CN105125272A - Minitype surrounding joint injury restoring system and locking bone fracture plate thereof - Google Patents
Minitype surrounding joint injury restoring system and locking bone fracture plate thereof Download PDFInfo
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- CN105125272A CN105125272A CN201510615203.6A CN201510615203A CN105125272A CN 105125272 A CN105125272 A CN 105125272A CN 201510615203 A CN201510615203 A CN 201510615203A CN 105125272 A CN105125272 A CN 105125272A
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- bone fracture
- locking bone
- fracture plate
- joint injury
- repair system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Abstract
The invention discloses a minitype surrounding joint injury restoring system and a locking bone fracture plate thereof. The minitype surrounding joint injury restoring system is mainly composed of the locking bone fracture plate, a locking bone jointing fixing piece, a suturing thread and/or an artificial ligament. The locking bone jointing fixing piece is used for fixing the locking bone fracture plate to a bone, and a structure for locating and fixing the suturing thread and/or the artificial ligament is arranged on the locking bone fracture plate and/or the locking bone jointing fixing piece. According to the minitype surrounding joint injury restoring system, torn soft tissue can be effectively sutured and repaired through the suturing thread and/or the artificial ligament, meanwhile, avulsion fractures following soft tissue tearing can be effectively restored through the locking bone fracture plate, and soft tissue injuries around the surrounding joint or following surrounding joint fractures of different degrees can be restored at the same time through one product.
Description
Technical field
The present invention relates to medical device technical field, particularly one encloses joint injury repair system, is specifically related to a kind ofly miniaturely enclose joint injury repair system and this miniature locking bone fracture plate enclosed in joint injury repair system.
Background technology
Human body enclose articulation structure, be finger joint style and tissue around thereof, comprising osseous tissue, tendon, joint capsule, ligament etc.Often fracture with enclosing ossa articularia block when enclosing periarticular soft tissues damage, the reparation of this soft tissue and bone damage is a technical barrier of current field of orthopaedics.Cause the main cause of this difficulty be the restorative procedure that soft tissue repair and fracture repair adopt and theory completely different, apparatus used during operation and implant also have larger difference.Be directed to fracture repair operation at present usually to lock the methods of internal fixation of pegboard systems, and soft tissue repair utilizes the products such as band wire holdfast to carry out stitching reparation usually.Therefore there is no a kind of product at present can repair fracture and soft tissue injury simultaneously.
At present, enclose the main fixed form of periarticular soft tissues avulsion fracture and comprise following 3 kinds: simple screw is directly fixed, locking pegboard systems internal fixtion and simple holdfast are fixed indirectly, according to the Biomechanics test result of carrying out these three kinds of fixed forms, locking pegboard systems is the most firm for fracture fixation, this kind of fixed form the best is selected for the large comminuted joint avulsion fracture that encloses of displacement, postoperative can early functional exercise, to reach desirable curative effect.
But, Vehicles Collected from Market does not have the special Related product for enclosing periarticular soft tissues avulsion fracture fixed and repaired.At present when carrying out such operation, in most cases mainly use the products such as band wire holdfast to carry out stitching to affected part to fix, but due to the restriction of the fixed form of band wire holdfast own, make it effectively cannot fix the soft tissue of sheet, particularly when running into the situations such as comminuted fracture, sufferers of osteoporosis face, large area avulsion fracture and sclerotin serious defect, band wire holdfast restorative procedure then can show organize fixed-area little, sew up the shortcomings such as the weak and resisting pull out forces intensity of bed knife is low, cause repairing failure, postoperative effect is poor; And utilize locking pegboard systems to enclose periarticular soft tissues avulsion fracture carry out internal fixtion repair time, although postoperative curative effect is better than band wire holdfast, but still there is following defect:
First, still there is no at present the special miniature pegboard systems for enclosing soft tissue of joint damage (containing avulsion fracture) and repairing, so when carrying out this type of prosthesis, usually the routine designed for general fracture repair can only be selected to lock pegboard systems as an alternative, due to generality fracture, to damage theory of repairing both (containing avulsion fracture) different with enclosing soft tissue of joint, obviously bigger than normal for the blade plate size in the pegboard systems of general fracture repair, cause otch larger in art and unnecessary soft tissue structure to be peeled off;
Second, need in clinical blade plate and suture compatibility use with repair enclose soft tissue of joint damage time, the blade plate structure of existing pegboard systems does not on the market have special for suture cross line, structural design that bolt knot, hook demand are carried out, easily to cause in art suture operation inconvenience, even cause sewing up the suture of soft tissue and plate fixation loosely etc. unfavorable condition occur.
