CN1819799A - 骨板 - Google Patents

骨板 Download PDF

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CN1819799A
CN1819799A CNA038269546A CN03826954A CN1819799A CN 1819799 A CN1819799 A CN 1819799A CN A038269546 A CNA038269546 A CN A038269546A CN 03826954 A CN03826954 A CN 03826954A CN 1819799 A CN1819799 A CN 1819799A
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CN1819799B (zh
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R·施奈德
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AO Technology AG
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Synthes AG Chur
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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
    • A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • 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
    • 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
    • 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
    • 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
    • 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
    • A61B17/8057—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 the interlocking form comprising a thread
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/28—Bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14—Macromolecular materials
    • A61L27/18—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/06—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2430/00—Materials or treatment for tissue regeneration
    • A61L2430/02—Materials or treatment for tissue regeneration for reconstruction of bones; weight-bearing implants

Abstract

一种骨板(1)，具有一个在骨侧的底面(2)、一个顶面(8)以及多个使底面(2)与顶面(8)连接的板孔(3)，这些板孔具有一个中心的孔轴线(5)。至少一个板孔(3)具有一个向着底面(2)逐渐缩小的内表面(4)，其中，所述内表面(4)具有N≥3个凹槽(6)，这些凹槽径向离开孔轴线(5)延伸。

