CN106073879A - A kind of elastic bone plate that can reduce stress and promote union of fracture - Google Patents
A kind of elastic bone plate that can reduce stress and promote union of fracture Download PDFInfo
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- CN106073879A CN106073879A CN201610391812.2A CN201610391812A CN106073879A CN 106073879 A CN106073879 A CN 106073879A CN 201610391812 A CN201610391812 A CN 201610391812A CN 106073879 A CN106073879 A CN 106073879A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8023—Variable length plates adjustable in both directions
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- Orthopedic Medicine & Surgery (AREA)
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Abstract
A kind of elastic bone plate that can reduce stress and promote union of fracture, belongs to orthopedic medical device technical field, fixes for acropathy long bone fractures.Its technical scheme is: the elastic bone plate entirety indention of the present invention, and plate face is alongst arranged with the vent of multiple hollow, has multiple spring groove in the both sides in plate face simultaneously, and spring groove is arranged in parallel and vertical with plate face length direction.After using this structure, zigzag plate face and spring groove can strengthen the elasticity that blade plate is overall effectively, use close with skeleton, minimizing office stress shielding, and the stress suffered by dispersion bone plate screw prevents blade plate stress centrality from rupturing.Simultaneously, zigzag plate face and vent can reduce the contact area in blade plate plate face and surface of bone, on the premise of guarantee blade plate has enough fastening areas to surface of bone, reduce the compressing to local sclerotin, periosteum and vasoganglion, thus greatly reduce the necrosis that local bone cortex occurs because blood supply is not enough.
Description
Technical field
The present invention relates to a kind of blade plate fixing for acropathy long bone fractures, belong to orthopedic medical device technical field.
Background technology
Long bone fracture is common injury, for long bone two ends fracture and part shaft fracture, frequently with connecing
Bone plate screw system is fixed.The fixing fracture of application blade plate screw, due to blade plate elastic modelling quantity and skeleton elastic modelling quantity phase
Difference is too many, produces stress shielding phenomenon, causes stress raisers, and blade plate and the feelings such as screw loosening, fatigue fracture easily occur
Condition.Additionally, due to blade plate directly contacts with surface of bone, make local periosteum and vasoganglion thereof be oppressed, affect sclerotin blood and supply
Should, slow down the healing rate of fracture, the phenomenon such as fracture delayed union or disunion, locally necrosis of bone absorption even occurs.?
In clinical treatment, the disadvantages mentioned above of blade plate and treatment require to be formed the contradiction being difficult to be in harmonious proportion, and on the one hand clinical treatment requires to connect
Hone lamella fixation, prevents the situations such as fixing loosening, the displacement of nail from occurring, and this just requires that blade plate has enough coverage rates to surface of bone
Long-pending, and be in close contact with surface of bone, by fixing nail locking firmly, therefore cause blade plate stress to increase;On the other hand blade plate
Closely compressing surface of bone can cause again the compressing to local periosteum and vasoganglion thereof, affects sclerotin blood supply, delays healing of fracture
Close, have impact on the most again the effect for the treatment of.The most how to solve to reduce blade plate stress and obstruction on the basis of fixation
Blood fortune between exist contradiction become puzzlement medical worker a difficult problem, the most particularly effective ways and means,
Urgently scientific research personnel and medical worker solve.
Summary of the invention
The technical problem to be solved is to provide a kind of elastic bone joining that can reduce stress and promote union of fracture
Plate, this blade plate can strengthen the elasticity that blade plate is overall effectively, minimizing office stress shielding, suffered by dispersion bone plate screw
Stress, prevent blade plate stress centrality from rupturing, simultaneously can also reduce the compressing to local sclerotin, periosteum and vasoganglion,
Avoid the necrosis that local bone cortex occurs because blood supply is not enough, promote union of fracture.
