CN111358543B - Steel plate device for patellar lower pole fracture - Google Patents
Steel plate device for patellar lower pole fracture Download PDFInfo
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- CN111358543B CN111358543B CN202010194460.8A CN202010194460A CN111358543B CN 111358543 B CN111358543 B CN 111358543B CN 202010194460 A CN202010194460 A CN 202010194460A CN 111358543 B CN111358543 B CN 111358543B
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- 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
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- 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
Abstract
The invention provides a steel plate device for patella lower pole fracture, which achieves the purposes of firm fixation, early exercise permission and few complications. During operation, the two transverse tunnels penetrate through the steel wires to be knotted and fixed around the patella to the upper edge of the patella, the transverse tunnels penetrate through the plurality of steel wires to be axially fixed through the small holes in the fixed steel plates and the longitudinal tunnels of the patella, and the steel wires of the steel plates form an organic whole to firmly fix the fracture of the patella. This application can make patient's patella main part fracture piece and patella down utmost point fracture piece between each other in close contact with and the pressurization is fixed, can accelerate subsequent fracture restoration, can greatly reduced to patient's patella down utmost point frequent operation and damage, effectively reduces postoperative complication's risk, improves recovered speed.
Description
Technical Field
The invention relates to the field of medical equipment, in particular to a steel plate device for patellar lower pole fracture.
Background
Patellar fractures are clinically common intraarticular fractures, including fractures of the main part of the patella and fractures of the inferior pole of the patella. For the patient with patellar lower pole fracture, the incision reduction internal fixation is adopted clinically to treat the fracture.
The inventor team studied the treatment and rehabilitation of the condition for a long time and searched in the work to find that the prior art treatment scheme of the patellar lower pole fracture, such as the patellar fracture reduction plate disclosed in publication number WO2017066682a1, does not need a wire to form tension across the fracture site; or as the surrounding fixer for treating the patellar fracture disclosed in the publication No. CN101912295B, the fixer can be used for temporarily fixing the reduced patellar fracture in the operation, if the reduction is not satisfactory, the x-ray fluoroscopy can be further adjusted until the anatomy is reduced; the screw hole is convenient for accurately placing the guide pin and finally firmly fixing the screw; can be used for minimally invasive surgery, has small injury to soft tissues, is favorable for protecting patella blood circulation and is favorable for fracture healing. And prevent fracture fragments from falling out when being pulled by the patellar tendon. The umbrella branches are radially distributed, so that stress can be uniformly dispersed, and the influence of a fixed object on local blood circulation is reduced; or the external patella fixing frame disclosed in the publication No. CN103948421B can fix various types of patella fractures in an all-around way, has good stability and avoids various defects existing in an internal fixing mode.
In conclusion, the lower-pole fracture treatment scheme for the diseases in the prior art is complex to operate, has insufficient applicability to different cases of lower-pole fracture of patella, is easy to cause failure of the fixing device when early exercise movement is performed after operation, and is also easy to improve the risk of occurrence of complications.
Disclosure of Invention
The present invention proposes a steel plate device for patellar lower pole fracture to solve the problems,
in order to achieve the purpose, the invention adopts the following technical scheme:
a steel plate device for patellar lower pole fracture comprises a first perforation, a fixing steel plate and a second perforation which are connected in sequence; wherein the first and second perforations are each a 2.7 millimeter locking screw hole, wherein,
the first through hole and the second through hole are configured to pass through a strip-shaped structure which is used for fixing the fixing device at the fracture of the patella lower pole and closely connected with the patella main body, and the strip-shaped structure can form a closed ring;
the fixing steel plate is used for fixedly connecting the fractured patella lower pole with the patella main body so as to achieve the purpose of healing the fracture.
In the preferable scheme of the steel plate device for patellar lower pole fracture, optionally, the fixing steel plate comprises an outer steel plate, an adjusting layer and an inner plate which are sequentially connected; wherein the content of the first and second substances,
the adjusting layer is configured to absorb the impact force generated by external force on the patella lower pole, enhance the tight connection between the fractured patella lower pole and the patella main body, and reduce the damage caused by frequent operation of the patella lower pole when a patient performs early functional exercise during healing;
the inner plate is configured to be attached to the patella lower pole, the patella lower pole is fixed with the patella main body to prevent the patella lower pole from moving, and the fixing strength of the fracture of the patella lower pole is improved.
In the preferable scheme of the steel plate device for patellar lower pole fracture, optionally, the outer steel plate is provided with a plurality of first through holes, the inner plate is provided with a plurality of second through holes, and the first through holes correspond to the second through holes one to one.
In the preferable scheme of the steel plate device for patellar lower pole fracture, optionally, the adjusting layer comprises a plurality of adjusting blocks, third through holes are formed in the middle of the adjusting blocks, and the third through holes correspond to the first through holes and the second through holes one to one.
In a preferable scheme of the steel plate device for patellar lower pole fracture, optionally, a plurality of third through holes are formed in the adjusting layer, and the third through holes correspond to the first through holes and the second through holes one to one.
