CN112971957A - Sliding sleeve type elastic pressure regulating steel plate - Google Patents

Abstract

Translated fromChinese

本发明公开一种滑套式弹性调压钢板，包括钢板本体，沿钢板本体轴向设置有凹槽，所述凹槽内设置有贯穿的下调压孔，所述下调压钉孔内安装有骨螺钉，所述凹槽内设置有可沿其轴向滑动的移动板，所述移动板上设置有与下调压孔对应的上调压孔，所述移动板的一侧设置有调压装置，所述调压装置用于调节下调压孔内调压骨螺钉的径向应力。将本发明中的钢板本体通过调压骨螺钉中的骨螺钉固定在骨骼上，通过调压装置微动调节调压钉孔中的调压骨螺钉的径向应力，实现调控骨折端轴向应力、避免骨折端应力遮挡，加速骨折愈合，减少骨折不愈合、延迟愈合、去除钢板后再骨折的发生率，缩短骨折愈合时间。

The invention discloses a sliding sleeve type elastic pressure regulating steel plate, which comprises a steel plate body, a groove is arranged along the axial direction of the steel plate body, a pressure-reducing hole is arranged in the groove, and the pressure-reducing nail hole is installed in the groove. There are bone screws, the groove is provided with a moving plate that can slide along its axial direction, the moving plate is provided with an upper pressure-adjusting hole corresponding to the lowering pressure hole, and one side of the moving plate is provided with a pressure-adjusting hole. The pressure regulating device is used to adjust the radial stress of the pressure regulating bone screw in the pressure regulating hole. The steel plate body in the present invention is fixed on the bone through the bone screw in the pressure-regulating bone screw, and the radial stress of the pressure-regulating bone screw in the pressure-regulating screw hole is adjusted by the pressure-regulating device to adjust the axial stress of the fracture end. , Avoid stress shielding at the fracture end, accelerate fracture healing, reduce fracture nonunion, delayed union, and the incidence of fracture after removal of the plate, and shorten the fracture healing time.

Description

Sliding sleeve type elastic pressure regulating steel plate

Technical Field

The invention belongs to the field of medical instruments, and particularly relates to a sliding sleeve type elastic pressure regulating steel plate.

Background

The bone fracture fixing steel plate and the fixing nail are used as internal fixing methods for many years in clinic, and in the clinical treatment process, a plurality of methods are used for fixing the bone fracture, wherein the steel plate fixing is one of the most commonly used methods, the traditional bone fracture steel plate fixes the steel plate on the bone through screws, so that the steel plate and the bone are integrated, but due to the stress shielding effect of the steel plate, the steel plate cannot provide proper stress stimulation to the fracture end in the later period of fracture repair, the delayed union, nonunion and slow bone mineralization are easy to occur, and the application of the steel plate and the fixing nail is limited. Therefore, designing a steel plate capable of adjusting the stress of the fractured ends and promoting fracture healing is a difficult problem to be solved clinically.

Disclosure of Invention

The invention aims to provide a sliding sleeve type elastic pressure regulating steel plate which has simple structure, convenient operation and easy fixation, can stimulate axial stress at a fracture end and accelerate bone healing.

In order to achieve the purpose, the invention adopts the following technical scheme:

the utility model provides a sliding sleeve formula elasticity pressure regulating steel sheet, includes the steel sheet body, is provided with the recess along the steel sheet body axial, be provided with the lower pressure regulating hole that runs through in the recess, be provided with in the recess and follow its endwise slip's movable plate, be provided with the last pressure regulating hole that corresponds with lower pressure regulating hole on the movable plate, go up the pressure regulating hole and install the pressure regulating bone screw in the lower pressure regulating nail hole, one side of the movable plate on the steel sheet body is provided with the pressure regulating device, the radial stress of the downthehole pressure regulating bone screw of pressure regulating is adjusted down through.

Further, the pressure regulating device is one of the following modes:

firstly, a fixed block is arranged in the groove, the fixed block is positioned on one side of the movable plate and is fixed in the groove by using a locking screw and a locking pin, or the fixed block is in interference fit with the groove, an elastic body is arranged between the fixed block and the movable plate, two sides of the elastic body are respectively provided with an elastic body base I and an elastic body base II, and the elastic body bases I and the elastic body bases II can adjust the radial stress of a pressure regulating bone screw in a pressure regulating hole by changing the length of the elastic body or the thickness of the elastic body base;

a fixed block is arranged in the groove, the fixed block is positioned on one side of the movable plate and is fixed in the groove by a fastening screw and a fastening nut, a long hole is formed in the groove, the fastening screw is arranged in the long hole, an elastic body is arranged between the fixed block and the movable plate, two sides of the elastic body are respectively provided with an elastic body base, namely an elastic body base I and an elastic body base II, and the radial stress of a pressure regulating bone screw in the pressure regulating hole can be regulated by changing the position of the fastening screw in the long hole;

a fixed block is arranged in the groove, one end of the movable plate is fixedly arranged to be a movable frame, a fixed block is fixedly arranged on a steel plate body in the movable frame and is fixed in the groove by a locking screw and a locking pin, or the fixed block is in interference fit with the groove, an elastic body is arranged between the fixed block and the movable frame, two sides of the elastic body are respectively provided with an elastic body base, namely an elastic body base I and an elastic body base II, and the radial stress of the pressure regulating bone screw in the pressure regulating hole can be regulated by changing the length of the elastic body or the thickness of the elastic body base;

