CN106037918B - Fracture of glenoid cavity closed reduction hollow screw fixed guider - Google Patents
Fracture of glenoid cavity closed reduction hollow screw fixed guider Download PDFInfo
- Publication number
- CN106037918B CN106037918B CN201610525000.2A CN201610525000A CN106037918B CN 106037918 B CN106037918 B CN 106037918B CN 201610525000 A CN201610525000 A CN 201610525000A CN 106037918 B CN106037918 B CN 106037918B
- Authority
- CN
- China
- Prior art keywords
- pedestal
- fracture
- basic point
- hole
- angle
- 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
Links
Classifications
-
- 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
- A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
-
- 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 present invention relates to a kind of fracture of glenoid cavity closed reduction hollow screw fixed guiders, it is characterised in that including pedestal, the pedestal is plate-like structure, and the pedestal is equipped at least one set of screw pilot hole group；The screw pilot hole group includes the first basic point on the lower surface of the pedestal and multiple spaced second basic points on the upper surface of the pedestal, each second basic point is separately connected first basic point, form the through-hole of multiple perforation pedestal upper and lower surfaces, the axis of each through-hole and the angle α of coronal-plane are 32~52 °, and the axis of each through-hole and the angle of sagittal plane are 53~73 °.The present invention avoids removing extensively and causes more wounds, and the setting of multiple groups screw pilot hole group using human dissection statistical data as foundation, the guider is allowed to be adapted to the patient of a variety of figures, it does not need each patient to be prepared separately one guider, it is easy to use, and success rate of operation is high.
Description
Technical field
The present invention relates to medical instruments, refer specifically to a kind of fracture of glenoid cavity closed reduction hollow screw fixed guider.
Background technique
The incidence of fracture of scapula is lower, accounts for about the 3-5% of shoulder fractures, the 0.4-1% of whole body fracture.But it is in shoulder
Portion's function is important, is the important feature for connecting trunk and upper limb.If dealing with improperly, the maimed person of patient's shoulder can be often caused.For a long time
Since, arguement is always existed in the processing of fracture of scapula, the dissection and function mainly due to shoulder blade are more complex, participate in
The movable mechanism of shoulder, can be with guiding treatment and prediction still without a more perfect classification of fractures system also there are many theory
As a result.In the treatment, it performs the operation and the determination of No operation is more to be come based on personal experience without a large-scale clinical research
Compare the difference of the clinical effectiveness of distinct methods processing.Fracture of scapula majority can realize satisfactory results through conservative therapy.But
The intra-articular fracture shifted for involving Scapula glenoid, and influence the stable fracture of shoulder girdle and still need to operative treatment.
Conventional surgical screw has an anterior lateral cervical approach and Posterior approach two ways, no matter anterior lateral cervical approach or Posterior approach,
It is required to by 70 ° of shoulder abduction, from acromion after mesoscapula traveling 2cm, along shoulder broad-mouthed receptacle for holding liquid and omoplate outer rim to down toward shoulder blade
Inferior horn does notch, and glass triangle flesh and retracts from shoulder blade, appears infraspinous muscle and teres minor, separates spatium intermusculare, exposure shoulder
Shoulder blade and joint capsule cut capsula articularis humeri along shoulder blade sur-face peeling to margin of scapula,external when necessary, appear fracture site.So
Lag screw or Kirschner wire can be just squeezed into afterwards.
Lateral border is relatively thick in shoulder blade, and upper limb sclerotin is thin and short, but has coronoid process reinforcement, this three bone ridges are known as " three
Column ".There are brachial plexus, shoulder blood vessel, cephalic vein in front；There are circumflex vessels in lateral border trilateral foramen, Quadrilateral zone, axillary nerve revolves the upper arm
Blood vessel passes through afterwards；There is Suprascapular artery neural under acromion.These structures increase the difficulty and risk of open surgery.
