A self-drilling screw apparatus for stabilizing adjacent bone fragments, the apparatus comprising:
- a shell;
- a first screw member having a tapered end and a threaded body disposed within the shell;
- a second screw member having a tapered end and a threaded body disposed within the shell;
- and
- a drive mechanism for driving the first and second screw members from the shell in opposite directions,
- wherein the drive mechanism includes:
- a first drive screw disposed at least partially within the shell;
- a first pinion that is responsive to rotation of the first drive screw and that drives the first screw member;
- a second drive screw disposed at least partially within the shell;
- and
- a second pinion that is responsive to the rotation of the second drive screw and that drives the second screw member,
- wherein the first screw member is of a diameter smaller than the diameter of the second screw member;
- and
- wherein the second screw member includes a hollow threaded portion that receives a portion of the threaded body of the first screw member.