Summary of the invention
The present invention aims to provide a kind of children's's osteotomy lockplate, and solve the shortcoming of other adult's lockplates when treatment children's hip is lopsided, distal femur is lopsided and fracture, that realizes ideal is fixing.
Technical scheme of the present invention is: children's's osteotomy lockplate, and on the plate body of strip, longitudinally axis has multiple bone screw, and the front end of this plate body is provided with the flat head of outwards bending, and the width of this head is greater than the width of plate body; On this head, longitudinally axis has guide pinhole, has longitudinal bone screw at rear portion in front portion, and the position being positioned at longitudinal axis both sides between guide pinhole and this longitudinal bone screw offers left bone screw and right bone screw respectively; The axis being parallel of the axis of guide pinhole and the axis of left bone screw and right bone screw, the angle between the axis of guide pinhole and plate body lower surface is 90-150 degree, and the angle between the axis of guide pinhole and the axis of longitudinal bone screw is 0-20 degree; Be used for the treatment of hip varus and Methods for Distal Femoral Fractures.
A kind of version is had to be: described head is provided with the platform parallel with plate body, and described guide pinhole, longitudinal bone screw, left bone screw and right bone screw are all established on the platform.Angle between the axis of guide pinhole and plate body lower surface is 100-120 degree, and the angle between the axis of guide pinhole and the axis of longitudinal bone screw is 20 degree.This structure treat hip turn up and femoral supracondylar fracture time more to fit the anatomical structure of children's, improve orthopedic effect, improve fixed property.
Implement in structure preferred: the inner side of described plate body and head all has the arc groove of longitudinally Axis Extension, the axis of described left bone screw and the axis of described right bone screw are located on the different RADIAL of two of this arc groove cross section respectively.This structure can make plate body and head more press close to fracture both sides in using state, and consequently head three bone screw form many level-crossings at patient femur's tuberosity part and fix, and improves anti-ly to cut out power.Overall fixed property and stability are improved.
Children's's osteotomy lockplate of the present invention is by the cranial anatomy configuration design of outwards bending, and the convenient fracture both sides being correctly placed on treatment children's hip deformity, form correct orthopedic location.Head porous locking design, can realize good biomechanics distribution at children's's femoral trochanteric, provide angle stability and improve resisting pull out forces, reaching the effect of Titanic micro-plates.By the angle design of the different bone screw of head, different specifications the clinical demand of various patient can be met.
Accompanying drawing explanation
Fig. 1 is the perspective view of children's's osteotomy lockplate of the present invention embodiment.
Fig. 2 is Fig. 1 embodiment longitudinally longitudinal profile structural representation of making of axis.
Fig. 3 is the using state reference diagram of Fig. 1 embodiment.
Fig. 4 is the structural representation of another embodiment of children's's osteotomy lockplate of the present invention.
Fig. 5 is Fig. 4 embodiment longitudinally longitudinal profile structural representation of making of axis.
Fig. 6 is the perspective view of another embodiment of children's's osteotomy lockplate of the present invention.
Fig. 7 is Fig. 6 embodiment longitudinally longitudinal profile structural representation of making of axis.
Fig. 8 is the occupation mode reference diagram of Fig. 7 embodiment.
Fig. 9 is the occupation mode reference diagram of a kind of distortion of Fig. 8 embodiment.
Figure 10 is existing adult's lockplate longitudinally longitudinal profile structural representation of making of axis.
Figure 11 is the inside structure schematic diagram of Figure 10 adult's lockplate.
