CN104905864A - Combined type steel plate for closing fibulas on two sides after fibula section osteotomy - Google Patents
Combined type steel plate for closing fibulas on two sides after fibula section osteotomy Download PDFInfo
- Publication number
- CN104905864A CN104905864A CN201510343186.5A CN201510343186A CN104905864A CN 104905864 A CN104905864 A CN 104905864A CN 201510343186 A CN201510343186 A CN 201510343186A CN 104905864 A CN104905864 A CN 104905864A
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- China
- Prior art keywords
- steel plate
- distally
- nearside
- fibula
- plate
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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
- A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
-
- 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
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
Abstract
The invention provides a combined type steel plate for closing fibulas on the two sides after fibula section osteotomy, and belongs to the technical field of orthopedic medical instruments. The combined type steel plate is used for closing and fixing the broken ends of the fibulas on the two sides after the fibula section osteotomy. According to the technical scheme, after the fibula section osteotomy, a near-side steel plate body and a far-side steel plate body are fixed to the fibulas on the two sides respectively through fixing screws; then the far-side steel plate body and the near-side steel plate body are closed through a restoration instrument and then are fixedly connected through connection bolts, and therefore the two ends of the broken fibulas are closed; the outer side tension of the knee joint is enhanced manually, and the varus deformity of the knee joint is better corrected. The combined type steel plate is reasonable in structure, accurate in locating, firm in fixing, and capable of effectively tensioning the broken ends of the cut fibulas, increases the sedimentation rate of the fibulas, and improves the operation efficacy. The combined type steel plate is an innovation to osteoarthritis through the fibula osteotomy, effectively overcomes the defect of a knee replacement, solves the problem which is not solved for a long time, greatly shortens the operation time and recovery time, and has good social benefits and economic benefits.
Description
Technical field
The present invention relates to after a kind of fibula section cuts osteotomy and the both sides fibula broken ends of fractured bone is furthered and the Combined steel plate be fixed, belong to orthopedic medical device technical field.
Background technology
Knee joint is the load-bearing middle device that body weight for humans is wanted, and in recent years along with global aging is constantly accelerated and the increasing of obesity rates, the sickness rate of knee joint osseous arthritis also increases substantially thereupon.Owing to assume responsibility for the weight of whole body 60 ~ 80% inside knee joint, therefore in knee joint, the wearing and tearing of lateral cartilages also just seem more common and serious.The knee joint osseous arthritis later stage the most easily causes Varus deformity in various degree, and patient's main manifestations is arthralgia, swelling, stiff, dysfunction etc., and severe patient can obviously reduce daily life and work quality.And for knee joint osteoarthritis (particularly several cases) in the world usual using total knee replacement as final therapeutic scheme.But program wound is large, it is high to spend, have second operation risk, brings heavy financial burden to society and family.According to incompletely statistics, the patient disposable of row knee replacements duration of being in hospital is 10 ~ 14 days, and spend about 50,000 yuan, the annual gonarthritis replacement of China can reach 200,000 examples, takes over 10,000,000,000 RMB.And postoperative patient acceptance rate be only about 70%, ten years revision rate be about 10%, 10 years afterwards annual revision rate increase one percentage point.Therefore a kind of reasonable, effective, cheap knee joint osseous arthritis Therapeutic Method seems particularly important.
Confirm through Long-term anatomical, iconography and biomechanics Research, we find that the knee joint differential settlement caused due to osteoporosis is the important initiating agent that knee joint osseous arthritis occurs, and are also the key factors promoting osteoarthritis progress.Under this theoretical direction, the knee osteoarthritis patients that seminar's application fibula Osteotomy for Treatment is got involved based on room between inner side.Because muscle ligament tissue tension force outside the tractive knee joint of Surrounding muscles increases after fibula osteotomy, descending genicular vessel can be corrected.But find after surgery, if fibula blocks the shorter or residual more periosteum of osteotomy, fibula two broken ends of fractured bone regrows connection and symptom may be caused to recur, and reduces surgical result.In addition, after study on large sample finds osteotomy, fibula near-end and joint line distance are proportionate with therapeutic effect, and namely fibula near-end and joint line are apart from larger, and effect is better.Therefore, in order to improve therapeutic effect after fibula osteotomy further, being necessary that the proximal fibula making to block is away from knee joint, increasing tension force outside knee joint, improve the effect of postoperative correction descending genicular vessel further.
Summary of the invention
Technical problem to be solved by this invention is to provide the Combined steel plate of the both sides fibula that to further after a kind of fibula section cuts osteotomy, this Combined steel plate can cut (2-3cm) osteotomy in fibula section after, the both sides fibula broken ends of fractured bone furthered and realize Wicresoft's internal fixtion, to reach the object improving therapeutic effect, alleviate the misery of patient.
