CN102753109A - Multi-adjustable plate for osteotomy - Google Patents

Multi-adjustable plate for osteotomy Download PDF

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Publication number
CN102753109A
CN102753109A CN2010800607122A CN201080060712A CN102753109A CN 102753109 A CN102753109 A CN 102753109A CN 2010800607122 A CN2010800607122 A CN 2010800607122A CN 201080060712 A CN201080060712 A CN 201080060712A CN 102753109 A CN102753109 A CN 102753109A
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China
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bone
angle
plates
screw
support member
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CN2010800607122A
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Chinese (zh)
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克里斯蒂亚诺·豪斯利·里贝罗
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克里斯蒂亚诺·豪斯利·里贝罗
厄尔西奥·米盖尔·内马
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Priority to PCT/IB2010/055131 priority Critical patent/WO2011055353A1/en
Publication of CN102753109A publication Critical patent/CN102753109A/en

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Abstract

The invention relates to a mechanical device intended for correcting a malformation of the bones of the body. The device is continuously adjustable, making the surgeon's work easier and reducing surgery time, thus reducing the risk of infection and, above all, guaranteeing the desired precision for surgery. The device comprises a top plate (1) suitable for sliding over a bottom plate (2) by means of a guide (7). Said plates can be screwed on either side of an angled notch made in the bone. The plates comprise respectively top (5) and bottom (6) bearings of the notch of the bone. Said bearings form an acute-angle bevel which substantially matches the surfaces of the notch. One of the plates is provided with an an adjustment screw (4) for continuous adjustment of the relative positions of the plates.; The device also comprises a locking screw (3) suitable for maintaining the open position of the device and, consequently, the final angle of the notch of the bone in the desired position. The top bearing of the notch of the bone having angular adjustment is suitable for correcting the angle of the bevelled surface of the bearing, in particular the tibial slope, by means of a tapered screw (8) adjusting an angular space in the bearing.

Description

用于骨切开术的多重可调板 Adjustable plate for a multiple of osteotomy

技术领域 FIELD

[0001] 本发明涉及一种开发成校正身体骨头的错位畸形的机械装置。 [0001] The present invention relates to a development of the body to correct bone deformity misalignment mechanical means. 该装置由骨切开术板构成,该板允许进行毫米长度的自调校正,调节初步固定的角部的开口,并且还允许调整斜度。 The device consists of osteotomy plate that allows for adaptive correction mm in length, adjusting the initial portion of a fixed aperture angle, and also allows to adjust the inclination.

背景技术[0002] 多年以来,骨切开术是用于校正骨头的特定变形的处理。 [0002] For many years, osteotomy is a specific deformation process for correcting bone. 这些处理可适用于各种骨头,例如股骨、胫骨、跟骨、跖骨、桡骨、肱骨等等。 The process is applicable to a variety of bones, e.g. femur, tibia, calcaneus, metatarsal, radius, humerus and the like. 骨头畸形由于如下若干原因而发生:通过例如致使腿部错位,通过在股骨和胫骨之间形成角度、从而在从前方观察时具有弯曲外观(图I)。 Bone deformities occur for several reasons: for example, by causing a leg misalignment, by an angle formed between the femur and tibia, so as to have a curved appearance (FIG. I) when viewed from the front.

[0003] 骨切开术非常普遍地在膝部(股骨和胫骨)周围执行,并且在它们的固定方面有所改进。 [0003] osteotomy very generally around the knee (femur and tibia) performed, and the improvement in terms of their fixed. 在20世纪初,通常通过使用石膏状固定工具来执行骨切开术。 In the early 1900s, is usually performed osteotomy fixed by using plaster-like tool. 此后,出现了其它人工材料,类似于线材、螺纹件以及板,使处理过程更为稳定且安全。 Since then, there have been other artificial materials, similar to the wire, the screw member and a plate, so that a more stable and safe process. 在2002年,全世界都得知了通过打开弯部来固定骨切开术的普渡(Puddu)板。 In 2002, the world learned by opening bend to fix the osteotomy Purdue (Puddu) board. 此后,新的板出现在市场上。 Since then, the new board appear on the market. 该板主要用作骨切开术的固定工具,而手术的其它阶段由其它工具来执行。 The board is used as the fixing means of osteotomy, the other stage of the procedure be performed by other tools. 在以此方式进行骨切开术时,经常会观察到手术活动和使用现有技术装置的固定方法所固有的问题: When osteotomy in this manner, often observed that the use of the surgical activity and methods of the prior art fixation device inherent to:

