CN209285690U - A kind of bone plate fractured for merging rear side on the outside of tibial plateau - Google Patents
A kind of bone plate fractured for merging rear side on the outside of tibial plateau Download PDFInfo
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- CN209285690U CN209285690U CN201821933965.6U CN201821933965U CN209285690U CN 209285690 U CN209285690 U CN 209285690U CN 201821933965 U CN201821933965 U CN 201821933965U CN 209285690 U CN209285690 U CN 209285690U
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Abstract
A kind of bone plate fractured for merging rear side on the outside of tibial plateau, belongs to orthopedic medical device technical field, for the fracture for merging rear side on the outside of tibial plateau to be fixed simultaneously.Its technical solution is: straight panel, upper cross plate, inclined plate are elongated plates, upper cross plate is vertically connected on the upper end of straight panel, the plate face of the plate face of upper cross plate and straight panel is in the same plane, the middle part of the straight panel of one end connection of inclined plate, the other end of inclined plate tilts stretching rearwardly and upwardly, the crooked radian at the plate face of inclined plate oriented straight panel side rear, and to one side of the board inclined downward, inclined plate plate face tilt angle is adapted with outside curve after proximal ends of tibia, there is multiple fixing threaded holes on straight panel, upper cross plate and inclined plate.The utility model structure is simple and convenient to operate, fracture on rear side of tibial plateau can be made effectively to be fixed while Platform Fracture on the outside of fixed tibial, surgical procedure is simplified, shorten operating time, conducive to union and early functional exercise, better therapeutic effect is reached.
Description
Technical field
The utility model relates to a kind of synthetisms that can merge the fracture of rear side to tibial plateau outside while be fixed
Plate belongs to orthopedic medical device technical field.
Background technique
Merge rear side fracture on the outside of tibial plateau and refer to that fracture involves tibial plateau external condyle and its postartis, shows as collapsing
Fall into, splitting, the fracture of tuberosity of tibia,internal or metaphysis can be merged simultaneously, the reason is that knee joint is turned up when be in buckling position power with
Caused by axial compression stress.With the extensive use that fracture of tibial plateau CT is diagnosed, merge examining for rear side fracture on the outside of tibial plateau
Disconnected rate is continuously improved.For merging rear side fracture on the outside of tibial plateau, since fracture site is more, conservative therapy can not restore platform
Outside and posterior joint face height generate the hair that is unstable and leading to later period traumatic arthritis that turns up in knee sprung
It is raw, therefore can only generally be treated using operation method.
In operative treatment, T-type plate or inverted L shape plate is generally used to consolidate the fixation fractured on the outside of tibial plateau
Fixed, the long side of T-type plate or inverted L shape plate is fixed on the length direction of shin bone, outside the short side fixed tibial platform of T-type plate or L-type plate
Side seam tabs.And for the bone fragment of platform on rear side of shin bone, there are two types of fixed approaches, and one is use to rear outside platform osteocomma
The fixed mode in side, this external side seam piece of fixed form are not fixed firmly, and have and fracture occurs again in knee sprung
The risk that displacement and articular surface collapse again;Another kind is using Backside support Interal fixation, and this fixed form can be direct
Bone fragment is fixed forwards, and fixation can bear the stress that rear side is added in when knee joint bending.
Although thering is corresponding bone plate to be fixed currently, fracturing for fracture on the outside of tibial plateau and shin bone rear side,
But can not combine bone fragment on the outside of tibial plateau and merge the fixed bone plate of rear side bone fragment, in such case
Under, if patient occurs to consolidate respectively using two kinds of bones plate simultaneously if the outer side seam of tibial plateau merges rear side fracture
It is fixed, not only make operation more complicated, increases financial burden, and increase operating difficulty and time, and increase operation
Wound reduces fixing intensity, extends rehabilitation duration.
