CN110522500A - A kind of combined type Inferior tibiofibular joint fixed plate - Google Patents

A kind of combined type Inferior tibiofibular joint fixed plate Download PDF

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Publication number
CN110522500A
CN110522500A CN201910896997.6A CN201910896997A CN110522500A CN 110522500 A CN110522500 A CN 110522500A CN 201910896997 A CN201910896997 A CN 201910896997A CN 110522500 A CN110522500 A CN 110522500A
Authority
CN
China
Prior art keywords
plate
fixed
fibula
hole
auxiliary
Prior art date
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
CN201910896997.6A
Other languages
Chinese (zh)
Inventor
刘路平
李咏梅
李伟强
浦波
陈磊杰
刘洲
张颉
杨振东
张俊
王迎松
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Second Affiliated Hospital of Kunming Medical University
Original Assignee
Second Affiliated Hospital of Kunming Medical University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Second Affiliated Hospital of Kunming Medical University filed Critical Second Affiliated Hospital of Kunming Medical University
Priority to CN201910896997.6A priority Critical patent/CN110522500A/en
Publication of CN110522500A publication Critical patent/CN110522500A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • A61B17/8004Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
    • A61B17/8019Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones where the means are a separate tool rather than being part of the plate
    • 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

Abstract

The present invention relates to the field of medical instrument technology, especially the present invention provides a kind of combined type Inferior tibiofibular joint fixed plates, including fibula bone plate and auxiliary fixing plate, fibula plate plate body distal end is equipped at least one pressurization hole, auxiliary fixing plate includes auxiliary pressurized plate and be arranged in auxiliary pressurized plate two sides be auxiliarily fixed piece, piece is auxiliarily fixed and is fixedly connected by fixed rib with auxiliary pressurized plate, on piece is auxiliarily fixed equipped with fixation hole, there is a fixing lug boss, fixing lug boss is embedded in pressurization hole in the plate face of auxiliary pressurized plate.A kind of combined type Inferior tibiofibular joint fixed plate of the invention, distal tibial front side and rear side are fixed on by the way that piece is auxiliarily fixed, stable fixation can be formed to lower tibiofibula, and avoids the fixation using rigid spike, and it is various unfavorable fundamentally to avoid broken nail bring.