[0004] I)由于在手术过程中执行各个阶段(手术时间)而导致手术时间过长: [0004] I) due to the various stages of execution (operation time) during a surgical procedure resulting in prolonged operative time:

[0005] a)使导线通过,切开骨头,利用音叉打开角部,选择合适的板,将音叉抽出,将板固定。 [0005] a) by the wire, cutting bones, the use of the tuning fork portion opening angle, the appropriate selection plates, the tuning-fork out, the plate is fixed. 由于这具有较大的技术难度,较少的外科医师有资格来执行该疗法。 Because it has a large technical difficulty, fewer surgeons qualified to perform the therapy.

[0006] b)感染风险增大。 [0006] b) the risk of infection increases.

[0007] c)神经损伤风险增大。 [0007] c) increase the risk of nerve damage.

[0008] d)在手术过程中大量出血。 [0008] d) massive bleeding during surgery.

[0009] 2)胫骨侧部皮层断裂,这是将角部打开以对胫骨进行骨切开术中产生的最严重且普遍的问题之一。 [0009] 2) the tibial cortex fracture, which is opened for one of the corners of the most serious and pervasive problem osteotomy tibial generated. 这在骨切开术的凹口到达胫骨侧部皮层时发生,致使骨头发生骨折和半脱位。 This occurs when the cortical portion reaches the tibial osteotomy in a recess, resulting in bone fracture and subluxation.

[0010] 3)关节面断裂。 [0010] 3) articular surface fracture. 在错误地制定骨切开术的凹口的高度和斜度时发生。 When an error occurs formulate height and slope of the osteotomy of the recess.

[0011] 4)矫枉不足和矫枉过正。 [0011] 4) and lack of righting a wrong overkill. 该问题与所使用的板直接相关,因为这些板并非是所有类型的允许打开弯部进行毫米长度装配的板;该问题还会来自于不合适的固定或者错误的预操作计划。 This problem is directly related to the use of the plate, since these plates are not allowed to open all types of section bent plate assembly mm in length; the problem also from errors or inappropriate fixed pre-operation program.

[0012] 5)胫骨斜度退化。 [0012] 5) degradation of tibial slope. 包括在矢状平面中胫骨斜度退化,在临床上特征在于无法伸直膝盖。 Comprising a tibial slope degradation in the sagittal plane, characterized in that the clinically not straighten the knee.

[0013] 现有技术装置的缺点和所观察到的问题 [0013] The disadvantages of the prior art devices and the observed problem

[0014] 通常用于校正骨头畸形的装置包括两个板,这两个板沿轴向方向一个在另一个上可动,通常被导向成维持对准(参见图2)。 [0014] commonly used for bone deformity correction means includes two plates, the two plates one over the other may be movable in the axial direction, it is generally directed to maintain alignment (see FIG. 2).

[0015] 存在由板和被校准的间距的一部分(角部)构成的系统,该系统会以与所希望的孔相对应的预定测量坐标引入骨头。 [0015] The present system and a portion of the plate is calibrated spacing (corner portion) of the system with the desired hole coordinates corresponding to the predetermined measurement is introduced bone. [0016]目前用于骨切开术的板并不具有毫米长度校正系统,根据所需进行的校正该系统需要不同数量的板构成的板组。 [0016] It plate for osteotomy mm in length does not have a correction system, the number of different plate groups of plates are necessary for the correction of the system needs. 未发现精确的期望测量值,因为由该组测量所提供的测量值在从2. 5英寸至2. 5mm的范围内。 No accurate measurement of a desired value, as measured by the set of measurement values ​​provided in a range from 2.5 inches to 2. 5mm in.

