An integrated elastic pressure-regulating steel plate

By setting pressure regulating holes and elastic pressure regulating devices on the bone plate to adjust the radial stress of the bone screw, the problem of stress shielding of traditional steel plates is solved, appropriate stress stimulation of the fracture end is achieved, and fracture healing is promoted.

CN112656501BActive Publication Date: 2025-09-09HENAN KEKE BIOTECHNOLOGY CO LTD
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Patent Information

Application Number
CN202011028027.3
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2020-09-26
Publication Date
2025-09-09
Estimated Expiration
2040-09-26

AI Technical Summary

Technical Problem

Due to the stress shielding effect, traditional bone plates are unable to provide appropriate stress stimulation to the fracture ends in the later stages of fracture repair, resulting in delayed fracture healing, non-union, and slow mineralization.

Method used

An integrated elastic pressure-regulating steel plate was designed. By setting pressure-regulating nail holes and pressure-regulating holes on the steel plate body, installing bone screws and elastic pressure-regulating devices, and adjusting the radial stress of the bone screws, axial stress stimulation of the fracture end was achieved.

Benefits of technology

By adjusting the radial stress of the bone screw, fracture healing is promoted, stress shielding effect is avoided, and fracture healing efficiency is improved.

✦ Generated by Eureka AI based on patent content.

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Abstract

The present invention discloses an integrated elastic pressure-regulating steel plate, comprising a steel plate body, wherein the steel plate body is provided with a pressure-regulating nail hole and a pressure-regulating hole, wherein a bone screw is installed in the pressure-regulating nail hole, and an elastic pressure-regulating device is installed in the pressure-regulating hole, and the elastic pressure-regulating device is used to adjust the radial stress of the bone screw in the pressure-regulating nail hole. The present invention is easy to fix and convenient to operate. The steel plate body of the present invention is fixed to the bone by fixing the bone screw in the screw hole, and the radial stress of the bone screw in the pressure-regulating nail hole is fine-tuned by the elastic pressure-regulating device in the pressure-regulating hole, thereby achieving the regulation of the axial stress of the fracture end, avoiding stress shielding of the fracture end, accelerating fracture healing, reducing the incidence of fracture non-union, delayed healing, and re-fracture after removing the steel plate, and shortening the fracture healing time.
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Description

Technical Field

[0001] The present invention belongs to the field of medical devices, and in particular relates to an integrated elastic pressure-regulating steel plate. Background Art

[0002] Bone fixation plates and nails have been used clinically for many years as internal fixation methods. While there are multiple methods for fracture fixation in clinical treatment, plate fixation is the most commonly used. Traditional bone fixation plates are fixed to the bone with screws, integrating the plate and bone. However, in the later stages of fracture repair, the plate's stress shielding effect prevents it from providing appropriate stress stimulation to the fracture ends, leading to delayed union, nonunion, and slow bone mineralization, limiting its application. Therefore, designing a plate that can regulate the stress at the fracture ends and promote fracture healing is a clinical challenge that urgently needs to be addressed. Summary of the Invention

[0003] The purpose of the present invention is to provide an integrated elastic pressure-regulating steel plate which has a simple structure, is easy to operate, is easy to fix, can provide axial stress stimulation to the fracture end, and accelerate bone healing.

[0004] To achieve the above object, the present invention adopts the following technical solutions:

[0005] An integrated elastic pressure-regulating steel plate is characterized in that it includes a steel plate body, wherein the steel plate body is provided with a pressure-regulating nail hole and a pressure-regulating hole, a bone screw is installed in the pressure-regulating nail hole, and an elastic pressure-regulating device is installed in the pressure-regulating hole, and the elastic pressure-regulating device is used to adjust the radial stress of the bone screw in the pressure-regulating nail hole.

[0006] Furthermore, a fixing screw hole is provided on the steel plate body, and a bone screw is also installed in the fixing screw hole.