Summary of the invention
The invention provides and a kind of miniaturely enclose joint injury repair system, this is miniature encloses joint injury repair system primarily of locking bone fracture plate, locking synthetism fixture (such as locking bone screw), suture and/or artificial ligament composition, encloses periarticular soft tissues damage or with enclosing the problem of not repairing product in articular fracture operation specially in various degree to solve prior art in process.
The present invention also provides a kind of above-mentioned miniature described locking bone fracture plate enclosing joint injury repair system, encloses periarticular soft tissues damage or with enclosing the problem not having special reparation product in articular fracture operation in various degree to solve prior art in process.
Technical scheme of the present invention is as follows:
One is miniature encloses joint injury repair system, primarily of locking bone fracture plate, locking synthetism fixture, suture and/or artificial ligament composition; Wherein, described locking synthetism fixture is for being fixed on skeleton by described locking bone fracture plate, and described locking bone fracture plate and/or described locking synthetism fixture are provided with the structure being specifically designed to location and fixing described suture and/or described artificial ligament.Wherein, locking synthetism fixture can be locking bone screw or its analog usually.
Of the present invention miniature enclose joint injury repair system use time, first locking bone fracture plate and locking synthetism fixture are positioned over far-end or the near-end (old method is positioned on sclerite locking bone fracture plate and synthetism fixture) of fracture bed, then suture and/or artificial ligament is used to carry out braiding stitching to enclosing periarticular soft tissues, for the structure making described suture and/or described artificial ligament locate and to fix finally by what described locking bone fracture plate and/or described locking synthetism fixture were arranged described suture and/or artificial ligament are positioned and fixed, thus reset and fixing sclerite, joint avulsion fracture is enclosed to repair.Therefore miniature design of enclosing joint injury repair system of the present invention is based on a kind of indirect fixed form completely newly, and fixing theory in the past--be directly fixed with the difference of essence.
In a preferred embodiment of the invention, what described locking bone fracture plate is arranged comprises one or more column for the structure making described suture and/or described artificial ligament locate and to fix.The version of column has the advantage being easy to suture and/or artificial ligament are passed.
In a preferred embodiment of the invention, described column is arranged on the edge of described locking bone fracture plate.The mode that column is arranged on the edge of locking bone fracture plate has the advantage being easy to its processing and manufacturing.
In a preferred embodiment of the invention, described column is arranged on the flank of described locking bone fracture plate one or both sides.Particularly, the shape of locking bone fracture plate of the present invention is subtriangular, comprises the top edge being positioned at upper end--and head, and two flanks being positioned at lower end, described column is preferably arranged in wherein one or two of two described flanks.This is because top edge needs to arrange kirschner pin hole, if the column that on top edge is arranged will make the structural design of locking bone fracture plate become complicated simultaneously.Being arranged on by column on flank then to make locking bone fracture plate better arrange kirschner pin hole at head, facilitates locking bone fracture plate to design and produce and enforcement of performing the operation.
In a preferred embodiment of the invention, the both sides flank of described locking bone fracture plate is respectively arranged with described column, and described column is symmetrical arranged on the both sides flank of described locking bone fracture plate.The column of setting like this can make the traction force of the bone block after operation stitching and soft tissue two opposite sides even, is not easy the component producing other direction, avoids the harmful effect that component brings.
In a preferred embodiment of the invention, every side of the both sides flank of described locking bone fracture plate arranges a column or two or more column, has gap between described adjacent column.The required quantity arranged of column of every side specifically can be determined according to environment for use by those skilled in the art, is not described in detail herein and limits.
In a preferred embodiment of the invention, described column relative to described locking bone fracture plate in upwarping, recessed or seamlessly transit frame mode.And, in the present invention also preferably, described column relative to described locking bone fracture plate in the frame mode upwarped, this is that frame mode owing to upwarping makes suture and/or artificial ligament cross line and bolt knot is all more prone to and handled easily, and can not produce push-and-pull to the surface of bone of patient and cause patient to produce discomfort.
In a preferred embodiment of the invention, described column is provided with the anti-delinking part preventing described suture and/or artificial ligament slippage, and the radial dimension at least partially of described anti-delinking part is greater than the radial dimension of the remainder beyond the anti-delinking part of described column.Like this can in art, postoperatively more effectively prevent suture and/or artificial ligament and their toe-in slippage.
In a preferred embodiment of the invention, described bolt line column is T-type structure, and diametrically wide one end of described T-type structure is as free end, and diametrically narrow one end is connected with described locking bone fracture plate integrate shaped type.T-type structure is easy to make, simple, and not only can locate very easily and anchor suture and/or artificial ligament as column form, and its diametrically wide one end as anti-delinking part can effectively in art, postoperatively prevent toe-in slippage.
In a preferred embodiment of the invention, described column is provided with one or more annular groove.Arranging annular groove can make the card line effect of column better, is more conducive to location on locking bone fracture plate of suture and/or artificial ligament and fixing.
