TW201316942A - Clavicle bone plate and clavicle bone plate group - Google Patents

Clavicle bone plate and clavicle bone plate group Download PDF

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TW201316942A
TW201316942A TW100139306A TW100139306A TW201316942A TW 201316942 A TW201316942 A TW 201316942A TW 100139306 A TW100139306 A TW 100139306A TW 100139306 A TW100139306 A TW 100139306A TW 201316942 A TW201316942 A TW 201316942A
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Taiwan
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clavicle
plate
axis
bone plate
bone
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TW100139306A
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Chinese (zh)
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sheng-long Huang
Xiang-Wei Luo
gao-shang Shi
Wei-Cheng Wang
jia-qing Liao
Geng-Ge Lin
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Plus Biotechnology Co Ltd A
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Publication of TW201316942A publication Critical patent/TW201316942A/en

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Abstract

The present invention discloses a clavicle bone plate group comprising a clavicle bone plate and plural bone crews, wherein the clavicle bone plate includes a first side surface, a second side surface, an outer segment, a middle segment, and an inner segment, and the outer segment, the middle segment, and the inner segment are integrally molded in sequence. The outer segment is positioned in the X-axis and the clavicle bone plate is curved from the Z-axis and extends to the Y-axis, with the curving angle being less than 120 degrees, so that the clavicle bone plate is formed as a three-dimensional curved plate body. The second side surface of the clavicle bone plate has a curvature and can be attached to the clavicle. The clavicle bone plate is provided with plural perforations penetrating the first side surface and the second side surface of the clavicle bone plate, wherein the plural bone screws are movably received through the perforations of the clavicle bone plate respectively.

Description

鎖骨骨板以及鎖骨骨板組Clavicle plate and clavicular plate group

本發明係為一種鎖骨骨板組,尤指一種用於固定鎖骨之鎖骨骨板以及複數個骨釘。The invention relates to a clavicle plate group, in particular to a clavicle bone plate for fixing a clavicle and a plurality of bone nails.

人體骨折時,依照骨折之部位及嚴重度程度給予不同之治療,一般除了臥床休息、藥物止痛、補充鈣質、維他命或賀爾蒙補充等方法之外,骨板與骨釘是常用於治療骨折的方法。When a human body is fractured, different treatments are given according to the location and severity of the fracture. In addition to bed rest, drug pain relief, calcium supplementation, vitamins or hormone supplementation, bone plates and bone nails are commonly used to treat fractures. Methods.

鎖骨骨折是上肢常見的骨折之一,發生的原因最可能外力直接撞擊鎖骨產生骨折,或跌落時用手掌撐地,經過力量的傳遞,鎖骨無法支撐而骨折,其中鎖骨外側段係由於上肢的重力和胸大肌的牽引,而向前下方移位。由於鎖骨內側端係與胸骨相連,外側端則與肩胛骨相接,故人體活動時,鎖骨常隨之運動。由於此特性,故治療鎖骨骨折後所使用之鎖骨骨板的固定性,係影響復原時間及癒後之主要原因。Clavicular fracture is one of the common fractures of the upper extremity. The most common cause is the external force directly hitting the clavicle to produce a fracture, or the palm of the hand when the child is falling. After the force is transmitted, the clavicle cannot support and fracture. The lateral part of the clavicle is due to the gravity of the upper limb. And traction of the pectoralis major muscle, and shifting forward and downward. Since the medial end of the clavicle is connected to the sternum, the lateral end is connected to the scapula, so the clavicle often moves when the human body moves. Because of this characteristic, the fixation of the clavicular bone plate used after the treatment of the clavicular fracture is the main reason for the recovery time and recovery.

現有技術一般係將鎖骨骨板直接鎖固在鎖骨骨幹(diaphysis)上方,且為了將螺絲穩固鎖於鎖骨骨板上,不得不將鎖骨骨板設計較平緩,但因骨幹表面曲率變化大,故造成患者在植入鎖骨骨板後相當不適。此外,由於鎖骨骨板因骨幹部分曲率較平緩,醫生在植入鎖骨骨板時通常沒有較穩固的定位點,使擺放位置偏差而造成鎖骨骨板翹曲,並於患者活動時,更可能產生移位現象而引起骨折復合部位歪曲偏移或尚未完全復原之鎖骨二次骨折的情況。In the prior art, the clavicular bone plate is directly locked on the diaphysis, and in order to firmly lock the screw on the clavicular bone plate, the design of the clavicle bone plate has to be gentle, but the curvature of the surface of the backbone is greatly changed. The patient is quite uncomfortable after implanting the clavicle plate. In addition, because the curvature of the clavicular bone plate is relatively flat due to the curvature of the backbone, the doctor usually does not have a relatively stable positioning point when implanting the clavicular bone plate, which causes the position of the clavicle to be warped, and is more likely to occur when the patient is active. A situation in which a dislocation phenomenon is caused by a dislocation of the fracture complex or a secondary fracture of the clavicle that has not yet fully recovered.

