CN103445842B - Talipes equines orthosis - Google Patents
Talipes equines orthosis Download PDFInfo
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- CN103445842B CN103445842B CN201310400853.XA CN201310400853A CN103445842B CN 103445842 B CN103445842 B CN 103445842B CN 201310400853 A CN201310400853 A CN 201310400853A CN 103445842 B CN103445842 B CN 103445842B
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- connecting rod
- type hole
- hole ring
- metatarsal
- bar cover
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- 206010043101 Talipes Diseases 0.000 title abstract 8
- 210000001872 metatarsal bone Anatomy 0.000 claims abstract description 51
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 37
- 210000002303 tibia Anatomy 0.000 claims abstract description 28
- 210000000459 calcaneus Anatomy 0.000 claims abstract description 19
- 229910000831 Steel Inorganic materials 0.000 claims abstract description 10
- 239000010959 steel Substances 0.000 claims abstract description 10
- 239000000203 mixture Substances 0.000 claims description 5
- 230000000694 effects Effects 0.000 abstract description 9
- 208000010392 Bone Fractures Diseases 0.000 abstract description 8
- 206010017076 Fracture Diseases 0.000 abstract description 8
- 230000008901 benefit Effects 0.000 abstract description 4
- 230000035876 healing Effects 0.000 abstract description 3
- 230000006378 damage Effects 0.000 abstract description 2
- 210000003789 metatarsus Anatomy 0.000 abstract 2
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- 238000009940 knitting Methods 0.000 description 3
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- 238000012549 training Methods 0.000 description 3
- 229910000838 Al alloy Inorganic materials 0.000 description 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 2
- 229910000737 Duralumin Inorganic materials 0.000 description 2
- 229910001069 Ti alloy Inorganic materials 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 210000000481 breast Anatomy 0.000 description 2
- 229910052799 carbon Inorganic materials 0.000 description 2
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- 206010062575 Muscle contracture Diseases 0.000 description 1
- 241001227561 Valgus Species 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
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- 239000011664 nicotinic acid Substances 0.000 description 1
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Abstract
The invention discloses a talipes equines orthosis. The talipes equines orthosis consists of a bone fixation support, a steel needle fixing clamp and a steel needle clamped in the steel needle fixing clamp, wherein the bone fixation support comprises a tibial hole full ring arranged on the middle segment or upper segment of a tibia, a calcaneal C-type hole ring arranged on the middle segment of a calcaneus, a metatarsal proximal C-type hole ring arranged at the promxial position of a metatarsus, and a metatarsal distal C-type hole ring arranged at the distal position of the metatarsus. The talipes equines orthosis solves the technical problem that traditional talipes equines orthoses used for correcting talipes equines have difficulty in meeting the orthosis and treatment needs of talipes equines. The talipes equines orthosis has the advantages that the operation is convenient and safe, the structure is simple and ingenious, an operation is guaranteed to be finished under the microinvasive or noninvasive condition, the damage to the local soft tissue injury and blood supply is avoided to the greatest extent, the fracture healing and function reconstruction are facilitated, the curative effect is high, and the complication is low.
Description
Technical field
The present invention relates to a kind of exter-nal fixer, particularly a kind of orthosis correcting strephopodia.
Background technology
The orthosis of existing treatment strephopodia has Ilizarov ring type external fixator, Bastiani unilateral external fixator and AO block form external fixator.Above-mentioned external fixator has the following disadvantages: 1, Ilizarov external fixator, and complex structure is heavy, and not quick flexible and multidimensional orthopaedic function, and operating difficulties, be unfavorable for functional training, be difficult to the corrective therapy needs meeting strephopodia; , there is complex structure heaviness, the simple shortcoming of function, be difficult to the corrective therapy needs meeting strephopodia in 2, Bastiani unilateral external fixator and AO block form external fixator.
Summary of the invention
The object of this invention is to provide a kind of strephopodia orthosis, the orthosis that solve traditional rectification strephopodia is difficult to the technical problem of the corrective therapy needs meeting strephopodia.
For achieving the above object, the present invention adopts following technical scheme: a kind of strephopodia orthosis, by bone fixed support, be connected to the steel needle fixing clamp on bone fixed support, and the draw point composition be clipped in steel needle fixing clamp, it is characterized in that: described bone fixed support comprises the tibia hole loopful being arranged on middle tibia or epimere place, be arranged on the calcaneus C type hole ring of calcaneus middle section, be arranged on the metatarsal near-end C type hole ring of metatarsal proximal end, be arranged on the metatarsal far-end C type hole ring of metatarsal far-end, the first quick-expansion bar between the middle part being connected to tibia hole loopful and calcaneus C type hole ring, the second quick-expansion bar between the middle part being connected to tibia hole loopful and metatarsal near-end C type hole ring, and the vertical connecting rod be connected between metatarsal near-end C type hole ring and metatarsal far-end C type hole ring.
