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CN201042458Y - Rear and internal side tibia far-end dissection type titanium plate - Google Patents

Rear and internal side tibia far-end dissection type titanium plate Download PDF

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Publication number
CN201042458Y
CN201042458Y CNU2007200068211U CN200720006821U CN201042458Y CN 201042458 Y CN201042458 Y CN 201042458Y CN U2007200068211 U CNU2007200068211 U CN U2007200068211U CN 200720006821 U CN200720006821 U CN 200720006821U CN 201042458 Y CN201042458 Y CN 201042458Y
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China
Prior art keywords
inboard
titanium plate
plate
distal tibial
hole
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Expired - Fee Related
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CNU2007200068211U
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Chinese (zh)
Inventor
洪加源
练克俭
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Individual
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Individual
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Expired - Fee Related legal-status Critical Current

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Abstract

The utility model discloses a tibia far end rear inner side anatomy type titanium plate which includes a head part for fixing fracture far end and a body part for fixing fracture near end. The body part is a strip-shaped plate made of titanium alloy material. The head part is formed by integrally extending along the body part, turning upwards and then enlarging gradually. A plurality of round screw holes is arranged on plate of the head part and used for cortex spongy bone screws. A plurality of round screw holes is arranged on plate of the body part along length direction in spacers and used for cortex spongy bone screws. The utility model can be used for patients whose tibia far end fracture local inner/outer side soft tissue is badly injured or whose skin condition is poor by fixing the titanium plate on inner back side without peeling front inner and outer soft tissue, which satisfies mechanical and anatomical theory, trauma mechanism and AO technical tenth belt principle, can improve curing rate and can reduce body freak generation. The tibia far end rear inner side anatomy type titanium plate has the advantages of reasonable design, simple operation, high safety and high efficiency.

