CN105852954B - Interal fixation device - Google Patents

Interal fixation device Download PDF

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Publication number
CN105852954B
CN105852954B CN201610389851.9A CN201610389851A CN105852954B CN 105852954 B CN105852954 B CN 105852954B CN 201610389851 A CN201610389851 A CN 201610389851A CN 105852954 B CN105852954 B CN 105852954B
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Prior art keywords
suture
steel plate
hole
fixation device
gap
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CN201610389851.9A
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CN105852954A (en
Inventor
黎建波
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Beijing Deyi Damei Medical Technology Co Ltd
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Beijing Deyi Damei Medical Technology Co Ltd
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Priority to CN201610389851.9A priority Critical patent/CN105852954B/en
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    • 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
    • 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
    • A61B17/8061Cortical 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
    • 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
    • A61B17/842Flexible wires, bands or straps
    • 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

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  • 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 embodiment of the invention provides a kind of Interal fixation devices, comprising: the first steel plate, first steel plate have the longitudinal axis extended along itself, first through hole and the second through-hole are distributed on the longitudinal axis;Suture, the suture extend through the first through hole and second through-hole;Second steel plate, there is the first longitudinal direction edge and second longitudinal direction edge extended along itself on second steel plate, it wherein is equipped with the first gap in the first longitudinal direction edge, is equipped with the second gap in the second longitudinal direction edge, the suture is inserted in first gap and the second gap respectively.The scheme provided in through the embodiment of the present invention overcomes existing fixed device and is easy to loosen, is not easy the shortcomings that adjusting, improves the ease for use and security reliability of fixed device.

