CN201684009U - Calcaneus minimally-invasive anatomy locking steel plate - Google Patents

Calcaneus minimally-invasive anatomy locking steel plate Download PDF

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Publication number
CN201684009U
CN201684009U CN2010201991225U CN201020199122U CN201684009U CN 201684009 U CN201684009 U CN 201684009U CN 2010201991225 U CN2010201991225 U CN 2010201991225U CN 201020199122 U CN201020199122 U CN 201020199122U CN 201684009 U CN201684009 U CN 201684009U
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China
Prior art keywords
calcaneus
steel plate
joint
arc portion
locking steel
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Expired - Lifetime
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CN2010201991225U
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Chinese (zh)
Inventor
施忠民
何能斌
郑宪友
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Shanghai Sixth Peoples Hospital
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Shanghai Sixth Peoples Hospital
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Abstract

The utility model relates to a calcaneus minimally-invasive anatomy locking steel plate, which comprises a calcaneus joint arc part, a calcaneus crossing angle arc part and a heel fetlock joint arc part, wherein the calcaneus joint arc part is connected with one end of the calcaneus crossing angle arc part; and the other end of the calcaneus crossing angle arc part is fixedly connected with the heel fetlock joint arc part. The calcaneus minimally-invasive anatomy locking steel plate has the characteristic of according with the calcaneus shape and the anatomical structure and is the anatomical steel plate; the calcaneus crossing angle arc part of the steel plate has different angles to adapt to different patients; the heel fetlock joint arc part with different numbers of holes has different lengths to adapt to different patients; compared with the common steel plate, the calcaneus minimally-invasive anatomy locking steel plate is provided with more screw holes at the subtalar joint and has stronger supporting action to the posterior articular surface after resetting by applying the chain riveting technology; the screw holes on the steel plate are the locking holes, so as to be suitable for the patient with poorer bone mass; the overall steel plate has small size and is convenient to be imbedded by a sinus tarsi limited cut admission passage, and the operation is simple, thereby reducing the damage to the blood supply for the skin, so as to improve the surgery quality and improve the surgery effect.

