CN103126762A - Compression hip-screw guider inserted through skin - Google Patents

Compression hip-screw guider inserted through skin Download PDF

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Publication number
CN103126762A
CN103126762A CN2013100723561A CN201310072356A CN103126762A CN 103126762 A CN103126762 A CN 103126762A CN 2013100723561 A CN2013100723561 A CN 2013100723561A CN 201310072356 A CN201310072356 A CN 201310072356A CN 103126762 A CN103126762 A CN 103126762A
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China
Prior art keywords
guider
screw
support rod
inserts
rod
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Granted
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CN2013100723561A
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Chinese (zh)
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CN103126762B (en
Inventor
蔡珉巍
马童
涂意辉
薛华明
刘晓东
文涛
李清
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Shanghai Yangpu Central Hospital
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Shanghai Yangpu Central Hospital
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Priority to CN201310072356.1A priority Critical patent/CN103126762B/en
Publication of CN103126762A publication Critical patent/CN103126762A/en
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Publication of CN103126762B publication Critical patent/CN103126762B/en
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Abstract

The invention relates to a compression hip-screw guider inserted through skin, and belongs to the technical field of medical apparatus. The compression hip-screw guider comprises a grip, a femur abutting rod and a guide pipe. One end of the femur abutting rod is fixedly connected with the grip, and the other end of the femur abutting rod is a sharp end. A universal screw hole is arranged on the top portion of the femur abutting rod. One threaded end of the guide pipe is fixedly connected with the universal screw hole. When the compression hip-screw guider is used for implementing a compression hip screw implantation, a hip screw is inserted from skin by the aid of the sharp end of the femur abutting rod, then the guide pipe is inserted to be positioned by being fixedly connected with the universal screw hole through threads, and finally the compression hip screw is inserted into the guide pipe to complete the compression hip screw implantation. A surgical incision of the process is extremely minor; minimally invasive surgery can be realized; patient's healing time is shortened; implantation direction and angle of the hip screw can be adjusted; and the hip screw can be positioned precisely. The compression hip-screw guider is simple in overall structure, low in cost, and wide in application.

