CN105596074B - The micro- contact steel plate screw system of bulb joint in medical shackle-type - Google Patents

The micro- contact steel plate screw system of bulb joint in medical shackle-type Download PDF

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Publication number
CN105596074B
CN105596074B CN201610148983.2A CN201610148983A CN105596074B CN 105596074 B CN105596074 B CN 105596074B CN 201610148983 A CN201610148983 A CN 201610148983A CN 105596074 B CN105596074 B CN 105596074B
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China
Prior art keywords
steel plate
bulb
fixture block
ball impression
screw nail
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Application number
CN201610148983.2A
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Chinese (zh)
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CN105596074A (en
Inventor
张海宁
冷萍
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Shanghai longhui Medical Technology Co., Ltd.
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Affiliated Hospital of University of Qingdao
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Priority to CN201610148983.2A priority Critical patent/CN105596074B/en
Publication of CN105596074A publication Critical patent/CN105596074A/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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8033Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/808Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
    • 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
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • 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 provides the micro- contact steel plate screw system of bulb joint in a kind of medical shackle-type, the steel plate screw system includes for the bulb Universal screw nail and ball impression steel plate of fix bone and fixture block and connection pinning for fixing said two devices, the body portion of the bulb Universal screw nail is screwed into by fix bone, the ball impression steel plate is connected and is integrated by the fixture block and connection pinning with bulb Universal screw nail, and gap is left between the ball impression steel plate and bone.In the medical shackle-type of the present invention external fixing rack sample effect can be played after the micro- contact steel plate screw system implantation of bulb joint; the ball impression steel plate and it is not directly contacted between fixed sclerotin; reduce stress-shielding effect; sclerotin part blood fortune is protected, reduces the generation of the complication such as osteoporosis, bone nonunion.Bulb Universal screw nail any direction can be fixed in sclerotin, can't influence the locking intensity between ball impression steel plate and bulb Universal screw nail, and simple in construction, easy to operate.

