JPH06285080A - Internally fixing metallic plate for bone-adhesion surgery - Google Patents

Internally fixing metallic plate for bone-adhesion surgery

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Publication number
JPH06285080A
JPH06285080A JP4180468A JP18046892A JPH06285080A JP H06285080 A JPH06285080 A JP H06285080A JP 4180468 A JP4180468 A JP 4180468A JP 18046892 A JP18046892 A JP 18046892A JP H06285080 A JPH06285080 A JP H06285080A
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JP
Japan
Prior art keywords
bone
metal plate
wire
fracture
screw
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Withdrawn
Application number
JP4180468A
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Japanese (ja)
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JPH0714395B2 (en
Inventor
U-Shin Jo
又 新 趙
Original Assignee
U-Shin Jo
趙 又新
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Publication date
Priority to KR9108854U priority Critical patent/KR930004380Y1/en
Priority to KR1991-8854 priority
Application filed by U-Shin Jo, 趙 又新 filed Critical U-Shin Jo
Publication of JPH06285080A publication Critical patent/JPH06285080A/en
Publication of JPH0714395B2 publication Critical patent/JPH0714395B2/en
Anticipated expiration legal-status Critical
Application status is Expired - Fee Related legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates

Abstract

PURPOSE: To provide internally fixing metallic plate for a bone-adhesion surgery which can be tightly fixed to a fractured position and which prevents loosening caused by a distorted wire after the fixture. CONSTITUTION: In an internally fixing metallic plate 1 for a bone-adhesion surgery with a number of screw holes 2 being perforated at a specified interval along a longitudinal direction penetrating through the wide right face 3 and back face 4, and forming the entirety by a long strip-like metal piece having a cross-section in a specified thickness, the plate is so formed that a number of wire holes 5 are installed for the wire 10 to be tightly fixed to allow penetration through both narrow side faces 6 in width between every interval of each of screw holes 2.

Description

【発明の詳細な説明】 DETAILED DESCRIPTION OF THE INVENTION

【0001】 [0001]

【産業上の利用分野】本発明は人体の折れた骨の癒合手術時に使用する内固定金属板に係り、特に骨折状態によって金属内固定物を骨にしっかり固定させるように設けた内固定金属板に関するものである。 The present invention relates relates to a fixing metal plate inside to use when fusion surgery bone broken of the human body, the fixed metal plate inside a metal in fixture provided so as to firmly secured to the bone by the particular fracture state it relates.

【0002】 [0002]

【従来の技術】一般的に事故により骨に骨折が生じた場合、骨が元どおり回復あるいは活動するにおいて差し支えがないようにするためのいろいろな治療法があるが、 If the Related Art Generally, accident fractured the bone occurs, there are various therapies to ensure that no harm in bone restoration or activity Replace,
例えば骨にひび(crack)が入る等単純な骨折の場合にはギブス等で骨折した骨が元どおり癒合されるように骨折の部位を動かないようにする手段である。 For example in the case of equal simple fractures crack (crack) enters the bone is a means to make fractured bone Gibbs like does not move the site of the fracture as fusion Replace.

【0003】しかし骨折状態が複雑であり、かつ折れた骨が互いに外れる等、骨折した状態のままで癒合ができない場合には外科的手術を施して骨折した骨を直接元どおりに合わせるように観血整復処置を施した後、金属内固定物をもって整復された骨をその状態の通り支持するようになる。 [0003] However fracture state is complicated, and like a broken bone is out of each other, watched so as to match the direct Replace the fractured bone is subjected to surgery in the case can not be fusion remains of the fractured state after performing blood reduction treatment, comprising a bone that is reduction with a metal in the fixture so as to support as the condition.

【0004】ところが上記の金属内固定手術を施術するにおいて使用する金属内固定物はいろいろあるが、一般的に骨の骨折した部分に直接取り付けて骨を支持し、骨折の治療を助ける内固定金属板を広く使用している。 [0004] However the metal in fixture for use in that treatment of the metal in the fusion procedure is different, but generally the bone supporting attached directly to the fractured portion of the bone, immobilized metal inner help treat fractures It has been widely used a plate.

