CN214231484U - Lateral bone plate for tibial plateau - Google Patents
Lateral bone plate for tibial plateau Download PDFInfo
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- CN214231484U CN214231484U CN202021913810.3U CN202021913810U CN214231484U CN 214231484 U CN214231484 U CN 214231484U CN 202021913810 U CN202021913810 U CN 202021913810U CN 214231484 U CN214231484 U CN 214231484U
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- side wing
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- tibial plateau
- plate body
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Abstract
A lateral bone fracture plate for a tibial plateau comprises a plate-shaped plate body, a first side wing and a second side wing; the two sides of the top of the plate body are respectively and integrally connected with a plate-shaped first side wing and a plate-shaped second side wing; the included angle of the first side wing and the plate body and the included angle of the second side wing and the plate body are consistent with the anatomical form of a human body. And a pillow groove is formed in the wall surface of the second side wing opposite to the first side wing. The defects that the expected treatment effect cannot be achieved by a front-back internal fixation method, and the second-stage restoration loss and fixation failure are easy to occur in the prior art are effectively overcome by combining other structures.
Description
Technical Field
The utility model belongs to the technical field of the coaptation, concretely relates to outside coaptation board for tibial plateau.
Background
The metaphyseal end and articular surface of the proximal end of the tibia, referred to as the anatomical location in orthopaedics as the tibial plateau. The tibial plateau is an important load bearing structure of the knee, and tibial plateau fractures (fractures) are one of the most common fractures in knee trauma. Tibial plateau fractures may be caused by indirect or direct violence. When a high fall is injured, the foot firstly lands on the ground and then falls down to the side, the force is transmitted upwards along the tibia by the foot, the force of the body weight is transmitted downwards by the falling acceleration, the force and the force jointly act on the knee, and the medial or lateral tibial plateau of the tibia collapses and fractures due to the torsional force generated by falling to the side. When violence directly strikes the inside or outside of the knee, the knee joint is everted or inverted, resulting in the fracture of the outside or inside platform or the damage of the ligament. Since tibial plateau fractures are typical intra-articular fractures, their management and prognosis will have a large impact on knee joint function. Tibial plateau fractures are often accompanied by damage to the articular cartilage, knee ligaments, or meniscus, and missing a diagnosis and treatment may cause knee deformity, force lines, or stability problems, resulting in dysfunction of the joint. Thus, diagnosis and treatment of tibial plateau fractures are important issues in knee trauma surgery.
Tibial plateau fracture is always a difficult point of traumatic orthopedic treatment, and particularly the treatment of complex tibial plateau fracture has higher complications and disability rate. Tibial plateau fracture belongs to intra-articular fracture, and needs to achieve anatomical reduction and strong fixation. Especially when the posterior column bone is split or collapsed, the traditional anterior approach incision reduction of the knee and the internal fixation method from the front to the back often cannot achieve the expected treatment effect, and the second-stage reduction loss and the fixation failure are easy to occur.
Disclosure of Invention
In order to solve the problem, the utility model provides an outside coaptation board for tibial plateau has effectively avoided among the prior art knee front side approach to cut the defect that resets and fixed inefficacy often can not reach anticipated treatment, appear resetting of second phase easily by preceding to the internal fixation method backward.
In order to overcome the deficiencies in the prior art, the utility model provides a solution for the outside coaptation board of tibial plateau specifically as follows:
a lateral bone fracture plate for a tibial plateau comprises a plate-shaped plate body 1, a first side wing 2 and a second side wing 3;
the two sides of the top of the plate body 1 are respectively and integrally connected with a plate-shaped first side wing 2 and a plate-shaped second side wing 3;
the included angle of the first side wing 2 and the plate body 1 and the included angle of the second side wing 3 and the plate body 1 are consistent with the anatomical form of a human body.
Further, a pillow groove 4 is formed in the wall surface of the second side wing 3 opposite to the first side wing 2.
Further, a pillow hole 5 is formed in the pillow groove 4.
Furthermore, the plate body 1 is provided with a plurality of through screw holes 6, and the first side wing 2 is provided with more than one through screw hole.
Furthermore, all the screw holes are universal screw holes.
Further, the width of the first side wing 2 is 1.4-2.2 cm; the width of the second side wing 3 is 0.8-1.1 cm.
Further, the length of the plate body 1 is 7.0-15 cm; the distance between two adjacent screw holes on the plate body 1 is 1-1.2 cm.
Further, the included angle between the first side wing 2 and the board body 1 and the included angle between the second side wing 3 and the board body 1 are both 82-100 degrees.
The utility model has the advantages that:
1. the requirement of internal fixation of multiple fracture types at the outer side of the tibial plateau is met by one bone fracture plate;
2. the bone fracture plate fully considers the treatment effectiveness, is convenient to operate, has wide application range and the like,
the operation difficulty is small, the internal fixation effect is good, and the external fracture fixation device is particularly suitable for external fracture of the tibial plateau.
3. The design of the pillow groove or the pillow hole on the second side wing fully reduces the nail placing difficulty while ensuring the internal fixation effect, and the side wing nail placing can be completed only by 1-2 times of CT positioning, thereby reducing the operation difficulty, reducing the operation time and reducing the working intensity of doctors.
Drawings
Fig. 1 is a schematic view of the lateral bone plate for a tibial plateau of the present invention.
