CN111150476A - Degradable rib bone fracture plate - Google Patents

Degradable rib bone fracture plate Download PDF

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Publication number
CN111150476A
CN111150476A CN201910189579.3A CN201910189579A CN111150476A CN 111150476 A CN111150476 A CN 111150476A CN 201910189579 A CN201910189579 A CN 201910189579A CN 111150476 A CN111150476 A CN 111150476A
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main body
bone fracture
bone
plate main
fracture plate
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CN201910189579.3A
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Chinese (zh)
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郭占林
张满
王宇飞
田燕
卓纳
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    • 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
    • A61B17/8076Cortical 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

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  • 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)
  • Materials For Medical Uses (AREA)

Abstract

The invention discloses a degradable rib bone fracture plate which is characterized by comprising a strip-shaped bone fracture plate main body made of biodegradable materials, wherein the plate surface of the bone fracture plate main body is provided with a U-shaped radian, and two opposite side ends of the bone fracture plate main body are arc-shaped; wire clamping grooves are correspondingly formed in the other two opposite side ends of the bone fracture plate main body; the inner plate surface of the bone fracture plate main body is uniformly distributed with bulges. Has the advantages that: the rib bone fracture plate is biodegradable, anti-slip, capable of promoting bone healing and adhesion performance, and simultaneously free of clamping and pressing nerves and blood vessels, can meet the mechanical property requirement of fracture internal fixation, can realize natural degradation of the bone fracture plate in vivo, and can simultaneously avoid clamping and pressing the nerves and the blood vessels, thereby greatly reducing the pain and the risk of patients.

