M282644 八、新型說明： 【新型所屬之技術領域】 骨釘有關於—種「骨折之固^器結構」，其骨板與 調整槽道與角度套之卡榫及具各種角度 ，導螺孔相互搭町所形成—可财向式的設計，俾可容 岭骨釘依患者密緻骨之所在，以最佳角度鎖人，且可以較 从圍調整骨釘鎖人位置，令手術者於手術過程中更為順 h且骨釘係可完全順角度套之導螺孔角度向骨板兩端外 側斜向鎖人骨質中而達手術者無骨釘貫穿關節之虞及骨釘 可避開粉碎區域或骨質疏鬆區者。 【先前技術】 按，一般醫界針對長骨斷裂或錯開等骨骼折損時所使 用傳統式具骨板（11)及骨釘（丨2)之固定器（10，如第一圖所 示），大多利用骨釘（12)與骨板（11)之螺孔（111)相互鎖設 之設計以固定在骨面上產生磨擦力來提供穩定度，然，面 •對日益增多的骨質疏鬆骨折及粉碎性骨折，此傳統式固定 器之互鎖結構在手術中仍存有即大之困難度，因骨釘（12) 僅能依螺孔（111)内固定槽紋的角度鎖入，以致骨釘（12)貫 '穿關節面的風險，且一旦螺孔（111)下方恰位於骨頭之粉碎 區域或嚴重骨質疏鬆區，則須刻意扳動骨釘（12)之傾斜角 度以避開粉碎區域或嚴重骨質疏鬆區，令鑽孔及鎖入的過 程中，造成目視及手動的自然誤差，同時，雖骨釘（丨2)在 固定螺孔（111)環境下偏折1〇度以内仍可提供可接受的穩 定度，然強行鎖入的結果，所造成螺孔（111)與螺頭（121) 5 M282644 之破壞，將無法旋回再使用者。 •—本創作人有鑑於上述習式之缺失，乃思及創作的意 念，經多方探討並試作樣品試驗，及多次修正改良，乃推 出本創作使固疋器可於骨板之單一樞孔内提供多方向及多 角度鎖入並朝模組化概念設計，以簡化製造及手術流程者。 【新型内容】 本創作之主要目的，乃在提供一種骨折之固定器結 籲構，其骨板與骨釘間利用樞孔之調整槽道與角度套之卡棒 及，各種角度之導螺孔相互搭配下，令該固定器可於骨板 .之單一樞孔内提供多方向及多角度鎖入以形成一可調方向 式的没計，俾可容許骨釘依患者密緻骨之所在，以最佳角 度鎖入，且可以較大範圍調整骨釘鎖入位置，令手術者於 手術過程中更為順利者。 ' 本創作之次要目的，乃在提供一種骨折之固定器結 構，其利用角度套具有各角度之導螺孔以供骨釘可順導螺 •孔之角度穿過骨板以固定兩斷骨，俾使手術者無骨釘貫穿 關節之虞及骨釘可避開粉碎區域或嚴重骨質疏鬆區者。' 本創作之另一目的，乃在提供一種骨折之固定器結 •構，其角度套套合於骨板之樞孔後，除利用卡榫受調整槽 道之擋卡而將導螺孔之方向固定住外，角度套之擋座亦^ 時抵靠於樞孔之擋止環，促使角度套可與骨板緊密接合且 不受外力影響而鬆脫，以達最佳狀態者。 本創作之又一目的，乃在提供一種骨折之固定器結 構，其骨板與骨釘間利用具導螺孔之角度套設計，僅須生 6 M282644 產各式不同角度之角度套，即可供手術者選取適合之角度 • 套進行手術，而無須更換骨板，進而降低材料成本及使用 上更為簡易、輕鬆者。 【實施方式】 餘下兹配合圖式，詳細說明本創作之最佳實施例如后： 如第二圖所示係為本創作之立體分解圖，其骨板（30) 之表面等距貫設若干圓階狀樞孔（31)而形成一擋止環 • (311)，於樞孔（31)之一側外圍環設若千相對應之調整槽道 (32) ’並設若干呈圓階狀具擋座（41)之角度套（4〇)與樞孔 (31) 相樞容套合而抵靠於播止環（311)，於角度套（4〇)之一 端面凸設有相對應呈倒鉤狀之卡榫（42)恰鉤卡於調整槽道 (32) 而擋止定位並使角度套（4〇)可與骨板（30)緊密接合， 且每一角度套（40)之中心均貫設一導螺孔（43)與骨釘（50) 之鎖頭（51)相配合鎖設，該導螺孔（43)係可設為直向螺孔 (431)或具各種角度之斜向螺孔（432)者。 馨 第三圖所示係為本創作依密緻骨之所在而使每一骨釘 可順每一角度套之導螺孔以最佳角度鎖入骨頭之狀態剖面 '圖，其藉由每一角度套（40)之導螺孔（43)分別形成直向螺 -孔（431)及各種角度之斜向螺孔（432)以供手術者可依骨折 處（21)兩斷骨之骨質狀態選取適合之角度套（4〇)，並依每 一骨釘（50)欲傾斜之角度而將每一角度套（40)柩套入骨板 (30)之樞孔（31)内並配合骨板（30)之調整槽道（32)調整角 度套（40)之導螺孔（43)方向，使卡榫（42)恰與調整槽道（32) 相對即可施力將角度套（4 0 )推擠入樞孔（31)内，使角度套 7 M282644 (40)之卡榫（42)受調整槽道（32)之擋卡而將導螺孔（43)之 - 方向固定住，此時，骨釘（50)即可順角度套（40)之導螺孔 (43)方向鎖設入骨頭（2〇)内（如角度套40之導螺孔43為直 向螺孔431則可直接將角度套順樞孔31樞置入，骨針 50即可順直向螺孔431呈直向植入骨頭20内，請參考第四 圖所示；當骨折處21兩側之骨釘50須相對提供向中心之 壓力時，則可取用為斜向螺孔432之導螺孔43的角度套4〇 呈斜向角度相對組設於骨板31之樞孔31内以供骨釘50可 φ 順斜向螺孔432之角度順勢植入骨頭20内，同時可利用骨 釘50之傾斜角度避開骨頭2〇之疏鬆處22，請參考第五圖 •及第六圖所示），促使骨板（30)與骨釘（50)間利用樞孔（31) 之調整槽道（32)與角度套（40)之卡榫（42)及具各種角度之 導螺孔（43)之相互搭配形成一可調方向式的設計，俾可容 許骨釘（50)可依患者密緻骨之所在，以最佳角度鎖入，且 可以較大範圍調整骨釘（50)鎖入位置，令手術者於手術過 程中更為順利’同時利用角度套（4〇)具有各角度之導螺孔 φ (43)供骨釘（50)可順導螺孔（43)之角度穿過骨板（3〇)以固 定兩斷骨外，並且向骨板（30)兩端外側斜向鎖入骨質中而 -達手術者無骨釘貫穿關節之虞及骨釘可避開粉碎區域或嚴 .重骨質疏鬆區者。 表 T、上所述，本創作確貫已經達於突破性之結構，而具 改良之創作内容，同時又能夠達到產業上利用性與進步 性，且本創作未見之於任何刊物，亦具新穎性，當符合專 利法第九十三條、第九十四條之規定，爰依法提出新型專 利申請，懇請鈎局審查委員授予合法專利權，至為感禱。 唯以上所述者，僅為本創作之一可行實施例而已，當 8 M282644 ，·即大凡依本創作申請專 皆應仍屬本創作專利涵蓋 不能以之限定本創作實施之範圍 利範圍所作之均等變化與修飾， 之範圍内。 【圖式簡單說明】 ，一圖·係為傳統式之固定器立體分解圖。 第二圖··係為本創作之立體分解圖。 第二圖·係為本創作依密緻骨之所在而使每一骨釘可 順每一角度套之導螺孔以最佳角度鎖入骨 之狀態剖面圖。 第四圖·係為本創作之骨釘順角度套之導螺孔呈直向 角度鎖入之局部放大剖面圖。 第五圖·係為本創作之骨釘順角度套之導螺孔呈—傾 斜角度鎖入之局部放大剖面圖一。 第六圖：係為本創作之骨釘順角度套之導螺孔呈一傾 斜角度鎖入之局部放大剖面圖二。 【主要元件符號說明】 20…· ••骨頭 2l···· • ••月折處 22…· ••疏鬆處 30…· …骨板 3l···· ••才S孔 311- …·擋止環 32…. ••調整槽道 41 — …擋座 40…· ••角度套 42…· …卡榫 43…· ••導螺孔 431" …·直向螺孔 432" 51…. …·斜向螺孔 ••鎖頭 50…· ••骨釘M282644 VIII. Description of the new type: [Technical field to which the new type belongs] The bone nail is related to-a "fracture fixture structure", the bone plate and the adjusting tongue of the channel and the angle sleeve are at various angles, and the guide screw holes are mutually Formed by the combination of towns and towns—a financially-oriented design, which can hold the ridge bone nails according to the dense bones of the patient, lock