CN105125272B - One kind is miniature to enclose joint injury repair system and its locking bone fracture plate - Google Patents
One kind is miniature to enclose joint injury repair system and its locking bone fracture plate Download PDFInfo
- Publication number
- CN105125272B CN105125272B CN201510615203.6A CN201510615203A CN105125272B CN 105125272 B CN105125272 B CN 105125272B CN 201510615203 A CN201510615203 A CN 201510615203A CN 105125272 B CN105125272 B CN 105125272B
- Authority
- CN
- China
- Prior art keywords
- bone fracture
- locking
- fracture plate
- locking bone
- miniature
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Landscapes
- 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)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Prostheses (AREA)
Abstract
Miniature joint injury repair system and its locking bone fracture plate are enclosed the invention discloses a kind of, the miniature joint injury repair system that encloses mainly is made up of locking bone fracture plate, locking synthetism fixture, suture and/or artificial ligament, wherein, for the locking synthetism fixture for the locking bone fracture plate to be fixed on into bone, the locking bone fracture plate and/or the locking synthetism fixture are provided with the structure for being used for making the suture and/or the artificial ligament position and fix.The soft tissue of tear can be carried out effectively suture repair by the miniature joint injury repair system that encloses of the present invention using suture and/or artificial ligament, avulsion fracture adjoint when can tear using locking bone fracture plate to soft tissue is effectively repaired again simultaneously, realizes a kind of product while reparation encloses periarticular soft tissues and damages or adjoint enclose articular fracture in various degree.
Description
Technical field
The present invention relates to medical equipment technical field, more particularly to one kind encloses joint injury repair system, and in particular to one
Kind is miniature to enclose joint injury repair system and the miniature locking bone fracture plate enclosed in joint injury repair system.
Background technology
Human body encloses articulation structure, is finger joint style and its tissue of surrounding, including：Bone tissue, tendon, joint
Capsule, ligament etc..It is often adjoint when enclosing periarticular soft tissues damage to enclose joint bone piece fracture, this soft tissue and bone damage
Reparation is a technical barrier of current field of orthopaedics.The main reason for this difficult is caused to be that soft tissue repair is repaiied with fracture
Restorative procedure and theory are entirely different used by multiple, and apparatus used also has larger difference with implant during operation.At present
Repair of fractured bones operation is directed to generally to lock based on the methods of internal fixation of pegboard systems, and soft tissue repair generally utilizes band line
The products such as holdfast carry out suture reparation.Therefore a kind of product there is no to be repaiied simultaneously to fracture and soft tissue injury at present
It is multiple.
At present, enclosing the main fixed form of periarticular soft tissues avulsion fracture includes following 3 kinds：Simple screw is directly solid
It is fixed, lock fixed and simple holdfast in pegboard systems and fix indirectly, according to the biomethanics carried out to these three fixed forms
Test result, locking pegboard systems are the most firm for fracture fixation, selected for the comminuted joint avulsion fracture that encloses for shifting big
It is optimal with such a fixed form, it is postoperative can early functional exercise, the effect of to reach ideal.
But not specifically for related the producing for enclosing the fixation reparation of periarticular soft tissues avulsion fracture on Vehicles Collected from Market
Product.It is in most cases main that suture fixation is carried out to affected part using products such as band line holdfasts at present when carrying out such operation,
But due to the limitation with fixed form of line holdfast itself, it can not be carried out to the soft tissue of sheet effectively fixed, particularly work as
When running into comminuted fracture, sufferers of osteoporosis face, large area avulsion fracture and sclerotin serious defect, band line holdfast reparation
Method can then show that tissue fixed-area is small, fixed force is weak and the shortcomings of resisting pull out forces low intensity, causes repairing failure for suture,
Postoperative effect is poor；And during using locking pegboard systems to enclosing fixed reparation in the progress of periarticular soft tissues avulsion fracture, although
Postoperative curative effect ratio band line holdfast is preferable, but still following defect be present：
First, at present still not specifically for the miniature nail-plate system for enclosing soft tissue of joint damage (containing avulsion fracture) reparation
System, so when carrying out such prosthesis, it is typically only capable to the conventional locking nail that selection designs for general repair of fractured bones
Plate system alternatively, because generality fracture is different with enclosing soft tissue of joint damage both (containing avulsion fracture) reparation theory,
It is substantially bigger than normal for the synthetism board size in the pegboard systems of general repair of fractured bones, cause otch larger in art and unnecessary
Soft tissue structure peel off；
Second, when bone plate and suture compatible use are needed in clinic with repair enclose soft tissue of joint damage when, on the market
The structure not carried out in the synthetism harden structure of existing pegboard systems specifically for the line excessively, bolt knot, hook demand of suture is set
Meter, suture operation inconvenience is easily caused in art, even result in the suture of suture soft tissue and the plate fixation bad feelings such as loosely
Condition occurs.
The content of the invention
Present invention offer one kind is miniature to enclose joint injury repair system, and the miniature joint injury repair system that encloses is mainly by locking
Bone plate, locking synthetism fixture (such as locking bone screw), suture and/or artificial ligament composition are determined, to solve existing skill
Art encloses periarticular soft tissues damage in processing or does not have specially to repair product with enclosing in various degree during articular fracture is performed the operation
Problem.
