CN102641149A - Hip joint dislocation reset traction device - Google Patents
Hip joint dislocation reset traction device Download PDFInfo
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- CN102641149A CN102641149A CN2011100409185A CN201110040918A CN102641149A CN 102641149 A CN102641149 A CN 102641149A CN 2011100409185 A CN2011100409185 A CN 2011100409185A CN 201110040918 A CN201110040918 A CN 201110040918A CN 102641149 A CN102641149 A CN 102641149A
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- spicule
- ilium
- guide rail
- folder
- hip joint
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Abstract
The invention relates to a hip joint dislocation reset traction device, which consists of an ilium bone needle, an ilium bone needle clamp, a connecting plate, a triangular force application frame, regulating and fixing screw nuts, an auxiliary guide rail, a near end thigh bone needle clamp, a main guide rail, a thigh bone needle, a far end thigh bone needle clamp and a guide sleeve, wherein the ilium bone needle clamp is a plate element with the curvature similar to the curvature of the human body ilium bone and is combined with the ilium bone needle, the lower part of the ilium bone needle clamp is connected with the connecting plate, the connecting plate is screwed with the main guide rail, the triangular force application frame is fixedly clamped on the main guide rail, the auxiliary guide rail is arranged on the triangular force application frame in a penetrating way, and the regulating and fixing screw nuts and screws are respectively used for combination. The far end thigh bone needle clamp and the near end thigh bone needle clamp are respectively arranged at the far end of the main guide rail in a penetrating way, the regulating and fixing screw nuts are respectively screwed on the main guide rail arranged at the two sides, and the thigh bone needle is penetrated and clamped on the near end thigh bone needle clamp and the far end thigh bone needle clamp. The hip joint dislocation reset traction device is applicable to hip joint dislocation reset, is also applicable to hip joint dislocation reset and patients with short sick legs requiring the thigh bone lengthening, is also applicable to hip joint dislocation reset and patients with sick legs requiring thigh bone shortening, and can also be used for femoral head slipped epiphysis correction on juveniles.
Description
Technical field
The present invention relates to the orthopaedics field.Relate in particular to the traction apparatus that resets of a kind of dislocation of hip joint that dislocation of hip joint and slipped femoral epiphysis need reset.
Background technology
Hip joint is formed a mobilizable joint by the acetabular bone on femoral head and the ilium, just causes dislocation of hip joint when femoral head and mortar nest break away from, often because the untimely old dislocation of hip joint that becomes that resets; The distance of its dislocation reaches several centimetres sometimes, often forms a new mortar nest again in the position of dislocation and reaches the several years, influences people's motion; Because new acetabular bone is too little, not only support unstable, to a dating pain then takes place; Moving difficulty also causes femoral head distortion or downright bad easily.Address this problem it is resetted.Light or because the fresh hip dislocation that wound produces for the dislocation degree, often adopt simple skin to lead or the bed of threading a needle is gone up traction and can be gathered effect.But for old, resetting of the dislocation of hip joint that especially dislocation distance is big with above-mentioned way very difficulty, even possibly do not accomplished resetting of task.Adopt the secondary damage of method of operation too big, effect is also undesirable, if child will influence the growth in its all one's life and life from now on, influences its work and motion for the adult, has a strong impact on his life quality.The capital epiphysis of the teenage patient place that also has is owing to external force or the also easy generation slippage of other reason, and the employing skin leads or the common application of force all can not reset.
Summary of the invention
For the purpose of the reliable reset of accomplishing dislocation of hip joint or slipped femoral epiphysis has been invented the traction apparatus that resets of simple in structure, easy to operate, the adjustable dislocation of hip joint of traction.This invention is short or suffer from the lower limb patient longer than another good lower limb for the hip joint future trouble leg length that resets, and also can disposablely prolong or carry out to make the consistent purpose of two leg lengths after cripetura reaches reduction by traction with the present invention.That is to say that the present invention is applicable to resetting of dislocation of hip joint; The rectification of slipped femoral epiphysis; Also can when the completion dislocation of hip joint resets, accomplish the short prolongation work of femur, or accomplish the cripetura task of accomplishing femur length when dislocation of hip joint resets.
The technical scheme that the present invention is adopted for its technical barrier of solution is made up of ilium spicule, ilium spicule folder, connecting plate, the afterburning frame of triangle, the solid nut of accent, auxiliary guide rail, proximal femurs spicule folder, main guide rail, femur spicule, distal femoral spicule folder, guide pin bushing.
Ilium spicule folder is a plate that curvature is close with human body ilium curvature, and the through hole through its edge combines with the ilium spicule, and the bottom becomes screw to be connected with connecting plate.Connecting plate is being twisted two main guide rails; Clamping the afterburning frame of two groups of triangles on the main guide rail; Auxiliary guide rail is installed on the afterburning frame of two groups of triangles, and with transferring solid nut and screw combination, the far-end of main guide rail is installed with closely, distal femoral spicule folder respectively; Closely, twisting respectively on the main guide rail of distal femoral spicule folder both sides and transfer solid nut, femur spicule to wear to be clipped near, the distal femoral spicule folder.
Ilium spicule folder consists of a plate that curvature is close with human body ilium curvature by back plate, lock-screw, header board and lock shaft; Back plate and header board are riveted together with lock shaft; The inclination angle that changes the junction changes its curvature; Top edge at header board, back plate is drilled with through hole so that the ilium spicule is penetrated, and tightens up with lock-screw.The downside of plate is processed with screwed hole in the back, in order to combine with connecting plate.
