CN201888843U - Full-length humerus anatomical type locking plate - Google Patents
Full-length humerus anatomical type locking plate Download PDFInfo
- Publication number
- CN201888843U CN201888843U CN2010206131901U CN201020613190U CN201888843U CN 201888843 U CN201888843 U CN 201888843U CN 2010206131901 U CN2010206131901 U CN 2010206131901U CN 201020613190 U CN201020613190 U CN 201020613190U CN 201888843 U CN201888843 U CN 201888843U
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- humerus
- total length
- bone fracture
- anatomical form
- form locking
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Abstract
The utility model provides a full-length humerus anatomical type locking plate, comprising a proximal part and a body part which are connected into a whole by gradually rotating by 90 degrees along the axial direction. The proximal part of the locking plate is large, adapted to the upper anterior cortex anatomy of humerus and provided with two rows of round locking thread holes; the body part is narrow, adapted to the middle and lower anterolateral and anterior cortex anatomy of humerus, and provided with a row of round locking thread holes; and the tail of the body part is curved in a sharp angle, and provided with a single Kirschner wire fixing hole. Two oval sliding screw holes are formed at the joint of the proximal part and body part, and axially and horizontally arranged, respectively. The locking plate turns to the advanced fixation in the middle of the humerus to avoid the iatrogenic injury to the distal radial nerve and the trauma to the humerus upper-middle anterior deltoid dead point during the operation, and is adapted to the anatomical form of humerus, so that a safe and effective bone device for clinic minimally invasive therapy of combining proximal part of humerus with shaft facture of humerus is provided.
Description
Technical field
This utility model relates to a kind of medical apparatus and instruments, relates in particular to a kind of humerus total length anatomical form locking bone fracture plate.
Background technology
The at present clinical proximal humerus portion's internal fixation locking systems (PHILOS) that use are treated proximal humerus portion fracture more, and have obtained good effect, but when treatment proximal humerus portion merging humeral shaft fracture, then there is certain hidden danger in extended type PHILOS outside using:
At first be that blade plate places the humerus outside time to run into stopping of triangular muscle stop, the blade plate far-end may depart from the humerus longitudinal axis, eccentric fixing iatrogenic fracture or the internal fixation of taking place easily of screw lost efficacy, if the simple powerful displacement that may cause the triangular muscle stop to adhere to the bone piece that departs from of correcting the blade plate far-end, the sharp property of triangular muscle stop is peeled off or the passivity of blade plate is passed through the wound that has then increased soft tissue, influenced postoperative rehabilitation.
Secondly, the blade plate far-end may produce iatrogenic injury of radial nerve when placing the humerus outside, need expose the radial nerve in the hypomere outside in the humerus in art, has both increased operating procedure and time, has strengthened the risk of operation wound and nerve injury again.
The utility model content
This utility model provides a kind of humerus total length anatomical form locking bone fracture plate, overcome the defective of present existing humerus blade plate, it is applicable to that proximal humerus portion merges the multi-segmental treatment of fractures that humerus is done, and can avoid the interference of epimere triangular muscle stop in the humerus simultaneously and to the risk of hypomere outside radial nerve injury in the humerus, reduced the generation of operation wound and complication thereof, be convenient to use less invasive techniques treatment the type fracture, help the early rehabilitation and the union of fracture of patient's postoperative.
This utility model humerus total length anatomical form locking bone fracture plate is achieved through the following technical solutions purpose:
A kind of humerus total length anatomical form locking bone fracture plate wherein, comprises close end and body, fixedlys connected with the upper end of described body in the lower end of described close end, and described close end with respect to described body be 60 ~ 90 the degree reverse; The configuration of described blade plate and humerus is complementary.
Above-mentioned humerus total length anatomical form locking bone fracture plate, wherein, the width of described close end is greater than the width of described body.
The humerus total length anatomical form locking bone fracture plate of the above, wherein, the angle of inclination that vertically is 5 ~ 10 degree of the connecting portion of described close end and body.
