CN101642384A - Clavicula hook inner lock catch guide apparatus - Google Patents
Clavicula hook inner lock catch guide apparatus Download PDFInfo
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- CN101642384A CN101642384A CN200910034776A CN200910034776A CN101642384A CN 101642384 A CN101642384 A CN 101642384A CN 200910034776 A CN200910034776 A CN 200910034776A CN 200910034776 A CN200910034776 A CN 200910034776A CN 101642384 A CN101642384 A CN 101642384A
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- clavicle
- guide holder
- inner lock
- drill bushing
- lock buckle
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Abstract
The invention discloses a clavicula hook inner lock catch guide apparatus which comprises a handle (1), a handle rod (2), a guide seat (3), a drill sleeve (4) and a Kirschner wire guide sleeve (5), wherein the handle (1), the handle rod (2) and the guide seat (3) are sequentially connected by pins; wherein the handle rod (2) forms an arch, and the guide seat (3) forms a hook shape; one contact endof the guide seat (3) and a clavicula is provided with a hole (31); the drill sleeve (4) is installed on the guide seat (3) by the hole (31); the lower end of the drill sleeve (4) is opposite to an opening of the hook end on the guide seat (3) contacting with a coracoid, and the inner part of the hook end on the guide seat (3) contacting with the coracoid is provided with a groove (32); and the Kirschner wire guide sleeve (5) is sleeved in the drill sleeve (4). The clavicula hook inner lock catch guide apparatus has reasonable structure design, convenient use, and can well assist to a coracoclavicular ligament reestablishing operation of a human body, and the operation belongs to a minimal-invasive operation with high success ratio.
Description
Technical field
The present invention relates to a kind of medical treatment device, be specifically related to a kind of clavicle hook inner lock buckle guider that is used to rebuild the human body coracoclavicular ligament.
Background technology
The dislocation of shoulder lock is the commonly encountered diseases in the orthopaedics, accounts for 12% of shoulder damage, according to the symptom weight, is divided into following six kinds of state of an illness: the I type: the acromioclavicular ligament sprain, and coracoclavicular ligament is complete, and it is stable that acromioclavicular joint keeps; II type: acromioclavicular ligament fracture, coracoclavicular ligament sprain, subluxation of acromioclavicular joint; III level: acromioclavicular joint complete dislocation.Shoulder lock, coracoclavicular ligament rupture entirely, obviously deformity; IV type: acromioclavicular joint complete dislocation.The same, the clavicle far-end of dislocation penetrates and is fixed in the trapezius muscle intramuscular.Deformity is not obvious; V-type: acromioclavicular joint complete dislocation.Shoulder lock, coracoclavicular ligament rupture entirely, and the fracture of clavicle near-end costoclavicular ligament is arranged again simultaneously; VI type: acromioclavicular joint complete dislocation.Shoulder lock, coracoclavicular ligament rupture entirely.When dislocation shoulder lock, patient's pain increased the weight of gradually, and upper limb can not be sagging, abduction or go up pain when lifting, and pain increases the weight of when carrying thing, has a strong impact on people's live and work.Adopt operation to rebuild coracoclavicular ligament so that the dislocation of crop lock is main, for acute injury, simply be that the winding of open reduction Kirschner wire insertion steel wire adds press fit, sometimes processus coracoideus is blocked screw fixings on clavicle, make on pectoralis minor and the coracobrachialis stop and move, drop-down clavicle also has the acromial end that cuts off the shoulder coracoid ligament to keep the stable of joint, on turn over and be fixed on the clavicle, to replace coracoclavicular ligament.Modus operandi is a lot, majority at first also needs to do the clavicle distal resection, adopt various materials to rebuild coracoclavicular ligaments then, these materials mainly contain: thick line, belt, coracoacromial ligament and several from body tendon (as semitendinosus m.) etc., also the someone utilizes screw that clavicle is fixed on the processus coracoideus.Existing operation method for reconstructing kind is more, but has following shortcoming: (1) implant has more complication, and the complication of implant comprises infection, tissue rejection and fracture; (2) operative failure rate height, the implant insufficient strength can not fine recovery shoulder normal function; (3) existing operation method adopts mostly and cuts repair mode, can stay bigger scar to patient mostly after recovering, and influences people's life.
