WO2016074505A1 - Plaque d'acier de fixation four la fixation interne de déboîtement d'articulation acromioclaviculaire - Google Patents

Plaque d'acier de fixation four la fixation interne de déboîtement d'articulation acromioclaviculaire Download PDF

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Publication number
WO2016074505A1
WO2016074505A1 PCT/CN2015/086206 CN2015086206W WO2016074505A1 WO 2016074505 A1 WO2016074505 A1 WO 2016074505A1 CN 2015086206 W CN2015086206 W CN 2015086206W WO 2016074505 A1 WO2016074505 A1 WO 2016074505A1
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WO
WIPO (PCT)
Prior art keywords
steel plate
buckled
groove
distal end
acromioclavicular joint
Prior art date
Application number
PCT/CN2015/086206
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English (en)
Chinese (zh)
Inventor
邓宇
吴敏
Original Assignee
邓宇
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from CN201410690554.9A external-priority patent/CN104382641B/zh
Priority claimed from CN201420733003.1U external-priority patent/CN204306885U/zh
Application filed by 邓宇 filed Critical 邓宇
Publication of WO2016074505A1 publication Critical patent/WO2016074505A1/fr

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    • 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
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates

Definitions

  • the utility model is applied to clinical orthopedics, a special buckled steel plate for internal fixation of acromioclavicular joint dislocation, and belongs to medical equipment. It is a special equipment for surgical reduction and internal fixation after the acromioclavicular joint dislocation of the human body (Rockwood type II, III, V).
  • the application of the device can achieve the recovery of the dislocated acromioclavicular joint to the original position, and can also meet the small plane movement of the acromioclavicular joint.
  • acromioclavicular joint dislocation is controversial and is constantly evolving. Most can be treated with non-surgical treatment. Complete acromioclavicular joint dislocation is a surgical treatment, especially for young patients with heavy shifts, active people, and workers who need to raise their arms more than the plane of the shoulder joints. Benefit from this surgery. This is consistent with the conclusions of Powers and Bach.
  • the movement and sliding of the acromioclavicular joint is not only a biplane but a more complex movement.
  • Rockwood et al. confirmed that as the shoulder lifts and the clavicle rotates 40-50° upwards, the distal end of the clavicle rotates only 5-8° relative to the shoulder, ie the acromioclavicular joint moves synchronously and is also small and multiplanar. exercise. Due to the particularity of the acromioclavicular joint movement, although there are many existing treatment methods, various treatment effects are different, as shown in the following table:
  • the purpose of the utility model is to overcome the deficiencies of the existing internal fixation devices and provide an effective new type.
  • Fixed equipment The buckled steel plate is designed to be ball-and-socket joint shape, which can maintain the acromioclavicular joint reduction and meet the multi-plane small-scale movement of the acromioclavicular joint, which satisfies the needs of the acromioclavicular joint movement. And research and design a new surgical method.
  • a special buckled steel plate for internal fixation of acromioclavicular joint dislocation characterized by an anchor plate (1) at the distal end of the clavicle and a buckle plate (2) at the distal end of the scapula; and an anchor screw hole at the proximal end of the anchor plate (3) 2-5, the distal end is provided with groove screw holes (4) 2-5, the groove screw hole is provided with a spherical groove (5); the buckled steel plate is provided with a fastening screw hole (6) 2-5 There are 2-4 crimping nail holes (7) at the distal end, and the curved side of the buckled steel plate is provided with a gradually thickening and narrowing curved arm (8), and the end of the curved arm is provided with a pressing ball (9).
  • the anchoring steel plate is divided into left and right sides, and the shape of the upper and lower planes is the same as the upper plane of the distal end of the clavicle or the small circumference is 0-2 mm.
  • the anchoring steel plate is provided with 2-5 anchor screw holes at the proximal end, located at the center of the width of the steel plate, 2-5 groove screw holes at the distal end, coagulated with the groove screw hole, and the proximal hole anchoring screw The hole is small.
  • a spherical groove is arranged in the middle of the groove screw hole, and the base of the groove is placed into the bone during use.
