CN206880725U - Attaching type distal radial palmar bone fracture plate - Google Patents

Attaching type distal radial palmar bone fracture plate Download PDF

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Publication number
CN206880725U
CN206880725U CN201720114062.4U CN201720114062U CN206880725U CN 206880725 U CN206880725 U CN 206880725U CN 201720114062 U CN201720114062 U CN 201720114062U CN 206880725 U CN206880725 U CN 206880725U
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China
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bone
distal radial
head
radial palmar
cadre
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CN201720114062.4U
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姜保国
张培训
寇玉辉
殷晓峰
付中国
张殿英
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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 distal radial palmar bone fracture plate, including head and with the integrally formed cadre in the head, bent between the two in the anatomical form of predetermined angular;The head includes the bottom stage being connected with the cadre and the nose section stretched out along the bottom stage to the cadre both sides, pass through arc section transition between two nose sections, the bottom stage and two nose sections are respectively provided with more than one lock hole, and the axis of each lock hole is different from the angle of the head plate body.The attaching type distal radial palmar bone fracture plate is able to ensure that manufactured bone plate for radius far-end fracture is bonded well with radius bone surface, and the bone plate provides the fixed selection of multiple angles, it can adapt to the different type of fracture of distal radius, bone plate is set to be fixed on fracture site well, so as to reach preferable clinical fixed effect, reduce the difficulty of clinical treatment, it is ensured that postoperative recovery.

