CN110584766A - Funnel chest steel sheet system - Google Patents
Funnel chest steel sheet system Download PDFInfo
- Publication number
- CN110584766A CN110584766A CN201910998233.8A CN201910998233A CN110584766A CN 110584766 A CN110584766 A CN 110584766A CN 201910998233 A CN201910998233 A CN 201910998233A CN 110584766 A CN110584766 A CN 110584766A
- Authority
- CN
- China
- Prior art keywords
- plate
- arc
- fixed
- stiff end
- connecting plate
- 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
Links
- 229910000831 Steel Inorganic materials 0.000 title claims abstract description 32
- 239000010959 steel Substances 0.000 title claims abstract description 32
- 208000002325 Funnel Chest Diseases 0.000 title claims abstract description 20
- 210000001562 sternum Anatomy 0.000 claims abstract description 10
- 238000003780 insertion Methods 0.000 claims description 8
- 230000037431 insertion Effects 0.000 claims description 8
- 210000000038 chest Anatomy 0.000 abstract description 8
- 230000000740 bleeding effect Effects 0.000 abstract description 3
- 230000002980 postoperative effect Effects 0.000 abstract description 3
- 230000002612 cardiopulmonary effect Effects 0.000 abstract description 2
- 238000012423 maintenance Methods 0.000 abstract 1
- 238000004393 prognosis Methods 0.000 abstract 1
- 238000000034 method Methods 0.000 description 7
- 210000000988 bone and bone Anatomy 0.000 description 6
- 230000000399 orthopedic effect Effects 0.000 description 4
- 238000005452 bending Methods 0.000 description 3
- 238000010030 laminating Methods 0.000 description 3
- 210000000779 thoracic wall Anatomy 0.000 description 2
- 206010059011 Rib deformity Diseases 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000036244 malformation Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000001356 surgical procedure Methods 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
- A61B17/56—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
- A61B17/8004—Cortical 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
-
- 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
- A61B17/8061—Cortical 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
- A61B17/8076—Cortical 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 for the ribs or the sternum
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The application discloses funnel chest steel sheet system includes T shape mainboard and T shape subplate through dismantling fixed connection, T shape mainboard includes first stiff end and arc, first stiff end is fixed in the rib, the arc supports the breastbone, T shape subplate includes second stiff end and connecting plate, the second stiff end is kept away from first stiff end is fixed in the rib, connecting plate fixed connection in the arc is kept away from the one end of first stiff end, the connecting plate with it is fixed through countersunk screw between the arc, the connecting plate with top surface, bottom surface between the arc keep level respectively. The invention has the advantages of small incision, small wound, no need of osteotomy, maintenance of the integrity and stability of the thorax, less bleeding, capability of simultaneously correcting the appearance of the thorax and effectively improving the cardio-pulmonary function, and good postoperative prognosis.
Description
Technical Field
The application relates to orthopedic surgery, in particular to a funnel chest steel plate system.
Background
The principle of bone plate orthopedics is that a corresponding bone plate is selected to be placed at a corresponding bone part according to the bone malformation condition of a patient, a steel plate and the bone are correspondingly fixed through screws, the bone is forced to be corrected and grown in a normal direction, and the steel plate is taken out after being consolidated for a certain time, so that the patient can be completely recovered.
The sternum and rib deformity of partial funnel chest patients is special, the operation incision is large, the bleeding is much, the wound is large when the existing steel plate is used for fixing with the skeleton, the operation difficulty of the patients is complex, the operation time is long, the later recovery effect is not ideal, and the operation is complex when the steel plate is taken in the later period.
Disclosure of Invention
The invention aims to provide a funnel chest steel plate system which is specially used for orthopedic sternum and ribs.
In order to achieve the above object, the present invention provides the following technical solutions.
The embodiment of the application discloses funnel chest steel sheet system, include T shape mainboard and T shape subplate through dismantling fixed connection, T shape mainboard includes first stiff end and arc, first stiff end is fixed in the rib, the arc supports the breastbone, T shape subplate includes second stiff end and connecting plate, the second stiff end is kept away from first stiff end is fixed in the rib, connecting plate fixed connection in the arc is kept away from the one end of first stiff end, the connecting plate with it is fixed through countersunk screw between the arc, the connecting plate with top surface, bottom surface between the arc keep level respectively.
