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CN107280752A - Femoral shaft transverse fracture lateral wing type bone plate - Google Patents

Femoral shaft transverse fracture lateral wing type bone plate Download PDF

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Publication number
CN107280752A
CN107280752A CN201710595888.1A CN201710595888A CN107280752A CN 107280752 A CN107280752 A CN 107280752A CN 201710595888 A CN201710595888 A CN 201710595888A CN 107280752 A CN107280752 A CN 107280752A
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bone plate
femoral shaft
main
screw
main bone
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盛伟
纪爱敏
刘源
方润心
何小笛
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Hohai University HHU
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Hohai University HHU
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8004Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
    • A61B17/8014Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones the extension or compression force being caused by interaction of the plate hole and the screws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • A61B2090/08021Prevention of accidental cutting or pricking of the patient or his organs

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  • 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)

Abstract

本发明公开了一种股骨干横断骨折侧翼型接骨板,包括主接骨板和分布在主接骨板上的两组侧翼对,该两组侧翼对对称分布在主接骨板上,该两组侧翼对之间的主接骨板为骨折部接骨板,用于对应骨折位置,所述骨折部接骨板的厚度比其他位置的主接骨板的厚度厚2mm;每组侧翼对由两个侧翼组成,两个侧翼对称分布在主接骨板两侧;所述主接骨板上设置有锁定螺纹孔和加压螺纹孔,所述加压螺纹孔设置在骨折部接骨板上,所述每个侧翼上均布置有锁定螺纹孔。本发明保证了股骨干骨折内固定接骨板的稳定性及安全性,能减小应力集中对接骨板的破坏,且承载力显著增大,体现了该接骨板系统的优越性。

The invention discloses a lateral wing bone plate for femoral shaft transverse fracture, which comprises a main bone plate and two sets of wing pairs distributed on the main bone plate, the two sets of wing pairs are symmetrically distributed on the main bone plate, and the two sets of wing pairs are The main bone plate between them is the fracture part bone plate, which is used to correspond to the fracture position, and the thickness of the fracture part bone plate is 2mm thicker than the thickness of the main bone plate at other positions; each pair of flanks is composed of two flanks, two The lateral wings are symmetrically distributed on both sides of the main bone plate; the main bone plate is provided with locking threaded holes and pressurized threaded holes, the pressurized threaded holes are provided on the bone plate of the fracture part, and each side wing is arranged with Lock threaded holes. The invention ensures the stability and safety of the internal fixation bone plate for femoral shaft fractures, can reduce the damage to the bone plate caused by stress concentration, and significantly increases the bearing capacity, reflecting the superiority of the bone plate system.

Description

股骨干横断骨折侧翼型接骨板Femoral shaft transverse fracture lateral wing plate

技术领域technical field

本发明涉及一种股骨干横断骨折侧翼型接骨板,属于接骨板技术领域。The invention relates to a lateral wing bone plate for femoral shaft transverse fracture, belonging to the technical field of bone plates.