Description

Degradable rib bone fracture plate
The technical field is as follows:
the invention relates to a medical consumable, in particular to a degradable rib bone fracture plate.
Background art:
rib fractures are the most common trauma to the chest, requiring surgical fixation for rib fractures with severe displacement affecting respiratory cycle function. Currently, rib fixation devices can be broadly classified into two types, a metal alloy type and an absorbable material, according to the type of material. The metal rib fixation device is usually made of stainless steel, titanium metal, titanium alloy, and other materials. The metal device has reliable fixing effect, but can cause local displacement, fracture or tissue inflammation, and simultaneously causes pain due to nerve clamping and pressing; it may also cause local osteoporosis, limiting bone growth in children. In addition, the metal foreign bodies in the body can cause the ray to be incapable of penetrating, and the future diagnosis and treatment of the patient are influenced. The use of degradable materials for internal fixation of the rib has become a trend in current development. The absorbable material may be gradually absorbed by the living body, gradually resulting in a transfer of mechanical pressure from the internal fixation device to the surrounding soft tissue, with the stress of the absorbable device gradually decreasing.
The absorbable rib nail used clinically at present comprises a poly-L-lactic acid absorbable intrarib nail and the like, and the absorbable rib nail is placed after the marrow is enlarged in the operation and then the suture is reinforced after the rib is drawn together in an alignment way. The fixing device needs to be arranged in a rib medullary cavity, and rib cortex is easy to split or break when the rib medullary cavity is enlarged or a rib nail is arranged in the medullary cavity; meanwhile, the fixing device is not suitable for being applied to patients with irregular fracture ends and multiple fractures, and the fixing effect is poor. In addition, the novel patent adopts an absorbable material to prepare a claw-shaped bone fracture plate, and the fixing device is inconvenient to use and is particularly not suitable for minimally invasive rib fixation; the clamping and pressing problem of the intercostal neurovascular can not be solved, and the device is not suitable for the application to the fracture of a plurality of ribs and the comminuted fracture of long and multiple ribs.
The invention content is as follows:
aiming at the defects that in the prior art, most of fixed objects are metal foreign bodies, the absorbable fixing device is inconvenient to use or limited in adaptation diseases, the periosteum is damaged to affect healing, clamping pressure is caused on nerve and blood vessels, postoperative pain is caused, and the like, the invention aims to provide the biodegradable rib bone fracture plate which is biodegradable, anti-slip, capable of promoting bone healing and adhesion, and capable of not clamping and pressing the nerves and the blood vessels, not only can meet the mechanical property requirement of internal fixation of fracture, but also can realize natural degradation of the bone fracture plate in vivo, and simultaneously can avoid clamping and pressing on the nerve and blood vessels, so that the pain and risk of a patient are greatly reduced.
The invention is implemented by the following technical scheme: a degradable rib bone fracture plate comprises a strip-shaped bone fracture plate main body made of biodegradable materials, wherein the plate surface of the bone fracture plate main body is provided with a U-shaped radian consistent with the radian of the outer side surface of a rib, and two opposite side ends of the bone fracture plate main body are arc-shaped; wire clamping grooves are correspondingly formed in the other two opposite side ends of the bone fracture plate main body; the inner plate surface of the bone fracture plate main body is uniformly distributed with bulges.
Preferably, the number of the bone fracture plate main bodies is more than two, the inner plate surface of the bone fracture plate main body is provided with a clamping seat, and the outer plate surface of the bone fracture plate main body is provided with clamping feet correspondingly clamped with the clamping seat.
Preferably, the outer plate surface of the bone plate main body is provided with a wire clamping groove communicated with the corresponding wire clamping groove.
Preferably, gaps between the protrusions form a grid-shaped groove; and a healing accelerating coating or a broken bone adhesion coating is arranged in the latticed groove.
Preferably, gaps between the protrusions form a grid-shaped groove; and a healing accelerating coating or a broken bone adhesion coating is arranged in the latticed groove.
The invention has the advantages that: the rib bone fracture plate is biodegradable, anti-slip, capable of promoting bone healing and adhesion performance, and simultaneously free of clamping and pressing nerves and blood vessels, can meet the mechanical property requirement of fracture internal fixation, can realize natural degradation of the bone fracture plate in vivo, and can simultaneously avoid clamping and pressing the nerves and the blood vessels, thereby greatly reducing the pain and the risk of patients.
Description of the drawings:
fig. 1 is an overall schematic view of embodiment 1.
Fig. 2 is a schematic sectional view taken along line a-a of fig. 1.
Fig. 3 is a rear view of fig. 1.
Fig. 4 is an overall schematic view of embodiment 2.
Fig. 5 is a schematic sectional view taken along line B-B of fig. 4.
FIG. 6 is a schematic view of the inner plate surface of the bone plate body according to example 3.
FIG. 7 is an overall view schematically showing embodiment 4.
Fig. 8 is a schematic cross-sectional view of fig. 7 taken along line C-C.
Fig. 9 is a rear view of fig. 7.
FIG. 10 is a schematic view showing a plurality of bone plate bodies in accordance with example 4, which are sequentially stacked and connected.
Fig. 11 is a schematic cross-sectional view taken along line D-D of fig. 10.
FIG. 12 is a schematic view showing a plurality of bone plate bodies in accordance with embodiment 4, which are alternately connected in an up-and-down manner.
FIG. 13 is an overall view schematically showing embodiment 5
FIG. 14 is a schematic view of the inner plate surface of the bone plate body according to example 6.
