CN102885645A - Posterolateral tibial plateau condyle anatomical plate - Google Patents
Posterolateral tibial plateau condyle anatomical plate Download PDFInfo
- Publication number
- CN102885645A CN102885645A CN2012103916561A CN201210391656A CN102885645A CN 102885645 A CN102885645 A CN 102885645A CN 2012103916561 A CN2012103916561 A CN 2012103916561A CN 201210391656 A CN201210391656 A CN 201210391656A CN 102885645 A CN102885645 A CN 102885645A
- Authority
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- China
- Prior art keywords
- screw hole
- hole
- locking screw
- screw
- meniscus sewing
- Prior art date
- Legal status (The legal status 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 status listed.)
- Pending
Links
- 230000005499 meniscus Effects 0.000 claims description 59
- 238000009958 sewing Methods 0.000 claims description 56
- 238000002224 dissection Methods 0.000 claims description 16
- 208000010392 Bone Fractures Diseases 0.000 description 14
- 206010017076 Fracture Diseases 0.000 description 14
- 229910000831 Steel Inorganic materials 0.000 description 10
- 238000013459 approach Methods 0.000 description 10
- 239000010959 steel Substances 0.000 description 10
- 238000013461 design Methods 0.000 description 5
- 241000131317 Capitulum Species 0.000 description 4
- 238000009434 installation Methods 0.000 description 4
- 210000002303 tibia Anatomy 0.000 description 4
- 210000004204 blood vessel Anatomy 0.000 description 3
- 208000035126 Facies Diseases 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- 210000004439 collateral ligament Anatomy 0.000 description 2
- 238000011065 in-situ storage Methods 0.000 description 2
- 238000000465 moulding Methods 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 238000007634 remodeling Methods 0.000 description 2
- 210000002435 tendon Anatomy 0.000 description 2
- 210000001364 upper extremity Anatomy 0.000 description 2
- 208000002658 Intra-Articular Fractures Diseases 0.000 description 1
- 208000028389 Nerve injury Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 208000037873 arthrodesis Diseases 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000008764 nerve damage Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- 206010043827 tibia fracture Diseases 0.000 description 1
- 230000007306 turnover Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a posterolateral tibial plateau condyle anatomical plate, comprising a first locking screw hole, a plate body and other elements, wherein the first locking screw hole, a second locking screw hole, a third locking screw hole, a fourth locking screw hole, a fifth locking screw hole, sixth locking screw holes, overlapped holes, a first meniscal suture hole, a second meniscal suture hole and a third meniscal suture hole are all located on the L-shaped plate body, the first meniscal suture hole, the second meniscal suture hole and the third meniscal suture hole are located above the first locking screw hole, the second locking screw hole, the third locking screw hole, the fourth locking screw hole and the fifth locking screw hole, the four sixth locking screw holes are located below the first locking screw hole, the second locking screw hole, the third locking screw hole, the fourth locking screw hole and the fifth locking screw hole, and the overlapped holes are located below the sixth locking screw holes. The posterolateral tibial plateau condyle anatomical plate disclosed by the invention is convenient to mount, immobile and firm, and safe and effective.
Description
Technical field
The present invention relates to a kind of steel plate of medical apparatus and instruments, particularly relate to lateral condyle dissection armor plate behind a kind of tibial plateau.
Background technology
The lateral condyle fracture is a kind of special intra-articular fracture behind the tibial plateau, though lateral approach repositioning method safety before the tradition, but because capitulum fibulae blocks, can't appear rear lateral condyle fracture end, even appear reluctantly, also can't well reset, it is effectively fixing to rely on traditional hollow nail, L-type steel plate or Golf steel plate can't rise the bone piece that subsides from front to back, and losing of displacement fracture and articular surface height appears in the later stage easily.Rear center approach and posterolateral approach anatomy relationship are complicated, need appear nervus vasculairs, cut off gastrocnemius Ji popliteal flesh, and need ligation lateral inferior genicular artery, easy damaged nerve and blood vessel have certain influence to the knee joint rock-steady structure, and the visual field appears unclear, interior fixed installation is inconvenient, and secondary is got interior fixing difficulty.
