JP2003052709A - Cementation tool for thighbone - Google Patents
Cementation tool for thighboneInfo
- Publication number
- JP2003052709A JP2003052709A JP2001250436A JP2001250436A JP2003052709A JP 2003052709 A JP2003052709 A JP 2003052709A JP 2001250436 A JP2001250436 A JP 2001250436A JP 2001250436 A JP2001250436 A JP 2001250436A JP 2003052709 A JP2003052709 A JP 2003052709A
- Authority
- JP
- Japan
- Prior art keywords
- femur
- fixing
- adjusting plate
- fixing plate
- plate portion
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/746—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to a plate opposite the femoral head
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
【０００１】[0001]
【発明属する技術分野】本発明は、大腿骨の転子部や頸
部の骨折を修復するのに使用される大腿骨の接合具に関
する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a femoral joint used for repairing trochanteric or cervical fractures of the femur.
【０００２】[0002]
【従来の技術】大腿骨の転子部周辺の骨折を修復するた
めの大腿骨の接合具として、複数の固定孔を設けた固定
板部とこの固定板部の一端部から斜め外方に延びるスリ
ーブ部を一体に成形し、固定板部に一体のスリーブ部の
支持孔に大腿骨の骨頭部に螺入したラグスクリューを挿
着する形式の大腿骨の接合具は、たとえば、特開平１１
−７６２５９号公報に記載されている。2. Description of the Related Art As a femoral joint for repairing a fracture around a trochanter of a femur, a fixing plate portion having a plurality of fixing holes and an obliquely outward direction extending from one end portion of the fixing plate portion. For example, a joint for a femur in which a sleeve portion is integrally formed and a lag screw screwed into a femoral head of a femur is inserted into a support hole of the sleeve portion integrated with a fixing plate portion is disclosed in, for example, Japanese Patent Application Laid-Open No. HEI11-11011.
-76259.
【０００３】[0003]
【発明が解決しようとする課題】上記形式の接合具は、
スリーブ部の支持孔に大腿骨の骨頭部に螺入したラグス
クリューを挿着した状態で固定板部を大腿骨に固定する
ことで使用されるが、人体の大腿骨は、左右でその形状
が異なり、また、身長により長さも異なるため、大腿骨
の骨折の幅広い症例に対応するためには、複数種類の接
合具を準備し、手術の途中の段階で、これら接合具のう
ちから大腿骨の骨折に適合する接合具を選定しなければ
ならず、また、接合具が適合しない場合には、多少の問
題はあっても、そのまま使用するのが実情であり、場合
によっては術者が器具等を用いて適合する形状に修正し
なけれぱならず、手術をめんどうにしている。本発明
は、上記問題点を解決するものであり、取り扱いが簡単
で大腿骨の骨折の幅広い症例に対応できる大腿骨の接合
具を提供することを目的とする。DISCLOSURE OF INVENTION Problems to be Solved by the Invention
It is used by fixing the fixing plate part to the femur with the lag screw screwed into the femoral head of the femur being inserted into the support hole of the sleeve part. Different and different lengths depending on the height, in order to deal with a wide range of cases of femoral fractures, multiple types of joints should be prepared. It is necessary to select a fitting tool that fits the fracture, and if the fitting tool does not fit, it is the situation that it is used as it is, even if there are some problems. I have to correct the shape by using to make the operation a pain. The present invention solves the above-mentioned problems, and an object of the present invention is to provide a femoral connector that is easy to handle and can be applied to a wide range of cases of femoral fractures.
【０００４】[0004]
【課題を解決するための手段】本発明の大腿骨の接合具
は、大腿骨の上部側面に固定される固定板部とこの固定
板部の一端から斜め外方に延びるスリーブ部とを有する
接合具本体と、この接合具本体の固定板部の上面に一部
がスリーブ部を越えて突出するように取り付けられる調
整板とを有し、調整板は大腿骨の側面に適合する形状を
有し、調整板を交換することで大腿骨の骨折の幅広い症
例に対応できる。A femoral joint of the present invention is a joint having a fixing plate portion fixed to the upper side surface of the femur and a sleeve portion extending obliquely outward from one end of the fixing plate portion. A tool body and an adjusting plate attached to the upper surface of the fixing plate portion of the connector body so as to partially project beyond the sleeve portion, and the adjusting plate has a shape adapted to the side surface of the femur. By changing the adjustment plate, it is possible to handle a wide range of cases of femoral fractures.