[0007] Furthermore, the pressure regulating nail hole is connected to the pressure regulating hole, and the radial stress of the bone screw in the pressure regulating nail hole is changed by one of the following ways:

[0008] ① The pressure regulating hole is a long slot-shaped hole arranged along the axial direction of the steel plate body. The elastic pressure regulating device includes a screw and an elastic body installed in the pressure regulating hole. nail The elastic body is threadedly connected to the steel plate body, one end of the elastic body abuts against the screw, and the other end abuts against the bone screw in the pressure-adjusting nail hole. The stress of the elastic body can be adjusted by changing the length of the elastic body;

[0009] ② The elastic pressure regulating device includes a screw and an elastic body installed in the pressure regulating hole. The screw is threadedly connected to the steel plate body. A special-shaped gasket is mounted on the tail of the screw. One end of the special-shaped gasket abuts against the elastic body. The stress of the elastic body is adjusted by changing the length of the special-shaped gasket.

[0010] ③ The elastic pressure regulating device includes a screw and an elastic body installed in the pressure regulating hole, the screw is threadedly connected to the steel plate body, the tail of the screw abuts against the elastic body, and the stress of the elastic body is adjusted by changing the diameter of the screw tail;

[0011] ④ The elastic pressure regulating device includes an elastic body installed in the pressure regulating hole, a bolt, and a pressure regulating nail hole. The bolt is threadedly connected to the steel plate body, and a nut is installed on the bolt. The pressure regulating hole on the steel plate body is a pressure regulating long hole formed by at least two connected screw holes. The stress of the elastic body is adjusted according to the different positions of the bolt in the pressure regulating nail hole. The tail of the bolt abuts against the elastic body;

[0012] ⑤ The elastic pressure regulating device includes an elastic body installed in the pressure regulating hole, with through holes provided at both ends of the elastic body, the through holes being arranged radially along the elastic body, one end of the pressure regulating hole being provided as a blind hole, one end of the elastic body being installed in the blind hole, and the other end being abutted against the bone screw in the pressure regulating nail hole, and the stress of the elastic body being adjusted by changing the length of the elastic body;

[0013] ⑥ The pressure regulating hole is arranged along the axial direction of the steel plate body, and the elastic pressure regulating device is a top screw and an elastic body installed in the pressure regulating hole. The top screw is threadedly connected to the steel plate body, and the top of the top screw abuts against the elastic body. The thickness of the steel plate is thickened at the pressure regulating hole section. The pressure regulating hole can protrude from the upper surface of the steel plate body. The stress of the elastic body is adjusted by adjusting the depth of the top screw;

[0014] ⑦ The elastic pressure regulating device includes two side fixing holes provided on the steel plate body, a sliding baffle, a fixing nail and an elastic body in the pressure regulating hole. The side fixing holes are long holes provided on both sides of the steel plate body and are arranged axially along the steel plate body. The long holes are at least two connected screw holes. The steel plate body is provided with a sliding baffle, screw holes are provided at both ends of the sliding baffle, and a sliding column is provided in the middle. The sliding column abuts against the elastic body and can slide in the pressure regulating hole. The fixing nail fixes the sliding baffle to the steel plate body, and the stress of the elastic body is adjusted according to the different positions of the fixing nail in the side fixing hole.

[0015] In the above methods ①②③④⑤⑥⑦, the elastic body is a spring or an elastic capsule. When it is a spring, spring bases are provided at both ends of the spring.

[0016] Furthermore, the pressure regulating nail holes, pressure regulating holes and fixing screw holes provided on the steel plate body are in one of the following forms:

[0017] ① At least two pressure-regulating nail holes and at least one pressure-regulating hole are provided at one end of the steel plate body, and at least two fixing screw holes are provided at the other end. The pressure-regulating nail holes, pressure-regulating holes and fixing screw holes are symmetrically arranged on the steel plate body;

[0018] ② Both ends of the steel plate body are set as pressure regulating nail holes and pressure regulating holes. The pressure regulating nail holes and pressure regulating holes are symmetrically arranged on the steel plate body, or arranged in a straight line, or arranged in a staggered manner.

