CN102247198B - Combined three-dimensional traction mounting bracket for wrist joint - Google Patents
Combined three-dimensional traction mounting bracket for wrist joint Download PDFInfo
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- CN102247198B CN102247198B CN 201110178065 CN201110178065A CN102247198B CN 102247198 B CN102247198 B CN 102247198B CN 201110178065 CN201110178065 CN 201110178065 CN 201110178065 A CN201110178065 A CN 201110178065A CN 102247198 B CN102247198 B CN 102247198B
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- Prior art keywords
- connecting rod
- purl
- camber
- needle
- screw
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- 210000003857 wrist joint Anatomy 0.000 title abstract 5
- 210000003797 carpal joint Anatomy 0.000 claims description 22
- 229920000049 Carbon (fiber) Polymers 0.000 claims description 15
- 239000004917 carbon fiber Substances 0.000 claims description 15
- VNWKTOKETHGBQD-UHFFFAOYSA-N methane Chemical compound C VNWKTOKETHGBQD-UHFFFAOYSA-N 0.000 claims description 15
- 229910000737 Duralumin Inorganic materials 0.000 claims description 8
- 210000000988 bone and bone Anatomy 0.000 claims description 4
- 210000000236 metacarpal bone Anatomy 0.000 abstract description 8
- 230000006378 damage Effects 0.000 abstract description 5
- 208000006735 Periostitis Diseases 0.000 abstract description 3
- 210000003460 periosteum Anatomy 0.000 abstract description 3
- 229910000831 Steel Inorganic materials 0.000 abstract description 2
- 230000002349 favourable effect Effects 0.000 abstract description 2
- 230000035876 healing Effects 0.000 abstract description 2
- 239000010959 steel Substances 0.000 abstract description 2
- 230000000149 penetrating effect Effects 0.000 abstract 1
- 206010048049 Wrist fracture Diseases 0.000 description 12
- 208000010392 Bone Fractures Diseases 0.000 description 11
- 206010017076 Fracture Diseases 0.000 description 10
- 241000282414 Homo sapiens Species 0.000 description 5
- 238000006073 displacement reaction Methods 0.000 description 3
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 230000006735 deficit Effects 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 238000001467 acupuncture Methods 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 210000000544 articulatio talocruralis Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 206010025482 malaise Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000008467 tissue growth Effects 0.000 description 1
- 210000000707 wrist Anatomy 0.000 description 1
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Abstract
The invention relates to a combined three-dimensional traction mounting bracket for a wrist joint, and the mounting bracket provided by the invention mainly comprises two connecting rods and two arc-shaped rings, wherein the end surfaces, along the arc line direction, of the two arc-shaped rings are both provided with a plurality of through holes; two ends of each connecting rod are respectively locked and connected to the through holes corresponding to the two arc-shaped rings; each arc-shaped ring is provided with two purl screws; the end surfaces, adjacent to bolt parts, of the purl screws are provided with needle penetrating grooves; the bolts of the purl screws are locked on the arc-shaped rings via nuts; two Kirschner wires are adopted for cooperating and fixing a metacarpal bone neck and a radius in a needle threading mode by virtue of the purl screws; and steel needles are cooperated to fix a wrist joint fracture block locked by the purl screws. The combined three-dimensional traction mounting bracket has the advantages of compact and stable integral structure, low cost and adjustable rigidity, is convenient to use and dismount, assists the fixation of wrist joints and fracture blocks, is free from stripping a periosteum and is favorable for healing wrist joint damages.
Description
Technical field
The present invention relates to a kind of carpal joint traction fixation frame, is the combination type carpal joint traction fixation frame that a kind of three-dimensional is threaded a needle fixing specifically.
Background technology
The radius far-end fracture sickness rate is very high, and human beings'health and living standard in serious threat.The external fixer that is fit to be applied in wrist stationary applications treatment radius far-end fracture both at home and abroad is the single armed frame.The single armed frame all is that screw is fixed with half aciculiform formula, to be fixed as major function.Though the single armed external fixer is more convenient, because be that arm of force formula is fixed, stability in the large and performance-adjustable are poor.Do not have yet and to draw and the fixing function that resets sclerite, limited the application of external fixer in the wrist fracture.
