CN204581476U - A kind of anatomical form chest rib latch closure shape bone-knitting device - Google Patents
A kind of anatomical form chest rib latch closure shape bone-knitting device Download PDFInfo
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- CN204581476U CN204581476U CN201520211260.3U CN201520211260U CN204581476U CN 204581476 U CN204581476 U CN 204581476U CN 201520211260 U CN201520211260 U CN 201520211260U CN 204581476 U CN204581476 U CN 204581476U
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- 238000009940 knitting Methods 0.000 title abstract 3
- 210000000988 bone and bone Anatomy 0.000 claims description 36
- 240000002299 Symphytum officinale Species 0.000 claims description 6
- 235000005865 Symphytum officinale Nutrition 0.000 claims description 6
- 210000001562 sternum Anatomy 0.000 claims description 6
- 244000045483 Cissus quadrangularis Species 0.000 claims 1
- 230000000694 effects Effects 0.000 abstract description 7
- 208000004550 Postoperative Pain Diseases 0.000 abstract description 3
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- 238000000926 separation method Methods 0.000 abstract 1
- 206010017076 Fracture Diseases 0.000 description 8
- 208000010392 Bone Fractures Diseases 0.000 description 7
- 208000027790 Rib fracture Diseases 0.000 description 5
- 229910000831 Steel Inorganic materials 0.000 description 4
- 239000010959 steel Substances 0.000 description 4
- 210000003484 anatomy Anatomy 0.000 description 3
- 230000035876 healing Effects 0.000 description 3
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- 230000003601 intercostal effect Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 206010016747 Flail chest Diseases 0.000 description 1
- 206010017085 Fracture malunion Diseases 0.000 description 1
- 206010017088 Fracture nonunion Diseases 0.000 description 1
- 208000000536 Malunited Fractures Diseases 0.000 description 1
- 208000028389 Nerve injury Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005794 circulatory dysfunction Effects 0.000 description 1
- 210000000078 claw Anatomy 0.000 description 1
- 230000001054 cortical effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
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- 208000011818 severe chest pain Diseases 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
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Abstract
Description
技术领域 technical field
本实用新型涉及骨科医疗器械技术领域,特别涉及以一种胸肋骨接骨装置。 The utility model relates to the technical field of orthopedic medical instruments, in particular to a sternum rib bone-synthesizing device.
背景技术 Background technique
对于多数轻度肋骨骨折可通过保守治疗治愈,但对于复杂及重度肋骨骨折,如多根多处肋骨骨折所造成的连枷胸,由于反常呼吸所引起的严重呼吸和循环功能障碍会危及生命,常需积极处理。针对胸肋骨骨折,目前常用的胸肋骨骨折固定装置有: Most mild rib fractures can be cured by conservative treatment, but for complex and severe rib fractures, such as flail chest caused by multiple rib fractures, severe respiratory and circulatory dysfunction caused by abnormal breathing can be life-threatening, often need to be dealt with actively. For sternocostal fractures, currently commonly used sternocostal fracture fixation devices include:
(1)接骨板,主要是通过在肋骨的骨折线的两侧打孔,用螺钉将钢板固定在断掉的肋骨上,或用钢丝将钢板捆绑在断掉的肋骨上进行固定,由于其抗弯曲度大,术后患者胸痛严重,往往需二次手术取出,另外此类钢板常有螺钉松动、脱落等现象发生。 (1) Bone plate, mainly by punching holes on both sides of the fracture line of the rib, fixing the steel plate on the broken rib with screws, or binding the steel plate to the broken rib with steel wires. The bending degree is large, and the patient suffers from severe chest pain after operation, often requiring a second operation to remove it. In addition, this kind of steel plate often has screws loosening and falling off.
(2)爪形接骨板,主要是通过固定爪抓取固定肋骨,固定方法简单,但生物力学强度不高,有可能形成骨折的不稳定愈合,有感染、疼痛和再次骨折的风险;而且,该类型爪形接骨板未按肋骨的解剖生理设计,与肋骨匹配吻合性低,以至固定和成型效果差,容易造成肋间血管和神经损伤。 (2) The claw-shaped bone plate is mainly used to fix the ribs by grasping the fixed claws. The fixation method is simple, but the biomechanical strength is not high, which may cause unstable healing of the fracture, and there is a risk of infection, pain, and re-fracture; moreover, This type of claw-shaped bone plate is not designed according to the anatomy and physiology of the rib, and the matching and anastomosis with the rib is low, so that the fixation and shaping effect is poor, and it is easy to cause intercostal blood vessel and nerve damage.