In a preferred embodiment of the invention, described locking synthetism fixture as locking bone screw is arranged for suture as described in making and/or as described in artificial ligament location and fixing structure be applicable to described suture and/or as described in artificial ligament pass or around hole or groove.
In a preferred embodiment of the invention, the structure of locating for described suture and/or described artificial ligament and fixing described locking bone fracture plate arranged comprises circular hole and/or strip hole.The large I of described circular hole and described strip hole is determined according to concrete environment for use by those skilled in the art, is not described in detail herein and limits.In order to be more suitable for threading, the bolt knot of artificial ligament, larger-size described strip hole or circular hole can be set.In addition, locking bone fracture plate can be provided with the different circular hole of multiple size and/or strip hole simultaneously, wherein larger-size circular hole and strip hole are more suitable for threading and the bolt knot of artificial ligament.
In a preferred embodiment of the invention, the groove extending to described locking bone fracture plate edge is provided with below the circular hole of described locking bone fracture plate and/or strip hole.Made line, threading more convenient like this.
In a preferred embodiment of the invention, the height of described locking bone fracture plate is between 10mm-50mm, and thickness is between 1mm-3mm, and width such as can between 10mm-50mm.Further, the shape of described locking bone fracture plate is set to the shape of enclosing joint described in laminating.
In a preferred embodiment of the invention, the height of described locking bone fracture plate is between 10mm-30mm, and thickness is between 1.5mm-2mm, and width preferably can between 20mm-30mm.
Arranged by above-mentioned size, the locking bone-fracture fixation steel plate for generality fracture that locking bone fracture plate of the present invention is used comparatively now is on the market frivolous, miniature locking bone fracture plate can be referred to as, this miniature locking bone fracture plate decreases the stimulation to soft tissue under the prerequisite ensureing locking bone fracture plate intensity, locking bone fracture plate is avoided excessively to oppress periosteum, prevent blood supply from hindering, accelerate affected part and restore.
In a preferred embodiment of the invention, described suture is anti-sever sutures, has the diameter toe-in large compared with other position in the middle of described anti-sever sutures.
In a preferred embodiment of the invention, the two ends of described artificial ligament are woven to the structure for making described suture and/or described artificial ligament locate and fix be applicable to by described locking bone fracture plate and/or described locking synthetism fixture are arranged.
The present invention also provides a kind of above-mentioned miniature described locking bone fracture plate enclosed in joint injury repair system.The material that described locking bone fracture plate uses can be metal (such as peptide, steel, alloy etc.), macromolecule or other materials be applicable to, those skilled in the art can require to select suitable material according to its environment for use, and the present invention is not described in detail to this and limits.
Compared with prior art, beneficial effect of the present invention is as follows:
First, enclose soft tissue of joint damage or avulsion fracture adjoin joint, as adopted, conventional steel plates is directly fixing need be placed in bone block surface by steel plate, tie up space, easily cause joint movement disorder, as fixed the generation that can cause Acromial impingement during avulsion fracture of greater tuberosity of humerus with proximal humerus lockplate, and utilizing the technology by indirect fixation principle, blade plate has with a certain distance from bone bed, adds the miniature locking bone fracture plate of unique design, effectively can avoid the problems referred to above, ensure curative effect;
Second, except avulsion fracture, the design also has unique benefit for ligamentum periarticular damage reparation during osteoporosis, the problem that during osteoporosis, holdfast repairing ligament injury often runs into is that holdfast cannot be engaged with bone bed is firm, easily loosen and cause ligament repairing curative effect not good enough, repairing as rotator cuff injury during head of humerus osteoporosis is a common clinically difficult problems, can solve by adopting miniature locking plate fixation the present invention designed in the surgical neck Indirect reduction fixing shoulder tissue sleeve of greater tubercles of humerus far-end;
3rd. the miniature joint injury repair system that encloses of the present invention can utilize suture and/or artificial ligament that the soft tissue torn is carried out suture repair effectively, when simultaneously locking bone fracture plate can also be utilized to tear soft tissue, adjoint avulsion fracture is repaired effectively, reaches and uses this kind of product of the present invention just can to fracture the effect of repairing to enclosing periarticular soft tissues avulsion and enclosing joint ossiculum block simultaneously;
4th. the present invention is by carrying out special structural design to locking bone fracture plate, can by suture and/or artificial ligament being tied by bolt for making described suture and/or described artificial ligament location and fixing structure be preferably arranging of column that it is arranged, the modes such as hook are fixed on locking bone fracture plate, the mode that is fixedly connected with like this not only avoid the conventional band wire holdfast bad adaptability used, fixing unstable shortcoming, solve again the problem that traditional locking bone fracture plate crosses line difficulty, thus effectively reduce operating time, greatly improve procedure efficiency, reduce patient painful, be convenient to post-operative recovery,
5th, locking bone fracture plate of the present invention, more general locking steel plate is frivolous, decreases the stimulation to soft tissue, avoid locking bone fracture plate excessively to oppress periosteum, prevent blood supply from hindering under the prerequisite ensureing locking bone fracture plate intensity, accelerates affected part and restores; Simultaneously, locking bone fracture plate of the present invention is also by the setting of column, the side for surface of bone of fitting achieving this locking bone fracture plate is Multi-contact, the such as structure of similar " spikes ", thus better can realize the location of locking bone fracture plate on surface of bone and fixing, and different and more superior compared with contacting with the face of existing steel sheet product;
6th, locking bone fracture plate of the present invention is the design of minitype plate, especially its height and thickness and adhered shape are designed, it is made to be particularly suitable for enclosing periarticular soft tissues avulsion with the fracture repair situation of enclosing joint ossiculum block fracture, not only make it more meet periarticular skeletal form, stickiness is better, biomechanical property is better, fixing more firm, but also shorten operative incision, effectively prevent the excessive stripping to tissue in art, thus alleviate patient suffering, shorten rehabilitation duration.