【０００５】[0005]
【発明の実施の形態】以下、本発明に係る大腿骨の接合
具の実施の形態を図面を参照して説明する。図１は本発
明に係る大腿骨の接合具をチタン合金で成形された接合
具本体とチタン合金で成形された短い調整板で構成した
分解斜視図を示し、図２は本発明に係る大腿骨の接合具
をチタン合金で成形された接合具本体とチタン合金で成
形された長い調整板で構成した分解斜視図を示す。BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of a femoral joint according to the present invention will be described below with reference to the drawings. FIG. 1 is an exploded perspective view of a femoral connector according to the present invention, which is configured by a connector main body made of a titanium alloy and a short adjusting plate made of a titanium alloy, and FIG. 2 is a femur according to the present invention. FIG. 3 is an exploded perspective view of the joining tool of FIG. 2 which is configured by a joining tool main body formed of a titanium alloy and a long adjusting plate formed of a titanium alloy.
【０００６】図１に示す大腿骨の接合具１は、固定板部
２とこの固定板部２の一端に一体に設けたスリーブ部３
とを有する接合具本体４と、この接合具本体４の固定板
部２の上面に螺着される短い調整板５とから構成されて
いる。短い調整板５は、大腿骨の側面に適合する裏面を
有し、固定板部２の上面に一部がスリーブ部３を越えて
突出するように取り付けられる。The femoral joint 1 shown in FIG. 1 includes a fixing plate portion 2 and a sleeve portion 3 integrally provided at one end of the fixing plate portion 2.
And a short adjusting plate 5 screwed onto the upper surface of the fixing plate portion 2 of the connector main body 4. The short adjusting plate 5 has a back surface adapted to the side surface of the femur, and is attached to the upper surface of the fixing plate portion 2 so that a part thereof protrudes beyond the sleeve portion 3.
【０００７】図２に示す大腿骨の接合具１ａは、固定板
部２とこの固定板部２の一端に一体に設けたスリーブ部
３とを有する接合具本体４と、この接合具本体４の固定
板部２の上面に螺着される長い調整板５ａとから構成さ
れている。長い調整板５ａは、大腿骨の側面からに適合
する形状を有し、固定板部２の上面に短い調整板５より
長い部分がスリーブ部３を越えて突出するように取り付
けられる。図２の接合具本体４は、図１の接合具本体４
と同一構成である。A femoral joint 1a shown in FIG. 2 has a joint body 4 having a fixing plate portion 2 and a sleeve portion 3 integrally provided at one end of the fixing plate portion 2, and the joint body 4 It is composed of a long adjusting plate 5a screwed onto the upper surface of the fixed plate portion 2. The long adjusting plate 5 a has a shape that fits from the side surface of the femur, and is attached to the upper surface of the fixing plate portion 2 such that a portion longer than the short adjusting plate 5 projects beyond the sleeve portion 3. The connector body 4 of FIG. 2 is the connector body 4 of FIG.
It has the same configuration as.
【０００８】上記固定板部２は、凸面をなす上面６と、
大腿骨の上部側面に接するような凹面をなす裏面６ａ
（図３）と、スリーブ部３の近くに設けられたねじ孔７
と、このねじ孔７からスリーブ部３から離れた端側に間
隔を置いて設けられた複数の固定孔８．９，１０を有す
る。固定板部２の上面６には、スリーブ部３に近い端縁
からねじ孔７を越えてねじ孔７に近い固定孔８を含む部
位まで延びる細長い凹部１１が形成されている。凹部１
１の端縁１１ａは、調整板５，５ａに対する位置決め手
段として機能している。The fixed plate portion 2 has a convex upper surface 6 and
Back surface 6a having a concave surface that contacts the upper side surface of the femur
(FIG. 3) and a screw hole 7 provided near the sleeve portion 3.
And a plurality of fixing holes 8.9 and 10 provided at intervals on the end side away from the sleeve portion 3 from the screw hole 7. The upper surface 6 of the fixed plate portion 2 is formed with an elongated concave portion 11 extending from the edge near the sleeve portion 3 to a portion including the fixed hole 8 near the screw hole 7 beyond the screw hole 7. Recess 1
The edge 11a of No. 1 functions as a positioning means with respect to the adjusting plates 5 and 5a.
