CN111904581A - Orthopedic implant - Google Patents
Orthopedic implant Download PDFInfo
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- CN111904581A CN111904581A CN202010929321.5A CN202010929321A CN111904581A CN 111904581 A CN111904581 A CN 111904581A CN 202010929321 A CN202010929321 A CN 202010929321A CN 111904581 A CN111904581 A CN 111904581A
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- Prior art keywords
- base layer
- orthopedic implant
- plate
- locking
- embedded
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- 239000007943 implant Substances 0.000 title claims abstract description 29
- 230000000399 orthopedic effect Effects 0.000 title claims abstract description 27
- 229910000861 Mg alloy Inorganic materials 0.000 claims abstract description 21
- 239000000956 alloy Substances 0.000 claims abstract description 5
- 210000000988 bone and bone Anatomy 0.000 claims description 12
- 239000000758 substrate Substances 0.000 claims description 12
- 210000000078 claw Anatomy 0.000 claims description 10
- 230000007704 transition Effects 0.000 claims description 7
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 5
- SXSVTGQIXJXKJR-UHFFFAOYSA-N [Mg].[Ti] Chemical compound [Mg].[Ti] SXSVTGQIXJXKJR-UHFFFAOYSA-N 0.000 claims description 3
- 230000008878 coupling Effects 0.000 claims 1
- 238000010168 coupling process Methods 0.000 claims 1
- 238000005859 coupling reaction Methods 0.000 claims 1
- 230000002980 postoperative effect Effects 0.000 abstract description 3
- 229910052751 metal Inorganic materials 0.000 abstract description 2
- 239000002184 metal Substances 0.000 abstract description 2
- 150000002739 metals Chemical class 0.000 abstract description 2
- 238000011084 recovery Methods 0.000 abstract description 2
- 230000008929 regeneration Effects 0.000 abstract description 2
- 238000011069 regeneration method Methods 0.000 abstract description 2
- 230000000694 effects Effects 0.000 description 7
- 230000006835 compression Effects 0.000 description 6
- 238000007906 compression Methods 0.000 description 6
- 229910000831 Steel Inorganic materials 0.000 description 5
- 210000002082 fibula Anatomy 0.000 description 5
- 230000001737 promoting effect Effects 0.000 description 5
- 239000010959 steel Substances 0.000 description 5
- 238000004891 communication Methods 0.000 description 3
- 230000012010 growth Effects 0.000 description 3
- 239000010935 stainless steel Substances 0.000 description 3
- 230000008468 bone growth Effects 0.000 description 2
- 230000001900 immune effect Effects 0.000 description 2
- 239000011664 nicotinic acid Substances 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- ATJFFYVFTNAWJD-UHFFFAOYSA-N Tin Chemical compound [Sn] ATJFFYVFTNAWJD-UHFFFAOYSA-N 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000010008 shearing Methods 0.000 description 1
- 229910001256 stainless steel alloy Inorganic materials 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—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
- A61B17/8004—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
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/02—Inorganic materials
- A61L31/022—Metals or alloys
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Neurology (AREA)
- Vascular Medicine (AREA)
- Epidemiology (AREA)
- Chemical & Material Sciences (AREA)
- Inorganic Chemistry (AREA)
- Prostheses (AREA)
Abstract
An orthopaedic implant comprising a body, the body comprising at least: the base layer is a bone-near layer relative to the second base layer in a use state, the first base layer is made of magnesium alloy materials, and the strength of the second base layer is greater than that of magnesium alloy. The magnesium alloy with high biocompatibility and other metals with high bonding strength are adopted to construct the orthopedic implant, so that the orthopedic regeneration can be promoted, and the postoperative recovery can be improved.
Description
Technical Field
The invention relates to the technical field of orthopedic medical instruments, in particular to an orthopedic implant.
Background
In the prior art, implants for orthopedic operations are made of stainless steel or titanium alloy materials.
The stainless steel has good toughness and good fixing effect, but has poor biocompatibility, is easy to cause immunological rejection, and influences the operation effect. Compared with stainless steel, titanium alloy has the characteristics of low quality and high strength, but the biocompatibility still has poor performance.
The characteristics of the orthopedic implant product for promoting bone fusion are very important.
Disclosure of Invention
The present invention aims to solve the above problems of the background art and to provide a class of orthopaedic implants having a better biocompatibility.
