CN104042318A - Special-shaped rib surrounding bone fracture plate and use method thereof - Google Patents
Special-shaped rib surrounding bone fracture plate and use method thereof Download PDFInfo
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- CN104042318A CN104042318A CN201310580194.2A CN201310580194A CN104042318A CN 104042318 A CN104042318 A CN 104042318A CN 201310580194 A CN201310580194 A CN 201310580194A CN 104042318 A CN104042318 A CN 104042318A
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical 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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Abstract
The invention relates to a special-shaped rib surrounding bone fracture plate. The bone fracture plate is characterized by being provided with a main trunk, wherein 2-6 pairs of symmetric surrounding arms are arranged on the main trunk; the main trunk is arc-shaped; the 2-6 pairs of surrounding arms are uniformly arranged at the two ends of the main trunk; one end of the main trunk is provided with large-diameter surrounding arms, and the other end of the main trunk is provided with small-diameter surrounding arms; the diameter of the large-diameter surrounding arms is greater than that of the small-diameter surrounding arms; the entire bone fracture plate is conical. During use, a proper product can be selected according to the fracture shape of a rib, one larger-diameter segment is used for fixing one thicker segment of the rib, the other end is used for fixing one thinner segment of the rib, and two or four pairs of surrounding arms can effectively fix. For short-distance rib bone fracture, two or four pairs of the special-shaped rib surrounding bone fracture plates are adopted; for longer-distance rib bone fracture, six pairs of the special-shaped rib surrounding bone fracture plates are adopted. By adopting the (conical) special-shaped rib surrounding bone fracture plate, the rib fracture can be well fixed. Since dynamic surrounding and pressurized fixing are adopted, so that bone growth is facilitated, and the rehabilitation period is shortened. A good fixing effect is achieved, and the problem of difficulty in operation is solved.
Description
Technical field
The present invention relates to the technical field of medical apparatus and instruments, specifically a kind of internal fixation device for medical operating rib fracture fixation, relates in particular to a kind of special-shaped rib encircling bone bonding plate.
Background technology
Treat clinically at present rib, operative treatment fracture of rib, needs the internal fixation device of rib to help to reset with fixing.The internal fixation device of rib in the past only adapts to general fracture of rib, and following several fractures of rib are difficult to dispose:
1 several sections of fracture, or comminuted fracture of rib;
The 2 rib bone defective fractures that cause due to operation;
The rib that 3 thicknesses change to some extent, or the rib of close spinal column end.
General rib fixing means comprises: Kirschner wire, reconstruction plate, dissection armor plate, locking steel plate, bioabsorbable interference screw.Kirschner wire is easy and simple to handle, but easily loosening, the slippage withdraw of the needle.
Reconstruction plate is fixing reliable, but intensity is too large, does not meet human-body biological power principle.Operating time is long, has a big risk.Easily cause thoracic wall stiff.
Dissection armor plate within the specific limits can be synchronously crooked with rib, can maintain the displacement that certain stress resists fracture end.But operating time is long, have a big risk.Easily cause thoracic wall stiff.
Locking steel plate blade plate and surface of bone can not produce pressure and answer, and have reduced the damage of periosteum, have reduced the probability of fracture delayed union and nonunion.The screw of locking steel plate does not need offside cortex, has reduced the risk of iatrogenic injury.But locking steel plate, because screw locks, cannot complete the reset of fracture, and the pressurization that cannot complete between sclerite is fixed.
Bioabsorbable interference screw can avoid second operation, but for the patient of many fractures of rib, cannot complete the reset of fracture, cannot reach the reliable fixing of fracture.
With rib internal fixation device in the past, be often difficult to carry out preferably the fixing of rib.For this part fracture of rib, still adopt the fixing method of wire binding and steel plate be fixed and reset, can not well reach the fixing object of the reduction of the fracture, healing rate is low, easily damages periosteum simultaneously, has increased the risk of Iatrogenic injury.
Summary of the invention
The object of the present invention is to provide a kind of improved special-shaped rib encircling bone bonding plate, it can overcome cannot be to a multistage in prior art, pulverize, the single rib thickness of damaged or part changes the fracture of special-shaped rib greatly and the special-shaped rib of close spinal column end left and right arc can not well reach the fixing some shortcomings of the reduction of the fracture.