【０００９】上記スリーブ部３は、固定板部２の一端裏
面から固定板部２から離れるように斜め外方に延びてい
る。スリーブ部３に形成した支持孔１２に、図３に示す
ように、頭部１４とねじ部１５とを有するラグスクリュ
ウ１３が挿着される。スリーブ部３の先端にはラグスク
リュー１３の頭部１４を係止する縮径部が形成されてい
る。The sleeve portion 3 extends obliquely outward from the rear surface of one end of the fixed plate portion 2 and away from the fixed plate portion 2. As shown in FIG. 3, a lug screw 13 having a head portion 14 and a screw portion 15 is inserted into the support hole 12 formed in the sleeve portion 3. A reduced diameter portion that locks the head portion 14 of the lag screw 13 is formed at the tip of the sleeve portion 3.
【００１０】上記短い調整板５は、図１に示すように、
固定板部２に設けた凹部１２に挿入される係合部１６を
有し、係合部１６の先端面を固定板部２に設けた凹部１
１の端縁１１ａに当接させた時、その一部がスリーブ部
３を越えて固定板部２から突出する長さに設定されてい
る。短い調整板５の突出端部２０は固定板部２に連なっ
て大腿骨３０の上部側面に接する程度の長さであり、突
出端部２０の裏面は、固定板部２に続く大腿骨３０の上
部側面に適合する形状をなしている。短い調整板５に
は、接合具本体４のスリーブ部３の支持孔１２および固
定板部２のねじ孔７と固定孔８に対応する固定孔１７，
１８，１９と、突出端部２０に細長い固定孔２１が形成
されている。また、短い調整板５の幅および断面形状は
必要に応じて変動する。The short adjusting plate 5, as shown in FIG.
The recessed portion 1 has an engaging portion 16 to be inserted into a recessed portion 12 provided in the fixed plate portion 2, and the front end surface of the engaging portion 16 is provided in the fixed plate portion 2.
When abutting against the end edge 11a of No. 1, a part of the edge 11a is set to project beyond the sleeve portion 3 and protrude from the fixed plate portion 2. The protruding end portion 20 of the short adjusting plate 5 has such a length that it is continuous with the fixing plate portion 2 and is in contact with the upper side surface of the femur 30, and the back surface of the protruding end portion 20 of the femur bone 30 following the fixing plate portion 2. It has a shape that fits the upper side surface. The short adjusting plate 5 has fixing holes 17 corresponding to the support holes 12 of the sleeve portion 3 of the connector body 4 and the screw holes 7 and fixing holes 8 of the fixing plate portion 2,
Elongated fixing holes 21 are formed in the protruding ends 20 and 18. Moreover, the width and cross-sectional shape of the short adjusting plate 5 are changed as necessary.
【００１１】上記長い調整板５ａは、図２に示すよう
に、大腿骨の側面に適合する形状を有し、固定板部２に
設けた凹部１２に挿入される係合部１６ａを有し、係合
部１６ａの先端面を固定板部２に設けた凹部１１の端縁
１１ａに当接させた時、前期調整板５の突出端部２０よ
り長い突出端部２０ａを形成する長さに設定されてい
る。長い調整板５ａの突出端部２０ａは、固定板部２に
連なって大腿骨３０の上部側面から大腿骨３０の膨出面
に接する程度の長さであり、突出端部２０ａの裏面は、
固定板部２に続く大腿骨３０の上部側面から大腿骨３０
の膨出面までに適合する形状をなしている。調整板５ａ
には、接合具本体４のスリーブ部３の支持孔１２および
固定板部２のねじ孔７および固定孔８に対応する固定孔
１７，１８，１９が形成されている。突出端部２０ａ
は、上記突出端部２０に延出部２２を加えた長さであ
り、固定孔２３と複数の固定孔２４，２４，２４を有す
る。延出部２２の裏面は、大腿骨３０の膨出面に適合す
る形状をなしている。なお、長い調整板５ａは、人体の
大腿骨３０は左右で形状が異なるため、左右の大腿骨３
０の上部側面から大腿骨３０の膨出面までに適合するよ
うに２種類作ることが好ましい。また、長い調整板５ａ
が幅および断面形状は必要に応じて変動する。As shown in FIG. 2, the long adjusting plate 5a has a shape adapted to the side surface of the femur and has an engaging portion 16a which is inserted into the recess 12 provided in the fixing plate portion 2, When the tip end surface of the engaging portion 16a is brought into contact with the end edge 11a of the recess 11 provided in the fixed plate portion 2, the length is set to form the protruding end portion 20a longer than the protruding end portion 20 of the adjusting plate 5 in the previous period. Has been done. The protruding end portion 20a of the long adjusting plate 5a is long enough to be in contact with the bulging surface of the femur 30 from the upper side surface of the femur 30 in a continuous manner with the fixing plate portion 2, and the back surface of the protruding end portion 20a is
