CN217828036U - Clavicle far-end bone fracture plate with coracoclavicular ligament reconstruction hole - Google Patents

Abstract

The utility model discloses a clavicle distal end coaptation board with coracoclavicular ligament rebuilds hole, including coaptation board body, the coaptation board body is whole to be the S type, accords with clavicle distal end anatomical structure, the coaptation board body divide into far shoulder lock joint section, interlude and nearly shoulder lock joint section, far shoulder lock joint section from left to right is equipped with far shoulder lock ke shi needle hole, far shoulder lock locking hole and sliding hole in proper order, left to right open on the interlude and has middle locking hole and ligament to rebuild the hole, middle locking hole is equipped with a plurality ofly, opens between the adjacent middle locking hole and has middle ke shi needle hole, it has nearly shoulder lock locking hole to open on the nearly shoulder lock joint section, nearly shoulder lock joint section right-hand member has a plurality of nearly shoulder lock ke shi needle holes along peripheral opening. The width and the curvature of the device are designed according to the anatomy structure at the far end of the clavicle, and the locking plate is dissected, so that the locking plate can be tightly attached to the surface of the clavicle without shaping in the operation, the strength of the bone fracture plate can not be reduced, and the operation time can not be prolonged.

Description

Clavicle far-end bone fracture plate with coracoclavicular ligament reconstruction hole

Technical Field

The utility model relates to the technical field of medical equipment, concretely relates to clavicle distal end coaptation board with coracoclavicular ligament rebuilds hole.

Background

Bones of all parts of the body can be fractured due to trauma or other reasons, and the injured bones need to be repaired timely and correctly after fracture. Locking bone plates are a common type of intra-osseous fixation implant used in surgical fracture surgery. The existing reconstruction bone fracture plate is easy to be poor in plasticity, so that the bone fracture plate can not fix bones firmly, the bones are twisted, the healing period of a patient is prolonged, and the anatomical locking bone fracture plate is mostly adopted. Clavicle fracture is one of the common fractures of human body, can occur at the near end, the far end and the middle section of the clavicle, can occur in all age groups, and is manifested by pain, swelling, limited movement of shoulder joints and the like at the fracture part. When the fracture condition is serious, the clavicle fracture plate is adopted to carry out incision reduction internal fixation operation treatment, so that the reduction and the stability of the fracture end are maintained, and the healing of the fracture is accelerated. And clinically, the clavicle distal fracture is often combined with acromioclavicular joint dislocation, and the coracoclavicular ligament reconstruction is a recommended treatment mode for patients with severe acromioclavicular joint dislocation combined with coracoclavicular ligament injury. The current coracoclavicular ligament reconstruction usually requires drilling bone passages on the clavicle and the coracoid process respectively, and then suspending fixation with small steel plates in combination with ropes respectively. The existing clavicle far-end bone fracture plate has many defects, for example, the bone fracture plate is positioned and temporarily fixed without a kirschner wire hole at the near end, so that the bone fracture plate is easy to shift when being fixed; the bone fracture plate has no sliding hole, so that the fracture end cannot be further adjusted and can be finely adjusted when being locked, and the anatomical reduction effect can be better achieved; the middle of the bone fracture plate is not provided with a Kirschner wire hole, so that small bone blocks cannot be fixed; the problems of shoulder joint dislocation and coracoid clavicle fracture cannot be solved. Therefore, a new clavicular distal bone plate is needed to solve the above problems.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a clavicle distal end coaptation board with coracoid clavicle reconstruction hole to solve the problem of mentioning in the background art. In order to achieve the above object, the utility model provides a following technical scheme: the clavicle far-end bone fracture plate with the coracoclavicular ligament reconstruction hole comprises a bone fracture plate body, wherein the bone fracture plate body is integrally S-shaped, has gradually changed sagittal plane S shape and coronal plane S shape, and accords with the anatomical structure of the clavicle far end, the bone fracture plate body is divided into a far shoulder clavicle joint section, a middle section and a near shoulder clavicle joint section, the near shoulder clavicle joint section is of a curved surface structure, the far shoulder clavicle joint section is sequentially provided with a far shoulder clavicle pin hole, a far shoulder clavicle locking hole and a sliding hole from left to right, the far shoulder clavicle pin hole is positioned at the left end part of the far shoulder clavicle joint section, the middle section is provided with a middle locking hole and a ligament reconstruction hole from left to right, the middle locking holes are provided with a plurality of holes, a middle clavicle locking hole is arranged between adjacent middle locking holes, a plurality of near shoulder clavicle locking holes are arranged on the near shoulder clavicle joint section, and a plurality of near shoulder clavicle locking holes are arranged at the periphery of the near shoulder clavicle locking holes.

