CN204410951U - A kind of first metatarsal osteotomy of distal plate - Google Patents
A kind of first metatarsal osteotomy of distal plate Download PDFInfo
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- 210000001872 metatarsal bone Anatomy 0.000 title claims abstract description 39
- 238000005452 bending Methods 0.000 claims abstract 2
- 230000007704 transition Effects 0.000 claims description 9
- 210000001906 first metatarsal bone Anatomy 0.000 claims description 8
- 229910000975 Carbon steel Inorganic materials 0.000 claims description 3
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 3
- 239000010962 carbon steel Substances 0.000 claims description 3
- 239000010935 stainless steel Substances 0.000 claims description 3
- 229910001220 stainless steel Inorganic materials 0.000 claims description 3
- 229910052719 titanium Inorganic materials 0.000 claims description 3
- 239000010936 titanium Substances 0.000 claims description 3
- 230000015572 biosynthetic process Effects 0.000 claims 1
- 208000001132 Osteoporosis Diseases 0.000 abstract description 3
- 229910000831 Steel Inorganic materials 0.000 abstract description 3
- 230000002980 postoperative effect Effects 0.000 abstract description 3
- 238000011084 recovery Methods 0.000 abstract description 3
- 210000004872 soft tissue Anatomy 0.000 abstract description 3
- 239000010959 steel Substances 0.000 abstract description 3
- 230000007794 irritation Effects 0.000 abstract 1
- 206010061159 Foot deformity Diseases 0.000 description 12
- 208000001963 Hallux Valgus Diseases 0.000 description 12
- 238000001356 surgical procedure Methods 0.000 description 6
- 210000000988 bone and bone Anatomy 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 239000012634 fragment Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000000399 orthopedic effect Effects 0.000 description 2
- 230000001009 osteoporotic effect Effects 0.000 description 2
- 230000000638 stimulation Effects 0.000 description 2
- 206010006585 Bunion Diseases 0.000 description 1
- 208000014770 Foot disease Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及医疗器械领域,尤其是一种第一跖骨远端截骨板。The utility model relates to the field of medical instruments, in particular to a first metatarsal distal osteotomy plate.
背景技术Background technique
拇外翻是一种常见的足部疾病,病发初期很少引起人们关注,但随着时间和年龄增长,拇外翻可逐渐加重,最终出现临床症状。患者主要表现为拇囊处疼痛、肿胀,穿鞋、行走困难,严重影响患者日常生活。此时可通过手术矫正畸形。Hallux valgus is a common foot disease that rarely attracts people's attention at the early stage of the disease, but with time and age, hallux valgus can gradually aggravate, and finally clinical symptoms appear. The main manifestations of the patient are pain and swelling at the bunion, and difficulty in wearing shoes and walking, which seriously affects the daily life of the patient. At this point, the deformity can be corrected surgically.
目前临床上较常用的手术方法是Chevron,即第一跖骨远端截骨术。截骨完成后,外推第一跖骨头达满意位置后采用螺钉固定。但螺钉固定的强度不够,特别是对于骨质疏松患者,易造成术后固定位置丢失,术后不能进行早期功能锻炼,手术恢复时间长,最终导致手术失败。At present, the most commonly used surgical method in clinic is Chevron, that is, the distal first metatarsal osteotomy. After the osteotomy was completed, the first metatarsal head was extrapolated to a satisfactory position and fixed with screws. However, the strength of screw fixation is not enough, especially for osteoporosis patients, it is easy to cause the postoperative fixation position to be lost, early functional exercise cannot be performed after the operation, and the recovery time of the operation is long, which eventually leads to the failure of the operation.
实用新型内容Utility model content
本实用新型解决的技术问题是:本实用新型提供了一种第一跖骨远端截骨板,用于解决第一跖骨远端截骨术后螺钉固定稳定性差问题。截骨板为板式设计,呈反S形,通过螺钉将截骨板固定在第一跖骨上,提高截骨后内固定的强度和稳定性。The technical problem solved by the utility model is: the utility model provides a first metatarsal distal osteotomy plate, which is used to solve the problem of poor stability of screw fixation after the first metatarsal distal osteotomy. The osteotomy plate is designed as a plate with an inverted S shape. The osteotomy plate is fixed on the first metatarsal with screws to improve the strength and stability of internal fixation after osteotomy.
