CN109288552A - Heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack - Google Patents
Heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack Download PDFInfo
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- CN109288552A CN109288552A CN201811100079.XA CN201811100079A CN109288552A CN 109288552 A CN109288552 A CN 109288552A CN 201811100079 A CN201811100079 A CN 201811100079A CN 109288552 A CN109288552 A CN 109288552A
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
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Abstract
Heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack, is related to a kind of exterior fixing rack, and in particular to a kind of exterior fixing rack of the minimally invasive identical treatment broken ends of fractured bone of heel string skin multistage detachment.The present invention be easy to cause secondary injury for existing fixed bracket, it can not coincide in vitro and heal a wound, be unable to Micro-operation, defect inconvenient to use, provide one kind prevent from causing secondary heel string broken ends of fractured bone drawing crack damage, it is external coincide heal a wound, Micro-operation, simple and easy exterior fixing rack.Heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to the present invention, component one is the folder combination of flat screw rod adjustable hooks, it is fixed outside the wound of heel string distal end for treating, component two is the combination of adjustable joint joining beam single hook, fixed outside the wound of heel string proximal end for treating, flat screw rod adjustable hooks folder combination and the combination of adjustable joint joining beam single hook pass through the combination connection of joining beam fixture block.Present invention is mainly applied to the outer fixations of heel string skin multistage detachment Minimally Invasive Surgery.
Description
Technical field
The present invention relates to a kind of exterior fixing racks, and in particular to a kind of minimally invasive identical treatment broken ends of fractured bone of heel string skin multistage detachment
Exterior fixing rack.A kind of minimally invasive identical treatment broken ends of fractured bone of heel string skin multistage detachment is concretely related to, multistage detachment is made
Heel string skin wound section, docking healing, removes exterior fixing rack after healing, is also used for the other positions of human body, skin soft tissue
Aponeurosis (aponeuroses) detachment, minimally invasive connection remove exterior fixing rack after healing.
Background technique
Shank heel string skin multistage detachment wound treatment at present, without the outer of heel string skin multistage detachment combined type minimal invasion healing
Fixed bracket.Existing skin of leg multistage detachment wound, treatment method are to use surgical scissors, and heel string broken ends of fractured bone surrounding soft tissue is shelled
Separate out come, then clamp the heel string two sides broken ends of fractured bone with surgical clamp, to centre pull, make broken ends of fractured bone pairing, successively with suture suture with
Tendon, while ligaturing bleeding vessel with ligature, operation causes heel string and heel string surrounding soft tissue to damage in operation, it is postoperative formed with
Tendon and aponeurosis (aponeuroses) adhesion, heel string loss of elasticity.Heel string cannot slide in heel string membrane cavity, therefore the sufficient ankle dorsal flexion of formation is stretched and foot
Ankle-joint Plantar bends obstacle, and sequelae of walking lamely on foot is performed the operation latter week, and suture line of skin is dismountable, but deep layer suture cannot be removed,
Continue to stay in the body, foreign matter chronic stimulation makes heel string anastomotic position generate scar, causes Tendon Adhesion, heel string and surrounding aponeurosis (aponeuroses)
Adhesion is lost physiological function and is looked for for example, famous athletes Liu Xiang, Yao Ming etc. are exactly Tendon achillis with current method surgical incision
The heel string broken ends of fractured bone is sutured to heel string broken ends of fractured bone suture, operation causes new wound to heel string, prevents the heel string of patient from being restored to
Normal physiological function extends or shortens and exits sporting world.
It is therefore desirable to one kind prevent from causing secondary heel string broken ends of fractured bone drawing crack damage, it is external coincide heal a wound, minimally invasive behaviour
Make, simple and easy exterior fixing rack.
Summary of the invention
The present invention be easy to cause secondary injury for existing fixed bracket, can not coincide in vitro heal a wound, cannot
Micro-operation, defect inconvenient to use, providing one kind prevents that secondary heel string broken ends of fractured bone drawing crack damage, external coincide is caused to cure
Wound, Micro-operation, simple and easy exterior fixing rack.
The technical solution of heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to the present invention is as follows:
Heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to the present invention, it include component one,
Component two and the combination of joining beam fixture block, the component one is the folder combination of flat screw rod adjustable hooks, for fixed outside the wound of heel string distal end, institute
Component two is stated as the combination of adjustable joint joining beam single hook, for fixed outside the wound of heel string proximal end, the flat screw rod adjustable hooks press from both sides combination
Pass through the combination connection of joining beam fixture block with the combination of adjustable joint joining beam single hook.
Further: the flat screw rod adjustable hooks folder combination includes jackscrew, two adjustable hooked scarfs, straight flat screw rod, No.1
Hook folder, No. two hooks folder, compensator or trimmer pressure combination and capstan nut are equipped in the middle part of the adjustable hooked scarf and to coincide with straight flat screw rod
Hole, bottom set screw hole, and top is equipped with oblong aperture and screw hole, and the straight flat screw rod sequentially passes through two adjustable hooked scarfs, and described one
Number hook folder and No. two hooks folders are oppositely arranged and are inserted in two adjustable hooked scarfs insides, the spiral shell of the adjustable hooked scarf by oblong aperture
Jackscrew being installed in hole, being pushed up respectively for holding out against adjustable hooked scarf in straight flat screw rod, and by No.1 hook folder and No. two hook folders
Tightly on two adjustable hooked scarfs；One end of the straight flat screw rod is combined across compensator or trimmer pressure, and compensator or trimmer pressure combination is located at two
On the outside of a adjustable hooked scarf, the capstan nut is threaded on straight flat screw rod and is located at compensator or trimmer pressure combination outside, passes through
It screws capstan nut and drives compensator or trimmer pressure combination to push adjustable hooked scarf along straight flat screw motion.
