CN208404809U - Fixation steel plate for acetabular bone Sifang District fracture - Google Patents
Fixation steel plate for acetabular bone Sifang District fracture Download PDFInfo
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- CN208404809U CN208404809U CN201720941792.1U CN201720941792U CN208404809U CN 208404809 U CN208404809 U CN 208404809U CN 201720941792 U CN201720941792 U CN 201720941792U CN 208404809 U CN208404809 U CN 208404809U
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Abstract
The fixation steel plate that the utility model relates to fracture for acetabular bone Sifang District, it includes arciform balsh plate, rear pillar ilium seat steel plate and Sifang District steel plate, and the fixation steel plate mechanical matching is good, easy plasticity, and postoperative complications are few.
Description
Technical field
The utility model relates to orthopaedics medical instruments fields, specifically say it is a kind of fixation of acetabular bone Sifang District fracture
Device.
Background technique
With the fast development of transportation, the quantity of pelvis fracture of acetabulum patient increases year by year, because of pelvis acetabular bone week
The structures such as important nervus vasculairs to be enclosed to gather, exposure is very difficult, furthermore Periacetabular sets safely nail region and waits various factors less,
The anatomical reduction of fracture of acetabulum is made to become abnormal difficult.
" two windows " screw is that treatment acetabular bone Sifang District is fractured more common inside-fixture at present, however its set nail difficulty compared with
Greatly, it is easy to be strayed into joint in use and damages important neural blood vessel, it is therefore desirable to veteran doctor's operation;This
Outside, the fixation of simple screw is not firm, usually will appear loosening or shifting phenomena, not only the reduction of the fracture is bad, is also easy to
There are the postoperative generation complication such as Hip osteoarthritis, caput femoris necrosis.
In addition, the prior art also discloses many fixation steel for treating Sifang District fracture or involving Sifang District fracture
Plate, such as a kind of acetabular bone squared region bone plate disclosed in patent CN105496538A, the plate are pubic branch steel plate and ischial ramus steel
Board group at one be projected as L-shaped bone plate, can be used for fixing acetabular bone square area fracture, but there are steel plates to put for the bone plate
The mechanics mismatch of seated position and front and back spinous process of the seventh cervical vertebra folding direction of displacement, steel plate limited to the barrier force of acetabular bone Sifang District are placed in arciform
The problems such as bending plasticity is difficult when edge upper surface, and operation wound is larger, postoperative potential complication is more.
Based on the above situation, it needs to design a kind of fracture of acetabulum inside-fixture for being able to solve the above problem.
Utility model content
The purpose of this utility model is to provide a kind of novel fixation steel plates for acetabular bone Sifang District fracture, this is fixed
Steel plate mechanical matching is good, easy plasticity, and postoperative complications are few.
For this purpose, the fixation steel plate for acetabular bone Sifang District fracture of the utility model design, it includes arciform edge
Steel plate, rear pillar ilium sit steel plate and Sifang District steel plate;
The arciform balsh plate is arc strip steel plate, and bending cooperates the anatomical structure on the inside of arciform edge;The arciform edge
Steel plate is equipped with arciform edge ilium fixation hole close to one end of articulatio sacroiliaca, and the other end of arciform balsh plate is solid equipped with arciform edge pubis
Determine hole, the arciform edge pubis fixed hole position is in superior ramus of pubis;The arciform edge ilium fixation hole and arciform edge pubis fixation hole
Between be successively arranged arciform the first screw hole of edge, the 4th screw hole of the second screw hole of arciform edge, arciform edge third screw hole and arciform edge;
The rear pillar ilium sits the anatomical structure of steel plate bending cooperation pillar inner, the rear pillar ilium sit the connecting pin of steel plate with
It is connected on the inside of arciform the first screw hole of edge, the rear pillar ilium sits the tail end of steel plate close to ischial spine;
The Sifang District steel plate docile is on the bone face of Sifang District, on the inside of the connecting pin of the Sifang District steel plate and arciform edge
Or the tail end of rear pillar ilium seat steel plate is connected.
Further, the rear pillar ilium sits steel plate and sets that there are three screw holes, including sets rear-end rear pillar locking screw hole and two
A universal lock screw hole, the rear pillar locking screw hole and two universal lock screw holes are respectively positioned on the Sifang District safety zone Zhi Ding, described
The tail end that rear pillar ilium sits steel plate is curved to the inside across ischial spine;
It is connected on the inside of the connecting pin of the Sifang District steel plate and arciform edge third screw hole, the Sifang District steel plate is equipped with
One Sifang District locks screw hole, and the Sifang District locking screw hole is located at the Sifang District danger area Zhi Ding.