Summary of the invention
Goal of the invention: the objective of the invention is in order to solve the deficiencies in the prior art, a kind of clavicle hook inner lock buckle guider that is used to rebuild the human body coracoclavicular ligament is provided,
Technical scheme: in order to realize above purpose, clavicle hook inner lock buckle guider of the present invention comprises handle, handlebar, guide holder, drill bushing and Kirschner wire guide pin bushing, described handle, handlebar is connected by pin successively with guide holder, wherein handlebar is arc, guide holder is crotch shape, an end that contacts with clavicle at guide holder has the hole, drill bushing is installed on the guide holder by the hole, the crotch end that contacts with processus coracoideus on the lower end of drill bushing and the guide holder is relative, and the crotch end inside that contacts with processus coracoideus on guide holder has groove, and described Kirschner wire guide pin bushing is sleeved on drill bushing inside.
Clavicle hook inner lock buckle guider of the present invention, described drill bushing is screw-like, and an end is big, and the drill bushing periphery has fine thread, and the drill bushing other end is a zigzag, as preferably being 8 tooth rims to distribution.Drill bushing has sharp sawteeth shape one end and periphery fine thread, can conveniently prop up clavicle after stressed and carry out the back operation then, and the internal diameter of drill bushing is 4.5 to 4.525 millimeters.Awl can pass clavicle by drill bushing smoothly.
Clavicle hook inner lock buckle guider of the present invention, the internal diameter that wherein is installed in the Kirschner wire guide pin bushing of drill bushing inside is generally 2 millimeters, after the Kirschner wire guide pin bushing is installed in drill bushing inside, because the position of the crotch end opening that contacts with processus coracoideus on the position that the end that contacts with clavicle of guide holder is offered the hole and the guide holder is on same straight line, Kirschner wire can pass clavicle and processus coracoideus along the Kirschner wire guide pin bushing, and enter in the crotch end interior groove that contacts with processus coracoideus on the guide holder, and the crotch end opening is horn-like, increase lifting surface area like this, can well prop up processus coracoideus, stability strengthens in the experimentation.
Clavicle hook inner lock buckle guider of the present invention, described handle outer is a shiny surface, inside is and suitable wavy of human finger that comfort level is good in the use, exerts all one's strength well.
Clavicle hook inner lock buckle guider of the present invention, described handle is made by lamination phenolic aldehyde bar material, and handlebar, guide holder, drill bushing and Kirschner wire guide pin bushing are made by the 17-4PH material.The 17-4PH alloy material is precipitation, sclerosis, the martensitic stain less steel that is made of copper, niobium/columbium.This material has high strength and high rigidity (up to 300﹠amp; Ordm; C/572﹠amp; Ordm; F) and anticorrosive strong characteristic, after Overheating Treatment, mechanical performance of products is more perfect, can reach the compressive resistance up to 1100-1300mpa (160-190ksi).And above-described guide holder, drill bushing and Kirschner wire guide pin bushing all pass through deburring and go processed such as chamfering, guarantee the safety of operation process.
During practical operation, the handle of hand-held clavicle hook inner lock buckle guider, then the drill bushing on the guide holder is aimed at patient's clavicle, make the horn-like opening of crotch end on the guide holder prop up patient's processus coracoideus, downward rotary drill cover, make drill bushing contact patient's clavicle and make it to reset, then the Kirschner wire guide pin bushing is put into drill bushing inside, Kirschner wire is passed patient's clavicle and processus coracoideus along the Kirschner wire guide pin bushing, take out the Kirschner wire guide pin bushing then, drill through patient's clavicle and processus coracoideus along Kirschner wire with hollow awl, take out Kirschner wire, the opening of guiding steel wire by the groove of the crotch end inside that contacts with processus coracoideus on core drill and the guide holder penetrated removal clavicle hook inner lock buckle guider, with guiding steel wire band the stumbling of steel plate of stumbling pulled out by processus coracoideus and clavicle, its steel plate is horizontal below processus coracoideus, and is on the clavicle opening part is stumbled, fixing in stumbling with the steel plate insertion again, so just just rebuild the human body coracoclavicular ligament between processus coracoideus and clavicle, patient can recover motion.