To achieve these goals, technical scheme of the present invention is: a kind of special-shaped rib encircling bone bonding plate, it is characterized in that: described blade plate is provided with trunk, trunk is provided with symmetrical 2-6 to encircling arm, and described trunk is curved, and described 2-6 divides equally to encircling arm the two ends that are arranged on trunk, wherein one end is that major diameter is encircled arm, the other end is that minor diameter is encircled arm, and the diameter that major diameter is encircled arm is greater than the diameter that minor diameter is encircled arm, the tapered shape of whole blade plate.
A kind of using method of special-shaped rib encircling bone bonding plate, it is characterized in that: described using method comprise the steps: a, according to fracture type and the difference of type of fracture, select suitable special-shaped rib encircling bone bonding plate, and special-shaped rib encircling bone bonding plate is immersed in sterile physiological brine ice; B, by requirements of operation otch, reduction knochenbruch, resets it, damaged person's bone grafting is also tied up with thick line temporarily; C, by distraction forcep, launch the arm of encircling of special-shaped rib encircling bone bonding plate, make the opening of encircling arm be greater than knochenbruch diameter, and will encircle wall and be placed in fracture segment; D, with the arm of encircling of the special-shaped rib encircling bone bonding plate of physiological saline solution gauze hot compress, make to encircle the rapid reinstatement of arm, thereby reach the fixing effect in pressurization of encircling; E, motion limbs check fixed effect, encircle arm and encircle state in pressurization; After reaching the fixed effect of reliable anatomical reduction, sew up the incision.
Special-shaped rib encircling bone bonding plate of the present invention during use, according to the form of fracture of rib, can select suitable product, diameter is increased to thick one section of fixing thicker one section of rib slightly, and the other end is fixing thinner one section of rib, encircles two pairs or four pairs of the employings that arm can be effectively fixing for two pairs or four pairs.6 pairs of longer employings.The special-shaped rib encircling bone bonding plate of patent of the present invention can well be fixed fracture of rib, operation technique is simple, do not need the auxiliary material such as screw, steel wire, in art, do not need boring, do not need to peel off rib breastbone face and broken ends of fractured bone periosteum thereof, be more conducive to the anatomical reduction of rib and fix, reduce periosteum stripping, the confession of protection rib blood, is conducive to union of fracture; Operation wound is little; Operating time is short; Because it is to utilize to encircle arm the curable grip of fracture two ends bone surface is maintained to the stable of fracture end, so after internal fixation, thoracic cavity is hemorrhage few, little for disturbing to periosteum and pulp cavity blood; Fixedly posterior rib para-position is definite, and postoperative thorax is stable, and without chest deformity, pulmonary function impairment is little, is conducive to fracture heals in early days; Operation risk is lower; Owing to not needing too much to peel off periosteum in art, to fracture, to provide persistence dynamically to encircle pressurization fixing for rib encircling bone bonding plate in addition, promoted fracture growth, shortened union of fracture cycle and hospital stays.
Accompanying drawing explanation
Fig. 1 is the structural representation of one embodiment of the invention.
Fig. 2 is the side view of Fig. 1.
Fig. 3 is the structural representation of further embodiment of this invention.
Fig. 4 is trunk crooked structural representation to the right in the embodiment of the present invention.
Fig. 5 is the crooked to the left structural representation of trunk in the embodiment of the present invention.
Fig. 6 is that the A of Fig. 1 medium ring arm is to schematic diagram.
Fig. 7 is that the distortion of encircling arm launches schematic diagram.
The specific embodiment:
Below in conjunction with drawings and Examples, the invention will be further described.
Label in each accompanying drawing is expressed as follows: 1 trunk, 2 encircles that arm, 2-1 minor diameter are encircled arm, 2-2 major diameter is encircled arm.