The technical scheme solved the problems of the technologies described above is:
Further after a kind of fibula section cuts osteotomy the Combined steel plate of both sides fibula, it comprises nearside steel plate, distally steel plate, connecting bolt, hold-down screw, nearside steel plate, distally steel plate is rectangle steel plate, nearside steel plate, the front portion of the rectangle steel plate of distally steel plate is respectively step-like concave plate face, nearside steel plate, the stairstepping concave plate face of distally steel plate is relatively superimposed, at nearside steel plate, the concave plate face that distally steel plate is relatively superimposed there is protruding profile of tooth respectively, the protruding profile of tooth in the concave plate face that nearside steel plate is relative with distally steel plate is meshed, at nearside steel plate, the back panel face of distally steel plate there is the fixing threaded hole perpendicular to plate face, hold-down screw passes fixing threaded hole by nearside steel plate, distally steel plate is fixedly connected with the both sides fibula blocked respectively, at nearside steel plate, the anterior concave plate face of distally steel plate there is the connecting screw hole perpendicular to plate face, connecting bolt is connected as one by the anterior concave plate face of connecting screw hole by nearside steel plate and distally steel plate.
Further after above-mentioned fibula section cuts osteotomy the Combined steel plate of both sides fibula, screw thread and the connecting bolt of the connecting screw hole of described nearside steel plate front portion match, the connecting screw hole of steel plate front portion, distally is elongated hole, the axis of elongated hole is identical with the length direction of distally steel plate, or screw thread and the connecting bolt of the connecting screw hole of steel plate front portion, distally match, the connecting screw hole of nearside steel plate front portion is elongated hole, and the axis of elongated hole is identical with the length direction of nearside steel plate.
Further after above-mentioned fibula section cuts osteotomy the Combined steel plate of both sides fibula, and the rear end face of described nearside steel plate, distally steel plate is inclination angle, inclination angle from top to bottom in face of plate side tilt.
The invention has the beneficial effects as follows:
The present invention is according to knee joint differential settlement principle design, after row fibula osteotomy, LISS technology is adopted to insert nearside steel plate, distally steel plate in two broken ends of fractured bone respectively with holding plate device, respectively the fibula of nearside steel plate, distally steel plate and both sides is fixed with hold-down screw, be connected and fixed with connecting bolt after distally steel plate and nearside steel plate being furthered by reduction instrument again, by thus are furthered in the fibula two ends blocked, realize artificial strengthening tension force outside knee joint, correct knee joint Varus deformity better.
The present invention is rational in infrastructure, simple to operate flexibly, accurate positioning, fixation, in art, periosteum stripping is few, wound is little, effectively can strain the fibula osteotomy broken ends of fractured bone, accelerates the fibula rate of settling, improves operation usefulness.
The present invention is the innovation to fibula Osteotomy for Treatment osteoarthritis, efficiently avoid the shortcoming of knee replacements, solve the difficult problem do not solved for a long time, substantially reduce operating time and recovery time, effectively alleviate the misery of patient, there is good Social benefit and economic benefit.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is the present invention and both sides fibula connection status schematic diagram;
Fig. 3 is that the present invention furthers both sides fibula view.
In figure, labelling is as follows: nearside steel plate 1, distally steel plate 2, connecting screw hole 3, fixing threaded hole 4, connecting bolt 5, hold-down screw 6, protruding profile of tooth 7, inclination angle 8, fibula 9.
Detailed description of the invention
The present invention is made up of near-end steel plate 1, far-end steel plate 2, connecting bolt 5, hold-down screw 6.
Fig. 1 shows, and nearside steel plate 1, distally steel plate 2 are rectangle steel plate, and the front portion of the rectangle steel plate of nearside steel plate 1, distally steel plate 2 is respectively step-like concave plate face, and the stairstepping concave plate face of nearside steel plate 1, distally steel plate 2 is relatively superimposed.
Fig. 1 shows, and the concave plate face that nearside steel plate 1, distally steel plate 2 are relatively superimposed has protruding profile of tooth 7 respectively, and the protruding profile of tooth 7 in the concave plate face that nearside steel plate 1 is relative with distally steel plate 2 is meshed.When nearside steel plate 1, concave plate face that distally steel plate 2 is relative are superimposed, the protruding profile of tooth 7 on relative plate face engages each other, and avoids the plate face be superimposed together to be shifted, connects tightr.
Fig. 1 shows, the back panel face of nearside steel plate 1, distally steel plate 2 has the fixing threaded hole 4 perpendicular to plate face, after carrying out osteotomy, nearside steel plate 1, distally steel plate 2 are fixedly connected with the both sides fibula 9 blocked through fixing threaded hole 4 by hold-down screw 6 respectively, and then are furthered by the fibula 9 of both sides.