[0019] ③ One end of the fixing screw hole of the steel plate body can be set as an anatomical plate consistent with the anatomical morphology of the human limb skeleton joints, and the other end of the steel plate body is provided with at least two pressure regulating nail holes and at least one pressure regulating hole.

[0020] Furthermore, a sliding hole is provided on the steel plate body, the sliding hole is communicated with the pressure regulating hole, a sliding plate is installed in the sliding hole, a pressure regulating nail hole is provided on the sliding plate, and an elastic pressure regulating device is installed at one end of the sliding plate, and the radial stress of the bone screw is changed by adjusting the position of the sliding plate;

[0021] Furthermore, the sliding hole is a special-shaped sliding hole, the opening of the sliding hole on the upper surface of the steel plate body is larger than the opening on the lower surface, and the axial length of the sliding hole is larger than the axial length of the sliding plate.

[0022] Furthermore, at least two anti-slip screws are provided on the steel plate body, the anti-slip screws are threadedly connected to the steel plate body, and the tails of the anti-slip screws are pressed onto the upper surface of the sliding plate to prevent the sliding plate from falling out.

[0023] Furthermore, an anti-slip plate is provided on the sliding plate, and the anti-slip plate is slidably connected to the steel plate body, and is set to a strip shape, an interval strip shape, or a full plate shape according to the size of the steel plate body covered by its surface; it is set to a half-set or full-set form according to the connection form between the anti-slip plate and the steel plate body. When the anti-slip plate is a half-set, the two ends of the anti-slip plate are buckled on both sides of the steel plate body, and a long slot hole is provided on the upper surface of the anti-slip plate; when the anti-slip plate is a full-set form, long slot holes are provided on both the upper and lower surfaces of the anti-slip plate; the long slot holes correspond to the pressure-regulating nail holes of the sliding plate, and the long slot holes correspond to the pressure-regulating nail holes of the sliding plate, and the radial size of the long slot holes is larger than the radial size of the pressure-regulating nail holes.

[0024] Furthermore, the fixing screw holes provided on the steel plate body are configured as unthreaded nail holes or threaded locking nail holes, or as long nail holes that are a combination of unthreaded nail holes and threaded locking nail holes.

[0025] Furthermore, the steel plate body is set as a straight steel plate or as an arc-shaped steel plate with a certain curvature consistent with the bone morphology, and the upper surface and lower surface of the steel plate body are radially set as arc surfaces with a certain curvature; the steel plate body is provided with at least one Kirschner wire hole for temporarily fixing the bone; grooves may be provided on the lower surfaces of the steel plate body and the anti-slip plate on both sides.

[0026] The present invention is easy to fix and convenient to operate. The steel plate body of the present invention is fixed to the bone through the bone screws in the fixing screw holes and the pressure-regulating nail holes. The elastic pressure-regulating device in the pressure-regulating hole fine-tunes the distance between the bone screws in the pressure-regulating nail hole and the bone screws in the fixing screw hole, thereby regulating the stress at the fracture end, stimulating the body tissue to accelerate the formation of new bone to achieve the purpose of fracture healing, avoiding stress shielding at the fracture end, and accelerating fracture healing. BRIEF DESCRIPTION OF THE DRAWINGS

[0027] Figure 1 It is a structural schematic diagram of a first embodiment of the present invention;

[0028] Figure 2 Schematic diagram of the structure of the second embodiment of the present invention;

[0029] Figure 3 1 is a schematic structural diagram of a third embodiment of the present invention;

[0030] Figure 4 for Figure 3 Schematic cross-section in the middle DD direction;

[0031] Figure 5 1 is a schematic structural diagram of a fourth embodiment of the present invention;

[0032] Figure 6 is a structural schematic diagram of a fifth embodiment of the present invention;

[0033] Figure 7 1 is a schematic structural diagram of a sixth embodiment of the present invention;

[0034] Figure 8 1 is a schematic structural diagram of a seventh embodiment of the present invention;

[0035] Figure 9 is a schematic structural diagram of an eighth embodiment of the present invention;