(3)髓内固定器械,主要通过髓内针嵌在髓腔周围的皮质骨内层上,以达到良好的内固定。然而,由于肋骨断端的旋转移位和针体自身的移位,易发生骨折畸形愈合或骨不连。髓内固定器械往往需还与其它固定装置联用才能达到比较理想的固定效果,使用不便。 (3) Intramedullary fixation devices are mainly embedded in the cortical bone inner layer around the medullary cavity through intramedullary nails to achieve good internal fixation. However, due to the rotational displacement of the rib stump and the displacement of the needle body itself, fracture malunion or nonunion is prone to occur. Intramedullary fixation instruments often need to be combined with other fixation devices to achieve a relatively ideal fixation effect, which is inconvenient to use.
有鉴于此,需改进上述现有技术的缺陷,提供一种治愈固定效果良好、使用方便的胸肋骨骨折固定装置。 In view of this, it is necessary to improve the defects of the above-mentioned prior art and provide a sternal rib fracture fixation device with good healing and fixation effect and easy to use.
实用新型内容 Utility model content
本实用新型所要解决的技术问题是提供一种治愈效果好、使用方便的解剖型胸肋骨环扣状接骨装置。 The technical problem to be solved by the utility model is to provide an anatomical sternum-rib buckle-shaped bone-synthesizing device with good healing effect and convenient use.
为解决上述技术问题所采用的技术方案:一种解剖型胸肋骨环扣状接骨装置,包括接骨板主体和至少一个环扣件,所述接骨板主体呈长条板状,所述接骨板主体的底面为与人体肋骨外侧面解剖形态相吻合的空间弧形曲面,所述环扣件为开口环构件。 The technical solution adopted to solve the above-mentioned technical problems: an anatomical sternal rib buckle-shaped osteosynthesis device, comprising a bone plate main body and at least one ring buckle, the bone set main body is in the shape of a long strip, and the bone set main body The bottom surface of the utility model is a space arc-shaped curved surface conforming to the anatomy of the outer ribs of the human body, and the ring fastener is a split ring component.
进一步,所述环扣件包括一段平直部和从平直部两侧端向外延伸相向折弯呈C形的弧形部,在各所述环扣件中,其中一侧弧形部的C形开口宽度均小于另一侧弧形部的C形开口宽度。 Further, the buckle includes a straight portion and an arc portion that extends outward from both ends of the straight portion and bends toward each other to form a C shape. In each buckle, one side of the arc The width of the C-shaped opening is smaller than the width of the C-shaped opening of the arc portion on the other side.
进一步,其中一侧所述弧形部的C形开口宽度为3.5~8mm,另一侧所述弧形部的C形开口宽度为4.5~8.5mm。 Further, the width of the C-shaped opening of the arc-shaped portion on one side is 3.5-8 mm, and the width of the C-shaped opening of the arc-shaped portion on the other side is 4.5-8.5 mm.
进一步,所述接骨板主体的两端分别相对反向扭转预定角度。 Further, the two ends of the main body of the bone plate are respectively reversely twisted by a predetermined angle.
进一步,所述接骨板主体一端的扭转角度为7~12°,所述接骨板主体另一端的扭转角度为22~28°。 Further, the twist angle of one end of the bone plate main body is 7-12°, and the twist angle of the other end of the bone plate main body is 22-28°.
有益效果:此解剖型胸肋骨环扣状接骨装置通过采用人体肋骨解剖数据进行设计,即接骨板主体的底面设计为与人体肋骨外侧面解剖形态相吻合的空间弧形曲面,使得接骨板主体底面与人体肋骨侧面完全契合,符合人体肋骨解剖生理特点,固定效果好,最大程度达到骨折断端的解剖复位,减少患者术后疼痛等并发症;同时,接骨板主体和环扣件采用分离式设计不仅可快捷简单将接骨板主体贴合固定在肋骨上,还便于患者康复后拆除。 Beneficial effects: the anatomical sternum rib buckle-shaped bone-synthesis device is designed by using the anatomical data of human ribs, that is, the bottom surface of the bone plate main body is designed as a space arc-shaped curved surface that matches the anatomical shape of the outer surface of human ribs, so that the bottom surface of the bone plate main body It fits perfectly with the side of the ribs of the human body, conforms to the anatomical and physiological characteristics of the ribs of the human body, has a good fixation effect, achieves the anatomical reduction of the broken end of the fracture to the greatest extent, and reduces postoperative pain and other complications; at the same time, the main body of the bone plate and the buckle adopt a separate design Not only can the main body of the bone plate be fit and fixed on the rib quickly and simply, but also it is convenient for the patient to remove it after recovery.