Utility model content
The technical problem to be solved by the utility model is to provide a kind of for merging what rear side was fractured on the outside of tibial plateau
Bone plate, it is effectively solid that this bone plate can be such that on rear side of tibial plateau fracture obtains while Platform Fracture on the outside of fixed tibial
It is fixed, it not only simplifies and merges the operation that rear side is fractured on the outside of tibial plateau, shorten operating time, increase fixing intensity, and
And better surgical effect is achieved, be conducive to union, to reach better therapeutic effect.
The technical solution for solving above-mentioned technical problem is:
A kind of bone plate fractured for merging rear side on the outside of tibial plateau, it is made of straight panel, upper cross plate, inclined plate, directly
Plate, upper cross plate, inclined plate are elongated plates, and upper cross plate is vertically connected on the upper end of straight panel, the plate face of upper cross plate and the plate of straight panel
In the same plane, the middle part of the straight panel of one end connection of inclined plate, the other end of inclined plate tilts stretching rearwardly and upwardly, inclined plate in face
The crooked radian at plate face oriented straight panel side rear, and to the inclined downward of one side of the board, the plate face tilt angle and shin bone of inclined plate
The posterolateral curved surface in upper end is adapted, and has multiple fixing threaded holes on straight panel, upper cross plate and inclined plate.
The above-mentioned bone plate fractured for merging rear side on the outside of tibial plateau, the upper cross plate are connected to the upper end shape of straight panel
At T-type or inverted L shape structure, it is evenly equipped with 3-4 fixing threaded hole in straight panel plate face, 2-4 fixation is evenly equipped in upper cross plate plate face
Screw hole has 2 fixing threaded holes in the plate face upper end of inclined plate.
The above-mentioned bone plate fractured for merging rear side on the outside of tibial plateau, the fixation spiral shell of the straight panel and inclined plate junction
Hole is lateral or oblique pressurization hole, and the fixing threaded hole below straight panel and inclined plate junction is longitudinal pressing hole, and inclined plate upper end is consolidated
Determining screw hole is the longitudinal pressing hole along inclined plate length direction.
The beneficial effects of the utility model are:
The straight panel of the utility model is fixedly connected on the length direction of shin bone with shin bone, and upper cross plate can make lateral of tibia flat
The sclerite replacement and fixation of platform, sclerite on rear side of inclined plate is fixed on rear side of the shin bone, has reached the Platform Fracture on the outside of fixed tibial
While make the purpose that fracture is effectively fixed on rear side of tibial plateau.
The inclined plate of the utility model reaches rear side by lateral approach, enters rear side across the gap of shin bone and fibula
Condyle, so that avoiding influences the important anatomy structures such as the fixed capitulum fibulae of the reduction of the fracture, rear outside complex, anterior tibial artery,
Greatly reduce the possibility for causing damage;Laterally pressurization hole and longitudinal pressing hole are set in straight panel, front and back may be implemented and pressurize, is interior
External pressurized, the problem that gap to correct fracture line is excessive, platform is broadening;Screw or sky can be used in the screw hole of inclined plate upper end
It sets, pressurization is fixed when necessary, is subject to and be can be realized the rear side complete replacement and fixation of sclerite.
The utility model structure is simple and convenient to operate, and avoids patient and the outer side seam merging rear side fracture of tibial plateau occurs
The traditional surgical approaches that must be fixed respectively using two kinds of bones plate simultaneously, can on the outside of fixed tibial Platform Fracture
It fixes tibial plateau rear side fracture effectively, simplifies and merge rear side fracture surgical procedure, contracting on the outside of tibial plateau
Short operating time, increases the stability of fracture fixation, is conducive to union and early functional exercise, to reach better
Therapeutic effect.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the utility model;
Fig. 2 is another structural schematic diagram of the utility model;
Fig. 3 is the side view of Fig. 1;
Fig. 4 is the top view of Fig. 1
Fig. 5 is the use state diagram of the utility model;
Fig. 6 is the schematic diagram that Fig. 5 eliminates fibula.