背景技术Background technique

由于在骨折部位施加压力有助于愈合的理论出现,逐渐发展出了动力加压接骨板(DCP)。为了克服接骨板去除后产生二次骨折和骨与接骨板之间的接触导致骨皮质坏死等缺陷,在DCP基础上发明了一个减少了骨板间接触面积和骨皮质血运受损的接骨板,称为有限接触动力加压接骨板(LC-DCP)。Perren研究小组针对上述问题进一步改进接骨板设计出了点式接触内固定(PC-Fix)系统。人们在保留传统LC-DCP和PC-Fix各自的优点的基础上,运用螺纹偏心加压原理,设计出了锁定加压接骨板(LCP)。李起鸿等在普通接骨板的底面焊接锥状突起,研制了一种锥状点式接触钢板。赵玉峰等设计的复合动力点接触接骨板经过生物力学测试,显示的弯扭强度与DCP板基本相似。许多医学工作者在我国传统医学的基础上,结合国外动力加压接骨板的优点设计出包括槽状带齿自动加压钢板、非等强度自动加压钢板、梯型自动加压钢板等接骨板系统。The Dynamic Compression Plate (DCP) was developed as a result of the theory that applying pressure to the fracture site aids in healing. In order to overcome defects such as secondary fractures after bone plate removal and cortical bone necrosis caused by contact between bone and bone plate, a bone plate with reduced contact area between bone plates and impaired blood supply of bone cortex was invented on the basis of DCP. , called the Limited Contact Dynamic Compression Plate (LC-DCP). Perren's research group further improved the bone plate and designed a point contact internal fixation (PC-Fix) system to address the above problems. On the basis of retaining the respective advantages of traditional LC-DCP and PC-Fix, people have designed the Locking Compression Plate (LCP) by using the principle of thread eccentric compression. Li Qihong et al. welded conical protrusions on the bottom surface of ordinary bone plates, and developed a conical point contact plate. The composite dynamic point contact osteosynthesis plate designed by Zhao Yufeng et al. has undergone biomechanical tests, showing that the bending and torsional strength is basically similar to that of the DCP plate. On the basis of traditional medicine in my country, many medical workers have designed bone bone plates including grooved toothed automatic compression plates, non-equal strength automatic compression plates, and trapezoidal automatic compression plates, etc. system.

发明内容Contents of the invention

本发明所要解决的技术问题是:克服现有技术的不足,提供一种股骨干横断骨折侧翼型接骨板,以解决现阶段股骨干横断骨折接骨板所出现的接骨板角稳定性较差、骨折区域螺钉应力集中、内固定二次伤害频发的问题。The technical problem to be solved by the present invention is to overcome the deficiencies of the prior art and provide a lateral wing-shaped bone plate for femoral shaft transverse fractures to solve the poor stability of the bone plate angle and fracture Regional screw stress concentration and frequent internal fixation secondary injuries.

为解决上述技术问题,本发明的技术方案是:一种股骨干横断骨折侧翼型接骨板,包括主接骨板和分布在主接骨板上的两组侧翼对,该两组侧翼对对称分布在主接骨板上,该两组侧翼对之间的主接骨板为骨折部接骨板,用于对应骨折位置,所述骨折部接骨板的厚度比其他位置的主接骨板的厚度厚2mm;每组侧翼对由两个侧翼组成,两个侧翼对称分布在主接骨板两侧;所述主接骨板上设置有锁定螺纹孔和加压螺纹孔,所述加压螺纹孔设置在骨折部接骨板上,所述每个侧翼上均布置有锁定螺纹孔。In order to solve the above technical problems, the technical solution of the present invention is: a lateral wing bone plate for femoral shaft transverse fracture, including a main bone plate and two sets of wing pairs distributed on the main bone plate, and the two sets of wing pairs are symmetrically distributed on the main bone plate. On the bone plate, the main bone plate between the two groups of flank pairs is a bone bone plate at the fracture site, which is used to correspond to the fracture site, and the thickness of the bone plate at the fracture site is 2 mm thicker than that of the main bone plate at other positions; The pair consists of two flanks, which are symmetrically distributed on both sides of the main bone plate; the main bone plate is provided with a locking threaded hole and a pressurized threaded hole, and the pressurized threaded hole is provided on the bone plate of the fracture, A locking threaded hole is arranged on each of the flanks.

进一步为了增加稳定性,置入所述锁定螺钉孔的螺钉与锁定螺钉孔所在的主接骨板以及侧翼的表面垂直,置入所述加压螺钉孔的螺钉与所述骨折部接骨板的表面垂直。Further, in order to increase stability, the screws inserted into the locking screw holes are perpendicular to the surface of the main bone plate where the locking screw holes are located and the flanks, and the screws inserted into the compression screw holes are perpendicular to the surface of the bone plate at the fracture site .

