CN105213011A - A kind of femur rear internal fixtion blade plate - Google Patents
A kind of femur rear internal fixtion blade plate Download PDFInfo
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- CN105213011A CN105213011A CN201510721761.0A CN201510721761A CN105213011A CN 105213011 A CN105213011 A CN 105213011A CN 201510721761 A CN201510721761 A CN 201510721761A CN 105213011 A CN105213011 A CN 105213011A
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- femur
- blade plate
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- screw
- plate
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- 210000000689 upper leg Anatomy 0.000 title claims abstract description 63
- 238000005452 bending Methods 0.000 claims abstract description 5
- 229910000831 Steel Inorganic materials 0.000 claims description 9
- 239000010959 steel Substances 0.000 claims description 9
- 238000000034 method Methods 0.000 abstract description 7
- 238000005516 engineering process Methods 0.000 abstract description 4
- 239000012634 fragment Substances 0.000 abstract description 4
- 238000006073 displacement reaction Methods 0.000 abstract description 3
- 230000000694 effects Effects 0.000 abstract description 2
- 230000000399 orthopedic effect Effects 0.000 abstract description 2
- 238000011084 recovery Methods 0.000 abstract description 2
- 208000010392 Bone Fractures Diseases 0.000 description 33
- 206010017076 Fracture Diseases 0.000 description 31
- 210000000988 bone and bone Anatomy 0.000 description 9
- 208000008924 Femoral Fractures Diseases 0.000 description 3
- 206010058046 Post procedural complication Diseases 0.000 description 3
- 208000035965 Postoperative Complications Diseases 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 208000004221 Multiple Trauma Diseases 0.000 description 2
- 208000023637 Multiple injury Diseases 0.000 description 2
- 210000000523 condylus medialis femoris Anatomy 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 206010065687 Bone loss Diseases 0.000 description 1
- 208000024779 Comminuted Fractures Diseases 0.000 description 1
- 208000002658 Intra-Articular Fractures Diseases 0.000 description 1
- 208000006735 Periostitis Diseases 0.000 description 1
- 241000469816 Varus Species 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000001054 cortical effect Effects 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 238000002372 labelling Methods 0.000 description 1
- 230000003472 neutralizing effect Effects 0.000 description 1
- 230000001009 osteoporotic effect Effects 0.000 description 1
- 210000003460 periosteum Anatomy 0.000 description 1
- 238000010079 rubber tapping Methods 0.000 description 1
- 238000010008 shearing Methods 0.000 description 1
- 230000003319 supportive effect Effects 0.000 description 1
- 210000001694 thigh bone Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- 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
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Landscapes
- 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)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
A kind of femur rear internal fixtion blade plate, belongs to orthopedic medical device technical field, for being fixed from femur rear Fracture of femur.Its technical scheme is: blade plate bends at length direction, curved shape and the antecurvature radian of femur match, blade plate bends at width simultaneously, and plate face and the femur rear side surface form of bending match, and blade plate is alongst distributed with locking screw and common screw.The present invention breaches traditional method be fixed from tension side before femur, and taking fracture on the pressure side to fix, is the innovation to Fracture of femur Internal fixation technology, efficiently avoid conventional femoral operation shortcoming.Cambered design and the femoral surface of blade plate fit tightly, be suitable for diverse location remain displacement and reset further and fracture fragments fixing, common lag screw is combined with locking nail, pressurization is fixing to be combined with tractive, achieve fabulous fixed effect, substantially reduce operating time and recovery time, effectively alleviate the misery of patient.
Description
Technical field
The present invention relates to a kind of fixture of Fracture of femur, belong to orthopedic medical device technical field.
Background technology
Femur is long bone the longest in skeleton, bear a heavy burden the heaviest bone, and body is antecurvature arc, in the 170o angle of cut between upper and lower femoral shaft axle, and inward turning reverses 30o, femoral bone cavitas medullaris has radian forward, large compared with outward appearance, especially in non-spongy bone district, the position that pulp cavity is narrower or outward appearance diameter is less, radian is larger, cortical bone is thicker, and femur non-spongy bone district axis radius of the radian is 90.2 ± 15.7cm, and femur rear muscle is attached with nervus vasculairs to be passed through.