Summary of the invention
In order to solve carpal joint external fixer structure coarse-pitch thread nail fixation problem in the prior art.The purpose of this invention is to provide a kind of compact conformation, stable, fixed with patient's carpal joint three dimensions, use, dismounting is convenient effectively fixing carpal fracture, traction, the effective combination type carpal joint 3 d traction fixed mount of fixation for treatment
The technical solution used in the present invention is: a kind of carpal joint 3 d traction fixed mount, mainly comprise two connecting rods each one and two camber rings, two camber rings are along being equipped with a plurality of through holes on the end face of arc direction, the two ends of every connecting rod are locked respectively and are connected on the corresponding through hole of two camber rings, be equipped with two purl screws on each camber ring, be equipped with the groove of threading a needle on the end face of purl screw near its bolt part, the bolt of purl screw through nut check on the camber ring, first Kirschner wire passes the first purl screw on the first camber ring groove of threading a needle successively, the metacarpal bone neck, thread a needle groove and by nut check first of the second purl screw, the bolt of two purl screws is pressed on first Kirschner wire on the first camber ring, and second Kirschner wire passes the 3rd purl screw on the second camber ring groove of threading a needle successively, radius, thread a needle groove and by nut check the 3rd of the 4th purl screw, the bolt of four purl screws is pressed on second Kirschner wire on the second camber ring.Two camber rings connect into fixed mount through two connecting rods, first and second purl screw on the two camber ring end faces is locked first and second Kirschner wire that passes metacarpal bone neck and radius respectively, and fixed mount is fixed carpal joint in three dimensions through Di Yi,Er Shi pin, carbon fiber connecting rod.
Described two connecting rod two ends are connected on the two arc rings through L type connecting rod respectively, and on the arc ring, the other end of L type connecting rod passes upper and lower connecting rod folder through nut check to an end of L type connecting rod through nut check, and its upper and lower connecting rod folder clamps connecting rod.
Held upper and lower connecting rod folder on described arbitrary connecting rod tightly, the 5th purl screw passes upper and lower connecting rod folder through nut check, and cross-under has the thimble of bone fixation folded block in the groove of threading a needle of the 5th purl screw.The 5th purl screw lock thimble penetrates the wrist fracture piece of damage on the connecting rod, according to the different degree of impairments of carpal joint, adopts 1-2 root thimble that the wrist fracture piece is fixed respectively; Upper and lower connecting rod folder can be different angles and clamp L type Connection Block connecting rod or connecting rod, cooperates the 5th purl screw lock fixing towards the wrist fracture piece that changes the various orientation of adaptation, angle.
Described arbitrary connecting rod is provided with thread segment, the thread segment diameter is less than the diameter of connecting rod straight bar part, be connected with circular adjusting nut and the adjusting lock nut of the upper and lower connecting rod folder two sides that push against duralumin connecting rod thread segment respectively on the thread segment, the periphery of circular adjusting nut is provided with lock-screw.Drip at the circular adjusting nut of thread segment adjusted and to push against the side that upper and lower connecting rod folder is held duralumin connecting rod thread segment tightly, regulate upper and lower connecting rod folder and hold the position tightly, make the distance between the two arc rings adjustable, realize reduction by traction.
Through hole is the combination in any of any one or both in circular apertures, the waist-shaped hole on the described camber ring.During use, according to the different situations of patient's ankle joint, L type connecting rod or L type Connection Block fixed position activity change on the arc ring, applied widely.
Described connecting rod is carbon fiber connecting rod or duralumin connecting rod.