Further: the compensator or trimmer pressure combination includes inner sleeve, instruction screw, outer sleeve and spring, the inner sleeve
Bottom is equipped with the hole identical with straight flat screw rod, and side is equipped with screw hole, and the outer sleeve bottom is equipped with the hole coincideing with inner sleeve, side
Face is equipped with scale slot, and the inner sleeve is covered in one end of straight flat screw rod, and the outer sleeve portions cover outside inner sleeve, the spring
In the hollow cylinder that inner sleeve and outer sleeve are formed, the instruction screw is mounted in scale slot, the instruction screw according to
In the screw hole of the secondary scale slot and inner sleeve for being screwed into outer sleeve.
Further: the No.1 hook folder is that two hooks press from both sides, and No. two hook folders are that three hooks press from both sides.
Further: the capstan nut outside is equipped with groove, surrounding apertured.
Further: the adjustable joint joining beam single hook combination includes jackscrew, two adjustable hooked scarfs, two groups of compensator or trimmer pressures
Combination, screw, No.1 flat screw rod with holes and No. two flat screw rods with holes and two single hook screw hole fixed pin folders, the No.1 are with holes flat
One end of screw rod and No. two flat screw rods with holes is equipped with screw hole, and the screw sequentially passes through the fixed No.1 of screw hole flat screw rod with holes and two
Number flat screw rod with holes, the No.1 flat screw rod with holes and No. two flat screw rods with holes are each passed through two adjustable hooked scarfs；Described two
The oblong aperture of two adjustable hooked scarfs is inserted into one end of a single hook screw hole fixed pin folder respectively, and the other end is set among hook in hook-shaped
Screw hole, the jackscrew is separately fixed in the screw hole of adjustable hooked scarf and single hook screw hole fixed pin folder, for adjustable by two
Hooked scarf is held out against respectively to be distinguished on No.1 flat screw rod with holes and No. two flat screw rods with holes and by two single hook screw hole fixed pin folders
It holds out against on two adjustable hooked scarfs.
Further: the one end that screw hole is set among the No.1 flat screw rod with holes and No. two flat screw rods with holes is L-shape,
And L shape plane sets groove；The jackscrew is interior hexagonal jackscrew, and the screw is soket head cap screw.
Further: the joining beam fixture block combination includes screw, upper clamp plate, two pieces of middle clamp plates, lower clamp plate and spring, described
Upper clamp plate one end is L-shape, and the other end is equipped with groove, and centre sets screw hole, and described lower clamp plate one end is L-shape, and the other end is equipped with groove,
Centre sets screw hole, and one end of two pieces of middle clamp plates is respectively equipped with L shape corresponding with upper clamp plate and lower clamp plate, and the other end is set respectively
There is slot corresponding with upper clamp plate and lower clamp plate, the slot of the upper clamp plate and the slot of middle clamp plate fit like a glove to be formed matches with straight flat screw rod
The slot of conjunction, the slot of the middle clamp plate and the slot of lower clamp plate fit like a glove the slot to be formed with No.1 flat screw rod cooperation with holes, and described two
Block middle clamp plate is oppositely arranged, and centre is concave station shape and is equipped with screw hole, the spring perpendicular to middle clamp plate be set to two pieces of middle clamp plates it
Between, the screw sequentially passes through upper clamp plate screw hole, middle clamp plate screw hole, spring, middle clamp plate screw hole and lower clamp plate screw hole.
Further: being equipped with groove on the inside of two pieces of middle clamp plates.
Further: straight flat screw rod being replaced with into curved flat screw rod, the curved flat screw rod sequentially passes through two be arranged in pairs
It is combined across compensator or trimmer pressure one end of the one end flat round hole of adjustable hooked scarf, the curved flat screw rod.
The beneficial effect of heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to the present invention is:
Heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to the present invention, the hook pressed from both sides with two hooks
Skin is passed through in vivo and hooks Tendon achillis both ends, is bolted adjustable hooked scarf with directly flat in vitro, is turned capstan nut, make
Hook folder hooks heel string both ends to be drawn close to centre, finally makes heel string pairing, and the striking present invention has innovated minimally-invasive treatment after healing,
It completes to restore heel string normal physiological function treatment method.
The present invention devises the minimally invasive connection exterior fixing rack of heel string skin multistage detachment combined type, and the present invention first uses Hand supplementary
Make ankle to post-buckling, shorten heel string broken ends of fractured bone spacing, touches Tendon achillis with hand in vitro, two broken ends of fractured bone are respectively with the one of hook folder
End hook penetrates, and passes through skin, and hook end hooks the heel string broken ends of fractured bone, turns press from both sides combiner or adjustable pass with flat screw rod adjustable hooks in vitro
The capstan nut in joining beam single hook fixed Combination is saved, adjustable hooked scarf is pushed, combines compensator or trimmer pressure, slowly gradually push two hooks
Folder hooks the shortening of Tendon achillis gap, until Tendon achillis end-to-end anastomosis, is designed in this way, slowly docks heel string end-to-end anastomosis,
It prevents firmly fast, causes heel string broken ends of fractured bone drawing crack to damage, if the heel string broken ends of fractured bone is associated with open larger infected wound, carry out simultaneously
Another area skin of shank is connected with subcutaneous tissue aponeurosis (aponeuroses), and method is to be interrupted with steel needle to skin wound, skin histology aponeurosis (aponeuroses)
Steel needle is worn in two sides, is pressed from both sides respectively with two single hook screw hole fixed pins, hooks wound exposed at both sides in extracutaneous steel needle, pulled with right angle
Son tightens the steel needle that fixation is the interior hexagonal top nail fixation on single hook screw hole fixed pin folder, turns capstan nut, pushes buffering pressure
Power combines compensator or trimmer pressure and combines no scale, and the steel needle skin for slowly hooking single hook screw hole fixed pin folder is gradually moved to wound
It is dynamic, it finally reaches to coincide and heals a wound, striking is simple and easy, Micro-operation, and heel string healing is made to restore normal physiological function
Energy.
