技术领域technical field
本实用新型涉及医疗器械领域,尤其是一种跖跗关节损伤融合板。The utility model relates to the field of medical equipment, in particular to a fusion plate for tartartarsal joint damage.
背景技术Background technique
Lisfrance关节,即跖跗关节,是前中足之间的关节。即第一、第二、第三跖骨基底部与相应楔骨所形成的关节,以及第四、第五跖骨基底部与骰骨所形成的关节。跖跗关节参与组成足内侧纵弓(第一跖骨与内侧楔骨)、外侧纵弓(第5跖骨与骰骨)和中间横弓(内中外楔骨与骰骨),对于维持足正常形态起重要作用。Lisfranc关节损伤即跖跗关节骨折-脱位,为一种广义的关节内损伤。The Lisfrance joint, or metatarsal joint, is the joint between the forefoot and midfoot. That is, the joints formed by the bases of the first, second, and third metatarsals and the corresponding cuneiform bones, and the joints formed by the bases of the fourth and fifth metatarsals and the cuboid. The metatarsal joints are involved in the formation of the medial longitudinal arch (the first metatarsal and the medial cuneiform), the lateral longitudinal arch (the fifth metatarsal and the cuboid) and the middle transverse arch (the medial and lateral cuneiform and the cuboid), which play an important role in maintaining the normal shape of the foot. important role. Lisfranc joint injury is a fracture-dislocation of the metatarsal joint, which is a generalized intra-articular injury.
目前临床上对于移位明显的Lisfranc损伤,主张切开复位、坚强内固定。内固定材料主要采用螺丝钉,但螺钉固定强度不够且不稳定,随着术后患者负重下功能锻炼,容易出现复位丢失或螺钉断裂,最终导致手术失败。且经典Lisfranc螺钉需跨关节固定,可进一步加重跖楔关节及楔骨间关节面软骨损伤,增加术后创伤后骨关节炎风险。At present, open reduction and strong internal fixation are advocated clinically for Lisfranc injuries with obvious displacement. Screws are mainly used as internal fixation materials, but the fixation strength of the screws is not strong enough and unstable. With the postoperative functional exercise of the patient under load, it is easy to lose the reduction or the screw breaks, which eventually leads to the failure of the operation. In addition, classic Lisfranc screws need to be fixed across the joint, which can further aggravate the damage of the articular cartilage between the metatarsal wedge joint and the intercuneiular bone, and increase the risk of post-traumatic osteoarthritis after surgery.
发明内容Contents of the invention
本实用新型要解决的技术问题是:为了解决第一、第二序列跖跗关节损伤固定的稳定性和强度差问题,本实用新型提供了一种跖跗关节损伤融合板,通过采用一体成型的设计,分别将用第一跖楔关节板和第二跖楔关节板固定各部位的骨骼,形成一个整体固定的机构,有效解决了固定的稳定性和强度问题。The technical problem to be solved by the utility model is: in order to solve the problem of poor stability and strength of the first and second sequences of tartar joint damage fixation, the utility model provides a fusion plate for tartar joint damage. The design uses the first metatarsal wedge joint plate and the second metatarsal wedge joint plate to fix the bones of each part to form an overall fixed mechanism, which effectively solves the problems of stability and strength of fixation.
本实用新型解决其技术问题所采用的技术方案是:The technical scheme that the utility model solves its technical problem adopts is:
一种跖跗关节损伤融合板,所述融合板包括第一跖楔关节板、第二跖楔关 节板以及用于连接第一跖楔关节板和第二跖楔关节板的第一过渡板,所述融合板上设有若干个用于将融合板固定在第一跖骨、内侧楔骨、第二跖骨和中间楔骨上的固定孔。A metatarsal joint damage fusion plate, the fusion plate includes a first metatarsal wedge joint plate, a second metatarsal wedge joint plate and a first transition plate for connecting the first metatarsal wedge joint plate and the second metatarsal wedge joint plate , the fusion plate is provided with several fixing holes for fixing the fusion plate on the first metatarsal, the medial cuneiform, the second metatarsal and the middle cuneiform.
