CN209018912U - One kind is for preventing dislocation of acromioclavicular joint steel plate - Google Patents

One kind is for preventing dislocation of acromioclavicular joint steel plate Download PDF

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Publication number
CN209018912U
CN209018912U CN201821524709.1U CN201821524709U CN209018912U CN 209018912 U CN209018912 U CN 209018912U CN 201821524709 U CN201821524709 U CN 201821524709U CN 209018912 U CN209018912 U CN 209018912U
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CN
China
Prior art keywords
mesoscapula
steel plate
plate
coracoclavicular ligament
acromioclavicular joint
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Expired - Fee Related
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CN201821524709.1U
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Chinese (zh)
Inventor
章燕云
季彬
徐维虹
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Shanghai Childrens Medical Center Affiliated to Shanghai Jiaotong University School of Medicine
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Shanghai Childrens Medical Center Affiliated to Shanghai Jiaotong University School of Medicine
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Priority to CN201821524709.1U priority Critical patent/CN209018912U/en
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Abstract

The utility model relates to one kind for preventing dislocation of acromioclavicular joint steel plate, and the dislocation steel plate includes mesoscapula fixation steel plate, coracoclavicular ligament jointing plate;The coracoclavicular ligament jointing plate;The proximal end of mesoscapula fixation steel plate is arranged in the coracoclavicular ligament jointing plate, and coracoclavicular ligament jointing plate is located at the side of mesoscapula fixation steel plate;The coracoclavicular ligament jointing plate is that arc-shaped transition is connect with the junction of mesoscapula fixation steel plate;The mesoscapula is equipped with universal lock hole, is equipped with pressurization fixing screws in universal lock hole;The coracoclavicular ligament fitting is equipped with suture nail hole.Its advantage is shown: mesoscapula is fixed in steel plate distal end, stable pressure continues and continuing in mesoscapula generation to keep the reset of acromioclavicular joint stable, compared with traditional technology, avoid shoulder joint merging, the complication such as avoid patient pain be obvious after surgery, it can be used as a kind of new steel plate treated for treating dislocation of acromioclavicular joint, clinically promote and have broad application prospects.