Detailed description of the invention
Fig. 1 is overall structure diagram of the invention；
Fig. 2 is the structural schematic diagram of component one；
Fig. 3 is the structural schematic diagram of component two；
Fig. 4 is compensator or trimmer pressure combination diagram, wherein (a) is explosive view, (b) is in working condition cross-sectional view；
Fig. 5 is adjustable hooked scarf three-view diagram, wherein (a) is normotopia cross-sectional view, is (b) side position cross-sectional view, (c) is to overlook
Figure；
Fig. 6 is flat straight screw rod three-view diagram, wherein (a) is top view, (b) is bottom view, (c) is side top view；
Fig. 7 is that two hooks press from both sides three-view diagram, wherein (a) is side view, (b) is main view, (c) is top view；
Fig. 8 is that three hooks press from both sides three-view diagram, wherein (a) is side view, (b) is main view, (c) is top view；
Fig. 9 is the connection structure three-view diagram that adjustable hooked scarf and two hooks press from both sides, wherein (a) is side view, (b) is main view,
It (c) is top view；
Figure 10 is inner sleeve three-view diagram, wherein (a) is side view, (b) is main view, (c) is top view；
Figure 11 is outer sleeve three-view diagram, wherein (a) is side view, (b) is main view, (c) is top view；
Figure 12 is the side view of spring；
Figure 13 is compensator or trimmer pressure combination diagram, wherein (a) is side position cross-sectional view, (b) is top view；
Figure 14 is capstan nut schematic diagram, wherein (a) is normotopia cross-sectional view, is (b) side position cross-sectional view；
Figure 15 is flat screw rod schematic diagram with holes, wherein (a) is No.1 flat screw rod main view with holes, (b) with holes flat for No.1
Screw rod side position cross-sectional view, (c) is No.1 flat screw rod top view with holes, (d) is No. two flat screw rod main views with holes, (e) is No. two
Flat screw rod side position cross-sectional view with holes；
Figure 16 is single hook screw hole fixing clamp three-view diagram, wherein (a) is side position cross-sectional view, (b) is main view, (c) is to overlook
Figure；
Figure 17 is that adjustable hooked scarf and single hook screw hole fixed pin press from both sides attachment structure schematic diagram, wherein (a) is side position section view
Figure (b) is main view, (c) is top view；
Figure 18 is one schematic diagram of case
Figure 19 is one Minimally Invasive Surgery start-up operation schematic diagram of case；
Injury of Achilles tendon tone is closed schematic diagram for case one by Figure 20；
Figure 21 is the structural schematic diagram of one component of case, one connecting component two；
Figure 22 is the schematic diagram that case one is used alone that component one treats heel string；
Figure 23 is the schematic diagram that case one is used alone that component two treats heel string；
Figure 24 is that flat straight screw rod is replaced with the schematic diagram that component one is used alone after flat skew-swept airfoil and treats heel string by case one；
Figure 25 is schematic diagram when wound coincide by one liang of hook folder of case, three hooks folder or single hook screw hole fixed pin folder；
Figure 26 is the schematic diagram after wound coincide by one liang of hook folder of case, three hooks folder or single hook screw hole fixed pin folder.
In figure, 1 is interior hexagonal jackscrew, and 2 be adjustable hooked scarf, and 3 press from both sides for straight (curved) flat screw rod, 4 for two hooks, and 5 press from both sides for three hooks,
6 be inner sleeve, and 7 be instruction screw, and 8 be outer sleeve, and 9 be spring, and 10 be capstan nut, and 11 be soket head cap screw, and 12 be joining beam
Fixture block combination, 13 be No.1 flat screw rod with holes, and 14 be No. two flat screw rods with holes, and 15 press from both sides for single hook screw hole fixed pin, and 16 be upper folder
Plate, 17 be Intermediate Gray tooth plate, and 18 be lower clamp plate.
Specific embodiment
Below with reference to embodiment, the following further describes the technical solution of the present invention, and however, it is not limited to this, all right
Technical solution of the present invention is modified or replaced equivalently, and without departing from the spirit and scope of the technical solution of the present invention, should all be contained
Lid is within the protection scope of the present invention.
Embodiment 1
Illustrate the present embodiment in conjunction with Fig. 1-Figure 17, in the present embodiment, heel string skin multistage detachment according to the present invention
Combined type minimally-invasive treatment exterior fixing rack, it includes component one, component two and joining beam fixture block combination 12, and the component one is flat spiral shell
The folder combination of bar adjustable hooks, for fixed outside the wound of heel string distal end, the component two is that adjustable joint joining beam single hook combines, be used for
Fixed outside the wound of tendon proximal end, the flat screw rod adjustable hooks folder combination and the combination of adjustable joint joining beam single hook are combined by joining beam fixture block
12 connections.
