Mini plate for ostesynthesis after multi-segment osteotomy of upper jaw |
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IPC classes for russian patent Mini plate for ostesynthesis after multi-segment osteotomy of upper jaw (RU 2489982):
 L-shaped miniplate for osteosynthesis of upper jaw after osteotomy / 2489981
Claimed invention relates to medicine, namely to dentistry, and can be applied for osteosynthesis of upper jaw after its osteotomy. L-shaped miniplate for osteosynthesis of upper jaw after osteotomy has body of rectangular shape with upper and lower arms, representing links of two disks with openings for miniscrews and connecting elements in form of plates. Miniplate additionally contains holding element in form of disk and connecting element of rectangular shape which is continuation of lower arm of miniplate. Upper and lower arms are placed in different sides and angularly with respect to miniplate body. Angle of upper arm with miniplate body constitutes 160±1°. Angle of lower arm with body constitutes 110±1°.
 Plate for correction of funnel chest deformation / 2488361
Invention relates to medical equipment and can be applied for correction of funnel chest deformation. Device for correction of funnel chest deformation contains plate from titanium alloy, which has end area with openings for ligature. Plate has additional middle and transit areas. Transit areas, each, are placed between middle area and end area, each end area being 15-60 mm long. Each transit area is 5-40 mm long, with: T1=1.5-3 T2, where: T1 is width of middle area; T2 is width of each end area. Width of transit areas changes evenly.
 Device for treating funnel chest deformation / 2485903
Invention relates to medicine and can be used for treatment in case of funnel chest deformation. Device contains support frame with fixed on it tensioning screws to the ends of which elements of connection with sternum are fixed. Support frame is made in form of spatial three-rest tubular construction, whose ends are provided with telescopic bars. Two upper ends rest against arches, which embrace shoulder joints, the lower one resting against the plate, fixed on lumbar part. Elements of connection with sternum are made in form of staples, embracing sternum in intercostals spaces.
 Device for blocked external osteosynthesis of tubular bones / 2483690
Invention relates to medical equipment, namely to metal constructions for osteosynthesis of fractures of tubular bones. Device contains curved plate with holes, fixing screws and spherical washers with hole in the centre and cylindrical thread. Plate is curved transversely with bend radius equal to plate width. Edges along plate are sharpened and made with toothed thread. Holes in plate are made spherical for placement of spherical washers and are located in staggered order on plate ends. Space in the centre of plate, occupying 1/3 of plate length is free of holes. Head of fixing screw has cylindrical thread for placement in hole of spherical washer. Fixing screw is made self-tapping, screw thread can cut into plate holes.
 Method and elongating plate for osteosynthesis / 2480179
Group of inventions relates to field of medicine, namely to traumatology and orthopedics and can be used in surgical treatment of fractures of tubular bones. Reposition of bone fragments and application of plate on fracture zone with its fixation to bone fragments by means of screws are performed. In case of non-diagnosed comminuted fracture or detection in course of primary or revision osteosynthesis insufficient rigidity of one of bone fragments fixation previously fixed plate is elongated with additional application of elongating plate. One end of elongating plate is installed with rest on the edge of previously applied and fixed on bone plate, its other end being fixed on bone fragment by means of screws on holes, made on elongating plate. Elongating plate contains case with holes for mounting screws. One end of case has element for providing possibility of fixation with rest on previously fixed plate, which is made in form of step, whose size corresponds to the thickness of fixed plate, its other end being made with holes for mounting screws.
 Device for osteosynthesis of bone fractures / 2476180
Invention relates to medicine, in particular to traumatology and orthopedics. Device consists of plate with holes for blocked screws, made along plate and guide. Plate is made chute-shaped and contains two combined holes on ends, with perpendicularly adjoining to them grooves. Holes for blocked screws are located in two rows along plate, with axes of all holes being made at angle to longitudinal axis of plate.