Description

One kind is for preventing dislocation of acromioclavicular joint steel plate
Technical field
The utility model relates to technology the field of medical instrument technology, specifically, being a kind of for preventing acromioclavicular joint de- Position steel plate.
Background technique
Dislocation of acromioclavicular joint is a kind of common wound, is mostly to be caused by direct high-energy violence, and be often accompanied by shoulder The fracture at other positions of portion, dislocation and soft tissue injury.
In the prior art according to the degree and specific medicine classification for hurting backward dislocation, different treatment methods is taken, for I, II degree of dislocation generally takes non-operative treatment, such as suspender belt braking, cold compress, analgesic, movement appropriate, these methods are generally all Good effect can be obtained.But dislocate for III degree, coracoclavicular ligament and capsula articularis acromioclavicularis should all be broken, conservative curative effect compared with Difference generallys use operation method replacement and fixation.
There are the internal fixation method of various treatments, but all less effectives in the prior art, at present most commonly acromioclavicular joint Hook plate, but still the following defects and deficiencies exist:
1. there are many interior fixations for the treatment of dislocation of acromioclavicular joint at present, but require to be placed under acromion, shoulder joint will affect Function (X-ray film as shown in figure 1 can see humerus head and be worn, patient's shoulder dysfunction) acromion under be exactly shoulder joint Section, thus Most patients all can postoperative pain it is obvious, dysfunction.
It is the structure shape of hardness using shoulder in the prior art lock steel plate 2. acromioclavicular joint is related to multilevel movement Formula does not have the function of three-dimensional bending, and stickiness is poor, and the bone radian of different patients is different, in the preoperative cannot basis Different subjects bones' radians adjust the radian of hook plate, it is possible to lead to the failure of interior fixation.
Clavicle distal end is continued and stable pressure 3. the common dislocation of acromioclavicular joint steel plate of the prior art is only to provide, There is no suture coracoclavicular ligament.And suture coracoclavicular ligament is also required in dislocation of acromioclavicular joint treatment, coracoclavicular ligament is dimension It holds the stable relation between shoulder blade and clavicle, keeps acromioclavicular joint stable important feature in above-below direction.
Chinese patent literature CN201020150831.4, the applying date 20100407, patent name are as follows: a kind of acromioclavicular joint is de- Position fixed plate, discloses a kind of acromioclavicular joint dislocation fixing plate, clavicle locating plate, acromion piece, side fork composition, and clavicle locating plate is 2-5 location hole is distributed with along plate face y direction in plate face in rectangle steel disc, and acromion piece is long bloom or titanium plate, The width of its front is gradually reduced, and front end is sharp, and the rear portion of acromion piece is located at the side of clavicle locating plate, with clavicle locating plate Front links into an integrated entity, and the side-lower for being connected to acromion piece is pitched in side, parallel with the longitudinal axis of acromion piece, has between side fork and acromion piece Gap.But about one kind can avoid completely shoulder joint merging, stickiness it is good, convenient for suture coracoclavicular ligament technical solution then Do not disclose accordingly.
In conclusion need one kind can avoid completely shoulder joint merging, stickiness it is good, convenient for suture coracoclavicular ligament shoulder Lock abarticulation steel plate.And it yet there are no report about this dislocation of acromioclavicular joint steel plate.
Summary of the invention
The purpose of this utility model is aiming at the shortcomings in the prior art, to provide one kind and can avoid completely shoulder joint and set Enter, stickiness it is good, convenient for suture coracoclavicular ligament dislocation of acromioclavicular joint steel plate.
To achieve the above object, the technical scheme adopted by the utility model is that:
For one kind for preventing dislocation of acromioclavicular joint steel plate, the dislocation steel plate includes that mesoscapula fixation steel plate, beak lock are tough Band jointing plate;The coracoclavicular ligament jointing plate;The proximal end of mesoscapula fixation steel plate is arranged in the coracoclavicular ligament jointing plate, and Coracoclavicular ligament jointing plate is located at the side of mesoscapula fixation steel plate;The company of the coracoclavicular ligament jointing plate and mesoscapula fixation steel plate Meeting place is that arc-shaped transition connects;;The mesoscapula is equipped with universal lock hole, and the fixed spiral shell of pressurization is equipped in universal lock hole Nail;The coracoclavicular ligament fitting is equipped with suture nail hole.
As a kind of perferred technical scheme, mesoscapula fixed plate inner surface be arcwall face.
As a kind of perferred technical scheme, the skeletal shape one of the shape of the mesoscapula fixed plate and human body mesoscapula It causes, and is equipped with shape of triangular ridges in mesoscapula fixed plate side.
As a kind of perferred technical scheme, the inner surface of the coracoclavicular ligament jointing plate is arc.
As a kind of perferred technical scheme, the shape one of the shape of the coracoclavicular ligament jointing plate and human body coracoclavicular ligament It causes, and the width of coracoclavicular ligament jointing plate is gradually reduced from head end to tail end.
As a kind of perferred technical scheme, the structure type of the universal lock Kong Weisi male screw;It is each universal Can pressurize fixing screws in lock hole with there are four, and the fixing screws any direction in deviation axis certain angle that pressurizes is set Enter.
As a kind of perferred technical scheme, the pressurization fixing screws are deviateing any direction merging in 15 ° of axis.
As a kind of perferred technical scheme, the universal lock hole can also twin columns helicitic texture form.