Certainly, implement arbitrary product of the present invention might not need to reach above-described all advantages simultaneously.
Accompanying drawing explanation
Fig. 1 is the miniature structural representation enclosing joint injury repair system of the embodiment of the present invention 1;
Fig. 2 is the miniature structural representation enclosing the locking bone fracture plate of joint injury repair system of the embodiment of the present invention 1, and wherein Fig. 2 (a) is front view, and Fig. 2 (b) is lateral plan;
Fig. 3 is the miniature structure schematic diagram enclosing the locking bone fracture plate of joint injury repair system of the embodiment of the present invention 1;
Fig. 4 is the structural representation of the column on the miniature locking bone fracture plate enclosing joint injury repair system of the embodiment of the present invention 1;
Fig. 5 is the miniature application schematic diagram enclosing joint injury repair system of the embodiment of the present invention 1, wherein takes on sleeve and is in avulsion state;
Fig. 6 is the miniature application schematic diagram enclosing joint injury repair system of the embodiment of the present invention 1, wherein takes on sleeve and is in stitching state;
Fig. 7 is the structural representation of the locking bone fracture plate of the embodiment of the present invention 2;
Fig. 8 is the structural representation of the locking bone fracture plate of the embodiment of the present invention 3;
Fig. 9 is the structural representation of the locking bone fracture plate of the embodiment of the present invention 4;
Figure 10 is that the anti-sever sutures of the embodiment of the present invention 5 sews up the schematic diagram takeing on sleeve;
In figure, each label implication is: 1. locking bone fracture plate; 11. columns; The free end of 11a. column; The link of 11b. column; 11 '. the column of another kind of structure; 111. annular groove; 2. suture; 2.1. suture; 2.2. the suture of another kind of structure; 2.3. artificial ligament; 24. anti-sever sutures; 3. locking bone screw; 4. shoulder sleeve; 5. humerus; 6. circular hole; 7. lock hole; 8. groove; 9. strip hole; 10. big hole.
Detailed description of the invention
Human body enclose joint, finger joint style and tissue around thereof, comprising: osseous tissue, tendon, joint capsule, special ligament and other periarticular soft tissues etc., the application scope of application of product provided by the invention is very wide, as teen-age tibia, fracture of fibula, elbow joint, Collateral Ligament Injury of Knee Joint, ankle joint avulsion fracture, in adult shoulder sleeve large area avulsion time attend by fracture of greater tuberosity of the humerus etc. situation.
Wherein, often fracture of greater tuberosity of the humerus is attended by during the large area avulsion of shoulder sleeve, when current doctor runs into greater tubercles of humerus avulsion fracture, owing to lacking effective method and apparatus, and because existing market is not for the locking pegboard systems of greater tubercles of humerus structural design, often just cut off by proximal humerus lockplate or use the moulding rear treatment pure fracture of greater tuberosity of the humerus such as the T-shaped plate of distal radius, such processing mode easily causes steel plate not docile, need again moulding in art, increase operating time, sclerite can not anatomical reduction, what is more important cannot take effective measures repairs with the avulsion of shoulder sleeve during fracture of greater tuberosity of the humerus, it is slow that this kind of Therapeutic Method has post-operative recovery, therapeutic effect is not good, the shortcomings such as postoperative patient place long pain.Two kinds of operation methods that the main cause producing above-mentioned phenomenon is to tuck inside the sleeve fracture of greater tuberosity of the humerus reparation and shoulder avulsion restorative procedure belongs to different, being directed to fracture repair operation at present adopts locking pegboard systems to be main methods of internal fixation usually, and shoulder sleeve avulsion reparation utilizes the products such as band wire holdfast to carry out stitching reparation to affected part usually; Owing to being subject to the restriction of human anatomic structure, after utilization locking pegboard systems is repaired fracture of greater tuberosity of the humerus, just do not have suitable space to put band wire holdfast to sew up the avulsion of shoulder sleeve, if do not utilize band wire holdfast, effectively cannot fix suture, effectively cannot repair the avulsion of shoulder sleeve like this; And in the market existing Locking proxinal humeral plate also not have suitable structure can carry out bolt knot to suture fixing.Therefore, need there is set of system in practice, can the soft tissue of stitch tear effectively, soft tissue can be torn caused fracture again and carry out effective fixed and repaired, both reparations are organically combined, thus obtain best surgical effect.
