CN103610491A - Auxiliary steel plate assembly for treatment of scapular fracture - Google Patents

Auxiliary steel plate assembly for treatment of scapular fracture Download PDF

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Publication number
CN103610491A
CN103610491A CN201310545919.4A CN201310545919A CN103610491A CN 103610491 A CN103610491 A CN 103610491A CN 201310545919 A CN201310545919 A CN 201310545919A CN 103610491 A CN103610491 A CN 103610491A
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China
Prior art keywords
steel plate
scapula
scapular
broad
omoplate
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CN201310545919.4A
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Chinese (zh)
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章莹
郭晓泽
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General Hospital of Guangzhou Military Command
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General Hospital of Guangzhou Military Command
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Priority to CN201310545919.4A priority Critical patent/CN103610491A/en
Publication of CN103610491A publication Critical patent/CN103610491A/en
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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
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones

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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

The invention discloses an auxiliary steel plate assembly for the treatment of scapular fracture. The auxiliary steel plate assembly comprises a left scapular steel plate and/or a right scapular steel plate. The left scapular steel plate comprises a platy left outer edge, a left scapular glenoid part and a platy left scapular spinal part. The right scapular steel plate comprises a platy right outer edge, a right scapular glenoid part and a platy right scapular spinal part. The left scapular glenoid part is an arc steel plate fitting the scapular glenoid part of a human body. The right shoulder glenoid part is an arc steel plate fitting the scapular glenoid part of the human body. The auxiliary steel plate assembly has the advantages that the parts such as scapular glenoid neck, the outer edge and the spinal part can be fixed at the same time, preparing multiple internal fixators for the patient with complex fracture before operation is not required, the steel plates can also be bent and cut to fix a single part according to the specific facture parts, the left and/ right scapular glenoid parts are the arc steel plates fitting the scapular glenoid part of the human body, and intraoperative adjustment of the steel plates can be avoided during a surgical operation, or the steel plates can fit the bone surface just by slightly adjusting the steel plates.