【0005】かかる内固定金属板は、固定しようとする部分の骨の形に従って長さと太さが異なり、その形も直線型、T字型、Y字型等、いろいろな形態がある。 [0005] Such internal fixation metal plate are different in length and thickness according to the shape of the bone parts to be fixed, its shape is also linear, T-shaped, Y-shaped or the like, there are various forms.

【0006】しかし従来の内固定金属板は図7の通りプレート1の前面から背面まで長さ方向に沿って多数のねじ孔2が所定の間隙を置いて設けられている構造からなり、骨折の部分を上下にわたるような状態で上記のねじ孔2を通じて骨8a,8bの中にねじ7を打ち付けて骨折した骨の上・下部分を図8及び図9の通り、固定支持するようになっている。 However conventional internal fixation metal plate is made from a structure number of screw holes 2 along the longitudinal direction from the front to the back of the street plate 1 of Figure 7 is provided with a predetermined gap, fracture bone 8a in the state as across at the top and bottom through the above screw holes 2, the upper and lower portions of the fractured bone putting out the screw 7 in 8b as in FIG. 8 and FIG. 9, so as to secure support there.

【0007】 [0007]

【発明が解決しようとする課題】この際に上記の内固定金属板1をもって骨折した骨8をしっかり固定するために通常の骨折した部分の下方と上方各々に3つ乃至4つ程度のねじ7を打ち込んでいる。 THE INVENTION Problems to be Solved] normal fractured portion below the three above each or four degrees of screws 7 for rigidly fixing the bone 8 which has been fractured with a inner fixing metal plate 1 in this above and by implanting. これは内固定金属板1 This internal fixation metal plate 1
を骨折した骨8にしっかりと付けて固定させるためのものである。 It is intended for firmly attached by fixing to the bone 8 broke.

【0008】また、図10の通り骨折の状態がねじの挿入方向と同方向か、あるいは図11(a)の通り、くさび型(Butterfly)割れ8からなっている場合及び図11 [0008] As street fracture states or the same direction as the insertion direction of the screw of FIG. 10, or FIG. 11 (a), the case is made of wedge-shaped (Butterfly) cracking 8 and 11
(b)の通り、複雑骨折の場合には通常の金属板内固定手術だけでは骨折の部位をしっかり支持することが出来ないので、即ちねじ7を骨8にしっかり打ち込めないので、追加してプレート1と骨8とをワイヤ9で縛って固定する必要があり、特に図5の通り骨髄腔内に金属挿入物が挿入されている高関節前置換処置後に大腿骨の金属挿入物の先端部に骨折が生じた時には、上記の金属挿入物が挿入されている部分にはねじが挿入されないので該部分はワイヤだけで固定させているが、ワイヤが内固定金属板と骨とをしっかり固定できないのでいろいろいな問題点がある。 As (b), since not only ordinary metal plate fusion surgery can firmly support the site of fracture in the case of complex fractures, that is, not firmly Uchikome screws 7 to the bone 8, the plate in addition 1 and the bone 8 must be tied tied with wire 9, particularly at the tip portion of the metal insert of the femur in a high joint before after replacement treatment metal insert is inserted as bone marrow cavity of FIG. 5 when fracture occurs, the moiety since the portion where the metal insert is inserted a screw is not inserted is then secured by a wire, but the wire can not firmly fix the inner fixed metal plate and bone there are many have a problem.

