CN107049461A - A kind of fracture of scapula dissection locking internal fixation system - Google Patents

A kind of fracture of scapula dissection locking internal fixation system Download PDF

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Publication number
CN107049461A
CN107049461A CN201710390214.8A CN201710390214A CN107049461A CN 107049461 A CN107049461 A CN 107049461A CN 201710390214 A CN201710390214 A CN 201710390214A CN 107049461 A CN107049461 A CN 107049461A
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CN
China
Prior art keywords
scapula
steel plate
side edge
fracture
screw hole
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Pending
Application number
CN201710390214.8A
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Chinese (zh)
Inventor
禹宝庆
敖荣广
菅振
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SHANGHAI PUDONG HOSPITAL
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SHANGHAI PUDONG HOSPITAL
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Priority to CN201710390214.8A priority Critical patent/CN107049461A/en
Publication of CN107049461A publication Critical patent/CN107049461A/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
    • 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
    • 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)
  • Prostheses (AREA)

Abstract

The invention discloses a kind of fracture of scapula dissection locking internal fixation system, it includes axillary margin of scapula steel plate and margo medialis scapulae steel plate, axillary margin of scapula steel plate includes Scapula glenoid portion, outside edge, margo medialis scapulae steel plate includes mesoscapula portion, interior side edge part, the outer/inner side edge part of steel plate and the outer/inner lateral margin phase docile of human body shoulder blade, mesoscapula portion and human body shoulder blade mesoscapula portion phase docile, Scapula glenoid portion are the curved plate matched with the Scapula glenoid portion of human body;Scapula glenoid portion, outside edge and mesoscapula portion, the fixture portion of interior side edge part are respectively provided with multiple screw holes.The present invention more preferably can carry out docile and fixation to the fracture site of shoulder blade medial and lateral, can avoid adjusting steel plate in art or slight adjustment can reach and be fitted with bone face, reduce operating time and operation risk, contribute to good recovery of fracturing.Axillary margin of scapula steel plate, margo medialis scapulae steel plate according to state of an illness independence or can be used in combination, it is to avoid cut out and cause the wasting of resources.