Summary of the invention
Technical problem to be solved by this invention provides lateral condyle dissection armor plate behind a kind of tibial plateau, and it is easy for installation, and is fixed, safe and effective.
The present invention solves above-mentioned technical problem by following technical proposals: lateral condyle dissection armor plate behind a kind of tibial plateau, it is characterized in that, it comprises the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the 5th screw hole, the 6th screw hole, overlapping hole, the first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole, plate body, the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the 5th screw hole, the 6th screw hole, overlapping hole, the first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole all is positioned on the plate body, being shaped as of plate body is L shaped, the first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole is positioned at the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the top of the 5th screw hole, the quantity of the 6th screw hole is four and is positioned at the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the below of the 5th screw hole, the quantity in overlapping hole is four and is positioned at the below of the 6th screw hole, and the hole is overlapping forms by locking nail hole and the pressurization of sliding in overlapping hole.
Preferably, the diameter of the diameter of the diameter of the diameter of the diameter of described the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the 5th screw hole all is 3.5mm, the diameter of the 6th screw hole is 4.5mm, and the diameter of the diameter of the first meniscus sewing hole, the second meniscus sewing hole, the diameter of the 3rd meniscus sewing hole all are 1mm.
Preferably, described overlapping hole is shaped as Pear-Shaped.
Preferably, described the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the 5th screw hole, the first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole are positioned at a head zone, and the first screw hole and the first meniscus sewing hole also are positioned at a flank region simultaneously; The 6th screw hole is positioned at a neck area, and overlapping hole is positioned at a body portion zone.
Positive progressive effect of the present invention is: the lateral condyle dissection armor plate is easy for installation behind the tibial plateau of the present invention, and is fixed, can realize that Rapid reset fixes, safe and effective.
Description of drawings
Fig. 1 is the structural representation of lateral condyle dissection armor plate behind the tibial plateau of the present invention.
Fig. 2 is the structural representation of tibial plateau securement head screw of the present invention.
The specific embodiment
Provide preferred embodiment of the present invention below in conjunction with accompanying drawing, to describe technical scheme of the present invention in detail.
As shown in Figure 1, the lateral condyle dissection armor plate comprises head zone A behind the tibial plateau of the present invention, neck area B and body zone C, head zone A is with flank region D, specifically comprise the first screw hole 1, the second screw hole 2, the 3rd screw hole 3, the 4th screw hole 4, the 5th screw hole 5, the 6th screw hole 6, overlapping hole 7, the first meniscus sewing hole 8, the second meniscus sewing hole 9, the 3rd meniscus sewing hole 10, plate body 11, the first screw hole 1, the second screw hole 2, the 3rd screw hole 3, the 4th screw hole 4, the 5th screw hole 5, the 6th screw hole 6, overlapping hole 7, the first meniscus sewing hole 8, the second meniscus sewing hole 9, the 3rd meniscus sewing hole 10 all is positioned on the plate body 11, being shaped as of plate body 11 is L shaped, the diameter of the first screw hole 1, the diameter of the second screw hole 2, the diameter of the 3rd screw hole 3, the diameter of the 4th screw hole 4, the diameter of the 5th screw hole 5 all is 3.5mm, the diameter of the 6th screw hole 6 is 4.5mm, the diameter of the first meniscus sewing hole 8, the diameter of the second meniscus sewing hole 9, the diameter of the 3rd meniscus sewing hole 10 all is 1mm.The first meniscus sewing hole 8, the second meniscus sewing hole 9, the 3rd meniscus sewing hole 10 is positioned at the first screw hole 1, the second screw hole 2, the 3rd screw hole 3, the 4th screw hole 4, the top of the 5th screw hole 5, the quantity of the 6th screw hole 6 is four and is positioned at the first screw hole 1, the second screw hole 2, the 3rd screw hole 3, the 4th screw hole 4, the below of the 5th screw hole 5, the quantity in overlapping hole 7 is four, and (quantity is not limited to present embodiment, can be one to five) and be positioned at the below of the 6th screw hole 6, the hole is overlapping forms by locking nail hole and the pressurization of sliding in overlapping hole 7, overlapping hole 7 be shaped as Pear-Shaped.
