CN206836955U - Attaching type inner side bone fracture plate for tibia far end - Google Patents

Attaching type inner side bone fracture plate for tibia far end Download PDF

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CN206836955U
CN206836955U CN201720114104.4U CN201720114104U CN206836955U CN 206836955 U CN206836955 U CN 206836955U CN 201720114104 U CN201720114104 U CN 201720114104U CN 206836955 U CN206836955 U CN 206836955U
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far end
head
fracture plate
bone fracture
tibia
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姜保国
寇玉辉
殷晓峰
张培训
张殿英
付中国
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Shanghai Sanyou Medical Equipment Ltd By Share Ltd
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Shanghai Sanyou Medical Equipment Ltd By Share Ltd
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Abstract

The utility model discloses a kind of attaching type inner side bone fracture plate for tibia far end, including the head being wholely set and cadre, and both bend in the anatomical form of predetermined angular;The head includes crown section and head body section, wherein, the crown section is triangular in shape, and its each corner is arcuate structure, and the overall width of the head body section is more than the Breadth Maximum of the crown section, and more than the width of the cadre;The junction arc transition of the crown section and the head body section.The attaching type inner side bone fracture plate for tibia far end has good compactness with medial distal tibia bone surface, can realize fixed effect in preferably, so as to reach preferable clinical fixed effect, reduces operation technique difficulty, effectively improves therapeutic effect.