有鑒於現有技術鎖骨骨板設計較平緩,使患者在植入鎖骨骨板後相當不適,以及現有技術之鎖骨骨板沒有較穩固定位點等缺點,本發明之目的在於提供一種鎖骨骨板以及鎖骨骨板組,其中鎖骨骨板藉由貼附於鎖骨關節面並藉由具有曲面之特性可沿鎖骨表面向骨幹延伸,進而同時包覆鎖骨關節面至鎖骨骨幹較平緩的部分。In view of the fact that the prior art clavicle plate design is relatively gentle, the patient is quite uncomfortable after implanting the clavicular bone plate, and the prior art clavicle plate has no disadvantages such as a stable fixation site, and the object of the present invention is to provide a clavicle plate and a clavicle. The bone plate group, wherein the clavicular bone plate is attached to the clavicular articular surface and has a curved surface shape, and can extend along the surface of the clavicle to the bone, thereby simultaneously covering the clavicular articular surface to a relatively gentle part of the clavicular backbone.

為達上述目的,本發明之鎖骨骨板組包括一鎖骨骨板及複數個骨釘。To achieve the above object, the clavicle plate set of the present invention comprises a clavicle bone plate and a plurality of bone nails.

該鎖骨骨板包括有一第一側面、一第二側面、一外段部、一中段部以及一內段部,其中外段部、中段部及內段部係依序一體成型,且外段部由X軸定位,鎖骨骨板係由Z軸轉向至Y軸,轉向角度介於30度至120度,而使該鎖骨骨板形成具有立體曲狀之板體;該鎖骨骨板之第二側面具有曲度,並可貼附於一鎖骨上;該鎖骨骨板設有複數個穿孔貫穿於鎖骨骨板之第一側面及第二側面。The clavicle plate includes a first side, a second side, an outer section, a middle section and an inner section, wherein the outer section, the middle section and the inner section are integrally formed in sequence, and the outer section is Positioned by the X-axis, the clavicular bone plate is turned from the Z-axis to the Y-axis, and the steering angle is between 30 degrees and 120 degrees, so that the clavicle plate forms a plate having a three-dimensional curved shape; the second side of the clavicle plate The utility model has a curvature and can be attached to a clavicle; the clavicular bone plate is provided with a plurality of perforations running through the first side and the second side of the clavicle bone plate.

依據本發明,所述的「X軸、Y軸及Z軸」係指習知三維空間之軸向,其中Z軸垂直於X軸及Y軸所形成之平面,Y軸垂直於X軸及Z軸所形成之平面,X軸垂直於Y軸及Z軸所形成之平面垂直。According to the invention, the "X-axis, Y-axis and Z-axis" refers to the axial direction of a conventional three-dimensional space, wherein the Z-axis is perpendicular to the plane formed by the X-axis and the Y-axis, and the Y-axis is perpendicular to the X-axis and Z-axis. The plane formed by the axis, the X axis is perpendicular to the plane formed by the Y axis and the Z axis.

較佳的,所述之穿孔係為螺孔形式。Preferably, the perforation is in the form of a screw hole.

較佳的,所述之鎖骨骨板上設有一定位孔,該定位孔係貫穿於鎖骨骨板之第一側面及第二側面,且該定位孔係係呈橢圓形並位於外段部與中段部的相接處。Preferably, the positioning hole is disposed on the first side surface and the second side surface of the clavicular bone plate, and the positioning hole is elliptical and located in the outer segment and the middle portion. The junction of the ministry.

較佳的,所述之鎖骨骨板更設有複數個透孔貫穿於鎖骨骨板之第一側面及第二側面,且該複數個透孔係可供複數條鋼絲所貫穿。Preferably, the clavicle plate further comprises a plurality of through holes penetrating through the first side and the second side of the clavicular bone plate, and the plurality of through holes are for the plurality of wires to penetrate.

