CN113729905A - Anatomical sternoclavicular joint bone fracture plate and sternoclavicular joint internal fixation system - Google Patents
Anatomical sternoclavicular joint bone fracture plate and sternoclavicular joint internal fixation system Download PDFInfo
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- CN113729905A CN113729905A CN202110961775.5A CN202110961775A CN113729905A CN 113729905 A CN113729905 A CN 113729905A CN 202110961775 A CN202110961775 A CN 202110961775A CN 113729905 A CN113729905 A CN 113729905A
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- sternoclavicular joint
- anatomical
- sternoclavicular
- coaptation board
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- 210000001898 sternoclavicular joint Anatomy 0.000 title claims abstract description 63
- 208000010392 Bone Fractures Diseases 0.000 title claims abstract description 24
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 43
- 230000000694 effects Effects 0.000 claims abstract description 16
- 210000003109 clavicle Anatomy 0.000 claims abstract description 13
- 238000010030 laminating Methods 0.000 claims abstract description 4
- 210000001562 sternum Anatomy 0.000 claims description 4
- 230000035876 healing Effects 0.000 abstract description 2
- 210000003041 ligament Anatomy 0.000 abstract description 2
- 230000002093 peripheral effect Effects 0.000 abstract description 2
- 230000033001 locomotion Effects 0.000 description 4
- 229910000831 Steel Inorganic materials 0.000 description 3
- 239000002131 composite material Substances 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 239000010959 steel Substances 0.000 description 3
- 206010013975 Dyspnoeas Diseases 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 210000003461 brachial plexus Anatomy 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 230000008407 joint function Effects 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 206010013952 Dysphonia Diseases 0.000 description 1
- 206010013954 Dysphoria Diseases 0.000 description 1
- 208000000059 Dyspnea Diseases 0.000 description 1
- 208000010473 Hoarseness Diseases 0.000 description 1
- 208000028389 Nerve injury Diseases 0.000 description 1
- 206010040047 Sepsis Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000142 acromioclavicular joint Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 230000008764 nerve damage Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 201000003144 pneumothorax Diseases 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 208000013223 septicemia Diseases 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 206010048627 thoracic outlet syndrome Diseases 0.000 description 1
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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
- A61B17/8076—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 for the ribs or the sternum
-
- 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
- A61B17/8052—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
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The invention provides an anatomical sternoclavicular joint bone fracture plate and a sternoclavicular joint internal fixation system. Anatomical form sternoclavicular joint coaptation board, including the coaptation board main part, the coaptation board main part includes near-end and distal end, the near-end of coaptation board main part with the clavicle part laminating of sternoclavicular joint, the near-end of coaptation board main part is equipped with the activity hole, the inner wall of activity hole is the smooth surface, there is the clearance between the inner wall of activity hole and the screw that penetrates wherein, the axis of activity hole is crossed the sternoclavicular joint, the distal end of coaptation board main part is equipped with a plurality of locking holes. The sternoclavicular joint internal fixation system comprises the anatomical sternoclavicular joint bone plate and cancellous screws matched with the movable holes of the bone plate main body. The anatomical sternoclavicular joint bone fracture plate can effectively ensure the stability of the dislocated sternoclavicular joint, accelerate the repair and healing of peripheral ligaments, enable patients to exercise early and have the function of restoring joints early.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to an anatomical sternoclavicular joint bone fracture plate and a sternoclavicular joint internal fixation system.
Background
The dislocation of the sternoclavicular joint fracture is a common clinical disease, sometimes causes serious consequences, such as dysphoria, hoarseness, pneumothorax, dyspnea, brachial plexus nerve injury and related symptoms in blood vessels, and long-term complications also include related symptoms of labored respiration, blood vessel compression and brachial plexus compression, and even lead to thoracic outlet syndrome, septicemia, even death and the like.