people at the optimal angle, and adjust the position of the bone nail locks from around the perimeter. In the process, it is more smooth and the bone screw system can completely follow the angle of the guide screw hole of the angle sleeve to the outside of the two ends of the bone plate and obliquely lock into the bone, so that the surgeon can pass through the joint without the nail and the bone nail can avoid the crushed area. Or those with osteoporosis. [Previous technology] According to the traditional medical fixtures (10, as shown in the first figure) with traditional bone plates (11) and bone screws (丨 2) used for bone fracture such as long bone fracture or staggering, Mostly, the design of the interlocking of the screw holes (111) of the bone nail (12) and the bone plate (11) is used to fix the bone surface to generate friction to provide stability. However, the surface • For increasing osteoporotic fractures and For comminuted fractures, the interlocking structure of this traditional fixture still has great difficulty during surgery, because the bone nail (12) can only be locked in according to the angle of the groove in the screw hole (111), resulting in bone The risk of the nail (12) penetrating the articular surface, and once the screw hole (111) is located in the pulverized area or severe osteoporosis area of the bone, the inclination of the bone screw (12) must be deliberately avoided to avoid the pulverized area Or severe osteoporosis area, during the drilling and locking process, visual and manual natural errors are caused. At the same time, the bone nail (丨 2) can be deflected within 10 degrees in the environment of the fixed screw hole (111). Provides acceptable stability, but results in forced locking, resulting in screw holes (111) and Head (121) 5 M282644 of damage, the user will not cycle again. • —In view of the lack of the above-mentioned habits, the creator is thinking about the idea of creation. After many discussions and trial samples, and multiple corrections and improvements, he has introduced this creation so that the anchor can be used in a single pivot hole of the bone plate. Provide multi-directional and multi-angle locking and modular concept design to simplify manufacturing and surgical procedures. [New content] The main purpose of this creation is to provide a fracture fixator structure, which uses a pivot hole to adjust the channel between the bone plate and the bone nail, and an angle sleeve and a guide screw hole at various angles. With each other, the fixer can be locked in multiple directions and angles in a single pivot hole of the bone plate to form an adjustable directional mechanism. It can allow the bone nails to conform to the dense bone of the patient. It is locked at the optimal angle, and the locking position of the bone nail can be adjusted in a wide range, so that the operator is more smooth during the operation. '' The secondary purpose of this creation is to provide a fixture structure for fractures, which uses angle sleeves with screw holes at various angles so that the nail can be guided through the screw plate through the angle of the hole to fix the two broken bones. In order to avoid the possibility of the nails penetrating the joints and the bone nails can avoid the crushed area or severe osteoporosis area. '' Another purpose of this creation is to provide a fracture fixator structure, the angle of which is sleeved on the pivot hole of the bone plate, in addition to