A kind of special-shaped rib encircling bone bonding plate of the present invention, its difference with the prior art is: described blade plate is provided with trunk, trunk is provided with symmetrical 2-6 to encircling arm, described trunk is curved, described 2-6 divides equally to encircling arm the two ends that are arranged on trunk, and wherein one end is that major diameter is encircled arm, and the other end is that minor diameter is encircled arm, the diameter that major diameter is encircled arm is greater than the diameter that minor diameter is encircled arm, the tapered shape of whole blade plate.Described 2-6 is separately positioned on the two ends of trunk to encircling arm with the form of 1:1,2:2 or 3:3, the diameter range that major diameter is encircled arm is 11-17mm, and the diameter range that minor diameter is encircled arm is 10-15mm.Every a pair of adjacent spacing of encircling between arm is 6-10mm, encircles arm and adopts marmem to make, encircle arm and be circular-arc, and an end opening, one end sealing, described blind end is fixedly connected with trunk.Trunk is along encircling the curved shape of arm distribution arrangement, and the radius of arc is 85-115mm, and trunk is to the right or to the left crooked, and the scope of described bending radius is 140-170mm.
A kind of using method of special-shaped rib encircling bone bonding plate, it is characterized in that: described using method comprise the steps: a, according to fracture type and the difference of type of fracture, select suitable special-shaped rib encircling bone bonding plate, and special-shaped rib encircling bone bonding plate is immersed in sterile physiological brine ice; B, by requirements of operation otch, reduction knochenbruch, resets it, damaged person's bone grafting is also tied up with thick line temporarily; C, by distraction forcep, launch the arm of encircling of special-shaped rib encircling bone bonding plate, make the opening of encircling arm be greater than knochenbruch diameter, and will encircle wall and be placed in fracture segment; D, with the arm of encircling of the special-shaped rib encircling bone bonding plate of physiological saline solution gauze hot compress, make to encircle the rapid reinstatement of arm, thereby reach the fixing effect in pressurization of encircling; E, motion limbs check fixed effect, encircle arm and encircle state in pressurization; After reaching the fixed effect of reliable anatomical reduction, sew up the incision.
In a step, according to knochenbruch diameter, select special-shaped rib encircling bone bonding plate, selected special-shaped rib encircling bone bonding plate to encircle arm relative aperture knochenbruch diameter little by 10%, the water temperature of described sterile physiological brine ice is 0 ℃～5 ℃.In c step, in the sterile physiological brine ice of 0 ℃～5 ℃, by distraction forcep, launch the arm of encircling of special-shaped rib encircling bone bonding plate, make the opening of encircling arm be greater than knochenbruch diameter 5-10%.Described special-shaped rib encircling bone bonding plate is provided with trunk, trunk is provided with symmetrical 2-6 to encircling arm, described trunk is curved, described 2-6 divides equally to encircling arm the two ends that are arranged on trunk, wherein one end is that major diameter is encircled arm, the other end is that minor diameter is encircled arm, the diameter that major diameter is encircled arm is greater than the diameter that minor diameter is encircled arm, the tapered shape of whole blade plate, trunk is along encircling the curved shape of arm distribution arrangement, the radius of arc is 85-115mm, and trunk is to the right or to the left crooked, and the scope of described bending radius is 140-170mm.Described 2-6 is separately positioned on the two ends of trunk to encircling arm with the form of 1:1,2:2 or 3:3, the diameter range that major diameter is encircled arm is 11-17mm, and the diameter range that minor diameter is encircled arm is 10-15mm.Every a pair of adjacent spacing of encircling between arm is 6-10mm, encircles arm and adopts marmem to make, encircle arm and be circular-arc, and an end opening, one end sealing, described blind end is fixedly connected with trunk.
Fig. 1 is the curved shape of the trunk of special-shaped rib encircling bone bonding plate, and label 2 is the arms of encircling of special-shaped rib encircling bone bonding plate, and 2-1 is that minor diameter is encircled arm, and 2-2 is that major diameter is encircled arm.On the trunk of encircling bone bonding plate, can there be symmetrical 2 couple, 4 couples or 6 couples to encircle arm.
Fig. 1 Fig. 2 is the structural representation of special-shaped rib encircling bone bonding plate.The trunk 1 of encircling bone bonding plate is curved.But it is larger that encircling bone bonding plate 2 is encircled the opening 2-2 of one end of arm.The opening 2-1 of the other end is less.Thinner, gradually far gradually thick at the rib near spinal column end.Abnormity rib encircling bone bonding plate designs according to this form exactly, the corresponding rib near spinal column end of large opening 2-2, and little opening 2-1 correspondence is away from the rib of spinal column end.
