CN105193486B - A kind of stable fixator of fractures marrow inside and outside dual - Google Patents

A kind of stable fixator of fractures marrow inside and outside dual Download PDF

Info

Publication number
CN105193486B
CN105193486B CN201510493312.5A CN201510493312A CN105193486B CN 105193486 B CN105193486 B CN 105193486B CN 201510493312 A CN201510493312 A CN 201510493312A CN 105193486 B CN105193486 B CN 105193486B
Authority
CN
China
Prior art keywords
nail
fixator
fixed plate
breach
internal fixation
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201510493312.5A
Other languages
Chinese (zh)
Other versions
CN105193486A (en
Inventor
不公告发明人
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201510493312.5A priority Critical patent/CN105193486B/en
Publication of CN105193486A publication Critical patent/CN105193486A/en
Application granted granted Critical
Publication of CN105193486B publication Critical patent/CN105193486B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

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
    • A61B17/72Intramedullary pins, nails or other devices
    • A61B17/7233Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • 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
    • A61B17/72Intramedullary pins, nails or other devices
    • A61B17/7283Intramedullary pins, nails or other devices with special cross-section of the nail
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of stable fixator of fractures marrow inside and outside dual, the fixator includes internal fixation nail (1) and fixed plate (2), nail rod (11) upper end of the internal fixation nail (1) sets some breach (12), the wedge-shaped lower end of nail rod (11) sets groove (13), the groove (13) extends along nail rod (11) to upper end, and groove depth along nail rod (11) from lower end to upper end in shoaling gradually;Described fixed plate (2) one end sets the hanging hole (21) hung in breach (12), and the other end of fixed plate (2) is sequentially arranged some fixed pressurizations hole (22) along plate.The fracture fixing apparatus being capable of anti-rotation, good fixing effect.

