CN111631789A - Locking steel plate for scapula fracture treatment - Google Patents

Locking steel plate for scapula fracture treatment Download PDF

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Publication number
CN111631789A
CN111631789A CN202010520045.7A CN202010520045A CN111631789A CN 111631789 A CN111631789 A CN 111631789A CN 202010520045 A CN202010520045 A CN 202010520045A CN 111631789 A CN111631789 A CN 111631789A
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CN
China
Prior art keywords
plate
scapula
scapular
outer edge
locking steel
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202010520045.7A
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Chinese (zh)
Inventor
邹刚
孙鹏鹏
杨继滨
金瑛
桑鹏
彭笳宸
刘毅
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Affiliated Hospital of Zunyi Medical University
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Affiliated Hospital of Zunyi Medical University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Affiliated Hospital of Zunyi Medical University filed Critical Affiliated Hospital of Zunyi Medical University
Priority to CN202010520045.7A priority Critical patent/CN111631789A/en
Publication of CN111631789A publication Critical patent/CN111631789A/en
Pending legal-status Critical Current

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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
    • A61B17/8004Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones

Abstract

The invention discloses a locking steel plate for scapula fracture treatment, which comprises a left locking steel plate and a right locking steel plate which are symmetrical to each other, wherein the locking steel plate comprises a scapula outer edge plate, a scapula covering plate and a scapula guard plate, the scapula covering plate is obliquely arranged above the scapula outer edge plate and is connected with a connecting plate on the upper edge of the scapula outer edge plate, the scapula guard plate is arranged on the inner side of the scapula outer edge plate, the scapula guard plate is arranged on one side of the scapula covering plate in the oblique direction and comprises a straight plate AB and an arc plate BC, and the scapula outer edge plate, the scapula covering plate and the scapula guard plate are respectively provided with a plurality of first fixing holes, second fixing holes and third fixing holes. The invention has simple structure, is designed according to the anatomical shape of the scapula, is convenient to use, can be effectively attached, is suitable for all types of scapula fractures, ensures the smooth operation of the operation, is beneficial to postoperative fracture healing and early functional exercise, and reduces the occurrence of complications such as shoulder joint stiffness, bone nonunion, deformity healing and the like.