Preferably, the ligament reconstruction hole comprises 6 rope holes, and an inter-hole groove is formed between the two rope holes.

Preferably, the back of the middle section is provided with arc-shaped grooves which are positioned at two sides of the middle kirschner wire hole.

Preferably, through grooves are formed in two sides of the space between the distal shoulder lock hole and the sliding hole, the space between the sliding hole and the adjacent middle locking hole, the space between the ligament reconstruction hole and the adjacent middle locking hole, and the space between the ligament reconstruction hole and the proximal shoulder lock hole.

Preferably, a lead groove is formed in the back of the near-shoulder clavicular joint section along the periphery, and the lead groove is communicated with the near-shoulder clavicular kirschner wire hole.

Preferably, the number of the near acromioclavicular locking holes is 6, the diameter of the near acromioclavicular locking holes is 2.7mm, the near acromioclavicular locking holes are arranged in an upper row and a lower row, each row of the near acromioclavicular locking holes is sequentially arranged, and the nail path direction is in a crossed and crossed locking state.

Preferably, the number of the acromioclavicular kirschner wire holes is 6, and the 6 acromioclavicular kirschner wire holes are uniformly distributed along the periphery of the acromioclavicular joint section.

Preferably, the number of the middle locking holes is 5, the diameter of the middle locking holes is 3.5mm, and the middle locking holes are distributed at equal intervals.

Preferably, the left end of the distal shoulder joint segment is a ramp structure.

Preferably, the edge of the bone plate body is of a smooth cambered surface structure.

Preferably, the thickness of the bone plate body is 2.0-3.1mm, the length is 5-20cm, and the width is 1-1.8cm.