[0036] Figure 10 is a schematic structural diagram of a ninth embodiment of the present invention;

[0037] Figure 11 is a schematic structural diagram of a tenth embodiment of the present invention;

[0038] Figure 12 is a schematic structural diagram of an eleventh embodiment of the present invention;

[0039] Figure 13 for Figure 12 Schematic diagram of the cross section along the AA direction;

[0040] Figure 14 is a schematic structural diagram of a twelfth embodiment of the present invention;

[0041] Figure 15 for Figure 14 Schematic diagram of the cross section along the middle BB direction;

[0042] Figure 16 is a schematic structural diagram of a thirteenth embodiment of the present invention;

[0043] Figure 17 is a schematic structural diagram of a fourteenth embodiment of the present invention;

[0044] Figure 18 is a structural schematic diagram of a fifteenth embodiment of the present invention;

[0045] Figure 19 is a structural schematic diagram of a sixteenth embodiment of the present invention;

[0046] Figure 20 is a structural schematic diagram of a seventeenth embodiment of the present invention;

[0047] Figure 21 is a schematic structural diagram of an eighteenth embodiment of the present invention;

[0048] Figure 22 is a schematic structural diagram of a nineteenth embodiment of the present invention;

[0049] In the figure, 1-steel plate body, 2-fixing screw hole, 3-pressure-adjusting nail hole, 4-spring, 5-screw, 6-sliding plate, 7-sliding hole, 8-special-shaped gasket, 9-fixing nail, 10-pressure-adjusting hole, 11-top screw, 12-sliding baffle, 13-side fixing hole, 14-anti-slip plate, 15-anti-slip screw, 16-long slot hole, 17-spring base, 18-Kirschner wire round hole, 19-through hole, 20-spring base one, 21-spring base two, 22-bolt, 23-nut. DETAILED DESCRIPTION

[0050] The following will clearly and completely describe the technical solutions in the embodiments of the present invention in conjunction with the accompanying drawings. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without making creative efforts are within the scope of protection of the present invention.

[0051] The first embodiment of the present invention is as follows Figure 1As shown, an integrated elastic pressure-regulating steel plate includes a steel plate body 1, which is provided with a fixing screw hole 2, a pressure-regulating nail hole 3, and a pressure-regulating hole 10. The pressure-regulating nail hole 3 is connected to the pressure-regulating hole 10, and the pressure-regulating hole 10 is arranged axially along the steel plate body 1. A screw 5 is installed in the pressure-regulating hole 10, and an elastic pressure-regulating device is installed in the pressure-regulating hole 10 to change the radial stress of the bone screw in the pressure-regulating nail hole 3. The elastic pressure-regulating device includes a screw 5 installed in the pressure-regulating hole 10 and a spring 4 installed in the pressure-regulating nail hole 3. Spring bases 17 are provided at both ends of the spring 4, and the screw 5 abuts against the spring bases 17.

[0052] During use, bone screws are installed in the fixation screw hole 2 and the pressure-regulating nail hole 3, respectively, and then fixed to the bone. By adjusting the length of the elastic pressure-regulating device in the pressure-regulating nail hole 10, the radial stress of the bone screw in the pressure-regulating nail hole 3 is adjusted, thereby adjusting the axial stress of the fixed bone, avoiding stress shielding and accelerating fracture healing. In this embodiment, the radial stress of the bone screw in the pressure-regulating nail hole 3 is adjusted by changing the length of the spring 4 according to different fracture types, thereby adjusting the axial stress of the fixed bone.

[0053] The second embodiment of the present invention is as follows Figure 2 As shown, an integrated elastic pressure-regulating steel plate includes a steel plate body 1, which is provided with a fixing screw hole 2, a pressure-regulating nail hole 3, and a pressure-regulating hole 10. The pressure-regulating nail hole 3 is connected to the pressure-regulating hole 10, and a screw 5 is installed in the pressure-regulating nail hole 3. The pressure-regulating hole 10 is installed with an elastic pressure-regulating device that can change the radial stress of the bone screw in the pressure-regulating nail hole 3. The elastic pressure-regulating device includes a screw 5 installed in the pressure-regulating hole 10 and a spring 4. Both ends of the spring 4 are provided with a spring base 17. A special-shaped gasket 8 is installed at the tail of the screw 5, and one end of the special-shaped gasket 8 contacts the spring base 17.

