Metal breastbone frame device
Technical field
The invention belongs to technical field of medical instruments, be specifically related to a kind of people for the defect repair such as thoracic wall, clavicle
Work breastbone frame device.
Background technology
Sternum neoplasms is the most rare, accounts for the 0.94% of whole bone tumor, and tissue-derived complicated histological type is various, Ji Huquan
For pernicious, most common with metastatic tumor, hemopoietic tissue source tumor and cartilaginous tumors.General every breastbone benign tumor, constitutional
Malignant tumor controls preferably again without other metastatic lesions, the most all without obvious metastasis person, breastbone metastatic tumor primary lesion
Taking operative treatment, excision is first-selected Therapeutic Method.And when performing the operation, preferably cut in the lump away from about tumor mass 2cm
Except tumor and surrounding normal osseous tissue, including excising neighbouring both sides Clavicle Head and part costicartilage, muscle and skin can be suitable
Many reservations, in order to wound repairing.After surgery, due to breastbone defect, the integrity of thorax is affected, can be to breathing not
Profit;Simultaneously because heart is lacked protection, circulation is also had certain impact.To this end, can use multiple method to repair defect,
Recover thorax integrity, such as autologous bone, allograph bone, steel plate, bone cement, lucite etc..
" titanium plate associating Teflon sticking patch is rebuild Sternum neoplasms and is cut for the product of more existing breastbone substitutes, such as document
Except rear thorax " (Chinese Journal of Reparative and Reconstructive Surgery, October
2011, Vol.25, NO.10) report a kind of employing horizontal shape titanium plate reconstruction, two ends are fixed with steel wire and rib and the clavicle section of breaking
Means carry out the reconstruction of thorax, and then can be extended on the basis of horizontal shape titanium plate is rebuild, and add with 2 blocks of vertical-shaped titanium plates, and two
Hold and fix with breastbone, then with fixation with steel wire between horizontal shape titanium plate and vertical-shaped titanium plate with titanium nail.This employing a plurality of titanium plate combines
The thorax rebuild, can only say the problem solving breastbone defect cursorily, also be detrimental to the recovery after operation in patients and breathing
Comfortable.
Chinese patent literature CN204428212U discloses a kind of artificial sternum's skeleton repaired for chest wall defect, including
Artificial sternum's handle and artificial sternum's body, artificial sternum's skeleton is overall and rib is embraced and grabbed by memory alloy material integral production
Become.
Chinese patent literature CN205126500U discloses a kind of 3D and prints titanium alloy sternum replacing part, including breastbone part
With rib part, wherein breastbone operative tip has replacing part fixing threaded hole, described breastbone equably with the binding site of breastbone
Member base end is designed as butterfly shape of tail.
The breastbone substitute mentioned in above-mentioned patent documentation can play certain thorax restructuration, but expands for tumor
Cause the situation of Post operation clavicle defect to clavicle, still can not process with open arms breastbone substitute and clavicle so that with whole thoracic cavity
Movement relation, be unfavorable for patient respiratory.
Summary of the invention
It is an object of the invention to solve the problems referred to above, it is provided that a kind of not only possessed certain intensity but also can with in the patient
The metal breastbone frame device that remaining breastbone close friend coexists.
A kind of metal breastbone frame device of the present invention mainly includes that metal breastbone skeleton, metal breastbone skeleton include
Integrated artificial sternum's main part and rib embrace the portion of grabbing;Artificial sternum's main part includes artificial sternum's handle and artificial sternum
Body;Rib is embraced the portion of grabbing and is formed in one with artificial sternum's body;It is characterized in that: also include clavicle connector and be flexibly connected nail;
During use, the lower end of clavicle connector is flexibly connected with artificial sternum's handle by being flexibly connected nail;The upper end of clavicle connector sets
There is the connecting portion for being attached with clavicle stump.
Described metal breastbone skeleton and clavicle connector all use pure titanium material to make, if artificial sternum's handle is provided with
Do the through hole for ventilative and blood supply;Artificial sternum's body is provided with some for the locking nail hole fixing with breastbone stump.
Artificial sternum's handle of described artificial sternum's main part is located close to the direction of human body lock bony site, institute in use
The left and right on the top of the artificial sternum's handle stated is respectively arranged at two ends with left groove and right groove, so that the left end of artificial sternum's handle includes
For constituting the left front frid of left groove and left back frid, and the right-hand member of artificial sternum's handle is made to include the right side for constituting right groove
Front frid and right drop end;The notch of left groove is towards upper left side, and the notch of right groove is towards upper right side;The groove depth 16 of right groove to
20mm, groove width 15 to 18mm, right front distance between frid portion and right drop end portion is 6 to 8mm, right front frid and right drop end
Being provided with the hole sector hole constituting right locking nail hole, left groove is corresponding with right groove.