Summary of the invention
One kind is provided the technical problem to be solved by the present invention is to the status for the prior art not needing additionally to do notch
With carry out muscle removing and the high fracture of glenoid cavity closed reduction hollow screw fixed guider of success rate of operation.
The technical scheme of the invention to solve the technical problem is: the fracture of glenoid cavity closed reduction hollow screw
Fixed guider, it is characterised in that including pedestal, the pedestal is plate-like structure, and the pedestal is equipped at least one set of screw
Pilot hole group；
The screw pilot hole group include positioned at the pedestal lower surface on the first basic point and positioned at the pedestal
Multiple spaced second basic points on upper surface, each second basic point are separately connected first basic point, are formed multiple
The through-hole of the pedestal upper and lower surface is penetrated through, the axis of each through-hole and the angle α of coronal-plane are 32~52 °, each described logical
The axis in hole and the angle β of sagittal plane are 53~73 °.
Preferably, the quantity of the second basic point can be three in each screw pilot hole group, and each through-hole
Axis is equal with the angle β of sagittal plane.
In view of practicability and the size of shoulder blade position, the screw pilot hole group can have three groups, phase in each group
The line of corresponding second basic point is parallel to each other, and angle of the axis of three on every line through-hole relative to coronal-plane
α is equal.
The width of the pedestal can for 1.5~2.5 centimetres, with a thickness of 1~1.5 centimetre, length be 3~5 centimetres；It is described
The aperture of through-hole 23 is 1~2mm.
The α is preferably 32~52 °, and the β is preferably 58~68 °.
The handle for facilitating operative doctor to hold can also be equipped on the side of the pedestal.
Compared with prior art, fracture of glenoid cavity closed reduction hollow screw fixed guider provided by the present invention is with people
It is foundation that body, which dissects statistical data, is studied by great amount of samples, simulates glenoid cavity in the angulation of Coronal and sagittal plain, for closure
The fixed offer guiding role of hollow nail is resetted, success rate of operation is high；And from approach above shoulder clavicle, it is wide to avoid traditional operation
General removing can effectively avoid blood vesssls and nerves injuries, and intraoperative hemorrhage is few, wound is small, highly-safe；And it is operated by duct,
Nervus vasculairs are avoided, do not destroy the integrality of capsula articularis humeri substantially, reduce the generation of postoperative ankle adhesion complication to greatest extent,
Patient restores fast；And the setting of multiple groups screw pilot hole group, enable the guider to be adapted to the patient of a variety of figures, does not need
One guider is prepared separately to each patient, it is easy to use, it is at low cost.
Detailed description of the invention
Fig. 1 is the stereoscopic schematic diagram of the embodiment of the present invention；
Fig. 2 is the stereoscopic schematic diagram that the embodiment of the present invention looks up direction；
Fig. 3 is the perspective view of the positive apparent direction of the embodiment of the present invention；
Fig. 4 is the perspective view (handle is omitted) of side-looking direction of the embodiment of the present invention.
Specific embodiment
The present invention will be described in further detail below with reference to the embodiments of the drawings.
As shown in Figures 1 to 4, which includes:
Pedestal 1, is plate-like structure, and the width of the pedestal 1 is 2 centimetres, is 4 centimetres with a thickness of 1 centimetre, length.
Screw pilot hole group 2, there is three groups, and every group of screw pilot hole group 2 includes the on the lower surface of the pedestal 1
One basic point 21 and multiple spaced second basic points 22 on the upper surface of the pedestal 1, each second basic point 22
It is respectively communicated with first basic point 21, forms the through-hole 23 of multiple perforation pedestal upper and lower surfaces, through-hole 23 in the present embodiment
Aperture be 1mm.The line of corresponding second basic point is parallel to each other in each group.
