CN109646065A - A kind of adjustable surgical implant and preparation method thereof - Google Patents
A kind of adjustable surgical implant and preparation method thereof Download PDFInfo
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- CN109646065A CN109646065A CN201810195862.2A CN201810195862A CN109646065A CN 109646065 A CN109646065 A CN 109646065A CN 201810195862 A CN201810195862 A CN 201810195862A CN 109646065 A CN109646065 A CN 109646065A
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- hole
- suture
- plate body
- surgical implant
- ring
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- 239000007943 implant Substances 0.000 title claims abstract description 38
- 238000002513 implantation Methods 0.000 title abstract description 9
- 238000002360 preparation method Methods 0.000 title abstract description 3
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 32
- 210000001519 tissue Anatomy 0.000 claims abstract description 12
- 238000000034 method Methods 0.000 claims description 11
- 230000015572 biosynthetic process Effects 0.000 claims description 2
- 210000003041 ligament Anatomy 0.000 description 23
- 238000010586 diagram Methods 0.000 description 6
- 239000000463 material Substances 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 230000008901 benefit Effects 0.000 description 3
- 210000004872 soft tissue Anatomy 0.000 description 3
- 238000009510 drug design Methods 0.000 description 2
- 210000003127 knee Anatomy 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 210000000689 upper leg Anatomy 0.000 description 2
- 206010065433 Ligament rupture Diseases 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 230000008929 regeneration Effects 0.000 description 1
- 238000011069 regeneration method Methods 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 210000002303 tibia Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Abstract
A kind of adjustable surgical implant and preparation method thereof.Adjustable surgical implant includes bone plate structure and suture texture.Bone plate structure includes plate body, further includes the through-hole that at least four runs through first surface and second surface.Suture texture passes around the through-hole by suture and is formed, suture passes around between first surface and second surface via the through-hole, and locking ring is formed in the side of first surface, locking ring is across between two different through-holes, at least four fixed ring is formed in the side of second surface, the first end and second end of suture pass through another through-hole from second surface and expose first surface, and pass through locking ring, the quantity of the suture passed through in each through-hole is less than 3, by pulling first end and second end, so that locking ring and fixed ring are shunk, to which part midium line segment is pressed between locking ring and first surface, and tissue is pressed between fixed ring and second surface.
Description
Technical field
The present invention relates to a kind of surgical implants, and in particular to a kind of implantation being fixed to soft tissue graft object on bone
Object.
Background technique
Ligament is the fibr tissue that bone is connect with bone.When ligament is damaged, surgical reconstruction is necessary, because
Ligament cannot oneself regeneration.When reconstruction of knee ligamentum cruciatum can be repaired using corpse or self implantation of ligament object is derived from
The cruciate ligament tears of knee.Reconstruction operations, which are typically included in femur and shin bone, forms hole, then by the phase of implantation of ligament object
End is fixed in this some holes.In a ligamentum cruciatum prosthesis, implantation of ligament object is connect simultaneously with surgical implant
It is fixed to femur, common stock bone anchoring device is elongated cortex button.Cortex button is attached to suture loop, suture loop
Size allow for the soft tissue graft object of sufficient length to be placed in marrow road, while firm outer cortex being provided and is fixed.It is existing
Device and method may be limited because they are not always to provide desired intensity and controllability.Such as it is when passing through
One or more knot helps to maintain size and the position of suture loop, and knot may result in the loosening or slippage of graft.When
It maintains device in certain position by a complete fixed dimension wire loop, controllability can be lacked.Therefore it needs to improve
For the graft fixation device and method in repair and reconstruction operation, it is used to position and fix providing increased intensity and can
The implantation of ligament object of modulability, while minimize the number of knot used.
Summary of the invention
To solve the above-mentioned problems, the present invention provides one kind to be conveniently adjusted suture according to different ligaments
Length, and be able to achieve in the adjustable surgical implant art being fixedly secured and knot without operator, it can be realized securely solid
It is fixed, wound exposure duration is reduced, reduces infection probability, while facilitating surgical procedure.