Above-mentioned humerus total length anatomical form locking bone fracture plate, wherein, described close end and humerus epimere outside cortex is fitted mutually, described body then through pectoralis major and triangular muscle stop gap be affixed on humerus in, the outside before the hypomere.
Above-mentioned humerus total length anatomical form locking bone fracture plate, wherein, the upper end of described close end is provided with " 8 " font combined hole and a plurality of locking screw threads hole.
Above-mentioned humerus total length anatomical form locking bone fracture plate wherein, in the lower end of described close end, also is provided with horizontal sliding eye and longitudinal sliding motion hole, and described horizontal sliding eye is positioned at top, described longitudinal sliding motion hole.
Above-mentioned humerus total length anatomical form locking bone fracture plate wherein, is provided with a plurality of sewing holes at the upper end-face edge of described close end.
Above-mentioned humerus total length anatomical form locking bone fracture plate, wherein, described body afterbody top is a circular arc.
Above-mentioned humerus total length anatomical form locking bone fracture plate wherein, is provided with a plurality of locking screw threads hole on described body, described a plurality of locking screw threads hole is arranged in order from top to bottom.
Above-mentioned humerus total length anatomical form locking bone fracture plate wherein, is provided with single Kirschner wire fixing hole at the tail end of described body.
Adopt the advantage of this utility model humerus total length anatomical form locking bone fracture plate to be:
1. the close end of this utility model humerus total length anatomical form locking bone fracture plate is when body extends, rest by the proximal humerus portion outside through pectoralis major and triangular muscle stop gap, the outside is until middle hypomere the place ahead before turning to middle humerus gradually, this structure can be avoided in the art interference of epimere triangular muscle stop in the humerus simultaneously and to the risk of hypomere outside radial nerve injury in the humerus, reduce the generation of operation wound and complication thereof.
2. the anatomical surface of this utility model humerus total length anatomical form locking bone fracture plate structure and humerus corresponding site is complementary, and is convenient to the application in less invasive techniques treatment the type fracture.
The close end of this utility model humerus total length anatomical form locking bone fracture plate and body lock screw be multiaxis to fixing, increased the stability of whole internal fixation system, help the early rehabilitation and the union of fracture of patient's postoperative.
4. this utility model humerus total length anatomical form locking bone fracture plate is applicable to that proximal humerus portion merges the operative treatment of humeral shaft fracture, but fit applications less invasive techniques also, and operation technique is safe and effective.
Description of drawings
Fig. 1 is the structural representation of this utility model humerus total length anatomical form locking bone fracture plate;
Fig. 2 is the structural representation of the close end of this utility model humerus total length anatomical form locking bone fracture plate;
Fig. 3 is the structural representation of the body of this utility model humerus total length anatomical form locking bone fracture plate.
The specific embodiment
As shown in Figure 1, a kind of humerus total length anatomical form locking bone fracture plate, comprise close end 1 and body 2, fixedly connected with the upper end of described body 2 in the lower end of described close end 1, described close end 1 is 90 degree with respect to described body 2 along the blade plate longitudinal axis and reverses, be described close end 1 and windup-degree α=90 of body 2 °, and described close end 1 is vertical 10 degree inclinations with the connecting portion 3 of body 2, the central shaft that is described close end 1 and described body 2 is not at same fore-and-aft plane, the angle beta that line and longitudinal axis were=10 of the upper end of the lower end of described close end 1 central shaft and described body 2 central shafts ° make the structure of described blade plate and humerus be complementary.Described close end 1 width is greater than the width of described body 2, among the figure, described close end 1 seems more roomy, and described body 2 is longer and narrower relatively, when described humerus total length anatomical form locking bone fracture plate is inserted in the body and humerus total length anatomic form be complementary, described close end 1 is close to humerus epimere outside cortex, and 2 of described bodies are through pectoralis major and triangular muscle stop gap, turns in the humerus gradually, the outside and the place ahead before the hypomere.
