BIDIRECTIONAL FIXATION STEEL PLATE AND A BONE SHAFT FIXATION SYSTEM

Abstract

The present invention relates to a bidirectional fixation steel plate and a bone shaft fixation system. The bidirectional fixation steel plate comprises a steel plate body, wherein the steel plate body is used to be implanted from a front side of a bone shaft and has a structure matched with the front side of the bone shaft to fixedly fit with a fracture end, the steel plate body is provided with at least two pairs of guide holes for first locking screws to pass through respectively in the structure matched with the front side of the bone shaft, and angles of the guide holes enable the first locking screws passing through to clamp an intramedullary nail together to control rotation and axial stability of the intramedullary nail. The bidirectional fixation steel plate proposed by the present invention may achieve support, anti-rotation and axial stability of the bone shaft fracture end through the cooperation of the first locking screws and the guide holes of the steel plate body provided with specific angles, to further enhance the reliability of fixation after reduction, thereby effectively guaranteeing to assist in stable reduction and healing of the fracture site.

Claims

1. A bidirectional fixation steel plate comprising a steel plate body, wherein the steel plate body is used to be implanted from a front side of a bone shaft and has a structure matched with the front side of the bone shaft to fixedly fit with a fracture end, the steel plate body is provided with at least two pairs of guide holes for first locking screws to pass through respectively in the structure matched with the front side of the bone shaft, and angles of the guide holes enable all the first locking screws passing through the guide holes to clamp an intramedullary nail together to control rotation and axial stability of the intramedullary nail.

2. The bidirectional fixation steel plate according to claim 1, wherein positioning holes for second locking screws to pass through are provided at a distal end and/or a proximal end of the steel plate body, and angles of the positioning holes enable the second locking screws passing through the positioning holes to position the steel plate body in the position in close contact with the bone shaft.

3. The bidirectional fixation steel plate according to claim 2, wherein the steel plate body is manufactured by an integral molding process.

4. The bidirectional fixation steel plate according to claim 1, wherein the steel plate body has a long axis consistent with the intramedullary nail when implanted, and respective pairs of guide holes are arranged along the long axis of the steel plate body, the guide holes being arranged in double columns.

5. The bidirectional fixation steel plate according to claim 4, wherein the steel plate body is provided with two pairs of guide holes in the structure matched with the front side of the bone shaft, each pair of guide holes are arranged along a short axis of the steel plate body, and the guide holes are divided into two rows along the long axis of the steel plate body.

6. The bidirectional fixation steel plate according to claim 4, wherein the steel plate body is provided with four pairs of guide holes in the structure matched with the front side of the bone shaft, each pair of guide holes are arranged along the short axis of the steel plate body, and the guide holes are divided into four rows along the long axis of the steel plate body.

7. A bone shaft fixation system, comprising the bidirectional fixation steel plate according to claim 1, and further comprising an intramedullary nail and several first locking screws, wherein the intramedullary nail is used to fix a fracture end and has a structure matched with an intramedullary cavity of bone shaft, and each of the first locking screws passes through corresponding guide hole respectively and then is closely fitted with a side surface of the intramedullary nail and fixedly clamp the intramedullary nail together for controlling the rotation and axial stability of the intramedullary nail.

8. The bone shaft fixation system according to claim 7, wherein the bone shaft fixation system further comprising second locking screws passing through the positioning holes for positioning the bidirectional fixation steel plate.

9. The bone shaft fixation system according to claim 8, wherein each of the first locking screws and the second locking screws has a diameter ranging from 2.4 to 4.5 mm.

10. The bone shaft fixation system according to claim 8, wherein the first locking screws and/or the second locking screws are hollow locking screws or solid locking screws.

11. The bidirectional fixation steel plate according to claim 2, wherein the steel plate body has a long axis consistent with the intramedullary nail when implanted, and respective pairs of guide holes are arranged along the long axis of the steel plate body, the guide holes being arranged in double columns.

12. The bidirectional fixation steel plate according to claim 3, wherein the steel plate body has a long axis consistent with the intramedullary nail when implanted, and respective pairs of guide holes are arranged along the long axis of the steel plate body, the guide holes being arranged in double columns.

13. The bidirectional fixation steel plate according to claim 11, wherein the steel plate body is provided with two pairs of guide holes in the structure matched with the front side of the bone shaft, each pair of guide holes are arranged along a short axis of the steel plate body, and the guide holes are divided into two rows along the long axis of the steel plate body.

