summary of the invention
The present invention aims to provide a kind of children's's osteotomy lockplate, solves treatment children's hip deformity, distal femur is lopsided and other adults are by the shortcoming of lockplate during fracture, and that realizes ideal is fixing.
Technical scheme of the present invention is: children's's osteotomy lockplate, on the plate body of strip longitudinally axis have a plurality of bone screw, the front end of this plate body is provided with the head of outward, the width of this head is greater than the width of plate body; On this head longitudinally axis forwardly have guide pinhole, have vertical bone screw at rear portion, and left bone screw and right bone screw are offered respectively in the position that is positioned at the longitudinal axis both sides between guide pinhole and this vertical bone screw; The axis of guide pinhole is parallel with the axis of the axis of left bone screw and right bone screw, and the angle between the axis of guide pinhole and plate body lower surface is the 90-150 degree, and the angle between the axis of the axis of guide pinhole and vertical bone screw is the 0-20 degree.
Have a kind of version to be: described head is provided with the platform parallel with plate body, and described guide pinhole, vertical bone screw, left bone screw and right bone screw all are located on this platform.This structure, in the anatomical structure for the treatment of when hip turns up with femoral supracondylar fracture the children's that more can fit, is improved orthopedic effect, improves fixed property.
In preferred enforcement structure: the inboard of described plate body and head all has the longitudinally arc groove of Axis Extension, and the axis of described left bone screw and the axis of described right bone screw are located at respectively on two different RADIALs of this arc groove cross section.This structure can make plate body and head more press close to the fracture both sides in using state, and consequently three bone screw of head form many crossing on the same levels at patient's femoral trochanteric and fix, and improves the anti-power that cuts out.Whole fixed property and stability are improved.
Children's's osteotomy lockplate of the present invention is by the cranial anatomy configuration design of outward, and the convenient fracture both sides that correctly are placed on treatment children's hip deformity, form correct orthopedic location.Head porous locking design, can realize that good biomechanics distributes at children's's femoral trochanteric, angle stability is provided and improves resistance to plucking and exert oneself, and reaches strong interior fixing effect.By the angle design of the different bone screw of head, can different specifications meet various patients' clinical demand.
The accompanying drawing explanation
The perspective view that Fig. 1 is an embodiment of children's's osteotomy lockplate of the present invention.
Fig. 2 is Fig. 1 embodiment longitudinal profile structural representation that longitudinally axis is made.
The using state reference diagram that Fig. 3 is Fig. 1 embodiment.
The structural representation that Fig. 4 is another embodiment of children's's osteotomy lockplate of the present invention.
Fig. 5 is Fig. 4 embodiment longitudinal profile structural representation that longitudinally axis is made.
The perspective view that Fig. 6 is another embodiment of children's's osteotomy lockplate of the present invention.
Fig. 7 is Fig. 6 embodiment longitudinal profile structural representation that longitudinally axis is made.
The occupation mode reference diagram that Fig. 8 is Fig. 7 embodiment.
The occupation mode reference diagram that Fig. 9 is a kind of distortion of Fig. 8 embodiment.
Figure 10 is grown up with the lockplate longitudinal profile structural representation that longitudinally axis is made for existing.
Figure 11 is that Figure 10 is grown up with the inside structure schematic diagram of lockplate.