Described bone fixed support also comprises two hole ring connecting rods, each hole ring connecting rod is by upper connecting rod, lower connecting rod, lateral connection bar and three link joint devices composition, the upper end of described upper connecting rod is fixedly connected with tibia hole loopful, the lower end of upper connecting rod is fixedly connected with three link joint devices, the upper end of described lower connecting rod is fixedly connected with three link joint devices, the interlude of lower connecting rod is fixedly connected with the both ends of metatarsal near-end C type hole ring, the lower end of lower connecting rod is fixedly connected with the both ends of metatarsal far-end C type hole ring, one end of described lateral connection bar is fixedly connected on three link joint devices, the other end is fixedly connected on the both ends of calcaneus C type hole ring.
Described bone fixed support also can comprise oblique connecting rod and holes connecting plate, one end and the calcaneus C type hole ring of oblique connecting rod are articulated and connected, the other end and the holes connecting plate of oblique connecting rod are articulated and connected, and holes connecting plate to be enclosed within again on lower connecting rod and to be fixedly connected with lower connecting rod by nut.
The hole coordinated on described metatarsal far-end C type hole ring, with lower connecting rod and vertical connecting rod can be arc hole slot.
Described upper connecting rod and lower connecting rod can be threaded rod, the upper end of described upper connecting rod is connected on tibia hole loopful by up-down adjustment nut is adjustable, the lower end of lower connecting rod is connected on metatarsal far-end C type hole ring by up-down adjustment nut is adjustable, and the interlude of lower connecting rod is connected with metatarsal near-end C type hole ring by up-down adjustment nut.
Described vertical connecting rod can be threaded rod, and the upper end of vertical connecting rod is connected on metatarsal near-end C type hole ring by up-down adjustment nut is adjustable, and the lower end of vertical connecting rod is connected on metatarsal far-end C type hole ring by up-down adjustment nut is adjustable.
Described bone fixed support also can comprise threaded fixation clamp connecting rod, threaded fixation clamp connecting rod is connected on tibia hole loopful by upper and lower adjusting nut is adjustable, on threaded fixation clamp connecting rod, cover has draw point pad and draw point pressure pad, draw point pad and draw point pressure pad are connected on threaded fixation clamp connecting rod by upper and lower adjusting nut is adjustable, accompany half pin between draw point pad and draw point pressure pad.
One end of described first quick-expansion bar is connected on tibia hole loopful by having hinged and joint device that is locking function, the other end of the first quick-expansion bar is connected on calcaneus C type hole ring by multidirectional articulation joint, one end of described second quick-expansion bar is connected on tibia hole loopful by having hinged and joint device that is locking function, and the other end of the second quick-expansion bar is connected on metatarsal near-end C type hole ring by multidirectional articulation joint.
Described first quick-expansion bar is identical with the structure of the second quick-expansion bar, all can include threaded rod, interior bar cover and outer bar cover, described threaded rod is inserted in interior bar cover from top to bottom, described interior bar cover is inserted in outer bar cover from top to bottom, the lower end of described outer bar cover is provided with multidirectional articulation joint, and multidirectional articulation joint is provided with threaded connector.
The upper end of described interior bar cover is provided with flanging, and be provided with pressure controller between the upper end of interior bar cover and threaded rod, described pressure controller is overlapped by adjusting sleeve, Stress control and Compress Spring forms, the upper end of described adjusting sleeve is threaded with threaded rod, the bottom of adjusting sleeve is connected with Stress control external threading, the interior bar that described Stress control cover is movably set on the downside of flanging puts, and described Compress Spring is enclosed within the threaded rod between flanging that the upper end of adjusting sleeve and interior bar overlap.
It is uncovered that the medial wall, upper end that described outer bar overlaps is provided with taper, the lateral wall, upper end of outer bar cover is provided with external thread section, and be provided with lock-on connection between the upper end of outer bar cover and interior bar overlap, described lock-on connection is made up of cone shaped elastic circle and locking nut, described locking nut is threaded by external thread section the upper end of the cover of bar outside, described cone shaped elastic circle be inserted in taper uncovered in, be clipped in interior bar cover and between outer bar overlap, and the fixing of the upper end of cone shaped elastic circle is on the upper end of locking nut.
Described multidirectional articulation joint can be made up of Connection Block, hinged otic placode, middle pin, axle sleeve and bearing pin, wherein hinged otic placode is arranged on the lower end of outer bar cover, axle sleeve and bearing pin are articulated and connected on hinged otic placode by middle pin, Connection Block is articulated and connected again on bearing pin, and described threaded connector is arranged on Connection Block.
Bar can be provided with between the medial wall that the lateral wall, bottom of described interior bar cover and outer bar overlap and overlap pad.
Compared with prior art the present invention has following characteristics and beneficial effect: the present invention has multi-direction regulation and control and fixes orthopaedic function, drawing-off replacement and fixation and malformation correction can be implemented to the fracture of ankle and foot or deformity in hyperspace, be applicable to osteotomy and drawing-off orthopaedy, can treat grow stop or adult apart from ankle compound malformations such as lower tetanic, equinocavus, be especially applicable to treatment strephopodia.
The present invention is easy and safe to operate, and features simple structure is dexterous, meets anatomy and therapeutics requirement, is installed to after in suffering limb, less to the motion effects in ankle joint, bears a heavy burden and functional training so allow to suffer from body.