The present invention also provides a kind of above-mentioned miniature locking bone fracture plate for enclosing joint injury repair system, existing to solve
There is technology to enclose periarticular soft tissues damage in processing or there is no special reparation with enclosing in various degree during articular fracture is performed the operation
The problem of product.
Technical scheme is as follows：
It is a kind of it is miniature encloses joint injury repair system, mainly by locking bone fracture plate, locking synthetism fixture, suture and/or
Artificial ligament forms；Wherein, the locking synthetism fixture is used to the locking bone fracture plate being fixed on bone, the locking
Bone plate and/or the locking synthetism fixture are provided with dedicated for positioning and fix the suture and/or described manually tough
The structure of band.Wherein, locking synthetism fixture can generally be locked out bone screw or its analog.
The miniature of the present invention encloses joint injury repair system in use, first by locking bone fracture plate and locking synthetism fixture
Distal end or the near-end (old method is that locking bone fracture plate and synthetism fixture are positioned on sclerite) of fracture-bed are positioned over, so
Braiding suture is carried out to enclosing periarticular soft tissues using suture and/or artificial ligament afterwards, finally by the locking bone fracture plate
And/or the knot for being used to make the suture and/or the artificial ligament to position and fix set on the locking synthetism fixture
Structure is positioned and fixed to the suture and/or artificial ligament, so as to reset and fix sclerite, encloses joint avulsion to repair
Fracture.Therefore the miniature design for enclosing joint injury repair system of the present invention is based on a kind of brand-new indirect fixation side
Formula, and conventional fixation theory -- directly it is fixed with the difference of essence.
In a preferred embodiment of the invention, set on the locking bone fracture plate be used for make the suture and/or institute
Stating artificial ligament positioning and fixed structure includes one or more columns.The structure type of column have be easy to make suture and/
Or artificial ligament the advantages of passing through.
In a preferred embodiment of the invention, the column is arranged on the edge of the locking bone fracture plate.Column is set
Mode at the edge of locking bone fracture plate has the advantages of being easy to its processing and manufacturing.
In a preferred embodiment of the invention, the column is arranged on the flank of the locking bone fracture plate one or both sides
On.Specifically, the shape of locking bone fracture plate of the invention is in subtriangular, including the top edge positioned at upper end -- head, and
Two flanks positioned at lower end, the column are preferably provided in wherein one or two of two described flanks.On this is due to
Edge is needed to set kirschner pin hole, and the structure design of locking bone fracture plate will be made if the column that edge is set on top simultaneously
Become complicated.And column, which is arranged on flank, can then make locking bone fracture plate preferably set kirschner pin hole, convenient lock on head
Determine plate design making and operation is implemented.
In a preferred embodiment of the invention, the both sides flank of the locking bone fracture plate is respectively arranged with the column,
The column is symmetrical arranged on the both sides flank of the locking bone fracture plate.After the column being arranged such can make operation stitching
The traction force of bone piece and soft tissue two opposite sides is uniform, it is not easy to produces the component in other directions, avoids component and bring not
Good influence.
In a preferred embodiment of the invention, every side of the both sides flank of the locking bone fracture plate respectively sets one and stood
Post or two or more column, there is gap between the adjacent column.The quantity set required for column per side can be by
Those skilled in the art specifically determine according to use environment, herein without describing in detail and limiting.
In a preferred embodiment of the invention, the column relative to the locking bone fracture plate in upwarp, it is recessed or flat
Slip over and cross frame mode.Also, in the present invention it is also preferred that the column relative to the locking bone fracture plate is in the structure that upwarps
Mode, this is due to that the frame mode upwarped makes suture and/or artificial ligament crosses line and bolt knot is all more prone to and facilitated behaviour
Make, and push-and-pull will not be produced to the bone face of patient and cause patient to produce discomfort.
In a preferred embodiment of the invention, the column, which is provided with, prevents the suture and/or artificial ligament from slipping
Anti-delinking part, at least one of radial dimension of the anti-delinking part is more than the remainder beyond the anti-delinking part of the column
Radial dimension.So can in art, it is postoperative more effectively prevent suture and/or artificial ligament and they knot slide
It is de-.
In a preferred embodiment of the invention, the bolt line column is T-type structure, and the radial direction phase of the T-type structure
To wide one end as free end, diametrically narrow one end is integrally formed formula with the locking bone fracture plate and is connected.T junction is configured
Make conveniently, simply, and suture and/or artificial ligament not only very easily can be positioned and fix as column form, and
Its diametrically wide one end as anti-delinking part can effectively in art, postoperative prevent knot from slipping.
In a preferred embodiment of the invention, the column is provided with one or more annular grooves.Annular groove is set to make to stand
The card line of post is better, the more conducively positioning and fixation of suture and/or artificial ligament on locking bone fracture plate.
In a preferred embodiment of the invention, what is set on the locking synthetism fixture such as locking bone screw is used for
Make the suture and/or the artificial ligament positions and fixed structure is to be adapted to the suture and/or the artificial ligament to wear
The hole crossed or surrounded or groove.
