CN217338794U - Bone fracture plate for treating tendon avulsion of deep flexor digitorum and distal phalanx comminuted fracture - Google Patents

Bone fracture plate for treating tendon avulsion of deep flexor digitorum and distal phalanx comminuted fracture Download PDF

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CN217338794U
CN217338794U CN202220899682.4U CN202220899682U CN217338794U CN 217338794 U CN217338794 U CN 217338794U CN 202220899682 U CN202220899682 U CN 202220899682U CN 217338794 U CN217338794 U CN 217338794U
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plate
avulsion
tendon
fracture
bone
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李斌
杨勇
李峰
陈山林
曹梦琦
黄行健
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Beijing Jishuitan Hospital
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Beijing Jishuitan Hospital
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Abstract

The utility model provides a bone fracture plate for treating avulsion of tendon of deep flexor digitorum and comminuted fracture of distal finger, relating to the technical field of medical appliances. The bone fracture plate for treating the avulsion of the tendon of the deep flexor digitorum and the comminuted fracture of the distal segment finger comprises a T-shaped bone fracture plate body and a tension band channel; a plurality of connecting holes are formed in the T-shaped bone fracture plate; the tension band channel is arranged at one end of the T-shaped bone fracture plate body. The technical effect of improving the treatment effect is achieved.

