US2628614A - Fracture securing device - Google Patents

Description

Feb. 17, 1953 H BR FRACTURE SECURING DEVICE Filed May '7, 1951 1 N VEN TOR 716 323 Br zlg qs, BY i Q ATTORNEYS Patented Feb. 17,953

'UNITED STATES PATENT OFFICE FRACTURE SECURING DEVICE Henry Briggs, East Orange, N. J.

Application May 7, 1951, Serial No. 225,023

3 Claims. (Cl. 128-92) {a surgical instrument including a fracture nail-- insertable through a tubular arm of an angulated plate or strap andarranged to be emplaced with the arm into the femur to firmly maintain the fractured fragments in proper healing engagement to facilitate the union or knitting ofthe fracture.

Other objects and advantages of the invention will become apparent from the following description when taken in conjunction with the accompanying drawings.

Referring to the drawings'wherein is shown a preferred embodiment the invention may assume:

Figure 1 is a longitudinal sectional view of a fractured femur immobilized by a Smith-Peterson fracture nail and showing my improved surgical device associated therewith.

Figure 2 is a detailed side view of the angulated plate.

Figure 3 is a front view of Figure 2.

Figure 4 is a sectional view taken substantially along thelines 4--4 of Figure 2.

Figure 5 is a detail front view of the removable stop member.

Figure 6 is a detailed side view of a Smith- Peterson fracture nail or pin modified in accordance with the present invention.

Figure '7 is an end view of Figure 6, and

Figure 8 is an enlarged detail sectional view showing thefracture pin and its associated parts mounted in the tubular arm or portion of an angulated plate.

For the purpose of illustration, the improved surgical device for internal fixation of a bone fracture is shown associated with a femur l0 which has been fractured at l l between the head or proximal fragment [2 and the distal fragment l3. The fracture nail or pin [4, such as a Smith-Peterson nail, is shown inserted in the femur so as to hold the fracturedfragments 12 and I3 in a fixed position to insure proper knitting or union of the bony fragments.

In order to provide simple, efilcient and positive means for preventing outward axial displacement and rotatable displacement of thenail 14 when it is emplaced in a fractured bone such as the femur Hi, there is associated with the nail an angulated plate or strap l5. Preferably the plate l5 has an elongated curved body or shank l6, so as to conform in curvature with the contour of the femural shaft [1 and may be provided with longitudinally spaced countersunk openings l8 (Fig. 3) for receiving retaining screws l9 that are arranged to be inserted in the shaft I 1 to firmly and securely maintain'the surgical device in a fixed position relative tothe fracture. The plate [5 at one end terminates in a tubular arm or portion 2a which maybe provided with .a sharp edge 2| and through which the nail ll extends so as to have itshead 22 enclosed within the arm 20 (Fig. 8) when the parts are assembled in operative position. Thetubular arm 20 is shown extending laterally and upwardly from the plate l5 so as to form an obtuse angle as at 23 (Fig. 8), but this angle and position may be varied depending upon the particular use to which the surgical device is to be applied. The head orinner end 22 of the nail I4 is formed with a threaded recess or socket 24 (Fig. 6) and aserrated end surface 25. The wall of thetubular member 20 in the bottom thereof and adjacent to the plate I5 is provided with a slot or opening 26. Aremovable stop member 21, preferably of cylindrical shape and of slightly smaller diameter than the inner diameter of thetubular arm 20, is provided with a central opening 28 (Fig. 5) and a dependinglug 29 arranged to fit in theslot 26. When thehead 22 of the nail I4 is inserted into theopening 20 so as to extend slightly beyond theslot 26, the annular stop or retainingmember 21 may be positioned in thearm 20 and thelug 29 inserted into theslot 26 so as to be maintained in a fixed position therein, and provide means for limiting the axial outward movement or displacement of the nail l4 relative to the plate l5 when the surgical device is used for internal fixation of a bone fracture. The inner face or surface of thestop mem ber 21 is preferably serrated as at 30 to engage and interlock with theserrations 25 on thehead 22 of the nail, when the parts are assembled.

The nail l4 and thestop 21 are maintained in a fixed position within thetubular arm 20 by a threaded screw 3| which extends through the opening 28 of thestop 21 so as to engage the threaded wall of therecess 24. Thehead 32 of the screw 3| may be kerfed or grooved as at 33 for receiving a suitable operating tool, and when applied to the nail forces theserrated surface 30 of the stop member 21- into interlocking engagement with theserrations 25 so as to prevent rotary movement of the nail relative to thearm 20. The screw 3| may be provided with anaxial bore 34 to enclose a guide wire. Thus, it will be seen that thestop member 21 is so positioned in thetubular arm 20 as to constitute simp efficient and positive means for preventing outward axial displacement of the nail M and also prevents rotation of the nail l4 relative to thearm 20 when the parts are assembled.

Assuming the surgical device is used to maintain the proximal fragment l2 of the femur being held in proper engagement with the distal fragment l3 at the point of fracture ll (Fig. 1), it will be seen that after the nail I4 is inserted in the femur ID, thetubular arm 20 is emplaced in the side of the distal fragment or greater trochanter I3 and inserted so that theslot 26 is positioned in front of thehead 22 of the nail (Fig. 8). The stop plate 2'! is then inserted into thearm 20 and thelug 29 drops into theslot 25. The retaining screw 3| is now threaded to the wall of therecess 24 so as to move theserrations 30 into firm interlocking engagement udth theserrations 25 to prevent rotative movement of the nail l4 and also to limit the outward axial displacement of the nail relative to thearm 29. Thus, means that can be conveniently and safely manipulated by the surgeon are provided to insure proper fixation in order that the bony fragments at the point of fracture ll may be properly united or knitted together.

It will be understood that the form of the invention shown is merely illustrative of the preferred embodiment and that such changes may be made as come within the scope of the following'claims.

I claim:

1. A surgical device for internal fixation of a fracture including in combination, a fracture nail, a plate having a tubular arm extending laterally therefrom, said tubular arm when the fracture nail is inserted into a fractured bone to hold the fragments together, arranged to be emplaced in' the bone and enclose the nail head, said tubular arm having a slot in the wall thereof, a detachable stop member arranged to be positioned in said tubular arm and abut the end of the fracture nail, said stop member having a lug insertable in said slot for retaining the same in a fixed position, and means for detachably connecting said stop member to the head of the nail.

2. A surgical device as called for in claim 1 in which the stop member is provided with means coacting with complementary means on the end of the fracture nail for preventing rotation of the latter.

3. A surgical device for internal fixation of a fracture including in combination, a fracture nail having a head provided with an axial threaded recess and a serrated end surface, a plate having an end provided with a tubular arm extending laterally at an angle to the longitudinal axis of the plate and provided with a cutting edge, said tubular arm when the nail has been inserted into a fractured bone arranged to be emplaced in the bone and enclose the head of the nail, said tubular arm having a slot therein, a stop member arranged to be mounted in said tubular arm and having a lug extending into said slot so as to maintain the stop member in a fixed position, said stop member having a serrated surface in abutting engagement with the serrated surface on the end of the nail, a screw extending through said stop member and into said recess so as to maintain the nail in a fixed position, and means for securing said plate to the femural shaft when the parts are assembled.

HENRY BRIGGS.

REFERENCES CITED The following references are of record in the file of this patent:

UNITED STATES PATENTS Name Date Lorenzo Oct. 24, 1950 OTHER REFERENCES Number

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