The vertical Wicresoft of tubular bone osteotomy device
Technical field
The present invention relates to a kind of bone surgical operation appliances, particularly a kind of osteotomy device for tubular bone.
Background technology
In the past for the surgery bone-culting operation of tubular bone, use traditional bone surgical operation appliances such as rip, goose saw, trepan, reciprocating sow, osteotome, rongeur, amputation knife, osteotome, bone drill etc., modus operandi is open-incision, surgical wound is large, osteotomy place bone is damaged many, destroy easily soft tissue and the periosteum of wound perimeter, cause hematoma to prolong wound healing, directly affect postoperative rehabilitation.
Do not have at present special osteotomy device for the tubular bone osteotomy, when bone-culting operation, because tubular bone is relatively long, the corresponding increase of osteotomy size is difficult to carry out lopsided bone orthomorphia osteotomy for such long bone; Particularly in the vasculitic operation for the treatment of, be difficult to by traditional osteotomy tubular bone be carried out lateral traction, thereby reach the needs of the sufficient Orthopeadic Surgery orthomorphia of therapeutic effect , Full with the augmenting bone cavity space.Because tubular bone bone-culting operation complicated operation is easy to cause the large tracts of land wound surface, causes very large misery to the patient, for its rehabilitation brings many negative effects.
Summary of the invention
The purpose of this invention is to provide the vertical Wicresoft of a kind of tubular bone osteotomy device, solve existing osteotomy device can not carry out vertical bone-culting operation and the art bone be carried out the technical problem of lateral traction for tubular bone; And solve because art bone size is long, cause easily osteotomy place wound perimeter tissue injury and wound surface large, osteotomy device operation inconvenience and the problem that can not carry out to tubular bone rectangle, Z-shaped and S shape bone-culting operation.
For achieving the above object, the present invention adopts following technical scheme: the vertical Wicresoft of a kind of tubular bone osteotomy device, comprise osteotomy end osteotomy device and far-end positioner, described osteotomy end osteotomy device is slidingly socketed a location and adjusts guide rail, it is strip that guide rail is adjusted in described location, middle along long to having a chute, adjust the guide rail graduated scale along chute with the location; Described location is adjusted the symmetrical slip cap in guide rail two ends and is connected to the far-end positioner.
Described osteotomy end osteotomy device comprises osteotomy drill bit and driving mechanism thereof, described osteotomy drill bit and main positioning needle are arranged side by side, and the tip is inserted in the sleeve pipe down side by side, described sleeve pipe vertically and show two ducts of osteotomy bit bore and main positioning needle perforation, described osteotomy drill bit inserts in the duct of osteotomy bit bore and top is connected with drive motors, and described main positioning needle is inserted in the duct that main positioning needle bores a hole and top is connected with main positioning needle handle.
The top of described sleeve pipe is connected with a sleeve rotating handle, the middle part of described sleeve pipe is socketed with a cover pipe clip, described cover pipe clip is rounded, upper surface is with the angle adjustment graduated disc, described cover pipe clip vertically has a cased perforated that is used for inserting sleeve pipe, described cover pipe clip is fixedly connected with screw through pad, chuck by the female thread of its lower surface, described chuck upper surface offsets with location adjustment guide rail lower surface and presses, and the high spot of described chuck upper surface matches with the chute that guide rail is adjusted in the location.
Described far-end positioner comprises auxiliary positioning needle, screw fastening needle shaft, the perforation of auxiliary positioning needle and is positioned at a pair of nut of screw fastening needle shaft upper/lower terminal, described screw fastening needle shaft center is a nut that is threaded connection with screw rod, described nut is step-like, the thin step place of described nut matches with the chute that the location is adjusted on the guide rail, described auxiliary positioning needle is passed the auxiliary positioning needle perforation of screw fastening needle shaft, the screw fastening needle shaft is passed down through the chute on the location adjustment guide rail, and upper/lower terminal is fixedly connected with by a pair of nut.
The diameter of described osteotomy drill bit is 1.0~4.0mm.