The bone fracture plate comprises a bone fracture plate main body 1, a wire clamping groove 2, a protrusion 3, a wire clamping groove 4, a grid-shaped groove 5, a healing acceleration coating 6, a broken bone adhesion coating 7, a clamping seat 8 and a clamping foot 9.
The specific implementation mode is as follows:
example 1: as shown in fig. 1 to 3, a degradable rib bone fracture plate comprises a strip-shaped bone fracture plate main body 1 made of biodegradable materials, wherein the plate surface of the bone fracture plate main body 1 is provided with a U-shaped radian consistent with the radian of the outer side surface of a rib, so that the bone fracture plate is favorably attached to the rib; the two opposite side ends of the bone fracture plate main body 1 are arc-shaped; the other opposite two side ends of the bone fracture plate main body 1 are correspondingly provided with wire clamping grooves 2, and the wire clamping grooves 2 prevent the bone fracture plate main body 1 and the ribs from shifting in the process of binding the bone fracture plate main body 1 and the ribs by using suture wires; the bulges 3 are uniformly distributed on the inner plate surface of the bone fracture plate main body 1, so that the anti-skidding effect is achieved, and the bone fracture plate main body 1 is prevented from shifting after being fixed with ribs.
Instructions for use: firstly, the bone fracture plate main body 1 is covered on the outer side surface of a fracture rib, and the width of the bone fracture plate main body 1 is designed to be smaller than the width of the rib of a normal person and has a U-shaped radian consistent with the radian of the outer side surface of the rib, so that the bone fracture plate main body 1 is favorably attached to the rib; then, the absorbable suture is used to bypass intercostal nerves and blood vessels (avoiding clamping and pressing the nerves and the blood vessels), the bone fracture plate main body 1 and the fractured ends of the ribs are bound and fixed, and the absorbable suture is arranged in the wire clamping groove 2.
Example 2: as shown in fig. 4 and 5, the degradable rib bone fracture plate comprises a strip-shaped bone fracture plate main body 1 made of biodegradable materials, wherein the plate surface of the bone fracture plate main body 1 is provided with a U-shaped radian consistent with the radian of the outer side surface of a rib, so that the bone fracture plate is favorably attached to the rib; the two opposite side ends of the bone fracture plate main body 1 are arc-shaped; the other opposite two side ends of the bone fracture plate main body 1 are correspondingly provided with wire clamping grooves 2, and the wire clamping grooves 2 prevent the bone fracture plate main body 1 and the ribs from shifting in the process of binding the bone fracture plate main body 1 and the ribs by using suture wires; the outer plate surface of the bone fracture plate main body 1 is provided with wire clamping grooves 4 communicated with the corresponding wire clamping grooves 2, and the wire clamping grooves 4 prevent the bone fracture plate main body 1 and the ribs from shifting in the process of binding the bone fracture plate main body 1 and the ribs by using sutures and after the binding and fixing; the bulges 3 are uniformly distributed on the inner plate surface of the bone fracture plate main body 1, so that the anti-skidding effect is achieved, and the bone fracture plate main body 1 is prevented from shifting after being fixed with ribs.
Instructions for use: firstly, the bone fracture plate main body 1 is covered on the outer side surface of a fracture rib, and the width of the bone fracture plate main body 1 is designed to be smaller than the width of the rib of a normal person and has a U-shaped radian consistent with the radian of the outer side surface of the rib, so that the bone fracture plate main body 1 is favorably attached to the rib; then, the absorbable suture is used for bypassing intercostal nerves and blood vessels (avoiding clamping and pressing the nerves and the blood vessels), the bone fracture plate main body 1 and the fractured ends of the ribs are bound and fixed, and the absorbable suture is arranged in the wire clamping groove 2 and the wire clamping groove 4.
Example 3: as shown in fig. 6, a degradable rib bone plate comprises a strip-shaped bone plate body 1 made of biodegradable material, and the whole structure is the same as that of the bone plate body 1 in example 2, except that the degradable rib bone plate body is made of biodegradable material; gaps among the bulges 3 form grid-shaped grooves 5; a healing acceleration coating 6 or a broken bone adhesion coating 7 is arranged in the latticed groove 5, and the healing acceleration coating 6 accelerates the healing of the fracture on the basis of reliable fixing effect; the broken bone adhesion coating 7 can simultaneously adhere broken ribs and accelerate the healing of fracture on the basis of reliable fixing effect.
Instructions for use: firstly, the bone fracture plate main body 1 is covered on the outer side surface of a fracture rib, and the width of the bone fracture plate main body 1 is designed to be smaller than the width of the rib of a normal person and has a U-shaped radian consistent with the radian of the outer side surface of the rib, so that the bone fracture plate main body 1 is favorably attached to the rib; a healing accelerating coating 6 for accelerating the healing of the fracture or bonding the broken ribs and accelerating the healing of the fracture is arranged in the latticed groove 5 corresponding to the fracture end of the rib according to the condition of a patient; broken bone adhesion coating 7; then, the absorbable suture is used for bypassing intercostal nerves and blood vessels (avoiding clamping and pressing the nerves and the blood vessels), the bone fracture plate main body 1 and the fractured ends of the ribs are bound and fixed, and the absorbable suture is arranged in the wire clamping groove 2 and the wire clamping groove 4.
