CN103989547B - Traditional Chinese medicine plintlet device for external fixation bone fracture treatment - Google Patents
Traditional Chinese medicine plintlet device for external fixation bone fracture treatment Download PDFInfo
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- CN103989547B CN103989547B CN201310736298.8A CN201310736298A CN103989547B CN 103989547 B CN103989547 B CN 103989547B CN 201310736298 A CN201310736298 A CN 201310736298A CN 103989547 B CN103989547 B CN 103989547B
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Abstract
The invention discloses a traditional Chinese medicine plintlet device for external fixation bone fracture treatment. The traditional Chinese medicine plintlet device comprises a plintlet external fixation mechanism for wrapping the limbs of the human body. The plintlet external fixation mechanism comprises four splints, an outer sheathing and binding bands, wherein the binding bands are connected with the outer sheathing and used for fastening the outer sheathing to the limbs of the human body, and at least three splints are arranged inside the outer sheathing and connected with the outer sheathing. Compared with the prior art, the traditional Chinese medicine plintlet device has the advantages that the outer sheathing is connected with the splints, an integrated medical instrument device with the mechanical quantitative relation can be formed, it is guaranteed that the external fixation mechanical property is stable, elastic fixation is used as a principle, all features of a traditional Chinese medicine plintlet are fully maintained, the defects of external fixation of an existing plintlet are overcome, external fixation is safe and reliable, operation is safe and quick, the traditional Chinese medicine plintlet device can make a user feel comfortable and is matched with the limbs of the human body, and organic integration of the modern science and technology and the traditional Chinese medicine plintlet is achieved.
Description
Technical field
The present invention relates to orthopedic medical device, specifically, the present invention relates to a kind of in external fixation bone-fracture treatment
Doctor's plintlet device.
Background technology
Plintlet local external fixation bone-fracture treatment is therapy with Chinese characteristics, is a kind of active outer fixed form,
Resiliently mounted theory with a history of thousands of years, being contained, meets the natural law of bone injury healing.
But Set by small splints from outside system general at present still continue to use ancient manual making sheet simply tied up outer solid
Mould-fixed, the outer fixing mechanical property of the clamping plate system of this structure is unstable, no mechanics quantitative relationship, is used for tying up plintlet
Cotton band fatiguability creep, outer fixing operation no standard can be according to, pine then no fixation, tightly then produces pressure symptom,
Often clamping plate was occurred to come off and fracture redisplacement because wrapping up pine in treatment clinical course, tension then produces blood circulatory disorder etc. to be led to
The problem of External fixation failure, fails to solve so far.It may be said that all of external fixator tool all exists not in prior art
Same insoluble problem, is substantially at initial condition, disconnects it is impossible to meet the need of Modern medical therapy with modern science and technology
Ask.
Content of the invention
The present invention provides a kind of traditional Chinese medical science plintlet device for external fixation bone-fracture treatment it is therefore an objective to by modern science and technology
Organically combine with traditional Chinese medical science plintlet it is ensured that fixing outward mechanics quality stable.
In order to solve above-mentioned technical problem, the technical solution adopted in the present invention is: one kind is used for external fixation bone-fracture treatment
Traditional Chinese medical science plintlet device, including the Set by small splints from outside mechanism for wrapping up human body limb, Set by small splints from outside mechanism includes
Four clamping plate, described Set by small splints from outside mechanism is also included outer cladding plate and is connected with outer cladding plate and for outer cladding plate is secured to people
Band on body limbs, at least three described clamping plate are connected with outer cladding plate in the inner side of outer cladding plate.
Described outer cladding plate is connected with three described clamping plate, centrally located in three clamping plate is and outer cladding plate is fixing even
The first clamping plate connecing, in addition two panels clamping plate be located at first clamping plate both sides respectively and the second clamping plate that is flexibly connected with outer cladding plate and
Three-ply board.
Described second clamping plate and three-ply board are connected with described outer cladding plate by movable connection structure, movable connection structure bag
Include the first connection strap connecting in decussation and the second connection strap, the first connection strap is located at position corresponding with clamping plate on outer cladding plate
Put place, the second connection strap is located in second clamping plate and three-ply board.
As deformation program, described second clamping plate and three-ply board are connected with described outer cladding plate by slide block, second clamping plate
It is provided with the draw-in groove with slide block cooperation with three-ply board, outer cladding plate is provided with the chute with slide block cooperation, second clamping plate and the 3rd
Draw-in groove on clamping plate is perpendicular with the chute on outer cladding plate, and one end that described slide block stretches out in the chute of described outer cladding plate is provided with calmly
Position block, locating piece be located at outer cladding plate outside, the lateral surface of locating piece is provided with alignment pin, described band is provided with along its length with
Several location holes of detent fit.
The lateral surface of described outer cladding plate is provided with the pressure monitor for monitoring the pressure size that described band produces, pressure
Monitor is included the monitor base being located on outer cladding plate and being fixedly connected with band one end and is slidably connected with monitor base
Portable plate, portable plate is provided with draw ring, and draw ring is provided with the earhole passing through for band free end.
In four described clamping plate, remaining a piece of clamping plate is the 4th clamping plate being connected with described band by retaining mechanism,
Retaining mechanism is included being located at the adjustable plate that the locking base on the 4th clamping plate is slidably connected with locking base and is rotated with adjustable plate
Connect and the locking cover plate fixing with locking base clamping, locking base is provided with the passage allowing band free end to pass through, locking
It is provided with the opening allowing band free end to pass through, adjustable plate is provided with and band towards the surface of locking cover plate between cover plate and adjustable plate
On location hole cooperation alignment pin, locking cover plate surface be provided with allow alignment pin insertion avoidance hole.