It is marked in figure as follows: straight panel 1, upper cross plate 2, inclined plate 3, fixing threaded hole 4, laterally pressurization hole 5, longitudinal pressing hole 6, shin
Bone 7, fibula 8.
Specific embodiment
The utility model is made of straight panel 1, upper cross plate 2, inclined plate 3.
Fig. 1,2,3,4 show that straight panel 1, upper cross plate 2, inclined plate 3 are elongated plates, and upper cross plate 2 is vertically connected on straight panel 1
Upper end, the plate face of the plate face of upper cross plate 2 and straight panel 1 in the same plane, the middle part of the straight panel 1 of one end connection of inclined plate 3, tiltedly
The other end of plate 3 tilts stretching rearwardly and upwardly, the crooked radian at the oriented 1 side rear of straight panel of the plate face of inclined plate 3, and to one side of the board
Inclined downward, the plate face tilt angle of inclined plate 3 is adapted with the posterolateral curved surface in 7 upper end of shin bone.
This bone plate structure can be understood as one flank (boxing out) of stretching on original outside plate and hold rear side
Bone block beats the fixed rear side bone block of screw through hole when necessary;It can be appreciated that the straight panel part of rear outside plate extends to outside
Platform increases the part of fixed outside platform.The bone plate of this structure aims at outside platform and merges the case that rear side is fractured
Design will take rear side into account when fixing outside platform, the fracture fixation of both direction is solved the problems, such as with a bone plate.
Fig. 1,2 displays, the upper end that upper cross plate 2 is connected to straight panel 1 form T-type or inverted L shape structure, can be according to outside platform
Fracture situation selected.
Fig. 1,2 are shown, are evenly equipped with 3-4 fixing threaded hole 4 in 1 plate face of straight panel, and 2-4 are evenly equipped in 2 plate face of upper cross plate
Fixing threaded hole 4 has 2 fixing threaded holes 4 in the plate face upper end of inclined plate 3.
The fixing threaded hole 4 of Fig. 1,2 displays, straight panel 1 and 3 junction of inclined plate is that laterally pressurization hole 5, straight panel 1 are connect with inclined plate 3
The fixing threaded hole 4 of place lower section is longitudinal pressing hole 6, and the fixing threaded hole 4 of 3 upper end of inclined plate is the longitudinal direction along 3 length direction of inclined plate
Pressurization hole 6.
It is that, when bone plate screw hole is oblong, edge is to be by table and interior inclined-plane, nail hole using the advantages of pressurization hole
Two-wire, screw cap are cone, and when being close to nail hole edge screw-in screw, two inclined-planes are slided, and bone plate can be pushed mobile,
Bone plate drives side of fracture block mobile, then pressurization is generated between sclerite.Longitudinal pressing hole is the long axis along bone,
Therefore the long axis in longitudinal pressing hole is consistent with bone plate long axis, lateral or oblique pressurization hole is by the length of oblong screw hole and bone plate
It is vertically in vertical direction or oblique to spend direction, according to sliding pressurization principle, bone plate can be pushed to shin bone front direction when screwing in screw
It is mobile, to play pressurization to the sclerite rearward shifted, enhance reset effect, fixing intensity, more conducively fracture is cured
It closes.
Fig. 1,2,3,4 show that there are two fixing threaded hole 4 or longitudinal pressing holes for inclined plate 3, can use screw in actual use
It is fixed, can also be vacant, it is selected according to patients with fractures's state.If be screwed, can with guider from front to back,
Or backward preceding drivescrew.Guider, pressurizer etc. are all mature technologies, are repeated no more.
It is shown in figure, the synthetism board width of the utility model is moderately widened than traditional steel plate, is all angles combined hole
There are space, to realize front and back pressurization, interior external pressurized, the gap for correcting fracture line is excessive, the broadening problem of platform, to increase stabilization
Property, it is conducive to union and early functional exercise, to reach better therapeutic effect.
