CN209332242U - A kind of novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation - Google Patents

A kind of novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation Download PDF

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Publication number
CN209332242U
CN209332242U CN201822186310.3U CN201822186310U CN209332242U CN 209332242 U CN209332242 U CN 209332242U CN 201822186310 U CN201822186310 U CN 201822186310U CN 209332242 U CN209332242 U CN 209332242U
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China
Prior art keywords
trailing arm
steel plate
screw hole
locking nail
shaped steel
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Expired - Fee Related
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CN201822186310.3U
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Chinese (zh)
Inventor
姚喜州
张世民
张新潮
卜晓凡
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Jinshan Hospital of Fudan University
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Jinshan Hospital of Fudan University
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Abstract

The utility model relates to a kind of novel "T"-shaped steel plates of tibial plateau external condyle fracture fixation, the "T"-shaped steel plate is made of transverse arm and trailing arm, transverse arm includes transverse arm locking nail screw hole, trailing arm includes trailing arm locking nail screw hole and trailing arm sliding pressurization hole, the transverse arm locking nail screw hole shares 10, trailing arm sliding pressurization hole shares 1, and trailing arm locking nail screw hole shares 7, and transverse arm is long and trailing arm length is 10cm.The present apparatus is cut according to tibial plateau external condyle profile in art, can be achieved to wrap up entire external condyle, simple rear external condyle or isolated preceding outside condylar fracture after bending moulding, support fixation.Its advantage is shown: 1, the steel plate easy bending moulding in use.2, versatile: regardless of left and right, regardless of front and back, and to be suitable for whole lateral condylar fractures.3, nail hole intensively can reach the good purpose of support effect.4, present apparatus structure is simple, easy to use, can be applied to well clinically.

