CN102512234B - Clinical vertically and horizontally-locking intramedullary multi-dimensional stereotaxic device - Google Patents

Clinical vertically and horizontally-locking intramedullary multi-dimensional stereotaxic device Download PDF

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CN102512234B
CN102512234B CN 201110452490 CN201110452490A CN102512234B CN 102512234 B CN102512234 B CN 102512234B CN 201110452490 CN201110452490 CN 201110452490 CN 201110452490 A CN201110452490 A CN 201110452490A CN 102512234 B CN102512234 B CN 102512234B
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nail
end
longitudinal
trailing end
intramedullary
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CN102512234A (en
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李新军
亓兰珍
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李新军
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Abstract

本发明涉及一种临床用纵横锁髓内多维立体固定装置,特别是用于治疗长管状骨骨折或者畸形矫正治疗的内固定器械设备。 The present invention relates to a clinical use multidimensional aspect interlocking intramedullary fixation device, particularly internal fixation apparatus for treating long bone fractures or deformities orthodontic treatment. 它是由髓内固定器内两侧处设置纵行滑槽,纵行滑槽内装置纵锁钉,纵锁钉具有一定弹性,髓内固定器的两端分别为头端和尾端,头端上设置凹形槽和支撑锁钉与纵锁钉,凹形槽内装置支撑锁钉,尾端上设置盖丝、尾端箍、尾端丝杠、U形槽和六棱槽,锁钉孔内分别穿入皮质骨锁钉、松质骨锁钉和四只股骨颈锁钉,髓内固定器的尾端上套置尾端箍,盖丝与尾端丝杠丝扣相连接。 It is provided at both sides of the intramedullary fixture wales chute longitudinal vertical chute means nail, nail having a certain elasticity longitudinal ends respectively of the intramedullary fixture and tail end, the head and a concave groove is provided with longitudinal supporting nail nail, nail supporting concave groove means, disposed on the trailing end of the wire cover, the end ferrule, the end screw, U-shaped groove and a hexagonal groove, the end of the locking nail each hole penetrating the cortical bone nail, nail and cancellous bone nail four neck, tail cuff sleeved on the trailing end of the intramedullary fixation device, with the trailing end of the screw threaded cap wire is connected. 效果是结构简单,操作方便灵活,可闭合复位安装,缩短手术时间,降低手术创伤面积,有利于病人康复,减轻病人痛苦,广泛用于长管状骨骨折或畸形矫正的器械设备。 The effect is of simple structure, convenient operation, can be installed close reset, to shorten the operation time, reduced surgical trauma area is conducive to patient recovery, relieve pains, widely used for long bone fractures or deformities of appliances and equipment.

Description

临床用纵横锁髓内多维立体固定装置 Clinical use multidimensional aspect interlocking intramedullary fixation device

技术领域 FIELD

[0001] 本发明涉及一种临床用纵横锁髓内多维立体固定装置,特别是用于治疗长管状骨骨折或者畸形矫正治疗的内固定器械设备。 [0001] The present invention relates to a clinical use multidimensional aspect interlocking intramedullary fixation device, particularly for the treatment of internal fixation device of long bone fracture or deformity correction treatment.

背景技术 Background technique

[0002]目前,现有技术中带锁髓内钉没有设置纵锁不能多维立体固定,也未设置松质骨锁钉,需用手术时间长,先入端锁钉固定困难,创伤面积大,手术后需用二次取出一端锁钉,否则不愈合率发生高,造成断钉的现象,增加了患者痛苦,给手术者带来许多不便;另外髓内钉的预弯部位是恒定的,与骨生理弯度有较大差异,不适用与股骨髁间骨折和股骨颈骨折与股骨粗隆间骨折的固定。 [0002] Currently, the prior art is not provided with interlocking intramedullary nails can not lock a longitudinal multidimensional fixed, nor cancellous bone nail set, the operation required a long time, into the first end of the locking nail difficult, a large area of ​​trauma, surgery after the required end of the secondary locking nail removed, or nonunion high rate, causing the phenomenon of broken nails, increasing the suffering of patients, a lot of inconvenience to the operator; additional pre-bent portion of the intramedullary nail is constant, and bone differences of greater curvature, is fixed between the NA and the femoral condyle and intertrochanteric fractures of femoral neck fractures and fractures of the femur.