To achieve the goals above, The technical solution adopted by the invention is as follows:
The present invention provides a kind of adjustable surgical implant, for securing tissue to bone comprising bone plate structure and
Suture texture.
Bone plate structure includes plate body, and plate body has opposite first surface and second surface, and bone plate structure is also
Run through the through-hole of first surface and second surface including at least four.
Suture texture passes around the through-hole by suture and is formed, wherein suture includes first end, second end and
Midium line segment between one end and second end, suture are worn between first surface and second surface via the through-hole
Around, and locking ring is formed in the side of first surface, locking ring is across between two different through-holes, the one of second surface
Side forms at least four fixed ring, and the first end and second end of suture pass through another through-hole from second surface and expose the
One surface, and pass through locking ring, the quantity of the suture passed through in each through-hole is less than 3, by pulling first end and the
Two ends, so that locking ring and fixed ring are shunk, so that part midium line segment is pressed between locking ring and first surface, and
Tissue is pressed between fixed ring and second surface.
Further, the quantity of through-hole is 4, including first through hole, the second through-hole, third through-hole and fourth hole, the
One end and second end respectively penetrate first through hole and the second through-hole from first surface, common from second surface after passing around
It penetrates fourth hole and exposes first surface.
Further, two of them through-hole is located at the side of the longitudinal centre line of plate body, wherein another two through-hole position
In the other side of the longitudinal centre line of plate body.
Further, four through-hole arrangements are as follows: the line at the center of four through-holes constitutes quadrangle, preferably rectangle or flat
Row quadrangle.
Further, first through hole and fourth hole are located at the side of the longitudinal centre line of plate body, the second through-hole and
Third through-hole is located at the other side of the longitudinal centre line of plate body, and first through hole is diagonally arranged with third through-hole, and second is logical
Hole is diagonally arranged with fourth hole.
Further, first end and second end respectively penetrate first through hole and the second through-hole from first surface, then
Third through-hole is passed through jointly from second surface, into the side of first surface, then respectively penetrates first through hole and the second through-hole,
Into the side of second surface, then fourth hole being passed through jointly and exposes first surface, and passes through locking ring jointly, part is intermediate
Line segment forms four fixed rings in the side of second surface, and the quantity of the suture passed through in each through-hole is 2.
Further, first through hole and the second through-hole are located at the side of the longitudinal centre line of plate body, third through-hole and
Fourth hole is located at the other side of the longitudinal centre line of plate body, and first through hole is diagonally arranged with fourth hole, and second is logical
Hole is diagonally arranged with third through-hole.
Further, first end and second end respectively penetrate first through hole and the second through-hole from first surface, and first
End penetrates the side of first surface from the side of second surface via third through-hole, then enters second surface via first through hole
Side, across fourth hole and expose first surface, second end penetrates via third through-hole from the side of second surface
The side on one surface, then enter via the second through-hole the side of second surface, across fourth hole and expose first surface, thus
Form two locking rings and four fixed rings, two locking rings be included between third through-hole and the second through-hole the first lock ring and
The second lock ring between first through hole and the second through-hole sequentially passes through across the first end and second end of fourth hole
One locking ring and second lock ring, the quantity of the suture passed through in each through-hole are 2.
Further, the first surface of the plate body has recessed lower deep gouge, and the periphery of lower deep gouge at least surrounds
Two through-holes.
Further, the plate body width is 3-5.5mm, preferably 3.5mm~3.8mm.
Further, the aperture of the through-hole is 0.7-1.3mm, and the outer diameter of preferably 0.8-1.0mm, suture are
0.400mm-0.599mm。
Further, the plate body is made of metal or medical macromolecular materials.
The present invention also provides a kind of methods for being used to prepare above-mentioned adjustable surgical implant, comprising:
One suture is provided, the first end of suture and second end are respectively penetrated from the first surface of plate body
In two different through-holes；
Suture passes around between first surface and second surface, so that locking ring is formed in the side of first surface,
The side of second surface forms fixed ring；
So that the first end and second end of suture pass through another through-hole from second surface and expose first surface, and
Across locking ring, the quantity of the suture passed through in each through-hole is less than 3；And
First end and second end are pulled, so that locking ring and fixed ring are shunk, thus by among the part of suture
Line segment is pressed between locking ring and first surface, and tissue is pressed between fixed ring and second surface.
