CN102908148A

CN102908148A - Orthopedic measuring scale and application method thereof

Info

Publication number: CN102908148A
Application number: CN2012103946092A
Authority: CN
Inventors: 夏和桃; 唐佩福; 刘利民; 彭爱民; 李刚; 夏洪菁
Original assignee: 夏和桃
Priority date: 2012-10-17
Filing date: 2012-10-17
Publication date: 2013-02-06
Anticipated expiration: 2032-10-17
Also published as: CN102908148B

Abstract

The invention provides an orthopedic measuring scale and an application method thereof. The orthopedic measuring scale comprises a protractor and a straight scale, wherein the straight scale comprises a sliding rail straight scale, a distance measurement straight scale and a length straight scale; the left part of the length straight scale is connected with the bottom edge of the protractor as a whole body; a sliding guide bolt is fixedly arranged at the circle center of the bottom edge of the protractor; the sliding guide bolt is movably connected with a transverse rail on the sliding rail straight scale; and the tail end of the sliding rail straight scale is hinged with the upper end part of the distance measurement straight scale through a rotating bolt. The orthopedic measuring scale has a simple structure; the scales are movably connected, so that the orthopedic measuring scale can be folded and has the advantages of smart size and convenience in operation; according to a standard template measurement manner, the orthopedic measuring scale can be used for directly measuring and reading desired data, so that the security and the accuracy of a surgery can be improved, and the alignment of bones can be entirely recovered when the orthopedic surgery can be ensured; meanwhile, a process of calculating a drawn line by a function in the traditional method can be simplified; the preparation time before the surgery can be reduced; the working intensity of a medical personnel can be reduced; and the working efficiency can be improved. The orthopedic measuring scale can be widely applied to the orthopedic surgery in orthopedics and medical teaching.

Description

Orthopedic dip stick and application process thereof

Technical field

The present invention relates to a kind of bone surgery survey tool and application process thereof.

Background technology

At present, when carrying out the orthopedic bone-culting operation diagnoses and treatment of lopsided bone in bone orthopedics, fix and straightening method in order to determine osteotomy, the accurate of orthomorphia guaranteed in error with preventing treatment, adopts the planning chart solution to carry out planning before the art.Before the operation; need according to Dror Paley method cacomelia to be carried out measuring and the setting-out analysis before the art; determine osteotomy angle, length; the bone external fixator is adjusted distance, guarantees accurate, the safety of abnormal bone orthomorphia, but when carrying out concrete operations; use that pen, ruler and protractor are repeated multiple times to carry out setting-out and measurement; not only workload is large, but also will carry out function calculation, so measures before the art and planning work is time-consuming, effort, efficient are very low.

Summary of the invention

The purpose of this invention is to provide a kind of orthopedic dip stick and application process thereof, solve and simplify the front technical problem of measuring calculation process of art; And solution improves the problem of art before measurement amount efficiency.

For achieving the above object, the present invention adopts following technical scheme:

A kind of orthopedic dip stick, comprise protractor and ruler, described ruler comprises the slide rail ruler, range finding ruler and length ruler, the left part of described length ruler and the base of protractor are linked to be an integral body, the base circle centre position of described protractor is fixed a slide-and-guide bolt, and the horizontal slide rail on described slide-and-guide bolt and the slide rail ruler is flexibly connected, and the tail end of described slide rail ruler is hinged with the upper end of range finding ruler 3 by swivel bolt.

Described length ruler is take the center of circle of protractor as zero graduation.

The material of described protractor and ruler is plastics, lucite or steel.

A kind ofly use described orthopedic dip stick and measure the application process that recessed side seam growth distance is determined orthopedic rate, step is as follows:

Step 1 draws at the X-ray of art bone with the orthopedic chi of lower limb that line is walked in the joint, nearside dissects axis and axis is dissected in the distally, dissects axis for two and intersects at angle rotary middle point B point, and angle is α;

Step 2, with the art position of bone in protruding side seam salient point, recessed side seam concave point and the angle rotary middle point B point bisector of line drawing that links to each other, the intersection point of protruding side seam face and bisector is decided to be the A point, and the intersection point of recessed side seam face and bisector is decided to be the C point, and bisector is connected adjusting lever with external fixator intersection point is decided to be the D point;