較佳的,所述之第二側面係由第一貼附面及第二貼附面相連接所形成,該第一貼附面係與鎖骨之關節面相對應並包覆貼附,該第二貼附面係與鎖骨之骨幹之表面形狀相對應並包覆貼附,故鎖骨骨板可包覆貼附於鎖骨之遠端之外側。Preferably, the second side surface is formed by connecting the first attachment surface and the second attachment surface, the first attachment surface is corresponding to the joint surface of the clavicle and is coated and attached, the second sticker The facial surface system corresponds to the surface shape of the clavicle backbone and is coated and attached, so that the clavicular bone plate can be coated and attached to the outer side of the distal end of the clavicle.

依據本發明,所述的「遠端」係指該骨頭的遠離身體軀幹端;所述的「外側」係指該骨頭的遠離身體軀幹側。According to the invention, "distal" means the distal end of the bone away from the body; said "outer side" means the side of the bone away from the torso of the body.

較佳的,所述之鎖骨骨板之第一側面設有複數個第一減壓槽,該第一減壓槽係於鎖骨骨板固定於鎖骨時,可降低鎖骨骨板所產生的內應力。Preferably, the first side surface of the clavicle plate is provided with a plurality of first decompression grooves, wherein the first decompression groove is configured to reduce the internal stress generated by the clavicle plate when the clavicle plate is fixed to the clavicle .

較佳的,所述之鎖骨骨板之內段部之第二側面之後端設有一第二減壓槽,且該第二減壓槽係沿內段部長軸方向延伸,並於鎖骨活動時,該第二減壓槽可緩衝骨板施於鎖骨之壓力;且可減少鎖骨骨板直接壓迫到鎖骨之表面之血管路,而增加鎖骨之骨折之復原速度。Preferably, a second decompression groove is disposed at a rear end of the second side of the inner section of the clavicle plate, and the second decompression groove extends along a longitudinal axis of the inner section, and when the clavicle is active, The second pressure reducing groove can buffer the pressure applied by the bone plate to the clavicle; and can reduce the vascular path of the clavicular bone plate directly pressing to the surface of the clavicle, and increase the recovery speed of the fracture of the clavicle.

依據本發明,所述的「前端」係指外段部相對於與中段部相連接之一端,所述的「後端」係指內段部相對於與中段部相連接之一端係為後端。According to the present invention, the "front end" refers to one end of the outer section connected to the middle section, and the "rear end" means that the inner section is connected to the middle section. .

依據本發明,所述的「長軸」係指與內段部之長側邊平行之軸線。According to the invention, the "long axis" means an axis parallel to the long sides of the inner section.

較佳的,所述之鎖骨骨板之兩長側緣係朝向第二側面彎曲,使該骨板之第一側面及第二側面具有曲度。Preferably, the two long side edges of the clavicle plate are curved toward the second side such that the first side and the second side of the bone plate have curvature.

較佳的,所述之鎖骨骨板之外段部於X軸向定位,該中段部及內段部係由Z軸轉向並延伸至Y軸,且該轉向角度介於30度至120度;更佳的,中段部及內段部轉向之角度介於30度至95度。Preferably, the outer portion of the clavicle plate is positioned in the X-axis, the middle portion and the inner portion are turned by the Z-axis and extended to the Y-axis, and the steering angle is between 30 degrees and 120 degrees; More preferably, the angle of the middle and inner sections is between 30 and 95 degrees.

較佳的,所述之鎖骨骨板之中段部於X軸向定位,鎖骨骨板之內端部係由Y軸轉向至Z軸,外段部係由X軸轉向Y軸,且該轉向之角度介於30度至95度之間;更佳的,該轉向之角度介於30度至95度。Preferably, the middle portion of the clavicular bone plate is positioned in the X-axis direction, the inner end portion of the clavicular bone plate is turned from the Y-axis to the Z-axis, and the outer portion is turned from the X-axis to the Y-axis, and the steering is The angle is between 30 and 95 degrees; more preferably, the angle of the steering is between 30 and 95 degrees.

每一骨釘具有一冠部及一末端呈尖錐狀之桿體,並於骨釘冠部之外緣設有冠部螺紋,該冠部螺紋係與穿孔之孔壁之螺紋相對應;該桿體之外緣設有一桿體螺紋,該桿體螺紋之螺旋間距大於冠部螺紋之螺旋間距,使骨釘鑽鑿於鎖骨時,該桿體可較穩固鑽鑿於鎖骨。Each of the bone nails has a crown portion and a rod having a tip-shaped tip end, and a crown thread is provided on the outer edge of the crown portion of the bone nail, the crown thread corresponding to the thread of the perforated hole wall; The outer edge of the rod body is provided with a rod thread, and the screw pitch of the rod body thread is larger than the spiral pitch of the crown thread, so that when the bone nail is drilled in the collarbone, the rod body can be drilled to the collarbone relatively stably.