Description

Pressurization hip screw guider through the skin insertion
Technical field
The present invention relates to technical field of medical instruments, particularly pressurization hip screw guider technical field, specifically refer to a kind of pressurization hip screw guider that inserts through skin.
Background technology
At present, pressurization hip screw (DHS) is the operating theater instruments of the treatment femoral intertrochanteric stable fracture commonly used.The committed step of the operation for the treatment of femoral intertrochanteric stable fracture is to determine the implantation position of hip screw, and conventional means is implantation direction and the angle of using guider 8 control hip screws 9 as shown in Figure 1.Use this guider to need larger otch, expose more fully, so that guider can be positioned over satisfied position.Although can control exactly like this implantation direction and the angle of hip screw, be difficult to satisfy the requirement of minimally-invasive treatment in operation at present, the required healing time of patient is longer.
Summary of the invention
The objective of the invention is to have overcome above-mentioned shortcoming of the prior art, provide a kind of and can lay the required otch of guider in Reduction surgery, realize the operation of the femoral intertrochanteric stable fracture of Wicresoft, shorten patient's healing time, and implantation direction and the angle of hip screw are adjustable, and the guiding position is accurate, and overall structure is simple, pressurization hip screw guider through the skin insertion with low cost, as to have wide range of applications.
In order to realize above-mentioned purpose, the pressurization hip screw guider that inserts through skin of the present invention has following formation:
This comprises holding rod, femur support rod and guiding catheter through the pressurization hip screw guider that skin inserts, one end of described femur support rod is fixedly connected on an end of described holding rod, the other end of described femur support rod is sharp-pointed termination, be provided with universal screw on position near an end that is connected with holding rod on this femur support rod, one end of described guiding catheter has screw thread, and the threaded end of described guiding catheter tool is fixedly connected with described universal screw.
This is in the pressurization hip screw guider that skin inserts, and between described femur support rod and holding rod, the angular range of angle is that 85 degree are to 95 degree.
This is in the pressurization hip screw guider that skin inserts, and between described femur support rod and holding rod, angle is 90 degree.
This is in the pressurization hip screw guider that skin inserts, and the length range of the sharp-pointed termination of described femur support rod is 0.5 centimetre to 1.5 centimetres.
This is in the pressurization hip screw guider that skin inserts, and the length of the sharp-pointed termination of described femur support rod is 1 centimetre.
This is in the pressurization hip screw guider that skin inserts, described guider also comprises locating rod, one end of described locating rod is fixed in the position between described holding rod two ends, offers through hole on described locating rod, and described guiding catheter is arranged in described through hole.
This is in the pressurization hip screw guider that skin inserts, and described locating rod is parallel with described femur support rod.
This is in the pressurization hip screw guider that skin inserts, and the described guiding catheter that is arranged in described through hole is included-angle-changeable with the angle between described femur support rod, and to be 120 degree spend to 140 the scope of described included-angle-changeable.
This is in the pressurization hip screw guider that skin inserts, and described through hole is the rectangular through-hole along described locating rod length direction.
This is in the pressurization hip screw guider that skin inserts, and described rectangular through-hole is marked be used to the indicating graduation that identifies described included-angle-changeable.
Adopted the pressurization hip screw guider through the skin insertion of this invention, it comprises holding rod, femur support rod and guiding catheter, one end of described femur support rod is fixedly connected on an end of described holding rod, the other end of described femur support rod is sharp-pointed termination, be provided with universal screw on position near an end that is connected with holding rod on this femur support rod, one end of described guiding catheter has screw thread, and the threaded end of described guiding catheter tool is fixedly connected with described universal screw.thereby when using this guider to pressurize the hip screw implantation, can utilize the sharp-pointed termination of femur support rod, it is inserted from skin, and prop up femur, then, again guiding catheter being inserted and is threaded connection universal screw locates, the pressurization hip screw can be inserted guiding catheter subsequently, realize the implantation of pressurization hip screw, the otch that such operation process produces is minimum, can realize Minimally Invasive Surgery, shorten patient's healing time, and it is adjustable to utilize this guider to carry out implantation direction and the angle of hip screw, the guiding position is accurate, the overall structure of the pressurization hip screw guider that inserts through skin of the present invention is simple, with low cost, range of application is also comparatively extensive.
Description of drawings
Fig. 1 is the structural representation of pressurization hip screw guider of the prior art.
Fig. 2 is the structural representation of the pressurization hip screw guider that inserts through skin of the present invention.
Fig. 3 is the schematic diagram of the locating rod in the pressurization hip screw guider that skin inserts of the present invention.
The specific embodiment
In order more clearly to understand technology contents of the present invention, describe in detail especially exemplified by following examples.
See also shown in Figure 2ly, be the structural representation of the pressurization hip screw guider that inserts through skin of the present invention.
In one embodiment, this comprises holding rod 2, femur support rod 1 and guiding catheter 3 through the pressurization hip screw guider device that skin inserts.One end of described femur support rod 1 is fixedly connected on an end of described holding rod 2, the other end of described femur support rod 1 is sharp-pointed termination 11, be provided with universal screw 12 on position near an end that is connected with holding rod 2 on this femur support rod 1, one end of described guiding catheter 3 has screw thread, and the threaded end of described guiding catheter 3 tools is fixedly connected with described universal screw 12.The angular range of wherein said femur support rod 1 and 2 angles of holding rod be 85 the degree to 95 the degree, be preferably 90 the degree.The length range of the sharp-pointed termination 11 of described femur support rod 1 is 0.5 centimetre to 1.5 centimetres, is preferably 1 centimetre.
In embodiment more preferably, described guider also comprises locating rod 4, one end of described locating rod 4 is fixed in the position between the two ends of described holding rod 2, offers through hole 41 on described locating rod 4, and described guiding catheter 3 is arranged in described through hole 41.
In further preferred embodiment, described locating rod 4 is parallel with described femur support rod 1; The described angle α that is arranged in guiding catheter 3 and 1 of described femur support rod in described through hole 41 is included-angle-changeable, and to be 120 degree spend to 140 the scope of described included-angle-changeable.
In preferred embodiment, as shown in Figure 3, described through hole 41 is the rectangular through-hole along described locating rod 4 length directions.Described rectangular through-hole 41 is marked be used to the indicating graduation 42 that identifies described included-angle-changeable.
In actual applications, the femur support rod 1 of guider of the present invention is close to surface of bone, and is fixedly connected with holding rod 2.Femur support rod 1 the place ahead 1cm has acute angle design 11, facilitates percutaneous to insert.Universal nipple 12 can be connected with guiding catheter 3, and can move up and down, and satisfies the 120-140 degree and adjusts the guide pin implantation.Holding rod 2 is fixedly connected with locating rod 4 with femur support rod 1 respectively.Locating rod 4 has middle vacancy 41 to be used for guiding catheter 3 insertions.Also have scale 42 on locating rod 4, can implant guide pin angle, adjusting range 120-140 degree according to different patients' collodiaphyseal angle adjustment.Guiding catheter 3 hollows can be squeezed into guide pin, and itself and femur support rod 1 are threaded connection, and when surface of bone is close in the insertion of guider main body, then insert guiding catheter 3, lead.
The advantage of guider of the present invention is:
1: the guider that present unique percutaneous inserts.
2: little otch, satisfy Wicresoft's requirement in operation.
3: the detachable design of pilot hole and main body.
4: the design of pilot hole adjustable-angle.
5: guider the place ahead acute angle design facilitates percutaneous to insert.
Adopted the pressurization hip screw guider through the skin insertion of this invention, it comprises holding rod, femur support rod and guiding catheter, one end of described femur support rod is fixedly connected on an end of described holding rod, the other end of described femur support rod is sharp-pointed termination, be provided with universal screw on position near an end that is connected with holding rod on this femur support rod, one end of described guiding catheter has screw thread, and the threaded end of described guiding catheter tool is fixedly connected with described universal screw.thereby when using this guider to pressurize the hip screw implantation, can utilize the sharp-pointed termination of femur support rod, it is inserted from skin, and prop up femur, then, again guiding catheter being inserted and is threaded connection universal screw locates, the pressurization hip screw can be inserted guiding catheter subsequently, realize the implantation of pressurization hip screw, the otch that such operation process produces is minimum, can realize Minimally Invasive Surgery, shorten patient's healing time, and it is adjustable to utilize this guider to carry out implantation direction and the angle of hip screw, the guiding position is accurate, the overall structure of the pressurization hip screw guider that inserts through skin of the present invention is simple, with low cost, range of application is also comparatively extensive.
In this description, the present invention is described with reference to its specific embodiment.But, still can make various modifications and conversion obviously and not deviate from the spirit and scope of the present invention.Therefore, description and accompanying drawing are regarded in an illustrative, rather than a restrictive.