【0009】例えば、図10の通り内固定金属板1をワイヤ9で巻いて縛る場合、骨折した部分に付着した内固定金属板1と骨8との外側の周辺にワイヤ9を巻かなければならないので、骨8と内固定金属板1との側面に掛けられる部分のワイヤ9は上記の内固定金属板1の厚さのほど骨8の表面から所定の間隔Sを置いて縛られる。 [0009] For example, if the tie by winding a street in the fixed metal plate 1 in FIG. 10 the wire 9, around the outside of the stationary metal plate 1 and bone 8 among adhered to the fractured part unless wound wire 9 since not, the wire 9 of the portion applied to the side surface of the inner fixed metal plate 1 and the bone 8 is bound with a predetermined gap S from the surface of the bone 8 as the thickness of the inner fixing metal plate 1 above.

【0010】また上記の間隔Sは内固定金属板1の厚さに比例して大きくなり、またワイヤ9は内固定金属板1 [0010] interval S of the increases in proportion to the thickness of the inner fixing metal plate 1, also the wire 9 the inner fixing metal plate 1
または骨8のいずれにも支持されずに、単にこれらの外側に巻かれている状態なので内固定金属板1の上に掛けられるように縛られているワイヤ9の束が緩くて内固定金属板1を骨にしっかり固定させることが出来ない。 Or without also supported on any of the bone 8, just internal fixation metal plate loose bundle of wires 9 that are bound to be hung on the inner fixing metal plate 1 since the state wound around the these outer 1 can not be firmly secured to the bone.

【0011】また上記のワイヤ9が内固定金属板1または骨8の何処でも最初に縛られた特定の位置をそのままに維持するように支持されていないと共に骨8は同一直径の円筒形ではなく各々の部位ごとに直径が異なり、内固定金属板1と同材質の金属からなっているワイヤ9が内固定金属板1の上でよく滑るため、上記の通り内固定金属板1と骨8とをともに巻くと骨の直径が小さくなる方へワイヤ9が滑って降りるので、手術後該当部分の再生のために運動療法で運動すると、施術部分の動きによりワイヤ9が内固定金属板1に固定されないので、内固定金属板の固定が不安定になり、手術の部位が揺れて不癒合及び遅延癒合を起こす。 [0011] Bone 8 with unsupported so as to maintain a specific position that is initially bound anywhere above the wire 9 the inner fixing metal plate 1 or bone 8 as it is not a cylindrical same diameter different diameter for each respective site, since the inner fixing metal plate 1 sliding well on wire 9 which is of the same material of the metal of the inner fixing metal plate 1, as described above in the fixed metal plate 1 and the bone 8 since the down slipping wire 9 to both wind the Write diameter of the bone is reduced, when motion exercise therapy for the regeneration of postoperative relevant part, fixed wire 9 on the inner fixing metal plate 1 by the movement of the treatment section since not become unstable fixed internal fixation metal plate, causing the non-union and delayed union shaking the site of surgery.

【0012】また、複雑骨折の場合、砕けた骨を互いに合わせて観血整復した後、骨折の部分を内固定金属板で内固定させる間整復された骨を整復されたままで施術する間一時的に支持するためにボーンフォセプ(bone for Further, in the case of complex fractures, shattered after bone and invasive reduction combined with each other, temporarily during the treatment between reduction bone to the inner fixed portions of the fracture internal fixation metal plate while the reduction Bonfosepu in order to support the (bone for
cep)やボーンクランプ(bonecramp)で整復された部分を噛んでつかまった状態で内固定金属板を付着しなければならないが、該機器等の障害により上記のボーンフォセプ(bone forcep)やボーンクランプ(bone cramp)が設置された骨折部分の近くにはねじを打ち込めない。 cep) and bone clamps (must be attached to the inner fixing metal plate in a state caught chewing reduction portion in bonecramp), the failure of the instrument such as the Bonfosepu (bone forcep) and bone clamps (bone cramp) is not Uchikome the screw is in the vicinity of the installed fracture part. 従って、上記の骨折した部分の近くにねじを打ち込むためには整復された部分をつかまっている上記のボーンフォセプ(bone forcep)やボーンクランプ(bone cramp)を一時的に解くと、すでに整復された骨等が相互外れる場合が多いので、整復された骨を一時的にしっかりつかまった状態のままにねじを固定させるための手段が切実に要求されている。 Therefore, if in order to drive the screw near the fractured portion of the solve the above Bonfosepu (bone forcep) and bone clamps are caught repositioning portions of (bone CRAMP) temporarily already repositioned bone since like it is often deviate mutually means for fixing the screw to remain caught temporarily firmly repositioning bone is urgently required.