Description

Interal fixation device
Technical field
The present embodiments relate to the field of medical instrument technology, more particularly to one kind is for acromioclavicular joint, lower tibiofibula bone, the palm The fixation device of stock.
Background technique
Ligament is the important fibr tissue that bone connection is carried out in human body, is caused when due to human body due to moving careless tumble injury After rupture of ligament, needs to substitute tough bring using medical apparatus and fix two pieces of bones, for example, by dislocation of acromioclavicular joint, lower tibiofibula bone The operations such as separation, metacarpal bone be fixed realize that traditional this kind of operation is fixed with holdfast system, is fixed using holdfast system There are certain drawbacks, such as holdfast loosens, fracture, and strong holdfast fixation is unfavorable for ligament physiological healing characteristic itself It repairs, and usually requires to carry out knotting operation with line holdfast to guarantee the suture strength of suture, it is additional due to the knot Surface area will increase the wound risk to surrounding tissue, it is therefore desirable to the number for the knot that limitation is used in combination with such device, A possibility that further causing the loosening of the knot.These can all lead between two pieces of bones that there are gaps, be unfavorable for ligament Quick reconstruction.
For this reason, it may be necessary to develop a kind of fixed device, can be stable fix two pieces of bones, safe and reliable offer moves ligament The fixing intensity of plant.
Summary of the invention
The embodiment of the present invention provides a kind of Interal fixation device, to solve to fix device in the prior art in the mistake used Defect present in journey.The present apparatus can be applied to the fixation of acromioclavicular joint, ankle-joint, metacarpal bone etc., easy to adjust, securely and reliably, Its ligament can be helped quickly to repair or tendon reconstructive.
The embodiment of the present invention provides a kind of Interal fixation device, comprising:
First steel plate, first steel plate have the longitudinal axis extended along itself, are distributed on the longitudinal axis There are first through hole and the second through-hole;
Suture, the suture extend through the first through hole and second through-hole;
Second steel plate has the first longitudinal direction edge and second longitudinal direction edge extended along itself on second steel plate, It wherein is equipped with the first gap in the first longitudinal direction edge, is equipped with the second gap, the seam in the second longitudinal direction edge Zygonema is inserted in first gap and the second gap respectively.
Specifically, the suture adjustable length.
Specifically, first gap and the second gap are made of the first arc and the second arc, wherein described second Radius of curvature of the radius of curvature of arc less than the first arc.
Specifically, setting has the receiving unit being made of the first open end and the second open end on the suture, described One end of suture enters the receiving unit from first open end, leaves the receiving unit from second open end.
Specifically, one end of the suture is leading to from the first through hole of first steel plate and described second respectively After hole enters and leaves first steel plate, seam is left from second opening of the first of the receiving unit opening in suture Zygonema, and pass through the third opening in the suture and receive in suture.
Specifically, one end of the suture initially passes through the first through hole of first steel plate, then passes back through described After one through-hole, it is then passed through the second through-hole of first steel plate, passes back through second through-hole after then intersecting with suture again.
Specifically, first steel plate is additionally provided with third through-hole and fourth hole.
Specifically, the suture uses high-strength polyester braided suture, the braiding that the suture passes through different colours Suture is distinguish label to line bracing wire is taken out.
Specifically, first steel plate and the second steel plate are placed in the outside of two pieces of bone of separation.
Interal fixation device provided in an embodiment of the present invention, by the first steel plate of setting and the second steel plate, and can spirit The suture living adjusted, and then change fixed device in the prior art and be easy to loosen, be not easy the shortcomings that adjusting, it improves solid Determine the ease for use and security reliability of device.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is this hair Bright some embodiments for those of ordinary skill in the art without creative efforts, can be with root Other attached drawings are obtained according to these attached drawings.
Fig. 1 is the schematic diagram of the fixed device of one specific embodiment light plate of the present invention;
Fig. 2A is the schematic diagram of suture in a specific embodiment of the invention;
Fig. 2 B is the schematic diagram of suture in another specific embodiment of the invention;
Fig. 3 is the schematic diagram of the first steel plate in a specific embodiment of the invention;
Fig. 4 is the schematic diagram of the second steel plate in a specific embodiment of the invention.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is A part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art Every other embodiment obtained without creative efforts, shall fall within the protection scope of the present invention.
Fig. 1 is the schematic diagram of the Interal fixation device provided according to one embodiment of the present of invention.As shown in Figure 1, steel plate Fixed device includes: the first steel plate 11, suture 12 and the second steel plate 13.For the first steel plate, according to Fig. 3, first steel Plate 11 has the longitudinal axis extended along itself, and first through hole 111 and the second through-hole are distributed on the longitudinal axis 112;First steel plate 11 can have elongated, slightly rectangular shape, have circular or curved extreme ends.The One through-hole 111 and the second through-hole 112 can be located adjacent one another, and are located so that their center is located at the longitudinal direction of the first steel plate 11 On axis.Other than embodiment shown in Fig. 3, multiple through-holes can also be set on the first steel plate 11, as a kind of specific Embodiment further includes third through-hole and fourth hole on the first steel plate 11, and third through-hole can be positioned at 111 He of first through hole Between second through-hole 112, and its center can deviate certain distance from longitudinal axis.First to fourth through-hole can have base Identical aperture in sheet may be set to be the identical or all different aperture in part.
Suture extends through the first through hole of the first steel plate and second through-hole, common suture pass through line The mode of knot is fixed, and suture length is unadjustable, and it is not convenient enough to use, simultaneously because the presence of knot, knot It will lead to the damage of soft tissue with soft tissue friction.For this purpose, in embodiments of the present invention, suture adjustable length, one In a specific embodiment, as shown in Fig. 2, setting has by the first open end 121 and the second open end 122 on suture 12 One end of the receiving unit of composition, the suture enters the receiving unit from first open end 121, from second opening Leave the receiving unit in end 122.By receiving unit of the setting with frictional damping on suture, can be avoided using knot, And the wire loop of suture composition can be adjusted according to the actual needs, improve the efficiency used.For example, the suture 12 one end is entering and leaving institute from the first through hole 111 of first steel plate 11 and second through-hole 112 respectively After stating the first steel plate 11, the second opening 112 in suture is passed through from the first opening 111 of the receiving unit and leaves suture, And it passes through the third opening in the suture to receive in suture.
Suture 12 can be intertexture or braided suture, and the suture uses high-strength polyester braided suture, and can Label is distinguish to line bracing wire is taken out by the braided suture of different colours.By pulling the single free end of suture 12, The length of the section ring of adjustable suture composition, as a kind of specific embodiment, between first through hole 111 and the second through-hole 112 The minimum value of distance can be such that suture opens the first of suture 12 using hot knife during use to about 40mm Mouth end 121 and the second open end carry out thawing binding operation, and then prevent suture from unclamping.
In another embodiment of the present invention, one end of the suture 22 initially passes through first steel plate 21 First through hole after then passing back through the first through hole, is then passed through the second through-hole of first steel plate 21, then with suture Second through-hole is passed back through again after 22 intersections.Suture 22 can be intertexture or braided suture, and the suture is using high Strength polyester braided suture, and label can be distinguish to line bracing wire is taken out by the braided suture of different colours.Pass through drawing The single free end of suture 22, the length of the wire loop of adjustable suture composition.
The Interal fixation device that the embodiment of the present invention provides further includes the second steel plate 31, the second steel according to Fig. 4 The schematic diagram of plate has the first longitudinal direction edge and second longitudinal direction edge extended along itself on second steel plate 13, wherein It is equipped with the first gap 131 in the first longitudinal direction edge, is equipped with the second gap 132 in the second longitudinal direction edge, it is described Suture is inserted in first gap 131 and the second gap 132 respectively.It is reliable solid in order to avoid suture is detached from the second steel plate Fixed, first gap 131 and the second gap 132 are made of the first arc and the second arc, wherein second arc Radius of curvature of the radius of curvature less than the first arc.
When specifically used, first steel plate 11 and the second steel plate 13 are placed in the outside of two pieces of bone of separation.First with Kirschner wire bores a tunnel on two pieces of bones for need to install steel plate, then makes the first Interal fixation in the outer of the first bone Side, traction suture reach the outside of the second bone, then suture is inserted in the first of second steel plate respectively by tunnel Gap and the second gap, free end to the first bone and the second bone for tensing suture line are tightly fastened, then two separated piece bone It can be with return.
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 Present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: it still may be used To modify the technical solutions described in the foregoing embodiments or equivalent replacement of some of the technical features; And these are modified or replaceed, technical solution of various embodiments of the present invention that it does not separate the essence of the corresponding technical solution spirit and Range.