发明内容 SUMMARY

[0003] 本发明临床用纵横锁髓内多维立体固定装置的目的,是克服上述缺陷而设计的一种临床用纵横锁髓内多维立体固定装置,它是采用横锁钉和横加压松质骨锁钉或股骨颈锁钉与髓内固定器的纵行滑槽,纵锁钉在纵行滑槽内滑动具有一定弹性,横锁钉和横加压松质骨锁钉或股骨颈锁钉在骨髓腔内形成多维立体牢固固定,后入端与瞄准器固定容易的打入横锁钉,实现治疗长管状骨骨折或者畸形矫正治疗的纵横锁髓内多维立体固定的目的。 [0003] The present invention is a clinical aspect interlocking intramedullary fixation device of the multidimensional object, it is designed to overcome the above drawbacks with a clinical multi-dimensional aspect interlocking intramedullary fixation device, which is the use of cross-pressing and transverse nail cancellous femoral neck bone nail or fixture of the intramedullary nail wales chute, a vertical slide locking nail has a certain flexibility in the longitudinal slide, and the transverse cross-nail pressing cancellous bone of the femoral neck nail or nail formed in the bone marrow cavity multidimensional securely fixed, the fixed end of the sight easy cross nail driving, to achieve long bone fracture or deformity correction therapy aspect interlocking intramedullary perspective multidimensional object fixed.

[0004] 本发明临床用纵横锁髓内多维立体固定装置采取以下技术方案来实现的,它是由瞄准器、松质骨锁钉、皮质骨锁钉、髓内固定器、纵锁钉、股骨颈锁钉和支撑钉构成,髓内固定器内两侧处设置纵行滑槽,纵行滑槽内装置纵锁钉,纵锁钉具有一定弹性,髓内固定器的两端分别为头端和尾端,头端上设置凹形槽和支撑锁钉与纵锁钉,凹形槽内装置支撑锁钉,尾端上设置盖丝、尾端箍、尾端丝杠、锁钉孔、U形槽和六棱槽,锁钉孔内分别穿入皮质骨锁钉、松质骨锁钉和四只股骨颈锁钉,髓内固定器的尾端上套置尾端箍,盖丝与尾端丝杠丝扣相连接,纵行滑槽的尾端上设置U形槽,U形槽内装置瞄准器;将髓内固定嚣的头端经骨折一端髓腔进入另一端髓腔后,由纵锁钉沿髓内固定器的纵行滑槽从尾端向头端打入固定于皮质骨上,头端的纵行滑槽口向两侧倾 [0004] Clinical present invention takes the following technical solution to achieve the multi-dimensional with vertical and horizontal interlocking intramedullary fixation device, it is by sight, nail cancellous bone, cortical bone locking nail, intramedullary fixture longitudinal nail, femur neck nail and nail supporting structure, both sides of the intramedullary fixture disposed longitudinal sliding, longitudinal vertical chute means nail, nail having a certain elasticity longitudinal ends respectively of the intramedullary fixture head end and a trailing end, is provided on the head end supporting concave groove and the vertical locking nail and nail, nail supporting concave groove means, disposed on the trailing end of the wire cover, the end ferrule, the end screw, nail holes, U hexagonal-shaped groove and the groove, respectively nail hole nail penetrating the cortical bone, cancellous bone nail and nail four neck, tail cuff sleeved on the trailing end of the intramedullary fixation device, the tail cap wire the screw threaded end is connected to a U-shaped longitudinal groove on the trailing end of the chute, the U-shaped slot means sight; after the head end by the fractures din intramedullary fixation end and the other end into the medullary canal by longitudinal sliding along the longitudinal intramedullary nail from the trailing end of the fixture to the head end of the driving fixed on the cortical bone, the head end of the longitudinal sides of the chute opening to pour 斜能保证纵锁钉,沿纵行滑槽的头端出口外出时纵锁钉的头端指向骨皮质固定;再将松质骨锁钉或皮质骨锁钉经一侧骨松质或骨皮质穿过对侧骨松质或骨皮质固定,股骨粗隆间骨折或股骨颈骨折者纵横锁髓内固定器上股骨颈锁钉孔设置不在一个平面上,用股骨颈锁钉在股骨颈内能立体锁定;头端的支撑锁钉经瞄准器将支撑锁钉横行打入骨髓腔中心即能卡住头端的凹形槽内,由纵锁钉突出尾端箍多余部分剪除后将盖丝拧入尾端丝杠内,达到治疗长管状骨骨折或者畸形矫正治疗的纵横锁髓内多维立体固定的效果。 Ramp to ensure vertical locking nail, nail tip pointing vertical cortical bone fixation line when the longitudinal end of the chute outlet head out; then cancellous bone or cortical bone nail through the side locking nail cortical bone or cancellous bone contralateral through cancellous bone or cortical bone fixation, fracture or intertrochanteric femoral neck fracture is not a plane vertical and horizontal locking hole is provided on the femoral neck nail intramedullary fixation device, with the femoral neck nail in the femoral neck can sterically locked; nail head end support of the support by sight transverse nail into the medullary cavity concave groove center that can get stuck in the head end, the projecting vertical tail cuff nail excess portions cut off after the lid is screwed into the tail wire the inner end of the screw, to achieve long bone fracture or deformity treated multidimensional aspect interlocking intramedullary fixation effect.