From the upper side surface of the femur 30 following the fixing plate portion 2, the femur 30
It has a shape that fits up to the bulging surface. Adjustment plate 5a
Fixing holes 17, 18, and 19 corresponding to the support hole 12 of the sleeve portion 3 of the connector body 4 and the screw hole 7 and the fixing hole 8 of the fixing plate portion 2 are formed in the. Protruding end 20a
Is a length obtained by adding the extending portion 22 to the protruding end portion 20, and has a fixing hole 23 and a plurality of fixing holes 24, 24, 24. The back surface of the extending portion 22 has a shape that matches the bulging surface of the femur 30. The long adjusting plate 5a has different shapes for the left and right femurs 30 of the human body, and therefore the left and right femurs 3 are
It is preferable to make two types so as to fit from the upper side surface of 0 to the bulging surface of the femur 30. Also, a long adjusting plate 5a
However, the width and the cross-sectional shape are changed as needed.
【００１２】本発明に係る大腿骨の接合具は、図１に示
す短い調整板５と接合具本体４からなる構成と、図２に
示す長い調整板５ａと接合具本体４からなる構成と、接
合具本体４のみの構成で使用されるが、調整板５，５ａ
と長さの異なる調整板を別途用意すれば、その数に応じ
て接合具の態様は増大する。The femoral connector according to the present invention comprises a short adjusting plate 5 and a connector main body 4 shown in FIG. 1, and a long adjusting plate 5a and a connector main body 4 shown in FIG. The adjusting plate 5, 5a is used only in the structure of the connector main body 4.
If the adjusting plates having different lengths are separately prepared, the number of modes of the joining tool increases depending on the number.
【００１３】つぎに、本発明による大腿骨の接合具を用
いた大腿骨の骨頭部の骨折を修復する方法を説明する。
大腿骨の骨頭部の骨折の修復に際して、まず、人体の大
腿骨３０の上部に対応する部位を切開し、骨折した骨頭
部３１を大腿骨３０に牽引整復させる。その後、大腿骨
３０の外側面にアングルガイドを当てがい、ガイドピン
をアングルガイドを介して大腿骨頸部から骨頭部３１の
中心に向けて挿入し、骨頭部３１を大腿骨３０に固定す
る。Next, a method of repairing a fracture of the femoral head using the femoral connector according to the present invention will be described.
When repairing a fracture of the femoral head of the femur, first, a site corresponding to the upper portion of the femur 30 of the human body is incised, and the fractured head 31 of the bone is pulled and reduced by the femur 30. After that, an angle guide is applied to the outer side surface of the femur 30, and a guide pin is inserted from the femoral neck toward the center of the femoral head 31 via the angle guide to fix the femoral head 31 to the femur 30.
【００１４】つぎに、骨頭部３１に挿入したガイドピン
を通して、ドリルにより大腿骨３０から骨頭部３１まで
延びる挿入孔を穿設し、穿設した挿入孔にガイドピンを
通してタッピングねじを螺入し、挿入孔のタッピングを
行なう。Next, an insertion hole extending from the femur 30 to the bone head 31 is drilled through the guide pin inserted into the bone head 31, and a tapping screw is screwed into the drilled insertion hole through the guide pin. Tap the insertion hole.