More specifically: the flat screw rod adjustable hooks folder combination include 1, two adjustable hooked scarf 2 of jackscrew, straight flat screw rod 3,
No.1 hook presss from both sides 4, No. two hook folders 5, compensator or trimmer pressure combination and capstan nut 10, is equipped in the middle part of the adjustable hooked scarf 2 and straight flat spiral shell
The identical hole of bar 3, bottom set screw hole, and top is equipped with oblong aperture and screw hole, and the straight flat screw rod 3 sequentially passes through two adjustable hooks
Block 2, the No.1 hook folder 4 and No. two hook folders 5 are oppositely arranged and are inserted in two adjustable 2 insides of hooked scarf by oblong aperture, described
Jackscrew 1 is installed, for holding out against adjustable hooked scarf 2 in straight flat screw rod 3, and by No.1 hook in the screw hole of adjustable hooked scarf 2
Folder 4 and No. two hook folders 5 are held out against respectively on two adjustable hooked scarfs 2；One end of the straight flat screw rod 3 passes through compensator or trimmer pressure group
It closes, and compensator or trimmer pressure combination is located at two adjustable 2 outsides of hooked scarf, the capstan nut 10 is threaded on straight flat screw rod 3
And it is located at compensator or trimmer pressure combination outside, drive compensator or trimmer pressure combination to push adjustable hooked scarf 2 by screwing capstan nut 10
It is moved along straight flat screw rod 3.
More specifically: the compensator or trimmer pressure combination includes inner sleeve 6, indicates screw 7, outer sleeve 8 and spring 9, described
6 bottom of inner sleeve is equipped with the hole identical with straight flat screw rod 3, and side is equipped with screw hole, and 8 bottom of outer sleeve is equipped with and inner sleeve 6
Identical hole, side are equipped with scale slot, 6 sets of inner sleeve one end in straight flat screw rod 3, including 8 part of outer sleeve covers
Outside sleeve 6, the spring 9 is set in the hollow cylinder that inner sleeve 6 and outer sleeve 8 are formed, and the instruction screw 7 is mounted on scale
In slot, the instruction screw 7 is sequentially screwed into the scale slot of outer sleeve 8 and the screw hole of inner sleeve 6.
More specifically: the No.1 hook folder 4 presss from both sides for two hooks, and No. two hook folders 5 press from both sides for three hooks.
More specifically: 10 outside of capstan nut is equipped with groove, surrounding apertured.
More specifically: the adjustable joint joining beam single hook combination includes 2, two groups of bufferings of jackscrew 1, two adjustable hooked scarf
Force combination, screw 11, No.1 flat screw rod 13 with holes and No. two flat screw rods 14 with holes and two single hook screw hole fixed pin folders 15, institute
The one end for stating No.1 flat screw rod 13 with holes and No. two flat screw rods 14 with holes is equipped with screw hole, and the screw 11 sequentially passes through screw hole and fixes
No.1 flat screw rod 13 with holes and No. two flat screw rods 14 with holes, the No.1 flat screw rod 13 with holes and No. two flat screw rods 14 with holes are distinguished
Across two adjustable hooked scarfs 2；Two adjustable hooked scarfs 2 are inserted into one end of described two single hook screw hole fixed pin folders 15 respectively
Oblong aperture, the other end set screw hole, the jackscrew 1 is separately fixed at adjustable hooked scarf 2 and single hook screw hole is fixed in hook-shaped among hook
In the screw hole of needle folder 15, for being held out against two adjustable hooked scarfs 2 respectively in No.1 flat screw rod 13 with holes and No. two flat spiral shells with holes
It is held out against respectively on bar 14 and by two single hook screw hole fixed pin folders 15 on two adjustable hooked scarfs 2.
More specifically: the one end that screw hole is set among the No.1 flat screw rod 13 with holes and No. two flat screw rods 14 with holes is equal
It is L-shape, and L shape plane sets groove；The jackscrew 1 is interior hexagonal jackscrew, and the screw 11 is soket head cap screw 11.
More specifically: the joining beam fixture block combination 12 includes screw 11, upper clamp plate 16, two pieces of middle clamp plates 17, lower clamp plate
18 and spring 9, described 16 one end of upper clamp plate is L-shape, and the other end is equipped with groove, and centre sets screw hole, and described 18 one end of lower clamp plate is in L
Shape, the other end are equipped with groove, and centre sets screw hole, and one end of two pieces of middle clamp plates 17 is respectively equipped with and upper clamp plate and lower clamp plate pair
The L shape answered, the other end are respectively equipped with slot corresponding with upper clamp plate and lower clamp plate, the slot of the upper clamp plate 16 and the slot of middle clamp plate 17
Fit like a glove the slot to be formed and be cooperated with straight flat screw rod 3, the slot of the middle clamp plate 17 and the slot of lower clamp plate 18 fit like a glove to be formed with
The slot that No.1 flat screw rod 13 with holes cooperates, two pieces of middle clamp plates 17 are oppositely arranged, and centre is concave station shape and is equipped with screw hole, described
Spring 9 is set between two pieces of middle clamp plates 17 perpendicular to middle clamp plate, and the screw 11 sequentially passes through 16 screw hole of upper clamp plate, middle clamp plate 17
Screw hole, 18 screw hole of spring 9,17 screw hole of middle clamp plate and lower clamp plate.
More specifically: being equipped with groove on the inside of two pieces of middle clamp plates 17.
More specifically: straight flat screw rod 3 being replaced with into curved flat screw rod, the curved flat screw rod sequentially passes through two be arranged in pairs
It is combined across compensator or trimmer pressure one end of the one end flat round hole of a adjustable hooked scarf 2, the curved flat screw rod.
