CN108013925A - Bone plate - Google Patents

Bone plate Download PDF

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Publication number
CN108013925A
CN108013925A CN201710068592.4A CN201710068592A CN108013925A CN 108013925 A CN108013925 A CN 108013925A CN 201710068592 A CN201710068592 A CN 201710068592A CN 108013925 A CN108013925 A CN 108013925A
Authority
CN
China
Prior art keywords
hone lamella
blind hole
osseous part
nearly
bone
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.)
Pending
Application number
CN201710068592.4A
Other languages
Chinese (zh)
Inventor
王跃钧
邓富元
蔡东霖
黄世桦
林志隆
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Metal Industries Research and Development Centre
Original Assignee
Metal Industries Research and Development Centre
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Metal Industries Research and Development Centre filed Critical Metal Industries Research and Development Centre
Publication of CN108013925A publication Critical patent/CN108013925A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • 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, setting implements or the like
    • 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, e.g. tourniquets
    • A61B2017/00831Material properties
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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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)
  • Prostheses (AREA)

Abstract

A bone plate is used for solving the problems caused by the high structural rigidity of the existing bone plate. The bone plate of the present invention comprises a proximal bone portion and a distal bone portion connected, the proximal bone portion and the distal bone portion being opposed in a thickness direction, the proximal bone portion and the distal bone portion having a maximum thickness in the thickness direction; the outer surface of the proximal bone part is provided with a plurality of blind holes, the depth of each blind hole is 10-50% of the maximum thickness, and the volume of each blind hole is 5-40% of the total volume of the proximal bone part and the distal bone part.

