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CN111772758B - Olecranon morphological dissection locking method and steel plate structure - Google Patents

Olecranon morphological dissection locking method and steel plate structure Download PDF

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Publication number
CN111772758B
CN111772758B CN202010774204.6A CN202010774204A CN111772758B CN 111772758 B CN111772758 B CN 111772758B CN 202010774204 A CN202010774204 A CN 202010774204A CN 111772758 B CN111772758 B CN 111772758B
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locking
steel plate
olecranon
head
locking steel
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CN111772758A (en
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桑锡光
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/808Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00893Material properties pharmaceutically effective

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Abstract

An olecroanon morphological anatomical locking method and a steel plate structure are provided, wherein the olecroanon morphological anatomical locking method comprises the following steps: incising the skin at the position corresponding to the olecranon and the ulna body; stripping the muscle fascia covering the ulna body and the olecranon surface and exposing a fracture end and a fracture block; clearing blood clots at the fracture end, resetting the fracture and temporarily fixing the fracture; the reduction condition of the fracture block is seen through, a locking steel plate II is placed at the rear ends of the ulna body and the olecranon, and a locking steel plate I is placed at the front ends of the ulna body and the olecranon; washing the wound, and confirming the resetting and fixing conditions of the fracture block again; when the reduction and fixation of the fracture block meet the requirements, the wound is sutured. The method can better fix the fracture block, and the arrangement directions of the locking nails and/or the leather nails are not directed to the sunken joint surface, so that the locking nails and/or the leather nails cannot enter the joint, and the safety is good.

Description

Olecranon morphological dissection locking method and steel plate structure
Technical Field
The invention relates to the technical field of steel plates for treating olecranal fracture, in particular to an olecranal shape dissection locking method and a steel plate structure.
Background
Olecranal fracture is a common injury of the elbow, and is often seen in adults. The olecranon is bent to protrude from the subcutaneous proximal end of the ulna. The olecranon is connected with the proximal coronal process of the ulna to form a semilunar notch, which is a deeply depressed articular surface (trochlear notch) that is the pivot for flexion and extension of the elbow joint. The trochlear notch and the humeral trochlear form a joint (ulnar joint), which is only flexible. Most of the olecranal fractures involve semilunar incisional articular surfaces, belong to fractures in joints, and need to be cut open for reduction and internally fixed during treatment, and the internal fixation has the following effects: (1) accurate restoration and recovery of smooth articular surfaces; (2) the fixation should be of sufficient strength.
At present, the common olecroanon fracture internal fixation method comprises two types of fixation of a K-type needle steel wire tension band and fixation of a steel plate. The fixation of the K-wire tension band is based on the AO tension band principle, changing tensile stress into compressive stress, closing the separated olecranon and pressurizing the fracture end. Steel plate fixation includes reconstruction plates, dissection plates, hook plates, and the like, with dissection plates being the most common. In both methods, the steel plate is selected to be optimally fixed.
The ulna olecranon dissection steel plate used at present is a steel plate strip with an arc-shaped end, a semicircular outward-extending protruding part is arranged at the front part of the steel plate strip, and the front end of the semicircular outward-extending protruding part is an elbow which is arc-shaped. The olecranon fixing steel plate mainly has the following defects in use: (1) the steel plate strip plate body is relatively flat and does not conform to the cristae anatomical morphology of the rear end of the ulna, the steel plate can only be placed on the bone surface of one side of the cristae of the rear end of the ulna in the process of implanting the steel plate, and the maximum tension side of the ulna is the cristae side of the rear end of the ulna, so that the fixation belongs to partial tension fixation, the tensile strength of the ulna on the opposite side of the steel plate after fracture fixation is lower, a single steel plate cannot provide stable fixation effect and is not firm, the fracture fixation principle of tension side fixation is not conformed, and the fracture stability and fracture healing are not facilitated; (2) during operation, the affected part belongs to the cortical bone, has high skin tension and belongs to a position which is not beneficial to suture and fixation; (3) after the fixation of the single-side steel plate is finished, the postoperative foreign body sensation is strong, and the affected part is easily stimulated to cause pain; (4) the locking or leather nail connected with the elbow is nailed to the ulnar joint, if the locking or leather nail is too short, the steel plate is not firmly fixed, and if the locking or leather nail is too long, the locking or leather nail can damage the joint.
