TW201739425A - Bone plate assembly - Google Patents

Bone plate assembly Download PDF

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Publication number
TW201739425A
TW201739425A TW105114702A TW105114702A TW201739425A TW 201739425 A TW201739425 A TW 201739425A TW 105114702 A TW105114702 A TW 105114702A TW 105114702 A TW105114702 A TW 105114702A TW 201739425 A TW201739425 A TW 201739425A
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Taiwan
Prior art keywords
bone
plate assembly
bone plate
locking surface
hole
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TW105114702A
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Chinese (zh)
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TWI583345B (en
Inventor
賴國安
王國照
吳旭富
林儒緯
張土火
Original Assignee
國立成功大學
國立成功大學醫學院附設醫院
全球安聯科技股份有限公司
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Priority to TW105114702A priority Critical patent/TWI583345B/en
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Publication of TWI583345B publication Critical patent/TWI583345B/en
Publication of TW201739425A publication Critical patent/TW201739425A/en

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Abstract

A bone plate assembly is provided. The bone plate assembly has a body and a waher. The body configured to be fixed at least one bolt has a screwing surface, and an attachment surface for attaching to a bone. A through hole and screw holes are formed on the body. The waher is disposed on the body and configured to be fixed at least one screw.

Description

骨板組件 Bone plate assembly

本發明係關於一種骨板組件,特別是關於一種輔助金屬絲固定在骨骼上的骨板組件。 The present invention relates to a bone plate assembly, and more particularly to a bone plate assembly in which an auxiliary wire is fixed to a bone.

臨床上最常用以治療骨折的方法,就是由數個骨釘將一骨板結合定位於骨骼的骨折處;然而,當骨折處發生在接近關節部位時,為顧及鎖入骨釘時可能影響患者關節活動角度的問題,使得骨釘鎖入骨骼的結合角度與位置受到了很大的限制,從而容易無法提供某些骨塊穩定的固定效果,也因此易於術後因活動而導致骨板與骨骼之間產生位移,進而造成新生骨產生歪斜或變形的情況,甚至會造成骨折無法癒合。 The most common method used to treat fractures in clinical practice is to use a bone nail to position a bone plate in the fracture of the bone; however, when the fracture occurs close to the joint, it may affect the joint of the patient in order to take into account the locking of the nail. The problem of the angle of action makes the binding angle and position of the bone nail locked into the bone greatly restricted, so that it is easy to provide a stable fixation effect of certain bone blocks, and thus it is easy to cause bone plate and bone due to activity after surgery. Displacement occurs, which causes the new bone to be skewed or deformed, and even the fracture cannot heal.

目前,骨板是醫學臨床中用來固定人體內的骨骼,以維持骨骼對位的一種器械,現有的骨板通常是在板體上設置鎖定孔、導針孔和加壓孔,通過鎖定孔、導針孔和加壓孔來實現骨折端的連接定位,由於在臨床手術中,主刀醫師要不停的更換手術器械,而且骨板的安裝要與骨體的形狀相匹配,在骨板的安裝過程中要根據患者狀況選擇骨板的角度及其他固定方式如金屬絲或金屬繩索,現有的骨板結構中,由於沒有設置供金屬絲或金屬繩索的預安裝位置,金屬絲或金屬繩索安裝與骨板結合過程中會出現滑落問題。 At present, the bone plate is a device used in medical clinical practice to fix the bone in the human body to maintain the bone alignment. The existing bone plate usually has a locking hole, a guide pin hole and a pressing hole on the plate body, and the locking hole is passed through the locking hole. The needle hole and the pressure hole are used to realize the connection and positioning of the fracture end. In the clinical operation, the surgeon needs to continuously change the surgical instrument, and the bone plate is installed to match the shape of the bone body, and the bone plate is installed. During the process, the angle of the bone plate and other fixing methods such as wire or metal rope should be selected according to the patient's condition. In the existing bone plate structure, the wire or metal rope is installed and installed because there is no pre-installation position for the wire or metal rope. There is a slippage problem during the bone plate bonding process.

