CN111467015A - Hook plate for fibula near-end fracture - Google Patents
Hook plate for fibula near-end fracture Download PDFInfo
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- CN111467015A CN111467015A CN202010421077.1A CN202010421077A CN111467015A CN 111467015 A CN111467015 A CN 111467015A CN 202010421077 A CN202010421077 A CN 202010421077A CN 111467015 A CN111467015 A CN 111467015A
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- plate
- hook
- locking
- hole
- pressurizing
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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
- A61B17/8004—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
- A61B17/8014—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 the extension or compression force being caused by interaction of the plate hole and the screws
-
- 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
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
-
- 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
-
- 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
- A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
-
- 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
- A61B17/809—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with bone-penetrating elements, e.g. blades or prongs
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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)
- Materials For Medical Uses (AREA)
- Prostheses (AREA)
Abstract
The invention discloses a hook plate for proximal fibula fracture, which comprises an arc plate body, wherein the arc plate body is formed by a pressure locking plate and the hook plate in an integrated mode, the hook plate is an arc plate, the hook plate can be bent by taking the pressure locking plate as a reference surface, the pressure locking plate is made of stainless steel, the hook plate is made of titanium alloy, a pressure locking hole and a sliding hole are formed in the pressure locking plate, the sliding hole is arranged between the pressure locking holes, hook teeth are arranged on two sides of the top of the hook plate, encircling fins bent to one side of the hook teeth are arranged on two sides of the hook plate, a first locking hole is formed behind the hook teeth, the first locking hole and the hook teeth are in the same plane, and a plurality of first locking holes are formed in the central arc line of the hook plate. This board is decided to hook utilizes the mode of deciding and locking or pressurization to provide the support to fibula near-end fracture, and the heavy burden of this board is decided to hook, the equal fracture fixation plate that has now of antitorque song performance has greatly improved, and this board is decided to hook is favorable to the protection of soft tissue and blood circulation simultaneously, promotes the quick healing of fracture position.
Description
Technical Field
The invention relates to the field of medical instruments for orthopedics, in particular to a hooking and fixing plate for proximal fibula fracture.
Background
The most common method for treating proximal fibula fractures comprises: tension bands, screws, 1/3 tube-type steel plates, etc., but all lack effective fixation of the proximal end of the fracture, particularly osteoporotic comminuted fracture. The existing fibula fracture fixing plates have the following problems: 1. the existing fibula fracture is mostly fixed by a fixing plate made of a single material, for example, a steel plate or a titanium alloy plate is adopted, although the steel plate has good load bearing performance, the steel plate is thick and is not beneficial to the protection of soft tissues at the fibula expansion end and blood circulation after being attached and fixed on the bone surface, and the titanium alloy plate has good deformation capacity, but has poor load bearing capacity and cannot provide a fracture patient with an early and wider ankle joint movable support; 2. the existing fibula fracture fixing plate is only provided with a single hole, or a smooth pressurizing hole, or a threaded hole, and the fixing plate can only realize the purpose of single pressurizing or locking; 3. the torsion resistance is poor, and the fracture fixing plate can only provide the fixed force in the face plane, can't provide the support of side direction torsion for the fibula.
Disclosure of Invention
In order to solve the problems, the invention designs the hooking and fixing plate for the proximal fibula fracture, the hooking and fixing plate supports the proximal fibula fracture in a hooking, locking or pressurizing mode, the load bearing and torsion resistance of the hooking and fixing plate are greatly improved compared with the existing fracture fixing plate, and meanwhile, the hooking and fixing plate is beneficial to the protection of soft tissues and blood circulation and promotes the rapid healing of the fracture part.
In order to achieve the effect, the invention is realized by the following technical scheme:
The hooking plate for the proximal fibula fracture comprises an arc-shaped plate body, the arc-shaped plate body is formed by a pressurizing locking plate and the hooking plate in an integrated mode, the hooking plate is an arc-shaped plate and can be bent by the pressurizing locking plate serving as a reference surface, the pressurizing locking plate is made of stainless steel, the hooking plate is made of titanium alloy, a pressurizing locking hole and a sliding hole are formed in the pressurizing locking plate, the sliding hole is arranged between the pressurizing locking holes, hook teeth are arranged on two sides of the top of the hooking plate, two sides of the hooking plate are provided with encircling fins bent to one side of the hook teeth, a first locking hole is formed in the rear of the hook teeth, the first locking hole and the hook teeth are located in the same plane, and a plurality of first locking holes are formed in the central arc line of the hooking plate.