[0054] During use, bone screws are installed in the fixing screw hole 2 and the pressure-regulating nail hole 3 respectively, and the bone screws are fixed to the bone. The elastic pressure-regulating device in the pressure-regulating hole 10 is adjusted, that is, by adjusting the length of the spring end of the special-shaped gasket 8, the radial stress of the bone screw in the pressure-regulating nail hole 3 is adjusted, thereby adjusting the axial stress of the fixed bone.

[0055] A third embodiment of the present invention, as Figure 3 、 Figure 4As shown, the difference from the first embodiment is that the elastic pressure regulating device includes a spring 4 installed in the pressure regulating hole, a bolt 22, and a pressure regulating hole 10, the bolt 22 is threadedly connected to the steel plate body 1, and a nut 23 is installed on the bolt 22. The pressure regulating hole 10 on the steel plate body 1 is a pressure regulating long hole formed by two connected screw holes. The spring stress is adjusted according to different positions of the bolt 22 in the pressure regulating long hole. Spring bases 17 are provided at both ends of the spring 4, and the tail of the bolt 22 abuts against the spring base 17.

[0056] A fourth embodiment of the present invention, as Figure 5 As shown, the difference from the first embodiment is that the elastic pressure-regulating device includes a spring 4 installed in a pressure-regulating hole 10. Spring base 1 20 and spring base 2 21 are respectively provided at both ends of the spring 4 and are fastened together. The pressure-regulating hole is provided with a blind hole, in which spring base 1 20 is installed. Spring base 21 abuts against the bone screw in the pressure-regulating nail hole 3. Radial through-holes 19 are used to support the spring 4, applying axial force to compress the spring 4, and adjusting the spring stress according to the degree of spring compression.

[0057] A fifth embodiment of the present invention, as Figure 6 As shown, the difference from the first embodiment is that the elastic pressure regulating device includes a top screw 11 installed in the pressure regulating hole 10, and the top screw 11 end A spring 4 is mounted at the top end, with spring bases 17 at each end. The other end of the spring 4 contacts the bone screw in the pressure-regulating screw hole 3. The pressure-regulating hole 10 partially protrudes from the upper surface of the steel plate body 1. By adjusting the screw thread 11 in and out, the radial force applied by the spring 4 to the bone screw in the pressure-regulating screw hole 3 is adjusted, thereby adjusting the axial stress of the fixed bone.

[0058] A sixth embodiment of the present invention, as Figure 7 As shown, the difference from the first embodiment is that the elastic pressure regulating device includes two side fixing holes 13, a sliding baffle 12, a fixing nail 9 and a spring 4 in the pressure regulating hole 10 provided on the steel plate body, and a spring base 17 is provided at the end of the spring 4. The side fixing holes 13 are long holes provided on both sides of the steel plate body and are axially arranged along the steel plate body 1. The long holes are at least two connected screw holes. A sliding baffle 12 is provided on the steel plate body 1. Screw holes are provided at both ends of the sliding baffle 12 and a sliding column is provided in the middle. The sliding column abuts against the spring base 17 and can slide in the pressure regulating hole 10. The fixing nail 9 fixes the sliding baffle 12 on the steel plate body 1. The stress of the spring 4 is adjusted according to the different positions of the fixing nail 9 in the side fixing hole 13, thereby adjusting the radial force of the bone screw in the pressure regulating nail hole 3, and thereby adjusting the axial stress of the fixed bone.

