CN205359611U - Square district's coaptation board of acetabular bone - Google Patents
Square district's coaptation board of acetabular bone Download PDFInfo
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- CN205359611U CN205359611U CN201620117604.9U CN201620117604U CN205359611U CN 205359611 U CN205359611 U CN 205359611U CN 201620117604 U CN201620117604 U CN 201620117604U CN 205359611 U CN205359611 U CN 205359611U
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- steel plate
- plate
- acetabular bone
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- ischium
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Abstract
The utility model provides a square district's coaptation board of acetabular bone, belongs to bone surgery apparatus technical field for go on effectively fixedly to the acetabular bone fracture. Its technical scheme is: the utility model discloses a coaptation board is spatial structure, each part of coaptation board respectively with the crooked shape looks adaptation in the square district of acetabular bone, so each part of coaptation board can be gone on effectively fixedly to the acetabular bone fracture. The utility model discloses can to the spinous process of the seventh cervical vertebra around the acetabular bone roll over go on simultaneously effectively fixed, can be through to square district's arcuate line of acetabular bone and ischium sour jujube part fixed, increase cover and support to the square district of acetabular bone, acetabular bone parastyle rear pillar can both be accomplished the reconstruction of stability to the inside wall from square district. The utility model discloses an originating of treatment hipbone fracture, has gained unexpected good result at coaptation board simple structure, convenient to use, has solved the difficult problem among the square district fracture treatment of acetabular bone, has apparent benefit, is worth using widely.
Description
Technical field
The present invention relates to a kind for the treatment of by the blade plate of spinous process of the seventh cervical vertebra folding before and after the fixing acetabular bone in pelvis squared region, belong to bone surgery set technical field.
Background technology
Acetabular bone is the weight-bearing joints that composition human body lower limbs is important, is also the pith of composition pelvis, and its fracture mostly is high-energy damage, is more common in adolescence.Acetabular bone squared region surrounding fracture is often accompanied by acetabular articular fracture, and treatment should select therapeutic scheme according to the many factors such as clinical manifestation, imaging evaluation, it is desirable to anatomical reduction, strong fixing, and does early stage and start functional exercise actively and passively.
Operative treatment has become the primary treatments of fracture of acetabulum.Acetabular bone is made up of front pillar and rear pillar.Often merge squared region fracture after fracture of acetabulum, merge capital central dislocation.Operation often adopts combined approach, i.e. the K-L approach surgical treatment at the Ilioinguinal approach approach in front and rear, in front pillar and the rear pillar Interal fixation respectively of acetabular bone.Operation elapsed time is long, and patient trauma is big, hemorrhage many.As adopted single anterior lateral cervical approach operative treatment, front pillar can adopt strong fixing of steel plate, and direction rear pillar inserts that screw is fixing not only requires patient's technical merit higher but also fixing also insecure to rear pillar in the past.Equally, single Posterior approach is adopted to treat, also insecure for fixing of front pillar.Additionally, the fracture pulverized for squared region, the steel plate of front pillar and rear pillar all can not be fixed effectively.If acetabular bone folded block can not be fixedly secured, it is easy to occur to shift again, cause hip joint trauma arthritis or operative failure.Therefore, the implants that can simultaneously fix front and back post that research is suitable for fracturing smashing acetabular bone squared region just becomes the vital task faced in clinic.
Summary of the invention
The technical problem to be solved is to provide a kind of acetabular bone squared region blade plate, with the treatment that impaired comparatively serious hip fracture is satisfied with, it is prevented that the sequela brought because hipbone damages and subsequent procedures.
The technical scheme solving above-mentioned technical problem is:
nullA kind of acetabular bone squared region blade plate，It is a blade plate structure being projected as L-shaped of the pressurizing lock plate composition of two strips，Article two, pressurizing lock plate respectively pubic branch steel plate，Ramus of ischium steel plate，One end of pubic branch steel plate starts from pubic tubercle，The plate face of pubic branch steel plate is rotated upwardly to pecten pubis from pubic tubercle，Through iliopubic eminence along arcuate line to greater sciatic notch，The plate face curved shape of pubic branch steel plate is suitable with the surface of bone shape of process，One end of ramus of ischium steel plate starts from ischial spine，From ischial spine in acetabular bone squared region along trailing edge to greater sciatic notch leading edge，The plate face curved shape of ramus of ischium steel plate is suitable with the surface of bone shape of process，Two parts pressurizing lock plate converges at greater sciatic notch and connects as one，The plate face of pubic branch steel plate and ramus of ischium steel plate there is multiple lock hole respectively，Multiple lock holes are uniform along the plate face length direction of pubic branch steel plate and ramus of ischium steel plate.