Preferably, in foretell funnel chest steel sheet system, the connecting plate include first picture peg and be formed at the second picture peg of first picture peg top surface, second picture peg width is less than first picture peg, first picture peg is kept away from with the second picture peg one side of second stiff end forms semi-circular, the arc connect in the one end surface of connecting plate is formed with the laminating second picture peg male second slot, second slot below is formed with the laminating first picture peg male first slot, second picture peg top surface with the arc top surface is kept level.
More preferably, in foretell funnel chest steel sheet system, the arc is connected one side of connecting plate is formed with the third picture peg, the second slot form in third picture peg top, second stiff end bottom surface forms the laminating third picture peg male third slot, third picture peg bottom surface with second stiff end bottom surface is held level.
More preferably, in the funnel chest steel plate system, a first screw hole connected with the countersunk head screw is formed on the surface of the second fixing end and the third inserting plate.
More preferably, in the funnel chest steel plate system, second screw holes are respectively formed on the second fixing end surface on two sides of the first screw hole.
Preferably, in the funnel chest steel plate system, the first fixing end surface is formed with three third screw holes arranged in an extending direction.
Compared with the prior art, the invention has the advantages that the incision is small (about 3-4 cm), the whole operation time is short, the bleeding is less, the steel plate does not have a violent overturning process in the body, the integrity and the stability of the thorax are kept, the appearance of the thorax can be simultaneously corrected, the cardio-pulmonary function can be effectively improved, and particularly, the growth and the development of children cannot be influenced; in addition, because the wound is small, the stability of the steel plate is good, the postoperative patient can properly lie on the side without the need of only lying down like the traditional postoperative patient.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments described in the present application, and other drawings can be obtained by those skilled in the art without creative efforts.
FIG. 1 is a schematic exploded view of a funnel chest steel plate system according to an embodiment of the present invention;
fig. 2 is a schematic structural view of a T-shaped sub-plate in an embodiment of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be described in detail below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.
In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Referring to fig. 1-2, the steel plate system for funnel chest comprises a T-shaped main plate 100 and a T-shaped auxiliary plate 200 which are detachably and fixedly connected, the T-shaped main plate 100 comprises a first fixing end 110 and an arc-shaped plate 120, the first fixing end 110 is fixed to a rib, the arc-shaped plate 120 supports a sternum, the T-shaped auxiliary plate 200 comprises a second fixing end 210 and a connecting plate 220, the second fixing end 210 is far away from the first fixing end 110 and is fixed to the rib, the connecting plate 220 is fixedly connected to one end of the arc-shaped plate 120 far away from the first fixing end 110, the connecting plate 220 and the arc-shaped plate 120 are fixed through a countersunk head screw (not shown), and the top surface and the bottom surface between the connecting plate. The connecting plate 220 includes a first inserting plate 221 and a second inserting plate 222 formed on the top surface of the first inserting plate 221, the width of the second inserting plate 222 is smaller than that of the first inserting plate 221, the sides of the first inserting plate 221 and the second inserting plate 222 far away from the second fixing end 210 form a semicircle, a second inserting groove 122 attached to the second inserting plate 222 and inserted into the second inserting plate is formed on the surface of one end of the arc plate 120 connected to the connecting plate 220, a first inserting groove 121 attached to the first inserting plate 221 and inserted into the second inserting groove 122 is formed below the second inserting groove 122, and the top surface of the second inserting plate 222 is flush with the top surface of. A third inserting plate 123 is formed on one side of the arc-shaped plate 120, which is connected with the connecting plate 220, a second inserting groove 122 is formed above the third inserting plate 123, a third inserting groove 211 which is inserted by being attached to the third inserting plate 123 is formed on the bottom surface of the second fixing end 210, and the bottom surface of the third inserting plate 123 is flush with the bottom surface of the second fixing end 210. The third insertion plate 123 and the second fixing end 210 are formed with a first screw hole 300 for countersunk screw connection. The second fixing end 210 has second screw holes 212 formed on two sides of the first screw hole 300. The first fixing end 110 has three third screw holes 111 formed in the surface thereof in an extending direction.
