CN102551863B - Anatomical humerus bridge-type bone fracture plate - Google Patents

Anatomical humerus bridge-type bone fracture plate Download PDF

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Publication number
CN102551863B
CN102551863B CN201010607724.4A CN201010607724A CN102551863B CN 102551863 B CN102551863 B CN 102551863B CN 201010607724 A CN201010607724 A CN 201010607724A CN 102551863 B CN102551863 B CN 102551863B
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humerus
bridge
bone fracture
type bone
anatomical
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CN102551863A (en
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杨明
姜保国
张殿英
张培训
殷晓峰
寇玉辉
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Shanghai Sanyou medical equipment Limited by Share Ltd
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BEIJING GUOREN ORTHOPEDIC MEDICAL EQUIPMENT Co Ltd
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Abstract

The invention provides an anatomical humerus bridge-type bone fracture plate and belongs to the field of medical apparatuses. The anatomical humerus bridge-type bone fracture plate comprises a top side surface, a bottom side surface and a group of screw holes, wherein the bottom side surface is used for being in contact with a bone, the screw holes are distributed at two ends of the anatomical humerus bridge-type bone fracture plate, and the bottom side surface of the anatomical humerus bridge-type bone fracture plate is in an anatomical shape of a front outer side surface of a humerus and is used for being adhered to the front outer side surface of the humerus. The anatomical humerus bridge-type bone fracture plate disclosed by the invention is suitable for humerus fracture, is especially used for treating humerus near-end and middle-section bone fracture through an MIPO (Minimally Invasive Plate Osteosynthesis) technology, and can enable the bone fracture to b healed up better.