The first screw hole 1, the second screw hole 2, the 3rd screw hole 3, the 4th screw hole 4, the 5th screw hole 5, the first meniscus sewing hole 8, the second meniscus sewing hole 9, the 3rd meniscus sewing hole 10 are positioned at head zone A, and the first screw hole 1 and the first meniscus sewing hole 8 also are positioned at flank region D simultaneously.Head zone A dissects design for enclosing the joint, and there are three meniscus sewing holes (the first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole) on the top of head zone A.Flank region D strides across capitulum fibulae 20 upper limbs and supports lateral condyle behind the tibial plateau, and the width of flank region D is 0.8 cm to 1.0cm, and length is 1.0 cm to 1.2cm; The 6th screw hole 6 that two rows are arranged in parallel is positioned at neck area B, and overlapping hole 7 is positioned at body zone C.The back rake angle E that five degree are arranged between the horizontal direction of the horizontal direction of head zone A and body zone C.
Steel plate head and cervical region are the lock hole design, steel plate need not by force moulding cause docile, it is dissected radian and has satisfied most patients, as shown in Figure 2, the all lateral condyle direction designs behind the tibial plateau of the first head screws 21, the second head screws 22, the 3rd head screws 23, and the first head screws 21, the second head screws 22, the 3rd head screws 23 are in the side to intersect arranges, and avoids screw mutually to cut collision.Rear lateral condyle fractured strengthened supporting role, four-head section screw 24, the 5th head screws 25 vertical steel plates to the inside platform are squeezed into, and being combined inboard Platform Fracture can become to intersect enhanced stability with inboard platform hold-down screw is capable.The diameter of the first head screws 21 to the 5th head screws 25 is 3.5mm, and length is 30 to 180mm.The first head screws 21, the second head screws 22, the 3rd head screws 23, four-head section screw 24, the 5th head screws 25 are passed respectively the first screw hole 1, the second screw hole 2, the 3rd screw hole 3, the 4th screw hole 4, the 5th screw hole 5.The first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole are conducive to postoperative suture in situ meniscus, effectively keep meniscus.The screw that the 6th screw hole 6 is used is that diameter is the lock screw of 4.5mm, is parallel two rows and arranges, and provides larger screw fixedly to control strength, is conducive to the firm of blade plate.Being pressurizeed by locking nail hole and slip in overlapping hole 7, the hole is overlapping to be formed, and alternative os integumentale screw and the lock screw used fixed, and when using os integumentale screw, can produce the axial pressure effect to fracture end.Overlapping hole count can according to tibia epimere fracture, have one to five hole selective.
For lateral condyle dissection armor plate behind the tibial plateau of the present invention, specialized designs approaches on the capitulum fibulae, the concrete steps of this approaches are as follows: be close to the lateral collateral ligament leading edge and cut skin to deep fascia, the otch hypomere is peeled off along surface of bone and is adhered to tibialis anterior group stop, until facies articularis capitis fibulae, 60 degree of going down on one's knees, continuation is peeled off to rear side along the facies articularis capitis fibulae upper limb, lateral collateral ligament and popliteal tendon are retracted to rear side, slightly in medial rotation turn over tibia, can appear lateral condyle behind the tibial plateau.This approaches is simple and safe, need not to dissect nervus vasculairs, and without blood vessel Nerve tendon damage possibility, without impact, outside platform appears complete in the art, is conducive to the reduction of the fracture and fixes on stability of joint.Lateral condyle steel plate behind the tibial plateau of the dissection of inserting from front to back of this approach need configure dedicated.