Described clamping plate is strip board-type, includes outer plate body and the flexible lining pad that is layered on side in outside plate body, outward
It is provided with cavity that is multiple parallel and being arc along the transverse section that outside plate body length direction extends, the outside of outer plate body inside plate body
The described draw-in groove that on face, setting is coordinated with described slide block；
The end of the outer plate body of described clamping plate is also plugged with software end socket or Angle ambiguity plate.
The both sides of described outer plate body are provided with the lip of arc.
Described outer cladding plate includes setting gradually along described clamping plate length direction and elongated in strip respectively after deployment
Cladding plate and trapezoidal cladding plate trapezoidal after deployment.
This traditional Chinese medical science plintlet dress also includes the haulage gear that is connected with wherein a piece of described clamping plate, haulage gear include for
The palmar flexion grip plate that grips, for be fixed on the limbs adjacent with the human body limb by described outer cladding plate fastening stretch plate in the wrong with
And respectively with palmar flexion grip plate, stretch plate in the wrong and rotate and is connected and length-adjustable support bar, one end cunning of palmar flexion grip plate and clamping plate
It is dynamically connected, stretches plate in the wrong and be slidably connected by the other end of grafting block and clamping plate, stretch plate in the wrong and be connected with the rotation of grafting block.
The present invention adopts technique scheme, and compared with prior art, this traditional Chinese medical science plintlet device is connected by outer cladding plate
Clamping plate is such that it is able to form the medical device with mechanics quantitative relationship of an entirety it is ensured that fixing outward mechanical property
Stable, with flexible fastening as principle, fully keep traditional Chinese medical science plintlet institute characteristic, eliminate the disadvantage of existing Set by small splints from outside
End, outer fixation is safe and reliable, and easy operation has comfortableness and matching, completes modern science skill to human body limb
Art and the combination of traditional Chinese medical science plintlet.
Brief description
Fig. 1 is the structural representation of traditional Chinese medical science plintlet device；
Fig. 2 is the structural representation that traditional Chinese medical science plintlet device is located at end after fixation；
Fig. 3 is the structural representation after the expansion of traditional Chinese medical science plintlet；
Fig. 4 is the cross-sectional view of wide type clamping plate；
Fig. 5 is the top view of wide type clamping plate；
Fig. 6 is the cross-sectional view of narrow clamping plate；
Fig. 7 is the top view of narrow clamping plate；
Fig. 8 is the structural representation of pressure monitor；
Fig. 9 is the cross-sectional view of pressure monitor；
Figure 10 is the structural representation of retaining mechanism；
The structural representation that Figure 11 is connected with outer cladding plate for clamping plate；
Figure 12 is the structural representation in bending state for the haulage gear；
Figure 13 is the structural representation in extended state for the haulage gear；
Figure 14 is the structural representation of palmar flexion grip plate；
Figure 15 is the structural representation stretching plate in the wrong；
Figure 16 is the structural representation of pressure pad；
Figure 17 is the structural representation for fixing clamping plate outside shoulder；
Figure 18 is the structural representation for fixing clamping plate outside foot anklebone；
Figure 19 is the structural representation of the clamping plate fixing for ancon；
Figure 20 is the structural representation of the clamping plate fixing for lower limb；
The structural representation that Figure 21 is connected using another movable connection structure with outer cladding plate for clamping plate；
Figure 22 a is the software end socket of the first structure；
Figure 22 b is the software end socket of second structure；
Figure 22 c is the software end socket of the third structure；
Figure 22 d is the software end socket of the 4th bell structure；
Figure 23 a is the Angle ambiguity plate of the first structure；
Figure 23 b is the Angle ambiguity plate of second structure；
The labelling of above-mentioned in figure is: 1, clamping plate；101st, first clamping plate；102nd, second clamping plate；103rd, three-ply board；104、
4th clamping plate；2nd, outer cladding plate；201st, elongated cladding plate；202nd, trapezoidal cladding plate；3rd, pressure monitor；301st, draw ring；302nd, monitor
Base；303rd, portable plate；304th, monitor cover plate；305th, the incompressible spring of polyurethane；4th, slide block；401st, locating piece；402nd, t type
End；5th, chute；6th, retaining mechanism；601st, lock cover plate；602nd, lock base；603rd, adjustable plate；604th, passage；605th, avoid
Hole；7th, band；8th, the first alignment pin；9th, the first location hole；10th, the collar；11st, outer plate body；111st, buffer board；112nd, pressing plate；
113rd, lip；114th, cavity；115th, draw-in groove；116th, the second location hole；12nd, flexible lining pad；13rd, the second alignment pin；14th, draw
Mechanism；141st, palmar flexion grip plate；142nd, stretch plate in the wrong；143rd, support bar；144th, adjusting rod；145th, grafting block；15th, pressure pad；151、
Silica-gel sponge body；152nd, mould pipe；16th, the first connection strap；17th, the second connection strap；18th, software end socket；19th, Angle ambiguity plate.
Specific embodiment
As shown in Fig. 1 to Figure 16, a kind of traditional Chinese medical science plintlet device for external fixation bone-fracture treatment of the present invention, it includes little
The outer fixed mechanism of clamping plate, Set by small splints from outside mechanism is used for being wrapped in the outside of human body impaired limb, this Set by small splints from outside machine
Structure is included four clamping plate 1, outer cladding plate 2 and is connected with outer cladding plate 2 and the band 7 for being secured to outer cladding plate 2 on human body limb,
At least three clamping plate 1 are connected with outer cladding plate 2 in the inner side of outer cladding plate 2.By outer cladding plate 2 connecting cleat 1, so that this traditional Chinese medical science
Plintlet device can become the medical device with mechanics quantitative relationship of an entirety it is ensured that fixing outward mechanical property
Stable, and with flexible fastening as principle, fully keep traditional Chinese medical science plintlet institute characteristic, eliminate the disadvantage of existing Set by small splints from outside
End, outer fixation is safe and reliable, and easy operation has comfortableness and matching to human body limb.