【0013】ここに本発明は上記の通り諸問題点を解消し、骨折治療用金属板を骨折の部位に一層しっかり固定するための骨癒合手術用内固定金属板を提供するにその目的がある。 [0013] The present invention herein solve the following problems and disadvantages of the it is an object to provide a bone fusion surgical within a fixed metal plate for further secure the fracture treatment for the metal plate to the site of bone fracture .

【0014】 [0014]

【課題を解決するための手段】上記の目的を達成するための本発明は、いろいろな形態からなっており、かつ正面と背面を貫通して所定の間隔を置いてねじ孔が形成された既存の内固定金属板において、ねじ孔と孔との間ごとに両方の側面を貫通するワイヤ用の孔を開けて、該孔にワイヤを貫通・挿入し得るようになったことを特徴とする構造からなっている。 The present invention SUMMARY OF THE INVENTION To achieve the above object is formed of a variety of forms, and the front and the screw holes at predetermined intervals through the rear is formed Existing structure at the inner fixing metal plate, and a hole for wire passing through the both sides each between the screw hole and the hole, characterized in that now can penetrate, inserting the wires into the holes of the It is made from.

【0015】ここで上記のワイヤ孔は、一般的に内固定金属板を骨に縛るワイヤが該金属板の厚さによって2回または1回通過できる大きさからなっている。 [0015] wherein said wire hole is made from the size of the wire tying generally internal fixation metal plate to the bone can pass twice or once the thickness of the metal plate.

【0016】従って、上記のような構造の内固定金属板で骨折の部位を固定させるときにはまずねじ孔を通じてねじを打ち込んで金属プレートと骨との相対的な動きを抑制した後、必要によって上記のワイヤ孔を通じてワイヤを挿入した状態のままに観血整復された舌形骨片または粉砕骨片を縛ることによって全体骨折部に内固定金属板をしっかり固定・支持することができ、上記の通りワイヤ孔にワイヤを差し込んだ状態のままに骨を縛ることによって骨の表面が不規則であるか、あるいは部位によって直径が相違している場合にもワイヤの束がいつもしっかり元の位置に位置し、内固定金属板と骨との結束力をいつも一定に維持して骨がしっかり固定・支持される。 [0016] Therefore, after suppressing the relative movement between the metal plate and the bone by implanting threaded through first screw hole when fixing the site of the fracture internal fixation metal plate having the above-described structure, the by the need for the internal fixation metal plate can be secured and supported across the fracture by tying a leave invasive reduction is tongue-shaped bone pieces or crushed bone fragments in the state of inserting the wire through the wire hole, as described above the wire or the surface of the bone by tying bones to remain inserting the wire into the hole is irregular, or positioned always firmly original position bundle of wires even if the diameter is different depending on the site, bone is firmly fixed to and supported by the cohesion of the internal fixation metal plate and the bone always kept constant.

【0017】また、特に複雑骨折の場合、小さい割れに砕けた骨片を観血整復した後、内固定金属板をもって内固定させる過程において、上記の内固定金属板のワイヤ孔に差し込まれたワイヤで整復された部分をまず縛って支持した後、ねじを打ち込むことによって整復された部分の骨折が相互外れるとか抜けないようにしながら、ねじをよく固定することができる。 Further, especially in the case of complex fractures, after invasive repositioning fractured bone fragments into small cracks, in the process for internal fixation with a inner fixing metal plate, wire plugged into the wire hole of the inner fixing metal plate in after supporting tied repositioning portion initially, while allowing the fracture portions reduction by driving the screws can not be pulled out Toka disengaged each other, it can be fixed better screws.

