A bone screw is provided having first and second threaded portions of different diameter separated by a middle portion that is unthreaded so that the bone screw may be inserted into a pair of adjacent bone fragments and used to compress the fragments together by driving the screw into a hole drilled in the fragments. An installation tool is also disclosed for threadably engaging one end of the bone screw and is used to initially drive the screw into the bone hole. Thereafter, a screwdriver may be inserted through the tool and into engagement with a recess in the bone screw and may be used to drive the screw fully into the bone and to separate the bone screw from the installation tool. A method of installation is further provided.
1. A bone screw for connecting a plurality of bone fragments comprising:
a shaft extending along a longitudinal axis, the shaft including a first end having a first threaded portion with a first core diameter, a first external diameter and a first pitch, the second end having a second threaded portion with a second core diameter, a second external diameter and a second pitch, the second end further having a tool engaging surface, wherein the first external diameter is no greater than the second core diameter, and the first and second pitches are substantially equal, and a non-threaded middle segment between the first and second threaded portions, an outer diameter of the middle segment being smaller than the first core diameter, and wherein the shaft includes a cannulation extending therethrough disposed coaxial with the screw longitudinal axis.
2. The screw of claim 1 , wherein the tool engaging surface comprises a recess configured to be engaged by a driving end of a screwdriver for imparting rotational motion to the bone screw.
3. The screw of claim 2 , wherein the recess comprises a hexagonal recess, a Torx recess or Phillips recess.
4. The screw of claim 3 , wherein the first threaded portion has self-cutting threads for cutting bone.
5. The screw of claim 4 , wherein the first threaded portion comprises at least one surface disposed substantially parallel to the screw longitudinal axis configured for cutting bone.
6. The screw of claim 4 , wherein the second threaded portion has self-cutting threads for cutting bone.
7. The screw of claim 6 , wherein the second threaded portion comprises at least one surface disposed substantially parallel to the screw longitudinal axis configured for cutting bone.
8. The screw of claim 1 , wherein the cannulation is configured to receive a guide wire for guiding the screw into the bone.