Specifically, in the present embodiment, such as Fig. 1, how the traditional Chinese medical science plintlet device shown in 2 and Fig. 3 be applied to fastening
The impaired forearm of human body, outer cladding plate 2 is to be connected with three clamping plate 1, centrally located in three clamping plate 1 is and outer cladding plate 2
The first clamping plate 101 of fixed or movable connection, two other clamping plate 1 be respectively be located at first clamping plate 101 both sides and with outer cladding plate 2
The second clamping plate 102 being flexibly connected and three-ply board 103.
First clamping plate 101 is as bottom plate it is preferred that can be connected by fixing with outer cladding plate 2 using insertion or in the way of snapping in
Connect, when using, first clamping plate 101 is contacted with the lateral surface of human body impaired arm.
Second clamping plate 102 and three-ply board 103 are connected with outer cladding plate 2 by slide block 4, second clamping plate 102 and three-ply board
103 are provided with the draw-in groove 115 with slide block 4 cooperation, and outer cladding plate 2 is provided with the chute 5 with slide block 4 cooperation, second clamping plate 102 and the
Draw-in groove 115 on three-ply board 103 is perpendicular with the chute 5 on outer cladding plate 2, and draw-in groove 115 is along second clamping plate 102 and three-ply board
103 whole length direction extends, chute 5 transversely (clamping plate width) extension on the surface of outer cladding plate 2, slide block 4
One end snaps in the draw-in groove 115 on second clamping plate 102 and three-ply board 103, and the other end inserts in the chute 5 on outer cladding plate 2, from
And it is capable of second clamping plate 102 and the position adjustments of three-ply board 103, and by the movement of slide block 4, can be along longitudinal direction (clamping plate
Length direction) and lateral adjustments second clamping plate 102 and three-ply board 103 position.When using, second clamping plate 102 and the 3rd
Clamping plate 103 is contacted with the upper side of human body impaired arm and downside respectively.
Band 7 is for outer cladding plate 2 and clamping plate 1 bondage are fixed to impaired arm, and band 7 is strip, using Buddhist nun
Imperial material makes, pliable and tough, be difficult creep, wide 3 centimetres, band 7 surface be provided with along its length ranked first location hole 9, each arrange
The first location hole 9 be provided with three, the first location hole 9 is through hole, has breathability, the effect of the first location hole 9 is and other
On part, the alignment pin of setting matches, and to fix the position of corresponding component, prevents to move；And ranked first is set more and determines
Position hole 9, is easy to adjust the pressure size that band 7 produces to limbs.In four clamping plate 1 of Set by small splints from outside mechanism, first
Clamping plate 101, second clamping plate 102 and three-ply board 103 are connected with outer cladding plate 2, and remaining a piece of clamping plate 1 is by retaining mechanism 6
The 4th clamping plate 104 being connected with band 7, one end of band 7 is integrally fixed at the pressure monitor 3 of setting on outer cladding plate 2 lateral surface
On, when using, the 4th clamping plate 104 is contacted with the medial surface of human body impaired arm.
The tune that the locking base 602 that retaining mechanism 6 includes being located on the 4th clamping plate 104 is slidably connected with locking base 602
Section plate 603 and the locking cover plate 601 being connected with adjustable plate 603 rotation and fixing with locking base 602 clamping.Locking base 602
Main part be using rectangular block make, locking base 602 medial surface be fixedly connected with the lateral surface of the 4th clamping plate 104,
The lateral surface of locking base 602 is provided with the groove of a rectangle, is as the passage 604 allowing band 7 free end to pass through, locks
Base 602 is being provided with the rectangle gathering sill for installing adjustable plate 603 on the two side at passage 604, and gathering sill is along lock
The length direction of tight base 602 extends, and in the two ends insertion gathering sill of adjustable plate 603, can move linearly along gathering sill.Locking
The two ends of cover plate 601 are connected by axis of rotation with the two ends of adjustable plate 603.In opening, lock cover plate 601 and adjust
Between plate 603, the side in hinged place will have an opening allowing band 7 free end to pass through, and adjustable plate 603 is towards locking lid
The first alignment pin 8 with the first location hole 9 cooperation on band 7, the table of locking cover plate 601 are vertically provided with the surface of plate 601
Face is provided with the avoidance hole 605 allowing this first alignment pin 8 to insert.In band 7 through locking cover plate 601 and adjustable plate 603
Until be fixed tightly in this device on limbs completely after opening, the first location hole 9 on band 7 can be enclosed within the of adjustable plate 603
On one alignment pin 8, then cover locking cover plate 601, locking cover plate 601 is buckled on locking base 602, thus band 7 is solid
Determine on limiting plate.Locking cover plate 601 is fixed for clamping in locking base 602, and clamping mode can be by locking base 602
Be provided with the position setting wave shape groove that adjustable plate 603 outside is located on the two side walls of gathering sill, accordingly will locking lid
Corrugated heel teeth is arranged on plate 601, heel teeth embeds in the wave shape groove on locking base 602 wall, realize locking cover plate
601 being fastened on locking base 602.
The laminated structure of the matrix that outer cladding plate 2 is installed as three clamping plate 1, generally flexible deformation, integrally may be used
It is coated on human body limb, according to the flexible camber of human body limb biomorph, match with band 7, three clamping plate 1 are pressed
Tightly on human body limb.