Fig. 1 shows, and the anterior concave plate face of nearside steel plate 1, distally steel plate 2 has the connecting screw hole 3 perpendicular to plate face, and connecting bolt 5 is connected as one by the anterior concave plate face of connecting screw hole 3 by nearside steel plate 1 and distally steel plate 2.
In order to when connecting nearside steel plate 1 and distally steel plate 2, connecting screw hole 3 is easily aimed at, and connection distance can be finely tuned, and the connecting screw hole 3 of nearside steel plate 1 or distally steel plate 2 can be made for elongated hole.A kind of structure is that the screw thread of the connecting screw hole 3 of nearside steel plate 1 front portion and connecting bolt 5 match, and the connecting screw hole 3 of distally steel plate 2 front portion is elongated hole, and the axis of elongated hole is identical with the length direction of distally steel plate 2; Another kind of structure is that the screw thread of the connecting screw hole 3 of distally steel plate 2 front portion and connecting bolt 5 match, and the connecting screw hole 3 of nearside steel plate 1 front portion is elongated hole, and the axis of elongated hole is identical with the length direction of nearside steel plate 1.When reality uses, the plate face being the steel plate of elongated hole by connecting screw hole 3 is placed on top, and connecting screw hole 3 is that the plate face of the steel plate of standard screw is placed on below fibula 9.
Fig. 1 shows, and the rear end face of nearside steel plate 1, distally steel plate 2 is inclination angle 8, inclination angle 8 side's inclination in face of plate from top to bottom.The design at inclination angle 8 is to prevent instrument and steel plate end face from skidding when clamping nearside steel plate 1, distally steel plate 2 and moving close to centre.
Fig. 2,3 displays, use procedure of the present invention is as follows:
(1) after fibula osteotomy, nearside steel plate 1, distally steel plate 2 are placed on outside both sides fibula 9, through the fixing threaded hole 4 on nearside steel plate 1, distally steel plate 2, nearside steel plate 1, distally steel plate 2 are fixedly connected with the fibula 9 of both sides respectively with hold-down screw 6.
(2) two ends of nearside steel plate 1, distally steel plate 2 are then clamped respectively by instrument, nearside steel plate 1, distally steel plate 2 are moved to suitable position to centre, protruding profile of tooth 7 on nearside steel plate 1 plate face relative to distally steel plate 2 engages relatively, avoids nearside steel plate 1 to slide with the relative plate face of distally steel plate 2.
(3) connecting bolt 5 is screwed through the elongated hole be positioned on the steel plate of top and the connecting screw hole 3 on the steel plate of below, the relative plate face compact siro spinning technology of nearside steel plate 1, distally steel plate 2 is fixed.Thus two broken ends of fractured bone of fibula 8 are furthered, tighten the distance between fibula 9 liang of broken ends of fractured bone, the tissues such as tractive knee joint lateral ligament, muscle, correct Varus deformity, improve fibula and block operation usefulness.
Claims (3)
1. further after a fibula section cuts osteotomy the Combined steel plate of both sides fibula, it is characterized in that: it comprises nearside steel plate (1), distally steel plate (2), connecting bolt (5), hold-down screw (6), nearside steel plate (1), distally steel plate (2) is rectangle steel plate, nearside steel plate (1), the front portion of the rectangle steel plate of distally steel plate (2) is respectively step-like concave plate face, nearside steel plate (1), the stairstepping concave plate face of distally steel plate (2) is relatively superimposed, in nearside steel plate (1), the concave plate face that distally steel plate (2) is relatively superimposed there is protruding profile of tooth (7) respectively, the protruding profile of tooth (7) in the concave plate face that nearside steel plate (1) is relative with distally steel plate (2) is meshed, in nearside steel plate (1), the back panel face of distally steel plate (2) there is the fixing threaded hole (4) perpendicular to plate face, hold-down screw (6) through fixing threaded hole (4) by nearside steel plate (1), distally steel plate (2) is fixedly connected with the both sides fibula (9) blocked respectively, in nearside steel plate (1), the anterior concave plate face of distally steel plate (2) there is the connecting screw hole (3) perpendicular to plate face, connecting bolt (5) is connected as one by the anterior concave plate face of connecting screw hole (3) by nearside steel plate (1) and distally steel plate (2).