The pressurizing locking hole is composed of a second locking hole and a pressurizing hole, the second locking hole is communicated with the pressurizing hole in a tangent mode, the second locking hole and the pressurizing hole are mutually connected to form an 8-shaped pressurizing locking hole, the second locking hole is a threaded hole, and the pressurizing hole is a smooth hole.
Wherein the number of the pressurizing locking holes is 2-6 and is even number, and the number of the pressurizing locking holes on two sides of the sliding hole is equal.
Wherein, the thickness of the arc plate body is 1.5mm, the diameter of first locking hole and second locking hole is 2.7mm, and the diameter of pressurization hole is 3 mm.
Wherein, the interval between the hook teeth is 3-5 mm.
The invention has the beneficial effects that: this board is decided to hook utilizes the mode of deciding and locking or pressurization to provide the support to fibula near-end fracture, and the heavy burden of this board is decided to hook, the equal fracture fixation plate that has now of antitorque song performance has greatly improved, and this board is decided to hook is favorable to the protection of soft tissue and blood circulation simultaneously, promotes the quick healing of fracture position.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic perspective view of a hook plate for proximal fibula fracture;
FIG. 2 is a front view of the hook plate for proximal fibula fracture;
Fig. 3 is a side view of the hook plate for proximal fibula fracture.
In the drawings, the components represented by the respective reference numerals are listed below:
1-pressure locking plate, 2-hook plate, 3-hook tooth, 11-pressure locking hole, 12-sliding hole, 21-first locking hole, 22-hook plate body, 23-embracing tab, 111-second locking hole, 112-pressure hole.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described 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 of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-3, the hooking plate for proximal fibula fracture comprises an arc plate body, the arc plate body is formed by integrally molding a pressurizing locking plate 1 and a hooking plate 2, the hooking plate 2 is an arc plate, the hooking plate 2 can be bent by taking the pressurizing locking plate 1 as a reference surface, the pressurizing locking plate 1 is made of stainless steel, the hooking plate 2 is made of titanium alloy, the pressurizing locking plate 1 is provided with pressurizing locking holes 11 and sliding holes 12, the sliding holes 12 are arranged between the pressurizing locking holes 11, and proximal fibula fracture can be fixed in a sliding mode through the sliding holes 12.
The number of the pressurizing locking holes 11 is 2-6 and even, and the pressurizing locking holes 11 are distributed on two sides of the sliding hole 12 in equal number. The thickness of the arc-shaped plate body is 1.5mm, the diameters of the first locking hole 21 and the second locking hole 111 are 2.7mm, and the diameter of the pressurizing hole 112 is 3 mm.
One specific application of the device is as follows: firstly, after a patient is anesthetized in lumbar anesthesia or epidural, the patient takes a supine position or a prone position, the outer side or the rear outer side of a shank is longitudinally cut, skin and subcutaneous tissues are cut, after fracture reduction, a hook plate for proximal fibula fracture is placed, the hook plate 2 is bent to enable hook teeth at the front end of the hook plate 2 to be smoothly inserted into bone at the end of the fibula, a bone hammer is used for hammering hook teeth 3 at the proximal end of the hook plate 2 into the bone at the end of the fibula, the hook teeth 3 and locking screws on a compression locking plate 1 form triangular three-dimensional fixation, the anti-torsion performance of the hook plate is improved, when the hook teeth 3 are inserted, the encircling fins 23 are bent to enable the radian of the encircling fins 23 to be consistent with bone surfaces on two sides of the lateral malleolus tip so as to facilitate the encircling fins 23 to be attached to the bone surfaces, and the encircling fins 23 are further improved in anti-torsion performance of the whole hook plate; then fixing a sliding hole screw, paying attention to correct the fibula shortening, the transverse displacement and the rotation deformity, keeping the fibula shaft and the lateral malleolus axis intersected to be outward 10-15 degrees, then screwing a locking screw into a first locking hole 21 of the hooking plate 2 to fix the hooking plate in the fibula expansion area, and then selecting a pressurizing screw or a locking screw or both the pressurizing screw and the locking screw to be screwed into a pressurizing locking hole 11 of the pressurizing locking plate 1 according to the requirement; finally the screws in the sliding holes 11 are tightened. As the comminuted fracture patient can reset by the hook fixing plate without excessively peeling off periosteum, the blood circulation at the fibula fracture end is effectively protected, and the fracture healing is facilitated; the hooking and fixing plate 2 is made of titanium alloy materials, so that the bending is convenient to reconstruct the proximal structure of the lateral malleolus and the fibular space joint surface, meanwhile, the hooking and fixing plate 2 has good compatibility with tissues, the plate is thin, the extrusion of surrounding soft tissues is avoided, and the blood circulation damage and the contact area of the hooking and fixing plate and the bone can be reduced.