較佳的,穿設於外段部之骨釘之軸線為與穿設於內段部之骨釘之軸線相夾之角度介於15度至150度之間,使穿設於鎖骨骨板之骨釘呈相互交錯排列。Preferably, the axis of the nail which is disposed on the outer section is between 15 degrees and 150 degrees from the axis of the nail which is disposed in the inner section, so as to be worn on the bone plate of the clavicle The nails are staggered.

依據本發明,所述的「軸線」係指沿骨釘冠部至桿體方向之切線。According to the invention, the "axis" refers to the tangent along the direction of the crown of the bone nail to the direction of the shaft.

本發明之鎖骨骨板之外段部貼附於關節面,並依據鎖骨的曲率變化設計,該鎖骨骨板之中段部及內段部係沿著鎖骨表面向骨幹前方部位彎曲並延伸,使鎖骨骨板能同時包覆並貼附於關節面至骨幹前方部分曲率較平緩的部分,因此鎖骨骨板能夠沿著鎖骨表面平貼並包覆骨折處並降低植入之不適感,且鎖骨骨板之貼附面係成沿著鎖骨轉向並延伸,使鎖骨骨板之外段部、中段部以及內段部以不同的貼附角度形成支撐,進一步固定鎖骨,避免鎖骨偏移或二次骨折的情況;以及,鎖骨骨板可透過定位孔加以定位,並依其他複數個骨釘固定之位置稍做調整,使鎖骨骨板不易產生翹曲的問題;此外,本發明之鎖骨骨板係為立體彎曲狀之板體,且該鎖骨骨板上複數個穿孔非垂直於鎖骨骨板的第一側面或第二側面,故使穿設於穿孔之骨釘相互呈交錯狀,可加強鎖骨骨板於鎖骨之固定性,並有效降低鎖骨骨板與鎖骨之位移。The outer segment of the clavicular bone plate of the invention is attached to the articular surface, and is designed according to the curvature change of the clavicle. The middle portion and the inner segment of the clavicular bone plate are bent and extended along the surface of the clavicle to the front part of the backbone to make the clavicle The bone plate can be simultaneously coated and attached to the joint surface to the portion where the curvature of the front part of the backbone is relatively gentle, so the clavicular bone plate can be flattened along the surface of the clavicle and cover the fracture and reduce the discomfort of the implant, and the clavicular bone plate The attachment surface is steered and extended along the clavicle to support the outer, middle and inner sections of the clavicular bone plate at different attachment angles to further secure the clavicle to avoid clavicle deflection or secondary fracture. The clavicle plate can be positioned through the positioning hole and slightly adjusted according to the position of the other plurality of bone nails, so that the clavicular bone plate is less prone to warpage; in addition, the clavicle plate of the present invention is three-dimensional a curved plate body, and the plurality of perforations on the clavicular bone plate are not perpendicular to the first side or the second side of the clavicular bone plate, so that the bone nails piercing the perforations are staggered to each other, and the clavicle bone can be strengthened In fixability of the clavicle, and effectively reduce the displacement of the clavicle and the clavicle bone plate.

本發明係為一種鎖骨骨板組,如圖1所示,該鎖骨骨板組包括一鎖骨骨板10、複數個骨釘20及一定位骨釘20A。The present invention is a clavicular bone plate set. As shown in FIG. 1 , the clavicular bone plate set includes a clavicle bone plate 10, a plurality of bone nails 20 and a positioning bone nail 20A.

如圖1所示,該鎖骨骨板10包括有一第一側面101、一第二側面102、一外段部11、一中段部12以及一內段部13。外段部11、中段部12及內段部13依序一體成型,且外段部11相對於與中段部12相連接之一端係為前端,內段部13相對於與中段部12相連接之一端係為後端。As shown in FIG. 1, the clavicle 10 includes a first side 101, a second side 102, an outer section 11, a middle section 12, and an inner section 13. The outer section 11, the middle section 12 and the inner section 13 are integrally formed in order, and the outer section 11 is a front end with respect to one end connected to the middle section 12, and the inner section 13 is connected to the middle section 12. One end is the back end.

