CN202179588U - Intramedullary nail for tibia - Google Patents

Intramedullary nail for tibia Download PDF

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Publication number
CN202179588U
CN202179588U CN2011201940410U CN201120194041U CN202179588U CN 202179588 U CN202179588 U CN 202179588U CN 2011201940410 U CN2011201940410 U CN 2011201940410U CN 201120194041 U CN201120194041 U CN 201120194041U CN 202179588 U CN202179588 U CN 202179588U
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CN
China
Prior art keywords
far
centrage
angle
tibial
intramedullary
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Expired - Lifetime
Application number
CN2011201940410U
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Chinese (zh)
Inventor
张强
王岩
郑诚功
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Chinese PLA General Hospital
Beijing Naton Technology Group Co Ltd
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Chinese PLA General Hospital
Beijing Naton Technology Group Co Ltd
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Application filed by Chinese PLA General Hospital, Beijing Naton Technology Group Co Ltd filed Critical Chinese PLA General Hospital
Priority to CN2011201940410U priority Critical patent/CN202179588U/en
Application granted granted Critical
Publication of CN202179588U publication Critical patent/CN202179588U/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Abstract

The utility model relates to a novel intramedullary nail for a tibia, comprising a near end L1 (1) and a far end L2 (2) which can be inserted into a medullary cavity, wherein an inclined angle alpha between the centre line of the near end L1 (1) and the longitudinal axis of the intramedullary nail is 18-22 degrees. The inner edge of a patellar bond and the upper edge of a tibial pes anserinus stop point are respectively taken as a needle inlet point, and the injury to a patellar ligament can be avoided, so that the postoperative front patellar pain can be avoided.