Description

Inboard anatomical form titanium plate behind a kind of distal tibial
Technical field
This utility model relates to a kind of orthopedic steel plate, particularly relates to inboard anatomical form titanium plate behind a kind of distal tibial, and the patient who fractures for the tibiofibula far-end that is unsuitable for using the outside and inboard anatomical plate clinically provides a kind of novel internal fixation material.
Background technology
The distal tibial fracture is very common clinically, especially open fracture often merges shank medial and lateral soft tissue contusion in various degree, because partial soft tissue and blood fortune are impaired, damaged as soft tissue necrosis, infection of bone, bone, cause bone does not connect, bring a lot of difficulties to clinical treatment, and the selection of operative approach and fixing means determines the key of fracture patient prognosis often.The distal tibial fracture is the difficult point of treatment in the fracture always, the type fracture is unstable fracture, must rely on the heavy burden line of force of surgery recovery tibia, because the fracture far-end is nearer apart from ankle joint, can't use intramedullary pin to fix, the traditional method para-position of external plaster fixation is relatively poor behind the lasting calcaneal traction, instability is displacement more easily, cause malunion or bone does not connect, exterior fixation bracket can not make the sclerite of pulverizing reset and the tight contact of fracture end easily takes place loosening or pin track infection influences union of fracture, so people are studying the Therapeutic Method of determined curative effect always.
For the normal row of tibiofibula far-end fracture dissection armor plate internal fixation treatment, traditional surgical approaches is because of considering that steel plate must have more plentiful soft tissue to cover steel plate is positioned over lateral of tibia, and this idea is still followed by some orthopedists so far.In the sixties in 20th century; the tension band internal fixation principle of fractures has been proposed with the AO school headed by the Muller; the skeleton that is each eccentric load-bearing all bears bending stress; a typical stress distribution is to produce tension force in protruding side; recessed side produces pressure; for the fracture that makes eccentric load-bearing is recovered weight capacity; must utilize tension force to bring absorption tension force; skeleton itself can be accepted axial pressure simultaneously; therefore steel plate should be placed the tension side of skeleton in treatment of fractures, king also jadelike stone thinks that the traditional treatment idea ignored tibia tension side settled principle and protected the principle of local blood fortune.It is generally acknowledged with other skeleton and compare that in the heavy burden phase, head, upper limb, trunk have the sidesway of 5cm amplitude, the heavy sensation of the whole body line of force alternately drops on the inboard or the outside of tibia, therefore, and from dynamic (dynamical) angle.Degree is said, tibia does not have fixed tension side, but fracture of tibia and fibula mostly is the shank outside and is subjected to due to the violence, injured back is because the pulling force of Calf muscle makes the interior forward direction angulation displacement of fracture end, the posterior aspecct of the tibia soft tissue is destroyed, and the soft tissue in the outside is more complete, have soft tissue hinge, during the horizontal position of injured back, the posterior aspecct of the tibia is real to be its tension side, promptly clinically behind the fracture of tibia and fibula modal displacement trend polyphyly become the angle forward, this displacement trend in back that resets still exists,, from anatomical viewpoint, the muscle of shank is positioned at the back and outside of tibia, the inside or preceding interior one-tenth angle that the displacement that its contraction causes increases the weight of to fracture.Therefore, its tension side should be in the posterior aspecct of the tibia during fracture of tibia and fibula.Traditional method is that steel plate is placed lateral of tibia, destroyed the effect of soft tissue hinge's clamping plate in the outside, add the contraction of Calf muscle, fracture end often occurring strengthens inboard the separation, influence union of fracture, and put steel plate when interior or interior rear side, and can will cause inboard isolating tension force to be converted into pressure, make fracture end involutory closely; Add soft tissue hinge's clamping plate effect of lateral of tibia, increased stability, the both is favourable for union of fracture.With steel plate place the posterior aspecct of the tibia or interior rear side also just AO school Rudei advocated.But because of inboard blood before the tibia is transported relatively poor, no muscle covers, subcutaneous is exactly tibia, skin easily causes breakage or grinding contusion during wound, fracture site easily exposes, the wound of open fracture of tibia and fibula is often just in the inboard, the major part of inboard soft tissue is also broken, periosteum is stripped from, and like this, steel plate is placed the posterior aspecct of the tibia, even wound surface skin only has necrosis or wound healing bad, steel plate also easily exposes, and forms secondary infection, and the foreign body effect of steel plate more makes to infect and is difficult to control and causes the treatment failure.
Competent blood supplies and fixedly is the essential condition of union of fracture reasonably, and the selection of operative incision and fixed form will directly influence the healing of wound and fracture.Treatment of fractures trend is to reduce the further infringement that the local blood fortune in damaged condition of fracture is caused by operation technique and fixture to greatest extent in recent years.Heavy or skin condition is poor to outside soft tissue injury in the distal tibial open fracture part, if adopt the medial and lateral approach, easily cause local skin necrosis, exposed bone, cause fixing failure.
The utility model content
The purpose of this utility model is to overcome the deficiency of prior art, provide a kind of reasonable in design, operate simple and easy, inboard anatomical form titanium plate behind the distal tibial is used for the heavy or skin condition difference patient of the local interior outside of distal tibial fracture soft tissue injury safely and effectively, and the titanium plate is fixed on interior rear side, can not peel off preceding medial and lateral soft tissue, meet mechanics and anatomical viewpoint and traumatic mechanism and AO technology tension band principle, can improve cure rate, reduce the generation of cacomelia.
The technical scheme that its technical problem that solves this utility model adopts is: inboard anatomical form titanium plate behind a kind of distal tibial comprises in order to the head of fixing fracture far-end with in order to fix the body of fracture near-end; Body is the strip plate body that titanium alloy material is made, and head is upwards reversed to remote extension by the body one and enlarges gradually and constitutes; The plate body of head is provided with some wire nail holes that adapt to the locking of cortical bone cancellous bone screw, and the wire nail hole comprises last hole that can hold the screw ailhead and the following hole of only passing for screw ailing body, is connected between the upper and lower hole; The plate body of body is interval with several oval staple holes that can be matched with the locking of cortical bone cancellous bone screw in the longitudinal direction, oval staple hole comprises last hole that can hold the screw ailhead and the following hole of only passing for screw ailing body, is connected between the upper and lower hole.
The width of the plate body of described body is 15mm, and thickness is 3.0mm.
The near-end of the plate body of described head is wide to be 15mm, and far-end is wide to be 30mm, and thickness is 3.0mm.
The wire nail hole of described head is three, is isosceles triangle and distributes.
The wire nail hole of described head is four, is trapezoidal profile.
The plate body of described head is curved shape on width.
The plate body of described body is curved shape on width.