Outer cladding plate 2 can be divided into regular pattern composite and irregular type according to shape difference.In the present embodiment, outer as regular pattern composite
Cladding plate 2 includes setting gradually along clamping plate 1 length direction and is in the elongated cladding plate 201 of strip and trapezoidal after deployment respectively
Trapezoidal cladding plate 202, the little one end of the width of trapezoidal cladding plate 202 is near elongated cladding plate 201, trapezoidal cladding plate 202 and elongated cladding plate 201
Between between be separated with a certain distance, and in medium position, one entirety is connected into by a connecting plate.Elongated cladding plate 201 is used for
Fixed limb far-end, flexible camber, it is connected with first clamping plate 101 in middle position, can be using flexible connection or solid
Fixed connection, is respectively flexibly connected with second clamping plate 102 and three-ply board 103 by a slide block 4 at end positions respectively, elongated
Cladding plate 201 be respectively arranged at the two ends with a chute 5.Trapezoidal cladding plate 202 is used for stage casing and the near-end of fixed limb, the little end of width
Position is corresponding with the stage casing of limbs, and the big end position of width is corresponding with limbs near-end, and trapezoidal cladding plate 202 adopts plastic grid to tie
Structure or slab construction, flexible camber, trapezoidal cladding plate 202 is connected with first clamping plate 101 in middle position, can be using work
It is dynamically connected or is fixedly connected, respectively pass through two slide blocks 4 at two side positions and live with second clamping plate 102 and three-ply board 103 respectively
It is dynamically connected, the both sides of trapezoidal cladding plate 202 are respectively provided with two parallel chutes 5, and chute 5 is respectively close to trapezoidal cladding plate 202
Two ends are arranged, and the length of the chute 5 near the little one end of width is 2～8 centimetres, near the length of the chute 5 of the big one end of width
Spend for 3～9 centimetres.
Along being longitudinally provided with three pressure monitors 3 on the lateral surface of outer cladding plate 2, a pressure monitor 3 is mounted in length
On shape cladding plate 201, two other monitor is mounted on trapezoidal cladding plate 202, and each pressure monitor 3 is in two chutes
Between 5.Pressure monitor 3 is applied to monitoring band 7 pressure size that limbs are produced, the structure of pressure monitor 3 with existing
Similar in technology, the monitor base 302 that it includes being located on outer cladding plate 2 lateral surface is slidably connected with monitor base 302
The monitor cover plate 304 that is connected with monitor base 302 of portable plate 303 and be clipped in monitor base 302 and portable plate
The incompressible spring of polyurethane between 303 305.Monitor cover plate 304 is formed in inside with inserted mode and monitor base 302
Empty rectangle box body, middle insertion portable plate 303, the rear end of portable plate 303 is vertically provided with monitor base 302 and extends
Form backboard, front end is located at outside monitor base 302, and is provided with a pair of axis hole, for inserting draw ring 301, draw ring 301 sets
There is the earhole passing through for band 7 free end.The front end of the lateral surface of monitor base 302 is vertically provided with portable plate 303 and prolongs
Form cavity, for placing the incompressible spring of polyurethane 305, this gathers between backboard on the front apron stretched, and portable plate 303
The incompressible spring of urethane 305 is in flat turriform, and there is a plurality of horizontally arranged fusiformis space centre.With portable plate 303 reach two terminal blocks
The extruding force being formed between plate makes the ratio of the incompressible spring of polyurethane 305 compression test pressure and drawing tension, design activity
Plate 303 extends forward occurred color bar area, compression stress size and change that corresponding drawing tension is formed to spring body, represents not
Band 7 is penetrated after draw ring 301 when fixing outside, tractive portable plate 303 moves forward, 304 times institutes of monitor cover plate by same tension value
The portable plate 303 surplus color colour bar area occurring shows tension force value.The incompressible spring of polyurethane 305 has preferable resisting fatigue
Property, using multiple fusiformis gap structures, spring body deformation can be made rapid.Portable plate 303 surface is printed on different color colour bar areas
Field mark, is yellow, green, red successively, for representing the tension state of outer fixed constraint power.Yellow bar area represents tension value about 0
600 grams, green bar area represents about 600 800 grams of tension value, and red bar area represents about 800 1200 grams of tension value.By stretching,
Creep test understands, the intensity of the band 7 made using nylon material is significantly greater than the band 7 made using cloth material.Bundle
Band 7 can select to be fixedly connected with monitor base 302, and on monitor base 302, one end relative with draw ring 301 position sets
There is notch, for being connected with band 7.The medial surface of monitor base 302 is provided with plug, can be consolidated by way of clamping or grafting
Determine on outer cladding plate 2, monitor base 302 can be fixed on the middle position of outer cladding plate 2 it is also possible to be fixed on outer cladding plate 2
Side.
In the traditional Chinese medical science plintlet device of the present embodiment, as shown in Figure 1, Figure 2 and Figure 3, outside pressure monitor 3 is integrally fixed at
The middle position of cladding plate 2, corresponding with first clamping plate 101 position, one end of band 7 is fixed on monitor base 302, band
7 free ends bypass second clamping plate 102, the collar 10 passing through outer cladding plate 2 sidepiece setting, the lock passing through on the 4th clamping plate 104 successively
Passage 604 in tight mechanism 6, bypass three-ply board 103, the earhole passing through on draw ring 301, then reversely penetrate retaining mechanism 6
Locking cover plate 601 and adjustable plate 603 between, finally completed the fixation of band 7 by retaining mechanism 6.As pressure monitor 3 shows
When the tension value showing does not meet fixing force value requirement, open the cincture that monitor cover plate 304 can adjust band 7 in two ways
Girth, a kind of is by the first alignment pin 8 separation adjusting on band 7 and adjustable plate 603, another kind be not with adjustable plate 603 on
The first alignment pin 8 separate, only pass through mobile adjustable plate 603 and be finely adjusted, you can meet and maintain outer fixing required constraint
Power.Band 7, using this mode that is locked, links fixing mode compared to knotting, it is firm to be locked, operation side
Just, it is also convenient for the regulation of band 7 Tensity size.
