CN211094597U - Broken end connecting support after rib osteotomy in spinal orthopedic surgery - Google Patents
Broken end connecting support after rib osteotomy in spinal orthopedic surgery Download PDFInfo
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- CN211094597U CN211094597U CN201920982718.3U CN201920982718U CN211094597U CN 211094597 U CN211094597 U CN 211094597U CN 201920982718 U CN201920982718 U CN 201920982718U CN 211094597 U CN211094597 U CN 211094597U
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- rib
- bottom plate
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- osteotomy
- tip
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- 230000000399 orthopedic effect Effects 0.000 title claims abstract description 18
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 11
- 241000761557 Lamina Species 0.000 claims abstract description 3
- 230000006978 adaptation Effects 0.000 claims abstract description 3
- 229910000831 Steel Inorganic materials 0.000 claims description 15
- 239000010959 steel Substances 0.000 claims description 15
- QTCANKDTWWSCMR-UHFFFAOYSA-N costic aldehyde Natural products C1CCC(=C)C2CC(C(=C)C=O)CCC21C QTCANKDTWWSCMR-UHFFFAOYSA-N 0.000 claims 1
- ISTFUJWTQAMRGA-UHFFFAOYSA-N iso-beta-costal Natural products C1C(C(=C)C=O)CCC2(C)CCCC(C)=C21 ISTFUJWTQAMRGA-UHFFFAOYSA-N 0.000 claims 1
- 238000012829 orthopaedic surgery Methods 0.000 claims 1
- 238000002513 implantation Methods 0.000 abstract description 2
- 210000004072 lung Anatomy 0.000 abstract description 2
- 230000008816 organ damage Effects 0.000 abstract description 2
- 230000000451 tissue damage Effects 0.000 abstract description 2
- 210000000988 bone and bone Anatomy 0.000 description 4
- 210000000078 claw Anatomy 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000006073 displacement reaction Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 206010039722 scoliosis Diseases 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 210000000115 thoracic cavity Anatomy 0.000 description 2
- 208000027790 Rib fracture Diseases 0.000 description 1
- 241000283984 Rodentia Species 0.000 description 1
- 230000003044 adaptive effect Effects 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 230000001045 lordotic effect Effects 0.000 description 1
- 210000004224 pleura Anatomy 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
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Abstract
The utility model discloses a disconnected end linking bridge after rib osteotomy among spinal orthopedic surgery, set up the bottom plate, the arc pterygoid lamina, the tip riser and the locating part who connects the rib, left part and the right part at the bottom plate do not are equipped with a set of arc pterygoid lamina, every group arc pterygoid lamina has two and symmetrical connection and constitutes the rib connecting plate in both sides about the bottom plate, the inside surface and the rib surface shape looks adaptation of rib connecting plate, the tip riser has two and symmetrical connection on the bottom plate between two sets of arc pterygoid laminas, the tip of tip riser outwards, locating part connects between bottom plate and rib. The utility model has the characteristics of simple structure, operation convenient and fast, connect, protect, prolong to the osteotomy disconnected end. Can increase lung capacity, reduce tissue and organ damage, and avoid secondary operation due to permanent implantation.
Description
Technical Field
The utility model belongs to the technical field of the medical instrument technique and specifically relates to a broken end linking bridge after rib cuts bone among spinal orthopedic operation.
Background
At present, in spinal orthopedic surgery, a large number of scholars at home and abroad support and apply rib osteotomy to the orthopedic treatment of severe stiff scoliosis patients with apical cones located at the thoracic section or the thoracolumbar section. Rib osteotomies are effective to increase spinal flexibility, thereby utilizing derotation and translation forces to correct the scoliosis to a desired degree of correction while restoring sagittal plane physiologic curvature. Rib osteotomies are typically performed by exposing the rib near the apical area and using a rib rongeur to bite the rib outside the transverse rib joint. The inner side of the tube is as close to the transverse process as possible, and the rib is cut off by 5-6 cm. Then, the spine deformity segment is subjected to a spinal three-dimensional orthopedic internal fixation method such as distraction, pressurization, derotation and the like.