At present, internal fixation methods used for dislocation of the sternoclavicular joint comprise kirschner wire fixation and steel wire fixation, and because the sternum is cancellous bone and the clavicle is positioned on the front outer side of the sternoclavicular joint, the internal fixation method of the kirschner wire cannot effectively fix the sternum, and the internal fixation method is very difficult after operation, so that the dislocation is often generated again due to the infirm fixation. The kirschner wire moves into the thoracic cavity to cause more injuries, the external fixation time is long, the pain of a patient is great, and the influence on daily life is great. In the prior art, the clavicle hook steel plate for dislocation of the acromioclavicular joint has poor matching and poor stability, and does not accord with the physiological movement characteristics of the joint; the steel wire fixation is prone to fracture failure.
Disclosure of Invention
The invention overcomes the defects in the prior art and provides an anatomical sternoclavicular joint bone fracture plate and a sternoclavicular joint internal fixation system.
The purpose of the invention is realized by the following technical scheme.
Anatomical form sternoclavicular joint coaptation board, including the coaptation board main part, the coaptation board main part includes near-end and distal end, the near-end of coaptation board main part with the clavicle part laminating of sternoclavicular joint, the near-end of coaptation board main part is equipped with the activity hole, the inner wall of activity hole is the smooth surface, there is the clearance between the inner wall of activity hole and the screw that penetrates wherein, the axis of activity hole is crossed the sternoclavicular joint, the distal end of coaptation board main part is equipped with a plurality of locking holes.
As a preferable scheme of the anatomical sternoclavicular joint bone plate, the movable hole is a slotted hole.
As a preferable mode of the anatomical sternoclavicular joint bone plate, the length direction of the movable hole is consistent with the length direction of the bone plate main body. 4. The anatomical sternoclavicular joint bone plate of claim 1, wherein: the linear section part of the movable hole is 0.5mm-2 mm.
As a preferable proposal of the anatomical type sternoclavicular joint bone plate, the locking holes are tapered thread locking holes.
As a preferable scheme of the anatomical sternoclavicular joint bone plate, a plurality of grooves are formed in two sides of the bone plate main body at intervals, and the grooves in the two sides are arranged oppositely one by one.
As a preferable scheme of the anatomical sternoclavicular joint bone plate, the groove is an arc-shaped groove and is sunken towards the middle part of the bone plate main body.
As a preferred scheme of the anatomical sternoclavicular joint bone plate, one side of the bone plate main body, which is attached to the clavicle, is an arc-shaped concave surface.
The sternoclavicular joint internal fixation system comprises the anatomical sternoclavicular joint bone plate and cancellous screws matched with the movable holes of the bone plate main body.
As a preferable scheme of the above-mentioned sternoclavicular joint internal fixation system, the cancellous bone screw includes a threaded section and an unthreaded section, when the cancellous bone screw is mated with the bone plate main body, the threaded section is in threaded connection with a sternum portion of the sternoclavicular joint, and the unthreaded section is located in the clavicle portion.
The invention has the beneficial effects that:
the anatomical sternoclavicular joint bone fracture plate is provided with the movable hole, so that the position of the sternoclavicular joint can be well fixed, the stability of the dislocated sternoclavicular joint is effectively ensured, the repair and healing of peripheral ligaments are accelerated, the micromotion between the bone fracture plate and screws in the movable hole can be realized, a patient can exercise early, the function of restoring the joint early is realized, and the anatomical sternoclavicular joint bone fracture plate has a remarkable curative effect on the treatment of the dislocated sternoclavicular joint.
Drawings
FIG. 1 is a schematic view of the structure of the present invention 1;
FIG. 2 is a schematic structural diagram of the present invention 2;
FIG. 3 is a schematic view of the structure of the screw;
FIG. 4 is a schematic diagram of the working principle of the present invention 1;
fig. 5 is a schematic diagram 2 of the working principle of the present invention.
In the figure: 1. a bone plate main body; 2. a movable hole; 3. a locking hole; 4. a composite hole; 5. a groove; 6. cancellous bone screw.