In order to solve the above technical problem, patent No. 201721667336.9 discloses an ulna olecranon fixing device, the fixing device includes a first locking plate and a second locking plate, the first locking plate includes a head portion, a trunk portion and an arc-shaped connecting plate with two ends respectively connecting the head portion and the trunk portion, the second locking plate includes a straight plate portion and a curved plate portion extending from one side of the straight plate portion, the head portion and the curved plate portion can both fix a fracture block of the olecranon, the trunk portion and the straight plate portion can respectively fix the first locking plate and the second locking plate with the olecranon, the fixing of the olecranon under the combined action of the first locking plate and the second locking plate is more stable, and the foreign body sensation after unilateral fixation is reduced.
In the above patent, the first locking plate can only fix the fracture block of the olecranon through the locking hole on the head, and the second locking plate can also only fix the fracture block of the olecranon through the locking hole of the curved plate. This is a difference of the prior art.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides the olecranon shape dissection locking method and the steel plate structure, which can better fix a fracture block, and the arrangement directions of the locking nails and/or the leather nails are not directed to the sunken joint surfaces, so that the locking nails and/or the leather nails cannot enter the joints, thereby having good safety.
The scheme is realized by the following technical measures: an olecranon morphological anatomical locking method comprises the following steps:
(1) incising the skin at the position corresponding to the olecranon and the ulna body;
(2) stripping the muscle fascia covering the ulna body and the olecranon surface and exposing a fracture end and a fracture block;
(3) clearing blood clots at the fracture end, resetting the fracture block and temporarily fixing the fracture block by using a steel needle;
(4) the resetting condition of the fracture block is seen through, when the resetting condition of the fracture block meets the requirement, the locking steel plate II is placed at the rear ends of the ulna body and the olecranon, so that the stem part II of the locking steel plate II is fixedly connected with the rear end of the ulna body through a locking nail or a leather nail, and the head part II of the locking steel plate II is fixedly connected with the olecranon and fixes the fracture block;
(5) placing a locking steel plate I at the front ends of the ulna body and the olecranon, enabling a trunk part I of the locking steel plate I to be fixedly connected with the front end of the ulna body through a locking nail or a leather nail, and fixedly connecting a head part I of the locking steel plate I with the olecranon and fixing a fracture block;
(6) removing the steel needle to wash the wound, and confirming the resetting and fixing conditions of the fracture block again;
(7) when the reduction and fixation of the fracture block meet the requirements, the wound is sutured.
The method can better fix the fracture block, and the arrangement directions of the locking nails and/or the leather nails are not directed to the sunken joint surface, so that the locking nails and/or the leather nails cannot enter the joint, and the safety is good.
An ulna olecranon shape anatomical locking steel plate structure comprises a locking steel plate I and a locking steel plate II, wherein the locking steel plate I comprises a dry part I which can be attached to the front end of an ulna body, a plurality of locking holes are formed in the dry part I, the dry part I is connected with a head part I which can be attached to the olecranon, the locking steel plate II comprises a dry part II which can be attached to the rear end of the ulna body, a plurality of locking holes are formed in the dry part II, and the dry part II is connected with a head part II which can be attached to the olecranon; the first head part I and the second head part II comprise at least one first head part which can be attached to the right end of the olecranon and at least one second head part which can be attached to the front end of the tip of the olecranon and/or the rear end of the tip of the olecranon, at least one locking hole is formed in the first head part, and at least one locking hole is formed in the second head part.