In the preferable scheme of the steel plate device for patellar lower pole fracture, optionally, one side of the inner plate opposite to the outer steel plate is a hard structure, and one side of the inner plate opposite to the outer steel plate is a soft structure.
The beneficial technical effects obtained by the invention are as follows:
1. through the regulation layer can make and reduce the damage to patellar healing position when can do the rehabilitation exercise at the healing initial stage, and kinetic energy and impact stress that produce in the frequent motion in the rehabilitation training reduce to the minimum as far as, are favorable to the postoperative to realize early function exercise, avoid appearing complications such as joint stiffness, deep vein thrombosis.
2. Because the face of interior plate and the laminating of the kneecap utmost point down is soft structure, the laminating kneecap utmost point down that can be fine is in order to wrap up completely, in addition fixing device can effectively prevent the fracture aversion again after fixed.
3. The surface of the outer steel plate, which is attached to the surrounding soft tissue, is of a soft structure, so that the stimulation degree of the inner fixture to the surrounding soft tissue during functional exercise can be reduced.
4. The small fracture block of the comminuted lower extreme fracture is fixed through the mesh plate on the inner plate and the mesh plate connecting suspension piece, and the probability that the internal fixture is loosened and even fails is reduced.
5. When needed, the kirschner wire can be inserted into the patella in the cooperative connecting pipe, or only the binding objects such as steel wires are used for fixing, so that the operability is stronger, and the limitation is low.
Drawings
The invention will be further understood from the following description in conjunction with the accompanying drawings. The components in the figures are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the embodiments. Like reference numerals designate corresponding parts throughout the different views.
FIG. 1 is a schematic structural view of a steel plate apparatus for patellar mandibular fracture according to one embodiment of the present invention;
FIG. 2 is a schematic structural diagram of a regulation layer in one embodiment of the present invention
FIG. 3 is a schematic diagram of a structure of a conditioning layer in one embodiment of the invention;
FIG. 4 is a schematic structural view of an outer steel plate according to an embodiment of the present invention;
FIG. 5 is a schematic view showing the structure of an inner panel in one embodiment of the present invention;
fig. 6 is a schematic view of an inner surface processed surface of an inner panel in one embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail with reference to the embodiments thereof; it should be understood that the specific embodiments described herein are merely illustrative of the invention and do not limit the invention. Other systems, methods, and/or features of the present embodiments will become apparent to those skilled in the art upon review of the following detailed description. It is intended that all such additional systems, methods, features and advantages be included within this description, be within the scope of the invention, and be protected by the accompanying claims. Additional features of the disclosed embodiments are described in, and will be apparent from, the detailed description that follows.
The same or similar reference numerals in the drawings of the embodiments of the present invention correspond to the same or similar components; in the description of the present invention, it should be understood that if there is an orientation or positional relationship indicated by the terms "upper", "lower", "left", "right", etc. based on the orientation or positional relationship shown in the drawings, it is only for convenience of describing the present invention and simplifying the description, but it is not intended to indicate or imply that the device or component referred to must have a specific orientation, be constructed in a specific orientation, and be operated, and therefore, the terms describing the positional relationship in the drawings are only used for illustrative purposes and are not to be construed as limiting the present patent, and the specific meaning of the terms described above will be understood by those of ordinary skill in the art according to the specific circumstances.
The invention relates to a steel plate device for patellar lower pole fracture, which is described in the following embodiments according to the description of the attached drawings:
the first embodiment is as follows:
patellar fracture is a common orthopedic trauma, and the particularity of the patella shape leads to the diversity of internal fixation modes. The existing fixing mode for patellar lower pole fracture is not ideal.
The design aims at designing a novel steel plate applied to patellar lower pole fracture, and the purposes of firm fixation, early exercise permission and few complications are achieved.
In an integral way, the steel plate wraps the lower pole of the patella and the lower part of the side of the patella in an arc shape, the front edge and the rear edge of the steel plate are respectively provided with a transverse tunnel for allowing the steel wire to pass through, and the body part of the steel plate is a porous mechanism for allowing the steel wire to vertically pass through. During operation, the transverse tunnel penetrates 2 to the steel wire to surround the patella to be knotted and fixed to the upper edge of the patella, the transverse tunnel penetrates three steel wires through the small holes in the body part of the steel plate and the longitudinal tunnel of the patella to be axially fixed, and the steel plate steel wires form an organic whole to firmly fix the fracture of the patella.
Referring specifically to fig. 1-5, the steel plate apparatus should include a first through hole 2, a fixed steel plate 1, and a second through hole 3 connected in sequence; the first through hole and the second through hole are both 2.7 mm locking screw holes, the first through hole 2 and the second through hole 3 are constructed into hollow tubular structures and used for passing through a bar-shaped structure which is used for fixing the fixing device at the fracture of the patella lower pole and tightly and closely connecting the patella lower pole with the patella main body, and the bar-shaped structure can form a closed ring; the fixing steel plate 1 is configured to fixedly connect the fractured patella lower pole with the patella main body so as to achieve the purpose of healing the fracture.