  • the buckled steel plate is located at the distal end of the scapula, and the shape of the upper and lower planes is 0-2 mm larger than the circumference of the upper plane of the scapula, and the shape of the upper and lower planes of the buckled steel plate at the shoulder is larger than the shoulder.
  • the three sides of the plane are the same or small 0-2 mm.
  • the proximal end of the buckled steel plate is provided with 2-5 crimping screw holes, and the distal end is provided with 2-4 crimping nail holes, the crimping nail hole is cohesive, and the aperture is smaller than the proximal end.
  • the crimped nail holes are distributed in a triangular or multi-angle manner, and the crimped nail holes are located at the intersection of the curved arm and the steel plate, and are placed at the other corners of the triangle or the multi-angle.
  • the curved arm of the distal side of the buckled steel plate is used for the buckled steel plate of the left shoulder sill, and the curved arm of the distal side is disposed on the right side of the buckled steel plate, and is used for the right shoulder squash buckle steel plate, and the distal side curved arm is disposed at The left side of the steel plate is buckled; the curved shape of the curved arm is the arc facing downward, and the buckled ball at the end of the curved arm is a round dome, and the diameter of the buckled ball is smaller than the diameter of the groove by 0.2-0.5 mm.
  • a crimping neck having a length of 0-4 mm and a diameter smaller than a crimping ball diameter of 0-2 mm is provided between the buckle ball and the
  • a special buckled steel plate corresponding to the acromioclavicular joint dislocation characterized by an anchor plate (1) at the distal end of the clavicle and a distal plate (2) at the distal end of the scapula; and an anchor screw hole at the proximal end of the anchor plate (3)
  • the distal end is provided with a groove screw hole (4), and a spherical groove (5) is arranged in the middle of the groove screw hole;
  • a buckle screw hole (6) is arranged at a proximal end of the buckled steel plate, and a buckled nail hole is provided at the distal end (7) )
  • the curved side of the distal end of the buckled steel plate is provided with a gradually thicker and narrower curved arm (8), and the end of the curved arm is provided with a buckled ball (9).
  • the anchoring steel plate is divided into left and right sides, and the shape of the upper and lower planes is the same as the upper plane of the distal end of the clavicle or the small circumference is 0-2 mm.
  • the anchoring steel plate is provided with 2-5 anchor screw holes at the proximal end, which is located at the center of the width of the steel plate.
  • the distal end is provided with 2-5 groove screw holes, and the hole diameter is smaller than the proximal anchor screw hole.
  • a spherical groove is arranged in the middle of the groove screw hole, and the base of the groove is placed into the bone during use.
  • the buckled steel plate is located at the distal end of the scapula, and the shape of the upper and lower planes is 0-2 mm larger than the circumference of the upper plane of the scapula, and the buckled steel plate is located at the shoulder peak, and the shape of the upper and lower planes is larger than the plane on the shoulder.
  • the perimeter is the same or small 0-2 mm.
  • the proximal end of the buckled steel plate is provided with 2-5 crimping screw holes, and the distal end is provided with 2-4 crimping nail holes, the hole diameter is smaller than the proximal end; the crimping nail hole is triangular or multi-angled, and the crimping nail hole is located at the second
  • the curved arm meets the steel plate and is placed at the other corner of the triangle or polygon.
  • the curved arm of the distal side of the buckled steel plate is used for the buckled steel plate of the left shoulder sill, and the curved arm of the distal side is disposed on the right side of the buckled steel plate, and is used for the right shoulder squash buckle steel plate, and the distal side curved arm is disposed at
  • the left side of the steel plate is buckled; the curved shape of the curved arm is the arc facing downward, and the buckled ball at the end of the curved arm is a round dome, and the diameter of the buckled ball is smaller than the diameter of the groove by 0.2-0.5 mm.
  • Anchored steel plate and buckled steel plate are designed as locking steel plates and conventional steel plates with limited contact and non-finite contact;