The utility model discloses a technological effect and advantage: the width and the curvature of the device are designed according to the anatomy structure of the far end of the clavicle, and the device is an anatomy locking plate, can be tightly attached to the bone surface without shaping in an operation, and can not reduce the strength of the bone fracture plate and prolong the operation time; the adjacent locking holes are spaced at a certain distance, so that the bone fracture plate is strong in integrity and high in strength, and the risk of failure of postoperative internal fixation is reduced; the proximal acromioclavicular joint section, the middle section and the distal acromioclavicular joint section are provided with Kirschner wire holes and locking holes, the hole channels are distributed relatively uniformly, and the clavicle distal end simple and complex fracture treatment device is suitable for simple and complex fractures of clavicle distal ends; the near shoulder clavicle joint section is designed to be a curved surface, and the bone fracture plate is attached to the bone surface, so that the friction injury of tendons, ligaments and soft tissues is reduced; the two sides of the bone fracture plate are provided with the paired through grooves, and the back of the bone fracture plate is provided with the symmetrical arc-shaped grooves, so that the contact area of the bone fracture plate and the bone is reduced, the blood supply barrier caused by compression of the bone fracture plate is reduced, and the occurrence of complications such as infection, bone nonunion and the like is reduced; the bone fracture plate body has the advantages that the horizontal plane S shape and the coronal plane S shape are taken into consideration, the bone fracture plate body is gradual-changing, the anatomy of the clavicle far end is met, the biomechanics principle is met, the bone fracture plate is more favorably attached, and the early healing of fracture is favorably realized; the bone fracture plate body is provided with the sliding hole I and the sliding hole, so that the bone fracture plate can be accurately adjusted left and right, the optimal installation position of the bone fracture plate is determined, the bone fracture plate is more attached to the bone surface by pressurization and fixation, and the fine adjustment of the fracture end can better complete anatomical reduction; the two ends of the bone fracture plate body are provided with Kirschner wire holes which can be used for temporary fixation. The Kirschner wire is placed in the Kirschner wire hole close to the shoulder, so that an operator can judge whether the bone fracture plate is placed at a proper position and whether the placed screw possibly enters the joint cavity; the Kirschner wires are arranged in the Kirschner wire holes of the far acromioclavicular joint part of the bone plate, which are far away from the acromioclavicular joint part, penetrate through the cortical bone of the clavicle, can be used for finely adjusting the position of the bone plate to assist in fixing the bone plate in the middle of the clavicle, and the Kirschner wire holes are arranged on the middle section and can be used for fixing special fractures (such as broken bone blocks) or temporarily fixing the vicinity of fracture lines; the distal shoulder locking joint section is provided with a distal shoulder locking kirschner wire hole, a distal shoulder locking hole and a sliding hole, a kirschner wire is arranged in the distal shoulder locking kirschner wire hole so as to be convenient for determining the position of the distal shoulder locking joint section of the bone plate, the sliding hole assists in further fixing the distal shoulder locking joint section of the bone plate and pressurizing to enable the distal shoulder locking joint section of the bone plate to be attached to the bone surface, and finally a locking screw is arranged in the distal shoulder locking hole to be stably locked and fixed. The bone fracture plate far shoulder clavicle joint sections are fixed by matching with each other, so that the operation time of an operator is reduced, the occurrence of repeated drilling is avoided, and the iatrogenic injury is reduced; the device can solve the problems of clavicle far-end fracture, dislocation of shoulder joints and fracture of coracoid clavicle ligament, is used for coracoid clavicle reconstruction, and can achieve corresponding anatomical reduction and biomechanical effect (elasticity and mobility of ligament) by being combined with a rope.

Drawings

FIG. 1 is a front view of the present invention;

FIG. 2 is a back view of the present invention;

FIG. 3 is a side view of the present invention;

fig. 4 is a schematic view of the ligament reconstruction hole of the present invention;

fig. 5 and 6 are schematic views of the operation of the present invention.

In the figure: 1-a bone fracture plate body, 2-a distal acromioclavicular joint section, 3-a middle section, 4-a proximal acromioclavicular joint section, 5-a distal acromioclavicular Kirschner wire hole, 6-a distal acromioclavicular locking hole, 7-a sliding hole, 8-a middle locking hole, 9-a ligament reconstruction hole, 10-a middle Kirschner wire hole, 11-a proximal acromioclavicular locking hole, 12-a proximal acromioclavicular Kirschner wire hole, 13-a lead groove, 14-a slope structure, 15-a through groove, 16-an arc groove, 17-a rope hole and 18-an inter-hole groove.

Detailed Description

In order to make the technical means, the creative features, the objectives and the functions of the present invention easily understood and appreciated, the present invention will be further described with reference to the specific drawings, and in the description of the present invention, unless otherwise specified or limited, the terms "mounted," connected "and" connected "should be understood broadly, and for example, the terms" fixed connection, "detachable connection," integral connection, mechanical connection, and electrical connection may be used; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements.