Above-mentioned acetabular bone squared region blade plate, it also has rear pillar pulling force sheet, the lower end of rear pillar pulling force sheet is connected to the side that pubic branch steel plate is relative with ilium with the junction of ramus of ischium steel plate, the upper end of rear pillar pulling force sheet bends backward, the plate face of rear pillar pulling force sheet is suitable with iliac fossa surface, and there is screw in the plate face of rear pillar pulling force sheet.
Above-mentioned acetabular bone squared region blade plate, junction steel plate is had between described pubic branch steel plate and ramus of ischium steel plate, the two ends of junction steel plate lay respectively at pubic branch steel plate and the middle part of ramus of ischium steel plate, and junction steel plate has flexibility, and the flexibility of junction steel plate is suitable with the acetabular bone squared region surface of bone of closed pore side.
Above-mentioned acetabular bone squared region blade plate, second hole at the two ends of the lock hole of described pubic branch steel plate is locking and pressurizing hole.
Above-mentioned acetabular bone squared region blade plate, the penultimate locking and pressurizing hole of the close ischial spine of described ramus of ischium steel plate.
The invention has the beneficial effects as follows:
What adopt this structure can carry out effectively fixing special-shaped locking and pressurizing blade plate to spinous process of the seventh cervical vertebra folding before and after acetabular bone simultaneously, that can pass through for acetabular bone squared region arcuate line and ischial spine part is fixing, add the covering to acetabular bone squared region and support, from medial wall, squared region, acetabular anterior column rear pillar can be accomplished the reconstruction of stability.The present invention is the pioneering for the treatment of hip fracture, blade plate simple in construction, easy to use, achieve beyond thought good result, solve the difficult problem in the Curative Effect of Acetabular Fractures being not solved by for a long time, there is notable benefit, be worth of widely use.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention；
Fig. 2 is the side view of Fig. 1；
Fig. 3 be Fig. 2 to side view；
Fig. 4 is another side view of Fig. 1；
Fig. 5 is the use view of the present invention.
In figure, labelling is as follows: pubic branch steel plate 1, ramus of ischium steel plate 2, rear pillar pulling force sheet 3, junction steel plate 4, lock hole 5, pubic tubercle 6, pecten pubis 7, iliopubic eminence 8, arcuate line 9, greater sciatic notch 10, closed pore 11, ischial spine 12, acetabular bone squared region 13, iliac fossa 14, inferior ramus of pubis 15, pubic symphysis articular surface 16, obturator groove 17.
Detailed description of the invention
The present invention be a kind of by medial wall, acetabular bone squared region simultaneously fixing before and after the blade plate of spinous process of the seventh cervical vertebra folding, it is possible to the form of anatomical suture acetabular bone accomplish that stability is fixed to greatest extent, make impaired bone piece keep normal anatomical position, be beneficial to its growth that resets.
Figure shows, the present invention is made up of the pressurizing lock plate of two strips, article two, pressurizing lock plate respectively pubic branch steel plate 1 and ramus of ischium steel plate 2, it also has rear pillar pulling force sheet 3 and junction steel plate 4, and above-mentioned parts collectively form a blade plate space structure body being projected as L-shaped.
Figure shows, one end of pubic branch steel plate 1 starts from pubic tubercle 6, the plate face of pubic branch steel plate 1 is rotated upwardly to pecten pubis 7 from pubic tubercle 6, crosses iliopubic eminence 8 along arcuate line 9 to greater sciatic notch 10, and the plate face curved shape of pubic branch steel plate 1 is suitable with the surface of bone shape of process.