Fracture of femur is comparatively common, accounts for 10% of whole body fracture, and in young patient, fracture of shaft of femur is high-energy damage and the mark of multiple injury normally.Methods for Distal Femoral Fractures often occurs in the youngster of high-energy damage, or the osteoporotic old people of low-yield damage companion, and Methods for Distal Femoral Fractures accounts for 6% of whole Fracture of femur.
Long tubular bone fracture is fixed with in early days and helps alleviating pain, reduces disability rate and mortality rate, shortens the hospital stays, reduces medical expense.The dry diameter of adult thighbone is less and muscle is abundant, and fracture method reset extenal fixation, can not keep good fracture reduction, often adopt internal fixation in clinical treatment.For reaching the absolute stability of fracture fixation, fracture end pressurization must be enough to all active forces (bending force, tension force, shearing force and rotating force) neutralizing whole fracture face.Steel plate screw is fixedly applicable to treat the shaft fracture involving metaphysis or have joint involvement.Intra-articular fracture needs anatomical reduction and absolute stability is fixed.The shaft fracture of long bone some be also the patient of accusing of very well of Interal fixation, some multiple injuries, Interal fixation is also the method being better than extenal fixation.Locking steel plate can make inner fixed stand, and steel plate can not contact with periosteum in theory, can reach relatively stable and protect blood fortune to the full extent, can make fracture that indirect knitting occurs rapidly.There is provided stress can be made along whole implants compared with the hold-down screw of stability evenly distribution, play the biomechanical function such as protection, pressurization, tension band, bridge joint, support of steel plate.
Normal femur is eccentric force, and outside is by stretching active force, and inner side, by pressurization power, can open, and inner side can be compressed outside fracture end.Outside crista femoris, using steel plate is fixed, if inner side cortex is complete, steel plate side can bear tension force, and fracture end is under pressure.The accurate Anatomical Reconstruction of condyle of femur of Methods for Distal Femoral Fractures is required, but to insert technical requirement higher for gusset, uses gusset that knee joint varus and rotation deformity easily occur.Dynamic condylar screw diameter is excessive, and bring bone loss and lay can not near distal femur, and LISS settles too far also can cause soft tissue problem.Therefore, how to adopt the reset and fixed mass that improve Fracture of femur, be still the difficult problem that current orthopedist is urgently to be resolved hurrily.
Summary of the invention
Technical problem to be solved by this invention is to provide a kind of femur rear internal fixtion blade plate, on rear side of this blade plate and femur, anatomic form is conformal, after femur, inner side or rear outside are inserted, on the pressure side fixing comparatively tension side is fixing is more conducive to union of fracture, femur full section fracture is made to obtain satisfied reset and fixedly secure, and can post-operative complication be reduced, improve clinical efficacy.
The technical scheme solved the problems of the technologies described above is:
A kind of femur rear internal fixtion blade plate, blade plate is elongate steel plate, blade plate bends at length direction, curved shape and the antecurvature radian of femur match, and blade plate bends at width simultaneously, and plate face and the femur rear side surface form of bending match, blade plate is alongst distributed with multiple screw, screw is diplopore syndeton, and diplopore is respectively locking screw and common screw, and blade plate also has multiple Kirschner wire fixation hole.
Above-mentioned femur rear internal fixtion blade plate, described blade plate is used for distal femur, and the lower end of blade plate has to the inside and/or the sweep in outside, to the inside and/or the sweep in outside respectively with the fracture medial condyle of femur and/or lateral condyle is corresponding connects.
Above-mentioned femur rear internal fixtion blade plate, described blade plate is used for distal femur, the component that the oriented inner side and outer side, lower end of blade plate is stretched out, and the component stretched out with outside is to the inside respectively with the condylus medialis femoris of fracture with lateral condyle is corresponding is connected.
The invention has the beneficial effects as follows:
The present invention designs according to femur anatomical structure and Bone fracture characteristics, for fracture is on the pressure side fixed, the cambered design that blade plate is and femoral surface fit tightly, be suitable for diverse location remain displacement and reset further and fracture fragments fixing, common lag screw is combined with locking nail, pressurization is fixing to be combined with tractive, achieves fabulous fixed effect.