Description

骨板
技术领域
本发明涉及一种如按照权利要求1前序部分所述的骨板。
背景技术
这种骨板适用于整个骨骼的适应症。但是特别有意义的是，用于外科手术的骨折处理的常见的大、小碎片适应症。
由DE-A 198 32 513已知一种此类的骨板。在这个已知的装置中，接骨螺钉相对骨板的偏角以及角度稳定的固定通过一个设置在螺钉头和板孔之间的环实现。这种结构的一个缺点是，一方面附加零件(环)带来更昂贵的制造费用，存在小环从板孔中脱落或从板孔中被挤出来的危险，由此使装置变得不能使用；另一方面，更费事的操作技术，因为环在将螺钉插入之前必须相应地定位轴线。
发明内容
在此本发明要提供救济。本发明的目的是，提供一种骨板，该骨板能够无需附加的构件地稳定和轴线稳定地安装常见的端头锁止螺钉角度。
这个目的按照本发明通过权利要求1的特征得以实现。
本发明的一个优点主要是，由于按照本发明的骨板使一个骨螺钉也能够以一个偏离给定(通常与骨板平面垂直)的孔轴线的角度置入，并且锁止在这个位置上，而不会像已知装置那样由此显著地损害稳定性。
由于在板孔的内表面中有至少三个凹槽，因此即使对于螺钉头的倾斜位置也存在用于螺钉头的定心的定位面(Auflager)，其导致一个均匀的负荷分布。对于具有端头螺纹的骨螺钉和具有内螺纹的板孔，当螺钉处于倾斜位置时该端头螺纹也能够“跳过”板孔中的由凹槽中断的螺纹线，而不会与它们“相交”。
按照本发明的骨板的另一优点在于这种可能性，即利用板孔中的至少三个凹槽来引导钻套或导套，通过它们在安装时可以导引接骨螺钉。在此，钻套或导套就不再要像现有技术那样旋进在板孔里面，而是由于凹槽只能插进板孔里面，由此以一种简单的方法产生孔轴线的中心和方向。为此，插入的钻套或导套只需在其尖端具有与板孔几何形状相负(negativ)的形状，而无需任何螺纹或其他类似螺纹的结构。必要时也可以使一个卡紧机构与其连接。
在从属权利要求中表征本发明其它有利的扩展结构。
在一个特殊的实施例中，板孔的内表面配有一种三维的结构。它用来引导一个相应结构的端头螺钉。该三维结构是肉眼可见的并且最好由部分或完整的螺纹线、肋或凸起组成。该内表面也可以有多头的螺纹。
在此，由N个凹槽构成的N个“孔边(Offnungsschenkel)”的表面几何形状以有利的方式这样构成，使得有利于与待安置的接骨螺钉的相容性。它可以是传统的螺旋形螺纹、带有或没有升程的类似螺纹的形状或者只是一定数量的槽或肋，或者带有或没有升程的准螺纹。槽或肋的数量最好总是奇数(例如3、5、7或9)。
该内表面可以凹入地、最好是球形地、锥形地或椭球形地构成。这个形状有助于这样导入接骨螺钉，使得在接骨螺钉第一次与内表面接触时接骨螺钉被自动地拉进板孔中，而无需预先通过骨板将挤压力施加于骨骼上，就像在按照现有技术的装置中局部是这种情况。
在另一实施例中，至少一个所述板孔由一个长孔构成。
N个凹槽从中心轴线看分别以360°/N的间距设置。这些凹槽有利地具有一个至少1°且至最多119°的外围延展。在此，这N个凹槽将内表面分成N个表面段。
在一个特殊的实施例中，这些凹槽仅仅在内表面区域内延伸。在另一个实施例中，这些凹槽径向离开孔轴线在内表面上延伸。
这些凹槽可以从顶面圆柱形地或锥形地延伸直至底面。由此得到的优点是，用于固定钻套的这些凹槽可以被应用于预钻孔或用于插入基尔希纳钢丝。因此不必再将钻套旋进板孔里面，而是只需要插入，而在此不会损坏螺钉定位面。
这些凹槽可以在骨板的整个高度上从顶面延伸直至底面。
该骨板可以由钢或钛制成或者也可以由塑料制成。对于塑料板，它们优选由聚丙烯酸醚酮(PEAK)或聚醚醚酮(PEEK)制成并具有40-70％的断裂伸长率和3000-6000N/mm2的弹性模量。但是也可以使用断裂伸长率为80-120％和弹性模量为2000-3500N/mm2的聚砜。此外，断裂伸长率为1.5-2.5％和弹性模量为5000-20000N/mm2的液晶聚合物(LCP)也很合适。最后也可以使用断裂伸长率为10-50％和弹性模量为2000-3500N/mm2的聚甲醛(POM)以及断裂伸长率为0.2-1.0％和弹性模量为12000-20000N/mm2的聚苯硫醚(PPS)。
由塑料制成的骨板也可以通过金属纤维、塑料纤维或碳素纤维强化。
各种各样的接骨螺钉都可以和骨板一起使用。例如那些具有凸起、尤其是球形或锥形端头部分的螺钉。接骨螺钉的端头部分也可以具有三维结构。在一个特殊的实施例中，接骨螺钉的端头部分由比骨板的内表面更硬的材料制成。该骨板的内表面以及接骨螺钉的端头部分最好具有相互匹配的螺纹。
