Intramedullary Nail with Angled Holes for Bone Fixation

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Solution Overview

Problem

Traditional fracture fixation systems, such as intramedullary nails and bone plating systems, face limitations in anchoring bone screws in multiple cortical bone regions and allowing for optimal screw insertion angles, which restricts the strength and flexibility of fracture fixation.

Innovation Solution

A fracture fixation system that includes an intramedullary nail, a bone plate, and screws that allow for the insertion of bone screws into cortical regions with adjustable angles and configurations, including countersunk recesses and varying hole orientations in the intramedullary nail, enabling screws to be anchored in multiple cortical regions without interference with the bone plate.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If traditional bone plating systems are used with fixed screw angles, then the bone plate can be installed, but the screws cannot be anchored in multiple cortical bone regions with optimal angles

Engineering Contradiction:
Improvescrew insertion angle flexibilityVSAvoidfixation strength
Core Design Contradiction:
Adaptability or versatilityVSStrength

Solution Approach 1:

The intramedullary nail incorporates multiple holes oriented at different angles, allowing the fixation system to adapt dynamically to various screw insertion angles and cortical bone regions, transforming a static structure into a dynamic one that can accommodate multiple fixation configurations

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The intramedullary nail is segmented with multiple discrete holes at different orientations, enabling independent screw placement at each hole to target specific cortical bone regions, rather than using a single fixed-angle configuration

Inventive Principle:
Principle #1Segmentation

2Adaptability or versatility

If screws are driven through the intramedullary nail at specific locations, then the nail can be secured, but the screws cannot be anchored in multiple cortical bone portions

Engineering Contradiction:
Improvecortical bone anchoring optionsVSAvoidfixation strength
Core Design Contradiction:
Adaptability or versatilityVSStrength

Solution Approach 1:

The intramedullary nail is divided into multiple segments with discrete holes positioned at different locations and orientations, allowing screws to be anchored in multiple separate cortical bone portions rather than a single location

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The intramedullary nail extends into the third dimension with holes oriented at various angles and positions along its length, enabling screws to anchor in multiple cortical bone regions across different spatial dimensions

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

3Ease of operation

If the bone plate covers the screw head, then the screw is secured, but the screw cannot be inserted at optimal angles for the patient's unique fracture

Engineering Contradiction:
Improvescrew insertion autonomyVSAvoidfixation strength
Core Design Contradiction:
Ease of operationVSStrength

Solution Approach 1:

The combination of the intramedullary nail with multiple angled holes and the bone plate creates a dynamic system where the bone plate can accommodate screw heads inserted at various angles, providing operational autonomy while maintaining secure fixation

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The bone plate serves multiple functions: it covers screw heads for security while simultaneously accommodating screws inserted at different angles through its interaction with the multi-holed intramedullary nail, making the system universally applicable to various fracture configurations

Inventive Principle:
Principle #6Universality (Multi-functionality)

Data Source

PatentEP4268740A1Plunging/linkage screw
Publication Date: 2023.11.01 STRYKER EUROPEAN OPERATIONS LIMITED
  • EP4268740A1 patent drawingFigure 1
  • EP4268740A1 patent drawingFigure 2~3
  • EP4268740A1 patent drawingFigure 4

AI summary

A method for securing a fractured bone includes inserting an intramedullary nail into an intramedullary canal of the bone; driving a bone screw into the bone such that a head of the bone screw is anchored in a cortical region of the bone; installing a bone plate against the bone to cover the head of the bone screw with an inner surface of the bone plate; and driving a plate screw through a plate hole of the bone plate into the underlying bone.