的攻螺牙(13)攻牙將骨釘自髂骨(I)表面植入,使桿體(1)的第二公螺紋(12)透過咬合住位於另側的骶骨來間接咬合住骶骨(S)的遠端斷骨(F2),而套管(2)的第三公螺紋(22)咬合住骶骨(S)的近端斷骨(F1)。此時,第四公螺紋(23)完全或部分地位於髂骨(I)表面外。接著,轉動套管(2)頭部(24),直到第四公螺紋(23)完全位於髂骨(I)內且頭部(24)抵止於髂骨(I)表面。由於第四公螺紋(23)的螺距(D1)大於第三公螺紋(22)的螺距(D2),轉動套管(2)頭部(24)時可讓髂骨(I)與骶骨(S)的近端斷骨(F1)產生相對位移,進而可對髂骨(I)與骶骨(S)之間的骶髂關節(J)加壓以進行融合。然後,繼續轉動套管(2)頭部(24),此時第一公螺紋(11)可沿著母螺紋(21)自套管(2)第三端向第四端的方向移動,因而近端斷骨(F1)與遠端斷骨(F2)會產生相對位移,進而固定之。First, the bone nail is implanted from the surface of the tibia (I) through the pre-cut hole or the tapping tooth of the rod (1), so that the second male thread (12) of the rod body (1) is transmitted. The distal end of the humerus (S) is indirectly engaged with the humerus on the other side (F2), and the third male thread (22) of the cannula (2) engages the proximal humerus of the tibia (S) ( F1). At this time, the fourth male thread (23) is completely or partially outside the surface of the tibia (I). Next, the cannula (2) head (24) is rotated until the fourth male thread (23) is completely within the tibia (I) and the head (24) is against the tibia (I) surface. Since the pitch (D1) of the fourth male thread (23) is larger than the pitch (D2) of the third male thread (22), the tibia (I) and the tibia (S) can be rotated when the sleeve (2) is rotated (2). The proximal broken bone (F1) produces a relative displacement, which in turn pressurizes the ankle joint (J) between the tibia (I) and the tibia (S) for fusion. Then, continue to rotate the sleeve (2) head (24), at which time the first male thread (11) can move along the female thread (21) from the third end to the fourth end of the sleeve (2), thus The end fracture (F1) and the distal fracture (F2) will produce relative displacement and will be fixed.

綜上所述,本實施方式的骨釘用於骶骨骨折時,不僅可穩定地固定斷骨,亦可對骶髂關節加壓以進行融合。In summary, when the bone nail of the present embodiment is used for the fracture of the tibia, not only the broken bone can be stably fixed, but also the ankle joint can be pressurized for fusion.

雖然本創作已以較佳實施例揭露於上,然其並非用以限定本創作,本創作所屬技術領域中具有通常知識者,在不脫離本創作之精神及範圍內,當可作些許之更動與潤飾,因此本創作的保護範圍當視後附之申請專利範圍所請求者為準。Although the present invention has been disclosed in the preferred embodiments, it is not intended to limit the present invention, and those skilled in the art to which the present invention pertains can be modified in some ways without departing from the spirit and scope of the present invention. And the retouching, therefore, the scope of protection of this creation is subject to the request of the patent application scope attached.