Description

Hone lamella
Technical field
The present invention is on a kind of medical equipment, especially a kind of hone lamella for treatments such as fracture or bone defects.
Background technology
The collocation of hone lamella and nail is common in the treatment such as fracture or bone defect, wherein for some privileged sites, example As used in the hone lamella of lower jaw reconstruction operations, the preoperative external form that need to use instrument adjustment hone lamella, makes it be bonded patient as much as possible Mandible shape, the facial appearance of sufferer could be made after surgery naturally, therefore such operation is all needed especially in the moulding work of hone lamella Put in a lot of time and effort in industry.
However, since clinically common hone lamella is made of the stainless steel or titanium alloy material of high intensity more now so that Operation executor need to expend substantial amounts of strength, spirit and hone lamella be carried out with the time moulding, and the three-dimensional shape of mandible is complicated, need to Hone lamella alternating bending can repeatedly be met, not only make operating time be difficult to reduce, it is often more important that, after repeatedly bending hone lamella, On the inside of hone lamella can because of extruding stress concentration, or even cause tiny cracking C(As shown in Figure 1), it is this reciprocal for picture mandible For the frequent position of stress, which may be broken in use for some time.
Meanwhile the sclerotin of human body and the engineering properties difference of solid metal hone lamella are very big, thus to reciprocal stress it is frequent under For jawbone, the problem of stress during lower jaw stress often concentrates on nail, causes stress to cover, bone can be caused for a long time by getting off Atrophy is so that nail comes off.
Similar to foregoing existing hone lamella embodiment have been disclosed in China disclose 103014801st No. A " have it is antifatigue The reconstruction hone lamella of property ", and among the Patent Case such as U.S. Publication the 20040097937th A1 " orthopaedics hone lamella ".
In view of this, existing hone lamella still has improvedd necessity really.
The content of the invention
To solve the above problems, the present invention provides a kind of hone lamella, not only it is easier to by plastotype, moreover it is possible to reduce stress concentration in bone Situation about nailing on.
Present invention directionality as described below or its approximate term, such as " on(Top)", " under(Bottom)", " interior ", " outer ", " side Face " etc., the direction of Primary Reference attached drawings, each side's tropism or its approximate term are only aiding in illustrating and understand the present invention's Each embodiment, not limiting the present invention.
The hone lamella of the present invention, including the nearly osseous part of one to be connected and a remote osseous part, the nearly osseous part exist with the remote osseous part Opposite on one thickness direction, which has a maximum gauge with the remote osseous part on the thickness direction;The nearly osseous part Outer surface there are multiple blind holes, the depth of each blind hole is 10~50 % of the maximum gauge, and the volume of the plurality of blind hole is should 5~40 % of nearly osseous part and the remote osseous part cumulative volume.
Therefore, hone lamella of the invention is relatively easy to plastotype, and can disperse internal stress by the plurality of blind hole, and hand can be greatly decreased Art executor spends in the time in the moulding operation of hone lamella, helps lifting procedure efficiency, and be not likely to produce and split after hone lamella bending Trace, makes the hone lamella durable using not broken.In addition, the hone lamella is approximate with the engineering properties of human body bone, stress collection can be improved In in the situation on nail, reduce and osteanabrosis occur so that the probability that nail comes off, thus the hone lamella of the present invention can provide it is good Therapeutic effect, avoids needing to carry out second of operation there is a situation where fixing bone failure.
Wherein, a first end face of the hone lamella and a circumferential surface form the nearly osseous part, a second end of the hone lamella Face forms the remote osseous part, and the first end face and the second end face are opposite on the thickness direction, the plurality of blind hole at least formed at The first end face;In this way, the hone lamella of the present invention can amplexiform patient bone by the surface equipped with blind hole, so as to avoiding stress concentration In hone lamella and bone intersection.
Wherein, the plurality of blind hole is formed in the first end face and the circumferential surface;The structure is easier to the hone lamella of the present invention Plastotype, has lifting plastotype efficiency and other effects.
Wherein, the volume of the plurality of blind hole is preferably 20 % of the nearly osseous part and the remote osseous part cumulative volume, to be molded this Hone lamella, and make the hone lamella that there is good reduction stress effect after stress bending.
Wherein, each blind hole forms an opening in the nearly osseous part outer surface, and the opening is rounded;The structure, which is removed to be lifted, to be added Outside the molding convenience of work, moreover it is possible to effectively avoid stress concentration at edges and corners and produce slight crack.
Wherein, the opening diameter of each blind hole is about 0.1~1 mm, to ensure that each blind hole is easy to be molded, and with scattered interior The effect of portion's stress.
Wherein, each blind hole has a bottom, which is open relatively with it, in circle between the bottom of each blind hole and opening Cylindricality, so that rapid processing is molded.
Wherein, the bottom of each blind hole spatially arc, with the effect of the overall blind hole dispersive stress of lifting.