Claims (10)

1. pressurization hip screw guider that inserts through skin, it is characterized in that, described guider comprises holding rod, femur support rod and guiding catheter, one end of described femur support rod is fixedly connected on an end of described holding rod, the other end of described femur support rod is sharp-pointed termination, be provided with universal screw on position near an end that is connected with holding rod on this femur support rod, one end of described guiding catheter has screw thread, and the threaded end of described guiding catheter tool is fixedly connected with described universal screw.
2. the pressurization hip screw guider that inserts through skin according to claim 1, is characterized in that, between described femur support rod and holding rod, the angular range of angle is that 85 degree are to 95 degree.
3. the pressurization hip screw guider that inserts through skin according to claim 2, is characterized in that, between described femur support rod and holding rod, angle is 90 degree.
4. the pressurization hip screw guider that inserts through skin according to claim 1, is characterized in that, the length range of the sharp-pointed termination of described femur support rod is 0.5 centimetre to 1.5 centimetres.
5. the pressurization hip screw guider that inserts through skin according to claim 4, is characterized in that, the length of the sharp-pointed termination of described femur support rod is 1 centimetre.
6. the described pressurization hip screw guider that inserts through skin of any one according to claim 1 to 5, it is characterized in that, described guider also comprises locating rod, one end of described locating rod is fixed in the position between described holding rod two ends, offer through hole on described locating rod, described guiding catheter is arranged in described through hole.
7. the pressurization hip screw guider that inserts through skin according to claim 6, is characterized in that, described locating rod is parallel with described femur support rod.
8. the pressurization hip screw guider that inserts through skin according to claim 7, it is characterized in that, the described guiding catheter that is arranged in described through hole is included-angle-changeable with the angle between described femur support rod, and to be 120 degree spend to 140 the scope of described included-angle-changeable.
9. the pressurization hip screw guider that inserts through skin according to claim 8, is characterized in that, described through hole is the rectangular through-hole along described locating rod length direction.
10. the pressurization hip screw guider that inserts through skin according to claim 9, is characterized in that, described rectangular through-hole is marked be used to the indicating graduation that identifies described included-angle-changeable.
CN201310072356.1A 2013-03-07 2013-03-07 Through the pressurization hip screw guides that skin inserts Expired - Fee Related CN103126762B (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103393462A (en) * 2013-07-22 2013-11-20 陈立军 In-vitro dynamic hip screw guider
CN103961175A (en) * 2014-06-01 2014-08-06 赵全明 Guider for fixing dynamic hip screws for proximal femoral fractures
US10646695B1 (en) 2015-07-08 2020-05-12 Arizona Board Of Regents On Behalf Of The University Of Arizona Percutaneous methods, systems, and devices for positioning a guide wire in a bone
US11285031B2 (en) 2017-05-01 2022-03-29 Arizona Board Of Regents On Behalf Of The University Of Arizona Active assist orthotic
US11617609B2 (en) 2015-07-08 2023-04-04 Arizona Board Of Regents On Behalf Of The University Of Arizona Percutaneous methods, systems, and devices for positioning a guide wire in a bone