As shown in Figure 2, two drift angles 11 of the upper end of described close end 1 are circular arc, and the upper end of described close end 1 is provided with a plurality of locking screw threads hole 12; Described a plurality of locking screw threads hole 12 dispersed arrangement among the figure, have 6 described locking screw thread holes 12, vertically are divided into 2 row, whenever show 3.Upper end at described close end 1, be positioned at 12 belows, described a plurality of locking screw threads hole and be provided with a combined hole 13, horizontal sliding eye 14 and longitudinal sliding motion hole 15, described combined hole 13, horizontal sliding eye 14 and longitudinal sliding motion hole 15 are arranged in order from top to bottom, and the upper end-face edge of described close end 1 is provided with a plurality of sewing holes 16.Be provided with screw thread in the hole in described locking screw thread hole 12, during use, cooperate the screw of specific model, directly blade plate is fixed on the humerus.Described conjugate foramen 13 is " 8 " font screw, and its top is the screwed hole of lock screw, in its hole screw thread is arranged, and the below is the screwed hole of normal screws, there is no screw thread design in its hole.
As shown in Figure 3, the afterbody 21 of described body 2 is the circular arc drift angle, is easy to described blade plate like this and inserts in the human body.On described body 2, be provided with a plurality of locking screw threads hole 22, described a plurality of locking screw threads hole 22 is arranged in order from top to bottom, together fix described blade plate with each locking screw thread hole 12 on the close end described in Fig. 21, can make described humerus total length anatomical form locking bone fracture plate be multiaxis like this to fixing, increase the stability of whole internal fixation system, helped the early rehabilitation and the union of fracture of patient's postoperative.Tail end at described body 2 is provided with single Kirschner wire fixing hole 23.
During operation, for proximal humeral fracture complicated three parts or four partial fractures, can adopt shoulder outside mini-invasive incision to reset for better simply three parts or two parts fracture through pectoralis major triangular muscle gap open reduction, humeral shaft fracture all adopts the manual traction closed reduction.Cut and utilize the blade plate tail end to insert humerus the place ahead under direct-view or the blind spy of little otch along pectoralis major and triangular muscle stop gap, described close end 1 is close to humerus outside cortex and is complementary with its anatomic form, 2 of described bodies are positioned at the dark face of brachialis, are close to the place ahead cortex in middle humerus.Hypomere is done locking screw 22 and the described Kirschner wire fixing hole 23 that skin incision appears blade plate body 1 in humerus.
Longitudinal sliding motion hole 15 at blade plate proximal part 1 pierces os integumentale screw, makes blade plate be close to proximal humerus outside cortex, utilizes described longitudinal sliding motion hole 15 to adjust blade plate to being fit to height simultaneously under perspective.Behind the dried reduction by traction of humerus, it is temporary fixed to pierce Kirschner wire at the Kirschner wire fixing hole 23 of blade plate far-end, and perspective utilizes described horizontal sliding eye 14 by preceding method adjustment blade plate front and back position down.Perspective confirms that down the positive side of humerus position resets well, pierces lock screw at blade plate close end 1 and body 2 successively, pulls out Kirschner wire, and combined hole 13 is looked the fracture concrete condition and selected lock screw or os integumentale screw.Sewing hole 16 is pricked fixing as the seam of proximal humerus bone piece surface attachment tendon.
Will be appreciated that; the above embodiments are only as exemplifying and propose preferred embodiment of the present utility model; this utility model also not only is confined to this, and the various simple modifications that those skilled in the art can implement also should fall in the protection domain of the present utility model.
Claims (9)
1. a humerus total length anatomical form locking bone fracture plate is characterized in that, comprising close end and body, fixedlys connected with the upper end of described body in the lower end of described close end, and described close end with respect to described body be 60 ~ 90 the degree reverse; The configuration of described blade plate and humerus is complementary.
2. humerus total length anatomical form locking bone fracture plate according to claim 1 is characterized in that the width of described close end is greater than the width of described body.
3. humerus total length anatomical form locking bone fracture plate according to claim 1 is characterized in that, the angle of inclination that vertically is 5 ~ 10 degree of the connecting portion of described close end and body.
4. humerus total length anatomical form locking bone fracture plate according to claim 1 is characterized in that the upper end of described close end is provided with " 8 " font combined hole and a plurality of locking screw threads hole.