Description

Locking steel plate for scapula fracture treatment
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a locking steel plate for treating scapula fracture.
Background
The scapula and ribs form the thorax together to protect heart, lung, great vessels and other important tissues and organs. The scapula is a part of the scapular band and supports the movement of the shoulder joint. The scapula pelvis and the humeral head form a shoulder joint, the fracture of the part belongs to intra-articular fracture, and a patient with an operation indication needs to be cut open for reduction in principle and perform early functional exercise. The scapula is irregular in shape, and most of the scapula is flat bone. The part for fixing the steel plate by holding the screw is the periphery of the scapula, particularly the scapula rest, the scapula pelvis and the outer side edge of the scapula are relatively thick in cortex, the screw is relatively fixed firmly, and the flat bone in the middle part is very thin, so that the aim of accurate fixation cannot be achieved. At present, scapula steel plates are used in the orthopedic field, the scapula steel plates are not designed according to the anatomical design of scapula, particularly, scapula pelvis, scapula holly and the inner and outer edges of the scapula are all in irregular shapes, and great challenge is brought to designers.
With the rapid development of the construction industry and the traffic industry. High fall injury and traffic injury increase gradually, and these two types of injuries are high energy injury, and the orthopedics field relates to the patient that scapula fracture needs to open the reduction and increases gradually, and the back approach mode of adoption is all accomplished to most fracture operations. The steel plate used for internal fixation at present is also a common strip-shaped reconstruction steel plate, cannot be skillfully attached to scapulae with irregular shapes, cannot fix fracture parts well, has high operation difficulty, influences the operation, enables the fracture parts to be healed and deformed, has obviously increased postoperative complications, causes high incidence of complications such as shoulder joint instability, pain, limited activity, impact and the like, and has great influence on the life quality of patients.
Disclosure of Invention
Aiming at the defects, the locking steel plate for treating the scapula fracture, provided by the invention, has the advantages of simple structure and convenience in use, can effectively attach and fix the scapula, ensures smooth operation, is not easy to deform after the operation, reduces the occurrence of complications, and effectively solves the problems of untight attachment, more postoperative complications, high operation difficulty and the like.
The locking steel plate is simple in structure, is designed according to the anatomical shape of scapulae, is convenient to use, can be effectively attached, is suitable for all types of scapulae fractures, particularly complex fractures with fractures affecting scapula pelvis, scapula post and scapula body, can ensure the smooth operation of complex fractures or simple fracture operations, provides stable and firm fixation, is beneficial to postoperative fracture healing and early functional exercise, and reduces the occurrence of complications such as shoulder joint stiffness, bone nonunion, malformation healing and the like.
In order to achieve the purpose, the technical scheme adopted by the invention for solving the technical problems is as follows: the utility model provides a scapula fracture locking steel plate, including the left locking steel plate and the right locking steel plate of mutual symmetry, this locking steel plate includes scapula outer fringe board, scapula is mended board and scapula post board, scapula is mended the board slope and is set up in scapula outer fringe board top, and scapula is mended board and scapula outer fringe board and is become angle beta and be 121 plus 138, scapula is mended the board and is connected with the connecting plate on the outer fringe board of scapula, scapula post board sets up one side on the scapula outer fringe board, scapula post board sets up at scapula is mended board slope direction inboard, scapula post board includes straight board AB and arc board BC, the arc angle that arc board BC and scapula outer fringe board become is 100, be provided with a plurality of fixed orifices one respectively on outer fringe board, scapula board and the scapula post board, fixed orifices two and fixed orifices three, fixed orifices one, fixed orifices two and fixed orifices three internal thread and the screw thread phase-match are provided with.
The invention has the beneficial effects that: during the operation, fix the outer fringe of scapula with the outer fringe of scapula board through fixed orifices one and screw, fix the scapula through fixed orifices two and screw at the glenoid dorsal part, fix the scapula post board on the scapula post through fixed orifices three and screw, this steel sheet designs according to the scapula anatomical shape completely, so, outer fringe of scapula board, scapula board and scapula post board closely laminate with corresponding skeleton respectively, then carry out the operation. When the locking steel plate is used for fixing the scapula fracture, the fracture part of the body part thin wall can be indirectly reset under the action of the steel plate, further incision for resetting and internal fixation are not needed, the surgical wound is small, the healing time can be shortened, and the treatment effect is good; the steel plate can fix the outer edge of the scapula, the back side of the scapula pelvis and the scapula post at the same time, a plurality of internal fixing instruments are not needed during operation, and the steel plate can be attached to the bone surface after slight adjustment during operation, so that the operation difficulty is reduced; the steel plate and the skeleton are firmly fixed, the internal fixation failure dislocation is not easy to occur, the locking steel plate for treating the scapula fracture can be cut and arranged according to the specific fracture position to fix a single skeleton, the use is more convenient, and the operation difficulty is greatly reduced; meanwhile, the fracture part is completely healed, the deformity is not easy to generate, and the generation of complications can be reduced.
Furthermore, the locking direction of the second fixing hole forms an angle of 45 degrees with the scapular yoke plate, so that the blocking of a shoulder peak when the scapular glenoid screw is placed can be avoided, and the scapular glenoid part can be stably fixed.
The beneficial effect of adopting the further scheme is that: after the screws are screwed in, the screws and the scapular yoke plate incline to 45 degrees, the scapular pelvis can be better attached and fixed on the back side, the scapular pelvis is firmly fixed, the internal fixation is prevented from loosening and dislocation, and the normal operation of the operation is ensured.