In a preferred embodiment of the invention, what is set on the locking bone fracture plate is used for the suture and/or described
Artificial ligament positions and fixed structure includes circular hole and/or strip hole.The big I of the circular hole and the strip hole is by this
Art personnel are determined according to specifically used environment, herein without describing in detail and limiting.It is artificial in order to be more suitable for
Threading, the bolt knot of ligament, the larger-size strip hole or circular hole can be set.In addition, it can be set simultaneously on locking bone fracture plate
Multiple sizes different circular hole and/or strip hole are equipped with, wherein larger-size circular hole and strip hole are more suitable for artificial ligament
Threading and bolt knot.
In a preferred embodiment of the invention, it is provided with extension below the circular hole of the locking bone fracture plate and/or strip hole
To the groove at the locking bone fracture plate edge.So make it that line, threading were more convenient.
In a preferred embodiment of the invention, between 10mm -50mm, thickness exists the height of the locking bone fracture plate
Between 1mm -3mm, width for example can be between 10mm -50mm.Also, the locking bone fracture plate is shaped to fitting institute
State the shape for enclosing joint.
In a preferred embodiment of the invention, between 10mm -30mm, thickness exists the height of the locking bone fracture plate
Between 1.5mm -2mm, width preferably can be between 20mm -30mm.
Set by above-mentioned size, the generality that is used for that the locking bone fracture plate of the present invention relatively uses on the market now is fractured
Locking bone-fracture fixation steel plate it is frivolous, miniature locking bone fracture plate can be referred to as, the miniature locking bone fracture plate ensure locking bone fracture plate
Reduce the stimulation to soft tissue on the premise of intensity, avoid locking bone fracture plate from excessively oppressing periosteum, prevent blood supply from hindering
Hinder, accelerate affected part to restore.
In a preferred embodiment of the invention, the suture is anti-cutting suture, is had among the anti-cutting suture
The big knot in one more other position of diameter.
In a preferred embodiment of the invention, the both ends of the artificial ligament, which are woven to, fits through the locking synthetism
Be used to the make suture and/or the artificial ligament set on plate and/or the locking synthetism fixture positions and fixed
Structure.
The present invention also provides a kind of above-mentioned miniature locking bone fracture plate enclosed in joint injury repair system.The lock
It can be metal (such as peptide, steel, alloy etc.), macromolecule or other suitable materials to determine material used in bone plate, ability
Field technique personnel can require selection suitable material according to its use environment, and the present invention is to this without describing in detail and limiting.
Compared with prior art, beneficial effects of the present invention are as follows：
First, enclose soft tissue of joint damage or avulsion fracture adjoins joint, such as need to be by steel using the direct fixation of conventional steel plates
Plate is placed in bone piece surface, ties up space, easily causes joint movement disorder, proximal humerus during such as avulsion fracture of greater tuberosity of humerus
Lockplate fixes the generation that can cause Acromial impingement, and using the technology by indirect fixation principle, bone plate is from bone bed
There is certain distance, plus the miniature locking bone fracture plate of unique design, can effectively avoid above mentioned problem, ensure curative effect；
Second, except avulsion fracture, ligamentum periarticular damage reparation when the design is for osteoporosis also has uniqueness
Benefit, during osteoporosis holdfast repairing ligament injury be frequently the problem that holdfast can not with bone bed is firm is engaged, easy pine
Dynamic and cause ligament repairing curative effect not good enough, rotator cuff injury repairing during such as head of humerus osteoporosis is a clinically common spine
Hand problem, can be by using the miniature locking plate fixation for designing the present invention in the surgery collar of greater tubercles of humerus distal end
Replacement and fixation shoulder tissue sleeve is connect to solve；
The miniature joint injury repair system that encloses of the 3rd, present invention can utilize suture and/or artificial ligament by tear
Soft tissue carries out effectively suture repair, while adjoint avulsion bone when locking bone fracture plate can also be utilized to tear soft tissue
Fold into row effectively repair, reached using the present invention a kind of this product just can simultaneously to enclose periarticular soft tissues avulsion with
And enclose the effect that the small bone piece fracture in joint is repaired；
The 4th, present invention can be used for by carrying out special structure design to locking bone fracture plate by what is set thereon
Make that the suture and/or the artificial ligament position and fixed structure is preferably the setting of column by suture and/or artificial tough
Band is fixed on locking bone fracture plate by modes such as bolt knot, hooks, and such mode that is fixedly connected not only avoid conventional use
Band line holdfast bad adaptability, fixed unstable shortcoming, solve the problems, such as that traditional locking bone fracture plate crosses line difficulty again, so as to
Operating time is effectively reduced, greatly improves procedure efficiency, patient's pain is reduced, is easy to post-operative recovery；
5th, locking bone fracture plate of the invention is frivolous compared with general locking steel plate, before locking bone fracture plate intensity is ensured
The stimulation reduced to soft tissue is put, avoids locking bone fracture plate from excessively oppressing periosteum, prevents blood supply from hindering, accelerates to suffer from
Restore at place；Meanwhile locking bone fracture plate of the invention is also by the setting of column, realize the locking bone fracture plate be used for be bonded bone
The side in face is Multi-contact, such as the structure of similar " spikes ", so as to preferably realize locking bone fracture plate on bone face
Positioning and fixation, and contacted with the face of existing steel sheet product different and more superior；
6th, locking bone fracture plate of the invention is the design of minitype plate, and especially its height and thickness and shape are pasted
Conjunction property is designed, and is make it especially suitable for enclosing periarticular soft tissues avulsion with the repair of fractured bones for enclosing the small bone piece fracture in joint
Situation, it is more met, periarticular skeletal form, stickiness are more preferable, and more preferably, fixation is more firm for biomechanical property,
But also operative incision is shortened, the excessive stripping to tissue in art is effectively prevent, so as to mitigate patient suffering, shortens rehabilitation
Time.