It is effective to have the advantage that bone plate can be realized with lesser size for adjustable surgical implant provided by the invention
Fixation, reduce bone removal quantity in art, while reducing wound, be conducive to restore, and for it is necessary to revision procedures to provide advantageous item
Part；Meanwhile the suture texture provided according to the present invention, it can guarantee the strong fixation of ligament, and doctor is not necessarily to beat in art
The cumbersome work such as knot, can fix ligament, greatly shorten operating time.Also, due to the first end of suture and the second end
End is penetrated from two different through-holes, so that the both ends of locking ring are across between two through-holes, avoids occurring locking ring certainly
The risk that through-hole is detached from.
Detailed description of the invention
Fig. 1 is the structural schematic diagram according to the adjustable surgical implant of first embodiment.
Fig. 2 is the schematic diagram according to the bone plate structure of the adjustable surgical implant of first embodiment.
Fig. 3 is the schematic diagram according to a variation of the bone plate structure of the adjustable surgical implant of first embodiment.
Fig. 4 is the schematic diagram according to the another variation of the bone plate structure of the adjustable surgical implant of first embodiment.
Fig. 5 is the structural schematic diagram according to the adjustable surgical implant of second embodiment.
Fig. 6 is the floor map according to the bone plate structure of the adjustable surgical implant of second embodiment.
Fig. 7 is the stereoscopic schematic diagram according to the bone plate structure of the adjustable surgical implant of second embodiment.
Specific embodiment
Example embodiment is described more fully with reference to the drawings.However, example embodiment can be with a variety of shapes
Formula is implemented, and is not understood as limited to embodiment set forth herein；On the contrary, thesing embodiments are provided so that the present invention more
Fully and completely, and by the design of example embodiment comprehensively it is communicated to those skilled in the art.In the figure in order to clear
It is clear, it may be exaggerated the thickness of region and layer.Identical appended drawing reference indicates same or similar structure in figure, thus will save
Slightly their detailed description.
In addition, described feature, structure or characteristic can be incorporated in one or more implementations in any suitable manner
In example.In the following description, many details are provided to provide and fully understand to the embodiment of the present invention.However,
It will be appreciated by persons skilled in the art that technical solution of the present invention can be practiced without one in the specific detail or more
It is more, or can be using other methods, constituent element, material etc..In other cases, be not shown in detail or describe known features,
Material or operation are to avoid major technique intention of the invention is obscured.
The present invention provides a kind of adjustable surgical implant, for securing tissue to bone comprising bone plate structure and
Suture texture 20.
Bone plate structure includes plate body 10, and plate body 10 has opposite first surface S1 and second surface S2, bone
Hardened structure further includes at least four through-holes for running through first surface S1 and second surface S2.Wherein, in the present embodiment, first surface
S1 is lateral surface, the face far from human body side when to perform the operation, and second surface S2 is medial surface, is close to human body side
Face.Plate body 10 can be slim-lined construction, have longitudinal centre line L along its main body.
Suture texture 20 passes around the through-hole by suture and is formed, wherein suture includes first end 21, second end
Midium line segment between 22 and first end 21 and second end 22, suture is via the through-hole in first surface S1 and second
It is passed around between the S2 of surface, and forms locking ring 23 in the side of first surface S1, locking ring 23 is across two different through-holes
Between, at least four fixed ring, the first end 21 and second end 22 from second of suture are formed in the side of second surface S2
Surface S2 passes through another through-hole and exposes first surface S1, and passes through locking ring 23, the number of the suture passed through in each through-hole
Amount is less than 3, by pulling first end 21 and second end 22, so that locking ring 23 and fixed ring are shunk, thus by part
Midium line segment is pressed between locking ring 23 and first surface S1, and tissue is pressed between fixed ring and second surface S2.
