CN216777202U - Combined clavicle far-end fracture internal fixation device - Google Patents

Combined clavicle far-end fracture internal fixation device Download PDF

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Publication number
CN216777202U
CN216777202U CN202123393401.2U CN202123393401U CN216777202U CN 216777202 U CN216777202 U CN 216777202U CN 202123393401 U CN202123393401 U CN 202123393401U CN 216777202 U CN216777202 U CN 216777202U
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clavicle
body part
hook
plate body
fixing hole
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CN202123393401.2U
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Chinese (zh)
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敖荣广
菅振
张翀景
仲泽远
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Shanghai Pudong Hospital Fudan University Pudong Medical Center
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Shanghai Pudong Hospital Fudan University Pudong Medical Center
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Abstract

The utility model relates to a combined clavicle far-end fracture internal fixation device, which comprises: the hook body portion is S type, at least one first thread fixing hole has been seted up to the head of hook body portion, the centre is hollow out construction, the distal end of plate body portion is wide head, the adjacent border department of the distal end tip of plate body portion is provided with sheet structure, the structural second thread fixing hole that corresponds with first thread fixing hole that has seted up of sheet, sheet structure inserts in the hollow out construction, and utilize set screw to wear to establish first thread fixing hole and correspond second thread fixing hole and form the joint portion with fixed, the near-end of plate body portion is the stalk portion, be equipped with 6 pieces of fixed screw holes and 9 pieces of kirschner wire holes that can carry out kirschner wire temporary fixation on the wide head of plate body portion, 2-5 pieces of concurrently used type screw holes have been seted up to the stalk portion of plate body portion. The clavicle hook steel plate can be independently used as a clavicle far-end locking steel plate, can be used as a clavicle hook steel plate after being combined, has the common characteristics of the clavicle hook steel plate and the clavicle shoulder peak end steel plate, reduces resource waste and improves the success rate of the operation.