The axis of three through-holes 23 and the angle α 1 of coronal-plane are 33.269 ° in first group of screw pilot hole group, with arrow
The angle in shape face is followed successively by β 1:61.284 °, β 2:64.857 ° and β 3:67.842 °；
The axis of three through-holes 23 and the angle α 2 of coronal-plane are 38.9 ° in second group of screw pilot hole group, with sagittal
The angle in face is followed successively by β 1:61.284 °, β 2:64.857 ° and β 3:67.842 °；
The axis of three through-holes 23 and the angle α 3 of coronal-plane are 44.531 ° in third group screw pilot hole group, with arrow
The angle in shape face is followed successively by β 1:61.284 °, β 2:64.857 ° and β 3:67.842 °.
Handle 3, on the side of attachment base pedestal 1, to facilitate operative doctor to hold.
In the preoperative, CT scan, three-dimensional reconstruction, according to CT as a result, measuring and calculating lag screw enters nail are carried out to patient's shoulder joint
Position and angle；Pedestal is directly placed on the clavicle of shoulder, according to the preparatory results of measuring of CT, in three groups of screw pilot holes
In, lag screw can be successfully driven on Scapula glenoid by the compatible through-hole of selected angle, do not need removing joint capsule and
Surrounding vital tissue is separated, open surgery bring wound and risk is avoided, ensure that success rate of operation.
Claims (4)
1. fracture of glenoid cavity closed reduction hollow screw fixed guider, it is characterised in that including pedestal (1), the pedestal (1)
For plate-like structure, the pedestal (1) is equipped at least one set of screw pilot hole group (2)；
The screw pilot hole group (2) includes the first basic point (21) on the lower surface of the pedestal (1) and is located at described
Multiple spaced second basic points (22) on the upper surface of pedestal (1), each second basic point (22) are separately connected described
First basic point (21) forms the through-hole (23) of multiple perforation pedestal upper and lower surfaces, the axis and coronal-plane of each through-hole
Angle α be 32~52 °, the angle β of the axis of each through-hole (23) and sagittal plane is 53~73 °；
The quantity of the second basic point (22) is three in each screw pilot hole group (2), that is, corresponds to each first basic point and be equipped with
Three through-holes, and the axis of each through-hole (23) is equal with the angle β of sagittal plane；
The screw pilot hole group (2) has three groups, and the line of corresponding second basic point is parallel to each other in each group, and every company
The axis of three through-holes (23) on line is equal relative to the angle α of coronal-plane.
2. fracture of glenoid cavity closed reduction hollow screw fixed guider according to claim 1, it is characterised in that described
The width of pedestal (1) is 1.5~2.5 centimetres, is 3~5 centimetres with a thickness of 1~1.5 centimetre, length；The hole of the through-hole (23)
Diameter is 1~2mm.
3. fracture of glenoid cavity closed reduction hollow screw fixed guider according to claim 2, it is characterised in that the α
It is 32~52 °, the β is 58~68 °.