In operation, use the present invention, can ensure that operation technique completes under Wicresoft or noinvasive condition, avoid the destruction of local soft tissue damage and blood fortune to greatest extent, be conducive to promoting union of fracture and reconstruction, there is the advantage that curative effect is high and complication is low.
Be provided with multidirectional articulation joint in the present invention and there is hinged and joint device that is locking function, both can realize valgus deformity correcting function in ankle, and effectively can be locked in orthopedic rear enforcement again.
The present invention can make mechanical energy (mechanical environment) and bioenergy (tissue regeneration) have the good compatibility (reasonability of Mechanobiology environment), can meet flexible fastening that fracture early implementation provides axis and combined stress to stimulate strong fixing, mid-term, requirement that the later stage provides balance fixing.
The present invention has carried out new innovation to the mechanics effect of exter-nal fixer, has dynamic elasticity drawing-off function, has the structure complying with biological requirement, makes exter-nal fixer bionic boundary of marching toward become possibility, provides technology ensure for implementing cybernetics.
The present invention has incorporated the structural element of more Ilizarov external fixator, not only in rationale, there is again new breakthrough the aspects such as apparatus innovation, technical specification, clinical practice and treatment concept, substantially achieve theoretical system, apparatus seriation, regularized operation, criterion of therapeutical effect, define new bone External technique system.
Quick-expansion bar in the present invention is the important component implementing overall configuration and function combinations, the optimum organization of configuration can be carried out, increase practicality and the dexterity of configuration, can require that implementing drawing-off, pressurization, regulation and control elasticity and adaptability rigidity fixes according to treatment at therapeutic process, embody bionics function highlightedly, improve the compatibility of mechanical energy and bioenergy, meet the requirement of regeneration reconstruction and control theory, ensure that curative effect.
Over the course for the treatment of, according to treatment requirement, the quick-expansion bar in the present invention can be controlled by pressure controller, make quick-expansion bar implement elasticity drawing-off pressurization, flexible fastening (regulation and control elasticity) and adaptability rigidity and fix.
Quick-expansion bar in the present invention can stretch, namely clockwise or rotate counterclockwise lock-on connection 360 degree, quick-expansion bar can increase or shorten, solve the difficult problem that rigidity that exter-nal fixer fixes can not change, so can require to implement gap according to treatment at therapeutic process is that the adaptability balance of to be the flexible fastening of 1 ~ 2mm and later stage gap be in gap in early stage strong fixing, mid-term 3 ~ 5mm of zero is fixing.
Quick-expansion bar in the present invention has quick-expansion, slow prolongation and dynamic elasticity drawing-off are pressurizeed three kinds of functions, there is adjustment easy to operate, geometries optimize, practical, dexterous feature, more importantly, in the overall process for the treatment of, namely early, in, the difference in later stage fixes the stage, under the prerequisite of repertoire keeping exter-nal fixer, can meet early stage strong fixing respectively, flexible fastening in mid-term, the treatment requirement of the fixing stage bone of later stage balance, promote new bone growth, sclerotin mineralising, realize the optimized reconstruction of bone function and positive rehabilitation, realize healing completely, facilitate management after operation simultaneously, be convenient for measuring.
Compared with traditional extension rod (application publication number is the Chinese patent application of CN102860861A), the quick-expansion bar better use in the present invention, specific as follows:
The structure of what 1, traditional extension rod adopted is two-stage nitration bar, there is the problem that dilatability is little, and the quick-expansion bar in the present invention have employed the structure of three sections of bars, so tensile elongation increases a lot (collapsing length is larger) than traditional extension rod, 160mm ~ 350mm can be reached, adjusting range is wider, has very large advantage, avoid the drawback of the limited length of traditional extension rod to ankle is orthopedic.
2, when traditional extension rod is carried and shunk locking jaw on lock sleeve, easily make the screw thread in locking jaw fasten threaded rod, make threaded rod and bar cover locking, simultaneously, after traditional extension rod is locked by locking jaw, the fit clearance between threaded rod and bar overlap can cause extension rod to occur slight rolling innervation.Quick-expansion bar in the present invention eliminates locking jaw, stuck problem is there will be so avoid when threaded rod and locking jaw stretch, simultaneously, quick-expansion bar in the present invention devises outer bar cover and interior bar cover blind-mate is free to slide, and the slip of outer bar cover and interior bar cover is controlled by lock-on connection, significantly length adjustment is realized fast, owing to being being free to slide of blind-mate between interior bar cover and outer bar cover, so without rocking after locking with this.
3, traditional extension rod inconvenient problem with use is avoided.Stiffness reliability device on traditional extension rod places separately, when it withstands locking jaw, could realize stiffness reliability, adjust complexity during use to lose time, if when not needing stiffness reliability device, must be unloaded, so when using different configuration, must add to consider, and present invention employs principle built-in for stiffness reliability device, rename as pressure controller, by the Stress control cover in rotation pressure controller, the pressure of the present invention to art bone can be adjusted, by the adjusting sleeve in integral-rotation pressure controller, can make threaded rod and interior bar overlap between realize flexible fine setting, regulated the speed so both improve, in turn ensure that the degree of accuracy of adjustment pressure, if when not needing stiffness reliability, directly Stress control cover can be rotated the bosom to adjusting sleeve, Compress Spring is depressed into the shortest, the elastic force of Compress Spring is inoperative, now pressure controller is inoperative, but the effect of being locked is constant.