Description

Attaching type distal radial palmar bone fracture plate
Technical field
Technical field of medical instrument is the utility model is related to, more particularly to a kind of attaching type distal radial palmar synthetism Plate.
Background technology
Fracture of distal radius is one of current clinically most long classification of fracture seen, accounts for 1/10 usually to fracture, common In the elderly.Fracture of distal radius occurs in the range of 2~3cm of distal radius, often with the damage of articulatio radiocarpea and distal radioulnar ioint It is bad.
The operative treatment of fracture of distal radius includes outer fixation and interior fixed two ways.Wherein, internal fixation treatment is to face The conventional therapeutic modality of bed.In internal fixation treatment mode, bone plate nail system is one of the most frequently used methods of internal fixation, wherein Distal radial palmar bone fracture plate is a kind of conventional bone plate.
Distal radial palmar bone fracture plate is provided with lock hole, during internal fixation treatment, to be incited somebody to action by screw Plate fixation is in fracture site, bone table that existing distal radial palmar bone fracture plate can not well with distal radial palmar bone Face is bonded, and nail design thereon can only be such that screw is implanted into fixed angle, and in practice, classification of fracture is not unique , screw can only be in that the implantation of fixed angle often acts fixed effect in well of arriving, so as to influence therapeutic effect.
Therefore, existing distal radial palmar bone fracture plate how is improved, the inhomogeneity of fracture of distal radius can be adapted to Type, reach fixed effect in preferably, be the current technical issues that need to address of those skilled in the art.
Utility model content
The purpose of this utility model is to provide a kind of attaching type distal radial palmar bone fracture plate, and the bone plate provides multiple The fixed selection of angle, can adapt to the different type of fracture of distal radius, bone plate is fixed on fracture site well, from And realize fixed effect in preferably.
In order to solve the above technical problems, the utility model provides a kind of attaching type distal radial palmar bone fracture plate, including head Portion and with the integrally formed cadre in the head, between the two in predetermined angular anatomical form bend;The head includes and institute The bottom stage that cadre connects and the nose section stretched out along the bottom stage to the cadre both sides are stated, is led between two nose sections Arc section transition is crossed, the bottom stage and two nose sections are respectively provided with more than one lock hole, the axle of each lock hole Line is different from the angle of the head plate body.
As above, distal radial palmar bone fracture plate provided by the utility model, including integrally formed head and cadre, both Between in predetermined angular anatomical form bend, in order to be fitted with distal radial palmar bone section, preferably to realize fixation;This In, anatomical form bending refers to according to bending angle obtained from the bone surface fitting design of human body distal radius three-dimensional data model, The bending angle also can accurately be determined according to the actual anatomical data of clinical individual patient.Wherein, two nose sections on head it Between by arc section transition, on the one hand can be attached well with bone section, on the other hand can avoid that bone section is caused to damage;Together When, the bottom stage on head and two nose sections are respectively provided with more than one lock hole, that is to say, that the locking pore size distribution on head is more equal Even, the fitting for being advantageous to head is fixed, and, the axis of each lock hole is different from the angle of head plate body, is so easy to lock spiral shell Nail is covered with the whole space of distal radius 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.
Optionally, the lock hole of more than three is respectively provided with the bottom stage and two nose sections.
Optionally, it is respectively provided with three lock holes on the bottom stage and two nose sections, three in the bottom stage Three lock holes arrangement triangular in shape on the lock hole and each nose section.
Optionally, the scope of the predetermined angular between the head and the cadre is 130o~160o
Optionally, the cadre has some locking compress combined holes.
Optionally, at least one in some locking compress combined holes is locking compress combination slotted hole.
Optionally, the locking compress combination slotted hole is set close to the head.
Brief description of the drawings
Fig. 1 provides attaching type distal radial palmar bone fracture plate a kind of structural representation of specific embodiment by the utility model Figure;
Fig. 2 is the left view of attaching type distal radial palmar bone fracture plate shown in Fig. 1.
Description of reference numerals:
Head 11, bottom stage 111, nose section 112, lock hole 113;
Cadre 12, locking compress combined hole 121, locking compress combination slotted hole 1211.
Embodiment
Core of the present utility model is to provide a kind of attaching type distal radial palmar bone fracture plate, and the bone plate provides multiple The fixed selection of angle, can adapt to the different type of fracture of distal radius, bone plate is fixed on fracture site well, from And realize fixed effect in preferably.
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. 1-2 is refer to, wherein, Fig. 1 provides attaching type distal radial palmar bone fracture plate a kind of tool by the utility model The structural representation of body embodiment;Fig. 2 is the left view of attaching type distal radial palmar bone fracture plate shown in Fig. 1.
In the embodiment, attaching type distal radial palmar bone fracture plate include head 11 and with 11 integrally formed cadre of head 12, bent between the two in predetermined angular a anatomical form;Head 11 includes the bottom stage 111 that is connected with cadre 12 and along bottom The nose sections 112 that section 111 is stretched out to the both sides of cadre 12, pass through arc section transition, bottom stage 111 and two between two nose sections 112 Nose section 112 is respectively provided with more than one lock hole 113, and the axis of each lock hole 113 is different from the angle of the plate body of head 11.
As above, the head 11 of the attaching type distal radial palmar bone fracture plate and the bending of cadre 12 are in predetermined angular a, and this is curved Roll over and bent for anatomical form, be easy to being bonded for bone plate and distal radial palmar bone section, preferably to realize fixation;Wherein, head It by arc section transition between 11 two nose sections 112, on the one hand can attach, on the other hand can avoid pair with bone section well Bone section causes to damage;Meanwhile the nose section 112 of bottom stage 111 and two on head 11 is respectively provided with more than one lock hole 113, That is the distribution uniform of lock hole 113 on head 11, the fitting for being advantageous to head 11 are fixed, and, the axle of each lock hole 113 Line is different from the angle of the plate body of head 11, is so easy to lock screw to be covered with the whole space of distal radius as much as possible, and The implant angle of each lock screw is different, can be realized well for classification of fracture such as more sclerites fracture or comminuted fracture It is fixed, reach preferably fixation for treatment effect, and lock screw is not easy.