Fig. 5,6 displays when operation, are open in patient's anterolateral crural, are placed in bone plate, lead to after straight panel 1 is in place
It crosses bolt to be fixed, upper cross plate 2 and sclerite on the outside of tibial plateau is fixed, while by inclined plate 3 through anterolateral crural
Operative incision merging.
After fixation, the inclined angle of the plate face of inclined plate 3 is adapted with the posterolateral curved surface of proximal ends of tibia, holds rear side
Bone block beats the fixed rear side bone block of screw through hole when necessary.Inclined plate 3 is convenient, simple through the merging of anterolateral crural operative incision, avoids
From shank rear operative incision to the damage risk of nerve, blood vessel, replacement and fixation is reliable.Inclined plate 3 avoids the influence reduction of the fracture
The important anatomy structures such as fixed capitulum fibulae, rear outside complex, anterior tibial artery, greatly reduce the possibility for causing damage.
Claims (3)
1. a kind of bone plate fractured for merging rear side on the outside of tibial plateau, it is characterised in that: it is by straight panel (1), upper cross plate
(2), inclined plate (3) forms, and straight panel (1), upper cross plate (2), inclined plate (3) are elongated plates, and upper cross plate (2) is vertically connected on straight panel
(1) upper end, the plate face of the plate face of upper cross plate (2) and straight panel (1) in the same plane, the straight panel of one end connection of inclined plate (3)
(1) middle part, the other end of inclined plate (3) tilt stretching rearwardly and upwardly, the oriented straight panel of plate face (1) side rear of inclined plate (3) it is curved
Bent radian, and to the inclined downward of one side of the board, the plate face tilt angle and the posterolateral curved surface in shin bone (7) upper end of inclined plate (3)
It is adapted, has multiple fixing threaded holes (4) on straight panel (1), upper cross plate (2) and inclined plate (3).
2. the bone plate according to claim 1 fractured for merging rear side on the outside of tibial plateau, it is characterised in that: described
The upper end that upper cross plate (2) is connected to straight panel (1) forms T-type or L-type structure, is evenly equipped with 3-4 fixing threaded hole in straight panel (1) plate face
(4), 2-4 fixing threaded hole (4) are evenly equipped in upper cross plate (2) plate face, there are 2 fixing threaded holes in the plate face upper end of inclined plate (3)
(4).
3. the bone plate according to claim 2 fractured for merging rear side on the outside of tibial plateau, it is characterised in that: described
The fixing threaded hole (4) of straight panel (1) and inclined plate (3) junction is laterally to pressurize hole (5), below straight panel (1) and inclined plate (3) junction
Fixing threaded hole (4) be longitudinal pressing hole (6), the fixing threaded hole (4) of inclined plate (3) upper end is along inclined plate (3) length direction
Longitudinal pressing hole (6).
Priority Applications (1)
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CN201821933965.6U CN209285690U (en) | 2018-11-22 | 2018-11-22 | A kind of bone plate fractured for merging rear side on the outside of tibial plateau |
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CN201821933965.6U CN209285690U (en) | 2018-11-22 | 2018-11-22 | A kind of bone plate fractured for merging rear side on the outside of tibial plateau |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111728687A (en) * | 2020-07-23 | 2020-10-02 | 吉林大学 | Tibial tubercle fracture bone plate and using method thereof |
CN112472267A (en) * | 2020-12-17 | 2021-03-12 | 河北医科大学第三医院 | Combined steel plate for lateral fracture of tibial plateau |
-
2018
- 2018-11-22 CN CN201821933965.6U patent/CN209285690U/en active Active
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111728687A (en) * | 2020-07-23 | 2020-10-02 | 吉林大学 | Tibial tubercle fracture bone plate and using method thereof |
CN112472267A (en) * | 2020-12-17 | 2021-03-12 | 河北医科大学第三医院 | Combined steel plate for lateral fracture of tibial plateau |
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