It is 4 ~ 8 that described rib embraces the quantity in the portion of grabbing, and rib is embraced the portion of grabbing and by Artificial Rib portion and is positioned at position, outer end
Embrace and grab composition;Artificial Rib portion is circular arc strip, grabs by web portion and the some grasping teeths being connected in web portion for each armful
Constitute.Web portion is provided with some lock hole 22-3, described lock hole 22-3 and is used for location when performing the operation.
Described clavicle connector is 2, and they are left collarbone connector and right side clavicle connector;Clavicle connector
3 in circular arc strip;The lower end of clavicle connector 3 is provided with an oval hole 32, long 15 to 20mm, wide 6 to 8mm;During use, left side
Clavicle connector is followed closely the left part being provided with left groove 13 of 4 and artificial sternum's handle 11 by its oval hole 32 by corresponding flexible connection
Position is flexibly connected, clavicle connector oval hole, right side 32 by corresponding be flexibly connected nail 4 and artificial sternum's handle 11 be provided with the right side
The right-hand member position of groove 14 is flexibly connected;The upper end of clavicle connector 3 is provided with 3-5 locking nail hole 31, after cutting with clavicle
Stump is fixing to be connected.
The a diameter of 3.5mm of described locking nail hole, the spacing of Kong Yukong is 10mm.
The described lock being flexibly connected the distance followed closely between the left front frid portion and the left back frid portion that are less than left groove for diameter
Nail.
Described is flexibly connected the lock that nail is less than the right front distance between frid portion and right drop end portion of right groove for diameter
Nail.
The good effect that the present invention has:
(1) artificial sternum's skeleton of present invention design can substitute original thorax, the coexistence friendly with the breastbone of internal remaining, has
The protection thoracic organ of effect.
(2) clavicle connector involved in the present invention, is flexibly connected by the elongated slot at artificial sternum's handle two ends in use,
Achieve the function of all directions light exercise, alleviate patient after surgery because of the misery of the compressing on the thoracic cavity brought of moving, special
You Liyu not breathe.
Accompanying drawing explanation
Fig. 1 is a kind of schematic perspective view of the metal breastbone frame device of the present invention.
The schematic perspective view of metal breastbone skeleton therein when Fig. 2 is to observe from the right back upper place of Fig. 1.
Fig. 3 is the A-A cross-sectional schematic of Fig. 1.
Fig. 4 is the schematic perspective view of the clavicle connector in Fig. 1.
Reference in above-mentioned accompanying drawing is as follows:
Metal breastbone skeleton 10, artificial sternum's main part 1, artificial sternum's handle 11, through hole 11-1, artificial sternum's body 12, locking nail hole
12-1, left groove 13, left front frid portion 13-1, left back frid portion 13-2, left front screw hole 13-3, left back screw hole 13-4, right groove
14, right front frid portion 14-1, right drop end portion 14-2, right front screw hole 14-3, screw hole 14-4 behind the right side, rib embraces the portion of grabbing 2, people
Work rib portion 21, embraces and grabs 22, web portion 22-1, grasping teeth 22-2, lock hole 22-3, clavicle connector 3, locking nail hole 31, oval
Hole 32, is flexibly connected nail 4.
Detailed description of the invention
(embodiment 1)
Seeing Fig. 1 to Fig. 4, the metal breastbone frame device of the present embodiment includes metal breastbone skeleton 10, clavicle connector 3 and activity
Connected nail 4.Metal breastbone skeleton 10 includes that integrated artificial sternum's main part 1 and rib embrace the portion of grabbing 2.Artificial sternum's main body
Portion 1 includes artificial sternum's handle 11 and artificial sternum's body 12.Rib is embraced the portion of grabbing 2 and is formed in one with artificial sternum's body 12;Clavicle is even
The lower end of fitting 34 is flexibly connected with artificial sternum's handle 11 by being flexibly connected nail, the upper end of clavicle connector 3 be provided with for
The connecting portion that clavicle stump is attached.
Metal breastbone skeleton 10 and clavicle connector 3 all use pure titanium material to make, and artificial sternum's handle 11 is provided with
14 for the ventilative and through hole 11-1 of blood supply;Artificial sternum's body 12 is provided with 12 for the locking nail hole fixing with breastbone stump
12-1。
Artificial sternum's handle 11 of artificial sternum's main part 1 is located close to the direction of human body lock bony site in use, manually
The left and right on the top of presternum 11 is respectively arranged at two ends with left groove 13 and right groove 14.
Seeing Fig. 3, the length of artificial sternum's handle 11 sets according to patient's breastbone size, and the present embodiment is 80 millimeters.Manually
The right-hand member on presternum 11 top includes frid portion 14-1 and right drop end portion 14-2 before the right side, right front frid portion 14-1 and right drop end
Portion 14-2 is used for constituting right groove 14.The notch of right groove 14 is towards upper right side, and the groove depth of right groove 14 is 17mm, and its direction is Fig. 3 institute
The right groove 14 shown on drawing before and after direction (namely direction perpendicular with paper), groove width 16mm of right groove 14, its direction
For the left and right directions on drawing of the right groove 14 shown in Fig. 3.Right front distance between frid portion 14-1 and right drop end portion 14-2
For 7mm.The right front frid portion 14-1 of artificial sternum's handle 11 is provided with the through hole 14-3 for constituting right lock hole, right drop end portion
14-2 is provided with the screw 14-4 for constituting right lock hole.