Description

Combined clavicle far-end fracture internal fixation device
Technical Field
The utility model relates to the technical field of medical instruments, in particular to a combined clavicle far-end fracture internal fixation device.
Background
The acromioclavicular joint has important significance on the dynamics of the upper limb. It provides a 60-degree range of motion in 180-degree abduction of the upper limbs together with the sternoclavicular joint and participates in the forward flexion and backward extension movements of the shoulder joints. Therefore, people pay more attention to the treatment of acromioclavicular joint injury. A distal clavicle fracture refers to a fracture occurring at the outer clavicle end 1/3 with an incidence rate of approximately 25% of clavicle fractures. The clavicle far-end fracture is more common in young people, and the injury reason is usually medium-energy or high-energy trauma such as sports injury, traffic injury and the like; elderly patients are often caused by low-energy trauma such as falls. A common injury mechanism is a violent impact on the shoulder during a fall.
For adult fractures, the clinically common type of typing is Neer type. Based on the important effect of the coracoid clavicle on the stability of the proximal clavicle fracture block, the Neer type is divided into three types, i.e. the coracoid clavicle is displaced outside the coracoid clavicle, and the coracoid clavicle is complete, so the fracture displacement is generally light; type II, fracture of coracoid clavicle attached to a proximal fracture block, wherein the proximal fracture block is extremely unstable in the vertical direction due to loss of continuity of the coracoid clavicle; type III, intraacromioclavicular fracture with intact coracoid ligament, which is rare and generally stable, but may cause traumatic arthritis of acromioclavicular joint
The incidence of bone nonunion of displaced and unstable clavicle distal fracture is high, wherein the incidence of bone nonunion of Neer II clavicle distal fracture can reach 33 percent, proximal bone blocks are displaced upwards and backwards due to the fracture of coracoid clavicle and the traction of trapezius muscle, and distal bone blocks are displaced inwards and downwards due to the influence of the weight of upper limbs and the like, so that the fracture deformity healing and the bone nonunion are easily caused. In order to prevent the bone nonunion and pain of the fracture and obtain good curative effect, a plurality of scholars recommend surgical treatment. The surgical treatment method comprises percutaneous kirschner wire fixation, tension band fixation, coracoid clavicle reconstruction, cortical bone screw fixation, steel plate fixation, coracoid clavicle reconstruction, clavicle hook steel plate fixation and the like, and has no golden standard. At present, clinically, for the displacement fracture with large fracture block at the far end of the clavicle, the clavicle shoulder peak end is mostly fixed by a locking steel plate; if the far-end fracture block is smaller, the hook steel plate is adopted for treatment. However, the distal bone fragments are broken during the operation, and the clavicle shoulder peak end steel plate cannot meet the effect of stable fixation, so that the clavicle distal end steel plate and the clavicle hook steel plate are often prepared during the preoperative preparation, and the waste of resources is caused.
In view of the above, there is a need in the art for an internal fixation device for distal clavicle fractures that combines the features of a clavicle hook plate and a clavicle shoulder peak plate.
SUMMERY OF THE UTILITY MODEL
The technical problem to be solved by the utility model is as follows: when preoperative preparation of the clavicle acromion fracture is performed, a clavicle distal end steel plate and a clavicle hook steel plate are generally required to be prepared at the same time, preoperative disinfection and biological monitoring are performed, only one instrument is used in the operation, and unnecessary resource waste is caused; some distal clavicle fractures with large distal fracture blocks are prepared before operation by locking a steel plate at the shoulder peak of the clavicle for fixation, but bone blocks are broken during the fixation in the operation, and the distal clavicle cannot be stably fixed. The utility model provides a combined clavicle distal end fracture internal fixation device which has the common characteristics of a clavicle hook steel plate and a clavicle shoulder peak end steel plate, reduces resource waste and improves the success rate of surgery.
The utility model solves the technical problems through the following technical scheme:
the utility model provides a combined clavicle far-end fracture internal fixation device which is characterized by comprising a hook part and a plate part, the hook body part is S-shaped, the head part of the hook body part is provided with at least one first thread fixing hole, the middle part of the hook body part is of a hollow structure, the far end of the plate body part is a wide head part, a thin sheet structure is arranged at the adjacent edge of the far end part of the plate body part, the sheet structure is provided with a second thread fixing hole corresponding to the first thread fixing hole, the sheet structure is inserted into the hollow structure, and a fixing screw is used for penetrating the first thread fixing hole and the corresponding second thread fixing hole to form a combining part, the near end of the plate body part is a handle part, the wide head part of the plate body part is provided with 6 fixing screw holes and 9 Kirschner wire holes capable of temporarily fixing Kirschner wires, and the handle part of the plate body part is provided with 2-5 dual-purpose screw holes.
Preferably, the curvature of the head portion of the hook body portion connecting with the middle section portion is 100-120 °, the curvature of the tail portion of the hook body portion connecting with the middle section portion is 90 °, and the hook body portion can be firmly hooked under the shoulder peak.
Preferably, the shank of the plate body is provided with 3 dual-purpose screw holes, and each dual-purpose screw hole is a coupling hole formed by communicating the screw hole with a sliding and pressing fixing hole.
Preferably, the 6 fixing screw holes include 3 combining fixing screw holes arranged close to the hook body portion and in a row and 3 locking fixing screw holes arranged far away from the hook body portion, and each combining fixing screw hole is a combining hole formed by communicating the screw hole with the fixing hole.
Preferably, the hook body part and the plate body part are made of stainless steel or titanium alloy.
On the basis of the common knowledge in the field, the above preferred conditions can be combined randomly to obtain the preferred embodiments of the utility model.
The positive progress effects of the utility model are as follows:
the combined clavicle distal end fracture internal fixation device provided by the utility model can be independently used as a clavicle distal end locking steel plate, can be used as a clavicle hook steel plate after being combined, has the common characteristics of the clavicle hook steel plate and the clavicle shoulder peak end steel plate, reduces the resource waste and improves the success rate of the operation.
Drawings
FIG. 1 is an assembled perspective view of an assembled clavicle distal fracture internal fixation device of the utility model;
FIG. 2 is a disassembled perspective view of a combined clavicle distal fracture internal fixation device of the utility model;
fig. 3 is a perspective view of a combined clavicle distal fracture internal fixation device joint of the present invention.
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 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. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.
As shown in fig. 1-3, the present embodiment provides a combined clavicle distal fracture internal fixation device, which includes a hook portion 1 and a plate portion 2, wherein the hook portion 1 and the plate portion 2 are made of metal materials such as stainless steel or titanium alloy, the hook portion 1 is S-shaped, a curvature radian of a head portion 11 of the hook portion 1 joined to a middle section portion 12 is 100-120 °, a curvature radian of a tail portion 13 of the hook portion 1 joined to the middle section portion 12 is 90 °, the hook portion 1 can be firmly hooked under a shoulder, the head portion 11 of the hook portion 1 is provided with two first threaded fixing holes 31 and a middle hollowed-out structure 32, a distal end of the plate portion 2 is a wide head portion, a thin sheet structure 33 is provided at an adjacent edge of the distal end of the plate portion 2, the thin sheet structure 33 is provided with a second threaded fixing hole 34 corresponding to the first threaded fixing hole 31, the sheet structure 33 is inserted into the hollow structure 32, and two fixing screws 35 are respectively inserted into the first threaded fixing hole 31 and the corresponding second threaded fixing hole 34 to form the combining portion 3.
The near-end of plate body portion 2 is the stalk portion, be equipped with 6 pieces of fixed screw and 9 pieces of ke shi needle holes 21 that can carry out the ke shi needle temporary fixation on the wide big head of plate body portion 2, 6 pieces of fixed screw include be close to hook body portion 1 set up be 3 pieces of combination fixed screw 22 of one row, and keep away from hook body portion 1 set up be 3 pieces of locking fixed screw 23 of one row, each combination fixed screw 22 is the combination hole that screw and fixed orifices intercommunication constitute, and 3 pieces of combination fixed screw 22 can carry out necessary pressurization fixedly. The handle of the plate body part 2 is provided with 3 dual-purpose screw holes 24, each dual-purpose screw hole 24 is a combination hole formed by communicating a screw hole and a sliding pressurizing fixing hole, and locking fixing or pressurizing fixing can be selected in the operation.
The combination part 3 is fixed by 2 fixing screws, so that the firmness and stability of the combination are ensured, and the plate body part can be independently used, and the hook body part 1 and the plate body part 2 can be combined according to the needs in the operation.
The combined part is fixed by 2 fixing screws, and the steel plate body part is independently used and combined to form the clavicle hook steel plate according to the needs in the operation, so that the clavicle hook steel plate can be independently used as a clavicle far-end locking steel plate and arranged above the clavicle far end to fix the fracture of the clavicle far end, the combined clavicle hook steel plate can be used as the clavicle hook steel plate, the hook body part hooks the acromion, and the plate body part is arranged above the clavicle far end.
While specific embodiments of the utility model have been described above, it will be appreciated by those skilled in the art that these are by way of example only, and that the scope of the utility model is defined by the appended claims. Various changes and modifications to these embodiments may be made by those skilled in the art without departing from the spirit and scope of the utility model, and these changes and modifications are within the scope of the utility model.