In the preferred scheme of this embodiment, the fixed steel plate 1 includes an outer steel plate 11, an adjusting layer 12, and an inner plate 13, which are connected in sequence; the adjusting layer 12 is configured to absorb the impact force generated by an external force on the patella lower pole, enhance the tight connection between the fractured patella lower pole and the patella main body, and reduce the damage caused by frequent operation of the patella lower pole when a patient performs early functional exercise during healing; the inner plate 13 is configured to be attached to the patellar lower pole, fix the patellar lower pole with the patellar main body to prevent the patellar lower pole from shifting, and improve the fixing strength of the fracture of the patellar lower pole.
In a preferred embodiment of this embodiment, the opposite sides of the inner plate 13 and the outer steel plate 11 are both hard structures, and the opposite sides of the inner plate 13 and the outer steel plate 11 are both soft structures.
In a preferred embodiment of the present invention, the outer steel plate 11 is provided with a plurality of first through holes 111, the inner plate 13 is provided with a plurality of second through holes 131, and the first through holes 111 correspond to the second through holes 131 one to one. In a preferred embodiment of this embodiment, the adjusting layer 12 includes a plurality of adjusting blocks 121, and a third through hole 122 is formed in the middle of each adjusting block 121, and the third through holes 122 correspond to the first through holes 111 and the second through holes 131 one to one. Optionally, a plurality of third through holes 122 are formed in the adjusting layer 12, and the third through holes 122 correspond to the first through holes 111 and the second through holes 131 one to one.
Example two:
this embodiment should be understood to include at least all of the features of any of the embodiments described above, and further developed on the basis thereof:
in the embodiment, the steel plate wraps the lower pole of the patella and the lower part of the side of the patella in an arc shape, the front edge and the rear edge of the steel plate are respectively provided with a transverse tunnel allowing the steel wire to pass through, and the body part of the steel plate is a porous mechanism allowing the steel wire to vertically pass through. During operation, the transverse tunnel penetrates 2 to the steel wire to surround the patella to be knotted and fixed to the upper edge of the patella, the transverse tunnel penetrates three steel wires through the small holes in the body part of the steel plate and the longitudinal tunnel of the patella to be axially fixed, and the steel plate steel wires form an organic whole to firmly fix the fracture of the patella.
1-5, the steel plate device for patellar lower pole fracture comprises a first through hole 2, a fixing steel plate 1 and a second through hole 3 which are connected in sequence; wherein, the first and the second end of the pipe are connected with each other,
the first through hole 2 and the second through hole 3 are configured into hollow tubular structures and used for passing through a bar-shaped structure which is used for fixing the fixing device at the fracture of the patella lower pole and tightly connecting the patella lower pole and the patella main body in a fitting manner, and the bar-shaped structure can form a closed ring; the strip-shaped structure can be a titanium cable or a steel wire.
The fixing steel plate 1 is configured to fixedly connect the lower pole of the fractured patella with the main body of the patella so as to achieve the purpose of healing the fracture.
In a preferred scheme of this embodiment, the fixed steel plate 1 includes an outer steel plate 11, an adjusting layer 12, and an inner plate 13, which are connected in sequence, and an energy-absorbing outer layer 19, of which both ends are connected to the outer steel plate 11 and the inner plate 13 respectively, is disposed on the periphery of the adjusting layer 12; wherein, the first and the second end of the pipe are connected with each other,
the adjusting layer 12 is configured to absorb the impact force generated by an external force on the patella lower pole, enhance the tight connection between the fractured patella lower pole and the patella main body, and reduce the damage caused by frequent operation of the patella lower pole when a patient performs early functional exercise during healing;
the inner plate 13 is configured to be attached to the patellar lower pole, fix the patellar lower pole with the patellar main body to prevent the patellar lower pole from shifting, and improve the fixing strength of the fracture of the patellar lower pole;
the energy-absorbing outer layer 19 is configured to wrap the adjusting layer 12 and has a certain curvature so as to be capable of deforming to absorb kinetic energy and reduce impact force when the outer steel plate 11 or the inner plate 13 receives external impact.
In a preferred embodiment of the present invention, a plurality of first through holes 111 are formed in the outer steel plate 11, a plurality of second through holes 131 are formed in the inner plate 13, and the first through holes 111 correspond to the second through holes 131 one to one.