 Osteosynthesis device applicable for immobilisation and fixation of long bones / 2465859
Invention refers to medicine. A device comprises a bearing bridge extending in a first longitudinal direction, at least one first fixation device extending transversally from the bearing bridge, and one second fixation device extending transversally from the bearing bridge. The second fixation device is longitudinally displaced from the first fixation device. The bridge has at least one area arranged between the first fixation device and the second fixation device which is arched with respect to a longitudinal axis of the bridge, at least in two spatial measurements and enables the first fixation device rotating with respect to the second fixation device about the longitudinal axis of the bridge so that to adapt the device in three spatial measurements to any loop or bone structure.
 Lamellar implant, in particular for application in spine / 2444322
Invention relates to medicine. Lamellar implant for application in osteosynthesis, consists of, at least, one first lamellar component, which has holes for installation of fixing screws and connecting element of, at least, one second lamellar component, which has holes for installation of fixing screws and receiving element for installation of connecting element. Each of lamellar components is placed with possibility of sliding in one direction relative to other lamellar element. Lamellar elements are provided with device for limitation of their sliding in the opposite direction to each other, which includes clamping screw. Clamping screw consists of threaded part of screw and screw head, and in mounted state of two lamellar components. Threaded part of screw interacts with connecting element, and screw head - with oblong hole, made in second lamellar component, in such a way, that between screw head and oblong hole between connecting element and fastening element clamping action arises. Each of lamellar components and clamping screw are made in such a way, that sliding movement in directions or opposite to it occurs without blocking.
 Method of minimally invasive external fixation of long bones and external fixation device / 2432138
Invention refers to medicine. It involves a closed reduction of fragments of an injured bone. The injured bone is approached from an incision approximately 3-5 cm long above a distal fragment. A bed is formed for the following introduction of a bone portion of the device. The device is assembled by parallel connection of two opposed longitudinal identical plates - bone and external - movable relatively to each other by a hollow rod through their border holes. The latter have extended lines of threaded tapered holes of the same size. Along the full length, the rod has an external thread which comprises movable fixation elements to fix a position of the plates in the form of conical nuts aligning the rod in the holes of the plates. A distal working end of the rod has a flange in the form of a truncated cone with its greater base directed towards a proximal end of the rod and having the sizes and an external thread provided on an external surface, matched with those of the holes of the plates. The bone plate is introduced into the formed bed. The bone plate is fixed to a distal fragment of the injured bone with a wire inserted through a rod cavity. The assemblage process is finished by coupling the free ends of the plates by a second similar hollow core in their matched holes through a puncture above the proximal fragment. The bone plate is fixed to the proximal fragment of the injured bone by another wire through a cavity of the second rod. Then using the holes of the external and bone plates as a navigation system, the holes are formed of skin punctures up to 1 cm in the injured bone, and the bone plate is screwed therethrough to the fragments of the injured bone. Then the external plate, the rod and the wires are removed. Fixation of the bone plate is finished by screw insertion in the empty holes.
 System for fixation of bone tissue provided with sensor and telemetric device / 2424781
Invention relates to medicine. System for fixation of bone tissue contains fixer (2), at least one bone screw (3), able to be introduced into through hole (1) of fixer (2), and sensor and/or telemetric system, installed on separate plate (5), made with possibility of attachment to fixer (2). Fixer (2) and separate plate (5) contain means for formation between fixer (2) and separate plate (5) of, at least, one connection "hollow/spring".
 Device for making external crural malleolus osteosynthesis / 2243742
Device has part fixed on bone and intraosseous part parting from it at an angle of 90є and having protrusion and slit. The on-bone part is longitudinal and narrow and has transverse protrusions having holes for receiving fastening members, and the narrow part has longitudinal rectangular area having rounded protrusion and slit 0.5-1.0 cm far from the protrusion. The slit originates on the lower edge in perpendicular to the longitudinal device axis occupying half of height of longitudinal area of the intraosseous part.
 Plate and system for making vertebral column osteosynthesis / 2245687
Device is rectangular and has four or more slits for fixing means to pass through each of them. Two slits have exit to lateral side of plate to enable one to set the plate at required position and fix it without preliminarily removing the instrument for correcting orientation relative to vertebral column. Lateral plate surface runs from edge pointing the same direction with longitudinal plate direction. The latter exactly coincides with the vertebral column direction. The system comprises several vertebral column osteosynthesis plates to keep orientation correction relative to the vertebral column unchanged. Correction is carried out by means of the instrument for correcting orientation.