【0018】そして骨折状態によってねじが挿入できないとか、上記の通り骨髄腔内に挿入施術または高関節前置換処置後、大腿骨に骨折等が生じた場合にねじを打ち込めない前置換処置部位にはワイヤだけで内固定金属板をしっかり固定できるので、いかなる部位でも、いかなる状態の骨折でもワイヤとねじだけで内固定金属板をより一層しっかり固定できる。 [0018] and Toka screw can not be inserted by the fracture state, after the insertion surgery or high joint before replacement procedures as bone marrow cavity of the above, before replacement treatment site that does not Uchikome the screws if the fracture or the like to the femur occurs since the inner fixing metal plate firmly be fixed only by wire, at any site, it can be further firmly fixed to the inner fixing metal plate just wire and screw in fracture of any state.

【0019】 [0019]

【実施例】以下、本発明に添付した例示図面を参照して詳しく説明する。 BRIEF DESCRIPTION detail with reference to illustrative accompanying drawings in the present invention.

【0020】図1は本発明による内固定金属板1の斜視図として、該内固定金属板1は薄厚の長方形断面の長いストリップ形態からなっており、幅の広い正面3と背面4を貫通して多数のねじ孔2が長さ方向に沿って所定の間隔を置いて形成され、該ねじ孔2と孔との間に幅の狭い側面6を貫通して多数のワイヤ孔5が開けている構造からなっている。 [0020] Figure 1 is a perspective view of the inner fixing metal plate 1 according to the present invention, the inner fixing metal plate 1 is made of a long strip forms of rectangular cross-section of the thin, through the back 4 and the wide front 3 width Te is formed at predetermined intervals along the length direction a number of screw holes 2, multiple wire holes 5 through the narrow sides 6 of the width between the screw holes 2 and holes are opened It is made from the structure.

【0021】上記の構造からなっている本発明による内固定金属板1は図2の通り骨8の折れた部分を横に掛けられるようにするが、骨折線lを境界として上部下方の部分に各々3個乃至4個程度のねじ孔2を配置し、該ねじ孔2にねじ7を差し込んで骨8の中に打ち込んで固定させる。 The inner fixing metal plate 1 according to the invention consist above structure is to be subjected to transverse the folded portion of the street bone 8 in FIG. 2, the portion of the upper downward fracture line l as a boundary each three to about four screw holes 2 arranged, is fixed by implanting in the bone 8 by inserting a screw 7 into the threaded hole 2.

【0022】上記の骨折線lを境界として上部下方に配置された3〜4個のじね孔2の全部にねじ7が打ち込める場合には、該ねじ7だけでも内固定金属板1と骨8とをしっかり固定できるので別途のワイヤ10を使用して内固定金属板1と骨8とを縛る必要がない。 [0022] When the screw 7 in all of the fracture line l 3 to 4 amino Flip I located at the top downward as a boundary hole 2 Uchikomeru is internal fixation metal plate 1 alone the screw 7 and the bone 8 it is not necessary to bind the inner fixing metal plate 1 and bone 8 by using a separate wire 10 so DOO firmly be fixed.

【0023】しかしながら、手術条件と骨折の部位または骨折の状態によって一部ねじ孔2にねじ7を打ち込めない場合が生ずる。 [0023] However, if no Uchikome screws 7 to a portion screw holes 2 by site or fracture state of fracture and surgery condition occurs.

【0024】即ち、例えば図4の通り骨8が長さ方向に沿って一定の方向性を維持せずに、歪んで折れた場合には内固定金属板1をどの方向より付着しても骨折線lの一部がねじ孔2と一直線になるので、該ねじ孔2を通じて挿入されるねじ7が骨折線lに沿って挿入され、挿入されるねじ7によって骨8が一層細かく砕けるだけで、 [0024] That is, for example, without maintaining a constant orientation along the length direction as bone 8 of FIG. 4, be attached to the inner fixing metal plate 1 from any direction in the case of broken distorted fracture since a part of the line l is in alignment with the screw hole 2, the screw 7 is inserted through the screw hole 2 is inserted along the fracture line l, bone 8 only crumble more finely by a screw 7 to be inserted,
ねじ7が内固定金属板1を骨8に十分の強度で付着・支持することが出来ない。 Screws 7 are not the internal fixation metal plate 1 can be attached and supported with sufficient strength to the bone 8.