附图说明 Description of drawings
下面结合附图和实施例对本实用新型做进一步的说明; Below in conjunction with accompanying drawing and embodiment the utility model is described further;
图1为本实用新型实施例使用状态示意图; Fig. 1 is the schematic diagram of the use state of the utility model embodiment;
图2为本实用新型实施例的结构示意图; Fig. 2 is the structural representation of the utility model embodiment;
图3为本实用新型实施例中接骨板主体的结构示意图; Fig. 3 is a schematic structural view of the main body of the bone plate in the embodiment of the present invention;
图4为本本实用新型实施例中环扣件的结构示意图。 Fig. 4 is a structural schematic diagram of a ring fastener in an embodiment of the present invention.
具体实施方式 Detailed ways
参照图1至图4,本实用新型一种解剖型胸肋骨环扣状接骨装置,包括接骨板主体10和至少一个环扣件20,接骨板主体10呈长条板状,接骨板主体10的底面为与人体肋骨外侧面解剖形态相吻合的空间弧形曲面,环扣件20为开口环构件。 Referring to Fig. 1 to Fig. 4, the utility model is an anatomical sternum rib buckle-shaped osteosynthesis device, comprising a bone plate main body 10 and at least one buckle 20, the bone set main body 10 is in the shape of a long strip, and the bone set main body 10 The bottom surface is a space arc-shaped curved surface that matches the anatomy of the outer ribs of the human body, and the ring fastener 20 is a split ring component.
本实施例中,接骨板主体10和环扣件20采用分离式设计,即接骨板主体10和环扣件20是相互独立且相互配合的两构件,根据实际手术需要选择环扣件20的数量,使用时,先将接骨板主体10贴合肋骨骨折处,在通过若干个环扣件20将接骨板主体10与肋骨扣合固定,由于接骨板主体10的底面设计为与人体肋骨外侧面解剖形态相吻合的空间弧形曲面,当接骨板主体10贴合固定在肋骨上时,其底面与人体肋骨侧面完全契合,符合人体肋骨解剖生理特点,可达到良好的固定效果,最大程度达到骨折断端的解剖复位,减少患者术后疼痛等并发症。 In this embodiment, the main body of the bone plate 10 and the buckle 20 adopt a separate design, that is, the main body 10 of the bone plate and the buckle 20 are two components that are mutually independent and cooperate with each other, and the number of the buckle 20 is selected according to actual surgical needs When in use, the main body of the bone plate 10 is first fitted to the rib fracture, and then the main body of the bone plate 10 is fastened and fixed to the rib through several ring fasteners 20. The space arc-shaped curved surface that matches the shape, when the main body of the bone plate 10 fits and fixes on the rib, its bottom surface completely fits with the side of the rib of the human body, which conforms to the anatomical and physiological characteristics of the rib of the human body, and can achieve a good fixation effect and achieve fracture fracture to the greatest extent. The anatomical reduction of the end can reduce the postoperative pain and other complications of the patient.
接骨板主体10和环扣件20采用分离式设计不仅可快捷简单将接骨板主体10贴合固定在肋骨上,还便于患者康复后拆除。 The bone plate main body 10 and the ring fastener 20 adopt a separate design, which not only can fit and fix the bone plate main body 10 on the ribs quickly and easily, but also facilitates the removal of the patient after recovery.
此解剖型胸肋骨环扣状接骨装置摒弃传统接骨板仅考虑长度、宽度等常规解剖参数的形式,根据每根肋骨的解剖特性,不仅考虑长度、宽度等常规解剖参数,更充分考虑肋骨弯曲角度、扭曲角度等不可忽略的重要参数,使该接骨装置符合肋骨解剖生理特点。 This anatomical sternum-rib buckle-shaped osteosynthesis device abandons the traditional bone plate and only considers conventional anatomical parameters such as length and width. According to the anatomical characteristics of each rib, it not only considers conventional anatomical parameters such as length and width, but also fully considers the bending angle of ribs. , twisting angle and other important parameters that cannot be ignored, make the bone setting device conform to the anatomical and physiological characteristics of ribs.