The present invention is simple and reasonable, fixation, accurate positioning, flexibly simple to operate, replacement and fixation repeatedly can be reduced in art; Implant is simple, and reducing local soft tissue stimulates; Direction is flexible and changeable, can effective stable fracture fragment; Fixed, can early functional exercise, post-operative complication is few.
The present invention breaches traditional method be fixed from tension side before femur, it is the innovation to Fracture of femur Internal fixation technology, efficiently avoid conventional femoral operation shortcoming, 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 a kind of structural representation for distal femur of the present invention;
Fig. 3 is the structural representation of another kind of the present invention for distal femur.
In figure, labelling is as follows: blade plate 1, locking screw 2, common screw 3, Kirschner wire fixation hole 4, femur 5, medial condyle 6, lateral condyle 7.
Detailed description of the invention
Technical scheme of the present invention provides a kind of femur way of escape dissection bone plate, blade plate profile on rear side of femur is adopted to be combined, locking combines with common lag screw, blade plate inner side or rear outside after femur are inserted, femur full section fracture is made to obtain satisfied reset and fixedly secure, on the pressure side fixing comparatively tension side is fixing is more conducive to union of fracture, effectively can reduce post-operative complication, and improve clinical efficacy.
Fig. 1 shows, blade plate 1 bends at length direction, curved shape and the antecurvature radian of femur 5 match, blade plate 1 bends at width simultaneously, plate face and the femur 5 rear side surface form of bending match, reach and femur 5 conformal with this, blade plate 1 and femur 5 intimate surface fits, be suitable for diverse location and remain displacement and reset further and the fixing of fracture fragments.
Fig. 1 shows, and blade plate 1 is alongst distributed with multiple screw, and screw is diplopore syndeton, and diplopore is respectively locking screw 2 and common screw 3.Locking nail and locking being screwed of screw 2, diameter 4.5mm, plays a supportive role, and coordinates common lag screw, tapping screw to use, and can fix various Fracture of femur better, especially multiple, the comminuted fracture of femur.
Fig. 1 shows, and blade plate 1 also has multiple Kirschner wire fixation hole 4, for locating blade plate 1 steel plate on femur 5 liang of broken ends of fractured bone, facilitating in art and operating.
Fig. 2 shows, and the structure of a kind of blade plate for distal femur of the present invention is, the lower end of blade plate 1 has to the inside or the sweep in outside, and this structure is applicable to the situation that fracture occurs for femur 5 lower end inside condyle 6 or lateral condyle 7 side.Have screw to the inside or on the sweep in outside, to the inside or the sweep in outside respectively with the medial condyle 6 of the fracture of femur 5 or lateral condyle 7 is corresponding connects.
Fig. 3 shows, the blade plate structure that another kind of the present invention is used for distal femur is, the component that the oriented inner side and outer side, lower end of blade plate 1 is stretched out, forms the Y shape shape stood upside down, and this structure is applicable to the situation that femur 5 lower end inside condyle 6 and lateral condyle 7 are fractured simultaneously.The component stretched out with outside to the inside has screw respectively, and the component stretched out with outside is to the inside respectively with the medial condyle 6 of the fracture of femur 5 with lateral condyle 7 is corresponding is connected.
Claims (3)
1. a femur rear internal fixtion blade plate, it is characterized in that: blade plate (1) is elongate steel plate, blade plate (1) bends at length direction, curved shape and the antecurvature radian of femur match, blade plate (1) bends at width simultaneously, plate face and the femur rear side surface form of bending match, (1) is alongst distributed with multiple screw to blade plate, screw is diplopore syndeton, diplopore is respectively locking screw (2) and common screw (3), the upper multiple Kirschner wire fixation hole (4) in addition of blade plate (1).
2. femur rear according to claim 1 internal fixtion blade plate, it is characterized in that: described blade plate (1) is for distal femur, the lower end of blade plate (1) has to the inside and/or the sweep in outside, to the inside and/or the sweep in outside respectively with the fracture medial condyle (6) of femur (5) and/or lateral condyle (7) is corresponding connects.
3. femur rear according to claim 1 internal fixtion blade plate, it is characterized in that: described blade plate (1) is for distal femur, the component that the oriented inner side and outer side, lower end of blade plate (1) is stretched out, the component stretched out with outside is to the inside respectively with the fracture medial condyle (6) of femur (5) with lateral condyle (7) is corresponding is connected.