Description

Anatomical humerus bridge-type bone fracture plate
Technical field
The present invention relates to medical instruments field, refer to a kind of anatomical humerus bridge-type bone fracture plate especially.
Background technology
Micro wound coaptation plate osteopathy (MIPO) is a kind of modern Fracture internal fixaiion technology, it adopts closed fracture resetting technique, and maintain fracture reduction with the plate fixation without pressurization, surgical exposure and soft tissue extent of exfoliation are reached minimize, the blood decreased skin, periosteum, sclerite etc. are organized supplies to destroy, union of fracture rate can be improved, and reduce the incidence rate of the such as complication such as infection or nonunion.
At present, for humerus nearly stage casing fracture, though there are many blade plates can be applied in MIPO technology, but owing to blade plate being uniformly distributed too many screw hole, not only increase medical treatment cost, what also often make clinicist's mistake has squeezed into too much screw at fracture site, and causes complication.Not yet there is the special blade plate for MIPO Technology design clinically.In addition, current blade plate is in same direction in sagittal plain, because radial nerve is close to surface of bone in middle humerus, current blade plate when for MIPO technology, if not pre-bending or pre-bending bad, usually cause radial nerve injury.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of anatomical humerus bridge-type bone fracture plate, is applicable to humeral fracture, and especially MIPO technology treatment proximal humerus and stage casing fracture, can allow fracture better heal.
For solving the problems of the technologies described above, embodiments of the invention provide technical scheme as follows:
On the one hand, a kind of anatomical humerus bridge-type bone fracture plate is provided, described anatomical humerus bridge-type bone fracture plate has a top side face, for contacting bottom side and one group of screw hole of bone, described screw hole is distributed in the two ends of described anatomical humerus bridge-type bone fracture plate, the bottom side of described anatomical humerus bridge-type bone fracture plate is the anatomical shape of facies anterior lateralis humeri, to be attached to the anterolateral surface of humerus.
Wherein, the mid portion of described anatomical humerus bridge-type bone fracture plate is without screw hole or be distributed with more than one relief groove.
Wherein, the mid portion of described anatomical humerus bridge-type bone fracture plate has the torsion of certain angle.
Wherein, described screw hole be screw hole, slide pressurization hole or slide pressurization hole and the overlapping hole of screw hole.
Wherein, intersecting angles between the axial line of the part screw hole of described anatomical humerus bridge-type bone fracture plate.
Wherein, the two ends of described anatomical humerus bridge-type bone fracture plate are thinning gradually and head end is arc.
Embodiments of the invention have following beneficial effect:
In such scheme, screw hole on anatomical humerus bridge-type bone fracture plate is distributed in the two ends of blade plate, according to the requirement of micro wound coaptation plate Internal fixation technology, anatomical humerus bridge-type bone fracture plate mainly plays the bridge joint effect to fracture two ends, therefore only need to need to adopt to be screwed in the both sides of fracture site, only be distributed with screw hole at two ends, not only reduce production cost, and will make clinician cannot drivescrew herein, thus can better operate according to micro wound coaptation plate technology and theory, allow fracture better heal.
Accompanying drawing explanation
Fig. 1 is the structural representation of embodiments of the invention anatomical humerus bridge-type bone fracture plate;
Fig. 2 is another structural representation of embodiments of the invention anatomical humerus bridge-type bone fracture plate;
Fig. 3 is the schematic diagram after embodiments of the invention anatomical humerus bridge-type bone fracture plate is applied to humeral fracture.
Detailed description of the invention
For embodiments of the invention will be solved technical problem, technical scheme and advantage clearly, be described in detail below in conjunction with the accompanying drawings and the specific embodiments.
When blade plate of the prior art is applied to MIPO technology, there is following shortcoming: blade plate is uniform-distribution with various screw hole, comprise blade plate mid portion.According to the requirement of micro wound coaptation plate Internal fixation technology, blade plate mainly plays the bridge joint effect to fracture two ends, and therefore only needing needs to adopt to be screwed in the both sides of fracture site, and near fracture site, no matter fracture line how long, often do not need screw to fix.At its mid portion suitable with fracture site, often there is more screw hole in existing blade plate, according to the requirement of above-mentioned technology, these screw holes are useless.The existence of these screw holes not only increases production cost, on the contrary the raw probability squeezing into one piece or more piece screw at fracture site of wrong guiding doctor, and once squeeze into screw, will play negative effect to union of fracture.Embodiments of the invention, for the design shortcoming of existing blade plate, provide a kind of anatomical humerus bridge-type bone fracture plate, are better applicable in micro wound coaptation plate technology, and fracture can be allowed better to heal.
Figure 1 shows that the structural representation of the anatomical humerus bridge-type bone fracture plate of the embodiment of the present invention, as shown in Figure 1, anatomical humerus bridge-type bone fracture plate has a top side face, for contacting bottom side and one group of screw hole 1 of bone, and screw hole 1 is distributed in the two ends of anatomical humerus bridge-type bone fracture plate.
The bottom side of the anatomical humerus bridge-type bone fracture plate of the present embodiment is the anatomical shape of facies anterior lateralis humeri, can be attached to the anterolateral surface of humerus.Blade plate mid portion has the torsion of certain angle, makes blade plate far-end as far as possible away from the radial nerve of middle humerus, makes the near-end of blade plate be attached at the positive outside of proximal humerus simultaneously, and the far-end of blade plate is attached in humerus, the front outside of section far away.Although existing part blade plate designs according to the dissection of proximal humerus outer surface, when being applied to middle humerus fracture, the far-end of blade plate does not embody the anatomical features of humerus, is difficult to attach well with middle humerus, far-end.Because radial nerve traveling is in the sulcus for radial nerve of middle humerus, easily contusion is caused to radial nerve by during closed for existing blade plate insertion; Often need in art in addition to carry out pre-bending to blade plate, not only add the operating time, and the screw thread of screw hole can be damaged to the bending of blade plate, cause not mating of screw thread and screw, reduce fixed effect.
Wherein, screw hole 1 can be screw hole, and further, screw hole 1 can also be the overlapping hole of slide pressurization hole or slide pressurization hole and screw hole.
Further, as shown in Figure 1, the two ends of anatomical humerus bridge-type bone fracture plate are thinning gradually and head end is arc 2, the damage of the soft tissue caused when reducing closed insertion.
The mid portion of anatomical humerus bridge-type bone fracture plate as shown in Figure 1 can for not arrange screw hole, as shown in Figure 2, the centre of anatomical humerus bridge-type bone fracture plate can also be distributed with more than one relief groove 3, relief groove 3 can be positioned at top side face, the bottom side of blade plate or run through top side face and bottom side, can adjust the mechanics elasticity of blade plate and the stress stimulation of fracture site like this.As shown in Figure 2, relief groove is run through the top side face of blade plate and the oblong of bottom side, and in actual applications, relief groove can also be other shapes such as circular, square.
Particularly, above-mentioned mid portion can account for the 20%-80% of anatomical humerus bridge-type bone fracture plate total length.
As shown in Figure 3, intersecting angles between the axial line of the part screw hole of anatomical humerus bridge-type bone fracture plate, can reach angulation stable fixing, increase fixed effect to sufferers of osteoporosis face.
The anatomical humerus bridge-type bone fracture plate structure of the present embodiment is simple, can reduce costs.Screw hole is distributed in the two ends of blade plate, according to the requirement of micro wound coaptation plate Internal fixation technology, anatomical humerus bridge-type bone fracture plate mainly plays the bridge joint effect to fracture two ends, therefore only need to need to adopt to be screwed in the both sides of fracture site, the screw hole of blade plate mid portion in prior art removes by the present embodiment, make clinician cannot drivescrew herein, thus can better operate according to micro wound coaptation plate technology and theory; The anatomical humerus bridge-type bone fracture plate of the present embodiment also well can be attached to the anterolateral surface of humerus, for humeral fracture, especially the humeral shaft pulverized or setting board of skeleton end fracture, the anatomical humerus bridge-type bone fracture plate of application the present embodiment is fixed, wound will be reduced, and increase the stability of plate fixation, be beneficial to the healing of fracture.In addition, the relief groove of mid portion have adjusted the mechanics elasticity of blade plate and the stress stimulation of fracture end, also allows fracture better heal.The anatomical form design of compatriots' skeletal form feature that meets of bottom side reduces the generation that blade plate and bone attach the phenomenon such as bad; The mid portion of blade plate has the torsion of certain angle, enables blade plate away from radial nerve.
The above is the preferred embodiment of the present invention; it should be pointed out that for those skilled in the art, under the prerequisite not departing from principle of the present invention; can also make some improvements and modifications, these improvements and modifications also should be considered as protection scope of the present invention.