using the tenon to adjust the channel's blocking card to guide the direction of the guide screw hole When it is fixed outside, the stopper of the angle sleeve is also abutted against the stop ring of the pivot hole, so that the angle sleeve can be tightly engaged with the bone plate and released without being affected by external forces, so as to achieve the best condition. Another purpose of this creation is to provide a fracture fixation structure. The angle sleeve with guide screw holes is used between the bone plate and the bone nail. It only needs to produce 6 M282644 angle sleeves with different angles. For the operator to choose a suitable angle • Set for surgery without replacing the bone plate, thereby reducing material costs and making it easier and easier to use. [Embodiment] The following is a detailed description of the best example of this creation in conjunction with the drawings: As shown in the second figure, it is a three-dimensional exploded view of this creation. The surface of the bone plate (30) is equidistantly arranged with several circles. Stepped pivot hole (31) to form a stop ring • (311), the peripheral ring on one side of the pivot hole (31) is provided with thousands of corresponding adjustment channels (32) 'and a number of round stepped stops The angle sleeve (40) of the seat (41) is pivotally fitted with the pivot hole (31) and abuts against the stop ring (311). One end surface of the angle sleeve (40) is convex and correspondingly inverted. The hook-shaped tenon (42) is just hooked on the adjustment channel (32) to stop the positioning and allow the angle sleeve (40) to be tightly engaged with the bone plate (30), and the center of each angle sleeve (40) A guide screw hole (43) and a lock head (51) of a bone screw (50) are arranged in cooperation with each other, and the guide screw hole (43) can be set as a straight screw hole (431) or with various angles. Those with oblique screw holes (432). The third picture of Xin is a cross-sectional view of the state where each bone nail can be locked into the bone at the optimal angle along the guide screw hole of each angle sleeve according to the location of the dense bone. The guide screw holes (43) of the angle sleeve (40) form straight screw holes (431) and oblique screw holes (432) of various angles, respectively, so that the operator can follow the bone state of the two broken bones at the fracture site (21). Select a suitable angle sleeve (40), and insert each angle sleeve (40) into the pivot hole (31) of the bone plate (30) according to the angle of each bone nail (50) to be tilted and cooperate with the bone plate (30) the adjustment channel (32) adjusts the direction of the guide screw hole (43) of the angle sleeve (40), so that the tenon (42) is just opposite the adjustment groove (32), and the angle sleeve (4 0 ) Push into the pivot hole (31), so that the tenon (42) of the angle sleeve 7 M282644 (40) is blocked by the adjustment channel (32), and the-direction of the guide screw hole (43) is fixed. At this time, the bone screw (50) can be locked into the bone (20) in the direction of the guide screw hole (43) of the angle sleeve (40) (for example, if the guide screw hole 43 of the angle sleeve 40 is a straight screw hole 431) The angle sleeve is directly inserted into the pivot hole 31, and the bone needle 50 is sufficient. The straight screw hole 431 is implanted into the bone 20 in a straight direction, please refer to the fourth figure; when