Further, the rear pillar ilium sits steel plate and sets that there are three screw holes, including sets rear-end rear pillar locking screw hole and two
A universal lock screw hole, the rear pillar locking screw hole and two universal lock screw holes are respectively positioned on the Sifang District safety zone Zhi Ding, described
The tail end that rear pillar ilium sits steel plate is curved to the inside across ischial spine;
It is connected on the inside of the connecting pin of the Sifang District steel plate and arciform the 4th screw hole of edge, the Sifang District steel plate is equipped with
Three screw holes, including rear-end Sifang District locking screw hole and two universal lock screw holes are set, the Sifang District locks screw hole position
The comparatively safe area of nail is set in Sifang District, two universal lock screw holes are respectively positioned on the Sifang District danger area Zhi Ding.
Further, the fixation steel plate further includes antetheca steel plate, and the antetheca steel plate is bent and arciform balsh plate backward
Angle and docile are formed on the bone face of acetabular anterior wall, the outside phase of the connecting pin of the antetheca steel plate and arciform the second screw hole of edge
Connection, the other end are between anterior inferior iliac spine and iliopubic eminence.The antetheca steel plate is set there are two universal lock screw hole, described in two
Universal lock screw hole is respectively positioned on above acetabular bone edge in projection area.
Further, the fixation steel plate further includes pubis steel plate, and the pubis steel plate is bent and arciform balsh plate backward
Angle and docile are formed on the bone face of superior ramus of pubis, the outside phase of the connecting pin of the pubis steel plate and arciform the 4th screw hole of edge
Connection.The pubis steel plate is equipped with a universal lock screw hole, and the universal lock screw hole is located at the root of superior ramus of pubis.
Further, first screw hole of arciform edge, the second screw hole of arciform edge, arciform edge third screw hole, arciform edge the 4th
Screw hole, rear pillar locking screw hole and Sifang District locking screw hole are ellipse screw, wherein first screw hole of arciform edge and arciform
The 4th screw hole of edge is major diameter: minor axis=2:1 oblong screw hole, arciform second screw hole of edge, arciform edge third screw hole,
It is major diameter that rear pillar, which locks screw hole and Sifang District locking screw hole: the short ellipse screw of minor axis=1.5:1.
Further, arciform the 5th spiral shell of edge is additionally provided between the 4th screw hole of arciform edge and arciform edge pubis fixation hole
Hole;
The connecting pin that the rear pillar ilium sits steel plate is equipped with the first screw hole of rear pillar, middle part is equipped with the second screw hole of rear pillar, tail end is set
There is rear pillar third screw hole, first screw hole of rear pillar, the second screw hole of rear pillar and rear pillar third screw hole are respectively positioned on Sifang District and set nail peace
The whole district;
The connecting pin of the Sifang District steel plate is connected with the tail end that rear pillar ilium sits steel plate, and the Sifang District steel plate is laterally set
It sets and is equipped with the second screw hole of the first screw hole of Sifang District and Sifang District, first screw hole of Sifang District and Sifang District the second screw hole position
The comparatively safe area of nail is set in Sifang District.
Further, first screw hole of arciform edge, the second screw hole of arciform edge, arciform edge third screw hole, arciform edge the 4th
Screw hole, the 5th screw hole of arciform edge, the first screw hole of rear pillar, the second screw hole of rear pillar, rear pillar third screw hole, the first screw hole of Sifang District and four
Square the second screw hole of area is circular universal lock screw hole.
Further, the fixation steel plate further includes first baffle, second baffle, third baffle, fourth gear plate, Yi Jilian
Connect the transverse slat of third baffle and fourth gear plate;
In middle part interconnection, the upper end of the first baffle is located at arciform edge second for the first baffle and second baffle
Medial surface between screw hole and arciform edge third screw hole, the lower end of the first baffle are located at the inside of the first screw hole of Sifang District
Face, the upper end of the second baffle are located at the medial surface of arciform the 4th screw hole of edge, and the lower end of the second baffle is located at rear pillar
Medial surface between two screw holes and rear pillar third screw hole;
The third baffle is parallel with fourth gear plate, the middle part of the third baffle and fourth gear plate respectively with transverse slat two
End connection, the upper end of the third baffle are located at the medial surface of arciform the 4th screw hole of edge and adjacent with the upper end of second baffle,
The lower end of the third baffle is located at the medial surface between the second screw hole of the first screw hole of Sifang District and Sifang District, the fourth gear plate
Upper end be located at the medial surface between arciform the 4th screw hole of edge and the 5th screw hole of arciform edge, the lower end of the fourth gear plate is located at four
The medial surface of square the second screw hole of area.