The aperture of described osteotomy bit bore, the perforation of main positioning needle is identical, and the aperture is 1.1~4.1mm.
The diameter of described main positioning needle is 1.0~4.0mm, and the diameter of described a pair of auxiliary positioning needle is 1.0~4.0mm.
The length that the guide rail graduated scale is adjusted in described location is 100mm~150mm.
Described nut is the flower nut.
Described pad is metal material, and the pad upper surface is with the gear stricture of vagina, with the lower surface CONTACT WITH FRICTION of cover pipe clip.
Compared with prior art the present invention has following characteristics and beneficial effect: 1, the present invention is convenient to need to carry out the long vertical bone-culting operation of 10cm to tubular bone according to treatment, for example carry out rectangular-shaped bone-culting operation, be convenient to the bone piece is carried out lateral traction, satisfy the vasculitic needs for the treatment of.Can also do Z-shaped, S shape bone-culting operation, be suitable for the long vertical Wicresoft of the tubular bone bone-culting operation of 10Cm, be convenient to the bone piece is carried out longitudinal traction, satisfy the needs for the treatment of.
2, the bone-culting operation that adopts the present invention to carry out belongs to Minimally Invasive Surgery, adopt mini-incision, during operation as long as cut 2-3 osculum at the operation on soft tissue position, otch is not more than 1Cm, and osteotomy drill bit, main positioning needle all places in the sleeve pipe, and sleeve pipe is directly aimed at and insert the little incision of soft tissue, and near the art surface of bone, make the osteotomy drill bit, the isolation of main positioning needle and soft tissue, during the osteotomy bit bore, not injured nerve and blood vessel, soft tissue and periosteum, realized big-length bone-culting operation under Wicresoft's condition and injured nerve not, blood vessel, soft tissue and periosteum, wound is little, recovers fast purpose, is conducive to promote bone to be rebuild, healing.
3, when operation, use the present invention, again in conjunction with bidirectional oblique angular bit hole osteotomy method, utilize the spinfunction of sleeve pipe by the mini-incision of art bone upper end, order is drilled with the osteotomy boring of oblique angle, upper end on art bone surface of bone, in like manner, mini-incision by art bone lower end, successively order on art bone surface of bone is drilled with the osteotomy boring of oblique angle, lower end, so that the boring of oblique angle, upper end osteotomy and the boring of oblique angle, lower end osteotomy intersect mutually, significantly reduce the bone connection area, the easier separation of bone piece and carry out lateral traction, and then the augmenting bone cavity space is beneficial to treatment vasculitis etc.
4, the present invention also is specially adapted to the art bone is carried out longitudinal traction, carrying out vertically Z-shaped, S shape Wicresoft bone-culting operation of tubular bone, take a pair of auxiliary positioning needle as basic point, sleeve pipe with osteotomy drill bit and main positioning needle can vertically move freely and adjust angle on location adjustment guide rail, satisfy the needs of tubular bone (long bone) longitudinal traction treatment, the medical worker is easy to operate, and surgical effect is secure.
5, adopt osteotomy registration of the present invention, the location is adjusted the scale location on the guide rail, graduated scale on the cover pipe clip osteotomy drill bit is adjusted angle, can accurately locate art bone osteotomy line, with reference to X-ray sheet before the art, can accurately the art bone be cut down in Design ratio (angle), prevent from causing lower facial bone side soft tissue and neural damage, just the accuracy rate of operation is obtaining substantial breakthrough up to more than 99% aspect the safety of the vertical bone-culting operation of tubular bone and the accuracy.
6, the pad in the osteotomy end device of the present invention adopts metal material, with the gear stricture of vagina, increases the rotational resistance of cover pipe clip on the pad, so that simple to operate when adjusting the angle adjustment graduated disc, regulate registration.
Description of drawings
The present invention will be further described in detail below in conjunction with accompanying drawing.
Fig. 1 is the perspective view of the vertical Wicresoft of tubular bone osteotomy device.