In Fig. 3, on trunk, there is symmetrical 6 couple to encircle arm, also can have symmetrical 2 couple or 4 pairs to encircle arm.For a root bone multistage, the situation that the defective fracture that pulverizing or operation cause and rib thickness differ, it is effectively fixing that general 6 pairs of special-shaped rib encircling bone bonding plates can reach substantially.Rib near spinal column end is symmetrical, and an arc left side, left side is curved, and the arc right side, right side is curved, and the left curved side view (referring to Fig. 4 and Fig. 5) of the right curved side view of encircling bone bonding plate arc and special-shaped rib encircling bone bonding plate arc, is exactly according to the product of special requirement design.
Special-shaped rib encircling bone bonding plate is made with marmem, and under the low temperature of 0-5 degree, encircling bone bonding plate encircles arm and can launch.The encircling bone bonding plate launching can be enclosed within knochenbruch interval, when temperature rises to 37 ° of degree, marmem can be returned to original shape, the rib encircling bone bonding plate of different size just can be corresponding to a multistage, pulverize, the single rib thickness of damaged or part changes greatly and is fixing with pressurization reliably near the reduction of the fracture of the special-shaped rib of spinal column end arcuate zone left and right lateral bending.
Patent of the present invention has advantages of as follows in use:
1. operation is easy: do not need the auxiliary material such as screw, steel wire, in art, do not need boring, owing to adopting marmem, the pressurization of encircling bone bonding plate fixedly completes automatically by shape memory, shorten greatly operating time, for rescuing urgent patient, won the valuable time.
2. rational in infrastructure, applied widely: be applicable to the rib at each position, especially to a multistage, the rib bone defective fracture that pulverizing or operation cause, near the rib fracture of rib of spinal column end arcuate zone left and right lateral bending, also can reach interior fixing effectively reliably.There is the advantage that other products do not have.
3. stability is strong: due to special-shaped rib encircling bone bonding plate, to fracture, to provide persistence dynamically to encircle pressurization fixing, therefore fracture site effectively clasped, and postoperative thorax is stable, without chest deformity, there will not be the phenomenons such as loosening, displacement.
4. operation wound is little; the union of fracture phase is short: because it is to utilize to encircle arm the curable grip of fracture two ends bone surface is maintained to the stable of fracture end; therefore after internal fixation, thoracic cavity is hemorrhage few, little for disturbing to periosteum and pulp cavity blood, does not need to peel off rib breastbone face and broken ends of fractured bone periosteum thereof; more be conducive to the anatomical reduction of rib and fix; reduce periosteum stripping, the confession of protection rib blood, has promoted fracture growth; be conducive to union of fracture, shortened union of fracture cycle and hospital stays.
5. material meets human safety: special-shaped rib encircling bone bonding plate is made by nickel-titanium shape memory alloy material (material meets ASTM F2063-2005 < < medical apparatus and instruments and nickel-titanium shape memory alloy processing material > > for surgical implant), have lightweight, intensity is high, anti-corrosion, endurance and good biocompatibility.
In force, the rib near spinal column end, adopts special-shaped rib encircling bone bonding plate.The trunk of special-shaped rib encircling bone bonding plate is curved.The opening of one end that encircling bone bonding plate is encircled arm is larger.The opening of the other end is less.Thinner, gradually far gradually thick at the rib near spinal column end.Special-shaped rib encircling bone bonding plate designs according to this form exactly, encircles arm one end large, and one end is little, is (taper).The corresponding rib near spinal column end of large opening, little opening correspondence is away from the rib of spinal column end.Generally symmetrical by juxtaspinal rib, be left and right lateral bending.Corresponding this form, Patent design of the present invention the rib encircling bone bonding plate of arcuate zone left and right lateral bending.Use the special-shaped rib encircling bone bonding plate of patent of the present invention can well to close spinal column end fracture of rib, implement effectively fixing.
For a several sections of fracture, or comminuted fracture of rib or the damaged class fracture of rib bone and the thickness that cause due to operation change rib greatly, also adopts special-shaped rib encircling bone bonding plate.Encircling bone bonding plate trunk curved (non-left and right lateral bending), trunk is provided with 2-6 to encircling arm.Short distance fracture of rib is adopted to 2 pairs or 4 pairs of rib encircling bone bonding plates.To long, apart from fracture of rib, adopt 6 pairs of rib encircling bone bonding plates.It is effectively fixing that general fracture of rib can reach substantially.