Description

A kind of novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation
Technical field
The utility model relates to the field of medical instrument technology, specifically, being a kind of tibial plateau external condyle fracture fixation Novel "T"-shaped steel plate.
Background technique
Tibial plateau (tibial condyle) is two more flat faces that proximal tibia enlargement is formed, with external condyle phase in femur Joint.Two condyles are separated in the intercondylar ridge that midline position is swelled.Medial side of tibial plateau condyle is larger, and articular surface recess, sclerotin is more It is tough and tensile.Condylus lateralis tibiae is relatively small, and articular surface is slightly convex, and sclerotin is more loose.When by external force, entocondyle is mostly that monolith is split Fractured bone folding, external condyle are mostly crushing, the collapsed fracture for involving articular surface.Normal adult has due to femur anatomical axis and tibial shaft axis 6 ° of valgus angle makes knee joint in state of slightly turning up, this is that outside Platform Fracture incidence is high-incidence compared with inside Platform Fracture Anatomic factor.There is scholar to point out in fracture of tibial plateau in reported literature, simple outside condylar fracture accounts for 50%, and fractures Form is mostly that splitting, articular step-off or both exist simultaneously.
After simple outside Platform Fracture be used as on the outside of Platform Fracture specific type one kind, incidence be once considered as compared with Low.Understanding with the extensive use of CT scan Imaging Technology, " three columns are theoretical " and " four-quadrant is theoretical " is goed deep into.With rear The treatment of outside Platform Fracture is increasingly becoming the research hotspot of orthopaedic trauma.Fracture usually by under knee sprung state by axial direction Violence causes, and can individually occur, and also other combinable quadrants occur simultaneously.In general, low energy damage causes, outer after isolating The fracture of side quadrant;The damage of high energy often merges the fracture of other quadrants.At present for rear outside Platform Fracture appear and it is solid Determining mode has as many as more than 10.But which kind of therapeutic modality is best, does not reach an agreement yet, and there are biggish disputes.
External condyle surrounding anatomical structures are complicated after tibial plateau and position exists deeply, are directly appearing and reset is stranded there are many It is difficult.At present about rear outside Platform Fracture therapeutic modality existing more than 10, but in view of the special classification of fracture of rear outside platform, multiple Miscellaneous anatomical structure, to this type fractures, domestic and foreign scholars not yet reach common understanding, and there are biggish disputes.Outside before traditional Approach simply, conveniently, safely, but can not completely appear rear outside platform, and replacement and fixation is ineffective, and clinic is less to answer With.Medial approach, afterwards center approach, improvement posterolateral approach, the satisfaction of neck of fibula osteotomy fixed effect afterwards, but related in art And the dissection of blood vessel or nerve, technical level require the disadvantages of high, tissue damage is big, operating time is long.Approach, improvement are hit exactly afterwards Posterolateral approach appear limited, influence steel plate place and the reduction of the fracture, if merge other quadrants fracture, other hands need to be combined Art approach expands tissue damage.Neck of fibula osteotomy, appears and replacement and fixation good results, but truncation fibula, bone are needed in art Head of fibula fixation is gone back again after folding replacement and fixation, increases the risk of new wound and osteotomy disunion.The reports such as Frosch The double spatium intermusculare approaches of the single notch in outside afterwards, in not all right fibula osteotomy, perfection appears and fixes preceding outside and rear outside Two quadrants.But it needs to remove surrounding soft tissue extensively in art, has and destroy the risk that Peripheral blood supplies.In addition, at present various rear sides (after Outside) if the steel plate placed needs to take out, have the shortcomings that the secondary taking-up of cicatricial tissue hyperplasia is difficult.Therefore, for such bone It is orthopaedic trauma area research hot spot that folding, which explores one kind to appear safe ready, fix simple and effective modus operandi,.
For the deficiency of existing modus operandi, there is scholar to propose the fixation theory of " horizontal band-like steel plate ".Horizontal band-like steel The appearance of plate (horizontal belt plate) be after Anteroposterior aproach replacement and fixation lateral tibial plateau fracture become can Energy.Horizontal band-like steel plate was proposed by Colombia doctor Berm ú dez etc. in 2008 earliest.Hereafter other scholars propose in succession " edge steel plate " (rim plate, marginal plate), " cortex wrapping steel plate " (cortical containment Plate), the concepts such as " hoop iron plate " (hoop plate).
They by using 1/3 cast plate of clinical existing 3.5mm series, reconstruction plate, 2.7mm series of plates and Distal radius T shape lock steel plate of 3.5mm series etc. carries out bending moulding according to tibial plateau edge contour form in art, into And platform is wrapped." horizontal band-like steel plate " used in clinic is only through the platform after bending to fracture at present Articular surface provides package, gathers fixation, effectively cannot be supported fixation to metaphysis.It is carried out to the fracture to metaphysis Good fixation, is generally required to merge metaphysis is fixed using the steel plate of its alloytype, and implants quantity is increased, and expands wound One's intention as revealed in what one says danger, making patients' financial burden.
Chinese patent application: CN202505471U discloses outside locking steel plate after a kind of tibial plateau, including steel plate body, Steel plate body is made of lockplate on the outside of tibial plateau and the interior plate being connected with lockplate on the outside of tibial plateau;Tibial plateau Outside lockplate is equipped with lock hole, and interior plate is equipped with screw hole.
Chinese patent application: CN207707999U discloses a kind of dissection armor plate of outside condylar fracture after tibial plateau, packet Include: a steel plate, steel plate include a main part and a row part, and main part forms one end higher than the other end along the long side direction Bending, between main part and row part formed a smooth corner, and corner be 100 degree;Row part is shin Anatomical form arcuate structure in the head of fibula of outside before bone platform;Main part is anatomical form straight configuration on the outside of tibial plateau is gone forward; Main part and row part offer several perforative holes.
