CN205286506U - Intramedullary nail - Google Patents
Intramedullary nail Download PDFInfo
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- CN205286506U CN205286506U CN201521130657.6U CN201521130657U CN205286506U CN 205286506 U CN205286506 U CN 205286506U CN 201521130657 U CN201521130657 U CN 201521130657U CN 205286506 U CN205286506 U CN 205286506U
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Abstract
本实用新型涉及一种髓内钉,包括钉体和封帽;所述封帽呈圆台状且侧面设有外螺纹,所述封帽左端设有六角沉孔、右端以封帽的轴线为中心开设有锁紧孔;所述锁紧孔的形状与封帽的轮廓一致。所述封帽的侧面设置有至少两个与所述锁紧孔相通的条形缺口,所述条形缺口以封帽的轴线为中心对称分布;所述钉体的近端嵌入所述封帽的锁紧孔内。本实用新型提出的髓内钉,无论是在髓内钉的植入还是取出过程中,都可以有效减轻患者的痛苦。另外,由于封帽的弹性设计,医护人员可以在一定的范围内根据不同的骨骼尺寸选择使用相应尺寸的钉体,既节约资源又方便使用且可以实现良好的固定效果;钉体表面的防旋槽的设计则进一步实现了防止钉体旋转的效果。
The utility model relates to an intramedullary nail, comprising a nail body and a sealing cap; the sealing cap is in the shape of a circular platform and has external threads on the side, the left end of the sealing cap is provided with a hexagonal counterbore, and the right end of the sealing cap is centered on the axis of the sealing cap A locking hole is provided; the shape of the locking hole is consistent with the outline of the sealing cap. The side of the sealing cap is provided with at least two strip-shaped notches communicating with the locking hole, and the strip-shaped notches are symmetrically distributed around the axis of the sealing cap; the proximal end of the nail body is embedded in the sealing cap in the locking hole. The intramedullary nail proposed by the utility model can effectively relieve the suffering of patients no matter in the process of implanting or taking out the intramedullary nail. In addition, due to the elastic design of the cap, the medical staff can choose to use the nail body of the corresponding size according to different bone sizes within a certain range, which not only saves resources but is convenient to use and can achieve a good fixing effect; the anti-rotation of the surface of the nail body The design of the groove further realizes the effect of preventing the nail body from rotating.
Description
技术领域technical field
本实用新型属于医疗器械技术领域,尤其涉及一种髓内钉。The utility model belongs to the technical field of medical instruments, in particular to an intramedullary nail.
背景技术Background technique
髓内钉是一种常用的骨折内固定器材,其一般用于掌骨、桡骨、肱骨、股骨、胫骨等长骨骨折的内固定。现有技术中的髓内钉,一种是钉体设有通孔,螺钉从外部穿过钉体的通孔对骨骼进行固定。另一种包括钉体与封帽,所述封帽设有外螺纹且钉体与封帽活动连接;该种髓内钉即通过将封帽旋入骨骼的微创孔并顶住钉体,进而实现对骨骼的固定。上述髓内钉的优点在于以下几方面:1.可以控制骨折部位的轴向力线、带锁髓内钉可以防止骨折旋转畸形、降低了内置物断裂的风险;2.采用闭合及微创技术,减少了手术感染率;3.减少对骨膜血运的破坏、保留血肿内的有成骨作用的生长因子、扩髓碎屑具有自体植骨效应、肌肉收缩产生微动提供力学刺激等因素促进骨折愈合;4.中心固定、弹性固定、应力分散避免应力遮挡作用,再骨折发生率低;5.固定牢固可以早期功能锻炼和负重;6.内固定取出通过小切口,微创。然而,在具有以上优点的同时,现有技术中的髓内钉也暴露出了如下问题:1.在固定效果方面效果不理想;由于通孔与螺杆之间或者钉体与封帽之间均为间隙配合且钉体本身易旋转,螺钉对髓内钉的锁紧效果通常并不理想,难免造成骨折处产生畸形、影响愈合;2.由于髓内钉的尺寸固定,导致使用不便的同时也造成了资源的浪费。Intramedullary nail is a commonly used fracture internal fixation device, which is generally used for internal fixation of long bone fractures such as metacarpal, radius, humerus, femur, and tibia. In the intramedullary nail in the prior art, one is that the nail body is provided with a through hole, and the screw passes through the through hole of the nail body from the outside to fix the bone. The other includes a nail body and a cap, the cap is provided with external threads and the nail body and the cap are movably connected; this kind of intramedullary nail is screwed into the minimally invasive hole of the bone and withstands the nail body, And then realize the fixation to the bone. The advantages of the above-mentioned intramedullary nails lie in the following aspects: 1. It can control the axial line of force at the fracture site, and the interlocking intramedullary nail can prevent the rotation deformity of the fracture and reduce the risk of fracture of the implant; 2. It adopts closed and minimally invasive techniques , reducing the rate of