4, traditional extension rod is when processing locking jaw, difficulty of processing is large, finished product rate is low, production cost is high, become the bottleneck affecting product promotion, and the quick-expansion bar in the present invention eliminates locking jaw, reduce difficulty of processing and production cost, improve working (machining) efficiency, avoid the problem that processing locking jaw brings.
5, traditional exter-nal fixer all adopts rustless steel, x-ray fluoroscopy can be affected over the course for the treatment of, and except threaded rod, in the present invention, all can adopt lightweight duralumin, hard alumin ium alloy, titanium alloy or carbon fibre material, so expand x-ray fluoroscopy scope, add the perspective rate of exter-nal fixer, be convenient to carry out accurate assessment to therapeutic effect, be also more conducive to the situation diagnosing fracture exactly, significantly reduce the weight of exter-nal fixer in addition, be convenient to functional training.
Accompanying drawing explanation
Below in conjunction with accompanying drawing, the present invention will be further described in detail.
Fig. 1 is using state schematic diagram of the present invention.
Fig. 2 is decomposing schematic representation of the present invention.
Fig. 3 is schematic perspective view of the present invention.
Fig. 4 is the schematic front view of quick-expansion bar.
Fig. 5 is the decomposing schematic representation of quick-expansion bar.
Fig. 6 is the assembling schematic diagram of quick-expansion bar.
Fig. 7 is the schematic diagram of the external thread section on the lateral wall, upper end of lock-on connection and outer bar cover.
Fig. 8 is the structural representation of quick-expansion bar.
Fig. 9 is the enlarged diagram at I place in Fig. 8.
Figure 10 is the enlarged diagram at II place in Fig. 8.
Reference numeral: 1-tibia hole loopful, 2-calcaneus C type hole ring, 3-metatarsal near-end C type hole ring, 4-metatarsal far-end C type hole ring, 5-first quick-expansion bar, 6-second quick-expansion bar, 7-upper connecting rod, 8-lower connecting rod, 9-lateral connection bar, 10-tri-link joint device, the oblique connecting rod of 11-, the vertical connecting rod of 12-, 13-up-down adjustment nut, 14-holes connecting plate, the threaded fixation clamp connecting rod of 15-, 16-draw point pad, 17-draw point pressure pad, 18-half pin, 19-has hinged and joint device that is locking function, 20-arc hole slot, 21-threaded rod, bar cover in 22-, the outer bar cover of 23-, 24-adjusting sleeve, 25-Compress Spring, 26-Stress control cover, 27-taper is uncovered, 28-cone shaped elastic circle, 29-external thread section, 30-locking nut, 31-bar cover pad, 32-threaded connector, 33-flanging, 34-bearing pin, 35-axle sleeve, sell in 36-, the hinged otic placode of 37-, 38-Connection Block, 39-union joint, 40-locating hole, 41-tibia, 42-calcaneus, 43-metatarsal.
Detailed description of the invention
Embodiment is see shown in Fig. 1-3, and this strephopodia orthosis, by bone fixed support, is connected to the steel needle fixing clamp on bone fixed support and the draw point be clipped in steel needle fixing clamp forms.
Described bone fixed support comprises the tibia hole loopful 1 being arranged on middle tibia or epimere place, be arranged on the calcaneus C type hole ring 2 of calcaneus middle section, be arranged on the metatarsal near-end C type hole ring 3 of metatarsal proximal end, be arranged on the metatarsal far-end C type hole ring 4 of metatarsal far-end, the first quick-expansion bar 5 between the middle part being connected to tibia hole loopful 1 and calcaneus C type hole ring 2, the second quick-expansion bar 6 between the middle part being connected to tibia hole loopful 1 and metatarsal near-end C type hole ring 3, and the vertical connecting rod 12 be connected between metatarsal near-end C type hole ring 3 and metatarsal far-end C type hole ring 4.
Described bone fixed support also comprises two hole ring connecting rods, each hole ring connecting rod is by upper connecting rod 7, lower connecting rod 8, lateral connection bar 9 and three link joint device 10(form by three connecting rod joints with by hinged for a three connecting rod joints hinge) form, the upper end of described upper connecting rod 7 is fixedly connected with tibia hole loopful 1, the lower end of upper connecting rod 7 is fixedly connected with three link joint devices 10, the upper end of described lower connecting rod 8 is fixedly connected with three link joint devices 10, the interlude of lower connecting rod 8 is fixedly connected with the both ends of metatarsal near-end C type hole ring 3, the lower end of lower connecting rod 8 is fixedly connected with the both ends of metatarsal far-end C type hole ring 4, one end of described lateral connection bar 9 is fixedly connected on three link joint devices 10, the other end is fixedly connected on the both ends of calcaneus C type hole ring 2.