【0025】また、場合によっては骨折線lが捩れなくて一直線になっても骨8の強度と内固定金属板1の付着位置による支持強度を考慮して図4のような状態で内固定金属板1を付着するしかない場合もあるので、この際にもねじ7だけで全体内固定金属板1をしっかり固定できない。 Further, the inner fixing metal optionally in the state shown in FIG. 4 in view of the support strength due to the adhesion position of the strength and internal fixation metal plate 1 bone 8 is also in alignment without torsion fracture line l is since it may not only adhere to the plate 1, can not secure the whole within a fixed metal plate 1 simply screw 7 even when this.

【0026】また上記の説明の通り、図5の金属挿入物のない骨折線lの下側にはねじ7で固定できるが、骨の中に金属挿入物9のある骨折線lの上側は該挿入物9のためにねじ7を打ち込めない。 [0026] As explained above, although the lower side of the free fracture line l of the metal insert of FIG. 5 can be fixed by screws 7, the upper fracture line l with metal insert 9 into the bone the not Uchikome screws 7 for the insert 9.

【0027】上記の通り、骨8の中にねじ7を打ち込めないとか、ねじ7を打ち込んでも内固定金属板1を十分な結束力でつかまれない部分には補助的に内固定金属板1の両方側面6を貫通して開けたワイヤ孔5にワイヤ1 [0027] Both adjunctively internal fixation metal plate 1 Toka not Uchikome screws 7, the portion which is not gripped the inner fixing metal plate 1 also by implanting screws 7 with sufficient cohesion force in the street, bone 8 wire to the wire hole 5 bored through the side surfaces 6 1
0を挿入し、該ワイヤ10で骨8の該当部分をつかまって縛ると十分な数のねじ7が打ち込めなかった部分が支持することが出来る。 0 Insert the said wire 10 in a sufficient number portion screw 7 is not Uchikome of the tie caught the relevant portion of the bone 8 can be supported.

【0028】この際、上記の各ワイヤ孔5に差し込まれて骨8の円周面に巻かれたワイヤ10は図4の通り骨8 [0028] In this case, it plugged into each wire hole 5 of the wire 10 wound around the circumferential surface of the bone 8 bone as FIG 8
と内固定金属板1との間隔Sが十分に狭まることによって内固定金属板1を骨8に一層密着することができる一方、ワイヤ10がワイヤ孔5の中に差し込まれて支持されていることによって、縛られた状態のワイヤ10が骨8の長さ方向に沿って上・下に移動せずに、元の位置に固定される。 While the inner fixing metal plate 1 can be more close contact with the bone 8 by the distance S between the inner fixing metal plate 1 is narrowed sufficiently and, the wire 10 is supported plugged into the wire hole 5 Accordingly, the wire 10 of the bound state without moving to the upper part or lower along the length of the bone 8 is fixed to the original position. 従って、該ワイヤ10がいつも一定の張力で内固定金属板1を固定する。 Accordingly, the wire 10 is fixed to the inner fixing metal plate 1 always in constant tension.

【0029】一方、図6(a)、(b)の通り骨折片8 On the other hand, FIG. 6 (a), the following bone fragment 8 (b)
cが楔形とか、多数の骨折片8cで砕けた複雑骨折の場合には該骨折片8cを相互合わせて出来るだけ元どおり観血整復させた後、従来の如く別途のbone crampやbone c is Toka wedge-shaped, after only Replace invasive blood reduction can be together mutual the fracture piece 8c in the case of complex fractures broken in a number of fracture piece 8c, separate bone cramp and bone as in the conventional
forcep で該整復された部分を固定せずに、直接内固定金属板1を付けて該整復された部分にワイヤ8で縛った後、他部分(両方の縁)にはねじ7を打ち込んで内固定金属板1を固定させる。 Without fixing the reduction portion by the forcep, after tied with wire 8 to the reduction portion with a directly in the fixed metal plate 1, the other portion (both edges) within by implanting screws 7 fixing the fixing metal plate 1.