具体地,所述第一跖楔关节板与内侧楔骨和第一跖骨接触面的空间几何学形态与内侧楔骨和第一跖骨表面形态相匹配,即第一跖楔关节板近端的接触面与内侧楔骨表面形态相匹配,第一跖楔关节板远端的接触面与第一跖骨基底部表面形态相匹配;所述第一跖楔关节板与内侧楔骨和第一跖骨接触面的空间几何学形态与内侧楔骨和第一跖骨表面形态相匹配,即第二跖楔关节板近端的接触面与中间楔骨表面形态相匹配,第二跖楔关节板远端的接触面与第二跖骨基底部表面形态相匹配。Specifically, the spatial geometry of the contact surface of the first metatarsal cuneiform joint plate with the medial cuneiform bone and the first metatarsal bone matches the surface morphology of the medial cuneiform bone and the first metatarsal bone, that is, the contact of the proximal end of the first metatarsal cuneiform joint plate The surface of the first metatarsal cuneiform joint plate matches the surface morphology of the medial cuneiform bone, and the contact surface of the distal end of the first metatarsal cuneiform joint plate matches the surface morphology of the base of the first metatarsal cuneiform; The spatial geometric shape of the medial cuneiform bone and the first metatarsal bone match, that is, the contact surface of the proximal end of the second metatarsal cuneiform joint plate matches the surface shape of the middle cuneiform bone, and the contact surface of the distal end of the second metatarsal cuneiform joint plate Matches the topography of the base of the second metatarsal.
作为优选,所述第一跖楔关节板和/或第二跖楔关节板上设有用于跖骨和楔骨间加压的滑动孔。Preferably, the first metatarsal cuneiform joint plate and/or the second metatarsal cuneiform joint plate are provided with sliding holes for pressurizing between the metatarsal bone and the cuneiform bone.
作为优选,所述第一跖楔关节板和第二跖楔关节板之间还连接有第二过渡板。Preferably, a second transition plate is further connected between the first metatarsal cuneiform joint plate and the second metatarsal cuneiform joint plate.
具体地,所述第一过渡板的两端分别与第一跖楔关节板近端和第二跖楔关节板近端连接,所述第二过渡板的两端分别与第一跖楔关节板和第二跖楔关节板的中部固定连接。Specifically, the two ends of the first transition plate are respectively connected to the proximal end of the first metatarsal cuneiform joint plate and the proximal end of the second metatarsal cuneiform joint plate, and the two ends of the second transition plate are respectively connected to the proximal end of the first metatarsal cuneiform joint plate. It is fixedly connected to the middle of the second metatarsal cuneiform joint plate.
具体地,所述第一跖楔关节板近端至少设有两个用于固定内侧楔骨的固定孔,第一跖楔关节板远端至少设有两个用于固定第一跖骨的固定孔,所述第二跖楔关节板近端至少设有两个用于固定中间楔骨的固定孔,第二跖楔关节板远端至少设有两个用于固定第二跖骨的固定孔。Specifically, the proximal end of the first metatarsal cuneiform joint plate is provided with at least two fixing holes for fixing the medial cuneiform, and the distal end of the first metatarsal cuneiform joint plate is provided with at least two fixing holes for fixing the first metatarsal bone. The proximal end of the second metatarsal cuneiform joint plate is provided with at least two fixing holes for fixing the middle cuneiform, and the distal end of the second metatarsal cuneiform joint plate is provided with at least two fixing holes for fixing the second metatarsal bone.
具体地,所述第一跖楔关节板近端设有两个用于固定内侧楔骨的固定孔,第一跖楔关节板远端设有两个用于固定第一跖骨的固定孔;所述第二跖楔关节 板近端设有两个用于固定中间楔骨的固定孔,第二跖楔关节板远端设有两个用于固定第二跖骨的固定孔。Specifically, the proximal end of the first metatarsal cuneiform joint plate is provided with two fixing holes for fixing the medial cuneiform, and the distal end of the first metatarsal cuneiform joint plate is provided with two fixing holes for fixing the first metatarsal bone; The proximal end of the second metatarsal cuneiform joint plate is provided with two fixing holes for fixing the middle cuneiform, and the distal end of the second metatarsal cuneiform joint plate is provided with two fixing holes for fixing the second metatarsal bone.