Certainly, any product for implementing the present invention it is not absolutely required to reach all the above advantage simultaneously.
Brief description of the drawings
Fig. 1 is the miniature structural representation for enclosing joint injury repair system of the embodiment of the present invention 1；
Fig. 2 (a), Fig. 2 (b) are the knot of the miniature locking bone fracture plate for enclosing joint injury repair system of the embodiment of the present invention 1
Structure schematic diagram, wherein Fig. 2 (a) are front view, and Fig. 2 (b) is lateral plan；
Fig. 3 is the backside structure signal of the miniature locking bone fracture plate for enclosing joint injury repair system of the embodiment of the present invention 1
Figure；
Fig. 4 is the structure of the column on the miniature locking bone fracture plate for enclosing joint injury repair system of the embodiment of the present invention 1
Schematic diagram；
Fig. 5 is the miniature application schematic diagram for enclosing joint injury repair system of the embodiment of the present invention 1, and wherein shoulder sleeve, which is in, tears
De- state；
Fig. 6 is the miniature application schematic diagram for enclosing joint injury repair system of the embodiment of the present invention 1, and wherein shoulder sleeve is in seam
Conjunction state；
Fig. 7 is the structural representation of the locking bone fracture plate of the embodiment of the present invention 2；
Fig. 8 is the structural representation of the locking bone fracture plate of the embodiment of the present invention 3；
Fig. 9 is the structural representation of the locking bone fracture plate of the embodiment of the present invention 4；
Figure 10 is that the anti-cutting suture of the embodiment of the present invention 5 sutures the schematic diagram of shoulder sleeve；
Each label implication is in figure：1. locking bone fracture plate；11. column；The free end of 11a. columns；The company of 11b. columns
Connect end；11 ', the column of another kind structure；111. annular groove；2. suture；2.1. suture；2.2. the suture of another structure；2.3.
Artificial ligament；24. anti-cutting suture；3. locking bone screw；4. shoulder is tucked inside the sleeve；5. humerus；6. circular hole；7. lock hole；8. groove；9.
Strip hole；10. big hole.
Embodiment
Human body encloses joint, is finger joint style and its tissue of surrounding, including：Bone tissue, tendon, capsular ligament, spy
Different ligament and other periarticular soft tissues etc., the application scope of application of product provided by the invention is very wide, such as teenager
Shin bone, fracture of fibula, elbow joint, Collateral Ligament Injury of Knee Joint, ankle-joint avulsion fracture, the shoulder sleeve large area in adult
Situations such as fracture of greater tuberosity of humerus etc. is attended by during avulsion.
Wherein, fracture of greater tuberosity of humerus is often attended by during the large area avulsion of shoulder sleeve, doctor runs into greater tubercles of humerus and torn at present
During de- property fracture, due to lacking effective method and apparatus, and because existing market is not directed to greater tubercles of humerus structure
The locking pegboard systems of design, after often cutting or use the T-shaped plate of distal radius etc. moulding simply by proximal humerus lockplate
Pure fracture of greater tuberosity of humerus is treated, such processing mode easily causes steel plate not docile, and moulding, increasing is needed again in art
Add operating time, sclerite can not anatomical reduction, what is more important can not be taken effective measures to greater tubercles of humerus bone
Repaired during folding with shoulder sleeve avulsion, such a treatment method has that post-operative recovery is slow, therapeutic effect is bad, postoperative patient director's phase
The shortcomings of pain.The main reason for producing above-mentioned phenomenon is that fracture of greater tuberosity of humerus reparation belongs to shoulder sleeve avulsion restorative procedure
Two kinds of different operation methods, currently in repair of fractured bones operation generally use locking pegboard systems based on interior fixation side
Formula, and shoulder sleeve avulsion reparation generally carries out suture reparation using products such as band line holdfasts to affected part；Due to by human dissection knot
The limitation of structure, after using pegboard systems are locked to fracture of greater tuberosity of humerus reparation, just put band line anchor without suitable space
Nail is sutured to shoulder sleeve avulsion, and suture effectively can not be fixed if not using band line holdfast, so by nothing
Method is effectively repaired to shoulder sleeve avulsion；And existing Locking proxinal humeral plate is also without suitable structure in the market
Bolt knot can be carried out to suture to fix.Therefore, need there can be set of system in practice, can be soft group of effectively stitch tear
Knit, the fracture caused by soft tissue can be torn again carries out effective fix and repaired so that both reparations organically combine
Get up, so as to obtain optimal surgical effect.