[0005] 本发明临床用纵横锁髓内多维立体固定装置的效果是结构简单,操作方便灵活,可闭合复位安装,缩短了手术时间,降低手术创伤面积,不需用作二次手术取出一端锁钉,有利于病人康复,减轻了病人痛苦,广泛用于长管状骨骨折或畸形矫正的器械设备。 Clinical use multidimensional aspect interlocking intramedullary fixation device of the present invention results [0005] This is a simple structure, convenient operation, can be installed close reset, to shorten the operation time, reducing the surgical wound area, as a secondary operation to remove without end lock nails, facilitate patient recovery, reducing the suffering of patients, it is widely used in appliances and equipment long bone fracture or deformity correction. 附图说明 BRIEF DESCRIPTION

[0006] 本发明临床用纵横锁髓内多维立体固定装置将结合附图作进一步详细描述。 BRIEF described in further detail multidimensional aspect locked intramedullary fixation device used in conjunction with clinical invention [0006] present.

[0007] 图1是本发明临床用纵横锁髓内多维立体固定装置的结构示意图。 [0007] FIG. 1 is a schematic structural diagram of a clinical multidimensional aspect interlocking intramedullary fixation device of the present invention.

[0008] I一盖丝2—尾端植3—尾端丝杠4一松质骨锁钉5—尾端6—皮质骨锁钉7—锁钉孔8—髓内固定器9一头端10—纵锁钉11 一凹形槽12—纵行滑槽13 — U形槽14 一六棱槽15—股骨颈锁钉16—支撑锁钉。 [0008] I a trailing end cap wire 2- 3- plant tail cancellous bone screw 4 a trailing nail 5- 6- 7- cortical bone nail intramedullary nail hole 8- 9 one end of the holder 10 - pilot nail 11 a concave groove 12- wale chute 13 - U-shaped groove 14 a hexagonal groove 15 of the femoral neck nail supporting 16- nail.