In surgical procedure, plate body 10 is placed on to the outside of osseous tunnel, the second surface S2 of plate body 10 is pasted
In bone face, suture is passed around through the above way, and pulls first end 21 and second end 22, so that suture is locked ring
23 lockings, tissue (such as ligament) are fixed between fixed ring and plate body 10, so that adjustable surgical implant is firm
Admittedly be fixed in osseous tunnel.Ligament tissue is by suitable tension, so that squeezing shape between locking ring 23 and plate body 10
Cheng Jie, since this process forms biggish frictional force, so as to effectively increase the intensity of knot.Pass through locking ring and four
The collective effect of fixed ring ensure that the secure lock between ligament and bone plate structure.
The rational design of the threading mode of through-hole and suture on the bone plate structure, also, the seam passed through in each through-hole
The quantity of zygonema is less than 3, such as 2, therefore the aperture of through-hole is programmable as small as possible, the case where guaranteeing secure lock
Under, so that the size that plate size compares the fixed bone plate of conventional ligament greatly reduces, so as to reduce the size of osseous tunnel, subtract
Bone removal quantity in few art, reduces wound.
Also, since the first end of suture 21 and second end 22 are penetrated from two different through-holes, so that lock
The both ends for determining ring 23 are across between two through-holes, avoid that the risk that locking ring 23 is detached from from through-hole occurs.
Hereinafter, the structure of adjustable surgical implant is further described by two embodiments.
First embodiment
In the present embodiment, as shown in Figure 1, 2, the quantity of through-hole is 4, including first through hole H1, the second through-hole H2, third
Through-hole H3 and fourth hole H4, first end 21 and second end 22 respectively penetrate first through hole H1 and second from first surface S1
Through-hole H2 penetrates fourth hole H4 from second surface S2 jointly and exposes first surface S1 after passing around.
Wherein, two of them through-hole is located at the side of the longitudinal centre line L of plate body 10, and wherein another two through-hole is located at
The other side of the longitudinal centre line L of plate body 10.
In the present embodiment, four through-hole arrangements are as follows: the line at the center of four through-holes constitutes rectangle.
In the present embodiment, as shown in Fig. 2, first through hole H1 and fourth hole H4 is located at the longitudinal centre line of plate body 10
The side of L, the second through-hole H2 and third through-hole H3 are located at the other side of the longitudinal centre line L of plate body 10, first through hole H1
It is symmetrical arranged with fourth hole H4 and the second through-hole H2 and third through-hole H3 relative to longitudinal centre line L.First through hole H1 and
Three through-hole H3 are diagonally arranged, and the second through-hole H2 and fourth hole H4 is diagonally arranged.
In the present embodiment, as shown in Figure 1, suture to pass around mode as follows:
First end 21 and second end 22 respectively penetrate first through hole H1 and the second through-hole H2 from first surface S1, then
Third through-hole H3 is passed through jointly from second surface S2, into the side of first surface S1, thus in the side shape of second surface S2
At the first fixed ring 24 and the second fixed ring 25；Then first through hole H1 and the second through-hole H2 are respectively penetrated, into second surface
The side of S2, then fourth hole H4 is passed through jointly, consolidate to form third fixed ring 26 and the 4th in the side of second surface S2
Determine ring 27；First end 21 and second end 22 across fourth hole H4 expose first surface S1, and pass through locking ring jointly
23。
In surgical procedure, plate body 10 is placed on to the outside of osseous tunnel, by passing around first end 21 and the second end
End 22 forms locking ring 23 and fixed ring, and ligament implant is passed through and is fixed in the first fixed ring 24, the second fixed ring 25, third
In the lantern ring that ring 26 and third fixed ring 26 are formed, the first end 21 and second end 22 of suture, adjustment four are then pulled
The length of a fixed ring is securely fixed in osseous tunnel so as to pass through the ligament implant of fixed ring.
In the present embodiment, suture repeatedly passes around between first surface S1 and second surface S2, forms four fixed rings,
And the suture for passing through each through-hole is mutually pressed in first surface S1 and second surface S2 and is set, for example, forming four fixed rings
Suture is mutually pressed in second surface S2 and is set, so that fixed function is more firm.