The locking nail or the leather nail penetrates through the locking holes in the first trunk part I and the second trunk part II to be fixedly connected with the front end and the rear end of the ulna body, the locking nail or the leather nail penetrates through the locking hole in the first head part from the right end to the left end to fix the fracture block at the olecranon, the locking nail or the leather nail penetrates through the locking hole in the second head part and the front end of the tip of the olecranon or the rear end of the tip of the olecranon to fix the fracture block at the olecranon, the head part I and the head part II are fixedly connected with the olecranon from multiple directions, the connection strength is effectively enhanced, the arrangement directions of the locking nail and the leather nail are not directed to the depressed joint surface, the locking nail and the leather nail cannot enter the joint, and the safety is good; and the fracture block at the tip of the olecranon can be fixed by the locking nail or the leather nail passing through the locking hole on the second head.
Preferably, the head I comprises a first head I which can be attached to the right end of the olecranon and a second head I which can be attached to the front end of the tip of the olecranon, and the head II comprises a first head II which can be attached to the right end of the olecranon and a second head II which can be attached to the rear end of the tip of the olecranon; the first head I is provided with at least one locking hole, the second head I is provided with at least one locking hole, the first head II is provided with at least one locking hole, and the second head II is provided with at least one locking hole.
The locking nail or the leather nail penetrates through the locking holes in the first head part I and the first head part II from the right end to the left end to fix the fracture block at the olecranon position, and the fixing strength of the fracture block in the right-to-left direction is effectively ensured through the two first head parts of the first head part I and the first head part II; the locking nail or the leather nail passes through the locking hole on the second head part I and the second head part II and the front end of the tip of the olecranon and the fracture block at the rear end of the tip of the olecranon, so that on one hand, the fracture block can be better fixed, and on the other hand, the fracture block at the tip of the olecranon can be fixed.
Preferably, the head I comprises a second head I which can be attached to the front end of the tip of the olecranon, and the head II comprises a first head II which can be attached to the right end of the olecranon and a second head II which can be attached to the rear end of the tip of the olecranon; the first head part I is provided with at least one locking hole, the second head part II is provided with at least one locking hole, and the second head part II is provided with at least one locking hole.
The locking nail or the leather nail only penetrates through the locking hole in the first head part II from the right end to the left end to fix the fracture block at the olecranon, and the first head part I is not arranged on the locking steel plate I, so that the installation of the locking steel plate I is facilitated.
Preferably, the locking hole comprises a threaded hole which can be matched with the locking nail and/or a smooth hole which can be matched with the leather nail.
Preferably, each locking hole comprises a half conical threaded hole and a half conical unthreaded hole which are connected with each other, locking and a leather nail can be selected according to needs at different positions of the dry part I and the dry part II, and the applicability of the locking steel plate structure is improved.
Preferably, the portions between adjacent locking holes form constrictions.
For better make locking steel sheet I and locking steel sheet II with different patient's laminating, need buckle locking steel sheet I and/or locking steel sheet II and finely tune at the in-process that uses, the part between the adjacent locking hole forms the kink and can conveniently lock the bending of steel sheet I and/or locking steel sheet II, and the department of buckling is comparatively level and smooth moreover, the effectual comfort level that has improved the patient.
Preferably, the thickness of the locking steel plate I is 1.5mm-2mm, and the thickness of the locking steel plate II is 1.5mm-2 mm.
Compared with the prior art, the locking steel plate structure has the advantages of small size, small incisional trace, small tissue irritation, high comfort level and enough influence on the blood vessel outside the ulna caused by the effectively reduced locking steel plate I and the locking steel plate II.
Preferably, the head of the lock nail is provided with threads, the diameter of the lock nail is 2.4mm, and the diameter of the leather nail is 2.7 mm.
An ulna olecranon shape anatomical locking steel plate comprises a stem part which can be attached to the front end or the rear end of an ulna body, a plurality of locking holes are formed in the stem part, a head part which can be attached to the olecranon is connected to the stem part, the head part comprises a first head part which can be attached to the right end of the olecranon and a second head part which can be attached to the front end of the tip of the olecranon and/or the rear end of the tip of the olecranon, at least one locking hole is formed in the first head part, and at least one locking hole is formed in the second head part.