Fig. 2 is the stereochemical structure decomposing schematic representation of the vertical Wicresoft of tubular bone osteotomy device.
Fig. 3 is the plan structure sketch map of the vertical Wicresoft of tubular bone osteotomy device.
Fig. 4 is the side-looking structural representation of the vertical Wicresoft of tubular bone osteotomy device.
Fig. 5 is the floor map that the vertical Wicresoft of tubular bone osteotomy device carries out oblique angle boring rectangle osteotomy.
Fig. 6 adopts the vertical Wicresoft of tubular bone osteotomy device to carry out the hole floor map of osteotomy of soft tissue slitting-up mode.
Fig. 7 is the floor map of Z-shaped osteotomy.
Fig. 8 is the floor map of S shape osteotomy.
Reference numeral: 1-osteotomy drill bit, 2-master's positioning needle, the 3-sleeve pipe, 4-sleeve rotating handle, 5-osteotomy bit bore, the perforation of 6-master's positioning needle, 7-overlaps pipe clip, the 8-cased perforated, 9-angle adjustment graduated disc, the 10-pad, the 11-chuck, the 12-screw, 13-adjusts guide rail in the location, the 14-chute, 15-adjusts the guide rail graduated scale in the location, the 16-nut, 17-screw fastening needle shaft, the auxiliary positioning needle perforation of 18-, the auxiliary positioning needle of 19-, 20-art bone, 21-lateral traction rectangle osteotomy position, the Z-shaped osteotomy of 22-longitudinal traction position, 23-longitudinal traction S shape osteotomy position, the 24-drive motors, 25-master's positioning needle handle, 26-art bone upper end osteotomy locating hole, 27-art bone lower end osteotomy locating hole, 28-has played the osteotomy boring of oblique angle, art bone upper end, 29-does not play the osteotomy boring of oblique angle, art bone upper end, 30-has played the osteotomy boring of oblique angle, art bone lower end.
The specific embodiment
Embodiment is referring to Fig. 1-shown in Figure 4, the vertical Wicresoft of a kind of tubular bone osteotomy device, comprise osteotomy end osteotomy device and far-end positioner, described osteotomy end osteotomy device is slidingly socketed a location and adjusts guide rail 13, it is strip that guide rail 13 is adjusted in described location, middle along long to having a chute 14, adjust guide rail graduated scale 15 along chute 14 with the location; Described location is adjusted the symmetrical slip cap in guide rail 13 two ends and is connected to the far-end positioner.
Described osteotomy end osteotomy device comprises osteotomy drill bit 1 and driving mechanism thereof, described osteotomy drill bit 1 is arranged side by side with main positioning needle 2, and the tip is inserted in the sleeve pipe 3 down side by side, described sleeve pipe 3 vertically and show osteotomy bit bore 5 and main positioning needle 6 two ducts of boring a hole, in the duct of described osteotomy drill bit 1 insertion osteotomy bit bore 5 and top is connected with drive motors 24, and in the duct of the main positioning needle perforation 6 of described main positioning needle 2 insertions and top is connected with main positioning needle handle 25;
The top of described sleeve pipe 3 is connected with a sleeve rotating handle 4, the middle part of described sleeve pipe 3 is socketed with a cover pipe clip 7, described cover pipe clip 7 is rounded, upper surface is with angle adjustment graduated disc 9, described cover pipe clip 7 vertically has a cased perforated 8 that is used for inserting sleeve pipe 3, described cover pipe clip 7 is fixedly connected with screw 12 through pad 10, chuck 11 by the female thread of its lower surface, described pad 10 is metal material, the pad upper surface is with the gear stricture of vagina, with the lower surface CONTACT WITH FRICTION of cover pipe clip 7.Described chuck 11 upper surfaces offset with location adjustment guide rail 13 lower surfaces and press, and the high spot of described chuck 11 upper surfaces matches with the chute 14 that guide rail 13 is adjusted in the location.