該鎖骨骨板10具有複數個穿孔14貫穿於鎖骨骨板10之第一側面101及第二側面102,該穿孔14係形成於外段部11、中段部12以及內段部13上,且該穿孔14之孔壁設有螺紋143;一定位孔141及複數個透孔142貫穿於鎖骨骨板10之第一側面101及第二側面102,該定位孔141係呈橢圓形並位於外段部11與中段部12相接處;該透孔142係供鋼絲所貫穿;且於鎖骨骨板10之第一側面101設有複數個第一減壓槽15,該第一減壓槽15可抗應力,並於鎖骨30活動時,該第一減壓槽15可減少鎖骨骨板10固定於鎖骨30時,鎖骨骨板10所產生的內應力。The clavicle 10 has a plurality of perforations 14 extending through the first side 101 and the second side 102 of the clavicle 10, and the perforations 14 are formed on the outer section 11, the middle section 12 and the inner section 13, and The hole wall of the perforation 14 is provided with a thread 143; a positioning hole 141 and a plurality of through holes 142 are formed through the first side surface 101 and the second side surface 102 of the clavicle bone plate 10, and the positioning hole 141 is elliptical and located at the outer portion 11 is connected to the middle portion 12; the through hole 142 is for the steel wire to penetrate; and the first side surface 101 of the clavicle bone plate 10 is provided with a plurality of first pressure reducing grooves 15 which are resistant to The first decompression groove 15 reduces the internal stress generated by the clavicular bone plate 10 when the clavicle 10 is fixed to the clavicle 30 when the clavicle 30 is in motion.

如圖1所示,鎖骨骨板10之外段部11於X軸向定位,該中段部12及內段部13係由Z軸轉向至Y軸,轉向角度係介於30度至120度,並於較佳實施例中,轉向之角度係介於30度至95度。於更佳的實施例中,鎖骨骨板10之中段部12於X軸向定位,鎖骨骨板10之內段部13係由Y軸轉向至Z軸,外段部係由X軸轉向Y軸,且該轉向之角度介於30度至95度之間;更佳的,該轉向之角度介於30度至95度。As shown in FIG. 1, the outer segment portion 11 of the clavicular bone plate 10 is positioned in the X-axis direction, and the middle portion 12 and the inner segment portion 13 are turned from the Z-axis to the Y-axis, and the steering angle is between 30 degrees and 120 degrees. And in the preferred embodiment, the angle of the steering is between 30 and 95 degrees. In a more preferred embodiment, the segment 12 of the clavicular bone plate 10 is positioned in the X-axis, the inner segment 13 of the clavicular bone plate 10 is rotated from the Y-axis to the Z-axis, and the outer segment is rotated from the X-axis to the Y-axis. And the angle of the steering is between 30 degrees and 95 degrees; more preferably, the angle of the steering is between 30 degrees and 95 degrees.

如圖2所示,該鎖骨骨板10之兩長側緣朝向第二側面102彎曲,使鎖骨骨板10之第一側面101及第二側面102具有曲度,且該第二側面102係由一第一貼附面16及一第二貼附面17相連接所形成,該第一貼附面16係與鎖骨30之關節面31相對應;該第二貼附面17係與鎖骨30之骨幹32之表面形狀相對應,故鎖骨骨板10可貼附並包覆於鎖骨30之遠端之外側。另有一第二減壓槽18位於第二貼附面162之末端,且該第二減壓槽18係沿內段部13長軸方向延伸,並於鎖骨30活動時,該第二減壓槽18可緩衝鎖骨骨板10施於鎖骨30之壓力,並且減少鎖骨骨板10直接壓迫到鎖骨30之表面之血管路,而增加鎖骨30之骨折之復原速度。As shown in FIG. 2, the two long side edges of the clavicle bone plate 10 are curved toward the second side surface 102, so that the first side 101 and the second side surface 102 of the clavicle bone plate 10 have curvature, and the second side surface 102 is A first attachment surface 16 and a second attachment surface 17 are connected, the first attachment surface 16 corresponding to the articular surface 31 of the clavicle 30; the second attachment surface 17 is connected to the clavicle 30 The surface shape of the backbone 32 corresponds, so that the clavicle bone plate 10 can be attached and wrapped on the outer side of the distal end of the clavicle 30. Another second pressure reducing groove 18 is located at the end of the second attachment surface 162, and the second pressure reduction groove 18 extends along the longitudinal direction of the inner segment portion 13 and is movable when the clavicle 30 is active. 18 can cushion the pressure exerted by the clavicle 10 on the clavicle 30 and reduce the vascular access of the clavicle 10 directly to the surface of the clavicle 30, thereby increasing the rate of recovery of the fracture of the clavicle 30.

