CN107837131B - Belt loop fixing plate - Google Patents
Belt loop fixing plate Download PDFInfo
- Publication number
- CN107837131B CN107837131B CN201711268859.0A CN201711268859A CN107837131B CN 107837131 B CN107837131 B CN 107837131B CN 201711268859 A CN201711268859 A CN 201711268859A CN 107837131 B CN107837131 B CN 107837131B
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- Prior art keywords
- hole
- fixing plate
- rear end
- face
- fixing
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- 239000000463 material Substances 0.000 claims description 12
- 239000004696 Poly ether ether ketone Substances 0.000 claims description 5
- 229920002530 polyetherether ketone Polymers 0.000 claims description 5
- JUPQTSLXMOCDHR-UHFFFAOYSA-N benzene-1,4-diol;bis(4-fluorophenyl)methanone Chemical compound OC1=CC=C(O)C=C1.C1=CC(F)=CC=C1C(=O)C1=CC=C(F)C=C1 JUPQTSLXMOCDHR-UHFFFAOYSA-N 0.000 claims description 4
- 230000000149 penetrating effect Effects 0.000 claims description 4
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 3
- 230000007423 decrease Effects 0.000 claims description 3
- 230000001788 irregular Effects 0.000 claims description 3
- 238000010276 construction Methods 0.000 claims 1
- 239000007943 implant Substances 0.000 abstract description 14
- 210000003041 ligament Anatomy 0.000 abstract description 3
- 210000000988 bone and bone Anatomy 0.000 description 8
- 238000000034 method Methods 0.000 description 6
- 230000000694 effects Effects 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 210000002435 tendon Anatomy 0.000 description 3
- 230000002265 prevention Effects 0.000 description 2
- 230000002035 prolonged effect Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 125000003118 aryl group Chemical group 0.000 description 1
- 238000009954 braiding Methods 0.000 description 1
- 238000005260 corrosion Methods 0.000 description 1
- 230000007797 corrosion Effects 0.000 description 1
- 230000001054 cortical effect Effects 0.000 description 1
- 238000011846 endoscopic investigation Methods 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 229920001169 thermoplastic Polymers 0.000 description 1
- 239000004416 thermosoftening plastic Substances 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Rehabilitation Therapy (AREA)
- Rheumatology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a fixing plate, in particular to a belt loop fixing plate, and belongs to the technical field of cruciate ligament reconstruction. The belt loop fixing plate comprises a first fixing plate, a second fixing plate and a connecting wire, and the first fixing plate is connected with the second fixing plate through the connecting wire. The first side and the second side of the first fixing plate are symmetrically arranged, a side hole A1 is formed in the front end of the first side, a side hole A2 is formed in the front end of the second side, and the side hole A1 and the side hole A2 are symmetrically arranged and communicated with each other. The rear end of the first side is provided with a side hole B1, the rear end of the second side is provided with a side hole B2, and the side hole B1 and the side hole B2 are symmetrically arranged and communicated with each other. The back face hole has been seted up on the back face of first fixed plate, and back face hole and side hole B1 intercommunication each other, back face hole still communicates each other with side hole B2. The invention effectively increases the contact area with the implant, reduces the cutting of the implant by the connecting wire, and prolongs the service life of the product.
Description
Technical Field
The invention relates to a fixing plate, in particular to a belt loop fixing plate, and belongs to the technical field of cruciate ligament reconstruction.
Background
Belt loop fixation is an endoscopic technique in ACL reconstruction surgery (i.e., cruciate ligament reconstruction). The technique can firmly fix the upper end of the tendon graft without bone blocks at two ends in the femur side bone canal by using a belt loop fixing plate without adding external condyle side incision, and is one of the reconstruction techniques of the graft without bone blocks by using semitendinous tendon, gracilis tendon and the like at present. However, the existing belt loop fixing plate structure is very simple, only two threading holes are formed in the end face, the implant is directly hung by using a suture, and the suture has a cutting effect on the implant. In addition, the length of the suture line is not adjustable, and the required coil length can be calculated through measurement, so that the operation time is increased.