The clamping plate 1 that traditional Chinese medical science plintlet device adopts is moulding according to limbs joints of human body biomorph, to adapt to human body limb
Biomorph change is divided into strip board-type and irregular type, selects engineering to gather and moulds alloy, carbon fiber, in varing proportions mixing knot
Close engineering mechanics structure and be respectively adopted extrusion molding and injection molding process, imitate Cortex Cunninghamiae Lanceolatae, the mechanical property of wicker plate makes, strip
Board-type clamping plate can be divided into wide type and narrow according to plate width difference again.In the present embodiment, as shown in Figures 4 to 7, clamping plate 1
It is strip board-type, it includes outer plate body 11 and the flexible lining pad 12 being layered on outer plate body 11 medial surface, outer plate body 11
It is to be connected and composed by the pressing plate 112 of inner side and the buffer board 111 in outside, the lateral surface of the medial surface of buffer board 111 and pressing plate 112
Laminating, sticking flexible inner liner 12 on the medial surface of pressing plate 112.The inside of buffer board 111 is provided with multiple parallel and edge buffering
The transverse section that plate 111 length direction extends is the cavity 114 of arc, and the transverse section forming corresponding width type clamping plate is continuous bridge
Formula, the transverse section of narrow clamping plate is continuous I-steel configuration, is provided with three cavitys 114, narrow in the buffer board 111 of wide type clamping plate
It is provided with two cavitys 114 in the buffer board 111 of clamping plate.Narrow clamping plate is mainly used in forearm chi, fixing outside radius side, wide type and narrow
Type clamping plate is all punched using extrusion molding and makes, light weight, and longitudinal and transverse direction has different elastic modelling quantity, indulges just horizontal soft.
The lateral surface of the buffer board 111 of clamping plate 1 is provided with the draw-in groove 115 for coordinating with slide block 4, and the end of slide block 4 can
To insert the connection realized in draw-in groove 115 with clamping plate 1, draw-in groove 115 extends along the whole length direction of buffer board 111.Wide type folder
The buffer board 111 of plate is provided with two draw-in grooves 115, and two draw-in grooves 115 are located between adjacent two cavitys 114 respectively, narrow clamping plate
Buffer board 111 be provided with a draw-in groove 115, and be located at two cavitys 114 between.Along buffering on the lateral surface of buffer board 111
The length direction of plate 111 is provided with to ranked second location hole 116 more, and each row is provided with four, and is symmetrically distributed in the two of draw-in groove 115 two-by-two
Side, the second location hole 116 is through hole, connects with the cavity 114 in buffer board 111, is applied not only to breathe freely, is additionally operable to and outer cladding plate
Second alignment pin 13 of 2 medial surface settings connects, and as shown in figure 11, clamping plate 1 is socketed in the second positioning by the second location hole 116
On pin 13, thus clamping plate 1 can be fixed on outer cladding plate 2.
The both sides of the pressing plate 112 of clamping plate 1 inner side are provided with and are respectively facing the lip 113 that respective outside extends, and lip 113 is simultaneously
For arc, the both sides of the pressing plate 112 of formation are the structure tilting towards buffer board 111.Lip 113 is to be made using silica gel, glues
It is attached to the sidepiece of clamping plate 1.In clamping plate 1 both sides, lip 113 is set, when fixing outside, if adjacent two clamping plate 1 are close together, phase
The lip 113 of adjacent two clamping plate 1 sidepiece can contact first, and pressing plate 112 will not contact, and can make the steady mistake of two clamping plate 1 gap pressure
Degree, such that it is able to prevent from causing to grip between two clamping plate 1, it is to avoid human body limb soft tissue is squeezed, reduces Tension Vesicle.
In the traditional Chinese medical science plintlet device of the present embodiment, first clamping plate 101 and the 4th clamping plate 104 adopt wide type clamping plate, the
Second splint 102 and three-ply board 103 adopt narrow clamping plate.
Due to being provided with the cavity 114 of insertion buffer board 111 along its length in the buffer board 111 of each clamping plate 1, thus slow
The two ends of punching 111 form two or three sockets respectively, may be inserted into software end socket 18 in spigot, and software end socket 18 adopts
Silica gel makes.The software end socket 18 of such as Figure 22 a and structure shown in Figure 22 b is used in the socket being plugged on clamping plate 1 far-end, this software
End socket 18 is arc, is the state of outwards upper tilting, to adapt to joint change after being installed to clamping plate 1 end.As Figure 22 c and figure
Software end socket 18 shown in 22d is used in the socket be plugged on clamping plate 1 near-end, and being shaped as along clamping plate 1 is laterally winding arc
Tabular, upper surface moulds button, facilitates clamping plate 1 transverse shifting and snaps on the trapezoidal cladding plate 202 of outer cladding plate 2 to limit clamping plate 1
Vertically move.In order to be installed on each clamping plate 1, the end of corresponding software end socket 18 can arrange two or three and insert
Block, as shown in the figure.
In addition, the far-end of clamping plate 1 can control plate 19, structure such as Figure 23 a of Angle ambiguity plate 19 with setting angle
With shown in Figure 23 b, for two kinds of structures of downward inner arc molding and inner arc molding upwards, inserted by three inserted blocks that end is arranged
In three sockets of first clamping plate 101 and the 4th clamping plate 104 far-end, for limiting carpal joint dorsiflexion and palmar flexion, now do not install
Software end socket 18.
As shown in figure 11, slide block 4 is column structure to the structure of slide block 4, and one end that slide block 4 stretches out in outside outer cladding plate 2 is provided with
Circular locating piece 401, locating piece 401 is in, outside outer cladding plate 2, the lateral surface of locating piece 401 also being provided with the first positioning
Pin 8, this first alignment pin 8 is vertical with the lateral surface of locating piece 401, and this first alignment pin 8 is determined for inserting on band 7 first
Position hole 9, realizes self-locking and fixes.The other end of slide block 4 is the t type end being shaped as t type in the draw-in groove 115 on embedded clamping plate 1
402, clamping plate 1 can be moved by draw-in groove 115 and slide block 4, slide block 4 and the cooperation of chute 5 with adjusting position.
