CN104783876A - Hook plate complex for locking acromioclavicular joint - Google Patents

Hook plate complex for locking acromioclavicular joint Download PDF

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Publication number
CN104783876A
CN104783876A CN201410029539.XA CN201410029539A CN104783876A CN 104783876 A CN104783876 A CN 104783876A CN 201410029539 A CN201410029539 A CN 201410029539A CN 104783876 A CN104783876 A CN 104783876A
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CN
China
Prior art keywords
locking
hook
hook plate
acromioclavicular joint
end
Prior art date
Application number
CN201410029539.XA
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Chinese (zh)
Inventor
田大为
熊敏
何宏生
陈洁
Original Assignee
田大为
熊敏
何宏生
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Filing date
Publication date
Application filed by 田大为, 熊敏, 何宏生 filed Critical 田大为
Priority to CN201410029539.XA priority Critical patent/CN104783876A/en
Publication of CN104783876A publication Critical patent/CN104783876A/en

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Classifications

    • 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
    • A61B17/683Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
    • 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
    • A61B17/686Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
    • 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
    • A61B2017/564Methods for bone or joint treatment

Abstract

The invention discloses a hook plate complex for locking an acromioclavicular joint, relates to an internal fixing device used for treating an acromioclavicular joint dislocation fracture and a clavicle distal end fracture, belongs to the technical field of medical facilities of departments of orthopaedics, and mainly solves the treating problem of the acromioclavicular joint dislocation fracture. The hook plate complex for locking the acromioclavicular joint is composed of a hook plate complex body, locking screws, a locking main nail and a hole drilling kirschner wire. Three grooves with threads are formed in one end of the hook plate complex body, and two to three locking screws can be installed according to the condition of fracture fixation; grooves are formed in two sides of one end of the hook plate complex body; a hollow hole is formed inside the locking main nail, and the hole drilling kirschner wire can pass through the hollow hole; the other end of the hook plate complex body is provided with a thread; a hole with a thread is formed in the hook end of the hook plate complex body. The structure is simple, the operation is convenient, the fixation is firm, healing of the fractures and healing of ligaments are guaranteed, and a basis is provided for recovery of an acromioclavicular joint function.

Description

肩锁关节锁定钩板复合体 Acromioclavicular joint locking hook composite plate

技术领域 FIELD

[0001] 本发明涉及一种治疗肩锁关节脱位骨折及锁骨远端骨折的内固定装置,属于骨科医疗设备技术领域。 [0001] The present invention relates to an internal fixation device acromioclavicular joint fracture and dislocation of the distal clavicle fracture treatment, belonging to the technical field of orthopedic medical devices.

背景技术 Background technique

[0002] 肩锁关节参与肩关节的前屈和后伸运动,而肩锁关节骨折脱位,特别是三型损伤,由于肩锁韧带及喙锁韧带完全断裂,锁骨远端完全移位,由于肩部的重力下垂,保守治疗效果欠佳,常需手术治疗,修复断裂的韧带,以及固定肩锁关节脱位和骨折。 [0002] involved in the acromioclavicular joint of shoulder flexion and extension movement, and the acromioclavicular joint fracture and dislocation, particularly three types of injury, and because acromioclavicular ligament coracoclavicular ligament completely broken, the distal clavicle fully displaced, since the shoulder Ministry of gravity sag, the poor outcome of conservative treatment, often require surgery to repair ligament rupture, as well as fixed acromioclavicular joint dislocation and fracture. 目前治疗肩锁关节脱位骨折的方法很多,如克氏针张力带固定,交叉克氏针内固定,锁骨钩骨折,但各有利弊。 Method in the treatment of acromioclavicular joint dislocation many fractures, such as tension band fixation, the Kirschner wire, hook clavicular fracture, but have advantages and disadvantages. 克氏针张力带操作简单,费用低廉,但是克氏针易脱出,固定不牢,骨折常移位。 Tension band is simple, inexpensive, easy-out but Kirschner, fixed is not strong, often fracture displacement. 锁骨钩钢板通过将一侧的钩插入肩峰中,固定牢靠,但是易出现术后的肩痛,脱钩,以及应力性骨折。 Clavicular hook plate is inserted through the hook side of the shoulder, fixed firmly, but prone to postoperative shoulder pain, decoupling, and a stress fracture.