fourthly, a fixed block is arranged in the groove, the fixed block is positioned on one side of the movable plate and is fixed in the groove by using a locking screw and a locking pin, or the fixed block is in interference fit with the groove, an elastic body is arranged between the fixed block and the movable plate, two sides of the elastic body are respectively provided with an elastic body base which is an elastic body base I and an elastic body base II, the elastic body base I is positioned between the fixed block and the spring, the spring base II is positioned between the spring and the movable plate, an inclined hole is formed in the fixed block, a jackscrew is arranged in the inclined hole, the head of the jackscrew is abutted against the spring base I, and the radial stress of the pressure regulating bone screw in the pressure regulating hole can be regulated by;

the groove is internally provided with a fixed block, the fixed block is positioned on one side of the movable plate and is fixed in the groove by using a locking screw and a locking pin, or the fixed block is in interference fit with the groove, a spring is arranged between the fixed block and the movable plate, two sides of the spring are respectively provided with a spring base, namely a spring base I and a spring base II, the spring base I is positioned between the fixed block and the spring, the spring base II is positioned between the spring and the movable plate, the fixed block is provided with the screw, the tail part of the screw is sleeved with a special-shaped gasket, one end of the special-shaped gasket is abutted against the spring base I, and the radial stress of the pressure regulating bone screw in the pressure regulating hole can be;

sixthly, the one end of recess is blind groove end, install the spring between blind groove end and the movable plate, the both sides of spring are provided with spring base respectively, are spring base one and spring base two respectively, spring base one is located between blind groove end and the spring, spring base two is located between spring and the movable plate, and the radial stress of downthehole pressure regulating bone screw is adjusted down to the length of accessible change spring, spring base's thickness.

One end of the groove is a blind groove end, an eccentric shaft is arranged at the blind groove end and is connected with the steel plate body in a sliding way,

install the spring between eccentric shaft and the movable plate, the both sides of spring are provided with spring base respectively, are spring base one and spring base two respectively, spring base one is located between eccentric shaft and the spring, spring base two is located between spring and the movable plate, and the accessible rotates the eccentric shaft and adjusts the radial stress of downthehole pressure regulating bone screw of pressure regulating down.

Further, the elastomer be one of spring, elasticity capsule, the elastomer can establish more than one in movable plate one end, also can respectively establish an elastomer and fixed block in every pressure regulating hole one end down of steel sheet body, all be provided with the fixed slot on fixed block, movable plate, the blind inslot end, the one end of spring base one, spring base two is located the fixed slot respectively, be provided with radial centre gripping auxiliary hole on spring base one, the spring base two respectively.

Further, still be provided with bone screw hole on the steel sheet body, the downthehole fixed bone screw that installs of bone screw, bone screw hole, down adjust the pressure hole be provided with one of following form:

arranging at least two bone screw holes and at least one lower pressure regulating hole on the steel plate body, wherein the bone screw holes and the lower pressure regulating holes are arranged in a straight line or in a staggered way;

one end of the steel plate body is provided with a plurality of bone screw holes, the other end of the steel plate body is provided with a plurality of lower pressure regulating holes, the bone screw holes and the lower pressure regulating holes are symmetrically arranged on the steel plate body, and the lower pressure regulating holes can be provided with a communicated through hole;

one end of the steel plate body can be designed into a shape of an anatomical plate consistent with the anatomical shape of the joint part of the bones of the limbs of the human body, raft holes can be arranged at the edge of the bone screw holes of the anatomical plate, and at least one lower pressure regulating hole is arranged at the other end of the steel plate body;

the bone screw hole that sets up on the steel sheet body can be established to pressure regulating hole down, the movable plate is established to and the whole sliding fit of steel sheet body, the one end of movable plate is fixed to be set up to removing the frame, fixed mounting has the fixed block on the steel sheet body in removing the frame to fix in the recess with locking screw, locking pin, perhaps fixed block and recess interference fit, the fixed block with remove and install the elastomer between the frame.

Furthermore, the section of the moving plate along the width direction is T-shaped, rectangular or trapezoidal, and a groove matched with the section of the moving plate is arranged on the steel plate body.

Further, the bone screw hole on the steel plate body and the upper bone screw hole on the moving plate are provided with a non-threaded nail hole or a threaded locking nail hole, or are provided with a combined non-threaded nail hole and a threaded locking nail hole.

Further, the steel plate body is a straight steel plate or an arc-shaped steel plate which is consistent with the shape of the skeleton and has a certain radian, and the upper surface and the lower surface of the steel plate body are radially provided with cambered surfaces having a certain radian.

Furthermore, an auxiliary plate is fixedly arranged in the groove and on one side of the moving plate, an upper bone screw hole corresponding to the bone screw hole is formed in the auxiliary plate, and the auxiliary plate and the steel plate body can be arranged in an integrated structure or in a split structure.

Furthermore, the steel plate body, the moving plate and the auxiliary plate are all provided with Kirschner wire round holes for temporarily fixing bones.

Furthermore, a concave surface can be arranged on the side of the lower surface of the steel plate body, so that the compression on the periosteum is reduced.