The advantage of lateral condyle dissection armor plate is as follows behind the tibial plateau of the present invention: can be after approach appears tibial plateau on the capitulum fibulae lateral condyle fracture end, by inserting lateral condyle dissection armor plate behind the tibial plateau of the present invention behind the forward direction, place simple, operative approach safety, go out insufficiency of blood, take and lack, without blood vessel nerve injury risk; Steel plate of the present invention is dissected design and be need not moulding bending; Head zone is for enclosing the arthrodesis part, and the body zone is the tibia standing part, and in the processing platform fracture simultaneously, it is fixing to have taken into account resetting of fracture of tibia; The steel plate flank is rear lateral condyle support section, can be to the rear lateral condyle that subsides effective supporting role of having fractured after the placement; Three meniscus sewing holes are conducive to postoperative suture in situ meniscus, and the present invention is applicable to outer condylar fracture behind the tibial plateau, outside Platform Fracture, upper section of tibia fracture or above-mentioned merging fracture between arbitrarily.The lateral condyle dissection armor plate is easy for installation behind the tibial plateau of the present invention, and is fixed, can realize that Rapid reset fixes, safe and effective.After union of fracture, safe ready can steel plate be taken out through this approach.
Those skilled in the art can carry out various remodeling and change to the present invention.Therefore, the present invention has covered various remodeling and the change in the scope that falls into appending claims and equivalent thereof.
Claims (4)
1. lateral condyle dissection armor plate behind the tibial plateau, it is characterized in that, it comprises the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the 5th screw hole, the 6th screw hole, overlapping hole, the first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole, plate body, the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the 5th screw hole, the 6th screw hole, overlapping hole, the first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole all is positioned on the plate body, being shaped as of plate body is L shaped, the first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole is positioned at the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the top of the 5th screw hole, the quantity of the 6th screw hole is four and is positioned at the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the below of the 5th screw hole, the quantity in overlapping hole is four and is positioned at the below of the 6th screw hole, and the hole is overlapping forms by locking nail hole and the pressurization of sliding in overlapping hole.
2. lateral condyle dissection armor plate behind the tibial plateau as claimed in claim 1, it is characterized in that, the diameter of the diameter of the diameter of the diameter of the diameter of described the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the 5th screw hole all is 3.5mm, the diameter of the 6th screw hole is 4.5mm, and the diameter of the diameter of the first meniscus sewing hole, the second meniscus sewing hole, the diameter of the 3rd meniscus sewing hole all are 1mm.
3. lateral condyle dissection armor plate behind the tibial plateau as claimed in claim 1 is characterized in that, described overlapping hole be shaped as Pear-Shaped.
4. lateral condyle dissection armor plate behind the tibial plateau as claimed in claim 1, it is characterized in that, described the first screw hole, the second screw hole, the 3rd screw hole, the 4th screw hole, the 5th screw hole, the first meniscus sewing hole, the second meniscus sewing hole, the 3rd meniscus sewing hole are positioned at a head zone, and the first screw hole and the first meniscus sewing hole also are positioned at a flank region simultaneously; The 6th screw hole is positioned at a neck area, and overlapping hole is positioned at a body portion zone.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012103916561A CN102885645A (en) | 2012-10-16 | 2012-10-16 | Posterolateral tibial plateau condyle anatomical plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012103916561A CN102885645A (en) | 2012-10-16 | 2012-10-16 | Posterolateral tibial plateau condyle anatomical plate |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN102885645A true CN102885645A (en) | 2013-01-23 |