The system is specially used for orthopedic sternum and ribs, and consists of three parts, namely a T-shaped main plate 100, a T-shaped auxiliary plate 200 and a countersunk screw (not shown), wherein the combination part of the T-shaped main plate and the T-shaped auxiliary plate adopts an embedded type, three groups of slots and plugboards are designed, the connection accuracy and reliability are ensured, the surface is level, and the T-shaped main plate and the T-shaped auxiliary plate are fixed by an M4 countersunk screw, so that the main plate and the auxiliary plate are tightly combined, the position is accurately fixed, the outer surface is smooth, and no step or concave-convex feeling exists.
The operation of the early and later stages of the system is the same as that of the conventional steel plate operation, and the difference lies in the operation in the middle stage of the operation, which is as follows:
1, a doctor firstly selects steel plates with different widths or lengths according to the size of the thorax of a patient, the system provides steel plates with various models, wherein the length of a wide (16mm) steel plate is 200-280 mm, and the length of a narrow (13mm) steel plate is 120-190 mm.
2, the selected T-shaped main board is compared with the shape of the thorax of the patient, the two sides of the T-shaped main board are attached to the chest wall, if the T-shaped main board is not attached, the bending fine adjustment is carried out on the T-shaped main board by using a board bending device, the thickness of the T-shaped main board of the system is 4mm, the strength is moderate, the support for the sternum is ensured, and the sternum cannot rebound due to insufficient force during the bending fine adjustment.
3, cutting an incision (about 3-4 cm) with proper size at proper positions on the lateral walls of the thorax at two sides, slowly inserting the arc-shaped plate into the incision at one side, placing the T-shaped auxiliary plate into the incision at the other side of the thorax, inserting the three groups of slots and the inserting plate, and screwing the M4 countersunk head screws to fix the main plate and the auxiliary plate.
4, slowly turning the T-shaped main plate by 180 degrees by using a special instrument, and jacking up the sternum so as to enable the chest wall to achieve the expected shape.
And 5, properly adjusting the position of the steel plate, reaching the ideal position and fixing the steel plate on the rib.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.
The foregoing is directed to embodiments of the present application and it is noted that numerous modifications and adaptations may be made by those skilled in the art without departing from the principles of the present application and are intended to be within the scope of the present application.
Claims (6)
1. The utility model provides a funnel chest steel sheet system, its characterized in that includes T shape mainboard and T shape subplate through dismantling fixed connection, T shape mainboard includes first stiff end and arc, first stiff end is fixed in the rib, the arc supports the breastbone, T shape subplate includes second stiff end and connecting plate, the second stiff end is kept away from first stiff end is fixed in the rib, connecting plate fixed connection in the arc is kept away from the one end of first stiff end, the connecting plate with it is fixed through countersunk screw between the arc, the connecting plate with top surface, bottom surface between the arc keep level respectively.
2. The steel plate system for the funnel chest as claimed in claim 1, wherein the connecting plate comprises a first inserting plate and a second inserting plate formed on the top surface of the first inserting plate, the width of the second inserting plate is smaller than that of the first inserting plate, the first inserting plate and the second inserting plate are far away from one side of the second fixed end to form a semicircle, the arc plate is connected to one end surface of the connecting plate to form a fit with the second inserting plate inserting second slot, a fit with the first inserting slot of the first inserting plate is formed below the second slot, and the top surface of the second inserting plate is flush with the top surface of the arc plate.
3. The steel plate system for funnel chests according to claim 2, wherein a third insertion plate is formed at one side of the arc plate connected with the connecting plate, the second insertion groove is formed above the third insertion plate, the bottom surface of the second fixed end is formed to be attached to the third insertion plate, the third insertion plate is inserted into the third insertion groove, and the bottom surface of the third insertion plate is flush with the bottom surface of the second fixed end.
4. The funnel chest steel plate system of claim 3, wherein the third insert plate and the second fixing end surface are formed with first screw holes to which the countersunk screws are coupled.
