The oblique locking compoboard in pelvis medial wall
Technical field
The present invention relates to technical field of medical instruments, especially relate to the oblique locking compoboard in a kind of pelvis medial wall.
Background technology
Compound fracture of acetabulum is compared with serious and complicated intra-articular fracture, mainly betide between twenty and fifty high-energy damage, its curative effect and prognosis and reset fixed mass are closely related, particularly relate to all kinds fracture that comprises acetabular bone four limit bodies, during operation, require anatomical reduction as far as possible, early functional exercise can reduce the generation of long term complication.But for complicated fracture of acetabulum, especially relate to the comminuted fracture of Jiu Ding district, acetabular bone four limit bodies, because mortar top, the inwall of acetabular bone is thinner and proximal femur head, greatly limited in this region, use in fixed type.The conventional screw placement that is parallel to four limit bodies is difficulty comparatively, is easily strayed into articular cavity or pelvic cavity, even if reach anatomical reduction, long term is loss of reposition likely also.Therefore, design meets topography to be beneficial to again the inside-fixture operating in doctor's art very important.
Summary of the invention
The technical problem to be solved in the present invention is: when overcoming in prior art in fracture of acetabulum is used fixed type, screw placement is difficulty comparatively, easily enter the problem of articular cavity or pelvic cavity, provide a kind of pelvis medial wall oblique locking compoboard, effectively fixing after can guaranteeing to reset, only need to adopt a kind of inside-fixture just can take into account the fractured area that possibility is many, can put safely nail and reduce operating difficulty.
The technical solution adopted for the present invention to solve the technical problems is: the oblique locking compoboard in a kind of pelvis medial wall, is characterized in that comprising:
Ilium plate, one side of described ilium plate is surface of bone contact surface, the shape of surface of bone contact surface and the shape of iliopectineal line of described ilium plate match, described ilium plate is provided with at least one ilium plate locating hole, and articular cavity and pelvic cavity can be avoided in the position of described ilium plate locating hole after ilium plate locating hole packs screw into;
And
Ischium plate, one side of described ischium plate is surface of bone contact surface, the shape of surface of bone contact surface of described ischium plate and the shape of the body of ischium of hipbone match, described ischium plate is provided with at least one ischium plate locating hole, and articular cavity and pelvic cavity can be avoided in the position of described ischium plate locating hole after ischium plate locating hole packs screw into;
And
Several fixing heads, a side of described fixing head is surface of bone contact surface, and described fixing head surface of bone contact surface adapts with the hipbone shape that is mounted fixing head, and described fixing head is provided with some fixing head locating holes;
Described ilium plate is fixedly connected with ischium plate, and described fixing head is fixedly connected with ilium plate.
As preferably, described ilium plate locating hole is between iliopectineal line and iliac fossa, can realize screw successively through arcuate line and body of ilium, be fixed at body of ischium inside, the fracture aspect that particularly relates to four limit body regions, adopt this nail method of putting, covering fractured area that can be large as far as possible.
As preferably, described ilium plate locating hole and ischium plate locating hole are equipped with three.
As preferably, described fixing head is provided with four, is followed successively by
Article one, fixing head, described first fixing head one end is fixedly connected with ilium plate, and the other end is fixedly connected with crista iliaca trailing edge, and fit and be fixedly connected with iliac fossa in described the first fixing head middle part;
The second fixing head, described second fixing head one end is fixedly connected with ilium plate, and the other end is fixedly connected with crista iliaca, and described the second fixing head middle part is fixedly connected with iliac fossa laminating;
The 3rd fixing head, described the 3rd fixing head one end is fixedly connected with ilium plate, and the other end is fixedly connected with anterior superior iliac spine top, and described the 3rd fixing head middle part is fixedly connected with iliac fossa laminating; With
The 4th fixing head, described the 4th fixing head one end is fixedly connected with ilium plate, and the other end is fixedly connected with ilium comb, and described the 4th fixing head middle part is fixedly connected with iliopubic eminence laminating.
As preferably, described the 4th fixing head is three folding shapes, described the 4th fixing head first fold one end is fixedly connected with ilium plate, described first fold is fixedly connected with iliopubic eminence laminating, described the 4th fixing head the 3rd folding is fixedly connected with superior ramus of pubis laminating, and described the 4th fixing head the second folding two ends are fixedly connected with respectively first fold and the 3rd folding.
The invention has the beneficial effects as follows: the invention provides the oblique locking compoboard in a kind of pelvis medial wall, effectively fixing after can guaranteeing to reset, only need to adopt a kind of inside-fixture just can take into account the fractured area that possibility is many, can put safely nail and reduce operating difficulty, aspect four limit body region fracture, operation adopts front side approach can fix front and back post simultaneously, just can the fixing four limit body fracture of pulverizing of direct reduction and need not enter true pelvis.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, the present invention is further described.
Fig. 1 is the axonometric chart of the ilium plate of the oblique locking compoboard in a kind of pelvis of the present invention medial wall;
Fig. 2 is the axonometric chart of the ischium plate of the oblique locking compoboard in a kind of pelvis of the present invention medial wall;
Fig. 3 is the pelvis medial wall oblique locking compoboard axonometric chart of embodiments of the invention 1;
Fig. 4 is the pelvis medial wall oblique locking compoboard axonometric chart of embodiments of the invention 2.
In figure: 1. ilium plate, 11. ilium plate locating holes, 2. ischium plate, 21. ischium plate locating hole, 3. fixing heads, 30. fixing head locating holes, 31. article one fixing heads, 32. second fixing heads, 33. the 3rd fixing heads, 34. the 4th fixing heads, 341. first folds, 342. second foldings, 343. the 3rd foldings.