Step 3 centered by the B point, is measured the angle of angle α with the protractor 7 of orthopedic dip stick;

Step 4, with the nearside external fixer, distally external fixer and fixed mount hinge adjusting lever place on the art bone, and the hinge central point overlaps with the A point;

Step 5 uses orthopedic dip stick to begin to measure, and the center of circle of protractor is overlapped placement with the A point, measures the distance of AD with the length ruler;

Step 6, the maintenance dose hornwork center of circle and A are ordered overlaps invariant position, with length ruler α/2 degree that turns clockwise, and the slide rail ruler is adjusted in rotation, make it become the α degree with the length ruler, rotation range finding ruler makes it cross the D point perpendicular to bisector, read the scale number of degrees of the intersection point of range finding ruler and length ruler, be the distance that external fixator connection adjusting lever need to be regulated after correcting;

Step 7, the state that orthopedic dip stick remains on step 6 is constant, along slide-and-guide bolt parallel, makes the range finding ruler move on to synchronously the position that C is ordered on the slide rail ruler, read the scale number of degrees of the intersection point of range finding ruler and length ruler, be the distance that the recessed side seam growth of art bone is moved after correcting;

Step 8, the orthopedic rear external fixator that is connected with step 7 by step 6 connects distance and the mobile ratio of distances constant of recessed side seam growth that adjusting lever is regulated, and draws orthopedic rate, determines in the orthopedic process, and external fixator connects the distance that adjusting lever is regulated every day;

Step 9 is carried out bone open wedge orthomorphia according to established data.

A kind ofly use described orthopedic dip stick and measure the application process that protruding side seam osteotomy distance is determined orthopedic rate: centered by the intersection point C of recessed side seam face and bisector point replacement A point, by above-mentioned operating procedure, measure the displacement of angle, the displacement between external fixator and the shortening of protruding side seam face osteotomy of angle α, calculate orthopedic rate, determine the osteotomy length of every day.

Compared with prior art the present invention has following characteristics and beneficial effect:

Solution formulation related to the shortcoming that a large amount of repeated measurements are calculated before the present invention had overcome traditional orthomorphia art, had solved the technical problem that time saving and energy saving high efficiency is formulated operation plan.

The present invention is simple in structure, to be flexibly connected between each chi, can fold, volume is dexterous, handled easily, measure form according to standard form, directly carrying out standardization measures, read and carry out art bone needed data when orthopedic, improve safety and the accuracy of osseous surgery, can recover fully when guaranteeing orthomorphia skeleton to line, help to improve the treatment level of orthomorphia, and cancellation the drawback that repeated measurement is calculated in the traditional method, simplified the process of function calculation setting-out, shortened the time before the art, alleviate medical worker's working strength, improved work efficiency, simultaneously also for selecting the suitable external fixer of size that important foundation is provided, prevented that the phenomenon that affects surgical effect because of phase mutual interference between utensil from occuring.

The present invention can be widely used in orthopaedic operation and medical teaching.

Description of drawings

The present invention will be further described in detail below in conjunction with accompanying drawing.

Fig. 1 is structural representation of the present invention.

Fig. 2 is the view of orthopedic front art bone.

Fig. 3 is the stationary state schematic diagram of orthopedic front art bone and external fixer.

Fig. 4 is the user mode schematic diagram of step 5 of the present invention.

Fig. 5 is the user mode schematic diagram of step 6 of the present invention.

Fig. 6 is the kinestate schematic diagram of slide rail ruler of the present invention.

Fig. 7 is the user mode schematic diagram of step 7 of the present invention.

Fig. 8 is the view of orthopedic rear art bone.

Reference numeral: 2-slide rail ruler, the 3-ruler of finding range, 4-slide-and-guide bolt, the 5-slide rail, 6-swivel bolt, 7-protractor, 8-length ruler, 9-art bone, 10-nearside bone is dissected axis, 11-distally bone is dissected axis, 12-bisector, 16-hinge adjusting lever, 17-hinge rotary middle point, the 19-external fixator connects adjusting lever, 20-external fixer central bolt, 21-walks line in the joint, 22-nearside external fixer, 23-distally external fixer.