Description

A kind of combined type Inferior tibiofibular joint fixed plate
Technical field
The present invention relates to the field of medical instrument technology, especially a kind of combined type Inferior tibiofibular joint fixed plate.
Background technique
Ankle-joint all subjects very big load under the postures such as the standing of people, walking, race jump, and Inferior tibiofibular joint is to maintenance The integrity and stability of ankle-joint is of great significance.The patient of lower tibiofibula bone fracture needs to be consolidated with steel plate and steel nail Fixed, existing fixed form is usually that steel plate identical with fibula outer shape is screwed on fibula, then with one A rigidity spike, which again passes through fibula and shin bone, to be fixed, and lower tibiofibula osteodiastasis is prevented, and this fixed form later period has to take out, Otherwise spike can be broken and influences to heal, thus needed to take out broken nail, set nail again, cause secondary pain to patient.
Chinese patent CN202776523U discloses a kind of Inferior tibiofibular joint hinge type flexible retainer, is by locking spiral shell Mother, lock screw, titanium cable and outside fixture block composition;It is to pass through the matched thread cavity of screw thread with lock screw among lock nut, There is titanium cable card slot inside thread cavity, has anti-rotation protrusion outside lock nut;Outside fixture block is made of fixture block cap and fixture block bar, It is fluted on fixture block cap.The fixed component of shin bone and fibula is changed to have titanium cable flexible, is generating what extraneous movement generated Stress is absorbed by flexible titanium cable, it is not easy to fracture, patient can be made to do some simple activities, increase the recovery of lesion.But This mode, which still needs to pass through fibula and shin bone by spike, fixes, and still remains biggish broken nail risk, is unfavorable for suffering from The rehabilitation of person.
Summary of the invention
The technical problem to be solved by the present invention is fixed to solve existing pass through fibula and shin bone by spike, There are problems that biggish broken nail risk, the present invention provides a kind of combined type Inferior tibiofibular joint fixed plates, including fibula synthetism Plate and auxiliary fixing plate, fibula plate plate body distal end are equipped at least one pressurization hole, and auxiliary fixing plate includes auxiliary pressurized plate, auxiliary There is a fixing lug boss in the plate face of pressure plate, and can be embedded in pressurization hole, and to be fixed on shin bone remote by the way that piece is auxiliarily fixed End front side and rear side, can form stable fixation to lower tibiofibula, and avoid the fixation using rigid spike, fundamentally It is various unfavorable to avoid broken nail bring.
The technical solution adopted by the present invention to solve the technical problems is: a kind of combined type Inferior tibiofibular joint fixed plate, It is characterized in that including: fibula bone plate and auxiliary fixing plate,
The fibula bone plate includes integrally formed fibula wrench portion and fibula plate plate body, and fibula wrench portion has several A screw hole for being used to fix distal fibular, the fibula plate plate have several lockings for fixing glue fibula with it Forcing screw hole, the fibula plate plate body distal end are equipped at least one pressurization hole,
The auxiliary fixing plate includes auxiliary pressurized plate and is arranged in auxiliary pressurized plate two sides, for being fixed on front side of distal tibial With the piece that is auxiliarily fixed of rear side, the piece that is auxiliarily fixed is fixedly connected by fixing rib with auxiliary pressurized plate, and the auxiliary is solid At least provided with a fixation hole on stator, there is a fixing lug boss in the plate face of the auxiliary pressurized plate, the fixing lug boss is embedding It is located in pressurization hole.
Preferably, the pressurization hole is waist-shaped hole, the shape of the fixing lug boss and the shape in pressurization hole match, institute State fixing lug boss and pressurization hole has the gap of 0.1-2mm on fibula bone plate length direction.
Preferably, the fixing lug boss has long axis and short axle, the two fixed ribs are located at fixing lug boss Long axis two sides, and it is located at the short axle two sides of fixing lug boss.
Preferably, the direction of fixing lug boss is shin bone middle line direction in the pressurization hole.
Preferably, the auxiliary pressurized plate, which is equipped with, is fixed on the via hole on fibula convenient for auxiliary pressurized plate, it is described Via hole runs through auxiliary pressurized plate and fixing lug boss, and the via hole is waist-shaped hole, the long axis direction of via hole and fibula synthetism The length direction of plate is consistent.
Preferably, the auxiliary fixing plate is with a thickness of 1.5-2.5mm, preferably 2mm.
, a kind of combined type Inferior tibiofibular joint fixed plate as claimed in claim, it is characterised in that: the fixed rib is thick Degree and auxiliary fixing plate consistency of thickness, the cross-sectional edge of the fixed rib are round and smooth curve ring.
Preferably, the on piece that is auxiliarily fixed at least is additionally provided with a locking compress hole.
Preferably, pressurization hole distal end is additionally provided with the lower tibiofibula spike bores being connected to pressurization hole.
The beneficial effects of the present invention are:
(1) a kind of combined type Inferior tibiofibular joint fixed plate of the invention, comprising: fibula bone plate and auxiliary fixing plate, fibula plate Plate body distal end is equipped at least one pressurization hole, and auxiliary fixing plate includes auxiliary pressurized plate, has one in the plate face of auxiliary pressurized plate Fixing lug boss, and can be embedded in pressurization hole, and be fixed on distal tibial front side and rear side by the way that piece is auxiliarily fixed, it can be under Shin calf forms stable fixation, and avoids the fixation using rigid spike, and it is various fundamentally to avoid broken nail bring It is unfavorable.
(2) a kind of combined type Inferior tibiofibular joint fixed plate of the invention is auxiliarily fixed piece equipped with two panels, is separately fixed at shin The front side of bone distal end and rear side, structure is relatively stable, will not pull, be avoided due to lower tibiofibula bone to fibula bone plate Movement, brings drawing stress to fibula bone plate, is unfavorable for the recovery of lower tibiofibula bone fracture.