In the present embodiment, described bone fixed support also comprises oblique connecting rod 11 and holes connecting plate 14, one end and the calcaneus C type hole ring 2 of oblique connecting rod 11 are articulated and connected, the other end and the holes connecting plate 14 of oblique connecting rod 11 are articulated and connected, and holes connecting plate 14 to be enclosed within again on lower connecting rod 8 and to be fixedly connected with lower connecting rod 8 by nut.
In the present embodiment, upper connecting rod 7 and lower connecting rod 8 are threaded rod, the upper end of described upper connecting rod 7 is connected on tibia hole loopful 1 by up-down adjustment nut 13 is adjustable, the lower end of lower connecting rod 8 is connected on metatarsal far-end C type hole ring 4 by up-down adjustment nut 13 is adjustable, and the interlude of lower connecting rod 8 is connected with metatarsal near-end C type hole ring 3 by up-down adjustment nut 13.
In the present embodiment, vertical connecting rod 12 is threaded rod, the upper end of vertical connecting rod 12 is connected on metatarsal near-end C type hole ring 3 by up-down adjustment nut 13 is adjustable, and the lower end of vertical connecting rod 12 is connected on metatarsal far-end C type hole ring 4 by up-down adjustment nut 13 is adjustable.
In the present embodiment, the hole coordinated on metatarsal far-end C type hole ring 4, with lower connecting rod 8 and vertical connecting rod 12 is arc hole slot 20, the reason of such design is, in the process of correcting, after the position of bone changes, metatarsal far-end C type hole ring 4 can not be dismantled, as long as unclamp the connection of some lower connecting rods 8 with metatarsal far-end C type hole ring 4 and the connection of vertical connecting rod 12 and metatarsal far-end C type hole ring 4, just can regulate the position of metatarsal far-end C type hole ring 4, time saving and energy saving.
In the present embodiment, bone fixed support also comprises threaded fixation clamp connecting rod 15, threaded fixation clamp connecting rod 15 is connected on tibia hole loopful 1 by upper and lower adjusting nut 13 is adjustable, on threaded fixation clamp connecting rod 15, cover has draw point pad 16 and draw point pressure pad 17, draw point pad 16 and draw point pressure pad 17 are connected on threaded fixation clamp connecting rod 15 by upper and lower adjusting nut 13 is adjustable, accompany half pin 18 between draw point pad 16 and draw point pressure pad 17.
In the present embodiment, adopt the benefit of upper and lower adjusting nut to be to regulate the relative position of each rod member and hole ring, thus regulate the support bracket fastened size of bone according to different needs.
In the present embodiment, one end of first quick-expansion bar 5 is connected on tibia hole loopful 1 by having hinged and joint device 19 that is locking function, the other end of the first quick-expansion bar 5 is connected on calcaneus C type hole ring 2 by multidirectional articulation joint, one end of described second quick-expansion bar 6 is connected on tibia hole loopful 1 by having hinged and joint device 19 that is locking function, and the other end of the second quick-expansion bar 6 is connected on metatarsal near-end C type hole ring 3 by multidirectional articulation joint.It is described that to have hinged and joint device 19 that is locking function can be the combination of any one or more in spherical universal joint (application publication number is the Chinese patent application of CN103006302A), damping joint (application publication number is the Chinese patent application of CN103006303A) or self-locking joint (application publication number is the Chinese patent application of CN103006301A).
Shown in Fig. 4-10, in the present embodiment, first quick-expansion bar 5 is identical with the structure of the second quick-expansion bar 6, threaded rod 21, interior bar cover 22 and outer bar cover 23 are included, described threaded rod 21 is inserted in interior bar cover 22 from top to bottom, described interior bar cover 22 is inserted in outer bar cover 23 from top to bottom, and the lower end of described outer bar cover 23 is provided with multidirectional articulation joint, and multidirectional articulation joint is provided with threaded connector 32.
The upper end of described interior bar cover 22 is provided with flanging 33, and be provided with pressure controller between the upper end of interior bar cover 22 and threaded rod 21, described pressure controller is made up of adjusting sleeve 24, Stress control cover 26 and Compress Spring 25, the upper end of described adjusting sleeve 24 is threaded with threaded rod 21, bottom and the Stress control of adjusting sleeve 24 overlap 26 and are threaded, described Stress control cover 26 is movably set on the interior bars cover 22 on the downside of flanging 33, and described Compress Spring 25 is enclosed within the threaded rod 21 between flanging 33 that the upper end of adjusting sleeve 24 and interior bar overlap 22.
The medial wall, upper end of described outer bar cover 23 is provided with taper uncovered 27, the lateral wall, upper end of outer bar cover 23 is provided with external thread section 29, and the upper end of outer bar cover 23 and interior bar are provided with lock-on connection between overlapping 22, described lock-on connection is made up of cone shaped elastic circle 28 and locking nut 30, described locking nut 30 is threaded by external thread section 29 upper end of the cover of bar outside 23, described cone shaped elastic circle 28 is inserted in taper uncovered 27, be clipped in interior bar cover 22 and outer bar overlap between 23, and the fixing of the upper end of cone shaped elastic circle 28 is on the upper end of locking nut 30.