Furthermore, the scapular outer edge plate, the scapular yoke plate and the scapular guard plate are integrally formed.
The beneficial effect of adopting the further scheme is that: the scapula fracture locking steel plate is more convenient to fix at a fracture part, stable and firm in fixation, uniform in whole stress, capable of reducing surgical injury and convenient for postoperative healing and rehabilitation.
Furthermore, the length of the scapular outer margin plate is 60-100mm, the width is 8mm, the length of the scapular breast plate is 20-30mm, the width is 6mm, the length of the straight plate AB on the scapular sentry plate is 20-30mm, the length of the arc plate BC is 8-12mm, and the width is 6 mm.
The beneficial effect of adopting the further scheme is that: the scapula fracture steel plate with the specification is suitable for fixing most scapula fracture parts, is more convenient to use in an operation, and can be tightly attached by slight adjustment.
Further, the diameters of the first fixing hole, the second fixing hole and the third fixing hole are respectively 3.5mm, 2.7mm and 2.7 mm.
Further, the connecting plate is 5mm long.
Drawings
FIG. 1 is a schematic view of the present invention;
FIG. 2 is a front view of a locking steel plate for scapular fracture treatment;
wherein, 1, a scapular outer margin plate; 2. scapular montage plate; 3. scapula guard board; 4. a connecting plate; 5. a first fixing hole; 6. a second fixing hole; 7. and a third fixing hole.
Detailed Description
The following detailed description of embodiments of the invention refers to the accompanying drawings.
In one embodiment of the present invention, as shown in fig. 1 to 2, there is provided a locking steel plate for the treatment of scapular fracture, comprising a left locking steel plate and a right locking steel plate which are symmetrical to each other, the locking steel plate comprising a scapular outer edge plate 1, a scapular rose plate 2 and a scapular post plate 3, the scapular rose plate 2 is obliquely arranged above the scapular outer edge plate 1, an angle β formed by the scapular rose plate 2 and the scapular outer edge plate 1 is 130 °, the scapular rose plate 2 is connected to a 5mm connecting plate 4 on the upper edge of the scapular outer edge plate 1, the scapular post plate 3 is arranged on one side of the scapular outer edge plate 1, the scapular post plate 3 is arranged on the inner side of the scapular outer edge plate 2 in the oblique direction, the scapular post plate 3 comprises a straight plate AB and a BC, the arc plates AB and the scapular outer edge plate 1 are respectively provided with a plurality of fixing holes 6 and 7, the diameters of the first fixing hole 5, the second fixing hole 6 and the third fixing hole 7 are respectively 3.5mm, 2.7mm and 2.7mm, and threads matched with the screws are arranged in the first fixing hole 5, the second fixing hole 6 and the third fixing hole 7. During operation, the scapular outer edge plate 1 is fixed on the outer edge of a scapula through the first fixing hole 5 and the screws, the scapular screening plate 2 is fixed on the back side of the scapula through the second fixing hole 6 and the screws, the scapular sentry plate 3 is fixed on the scapular sentry through the third fixing hole 7 and the screws, and the scapular outer edge plate 1, the scapular screening plate 2 and the scapular sentry plate 3 are respectively tightly attached to corresponding bones and then are operated. When the scapula fracture steel plate is used for fixation, the fracture part with the thin wall of the body part can be indirectly reset under the action of the steel plate, further incision for resetting and internal fixation are not needed, the surgical wound is small, the healing time can be shortened, and the treatment effect is good; the steel plate can fix the outer edge of the scapula, the back side of the scapula pelvis and the scapula post at the same time, a plurality of internal fixing instruments are not needed during operation, and the steel plate can be attached to the bone surface after slight adjustment during operation, so that the operation difficulty is reduced; the steel plate and the skeleton are firmly fixed, so that loosening and dislocation are not easy to occur, the locking steel plate for treating scapula fracture can be cut and arranged according to the specific fracture position, and then single skeleton fixation is performed, so that the use is more convenient, and the operation difficulty is greatly reduced; meanwhile, the fracture part is completely healed, the deformity is not easy to generate, and the generation of complications can be reduced.
The locking direction of the second fixing hole 6 forms an angle of 45 degrees with the scapular yoke plate 2; the screw twists back and the slope of scapular menbrane board 2 becomes 45, and the blocking of acromion when can avoiding putting into scapular pelvis screw can put into more screws, just can firmly fix scapular pelvis part, and the fixed scapular pelvis dorsal part of laminating that can be better prevents not hard up dislocation, guarantees the normal clear of operation. The scapular outer edge plate 1, the scapular yoke plate 2 and the scapular sentry plate 3 are integrally formed; the scapula fracture steel plate formed integrally is more convenient to fix at a fracture part, is uniform in overall stress, reduces surgical injury, and is convenient for postoperative healing recovery. The scapular outer edge plate is 80mm long and 8mm wide, the scapular meng plate is 25mm long and 6mm wide, a straight plate AB on the scapular sentry plate is 25mm long, an arc plate BC is 10mm long and 6mm wide; the scapula fracture steel plate with the specification is suitable for fixing most scapula fracture parts, is more convenient to use in an operation, and can be tightly attached by slight adjustment.
During the use, fix the outer fringe of scapula with scapula outer fringe board 1 through fixed orifices one 5 and screw, fix in the scapula pelvis dorsal part through fixed orifices two 6 and screw scapula meng board 2, fix scapula sentry board 3 on the scapula sentry through fixed orifices three 7 and screw, scapula outer fringe board 1, scapula meng board 2 and scapula sentry board 3 closely laminate with corresponding skeleton respectively, then carry out the operation. The fixing device is simple in structure and convenient to use, can be used for effectively, stably and firmly fixing the scapula in a fitting manner, ensures smooth operation, is not easy to deform after postoperative healing, reduces complications, and effectively solves the problems of untight fitting, more postoperative complications, high operation difficulty and the like.
While the present invention has been described in detail with reference to the illustrated embodiments, it should not be construed as limited to the scope of the present patent. Various modifications and changes may be made by those skilled in the art without inventive step within the scope of the appended claims.