【００１５】つぎに、タッピングねじを挿入孔から取り
外し、ラグスクリュー１３をガイドピンに挿通し、ラグ
スクリュー１３の先端部を挿入孔に導入し、図３に示す
ように、ラグスクリュー１３のねじ部１５を大腿骨３０
の骨頭部３１に螺入する。これにより、骨折された骨頭
部３１が大腿骨３０に連結され、大腿骨の接合具の取り
付け準備段階が終了する。Next, the tapping screw is removed from the insertion hole, the lag screw 13 is inserted through the guide pin, the tip of the lag screw 13 is introduced into the insertion hole, and the screw portion of the lag screw 13 is inserted as shown in FIG. 15 to the femur 30
It is screwed into the bone head 31 of the. As a result, the fractured bone head 31 is connected to the femur 30, and the step of preparing for attachment of the femoral connector is completed.
【００１６】大腿骨の接合具の取り付けに際して、ま
ず、接合具本体４を、骨頭部３１に螺入したラグスクリ
ュー１３の頭部１４を支持孔１２に導入しながら、スリ
ーブ部３を挿入孔に挿入し、固定板部２の裏面６ａを大
腿骨３０の外側面に接触させる。When attaching the femoral joint, first, the sleeve body 3 is inserted into the insertion hole while the joint body 4 is introduced into the support hole 12 of the head 14 of the lag screw 13 screwed into the bone head 31. Then, the back surface 6 a of the fixing plate portion 2 is brought into contact with the outer side surface of the femur 30.
【００１７】接合具本体４の固定板部２を大腿骨３０の
外側面に接触させた段階において、接合具本体４が大腿
骨３０の上部外側面にフィットして配置されている場合
には、大腿骨３０の上部外側面を固定板部２の固定孔
８，９，１０を通してドリリングし、タッピングし、固
定ねじ３２，３３，３４を固定板部２の固定孔８，９，
１０を通して大腿骨３０の上部外側面にねじ込み、接合
具本体４を大腿骨３０の上部外側面に固定する。When the fixing plate portion 2 of the connector main body 4 is brought into contact with the outer side surface of the femur 30 and the connector main body 4 is fitted and arranged on the upper outer side surface of the femur 30, The upper outer surface of the femur 30 is drilled through the fixing holes 8, 9 and 10 of the fixing plate portion 2 and tapped, and the fixing screws 32, 33 and 34 are fixed holes 8 and 9 of the fixing plate portion 2.
The connector main body 4 is fixed to the upper outer side surface of the femur 30 by screwing it through the upper outer side surface of the femur 30 through 10.
【００１８】接合具本体４の固定板部２を大腿骨３０の
外側面に接触させた段階において、接合具本体４が大腿
骨３０の上部外側面にフィットして配置されてない場合
には、図４に示すように、短い調整板５を固定板部２に
設けた凹部１１に、係合部１６の先端が固定板部２の凹
部１１の端縁１１ａに当接するように配置するか、図５
に示すように、長い調整板５ａを固定板部２に設けた凹
部１１に、係合部１６の先端が固定板部２の凹部１１の
端縁１１ａに当接するように配置する。When the fixing plate portion 2 of the connector main body 4 is brought into contact with the outer side surface of the femur 30 and the connector main body 4 is not fitted and arranged on the upper outer side surface of the femur 30, As shown in FIG. 4, the short adjusting plate 5 is arranged in the concave portion 11 provided in the fixed plate portion 2 such that the tip of the engaging portion 16 abuts on the edge 11a of the concave portion 11 of the fixed plate portion 2, or Figure 5
As shown in FIG. 3, the long adjusting plate 5a is arranged in the recess 11 provided in the fixed plate portion 2 so that the tip of the engaging portion 16 contacts the edge 11a of the recess 11 of the fixed plate portion 2.
【００１９】短い調整板５を、図４に示すように、固定
板部２に配置し、短い調整板５が大腿骨３０の上部外側
面にフィットする場合には、短い調整板５の固定孔１
７，１８，１９がスリーブ部３の支持孔１２および固定
板部２のねじ孔７および固定孔８に整合するようにし
て、短い調整板５を取付ねじ２５を介して接合具本体４
の固定板部２に固定する。As shown in FIG. 4, when the short adjusting plate 5 is arranged on the fixing plate portion 2 and the short adjusting plate 5 fits on the upper outer surface of the femur 30, the fixing hole of the short adjusting plate 5 is fixed. 1
7, 18 and 19 are aligned with the support hole 12 of the sleeve portion 3 and the screw hole 7 and the fixing hole 8 of the fixing plate portion 2, respectively, and the short adjusting plate 5 is attached via the mounting screw 25.