The locking nail or the leather nail penetrates through the locking hole in the trunk part and is fixedly connected with the front end of the ulnar body or the rear end of the ulnar body, the locking nail or the leather nail penetrates through the locking hole in the first head part from the right end to the left end and is used for fixing the fracture block at the olecranon, the locking nail or the leather nail penetrates through the locking hole in the second head part and is fixed with the fracture block at the olecranon at the front end of the tip of the olecranon or the rear end of the tip of the olecranon, the arrangement directions of the locking nail and the leather nail are not directed to the sunken articular surface, the locking nail or the leather nail cannot enter the joint, and the safety is good; and the fracture block at the tip of the olecranon can be fixed by the locking nail or the leather nail passing through the locking hole on the second head.
Therefore, compared with the prior art, the invention has prominent substantive features and remarkable progress, and the beneficial effects of the implementation are also obvious.
Drawings
FIG. 1 is a first schematic structural view of a locking steel plate structure in a use state;
FIG. 2 is a first schematic view of a rear view structure of a locking steel plate structure in a use state;
FIG. 3 is a schematic perspective view of a locking steel plate I in example 1;
FIG. 4 is a schematic perspective view of a locking steel plate II in example 1;
FIG. 5 is a schematic perspective view of a locking steel plate I in example 2;
FIG. 6 is a schematic perspective view of a locking steel plate II according to example 2;
FIG. 7 is a second schematic structural view of the locking steel plate structure in use;
FIG. 8 is a second schematic view of a rear view structure of the locking steel plate structure in use;
FIG. 9 is a schematic perspective view of a locking steel plate I in example 3;
FIG. 10 is a schematic perspective view of a locking steel plate II according to example 3;
FIG. 11 is a schematic view of the structure of the locking pin;
FIG. 12 is a schematic view of a configuration of a skin nail;
FIG. 13 is a first schematic view of an olecranal fracture;
FIG. 14 is a schematic view of olecranal fracture;
FIG. 15 is a third schematic view of an olecranal fracture;
FIG. 16 is a fourth schematic view of an olecranal fracture;
FIG. 17 is a fifth schematic view of an olecranal fracture;
FIG. 18 is a sixth schematic view of an olecranal fracture;
fig. 19 is a schematic structural view of the fitting of the locking pin with the locking hole.
In the figure: 1-ulna body, 2-olecranon, 2.1-olecranon tip, 3-locking steel plate I, 3.1-cadre I, 3.2-first head I, 3.3-second head I, 4-locking steel plate II, 4.1-cadre II, 4.2-first head II, 4.3-second head II, 5-locking nail, 6-skin nail, 7-fracture block and 8-locking hole.
Detailed Description
In order to clearly illustrate the technical features of the present solution, the following explains the present solution by way of specific embodiments and with reference to the accompanying drawings.
Example 1
As shown in fig. 1-4 and 11-19, an ulna olecranon morphological anatomical locking steel plate structure comprises a locking steel plate I3 and a locking steel plate II 4, wherein the locking steel plate I3 comprises a dry part I3.1 capable of being attached to the front end of an ulna body 1, a plurality of locking holes 8 are formed in the dry part I3.1, the dry part I3.1 is connected with a head I capable of being attached to an olecranon 2, the locking steel plate II 4 comprises a dry part II 4.1 capable of being attached to the rear end of the ulna body 1, a plurality of locking holes 8 are formed in the dry part II 4.1, and the dry part II 4.1 is connected with a head II capable of being attached to the olecranon 2; the head I comprises a first head I3.2 which can be attached to the right end of the olecranon 2 and a second head I3.3 which can be attached to the front end of the tip 2.1 of the olecranon, and the head II comprises a first head II 4.2 which can be attached to the right end of the olecranon 2 and a second head II 4.3 which can be attached to the rear end of the tip 2.1 of the olecranon; the first head portion I3.2 is provided with at least one locking hole 8, the second head portion I3.3 is provided with at least one locking hole 8, the first head portion II 4.2 is provided with at least one locking hole 8, and the second head portion II 4.3 is provided with at least one locking hole 8.