具体实施方式 Detailed ways

[0009] 参照图1,本发明临床用纵横锁髓内多维立体固定装置,它是由瞄准器、松质骨锁钉4、皮质骨锁钉6、髓内固定器8、纵锁钉IO、股骨颈锁钉15和支撑锁钉16构成,髓内固定器8内两侧处设置纵行滑槽12,纵行滑槽12内装置纵锁钉10,纵锁钉10具有一定弹性,髓内固定器8的两端分别为头端9和尾端5,头端9上设置凹形槽11和支撑锁钉16与纵锁钉10,凹形槽11内装置支撑锁钉16,尾端5上设置盖丝1、尾端箍2、尾端丝杠3、锁钉孔7、U形槽13和六棱槽14,锁钉孔7内分别穿入皮质骨锁钉6、松质骨锁钉4和四只股骨颈锁钉15,髓内固定器8的尾端5上套置尾端箍2,盖丝I与尾端丝杠3丝扣相连接,纵行滑槽12的尾端5上设置U形槽13,U形槽13内装置瞄准器;将髓内固定嚣8的头端9经骨折一端髓腔进入另一端髓腔后,由纵锁钉10沿髓内固定器8的纵行滑槽12从尾端5向头端9打入固定于皮 [0009] Referring to FIG 1, an aspect of the present invention is a clinical multi-dimensional interlocking intramedullary fixation device, it is by sight, cancellous bone nail 4, 6 cortical bone locking nail, intramedullary fixation 8, the IO vertical locking nail, femoral neck nail 15 and the support nail 16 constituted, intramedullary fixture 8 is provided at the longitudinal sides of the chute 12, longitudinal vertical chute means 12 locking nail 10, the vertical locking nail 10 having a certain elasticity, intramedullary 8 fixed at both ends respectively a head end 9 and trailing end 5, a concave groove 11 and the support nail 16 of the nail 9 longitudinal ends 10, 11 of the concave groove means supporting locking nail 16, the trailing end 5 1 is provided on the wire cover, tail cuff 2, 3 tail screw, nail holes 7, the U-shaped groove 13 and a hexagonal grooves 14, each locking nail holes 7 penetrating the cortical bone nail 6, cancellous bone lock 4 and four neck nail nail 15, is sleeved on the trailing end of the intramedullary fixation device 58 of the trailing end of the ferrule 2, is connected to the cover yarn I tail threading screw 3, the trailing end 12 of the chute wales a U-shaped slot 13. 5, the U-shaped groove 13 means sight; din intramedullary fixation head end 8 of the fracture through the end 9 into the medullary canal after the other end, by a locking screw 10 along the longitudinal intramedullary fixation 8 wale chute 12 from the rear end into the sheath 5 is fixed to the head end 9 骨上,头端9的纵行滑槽12的出口向两侧倾斜能保证纵锁钉10沿头端9的纵行滑槽12的出口外出时纵锁钉10的头端9指向骨皮质固定;再将松质骨锁钉4或皮质骨锁钉6经一侧骨松质或骨皮质穿过对侧骨松质或骨皮质固定,股骨粗隆间骨折或股骨颈骨折者纵横锁髓内固定器8上股骨颈锁钉孔7设置不在一个平面上,用股骨颈锁钉15在股骨颈内能立体锁定;头端9的支撑锁钉16经瞄准器将支撑锁钉16横行打入骨髓腔中心即能卡住头端9的凹形槽11内,由纵锁钉10突出尾端箍2多余部分剪除后将盖丝I拧入尾端丝杠3内,达到治疗长管状骨骨折或者畸形矫正治疗的纵横锁髓内多维立体固定的效果。 Bone, the head end of the outlet chute 12 wales 9 inclined toward the longitudinal sides ensures nail head end 9 directed out the outlet 10 when the bone locking nail 10 in the vertical longitudinal ends of the head 9 is fixed chute 12 cortical ; then cancellous bone or cortical bone nail locking nail 4 through 6 side cancellous bone or cortical bone or cancellous bone through the contralateral cortical bone fixation, fracture or intertrochanteric femoral neck fracture aspect locked intramedullary 8 on the holder neck nail holes 7 are provided not on a plane, with the femoral neck nail can be locked in the femoral neck 15 perspective; nail supporting head end 9 of the support 16 through the sight transverse locking nail 16 into the bone marrow i.e. the central chamber head end 9 can be caught in the concave grooves 11, 10 projecting from the trailing end of the vertical locking nail collar 2 cut off the excess portion will cover the yarn I is screwed into the threaded trailing end 3, to achieve long bone fractures or lock aspect deformity correction intramedullary fixation multidimensional treatment effect.