如圖3至圖4所示,每一骨釘20具有一冠部21及一末端呈尖錐狀之桿體22,該冠部21之外緣設有冠部螺紋211,該冠部螺紋211係與穿孔14之螺紋143相對應,且該桿體22之外緣設有一桿體螺紋221,且該桿體螺紋221之螺旋間距大於冠部螺紋211之螺旋間距。As shown in FIG. 3 to FIG. 4, each of the nails 20 has a crown portion 21 and a rod body 22 having a tip end, and the outer edge of the crown portion 21 is provided with a crown thread 211, and the crown thread 211 Corresponding to the thread 143 of the through hole 14, and the outer edge of the rod body 22 is provided with a rod thread 221, and the screw pitch of the rod body thread 221 is larger than the spiral pitch of the crown thread 211.

該定位骨釘20A具有一冠部21A及一末端呈尖錐狀之桿體22A,且該桿體22A之外緣設有一外螺紋221A。該定位骨釘20A相對應並穿設於鎖骨骨板10之定位孔141後,各骨釘20之冠部螺紋211分別與各穿孔14之螺紋143相對應並與鎖骨骨板10相螺合,使桿體22可穿設並露出於穿孔14而鑽鑿於鎖骨30,且其桿體22可深入鎖骨30,使鎖骨骨板10更能穩定固定於鎖骨30之遠端之外側,再藉由穿設於定位孔141之定位骨釘20A調整鎖骨骨板10至較合適之位置。The positioning nail 20A has a crown portion 21A and a rod body 22A having a tip end, and an outer thread 221A is provided on the outer edge of the rod body 22A. After the positioning nails 20A are correspondingly disposed and disposed in the positioning holes 141 of the clavicle bone plate 10, the crown threads 211 of the respective nails 20 respectively correspond to the threads 143 of the perforations 14 and are screwed with the clavicle bone plate 10, The rod body 22 can be pierced and exposed to the perforation 14 to be drilled in the clavicle 30, and the rod body 22 can penetrate the clavicle 30 to make the clavicular bone plate 10 more stably fixed to the outer side of the distal end of the clavicle 30, The positioning bone nail 20A piercing the positioning hole 141 adjusts the clavicle bone plate 10 to a suitable position.

本發明之較佳實施例中,如圖5所示,複數個穿孔14非垂直穿設於鎖骨骨板10的第一側面101及第二側面102,故使穿設於穿孔14之骨釘20之軸線朝向前端、後端或鎖骨骨板10之兩長側傾斜延伸,此外,穿設於外段部11或中段部12之骨釘20之軸線為L1,另穿設於內段部13之骨釘20之軸線為L2,軸線L1與軸線L2於Y、Z軸所形成之平面相夾之角度為θ1,該θ1係介於15度至150度之間。該骨釘20穿設於鎖骨骨板10之穿孔14並呈相互交錯排列,可加強鎖骨骨板10於鎖骨30之固定性,並有效降低鎖骨骨板10與鎖骨30之位移。In the preferred embodiment of the present invention, as shown in FIG. 5, a plurality of perforations 14 are non-perpendicularly disposed on the first side 101 and the second side 102 of the clavicle 10, so that the nails 20 are inserted through the perforations 14. The axis extends obliquely toward the front end, the rear end, or the two long sides of the clavicular bone plate 10. Further, the axis of the nail 20 that is inserted through the outer segment 11 or the middle portion 12 is L1, and the axis of the inner segment 13 is The axis of the nail 20 is L2, and the angle between the axis L1 and the axis L2 formed on the plane formed by the Y and Z axes is θ1, and the θ1 is between 15 degrees and 150 degrees. The bone nails 20 are disposed through the perforations 14 of the clavicle bone plate 10 and are staggered with each other to strengthen the fixation of the clavicle bone plate 10 to the clavicle 30 and effectively reduce the displacement of the clavicular bone plate 10 and the clavicle 30.

10...鎖骨骨板10. . . Clavicle plate

101...第一側面101. . . First side

102...第二側面102. . . Second side

11...外段部11. . . Outer section

12...中段部12. . . Middle section

13...內段部13. . . Inner section

14...穿孔14. . . perforation

141...定位孔141. . . Positioning hole

142...透孔142. . . Through hole

143...螺紋143. . . Thread

15...第一減壓槽15. . . First pressure relief tank

16...第一貼附面16. . . First attachment surface

17...第二貼附面17. . . Second attachment surface

18...第二減壓槽18. . . Second pressure relief tank

20...骨釘20. . . Bone nail

20A...定位骨釘20A. . . Positioning nail

21...冠部twenty one. . . Crown

21A...冠部21A. . . Crown

211...冠部螺紋211. . . Crown thread

22...桿體twenty two. . . Rod body

22A...桿體22A. . . Rod body

221...桿體螺紋221. . . Rod thread

221A...外螺紋221A. . . External thread

30...鎖骨30. . . clavicle

31...關節面31. . . Joint surface

32...骨幹32. . . backbone

L1...軸線L1. . . Axis

L2...軸線L2. . . Axis

θ1...角度Θ1. . . angle

圖1係本發明之較佳實施例之立體外觀圖。BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a perspective view of a preferred embodiment of the present invention.