the bone screws 50 on both sides of the fracture 21 must provide relative pressure to the center, it can be used as an oblique screw hole 432 The angle sleeve 40 of the guide screw hole 43 has an oblique angle and is relatively arranged in the pivot hole 31 of the bone plate 31 so that the bone screw 50 can be implanted into the bone 20 at an angle of φ obliquely inclined screw hole 432, and at the same time, The inclination angle of the bone screw 50 is used to avoid the looseness 22 of the bone 20 (refer to the fifth and the sixth figures), and the pivot hole (31) is promoted between the bone plate (30) and the bone screw (50). The adjustment channel (32), the tenon (42) of the angle sleeve (40), and the guide screw hole (43) with various angles are matched with each other to form an adjustable direction design, which allows the bone nail (50) It can be locked at the optimal angle according to the dense bone of the patient, and the locking position of the bone nail (50) can be adjusted in a wide range, so that the operator can use the angle sleeve (4〇) more smoothly during the operation. The screw holes φ (43) with various angles for the bone screw (50) can pass through the angle of the screw holes (43) through the bone plate (30) to fix the two broken bones and to the bone plate. 30) the outer ends of the diagonal is locked into the bone - da operator without danger of the pegs through joint and bone screws can avoid crushing zone or region by severe osteoporosis. As shown in Table T and above, this creation has consistently reached a breakthrough structure, with improved creative content, and at the same time, it can achieve industrial applicability and progress, and this creation has not been seen in any publications. Novelty, when it meets the requirements of Articles 93 and 94 of the Patent Law, and submits a new patent application in accordance with the law, it is imperative that the examination committee members be granted legal patent rights. Only the above is only one of the feasible embodiments of this creation. When 8 M282644, that is, all those who apply for this creation should still be within the scope of this creation patent and cannot limit the scope of the implementation of this creation. Within the scope of equal changes and modifications. [Brief description of the drawing], a picture is a three-dimensional exploded view of the traditional fixture. FIG ·· second exploded perspective view of the present system Creation. The second picture is a cross-sectional view of the state where each bone nail can be locked into the bone at the optimal angle along the guide screw hole of each angle sleeve according to the location of the dense bone. The fourth picture is a partially enlarged cross-sectional view of the screw hole of the angled sleeve of the creation of the creation of the nail screw at a straight angle. The fifth figure is a partial enlarged cross-sectional view of the screw holes of the angled sleeve of the creation of the creation. Figure 6: Partial enlarged cross-section view 2 of the screw hole of the angled sleeve of the bone nail locked at an oblique angle. [Description of Symbols of Main Components] 20… · •• Bone 2l · ··· ••• Moon Fold 22… • •• Loose 30… ·… Bone Plate 3l · ··· •• S Hole 311-… · Stop ring 32…. •• Adjusting channel 41 —… Receiving seat 40… ••• Angle sleeve 42… ·… Match 43… ••• Guide screw hole 431 "… · Straight screw hole 432 " 51…. … · Oblique screw holes •• Lock head 50… · •• Bone nails