The invention provides and a kind of miniaturely enclose joint injury repair system, primarily of locking bone fracture plate, locking synthetism fixture, suture and/or artificial ligament composition, wherein, described locking synthetism fixture is for being fixed on skeleton by described locking bone fracture plate, and described locking bone fracture plate and/or described locking synthetism fixture are provided with for making described suture and/or described artificial ligament locate and fixing structure.
Below with specific embodiment, the present invention will be further described.Following examples are only for being illustrated technical scheme of the present invention, and to help those skilled in the art to understand technical scheme of the present invention further, detailed description of the invention wherein does not produce restriction effect to protection scope of the present invention.
Embodiment 1
Refer to Fig. 1, the miniature joint injury repair system that encloses that the present embodiment provides is made up of locking bone fracture plate 1, suture and/or artificial ligament, locking bone screw 3.Wherein, label 2.1 and 2.2 be suture, label 2.3 be artificial ligament, concrete can select a use to suture 2.1, suture 2.2 or artificial ligament 2.3 or select wherein combination in any to use when using.In the present embodiment, the quantity of the locking bone screw 3 shown in Fig. 1, suture 2.1, suture 2.2 and artificial ligament 2.3, shape and size are only signal, and the quantity shown in it, shape and size do not form the restriction of quantity, shape and size to the selectable each parts of the present invention.
The locking bone fracture plate 1 of the present embodiment adopts the structural design different from traditional bone-fracture fixation steel plate of fracturing for generality, locking bone fracture plate 1 is provided with and facilitates suture and/or artificial ligament to locate and fixing circular hole 6, suture and/or artificial ligament through circular hole 6 or can carry out bolt knot on circular hole 6, and locking bone fracture plate 1 is also provided with and facilitates suture and/or artificial ligament through the column 11 with bolt knot simultaneously; Alternatively, column and circular hole also can be select a setting; And, locking bone fracture plate 1 is provided with lock hole 7 female with multiple tools of locking bone screw 3 adaptation, not parallel between the axis of those lock holes, but at an angle, like this, when being fixed on bone by locking bone fracture plate, locking bone screw 3 can produce an angle but not vertical relation with bone, such position relationship can make locking bone screw 3 and locking bone fracture plate 1 fixing more firmly on skeleton, not easily gets loose.In the present embodiment, arrange four lock holes altogether, the position relationship between these four lock holes refers to Fig. 1.
The advantage that column 11 is set be conveniently line and bolt knot.Perforation structure more in the past, column 11, the column 11 that especially bending upwards type is arranged passes with convenient and quick during bolt knot at suture and/or artificial ligament.
Wherein, refer to Fig. 2 (a) and Fig. 2 (b),
The width X of locking bone fracture plate 1 between 10-50mm, preferably within the scope of 20-30mm;
The height Y of locking bone fracture plate 1 between 10-50mm, preferably within the scope of 10-30mm;
The thickness t of locking bone fracture plate 1 between 1-3mm, preferably within the scope of 1.5-2mm;
Based on the setting of above-mentioned size, the locking bone fracture plate 1 of the present embodiment is arranged with the specific demand of enclosing joint ossiculum block fracture based on enclosing periarticular soft tissues avulsion, its more general locking bone fracture plate is frivolous, the stimulation to soft tissue is decreased under the prerequisite ensureing locking bone fracture plate intensity, locking bone fracture plate is avoided excessively to oppress periosteum, prevent blood supply from hindering, accelerate affected part and restore.
Referring again to Fig. 1, the column 11 that the locking bone fracture plate 1 of the present embodiment is arranged is arranged at locking bone fracture plate both sides flank respectively, and is symmetrical, also can be asymmetric distribution in addition in other embodiments, or also can for be only arranged on side flank.The column of setting like this can make the traction force of the bone block after operation stitching and soft tissue two opposite sides even, is not easy the component producing other direction, avoids the harmful effect that component brings.