From physical arrangement, describe, it is 2 p-6 pairs that special-shaped rib encircling bone bonding plate is encircled arm.With the boundary of trunk central point position, upper and lower sharing ring arm quantity.According to consulting of clinical investigation and relevant rib internal fixation operation document, for fracture of rib, the encircling bone bonding plate of button footpath within the scope of 10mm ~ 16mm can effectively be clasped knochenbruch and fix.Therefore, scope is set is that large opening diameter is 11mm ~ 17mm to the arm opening diameter of encircling of patent of the present invention, and little opening diameter is 10mm ~ 15mm.In form, different according to using position, special-shaped rib encircling bone bonding plate is divided into two kinds, normal type and lateral bending type.
Take 4 pairs encircle arm as example, in two sides of special-shaped rib encircling bone bonding plate, be respectively provided with 2 pairs and encircle arm, encircle arm to implement dicyclo holding-solid fixed for 2 pairs, greatly increased fixing reliability.The trunk of special-shaped rib encircling bone bonding plate is curved.The radian of trunk is got the meansigma methods of front rib, side rib, aft rib, is about radius R 100mm.Trunk has super-elasticity, and its radian can be adjusted automatically according to the radian of rib, reaches perfect coupling.
For the special-shaped rib encircling bone bonding plate with lateral bending, its lateral bending radian, according to setting by juxtaspinal frame bending degree, is about radius R 160mm.Its radian can be fitted by juxtaspinal rib nature radian, guarantees to reach corresponding coupling.
For 2 pairs or the 4 pairs special-shaped rib encircling bone bonding plates of encircling arm, its each be 6 ~ 10mm to the spacing of encircling between arm; For six pairs of special-shaped rib connecting plates of encircling arm, its each be 6 ~ 10mm to the spacing of encircling between arm.The setting principle of its spacing, be the overall length in conjunction with blade plate, the factors such as logarithm that blade plate is respectively encircled the width of arm and encircled arm, keeping, under the constant prerequisite of overall length, guaranteeing every pair of symmetry of encircling arm, arm is encircled in assurance can be stressed even, reaches the effect of fixing-stable.
The using method of patent of the present invention and step:
1., when the bone Defect types that is a several sections of fracture, comminuted fracture at the knochenbruch of determining fracture of rib position, causes due to operation and fracture thickness change to some extent, consider to adopt patent of the present invention.
2. as while be the fracture of rib near spinal column end, the special-shaped rib encircling bone bonding plate of employing arcuate zone left and right lateral bending.
3. according to knochenbruch diameter, select than the encircling bone bonding plate in the little 10% interior button footpath of bone diameter; And immersed in the sterile physiological brine ice of 0 ℃～5 ℃.
4. by requirements of operation otch, reduction knochenbruch, resets it, and damaged person's bone grafting is also tied up with thick line temporarily.
5. in the sterile physiological brine ice of 0 ℃～5 ℃, by distraction forcep, launch the arm of encircling of encircling bone bonding plate, make the opening of encircling arm be greater than knochenbruch diameter, and be placed in fracture segment.Then with the arm of encircling of the physiological saline solution gauze hot compress encircling bone bonding plate of 45 ℃～50 ℃ of left and right, make to encircle the rapid reinstatement of arm, thereby reach the fixing effect in pressurization of encircling.
6. motion limbs checks fixed effect, encircles arm and encircles state in pressurization; After reaching the fixed effect of reliable anatomical reduction, sew up the incision.
Points for attention in operation are as follows:
1. special-shaped rib encircling bone bonding plate only can assist the skeleton of fracture to rebuild, and stage of rehabilitation and when bone delay in healing and nonunion only depends on the whole load of the independent support human body physiological activity of blade plate, easily causes metal fatigue and ruptures.
2. special-shaped rib encircling bone bonding plate specification is selected incorrectly, or does not use on request 45 ℃～50 ℃ physiological saline solution hot compress encircling bone bonding plates during operation, all can cause encircling bone bonding plate not reach reliable fixed effect.
3. fracture, the especially comminuted fracture of nearly joint, all need clamping plate or plaster slab outward fixing fixing in adopting.