5. humerus total length anatomical form locking bone fracture plate according to claim 4 is characterized in that, in the lower end of described close end, also is provided with horizontal sliding eye and longitudinal sliding motion hole, and described horizontal sliding eye is positioned at top, described longitudinal sliding motion hole.
6. humerus total length anatomical form locking bone fracture plate according to claim 1 is characterized in that, is provided with a plurality of sewing holes at the upper end-face edge of described close end.
7. humerus total length anatomical form locking bone fracture plate according to claim 1 is characterized in that described body afterbody top is a circular arc.
8. humerus total length anatomical form locking bone fracture plate according to claim 1 is characterized in that, is provided with a plurality of locking screw threads hole on described body, and described a plurality of locking screw threads hole is arranged in order from top to bottom.
9. humerus total length anatomical form locking bone fracture plate according to claim 1 is characterized in that, is provided with single Kirschner wire fixing hole at the tail end of described body.
Priority Applications (1)
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CN2010206131901U CN201888843U (en) | 2010-11-18 | 2010-11-18 | Full-length humerus anatomical type locking plate |
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CN2010206131901U CN201888843U (en) | 2010-11-18 | 2010-11-18 | Full-length humerus anatomical type locking plate |
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CN201888843U true CN201888843U (en) | 2011-07-06 |
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CN2010206131901U Expired - Lifetime CN201888843U (en) | 2010-11-18 | 2010-11-18 | Full-length humerus anatomical type locking plate |
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Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104013458A (en) * | 2014-06-16 | 2014-09-03 | 薛兆龙 | Humerus greater tuberosity locking plate |
CN105030316A (en) * | 2015-08-24 | 2015-11-11 | 苏州市康力骨科器械有限公司 | Multidirectional locking steel plate for proximal humerus |
CN106264697A (en) * | 2016-08-31 | 2017-01-04 | 常州华森医疗器械有限公司 | Greater tuberosity anatomical form steel plate |
CN106725796A (en) * | 2016-12-16 | 2017-05-31 | 常州华森医疗器械有限公司 | PH anatomical plate |
CN108013927A (en) * | 2016-11-23 | 2018-05-11 | 谢志进 | Integrated fracture reduction fixing clamp |
CN108042192A (en) * | 2018-01-23 | 2018-05-18 | 邳州东大医院 | Steel is fixed in the miniature dissection of tibial plateau posterior cruciate ligament of knee attachment point fracture |
CN108420520A (en) * | 2018-04-08 | 2018-08-21 | 苏州市康力骨科器械有限公司 | Minimally invasive locking is oriented to bone plate |
-
2010
- 2010-11-18 CN CN2010206131901U patent/CN201888843U/en not_active Expired - Lifetime
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104013458A (en) * | 2014-06-16 | 2014-09-03 | 薛兆龙 | Humerus greater tuberosity locking plate |
CN105030316A (en) * | 2015-08-24 | 2015-11-11 | 苏州市康力骨科器械有限公司 | Multidirectional locking steel plate for proximal humerus |
CN106264697A (en) * | 2016-08-31 | 2017-01-04 | 常州华森医疗器械有限公司 | Greater tuberosity anatomical form steel plate |
CN108013927A (en) * | 2016-11-23 | 2018-05-11 | 谢志进 | Integrated fracture reduction fixing clamp |
CN106725796A (en) * | 2016-12-16 | 2017-05-31 | 常州华森医疗器械有限公司 | PH anatomical plate |
CN108042192A (en) * | 2018-01-23 | 2018-05-18 | 邳州东大医院 | Steel is fixed in the miniature dissection of tibial plateau posterior cruciate ligament of knee attachment point fracture |
CN108420520A (en) * | 2018-04-08 | 2018-08-21 | 苏州市康力骨科器械有限公司 | Minimally invasive locking is oriented to bone plate |
CN108420520B (en) * | 2018-04-08 | 2024-04-09 | 苏州市康力骨科器械有限公司 | Minimally invasive locking guide bone fracture plate |
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C14 | Grant of patent or utility model | ||
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Granted publication date: 20110706 |
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CX01 | Expiry of patent term |