Optionally, a plurality of third through holes 122 are formed in the adjusting layer 12, and the third through holes 122 correspond to the first through holes 111 and the second through holes 131 one to one; the adjusting layer 12 comprises a plurality of first adjusting units 123 and second adjusting units 124 which are symmetrically arranged, the first adjusting units 123 are connected with the outer steel plate 11, and the second adjusting units 124 are connected with the inner plate 13;
the adjusting layer 12 further includes a plurality of coordinating connection pipes 1231 penetrating through the third through hole 122, the first through hole 111, and the second through hole 131;
preferably, two end faces of the coordinating connecting pipe 14 are flush with the outer end faces of the first through hole 121 and the second through hole 131 respectively or have counterbores;
the first adjusting unit 123 includes a first end energy-absorbing member 1231, a separating energy-absorbing member 1232, and a second end energy-absorbing member 1233 sequentially connected to the coordination connection pipe 14, the first end energy-absorbing member 1231 is connected to the outer steel plate 11, the first end energy-absorbing member 1231, the separating energy-absorbing member 1232, and the second end energy-absorbing member 1233 are arranged in parallel, the end of the first end energy-absorbing member 1231 is connected to a connecting energy-absorbing member 1234, the other end of the connecting energy-absorbing member 1234 is connected to the end of the second end energy-absorbing member 1233, and two ends of the separating energy-absorbing member 1232 are connected to the middle of the connecting energy-absorbing member 1234;
preferably, the connecting energy absorbing piece 1234 is a structure formed by connecting a plurality of semicircles in the same direction, and the first end energy absorbing piece 1231, the separating energy absorbing piece 1232, and the second end energy absorbing piece 1233 are all connected to the end points of the semicircles of the connecting energy absorbing piece 1234;
preferably, the coordination connection pipe 14 passes through the centers of the first end energy absorbing member 1231, the separation energy absorbing member 1232, and the second end energy absorbing member 1233, a limiting member 17 is disposed on the coordination connection pipe 14, the limiting member 17 is disposed on a surface of the second end energy absorbing member 1233 away from the first end energy absorbing member 1231, and the limiting member 17 is used for limiting the first adjusting unit 123 and the second adjusting unit 124 to be within an effective energy absorbing range, so as to prevent each energy absorbing member from losing energy absorbing capability due to being not in an elastic stage;
a plurality of arc-shaped energy absorbing pieces 1235, the two ends of which are connected with the connecting energy absorbing piece 1234, are arranged in a structure surrounded by the separating energy absorbing piece 1232, the end energy absorbing pieces 1232 and the connecting energy absorbing piece 1234, the bending radius of the arc-shaped energy absorbing pieces 1235 from the middle to the two ends is gradually reduced, and the plurality of arc-shaped energy absorbing pieces 1235 form a shape similar to a football shape;
the first adjusting unit 123 further includes a fixing shaft 1236 surrounding the first adjusting unit, and the fixing shaft 1236 is provided with a plurality of friction energy absorbing blocks 1237 at equal intervals;
the second adjusting unit 124 is identical to the first adjusting unit 123 in structure, and the coordinating connecting pipe 14 passes through the center of the second adjusting unit 124;
elastic bonding filling materials 15 are filled in the second adjusting unit 124 and the first adjusting unit 123, the elastic bonding filling materials 15 are made of high-damping rubber, foamed metal energy-absorbing materials 16 are filled between the energy-absorbing outer layer 19 and the adjusting layer, and preferably, the foamed metal energy-absorbing materials 16 are made of foamed aluminum;
a plurality of groups of shape memory alloy wires 18 which are obliquely crossed and connected with each other are arranged between the first adjusting unit 123 and the second adjusting unit 124, and two ends of each shape memory alloy wire 18 are fixedly connected with the second end energy-absorbing part 1233, so that the energy-absorbing performance can be improved, the two adjacent second end energy-absorbing parts 1233 can be ensured to be close to each other but not far away from each other, and the cooperative energy-absorbing performance of the two adjacent second end energy-absorbing parts 1233 is further improved.
Through the arrangement, the mutual coordination in the adjusting layer is ensured, no obvious stress concentration phenomenon exists, the fixed shaft drives the friction energy-absorbing block and the foam metal energy-absorbing material to mutually rub and consume and absorb energy, the energy absorption is more sufficient, the energy of kinetic energy or elastic potential energy and the like of the fixed steel plate is converted into heat energy and the like to be dissipated, the arranged shape memory alloy wire and the combined energy-absorbing piece are cooperatively stressed, the shape memory alloy wire has super-strong recovery deformation capability, and stable positioning and automatic resetting functions are provided for the vibration of the fixed steel plate in the tension and compression direction.
In a preferred embodiment of this embodiment, the adjusting layer 12 includes a plurality of adjusting blocks 121, that is, the adjusting blocks 121 include a group of symmetrically disposed first adjusting units 123 and second adjusting units 124, and a third through hole 122 is formed in the middle of the adjusting blocks 121, and the third through holes 122 correspond to the first through holes 111 and the second through holes 131 one to one.
In a preferred embodiment of this embodiment, the opposite sides of the inner plate 13 and the outer steel plate 11 are both hard structures, and the opposite sides of the inner plate 13 and the outer steel plate 11 are both soft structures.
Example three:
this embodiment should be understood to include at least all of the features of any of the embodiments described above, and further developed on the basis thereof:
patellar fracture is a common trauma in orthopedics, and the particularity of the patellar form causes the diversity of internal fixation modes. The existing fixing mode for patellar lower pole fracture is not ideal.