In specific scheme, as illustrated, the nose section 112 of bottom stage 111 and two on head 11 is equipped with three lock holes 113, and three lock holes 113 arrangement triangular in shape of three lock holes 113 of bottom stage 111, each nose section 112;So Design, head 11 have more lock hole 113 and distribution uniform, and the fixed of bone plate in operation can be given to provide a variety of choosings Select.
It should be appreciated that during actual setting, the arrangement of the lock hole 113 on head 11 and number etc. can according to be actually needed come Setting, it is not limited to illustrate number and arrangement mode.
In order to widen the scope of application of bone plate, it is set also to can be suitably used for the complexity such as more sclerite fracture or comminuted fracture Classification of fracture, and preferable therapeutic effect is played, so the lock hole 113 on the nose section 112 of bottom stage 111 and two on head 11 Preferably it is respectively provided with more than three.
In specific scheme, the cadre 12 of distal radial palmar bone fracture plate is provided with several locking compress combined holes 121, with Axial pressure or locking are provided.
More specifically, it is locking compress combination slotted hole to have one in several locking compress combined holes 121 of cadre 12 1211, it is set preferably adjacent to head 11;So, the position of bone plate is adjusted in convenient operation, or to sclerite Pressurizeed.
In fact, as long as a locking compress combination slotted hole 1211 is set to play the work for adjusting synthetism Board position With, it will be understood that two or more may also set up according to the adjustment length of slotted hole, certainly, locking compress combination slotted hole 1211 be preferably one.
In illustrated scheme, cadre 12 is specifically provided with five locking compress combined holes 121, and one of them is combined for locking compress Slotted hole 1211.It should be appreciated that in actual setting, as needed, the number of the locking compress combined hole 121 of cadre 12 can spirit Setting living.
In specific scheme, the nail design of distal radial palmar bone fracture plate can be based on fracture around joint treatment original Then, while using bone fracture uni-axial screws technology combined with multi-axial screws stationary phase.In this way, it can make to carry out using the bone plate Internal fixation treatment effect reach optimal.
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 distal radius 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, predetermined angular a that the head 11 of distal radial palmar bone fracture plate is bent with cadre 12 can be 130o~160oIn the range of choose.
More specifically, the head 11 of distal radial palmar bone fracture plate and the anatomical form that is bent to of cadre 12 are bent.Here, solve Type bending is cutd open to refer to according to bending angle, the bending obtained from the bone surface fitting design of human body distal radius three-dimensional data model Angle also can accurately be determined according to the actual anatomical data of clinical individual patient.
Wherein, the concrete shape and relative position of head 11 and cadre 12 are also anatomical form structure, wherein, anatomical form knot Structure is similar with aforementioned anatomic bending, can specifically be determined by following manner, so that distal radial palmar bone fracture plate is remote with radius End palmar bone bone surface has good compactness, i.e., with preferable matching effect, so as to reach preferably clinical fixed effect Fruit, reduce the difficulty of clinical treatment.
First, the three-dimensional data model of distal radial palmar bone is established.
The three-dimensional data model of distal radial palmar bone can specifically be obtained by following manner:
Establish distal radial palmar bone anatomical database;Specifically, the foundation of distal radial palmar bone anatomical database can It is accomplished in the following manner:
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, as distal radial palmar bone solution Cut open 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.
Determined according to distal radial palmar bone anatomical database between the major anatomical mark of distal radial palmar bone away from From and angle, and establish with this three-dimensional data model of distal radial palmar bone.
The anatomic landmark of distal radial palmar bone mainly includes processus styloideus radii, lunate sinus of radius, radius leaning angle, according to oar After bone distal volar bone anatomical database determines the major anatomical mark of distal radial palmar bone, you can it is remote to establish the radius with this Hold the three-dimensional data model of palmar bone.
Here major anatomical mark, which refers to designer, to choose distal radial palmar according to corresponding design requirement and principle Most representational anatomic landmark in bone anatomic landmark.
In distal radial palmar bone anatomical database, necessarily there are many group anatomical datas, it is determined that the solution of a certain size When cuing open 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 distal radial palmar bone establish a series of three-dimensional data models, pin is ultimately formed To a series of adhesive film type anatomical form distal radial palmar bone fracture plates of the distal radial palmar bone, that is, form adhesive film type anatomical form oar The series products design of bone distal volar bone plate, it is easy to follow-up clinical to choose the synthetism template to match with patient bone in treating Number.
It is pointed out that be typically the size design series of products according to distal radial palmar bone, it is of course also possible to according to It is similar to the above according to the series of products of other specification design adhesive film type anatomical form distal radial palmar bone fracture plate, design principle.
Secondly, the bone surface according to distal radial palmar bone three-dimensional data model carries out the outer of distal radial palmar bone fracture plate Shape designs, and forms the distal radial palmar bone fracture plate data model being bonded with distal radial palmar bone bone surface, and design nail Structure.
Here nail structure has been described in detail above, is repeated no more here.
Finally, you can distal radial palmar bone fracture plate is made according to distal radial palmar bone fracture plate data model.
During actual setting, after the concrete structure of distal radial palmar bone fracture plate is obtained by the above method, it can also pass through Fitting experiment is modified, that is to say, that after distal radial palmar bone fracture plate is made, also its anatomy stickiness is tested Card, to enable distal radial palmar bone fracture plate to be preferably bonded with distal radial palmar bone bone surface.
Specifically, manufactured distal radial palmar bone fracture plate is carried out being bonded experiment with distal radial palmar bone bone specimen, The profile of distal radial palmar bone fracture plate is corrected with this.
During concrete operations, distal radial palmar bone fracture plate is affixed on the bone surface of distal radial palmar bone bone specimen, measure Maximum distance between the two, 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 most It is remote to exceed restriction scope, then the profile of the bone plate is modified, is limiting its maximum distance between bone specimen Determine in scope.
It is pointed out that the restriction scope can determine according to the actual requirements.
Attaching type distal radial palmar bone fracture plate 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 (7)

