CN107951596B - Novel belt loop fixing plate - Google Patents

Novel belt loop fixing plate Download PDF

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Publication number
CN107951596B
CN107951596B CN201711323993.6A CN201711323993A CN107951596B CN 107951596 B CN107951596 B CN 107951596B CN 201711323993 A CN201711323993 A CN 201711323993A CN 107951596 B CN107951596 B CN 107951596B
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CN
China
Prior art keywords
belt loop
threading hole
hole
fixing plate
plate body
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CN201711323993.6A
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Chinese (zh)
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CN107951596A (en
Inventor
刘记梅
颜博
赵学东
刘继强
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Yunyi Beijing Medical Devices Co ltd
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Yunyi Beijing Medical Devices Co ltd
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Priority to CN201711323993.6A priority Critical patent/CN107951596B/en
Publication of CN107951596A publication Critical patent/CN107951596A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0817Structure of the anchor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0847Mode of fixation of anchor to tendon or ligament
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments
    • A61F2/0811Fixation devices for tendons or ligaments
    • A61F2002/0876Position of anchor in respect to the bone
    • A61F2002/0888Anchor in or on a blind hole or on the bone surface without formation of a tunnel

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  • 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)

Abstract

The invention discloses a novel belt loop fixing plate, and belongs to the technical field of cruciate ligament reconstruction surgery. The belt loop plate comprises a belt loop plate body, wherein a first threading hole and a second threading hole are formed in the belt loop plate body in a penetrating mode. Wherein first through-hole portion has been seted up to one side that first through-hole was kept away from to the second through-hole, and the second through-hole portion has been seted up to one side that the second through-hole was kept away from to the first through-hole. The back of the belt loop plate body is also provided with a protrusion part. The invention enables the tool selection in the cruciate ligament reconstruction operation to have various choices, and can select a belt loop fixing plate at both ends of the implant, or select an interface screw at one end of the belt loop fixing plate and the other end of the belt loop fixing plate; the protrusion part provided by the invention can prevent the belt loop fixing plate from moving back and forth on cortical bone, so that the mounting stability is improved, and the postoperative recovery of a patient is facilitated; the invention can install the adjustable connecting wire, does not need to calculate the shape selection during operation, and shortens the operation time.