The specific embodiment
Below in conjunction with specific embodiment, further the present invention is set forth, should be understood that and quote embodiment only for the present invention is described, and be not used in, limit the scope of the invention.
Embodiment 1
When pubis place fracture line passes through the lateral surface of pubis, as shown in Figure 1 to Figure 3, the oblique locking compoboard in a kind of pelvis medial wall, comprises
Ilium plate 1, one side of ilium plate 1 is surface of bone contact surface, the shape of surface of bone contact surface and the shape of iliopectineal line of ilium plate 1 match, ilium plate 1 is provided with three ilium plate locating holes 11, ilium plate locating hole 11 is screwed hole, ilium plate locating hole 11, between iliopectineal line and iliac fossa, can be realized screw successively through arcuate line and body of ilium, and spiral shell is located at body of ischium inside; And
Ischium plate 2, one side of ischium plate 2 is surface of bone contact surface, the shape of surface of bone contact surface of ischium plate 2 and the shape of the body of ischium of hipbone match, ischium plate 2 is provided with three ischium plate locating holes 21, and articular cavity and pelvic cavity can be avoided in the position of ischium plate locating hole 21 after ischium plate locating hole 21 packs screw into; And
Four fixing heads 3, fixing head 3 is provided with that some one side of fixing head 3 is surface of bone contact surface for the fixing fixing head locating hole 30 of use of screw, and fixing head 3 surface of bone contact surfaces adapt with the hipbone shape that is mounted fixing head 3,
Article one, fixing head 31, the first fixing head 31 one end are fixedly connected with by screw with ilium plate 1, and the other end is fixedly connected with crista iliaca trailing edge by screw, and the first fixing head 31 middle parts are fixedly connected with iliac fossa laminating;
Second fixing head 32, the second fixing head 32 one end are fixedly connected with by screw with ilium plate 1, and the other end is fixedly connected with crista iliaca by screw, and the second fixing head 32 middle parts are fixedly connected with iliac fossa laminating;
The 3rd fixing head 33, the three fixing head 33 one end are fixedly connected with by screw with ilium plate 1, and the other end is fixedly connected with anterior superior iliac spine top, and the 3rd fixing head 33 middle parts are fixedly connected with iliac fossa laminating; With
The 4th fixing head 34, the four fixing head 34 one end are fixedly connected with by screw with ilium plate 1, and the other end is fixedly connected with ilium comb by screw, and the 4th fixing head 34 middle parts are fixedly connected with iliopubic eminence laminating;
Ilium plate 1 is fixedly connected with ischium plate 2 by screw, and fixing head 3 is fixedly connected with ilium plate 1 by screw.
Embodiment 2
When pubis place fracture line passes through the medial surface of pubis, as shown in Figure 1, Figure 2 and Figure 4, the oblique locking compoboard in a kind of pelvis medial wall, comprises
Ilium plate 1, one side of ilium plate 1 is surface of bone contact surface, the shape of surface of bone contact surface and the shape of iliopectineal line of ilium plate 1 match, ilium plate 1 is provided with three ilium plate locating holes 11, ilium plate locating hole 11 is screwed hole, ilium plate locating hole 11, between iliopectineal line and iliac fossa, can be realized screw successively through arcuate line and body of ilium, and spiral shell is located at body of ischium inside; And
Ischium plate 2, one side of ischium plate 2 is surface of bone contact surface, the shape of surface of bone contact surface of ischium plate 2 and the shape of the body of ischium of hipbone match, ischium plate 2 is provided with three ischium plate locating holes 21, and articular cavity and pelvic cavity can be avoided in the position of ischium plate locating hole 21 after ischium plate locating hole 21 packs screw into; And
Four fixing heads 3, fixing head 3 is provided with that some one side of fixing head 3 is surface of bone contact surface for the fixing fixing head locating hole 30 of use of screw, and fixing head 3 surface of bone contact surfaces adapt with the hipbone shape that is mounted fixing head 3,
Article one, fixing head 31, the first fixing head 31 one end are fixedly connected with by screw with ilium plate 1, and the other end is fixedly connected with crista iliaca trailing edge by screw, and the first fixing head 31 middle parts are fixedly connected with iliac fossa laminating;
Second fixing head 32, the second fixing head 32 one end are fixedly connected with by screw with ilium plate 1, and the other end is fixedly connected with crista iliaca by screw, and the second fixing head 32 middle parts are fixedly connected with iliac fossa laminating;
The 3rd fixing head 33, the three fixing head 33 one end are fixedly connected with by screw with ilium plate 1, and the other end is fixedly connected with anterior superior iliac spine top, and the 3rd fixing head 33 middle parts are fixedly connected with iliac fossa laminating; With
The 4th fixing head 34, the 4th fixing head 34 is three folding shapes, the 4th fixing head 34 first fold 341 one end are fixedly connected with ilium plate 1, first fold 341 is fixedly connected with iliopubic eminence laminating, the 4th fixing head 34 the 3rd folding 343 is fixedly connected with superior ramus of pubis laminating, and the 4th fixing head 34 second folding 342 two ends are fixedly connected with respectively first fold 341 and the 3rd folding 343;
Ilium plate 1 is fixedly connected with ischium plate 2 by screw, and fixing head 3 is fixedly connected with ilium plate 1 by screw.
The above-mentioned foundation desirable embodiment of the present invention of take is enlightenment, and by above-mentioned description, relevant staff can, within not departing from the scope of this invention technological thought, carry out various change and modification completely.The technical scope of this invention is not limited to the content in description, must determine its technical scope according to claim scope.