[0010] 本发明临床用纵横锁髓内多维立体固定装置的实施,它是由头端9经骨折一端髓腔进入再经骨折断端进入另一端髓腔后,由纵锁钉10沿纵行滑槽12从尾端5打向头端9并露出头端9固定在皮质骨上,纵锁钉10沿途有部分外露于纵行滑槽12外,并与沿途骨髓腔内侧壁固定,再通过瞄准器将尾端5的松质骨锁钉4或皮质骨锁钉6经一侧骨皮质经锁钉孔7固定在另一侧骨皮质上;股骨粗隆间骨折或股骨颈骨折用股骨颈锁钉15在股骨颈内能立体锁定;骨折粉碎严重时设置头端9的支撑锁钉16 ;剪除尾端5多余纵锁钉10后套上尾端箍2,将盖丝I拧入尾端丝杠3内,防止纵锁钉10沿纵行滑槽12退出;纵横锁髓内固定器8是通过纵锁钉10外突部分,沿纵行滑槽12与骨髓腔内壁固定及头端9的髓内固定器8外露部分与髓腔内骨质固定;松质骨锁钉4或皮质骨锁钉6通过瞄准器固定后达到纵横锁 [0010] embodiment of the present invention for clinical use multidimensional aspect interlocking intramedullary fixation device, which is the head end 9 into the medullary cavity through one end of the fracture through the fracture site after the re-enters the other end of the medullary cavity, the slide 10 along the longitudinal vertical locking nail 5 grooves 12 from the rear end to the head end 9 and hit the exposed head end 9 is fixed to the cortical bone, locking screw 10 along a longitudinal partially exposed outer longitudinal slide 12, and the bone marrow cavity along the fixed side wall, then by targeting will cancellous bone nail or the trailing end 5 of the cortical bone locking nail 4 through 6 through the cortical bone nail holes 7 fixed to a side of the cortical bone on the other side; fractures or intertrochanteric femoral neck fracture with locking perspective staple 15 can be locked in the femoral neck; severe comminution nail head end of a support 9, 16:00; 5 cut off the trailing end of the trailing end of the extra vertical locking nail sleeve 2 after the cuff 10, the trailing end cap is screwed into the threaded wire I 3, to prevent the locking nail 10 along the longitudinal wales 12 exit chute; intramedullary aspect lock holder 8 through 10 outer longitudinal portion projecting locking nail, along the longitudinal slide groove 12 and the bone marrow cavity wall and the fixing of the head end 9 the exposed portion of the holder 8 intramedullary bone fixation; cancellous bone or cortical bone nail nail 4 through 6 after reaching aspect sight fixed lock 髓腔内多维立体固定,即能防止旋转又能防止退缩,纵锁钉10设有一定弹性功能又设有一定的弹性固定功能,髓内固定器8弯度以骨正常弯度制定,符合骨生理弧度。 Intramedullary fixation multidimensional, i.e., can be prevented but also to prevent back rotation, the vertical locking nail 10 is provided with a certain elasticity function and fixing function with a certain elasticity, the intramedullary fixation device 8 camber curvature develop normal bone, the bone in line with the physiological curvature .