It is fixed to the fixing plate portion 2 of.
【００２０】つぎに、大腿骨３０の上部外側面を、固定
板部２の固定孔９，１０、短い調整板５の固定孔１９と
固定板部２の固定孔８および短い調整板５の固定孔２１
を通してそれぞれドリリングし、タッピングし、固定ね
じ３２，３３，３４を固定板部２の固定孔８，９，１０
を通して大腿骨３０の上部外側面にねじ込むとともに、
固定ねじ３５を短い調整板５の固定孔２１を通して大腿
骨３０の上部外側面にねじ込む。短い調整板５の裏面は
大腿骨３０の上部外側面に対応した形状をなしているの
で、接合具本体４と短い調整板５により構成される接合
具１は、大腿骨３０の上部外側面にフィットして固定さ
れる。Next, the upper outer surface of the femur 30 is fixed to the fixing holes 9 and 10 of the fixing plate portion 2, the fixing hole 19 of the short adjusting plate 5, the fixing hole 8 of the fixing plate portion 2 and the short adjusting plate 5. Hole 21
Drilling and tapping through the fixing screws 32, 33, 34 to fix the fixing holes 2, 9, 10 of the fixing plate 2.
Through the outer lateral surface of the femur 30 through
The fixing screw 35 is screwed into the upper lateral surface of the femur 30 through the fixing hole 21 of the short adjusting plate 5. Since the back surface of the short adjusting plate 5 has a shape corresponding to the upper outer surface of the femur 30, the joining tool 1 constituted by the fitting body 4 and the short adjusting plate 5 is attached to the upper outer surface of the femur 30. Fits and is fixed.
【００２１】長い調整板５ａを、図５に示すように、固
定板部２に配置し、長い調整板５ａが大腿骨３０の上部
側面から大腿骨３０の膨出面までフィットしている場合
には、長い調整板５ａを取付ねじ２５を介して長い調整
板５ａの固定孔１７，１８，１９がスリーブ部３の支持
孔１２および固定板部２のねじ孔７および固定孔８に整
合するように接合具本体４に固定する。As shown in FIG. 5, the long adjusting plate 5a is arranged on the fixed plate portion 2, and when the long adjusting plate 5a fits from the upper side surface of the femur 30 to the bulging surface of the femur 30, , So that the fixing holes 17, 18 and 19 of the long adjusting plate 5a are aligned with the support holes 12 of the sleeve portion 3 and the screw holes 7 and 8 of the fixing plate portion 2 via the mounting screws 25. It is fixed to the connector body 4.
【００２２】つぎに、大腿骨３０の上部外側面を、固定
板部２の固定孔９，１０、長い調整板５ａの固定孔１９
と固定板部２の固定孔８および長い調整板５ａの固定孔
２３，２４，２４，２４を通してそれぞれドリリング
し、タッピングし、固定ねじ３２，３３，３４を固定板
部２の固定孔８，９，１０を通して大腿骨３０の上部外
側面にねじ込むとともに、固定ねじ３５を長い調整板５
ａの固定孔２３を通して大腿骨３０の上部外側面にねじ
込み、さらに、固定ねじ３６を長い調整板５ａの固定孔
２４，２４，２４を通して大腿骨３０の膨出面にねじ込
む。長い調整板５ａの裏面は大腿骨３０の上部外側面か
ら膨出面までの形状に対応した形状をなしているので、
接合具本体４と長い調整板５ａにより構成される接合具
１は、大腿骨３０の上部外側面にフィットして固定され
る。Next, the upper outer surface of the femur 30 is fixed to the fixing holes 9 and 10 of the fixing plate portion 2 and the fixing hole 19 of the long adjusting plate 5a.