The invention has the advantages of easy fixation and convenient operation. The steel plate body is fixed on a bone through the fixing screw hole and the bone screw in the pressure regulating screw hole, the distance between the bone screw in the pressure regulating screw hole and the bone screw in the fixing screw hole is finely regulated through the elastic pressure regulating device in the lower pressure regulating hole, the purposes of regulating the stress of the fracture end and stimulating organism tissues to accelerate to form new bones so as to achieve the purpose of fracture healing are achieved, the stress shielding of the fracture end is avoided, and the fracture healing is accelerated.

Drawings

FIG. 1 is a schematic structural diagram of a first embodiment of the present invention;

FIG. 2 is a schematic view of the structure of FIG. 1 from another angle;

FIG. 3 is a schematic structural diagram of a second embodiment of the present invention;

FIG. 4 is a schematic view of the structure of FIG. 3 from another angle;

FIG. 5 is a schematic structural diagram of a third embodiment of the present invention;

FIG. 6 is a schematic structural diagram of a fourth embodiment of the present invention;

FIG. 7 is a schematic cross-sectional view along AA in FIG. 6;

FIG. 8 is a schematic structural diagram of a fifth embodiment of the present invention;

FIG. 9 is a schematic cross-sectional view taken along direction BB of FIG. 8;

FIG. 10 is a schematic structural diagram of a sixth embodiment of the present invention;

FIG. 11 is a schematic structural diagram of a seventh embodiment of the present invention;

FIG. 12 is a schematic structural diagram of an eighth embodiment of the present invention;

FIG. 13 is a schematic structural diagram of a ninth embodiment of the present invention;

FIG. 14 is a schematic structural diagram of a tenth embodiment of the present invention;

FIG. 15 is a schematic structural diagram of an eleventh embodiment of the present invention;

FIG. 16 is a schematic structural diagram of a twelfth embodiment of the present invention;

FIG. 17 is a schematic structural diagram of a thirteenth embodiment of the present invention;

FIG. 18 is a schematic structural diagram of a fourteenth embodiment of the present invention;

FIG. 19 is a schematic structural view of a steel plate on the outer side of the distal fibula;

FIG. 20 is a schematic structural view of a lateral proximal femoral plate;

FIG. 21 is a schematic structural view of a lateral distal femoral plate;

FIG. 22 is a schematic structural view of a femoral distal condyle support plate;

FIG. 23 is a schematic structural view of a first medial distal tibial steel plate;

FIG. 24 is a structural view of a second medial distal tibial steel plate;

fig. 25 is a schematic structural view of a lateral distal humeral plate;

fig. 26 is a schematic structural view of a medial humeral distal plate;

fig. 27 is a schematic structural view of a proximal humeral plate;

FIG. 28 is a schematic structural view of a steel plate on the outer side of the distal fibula;

FIG. 29 is a schematic structural view of a medial proximal tibial L-shaped steel plate;

FIG. 30 is a schematic structural view of a distal anterolateral tibial plate;

FIG. 31 is a schematic view of a steel plate at the volar side of the distal radius;

FIG. 32 is a schematic view of the structure of the two distal radius volar plates;

FIG. 33 is a schematic view of the structure of the three distal radius volar plates;

FIG. 34 is a schematic view of the structure of the four volar radial plates;

FIG. 35 is a schematic structural view of a dorsal T-shaped distal radius plate;

FIG. 36 is a schematic structural view of a phalangeal T-shaped steel plate;

FIG. 37 is a schematic structural view of an L-shaped phalangeal steel plate;

FIG. 38 is a schematic structural view of a medial proximal tibial T-shaped steel plate;

FIG. 39 is a schematic structural view of a proximal lateral tibial T-shaped steel plate;

FIG. 40 is a schematic structural view of a medial proximal tibial L-shaped steel plate;

FIG. 41 is a schematic view of the structure of the medial proximal tibial golf plate;

FIG. 42 is a schematic structural view of a proximal lateral tibial golf plate;

FIG. 43 is a schematic structural view of a proximal lateral tibial L-shaped steel plate

FIG. 44 is a schematic structural view of an ulnar proximal steel plate;

in the figure, 1-an upper pressure regulating hole, 2-a Kirschner wire round hole, 3-a groove, 4-a steel plate body, 5-a spring base I, 6-a spring, 7-a locking screw, 8-a lower pressure regulating hole, 9-a fixing block, 10-a screw hole, 11-a jackscrew, 12-a regulating screw, 13-a moving plate, 14-a fastening screw, 15-a fastening nut, 16-an elongated hole, 17-a moving frame, 18-a bone screw hole, 19-an auxiliary plate, 20-an upper bone screw hole, 21-a clamping auxiliary hole, 22-a spring base II, 23-a special-shaped gasket, 24-an eccentric shaft and 25-a raft hole row.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Embodiment 1, as shown in fig. 1, a sliding sleeve type elastic pressure regulating steel plate comprises a steel plate body 4, wherein a kirschner wireround hole 2 is formed in the steel plate body 4, and the kirschner wireround hole 2 is used for temporarily fixing a bone. A groove 3 is formed in the axial direction of the steel plate body 4, and a lowerpressure regulating hole 8 is formed in the groove 3. As shown in fig. 2, abone screw hole 18 is further formed on the steel plate body 4, a fixing bone screw is installed in thebone screw hole 18, and thebone screw hole 18 formed on the steel plate body 4 may be a non-threaded nail hole or a threaded locking nail hole, or a combination of a non-threaded nail hole and a threaded locking nail hole. The one end of steel sheet body 4 sets up threebone screw hole 18 in succession, and the other end sets up threepressure regulating hole 8 down in succession,bone screw hole 18, lowerpressure regulating hole 8 symmetry set up on steel sheet body 4, install the pressure regulating bone screw in the pressure regulatingnail hole 8 down. A movingplate 13 and anauxiliary plate 19 which can slide along the groove 3 are arranged in the groove and are respectively arranged at two ends of the steel plate body 4. Themovable plate 13 and theauxiliary plate 19 are respectively provided with upper pressure regulating holes 1 which are in one-to-one correspondence with the lowerpressure regulating holes 8 and the bone screw holes 18, one side of themovable plate 13 on the steel plate body is provided with a pressure regulating device, and the pressure regulating device regulates the radial stress of the pressure regulating bone screws in the lower pressure regulating holes by regulating the stress of themovable plate 13.

