CN101822568B - Adjustable mid-face bone tractor and design method thereof - Google Patents

Adjustable mid-face bone tractor and design method thereof Download PDF

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Publication number
CN101822568B
CN101822568B CN201010113708XA CN201010113708A CN101822568B CN 101822568 B CN101822568 B CN 101822568B CN 201010113708X A CN201010113708X A CN 201010113708XA CN 201010113708 A CN201010113708 A CN 201010113708A CN 101822568 B CN101822568 B CN 101822568B
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China
Prior art keywords
traction
adjustable
link
vertical links
patient
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Expired - Fee Related
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CN201010113708XA
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CN101822568A (en
Inventor
冯志宏
耿建平
赵铱民
刘彦普
赵晋龙
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention relates to a bone tractor, in particular to an adjustable mid-face bone tractor and a design method thereof. The bone tractor comprises a bracket, a cranial bone fixing pin, a traction titanium pin and a traction fiber at least. The invention is characterized in that the bracket is formed in a way that a cambered connection frame with clamping grooves is fixedly connected with adjustable connection rods by removable connection parts; the middle part of the cambered connection frame is fixedly connected with a bracket connection block by removable connection parts; and one or more than one adjustable connection rods can be fixed on the cambered connection frame as required, the adjustable connecting rods are connected with traction screw rods and traction nuts, and the traction of the mid-face bones of a patient is completed by the traction fiber. By adjusting the antero-posterior position of the traction fiber, the invention can meet the requirements for the multi-point, multi-direction and force-adjustable traction of the mid-face bones in such treatment, thereby achieving the optimum treatment effect of reconstructing the face.