The design aims at designing a novel steel plate applied to patellar lower pole fracture, and the purposes of firm fixation, early exercise permission and few complications are achieved.
The steel plate wraps the patella lower pole and the patella side lower part in an arc shape, the front edge and the rear edge of the steel plate are respectively provided with a transverse tunnel allowing the steel wire to pass through, and the body part of the steel plate is a porous mechanism allowing the steel wire to vertically pass through. During operation, the transverse tunnel penetrates 2 to the steel wire to surround the patella to be knotted and fixed to the upper edge of the patella, the transverse tunnel penetrates three steel wires through the small holes in the body part of the steel plate and the longitudinal tunnel of the patella to be axially fixed, and the steel plate steel wires form an organic whole to firmly fix the fracture of the patella.
The transverse tunnels are the first through holes 2 and the second through holes 3.
1-5, the steel plate device for patellar lower pole fracture comprises a first through hole 2, a fixing steel plate 1 and a second through hole 3 which are connected in sequence; wherein the content of the first and second substances,
the first through hole 2 and the second through hole 3 are configured into hollow tubular structures and used for passing through a bar-shaped structure which is used for fixing the fixing device at the fracture of the patella lower pole and tightly connecting the patella lower pole and the patella main body in a fitting manner, and the bar-shaped structure can form a closed ring; the strip-shaped structure can be a titanium cable or a steel wire.
The fixing steel plate 1 is configured to fixedly connect the fractured patella lower pole with the patella main body so as to achieve the purpose of healing the fracture.
In a preferred scheme of this embodiment, the fixed steel plate 1 includes an outer steel plate 11, an adjusting layer 12, and an inner plate 13, which are connected in sequence, and an energy-absorbing outer layer 19, of which both ends are connected to the outer steel plate 11 and the inner plate 13 respectively, is disposed on the periphery of the adjusting layer 12; wherein the content of the first and second substances,
the adjusting layer 12 is configured to absorb the impact force generated by an external force on the patella lower pole, enhance the tight connection between the fractured patella lower pole and the patella main body, and reduce the damage caused by frequent operation of the patella lower pole when a patient performs early functional exercise during healing;
the inner plate 13 is configured to be attached to the patellar lower pole, fix the patellar lower pole with the patellar main body to prevent the patellar lower pole from shifting, and improve the fixing strength of the fracture of the patellar lower pole;
the energy-absorbing outer layer 19 is configured to wrap the adjusting layer 12 and has a certain curvature so as to be capable of deforming to absorb kinetic energy and reduce impact force when the outer steel plate 11 or the inner plate 13 receives external force impact.
In a preferred embodiment of the present invention, the outer steel plate 11 is provided with a plurality of first through holes 111, the inner plate 13 is provided with a plurality of second through holes 131, and the first through holes 111 correspond to the second through holes 131 one to one.
Optionally, a plurality of third through holes 122 are formed in the adjusting layer 12, and the third through holes 122 correspond to the first through holes 111 and the second through holes 131 one to one; the adjusting layer 12 comprises a plurality of first adjusting units 123 and second adjusting units 124 which are symmetrically arranged, the first adjusting units 123 are connected with the outer steel plate 11, and the second adjusting units 124 are connected with the inner plate 13;
the adjusting layer 12 further includes a plurality of coordinating connection pipes 1231 penetrating through the third through hole 122, the first through hole 111, and the second through hole 131;
preferably, two end faces of the coordinating connecting pipe 14 are flush with the outer end faces of the first through hole 121 and the second through hole 131 respectively or have counterbores;
the first adjusting unit 123 includes a first end energy-absorbing member 1231, a separating energy-absorbing member 1232, and a second end energy-absorbing member 1233 sequentially connected to the coordination connection pipe 14, the first end energy-absorbing member 1231 is connected to the outer steel plate 11, the first end energy-absorbing member 1231, the separating energy-absorbing member 1232, and the second end energy-absorbing member 1233 are arranged in parallel, the end of the first end energy-absorbing member 1231 is connected to a connecting energy-absorbing member 1234, the other end of the connecting energy-absorbing member 1234 is connected to the end of the second end energy-absorbing member 1233, and two ends of the separating energy-absorbing member 1232 are connected to the middle of the connecting energy-absorbing member 1234;
preferably, the connecting energy absorbing member 1234 is a structure formed by connecting a plurality of semicircles in the same direction, and the first end energy absorbing member 1231, the separating energy absorbing member 1232, and the second end energy absorbing member 1233 are all connected to the end points of the semicircles of the connecting energy absorbing member 1234;