The utility model has the beneficial effects that
When comminuted fracture occurs for acetabular bone, the extruding that rear pillar and Sifang District dislocates by late-segmental collapse, inwardly shiftings mostly
Position, from the perspective of mechanics stabilization, the barrier force of internal fixation steel plate is preferably from inside to outside.And steel plate used in the prior art is more
It fixes from top to down, positioned at arciform edge, the upper surface of ilium shame tuberosity and superior ramus of pubis, not only steel plate is difficult to moulding, is not easy docile
Bone face, and Laws of Mechanics is not met, rear pillar and Sifang District cannot be made to obtain good mechanical support.It is provided by the utility model
Arciform balsh plate, rear pillar ilium sit steel plate and Sifang District steel plate is placed in arciform edge and Sifang District inner surface, inside with fracture of acetabulum
What is shifted is contrary, can stop the interior shifting of acetabular posterior column and Sifang District from inside to outside just, be more from mechanics principle
Matched fixation, and Sifang District bone face is more smooth, steel plate is easy to moulding, docile bone face.Additionally by single preceding road, using rear pillar
Ilium sits Interal fixation rear pillar, can replace " two windows " screw substantially, avoids unnecessary risk, and fixation is more firm, and for
The low level rear pillar fracture for involving ischial spine, also can reach the fixation across fracture line, belongs to the absolute indication of this block steel plate.
It is different from the more smooth Sifang District in bone face and arciform edge medial surface, the dissection knot above acetabular anterior wall and arciform edge
Structure out-of-flatness, and be in multi-direction more planar distortions, therefore steel plate bending moulding is difficult, is difficult to be attached to bone face;Simultaneously as ilium
The outer arteriovenous of ilium and femoral nerve are close in shame tuberosity and superior ramus of pubis upper surface, need to dissect ligamentum inguinale, remove tough and tensile ilium
The structures such as shame bow, pectineal ligament, lacunar ligament, the nervus vasculairs that could dissociate appear arciform edge top and acetabular anterior wall bone face
To place steel plate, increase surgical procedure difficulty, and operation wound is larger.But in the fracture of acetabulum for merging antetheca fracture, no
It obtains and does not place one block of steel plate here, and antetheca steel plate and pubis steel plate provided in the utility model are strip steel plate,
Independent plasticity can be carried out for the shape for involving antetheca or fracture of pubis.
In addition, working as arciform the first screw hole of edge, the second screw hole of arciform edge, arciform edge third screw hole and bow provided by the present invention
When the 4th screw hole of shape edge is ellipse combination screw hole, user can be according to individual anatomical variation and a variety of different fracture classes
Type selects other steel plates to be combined with arciform balsh plate, and carries out sliding fine tuning by the oblong screw hole of steel plate, uses
When it is more convenient.
Detailed description of the invention
Fig. 1 is the dissection schematic diagram of pelvis acetabular bone;
Fig. 2 provides the structure and position view of steel plate by embodiment 1;
Fig. 3 provides the structure and position view of steel plate by embodiment 2;
Fig. 4 provides the structure and position view of steel plate by embodiment 3;
Fig. 5 provides the structure and position view of steel plate by embodiment 4;
Fig. 6 provides the structure and position view of steel plate by embodiment 5;
In figure: 1, arciform balsh plate;2, rear pillar ilium sits steel plate;3, Sifang District steel plate;4, antetheca steel plate;5, pubis steel plate;
6, first baffle;7, second baffle;8, third baffle;9, fourth gear plate;10, transverse slat;11, arciform edge;12, articulatio sacroiliaca;13,
Superior ramus of pubis;14, ischial spine;15, anterior inferior iliac spine;16, iliopubic eminence;17, the comparatively safe area of nail is set in Sifang District;18, Sifang District
Set nail danger area;19, projection area above acetabular bone edge;Z1, the first screw hole of arciform edge;Z2, the second screw hole of arciform edge;It is Z3, arciform
Edge third screw hole;Z4, the 4th screw hole of arciform edge;Z5, the 5th screw hole of arciform edge;G1, arciform edge ilium fixation hole;G2, arciform edge
Pubis fixation hole;G3, arciform edge pubis fixation hole;S1, rear pillar lock screw hole;S2, Sifang District lock screw hole;H1, rear pillar first
Screw hole;H2, the second screw hole of rear pillar;H3, rear pillar third screw hole;F1, the first screw hole of Sifang District;F2, the second screw hole of Sifang District.