Description

Tibial intramedullary nailing
Technical field
This utility model relates to the orthopedic fixation device tool, relates in particular to a kind of intramedullary pin.
Background technology
Tibial intramedullary nailing is the inner fixing device that is used for treating fracture of shaft of tibia; Tibial intramedullary nailing in the market all is to select through patellar ligament tibial tubercle upper limb approach inserting needle when implanting; Cause the damage of patellar ligament and adjacent soft tissue; Aseptic inflammations such as tissue adhesion, this surgical technic shortcoming are that the preceding pain of obstinate kneecap appears in patient's postoperative.If patient's misoperation in addition, the afterbody screw exceeds cortical bone, also can stimulate kneecap tendon surrounding soft tissue to cause pain, has had a strong impact on patient's life quality.
Summary of the invention
This utility model is to the deficiency of existing intramedullary pin; A kind of preceding medial approach tibial intramedullary nailing is provided; Through kneecap tendon inner edge and tibia pes anserinus stop upper limb entry point, patellar ligament is caused damage when avoiding inserting needle, and then avoid the generation of pain before the fracture of tibia patient postoperative kneecap as intramedullary pin.
The technical scheme that solves the problems of the technologies described above is:
The tibial intramedullary nailing of this utility model comprises that a near-end L1, is applicable to the far-end L2 that is inserted in the pulp cavity, and the angle a between proximal hub line and the intramedullary pin longitudinal axis is 18 °-22 °.
Preferably, the proximal hub line of this utility model tibial intramedullary nailing and the angle a between the intramedullary pin longitudinal axis are 20 °.
Preferably, have the transition segmental arc between the near-end of this utility model tibial intramedullary nailing and the far-end, radius of curvature R 1 is 50mm.
Preferably, the far-end of this utility model tibial intramedullary nailing comprises that the angle b between the centrage of the centrage of far-end epimere and far-end hypomere is 0 °-4 ° near the far-end epimere m of near-end with away from the far-end hypomere n of near-end.
Preferably, have the transition segmental arc between the far-end epimere m of this utility model tibial intramedullary nailing and the far-end hypomere n, radius of curvature R 2 is 1500mm.
Preferably, the near-end of this utility model tibial intramedullary nailing also comprises at least one lock hole, said lock hole centrage and proximal hub line intramedullary pin near-end and distal center line angle c on the whole be 80 °.
Preferably, the near-end of this utility model tibial intramedullary nailing also comprises at least one pressurization hole, and said pressurization centerline hole is 30 ° at the angle d with intramedullary pin near-end and distal center line place face.
Preferably; The far-end of this utility model tibial intramedullary nailing comprises at least 2 lock holes; The angle e of projection and near-end and the distal center line place face of the centrage in said 2 far-end locking holes on the cross section of intramedullary pin and f sum are greater than 0 °, smaller or equal to 90 °.
The preceding medial approach tibial intramedullary nailing that this utility model provides is compared with existing tibial intramedullary nailing; Select kneecap tendon inner edge and tibia pes anserinus stop upper limb as the intramedullary pin entry point in the time of can realizing implanting; Make entry point and intramedullary pin near-end avoid patellar ligament like this; Avoided damage, thereby avoided the preceding pain of postoperative kneecap patellar ligament.The tibial intramedullary nailing of this utility model is rational in infrastructure, and function admirable can be carried out good coupling with the tibia pulp cavity, reaches effective treatment fracture of tibia and improves the good result of patient's life quality.
Description of drawings
Fig. 1 is the front view of this utility model tibial intramedullary nailing;
Fig. 2 is the profile of Fig. 1;
Fig. 3 is the A-A line cutaway view along Fig. 1;
Fig. 4 is along the B-B line of Fig. 1 and C-C line cutaway view;
Identifier declaration is following among the figure:
The 1-near-end, 2-far-end, 3-near-end lock hole, 4-near-end pressurization hole, 5-far-end locking hole.
The specific embodiment
For the purpose, technical scheme and the advantage that make this utility model is clearer,, this utility model is further specified below in conjunction with accompanying drawing.Specific embodiment described herein is only in order to explaining this utility model, and is not used in qualification this utility model.
As shown in Figure 1, the medial approach tibial intramedullary nailing comprises that a near-end 1, one are applicable to the far-end 2 that inserts pulp cavity before this utility model, and near-end 1 is the part of diagram L1 length, and far-end 2 is the part of diagram L2 length.Angle a between near-end 1 centrage and the intramedullary pin longitudinal axis is 18 °-22 °.The intramedullary pin longitudinal axis is meant and passes through intra medullary nail far-end z axis vertically on the figure one that centrage is meant along the line of intramedullary pin axis direction.In a most preferred embodiment, the angle a between near-end 1 centrage and the intramedullary pin longitudinal axis is 20 °.In addition, far-end 2 comprises that also the angle b between the centrage of the centrage of far-end epimere m and far-end hypomere n is 0 °-4 ° near the far-end epimere m of near-end 1 with away from the far-end hypomere n of near-end 1.The near-end 1 and the far-end 2 of this utility model intramedullary pin have a transition segmental arc; Circular arc radius of curvature R 1 is 50mm; Also can have a transition segmental arc near the far-end epimere m of near-end 1 and far-end hypomere n away from near-end 1 on the far-end 2, circular arc radius of curvature R 2 is 1500mm.The diameter of phi d of near-end 1 is 11.5mm or 13mm.Intramedullary pin integral body is hollow or solid design.This structure Design meets the anatomical features of tibia pulp cavity, can carry out good coupling with the tibia pulp cavity.Particularly, the design of this angle has guaranteed the preceding medial approach mode of intramedullary pin at kneecap tendon inner edge and tibia pes anserinus stop upper limb, can effectively avoid the preceding pain of postoperative kneecap, improves patient's life quality.
As shown in Figure 2, according to bone structure and osseous tissue different characteristics, the near-end 1 of the tibial intramedullary nailing of this utility model also comprises one or more lock hole 3, one or more pressurizations hole 4.The centrage of near-end 1 and far-end 2 in one plane, with the dissection surface of this plane as intramedullary pin.Near-end lock hole 3 centrages and the proximal hub line angle c on the intramedullary pin dissection surface is 80 °.As shown in Figure 3, the angle d of near-end pressurization hole 4 centrages and intramedullary pin dissection surface is 30 °.The angle design in near-end lock hole and near-end pressurization hole can realize the near-end cross lock preferably, can be better fixing fracture end.
As shown in Figure 4, the number in the far-end locking hole 5 of this utility model tibial intramedullary nailing is at least 2, and the dissection surface angle e of projection and the intramedullary pin of wherein any 2 far-end locking holes 5 on the cross section of intramedullary pin and f sum are greater than 0 °, smaller or equal to 90 °.This structural design can realize intra medullary nail far-end position cross lock preferably, thereby fracture end is carried out good fixing.
In addition, the medial approach tibial intramedullary nailing can be that an angle is arranged between intramedullary pin near-end 1 centrage and intramedullary pin longitudinal axis before this utility model, and its proximal part and distal portions are linear structure, do not have any bending; Can also be that an angle is arranged between intramedullary pin near-end 1 centrage and intramedullary pin longitudinal axis, its distal portions integral body be the arcuate structure that matees with pulp cavity.
The preceding medial approach tibial intramedullary nailing that this utility model provides is compared with existing tibial intramedullary nailing; Select kneecap tendon inner edge and tibia pes anserinus stop upper limb preceding medial approach mode in the time of can realizing implanting as the intramedullary pin entry point; Make entry point and intramedullary pin near-end avoid patellar ligament like this; Avoided damage, thereby avoided the preceding pain of postoperative kneecap patellar ligament, significant to the life quality that improves patient.