圖2係本發明之立體外觀圖。Figure 2 is a perspective view of the present invention.

圖3係本發明之立體分解圖。Figure 3 is a perspective exploded view of the present invention.

圖4係本發明之側面剖面圖。Figure 4 is a side cross-sectional view of the present invention.

圖5係本發明之較佳實施例之另一立體外觀圖。Figure 5 is another perspective view of a preferred embodiment of the present invention.

10...鎖骨骨板10. . . Clavicle plate

101...第一側面101. . . First side

102...第二側面102. . . Second side

11...外段部11. . . Outer section

12...中段部12. . . Middle section

13...內段部13. . . Inner section

14...穿孔14. . . perforation

141...定位孔141. . . Positioning hole

142...透孔142. . . Through hole

15...第一減壓槽15. . . First pressure relief tank

20...骨釘20. . . Bone nail

20A...定位骨釘20A. . . Positioning nail

30...鎖骨30. . . clavicle

Claims (18)

一種鎖骨骨板包括有一第一側面、一第二側面、一外段部、一中段部以及一內段部,其中外段部、中段部及內段部係依序一體成型,且外段部由X軸定位,鎖骨骨板係由Z軸轉向並延伸至Y軸,轉向角度小於120度,而使該鎖骨骨板形成具有立體曲狀之板體;該鎖骨骨板之第二側面具有曲度,並可貼附於一鎖骨上;該鎖骨骨板設有複數個穿孔貫穿於鎖骨骨板之第一側面及第二側面。A clavicle bone plate includes a first side surface, a second side surface, an outer side portion, a middle portion and an inner portion, wherein the outer portion, the middle portion and the inner portion are integrally formed in sequence, and the outer portion is Positioned by the X-axis, the clavicular bone plate is turned from the Z-axis and extends to the Y-axis, and the steering angle is less than 120 degrees, so that the clavicle plate forms a plate having a three-dimensional curved shape; the second side of the clavicle plate has a curvature And attached to a clavicle; the clavicular bone plate is provided with a plurality of perforations running through the first side and the second side of the clavicle bone plate. 如申請專利範圍第1項所述之鎖骨骨板,其中穿孔之孔壁係為螺孔形式。The clavicle plate according to claim 1, wherein the perforated hole wall is in the form of a screw hole. 如申請專利範圍第1項所述之鎖骨骨板,其中鎖骨骨板上設有一定位孔,該定位孔係貫穿於鎖骨骨板之第一側面及第二側面,且該定位孔係橢圓形並位於外段部與中段部的相接處。The clavicle plate according to the first aspect of the invention, wherein the clavicle plate is provided with a positioning hole, the positioning hole is continuous to the first side and the second side of the clavicular plate, and the positioning hole is elliptical and Located at the junction of the outer section and the middle section. 如申請專利範圍第1項所述之鎖骨骨板,其中鎖骨骨板上設有複數個透孔貫穿於骨板之第一側面及第二側面。The clavicle plate according to claim 1, wherein the clavicle plate has a plurality of through holes penetrating through the first side and the second side of the bone plate. 如申請專利範圍第1項所述之鎖骨骨板,其中第二側面係由第一貼附面及第二貼附面依序所組成。The clavicle bone plate according to claim 1, wherein the second side surface is composed of the first attachment surface and the second attachment surface in sequence. 如申請專利範圍第1項所述之鎖骨骨板,其中鎖骨骨板之第一側面設有複數個第一減壓槽。The clavicle plate according to claim 1, wherein the first side of the clavicle plate is provided with a plurality of first decompression grooves. 如申請專利範圍第1項所述之鎖骨骨板,其中鎖骨骨板之內段部之第二側面末端設有一第二減壓槽,該第二減壓槽係沿內段部之長軸線方向延伸。The clavicle plate according to claim 1, wherein a second decompression groove is disposed at a second side end of the inner portion of the clavicular plate, and the second decompression groove is along a long axis direction of the inner segment. extend. 如申請專利範圍第1項所述之鎖骨骨板,其中鎖骨骨板之兩長側緣係朝向第二側面彎曲。The clavicle bone plate of claim 1, wherein the two long side edges of the clavicular bone plate are curved toward the second side. 如申請專利範圍第1所述之鎖骨骨板,其中穿孔非垂直貫穿於骨板的第一側面及第二側面。