[0059] A seventh embodiment of the present invention, as Figure 8As shown, the difference from the first embodiment is that there are three pressure regulating nail holes 3 and pressure regulating holes 10 on the steel plate body 1, and they are arranged on one side of the steel plate body 1, and the fixing screw holes 2 are arranged on the other side of the steel plate body 1. In this embodiment, the length of the springs 4 in the pressure regulating holes 10 can be changed to adjust the pressure. make The radial stress of the bone screw in the pressure regulating screw hole 3 is adjusted, thereby adjusting the axial stress of the fixed bone.

[0060] An eighth embodiment of the present invention, as Figure 9 As shown, the difference from the first embodiment is that there is no fixing screw hole 2 on the steel plate body 1, and a pressure-regulating nail hole 3 and a pressure-regulating hole 10 are set at the position of the fixing screw hole 2, and are symmetrically arranged on the steel plate body 1. By replacing the lengths of different springs 4 in the pressure-regulating holes 10 on both sides, the radial stress of the bone screw in the pressure-regulating nail hole 3 is adjusted, thereby adjusting the axial stress of the fixed bone.

[0061] A ninth embodiment of the present invention, as Figure 10 As shown, the difference from the first embodiment is that a sliding hole 7 is provided on the steel plate body 1, and the sliding hole 7 is connected to the pressure regulating hole 10. A sliding plate 6 is installed in the sliding hole 7, and a pressure regulating nail hole 3 is provided on the sliding plate 6. An elastic pressure regulating device is installed on one side of the sliding plate 6, and the elastic pressure regulating device can make the sliding plate 6 move axially along the sliding hole 7. The sliding hole 7 is a special-shaped sliding hole, that is, the opening on the upper surface of the steel plate body 1 is larger than the opening on the lower surface, and the axial length of the sliding hole 7 is larger than the axial length of the sliding plate 6. An anti-slip screw 15 is provided on the steel plate body 1, and the anti-slip screw 15 is threadedly connected to the steel plate body 1, which can effectively prevent the sliding plate 6 from sliding out of the sliding hole 7. The axial stress of the sliding plate and the radial stress of the bone screw are adjusted by adjusting the stress of the elastic device, thereby adjusting the axial stress of the fixed bone.

[0062] A tenth embodiment of the present invention, as Figure 11 As shown, the difference from the ninth embodiment is that the anti-slip screw 15 provided on the steel plate body 1 is replaced with an anti-slip plate 14, and the two ends of the anti-slip plate 14 are buckled on the steel plate body 1 to prevent the sliding plate 6 from sliding out of the sliding hole 7, and the anti-slip plate 14 is strip-shaped.

[0063] An eleventh embodiment of the present invention, as Figure 12 、 13 As shown, the difference from the tenth embodiment is that the anti-slip plate 14 is in the form of a full plate half sleeve, and the two ends of the anti-slip plate 14 are buckled on the steel plate body 1. A long slot hole 16 is provided on the anti-slip plate 14, and the long slot hole 16 corresponds to the pressure-regulating nail hole 4 on the sliding plate 6, and the axial size of the long slot hole 16 is larger than the size of the pressure-regulating nail hole 3.

[0064] The twelfth embodiment of the present invention is as follows Figure 14 、15 As shown, the difference from the eleventh embodiment is that the anti-slip plate 14 is in the form of a full plate and a full set, and long slots 16 are provided on the upper and lower layers of the anti-slip plate 14.

[0065] The thirteenth embodiment of the present invention is as follows Figure 16 As shown, the difference from the sixth embodiment is that a sliding hole 7 is provided on the steel plate body 1, and the sliding hole 7 is connected to the pressure regulating hole 10. A sliding plate 6 is installed in the sliding hole 7, and a pressure regulating nail hole 3 is provided on the sliding plate 6. The sliding plate 6 is adjusted by the elastic pressure regulating device, and the sliding plate 6 drives the radial stress of the bone screw in the pressure regulating nail hole 3 to change, thereby adjusting the axial stress of the fixed bone. The specific elastic pressure regulating device is shown in Example 6.