【0030】また上記のワイヤ孔5の大きさは金属板1 Further the size of the wire hole 5 metal plate 1
の幅と厚さに従って2本または1本のワイヤが挿入される大きさになっており、2本の大きさの孔も必要によって1本または2本を挿入して固定力を調節することが出来る。 And it is sized two or one wire according to the width and thickness of the is inserted is, to regulate the insert and fixing force one or two by also required two sizes of holes can.

【0031】 [0031]

【発明の効果】以上の通り本発明による内固定金属板は両方側面を貫通してワイヤ孔が形成されていることによってワイヤを上記のワイヤ孔を貫通して挿入させた状態で骨の周りに巻いて縛ることができるので、ねじの使用が不可能な骨折の部分を簡単で、かつしっかり固定することができるため、複雑骨折や骨髄内に金属挿入物が挿入された部分の骨折等が骨癒合で処理できるという効果がある。 Around the bone in a state where the wire by internal fixation metal plate wire hole through both sides are formed was inserted through the wire hole by more as the present invention, according to the present invention it is possible to tie wound, a simple part of is not possible fracture using screws, and it is possible to firmly, fractures or the like of the portion where the metal insert is inserted into the fractures and the bone marrow is bone there is an effect that can be processed by the union.

【図面の簡単な説明】 BRIEF DESCRIPTION OF THE DRAWINGS

【図1】本発明による内固定金属板の斜視図。 Perspective view of the inner fixed metal plate according to the invention; FIG.

【図2】本発明による内固定金属板の使用状態の分離斜視図。 Exploded perspective view of a use state of the internal fixation metal plate according to the invention, FIG.

【図3】図1の内固定金属板を用いて骨癒合施術した後の側面図。 Figure 3 is a side view after bone fusion treatment using internal fixation metal plate of FIG.

【図4】図3のIV−IV線の断面図。 4 is a cross-sectional view of line IV-IV of FIG.

【図5】骨髄腔内に挿入された内固定物の先端部に再び骨折が生じた場合、本発明の内固定金属板を用いて癒合を施術する過程を示した概略図。 [5] If the re-fracture occurs at the tip of fixture inserted into the bone marrow cavity, schematic diagram illustrating a process of treatment of the fusion with internal fixation metal sheet of the present invention.

【図6】本発明の内固定金属板を用いて各種の複雑な骨折を骨癒合施術した状態の側面図。 Figure 6 is a side view of a state in which the practitioner bone fusion various complex fractures with internal fixation metal sheet of the present invention.

【図7】従来の内固定金属板の斜視図。 Figure 7 is a perspective view of a conventional internal fixation metal plate.

【図8】従来の内固定金属板を用いて骨癒合施術する過程を図2と同様の状態で示した斜視図。 8 is a perspective view illustrating a process of bone fusion treatment using a conventional internal fixation metal plate in the same state as FIG.

【図9】従来の内固定金属板を用いて骨癒合施術した状態の正面図。 Figure 9 is a front view of using a conventional inner fixing metal plate while bone fusion treatment.

【図10】図8のIX−IX線の断面図。 Figure 10 is a cross-sectional view of line IX-IX of FIG.

【図11】従来の内固定金属板を用いて各種の複雑な骨折を骨癒合施術した状態の側面図。 Figure 11 is a side view of a conventional state where a variety of complex fractures with internal fixation metal plate was practitioner bone fusion.