  • the length of the buckle neck between the ball and the curved arm is 0-4 mm, the diameter of the buckle neck is smaller than the diameter of the buckle ball 0-2 mm, the groove corresponding thereto, the inner groove of the groove is hemispherical, and the hemisphere is 3 points.
  • the diameter of the buckle ball is less than or equal to the diameter of the groove surface, and the buckle ball and the groove can be separated from each other; the buckle ball with the diameter of the buckle ball larger than the diameter of the groove surface is the recessed groove. Inside, it can be rotated and cannot be separated.
  • the working principle of the utility model is as follows: after the anesthesia is successful, the patient takes the beach chair position and the shoulder joint is routinely disinfected and spread.
  • the skin fascia was cut distally along the clavicle through the 1/3 of the clavicle to expose the distal end of the clavicle.
  • the skin fascia is cut distally to reveal the acromion.
  • the two incisions communicated, and the acromioclavicular joint was exposed.
  • the acromioclavicular joint was manually restored, and the Kirschner wire was temporarily fixed by the acromion and the distal end of the clavicle.
  • the anchor plate is placed at the distal end of the clavicle, and the buckled plate is placed at the distal end of the scapula, and the buckled ball corresponds to the groove of the anchor plate to determine the position of the plate.
  • the anchor plate is fixed first, and the buckled steel plate is placed at the distal end of the scapula and fixed at a preset position. Remove the temporary fixed Kirschner wire, move the shoulder joint, observe the mobility of the shoulder joint and the fit of the buckled ball groove to determine whether there is any possibility of horizontal dislocation. After dislocation, the incision was flushed and hemostasis was stopped, and the incision was closed and bandaged layer by layer.
  • the acromioclavicular joint can perform small-scale small-scale movement.
  • the acromioclavicular joint can maintain the function of the acromioclavicular joint and promote the healing of the acromioclavicular joint trauma.
  • the buckled steel plate of the utility model is designed as a ball-and-socket joint shape, which can maintain the acromioclavicular joint reduction and conform to the multi-plane small-scale movement of the acromioclavicular joint, and satisfies the needs of the acromioclavicular joint movement.
  • Reduce the occurrence of complications in previous surgical procedures such as bone needle migration, soft tissue repair failure, acromioclavicular arthritis, surgical trauma of ligament reconstruction, and complications related to non-absorbable lines or belts.
  • the utility model has the advantages that the utility model has the following advantages compared with the conventional shoulder lock joint reduction internal fixation method.
  • the utility model is a buckled steel plate designed according to the anatomical knowledge of the human body and the movement mode and range of the acromioclavicular joint.
  • the ball and the groove are formed to form a ball and socket joint, which is convenient for the complex multi-plane and small-scale movement of the acromioclavicular joint.
  • the sacral ligament is torn, and the suspension system that suspends the scapula and the upper limb from the clavicle no longer exists, and the upper limb naturally sag. Due to the opposite movement of the shoulder and the distal end of the clavicle, a pressing force is generated between the buckle ball and the groove.
  • the acromioclavicular joint is a multi-plane small-scale movement, and unless the violence is again, the ball and socket joint will not dislocate.
  • Anchoring the design of the anchoring screw hole at the proximal end of the steel plate can prevent the proximal end lifting due to the distal pressure of the steel plate.
  • the distal groove screw hole is convenient for preventing horizontal movement of the distal end of the steel plate and preventing groove wear. Grinding at the clavicle groove facilitates the placement of bone at the bottom of the groove.
  • the shoulder pin buckled steel plate is provided with a crimping screw hole at the proximal end, which is convenient for the buckled steel plate to be fixed on the shoulder scapula, and the distal end buckles the oblique nail hole to prevent the distal steel plate from lifting.
  • the design of the crimped nail hole facilitates the stability of the screw in the shoulder.
  • the curved arm on the side of the steel plate is buckled to reserve space for the movement of the acromioclavicular joint, avoiding the movement of the distal end of the steel plate and the curved arm due to the movement of the acromioclavicular joint, resulting in separation of the depressing ball and the groove, and then dislocation .