作为优选,所述第一跖楔关节板近端的远离第一跖楔关节板远端的一端处设有一弯折部,所述弯折部为向所述第二跖楔关节板方向弯折后形成,所述弯折部与内侧楔骨侧面的表面形态相匹配,所述弯折部设有固定孔。Preferably, a bending part is provided at the end of the proximal end of the first metatarsal cuneiform joint plate away from the distal end of the first metatarsal cuneiform joint plate, and the bending part is bent toward the direction of the second metatarsal cuneiform joint plate. After being formed, the bending part matches the surface shape of the side surface of the medial cuneiform bone, and the bending part is provided with a fixing hole.
具体地,所述固定孔内设有内螺纹。Specifically, an internal thread is provided in the fixing hole.
具体地,所述融合板为不锈钢融合板、纯钛融合板或碳钢融合板。Specifically, the fusion plate is a stainless steel fusion plate, a pure titanium fusion plate or a carbon steel fusion plate.
本实用新型的有益效果是:本实用新型提供的跖跗关节损伤融合板,采用解剖型设计,便于解剖复位,在手术中无需对融合板进行预弯,节约了手术的时间,避免折弯对板强度的影响,第一、第二跖楔关节板近端固定孔呈空间立体型固定,对内侧、中间楔骨具有更强的把持力,板和螺钉设计充分考虑到亚洲人体解剖曲率设计,多关节面融合便于术中足弓解剖型重建,滑动孔用于跖楔关节融合时骨块间加压,为关节融合提供更好的稳定性,螺钉钉帽低于骨板的设计和隐蔽边缘设计减少对软组织的刺激,且本设计有利于术后早期的被动锻炼,适用于跖跗损伤,也适用于跖跗骨关节炎、高弓足患者,即能保留关节面软骨,又起到限制关节活动的作用,在去除关节面软骨后植骨,采用滑动孔实现跖楔关节面间加压,提高融合率,避免了传统采用跖楔关节螺钉固定方法对跖楔关节面软骨的破坏,降低了创伤后骨关节炎的发生率;第一跖楔关节板近端的远离第一跖楔关节板远端的一端处的弯折部设计,在进行固定时,螺钉打入固定孔后,可以穿过内侧楔骨固定在第二楔骨基底部,进一步增加了融合板的固定效果。The beneficial effects of the utility model are: the fusion plate for metatarsal tarsal joint injury provided by the utility model adopts an anatomical design, which is convenient for anatomical reset, and there is no need to pre-bend the fusion plate during the operation, which saves the operation time and avoids bending damage. Influenced by the strength of the plate, the proximal fixation holes of the first and second metatarsal cuneiform joint plates are three-dimensional fixed, which has a stronger holding force on the medial and middle cuneiform bones. The design of the plate and screws fully takes into account the anatomical curvature of Asian human Multi-articular surface fusion facilitates anatomical reconstruction of the foot arch during operation. The sliding hole is used to pressurize the bone fragments during the fusion of the metatarsal wedge joint, providing better stability for joint fusion. The design of the screw cap is lower than the bone plate and the hidden edge The design reduces the stimulation of soft tissues, and this design is conducive to early passive exercise after operation. It is suitable for tartartarsal injuries, and it is also suitable for patients with tartartarsal arthritis and high arched feet. It can not only preserve the articular surface cartilage, but also restrict The role of joint movement, after removal of the articular cartilage, bone grafting, the use of sliding holes to achieve pressure between the articular surfaces of the metatarsal wedge, improve the fusion rate, avoid the traditional method of metatarsal wedge joint screw fixation on the articular cartilage of the metatarsal wedge, reduce damage The incidence rate of post-traumatic osteoarthritis is lowered; the design of the bending part at the proximal end of the first metatarsal cuneiform joint plate away from the distal end of the first metatarsal cuneiform joint plate is designed. Fixation across the medial cuneiform to the base of the second cuneiform further increases the fixation effect of the fusion plate.
附图说明Description of drawings
下面结合附图和实施例对本实用新型进一步说明。Below in conjunction with accompanying drawing and embodiment the utility model is further described.
图1是本实用新型跖跗关节损伤融合板的结构示意图。Fig. 1 is a schematic diagram of the structure of the fusion plate for metatarsal joint injury of the present invention.