【符号の説明】 DESCRIPTION OF SYMBOLS

1 内固定金属板 2 ねじ孔 3 正面 4 背面 5 ワイヤ孔 7 ねじ 8 骨 l 骨折線 1 Within the fixed metal plate 2 screw holes 3 front 4 rear 5 wire hole 7 screw 8 bone l fracture line

Claims (1)

    【特許請求の範囲】 [The claims]
  1. 【請求項1】所定の厚さの断面を有する長いストリップ状の金属片からなり、幅の広い正面(3)と背面(4) 1. A consists long strip of metal piece having a predetermined thickness of the cross section, and back broad front (3) width (4)
    を貫通して多数のねじ孔(2)が長さ方向に沿って所定の間隔を置いて形成された骨癒合手術用内固定金属板(1)において、上記の各ねじ孔(2)の間ごとに幅の狭い両方側面(6)を貫通するように多数のワイヤ孔(5)が設けられ、ワイヤ(10)がしっかり固定できるように構成されていることを特徴とする骨癒合手術用内固定金属板。 In many screw holes through the (2) in a bone union operation is formed at predetermined intervals along the length fixing metal plate (1), between the threaded hole of the (2) multiple wires holes (5) is provided to penetrate through the narrow both sides (6) in width each, the wire (10) in a possible bone fusion surgery, characterized in that is configured to be firmly fixed metal plate.
JP4180468A 1991-06-14 1992-06-15 Bone fusion surgery for the fixed metal plate Expired - Fee Related JPH0714395B2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
KR9108854U KR930004380Y1 (en) 1991-06-14 1991-06-14 Bone joining metal plate
KR1991-8854 1991-06-14

Publications (2)

Publication Number Publication Date
JPH06285080A true JPH06285080A (en) 1994-10-11
JPH0714395B2 JPH0714395B2 (en) 1995-02-22

Family

ID=19315139

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Application Number Title Priority Date Filing Date
JP4180468A Expired - Fee Related JPH0714395B2 (en) 1991-06-14 1992-06-15 Bone fusion surgery for the fixed metal plate

Country Status (7)

Country Link
JP (1) JPH0714395B2 (en)
KR (1) KR930004380Y1 (en)
CH (1) CH685734A5 (en)
DE (1) DE4212635C2 (en)
FR (1) FR2677536A1 (en)
GB (1) GB2257913B (en)
HK (1) HK157496A (en)

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US7951176B2 (en) 2003-05-30 2011-05-31 Synthes Usa, Llc Bone plate
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US8574268B2 (en) 2004-01-26 2013-11-05 DePuy Synthes Product, LLC Highly-versatile variable-angle bone plate system
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US8282674B2 (en) 2008-07-18 2012-10-09 Suspension Orthopaedic Solutions, Inc. Clavicle fixation
CN102421381B (en) 2009-05-12 2014-03-19 新特斯有限责任公司 Bone fixation element with self-retaining cable tie
US9084644B2 (en) 2011-02-02 2015-07-21 DePuy Synthes Products, Inc. Bone fixation assembly
CN104349729B (en) 2012-03-28 2017-10-10 新特斯有限责任公司 Bone fixation member system and application method
JP6339106B2 (en) 2013-01-25 2018-06-06 デピュイ・シンセス・プロダクツ・インコーポレイテッド Cap for implant and implant assembly
CN103445847A (en) * 2013-07-03 2013-12-18 厦门大博颖精医疗器械有限公司 Cable locking plate
AU2015267531A1 (en) 2014-05-30 2016-12-08 DePuy Synthes Products, Inc. Bone fixation assembly
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Also Published As

Publication number Publication date
FR2677536A1 (en) 1992-12-18
GB2257913A (en) 1993-01-27
DE4212635A1 (en) 1992-12-17
GB9208091D0 (en) 1992-05-27
JPH0714395B2 (en) 1995-02-22
DE4212635C2 (en) 1995-06-22
GB2257913B (en) 1995-08-09
HK157496A (en) 1996-08-30
CH685734A5 (en) 1995-09-29
KR930004380Y1 (en) 1993-07-14

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