Connecting plate is made up of connection plate body, hold-down screw.Connecting plate body is a rectangle plate, and the top is designed with two tapped blind holes and does with main guide rail and be threaded, and the below is drilled with two through holes and penetrates hold-down screw and press from both sides with the ilium spicule and link to each other.
Main guide rail is two screw thread members.
The afterburning frame of triangle is made up of attachment screw, undercarriage piece, upper frame block.Undercarriage piece and upper frame block are combined triangular in shape with attachment screw, three through holes of design on three angles, and it respectively accounts for half two through holes at upper frame block and undercarriage bonded place, this two holes clamping main guide rail, a hole of top is passed auxiliary guide rail.
Auxiliary guide rail also is a screw thread member.
Proximal femurs spicule folder is made up of hold-down screw, spicule folder loam cake, spicule clamp.Spicule folder loam cake is the rectangular-shaped piece that there is through hole at a center, links to each other with the spicule clamp with trip bolt, has through hole on the joint face, and in order to clamping femur spicule, the side-lower of spicule clamp is drilled with two through holes, so that be installed on the main guide rail.
Distal femoral spicule clamping structure is identical with proximal femurs spicule clamping structure.
On the main guide rail of the both sides of afterburning frame of triangle and near, distal femoral spicule folder and be screwed with respectively on the auxiliary guide rail and transfer solid nut.
Guide pin bushing is the T shape ladder cylindrical member that a centre is a through hole, is used as at the guiding directional orientation tool of beating the spicule hole on the ilium or on the femur.
(1) being used for dislocation of hip joint resets when drawing:
Regulate the solid nut of accent of the afterburning frame of triangle both sides according to doctor's design; The afterburning frame of triangle that makes near-end is near connecting plate; The afterburning frame of the triangle of far-end presss from both sides near the proximal femurs spicule as much as possible; Regulate after triangle girder construction that the solid nut of accent of its both sides forms main guide rail and auxiliary guide rail produces the prestressing force of an anti-inflection, screwing, each transfers nut admittedly.Installed proximal femurs spicule folder at the main guide rail far-end.The present invention is abutted in patient's ilium side; Make ilium spicule folder lean against the ilium place and make the ilium spicule press from both sides the through hole that penetrates spicule and align edges such as ilium sour jujube; Make the spicule hole of proximal femurs spicule folder align the appropriate location of femoral shaft simultaneously; In the through hole of ilium spicule folder of spicule is squeezed in design, insert guide pin bushing, make drill bit pass through the guide pin bushing hole drill to ilium.Take out drill bit and drill bushing, be screwed into the ilium spicule.Using the same method is screwed into required each position ilium spicule of squeezing into, uses the same method then, the proximal femurs spicule is screwed into the relevant position of femur.Regulate the reset distance of traction apparatus and human body of dislocation of hip joint, tighten the hold-down screw on lock-screw that ilium spicule folder goes up relative ilium spicule place and the proximal femurs spicule folder after suitable, the proximal femurs of screwing spicule presss from both sides the accent nut admittedly on the main guide rail of both sides.When treating to draw, unclamp the solid nut of accent of far-end one side of proximal femurs spicule folder, the solid nut of the accent of its near-end one side of turn; Proximal femurs spicule folder is moved to far-end; The proximal femurs spicule was carried moving femur spicule secretly and then was driven femur to distal movement this moment, and at this moment femoral head is furthered to the acetabular bone place by dislocation place, repeats this operation; To make femoral head reset to the acetabular bone place, reach the purpose that resets of dislocation of hip joint.Need after resetting to keep a period of time, it is no longer rebounded.Remove the present invention and take out each spicule.Accomplish the task that resets of dislocation of hip joint.