Described multidirectional articulation joint is made up of Connection Block 38, hinged otic placode 37, middle pin 36, axle sleeve 35 and bearing pin 34, wherein hinged otic placode 37 is arranged on the lower end of outer bar cover 23, axle sleeve 35 and bearing pin 34 are articulated and connected on hinged otic placode 37 by middle pin 36, Connection Block 38 is articulated and connected again on bearing pin 34, and described threaded connector 32 is arranged on Connection Block 38.As most preferred embodiment, threaded connector 32 is out the internal thread hole on Connection Block 38.
Be provided with bar between the medial wall that the lateral wall, bottom of described interior bar cover 22 and outer bar overlap 23 and overlap pad 31, the medial surface of bar cover pad 31 is provided with union joint 39, described interior bar cover 22 is provided with the locating hole 40 corresponding with union joint 39, and bar cover pad 31 is fixed on interior bar cover 22 by union joint 39 is relative with locating hole 40.
In other embodiments, quick-expansion bar 3 also can replace with traditional extension rod.Certainly, drawing-off bar 3 can also adopt other more existing connecting rods.
In the present embodiment, all can adopt lightweight duralumin, hard alumin ium alloy, titanium alloy, carbon fibre material to make except threaded rod.
In the present embodiment, the tow sides of all hole rings can carve angle scale.Angle scale is engraved in front outer edge and the reverse side outer edge of hole ring.
The effect of the lock-on connection in described quick-expansion bar is: make interior bar cover and outer bar overlap rapid drawing-off and locking, and interior bar cover and outer bar cover are locked at an arbitrary position.Specifically, the medial wall, upper end of described exactly outer bar cover is provided with taper uncovered (namely the medial wall, upper end of outer bar cover is the pyramidal structure that the diameter of axle diminishes gradually) from top to bottom, when tightening the locking nut in lock-on connection, taper is uncovered can be compressed cone shaped elastic circle, make bar cover in the locking of cone shaped elastic circle, bar cover and outer bar cover locking now, when unscrewing locking nut, the reinstatement of cone shaped elastic circle, makes interior bar overlap mutually externally bar cover free-extension.
Treatment stage in early days, when operative reduction, when the present invention being fixed on art bone, locking nut on quick-expansion bar is unclamped, quick-expansion bar is made to be in length fast tunable state (interior bar cover with outer bar cover can relative sliding), simultaneously fast drawing-off bar various there is the effect of the joint device of hinged and locking function under be in free movement state, the present invention now can carry out three-dimensional adjustment neatly, carries out drawing-off, rotation, pressurization, reset.After art bone resets substantially, the joint device that is hinged and locking function that has in the present invention is locked, carried out the micro stretching contracting (adjusting sleeve can control the relative position of interior bar cover and threaded rod) of threaded rod by the adjusting sleeve in rotation pressure controller, the reduction of the fracture is finely tuned.After the adjustment of art bone resets, Stress control cover in pressure controller can be rotated the bosom to adjusting sleeve, now Compress Spring is compressed into the shortest, pressure controller inoperative (Compress Spring is inoperative), now quick-expansion bar will fully be fixed art bone fast, and for union of fracture, new bone mineralising provide strong fixing, that guarantees required by knitting initial stage is strong fixing, avoid the dislocation because stable difference causes, angulation is forbidden, the problems such as poor healing.
When the mid-term of knitting, need the flexible fastening providing axis and combined stress to stimulate to art bone, Stress control is overlapped rotation unclamp, Compress Spring is made to be in elastic force state, under the effect of the Compress Spring now in pressure controller, quick-expansion bar can have certain telescopic resilience (threaded rod and interior bar overlap elasticity and be connected), cover is controlled by rotational pressure, the elastic force of Compress Spring can be regulated, realize the elastic force that adjustment controls quick-expansion bar thus, thus reach the object of the pressure size controlling quick-expansion pole pair art bone, now, exter-nal fixer can be controlled, implement drawing-off, pressurization function, adjusting sleeve on quick-expansion bar is to drawing-off pressurization scope 0 ~ 200 handkerchief (unit) of knochenbruch.Rotate clockwise adjusting sleeve 360 degree, increase 1mm, rotate counterclockwise, shorten 1mm, this regulation and control, the flexible fastening rigidity that the best combined stress providing knitting mid-term stage stimulates, gives full play to the adaptability of bone counter stress, the growth of adjustable bone and absorption, promote the process of union of fracture, the optimized reconstruction of complete osteogenesis function.
The anaphase stage: the present invention will provide balance fixing, under the prerequisite of function keeping exter-nal fixer, the quantity of the quick-expansion bar in the present invention can be reduced at random fast, so both maintained support strength of the present invention, alleviate again the weight of exter-nal fixer, and facilitate management after operation, be beneficial to positive rehabilitation.
The layout of described draw point sets according to the concrete condition of sufferer.
The present embodiment is used to carry out being described below of osteotomy and drawing-off orthopaedy.
1, osteotomy and drawing-off orthopaedy are a kind of correcting technology principles for having bone sex deviation and contracture deformity simultaneously, and Specific Principles can the application respectively of and drawing-off orthopedic principle orthopedic with reference to osteotomy or use in conjunction.
2, bone and soft tissue deformity is applicable to and the plyability deposited is lopsided.