The present embodiment preferably arranges each two bolt line pillar constructions in locking bone fracture plate 1 lateral symmetry, and has gap between two bolt line columns.Locking bone fracture plate arranges two or more column, then can select more suitably, there is better bolt knot, one of them of hook effect, several or whole bolt line points and bolt line position, the more more options of multiple bolt line point and bolt line position under providing different situations according to the needs under different practical situation.
In the present embodiment, each bolt line column can relative to the plane of locking bone fracture plate 1 in upwarping, recessed or seamlessly transit three kinds of opposed configuration modes.
Refer to Fig. 1, Fig. 2, Fig. 3 and Fig. 4, the preferred T-shaped structure of shape of the bolt line column 11 in the present embodiment, and diametrically wide one end 11a of described T-type structure is as free end, diametrically narrow one end 11b is connected with described locking bone fracture plate 1 integrate shaped type, the diametrically wide top of T-shaped structure can in art, postoperatively more effectively prevent toe-in slippage.Certainly, the present invention can also use other structure to prevent toe-in slippage.The all parts realizing this function can be called anti-delinking part, and the vibrational power flow of anti-delinking part needs the radial dimension at least partially ensureing described anti-delinking part to be greater than the radial dimension of the part beyond the anti-delinking part of described bolt line column.
Refer to Fig. 4, the present embodiment is also preferred, and one or more annular groove 111 designed by bolt line column 11, and this scale line effect is better, is more conducive to suture fixing on locking bone fracture plate 1.
In addition, refer to Fig. 3, circular hole 6 is equipped with groove 8 at the lower surface of locking bone fracture plate 1, and groove 8 extends to the edge of locking bone fracture plate 1, and such was arranged so that line, threading were more convenient.Simultaneously preferably, circular hole 6 diameter between 0.8-3.5mm, preferably within the scope of 2-2.4mm.Refer to Fig. 1, the circular hole 6 of the present embodiment arranges 6 altogether, wherein arranges two in locking bone fracture plate upper end, and respectively arranges two in the upper end of the both sides flank of locking bone fracture plate.
The miniature fracture affected part of enclosing joint injury repair system and locking bone fracture plate can be utilized fixedly to enclose periarticular soft tissues avulsion cause that the present embodiment provides, and utilizing suture and/or artificial ligament stitching soft tissue to tear affected part, suture and/or artificial ligament are fixed on locking bone fracture plate by the location and the fixed structure that recycle special suture and/or artificial ligament on locking bone fracture plate.
The flank of the locking bone fracture plate that the present embodiment provides is provided with and facilitates suture and/or artificial ligament through, the column 11 of bolt knot, hook, the design of this uniqueness efficiently solves the problem that suture in operation process crosses line difficulty, the fixing difficulty of knotting, reduce operation technique difficulty, shorten operating time.
Refer to Fig. 5 and Fig. 6, the miniature joint injury repair system that encloses that there is shown the present embodiment is applied to the schematic diagram for the treatment of shoulder sleeve avulsion with fracture of greater tuberosity of the humerus.Wherein, in Fig. 5 and Fig. 6, each label implication is: 1. locking bone fracture plate; 2. suture; 3. locking bone screw; 4. shoulder sleeve; 5. humerus.Fig. 5 is in avulsion view for takeing on sleeve, do not fit humerus 5 in the two ends of visible shoulder sleeve 4, and show in Fig. 5, locking bone fracture plate 1 is fixed on humerus 5 by locking bone screw 3, and locking bone screw 3 is not be screwed into along with humerus 5 vertical direction, but be screwed into humerus 5 is angled, the hold of locking bone fracture plate and humerus can be made so larger., show in Fig. 6, by using suture 2 to sew up fixing by shoulder sleeve 4, the two ends of shoulder sleeve 4 have been fitted on humerus 5 meanwhile.
Embodiment 2
Present embodiments provide the structure of another kind of locking bone fracture plate, refer to Fig. 7, the difference of the present embodiment and embodiment 1 is, the present embodiment respectively arranges a column 11 ' in the flank both sides of locking bone fracture plate, and column 11 ' is not T-shaped, and column 11 ' does not arrange anti-delinking part.
Embodiment 3
Present embodiments provide the structure of another locking bone fracture plate, refer to Fig. 8, wherein, the flank both sides of locking bone fracture plate do not arrange column, but are provided with strip hole 9.This strip hole 9 is more suitable for as fixed structure the situation using artificial ligament, certainly also can be suitable for suture.
