CN103654930A - Medial pelvis combined locking oblique plate - Google Patents

Medial pelvis combined locking oblique plate Download PDF

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Publication number
CN103654930A
CN103654930A CN201310632083.1A CN201310632083A CN103654930A CN 103654930 A CN103654930 A CN 103654930A CN 201310632083 A CN201310632083 A CN 201310632083A CN 103654930 A CN103654930 A CN 103654930A
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China
Prior art keywords
plate
fixing head
fixedly connected
ilium
ischium
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Granted
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CN201310632083.1A
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Chinese (zh)
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CN103654930B (en
Inventor
张殿英
郭晓山
杨佳平
王钢
王满宜
唐佩福
吴新宝
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Changzhou Huasen Medical Instrument Co.,Ltd.
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Changzhou Waston Medical Appliance Co Ltd
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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)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Prostheses (AREA)

Abstract

The invention relates to the technical field of medical apparatus, in particular to a medial pelvis combined locking oblique plate comprising an iliac plate, a sciatic plate, and a plurality of fixing plates. A bone contact face of the iliac plate fits an iliac arcuate line in shape. The iliac plate is provided with iliac plate positioning holes. The bone contact face of the sciatic plate fits a sciatic body of hip bone in shape. The sciatic plate is provided with sciatic plate positioning holes. The fixing plates fit the hip bone, on which the fixing plates are mounted, in shape, and the fixing plates are provided with a plurality of fixing plate positioning holes. The iliac plate is fixedly connected with the sciatic plate. The fixing plates are fixedly connected with the sciatic plate. The medial pelvis combined locking oblique plate has the advantages that effective fixation after reduction is ensured, fracture areas can be considered as much as possible with one internal fixing member, screws are set safely, surgery is easier, and in surgical operations for quadrilateral body fracture, comminuted fracture of the quadrilateral body can be directly reduced and fixed without entering true pelvis.

Description

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.

Claims (5)

1. the oblique locking compoboard in pelvis medial wall, is characterized in that comprising:
Ilium plate (1), one side of described ilium plate (1) is surface of bone contact surface, the shape of surface of bone contact surface and the shape of iliopectineal line of described ilium plate (1) match, described ilium plate (1) is provided with at least one ilium plate locating hole (11), and articular cavity and pelvic cavity can be avoided in the position of described ilium plate locating hole (11) after ilium plate locating hole (11) packs screw into; And
Ischium plate (2), one side of described ischium plate (2) is surface of bone contact surface, the shape of surface of bone contact surface of described ischium plate (2) and the shape of the body of ischium of hipbone match, described ischium plate (2) is provided with at least one ischium plate locating hole (21), and articular cavity and pelvic cavity can be avoided in the position of described ischium plate locating hole (21) after ischium plate locating hole (21) packs screw into; And
Several fixing heads (3), one side of described fixing head (3) is surface of bone contact surface, described fixing head (3) surface of bone contact surface adapts with the hipbone shape that is mounted fixing head (3), and described fixing head (3) is provided with some fixing head locating holes (30);
Described ilium plate (1) is fixedly connected with ischium plate (2), and described fixing head (3) is fixedly connected with ilium plate (1).
2. the oblique locking compoboard in pelvis as claimed in claim 1 medial wall, is characterized in that: described ilium plate locating hole (11), between iliopectineal line and iliac fossa, can be realized screw successively through arcuate line and body of ilium, is fixed at body of ischium inside.
3. the oblique locking compoboard in pelvis as claimed in claim 1 medial wall, is characterized in that: described ilium plate locating hole (11) is equipped with three with ischium plate locating hole (21).
4. the oblique locking compoboard in the pelvis medial wall as described in claims 1 to 3 any one, is characterized in that: described fixing head (3) is provided with four, is followed successively by
Article one, fixing head (31), described the first fixing head (31) one end is fixedly connected with ilium plate (1), 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 (31) middle part;
The second fixing head (32), described the second fixing head (32) one end is fixedly connected with ilium plate (1), and the other end is fixedly connected with crista iliaca, and described the second fixing head (32) middle part is fixedly connected with iliac fossa laminating;
The 3rd fixing head (33), described the 3rd fixing head (33) one end is fixedly connected with ilium plate (1), and the other end is fixedly connected with anterior superior iliac spine top, and described the 3rd fixing head (33) middle part is fixedly connected with iliac fossa laminating; With
The 4th fixing head (34), described the 4th fixing head (34) one end is fixedly connected with ilium plate (1), and the other end is fixedly connected with ilium comb, and described the 4th fixing head (34) middle part is fixedly connected with iliopubic eminence laminating.
5. the oblique locking compoboard in pelvis as claimed in claim 4 medial wall, it is characterized in that: described the 4th fixing head (34) is three folding shapes, described the 4th fixing head (34) first fold (341) one end is fixedly connected with ilium plate (1), described first fold (341) is fixedly connected with iliopubic eminence laminating, described the 4th fixing head (34) the 3rd folding (343) is fixedly connected with superior ramus of pubis laminating, and described the 4th fixing head (34) second folding (342) two ends are fixedly connected with respectively first fold (341) and the 3rd folding (343).
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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104644255A (en) * 2015-02-05 2015-05-27 郭晓东 Fixing device for fractures of anterior column, posterior column and square area of acetabulum and method
CN104665912A (en) * 2015-02-05 2015-06-03 郭晓东 Fixing device and method for fractures of anterior and posterior columns of acetabulum
CN105266879A (en) * 2015-09-01 2016-01-27 郭晓东 Device and method for fixing acetabular front pillar and front wall fracture
CN106109000A (en) * 2016-08-23 2016-11-16 浙江科惠医疗器械股份有限公司 A kind of proximal humerus combination type internal fixation system
CN107485435A (en) * 2017-07-31 2017-12-19 郭晓东 Combined type fixation steel plate for fracture of acetabulum
CN109223154A (en) * 2018-10-22 2019-01-18 大泗医疗生物科技有限公司 A kind of pelvis universal lock steel plate
CN109965967A (en) * 2019-05-08 2019-07-05 天津市康尔医疗器械有限公司 Craniomaxillofacial bone fracture plate
CN110037833A (en) * 2019-05-30 2019-07-23 杨师斌 A kind of Combined medical formula titanium alloy framework
US10743923B2 (en) 2016-10-04 2020-08-18 Acumed Llc Fixation system and method for Hoffa fractures
CN113995492A (en) * 2021-10-28 2022-02-01 常州大章医疗器械有限公司 Pelvic bone fracture plate

