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 PDF

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Publication number
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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CN
China
Prior art keywords
fracture
plate
elongated plates
plates face
bone plate
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Pending
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CN201610391812.2A
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Chinese (zh)
Inventor
陈伟
宇文培之
冯琛
朱燕宾
刘松
刘勃
常文利
魏宁
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Third Hospital of Hebei Medical University
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Third Hospital of Hebei Medical University
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Priority to CN201610391812.2A priority Critical patent/CN106073879A/en
Publication of CN106073879A publication Critical patent/CN106073879A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8023Variable length plates adjustable in both directions

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

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

A kind of elastic bone plate that can reduce stress and promote union of fracture
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.
CN201610391812.2A 2016-06-06 2016-06-06 A kind of elastic bone plate that can reduce stress and promote union of fracture Pending CN106073879A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
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

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1105105A (en) * 1912-02-10 1914-07-28 William O'n Sherman Surgical appliance.
FR2751203A1 (en) * 1996-07-22 1998-01-23 Euros Sa OSTEOSYNTHESIS PLATE OF RACHIS
US5984925A (en) * 1997-07-30 1999-11-16 Cross Medical Products, Inc. Longitudinally adjustable bone plates and method for use thereof
US20040010256A1 (en) * 2002-07-12 2004-01-15 Shlomo Gabbay Sternum closure apparatus and method for helping maintain a space between parts of the sternum
US20040102776A1 (en) * 2002-11-19 2004-05-27 Huebner Randall J. Bone plates with reference marks
CN201710449U (en) * 2010-06-12 2011-01-19 张英泽 Stress dispersion bone plate
CN102008347A (en) * 2010-11-23 2011-04-13 马丽昕 Ponze steel plate with lock and aiming fixing device
US7951178B2 (en) * 2006-04-03 2011-05-31 Acumed Llc Bone plates with hybrid apertures
CN102470006A (en) * 2009-07-06 2012-05-23 捷迈有限责任公司 Periprosthetic bone plates
CN204723164U (en) * 2015-06-04 2015-10-28 常州华森医疗器械有限公司 Locking bone fracture plate outside distal tibial
WO2016032273A1 (en) * 2014-08-28 2016-03-03 주식회사 케이씨스 Bone plate for fracture
CN205758693U (en) * 2016-06-06 2016-12-07 河北医科大学第三医院 A kind of elastic bone plate that can reduce stress and promote union of fracture

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1105105A (en) * 1912-02-10 1914-07-28 William O'n Sherman Surgical appliance.
FR2751203A1 (en) * 1996-07-22 1998-01-23 Euros Sa OSTEOSYNTHESIS PLATE OF RACHIS
US5984925A (en) * 1997-07-30 1999-11-16 Cross Medical Products, Inc. Longitudinally adjustable bone plates and method for use thereof
US20040010256A1 (en) * 2002-07-12 2004-01-15 Shlomo Gabbay Sternum closure apparatus and method for helping maintain a space between parts of the sternum
US20040102776A1 (en) * 2002-11-19 2004-05-27 Huebner Randall J. Bone plates with reference marks
US7951178B2 (en) * 2006-04-03 2011-05-31 Acumed Llc Bone plates with hybrid apertures
CN102470006A (en) * 2009-07-06 2012-05-23 捷迈有限责任公司 Periprosthetic bone plates
CN201710449U (en) * 2010-06-12 2011-01-19 张英泽 Stress dispersion bone plate
CN102008347A (en) * 2010-11-23 2011-04-13 马丽昕 Ponze steel plate with lock and aiming fixing device
WO2016032273A1 (en) * 2014-08-28 2016-03-03 주식회사 케이씨스 Bone plate for fracture
CN204723164U (en) * 2015-06-04 2015-10-28 常州华森医疗器械有限公司 Locking bone fracture plate outside distal tibial
CN205758693U (en) * 2016-06-06 2016-12-07 河北医科大学第三医院 A kind of elastic bone plate that can reduce stress and promote union of fracture

Cited By (3)

* Cited by examiner, † Cited by third party
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
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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