In addition, the invention can also be used for fixing the bone blocks with medium size and avulsion, and also can be used for fixing the olecranal proximal fracture.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example.
The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and the practical application, to thereby enable others skilled in the art to best utilize the invention. The invention is limited only by the claims and their full scope and equivalents.
Claims (6)
1. The hooking plate for the proximal fibula fracture comprises an arc-shaped plate body, wherein the arc-shaped plate body is formed by a pressurizing locking plate and a hooking plate in an integrated mode, the hooking plate is an arc-shaped plate, the hooking plate can be bent by taking the pressurizing locking plate as a reference surface, a pressurizing locking hole and a sliding hole are formed in the pressurizing locking plate, the sliding hole is arranged between the pressurizing locking holes, hook teeth are arranged on two sides of the top of the hooking plate, encircling fins bent to one side of the hook teeth are arranged on two sides of the hooking plate, a first locking hole is formed behind the hook teeth, the first locking hole and the hook teeth are located in the same plane, and a plurality of first locking holes are formed in the central arc line of the hooking plate;
The pressurizing locking hole is composed of a second locking hole and a pressurizing hole, the second locking hole is communicated with the pressurizing hole in a tangent mode, the second locking hole and the pressurizing hole are mutually connected to form an 8-shaped pressurizing locking hole, the second locking hole is a threaded hole, and the pressurizing hole is a smooth hole.
2. A hook plate for proximal fibula fracture according to claim 3, wherein the number of said compression locking holes is 2-6 and even, and the number of compression locking holes on both sides of the sliding hole is equal.
3. The hook plate for proximal fibula fracture according to claim 1, wherein the thickness of the arc-shaped plate body is 1.5mm, the diameter of the first and second locking holes is 2.7mm, and the diameter of the pressurizing hole is 3 mm.
4. The hooking plate for proximal fibula fracture according to claim 1, wherein the distance between the hooking teeth is 3-5 mm.
5. The hook plate for proximal fibula fracture according to claim 1, wherein the compression locking plate is made of stainless steel and the hook plate is made of titanium alloy.
6. The hooking plate for proximal fibula fracture according to any one of claims 1 to 5, wherein the hooking plate for proximal fibula fracture is applied to the fixation of proximal fibula fracture, the fixation of avulsion bone block, and the fixation of proximal olecranal fracture.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010421077.1A CN111467015A (en) | 2020-05-18 | 2020-05-18 | Hook plate for fibula near-end fracture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010421077.1A CN111467015A (en) | 2020-05-18 | 2020-05-18 | Hook plate for fibula near-end fracture |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN111467015A true CN111467015A (en) | 2020-07-31 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202010421077.1A Pending CN111467015A (en) | 2020-05-18 | 2020-05-18 | Hook plate for fibula near-end fracture |
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| Country | Link |
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| CN (1) | CN111467015A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114587548A (en) * | 2022-02-16 | 2022-06-07 | 湖南省脑科医院(湖南省第二人民医院) | Internal fixing device for olecranal fracture |
-
2020
- 2020-05-18 CN CN202010421077.1A patent/CN111467015A/en active Pending
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114587548A (en) * | 2022-02-16 | 2022-06-07 | 湖南省脑科医院(湖南省第二人民医院) | Internal fixing device for olecranal fracture |
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