(1)‧‧‧桿體(1)‧‧‧ rods

(11)‧‧‧第一公螺紋(11)‧‧‧First male thread

(12)‧‧‧第二公螺紋(12)‧‧‧Second male thread

(13)‧‧‧攻螺牙(13)‧‧‧Tapping teeth

(2)‧‧‧套管(2) ‧‧‧ casing

(21)‧‧‧母螺紋(21)‧‧‧Female thread

(22)‧‧‧第三公螺紋(22)‧‧‧ Third male thread

(23)‧‧‧第四公螺紋(23) ‧ ‧ fourth male thread

(24)‧‧‧頭部(24) ‧ ‧ head

(25)‧‧‧凹孔(25)‧‧‧ recessed holes

(D1)‧‧‧螺距(D1)‧‧‧pitch

(D2)‧‧‧螺距(D2)‧‧‧pitch

(F1)‧‧‧近端斷骨(F1)‧‧‧ proximal broken bone

(F2)‧‧‧遠端斷骨(F2) ‧‧‧ distal broken bone

(I)‧‧‧髂骨(I) ‧ ‧ 髂 bone

(J)‧‧‧骶髂關節(J)‧‧‧ Ankle joint

(S)‧‧‧骶骨(S)‧‧‧骶骨骨

圖1為一立體示意圖,呈現本創作之一實施方式的骨釘。 圖2為一剖面示意圖,呈現上述骨釘中的桿體與套管。 圖3為一剖面示意圖,呈現上述套管的二螺紋。 圖4為一使用示意圖,呈現上述骨釘使用於骶骨骨折。1 is a perspective view showing a bone nail of one embodiment of the present invention. Fig. 2 is a schematic cross-sectional view showing the rod body and the sleeve in the above nail. Figure 3 is a schematic cross-sectional view showing the two threads of the sleeve. Fig. 4 is a schematic view showing the use of the above nail for the fracture of the tibia.

Claims (11)

一種骨釘,係包括: 一桿體,係具有一第一公螺紋以及一第二公螺紋於其二端;以及 一套管,係套接該桿體且具有一第一端以及一相對於該第一端的第二端,該第一端內壁設有一嚙合該第一公螺紋的母螺紋,該第一端外壁設有一第三公螺紋,該第二端外壁設有一第四公螺紋,該第四公螺紋的螺距大於該第三公螺紋的螺距,且該第二端內壁與該第一端內壁連通,使該桿體自該套管第一端穿入後,可選擇地穿至該第二端。A bone nail comprising: a rod having a first male thread and a second male thread at its two ends; and a sleeve sleeved to the shaft and having a first end and a relative a second end of the first end, the first end inner wall is provided with a female thread for engaging the first male thread, the first end outer wall is provided with a third male thread, and the second end outer wall is provided with a fourth male thread The pitch of the fourth male thread is greater than the pitch of the third male thread, and the inner wall of the second end is in communication with the inner wall of the first end, so that the rod body can be selected from the first end of the sleeve. Ground to the second end. 如請求項第1項所述之骨釘,其中該桿體設有該第二公螺紋的端向外凸設有一攻螺牙。The nail according to claim 1, wherein the end of the rod body provided with the second male thread protrudes outwardly from a tapping tooth. 如請求項第1項所述之骨釘,其中該桿體之第一公螺紋的長度為等於或大於該套管之母螺紋的長度。The bone nail of claim 1, wherein the length of the first male thread of the shaft is equal to or greater than the length of the female thread of the sleeve. 如請求項第1項所述之骨釘,其中該第三公螺紋與該第四公螺紋為連續的。The bone nail of claim 1, wherein the third male thread and the fourth male thread are continuous. 如請求項第1項所述之骨釘,其中該第三公螺紋與該第四公螺紋為不連續的。The bone nail of claim 1, wherein the third male thread and the fourth male thread are discontinuous. 如請求項第1項所述之骨釘,其中該套管的第二端向外凸設有一頭部。The bone nail of claim 1, wherein the second end of the sleeve protrudes outwardly from a head. 如請求項第6項所述之骨釘,其中該頭部設有一凹孔。The bone nail of claim 6, wherein the head is provided with a recessed hole. 如請求項第7項所述之骨釘,其中該凹孔形狀為十字形、一字形、方形、三角形、或星形。The bone nail of claim 7, wherein the concave hole has a shape of a cross, a shape, a square, a triangle, or a star. 如請求項第1項所述之骨釘,其中該母螺紋自該第一端內壁延伸至該第二端內壁。The bone nail of claim 1, wherein the female thread extends from the first end inner wall to the second end inner wall. 如請求項第1項所述之骨釘,其中該母螺紋自該第一端內壁不延伸至該第二端內壁。The bone nail of claim 1, wherein the female thread does not extend from the first end inner wall to the second end inner wall. 如請求項第1項所述之骨釘,其中該桿體表面與該套管表面為經多孔噴層(porous coating)處理過的。The bone nail of claim 1, wherein the surface of the shaft and the surface of the sleeve are treated by a porous coating.
TW106126642A 2017-08-08 2017-08-08 Sacro-iliac bone screw TW201909848A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112826580A (en) * 2020-12-31 2021-05-25 刘华水 an ilium nail

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112826580A (en) * 2020-12-31 2021-05-25 刘华水 an ilium nail

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