[0066] The fourteenth embodiment of the present invention is as follows Figure 17 、 18 As shown, the difference from the first embodiment is that the steel plate body is provided with a Kirschner wire hole 18 for temporarily fixing the steel plate body 1 on the human skeleton, and the upper surface of the steel plate body 1 is set to a curved surface with a certain curvature. Figure 19 、 20 As shown in , 21 and 22, one end of the steel plate body can be configured to be consistent with the anatomical morphology of the human limb bones and to have a certain curvature. For example: proximal humeral elastic pressure-regulating plate, distal fibula elastic pressure-regulating plate, distal humeral medial elastic pressure-regulating plate, distal femoral lateral elastic pressure-regulating plate, distal tibia medial elastic pressure-regulating plate, proximal femoral elastic pressure-regulating plate, tibial plateau medial elastic pressure-regulating plate, tibial plateau lateral elastic pressure-regulating plate, distal tibial anterolateral elastic pressure-regulating plate, distal humeral lateral elastic pressure-regulating plate, proximal ulna elastic pressure-regulating plate, distal radius volar elastic pressure-regulating plate, distal radius dorsal elastic pressure-regulating plate, finger and metacarpal metaphysis T-shaped and L-shaped elastic pressure-regulating plates, etc.

[0067] In the above embodiments, grooves may be provided on the lower surfaces of both sides of the steel plate body and the anti-slip plate to reduce the contact area between the steel plate body and the bone.

[0068] The above description is only a preferred embodiment of the present invention and is not intended to limit the embodiments of the present invention. For example, in embodiments 9, 10, 11, and 12, the form of the elastic pressure regulating device is replaced with the form in embodiments 2, 3, 4, 5, and 6. In the embodiment with a sliding plate, the form of fixing the sliding plate, the arrangement of the fixing screw holes and the pressure regulating nail holes are changed, or other forms of combination, etc., any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention should be included in the scope of protection of the present invention.

Claims

1. An integrated elastic pressure-regulating steel plate, characterized in that: The invention comprises a steel plate body, wherein the steel plate body is provided with a pressure-regulating nail hole and a pressure-regulating hole, a bone screw is installed in the pressure-regulating nail hole, an elastic pressure-regulating device is installed in the pressure-regulating hole, and the elastic pressure-regulating device is used to adjust the radial stress of the bone screw in the pressure-regulating nail hole, thereby adjusting the axial stress of the fixed bone; the pressure-regulating nail hole is connected to the pressure-regulating hole, and the elastic pressure-regulating device is arranged on the side of the bone screw in the pressure-regulating nail hole away from the fracture end; the radial stress of the bone screw in the pressure-regulating nail hole is changed by one of the following methods: ① The elastic pressure regulating device includes an elastic body installed in the pressure regulating hole, a bolt, and a pressure regulating nail hole. The bolt is threadedly connected to the steel plate body, and a nut is installed on the bolt. The pressure regulating hole on the steel plate body is a pressure regulating long hole formed by at least two connected screw holes. The stress of the elastic body is adjusted according to the different positions of the bolt in the pressure regulating nail hole. The tail of the bolt abuts against the elastic body. ② The pressure regulating hole is arranged along the axial direction of the steel plate body. The elastic pressure regulating device is a top screw and an elastic body installed in the pressure regulating hole. The top screw is threadedly connected to the steel plate body. The top of the top screw abuts against the elastic body. The thickness of the steel plate is thickened at the pressure regulating hole section. The pressure regulating hole can protrude from the upper surface of the steel plate body. The stress of the elastic body can be adjusted by adjusting the depth of the top screw. ③ The elastic pressure regulating device includes two side fixing holes provided on the steel plate body, a sliding baffle, a fixing nail and an elastic body in the pressure regulating hole. The side fixing holes are long holes provided on both sides of the steel plate body and are arranged along the axial direction of the steel plate body. The long holes are at least two connected screw holes. The steel plate body is provided with a sliding baffle, and screw holes are provided at both ends of the sliding baffle and a sliding column is provided in the middle. The sliding column abuts against the elastic body and can slide in the pressure regulating hole. The fixing nail fixes the sliding baffle to the steel plate body, and the stress of the elastic body is adjusted according to the different positions of the fixing nail in the side fixing hole. In the above methods ①②③, the elastic body is a spring or an elastic capsule. When it is a spring, spring bases are provided at both ends of the spring.