Description

A kind of fracture of scapula dissection locking internal fixation system
Technical field
The invention belongs to technical field of medical instruments, and in particular to a kind of fracture of scapula dissection locking internal fixation system.
Background technology
Shoulder blade is located at the outer top at back, and its form is irregular, including two faces, three angles and three edge, wherein being above Fossa subscapularis, is a big and shallow nest;Have one below to outside upper bone ridge, claim mesoscapula, the upper and lower shallow nest in ridge is referred to as Supraspinous fossa and infraspinous fossa, the outboard end of mesoscapula claim acromion, are the peaks of shoulder;Lateral angle is plump, there is pyriform articular surface, claims Glenoid cavity, upper angle and inferior horn are located at the top and bottom of interior lateral margin, put down respectively to the 2nd rib and the 7th rib, can be used as counting rib Mark;There is the digitation on the outside of scapular notch, scapular notch on the outside of margin of scapula,superior, because exactly liking beak, therefore claim beak Prominent, interior lateral margin is long and thin, to backbone, lateral border is plump, to armpit.
According to Hardegger partings, fracture of scapula can be divided into fracture of scapular body, Scapula glenoid edge fracture, Scapula glenoid nest Fracture, dissection fracture of cervical vertebra, fracture of surgical neck, acromial fracture, fracture of spina scapulae and fracture of coracoid process of scapula are clinical more using in open reduction Ligamentopexis is treated.Fracture of scapula more after, it is on the other hand good with operation on the one hand depending on the degree of injury of fracture Reset and be fixed with substantial connection, the optional material category of traditional internal fixation treatment is relatively more, such as:Calcaneal steel plate, reconstruction steel Plate, T, Y shape steel plate, miniature steel plate and Kirschner wire, steel wire, absorbable and nonabsorable screw etc..Muscle group around shoulder blade Attachment is close, and surgical exposure is difficult, larger to the intractability of the reduction of the fracture particularly comminuted fracture piece, it is difficult to reach that dissection is multiple Position, and conventional fasteners tool need to be carried out in art it is moulding, could with bone face more docile, on the one hand extension operating time, increase Intraoperative blood loss and infection risk, another aspect bending, cut out etc. it is moulding internal fixation device stiffness can be caused to decline, stability Decline, fixed effect is not firm, and then the multiple complications such as malunion, fracture delayed union occurs.
In summary, this area is badly in need of a kind of more conforming to shoulder blade anatomical features, more efficient, safe being used for omoplate The inner fixing device of bone fractures.
The content of the invention
The technical problem to be solved in the present invention is to provide a kind of fracture of scapula dissection locking internal fixation system, can more managed Docile and fixation are carried out to the fracture sites of shoulder blade medial and lateral with thinking.Axillary margin of scapula steel plate, margo medialis scapulae steel plate It according to state of an illness independence or can be used in combination, it is to avoid cut out and cause the wasting of resources, reduce operating time and operation risk, it is ensured that fracture The security of operation.To solve above technical problem, the present invention is adopted the following technical scheme that:
A kind of fracture of scapula dissection locking internal fixation system, including with axillary margin of scapula and interior lateral margin anatomical structure phase The dissection locking steel plate matched somebody with somebody, the dissection locking steel plate is axillary margin of scapula steel plate and margo medialis scapulae steel plate;The omoplate Bone lateral border steel plate includes Scapula glenoid portion, outside edge, and the margo medialis scapulae steel plate includes mesoscapula portion, interior side edge part, Described outside edge and human body axillary margin of scapula portion phase docile, described interior side edge part and human body margo medialis scapulae portion phase Docile, the mesoscapula portion and human body shoulder blade mesoscapula portion phase docile, the Scapula glenoid portion are the Scapula glenoid portion phase with human body The curved plate of matching, Scapula glenoid portion, outside edge and the margo medialis scapulae steel plate of the axillary margin of scapula steel plate Mesoscapula portion, the fixture portion of interior side edge part are respectively provided with multiple screws.
Preferably, the Scapula glenoid portion is provided with several first screw holes;The mesoscapula portion is provided with several four Screw hole;Outside edge near-end is provided with several second screw holes, and the interior side edge part near-end is provided with several 5th screw holes, The outside edge distal end is provided with several 3rd screw holes, and the interior side edge part distal end is provided with several 6th screw holes.
Preferably, first screw hole is 2;4th screw hole is 3;Second screw hole is 2; 5th screw hole is 3;3rd screw hole is 7;6th screw hole is 4.
Preferably, the 4th screw hole set by the first screw hole set by the Scapula glenoid portion and the mesoscapula portion is ten thousand To screw hole.