The present invention provide it is a kind of it is miniature encloses joint injury repair system, mainly by locking bone fracture plate, locking synthetism fixture,
Suture and/or artificial ligament composition, wherein, the locking synthetism fixture is used to the locking bone fracture plate being fixed on bone
On, the locking bone fracture plate and/or the locking synthetism fixture are provided with and are used to make the suture and/or the artificial ligament
Positioning and fixed structure.
Below with specific embodiment, the present invention will be further described.Following examples are only used for the skill to the present invention
Art scheme is illustrated, therein specific real to help those skilled in the art to further appreciate that technical scheme
Apply mode and restriction effect is not produced to protection scope of the present invention.
Embodiment 1
Refer to Fig. 1, the present embodiment provide it is miniature enclose joint injury repair system by locking bone fracture plate 1, suture and/or
Artificial ligament, locking bone screw 3 form.Wherein, label 2.1 and 2.2 for suture, label 2.3 for artificial ligament, specifically
A use can be selected suture 2.1, suture 2.2 or artificial ligament 2.3 during use or selection is wherein used in any combination.At this
In embodiment, the quantity of locking bone screw 3, suture 2.1, suture 2.2 and artificial ligament 2.3 shown in Fig. 1, shape and big
Small is only to illustrate, and quantity, shapes and sizes shown in it does not form quantity, the shape to the selectable each parts of the present invention
With the limitation of size.
The locking bone fracture plate 1 of the present embodiment is set using the different structure of the bone-fracture fixation steel plate from being traditionally used for general fracture
Meter, locking bone fracture plate 1 are provided with the circular hole 6 for facilitating suture and/or artificial ligament to position and fix, and suture and/or artificial ligament can
To carry out bolt knot through circular hole 6 or on circular hole 6, while locking bone fracture plate 1 is additionally provided with and facilitates suture and/or artificial ligament to wear
Cross and the column of bolt knot 11；Alternatively, column and circular hole can also select a setting；Also, locking bone fracture plate 1 be provided with
The female lock hole 7 of multiple tools that locking bone screw 3 is adapted to, it is not parallel between the axis of those lock holes, but be in
Certain angle, so, by locking bone fracture plate be fixed to bone on when, locking bone screw 3 can with bone produce an angle and
Non-perpendicular relation, such position relationship can make the fixation of locking bone screw 3 and locking bone fracture plate 1 on bone more
Firmly, it is not easy to release.In the present embodiment, four lock holes are set altogether, and the position relationship between this four lock holes refers to
Fig. 1.
Set column 11 the advantages of be conveniently line and bolt knot.More conventional perforation structure, especially column 11, bending upwards type
The column 11 of setting passed through in suture and/or artificial ligament and during bolt knot more conveniently and quickly.
Wherein, Fig. 2 (a) and Fig. 2 (b) are referred to,
The width X of locking bone fracture plate 1 is between 10-50mm, preferably in the range of 20-30mm；
The height Y of locking bone fracture plate 1 is between 10-50mm, preferably in the range of 10-30mm；
The thickness t of locking bone fracture plate 1 is between 1-3mm, preferably in the range of 1.5-2mm；
Based on the setting of above-mentioned size, the locking bone fracture plate 1 of the present embodiment is to be based on enclosing periarticular soft tissues avulsion companion
Set with the specific demand for enclosing the small bone piece fracture in joint, it is frivolous compared with general locking bone fracture plate, is ensureing to lock synthetism
Reduce the stimulation to soft tissue on the premise of plate intensity, avoid locking bone fracture plate from excessively oppressing periosteum, prevent blood supply
Hinder, accelerate affected part to restore.
Referring again to Fig. 1, the column 11 set on the locking bone fracture plate 1 of the present embodiment is respectively in locking bone fracture plate both sides
Flank is arranged, and can also be asymmetric distribution in other embodiments in addition to be symmetrical, or can also be only to set
In side flank.The column being arranged such can make the traction force of the bone piece after operation stitching and soft tissue two opposite sides uniform,
Do not allow to be also easy to produce the component in other directions, avoid the harmful effect that component is brought.
The present embodiment is preferably arranged symmetrically each two bolts line pillar construction, and two bolt lines in the both sides of locking bone fracture plate 1
There is gap between column.Two or more column is set on locking bone fracture plate, then can be according to the need under different actual conditions
Select more suitably, have more preferable bolt knot, hook effect one of them, several or whole bolt line points and bolt line position
Put, there is provided the more more options of multiple bolt line points and bolt line position under different situations.
In the present embodiment, each bolt line column can be in upwarp, be recessed or smoothed relative to the plane of locking bone fracture plate 1
Cross three kinds of opposed configuration modes.
Refer to Fig. 1, Fig. 2（a）, Fig. 2（b）, Fig. 3 and Fig. 4, the preferred T shapes of shape of the bolt line column 11 in the present embodiment
Structure, and diametrically wide one end 11a of the T-type structure is as free end, diametrically narrow one end 11b and the lock
Determine bone plate 1 and be integrally formed formula connection, the diametrically wide top of T-shaped structure can in art, postoperative more effectively prevent
Only knot slips.Certainly, the present invention can also use other structures to prevent knot from slipping.Realize all parts of this function all
Anti-delinking part is properly termed as, the structure setting of anti-delinking part needs to ensure that at least one of radial dimension of the anti-delinking part is more than institute
State the radial dimension of the part beyond the anti-delinking part of bolt line column.