The flat screw rod adjustable hooks folder combination includes 1, two adjustable hooked scarf 2 of interior hexagonal jackscrew, straight flat screw rod 3, two hooks
4, three hooks folder 5, compensator or trimmer pressure combination and capstan nut 10 are pressed from both sides, the straight flat screw rod 3 sequentially passes through the flat of two adjustable hooked scarfs 2
The length of circular hole, the two hooks folder 4 and three hooks folder 5 is determining according to the length of heel string dialysis and wound, the adjustable hooked scarf 2
Screw hole installs interior hexagonal jackscrew 1, for holding out against adjustable hooked scarf 2 in straight flat screw rod 3 and two hooks folder 4 and three hooks being pressed from both sides 5 points
It does not hold out against on two adjustable hooked scarfs 2, one end of the straight flat screw rod 3 is combined across compensator or trimmer pressure, and compensator or trimmer pressure combines
Positioned at two adjustable 2 outsides of hooked scarf, the hole identical with straight flat screw rod 3, the spiral shell with holes are equipped among the capstan nut 10
Female 10 sets are adjusted on straight flat screw rod 3 on straight flat screw rod 3 and on the outside of compensator or trimmer pressure combination, by twisting capstan nut 10
Compensator or trimmer pressure combination pushes adjustable hooked scarf 2；The adjustable hooked scarf 2 is in pane, and one end sets flat round hole and straight (curved) is flat
The insertion connection of screw rod 3, adjustable 2 bottom end of hooked scarf couple with interior hexagonal jackscrew 1, and the other end sets oblong aperture and two hooks folder 4 or three
The long square piece in one end of hook folder 5 is inserted into, and hexagonal jackscrew 1 tightens fixation in the screw hole set with adjustable 2 other side of hooked scarf, straight flat screw rod
The hole that 3 one end is combined with compensator or trimmer pressure penetrates connection, and compensator or trimmer pressure combination indicates screw 7 by inner sleeve 6, outer sleeve 8,
Spring 9 forms, and connection is screwed into capstan nut 10 and pushes compensator or trimmer pressure combination, slowly acts on hook folder, makes two broken ends of fractured bone of heel string
Slowly docking coincide, and shows and control identical speed from 8 slot two sides scale label of outer sleeve, and capstan nut 10 is in oblate shape, in
Between set screw hole, outside sets groove, surrounding apertured.
The compensator or trimmer pressure combination includes inner sleeve 6, instruction screw 7, outer sleeve 8 and spring 9, and the inner sleeve 6 is in cylinder
Shape, bottom are equipped with the oblate screw hole identical with straight flat screw rod 3, and side sets screw hole, and 8 bottom of outer sleeve is equipped with and inner sleeve 6
Identical hole, side are equipped with scale slot, and 6 sets of inner sleeve one end in straight flat screw rod 3,8 sets of the outer sleeve is in inner sleeve 6
Outside, the spring 9 is set in the hollow cylinder that inner sleeve 6 and outer sleeve 8 are formed, and the instruction screw 7 is mounted in scale slot,
Scale slot two sides are marked with ruler millimeter scale number respectively, and the instruction screw 7 is sequentially screwed into the scale slot of outer sleeve 8 and interior
In the screw hole of sleeve 6.
The adjustable joint joining beam single hook combination includes 2, two groups of compensator or trimmer pressures of the adjustable hooked scarf of interior hexagonal jackscrew 1, two
Combination, soket head cap screw 11, No.1 flat screw rod 13 with holes and No. two flat screw rods 14 with holes and two single hook screw hole fixed pin folders 15,
The flat screw shaped of one end of the No.1 flat screw rod 13 and No. two flat screw rods 14 with holes with holes, the other end are L-shape and intermediate
If screw hole, L shape plane sets groove, and the No.1 flat screw rod 13 with holes and No. two flat screw rods 14 with holes, which are each passed through, to be arranged in pairs
The flat round hole of two adjustable 2 one ends of hooked scarf, the soket head cap screw 11 sequentially pass through No.1 flat screw rod 13 with holes and No. two
The screw hole of flat screw rod 14 with holes, the single hook screw hole fixed pin folder 15 are in Z-shaped, and one end is in flat strip, and the other end is in hook
Shape, sets screw hole among hook, described two single hook screw hole fixed pins folders 15 in the one end of flat sheet be inserted into respectively two it is adjustable
Join the flat round hole of hooked scarf 2, the interior hexagonal jackscrew 1 is separately fixed at the spiral shell of adjustable hooked scarf 2 and single hook screw hole fixed pin folder 15
In hole.
The joining beam fixture block combination 12 includes soket head cap screw 11,16, two pieces of middle clamp plates 17 of upper clamp plate, lower clamp plate 18 and bullet
Spring 9, the upper clamp plate 16 are in long deltiod, and end is L-shape, and the other end sets slot, and centre sets screw hole, and the lower clamp plate 18 is in rectangular
Plate, one end is L-shape, other end groove-like, and centre sets screw hole, and two pieces of middle clamp plates 17 are oppositely arranged, two pieces of middle clamp plates 17
Inside tooth of synchronous belt middle concave mesa-shaped and is equipped with screw hole in rectangular flat-shaped, and one end of two pieces of middle clamp plates 17 is respectively equipped with and upper clamp plate
L shape corresponding with lower clamp plate, the other end are respectively equipped with slot corresponding with upper clamp plate and lower clamp plate, and the slot of the upper clamp plate 16 is in
The slot of clamping plate 17 fits like a glove to be formed and the oblate slot that directly flat screw rod 3 cooperates, the slot of the middle clamp plate 17 and the slot of lower clamp plate 18
Fit like a glove the oblate slot to be formed and be cooperated with No.1 flat screw rod 13 with holes, and the spring 9 is set in two pieces perpendicular to middle clamp plate and presss from both sides
Between plate 17, the soket head cap screw 11 sequentially passes through 16 screw hole of upper clamp plate, 17 screw hole of middle clamp plate, spring 9,17 screw hole of middle clamp plate
With 18 screw hole of lower clamp plate.