Priority Applications (1)
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CN201510721761.0A CN105213011A (en) | 2015-10-30 | 2015-10-30 | A kind of femur rear internal fixtion blade plate |
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CN201510721761.0A CN105213011A (en) | 2015-10-30 | 2015-10-30 | A kind of femur rear internal fixtion blade plate |
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CN105213011A true CN105213011A (en) | 2016-01-06 |
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CN201510721761.0A Pending CN105213011A (en) | 2015-10-30 | 2015-10-30 | A kind of femur rear internal fixtion blade plate |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107789045A (en) * | 2017-11-15 | 2018-03-13 | 张平 | The special internal fixation device of Hoffa fracture |
CN110897700A (en) * | 2019-12-26 | 2020-03-24 | 天津市威曼生物材料有限公司 | A kind of proximal femoral shaped block |
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US20010001821A1 (en) * | 1995-06-26 | 2001-05-24 | Manderson Easton L. | Extramedullary rod implant for long bones |
CN2560311Y (en) * | 2002-06-21 | 2003-07-16 | 张力 | Bridge-opening broadened bone arc board for internal fixation operation for orthopedics |
CN2629659Y (en) * | 2003-08-18 | 2004-08-04 | 中南大学湘雅医院 | Femur far-end point contact anatomical steel plate |
CN2917567Y (en) * | 2006-06-01 | 2007-07-04 | 黄儒收 | Femoral bone condylus steel plate |
CN201469394U (en) * | 2009-09-02 | 2010-05-19 | 黄举豪 | Internal fixation steel plate for fracture |
CN202223332U (en) * | 2011-08-28 | 2012-05-23 | 泰州市中兴医械科技有限公司 | Minimally invasive tuberosity comminuted fracture rear side pressurization type fixing bone fracture plate |
CN203341806U (en) * | 2013-06-20 | 2013-12-18 | 枣庄矿业集团滕南医院 | Thigh bone posterior condyle locking plate |
CN104306058A (en) * | 2014-09-03 | 2015-01-28 | 陈志强 | Nail-stick system used for treating femoral fracture postoperation refractures |
CN205107861U (en) * | 2015-10-30 | 2016-03-30 | 陈伟 | Thighbone rear internal fixation coaptation board |
-
2015
- 2015-10-30 CN CN201510721761.0A patent/CN105213011A/en active Pending
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20010001821A1 (en) * | 1995-06-26 | 2001-05-24 | Manderson Easton L. | Extramedullary rod implant for long bones |
CN2560311Y (en) * | 2002-06-21 | 2003-07-16 | 张力 | Bridge-opening broadened bone arc board for internal fixation operation for orthopedics |
CN2629659Y (en) * | 2003-08-18 | 2004-08-04 | 中南大学湘雅医院 | Femur far-end point contact anatomical steel plate |
CN2917567Y (en) * | 2006-06-01 | 2007-07-04 | 黄儒收 | Femoral bone condylus steel plate |
CN201469394U (en) * | 2009-09-02 | 2010-05-19 | 黄举豪 | Internal fixation steel plate for fracture |
CN202223332U (en) * | 2011-08-28 | 2012-05-23 | 泰州市中兴医械科技有限公司 | Minimally invasive tuberosity comminuted fracture rear side pressurization type fixing bone fracture plate |
CN203341806U (en) * | 2013-06-20 | 2013-12-18 | 枣庄矿业集团滕南医院 | Thigh bone posterior condyle locking plate |
CN104306058A (en) * | 2014-09-03 | 2015-01-28 | 陈志强 | Nail-stick system used for treating femoral fracture postoperation refractures |
CN205107861U (en) * | 2015-10-30 | 2016-03-30 | 陈伟 | Thighbone rear internal fixation coaptation board |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107789045A (en) * | 2017-11-15 | 2018-03-13 | 张平 | The special internal fixation device of Hoffa fracture |
CN110897700A (en) * | 2019-12-26 | 2020-03-24 | 天津市威曼生物材料有限公司 | A kind of proximal femoral shaped block |
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Application publication date: 20160106 |