在塑料板的实施例中，所述板孔也可以构成为由金属的螺纹嵌件。相反，对于金属的骨板，所述板孔构成为聚合物的螺纹嵌件。
附图说明
下面借助于多个实施例的局部示意图详细描述本发明。附图中：
图1以纵向截面图示出一个具有锥形板孔的骨板；
图2以纵向截面图示出一个具有球形板孔的骨板；
图3以俯视图示出一个在板孔内表面中具有3个凹槽的骨板；
图4示出按照图3的骨板的一个变型，其中在板孔的内表面中具有更大的凹槽；
图5以俯视图示出一个具有螺纹嵌件的骨板，其中在椭圆形构成的板孔的内表面中具有4个凹槽；
图6以从上面看去的立体图示出按照图1的骨板，它带有已安装的接骨螺钉；
图7以从下面看去的立体图示出按照图1的骨板，它带有已安装的接骨螺钉；
图8以纵向截面图示出一个骨板，它具有已安装在其中的没有偏角的接骨螺钉；
图9以纵向截面图示出一个骨板，它具有已安装在其中的具有偏角的接骨螺钉。
具体实施方式
在图1和图3中示出的骨板1具有一个在骨侧的底面2、一个顶面8和多个使底面2与顶面8连接的板孔3，这些板孔3具有一中心的孔轴线5。所述板孔3具有一个朝底面2逐渐缩小的内表面4。此外，该内表面4具有三个径向离开孔轴线5延伸的凹槽6，它们以120°的间距均布。它们的外围延展大约为40°，并且它们仅仅在内表面4区域内延伸。所述凹槽6在骨板1的整个高度上锥形地从顶面8延伸直至底面2。另外，该内表面4配有一个螺纹形式的三维结构7。
在图4中示出按照图3的实施例的一个变型，其中所述凹槽径向离开孔轴线在内表面区域上延伸。
在图2和图5中示出另一可选择的实施例，其中所述板孔3构成为长孔。该骨板主要由一种塑料(PEEK)制成，它具有嵌入到塑料中的由金属钛制成的螺纹嵌件9，其构成板孔3。在这个实施例中，所述板孔3具有四个凹槽6，它们径向离开孔轴线5在内表面4区域上延伸。该内表面4被分为四个表面段。所述凹槽在骨板1的整个高度上锥形地从顶面8延伸直至底面2。此外，该内表面4配有一个多头螺纹形式的三维结构7。这个实施例也可以在材料方面反过来，即骨板主要由金属(钛)制成，在其中嵌有由塑料(PEEK)制成的螺纹嵌件9，其构成板孔3。
在图6中示出按照图1的骨板，它带有从上面安装的接骨螺钉10，其端头部分11球形地构成。图7示出从下面看去的同一骨板。
在图8中示出一个骨板1，它带有安装在其中的无偏角的接骨螺钉10。该骨板1的板孔的内表面4与接骨螺钉10的端头部分11具有相互匹配的螺纹13。
在图9中示出与图8所示相同的一个变型，但是该接骨螺钉10具有偏角。
权利要求书
(按照条约第19条的修改)
1.一种骨板(1)，具有一个在骨侧的底面(2)、一个顶面(8)以及多个使底面(2)与顶面(8)连接的板孔(3)，这些板孔具有一个中心的孔轴线(5)，其中至少一个板孔(3)具有一个向着底面(2)逐渐缩小的内表面(4)，其特征在于，
A)所述内表面(4)具有N≥3个凹槽(6)，这些凹槽径向离开孔轴线(5)延伸；和
B)所述内表面(4)还配有一个三维结构(7)。
2.如权利要求1所述的骨板(1)，其特征在于，所述内表面(4)凹入地构成。
3.如权利要求2所述的骨板(1)，其特征在于，所述内表面(4)球形地、锥形地或椭球形地构成。
4.如权利要求1至3中任一项所述的骨板(1)，其特征在于，其中至少一个板孔(3)构成为长孔。
5.如权利要求1至4中任一项所述的骨板(1)，其特征在于，所述三维结构是肉眼可见的并且最好由部分或完整的螺纹线、肋或凸起组成。
6.如权利要求1至5中任一项所述的骨板(1)，其特征在于，所述N个凹槽(6)从中心轴线(5)看以一个360°/N的间距设置。
7.如权利要求1至6中任一项所述的骨板(1)，其特征在于，所述凹槽(6)具有一个至少1°的外围延展。
8.如权利要求1至7中任一项所述的骨板(1)，其特征在于，所述凹槽(6)具有一个最大119°的外围延展。
9.如权利要求1至8中任一项所述的骨板(1)，其特征在于，所述凹槽(6)仅仅在内表面(4)区域内延伸。
10.如权利要求1至9中任一项所述的骨板(1)，其特征在于，所述凹槽(6)径向离开孔轴线(5)在内表面(4)区域上延伸。
11.如权利要求1至10中任一项所述的骨板(1)，其特征在于，所述N个凹槽(6)将内表面(4)分成N个表面段。
12.如权利要求1至11中任一项所述的骨板(1)，其特征在于，所述凹槽(6)从顶面(8)圆柱形或锥形地延伸直至底面(2)。