Description

A kind of stable fixator of fractures marrow inside and outside dual
Technical field
The invention belongs to technical field of medical instruments, in particular it relates to which a kind of fractures marrow inside and outside dual is stable Fixator.
Background technology
Fracture is that the continuity of bone structure is broken completely or partially.The main cause fractured mainly has three kinds of feelings Condition:1) direct violence:Violence directly acts on a certain position of bone and causes the position to fracture, and is often damaged with different degrees of soft tissue Wound.Such as wheel shock shank, fracture of shaft of tibia and fibula occurs at shock.2) indirect violence:By vertical when indirect violence is acted on Make to fracture at a distance to conduction, leverage or twisting action, when such as falling foot from eminence and landing, trunk is because of gravity relationship Drastically to pre-buckling, compressibility or bursting fracture occur for the centrum of chest lumbar spine intersection.3) accumulation property strain:For a long time, repeatedly, Slight direct or indirect damage can cause a certain privileged site fracture of limbs, also known as fatigue fracture, and such as remote walking is easily caused 1/3 shaft fracture under second and third metatarsal and fibula.
The treatment of fracture typically uses replacement and fixation, after the reduction of the fracture, because unstable, easily occurs to shift again, therefore will Satisfied position is fixed in using different methods, it is gradually healed.Conventional fixing means has:Plintlet, gypsum Bandage, exterior fixing rack, traction braking fixation etc., these fixing means claim outer fixation.If passing through surgical incision steel plate, steel Pin, intramedullary needle, screw etc. are fixed, then claim interior fixed.But for the fracture of elongate bone (such as fibula), when fixing, by In the rotation of internal fixation nail, often fixed effect is bad, and key thin, and lock hole can not be also carried out even if using intramedullary nail and is consolidated It is fixed.Therefore, need that research and design is a kind of can to overcome the fracture fixing apparatus of disadvantages mentioned above badly.
The content of the invention
It is an object of the present invention to provide a kind of stable fixator of fractures marrow inside and outside dual, the fixator does not need marrow Interior nail internal lock hole is fixed, can anti-rotation, good fixing effect can prevent fixed effect bad to the secondary of fracture portions Damage.
To reach above-mentioned purpose, present invention employs following technical scheme:
A kind of stable fixator of fractures marrow inside and outside dual, the fixator includes internal fixation nail 1 and fixed plate 2, described The upper end of nail rod 11 of internal fixation nail 1 sets some breach 12, and the wedge-shaped lower end of nail rod 11 sets groove 13, and the groove 13 is along nail rod 11 extend to upper end, and groove depth along nail rod 11 from lower end to upper end in shoaling gradually;
Described one end of fixed plate 2 sets the hanging hole 21 hung in breach 12, and the other end of fixed plate 2 is sequentially arranged along plate Some fixed pressurization holes 22.
In the present invention, groove 13 is used to be close to Kirschner wire, is easy to internal fixation nail 1 to enter interior to the marrow, and accurate positioning, will not make Internal fixation nail deviates default duct when entering interior to the marrow.
Preferably, the nail rod 11 is flat column or semi-cylindrical.Those skilled in the art can also select as needed Select other shapes.
Preferably, the quantity of the breach 12 is two or three.Those skilled in the art can also select as needed Other quantity, such as five etc..The present invention sets multiple breach, is easy in art block from indentation, there the need for according to nail rod length A part for nail rod, it is time saving and energy saving.
Preferably, the quantity in the fixed pressurization hole 22 is four.Those skilled in the art can also select as needed Other quantity, such as six etc..
Preferably, the pressurization fixing hole 22 is diplopore, and its inboard aperture 221 is used to fix, and pressurization is set in its apertura lateralis 222 Slope 223.
In the present invention fixed pressurization hole is set to multiple, is easy in art selection as needed using a fixed pressurization hole The plate that is strained and fixed still selects multiple fixed pressurization holes to be strained and fixed plate.
Preferably, the pressurization slope 223 and outside centerline hole are in 45-60 ° of angle.
Preferably, the fixed plate 2 is strip.Those skilled in the art can also select other shapes as needed. Such as T-shaped plate.
Preferably, the making material of the fixator is titanium alloy.Those skilled in the art can also select as needed Other making materials.
Groove in the present invention is arranged on the opposite flank with lozenges of tapered end.
Internal fixation nail is and soft and hard in the present invention, in use, deformation can be carried out with internal structure of bone, so that preferably It is fixed in bone.
Fixed plate in the present invention can be close on the bone surface of fracture portions, and fixed plate can be according to fracture portions The different shape of design.
The application method of the present invention:Bone 3 breaks as two parts, fracture end and base bone along fracture line 4, first by internal fixation nail 1 It is screwed into fracture end and through the reasonable length of fracture line 4, the nail rod 11 of the part of breach 12 is exposed to the outside of bone 3, then will be fixed The hanging hole 21 of plate 2 is hung in breach, is extended by fixed plate 2 along bone 3 to fracture portions, and covers fracture portions, using spiral shell Nail is screwed into the apertura lateralis 222 of pressurization fixing hole 22, in the fixation procedure, and fixed plate 2 is pulled power effect, tenses hanging hole And breach, after tensing here, internal fixation nail will not be rotated, and preferably fracture portions can be fixed.Tense hanging hole and lack After mouthful, then use some screws that fixed plate is fixed on bone.
The present invention is used for Minimally Invasive Surgery, is applicable to the fixation of elongate bone fracture, such as fibula, shin bone, clavicle, breastbone Deng.
The present invention compared with prior art, the advantage is that:
Fix to nail on to set including the present invention and can tangle the breach of fixed plate, the breach can be with the hanging hole in fixed plate It is fitted close, so as to prevent the rotation of internal fixation nail.In addition, the present invention sets the pressurization fixing hole of diplopore in fixed plate, can With the plate that is preferably strained and fixed, the fixation of tension band action effect is played.
Brief description of the drawings
Fig. 1 is the structural representation of internal fixation nail of the present invention;
Fig. 2 is the top view of nail rod tapered end in Fig. 1;
Fig. 3 is the rearview of nail rod tapered end in Fig. 1;
Fig. 4 is the structural representation of fixed plate of the present invention;
Fig. 5 is the sectional view of the pressurization fixing hole in fixed plate of the present invention;
Fig. 6 is fracture fixation schematic diagram;
1st, internal fixation nail;11st, nail rod;12nd, breach;13rd, groove;2nd, fixed plate;21st, hanging hole;22nd, pressurize fixing hole; 221st, inboard aperture;222nd, apertura lateralis;223rd, pressurization slope;3rd, bone;4th, fracture line.
Embodiment
With the drawings and specific embodiments, the present invention is further detailed explanation below.
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4 and Fig. 5, a kind of stable fixator of fractures marrow inside and outside dual, the fixator Including internal fixation nail 1 and fixed plate 2, the upper end of nail rod 11 of the internal fixation nail 1 is set under some breach 12, the wedge shape of nail rod 11 End sets groove 13, and the groove 13 extends along nail rod 11 to upper end, and groove depth along nail rod 11 from lower end to upper end in gradually Shoal;
Described one end of fixed plate 2 sets the hanging hole 21 hung in breach 12, and the other end of fixed plate 2 is sequentially arranged along plate Some fixed pressurization holes 22.
The nail rod 11 is semi-cylindrical.
The quantity of the breach 12 is two.The quantity in the fixed pressurization hole 22 is four.The pressurization fixing hole 22 For diplopore, its inboard aperture 221 is used to fix, and pressurization slope 223 is set in its apertura lateralis 222.
The pressurization slope 223 is with outside centerline hole in 60 ° of angles.
The fixed plate 2 is strip.The making material of the fixator is titanium alloy.
Internal fixation nail is and soft and hard in the present invention, in use, deformation can be carried out with internal structure of bone, so that preferably It is fixed in bone.
As shown in fig. 6, the application method of the present invention:Bone 3 breaks as two parts, fracture end and base bone, first general along fracture line 4 Internal fixation nail 1 is screwed into fracture end and through the reasonable length of fracture line 4, the nail rod 11 of the part of breach 12 is exposed to the outside of bone 3, so The hanging hole 21 of fixed plate 2 is hung in breach afterwards, extended by fixed plate 2 along bone 3 to fracture portions, and cover fractures Point, in the apertura lateralis 222 that pressurization fixing hole 22 is screwed into using screw, in the fixation procedure, fixed plate 2 is pulled masterpiece With, tension hanging hole and breach, after tensing here, internal fixation nail will not be rotated, and preferably fracture portions can be fixed.Draw After tight hanging hole and breach, then use some screws that fixed plate is fixed on bone.
It should be noted last that, the above embodiments are merely illustrative of the technical solutions of the present invention and it is unrestricted.Although ginseng The present invention is described in detail according to embodiment, it will be apparent to an ordinarily skilled person in the art that to the technical side of the present invention Case is modified or equivalent substitution, and without departure from the spirit and scope of technical solution of the present invention, it all should cover in the present invention Right among.