Description

Novel belt loop fixing plate
Technical Field
The invention relates to a novel belt loop fixing plate, and belongs to the technical field of cruciate ligament reconstruction surgery.
Background
Anterior and posterior cruciate ligament reconstruction surgery has gained more and more attention and application with the development of orthopedics sports medicine. The cruciate ligament reconstruction operation is to reconstruct the anterior cruciate ligament or the posterior cruciate ligament by adopting autograft tendon or allograft tendon or artificial graft, wherein the graft is fixedly connected with the two sides of the femoral tunnel through the tibial tunnel. At present, a titanium plate of a fixing coil for the femur end is generally used for fixing a tendon implanted at the femur end, and a tibia end is fixed by adopting an interface screw in a single fixing mode. The existing titanium plate structure cannot be used for fixing the tibia end, and can easily move back and forth, so that the installation is unstable. The loop length of the belt loop fixing plate is not adjustable, measurement and calculation are needed during different operations, and the operation time is increased.
Disclosure of Invention
The invention aims to provide a novel belt loop fixing plate, which enables a plurality of choices to be made for tool selection in cruciate ligament reconstruction operation, and can be used for both ends of a graft, or can be used for one end of the belt loop fixing plate and the other end of the belt loop fixing plate is used for interface screws; the protrusion part provided by the invention can prevent the belt loop fixing plate from moving back and forth on cortical bone, so that the mounting stability is improved, and the postoperative recovery of a patient is facilitated; the invention can install the adjustable connecting wire, does not need to calculate the shape selection during operation, and shortens the operation time.
In order to solve the technical problems, the invention adopts the following technical scheme:
the utility model provides a novel belt loop fixed plate, includes belt loop plate body, first through wires hole and second through wires hole have been run through on the belt loop plate body, wear to be equipped with the connecting wire in first through wires hole and the second through wires hole. The first through part is arranged on one side, far away from the second through hole, of the first through hole, and the second through part is arranged on one side, far away from the first through hole, of the second through hole. The connecting wire can enter the first threading hole from the outside through the first penetrating part, and the connecting wire can also enter the second threading hole from the outside through the second penetrating part. The back of the belt loop plate body is also provided with a protruding part, the protruding part is arranged in a bone after an operation, the belt loop plate body is prevented from moving back and forth after the operation, the stability of the installation of the belt loop plate body is improved, and the postoperative recovery of a patient is facilitated. The invention ensures that the tool selection in the cruciate ligament reconstruction operation has various choices, the femoral end adopts a belt loop fixing plate to complete the fixation of the femoral end transplanted tendon, and the tibial end adopts an interface screw to fix; or the femur end and the tibia end are fixed by adopting a belt loop fixing plate.
The concave part is further arranged between the first threading hole and the second threading hole, the connecting wire can be placed in the concave part when being fixed and knotted, the outer protruding of the connecting wire and the friction of a human body are avoided, and uncomfortable feeling caused by the friction of the connecting wire after operation can be effectively relieved.
The width of the concave part is larger than that of the first penetrating part, and the widths of the first penetrating part and the second penetrating part are the same.
Further, the lengths of the first penetrating part and the second penetrating part are the same, and the depth of the concave part is 1/2-2/3 of the depth of the first penetrating part.
The sizes of the first threading hole and the second threading hole are the same, and the width of the first threading hole is larger than that of the concave part. The connecting wire can be better fixed in first through wires hole, effectively avoids the connecting wire to break away from the belt loop plate body through first through portion. The connecting wire can be better fixed in the second threading hole, and the connecting wire is effectively prevented from being separated from the belt loop plate body through the second penetrating part.
The thickness of the belt loop plate body is 1.4-3.6 mm, and the height of the protruding part is 0-2 mm.
The shape of the belt loop plate body is rectangular, circular or elliptical, and can adapt to different anatomical forms.
The belt loop plate body is made of titanium alloy.
The first threading hole and the second threading hole are round or oval and are used for threading various connecting wires.
The application method of the novel belt loop fixing plate adopts the novel belt loop fixing plate and comprises the following steps:
when the cruciate ligament rebuilding operation is performed, the femoral end (or the tibial end) is firstly fixed by the graft, the tibial end (or the femoral end) is knitted by an adjustable connecting wire (specifically, a medical suture line) and then is pulled out of the bone canal, the adjustable connecting wire is strapped in a first threading hole and a second threading hole of the belt loop titanium fixing plate (when the adjustable connecting wire is assembled with the belt loop titanium fixing plate, the surface where the protruding part is positioned is close to the bone canal), specifically, the adjustable connecting wire enters the first threading hole from the outside through the first threading part, the other adjustable connecting wire enters the second threading hole from the outside through the second threading part, the belt loop plate body is pushed onto the cortical bone by tightening the adjustable connecting wire, the redundant adjustable connecting wire is cut after the adjustable connecting wire is knotted, and then the bone canal is closed.
Compared with the prior art, the invention has the following advantages:
(1) The invention ensures that the tool selection in the cruciate ligament reconstruction operation has various choices, and one end of the implant adopts a belt loop fixing plate, and the other end adopts an interface screw to cooperate together to finish the operation; the reconstruction operation of the cruciate ligament can be finished by selecting the belt loop fixing plate at the two ends of the implant, and only one set of operation tool is adopted at the moment, so that the preparation work before the operation is reduced, and the operation time is shortened;