故,有必要提供一種改良的骨板組件,以解決習用技術所存在的問題。 Therefore, it is necessary to provide an improved bone plate assembly to solve the problems of the conventional technology.

本發明之主要目的在於提供一種骨板組件,利用本體上形成卡槽與金屬絲相配合固定,以及附墊片的設計,可利用強化骨板組件的固定效果,進而提升本體固定在該骨骼的穩定性。 The main object of the present invention is to provide a bone plate assembly, which is formed by using a card slot formed on the body to be fixed with a wire, and a gasket design, which can utilize the fixing effect of the reinforcing bone plate assembly, thereby improving the fixing of the body to the bone. stability.

為達上述之目的,本發明提供一種骨板組件,該骨板組件包含一本體及一墊附片;該本體用以供至少一螺栓鎖合固定,且該本體具有一鎖合面及一貼合面,該貼合面相反於該鎖合面,且用以貼置於一骨骼上,其中該本體形成一穿孔及多個螺合孔,該等螺合孔自該鎖合面貫穿至該貼合面,用以供多個螺絲穿伸;其中該本體的貼合面的一端向外延伸,且該穿孔係套置一骨釘;該墊附片設置在該本體上,且具有一對位孔,用以與其中一螺合孔對位。 In order to achieve the above object, the present invention provides a bone plate assembly, comprising: a body and a pad; the body is configured to be fixed by at least one bolt, and the body has a locking surface and a sticker The mating surface is opposite to the locking surface and is attached to a bone, wherein the body forms a perforation and a plurality of screwing holes, and the screwing holes penetrate from the locking surface to the a mating surface for extending a plurality of screws; wherein one end of the abutting surface of the body extends outwardly, and the perforation is sleeved with a bone nail; the pad attaching piece is disposed on the body and has a pair a bit hole for aligning with one of the screw holes.

在本發明之一實施例中,該墊附片具有一頂壁及二側壁,該頂壁貼附在該本體的鎖合面上並形成有該對位孔,該等側壁自該頂壁兩側延伸且彈性卡合在該本體的二側緣。 In an embodiment of the present invention, the pad has a top wall and two side walls, the top wall is attached to the locking surface of the body and formed with the alignment hole, and the side walls are The sides extend and are elastically engaged at the two side edges of the body.

在本發明之一實施例中,每一側壁形成一內凹部,用以頂抵該本體的二側緣。 In an embodiment of the invention, each side wall defines an inner recess for abutting against the two side edges of the body.

在本發明之一實施例中,該穿孔形成一內側凸緣,用以供一螺栓靠置。 In one embodiment of the invention, the perforations define an inner flange for a bolt to rest.

在本發明之一實施例中,該鎖合面遠離該穿孔的一側形成一斜面。 In an embodiment of the invention, the side of the locking surface that is away from the perforation forms a slope.

在本發明之一實施例中,該本體的一寬度係自該本體的一中心往兩端減縮。 In an embodiment of the invention, a width of the body is reduced from a center to a front end of the body.

在本發明之一實施例中,該本體係為一體成型且該貼合面與該骨釘形成一鈍角夾角。 In an embodiment of the invention, the system is integrally formed and the abutment surface forms an obtuse angle with the bone nail.

在本發明之一實施例中,該本體另具有一卡槽,形成在該鎖合面上。 In an embodiment of the invention, the body further has a card slot formed on the locking surface.

如上所述,本發明骨板組件利用在該本體上形成該卡槽而與金屬絲相配合固定,可強化該本體透過骨釘固定在該骨骼上的位置;另外,透過該墊附片的對位孔對位於相應的螺合孔並以該螺絲加以固定,增加該螺絲的鎖固效果,進而提升該本體固定在該骨骼的穩定性。 As described above, the bone plate assembly of the present invention is formed by fixing the card slot on the body to be fixed with the wire, and the position of the body fixed to the bone through the bone nail can be strengthened; The bit hole pair is located in the corresponding screw hole and fixed by the screw, thereby increasing the locking effect of the screw, thereby improving the stability of the body fixed to the bone.