Claims (8)

1. a kind of stable fixator of fractures marrow inside and outside dual, the fixator includes internal fixation nail (1) and fixed plate (2), its It is characterised by, nail rod (11) upper end of the internal fixation nail (1) sets some breach (12), and the wedge-shaped lower end of nail rod (11) is set Groove (13), the groove (13) extends along nail rod (11) to upper end, and groove depth along nail rod (11) from lower end to upper end in gradually It is secondary to shoal;
Groove (13) is used to be close to Kirschner wire, is easy to internal fixation nail (1) to enter interior to the marrow, and accurate positioning, will not make internal fixation nail Deviate default duct when entering interior to the marrow;
Described fixed plate (2) one end sets the hanging hole (21) hung in breach (12), and the hanging hole of fixed plate is hung in breach, draws Tight hanging hole and breach so that internal fixation nail can not rotate;The other end of fixed plate (2) is sequentially arranged some fixed pressurizations along plate Hole (22).
2. fixator according to claim 1, it is characterised in that the nail rod (11) is flat column or semi-cylindrical.
3. fixator according to claim 1, it is characterised in that the quantity of the breach (12) is two or three.
4. fixator according to claim 1, it is characterised in that the quantity of fixed pressurization hole (22) is four.
5. fixator according to claim 1, it is characterised in that fixed pressurization hole (22) is diplopore, its inboard aperture (221) it is used to fix, pressurization slope (223) is set in its apertura lateralis (222).
6. fixator according to claim 5, it is characterised in that the pressurization slope (223) is in 45- with outside centerline hole 60 ° of angles.
7. fixator according to claim 1, it is characterised in that the fixed plate (2) is strip.
8. according to any described fixators of claim 1-7, it is characterised in that the making material of the fixator closes for titanium Gold.
CN201510493312.5A 2015-08-12 2015-08-12 A kind of stable fixator of fractures marrow inside and outside dual Expired - Fee Related CN105193486B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201510493312.5A CN105193486B (en) 2015-08-12 2015-08-12 A kind of stable fixator of fractures marrow inside and outside dual

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201510493312.5A CN105193486B (en) 2015-08-12 2015-08-12 A kind of stable fixator of fractures marrow inside and outside dual

Publications (2)