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105769321A (en) * 2016-05-03 2016-07-20 金柯楠 Novel internal fixing device for acetabulum square-area fracture

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6162222A (en) * 1998-11-11 2000-12-19 Electro Biology, Inc. Method and apparatus for external fixation of the pelvis
EP1488750A1 (en) * 2003-06-18 2004-12-22 Jaroslav Briancin Pelvis Tongs
CN201631364U (en) * 2010-03-30 2010-11-17 李云峰 Special-shaped anatomical locking plate for cotyle posterior column or posterior wall fracture fixation
CN202568421U (en) * 2012-03-13 2012-12-05 镱钛科技股份有限公司 Three-dimensional reconstruction bone plate for posterior acetabular wall and posterior column fracture
CN203598033U (en) * 2013-11-29 2014-05-21 常州华森医疗器械有限公司 Pelvis inner-side-wall inclined locking combination plate

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6162222A (en) * 1998-11-11 2000-12-19 Electro Biology, Inc. Method and apparatus for external fixation of the pelvis
EP1488750A1 (en) * 2003-06-18 2004-12-22 Jaroslav Briancin Pelvis Tongs
CN201631364U (en) * 2010-03-30 2010-11-17 李云峰 Special-shaped anatomical locking plate for cotyle posterior column or posterior wall fracture fixation
CN202568421U (en) * 2012-03-13 2012-12-05 镱钛科技股份有限公司 Three-dimensional reconstruction bone plate for posterior acetabular wall and posterior column fracture
CN203598033U (en) * 2013-11-29 2014-05-21 常州华森医疗器械有限公司 Pelvis inner-side-wall inclined locking combination plate

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104644255A (en) * 2015-02-05 2015-05-27 郭晓东 Fixing device for fractures of anterior column, posterior column and square area of acetabulum and method
CN104665912A (en) * 2015-02-05 2015-06-03 郭晓东 Fixing device and method for fractures of anterior and posterior columns of acetabulum
CN105266879A (en) * 2015-09-01 2016-01-27 郭晓东 Device and method for fixing acetabular front pillar and front wall fracture
CN106109000A (en) * 2016-08-23 2016-11-16 浙江科惠医疗器械股份有限公司 A kind of proximal humerus combination type internal fixation system
US10743923B2 (en) 2016-10-04 2020-08-18 Acumed Llc Fixation system and method for Hoffa fractures
CN107485435A (en) * 2017-07-31 2017-12-19 郭晓东 Combined type fixation steel plate for fracture of acetabulum
CN109223154A (en) * 2018-10-22 2019-01-18 大泗医疗生物科技有限公司 A kind of pelvis universal lock steel plate
CN109965967A (en) * 2019-05-08 2019-07-05 天津市康尔医疗器械有限公司 Craniomaxillofacial bone fracture plate
CN110037833A (en) * 2019-05-30 2019-07-23 杨师斌 A kind of Combined medical formula titanium alloy framework
CN110037833B (en) * 2019-05-30 2024-02-23 河南城建学院 Medical combined titanium alloy skeleton
CN113995492A (en) * 2021-10-28 2022-02-01 常州大章医疗器械有限公司 Pelvic bone fracture plate

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