Example 1

The distal clavicle bone plate with the coracoid clavicle ligament reconstruction hole as shown in fig. 1-3 comprises a bone plate body 1, wherein the bone plate body 1 is integrally S-shaped, has a sagittal plane S shape and a coronal plane S shape, and has a gradual change, and conforms to the anatomical structure of the distal clavicle, the bone plate body 1 is divided into a distal shoulder clavicle joint section 2, a middle section 3 and a proximal shoulder clavicle joint section 4, the proximal shoulder clavicle joint section 4 is a curved surface structure, the distal shoulder clavicle joint section 2 is sequentially provided with a distal shoulder clavicle needle hole 5, a distal shoulder clavicle locking hole 6 and a sliding hole 7 from left to right, the distal shoulder clavicle needle hole 5 is located at the left end of the distal shoulder clavicle joint section 2, the middle locking hole 8 and a ligament reconstruction hole 9 are formed in the middle section 3 from left to right, a plurality of middle locking holes 8 are formed in the middle clavicle locking holes 10 are formed between adjacent middle locking holes 8, a plurality of proximal shoulder clavicle locking holes 11 are formed in the proximal shoulder clavicle joint section 4, and a plurality of proximal locking holes 12 are formed in the proximal shoulder clavicle locking holes 12.

Example 2

The clavicle distal end bone fracture plate with the coracoid clavicle reconstruction hole as shown in fig. 1 to 4 comprises a bone fracture plate body 1, wherein the bone fracture plate body 1 is S-shaped as a whole, has the S-shaped sagittal plane and the S-shaped coronal plane, is gradual-changed, and conforms to the anatomical structure of the clavicle distal end, the edge of the bone fracture plate body 1 is of a smooth cambered surface structure, so that friction injuries and foreign body sensation of tendons, ligaments and soft tissues can be reduced, the thickness of the bone fracture plate body 1 is 2.0 to 3.1mm, the length of the bone fracture plate body is 5 to 20cm, the width of the bone fracture plate body is 1 to 1.8cm, the bone fracture plate body 1 is divided into a distal shoulder clavicle articulation section 2, a middle section 3 and a proximal shoulder clavicle articulation section 4, the proximal shoulder clavicle articulation section 4 is of a curved surface structure, is designed to be thinner, so that the friction injuries of the tendons, the ligaments and the soft tissues can be reduced, the middle section 3 and the distal shoulder clavicle distal articulation section 2 are even in thickness of 2 to 2.0 to 2.5mm, so that the strength of the bone fracture plate body 1 can be ensured, the far shoulder lock joint section 2 is sequentially provided with a far shoulder lock Kirschner wire hole 5, a far shoulder lock locking hole 6 and a sliding hole 7 from left to right, the far shoulder lock Kirschner wire hole 5 is positioned on a slope structure 14 at the left end part of the far shoulder lock joint section 2, cortical bone screws can be placed in the sliding hole 7 for pressurization and fixation, the near end tilting displacement of the bone fracture plate in the operation can be prevented, meanwhile, the bone and the bone fracture plate body 1 are more attached, the middle section 3 is provided with middle locking holes 8 and ligament reconstruction holes 9 from left to right, the middle locking holes 8 are provided with 5, the diameters of the middle locking holes are 3.5mm and are distributed at equal intervals, middle Kirschner wire holes 10 are formed between adjacent middle locking holes 8, the distance between the middle locking holes 8 and the middle Kirschner wire holes 10 is 2-3mm, the middle Kirschner wire holes 10 can temporarily reset and fix broken bone blocks, the ligament reconstruction holes 9 comprise 6 rope holes 17 and are distributed along a rectangle, the upper and lower outlets of the rope holes 17 are arc-shaped spherical surfaces to avoid cutting the rope after the shoulder moves, an interpore groove 18 is arranged between the two rope holes 17, the depth of the interpore groove 18 is 0.7mm, the interpore groove 18 can effectively fix the rope path when the coracoid ligament is rebuilt, thereby avoiding the stimulation to the surrounding soft tissues caused by the overlarge rope displacement and reducing the complications such as pain and infection, the back of the middle section 3 is provided with an arc-shaped groove 16, the arc-shaped grooves 16 are positioned at the two sides of the middle kirschner wire hole 10, the contact area of the bone fracture plate body 1 and the bone can be reduced, the blood supply barrier caused by the compression of the bone fracture plate body 1 can be reduced, the complications such as infection, bone nonunion and bone nonunion can be reduced, the near shoulder lock locking holes 11 are arranged on the near shoulder lock section 4, the near shoulder lock locking holes 11 are provided with 6, the diameter is 2.7mm, the near lock locking holes are arranged in an upper row and a lower row, and each row of 3 near lock locking holes 11 are arranged in turn, the nail path direction is in a cross-locking state, 6 near shoulder-locking Kirschner wire holes 12 are formed in the right end of the near shoulder-locking joint section 4 along the periphery, the near shoulder-locking Kirschner wire holes 12 are positioned on the periphery of the near shoulder-locking hole 11 and are uniformly distributed, a lead wire groove 13 is formed in the near shoulder-locking joint section 4 along the periphery, the lead wire groove 13 is communicated with the near shoulder-locking Kirschner wire holes 12, when soft tissues such as joint capsules, ligaments and tendons are torn, suture is convenient to be conducted, through grooves 15 are formed between the far shoulder-locking hole 6 and the sliding hole 7, between the sliding hole 7 and the adjacent middle locking hole 8, between the ligament reconstruction hole 9 and the adjacent middle locking hole 8 and between the ligament reconstruction hole 9 and the near shoulder-locking hole 11, the through grooves 15 are plastically-shaped, so as to adhere to bone surfaces, and double-cortical fixation of the far shoulder-locking joint section is realized, is beneficial to the function exercise of the affected limb in the early stage and the fracture healing.