A kind of connection side that above-mentioned employing slide block 4, the movable connection structure of chute 5 are connected with outer cladding plate 2 as clamping plate 1
Formula, clamping plate 1 can also be connected using another movable connection structure with outer cladding plate 2, as shown in figure 21, this movable connection structure
Including the first connection strap 16 connecting in decussation and the second connection strap 17, the first connection strap 16 is located at outer cladding plate 2 medial surface
At upper position corresponding with each clamping plate 1, the second connection strap 17 is located on clamping plate 1 lateral surface, and the two ends of the first connection strap 16 are with outward
Cladding plate 2 is fixedly connected, and the second connection strap 17 is fixed to clamping plate 1 through the space two ends the first connection strap 16 and outer cladding plate 2
On, thus realize decussation connecting.First connection strap 16 can extend in horizontal or vertical direction in outer cladding plate 2, accordingly, second
Connection strap 17 extends on clamping plate 1 longitudinally or transversely, thus clamping plate 1 can pass through the second connection strap 17 and the first connection strap 16 can
Relative movement is adjusting the relative position and outer cladding plate 1 between.Corresponding with clamping plate 1 number being flexibly connected, the first connection strap
16 can respectively arrange one, respectively with second clamping plate 102 and three-ply board at transversely two link positions of outer cladding plate 1
On 103, the second connection strap 17 of setting connects, and can respectively arrange one, that is, at the multiple link positions in the longitudinal direction of outer cladding plate 1
First connection strap 16 is a plurality of along longitudinally arranging on the medial surface of outer cladding plate 2, and corresponding second connection strap 17 is in second clamping plate
102 is identical with the first connection strap 16 with longitudinally disposed number on the lateral surface of three-ply board 103.This movable connection structure
Have the advantages that structure is simple, easily manufactured, low cost, using this structure, clamping plate 1 can not only be made to be connected with outer cladding plate 2
Integral, and the position adjustments realizing clamping plate 1 are convenient, quick, in hgher efficiency, multiple connection straps are set it can be ensured that
Clamping plate 1 is connected relatively reliable with outer cladding plate 2.
When using movable connection structure as shown in figure 21, without setting draw-in groove 115 on the lateral surface of clamping plate 1, remaining
Structure is constant, and without setting chute 5 on outer cladding plate 2, remaining structure is constant, does not require the use of slide block 4.
This traditional Chinese medical science plintlet dress also includes the haulage gear 14 being connected with wherein a piece of clamping plate 1, in the present embodiment, traction
Mechanism 14 is connected with the 4th clamping plate 104.This haulage gear 14 is mainly used in radius far-end fracture, the 4th clamping plate 104 with inner side
Combination is in integral structure.
Haulage gear 14 include for staff grip palmar flexion grip plate 141, for be fixed to adjacent with impaired limb
In healthy limb stretch plate 142 in the wrong and respectively with palmar flexion grip plate 141, stretch plate 142 in the wrong and rotate and be connected and length-adjustable
Strut 143.Palmar flexion grip plate 141 is for gripping, and for the ease of gripping, the epimorph apery handss of palmar flexion grip plate 141 exist
Shape after bending certain radian, global design camber.It is provided with three cavitys 114 in 4th clamping plate 104, thus in the 4th folder
The two ends of plate 104 are respectively provided with three sockets, and palmar flexion grip plate 141 one end is passed through three plugs and inserted the 4th clamping plate 104 one end
Three sockets in (in the case that software end socket 18 or Angle ambiguity plate 19 are not installed), and can be mobile along cavity 114,
Realization is slidably connected with the 4th clamping plate 104, and one end of one end and a grafting block 145 of stretching plate 142 in the wrong rotates and is connected, this grafting
The other end of block 145 is provided with also three plugs, and the plug of grafting block 145 inserts in three sockets of the 4th clamping plate 104 other end
(in the case that software end socket 18 or Angle ambiguity plate 19 are not installed), and can be mobile along cavity 114, realize and the 4th folder
Being slidably connected of plate 104.Stretch plate 142 in the wrong to be used for being fixed to part on front elbow, can stretch in the wrong with human elbow and make grafting block
145 extensions, and palmar flexion grip plate 141 can be promoted to move to far-end by support bar 143, because staff holds palmar flexion grip
Plate 141, palmar flexion grip plate 141 moves towards far-end such that it is able to produce longitudinal traction to impaired limb, that is, utilize human body limb
Body toggle power makes support bar 143 promote palmar flexion grip plate 141 to produce longitudinal traction to far-end, abnormal to resist fracture end cripetura
Shape, promotes the recovery of impaired limb.
Support bar 143 is divided into two sections, and one section one end and palmar flexion grip plate 141 rotate and be connected, another section one end with stretch
Plate 142 in the wrong rotates and connects, and is connected by an adjusting rod 144 between support bar 143.It is whole that adjusting rod 144 has regulation support bar 143
The effect of body length, adjusting rod 144 is threadeded with two sections of support bars 143 respectively, by changing the length of support bar 143 entirety
Degree, such that it is able to change the angle stretched between plate 142 in the wrong and the 4th clamping plate 104, to adapt to the angle between adjacent two limbs.
This traditional Chinese medical science plintlet device can also arrange several pressure pads 15 on the medial surface of each clamping plate 1, and pressure pad 15 is along folder
Plate 1 length direction is distributed, and as shown in figure 16, pressure pad 15 is made with moulding pipe 152 combination using silica-gel sponge body 151, silica-gel sponge
Body 151 is tabular, is simultaneously vertically furnished with and moulds pipe 152 by necessarily regularly arranged several, mould pipe 152 diagonal be upwardly formed sharp
Angle.Combination can arbitrarily be cut out by pressure pad 15, will be soft on outer plate body 11 medial surface moulding pipe 152 acute angle piercing clamping plate 1 during use
Property inner liner 12.Pressure pad 15 both can be connected with clamping plate 1, and does not affect the absorption of perspiration and oozing out of medicinal liquid.This pressure
Pad 15 can also be fixing with clamping plate 1 using bonding method.