Embodiment 4
Present embodiments provide the structure of another locking bone fracture plate, refer to Fig. 9, wherein, the flank both sides of locking bone fracture plate do not arrange column, but are provided with big hole 10; Meanwhile, locking bone fracture plate at its upper end with two flank upper is provided with 12 little circular holes altogether, and is provided with two in its lower end and establishes female lock hole.
Big hole, as fixed structure, is more suitable for the situation using artificial ligament, certainly also can be suitable for suture.
Embodiment 5
The difference of the present embodiment and previous embodiment is, the present embodiment suture used is anti-sever sutures 24, and this anti-sever sutures 24 goes out the larger toe-in of a diameter at suture middle braid.Compared with traditional suture, anti-sever sutures can increase the contact area of suture and soft tissue when sewing up soft tissue, reduces stress and concentrates the damage caused Soft tissue cutting.
The miniature joint injury repair system that encloses of the present invention efficiently solves a recovery technique difficult problem of enclosing periarticular soft tissues avulsion companion fracture, stitching reparation can be carried out to soft tissue, internal fixtion reparation can be carried out to fracture affected part again, best surgical effect can be obtained.
The pillar construction design of the uniqueness of locking bone fracture plate of the present invention efficiently solves the technical barrier that suture in operation process crosses line difficulty, the fixing difficulty of knotting, reduces the difficulty of operation technique, shortens operating time.
Locking bone fracture plate of the present invention is the design of minitype plate, not only more meet periarticular skeletal form, stickiness is better, biomechanical property is better, fixing more firm, but also effectively shorten operative incision, the damage alleviating patient suffering and reduce to tissue in art.
Miniature locking bone fracture plate design of enclosing joint injury repair system of the present invention makes its patient's scope of application obviously increase, especially stronger to osteoporosis, comminuted fracture, large area bony defect patient specific aim, wider than the suitability of band wire rivet.
The disclosed preferred embodiment of the present invention just sets forth the present invention for helping above.Preferred embodiment does not have all details of detailed descriptionthe, does not limit the detailed description of the invention that this invention is only described yet.Obviously, according to the content of this description, can make many modifications and variations.This description is chosen and is specifically described these embodiments, is to explain principle of the present invention and practical application better, thus makes art technical staff understand well and to utilize the present invention.The present invention is only subject to the restriction of claims and four corner and equivalent.
Claims (18)
1. one kind is miniaturely enclosed joint injury repair system, it is characterized in that, primarily of locking bone fracture plate, locking synthetism fixture, suture and/or artificial ligament composition, wherein, described locking synthetism fixture is for being fixed on skeleton by described locking bone fracture plate, and described locking bone fracture plate and/or described locking synthetism fixture are provided with for making described suture and/or described artificial ligament locate and fixing structure.
2. miniaturely as claimed in claim 1 enclose joint injury repair system, it is characterized in that, described locking bone fracture plate is arranged for making described suture and/or described artificial ligament location and fixing structure comprise one or more column.
3. miniaturely as claimed in claim 2 enclose joint injury repair system, it is characterized in that, described column is arranged on the edge of described locking bone fracture plate.
4. miniaturely as claimed in claim 2 or claim 3 enclose joint injury repair system, it is characterized in that, described column is arranged on the flank of described locking bone fracture plate one or both sides.
5. miniaturely as claimed in claim 4 enclose joint injury repair system, it is characterized in that, the both sides flank of described locking bone fracture plate is respectively arranged with described column, and described column is symmetrical arranged on the both sides flank of described locking bone fracture plate.
6. miniaturely as claimed in claim 5 enclose joint injury repair system, it is characterized in that, every side of the both sides flank of described locking bone fracture plate arranges a column or two or more column, has gap between described adjacent column.
7. miniaturely as claimed in claim 2 enclose joint injury repair system, it is characterized in that, described column relative to described locking bone fracture plate in upwarping, recessed or seamlessly transit frame mode.
8. miniaturely as claimed in claim 2 enclose joint injury repair system, it is characterized in that, described column is provided with the anti-delinking part preventing described suture and/or artificial ligament slippage, and the radial dimension at least partially of described anti-delinking part is greater than the radial dimension of the remainder beyond the anti-delinking part of described column.
9. miniature as described in claim 2 or 8 encloses joint injury repair system, it is characterized in that, described column is T-type structure, and diametrically wide one end of described T-type structure is as free end, and diametrically narrow one end is connected with described locking bone fracture plate integrate shaped type.
10. miniature as described in claim 2 or 8 encloses joint injury repair system, and it is characterized in that, described column is provided with one or more annular groove.
11. miniaturely as claimed in claim 1 enclose joint injury repair system, it is characterized in that, described locking synthetism fixture is arranged for make described suture and/or described artificial ligament location and fixing structure be applicable described suture and/or described artificial ligament through or around hole or groove.