(2) The protrusion part provided by the invention can prevent the belt loop fixing plate from moving back and forth on cortical bone, so that the mounting stability is improved, and the postoperative recovery of a patient is facilitated;
(3) The adjustable connecting wire can be installed, so that the surgical requirements of different length specifications are met, the application range is wider, the surgical time is shortened, and the situation that the surgical failure is caused by the error in the shape selection of the fixed coil when the titanium plate of the fixed coil is matched with the interface screw in the prior art can be avoided.
Drawings
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is a schematic view of the back structure of FIG. 1;
fig. 3 is a front view of fig. 1.
Meaning of reference numerals: the belt loop plate comprises a belt loop plate body, a first threading hole, a second threading hole, a 4-concave part, a first through part, a second through part and a 7-protruding part, wherein the belt loop plate body is provided with the first threading hole, the second threading hole, the 4-concave part, the first through part, the second through part and the 7-protruding part.
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 to 3, the novel belt loop fixing plate comprises a belt loop plate body 1, wherein a first threading hole 2 and a second threading hole 3 are formed in the belt loop plate body 1 in a penetrating mode, and connecting wires are arranged in the first threading hole 2 and the second threading hole 3 in a penetrating mode. The connecting wire is adjustable, and can be a medical suture. Wherein first through-hole 5 has been seted up to one side that first through-hole 2 kept away from second through-hole 3, and second through-hole 6 has been seted up to one side that second through-hole 3 kept away from first through-hole 2. Wherein the connecting thread can enter the first threading hole 2 from the outside through the first penetrating part 5, and the connecting thread can also enter the second threading hole 3 from the outside through the second penetrating part 6. The back of belt loop board body 1 still is equipped with protruding portion 7, and postoperative protruding portion 7 is arranged in the bone, prevents that belt loop board body 1 makes a round trip the drunkenness on the cortex bone after the operation, has improved the stability that belt loop board body 1 installed, is convenient for patient postoperative resumes. The invention ensures that the tool selection in the cruciate ligament reconstruction operation has various choices, the femoral end adopts a belt loop fixing plate to complete the fixation of the femoral end transplanted tendon, and the tibial end adopts an interface screw to fix; or the femur end and the tibia end are fixed by adopting a belt loop fixing plate. The concave part 4 is further arranged between the first threading hole 2 and the second threading hole 3, the connecting wire can be placed in the concave part 4 when being fixed and knotted, the outer protruding of the connecting wire and the friction of a human body are avoided, and the uncomfortable feeling caused by the friction of the connecting wire after operation to the human body can be effectively relieved. The width of the recess 4 is larger than the width of the first through-penetration 5, and the widths of the first through-penetration 5 and the second through-penetration 6 are the same. The first through part 5 and the second through part 6 have the same length, and the depth of the concave part 4 is 1/2-2/3 of the depth of the first through part 5.
The first threading hole 2 and the second threading hole 3 have the same size, and the width of the first threading hole 2 is larger than the width of the concave part 4. The connecting wire can be better fixed in the first threading hole 2, and the connecting wire is effectively prevented from being separated from the belt loop plate body 1 through the first penetrating part 5. The connecting wire can be better fixed in the second threading hole 3, and the connecting wire is effectively prevented from being separated from the belt loop plate body 1 through the second penetrating part 6. The belt loop plate body 1 has a thickness of 1.4 to 3.6 mm and the height of the protruding portion 7 is 0 to 2 mm. Specifically, the belt loop plate body 1 has a thickness of 3.5 mm and the height of the protruding portion 7 is 2 mm. The belt loop body 1 has a rectangular, circular or oval shape and can adapt to different anatomical forms. The belt loop plate body 1 is made of titanium alloy. The first threading hole 2 and the second threading hole 3 are round or oval and are used for threading various connecting wires.
Example 2: as shown in fig. 1 to 3, the novel belt loop fixing plate comprises a belt loop plate body 1, wherein a first threading hole 2 and a second threading hole 3 are formed in the belt loop plate body 1 in a penetrating mode, and connecting wires are arranged in the first threading hole 2 and the second threading hole 3 in a penetrating mode. Wherein first through-hole 5 has been seted up to one side that first through-hole 2 kept away from second through-hole 3, and second through-hole 6 has been seted up to one side that second through-hole 3 kept away from first through-hole 2. Wherein the connecting thread can enter the first threading hole 2 from the outside through the first penetrating part 5, and the connecting thread can also enter the second threading hole 3 from the outside through the second penetrating part 6. The back of the belt loop plate body 1 is also provided with a protrusion 7, the protrusion 7 is arranged in the bone after operation, the belt loop plate body 1 is prevented from moving on the cortical bone after operation, the stability of the installation of the belt loop plate body 1 is improved, and the postoperative recovery of a patient is facilitated.
Example 3: as shown in fig. 1 to 3, a method for using the novel belt loop fixing plate comprises the following steps:
during cruciate ligament reconstruction surgery, the femoral (or tibial) end is fixed by the implant, the tibial (or femoral) end is woven with an adjustable connecting wire (specifically, a medical suture) and the adjustable connecting wire is pulled out of the bone tunnel, the adjustable connecting wire is strapped in a first threading hole 2 and a second threading hole 3 of the belt loop titanium fixing plate (when the adjustable connecting wire is assembled with the belt loop titanium fixing plate, the surface of the protrusion 7 is close to the bone meatus), specifically, the adjustable connecting wire enters the first threading hole 2 from the outside through the first through part 5, the other adjustable connecting wire enters the second threading hole 3 from the outside through the second through part 6, the belt loop plate body 1 is pushed onto the cortical bone by tightening the adjustable connecting wire, the redundant adjustable connecting wire is cut off after knotting, and then the bone tunnel is closed.