Disclosure of Invention
The invention aims to provide a belt loop fixing plate, which is designed into a novel belt loop fixing plate structure, so that the contact area with a graft can be effectively increased, the cutting of a connecting line to the graft is reduced, and the service life of a product is prolonged; the size adjustment is uninterrupted, so that the surgical influence caused by measurement errors in the operation can be reduced, and the operation time is shortened.
In order to solve the technical problems, the invention adopts the following technical scheme:
the belt loop fixing plate comprises a first fixing plate, a second fixing plate and connecting wires, wherein the first fixing plate is connected with the second fixing plate through the connecting wires. The first side and the second side of the first fixing plate are symmetrically arranged, a side hole A1 is formed in the front end of the first side, a side hole A2 is formed in the front end of the second side, and the side hole A1 and the side hole A2 are symmetrically arranged and communicated with each other. The rear end of the first side is provided with a side hole B1, the rear end of the second side is provided with a side hole B2, and the side hole B1 and the side hole B2 are symmetrically arranged and mutually communicated. The rear end face of the first fixing plate is provided with a rear end face hole, the rear end face hole is communicated with the side face hole B1, and the rear end face hole is communicated with the side face hole B2.
And the second fixing plate is penetrated with a fixing hole A and a fixing hole B which are arranged in parallel.
The connecting wire comprises a plurality of wire loops and a fastening wire, wherein each wire loop sequentially passes through the side hole A1, the side hole A2, the fixing hole A and the fixing hole B and then is connected end to end. One end of the fastening wire is arranged outside the rear end face hole, and the other end of the fastening wire sequentially penetrates through the rear end face hole, the side face hole B2, the fixing hole A, the fixing hole B, the side face hole B1 and the rear end face hole and then is also arranged outside the rear end face hole.
The aforementioned belt loop fixing plate further comprises a pulling wire, one end of which is disposed outside the second fixing plate, and the other end of which passes through the fixing hole a.
Further, the first fixing plate is a hexahedron with irregular shape, and has the effects of rotation prevention and pull-out resistance. The size of the first fixing plate gradually decreases along the direction from back to front, specifically, the area of the rear end face of the first fixing plate is larger than that of the front end face, so that the resistance in the operation process can be reduced, and the operation efficiency is improved.
The upper side surface of the first fixing plate is also provided with a plurality of through holes in a penetrating mode, and the material consumption of the first fixing plate is reduced.
Advantageously, the aforementioned wire loop is of an integrally formed structure.
The material of the first fixing plate is PEEK material, the material of the second fixing plate is titanium alloy, and the connecting wire and the traction wire are medical suture lines.
Further, the first fixing plate is a wedge body, the length of the first fixing plate is 25-28 mm, the width of the end part of the rear end face is 7-11 mm, and the thickness of the end part of the rear end face is 7-11 mm; the length of the second fixing plate is 11-15 mm, the width of the second fixing plate is 3.2-3.5 mm, and the thickness of the second fixing plate is 1.2-1.8 mm.
The application method of the belt loop fixing plate adopts the belt loop fixing plate and comprises the following steps: 1) Folding and lapping the implant on two side surfaces of the first fixing plate after passing through the front end surface, and sewing and fixing the implant at the side surface holes B1 and B2; 2) Pulling the traction wire to pull the second fixing plate into the preset bone canal, and pushing the first fixing plate by using a special tool; 3) After the first fixing plate drives the implant to be pushed into place, the second fixing plate turns over, and then the fixation of the implant in the side bone canal is completed.
Compared with the prior art, the invention has the following advantages: the novel belt loop fixing plate structure is designed, so that the contact area between the connecting wire and the implant can be effectively increased, the cutting of the connecting wire to the implant is reduced, and the service life of a product is prolonged; the length of the connecting wire can be adjusted, so that uninterrupted size adjustment can be realized, and the surgical influence caused by measurement errors in surgery can be reduced; the invention can support the requirement of 15 mm-60 mm length range, and enlarges the application range of the existing product.
Drawings
FIG. 1 is a schematic view of a first fixing plate according to the present invention;
FIG. 2 is a schematic view of the structure of the first fixing plate according to the present invention;
FIG. 3 is a cut-away view of the first fixing plate of the present invention;
FIG. 4 is a schematic structural view of a second fixing plate according to the present invention;
fig. 5 is a schematic structural view of the present invention.