Therefore, for above-mentioned deficiency, inventor devises condylar fracture on the outside of a kind of tibial plateau of the utility model Fixed novel "T"-shaped steel plate, inventor is directed to 2 isolated rear outside Platform Fractures within 2016, using remote by 3.5mm radius The horizontal band-like steel plate of end palmar T steel plate (5 hole of trailing arm, 3 hole of transverse arm) transformation is fixed, and performs the operation simple and quick, faces Bed excellent effect.Attending physician makes the outside Platform Fracture seriously crushed above T shape and (or) L shape raft supporting steel plate With 1/4 tubular steel plate being horizontally arranged after bending, wrapping fixation is carried out to outside before tibial plateau.Giordano in 2017 etc. is situated between The patient of the double postartis comminuted fracturees of 1 tibial plateau that continued wraps articular surface (hoop iron plate) from rear using 1/3 cast steel plate, The successful experience for cooperating supporting plate to be treated again.The utility model design steel plate can cut randomly, bending, moulding, The entire external condyle platform for including rear outside Platform Fracture is fixed, and may be implemented when fixed to broken fracture platform The interior receipts power for providing wrapping, gathering enhances fracture fixation intensity.It is solid about condylar fracture on the outside of a kind of tibial plateau of the utility model Fixed novel "T"-shaped steel plate yet there are no report.
Summary of the invention
The purpose of this utility model is to carry out package support to the especially rear lateral condylar fracture of tibial plateau external condyle to fix, and is mentioned For a kind of novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation.
To achieve the above object, the technical scheme adopted by the utility model is that:
A kind of novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation, including horizontal band-like portions and support section, The horizontal band-like portions include transverse arm (1), transverse arm locking nail screw hole (5), and the support section includes trailing arm (2), trailing arm cunning Dynamic pressurization hole (3), trailing arm locking nail screw hole (4), both the transverse arm (1) and trailing arm (2) are seamlessly connected in T-shape, the cross Arm locking nail screw hole (5) is uniformly distributed on transverse arm (1), and trailing arm sliding pressurization hole (3) and trailing arm locking nail screw hole (4) uniformly divide It is distributed on trailing arm (2), the transverse arm (1) and trailing arm (2) are that a length of 10cm, width 0.6-0.8cm, thickness 3-4mm, edge are in The steel plate of arc-shaped, the transverse arm locking nail screw hole (5) share 10, and trailing arm sliding pressurization hole (3) shares 1, and screw hole (4) is altogether There are 7, the transverse arm locking nail screw hole (5) is the round thread hole that diameter is 0.2-0.4cm, every two transverse arm locking nail screw hole Between spacing be 0.2-0.4cm, trailing arm sliding pressurization hole (3) be long axis be 0.6-0.8cm, short axle 0.4-0.6cm Elliptical aperture, the trailing arm locking nail screw hole (4) is the round hole that diameter is 0.2-0.4cm, trailing arm sliding pressurization hole (3) and vertical Spacing between arm locking nail screw hole (4) is 0.4-0.5cm, and the spacing of every two trailing arm locking nail screw hole (4) is 0.2- 0.4cm, trailing arm sliding pressurization hole (3) and transverse arm locking nail screw hole (5) side wall are equipped with thread groove.
As a preferred embodiment of the utility model, the transverse arm (1) and trailing arm (2) are 1/3 cast steel plates.
As a preferred embodiment of the utility model, the transverse arm (1) and trailing arm (2) are to rebuild shape steel plate.
As a preferred embodiment of the utility model, the transverse arm (1) and trailing arm (2) are by pure titanium material system At.
As a preferred embodiment of the utility model, the thread groove is 15 ° of adjustable direction-locking holes.
As a preferred embodiment of the utility model, the application method of the "T"-shaped steel plate is: first by " T " Shape steel plate transverse arm (1) bending, and trailing arm (2) is made to be close to need fixed position, jail screw is then used in front of "T"-shaped steel plate Technology intersects the fixed crushing articular surface of fence.
The utility model is to carry out package support to the especially rear lateral condylar fracture of tibial plateau external condyle to fix.For shin bone The different classification of fracture of platform, which can cut randomly, bending, moulding, to including the entire outer of rear outside Platform Fracture Side condyle platform is fixed, and the interior receipts power that broken fracture platform is provided wrapping, gathered when fixed, enhancing fracture fixation are strong Degree.
The design uses T-shaped graphic scheme, and " horizontal band-like steel plate " is mutually tied with the fixation theory of supporting steel plate It closes, the tibial plateau of fracture is fixed.It can be applied to include preceding outside by simply cutting, bending, moulding in art The type of platform, rear outside platform and entire outside Platform Fracture.Change current specific type Platform Fracture treatment difficulty Situation.It can be according to tibial plateau external condyle profile to "T"-shaped steel plate bending moulding, and then to entire external condyle, simple in art External condyle or isolated preceding outside condylar fracture are wrapped up, support fixation afterwards.
The utility model advantage is:
1, the transverse arm of the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation and trailing arm are subordinated to 1/ 3 cast steel plates or reconstruction plate have good plasticity, are very helpful to the recovery of patient.
2, the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation is versatile: in use, not Point or so;Regardless of front and back;Suitable for whole lateral condylar fractures, the postoperative quality of life of patient can be reinforced, increased for staff It is convenient, reduce the workload of staff, improves work efficiency.
3, the nail hole of the novel "T"-shaped steel plate design of the utility model tibial plateau external condyle fracture fixation is intensive, has The good advantage of support effect.
4, the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation can be used for serving as fracture metal Cortex.
5, the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation can be in front of it after bending Intersect fence with jail screw technique and fix crushing articular surface, fixed crushing joint can be better played using the technique for fixing The recovery of patient is accelerated in the effect in face.
6, present apparatus structure is simple, easy to use, while alleviating financial burden for patient, can be applied to clinic well On, it has a good application prospect.