The specific form of pressure regulating device is: install fixedblock 9 in recess 3, fixedblock 9 is located one side ofmovable plate 13 to fix in recess 3 with lockingscrew 7, install the elastomer betweenfixed block 9 and themovable plate 13, the elastomer be one kind ofspring 6, elasticity capsule,spring 6 is selected to this embodiment, all be provided with the fixed slot on fixedblock 9, themovable plate 13, the both sides ofspring 6 are provided with the elastomer base respectively, are spring body base one 5 and spring base two 22 respectively, the one end of spring base one 5, spring base two 22 is located the fixed slot respectively, be provided with radial centre grippingauxiliary hole 21 on spring base one 5, the spring base two 22 respectively. The radial stress of the pressure regulating bone screw in the pressure regulating hole can be regulated by changing the length of thespring 6 or the thicknesses of the spring base I5 and thespring base II 22.

Anauxiliary plate 19 is fixedly provided in the recess 3, an upperbone screw hole 20 corresponding to thebone screw hole 18 is provided in theauxiliary plate 19, and theauxiliary plate 19 and the steel plate body 4 may be provided integrally or separately.

When in use, firstly, pressure regulating bone screws are arranged in the upper pressure regulating hole 1 and the lower pressure regulating hole, and fixed bone screws are arranged in the bone screw holes 18 and the upper bone screw holes 20; then, the pressure regulating bone screw and the fixing bone screw are fixed on the bone, and finally, the pressure regulating device is regulated to achieve the purpose of micro-regulating the radial stress of the pressure regulating bone screw, stimulating organism tissues and forming new bones so as to achieve the purpose of bone lengthening.

Embodiment 2 differs from embodiment 1 in the pressure regulating device, and as shown in fig. 3 and 4, the pressure regulating device of the embodiment is as follows: install fixedblock 9 in recess 3, fixedblock 9 is located one side ofmovable plate 13, the one end of steel sheet body 4 to fix in recess 3 with fastening screw 14, fasteningtight nut 15, be provided withelongated hole 16 in the recess 3, fastening screw 14 installs inelongated hole 16, installspring 6 betweenfixed block 9 and themovable plate 13, the both sides ofspring 6 are provided with the elastomer base respectively, arespring body base 5 and spring base two 22 respectively, and the accessible is changed the length ofspring 6, spring base's thickness, is changed the radial stress of the downthehole pressure regulating bone screw of pressure regulating under the position control of fastening screw 14 inelongated hole 16.

Embodiment 3, the difference between this embodiment and embodiment 1 lies in the pressure regulating device, as shown in fig. 5, the pressure regulating device of this embodiment is as follows: install fixedblock 9 in recess 3, the fixedremoval frame 17 that is provided with of one end ofmovable plate 13, fixed mounting has fixedblock 9 on the steel sheet body 4 in theremoval frame 17 to fix in recess 3 with lockingscrew 7, installspring 6 between fixed block and theremoval frame 17, the both sides ofspring 6 are provided with the elastomer base respectively, are spring base one and spring base two respectively, and the radial stress of downthehole pressure regulating bone screw is adjusted down to the length that the accessible changedspring 6 or spring base's thickness.

Embodiment 4, the difference between this embodiment and embodiment 1 lies in the pressure regulating device, and as shown in fig. 6 and 7, the pressure regulating device of this embodiment is as follows: install fixedblock 9 in the recess 3, fixedblock 9 is located the one end ofmovable plate 13 to fix in recess 3 with lockingscrew 7, installspring 6 betweenfixed block 9 and themovable plate 13, the both sides ofspring 6 are provided with the elastomer base respectively, are elastomer base one and elastomer base two respectively, spring base one 5 is located betweenfixed block 9 andspring 6, spring base two 13 is located betweenspring 6 and themovable plate 13. Be provided with the inclined hole onfixed block 9, install jackscrew 11 in the inclined hole, the head of jackscrew 11 is contradictedspring base 5, and the radial stress of downthehole pressure regulating bone screw of pressure regulating is adjusted down to the degree of depth of 11 screws in accessible adjustment jackscrew.

