Bone stabilization device

Abstract

A device and method for stabilizing a broken bone while it heals is disclosed. The device preferably has a (a) first (or proximal) section with a driving head, threads and a first diameter, and (b) second (or distal) section that is threaded and has a second diameter. The first section is preferably greater in diameter than the second section so that greater torque can be applied to tighten the device. The device may include one or more self-tapping structures to lessen the torque required to screw it into a bone.

1 . (canceled) 
     
     
         2 .- 23 . (canceled) 
     
     
         24 . A method of implanting a cannulated intramedullary implant within an intramedullary canal of a metacarpal for fixation of a fracture, the method comprising:
 inserting a guidewire into the intramedullary canal of the metacarpal;   drilling an opening into the metacarpal past a location of the fracture guided by the guidewire;   rotatably driving the cannulated intramedullary implant into the intramedullary canal guided by the guidewire, the implant comprising a headless shaft having a trailing end and a leading end, the shaft comprising a thread of a constant pitch along an entire length of the shaft, wherein a first portion of the thread has a greater constant major diameter and a second portion of the thread has a smaller constant major diameter, the first portion of the thread being continuous with the second portion of the thread, and wherein the first portion of the thread engages bone material in a larger distal portion of the metacarpal and the second portion of the thread engages bone material in a narrower proximal and mid portion of the metacarpal such that the cannulated intramedullary implant is anchored in the metacarpal; and   removing the guidewire.   
     
     
         25 . The method of  claim 24 , wherein the cannulated intramedullary implant is inserted with the leading end entering the opening into the intramedullary canal first, the second portion of the thread being closer to the leading end than to the trailing end. 
     
     
         26 . The method of  claim 24 , wherein the first portion of the thread engages the metacarpal head. 
     
     
         27 . The method of  claim 24 , wherein a first root diameter of the shaft at the first portion of the thread is greater than a second root diameter of the shaft at the second portion of the thread. 
     
     
         28 . The method of  claim 27 , wherein the first portion and the second portion of the thread is of the same thread height. 
     
     
         29 . The method of  claim 27 , wherein the shaft further comprises a transition region, a root diameter of the transition region transitions from the first root diameter to the second root diameter. 
     
     
         30 . The method of  claim 24 , wherein the shaft comprises a driving head at the trailing end, the driving head configured to receive a driver that applies a torque to rotatably drive the cannulated intramedullary implant into the intramedullary canal. 
     
     
         31 . The method of  claim 24 , wherein the shaft comprises at least one cutting structure extending through part of the first portion of the thread and at least another cutting structure extending through part of the second portion of the thread. 
     
     
         32 . A intramedullary implant configured to be implanted within an intramedullary canal of a metacarpal for fixation of a fracture:
 a headless shaft having a trailing end and a leading end, wherein the shaft comprises:
 a driving recess at the trailing end and configured to receive a driver; 
 a first portion closer to the trailing end, the first portion comprising a first thread and a first root diameter which tapers to a smaller second root diameter; and 
 a second portion closer to the leading end, the second portion comprising a second thread and the smaller second root diameter, 
   wherein the first thread and the second thread have the same pitch, the first and second threads each comprising a cutting flute extending through a portion of the first and second threads respectively, and   wherein the shaft is cannulated throughout a length of the shaft.   
     
     
         33 . The implant of  claim 32 , wherein the driving recess is shaped to receive a flat screwdriver, a Phillips screwdriver, a hex head, or an Allen wrench. 
     
     
         34 . The implant of  claim 32 , wherein the first portion has a major diameter so that the first thread is configured to engage a larger distal portion of the metacarpal. 
     
     
         35 . The implant of  claim 34 , wherein the second portion has a major diameter so that the second thread is configured to engage a narrower proximal or mid portion of the metacarpal. 
     
     
         36 . The implant of  claim 32 , wherein the shaft has a wall thickness so that the implant is strong enough to be rotatably driven into bone material of the metacarpal by a torque without being deformed. 
     
     
         37 . A method of implanting a cannulated intramedullary implant within an intramedullary canal of a metacarpal for fixation of a fracture, the method comprising:
 inserting a guidewire into the intramedullary canal of the metacarpal;   drilling an opening into the metacarpal past a location of the fracture guided by the guidewire;   rotatably driving the cannulated intramedullary implant into the intramedullary canal guided by the guidewire, the implant comprising a headless shaft having a trailing end and a leading end, the shaft comprising a thread of a constant pitch, wherein a first portion of the shaft closer to the trailing end has a greater outer diameter and a second portion of the shaft closer to the leading end has a smaller outer diameter, and wherein threads on the first portion engage bone material in a larger distal portion of the metacarpal and threads on the second portion engage bone material in a narrower proximal or mid portion of the metacarpal such that the cannulated intramedullary implant is anchored in the metacarpal; and   removing the guidewire.   
     
     
         38 . The method of  claim 37 , wherein the cannulated intramedullary implant is inserted with the leading end entering the opening on the intramedullary canal first. 
     
     
         39 . The method of  claim 37 , wherein the threads on the first portion engages the metacarpal head. 
     
     
         40 . The method of  claim 37 , wherein the shaft has a wall thickness so that the implant is strong enough to be rotatably driven into the metacarpal by a torque without being deformed. 
     
     
         41 . The method of  claim 37 , wherein the threads on the first portion and the threads on the second portion are of the same thread height. 
     
     
         42 . The method of  claim 37 , wherein rotatably driving the cannulated intramedullary implant is performed using a driving head, the implant comprising a driving head at the trailing end configured to receive the driving head. 
     
     
         43 . The method of  claim 42 , wherein the driving head is a flat screwdriver, a Phillips screwdriver, a hex head, or an Allen wrench.