Description

Locking steel plate is dissected by calcaneus Wicresoft
Technical field
This utility model relates to the device that is used for the treatment of fracture of calcaneus in a kind of technical field of medical instruments, relate in particular to a kind ofly be used for the non-crush type fracture of calcaneus of internal fixation treatment calcaneus body (is Sanders I, II, III type by the CT typing), by the so-called tongue type fracture of Essex-Lopresti classification or the intraarticular type fracture of subsiding, and locking steel plate is dissected by the calcaneus Wicresoft of involving calcaneus front portion, calcaneocuboid joint fracture simultaneously.
Background technology
At present, known calcaneal steel plate is made up of steel plate and screw two parts.In clinical practice, find,, adopt open reduction steel plate internal fixation mode to treat usually for the fracture of calcaneus of obvious displacement.General steel plate is less at the screw hole of subtalar joint, and can not well press close to articular surface and fix.
Modal otch is that the calcaneus outside prolongs " L " shape otch, thereby appears, rebuilds whole calcaneus lateral wall, subtalar joint posterior articular facet and calcaneocuboid joint under the direct-view, uses various steel plate bone fixation folded blocks again.Prolong otch easy damaged peroneal artery and branch thereof but use traditional calcaneus outside, influence its blood and supply the foot outside; Conventional simultaneously calcaneus implants is because volume is bigger, because of placing difficulty, often carry out unnecessary peeling off in the art, cause bigger iatrogenic wound, further influencing skin blood supplies, and occupied the confined space between calcaneus lateral wall and the outside of heel skin after inserting, further increased the tension force of skin, often caused based on the bad various severe complications of operative incision healing.That therefore reduces skin peeling at present becomes trend gradually through shank hole limited incision approach fracture of calcaneus Minimally Invasive Surgery.
Among the Chinese patent publication number CN101143109, a kind of anatomic type shape-adapted calcaneal steel plate is disclosed, its planform is tabular, the nail hole is arranged on the plate face, outline is the sealing arc, calcaneus joint on each arc shape and the calcaneus, calcaneus shank hole, heel apart from the joint, the shape and the position of calcaneus posterior tubercle, calcaneus sole of the foot side lower edge be corresponding, calcaneus shank hole arc is an imploded arcs, the nail hole distributes along each segmental arc.It introduces the calcaneus anatomical structure in the design of calcaneus inner fixer first, the overall structure good rigidly, fixed, yet, it still has following defective: because its steel plate plate face is bigger, still need bigger skin peeling, thereby can destroy local blood fortune, postoperative easily causes based on the bad various severe complications of operative incision healing.
The utility model content
The purpose of this utility model is to provide a kind of calcaneus Wicresoft to dissect locking steel plate, and it is applicable to through shank hole limited incision approach fracture of calcaneus Minimally Invasive Surgery to have the advantages that to meet calcaneus profile and anatomical structure; This steel plate has more screws than general steel plate at subtalar joint, and the so-called row of described screw application nail technology (rafting), in the back that resets posterior articular facet is had stronger supporting role; And because its volume is little, steel plate is placed convenient, and is simple to operate, can reduce the blood fortune of skin is destroyed; Simultaneously because steel plate is miniaturely can more press close to posterior joint and fix, thereby improve the operation quality, improve surgical effect.
Above-mentioned purpose of the present utility model is achieved through the following technical solutions:
Locking steel plate is dissected by a kind of calcaneus Wicresoft, comprise that calcaneocuboid joint arc portion, calcaneus angle of the crossing arc portion, heel are apart from joint arc portion, wherein, the other end and the described heel of affixed, the described calcaneus angle of the crossing of the end arc portion of described calcaneocuboid joint arc portion and described calcaneus angle of the crossing arc portion are affixed apart from joint arc portion.
Locking steel plate is dissected by above-mentioned calcaneus Wicresoft, and wherein, described steel plate is anatomical plate in the form of sheets, and it meets calcaneus profile and anatomical structure; Described steel plate is provided with screw; Described screw is used row's nail technology.
Locking steel plate is dissected by above-mentioned calcaneus Wicresoft, wherein, described calcaneocuboid joint arc portion, its arcual shape is corresponding with calcaneocuboid joint.
Locking steel plate is dissected by above-mentioned calcaneus Wicresoft, wherein, described calcaneus angle of the crossing arc portion, its arcual sunken inside that is shaped as, corresponding with the shape of the calcaneus angle of the crossing; Its radian is 120 °~145 ° corresponding to the angle of the normal calcaneus angle of the crossing.
Locking steel plate is dissected by above-mentioned calcaneus Wicresoft, and wherein, described heel is apart from joint arc portion, and its arcual being shaped as is upwards arched upward, and is corresponding apart from the shape in joint with heel.
Locking steel plate is dissected by above-mentioned calcaneus Wicresoft, and wherein, described calcaneocuboid joint arc portion which is provided with 2 screws, is used for fixing calcaneus front portion and calcaneocuboid joint face.
Locking steel plate is dissected by above-mentioned calcaneus Wicresoft, and wherein, described calcaneus angle of the crossing arc portion which is provided with 1 screw, is used for fixing the calcaneus angle of the crossing.
Locking steel plate is dissected by above-mentioned calcaneus Wicresoft, and wherein, described heel which is provided with 2~3 screws apart from joint arc portion, is used for the support fixation heel apart from articular surface.
Locking steel plate is dissected by above-mentioned calcaneus Wicresoft, wherein, described steel plate, its material is a titanium alloy; Its thickness is 1.5mm.
Locking steel plate is dissected by above-mentioned calcaneus Wicresoft, and wherein, described screw has screw thread on its hole wall, forms the locking screw; Its aperture is 3.5mm, and the screw spacing is 5mm.
Owing to adopted said structure, this utility model has the following advantages compared to existing technology:
1. locking steel plate is dissected by this utility model calcaneus Wicresoft, and wherein, it meets the characteristics of calcaneus profile and anatomical structure, is anatomical plate.