Embodiment 5, the difference between this embodiment and embodiment 1 lies in the pressure regulating device, as shown in fig. 8 and 9, the pressure regulating device of this embodiment is as follows: install fixedblock 9 in recess 3, fixedblock 9 is located the one end ofmovable plate 13 to fix in recess 3 with lockingscrew 7, installspring 6 betweenfixed block 9 and themovable plate 13,spring 6's both sides are provided with the elastomer base respectively, are spring body base one 5 and spring base two 22 respectively, spring body base one 5 is located betweenfixed block 9 and thespring 6, spring base two 22 are located betweenspring 6 and themovable plate 13, install adjustingscrew 12 on the fixedblock 9, the cover is equipped with special-shapedgasket 23 on adjustingscrew 12's the afterbody, makes special-shapedgasket 23's one end butt in elastomer base one, the radial stress of the downthehole pressure regulating bone screw of pressure regulating under the length adjustment of special-shapedgasket 23 is changed to the accessible.

Embodiment 6, the difference between this embodiment andembodiment 5 lies in the difference of the pressure regulating device, as shown in fig. 10, one end of the groove 3 is a blind groove end, the blind groove end is provided with aneccentric shaft 24, theeccentric shaft 24 is slidably connected with the steel plate body 4, aspring 6 is installed between theeccentric shaft 24 and the movingplate 13, two sides of thespring 6 are respectively provided with a spring base, which are afirst spring base 5 and asecond spring base 22, respectively, thefirst spring base 5 is located between theeccentric shaft 24 and thespring 6, thesecond spring base 22 is located between thespring 6 and the moving plate 4, and the radial stress of the pressure regulating bone screw in the lowerpressure regulating hole 8 can be regulated by rotating theeccentric shaft 24.

Embodiment 7, the difference between this embodiment and embodiment 1 lies in the pressure regulating device, as shown in fig. 11, the pressure regulating device of this embodiment is as follows: the one end of recess 3 is blind groove end, installspring 6 between blind groove end and themovable plate 13, the both sides ofspring 6 are provided withspring 6 base respectively, arespring body base 5 and spring base two 22 respectively, all be provided with the fixed slot on blind groove end and the terminal surface that removesend 13, elastomer one 5 is located the fixed slot of blind groove end, and elastomer two 22 are located the fixed slot on the movable plate, and the radial stress of downthehole pressure regulating bone screw is adjusted down to the accessible length of changingspring 6, spring base's thickness.

Embodiment 8, as shown in fig. 12, the difference between this embodiment and embodiment 1 is that the number of the fixing grooves provided on the fixingblock 9 and the movingplate 13 and the number of thesprings 6 may be more than one, and in this embodiment, the number of the fixing grooves provided on the fixingblock 9 and the movingplate 13 is three.

Embodiment 9, as shown in fig. 13, the present embodiment is different from embodiment 1 in the number of the pressure adjusting means, and in the present embodiment, one movingplate 9 is installed above each lower pressure adjusting hole, and one pressure adjusting means is installed at one side of each movingplate 9.

Example 10, as shown in fig. 14, the present example is different from example 1 in that a plurality of lowerpressure adjusting holes 8 may be formed at one end of a steel plate body 4, a plurality of bone screw holes 18 may be formed at the other end, and a movingplate 13 may not be provided at the end where the bone screw holes 18 are formed. In this embodiment, three lower pressure-regulatingholes 8 and three bone screw holes 18 are provided, and the movingplate 13 is provided only above the lower pressure-regulatingholes 8.

The steel plate body of the above embodiment may be provided with the kirschner wireround hole 18 for temporarily fixing the steel plate body 1 on the human skeleton, as shown in fig. 15, the steel plate body 1 may be set to have a radian matching with the human skeleton. A plurality of concave surfaces can also be arranged on the steel plate body 1 for reducing the oppression on the periosteum. As shown in fig. 16, 17 and 18, the section of the moving plate in the width direction may be T-shaped, rectangular, trapezoidal, etc., and the steel plate body is provided with a groove matching the section of the movingplate 13. As shown in fig. 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, one end of the steel plate body can be configured as an anatomical steel plate which is consistent with the anatomical morphology of the four limbs bones of the human body and has a certain radian, such as a fibula distal lateral steel plate, a femur proximal lateral steel plate, a femur distal condyle support steel plate, a tibia distal medial steel plate one, a tibia distal medial steel plate two, a humerus distal lateral steel plate, a humerus distal medial steel plate, a humerus proximal steel plate, a fibula distal lateral steel plate, a tibia proximal L-shaped steel plate, a tibia distal anterolateral steel plate, a tibia distal palmar one-side steel plate, a radius distal palmar two-side steel plate, a radius distal palmar three-side steel plate, a radius palmar four-side steel plate, a, A radius far-end back side T-shaped steel plate, a phalanx L-shaped steel plate, a tibia near-end inner side T-shaped steel plate, a tibia near-end outer side T-shaped steel plate, a tibia near-end inner side L-shaped steel plate, a tibia near-end inner side golf steel plate, a tibia near-end outer side L-shaped steel plate and an ulna near-end steel plate, or raft holes can be formed in the steel plates, as shown in fig. 30.

