Flexible bone implant
Examples of devices and methods for stabilizing a fracture in a bone include a body having an elongate distal portion having an outer surface defining a screw thread and an elongate proximal portion having a non-threaded outer surface.
1. A method of stabilizing a fractured long bone having an intramedullary canal, the method comprising:
providing a bone implant comprising a body defining a longitudinal axis extending between a proximal end and a distal end; an elongate distal portion of the body having an outer surface defining a screw thread, the screw thread having a minor diameter and a major diameter; and an elongate, headless, proximal portion of the body having a non-threaded outer surface having a diameter, the diameter of the proximal portion being greater than or equal to the major diameter of the distal screw thread;
inserting the bone implant into an intramedullary canal of a bone using a rotation motion that advances the distal threaded portion along a curved path in the intramedullary canal of the bone so that the proximal portion spans a fracture in the bone, wherein the elongate distal portion has a lower bending stiffness than the proximal portion, enabling the elongate distal portion to flexibly bend to follow the curved path in the intramedullary canal of the bone, the proximal portion providing stable support across the fracture site; and
securing the proximal end of the bone implant using one or more additional fixation mechanisms.
2. The method of claim 1 wherein inserting the bone implant comprises rotating the bone implant to cause the threaded distal portion to engage the bone and pull the proximal portion of the bone implant into a positioning spanning the fracture.
3. The method of claim 1 wherein the proximal portion has a length measured from a free end to a proximal start of the threads of the distal portion, the proximal portion having a maximum diameter, the maximum diameter being uniform over a region of at least one-fourth of the proximal portion length, the method further comprising inserting the bone implant to a position in which the region spans the fracture.
4. The method of claim 1 wherein the proximal portion includes a passage formed through the proximal portion transverse to the longitudinal axis from a first opening on the surface of the proximal portion to a second opening on the surface of the proximal portion, the method further comprising inserting a pin or screw so that it extends through the passage and through a portion of the bone.
5. The method of claim 1 further comprising:
turning the threaded distal portion of the bone implant into the intramedullary canal so that the threaded distal portion bends to follow a curve in the intramedullary canal.