Detailed description of the invention
One, embodiment one
The structure of children's's osteotomy lockplate of the present invention embodiment, please refer to Fig. 1 and Fig. 2.This children's's osteotomy lockplate is applicable to treatment hip and turns up and femoral supracondylar fracture, on the plate body 1 of its strip, longitudinally axis has three bone screw 6, three bone screw 6 are all in the figure of eight, and the first half of each bone screw 6 is unthreaded hole, latter half is screw.The bone screw that in operation, doctor can use root to be polished rod as required neatly or the threaded bone screw of root, ensure the quality of performing the operation to greatest extent.The inner side of plate body 1 has the groove 11 of longitudinally Axis Extension and between every two adjacent screw holes 6, offers the shallow slot 12 of one transverse direction.The front end of this plate body 1 is provided with the head 2 of outwards bending, and the width of this head 2 is greater than the width of plate body 1; This head 2 is provided with the platform parallel with plate body 1.Longitudinally axis has guide pinhole 3, has longitudinal bone screw 5 at rear portion in front portion on the platform, and the position being positioned at longitudinal axis both sides between guide pinhole 3 and this longitudinal bone screw 5 offers left bone screw 41 and right bone screw 42 respectively; The axis being parallel of the axis of guide pinhole 3 and the axis of left bone screw 41 and right bone screw 42, the angle b between the axis of guide pinhole 3 and plate body 1 lower surface is 100 degree, and the angle a between the axis of guide pinhole 3 and the axis of longitudinal bone screw 5 is 20 degree.The inner side of head 2 has the arc groove 21 of longitudinally Axis Extension, and the left axis of bone screw 41 and the axis of right bone screw 42 are located on the different RADIAL of two of this arc groove 21 cross section respectively.
During use, first insert guide pin at patient femur's tuberosity part 81, the guide pinhole 3 of the present embodiment head 2 is entangled this guide pin and makes head 2 be affixed to patient femur's tuberosity part 81, plate body 1 is affixed to the backbone 82 of fracture opposite side.Then, on femoral trochanteric 81, corresponding aperture is beaten according to longitudinal bone screw 5, left bone screw 41 and right bone screw 42 on head 2 platform, after tapping, select the bone screw 71,72,73 of appropriate length, be screwed into femoral trochanteric 81 nail road locking accordingly with torsion screwdriver through left bone screw 41, right bone screw 42 and longitudinal bone screw 5 respectively.Then guide pin is taken out.On the backbone 82 of fracture opposite side, corresponding aperture is beaten according to three bone screw 6 on plate body 1, after tapping, select the bone screw 74,75,76 of appropriate length to be each passed through bone screw 6 corresponding on plate body 1 to lock, be fixed on the backbone 82 of fracture opposite side, see Fig. 3.
Two, embodiment two
The structure of another embodiment of children's's osteotomy lockplate of the present invention is similar to previous embodiment, and its yardstick is smaller, is applicable to minimal invasive operation hip and turns up and femoral supracondylar fracture.Its structure, please refer to Fig. 4 and Fig. 5.This children's's osteotomy lockplate, on the plate body 10 of strip, longitudinally axis has two bone screw, 60, two bone screw 60 all in the figure of eight, and the first half of each bone screw 60 is unthreaded hole, latter half is screw.The bone screw that in operation, doctor can use root to be polished rod as required neatly or the threaded bone screw of root, ensure the quality of performing the operation to greatest extent.The inner side of plate body 10 has the groove 110 of longitudinally Axis Extension and between two screw holes 60, offers the shallow slot 120 of one transverse direction.The front end of this plate body 10 is provided with the head 20 of outwards bending, and the width of this head 20 is greater than the width of plate body 10; This head 20 is provided with the platform parallel with plate body 10.Longitudinally axis has guide pinhole 30, has longitudinal bone screw 50 at rear portion in front portion on the platform, and the position being positioned at longitudinal axis both sides between guide pinhole 30 and this longitudinal bone screw 50 offers left bone screw 410 and right bone screw 420 respectively; The aperture of guide pinhole 30 and this longitudinal bone screw 50 quite and be all greater than the aperture of left bone screw 410 and right bone screw 420.The axis being parallel of the axis of guide pinhole 3 and the axis of left bone screw 41 and right bone screw 42, angle b1 between the axis of guide pinhole 30 and plate body 10 lower surface is 120 degree, and the angle a1 between the axis of guide pinhole 30 and the axis of longitudinal bone screw 50 is 20 degree.The inner side of head 20 has the arc groove 210 of longitudinally Axis Extension, and the left axis of bone screw 410 and the axis of right bone screw 420 are located on the different RADIAL of two of this arc groove 210 cross section respectively.
The occupation mode of the present embodiment is identical with previous embodiment.