Description

The micro- contact steel plate screw system of bulb joint in medical shackle-type
Technical field
The invention belongs to technical field of medical instruments, the micro- contact steel of bulb joint in specifically a kind of medical shackle-type Plate bolt system.
Background technology
The treatment method of the most common Clinical practice of fracture is steel plate screw Internal fixation technology, traditional steel plate screw system System be by steel plate by fixed to the screw among sclerotin and squeezed tight on fixed bone, can be destroyed fracture site and The blood fortune at position is closed on, so as to have influence on the agglutination of sclerotin, delayed union easily occurs, the complication such as is not connected to.And Excessively strong interior fixation can form so-called stress-shielding effect, and the normal stress conduction for making fracture local does not pass through bone Matter, conducted on the contrary by steel plate screw, local osteoporosis can be caused, further influence local fixing intensity, increase bone again The complication such as folding, steel plate screw fracture.Therefore, how fracture site can either be fixed, local blood supply damage can be reduced again, subtracted Few stress-shielding effect, it is allowed to which material such as blood vessel, mineralized bone matrix, the Gegenbaur's cell etc. for having positive role to fracture site are grown into Between fixture and sclerotin, the reconstruction process of bone can be improved, reduce osteoporosis, fragmentation of internal fixation objects, delayed fracture The generation of the complication such as healing.
The content of the invention
Conventional steel plates excessive compression is fixed on local sclerotin existing for prior art the invention aims to solving, It is caused to destroy local blood supply and stress-shielding effect and trigger osteoporosis, steel plate screw fracture, bone delay in healing etc. concurrent Disease, and the micro- contact steel plate screw system of bulb joint in a kind of medical shackle-type provided.The system can considerably reduce steel Plate bolt and by the contact area between fixed sclerotin, it is strong outside periosteum to connect as one, so as to provide blood vessel, Gegenbaur's cell And the gap that other regenerating tissues are grown between steel plate and sclerotin, be advantageous to normal reparation process.
In order to solve the above technical problems, the present invention is achieved using following technical scheme:
The micro- contact steel plate screw system of bulb joint in a kind of medical shackle-type, the steel plate screw system include being used for admittedly Determine the bulb Universal screw nail and ball impression steel plate and fixture block and connection pinning for fixing said two devices of bone, the bulb The body portion of Universal screw nail is screwed into by fix bone, and the fixture block and connection pinning are by the ball impression steel plate and bulb Universal screw nail It is connected and is integrated, gap is left between the ball impression steel plate and bone.
In the present invention further detailed structure, also with following technical characteristic:The head of the bulb Universal screw nail The spherical groove to match with the spherical radian in head of bulb Universal screw nail is carried to be spherical, in the middle part of the ball impression steel plate.
In the present invention further detailed structure, also with following technical characteristic:The spherical groove of the ball impression steel plate Opening diameter is less than the head spherical diameter of bulb Universal screw nail.
In the present invention further detailed structure, also with following technical characteristic:The fixture block includes two, Mei Gesuo The upper, middle and lower that fixture block includes being connected as a single entity is stated, wherein the top of a fixture block is provided with screwed hole, middle part is provided with U-type groove, Lower inside surface is arcwall face, and the top of another fixture block is provided with unthreaded hole, and middle part is provided with U-type groove, and lower inside surface is arcwall face, institute State the U-type groove opening in the middle part of two fixture blocks to be mounted opposite, for described in two fixture block installations space that it is formed after in place Ball impression steel plate, the arcwall face that described two fixture block bottoms are mounted opposite, for two fixture block installations space that it is formed after in place Accommodate the bulb bottom of bulb Universal screw nail.
In further details structure of the present invention, also with following technical characteristic:The fixture block and the ball impression steel plate After connection, the spherical groove of the ball impression steel plate and the arcwall face of fixture block lower inside surface form continuous spherical radian face.
In further details structure of the present invention, also with following technical characteristic:The bulb of the bulb Universal screw nail Diameter is more than its body portion diameter.
In further details structure of the present invention, also with following technical characteristic:The body portion of the bulb Universal screw nail Sclerotin can be screwed into external screw thread.
In further details structure of the present invention, also with following technical characteristic:The body portion of the connection pinning carries External screw thread, the body portion are penetrated and are locked in the hole on described two fixture block tops, and two fixture blocks are connected for locking.
The connection pinning matches locking with the internal thread in fixture block upper hole, two fixture blocks is connected for locking, to keep away Exempt from two fixture blocks upper hole internal thread it is discontinuous caused by mismatch, the partial-length in the connection pinning body portion carries outer spiral shell Line.
Compared with prior art, the present invention has the advantages that:
Meet biological fixation principle using the micro- contact steel plate screw system of bulb joint in the medical shackle-type of the present invention, It can play external fixing rack sample effect after the implantation, the ball impression steel plate and be not directly contacted between fixed sclerotin, can be greatly Reduce steel plate screw and by the contact area between fixed sclerotin, it is strong outside periosteum to connect as one, reduce stress screening Effect is kept off, protection sclerotin part blood fortune, reduces the generation of the complication such as osteoporosis, bone nonunion.Bulb Universal screw nail can be Any direction is fixed in sclerotin, can't influence the locking intensity between ball impression steel plate and bulb Universal screw nail, and simple in construction, behaviour Facilitate.
Brief description of the drawings
