JPWO2022029592A5 - - Google Patents

Claims (15)

A fixing plate (2) for fixing to the proximal part of the humerus (25),
comprising a head part (3) and a shaft part (4) adjacent to the head part (3) at the bottom,
The head portion (3) is configured to be attached distally from the leg plate of the greater tuberosity (26) of the humerus (25),
a first threaded hole (5) with an internal thread for the insertion of an angularly stable screw (24); and a suture hole (7) for the insertion of a suture material (28);
The shaft (4) is designed to be attached to the shaft (27) of the humerus, for which purpose a second screw hole (8) is provided for the insertion of a fixation screw (35). Ori,
One of the suture holes (7) is provided as a fixation suture hole (10) for fixing the bone fixation element (9) attached to the top (31) of the humeral head (32) with a suture material (28),
a fixing plate (2), wherein the two first screw holes (5) located furthest from said shaft (4) are provided as upper screw holes (11) for inserting downward screws (29); . Fixation plate (2) according to claim 1, wherein the fixation suture hole (10) is provided for adjustable placement of the suture material (28). The fixed suture hole (10) has a tunnel-like cavity (14) into which the suture material (28) can be inserted,
Fixation plate (2) according to claim 2, comprising adjustment means (15) for adjustable fixation of the suture material (28) within the tunnel-like cavity (14). Fixation plate (2) according to any of claims 1 to 3, wherein the fixation suture hole (10) is provided for releasably positioning the suture material (28). Fixation plate (2) according to any of claims 1 to 4, wherein the fixation suture hole (10) is arranged centrally in the head part (3). a longitudinal axis (A) in which the internal thread groove of each of the two or more upper threaded holes (11) is arranged at a downward angle (α) between 10° and 35° with respect to the horizontal plane (X); Fixation plate (2) according to any of claims 1 to 5, comprising: The two or more said upper screw holes (11) form a second longitudinal axis (B) arranged at an upward angle (β) between 10° and 35° with respect to the horizontal plane (X). Fixation plate (2) according to claim 6, characterized in that it comprises two internal thread grooves each. the two or more said upper threaded holes (11) are each substantially designed in the shape of a figure eight having an upper inlet opening (12) and a lower inlet opening (13);
the upper inlet opening (12) is provided with a first internal thread groove;
Fixation plate (2) according to claim 6 or 7, wherein the lower inlet opening (13) is provided with a second internal thread. On the side remote from the head part (3), the shank (4) comprises an edge (22) concave to form a free cavity centrally below the shank (4); The fixing plate (2) according to any one of claims 1 to 8. releasably attached to said head portion (3) for securing a side arm (16) medially from said small foot plate (34) by said suture (28) and a second bone fixation element (33); Fixation plate (2) according to any of the preceding claims, comprising a side arm (16) provided with a second fixation suture hole (17 ) . Fixation plate (2) according to claim 10, wherein the second fixation suture hole (17) is designed for adjustably inserting the suture material (28). Fixing plate (2 ) according to claim 10 or 11, wherein the side arm (16) comprises a fixing body (18) for fixing to the head part (3). The head part (3) is provided with a recess (50) in which the fixing body (18) can be placed in order to fix the fixing body (18) to the head part (3). Fixation plate (2) as described in 12. A mounting pin (20) that can be inserted into the suture hole (7) of the head part (3) configured as a mounting hole (35) for fixing the fixing body (18) to the head part (3). Fixation plate (2) according to claim 12 or 13, comprising: Fixation plate (2) according to any of claims 10 to 13, wherein the side arm (16) is height-adjustably mounted on the fixation plate (2) .