Description

Attaching type inner side bone fracture plate for tibia far end
Technical field
Technical field of medical instrument is the utility model is related to, more particularly to a kind of attaching type medial distal tibia synthetism Plate.
Background technology
Distal tibial fracture is clinically very common, is a kind of fracture for the damage for involving distal tibial articular surface, hand It is also the key of fracture surgery to the reconstruction quality of articular surface in art, so bringing many difficulties to clinic.
Internal fixation treatment is a kind of mode of medial distal tibia fractures, in internal fixation treatment mode, bone plate Nail system is one of the most frequently used methods of internal fixation.
The principle of internal fixation treatment mode is the otch at fracture site, places bone plate, makes bone plate across fracture position Put, plate fixation obtains the bone at fracture site and effectively fixed in the far and near both ends of fracture using screw.Therefore, connect The profile of hone lamella is similar to bone surface shape, and offers the screw hole for wearing screw.
Existing inner side bone fracture plate for tibia far end can not be well with medial distal tibia bone surface fit, and shin bone is remote If the compactness of end inner side bone plate and medial distal tibia bone surface is poor, operation technique difficulty can be increased, cause to fracture Place's fixed effect is bad, influences the therapeutic effect of medial distal tibia fracture.
Therefore, how to improve existing inner side bone fracture plate for tibia far end so that its have with medial distal tibia bone surface it is good Good compactness, operation technique difficulty is reduced, improve the therapeutic effect of medial distal tibia fracture, be those skilled in the art's mesh The preceding technical issues that need to address.
Utility model content
The purpose of this utility model is to provide a kind of attaching type inner side bone fracture plate for tibia far end, in the attaching type distal tibial Side joint hone lamella has good compactness with medial distal tibia bone surface, can reach preferable clinical fixed effect, reduce Operation technique difficulty, effectively improves therapeutic effect.
In order to solve the above technical problems, the utility model provides a kind of attaching type inner side bone fracture plate for tibia far end, including one The head and cadre that body is set, both bend in the anatomical form of predetermined angular;The head includes crown section and head body section, its In, the crown section is triangular in shape, and its each corner is arcuate structure, and the overall width of the head body section is more than the crown section Breadth Maximum, and more than the cadre width;The junction arc transition of the crown section and the head body section.
As above, attaching type inner side bone fracture plate for tibia far end provided by the utility model, including integrally formed head and dry Portion, both bend in the anatomical form of predetermined angular, are so designed to ensure manufactured inner side bone fracture plate for tibia far end and shin bone Distal medial bone surface is bonded well;Here, anatomical form bending refers to according to human tibia distal medial three-dimensional data model Bending angle obtained from bone surface fitting design, the bending angle can also be carried out according to the actual anatomical data of clinical individual patient It is accurate to determine.Wherein, head specifically includes crown section and head body section, wherein, crown Duan Weige corners are the triangle knot of arc Structure, the overall width of head body section are more than the Breadth Maximum of crown section, so, design be easy to need enemy according to different in operation Top section is bent, so that bone plate can be more bonded with corresponding bone section;Crown Duan Yutou body sections are connected by arc transition, On the one hand it can preferably be attached with corresponding bone section, on the other hand can also avoid that corresponding bone section is caused to damage;To sum up, the shin bone The structure design of distal medial bone plate makes it have good compactness with medial distal tibia bone surface, can reach preferable Clinical fixed effect, reduce operation technique difficulty, so as to effectively improve therapeutic effect.
Optionally, from the junction of the head body section and the crown section to the connection of the head body section and the cadre Place, the width of the head body section are gradually reduced.
Optionally, the head body section is provided with locking compress combination slotted hole with the junction of the cadre.
Optionally, the cadre has multiple locking compress combined holes.
Optionally, length direction of multiple locking compress combined holes along the cadre is uniformly arranged.
Optionally, the head has multiple lock holes, the mutually non-parallel setting of axis of each lock hole.
Optionally, one in multiple lock holes is located at the crown section, and remaining described lock hole is located at described Head body section, and line up the setting of two row.
Optionally, the head is additionally provided with more than one kirschner pin hole.
Brief description of the drawings
Fig. 1 is a kind of structural representation of specific embodiment of attaching type inner side bone fracture plate for tibia far end provided by the utility model Figure.
Description of reference numerals:
Head 11, crown section 111, head body section 112, cadre 12;
Lock hole 13, locking compress combined hole 14, locking compress combination slotted hole 15, kirschner pin hole 16.
Embodiment
Core of the present utility model is to provide a kind of attaching type inner side bone fracture plate for tibia far end, the medial distal tibia synthetism Plate has good compactness with medial distal tibia bone surface, can reach preferable clinical fixed effect, reduces operation behaviour Make difficulty, effectively improve therapeutic effect.
In order that those skilled in the art more fully understand the utility model, below in conjunction with the accompanying drawings and it is embodied The utility model is described in further detail for mode.
Fig. 1 is refer to, Fig. 1 is a kind of specific embodiment of attaching type inner side bone fracture plate for tibia far end provided by the utility model Structural representation.
In the embodiment, attaching type inner side bone fracture plate for tibia far end includes head 11 and the cadre 12 being wholely set, both Bent in the anatomical form of predetermined angular;The head 11 includes crown section 111 and head body section 112, wherein, the crown section 111 Triangular in shape, its each corner is arcuate structure, and the overall width of the head body section 112 is more than the maximum of the crown section 111 Width, and more than the width of the cadre 12;The junction arc transition of the crown section 111 and the head body section 112.
As above, the attaching type inner side bone fracture plate for tibia far end includes integrally formed head 11 and cadre 12, and both are in pre- Determine the anatomical form bending of angle, be so designed to ensure manufactured inner side bone fracture plate for tibia far end and medial distal tibia bone table Face is bonded well;Head 11 specifically includes crown section 111 and head body section 112, wherein, crown section 111 is that each corner is arc Triangular structure, the overall width of head body section 112 is more than the Breadth Maximum of crown section 111, and such design is easy in operation Need to bend crown section 111 according to different, so that bone plate can be more bonded with corresponding bone section;Crown section 111 with Head body section 112 is connected by arc transition, on the one hand can preferably be attached with corresponding bone section, on the other hand can also be avoided to phase Bone section is answered to cause to damage;To sum up, the structure design of the inner side bone fracture plate for tibia far end makes it have with medial distal tibia bone surface There is good compactness, preferable clinical fixed effect can be reached, reduce operation technique difficulty, so as to effectively improve treatment Effect.
In specific scheme, inner side bone fracture plate for tibia far end is from the junction of its body section 112 and crown section 111 to its head Body section 112 and the junction of cadre 12, the width of head body section 112 are gradually reduced, as shown in Figure 1, that is to say, that the head on head 11 Body section 112 is substantially in del.It is so designed that, to ensure that the head 11 of inner side bone fracture plate for tibia far end has certain cladding Area.
In specific scheme, the head body section 112 on head 11 is provided with locking compress combination slotted hole with the junction of cadre 12 15, to adjust the particular location of inner side bone fracture plate for tibia far end in operation, or sclerite is pressurizeed.
In specific scheme, the cadre 12 of inner side bone fracture plate for tibia far end is provided with multiple locking compress combined holes 14, to carry For axial pressure or locking.
For ease of the harmony of inner side bone fracture plate for tibia far end stress when corresponding bone section is fixed, multiple locking compress combine Length direction of the hole 14 along cadre 12 is uniform.