Claims (3)

1. an anatomical humerus bridge-type bone fracture plate, described anatomical humerus bridge-type bone fracture plate has a top side face, one for contacting bottom side and one group of screw hole of bone, it is characterized in that, described screw hole is distributed in the two ends of described anatomical humerus bridge-type bone fracture plate, the bottom side of described anatomical humerus bridge-type bone fracture plate is the anatomical shape of facies anterior lateralis humeri, to be attached to the anterolateral surface of humerus, the mid portion of described anatomical humerus bridge-type bone fracture plate is without screw hole, make doctor cannot drivescrew herein, the mid portion of described anatomical humerus bridge-type bone fracture plate and be distributed with more than one relief groove, described relief groove is run through the top side face of blade plate and the oblong of bottom side, the two ends of described anatomical humerus bridge-type bone fracture plate are thinning gradually and head end is arc, described mid portion accounts for the 20%-80% of anatomical humerus bridge-type bone fracture plate total length, the mid portion of described anatomical humerus bridge-type bone fracture plate has the torsion of certain angle, make blade plate far-end as far as possible away from the radial nerve of middle humerus, make the near-end of blade plate be attached at the positive outside of proximal humerus simultaneously, the far-end of blade plate is attached in humerus, the front outside of section far away.
2. anatomical humerus bridge-type bone fracture plate according to claim 1, is characterized in that, described screw hole is screw hole, the overlapping hole of pressurization hole or slide pressurization hole and screw hole of sliding.
3. anatomical humerus bridge-type bone fracture plate according to claim 1, is characterized in that, intersecting angles between the axial line of the part screw hole of described anatomical humerus bridge-type bone fracture plate.
CN201010607724.4A 2010-12-28 2010-12-28 Anatomical humerus bridge-type bone fracture plate Active CN102551863B (en)

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CN102835998A (en) * 2012-08-17 2012-12-26 苏州瑞华医院有限公司 Novel internally fixing and locking bone fracture plate for curing of humerus collum chirurgicum fractures
CN103584907A (en) * 2013-11-28 2014-02-19 天津市康尔医疗器械有限公司 Internal fixation device for orthopedic surgery
KR101681556B1 (en) * 2014-12-03 2016-12-01 백혜선 A Fixation Tool for Closed Wedge Distal Femur Osteotomy
CN104825217A (en) * 2015-05-27 2015-08-12 熊静 Double-nail-hook metaphysis pressurizing fixing device
CN111419373A (en) * 2020-04-10 2020-07-17 吉林大学第一医院 Bridge-connection dissection locking bone fracture plate for fixing comminuted fracture of humeral shaft at back and outer side
CN113180810B (en) * 2021-04-06 2023-04-07 四川大学 Bone fracture plate for zygomatic bone and zygomatic arch incision and internal pushing plastic surgery

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US4955886A (en) * 1988-04-01 1990-09-11 The Trustees Of Columbia University In The City Of New York Dual-taper, asymmetric hole placement in reconstruction and fracture plates
CN1846642A (en) * 2006-05-15 2006-10-18 蒋谊康 Locking and pressurizing bone fracture plate
CN201076512Y (en) * 2007-09-14 2008-06-25 李军民 Limited contact locking compression plate
CN201469393U (en) * 2009-08-07 2010-05-19 武汉德骼拜尔外科植入物有限公司 Straight locking type bone plate
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Effective date of registration: 20161223

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Address before: The splendor of Beijing economic and Technological Development Zone of Beijing City Road 100176 No. 15 1903

Patentee before: Beijing Guoren Orthopedic Medical Equipment Co., Ltd.

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