(2) be used for that dislocation of hip joint resets and big short legs need carry out patient that femur prolongs the time:
Owing to reasons such as growth promoter, the patient not only has the symptom of dislocation of hip joint, and suffers from and also lacking than other one leg after lower limb resets, and such patient has used distal femoral spicule folder at far-end more when use is of the present invention.Regulate the solid nut of accent of the afterburning frame of triangle both sides this moment according to doctor's design; The afterburning frame of triangle that makes near-end is near connecting plate; The afterburning frame of the triangle of far-end presss from both sides near the proximal femurs spicule as much as possible; Regulate after triangle girder construction that the solid nut of accent of its both sides forms main guide rail and auxiliary guide rail produces the prestressing force of an anti-inflection, screwing, each transfers nut admittedly.Proximal femurs spicule folder and distal femoral spicule folder have been installed at the main guide rail far-end.The present invention is abutted in patient's ilium side; Make ilium spicule folder lean against the ilium place and make the ilium spicule press from both sides the through hole that penetrates spicule and align edges such as ilium sour jujube; Make the spicule hole of proximal femurs spicule folder align the appropriate location of femoral shaft simultaneously; In the through hole of ilium spicule folder of spicule is squeezed in design, insert guide pin bushing, make drill bit pass through the guide pin bushing hole drill to ilium.Take out drill bit and guide pin bushing, be screwed into the ilium spicule, using the same method is screwed into required each position ilium spicule of squeezing into.Use the same method then; The spicule hole that the femur spicule of near-end is passed proximal femurs spicule folder is screwed into the relevant position of femur; The spicule hole of again the femur spicule of far-end being passed distal femoral spicule folder is screwed into the relevant position of femur, and the distance between the spicule of two spicules folder should be greater than 2 centimetres.Femur between the spicule that then spicule of proximal femurs spicule folder and distal femoral spicule is pressed from both sides blocks.Regulate the distance of ilium reduction of joint dislocation traction apparatus and human body; Tighten the hold-down screw on lock-screw that ilium spicule folder goes up relative ilium spicule place and proximal femurs spicule folder, the distal femoral spicule folder after suitable, and the nut admittedly of the accent on the proximal femurs spicule folder of screwing, distal femoral spicule folder both sides main guide rail.When treating to draw; Unclamp the solid nut of accent on the main guide rail of distal femoral spicule folder both sides; And unclamp the solid nut of accent of far-end one side of proximal femurs spicule folder, the accent of its near-end one side of turn is nut admittedly, makes closely, distal femoral spicule folder moves to far-end synchronously; Near at this moment, distal femoral spicule is carried moving respective femur spicule secretly and then is driven femur to distal movement; At this moment femoral head is furthered to the acetabular bone place by dislocation place, if the solid nut of the unadjusted accent of attention has when disturbing above the operation, answers turn to transfer solid nut to eliminate interference accordingly.Repeat aforesaid operations, will make femoral head reset to the acetabular bone place, reach the purpose that resets of dislocation of hip joint.The solid nut of accent on the both sides main guide rail of fastening near, distal femoral spicule folder.The standby phase, 2-3 was after week; The solid nut of accent that unclamps solid its nearside of nut turn of distally accent of distal femoral spicule folder moves to far-end with one millimeter speed promotion every day distal femoral spicule folder and then drive femoral far section; Thigh is increased; To suffer from leg length identical with another good leg length until making, and stops turn and tighten.The back dismounting the present invention that waits to fully recover takes out each spicule.Accomplish resetting and prolonging of the task of dislocation of hip joint.
(3) be used for that dislocation of hip joint resets and thigh length need carry out patient that femur shortens the time:
Small number of patients is arranged except that dislocation of hip joint; And the length of suffering from lower limb is also longer than the length of another good lower limb; The dislocation of hip joint back two legs different length that resets, this patient use when of the present invention, regulate the solid nut of accent of the afterburning frame of triangle both sides according to doctor's design; The afterburning frame of triangle that makes near-end is near connecting plate; The afterburning frame of the triangle of far-end is as much as possible near proximal femurs spicule folder, regulates after triangle girder construction that the solid nut of accent of its both sides forms main guide rail and auxiliary guide rail produces the prestressing force of an anti-inflection, and screwing, each transfers nut admittedly.Proximal femurs spicule folder and distal femoral spicule folder have been installed at the main guide rail far-end.The present invention is abutted in patient's ilium side; Make ilium spicule folder lean against the ilium place and make the ilium spicule press from both sides the through hole that penetrates spicule and align edges such as ilium sour jujube; Make spicule hole near, distal femoral spicule folder align the appropriate location of femoral shaft simultaneously; In the through hole of ilium spicule folder of spicule is squeezed in design, insert guide pin bushing, make drill bit pass through the guide pin bushing hole drill to ilium.Take out drill bit and guide pin bushing, be screwed into the ilium spicule, using the same method is screwed into required each position ilium spicule of squeezing into.Use the same method then; The spicule hole that the femur spicule of near-end is passed proximal femurs spicule folder is screwed into the relevant position of femur; The spicule hole of again the femur spicule of far-end being passed distal femoral spicule folder is screwed into the relevant position of femur, and the distance between the spicule of two spicules folder should equal the size that patient's femur need shorten and add more than 2 centimetres.One section femur fragment of the size that the femur amputation length between the spicule that the spicule of proximal femurs spicule folder and distal femoral spicule are pressed from both sides need shorten for patient's femoral shaft.Regulate the distance of ilium reduction of joint dislocation traction apparatus and human body; Tighten the hold-down screw on lock-screw that ilium spicule folder goes up relative ilium spicule place and proximal femurs spicule folder, the distal femoral spicule folder after suitable, and the nut admittedly of the accent on the proximal femurs spicule folder of screwing, distal femoral spicule folder both sides main guide rail.When treating to draw; Unclamp the solid nut of accent of far-end one side of proximal femurs spicule folder; The solid nut of the accent of its near-end one side of turn; Proximal femurs spicule folder is moved to far-end, and the proximal femurs spicule was carried moving respective femur spicule secretly and then was driven the nearly section of femur to distal movement this moment, and at this moment femoral head is furthered to the acetabular bone place by dislocation place; Have when disturbing above operation if note the solid nut of unadjusted accent (the solid nut of accent that comprises distal femoral spicule folder both sides---this possibly be because the nearly section of femur is collided with the femoral far section), answer that turn is corresponding transfers solid nut to disturb to eliminate.Repeat aforesaid operations, will make femoral head reset to the acetabular bone place, reach the purpose that resets of dislocation of hip joint.The solid nut of accent on the both sides main guide rail of fastening proximal femurs spicule folder.Unclamp the nearside of distal femoral spicule folder and transfer solid nut; The solid nut of the accent in its distally of turn moves to near-end with one millimeter speed promotion every day distal femoral spicule folder and then drive femoral far section; Collide until the nearly section of femoral far section and femur and to make the good lower limb length of thigh length and another read to equate shut-down operation.Twist solid all screws, nut.The back dismounting the present invention that waits to fully recover takes out each spicule.Accomplish resetting and task that femur need shorten of dislocation of hip joint.