In the prior art, as for the application of rib-related internal fixtures in rib osteotomy, an operator selects to place a broken end of a rib without taking any supporting measures. The broken ends of the ribs are sharp and contact with the pleura, so that the risk of tissue and organ injury caused by displacement exists. Meanwhile, although the free ribs can achieve the spinal column orthopedic effect, the free ribs are not beneficial to maintaining the shape of the thorax. The most advanced and widely used intra-rib fixture known at present is the rib claw steel plate. Although the literature reports that the rib claw steel plate can obtain good curative effect in the treatment of rib fracture of normal people, the effect is not ideal in the application of lengthening and shortening deformed ribs. The main reason is that the steel plates are implanted to align the fractured stumps of the ribs so as to achieve the aim of anatomical healing. However, because the steel plate is fixed with the side rib non-deformable short claws only through the anchor bolts, the rib claw type steel plate is too simple in structure and cannot be fully attached to the rib which is deformed originally, and therefore the stub is unstable. This instability is exacerbated by the fact that the rib stump is not connected when the lordotic rib of the spine is extended.
SUMMERY OF THE UTILITY MODEL
The technical problem to be solved by the utility model is to provide a broken end connecting bracket after rib osteotomy in spinal orthopedic surgery, which can keep adaptive physiological curvature with the ribs at both sides, and improve the fitting degree; has the characteristics of simple structure, convenient and quick operation and improvement of the connection strength and stability of the rib osteotomy end.
Solve above-mentioned technical problem, the utility model discloses the technical scheme who adopts is: the broken end connecting support comprises a bottom plate, arc wing plates, a pointed vertical plate and a positioning component for connecting ribs, wherein the left part and the right part of the bottom plate are respectively provided with a group of arc wing plates, each group of arc wing plates are provided with two arc wing plates which are symmetrically connected to the upper side and the lower side of the bottom plate to form a rib connecting plate, the inner surface of the rib connecting plate is matched with the surface shape of the ribs, the pointed vertical plate is provided with two arc wing plates which are symmetrically connected to the bottom plate between the two groups of arc wing plates, the pointed end of the pointed vertical plate faces outwards, and the positioning component is connected between the bottom plate and the ribs.
According to the broken end connecting bracket after rib osteotomy in the spinal orthopedic surgery, the positioning component is a screw which penetrates through the bottom plate to be connected with the rib.
According to the broken end connecting support after rib osteotomy in the spinal orthopedic surgery, the positioning component is a hook steel plate, hooks are arranged at two ends of the hook steel plate, the middle of the hook steel plate is fixedly connected with the bottom plate between the pointed end vertical plates, and the hooks are connected with drill holes in ribs.
The broken end connecting support after rib osteotomy in the spinal orthopedic surgery further comprises a base plate, wherein the base plate is fixedly connected below the pointed end vertical plate, and the pointed end vertical plate is fixedly connected with the bottom plate through the base plate.
According to the broken end connecting support after rib osteotomy in the spinal orthopedic surgery, the heads of the two ends of the bottom plate extend out of the outer sides of the arc-shaped wing plates.
The utility model provides a pair of disconnected end linking bridge after rib cuts bone among spinal orthopedic operation has set up bottom plate, arc pterygoid lamina, tip riser and the locating part who connects the rib the left part and the right part of bottom plate do not are equipped with a set of arc pterygoid lamina, and every group arc pterygoid lamina has two and symmetrical connection and constitutes the rib connecting plate in both sides about the bottom plate, the inside surface and the rib surface shape looks adaptation of rib connecting plate, the tip riser has two and symmetrical connection on the bottom plate between two sets of arc pterygoid laminas, and the tip of tip riser is outwards, locating part connects between bottom plate and rib. Has the characteristics of simple structure, convenient and quick operation, and capability of connecting, protecting and prolonging the osteotomy end.
The beneficial technical effects are as follows: 1, preventing related complications such as tissue and organ injury caused by rib broken end displacement; 2, the orthopedic effect of the scoliosis operation is enhanced, and the thoracic shape is maintained while the lung volume is increased; 3, the risk of tissue and organ damage caused by indwelling rib ends is effectively reduced; 4, the permanent implantation can prevent the displacement of the osteotomy end, enhance the stability and avoid the secondary operation caused by the removal of internal fixed objects.
Drawings
Fig. 1 is a schematic structural view of the present invention;
FIG. 2 is a bottom view of FIG. 1;
FIG. 3 is a left side view of FIG. 2;
FIG. 4 is a view A-A of FIG. 1;
FIG. 5 is a schematic structural view of a hook steel plate;
fig. 6 is a schematic structural view of the positioning of the steel hook plate and the ribs.