图中:1.第一跖楔关节板,2.第二跖楔关节板,3.第一过渡板,4.第二过渡板一,5.固定孔,6.滑动孔,7.第一跖楔关节板近端,8.第一跖楔关节板远端,9.第二跖楔关节板近端,10.第二跖楔关节板远端,11.折弯部,100.接触面。In the figure: 1. The first metatarsal wedge joint plate, 2. The second metatarsal wedge joint plate, 3. The first transition plate, 4. The second transition plate one, 5. Fixing hole, 6. Sliding hole, 7. The first The proximal end of the metatarsal cuneiform joint plate, 8. the distal end of the first metatarsal cuneiform joint plate, 9. the proximal end of the second metatarsal cuneiform joint plate, 10. the distal end of the second metatarsal cuneiform joint plate, 11. the bending part, 100. the contact surface .
具体实施方式Detailed ways
现在结合附图对本实用新型作进一步详细的说明。这些附图均为简化的示意图,仅以示意方式说明本实用新型的基本结构,因此其仅显示与本实用新型有关的构成。Now in conjunction with accompanying drawing, the utility model is described in further detail. These drawings are all simplified schematic diagrams, and only schematically illustrate the basic structure of the utility model, so they only show the configurations related to the utility model.
如图1所示,一种跖跗关节损伤融合板,融合板为纯钛融合板,板厚1.8mm,融合板包括第一跖楔关节板1和第二跖楔关节板2以及用于连接第一跖楔关节板近端7和第二跖楔关节板近端9的第一过渡板3,第一跖楔关节板近端7设有二个固定内侧楔骨的固定孔5,第一跖楔关节板远端8设有二个固定第一跖骨的固定孔5,第二跖楔关节板近端9设有二个固定中间楔骨的固定孔5,第二跖楔关节板远端10设有二个固定第二跖骨的固定孔5,第一跖楔关节板1和第二跖楔关节板2上分别设有一个用于跖骨和楔骨间加压的滑动孔6。As shown in Figure 1, a fusion plate for metatarsal tarsal joint injury, the fusion plate is a pure titanium fusion plate with a plate thickness of 1.8 mm, the fusion plate includes a first metatarsal wedge joint plate 1 and a second metatarsal wedge joint plate 2 and is used for connecting The first transition plate 3 of the proximal end 7 of the first metatarsal cuneiform joint plate and the proximal end 9 of the second metatarsal cuneiform joint plate, the proximal end 7 of the first metatarsal cuneiform joint plate is provided with two fixing holes 5 for fixing the medial cuneiform, the first The distal end 8 of the metatarsal cuneiform joint plate is provided with two fixing holes 5 for fixing the first metatarsal, the proximal end 9 of the second metatarsal cuneiform joint plate is provided with two fixing holes 5 for fixing the middle cuneiform, and the distal end of the second metatarsal cuneiform joint plate is 10 is provided with two fixing holes 5 for fixing the second metatarsal, and the first metatarsal wedge joint plate 1 and the second metatarsal wedge joint plate 2 are respectively provided with a sliding hole 6 for pressurizing between the metatarsal bone and the cuneiform bone.
此实施例中,融合板充分依据亚洲人体解剖曲率设计,板厚1.8mm,用于固定融合板的固定孔5内设有内螺纹,固定孔5可以与直径为2.7mm的锁定螺钉或者直径为2.7mm的非锁定螺钉或者其二者的结合配合使用,固定孔5配置的固定螺钉的螺钉帽优选低于融合板,减少对软组织的刺激,避免手术后融合板或者固定螺钉的切迹过高,并且采用板式设计及不锈钢、纯钛或碳钢等高强度材料,便于手术后的早期被动锻炼,融合板采用隐蔽边缘设计,减少对软组织 的刺激,滑动孔6的设计用于跖骨和楔骨间加压,提高了融合率且为关节融合提供更好的稳定性。In this embodiment, the fusion plate is fully designed according to the curvature of Asian human anatomy, and the thickness of the plate is 1.8mm. Internal thread is provided in the fixing hole 5 for fixing the fusion plate. The fixing hole 5 can be connected with a locking screw with a diameter of 2.7mm or a diameter of 2.7mm non-locking screws or a combination of the two are used together. The screw caps of the fixing screws configured in the fixing hole 5 are preferably lower than the fusion plate, so as to reduce the stimulation to soft tissues and avoid excessive height of the fusion plate or the fixation screw after surgery. , and adopts plate design and high-strength materials such as stainless steel, pure titanium or carbon steel, which is convenient for early passive exercise after surgery. The fusion plate adopts a hidden edge design to reduce the stimulation of soft tissues. The sliding hole 6 is designed for the metatarsal bone and cuneiform bone It increases the fusion rate and provides better stability for joint fusion.
