CN105559871B - Intramedullary nail fixation device - Google Patents

Intramedullary nail fixation device Download PDF

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Publication number
CN105559871B
CN105559871B CN201610094345.7A CN201610094345A CN105559871B CN 105559871 B CN105559871 B CN 105559871B CN 201610094345 A CN201610094345 A CN 201610094345A CN 105559871 B CN105559871 B CN 105559871B
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Prior art keywords
intramedullary nail
bone
injection
fixation device
hole
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CN201610094345.7A
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CN105559871A (en
Inventor
罗宗平
杨惠林
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Suzhou Boxi Medical Science & Technology Co Ltd
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Suzhou Boxi Medical Science & Technology Co Ltd
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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
    • A61B17/72Intramedullary pins, nails or other devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00933Material properties bone or bone-like
    • 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
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of intramedullary nail fixation device, and along the multigroup through hole of side wall axial direction length direction setting of hollow intramedullary nail, an injection device can be ordinatedly stretched into the hollow channel in intramedullary nail;Injection device includes injection-tube and piston rod;Exit portal is provided with the tube wall of the blind end of injection-tube.By injection device by bone filler along through hole injection fillers to the marrow cavity wall of intramedullary nail side wall and long bone between, intramedullary nail is fixed by the bone filler after solidifying, fixed position flexibly, firmly, is avoided because fixed intramedullary nail damages to caused by long bone;Intramedullary nail and bone filler for being stranded in long bone etc. use degradation material, are gradually degraded during long knitting, avoid the later stage and perform the operation again, simplify surgical procedure, save surgery cost.

