CN111728687A - 一种胫骨结节骨折接骨板及其使用方法 - Google Patents
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- 206010017076 Fracture Diseases 0.000 title claims description 24
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- 210000000426 patellar ligament Anatomy 0.000 claims description 7
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- 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
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- 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
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
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- 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
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- 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
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Abstract
一种胫骨结节内固定接骨板，包括中心部（1）、头部（2）、侧部（3）、尾部（4），其特征在于，所述中心部（1）与胫骨结节前方相匹配，设有2.4mm或2.7mm锁定孔或加压孔，螺孔位置均匀分部，可置入锁定螺钉或皮质骨螺钉；所述中心部（1）上方连接两个头部（2）薄板，薄板左右相互平行，各设有2.4mm或2.7mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉；所述中心部（1）两侧各设有两个侧部（3）薄板，两侧薄板上下相互平行，各设有2.0mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉；所述中心部（1）尾端设有三个尾部（4）薄板，彼此向远端分散，各设有2.4mm或2.7mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉。
Description
技术领域
本发明属于医疗器械，具体涉及一种胫骨结节骨折接骨板。
背景技术
胫骨结节为胫骨平台远端3cm处的一个骨性凸起口，是胫骨近端骨骺的最前端，参与胫骨近端的生长。18岁之后的胫骨结节的骨骺与胫骨干融合。当膝关节强力屈曲、股四头肌剧烈收缩时，会出现胫骨结节骨骺撕脱骨折。青少年胫骨结节撕脱骨折的发生率高于成人。
对于成年的胫骨结节撕脱骨折，多为高能量损伤所致，骨折片常常发生明显移位，保守治疗欠佳，多需手术治疗。
目前，对于胫骨结节撕脱骨折的病人，多采用螺钉置入固定移位骨折。由于胫骨结节作为髌韧带的止点，是伸膝装置的重要组成部分，膝关节伸屈活动时该部位会受到强大牵拉力作用，内固定术后患者急需早期的功能锻炼，单纯的螺钉固定难以维持稳定，尤其粉碎性的胫骨结节撕脱骨折，更是难以维持稳定，容易发生骨折再移位的风险。
发明内容
为了解决现有技术问题存在的缺陷，本发明专利提出了一种胫骨结节骨折接骨板及其使用方法。
本发明为解决技术问题所采用的技术方案如下：
一种胫骨结节内固定接骨板，包括中心部、头部、侧部、尾部，所述中心部与胫骨结节前方相匹配；设有2.4mm或2.7mm锁定孔或加压孔，螺孔位置均匀分部，可置入锁定螺钉或皮质骨螺钉；中心部上方连接两个头部薄板，薄板左右相互平行，各设有2.4mm或2.7mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉；优选的，中心部两侧各设有两个侧部薄板，两侧薄板上下相互平行，各设有2.0mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉；中心部尾端设有三个尾部薄板，彼此向远端分散，各设有2.4mm或2.7mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉。
作为一种优选的技术方案，头部、侧部、尾部三部位的薄板可根据需要，进行任意折弯，或裁剪变短。
作为一种优选的技术方案，头部折弯放置于近端的胫骨平台斜坡部位。
作为一种优选的技术方案，侧部折弯放置于胫骨内髁部位、胫骨外髁部位。
作为一种优选的技术方案，尾部折弯放置于远端的胫骨前嵴。
本发明所达到的有益效果是：接骨板采用多平面钉板设计，连接部的头部、侧部、尾部可任意折弯，裁剪；多平面及多角度的螺钉固定，使内固定***完成三维立体的稳定结构；尤其适用于粉碎性的胫骨结节撕脱骨折，内固定术后患者可行早期的功能锻炼，防止发生骨折再移位的风险。
附图说明
附图用来提供对本发明的进一步理解，并且构成说明书的一部分，与本发明的实施例一起用于解释本发明，并不构成对本发明的限制。在附图中：
图1是一种胫骨结节内固定接骨板的结构示意图。
具体实施方式
以下结合附图对本发明的优选实施例进行说明，应当理解，此处所描述的优选实施例仅用于说明和解释本发明，并不用于限定本发明。
实施例1
如图1所示，一种胫骨结节内固定接骨板，包括中心部1、头部2、侧部3、尾部4，所述中心部1与胫骨结节前方相匹配；设有2.4mm或2.7mm锁定孔或加压孔，螺孔位置均匀分部，可置入锁定螺钉或皮质骨螺钉中心部1上方连接两个头部2薄板，薄板左右相互平行，各设有2.4mm或2.7mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉；优选的，中心部1两侧各设有两个侧部3薄板，两侧薄板上下相互平行，各设有2.0mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉；中心部1尾端设有三个尾部4薄板，彼此向远端分散，各设有2.4mm或2.7mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉；头部2、侧部3、尾部4三部位的薄板可根据需要，进行任意折弯，或裁剪变短；头部2折弯放置于近端的胫骨平台斜坡部位；侧部3折弯放置于胫骨内髁部位、胫骨外髁部位；尾部4折弯放置于远端的胫骨前嵴。
使用方法如下：采用硬膜外或全身麻醉，于胫骨近端前内侧作一邻近胫骨结节和平行髌腱的纵行切口，软组织解剖分离至胫骨结节与髌腱附着点外侧，显露胫骨结节撕脱骨折并清理骨折基底部，检查内侧、外侧、远端有无撕脱的骨膜瓣，保留较大无碎裂者，切除较小碎裂者；伸直位进行骨折复位；取胫骨结节骨折接骨板，中心部1放置于胫骨结节前方，压住骨折块，置入锁定螺钉或皮质骨螺钉；头部2、侧部3、尾部4根据需要进行修建、折弯塑形，分别贴敷于近端的胫骨平台斜坡部位、胫骨内髁部位、外髁部位和远端的胫骨前嵴，注意：头部的放置需要劈开髌腱进行放置，然后分别置入锁定螺钉或皮质骨螺钉进行加强固定。
最后应说明的是：以上所述仅为本发明的优选实施例而已，并不用于限制本发明，尽管参照前述实施例对本发明进行了详细的说明，对于本领域的技术人员来说，其依然可以对前述各实施例所记载的技术方案进行修改，或者对其中部分技术特征进行等同替换。凡在本发明的精神和原则之内，所作的任何修改、等同替换、改进等，均应包含在本发明的保护范围之内。
Claims (6)
1.一种胫骨结节内固定接骨板，包括中心部（1）、头部（2）、侧部（3）、尾部（4），其特征在于，所述中心部（1）与胫骨结节前方相匹配，设有2.4mm或2.7mm锁定孔或加压孔，螺孔位置均匀分部，可置入锁定螺钉或皮质骨螺钉；所述中心部（1）上方连接两个头部（2）薄板，薄板左右相互平行，各设有2.4mm或2.7mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉；所述中心部（1）两侧各设有两个侧部（3）薄板，两侧薄板上下相互平行，各设有2.0mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉；所述中心部（1）尾端设有三个尾部（4）薄板，彼此向远端分散，各设有2.4mm或2.7mm锁定孔或加压孔，可置入锁定螺钉或皮质骨螺钉。
2.根据权利要求1所述的一种胫骨结节骨折接骨板，其特征在于，所述头部（2）、侧部（3）、尾部（4）三部位的薄板可根据需要，进行任意折弯，或裁剪变短。
3.根据权利要求1所述的一种胫骨结节骨折接骨板，其特征在于，所述头部（2）折弯放置于近端的胫骨平台斜坡部位。
4.根据权利要求1所述的一种胫骨结节骨折接骨板，其特征在于，所述侧部（3）折弯放置于胫骨内髁部位、胫骨外髁部位。
5.根据权利要求1所述的一种胫骨结节骨折接骨板，其特征在于，所述尾部（4）折弯放置于远端的胫骨前嵴。
6.一种胫骨结节骨折接骨板的使用方法，其特征在于：采用硬膜外或全身麻醉，于胫骨近端前内侧作一邻近胫骨结节和平行髌腱的纵行切口，软组织解剖分离至胫骨结节与髌腱附着点外侧，显露胫骨结节撕脱骨折并清理骨折基底部，检查内侧、外侧、远端有无撕脱的骨膜瓣，保留较大无碎裂者，切除较小碎裂者；伸直位进行骨折复位；取胫骨结节骨折接骨板，中心部（1）放置于胫骨结节前方，压住骨折块，置入锁定螺钉或皮质骨螺钉；头部（2）、侧部（3）、尾部（4）根据需要进行修建、折弯塑形，分别贴敷于近端的胫骨平台斜坡部位、胫骨内髁部位、外髁部位和远端的胫骨前嵴，注意：头部的放置需要劈开髌腱进行放置，然后分别置入锁定螺钉或皮质骨螺钉进行加强固定。
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| CN104783883A (zh) * | 2015-04-22 | 2015-07-22 | 邓宇 | 一种胫骨外侧平台后髁骨折复位内固定专用钢板 |
| CN105395242A (zh) * | 2015-11-16 | 2016-03-16 | 上海交通大学医学院附属新华医院 | 一种胫骨近端接骨板*** |
| CN206534702U (zh) * | 2016-09-28 | 2017-10-03 | 上海市浦东医院 | 一种胫骨平台后内侧锁定钢板 |
| CN207286125U (zh) * | 2017-02-05 | 2018-05-01 | 包欣南 | 胫骨平台锁定接骨板 |
| CN107928774A (zh) * | 2017-12-06 | 2018-04-20 | 上海凯利泰医疗科技股份有限公司 | 一种胫骨近端外侧锁定板 |
| CN209377713U (zh) * | 2018-10-23 | 2019-09-13 | 大泗医疗生物科技有限公司 | 一种胫骨远端翼型锁定钢板 |
| CN209360870U (zh) * | 2018-11-01 | 2019-09-10 | 上海市杨浦区中心医院(同济大学附属杨浦医院) | 胫骨平台外侧全髁型钢板 |
| CN209285690U (zh) * | 2018-11-22 | 2019-08-23 | 衡水增力医疗器械有限公司 | 一种用于胫骨平台外侧合并后侧骨折的接骨板 |
| CN109965966A (zh) * | 2019-04-16 | 2019-07-05 | 吴丹凯 | 一种专用于过伸内翻型胫骨平台骨折的前内侧柱接骨板 |
| CN214342553U (zh) * | 2020-07-23 | 2021-10-08 | 吉林大学 | 一种胫骨结节骨折接骨板 |
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