5. The funnel chest steel plate system of claim 4, wherein said second fixing end surface is formed with second screw holes at both sides of said first screw holes, respectively.
6. The funnel chest steel plate system of claim 1, wherein said first fixed end surface is formed with three third threaded holes aligned in the extending direction.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910998233.8A CN110584766A (en) | 2019-10-21 | 2019-10-21 | Funnel chest steel sheet system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910998233.8A CN110584766A (en) | 2019-10-21 | 2019-10-21 | Funnel chest steel sheet system |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110584766A true CN110584766A (en) | 2019-12-20 |
Family
ID=68851538
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910998233.8A Pending CN110584766A (en) | 2019-10-21 | 2019-10-21 | Funnel chest steel sheet system |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN110584766A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112057155A (en) * | 2020-08-28 | 2020-12-11 | 中南大学湘雅医院 | Funnel chest orthopedic system |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2400159C1 (en) * | 2009-06-02 | 2010-09-27 | Учреждение Российской академии медицинских наук Научный центр здоровья детей РАМН (НЦЗД РАМН) | Method of pectus excavatum surgical management |
| WO2011017962A1 (en) * | 2009-08-14 | 2011-02-17 | 上海交通大学医学院附属新华医院 | Steel plate for funnel chest orthopaedic surgery |
| CN202044327U (en) * | 2011-01-12 | 2011-11-23 | 首都医科大学附属北京儿童医院 | Minimally invasive sternal rib settling operation apparatus for pigeon breast patient |
| CN203677233U (en) * | 2013-12-12 | 2014-07-02 | 周建明 | Internal fixation steel plate system for minimally invasive pectus excavatum correction |
| CN204600644U (en) * | 2015-04-15 | 2015-09-02 | 李国庆 | A kind of novel funnel chest corrects steel plate |
| RU160899U1 (en) * | 2015-08-21 | 2016-04-10 | Государственное автономное учреждение здравоохранения "Республиканская клиническая больница Министерства здравоохранения Республики Татарстан" | BREAST CELL STABILIZATION PLATE |
| CN206566006U (en) * | 2016-11-30 | 2017-10-20 | 北京大学深圳医院 | A kind of funnel chest supporting rack |
| CN211023044U (en) * | 2019-10-21 | 2020-07-17 | 江苏艾迪尔医疗科技股份有限公司 | Funnel chest steel sheet system |
-
2019
- 2019-10-21 CN CN201910998233.8A patent/CN110584766A/en active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2400159C1 (en) * | 2009-06-02 | 2010-09-27 | Учреждение Российской академии медицинских наук Научный центр здоровья детей РАМН (НЦЗД РАМН) | Method of pectus excavatum surgical management |
| WO2011017962A1 (en) * | 2009-08-14 | 2011-02-17 | 上海交通大学医学院附属新华医院 | Steel plate for funnel chest orthopaedic surgery |
| CN202044327U (en) * | 2011-01-12 | 2011-11-23 | 首都医科大学附属北京儿童医院 | Minimally invasive sternal rib settling operation apparatus for pigeon breast patient |
| CN203677233U (en) * | 2013-12-12 | 2014-07-02 | 周建明 | Internal fixation steel plate system for minimally invasive pectus excavatum correction |
| CN204600644U (en) * | 2015-04-15 | 2015-09-02 | 李国庆 | A kind of novel funnel chest corrects steel plate |
| RU160899U1 (en) * | 2015-08-21 | 2016-04-10 | Государственное автономное учреждение здравоохранения "Республиканская клиническая больница Министерства здравоохранения Республики Татарстан" | BREAST CELL STABILIZATION PLATE |
| CN206566006U (en) * | 2016-11-30 | 2017-10-20 | 北京大学深圳医院 | A kind of funnel chest supporting rack |
| CN211023044U (en) * | 2019-10-21 | 2020-07-17 | 江苏艾迪尔医疗科技股份有限公司 | Funnel chest steel sheet system |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112057155A (en) * | 2020-08-28 | 2020-12-11 | 中南大学湘雅医院 | Funnel chest orthopedic system |
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