发明内容 SUMMARY

[0003] 本发明的技术的目的是:针对目前肩锁关节脱位骨折内固定装置的优缺点,设计出一种结构简单,固定牢靠,方便韧带修复的内固定装置。 [0003] The object of the present technology are: the advantages and disadvantages for the current acromioclavicular joint dislocation fracture fixation device, designed a simple, stable fixation, fixation convenient ligament repair apparatus.

[0004] 为实现上述目的,本发明采取如下技术方案: [0004] To achieve the above object, the present invention adopts the following technical solutions:

[0005] 肩锁关节锁定钩板复合体由钩板复合体,锁定螺钉,锁定主钉及钻孔克氏针组成。 [0005] acromioclavicular joint locking by the hook of the hook plate composite composite plate, locking screws, and locking nail drill Kirschner composition.

[0006] 所述钩板复合体一端有三个带螺纹的孔,可根据骨折固定的情况选择安装2枚到3枚锁定螺钉。 [0006] One end of the hook plate has a complex three threaded holes, may choose to install 2-3 locking screw according to the case where the fracture fixation.

[0007] 所述钩板复合体一端两侧开有槽。 The [0007] One end of the hook plate composite with a groove on both sides.

[0008] 所述钩板复合体钩端有带螺纹的孔,可穿过锁定主钉,锁定主钉内含空心孔,可穿过钻孔克氏针。 [0008] The hook plate composite with a hook end with threaded holes, may pass through the locking nail, the nail containing hollow locking hole may be drilled through the K-wire.

[0009] 所述锁定主钉一端有螺纹。 [0009] The threaded end of the locking nail.

附图说明 BRIEF DESCRIPTION

[0010] 图1为本发明的整体侧视图; [0010] FIG. 1 is an overall side view of the present invention;

[0011] 图2为钩板复合体的结构图。 [0011] FIG. 2 is a structural view of the hook plate composite.

[0012] 其中:1.钩板复合体;2.( 一端)带螺纹的孔;3.(钩端)带螺纹的孔;4.槽。 . [0012] wherein: hook plate composite 1; 2 holes (one end) of the threaded; 3 holes (hook end) of the threaded; 4 slots...

[0013] 图3为锁定骨钉的结构图。 [0013] FIG. 3 is a structural view of the locking pegs.

[0014] 其中:5.锁定螺钉;6.骨端的螺纹。 . [0014] wherein: the locking screw 5; 6 threaded ends of the bones.

[0015] 图4为锁定主钉的结构图。 [0015] FIG. 4 is a structural view of the locking nail.

[0016] 其中:7.锁定主钉;8.骨端的螺纹;9.空心孔。 . [0016] wherein: the locking nail 7; 8 threaded ends of the bones; 9 hollow holes.

[0017] 图5为钻孔克氏针的结构图。 [0017] FIG 5 is a configuration diagram of borehole Kirschner.

[0018] 其中:10.钻孔克氏针。 [0018] wherein: drilling Kirschner wire 10.

具体实施方式 Detailed ways

[0019] 下面结合附图对本发明做进一步说明: [0019] DRAWINGS The present invention is further described:

[0020] 肩锁关节锁定钩板复合体由钩板复合体1,锁定螺钉5,锁定主钉7及钻孔克氏针10组成。 [0020] acromioclavicular locking hook composite plate composite plate 1 by the hook, the locking screw 5, 7 and the locking nail drill 10 Kirschner composition. 钩板复合体I 一端有三个带螺纹的孔2,可根据骨折固定的情况选择安装2枚到3枚锁定螺钉5。 Complex I hook plate end three threaded hole 2, can choose to install 2-3 locking screw 5 according to a fixed fracture situation. 一端两侧开有槽4。 4 on both sides of one end of the slotted. 钩板复合体钩端有带螺纹的孔3,可穿过锁定主钉7,锁定主钉7内含空心孔9,可穿过钻孔克氏针10。 Composite hook end of the hook plate has a threaded hole 3, 7 through the locking nail, the nail locking hollow bore 9 containing 7, K-wire 10 may pass through the bore. 所述锁定主钉一端有螺纹8。 The threaded end of the locking nail 8.

