CN107049454A - The preceding road of atlas and axis, which resets, to be rebuild internal fixation plate and uses supporting apparatus with fixed plate - Google Patents
The preceding road of atlas and axis, which resets, to be rebuild internal fixation plate and uses supporting apparatus with fixed plate Download PDFInfo
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- CN107049454A CN107049454A CN201710312369.XA CN201710312369A CN107049454A CN 107049454 A CN107049454 A CN 107049454A CN 201710312369 A CN201710312369 A CN 201710312369A CN 107049454 A CN107049454 A CN 107049454A
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- atlas
- axis
- fixed plate
- internal fixation
- resets
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- 238000000034 method Methods 0.000 claims abstract description 29
- 238000005452 bending Methods 0.000 claims abstract description 6
- 238000007906 compression Methods 0.000 claims description 23
- 230000006835 compression Effects 0.000 claims description 22
- 230000008602 contraction Effects 0.000 claims description 6
- 210000000080 chela (arthropods) Anatomy 0.000 claims description 2
- 210000000988 bone and bone Anatomy 0.000 description 3
- 239000007787 solid Substances 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 238000002271 resection Methods 0.000 description 2
- 208000005214 Poroma Diseases 0.000 description 1
- 201000001013 eccrine acrospiroma Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000003692 ilium Anatomy 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7059—Cortical plates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Prostheses (AREA)
Abstract
A kind of preceding road of atlas and axis, which resets, rebuilds internal fixation plate；For T-shaped fixed plate；The left and right two ends in horizontal position of T-shaped fixed plate are provided with atlas fixing hole, projection of the middle part for being vertically arranged position of T-shaped fixed plate provided with extension to the left and right sides, boss is provided with dentata fixing hole, and the bottom for being vertically arranged position of T-shaped fixed plate is provided with dentata centrum fixing hole；T-shaped fixed plate is vertically arranged position top provided with bending segment backward, and the horizontal position upper end of T-shaped fixed plate is provided with arc-shaped concave.Reconstruction internal fixation plate, which is resetted, with the preceding road of atlas and axis uses supporting apparatus；It is made up of cdontoid process gripper clamp and anterior arch of atlas top pressing device.It is easy to atlas and axis reset, can forward road fixation atlas and axis, effectively reconstruction dentata centrum.In use, after the completion of being loosened in wound, cdontoid process is clamped with cdontoid process gripper clamp, resisted with anterior arch of atlas top pressing device, cdontoid process is lifted forward, anterior arch of atlas backward and cephalad top pressure, resets atlas and axis；Internal fixation plate is placed in front side, is screwed atlas and axis.
Description
Technical field
Consumptive material, specifically a kind of extensive region are rebuild the present invention relates to a kind of human body atlantoaxial dislocation reduction fixation or dentata
The preceding road of dentata, which resets, rebuilds internal fixation plate；The invention further relates to reset reconstruction internal fixation plate with the preceding road of atlas and axis to use supporting device
Tool.
Background technology
Clinically first and second cervical vertebra（Atlas and axis）Some situations are difficult to reset, it is necessary to oral by posterior cervical after dislocation
Chamber is loosened to scar or newborn poroma etc., row atlas and axis reset again.Long-term dislocation is difficult to accomplish preferable reset, and resetting needs one
The professional apparatus of set could be completed very well, require to be also very high, it is necessary to reasonable in design for interior fixation, it is easy to operate, fixed
Reliably.Because bone area is smaller on front side of atlas and axis, common anterior plate fixation be difficult to it is fixed, it is necessary to it is a kind of rationally design it is interior solid
Earnest.By the internal fixation apparatus of oral cavity replacement and fixation seldom at present, especially dentata lesion need to dentata vertebral resection it
Afterwards without the good inside-fixture person that does reconstruction.
The content of the invention
The problem of being existed based on prior art, it is an object of the invention to provide one kind is easily operated, fixes reliable extensive region
The preceding road of dentata, which resets, rebuilds internal fixation plate；The fixed plate is easy to atlas and axis reset, can forward road fix atlas and axis, rationally have
The reconstruction dentata centrum of effect.