Meaning of reference numerals: 1-first fixing plate, 101-first side, 102-second side, 103-rear end, 104-side hole A1, 105-side hole A2, 106-side hole B1, 107-side hole B2, 108-rear end hole, 109-through hole, 110-upper side, 111-front end, 2-second fixing plate, 201-fixing hole a, 202-fixing hole B, 3-connecting wire, 301-wire loop, 302-fastening wire, 4-pulling wire.
The invention is further described below with reference to the drawings and the detailed description.
Detailed Description
Example 1 of the present invention: as shown in fig. 1-5, a belt loop fastening plate comprises a first fastening plate 1, a second fastening plate 2 and a connection line 3, said first fastening plate 1 and second fastening plate 2 being connected by means of the connection line 3. The first side 101 and the second side 102 of the first fixing plate 1 are symmetrically arranged, a side hole A1 is formed in the front end of the first side 101, a side hole A2 is formed in the front end of the second side 102, and the side hole A1 and the side hole A2 are symmetrically arranged and are mutually communicated. The rear end of the first side 101 is provided with a side hole B1, the rear end of the second side 102 is provided with a side hole B2, and the side holes B1 and the side holes B2 are symmetrically arranged and mutually communicated. The rear end face 103 of the first fixing plate 1 is provided with a rear end face hole 108, the rear end face hole 108 is communicated with the side face hole B1, and the rear end face hole 108 is also communicated with the side face hole B2. The second fixing plate 2 is provided with a fixing hole A201 and a fixing hole B202 in a penetrating mode, and the fixing hole A201 and the fixing hole B202 are arranged in parallel. The connecting wire 3 comprises a plurality of wire loops 301 and a fastening wire 302, wherein each wire loop 301 sequentially passes through the side hole A1, the side hole A2, the fixing hole a201 and the fixing hole B202 and then is connected end to end. One end of the fastening wire 302 is disposed outside the rear end face hole 108, and the other end of the fastening wire 302 sequentially passes through the rear end face hole 108, the side face hole B2, the fixing hole a201, the fixing hole B202, the side face hole B1 and the rear end face hole 108 and is also disposed outside the rear end face hole 108. The belt loop fixation plate further comprises a pulling wire 4, one end of the pulling wire 4 being placed outside the second fixation plate 2, the other end of the pulling wire 4 passing through the fixation hole a201.
Specifically, the first fixing plate 1 is a hexahedron with irregular shape, and has the effects of rotation prevention and pull-out resistance. The size of the first fixing plate 1 gradually decreases along the direction from back to front, specifically, the area of the rear end surface 103 of the first fixing plate 1 is larger than that of the front end surface 111, so that the resistance in the operation process can be reduced, and the operation efficiency can be improved. The upper side 110 of the first fixing plate 1 is also provided with a plurality of through holes 109 in a penetrating way, which are arranged in parallel, so that the material consumption of the first fixing plate 1 is reduced. The wire loop 301 is an integrally formed structure, and specifically is formed by braiding a plurality of mutually crossed wires. The first fixing plate 1 is made of PEEK material, the second fixing plate 2 is made of titanium alloy, and the connecting wire 3 and the traction wire 4 are medical suture lines. The PEEK material, namely the polyether-ether-ketone material, is aromatic semi-crystalline thermoplastic special plastic with high melting point, has the advantages of being excellent in mechanical strength, fatigue resistance and corrosion resistance which are far better than or even comparable to those of absorbable materials and very suitable for being applied to the field of orthopaedics instruments, such as X-ray penetrability, no generation of artifacts during magnetic resonance scanning, and the like, while the elastic modulus is close to that of cortical bone.