Detailed description of the invention
Attached drawing 1 is the whole Facad structure of the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation Schematic diagram.
Attached drawing 2 is the whole side structure of the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation Schematic diagram.
Attached drawing 3 be the utility model tibial plateau external condyle fracture fixation novel "T"-shaped steel plate using when state show It is intended to.
Specific embodiment
The following further describes the utility model with specific embodiments.It should be understood that these embodiments are merely to illustrate The utility model rather than limitation the scope of the utility model.In addition, it should also be understood that, having read in the utility model record After appearance, those skilled in the art can be made various changes or modifications the utility model, and such equivalent forms equally fall within this Apply for the appended claims limited range.
1. 2. trailing arm of transverse arm, 3. trailing arm sliding pressurization hole
4. 5. transverse arm locking nail screw hole of trailing arm locking nail screw hole
A kind of novel "T"-shaped steel plate of the tibial plateau external condyle fracture fixation of embodiment 1
Fig. 1-Fig. 2 is please referred to, attached drawing 1 is the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation Whole positive structure schematic.Attached drawing 2 is the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation Whole side structure schematic diagram.
A kind of novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation, including horizontal band-like portions and support section, The horizontal band-like portions include transverse arm 1, transverse arm locking nail screw hole 5, and the support section includes trailing arm 2, trailing arm sliding pressurization Hole 3, trailing arm locking nail screw hole 4, both the transverse arm 1 and trailing arm 2 are seamlessly connected in T-shape, and the transverse arm locking nail screw hole 5 is Even to be distributed on transverse arm 1, trailing arm sliding pressurization hole 3 and trailing arm locking nail screw hole 4 are uniformly distributed on trailing arm 2, the transverse arm 1 with Trailing arm 2 is the steel plate of a length of 10cm, width 0.6-0.8cm, thickness 3-4mm, edge in arc-shaped, the transverse arm locking oncomelania Hole 5 shares 10, and trailing arm sliding pressurization hole 3 shares 1, and screw hole 4 shares 7, and the transverse arm locking nail screw hole 5 is that diameter is The round thread hole of 0.2-0.4cm, the spacing between every two transverse arm locking nail screw hole is 0.2-0.4cm, the trailing arm sliding Pressurization hole 3 is the elliptical aperture that long axis is 0.6-0.8cm, short axle is 0.4-0.6cm, and the trailing arm locking nail screw hole 4 is that diameter is The round hole of 0.2-0.4cm, the spacing between trailing arm sliding pressurization hole 3 and trailing arm locking nail screw hole 4 is 0.4-0.5cm, every two The spacing of a trailing arm locking nail screw hole 4 is 0.2-0.4cm, and trailing arm sliding pressurization hole 3 and transverse arm locking nail 5 side walls of screw hole are equal Equipped with thread groove.As a preferred embodiment of the utility model, the transverse arm 1 and trailing arm 2 are 1/3 cast steel plates. As a preferred embodiment of the utility model, the transverse arm 1 is to rebuild shape steel plate with trailing arm 2.It is practical new as this One preferred embodiment of type, the transverse arm 1 are made of pure titanium material with trailing arm 2.One as the utility model Preferred embodiment, the thread groove are 15 ° of adjustable direction-locking holes.As a preferred embodiment of the utility model, The application method of the "T"-shaped steel plate is: first by "T"-shaped steel plate bending, jail screw skill is then used in front of "T"-shaped steel plate Art intersects the fixed crushing articular surface of fence.
Referring to figure 3., attached drawing 3 is that the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation uses When status diagram.
The application method of the utility model: will fracture block reset first when use, then put down transverse arm 1, trailing arm 2 with shin bone Interior side seam face paste is closed after platform, and is slided in pressurization hole 3 in trailing arm and be screwed into one piece of forcing screw, is twisted in trailing arm locking nail screw hole 4 Enter one piece of lock screw, two pieces of lock screws are screwed into transverse arm locking nail screw hole 5, fixed tibial platform joint facial bone is come with this Folded block, fluoroscopic examination articular surface fixing situation, determines tibial plateau external condyle fracture fixation according to the actual conditions of operation again Novel "T"-shaped steel plate final position, and remaining screw is screwed into corresponding screw hole, reaches the fixed work for crushing articular surface With.
It should be noted that the hole on trailing arm 2 puts in order successively are as follows: the sliding pressurization of trailing arm locking nail 4 → trailing arm of screw hole Hole 3 → trailing arm locking nail screw hole 4 → trailing arm locking nail screw hole 4 → trailing arm locking nail screw hole 4 → trailing arm locking nail 4 → trailing arm of screw hole Locking nail screw hole 4 → trailing arm locking nail screw hole 4.
The transverse arm and trailing arm of the novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation are subordinated to 1/3 Cast steel plate or reconstruction plate have good plasticity, are very helpful to the recovery of patient.And its is versatile: using When, regardless of left and right;Regardless of front and back;Suitable for whole lateral condylar fractures, the postoperative quality of life of patient can be reinforced, increased for staff Convenience is added, has reduced the workload of staff, improve work efficiency.
In addition, the nail hole of the novel "T"-shaped steel plate design of the utility model tibial plateau external condyle fracture fixation is intensive, tool Have the advantages that support effect is good.
The novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation can be used for serving as fracture metal skin Matter.
The novel "T"-shaped steel plate of the utility model tibial plateau external condyle fracture fixation can be used after bending in front of it Jail screw technique intersects the fixed crushing articular surface of fence, can better play fixed crushing articular surface using the technique for fixing Effect, accelerate the recovery of patient.
Present apparatus structure is simple, easy to use, while alleviating financial burden for patient, can be applied to clinic well On, it has a good application prospect.
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 without departing from the principle of this utility model, these are improved and supplement Also it should be regarded as the protection scope of the utility model.