其中,该接骨装置不仅考虑每一根肋骨的解剖特性,还充分考虑每一根肋骨的前肋、侧肋、后肋也有各自外形特点,接骨板主体10由前段、中段、后段三段组成,前段根据前肋的解剖特性设计为弧形,其弯曲弧度为62~67°,以符合该段肋骨的生理弧度。中段根据侧肋的解剖特性设计为弧形,其弯曲弧度为72~79°,以符合该段肋骨的生理弧度。后段根据后肋的解剖特性设计为弧形,其弯曲弧度为129~135°,以符合该段肋骨的生理弧度。 Among them, the bone setting device not only considers the anatomical characteristics of each rib, but also fully considers that the front rib, side rib, and rear rib of each rib also have their own shape characteristics. , the front section is designed as an arc according to the anatomical characteristics of the anterior rib, and its curvature is 62~67° to conform to the physiological arc of the rib. The middle section is designed to be arc-shaped according to the anatomical characteristics of the side ribs, and its curvature ranges from 72 to 79° to conform to the physiological curvature of the ribs. The posterior segment is designed to be arc-shaped according to the anatomical characteristics of the posterior rib, and its curvature ranges from 129° to 135° to conform to the physiological arc of this segment of ribs.
作为优选,环扣件20包括一段平直部21和从平直部21两侧端向外延伸相向折弯呈C形的弧形部22,在各环扣件20中,其中一侧弧形部22的C形开口宽度均小于另一侧弧形部22的C形开口宽度。平直部21的长度与接骨板主体10的宽度大小相对应,如图4所示,由于人体肋骨的两侧边缘的厚度不一致,传统爪形接骨板中未考虑该肋骨的解剖特性,与肋骨卡接匹配吻合性低,往往容易造成肋间血管和神经损伤,环扣件20两侧的弧形部22根据肋骨两侧边缘不同的厚度而采用不同的宽度,使弧形部22能充分卡接抱紧肋骨,使得各节接骨板能够更好的与肋骨贴合,达到了很好的固定肋骨的作用。其中一侧弧形部22的C形开口宽度优选为3.5~8mm,另一侧弧形部22的C形开口宽度优选为4.5~8.5mm。 Preferably, the buckle 20 includes a straight portion 21 and an arc portion 22 extending outward from both ends of the straight portion 21 and bent in a C shape. In each buckle 20, one side of the buckle is curved The width of the C-shaped opening of each part 22 is smaller than the width of the C-shaped opening of the arc-shaped part 22 on the other side. The length of the straight part 21 corresponds to the width of the bone plate main body 10. As shown in FIG. The fit of snap fit is low, and it is easy to cause damage to intercostal blood vessels and nerves. The arc-shaped parts 22 on both sides of the ring fastener 20 adopt different widths according to the different thicknesses of the edges on both sides of the ribs, so that the arc-shaped parts 22 can be fully locked. The ribs are tightly hugged, so that each bone plate can better fit the ribs, achieving a good effect of fixing the ribs. The width of the C-shaped opening of the arc portion 22 on one side is preferably 3.5-8 mm, and the width of the C-shaped opening of the arc portion 22 on the other side is preferably 4.5-8.5 mm.
其中,接骨板主体10的两端分别相对反向扭转预定角度,以使得前后两头的接骨板能更好的与肋骨相贴合,根据肋骨的解剖特点,即每根肋骨前后两头都具有一定程度扭转,接骨板主体10一端相对接骨板主体中心线扭转一定角度,优选为7~12°,接骨板主体10另一端相对接骨板主体中心线反向扭转一定角度,优选为22~28°。 Wherein, the two ends of the bone plate main body 10 are respectively reversely twisted at predetermined angles so that the front and rear ends of the bone plate can better fit the ribs. According to the anatomical characteristics of the ribs, each rib has a certain degree of For twisting, one end of the bone plate body 10 is twisted at a certain angle relative to the center line of the bone plate body, preferably 7-12°, and the other end of the bone plate body 10 is reversely twisted at a certain angle relative to the center line of the bone plate body, preferably 22-28°.
上面结合附图对本实用新型的实施方式作了详细说明,但是本实用新型不限于上述实施方式,在所述技术领域普通技术人员所具备的知识范围内,还可以在不脱离本实用新型宗旨的前提下作出各种变化。 The embodiments of the present utility model have been described in detail above in conjunction with the accompanying drawings, but the present utility model is not limited to the above-mentioned embodiments. Various changes are made.
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