Fig. 4 is referred to, the present embodiment on bolt line column 11 it is also preferred that design one or more annular grooves 111, so
Card line is better, more conducively fixation of the suture on locking bone fracture plate 1.
In addition, referring to Fig. 3, circular hole 6 is all provided with fluted 8 in the lower surface of locking bone fracture plate 1, and groove 8 extends to locking
The edge of bone plate 1, such setting make it that line, threading were more convenient.Preferably, the diameter of circular hole 6 is in 0.8-3.5mm simultaneously
Between, preferably in the range of 2-2.4mm.Fig. 1 is referred to, the circular hole 6 of the present embodiment sets 6 altogether, wherein in locking bone fracture plate
Upper end sets two, and the upper end of the both sides flank in locking bone fracture plate respectively sets two.
The miniature joint injury repair system that encloses that the present embodiment provides can utilize locking bone fracture plate fixation to enclose periarticular
Fracture affected part caused by soft tissue avulsion, and using suture and/or artificial ligament suture soft tissue tear affected part, recycle lock
Suture and/or artificial ligament are fixed on lock by the positioning and fixed structure for determining suture special on bone plate and/or artificial ligament
Determine on bone plate.
The flank for the locking bone fracture plate that the present embodiment provides be provided with facilitate suture and/or artificial ligament pass through, bolt knot, hook
The column 11 of extension, this unique design efficiently solve suture in surgical procedure and cross line difficulty, knot and fix difficult ask
Topic, operation technique difficulty is reduced, shorten operating time.
Fig. 5 and Fig. 6 are referred to, they show that the miniature joint injury repair system that encloses of the present embodiment is applied to treatment shoulder
Tuck inside the sleeve avulsion with fracture of greater tuberosity of humerus schematic diagram.Wherein, in Fig. 5 and Fig. 6, each label implication is：1. locking bone fracture plate；2.
Suture；3. locking bone screw；4. shoulder is tucked inside the sleeve；5. humerus.Fig. 5 is that shoulder sleeve is in avulsion view, it is seen that the both ends of shoulder sleeve 4
Humerus 5 is not bonded, and is shown in Fig. 5, locking bone fracture plate 1 is fixed on humerus 5 by locking bone screw 3, and
Locking bone screw 3 is screwed into along with the vertical direction of humerus 5, but with humerus 5 is angled is screwed into, can so make
The hold of locking bone fracture plate and humerus is bigger.Meanwhile shown in Fig. 6, the suture of shoulder sleeve 4 is fixed by using suture 2, shoulder sleeve
4 both ends have been fitted on humerus 5.
Embodiment 2
The structure of another locking bone fracture plate is present embodiments provided, refers to Fig. 7, the present embodiment and embodiment 1 are not
It is with part, the present embodiment respectively sets a column 11 ' in the flank both sides of locking bone fracture plate, and column 11 ' is not T words
Shape, and column 11 ' is not provided with anti-delinking part.
Embodiment 3
The structure of another locking bone fracture plate is present embodiments provided, refers to Fig. 8, wherein, the flank of locking bone fracture plate
Both sides are not provided with column, but are provided with strip hole 9.The strip hole 9 is as fixed structure more suitable for using artificial ligament
Situation, suture is also suitably adapted for certainly.
Embodiment 4
The structure of another locking bone fracture plate is present embodiments provided, refers to Fig. 9, wherein, the flank of locking bone fracture plate
Both sides are not provided with column, but are provided with big hole 10；Meanwhile locking bone fracture plate is provided with altogether in its upper end and two flank uppers
12 small circular holes, and in its lower end, there is provided two to set female lock hole.
Big hole, more suitable for the situation using artificial ligament, is also suitably adapted for suture certainly as fixed structure.
Embodiment 5
The difference of the present embodiment and previous embodiment is that the suture used in the present embodiment is anti-cutting suture 24,
The anti-cutting suture 24 goes out a knot being relatively large in diameter in suture middle braid.Compared with conventional suture, anti-cutting suture exists
The contact area of suture and soft tissue can be increased when suturing soft tissue, reduce stress concentration to the damage caused by Soft tissue cutting
Wound.
The present invention it is miniature enclose joint injury repair system efficiently solve enclose periarticular soft tissues avulsion with fracture
Recovery technique problem, can carry out suture reparation to soft tissue, and can fracture affected part is carried out in it is fixed repair, can obtain
Optimal surgical effect.
Unique pillar construction design of the locking bone fracture plate of the present invention efficiently solves suture in surgical procedure and crosses line
Difficult, the fixed difficulty that knots technical barrier, reduces the difficulty of operation technique, shortens operating time.
The locking bone fracture plate of the present invention is the design of minitype plate, not only more meets periarticular skeletal form, stickiness more
Good, more preferably, fixation is more firm, but also is effectively shortened operative incision for biomechanical property, mitigates patient suffering and drop
To the damage of tissue in low art.