Beneficial effect: clavicle hook inner lock buckle guider provided by the invention compared with prior art has the following advantages:
1, clavicle hook inner lock buckle guider of the present invention, reasonable in design, easy to use, can well assist and rebuild the operation of human body coracoclavicular ligament, success rate of operation height.
2, clavicle hook inner lock buckle guider of the present invention, drill bushing contacts with clavicle on the guide holder, crotch end on the guide holder contacts with processus coracoideus, as long as on clavicle and processus coracoideus, open an osculum, both can realize rebuilding the operation of human body coracoclavicular ligament in the operation process, belong to Minimally Invasive Surgery, the scar that stays after patient recovers is very little, overcome the patient's of large tracts of land incision in the past clavicle and the shortcoming that processus coracoideus is organized and implemented operation, postoperative complication is few, can reduce patient's misery.
Description of drawings
Fig. 1 is the structural representation of clavicle hook inner lock buckle guider of the present invention.
Fig. 2 is the sketch map of the handle arrangement of clavicle hook inner lock buckle guider of the present invention.
Fig. 3 is the sketch map of the handlebar structure of clavicle hook inner lock buckle guider of the present invention.
Fig. 4 is the guide holder structural representation of clavicle hook inner lock buckle guider of the present invention.
Fig. 5 is the sketch map of the drill bushing structure of clavicle hook inner lock buckle guider of the present invention.
Fig. 6 is the Kirschner wire guide pin bushing structural representation of clavicle hook inner lock buckle guider of the present invention.
The specific embodiment:
Below in conjunction with the drawings and specific embodiments, further illustrate the present invention, should understand these embodiment only is used to the present invention is described and is not used in and limit the scope of the invention, after having read the present invention, those skilled in the art all fall within the application's claims institute restricted portion to the modification of the various equivalent form of values of the present invention.
Embodiment
As shown in Figure 1, clavicle hook inner lock buckle guider of the present invention, comprise handle (1), handlebar (2), guide holder (3), drill bushing (4) and Kirschner wire guide pin bushing (5), described handle (1), handlebar (2) is connected by pin successively with guide holder (3), wherein handlebar (2) is arc, guide holder (3) is crotch shape, an end that contacts with clavicle at guide holder (3) has hole (31), drill bushing (4) is installed on the guide holder (3) by the hole, the lower end of drill bushing (4) is relative with the crotch end opening that guide holder (3) upward contacts with processus coracoideus, and go up the crotch end inside that contacts with processus coracoideus at guide holder (3) and have groove (32), described Kirschner wire guide pin bushing (5) is sleeved on drill bushing (4) inside.
As shown in Figure 2, described handle (1) outside is a shiny surface, and inside is and suitable wavy of human finger that comfort level is good in this structure use, exerts all one's strength well.As shown in Figure 3 handlebar be one symmetric arc.
As shown in Figure 4, guide holder (3) is a hook solid, an end that contacts with clavicle at guide holder (3) has hole (31), drill bushing (4) is installed on the guide holder (3) by hole (31), the horn-like opening of the crotch end that contacts with processus coracoideus is gone up on same straight line with guide holder (3) in the lower end of drill bushing (4), the two is relative, awl and Kirschner wire could be distinguished smoothly and pass clavicle and processus coracoideus along drill bushing (4) and Kirschner wire guide pin bushing (5) like this, and have can allow pilot tape stumble a groove (32) that the steel wire of steel plate passes through in the inside of guide holder (3) crotch end.