Description

Intramedullary nail fixation device
Technical field
The present invention relates to a kind of for intramedullary nail fixed in long bone fracture, belong to technical field of medical instruments.
Background technology
Intramedullary nail is a kind of medicine equipment of more commonly used treatment fracture, is generally used for radius, humerus, femur, shin bone Deng tubulose long bone fracture when interior fixation, the axial line of force of fracture site can be controlled, promote union, therefore, intramedullary nail Fixation inside long bone is extremely important.At present, the mode of generally use is proximally and distally being consolidated intramedullary nail by nail Due on long bone, this mode is needed to punch long bone, and long bone is caused to damage, and surgical procedure is complicated, operating time compared with It is long.
The content of the invention
The technical problems to be solved by the invention are the defects of overcoming prior art, there is provided a kind of intramedullary nail fixation device, Intramedullary nail can be firmly fixed, and fixed position can flexibly be set as needed, be produced when avoiding traditional Intramedullary nailing The drawbacks of raw.
In order to solve the above technical problems, the present invention provides a kind of intramedullary nail fixation device, it is characterized in that, along hollow marrow The side wall axial direction length direction of nail sets multigroup through hole, and an injection device can be ordinatedly stretched into the hollow channel in intramedullary nail;
The injection-tube and one for accommodating bone filler that the injection device includes one end closing can be by the entrance of injection-tube Hold the piston rod of push-in;
Exit portal is provided with the tube wall of the blind end of injection-tube, when the through hole on exit portal and intramedullary nail side wall connects When logical, the bone filler in injection-tube is released from exit portal by the piston rod being pushed into, and by the through hole in intramedullary nail side wall Project, be filled between the thing to be fixed where intramedullary nail wall outer surface and intramedullary nail, by the bone filler after solidifying by marrow Interior nail is fixed on inside the thing to be fixed where it.
Every group of through hole includes radially arranged multiple through holes in intramedullary nail side wall.
Multiple through holes in every group of through hole arrange along intramedullary nail side wall radial equipartition.
The technical scheme of another optional filling scope for limiting bone filler is is provided with multiple in intramedullary nail outer cover The gauze of tubular, each group through hole in intramedullary nail side wall is accordingly coated respectively by each gauze, makes to project from every group of through hole Bone filler limited and be filled in around this group of lead to the hole site by gauze.
The technical scheme of another optional filling scope for limiting bone filler is is provided with tubular in intramedullary nail outer cover Integral gauze, gauze tightened by multiple fastening straps and is separated into multistage, and the corresponding at least one set of intramedullary nail side of cladding in every section Through hole on wall.
Intramedullary nail and bone filler use degradation material or non-degradable material.
Gauze uses degradation material.
The degradation material is degradable artificial bone material;The non-degradable material is bone cement, autologous bone or different Body bone.
Intramedullary nail is the arc to match with thing shape to be fixed.
Scale value is provided with the injection-tube, with the amount of the bone filler of instruction filling.
Thing to be fixed is long bone.
The beneficial effect that the present invention is reached:
The intramedullary nail fixation device of the present invention, sets multigroup through hole, in stretching into intramedullary nail in intramedullary nail side wall Injection device in empty passage by bone filler along through hole injection fillers to the marrow cavity wall of intramedullary nail side wall and long bone between, lead to Intramedullary nail is fixed bone filler after supersolidification, and fixed position flexibly, firmly, is avoided because fixed intramedullary nail is to length Damage caused by bone, operation technique is easy, and operating time is shorter;Intramedullary nail and bone filler for being stranded in long bone etc. use Degradation material, gradually degraded during long knitting, avoid the later stage performs the operation again, simplifies surgical procedure, saves Surgery cost.
Brief description of the drawings
Fig. 1 is the intramedullary nail schematic diagram of the present invention;
Fig. 2 is the injection device schematic diagram of the present invention.
Embodiment
The invention will be further described below in conjunction with the accompanying drawings.Following examples are only used for clearly illustrating the present invention Technical scheme, and can not be limited the scope of the invention with this.
Embodiment 1
As depicted in figs. 1 and 2, the side wall axial length side of intramedullary nail fixation device of the invention along hollow intramedullary nail 1 To the multigroup through hole 11 of setting, an injection device can be ordinatedly stretched into the hollow channel in intramedullary nail, injection device 2 includes one end Close, the injection-tube 21 that the other end is entrance, bone filler can be accommodated in injection-tube 21.Close to the blind end 211 of injection-tube 21 Tube wall on be provided with exit portal 212, a piston rod 22 can be pushed into by arrival end 213 in injection-tube 21.When piston rod 22 is pushed into When in injection-tube 21, bone filler is released from exit portal 212, and projects and is filled into marrow by the through hole in intramedullary nail side wall Between the marrow cavity wall of long bone where nail wall outer surface and intramedullary nail, after bone filler solidification, by Intramedullary nailing In the long bone where it.
It is preferred that every group of through hole includes radially arranged multiple through holes in side wall, each through hole radially uniformly arranges.
Intramedullary nail and bone filler can use non-degradable material general at present, as intramedullary nail uses metal intramedullary nail Deng bone filler uses bone cement.
In other embodiments, intramedullary nail and bone filler for being stranded in long bone etc. can use degradation material, Gradually degraded during long knitting, it is preferred that the time of degraded is corresponding with the speed of knitting, and the degree degraded Slightly it is later than long symphysis, so that the intramedullary nail and bone filler that after long knitting, are stranded in long bone can realize degraded.
Scale value is provided with the injection-tube of injection device, with the amount of the bone filler of instruction filling.
It is preferred that intramedullary nail is the arc to match with the natural torsion shape of long bone.
Connected by the exit portal for adjusting injection-tube with one of through hole in a certain group of through hole in intramedullary nail side wall It is logical, the bone filler in injection-tube can be filled to where the intramedullary nail wall outer surface of the through hole position and intramedullary nail Between the marrow cavity wall of long bone;Rotate injection-tube make exit portal thereon with this group of through hole in intramedullary nail side wall other are logical Hole is connected successively, so as to realize the intramedullary nail wall outer surface to this group of through hole position and the long bone where intramedullary nail Marrow cavity wall between circumferential filling fix.As needed, the relative position of injection-tube and intramedullary nail is adjusted, makes injection-tube Exit portal connected with other group of through hole in intramedullary nail side wall, so as to realize to other through hole positions of intramedullary nail Surrounding filling is fixed.
Embodiment 2
The technical scheme of another optional filling scope for limiting bone filler is is provided with multiple in intramedullary nail outer cover The gauze of tubular, each group through hole in intramedullary nail side wall is respectively correspondingly coated respectively by each gauze, made from every group of through hole The bone filler of injection is limited by gauze to be filled in around this group of lead to the hole site.
Meanwhile in other embodiments, gauze can also be set integrally, be integrally set in outside intramedullary nail, yarn The excessively multiple fastening straps of Netcom are tightened, and the gauze outside intramedullary nail are separated into multistage, and one group of intramedullary nail side is coated in every section Through hole on wall.
Described above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art For member, without departing from the technical principles of the invention, some improvement and deformation can also be made, these are improved and deformation Also it should be regarded as protection scope of the present invention.

Claims (12)