Example 2: as shown in fig. 1-5, a belt loop fastening plate comprises a first fastening plate 1, a second fastening plate 2 and a connection line 3, said first fastening plate 1 and second fastening plate 2 being connected by means of the connection line 3. The first side 101 and the second side 102 of the first fixing plate 1 are symmetrically arranged, a side hole A1 is formed in the front end of the first side 101, a side hole A2 is formed in the front end of the second side 102, and the side hole A1 and the side hole A2 are symmetrically arranged and are mutually communicated. The rear end of the first side 101 is provided with a side hole B1, the rear end of the second side 102 is provided with a side hole B2, and the side holes B1 and the side holes B2 are symmetrically arranged and mutually communicated. The rear end face 103 of the first fixing plate 1 is provided with a rear end face hole 108, the rear end face hole 108 is communicated with the side face hole B1, and the rear end face hole 108 is also communicated with the side face hole B2. The length of the first fixing plate 1 is 25-28 mm, the width of the end part of the rear end face 103 is 7-11 mm, and the thickness of the end part of the rear end face 103 is 7-11 mm. The second fixing plate 2 has a length of 11-15 mm, a width of 3.2-3.5 mm and a thickness of 1.2-1.8 mm. Specifically, the first fixing plate 1 is a wedge, the length of the first fixing plate 1 is 26mm, the width of the end where the rear end face 103 is located is 8mm, and the thickness of the end where the rear end face 103 is located is 8mm. The second fixing plate 2 has a length of 12mm, a width of 3.3mm and a thickness of 1.3mm.
The use method of the belt loop fixing plate comprises the following steps:
1) The implant is folded and lapped on two side surfaces of the first fixing plate 1 after passing through the front end surface 111, and then the implant is sewn and fixed at the side surface holes B1 and B2;
2) Pulling the traction wire 4 to pull the second fixing plate 2 into a preset bone canal, and pushing the first fixing plate 1 by adopting a special tool;
3) After the first fixing plate 1 drives the implant to be pushed into place, the second fixing plate 2 is turned over, and then the fixation of the implant in the side bone canal is completed.
Claims (7)
1. The belt loop fixing plate is characterized by comprising a first fixing plate (1), a second fixing plate (2) and a connecting wire (3), wherein the first fixing plate (1) is connected with the second fixing plate (2) through the connecting wire (3);
the first side face (101) and the second side face (102) of the first fixing plate (1) are symmetrically arranged, a side face hole A1 (104) is formed in the front end of the first side face (101), a side face hole A2 (105) is formed in the front end of the second side face (102), and the side face holes A1 (104) and the side face holes A2 (105) are symmetrically arranged and mutually communicated; a side hole B1 (106) is formed in the rear end of the first side surface (101), a side hole B2 (107) is formed in the rear end of the second side surface (102), and the side holes B1 (106) and the side holes B2 (107) are symmetrically arranged and mutually communicated; a rear end face hole (108) is formed in the rear end face (103) of the first fixing plate (1), the rear end face hole (108) is communicated with the side face hole B1 (106), and the rear end face hole (108) is also communicated with the side face hole B2 (107); a fixing hole A (201) and a fixing hole B (202) are formed in the second fixing plate (2) in a penetrating mode, and the fixing hole A (201) and the fixing hole B (202) are arranged in parallel; the connecting wire (3) comprises a plurality of wire loops (301) and a fastening wire (302), wherein each wire loop (301) sequentially penetrates through the side hole A1 (104), the side hole A2 (105), the fixing hole A (201) and the fixing hole B (202) and then is connected end to end; one end of the fastening wire (302) is arranged outside the rear end face hole (108), and the other end of the fastening wire (302) sequentially penetrates through the rear end face hole (108), the side face hole B2 (107), the fixing hole A (201), the fixing hole B (202), the side face hole B1 (106) and the rear end face hole (108) and is also arranged outside the rear end face hole (108); the first fixing plate (1) is a wedge-shaped body.
2. Belt loop fastening plate according to claim 1, characterized in that it further comprises a pull wire (4), one end of the pull wire (4) being placed outside the second fastening plate (2), the other end of the pull wire (4) passing through the fastening hole a (201).
3. Belt loop fastening plate according to claim 1 or 2, characterized in that the first fastening plate (1) is a hexahedron of irregular shape; the first fixing plate (1) gradually decreases in size in the back-to-front direction.
4. A belt loop fastening plate as claimed in claim 3, characterized in that the upper side (110) of the first fastening plate (1) is further provided with a number of through holes (109) arranged in parallel therethrough.