2. locking steel plate is dissected by this utility model calcaneus Wicresoft, and wherein, steel plate calcaneus angle of the crossing arc portion has different angles to be adapted to different patients; The heel of different hole counts has different length apart from joint arc portion and can be adapted to different patients; And this steel plate has more screw holes than general steel plate at subtalar joint, and using so-called row's nail technology (rafting) has stronger supporting role in the back that resets to posterior articular facet.
3. locking steel plate is dissected by this utility model calcaneus Wicresoft, and wherein, the screw on the steel plate is a lock hole, goes for the relatively poor patient of sclerotin.
4. locking steel plate is dissected by this utility model calcaneus Wicresoft, and wherein, steel plate is made by titanium alloy, and plastic type is good, and is fixing reliable; Histocompatibility is good, and the implant complication is few.
5. locking steel plate is dissected by this utility model calcaneus Wicresoft, wherein, whole steel plate volume is little, can conveniently insert through shank hole limited incision approach, simple to operate, can reduce the blood fortune of skin is destroyed, simultaneously because steel plate is miniaturely can more press close to posterior joint and fix, thereby improve the operation quality, improve surgical effect, reduce and occur because big skin peeling destroys postoperative operative incision healing that local blood fortune caused bad is the situation of main various severe complications.
Description of drawings
Fig. 1 is the structural representation that locking steel plate is dissected by this utility model calcaneus Wicresoft.
Fig. 2 is the structural representation that the locking screw of locking steel plate is dissected by this utility model calcaneus Wicresoft.
Fig. 3 is that the skin incision sketch map of locking steel plate when operation is used dissected by this utility model calcaneus Wicresoft.
Fig. 4 is that this utility model calcaneus Wicresoft dissects among the embodiment of locking steel plate steel plate is attached to sketch map on the calcaneus lateral wall after the insertion of skin otch.
The specific embodiment
Present embodiment has provided detailed embodiment and process being to implement under the prerequisite with the technical solution of the present invention, but protection scope of the present invention is not limited to following embodiment.Below in conjunction with accompanying drawing embodiment of the present utility model is described in further detail:
As shown in Figure 1, locking steel plate is dissected by a kind of calcaneus Wicresoft, comprise that calcaneocuboid joint arc portion 11, calcaneus angle of the crossing arc portion 12, heel are apart from joint arc portion 13, wherein, described calcaneocuboid joint arc portion 11 is affixed apart from joint arc portion 13 with the other end and the described heel of affixed, the described calcaneus angle of the crossing of the end arc portion 12 of described calcaneus angle of the crossing arc portion 12, thereby forms calcaneus Wicresoft dissection locking steel plate 1.
Wherein, locking steel plate 1 is dissected in the form of sheets by described calcaneus Wicresoft, is anatomical plate, and it meets calcaneus profile and anatomical structure; Described steel plate 1 is provided with screw 14; Described screw 14 row's of application nail technology, its material is a titanium alloy.
As shown in Figure 2, described calcaneus Wicresoft to dissect the thickness 15 of locking steel plate 1 be 1.5mm.The aperture 141 of described screw 14 is 3.5mm, and screw spacing 142 is 5mm, and screw thread 143 is arranged on the hole wall, forms the locking screw; It adapts to the various lock screw or the plain screw of aperture 3.5mm system.
As shown in Figure 3, described human body heel member is mainly by external malleolus 2, astragalus 3, calcaneus 4, cuboid 5, fourth metatarsal bone 6, fifth metatarsal bone 7 is formed, and wherein said calcaneus 4 comprises that further calcaneocuboid joint 41, the calcaneus angle of the crossing 42 (being calcaneus Gissane ' s angle), heel are apart from the joint 43.In the operation, the operation skin incision is selected through shank hole limited incision 8 approaches, and otch extends to described fourth metatarsal bone 6 basilar parts by described external malleolus 2 point belows, and this otch is very convenient to the exposure of subtalar joint posterior articular facet and calcaneocuboid joint.
As shown in Figure 4, described calcaneus Wicresoft dissects locking steel plate 1 and can insert through described shank hole limited incision 8 easily, and pastes clothes with described calcaneus 4.Described calcaneocuboid joint arc portion 11 which is provided with 2 screws 14, and its arcual shape is corresponding with calcaneocuboid joint 41, is used for fixing calcaneus front portion and calcaneocuboid joint face 41.Described calcaneus angle of the crossing arc portion 12, its arcual sunken inside that is shaped as, corresponding with the calcaneus angle of the crossing 42 (being calcaneus Gissane ' s angle), normal Gissane ' the s angle range of reference: 123.1 ° ± 6.1 ° of male (promptly 104.5 °~135.7 °), 124.6 ° ± 6.2 ° of women (promptly 110.4 °~135.8 °), thereby to design its radian be 120 °~145 °, which is provided with 1 screw 14, is used for fixing the calcaneus angle of the crossing 42.Described heel is apart from joint arc portion 13, and its arcual being shaped as is upwards arched upward, and is 43 corresponding apart from the joint with described heel, which is provided with 2~3 screws 14, is used for the support fixation heel apart from articular surface 43.
By present embodiment as seen, the application safety of this utility model in operation, effectively has the advantages that to meet calcaneus profile and anatomical structure, is anatomical plate; Steel plate calcaneus angle of the crossing arc portion has different angles to be adapted to different patients; The heel of different hole counts has different length apart from joint arc portion and can be adapted to different patients; This steel plate has more screw holes than general steel plate at subtalar joint, and using so-called row's nail technology (rafting) has stronger supporting role in the back that resets to posterior articular facet; Screw on the steel plate is a lock hole, goes for the relatively poor patient of sclerotin; Steel plate is made by titanium alloy, and plastic type is good, and is fixing reliable; Histocompatibility is good, and the implant complication is few; Whole steel plate volume is little, can conveniently insert through shank hole limited incision approach, simple to operate, can reduce the blood fortune of skin is destroyed, simultaneously because steel plate is miniaturely can more press close to posterior joint and fix, thereby improve the operation quality, improve surgical effect, reduce and big skin peeling occurs to destroy postoperative operative incision healing that local blood fortune caused bad be the situation of main various severe complications.