Wherein, the orthogonality of center shaft of each blind hole is in the outer surface of the nearly osseous part, except can be lifted machine-shaping convenience it Outside, moreover it is possible to the effect of dispersive stress when lifting each blind hole compressive deformation.
Wherein, the central shaft of the adjacent blind hole of any two is spaced about 0.5~1 mm, fits the structural rigidity of overall hone lamella In, be easy to plastotype but be unlikely to it is too soft and by causing unintended deformation or breakage when pressing.
The beneficial effects of the invention are as follows:
In conclusion the hone lamella of the present invention, because being equipped with multiple blind holes in the outer surface of nearly osseous part, makes the hone lamella no longer so firm And plastotype is relatively easy to, and internal stress can be disperseed by the plurality of blind hole, operation executor can be greatly decreased, and to spend in hone lamella moulding Time in operation, helps lifting procedure efficiency, and is not likely to produce slight crack after hone lamella bending, makes the hone lamella durable using not Fracture.In addition, the plurality of blind hole can also make the hone lamella approximate with the engineering properties of human body bone, so as to improve stress concentration in bone Situation about nailing on, reduces and osteanabrosis occurs so that the probability that nail comes off, therefore the hone lamella of the present invention can provide good treatment effect Fruit, avoids needing to carry out second of operation there is a situation where fixing bone failure.
Brief description of the drawings
The present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments.
Fig. 1:Existing hone lamella produces the schematic diagram of tiny cracking after plastotype;
Fig. 2:The dimensional structure diagram of one embodiment of the invention;
Fig. 3:The amagnified partial perspective structure diagram of one embodiment of the invention;
Fig. 4:The broken section structure diagram of one embodiment of the invention;
Fig. 5:One embodiment of the invention by bending after broken section structure diagram;
Fig. 6:The implementation schematic diagram of one embodiment of the invention;
Fig. 7:Adjust the instrument of hone lamella external form and simulate force situation of the instrument to hone lamella model;
Fig. 8 a:Porosity is 0% hone lamella;
Fig. 8 b:Porosity is 0% hone lamella stress stress distribution situation after bending;
Fig. 9 a:Porosity is 5% hone lamella;
Fig. 9 b:Porosity is 5% hone lamella stress stress distribution situation after bending;
Figure 10 a:Porosity is 20% hone lamella;
Figure 10 b:Porosity is 20% hone lamella stress stress distribution situation after bending;
Figure 11 a:Porosity is 40% hone lamella;
Figure 11 b:Porosity is 40% hone lamella stress stress distribution situation after bending.
Description of reference numerals
1 nearly osseous part 1a first end faces
11 blind hole of 1b circumferential surfaces
111 112 bottoms of opening
2 remote osseous part 2a second end faces
A central shaft B bones
C cracking D thickness directions
The d diameter F point of applications
H maximum gauge h depth
L spacing P nails
S1, S2 fixing point.
Embodiment
It is hereafter special according to the present invention to enable above and other objects, features and advantages of the invention to become apparent Preferred embodiment, and attached drawing appended by cooperation, are described in detail below:
Fig. 2,6 are refer to, it is one embodiment of hone lamella of the present invention, which generally includes a nearly osseous part being connected 1 and one remote osseous part 2, in use, the hone lamella amplexiforms patient bone's B surface by the part of the nearly osseous part 1, remote 2 principle of osseous part On do not amplexiform bone B.
Form before the hone lamella not yet plastotype is unlimited, can be in yi word pattern as shown in Figure 2, or is in Y-shaped with branch Deng of the invention not to be any limitation as.The material of the hone lamella can then use pure titanium, titanium alloy(Such as:Ti6Al4V、TiNi、Ti15Mo etc.) Or medical stainless steel(Such as:304th, 316,410 stainless steels etc.)Deng.
Fig. 2~4 are refer to, the present embodiment is formed described near by the first end face 1a and a circumferential surface 1b of the hone lamella Osseous part 1, and the remote osseous part 2 is formed by a second end face 2a of the hone lamella.The nearly osseous part 1 is with the remote osseous part 2 in thickness side Opposite on to D, which has a maximum gauge H with the remote osseous part 2 on thickness direction D.The hone lamella can be by 3D The wherein at least one processing method shapings such as printing, CNC processing, casting or ECM electrical-chemistry methods, make the outer surface of the nearly osseous part 1 With multiple blind holes 11;Wherein, the plurality of blind hole 11 at least formed at the hone lamella first end face 1a, preferably together with the hone lamella Circumferential surface 1b is also formed with the blind hole 11.The depth h of each blind hole 11 is about 10~50 % of maximum gauge H, the plurality of blind hole 11 volume is about 5~40 % of the nearly osseous part 1 and remote 2 cumulative volume of osseous part, and defines " porosity " that this is hone lamella.