Detailed Description
The technical solution of the present invention is further illustrated by the following specific examples.
Referring to fig. 1 to 5, an anatomical sternoclavicular joint bone plate is provided in this embodiment, and includes a bone plate main body 1, where the bone plate main body 1 includes a proximal end and a distal end, the proximal end of the bone plate main body 1 is attached to a clavicle portion of a sternoclavicular joint, the proximal end of the bone plate main body 1 is provided with a movable hole 2, an inner wall of the movable hole 2 is a smooth surface, a gap exists between the inner wall of the movable hole 2 and a screw penetrating into the movable hole, a central axis of the movable hole 2 passes through the sternoclavicular joint, and the distal end of the bone plate main body 1 is provided with a plurality of locking holes 3.
Anatomical form sternoclavicular joint coaptation board is equipped with movable hole 2 at the near-end of osteotomy plate main part in this embodiment, has the clearance between movable hole 2 and the screw, consequently, has relative motion's space between screw and coaptation board main part 1, and after the operation, the fine motion can be realized between the sternoclavicular joint, can realize earlier the joint function, adopts coaptation board and screw to fix the sternoclavicular joint simultaneously, has good fixed effect, effectively guarantees the stability after the dislocation of sternoclavicular joint.
In the present embodiment, as shown in fig. 1, the movable hole 2 is an oblong hole and can move relative to the screw in the longitudinal direction of the movable hole 2. Wherein, the length direction of activity hole 2 is unanimous with the length direction of coaptation board main part 1, can accord with the fine motion law of sternoclavicular joint department, guarantees that the patient can accomplish early exercise, has earlier recovery joint function.
In the present embodiment, the screw engaged with the movable hole 2 is a cancellous screw 6.
Preferably, the linear section of the active orifice 2 is between 0.5mm and 2mm, for example 1mm or 1.5 mm.
In the embodiment, the locking holes 3 of the bone fracture plate are tapered thread locking holes 3, and the bone fracture plate and the clavicle can be firmly locked by using the locking nails. The locking holes 3 are multiple, and can be two, three or more, so as to ensure that the bone fracture plate is firmly fixed on the clavicle.
One side of the movable hole 2 close to the locking hole 3 is provided with a composite hole 4, the composite hole 4 is a combination hole of the locking hole 3 and a pressurizing hole, and one side of the pressurizing hole can prevent a skin nail from being used for temporarily fixing the bone fracture plate; locking screws can be placed in the locking holes 3 to fix the bone plate.
In this embodiment, as shown in fig. 1 and 2, the equal interval in both sides of coaptation board main part 1 is provided with a plurality of recesses 5, and the recess 5 one-to-one setting of both sides, and recess 5 is the arc wall, and is sunken to the middle part of coaptation board main part 1, consequently, in the position that sets up relative recess 5, the coaptation board main part 1 is changeed and is carried out moulding and bend, consequently can, in the operation more easily with the coaptation of coaptation board main part 1 laminating collar bone for fixed effect is better.
In order to further ensure the joint of the bone fracture plate main body 1 and the clavicle, one side of the bone fracture plate main body 1, which is jointed with the clavicle, is an arc-shaped concave surface.
As shown in fig. 3 to 5, the present embodiment also proposes an intra-sternoclavicular joint fixation system comprising an anatomic-type intra-sternoclavicular joint bone plate and cancellous bone screws 6 engaged with the movable holes 2 of the bone plate body 1.
In the sternoclavicular joint internal fixation system, the cancellous bone screw 6 comprises a threaded section and a non-threaded section, when the cancellous bone screw 6 is matched with the bone fracture plate main body 1, the threaded section is in threaded connection with a sternoclavicular part of the sternoclavicular joint, and the non-threaded section is positioned on the sternoclavicular part, so that the micromotion of the sternoclavicular joint can be realized.