The specific embodiment
One, embodiment mono-
The structure of an embodiment of children's's osteotomy lockplate of the present invention, please refer to Fig. 1 and Fig. 2.This children's's osteotomy lockplate is applicable to the treatment hip and turns up and femoral supracondylar fracture, on the plate body 1 of its strip longitudinally axis have three bone screw 6, three bone screw 6 all are the figure of eight, and the first half of each bone screw 6 is that unthreaded hole, latter half are screw.In operation, the doctor can use bone screw or the threaded bone screw of root that root is polished rod as required neatly, guarantees to greatest extent the quality of operation.The inboard of plate body 1 has the groove 11 of Axis Extension longitudinally and offer horizontal shallow slot 12 one between every two adjacent screw hole 6.The front end of this plate body 1 is provided with the head 2 of outward, and the width of this head 2 is greater than the width of plate body 1; This head 2 is provided with the platform parallel with plate body 1.On this platform, longitudinally axis forwardly has guide pinhole 3, has vertical bone screw 5 at rear portion, and left bone screw 41 and right bone screw 42 are offered respectively in the position that is positioned at the longitudinal axis both sides between guide pinhole 3 and this vertical bone screw 5; The axis of guide pinhole 3 is parallel with the axis of right bone screw 42 with the axis of left bone screw 41, and the angle b between the axis of guide pinhole 3 and plate body 1 lower surface is 100 degree, and the angle a between the axis of the axis of guide pinhole 3 and vertical bone screw 5 is 20 degree.The inboard of head 2 has the longitudinally arc groove 21 of Axis Extension, and the axis of the axis of left bone screw 41 and right bone screw 42 is located at respectively on two different RADIALs of these arc groove 21 cross sections.
During use, first at patient's femoral trochanteric 81, insert guide pin, the guide pinhole of the present embodiment head 23 is entangled to this guide pin and makes head 2 be affixed to patient's femoral trochanteric 81, plate body 1 is affixed to the backbone 82 of fracture opposite side.Then, beat corresponding aperture according to the vertical bone screw 5 on head 2 platforms, left bone screw 41 and right bone screw 42 on femoral trochanteric 81, after tapping, select the bone screw 71,72,73 of appropriate length, be screwed into the road locking of the corresponding nail of femoral trochanteric 81 with torsion screwdriver through left bone screw 41, right bone screw 42 and vertical bone screw 5 respectively.Then take out guide pin.Beat corresponding aperture according to three bone screw 6 on plate body 1 on the backbone 82 of fracture opposite side, after tapping, select the bone screw 74,75,76 of appropriate length to lock, be fixed on the backbone 82 of fracture opposite side through bone screw corresponding on plate body 16 respectively, see Fig. 3.
Two, embodiment bis-
The structure of another embodiment of children's's osteotomy lockplate of the present invention is similar to last embodiment, and its yardstick is smaller, is applicable to the minimal invasive operation hip and turns up and femoral supracondylar fracture.Its structure, please refer to Fig. 4 and Fig. 5.This children's's osteotomy lockplate, on the plate body 10 of strip longitudinally axis have 60, two bone screw 60 of two bone screw and all be the figure of eight, the first half of each bone screw 60 is that unthreaded hole, latter half are screw.In operation, the doctor can use bone screw or the threaded bone screw of root that root is polished rod as required neatly, guarantees to greatest extent the quality of operation.The inboard of plate body 10 has the groove 110 of Axis Extension longitudinally and offer horizontal shallow slot 120 one between two screw hole 60.The front end of this plate body 10 is provided with the head 20 of outward, and the width of this head 20 is greater than the width of plate body 10; This head 20 is provided with the platform parallel with plate body 10.On this platform, longitudinally axis forwardly has guide pinhole 30, has vertical bone screw 50 at rear portion, and left bone screw 410 and right bone screw 420 are offered respectively in the position that is positioned at the longitudinal axis both sides between guide pinhole 30 and this vertical bone screw 50; The aperture of guide pinhole 30 and this vertical bone screw 50 quite and all is greater than the aperture of left bone screw 410 and right bone screw 420.The axis of guide pinhole 3 is parallel with the axis of right bone screw 42 with the axis of left bone screw 41, angle b1 between the axis of guide pinhole 30 and plate body 10 lower surfaces is 120 degree, and the angle a1 between the axis of the axis of guide pinhole 30 and vertical bone screw 50 is 20 degree.The inboard of head 20 has the longitudinally arc groove 210 of Axis Extension, and the axis of the axis of left bone screw 410 and right bone screw 420 is located at respectively on two different RADIALs of these arc groove 210 cross sections.
The occupation mode of the present embodiment is identical with last embodiment.