As a kind of perferred technical scheme, it is described to lock hole be preferably three or five.
The utility model advantage is:
1, one kind of the utility model for preventing dislocation of acromioclavicular joint steel plate, be fixed on mesoscapula, pass through by steel plate distal end Lasting and stable pressure is generated to keep the reset of acromioclavicular joint stable in mesoscapula and is continued, and compared with traditional technology, is kept away Shoulder joint merging is opened, avoiding patient, pain is obvious after surgery, the complication such as dysfunction, can be used as a kind of new for treating shoulder The steel plate of abarticulation treatment is locked, clinically promotes and has broad application prospects;
2, it is equipped with mesoscapula fixed plate, is fixed on human body mesoscapula under use state, is met the physiology and appearance of dissection, make It obtains and determines fixed position on mesoscapula;
3, mesoscapula fixed plate meets acromioclavicular joint activity characteristic, so that can be movable between acromioclavicular joint and mesoscapula, It is less to joint exercise obstruction, make the joint motion of patient's early stage that can reach normal range;
4, it is good to meet dissection, docile property for structure type of the inner surface of mesoscapula fixed plate with arc;
5, mesoscapula fixed plate is designed as rebuilding band structure, can three-dimensional bending, can be according to the actual form of mesoscapula The structure of mesoscapula fixed plate is adjusted, so that the two fitting is accurate;
6, mesoscapula fixed plate is equipped with universal lock hole, and it is docile to meet to wear pressurization fixing screws in universal lock hole Property;
7, the universal lock Kong Weisi male screw structure type of mesoscapula fixed plate can be placed in the fixed spiral shell of pressurization as needed The quantity of nail and direction, to provide enough biomechanical strengths;
8, coracoclavicular ligament jointing plate is equipped with suture nail hole, and steel wire can be placed in suture nail hole or screw is realized and locked to beak The shearing that the suture of ligament generates to fix clavicle and coronoid process confrontation acromioclavicular joint fine motion;
9, coracoclavicular ligament is designed as to the form of three-dimensional bending, by three-dimensional bending, beak jointing plate can be locked and is fitted in not On coracoclavicular ligament with patient's different shape, convenient for the suture of coracoclavicular ligament, and coracoclavicular ligament sewing effect is good;
10, it can be designed to minimally-invasive treatment, exactly " punched " in mesoscapula corresponding site, steel plate is next from being subcutaneously inserted through Afterwards, fixed.
Detailed description of the invention
Attached drawing 1 is that shoulder locks dislocation steel plate use state flowering structure schematic diagram in the prior art.
Attached drawing 2 is one kind of the utility model for preventing dislocation of acromioclavicular joint steel plate structure schematic diagram.
Attached drawing 3 is mesoscapula fixed plate structure schematic diagram.
Attached drawing 4 is coracoclavicular ligament jointing plate schematic diagram.
Attached drawing 5 is universal lock hole month pressurization fixing screws attachment structure schematic diagram.
The shoulder lock dislocation fixation steel plate use state flowering structure schematic diagram of 6 the utility model of attached drawing.
Specific embodiment
It elaborates with reference to the accompanying drawing to specific embodiment provided by the utility model.
Appended drawing reference involved in attached drawing and component part are as follows:
1. 11. universal lock hole of mesoscapula fixation steel plate
12. pressurize 2. coracoclavicular ligament jointing plate of fixing screws
21. suturing nail hole
Referring to figure 2., Fig. 2 is one kind of the utility model for preventing dislocation of acromioclavicular joint steel plate structure schematic diagram.One For kind for preventing dislocation of acromioclavicular joint steel plate, the dislocation steel plate includes mesoscapula fixation steel plate 1, coracoclavicular ligament jointing plate 2; The coracoclavicular ligament jointing plate 2;The proximal end of mesoscapula fixation steel plate 1 is arranged in the coracoclavicular ligament jointing plate 2, and beak lock is tough It is located at the side of mesoscapula fixation steel plate 1 with jointing plate 2;The connection of the coracoclavicular ligament jointing plate 2 and mesoscapula fixation steel plate 1 Place is that arc-shaped transition connects;The mesoscapula fixed plate and coracoclavicular ligament jointing plate 2 are to pass through three-dimensional in a state of use What bending was bonded.
Referring to figure 3., Fig. 3 is mesoscapula fixed plate structure schematic diagram.Mesoscapula fixed plate inner surface be arc The shape in face, the mesoscapula fixed plate is consistent with the skeletal shape of human body mesoscapula, and is equipped in mesoscapula fixed plate side Shape of triangular ridges;The mesoscapula is equipped with universal lock hole 11, and pressurization fixing screws 12 are equipped in universal lock hole 11.
Referring to figure 4., Fig. 4 is 2 schematic diagram of coracoclavicular ligament jointing plate.The inner surface of the coracoclavicular ligament jointing plate 2 is The shape of arc, the coracoclavicular ligament jointing plate 2 is consistent with the shape of human body coracoclavicular ligament, and the width of coracoclavicular ligament jointing plate 2 Degree is gradually reduced from head end to tail end;The coracoclavicular ligament fitting is equipped with suture nail hole 21.
Referring to figure 5., Fig. 5 is universal lock hole 11 and pressurization 12 attachment structure schematic diagram of fixing screws.Described is universal Lock hole 11 is the structure type of four male screws;Can pressurize fixing screws 12 in each universal lock hole 11 with there are four, and add Fixing screws 12 are pressed to deviate any direction merging in axis certain angle, preferably pressurization fixing screws 12 are deviateing 15 ° of axis Interior any direction merging.