Claims (5)

1. A combined clavicle far-end fracture internal fixation device is characterized in that the device comprises a hook body part and a plate body part, the hook body part is S-shaped, the head part of the hook body part is provided with at least one first thread fixing hole, the middle part of the hook body part is of a hollow structure, the far end of the plate body part is a wide head part, a thin sheet structure is arranged at the adjacent edge of the far end part of the plate body part, the sheet structure is provided with a second thread fixing hole corresponding to the first thread fixing hole, the sheet structure is inserted into the hollow structure, and a fixing screw is used for penetrating the first thread fixing hole and the corresponding second thread fixing hole to form a combining part, the near end of the plate body part is a handle part, the wide head part of the plate body part is provided with 6 fixing screw holes and 9 Kirschner wire holes capable of temporarily fixing Kirschner wires, and the handle part of the plate body part is provided with 2-5 dual-purpose screw holes.
2. The combined type clavicle distal end fracture internal fixation device as claimed in claim 1, wherein the head part of the hook body part is connected with the middle section part at a bending radian of 100 degrees and 120 degrees, the tail part of the hook body part is connected with the middle section part at a bending radian of 90 degrees, and the hook body part can be firmly hooked under the acromion.
3. The combined type clavicle distal end fracture internal fixation device of claim 1, wherein the handle portion of the plate body portion is provided with 3 dual-purpose screw holes, each of the dual-purpose screw holes is a coupling hole formed by communicating a screw hole and a sliding pressure fixing hole.
4. The combined clavicle distal end fracture internal fixation device of claim 1 wherein the 6 fixation screw holes include 3 combination fixation screw holes arranged close to the hook portion in a row and 3 locking fixation screw holes arranged far from the hook portion in a row, each of the combination fixation screw holes being a combination hole formed by communicating the screw hole and the fixation hole.
5. The combined clavicle distal fracture internal fixation device of claim 1 wherein the hook portion and plate portion are made of stainless steel or titanium alloy.
CN202123393401.2U 2021-12-30 2021-12-30 Combined clavicle far-end fracture internal fixation device Active CN216777202U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202123393401.2U CN216777202U (en) 2021-12-30 2021-12-30 Combined clavicle far-end fracture internal fixation device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202123393401.2U CN216777202U (en) 2021-12-30 2021-12-30 Combined clavicle far-end fracture internal fixation device

Publications (1)

Publication Number Publication Date
CN216777202U true CN216777202U (en) 2022-06-21

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202123393401.2U Active CN216777202U (en) 2021-12-30 2021-12-30 Combined clavicle far-end fracture internal fixation device

Country Status (1)

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CN (1) CN216777202U (en)

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