The locking nail 5 or the leather nail 6 penetrates through the locking holes in the first head part I3.2 and the first head part II 4.2 from the right end to the left end to fix the fracture block 7 at the olecranon, and the fixing strength of the fracture block 7 from the right to the left direction is effectively ensured through the first head part I3.2 and the first head part II 4.2; the locking nail 5 or the leather nail 6 passes through the locking hole 8 on the second head I3.3 and the second head II 4.3, and the fracture block 7 at the olecranon 2 position is fixed at the front end of the olecranon tip 2.1 and the rear end of the olecranon tip 2.1, so that the fracture block 7 can be better fixed on one hand, and the fracture block 7 at the olecranon tip 2.1 can be fixed on the other hand.
The locking hole 8 comprises a threaded hole which can be matched with the locking nail 5 and/or a smooth hole which can be matched with the leather nail 6.
For better make I3 and II 4 and different patient's of locking steel sheet laminating, need buckle the fine setting with I3 and/or II 4 locking steel sheets of locking steel sheet at the in-process that uses, the part between the adjacent locking hole 8 forms the bending type that the necking down can conveniently lock I3 and/or II 4 locking steel sheets, and the department of buckling is comparatively level and smooth moreover, the effectual comfort level that has improved the patient.
The thickness of the locking steel plate I3 is 1.5mm-2mm, and the thickness of the locking steel plate II 4 is 1.5mm-2 mm. Locking steel sheet I3 and II 4 of locking steel sheet's size are little, and the incisional wound is little, and is amazing little to the tissue, and the comfort level is high, has enough effectual reduction locking steel sheet I3 and the influence of II 4 of locking steel sheet to the blood vessel in the ulna outside.
The head of lock nail 5 is provided with the screw thread, the diameter of lock nail 5 is 2.4mm, the diameter of leather nail 6 is 2.7 mm. The thread of the head of the locking 5 is in threaded connection with the threaded hole.
An olecranon morphological anatomical locking method comprises the following steps:
(1) incising the skin at the corresponding position of the ulna body 1 and the olecranon 2;
(2) stripping the muscle fascia covering the surfaces of the ulna body 1 and the olecranon 2 and exposing fracture ends and fracture blocks 7;
(3) clearing blood clots at the fracture end, resetting the fracture block 7 and temporarily fixing the fracture block 7 by using a steel needle;
(4) the resetting condition of the fracture block 7 is seen through, when the resetting condition of the fracture block 7 meets requirements, a locking steel plate II 4 is placed at the rear ends of the ulna body 1 and the olecranon 2, so that the dry part II 4.1 is fixedly connected with the rear end of the ulna body 1 through a locking nail 5 or a leather nail 6, the first head part II is fixedly connected with the rear end of the olecranon 2, and the second head part II is fixedly connected with the rear end of the olecranon tip 2.1;
(5) placing a locking steel plate I3 at the front ends of the ulna body 1 and the olecranon 2, so that a trunk part I3.1 of the locking steel plate I3 is fixedly connected with the front end of the ulna body 1 through a locking nail 5 or a leather nail 6, a first head part I3.2 is fixedly connected with the right end of the olecranon 2, and a second head part I3.3 is fixedly connected with the front end of the olecranon tip 2.1;
(6) removing the steel needle to wash the wound, and confirming the resetting and fixing conditions of the fracture block 7 again;
(7) when the reduction and the fixation of the fracture block 7 meet the requirements, the wound is sutured.
The method can better fix the fracture block 7, and the arrangement directions of the locking nails 5 and/or the leather nails 6 are not directed to the concave joint surface, so that the fracture block cannot enter the joint, and the safety is good.
Example 2
As shown in fig. 5 to 6, the present embodiment is different from embodiment 1 in that: the locking hole 8 comprises a half conical threaded hole and a half conical unthreaded hole which are connected with each other.