Through the fixing holes 8 of the fixing plate portion 2 and the fixing holes 23, 24, 24, 24 of the long adjusting plate 5a, respectively, and tapping to fix the fixing screws 32, 33, 34 to the fixing holes 8, 9 of the fixing plate portion 2. , 10 through the upper outer surface of the femur 30 and the fixing screw 35 with the long adjusting plate 5
The fixing screw 23 is screwed into the upper outer surface of the femur 30 through the fixing hole 23 of a, and further, the fixing screw 36 is screwed into the bulging surface of the femur 30 through the fixing holes 24, 24, 24 of the long adjusting plate 5a. Since the back surface of the long adjusting plate 5a has a shape corresponding to the shape from the upper outer surface of the femur 30 to the bulging surface,
The connector 1 including the connector body 4 and the long adjusting plate 5a is fitted and fixed to the upper outer surface of the femur 30.
【００２３】[0023]
【発明の効果】本発明による接合具は、固定板部とスリ
ーブ部とを有する接合具本体と接合具本体に取り付けら
れる調整板とにより構成され、調整板は大腿骨の側面に
適合する形状を有することで、接合具本体を共用するこ
とができ、従来の接合具のように複数種類の接合具を準
備する必要がなく、簡単な操作で大腿骨の骨折の幅広い
症例に対応できる。The connector according to the present invention comprises a connector main body having a fixing plate portion and a sleeve portion, and an adjusting plate attached to the connector main body, and the adjusting plate has a shape adapted to the side surface of the femur. By having this, the joint main body can be shared, and it is not necessary to prepare a plurality of types of joints unlike the conventional joints, and it is possible to handle a wide range of cases of femoral fractures with a simple operation.
【図１】本発明による大腿骨の接合具の分解斜視図。FIG. 1 is an exploded perspective view of a femoral connector according to the present invention.
【図２】本発明による大腿骨の接合具の分解斜視図。FIG. 2 is an exploded perspective view of a femoral connector according to the present invention.
【図３】本発明による大腿骨の接合具を大腿骨に装着し
た状態を示す断面図。FIG. 3 is a cross-sectional view showing a state in which the femoral connector according to the present invention is attached to the femur.
【図４】本発明による図１に示す大腿骨の接合具を大腿
骨に装着した状態を示す断面図。4 is a sectional view showing a state in which the femoral connector shown in FIG. 1 according to the present invention is attached to the femur.
【図５】本発明による図２に示す大腿骨の接合具を大腿
骨に装着した状態を示す断面図。5 is a cross-sectional view showing a state in which the femoral connector shown in FIG. 2 according to the present invention is attached to the femur.
１ 大腿骨の接合具プレート ２ 固定板部 ３ スリーブ部 ５ 調整板 ５ａ 調整板 ２０ 突出端部 ２２ 突出端部 1 Femur connector plate 2 Fixed plate part 3 Sleeve part 5 Adjustment plate 5a Adjustment plate 20 protruding end 22 protruding end
Claims (3)
この固定板部の一端から斜め外方に延びるスリーブ部と
を有する接合具本体と、この接合具本体の固定板部の上
面に一部がスリーブ部を越えて突出するように取り付け
られる調整板とを有し、調整板は大腿骨の側面に適合す
る形状を有することを特徴とする大腿骨の接合具。1. A fitting main body having a fixing plate portion fixed to an upper side surface of a femur and a sleeve portion extending obliquely outward from one end of the fixing plate portion, and an upper surface of the fixing plate portion of the joining tool main body. And an adjusting plate attached to a part of the adjusting plate so as to project beyond the sleeve portion, and the adjusting plate has a shape adapted to a side surface of the femur.
さ、幅および断面形状が異なる複数枚から構成されるこ
とを特徴とする請求項１に記載の大腿骨の接合具。2. The femoral joint according to claim 1, wherein the adjusting plate is composed of a plurality of pieces having different lengths, widths, and sectional shapes protruding beyond the sleeve portion.