In specific scheme, head 11 is provided with multiple lock holes 13, and the mutually non-parallel setting of the axis of each lock hole 13, So, it is easy to lock screw to fix on a large scale as much as possible, and the implant angle of each lock screw is different, for more sclerite bones The classification of fracture such as folding or comminuted fracture can be realized to be fixed well, reaches preferably fixation for treatment effect, and lock screw It is not easy
Specifically, one in multiple lock holes 13 on head 11 is located at crown section 111, and remaining is located at head body section 112, And line up the setting of two row.The reliability and stability for being able to ensure that head 11 is fixed so are set.
The head body section 112 that head 11 is exemplarily given in Fig. 1 is provided with the structure of eight lock holes 13, is arranged to two Row, four lock holes 13 of each column.It is appreciated that during actual setting, the number of lock hole 13 and arrangement mode of head body section 112 can roots Set according to needing, be not limited to example in figure.
In addition, also more than one kirschner pin hole 16 can be set on the head 11 of inner side bone fracture plate for tibia far end, so, In operation during original state, the interim fixation of inner side bone fracture plate for tibia far end can be realized using these kirschner pin holes 16, so as to In the quick fixation of inner side bone fracture plate for tibia far end, the final fixation for operation technique and inner side bone fracture plate for tibia far end provides It is convenient.
In practice, the nail design of inner side bone fracture plate for tibia far end can be based on fracture around joint principle of reatment, simultaneously Combined using bone fracture uni-axial screws technology with multi-axial screws stationary phase.
Wherein, uni-axial screws technology is fixed using locking-type, ensure enter andante nail fixation procedure in screw it is steady It is fixed, so as to reach in interior fixation procedure, the strong support of the uni-axial screws of epiphysis to articular surface, reach the heavily fortified point of fracture around joint Strong fixed interior fixed effect;Multi-axial screws technique for fixing uses multidirectional and/or non-locking screw technology, so as to reach interior fixation During, the screw that different angle can be formed by a screw hole is fixed, so as to more easily carry out different fracture fragments Fixation, reach the fixed demand for meeting medial distal tibia difference classification of fracture.
Specifically, the locking-type fixation of uni-axial screws technology can be by being threaded in corresponding screw hole, screw , being capable of locked and fixed after such screw screws in screw hole with the screw thread for being also provided with matching at screw hole cooperation.
In specific scheme, the concrete shape of inner side bone fracture plate for tibia far end, including crown section 111, the tool of head body section 112 The structures such as the bending angle of shape, head 11 and cadre 12 are anatomical form structure, can specifically be determined by following manner, with Enable inner side bone fracture plate for tibia far end that there is more preferable compactness with inner side bone fracture plate for tibia far end bone surface, that is, have preferable Matching effect, so as to reach preferable clinical fixed effect, reduce the difficulty of clinical treatment.
Here, anatomical form structure refers to according to the bone surface fitting design of human tibia distal medial three-dimensional data model and obtained The structural parameters (including shape, bending angle etc.) arrived, in addition, also essence can be carried out according to the actual anatomical data of clinical individual patient Determine.
First, the three-dimensional data model of medial distal tibia is established.
The three-dimensional data model of medial distal tibia can specifically be obtained by following manner:
Establish medial distal tibia anatomical database;Specifically, the foundation of medial distal tibia anatomical database can pass through Following manner is realized:
The anatomical data collection and measurement of human body reality bone, and/or, the anatomical data collection and measurement of iconography bone.
Wherein, the anatomical data of human body reality bone gathers and measurement can use the corpse bone mark of dissection teaching and research room of medical colleges and schools This, by carrying out anatomic measurement to corpse bone specimen, establishes corpse bone anatomic measurement database, is dissected as medial distal tibia A part for database.
Wherein, the anatomical data of iconography bone gathers and measurement can use the existing bone CT examination number of medical institutions' image department According to, carry out three-dimensional data reconstruction, after reconstruction pass through three-dimensional data software carry out iconography anatomical data measurement.
It is pointed out that in order to follow-up three-dimensional data model establish accuracy and be more beneficial for compatriots treatment, generally Collection is compatriots' bone anatomical data, and needs the sample of certain capacity, and specific sample size can come true according to the actual requirements It is fixed.
Wherein, have the articular surface to connect with astragalus below distal tibial, inner side has stretch under apophysis, be called internal malleolus, outside Side has the triangle to connect with fibula recessed hidden, is called fibular notch, and the anatomic landmark of medial distal tibia mainly includes under shin bone Hold sagittal diameter, shin bone lower end wide etc., the major anatomical mark of medial distal tibia is determined according to medial distal tibia anatomical database After will, you can the three-dimensional data model of the medial distal tibia is established with this.
Here major anatomical mark, which refers to designer, to choose medial distal tibia according to corresponding design requirement and principle Most representational anatomic landmark in anatomic landmark.
In medial distal tibia anatomical database, necessarily there are many group anatomical datas, it is determined that the dissection of a certain size During mark, the average of multigroup anatomical data is can use, considers discrete distribution situation etc..
In this way, the different sizes that can be directed to medial distal tibia establish a series of three-dimensional data models, ultimately form and be directed to A series of inner side bone fracture plate for tibia far end of the medial distal tibia, that is, the series of products for forming inner side bone fracture plate for tibia far end are set Meter, it is easy to follow-up clinical to choose the bone plate model to match with patient bone in treating.
It is pointed out that it is typically the size design series of products according to medial distal tibia, it is of course also possible to foundation Other specification designs the series of products of inner side bone fracture plate for tibia far end, and design principle is similar to the above.
Secondly, the bone surface according to medial distal tibia three-dimensional data model carries out the profile of inner side bone fracture plate for tibia far end Design, the inner side bone fracture plate for tibia far end data model being bonded with medial distal tibia bone surface is formed, and design nail structure.
Here nail structure has been described in detail above, is repeated no more here.
Finally, you can inner side bone fracture plate for tibia far end is made according to inner side bone fracture plate for tibia far end data model.
During actual setting, after the concrete structure of inner side bone fracture plate for tibia far end is obtained by the above method, it can also pass through Fitting experiment is modified, that is to say, that after inner side bone fracture plate for tibia far end is made, also its anatomy stickiness is tested Card, to enable inner side bone fracture plate for tibia far end to be preferably bonded with medial distal tibia bone surface.
Specifically, manufactured inner side bone fracture plate for tibia far end is carried out with medial distal tibia bone specimen being bonded experiment, with This corrects the profile of inner side bone fracture plate for tibia far end.
During concrete operations, inner side bone fracture plate for tibia far end is set to be affixed on the bone surface of medial distal tibia bone specimen, measurement two Maximum distance between person, if the maximum distance is in the range of restriction, then it is assumed that the stickiness of the bone plate is qualified, if this is farthest Distance is then modified to the profile of the bone plate beyond scope is limited, is limiting its maximum distance between bone specimen In the range of.
It is pointed out that the restriction scope can determine according to the actual requirements.
Attaching type inner side bone fracture plate for tibia far end provided by the utility model is described in detail above.Herein Apply specific case to be set forth principle of the present utility model and embodiment, the explanation of above example is only intended to Help understands method and its core concept of the present utility model.It should be pointed out that come for those skilled in the art Say, on the premise of the utility model principle is not departed from, some improvement and modification can also be carried out to the utility model, these change Enter and modify to also fall into the protection domain of the utility model claims.