1. attaching type distal radial palmar bone fracture plate, it is characterised in that including head (11) and with the head (11) one into The cadre (12) of type, bent between the two in the anatomical form of predetermined angular;The head (11) is included with the cadre (12) even The bottom stage (111) connect and the nose section (112) stretched out along the bottom stage (111) to the cadre (12) both sides, described in two By arc section transition between nose section (112), the bottom stage (111) and two nose sections (112) be respectively provided with one with On lock hole (113), the axis of each lock hole (113) is different from the angle of the head (11) plate body.
2. attaching type distal radial palmar bone fracture plate according to claim 1, it is characterised in that the bottom stage (111) With the lock hole (113) that more than three are respectively provided with two nose sections (112).
3. attaching type distal radial palmar bone fracture plate according to claim 2, it is characterised in that the bottom stage (111) Be respectively provided with three lock holes (113) on two nose sections (112), three lock holes on the bottom stage (111) (113) three lock hole (113) arrangements triangular in shape and on each nose section (112).
4. attaching type distal radial palmar bone fracture plate according to claim 1, it is characterised in that the head (11) and institute The scope for stating the predetermined angular between cadre (12) is 130 °~160 °.
5. according to the attaching type distal radial palmar bone fracture plate described in claim any one of 1-4, it is characterised in that the cadre (12) there are some locking compress combined holes (121).
6. attaching type distal radial palmar bone fracture plate according to claim 5, it is characterised in that some locking compress At least one in combined hole (121) is locking compress combination slotted hole (1211).
7. attaching type distal radial palmar bone fracture plate according to claim 6, it is characterised in that the locking compress combines Slotted hole (1211) is set close to the head (11).
CN201720114062.4U 2017-02-07 2017-02-07 Attaching type distal radial palmar bone fracture plate Active CN206880725U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201720114062.4U CN206880725U (en) 2017-02-07 2017-02-07 Attaching type distal radial palmar bone fracture plate

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201720114062.4U CN206880725U (en) 2017-02-07 2017-02-07 Attaching type distal radial palmar bone fracture plate

Publications (1)

Publication Number Publication Date
CN206880725U true CN206880725U (en) 2018-01-16

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CN201720114062.4U Active CN206880725U (en) 2017-02-07 2017-02-07 Attaching type distal radial palmar bone fracture plate

Country Status (1)

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CN (1) CN206880725U (en)

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