[0021] 肩锁关节脱位骨折手术按照手术常规采取沙滩椅体位进行,常规消毒铺巾,以肩锁关节为中心,做肩部外侧切口,常规切开皮肤皮下深筋膜,暴露骨折脱位端,肩锁韧带和喙锁韧带,清除病变部位的积血,直视下进行复位,一枚钻孔克氏针10从肩峰依次穿过肩锁关节、锁骨远端,至锁骨轴心,固定脱位骨折的肩锁关节,见肩锁关节复位良好,即可修复断裂的肩锁韧带和喙锁韧带,然后根据钻孔克氏针的走向折弯钩板复合体的槽4,使钩板复合体的走向符合钻孔克氏针10的走向,钩板复合体I的钩端孔3和锁定主钉7的空心孔9依次穿过钻孔克氏针10,并拧紧锁定主钉7,锁死钩板复合体I。 [0021] acromioclavicular dislocation fractures chairs take position in accordance with a conventional procedure, routine disinfection shop towels, acromioclavicular joint center to do the shoulder lateral incision, subcutaneous fascia conventional skin incision, fracture and dislocation of the exposed end, carried out in the acromioclavicular ligament and coracoclavicular ligament, removal of hemorrhage lesion, look reset, a Kirschner wire bore 10 passes through the shoulder acromioclavicular joint, the distal clavicle, collarbone, fixing of dislocation fracture acromioclavicular joint, see good reduction acromioclavicular joint, to repair broken ligaments and acromioclavicular coracoclavicular ligament, according to the groove and then folded toward the borehole Kirschner hook composite plate 4, the hook composite plate to conform to the bore 10 of the Kirschner wire, complex I hook plate hole 3 and the hook end of the hollow locking nail holes 7 9 10 Kirschner sequentially through the bore, and tighten the locking nail 7, lock The hook plate complex I. 然后根据钩板复合体的一端带螺纹的孔2的位置,钻头钻穿锁骨远端,依次拧入锁定螺钉5两枚或者三枚。 The position of the hole and then hooking the end of the threaded plate composite body 2, through the drill bit distal clavicle, the locking screw 5 screwed order two or three. 最后,抽出钻孔克氏针10。 Finally, out of 10 drilling Kirschner. 内固定植入完毕。 Implant placement is completed. 大量生理盐水反复冲洗创口,依次缝合深筋膜和皮下皮肤。 Plenty of saline wound repeatedly washed sequentially subcutaneous suturing deep fascia and skin. 伤口加压包扎,手术完毕。 Bandaged wound, surgery is completed.

[0022] 本发明结构简单,操作方便,充分发挥克氏针髓内固定的优点,并结合钢板固定牢靠的优点,通过符合肩锁关节结构的钩板复合体,固定牢靠,并且能够对断裂的肩锁韧带喙锁韧带进行修复,保证了骨折愈合和韧带愈合,为恢复正常的肩锁关节功能打下了基础。 [0022] The present invention is of simple structure, convenient operation, give full play to the advantages of fixed intramedullary Kirschner wire, and combining the advantages of solid steel fixed by the hook plate in line with the composite structure of the acromioclavicular joint, fixed firmly, and capable of breaking acromioclavicular ligament coracoclavicular ligament repair to ensure that the fracture healing and ligament healing, to restore normal function of the acromioclavicular joint foundation.