In more detail, each blind hole 11 forms an opening 111 in nearly 1 outer surface of osseous part, and each blind hole 11 has a bottom Portion 112, the bottom 112 are opposite with the opening 111.The opening 111 of each blind hole 11 is preferably rounded, except can lift machine-shaping Outside convenience, moreover it is possible to effectively avoid stress concentration at edges and corners and produce slight crack;The 111 diameter d of opening of each blind hole 11 is about 0.1~1 mm.Additionally, may be selected to be set to cylinder between the bottom 112 of each blind hole 11 and opening 111, so as to rapid processing Shaping, and the bottom 112 of each blind hole 11 preferably spatially arc, such as hemispherical, with lifting 11 dispersive stress of overall blind hole Effect.The central shaft A of each blind hole 11 is about orthogonal with the outer surface of the nearly osseous part 1, in addition to it can lift the convenience of machine-shaping, The effect of dispersive stress when can also lift each 11 compressive deformation of blind hole;The central shaft A spacing L of the adjacent blind hole of any two is about 0.5~1 mm, makes the structural rigidity of overall hone lamella moderate, be easy to plastotype but be unlikely to it is too soft and non-by being caused when pressing It is expected that the deformation or breakage of property.
Fig. 5,6 are refer to, according to aforementioned structure, hone lamella of the invention may be implemented in the fracture of any part or bone defect is controlled Treat, be not limited with the mandible disclosed in attached drawing.Before being intended to the bone B of fixed fracture, first the outer of the hone lamella need to be adjusted using instrument Type, makes it be bonded the bone B shape of patient as much as possible, then the hone lamella after plastotype is locked in bone B by multiple nail P that arrange in pairs or groups Surface, and bone B surface is amplexiformed by the nearly osseous part 1.
Wherein, since the hone lamella of the present invention is equipped with the plurality of blind hole 11, the engineering properties of overall hone lamella can be changed, make the bone Plate is no longer so firm and is relatively easy to plastotype, the time that operation executor is spent in the moulding operation of hone lamella is significantly subtracted It is few, help lifting procedure efficiency.Meanwhile as shown in figure 5, the nearly osseous part 1 equipped with the plurality of blind hole 11 by bending when, can be by this Multiple blind holes 11 disperse internal stress, therefore will not produce slight crack upon bending, help the fatigue strength for improving the hone lamella, make the bone Plate can be durable using not broken.In addition, setting the plurality of blind hole 11 also to reduce the young's modulus of the hone lamella, make the hone lamella and people The engineering properties of body sclerotin is approximate;Thus, when bone B stress, which can also produce a little elastic deformation, reduce stress Concentrate on the situation on nail P, reduce and osteanabrosis occurs so that the probability that nail P comes off, therefore the hone lamella can provide good control Therapeutic effect, avoids needing to carry out second of operation there is a situation where the failure of the effect of fixing bone B.
It is noted that the fracture at other positions for the treatment of body, can take and force fixed limitation activity to bone with gypsum The method for tearing gypsum after healing open again, but after mandible fracture is fixed with hone lamella, it is living that patient stills need to feed, drink water and speak etc. It is dynamic, can not wait knitting by way of temporarily fixing, and the hone lamella of the present invention have with people's bone similar in engineering properties, can Be effectively improved conventional patient's lower jaw it is movable when cause stress concentration in the hone lamella and mandible intersection the problem of, therefore the bone of the present invention Plate is especially suitable for being implemented on lower jaw position.
Fig. 7~11b is refer to, it is the mechanics mould made with Simulation numerical analysis softwares to bending moulding hone lamella Quasi-analytical method and result;As shown in fig. 7, situation of the instrument of this analysis mode adjustment hone lamella external form to hone lamella three-point bending, Two fixing points S1, S2 are set in the side of hone lamella model, and a point of application F is set in the opposite side of hone lamella model, and to hone lamella Model bestows the positive force of 1 N.Fig. 8 a show the solid hone lamella for being not provided with blind hole(Porosity is 0%), Fig. 8 b for its by Power stress distribution situation after bending;According to simulation analysis the results show that the solid hone lamella stress concentration maximum position and document It is consistent at the middle tiny cracking of generation(It please coordinate with reference to Fig. 1).Be respectively then porosity shown in Fig. 9 a, Figure 10 a and Figure 11 a for 5%, 20%th, 40% hone lamella, Fig. 9 b, Figure 10 b and Figure 11 b are its stress stress distribution situation after bending;According to simulation analysis knot Fruit shows that the hone lamella of porosity 5%, 20%, 40% is respectively provided with the effect of dispersive stress, the solid bone shown in compared to Fig. 8 a Plate, Fig. 9 a, Figure 10 a and porosity shown in 11a are that the maximum stress value of 5%, 20%, 40% hone lamella has and significantly reduces; Wherein especially having using porosity as 20% hone lamella preferably reduces stress effect.
In conclusion the hone lamella of the present invention, because being equipped with multiple blind holes in the outer surface of nearly osseous part, makes the hone lamella no longer so It is firm and be relatively easy to plastotype, and internal stress can be disperseed by the plurality of blind hole, operation executor can be greatly decreased and spend in hone lamella Time in moulding operation, helps lifting procedure efficiency, and is not likely to produce slight crack after hone lamella bending, the hone lamella durable can be made With not broken.In addition, the plurality of blind hole can also make the hone lamella approximate with the engineering properties of human body bone, so as to improve stress concentration In the situation on nail, reduce and osteanabrosis occurs so that the probability that nail comes off, therefore the hone lamella of the present invention can provide good control Therapeutic effect, avoids needing to carry out second of operation there is a situation where fixing bone failure.