In order to achieve the above object, some embodiments of the present invention provide the following technical solutions:
an orthopaedic implant comprising a body, the body comprising at least: the base layer is a bone-near layer relative to the second base layer in a use state, the first base layer is made of magnesium alloy materials, and the strength of the second base layer is greater than that of magnesium alloy.
In some embodiments of the present invention, the first substrate is attached to the second substrate.
In some embodiments of the present invention, the thickness of the first base layer is less than the thickness of the second base layer.
In some embodiments of the invention, the first base layer is partially embedded in the second base layer, or the second base layer is partially embedded in the first base layer.
In some embodiments of the present invention, if the first base layer is partially embedded in the second base layer, the width of the first base layer embedded in the second base layer side is greater than the width of the first base layer located outside the second base layer;
if the second base layer is partially embedded in the first base layer, the width of the second base layer embedded in the side of the first base layer is larger than the width of the second base layer located outside the first base layer.
In some embodiments of the present invention, a mutually matched combination structure is disposed between the first base layer and the second base layer, and includes a groove structure and a claw structure capable of being clamped in the groove structure;
if the groove structure is positioned on the second base layer, the claw structure is positioned on the first base layer;
if the groove structure is located on the first base layer, the claw structure is located on the second base layer.
In some embodiments of the present invention, the second substrate is made of magnesium-titanium alloy.
In some embodiments of the invention, the first substrate covers a portion of one side end surface of the second substrate.
In some embodiments of the present invention, the second substrate is plate-shaped, and comprises a plate head portion and a plate body portion, which are connected via a transition portion; the plate head portion is configured to biomimetically conform to a bone, and the first base layer is disposed at least at a plate body portion, or transition portion.
In some embodiments of the invention, the plate head portion: a plurality of locking holes and a plurality of Kirschner wire holes are arranged, and the locking holes are inclined holes so that the fixing piece can be inserted in an inclined manner;
the plate main body portion: the plate head is provided with a plurality of pressurizing locking holes integrally, each pressurizing locking hole comprises a pressurizing hole section and a locking hole section, each pressurizing hole section is a vertical hole, and each locking hole section is an inclined hole.
Compared with the prior art, the technical scheme of the invention has the beneficial effects that:
the magnesium alloy with high biocompatibility and other metals with high bonding strength are adopted to construct the orthopedic implant, so that the orthopedic regeneration can be promoted, and the postoperative recovery can be improved.
Drawings
In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings needed to be used in the embodiments or the prior art descriptions will be briefly described 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 to obtain other drawings based on these drawings without inventive exercise.
FIG. 1 is a schematic view of the construction of an orthopedic implant;
FIG. 2 is a schematic view of a locking plate;
FIG. 3 is a schematic view of a locking plate;
101-first base layer, 1011-pawl, 102-second base layer, 1021-groove structure;
201-plate body portion, 202-plate head portion, 203-transition portion, 204-locking hole, 205-k-wire hole, 2061-pressurization hole segment, 2061-locking hole segment.
Detailed Description
In order to make the technical problems, technical solutions and advantageous effects to be solved by the present invention more clearly apparent, the present invention is further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
It should be noted that the terms "first" and "second" are used for descriptive purposes only and do not imply relative importance. "connect," "communicate," and the like may refer to either a direct connection or a direct communication between the components, or an indirect connection or an indirect communication between the components.
The invention provides an orthopedic implant which is suitable for orthopedic surgery and has the advantage of promoting bone growth.
The orthopaedic implant comprises a body, the shape of which may depend on the specific function of the orthopaedic implant, and may be, for example, of the locking plate type, of the internal fixation system type, etc.
The body of the orthopedic implant comprises at least: the base layer comprises a first base layer 101 and a second base layer 102, wherein the first base layer 101 is a bone-near layer relative to the second base layer 102 in a use state, the first base layer 101 is made of magnesium alloy materials, the strength of the second base layer 102 is greater than that of magnesium alloy, for example, the second base layer 102 can be made of magnesium-titanium alloy
The magnesium alloy has good biocompatibility, does not generate immunological rejection reaction, and has the effect of promoting the growth of bones. However, the magnesium alloy has low strength and poor mechanical property, and cannot be used alone as an orthopedic implant, so that the magnesium alloy is matched with the second base layer 102 by using the second base layer 102 with high strength as a substrate, so that the orthopedic implant has sufficient strength. In addition, the first base layer 102 is directly contacted with the skeleton, so that the magnesium alloy layer can better play a role in promoting the growth of the skeleton.