After adopting above technical scheme, the invention has the beneficial effects as follows:
1, fixed mount adopts each one on carbon fiber and duralumin connecting rod to be connected two arc rings, under the prerequisite that fully satisfies strength of materials requirement, can avoid the photograph occlusion issue of fracture site greatly, improve the diagnosis of postoperative iconography, and the steel connecting rod was light more in the past, the patient burden is light, provides advantage for early functional exercise reaches early stage examination heavy burden;
2, fixed mount arc ring is provided with the purl screw, Kirschner wire is threaded a needle fixing through the purl screw lock to metacarpal bone, radius three-dimensional before and after the carpal joint, fixed mount arc ring adopts L type connecting rod to connect carbon fiber connecting rod simultaneously, the installation site of scalable L type connecting rod a plurality of through holes on the arc ring and the fixed angle of L type connecting rod, can be from many planes, multi-facetedly provide favourable and lasting bed knife for the part of fracturing, fixed mount three dimensions stability is strong, can patient's carpal joint is fixed, avoided the fixing and uncontrollable deficiency of rigidity of traditional monolateral thick nail;
3, fixed mount is to penetrate first and second Kirschner wire successively at metacarpal bone, radius away from the wrist fracture part, destruction to the wrist fracture local soft tissue can be reduced away from carpal joint in the position of threading a needle, be conducive to the local blood fortune of protection fracture and the protection of self soft tissue, accelerate the wrist fracture healing, and can produce adaptability to changes to fracture end by stable fixing, stimulate osseous tissue growth accelerating union of bone fracture;
4, the fixed mount carbon fiber connecting rod is provided with one or more purl screws, the purl screw is through last, movable being fixed on the carbon fiber connecting rod of lower link folder, according to wrist fracture situation and fracture, match one or more draw point and after the purl screw lock, be diverse location in carbon fiber connecting rod, different angles are fixed the wrist fracture piece, the local sclerite realization of carpal joint acupuncture needle is dialled bone, it is fixing to thread a needle, need not extensively to peel off periosteum, flexible operation, the operating time section, go out insufficiency of blood, be conducive to growth of spur, union of fracture has reduced infection rate simultaneously;
Fixed mount of the present invention adopts two Kirschner wires through the purl screw lock metacarpal bone neck, radius to be threaded a needle to cooperate and fixes, cooperate draw point through the purl screw lock wrist fracture piece to be fixed, compact overall structure, stable, use, convenient disassembly, use cost is low, and auxiliary fixing to carpal joint and sclerite, rigidity is adjustable, need not the peeling operation periosteum, be conducive to the recovery from illness of carpal joint damage.
Description of drawings
Fig. 1 is structural representation of the present invention;
Fig. 2 is user mode structural representation of the present invention;
Fig. 3 is lock-screw structural representation of the present invention.
Among the figure: the first arc ring 1, the second arc ring 2, carbon fiber connecting rod 3, duralumin connecting rod 4, thread segment 41, straight bar section 42, L type connecting rod 5,51,52,53, first through hole, 6, the second through holes 7, third through-hole 8, fourth hole 9, the first purl screws 10, the second purl screws 11, the 3rd purl screw 12, the 4th purl screw 13, the five purl screws 14, the groove 15 of threading a needle, last connecting rod folder 16, lower link folder 17, the first Kirschner wires 18, the second Kirschner wires 19, thimble 20, circular adjusting nut 21, lock-screw 22, the adjusting lock nut 23.
The specific embodiment
The invention will be further described below in conjunction with drawings and embodiments.