Example 3
As shown in fig. 7 to 10, the present embodiment is different from embodiment 1 to 2 in that: an ulna olecranon shape anatomical locking steel plate structure comprises a locking steel plate I3 and a locking steel plate II 4, wherein the locking steel plate I3 comprises a dry part I3.1 capable of being attached to the front end of an ulna body 1, a plurality of locking holes 8 are formed in the dry part I3.1, the dry part I3.1 is connected with a head I capable of being attached to an olecranon 2, the locking steel plate II 4 comprises a dry part II 4.1 capable of being attached to the rear end of the ulna 1, a plurality of locking holes 8 are formed in the dry part II 4.2, and the dry part II 4.2 is connected with a head II capable of being attached to the olecranon 2; the head I comprises a second head I3.3 which can be attached to the front end of the olecranon tip 2.1, and the head II comprises a first head II 4.2 which can be attached to the right end of the olecranon 2 and a second head II 4.3 which can be attached to the rear end of the olecranon tip 2.1; the second head part I3.3 is provided with at least one locking hole 8, the first head part II 4.2 is provided with at least one locking hole 8, and the second head part II 4.3 is provided with at least one locking hole 8.
The locking nail 5 or the leather nail 6 only penetrates through a locking hole 8 in the first head part II 4.2 from the right end to the left end to fix a fracture block 7 at the position of the olecranon 2, the first head part I is not arranged on the locking steel plate I3, and the installation of the locking steel plate I3 is facilitated.
Example 4
The differences from examples 1 to 3 are: and the binding surfaces of the locking steel plate I3 and the locking steel plate II 4, the ulna body and the olecranon 2 are respectively provided with a medicine coating.
The drug coating can be a chitin coating or a notoginsenoside R1 coating, and the drug coating can inhibit bacteria, promote blood circulation and inhibit platelet aggregation at the joint surface of the locking steel plate I3 and the locking steel plate II 4.
Example 4
An ulna olecranon shape anatomical locking steel plate comprises a stem part which can be attached to the front end of an ulna body 1 or the rear end of the ulna body 1, a plurality of locking holes 8 are formed in the stem part, a head part which can be attached to an olecranon 2 is connected to the stem part, the head part comprises a first head part which can be attached to the right end of the olecranon 2 and a second head part which can be attached to the front end of an olecranon tip 2.1 and/or the rear end of the olecranon tip 2.1, at least one locking hole 8 is formed in the first head part, and at least one locking hole 8 is formed in the second head part.
The locking nail 5 or the leather nail 6 penetrates through a locking hole 8 on the trunk part and is fixedly connected with the front end of the ulnar body 1 or the rear end of the ulnar body 1, the locking nail 5 or the leather nail 6 penetrates through a locking hole 8 on the first head part from the right end to the left end and is fixedly connected with a fracture block 7 at the olecranon, the locking nail 5 or the leather nail 6 penetrates through a locking hole 8 on the second head part and is fixedly connected with a fracture block at the olecranon 2 at the front end of the olecranon tip 2.1 or the rear end of the olecranon tip 2.1, the arrangement directions of the locking nail 5 and the leather nail 6 are not directed to a sunken articular surface, the locking nail cannot enter the joint, and the safety is good; and the locking nail 5 or the leather nail 6 passes through the locking hole 8 on the second head part to fix the fracture block 7 at the tip 2.1 of the olecranon.
The technical features of the present invention that are not described in the present invention can be implemented by or using the prior art, and are not described herein again, of course, the above description is not limited to the present invention, and the present invention is not limited to the above embodiments, and variations, modifications, additions or substitutions that are made by those skilled in the art within the spirit and scope of the present invention should also fall within the protection scope of the present invention.

Claims (14)

1. The utility model provides an ulna olecranon form dissects locking steel plate structure, includes locking steel plate I and locking steel plate II, characterized by: the locking steel plate I comprises a dry part I which can be attached to the front end of the ulnar body, a plurality of locking holes are formed in the dry part I, the dry part I is connected with a head part I which can be attached to the olecranon, the locking steel plate II comprises a dry part II which can be attached to the rear end of the ulnar body, a plurality of locking holes are formed in the dry part II, and the dry part II is connected with a head part II which can be attached to the olecranon; the head I comprises a first head I which can be attached to the right end of the olecranon and a second head I which can be attached to the front end of the tip of the olecranon, and the head II comprises a first head II which can be attached to the right end of the olecranon and a second head II which can be attached to the rear end of the tip of the olecranon; the first head I is provided with at least one locking hole, the second head I is provided with at least one locking hole, the first head II is provided with at least one locking hole, and the second head II is provided with at least one locking hole.