Specific embodiment
The performance of the utility model is described in detail below in conjunction with attached drawing, but they do not constitute the limit to the utility model
It is fixed, it is only for example.Pass through and be embodied simultaneously and the utility model is described in further detail.
It is as shown in Figure 1 the dissection schematic diagram of pelvis acetabular bone.Acetabular bone is made of pubic body, ischial body and body of ilium.Institute
State the front lower portion that pubic body constitutes acetabular bone, be called superior ramus of pubis 13 from body to the bone item that front lower interior side stretches out, superior ramus of pubis it is upper
Edge has a sharp keen bone ridge, is called pecten ossispubis, and its rear end arises from iliopubic eminence 16, front end tuberculum pubicum finally.The ischial body
The rear lower of acetabular bone is constituted, the rear of body has a sharp prominent bone to claim ischial spine 14.The body of ilium participates in constituting acetabular bone upper back,
Its upper limb plumpness claims crista iliaca, and crista iliaca front end is anterior superior iliac spine, and the lower section protrusion of anterior superior iliac spine is anterior inferior iliac spine 15.Body of ilium it is upper
Orientation alaossisilii, alaossisilii inner face is smoothly slightly concave, claims iliac fossa, and it is the bone ridge of blunt circle that the lower boundary of the iliac fossa, which is arciform edge 11,
It is also the lower inside of arcuate line, the arcuate line back upper place is the articulatio sacroiliaca 12 that auricular surface and rumpbone are constituted.It is drawn by region
Point, acetabular bone is divided into rear pillar, center pillar and front pillar, and the rear pillar and front pillar are mutually supported in Y-shaped, acetabular bone weight bearing area and its top
Corresponding sclerotin thickened areas is as acetabular bone center pillar.The rear pillar, center pillar and front pillar surround acetabular bone Sifang District, prevent hip joint to
Medial displacement.The Sifang District can be divided into the Sifang District safety zone Zhi Ding, the comparatively safe area 17 of nail is set in Sifang District and Sifang District is set
Follow closely danger area 18.Acetabular bone top is acetabular anterior wall, and wherein the bone face above acetabular bone edge in projection area 19 is relatively thin.
Embodiment 1:
As shown in Fig. 2, a kind of for treating the fixation steel plate of acetabular bone Sifang District fracture, it includes arciform balsh plate 1, rear pillar
Ilium sits steel plate 2 and Sifang District steel plate 3;
The arciform balsh plate 1 is arc strip steel plate, and bending cooperates the anatomical structure of arciform 11 inside of edge;It is described arciform
Balsh plate 1 is equipped with arciform edge ilium fixation hole G1 close to one end of articulatio sacroiliaca 12, and the other end of arciform balsh plate 1 is equipped with arciform
Edge pubis fixation hole G2 and G3, arciform edge pubis the fixation hole G2 and G3 are located at superior ramus of pubis 13;The arciform edge ilium is solid
Determine to be successively arranged arciform the first screw hole of edge Z1, the second screw hole of arciform edge Z2, arciform edge between hole G and arciform edge pubis fixation hole G
The 4th screw hole Z4 of third screw hole Z3 and arciform edge;
The rear pillar ilium sits the anatomical structure of the bending cooperation pillar inner of steel plate 2, and the rear pillar ilium sits the connecting pin of steel plate 2
It is connected on the inside of arciform the first screw hole of edge Z1, tail end is bent across the bone face of ischial spine 14;
3 docile of Sifang District steel plate is on the bone face of Sifang District, the connecting pin of the Sifang District steel plate 3 and arciform edge the
It is connected on the inside of three screw hole Z3.