Publication Number Publication Date
CN105193486A CN105193486A (en) 2015-12-30
CN105193486B true CN105193486B (en) 2017-10-24

Family

ID=54941715

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201510493312.5A Expired - Fee Related CN105193486B (en) 2015-08-12 2015-08-12 A kind of stable fixator of fractures marrow inside and outside dual

Country Status (1)

Country Link
CN (1) CN105193486B (en)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5931839A (en) * 1995-01-27 1999-08-03 Medoff; Robert J. Pin plate for fixation of bone fractures
CN201085673Y (en) * 2007-09-01 2008-07-16 王景荣 Orthopaedics hook shaped steel plate for anatomy
CN202128538U (en) * 2011-06-09 2012-02-01 浙江科惠医疗器械有限公司 Locking and pressing bone fracture plate
CN104414724A (en) * 2013-08-31 2015-03-18 郭晓山 Internal fixing system for femoral trochanter nail plate
CN204839706U (en) * 2015-08-12 2015-12-09 熊静 Dual fixer of stabilizing inside and outside fracture portion marrow

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110029025A1 (en) * 2009-07-31 2011-02-03 Medoff Robert J Locking pin plate assembly adapted for fracture fixation
CN102753110B (en) * 2010-02-25 2015-05-27 新特斯有限责任公司 Bone plate screw holes convertible to hooks

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5931839A (en) * 1995-01-27 1999-08-03 Medoff; Robert J. Pin plate for fixation of bone fractures
CN201085673Y (en) * 2007-09-01 2008-07-16 王景荣 Orthopaedics hook shaped steel plate for anatomy
CN202128538U (en) * 2011-06-09 2012-02-01 浙江科惠医疗器械有限公司 Locking and pressing bone fracture plate
CN104414724A (en) * 2013-08-31 2015-03-18 郭晓山 Internal fixing system for femoral trochanter nail plate
CN204839706U (en) * 2015-08-12 2015-12-09 熊静 Dual fixer of stabilizing inside and outside fracture portion marrow

Also Published As

Publication number Publication date
CN105193486A (en) 2015-12-30

Similar Documents

Publication Publication Date Title
Little et al. Biomechanical analysis of locked and non-locked plate fixation of the clavicle
WO2016127522A1 (en) Porous bionic internal fixation apparatus for promoting fracture healing
CN209220462U (en) A kind of near end of thighbone Medullary fixation device
CN104586496A (en) Microporous bionic fracture fixing device capable of promoting fracture healing
CN203468727U (en) Single screw type percutaneous zygopophysis pedicle screw internal fixation system
RU164485U1 (en) Intramedullary fixator for surgical and prophylactic treatment of articular joint fractures of the tubular bone on the background of osteoporosis
CN105380706B (en) Fixedly locked device outside fracture skin
CN105193486B (en) A kind of stable fixator of fractures marrow inside and outside dual
CN205215333U (en) Locking external fixation frame plate system is dissected to four limbs length bone fracture
WO2017166424A1 (en) Micro locking and external-fixation device for treatment of hand or foot bone fracture
JP3220942U (en) Locking external fixation device for the treatment of tibial fractures
CN204839706U (en) Dual fixer of stabilizing inside and outside fracture portion marrow
US20150366616A1 (en) Veterinary orthopedic kit
CN205411287U (en) Self tapping type marrow internal fixation device suitable for long bone fracture
CN204909612U (en) Wing intramedullary nail
CN107468325A (en) A kind of rear ankle suitable for Minimally Invasive Surgery dissects locking steel plate
CN107049451A (en) A kind of locking external fixer for treatment of distal radius fracture
CN105125266A (en) Self-tapping intramedullary fixation device suitable for long bone fractures
SU921553A1 (en) Intraosteal fixator
CN105232136A (en) Intramedullary fixing device capable of effectively promoting fracture healing
RU2468764C2 (en) Intramedullary bone fixation devices for surgical treatment of periarticular fractures of tubular bone
CN211749996U (en) Navigation locking steel plate for limb fracture and accessories thereof
RU198696U1 (en) LOCKING SCREW FOR INTROSEOUS OSTEOSYNTHESIS
Tsai et al. Biomechanical analysis of distal radius fractures using intramedullary Kirschner wires
CN217219172U (en) Internal thread forcing screw device

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20171024

Termination date: 20200812

CF01 Termination of patent right due to non-payment of annual fee