Example 4: as shown in fig. 7 to 9, the degradable rib bone fracture plate comprises three long strip-shaped bone fracture plate main bodies 1 made of biodegradable materials, wherein the plate surface of each bone fracture plate main body 1 is provided with a U-shaped radian consistent with the radian of the outer side surface of a rib, so that the bone fracture plate is favorably attached to the rib; two opposite side ends of each bone fracture plate main body 1 are arc-shaped; the other opposite two side ends of each bone fracture plate main body 1 are correspondingly provided with wire clamping grooves 2, and the wire clamping grooves 2 prevent the bone fracture plate main body 1 and the ribs from shifting in the process of binding the bone fracture plate main body 1 and the ribs by using suture wires; the bulges 3 are uniformly distributed on the inner plate surface of each bone fracture plate main body 1, so that the anti-skidding effect is achieved, and the bone fracture plate main body 1 is prevented from shifting after being fixed with ribs; the inner plate surface of each bone fracture plate main body 1 is provided with a clamping seat 8, the outer plate surface of each bone fracture plate main body 1 is provided with a clamping pin 9 correspondingly clamped with the clamping seat 8, and the clamping seats 8 and the clamping pins 9 corresponding to the bone fracture plate main bodies 1 connect more than two bone fracture plate main bodies 1 into a whole, so that the length of the bone fracture plate is prolonged, and the bone fracture plate is used for long-section rib fracture, comminuted fracture or single multi-part fracture and the like, wherein the length of the long-section rib fracture, the comminuted fracture or the single multi; as shown in fig. 10 and 11, more than one bone plate body 1 is arranged in an overlapping way in sequence, or as shown in fig. 12, more than one bone plate body 1 is arranged in an up-down staggered interval way.
Instructions for use: more than two bone fracture plate main bodies 1 are clamped through corresponding clamping seats 8 and clamping feet 9 according to the actual situation of rib fracture to form an extended bone fracture plate main body, and the extended bone fracture plate main body is used for long-section rib fracture, comminuted fracture or single multi-part fracture and the like with the length exceeding that of a single bone fracture plate main body 1;
the extended bone fracture plate main body is covered on the outer side face of the fractured rib, and the width of the bone fracture plate main body 1 is designed to be smaller than that of the rib of a normal person and has a U-shaped radian consistent with the radian of the outer side face of the rib, so that the bone fracture plate main body 1 is favorably attached to the rib; then, the absorbable suture is used to bypass intercostal nerves and blood vessels (avoiding clamping and pressing the nerves and the blood vessels), the bone fracture plate main body 1 and the fractured ends of the ribs are bound and fixed, and the absorbable suture is arranged in the wire clamping groove 2.
Example 5: as shown in fig. 13, a degradable rib bone plate comprises three long-strip bone plate bodies 1 made of biodegradable materials, wherein the overall structure of the bone plate bodies 1 is the same as that of embodiment 4, and the difference is that the outer plate surface of the bone plate body 1 is provided with wire clamping grooves 4 communicated with corresponding wire clamping grooves 2, and the wire clamping grooves 4 prevent the bone plate body 1 and the ribs from shifting in the process of binding the bone plate body 1 and the ribs by using sutures and after binding and fixing; .
Instructions for use: more than two bone fracture plate main bodies 1 are clamped through corresponding clamping seats 8 and clamping feet 9 according to the actual situation of rib fracture to form an extended bone fracture plate main body, and the extended bone fracture plate main body is used for long-section rib fracture, comminuted fracture or single multi-part fracture and the like with the length exceeding that of a single bone fracture plate main body 1;
the extended bone fracture plate main body is covered on the outer side face of the fractured rib, and the width of the bone fracture plate main body 1 is designed to be smaller than that of the rib of a normal person and has a U-shaped radian consistent with the radian of the outer side face of the rib, so that the bone fracture plate main body 1 is favorably attached to the rib; then, the absorbable suture is used for bypassing intercostal nerves and blood vessels (avoiding clamping and pressing the nerves and the blood vessels), the bone fracture plate main body 1 and the fractured ends of the ribs are bound and fixed, and the absorbable suture is arranged in the wire clamping groove 2 and the wire clamping groove 4.
Example 6: as shown in fig. 14, a degradable rib bone plate comprises three long-strip bone plate bodies 1 made of biodegradable materials, and the overall structure of the bone plate bodies 1 is the same as that of embodiment 4, except that gaps among protrusions form grid-shaped grooves 5; a healing acceleration coating 6 or a broken bone adhesion coating 7 is arranged in the latticed groove 5, and the healing acceleration coating 6 accelerates the healing of the fracture on the basis of reliable fixing effect; the broken bone adhesion coating 7 can simultaneously adhere broken ribs and accelerate the healing of fracture on the basis of reliable fixing effect.
Instructions for use: more than two bone fracture plate main bodies 1 are clamped through corresponding clamping seats 8 and clamping feet 9 according to the actual situation of rib fracture to form an extended bone fracture plate main body, and the extended bone fracture plate main body is used for long-section rib fracture, comminuted fracture or single multi-part fracture and the like with the length exceeding that of a single bone fracture plate main body 1;
the extended bone fracture plate main body is covered on the outer side face of the fractured rib, and the width of the bone fracture plate main body 1 is designed to be smaller than that of the rib of a normal person and has a U-shaped radian consistent with the radian of the outer side face of the rib, so that the bone fracture plate main body 1 is favorably attached to the rib; a healing accelerating coating 6 for accelerating the healing of the fracture or bonding the broken ribs and accelerating the healing of the fracture is arranged in the latticed groove 5 corresponding to the fracture end of the rib according to the condition of a patient; broken bone adhesion coating 7; then, the absorbable suture is used for bypassing intercostal nerves and blood vessels (avoiding clamping and pressing the nerves and the blood vessels), the bone fracture plate main body 1 and the fractured ends of the ribs are bound and fixed, and the absorbable suture is arranged in the wire clamping groove 2 and the wire clamping groove 4.