3, operating procedure: (1) specification settles the present embodiment; (2) Wicresoft connects hole osteotomy, utilizes maneuver or osteotome, and fracture is broken; (3) according to the size of lopsided amplitude, disposable orthopedic or slow drawing-off orthopaedy is adopted to bone sex deviation or soft tissue deformity, and adopts related technical measures; (4) the postoperative orthodontic condition according to diverse location, by the regulatory function of the present embodiment, is progressively that deformity is corrected.
Claims (10)
1. a strephopodia orthosis, by bone fixed support, be connected to the steel needle fixing clamp on bone fixed support, and the draw point composition be clipped in steel needle fixing clamp, it is characterized in that: described bone fixed support comprises the tibia hole loopful (1) being arranged on middle tibia or epimere place, be arranged on calcaneus C type hole ring (2) of calcaneus middle section, be arranged on metatarsal near-end C type hole ring (3) of metatarsal proximal end, be arranged on metatarsal far-end C type hole ring (4) of metatarsal far-end, the first quick-expansion bar (5) between the middle part being connected to tibia hole loopful (1) and calcaneus C type hole ring (2), the second quick-expansion bar (6) between the middle part being connected to tibia hole loopful (1) and metatarsal near-end C type hole ring (3), and the vertical connecting rod (12) be connected between metatarsal near-end C type hole ring (3) and metatarsal far-end C type hole ring (4),
Described bone fixed support also comprises two hole ring connecting rods, each hole ring connecting rod is by upper connecting rod (7), lower connecting rod (8), lateral connection bar (9) and three link joint devices (10) composition, the upper end of described upper connecting rod (7) is fixedly connected with tibia hole loopful (1), the lower end of upper connecting rod (7) is fixedly connected with three link joint devices (10), the upper end of described lower connecting rod (8) is fixedly connected with three link joint devices (10), the interlude of lower connecting rod (8) is fixedly connected with the both ends of metatarsal near-end C type hole ring (3), the lower end of lower connecting rod (8) is fixedly connected with the both ends of metatarsal far-end C type hole ring (4), one end of described lateral connection bar (9) is fixedly connected on three link joint devices (10), the other end is fixedly connected on the both ends of calcaneus C type hole ring (2).
2. strephopodia orthosis according to claim 1, it is characterized in that: described bone fixed support also comprises oblique connecting rod (11) and holes connecting plate (14), one end and calcaneus C type hole ring (2) of oblique connecting rod (11) are articulated and connected, the other end and the holes connecting plate (14) of oblique connecting rod (11) are articulated and connected, and holes connecting plate (14) is enclosed within again lower connecting rod (8) and goes up and be fixedly connected with lower connecting rod (8) by nut.
3. strephopodia orthosis according to claim 1, it is characterized in that: described upper connecting rod (7) and lower connecting rod (8) are threaded rod, the upper end of described upper connecting rod (7) is connected on tibia hole loopful (1) by up-down adjustment nut (13) is adjustable, the lower end of lower connecting rod (8) is connected on metatarsal far-end C type hole ring (4) by up-down adjustment nut (13) is adjustable, and the interlude of lower connecting rod (8) is connected with metatarsal near-end C type hole ring (3) by up-down adjustment nut (13).
4. strephopodia orthosis according to claim 1, it is characterized in that: described vertical connecting rod (12) is threaded rod, the upper end of vertical connecting rod (12) is connected on metatarsal near-end C type hole ring (3) by up-down adjustment nut (13) is adjustable, and the lower end of vertical connecting rod (12) is connected on metatarsal far-end C type hole ring (4) by up-down adjustment nut (13) is adjustable.
5. strephopodia orthosis according to claim 1, is characterized in that: described metatarsal far-end C type hole ring (4) hole that is upper, that coordinate with lower connecting rod (8) and vertical connecting rod (12) is arc hole slot (20).
6. strephopodia orthosis according to claim 1, it is characterized in that: described bone fixed support also comprises threaded fixation clamp connecting rod (15), threaded fixation clamp connecting rod (15) is connected on tibia hole loopful (1) by upper and lower adjusting nut (13) is adjustable, the upper cover of threaded fixation clamp connecting rod (15) has draw point pad (16) and draw point pressure pad (17), draw point pad (16) and draw point pressure pad (17) are connected on threaded fixation clamp connecting rod (15) by upper and lower adjusting nut (13) is adjustable, half pin (18) is accompanied between draw point pad (16) and draw point pressure pad (17).
7. strephopodia orthosis according to claim 1, it is characterized in that: one end of described first quick-expansion bar (5) is connected on tibia hole loopful (1) by having hinged and joint device (19) that is locking function, the other end of the first quick-expansion bar (5) is connected in calcaneus C type hole ring (2) by multidirectional articulation joint, one end of described second quick-expansion bar (6) is connected on tibia hole loopful (1) by having hinged and joint device (19) that is locking function, the other end of the second quick-expansion bar (6) is connected on metatarsal near-end C type hole ring (3) by multidirectional articulation joint.