Figure shows, one end of ramus of ischium steel plate 2 starts from ischial spine 12, from ischial spine 12 in acetabular bone squared region 13 along acetabular bone squared region 13 trailing edge to greater sciatic notch 10 leading edge, the plate face curved shape of ramus of ischium steel plate 2 is suitable with the surface of bone shape of process, and two pieces of pressurizing lock plates converge connection at greater sciatic notch 10.
Showing in figure, having multiple lock hole 5 on the plate face of pubic branch steel plate 1 and ramus of ischium steel plate 2 respectively, multiple lock holes 5 are uniform along the plate face length direction of pubic branch steel plate 1 and ramus of ischium steel plate 2.Second hole at lock hole 5 two ends of pubic branch steel plate 1 is locking and pressurizing hole.The penultimate lock hole 5 of the close ischial spine 12 of ramus of ischium steel plate 2 is locking and pressurizing hole.Do moulding incisura between each lock hole, be easy in operation and better dissect attaching.
Figure shows, the lower end of rear pillar pulling force sheet 3 is connected to the side that pubic branch steel plate 1 is relative with ilium with the junction of ramus of ischium steel plate 2, the upper end of rear pillar pulling force sheet 3 bends backward, and the plate face of rear pillar pulling force sheet 3 is suitable with iliac fossa 14 surface, and there is screw in the plate face of rear pillar pulling force sheet 3.
Figure shows, junction steel plate 4 is had to connect between pubic branch steel plate 1 and ramus of ischium steel plate 2, junction steel plate 4 two ends lay respectively in the middle part of pubic branch steel plate 1 and ramus of ischium steel plate 2, and junction steel plate 4 has flexibility, and junction steel plate 4 flexibility is suitable with acetabular bone squared region 13 surface of bone of closed pore 11 side.
True pelvis annular is fixed by the pubic branch steel plate 1 of the present invention from hipbone inwall, also can recover the anatomic form of acetabular anterior wall simultaneously.Ramus of ischium steel plate 2 can fix the ramus of ischium recovery for the anatomic form of posterior wall of acetabulum, accomplishes that stable shape is fixed.
Pubic branch steel plate 1 and ramus of ischium steel plate 2 are formed at greater sciatic notch 10 and arcuate line 9 part and cross, the pubic branch steel plate 1 of arcuate line 9 part forms a connection closed with ramus of ischium steel plate 2 in deflection ischial spine 12 part near obturator groove 17 part, constitute a delta-shaped region, acetabular bone squared region 13 obturatorius inwall attachment portion is formed and covers, the squared region fracture at acetabular bone center is had the effect rebuilding support.
In screw angle, the screw angle for pubic branch steel plate 1 and ramus of ischium steel plate 2 is also in conjunction with Stoppa or improves considering of Stoppa operative approach, it is easy to insert and avoid screw for the damage of acetabular bone.Because being implanted into placement location in acetabular bone medial wall, Stoppa approach is chosen for pubic symphysis ventrad umbilical part and extends about 6-8CM otch, on steel plate, it is formed convergence in the part of operative incision by the direction inserting angle and bit bore of all screws, can avoid more disorganization simultaneously.
Rear pillar pulling force sheet 3 has a screw to ilium point extension, and this screw is positioned on psoas minor attachment point upper limb, and the pulling force for rear pillar that the direction of screw hole is mainly used in from ilium part to ischial tuberosity is fixed.The direction of this screw avoids other screw and acetabular fossa, has, with body of ischium and rear pillar, fixing effect of pressurizeing for ilium.
Claims (5)
- null1. an acetabular bone squared region blade plate，It is characterized in that: it is a blade plate structure being projected as L-shaped of the pressurizing lock plate composition of two strips，Article two, pressurizing lock plate respectively pubic branch steel plate (1) and ramus of ischium steel plate (2)，One end of pubic branch steel plate (1) starts from pubic tubercle (6)，The plate face of pubic branch steel plate (1) is rotated upwardly to pecten pubis (7) from pubic tubercle (6)，Cross iliopubic eminence (8) along arcuate line (9) to greater sciatic notch (10)，The plate face curved shape of pubic branch steel plate (1) is suitable with the surface of bone shape of process，One end of ramus of ischium steel plate (2) starts from ischial spine (12)，From ischial spine (12) in acetabular bone squared region (13) along acetabular bone squared region (13) trailing edge to greater sciatic notch (10) leading edge，The plate face curved shape of ramus of ischium steel plate (2) is suitable with the surface of bone shape of process，Two parts pressurizing lock plate converges at greater sciatic notch (10) and connects as one，The plate face of pubic branch steel plate (1) and ramus of ischium steel plate (2) has multiple lock hole (5) respectively，Multiple lock holes (5) are uniform along the plate face length direction of pubic branch steel plate (1) and ramus of ischium steel plate (2).