Description

A kind of adjustable middle part bone tractor and method for designing
Technical field
The present invention relates to a kind of bone tractor, particularly a kind of adjustable middle part bone tractor and method for designing belong to medical instruments field.
Background technology
Skull fixed middle part bone tractor (Mid-face Distraction OsteogenesisDevices) is also referred to as the external fixation skull tractor sometimes.To upper jaw bone deficiency of development patient, existing external fixation skull tractor can only be after Le Fort cuts bone, with the part upper jaw bone section that sections to front haulage, to recover its normal face type.To face middle part bone fracture back depression patient, the bone section that can only fracture to front haulage resets it.To half side facial atrophy patient, can only be with part face middle part bone piece to front haulage, to recover its face type as far as possible.But still have most of patient to need part face middle part bone section is drawn to the side, to recover the richness of side face type.For example, to half side facial atrophy patient, we need is not only traction element face middle part bone section forward, also need part bone section be drawn to the side simultaneously.And for cheekbone closure, depressed fracture patient, need simultaneously forward too, draw to the side, the cheekbone of displacement fracture is accurately resetted.And existing the single of external fixation skull tractor can meet clinical needs to front haulage far from.And draw, can not appear in the newspapers as yet to the external fixation skull tractor of front haulage simultaneously in the relevant side of different angles of realizing.
Summary of the invention
The objective of the invention is: a kind of adjustable middle part bone tractor and method for designing are provided; It can be in the time of front haulage, can also realize the side traction of different angles; It resets to the side of different angles for the midfacial fracture section, or recovers or rebuild its face shape a kind of armarium that improves is provided through the side traction of face middle part bone section.
Technical scheme of the present invention is: design a kind of adjustable middle part bone tractor and method for designing; Which comprises at least support, skull staple, traction titanium nail, traction fiber, it is characterized in that: its support is fixedly connected adjustable link by the camber link that has draw-in groove through removable connector and constitutes; Camber link middle part is fixedly connected with the support contiguous block through removable connector; The camber link can be fixed one or a plurality of adjustable link as required, is connected with traction screw and pull nut on the adjustable link.
Described adjustable link is to be connected and composed by vertical links contiguous block and vertical links vertical fixing, and the vertical links contiguous block is fixed-site connection arbitrarily on the draw-in groove of camber link.
Described support contiguous block is a demountable structure, and its length specification can be selected.
Described vertical links vertically is arranged with a row can pass the square hole of traction screw, through a plurality of traction screws of pegging graft of the square hole on the vertical links.
Described support both sides are connected with the skull staple, and the skull staple of support both sides is fixed on the camber link on patient's the skull.
Be connected with a plurality of traction screws on the vertical links, facing to points different in the middle part of patient's face, fixing many pieces of traction titaniums nails, the traction titanium is followed closely through traction fiber from being connected to the different traction screws on the different vertical connecting rod between jaw.
Described support both sides are connected with the skull staple, and the skull staple of support both sides is fixed on the camber link on patient's the skull; The vertical links vertical fixing is connected on the vertical links contiguous block, and the vertical links contiguous block can any fixed-site connect on the draw-in groove of camber link, and vertical links can be fixed in optional position from left to right, patient's face the place ahead like this; Vertical links vertically is arranged with the square hole that a row can pass traction screw, and traction screw can be loaded on wherein arbitrary square hole, so just can realize optional position from top to bottom, patient's face middle part; Had vertical links and traction screw laterally with longitudinally moving arbitrarily, just can apply pull strength through traction fiber to bone in the middle part of patient's the face from the optional position at patient's face middle part, said traction fiber is an oral cavity ligation silk commonly used; The camber link can be fixed one or more adjustable link as required; On the vertical links a plurality of traction screws can be installed; Facing to the different point in patient's face middle part; Can push up fixing many pieces of traction titanium nails altogether, traction titanium nail from being connected to different traction screws on the different vertical connecting rod between jaw, so just can be implemented multiple spot, multidirectional traction to patient's face middle part bone through traction fiber; In distraction procedure, can adjust the pull nut of certain traction screw at any time, change certain any hauling speed, realize adjusting angle while draw.
Characteristics of the present invention are: the vertical vertical links contiguous block of adjustable link can any fixed-site connect on the draw-in groove of camber link; Can guarantee like this in side when traction that needs different angles; Vertical connecting can be adjusted to suitable position, side, realizes the side traction of different angles through perpendicular traction screw; Vertical links vertically is arranged with square hole that a row can pass traction screw can guarantee on the one hand traction screw adjustment position arbitrarily on above-below direction; To realize the traction of differing heights face middle part bone section; Can guarantee that on the other hand traction screw passes through, and avoids traction screw to be positioned at vertical connecting one side, when applying pull strength, causes vertical connecting torsion phenomenon to occur in the middle of vertical connecting; The camber link can be fixed one or more adjustable link as required, realizes the adjustment angle while drawing; The camber link that has draw-in groove is basic consistent with people's facial appearance radian, can guarantee that vertical connecting moves to the optional position along draw-in groove, realizes the side traction of different angles; Detachable support contiguous block satisfies the patient's of different skull width demand through changing the support contiguous block of different length.Through such scheme, can satisfy the reparation requirement of patient's face to greatest extent, reach the target of recovering the normal face of patient.
Description of drawings
Below in conjunction with accompanying drawing and instantiation the present invention is described further:
Fig. 1 is embodiment 1 structure chart.
Fig. 2 is embodiment 2 structure charts.
Among the figure: 1, camber link; 2, support contiguous block; 3, draw-in groove; 4, skull staple; 5, vertical links contiguous block; 6, traction screw; 7, pull nut; 8, vertical links; 9, traction titanium nail; 10 traction fibers.
The specific embodiment
Embodiment 1: as shown in Figure 1; A kind of adjustable middle part bone tractor; Which comprises at least support, skull staple 4, traction titanium nail 9, traction fiber 10, it is characterized in that: its support is fixedly connected adjustable link by the camber link 1 that has draw-in groove 3 through removable connector and constitutes; Camber link 1 middle part is fixedly connected with support contiguous block 2 through removable connector; Camber link 1 can be fixed one or more adjustable link as required, is connected with traction screw 6 and pull nut 7 on the adjustable link.Adjustable link is to be connected and composed by vertical links contiguous block 5 and vertical links 8 vertical fixing, and vertical links contiguous block 5 is fixed-site connection arbitrarily on the draw-in groove 3 of camber link 1.Be connected with a plurality of traction screws 6 on the vertical links 8, facing to the different point in patient's face middle part, fixing many pieces of traction titaniums nails 9, traction titanium nail 9 through traction fiber 10 from being connected to the different traction screws 6 on the different vertical connecting rod 8 between jaw.
Desire to draw laterally patient left side fracture of maxillary piece, the support both sides are fixedly connected with skull staple 4, and the skull staple 4 of support both sides is fixed on camber link 1 on patient's the skull; Vertical links 8 vertical fixing are connected on the vertical links contiguous block 5, and vertical links contiguous block 5 is fixedly connected on right side on the draw-in groove 3 of camber link 1, and vertical links 8 can be fixed in patient's face left side side like this; Vertical links 8 vertically is arranged with the square hole that a row can pass traction screw 6, and traction screw 6 is contained in the intermediary square hole; A traction titanium is followed closely the lateral surface that 9 one ends are fixed on patient left side upper jaw bone section, the traction titanium follow closely 9 other ends through traction fiber 10 from being connected to the traction screw 6 on the vertical links 8 between jaw, can be through the pull nut 7 that turns clockwise; Traction screw 6 will affect traction fiber 10, and patient left side fracture of maxillary piece is drawn to desired location every 1 week of rotation laterally; Traction fiber 10 will affect the bone piece to move 0.5mm; Draw twice general every day, each 0.5mm, the morning 1 time; Afternoon 1 time, realized one-sided side traction.
Embodiment 2: as shown in Figure 2, desire forward, outer side-lining patient left side fracture of maxillary piece, and rotation laterally.Implementation method and embodiment 1 are basic identical; Different is fixing two adjustable link on the camber link 1; Promptly the left side adjacent of original adjustable link is fixed an adjustable link again on camber link 1 right side; Can a traction titanium be followed closely the lateral surface that 9 one ends are fixed on patient left side upper jaw bone section, the traction titanium is followed closely 9 other ends and can the upper jaw bone section be drawn laterally earlier through the pull nut 7 that turns clockwise from the traction screw 6 that is connected between jaw on the vertical links 8 through traction fiber 10; The second traction titanium is followed closely an end and is fixed on patient left side upper jaw bone section near fracture line one end, the second traction titanium nail other end through second traction fiber from being connected to the traction screw on second vertical connecting between jaw.Can be earlier through second pull nut that turns clockwise, again through the pull nut 7 that turns clockwise, make the upper jaw bone section take place outwards to rotate, realized the fracture of maxillary piece side, rotation traction traction.
The adjustable link of this adjustable middle bone tractor can be installed in the last optional position of camber link 1 through draw-in groove 3, and promptly the scalable connecting rod can be fixed in optional position from left to right, patient's face the place ahead; Vertical links 8 vertically is arranged with the square hole that a row can pass traction screw 6, and traction screw 6 can be loaded on wherein arbitrary square hole, so just can realize optional position from top to bottom, patient's face middle part; There have been adjustable link and traction screw 6 laterally with longitudinally moving arbitrarily, just can have applied pull strength through bone in the middle part of 10 couples of patients' of traction fiber the face from the optional position at patient's face middle part; Camber link 1 also can be fixed a plurality of adjustable link as required; A plurality of traction screws 6 also can be installed on the vertical links 8; Facing to the different point in patient's face middle part; Traction fiber 10 is connected to different traction screws 6 on the different vertical connecting rod from intermaxillary fixation titanium screw 9, so just can implements multiple spot, multidirectional traction patient's face middle part bone; In distraction procedure, can adjust the pull nut 7 on certain traction screw 6 at any time, change certain any hauling speed, realize adjusting angle while draw.It is dismountable that camber link 1 middle part is fixedly connected with support contiguous block 2, and support contiguous block 2 can be a series of length different specifications, can satisfy the patient's of different skull width demand through changing the support contiguous block 2 of different length.