Three, embodiment tri-
The structure of the 3rd embodiment of children's's osteotomy lockplate of the present invention, please refer to Fig. 6 and Fig. 7.This children's's osteotomy lockplate is applicable to turning over and Methods for Distal Femoral Fractures in the treatment hip, on the plate body 100 of its strip longitudinally axis have four bone screw 600, four bone screw 600 all are the figure of eight, and the first half of each bone screw 600 is that unthreaded hole, latter half are screw.The inboard of plate body 100 has the groove 1100 of Axis Extension longitudinally and offer horizontal shallow slot 1,200 one between every two adjacent screw hole 600.The front end of this plate body 100 is provided with the head 200 of outward, and the width of this head 200 is greater than the width of plate body 100; On this head 200 longitudinally axis forwardly have guide pinhole 300, have vertical bone screw 500 at rear portion, and left bone screw 4100 and right bone screw 4200 are offered respectively in the position that is positioned at the longitudinal axis both sides between guide pinhole 300 and this vertical bone screw 500; The axis of guide pinhole 300 is parallel with the axis of right bone screw 4200 with the axis of left bone screw 4100, angle b0 between the axis of guide pinhole 300 and plate body 100 lower surfaces is 110 degree (also can be 90 degree), the axis of guide pinhole 300 is parallel with the axis of vertical bone screw 500, and angle a2 between the two is 0 degree.The inboard of head 200 has the longitudinally arc groove 210 of Axis Extension, and the axis of the axis of left bone screw 4100 and right bone screw 4200 is located at respectively on two different RADIALs of these arc groove 2100 cross sections.
The using state of the present embodiment, please refer to Fig. 8.The head 200 of the present embodiment is affixed to patient's femoral trochanteric 8100, and plate body 100 is affixed to the backbone 8200 of fracture opposite side.The bone screw 7100,7200,7300 of three appropriate length is screwed into corresponding nail road locking on femoral trochanteric 8100 through left bone screw 4100, right bone screw 4200 and vertical bone screw 500 of head 200 respectively.The bone screw 7400,7500,7600 of three appropriate length is locked, is fixed on the backbone 8200 of fracture opposite side through the bone screw 600 of three correspondences in rear portion on plate body 100 respectively.
Four, embodiment tetra-
The 4th embodiment of children's's osteotomy lockplate of the present invention is applicable to turning over and Methods for Distal Femoral Fractures in the treatment hip, and the 4th embodiment is the distortion of the 3rd embodiment, their structural similarity, just discrete structure parameter difference.Please refer to Fig. 9:
On the plate body 1001 of strip longitudinally axis have three bone screw.The inboard of plate body 1001 has the groove of Axis Extension longitudinally and offer horizontal shallow slot one between every two adjacent screw hole.The front end of this plate body 1001 is provided with the head 2001 of outward, and the width of this head 2001 is greater than the width of plate body 1001; On this head 2001 longitudinally axis forwardly have guide pinhole, have vertical bone screw at rear portion, and left bone screw and right bone screw are offered respectively in the position that is positioned at the longitudinal axis both sides between guide pinhole and this vertical bone screw; The axis of guide pinhole is parallel with the axis of the axis of left bone screw and right bone screw, and the angle between the axis of guide pinhole and plate body 1001 lower surfaces is 150 degree, and the angle between the axis of the axis of guide pinhole and vertical bone screw is 20 degree.The inboard of head 2001 has the longitudinally arc groove of Axis Extension, and the axis of left bone screw and the axis of right bone screw are located at respectively on two different RADIALs of this arc groove cross section.
While using the present embodiment, head 2001 is affixed to patient's femoral trochanteric 8101, and plate body 1001 is affixed to the backbone 8201 of fracture opposite side.The bone screw 7001 of three appropriate length, 7002(are not shown), 7003 respectively through the left bone screw of head 2001, right bone screw and vertically bone screw be screwed into corresponding nail road locking on femoral trochanteric 8101.The bone screw 7004,7005,7006 of three appropriate length is locked, is fixed on the backbone 8201 of fracture opposite side through bone screw corresponding on plate body 1001 respectively.
The above, be only preferred embodiment of the present invention, with this, do not limit scope of the invention process, and the equivalence of doing according to technical scheme of the present invention and description changes and modifies, and all should belong to the scope that the present invention is contained.