100‧‧‧骨板組件 100‧‧‧Bone plate assembly

101‧‧‧骨骼 101‧‧‧ bones

102‧‧‧螺絲 102‧‧‧ screws

103‧‧‧螺栓 103‧‧‧Bolts

104‧‧‧骨釘 104‧‧‧ bone nails

105‧‧‧金屬絲 105‧‧‧Wire

2‧‧‧本體 2‧‧‧ Ontology

20‧‧‧卡槽 20‧‧‧ card slot

21‧‧‧鎖合面 21‧‧‧Lock face

211‧‧‧斜面 211‧‧‧Bevel

22‧‧‧貼合面 22‧‧‧Fitting surface

23‧‧‧穿孔 23‧‧‧Perforation

231‧‧‧內側凸緣 231‧‧‧ inside flange

24‧‧‧螺合孔 24‧‧‧Spiral hole

4‧‧‧墊附片 4‧‧‧ pads

40‧‧‧對位孔 40‧‧‧ alignment hole

41‧‧‧頂壁 41‧‧‧ top wall

42‧‧‧側壁 42‧‧‧ side wall

421‧‧‧內凹部 421‧‧‧ Inside recess

第1圖為本發明骨板組件的一較佳實施例的一立體圖;第2圖為本發明骨板組件的一較佳實施例組合在骨骼上的一立體圖;及第3圖為本發明骨板組件的一較佳實施例組合在骨骼上的一剖面圖。 1 is a perspective view of a preferred embodiment of a bone plate assembly of the present invention; FIG. 2 is a perspective view of a preferred embodiment of a bone plate assembly of the present invention combined with bone; and FIG. 3 is a bone of the present invention A preferred embodiment of the plate assembly incorporates a cross-sectional view of the bone.

為了讓本發明之上述及其他目的、特徵、優點能更明顯易懂,下文將特舉本發明較佳實施例,並配合所附圖式,作詳細說明如下。再者,本發明所提到的方向用語,例如上、下、頂、底、前、後、左、右、內、外、側面、周圍、中央、水平、橫向、垂直、縱向、軸向、徑向、最上層或最下層等,僅是參考附加圖式的方向。因此,使用的方向用語是用以說明及理解本發明,而非用以限制本發明。 The above and other objects, features and advantages of the present invention will become more <RTIgt; Furthermore, the directional terms mentioned in the present invention, such as upper, lower, top, bottom, front, rear, left, right, inner, outer, side, surrounding, central, horizontal, horizontal, vertical, longitudinal, axial, Radial, uppermost or lowermost, etc., only refer to the direction of the additional schema. Therefore, the directional terminology used is for the purpose of illustration and understanding of the invention.

請參照第1及2圖所示,本發明骨板組件的一較佳實施例,該骨板組件100包含一本體2、及一墊附片4,其中該本體2用以供至少一螺栓103鎖合固定,該墊附片4用以供至少一螺絲102鎖合固定本發明將於下文詳細說明各元件的細部構造、組裝關係及其運作原理。 Referring to FIGS. 1 and 2, in a preferred embodiment of the bone plate assembly of the present invention, the bone plate assembly 100 includes a body 2 and a pad attaching piece 4, wherein the body 2 is used for at least one bolt 103. The pad attachment 4 is used for locking and fixing at least one screw 102. The detailed construction, assembly relationship and operation principle of each component will be described in detail below.