When (four) being used for the rectification of minor's slipped femoral epiphysis:
When the needs of patients of minor's slipped femoral epiphysis was corrected, the operation when its operational approach is used for dislocation of hip joint and resets traction with () was the same.Regulate the solid nut of accent of the afterburning frame of triangle both sides according to doctor's design; The afterburning frame of triangle that makes near-end is near connecting plate; The afterburning frame of the triangle of far-end presss from both sides near the proximal femurs spicule as much as possible; Regulate after triangle girder construction that the solid nut of accent of its both sides forms main guide rail and auxiliary guide rail produces the prestressing force of an anti-inflection, screwing, each transfers nut admittedly.Installed proximal femurs spicule folder at the main guide rail far-end.The present invention is abutted in patient's ilium side; Make ilium spicule folder lean against the ilium place and make the ilium spicule press from both sides the through hole that penetrates spicule and align edges such as ilium sour jujube; Make the spicule hole of proximal femurs spicule folder align the appropriate location of femoral shaft simultaneously; In the through hole of ilium spicule folder of spicule is squeezed in design, insert guide pin bushing, make drill bit pass through the guide pin bushing hole drill to ilium.Take out drill bit and drill bushing, be screwed into the ilium spicule.Using the same method is screwed into required each position ilium spicule of squeezing into, uses the same method then, the proximal femurs spicule is screwed into the relevant position of femur.Regulate the distance of ilium reduction of joint dislocation traction apparatus and human body, tighten the hold-down screw on lock-screw that ilium spicule folder goes up relative ilium spicule place and the proximal femurs spicule folder after suitable, the proximal femurs of screwing spicule presss from both sides the accent nut admittedly on the main guide rail of both sides.When treating to draw; Unclamp the solid nut of accent of far-end one side of proximal femurs spicule folder, the solid nut of the accent of its near-end one side of turn makes proximal femurs spicule folder move to far-end; The epiphysis femur outward that this moment, the proximal femurs spicule was carried moving femur spicule and then drive femoral head place secretly is to distal movement; At this moment femoral head thigh epiphysis slippage gradual correction repeats this operation, reaches the rectification fully of slipped femoral epiphysis.Need after the rectification to keep a period of time, it is no longer rebounded.Remove the present invention and take out each spicule.Accomplish slipped femoral epiphysis and correct task.Be noted that: 1, each spicule must be twisted the offside cortical bone to increase constant intensity;
2, when draw, should be not too urgent during move operation, occur pain during traction and should slow down or shut-down operation, in case of necessity can be to reverse operation to alleviate pain.To prevent that especially the painful phenomenon of fiber crops from occurring.
3, when regulate transferring solid nut three guide rails to occur flexural deformation trend is arranged, should in time regulate on the afterburning frame both sides main guide rail of triangle and the auxiliary guide rail accent admittedly nut correct.
Good effect of the present invention is:
1. simple in structure, adjusted convenience;
2. the big I STOCHASTIC CONTROL of pull strength meets the afterburning dynamics that human body adapts to theory, and the patient suffering is little during afterburning the traction, even is issued to the purpose that resets in painless situation;
3. having solved the dislocation of hip joint distance is difficult to greatly lead or bed is gone up the difficult problem that traction solves with skin;
4. avoided operation to the patient bring mentally, sensual misery, alleviated financial burden, the misery of avoiding causing bad sequela such as spot to bring to the patient because of operation;
5. applied range of the present invention can be done resetting of dislocation of hip joint; Also can do the rectification of slipped femoral epiphysis etc.;
6. for dislocation of hip joint and suffer from lower limb than another good short legs or long patient, the present invention can accomplish the prolongation of lower limb or the purpose of shortening when accomplishing the resetting of hip joint;
7, the present invention be one very the collection of hommization draw, prolong, shorten, be fixed in the traction apparatus that resets of all over the body dislocation of hip joint.
Description of drawings
Below in conjunction with width of cloth figure and embodiment the present invention is further specified.