The miniature locking bone fracture plate design for enclosing joint injury repair system of the present invention makes its patient's scope of application substantially increase
Greatly, it is especially stronger to osteoporosis, comminuted fracture, large area bony defect patient's specific aim, than band line rivet applicability
Extensively.
Present invention disclosed above preferred embodiment is only intended to help and illustrates the present invention.Preferred embodiment is not detailed
All details are described, it is only described embodiment also not limit the invention.Obviously, according to the content of this specification,
It can make many modifications and variations.This specification is chosen and specifically describes these embodiments, is to preferably explain the present invention
Principle and practical application so that skilled artisan can be best understood by and utilize the present invention.The present invention is only
Limited by claims and its four corner and equivalent.
Claims (15)
- Miniature enclose joint injury repair system 1. a kind of, it is characterised in that mainly by locking bone fracture plate, locking synthetism fixture, Suture and/or artificial ligament composition, wherein, the locking bone fracture plate is shaped to the shape that joint is enclosed described in fitting, institute Locking synthetism fixture is stated to be used to the locking bone fracture plate being fixed on bone, the locking bone fracture plate and/or the locking Synthetism fixture is provided with the structure for being used for making the suture and/or the artificial ligament position and fix；Wherein, the locking The structure for being used to make the suture and/or the artificial ligament to position and fix set on bone plate includes one or more vertical Post and/or circular hole and/or strip hole, also,It is provided with below the circular hole and/or strip hole of the locking bone fracture plate and extends to the recessed of the locking bone fracture plate edge Groove；One or more of columns are arranged on the flank of the locking bone fracture plate one or both sides, also, it is one or Multiple columns are also provided within the outline of the locking bone fracture plate.
- 2. miniature as claimed in claim 1 enclose joint injury repair system, it is characterised in that the column is arranged on the lock Determine the edge of bone plate.
- 3. miniature as claimed in claim 2 enclose joint injury repair system, it is characterised in that the both sides of the locking bone fracture plate Flank is respectively arranged with one or more of columns, both sides flank of one or more of columns in the locking bone fracture plate On be symmetrical arranged.
- 4. miniature as claimed in claim 3 enclose joint injury repair system, it is characterised in that the two of the locking bone fracture plate Every side of side flank sets more than two columns, has gap between the adjacent column of the same side.
- 5. miniature as claimed in claim 1 enclose joint injury repair system, it is characterised in that one or more of column phases For the locking bone fracture plate in upwarp, it is recessed or seamlessly transit frame mode.
- 6. miniature as claimed in claim 1 enclose joint injury repair system, it is characterised in that on one or more of columns It is big provided with the anti-delinking part for preventing that the suture and/or artificial ligament from slipping, at least one of radial dimension of the anti-delinking part The radial dimension of remainder beyond the anti-delinking part of the column.
- 7. miniature as described in claim 1 or 6 encloses joint injury repair system, it is characterised in that the column is T junction Structure, and diametrically wide one end of the T-type structure is as free end, diametrically narrow one end and the locking bone fracture plate It is integrally formed formula connection.
- 8. miniature as described in claim 1 or 6 encloses joint injury repair system, it is characterised in that the column is along its length One or more annular grooves are provided with direction.
- 9. miniature as claimed in claim 1 enclose joint injury repair system, it is characterised in that on the locking synthetism fixture What is set is used to make that the suture and/or the artificial ligament to position and fixed structure is to be adapted to the suture and/or described Artificial ligament through or around hole or groove.
- 10. miniature as claimed in claim 1 enclose joint injury repair system, it is characterised in that same on the locking bone fracture plate When be provided with multiple sizes different circular hole and/or strip hole.
- 11. miniature as claimed in claim 1 enclose joint injury repair system, it is characterised in that the locking bone fracture plate is three Angular topological globoidal structure, its height is between 10mm -50mm, and thickness is between 1mm -3mm.
- 12. miniature as described in claim 1 or 11 encloses joint injury repair system, it is characterised in that the locking bone fracture plate Height between 10mm -30mm, thickness is between 1.5mm -2mm.
- 13. miniature as claimed in claim 1 enclose joint injury repair system, it is characterised in that the suture stitches for anti-cutting Line, the anti-cutting suture centre have the big knot in the more other positions of diameter.
- 14. miniature as claimed in claim 1 enclose joint injury repair system, it is characterised in that the both ends of the artificial ligament Be woven to fit through the locking bone fracture plate and/or it is described locking synthetism fixture on set be used for make the suture and/ Or the artificial ligament positioning and fixed structure.