The material of the arciform balsh plate 1 is the common reconstruction plate of pelvis, and wherein screw hole G1, G2 and G3 is common screw hole,
Screwhole diameter is 5mm, for fixing mainboard;Screw hole Z1 and Z4 are that oblong combines screw hole, and the long and short diameter of screw hole is respectively
10mm,5mm;Screw hole Z2 and Z3 are that short ellipse combines screw hole, and the long and short diameter of screw hole is respectively 7.5mm, 5mm.Combination screw hole Z1,
Z2, Z3 and Z4 can be combined with other steel plates, for treating different types of fracture of acetabulum, combine screw hole Z1, Z2, Z3 and Z4
It is ellipse screw, user, which can slide other steel plates being combined, adjust to optimum fixation position, wherein Z2 and Z3
Adjustment space it is smaller compared with screw hole Z1 and Z4.
The rear pillar ilium sits steel plate 2 and steel plate 3 material in Sifang District is slightly soft with respect to mainboard, and thickness is thinner with respect to mainboard, convenient
Moulding in art.The effect that the rear pillar ilium sits steel plate 2 is to fix rear pillar sclerite with front pillar by front side operative approach
Together, restore the structure of falling Y-shaped of front and back column, and the low level rear pillar for involving ischial spine 14 is fractured, it also can be by single
Front notch be well fixed.Fracture of acetabulum is mostly often to merge Sifang District caused by high-energy damage and fracture, in femoral head
Disposition dislocation, Sifang District bone block is inwardly displaced, and the Sifang District in the utility model stops steel plate to be located exactly at Sifang District fracture
" tension side ", stop from inside to outside and fixed, be more in line with the biomethanics direction of hip joint in this way, fixed relatively reliable have
Effect, and combination screw hole different on mainboard can be selected to be combined according to different Sifang District classification of fracture.
In the present embodiment, the rear pillar ilium sits steel plate 2 and sets that there are three screw holes, including sets rear-end rear pillar locking screw hole
S1 and two universal lock screw hole, the rear pillar locking screw hole S1 and two universal lock screw holes are respectively positioned on Sifang District and set nail safety
Area, it is smaller that screw is strayed into joint possibility.
The Sifang District steel plate 3 is equipped with a Sifang District and locks screw hole S2, and the Sifang District locking screw hole S2 is located at four directions
The area danger area Zhi Ding 18 not sets nail or sets short nail.
The rear pillar locking screw hole S1 and Sifang District locking screw hole S2 is short ellipse combination screw hole, the long and short diameter of screw hole
Respectively 7.5mm, 5mm.The universal lock screw hole is circular screwhole, screwhole diameter 5mm.
Embodiment 2:
As shown in figure 3, remaining is identical in addition to following characteristics for embodiment 2 and embodiment 1:
It is connected on the inside of the connecting pin of the Sifang District steel plate 3 and arciform the 4th screw hole Z4 of edge, the Sifang District steel plate 3
If there are three screw holes, including set rear-end Sifang District locking screw hole S2 and two universal lock screw holes, the Sifang District locking
Screw hole S2 is located at Sifang District and sets the comparatively safe area 17 of nail, can be at an angle of and set nail, two universal lock screw holes are respectively positioned on four
The danger area square area Zhi Ding 18, can not set nail.
Embodiment 3:
On the basis of embodiment 1, in the present embodiment, as shown in figure 4, the steel plate further includes antetheca steel plate 4, institute
It states antetheca steel plate 4 and bends backward and form angle and docile on the bone face of acetabular anterior wall with arciform balsh plate 1, the antetheca steel plate
It is connected on the outside of 4 connecting pin and arciform the second screw hole of edge Z2, the other end is between anterior inferior iliac spine 15 and iliopubic eminence 16.
Specifically, the antetheca steel plate 4 is set there are two universal lock screw hole, and two universal lock screw holes are respectively positioned on hip
Above mortar edge in projection area 14, short nail can be set.
The universal lock screw hole is circular screwhole, screwhole diameter 5mm.
Embodiment 4
On the basis of embodiment 1, in the present embodiment, as shown in figure 5, the steel plate further includes pubis steel plate 5, institute
It states pubis steel plate 5 and bends backward and form angle and docile on the bone face of superior ramus of pubis 8 with arciform balsh plate 1, the pubis steel
It is connected on the outside of the connecting pin of plate 5 and arciform the 4th screw hole Z4 of edge.
Specifically, the pubis steel plate 5 is equipped with a universal lock screw hole, and the universal lock screw hole is located at superior ramus of pubis
8 root.
The universal lock screw hole is circular screwhole, screwhole diameter 5mm.