12 connection parts two (combination of adjustable joint joining beam single hook) are combined with joining beam fixture block, wherein part includes: No.1 band
The flat screw rod 13 in hole, No. two flat screw rods 14 with holes, single hook screw hole fixed pin folder 15, the No.1 flat screw rod 13 with holes and No. two bands
The one end of the flat screw rod 14 in hole is in flat screw shaped, and the other end is L-shape, and plane sets groove shape, and intermediate apertured uses soket head cap screw
11 pass through the screw holes connections set among one end L plane of hole and No. two flat screw rods 14 with holes, No.1 flat screw rod 13 with holes and No. two
The flat screw rod end in both ends that flat screw rod 14 with holes couples, penetrates with one end flat round hole of adjustable hooked scarf 2 couple respectively, adjustable
The other end oblong aperture of hooked scarf 2 couples with the one end flat strip insertion of single hook screw hole fixed pin folder 15, adjustable hook
The side of block 2 sets screw hole and couples with interior hexagonal jackscrew 1, from the fixed single hook screw hole fixed pin folder 15 in side, single hook screw hole fixed pin
Folder 15 is in Z-shaped, and one end is in folk prescription strip, and the other end sets screw hole, screw hole couples with interior hexagonal jackscrew 1 in hook-shaped among hook
Building block two；With 12 difference connection parts one of joining beam fixture block combination and component two, it is connected and fixed with soket head cap screw 11, joining beam
Upper clamp plate 16 is in prolate side's shape in fixture block combination 12, and one end is L-shape, and the other end sets channel-shaped, is coupled with straight flat screw rod 3, intermediate
Apertured is passed through with soket head cap screw 11, and the interstitial hole of connection soket head cap screw 11 and middle clamp plate 17 passes through the one side band of middle clamp plate 17
Groove shape sets slot, two pieces of sandwich springs 9, soket head cap screw 1 in long quad flat, one end arcuation, one end concave station shape, the other end
Top be screwed into the intermediate screw hole of lower clamp plate 18, lower clamp plate 18 be in rectangular plate, the convex L shape of one end arcuation, other end groove-like
12 are combined with No.1 flat screw rod 13 connection composition joining beam fixture block with holes, collectively constitutes that heel string skin multistage detachment combined type is minimally invasive to be controlled
Treat exterior fixing rack.
Embodiment 2
Application of the invention:
Illustrate the present embodiment in conjunction with Figure 18-Figure 21, in the present embodiment, heel string skin multistage detachment group of the present invention
Box-like minimally-invasive treatment exterior fixing rack is applied to case one, and simultaneously skin heel string aponeurosis (aponeuroses) is open outer for open shank Tendon achillis wound
Hurt (wound at two), 1-1 is heel string distal end wound, and 1-2 is heel string proximal end wound, and 1-3 is Tendon achillis distal end, and 1-4 is heel string
The broken ends of fractured bone, 1-5 are the heel string proximal end broken ends of fractured bone, and 1-6 is the distal end broken ends of fractured bone, and 1-7 is that proximal end detachment heel string and aponeurosis (aponeuroses) retract to wound, and 1-8 is
The contracting of wound two sides skin skin, 1-9 is subcutaneous tissue.
External fixation method: external fixation, heel string distal end wound 1 hold tweezers with hand 1 and clamp heel string distal end wound respectively
The contracting of mouthful two sides 1-1 heel string and heel string proximal end broken ends of fractured bone 1-5 inside wound, pull out with wound skin edge in same plane, with can
Two hooks for adjusting connection hooked scarf 2 to couple press from both sides 4 front hook ends and pass through skin, continue across heel string aponeurosis (aponeuroses), hook hook folder end, with same method standard
Standby work is pulled out to and wound skin edge using three hooks folder 5 with 1 tweezers of hand the heel string aponeurosis (aponeuroses) broken ends of fractured bone to contract inside together
Same plane, the direction that preparation is referred to by arrow press from both sides 5 with three hooks, with same method pass through skin be then passed through heel string aponeurosis (aponeuroses) by
Layer hooks, and treats heel string proximal end open wound, because wound is longer, can with the tweezers of hand 2 from wound subcutaneously being reduced to wound two sides
Proximally and distally heel string and aponeurosis (aponeuroses) pull out the inside detachment, make heel string and the aponeurosis (aponeuroses) broken ends of fractured bone and skin edge in same plane, use steel needle
Subcutaneous tissue 1-9 heel string aponeurosis (aponeuroses) interruption is penetrated from skin, skin subcutaneous tissue 1-9 heel string is linked togather with aponeurosis (aponeuroses), is fixed on
Same plane hooks the steel needle for exposing skin surface with steel needle interruption, it is also possible to which single hook screw hole fixed pin folder 15 hooks, so
Afterwards with the fixed steel needle of interior hexagonal top nail 11, twists or made with holes rotationally clockwise with straight-bar insertion capstan nut 10 respectively
Nut 10 pushes compensator or trimmer pressure to combine on flat screw rod, there is calibration component one, there is scale on flat screw rod, on the flat screw rod of component one
There is 1-8cm scale bar, the purpose being designed in this way is that the control heel string broken ends of fractured bone closes up to centre, and slow speed of coincideing prevents heel string tendon
Film soft tissue injury.It clamps the flat screw rod end of component one respectively with joining beam fixture block combination 12, while being pressed from both sides with joining beam fixture block combination 12
Live in component two, the flat screw rod of the other end form heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack.