- A kind of 15. miniature locking synthetism for enclosing joint injury repair system as any one of claim 1-14 Plate.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510615203.6A CN105125272B (en) | 2015-09-24 | 2015-09-24 | One kind is miniature to enclose joint injury repair system and its locking bone fracture plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510615203.6A CN105125272B (en) | 2015-09-24 | 2015-09-24 | One kind is miniature to enclose joint injury repair system and its locking bone fracture plate |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105125272A CN105125272A (en) | 2015-12-09 |
| CN105125272B true CN105125272B (en) | 2018-01-02 |
Family
ID=54711114
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510615203.6A Active CN105125272B (en) | 2015-09-24 | 2015-09-24 | One kind is miniature to enclose joint injury repair system and its locking bone fracture plate |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105125272B (en) |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| PT3481445T (en) * | 2016-07-06 | 2021-02-03 | Childrens Medical Center | Indirect method of articular tissue repair |
| CN107951557A (en) * | 2018-01-03 | 2018-04-24 | 江苏荷普医疗科技股份有限公司 | Synthetism clamping device and synthetism locking system |
| CN108392255B (en) * | 2018-04-25 | 2020-05-01 | 宋鹏 | Anchor-shaped fracture fixing device |
| CN110575283A (en) * | 2019-09-25 | 2019-12-17 | 运怡（北京）医疗器械有限公司 | Medical soft tissue collator |
| CN113143433A (en) * | 2021-05-31 | 2021-07-23 | 上海凯利泰医疗科技股份有限公司 | Enclose joint repair board and enclose joint repair system |
| CN115120290A (en) * | 2022-07-25 | 2022-09-30 | 北京中安泰华科技有限公司 | Fixing device for repairing bone and soft tissue |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7070601B2 (en) * | 2003-01-16 | 2006-07-04 | Triage Medical, Inc. | Locking plate for bone anchors |
| US9687278B2 (en) * | 2011-03-21 | 2017-06-27 | Ronald Childs | Sleeve for bone fixation device |
| CN202173466U (en) * | 2011-08-06 | 2012-03-28 | 董慧平 | Pressurized bone plate for long bone reduction |
| CN202288445U (en) * | 2011-09-29 | 2012-07-04 | 朱立军 | Greater tuberosity fracture fixing steel plate |
| CN104013458B (en) * | 2014-06-16 | 2017-07-14 | 薛兆龙 | Greater tubercles of humerus locking steel plate |
| CN205094568U (en) * | 2015-09-24 | 2016-03-23 | 上海凯利泰医疗科技股份有限公司 | Miniature joint injury repair system that encloses and locking bone plate thereof |
-
2015
- 2015-09-24 CN CN201510615203.6A patent/CN105125272B/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| CN105125272A (en) | 2015-12-09 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN105125272B (en) | One kind is miniature to enclose joint injury repair system and its locking bone fracture plate | |
| US20100262185A1 (en) | Method and apparatus for aperture fixation by securing flexible material with a knotless fixation device | |
| US20140088705A1 (en) | Method and apparatus for re-attaching the labrum of a hip joint | |
| US11690658B2 (en) | Patella bone plate and methods of fixation | |
| JP2011512947A (en) | Fixable suture anchor plate and method for tendon-bone repair | |
| CN205094568U (en) | Miniature joint injury repair system that encloses and locking bone plate thereof | |
| Gupta et al. | All-arthroscopic muscle slide and advancement technique to repair massive retracted posterosuperior rotator cuff tears | |
| CN105361940A (en) | Miniature periarticular anchor plate and periarticular injury repair system | |
| CN205411293U (en) | Miniaturely enclose joint anchor plate and enclose joint injury repair system | |
| Ostrander III et al. | Triple-row modification of the suture-bridge technique for arthroscopic rotator cuff repair | |
| Hong et al. | Suture anchor fixation for fifth metatarsal tuberosity avulsion fractures: a case series and review of literature | |
| Cole et al. | Scapula fractures: open reduction internal fixation | |
| RU2712298C1 (en) | Method of osteosynthesis in fractures of proximal humerus | |
| Saltrick | Lateral ankle stabilization: modified Lee and Chrisman-Snook | |
| Morsy et al. | Arthroscopic linked triple row repair for large and massive rotator cuff tears | |
| CN217390839U (en) | Anchor tab device for fixing patella fracture | |
| Zhou et al. | The lark loop used for proximal biceps Tenodesis: an all-arthroscopic technique | |
| US20220387167A1 (en) | Tendon repair device | |
| Tarniţă et al. | New technical procedure involving Achilles tendon rupture treatment through transcutaneous suture | |
| Chen et al. | Fracture of the Clavicle | |
| Tornetta III et al. | Operative techniques in orthopaedic trauma surgery | |
| Hantes et al. | Arthroscopic treatment of recurrent anterior glenohumeral instability | |
| Wicks et al. | Surgical Treatment of Combined ACL Medial-and Lateral-Sided Injuries: Acute and Chronic | |
| WO2024064830A2 (en) | Methods to reconstruct bone and joint surfaces in foot or ankle joint | |
| Habernek et al. | A new approach to the subacromial space: Technique and 2-year results in 28 rotator-cuff repair cases |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CP02 | Change in the address of a patent holder | ||
| CP02 | Change in the address of a patent holder |
Address after: 201201 Shanghai Pudong New Area Zhangjiang hi tech Park East area 528, 23, 2 floor. Patentee after: Shanghai Kinetic Medical Co., Ltd. Address before: 201201 Shanghai Pudong New Area Zhangjiang hi tech Park East area 528, 23, 1 floor. Patentee before: Shanghai Kinetic Medical Co., Ltd. |