在一种具体实施方式中,第一跖楔关节板1与内侧楔骨和第一跖骨接触面100的空间几何学形态与内侧楔骨和第一跖骨表面形态相匹配,即第一跖楔关节板近端7的接触面100与内侧楔骨表面形态相匹配,第一跖楔关节板远端8的接触面100与第一跖骨基底部表面形态相匹配;第一跖楔关节板1与内侧楔骨和第一跖骨接触面100的空间几何学形态与内侧楔骨和第一跖骨表面形态相匹配,即第二跖楔关节板近端9的接触面100与中间楔骨表面形态相匹配,第二跖楔关节板远端10的接触面100与第二跖骨基底部表面形态相匹配。In a specific embodiment, the spatial geometry of the first metatarsal cuneiform joint plate 1 and the contact surface 100 of the medial cuneiform bone and the first metatarsal bone matches the surface morphology of the medial cuneiform bone and the first metatarsal bone, that is, the first metatarsal cuneiform joint The contact surface 100 of the proximal end 7 of the plate matches the surface morphology of the medial cuneiform bone, and the contact surface 100 of the distal end 8 of the first metatarsal cuneiform joint plate matches the surface morphology of the base of the first metatarsal bone; the first metatarsal cuneiform joint plate 1 matches the shape of the medial The spatial geometry of the contact surface 100 between the cuneiform bone and the first metatarsal bone matches the surface morphology of the medial cuneiform bone and the first metatarsal bone, that is, the contact surface 100 of the proximal end 9 of the second metatarsal cuneiform joint plate matches the surface morphology of the middle cuneiform bone, The contact surface 100 of the distal end 10 of the second metatarsal wedge joint plate matches the topography of the base of the second metatarsal bone.
此实施例采用融合板的接触面100与各接触的骨骼表面的形状相匹配,无需在术中对钢板进行预弯,大大节约了手术时间,避免折弯对钢板强度的影响。In this embodiment, the contact surface 100 of the fusion plate matches the shape of the bone surface to be contacted, and there is no need to pre-bend the steel plate during the operation, which greatly saves the operation time and avoids the influence of bending on the strength of the steel plate.
在一种具体实施方式中,第一跖楔关节板1和第二跖楔关节板2之间还连接有第二过渡板4。In a specific embodiment, a second transition plate 4 is also connected between the first metatarsal wedge joint plate 1 and the second metatarsal wedge joint plate 2 .
在两个滑动孔6的外侧壁之间增加第二过渡板4,使此融合板整体更加稳定牢固,也增强了第二跖楔关节板2和第一跖楔关节板1的牢固度,缩短了患者手术后的恢复时间,固定孔5配合空心螺钉固定,进一步增强了稳定性。A second transition plate 4 is added between the lateral walls of the two sliding holes 6 to make the fusion plate more stable and firm as a whole, and also enhance the firmness of the second metatarsal wedge joint plate 2 and the first metatarsal wedge joint plate 1, shortening The recovery time of the patient after the operation is shortened, and the fixing hole 5 is fixed with a hollow screw, which further enhances the stability.
作为优选,第一过渡板3的两端分别与第一跖楔关节板近端7和第二跖楔关节板近端9连接,第二过渡板4的两端分别与第一跖楔关节板1和第二跖楔关节板2的中部固定连接。Preferably, the two ends of the first transition plate 3 are respectively connected with the proximal end 7 of the first metatarsal wedge joint plate and the proximal end 9 of the second metatarsal wedge joint plate, and the two ends of the second transition plate 4 are connected with the proximal end of the first metatarsal wedge joint plate respectively. 1 and the middle part of the second metatarsal wedge joint plate 2 are fixedly connected.