[0017] 此外,这些板仅仅用在手术的最后阶段,仅仅用于固定;它们并不干预对胫骨斜度的调整。 [0017] In addition, these plates used only in the final stage of the procedure, only for fixed; they do not interfere adjustment tibial slope.

[0018] 采用预校准的上述现有技术装置,在对角度畸形的胫骨进行校正的情形下,外科手术过程是相同的,即:紧邻于膝部在角部中切出开口或者在胫骨中切出开口。 [0018] The prior art devices employ pre-calibrated, in the case of angular deformity tibia correcting, surgical procedure is the same, namely: immediately adjacent to the lap cut the corner portion in an opening or cut in the tibia an opening. 然后,通过使用骨锤来将弯部插到骨头中来引入音叉(渐进弯部,参见图8),以便于将骨头打开直到获得所希望的角度为止。 Then, by using a hammer to the bent portion of bone into the bone by introducing a tuning fork (progressive bend, see FIG. 8), so as to open the bone until the desired angle up. 一旦获得理想的开度,就放置尺寸预先设计的带有夹层部分的板。 Once the desired opening degree, it is placed on the plate with the interlayer portion of the pre-designed size. 最后,将板固定,然后小心地通过极度缩减的工作空间将音叉(渐进弯部)抽出。 Finally, the plate is fixed, then carefully reduced by extreme workspace tuning fork (progressive bend) extraction.

[0019] 通过抽出音叉,将紧固螺钉锁紧。 [0019] by extracting the tuning fork, the locking screw fastening.

[0020] 采用市场上的所有现存装置,需要将骨头切得极深,而根据校正角度,这会存在由于引入预校准弯部所需的力而使骨头剪断的巨大风险,并会导致: [0020] using all existing devices on the market, the need to cut too deep bone, and based on the correction angle, there will be great risk that the introduction of force required to bend the pre-alignment of the cut bone, and leads to:

[0021] I)侧部皮层创伤; [0021] I) the side skin trauma;

[0022] 2)由于在执行外科手术时,血液会淤滞在动脉中而无法在最高2小时(安全极限)的时间段内进行血液循环,因而动脉会发生表面创伤; [0022] 2) Since when performing surgery, blood stasis and will not be circulated in the blood up to 2 hours (safety limit) period of time in an artery, the artery will thus surface trauma;

[0023] 3)外科手术持续时间过长,这会增大感染的风险。 [0023] 3) surgery duration is too long, which would increase the risk of infection.

[0024] 4)神经血管损伤。 [0024] 4) neurovascular injury.

[0025] 最后一点构成会延长外科手术的问题因素,并能够包含上述效果。 [0025] Finally configured prolong the surgical problems factors, and can contain the above-described effects.

[0026] 当前使用装置的另一问题是无法确保获得精确期望数值的开度。 [0026] Another problem with currently used devices are unable to ensure a desired value of the opening degree of accuracy. 例如,在带有锯齿的装置(称为“安东尼(Anthony)板”)(图3)的情形中,所期望开度的数值与未封闭锯齿的位置相对应,且在该装置中,顶板固定在凹口顶部,而底板固定在凹口下方(图2)。 For example, in a device with a serration (referred to as "Anthony (Anthony) board") (FIG. 3) of the case, the unblocked position value with a desired opening degree of serration corresponds, and in this apparatus, the top plate fixed at the top of the recess, while the bottom plate is fixed below the recess (FIG. 2). 在该阶段,外科医师必须决定是否他对低于期望的开度表示满意,或者与此相反选择顶部开度。 At this stage, the surgeon must decide whether he is satisfied, or vice versa Select the top of the opening of the opening of lower than expected. (问题:不具有毫米长度装配的板具有低的精度)。 (Question: mm in length having a mounting plate does not have low accuracy).