Claims (4)

  1. One kind adjustable the middle part bone tractor; Which comprises at least support, skull staple (4), traction titanium nail (9), traction fiber (10), it is characterized in that: the support of described adjustable middle part bone tractor is fixedly connected adjustable link by the camber link (1) that has draw-in groove (3) through removable connector and constitutes; Camber link (1) middle part is fixedly connected with support contiguous block (2) through removable connector; Camber link (1) can be fixed one or more adjustable link as required, is connected with traction screw (6) and pull nut (7) on the adjustable link; Described adjustable link is to be connected and composed by vertical links contiguous block (5) and vertical links (8) vertical fixing, and vertical links contiguous block (5) is gone up any fixed-site at the draw-in groove (3) of camber link (1) and connected; Described vertical links (8) vertically is arranged with a row can pass the square hole of traction screw (6), through a plurality of traction screws (6) of pegging graft of the square hole on the vertical links (8).
  2. 2. a kind of adjustable middle part bone tractor according to claim 1, it is characterized in that: described support contiguous block (2) is a demountable structure, its length specification can be selected.
  3. 3. a kind of adjustable middle part bone tractor according to claim 1, it is characterized in that: described support both sides are connected with skull staple (4), and the skull staple (4) of support both sides is fixed on camber link (1) on patient's the skull.
  4. 4. a kind of adjustable middle part bone tractor according to claim 1; It is characterized in that: be connected with a plurality of traction screws (6) on the vertical links (8); Facing to the different point in patient's face middle part; Fixing many pieces of traction titaniums nails (9), traction titanium nail (9) through traction fiber (10) from being connected to the different traction screws (6) on the different vertical connecting rod (8) between jaw.
CN201010113708XA 2010-02-12 2010-02-12 Adjustable mid-face bone tractor and design method thereof Expired - Fee Related CN101822568B (en)

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Application Number Priority Date Filing Date Title
CN201010113708XA CN101822568B (en) 2010-02-12 2010-02-12 Adjustable mid-face bone tractor and design method thereof

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CN101822568B true CN101822568B (en) 2012-02-15

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105055005B (en) * 2015-08-28 2018-04-27 冯志宏 A kind of Middle face three-dimensional bone tractor
CN113576633B (en) * 2021-07-14 2022-07-05 云南省第一人民医院 Jaw face external traction fixing support

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101141925A (en) * 2004-05-04 2008-03-12 芯赛斯公司 Midface distractor
CN201175396Y (en) * 2008-04-16 2009-01-07 史俊 Jaw face external traction stationary barrier
CN201624763U (en) * 2010-02-12 2010-11-10 中国人民解放军第四军医大学口腔医院 Adjustable mid facial bone tractor

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101141925A (en) * 2004-05-04 2008-03-12 芯赛斯公司 Midface distractor
CN201175396Y (en) * 2008-04-16 2009-01-07 史俊 Jaw face external traction stationary barrier
CN201624763U (en) * 2010-02-12 2010-11-10 中国人民解放军第四军医大学口腔医院 Adjustable mid facial bone tractor

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Granted publication date: 20120215

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