It should be understood that mesoscapula fixed plate is fixed on human body mesoscapula, meets in a state of use (see Fig. 6) The physiology and appearance of dissection so that determine fixed position on mesoscapula, generate continue and stable pressure to make acromioclavicular joint Reset it is stable and continue, provide a tension-free environment in this way for shoulder lock coracoclavicular ligament and surrounding tissue, greatly improve The healing quality of ligament and soft tissue.
Mesoscapula fixed plate is fixed on mesoscapula, avoids shoulder joint, does not influence on function, i.e. mesoscapula fixed plate meets Acromioclavicular joint activity characteristic, so that can be movable between acromioclavicular joint and mesoscapula, it is less to joint exercise obstruction, keep patient early The joint motion of phase can reach normal range, avoid joint caused by fixing for a long time is useless from using.
It is good to meet dissection, docile property for structure type of the inner surface of mesoscapula fixed plate with arc;Mesoscapula fixed plate is set Be calculated as rebuilding band structure, can three-dimensional bending, the structure of mesoscapula fixed plate can be adjusted according to the actual form of mesoscapula, be made It is accurate to obtain the two fitting;And mesoscapula fixed plate is equipped with universal lock hole 11, wears pressurization in universal lock hole 11 and fixes Screw 12 meets docile property.
The universal lock hole 11 of mesoscapula fixed plate is four male screw structure types, can be matched in the universal lock hole 11 There are four fixing screws 12 of pressurizeing, pressurization fixing screws 12 can be assembled in art as needed, and forcing screw direction can not Together, enough mechanics can be provided to support.Universal lock hole 11 is preferably three or five, convenient for forming a stable mechanics Environment enables pressurization 12 resistance to plucking of fixing screws to go out;It universal lock hole 11 can also twin columns helicitic texture form, i.e. twin columns screw thread The universal lock hole 11 of structure type can assemble 2 pieces of pressurization fixing screws 12 and increase stabilization its advantage is that increasing supporting degree Property.
Because there are fine motion physiological properties for acromioclavicular joint, when acromioclavicular joint fine motion, cause scalenus and nutator to The shearing that upper drawing and upper limb gravity pull downwards needs to suture coracoclavicular ligament, the utility model in dislocation of acromioclavicular joint treatment Coracoclavicular ligament jointing plate 2 be equipped with suture nail hole 21, can be placed in suture nail hole 21 steel wire or screw realize beak is locked it is tough The suture of band fights above-mentioned shearing to fix clavicle and coronoid process;The inner surface for suturing jointing plate is arc, can be with the beak of human body Ligament fitting is locked, and according to the coracoclavicular ligament of different patient's different shapes, coracoclavicular ligament is designed as to the form of three-dimensional bending, is led to Three-dimensional bending is crossed, beak jointing plate can be locked and is fitted on the coracoclavicular ligament of different patient's different shapes, convenient for the seam of coracoclavicular ligament It closes, and coracoclavicular ligament sewing effect is good;Coracoclavicular ligament jointing plate 2 is distributed in the side of omoplate fixed plate, and junction is arc Transition connection, ingenious layout, so that mesoscapula fixed plate and coracoclavicular ligament jointing plate 2 can realize respective function simultaneously.
For one kind of the utility model for preventing dislocation of acromioclavicular joint steel plate, mesoscapula is fixed in steel plate distal end, by Mesoscapula generates lasting and stable pressure continues to keep the reset of acromioclavicular joint stable, compared with traditional technology, avoids Shoulder joint merging, avoiding patient, pain is obvious after surgery, the complication such as dysfunction, can be used as the new shoulder that is used to treat of one kind and locks The steel plate of abarticulation treatment, clinically promotes and has broad application prospects;Equipped with mesoscapula fixed plate, under use state It is fixed on human body mesoscapula, meets the physiology and appearance of dissection, so that determining fixed position on mesoscapula;Mesoscapula fixed plate Meet acromioclavicular joint activity characteristic, so that can be movable between acromioclavicular joint and mesoscapula, it is less to joint exercise obstruction, make disease The joint motion of people's early stage can reach normal range;Structure type of the inner surface of mesoscapula fixed plate with arc, symbol Conjunction dissection, docile property are good;Mesoscapula fixed plate is designed as rebuilding band structure, can three-dimensional bending, can be according to the reality of mesoscapula The structure of border experiment material mesoscapula fixed plate, so that the two fitting is accurate;Mesoscapula fixed plate is equipped with universal lock hole 11, Pressurization fixing screws 12 are worn in universal lock hole 11 to meet docile property;The universal lock hole 11 of mesoscapula fixed plate is four columns Helicitic texture form can be placed in quantity and the direction of pressurization fixing screws 12, as needed to provide enough biomethanics Intensity;Coracoclavicular ligament jointing plate 2 is equipped with suture nail hole 21, and steel wire can be placed in suture nail hole 21 or screw is realized and locked to beak The shearing that the suture of ligament generates to fix clavicle and coronoid process confrontation acromioclavicular joint fine motion;Coracoclavicular ligament is designed as three-dimensional folding Beak can be locked jointing plate and be fitted on the coracoclavicular ligament of different patient's different shapes, be convenient for beak by curved form by three-dimensional bending The suture of ligament is locked, and coracoclavicular ligament sewing effect is good;It can be designed to minimally-invasive treatment, be exactly in mesoscapula corresponding site " punching ", steel plate are fixed after being subcutaneously inserted through.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art Art personnel can also make several improvement and supplement under the premise of not departing from the utility model method, these are improved and supplement Also it should be regarded as the protection scope of the utility model.