本实用新型解决其技术问题所采用的技术方案是:The technical scheme that the utility model solves its technical problem adopts is:
一种第一跖骨远端截骨板,包括一反S形截骨板主体,所述截骨板主体包括一体成型的截骨板近端、截骨板远端及用于连接截骨板近端和截骨板远端的过渡段,所述截骨板主体上设有若干个用于将截骨板固定在第一跖骨上的固定孔,所述截骨板近端和截骨板远端方向与第一跖骨方向一致,用于将截骨板固定在第一跖骨上,截骨板近端和截骨板远端方向与第一跖骨方向一致。A first metatarsal distal osteotomy plate, comprising a reverse S-shaped osteotomy plate main body, the osteotomy plate main body includes an integrally formed osteotomy plate proximal end, an osteotomy plate distal end and a proximal end for connecting the osteotomy plate end of the osteotomy plate and the transition section of the distal end of the osteotomy plate, the main body of the osteotomy plate is provided with several fixing holes for fixing the osteotomy plate on the first metatarsal, the proximal end of the osteotomy plate and the distal end of the osteotomy plate The direction of the end is consistent with the direction of the first metatarsal, and is used to fix the osteotomy plate on the first metatarsal, and the direction of the proximal end of the osteotomy plate and the distal end of the osteotomy plate are consistent with the direction of the first metatarsal.
具体地,截骨板与第一跖骨接触面的空间几何学形态与第一跖骨表面形态相匹配。使固定更加稳固,术中不需要通过螺钉对截骨板进行压弯,术前也不需要进行预弯,避免了因截骨板不服帖而在螺钉固定过程中对骨质的进一步破坏,甚至发生第一跖骨骨折,特别是骨质疏松患者,方便手术、缩短手术时间。Specifically, the spatial geometry of the contact surface between the osteotomy plate and the first metatarsal matches the surface shape of the first metatarsal. It makes the fixation more stable, and there is no need to bend the osteotomy plate through screws during the operation, and there is no need to pre-bend it before the operation, which avoids further damage to the bone during screw fixation due to the inconsistency of the osteotomy plate, and even Fractures of the first metatarsal bone occur, especially in patients with osteoporosis, which facilitates surgery and shortens the operation time.
具体地,所述截骨板近端上至少设有两个固定孔,所述截骨板远端上至少设有两个固定孔,采用两端固定,使截骨板受力达到最小。Specifically, at least two fixing holes are provided on the proximal end of the osteotomy plate, and at least two fixing holes are provided on the distal end of the osteotomy plate, and the two ends of the osteotomy plate are fixed to minimize the stress on the osteotomy plate.
具体地,所述截骨板近端上设有三个固定孔,呈品字形分布。固定孔呈品字形设计使得螺钉固定更稳定、牢靠。具体地,所述固定孔内设有内螺纹,固定孔上方为锥形,固定螺钉帽与锥形完全匹配。Specifically, three fixation holes are arranged on the proximal end of the osteotomy plate, distributed in a zigzag shape. The fixing hole is designed in a zigzag shape to make the screw fixing more stable and reliable. Specifically, the fixing hole is provided with an internal thread, the upper part of the fixing hole is tapered, and the fixing screw cap is completely matched with the tapered shape.
具体地,所述截骨板主体为不锈钢截骨板、纯钛截骨板或碳钢截骨板。Specifically, the main body of the osteotomy plate is a stainless steel osteotomy plate, a pure titanium osteotomy plate or a carbon steel osteotomy plate.
本实用新型的有益效果是:本实用新型提供一种第一跖骨远端截骨板,使截骨后固定更稳定、可靠。采用钢板设计,强度大,有利于早期功能锻炼,缩短术后恢复时间,且对于骨质疏松拇外翻也起到较好固定作用;采用隐蔽边缘设计,减少对软组织刺激;截骨板采用解剖型设计,便于截骨后解剖复位,术中无需再对钢板预弯;钢板通过横向不同延伸长度固定远端骨块,来解决不同程度拇外翻畸形,并有多枚螺钉固定远端骨块,使得截骨固定更稳定、牢靠;改变了目前拇外翻远端截骨手术内固定不稳的现状,扩大了远端截骨手术的适应症范围,简化了拇外翻远端截骨手术的理论体系。此设计适用范围广,可用于中、重度拇外翻的手术治疗,而且将拇外翻的远端截骨手术程序化,规范化,便于实际操作。The beneficial effects of the utility model are: the utility model provides a first metatarsal distal osteotomy plate, which makes the fixation after osteotomy more stable and reliable. Steel plate design, high strength, is conducive to early functional exercise, shortens postoperative recovery time, and also plays a good role in fixing osteoporotic hallux valgus; adopts hidden edge design to reduce soft tissue stimulation; osteotomy plate adopts anatomical The design is convenient for anatomical reduction after osteotomy, and there is no need to pre-bend the plate during the operation; the plate fixes the distal bone fragments through different lateral extension lengths to solve different degrees of hallux valgus deformity, and multiple screws fix the distal bone fragments , making osteotomy fixation more stable and reliable; changing the current situation of unstable internal fixation in distal hallux valgus osteotomy, expanding the scope of indications for distal osteotomy, and simplifying distal hallux valgus osteotomy theoretical system. This design has a wide range of applications, and can be used for the surgical treatment of moderate and severe hallux valgus. Moreover, the distal osteotomy of hallux valgus is programmed and standardized, and is convenient for actual operation.