14. The bidirectional fixation steel plate according to claim 12, wherein the steel plate body is provided with two pairs of guide holes in the structure matched with the front side of the bone shaft, each pair of guide holes are arranged along a short axis of the steel plate body, and the guide holes are divided into two rows along the long axis of the steel plate body.

15. The bidirectional fixation steel plate according to claim 11, wherein the steel plate body is provided with four pairs of guide holes in the structure matched with the front side of the bone shaft, each pair of guide holes are arranged along the short axis of the steel plate body, and the guide holes are divided into four rows along the long axis of the steel plate body.

16. The bidirectional fixation steel plate according to claim 12, wherein the steel plate body is provided with four pairs of guide holes in the structure matched with the front side of the bone shaft, each pair of guide holes are arranged along the short axis of the steel plate body, and the guide holes are divided into four rows along the long axis of the steel plate body.

17. A bone shaft fixation system, comprising the bidirectional fixation steel plate according to claim 2, and further comprising an intramedullary nail and several first locking screws, wherein the intramedullary nail is used to fix a fracture end and has a structure matched with an intramedullary cavity of bone shaft, and each of the first locking screws passes through corresponding guide hole respectively and then is closely fitted with a side surface of the intramedullary nail and fixedly clamp the intramedullary nail together for controlling the rotation and axial stability of the intramedullary nail.

18. The bone shaft fixation system according to claim 17, wherein the bone shaft fixation system further comprising second locking screws passing through the positioning holes for positioning the bidirectional fixation steel plate.

19. The bone shaft fixation system according to claim 18, wherein each of the first locking screws and the second locking screws has a diameter ranging from 2.4 to 4.5 mm.

20. The bone shaft fixation system according to claim 18, wherein the first locking screws and/or the second locking screws are hollow locking screws or solid locking screws.

Description

DESCRIPTION OF THE DRAWINGS

[0021] FIG. 1 is a schematic diagram of bone nonunion after bone shaft fracture.

[0022] FIG. 2 is a front view of one preferred structure of a bidirectional fixation steel plate of the present invention.

[0023] FIG. 3 is a structural side view showing the bidirectional fixation steel plate of FIG. 2 in a used state.

[0024] FIG. 4 is a structural perspective view showing the bidirectional fixation steel plate of FIG. 2 in a used state.

[0025] FIG. 5 is a top view of FIG. 4.

[0026] FIG. 6 is a front view of another preferred structure of a bidirectional fixation steel plate of the present invention.

[0027] FIG. 7 is a structural side view showing a preferred bone shaft fixation system of the present invention in a used state.

[0028] FIG. 8 is a structural perspective view showing the bone shaft fixation system of FIG. 7 in a used state.

[0029] Reference numbers in the drawings are listed as follows:

[0030] 1—bone shaft; 10—nonunion; 2—bidirectional fixation steel plate; 20—steel plate body; 2101—guide hole; 2102—guide hole; 2103—guide hole; 2104—guide hole; 2105—guide hole; 2106—guide hole; 2107—guide hole; 2108—guide hole; 2201—first locking screw; 2202—first locking screw; 2203—first locking screw; 2204—first locking screw; 2205—first locking screw; 2206—first locking screw; 2207—first locking screw; 2208—first locking screw; 23—positioning hole; 3—intramedullary screw.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0031] The present invention will be further described with reference to the accompanying drawings.