The first base layer 101 and the second base layer 102 have two specific mating forms as follows.
Example 1
In some embodiments of the invention, the first substrate is attached 101 to the second substrate 102. Specifically, the magnesium alloy can be made into magnesium alloy thin paper, which is similar to tin foil paper, cut into a required size and shape, and attached to the surface of the second base layer 102. The first base layer 101 does not necessarily cover the entire end surface of the second base layer 102, and the first base layer 101 may cover a part of one side end surface of the second base layer 102 as long as a contact area with the bone can be satisfied.
The effect of promoting bone growth of the orthopedic implant can be achieved by constructing only one layer of the magnesium alloy structure without designing the magnesium alloy layer to be of a size of much thickness, and thus the thickness of the first base layer 101 can be smaller than that of the second base layer 102.
Example 2
Referring to fig. 1, in some embodiments of the present invention, the first base layer 101 is partially embedded in the second base layer 102, or the second base layer 102 is partially embedded in the first base layer 101. That is, the first base layer 101 and the second integration 102 are constructed as an embedded structure.
Specifically, if the first base layer 101 is partially embedded in the second base layer 102, the width of the first base layer 101 embedded in the second base layer 102 is greater than the width of the first base layer 101 located outside the second base layer 102;
if the second base layer 102 is partially embedded in the first base layer 101, the width of the second base layer 102 embedded in the first base layer 101 is greater than the width of the second base layer 102 located outside the first base layer 101.
In some embodiments of the present invention, a mutually matching combination structure is disposed between the first base layer 101 and the second base layer 102, and includes a groove structure and a claw structure that can be clamped in the groove structure;
if the groove structure is located on the second base layer 102, the claw structure is located on the first base layer 101;
if the groove structure is located on the first base layer 101, the claw structure is located on the second base layer 102.
Hereinafter, the matching structure between the first base layer 101 and the second base layer 102 will be described by taking the example of embedding the two layers.
Processing the first base layer 101 into a structure with one wide end and one narrow end, wherein one end of the wide end is formed into a claw 1011; the groove structure 1021 is formed on the second base layer 101, and the groove structure 1021 is as critical as the shape of the first base layer 101, so that the first base layer 101 can be assembled in the groove structure 1021, and after assembly, the surface of the first base layer 101 is flush with that of the second base layer 1021. With this arrangement, the first base layer 1011 can cover only a part of the surface of the second base layer 1021.
In the following, a specific orthopedic implant is provided, being a locking plate, with reference to fig. 2 and 3.
For locking plates, the second substrate 102 is plate-shaped, comprising a plate head portion 201 and a plate body portion 202, which are connected via a transition portion; the plate head portion 201 and the plate body portion 202 are configured to fit bones in a bionic fit manner, for example, the present embodiment is a locking plate applicable to fibula, and the structure of the plate head portion 201 is designed to fit the fibula bone; the plate main body 202 has a long stem shape. For the locking plate, a first base layer 101 made of magnesium alloy is arranged on one side of the locking plate, which is attached to the bone in the use state of the locking plate, and a second base layer made of other metal materials harder than the magnesium alloy can be used. And is provided at least in the board main body portion 201, or the transition portion 203. The first substrate 101 is disposed at a position considering that a fracture site is generally disposed at a bone segment corresponding to the main body portion 201 and the transition portion 203 of the plate.
In some embodiments of the present invention, the plate head 201 is provided with a plurality of locking holes 204 and a plurality of kirschner wire holes 205, and the locking holes 204 are inclined holes, so that the fixing member is inserted obliquely, and the plate fixing effect is enhanced; the longitudinal end of the plate body 202 is also provided with a k-wire hole 205 for fixing the plate end.
The plate body portion 202 is provided with a plurality of pressure locking holes, which include a pressure hole section 2061 and a locking hole section 2061, the pressure hole section 2061 being a vertical hole, and the locking hole section 2062 being an inclined hole. The pressurizing hole section 2061 and the locking hole section 2062 may take a form of a middle communication.