Claims (9)

1. a kind of Interal fixation device, comprising:
First steel plate, first steel plate have the longitudinal axis extended along itself, and the is distributed on the longitudinal axis One through-hole and the second through-hole, first steel plate have round or curved extreme ends;
Suture, the suture extend through the first through hole and second through-hole;
Second steel plate has the first longitudinal direction edge and second longitudinal direction edge extended along itself on second steel plate, wherein It is equipped with the first gap in the first longitudinal direction edge, is equipped with the second gap, the suture in the second longitudinal direction edge It is inserted in first gap and the second gap respectively.
2. Interal fixation device according to claim 1, it is characterised in that:
The suture adjustable length.
3. Interal fixation device according to claim 1, it is characterised in that:
First gap and the second gap are made of the first arc and the second arc, wherein the curvature of second arc half Radius of curvature of the diameter less than the first arc.
4. Interal fixation device according to claim 1, it is characterised in that:
Setting has a receiving unit by the first open end and the second open end on the suture, and one end of the suture is from institute The first open end is stated into the receiving unit, leaves the receiving unit from second open end.
5. Interal fixation device according to claim 1, it is characterised in that:
One end of the suture initially passes through the first through hole of first steel plate, after then passing back through the first through hole, then Pass back through second through-hole again across the second through-hole of first steel plate, after then intersecting with suture.
6. Interal fixation device described in any one of -5 according to claim 1, it is characterised in that:
First steel plate is additionally provided with third through-hole and fourth hole.
7. Interal fixation device described in any one of -5 according to claim 1, it is characterised in that:
The suture uses high-strength polyester braided suture.
8. Interal fixation device described in any one of -5 according to claim 1, it is characterised in that:
The suture is distinguish label to line bracing wire is taken out by the braided suture of different colours.
9. Interal fixation device described in any one of -5 according to claim 1, it is characterised in that:
First steel plate and the second steel plate are placed in the outside of two pieces of bone of separation.
CN201610389851.9A 2016-06-02 2016-06-02 Interal fixation device Active CN105852954B (en)

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Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106667622B (en) * 2017-02-06 2018-12-11 北京万洁天元医疗器械有限公司 A kind of lantern ring steel plate of adjustable fixed soft tissue or implantation of ligament object
CN107280809A (en) * 2017-07-13 2017-10-24 李彦林 It is a kind of to subtract bracing cable and its weaving method for Cruciate ligament reconstruction
CN108670387A (en) * 2018-07-25 2018-10-19 南京医科大学附属逸夫医院 Treat the ti-ni shape memory alloy briar tooth nail and its application method of dislocation of acromioclavicular joint
CN112315529B (en) * 2020-11-30 2021-09-21 上海傲派医疗科技有限公司 Loop and manufacturing method thereof
CN112754730B (en) * 2020-12-31 2021-12-14 上海傲派医疗科技有限公司 Medical loop ring and manufacturing method thereof

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CN203988174U (en) * 2014-07-18 2014-12-10 山东威高骨科材料有限公司 Adjustable ligamentaum cruciatum reparation, reconstruction attachment device
CN204092139U (en) * 2014-08-18 2015-01-14 长春圣博玛生物材料有限公司 A kind of ligament reconstructive fixture
CN104510508A (en) * 2013-09-27 2015-04-15 德普伊米特克有限责任公司 Tissue fixation system with auxiliary plate
CN104799926A (en) * 2015-05-11 2015-07-29 熊静 Bone-fastening button
CN205814409U (en) * 2016-06-02 2016-12-21 北京德益达美医疗科技有限公司 Interal fixation device

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US8323338B2 (en) * 2005-12-22 2012-12-04 Smith & Nephew, Inc. Tissue graft fixation

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Publication number Priority date Publication date Assignee Title
CN104510508A (en) * 2013-09-27 2015-04-15 德普伊米特克有限责任公司 Tissue fixation system with auxiliary plate
CN203988174U (en) * 2014-07-18 2014-12-10 山东威高骨科材料有限公司 Adjustable ligamentaum cruciatum reparation, reconstruction attachment device
CN204092139U (en) * 2014-08-18 2015-01-14 长春圣博玛生物材料有限公司 A kind of ligament reconstructive fixture
CN104799926A (en) * 2015-05-11 2015-07-29 熊静 Bone-fastening button
CN205814409U (en) * 2016-06-02 2016-12-21 北京德益达美医疗科技有限公司 Interal fixation device

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