It is a kind of with the osteotomy device for strutting and fixing sutura function
Technical field
The present invention relates to one kind to have the function of to strut and fix sutura used in the Tibial osteotomy art and femoral osteotomies
Osteotomy device, belong to orthopedic medical device technical field.
Background technique
Knee joint osseous arthritis is the elderly's one of the most common type joint disease, and causes the elderly's lower limb disability
Main cause drastically influences the daily routines and quality of life of the elderly.Knee joint osseous arthritis refers to due to knee joint
A kind of chronic Bones and joints illness caused by cartilage degeneration, osteoproliferation is clinically mainly shown as gonalgia and not
With the dysfunction of degree, partially there are arthroncus, hydrops, joint space narrows, joint margins spur is formed for x-ray performance, soft
Osteosclerosis and cystis degeneration under bone.X-ray film has knee joint osseous arthritis shower about 60% in 55 years old or more crowds, wherein 35%--
50% has clinical manifestation.When gerontal patient's gonitis knee joint varus (turning up), stress concentrates on kneed inside (outside)
Part, and accelerate the degenerative change progress that on the inside of knee (outside) occurs, in this case, proximal ends of tibia osteotomy
Art is common therapeutic method of surgery, and this method opens up osteotomy gap (referring to Fig. 1) in proximal ends of tibia side first, then uses
Osteotomy gap is strutted and is fixed after width appropriate using bone plate by dilator, smooth with the posterior articular surface that ensures to heal,
Restore the lower limb line of force, avoid the occurrence of postoperative traumatic arthritis.It is found by a large amount of clinical practice, at present High Tibial Osteotomy
Existing main problem is: bone plate is generally monoblock type, and structure is simple, has a single function, and will be cut when operation using dilator
Sutura gap struts width appropriate, and plate fixation in osteotomy and then is removed dilator by stand-by screw.With screw
During fixation bone fracture plate, osteotomy gap needs to be kept by dilator, and the presence of dilator can not only cause subsequent operation
Adverse effect, and during removing dilator, it is easy to because the reasons such as screw interporal lacuna is big, osteotomy rebound lead to osteotomy
Gap changes, to reduce surgical quality.Thus, it is quite necessary to which existing bone plate is improved.
Summary of the invention
It is a kind of with section for strutting and fixing sutura function it is an object of the invention to aiming at the disadvantages of the prior art, provide
Bone device guarantees the therapeutic effect of Osteoarthritis to improve surgical quality.
To achieve the above object, the present invention adopts the following technical scheme:
A kind of includes two tablet for curing fracture in composition with the osteotomy device for strutting and fixing sutura function, and each tablet for curing fracture includes
Linking arm and fixed arm, the linking arm of two tablet for curing fracture be placed on the osteotomy gap of treated shin bone or femur side by side and with
Osteotomy gap is vertical, and the corresponding sides of the two are meshed by inclined teeth, and the fixed arm of two tablet for curing fracture is respectively arranged in osteotomy
The two sides in gap are simultaneously connected with corresponding linking arm end respectively, and the linking arm both ends of each tablet for curing fracture and fixed arm pass through spiral shell
It follows closely and is connect with treated shin bone or femur.
It is above-mentioned have strut and fix the osteotomy device of sutura function, the linking arm of each tablet for curing fracture and treated shin bone or
The corresponding position in osteotomy gap of femur is equipped with support bone piece, in support bone piece insertion osteotomy gap and with corresponding linking arm
It is fixedly connected.
Above-mentioned to have the osteotomy device for strutting and fixing sutura function, the linking arm and fixed arm of each tablet for curing fracture connect into
L shape, the fixed arm of each tablet for curing fracture are located at the side equipped with inclined teeth of linking arm.