进一步为了增加稳定性,所述加压螺纹孔对称且均匀地分布在骨折部接骨板上,所述锁定螺纹孔对称且均匀地分布在其他位置的主接骨板上。Further, in order to increase stability, the pressurizing threaded holes are symmetrically and evenly distributed on the bone plate at the fracture part, and the locking threaded holes are symmetrically and evenly distributed on the main bone plate at other positions.

进一步为了增加接骨板整体的稳定性,所述主接骨板与所述侧翼连接处不设置螺纹孔,侧翼与主接骨板上所布置的螺钉呈三角形布局。Further, in order to increase the overall stability of the bone plate, no threaded hole is provided at the joint between the main bone plate and the side wings, and the screws arranged on the side wings and the main bone plate are in a triangular layout.

进一步,所述主接骨板的内侧面和侧翼的内侧面连接起来构成为圆弧状曲面,该圆弧状曲面与股骨干的圆弧相对应。Further, the inner surface of the main bone plate and the inner surface of the side wings are connected to form an arc-shaped curved surface, and the arc-shaped curved surface corresponds to the arc of the femoral shaft.

进一步为了减少接骨板与股骨干的接触面积,所述主接骨板的圆弧状曲面上布置有多条凹槽。Further, in order to reduce the contact area between the bone plate and the femoral shaft, a plurality of grooves are arranged on the arc-shaped curved surface of the main bone plate.

进一步,置入侧翼上的锁定螺钉孔的螺钉为双皮质螺钉。Further, the screws placed in the locking screw holes on the flanks were bicortical screws.

进一步,所述骨折部接骨板上的加压螺纹孔上安装加压螺钉。Further, a compression screw is installed on the compression threaded hole on the osteosynthesis plate of the fracture part.

进一步,所述主接骨板和侧翼均由钛合金材料制成,主接骨板和侧翼的边缘均采用圆弧过渡。Furthermore, both the main bone plate and the side wings are made of titanium alloy material, and the edges of the main bone plate and the side wings are all made of arc transition.

进一步,置入所述主接骨板上的锁定螺纹孔的螺钉为单皮质螺钉或双皮质螺钉。Further, the screws inserted into the locking threaded holes on the main bone plate are unicortical screws or bicortical screws.

采用了上述技术方案后,本发明具有以下的有益效果:After adopting above-mentioned technical scheme, the present invention has following beneficial effect:

1)本发明的接骨板采用一种四侧翼变厚度接骨板完成对股骨干骨折的内固定,具体地说,本发明的主接骨板的中部为骨折部接骨板,其厚度比其他部位的主接骨板的厚度厚2mm,以减小应力集中对接骨板的破坏,在此部分所受的承载力显著增大,能够有效避免股骨的二次伤害,从而保证了内固定的稳定性和安全性;1) The osteosynthesis plate of the present invention adopts a four-sided variable-thickness osteosynthesis plate to complete the internal fixation of femoral shaft fractures. Specifically, the middle part of the main bone plate of the present invention is the fracture site bone plate, and its thickness is thicker than that of other parts of the main bone plate. The thickness of the bone plate is 2mm to reduce the damage to the bone plate due to stress concentration. The bearing capacity of this part is significantly increased, which can effectively avoid the secondary injury of the femur, thus ensuring the stability and safety of internal fixation ;

2)本发明的主接骨板和四个侧翼构成了三面固定骨骼的固定形式,可以同时在主接骨板和四个侧翼上置入螺钉,且主接骨板上的螺钉与侧翼的螺钉呈三角形布局,极大的增加了结构的稳定性,分散了应力集中,既成功的完成三面坚强固定,又尽量减少对骨骼表面血运的破坏;2) The main bone plate and four side wings of the present invention constitute a three-sided bone fixation form, and screws can be placed on the main bone plate and four side wings at the same time, and the screws on the main bone plate and the screws on the side wings are in a triangular layout , which greatly increases the stability of the structure, disperses the stress concentration, not only successfully completes the three-sided strong fixation, but also minimizes the damage to the blood supply on the bone surface;