Left groove is corresponding with right groove.Namely the left end on the top of artificial sternum's handle 11 includes left front frid portion 13-1 and left back
Frid portion 13-2, left front frid portion 13-1 and left back frid portion 13-2 are used for constituting left groove 13.The notch of left groove 13 is towards upper left
Side, the groove depth of left groove 13 is 17mm, and the direction of the groove depth of its direction and the right groove 14 shown in Fig. 3 is along artificial sternum's main part 1
Centrage is symmetrical, groove width 16mm of left groove 14, its direction also for the direction with the groove width of the right groove 14 shown in Fig. 3 along artificial breast
The centrage of bone main part 1 is symmetrical.Distance between left front frid portion 13-1 and left back frid portion 13-2 is 7mm.Artificial breast
The left front frid portion 13-1 of bone handle 11 is provided with the through hole 13-3 for constituting left lock hole, left back frid portion 13-2 and is provided with use
In the screw 13-4 constituting left lock hole.
See that Fig. 4, clavicle connector 3 have 2, be divided into and connecting for the clavicle connector in left side and the clavicle for right side
Part.Mutual correspondence between the clavicle connector of left and right sides.Shape and the length of each clavicle connector 3 are tied according to the clavicle of patient
Structure designs, and in certain circular arc strip, its length is set by the distance between the stump after the artificial presternum of reality 11 and clavicle cutting
Fixed, the length of the clavicle connector being positioned at both sides during the use of the present embodiment is 100 millimeters.One end of clavicle connector 3 sets
There are an oval hole 32, long 17mm, wide 7mm.During use, it is corresponding movable that each clavicle connector 3 is passed through by its oval hole 32
Connected nail 4 is movably connected with the two ends, left and right of artificial sternum's handle 11.The flexible connection nail 4 of the present embodiment is M6 screw.
Owing to the width in the oval hole 32 of clavicle connector 3 is more than the diameter of M6 screw, so that clavicle connector 3 has to each
The function of direction light activity.The other end of each clavicle connector 3 is provided with 3-5 locking nail hole 31, is 4 in Fig. 4.Owing to examining
Considering the stressing influence brought to the width of clavicle, length, the diameter of locking nail hole 31 is only the spacing of 3.5mm, Kong Yukong and is
10mm.The locking nail hole 31 stump after cutting with clavicle is fixing to be connected.The design of such a structure achieves clavicle connector 3
To the function of all directions light exercise, alleviate the misery of patient's compressing after surgery because breathing or move on the thoracic cavity brought,
The friendly relation processed between breastbone substitute and green bone.
Artificial sternum's body 12 is positioned at the lower section of artificial sternum's handle 11, and length sets, this enforcement according to patient's breastbone size
Example is 120 millimeters.Artificial sternum's body 12 have with patient chest bone photo as shape and intensity.Rib is embraced the portion of grabbing 2 and is distributed in manually
The both sides of sternal body 12, every side is provided with 2 ~ 5 root bones and embraces and grab, and in the present embodiment, every side is each provided with 2.Every root bone is embraced and is grabbed root
Design according to the framing system of patient, in certain circular arc strip, residual by after the cutting of the artificial sternal body of reality 12 and rib of its length
Distance between end sets, and in the present embodiment, each root bone is embraced the length grabbed and is 120 millimeters.Every root bone is embraced and is grabbed by artificial rib
Osseous part 21 grabs 22 compositions with being positioned at embracing of position, outer end.Grab 22 for each armful and by web portion 22-1 and be connected to web portion 22-1
On 6 grasping teeths 22-2 constitute.Web portion 22-1 is provided with 3 lock hole 22-3, the direction of lock hole 22-3 and artificial breast
The direction of the through hole 11-1 of bone handle 11 is essentially identical.Described lock hole 22-3 is used for location when performing the operation, it is simple to fixing metal
Breastbone skeleton 10.
When the metal breastbone frame device of the present embodiment uses, key step has: first will through locking nail hole 12-1 by pinning
Artificial sternum's body 12 is fixing with breastbone stump to be connected.Then embracing of Artificial Rib portion 21 is made to grab 22 bendings and to embrace rib residual
End so that metal breastbone skeleton 10 is fixing with rib stump to be connected;Wherein, lock hole 22-3 is used for positioning.Then worn by pinning
Cross locking nail hole 31 to be fixedly connected with clavicle stump by clavicle connector 3.By flexible connection nail, clavicle is connected the most again
Part 3 is flexibly connected with artificial sternum's handle 11.
Those of ordinary skill in the field, and need not it is understood that these are only the specific embodiment of the present invention
In limit the present invention, all within the spirit and principles in the present invention, any modification, equivalent substitution and improvement etc. done, all should wrap
Within being contained in protection scope of the present invention.