- 2. acetabular bone squared region according to claim 1 blade plate, it is characterised by: it also has rear pillar pulling force sheet (3), the lower end of rear pillar pulling force sheet (3) is connected to the side that pubic branch steel plate (1) is relative with ilium with the junction of ramus of ischium steel plate (2), the upper end of rear pillar pulling force sheet (3) bends backward, the plate face of rear pillar pulling force sheet (3) is suitable with iliac fossa (14) surface, and there is screw in the plate face of rear pillar pulling force sheet (3).
- 3. acetabular bone squared region according to claim 1 and 2 blade plate, it is characterized in that: between described pubic branch steel plate (1) and ramus of ischium steel plate (2), have junction steel plate (4) to connect, junction steel plate (4) two ends lay respectively at pubic branch steel plate (1) and ramus of ischium steel plate (2) middle part, junction steel plate (4) has flexibility, and junction steel plate (4) flexibility is suitable with acetabular bone squared region (13) surface of bone of closed pore (11) side.
- 4. acetabular bone squared region according to claim 3 blade plate, it is characterised in that: second hole at lock hole (5) two ends of described pubic branch steel plate (1) is locking and pressurizing hole.
- 5. acetabular bone squared region according to claim 4 blade plate, it is characterised in that: the penultimate lock hole (5) of the close ischial spine (12) of described ramus of ischium steel plate (2) is locking and pressurizing hole.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620117604.9U CN205359611U (en) | 2016-02-05 | 2016-02-05 | Square district's coaptation board of acetabular bone |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620117604.9U CN205359611U (en) | 2016-02-05 | 2016-02-05 | Square district's coaptation board of acetabular bone |
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| CN205359611U true CN205359611U (en) | 2016-07-06 |
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| CN201620117604.9U Expired - Fee Related CN205359611U (en) | 2016-02-05 | 2016-02-05 | Square district's coaptation board of acetabular bone |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105496538A (en) * | 2016-02-05 | 2016-04-20 | 侯志勇 | Acetabulum square area bone fracture plate |
| CN108056807A (en) * | 2017-12-29 | 2018-05-22 | 南方医科大学第三附属医院 | A kind of twin columns propeller-type bone plate and bone-knitting device |
| CN108078621A (en) * | 2017-12-29 | 2018-05-29 | 南方医科大学第三附属医院 | A kind of twin columns wing bone plate and twin columns wing bone-knitting device |
| CN113995492A (en) * | 2021-10-28 | 2022-02-01 | 常州大章医疗器械有限公司 | Pelvic bone fracture plate |
-
2016
- 2016-02-05 CN CN201620117604.9U patent/CN205359611U/en not_active Expired - Fee Related
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105496538A (en) * | 2016-02-05 | 2016-04-20 | 侯志勇 | Acetabulum square area bone fracture plate |
| CN105496538B (en) * | 2016-02-05 | 2018-01-23 | 侯志勇 | A kind of acetabular bone squared region bone plate |
| CN108056807A (en) * | 2017-12-29 | 2018-05-22 | 南方医科大学第三附属医院 | A kind of twin columns propeller-type bone plate and bone-knitting device |
| CN108078621A (en) * | 2017-12-29 | 2018-05-29 | 南方医科大学第三附属医院 | A kind of twin columns wing bone plate and twin columns wing bone-knitting device |
| CN113995492A (en) * | 2021-10-28 | 2022-02-01 | 常州大章医疗器械有限公司 | Pelvic bone fracture plate |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20160706 Termination date: 20180205 |