3)在骨折部接骨板上的加压螺纹孔布置加压螺钉,使两断骨有向中间挤压的趋势,促进骨骼愈合;3) A pressure screw is arranged in the pressure threaded hole of the bone plate at the fracture site, so that the two broken bones tend to be squeezed toward the middle and promote bone healing;

4)本发明的主接骨板的内侧面和侧翼的内侧面连接起来构成为圆弧状曲面,保证了接骨板与骨骼的匹配,更有助于对骨骼表面进行保护,也促使骨折区域更好的恢复,能够有效避免股骨的二次伤害;4) The inner surface of the main bone plate of the present invention and the inner surface of the side wings are connected to form an arc-shaped curved surface, which ensures the matching between the bone plate and the bone, helps to protect the surface of the bone, and promotes a better fracture area. The recovery can effectively avoid the secondary injury of the femur;

5)本发明在主接骨板的圆弧状曲面处设置有多条凹槽,减少了接骨板与股骨间的接触,有利于促进股骨表面血运的畅通。5) In the present invention, multiple grooves are arranged on the arc-shaped surface of the main bone plate, which reduces the contact between the bone plate and the femur, and is beneficial to promote the smooth blood supply on the surface of the femur.

附图说明Description of drawings

图1为本发明的主视图;Fig. 1 is the front view of the present invention;

图2为本发明的仰视图。Fig. 2 is a bottom view of the present invention.

具体实施方式detailed description

为了使本发明的内容更容易被清楚地理解,下面根据具体实施例并结合附图,对本发明作进一步详细的说明。In order to make the content of the present invention more clearly understood, the present invention will be further described in detail below based on specific embodiments and in conjunction with the accompanying drawings.

如图1、图2所示,一种股骨干横断骨折侧翼型接骨板,包括主接骨板1和分布在主接骨板1上的两组侧翼对,该两组侧翼对对称分布在主接骨板1上,该两组侧翼对之间的主接骨板为骨折部接骨板3,用于对应骨折位置,所述骨折部接骨板3的厚度比其他位置的主接骨板1的厚度厚2mm;每组侧翼对由两个侧翼2组成,两个侧翼2对称分布在主接骨板1两侧;所述主接骨板1上设置有锁定螺纹孔4和加压螺纹孔5,所述加压螺纹孔5设置在骨折部接骨板3上,所述每个侧翼2上均布置有一个锁定螺纹孔6。As shown in Figure 1 and Figure 2, a lateral wing bone plate for femoral shaft transverse fractures includes a main bone plate 1 and two sets of wing pairs distributed on the main bone plate 1, and the two sets of wing pairs are symmetrically distributed on the main bone plate. 1, the main bone plate between the two groups of flank pairs is the bone bone plate 3 at the fracture site, which is used to correspond to the fracture site, and the thickness of the bone plate 3 at the fracture site is 2mm thicker than that of the main bone plate 1 at other positions; The set of flank pairs is composed of two flanks 2, and the two flanks 2 are symmetrically distributed on both sides of the main bone plate 1; the main bone plate 1 is provided with a locking threaded hole 4 and a pressurized threaded hole 5, and the pressurized threaded hole 5 is arranged on the osteosynthesis plate 3 of the fracture part, and a locking threaded hole 6 is arranged on each side wing 2 .

本发明的接骨板采用一种四侧翼变厚度接骨板完成对股骨干骨折的内固定,具体地说,本发明的主接骨板1的中部为骨折部接骨板3,其厚度比其他部位的主接骨板的厚度厚2mm,以减小应力集中对接骨板的破坏,在此部分所受的承载力显著增大,能够有效避免股骨的二次伤害,从而保证了内固定的稳定性和安全性。The bone plate of the present invention adopts a bone plate with variable thickness on four sides to complete the internal fixation of femoral shaft fractures. Specifically, the middle part of the main bone plate 1 of the present invention is the bone plate 3 at the fracture site, and its thickness is thicker than that of other parts of the bone plate. The thickness of the bone plate is 2mm to reduce the damage to the bone plate due to stress concentration. The bearing capacity of this part is significantly increased, which can effectively avoid the secondary injury of the femur, thus ensuring the stability and safety of internal fixation .