8. strephopodia orthosis according to claim 1, it is characterized in that: described first quick-expansion bar (5) is identical with the structure of the second quick-expansion bar (6), threaded rod (21), interior bar cover (22) and outer bar cover (23) are included, described threaded rod (21) is inserted in interior bar cover (22) from top to bottom, described interior bar cover (22) is inserted in outer bar cover (23) from top to bottom, the lower end of described outer bar cover (23) is provided with multidirectional articulation joint, and multidirectional articulation joint is provided with threaded connector (32);
The upper end of described interior bar cover (22) is provided with flanging (33), and be provided with pressure controller between the upper end of interior bar cover (22) and threaded rod (21), described pressure controller is by adjusting sleeve (24), Stress control cover (26) and Compress Spring (25) composition, the upper end of described adjusting sleeve (24) is threaded with threaded rod (21), the bottom of adjusting sleeve (24) is threaded with Stress control cover (26), described Stress control cover (26) is movably set on the interior bar cover (22) of flanging (33) downside, described Compress Spring (25) is enclosed within the threaded rod (21) between the upper end of adjusting sleeve (24) and the flanging (33) of interior bar cover (22),
The medial wall, upper end of described outer bar cover (23) is provided with taper uncovered (27), the lateral wall, upper end of outer bar cover (23) is provided with external thread section (29), and be provided with lock-on connection between the upper end of outer bar cover (23) and interior bar cover (22), described lock-on connection is made up of cone shaped elastic circle (28) and locking nut (30), described locking nut (30) is threaded by external thread section (29) upper end of bar cover (23) outside, described cone shaped elastic circle (28) is inserted in taper uncovered (27), be clipped between interior bar cover (22) and outer bar cover (23), and the upper end of cone shaped elastic circle (28) fixes on the upper end of locking nut (30).
9. strephopodia orthosis according to claim 8, it is characterized in that: described multidirectional articulation joint is made up of Connection Block (38), hinged otic placode (37), middle pin (36), axle sleeve (35) and bearing pin (34), wherein hinged otic placode (37) is arranged on the lower end of outer bar cover (23), axle sleeve (35) and bearing pin (34) are articulated and connected on hinged otic placode (37) by middle pin (36), Connection Block (38) is articulated and connected again on bearing pin (34), and described threaded connector (32) is arranged on Connection Block (38).
10. strephopodia orthosis according to claim 8, is characterized in that: be provided with bar between the lateral wall, bottom of described interior bar cover (22) and the medial wall of outer bar cover (23) and overlap pad (31).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310400853.XA CN103445842B (en) | 2013-09-06 | 2013-09-06 | Talipes equines orthosis |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310400853.XA CN103445842B (en) | 2013-09-06 | 2013-09-06 | Talipes equines orthosis |
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| CN103445842A CN103445842A (en) | 2013-12-18 |
| CN103445842B true CN103445842B (en) | 2015-05-13 |
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| CN201310400853.XA Expired - Fee Related CN103445842B (en) | 2013-09-06 | 2013-09-06 | Talipes equines orthosis |
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Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105167828A (en) * | 2015-08-28 | 2015-12-23 | 张家港市亚堤仕医疗咨询管理有限公司 | Transverse orthoterion |
| CN106264692B (en) * | 2016-08-30 | 2018-09-28 | 河北医科大学第三医院 | A kind of shank and ankle fracture traction reduction frame |
| CN108927771B (en) * | 2018-09-10 | 2023-07-07 | 陕西博菲特流体控制装备制造有限公司 | Quick mounting device for cylinder spring |
| CN112533429B (en) * | 2021-01-11 | 2022-05-10 | 宁波五云电器有限公司 | Intelligent switch with voice recognition function |
| CN114521948B (en) * | 2021-12-31 | 2023-08-29 | 常州华森医疗器械股份有限公司 | Ankle joint traction fixing system |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6129727A (en) * | 1999-03-02 | 2000-10-10 | Smith & Nephew | Orthopaedic spatial frame apparatus |
| CN201094658Y (en) * | 2007-11-09 | 2008-08-06 | 王庆贤 | Heel bone reposition fixator |
| CN102283699A (en) * | 2011-06-29 | 2011-12-21 | 成永忠 | Combination type ankle joint three-dimensional traction fixing frame |
| CN203425024U (en) * | 2013-09-06 | 2014-02-12 | 江苏广济医疗科技有限公司 | Talipes equines orthopedic instrument |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7306601B2 (en) * | 2005-06-10 | 2007-12-11 | Quantum Medical Concepts, Inc. | External fixation system with provisional brace |
-
2013
- 2013-09-06 CN CN201310400853.XA patent/CN103445842B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6129727A (en) * | 1999-03-02 | 2000-10-10 | Smith & Nephew | Orthopaedic spatial frame apparatus |
| CN201094658Y (en) * | 2007-11-09 | 2008-08-06 | 王庆贤 | Heel bone reposition fixator |
| CN102283699A (en) * | 2011-06-29 | 2011-12-21 | 成永忠 | Combination type ankle joint three-dimensional traction fixing frame |
| CN203425024U (en) * | 2013-09-06 | 2014-02-12 | 江苏广济医疗科技有限公司 | Talipes equines orthopedic instrument |
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