The specific embodiment

Embodiment one is referring to shown in Figure 1, this orthopedic dip stick, comprise protractor 7 and ruler, described ruler comprises slide rail ruler 2, range finding ruler 3 and length ruler 8, described slide rail ruler 2, the range of range finding ruler 3 and length ruler 8 is 0～15 centimetre, wherein the base of the left part of length ruler 8 and protractor 7 is linked to be an integral body, described length ruler 8 is take the center of circle of protractor 7 as zero graduation, the base circle centre position of described protractor 7 is fixed a slide-and-guide bolt 4, horizontal slide rail 5 on described slide-and-guide bolt 4 and the slide rail ruler 2 is flexibly connected, the tail end of described slide rail ruler 2 is hinged with the upper end of range finding ruler 3 by swivel bolt 6, and the material of described orthopedic dip stick is plastics, lucite or steel.

Use application process that the present invention carries out solution formulation before the art of orthomorphia referring to Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, shown in Figure 8, be used for measuring recessed side seam growth distance, determine orthopedic rate, concrete steps are as follows:

Step 1 referring to shown in Figure 2, draw the joint with the orthopedic chi of lower limb at the X-ray of art bone 9 and walks line 21, nearside and dissect axis 10 and distally and dissect 11, two in axis and dissect axis and intersect at angle rotary middle point B point, and angle is α.

Step 2, with the art position of bone in protruding side seam salient point, recessed side seam concave point and the angle rotary middle point B point bisector 12 of line drawing that links to each other, the intersection point of protruding side seam face and bisector is decided to be the A point, the intersection point of recessed side seam face and bisector is decided to be the C point, and bisector 12 is connected adjusting lever 19 with external fixator intersection point is decided to be the D point.

Step 3 centered by the B point, is measured the angle of angle α with the protractor 7 of orthopedic dip stick.

Step 4, referring to shown in Figure 3, with nearside external fixer 22, distally external fixer 23 and fixed mount hinge adjusting lever 16 place on the art bone 9, hinge central point 17 overlaps with the A point, the center hinge of described fixed mount hinge adjusting lever 16 has respectively two central bolts 20 perpendicular to the longitudinal profile of art bone 9 on described nearside external fixer 22 and the distally external fixer 23, guarantee the line and

dissection axis

10,11 approximate coincidences of central bolt.

Step 5 referring to shown in Figure 4, uses orthopedic dip stick to begin to measure, and the center of circle of protractor 7 is overlapped placement with the A point, measures the distance of AD with length ruler 8;

Step 6, referring to shown in Figure 5, the maintenance dose hornwork center of circle and A are ordered overlaps invariant position, with length ruler 8 α/2 degree that turns clockwise, and rotation adjusts slide rail ruler 2, makes 8 one-tenth α degree of itself and length ruler, rotation range finding ruler 3, make it cross the D point perpendicular to bisector 12, read the scale number of degrees of the intersection point of range finding ruler 3 and length ruler 8, be the rear external fixator of rectification and connect the distance that adjusting lever 19 needs adjusting;

Step 7, referring to shown in Figure 5, the state that orthopedic dip stick remains on step 6 is constant, with slide rail ruler 2 along slide-and-guide bolt 4 parallels, referring to shown in Figure 6, make range finding ruler 3 move on to synchronously the position that C is ordered, read the scale number of degrees of the intersection point of range finding ruler 3 and length ruler 8, be and correct the mobile distance of rear art bone 9 recessed side seam growths.

Step 8, the orthopedic rear external fixator that is connected with step 7 by step 6 connects distance and the mobile ratio of distances constant of recessed side seam growth that adjusting lever is regulated, draw orthopedic rate, determine in the orthopedic process, external fixator connects the distance of adjusting lever adjusting 19 every days: the adjustable range that the external fixator that for example records connects adjusting lever 19 is 60mm, the look unfamiliar distance of long movement of recessed side seam is 20 mm, drawing orthopedic rate is 60:20=3, that is to say that by the bone drawing-off degree of generally acknowledging be calculating in 1mm/ days, the distance that external fixator connects adjusting lever adjusting 19 every days is 3mm/ days.

Step 9, according to established data carry out bone open wedge orthomorphia, referring to shown in Figure 8, be the view of art bone after orthopedic, after the operation, the nearside bone is dissected axis 10 and distally bone and is dissected axis 11 and can recover fully line, and deformity is effectively corrected.