Claims (6)

1. a kind of novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation, which is characterized in that including horizontal band-like portions with Support section, the horizontal band-like portions include transverse arm (1), transverse arm locking nail screw hole (5), and the support section includes trailing arm (2), trailing arm sliding pressurization hole (3), trailing arm locking nail screw hole (4), both the transverse arm (1) and trailing arm (2) are in the seamless company of T-shape It connects, the transverse arm locking nail screw hole (5) is uniformly distributed on transverse arm (1), trailing arm sliding pressurization hole (3) and trailing arm locking nail screw hole (4) it is uniformly distributed on trailing arm (2), the transverse arm (1) and trailing arm (2) are a length of 10cm, width 0.6-0.8cm, thickness 3- 4mm, edge are in the steel plate of arc-shaped, and the transverse arm locking nail screw hole (5) shares 10, and trailing arm sliding pressurization hole (3) shares 1 A, screw hole (4) shares 7, and the transverse arm locking nail screw hole (5) is the round thread hole that diameter is 0.2-0.4cm, and every two is horizontal Spacing between arm locking nail screw hole is 0.2-0.4cm, and trailing arm sliding pressurization hole (3) is that long axis is 0.6-0.8cm, short axle For the elliptical aperture of 0.4-0.6cm, the trailing arm locking nail screw hole (4) is the round hole that diameter is 0.2-0.4cm, and trailing arm sliding adds Pressing the spacing between hole (3) and trailing arm locking nail screw hole (4) is 0.4-0.5cm, the spacing of every two trailing arm locking nail screw hole (4) It is 0.2-0.4cm, trailing arm sliding pressurization hole (3) and transverse arm locking nail screw hole (5) side wall are equipped with thread groove.
2. the novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation according to claim 1, which is characterized in that described Transverse arm (1) and trailing arm (2) are 1/3 cast steel plates.
3. the novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation according to claim 1, which is characterized in that described Transverse arm (1) and trailing arm (2) are to rebuild shape steel plate.
4. the novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation according to claim 1, which is characterized in that described Transverse arm (1) is made of pure titanium material with trailing arm (2).
5. the novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation according to claim 1, which is characterized in that described Thread groove is 15 ° of adjustable direction-locking holes.
6. the novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation according to claim 1, which is characterized in that described The application method of "T"-shaped steel plate is: first by "T"-shaped steel plate transverse arm (1) bending, and trailing arm (2) being made to be close to need fixed portion Then position intersects fence with jail screw technique in front of "T"-shaped steel plate and fixes crushing articular surface.
CN201822186310.3U 2018-12-20 2018-12-20 A kind of novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation Expired - Fee Related CN209332242U (en)

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CN201822186310.3U CN209332242U (en) 2018-12-20 2018-12-20 A kind of novel "T"-shaped steel plate of tibial plateau external condyle fracture fixation

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