The second object of the present invention is that providing a kind of preceding road reset reconstruction internal fixation plate of and atlas and axis uses supporting device
Tool；The apparatus is to rebuild the operation tool that internal fixation plate is implanted into human body for the preceding road of atlas and axis to be resetted.
An object of the present disclosure is to be achieved through the following technical solutions：A kind of preceding road of atlas and axis, which resets, rebuilds interior fixed
Plate；It is characterized in that：The generally t-shaped fixed plate of the fixed plate；The left and right two ends in horizontal position of T-shaped fixed plate are solid provided with atlas
Determine hole, projection of the middle part for being vertically arranged position provided with extension to the left and right sides of T-shaped fixed plate, boss is fixed provided with dentata
Hole, the bottom for being vertically arranged position of T-shaped fixed plate is provided with dentata centrum fixing hole；T-shaped fixed plate is vertically arranged position top provided with backward
Bending segment, the horizontal position upper end of T-shaped fixed plate is provided with arc-shaped concave.
The present invention realizes that above-mentioned second purpose is adopted the technical scheme that：Resetting reconstruction internal fixation plate with the preceding road of atlas and axis makes
With supporting apparatus；It is characterized in that：The apparatus is made up of cdontoid process gripper clamp and anterior arch of atlas top pressing device；Cdontoid process gripper clamp
Caliper is clamped including the bar shaped that two front portions are hinged；Bar shaped clamping caliper front end clamps jaw provided with mutually corresponding zigzag,
Extend raised provided with arc in the middle part of bar shaped clamping caliper, behind hinge point, arc extension is raised to be fastened provided with mutually corresponding
Tooth, bar shaped clamping caliper rear end is provided with handle；Anterior arch of atlas top pressing device includes compression bar, pressure end and stay hook；Stay hook is lived
Compression bar front end outer side surface is enclosed on, pressure end rear threads are connected to compression bar front end surface.
The fixed plate that the present invention is provided is easy to atlas and axis reset, can forward road fix atlas and axis, rationally effective weight
Build dentata centrum.
In use, after the completion of being loosened in wound, cdontoid process is clamped with cdontoid process gripper clamp, with anterior arch of atlas top pressing device pair
It is anti-, cdontoid process is lifted forward, while simultaneously cephalad top pressure is elapsed backward to anterior arch of atlas so that atlas and axis resets.After reset
Maintain to reset, front side places the preceding road reset of the atlas and axis of the invention provided and rebuilds internal fixation plate, is screwed atlas and axis.If
It is after dentata lesion vertebral resection, to take ilium and be trimmed to suitable size implantation dentata centrum position, surrounding bone grafting, preceding road
The preceding road of atlas and axis provided with the present invention, which resets, rebuilds internal fixation plate fixation atlas pedicle of vertebral arch, axis arch root, the centrum of neck 3.
The present invention is provided on inventor for many years clinical experience basis, and present invention accomplishes use above requirement.
Resetting reconstruction internal fixation plate with the preceding road of atlas and axis, its model is a kind of using supporting apparatus, you can be suitable for various Skeletal sizes
Atlantoaxial dislocation, the preceding road of atlas and axis, which resets, to be rebuild internal fixation plate and is fabricated to different large and small model specifications, is adapted to different bones
Size, especially dentata are rebuild.
Brief description of the drawings
Fig. 1 is that the preceding road of atlas and axis of the present invention resets reconstruction internal fixation plate front view；
The preceding road fixed plate side view of Fig. 2 atlas and axis；
Fig. 3 is Fig. 1 top view；
Fig. 4 is cdontoid process gripper clamp；
Fig. 5 is anterior arch of atlas top pressing device；
Fig. 6 is that the preceding road of atlas and axis resets the dimensional structure diagram for rebuilding internal fixation plate.
In figure：1-T-shaped fixed plate, 2-atlas fixing hole, 3-raised, 4-dentata fixing hole, 5-dentata centrum is consolidated
Determine hole, 6-rear bending segment, 7-arc lower concave surface, 8-rear arc concave surface, 9-bar shaped clamping caliper, the clamping of 10-zigzag
Jaw, 11-hinge point, 12-arc extension is raised, 13-fastening tooth, 14-handle, 15-compression bar, 16-pressure end,
17-stay hook, 18-contraction section, 19-rotating handle, 20-external screw thread.