Embodiment two, be used for measuring protruding side seam osteotomy distance, determine orthopedic rate, application process principle of the present invention is identical with embodiment one, different is, the art bone is measured when calculating, centered by the intersection point C of recessed side seam face and bisector point, press embodiment one described operating procedure, measure the displacement of angle, the displacement between external fixator and the shortening of protruding side seam face osteotomy of angle α, calculate orthopedic rate, determine the osteotomy length that need to carry out every day.

Formulate operation plan according to the data that orthopedic dip stick is measured, carry out orthomorphia, the nearside bone dissects axis 10 and distally bone dissection axis 11 can recover fully to line, deformity is effectively rectified whole.

Claims

1. orthopedic dip stick, comprise protractor (7) and ruler, it is characterized in that: described ruler comprises chute ruler (2), range finding ruler (3) and length ruler (8), the base of the left part of described length ruler (8) and protractor (7) is linked to be an integral body, the base circle centre position of described protractor (7) is fixed a slide-and-guide bolt (4), horizontal slide rail (5) on described slide-and-guide bolt (4) and the chute ruler (2) is flexibly connected, and the tail end of described chute ruler (2) is hinged with the upper end of range finding ruler (3) by swivel bolt (6).

2. orthopedic dip stick according to claim 1 is characterized in that: described length ruler (8) is take the center of circle of protractor (7) as zero graduation.

3. orthopedic dip stick according to claim 1, it is characterized in that: the material of described protractor (7) and ruler is plastics, lucite or steel.

4. an application rights requires one of 1-3 described orthopedic dip stick to measure the application process that recessed side seam growth distance is determined orthopedic rate, and it is characterized in that: step is as follows:

Step 1 draws at the X-ray of art bone (9) with the orthopedic chi of lower limb that line (21) is walked in the joint, nearside dissects axis (10) and axis (11) is dissected in the distally, and two dissection axis intersect at angle rotary middle point B point, and angle is α;

Step 2, with the art position of bone in protruding side seam salient point, recessed side seam concave point and the angle rotary middle point B point bisector of line drawing (12) that links to each other, the intersection point of protruding side seam face and bisector is decided to be the A point, the intersection point of recessed side seam face and bisector is decided to be the C point, and bisector (12) is connected adjusting lever (19) with external fixator intersection point is decided to be the D point;

Step 3 centered by the B point, is measured the angle of angle α with the protractor (7) of orthopedic dip stick;

Step 4, with nearside external fixer (22), distally external fixer (23) and fixed mount hinge adjusting lever (16) place (9) on the art bone, and hinge central point (17) overlaps with the A point;

Step 5 uses orthopedic dip stick to begin to measure, and the center of circle of protractor (7) is overlapped placement with the A point, measures the distance of AD with length ruler (8);

Step 6, the maintenance dose hornwork center of circle and A are ordered overlaps invariant position, with length ruler 8 α/2 degree that turns clockwise, and chute ruler (2) is adjusted in rotation, make it become the α degree with length ruler (8), rotation range finding ruler (3) makes it cross the D point perpendicular to bisector (12), read the scale number of degrees of the intersection point of range finding ruler (3) and length ruler 8, be and correct the distance that rear external fixator connection adjusting lever (19) needs adjusting;

Step 7, the state that orthopedic dip stick remains on step (6) is constant, with chute ruler (2) along slide-and-guide bolt (4) parallel, make range finding ruler (3) move on to synchronously the position that C is ordered, read the scale number of degrees of the intersection point of range finding ruler (3) and length ruler (8), be and correct the mobile distance of the recessed side seam growth of rear art bone (9);

Step 8, the orthopedic rear external fixator that is connected with step 7 by step 6 connects distance and the mobile ratio of distances constant of recessed side seam growth that adjusting lever is regulated, and draws orthopedic rate, determines in the orthopedic process, and external fixator connects the distance that adjusting lever (19) is regulated every day;

5. an application rights requires one of 1-3 described orthopedic dip stick to measure the application process that protruding side seam osteotomy distance is determined orthopedic rate, it is characterized in that: centered by the intersection point C of recessed side seam face and bisector point replaces the A point, by operating procedure claimed in claim 4, measure the displacement of angle, the displacement between external fixator and the shortening of protruding side seam face osteotomy of angle α, calculate orthopedic rate, determine the osteotomy length of every day.