Above-mentioned to have the osteotomy device for strutting and fixing sutura function, the shape of two tablet for curing fracture of the osteotomy device is not
Together, one of tablet for curing fracture is the T shape tablet for curing fracture connected by a linking arm and a fixed arm, another tablet for curing fracture is two
Two linking arms of the U-shaped tablet for curing fracture that a linking arm and a fixed arm connect into, U-shaped tablet for curing fracture are located at T shape tablet for curing fracture
Linking arm two sides.
Above-mentioned to have the osteotomy device for strutting and fixing sutura function, two linking arms of the U-shaped tablet for curing fracture share same
One support bone piece.
Above-mentioned to have the osteotomy device for strutting and fixing sutura function, the depth in support bone piece insertion osteotomy gap is 3
~5 millimeters.
The present invention adopts a split structure, and the fixed arm of two tablet for curing fracture first passes through screw and is fixed in osteotomy, dilator
Using the screw hole on two tablet for curing fracture as the point of application, the width in osteotomy gap is adjusted by adjusting the position of engagement of two linking arms
Degree, removes dilator, then linking arm and osteotomy are fixed together after width is suitable.
Osteotomy can be not only reliably fixed by the present invention, but also since the inclined teeth on linking arm has positioning action, be cut
Sutura gap can be automatically kept after mixing up, and be no longer dependent on dilator, be not only convenient for subsequent operation in this way, and eliminate screw hole
The influence to osteotomy gap degree of regulation such as gap, osteotomy rebound ensure that bone joint to effectively increase surgical quality
Scorching therapeutic effect.
Detailed description of the invention
The present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments.
Fig. 1 is Tibial osteotomy gap schematic diagram;
Fig. 2 is the osteotomy device (no support bone piece) being made of two L shape tablet for curing fracture;
Fig. 3 is the osteotomy device (no support bone piece) being made of T shape tablet for curing fracture and U-shaped tablet for curing fracture;
Fig. 4 is the osteotomy device (having support bone piece) being made of two L shape tablet for curing fracture;
Fig. 5 and Fig. 6 is two kinds of osteotomy devices being made of T shape tablet for curing fracture and U-shaped tablet for curing fracture (having support bone piece);
Fig. 7 is the structural schematic diagram of L shape tablet for curing fracture in Fig. 4;
Fig. 8 is the structural schematic diagram of T shape tablet for curing fracture in Fig. 5;
Fig. 9 is the left view of Fig. 7 and Fig. 8;
Figure 10 is the structural schematic diagram of U-shaped tablet for curing fracture in Fig. 5.
Figure 11 is the left view of Figure 10;
Figure 12 is state of the osteotomy device when osteotomy gap does not strut in Fig. 5;
Figure 13 is the left view of Figure 12;
Figure 14 is state of the osteotomy device when osteotomy gap has strutted in Fig. 5;
Figure 15 is the left view of Figure 14;
Figure 16 be the osteotomy device with reversed dip sawtooth that is made of T shape tablet for curing fracture and U-shaped tablet for curing fracture osteotomy gap not
State (it is assumed that the inclined teeth in Fig. 5 is positive inclined teeth) when strutting;
Figure 17 is state of osteotomy device shown in Figure 16 when osteotomy gap has strutted.
It is marked in figure as follows: 1, shin bone;2, osteotomy gap;3, L shape tablet for curing fracture;4, T shape tablet for curing fracture;5, U-shaped tablet for curing fracture;6,
Support bone piece;7, fixed arm;8, linking arm;9, inclined teeth;10, screw hole.
Specific embodiment
The present invention provides a kind of split type osteotomy device, which not only has the function of fixed osteotomy, but also can
To assist dilator that osteotomy gap is strutted suitable width, and remain unchanged osteotomy gap.
Referring to Fig. 2~Figure 11, the present invention includes two tablet for curing fracture, and each tablet for curing fracture includes linking arm 8 and fixed arm 7.