preferably, the coordination connection pipe 14 passes through the centers of the first end energy absorbing member 1231, the separation energy absorbing member 1232, and the second end energy absorbing member 1233, a limiting member 17 is disposed on the coordination connection pipe 14, the limiting member 17 is disposed on a surface of the second end energy absorbing member 1233 away from the first end energy absorbing member 1231, and the limiting member 17 is used for limiting the first adjusting unit 123 and the second adjusting unit 124 to be within an effective energy absorbing range, so as to prevent each energy absorbing member from losing energy absorbing capability due to being not in an elastic stage;
a plurality of arc-shaped energy absorbing pieces 1235, the two ends of which are connected with the connecting energy absorbing piece 1234, are arranged in a structure surrounded by the separating energy absorbing piece 1232, the end energy absorbing pieces 1232 and the connecting energy absorbing piece 1234, the bending radius of the arc-shaped energy absorbing pieces 1235 from the middle to the two ends is gradually reduced, and the plurality of arc-shaped energy absorbing pieces 1235 form a shape similar to a football shape;
the first adjusting unit 123 further includes a fixing shaft 1236 surrounding the first adjusting unit, and the fixing shaft 1236 is provided with a plurality of friction energy absorbing blocks 1237 at equal intervals;
the second adjusting unit 124 is identical to the first adjusting unit 123 in structure, and the coordinating connecting pipe 14 passes through the center of the second adjusting unit 124;
preferably, the coordinating connection pipe 14 is divided into a first coordinating connection pipe 141 and a second coordinating connection pipe 142 which are concentrically arranged but not connected, so that the energy absorption effect caused by the integral coordinating connection pipe 14 is reduced, a plurality of folds can be arranged between the first coordinating connection pipe 141 and the second coordinating connection pipe 142 to enable the length of the coordinating connection pipe 14 to be variable, when the lower pole fracture part needs to be fixed, a hole is drilled on the patella main body, a medical titanium cable passes through the coordinating connection pipe 14, then the medical titanium cable passes through the hole drilled on the patella main body and is knotted, so that the fixing is realized, and meanwhile, the coordinating energy absorption is not influenced due to the flexibility of the titanium cable; or a special screw (not shown) may be driven into the drilled hole through the coordinating connection pipe 14, wherein the special screw comprises a nut, a fixed section, an extension section and a screw connection section which are connected in sequence, the nut, the fixed section and the screw connection section are the same as those of the common screw, and the extension section is of a telescopic structure so as to match with the cooperative adjustment of the fixing device to perform length change. The special screw (not shown in the figure) is formed by connecting sections and is not integrally formed.
Elastic bonding filling materials 15 are filled in the second adjusting unit 124 and the first adjusting unit 123, the elastic bonding filling materials 15 are made of high-damping rubber, foamed metal energy-absorbing materials 16 are filled between the energy-absorbing outer layer 19 and the adjusting layer, and preferably, the foamed metal energy-absorbing materials 16 are made of foamed aluminum;
a plurality of groups of shape memory alloy wires 18 which are obliquely crossed and connected are arranged between the first adjusting unit 123 and the second adjusting unit 124, and two ends of each shape memory alloy wire 18 are fixedly connected with the second end energy absorbing piece 1233, so that the energy absorbing performance can be improved, the two adjacent second end energy absorbing pieces 1233 can be ensured to be close to each other but not to be far away from each other, and the cooperative energy absorbing performance of the two adjacent second end energy absorbing pieces 1233 is further improved.
Through the arrangement, the mutual coordination in the adjusting layer is ensured, no obvious stress concentration phenomenon exists, the fixed shaft drives the friction energy-absorbing block and the foam metal energy-absorbing material to mutually rub and consume and absorb energy, the energy absorption is more sufficient, the energy of kinetic energy or elastic potential energy and the like of the fixed steel plate is converted into heat energy and the like to be dissipated, the arranged shape memory alloy wire and the combined energy-absorbing piece are cooperatively stressed, the shape memory alloy wire has super-strong recovery deformation capability, and stable positioning and automatic resetting functions are provided for the vibration of the fixed steel plate in the tension and compression direction.
In a preferred embodiment of this embodiment, the adjusting layer 12 includes a plurality of adjusting blocks 121, that is, the adjusting blocks 121 include a group of symmetrically disposed first adjusting units 123 and second adjusting units 124, and a third through hole 122 is formed in the middle of the adjusting blocks 121, and the third through holes 122 correspond to the first through holes 111 and the second through holes 131 one to one.
In a preferred embodiment of this embodiment, the opposite sides of the inner plate 13 and the outer steel plate 11 are both hard structures, and the opposite sides of the inner plate 13 and the outer steel plate 11 are both soft structures.