1. a kind of intramedullary nail fixation device, it is characterized in that, set along the side wall axial direction length direction of hollow intramedullary nail multigroup logical Hole, an injection device can be ordinatedly stretched into the hollow channel in intramedullary nail;
The injection-tube and one for accommodating bone filler that the injection device includes one end closing can be pushed away by the arrival end of injection-tube The piston rod entered;
Exit portal is provided with the tube wall of the blind end of injection-tube, when exit portal connects with the through hole in intramedullary nail side wall When, the bone filler in injection-tube is released from exit portal by the piston rod being pushed into, and is penetrated by the through hole in intramedullary nail side wall Go out, be filled between the thing to be fixed where intramedullary nail wall outer surface and intramedullary nail, by the bone filler after solidifying by marrow Nail is fixed on inside the thing to be fixed where it.
2. intramedullary nail fixation device according to claim 1, it is characterized in that, every group of through hole includes radially arranged in marrow Follow closely multiple through holes in side wall.
3. intramedullary nail fixation device according to claim 1 or 2, it is characterized in that, multiple through holes in every group of through hole are along marrow Interior nail side wall radial equipartition arrangement.
4. intramedullary nail fixation device according to claim 1, it is characterized in that, it is provided with multiple tubulars in intramedullary nail outer cover Gauze, each group through hole in intramedullary nail side wall is accordingly coated respectively by each gauze, the bone for making to project from every group of through hole is filled out Fill thing and limited by gauze and is filled in around this group of lead to the hole site.
5. intramedullary nail fixation device according to claim 1, it is characterized in that, it is provided with the one of tubular in intramedullary nail outer cover Gauze, gauze are tightened by multiple fastening straps and are separated into multistage, and in every section in the corresponding at least one set of intramedullary nail side wall of cladding Through hole.
6. according to the intramedullary nail fixation device described in claim 1,4 or 5, it is characterized in that, intramedullary nail and bone filler use Degradation material or non-degradable material.
7. the intramedullary nail fixation device according to claim 4 or 5, it is characterized in that, the gauze uses degradation material.
8. intramedullary nail fixation device according to claim 6, it is characterized in that, the degradation material is degradable artificial Bone material;The non-degradable material is bone cement, autologous bone or allograph bone.
9. intramedullary nail fixation device according to claim 7, it is characterized in that, the degradation material is degradable artificial Bone material.
10. intramedullary nail fixation device according to claim 1, it is characterized in that, the intramedullary nail is and thing shape to be fixed The arc to match.
11. intramedullary nail fixation device according to claim 1, it is characterized in that, scale value is provided with the injection-tube, with Indicate the amount of the bone filler of filling.
12. intramedullary nail fixation device according to claim 1, it is characterized in that, the thing to be fixed is long bone.
CN201610094345.7A 2016-02-22 2016-02-22 Intramedullary nail fixation device Active CN105559871B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110877977B (en) * 2019-11-26 2022-09-30 杭州电子科技大学 High-strength degradable bar and manufacturing method thereof
CN110877976A (en) * 2019-11-26 2020-03-13 杭州电子科技大学 Variable-cross-section high-strength degradable bar and manufacturing method thereof

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4653487A (en) * 1986-01-29 1987-03-31 Maale Gerhard E Intramedullary rod assembly for cement injection system
US5578035A (en) * 1995-05-16 1996-11-26 Lin; Chih-I Expandable bone marrow cavity fixation device
CN1835720A (en) * 2001-07-25 2006-09-20 Disc整形外科技术股份有限公司 Deformable tools and implants
CN2905092Y (en) * 2006-05-12 2007-05-30 上海凯利泰医疗科技有限公司 Balloon catheter for expanding vertebra
CN201591608U (en) * 2010-01-20 2010-09-29 黄春河 Volume testing and filling device
CN101909534A (en) * 2007-11-16 2010-12-08 新特斯有限责任公司 Porous containment device and associated method for stabilization of vertebral compression fractures
CN102940523A (en) * 2012-11-26 2013-02-27 中国人民解放军成都军区总医院 Assembly for reinforcing injectable vertebral pedicle screw
CN103479420A (en) * 2013-10-12 2014-01-01 李建民 Intramedullary nail
CN203468720U (en) * 2013-09-22 2014-03-12 北京理贝尔生物工程研究所有限公司 Tibia hollow intramedullary nail
CN103654923A (en) * 2012-09-19 2014-03-26 上海微创医疗器械(集团)有限公司 Support system capable of preventing bone cement leakage and application thereof

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5514137A (en) * 1993-12-06 1996-05-07 Coutts; Richard D. Fixation of orthopedic devices

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4653487A (en) * 1986-01-29 1987-03-31 Maale Gerhard E Intramedullary rod assembly for cement injection system
US5578035A (en) * 1995-05-16 1996-11-26 Lin; Chih-I Expandable bone marrow cavity fixation device
CN1835720A (en) * 2001-07-25 2006-09-20 Disc整形外科技术股份有限公司 Deformable tools and implants
CN2905092Y (en) * 2006-05-12 2007-05-30 上海凯利泰医疗科技有限公司 Balloon catheter for expanding vertebra
CN101909534A (en) * 2007-11-16 2010-12-08 新特斯有限责任公司 Porous containment device and associated method for stabilization of vertebral compression fractures
CN201591608U (en) * 2010-01-20 2010-09-29 黄春河 Volume testing and filling device
CN103654923A (en) * 2012-09-19 2014-03-26 上海微创医疗器械(集团)有限公司 Support system capable of preventing bone cement leakage and application thereof
CN102940523A (en) * 2012-11-26 2013-02-27 中国人民解放军成都军区总医院 Assembly for reinforcing injectable vertebral pedicle screw
CN203468720U (en) * 2013-09-22 2014-03-12 北京理贝尔生物工程研究所有限公司 Tibia hollow intramedullary nail
CN103479420A (en) * 2013-10-12 2014-01-01 李建民 Intramedullary nail

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