Description

Auxiliary steel plate for fracture of scapula treatment
Technical field
The present invention relates to a kind of medical internal fixation device, particularly relate to a kind of auxiliary steel plate for comminuted fracture of scapula treatment.
Background technology
For fracture of scapula, broad-mouthed receptacle for holding liquid cervical region syntripsis particularly, the clinical internal fixation that adopts more, internal fixation device used is that calcaneal steel plate, reconstruction plate, T, Y shape steel plate, absorption nail, hollow nail or micro-shape steel plate, holdfast, steel wire etc. are fixed master, and large number of biological Experiments of Machanics and clinical therapeutic efficacy show that they have certain resistance to lateral bending, anti-verticity and axial stability.
But because scapula form is irregular, around muscle group adheres to closely, surgical exposure difficulty, to the reduction of the fracture, particularly the intractability of comminuted fracture piece is larger, is difficult to reach anatomical reduction.And above-mentioned conventional fasteners tool need necessarily be adjusted in art; could comparatively fit with surface of bone; caused producing more complication; often there will be following situation: (1) fracture site malunion scapula broad-mouthed receptacle for holding liquid cervical region has comparatively constant hypsokinesis angle before; this position fracture; special comminuted fracture, operative reduction difficulty is larger, requires to reach anatomical reduction after fracture as far as possible.But because contrasting without object of reference in art, can only rely on patient's experiential operating reset fixing, comparatively difficult in judgement reset effect.Because this position relates to upper arm broad-mouthed receptacle for holding liquid joint, as do not reach anatomical reduction, once postoperative fracture position malunion will cause the complication rates such as shoulder joint shakiness, pain, limited, shock higher, very large on patients ' life quality impact.(2) extend operating time, having increased the clinical common use calcaneal steel plate of intraoperative blood loss and infection risk, reconstruction plate, T, Y shape steel plate determines steel plate and coordinates the bone fixation folded blocks such as lag screw, steel wire, because above-mentioned material needs to carry out to a certain degree bending, cut out adjustment according to surface of bone form before to fracture fixation, could comparatively fit with surface of bone.In art, increased operating difficulty; Fracture of scapula patient's majority is multiple injury, traumatic condition weight, and operating time is unsuitable oversize, and operating time is long, increases undoubtedly amount of bleeding and postoperative infection risk, likely increases the weight of the state of an illness, the state of an illness is further worsened, even life-threatening safety.(3) in art, internal fixation material being carried out to bending cuts out and also can cause internal fixation device stiffness to decline, stability decreases, fixing not firm, the galvanic element reaction that affected part produces in human body, making fracture site and bone and inside-fixture contact position that electrolysis occur causes fracture bone resorption to be accelerated, cause post-operative complication showed increased, needs of patients long period bed, cannot carry out in early days rehabilitation training, suffer from postoperative stiff, the limitation of activity of shoulder, pain showed increased; Fracture end easily causes osteoporosis, fracture delayed union even to cause bone does not connect possibility owing to lacking enough stress stimulations.
Summary of the invention
Object of the present invention, is to provide a kind of auxiliary steel plate for fracture of scapula treatment.
The solution that the present invention solves its technical problem is: for the auxiliary steel plate of fracture of scapula treatment, it comprises left scapula steel plate and/or right scapula steel plate, described left scapula steel plate comprises tabular left-external side edge, left omoplate broad-mouthed receptacle for holding liquid portion and tabular left spine of scapula portion, described right scapula steel plate comprises tabular right outside side edge part, right omoplate broad-mouthed receptacle for holding liquid portion and tabular right spine of scapula portion, the curved plate that described left omoplate broad-mouthed receptacle for holding liquid portion matches for the omoplate broad-mouthed receptacle for holding liquid portion with human body, the curved plate that described right omoplate broad-mouthed receptacle for holding liquid portion matches for the omoplate broad-mouthed receptacle for holding liquid portion with human body.
As the further improvement of technique scheme, between described left-external side edge and left spine of scapula portion, be provided with left connecting portion, between described right outside side edge part and right spine of scapula portion, be provided with right connecting portion.
As the further improvement of technique scheme, the both sides of described left connecting portion are provided with a plurality of jagged breach, and the both sides of described right connecting portion are provided with a plurality of jagged breach.
As the further improvement of technique scheme, the angle between described left-external side edge and left spine of scapula portion is in the scope of 80 ~ 86 °, and the angle between described right outside side edge part and right spine of scapula portion is in the scope of 80 ~ 86 °.
As the further improvement of technique scheme, in described left-external side edge, left omoplate broad-mouthed receptacle for holding liquid portion, left spine of scapula portion, right outside side edge part, right omoplate broad-mouthed receptacle for holding liquid portion and right spine of scapula portion, a plurality of screw fixed holes are all set.
As the further improvement of technique scheme, described left omoplate broad-mouthed receptacle for holding liquid portion and right omoplate broad-mouthed receptacle for holding liquid portion are respectively equipped with multiple tracks bar shaped groove, and described bar shaped groove is arranged between two screw fixed holes.
The invention has the beneficial effects as follows: it is simultaneously fixing that the present invention can meet scapula broad-mouthed receptacle for holding liquid cervical region, lateral border, a plurality of positions of ridge portion, for complicated fracture patient without preparing in the preoperative multiple internal fixation device, also can according to the concrete position of fracture to steel plate the cutting that fractures carry out single position and fix; By left omoplate broad-mouthed receptacle for holding liquid portion or/and right omoplate broad-mouthed receptacle for holding liquid portion is set to the curved plate matching with human body omoplate broad-mouthed receptacle for holding liquid portion, at operation process, can avoid adjusting in art steel plate, or slight adjustment can reach with surface of bone and fits, reduce the time of operation, reduce amount of bleeding, reduce infection risk, the probability that greatly reduce in art, post-operative complication occurs.The present invention can be used in orthopaedics fracture operation.
Accompanying drawing explanation
Below in conjunction with accompanying drawing and example, the present invention is further illustrated.
Fig. 1 is structural representation of the present invention.
The specific embodiment
Below in conjunction with accompanying drawing, describe application of the present invention in detail.
With reference to Fig. 1, auxiliary steel plate for fracture of scapula treatment, it comprises left scapula steel plate 1 and/or right scapula steel plate 2, described left scapula steel plate 1 comprises tabular left-external side edge 10, left omoplate broad-mouthed receptacle for holding liquid portion 12 and tabular left spine of scapula portion 11, described right scapula steel plate 2 comprises tabular right outside side edge part 20, right omoplate broad-mouthed receptacle for holding liquid portion 22 and tabular right spine of scapula portion 21, the curved plate that described left omoplate broad-mouthed receptacle for holding liquid portion 12 matches for the omoplate broad-mouthed receptacle for holding liquid portion with human body, the curved plate that described right omoplate broad-mouthed receptacle for holding liquid portion 22 matches for the omoplate broad-mouthed receptacle for holding liquid portion with human body.
By by left omoplate broad-mouthed receptacle for holding liquid portion 12 or/and 22, right omoplate broad-mouthed receptacle for holding liquid is set to the curved plate that the omoplate broad-mouthed receptacle for holding liquid portion with human body matches, so at operation process, can avoid adjusting in art steel plate, or slight adjustment can reach with surface of bone and fits, reduce the time of operation, reduce amount of bleeding, reduce infection risk, the probability that greatly reduce in art, post-operative complication occurs.The present invention can be used in orthopaedics fracture operation.
Be further used as preferred embodiment, between described left-external side edge 10 and left spine of scapula portion 11, be provided with left connecting portion 13, between described right outside side edge part 20 and right spine of scapula portion 21, be provided with right connecting portion 23.
Be further used as preferred embodiment, under the prerequisite of intensity that does not affect left connecting portion 13 and right connecting portion 14, the both sides of left connecting portion 13 are provided with a plurality of jagged breach 4, and the both sides of right connecting portion 23 are provided with a plurality of jagged breach 4.According to the actual needs of operation, by breach 4 by left spine of scapula portion 11 or/and right spine of scapula portion 21 breaks disconnected.
Be further used as preferred embodiment, the angle between described left-external side edge 10 and left spine of scapula portion 11 is in the scope of 80 ~ 86 °, and the angle between described right outside side edge part 20 and right spine of scapula portion 21 is in the scope of 80 ~ 86 °.Such setting, does not need to carry out to a certain degree bending, cut out adjustment according to surface of bone form, could comparatively fit with surface of bone.
Be further used as preferred embodiment, in described left-external side edge 10, left omoplate broad-mouthed receptacle for holding liquid portion 12, left spine of scapula portion 11, right outside side edge part 20, right omoplate broad-mouthed receptacle for holding liquid portion 22 and right spine of scapula portion 21, a plurality of screw fixed holes 3 be all set.By mounting screw on screw fixed hole 3, left scapula steel plate 1 and/or right scapula steel plate 2 are fixed.
Be further used as preferred embodiment, described left omoplate broad-mouthed receptacle for holding liquid portion 12 and right omoplate broad-mouthed receptacle for holding liquid portion 22 are respectively equipped with multiple tracks bar shaped groove 5, and described bar shaped groove 5 is arranged between two screw fixed holes.According to the actual needs of operation, break disconnected bar shaped groove 5, make left omoplate broad-mouthed receptacle for holding liquid portion 12 or/and right omoplate broad-mouthed receptacle for holding liquid portion 22 is applicable in multiple operation.
More than that preferred embodiments of the present invention is illustrated, but the invention is not limited to described embodiment, those of ordinary skill in the art also can make all equivalent modifications or replacement under the prerequisite without prejudice to spirit of the present invention, and the modification that these are equal to or replacement are all included in the application's claim limited range.