Fig. 1 is a structural representation of the present invention
Fig. 2 is the structural representation of ilium spicule folder of the present invention
Fig. 3 is the structural representation of connecting plate of the present invention
Fig. 4 is the structural representation of the afterburning frame of triangle of the present invention
Fig. 5 is the structural representation of auxiliary guide rail of the present invention
Fig. 6 is the structural representation of main guide rail of the present invention
Fig. 7 is the structural representation of proximal femurs spicule folder of the present invention
Fig. 8 is the structural representation of guide pin bushing of the present invention
Fig. 9 is the patient's user mode sketch map that dislocation of hip joint resets and draws that is used for of the present invention
Figure 10 is the user mode sketch map that is used for dislocation of hip joint and suffers from the patient that short legs need prolong of the present invention
Figure 11 is the user mode sketch map that is used for dislocation of hip joint and suffers from the long patient that need shorten of lower limb of the present invention
Figure 12 is the patient's user mode sketch map that slipped femoral epiphysis need draw that is used for of the present invention
The specific embodiment:
Dislocation of hip joint as shown in Figure 1 resets, and nut (5), auxiliary guide rail (6), proximal femurs spicule folder (7), main guide rail (8), femur spicule (9), distal femoral spicule folder (10), guide pin bushing (11) are formed admittedly by ilium spicule (1), ilium spicule folder (2), connecting plate (3), the afterburning frame (4) of triangle, accent in traction apparatus.Ilium spicule folder (2) is a plate that curvature is close with human body ilium curvature, and the through hole through its edge combines with ilium spicule (1), and the bottom is connected with connecting plate (3).Connecting plate (3) is being twisted two main guide rails (8); Main guide rail (8) is gone up clamping and the afterburning frame (4) of two groups of triangles; Auxiliary guide rail (6) is installed on the afterburning framves of two groups of triangles (4); Respectively with transferring solid nut (5) combination; The far-end of main guide rail (8) is installed with twisting respectively on the both sides main guide rail (8) of proximal femurs spicule folder (7), distal femoral spicule folder (10) proximal femurs spicule folder (7) distal femoral spicule folder (10) and transfers solid nut (5), femur spicule (9) to wear respectively to be clipped on proximal femurs spicule folder (7), the distal femoral spicule folder (10), and guide pin bushing (11) is the steering tool that bores the spicule hole.
Ilium spicule folder as shown in Figure 2 (2) is formed a curvature and the close plate of human body ilium side curvature by back plate (2-1), lock-screw (2-2), header board (2-3) and lock shaft (2-4); Back plate (2-1) is riveted together with lock shaft (2-4) with header board (2-3); The inclination angle that changes the junction changes its curvature; At header board (2-3), back plate) 2-1) top edge is drilled with through hole so that ilium spicule (1) is penetrated, and tightens up with lock-screw (2-2).Downside at back plate (2-1) is processed with screwed hole, in order to combine with connecting plate (3).
Connecting plate as shown in Figure 3 (3) is made up of connection plate body (3-1), hold-down screw (3-2).Connecting plate body (3-1) is a rectangle plate, and the top is designed with two tapped blind holes and does with main guide rail (8) and be threaded, and the below is drilled with two through holes and penetrates hold-down screw (3-2) and ilium spicule and press from both sides (2) and link to each other and see Fig. 1.
Main guide rail as shown in Figure 6 (8) is a screw thread member.
The afterburning frame of triangle as shown in Figure 4 (4) is made up of attachment screw (4-1), undercarriage piece (4-2), upper frame block (4-3).Undercarriage piece (4-2) is combined triangular in shape with upper frame block (4-3) with attachment screw (4-1); Three through holes have been designed on three angles; Two through holes of upper frame block (4-3) and undercarriage piece (4-2) junction it respectively account for half the; This two hole is used for clamping main guide rail (8), and a hole of top lets auxiliary guide rail (6) pass.
Auxiliary guide rail (6) also is that a screw thread member is seen Fig. 5.
Proximal femurs spicule folder as shown in Figure 7 (7) is made up of hold-down screw (7-1), spicule folder loam cake (7-2), spicule clamp (7-3).Spicule folder loam cake (7-2) is the rectangular-shaped piece that there is through hole at a center; Link to each other with spicule clamp (7-3) with trip bolt (7-1), have through hole on the joint face, in order to clamping femur spicule (9); The side-lower of spicule clamp (7-3) is drilled with two through holes, so that be installed on the main guide rail (8).
Distal femoral spicule folder (10) is identical with proximal femurs spicule folder (7) structure.
On the both sides main guide rail (8) of the afterburning frame (4) of triangle and proximal femurs spicule folder (7) and distal femoral spicule folder (10) and auxiliary guide rail (6), be screwed with respectively accent admittedly nut (5) see Fig. 1.
Guide pin bushing (11) is the T shape ladder cylindrical member that a centre is a through hole, is used as at the guiding directional orientation tool of beating the spicule hole on the ilium or on the femur.
Make use-case () be used for dislocation of hip joint reset the traction the patient as shown in Figure 9.Regulate the solid nut (5) of accent of the afterburning frame (4) of triangle both sides according to doctor's design; The afterburning frame of triangle (4) that makes near-end is near connecting plate (3); The afterburning frame of the triangle of far-end (4) is as much as possible near proximal femurs spicule folder (7); After the solid nut (5) of accent of regulating its both sides made the prestressing force of an anti-inflection of triangle girder construction generation of forming with main guide rail (8) and auxiliary guide rail (6), screwing, each transferred solid nut (5).Installed proximal femurs spicule folder (7) at main guide rail (8) far-end.The present invention is abutted in patient's ilium side, make ilium spicule folder (2) lean against the ilium place and make the through hole that penetrates spicule on the ilium spicule folder (2) align edges such as ilium sour jujube, make the spicule hole of proximal femurs spicule folder (7) align the appropriate location of femoral shaft simultaneously.In the through hole of ilium spicule folder (2) of spicule is squeezed in design, insert guide pin bushing (11), make drill bit pass through guide pin bushing (11) hole drill to ilium.Take out drill bit and drill bushing (11), be screwed into ilium spicule (1).Use the same method required each position ilium spicule (1) of squeezing into is screwed into.Use the same method then, the femur spicule (9) of near-end is screwed into the relevant position of femur.Regulate the reset distance of traction apparatus and human body of dislocation of hip joint; Tighten ilium spicule folder (2) after suitable and go up the hold-down screw (7-1) on lock-screw (2-2) that relative ilium spicule (1) locates and the proximal femurs spicule folder (7), the accent on the proximal femurs of screwing simultaneously spicule folder (7) both sides main guide rails (8) is nut (5) admittedly.When treating to draw; Unclamp the solid nut (5) of accent of far-end one side of proximal femurs spicule folder (7); The solid nut (5) of the accent of its near-end one side of turn; Proximal femurs spicule folder (7) is moved to far-end, and proximal femurs spicule folder this moment (7) drives femur spicule (9) and then drives femur to distal movement, and at this moment femoral head is furthered to the acetabular bone place by dislocation place.Repeat this operation, will make femoral head reset to the acetabular bone place, reach the purpose that resets of dislocation of hip joint.Need after resetting to keep a period of time, it is no longer rebounded.Remove the present invention and take out each spicule.Accomplish the task that resets of dislocation of hip joint.