Detailed description of the invention
Present invention will be further explained below with reference to the attached drawings and examples.
Fig. 1 is a kind of structural schematic diagram of combined type Inferior tibiofibular joint fixed plate of the invention;
Fig. 2 is the perspective view of auxiliary fixing plate of the invention;
Fig. 3 is a kind of local cutting structural schematic diagram of combined type Inferior tibiofibular joint fixed plate of the invention
In figure: 1. fibula bones plate, 11. fibula wrench portions, 12. fibula plate plate bodies, 13. screw holes, 14. pressurization holes, 15, Locking compress screw hole, 2. auxiliary fixing plates, 21. auxiliary pressurized plates, 22. are auxiliarily fixed piece, and 23. fixed ribs, 24. is fixed Hole, 25. fixing lug boss, 26. via holes, 3. lower tibiofibula spike bores, the gap M..
Specific embodiment
In conjunction with the accompanying drawings, the present invention is further explained in detail.These attached drawings are simplified schematic diagram, only with Illustration illustrates basic structure of the invention, therefore it only shows the composition relevant to the invention.
As shown in Figure 1 and Figure 2, a kind of combined type Inferior tibiofibular joint fixed plate, characterized by comprising: 1 He of fibula bone plate Auxiliary fixing plate 2,
Fibula bone plate 1 includes integrally formed fibula wrench portion 11 and fibula plate plate body 12, and fibula wrench portion 11 has several It is a for fixing the screw hole 13 of distal fibular, the locking of fixing glue fibula is used on fibula plate plate body 12 with several Forcing screw hole 13,12 distal end of fibula plate plate body are equipped at least one pressurization hole 14,
Auxiliary fixing plate 2 includes auxiliary pressurized plate 21 and is arranged before 21 two sides of auxiliary pressurized plate, for being fixed on distal tibial Piece 22 is auxiliarily fixed in side and rear side, piece 22 is auxiliarily fixed passes through fixed rib 23 and be fixedly connected with auxiliary pressurized plate 21, auxiliary At least provided with a fixation hole 24 on fixinig plate 22, there is a fixing lug boss 25, fixing lug boss in the plate face of auxiliary pressurized plate 21 25 are embedded in pressurization hole 14.
The fixation rib 23 that rib 23 is partially thin rigidity is wherein fixed, when fixed rib 23 designs, is fixed meeting Under the premise of mechanical property, thin as far as possible or flattening can be effectively reduced the protuberance of the region of anatomy, be conducive to anatomy portion The suture of position, is more conducive to the recovery of fracture.
As shown in figure 3, in a specific embodiment, pressurization hole 14 is waist-shaped hole, the shape of fixing lug boss 25 with plus The shape in pressure hole 14 matches, and there is the gap 0.1-2mm in fixing lug boss 25 and pressurization hole 14 on 1 length direction of fibula bone plate M.In this embodiment, the gap M of fixing lug boss 25 and pressurization hole 14 on 1 length direction of fibula bone plate is 1mm.It can To guarantee to have certain fine motion between fibula bone plate 1 and auxiliary fixing plate 2, can effectively buffer suffered by fixed rib 23 Power can extend the service life of fixed rib 23, not will cause the fracture of fixing muscle item 23.
In a specific embodiment, fixing lug boss 25 has long axis and short axle, and two fixed ribs 23 are located at solid Determine the long axis two sides of boss 25, and is located at the short axle two sides of fixing lug boss 25.
By the drawing of fixed rib 23, the microvoid that can make up fixing lug boss 25 between hole 14 of pressurizeing be ensure that Fixed stability;Under normal circumstances, lower tibiofibula fracture anatomy direction is consistent with shin bone or fibula direction, auxiliary pressurized plate 21 1 two sides of fibula bone plate can be arranged in two fixed ribs 23, and fixed rib 23 can generate the region of anatomy in respective side Certain protuberance, if fixed rib 23 is located at the same position of 21 two sides of auxiliary pressurized plate, the protuberance of generation can be increased, More it is unfavorable for the sewing work in later period, however, if two fixed ribs 23 to be located to the long axis two sides of fixing lug boss 25, And it is located at the short axle two sides of fixing lug boss 25, it is possible to prevente effectively from the generation of this problem.
In a specific embodiment, the direction of fixing lug boss 25 is shin bone middle line direction in pressurization hole 14.In conjunction with two The holding of fixed rib 23, it is power is effective, lasting to be applied on fibula, be conducive to fixed stability.
In a specific embodiment, auxiliary pressurized plate 21 is equipped with is fixed on fibula convenient for auxiliary pressurized plate 21 Via hole 26, via hole 26 run through auxiliary pressurized plate 21 and fixing lug boss 25, and via hole 26 is waist-shaped hole, the long axis of via hole 26 Direction is consistent with the length direction of fibula bone plate 1.When in use can be fixed by auxiliary pressurized plate 21 by via hole 26, so Piece 22 will be auxiliarily fixed again afterwards and be fixed on front side of shin bone and rear side, be more conducive to the progress of operation, and via hole 26 is selected Be waist-shaped hole, after making to be screwed, certain fine motion is also formed between screw and via hole 26, will not be to fibula synthetism Fine motion between plate 1 and auxiliary fixing plate 2 impacts.
In a specific embodiment, auxiliary fixing plate 2 is with a thickness of 1.5-2.5mm.In this embodiment, it assists Fixed plate 2 is with a thickness of 2mm.
In a specific embodiment, fixed 23 thickness of rib and 2 consistency of thickness of auxiliary fixing plate, fixed rib 23 Cross-sectional edge is round and smooth curve ring.So that fixed rib 23 is not generated stress defect in this way, and then leads to fixed rib 23 Fracture ensure that the fixation of fixed rib 23 is more efficient persistently.
In a specific embodiment, it is auxiliarily fixed on piece 22 and is at least additionally provided with a locking compress hole.
In a specific embodiment, pressurization 14 distal end of hole is additionally provided with the lower tibiofibula spike bores 3 being connected to pressurization hole 14.
Taking the above-mentioned ideal embodiment according to the present invention as inspiration, through the above description, relevant staff is complete Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention Property range is not limited to the contents of the specification, it is necessary to which the technical scope thereof is determined according to the scope of the claim.