[0032] The present invention relates to a bidirectional fixation steel plate, comprising a steel plate body, wherein the steel plate body is used to be implanted from a front side of the bone shaft and has a structure matched with the front side of the bone shaft to fixedly fit with the fracture end, the steel plate body is provided with at least two pairs of guide holes for the first locking screws to pass through respectively in the structure matched with the front side of the bone shaft, and the angles of the guide holes enable the first locking screws passing through to clamp the intramedullary nail together to control the rotation and axial stability of the intramedullary nail. The specific structural shape of the steel plate body, and the specific positions of each pair of guide holes and the number of the guides holes may be reasonably set according to actual application situations, are not limited by the present invention and include but are not limited to the above range. For example, the steel plate body may be designed into a rectangular structure and an inner side thereof may be closely fitted with the front side of the bone shaft, or may be designed into other reasonable structures. In addition, the steel plate body has a long axis consistent with the intramedullary nail when implanted, and each pair of guide holes are arranged along the long axis of the steel plate body, the guide holes being arranged in double columns, that is, the guide holes may be arranged in multiple rows and double columns finally. For example, the steel plate body is provided with two pairs of guide holes in the structure matched with the front side of the bone shaft, each pair of guide holes are arranged along a short axis of the steel plate body, and the guide holes are divided into two rows along the long axis of the steel plate body. Alternatively, the steel plate body is provided with four pairs of guide holes in the structure matched with the front side of the bone shaft, each pair of guide holes are arranged along the short axis of the steel plate body, and are divided into four rows along the long axis of the steel plate body. The specific arrangement structure may be reasonably and selectively set according to the specific conditions of the fracture site. For example, the guide holes may be divided into two rows, four rows, six rows, eight rows, etc., along the long axis of the steel plate body, in order to match with the fracture end to achieve optimal anti-rotation and anti-axial instability while supporting and stabilizing the fracture end, so as to accelerate and promote fracture healing and make the fracture healing state better. In other words, for the bidirectional fixation steel plate of the present invention, the length of the bidirectional fixation steel plate may be determined according to the number of the guide holes provided in the structure of the steel plate body matched with the front side of the bone shaft. For example, the length of the bidirectional fixation steel plate may be determined according to two rows, four rows, six rows, eight rows or more rows of guide holes.

[0033] FIG. 2 is a front view of one preferred structure of a bidirectional fixation steel plate 2 of the present invention. As shown in FIG. 2, the fixation steel plate 2 comprises a steel plate body 20 which is preferably made of stainless steel by an integral molding process. The steel plate body 20 is used to be implanted from a front side of the bone shaft and has a structure matched with the front side of the bone shaft to fixedly fit with the fracture end, support and stabilize the fracture end, and promote fracture healing. The steel plate body 20 of the embodiment is preferably provided with four pairs of guide holes (for example, reference numerals 2101-2108, i.e. guide hole 2101 and guide hole 2102, guide hole 2103 and guide hole 2104, guide hole 2105 and guide hole 2106, guide hole 2107 and guide hole 2108) for the first locking screws to pass through in the structure matched with the front side of the bone shaft. Each of the guide holes is provided with a specific angle, when performing locking and fixing using the first locking screws passing through along the angles of the guide holes, the specific angles directly enable the steel plate body 20 to be in close contact with the bone shaft and enable the first locking screws passing through to clamp the intramedullary nail together to control the rotation and axial stability of the intramedullary nail, that is to say, achieve a close fit between the steel plate body 20 and the front side of the bone shaft as well as fixation and anti-rotation of the intramedullary nail, and then achieve axial stability, fixed support and anti-rotation for the bone shaft fracture end. In addition, as shown in FIG. 2, the guide hole 2101, the guide hole 2105, the guide hole 2107 and the guide hole 2103 are arranged in an approximate straight line, and the guide hole 2102, the guide hole 2106, the guide hole 2108 and the guide hole 2104 are arranged in an approximate straight line, that is, all the guide holes are arranged in four rows and double columns, and the arrangement shape may also be set in any other mode as long as it ensures the effects of effective fixation, anti-rotation, anti-axial instability and ensures minimum injury to patients during actual applications. The bidirectional fixation steel plate 2 proposed by the present invention adopts an integrally molded steel plate body 20 which is implanted from the front side of the bone shaft and has a structure matched with the front side of the bone shaft, and may achieve the good effect of fitting and fixing the fracture end. Meanwhile, the steel plate body 20 may be matched with the first locking screws to achieve the axial positioning and fixation of the long bone shaft fracture area and prevent the dislocation of the fracture site, and may stabilize and support the fracture non-healing or nonunion site at the fracture end, which effectively ensures the stability fracture healing, further guarantees to assist in the accurate positioning, reduction and healing of the fracture site, accelerates and promotes fracture healing and makes the fracture healing state better.