The above description is only for the preferred embodiment of the present invention and should not be construed as limiting the embodiments of the present invention, such as increasing the number and position of the elastic pressure-adjusting devices, the number of the moving plates, the fixing manner of the fixing blocks, the variation of the arrangement of the bone screw holes and the downward-adjusting nail holes, or other combinations in the first, second, third and fourth embodiments, and any modifications, equivalent substitutions, improvements, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (10)

Translated fromChinese

1.一种滑套式弹性调压钢板，其特征在于，包括钢板本体，沿钢板本体轴向设置有凹槽，所述凹槽内设置有贯穿的下调压孔，所述凹槽内设置有可沿其轴向滑动的移动板，所述移动板上设置有与下调压孔对应的上调压孔，所述上调压孔和下调压钉孔内安装有调压骨螺钉，在钢板本体上的移动板的一侧设置有调压装置，所述调压装置通过移动板调节下调压孔内调压骨螺钉的径向应力。1. a sliding sleeve type elastic pressure regulating steel plate, is characterized in that, comprises the steel plate body, is provided with the groove along the steel plate body axially, is provided with the through-through pressure-reducing hole in the described groove, and is provided with in the described groove There is a moving plate that can slide along its axial direction, the moving plate is provided with an upper pressure regulating hole corresponding to the lower pressure hole, and a pressure regulating bone screw is installed in the upper pressure regulating hole and the lower pressure nail hole, A pressure regulating device is provided on one side of the moving plate on the steel plate body, and the pressure regulating device adjusts the radial stress of the pressure regulating bone screw in the pressure regulating hole through the moving plate.2.根据权利要求1所述的滑套式弹性调压钢板，其特征在于，所述调压装置为下述方式之一：2. The sliding sleeve type elastic pressure regulating steel plate according to claim 1, wherein the pressure regulating device is one of the following ways:①所述凹槽内安装有固定块，所述固定块位于移动板的一侧，并用锁紧螺钉、锁紧销钉固定在凹槽内，或者固定块与凹槽过盈配合，所述固定块与移动板之间安装有弹性体，所述弹性体的两侧分别设置有弹性体底座，分别为弹性体底座一和弹性体底座二，可通过更换弹性体的长度或者弹性体底座的厚度调节下调压孔内调压骨螺钉的径向应力；①A fixed block is installed in the groove, the fixed block is located on one side of the moving plate, and is fixed in the groove with locking screws and locking pins, or the fixed block is in interference fit with the groove, the fixed block An elastic body is installed between the moving plate and the elastic body, and elastic body bases are respectively provided on both sides of the elastic body, which are respectively the first elastic body base and the second elastic body base, which can be adjusted by changing the length of the elastic body or the thickness of the elastic body base The radial stress of the pressure-adjusting bone screw in the pressure-reducing hole;②所述凹槽内安装有固定块，所述固定块位于移动板的一侧，并用紧固螺钉、紧固螺母固定在凹槽内，所述凹槽内设置有长形孔，所述紧固螺钉安装在长形孔内，所述固定块与移动板之间安装有弹性体，所述弹性体的两侧分别设置有弹性体底座，分别为弹性体底座一和弹性体底座二，可通过改变紧固螺钉在长形孔内的位置调节下调压孔内调压骨螺钉的径向应力；②A fixing block is installed in the groove, the fixing block is located on one side of the moving plate, and is fixed in the groove with a fastening screw and a fastening nut, an elongated hole is arranged in the groove, and the fastening The fixing screw is installed in the elongated hole, an elastic body is installed between the fixed block and the moving plate, and elastic body bases are respectively provided on both sides of the elastic body, which are respectively the first elastic body base and the second elastic body base, which can be Adjust the radial stress of the pressure-adjusting bone screw in the pressure-reducing hole by changing the position of the fastening screw in the elongated hole;③所述凹槽内安装有固定块，所述移动板的一端固定设置为移动框，所述移动框内的钢板本体上固定安装有固定块，并用锁紧螺钉、锁紧销钉固定在凹槽内，或者固定块与凹槽过盈配合，所述固定块与移动框之间安装有弹性体，所述弹性体的两侧分别设置有弹性体底座，分别为弹性体底座一和弹性体底座二，可通过更换弹性体的长度或者弹性体底座的厚度调节下调压孔内调压骨螺钉的径向应力；③A fixing block is installed in the groove, one end of the moving plate is fixedly set as a moving frame, a fixing block is fixedly installed on the steel plate body in the moving frame, and is fixed in the groove with locking screws and locking pins inside, or the fixed block is in interference fit with the groove, an elastic body is installed between the fixed block and the moving frame, and elastic body bases are respectively provided on both sides of the elastic body, which are the elastic body base 1 and the elastic body base respectively. 