Claims (10)

1. locking steel plate is dissected by a calcaneus Wicresoft, comprise that calcaneocuboid joint arc portion (11), calcaneus angle of the crossing arc portion (12), heel are apart from joint arc portion (13), it is characterized in that described calcaneocuboid joint arc portion (11) is affixed apart from joint arc portion (13) with the other end and the described heel of affixed, the described calcaneus angle of the crossing of the end arc portion (12) of described calcaneus angle of the crossing arc portion (12).
2. locking steel plate is dissected by calcaneus as claimed in claim 1 Wicresoft, it is characterized in that described steel plate (1) is anatomical plate in the form of sheets, and it meets calcaneus profile and anatomical structure; Described steel plate (1) is provided with screw (14); Described screw (14) is used row's nail technology.
3. locking steel plate is dissected by calcaneus as claimed in claim 1 Wicresoft, it is characterized in that, and described calcaneocuboid joint arc portion (11), its arcual shape is corresponding with calcaneocuboid joint (41).
4. locking steel plate is dissected by calcaneus as claimed in claim 1 Wicresoft, it is characterized in that, and described calcaneus angle of the crossing arc portion (12), its arcual sunken inside that is shaped as, corresponding with the shape of the calcaneus angle of the crossing (42); Its radian is 120 °~145 ° corresponding to the angle of the normal calcaneus angle of the crossing (42).
5. locking steel plate is dissected by calcaneus as claimed in claim 1 Wicresoft, it is characterized in that described heel is apart from joint arc portion (13), and its arcual being shaped as is upwards arched upward, with heel apart from the joint shape of (43) corresponding.
6. dissect locking steel plate as claim 1 or 3 described calcaneus Wicresofts, it is characterized in that described calcaneocuboid joint arc portion (11) which is provided with 2 screws, be used for fixing calcaneus (4) front portion and calcaneocuboid joint (41) face.
7. dissect locking steel plate as claim 1 or 4 described calcaneus Wicresofts, it is characterized in that described calcaneus angle of the crossing arc portion (12) which is provided with 1 screw (14), is used for fixing the calcaneus angle of the crossing (42).
8. dissect locking steel plate as claim 1 or 5 described calcaneus Wicresofts, it is characterized in that described heel which is provided with 2~3 screws (14) apart from joint arc portion (13), be used for the support fixation heel apart from the joint (43) face.
9. locking steel plate is dissected by calcaneus as claimed in claim 1 Wicresoft, it is characterized in that, and described steel plate (1), its material is a titanium alloy; Its thickness (15) is 1.5mm.
10. locking steel plate is dissected by calcaneus as claimed in claim 2 Wicresoft, it is characterized in that described screw (14) has screw thread (143) on its hole wall, forms the locking screw; Its aperture (141) is 3.5mm, and screw spacing (142) is 5mm.
CN2010201991225U 2010-05-19 2010-05-19 Calcaneus minimally-invasive anatomy locking steel plate Expired - Lifetime CN201684009U (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102885646A (en) * 2012-04-13 2013-01-23 杨益 Heel bone anatomical form plastic reset bone fracture plate for heel bone fractures
CN103750893A (en) * 2014-01-17 2014-04-30 李龙付 Minimally invasive steel plate for calcaneus
CN106456222A (en) * 2014-06-20 2017-02-22 德普伊新特斯产品公司 Anterolateral calcaneal plate
CN109730757A (en) * 2018-11-05 2019-05-10 大泗医疗生物科技有限公司 Calcaneum lockplate and calcaneum location structure
CN109820585A (en) * 2018-07-10 2019-05-31 河北瑞鹤医疗器械有限公司 Minimally invasive marrow inner panel system

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102885646A (en) * 2012-04-13 2013-01-23 杨益 Heel bone anatomical form plastic reset bone fracture plate for heel bone fractures
CN102885646B (en) * 2012-04-13 2016-06-29 杨益 The moulding resetting and setting fracture plate of calcaneus anatomical form for fracture of calcaneus
CN103750893A (en) * 2014-01-17 2014-04-30 李龙付 Minimally invasive steel plate for calcaneus
CN106456222A (en) * 2014-06-20 2017-02-22 德普伊新特斯产品公司 Anterolateral calcaneal plate
JP2017518139A (en) * 2014-06-20 2017-07-06 デピュイ・シンセス・プロダクツ・インコーポレイテッド Anterior lateral rib plate
CN109820585A (en) * 2018-07-10 2019-05-31 河北瑞鹤医疗器械有限公司 Minimally invasive marrow inner panel system
CN109820585B (en) * 2018-07-10 2024-02-13 河北瑞鹤医疗器械有限公司 Minimally Invasive Intramedullary Plate System
CN109730757A (en) * 2018-11-05 2019-05-10 大泗医疗生物科技有限公司 Calcaneum lockplate and calcaneum location structure

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Granted publication date: 20101229

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