附图说明Description of drawings
下面结合附图和实施例对本实用新型进一步说明。Below in conjunction with accompanying drawing and embodiment the utility model is further described.
图1是本实用新型第一跖骨远端截骨板的结构示意图。Fig. 1 is a structural schematic diagram of the first metatarsal distal end osteotomy plate of the present invention.
图中:1.截骨板近端,2.过渡段,3.截骨板远端,4.截骨板主体,5.固定孔。In the figure: 1. The proximal end of the osteotomy plate, 2. The transition section, 3. The distal end of the osteotomy plate, 4. The main body of the osteotomy plate, 5. The fixation hole.
具体实施方式Detailed ways
现在结合附图对本实用新型作进一步详细说明。这些附图均为简化示意图,仅以示意方式说明本实用新型基本结构,因此其仅显示与本实用新型有关的构成。The utility model is described in further detail in conjunction with accompanying drawing now. These drawings are all simplified schematic diagrams, and only schematically illustrate the basic structure of the utility model, so they only show the configurations related to the utility model.
实施例1:一种第一跖骨远端截骨板,包括截骨板主体4,截骨板主体4为纯钛截骨板,板厚1.5mm,截骨板主体4采用反S形设计,截骨板主体4由一体成型的截骨板近端1和截骨板远端3,以及用于连接截骨板近端1和截骨板远端3的过渡段2组成,截骨板近端1与截骨板远端3分别设有两个固定孔5,截骨板近端1和截骨板远端3方向与第一跖骨方向一致。Embodiment 1: An osteotomy plate at the distal end of the first metatarsal bone, comprising a main body 4 of the osteotomy plate. The main body 4 of the osteotomy plate is a pure titanium osteotomy plate with a plate thickness of 1.5mm. The main body of the osteotomy plate adopts a reverse S-shaped design, The main body 4 of the osteotomy plate is composed of an integrally formed proximal end 1 of the osteotomy plate and a distal end 3 of the osteotomy plate, and a transition section 2 for connecting the proximal end 1 of the osteotomy plate and the distal end 3 of the osteotomy plate. The end 1 and the distal end 3 of the osteotomy plate are respectively provided with two fixing holes 5, and the directions of the proximal end 1 of the osteotomy plate and the distal end 3 of the osteotomy plate are consistent with the direction of the first metatarsal bone.
此实施例截骨板和固定螺钉设计充分依据亚洲人体解剖曲率设计,板厚1.5mm,固定螺钉为直径2.7mm锁定螺钉或直径2.7mm非锁定螺钉或两者结合,固定孔5内设有内螺纹,避免螺钉切迹过高,且采用高强度材料便于术后早期功能锻炼,截骨板边缘采用隐蔽边缘设计,减少对软组织刺激。The design of the osteotomy plate and fixing screws in this embodiment is fully based on the curvature design of Asian human anatomy. The thickness of the plate is 1.5mm. The screw thread avoids too high screw notch, and the high-strength material is used to facilitate early functional exercise after operation. The edge of the osteotomy plate is designed with a hidden edge to reduce soft tissue stimulation.
实施例2:一种第一跖骨远端截骨板,包括截骨板主体4,截骨板主体4为碳钢截骨板,板厚1.5mm,截骨板主体4采用反S形设计,如图1所示,截骨板由一体成型的截骨板近端1和截骨板远端3,以及用于连接截骨板近端1和截骨板远端3的过渡段2组成,截骨板近端1与截骨板远端3分别设有三个固定孔5,并呈品字形分布,截骨板近端1和截骨板远端3方向与第一跖骨方向一致。Embodiment 2: An osteotomy plate at the distal end of the first metatarsal bone, comprising a main body 4 of the osteotomy plate, the main body of the osteotomy plate is a carbon steel osteotomy plate with a plate thickness of 1.5mm, and the main body of the osteotomy plate adopts a reverse S-shaped design, As shown in Figure 1, the osteotomy plate is composed of an integrally formed proximal end 1 of the osteotomy plate, a distal end 3 of the osteotomy plate, and a transition section 2 for connecting the proximal end 1 of the osteotomy plate and the distal end 3 of the osteotomy plate, The proximal end 1 of the osteotomy plate and the distal end 3 of the osteotomy plate are respectively provided with three fixing holes 5, which are distributed in a zigzag shape. The directions of the proximal end 1 of the osteotomy plate and the distal end 3 of the osteotomy plate are consistent with the direction of the first metatarsal bone.