 Fork plate for performing fractures and false joints osteosynthesis / 2254090
Device has plate with holes and fork-like fixing unit having two teeth. The teeth are arc-shaped along longitudinal relief of frontal surface of external clavicle one-third. The teeth divergent in planes parallel to each other for arrange external fractured bone fragment. Longitudinal part of the plate is S-shaped.
 Fastener usable in osteoplasty operations / 2259175
Device has metal plate having widened middle part, at least three pedicles and at least four holes in the middle part, one of them being central and one available on each of the pedicles. At least one of the pedicles has flexible member between the middle part and the nearest hole. It is manufactured as flat helical spiral with turn angle of 180°.
 Device for carrying out medial malleolus osteosynthesis in transverse fracture cases / 2261679
Device has supraosseous part and intraosseous part parting at an angle of 90° and having rectangular rectilinear longitudinal segment having protrusion on both ends. The supraosseous part is longitudinal, narrow, 2 mm wide member having transverse protrusions modeled along the frontal boundary of the medial malleolus having holes for receiving fastening members. The intraosseous part protrusions are rounded and sharp along curvature arc.
 Plate for carrying out bone fracture osteosynthesis in bones after endoprosthetic repair / 2261681
Device has plate having canals for inserting screws and optional epimetaphyseal fixing member. The canals for inserting screws are arranged along plate boundary and made divergent at an angle of 40-60° to pass through cortical layer without affecting medullary canal.
 Y-shaped plate for osteosynthesis of epimetaphyseal fractures (variants) / 2266719
The present innovation deals with metalloosteosynthesis of intra-articular and peri-articular fractures. According to the first variant, the suggested plate contains an osseous plate with openings and a fixing unit as a fork with teeth and foramens for a screw. Osseous part of teeth, branching fan-shapely, circles metaphysis and has a curvature at the angle of 180°. Submergible parts of teeth are parallel to each other. Teeth are designed to be round in cross-section. Teeth are being in a plane parallel to that of osseous plate. The length of submergible part of teeth knowingly exceeds the diameter of a semilunar fragment of patient's elbow bone. According to the second variant, the plate contains an osseous plate with openings and a fixing unit as a fork with teeth and foramens for a screw. Osseous part of teeth, branching fan-shapely, circles metaphysis. Submergible parts of teeth are parallel to each other. Teeth are designed to be round in cross-section. The distance between submergible parts of teeth is 1.5-2 times higher against the width of an osseous plate. According to the third variant, the plate contains an osseous plate with openings and a fixing unit as a fork with teeth and foramens for a screw. Perosseous part of teeth, branching fan-shapely, circles metaphysis, and submergible parts of teeth are being parallel to each other. Teeth are designed to be round in cross-section. The plate has a curvature according to the shape of condylar edge of patient's brachial bone. Osseous part of teeth is supplied with a crosspiece to provide the chance to be fixed up with screws.
 Device for optimizing bone fragment fixation to its bed / 2275880
Device has irregularly curved Kirschner wire having loop for wire cerclage and stepwise bends arranged on both sides of the loop with a structure having three longitudinally arranged fragments for making bone contact. The loop is placed on the middle fragment in the device center with pipes transversely joining three longitudinally arranged fragments. The pipes are displaced towards the loop for preventing engagement with bone and are bow-shaped to possess springing properties.
 Device for osteosynthesis / 2283630
Device provides ability of moving along several axes and fixing bone screws at stable position at angle to bone plate; additional mechanical elements are not required. Device for osteosynthesis has through opening made for placement of bushing for bone screw, which bushing can be adjusted along several axes. Device also has bushing made for introduction into through opening. The bushing has central channel made for placement of bone screw. Channel has longitudinal axis. Peripheral external side of bushing is made making contact with internal surface of through opening. Bushing is made for radial compression and radial expansion. Cross-lateral section, which passes in perpendicular to central axis, has non-circular shape. Cross-section of bushing, which passes in perpendicular to longitudinal axis, has shape to correspond in essence to shape of cross-section of through opening to protect bushing, being introduced into through opening, from turn relatively longitudinal axis and to keep ability of angular orientation adjustment relatively through opening.