Embodiment 5
A kind of fixation steel plate fractured for treating acetabular bone Sifang District, it includes arciform balsh plate 1, rear pillar ilium seat steel plate 2
With Sifang District steel plate 3;
The arciform balsh plate 1 is arc strip steel plate, and bending cooperates the anatomical structure of arciform 11 inside of edge;It is described arciform
Balsh plate 1 is equipped with arciform edge ilium fixation hole G1 close to one end of articulatio sacroiliaca 12, and the other end of arciform balsh plate 1 is equipped with arciform
Edge pubis fixation hole G2 and G3, arciform edge pubis the fixation hole G2 and G3 are located at superior ramus of pubis 13;The arciform edge ilium is solid
Determine to be successively arranged arciform the first screw hole of edge Z1, the second screw hole of arciform edge Z2, arciform edge between hole G and arciform edge pubis fixation hole G
Third screw hole Z3, arciform edge the 4th screw hole Z4 and the 5th screw hole Z5 of arciform edge;
The rear pillar ilium sits the anatomical structure of the bending cooperation pillar inner of steel plate 2, and the rear pillar ilium sits the connecting pin of steel plate 2
It is connected on the inside of arciform the first screw hole of edge Z1, tail end is close to ischial spine 14;
3 docile of Sifang District steel plate on the bone face of Sifang District, sit by the connecting pin of the Sifang District steel plate 3 and rear pillar ilium
The tail end of steel plate 2 is connected.
The material of the arciform balsh plate 1 is the common reconstruction plate of pelvis, and wherein fixing threaded hole G1, G2 and G3 is common spiral shell
Hole, screwhole diameter 5mm, for fixing mainboard;Arciform the first screw hole of edge Z1, the second screw hole of arciform edge Z2, arciform edge third spiral shell
Hole Z3, the 4th screw hole Z4 of arciform edge, the 5th screw hole Z5 of arciform edge are circular screwhole, screwhole diameter 5mm.
The rear pillar ilium sits steel plate 2 and steel plate 3 material in Sifang District is slightly soft with respect to mainboard, and thickness is thinner with respect to mainboard, convenient
Moulding in art.In the present embodiment, the rear pillar ilium is sat steel plate 2 and is set there are three screw hole, the first screw hole of rear pillar including connecting pin
The rear pillar third screw hole H3 of H1, rear pillar the second screw hole H2 at middle part and tail end, are respectively positioned on the Sifang District safety zone Zhi Ding, screw is strayed into
Joint possibility is smaller.The Sifang District steel plate 3 is laterally arranged and is equipped with the second spiral shell of Sifang District the first screw hole F1 and Sifang District
Hole F2, Sifang District the first screw hole F1 and Sifang District the second screw hole F2 are located at Sifang District and set the comparatively safe area 17, Ke Yicheng of nail
Angle sets nail.
The first screw hole of rear pillar H1, the second screw hole of rear pillar H2, rear pillar third screw hole H3, Sifang District the first screw hole F1 and four
Square the second screw hole of area F2 is circular universal lock screw hole, screwhole diameter 5mm.
In the present embodiment, the fixation steel plate further includes first baffle 6, second baffle 7, third baffle 8, fourth gear plate
9 and connect third baffle 8 and fourth gear plate 9 transverse slat 10;
In middle part interconnection, the upper end of the first baffle 6 is located at arciform edge for the first baffle 6 and second baffle 7
Medial surface between second screw hole Z2 and arciform edge third screw hole Z3, the lower end of the first baffle 6 are located at the first spiral shell of Sifang District
The medial surface of hole F1, the upper end of the second baffle are located at the medial surface of arciform the 4th screw hole Z4 of edge, under the second baffle
End is located at the medial surface between rear pillar the second screw hole H2 and rear pillar third screw hole H3;
The third baffle 8 is parallel with fourth gear plate 9, the middle part of the third baffle 8 and fourth gear plate 9 respectively with transverse slat
10 both ends connection, the upper end of the third baffle 8 be located at the medial surface of arciform the 4th screw hole Z4 of edge and with second baffle 7
Upper end is adjacent, and the lower end of the third baffle 8 is located at the inside between Sifang District the first screw hole F1 and Sifang District the second screw hole F2
Face, the upper end of the fourth gear plate 9 is located at the medial surface between arciform the 4th screw hole Z4 of edge and the 5th screw hole Z5 of arciform edge, described
The lower end of fourth gear plate 9 is located at the medial surface of Sifang District the second screw hole F2.