  • the diameter of the rounded ball at the end of the curved arm is smaller than the diameter of the groove of the anchoring steel plate by 0.2-0.5 mm.
  • Fig. 1 is a view showing the state of use of the present invention.
  • Figure 2 is a front elevational view of the buckled steel sheet of the present invention.
  • Figure 3 is a front elevational view of the anchoring steel sheet of the present invention.
  • Figure 4 is a rear elevational view of Figure 2.
  • Fig. 5 is a bottom view of Fig. 2;
  • Figure 6 is a right side view of Figure 2.
  • Figure 7 is a bottom view of Figure 3.
  • Icons (1) anchor steel plate, (2) buckle steel plate, (3) anchor screw hole, (4) groove screw hole, (5) groove, (6) crimping screw hole, (7) crimping nail Hole, (8) curved arm, (9) buckle ball.
  • a special buckled steel plate is used in the acromioclavicular joint dislocation, and the anchor plate (1) and the shoulder peak at the distal end of the clavicle are far away.
  • End buckle steel plate (2); anchor steel plate near the end is provided with anchor screw holes (3) 2 -5, the distal end is provided with groove screw holes (4) 2-5, the groove screw hole is provided with a spherical shape Groove (5); 2-5 crimping screw holes (6) are provided at the proximal end of the buckled steel plate, and 2-4 crimping nail holes (7) are provided at the distal end, and the curved arm is provided at the distal side of the buckled steel plate. (8), the end of the curved arm is provided with a buckle ball (9).
  • the anchoring steel plate is divided into left and right sides, and the shape of the upper and lower planes is the same as the upper plane of the distal end of the clavicle or the small circumference is 0-2 mm.
  • the anchoring steel plate is provided with 2-5 anchor screw holes at the proximal end, which is located at the center of the width of the steel plate.
  • the distal end is provided with 2-5 groove screw holes, and the hole diameter is smaller than the proximal anchor screw hole.
  • a spherical groove is arranged in the middle of the groove screw hole, and the base of the groove is placed into the bone during use.
  • the buckled steel plate is located at the distal end of the scapula, and the shape of the upper and lower planes is 0-2 mm larger than the circumference of the upper plane of the scapula, and the buckled steel plate is located at the shoulder peak, and the shape of the upper and lower planes is larger than the plane on the shoulder.
  • the perimeter is the same or small 0-2 mm.
  • the proximal end of the buckled steel plate is provided with 2-5 crimping screw holes, and the distal end is provided with 2-4 crimping nail holes, and the aperture is smaller than the proximal end.
  • the crimped nail holes are distributed in a triangular or multi-angle manner, and the crimped nail holes are located at the intersection of the curved arm and the steel plate, and are placed at the other corners of the triangle or the multi-angle.
  • the curved arm of the distal side of the buckled steel plate is used for the buckled steel plate of the left shoulder sill, and the curved arm of the distal side is disposed on the right side of the buckled steel plate, and is used for the right shoulder squash buckle steel plate, and the distal side curved arm is disposed at The left side of the steel plate is buckled; the curved shape of the curved arm is the arc facing downward, and the buckled ball at the end of the curved arm is a round dome, and the diameter of the buckled ball is smaller than the diameter of the groove by 0.2-0.5 mm.
  • the anchor steel plate and the buckle steel plate are designed as a locking steel plate or a conventional steel plate with limited contact.
  • the design of the crimped nail hole facilitates the stability of the screw in the shoulder.
  • the neck between the buckle ball and the curved arm is made, the length of 0-4 mm is smaller than the diameter of the buckle ball 0-2 mm.
  • the buckle neck, the corresponding groove, the inner groove of the groove is hemispherical, the hemisphere type is between 1/3 and 3 of the ball type, and the diameter of the buckle ball is less than or equal to the diameter of the groove surface, and the buckle is pressed.
  • the ball and the groove can be separated from each other; the buckle ball having a diameter larger than the diameter of the groove surface of the buckle is a recessed groove, and can be rotated and cannot be separated.
  • the crimping neck can avoid the collision between the distal end of the anchoring steel plate and the curved arm due to the movement of the acromioclavicular joint, and the possibility of separating the depressing ball from the groove is reduced.