Preferably, the 5th screw set by the second screw hole set by the near-end of the outside edge and the interior side edge part near-end Hole is universal lock screw hole, set 3rd screw hole in outside edge distal end and the interior side edge part distal end the set 6th Screw hole is LCP combined holes, is needed to select locking and plain screw to fix according to operation.
Preferably, the outside edge near-end of the axillary margin of scapula steel plate and the margo medialis scapulae steel plate Interior side edge part near-end is non-notch design structure;The outside edge distal end of the axillary margin of scapula steel plate and the omoplate The interior side edge part distal end of balsh plate is breach design structure on the inside of bone, the Scapula glenoid portion of the axillary margin of scapula steel plate and The mesoscapula portion of the margo medialis scapulae steel plate is breach design structure.
Preferably, the length of the outside edge near-end of the axillary margin of scapula steel plate is 25.0-30.0mm;The shoulder The length of the interior side edge part near-end of balsh plate is 26.0-35.0mm on the inside of shoulder blade.
Preferably, the angle in the Scapula glenoid portion of the axillary margin of scapula steel plate and outside edge is 100~140 °, institute It is 90~105 ° that the mesoscapula portion of margo medialis scapulae steel plate, which is stated, with the angle of interior side edge part.
Preferably, the length in the Scapula glenoid portion of the axillary margin of scapula steel plate is 22.0-25.5mm.
Preferably, the length in the mesoscapula portion of the margo medialis scapulae steel plate is 22.0-26.0mm.
Compared with prior art, the invention has the advantages that:In a kind of fracture of scapula dissection locking of the present invention Fixed system carries out docile and fixation to fracture of scapula position ideally, the outer interior lateral margin of the shoulder blade that the present invention is provided, The many places such as ridge portion, broad-mouthed receptacle for holding liquid portion are fixed, and the geometry of space form of inner fixing device and the outer interior lateral margin contact surface of shoulder blade matches, energy With bone face carry out it is good fit, can avoid adjusting steel plate in art, or slight adjustment can reach and fit with bone face, reduces and performs the operation Time and operation risk, contribute to good recovery of fracturing;Axillary margin of scapula steel plate, margo medialis scapulae steel plate can be according to diseases Feelings independence is used in combination, it is to avoid cuts out and causes the wasting of resources;Steel plate is without carrying out whole parcels to shoulder blade, it is to avoid causing should Power is blocked excessive;Muscle is peeled off without large area during placement, operating time and operation risk is reduced, it is ensured that the safety of fracture operation Property, the probability of related complication generation is reduced, contributes to good recovery of fracturing.
Brief description of the drawings
The present invention is further described with reference to the accompanying drawings and examples.
Fig. 1 is a kind of positive dimensional structure diagram of fracture of scapula dissection locking internal fixation system of the present invention;
Fig. 2 is use state of the present invention applied to a kind of fracture of scapula dissection locking internal fixation system on omoplate bone specimen Schematic diagram.
In figure:1. axillary margin of scapula steel plate, 11. Scapula glenoid portions, 111. first screw holes, 12. outside edges, 121. Second screw hole, 122. outside edge near-ends, 123. the 3rd screw holes, 2. margo medialis scapulae steel plates, 21. mesoscapula portions, 211. the 4th screw holes, side edge part in 22., 221. the 5th screw holes, side edge part near-end, 223 the 6th screw holes in 222..
Embodiment
In conjunction with the accompanying drawings, the present invention is further explained in detail.These accompanying drawings are simplified schematic diagram, only with signal Mode illustrates the basic structure of the present invention, therefore it only shows the composition relevant with the present invention.
Shown in reference picture 1, a kind of fracture of scapula dissection locking internal fixation system of the invention, including:Axillary margin of scapula Steel plate 1, margo medialis scapulae steel plate 2, the axillary margin of scapula steel plate 1 includes Scapula glenoid portion 11, outside edge 12, the shoulder Balsh plate 2 includes mesoscapula portion 21, interior side edge part 22 on the inside of shoulder blade.The Scapula glenoid portion 11 is the Scapula glenoid portion phase with human body The curved plate matched somebody with somebody, the mesoscapula portion 21 and human body shoulder blade mesoscapula portion phase docile, described outside edge 12 and human body Axillary margin of scapula portion phase docile.Interior side edge part 22 and human body margo medialis scapulae portion phase docile.
Shown in reference picture 2, the Scapula glenoid portion 11 is the curved plate matched with the Scapula glenoid portion of human body, the omoplate Side edge part 22 and human body shoulder blade are outer/inner in ridge portion 21 and human body shoulder blade mesoscapula portion phase docile, described outside edge 12/ Side edge part phase docile.So in surgical procedure, it can avoid adjusting steel plate in art, or slight adjustment can reach and be fitted with bone face, Time and the operation risk of operation are reduced, the probability of related complication generation is reduced, contributes to good recovery of fracturing.This hair It is bright to can be used in the operation of orthopaedics fracture of scapula.