Claims (9)

1. one kind is for preventing dislocation of acromioclavicular joint steel plate, which is characterized in that the dislocation steel plate includes the fixed steel of mesoscapula Plate, coracoclavicular ligament jointing plate;The coracoclavicular ligament jointing plate;The coracoclavicular ligament jointing plate is arranged in mesoscapula fixation steel plate Proximal end, and coracoclavicular ligament jointing plate is located at the side of mesoscapula fixation steel plate;The coracoclavicular ligament jointing plate and mesoscapula are solid The junction of steel plate is determined for arc-shaped transition connection;The mesoscapula is equipped with universal lock hole, is equipped with and adds in universal lock hole Press fixing screws;The coracoclavicular ligament fitting is equipped with suture nail hole.
2. according to claim 1 for preventing dislocation of acromioclavicular joint steel plate, which is characterized in that mesoscapula fixed plate Inner surface be arcwall face.
3. according to claim 1 for preventing dislocation of acromioclavicular joint steel plate, which is characterized in that the mesoscapula fixed plate Shape it is consistent with the skeletal shape of human body mesoscapula, and mesoscapula fixed plate side be equipped with shape of triangular ridges.
4. according to claim 1 for preventing dislocation of acromioclavicular joint steel plate, which is characterized in that the coracoclavicular ligament patch The inner surface of plywood is arc.
5. according to claim 1 for preventing dislocation of acromioclavicular joint steel plate, which is characterized in that the coracoclavicular ligament fitting The shape of plate is consistent with the shape of human body coracoclavicular ligament, and the width of coracoclavicular ligament jointing plate is gradually reduced from head end to tail end.
6. according to claim 1 for preventing dislocation of acromioclavicular joint steel plate, which is characterized in that the universal lock hole For the structure type of four male screws;Can pressurize fixing screws in each universal lock hole with there are four, and fixing screws of pressurizeing exist Deviate any direction merging in axis certain angle.
7. according to claim 6 for preventing dislocation of acromioclavicular joint steel plate, which is characterized in that the fixed spiral shell of the pressurization Nail is deviateing any direction merging in 15 ° of axis.
8. according to claim 1-5 for preventing dislocation of acromioclavicular joint steel plate, which is characterized in that described ten thousand It can also twin columns helicitic texture form to lock hole.
9. according to claim 1 for preventing dislocation of acromioclavicular joint steel plate, which is characterized in that described to be to lock hole Three or five.
CN201821524709.1U 2018-09-18 2018-09-18 One kind is for preventing dislocation of acromioclavicular joint steel plate Expired - Fee Related CN209018912U (en)

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Application Number Priority Date Filing Date Title
CN201821524709.1U CN209018912U (en) 2018-09-18 2018-09-18 One kind is for preventing dislocation of acromioclavicular joint steel plate

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201821524709.1U CN209018912U (en) 2018-09-18 2018-09-18 One kind is for preventing dislocation of acromioclavicular joint steel plate

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Publication Number Publication Date
CN209018912U true CN209018912U (en) 2019-06-25

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CN201821524709.1U Expired - Fee Related CN209018912U (en) 2018-09-18 2018-09-18 One kind is for preventing dislocation of acromioclavicular joint steel plate

Country Status (1)

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Granted publication date: 20190625

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