The utility model discloses process flow and theory of operation do: a specific fixing mode of a clavicle far-end bone fracture plate with coracoid clavicle reconstruction holes is shown in fig. 5 and 6, firstly, a fracture end is exposed, and the clavicle is dissected and reset; the bone fracture plate body 1 is attached to a clavicle, a Kirschner wire is placed in two near shoulder locking Kirschner wire holes 12 on the rightmost side of the near shoulder locking section 4 to temporarily fix the bone fracture plate body 1, whether the position of the near shoulder locking section 4 of the bone fracture plate body 1 is satisfactory or not is determined, if the position is satisfactory, a cortical bone screw (spongy bone screws can be used by patients with severe fracture crushing or severe osteoporosis) is placed in one of two near shoulder locking holes 11 on the rightmost side of the near shoulder locking section 4 to primarily fix the position of the near shoulder locking section 4 of the bone fracture plate body 1 at the far end of the clavicle, the Kirschner wire is driven into the far shoulder locking Kirschner wire holes 5 for temporarily fixing and finely adjusting the far shoulder locking section 2 of the bone fracture plate body 1, the position of the far shoulder locking section 2 of the bone fracture plate body 1 is determined to be in the middle of the clavicle, the cortical screw is placed into a sliding hole 7 to further pressurize and fix the far shoulder locking section 2, so that the far shoulder locking section 2 is attached to the bone surface of the bone, the far shoulder locking section 2 is removed, the middle locking hole 8 of the middle locking hole is placed in the middle of the far shoulder locking hole, and the left locking hole is reset or the left locking hole is completed, and the left locking hole after the operation is completed, and the left locking hole is reset, and the left locking hole. Finally, the cortical bone or cancellous bone screw placed in the locking hole is replaced by a locking screw, and the cortical bone screw placed in the sliding hole 7 is removed; after the clavicle distal end coaptation board resets the clavicle distal end fracture, confirm the vertical projection position of coracoid process on the clavicle, drill out the fixed orifices of suitable position on the clavicle respectively with the drill bit, connect the coracoid process through multiple internal fixation (can absorb the nail, little rectangular shape coaptation board etc.), realize the fixed of coracoid process end, use the rope hole 17 that the rope both ends passed the suitable position, the fixed orifices that has just drilled out is passed respectively to the subdividing, guarantee that the rope on clavicle distal end coaptation board surface is located the recess between the hole, and the elasticity is proper, knot at last, accomplish the ligament and rebuild.

Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, those skilled in the art can still modify the technical solutions described in the foregoing embodiments or make equivalent substitutions on some technical features, and any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles of the present invention should be included in the scope of the present invention.

Claims (11)

1. The utility model provides a clavicle distal end coaptation board with coracoclavicular ligament rebuilds hole, includes the coaptation board body, its characterized in that: the bone fracture plate body is integrally S-shaped, the sagittal plane S shape and the coronal plane S shape are considered, the bone fracture plate body is gradually changed and accords with a clavicle far-end anatomical structure, the bone fracture plate body is divided into a far acromioclavicular joint section, a middle section and a near acromioclavicular joint section, the near acromioclavicular joint section is of a curved surface structure, the far acromioclavicular joint section is sequentially provided with a far acromioclavicular pin hole, a far acromioclavicular locking hole and a sliding hole from left to right, the far acromioclavicular pin hole is positioned at the left end part of the far acromioclavicular joint section, the middle section is provided with a middle locking hole and a ligament reconstruction hole from left to right, the middle locking holes are provided with a plurality of middle locking holes, a middle locking hole is formed between adjacent middle locking holes, a plurality of near acromioclavicular locking holes are formed on the near acromioclavicular joint section, a plurality of near acromioclavicular pin holes are formed at the right end of the near acromioclavicular joint section along the periphery, and the near acromioclavicular pin holes are formed at the periphery of the near locking hole.

2. A distal clavicle plate with coracoid clavicular ligament reconstruction hole as claimed in claim 1, wherein: the ligament is rebuild the hole and is included 6 rope holes, is equipped with the interbore recess between two the rope hole.

3. A clavicle distal bone plate with coracoid clavicular ligament reconstruction hole as in claim 1, wherein: the back of the middle section is provided with arc-shaped grooves which are positioned at two sides of the middle Kirschner wire hole.

4. A clavicle distal bone plate with coracoid clavicle reconstruction hole according to any one of claims 1 or 3 wherein: through grooves are formed in the two sides of the far shoulder lock locking hole, the sliding hole, the middle locking hole adjacent to the sliding hole, the ligament reconstruction hole and the middle locking hole adjacent to the ligament reconstruction hole, and the ligament reconstruction hole and the shoulder-close locking hole.

5. A clavicle distal bone plate with coracoid clavicular ligament reconstruction hole as in claim 1, wherein: and the back of the near acromioclavicular joint section is provided with a lead groove along the periphery, and the lead groove is communicated with the near acromioclavicular kirschner wire hole.

6. A clavicle distal bone plate with coracoid clavicular ligament reconstruction hole as in claim 1, wherein: the number of the near acromioclavicular locking holes is 6, the diameter of the near acromioclavicular locking holes is 2.7mm, the near acromioclavicular locking holes are arranged in an upper row and a lower row, each row of the near acromioclavicular locking holes is sequentially arranged, and the nail path direction is in a cross-locking state.

7. A clavicle distal bone plate with coracoid clavicular ligament reconstruction hole as in claim 1, wherein: the number of the near-shoulder clavicular Kirschner wire holes is 6, and the near-shoulder clavicular wire holes are uniformly distributed along the periphery of the near-shoulder clavicular joint section.

8. A clavicle distal bone plate with coracoid clavicular ligament reconstruction hole as in claim 1, wherein: the middle locking hole is equipped with 5, and the diameter is 3.5mm, and the equidistance distributes.

9. A distal clavicle plate with coracoid clavicular ligament reconstruction hole as claimed in claim 1, wherein: the left end of the far shoulder joint locking section is of a slope structure.

10. A distal clavicle plate with coracoid clavicular ligament reconstruction hole as claimed in claim 1, wherein: the edge of the bone fracture plate body is of a smooth cambered surface structure.

11. A distal clavicle plate with coracoid clavicular ligament reconstruction hole as claimed in claim 1, wherein: the thickness of the bone fracture plate body is 2.0-3.1mm, the length is 5-20cm, and the width is 1-1.8cm.

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