As shown in figure 1, the shoulder in the Scapula glenoid portion 11 of axillary margin of scapula steel plate 1, outside edge 12 and margo medialis scapulae steel plate 2 Shoulder blade ridge portion 21, the fixture portion of interior side edge part 22 are respectively provided with multiple screw holes.Set first screw hole wherein in Scapula glenoid portion 11 111(It is preferred that 2)And set 4th screw hole 211 in mesoscapula portion 21(It is preferred that 3)It is universal lock screw hole, it is ensured that spiral shell Follow closely the alternative into nail direction.Second screw hole 121 set by the near-end of outside edge 12(It is preferred that 2)And the interior near-end of side edge part 22 Set 5th screw hole 221(It is preferred that 3)For some universal lock screw holes, set 3rd screw hole in the distal end of outside edge 12 123(It is preferred that 7)And interior set 6th screw hole 223 in the distal end of side edge part 22(It is preferred that 4)For some LCP combined holes(Locking adds Press combined hole), needed to select locking and plain screw to fix according to operation.
Preferably, outside edge near-end 122 (length is 25.0-30.0mm), the shoulder blade of axillary margin of scapula steel plate 1 The interior side edge part near-end 222 (length is 26.0-35.0mm) of inner side balsh plate 2 designs for non-notch, adapts to respective regions complicated Anatomical features, strengthens fixing intensity.The distal end of outside edge 12 of axillary margin of scapula steel plate 1, margo medialis scapulae steel plate 2 it is interior The distal end of side edge part 22 is designed for breach, the Scapula glenoid portion 11 (length is 22.0-25.5mm) of axillary margin of scapula steel plate 1, omoplate The mesoscapula portion 21 (length is 22.0-26.0mm) of balsh plate 2 designs for breach on the inside of bone, can be further moulding as needed. The distal end of outside edge 12 of axillary margin of scapula steel plate 1, the interior side edge part 22 of margo medialis scapulae steel plate 2 can distally extend, can To increase screw hole, different size is designed to.
Preferably, the angle of the Scapula glenoid portion 11 of the axillary margin of scapula steel plate 1 and outside edge 12 be 100~ 140 °, the mesoscapula portion 21 of the margo medialis scapulae steel plate 2 and the angle of interior side edge part 22 are 90~105 °, it is to avoid according to bone The further bending of face form, moulding adjustment could more fit with bone face.
A kind of fracture of scapula dissection of the present invention locks internal fixation system when in use, first by axillary margin of scapula steel plate 1 and/or margo medialis scapulae steel plate 2 fitted with the outer/inner lateral margin bone face of shoulder blade, screw is fixed, and perspective is shown in that steel plate position is good, Then direction, the length of lock screw are adjusted according to the actual conditions of operation, successively pedicle screw.The steel plate is ideal Ground carries out docile and fixation to fracture of scapula position, reduces operating time and operation risk, it is ensured that the security of fracture operation.
Using the above-mentioned desirable embodiment according to the present invention as enlightenment, by above-mentioned description, relevant staff is complete Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention Property scope is not limited to the content on specification, it is necessary to its technical scope is determined according to right.

