CN107468326A - A kind of intertrochanteric fracture lateral wall Interal fixation device - Google Patents

A kind of intertrochanteric fracture lateral wall Interal fixation device Download PDF

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Publication number
CN107468326A
CN107468326A CN201710778772.1A CN201710778772A CN107468326A CN 107468326 A CN107468326 A CN 107468326A CN 201710778772 A CN201710778772 A CN 201710778772A CN 107468326 A CN107468326 A CN 107468326A
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CN
China
Prior art keywords
steel plate
lateral wall
epimere
fixation device
intertrochanteric fracture
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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.)
Pending
Application number
CN201710778772.1A
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Chinese (zh)
Inventor
李开南
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Affiliated Hospital of Chengdu University
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Affiliated Hospital of Chengdu University
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Publication date
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Priority to CN201710778772.1A priority Critical patent/CN107468326A/en
Publication of CN107468326A publication Critical patent/CN107468326A/en
Pending legal-status Critical Current

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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
    • 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
    • A61B17/72Intramedullary pins, nails or other devices
    • 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
    • A61B17/74Devices for the head or neck or trochanter of the femur
    • 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
    • A61B17/82Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • 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 invention belongs to technical field of medical instruments, discloses a kind of intertrochanteric fracture lateral wall Interal fixation device, there are problems that fixed effect is inapt for solving existing intertrochanteric fracture lateral wall fixing device.The present invention includes steel plate main body, the steel plate main body includes steel plate epimere and steel plate hypomere, the steel plate epimere is bonded to each other with femur upper segment lateral wall shape, the upper end of the steel plate epimere is provided with the claw-type structure that at least one is used to be bonded to each other with greater trochanter of femur upper end, and the steel plate hypomere offers multiple screwed holes for mounting screw.The present invention can improve the stability and accuracy of sclerite fixation, prevent sclerite from situation about shifting occur.