Described far-end positioner comprises auxiliary positioning needle 19, screw fastening needle shaft 17, auxiliary positioning needle perforation 18 and is positioned at a pair of nut 16 of screw fastening needle shaft upper/lower terminal that described nut 16 is the flower nut.Described screw fastening needle shaft 17 centers are a nut that is threaded connection with screw rod, described nut is step-like, the thin step place of described nut matches with the chute 14 that the location is adjusted on the guide rail 13, described auxiliary positioning needle is worn the 19 auxiliary positioning needle perforation 18 of crossing screw fastening needle shaft 17, screw fastening needle shaft 17 is passed down through the chute on the location adjustment guide rail, and upper/lower terminal is fixedly connected with by a pair of nut 16.
The diameter of described osteotomy drill bit 1 is 1.0~4.0mm.
The aperture of described osteotomy bit bore 5, main positioning needle perforation 6 is identical, and the aperture is 1.1~4.1mm.
The diameter of described main positioning needle 2 is 1.0~4.0mm, and the diameter of described a pair of auxiliary positioning needle 19 is 1.0~4.0mm.
The length that guide rail graduated scale 15 is adjusted in described location is 100mm~150mm.
Embodiment one, and referring to Fig. 1, Fig. 2, shown in Figure 5, the operating procedure of the present invention when carrying out the rectangle osteotomy is as follows:
At first determine art bone upper end osteotomy anchor point and art bone lower end osteotomy anchor point before the art, and soft tissue is cut an osculum, put into the osteotomy drill bit, accomplish fluently art bone upper end osteotomy locating hole and art bone lower end osteotomy locating hole at art bone upper/lower terminal respectively.Confirm the osteotomy point according to vertical osteotomy line position of in advance design again, and it is stand-by that soft tissue is cut two osculums at the osteotomy point two ends of confirming, the vertical Wicresoft of tubular bone osteotomy device is placed on the art bone, a pair of auxiliary positioning needle inserted respectively and the fixing upper end osteotomy locating hole and art bone lower end osteotomy locating hole of having accomplished fluently on, and with the upper and lower a pair of spiro cap of auxiliary positioning needle at screw fastening needle shaft upper/lower terminal, with its rotational lock, as anchor point.Main positioning needle 2 and osteotomy drill bit 1 are inserted respectively in the main positioning needle jack 6, osteotomy drill bit jack 5 of sleeve pipe 3, main positioning needle 2 tops are connected with main positioning needle handle 25, and then osteotomy drill bit 1 top is connected with drive motors 24 again.Adjust guide rail graduated scale 15 with reference to the location, adjust on the guide rail 13 in the location first, adjust the position of main positioning needle 2 and osteotomy drill bit 1, sleeve pipe 3 is adjusted to the designed angle of operation plan by the angle adjustment graduated disc on the cover pipe clip, aim at and insert the little incision of soft tissue and near the art surface of bone, and with screw 13 pad, chuck and cover pipe clip are connected and fixed.
When carrying out the bone-culting operation operation, first the soft tissue of art bone upper end soft tissue incision is peeled off along art bone central point direction and art bone, then handle osteotomy drill bit 1 and get out first oblique angle, art bone upper end osteotomy boring at the osteotomy place, and main positioning needle 2 interted in this hole, then according to operating prediction scheme before the art, according to the angle adjustment graduated disc 9 on the cover pipe clip upper surface, the angle of rotation adjusting sleeve pipe clip, go out the oblique angle osteotomy boring of second art bone upper end with osteotomy drill bit 1 at a sidetracking of main positioning needle 2, interspersed osteotomy positioning needle 2, again take second hole osteotomy positioning needle as the center of circle, with sleeve rotating handle 4 Rotate 180s of sleeve pipe 3 °, handle again osteotomy drill bit 1 and get out the oblique angle osteotomy boring of the 3rd art bone upper end at the opposite side of main positioning needle 2, then extract the osteotomy drill bit, again main positioning needle 2 is moved in second or the 3rd hole and locate, handle again osteotomy drill bit 1 and get out the oblique angle osteotomy boring of the 4th art bone upper end at the osteotomy place, as can be seen from the figure play oblique angle, art bone upper end osteotomy boring 28 and do not played oblique angle, art bone upper end osteotomy boring 29, successively by the above-mentioned steps repetitive operation, until the art bone is sectioned to a half of art bone total length.To overlap screw 12 rotations of pipe clip 7 unclamps again, and will overlap pipe clip 7 and be inconjunction with the chute 14 interior slips of pad 10 and chuck 11 being adjusted guide rail 13 in the location, the soft tissue that cover pipe clip 7 is moved to the lower end cuts the osculum place, according to the aforesaid operations method osteotomy of holing from the bottom to top, its oblique angle, art bone art bone lower end osteotomy boring intersects with the hole of oblique angle, art bone upper end osteotomy boring, directly causes the art bone is sectioned.