 Method for reconstructing orbital wall in case of fracture / 2286110
One should fulfill two vertical mucosal incisions of transitional fold being below and laterally against infraorbital foramen. Then, according to these incisions, one should form foramens in anterior wall of maxillary antrum, dissect cicatricial adhesions of soft tissues in area of restored osseous fragments at isolating periorbital fiber till its free movement together with oculomotor muscle in orbital cavity. One should forma fatty interlayer between oculomotor muscle and osseous wall, moreover, a transplant should be fixed from one side towards anterior department of the lower orbital wall, and from another side - to osseous department of retrobulbar orbital part. Then it is necessary to suture osseous fragments of orbital wall with the transplant along the whole length. The innovation enables to form correct ratio between osseous fragments of periorbital fiber and oculomotor muscle, decrease traumatism of mucous-periosteal layer in area of vestibule of mouth, decrease disorders in circulation in area of operation and, also, reconstruct normal movement of patient's eyeball.
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FIELD: medicine. SUBSTANCE: invention relates to field of medicine, namely to dentistry, and can be applied for osteosynthesis of upper jaw in multi-segment osteotomy. Miniplate for osteosynthesis after multi-segment osteotomy of upper jaw has body of rectangular shape, an upper and two lower arms - lateral and medial, representing links of disks with openings for miniscrews and connecting elements in form of plates. Body of miniplate in the end of lower part has an opening for miniscrew in form of disk with opening. Lateral arm additionally contains holding element in form of disk and connecting rectangular-shaped element, which is continuation of said arm. Length of lateral and medial arms of miniplate between openings and opening in miniplate body has ratio 6:10. Angle of upper arm with miniplate body constitutes 170±1°. Angle of lateral arm with miniplate body constitutes 120±1°. Angle of medial arm with miniplate body constitutes 110±1°. Upper and lateral arms are placed to different sides from miniplate body. EFFECT: invention ensures increased strength (rigidity) and reliability of fixation of osteotomised fragments of upper jaw in specified position. 3 cl, 1 ex, 1 dwg
This invention relates to medicine, namely to the dentist, and can be used for osteosynthesis of the upper jaw when multisegmental osteotomy. Known titanium miriplatin for the upper and lower jaws after multisegmental osteotomy having a body with upper and two lower shoulders, and upper arm is a continuation of the body miriplatin and represents the links of two disks with a diameter of 4.5 mm with holes in them under mini screws and connecting elements in the form of plates between them. The lower arms are at an angle of 150°, and each arm consists of a single link with a disk diameter of 4.5 mm with a hole in it under minivent and connecting element in the form of a plate between the disc and body miriplatin. Body length miriplatin between the closest hole of the upper arm and the lower end of the body part miriplatin equal to 12 or 15 mm Length top of shoulder miriplatin between the holes has a 6 mm length of the lower shoulder between the holes and the end of the lower body miriplatin is 6 mm. Width miriplatin - 2,17 mm, thickness 1 mm Miniplates release the right - and left-handed [Aearobic, Antonuk, Fhkaue, Maskiri; RV Golovin, Ascubadiel. Elimination of associated deformities of various etiologies using orthognathic operations: New what I medical technology. - M., 2010, - 5]. Known standard titanium miniplates company "Comet" are widely used in orthognathic surgery, but during multisegmental osteotomy of the maxilla to perform osteosynthesis osteotomies fragments and obtain rigid fixation is extremely difficult. Lack of data miriplatin is: the form does not allow making osteosynthesis osteotomies fragments during operation multisegmental osteotomy of the maxilla at the level of Le Fort 1 taking into account the anatomy of the roots of the canines, premolars and pear-shaped holes; - lack of strength, leading to deformation of miriplatin and offset osteotomies fragments of the upper jaw; - usability - lack of restraint element miriplatin. The technical result of the present invention is to increase the strength (rigidity) and reliability commit osteotomies fragments of the upper jaw in a predetermined position. The technical result is