Description

A kind of intertrochanteric fracture lateral wall Interal fixation device
Technical field
The invention belongs to technical field of medical instruments, and in particular to a kind of intertrochanteric fracture lateral wall Interal fixation dress Put.
Background technology
Intertrochanteric fracture is fractured between being also known as the thick dragon of femur, is clinical most common hip it occur frequently that in the elderly One of fracture, country's statistics account for the 35.7% of Hip Fracture.As aging population aggravates, elderly population increase, and old People often merges osteoporosis, is more easy to fracture compared with young man under external force, and the incidence of Hip Fracture improves constantly, because The elderly's respond declines, muscle of hip protectiveness is poor, and Hip Fracture can occur for slight damage.Pertinent literature reports stock Bone intertrochanteric fracture accounts for Hip Fracture ratio and is even up to 50%.Intertrochanteric fracture is common in the elderly, femoral trochanteric Blood fortune is abundant, few disunion after fracture, and expectant treatment or open reduction and Kirschner wire fixation treatment may be selected in therapeutic modality.
Expectant treatment usually needs local braking, laid up etc., and fracture end often aligns not good enough, often results in as short Contracting, the malunion of coxa vara, have a strong impact on patients ' life quality.
Intertrochanteric fracture lateral wall correlative study is the concept just put forward in recent years, and especially it is to femoral trochanter Between Fracture internal fixaiion stability influence, lateral wall fracture fixation is insecure, or unsuitable methods of internal fixation will cause bone Folding, which resets, to be lost, and causes Limb Shortening and hip abduction torque shortens, pelvis equilibrant force is lost, at present between resected femur rotor Fracture lateral wall, only lag screw and steel wire, fixed effect are imprecise.
The content of the invention
The present invention is inapt there is fixed effect in order to solve existing intertrochanteric fracture lateral wall fixing device Problem, and a kind of intertrochanteric fracture lateral wall Interal fixation device is provided, it is possible to increase the accuracy of the fixation of femur.
To solve technical problem, the technical solution adopted in the present invention is:
A kind of intertrochanteric fracture lateral wall Interal fixation device, it is characterised in that including steel plate main body, the steel plate Main body includes steel plate epimere and steel plate hypomere, and the steel plate epimere is bonded to each other with femur upper segment lateral wall shape, the steel plate The upper end of epimere is provided with the claw-type structure that at least one is used to be bonded to each other with greater trochanter of femur upper end, and the steel plate hypomere opens up There are multiple screwed holes for mounting screw.
The upper end of the steel plate epimere is provided with 2 claw-type structures for being used to be bonded to each other with greater trochanter of femur upper end.
The steel plate epimere offers multiple ducts.
The steel plate hypomere offers the intramedullary nail holes for installing intramedullary nail head.
The steel plate hypomere is provided with least 1 group through hole for being used to pass through for steel wire.
Extend outside steel plate hypomere the position of the through hole.
Compared with prior art, the invention has the advantages that:
The intertrochanteric fracture lateral wall Interal fixation device of the present invention fills compared to more existing screw and fixation with steel wire Put, segment structure is bonded to each other with femur upper segment lateral wall on steel plate during installation, while the upper end of steel plate epimere be provided with it is big with femur The claw-type structure that rotor upper end is bonded to each other, for hold the sclerite of greater trochanter of femur upper end so as to improve sclerite fixation Stability and accuracy, prevent sclerite from situation about shifting occur.
Simultaneously on the one hand multiple ducts of steel plate epimere of the present invention can be used in the passing through so as to strengthening in marrow of intramedullary nail head Fixed stability, the design in another aspect duct can also promote bone growth.
The use for coordinating intramedullary nail head is easy in the nail design of steel plate hypomere of the present invention, for passing through for intramedullary nail head, carries The practicality of the high present invention.
The design of through hole of the present invention is easy to be used in conjunction with each other with steel wire simultaneously, further improves stability during installation.
Lead to the hole site of the present invention is extended outside steel plate hypomere, is easy to perform the operation, and improves the convenience when present invention uses.
Brief description of the drawings
Fig. 1 is the positive structure schematic of the present invention;
Fig. 2 is the side structure schematic diagram of the present invention;
Fig. 3 is structural representation behind the present invention;
Fig. 4 is using state structure diagram of the present invention;
Marked in figure:1st, steel plate main body, 2, steel plate epimere, 3, steel plate hypomere, 31, through hole, 32, intramedullary nail holes, 33, screw thread Hole, 4, claw-type structure, 5, screw, 6, steel wire.
Embodiment
With reference to embodiment, the invention will be further described, and described embodiment is only a present invention part Embodiment, it is not whole embodiments.Based on the embodiment in the present invention, one of ordinary skill in the art is not making Other embodiments used obtained under the premise of creative work, belong to protection scope of the present invention.