The compression hole section 2061 is used for inserting a compression screw: the compression screw tail is unthreaded, allowing the plate to be closer to the bone surface during tightening. The closer the plate is attached to the surface of the bone, the shearing force borne by the screw can be dispersed to the steel plate, and the occurrence of short nails is reduced.
The locking hole segment 2062 is used for inserting a locking screw: the tail of the locking screw is provided with threads, so that the locking effect can be achieved. Because, the not hard up condition may appear in the postoperative forcing screw, if the steel sheet is not hard up with the screw, can increase the fatigue stress of screw, steel sheet for screw and steel sheet fracture, use the locking screw can prevent that the steel sheet is not hard up for preset position.
The operation process comprises the following steps: 1. firstly, a locking plate is placed at a preset position on the outer side of the distal end of a fibula, the side where a first base layer 101 is located faces the fibula, and the position of the locking plate is adjusted to enable the locking plate to be attached to the surface of the fibula; 2. driving a kirschner wire into the kirschner wire hole 205; 3. and (4) screwing a compression screw into the compression hole of the compression locking hole, and selecting a plurality of locking holes to screw in the locking screws to finish the operation.
After the screw is screwed in for fixation, one side of the bionic locking plate magnesium alloy is better attached to the injured bone, and the growth of the bone is promoted.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents and improvements made within the spirit and principle of the present invention are intended to be included within the scope of the present invention.
Claims (10)
1. Orthopaedic implant, characterized in that it comprises a body comprising at least: the base layer is a bone-near layer relative to the second base layer in a use state, the first base layer is made of magnesium alloy materials, and the strength of the second base layer is greater than that of magnesium alloy.
2. The orthopedic implant of claim 1 wherein said first base layer is attached to said second base layer.
3. The orthopedic implant of claim 1 wherein the thickness of the first base layer is less than the thickness of the second base layer.
4. The orthopedic implant of claim 1 wherein the first base layer portion is embedded within the second base layer or the second base layer portion is embedded within the first base layer.
5. The orthopedic implant of claim 4, wherein:
if the first base layer is partially embedded into the second base layer, the width of the first base layer embedded into the second base layer side is larger than the width of the first base layer positioned outside the second base layer;
if the second base layer is partially embedded in the first base layer, the width of the second base layer embedded in the side of the first base layer is larger than the width of the second base layer located outside the first base layer.
6. Orthopedic implant according to claim 4 or 5, characterized in that a cooperating coupling structure is provided between the first and second substrate layers, comprising a groove structure and a claw structure which can be engaged in the groove structure;
if the groove structure is positioned on the second base layer, the claw structure is positioned on the first base layer;
if the groove structure is located on the first base layer, the claw structure is located on the second base layer.
7. The orthopedic implant of claim 1 wherein said second base layer is made of a magnesium titanium alloy.
8. The orthopedic implant of claim 1 wherein the first base layer covers a portion of a side end surface of the second base layer.
9. Orthopedic implant according to any of claims 1 to 7, characterized in that the second base layer is plate-shaped, comprising a plate head portion and a plate body portion, which are connected via a transition portion; the plate head portion is configured to biomimetically conform to a bone, and the first base layer is disposed at least at a plate body portion, or transition portion.
10. The orthopedic implant of claim 8, wherein:
the plate head part: a plurality of locking holes and a plurality of Kirschner wire holes are arranged, and the locking holes are inclined holes so that the fixing piece can be inserted in an inclined manner;
the plate main body portion: the plate head is provided with a plurality of pressurizing locking holes integrally, each pressurizing locking hole comprises a pressurizing hole section and a locking hole section, each pressurizing hole section is a vertical hole, and each locking hole section is an inclined hole.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202010929321.5A CN111904581A (en) | 2020-09-07 | 2020-09-07 | Orthopedic implant |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202010929321.5A CN111904581A (en) | 2020-09-07 | 2020-09-07 | Orthopedic implant |
Publications (1)
Publication Number | Publication Date |
---|---|
CN111904581A true CN111904581A (en) | 2020-11-10 |
Family
ID=73267503
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN202010929321.5A Withdrawn CN111904581A (en) | 2020-09-07 | 2020-09-07 | Orthopedic implant |
Country Status (1)
Country | Link |
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CN (1) | CN111904581A (en) |
-
2020
- 2020-09-07 CN CN202010929321.5A patent/CN111904581A/en not_active Withdrawn
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Application publication date: 20201110 |