Bone fixation system capable of gradually changing from rigid fixation to axial non-rigid fixation
The present disclosure discloses a limb bone fixation system capable of automatically transforming from AO (Association for Study of Internal Fixation) to BO (Bio-logical Osteosynthesis) elastic fixation. The system includes a bone nail, a bone bridge, and connecting pieces attached to the bone bridge. The bone bridge is divided into a plate-shaped bone bridge and a rod-shaped bone bridge. A gasket made of a rigid degradable biomaterial is added between all connecting pieces at a broken end of one side of a fracture and the bone bridge, which can form rigid fixation for the fracture at initial fixation.
1. A bone fixation system capable of gradually changing from rigid fixation to axial non-rigid fixation, the bone fixation system comprising:
a bone bridge that is attached with a connecting piece and realizes fixation through a plurality of bone nails, wherein the bone bridge spans fracture ends of a bone and is configured to be placed on bone surfaces on both sides of the fracture; a first bone nail at one of the fracture ends is configured to fix the bone to the bone bridge directly or through the connecting piece; a second bone nail at the other of the fracture ends is configured to fix the bone to the bone bridge through the connecting piece;
a degradable gasket made of a rigid degradable biological material is disposed between the connecting piece at another of the fracture ends and the bone bridge; the second bone nail, the connecting piece, the degradable gasket, the bone bridge, and the fracture ends are configured to be fixedly connected by the bone bridge to form a stable fracture/fixture complex at initial fixation, so as to form a stable static fixation;
as the degradable gasket is gradually degraded and absorbed in vivo, the connection between the connecting piece and the bone bridge where the degradable gasket is placed gradually loosens therewith; but the positional relationships between the second bone nail as well as the bone bridge and the fracture ends fixed by same are still stable rigid invariable structures; the joint between the connecting piece and the bone bride where the degradable gasket is placed becomes clearance fit; and the fracture ends constrained by the bone bridge, the connecting piece, and the bone nails can also only slide axially along the bone bridge under the action of an external force, that is, the fracture/fixture complex becomes axial non-rigid connection, and the fixation of the whole fixation system also gradually changes to axial non-rigid dynamic fixation.
2. The bone fixation system according to claim 1 , wherein the bone bridge is a plate-shaped bone plate, and the bone plate comprises bone nail through holes and a chute;
the connecting piece is a sliding block embedded into the chute of the bone plate, and at least one of the bone nail through holes is formed in the sliding block;
a side wall of the sliding block is a smooth plane; the side wall of the sliding block is matched with an inner wall of the chute in a surface contact manner in a radial direction; there is a sliding clearance between the sliding block and the chute in the axial direction of the bone plate; the degradable gasket is an embedded degradable gasket filling the sliding clearance; and the bone nails are connected with the bone plate through the bone nail through holes in the bone plate and the bone nail through holes in an upper surface of the sliding block attached to the bone plate with smooth common nail heads and threaded locking nail heads, so as to complete the assembly and fixation of the fracture/fixture system.
3. The bone fixation system according to claim 2 , wherein the chute is a groove that does not penetrate through the plate surface of the bone plate, and the sliding block is embedded into the groove;
through holes are formed in the bottom of the groove; the through holes are greater than the bone nails in diameter; and when the degradable gasket is gradually degraded, the integrated sliding block and the fracture ends may perform axial movement along the through holes along with the bone holes.
4. The bone fixation system according to claim 3 , wherein a laying-type degradable gasket which has the same shape as the bottom surface of the sliding block and is degradable is also arranged between the bottom of the sliding block and the groove; and after the bone nails penetrate through the bone nail through holes in the sliding block and the laying-type degradable gasket is fastened in the bone, the connection between the sliding block and the bone plate is rigid connection.
5. The bone fixation system according to claim 2 , wherein the sliding clearance between the sliding block and the chute in the axial direction of the bone plate is 0.2 to 1 mm; the thickness of the embedded degradable gasket is 0.2 to 1 mm; the thickness of the laying-type degradable gasket is 0.1 to 0.5 mm; and the thickness of the tile-type degradable gasket is 0.2 to 1 mm.18.
6. The bone fixation system according to claim 1 , wherein the degradable gasket is made of magnesium or zinc or a composite consisting of magnesium and zinc, or a composite consisting of magnesium and polylactic acid coating externally thereon, or a composite consisting of zinc and polylactic acid coating externally thereon, or a composite consisting of the composite consisting of magnesium and zinc and polylactic acid coating externally thereon that may be degraded in vivo; and
the degradable gasket is a complete gasket, or a plurality of layers of gaskets made of the same composite material or a plurality of layers of gaskets made of different composite materials are overlaid to use to control the degradation rate.
7. The bone fixation system according to claim 4 , wherein the sliding clearance between the sliding block and the chute in the axial direction of the bone plate is 0.2 to 1 mm; the thickness of the embedded degradable gasket is 0.2 to 1 mm; the thickness of the laying-type degradable gasket is 0.1 to 0.5 mm; and the thickness of the tile-type degradable gasket is 0.2 to 1 mm.