Also, mode is passed around by special, so that the quantity of the suture passed through in each through-hole is 2, avoids leading to
Suture, which is accumulated or is unevenly distributed, in hole leads to surface irregularity, discontinuity.
In the present embodiment, for what is set according to professional standard, YY0167-2005 nonabsorbable surgery stitches the suture used
Line, outer diameter 0.500-0.599mm.The aperture of four through-holes is 0.7-1.3mm, preferably 0.8-1.0mm, plate body 10
Width is 3-5.5mm, preferably 3.5mm-3.8mm.The plate body 10 can be made of metal or medical macromolecular materials, example
Such as stainless steel, titanium alloy.Therefore, can be by the as small as possible of via design, each through-hole is interior can be abundant across 2 sutures
Through-hole is filled, can not only plate body be made to minimize, also can avoid suture line relaxation.
In the present embodiment, the first surface S1 of plate body 10 has recessed lower deep gouge 11, and the periphery of lower deep gouge 11 is extremely
Two through-holes are surrounded less.
As shown in figure 3, the periphery of lower deep gouge 11 can periphery first through hole H1 and the second through-hole H2.As shown in figure 4, lower deep gouge
It 11 periphery can periphery the second through-hole H2 and fourth hole H4.Lower deep gouge 11 can be oblong.Lower deep gouge 11 is only illustrated in figure
Two kinds of preferred embodiments, the lower deep gouge 11 can be located at plate body 10 any position, be designed with arbitrary shape, such as
Three through-holes can be surrounded, lower deep gouge 11 is triangle, as long as the locking ring 23 that can guarantee through-hole and be formed on is respectively positioned on down
In deep gouge 11, all without departing from spirit of the invention.The design of this lower deep gouge 11, when can fix ligament for accommodating suture
Formed locking ring 23 reduces soft tissue irritation, is further ensured that the stability of locking ring 23.
In the present embodiment, plate body 10 respectively further comprises towing pad 12 and tumble port 13 in two end L along the longitudinal centerline.
Towing pad 12 moves in osseous tunnel to connect draught line, guidance ligament implant；Tumble port 13 is used to connect tipping line
Osseous tunnel exit is stuck in 90 ° by ligament implant overturning.
Second embodiment
As illustrated in figs. 5-7, the main distinction of the present embodiment and first embodiment is: the present embodiment is formed with 2 lockings
Ring 23, specifically:
First through hole H1 and the second through-hole H2 is located at the side of the longitudinal centre line L of plate body 10, third through-hole H3 and
Fourth hole H4 is located at the other side of the longitudinal centre line L of plate body 10, and first through hole H1 is diagonally set with fourth hole H4
It sets, the second through-hole H2 and third through-hole H3 is diagonally arranged.
Wherein, first end 21 and second end 22 respectively penetrate first through hole H1 and the second through-hole from first surface S1
H2, thus in the side of first surface S1, the formation second lock ring 232 between first through hole H1 and the second through-hole H2, first
End 21 penetrates the side of first surface S1 from the side of second surface S2 via third through-hole H3, then via first through hole H1 into
First surface S1 across fourth hole H4 and is exposed in the side for entering second surface S2, second end 22 from second surface S2 one
Side penetrates the side of first surface S1 via third through-hole H3, then enters the side of second surface S2 via the second through-hole H2, from
And the side of first surface S1, between third through-hole H3 and the second through-hole H2 formed the first lock ring 231 then pass through
The first end 21 and second end 22 of fourth hole H4 exposes first surface S1 and sequentially passes through the first lock ring 231 and second
Locking ring 232.The first lock ring 231 and second lock ring 232 can be formed in the side of first surface S1 by entirely passing around process,
The first fixed ring 24, the second fixed ring 25, third fixed ring 26 and the 4th fixed ring 27 are formed in the side of second surface S2.So
The first end 21 and second end 22 for pulling suture afterwards, adjust the length of four fixed rings, so as to pass through fixation
The ligament implant of ring is securely fixed in osseous tunnel.