Family
ID=47529475
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2012103916561A Pending CN102885645A (en) | 2012-10-16 | 2012-10-16 | Posterolateral tibial plateau condyle anatomical plate |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN102885645A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103584908A (en) * | 2013-11-26 | 2014-02-19 | 无锡市第三人民医院 | Steel plate placed behind shin bone and used for fixing shin bone far-end bone fracture |
| CN109480993A (en) * | 2018-12-25 | 2019-03-19 | 吉林大学第医院 | Combined tibial plateau posterolateral dissection steel plate |
Citations (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2067133U (en) * | 1990-06-04 | 1990-12-12 | 符孔龙 | External fixator for fracture of tibia |
| JPH11188044A (en) * | 1997-12-25 | 1999-07-13 | Hiroyuki Yamashita | Link metal implement for reducing shank |
| WO1999035989A1 (en) * | 1998-01-19 | 1999-07-22 | Hans Habernek | Universally applicable intramedullary nail and target device pertaining thereto |
| US20020156474A1 (en) * | 2001-04-20 | 2002-10-24 | Michael Wack | Polyaxial locking plate |
| RU2332185C1 (en) * | 2007-01-30 | 2008-08-27 | Игорь Евгеньевич Комогорцев | Device for tibia condyle osteosynthesis |
| CN201219920Y (en) * | 2008-06-12 | 2009-04-15 | 张敏 | Bone plate for back side of lower part of shankbone |
| CN201324284Y (en) * | 2008-11-27 | 2009-10-14 | 常州亨杰医疗器械有限公司 | Proximal tibia lateral angulation fixed bone collecting plate |
| CN201602868U (en) * | 2010-01-23 | 2010-10-13 | 枣庄矿业集团滕南医院 | Tibial plateau fixing plate |
| CN101856262A (en) * | 2010-07-20 | 2010-10-13 | 孙海钰 | Proximal Tibial Plateau Medial Posterior Anatomical Supported Locking Plate |
| CN101883532A (en) * | 2007-11-30 | 2010-11-10 | 德普伊产品公司 | Distal tibia plating system |
| CN202105013U (en) * | 2011-05-31 | 2012-01-11 | 陈红卫 | L-shaped posterior condylar tibial plateau steel plate |
| CN202397582U (en) * | 2011-12-20 | 2012-08-29 | 上海市第六人民医院 | Anatomical lock plate for posterolateral tibial plateau |
| CN202859276U (en) * | 2012-10-16 | 2013-04-10 | 储旭东 | Posterolateral tibial plateau condyle anatomical plate |
-
2012
- 2012-10-16 CN CN2012103916561A patent/CN102885645A/en active Pending
Patent Citations (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2067133U (en) * | 1990-06-04 | 1990-12-12 | 符孔龙 | External fixator for fracture of tibia |
| JPH11188044A (en) * | 1997-12-25 | 1999-07-13 | Hiroyuki Yamashita | Link metal implement for reducing shank |
| WO1999035989A1 (en) * | 1998-01-19 | 1999-07-22 | Hans Habernek | Universally applicable intramedullary nail and target device pertaining thereto |
| US20020156474A1 (en) * | 2001-04-20 | 2002-10-24 | Michael Wack | Polyaxial locking plate |
| RU2332185C1 (en) * | 2007-01-30 | 2008-08-27 | Игорь Евгеньевич Комогорцев | Device for tibia condyle osteosynthesis |
| CN101883532A (en) * | 2007-11-30 | 2010-11-10 | 德普伊产品公司 | Distal tibia plating system |
| CN201219920Y (en) * | 2008-06-12 | 2009-04-15 | 张敏 | Bone plate for back side of lower part of shankbone |
| CN201324284Y (en) * | 2008-11-27 | 2009-10-14 | 常州亨杰医疗器械有限公司 | Proximal tibia lateral angulation fixed bone collecting plate |
| CN201602868U (en) * | 2010-01-23 | 2010-10-13 | 枣庄矿业集团滕南医院 | Tibial plateau fixing plate |
| CN101856262A (en) * | 2010-07-20 | 2010-10-13 | 孙海钰 | Proximal Tibial Plateau Medial Posterior Anatomical Supported Locking Plate |
| CN202105013U (en) * | 2011-05-31 | 2012-01-11 | 陈红卫 | L-shaped posterior condylar tibial plateau steel plate |
| CN202397582U (en) * | 2011-12-20 | 2012-08-29 | 上海市第六人民医院 | Anatomical lock plate for posterolateral tibial plateau |
| CN202859276U (en) * | 2012-10-16 | 2013-04-10 | 储旭东 | Posterolateral tibial plateau condyle anatomical plate |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103584908A (en) * | 2013-11-26 | 2014-02-19 | 无锡市第三人民医院 | Steel plate placed behind shin bone and used for fixing shin bone far-end bone fracture |
| CN109480993A (en) * | 2018-12-25 | 2019-03-19 | 吉林大学第医院 | Combined tibial plateau posterolateral dissection steel plate |
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Application publication date: 20130123 |