achieved by the fact that miriplatin for osteosynthesis after multisegmental osteotomy of the upper jaw having a rectangular body, upper and two lower arm - lateral and medial representing the links of the disks with holes for mini screws and connecting elements in the form of a PLA is tinoc, a distinctive feature is that the body miniplates at the end of the lower part has a hole minivent in the form of a disk with a hole, a lateral shoulder further comprises a retaining element in the form of a disk and the connecting element of rectangular shape, which is a continuation of this shoulder, the length of the lateral and medial shoulder miriplatin between the holes and the hole in the body miriplatin has a ratio of 6: 10, the angle of the upper arm with the body miriplatin is 170±1°, the angle of the lateral shoulder with the body miriplatin is 120±1°, and the angle of the medial shoulder with the body miriplatin is 110±1°, and the upper and lateral shoulders are located in different directions from the body miriplatin Usually miriplatin for osteosynthesis after multisegmental osteotomy of the maxilla, the ratio of the length of the upper arm between the holes in it to body length miriplatin between adjacent body hole of the upper arm and the hole in the body miriplatin width is 6: 12(±0,1): 2.6 or 6: 15(±0,1):2,6. The thickness miriplatin is 1±0,1 mm Miriplatin for osteosynthesis after multisegmental osteotomy of the upper jaw can be right - hand and left-hand. Miriplatin (Figure 1) has a body (1), upper (2) and two lower arm - lateral (3) and medial (4), which represent the links (5) TS the e drive (6) with a diameter of 4.5 mm with holes (7) under the mini screws and connecting elements (8) in the form of plates. Lateral shoulder (3) on the end has a holding element (9) in the form of a disk with a diameter of 3 mm and the connecting element (10) of rectangular shape with a width of 0.6 mm The distance between the hole (7) in the body miriplatin and the center of the retaining element (9) is 5.4 mm In the lower part of the body (1) miriplatin there is a hole (7) under minivent. The length between the closest hole in the upper arm and the hole in the body miriplatin is 12(±0,1) mm or 15(±0,1) mm depending on the size of the move osteotomies fragment and a width of 2.6 mm Upper arm (2) miriplatin consists of two parts (5) in the form of discs (6) with holes (7) under the mini screws and the coupling element in the form of a plate (8) with a width of 2.2 mm, and is to the body miriplatin angle of 170±1°, which allows you to commit miriplatin on the edge of the pear-shaped holes in the zone of maximum thickness of the bone tissue. Lateral shoulder (3) length of 6 mm between the hole in it and a hole in the body miniplates with one link (5), one disc (6) with a hole (7) under minivent and connecting element (8) is to the body (1) miriplatin angle 120±1°. Medial shoulder (4), having a length of 10 mm between the hole in it and a hole in the body miriplatin has one link (5) on the disc (6) with a hole (7) under minivent and connecting element (8) rectangular shap is s width 2.2 mm, is to the body (1) miriplatin angle of 110±1°, which allows rigid fixation of frontal fragment of the upper jaw after multisegmental osteotomy. The location of the lateral (3) and medial (4) shoulders on those corners, you can have miniplates in the most optimum position with regard to the anatomy of the roots of the canines and premolars. The upper (2) and lateral (3) the shoulders are located in different directions from the body miriplatin. The retaining element (9) enables high-precision position and hold the plate at the moment of fixation. After complete fixation of the retaining element (9) together with the connecting element (10) remove. The increase in the width of the body miriplatin to 2.6 mm leads to an increase in the physical properties (strength, flexibility), which reduces the possibility of deformation and, consequently, bias osteotomies fragments of the maxilla. Miriplatin made of titanium with a thickness of 1±0,1 mm Miniplates can be right - and left-handed. Example. Patient b had complained of a violation of the bite, difficulty chewing food. Diagnosis: Dysgnathia 3 class. Top retrognathia, the lower prognathia. Skeletal anomaly occlusion 3 class Anglo. The history of the disease. Congenital. Conducted preoperative orthodontist is ical preparation of dental rows. Local status: configuration of the face is changed due to deformation of the lower jaw. Performed reconstructive orthognathic surgery in the amount of: bilateral sagittal multisegmental osteotomy of the maxilla at the level of the Le Fort I with fragmentation between 12,13 22,23 and. The progress of the operation. After processing the surgical field with an antiseptic solution and pre-hydroriparian in the field of transitional folds of the upper jaw submucosal and subperiosteal space anesthetic solution of articaine kind with vasoconstrictor in a dilution of 1: 200 000, conduct incision, starting 0.5 cm from the attached gingiva from 15 to 25 tooth, skeletonize the front surface of the upper jaw. Perform the osteotomy of the maxilla at the level of the Le Fort I; resection of her in the distal and front offices. The level of osteotomy determine at 5 mm above the apex of the maxillary teeth. The next stage guide the segmentation subsideries fragment of the upper jaw, the planned lines in the interdental spaces between 12, 13 and 22, 23. Then through the bone decomposers perform mobilization osteotomies maxillary complex. Then hold the extension of the line segmentation in the sagittal and frontal directions on the palatal processes of the maxilla and mobilization. Osteotherapy subsidairies mobiliserait, move on 4.6 mm down to 2.2 mm forward rotation counterclockwise, set in a predetermined position by using the final Nakonechna template and fix using miriplatin with a body length of 12 mm (two on each side) and titanium mini screws (diameter 2.0 mm, length 5.5 mm). Osteosynthesis perform at the level of the Le Fort I: medial - in edge of the pear-shaped holes and the area of fragmentation using the modified miriplatin for osteosynthesis after multisegmental osteotomy (right, left); lateral - field skolealderen crest using an L-shaped miriplatin length of 12 mm (right, left). Osteosynthesis begin with subsidaries fragment. Miriplatin bend pliers tight fit to the area of osteosynthesis. After fixation of the retaining elements together with connecting elements are removed. In the presence of diastasis between the bone fragments defect replace autobone. Previously conducted bilateral sagittal osteotomy of the mandible using standard direct titanium miniplates company "Comet" and mini screws, as the correction dignity carried out by duchaussoy orthognathic surgery. Perform hemostasis. The wound is sutured with monofilament 4/0, 5/0. Surgery and the early postoperative period was without Oslo the response. Conducted infusion, antibacterial, detoxification, anti-inflammatory, desensitized therapy. In the result of intervention with the use of these advanced titanium miniplates achieved: correct orthognathic jaw relationships, retopologize the upper jaw, an adequate tool overlap and install fangs class 1 through miklikova distance, the transverse expansion of the upper arch with the creation of multiple fissure-papulose contact. 1. Mini-plate for osteosynthesis after multisegmental osteotomy of the upper jaw having a rectangular body, upper and two lower arm - lateral and medial representing the links of the disks with holes of mini-screws and connecting elements in the form of plates, characterized in that the body of the mini-plate at the end of the lower part has a hole under the mini-screw in the form of a disk with a hole, a lateral shoulder further comprises a retaining element in the form of a disk and the connecting element of rectangular shape, which is a continuation of this shoulder, the length of the lateral and medial shoulder mini plate between the holes and the hole in the body of the mini-plates have a ratio of 6:10, the angle of the upper arm with the body of the mini plate is (170±1)°, angle lateraling the shoulder with the body of the mini plate is (120±1)°, and the medial angle of the shoulder with the body of the mini plate is (110±1)°, and the upper and lateral shoulders located on opposite sides of the body of the mini-plate. 2. Mini-plate for osteosynthesis after multisegmental osteotomy of the upper jaw according to claim 1, characterized in that the ratio of the length of the upper arm between the holes in it and the body length mini-plates between adjacent body hole of the upper arm and the hole in the body of the mini-plate and its width is 6:12(±0,1):2,6. 3. Mini-plate for osteosynthesis after multisegmental osteotomy of the upper jaw according to claim 1, characterized in that the ratio of the length of the upper arm between the holes in it and the body length mini-plates between adjacent body hole of the upper arm and the hole in the body of the mini-plate and its width 6:15(±0,1):2,6.
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