Claims (10)

1. a kind of hone lamella, it is characterised in that it includes nearly an osseous part and a remote osseous part being connected, and the nearly osseous part is remote with this Osseous part is opposite in a thickness direction, which has maximum gauge with the remote osseous part on the thickness direction;The nearly osseous part Outer surface has multiple blind holes, and the depth of each blind hole is 10~50 % of the maximum gauge, and the volume of the plurality of blind hole is near for this 5~40 % of osseous part and the remote osseous part cumulative volume.
2. hone lamella as claimed in claim 1 a, it is characterised in that first end face of the hone lamella and a circumferential surface are formed and be somebody's turn to do Nearly osseous part, a second end face of the hone lamella form the remote osseous part, and the first end face is with the second end face on the thickness direction Relatively, the plurality of blind hole is at least formed at the first end face.
3. hone lamella as claimed in claim 2, it is characterised in that the plurality of blind hole is formed in the first end face and the circumferential surface.
4. hone lamella as claimed in claim 1, it is characterised in that the volume of the plurality of blind hole is total for the nearly osseous part and the remote osseous part 20 % of volume.
5. hone lamella according to any one of claims 1 to 4, it is characterised in that each blind hole is formed in the nearly osseous part outer surface One opening, the opening are rounded.
6. hone lamella as claimed in claim 5, it is characterised in that the opening diameter of each blind hole is 0.1~1 mm.
7. hone lamella as claimed in claim 5, it is characterised in that each blind hole has a bottom, which is open relatively with it, In cylinder between the bottom of each blind hole and opening.
8. hone lamella according to any one of claims 1 to 4, it is characterised in that each blind hole is formed in the nearly osseous part outer surface One opening, each blind hole has a bottom, which is open relatively with it, the bottom of each blind hole spatially arc.
9. hone lamella according to any one of claims 1 to 4, it is characterised in that the orthogonality of center shaft of each blind hole is in the nearly bone The outer surface in portion.
10. hone lamella as claimed in claim 9, it is characterised in that the center distance between axles of the adjacent blind hole of any two is 0.5~1 mm。
CN201710068592.4A 2016-11-01 2017-02-08 Bone plate Pending CN108013925A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TW105135382 2016-11-01
TW105135382A TWI599340B (en) 2016-11-01 2016-11-01 Locking plate

Publications (1)

Publication Number Publication Date
CN108013925A true CN108013925A (en) 2018-05-11

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CN201710068592.4A Pending CN108013925A (en) 2016-11-01 2017-02-08 Bone plate

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TW (1) TWI599340B (en)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070270849A1 (en) * 2006-04-21 2007-11-22 Orbay Jorge L Fixation Plate With Multifunctional Holes
WO2015138303A1 (en) * 2014-03-11 2015-09-17 DePuy Synthes Products, Inc. Bone plate
US9149310B2 (en) * 2011-02-02 2015-10-06 Biomet Manufacturing, Llc Bone plate having combination locking and compression screw holes
CN204765868U (en) * 2015-03-09 2015-11-18 天津正天医疗器械有限公司 Stress dissipation type locking pressurizing coaptation board
CN105832395A (en) * 2015-01-29 2016-08-10 爱派司生技股份有限公司 Bone fixing plate

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWM463577U (en) * 2013-05-29 2013-10-21 Nan-Yu Liu Bone plate

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070270849A1 (en) * 2006-04-21 2007-11-22 Orbay Jorge L Fixation Plate With Multifunctional Holes
US9149310B2 (en) * 2011-02-02 2015-10-06 Biomet Manufacturing, Llc Bone plate having combination locking and compression screw holes
WO2015138303A1 (en) * 2014-03-11 2015-09-17 DePuy Synthes Products, Inc. Bone plate
CN105832395A (en) * 2015-01-29 2016-08-10 爱派司生技股份有限公司 Bone fixing plate
CN204765868U (en) * 2015-03-09 2015-11-18 天津正天医疗器械有限公司 Stress dissipation type locking pressurizing coaptation board

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Publication number Publication date
TWI599340B (en) 2017-09-21
TW201817392A (en) 2018-05-16

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Application publication date: 20180511