surgical infection; 3. Reduce the damage to the periosteal blood supply, retain the growth factors with osteogenic effects in the hematoma, the reamed debris has the effect of autologous bone grafting, and the muscle contraction produces fretting to provide mechanical stimulation and other factors to promote Fracture healing; 4. Central fixation, elastic fixation, stress dispersion to avoid stress shielding effect, and low incidence of re-fracture; 5. Firm fixation can enable early functional exercise and weight bearing; 6. Internal fixation is removed through a small incision, minimally invasive. However, while having the above advantages, the intramedullary nails in the prior art have also exposed the following problems: 1. The fixation effect is not ideal; Because of the clearance fit and the nail itself is easy to rotate, the locking effect of the screw on the intramedullary nail is usually not ideal, which will inevitably cause deformity at the fracture site and affect the healing; 2. Due to the fixed size of the intramedullary nail, it is inconvenient to use and also Caused a waste of resources.
实用新型内容Utility model content
本实用新型的目的在于针对现有技术中的不足,提供一种安全可靠、使用方便且能实现良好固定效果髓内钉。The purpose of the utility model is to provide a safe, reliable, easy-to-use intramedullary nail capable of achieving a good fixation effect in view of the deficiencies in the prior art.
为解决上述技术问题,本实用新型采用如下技术方案:In order to solve the above technical problems, the utility model adopts the following technical solutions:
一种髓内钉,包括钉体和封帽;所述封帽呈圆台状且侧面设有外螺纹,所述封帽左端设有六角沉孔、右端以封帽的轴线为中心开设有锁紧孔;所述锁紧孔的形状与封帽的轮廓一致;所述封帽的侧面设置有至少两个与所述锁紧孔相通的条形缺口,所述条形缺口以封帽的轴线为中心对称分布;所述钉体的近端嵌入所述封帽的锁紧孔内。An intramedullary nail, comprising a nail body and a sealing cap; the sealing cap is in the shape of a truncated cone and has external threads on the side, a hexagonal counterbore is provided at the left end of the sealing cap, and a locking hole is provided at the right end centering on the axis of the sealing cap. hole; the shape of the locking hole is consistent with the outline of the sealing cap; the side of the sealing cap is provided with at least two bar-shaped notches communicating with the locking hole, and the bar-shaped notches are centered on the axis of the sealing cap The center is distributed symmetrically; the proximal end of the nail body is inserted into the locking hole of the sealing cap.
进一步地,所述钉体的远端扁平且纵截面呈弧形,所述钉体除远端外均为圆柱体结构。Further, the distal end of the nail body is flat and has an arc-shaped longitudinal section, and the nail body is cylindrical except for the distal end.
进一步地,所述钉体的表面设有一个以上呈长条形的减压平面,所述减压平面从钉体的近端伸至远端。Further, the surface of the nail body is provided with more than one strip-shaped decompression plane, and the decompression plane extends from the proximal end to the distal end of the nail body.
进一步地,所述钉体的表面还设有至少一个防旋槽,所述防旋槽沿钉体的轴向设置。Further, at least one anti-rotation groove is provided on the surface of the nail body, and the anti-rotation groove is arranged along the axial direction of the nail body.
本实用新型的有益效果在于:本实用新型提出的髓内钉,其封帽与钉体为分体设计,无论是在髓内钉的植入还是取出过程中,都可以较大程度减轻患者的痛苦。另外,由于封帽的弹性设计,医护人员可以在一定的范围内根据不同的骨骼尺寸选择使用相应尺寸的钉体;既节约资源又方便使用,且可以实现良好的固定效果;钉体表面的防旋槽的设计则进一步实现了防止钉体旋转的效果。The beneficial effect of the utility model is that: the intramedullary nail proposed by the utility model has a separate design of the sealing cap and the nail body, which can greatly reduce the pain of the patient during the implantation or removal of the intramedullary nail. pain. In addition, due to the elastic design of the cap, the medical staff can choose to use the nail body of the corresponding size according to different bone sizes within a certain range; it saves resources and is convenient to use, and can achieve a good fixation effect; The design of the spiral groove further realizes the effect of preventing the nail body from rotating.