此实施例截骨板主体4与第一跖骨接触面的空间几何学形态与第一跖骨表面形态相匹配。即截骨板近端1与第一跖骨跖骨基底部表面形态相匹配,截骨板远端3与第一跖骨跖骨头表面形态相匹配,过渡段2与第一跖骨干表面形态相匹配。使得术中无需对截骨板进行预弯,大大缩短手术时间,同时对骨质疏松拇外翻患者也起到较稳定固定,此外固定孔5采用品字形设计,置入螺钉后对截骨块固定更稳定。In this embodiment, the spatial geometry of the contact surface between the osteotomy plate main body 4 and the first metatarsal is matched with the surface shape of the first metatarsal. That is, the proximal end 1 of the osteotomy plate matches the surface morphology of the metatarsal base of the first metatarsal, the distal end 3 of the osteotomy plate matches the surface morphology of the metatarsal head of the first metatarsal, and the transition section 2 matches the surface morphology of the first metatarsal shaft. It makes it unnecessary to pre-bend the osteotomy plate during the operation, which greatly shortens the operation time. At the same time, it also plays a more stable fixation for osteoporotic hallux valgus patients. In addition, the fixation hole 5 adopts a square design, and the osteotomy block is fixed after the screw is inserted. Fixing is more stable.
实施例3:一种第一跖骨远端截骨板,包括截骨板主体4,截骨板主体4为不锈钢截骨板,板厚1.5mm,截骨板主体4采用反S形实用新型,如图1所示,截骨板由一体成型的截骨板近端1和截骨板远端3,以及用于连接截骨板近端1和截骨板远端3的过渡段2组成。截骨板近端1与截骨板远端3分别设有三个固定孔5,并呈品字形分布,截骨板近端1和截骨板远端3方向与第一跖骨方向一致。Embodiment 3: An osteotomy plate at the distal end of the first metatarsal bone, including a main body 4 of the osteotomy plate. The main body 4 of the osteotomy plate is a stainless steel osteotomy plate with a plate thickness of 1.5mm. The main body of the osteotomy plate adopts a reverse S-shaped utility model, As shown in FIG. 1 , the osteotomy plate is composed of an integrally formed proximal end 1 of the osteotomy plate, a distal end 3 of the osteotomy plate, and a transition section 2 for connecting the proximal end 1 of the osteotomy plate and the distal end 3 of the osteotomy plate. The proximal end 1 of the osteotomy plate and the distal end 3 of the osteotomy plate are respectively provided with three fixing holes 5, which are distributed in a zigzag shape. The directions of the proximal end 1 of the osteotomy plate and the distal end 3 of the osteotomy plate are consistent with the direction of the first metatarsal bone.
此实施例中,对于不同程度的拇外翻畸形,可选用横向不同延伸长度的截骨板。截骨板近端和远端分别采用三枚或三枚以上螺钉固定,使截骨板固定更为稳定、牢靠。In this embodiment, for different degrees of hallux valgus deformities, osteotomy plates with different lateral extension lengths can be selected. The proximal end and the distal end of the osteotomy plate are respectively fixed with three or more screws to make the fixation of the osteotomy plate more stable and reliable.
此实用新型中截骨板为拇外翻远端截骨矫形手术中唯一一块内固定板,此截骨板适用范围广,可用于中、重度拇外翻手术矫形,且将拇外翻远端截骨手术程序化、规范化,便于实际操作,大大提高拇外翻手术成功率和矫形后内固定的稳定性。The osteotomy plate in this utility model is the only internal fixation plate in the distal hallux valgus osteotomy orthopedic surgery. Osteotomy surgery is stylized, standardized, and easy to operate, which greatly improves the success rate of hallux valgus surgery and the stability of internal fixation after orthopedic surgery.
本实用新型中,截骨板近端1和截骨板远端3的方向也可与第一跖骨方向不一致,但需保证截骨板近端1固定于第一跖骨基底部,截骨板远端3固定于第一跖骨跖骨头。In the present utility model, the directions of the proximal end 1 of the osteotomy plate and the distal end 3 of the osteotomy plate may also be inconsistent with the direction of the first metatarsal, but it is necessary to ensure that the proximal end 1 of the osteotomy plate is fixed on the base of the first metatarsal, and that the distal end of the osteotomy plate is End 3 is fixed to the metatarsal head of the first metatarsal.
以上述依据本实用新型的理想实施例为启示,通过上述的说明内容,相关工作人员完全可以在不偏离本项实用新型技术思想的范围内,进行多样的变更以及修改。本项实用新型的技术性范围并不局限于说明书上的内容,必须要根据权利要求范围来确定其技术性范围。Inspired by the above ideal embodiment according to the utility model, through the above description content, relevant staff can completely make various changes and modifications within the scope of not deviating from the technical idea of the utility model. The technical scope of this utility model is not limited to the content in the description, but must be determined according to the scope of the claims.
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2014
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