Inboard windup-degree between described head and the body from the close-by examples to those far off is divided into three sections, and angle is respectively 6,7,12 degree.
Outside windup-degree between described head and the body from the close-by examples to those far off is divided into three sections, and angle is respectively 18,28,30 degree.
Both sides along its length direction in the lower surface of the plate body of described body are provided with some symmetric breach.
Described breach is located between the two adjacent oval staple holes of body plate body.
Inboard anatomical form titanium plate behind a kind of distal tibial of the present utility model, be that back inboard anatomical features according to distal tibial designs, be divided into body two parts, body is integrated, be made with titanium alloy material, head is in order to fixing fracture far-end, and body is in order to fixing fracture near-end, and integral body is " golf racket " shape.The nail hole of titanium plate and used cortical bone cancellous bone screw are all by the AO standard design.The body plate of choosing appropriate length according to the position and the fracture line situation of fracture earlier during use, use behind the shank medial approach to expose fracture site and reset, steel plate is installed then, head is in order to fixing fracture far-end, body is in order to fixing fracture near-end, do not make screw through articular surface, postoperative is handled routinely.Limb X-ray film and strong side X-ray film are suffered from the check in month of the every interval of postoperative, observe union of fracture and limb functional recover situation.
The beneficial effects of the utility model are: constitute inboard anatomical form titanium plate behind a kind of distal tibial owing to adopted in order to the head of fixing fracture far-end with in order to the body of fixing fracture near-end; And body is the strip plate body that titanium alloy material is made, and head is upwards reversed to remote extension by the body one and enlarges gradually and constitutes; The plate body of head is provided with some wire nail holes that adapt to the locking of cortical bone cancellous bone screw, and the wire nail hole comprises last hole that can hold the screw ailhead and the following hole of only passing for screw ailing body, is connected between the upper and lower hole; The plate body of body is interval with several oval staple holes that can be matched with the locking of cortical bone cancellous bone screw in the longitudinal direction, oval staple hole comprises last hole that can hold the screw ailhead and the following hole of only passing for screw ailing body, is connected between the upper and lower hole; Be used for the heavy or skin condition difference patient of the local interior outside of distal tibial fracture soft tissue injury, the titanium plate is fixed on interior rear side, can not peel off preceding medial and lateral soft tissue, meet mechanics and anatomical viewpoint and traumatic mechanism and AO technology tension band principle, can improve cure rate, reduce the generation of cacomelia.Because the both sides along its length direction in the lower surface of the plate body of body also are provided with some symmetric breach, can reduce the system consumption of material on the one hand, reduce cost, on the other hand also can weight reduction, reduce contact surface, improve result of use.This utility model is a kind of reasonable in design, operate simple and easy, inboard anatomical form titanium plate behind the distal tibial safely and effectively, in case the clinical trial success, practical value and the economic worth that can create will be very considerable.
Description of drawings
Below in conjunction with drawings and Examples this utility model is described in further detail; But inboard anatomical form titanium plate is not limited to embodiment behind a kind of distal tibial of the present utility model.
Fig. 1 is an organigram of the present utility model.
Among the figure: 1 head; 11 wire nail holes; The last hole in 111 wire nail holes; The following hole in 112 wire nail holes; 2 bodies; 21 oval staple holes; The last hole in 211 oval staple holes; The following hole in 212 oval staple holes; 22 breach.
The specific embodiment
Shown in accompanying drawing, this utility model is an inboard anatomical form titanium plate behind a kind of distal tibial, comprises in order to the head 1 of fixing fracture far-end with in order to fix the body 2 of fracture near-end; The strip plate body that body 2 is made for titanium alloy material, head 1 are upwards reversed to remote extension by body 2 one and enlarge gradually and constitute; The plate body of head 1 is provided with some wire nail holes 11 that adapt to the locking of cortical bone cancellous bone screw, and the wire nail hole comprises last hole 111 that can hold the screw ailhead and the following hole of only passing for screw ailing body 112, is connected between last hole 111 and the following hole 112; The plate body of body 2 is interval with several oval staple holes 21 that can be matched with the locking of cortical bone cancellous bone screw in the longitudinal direction, oval staple hole 21 comprises last hole 211 that can hold the screw ailhead and the following hole of only passing for screw ailing body 212, is connected between last hole 211 and the following hole 212.
Wherein, the width of the plate body of body 2 is 15mm, and thickness is 3.0mm, and certainly, the variation about also can carrying out on the basis of this numerical value in the certain amplitude scope is to select suitable width, thickness; The near-end of the plate body of head 1 is wide to be 15mm, and far-end is wide to be 30mm, and thickness is 3.0mm, certainly, the variation about equally also can on the basis of these numerical value, carrying out in the certain amplitude scope, suitable near-end is wide, far-end is wide to select, thickness; The wire nail hole 11 of head 1 is three, is isosceles triangle and distributes, and can certainly be four, such as being trapezoidal profile, perhaps also suitable number can be set as required; The plate body of head 1 is curved shape on width; The plate body of body 2 is curved shape on width; Inboard windup-degree between head 1 and the body 2 from the close-by examples to those far off is divided into three sections, and angle is respectively 6,7,12 degree; Outside windup-degree between head 1 and the body 2 from the close-by examples to those far off is divided into three sections, and angle is respectively 18,28,30 degree; Both sides along its length direction in the lower surface of the plate body of body 2 are provided with some symmetric breach 22; Breach 22 is provided in a side of between the two adjacent oval staple holes 21 of body 2 plate bodys.
Inboard anatomical form titanium plate behind a kind of distal tibial of the present utility model, be that back inboard anatomical features according to distal tibial designs, be divided into body two parts, body is integrated, be made with titanium alloy material, head 1 is in order to fixing fracture far-end, and body 2 is in order to fixing fracture near-end, and integral body is " golf racket " shape.The nail hole of titanium plate and used cortical bone cancellous bone screw are all by the AO standard design.The body plate 2 of choosing appropriate length according to the position and the fracture line situation of fracture earlier during use, use behind the shank medial approach to expose fracture site and reset, steel plate is installed then, head 1 is in order to fixing fracture far-end, body 2 is in order to fixing fracture near-end, do not make screw through articular surface, postoperative is handled routinely.Limb X-ray film and strong side X-ray film are suffered from the check in month of the every interval of postoperative, observe union of fracture and limb functional recover situation.
The foregoing description only is used for further specifying inboard anatomical form titanium plate behind a kind of distal tibial of the present utility model; but this utility model is not limited to embodiment; every foundation technical spirit of the present utility model all falls in the protection domain of technical solutions of the utility model any simple modification, equivalent variations and modification that above embodiment did.