优选地,如图2所示,置入所述锁定螺钉孔4的螺钉与锁定螺钉孔4所在的主接骨板1的表面垂直,置入所述锁定螺钉孔6的螺钉与锁定螺钉孔6所在的侧翼2的表面垂直,置入所述加压螺钉孔5的螺钉与所述骨折部接骨板3的表面垂直。Preferably, as shown in FIG. 2 , the screw inserted into the locking screw hole 4 is perpendicular to the surface of the main bone plate 1 where the locking screw hole 4 is located, and the screw inserted into the locking screw hole 6 is perpendicular to the surface of the main bone plate 1 where the locking screw hole 6 is located. The surface of the flank 2 is vertical, and the screw inserted into the compression screw hole 5 is perpendicular to the surface of the bone plate 3 at the fracture site.

本发明的主接骨板1和四个侧翼2构成了三面固定骨骼的固定形式,可以同时在主接骨板1和四个侧翼2上置入螺钉,且主接骨板1上的螺钉与侧翼2的螺钉呈三角形布局,极大的增加了结构的稳定性,分散了应力集中,既成功的完成三面坚强固定,又尽量减少对骨骼表面血运的破坏。The main bone plate 1 and the four side wings 2 of the present invention form a fixed form for bone fixation on three sides, and screws can be placed on the main bone plate 1 and the four side wings 2 at the same time, and the screws on the main bone plate 1 and the sides of the side wings 2 The screws are arranged in a triangle, which greatly increases the stability of the structure and disperses the stress concentration. It not only successfully completes the three-sided strong fixation, but also minimizes the damage to the blood supply on the bone surface.

优选地,如图1所示,所述加压螺纹孔5对称且均匀地分布在骨折部接骨板3上,所述锁定螺纹孔4对称且均匀地分布在其他位置的主接骨板1上。Preferably, as shown in FIG. 1 , the pressurizing threaded holes 5 are symmetrically and evenly distributed on the bone plate 3 at the fracture site, and the locking threaded holes 4 are symmetrically and evenly distributed on the main bone plate 1 at other positions.

优选地,如图1所示,所述主接骨板1与所述侧翼2连接处不设置螺纹孔。Preferably, as shown in FIG. 1 , no threaded hole is provided at the joint between the main bone plate 1 and the side wings 2 .

优选地,如图2所示,为了保证接骨板与骨骼的匹配,所述主接骨板1的内侧面和侧翼2的内侧面连接起来构成为圆弧状曲面,该圆弧状曲面与股骨干的圆弧相对应。Preferably, as shown in Figure 2, in order to ensure the matching between the bone plate and the bone, the inner surface of the main bone plate 1 and the inner surface of the side wings 2 are connected to form an arc-shaped curved surface, and the arc-shaped curved surface is connected to the femoral shaft. corresponding to the arc.

本发明的主接骨板1的内侧面和侧翼2的内侧面连接起来构成为圆弧状曲面,保证了接骨板与骨骼的匹配,更有助于对骨骼表面进行保护,也促使骨折区域更好的恢复,能够有效避免股骨的二次伤害。In the present invention, the inner surface of the main bone plate 1 and the inner surface of the side wings 2 are connected to form an arc-shaped curved surface, which ensures the matching between the bone plate and the bone, helps to protect the bone surface, and promotes a better fracture area. The recovery can effectively avoid the secondary injury of the femur.

如图2所示,所述主接骨板1的圆弧状曲面上布置有两条凹槽7,以减少接骨板与股骨间的接触。As shown in FIG. 2 , two grooves 7 are arranged on the arc-shaped surface of the main bone plate 1 to reduce the contact between the bone plate and the femur.