Embodiment
The present invention is described in further details below in conjunction with the accompanying drawings.Internal fixation plate embodiment；As shown in Figure 1, Figure 2 with Fig. 3 institutes
Show：A kind of preceding road of atlas and axis, which resets, rebuilds internal fixation plate；The generally t-shaped fixed plate 1 of the fixed plate；The horizontal portion of T-shaped fixed plate 1
The left and right two ends in position are provided with atlas fixing hole 2, and the middle part for being vertically arranged position of T-shaped fixed plate 1 is provided with the convex of extension to the left and right sides
3 are played, raised 3 position is provided with dentata fixing hole 4, the bottom for being vertically arranged position of T-shaped fixed plate 1 is provided with dentata centrum fixing hole 5；T
Shape fixed plate 1 is vertically arranged position top provided with bending segment 6 backward, and the horizontal position upper end of T-shaped fixed plate 1 is provided with arc lower concave surface 7.
The horizontal position of T-shaped fixed plate 1 updip to the left and right sides；T-shaped fixed plate 1 is integrally provided with rear arc concave surface 8.
The preceding road of atlas and axis, which resets, rebuilds the substantially t-shaped structure in internal fixation plate front, is conducive to by cdontoid process gripper clamp
Between be put into front of atlas and axis；The concave surface 8 for the rear arc being integrally provided with is with being vertically arranged bending segment 6 backward that position top is provided with, favorably
In with the front of atlas and axis arc it is seamless attach.If fixed for atlas and axis, two atlas fixing holes 2 above are used for
Fixed atlas pedicle of vertebral arch, is used to fix axis arch root, the dentata that lower section is provided with positioned at two middle dentata fixing holes 4
Centrum fixing hole 5 is used to fix dentata centrum.If rebuild for dentata, the bottom for being vertically arranged position of T-shaped fixed plate 1 is provided with two
Individual upper and lower dentata centrum fixing hole 5 arranged side by side；Need to be vertically arranged position to the T-shaped fixed plate 1 shown in Fig. 1 to Fig. 3 and add downwards
It is long, and the position of dentata centrum fixing hole 5 is extended downwardly and increased as two holes arranged in parallel（Not shown in figure）It is fixed
In the 3rd centrum, an integral fixed plate for fixing atlas and axis pedicle of vertebral arch and the centrum of neck 3 simultaneously is formed；Two dentata centrums are fixed
Hole 4 is used to fix axis arch root.Fig. 6 show the preceding road of T-shaped atlas and axis reset rebuild the horizontal position of internal fixation plate its T-shaped to
Under dimensional structure diagram.
Apparatus embodiment；It is a kind of to use supporting apparatus with atlas and axis preceding road reset reconstruction internal fixation plate；It is characterized in that：
The apparatus is made up of cdontoid process gripper clamp and anterior arch of atlas top pressing device；As shown in Figure 4：Cdontoid process gripper clamp includes two anterior hinges
The bar shaped clamping caliper 9 connect；Bar shaped clamping caliper 9 front end is provided with mutually corresponding zigzag clamping jaw 10, bar shaped gripper clamp
The middle part of body 9, hinge point 11 are below provided with arc extension projection 12, and arc extension projection 12 is provided with mutual corresponding fastening tooth
13, bar shaped clamping caliper 9 rear end is provided with handle 14；As shown in Figure 5：Anterior arch of atlas top pressing device includes compression bar 15, pressure end 16
With stay hook 17；The kink of stay hook 17 is connected to compression bar 15 in the front end outer side surface of compression bar 15, the rear threads of pressure end 16
Front end surface.
The front end of compression bar 15 is provided with internal thread, and the rear portion of pressure end 16 is provided with external screw thread 20；The front end of compression bar 15 is provided with contraction
Section 18, the kink of stay hook 17 is in the side of contraction section 18；Pressure end 16 is threadedly coupled with compression bar 15 and is limited to stay hook 17
Contraction section 18.The rear end of compression bar 15 is provided with rotating handle 19.