In order to illustrate the embodiments of the present invention more clearly, will to make one to the required accompanying drawing that uses in embodiment below simple Ground introduction, it should be apparent that, drawings in the following description are some embodiments of the present invention, for those of ordinary skill in the art For, on the premise of not paying creative work, other accompanying drawings can also be obtained according to these accompanying drawings.
Fig. 1 is the top view after the assembling use of steel plate screw system specific embodiment of the present invention;
Fig. 2 is Fig. 1 A-A half sectional views;
Fig. 3 is the half sectional view of fixture block;
Fig. 4 is the side view of fixture block;
Fig. 5 is the omission view of ball impression steel plate;
Fig. 6 is the half sectional view of ball impression steel plate;
Fig. 7 is the structural representation of bulb Universal screw nail.
Embodiment
The present invention is further detailed explanation with reference to the accompanying drawings and detailed description.
To make the object, technical solutions and advantages of the present invention clearer, the technology below in conjunction with accompanying drawing to the present invention Scheme is clearly and completely described, it is clear that and described embodiment is part of the embodiment of the present invention, rather than whole Embodiment.Based on the embodiment in the present invention, those of ordinary skill in the art are obtained under the premise of creative work is not made The every other embodiment obtained, belongs to the scope of protection of the invention.
With reference to shown in figure 1-7, the embodiment is the micro- contact steel plate screw system of bulb joint in a kind of medical shackle-type, bag Include:
Bulb Universal screw nail 10, bulb Universal screw nail 10 include head 11 and body portion 12, and head 11 is spherical, the band of body portion 12 There is external screw thread to be screwed into sclerotin, bulb diameter is more than its body portion diameter.
Ball impression steel plate 20, ball impression steel plate middle part carry spherical groove 21, can matched with the head 11 of bulb Universal screw nail 10, Its diameter of spherical groove 21 is less than the diameter of head 11 of bulb Universal screw nail;
Bulb Universal screw nail 10 and ball impression steel plate 20 are used for fix bone.
Fixture block 30, including two, respectively fixture block 31 and fixture block 32;
Fixture block 31 includes the upper, middle and lower being connected as a single entity, and top is square and is provided with screwed hole 311, and middle part is set There is U-type groove 312, lower inside surface is arcwall face 313,
The top of fixture block 32 is square and is provided with unthreaded hole 321, and middle part is provided with U-type groove 322, and lower inside surface is arcwall face 323;
U-type groove opening in the middle part of two fixture blocks is mounted opposite, for two fixture block installations space appearance that it is formed after in place Receive ball impression steel plate, the arcwall face that two fixture block bottoms are mounted opposite, for two fixture blocks installations it is in place after its space formed hold Receive the bulb bottom of bulb Universal screw nail 10.Moreover, after fixture block 30 and ball impression steel plate 20 connect, the spherical groove of ball impression steel plate 20 21 and the arcwall face of fixture block lower inside surface form continuous spherical radian face.
Pinning 40 is connected, the partial-length in connection pinning body portion carries the internal thread in external screw thread, with fixture block upper hole With locking, the body portion is penetrated and is locked in the hole on two fixture block top, and two fixture blocks are connected for locking.To avoid two folders Mismatch caused by the upper hole internal thread of block is discontinuous, so the partial-length in connection pinning body portion carries external screw thread.
Fixture block 30 and connection pinning 40 be used for fix bulb Universal screw nail 10 and ball impression steel plate 20, finally constitute one it is whole Body.
When in use, first the body portion 12 of bulb Universal screw nail 10 is screwed into by fix bone in any direction, then will The spherical groove 21 of ball impression steel plate 20 is covered in bulb Universal screw nail head, fixture block 30 and connection pinning 40 by ball impression steel plate 20 with Bulb Universal screw nail 10, which is connected, to be integrated, and so after installation composition, ball impression steel plate 20 and gap between fix bone be present.
In order that with reliably, fixture block 31 and fixture block 32 are suggested pairing processing, used.Standard component can be selected in connection pinning 40. , can standby more set structures of the present invention because surgery situation is changeable.The material and size of each part can be according to actual conditions and operation Need to determine.
In the present embodiment, in order that ball impression steel plate 20 and bulb Universal screw nail 10 are connected and be integrated, two are used Fixture block splices, make it is in place after the central space that is formed accommodate ball impression steel plate, while fixture block by ball impression steel plate with by fix bone every Open form is into gap, the bulb bottom of its space bulb Universal screw nail formed after the installation of fixture block lower inside surface is in place, so Connection pinning is screwed into the tapped hole on fixture block top afterwards, fixture block is connected into locking fixes.
Specifically, connection pinning body portion screw thread of the invention can be mutually chimeric with the internal thread in fixture block upper hole, from And it is connected as a single entity by ball impression steel plate, bulb Universal screw nail and by fix bone.So caused by beneficial outcomes be:Use fixture block Ball impression steel plate and bulb Universal screw nail can be fastened on one with connection pinning, made between being left between ball impression steel plate and bone Gap, so as to provide the gap that blood vessel, Gegenbaur's cell and other regenerating tissues are grown between steel plate and sclerotin, be advantageous to accelerate normally Healing process.
Finally it should be noted that:The above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although The present invention is described in detail with reference to the foregoing embodiments, it will be understood by those within the art that:It still may be used To be modified to the technical scheme described in foregoing embodiments, or equivalent substitution is carried out to which part technical characteristic; And these modification or replace, do not make appropriate technical solution essence depart from various embodiments of the present invention technical scheme spirit and Scope.