Claims (10)
1. the fixation steel plate for acetabular bone Sifang District fracture, which is characterized in that it includes arciform balsh plate (1), rear pillar ilium seat steel
Plate (2) and Sifang District steel plate (3);
The arciform balsh plate (1) is arc strip steel plate, and bending cooperates the anatomical structure on the inside of arciform edge (11);It is described arciform
Balsh plate (1) is equipped with arciform edge ilium fixation hole (G1), the other end of arciform balsh plate (1) close to the one end of articulatio sacroiliaca (12)
Equipped with arciform edge pubis fixation hole (G2) and (G3), the arciform edge pubis fixation hole (G2) and (G3) are located at superior ramus of pubis
(13);Arciform the first screw hole of edge is successively arranged between the arciform edge ilium fixation hole (G1) and arciform edge pubis fixation hole (G2)
(Z1), the 4th screw hole (Z4) of arciform the second screw hole of edge (Z2), arciform edge third screw hole (Z3) and arciform edge;
The rear pillar ilium sits the anatomical structure of steel plate (2) bending cooperation pillar inner, and the rear pillar ilium sits the connecting pin of steel plate (2)
It is connected on the inside of arciform the first screw hole of edge (Z1), the rear pillar ilium sits the tail end of steel plate (2) close to ischial spine (14);
Sifang District steel plate (3) docile is on the bone face of Sifang District, in the connecting pin of the Sifang District steel plate (3) and arciform edge
The tail end that side or rear pillar ilium sit steel plate (2) is connected.
2. the fixation steel plate according to claim 1 for acetabular bone Sifang District fracture, which is characterized in that the rear pillar ilium is sat
Steel plate (2) is set there are three screw hole, including sets rear-end rear pillar locking screw hole (S1) and two universal lock screw holes, the rear pillar
Locking screw hole (S1) and two universal lock screw holes are respectively positioned on the Sifang District safety zone Zhi Ding, and the rear pillar ilium sits the tail of steel plate (2)
End is curved to the inside across ischial spine (14);
It is connected on the inside of the connecting pin of the Sifang District steel plate (3) and arciform edge third screw hole (Z3), the Sifang District steel plate
(3) it is equipped with a Sifang District and locks screw hole (S2), Sifang District locking screw hole (S2) is located at the Sifang District danger area Zhi Ding (18).
3. the fixation steel plate according to claim 1 for acetabular bone Sifang District fracture, which is characterized in that the rear pillar ilium is sat
Steel plate (2) is set there are three screw hole, including sets rear-end rear pillar locking screw hole (S1) and two universal lock screw holes, the rear pillar
Locking screw hole (S1) and two universal lock screw holes are respectively positioned on the Sifang District safety zone Zhi Ding, and the rear pillar ilium sits the tail of steel plate (2)
End is curved to the inside across ischial spine (14);
It is connected on the inside of the connecting pin of the Sifang District steel plate (3) and arciform the 4th screw hole (Z4) of edge, the Sifang District steel plate
(3) screw hole there are three setting, including set rear-end Sifang District locking screw hole (S2) and two universal lock screw holes, the Sifang District
Locking screw hole (S2) is located at Sifang District and sets the comparatively safe area (17) of nail, and two universal lock screw holes are respectively positioned on Sifang District and set nail
Danger area (18).
4. the fixation steel plate according to claim 2 for acetabular bone Sifang District fracture, which is characterized in that the fixation steel plate
It further include antetheca steel plate (4), the antetheca steel plate (4) bends backward forms angle and docile in acetabular bone with arciform balsh plate (1)
On the bone face of antetheca, it is connected on the outside of the connecting pin of the antetheca steel plate (4) and arciform the second screw hole of edge (Z2), the other end exists
Between anterior inferior iliac spine (15) and iliopubic eminence (16).
5. the fixation steel plate according to claim 4 for acetabular bone Sifang District fracture, which is characterized in that the antetheca steel plate
(4) it sets there are two universal lock screw hole, two universal lock screw holes are respectively positioned on above acetabular bone edge in projection area (19).
6. the fixation steel plate according to claim 2 for acetabular bone Sifang District fracture, which is characterized in that the fixation steel plate
It further include pubis steel plate (5), the pubis steel plate (5) bends backward forms angle and docile in pubis with arciform balsh plate (1)
On the bone face of upper branch (13), it is connected on the outside of the connecting pin of the pubis steel plate (5) and arciform the 4th screw hole (Z4) of edge.