Description

Bone fracture plate for treating finger deep flexor tendon avulsion and distal phalanx comminuted fracture
Technical Field
The utility model relates to the technical field of medical equipment, particularly, relate to the coaptation board that the fracture was smashed to the distal segment finger to treatment finger deep flexor tendon avulsion.
Background
Deep flexor tendon (FDP) insertion avulsion injury (also known as Jersey Finger) is a common Finger movement injury, divided into 5 types, in which the 5 type Finger FDP avulsion fracture is combined with comminuted fracture of the distal phalanx. The fracture block is divided into a far end, a near end and a palmar side. At present, the first choice of surgical treatment is selected for treating the type of injury, a common fixing method needs to use a kirschner wire to longitudinally fix a far-near end fracture block and a far-interphalangeal joint, in addition, a palm side avulsion bone block needs to be fixed by a drawing method, a polypropylene suture is drawn out from the back side of a deck after the bone block is sutured, and a button is used for knotting to play a pressurizing role. The k-wires and compression buttons are removed and functional exercises are started, typically 6 weeks after surgery. However, the suture drawn from the skin is pressed on the button, and has two problems, namely infection risk, need to be kept dry, regular disinfection and nursing, and the exposed kirschner wire and the risk seriously affect the hand function and the sanitary nursing of the patient; secondly, the button has mechanical compression effect on the nail plate and the nail bed, which causes irreversible deformity of the nail.
In order to reduce the risk of infection and nail deformity in the traditional method, perform early functional exercise and facilitate nursing, researchers try to treat the injuries by adopting internal fixation, however, at present, no bone fracture plate specially designed for the distal phalanx exists, common bone fracture plates with relatively uniform models need to be cut and shaped, and the length and the width of the bone fracture plate, the size of a matched screw and the shape of the distal phalanx cannot be optimally matched. Due to insufficient bone mass, the fixing strength of the metacarpal bone blocks is difficult to meet the requirement of early functional exercise. Resulting in poor therapeutic efficacy.
Therefore, it is an important technical problem to be solved by those skilled in the art to provide a bone fracture plate with good therapeutic effect for treating avulsion of tendon of deep flexor and comminuted fracture of distal phalanx.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a bone fracture plate for treating finger deep flexor tendon avulsion and distal phalanx comminuted fracture to alleviate the poor technical problem of treatment among the prior art.
In a first aspect, the embodiment of the utility model provides a bone fracture plate for treating avulsion of tendon of flexor digitorum profundus and comminuted fracture of distal phalanx, which comprises a T-shaped bone fracture plate body and a tension band channel;
the T-shaped bone fracture plate is provided with a plurality of connecting holes;
the tension band channel is arranged at one end of the T-shaped bone fracture plate body.
With reference to the first aspect, embodiments of the present invention provide a possible implementation manner of the first aspect, wherein the T-shaped bone plate body includes a horizontal plate and a vertical plate;
the horizontal plate and the vertical plate are of an integrated structure;
the connecting holes are formed in both the horizontal plate and the vertical plate, and the tension belt channel is arranged at one end, far away from the horizontal plate, of the vertical plate.
With reference to the first aspect, embodiments of the present invention provide a possible implementation manner of the first aspect, wherein the horizontal plate includes a connecting portion and an inclined portion;
the two ends of the connecting part are connected with the inclined parts, the inclined parts and the connecting part form an angle alpha, and the connecting holes are formed in the inclined parts.
In combination with the first aspect, embodiments of the present invention provide a possible implementation manner of the first aspect, wherein α is greater than or equal to 8 ° and less than or equal to 12 °.
With reference to the first aspect, embodiments of the present invention provide a possible implementation manner of the first aspect, wherein the number of tension band passages is not less than two;
the tension band channels are symmetrically arranged on two sides of the vertical plate along the extending direction of the vertical plate.
In combination with the first aspect, an embodiment of the present invention provides a possible implementation manner of the first aspect, wherein the tension band channel adopts a pipeline.
In combination with the first aspect, an embodiment of the present invention provides a possible implementation manner of the first aspect, wherein the length of the tension band channel is 2mm long, the outer diameter is 1mm, and the inner diameter is 0.5 mm.
With reference to the first aspect, an embodiment of the present invention provides a possible implementation manner of the first aspect, wherein the vertical plate is provided with an adjusting hole, and the adjusting hole is located between the connecting hole on the vertical plate and the horizontal plate;
and the adjusting direction of the connecting piece in the adjusting hole is consistent with the extending direction of the vertical plate.
In combination with the first aspect, embodiments of the present invention provide a possible implementation manner of the first aspect, wherein the adjusting hole adopts an oval hole.
In combination with the first aspect, embodiments of the present invention provide a possible implementation manner of the first aspect, wherein the thickness of the T-shaped bone plate body is between 0.7mm and 0.8 mm.
Has the advantages that:
the embodiment of the utility model provides a bone fracture plate for treating avulsion of tendon of deep flexor digitorum and comminuted fracture of distal phalanx, which comprises a T-shaped bone fracture plate body and a tension band channel; a plurality of connecting holes are formed in the T-shaped bone fracture plate; the tension band channel is arranged at one end of the T-shaped bone fracture plate body.
Specifically, in the operation process, after medical staff adopts the kirschner wire that resets of fracture to fix temporarily, place T shape coaptation board body in distal phalanx palm side, fix T shape coaptation board body on the skeleton at first, then use the polypropylene suture to weave the tendon from the proximal end of palm side bone piece and sew up, the suture passes behind the tension band passageway of T shape coaptation board body distal end and draws tightly knot, reach the effect of tension band, the tension between the bone piece turns into pressure when moving about the joint, increase fixed strength, in order to reach early function exercise, promote fracture healing's requirement, improve treatment.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the embodiments or the prior art descriptions will be briefly described below, it is obvious that the drawings in the following descriptions are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.
Fig. 1 is a schematic view of a bone fracture plate for treating avulsion of tendon of deep flexor digitorum muscle and comminuted fracture of distal finger according to an embodiment of the present invention;
fig. 2 is a side view of the horizontal plate in the bone fracture plate for treating the avulsion of the tendon of the flexor digitorum profundus and the comminuted fracture of the distal phalanx provided by the embodiment of the utility model.
An icon:
a 100-T-shaped bone plate body; 101-a connection hole; 102-a conditioning aperture; 110-a horizontal plate; a 111-connection portion; 112-an inclined portion; 120-vertical plate;
200-tension band channel.
Detailed Description
The technical solution of the present invention will be described clearly and completely with reference to the accompanying drawings, and obviously, 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 work belong to the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", "axial", "radial", "circumferential", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and for simplicity of description, and do not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present invention, "a plurality" means two or more unless specifically limited otherwise.
In the present invention, unless otherwise expressly stated or limited, the terms "mounted," "connected," and "fixed" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; either directly or indirectly through intervening media, either internally or in any other relationship. The specific meaning of the above terms in the present invention can be understood according to specific situations by those skilled in the art.
The present invention will be described in further detail below with reference to specific embodiments and with reference to the attached drawings.
Referring to fig. 1 and 2, an embodiment of the present invention provides a bone plate for treating avulsion of tendon of deep flexor digitorum and comminuted fracture of distal phalanx, comprising a T-shaped bone plate body 100 and a tension band channel 200; a plurality of connecting holes 101 are formed in the T-shaped bone fracture plate; a tension band channel 200 is provided at one end of the T-shaped bone plate body 100.
Specifically, in the operation process, after the medical staff adopts the kirschner wire for fracture reduction to fix temporarily, the T-shaped bone fracture plate body 100 is placed on the palm side of the distal phalanx, the T-shaped bone fracture plate body 100 is firstly fixed on the bone, then the tendon is woven and sutured from the proximal end of the palm side bone block by using a polypropylene suture, the suture is pulled and knotted after passing through the tension band channel 200 at the farthest end of the T-shaped bone fracture plate body 100, the effect of a tension band is achieved, the tension between the bone blocks during joint movement is converted into pressure, the fixing strength is increased, the requirements of early-stage functional exercise and promotion of fracture healing are met, and the treatment effect is improved.
Wherein, the thickness of the T-shaped bone plate body 100 is between 0.7 and 0.8 mm. The thickness of the T-shaped bone plate body 100 may be set to 0.7mm, or the thickness of the T-shaped bone plate body 100 may be set to 0.75mm, or the thickness of the T-shaped bone plate body 100 may be set to 0.8 mm.
When the thickness of the T-shaped bone plate body 100 is set to be 0.75mm, 1.3mm cortical screws can be used in a matched mode, and the length of the cortical screws ranges from 3mm to 10 mm.
Referring to fig. 1 and 2, in an alternative version of the present embodiment, a T-shaped bone plate body 100 includes a horizontal plate 110 and a vertical plate 120; the horizontal plate 110 and the vertical plate 120 are both of an integrated structure; both the horizontal plate 110 and the vertical plate 120 are opened with a connection hole 101, and a tension band passage 200 is provided at one end of the vertical plate 120 far from the horizontal plate 110.
Specifically, the T-shaped bone plate body 100 includes a horizontal plate 110 and a vertical plate 120, and connection holes 101 are opened on both the horizontal plate 110 and the vertical plate 120, so that the T-shaped bone plate body 100 is fixed on the bone of the patient by connection screws.
Referring to fig. 1 and 2, in an alternative of the present embodiment, the horizontal plate 110 includes a connection portion 111 and an inclined portion 112; both ends of the connecting portion 111 are connected with inclined portions 112, the inclined portions 112 and the connecting portion 111 are arranged at an angle α, and the inclined portions 112 are provided with connecting holes 101.
Specifically, because the metacarpal bone block has tendon adhesion, the inclined portion 112 of the horizontal plate 110 has an inclination angle α, which brings two advantages, namely, the T-shaped bone fracture plate body 100 is prevented from extruding the tendon, and the direction of the screw can have better holding force.
Referring to FIGS. 1 and 2, in an alternative to this embodiment, α is 8 ≦ 12.
Specifically, the inclined portion 112 of the horizontal plate 110 may be disposed at an inclination angle of 8 °, in addition, the inclined portion 112 of the horizontal plate 110 may be disposed at an inclination angle of 9 °, in addition, the inclined portion 112 of the horizontal plate 110 may be disposed at an inclination angle of 10 °, in addition, the inclined portion 112 of the horizontal plate 110 may be disposed at an inclination angle of 11 °, in addition, the inclined portion 112 of the horizontal plate 110 may be disposed at an inclination angle of 12 °.
Referring to fig. 1 and 2, in an alternative of the present embodiment, the number of tension band passages 200 is not less than two; the plurality of tension band passages 200 are symmetrically disposed at both sides of the vertical plate 120 in the extending direction of the vertical plate 120.
Specifically, the number of the tension band channels 200 is not less than two, so that stress of the polypropylene suture is balanced, and finger skeleton deflection caused by large stress on one side and small stress on the other side is avoided.
Referring to fig. 1 and 2, in an alternative to this embodiment, the tension band channel 200 is a pipe.
Specifically, the tension band channel 200 may be implemented as a tube through which polypropylene sutures are threaded.
In an alternative to this embodiment, the tension band channel 200 is 2mm long, with an outer diameter of 1mm and an inner diameter of 0.5 mm.
Specifically, the length of the tension band passage 200 may be set to 2mm, the outer diameter may be set to 1mm, and the inner diameter may be set to 0.5 mm.
In addition, the length, outer diameter and inner diameter of the tension band channel 200 can be selected by those skilled in the art according to actual requirements.
Referring to fig. 1 and fig. 2, in an alternative of the present embodiment, an adjusting hole 102 is formed on the vertical plate 120, and the adjusting hole 102 is located between the connecting hole 101 on the vertical plate 120 and the horizontal plate 110; and the adjustment direction of the connector in the adjustment hole 102 coincides with the extending direction of the vertical plate 120.
Specifically, the adjusting holes 102 are formed in the vertical plate 120 of the T-shaped bone fracture plate body 100, and the adjusting holes 102 are formed, so that the T-shaped bone fracture plate body 100 can be adjusted in position, that is, the connecting screws penetrate through the adjusting holes 102 and are screwed into bones of a patient, but are not screwed, medical staff can adjust the position of the T-shaped bone fracture plate body 100 according to conditions, then the connecting screws are screwed, and then the connecting screws are screwed into the connecting holes 101, so that the fixing work is completed.
Referring to fig. 1 and 2, in an alternative embodiment, the adjustment aperture 102 is an oval aperture.
Specifically, the adjustment hole 102 may be an oval hole.
In addition, the adjusting holes 102 may be slotted holes.
In addition, a person skilled in the art can select the shape of the adjusting hole 102 according to actual requirements, and details are not described herein.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it should be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the embodiments of the present invention.