續參照第1及2圖所示,該本體2具有一鎖合面21、一貼合面22及一卡槽20,該貼合面22相反於該鎖合面21,且該貼合面22用以貼置於一骨骼101上,其中該本體2形成一穿孔23及多個螺合孔24,該等螺合孔24自該鎖合面21貫穿至該貼合面22,且用以供多個螺絲102穿伸;該卡槽20形成在該鎖合面21上,且與該墊附片4相間隔,用以供一金屬絲105(或金屬繩索)卡附在其中;在本實施例中,該鎖合面21遠離該穿孔23的一側形成一斜面211。而且該穿孔23形成一內側凸緣231,其係形成在該穿孔23內壁面的一個階狀部,該內側凸緣231可用以供一螺栓103靠置。 Referring to FIGS. 1 and 2 , the body 2 has a locking surface 21 , a bonding surface 22 , and a card slot 20 . The bonding surface 22 is opposite to the locking surface 21 , and the bonding surface 22 The body 2 is placed on a bone 101, and the body 2 defines a through hole 23 and a plurality of screw holes 24. The screw holes 24 extend through the locking surface 21 to the bonding surface 22, and are used for a plurality of screws 102 are formed; the card slot 20 is formed on the locking surface 21 and spaced apart from the pad attachment piece 4 for attaching a wire 105 (or metal rope) therein; In one example, a side of the locking surface 21 away from the through hole 23 forms a slope 211. Further, the through hole 23 defines an inner flange 231 which is formed in a stepped portion of the inner wall surface of the through hole 23, and the inner flange 231 can be used to abut against a bolt 103.

續參照第1及2圖所示,該本體2的貼合面22的一端向外延伸且連通該穿孔23,且該穿孔23用以套置一骨釘104;在本實施例中,該骨釘104的一長度為該穿孔23的一長度的2倍以上,例如2倍、2.25倍、2.5倍、3倍、3.5倍或4倍等,但不限於此。 Continuing with reference to Figures 1 and 2, one end of the abutment surface 22 of the body 2 extends outwardly and communicates with the perforation 23, and the perforation 23 is used to receive a bone nail 104; in this embodiment, the bone One length of the nail 104 is more than twice the length of the perforation 23, for example, 2 times, 2.25 times, 2.5 times, 3 times, 3.5 times or 4 times, etc., but is not limited thereto.

續參照第1圖所示,該墊附片4設置在該本體2上並用以組合在該本體2的鎖合面21上,且該墊附片4具有一頂壁41、二側壁42及一對位孔40,其中該對位孔40用以與其中一螺合孔24對位。且該頂壁41係貼附在該本體2的鎖合面21上,且該對位孔40形成在該頂壁41上,該等側壁42自該頂壁41兩側延伸且能用以彈性卡合在該本體2的二側緣;在本實施例中,每一側壁42形成一內凹部421,用以頂抵該本體2稍往外凸的二側緣。 Referring to FIG. 1 , the pad attaching piece 4 is disposed on the body 2 and is combined on the locking surface 21 of the body 2 , and the pad attaching piece 4 has a top wall 41 , two side walls 42 , and a The alignment hole 40 is used to align with one of the screw holes 24. The top wall 41 is attached to the locking surface 21 of the body 2, and the alignment hole 40 is formed on the top wall 41. The side walls 42 extend from both sides of the top wall 41 and can be used for elasticity. The two side edges of the body 2 are engaged; in this embodiment, each of the side walls 42 defines an inner concave portion 421 for abutting against the two lateral edges of the body 2 which are slightly convex.

續參照第1及2圖所示,進一步說明的是,該本體2的貼合面22與該骨釘104形成一鈍角夾角,且該鈍角夾角的範圍在90°至180°之間,例如91度、95度、100度、120度、150度、175度或179度等,但不限於此。另外,該等螺合孔24係以同直線等距方式間隔排列,或者該等螺合孔24也可選擇以左右交錯的方式間隔排列,用以提高該等螺絲102鎖固在該骨骼101的穩固性;在本實施例中,該本體2的一寬度係自該本體2的一中心往兩端減縮,而且該本體2係為一體成型。 Continuing with reference to Figures 1 and 2, it is further illustrated that the abutment surface 22 of the body 2 forms an obtuse angle with the bone nail 104, and the angle of the obtuse angle ranges between 90° and 180°, for example, 91. Degree, 95 degrees, 100 degrees, 120 degrees, 150 degrees, 175 degrees or 179 degrees, etc., but is not limited thereto. In addition, the screw holes 24 are arranged at equal intervals in a straight line, or the screw holes 24 may be alternately arranged in a staggered manner to improve the locking of the screws 102 on the bone 101. In this embodiment, a width of the body 2 is reduced from a center to the both ends of the body 2, and the body 2 is integrally formed.