Claims (10)

1. a kind of fracture of scapula dissection locking internal fixation system, it is characterised in that:Including with axillary margin of scapula and interior lateral margin The dissection locking steel plate that anatomical structure matches, the dissection locking steel plate is axillary margin of scapula steel plate and margo medialis scapulae Steel plate;The axillary margin of scapula steel plate includes Scapula glenoid portion, outside edge, and the margo medialis scapulae steel plate includes mesoscapula Portion, interior side edge part, described outside edge and human body axillary margin of scapula portion phase docile, described interior side edge part and human body omoplate Side edge part is affixed clothes, the mesoscapula portion and human body shoulder blade mesoscapula portion phase docile in bone, and the Scapula glenoid portion is and human body The curved plate that matches of Scapula glenoid portion, Scapula glenoid portion, outside edge and the omoplate of the axillary margin of scapula steel plate The mesoscapula portion of balsh plate, the fixture portion of interior side edge part are respectively provided with multiple screw holes on the inside of bone.
2. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The omoplate Broad-mouthed receptacle for holding liquid portion is provided with several first screw holes;The mesoscapula portion is provided with several 4th screw holes;Outside edge near-end is set There are several second screw holes, the interior side edge part near-end is provided with several 5th screw holes, and the outside edge distal end is provided with several 3rd screw hole, the interior side edge part distal end is provided with several 6th screw holes.
3. a kind of fracture of scapula dissection locking internal fixation system according to claim 2, it is characterised in that:Described first Screw hole is 2;4th screw hole is 3;Second screw hole is 2;5th screw hole is 3;It is described 3rd screw hole is 7;6th screw hole is 4.
4. a kind of fracture of scapula dissection locking internal fixation system according to claim 2, it is characterised in that:The shoulder 4th screw hole set by first screw hole set by shoulder blade broad-mouthed receptacle for holding liquid portion and the mesoscapula portion is universal lock screw hole.
5. a kind of fracture of scapula dissection locking internal fixation system according to claim 2, it is characterised in that:It is described outer 5th screw hole set by second screw hole set by side edge part near-end and the interior side edge part near-end is universal lock screw hole, institute It is LCP combined holes to state set 3rd screw hole in outside edge distal end and interior set 6th screw hole in side edge part distal end, root Need to select locking and plain screw to fix according to operation.
6. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The shoulder The interior side edge part near-end of the outside edge near-end of shoulder blade lateral border steel plate and the margo medialis scapulae steel plate is non-notch Design structure;The outside edge distal end of the axillary margin of scapula steel plate and the interior side edge part of the margo medialis scapulae steel plate Distal end is breach design structure, the Scapula glenoid portion of the axillary margin of scapula steel plate and the margo medialis scapulae steel plate Mesoscapula portion is breach design structure.
7. a kind of fracture of scapula dissection locking internal fixation system according to claim any one of 2-6, it is characterised in that: The length of the outside edge near-end of the axillary margin of scapula steel plate is 25.0-30.0mm;The margo medialis scapulae steel plate The length of interior side edge part near-end is 26.0-35.0mm.
8. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The shoulder The Scapula glenoid portion of shoulder blade lateral border steel plate and the angle of outside edge are 100~140 °, the shoulder of the margo medialis scapulae steel plate The angle of shoulder blade ridge portion and interior side edge part is 90~105 °.
9. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The omoplate The length in the Scapula glenoid portion of bone lateral border steel plate is 22.0-25.5mm.
10. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The shoulder The length in the mesoscapula portion of balsh plate is 22.0-26.0mm on the inside of shoulder blade.
CN201710390214.8A 2017-05-27 2017-05-27 A kind of fracture of scapula dissection locking internal fixation system Pending CN107049461A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108175494A (en) * 2018-01-24 2018-06-19 史会明 A kind of shoulder blade anatomical type locking plate
CN109171936A (en) * 2018-10-29 2019-01-11 姜保恩 Shoulder blade lockplate and shoulder blade locking means
CN111631789A (en) * 2020-06-09 2020-09-08 遵义医科大学附属医院 Locking steel plate for scapula fracture treatment

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN205359609U (en) * 2016-01-20 2016-07-06 刘观燚 Shoulder blade neck steel sheet
CN106473799A (en) * 2016-11-30 2017-03-08 郭颖彬 Fracture fixation part inside a kind of modified model scapula

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN205359609U (en) * 2016-01-20 2016-07-06 刘观燚 Shoulder blade neck steel sheet
CN106473799A (en) * 2016-11-30 2017-03-08 郭颖彬 Fracture fixation part inside a kind of modified model scapula

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108175494A (en) * 2018-01-24 2018-06-19 史会明 A kind of shoulder blade anatomical type locking plate
CN109171936A (en) * 2018-10-29 2019-01-11 姜保恩 Shoulder blade lockplate and shoulder blade locking means
CN111631789A (en) * 2020-06-09 2020-09-08 遵义医科大学附属医院 Locking steel plate for scapula fracture treatment

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Application publication date: 20170818