Claims (9)

1. a kind of combined type Inferior tibiofibular joint fixed plate, characterized by comprising: fibula bone plate (1) and auxiliary fixing plate (2),
The fibula bone plate (1) includes integrally formed fibula wrench portion (11) and fibula plate plate body (12), the fibula plate There are several to be used to fix the screw hole (13) of distal fibular on head (11), the fibula plate plate body (12) if on have Dry is used for the locking compress screw hole (13) of fixing glue fibula, and the fibula plate plate body (12) is distally equipped at least one pressurization Hole (14),
The auxiliary fixing plate (2) includes auxiliary pressurized plate (21) and is arranged in auxiliary pressurized plate (21) two sides, for being fixed on Distal tibial front side is auxiliarily fixed piece (22) with rear side, and described be auxiliarily fixed piece (22) pass through fixed rib (23) and assist adding Pressing plate (21) is fixedly connected, described to be auxiliarily fixed on piece (22) at least provided with a fixation hole (24), the auxiliary pressurized plate (21) there are a fixing lug boss (25) in plate face, the fixing lug boss (25) is embedded in pressurization hole (14).
2. a kind of combined type Inferior tibiofibular joint fixed plate as described in claim 1, it is characterised in that: the pressurization hole (14) is Waist-shaped hole, the shape of the fixing lug boss (25) and the shape of pressurization hole (14) match, the fixing lug boss (25) and pressurization Hole (14) has the gap 0.1-2mm (M) on fibula bone plate (1) length direction.
3. a kind of combined type Inferior tibiofibular joint fixed plate as claimed in claim 2, it is characterised in that: the fixing lug boss (25) With long axis and short axle, the two fixed ribs (23) are located at the long axis two sides of fixing lug boss (25), and are located at and fix The short axle two sides of boss (25).
4. a kind of combined type Inferior tibiofibular joint fixed plate as claimed in claim 2, it is characterised in that: in the pressurization hole (14) The direction of fixing lug boss (25) is shin bone middle line direction.
5. a kind of combined type Inferior tibiofibular joint fixed plate as described in claim 1, it is characterised in that: the auxiliary pressurized plate (21) it is equipped with and is fixed on the via hole (26) on fibula convenient for auxiliary pressurized plate (21), the via hole (26) adds through auxiliary Pressing plate (21) and fixing lug boss (25), the via hole (26) are waist-shaped hole, the long axis direction of via hole (26) and fibula synthetism The length direction of plate (1) is consistent.
6. a kind of combined type Inferior tibiofibular joint fixed plate as described in claim 1, it is characterised in that: the auxiliary fixing plate (2) with a thickness of 1.5-2.5mm, preferably 2mm.
7. a kind of combined type Inferior tibiofibular joint fixed plate as claimed in claim 6, it is characterised in that: the fixed rib (23) Thickness and auxiliary fixing plate (2) consistency of thickness, the cross-sectional edge of the fixed rib (23) are round and smooth curve ring.
8. a kind of combined type Inferior tibiofibular joint fixed plate as described in claim 1, it is characterised in that: described that piece is auxiliarily fixed (22) a locking compress hole is at least additionally provided on.
9. a kind of combined type Inferior tibiofibular joint fixed plate as described in claim 1, it is characterised in that: the pressurization hole (14) is remote End is additionally provided with the lower tibiofibula spike bores (3) being connected to pressurization hole (14).
CN201910896997.6A 2019-09-23 2019-09-23 A kind of combined type Inferior tibiofibular joint fixed plate Pending CN110522500A (en)

