A system and method are for bone fixation. A radially expandable sleeve is inserted over an elongated shaft of a bone screw. The bone screw and radially expandable sleeve are inserted into a transverse opening extending through a bone fixation device positioned in a bone until the radially expandable sleeve is fully housed within the transverse opening. The bone screw is further screwed into the bone relative to the radially expandable sleeve to cause expansion of the radially expandable sleeve within the bone fixation device, thereby locking the sleeve to the bone fixation device.
1. A method for bone fixation, comprising the steps of:
placing a radially expandable sleeve over an elongated shaft of a bone screw;
simultaneously inserting the bone screw and radially expandable sleeve into a transverse opening extending through a bone fixation device positioned in a bone until the radially expandable sleeve is fully housed within the transverse opening; and
screwing the bone screw further into the bone relative to the radially expandable sleeve to cause expansion of the radially expandable sleeve within the bone fixation device, thereby locking the sleeve to the bone fixation device.
2. The method of claim 1 , wherein the bone screw has an elongated shaft with a core diameter “k” and an external thread with an external diameter “d” and comprises:
a first elongated part extending from a first end to a second end of the bone screw, the first part having a first length and a uniform external diameter “d 2 ” and uniform core diameter “k 2 ”;
a second elongated part extending from a third end to a distal end of the bone screw, the second elongated part having a second length and a uniform external diameter “d 1 ” and uniform core diameter “k 1 ”; and
a tapered part extending from the second end to the third end of the bone screw, the tapered part tapering from the larger dimensions “d 2 ” and “k 2 ” respectively towards the smaller dimensions “d 1 ” and “k 1 ”, respectively, where “d 1 ” and “k 1 ” do not equal zero.
3. The method of claim 2 , wherein the radially expandable sleeve is moved to the expanded configuration by the tapered part of the bone screw.
4. The method of claim 2 , further comprising a third elongated part extending from a proximal end of the bone screw to the first end, the third part having a third length and a uniform external diameter “d 3 ” such that d 3 >d 2 , the third elongated part having an external thread.
5. The method of claim 1 , wherein the radially expandable sleeve is positioned over the second elongated part during insertion.
6. The method of claim 5 , wherein the radially expandable sleeve comprises an increased diameter peripheral flange at a distal end thereof, the flange preventing the sleeve from being pushed out of the transverse opening of the bone fixation device.
7. The method of claim 6 , wherein the transverse opening includes a facet at a first end thereof, the facet being formed to receive the flange therein.
8. The method of claim 1 , wherein the radially expandable sleeve comprises internal threading configured to mate with external threading of the shaft of the bone screw.
9. The method of claim 1 , wherein the radially expandable sleeve comprises a first longitudinal slot extending through an outer wall thereof in alignment with a longitudinal axis of the sleeve.
10. The method of claim 9 , wherein the first longitudinal slot extends over one of a portion of and a full length of the radially expandable sleeve.
11. The method of claim 9 , wherein the radially expandable sleeve comprises a second longitudinal slot, the first and second longitudinal slots being positioned alternatingly at proximal and distal ends of the radially expandable sleeve.
12. The method of claim 1 , wherein the radially expandable sleeve is formed of one of a non-absorbable plastic, a metallic material and a bio-absorbable plastic.
13. The method of claim 1 , wherein the bone fixation device is a medullary pin.