In order to adapt to the use requirement of human body different parts, the shape of clamping plate can also be irregular type, as shown in figure 17,
The traditional Chinese medical science plintlet device that the clamping plate of this shape is constituted is used for fixing outside shoulder, as shown in figure 18, the clamping plate structure of this shape
The traditional Chinese medical science plintlet device becoming is used for fixing outside ankle part, as shown in figure 19, the traditional Chinese medical science plintlet of the clamping plate composition of this shape
Device is used for fixing outside ancon, and as shown in figure 20, the traditional Chinese medical science plintlet device that the clamping plate of this shape is constituted is used for outside upper arm admittedly
Fixed.
In fractures field, using the treatment of traditional Chinese medical science Set by small splints from outside, through the checking of substantial amounts of clinical data, its fracture heals
The quality closed and healing rate are substantially better than alternate manner.Extensively embodying flexible fastening is the bone meeting biology, biomechanicss
Folding therapeutic modality.But premise is in External fixation Fracture, solid outside clamping plate 1, band 7, the plintlet of pressure pad 15 composition
Determine that device is remote with fracture, near-end allows for constituting stable geometrically stable system on space form, the restraining forceies of band 7 must
Must be constant reasonable.Because existing plintlet system is not a complete apparatus, traditional Chinese medical science Set by small splints from outside to be made
The advantage for the treatment of fracture is fully played, and close observation only in outer fixation procedure adjusts for several times, can be only achieved ideal
Therapeutic effect.This is accomplished by the technology that doctor do not only had and also costs the heart, laborious, time-consuming.That is existing plintlet
On the basis of the so-called stability of system is built upon artificial constantly regulate.Otherwise Endodontic failure, is delayed conditions of patients.Therefore,
The traditional Chinese medical science plintlet device of the present invention adopts above-mentioned structure, using scattered, as material self-existent plintlet system system
Become a complete external fixer, main feature has: 1, makes splint body with modern material technology and industrialized production；2nd, use
Outer cladding plate 2, band 7, alignment pin plug-in self-locking structure, chute 5, slide block 4 connect, pressure monitor 3, the group such as retaining mechanism 6
Become band body system；3rd, substitute paper cotton with silica gel material and make flexible lining pad 12 and pressure pad 15；4th, four folders of traditional Chinese medical science tradition are kept
Plate 1 symmetrical expression extrudes layout；5th, mechanical property, the elastic modelling quantity such as measuring and calculating clamping plate 1, band 7, pressure pad 15, by produced elasticity
Fixing force, the mechanics function of the plintlet system such as restraining forceies, efficacy carries out quantitative united application, can make solid outside plintlet
Determine what system was integrally formed, there is the geometry body device of mechanics quantitation mechanism association.
Traditional Chinese medical science plintlet device of the present invention is first depending on the qualitative description of plintlet, research papers, willow plate, Cunninghamia lanceolata (Lamb.) Hook.
The data of mechanical of skin, the elastic modelling quantity of analysis institute fixed position sclerotin, clinical data, is gathered with engineering and moulds alloy, carbon
Fiber, mixing the incorporation engineering mechanical structure quantitative design clamping plate mechanics needed for direction, different length in length and breadth in varing proportions
Performance, makes plintlet body；Light weight, rigidity and elasticity all surmount the clamping plate of natural material；Stable mechanical property, anisotropy,
Longitudinal rigid lever force can be uniformly distributed in the horizontal, and laterally fixation becomes compliance to make axial direction hold bone.This traditional Chinese medical science plintlet
The most important part of device is band system, the fundamental being formed according to function and the restraining forceies of band 7, and band 7 is decomposed
For many bodies construction, abandon the existing drawback that prior art is caused using the band mode of tying up.This band many bodies construction makes
Plintlet system has been a single unit system before unbundling is fixing, and is that outer fixing drawing tension can intuitively accurately show
The quantitative assembly of mechanics.Restraining forceies, anti-restraining forceies, the change of elastic force directly can pass between band 7, clamping plate 1, limbs
Lead, and react on pressure monitor 3.The color bar that pressure monitor 3 occurs can accurately show tension value region.Nylon bundle
Carry that 7 creep power are little preferable stability, the continuous circular shape wrapping being constituted maintains outer retainer ring with combining of retaining mechanism 6
Overall seriality and reliability, open locking cover plate 601 can be slided according to the color area shown by pressure monitor 3
Dynamic fine setting.Outer fixation operation nursing is short and sweet, is that doctor can instruct remote patient certainly by computer or mobile video
Row adjusts outer fixing, there is provided condition.The self-locking structure that alignment pin is coordinated with location hole has ensured the stability of plintlet device.
In pressure monitor 3, polyurethane spring anti-compression elasticity power is conducted in band 7, clamping plate 1, so that fixed fracture end can be obtained
Favorable elasticity returning place force and physiological stress.Therefore, the present invention is premised on the tradition keeping traditional Chinese medical science plintlet system, solid with elasticity
Be set to principle, external fixer integration, solve the mechanics problem of splint material, the stability problem of band restraining forceies,
Power visual the problems such as, be that further investigation and the intellectuality of traditional Chinese medical science Set by small splints from outside provides condition.
Above in conjunction with accompanying drawing, the present invention is exemplarily described it is clear that the present invention implements is not subject to aforesaid way
Restriction, as long as employing the improvement of various unsubstantialities that method of the present invention design and technical scheme are carried out, or without changing
Enter and the design of the present invention and technical scheme are directly applied to other occasions, all within protection scope of the present invention.