Fig. 2 is a schematic diagram of the lateral osteosynthesis plate for tibial plateau of the present invention.
Detailed Description
The knee anterior approach incision reduction in the prior art treats the tibial plateau fracture by an anterior-posterior internal fixation method, and the adoption of the anterior-lateral approach is caused by the fact that a fibula covers the posterior-lateral quadrant of the tibial plateau and the blocking of the structures of the peroneal nerve and the posterior external corner ligament of the knee joint, which leads to the failure of effective reduction and fixation of the type of bone; although the fracture area can be exposed by adopting a posterior approach, the operation wound is large, important vascular nerves are easy to be damaged, and the treatment of the fracture of the anterior-lateral tibial plateau cannot be considered. The method has the advantages that multiple incisions and multiple bone fracture plates are selected for fixation, if a back-side reconstruction support bone fracture plate is used for fixation in a matching mode of a back-side inverted L-shaped approach, although the fixation effect is good, the operation trauma is large, and the functional recovery of the knee joint after the operation is seriously influenced. If the articular surface does not reach the anatomical reduction, complications such as knee joint instability, traumatic arthritis and the like occur after the operation, which leads to the knee joint dysfunction and the life quality of patients to be reduced.
The present invention will be further described with reference to the accompanying drawings and examples.
As shown in fig. 1-2, a lateral bone plate for a tibial plateau includes a plate-shaped plate body 1, a first side wing 2 and a second side wing 3; the two sides of the top of the plate body 1 are respectively and integrally connected with a plate-shaped first side wing 2 and a plate-shaped second side wing 3; the included angle of the first side wing 2 and the plate body 1 and the included angle of the second side wing 3 and the plate body 1 are consistent with the anatomical form of a human body. And a concave pillow groove 4 is formed in the wall surface of the second side wing 3 opposite to the first side wing 2. A through type pillow hole 5 is arranged in the pillow groove 4. The plate body 1 is provided with a plurality of through screw holes 6, and the first side wing 2 is provided with more than one through screw hole. All the screw holes are universal screw holes. The width of the first side wing 2 is 1.4-2.2 cm; the width of the second side wing 3 is 0.8-1.1 cm. The length of the plate body 1 is 7.0-15 cm; the distance between two adjacent screw holes on the plate body 1 is 1-1.2 cm. The included angle between the first side wing 2 and the plate body 1 and the included angle between the second side wing 3 and the plate body 1 are both between 82 and 100 degrees.
Therefore, the screw nail head 7 penetrating from the screw hole on the first side wing is fixed in the way of the pillow groove or the pillow hole, the nail placing operation can be completed without complex positioning, the operation is convenient, and the operation time is saved. The pillow groove or the pillow hole is arranged to effectively bear the downward pressure generated above, the pillow is designed according to the characteristics of the fracture of the outer side of the tibial plateau, and the problems of broken bones, collapse and other fixing failures caused by the pressure above in the prior art are solved. The first side wing is provided with a universal screw hole, the nail placing direction can be flexibly selected according to the injury condition of a patient, and the design of the pillow groove and the pillow hole of the second side wing is combined, so that the screw is suitable for different fracture section types.
Having thus described the present invention by way of example, it will be appreciated by those skilled in the art that the present disclosure is not limited to the embodiments described above, and that various changes, modifications and substitutions may be made without departing from the scope of the invention.
Claims (6)
1. A lateral bone fracture plate for a tibial plateau is characterized by comprising a plate-shaped plate body, a first side wing and a second side wing;
the two sides of the top of the plate body are respectively and integrally connected with a plate-shaped first side wing and a plate-shaped second side wing;
the included angle between the first side wing and the plate body and the included angle between the second side wing and the plate body are consistent with the anatomical form of a human body;
a pillow groove is formed in the wall surface of the second side wing opposite to the first side wing;
a pillow hole is formed in the pillow groove.
2. Lateral osteosynthesis plate for a tibial plateau according to claim 1, characterized in that said plate body 1 is provided with a plurality of through screws and said first lateral wing is provided with more than one through screw.
3. The lateral bone plate for a tibial plateau of claim 2, wherein all of said screw holes are gimbaled screw holes.
4. A lateral bone plate for a tibial plateau according to claim 2, wherein the width of the first lateral wing is 1.4-2.2 cm; the width of the second side wing is 0.8-1.1 cm.
5. A lateral bone plate for a tibial plateau according to claim 2, wherein the length of the plate body is 7.0-15 cm; the distance between two adjacent screw holes on the board body is 1-1.2 cm.
6. A lateral osteosynthesis plate for a tibial plateau according to claim 2, characterised in that the angle between said first flank and said plate body and the angle between said second flank and said plate body are both comprised between 82 and 100 degrees.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202021913810.3U CN214231484U (en) | 2020-09-04 | 2020-09-04 | Lateral bone plate for tibial plateau |
Applications Claiming Priority (1)
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CN202021913810.3U CN214231484U (en) | 2020-09-04 | 2020-09-04 | Lateral bone plate for tibial plateau |
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CN214231484U true CN214231484U (en) | 2021-09-21 |
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CN202021913810.3U Active CN214231484U (en) | 2020-09-04 | 2020-09-04 | Lateral bone plate for tibial plateau |
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2020
- 2020-09-04 CN CN202021913810.3U patent/CN214231484U/en active Active
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