Claims (2)

1.一种临床用纵横锁髓内多维立体固定装置,它是由瞄准器、松质骨锁钉(4)、皮质骨锁钉(6)、髓内固定器(8)、纵锁钉(10)、股骨颈锁钉(15)和支撑锁钉(16)构成,其特征是髓内固定器(8)内两侧处设置纵行滑槽(12),纵行滑槽(12)内装置纵锁钉(10),纵锁钉(10)具有一定弹性,髓内固定器(8)的两端分别为头端(9)和尾端(5),头端(9)上设置凹形槽(11)和支撑锁钉(16)与纵锁钉(10),凹形槽(11)内装置支撑锁钉(16),尾端(5)上设置盖丝(I)、尾端箍(2)、尾端丝杠(3)、锁钉孔(7)、U形槽(13)和六棱槽(14),锁钉孔(7)内分别穿入皮质骨锁钉(6 )、松质骨锁钉(4 )和四只股骨颈锁钉(15 ),髓内固定器(8 )的尾端(5 )上套置尾端箍(2),盖丝(I)与尾端丝杠(3)丝扣相连接,纵行滑槽(12)的尾端(5)上设置U形槽(13),U形槽(13)内装置瞄准器。 A clinical use of multi-dimensional aspect interlocking intramedullary fixation device, it is by sight, cancellous bone nail (4), cortical locking screw (6), the intramedullary fixation device (8), a longitudinal locking nail ( 10), femoral neck nail (15) and a support nail (16), and characterized in that the intramedullary fixation device (8) is provided at both sides of the longitudinal slide (12), the inner longitudinal slide (12) longitudinal nail means (10), a longitudinal locking nail (10) having a certain elasticity, both ends of the intramedullary fixation device (8) are provided on the head end of the recess (9) and a trailing end (5), the head end (9) shaped groove (11) and a support nail (16) and the vertical locking nail (10), the concave grooves (11) supporting the locking screw means (16), the trailing end (5) is provided on the wire cover (the I), the trailing end cuff (2), the trailing end of the screw (3), nail holes (7), the U-shaped groove (13) and the hexagonal groove (14), nail holes (7) are penetrated cortical bone nail (6 ), cancellous bone nail (4) and the neck four locking nail (15), the intramedullary fixation device (8) is sleeved on the trailing end (5) the trailing end of the ferrule (2), a cover yarn (I) and the trailing end of the screw (3) with threaded connection, a U-shaped groove (13) on the trailing end of longitudinal chute (12) (5), the U-shaped groove (13) means sight.
2.按照权利要求1所述的临床用纵横锁髓内多维立体固定装置,其特征是髓内固定嚣(8)的头端(9)经骨折一端髓腔进入另一端髓腔后,由纵锁钉(10)沿髓内固定器(8)的纵行滑槽(12)从尾端(5)向头端(9)打入固定于皮质骨上,头端(9)的纵行滑槽(12)的出口向两侧倾斜能保证纵锁钉(10)沿头端(9)的纵行滑槽(12)的出口外出时纵锁钉(10)的头端(9)指向骨皮质固定。 Clinical use multidimensional aspect interlocking intramedullary fixation device according to claim 2 1, wherein the intramedullary fixation din (8) of the head (9) through the fracture into the other end of the canal end of the medullary cavity, the longitudinal nail (10) along the intramedullary fixture (8) of the longitudinal slide (12) from the rear end (5) to the head end (9) is fixed to the cortical bone into the head end (9) of the longitudinal slide outlet end of the outlet header tank (12) is inclined toward the longitudinal sides ensures locking nail (10) in the head end (9) of the longitudinal slide (12) when they go out the vertical locking nail (10) (9) pointing bone cortical fixation. ` `
CN 201110452490 2011-12-30 2011-12-30 Clinical vertically and horizontally-locking intramedullary multi-dimensional stereotaxic device CN102512234B (en)

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