[0034] The working principle and use method of the bidirectional fixation steel plate 2 proposed by the present invention are specifically described as follows:

[0035] FIGS. 3 to 5 are structural schematic diagrams showing a preferred bidirectional fixation steel plate 2 proposed by the present invention in a used state. During actual applications, first, at the fracture site, for example, the front side of the bone shaft 1, that is, the front of the nonunion site, skin, subcutaneous tissue, quadriceps muscle abdomen and periosteum are cut along a long axis of the limb to expose the nonunion site, and then a bone cortex cutting operation is performed at the nonunion site using a sharp osteotome, to fully expose the nonunion site; bone paste operation and cortex bone jump are respectively performed using a minimally invasive bone extraction drill; bone paste is filled in the nonunion site, cancellous bone strip is paved under the cut bone cortex; stripping under periosteum is made using the extensibility of skin and muscle; then, the bidirectional fixation steel plate 2 shown in FIG. 2 is implanted under the periosteum, the steel plate body 20 is implanted at the front side of the bone shaft, and the inner side of the steel plate body 20 is closely fitted with the front side of the bone shaft, to achieve good effects of support, anti-rotation and fixation, perfectly achieving effective support and fixation for bone shaft fracture, assisting in accurate positioning and healing of the fracture site, and effectively ensuring the stability of the reduction and healing of the bone shaft fracture. As shown in FIG. 3 and FIG. 4 (wherein FIG. 3 is side view, and FIG. 4 is a perspective view), the first locking screw 2201 and the first locking screw 2202 respectively pass through the guide hole 2101 and the guide hole 2102 provided in the steel plate body 20 at a certain angle, the first locking screw 2205 and the first locking screw 2206 respectively pass through the guide hole 2105 and the guide hole 2106 provided in the steel plate body 20 at a certain angle, the first locking screw 2207 and the first locking screw 2208 respectively pass through the guide hole 2107 and the guide hole 2108 provided in the steel plate body 20 at a certain angle, the first locking screw 2203 and the first locking screw 2204 respectively pass through the guide hole 2103 and the guide hole 2104 provided in the steel plate body 20 at a certain angle, to closely fit the steel plate body 20 with the front side of the bone shaft so as to fix the fracture end, and the steel plate body 20 cooperates with respective guide holes to make all locking screw passing through the guide holes to clamp the intramedullary nail 3 together to control the rotation and axial stability of the intramedullary nail 3, thereby achieving axial support, fixation, anti-rotation and axial stability of the intramedullary nail 3. Moreover, each of the above certain angles may be reasonably set according to the actual situation as long as it ensures that each pair of first locking screws may effectively clamp the intramedullary nail 3, that is, achieves the effects of effective fixation, anti-rotation, anti-axial instability and ensure minimum injury to patients during actual applications. In addition, as shown in FIG. 5 (FIG. 5 is a top view of FIG. 4, i.e. a view from the proximal to the distal end of the bone shaft), the above four pairs of first locking screws, eight in total, are arranged in two approximate straight lines, that is, arranged in four rows and double columns, and each of the first locking screws passing through the steel plate body 20 is closely fitted with the intramedullary nail 3 and is fixed through the cortex (i.e. between the cortex and the periosteum), to clamp the intramedullary nail 3 together so as to control the rotation and axial stability of the intramedullary nail 3, and strengthen the effects of axial support, anti-rotation and stability of the intramedullary nail 3. After fixation and support by the bidirectional fixation steel plate 2 of the present invention, a negative pressure drainage tube is intubated, and periosteum, myofascial fascia, deep fascia, subcutaneous tissue and skin are closed by suture; and the drainage tube is pulled out 48 hours after the operation. Then, the patient with fracture takes daily exercises of passive extreme knee motion, lower limb isometric contraction, and weight-bearing activities under pain tolerance (toes on ground by 5 kg). The patient receives X-ray examination monthly to determine the weight-bearing process according to fracture healing condition until the patient fully recovers.

[0036] FIG. 6 is a front view of another preferred structure of a bidirectional fixation steel plate of the present invention. In this embodiment, positioning holes 23 for the second locking screw to pass through are provided at both the distal end and proximal end of the steel plate body 20 (that is to say, at an upper end portion and a lower end portion of the steel plate body), and the angles of the positioning holes enable the second locking screws passing through the positioning holes to position the steel plate body 20 in a position in close contact with the bone shaft, thus further improving the accurate positioning and fixation of the bone shaft fracture end, and enhancing the fracture healing effect.

[0037] The present invention further relates to a bone shaft fixation system, comprising the above bidirectional fixation steel plate, and further comprises an intramedullary nail and several first locking screw, wherein the bidirectional fixation steel plate may adopt the bidirectional fixation steel plate as shown in FIGS. 1 to 5, the intramedullary nail is used to fix the fracture end and has a structure matched with an intramedullary cavity of the bone shaft, and each of the first locking screws passes through corresponding guide hole respectively and then is closely fitted with the side surface of the intramedullary nail and fixedly clamp the intramedullary nail together for controlling the rotation and axial stability of the intramedullary nail.

