CN205626092U - Pulling force screw guide die board in 12 marrows in reverse superior ramus of pubis outside - Google Patents

Pulling force screw guide die board in 12 marrows in reverse superior ramus of pubis outside Download PDF

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Publication number
CN205626092U
CN205626092U CN201620072547.7U CN201620072547U CN205626092U CN 205626092 U CN205626092 U CN 205626092U CN 201620072547 U CN201620072547 U CN 201620072547U CN 205626092 U CN205626092 U CN 205626092U
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China
Prior art keywords
pubis
outer panel
superior ramus
plate
outside
Prior art date
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Expired - Fee Related
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CN201620072547.7U
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Chinese (zh)
Inventor
郑轶
袁欣华
王伟斌
庞清江
殷红
殷一红
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Individual
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Individual
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Priority to CN201620072547.7U priority Critical patent/CN205626092U/en
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Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model relates to a pulling force screw guide die board in 12 marrows in reverse superior ramus of pubis outside, its characterized in that include with locating plate and guide post, the locating plate include with the outer panel of superior ramus of pubis outside looks adaptation, with the roof of superior ramus of pubis top surface looks adaptation and with the interior plate of superior ramus of pubis inboard looks adaptation, outer panel, roof and interior plate integrated into one piece, the position interval who is close to the lower limb on the outer panel is equipped with two locating holes, the middle part of outer panel is equipped with the guiding hole, the guide post is hollow tubular structure, and a port of guide post is connected the guiding hole, the axis of guiding hole for the sagittal face contained angle of outer panel is 38~42, the axis of guiding hole for the coronal section contained angle of outer panel is 43~47. The utility model discloses it is accurate to put the nail, has avoided the pulling force screw to wear out bone cortex, has reduced operation time and perspective number of times to and the emergence of artificially curing source nature complication, and simple structure, convenient to use.

Description

Lag screw guiding die plate in 1/2 marrow outside reverse superior ramus of pubis
Technical field
This utility model relates to medical apparatus and instruments aid, refers specifically to outside a reverse superior ramus of pubis pulling force spiral shell in 1/2 marrow Nail guiding die plate.
Background technology
Reverse superior ramus of pubis screw is fixing becomes what conventional superior ramus of pubis was fractured because it has good biomechanical property One of internal fixation method.Outside reverse superior ramus of pubis, 1/2 because of next-door neighbour acetabular bone, pelvis medial wall, and operative site exists deeply, puts The requirement of nail is high, and difficulty is big, and relevant postoperative complication happens occasionally.If the implantation position of screw is the best, hip can be caused Mortar damages, femoral head damage and pelvic nerve, blood vessel injury and injury of bladder.It is necessary that operation is characterized by pedicle screw By narrow and small bone passage.
In routine operation, outside reverse superior ramus of pubis, in 1/2 marrow, lag screw is inserted and is fixed and relies primarily on X-ray in art Pivoting results determines outside reverse superior ramus of pubis the position of lag screw in 1/2 marrow, then carries out touch system, by C in art Arm pivoting results and the experience of operative doctor and the impact of technology, and owing to anatomical position is relatively deep, art is difficult to accurately Location, inevitably results from the error of anthropic factor, causes screw to deviate, and lag screw fixed position is not satisfied, Cause damage and acetabular bone, the capital damage of pelvic blood vessels, time serious, may result in operative failure;And art needs big Amount perspective, has certain damage to human body.
Summary of the invention
Technical problem to be solved in the utility model is that the present situation for prior art provides one can thoroughly avoid people For factor impact, help operative doctor to carry out outside the reverse superior ramus of pubis that is accurately positioned lag screw in 1/2 marrow to guide Template, thus reduce perspective number of times, ensure to improve success rate of operation, avoid the generation of artificial Iatrogenic Complications.
The technical scheme that the above-mentioned technical problem of this utility model solution is used is: outside this reverse superior ramus of pubis in 1/2 marrow Lag screw guiding die plate, it is characterised in that include and location-plate and lead;
Described location-plate include with described superior ramus of pubis outside the suitable outer panel top suitable with superior ramus of pubis end face Plate and with superior ramus of pubis inside suitable interior plate, described outer panel, top board and interior plate are one-body molded;Described outside On plate, the location interval near lower limb is provided with hole, two location, and the middle part of described outer panel is provided with pilot hole;
Described lead is the tubular structure of hollow, and a port of lead connects described pilot hole;Described pilot hole Axis is 38~42 ° relative to the sagittal plane angle of described outer panel, and the axis of described pilot hole is relative to described outer panel Coronalplane angle be 43~47 °.
Described interior plate connects 0.25-0.4 times of the edge length of a length of described top board at the edge of described top board, and The deployed condition of described interior plate be angle, outer end be the triangular structure of fillet.
The thickness of described location-plate is 0.9-1.2mm, and the aperture in hole, described location is 0.9-1.1mm, described pilot hole Aperture is 2.8-3.2mm, a length of 5-7mm of described pilot hole.4
The guiding die plate of multiple specification can be prepared, with the crowd of adaptive different building shape in the range of above-mentioned each scheme.
Compared with prior art, lag screw guiding module in 1/2 marrow outside reverse superior ramus of pubis provided by the utility model Plate designs according to CT Three-dimensional anatomical evaluation statistical data, and outside Ipsilateral pubic tubercle, place plane is as reference point, guides Template fits tightly with Ipsilateral pubic tubercle place plane, is inserted outside reverse superior ramus of pubis by the guide channel of hollow Lag screw in 1/2 marrow, can accomplish to put nail accurate, it is to avoid pulling force in 1/2 fracture marrow outside reverse superior ramus of pubis Screw passes the problem of cortical bone, effectively reduces operating time and perspective number of times, and minimizing fluoroscopy during operation, to human injury, subtracts The generation of the artificial Iatrogenic Complications that lag screw position deviation causes in 1/2 marrow outside few reverse superior ramus of pubis, and knot Structure is simple, easy to use.
Accompanying drawing explanation
Fig. 1 is the schematic perspective view of this utility model embodiment.
Detailed description of the invention
Below in conjunction with accompanying drawing embodiment, this utility model is described in further detail.
As it is shown in figure 1, in 1/2 marrow, lag screw guiding die plate includes outside this reverse superior ramus of pubis:
Location-plate 1, thickness is 1 millimeter, uses medical grade resin to be prepared from;Fit including outside superior ramus of pubis The top board 12 that fits with superior ramus of pubis end face of outer panel 11 and with superior ramus of pubis inside the interior plate 13 that fits, Outer panel 11, top board 12 and interior plate 13 are one-body molded;It is spaced on two side positions of outer panel 11 lower limb and sets Having hole 14, two location, the middle part of outer panel 11 is provided with pilot hole 15;Described interior plate 13 connects described top board 12 / 3rd of the edge length of a length of described top board 12 at edge, the deployed condition of interior plate 13 is in triangle substantially Shape structure, its outer end is smooth arcuate structure
Lead 2 is the tubular structure of hollow, and its endoporus is guide channel 21, and it is one-body molded with location-plate 1.Lead Pilot hole 15 is connected to passage port;The axis of guide channel is 40 ° relative to the sagittal plane angle of outer panel, It it is 45 ° relative to the transverse section angle of outer panel.
In the present embodiment, the thickness of location-plate 1 is 1.0mm, and the aperture in hole 14, location is 1mm, the hole of pilot hole 15 Footpath is 3mm, a length of 6mm of pilot hole.
In Clinical practice, after the Ipsilateral superior ramus of pubis reduction of the fracture is satisfied, with patient's pubic tubercle as anatomic landmark, appear trouble Person's superior ramus of pubis medial plane, is buckled in this guiding die plate on patient's pubic tubercle, makes outer panel be fitted in superior ramus of pubis Outside, top board is fitted on superior ramus of pubis end face, and interior plate is fitted in. inside superior ramus of pubis;Then by 2 pieces of 1.0mm Kirschner wire from two location hole be fixed on superior ramus of pubis lower edge both sides;The guiding that lag screw is finally implanted lead is led to In road, inversely squeeze into superior ramus of pubis via pilot hole.

Claims (3)

1. lag screw guiding die plate in 1/2 marrow outside reverse superior ramus of pubis, it is characterised in that include and location-plate (1) and lead (2);
Described location-plate (1) include with described superior ramus of pubis outside suitable outer panel (11) top board (12) suitable with superior ramus of pubis end face and with superior ramus of pubis inside suitable interior plate (13), described outer panel (11), top board (12) and interior plate (13) are one-body molded;The upper location interval near lower limb of described outer panel (11) is provided with two hole, location (14), and the middle part of described outer panel (11) is provided with pilot hole (15);
Described lead (2) is the tubular structure of hollow, and a port of lead connects described pilot hole (15);The axis of described pilot hole is 38~42 ° relative to the sagittal plane angle of described outer panel, and the axis of described pilot hole is 43~47 ° relative to the transverse section angle of described outer panel.
Lag screw guiding die plate in 1/2 marrow outside reverse superior ramus of pubis the most according to claim 1, it is characterized in that described interior plate (13) connects 0.25-0.4 times of the edge length of a length of described top board (12) at the edge of described top board (12), and the deployed condition of described interior plate (13) be angle, outer end be the triangular structure of fillet.
Lag screw guiding die plate in 1/2 marrow outside reverse superior ramus of pubis the most according to claim 2, the thickness that it is characterized in that described location-plate (1) is 0.9-1.2mm, the aperture in hole, described location (14) is 0.9-1.1mm, the aperture of described pilot hole (15) is 2.8-3.2mm, a length of 5-7mm of described pilot hole.
CN201620072547.7U 2016-01-25 2016-01-25 Pulling force screw guide die board in 12 marrows in reverse superior ramus of pubis outside Expired - Fee Related CN205626092U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201620072547.7U CN205626092U (en) 2016-01-25 2016-01-25 Pulling force screw guide die board in 12 marrows in reverse superior ramus of pubis outside

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201620072547.7U CN205626092U (en) 2016-01-25 2016-01-25 Pulling force screw guide die board in 12 marrows in reverse superior ramus of pubis outside

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CN205626092U true CN205626092U (en) 2016-10-12

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106618672A (en) * 2016-11-11 2017-05-10 广西中医药大学附属瑞康医院 Guide plate and manufacturing equipment thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106618672A (en) * 2016-11-11 2017-05-10 广西中医药大学附属瑞康医院 Guide plate and manufacturing equipment thereof

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20161012

Termination date: 20200125

CF01 Termination of patent right due to non-payment of annual fee