In the present embodiment, when different through-holes forms two locking rings, and this threading mode can guarantee tension implantation material,
The locking ring 231 that second 232 pairs of locking ring is formed for the first time plays the role of further compressing, it is ensured that suture is more
It is solid and stable, prevent suture knots from loosening, so as to further increase the fastness of combination.
In the present embodiment, four through-hole arrangements are as follows: the line at the center of four through-holes constitutes parallelogram.Due to through-hole
It is staggered, consequently facilitating suture passes around, is conducive to surgical procedure.
In addition, 232 forming part of the first lock ring 231 and second lock ring, can further be arranged lower deep gouge and (not show
Out), the structure of lower deep gouge is similar with first embodiment, and to this without repeating, lower deep gouge can play further to locking ring
Stabilization, while also ensuring that locking ring does not protrude from plate surface, improve life in patients.
In above-described embodiment, although only giving two kinds of sortords of four through-holes, the first, second, third He
The arrangement of fourth hole H4 is not limited thereto.It should be appreciated that quantity, the arrangement of through-hole are without being limited thereto, each through-hole can also arrange
For "-" type, cross or other irregular shapes.Also, each through-hole structure is identical, aperture may be the same or different.
It is only schematic number to the name of through-hole in above-described embodiment, putting in order for through-hole is not limited with this, each through-hole can be with
According to clockwise, can also be arranged successively according to sequence counterclockwise.In addition, the threading mode of suture is also not necessarily limited to this, only
Want can the lateral surface of plate body formed locking ring, plate body medial surface formed fixed ring pass around form and
The suture texture formed in this manner is covered by protection scope of the present invention.
Adjustable surgical implant provided by the invention, the rational design on to bone plate by way of through-hole and threading, makes
The size that plate size is obtained compared to the fixed bone plate of conventional ligament greatly reduces, and can effectively reduce bone removal quantity, reduce osseous tunnel
Size reduces wound, is conducive to restore, and for it is necessary to revision procedures to provide advantage；Meanwhile providing according to the present invention
Suture texture ensure that the strong fixation of ligament, and doctor is not necessarily to carry out the cumbersome work such as knot in art, can fix ligament,
Greatly shorten operating time.
It is particularly shown and described exemplary embodiments of the present invention above.It should be understood that the present invention is not limited to institute
Disclosed embodiment, on the contrary, it is intended to cover comprising various modifications in the spirit and scope of the appended claims
And equivalent arrangements.
Although exemplary embodiment describes the present invention with reference to several, it is to be understood that, term used is explanation and shows
Example property, term and not restrictive.The spirit or reality that can be embodied in a variety of forms due to the present invention without departing from invention
Matter, it should therefore be appreciated that above-described embodiment is not limited to any of the foregoing details, and the spirit defined by appended claims
It all should be accompanying power with the whole change and modification widely explained, therefore fallen into claim or its equivalent scope in range
Benefit requires to be covered.
Claims (12)
1. a kind of adjustable surgical implant, for securing tissue to bone comprising:
Bone plate structure, including plate body, plate body have opposite first surface and second surface, and bone plate further includes at least
4 run through the through-hole of first surface and second surface；And
Suture texture passes around the through-hole by suture and is formed, wherein suture includes first end, second end and
Midium line segment between one end and second end, suture are worn between first surface and second surface via the through-hole
Around, and locking ring is formed in the side of first surface, locking ring is across between two different through-holes, the one of second surface
Side forms at least four fixed ring, and the first end and second end of suture pass through another through-hole from second surface and expose the
One surface, and pass through locking ring, the quantity of the suture passed through in each through-hole is less than 3, by pulling first end and the
Two ends, so that locking ring and fixed ring are shunk, so that part midium line segment is pressed between locking ring and first surface, and
Tissue is pressed between fixed ring and second surface.
2. adjustable surgical implant according to claim 1, wherein the quantity of through-hole is 4, including first through hole,
Second through-hole, third through-hole and fourth hole, first end and second end respectively penetrate first through hole and from first surface
Two through-holes penetrate fourth hole jointly from second surface and expose first surface after passing around.
3. adjustable surgical implant according to claim 2, wherein two of them through-hole is located at the longitudinal direction of plate body
The side of center line, wherein another two through-hole is located at the other side of the longitudinal centre line of plate body.