[0027] 对于固定有夹层部分的系统出现相同的问题,该系统具有可互换的尺寸(图4)并且称为上文已进行描述的普渡板,该板具有选自数十个选项的部分,其中最关键的选项包括用作胫骨切割支座的部分。 [0027] For the sandwich is fixed to the same part of the system problem occurs, the system has an interchangeable plate Purdue size (FIG. 4) and is referred to have been described above, the plate has selected option dozens section, the most critical options are used as part of a tibial cutting support. 问题:需要许多时间来致力于寻找并选择具有所需要精确尺寸的夹层部分,包括延长外科手术的时间,使得更易于产生上述已提及的风险。 Problems: working takes much time to find and select the desired precise dimensions having a sandwich section, including prolonged surgery, the risk of making it easier already mentioned above.

发明内容 SUMMARY

[0028] 所要求的发明 [0028] The claimed invention

[0029] 本发明的目的是提供一种目的是校正身体骨头畸形的机械装置,该机械装置连续地进行调整,从而可通过减少手术时间来便于外科医师的操作、由此降低感染风险并主要确保手术所需的精确度,同时不存在上述缺点。 [0029] The object of the present invention is to provide a physical object is to correct bone abnormalities mechanical means, the mechanical means is continuously adjusted, thereby to facilitate operation of the surgeon by reducing the operation time, thereby reducing the risk of infection and primarily ensure surgery required accuracy, while the absence of the above mentioned disadvantages.

[0030] 可实现该目的的方案包含在独立权利要求I所述的特征中。 [0030] This object is achieved in the solution contained in independent claims I features.

[0031] 本发明可形成受限角度的凹口,该角度比现有技术装置所需的角度小得多。 [0031] The present invention may be formed in a restricted angular recess, this angle is much less than prior art devices at a desired angle.

[0032] 本发明由两个板构成,即底板和顶板,并且根据转动螺钉的方向来调节打开或闭合,以允许将两个板拉靠到两旁或者彼此靠近。 [0032] The present invention consists of two plates, i.e., floor and roof, and adjusts the opened or closed depending on the direction of rotation of the screw, to allow pulling the two plates close to each other or against the sides.

[0033] 这些板的新颖概念允许将胫骨的顶部支承件和底部支承件引到凹口的受限空间中,同时将螺钉拧紧来紧固顶板和底板,然后执行对板间距的精确调整。 [0033] The novel concept of the lead plates allows the top support and the bottom support member tibia to the confined space of the recess, while tightening the screws to fasten the top and bottom, and then perform an accurate adjustment of the plate spacing.

[0034] 使用具有连续调整(未定连续性)的该系统决不局限于腿骨而是可用在身体的所有骨头上,用以校正或类似的永久假体。 The system [0034] using a continuous adjustment (undetermined continuity), but in no way limited to the leg available on all bones of the body, or the like to correct a permanent prosthesis.

[0035] 发明的优点[0036] I)人工材料的装置,允许以单个装置来实现自调整的毫米长度校正。 [0035] Advantages of the Invention [0036] I) means artificial materials, allow a single device to achieve a self-adjusting correcting mm in length.

[0037] 2)由于装置的简便技术,允许在发现骨头中存在凹口之后马上进行固定,因此对于发生侧部皮层破裂和内关节折断的风险而言,安全程度增大并减少了手术持续时间。 [0037] 2) Due to the simple technical means, allow fixed immediately after the recesses found bone, so the cortex to the side portion and the risk of rupture of intraarticular fracture, the degree of safety increases and reduces the duration of surgery .

[0038] 3)由于在骨切开术的打开过程中板被固定,因而会降低关节面创伤的风险。 [0038] 3) The plate is fixed to the osteotomy opening process, and thus reduce the risk of trauma to the articular surface.

[0039] 4)由于该装置可执行任何必须的校正,因而显著地影响最终结果。 [0039] 4) Since the device can perform any necessary correction, thus significantly affect the final result.

[0040] 5)由于对胫骨斜度进行校正的系统,该装置允许对歪斜胫骨进行调整和修适。 [0040] 5) Since the slope of the tibia correction system, the device allows the tibia skew adjustment and proper repair.

[0041] 6)由于直至实现精确理想位点为止逐渐地调整胫骨打开程度,因而确保归因于胫骨中凹口减小而实现的精确度。 [0041] 6) Since the accuracy over until a site far gradually adjusting the opening degree of the tibia, thereby ensuring the accuracy of the tibia due to the reduced notch achieved.