附图说明Description of drawings
图1为本实用新型的钉体示意图。Fig. 1 is the nail body schematic diagram of the present utility model.
图2为本实用新型封帽的立体图。Fig. 2 is a perspective view of the sealing cap of the present utility model.
图3为本实用新型封帽的放大结构图。Fig. 3 is an enlarged structural diagram of the sealing cap of the present invention.
图4为本实用新型封帽放大后的左视图。Fig. 4 is an enlarged left view of the sealing cap of the present invention.
图中:1-钉体,11-防旋槽,12-减压平面;2-封帽,21-六角沉孔,22-锁紧孔,23-条形缺口。In the figure: 1-nail body, 11-anti-rotation groove, 12-decompression plane; 2-sealing cap, 21-hexagonal counterbore, 22-locking hole, 23-strip notch.
具体实施方式detailed description
下面结合附图详细说明本实用新型的优选实施例。Preferred embodiments of the present utility model will be described in detail below in conjunction with the accompanying drawings.
请参阅图1至图4,本实用新型公开了一种髓内钉,包括钉体1和封帽2;所述封帽1呈圆台状且侧面设有外螺纹,所述封帽2左端设有六角沉孔21、右端以封帽1的轴线为中心开设有锁紧孔22;所述锁紧孔22的形状与封帽2的轮廓一致;所述封帽2的侧面设置有至少两个与所述锁紧孔22相通的条形缺口23,所述条形缺口23以封帽2的轴线为中心对称分布;所述钉体1的近端嵌入封帽2的锁紧孔内22。Please refer to Fig. 1 to Fig. 4, the utility model discloses an intramedullary nail, comprising a nail body 1 and a cap 2; There is a hexagonal counterbore 21, and a locking hole 22 is opened at the right end centering on the axis of the sealing cap 1; the shape of the locking hole 22 is consistent with the outline of the sealing cap 2; the side of the sealing cap 2 is provided with at least two The strip-shaped notch 23 communicating with the locking hole 22 is symmetrically distributed around the axis of the cap 2 ; the proximal end of the nail body 1 is inserted into the locking hole 22 of the cap 2 .
作为优选方案,所述钉体1的远端扁平且纵截面呈弧形,所述钉体1除远端外均为圆柱体结构,所述髓内钉的整体呈长条状。当然,髓内钉的截面直径也可以由远端至近端逐步缩小;所述髓内钉优选使用弹性材料。As a preferred solution, the distal end of the nail body 1 is flat and has an arc-shaped longitudinal section, the nail body 1 is cylindrical except for the distal end, and the intramedullary nail is in the shape of a strip as a whole. Of course, the cross-sectional diameter of the intramedullary nail can also be gradually reduced from the distal end to the proximal end; the intramedullary nail is preferably made of elastic material.
作为优选方案,所述钉体1的表面设有一个以上呈长条形的减压平面12,所述减压平面12从钉体1的近端伸至远端。减压平面12的设计目的在于减轻髓内钉自身的紧固压力;同时,也可以在一定程度上减轻患者的痛苦。As a preferred solution, the surface of the nail body 1 is provided with more than one strip-shaped decompression plane 12 , and the decompression plane 12 extends from the proximal end to the distal end of the nail body 1 . The purpose of the design of the decompression plane 12 is to reduce the fastening pressure of the intramedullary nail itself; meanwhile, it can also relieve the pain of the patient to a certain extent.
作为优选方案,所述钉体1的表面还设有至少一个防旋槽11,所述防旋槽11沿钉体1的轴向设置。防旋槽11的设计则进一步实现了髓内钉对骨骼的良好固定。As a preferred solution, at least one anti-rotation groove 11 is provided on the surface of the nail body 1 , and the anti-rotation groove 11 is arranged along the axial direction of the nail body 1 . The design of the anti-rotation groove 11 further realizes the good fixation of the bone by the intramedullary nail.