4. adjustable surgical implant according to claim 3, wherein four through-hole arrangements are as follows: the center of four through-holes
Line constitute quadrangle, preferably rectangle or parallelogram.
5. adjustable surgical implant according to claim 3, wherein first through hole and fourth hole are located at plate body
Longitudinal centre line side, the second through-hole and third through-hole be located at the other side of the longitudinal centre line of plate body, and first is logical
Hole is diagonally arranged with third through-hole, and the second through-hole is diagonally arranged with fourth hole.
6. adjustable surgical implant according to claim 5, wherein first end and second end are divided from first surface
First through hole and the second through-hole are not penetrated, then passes through third through-hole jointly from second surface, into the side of first surface, are connect
Respectively penetrate first through hole and the second through-hole, into the side of second surface, then jointly pass through fourth hole and expose first
Surface, and locking ring is passed through jointly, part midium line segment forms four fixed rings in the side of second surface, wears in each through-hole
The quantity for the suture crossed is 2.
7. adjustable surgical implant according to claim 3, wherein first through hole and the second through-hole are located at plate body
Longitudinal centre line side, third through-hole and fourth hole be located at the other side of the longitudinal centre line of plate body, and first is logical
Hole is diagonally arranged with fourth hole, and the second through-hole is diagonally arranged with third through-hole.
8. adjustable surgical implant according to claim 7, wherein first end and second end are divided from first surface
First through hole and the second through-hole are not penetrated, and first end penetrates the one of first surface via third through-hole from the side of second surface
Side, then enter via first through hole the side of second surface, across fourth hole and exposes first surface, and second end is from second
The side on surface penetrates the side of first surface via third through-hole, then enters the side of second surface via the second through-hole, wears
It crosses fourth hole and exposes first surface, so that two locking rings of formation and four fixed rings, two locking rings are included in third
The first lock ring and the second lock ring between first through hole and the second through-hole between through-hole and the second through-hole pass through fourth hole
First end and second end sequentially pass through the first lock ring and second lock ring, the number of the suture passed through in each through-hole
Amount is 2.
9. adjustable surgical implant according to claim 1, wherein the first surface of the plate body has recessed
Lower deep gouge, the periphery of lower deep gouge at least surrounds two through-holes.
10. adjustable surgical implant according to claim 1, wherein the plate body width is 3-5.5mm, excellent
It is selected as 3.5mm~3.8mm.
11. adjustable surgical implant according to claim 1, wherein the aperture of the through-hole is 0.7-1.3mm, excellent
It is selected as 0.8-1.0mm.
12. a kind of method for being used to prepare adjustable surgical implant described in any one of claims 1 to 11, comprising:
One suture is provided, the first end of suture and second end are respectively penetrated two from the first surface of plate body
In different through-holes；
Suture passes around between first surface and second surface, so that locking ring is formed in the side of first surface, second
The side on surface forms fixed ring；
So that the first end and second end of suture pass through another through-hole from second surface and expose first surface, and pass through
Locking ring, the quantity of the suture passed through in each through-hole is less than 3；And
First end and second end are pulled, so that locking ring and fixed ring are shunk, thus by the part midium line segment of suture
It is pressed between locking ring and first surface, and tissue is pressed between fixed ring and second surface.
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| CN201710934783 | 2017-10-10 | ||
| CN2017109347834 | 2017-10-10 |
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| CN201820330408.9U Active CN209644978U (en) | 2017-10-10 | 2018-03-09 | A kind of adjustable surgical implant |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112315529A (en) * | 2020-11-30 | 2021-02-05 | 上海傲派医疗科技有限公司 | Loop and manufacturing method thereof |
| WO2022141779A1 (en) * | 2020-12-31 | 2022-07-07 | 上海傲派医疗科技有限公司 | Loop and manufacturing method therefor |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109646065A (en) * | 2017-10-10 | 2019-04-19 | 北京纳通医学科技研究院有限公司 | A kind of adjustable surgical implant and preparation method thereof |
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| CN209644978U (en) | 2019-11-19 |
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