In Fig. 2 and Fig. 4, two synthetism plate shapes of osteotomy device are identical, are all by a linking arm 8 and a fixation
The L shape tablet for curing fracture 3 that arm 7 is constituted is meshed between the linking arm 8 of two L shape tablet for curing fracture 3 by inclined teeth 9.L shape in Fig. 4
8 side of linking arm of tablet for curing fracture 3 is additionally provided with support bone piece 6.
In Fig. 3, Fig. 5 and Fig. 6, two synthetism plate shapes of osteotomy device are different, and one of tablet for curing fracture is by one
The T shape tablet for curing fracture 4 that linking arm 8 and a fixed arm 7 are constituted, the other is be made of two linking arms 8 and a fixed arm 7
U-shaped tablet for curing fracture 5, two linking arms of U-shaped tablet for curing fracture 5 are located at the linking arm two sides of T shape tablet for curing fracture 4, two tablet for curing fracture
It is meshed between linking arm 8 by inclined teeth 9.Independent support is additionally provided on each linking arm of each tablet for curing fracture in Fig. 5
Osteocomma 6.Two linking arms of the U-shaped tablet for curing fracture 5 in Fig. 6 are equipped with shared support bone piece 6.
Fig. 2~osteotomy shown in fig. 6 device application method is essentially identical, now carries out by taking osteotomy device shown in fig. 5 as an example
Explanation.Referring to Figure 12~Figure 15, osteotomy device is placed at the osteotomy gap 2 of treated shin bone or femur and is made each first
Linking arm 8 is vertical with osteotomy gap 2, is meshed between the linking arm 8 of two tablet for curing fracture by inclined teeth 9, if on linking arm 8
Equipped with support bone piece 6, then support bone piece 6 is inserted into osteotomy gap 2;Then with screw that the fixed arm 7 of two tablet for curing fracture is solid respectively
It is scheduled on the shin bone or femur of 2 two sides of osteotomy gap;Recycle dilator make two tablet for curing fracture along linking arm length direction to
Direction far from other side is mobile, and osteotomy gap 2 gradually broadens at this time, when osteotomy gap 2 reaches suitable width, removes and struts
Device, the relative position between two tablet for curing fracture are maintained by the inclined teeth 9 engaged, if removing after dilator osteotomy gap 2 because of spiral shell
The reasons such as big, the osteotomy rebound in nail hole gap narrow, and can again be supportted in osteotomy gap 2 greatly using dilator;Finally utilize screw
Each linking arm 8 is fixed on shin bone or femur.
The effect of support bone piece 6 is to tangle shin bone or femur, prevents from generating micro-displacement between tablet for curing fracture and shin bone or femur,
Mitigate nail hole gap to adverse effect caused by osteotomy gap 2.Two linking arms of U-shaped tablet for curing fracture 5 share a support bone in Fig. 6
Piece 6 can increase the intensity of entire U-shaped tablet for curing fracture 5 in this way.
Fig. 2 and the osteotomy device shown in Fig. 4 being made of two L shape tablet for curing fracture 3 are suitable for the lesser osteotomy of size, and scheme
3, Fig. 5 and the osteotomy device shown in fig. 6 being made of T shape tablet for curing fracture 4 and U-shaped tablet for curing fracture 5 are then suitable for larger-size osteotomy.
It should be noted that in Fig. 2~osteotomy shown in fig. 6 device, the inclined teeth 9 on each linking arm 8 be to
The characteristics of direction far from fixed arm 7 is inclined, these osteotomy devices is that two tablet for curing fracture can only be to far from right during strutting
The direction of side is mobile.If changing the inclined direction of inclined teeth 9, osteotomy can be equally fixed.Such as osteotomy dress shown in fig. 5
Just at osteotomy device shown in Figure 16, two tablet for curing fracture of the osteotomy device after the change inclined direction of inclined teeth 9 set
It can only move towards, due to there is relative displacement during strutting between each tablet for curing fracture and osteotomy, when use need to first be adjusted
Whole good osteotomy gap 2 recycles the fixed tablet for curing fracture of screw.