4. fracture of glenoid cavity closed reduction hollow screw fixed guider according to claim 3, it is characterised in that described
The side of pedestal (1) is equipped with the handle (3) for facilitating operative doctor to hold.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610525000.2A CN106037918B (en) | 2016-07-01 | 2016-07-01 | Fracture of glenoid cavity closed reduction hollow screw fixed guider |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610525000.2A CN106037918B (en) | 2016-07-01 | 2016-07-01 | Fracture of glenoid cavity closed reduction hollow screw fixed guider |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106037918A CN106037918A (en) | 2016-10-26 |
| CN106037918B true CN106037918B (en) | 2019-03-22 |
Family
ID=57202010
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610525000.2A Expired - Fee Related CN106037918B (en) | 2016-07-01 | 2016-07-01 | Fracture of glenoid cavity closed reduction hollow screw fixed guider |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106037918B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108451617A (en) * | 2018-04-10 | 2018-08-28 | 姜里强 | Applied to the fixed apparatus for correcting of the reduction of the fracture and production method |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN202515768U (en) * | 2011-11-27 | 2012-11-07 | 严丹 | Pedicle screw locator |
| CN103622744A (en) * | 2013-12-04 | 2014-03-12 | 庞清江 | Calcaneus sustentaculum tali screw guider |
| CN206355123U (en) * | 2016-07-01 | 2017-07-28 | 庞清江 | Fracture of glenoid cavity closed reduction hollow screw fixed guider |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR101176746B1 (en) * | 2011-03-31 | 2012-08-23 | 가톨릭대학교 산학협력단 | Pin guide for avascular necrosis of femoral head |
| US9826994B2 (en) * | 2014-09-29 | 2017-11-28 | Biomet Manufacturing, Llc | Adjustable glenoid pin insertion guide |
-
2016
- 2016-07-01 CN CN201610525000.2A patent/CN106037918B/en not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN202515768U (en) * | 2011-11-27 | 2012-11-07 | 严丹 | Pedicle screw locator |
| CN103622744A (en) * | 2013-12-04 | 2014-03-12 | 庞清江 | Calcaneus sustentaculum tali screw guider |
| CN206355123U (en) * | 2016-07-01 | 2017-07-28 | 庞清江 | Fracture of glenoid cavity closed reduction hollow screw fixed guider |
Also Published As
| Publication number | Publication date |
|---|---|
| CN106037918A (en) | 2016-10-26 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN103860249B (en) | The anti-locking device that revolves of a kind of near end of thighbone | |
| Qadir et al. | Interscapulothoracic (forequarter) amputation for malignant tumors involving the upper extremity: surgical technique and case series | |
| CN106037918B (en) | Fracture of glenoid cavity closed reduction hollow screw fixed guider | |
| CN105662585B (en) | A kind of percutaneous infratemporal fossa Lateral Orbital Walls endoscope puncture guide plate and its application method | |
| Echols | Giant cell tumor of the sphenoid bone Report of a case | |
| CN105125273B (en) | Internal fixation plate for tibial plateau three-column dissection | |
| CN206355123U (en) | Fracture of glenoid cavity closed reduction hollow screw fixed guider | |
| CN204765873U (en) | Chamber mirror is used through thorax memory alloy rib coaptation board | |
| CN203493721U (en) | Tibial plateau posterior-lateral bone fracture plate | |
| CN207012231U (en) | Outside universal lock inner fixing device after a kind of tibial plateau | |
| CN202982255U (en) | Puncture positioning regulator for spinal endoscopic transforaminal operation | |
| CN106175905B (en) | A kind of dissection locking guiding steel plate for Complex Acetabular | |
| CN205658975U (en) | Percutaneous infratemporal fossa eye socket outer wall endoscope puncture baffle | |
| CN104382641A (en) | Special withholding steel plate for internal fixation of acromioclavicular dislocation | |
| Chen et al. | Extended vertical lower trapezius island myocutaneous flap for reconstruction of cranio-maxillofacial defects | |
| CN108478252A (en) | A kind of cheekbone old fracture osteotomy guide plate and bone plate | |
| CN206350745U (en) | Tumour wins pincers | |
| CN107280751A (en) | Axillary margin of scapula for fracture of scapula dissects lockplate and application thereof | |
| CN104706413B (en) | Outside bone fracture bonesetting plate after a kind of tibial plateau | |
| CN204410945U (en) | The anterior approach cranium neck fixture improved | |
| RU2495634C1 (en) | Method of eliminating defects of inferior wall of eye-socket | |
| CN209107537U (en) | A kind of half patch bone conduction plate | |
| Chen et al. | The trapezius osteomyocutaneous island flap for reconstructing hemimandibular and oral defects following the ablation of advanced oral malignant tumours | |
| CN107789045B (en) | The dedicated internal fixation device of Hoffa fracture | |
| CN204971547U (en) | Coaptation board is dissected to three posts of tibial plateau |
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: 20190322 Termination date: 20200701 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |