TR201909064A1 - FULLY ANATOMIC POLYAXIAL LOCKING DISTAL HUMERUS PLATE DESIGNED FOR FOUR LEGS - Google Patents
FULLY ANATOMIC POLYAXIAL LOCKING DISTAL HUMERUS PLATE DESIGNED FOR FOUR LEGS Download PDFInfo
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- TR201909064A1 TR201909064A1 TR2019/09064A TR201909064A TR201909064A1 TR 201909064 A1 TR201909064 A1 TR 201909064A1 TR 2019/09064 A TR2019/09064 A TR 2019/09064A TR 201909064 A TR201909064 A TR 201909064A TR 201909064 A1 TR201909064 A1 TR 201909064A1
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- 210000002758 humerus Anatomy 0.000 title claims abstract description 62
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 34
- 241001465754 Metazoa Species 0.000 claims abstract description 22
- 238000000034 method Methods 0.000 claims description 20
- 210000003484 anatomy Anatomy 0.000 claims description 8
- 230000008569 process Effects 0.000 claims description 6
- 230000007704 transition Effects 0.000 claims description 5
- 238000001356 surgical procedure Methods 0.000 claims description 4
- 238000003776 cleavage reaction Methods 0.000 claims description 2
- 230000007017 scission Effects 0.000 claims description 2
- 230000006378 damage Effects 0.000 abstract description 5
- 208000014674 injury Diseases 0.000 abstract description 4
- 230000000472 traumatic effect Effects 0.000 abstract description 4
- 206010039203 Road traffic accident Diseases 0.000 abstract description 3
- 208000027418 Wounds and injury Diseases 0.000 abstract description 3
- 206010020462 Humerus fracture Diseases 0.000 abstract 2
- 230000033001 locomotion Effects 0.000 description 6
- 239000012634 fragment Substances 0.000 description 5
- 230000007246 mechanism Effects 0.000 description 3
- 230000003068 static effect Effects 0.000 description 3
- 241000282326 Felis catus Species 0.000 description 2
- 206010023201 Joint contracture Diseases 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000002310 elbow joint Anatomy 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- GAKUNXBDVGLOFS-DUZKARGPSA-N (1-acetyloxy-3-hexadecanoyloxypropan-2-yl) (9z,12z)-octadeca-9,12-dienoate Chemical compound CCCCCCCCCCCCCCCC(=O)OCC(COC(C)=O)OC(=O)CCCCCCC\C=C/C\C=C/CCCCC GAKUNXBDVGLOFS-DUZKARGPSA-N 0.000 description 1
- 208000030016 Avascular necrosis Diseases 0.000 description 1
- 208000023329 Gun shot wound Diseases 0.000 description 1
- 206010028289 Muscle atrophy Diseases 0.000 description 1
- 208000028389 Nerve injury Diseases 0.000 description 1
- 206010031264 Osteonecrosis Diseases 0.000 description 1
- 208000010040 Sprains and Strains Diseases 0.000 description 1
- 206010048873 Traumatic arthritis Diseases 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 210000004439 collateral ligament Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000001054 cortical effect Effects 0.000 description 1
- 230000003412 degenerative effect Effects 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 230000006866 deterioration Effects 0.000 description 1
- 230000005021 gait Effects 0.000 description 1
- 210000004209 hair Anatomy 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 244000309465 heifer Species 0.000 description 1
- 210000000281 joint capsule Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000020763 muscle atrophy Effects 0.000 description 1
- 201000000585 muscular atrophy Diseases 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000008764 nerve damage Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 239000002994 raw material Substances 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 230000001173 tumoral effect Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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
- A61B17/56—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
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)
- 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
Buluş konusu, dört ayaklı hayvanlarda gerek trafik kazaları gerekse yüksekten düşme, ateşli silah yaralanmaları ve benzeri travmatik etkilerin sonuçları olarak meydana gelen distal humerus kırıklarında kullanılmak üzere kemik anatomisine göre şekillendirilmiş tam anatomik ve farklı açılarda kilitlenebilen yeni tasarım polyaxial kilitlemeli distal humerus plağı ile ilgilidir Buluş konusu, dört ayaklı hayvanlarda gerek trafik kazaları gerekse yüksekten düşme, ateşli silah yaralanmaları ve benzeri travmatik etkilerin sonuçları olarak meydana gelen distal humerus kırıklarında kullanılmak üzere kemik anatomisine göre şekillendirilmiş tam anatomik ve farklı açılarda kilitlenebilen yeni tasarım polyaxial kilitlemeli distal humerus plağı ile ilgilidirThe subject of the invention is related to the new design polyaxial locking distal humerus plate that is shaped according to the bone anatomy and can be locked at different angles to be used in distal humerus fractures that occur as a result of traffic accidents, falls from height, gunshot injuries and similar traumatic effects in quadruped animals. is related to the new design polyaxial locking distal humerus plate that is shaped according to the bone anatomy and can be locked at different angles to be used in distal humerus fractures that occur as a result of traffic accidents, falls from height, gunshot injuries and similar traumatic effects in quadruped animals.
Description
TARIFNAME DÖRT AYAKLI HAYVANLAR IÇIN TASARLANAN TAM ANATOMIK POLYAXIAL KILITLEMELI DISTAL HUMERUS PLAGI Teknik Alan Bulus konusu, dört ayaklEhayvanlarda gerek trafik kazalarEgerekse yüksekten düsme, atesli silah yaralanmalarÜ/e benzeri travmatik etkilerin sonuçlarüblarak meydana gelen distal humerus klIlElarIda kullanElîlnak üzere kemik anatomisine göre sekillendirilmis tam anatomik ve farklElaçElârda kilitlenebilen yeni tasarE'i polyaxial kilitlemeli distal humerus plagEile ilgilidir. DESCRIPTION FULL ANATOMIC DESIGNED FOR QUADLEED ANIMALS DISTAL HUMERUS PLAG WITH POLYAXIAL LOCKING Technical Area The subject of the invention is both traffic accidents and high altitudes in quadrupedal animals. the consequences of traumatic effects such as falling, gunshot wounds, etc. bone anatomy to be used in distal humeral hairs new design that can be locked in different tools and fully anatomically shaped according to It is related to the distal humerus plaque with polyaxial locking.
Bulus özellikle, tEElbi medikal sahada basta kedi ve köpek gruplarlîblmak üzere, dört ayaklühayvanlarl distal humerus bölgesinde travmatik artrit, klIElZl ve benzeri sebepler nedeniyle olusan agrEIJElkemik ve eklem deformasyonlarII giderilmesi amaclEla kemik yaplElIa uygun olarak tasarlanan tam anatomik çok yönlü kilitlenebilir plaka sistemi ile ilgilidir. Önceki Teknik Genellikle kedi ve köpek gruplarIda olmak üzere, dört ayaklühayvanlarda zaman zaman travmalara baglüolarak vücudun degisik kemiklerinde klEIJZI olgularüla karslßsüîlnaktadlîl Bu klElE olgularIdan biri de distal humerus klIIEIarIlEl Distal humerus klIIJZllarlîl distal diyafizer, supracondyler, lateral ve/veya medial condylus humeri klîtlalarlîdilmak üzere alt sIElîlara ayrtlîlnaktadlîl AyrEla, intercondyler humerus kIEIElar anatomik konfigürasyonuna göre “T” ve yüksekten düsmeler, vurma, çarpma, sßglßtna, burkulma ve atesli silah yaralanmalarlîlseklinde slIlalanabilmektedir. Kemik yüzeyinde meydana gelen hasar yüzünden ilgili bölgede çogu zaman siddetli bir agrlîblusmakta ve hayvan günlük ihtiyaçlarIIZI karsüêyamayacak duruma gelebilmektedir. HastanI yasadtgüsemptomlara özel olarak yaplßn protez uygulamalarElbu güçlükleri ortadan kaldlîlabilmektedir. Ortopedik uygulamalardaki protez, genellikle hastalEEllEi/eya bütünlügünü kaybetmis bir eklemi degistirmek üzere ameliyatla kemik içerisine veya yüzeyine yerlestirilen implant olarak bahsedilmektedir. The invention is particularly useful in the medical field, especially in cat and dog groups. Traumatic arthritis in the distal humerus region of quadrupedal animals, klielZl and pain caused by similar reasons,elbone and joint deformationsII Fully anatomical multilayer designed in accordance with the macular bone structure for the purpose of removing relates to the directional lockable plate system. Prior Art In quadrupedal animals, usually in cat and dog groups kLEIJZI in different bones of the body from time to time due to trauma casesüla karslßsüîlnaktadlîl One of these klele cases is the distal humerus kIIIEIlIl Distal humerus klIIJZllarlîl distal diaphyseal, supracondylar, lateral and/or medial condylus humeri kîtlalarlîl divided into lower sielîlnnaktadlîl AyrEla, intercondylar humerus “T” and “T” according to the KIEIElar anatomical configuration. falls from height, hitting, impact, sßglßtna, sprains and firearms it can be used in case of injuries. occurring on the bone surface Due to the damage, there is often a severe pain in the relevant area and the animal they may become unable to meet their daily needs. your patient Prosthetic applications specially made for illegal symptoms can be eliminated. The prosthesis in orthopedic applications is generally surgery to replace a joint that has lost its integrity It is referred to as an implant placed in or on the surface of the bone.
Mevcut teknikte dört ayaklühayvanlarl distal humerus kemiginde meydana gelen önemli kemik defektlerinde, tümöral ya da travmatik, dejeneratif uygulamalarda hasarIZgiderebilmek amaciyla çesitli protezler kullanüîlnaktadlîl Teknikte bilinen uygulamalarda humerus kemiginin anatomik yaplâlIa tam olarak uyum saglayabilen ve kemige farklßçlßrdan kilitlenerek biyomekanik ve statik yüklerin kemik üzerinde oransal dagmlEwIElyaparak hayvanI hareket alanIEgenisIetebiIen bir tam anatomik plaka bulunmamaktadlîl Mevcut teknikte distal humerus plagüliygulanmaslda kullanüân yöntemlerinden biri çapraz pimleme yöntemidir. Çapraz pimleme yönteminde, dirsek eklemi medial ve lateralinden humerus saft istikametine iki veya daha fazla sayIaki ince kirschner pimi ile fiksasyon yapüîlnaya çalgüîmaktadlîl fakat zorunlu belirlenen noktalar giris noktasüolarak her iki yüzeyde de medial ve lateral collateral Iigamentlere denk gelmektedir. AyrlEla, ince ve esnek pim kullanüîlna zorunlulugu nedeni ile fiksasyon uygulamasII ardIdan mutlaka atelleme yapmak gerekmektedir ki atelleme islemi eklem kontraktürüne sebebiyet vermektedir. It occurs in the distal humerus bone of quadrupedal animals in the present technique. In significant bone defects, tumoral or traumatic, degenerative Various prostheses are used to repair the damage in applications. In applications known in the art, the anatomical structure of the humeral bone is fully biomechanical and biomechanical by being able to adapt to the bone and interlocking with the bone animal movement by proportional distribution of static loads on the bone There is no full anatomical plate that can be expanded in the field It is one of the methods used in the application of the distal humerus plate in the current technique. one is the cross pegging method. In the cross pegging method, the elbow joint medial and lateral to the humeral shaft in the direction of two or more Fixation with a thin Kirschner pin is used, but not mandatory. determined points as entry points on both surfaces medial and lateral corresponds to the collateral ligaments. No use of separate, thin and flexible pins Absolute splinting after fixation application due to necessity It is necessary to do this so that the splinting process causes joint contracture. gives.
Teknigin bilinen durumunda distal humerus plagüuygulanmaslda kullanüan yöntemlerden bir digeri düz pimleme yöntemidir. Düz pimleme yönteminde, eklem kapsülü açüiarak radiohumeral eklem yüzeyinde dogrusal olarak humerus saftüiçerisine pim gönderilmektedir. Kullanüâan düz pimleme yöntemi eklem kapsülünün açüîinasla bagIIZI olarak eklem lelEIII bosalmasIa neden olmaktadEl AyrEla, giris pimleme noktasII dogrudan eklem sürtünme yüzeyi olmasIdan dolayElburadaki gerilme faktörlerini absorbe edemeyerek kemik blogu sekilde iç k-Ilar olusmasIa sebebiyet vermektedir. Ilaveten, giris pimleme noktasII cartilage dokuyu delmek suretiyle olusmasIdan kaynaklEI eklem yüzeyinin bozulmasIa sebebiyet vermektedir. In the known state of the art, it is used in the application of the distal humerus plate. Another method is the flat pegging method. In the flat pegging method, By opening the joint capsule, the humerus is formed linearly on the radiohumeral joint surface. A pin is sent to the shaft. The flat pegging method used is the joint cause joint leleIII release due to the opening of the capsule Apart from that, the entry pegging point II is the direct joint friction surface. Bone by being unable to absorb the tensile factors herein The blog somehow causes internal conflicts. In addition, the introduction The pegging point is formed by piercing the cartilage tissue. causes deterioration of the articular surface.
Teknigin bilinen durumunda distal humerus plagüuygulanmaslda kullanlßn yöntemlerden bir digeri de plaka yöntemidir. Plaka yönteminde eklem yüzeyine her ne kadar yakIIasmak istense de tek vida ile leJEI distal fragment yakalanmaya çallSllIlîlnakta ve bu durum distal fragmentin stabil kalmasIEl engellemektedir. In the known state of the technique, it should be used in the application of the distal humerus plate. Another method is the plate method. To the articular surface in the plate method Although it is desired to approximate the leJEI distal fragment with a single screw trying to capture and this situation is to keep the distal fragment stable. hinders.
Günümüzde, yukarIa da bahsedildigi gibi proksimal humerus klEIElarIda birçok cerrahi tedavi yöntemi uygulanmaktadEl Fakat yapüân arastlElnalar sonucunda, dört ayaklIZlhayvanlarI humerus klEIEIarII tedavisinde humerus kemiginin yaptEglZlhareketleri en iyi sekilde simle ederek (gerçegine benzer) hastanI yasam kalitesini arttlîlein ve humerus kemiginin anatomisini taklit edecek sekilde bir dizayna sahip olan tam anatomik polyaxial kilitlemeli distal humerus plagIa iliskin bir sisteme ya da patent müracaatIa rastlanilînamlStlIl Sonuç olarak, teknikte bilinen uygulamalarda humerus kemiginin anatomik yapßlla tam olarak uyum saglayabilen ve kemige farkllîlaçüârdan kilitlenerek biyomekanik ve statik yüklerin kemik üzerinde oransal dagmlEwIElyaparak hayvanI hareket alanIEI genisletebilen bir tam anatomik plaka bulunmamaktadlîl Bulusun AmacEl Bulus, yukarIa belirtilen mevcut teknikte var olan problemleri çözme amaclEIa, dört ayakllîlhayvanlarl distal humerus kemiginin parçalül/eya tekli kEIJImalarIda kemigin sabitlenerek kaynamaslîl saglayan yeni tam anatomik polyaxial kilitlemeli distal humerus plagI gelistirilmesi ile ilgilidir. Today, as mentioned above, many proximal humeral cuffs are present. surgical treatment method is applied, but as a result of the studies, humeral bone in the treatment of quadrupedal animals By simulating the movements in the best way (similar to the real one) you can make your patient increase the quality of life and in a way that mimics the anatomy of the humeral bone Distal humerus plate with fully anatomical polyaxial locking design a system or patent application related to As a result, the anatomical anatomy of the humerus bone in practices known in the art. which can fully adapt to the structure and lock to the bone from different by proportional distribution of biomechanical and static loads on the bone A full anatomical plate that can expand the animal's range of motion not available Invent Purpose In order to solve the problems existing in the above-mentioned existing art, the invention Partial or single bones of the distal humerus bone of quadrupedal animals New fully anatomical polyaxial bone that provides fixation and union of the bone It is related to the development of a locking distal humeral plate.
Bulusun öncelikli amacü dört ayaklühayvanlarl distal humerus kemigi ile uyumlu tam anatomik distal humerus plagükullanarak proksimal humerus klEIJZilarII tedavisinde yasanühn kaynamama, kaynama gecikmesi veya avasküler nekroz komplikasyon 0ranlarIlZlminimuma düsürmek ve polyaxial kilitleme ile hastaya Irtibatlandlîlarak noktasal yük dagl]]lE1II saglanmasIlIl Bulusun amacütam anatomik yaplâlE'sayesinde özellikle humerus distal condyl lateral alanIda en az üç vida ile sabitleme yaparak yük dagUJIEhütlengelenmesi, dirsek eklemi dogrultusunda gelen tüm yükleri tam korteks hizalamasElve dengeli korteks dayanIEîBsayesinde dogrusal iletimi yapabilmektedir. Bu durum vida ve/veya plaka üzerine gelen yüklerin azaltüînasIEtaglamaktadlIl Bulus ile ilgili yaptlân sanal biyomekanik çalismalar, tüm vidalara ve plakanI tüm yüzeyine esit gerilme kuvvetlerine maruz kaIdIgEgörülmüstür. The primary object of the invention is to connect the distal humerus bone of quadrupedal animals. proximal humerus using a compatible full anatomical distal humeral plate In the treatment of kleIJZilarII, nonunion, delayed union or Reducing complications of avascular necrosis to a minimum and polyaxial contacting the patient with locking and providing point load distribution]]lE1II The aim of the invention is especially the distal condyle of the humerus, thanks to its anatomical structures. stabilizing the load distribution by fixing with at least three screws in the lateral area, Full cortex alignment of all loads in the elbow joint Thanks to the balanced cortex strength, it can conduct linear transmission. This situation Reducing the loads on the screw and/or plate related virtual biomechanical studies, all screws and plate It was observed that it was exposed to tensile forces equal to its surface.
Bulusun bir baska amaclÇlkullanElBin yöntem ve tam anatomik polyaxial kilitlemeli distal humerus plagEiIe gerek eklem yapiêlüda gerekse diger sistemik yapUêrI çaIISlma fonksiyonelligine herhangi bir etki ve degisime sebebiyet vermeden, tam yük dagEIJJEîDsaglayan polyaxial kilitlenebilen vida sistemi sayesinde operasyon sonrasEhospitilizasyon süresini kEialtmak ve hayvanlarda eklem kontraktürünü engellemektir. Tüm bunlara bagIlZblarak kas artrofileri de engellenebilmektedir. Özellikle sinir hattIdan uzakta olunmasEblusabiIecek sinir hasarlarII önüne geçmektedir. AyriEla, uygulama ve ameliyat sürelerinin klâlaltüîmaslîltedavi sürelerinin klâlaltüîmasla da önemli bir katkEsagIanmaktadIEl Elde edilen bulus sayesinde, dört ayaklühayvanlarl tüm yürüyüs fazlarIda distal humerus açÜJEhattIa gelen yüklerin tümünün üst fragmanda dagElEnasü ve distal humerus kemiginde meydana gelen parçalüveya tekli klEIJJmalarI bütünlügü daha hlîlEi/e etkili bir sekilde saglanacaktlEl Bulusun DetaylEAçERlamasEl Bu bulusun amacIa ulasmak için, dört ayakIElhayvanlarI distal humerus kemiklerinde herhangi bir nedenle olusan defektlerin rekonstrüksiyonunda kullanUIInak üzere kemik yaplElIa uygun olarak tasarlanan tam anatomik polyaxial kilitlemeli distal humerus plaglZl ve bilesenleri ekli sekillerle gösterilmistir. Another purpose of the invention is to use a thousand methods and full anatomical polyaxial locking. Both articular and other systemic structures with distal humerus plate without causing any effect or change on the working functionality, Operation thanks to the polyaxial locking screw system that ensures the load To shorten the posthospitilization time and prevent joint contracture in animals is to prevent. Due to all these, muscle atrophy can also be prevented. In particular, being away from the nerve line can prevent nerve damage. passes. Separate Ela, application and operation times An important contribution is also made by the extension of their durations. Thanks to the obtained invention, quadrupedal animals can be used in all walking phases. All of the loads coming from the distal humerus angle are located in the upper fragment. and partial or single cleavages occurring in the distal humeral bone its integrity will be more effectively ensured Detailing the Invention To achieve the purpose of this invention, four-legged animals distal humerus in the reconstruction of defects in bones for any reason Fully anatomical designed in accordance with the bone structure for use polyaxial locking distal humerus plaglZl and its components with attached figures shown.
Bu sekillerden; Sekil 1 - Tam anatomik polyaxial kilitlemeli distal humerus plaglîberspektif görünümü Sekil 2 - Tam anatomik polyaxial kilitlemeli distal humerus plaglîlgenel görünümü Sekil 3 - Humerus lateral yüzey açlâlünerspektif görünümü Referans Numaralarü Humerus distal condyler açEl Humeral proses oturma açßllîl Lateral distal condyler açlZl Humerus condyler lateral alan dönüs açlgllîl Medial lateral condyler dönüs açßllîl Humerus condylus-saft geçis açßü Humerus condyler yüzey ventral açEI Polyaxial kilitleme delikleri Bulus, dört ayaklElhayvanlardaki distal humerus çok parçalEklHlglarIda, düzeltici osteotomisinde ve dorsale deplese (yeri degismis) klIIJZllarII desteklenmesi durumlarIda klIIJZl kemiklerin tespiti ve deformasyonunun giderilmesi amaclîla distal humerusun dorsaline polyaxial vidalar ile sabitlenerek kullanman, implant hammaddesinden yapüân, anatomik, polyaxial kilitli “Tam Anatomik Polyaxial Kilitlemeli Distal Humerus PlaglIdEl Kedi ve Köpek gruplarüla birlikte dört ayaklüljiger hayvanlari humerus kemigi düz degil açEIJJZbir yapIadEl Bulus, hayvanlardaki distal humerus açlêlalltlglarll degiskenliklerinden kaynaklü aynlZlzamanda vücut aglElElZllarII %60'II ön kolda tasümasldan ve dik basg açEIEirII yaklasilgl 125° olmasIdan dolayEl distal humerus kemigine gelen yüklenme kuvvetleri ile yürüyüs fazlarIdaki degiskenlikler baska bir uygulama yapIJIlnasIlZImümkün küîlnamaktadlîl Bu nedenle anatomisine uygun bir plak olusturulmasEilçin, humerus kemigi üzerinde yeralan humerus distal condyler açEill), humeral proses oturma açElEllZ), lateral distal condyler açl:[3), humerus condyler lateral alan dönüs açlElEK4), medial lateral condyler dönüs açEIZI(5), humerus lateral yüzey açlEIEl(6), humerus condylus-saft geçis açlElDU) ve humerus condyler yüzey ventral açü(8) degerlerine ihtiyaç duyulmaktadlEl YukarIa bahsedilen hayvan grubunun humerus kemikleri üzerinde laboratuvar çalismalarlîlyapüîlnßl, yine yukarIa bahsi geçen açElve alanlara iliskin minimum ve maksimum ölçüler tespit edilmistir. Elde edilen sonuçlar yine yapEIBm teorik ve pratik uygulamalar ile optimize edilerek tam anatomik polyaxial kilitlemeli distal humerus plagEl üretiminde kullanüîlnlstlîl Bulus için önemli olan açElve alan degerleri su sekildedir; 4,2-5,8° arasElhumerus distal condyler açl:l(1), 2,9-3,9° arasEl humeral proses oturma açlâlüZ), 13,6-18,4 mm arasEIateral distal condyler açIZl mm arasünedial lateral condyler dönüs açlâIIJS), 13,6-18,4 mm arasEhumerus lateral yüzey açlâil:[6), ve 1,5-2,1° humerus condyler yüzey ventral açE(8). Dolaylâllîla tüm bu ortalama ölçüm degerleri dogrultusunda üretilen bulus ile tam anatomik temas yüzeyi elde edilmektedir ve kemik fiksasyonunda tek plan vidalama yerine biyomekanik yük dag-illîleksen dagIJJJEhIda saglayan açl]]l:lvidalar ile kilitlenmektedir. From these figures; Figure 1 - Full anatomical polyaxial locking distal humerus plate view view Figure 2 - Distal humerus plaglil with full anatomical polyaxial locking view Figure 3 - Angular view of the lateral surface of the humerus Reference Numbers Humerus distal condyler openhand Humeral process seating angle Lateral distal condylar opening Humerus condylar lateral area rotation angle Medial lateral condylar turn angulation Humerus condylus-saft passage angle Humerus condylar surface ventral angle Polyaxial locking holes The invention shows that the distal humerus in quadrupedal animals is multipartite, corrective osteotomy and dorsal depleted (displaced) kIIJZllarII support In cases where the bones are fixed and deformation is eliminated, The implant is fixed to the dorsal of the distal humerus with polyaxial screws. made of raw material, anatomical, polyaxial locked “Full Anatomical Polyaxial Locking Distal Humerus PlaglIdEL Humerus bone of quadrupedalgiger animals with Cat and Dog groups not straight openEIJJZa builtHand Invention, distal humerus in animals body pain at the same time due to variability of the body 60% II anterior Due to the leash on the arm and the vertical pressure angleEIEirII approx. 125° The loading forces on the distal humerus bone and the gait phases variances how to make another application possible For this reason, in order to form a plate suitable for its anatomy, it should be placed on the humeral bone. located humerus distal condyler angleEill), humeral process sitting angleElEllZ), lateral distal condylar angle:[3), humerus condylar lateral field rotation angle,4, medial lateral condylar return angle(5), humerus lateral surface angle(6), humerus condylus-saf transition angle(8) and humerus condylar surface ventral angle(8) values of the above-mentioned animal group are needed. laboratory studies on humerus bones, again above Determining the minimum and maximum dimensions of the aforementioned openhand areas. has been made. The obtained results are again done with EIBm's theoretical and practical applications. distal humerus plate with full anatomical polyaxial locking by optimizing OpenElve area values, which are important for the invention, are used in the production of water is in the figure; Elhumerus distal condylar angle between 4.2-5.8°: 1(1), between 2.9-3.9° humeral process seating angle), between 13.6-18.4 mm. mm intersunedial lateral condylar return angle IIJS), 13.6-18,4 mm between Ehumerus lateral surface open:[6), and 1.5-2.1° humeral condylar surface ventral angle(8). So all this average Full anatomical contact surface with the invention produced in line with the measurement values and biomechanical instead of single plane screwing in bone fixation. The load is locked with the angular]]l:lscrews that provide the load dag-illileksen dagIJJJEhI.
HastanI biyomekanik ile statik kuvvetlerinin humerus kemigi üzerindeki dagflîllüîlîlesitsel yapIJIarak kemigin çabuk iyilesmesi, plak uygulamasldan kaynaklüoperasyon sonrasElrahatsElEEllarI önlenmesi ve humerus kemiginin yaptEgEhareketleri en iyi sekilde simle etmesi saglanmaktadEl Bulus, anatomik olarak sekillendirilmis oldugu için hastanI dorsal distal humerus kemigindeki anatomik kavislerle uyumlu olacak sekilde kemige tam oturmaktadüve böylece hastanI anatomisinin gerçek sekline hlîlla dönmesine yardlfhclîiblmaktadEi Sekil 1'deki tam anatomik polyaxial kilitlemeli distal humerus plagElboyunca olan humerus distal condyler açü(1) ve humeral proses oturma açlglEKZ) bulusun distal humerus dorsal kemigin anatomisiyle uyumlu bükümleridir. The effects of the patient's biomechanical and static forces on the humeral bone Fast healing of the bone by the dagflîllüîl lesial structure, the application of plaque Welded post-operation, comfortable, prevention of hands and humeral bone It is provided to simulate the movements in the best way. Since the invention is anatomically shaped, the patient is dorsal distal. fully into the bone to align with the anatomical curves of the humeral bone. sitting heifer thus allowing the patient's anatomy to still return to its true form. yardlfhclîiblktadEi The fully anatomical polyaxial locking distal humerus plag in Figure 1 is along the hand. humerus distal condylar angle(1) and humeral process seating angleLCZ) meet The distal humerus is the bends that are compatible with the anatomy of the dorsal bone.
Sekil 2'deki tam anatomik polyaxial kilitlemeli distal humerus plaglîilizerinde yer alan polyaxial kilitleme delikleri (9), tespit edilen polyaxial vidalar. geçis yolunun humerus boyun anteversiyonuna uyumlu olmasEiçin özel açlêlal delik yapüarlda tasarlanmlgltlîl Polyaxial kilitleme delikleri (9) aracUJIglEIa belli açflârdan gönderilen polyaxial vidalar ile hedef noktalardan geçerek klEIJZl fragman kompresyonu ve/veya tespiti saglanmaktadlîl Bulustaki distal uç ve gövde delikleri, kilitli kortikal vicla ile kilitleme yapflînak istendiginde farkli] açührda kilitleme saglayabilen bir iç konik dairesel mekanizma ile desteklenmistir. Bu mekanizma, kilitli konik vida basEile dairesel olarak tam simetrik formda olup, her yüzeyde en az dört yiv ile kilitlenmektedir. Tam anatomik polyaxial kilitlemeli distal humerus plagI distal humerus eklemine yakI yerleri olan lateral distal condyler açlîi3) ve humerus condyler lateral alan dönüs açEEM) eklem egimiyle uyumlu olacak sekilde üretilmistir. Located in the distal humeral plaglialis with fully anatomical polyaxial locking in Figure 2 polyaxial locking holes (9), fixed polyaxial screws. transition special angled hole to match the humeral neck anteversion Polyaxial locking holes (9) are structurally designed klEIJZl by passing through target points with polyaxial screws sent from angles fragment compression and/or fixation is provided. body holes, different when locking with locking cortical vic] with an inner conical circular mechanism that can provide locking in the open is not supported. This mechanism is fully circularly driven with a locking conical screw base. It has a symmetrical form and is locked with at least four grooves on each surface. Full anatomical polyaxial locking distal humeral plate to distal humeral joint lateral distal condylar acili3) and lateral area of the humerus condylar rotation angleEEM) has been produced to be compatible with the joint inclination.
Sekil 3'deki tam anatomik polyaxial kilitlemeli distal humerus plagüdlîsl yarüi konik formu ile plaka içerisinde açüîlnlg simetrik formu arasIdaki mesafe olan medial lateral condyler dönüs açßllîl(5), humerus lateral yüzey açlâllîl(6) ve humerus condyler yüzey ventralaçl318)plaglyar|31 dairesel hareket yapmasIa izin vermektedir. Humerus condylus-saft geçis açEIEU) ile distal humerus parçalEI klEIJZllarIa uygun hizalama saglanarak fiksasyon yapIJJlnaktadIEl Plaka, korteks temas yüzeyinde hareket eden iç mekanizmanI korteks yüzeyine tasmasIEl engellemek ve böylece plakanI korteks alanIdan uzaklasma egilimini engellemek amacEille plaka alt yüzeyinde 60 derecelik maksimum harekette tam dogrusal yüzey elde edilmistir. Böylece, hem tam anatomik temas yüzeyi saglanmßl, hem kemik fiksasyonunda tek plan vidalama yerine biyomekanik yük dagEIJIEiIEEksen dagEIJIE'iEsaglayan açÜIl/ida ile kilitleme yapülnlglolmaktadîl Fully anatomical polyaxial locking distal humerus plagudlis half in Figure 3 is the distance between the conical form and the symmetrical form of the opening in the plate. medial lateral condylar turn angilli(5), humerus lateral surface aclâllîl(6) and humerus condyler surface ventralacl318)plaglyar|31 circular motion allows. Humerus condylus-saft transition angle (EIEU) and distal humerus fragments Fixation is done by providing proper alignment with the blades. Hand Plate, cortex Leaving the internal mechanism moving on the contact surface onto the cortex surface tends to inhibit and thus move the plate away from the cortex area. In order to prevent the full plate at a maximum movement of 60 degrees on the lower surface, linear surface is obtained. Thus, both the full anatomical contact surface provided, biomechanical load instead of single plane screwing in both bone fixation dgEIJIEiIEEEx axis dagEIJIE locking with opening/ida is being done
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PCT/TR2020/050287 WO2020256672A1 (en) | 2019-06-19 | 2020-04-08 | Fully anatomical poly-axial locking distal humerus plate designed for quadrupeds |
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US11224468B2 (en) * | 2018-03-02 | 2022-01-18 | Globus Medical, Inc. | Distal tibial plating system |
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