本设计中,第一跖楔关节板1和第二跖楔关节板2也可以用于第二、第三序列的跖跗关节损伤,也可以适用于其他序列的跖跗关节损伤。In this design, the first metatarsal cuneiform joint plate 1 and the second metatarsal cuneiform joint plate 2 can also be used for the second and third series of metatarsal joint injuries, and can also be applied to other series of metatarsal joint injuries.
在一种具体实施方式中,第一跖楔关节板近端7的远离第一跖楔关节板远端8的一端处设有一弯折部11,弯折部11为向第二跖楔关节板2方向弯折后形 成,弯折部11与内侧楔骨侧面的表面形态相匹配,弯折部11设有固定孔5。In a specific embodiment, a bending portion 11 is provided at the end of the proximal end 7 of the first metatarsal wedge joint plate away from the distal end 8 of the first metatarsal wedge joint plate, and the bending portion 11 is toward the second metatarsal wedge joint plate. Formed after bending in two directions, the bending part 11 matches the surface shape of the side of the medial cuneiform bone, and the bending part 11 is provided with a fixing hole 5.
第一跖楔关节板近端7的远离第一跖楔关节板远端8的一端处的弯折部11设计,在进行固定时,螺钉打入固定孔5后,可以穿过内侧楔骨固定在第二楔骨基底部,进一步增加了融合板的固定效果。The bending portion 11 at the end of the proximal end 7 of the first metatarsal cuneiform joint plate far away from the distal end 8 of the first metatarsal cuneiform joint plate is designed. When fixing, the screw can be driven into the fixing hole 5 and fixed through the medial cuneiform bone. At the base of the second cuneiform, the fixation effect of the fusion plate is further increased.
以上述依据本实用新型的理想实施例为启示,通过上述的说明内容,相关工作人员完全可以在不偏离本项发明技术思想的范围内,进行多样的变更以及修改。本项发明的技术性范围并不局限于说明书上的内容,必须要根据权利要求范围来确定其技术性范围。Inspired by the above-mentioned ideal embodiment according to the present invention, and through the above-mentioned description content, relevant workers can completely make various changes and modifications within the scope of not departing from the technical idea of the present invention. The technical scope of the present invention is not limited to the content in the specification, but must be determined according to the scope of the claims.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520020388.1UCN204446081U (en) | 2015-01-12 | 2015-01-12 | Treatment of Tarsometatarsal Joint Injury merges plate |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520020388.1UCN204446081U (en) | 2015-01-12 | 2015-01-12 | Treatment of Tarsometatarsal Joint Injury merges plate |
| Publication Number | Publication Date |
|---|---|
| CN204446081Utrue CN204446081U (en) | 2015-07-08 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201520020388.1UExpired - LifetimeCN204446081U (en) | 2015-01-12 | 2015-01-12 | Treatment of Tarsometatarsal Joint Injury merges plate |
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| Date | Code | Title | Description |
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| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CP01 | Change in the name or title of a patent holder | Address after:213164 West Lake Road, Wujin high tech Zone, Changzhou, Jiangsu, 9 Patentee after:Changzhou Huasen Medical Instrument Co.,Ltd. Address before:213164 West Lake Road, Wujin high tech Zone, Changzhou, Jiangsu, 9 Patentee before:CHANGZHOU WASTON MEDICAL APPLIANCE Co.,Ltd. | |
| CP01 | Change in the name or title of a patent holder | ||
| CP02 | Change in the address of a patent holder | Address after:213000 No.5 Longxiang Road, Nanxiashu street, Wujin national high tech Industrial Development Zone, Changzhou City, Jiangsu Province Patentee after:Changzhou Huasen Medical Instrument Co.,Ltd. Address before:213164 West Lake Road, Wujin high tech Zone, Changzhou, Jiangsu, 9 Patentee before:Changzhou Huasen Medical Instrument Co.,Ltd. | |
| CP02 | Change in the address of a patent holder | ||
| CX01 | Expiry of patent term | Granted publication date:20150708 | |
| CX01 | Expiry of patent term |