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CN201910896997.6A CN110522500A (en) 2019-09-23 2019-09-23 A kind of combined type Inferior tibiofibular joint fixed plate

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Application Number Priority Date Filing Date Title
CN201910896997.6A CN110522500A (en) 2019-09-23 2019-09-23 A kind of combined type Inferior tibiofibular joint fixed plate

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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CN107260291A (en) * 2017-08-09 2017-10-20 河海大学常州校区 A kind of new arch locking bone fracture plate nail system
CN206714814U (en) * 2016-12-27 2017-12-08 周强 Bone plate on the outside of a kind of proximal tibia
CN107496020A (en) * 2017-09-29 2017-12-22 赵德伟 A kind of degradable pure magnesium metal bone fracture plate fixed for Long bone fracture
CN109288575A (en) * 2018-09-30 2019-02-01 创美得医疗器械(天津)有限公司 A kind of distal fibular Type B fracture band flank encircling bone bonding plate
CN109316232A (en) * 2018-10-31 2019-02-12 济南大学 Proximal tibia locking bone fracture plate
CN109528281A (en) * 2018-09-30 2019-03-29 创美得医疗器械(天津)有限公司 Distal fibular c-type fracture band flank locks synthetism structure
CN208910451U (en) * 2018-03-15 2019-05-31 浙江科惠医疗器械股份有限公司 Multi-functional wing external malleolus dissects lockplate
CN210871981U (en) * 2019-09-23 2020-06-30 昆明医科大学第二附属医院 Combined type lower tibiofibula combined fixing plate

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5190545A (en) * 1991-08-27 1993-03-02 Pfizer Hospital Products Group, Inc. Cerclage wire positioning insert
CN1698547A (en) * 2005-06-09 2005-11-23 中国人民解放军第三军医大学第三附属医院 Dot contacting locked pressurized bone plate
US20080183172A1 (en) * 2007-01-26 2008-07-31 Zimmer Technology, Inc. Retention feature for plate guides
CN101854873A (en) * 2007-11-13 2010-10-06 新特斯有限责任公司 Periprosthetic fracture repair
US20130274812A1 (en) * 2008-07-25 2013-10-17 DePuy Synthes Products, LLC Minimally invasive implant and crimping system
US20140107798A1 (en) * 2012-04-05 2014-04-17 Orthohelix Surgical Designs, Inc. Lateral ankle fusion plate system and jig, and method for use therewith
CN202776523U (en) * 2012-08-31 2013-03-13 姚树智 Fixing device for lower tibiofibula locking titanium cable and dedicated countersink drill
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CN107496020A (en) * 2017-09-29 2017-12-22 赵德伟 A kind of degradable pure magnesium metal bone fracture plate fixed for Long bone fracture
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CN109288575A (en) * 2018-09-30 2019-02-01 创美得医疗器械(天津)有限公司 A kind of distal fibular Type B fracture band flank encircling bone bonding plate
CN109528281A (en) * 2018-09-30 2019-03-29 创美得医疗器械(天津)有限公司 Distal fibular c-type fracture band flank locks synthetism structure
CN109316232A (en) * 2018-10-31 2019-02-12 济南大学 Proximal tibia locking bone fracture plate
CN210871981U (en) * 2019-09-23 2020-06-30 昆明医科大学第二附属医院 Combined type lower tibiofibula combined fixing plate

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