7. the fixation steel plate according to claim 6 for acetabular bone Sifang District fracture, which is characterized in that the pubis steel plate
(5) it is equipped with a universal lock screw hole, the universal lock screw hole is located at the root of superior ramus of pubis (13).
8. the fixation steel plate according to claim 1-7 for acetabular bone Sifang District fracture, which is characterized in that described
Arciform the first screw hole of edge (Z1), the second screw hole of arciform edge (Z2), arciform edge third screw hole (Z3), the 4th screw hole (Z4) of arciform edge,
It is ellipse screw that rear pillar, which locks screw hole (S1) and Sifang District locking screw hole (S2), wherein first screw hole of arciform edge (Z1)
It is major diameter with arciform the 4th screw hole (Z4) of edge: minor axis=2:1 oblong screw hole, arciform second screw hole of edge (Z2),
Arciform edge third screw hole (Z3), rear pillar locking screw hole (S1) and Sifang District locking screw hole (S2) are major diameter: minor axis=1.5:1
Short ellipse screw.
9. the fixation steel plate according to claim 1 for acetabular bone Sifang District fracture, which is characterized in that the arciform edge the
Arciform the 5th screw hole (Z5) of edge is additionally provided between four screw holes (Z4) and arciform edge pubis fixation hole (G2);
The connecting pin that the rear pillar ilium sits steel plate (2) is equipped with the first screw hole of rear pillar (H1), middle part is equipped with the second screw hole of rear pillar (H2),
And tail end is equipped with rear pillar third screw hole (H3), first screw hole of rear pillar (H1), the second screw hole of rear pillar (H2) and rear pillar third spiral shell
Hole (H3) is respectively positioned on the Sifang District safety zone Zhi Ding;
The connecting pin of the Sifang District steel plate (3) is connected with the tail end that rear pillar ilium sits steel plate (2), the Sifang District steel plate (3)
Laterally it is arranged and is equipped with the first screw hole of Sifang District (F1) and the second screw hole of Sifang District (F2), first screw hole of Sifang District (F1)
It is located at Sifang District with the second screw hole of Sifang District (F2) and sets the comparatively safe area (17) of nail;
First screw hole of arciform edge (Z1), the second screw hole of arciform edge (Z2), arciform edge third screw hole (Z3), the 4th spiral shell of arciform edge
Hole (Z4), the 5th screw hole (Z5) of arciform edge, the first screw hole of rear pillar (H1), the second screw hole of rear pillar (H2), rear pillar third screw hole (H3),
The first screw hole of Sifang District (F1) and Sifang District the second screw hole (F2) are circular screwhole.
10. the fixation steel plate according to claim 9 for acetabular bone Sifang District fracture, which is characterized in that the fixed steel
Plate further include first baffle (6), second baffle (7), third baffle (8), fourth gear plate (9) and connection third baffle (8) and
The transverse slat (10) of fourth gear plate (9);
In middle part interconnection, the upper end of the first baffle (6) is located at arciform for the first baffle (6) and second baffle (7)
The lower end of medial surface between the second screw hole of edge (Z2) and arciform edge third screw hole (Z3), the first baffle (6) is located at four directions
The medial surface of the first screw hole of area (F1), the upper end of the second baffle is located at the medial surface of arciform the 4th screw hole (Z4) of edge, described
The lower end of second baffle is located at the medial surface between the second screw hole of rear pillar (H2) and rear pillar third screw hole (H3);
The third baffle (8) is parallel with fourth gear plate (9), the middle part of the third baffle (8) and fourth gear plate (9) respectively with
The both ends of transverse slat (10) connect, the upper end of the third baffle (8) be located at the medial surface of arciform the 4th screw hole (Z4) of edge and with
The upper end of second baffle (7) is adjacent, and the lower end of the third baffle (8) is located at the first screw hole of Sifang District (F1) and Sifang District second
Medial surface between screw hole (F2), the upper end of the fourth gear plate (9) are located at arciform the 4th screw hole (Z4) of edge and arciform edge the 5th
The lower end of medial surface between screw hole (Z5), the fourth gear plate (9) is located at the medial surface of the second screw hole of Sifang District (F2).
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CN109771022A (en) * | 2019-02-28 | 2019-05-21 | 黎宇 | Combined type acetabular bone bone plate |
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CN109771022A (en) * | 2019-02-28 | 2019-05-21 | 黎宇 | Combined type acetabular bone bone plate |
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