具体实施方式 Detailed ways

[0042] 现在将在参见附图的同时详细地描述本发明。 [0042] The invention will now be described in detail with reference to the drawings simultaneously. 该装置包括8个主要部件(参见图5): The apparatus comprises a main part 8 (see FIG. 5):

[0043] I)顶板 [0043] I) the top plate

[0044] 2)底板 [0044] 2) the bottom plate

[0045] 3)锁定螺钉 [0045] 3) a locking screw

[0046] 4)调整螺钉 [0046] 4) adjusting screw

[0047] 5)胫骨凹口的顶部支承件,该顶部支承件具有角度调整 [0047] 5) top support member tibia recess, the support member having a top angle adjustment

[0048] 6)胫骨凹口的底部支承件 [0048] 6) the bottom of the tibial bearing recess

[0049] 7) “燕尾形”导向系统 [0049] 7) "dovetail" guide system

[0050] 8)锥度螺钉,该锥度螺钉用于调整胫骨斜度 [0050] 8) taper screw, the taper screw for adjusting the inclination of the tibia

[0051] 如图6所示,可将板引至股骨中形成的减小尺寸的凹口中。 [0051] As shown in FIG 6, the plate may be introduced to reduce the size of the recess formed in the femur.

[0052] 对顶板和底板进行紧固的螺钉一旦放置就位就能螺钉连接到凹口的两侧。 [0052] The top and bottom fastening screw, once placed in position on both sides can be connected to the screw recess. 然后,胫骨凹口的顶部支承件和底部支承件就位,这些板的间距能经由调整螺钉(4)开始调整。 Then, the top support and bottom support member in place of the tibia recess, the spacing of these plates can (4) via an adjusting screw to adjust the start.

[0053] 考虑到顶板和底板由它们之间的燕尾形导向系统(7)所导向,这些板保持对准且连续可调的切线可逐渐地向两旁拉拽这些板。 [0053] Considering the top plate and the bottom plate (7) is guided by a dovetail guide system between them, the plates are aligned and held continuously adjustable tangent may be gradually pulled to the sides to pull the plates.

[0054] 能以最大的精确度在毫米度量值上控制开度的测量值,直到获得所希望的位置为止。 [0054] can be controlled with the greatest accuracy in the measurement of the degree of opening of the metric mm, until the desired position is obtained.

[0055] 一旦确定了所期望的位置,可使用锁定螺钉(3)来锁定获得的位置,以保持两个板之间间距的精确位置,这致使来自股骨凹口的孔具有精确理想数值。 [0055] Once the desired position is determined, using a locking screw (3) to lock the position obtained, in order to maintain the precise position of the gap between the two plates, which causes the holes from the femoral notch having a precise value over.

[0056] 锁定螺钉(3)的功能是将顶板锁定在底板上,由此确保保持所希望的位置。 [0056] a locking screw (3) is to be locked to the bottom plate a top plate, thereby ensuring the desired holding position.

[0057] 在该锁定之后,顶板和底板的紧固螺钉(图6)能确切地拧紧并锁定。 [0057] After the locking, the fastening screw top and bottom (FIG. 6) can be tightened and locked exactly.

[0058] 最后,如果证明利用具有角度调整的胫骨凹口顶部支承件来对角度进行校正,可使用锥度螺钉(8)来执行该操作,该锥度螺钉允许打开顶板中现有角度空间,由此来校正胫骨斜度,如图7所示。 [0058] Finally, if it is proved using the tibial bearing member having a top notch angle adjustment corrects the angle, the operation may be performed using the taper screws (8), the screw taper angle allows existing open roof space, whereby correcting tibial slope, as shown in FIG.

[0059] 一旦执行了此种校正并将所有紧固螺钉锁定,就完成了对畸形进行校正的操作。 [0059] Once the correction is performed such that all fastening and locking screws to complete the operation for correcting deformity. 附图说明 BRIEF DESCRIPTION

[0060] 附图标记的说明 [0060] DESCRIPTION OF REFERENCE NUMERALS

[0061]图 I [0061] I FIG.