4. postoperative care is extremely important, and doctor should do sufficient guidance, in incremental mode, completes non-heavy burden functional exercise to the transition of loaded exercise.Strengthen during this time protection, patient avoids any sudden external impacts at treatment phase, knitting phase and convalescence.
Special-shaped rib encircling bone bonding plate is made by nickel-titanium shape memory alloy material (material meets ASTM F2063-2005 < < medical apparatus and instruments and nickel-titanium shape memory alloy processing material > > for surgical implant), have lightweight, intensity is high, anti-corrosion, endurance and good biocompatibility.It has unique memory function to the geometry of self.
The encircling arm and can launch of encircling bone bonding plate under the low temperature of 0-5 degree, the size that opening launches can be greater than the diameter of encircling arm.The encircling bone bonding plate launching can be enclosed within knochenbruch interval, at body temperature, rise to 37 ° of marmems and can be returned to original shape, rib encircling bone bonding plate is just by a multistage, pulverize, the single rib thickness of damaged, part changes greatly or is fixing with pressurization reliably near the reduction of the fracture of the special-shaped rib of spinal column end left and right arc lateral bending.
Use the special-shaped rib encircling bone bonding plate of patent of the present invention, according to the form of fracture of rib, can select suitable product, diameter is increased to thick one section of fixing thicker one section of rib slightly, the other end is fixing thinner one section of rib, encircles 2 pairs or 4 pairs of the employings that arm can be effectively fixing for 2 pairs or 4 pairs.6 pairs of longer employings.Use the special-shaped rib encircling bone bonding plate of patent of the present invention well to fracture of rib, to be fixed, operation technique is simple, do not need the auxiliary material such as screw, steel wire, in art, do not need boring, do not need to peel off rib breastbone face and broken ends of fractured bone periosteum thereof, be more conducive to the anatomical reduction of rib and fix, reduce periosteum stripping, the confession of protection rib blood, is conducive to union of fracture; Operation wound is little; Operating time is short; Because it is to utilize to encircle arm the curable grip of fracture two ends bone surface is maintained to the stable of fracture end, so after internal fixation, thoracic cavity is hemorrhage few, little for disturbing to periosteum and pulp cavity blood; Fixedly posterior rib para-position is definite, and postoperative thorax is stable, and without chest deformity, pulmonary function impairment is little, is conducive to fracture heals in early days; Operation risk is lower; Owing to not needing too much to peel off periosteum in art, to fracture, to provide persistence dynamically to encircle pressurization fixing for rib encircling bone bonding plate in addition, promoted fracture growth, shortened union of fracture cycle and hospital stays.
Claims (10)
1. a special-shaped rib encircling bone bonding plate, it is characterized in that: described blade plate is provided with trunk, trunk is provided with symmetrical 2-6 to encircling arm, described trunk is curved, described 2-6 divides equally to encircling arm the two ends that are arranged on trunk, and wherein one end is that major diameter is encircled arm, and the other end is that minor diameter is encircled arm, the diameter that major diameter is encircled arm is greater than the diameter that minor diameter is encircled arm, the tapered shape of whole blade plate.
2. a kind of special-shaped rib encircling bone bonding plate according to claim 1, it is characterized in that: described 2-6 is separately positioned on the two ends of trunk to encircling arm with the form of 1:1,2:2 or 3:3, the diameter range that major diameter is encircled arm is 11-17mm, and the diameter range that minor diameter is encircled arm is 10-15mm.
3. a kind of special-shaped rib encircling bone bonding plate according to claim 1 and 2, it is characterized in that: every a pair of adjacent spacing of encircling between arm is 6-10mm, encircling arm adopts marmem to make, encircle arm and be circular-arc, one end opening, one end sealing, described blind end is fixedly connected with trunk.
4. a kind of special-shaped rib encircling bone bonding plate according to claim 1, it is characterized in that: trunk is along encircling the curved shape of arm distribution arrangement, the radius of arc is 85-115mm, and trunk is to the right or to the left crooked, and the scope of described bending radius is 140-170mm.