2. The ulnar olecranal morphic anatomic locking steel plate structure of claim 1, wherein: the locking hole comprises a threaded hole capable of being matched with a locking nail and/or a smooth hole capable of being matched with a leather nail.
3. The ulnar olecranal morphic anatomic locking steel plate structure of claim 2, wherein: each locking hole comprises a half conical threaded hole and a half conical unthreaded hole which are connected with each other.
4. The ulnar olecranal morphic anatomic locking steel plate structure of claim 1, wherein: the portions between adjacent locking holes form constrictions.
5. The ulnar olecranal morphic anatomic locking steel plate structure of claim 1, wherein: the thickness of the locking steel plate I is 1.5mm-2mm, and the thickness of the locking steel plate II is 1.5mm-2 mm.
6. The ulnar olecranal morphic anatomic locking steel plate structure of claim 2, wherein: the head of lock nail is provided with the screw thread, the diameter of lock nail is 2.4mm, the diameter of leather nail is 2.7 mm.
7. The ulnar olecranal morphic anatomic locking steel plate structure of claim 1, wherein: and the binding surfaces of the locking steel plate I and the locking steel plate II, the ulna body and the olecranon are provided with a medicine coating.
8. The utility model provides an ulna olecranon form dissects locking steel plate structure, includes locking steel plate I and locking steel plate II, characterized by: the locking steel plate I comprises a dry part I which can be attached to the front end of the ulnar body, a plurality of locking holes are formed in the dry part I, the dry part I is connected with a head part I which can be attached to the olecranon, the locking steel plate II comprises a dry part II which can be attached to the rear end of the ulnar body, a plurality of locking holes are formed in the dry part II, and the dry part II is connected with a head part II which can be attached to the olecranon; the head I comprises a second head I which can be attached to the front end of the tip of the olecranon, and the head II comprises a first head II which can be attached to the right end of the olecranon and a second head II which can be attached to the rear end of the tip of the olecranon; the first head part I is provided with at least one locking hole, the second head part II is provided with at least one locking hole, and the second head part II is provided with at least one locking hole.
9. The ulnar olecranal morphic anatomic locking steel plate structure of claim 8, wherein: the locking hole comprises a threaded hole capable of being matched with a locking nail and/or a smooth hole capable of being matched with a leather nail.
10. The ulnar olecranal morphic anatomic locking steel plate structure of claim 9, wherein: each locking hole comprises a half conical threaded hole and a half conical unthreaded hole which are connected with each other.
11. The ulnar olecranal morphic anatomic locking steel plate structure of claim 8, wherein: the portions between adjacent locking holes form constrictions.
12. The ulnar olecranal morphic anatomic locking steel plate structure of claim 8, wherein: the thickness of the locking steel plate I is 1.5mm-2mm, and the thickness of the locking steel plate II is 1.5mm-2 mm.
13. The ulnar olecranal morphic anatomic locking steel plate structure of claim 9, wherein: the head of lock nail is provided with the screw thread, the diameter of lock nail is 2.4mm, the diameter of leather nail is 2.7 mm.
14. The ulnar olecranal morphic anatomic locking steel plate structure of claim 8, wherein: and the binding surfaces of the locking steel plate I and the locking steel plate II, the ulna body and the olecranon are provided with a medicine coating.
CN202010774204.6A 2020-01-14 2020-08-04 Olecranon morphological dissection locking method and steel plate structure Active CN111772758B (en)

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CN114587548A (en) * 2022-02-16 2022-06-07 湖南省脑科医院(湖南省第二人民医院) Internal fixing device for olecranal fracture

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JP2007507306A (en) * 2003-09-30 2007-03-29 ジンテーズ アクチエンゲゼルシャフト クール Antimicrobial hyaluronic acid coating on orthopedic implants
US8382807B2 (en) * 2005-07-25 2013-02-26 Smith & Nephew, Inc. Systems and methods for using polyaxial plates
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