[0062] I. I)股骨 [0062] I. I) of the femur

[0063] I. 2)胫骨 [0063] I. 2) tibia

[0064]图 2 [0064] FIG 2

[0065] 2. I)胫骨中的倾斜凹口 [0065] 2. I) inclined recess tibia

[0066] 2. 2)顶板 [0066] 2.2) Roof

[0067] 2. 3)底板 [0067] 2.3) the bottom plate

[0068] 2. 4)紧固螺钉 [0068] 2.4) fastening screw

[0069]图 3 [0069] FIG 3

[0070] 3. I)顶板 [0070] 3. I) of the top plate

[0071] 3. 2)底板 [0071] 3.2) the bottom plate

[0072] 3. 3)胫骨凹口的顶部支承件 Top support member [0072] 3.3) of the tibial recess

[0073] 3. 4)胫骨凹口的底部支承件 Bottom support [0073] 3.4) of the tibial recess

[0074]图 4 [0074] FIG 4

[0075] 4. I)板 [0075] 4. I) board

[0076] 4. 2)胫骨凹口的支承件的可互换角部 [0076] 4.2) interchangeable corner support member tibial recess

[0077] 4. 3)可互换角部组 [0077] 4.3) interchangeable corner group

[0078]图 5 [0078] FIG 5

[0079] I)顶板 [0079] I) the top plate

[0080] 2)底板 [0080] 2) the bottom plate

[0081] 3)锁定螺钉 [0081] 3) a locking screw

[0082] 4)调整螺钉 [0082] 4) adjusting screw

[0083] 5)胫骨凹口的顶部支承件,该顶部支承件具有角度调整 [0083] 5) top support member tibia recess, the support member having a top angle adjustment

[0084] 6)胫骨凹口的底部支承件 [0084] 6) the bottom of the tibial bearing recess

[0085] 7) “燕尾”型导向件 [0085] 7) "dovetail" shaped guide member

[0086] 8)锥度螺钉,该锥度螺钉用于调整胫骨斜度 [0086] 8) taper screw, the taper screw for adjusting the inclination of the tibia

[0087]图 6 [0087] FIG. 6

[0088] 6. I)顶部紧固螺钉 [0088] 6. I) fastening screw top

[0089] 6. 2)顶板 [0089] 6.2) Roof

[0090] 6. 3)下部紧固螺钉 [0090] 6.3) lower tightening screw

[0091] 6. 4)底板 [0091] 6.4) the bottom plate

[0092] 6. 5)股骨 [0092] 6.5) femur

[0093] 6. 6)胫骨 [0093] 6.6) tibia

[0094]图 7 [0094] FIG. 7

[0095] 7. I)锥度螺钉,该锥度螺钉用于角度打开 [0095] 7. I) taper screw, the screw taper angle for opening

[0096] 7. 2)胫骨凹口的顶部支承件,该顶部支承件具有角度调整[0097] 7. 3)顶板 [0096] 7.2) the top of the tibial bearing recess, the support member having a top angle adjustment [0097] 7.3) Roof

[0098]图 8 [0099] 8. I)音叉(角部) [0098] FIG. 8 [0099] 8. I) tuning fork (corner portion)

[0100] 8. 2)骨锤,该骨锤用于通过使用音叉来打开凹口 [0100] 8.2) bone hammer, hammer means for opening the bone by using a tuning fork recess

Claims (6)