2. The integrated elastic pressure-regulating steel plate according to claim 1, characterized in that: The steel plate body is provided with a fixing screw hole, and bone screws are installed in the pressure-adjusting nail hole and the fixing screw hole.

3. The integrated elastic pressure-regulating steel plate according to claim 2, characterized in that: The pressure regulating nail holes, pressure regulating holes and fixing screw holes provided on the steel plate body are in one of the following forms: ① At least two pressure-regulating nail holes and at least one pressure-regulating hole are provided at one end of the steel plate body, and at least two fixing screw holes are provided at the other end. The pressure-regulating nail holes, pressure-regulating holes and fixing screw holes are symmetrically arranged on the steel plate body, or arranged in a straight line, or arranged in a staggered manner; ② Both ends of the steel plate body are provided with pressure regulating nail holes and pressure regulating holes, and the pressure regulating nail holes and pressure regulating holes are symmetrically arranged on the steel plate body; ③ One end of the fixing screw hole of the steel plate body is set to an anatomical plate consistent with the anatomical morphology of the human limb skeleton joints, and the other end of the steel plate body is provided with at least two pressure regulating nail holes and at least one pressure regulating hole.

4. The integrated elastic pressure-regulating steel plate according to claim 3, characterized in that: A sliding hole is provided on the steel plate body, and the sliding hole is connected to the pressure regulating hole. A sliding plate is installed in the sliding hole, and a pressure regulating nail hole is provided on the sliding plate. An elastic pressure regulating device is installed at one end of the sliding plate, and the radial stress of the bone screw is changed by adjusting the axial stress of the sliding plate.

5. The integrated elastic pressure-regulating steel plate according to claim 4, characterized in that: The opening on the upper surface of the sliding hole steel plate body is larger than the opening on the lower surface, and the axial length of the sliding hole is larger than the axial length of the sliding plate.

6. The integrated elastic pressure-regulating steel plate according to claim 5, characterized in that: At least two anti-slip screws are arranged on the steel plate body, the anti-slip screws are threadedly connected to the steel plate body, and the tails of the anti-slip screws are pressed onto the upper surface of the sliding plate to prevent the sliding plate from falling out.

7. The integrated elastic pressure-regulating steel plate according to claim 6, characterized in that: The sliding plate is provided with an anti-slip plate, which is slidably connected to the steel plate body and is set to a strip shape, an interval strip shape, or a full plate shape according to the size of the steel plate body covered by its surface; it is set to a half-set or full-set form according to the connection form of the anti-slip plate and the steel plate body. When the anti-slip plate is a half-set, the two ends of the anti-slip plate are buckled on both sides of the steel plate body, and a long slot hole is provided on the upper surface of the anti-slip plate; when the anti-slip plate is a full-set form, long slot holes are provided on both the upper and lower surfaces of the anti-slip plate; the long slot holes correspond to the pressure-regulating nail holes of the sliding plate, and the long slot holes correspond to the pressure-regulating nail holes of the sliding plate, and the radial size of the long slot holes is larger than the size of the pressure-regulating nail holes.

8. The integrated elastic pressure-regulating steel plate according to claim 1, characterized in that: The fixing screw holes provided on the steel plate body are configured as unthreaded nail holes or threaded locking nail holes, or as long nail holes which are a combination of unthreaded nail holes and threaded locking nail holes.

9. The integrated elastic pressure-regulating steel plate according to claim 8, characterized in that: The steel plate body is set as a straight steel plate or as an arc-shaped steel plate with a certain curvature consistent with the bone morphology, and the upper surface and lower surface of the steel plate body are radially set as arc surfaces with a certain curvature; the steel plate body is provided with at least one Kirschner wire hole for temporarily fixing the bone; the lower surfaces of the steel plate body and both sides of the anti-slip plate can be provided with grooves.

Citation Information

Patent Citations

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