Claims (10)

1. inboard anatomical form titanium plate behind the distal tibial is characterized in that: comprise in order to the head of fixing fracture far-end with in order to the body of fixing fracture near-end; Body is the strip plate body that titanium alloy material is made, and head is upwards reversed to remote extension by the body one and enlarges gradually and constitutes; The plate body of head is provided with some wire nail holes that adapt to the locking of cortical bone cancellous bone screw, and the wire nail hole comprises last hole that can hold the screw ailhead and the following hole of only passing for screw ailing body, is connected between the upper and lower hole; The plate body of body is interval with several oval staple holes that can be matched with the locking of cortical bone screw in the longitudinal direction, and oval staple hole comprises last hole that can hold the screw ailhead and the following hole of only passing for screw ailing body, is connected between the upper and lower hole.
2. inboard anatomical form titanium plate behind a kind of distal tibial according to claim 1, it is characterized in that: the width of the plate body of described body is 15mm, thickness is 3.0mm.
3. inboard anatomical form titanium plate behind a kind of distal tibial according to claim 1 is characterized in that: the near-end of the plate body of described head is wide to be 15mm, and far-end is wide to be 30mm, and thickness is 3.0mm.
4. inboard anatomical form titanium plate behind a kind of distal tibial according to claim 1, it is characterized in that: the wire nail hole of described head is three, is isosceles triangle and distributes.
5. inboard anatomical form titanium plate behind a kind of distal tibial according to claim 1, it is characterized in that: the wire nail hole of described head is four, is trapezoidal profile.
6. inboard anatomical form titanium plate behind a kind of distal tibial according to claim 1, it is characterized in that: the plate body of described head is curved shape on width; The plate body of described body is curved shape on width.
7. inboard anatomical form titanium plate behind a kind of distal tibial according to claim 1, it is characterized in that: the inboard windup-degree between described head and the body from the close-by examples to those far off is divided into three sections, and angle is respectively 6,7,12 degree.
8. inboard anatomical form titanium plate behind a kind of distal tibial according to claim 1, it is characterized in that: the outside windup-degree between described head and the body from the close-by examples to those far off is divided into three sections, and angle is respectively 18,28,30 degree.
9. inboard anatomical form titanium plate behind a kind of distal tibial according to claim 1 is characterized in that: the both sides along its length direction in the lower surface of the plate body of described body are provided with some symmetric breach.
10. inboard anatomical form titanium plate behind a kind of distal tibial according to claim 9 is characterized in that: described breach is located between the two adjacent oval staple holes of body plate body.
CNU2007200068211U 2007-04-16 2007-04-16 Rear and internal side tibia far-end dissection type titanium plate Expired - Fee Related CN201042458Y (en)