Shown in Fig. 1,2, combination type carpal joint 3 d traction fixed mount mainly comprises first and second arc ring 1,2, carbon fiber connecting rod 3, duralumin connecting rod 4 and five purl screws 10,11,12,13,14.First, two arc rings 1,2 along being equipped with a plurality of through holes on the end face of arc direction, through hole is circular apertures, any one or boths' combination in any in the waist-shaped hole, carbon fiber connecting rod 3 two ends are respectively through L type connecting rod 5,51 are connected in two arc rings 1, on 2, L type connecting rod 5 one ends are on first through hole 6 of nut check at the first arc ring 1, the other end of L type connecting rod 5 passes, lower link folder 16,17 through nut check, on it, the lower link folder clamps carbon fiber connecting rod 3 one ends, L type connecting rod 51 1 ends are on second through hole 7 of nut check at the second arc ring 2, the other end of L type connecting rod 51 passes, the lower link folder is through nut check, on it, the lower link folder clamps carbon fiber connecting rod 3 other ends, on the carbon fiber connecting rod 3 by last, the lower link folder connects the 5th purl screw 14 by nut check, cross-under has thimble 20 in the groove 15 of threading a needle of the 5th purl screw 14, and thimble is fixed the wrist fracture piece; One end of duralumin connecting rod 4 is thread segment 41, the other end is straight bar section 42, thread segment 41 diameters are less than straight bar section 42, thread segment 41 and straight bar section 42 are respectively through L type connecting rod 52,53 are connected in two arc rings 1, on 2, L type connecting rod 52 1 ends are on the third through-hole 8 of nut check at the first arc ring 1, the other end of L type connecting rod 52 passes, lower link folder 16,17 through nut check, on it, the lower link folder clamps thread segment 41, L type connecting rod 53 1 ends are on second through hole 9 of nut check at the second arc ring 2, the other end of L type connecting rod 53 passes, the lower link folder is through nut check, on it, the lower link folder clamps straight bar section 42, be connected with on the thread segment 41 push against respectively thread segment on, circular adjusting nut 21 and the adjusting lock nut 23 of lower link folder two sides, the periphery of circular adjusting nut 21 is provided with lock-screw 22; First of the first arc ring, 1 opening two ends, lock first respectively on three through holes, two purl screws 10,11, second of the second arc ring, 2 opening two ends, lock the 3rd respectively on the four-way hole, four purl screws 12,13, be equipped with the groove 15 of threading a needle on the end face of every purl screw near its bolt part, the bolt of purl screw through nut check on camber ring separately, first Kirschner wire 18 passes the first purl screw on the first camber ring 1 groove of threading a needle successively, human body carpal joint metacarpal bone neck, thread a needle groove and by nut check first of the second purl screw, the bolt of two purl screws is pressed on first Kirschner wire on the first camber ring, and second Kirschner wire 19 passes the 3rd purl screw on the second camber ring 2 groove of threading a needle successively, human body carpal joint radius, thread a needle groove and by nut check the 3rd of the 4th purl screw, the bolt of four purl screws is pressed on second Kirschner wire on the second camber ring.
Lock-screw structure shown in Figure 3, the nut portion of lock-screw is provided with the groove 15 of threading a needle towards the plane of bolt part, the groove direction of threading a needle is vertical with the bolt section axial, when lock-screw is locked, when being convenient to nut portion pressing locking face Kirschner wire or thimble is compressed.
The using method of this fixed mount is:
1. thread a needle in human body carpal joint metacarpal bone neck routine and a little run through first Kirschner wire of squeezing into 2-3mm from inside to outside, the groove of threading a needle of first and second purl screw is run through at the two ends of first Kirschner wire respectively, and by first and second purl screw lock on the first arc ring;
2. squeeze into second Kirschner wire of 2-3mm from the chi dorsal part to the oar palmar at human body carpal joint radius upper end 8cm place, the groove of threading a needle of third and fourth purl screw is run through at the two ends of second Kirschner wire respectively, and by third and fourth purl screw lock on the second arc ring;
3. according to wrist fracture degree of impairment and direction of displacement, select for use 1 the 5th purl screw to be installed on the diverse location of carbon fiber connecting rod, squeeze into the draw point of 1 3mm from the rightabout of displacement fracture, draw point one end is squeezed in the sclerite of damage and is corrected displacement fracture, and the other end runs through the groove locking of threading a needle through the 5th purl screw;
4. screw circular adjusting nut and push against upper and lower connecting rod folder, the clamping position of control thread segment and the first arc ring, thus realize that the distance between the two arc rings is adjustable, be convenient to reduction by traction;
5. after carpal joint was fixed, 5-6 removed after week.