2. further after fibula section according to claim 1 cuts osteotomy the Combined steel plate of both sides fibula, it is characterized in that: the screw thread of the connecting screw hole (3) that described nearside steel plate (1) is anterior and connecting bolt (5) match, the connecting screw hole (3) of distally steel plate (2) front portion is elongated hole, the axis of elongated hole is identical with the length direction of distally steel plate (2), or the screw thread of the connecting screw hole (3) that distally steel plate (2) is anterior and connecting bolt (5) match, the connecting screw hole (3) of nearside steel plate (1) front portion is elongated hole, the axis of elongated hole is identical with the length direction of nearside steel plate (1).
3. further after fibula section according to claim 2 cuts osteotomy the Combined steel plate of both sides fibula, it is characterized in that: the rear end face of described nearside steel plate (1), distally steel plate (2) is inclination angle (8), inclination angle (8) side's inclination in face of plate from top to bottom.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510343186.5A CN104905864A (en) | 2015-06-19 | 2015-06-19 | Combined type steel plate for closing fibulas on two sides after fibula section osteotomy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510343186.5A CN104905864A (en) | 2015-06-19 | 2015-06-19 | Combined type steel plate for closing fibulas on two sides after fibula section osteotomy |
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| Publication Number | Publication Date |
|---|---|
| CN104905864A true CN104905864A (en) | 2015-09-16 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510343186.5A Pending CN104905864A (en) | 2015-06-19 | 2015-06-19 | Combined type steel plate for closing fibulas on two sides after fibula section osteotomy |
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| CN (1) | CN104905864A (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106691561A (en) * | 2017-02-28 | 2017-05-24 | 谢志进 | Free combined-type orthopedics internal fixation tacking system |
| CN107550554A (en) * | 2017-08-24 | 2018-01-09 | 北京爱康宜诚医疗器材有限公司 | Steel plate structure |
| CN107928774A (en) * | 2017-12-06 | 2018-04-20 | 上海凯利泰医疗科技股份有限公司 | Lockplate on the outside of a kind of proximal tibia |
| CN114601546A (en) * | 2022-03-01 | 2022-06-10 | 上海黑焰医疗科技有限公司 | Combined clavicle fixing plate |
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| US5287286A (en) * | 1989-07-31 | 1994-02-15 | Kabushiki Kaisha Toshiba | Low-battery state detecting system and method for detecting the residual capacity of a battery from the variation in battery voltage |
| US20030060828A1 (en) * | 2001-06-06 | 2003-03-27 | Michelson Gary K. | Dynamic multilock anterior cervical plate system having non-detachably fastened and moveable segments, instrumentation, and method for installation thereof |
| CN101175449A (en) * | 2005-03-17 | 2008-05-07 | 德普伊产品公司 | Modular fracture fixation plate system |
| CN103607967A (en) * | 2011-06-17 | 2014-02-26 | 迈阿密设备解决方案有限责任公司 | Modular bone plate and connector piece for modular bone plate |
| CN104146758A (en) * | 2013-05-13 | 2014-11-19 | 齐克海 | Spliced medical bone plate |
| CN204708967U (en) * | 2015-06-19 | 2015-10-21 | 陈伟 | Further after a kind of fibula section cuts osteotomy the Combined steel plate of both sides fibula |
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2015
- 2015-06-19 CN CN201510343186.5A patent/CN104905864A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5287286A (en) * | 1989-07-31 | 1994-02-15 | Kabushiki Kaisha Toshiba | Low-battery state detecting system and method for detecting the residual capacity of a battery from the variation in battery voltage |
| US20030060828A1 (en) * | 2001-06-06 | 2003-03-27 | Michelson Gary K. | Dynamic multilock anterior cervical plate system having non-detachably fastened and moveable segments, instrumentation, and method for installation thereof |
| CN101175449A (en) * | 2005-03-17 | 2008-05-07 | 德普伊产品公司 | Modular fracture fixation plate system |
| CN103607967A (en) * | 2011-06-17 | 2014-02-26 | 迈阿密设备解决方案有限责任公司 | Modular bone plate and connector piece for modular bone plate |
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| CN204708967U (en) * | 2015-06-19 | 2015-10-21 | 陈伟 | Further after a kind of fibula section cuts osteotomy the Combined steel plate of both sides fibula |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106691561A (en) * | 2017-02-28 | 2017-05-24 | 谢志进 | Free combined-type orthopedics internal fixation tacking system |
| CN107550554A (en) * | 2017-08-24 | 2018-01-09 | 北京爱康宜诚医疗器材有限公司 | Steel plate structure |
| CN107928774A (en) * | 2017-12-06 | 2018-04-20 | 上海凯利泰医疗科技股份有限公司 | Lockplate on the outside of a kind of proximal tibia |
| CN114601546A (en) * | 2022-03-01 | 2022-06-10 | 上海黑焰医疗科技有限公司 | Combined clavicle fixing plate |
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Application publication date: 20150916 |