本发明在主接骨板1的圆弧状曲面处设置有两条凹槽7,减少了接骨板与股骨间的接触,有利于促进股骨表面血运的畅通。In the present invention, two grooves 7 are arranged on the arc-shaped curved surface of the main bone plate 1, which reduces the contact between the bone plate and the femur, and is beneficial to promote smooth blood supply on the surface of the femur.

置入侧翼2上的锁定螺钉孔6的螺钉为双皮质螺钉,增加了接骨板整体的稳定性。The screws inserted into the locking screw holes 6 on the flanks 2 are bicortical screws, which increase the overall stability of the bone plate.

所述骨折部接骨板3上的加压螺纹孔5上安装加压螺钉,用以加速股骨愈合。详细地说,在骨折部接骨板上的加压螺纹孔布置加压螺钉,使两断骨有向中间挤压的趋势,促进骨骼愈合。A compression screw is installed in the compression threaded hole 5 on the fracture part bone plate 3 to accelerate femoral healing. In detail, the pressure screw is arranged in the pressure threaded hole of the bone plate at the fracture site, so that the two broken bones have a tendency to be pressed towards the middle, and bone healing is promoted.

所述主接骨板1和侧翼2均由钛合金材料制成,主接骨板1和侧翼2的边缘均采用圆弧过渡。Both the main bone plate 1 and the side wings 2 are made of titanium alloy material, and the edges of the main bone plate 1 and the side wings 2 adopt circular arc transitions.

置入所述主接骨板1上的锁定螺纹孔4的螺钉为单皮质螺钉或双皮质螺钉。The screws inserted into the locking threaded holes 4 on the main bone plate 1 are unicortical screws or bicortical screws.

本发明的使用步骤如下:The use steps of the present invention are as follows:

步骤一、根据CT扫描得出股骨干骨折的情况,按照股骨干骨折内固定的一般方法,沿股骨相关肌群进入,显露出骨折的断端情况,对断端进行常规复位;Step 1. Obtain the femoral shaft fracture according to the CT scan, follow the general method of internal fixation for femoral shaft fractures, enter along the relevant femoral muscle group, reveal the broken end of the fracture, and perform routine reduction on the broken end;

步骤二、根据对骨质以及骨折情况的分析,确定所使用的接骨板及具体植入位置;Step 2. Based on the analysis of bone quality and fracture conditions, determine the bone plate to be used and the specific implantation position;

步骤三、沿股骨骨折区域纵向开槽,放置接骨板,电钻股骨开孔后拧入临时螺钉;Step 3: Groove longitudinally along the fractured area of the femur, place the bone plate, and screw in temporary screws after opening the femur with an electric drill;

步骤四、主接骨板临时螺钉置入后,依次取出临时螺钉,电钻重新扩孔后先植入加压螺钉,再植入锁定螺钉;Step 4. After the temporary screws of the main bone plate are placed, the temporary screws are taken out in turn, and the holes are reamed with an electric drill, and then the compression screws are implanted first, and then the locking screws are implanted;

步骤五、四个侧翼临时螺钉置入后,依次取出临时螺钉,电钻重新扩孔后植入四枚锁定螺钉;Step 5. After the four flank temporary screws are placed, take out the temporary screws one by one, re-open the hole with an electric drill, and implant four locking screws;

步骤六、完成接骨板植入并完成螺钉固定后,缝合手术切口,完成操作。Step 6: After the bone plate implantation and screw fixation are completed, the surgical incision is sutured to complete the operation.

以上即完成股骨干横断骨折侧翼型接骨板的完整植入过程。The complete implantation process of the lateral wing-shaped bone plate for the transverse fracture of the femoral shaft is completed above.

以上所述的具体实施例,对本发明解决的技术问题、技术方案和有益效果进行了进一步详细说明,所应理解的是,以上所述仅为本发明的具体实施例而已,并不用于限制本发明,凡在本发明的精神和原则之内,所做的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The specific embodiments described above have further described the technical problems, technical solutions and beneficial effects solved by the present invention in detail. It should be understood that the above descriptions are only specific embodiments of the present invention and are not intended to limit the present invention. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.