2. The radial stress of the pressure regulating bone screw in the pressure reducing hole can be adjusted by changing the length of the elastomer or the thickness of the elastomer base;④所述凹槽内安装有固定块，所述固定块位于移动板的一侧，并用锁紧螺钉、锁紧销钉固定在凹槽内，或者固定块与凹槽过盈配合，所述固定块与移动板之间安装有弹性体，所述弹性体的两侧分别设置有弹性体底座，分别为弹性体底座一和弹性体底座二，所述弹簧底座一位于固定块和弹簧之间，所述弹簧底座二位于弹簧和移动板之间，所述固定块上设置有斜孔，所述斜孔内安装有顶丝，所述顶丝的头部抵接于弹簧底座一，可通过调整顶丝旋入的深度调节下调压孔内调压骨螺钉的径向应力；④A fixed block is installed in the groove, the fixed block is located on one side of the moving plate, and is fixed in the groove with locking screws and locking pins, or the fixed block is in interference fit with the groove, the fixed block An elastic body is installed between the moving plate and the elastic body, and elastic body bases are respectively provided on both sides of the elastic body, which are respectively the first elastic body base and the second elastic body base. The first spring base is located between the fixed block and the spring, so The second spring base is located between the spring and the moving plate, the fixing block is provided with an inclined hole, and a jacking wire is installed in the inclined hole. The screw-in depth adjusts the radial stress of the pressure-adjusting bone screw in the pressure-reducing hole;⑤所述凹槽内安装有固定块，所述固定块位于移动板的一侧，并用锁紧螺钉、锁紧销钉固定在凹槽内，或者固定块与凹槽过盈配合，所述固定块与移动板之间安装有弹簧，所述弹簧的两侧分别设置有弹簧底座，分别为弹簧底座一和弹簧底座二，所述弹簧底座一位于固定块和弹簧之间，所述弹簧底座二位于弹簧和移动板之间，所述固定块上安装有螺钉，螺钉尾部上套装有异形垫片，所述异形垫片的一端抵接于弹簧底座一，可通过更换异形垫片的长度调节下调压孔内调压骨螺钉的径向应力；⑤A fixed block is installed in the groove, the fixed block is located on one side of the moving plate, and is fixed in the groove with locking screws and locking pins, or the fixed block is in interference fit with the groove. A spring is installed between the moving plate and the two sides of the spring are respectively provided with spring bases, namely the first spring base and the second spring base, the first spring base is located between the fixed block and the spring, and the second spring base is located at the Between the spring and the moving plate, a screw is installed on the fixing block, and a special-shaped gasket is sleeved on the tail of the screw. The radial stress of the pressure regulating bone screw in the pressure hole;⑥所述凹槽的一端为盲槽端，所述盲槽端与移动板之间安装有弹簧，所述弹簧的两侧分别设置有弹簧底座，分别为弹簧底座一和弹簧底座二，所述弹簧底座一位于盲槽端和弹簧之间，所述弹簧底座二位于弹簧和移动板之间，可通过更换弹簧的长度、弹簧底座的厚度调节下调压孔内调压骨螺钉的径向应力；⑥ One end of the groove is a blind groove end, a spring is installed between the blind groove end and the moving plate, and spring bases are respectively provided on both sides of the spring, which are respectively the first spring base and the second spring base. The first spring base is located between the blind groove end and the spring, and the second spring base is located between the spring and the moving plate. The radial stress of the pressure-adjusting bone screw in the pressure-reducing hole can be adjusted by changing the length of the spring and the thickness of the spring base. ;⑦所述凹槽的一端为盲槽端，所述盲槽端设偏心轴，偏心轴与钢板本体滑动连接，⑦ One end of the groove is the blind groove end, and the blind groove end is provided with an eccentric shaft, and the eccentric shaft is slidably connected with the steel plate body.偏心轴与移动板之间安装有弹簧，所述弹簧的两侧分别设置有弹簧底座，分别为弹簧底座一和弹簧底座二，所述弹簧底座一位于偏心轴和弹簧之间，所述弹簧底座二位于弹簧和移动板之间，可通过转动偏心轴调节下调压孔内调压骨螺钉的径向应力。A spring is installed between the eccentric shaft and the moving plate. The two sides of the spring are respectively provided with spring bases, which are respectively a spring base 1 and a spring base 2. The spring base 1 is located between the eccentric shaft and the spring, and the spring base is located between the eccentric shaft and the spring. The second is located between the spring and the moving plate, and the radial stress of the pressure-adjusting bone screw in the pressure-reducing hole can be adjusted by rotating the eccentric shaft.3.根据权利要求2所述的滑套式弹性调压钢板，其特征在于，所述的弹性体为弹簧、弹性胶囊的一种，所述弹性体可在移动板一端设一个以上，也可在钢板本体每个下调压孔一端各设一个弹性体和固定块，所述固定块、移动板、盲槽内端上均设置有固定槽，所述弹簧底座一、弹簧底座二的一端分别位于固定槽内，所述弹簧底座一、弹簧底座二上分别设置有径向的夹持辅助孔。3. The sliding sleeve type elastic pressure regulating steel plate according to claim 2, characterized in that, the elastic body is one of a spring and an elastic capsule, and more than one elastic body can be provided at one end of the moving plate, or it can be An elastic body and a fixing block are respectively arranged at one end of each lower pressure hole of the steel plate body, the fixing block, the moving plate and the inner end of the blind groove are all provided with fixing grooves, and one end of the spring base 1 and the spring base 2 are respectively Located in the fixing groove, the first spring base and the second spring base are respectively provided with radial clamping auxiliary holes.4.