Three, embodiment three
The structure of children's's osteotomy lockplate of the present invention 3rd embodiment, please refer to Fig. 6 and Fig. 7.This children's's osteotomy lockplate is applicable to treatment hip varus and Methods for Distal Femoral Fractures, on the plate body 100 of its strip, longitudinally axis has four bone screw 600, four bone screw 600 are all in the figure of eight, and the first half of each bone screw 600 is unthreaded hole, latter half is screw.The inner side of plate body 100 has the groove 1100 of longitudinally Axis Extension and between every two adjacent screw holes 600, offers the shallow slot 1200 of one transverse direction.The front end of this plate body 100 is provided with the flat head 200 of outwards bending, and the width of this head 200 is greater than the width of plate body 100; On this head 200, longitudinally axis has guide pinhole 300, has longitudinal bone screw 500 at rear portion in front portion, and the position being positioned at longitudinal axis both sides between guide pinhole 300 and this longitudinal bone screw 500 offers left bone screw 4100 and right bone screw 4200 respectively; The axis being parallel of the axis of guide pinhole 300 and the axis of left bone screw 4100 and right bone screw 4200, angle b0 between the axis of guide pinhole 300 and plate body 100 lower surface is 110 degree (also can be 90 degree), the axis of guide pinhole 300 and the axis being parallel of longitudinal bone screw 500, namely angle a2 is between the two 0 degree.The inner side of head 200 has the arc groove 210 of longitudinally Axis Extension, and the left axis of bone screw 4100 and the axis of right bone screw 4200 are located on the different RADIAL of two of this arc groove 2100 cross section respectively.
The using state of the present embodiment, please refer to Fig. 8.The head 200 of the present embodiment is affixed to patient femur's tuberosity part 8100, and plate body 100 is affixed to the backbone 8200 of fracture opposite side.The bone screw 7100,7200,7300 of three appropriate length is screwed into corresponding nail road locking on femoral trochanteric 8100 through the left bone screw 4100 of head 200, right bone screw 4200 and longitudinal bone screw 500 respectively.The bone screw 7400,7500,7600 of three appropriate length is each passed through the bone screw 600 that on plate body 100, three, rear portion is corresponding and locks, is fixed on the backbone 8200 of fracture opposite side.
Four, embodiment four
4th embodiment of children's's osteotomy lockplate of the present invention is also be applicable to treatment hip varus and Methods for Distal Femoral Fractures, and the 4th embodiment is the distortion of the 3rd embodiment, and their structure is similar, and just discrete structure parameter is different.Please refer to Fig. 9:
On the plate body 1001 of strip, longitudinally axis has three bone screw.The inner side of plate body 1001 has the groove of longitudinally Axis Extension and between every two adjacent screw holes, offers the shallow slot of one transverse direction.The front end of this plate body 1001 is provided with the flat head 2001 of outwards bending, and the width of this head 2001 is greater than the width of plate body 1001; On this head 2001, longitudinally axis has guide pinhole, has longitudinal bone screw at rear portion in front portion, and the position being positioned at longitudinal axis both sides between guide pinhole and this longitudinal bone screw offers left bone screw and right bone screw respectively; The axis being parallel of the axis of guide pinhole and the axis of left bone screw and right bone screw, the angle between the axis of guide pinhole and plate body 1001 lower surface is 150 degree, and the angle between the axis of guide pinhole and the axis of longitudinal bone screw is 20 degree.The inner side of head 2001 has the arc groove of longitudinally Axis Extension, and the axis of left bone screw and the axis of right bone screw are located on the different RADIAL of two of this arc groove cross section respectively.
When using the present embodiment, head 2001 is affixed to patient femur's tuberosity part 8101, and plate body 1001 is affixed to the backbone 8201 of fracture opposite side.Bone screw 7001,7002 (not shown), 7003 of three appropriate length is screwed into corresponding nail road locking on femoral trochanteric 8101 through the left bone screw of head 2001, right bone screw and longitudinal bone screw respectively.The bone screw 7004,7005,7006 of three appropriate length is each passed through bone screw locking corresponding on plate body 1001, is fixed on the backbone 8201 of fracture opposite side.
The above, be only present pre-ferred embodiments, do not limit scope of the invention process with this, and equivalence change and the modification done according to technical scheme of the present invention and description, all should belong to the scope that the present invention is contained.