Because the front end of cdontoid process gripper clamp its bar shaped clamping caliper 9 is provided with zigzag clamping jaw 10, can effectively it prevent
Slipped during reset, the fastening tooth 13 that the middle part of bar shaped clamping caliper 9 is provided with, the stay hook 15 for connecting anterior arch of atlas top pressing device.
Because pressure end 16 is threadedly coupled with compression bar 15, anterior arch of atlas top pressing device is the jack unit that can be stretched, with
The extension of top pressing device front end, by the cdontoid process gripper clamp being attached thereto, to anterior arch of atlas upward top pressure backward.
The reset principle of the invention is lifts forward by cdontoid process gripper clamp to cdontoid process, while passing through anterior arch of atlas top
To anterior arch of atlas, top pressure resets depressor to obtain atlas and axis backward upwards.The application method of the present invention is substantially：
1st, cdontoid process is accommodated using the zigzag clamping jaw 10 of cdontoid process gripper clamp its bar shaped clamping caliper 9 front end, will fastened
Tooth 13, which is fastened, to be maintained to fix.
2nd, anterior arch of atlas is peaked at the pressure end 16 in anterior arch of atlas top pressing device, stay hook 17 is supported in cdontoid process clamping
The fastening tooth 13 of pincers, rotates rotating handle 19 so that rotating handle 19 is exited by screw thread from pressure end 16, so that anterior arch of atlas top
Extend in front of depressor, and then to anterior arch of atlas upward top pressure backward, cdontoid process lifts forward, obtains atlas and axis and reset very well；Branch
The kink of stay hook 17 is in the front end of compression bar 15（Non-threaded between compression bar 15 and stay hook 17）Supported in the rotation process of compression bar 15
Hook 17 is motionless, and compression bar 15 simultaneously rotates extension with rotating handle or shortened.
3rd, the preceding road reset of the suitable atlas and axis of selection specification afterwards is rebuild internal fixation plate and is positioned on front side of atlas and axis, then passes through
Screw fixes atlas and axis；Two pieces of screws of atlas are fixed by the row pedicle of vertebral arch of atlas fixing hole 2, and two pieces of screws of dentata are solid by dentata
Determine the row pedicle of vertebral arch of hole 4 to fix, one piece of screw is fixed on centrum through dentata centrum fixing hole 5, strengthen fixing.
Claims (7)
1. a kind of preceding road of atlas and axis, which resets, rebuilds internal fixation plate；It is characterized in that：The generally t-shaped fixed plate of the fixed plate（1）；T
The left and right two ends in horizontal position of shape fixed plate (1) are provided with atlas fixing hole（2）, the middle part for being vertically arranged position of T-shaped fixed plate (1)
Projection provided with extension to the left and right sides（3）, it is raised（3）Position is provided with dentata fixing hole（4）, T-shaped fixed plate (1) is vertically arranged
The bottom at position is provided with dentata centrum fixing hole（5）；T-shaped fixed plate (1) is vertically arranged position top provided with bending segment backward（6）, T-shaped
The horizontal position upper end of fixed plate (1) is provided with arc-shaped concave（7）.
2. a kind of preceding road of atlas and axis as claimed in claim 1, which resets, rebuilds internal fixation plate；It is characterized in that：T-shaped fixed plate (1)
Horizontal position updip to the left and right sides；T-shaped fixed plate (1) is integrally provided with rear arc concave surface（8）.
3. a kind of preceding road of atlas and axis as claimed in claim 2, which resets, rebuilds internal fixation plate；It is characterized in that：Dentata centrum is fixed
Hole（5）For two holes arranged in parallel.