5. the using method of a special-shaped rib encircling bone bonding plate, it is characterized in that: described using method comprise the steps: a, according to fracture type and the difference of type of fracture, select suitable special-shaped rib encircling bone bonding plate, and special-shaped rib encircling bone bonding plate is immersed in sterile physiological brine ice; B, by requirements of operation otch, reduction knochenbruch, resets it, damaged person's bone grafting is also tied up with thick line temporarily; C, by distraction forcep, launch the arm of encircling of special-shaped rib encircling bone bonding plate, make the opening of encircling arm be greater than knochenbruch diameter, and will encircle wall and be placed in fracture segment; D, with the arm of encircling of the special-shaped rib encircling bone bonding plate of physiological saline solution gauze hot compress, make to encircle the rapid reinstatement of arm, thereby reach the fixing effect in pressurization of encircling; E, motion limbs check fixed effect, encircle arm and encircle state in pressurization; After reaching the fixed effect of reliable anatomical reduction, sew up the incision.
6. the using method of a kind of special-shaped rib encircling bone bonding plate according to claim 5, it is characterized in that: in a step, according to knochenbruch diameter, select special-shaped rib encircling bone bonding plate, selected special-shaped rib encircling bone bonding plate to encircle arm relative aperture knochenbruch diameter little by 10%, the water temperature of described sterile physiological brine ice is 0 ℃～5 ℃.
7. the using method of a kind of special-shaped rib encircling bone bonding plate according to claim 5, it is characterized in that: in c step, in the sterile physiological brine ice of 0 ℃～5 ℃, by distraction forcep, launch the arm of encircling of special-shaped rib encircling bone bonding plate, make the opening of encircling arm be greater than knochenbruch diameter.
8. the using method of a kind of special-shaped rib encircling bone bonding plate according to claim 5, it is characterized in that: described special-shaped rib encircling bone bonding plate is provided with trunk, trunk is provided with symmetrical 2-6 to encircling arm, described trunk is curved, described 2-6 divides equally to encircling arm the two ends that are arranged on trunk, wherein one end is that major diameter is encircled arm, the other end is that minor diameter is encircled arm, the diameter that major diameter is encircled arm is greater than the diameter that minor diameter is encircled arm, the tapered shape of whole blade plate, trunk is along encircling the curved shape of arm distribution arrangement, the radius of arc is 85-115mm, trunk is to the right or to the left crooked, the scope of described bending radius is 140-170mm.
9. a kind of special-shaped rib encircling bone bonding plate according to claim 5, it is characterized in that: described 2-6 is separately positioned on the two ends of trunk to encircling arm with the form of 1:1,2:2 or 3:3, the diameter range that major diameter is encircled arm is 11-17mm, and the diameter range that minor diameter is encircled arm is 10-15mm.
10. a kind of special-shaped rib encircling bone bonding plate according to claim 8 or claim 9, it is characterized in that: every a pair of adjacent spacing of encircling between arm is 6-10mm, encircling arm adopts marmem to make, encircle arm and be circular-arc, one end opening, one end sealing, described blind end is fixedly connected with trunk.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310580194.2A CN104042318A (en) | 2013-11-19 | 2013-11-19 | Special-shaped rib surrounding bone fracture plate and use method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310580194.2A CN104042318A (en) | 2013-11-19 | 2013-11-19 | Special-shaped rib surrounding bone fracture plate and use method thereof |
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| Publication Number | Publication Date |
|---|---|
| CN104042318A true CN104042318A (en) | 2014-09-17 |
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| CN201310580194.2A Pending CN104042318A (en) | 2013-11-19 | 2013-11-19 | Special-shaped rib surrounding bone fracture plate and use method thereof |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107320171A (en) * | 2015-12-24 | 2017-11-07 | 李峰 | Memory alloy plate osteosynthesis and memory alloy plate osteosynthesis external member |
| CN108553158A (en) * | 2018-05-18 | 2018-09-21 | 兰州西脉记忆合金股份有限公司 | A kind of memory alloy rib bone plate |
| CN109758220A (en) * | 2019-03-04 | 2019-05-17 | 北京市富乐科技开发有限公司 | A kind of rib fixer for the convex side thoracoplasty of scoliosis |
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| CN107320171A (en) * | 2015-12-24 | 2017-11-07 | 李峰 | Memory alloy plate osteosynthesis and memory alloy plate osteosynthesis external member |
| CN107320171B (en) * | 2015-12-24 | 2019-08-23 | 常州市第二人民医院 | Memory alloy plate osteosynthesis and memory alloy plate osteosynthesis external member |
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Application publication date: 20140917 |