The inner plate 13 and the outer steel plate 11 both comprise a corrugated plate 131, a mesh plate 132, a corrugated plate connector 133, a light energy-absorbing material 135, a light elastic material 136, a shape memory alloy 137 and a coating 138, except that the inner plate 13 is provided with a mesh plate connecting hanger 134, the outer steel plate 11 is provided with a mesh plate connector 139 and the like,
the wave troughs and the wave troughs of the corrugated plate 131 are relatively close to each other and are connected by corrugated plate connecting pieces 133, and the corrugated plate connecting pieces 133 are preferably uniformly distributed and are arranged in rows transversely and longitudinally;
the wave crests of the corrugated plate 131 are opposite to the wave crests to form similar oval cavities, and light energy-absorbing materials 135 are filled in each similar oval cavity;
a mesh plate 132 is arranged on one side of the corrugated plate 131 far away from the adjusting layer 12, and in the case of the outer steel plate 11, the mesh plate 132 is connected with the corrugated plate 131 by using a mesh plate connecting piece 138; when the inner plate 13 is used, the mesh plate connecting hanging piece 134 is used for connecting the mesh plate 132 with the corrugated plate 131 and extending outwards to the patella lower pole fracture part, so that better fixation can be realized, meanwhile, for comminuted patella lower pole fracture, each comminuted bone can be fixed in meshes of the mesh plate 132 through the mesh plate connecting hanging piece 134, and the comminuted bone is tightly connected with the patella lower pole and the patella main body through pressing force; the screen connecting hanging pieces 134 or the screen connecting pieces 138 preferentially and uniformly distributed in rows transversely and longitudinally penetrate through wave crests on two sides; a light elastic material 136 is filled between the corrugated plate 131 and the net plate 132, and a light elastic material 136 is also filled on the side of the corrugated plate 131 far away from the net plate 132;
the side of the mesh plate 132 far away from the corrugated plate 131 is connected with a shape memory alloy 137, and the side of the shape memory alloy 137 far away from the mesh plate 132 is sprayed with a high polymer coating 8.
The lightweight energy absorbing material 135 is preferably a foam metal energy absorbing material.
The lightweight elastomeric material 136 is preferably a high damping rubber.
The shape memory alloy 137 is preferably made of a fiber reinforced material added into lightweight concrete, the fiber content is 0.5-5%, and the fiber is preferably steel fiber, polypropylene fiber or carbon fiber.
The coating 138 is preferably a sterile coating.
In conclusion, the invention provides a steel plate device for patella lower pole fracture, which can reduce the damage to the healing part of the patella when the healing is performed in the early healing period through the adjusting layer, minimize the kinetic energy and impact stress generated in frequent movement in the rehabilitation training as far as possible, is beneficial to realizing early functional training after a surgery, avoids the complications such as joint stiffness and deep venous thrombosis and the like, can better attach the patella lower pole for complete wrapping because the surface attached by the inner plate and the patella lower pole is of a soft structure, can effectively prevent the fracture from being re-displaced after being fixed by the fixing device, can reduce the stimulation degree of an inner fixing object to surrounding soft tissues when the functional training is performed because the surface attached by the inner plate and the patella lower pole is of the soft structure, and can fix a small fracture block of the comminuted lower pole fracture caused by the disease through the mesh plate on the inner plate and the mesh plate connecting suspension element, the probability that the internal fixed object is loosened and even loses efficacy is reduced, and when needed, the Kirschner wire can be inserted into the patella in the cooperative connecting pipe or only the binding objects such as steel wires are used for fixing, so that the maneuverability is stronger, and the limitation is low.
Although the invention has been described above with reference to various embodiments, it should be understood that many changes and modifications may be made without departing from the scope of the invention. That is, the methods, systems, and devices discussed above are examples. Various configurations may omit, substitute, or add various procedures or components as appropriate. For example, in alternative configurations, the methods may be performed in an order different than that described, and/or various components may be added, omitted, and/or combined. Moreover, features described with respect to certain configurations may be combined in various other configurations, as different aspects and elements of the configurations may be combined in a similar manner. Further, elements therein may be updated as technology evolves, i.e., many of the elements are examples and do not limit the scope of the disclosure or claims.
Specific details are given in the description to provide a thorough understanding of example configurations, including implementations. However, configurations may be practiced without these specific details, e.g., well-known circuits, processes, algorithms, structures, and techniques have been shown without unnecessary detail in order to avoid obscuring the configurations. This description provides example configurations only, and does not limit the scope, applicability, or configuration of the claims. Rather, the foregoing description of the configurations will provide those skilled in the art with an enabling description for implementing the described techniques. Various changes may be made in the function and arrangement of elements without departing from the spirit or scope of the disclosure.
It is intended that the foregoing detailed description be regarded as illustrative rather than limiting, and that it be understood that it is the following claims, including all equivalents, that are intended to define the spirit and scope of this invention. The above examples are to be construed as merely illustrative and not limitative of the remainder of the disclosure in any way whatsoever. After reading the description of the invention, the skilled person can make various changes or modifications to the invention, and these equivalent changes and modifications also fall into the scope of the invention defined by the claims.