Claims (31)

1.一种骨板(1)，具有一个在骨侧的底面(2)、一个顶面(8)以及多个使底面(2)与顶面(8)连接的板孔(3)，这些板孔具有一个中心的孔轴线(5)，其中至少一个板孔(3)具有一个朝底面(2)逐渐缩小的内表面(4)，其特征在于，所述内表面(4)具有N≥3个凹槽(6)，这些凹槽径向离开孔轴线(5)延伸。
2.如权利要求1所述的骨板(1)，其特征在于，所述内表面(4)配有一个三维结构(7)。
3.如权利要求2所述的骨板(1)，其特征在于，所述内表面(4)凹入地、最好是球形地、锥形地或椭球形地构成。
4.如权利要求1至3中任一项所述的骨板(1)，其特征在于，其中至少一个板孔(3)构成为长孔。
5.如权利要求1至4中任一项所述的骨板(1)，其特征在于，所述三维结构是肉眼可见的并且最好由部分或完整的螺纹线、肋或凸起组成。
6.如权利要求1至5中任一项所述的骨板(1)，其特征在于，所述N个凹槽(6)从中心轴线(5)看以一个360°/N的间距设置。
7.如权利要求1至6中任一项所述的骨板(1)，其特征在于，所述凹槽(6)具有一个至少1°的外围延展。
8.如权利要求1至7中任一项所述的骨板(1)，其特征在于，所述凹槽(6)具有一个最大119°的外围延展。
9.如权利要求1至8中任一项所述的骨板(1)，其特征在于，所述凹槽(6)仅仅在内表面(4)区域内延伸。
10.如权利要求1至9中任一项所述的骨板(1)，其特征在于，所述凹槽(6)径向离开孔轴线(5)在内表面(4)区域上延伸。
11.如权利要求1至10中任一项所述的骨板(1)，其特征在于，所述N个凹槽(6)将内表面(4)分成N个表面段。
12.如权利要求1至11中任一项所述的骨板(1)，其特征在于，所述凹槽(6)圆柱形或锥形地从顶面(8)延伸直至底面(2)。
13.如权利要求1至12中任一项所述的骨板(1)，其特征在于，所述凹槽(6)在骨板(1)的整个高度上从顶面(8)延伸直至底面(2)。
14.如权利要求1至13中任一项所述的骨板(1)，其特征在于，所述骨板由钢或钛制成。
15.如权利要求5至14中任一项所述的骨板(1)，其特征在于，所述内表面(4)具有一个多头的螺纹。
16.如权利要求5至15中任一项所述的骨板(1)，其特征在于，所述内表面(4)具有横向于孔轴线(5)在外围环绕的肋。
17.如权利要求1至16中任一项所述的骨板(1)，其特征在于，所述骨板(1)由塑料制成。
18.如权利要求17所述的骨板(1)，其特征在于，所述骨板由具有40-70％的断裂伸长率和3000-6000N/mm2的弹性模量的聚丙烯酸醚酮(PEAK)或聚醚醚酮(PEEK)制成。
19.如权利要求17所述的骨板(1)，其特征在于，所述骨板由具有80-120％的断裂伸长率和2000-3500N/mm2的弹性模量的聚砜制成。
20.如权利要求17所述的骨板(1)，其特征在于，所述骨板由具有1.5-2.5％的断裂伸长率和5000-20000N/mm2的弹性模量的液晶聚合物(LCP)制成。
21.如权利要求17所述的骨板(1)，其特征在于，所述骨板由具有10-50％的断裂伸长率和2000-3500N/mm2的弹性模量的聚甲醛(POM)制成。
22.如权利要求17所述的骨板(1)，其特征在于，所述骨板由具有0.2-1.0％的断裂伸长率和12000-20000N/mm2的弹性模量的聚苯硫醚(PPS)制成。
23.如权利要求17所述的骨板(1)，其特征在于，所述骨板由用金属纤维、塑料纤维或碳素纤维强化的塑料制成。
24.如权利要求1至23中任一项所述的骨板(1)，其特征在于，所述骨板包括至少一个接骨螺钉(10)，该接骨螺钉具有一个适合于角度稳定地锚定到所述至少一个板孔(3)中的锥形端头部分(11)和一个规定用于锚定在骨骼中的螺纹部分(12)。
25.如权利要求24所述的骨板(1)，其特征在于，所述端头部分(11)凸起地、最好是球形地或锥形地构成。
26.如权利要求24或25所述的骨板(1)，其特征在于，所述端头部分(11)具有一个三维结构(13)。
27.如权利要求24至26中任一项所述的骨板(1)，其特征在于，所述接骨螺钉(10)的端头部分(11)由一种比内表面(4)更硬的材料制成。
28.如权利要求24至27中任一项所述的骨板(1)，其特征在于，所述内表面(4)和接骨螺钉(10)的端头部分(11)具有相互匹配的螺纹。
29.如权利要求16至28中任一项所述的骨板(1)，其特征在于，至少一个所述板孔(3)由金属的螺纹嵌件构成。
30.如权利要求1至28中任一项所述的骨板(1)，其特征在于，所述骨板由一种金属材料制成，并且至少一个所述板孔(3)由聚合物的螺纹嵌件(9)构成。
31.一种用于与一个如权利要求1至30中任一项所述骨板(1)一起使用的钻套，其特征在于，该钻套在其规定用于顶靠在一个骨板(1)的板孔(3)上的端部具有一种与板孔(3)的内表面(4)的几何形状相负的几何形状。
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