It is shown in figure 10 to make use-case (two) be used for the patient that dislocation of hip joint resets and short legs need carry out the femur prolongation greatly.Owing to reasons such as growth promoter, the patient not only has the symptom of dislocation of hip joint, and suffers from and also lacking than another good lower limb after lower limb resets.Such patient has used distal femoral spicule folder (10) at far-end more when use is of the present invention.Regulate the solid nut (5) of accent of the afterburning frame (4) of triangle both sides this moment according to doctor's design; The afterburning frame of triangle (4) that makes near-end is near connecting plate (3); The afterburning frame of the triangle of far-end (4) is as much as possible near proximal femurs spicule folder (7); Regulate after triangle girder construction that the solid nut (5) of accent of its both sides forms main guide rail (8) and auxiliary guide rail (6) produces the prestressing force of an anti-inflection, screwing, each transfers nut (5) admittedly.Far-end at main guide rail (8) has installed proximal femurs spicule folder (7) and distal femoral spicule folder (10).The present invention is abutted in patient's ilium side; Make ilium spicule folder (2) lean against the ilium place and make the through hole that penetrates spicule on the ilium spicule folder (2) align edges such as ilium sour jujube, make spicule hole that proximal femurs spicule folder (7) and distal femoral spicule press from both sides (10) align the appropriate location of femoral shaft simultaneously.In the through hole of ilium spicule folder (2) of spicule is squeezed in design, insert guide pin bushing (11), make hole drill that drill bit passes through guide pin bushing (11), take out drill bit and guide pin bushing (11), be screwed into ilium spicule (1) to ilium.Use the same method required each position ilium spicule (1) of squeezing into is screwed into.Use the same method then; The spicule hole that the femur spicule (9) of near-end is passed proximal femurs spicule folder (7) is screwed into the relevant position of femur; The spicule hole of again the femur spicule (9) of far-end being passed distal femoral spicule folder (10) is screwed into the relevant position of femur, and the distance between the spicule of two spicules folder should be greater than 2 centimetres.The femur that the femur spicule (9) of proximal femurs spicule folder (7) and distal femoral spicule is pressed from both sides between the femur spicule (9) of (10) blocks.Regulate the reset distance of traction apparatus and human body of dislocation of hip joint; Tighten ilium spicule folder (2) after suitable and go up the lock-screw that relative ilium spicule (1) locates (hold-down screw (7-1) on (2-2) and proximal femurs spicule folder (7), the distal femoral spicule folder (10), and the nut (5) admittedly of the accent on the proximal femurs spicule folder (7) of screwing, distal femoral spicule folder (10) both sides main guide rails (8).When treating to draw; Unclamp the solid nut (5) of accent on distal femoral spicule folder (10) both sides main guide rails (8); And unclamp the solid nut (5) of accent of far-end one side of proximal femurs spicule folder (7); The solid nut (5) of the accent of its near-end one side of turn; Proximal femurs spicule folder (7) and distal femoral spicule folder (10) is moved to far-end synchronously, and proximal femurs spicule folder this moment (7), distal femoral spicule folder (10) drive respective femur spicule (1) and then drive femur to distal movement, and at this moment femoral head is furthered to the acetabular bone place by dislocation place.Have when disturbing above the operation if note the solid nut (5) of unadjusted accent, answer turn to transfer solid nut (5) accordingly to eliminate interference.Repeat aforesaid operations, will make femoral head reset to the acetabular bone place, reach the purpose that resets of dislocation of hip joint.The solid nut (5) of accent on the main guide rail (8) of the both sides of fastening proximal femurs spicule folder (7) and distal femoral spicule folder (10).The standby phase, 2-3 was after week; The solid nut (5) of accent that unclamps solid nut (5) its nearside of turn of distally accent of distal femoral spicule folder (10) moves to far-end with one millimeter speed promotion distal femoral spicule folder every day (10) and then drive femoral far section; Thigh is increased; To suffer from leg length identical with another good leg length until making, and stops turn and tighten up.The back dismounting the present invention that waits to fully recover takes out each spicule.Accomplish resetting and prolonging of the task of dislocation of hip joint.