Claims (9)

1. a tibial intramedullary nailing comprises that a near-end L1 (1), is applicable to the far-end L2 (2) that is inserted in the pulp cavity, is characterized in that the angle a between near-end (1) centrage and the intramedullary pin longitudinal axis is 18 °-22 °.
2. tibial intramedullary nailing according to claim 1 is characterized in that, the angle a between near-end (1) centrage and the intramedullary pin longitudinal axis is 20 °.
3. tibial intramedullary nailing according to claim 1 is characterized in that, has the transition segmental arc between said near-end (1) and the far-end (2), and radius of curvature R 1 is 50mm.
4. according to claim 1 or 2 or 3 described tibial intramedullary nailings; It is characterized in that; Said far-end (2) comprises that the angle b between the centrage of the centrage of far-end epimere and far-end hypomere is 0 °-4 ° near the far-end epimere m of near-end (1) with away from the far-end hypomere n of near-end (1).
5. tibial intramedullary nailing according to claim 4 is characterized in that, has the transition segmental arc between said far-end epimere m and the far-end hypomere n, and radius of curvature R 2 is 1500mm.
6. according to claim 1 or 2 or 3 described tibial intramedullary nailings, it is characterized in that said near-end (1) comprises at least one lock hole (3), lock hole centrage and near-end (1) centrage is 80 ° at the angle c of near-end and distal center line place face.
7. tibial intramedullary nailing according to claim 1 and 2 is characterized in that, said near-end (1) also comprises at least one pressurization hole (4), and the angle d of pressurization centerline hole and near-end and distal center line place face is 30 °.
8. tibial intramedullary nailing according to claim 1 is characterized in that, said far-end comprises at least two far-end locking holes (5).
9. tibial intramedullary nailing according to claim 8 is characterized in that, the angle e of projection and near-end and the distal center line place face of the centrage in said two far-end locking holes (5) on the cross section of intramedullary pin and f sum are greater than 0 °, smaller or equal to 90 °.
CN2011201940410U 2011-05-17 2011-06-10 Intramedullary nail for tibia Expired - Lifetime CN202179588U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2011201940410U CN202179588U (en) 2011-05-17 2011-06-10 Intramedullary nail for tibia

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CN201120157298.9 2011-05-17
CN201120157298 2011-05-17
CN2011201940410U CN202179588U (en) 2011-05-17 2011-06-10 Intramedullary nail for tibia

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CN202179588U true CN202179588U (en) 2012-04-04

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CN2011201940410U Expired - Lifetime CN202179588U (en) 2011-05-17 2011-06-10 Intramedullary nail for tibia

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102784002A (en) * 2011-05-17 2012-11-21 北京纳通科技集团有限公司 Tibial intramedullary nail
CN108420518A (en) * 2018-03-23 2018-08-21 山东航维骨科医疗器械股份有限公司 Intramedullary nail on a kind of condyle
CN112780754A (en) * 2021-01-20 2021-05-11 清华大学 Rod-shaped device

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107260287B (en) * 2017-07-27 2023-03-21 焦作市新港医疗设备有限公司 Tibia/humerus intramedullary nail, tibia group and humerus group using same
CN107961067B (en) * 2018-01-12 2021-05-07 四川大学华西医院 Lateral inlet tibiobone marrow internal needle
CN109009403B (en) * 2018-09-11 2023-12-19 苏州中科生物医用材料有限公司 Intramedullary nail sleeve device for patellar access tibia

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CH674613A5 (en) * 1988-03-14 1990-06-29 Synthes Ag
CN2309127Y (en) * 1997-09-11 1999-03-03 武进第三医疗器械厂 Tibia locked intramedullary nail
EP0976365A1 (en) * 1998-07-27 2000-02-02 Osteo Ag Tibia nail for retrograde insertion
CA2594179C (en) * 2004-12-31 2012-08-28 Synthes Gmbh Intramedullary nail
CN200998305Y (en) * 2007-01-19 2008-01-02 王永清 Multifunctional tibia marrow nail
CN101507652A (en) * 2009-03-20 2009-08-19 周志海 Knee joint approach intramedullary nail
CN102784002B (en) * 2011-05-17 2015-03-11 北京纳通科技集团有限公司 Tibial intramedullary nail

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102784002A (en) * 2011-05-17 2012-11-21 北京纳通科技集团有限公司 Tibial intramedullary nail
CN102784002B (en) * 2011-05-17 2015-03-11 北京纳通科技集团有限公司 Tibial intramedullary nail
CN108420518A (en) * 2018-03-23 2018-08-21 山东航维骨科医疗器械股份有限公司 Intramedullary nail on a kind of condyle
CN112780754A (en) * 2021-01-20 2021-05-11 清华大学 Rod-shaped device

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Publication number Publication date
CN102784002A (en) 2012-11-21
CN102784002B (en) 2015-03-11

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Granted publication date: 20120404