现有技术中,髓内钉一体成型,无法灵活使用;同时髓内钉在取出时很困难,难免对患者造成第二次损伤;另外,由于髓内钉易旋转,造成髓内钉对骨折处固定不牢,常导致手术失败或反复进行。通过上述方案将髓内钉分解为钉体1与封帽2两部分,且由于封帽2呈圆台形且设有连通锁紧孔22的条形缺口23,医护人员可以在一定的范围内根据不同的骨骼尺寸选择使用相应尺寸的钉体1,既灵活方便,又节约资源。另外,由于封帽2的弹性设计,在封帽2旋入骨骼的同时也有效的实现了对钉体1的锁紧。更进一步地,由于封帽的左端设有自攻六角沉孔,在方便髓内钉旋入、旋出的同时,可有效避免对患者造成二次损伤。In the prior art, the intramedullary nail is integrally formed, which cannot be used flexibly; at the same time, it is very difficult to remove the intramedullary nail, which will inevitably cause a second injury to the patient; in addition, because the intramedullary nail is easy to rotate, the intramedullary nail will cause damage to the fracture site. Inadequate fixation often leads to failed or repeated operations. Through the above scheme, the intramedullary nail is decomposed into nail body 1 and sealing cap 2, and since the sealing cap 2 is in the shape of a truncated cone and is provided with a strip-shaped gap 23 connected to the locking hole 22, the medical staff can use it within a certain range according to the The nail body 1 of the corresponding size is selected for different bone sizes, which is flexible and convenient, and saves resources. In addition, due to the elastic design of the cap 2, the locking of the nail body 1 is also effectively realized when the cap 2 is screwed into the bone. Furthermore, since the left end of the sealing cap is provided with a self-tapping hexagonal counterbore, while facilitating the screwing in and out of the intramedullary nail, it can effectively avoid secondary damage to the patient.
这里本实用新型的描述和应用是说明性的,并非想将本实用新型的范围限制在上述实施例中。本领域技术人员应该清楚的是,在不脱离本实用新型的精神或本质特征的情况下,本实用新型可以以其它形式、结构、布置、比例,以及用其它组件、材料和部件来实现。在不脱离本实用新型范围和精神的情况下,可以对这里所披露的实施例进行其它变形和改变。The description and application of the present invention here are illustrative, and are not intended to limit the scope of the present invention to the above-mentioned embodiments. It should be clear to those skilled in the art that, without departing from the spirit or essential characteristics of the present invention, the present invention can be realized in other forms, structures, arrangements, proportions, and with other components, materials and parts. Other modifications and changes may be made to the embodiments disclosed herein without departing from the scope and spirit of the invention.
Claims (4)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201521130657.6U CN205286506U (en) | 2015-12-30 | 2015-12-30 | Intramedullary nail |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201521130657.6U CN205286506U (en) | 2015-12-30 | 2015-12-30 | Intramedullary nail |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN205286506U true CN205286506U (en) | 2016-06-08 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201521130657.6U Expired - Lifetime CN205286506U (en) | 2015-12-30 | 2015-12-30 | Intramedullary nail |
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| CN (1) | CN205286506U (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106510825A (en) * | 2016-12-28 | 2017-03-22 | 林列 | Humerus intramedullary needle |
| CN106725792A (en) * | 2017-01-10 | 2017-05-31 | 河北医科大学第三医院 | A kind of flexible intramedullary nail with pressurization anti-rotation function |
| CN108210038A (en) * | 2016-12-14 | 2018-06-29 | 创生医疗器械(中国)有限公司 | Intramedullary nail pinning mechanism |
-
2015
- 2015-12-30 CN CN201521130657.6U patent/CN205286506U/en not_active Expired - Lifetime
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108210038A (en) * | 2016-12-14 | 2018-06-29 | 创生医疗器械(中国)有限公司 | Intramedullary nail pinning mechanism |
| CN106510825A (en) * | 2016-12-28 | 2017-03-22 | 林列 | Humerus intramedullary needle |
| CN106510825B (en) * | 2016-12-28 | 2023-09-15 | 林列 | Humerus intramedullary needle |
| CN106725792A (en) * | 2017-01-10 | 2017-05-31 | 河北医科大学第三医院 | A kind of flexible intramedullary nail with pressurization anti-rotation function |
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