The technical scheme solving above-mentioned technical problem is:
A kind of elastic bone plate that can reduce stress and promote union of fracture, it is strip slab construction, along elongated plates
Multiple fixing threaded hole, multiple fixing threaded holes is had equidistantly to be distributed on the length direction in elongated plates face on face, elongated plates face
Both sides respectively order be arranged with inside triangular groove, the triangular groove of both sides is equal, adjacent two triangular grooves
The base angle of triangle be connected, the triangle of the triangular apex of side triangular groove and two triangular grooves of opposite side
Base angle junction point is relative, and integral, flexible blade plate forms long zigzag fashion.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, described multiple solid on elongated plates face
Determining screw is lock hole, or is pressurization hole, or is sliding eye.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, the drift angle end of described triangular groove is circle
Angle, the junction, base angle of two adjacent triangular grooves is smooth circular arc transition.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, described elongated plates face also has multiple decompressions
Hole, vent lays respectively between two fixing threaded holes in elongated plates face.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, described vent is circular or oval.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, described vent is rhombus, rhombus vent
Two parallel opposite side perpendicular with the length-wise axis in elongated plates face, another two parallel opposite side of rhombus vent and length
One three arm of angle of the triangular groove of stripe board side are parallel.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, described rhombus vent and elongated plates face length
The triangular apex of a length of strip one side of the board triangular groove of two parallel opposite side that degree azimuth axis is vertical is with another
The 1/10 ~ 2/3 of the triangle base angle wire length of two triangular grooves that side is relative, the two other of vent is parallel right
The length on limit is equal with the length of above-mentioned two parallel opposite side.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, the biside plate face in described elongated plates face is divided
Not having multiple spring groove, spring groove is straight line elongated slot, and multiple spring groove are arranged in parallel, spring groove and elongated plates face
The axis of length direction vertical.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, the two ends of the plurality of spring groove connect respectively
It is connected on the triangle base angle of the triangular apex of the triangular groove of strip one side of the board and the triangular groove of opposite side even
Between contact.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, the cross section of described spring groove is semi arch
Shape, the degree of depth of spring groove is the 1/10 ~ 1/4 of elongated plates face thickness.
The above-mentioned elastic bone plate that can reduce stress and promote union of fracture, described elongated plates face is alongst
Waveform rises and falls, and fixing threaded hole is positioned at the corrugated bottom in elongated plates face and surface of bone opposite face.
The invention has the beneficial effects as follows:
The elastic bone plate entirety indention of the present invention, plate face is alongst arranged with the vent of multiple hollow,
Having multiple spring groove in the both sides in plate face, spring groove is arranged in parallel and vertical with plate face length direction simultaneously.Use this
After structure, zigzag plate face and spring groove can strengthen the elasticity that blade plate is overall effectively, use close with skeleton, subtract
Few office stress shielding, the stress suffered by dispersion bone plate screw, prevent blade plate stress centrality from rupturing.Meanwhile, zigzag
Plate face and vent can reduce the contact area in blade plate plate face and surface of bone, ensureing that blade plate has enough fastenings to surface of bone
Reduce the compressing to local sclerotin, periosteum and vasoganglion on the premise of area, thus greatly reduce local bone cortex because of blood confession
Answer necrosis that is not enough and that occur.The more important thing is, owing to blade plate has certain elasticity, can in long bone fracture fixation procedure
The weight or the muscle contraction that rely on human body realize fracture end pressurization, stimulate fracture site regeneration, thus promote union of fracture.
The present invention is the pioneering of fixing plate for long bone fracture, and the stress that effectively prevent blade plate does not mate the damage caused,
And solve and in fixation at blade plate and hinder and be difficult to, between blood fortune, the difficult problem taken into account, the technology fixing for long bone fracture is entered
Step provides new science and technology support, has good popularizing value in clinical treatment.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention;
Fig. 2 is the structural representation that invention increases vent;
Fig. 3 is the another kind of vent structural representation of the present invention;
Fig. 4 is the structural representation that invention increases spring groove;
Fig. 5 is the side view of Fig. 3;
Fig. 6 is the structural representation in the waveform plate face of the present invention.
In figure, labelling is as follows: elongated plates face 1, fixing threaded hole 2, triangular groove 3, vent 4, spring groove 5.
Detailed description of the invention
Fig. 1 shows, the elastic bone plate of the present invention is strip slab construction, along the elongated plates face of elastic bone plate
Multiple fixing threaded hole 2, multiple fixing threaded holes 2 is had equidistantly to be distributed on the length direction in elongated plates face 1 on 1.Fixing threaded hole 2
For lock hole, or for pressurization hole, or it it is sliding eye.
Fig. 1 shows, the both sides in the elongated plates face 1 of elastic bone plate order respectively is arranged with inside triangular groove 3,
The triangular groove 3 of both sides is equal, and the base angle of the triangle of adjacent two triangular grooves 3 is connected, side triangular groove 3
The triangle base angle junction point of two triangular grooves 3 of triangular apex and opposite side relative, integral, flexible blade plate is formed
Long zigzag fashion.