根据权利要求1-3任一项所述的滑套式弹性调压钢板，其特征在于，所述钢板本体上还设置有骨螺钉孔，所述骨螺钉孔内安装有固定骨螺钉，所述骨螺钉孔、下调压孔的设置有如下形式之一：4. The sliding sleeve type elastic pressure regulating steel plate according to any one of claims 1-3, wherein the steel plate body is further provided with a bone screw hole, and a fixed bone screw is installed in the bone screw hole, The bone screw holes and the decompression holes are provided in one of the following forms:①所述钢板本体上设置至少两个骨螺钉孔和至少一个下调压孔，骨螺钉孔与下调压孔或成直线排列，或错位排列；①The plate body is provided with at least two bone screw holes and at least one pressure-reducing hole, and the bone screw holes and the pressure-reducing hole are arranged in a straight line or in a dislocation arrangement;②所述钢板本体的一端均设置为若干骨螺钉孔，另一端均设置为若干下调压孔,所述骨螺钉孔、下调压孔对称设置在钢板本体上，所述若干下调压孔可设为一个连通的通孔；②One end of the steel plate body is set with several bone screw holes, and the other end is set with several pressure-reducing holes. The bone screw holes and the pressure-reducing holes are symmetrically arranged on the steel plate body. The several pressure-reducing holes Can be set as a connected through hole;③所述钢板本体一端可设为与人体四肢骨骼关节部位解剖形态一致的解剖板形状，在解剖板的骨螺钉孔的边缘可设排筏孔，钢板本体另一端设置至少一个下调压孔；③ One end of the steel plate body can be set as an anatomical plate shape that is consistent with the anatomical shape of the skeleton and joint parts of the human body, a raft hole can be set at the edge of the bone screw hole of the anatomical plate, and at least one pressure-reducing hole can be set at the other end of the steel plate body;④所述钢板本体上设置的骨螺钉孔可以设为下调压孔，所述移动板设为与钢板本体整体滑动配合，所述移动板的一端固定设置为移动框，所述移动框内的钢板本体上固定安装有固定块，并用锁紧螺钉、锁紧销钉固定在凹槽内，或者固定块与凹槽过盈配合，所述固定块与移动框之间安装有弹性体。④ The bone screw holes provided on the steel plate body can be set as lower pressure holes, the moving plate is set to be integrally slidably fitted with the steel plate body, and one end of the moving plate is fixedly set as a moving frame. A fixing block is fixedly installed on the steel plate body, and is fixed in the groove with locking screws and locking pins, or the fixing block is in interference fit with the groove, and an elastic body is installed between the fixing block and the moving frame.5.根据权利要求4所述的滑套式弹性调压钢板，其特征在于，所述移动板沿宽度方向的截面为T形、矩形、梯形，所述钢板本体上设置有与移动板截面相匹配的凹槽。5 . The sliding sleeve type elastic pressure regulating steel plate according to claim 4 , wherein the cross-section of the moving plate along the width direction is T-shaped, rectangular, or trapezoidal, and the steel plate body is provided with a section corresponding to the cross-section of the moving plate. 6 . matching grooves.6.根据权利要求5所述的滑套式弹性调压钢板，其特征在于，所述钢板本体上的骨螺钉孔、移动板上设置的上骨螺钉孔设为不带螺纹的钉孔或带螺纹的锁定钉孔，或设为不带螺纹的钉孔和带螺纹的锁定钉孔组合的长钉孔。6 . The sliding sleeve type elastic pressure regulating steel plate according to claim 5 , wherein the bone screw holes on the steel plate body and the upper bone screw holes on the moving plate are set as screw holes without threads or belts. 7 . Threaded locking peg holes, or long peg holes set as a combination of unthreaded peg holes and threaded locking peg holes.7.根据权利要求6所述的滑套式弹性调压钢板，其特征在于，所述钢板本体设为直形钢板或设为与骨骼形态一致具有一定弧度的弧形钢板，钢板本体上表面、下表面径向设为具有一定弧度的弧面。7. The sliding sleeve type elastic pressure regulating steel plate according to claim 6, characterized in that, the steel plate body is set as a straight steel plate or as an arc-shaped steel plate with a certain radian consistent with the shape of the bones, and the upper surface of the steel plate body, The lower surface is radially set as an arc surface with a certain radian.8.根据权利要求7所述的滑套式弹性调压钢板，其特征在于，所述凹槽内、移动板的一侧还固定设置有辅助板，所述辅助板上设置有与骨螺钉孔对应的上骨螺钉孔，所述辅助板与钢板本体可为一体结构设置，也可设置为分体。8 . The sliding sleeve type elastic pressure regulating steel plate according to claim 7 , wherein an auxiliary plate is also fixedly arranged in the groove and one side of the movable plate, and the auxiliary plate is provided with a hole for a bone screw. 9 . For the corresponding upper bone screw hole, the auxiliary plate and the steel plate body can be arranged in an integrated structure, or can be arranged as a separate body.9.根据权利要求8所述的滑套式弹性调压钢板，其特征在于，所述钢板本体、移动板、辅助板上均设置有克氏针圆孔，用于临时固定骨骼。9 . The sliding sleeve type elastic pressure regulating steel plate according to claim 8 , wherein the steel plate body, the moving plate, and the auxiliary plate are all provided with circular holes for Kirschner wires, which are used to temporarily fix the bone. 10 .10.根据权利要求9所述的滑套式弹性调压钢板，其特征在于，所述钢板本体的下表面侧方可设凹面，减少对骨膜的压迫。10 . The sliding sleeve type elastic pressure regulating steel plate according to claim 9 , wherein a concave surface can be provided on the side of the lower surface of the steel plate body to reduce the compression on the periosteum. 11 .

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