Claims (8)

1. attaching type inner side bone fracture plate for tibia far end, it is characterised in that including the head (11) being wholely set and cadre (12), two Person bends in the anatomical form of predetermined angular;The head (11) includes crown section (111) and head body section (112), wherein, the head Top section (111) is triangular in shape, and its each corner is arcuate structure, and the overall width of the head body section (112) is more than the crown The Breadth Maximum of section (111), and more than the width of the cadre (12);The crown section (111) and the head body section (112) Junction arc transition.
2. attaching type inner side bone fracture plate for tibia far end according to claim 1, it is characterised in that from the head body section (112) with the junction of the crown section (111) to the head body section (112) and the junction of the cadre (12), the head The width of body section (112) is gradually reduced.
3. attaching type inner side bone fracture plate for tibia far end according to claim 1, it is characterised in that the head body section (112) Locking compress combination slotted hole (15) is provided with the junction of the cadre (12).
4. attaching type inner side bone fracture plate for tibia far end according to claim 1, it is characterised in that the cadre (12) has Multiple locking compress combined holes (14).
5. attaching type inner side bone fracture plate for tibia far end according to claim 4, it is characterised in that multiple locking compress Length direction of the combined hole (14) along the cadre (12) is uniformly arranged.
6. according to the attaching type inner side bone fracture plate for tibia far end described in claim any one of 1-5, it is characterised in that the head (11) there is multiple lock holes (13), the mutually non-parallel setting of axis of each lock hole (13).
7. attaching type inner side bone fracture plate for tibia far end according to claim 6, it is characterised in that multiple lock holes (13) one in is located at the crown section (111), and remaining described lock hole (13) is located at the head body section (112), and arranges Set into two row.
8. according to the attaching type inner side bone fracture plate for tibia far end described in claim any one of 1-5, it is characterised in that the head (11) it is additionally provided with more than one kirschner pin hole (16).
CN201720114104.4U 2017-02-07 2017-02-07 Attaching type inner side bone fracture plate for tibia far end Active CN206836955U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021015690A1 (en) * 2019-07-24 2021-01-28 Efa Veterinerlik Hizmetleri Tic. Ltd. Sti. Fully anatomical poly-axial locking distal tibia plate designed for quadrupeds

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021015690A1 (en) * 2019-07-24 2021-01-28 Efa Veterinerlik Hizmetleri Tic. Ltd. Sti. Fully anatomical poly-axial locking distal tibia plate designed for quadrupeds

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