As shown in Figure 5 and Figure 6, the internal diameter of described Kirschner wire guide pin bushing (5) is 2 millimeters, and Kirschner wire guide pin bushing (5) is sleeved on the inside of Kirschner wire guide pin bushing (5), and Kirschner wire can pass clavicle by Kirschner wire guide pin bushing (5) smoothly like this, and then pass processus coracoideus, take out Kirschner wire guide pin bushing (5) then.Drill bushing (4) is screw-like, periphery has fine thread, drill bushing (4) lower end is 8 tooth rims to the zigzags that distribute, and the internal diameter of described drill bushing (4) is 4.5 to 4.525 millimeters, and core drill can pass clavicle and then pass processus coracoideus along Kirschner wire by drill bushing (4) like this.After being drilled with passage between clavicle and the processus coracoideus, introduce guiding steel wire, remove clavicle hook inner lock buckle guider, with guiding steel wire band the stumbling of steel plate of stumbling pulled out by processus coracoideus and clavicle, its steel plate is horizontal below processus coracoideus, on the clavicle opening part is stumbled, fixing in stumbling with the steel plate insertion again, so just just rebuild the human body coracoclavicular ligament between processus coracoideus and clavicle, reach the purpose of rebuilding the human body coracoclavicular ligament, patient can the early recovery motion.
The above only is a preferred implementation of the present invention; should be pointed out that for those skilled in the art, under the prerequisite that does not break away from the principle of the invention; can also make some improvements and modifications, these improvements and modifications also should be considered as protection scope of the present invention.
Claims (8)
1, a kind of clavicle hook inner lock buckle guider, it is characterized in that, comprise handle (1), handlebar (2), guide holder (3), drill bushing (4) and Kirschner wire guide pin bushing (5), described handle (1), handlebar (2) is connected by pin successively with guide holder (3), wherein handlebar (2) is arc, guide holder (3) is crotch shape, an end that contacts with clavicle at guide holder (3) has hole (31), drill bushing (4) is installed on the guide holder (3) by hole (31), the lower end of drill bushing (4) is relative with the crotch end opening that guide holder (3) upward contacts with processus coracoideus, and go up the crotch end inside that contacts with processus coracoideus at guide holder (3) and have groove (32), described Kirschner wire guide pin bushing (5) is sleeved on drill bushing (4) inside.
2, clavicle hook inner lock buckle guider according to claim 1 is characterized in that described drill bushing (4) is screw-like, and periphery has fine thread, and drill bushing (4) lower end is a zigzag.
3, clavicle hook inner lock buckle guider according to claim 2 is characterized in that, the internal diameter of described drill bushing (4) is 4.5 to 4.525 millimeters.
4, clavicle hook inner lock buckle guider according to claim 1 is characterized in that the internal diameter of described Kirschner wire guide pin bushing (5) is 2 millimeters.
5, clavicle hook inner lock buckle guider according to claim 1 is characterized in that, described handle (1) outside is a shiny surface, and inside is and suitable wavy of human finger.
6, clavicle hook inner lock buckle guider according to claim 1, it is characterized in that, the end that described guide holder (3) contacts with clavicle is offered position that the position in hole (31) and guide holder (3) go up the crotch end opening that contacts with processus coracoideus on same straight line, and the crotch end opening is horn-like.
7, clavicle hook inner lock buckle guider according to claim 1 is characterized in that described handle (1) is made by lamination phenolic aldehyde bar material, and handlebar (2), guide holder (3), drill bushing (4) and Kirschner wire guide pin bushing (5) are made by the 17-4PH material.