4. a kind of use supporting apparatus with atlas and axis preceding road reset reconstruction internal fixation plate；It is characterized in that：The apparatus is by dentation
Prominent gripper clamp and anterior arch of atlas top pressing device composition；Cdontoid process gripper clamp includes the bar shaped clamping caliper that two front portions are hinged（9）；Bar
Clevis holds caliper（9）Front end is provided with mutually corresponding zigzag clamping jaw（10）, bar shaped clamping caliper（9）Middle part, articulated section
Position（11）Extend raised provided with arc below（12）, arc extension projection（12）Provided with mutual corresponding fastening tooth（13）, bar shaped
Clamp caliper（9）Rear end is provided with handle（14）；Anterior arch of atlas top pressing device includes compression bar（15）, pressure end（16）With stay hook
（17）；Stay hook（17）Kink is in compression bar（15）Front end outer side surface, pressure end（16）Rear threads are connected to compression bar
（15）Front end surface.
5. the preceding road of a kind of and atlas and axis as claimed in claim 4, which resets reconstruction internal fixation plate, uses supporting apparatus；Its feature
It is：Compression bar（15）Front end is provided with internal thread, pressure end（16）Rear portion is provided with external screw thread（20）；Compression bar（15）Front end is provided with
Contraction section（18）, stay hook（17）Kink is in contraction section（18）Side；Pressure end（16）With compression bar（15）Threaded connection will
Stay hook（17）It is limited to contraction section（18）.
6. the preceding road of a kind of and atlas and axis as claimed in claim 5, which resets reconstruction internal fixation plate, uses supporting apparatus；Its feature
It is：Compression bar（15）Rear end is provided with rotating handle（19）.
7. a kind of preceding road of atlas and axis resets the application method rebuild internal fixation plate and its supporting apparatus is used with fixed plate, including
Following step：
（A）, utilize cdontoid process gripper clamp its bar shaped clamping caliper（9）The zigzag clamping jaw of front end（10）Accommodate cdontoid process,
Tooth will be fastened（13）Fasten and maintain to fix；
（B）, with the pressure end in anterior arch of atlas top pressing device（16）Anterior arch of atlas is peaked at, by stay hook（17）It is supported in cdontoid process folder
Hold the fastening tooth of pincers（13）, rotate rotating handle（19）So that rotating handle（19）By screw thread from pressure end（16）In exit so that
Extend in front of anterior arch of atlas top pressing device, and then to anterior arch of atlas upward top pressure backward, cdontoid process is lifted forward, obtains atlas and axis very
It is good to reset；
（C）, the suitable preceding road of atlas and axis of selection specification resets and rebuilds internal fixation plate and be positioned on front side of atlas and axis, then consolidate by screw
Determine atlas and axis；Two pieces of screws of atlas pass through atlas fixing hole（2）Row pedicle of vertebral arch is fixed, and two pieces of screws of dentata pass through dentata fixing hole
（4）Row pedicle of vertebral arch is fixed, and one piece of screw is through dentata centrum fixing hole（5）It is fixed on centrum.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710312369.XA CN107049454A (en) | 2017-05-05 | 2017-05-05 | The preceding road of atlas and axis, which resets, to be rebuild internal fixation plate and uses supporting apparatus with fixed plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710312369.XA CN107049454A (en) | 2017-05-05 | 2017-05-05 | The preceding road of atlas and axis, which resets, to be rebuild internal fixation plate and uses supporting apparatus with fixed plate |
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| Publication Number | Publication Date |
|---|---|
| CN107049454A true CN107049454A (en) | 2017-08-18 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710312369.XA Pending CN107049454A (en) | 2017-05-05 | 2017-05-05 | The preceding road of atlas and axis, which resets, to be rebuild internal fixation plate and uses supporting apparatus with fixed plate |
Country Status (1)
| Country | Link |
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| CN (1) | CN107049454A (en) |
Cited By (1)
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|---|---|---|---|---|
| CN108378915A (en) * | 2018-02-09 | 2018-08-10 | 北京奥精医药科技有限公司 | A kind of preceding road fixed plate of atlas and axis and preparation method |
| CN108378915B (en) * | 2018-02-09 | 2020-09-01 | 奥精医疗科技股份有限公司 | Atlantoaxial anterior fixing plate and preparation method thereof |
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Application publication date: 20170818 |
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| RJ01 | Rejection of invention patent application after publication |