Bone screw implant for sacroiliac joint fusion

1 . A bone screw implant for sacroiliac joint fusion, the bone screw implant comprising:

a bone screw comprising:

a shank having a first end and a second end opposite the first end, the shank defining a longitudinal axis extending between the first end and the second end, the first end having a first engagement geometry extending about the shank and the second end having a tip;

an external threading extending along the shank; and

at least one cutting flute provided between the first end and the second end, wherein the at least one cutting flute is configured to gather and retain bone shavings; and

a sleeve rotatably coupled with the bone screw, the sleeve comprising:

a body portion having an external surface and a bore forming an internal surface, the internal surface having a second engagement geometry extending about the bore,

wherein the first engagement geometry and the second engagement geometry allow the sleeve to rotate freely relative to the bone screw.

2 . The bone screw implant of claim 1 , wherein the second engagement geometry includes a groove extending circumferentially about the sleeve.

3 . The bone screw implant of claim 1 , wherein the second engagement geometry extends circumferentially about the sleeve perpendicular to an axis of the bore.

4 . The bone screw implant of claim 1 , wherein the first engagement geometry extends circumferentially about the shank perpendicular to the longitudinal axis of the shank.

5 . The bone screw implant of claim 1 , wherein the second engagement geometry is configured to receive a ring structure to allow the sleeve to rotate freely relative to the bone screw.

6 . The bone screw implant of claim 1 , wherein the sleeve comprises a plurality of projections extending from the body portion and configured to engage bone as the bone screw is advanced.

7 . The bone screw implant of claim 6 , wherein the plurality of projections extend radially from the body portion.

8 . The bone screw implant of claim 6 , wherein the plurality of projections comprise tapered fins.

9 . The bone screw implant of claim 1 , wherein the sleeve comprises a channel extending through the sleeve from the external surface to the internal surface.

10 . A bone screw implant for sacroiliac joint fusion, the bone screw implant comprising:

a bone screw comprising:

a shank defining a longitudinal axis and having a first end and a second end opposite the first end;

a first engagement geometry extending circumferentially about the shank perpendicular to the longitudinal axis; and

at least one cutting flute provided between the first end and the second end, wherein the at least one cutting flute is configured to gather and retain bone shavings; and

a sleeve coupled with the bone screw, the sleeve comprising:

a body portion having an external surface and a bore forming an internal surface;

a second engagement geometry extending circumferentially about the bore and perpendicular to an axis of the bore,

wherein the first engagement geometry and the second engagement geometry fix the sleeve longitudinally relative to the bone screw and allow the sleeve to rotate relative to the bone screw.

11 . The bone screw implant of claim 10 , wherein the second engagement geometry includes a groove.

12 . The bone screw implant of claim 10 , wherein the second engagement geometry is configured to receive a ring structure to allow the sleeve to rotate relative to the bone screw.

13 . The bone screw implant of claim 10 , wherein the sleeve comprises a plurality of projections extending from the body portion and configured to engage bone as the bone screw is advanced.

14 . The bone screw implant of claim 13 , wherein the plurality of projections extend radially from the body portion.

15 . The bone screw implant of claim 13 , wherein the plurality of projections comprise tapered fins.

16 . The bone screw implant of claim 10 , wherein the sleeve comprises a channel extending through the sleeve from the external surface to the internal surface.

17 . A bone screw implant for sacroiliac joint fusion, the bone screw implant comprising:

a bone screw comprising:

a shank having a first end and a second end opposite the first end, the shank defining a longitudinal axis extending between the first end and the second end;

a first engagement geometry extending circumferentially about the shank perpendicular to the longitudinal axis; and

at least one cutting flute provided between the first end and the second end, wherein the at least one cutting flute is configured to gather and retain bone shavings; and

a sleeve coupled with the bone screw, the sleeve comprising:

a body portion having an external surface and a bore forming an internal surface;

a second engagement geometry extending circumferentially about the bore;

wherein one of the first engagement geometry and the second engagement geometry is a groove, and the other of the first engagement geometry and the second engagement geometry is a projection;

wherein engagement between the groove and the projection inhibit longitudinal movement of the sleeve relative to the bone screw and allow the sleeve to rotate relative to the bone screw.

18 . The bone screw implant of claim 17 , wherein the first engagement geometry is the projection and the second engagement geometry is the groove which is configured to receive the projection and to allow the sleeve to rotate freely relative to the bone screw.

19 . The bone screw implant of claim 17 , wherein the sleeve comprises a plurality of projections extending radially from the body portion and configured to engage bone as the bone screw is advanced.

20 . The bone screw implant of claim 19 , wherein the plurality of projections comprise tapered fins.