ねじ孔とこのねじ孔からスリーブ部から離れた端側に間
隔を置いた複数の固定孔を有し、固定板部の上面にスリ
ーブ部に近い端からねじ孔に近い固定孔まで延びる凹部
が設けられ、調整板は、固定板部に設けた凹部に挿着さ
れる係合部と、接合具本体のスリーブ部の支持孔および
固定板部のねじ孔および固定孔に対応した孔を有するこ
とを特徴とする請求項１または２に記載の大腿骨の接合
具。3. The fixing plate part has a screw hole near the support hole of the sleeve part and a plurality of fixing holes spaced from the sleeve part from the screw hole, the upper surface of the fixing plate part. Is provided with a recess extending from the end close to the sleeve portion to the fixing hole close to the screw hole, and the adjusting plate has an engaging portion to be inserted into the recess provided in the fixing plate portion and a support hole for the sleeve portion of the connector body. The femoral joint according to claim 1 or 2, further comprising a hole corresponding to the screw hole and the fixing hole of the fixing plate portion.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2001250436A JP2003052709A (en) | 2001-08-21 | 2001-08-21 | Cementation tool for thighbone |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2001250436A JP2003052709A (en) | 2001-08-21 | 2001-08-21 | Cementation tool for thighbone |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JP2003052709A true JP2003052709A (en) | 2003-02-25 |
Family
ID=19079252
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2001250436A Withdrawn JP2003052709A (en) | 2001-08-21 | 2001-08-21 | Cementation tool for thighbone |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP2003052709A (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2008532709A (en) * | 2005-03-17 | 2008-08-21 | デピュイ・プロダクツ・インコーポレイテッド | Modular fracture fixation plate system |
| US8062296B2 (en) | 2005-03-17 | 2011-11-22 | Depuy Products, Inc. | Modular fracture fixation plate system with multiple metaphyseal and diaphyseal plates |
| US8394130B2 (en) | 2005-03-17 | 2013-03-12 | Biomet C.V. | Modular fracture fixation system |
| CN105030317A (en) * | 2015-08-24 | 2015-11-11 | 苏州市康力骨科器械有限公司 | Fixing structure of positioning locking steel plate for proximal femur |
| JP2015536733A (en) * | 2012-11-27 | 2015-12-24 | ライト メディカル テクノロジー インコーポレイテッドＷｒｉｇｈｔ Ｍｅｄｉｃａｌ Ｔｅｃｈｎｏｌｏｇｙ， Ｉｎｃ． | Standard fusion plate and compression screw |
| WO2021201318A1 (en) * | 2020-03-31 | 2021-10-07 | 전남대학교산학협력단 | Plate assembly for fixing long bone |
-
2001
- 2001-08-21 JP JP2001250436A patent/JP2003052709A/en not_active Withdrawn
Cited By (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9526543B2 (en) | 2004-11-10 | 2016-12-27 | Biomet C.V. | Modular fracture fixation system |
| US9913671B2 (en) | 2004-11-10 | 2018-03-13 | Biomet C.V. | Modular fracture fixation system |
| JP2008532709A (en) * | 2005-03-17 | 2008-08-21 | デピュイ・プロダクツ・インコーポレイテッド | Modular fracture fixation plate system |
| US8062296B2 (en) | 2005-03-17 | 2011-11-22 | Depuy Products, Inc. | Modular fracture fixation plate system with multiple metaphyseal and diaphyseal plates |
| US8394098B2 (en) | 2005-03-17 | 2013-03-12 | Biomet C. V. | Modular fracture fixation plate system |
| US8394130B2 (en) | 2005-03-17 | 2013-03-12 | Biomet C.V. | Modular fracture fixation system |
| US8419775B2 (en) | 2006-09-28 | 2013-04-16 | Biomet C.V. | Method of implanting a modular fracture fixation system |
| US8747442B2 (en) | 2006-09-28 | 2014-06-10 | Biomet C.V. | Method of implanting a modular fracture fixation system |
| US10463409B2 (en) | 2006-09-28 | 2019-11-05 | Biomet C.V. | Modular fracture fixation system |
| JP2015536733A (en) * | 2012-11-27 | 2015-12-24 | ライト メディカル テクノロジー インコーポレイテッドＷｒｉｇｈｔ Ｍｅｄｉｃａｌ Ｔｅｃｈｎｏｌｏｇｙ， Ｉｎｃ． | Standard fusion plate and compression screw |
| CN105030317A (en) * | 2015-08-24 | 2015-11-11 | 苏州市康力骨科器械有限公司 | Fixing structure of positioning locking steel plate for proximal femur |
| WO2021201318A1 (en) * | 2020-03-31 | 2021-10-07 | 전남대학교산학협력단 | Plate assembly for fixing long bone |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A300 | Withdrawal of application because of no request for examination |
Free format text: JAPANESE INTERMEDIATE CODE: A300 Effective date: 20081104 |