Make use-case (three) be used for that dislocation of hip joint resets and thigh length needs the patient that femur is shortened shown in figure 11.Small number of patients is arranged except that dislocation of hip joint; The length of suffering from lower limb is also longer than the length of another good lower limb; The dislocation of hip joint back two legs different length that resets then, this patient use when of the present invention, regulates the solid nut (5) of accent of the afterburning frame (4) of triangle both sides according to doctor's design; The afterburning frame of triangle (4) that makes near-end is near connecting plate (3); The triangle reinforcing frame (4) of far-end is as much as possible near proximal femurs spicule folder (7), and after the solid nut (5) of accent of regulating its both sides made the prestressing force of an anti-inflection of triangle girder construction generation of forming with main guide rail (8) and auxiliary guide rail (6), screwing, each transferred solid nut (5).Far-end at main guide rail (8) has installed proximal femurs spicule folder (7) and distal femoral spicule folder (10).The present invention is abutted in patient's ilium side; Make ilium spicule folder (2) lean against the ilium place and make the ilium spicule press from both sides the through hole that penetrates spicule on (2) and align edges such as ilium sour jujube; Make the proximal femurs spicule folder (7) and the spicule hole of distal femoral spicule folder (10) align the appropriate location of femoral shaft simultaneously, in the ilium spicule that spicule is squeezed in design presss from both sides the through hole of (2), insert guide pin bushing (11), make hole drill that drill bit passes through guide pin bushing (11) to ilium; Take out drill bit and guide pin bushing (11), be screwed into ilium spicule (1).Use the same method required each position ilium spicule (1) of squeezing into is screwed into.Use the same method then; The spicule hole that the femur spicule (9) of near-end is passed proximal femurs spicule folder (7) is screwed into the relevant position of femur; The spicule hole of again the femur spicule (9) of far-end being passed distal femoral spicule folder (10) is screwed into the relevant position of femur, and the distance between the spicule of two spicules folder should equal the size that patient's femur need shorten and add more than 2 centimetres.The femur spicule (9) of proximal femurs spicule folder (7) and distal femoral spicule are pressed from both sides one section femur fragment of the size that the femur amputation length between the femur spicule (9) of (10) need shorten for patient's femoral shaft.Regulate the reset distance of traction apparatus and human body of dislocation of hip joint; Tighten ilium spicule folder (2) after suitable and go up the hold-down screw (7-1) on lock-screw (2-2) that relative ilium spicule (1) locates and proximal femurs spicule folder (7) and the distal femoral spicule folder (10), and the proximal femurs spicule folder (7) of screwing, distal femoral spicule press from both sides the accent nut (5) admittedly on (10) both sides main guide rails (8).When treating to draw; Unclamp the solid nut (5) of accent of far-end one side of proximal femurs spicule folder (7); The solid nut (5) of the accent of its near-end one side of turn; Proximal femurs spicule folder (7) is moved to far-end, and proximal femurs spicule folder this moment (7) drives respective femur spicule (9) and then drives the nearly section of femur to distal movement, and at this moment femoral head is furthered to the acetabular bone place by dislocation place.Have and disturb above operation if note the solid nut (5) of unadjusted accent (the solid nut (5) of accent that comprises distal femoral spicule folder (10) both sides---this possibly be because the nearly section of femur is collided with the femoral far section), answer that turn is corresponding transfers solid nut (5) to eliminate interference.Repeat aforesaid operations, will make femoral head reset to the acetabular bone place, reach the purpose that resets of dislocation of hip joint.The solid nut (5) of accent on the both sides main guide rail (8) of fastening proximal femurs spicule folder (7).Unclamp the solid nut (5) of accent of distal femoral spicule folder (10) nearside; The solid nut (5) of the accent in its distally of turn moves near section with one millimeter speed promotion distal femoral spicule folder every day (10) and then drive femoral far section; Collide to make until the nearly section of femoral far section and femur and suffer from leg length and equate shut-down operation with another good leg length.Twist solid all screws, nut.The back dismounting the present invention that waits to fully recover takes out each spicule.Accomplish resetting and task that femur need shorten of dislocation of hip joint.
It is shown in figure 12 to make use-case (four) be used for the corrigent patient of minor's slipped femoral epiphysis.When the needs of patients of minor's slipped femoral epiphysis was corrected, its operational approach was the same with the operation of ().Regulate the solid nut (5) of accent of the afterburning frame (4) of triangle both sides according to doctor's design; The afterburning frame of triangle (4) that makes near-end is near connecting plate (3); The afterburning frame of the triangle of far-end (4) is as much as possible near proximal femurs spicule folder (7); Regulate after triangle girder construction that the solid nut (5) of accent of its both sides forms main guide rail (8) and auxiliary guide rail (6) produces the prestressing force of an anti-inflection, screwing, each transfers nut (5) admittedly.Installed proximal femurs spicule folder (7) at main guide rail (8) far-end.The present invention is abutted in patient's ilium side; Make ilium spicule folder (2) lean against the ilium place and make the ilium spicule press from both sides the through hole that penetrates spicule on (2) and align edges such as ilium sour jujube; Make the spicule hole of proximal femurs spicule folder (7) align the appropriate location of femoral shaft simultaneously, in the through hole of ilium spicule folder (2) of spicule is squeezed in design, insert guide pin bushing (11), make drill bit pass through guide pin bushing (11) hole drill to ilium; Take out drill bit and drill bushing (11), be screwed into ilium spicule (1).Use the same method required each position ilium spicule (1) of squeezing into is screwed into.Use the same method then, the femur spicule (9) of near-end is screwed into the relevant position of femur.Regulate the reset distance of traction apparatus and human body of dislocation of hip joint; Tighten ilium spicule folder (2) after suitable and go up the hold-down screw (7-1) on lock-screw (2-2) that relative ilium spicule (1) locates and the proximal femurs spicule folder (7), the accent on the proximal femurs of screwing simultaneously spicule folder (7) both sides main guide rails (8) is nut (5) admittedly.When treating to draw; Unclamp the solid nut (5) of accent of far-end one side of proximal femurs spicule folder (7); The solid nut (5) of the accent of its near-end one side of turn; Proximal femurs spicule folder (7) is moved to far-end, and proximal femurs spicule folder this moment (7) drives femur spicule (9) and then drives femur to distal movement, and at this moment femoral head epiphysis place is corrected to normal bit by the slippage position.Repeat this operation, femoral head epiphysis place will be corrected fully, need after the rectification to keep a period of time, it is no longer rebounded.Remove the present invention and take out each spicule.Accomplish the rectification task of slipped femoral epiphysis.