The a length of 50-500mm of the elastic bone plate of the present invention, width is 5-30mm, and thickness is 1-8mm, at elastic connecting
3-100 zigzag structure is had in the entire length in the elongated plates face 1 of hone lamella.
Use the plate face of this zigzag structure, on the one hand can effectively strengthen the elasticity that blade plate is overall, use with
Skeleton is close, minimizing office stress shielding, the stress suffered by dispersion bone plate screw, prevents blade plate stress centrality from rupturing;Separately
The contact area in blade plate plate face and surface of bone can be reduced in the most zigzag plate face, is ensureing that surface of bone is had enough by blade plate
Fastening area on the premise of reduce the compressing to local sclerotin, periosteum and vasoganglion, thus greatly reduce local bone cortex because of
The necrosis that blood supply is not enough and occurs.
Fig. 1 shows, the drift angle end of triangular groove 3 is fillet, the junction, base angle of two adjacent triangular grooves 3
For smooth circular arc transition.Fillet and rounded transitional structure can avoid stress to concentrate.
Fig. 2 shows, the another kind of elastic bone joining plate structure of the present invention is to add multiple vent on elongated plates face 1
4, vent 4 lays respectively between two fixing threaded holes 2 in elongated plates face 1.Vent 4 in Fig. 2 is circular or oval.
The effect of vent 4 is the contact area that can reduce blade plate plate face with surface of bone, reduces local sclerotin, periosteum and vasoganglion
Compressing.
Fig. 3 shows, another kind of vent 4 is rhombus, two parallel opposite side of rhombus vent 4 and elongated plates face 1
Length-wise axis is perpendicular, another two parallel opposite side of rhombus vent 4 and the triangular groove 3 of side, elongated plates face 1
Three arms of angle parallel.
Fig. 3 shows, the length of two parallel opposite side that rhombus vent 4 is vertical with elongated plates face 1 length-wise axis
Triangle for the triangular apex of side, elongated plates face 1 triangular groove 3 two triangular grooves 3 relative with opposite side
The 1/10 ~ 2/3 of base angle wire length.
Fig. 3 shows, owing to vent 4 is rhombus, the four edges length of rhombus is equal, and therefore the two other of vent 4 is put down
The length of row opposite side is equal with the length of above-mentioned two parallel opposite side.
Fig. 4,5 displays, the biside plate face in elongated plates face 1 has multiple spring groove 5 respectively, and spring groove 5 is straight line
Elongated slot, the cross section of spring groove 5 is semicircular arc, and multiple spring groove 5 are arranged in parallel, spring groove 5 and elongated plates face 1
The axis of length direction is vertical, and the two ends of multiple spring groove 5 are connected to the triangular groove 3 of side, elongated plates face 1
Triangular apex and opposite side triangular groove 3 triangle base angle junction point between.The degree of depth of spring groove 5 is strip
The 1/10 ~ 1/4 of shape plate face 1 thickness.
The effect of spring groove 5 is can effectively to strengthen the elasticity that blade plate is overall, uses close with skeleton, minimizing office
Stress shielding, the stress suffered by dispersion bone plate screw, prevent blade plate stress centrality from rupturing.Simultaneously as blade plate tool
Having certain elasticity, the fixing weight that can rely on human body of long bone fracture or muscle contraction realize fracture end pressurization, stimulate fracture disconnected
End regeneration, thus promote union of fracture.
Fig. 6 shows, the another kind of structure of the present invention is that elongated plates face 1 alongst rises and falls for waveform, fixing
Screw 2 is positioned at the corrugated bottom in elongated plates face 1 and surface of bone opposite face.This waveform plate face can subtract to a greater extent
Few blade plate plate face contacts with surface of bone, to reduce the compressing to local sclerotin, periosteum and vasoganglion.Meanwhile, waveform plate face
Also there is more preferable elasticity.
Claims (10)
1. one kind can reduce stress and promote the elastic bone plate of union of fracture, it is characterised in that: it is strip slab construction,
Multiple fixing threaded hole (2), the multiple fixing threaded holes (2) length direction in elongated plates face (1) is had on elongated plates face (1)
Upper equidistantly distribution, the both sides of elongated plates face (1) order respectively is arranged with inside triangular groove (3), the triangle of both sides
Connected in star (3) is equal, and the base angle of the triangle of adjacent two triangular grooves (3) is connected, the three of side triangular groove (3)
The triangle base angle junction point of two triangular grooves (3) of angled peak and opposite side is relative, and integral, flexible blade plate forms length
Zigzag fashion.