Embodiment 3
Illustrate the present embodiment in conjunction with Figure 22, in the present embodiment, heel string skin multistage detachment combined type of the present invention
Minimally-invasive treatment exterior fixing rack is applied to case 2, and the present invention is suitable for Tendon achillis wound treatment heel string skin subcutaneous tissue at one
Aponeurosis (aponeuroses) coincide in same plane twists the two hooks folder 4 and three hooks that capstan nut 10 pushes adjustable hooked scarf 2 to couple using component one
Folder 5 makes the heel string skin subcutaneous tissue aponeurosis (aponeuroses) hooked to drawing close among wound, gradually coincide and cure.
Embodiment 4
Illustrate the present embodiment in conjunction with Figure 23, in the present embodiment, heel string skin multistage detachment combined type of the present invention
Minimally-invasive treatment exterior fixing rack is applied to case 3, the straight flat screw rod 3 in component one can also be changed into curved flat screw rod, other component
One part does not change.
Embodiment 5
Illustrate the present embodiment in conjunction with Figure 24, in the present embodiment, heel string skin multistage detachment combined type of the present invention
Minimally-invasive treatment exterior fixing rack is applied to case 4, is suitable for wound infection, postoperative to need to be convenient for changing dressing or wound circumference group
It knits convex or recessed injustice to coincide, be combined using adjustable joint joining beam single hook, respectively with the hook of single hook screw hole fixed pin folder 15, hook wound
The outer steel needle of mouth two sides protrusion skin, tightens interior hexagonal jackscrew 1, then fixed steel needle is twisted two sides capstan nut 10, successively pushed adjustable
Join hooked scarf 2 and single hook screw hole fixed pin folder 15, pushes the heel string skin, subcutaneous tissue, aponeurosis (aponeuroses) of steel needle connection in same plane two
Side prepares to close up layer-by-layer tissue, and recovery reaches each layer tissue physiology anatomical reduction healing, and it is direct that interpretation is broken each layer tissue
It coincide, without scar in wound tissue after healing, heel string telescopic slide in stndon sheath aponeurosis (aponeuroses) is without hindrance, reaches the original physiology of heel string
Function, heel string healing followed by tendinous tissue structure are same.
Heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack belongs to heel string External fixation technique with the apparatus neck
Domain, the present invention exist to solve existing treatment heel string, and the heel string broken ends of fractured bone is sewed up a wound skin with suture, aponeurosis (aponeuroses) ligature
The blood vessel of bleeding is ligatured simultaneously, and surgical procedure causes to damage to local organization, and scar is formed, heel string and surrounding tissue adhesion heel string
Loss of elasticity, therefore cause instep to stretch Plantar and bend dysfunction cyllopodia, and the technology of the present invention contracts detachment inside heel string, aponeurosis (aponeuroses) is drawn
It is aligned in same plane with wound two sides skin edge out, passes through skin with the hook piercing of the application immediately, subcutaneous tissue heel string,
Aponeurosis (aponeuroses) hooks striking after identical anatomical reduction healing, and minimally invasive dismounting operation is simple and easy, pays attention to end-to-end anastomosis to Sutureless
Foreign matter striking has restored heel string normal physiological function, and by component one, (flat screw rod adjustable hooks folder combination joining beam presss from both sides the application
Block), connection parts two (combination of adjustable joint joining beam single hook), part includes adjustable hooked scarf, flat screw rod, two hooked scarfs, three hooks folder,
Compensator or trimmer pressure combination, flat bolt with holes, the band flat bolt of screw hole, single hook screw hole fixed pin folder composition, the application have started minimally invasive life
It manages Anatomical orientation heel string to cure, has restored the normal stretching and beading physiological function of heel string.
Claims (10)
1. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack, which is characterized in that it includes component one, component two
(12) are combined with joining beam fixture block, the component one is the folder combination of flat screw rod adjustable hooks, described for fixed outside the wound of heel string distal end
Component two is the combination of adjustable joint joining beam single hook, for fixed outside the wound of heel string proximal end, the flat screw rod adjustable hooks folder combination and
The combination of adjustable joint joining beam single hook passes through joining beam fixture block combination (12) connection.
2. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to claim 1, which is characterized in that
The flat screw rod adjustable hooks folder combination include jackscrew (1), two adjustable hooked scarfs (2), straight flat screw rod (3), No.1 hook folder (4),
No. two hook folders (5), compensator or trimmer pressure combination and capstan nut (10), adjustable hooked scarf (2) middle part is equipped with and straight flat screw rod (3)
Identical hole, bottom set screw hole, and top is equipped with oblong aperture and screw hole, and the straight flat screw rod (3) sequentially passes through two adjustable hooks
Block (2), the No.1 hook folder (4) and No. two hook folders (5) are oppositely arranged and are inserted in two adjustable hooked scarfs (2) by oblong aperture
Side, the screw hole of the adjustable hooked scarf (2) is interior to install jackscrew (1), for holding out against adjustable hooked scarf (2) in straight flat screw rod (3)
On, and No.1 hook folder (4) and No. two hooks are pressed from both sides into (5) and held out against respectively on two adjustable hooked scarfs (2)；The straight flat screw rod
(3) one end is combined across compensator or trimmer pressure, and compensator or trimmer pressure combination is located on the outside of two adjustable hooked scarfs (2), the spiral shell with holes
Female (10) are threaded on straight flat screw rod (3) and are located at compensator or trimmer pressure combination outside, are driven by screwing capstan nut (10)
Compensator or trimmer pressure combination is to push adjustable hooked scarf (2) to move along straight flat screw rod (3).
3. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to claim 2, which is characterized in that
The compensator or trimmer pressure combination includes inner sleeve (6), instruction screw (7), outer sleeve (8) and spring (9), inner sleeve (6) bottom
Portion is equipped with the hole identical with straight flat screw rod (3), and side is equipped with screw hole, and outer sleeve (8) bottom is equipped with to coincide with inner sleeve (6)
Hole, side is equipped with scale slot, and the inner sleeve (6) covers in one end of straight flat screw rod (3), and the outer sleeve (8) partially covers
Outside, the spring (9) is set in the hollow cylinder of inner sleeve (6) and outer sleeve (8) formation inner sleeve (6), the instruction screw
(7) it is mounted in scale slot, instruction screw (7) is sequentially screwed into the screw hole of the scale slot and inner sleeve (6) of outer sleeve (8)
It is interior.
4. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to claim 2, which is characterized in that
The No.1 hook folder (4) is two hooks folder, and No. two hook folders (5) are three hooks folder.
5. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to claim 2, which is characterized in that
Capstan nut (10) outside is equipped with groove, surrounding apertured.
6. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to claim 5, which is characterized in that
The adjustable joint joining beam single hook combination includes jackscrew (1), two adjustable hooked scarfs (2), two groups of compensator or trimmer pressure combinations, screws
(11), No.1 flat screw rod (13) with holes and No. two flat screw rods (14) with holes and two single hook screw hole fixed pin folders (15), described one
One end of number flat screw rod (13) with holes and No. two flat screw rods (14) with holes is equipped with screw hole, and it is solid that the screw (11) sequentially passes through screw hole
Determine No.1 flat screw rod (13) with holes and No. two flat screw rods (14) with holes, the No.1 flat screw rod (13) with holes and No. two flat spiral shells with holes
Bar (14) is each passed through two adjustable hooked scarfs (2)；One end of described two single hook screw hole fixed pin folders (15) is inserted into two respectively
The oblong aperture of a adjustable hooked scarf (2), the other end set screw hole, the jackscrew (1) is separately fixed at adjustable in hook-shaped among hook
In the screw hole of hooked scarf (2) and single hook screw hole fixed pin folder (15), for being held out against two adjustable hooked scarfs (2) respectively in No.1 band
It is held out against respectively on the flat screw rod in hole (13) and No. two flat screw rods (14) with holes and by two single hook screw hole fixed pin folders (15) in two
On a adjustable hooked scarf (2).
7. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to claim 6, which is characterized in that
The one end that screw hole is set among the No.1 flat screw rod (13) with holes and No. two flat screw rods (14) with holes is L-shape, and L shape plane
If groove；The jackscrew (1) is interior hexagonal jackscrew, and the screw (11) is soket head cap screw (11).
8. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to claim 6, which is characterized in that
The joining beam fixture block combination (12) includes screw (11), upper clamp plate (16), two pieces of middle clamp plates (17), lower clamp plate (18) and spring
(9), described upper clamp plate (16) one end is L-shape, and the other end is equipped with groove, and centre sets screw hole, and described lower clamp plate (18) one end is in L
Shape, the other end are equipped with groove, and centre sets screw hole, and one end of two pieces of middle clamp plates (17) is respectively equipped with and upper clamp plate and lower clamp plate
Corresponding L shape, the other end are respectively equipped with slot corresponding with upper clamp plate and lower clamp plate, the slot and middle clamp plate of the upper clamp plate (16)
(17) slot fits like a glove to be formed and the slot that directly flat screw rod (3) cooperates, the slot of the middle clamp plate (17) and the slot of lower clamp plate (18)
Fit like a glove the slot to be formed with No.1 flat screw rod (13) cooperation with holes, and two pieces of middle clamp plates (17) are oppositely arranged, and centre is recessed
Mesa-shaped and it is equipped with screw hole, the spring (9) is set between two pieces of middle clamp plates (17) perpendicular to middle clamp plate, and the screw (11) is successively
Across upper clamp plate (16) screw hole, middle clamp plate (17) screw hole, spring (9), middle clamp plate (17) screw hole and lower clamp plate (18) screw hole.
9. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to claim 8, which is characterized in that
Groove is equipped on the inside of two pieces of middle clamp plates (17).
10. heel string skin multistage detachment combined type minimally-invasive treatment exterior fixing rack according to claim 8, feature exist
In the straight flat screw rod (3) of general replace with curved flat screw rod, and the curved flat screw rod sequentially passes through two adjustable hooked scarfs being arranged in pairs
(2) it is combined across compensator or trimmer pressure one end of one end flat round hole, the curved flat screw rod.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811100079.XA CN109288552B (en) | 2018-09-20 | 2018-09-20 | Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811100079.XA CN109288552B (en) | 2018-09-20 | 2018-09-20 | Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support |
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| CN109288552A true CN109288552A (en) | 2019-02-01 |
| CN109288552B CN109288552B (en) | 2020-05-29 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112043329A (en) * | 2020-08-28 | 2020-12-08 | 北京市春立正达医疗器械股份有限公司 | Achilles tendon suture positioner |
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|---|---|
| CN109288552B (en) | 2020-05-29 |
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