The clavicle plate according to claim 1, wherein the perforations are not perpendicular to the first side and the second side of the bone plate. 如申請專利範圍第1項所述之鎖骨骨板,其中鎖骨骨板之外段部於X軸向定位,中段部及內段部係由Z軸轉向並延伸至Y軸,且該轉向角度介於30度至120度。The clavicle plate according to claim 1, wherein the outer portion of the clavicular plate is positioned in the X-axis, and the middle portion and the inner portion are turned by the Z-axis and extended to the Y-axis, and the steering angle is From 30 degrees to 120 degrees. 如申請專利範圍第10項所述之鎖骨骨板,其中鎖骨骨板之外段部於X軸向定位,中段部及內段部係由Z軸轉向並延伸至Y軸,且該轉向角度介於30度至95度。The clavicle plate according to claim 10, wherein the outer portion of the clavicular plate is positioned in the X-axis, and the middle portion and the inner portion are turned by the Z-axis and extended to the Y-axis, and the steering angle is From 30 degrees to 95 degrees. 如申請專利範圍第1項所述之鎖骨骨板,其中鎖骨骨板之中段部於X軸向定位,內段部係由Y軸轉向至Z軸,外段部係由X軸轉向Y軸,且該轉向角度介於30度至120度。The clavicle plate according to claim 1, wherein the middle portion of the clavicular plate is positioned in the X-axis, the inner portion is turned from the Y-axis to the Z-axis, and the outer portion is turned from the X-axis to the Y-axis. And the steering angle is between 30 degrees and 120 degrees. 如申請專利範圍第12項所述之鎖骨骨板,其中鎖骨骨板之中段部於X軸向定位,內段部係由Y軸轉向至Z軸,外段部係由X軸轉向Y軸,且該轉向角度介於30度至95度。The clavicle plate according to claim 12, wherein the middle portion of the clavicle plate is positioned in the X-axis, the inner portion is turned from the Y-axis to the Z-axis, and the outer portion is turned from the X-axis to the Y-axis. And the steering angle is between 30 degrees and 95 degrees. 一種鎖骨骨板組,其包括如申請範圍第1至13項任一項中所述之鎖骨骨板、複數個骨釘及一定位骨釘,其中該複數個骨釘係可活動地分別穿設於鎖骨骨板之各穿孔,該定位骨釘係可活動地穿設於鎖骨骨板之定位孔。A clavicle plate set comprising the clavicle bone plate, the plurality of bone nails and a positioning bone nail according to any one of the items 1 to 13 of the application, wherein the plurality of bone nails are movably disposed separately The positioning bone nails are movably disposed in the positioning holes of the clavicle bone plate in each of the perforations of the clavicle bone plate. 如申請專利範圍第14項所述之鎖骨骨板組,其中骨釘具有一冠部及一末端呈尖錐狀之桿體,且於骨釘之冠部之外緣設有一冠部螺紋,桿體之外緣設有一桿體螺紋,該冠部螺紋係與鎖骨骨板之穿孔之孔壁相對應。The clavicle plate set according to claim 14, wherein the bone nail has a crown portion and a rod having a tip-shaped tip, and a crown thread is arranged on the outer edge of the crown of the nail. The outer edge of the body is provided with a rod thread corresponding to the perforated wall of the clavicular bone plate. 如申請專利範圍第14項所述之鎖骨骨板組,其中桿體螺紋之螺旋間距大於冠部螺紋之螺旋間距。The clavicle plate set according to claim 14, wherein the screw pitch of the rod threads is larger than the helical pitch of the crown threads. 如申請專利範圍第14項所述之鎖骨骨板組,其中穿孔非垂直貫穿於鎖骨骨板的第一側面及第二側面,使穿設於外段部之骨釘之軸線朝向前端、後端或鎖骨骨板之兩長側傾斜延伸。The clavicle plate set according to claim 14, wherein the perforation is not perpendicular to the first side and the second side of the clavicular bone plate, so that the axis of the nail piercing the outer segment faces the front end and the rear end Or the two long sides of the clavicle plate extend obliquely. 如申請專利範圍第14至第17項中任一項所述之鎖骨骨板組,其中穿設於外段部之骨釘之軸線與穿設於內段部之骨釘之軸線相夾之角度介於15度至150度之間。The clavicle plate set according to any one of claims 14 to 17, wherein an axis of the nail pierced in the outer section and an axis of the nail pierced in the inner section are at an angle Between 15 degrees and 150 degrees.
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