Claims (5)

1. A degradable rib bone fracture plate is characterized by comprising a strip-shaped bone fracture plate main body made of biodegradable materials, wherein the plate surface of the bone fracture plate main body is provided with a U-shaped radian, and two opposite side ends of the bone fracture plate main body are arc-shaped; wire clamping grooves are correspondingly formed in the other two opposite side ends of the bone fracture plate main body; the inner plate surface of the bone fracture plate main body is uniformly distributed with bulges.
2. The degradable rib bone plate according to claim 1, wherein the number of the bone plate main body is more than two, the inner plate surface of the bone plate main body is provided with a clamping seat, and the outer plate surface of the bone plate main body is provided with a clamping pin correspondingly clamped with the clamping seat.
3. The degradable rib bone plate according to any one of claims 1 or 2, wherein a wire clamping groove communicated with the corresponding wire clamping groove is formed on the outer plate surface of the bone plate body.
4. The degradable rib bone plate according to any one of claims 1 or 2, wherein the gaps between the protrusions form grid-like grooves; and a healing accelerating coating or a broken bone adhesion coating is arranged in the latticed groove.
5. The degradable rib bone plate of claim 3, wherein the gaps between the protrusions form a grid-like groove; and a healing accelerating coating or a broken bone adhesion coating is arranged in the latticed groove.
CN201910189579.3A 2019-03-13 2019-03-13 Degradable rib bone fracture plate Pending CN111150476A (en)

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050107795A1 (en) * 2001-08-10 2005-05-19 John Morris Bone plating system and method of use
US20060085000A1 (en) * 2004-10-20 2006-04-20 Legacy Emanuel Hospital & Medical Health Center System for rib fixation
CN201612683U (en) * 2010-02-04 2010-10-27 中国人民解放军第四军医大学 Non-surrounding rib fixing bone fracture plate
CN201668488U (en) * 2010-05-13 2010-12-15 陈长河 Rib connecting plate
CN202161399U (en) * 2011-06-10 2012-03-14 李德安 Rib steel plate
CN202397581U (en) * 2011-12-02 2012-08-29 廖金平 Latch pressurized rib bone plate
CN105011999A (en) * 2014-04-16 2015-11-04 上海交通大学医学院附属新华医院 Fixing plate and wire threading hook
CN108186097A (en) * 2018-01-05 2018-06-22 济南大学 Magnesium alloy bone plate and production method
CN210009116U (en) * 2019-03-13 2020-02-04 郭占林 Degradable rib bone fracture plate

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050107795A1 (en) * 2001-08-10 2005-05-19 John Morris Bone plating system and method of use
US20060085000A1 (en) * 2004-10-20 2006-04-20 Legacy Emanuel Hospital & Medical Health Center System for rib fixation
CN201612683U (en) * 2010-02-04 2010-10-27 中国人民解放军第四军医大学 Non-surrounding rib fixing bone fracture plate
CN201668488U (en) * 2010-05-13 2010-12-15 陈长河 Rib connecting plate
CN202161399U (en) * 2011-06-10 2012-03-14 李德安 Rib steel plate
CN202397581U (en) * 2011-12-02 2012-08-29 廖金平 Latch pressurized rib bone plate
CN105011999A (en) * 2014-04-16 2015-11-04 上海交通大学医学院附属新华医院 Fixing plate and wire threading hook
CN108186097A (en) * 2018-01-05 2018-06-22 济南大学 Magnesium alloy bone plate and production method
CN210009116U (en) * 2019-03-13 2020-02-04 郭占林 Degradable rib bone fracture plate

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