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  • 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)
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Abstract

L'invention concerne une plaque d'acier de fixation pour la fixation interne d'un déboîtement d'articulation acromioclaviculaire, comprenant une plaque d'acier d'ancrage (1) au niveau d'une extrémité distale d'une clavicule et une plaque d'acier de fixation (2) au niveau d'une extrémité distale d'une nervure d'omoplate. Deux à cinq trous de vis d'ancrage sont formés au niveau d'une extrémité proximale de la plaque d'acier d'ancrage (1), et deux à cinq trous de vis d'évidement (4) sont formés au niveau d'une extrémité distale, un évidement sphérique (5) est situé au milieu du trou de vis d'évidement (4). Deux à cinq trous de vis de fixation (6) sont formés au niveau d'une extrémité proximale de la plaque d'acier de fixation (2), et deux à quatre trous de broche d'inclinaison de fixation (7) sont formés au niveau d'une extrémité distale. Un bras d'arc à épaississement et rétrécissement progressif (8) est disposé au niveau d'un côté d'extrémité distale de la plaque d'acier de fixation (2), et une bille de fixation (9) est disposée au niveau de l'extrémité distale du bras d'arc (8). La plaque d'acier de fixation spécialement utilisée pour la fixation interne du déboîtement d'articulation acromioclaviculaire est conçue selon une forme d'articulation sphéroïde, pour fixer un déboîtement de l'articulation acromioclaviculaire et loger de petits mouvements à plans multiples de l'articulation acromioclaviculaire, ce qui permet de satisfaire les besoins de mouvement d'articulation acromioclaviculaire.
PCT/CN2015/086206 2014-11-16 2015-08-06 Plaque d'acier de fixation four la fixation interne de déboîtement d'articulation acromioclaviculaire WO2016074505A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
CN201410690554.9 2014-11-16
CN201410690554.9A CN104382641B (zh) 2014-11-16 2014-11-16 一种肩锁关节脱位内固定专用扣压钢板
CN201420733003.1 2014-11-16
CN201420733003.1U CN204306885U (zh) 2014-11-16 2014-11-16 一种肩锁关节脱位内固定专用扣压钢板

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WO2016074505A1 true WO2016074505A1 (fr) 2016-05-19

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106667568A (zh) * 2016-12-31 2017-05-17 苏州市康力骨科器械有限公司 一种解剖型肩胛骨锁定钢板
US11504173B2 (en) 2020-09-16 2022-11-22 Acumed Llc Bone-stabilizing device having a pivotable buttress member

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6007536A (en) * 1998-11-30 1999-12-28 Yue; James J. Variable angle blade plate for fixation of cancellous bone
EP1743586A1 (fr) * 2005-07-14 2007-01-17 Terray Corporation Plaque d'ostéosynthèse claviculaire
CN200973745Y (zh) * 2006-11-15 2007-11-14 林斌 一种微动解剖型肩锁钢板
CN202637086U (zh) * 2012-07-17 2013-01-02 枣庄矿业集团滕南医院 肩锁关节固定板
CN103750894A (zh) * 2014-02-07 2014-04-30 王刚 肩锁关节脱位固定板
CN104116553A (zh) * 2014-08-12 2014-10-29 李照文 一种肩锁关节弹性固定板
CN104382641A (zh) * 2014-11-16 2015-03-04 邓宇 一种肩锁关节脱位内固定专用扣压钢板
CN204306885U (zh) * 2014-11-16 2015-05-06 邓宇 一种肩锁关节脱位内固定专用扣压钢板

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6007536A (en) * 1998-11-30 1999-12-28 Yue; James J. Variable angle blade plate for fixation of cancellous bone
EP1743586A1 (fr) * 2005-07-14 2007-01-17 Terray Corporation Plaque d'ostéosynthèse claviculaire
CN200973745Y (zh) * 2006-11-15 2007-11-14 林斌 一种微动解剖型肩锁钢板
CN202637086U (zh) * 2012-07-17 2013-01-02 枣庄矿业集团滕南医院 肩锁关节固定板
CN103750894A (zh) * 2014-02-07 2014-04-30 王刚 肩锁关节脱位固定板
CN104116553A (zh) * 2014-08-12 2014-10-29 李照文 一种肩锁关节弹性固定板
CN104382641A (zh) * 2014-11-16 2015-03-04 邓宇 一种肩锁关节脱位内固定专用扣压钢板
CN204306885U (zh) * 2014-11-16 2015-05-06 邓宇 一种肩锁关节脱位内固定专用扣压钢板

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106667568A (zh) * 2016-12-31 2017-05-17 苏州市康力骨科器械有限公司 一种解剖型肩胛骨锁定钢板
US11504173B2 (en) 2020-09-16 2022-11-22 Acumed Llc Bone-stabilizing device having a pivotable buttress member

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