Claims (5)

1. The novel belt loop fixing plate comprises a belt loop plate body (1), and is characterized in that a first threading hole (2) and a second threading hole (3) are formed in the belt loop plate body (1) in a penetrating mode, a first penetrating part (5) is formed in one side, far away from the second threading hole (3), of the first threading hole (2), and a second penetrating part (6) is formed in one side, far away from the first threading hole (2), of the second threading hole (3); the back of the belt loop plate body (1) is also provided with a protrusion part (7); a concave part (4) is further arranged between the first threading hole (2) and the second threading hole (3); the width of the concave part (4) is larger than that of the first penetrating part (5), and the widths of the first penetrating part (5) and the second penetrating part (6) are the same; the lengths of the first penetrating part (5) and the second penetrating part (6) are the same, and the depth of the concave part (4) is 1/2-2/3 of the depth of the first penetrating part (5); the concave part (4) is a rectangular concave part; the concave part (4) is arranged on the surface of the belt loop plate body (1); the first threading hole (2) and the second threading hole (3) are the same in size, and the width of the first threading hole (2) is larger than that of the concave portion (4).
2. A new belt loop fastening plate as claimed in claim 1, characterized in that the thickness of the belt loop body (1) is 1.4-3.6 mm and the height of the protrusions (7) is 2 mm.
3. A new belt loop fastening plate as claimed in any one of claims 1 or 2, characterized in that the belt loop body (1) has a rectangular, circular or oval shape.
4. A novel belt loop fastening plate as claimed in claim 3, characterized in that the belt loop body (1) is of titanium alloy.
5. The novel belt loop fastening plate as claimed in claim 4, characterized in that the first threading hole (2) and the second threading hole (3) are both circular or oval.
CN201711323993.6A 2017-12-13 2017-12-13 Novel belt loop fixing plate Active CN107951596B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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CN107951596B true CN107951596B (en) 2024-04-09

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109223152A (en) * 2018-09-10 2019-01-18 西南医科大学附属中医医院 A kind of veneer adjustable type loop steel plate
CN110403689A (en) * 2019-05-14 2019-11-05 中南大学湘雅医院 Fixation device for tibial insertion of anterior cruciate ligament stop avulsion fracture
CN112472266A (en) * 2020-12-10 2021-03-12 江苏爱厚朴医疗器械有限公司 Ligament tibia insertion avulsion fracture fixing device and matched operation method thereof
CN115590596B (en) * 2022-11-10 2024-06-21 北京德益达美医疗科技有限公司 Self-locking belt loop titanium plate

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US6099568A (en) * 1998-03-03 2000-08-08 Linvatec Corporation ACL graft fixation device and method
CN205514853U (en) * 2015-12-30 2016-08-31 杭州锐健马斯汀医疗器材有限公司 A graft thighbone end fixing device for ligament is rebuild
CN208710167U (en) * 2017-12-13 2019-04-09 运怡(北京)医疗器械有限公司 A kind of novel belt loop fixed plate

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DE19941574A1 (en) * 1999-09-01 2001-03-08 Storz Karl Gmbh & Co Kg Instruments for implanting a tendon replacement
EP2455001B1 (en) * 2010-11-17 2020-07-22 Arthrex, Inc. Adjustable suture-button constructs for ligament reconstruction
EP2462876B1 (en) * 2010-12-09 2015-10-14 Arthrex, Inc. Suture button construct with dog-bone shaped button for acromioclavicular joint fixation
JP6769985B2 (en) * 2015-04-10 2020-10-14 ボード オブ スーパーバイザーズ オブ ルイジアナ ステイト ユニバーシティ アンド アグリカルチュラル アンド メカニカル カレッジBoard Of Supervisors Of Louisiana State University And Agricultural And Mechanical College Soft tissue tension application and attachment device

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Publication number Priority date Publication date Assignee Title
US6099568A (en) * 1998-03-03 2000-08-08 Linvatec Corporation ACL graft fixation device and method
CN205514853U (en) * 2015-12-30 2016-08-31 杭州锐健马斯汀医疗器材有限公司 A graft thighbone end fixing device for ligament is rebuild
CN208710167U (en) * 2017-12-13 2019-04-09 运怡(北京)医疗器械有限公司 A kind of novel belt loop fixed plate

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