The elastic bone plate that can reduce stress and promote union of fracture the most according to claim 1, it is characterised in that: described
It is lock hole along the multiple fixing threaded holes (2) on elongated plates face (1), or is pressurization hole, or be sliding eye.
The elastic bone plate that can reduce stress and promote union of fracture the most according to claim 2, it is characterised in that: described
The drift angle end of triangular groove (3) is fillet, and the junction, base angle of two adjacent triangular grooves (3) is smooth circular arc
Shape transition.
The elastic bone plate that can reduce stress and promote union of fracture the most according to claim 3, it is characterised in that: described
Elongated plates face (1) is upper also has multiple vents (4), and vent (4) lays respectively at two fixing threaded holes in elongated plates face (1)
(2) between.
The elastic bone plate that can reduce stress and promote union of fracture the most according to claim 4, it is characterised in that: described
Vent (4) is circular or oval.
The elastic bone plate that can reduce stress and promote union of fracture the most according to claim 4, it is characterised in that: described
Vent (4) is rhombus, and two parallel opposite side of rhombus vent (4) hang down mutually with the length-wise axis of elongated plates face (1)
Directly, a triangle of the triangular groove (3) of another two parallel opposite side of rhombus vent (4) and elongated plates face (1) side
Limit is parallel.
The elastic bone plate that can reduce stress and promote union of fracture the most according to claim 6, it is characterised in that: described
The a length of elongated plates face of two parallel opposite side that rhombus vent (4) is vertical with elongated plates face (1) length-wise axis
(1) the triangle base angle of two triangular grooves (3) that the triangular apex of side triangular groove (3) is relative with opposite side is even
The 1/10 ~ 2/3 of line length, the length of the parallel opposite side of two other of vent (4) and the length phase of above-mentioned two parallel opposite side
Deng.
8. according to can reduce stress and promoting the elastic bone plate of union of fracture described in claim 1 or 4, it is characterised in that:
Having multiple spring groove (5) on the biside plate face of described elongated plates face (1) respectively, spring groove (5) is straight line elongated slot, multiple
Spring groove (5) is arranged in parallel, and spring groove (5) is vertical with the axis of the length direction of elongated plates face (1).
The elastic bone plate that can reduce stress and promote union of fracture the most according to claim 8, it is characterised in that: described
The two ends of multiple spring groove (5) be connected to the triangular groove (3) of elongated plates face (1) side triangular apex and
Between the triangle base angle junction point of the triangular groove (3) of opposite side.
The elastic bone plate that can reduce stress and promote union of fracture the most according to claim 9, it is characterised in that: bullet
The cross section of property groove (5) is semicircular arc, and the degree of depth of spring groove (5) is the 1/10 ~ 1/4 of elongated plates face (1) thickness.
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CN201610391812.2A CN106073879A (en) | 2016-06-06 | 2016-06-06 | A kind of elastic bone plate that can reduce stress and promote union of fracture |
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CN201610391812.2A CN106073879A (en) | 2016-06-06 | 2016-06-06 | A kind of elastic bone plate that can reduce stress and promote union of fracture |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106691557A (en) * | 2017-02-17 | 2017-05-24 | 张小军 | Lower-limb external locking steel plate with negative pressure suction function |
CN110537968A (en) * | 2019-09-24 | 2019-12-06 | 贝尔泰克医疗器械江苏有限公司 | Bone fracture plate for orthopedics department |
CN106691557B (en) * | 2017-02-17 | 2024-05-31 | 张小军 | Lower limb external locking steel plate with negative pressure suction function |
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FR2751203A1 (en) * | 1996-07-22 | 1998-01-23 | Euros Sa | OSTEOSYNTHESIS PLATE OF RACHIS |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN106691557A (en) * | 2017-02-17 | 2017-05-24 | 张小军 | Lower-limb external locking steel plate with negative pressure suction function |
CN106691557B (en) * | 2017-02-17 | 2024-05-31 | 张小军 | Lower limb external locking steel plate with negative pressure suction function |
CN110537968A (en) * | 2019-09-24 | 2019-12-06 | 贝尔泰克医疗器械江苏有限公司 | Bone fracture plate for orthopedics department |
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