Claims (2)
1. A steel plate device for patellar lower fracture is characterized by comprising a first through hole, a fixed steel plate and a second through hole which are connected in sequence; the first through hole and the second through hole are constructed into hollow tubular structures and used for penetrating through bar-shaped structures which are used for fixing the fixing steel plate at the fracture of the patella lower pole and closely joint and connect the patella lower pole and the patella main body, and the bar-shaped structures can form a closed ring;
the fixing steel plate is configured to be used for fixedly connecting the fractured patellar lower pole with the patellar main body; wherein the first and second perforations are both 2.7 millimeter locking screw holes;
the fixed steel plate comprises an outer steel plate, an adjusting layer and an inner plate which are connected in sequence; the adjusting layer is configured to absorb impact force generated by external force on the patella lower pole; the inner plate configured for engagement with a patellar lower pole;
the outer steel plate is provided with a plurality of first through holes, the inner plate is provided with a plurality of second through holes, and the first through holes correspond to the second through holes one to one;
a plurality of third through holes are formed in the adjusting layer, and the third through holes correspond to the first through holes and the second through holes one to one; the adjusting layer comprises a plurality of first adjusting units and second adjusting units which are symmetrically arranged, the first adjusting units are connected with the outer steel plate, and the second adjusting units are connected with the inner plate; the adjusting layer also comprises a plurality of coordination connecting pipes which penetrate through the third through hole, the first through hole and the second through hole;
two end faces of the coordination connecting pipe are respectively flush with the outer end faces of the first through hole and the second through hole or are provided with counter bores; the first adjusting unit comprises a first end energy absorbing piece, a separating energy absorbing piece and a second end energy absorbing piece which are sequentially connected to the coordination connecting pipe, the first end energy absorbing piece is connected with the outer steel plate, the first end energy absorbing piece, the separating energy absorbing piece and the second end energy absorbing piece are arranged in parallel, the end of the first end energy absorbing piece is connected with the connecting energy absorbing piece, the other end of the connecting energy absorbing piece is connected to the end of the second end energy absorbing piece, and two ends of the separating energy absorbing piece are connected with the middle part of the connecting energy absorbing piece; the connecting energy-absorbing piece is a structure formed by connecting a plurality of semicircles in the same direction, and the first end energy-absorbing piece, the separating energy-absorbing piece and the second end energy-absorbing piece are all connected to the end points of the semicircles of the connecting energy-absorbing piece;
the coordination connecting pipe penetrates through the centers of the first end energy absorbing part, the separation energy absorbing part and the second end energy absorbing part, a limiting part is arranged on the coordination connecting pipe, the limiting part is arranged on one surface, far away from the first end energy absorbing part, of the second end energy absorbing part, and the limiting part is used for limiting the first adjusting unit and the second adjusting unit to be in an effective energy absorbing range so as to prevent each energy absorbing part from losing energy absorbing capacity due to the fact that each energy absorbing part is not in an elastic stage;
a plurality of arc-shaped energy absorbing pieces with two ends connected with the connecting energy absorbing piece are arranged in a structure formed by encircling the separating energy absorbing piece, the end energy absorbing piece and the connecting energy absorbing piece, the bending radius of the arc-shaped energy absorbing pieces from the middle to the two ends is gradually reduced, and the arc-shaped energy absorbing pieces are similar to a football shape;
the first adjusting unit further comprises a fixed shaft arranged around the first adjusting unit in a surrounding mode, and a plurality of friction energy absorption blocks are arranged on the fixed shaft at equal intervals; the second adjusting unit has the same structure as the first adjusting unit, and the coordination connecting pipe passes through the center of the second adjusting unit;
the coordination connecting pipe is divided into a first coordination connecting pipe and a second coordination connecting pipe which are concentrically arranged but not connected, so that the energy absorption effect caused by the integral coordination connecting pipe is reduced, a plurality of folds are arranged between the first coordination connecting pipe and the second coordination connecting pipe to enable the length of the coordination connecting pipe to be variable, when the lower-pole fracture part needs to be fixed, a hole is drilled in the patella main body, a medical titanium cable penetrates through the coordination connecting pipe, then the medical titanium cable penetrates through the hole drilled in the patella main body and is knotted to realize fixation, and meanwhile, due to the flexibility of the titanium cable, coordination energy absorption is not influenced;
a plurality of groups of shape memory alloy wires which are obliquely crossed and connected with each other are arranged between the first adjusting unit and the second adjusting unit, and two ends of each shape memory alloy wire are fixedly connected with the second end energy absorbing part, so that the energy absorbing performance can be improved, the adjacent two second end energy absorbing parts can be ensured to be close to each other but not far away from each other, and the cooperative energy absorbing performance of the two second end energy absorbing parts is further improved.
2. The steel plate device for patellar mandibular fracture according to claim 1, wherein the side of the inner plate facing the outer steel plate is of a rigid construction and the side of the inner plate opposite the outer steel plate is of a soft construction.
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| CN202010194460.8A CN111358543B (en) | 2020-03-19 | 2020-03-19 | Steel plate device for patellar lower pole fracture |
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Effective date of registration: 20230731 Address after: 225006 Phase I of Plot 1, Smart Industrial Park, Yizheng Economic Development Zone, Yangzhou City, Jiangsu Province Patentee after: Yangzhou Zhixing Medical Equipment Co.,Ltd. Address before: 415900 west side of floor 2 of Building 2, small and medium-sized enterprise entrepreneurship Park, Qilin Road, high tech Industrial Park, Hanshou County, Changde City, Hunan Province Patentee before: Zhou Jihui |
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