Spatially relative terms, such as "upper," "lower," "left," "right," and the like, may be used in the embodiments for ease of description to describe one element or feature's relationship to another element or feature as illustrated in the figures. It will be understood that the spatial terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if the device in the figures is turned over, elements described as "below" other elements or features would then be oriented "above" the other elements or features. Thus, the exemplary term "lower" can encompass both an upper and a lower orientation. The device may be otherwise oriented (rotated 90 degrees or at other orientations) and the spatially relative descriptors used herein interpreted accordingly.
Moreover, relational terms such as "first" and "second," and the like, may be used solely to distinguish one element from another element having the same name, without necessarily requiring or implying any actual such relationship or order between such elements.
While one embodiment of the present invention has been described in detail, the description is only a preferred embodiment of the present invention and should not be taken as limiting the scope of the invention. All equivalent changes and modifications made within the scope of the present invention shall fall within the scope of the present invention.
Claims (10)
1. Anatomical form sternoclavicular joint coaptation board, its characterized in that: including coaptation board main part (1), coaptation board main part (1) includes near-end and distal end, the near-end of coaptation board main part (1) with the clavicle part laminating of sternoclavicular joint, the near-end of coaptation board main part (1) is equipped with activity hole (2), the inner wall of activity hole (2) is the smooth surface, there is the clearance between the inner wall of activity hole (2) and the screw that penetrates wherein, the axis of activity hole (2) is crossed the sternoclavicular joint, the distal end of coaptation board main part (1) is equipped with a plurality of locking holes (3).
2. The anatomical sternoclavicular joint bone plate of claim 1, wherein: the movable hole (2) is a long round hole.
3. The anatomical sternoclavicular joint bone plate of claim 2, wherein: the length direction of the movable hole (2) is consistent with the length direction of the bone fracture plate main body (1).
4. The anatomical sternoclavicular joint bone plate of claim 3, wherein: the straight line section of the movable hole (2) is 0.5mm-2 mm.
5. The anatomical sternoclavicular joint bone plate of claim 1, wherein: the locking hole (3) is a tapered threaded locking hole (3).
6. The anatomical sternoclavicular joint bone plate of claim 1, wherein: the bone fracture plate is characterized in that a plurality of grooves (5) are formed in the two sides of the bone fracture plate main body (1) at intervals, and the grooves (5) in the two sides are arranged oppositely one by one.
7. The anatomical sternoclavicular joint bone plate of claim 6, wherein: the groove (5) is an arc-shaped groove and is sunken towards the middle part of the bone fracture plate main body (1).
8. The anatomical sternoclavicular joint bone plate of claim 1, wherein: one side of the bone fracture plate main body (1) which is jointed with the clavicle is an arc concave surface.
9. The sternoclavicular joint internal fixation system is characterized in that: comprises the anatomical sternoclavicular joint bone plate of any one of claims 1-8 and cancellous screws (6) which are matched with the movable holes (2) of the bone plate body (1).
10. The sternoclavicular intra-articular fixation system of claim 9, wherein: the cancellous screw (6) comprises a threaded section and an unthreaded section, when the cancellous screw (6) is matched with the bone fracture plate main body (1), the threaded section is in threaded connection with a sternum part of the sternoclavicular joint, and the unthreaded section is positioned at the sternoclavicular part.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110961775.5A CN113729905A (en) | 2021-08-20 | 2021-08-20 | Anatomical sternoclavicular joint bone fracture plate and sternoclavicular joint internal fixation system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110961775.5A CN113729905A (en) | 2021-08-20 | 2021-08-20 | Anatomical sternoclavicular joint bone fracture plate and sternoclavicular joint internal fixation system |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN113729905A true CN113729905A (en) | 2021-12-03 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202110961775.5A Pending CN113729905A (en) | 2021-08-20 | 2021-08-20 | Anatomical sternoclavicular joint bone fracture plate and sternoclavicular joint internal fixation system |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN113729905A (en) |
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2021
- 2021-08-20 CN CN202110961775.5A patent/CN113729905A/en active Pending
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