12. miniaturely as claimed in claim 1 enclose joint injury repair system, it is characterized in that, what described locking bone fracture plate was arranged comprises circular hole and/or strip hole for described suture and/or described artificial ligament location and fixing structure.
13. miniaturely as claimed in claim 11 enclose joint injury repair system, it is characterized in that, described locking bone fracture plate are provided with the different circular hole of multiple size and/or strip hole simultaneously.
14. miniaturely as claimed in claim 1 enclose joint injury repair system, it is characterized in that, the height of described locking bone fracture plate is between 10mm-50mm, and thickness is between 1mm-3mm, and the shape of described locking bone fracture plate is set to the shape of enclosing joint described in laminating.
15. miniature as described in claim 1 or 14 enclose joint injury repair system, and it is characterized in that, the height of described locking bone fracture plate is between 10mm-30mm, and thickness is between 1.5mm-2mm.
16. miniaturely as claimed in claim 1 enclose joint injury repair system, and it is characterized in that, described suture is anti-sever sutures, have the diameter toe-in large compared with other position in the middle of described anti-sever sutures.
17. miniaturely as claimed in claim 1 enclose joint injury repair system, it is characterized in that, the two ends of described artificial ligament are woven to the structure for making described suture and/or described artificial ligament locate and fix be applicable to by described locking bone fracture plate and/or described locking synthetism fixture are arranged.
18. 1 kinds of miniature according to any one of claim 1-17 enclose locking bone fracture plate as described in joint injury repair system.
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| CN201510615203.6A CN105125272B (en) | 2015-09-24 | 2015-09-24 | One kind is miniature to enclose joint injury repair system and its locking bone fracture plate |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107951557A (en) * | 2018-01-03 | 2018-04-24 | 江苏荷普医疗科技股份有限公司 | Synthetism clamping device and synthetism locking system |
| CN108392255A (en) * | 2018-04-25 | 2018-08-14 | 宋鹏 | Anchor-shaped fracture fixation device |
| CN109689121A (en) * | 2016-07-06 | 2019-04-26 | 儿童医学中心公司 | The indirect method of joint tissue reparation |
| CN110575283A (en) * | 2019-09-25 | 2019-12-17 | 运怡（北京）医疗器械有限公司 | Medical soft tissue collator |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040181222A1 (en) * | 2003-01-16 | 2004-09-16 | Culbert Brad S. | Locking plate for bone anchors |
| CN202173466U (en) * | 2011-08-06 | 2012-03-28 | 董慧平 | Pressurized bone plate for long bone reduction |
| CN202288445U (en) * | 2011-09-29 | 2012-07-04 | 朱立军 | Greater tuberosity fracture fixing steel plate |
| US20120245704A1 (en) * | 2011-03-21 | 2012-09-27 | Ronald Childs | Sleeve for bone fixation device |
| CN104013458A (en) * | 2014-06-16 | 2014-09-03 | 薛兆龙 | Humerus greater tuberosity locking plate |
| CN205094568U (en) * | 2015-09-24 | 2016-03-23 | 上海凯利泰医疗科技股份有限公司 | Miniature joint injury repair system that encloses and locking bone plate thereof |
-
2015
- 2015-09-24 CN CN201510615203.6A patent/CN105125272B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040181222A1 (en) * | 2003-01-16 | 2004-09-16 | Culbert Brad S. | Locking plate for bone anchors |
| US20120245704A1 (en) * | 2011-03-21 | 2012-09-27 | Ronald Childs | Sleeve for bone fixation device |
| CN202173466U (en) * | 2011-08-06 | 2012-03-28 | 董慧平 | Pressurized bone plate for long bone reduction |
| CN202288445U (en) * | 2011-09-29 | 2012-07-04 | 朱立军 | Greater tuberosity fracture fixing steel plate |
| CN104013458A (en) * | 2014-06-16 | 2014-09-03 | 薛兆龙 | Humerus greater tuberosity locking plate |
| CN205094568U (en) * | 2015-09-24 | 2016-03-23 | 上海凯利泰医疗科技股份有限公司 | Miniature joint injury repair system that encloses and locking bone plate thereof |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109689121A (en) * | 2016-07-06 | 2019-04-26 | 儿童医学中心公司 | The indirect method of joint tissue reparation |
| CN107951557A (en) * | 2018-01-03 | 2018-04-24 | 江苏荷普医疗科技股份有限公司 | Synthetism clamping device and synthetism locking system |
| CN108392255A (en) * | 2018-04-25 | 2018-08-14 | 宋鹏 | Anchor-shaped fracture fixation device |
| CN110575283A (en) * | 2019-09-25 | 2019-12-17 | 运怡（北京）医疗器械有限公司 | Medical soft tissue collator |
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| CN105125272B (en) | 2018-01-02 |
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