8, the described clavicle hook of claim 1 inner lock buckle guider is in auxiliary application of rebuilding in the operation of human body coracoclavicular ligament.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2009100347764A CN101642384B (en) | 2009-09-08 | 2009-09-08 | Clavicula hook inner lock catch guide apparatus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2009100347764A CN101642384B (en) | 2009-09-08 | 2009-09-08 | Clavicula hook inner lock catch guide apparatus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101642384A true CN101642384A (en) | 2010-02-10 |
| CN101642384B CN101642384B (en) | 2011-08-31 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2009100347764A Expired - Fee Related CN101642384B (en) | 2009-09-08 | 2009-09-08 | Clavicula hook inner lock catch guide apparatus |
Country Status (1)
| Country | Link |
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| CN (1) | CN101642384B (en) |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102579126A (en) * | 2012-04-09 | 2012-07-18 | 南京大学医学院附属鼓楼医院 | Transdermal screw fixation in vitro sighting device for treating pelvic fracture |
| CN103735301A (en) * | 2013-12-31 | 2014-04-23 | 张文涛 | Reset guider for acromioclavicular joint |
| CN104083204A (en) * | 2014-07-18 | 2014-10-08 | 广西大学 | Tibia tunnel locating device and method based on personalized navigation template |
| CN107157618A (en) * | 2017-05-26 | 2017-09-15 | 王俊 | Coracoclavicular ligament titanium cable rebuilds the method for reconstructing of guider and coracoclavicular ligament |
| CN107961057A (en) * | 2018-01-02 | 2018-04-27 | 吉林大学 | Processus coracoideus clavicle closure punching sighting device |
| CN109223157A (en) * | 2018-09-27 | 2019-01-18 | 南方医科大学南方医院 | A kind of coracoclavicular ligament reconstructor and its application method |
| CN116747001A (en) * | 2023-06-07 | 2023-09-15 | 江苏省苏北人民医院 | Positioning, drilling and threading integrated guide for coracoid process and use method |
-
2009
- 2009-09-08 CN CN2009100347764A patent/CN101642384B/en not_active Expired - Fee Related
Cited By (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102579126A (en) * | 2012-04-09 | 2012-07-18 | 南京大学医学院附属鼓楼医院 | Transdermal screw fixation in vitro sighting device for treating pelvic fracture |
| CN103735301A (en) * | 2013-12-31 | 2014-04-23 | 张文涛 | Reset guider for acromioclavicular joint |
| CN103735301B (en) * | 2013-12-31 | 2015-10-14 | 张文涛 | Reset guider for acromioclavicular joint |
| CN104083204A (en) * | 2014-07-18 | 2014-10-08 | 广西大学 | Tibia tunnel locating device and method based on personalized navigation template |
| CN104083204B (en) * | 2014-07-18 | 2016-06-08 | 广西大学 | A kind of tibial tunnel locating device based on personalized navigation template and method thereof |
| CN107157618A (en) * | 2017-05-26 | 2017-09-15 | 王俊 | Coracoclavicular ligament titanium cable rebuilds the method for reconstructing of guider and coracoclavicular ligament |
| CN107157618B (en) * | 2017-05-26 | 2023-09-15 | 王俊 | Coracoid ligament titanium cable reconstruction guide and coracoid ligament reconstruction method |
| CN107961057A (en) * | 2018-01-02 | 2018-04-27 | 吉林大学 | Processus coracoideus clavicle closure punching sighting device |
| CN109223157A (en) * | 2018-09-27 | 2019-01-18 | 南方医科大学南方医院 | A kind of coracoclavicular ligament reconstructor and its application method |
| CN109223157B (en) * | 2018-09-27 | 2023-04-25 | 南方医科大学南方医院 | Coracoid ligament reconstructor and application method thereof |
| CN116747001A (en) * | 2023-06-07 | 2023-09-15 | 江苏省苏北人民医院 | Positioning, drilling and threading integrated guide for coracoid process and use method |
| CN116747001B (en) * | 2023-06-07 | 2023-12-15 | 江苏省苏北人民医院 | Positioning, drilling and threading integrated guide for coracoid process and use method |
Also Published As
| Publication number | Publication date |
|---|---|
| CN101642384B (en) | 2011-08-31 |
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Granted publication date: 20110831 Termination date: 20120908 |