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An Interlocking Intramedullary Nail Applicable to Metaphyseal Fracture Bone Defects

A technology for fractured bones and metaphysis, applied in the field of interlocking intramedullary nails, can solve the problems of affecting the movement of the affected limb, limited movement, prone to fracture, etc., and achieves the benefits of fracture healing, elimination of abnormal activities, and good mechanical strength. Effect

Active Publication Date: 2022-07-12
WUXI NO 9 PEOPLES HOSPITAL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] Most of the intramedullary nails currently used are hollow intramedullary nails. The advantage is that the guide wire with a smaller diameter can be used to guide the intramedullary nail into the medullary cavity, but the disadvantage is that the compressive and bending strength of the hollow intramedullary nail is lower than that of the solid marrow. Inner Nail
The locking screw holes of the currently used intramedullary nails are almost (99%) unthreaded, only application publication number: CN108433798A, application number: 2018103354383 The locking screw holes of the intramedullary nails are threaded, but the locking screw holes are located at the center of the main nail On the nail body, the strength of the intramedullary nail at the locking screw hole is weakened, and it is prone to breakage. The number of locking screws used in bone defects of metaphyseal fractures is limited
The length of the intramedullary nails currently used is fixed, and the intramedullary nails of different lengths are usually separated by 1cm. Sometimes there is no intramedullary nail of the right length during the operation. If the insertion is too long, the main nail is too short, and the proximal end of the main nail is buried in the In the medullary cavity, when the intramedullary nail is removed after the fracture heals, the proximal end of the main nail is embedded by callus. The tail of the main nail cannot be found or the callus growing into the tail affects the insertion and connection of the connector. If the main nail is too long, the main nail The tail protrudes under the skin at the opening of the bone, affecting the movement of the affected limb or causing pain, limitation of movement or other discomfort

Method used

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  • An Interlocking Intramedullary Nail Applicable to Metaphyseal Fracture Bone Defects
  • An Interlocking Intramedullary Nail Applicable to Metaphyseal Fracture Bone Defects
  • An Interlocking Intramedullary Nail Applicable to Metaphyseal Fracture Bone Defects

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Experimental program
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Effect test

Embodiment 1

[0036] For fractures or bone defects located at the distal end of the inserted main screw, after the fracture end is reduced, use the nut end of the sight to connect with the proximal 1-2 external thread 1-2-1 under fluoroscopy, and then insert the main screw 1 into the medullary cavity , the distal end of the main nail 1 needs to be inserted into the most distal end of the medullary cavity as far as possible, so-called "rooting". Exit the main nail 1, test the optimal length according to the main nail 1 inserted for the first time, and select the main nail 1 with the appropriate length and diameter. the length of the main nail 1, so that the tail end of the extension part 1-3 of the nail body of the main nail 1 is just located at the opening of the needle insertion point. At the same time, according to the use site and the length of the distal fracture end, select the main screw 1 with the matching tight or scattered threaded grooves 1-4. The specific selection method is: if ...

Embodiment 2

[0038] For fractures or bone defects located at the proximal end of the intramedullary nail, after reduction of the fracture end, use the nut of the sight to connect with the external thread 1-2-1 on the caudal side of the proximal end of the intramedullary 1-2 under fluoroscopy, and no extension is required. 1-3. Insert the main nail 1 into the medullary cavity, adjust the position of the main nail 1, and the tail of the main nail 1 is just at the opening of the needle entry point. According to the situation after the initial insertion of the intramedullary nail, select the appropriate length and diameter of the intramedullary nail. For the tibia and femur, the thread grooves 1-4 are generally set on the anterior and posterior sides of the main nail 1. Usually, the radius of curvature of the thread groove is 3mm, the diameter of the locking screw is 6mm, and the diameter of the tibial intramedullary nail is 9mm. At the same time, according to the length of the proximal fractu...

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Abstract

The invention particularly relates to an interlocking intramedullary nail that can be applied to metaphyseal fracture bone defects, belonging to the field of medical devices, and comprising a main nail and a locking screw, wherein the main nail includes a distal end, a proximal end and an expansion part, wherein The distal end and the expansion part are arranged at both ends of the proximal end; the two sides of the distal end and the proximal end are provided with a plurality of threaded grooves; the locking screw is a full-threaded screw, and the locking screw is screwed into the threaded groove. In the invention, the locking screw is extruded and locked to fix with the multiple thread grooves on the outer periphery of the main nail, and the number of locking screws used is more than twice that of ordinary intramedullary nails. The diameter of the locking screw is relatively thick, the strength is high, and Easy to break, the main nail is a solid structure, the mechanical strength is stronger than the ordinary hollow intramedullary nail, and it is not easy to break, which can provide reliable stability of the metaphyseal fracture and bone defect, eliminate the abnormal movement of the fracture end, and is conducive to fracture healing.

Description

technical field [0001] The invention belongs to the technical field of medical devices, in particular to an interlocking intramedullary nail that can be applied to metaphyseal fracture bone defects. Background technique [0002] Severe fractures of the long bones of the extremities are often accompanied by bone defects. Bone defects can also occur after the resection of bone tumors and bone deformities. Therefore, clinical fractures and bone defects are common, for which intramedullary nails and plates and screws are the most effective methods of internal fixation. However, the plate is located on one side of the bone, which belongs to eccentric fixation and is prone to bending and fracture after longitudinal stress, while the intramedullary nail is located in the center of the bone and belongs to central fixation, and bending fracture is not easy to occur after longitudinal stress. Therefore, the mechanical effect of intramedullary nails is better than that of steel plates...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): A61B17/72
CPCA61B17/725
Inventor 卜凡玉殷渠东
Owner WUXI NO 9 PEOPLES HOSPITAL
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