依據上述的結構,如第2及3圖所示,在該骨骼101發生骨折之情況時,該骨釘104係藉由一導引器材與一螺合工具(未繪示)相互配合,使該骨釘104固定至該骨骼101的骨折患處,而該骨板組件100的穿孔23即套入該骨釘104上,並且利用該螺栓103穿過該穿孔23,進而與該骨釘104相螺合;接著,將其中一螺絲102穿過該墊附片4的對位孔40並穿過該本體2的螺合孔24而鎖合於該骨骼101上,其他的螺絲102則依序穿過該本體2的螺合孔24而鎖合在該骨骼101上,同時利用該金屬絲105在該骨骼101及骨板組件100外圍進行圈繞綁固,使該金屬絲105卡固在該鎖合面21及墊附片4的接合處,並且卡附在該卡槽20中,以強化該骨板組件100固定在該骨骼101的穩固程度,其中該墊附片4及卡槽20能夠提供該金屬絲105的固定效果,避免該金屬絲105產生滑脫的情形;其中,或者該墊附片4的對位孔40可選擇性的對位該等螺合孔24的其中一個,並不侷限於本發明的第1圖所示,進而使該本體2被固定在該骨骼101的骨折患處,而達到穩固的效果。另外,該鎖合面21遠離該穿孔23的一側形成該斜面211的設計,可用以使該本體2與該 骨骼101固定之前,可方便插入將該本體2插入於該骨骼101與肌肉(未繪示)的間隙內,以利於手術的操作。 According to the above structure, as shown in FIGS. 2 and 3, when the bone 101 is fractured, the bone nail 104 is coupled to a screwing tool (not shown) by a guiding device. The nail 104 is fixed to the fractured part of the bone 101, and the perforation 23 of the bone plate assembly 100 is inserted into the bone nail 104, and the bolt 103 is passed through the through hole 23 to be screwed with the nail 104. Then, one of the screws 102 passes through the alignment hole 40 of the pad attachment piece 4 and passes through the screw hole 24 of the body 2 to be locked to the bone 101, and the other screws 102 sequentially pass through the same. The threaded hole 24 of the body 2 is locked to the bone 101, and the wire 101 is used to entangle the bone 101 and the periphery of the bone plate assembly 100 to secure the wire 105 to the locking surface. The joint of the pad and the pad 4 is attached to the card slot 20 to enhance the stability of the bone plate assembly 100 to the bone 101, wherein the pad piece 4 and the card slot 20 can provide the metal. The fixing effect of the wire 105 avoids the occurrence of slippage of the wire 105; wherein, or the alignment hole 40 of the pad attached piece 4 is selective One of the alignment holes 24 is not limited to the first embodiment of the present invention, and the body 2 is fixed to the fracture site of the bone 101 to achieve a stable effect. In addition, a side of the locking surface 21 away from the through hole 23 forms a design of the inclined surface 211, and the body 2 can be used to Before the bone 101 is fixed, the body 2 can be easily inserted into the gap between the bone 101 and the muscle (not shown) to facilitate the operation of the operation.

如上所述,本發明的骨板組件100利用在該本體2上形成該卡槽20而與金屬絲105相配合固定,使該金屬絲105卡合固定在該墊附片4的一側以及該卡槽20上,而能夠避免該金屬絲105滑脫,藉此強化該本體2透過該骨釘104固定在該骨骼上的位置;另外,透過該墊附片的對位孔對位於相應的螺合孔並以該螺絲102加以固定,可增加該螺絲102的鎖固效果,進而提升該本體2固定在該骨骼101的穩定性。 As described above, the bone plate assembly 100 of the present invention is formed by being fixed to the wire 105 by forming the card slot 20 on the body 2, so that the wire 105 is snap-fitted to one side of the pad attaching piece 4 and The card slot 20 is configured to prevent the wire 105 from slipping off, thereby reinforcing the position of the body 2 fixed to the bone through the bone nail 104; in addition, the alignment hole pair passing through the pad attachment sheet is located at the corresponding screw The hole is fixed and fixed by the screw 102, so that the locking effect of the screw 102 can be increased, thereby improving the stability of the body 2 fixed to the bone 101.