The parts in the figures are numbered: rib 1, arc pterygoid lamina 2, cusp riser 3, bed plate 4, bottom plate 5, screw 6, couple 7, couple steel sheet 8, rivet 9.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all embodiments of the present invention. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative efforts belong to the protection scope of the present invention.
As shown in figures 1-6, the utility model provides a pair of broken end linking bridge after rib osteotomy among spinal orthopedic surgery, concrete application method is: after the spinal column orthopedic internal fixation is completed, the broken end connecting bracket is implanted. The inner surfaces of the bottom plate 5 and the arc-shaped wing plate 2 are matched with the surface shapes of the ribs 1, so that the connecting bracket and the ribs 1 at two sides can keep the same physiological curvature, and the attaching degree is improved. Therefore, it is necessary to: the connecting supports with proper lengths are selected respectively by comparing the concave side or the convex side of the spine, the radian of the bottom plate 5 is compared and bent in advance, and when the arc wing plates 2 at the two sides are respectively adjusted to be attached to bones at the head and the tail ends (in the direction of a human body) of the ribs 1, the pointed vertical plates 3 are respectively inserted into spongy bones at the residual ends of the ribs 1. The curvature of the bottom plate 5 is adjusted, and finally, the positioning is carried out through a positioning component, and the osteotomy end of the rib 1 can be permanently and stably connected with the connecting bracket by using a screw 6 or a hook steel plate 8.
Appropriate changes and modifications to the embodiments described above will become apparent to those skilled in the art from the disclosure and teachings of the foregoing description. Therefore, the present invention is not limited to the specific embodiments disclosed and described above, and some modifications and changes to the present invention should fall within the protection scope of the claims of the present invention. Furthermore, although specific terms are employed herein, they are used in a generic and descriptive sense only and not for purposes of limitation.
Claims (5)
1. The utility model provides a disconnected end linking bridge after rib osteotomy in spinal orthopaedic surgery which characterized in that: including bottom plate (5), arc pterygoid lamina (2), tip riser (3) and the locating part who connects rib (1) the left part and the right part of bottom plate (5) are equipped with a set of arc pterygoid lamina (2) respectively, and every group arc pterygoid lamina (2) have two and symmetrical connection and constitute the rib connecting plate in both sides about bottom plate (5), the inside surface and the rib surface shape looks adaptation of rib connecting plate, tip riser (3) have two and symmetrical connection on bottom plate (5) between two sets of arc pterygoid laminas (2), the tip of tip riser (3) outwards, locating part connects between bottom plate (5) and rib (1).
2. A rib osteotomy stump attachment bracket according to claim 1, wherein: the positioning component is a screw (6), and the screw (6) penetrates through the bottom plate (5) to be connected with the rib (1).
3. A rib osteotomy stump attachment bracket according to claim 1, wherein: the positioning component is a hook steel plate (8), hooks (7) are arranged at two ends of the hook steel plate (8), the middle of the hook steel plate (8) is fixedly connected with the bottom plate (5) between the pointed end vertical plates (3), and the hooks (7) are connected with drilled holes in the ribs (1).
4. A fractured-end connecting scaffold after rib osteotomy in spinal orthopedic surgery according to claim 2 or 3, wherein: still include bed plate (4), bed plate (4) fixed connection is below tip riser (3), and tip riser (3) pass through bed plate (4) and bottom plate (5) fixed connection.
5. A posterior costal osteotomy fracture end linking scaffold according to claim 4, wherein: the head parts of the two ends of the bottom plate (5) extend out of the outer sides of the arc-shaped wing plates (2).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920982718.3U CN211094597U (en) | 2019-06-27 | 2019-06-27 | Broken end connecting support after rib osteotomy in spinal orthopedic surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920982718.3U CN211094597U (en) | 2019-06-27 | 2019-06-27 | Broken end connecting support after rib osteotomy in spinal orthopedic surgery |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN211094597U true CN211094597U (en) | 2020-07-28 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201920982718.3U Active CN211094597U (en) | 2019-06-27 | 2019-06-27 | Broken end connecting support after rib osteotomy in spinal orthopedic surgery |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN211094597U (en) |
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2019
- 2019-06-27 CN CN201920982718.3U patent/CN211094597U/en active Active
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