With reference to accompanying drawing, intertrochanteric fracture lateral wall Interal fixation device provided by the invention, including steel plate main body 1, The steel plate main body 1 includes steel plate epimere 2 and steel plate hypomere 3, and the steel plate epimere 2 mutually pastes with femur upper segment lateral wall shape Close, i other words steel plate epimere 2 meets the anatomical shape of femur upper segment lateral wall, so that steel plate epimere and femur upper segment outside Wall is bonded to each other;The upper end of the steel plate epimere 2 is provided with the claw type knot that at least one is used to be bonded to each other with greater trochanter of femur upper end Structure 4, the steel plate hypomere 3 offer multiple screwed holes 33 for mounting screw 5.On the outside of the intertrochanteric fracture of the present invention Wall Interal fixation device compares more existing screw and fixation with steel wire device, during installation on steel plate segment structure with the outside of femur upper segment Wall is bonded to each other, while the upper end of steel plate epimere is provided with the claw-type structure being bonded to each other with greater trochanter of femur upper end, for holding The sclerite of greater trochanter of femur upper end prevents sclerite from situation about shifting occur so as to improve fixed stability and accuracy.
As a kind of preferable mode of the present invention, the upper end of the steel plate epimere 2 is provided with 2 and is used for and greater trochanter of femur The claw-type structure 4 being bonded to each other is held, is easy to further hold greater trochanter of femur upper end sclerite further fixing-stable in reinforcement Property, prevent sclerite from shifting.
The steel plate epimere 2 of the present invention offers multiple ducts, and multiple ducts form network structure, on the one hand can be used in marrow Interior ailhead is passed through so as to strengthen the stability of Medullary fixation, and the design in another aspect duct can also promote bone growth.
As a kind of preferable mode of the present invention, the steel plate hypomere 3 offers the intramedullary nail for installing intramedullary nail head Hole 32, it is easy to the use for coordinating intramedullary nail head, for passing through for intramedullary nail head, improves practicality of the invention.
The steel plate hypomere 3 is provided with least 1 group through hole 31 for being used to pass through for steel wire 6, wherein a kind of excellent as the present invention The mode of choosing, the quantity of 1 group of through hole 31 is 2 through holes, when actual use, can set 1 group of through hole 31, can also 2 groups of through holes are designed, the design of through hole is easy to be used in conjunction with each other with steel wire 6, further improves stability during installation.
The position of through hole 31 of the present invention is extended outside steel plate hypomere 3, i other words through hole 31 projects slightly from operation technique face (shown in Fig. 4), it is easy to perform the operation, improves the convenience when present invention uses.
Embodiment one
The intertrochanteric fracture lateral wall Interal fixation device of the present embodiment, including steel plate main body, the steel plate main body Including steel plate epimere and steel plate hypomere, the steel plate epimere is bonded to each other with femur upper segment lateral wall shape, the steel plate epimere Upper end be provided with least one and be used for the claw-type structure that is bonded to each other with greater trochanter of femur upper end, the steel plate hypomere offers more The individual screwed hole for mounting screw.
Embodiment two
The intertrochanteric fracture lateral wall Interal fixation device of the present embodiment, including steel plate main body, the steel plate main body Including steel plate epimere and steel plate hypomere, the steel plate epimere is bonded to each other with femur upper segment lateral wall shape, the steel plate epimere Upper end be provided with 2 and be used for the claw-type structures that are bonded to each other with greater trochanter of femur upper end, the steel plate hypomere offers multiple use In the screwed hole of mounting screw.
Embodiment three
The intertrochanteric fracture lateral wall Interal fixation device of the present embodiment, including steel plate main body, the steel plate main body Including steel plate epimere and steel plate hypomere, the steel plate epimere is bonded to each other with femur upper segment lateral wall shape, the steel plate epimere Upper end be provided with least one and be used for the claw-type structure that is bonded to each other with greater trochanter of femur upper end, the steel plate hypomere offers more The individual screwed hole for mounting screw;The steel plate epimere offers multiple ducts.
Example IV
The intertrochanteric fracture lateral wall Interal fixation device of the present embodiment, including steel plate main body, the steel plate main body Including steel plate epimere and steel plate hypomere, the steel plate epimere is bonded to each other with femur upper segment lateral wall shape, the steel plate epimere Upper end be provided with 2 and be used for the claw-type structures that are bonded to each other with greater trochanter of femur upper end, the steel plate hypomere offers multiple use In the screwed hole of mounting screw;The steel plate epimere offers multiple ducts.
Embodiment five
On the basis of any of the above-described embodiment, the steel plate hypomere offers the intramedullary nail for installing intramedullary nail head Hole.
Embodiment six
On embodiment one to the basis of any embodiment of embodiment five, the steel plate hypomere is provided with 1 group and is used to supply steel The through hole that silk passes through.
Embodiment seven
On embodiment one to the basis of any embodiment of embodiment five, the steel plate hypomere is provided with 2 groups and is used to supply steel The through hole that silk passes through.
Embodiment eight
On the basis of embodiment six or embodiment seven, the position of the through hole is extended outside steel plate hypomere.