Claims (6)

1. the auxiliary steel plate for the treatment of for fracture of scapula, it is characterized in that: it comprises left scapula steel plate and/or right scapula steel plate, described left scapula steel plate comprises tabular left-external side edge, left omoplate broad-mouthed receptacle for holding liquid portion and tabular left spine of scapula portion, described right scapula steel plate comprises tabular right outside side edge part, right omoplate broad-mouthed receptacle for holding liquid portion and tabular right spine of scapula portion, the curved plate that described left omoplate broad-mouthed receptacle for holding liquid portion matches for the omoplate broad-mouthed receptacle for holding liquid portion with human body, the curved plate that described right omoplate broad-mouthed receptacle for holding liquid portion matches for the omoplate broad-mouthed receptacle for holding liquid portion with human body.
2. the auxiliary steel plate for fracture of scapula treatment according to claim 1, is characterized in that: between described left-external side edge and left spine of scapula portion, be provided with left connecting portion, between described right outside side edge part and right spine of scapula portion, be provided with right connecting portion.
3. the auxiliary steel plate for fracture of scapula treatment according to claim 2, is characterized in that: the both sides of described left connecting portion are provided with a plurality of jagged breach, and the both sides of described right connecting portion are provided with a plurality of jagged breach.
4. the auxiliary steel plate for fracture of scapula treatment according to claim 1, it is characterized in that: the angle between described left-external side edge and left spine of scapula portion is in the scope of 80 ~ 86 °, and the angle between described right outside side edge part and right spine of scapula portion is in the scope of 80 ~ 86 °.
5. the auxiliary steel plate for fracture of scapula treatment according to claim 1, is characterized in that: in described left-external side edge, left omoplate broad-mouthed receptacle for holding liquid portion, left spine of scapula portion, right outside side edge part, right omoplate broad-mouthed receptacle for holding liquid portion and right spine of scapula portion, a plurality of screw fixed holes are all set.
6. the auxiliary steel plate for fracture of scapula treatment according to claim 5, is characterized in that: described left omoplate broad-mouthed receptacle for holding liquid portion and right omoplate broad-mouthed receptacle for holding liquid portion are respectively equipped with multiple tracks bar shaped groove, and described bar shaped groove is arranged between two screw fixed holes.
CN201310545919.4A 2013-11-06 2013-11-06 Auxiliary steel plate assembly for treatment of scapular fracture Pending CN103610491A (en)