Claims (5)

1.肩锁关节锁定钩板复合体由钩板复合体,锁定螺钉,锁定主钉及钻孔克氏针组成。 1. acromioclavicular joint locking by the hook of the hook plate composite composite plate, locking screws, and locking nail drill Kirschner composition.
2.根据权利要求1所述的肩锁关节锁定钩板复合体,其特征是:所述钩板复合体一端有三个带螺纹的孔,可根据骨折固定的情况选择安装2枚到3枚锁定螺钉。 The acromioclavicular joint according to claim 1 the locking hook composite board, characterized in that: one end of said hook plate has a complex three threaded holes, may choose to install 2-3 locking situation according to a fixed fracture screws.
3.根据权利要求1所述的肩锁关节锁定钩板复合体,其特征是:所述钩板复合体一端两侧开有槽。 The acromioclavicular joint according to claim 1 the locking hook composite plate, wherein: one end of said hook on both sides of complex slotted plate.
4.根据权利要求1所述的肩锁关节锁定钩板复合体,其特征是:所述锁定主钉内含空心孔,可穿过钻孔克氏针,一端有螺纹。 The acromioclavicular joint according to claim 1 the locking hook composite plate, wherein: said nail hollow bore containing locking, can be drilled through the K-wire, is threaded at one end.
5.根据权利要求1所述的肩锁关节锁定钩板复合体,其特征是:所述钩板复合体钩端有带螺纹的孔,可穿过锁定主钉。 Acromioclavicular joint according to claim 1, said locking hook composite board, characterized in that: said hook plate composite with a hook end with threaded holes, may pass through the locking nail.
CN201410029539.XA 2014-01-20 2014-01-20 Hook plate complex for locking acromioclavicular joint CN104783876A (en)

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Cited By (1)

* 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

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3145988U (en) * 2008-08-19 2008-10-30 宏之 山下 Fracture treatment for the hook plate
CN101406408A (en) * 2008-11-13 2009-04-15 张英泽 Tension side-fixing bone plate for olecranon process of ulna
CN201350108Y (en) * 2009-02-13 2009-11-25 李宗利 Fixation steel plate for acetabular posterior edge fracture
US20100137866A1 (en) * 2008-12-02 2010-06-03 Suspension Orthopaedic Solutions, Llc Ulna fixation
CN201977922U (en) * 2011-02-15 2011-09-21 枣庄矿业集团滕南医院 Fixing plate for sternoclavicular joint
US20120203228A1 (en) * 2010-05-07 2012-08-09 Osteomed L.P. System for Treating Bone Fractures
CN202637086U (en) * 2012-07-17 2013-01-02 枣庄矿业集团滕南医院 Acromioclavicular joint fixing plate
US20130238035A1 (en) * 2009-07-31 2013-09-12 Robert J. Medoff Locking pin plate assembly adapted for fracture fixation
CN203736290U (en) * 2014-01-20 2014-07-30 田大为 Locking hook and plate assembly for acromioclavicular joint

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3145988U (en) * 2008-08-19 2008-10-30 宏之 山下 Fracture treatment for the hook plate
CN101406408A (en) * 2008-11-13 2009-04-15 张英泽 Tension side-fixing bone plate for olecranon process of ulna
US20100137866A1 (en) * 2008-12-02 2010-06-03 Suspension Orthopaedic Solutions, Llc Ulna fixation
CN201350108Y (en) * 2009-02-13 2009-11-25 李宗利 Fixation steel plate for acetabular posterior edge fracture
US20130238035A1 (en) * 2009-07-31 2013-09-12 Robert J. Medoff Locking pin plate assembly adapted for fracture fixation
US20120203228A1 (en) * 2010-05-07 2012-08-09 Osteomed L.P. System for Treating Bone Fractures
CN201977922U (en) * 2011-02-15 2011-09-21 枣庄矿业集团滕南医院 Fixing plate for sternoclavicular joint
CN202637086U (en) * 2012-07-17 2013-01-02 枣庄矿业集团滕南医院 Acromioclavicular joint fixing plate
CN203736290U (en) * 2014-01-20 2014-07-30 田大为 Locking hook and plate assembly for acromioclavicular joint

Cited By (1)

* 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

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