Claims (1)
1. combination type carpal joint 3 d traction fixed mount, it is characterized in that: mainly comprise two connecting rods and two camber rings, two camber rings are along being equipped with a plurality of through holes on the end face of arc direction, the two ends of every connecting rod are locked respectively and are connected on the corresponding through hole of two camber rings, be equipped with two purl screws on each camber ring, be equipped with the groove of threading a needle on the end face of purl screw near its bolt part, the bolt of purl screw through nut check on the camber ring, first Kirschner wire passes the first purl screw on the first camber ring groove of threading a needle successively, thread a needle groove and by nut check first of the second purl screw, the bolt of two purl screws is pressed on first Kirschner wire on the first camber ring, and second Kirschner wire passes the 3rd purl screw on the second camber ring groove of threading a needle successively, thread a needle groove and by nut check the 3rd of the 4th purl screw, the bolt of four purl screws is pressed on second Kirschner wire on the second camber ring; Described two connecting rod two ends are connected on the two camber rings through L type connecting rod respectively, one end of L type connecting rod through nut check on the camber ring, the other end of L type connecting rod passes upper and lower connecting rod folder through nut check, and upper and lower connecting rod folder clamps described two connecting rods; Held upper and lower connecting rod folder on arbitrary connecting rod in described two connecting rods tightly, the 5th purl screw passes upper and lower connecting rod folder through nut check, and cross-under has the draw point of bone fixation folded block in the groove of threading a needle of the 5th purl screw; Another connecting rod in described two connecting rods is provided with thread segment, the thread segment diameter is less than the diameter of described another connecting rod straight bar part, be connected with circular adjusting nut and the adjusting lock nut of the upper and lower connecting rod folder two sides that push against described another connecting rod thread segment respectively on the thread segment, the periphery of circular adjusting nut is provided with lock-screw; Through hole is the combination in any of any one or both in circular apertures, the waist-shaped hole on the described camber ring; Described two connecting rods are carbon fiber connecting rod or duralumin connecting rod.
Priority Applications (1)
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CN 201110178065 CN102247198B (en) | 2011-06-29 | 2011-06-29 | Combined three-dimensional traction mounting bracket for wrist joint |
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CN 201110178065 CN102247198B (en) | 2011-06-29 | 2011-06-29 | Combined three-dimensional traction mounting bracket for wrist joint |
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CN102247198A CN102247198A (en) | 2011-11-23 |
CN102247198B true CN102247198B (en) | 2013-07-17 |
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CN 201110178065 Expired - Fee Related CN102247198B (en) | 2011-06-29 | 2011-06-29 | Combined three-dimensional traction mounting bracket for wrist joint |
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CN108969077A (en) * | 2018-06-29 | 2018-12-11 | 哈尔滨理工大学 | A kind of external fixed support for bone of area of computer aided driving |
CN109528278B (en) * | 2018-12-21 | 2024-01-30 | 中国人民解放军陆军军医大学第一附属医院 | Combined ankle joint three-dimensional traction fixing frame |
CN109925036B (en) * | 2019-04-01 | 2024-08-13 | 黄启顺 | Combined elastic external fixing support for limb fracture |
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CN111904566A (en) * | 2020-08-03 | 2020-11-10 | 北京骨外固定技术研究所 | Needle locking device and manufacturing method thereof |
CN111839693A (en) * | 2020-08-03 | 2020-10-30 | 北京骨外固定技术研究所 | Special-shaped needle locking groove, needle locking device and manufacturing method of needle locking device |
CN113100907A (en) * | 2021-04-14 | 2021-07-13 | 广州市妇女儿童医疗中心 | Intramedullary nail taking-out device |
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CN201223438Y (en) * | 2008-06-10 | 2009-04-22 | 谢建荣 | Semi-circular groove outer tube of tibiofibula |
CN202154737U (en) * | 2011-06-29 | 2012-03-07 | 温建民 | Combined-type three-dimensional traction fixation rack for wrist joints |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
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US20040073212A1 (en) * | 2002-10-15 | 2004-04-15 | Kim Jung Jae | Extracorporeal fixing device for a bone fracture |
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Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN201223438Y (en) * | 2008-06-10 | 2009-04-22 | 谢建荣 | Semi-circular groove outer tube of tibiofibula |
CN202154737U (en) * | 2011-06-29 | 2012-03-07 | 温建民 | Combined-type three-dimensional traction fixation rack for wrist joints |
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