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4465065A (en) * 1983-01-07 1984-08-14 Yechiel Gotfried Surgical device for connection of fractured bones
JPH08126650A (en) * 1994-11-01 1996-05-21 For S Medical:Kk Rotational osteoectomy for head of thigh bone and inner fixing member for therapy of fracture of neck of thigh bone
WO2005082263A1 (en) * 2004-02-26 2005-09-09 Hoegstroem Magnus Device for fixation of femur fractures
CN201164501Y (en) * 2008-01-31 2008-12-17 王强 Internal fixation device for intertrochanteric fracture
CN202313693U (en) * 2011-10-12 2012-07-11 常州迪恩医疗器械有限公司 Universal locking fracture bone plate
CN203089353U (en) * 2013-03-07 2013-07-31 上海市杨浦区中心医院 Device for guiding compression hip screw inserted into skin

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4465065A (en) * 1983-01-07 1984-08-14 Yechiel Gotfried Surgical device for connection of fractured bones
JPH08126650A (en) * 1994-11-01 1996-05-21 For S Medical:Kk Rotational osteoectomy for head of thigh bone and inner fixing member for therapy of fracture of neck of thigh bone
WO2005082263A1 (en) * 2004-02-26 2005-09-09 Hoegstroem Magnus Device for fixation of femur fractures
CN201164501Y (en) * 2008-01-31 2008-12-17 王强 Internal fixation device for intertrochanteric fracture
CN202313693U (en) * 2011-10-12 2012-07-11 常州迪恩医疗器械有限公司 Universal locking fracture bone plate
CN203089353U (en) * 2013-03-07 2013-07-31 上海市杨浦区中心医院 Device for guiding compression hip screw inserted into skin

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103393462A (en) * 2013-07-22 2013-11-20 陈立军 In-vitro dynamic hip screw guider
CN103961175A (en) * 2014-06-01 2014-08-06 赵全明 Guider for fixing dynamic hip screws for proximal femoral fractures
US10646695B1 (en) 2015-07-08 2020-05-12 Arizona Board Of Regents On Behalf Of The University Of Arizona Percutaneous methods, systems, and devices for positioning a guide wire in a bone
US11617609B2 (en) 2015-07-08 2023-04-04 Arizona Board Of Regents On Behalf Of The University Of Arizona Percutaneous methods, systems, and devices for positioning a guide wire in a bone
US11285031B2 (en) 2017-05-01 2022-03-29 Arizona Board Of Regents On Behalf Of The University Of Arizona Active assist orthotic

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Application publication date: 20130605

Assignee: Shanghai Luxi Medical Devices Co.,Ltd.

Assignor: SHANGHAI YANGPU DISTRICT CENTRAL HOSPITAL

Contract record no.: 2019310000051

Denomination of invention: Compression hip-screw guider inserted through skin

Granted publication date: 20150909

License type: Exclusive License

Record date: 20190722

CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20150909