Claims (6)
1. dislocation of hip joint traction apparatus that resets; It by the afterburning frame of ilium spicule, ilium spicule folder, connecting plate, triangle, transfer solid nut, auxiliary guide rail, proximal femurs spicule folder, main guide rail, femur spicule, distal femoral spicule folder, guide pin bushing to form, it is characterized in that: it is a plate that curvature is close with human body ilium curvature that the ilium spicule presss from both sides, the through hole through its edge combines with the ilium spicule; The bottom becomes screw to be connected with connecting plate; Connecting plate is being twisted two main guide rails, and clamping the afterburning frame of two groups of triangles on the main guide rail, and auxiliary guide rail is installed on the afterburning frame of two groups of triangles; Respectively with transferring solid nut and screw combination; The far-end of main guide rail is installed with closely, distal femoral spicule folder, is twisting respectively near, the distal femoral spicule folder both sides main guide rail and is transferring solid nut, femur spicule to wear to be clipped near, the distal femoral spicule folder.
2. the dislocation of hip joint according to claim 1 traction apparatus that resets; It is characterized in that: ilium spicule folder consists of a plate that curvature is close with human body ilium curvature by back plate, lock-screw, header board and lock shaft, and back plate and header board are riveted together with lock shaft, and the inclination angle that changes the junction changes its curvature; Top edge at header board, back plate is drilled with through hole so that the ilium spicule is penetrated; And tighten up with lock-screw, the downside of plate is processed with screwed hole in the back, in order to combine with connecting plate.
3. the dislocation of hip joint according to claim 1 traction apparatus that resets; It is characterized in that: connecting plate is made up of connection plate body, hold-down screw; Connecting plate body is a rectangle plate; The top is designed with two tapped blind holes and does with main guide rail and be threaded, and the below is drilled with two through holes and penetrates hold-down screw and press from both sides with the ilium spicule and link to each other.
4. the dislocation of hip joint according to claim 1 traction apparatus that resets; It is characterized in that the afterburning frame of triangle is made up of attachment screw, undercarriage piece, upper frame block; Undercarriage piece and upper frame block are combined triangular in shape with attachment screw, three through holes of design on three angles, and two through holes at upper frame block and undercarriage bonded place it respectively account for half the; This two holes clamping main guide rail, a hole of top is passed auxiliary guide rail.
5. the dislocation of hip joint according to claim 1 traction apparatus that resets; It is characterized in that: proximal femurs spicule folder is made up of hold-down screw, spicule folder loam cake, spicule clamp, and spicule folder loam cake is the rectangular-shaped piece that there is through hole at a center, links to each other with the spicule clamp with trip bolt; Have through hole on the joint face; In order to clamping femur spicule, the side-lower of spicule clamp is drilled with two through holes, so that be installed on the main guide rail.
6. the dislocation of hip joint according to claim 1 traction apparatus that resets, it is characterized in that: guide pin bushing is the T shape ladder cylindrical member that a centre is a through hole.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201110040918.5A CN102641149B (en) | 2011-02-21 | 2011-02-21 | Hip joint dislocation reset traction device |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201110040918.5A CN102641149B (en) | 2011-02-21 | 2011-02-21 | Hip joint dislocation reset traction device |
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| CN102641149A true CN102641149A (en) | 2012-08-22 |
| CN102641149B CN102641149B (en) | 2014-10-08 |
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| CN201110040918.5A Expired - Fee Related CN102641149B (en) | 2011-02-21 | 2011-02-21 | Hip joint dislocation reset traction device |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109692021A (en) * | 2019-01-28 | 2019-04-30 | 青岛大学附属医院 | A kind of hip joint retractor |
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| WO2010029406A1 (en) * | 2008-09-11 | 2010-03-18 | Orthofix S.R.L. | Orthopaedic device to be associated with the outside of a bone |
| CN201939480U (en) * | 2011-02-21 | 2011-08-24 | 汤福刚 | Reduction traction device for hip joint dislocation |
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| CN85200828U (en) * | 1985-04-01 | 1986-07-09 | 谢良尧 | External fixator for fracture reducing |
| CN2062610U (en) * | 1990-01-06 | 1990-09-26 | 刘贵启 | Fixator for fracture reduction |
| CN2265169Y (en) * | 1996-07-05 | 1997-10-22 | 山东省文登市整骨医院 | Femoral Shaft Fracture Reduction Fixator |
| CN2324977Y (en) * | 1998-01-22 | 1999-06-23 | 张树桧 | External fixation implement for distraction of ilium with femur |
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