Claims (6)

1. a kind of intertrochanteric fracture lateral wall Interal fixation device, it is characterised in that including steel plate main body (1), the steel Plate main body (1) includes steel plate epimere (2) and steel plate hypomere (3), and the steel plate epimere (2) and femur upper segment lateral wall shape are mutual Fitting, the upper end of the steel plate epimere (2) are provided with the claw-type structure that at least one is used to be bonded to each other with greater trochanter of femur upper end, The steel plate hypomere (3) offers multiple screwed holes (33) for mounting screw.
2. intertrochanteric fracture lateral wall Interal fixation device according to claim 1, it is characterised in that the steel plate The upper end of epimere (2) is provided with 2 claw-type structures (4) for being used to be bonded to each other with greater trochanter of femur upper end.
3. intertrochanteric fracture lateral wall Interal fixation device according to claim 1, it is characterised in that the steel plate Epimere (2) offers multiple ducts.
4. intertrochanteric fracture lateral wall Interal fixation device according to claim 1, it is characterised in that the steel plate Hypomere (3) offers the intramedullary nail holes for installing intramedullary nail head (32).
5. the intertrochanteric fracture lateral wall Interal fixation device according to any one of claim 1-4, its feature exist In the steel plate hypomere (3) is provided with least 1 group through hole (33) for being used to pass through for steel wire.
6. intertrochanteric fracture lateral wall Interal fixation device according to claim 5, it is characterised in that the through hole (33) extend outside steel plate hypomere (3) position.
CN201710778772.1A 2017-09-01 2017-09-01 A kind of intertrochanteric fracture lateral wall Interal fixation device Pending CN107468326A (en)

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CN201710778772.1A CN107468326A (en) 2017-09-01 2017-09-01 A kind of intertrochanteric fracture lateral wall Interal fixation device

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Application Number Priority Date Filing Date Title
CN201710778772.1A CN107468326A (en) 2017-09-01 2017-09-01 A kind of intertrochanteric fracture lateral wall Interal fixation device

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110916789A (en) * 2019-12-24 2020-03-27 梅亮 Intramedullary and extramedullary combined fixing system for minimally invasive treatment of proximal comminuted fracture of femur

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2299592Y (en) * 1997-05-16 1998-12-09 黄锦芳 Curved steel plate with hook for fixing intertrochanter fracture of femur
CN2333375Y (en) * 1998-05-14 1999-08-18 重庆市第九人民医院 Double-claw fixator for intertrochanteric fracture
CN2472682Y (en) * 2001-04-17 2002-01-23 上海市嘉定区南翔医院 Internal fixer for femoral fracture
US20060276896A1 (en) * 2005-06-02 2006-12-07 Medicinelodge, Inc. Bone implants with integrated line locks
CN201131788Y (en) * 2007-12-28 2008-10-15 何登伟 Internal fixer for intertrochanteric fracture
CN202235654U (en) * 2011-10-20 2012-05-30 上海交通大学医学院附属新华医院崇明分院 Trochanter fixing device combined with intramedullary system to be used

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2299592Y (en) * 1997-05-16 1998-12-09 黄锦芳 Curved steel plate with hook for fixing intertrochanter fracture of femur
CN2333375Y (en) * 1998-05-14 1999-08-18 重庆市第九人民医院 Double-claw fixator for intertrochanteric fracture
CN2472682Y (en) * 2001-04-17 2002-01-23 上海市嘉定区南翔医院 Internal fixer for femoral fracture
US20060276896A1 (en) * 2005-06-02 2006-12-07 Medicinelodge, Inc. Bone implants with integrated line locks
CN201131788Y (en) * 2007-12-28 2008-10-15 何登伟 Internal fixer for intertrochanteric fracture
CN202235654U (en) * 2011-10-20 2012-05-30 上海交通大学医学院附属新华医院崇明分院 Trochanter fixing device combined with intramedullary system to be used

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110916789A (en) * 2019-12-24 2020-03-27 梅亮 Intramedullary and extramedullary combined fixing system for minimally invasive treatment of proximal comminuted fracture of femur

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Application publication date: 20171215

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