Claims (10)

1. a kind of femoral shaft transverse fracture lateral wing type bone plate, it is characterised in that:Including main bone plate (1) and it is distributed in main synthetism Two groups of flanks pair on plate (1), two groups of flanks are to being symmetrically distributed on main bone plate (1), the master between two groups of flanks pair Bone plate is fractures bone plate (3), for correspondence fracture, the thickness ratio other positions of the fractures bone plate (3) Main bone plate (1) thickness thickness 2mm;Every group of flank two flanks (2) to being made up of, and two flanks (2) are symmetrically distributed in master Bone plate (1) both sides;Locking screw thread hole (4) and pressurized screw hole (5), the pressurization spiral shell are provided with the main bone plate (1) Pit (5) is arranged on fractures bone plate (3), and locking screw thread hole (6) is arranged with each flank (2).
2. femoral shaft transverse fracture lateral wing type bone plate according to claim 1, it is characterised in that:Insert the locking spiral shell The screw of nail (4,6) is vertical with the main bone plate (1) where screw hole and the surface of flank (2), inserts described add Press the screw of screw hole (5) vertical with the surface of the fractures bone plate (3).
3. femoral shaft transverse fracture lateral wing type bone plate according to claim 2, it is characterised in that:The pressurized screw hole (5) symmetrical and be evenly distributed on fractures bone plate (3), the locking screw thread hole (4) is symmetrical and is evenly distributed in it On the main bone plate (1) of his position.
4. femoral shaft transverse fracture lateral wing type bone plate according to claim 3, it is characterised in that:The main bone plate (1) it is not provided with screwed hole with the flank (2) junction.
5. femoral shaft transverse fracture lateral wing type bone plate according to claim 1, it is characterised in that:The main bone plate (1) medial surface and the medial surface of flank (2) connects and is configured to arc-shaped surface, the circle of the arc-shaped surface and femoral shaft Arc is corresponding.
6. femoral shaft transverse fracture lateral wing type bone plate according to claim 5, it is characterised in that:The main bone plate (1) a plurality of groove (7) is disposed with arc-shaped surface.
7. femoral shaft transverse fracture lateral wing type bone plate according to claim 2, it is characterised in that:Insert on flank (2) Screw hole (6) screw be Bicortical-screw.
8. femoral shaft transverse fracture lateral wing type bone plate according to claim 1, it is characterised in that:The fractures synthetism Forcing screw is installed on pressurized screw hole (5) on plate (3).
9. femoral shaft transverse fracture lateral wing type bone plate according to claim 1, it is characterised in that:The main bone plate (1) it is made with flank (2) by titanium alloy material, the edge of main bone plate (1) and flank (2) uses arc transition.
10. femoral shaft transverse fracture lateral wing type bone plate according to claim 1, it is characterised in that:The master is inserted to connect The screw in the locking screw thread hole (4) on hone lamella (1) is mono cortex screw or Bicortical-screw.
CN201710595888.1A 2017-07-20 2017-07-20 Femoral shaft transverse fracture lateral wing type bone plate Pending CN107280752A (en)

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CN108143476A (en) * 2017-11-22 2018-06-12 朱新红 A kind of fracture fixation device
CN109316232A (en) * 2018-10-31 2019-02-12 济南大学 Proximal Tibia Locking Plate

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US4683878A (en) * 1985-04-29 1987-08-04 Kirschner Medical Corporation Osteosynthetic fixation plate
US4955886A (en) * 1988-04-01 1990-09-11 The Trustees Of Columbia University In The City Of New York Dual-taper, asymmetric hole placement in reconstruction and fracture plates
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108143476A (en) * 2017-11-22 2018-06-12 朱新红 A kind of fracture fixation device
CN109316232A (en) * 2018-10-31 2019-02-12 济南大学 Proximal Tibia Locking Plate

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