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104306059A (en) * 2014-11-21 2015-01-28 陆晓生 Memory alloy internal fixing instrument for anatomy locking of scapula coracoid area
CN105662566A (en) * 2016-03-01 2016-06-15 厦门大学附属中山医院 Dissection type shoulder blade locking plate
CN105816231A (en) * 2016-04-11 2016-08-03 中国人民解放军第四军医大学 Anatomic plate for complicated scapula body fracture
CN106667568A (en) * 2016-12-31 2017-05-17 苏州市康力骨科器械有限公司 Dissection type shoulder blade locking steel plate
CN108175494A (en) * 2018-01-24 2018-06-19 史会明 A kind of shoulder blade anatomical type locking plate
CN110167470A (en) * 2016-12-15 2019-08-23 卡尔莱宾格医疗技术有限责任两合公司 Implantation material for osteorrhaphy and the implantation material set group with implantation material
CN111631789A (en) * 2020-06-09 2020-09-08 遵义医科大学附属医院 Locking steel plate for scapula fracture treatment

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1982001645A1 (en) * 1980-11-14 1982-05-27 Rahmanzadeh Rahim Device for holding the parts of the joint of a human shoulder
CN2320211Y (en) * 1997-12-31 1999-05-26 李振凡 Internal fixator for dislocation of acromioclavicular joint
CN2757744Y (en) * 2004-09-28 2006-02-15 陈立军 Scapula anatomize type steel plate
CN200973745Y (en) * 2006-11-15 2007-11-14 林斌 Steel plate for fixing acromion and clavicle according to the joint micro-moving anatomical characteristics
CN201073332Y (en) * 2007-08-01 2008-06-18 孙友良 Shoulder lock arcuated hook plate
CN201759661U (en) * 2010-07-30 2011-03-16 田鹏 Sternoclavicular joint dissecting steel plate

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1982001645A1 (en) * 1980-11-14 1982-05-27 Rahmanzadeh Rahim Device for holding the parts of the joint of a human shoulder
CN2320211Y (en) * 1997-12-31 1999-05-26 李振凡 Internal fixator for dislocation of acromioclavicular joint
CN2757744Y (en) * 2004-09-28 2006-02-15 陈立军 Scapula anatomize type steel plate
CN200973745Y (en) * 2006-11-15 2007-11-14 林斌 Steel plate for fixing acromion and clavicle according to the joint micro-moving anatomical characteristics
CN201073332Y (en) * 2007-08-01 2008-06-18 孙友良 Shoulder lock arcuated hook plate
CN201759661U (en) * 2010-07-30 2011-03-16 田鹏 Sternoclavicular joint dissecting steel plate

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104306059A (en) * 2014-11-21 2015-01-28 陆晓生 Memory alloy internal fixing instrument for anatomy locking of scapula coracoid area
CN105662566A (en) * 2016-03-01 2016-06-15 厦门大学附属中山医院 Dissection type shoulder blade locking plate
CN105662566B (en) * 2016-03-01 2019-11-26 厦门大学附属中山医院 Anatomical form shoulder blade lockplate
CN105816231A (en) * 2016-04-11 2016-08-03 中国人民解放军第四军医大学 Anatomic plate for complicated scapula body fracture
CN105816231B (en) * 2016-04-11 2018-02-02 中国人民解放军第四军医大学 A kind of anatomical plate for complicated fracture of body of scapula
CN110167470A (en) * 2016-12-15 2019-08-23 卡尔莱宾格医疗技术有限责任两合公司 Implantation material for osteorrhaphy and the implantation material set group with implantation material
CN106667568A (en) * 2016-12-31 2017-05-17 苏州市康力骨科器械有限公司 Dissection type shoulder blade locking steel plate
CN108175494A (en) * 2018-01-24 2018-06-19 史会明 A kind of shoulder blade anatomical type locking plate
CN111631789A (en) * 2020-06-09 2020-09-08 遵义医科大学附属医院 Locking steel plate for scapula fracture treatment

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Application publication date: 20140305