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CNU2007200068211U CN201042458Y (en) 2007-04-16 2007-04-16 Rear and internal side tibia far-end dissection type titanium plate

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Application Number Priority Date Filing Date Title
CNU2007200068211U CN201042458Y (en) 2007-04-16 2007-04-16 Rear and internal side tibia far-end dissection type titanium plate

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101856262A (en) * 2010-07-20 2010-10-13 孙海钰 Proximal Tibial Plateau Medial Posterior Anatomical Supported Locking Plate
CN101856261A (en) * 2010-07-20 2010-10-13 孙海钰 Rear anatomical supporting and locking plate outside proximal tibial plateau
CN101869505A (en) * 2010-07-20 2010-10-27 孙海钰 Posterior Anatomical Supported Locking Plate of Proximal Tibial Plateau
CN102961178A (en) * 2012-11-20 2013-03-13 苏州艾迪尔医疗器械有限公司 Inner side bone fracture plate for tibia far end
CN104083202A (en) * 2014-07-28 2014-10-08 苏州市康力骨科器械有限公司 Tibial plateau posterior column locking steel plate
CN104224297A (en) * 2014-08-18 2014-12-24 苏州瑞华医院有限公司 Lateral malleolus lower tibiofibula fixing bone fracture plate
CN105640633A (en) * 2014-11-13 2016-06-08 无锡市闻泰百得医疗器械有限公司 Proximal tibia inner side locking plate structure
USD779065S1 (en) 2014-10-08 2017-02-14 Nuvasive, Inc. Anterior cervical bone plate
CN107049460A (en) * 2017-04-20 2017-08-18 无锡市闻泰百得医疗器械有限公司 A kind of bone plate suitable for back ankle fracture
CN109171935A (en) * 2018-10-15 2019-01-11 济南大学 Magnesium alloy fracture of tibia bone plate

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101856262A (en) * 2010-07-20 2010-10-13 孙海钰 Proximal Tibial Plateau Medial Posterior Anatomical Supported Locking Plate
CN101856261A (en) * 2010-07-20 2010-10-13 孙海钰 Rear anatomical supporting and locking plate outside proximal tibial plateau
CN101869505A (en) * 2010-07-20 2010-10-27 孙海钰 Posterior Anatomical Supported Locking Plate of Proximal Tibial Plateau
CN102961178A (en) * 2012-11-20 2013-03-13 苏州艾迪尔医疗器械有限公司 Inner side bone fracture plate for tibia far end
CN104083202A (en) * 2014-07-28 2014-10-08 苏州市康力骨科器械有限公司 Tibial plateau posterior column locking steel plate
CN104224297A (en) * 2014-08-18 2014-12-24 苏州瑞华医院有限公司 Lateral malleolus lower tibiofibula fixing bone fracture plate
USD779065S1 (en) 2014-10-08 2017-02-14 Nuvasive, Inc. Anterior cervical bone plate
USD798455S1 (en) 2014-10-08 2017-09-26 Nuvasive, Inc. Anterior cervical bone plate
CN105640633A (en) * 2014-11-13 2016-06-08 无锡市闻泰百得医疗器械有限公司 Proximal tibia inner side locking plate structure
CN107049460A (en) * 2017-04-20 2017-08-18 无锡市闻泰百得医疗器械有限公司 A kind of bone plate suitable for back ankle fracture
CN109171935A (en) * 2018-10-15 2019-01-11 济南大学 Magnesium alloy fracture of tibia bone plate
CN109171935B (en) * 2018-10-15 2024-03-22 济南大学 Magnesium alloy tibia fracture bone fracture plate

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Legal Events

Date Code Title Description
C14 Grant of patent or utility model
GR01 Patent grant
EE01 Entry into force of recordation of patent licensing contract

Assignee: Double Engine Medical Material Co., Ltd.

Assignor: Hong Jiayuan| Lian Kejian

Contract record no.: 2010350000058

Denomination of utility model: Rear and internal side tibia far-end dissection type titanium plate

Granted publication date: 20080402

License type: Exclusive License

Record date: 20100421

C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20080402

Termination date: 20120416