After finishing the vertical osteotomy of tubular bone, the position that the revoling tube rotary handle is 4 to 90 °, then the auxiliary positioning needle in the removal surgery bone lower end osteotomy locating hole 27, and take this auxiliary positioning needle as the axle center, adjust the sleeve pipe 3 of mobile osteotomy device to the horizontal osteotomy of tubular bone place, begin with osteotomy drill bit 1 along the tubular bone cross drilling, insert main positioning needle 2 after the boring, the position of revoling tube rotary handle to 180 ° again, and then laterally bore second hole with osteotomy drill bit 1 along tubular bone, repeatable operation laterally sections tubular bone one end according to this, and above-mentioned boring can be vertical osteotomy boring or the boring of oblique angle osteotomy.
After finishing aforesaid operations, again the auxiliary positioning needle of lower end is inserted location in the osteotomy locating hole 27 of art bone lower end, then an auxiliary positioning needle of removal surgery bone upper end osteotomy locating hole 26, and take this auxiliary positioning needle as the axle center, adjust the sleeve pipe 3 of mobile osteotomy device to the horizontal osteotomy of tubular bone place, begin with drill bit 1 along the tubular bone cross drilling, insert main positioning needle 2 after the boring, rotate again the position of rotary handle to 180 °, and then laterally bore second hole with osteotomy drill bit 1 along tubular bone, repeatable operation laterally sections the tubular bone upper end according to this.After finishing the vertical osteotomy of above-mentioned tubular bone, can carry out horizontal drawing-off treatment.
Embodiment two: referring to Fig. 1, Fig. 2, Fig. 3, shown in Figure 6, the present invention also can be suitable for soft tissue slitting-up mode and carry out the vertical bone-culting operation of tubular bone.When implementing bone-culting operation, at first determine the upper and lower osteotomy anchor point of art bone, then accomplish fluently art bone upper end osteotomy locating hole 26 and art bone lower end osteotomy locating hole 27 with the osteotomy drill bit, and according to the vertical osteotomy line position affirmation osteotomy point that designs in advance, and with soft tissue longitudinally the osteotomy position cut one stand-by with the isometric otch of osteotomy line, the vertical Wicresoft of tubular bone osteotomy device is placed art bone place, and its operational approach is identical with embodiment one.
Embodiment three: referring to Fig. 1, Fig. 2, Fig. 3, Fig. 7, shown in Figure 8, that the present invention carries out is Z-shaped, during S shape osteotomy, operational approach is identical with bone-culting operation step and the method for embodiment one, just after the tubular bone longitudinal drilling osteotomy, the opposite direction that blocks in the top and bottom of tubular bone cross drilling osteotomy, make it to form the Z-shaped osteotomy of longitudinal traction position 22 or longitudinal traction S shape osteotomy position 23, become Z-shaped art bone osteotomy section or the S shape, satisfy the needs of the vertical drawing-off treatment of tubular bone.
The above embodiment; only be the more representational specific embodiment of the present invention; but institute of the present invention resist technology scheme is not limited to this; anyly be familiar with those skilled in the art in the technical scope that the present invention discloses; can from direct all changes or the replacement of deriving or expecting easily of content disclosed by the invention, all should be encompassed within protection scope of the present invention.