Claims (6)

1. The locking steel plate for the scapula fracture treatment is characterized by comprising a left locking steel plate and a right locking steel plate which are symmetrical to each other, wherein the locking steel plate comprises a scapula outer edge plate (1), a scapula covering plate (2) and a scapula post plate (3), the scapula covering plate (2) is obliquely arranged above the scapula outer edge plate (1), an angle beta formed by the scapula covering plate (2) and the scapula outer edge plate (1) is 121-138 degrees, the scapula covering plate (2) is connected with a connecting plate (4) on the upper edge of the scapula outer edge plate (1), the scapula post plate (3) is arranged on the inner side of the scapula outer edge plate (1), the scapula covering plate (3) is arranged on one side of the oblique direction of the scapula covering plate (2), the scapula post plate (3) comprises a straight arc plate and a BC plate, the scapula covering plate and the scapula outer edge plate (1) form a 100-degree angle, the shoulder blade outer edge plate (1), the shoulder blade yoke plate (2) and the shoulder blade post plate (3) are respectively provided with a plurality of fixing holes I (5), a plurality of fixing holes II (6) and a plurality of fixing holes III (7), and threads matched with screws are arranged in the fixing holes I (5), the fixing holes II (6) and the fixing holes III (7).
2. The locking steel plate for the treatment of scapular fractures according to claim 1, wherein the locking direction of the second fixing hole (6) is at an angle of 45 ° to the scapular menbrane plate (2).
3. The locking steel plate for scapula fracture treatment according to claim 1, wherein the scapular outer edge plate (1), the scapular yoke plate (2), and the scapular post plate (3) are integrally formed.
4. The locking steel plate for scapula fracture treatment according to claim 1, wherein the scapular outer margin plate (1) is 60-100mm long and 8mm wide, the scapular Meng plate (2) is 20-30mm long and 6mm wide, the straight plate AB on the scapular post plate (3) is 20-30mm long, and the arc plate BC is 8-12mm long and 6mm wide.
5. The locking steel plate for the treatment of scapular fractures according to claim 1, wherein the first fixing hole (5), the second fixing hole (6) and the third fixing hole (7) have diameters of 3.5mm, 2.7mm and 2.7mm, respectively.
6. The locking steel plate for the treatment of scapular fractures according to claim 1, wherein the connecting plate (4) is 5mm long.
CN202010520045.7A 2020-06-09 2020-06-09 Locking steel plate for scapula fracture treatment Pending CN111631789A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010520045.7A CN111631789A (en) 2020-06-09 2020-06-09 Locking steel plate for scapula fracture treatment

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010520045.7A CN111631789A (en) 2020-06-09 2020-06-09 Locking steel plate for scapula fracture treatment

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CN111631789A true CN111631789A (en) 2020-09-08

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2757744Y (en) * 2004-09-28 2006-02-15 陈立军 Scapula anatomize type steel plate
CN102772243A (en) * 2012-07-16 2012-11-14 兰树华 Acromion dissection locking bone plate
CN103610491A (en) * 2013-11-06 2014-03-05 广州军区广州总医院 Auxiliary steel plate assembly for treatment of scapular fracture
CN104382641A (en) * 2014-11-16 2015-03-04 邓宇 Special withholding steel plate for internal fixation of acromioclavicular dislocation
US20150282850A1 (en) * 2011-03-04 2015-10-08 DePuy Synthes Products, Inc. Modular Hook Plate Assembly
US20150366594A1 (en) * 2012-12-14 2015-12-24 Universiteit Gent Articular fracture fixation system and method
CN106667568A (en) * 2016-12-31 2017-05-17 苏州市康力骨科器械有限公司 Dissection type shoulder blade locking steel plate
CN107049461A (en) * 2017-05-27 2017-08-18 上海市浦东医院 A kind of fracture of scapula dissection locking internal fixation system
CN209490075U (en) * 2018-09-26 2019-10-15 汤长华 7 type metal abnormal shape dissection of fracture of scapula back side/locking steel plate

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2757744Y (en) * 2004-09-28 2006-02-15 陈立军 Scapula anatomize type steel plate
US20150282850A1 (en) * 2011-03-04 2015-10-08 DePuy Synthes Products, Inc. Modular Hook Plate Assembly
CN102772243A (en) * 2012-07-16 2012-11-14 兰树华 Acromion dissection locking bone plate
US20150366594A1 (en) * 2012-12-14 2015-12-24 Universiteit Gent Articular fracture fixation system and method
CN103610491A (en) * 2013-11-06 2014-03-05 广州军区广州总医院 Auxiliary steel plate assembly for treatment of scapular fracture
CN104382641A (en) * 2014-11-16 2015-03-04 邓宇 Special withholding steel plate for internal fixation of acromioclavicular dislocation
CN106667568A (en) * 2016-12-31 2017-05-17 苏州市康力骨科器械有限公司 Dissection type shoulder blade locking steel plate
CN107049461A (en) * 2017-05-27 2017-08-18 上海市浦东医院 A kind of fracture of scapula dissection locking internal fixation system
CN209490075U (en) * 2018-09-26 2019-10-15 汤长华 7 type metal abnormal shape dissection of fracture of scapula back side/locking steel plate

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Application publication date: 20200908

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