referring to fig1 a cannulated fixation screw 10 includes a shaft 12 , a drilling tip 14 , a chuck 16 , and threads 18 . as best shown in fig1 and 2 , the shaft 12 includes therethrough a cannula 20 . referring to fig1 and 3 , the drilling tip 14 includes a plurality of flutes 22 . the drilling tip may include any desired number of flutes 22 ; however , the preferred embodiment illustrated includes four such flutes 22 . the flutes are formed by the intersection of a cutting face 24 extending radially from the shaft and a second face 26 perpendicular to the cutting face 24 . the flutes 22 define a plurality of lands 28 therebetween with each of the lands 28 including a threaded portion 30 on the shaft 12 and an unthreaded or smooth transition portion 32 adjacent the drilling tip 14 . each of the lands has a heel 34 defined by the intersections of the lands 28 with the second faces 26 . the threaded portions 30 are formed such that each thread 18 has a maximum thread height at the cutting faces 24 to define a plurality of acute - angled cutting edges 36 . each thread 18 in the threaded portions 30 tapers from the cutting edge to a minimum thread height at the heels 34 of the lands 28 . as best shown in fig1 and 3 , the smooth portions 32 of the lands 28 form a generally frustoconical shape adjacent the drilling tip 14 . the drilling tip 14 comprises a plurality of drilling teeth 38 , the drilling teeth 38 being formed at the end of each land 28 . the drilling teeth 38 are formed by the intersection of the cutting face 24 , the frustoconical smooth portion 32 , and the cannula 20 . referring to fig1 and 7 , the drilling teeth 36 are formed such that when the shaft 12 is urged against a bone 40 with sufficient force , rotation of the shaft 12 causes the drilling teeth 38 to drill a passage 42 in the bone 40 so that the shaft 12 may enter into the bone . after the drilling teeth 38 and the smooth transition portions 32 have entered the bone 40 , the cutting edges 36 of the threaded portions 30 begin to tap threads into the bone 40 . further rotation of the shaft 12 with application of sufficient force between the shaft 12 and the bone 40 results in simultaneous drilling and tapping of the passage 42 in the bone 40 . referring to fig4 the chuck 16 may be formed to have any convenient cross section such as square to provide means for attaching the fixation screw 10 to a drilling apparatus ( not shown ). referring to fig5 and 6 , the shaft 12 may alternatively include thereon a generally hemispherical head 44 suitable for engaging the outer surface of a bone 40 when the cannulated fixation screw 10 is to be left in position in the bone 40 . the hemispherical head 44 preferably includes therein a generally hexogonal - shaped recess 46 to accommodate ordinary hexogonal drive wrenches ( not shown ). the cannulated fixation screw 10 may be formed of any convenient material such as titanium , a titanium alloy or a suitable stainless steel . as shown in fig7 the cannulated fixation screw is preferably used in conjunction with a guide wire 48 . it has been found that an orthopedist or other suitably trained personnel may drill a hole having a relatively small diameter in the bone 40 at a predetermined location with very little error in the location of the hole ; whereas it is more difficult to drill a hole at a predetermined location with a relatively large drilling device without the risk of significant error in the location of the hole . therefore , a relatively small hole 50 is drilled through the bone and the guide wire 48 is inserted therein . the cannulated fixation screw 10 is then inserted over the guide wire 48 and positioned around the guide wire 48 with the drilling teeth 36 being adjacent the bone 40 . the guide wire 48 positions the cannulated fixation screw 10 while the drilling teeth drill 38 drill a passage in the bone 40 and the cutting edges 36 tap threads in the passage 40 . the cannulated fixation screw 10 is formed using conventional machining tools and procedures well known in the art . it may be convenient to begin with a cylindrical cannulated shaft 12 having flat ends . the square chuck 16 is formed by machining the sides of the shaft 12 to form the four intersecting planes required to form the square chuck 16 . secondly , the transition zone 32 is formed as a frustocone , best shown in fig1 . the flutes 22 are then machined into the shaft 12 , which is then threaded . the threads in the lands 28 are machined to provide relief with the thread height decreasing from the cutting edges 36 to the heels of the lands 28 . the shaft 12 is preferably machined so that the diameter of the threaded portion 18 is greater than the unthreaded portion of the shaft 12 . portions of the frustoconical transition zone 32 must be machined away to form the drilling teeth 38 . although the present invention has been described with reference to a particular embodiment thereof , it will be understood by those skilled in the art that numerous modifications may be made without departing from the scope of the invention . accordingly , all modifications and equivalents which are properly within the scope of the appended claims are included in the present invention .
a self - tapping , self - drilling orthopedic fixation screw includes a cannula through the shaft of the screw for placement over a guide pin mounted in a guide hole in a bone to drill and tap a hole at predetermined location in the bone .