Claims (10)

1. A bone fracture plate for treating finger deep flexor tendon avulsion and distal phalanx comminuted fracture is characterized by comprising: a T-shaped bone plate body (100) and a tension band channel (200);
the T-shaped bone fracture plate is provided with a plurality of connecting holes (101);
the tension band channel (200) is arranged at one end of the T-shaped bone plate body (100).
2. The bone plate for treating avulsion of tendon of deep flexor digitorum and comminuted fracture of distal phalanx according to claim 1, characterized in that the T-shaped bone plate body (100) comprises a horizontal plate (110) and a vertical plate (120);
the horizontal plate (110) and the vertical plate (120) are of an integrated structure;
the connecting holes (101) are formed in both the horizontal plate (110) and the vertical plate (120), and the tension band channel (200) is arranged at one end, far away from the horizontal plate (110), of the vertical plate (120).
3. Bone plate for the treatment of avulsion of tendon of flexor digitorum profundus and comminuted fracture of distal finger according to claim 2, characterized in that said horizontal plate (110) comprises a connecting portion (111) and an inclined portion (112);
both ends of connecting portion (111) all are connected with slope portion (112), just slope portion (112) with both of connecting portion (111) angle alpha sets up, seted up on slope portion (112) connecting hole (101).
4. A bone plate for the treatment of avulsion of tendon of flexor digitorum profundus and comminuted fracture of distal finger according to claim 3, wherein α is 8 ° or more and 12 ° or less.
5. Bone plate for the treatment of avulsion of flexor digitorum profundus tendon and comminuted fracture of distal phalanx according to claim 2, characterized in that the number of tension band channels (200) is not less than two;
the tension band channels (200) are symmetrically arranged on two sides of the vertical plate (120) along the extending direction of the vertical plate (120).
6. Bone plate for the treatment of avulsion of flexor digitorum profundus tendon and comminuted fracture of distal phalanx according to claim 5, characterized in that the tension band channel (200) is a tube.
7. Bone plate for the treatment of avulsion of flexor digitorum profundus tendon and comminuted fracture of distal phalanx according to claim 5, characterized in that the tension band channel (200) has a length of 2mm, an outer diameter of 1mm and an inner diameter of 0.5 mm.
8. The bone plate for treating the avulsion of the tendon of the flexor digitorum profundus and the comminuted fracture of the distal phalanx according to claim 2, characterized in that the vertical plate (120) is provided with an adjusting hole (102), and the adjusting hole (102) is positioned between the connecting hole (101) on the vertical plate (120) and the horizontal plate (110);
and the adjusting direction of the connecting piece in the adjusting hole (102) is consistent with the extending direction of the vertical plate (120).
9. The bone plate for treating avulsion of flexor digitorum profundus tendon and comminuted fracture of distal phalanx according to claim 8, characterized in that the adjusting hole (102) is an oval hole.
10. Bone plate for the treatment of avulsion of the tendon of the deep flexor digitorum and comminuted fracture of the distal phalanx according to any one of claims 1 to 9, characterized in that the thickness of the T-shaped bone plate body (100) is between 0.7 and 0.8 mm.
CN202220899682.4U 2022-04-19 2022-04-19 Bone fracture plate for treating tendon avulsion of deep flexor digitorum and distal phalanx comminuted fracture Active CN217338794U (en)

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CN202220899682.4U CN217338794U (en) 2022-04-19 2022-04-19 Bone fracture plate for treating tendon avulsion of deep flexor digitorum and distal phalanx comminuted fracture

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CN202220899682.4U CN217338794U (en) 2022-04-19 2022-04-19 Bone fracture plate for treating tendon avulsion of deep flexor digitorum and distal phalanx comminuted fracture

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CN217338794U true CN217338794U (en) 2022-09-02

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