雖然本發明已以較佳實施例揭露,然其並非用以限制本發明,任何熟習此項技藝之人士,在不脫離本發明之精神和範圍內,當可作各種更動與修飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 The present invention has been disclosed in its preferred embodiments, and is not intended to limit the invention, and the present invention may be modified and modified without departing from the spirit and scope of the invention. The scope of protection is subject to the definition of the scope of the patent application.

100‧‧‧骨板組件 100‧‧‧Bone plate assembly

102‧‧‧螺絲 102‧‧‧ screws

103‧‧‧螺栓 103‧‧‧Bolts

104‧‧‧骨釘 104‧‧‧ bone nails

2‧‧‧本體 2‧‧‧ Ontology

20‧‧‧卡槽 20‧‧‧ card slot

21‧‧‧鎖合面 21‧‧‧Lock face

211‧‧‧斜面 211‧‧‧Bevel

22‧‧‧貼合面 22‧‧‧Fitting surface

23‧‧‧穿孔 23‧‧‧Perforation

231‧‧‧內側凸緣 231‧‧‧ inside flange

24‧‧‧螺合孔 24‧‧‧Spiral hole

4‧‧‧墊附片 4‧‧‧ pads

40‧‧‧對位孔 40‧‧‧ alignment hole

41‧‧‧頂壁 41‧‧‧ top wall

42‧‧‧側壁 42‧‧‧ side wall

421‧‧‧內凹部 421‧‧‧ Inside recess

Claims (7)

一種骨板組件,包含:一本體,具有一鎖合面及一貼合面,該貼合面相反於該鎖合面,且用以貼置於一骨骼上,其中該本體形成一穿孔及多個螺合孔,該穿孔用以套置一骨釘,該等螺合孔自該鎖合面貫穿至該貼合面,用以供多個螺絲穿伸;及一墊附片,設置在該本體上,該墊附片具有一對位孔,用以與其中一螺合孔對位。 A bone plate assembly comprising: a body having a locking surface and a bonding surface opposite to the locking surface for attaching to a bone, wherein the body forms a perforation and a plurality of a screwing hole for arranging a bone nail, the screwing hole penetrating from the locking surface to the bonding surface for extending a plurality of screws; and a pad attached thereto On the body, the pad attaching piece has a pair of positioning holes for aligning with one of the screw holes. 如申請專利範圍第1項所述之骨板組件,其中該墊附片具有:一頂壁,貼附在該本體的鎖合面上並形成有該對位孔;及二側壁,自該頂壁兩側延伸且彈性卡合在該本體的二側緣。 The bone plate assembly of claim 1, wherein the pad has a top wall attached to the locking surface of the body and formed with the alignment hole; and two side walls from the top Both sides of the wall extend and are elastically engaged at the two side edges of the body. 如申請專利範圍第2項所述之骨板組件,其中每一側壁形成一內凹部,用以頂抵該本體的二側緣。 The bone plate assembly of claim 2, wherein each side wall defines an inner recess for abutting against the two side edges of the body. 如申請專利範圍第1項所述之骨板組件,其中該本體的一寬度係自該本體的一中心往兩端減縮。 The bone plate assembly of claim 1, wherein a width of the body is reduced from a center to a front end of the body. 如申請專利範圍第1項所述之骨板組件,其中該本體遠離該穿孔的一側形成一斜面。 The bone plate assembly of claim 1, wherein the body forms a slope away from a side of the perforation. 如申請專利範圍第1項所述之骨板組件,其中該本體係為一體成型且該貼合面與該骨釘形成一鈍角夾角。 The bone plate assembly of claim 1, wherein the system is integrally formed and the abutment surface forms an obtuse angle with the bone nail. 如申請專利範圍第1項所述之骨板組件,其中該本體另具有一卡槽,形成在該鎖合面上。 The bone plate assembly of claim 1, wherein the body further has a card slot formed on the locking surface.
TW105114702A 2016-05-12 2016-05-12 Bone plate assembly TWI583345B (en)

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