5. Belt loop fastening plate according to claim 1, characterized in that the wire loop (301) is of integrally formed construction.
6. Belt loop fastening plate according to claim 1, characterized in that the material of the first fastening plate (1) is PEEK material, the material of the second fastening plate (2) is titanium alloy, and the connecting wire (3) and the pulling wire (4) are medical sutures.
7. Belt loop fastening plate according to claim 1, characterized in that the length of the first fastening plate (1) is 25-28 mm, the width of the end of the rear end face (103) is 7-11 mm, and the thickness of the end of the rear end face (103) is 7-11 mm; the length of the second fixing plate (2) is 11-15 mm, the width is 3.2-3.5 mm, and the thickness is 1.2-1.8 mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711268859.0A CN107837131B (en) | 2017-12-05 | 2017-12-05 | Belt loop fixing plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711268859.0A CN107837131B (en) | 2017-12-05 | 2017-12-05 | Belt loop fixing plate |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107837131A CN107837131A (en) | 2018-03-27 |
| CN107837131B true CN107837131B (en) | 2024-04-16 |
Family
ID=61664496
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711268859.0A Active CN107837131B (en) | 2017-12-05 | 2017-12-05 | Belt loop fixing plate |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107837131B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109350149A (en) * | 2018-11-28 | 2019-02-19 | 北京天星博迈迪医疗器械有限公司 | A kind of ligamentaum cruciatum repairs structure and restorative procedure |
| CN115089343B (en) * | 2022-06-08 | 2023-11-07 | 上海利格泰生物科技股份有限公司 | Medical fixing device and manufacturing method thereof |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2257913A (en) * | 1991-06-14 | 1993-01-27 | Woo Shin Cho | Bone plate |
| CN205126392U (en) * | 2015-11-16 | 2016-04-06 | 顾军 | Belt -carrier steel sheet |
| CN205215448U (en) * | 2015-12-04 | 2016-05-11 | 上海凯利泰医疗科技股份有限公司 | Artifical ligament of two -beam and implant device thereof |
| KR20160087580A (en) * | 2015-01-14 | 2016-07-22 | 중원대학교 산학협력단 | adjustable suture button construct for Anterior Cruciate Ligament reconstruction |
| CN106132449A (en) * | 2014-01-10 | 2016-11-16 | Mbp(毛里求斯)有限公司 | For the method producing bone engagement device, the bone engagement device being made up of the semi-synthetic composite being obtained by the component of structural change natural marine organism material and implant |
| CN106667569A (en) * | 2017-03-24 | 2017-05-17 | 上海市第五人民医院 | Acromioclavicular hook plate capable of repairing coracoclavicular ligament |
| CN208710166U (en) * | 2017-12-05 | 2019-04-09 | 运怡（北京）医疗器械有限公司 | A kind of belt loop fixed plate |
-
2017
- 2017-12-05 CN CN201711268859.0A patent/CN107837131B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2257913A (en) * | 1991-06-14 | 1993-01-27 | Woo Shin Cho | Bone plate |
| CN106132449A (en) * | 2014-01-10 | 2016-11-16 | Mbp(毛里求斯)有限公司 | For the method producing bone engagement device, the bone engagement device being made up of the semi-synthetic composite being obtained by the component of structural change natural marine organism material and implant |
| KR20160087580A (en) * | 2015-01-14 | 2016-07-22 | 중원대학교 산학협력단 | adjustable suture button construct for Anterior Cruciate Ligament reconstruction |
| CN205126392U (en) * | 2015-11-16 | 2016-04-06 | 顾军 | Belt -carrier steel sheet |
| CN205215448U (en) * | 2015-12-04 | 2016-05-11 | 上海凯利泰医疗科技股份有限公司 | Artifical ligament of two -beam and implant device thereof |
| CN106667569A (en) * | 2017-03-24 | 2017-05-17 | 上海市第五人民医院 | Acromioclavicular hook plate capable of repairing coracoclavicular ligament |
| CN208710166U (en) * | 2017-12-05 | 2019-04-09 | 运怡（北京）医疗器械有限公司 | A kind of belt loop fixed plate |
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| Publication number | Publication date |
|---|---|
| CN107837131A (en) | 2018-03-27 |
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