1. 一种目的是校正身体骨头畸形的机械装置,所述机械装置连续地进行调整以通过减少手术时间来便于外科医师的操作、由此降低感染风险并主要确保手术所需的精确度,其中顶板(I)能够通过使用导向件(7)而在底板(2)上滑动;这些板能够螺钉连接于骨头中形成的倾斜凹口的两侧;并且这些板分别包括所述骨头凹口的顶部支承件(5)和底部支承件(6);这些支承件根据明显垂直于所述板的方向定向,以能够引到所述骨头的凹口中;这些支承件还具有锐角斜面的形式以与凹口的表面进行适当匹配;此外,板中的一个装备有调整螺钉(4),以连续地调整所述板之间的位置;所述装置还包括锁定螺钉(3),以保持所述装置的打开位置以及随后所述骨头凹槽在所希望位置中的最终角度。 An object is a mechanical means for correcting bone deformities of the body, said mechanical means is continuously adjusted to reduce the operation time by the surgeon to facilitate the operation, thereby reducing the risk of infection and to ensure that the major surgery required accuracy, wherein a top plate (I) can be slid on the base plate (2) by using a guide member (7); a screw connection plates can be inclined on both sides of the recess formed in the bone; plates each comprising a top and the bone recess the support member (5) and the bottom support member (6); a support member which obviously oriented according to a direction perpendicular to the plate, so as to be introduced into the bone recess; form these support member further has an acute angle with the inclined surface of the recess surface of the mouth of the appropriate matching; in addition, there is a plate equipped with adjustment screws (4), to continuously adjust the position between the plates; said apparatus further comprising a locking screw (3), to hold the device open position and subsequently the bone recess in the final position at a desired angle.
2.如权利要求I所述的装置,其特征在于,可使所述板中的一个在另一个上滑动的导向件(7)包括燕尾形型面。 2. The apparatus according to claim I, characterized in that the guide member can slide in one of the plates on the other (7) comprises a dovetail profile.
3.如权利要求I或2中任一项所述的装置,其特征在于,所述骨头凹口的顶部支承件包括角度调整,所述角度调整可校正所述支承件的斜面的角度、尤其是胫骨斜度。 2 or 3. The means I in any one of the preceding claims, characterized in that the top support member of the bone recess includes an angle adjusting the angular adjustment of the angle of the slope may be corrected in the support member, in particular tibial slope.
4.如权利要求3所述的装置,其特征在于,通过使用锥度螺钉(8)来获得所述角度调整,所述锥度螺钉允许打开所述顶板中的现有角度空间。 4. The apparatus according to claim 3, characterized in that the angular adjustment is obtained by using the taper screws (8), the angle of taper screw allowed to open an existing space in the top panel.
5.如权利要求I或2中任一项所述的装置,其特征在于,所述骨头凹口的底部支承件包括角度调整,所述角度调整可校正所述支承件的斜面的角度、尤其是胫骨斜度。 5. The apparatus or I 2 according to any one of the preceding claims, characterized in that the bone bottom support includes an angle adjusting notches, said angle adjustment of the angle of the slope may be corrected in the support member, in particular tibial slope.
6.如权利要求5所述的装置,其特征在于,通过使用锥度螺钉来获得所述角度调整,所述锥度螺钉允许打开所述底板中的现有角度空间。 6. The apparatus according to claim 5, characterized in that the angular adjustment is obtained by using a screw taper, the taper angle screw allows an existing opening in the floor of the space.
CN2010800607122A 2009-11-05 2010-11-11 Multi-adjustable plate for osteotomy CN102753109A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106132320A (en) * 2014-02-26 2016-11-16 拜欧米特制造有限责任公司 Accessory For Osteotomy

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030114856A1 (en) * 2001-12-14 2003-06-19 Nathanson Jeremy J. Internal osteotomy fixation device
US20040102778A1 (en) * 2002-11-19 2004-05-27 Huebner Randall J. Adjustable bone plates
CN201052177Y (en) * 2007-07-06 2008-04-30 刘明忱 Three-dimensional lock pin steel plate
CN101856262A (en) * 2010-07-20 2010-10-13 孙海钰 Rear anatomical supporting and locking plate in proximal tibial plateau

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030114856A1 (en) * 2001-12-14 2003-06-19 Nathanson Jeremy J. Internal osteotomy fixation device
US20040102778A1 (en) * 2002-11-19 2004-05-27 Huebner Randall J. Adjustable bone plates
CN201052177Y (en) * 2007-07-06 2008-04-30 刘明忱 Three-dimensional lock pin steel plate
CN101856262A (en) * 2010-07-20 2010-10-13 孙海钰 Rear anatomical supporting and locking plate in proximal tibial plateau

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106132320A (en) * 2014-02-26 2016-11-16 拜欧米特制造有限责任公司 Accessory For Osteotomy

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