Claims (5)

  1. A kind of 1. micro- contact steel plate screw system of bulb joint in medical shackle-type, it is characterised in that:The steel plate screw system Including the bulb Universal screw nail for fix bone and ball impression steel plate and fixture block and connection for fixing said two devices are locked Nail, the body portion of the bulb Universal screw nail are screwed into by fix bone, the fixture block and connection pinning by the ball impression steel plate and Bulb Universal screw nail, which is connected, to be integrated, and gap is left between the ball impression steel plate and bone;
    The head of the bulb Universal screw nail is spherical, is carried in the middle part of the ball impression steel plate spherical with the head of bulb Universal screw nail The spherical groove that radian matches;
    The fixture block includes two, and each fixture block includes the upper, middle and lower being connected as a single entity, wherein a fixture block is upper Portion is provided with screwed hole, and middle part is provided with U-type groove, and lower inside surface is arcwall face, and the top of another fixture block is provided with unthreaded hole, and middle part is provided with U-type groove, lower inside surface are arcwall face, and the U-type groove opening in the middle part of described two fixture blocks is mounted opposite, and are installed for two fixture blocks Ball impression steel plate described in the space that it is formed after in place, the arcwall face that described two fixture block bottoms are mounted opposite, for two The bulb bottom of its space bulb Universal screw nail formed after fixture block installation is in place;
    The partial-length in the connection pinning body portion carries external screw thread, and the body portion penetrates and is locked at described two fixture block tops In hole, two fixture blocks are connected for locking.
  2. 2. the micro- contact steel plate screw system of bulb joint in medical shackle-type according to claim 1, it is characterised in that:It is described The spherical groove opening diameter of ball impression steel plate is less than the head spherical diameter of bulb Universal screw nail.
  3. 3. the micro- contact steel plate screw system of bulb joint in medical shackle-type according to claim 1, it is characterised in that:It is described After fixture block connects with the ball impression steel plate, the spherical groove of the ball impression steel plate and the arcwall face of fixture block lower inside surface are formed and connected Continue spherical radian face.
  4. 4. the micro- contact steel plate screw system of bulb joint in medical shackle-type according to claim 1, it is characterised in that:It is described The bulb diameter of bulb Universal screw nail is more than its body portion diameter.
  5. 5. the micro- contact steel plate screw system of bulb joint in medical shackle-type according to claim 1, it is characterised in that:It is described The body portion of bulb Universal screw nail carries external screw thread.
CN201610148983.2A 2016-03-16 2016-03-16 The micro- contact steel plate screw system of bulb joint in medical shackle-type Active CN105596074B (en)

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CN201610148983.2A CN105596074B (en) 2016-03-16 2016-03-16 The micro- contact steel plate screw system of bulb joint in medical shackle-type

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Application Number Priority Date Filing Date Title
CN201610148983.2A CN105596074B (en) 2016-03-16 2016-03-16 The micro- contact steel plate screw system of bulb joint in medical shackle-type

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CN105596074B true CN105596074B (en) 2017-11-14

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2467067Y (en) * 2001-02-27 2001-12-26 泰安市中心医院 Fracture mono cortex multi-point internal fixer
CN1380043A (en) * 2002-05-23 2002-11-20 霍新明 Internal fixation steel plate for department of orthopedics
CN2626444Y (en) * 2003-05-02 2004-07-21 王世清 Noncontact bone fracture rack
CN103876812A (en) * 2014-02-20 2014-06-25 宋若怡 Pressure-adjustable combined-type outer fixing support and pressure-adjustable fixing arm
CN104939900A (en) * 2015-07-24 2015-09-30 青岛大学附属医院 Medical slight contact type plate screw system

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN100386059C (en) * 1999-07-07 2008-05-07 斯恩蒂斯股份公司 Bone screw with axially two-part screwn head

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2467067Y (en) * 2001-02-27 2001-12-26 泰安市中心医院 Fracture mono cortex multi-point internal fixer
CN1380043A (en) * 2002-05-23 2002-11-20 霍新明 Internal fixation steel plate for department of orthopedics
CN2626444Y (en) * 2003-05-02 2004-07-21 王世清 Noncontact bone fracture rack
CN103876812A (en) * 2014-02-20 2014-06-25 宋若怡 Pressure-adjustable combined-type outer fixing support and pressure-adjustable fixing arm
CN104939900A (en) * 2015-07-24 2015-09-30 青岛大学附属医院 Medical slight contact type plate screw system

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Effective date of registration: 20180925

Address after: 201203 China (Shanghai) free trade pilot area, Cai Lun Road 1690, 2 building, 311 room.

Patentee after: Shanghai longhui Medical Technology Co., Ltd.

Address before: 266003 joint surgery, Affiliated Hospital of Qiingdao University, 59 Haier Road, Laoshan District, Qingdao, Shandong

Patentee before: Affiliated Hospital of University Of Qingdao