[0038] Preferably, the bone shaft fixation system may further comprise second locking screws passing through the positioning holes for positioning the bidirectional fixation steel plate. In this case, the bidirectional fixation steel plate adopts the structure as shown in FIG. 6, that is, positioning holes for the second locking screws to pass through may also be provided at the distal end and/or proximal end of the steel plate body (that is, the upper end portion and/or the lower end portion of the steel plate body), and the angles of the positioning holes enable the second locking screws passing through to position the steel plate body in a position in close contact with the bone shaft, so as to achieve accurate positioning and fixation of the bone shaft fracture end, and enhancing the fracture healing effect.

[0039] Preferably, the locking screws (the first locking screws and the second locking screws) for fixing the bidirectional fixation steel plate may have a diameter ranging from 2.4 mm to 4.5 mm; and the locking screws for fixing the bidirectional fixation steel plate (the first locking screws and the second locking screws) may be hollow locking screws or solid locking screws.

[0040] FIG. 7 and FIG. 8 are structural schematic diagrams showing a preferred bone shaft fixation system of the present invention in a used state. FIG. 7 is side view, and FIG. 8 is a perspective view, in which the bidirectional fixation steel plate 2 and the intramedullary nail 3 shown in FIG. 3 or FIG. 4 are included. Fixation of the bidirectional fixation steel plate 2, and clamping and fixation of the intramedullary nail 3 are conducted by a plurality of first locking screws as shown in FIGS. 3 to 4 in the above-mentioned mode, to control rotation and strengthen the support. The intramedullary nail 3 has a structure matched with an intramedullary cavity of the bone shaft, first locking screws respectively passing through respective pairs of guide holes are closely fitted with the side surface of the intramedullary nail and control the rotation and axial stability of the intramedullary nail 3, that is to say, all the first locking screws passing through the steel plate body 20 are closely fitted with the intramedullary nail 3 and are fixed through the cortex (that is, between the cortex and the periosteum), and clamp the intramedullary nail 3 together to control the rotation and axial stability of the intramedullary nail 3, thus an overall structure that all the first locking screws tangentially embrace the intramedullary nail 3 is formed, to further strengthen the effects of axial support, anti-rotation and stability of the intramedullary nail 3, and then achieve support, anti-rotation and axial stability of the bone shaft fracture end.

[0041] The working principle and use method of the bone shaft fixation system proposed by the present invention are specifically described as follows:

[0042] As shown in FIG. 7 and FIG. 8, for the bone shaft fixation system proposed by the present invention, in the actual use, the intramedullary nail 3 may be inserted into the intramedullary cavity of the bone shaft through the bone shaft fracture end, and the bidirectional fixation steel plate 2 may be implanted through a conventional anterolateral incision. Thus, only one incision is required to achieve the implantation of the bone shaft fixation system proposed by the present invention, the intraoperative injury surface, degree of injury and amount of bleeding are usually smaller, and postoperative healing and recovery speed are faster. The working principle and use method of the bidirectional fixation steel plate 2 shown in FIGS. 2 to 5 are the same as those described above. The bidirectional fixation steel plate 2 and the intramedullary nail 3 cooperate with each other, the long axis of the steel plate body 20 of the bidirectional fixation steel plate 2 is consistent with the intramedullary nail 3, the intramedullary nail 3 achieves the effective support and fixation of the fracture end, each of the first locking screws passing through the bidirectional fixation steel plate 2 is closely fitted with the intramedullary nail 3 and is fixed through the cortex, that is, the steel plate body 20 achieves the effects of controlling rotation and strengthening support of the intramedullary nail 3 by the bidirectional fixing screws (or the bidirectional locking screws) through cooperation of respective guide holes provided with specific angles and respective first locking screws, and then achieves accurate positioning and fixation of the bone shaft fracture site as well as anti-rotation and anti-axial instability, further strengthens the effective support and stability for the bone shaft fracture, and assists in the accurate positioning and fixation of the fracture site, thereby effectively ensuring the stability after reduction of the bone shaft fracture.

[0043] It should be noted that the foregoing described specific embodiments may enable those skilled in the art to more fully understand the present invention rather than limit the present invention in any way. Therefore, although the present invention has been described in detail with reference to the drawings and embodiments, those skilled in the art should understand that modifications or equivalent replacements can be made to the present invention. In short, all technical solutions and improvements made without departing from the concepts and scope of the present invention should be fall within the scope of protection of the present invention.