Claims (10)
1. a kind of traditional Chinese medical science plintlet device for external fixation bone-fracture treatment, including Set by small splints from outside mechanism, solid outside plintlet
Determine mechanism include four clamping plate it is characterised in that: described Set by small splints from outside mechanism is also included outer cladding plate and is connected with outer cladding plate
And the band for being secured to outer cladding plate on human body limb；In described four clamping plate, there are three described clamping plate in outer cladding plate
Inner side is connected with outer cladding plate, and remaining a piece of clamping plate is connected with band by retaining mechanism；In three clamping plate being connected with outer cladding plate,
At least a piece of clamping plate is to be flexibly connected with outer cladding plate；
Retaining mechanism include lock base, movably be arranged at locking base on adjustable plate and with adjustable plate rotate be connected and
The locking cover plate fixing with locking base clamping, locking base is provided with the passage allowing the free end of band to pass through, locks cover plate
It is provided with the opening allowing the free end of band to pass through and adjustable plate between, opening and passage, respectively positioned at the side of adjustable plate, are adjusted
Plate is provided with the alignment pin with the location hole cooperation on band, and locking cover plate is provided with the avoidance hole allowing alignment pin to insert.
2. the traditional Chinese medical science plintlet device for external fixation bone-fracture treatment according to claim 1 it is characterised in that: described outer
Cladding plate is connected with three described clamping plate, and centrally located in three clamping plate is the first clamping plate being fixedly connected with outer cladding plate,
In addition two panels clamping plate is to be located at first clamping plate both sides respectively and the second clamping plate that is flexibly connected with outer cladding plate and three-ply board.
3. the traditional Chinese medical science plintlet device for external fixation bone-fracture treatment according to claim 2 it is characterised in that: described
Second splint and three-ply board are connected with described outer cladding plate by movable connection structure, and movable connection structure is included in decussation even
The first connection strap connecing and the second connection strap, the first connection strap is located at position corresponding with clamping plate on outer cladding plate, the second connection
Article it is located in second clamping plate and three-ply board.
4. the traditional Chinese medical science plintlet device for external fixation bone-fracture treatment according to claim 2 it is characterised in that: described
Second splint and three-ply board are connected with described outer cladding plate by slide block, and second clamping plate and three-ply board are provided with and slide block cooperation
Draw-in groove, outer cladding plate is provided with the chute with slide block cooperation, the draw-in groove in second clamping plate and three-ply board and the chute on outer cladding plate
Perpendicular, one end that described slide block stretches out in the chute of described outer cladding plate is provided with locating piece, and locating piece is located at outside outer cladding plate, fixed
The lateral surface of position block is provided with alignment pin, and described band is provided with several location holes with detent fit along its length.
5. the traditional Chinese medical science plintlet device for external fixation bone-fracture treatment according to claim 4 it is characterised in that: described outer
The lateral surface of cladding plate is provided with the pressure monitor for monitoring the pressure size that described band produces, and pressure monitor includes being located at
The monitor base being fixedly connected on outer cladding plate and with band one end and the portable plate being slidably connected with monitor base, portable plate
It is provided with draw ring, draw ring is provided with the earhole passing through for band free end.
6. the traditional Chinese medical science plintlet device for external fixation bone-fracture treatment according to claim 5 it is characterised in that: described tune
Section plate is to be slidably connected with described locking base, and the surface towards locking cover plate of adjustable plate is provided with is joined with the location hole on band
The described alignment pin closing, the surface of locking cover plate is provided with the described avoidance hole allowing alignment pin to insert.
7., according to the arbitrary described traditional Chinese medical science plintlet device for external fixation bone-fracture treatment of claim 4 to 6, its feature exists
In: described clamping plate is strip board-type, including outer plate body and the flexible lining pad being layered on side in outside plate body, in outside plate body
Portion is provided with cavity that is multiple parallel and being arc along the transverse section that outside plate body length direction extends, and the lateral surface of outer plate body sets
Put the described draw-in groove with the cooperation of described slide block；
The end of the outer plate body of described clamping plate is also plugged with software end socket or Angle ambiguity plate.
8. the traditional Chinese medical science plintlet device for external fixation bone-fracture treatment according to claim 7 it is characterised in that: described outer
The both sides of plate body are provided with the lip of arc.
9. the traditional Chinese medical science plintlet device for external fixation bone-fracture treatment according to claim 8 it is characterised in that: described outer
Cladding plate includes setting gradually along described clamping plate length direction and is in the elongated cladding plate of strip and trapezoidal after deployment respectively
Trapezoidal cladding plate.
10. the traditional Chinese medical science plintlet device for external fixation bone-fracture treatment according to claim 9 it is characterised in that: also wrap
Include the haulage gear being connected with wherein a piece of described clamping plate, haulage gear include for grip palmar flexion grip plate, be used for fixing
To on the limbs adjacent with the human body limb being fastened by described outer cladding plate stretch plate in the wrong and respectively with palmar flexion grip plate, stretch plate in the wrong
Rotate and connect and length-adjustable support bar, palmar flexion grip plate is slidably connected with one end of clamping plate, stretch plate in the wrong pass through grafting block and
The other end of clamping plate is slidably connected, and stretches plate in the wrong and is connected with the rotation of grafting block.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310736298.8A CN103989547B (en) | 2013-12-26 | 2013-12-26 | Traditional Chinese medicine plintlet device for external fixation bone fracture treatment |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310736298.8A CN103989547B (en) | 2013-12-26 | 2013-12-26 | Traditional Chinese medicine plintlet device for external fixation bone fracture treatment |
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| CN103989547A CN103989547A (en) | 2014-08-20 |
| CN103989547B true CN103989547B (en) | 2017-01-25 |
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| CN201310736298.8A Active CN103989547B (en) | 2013-12-26 | 2013-12-26 | Traditional Chinese medicine plintlet device for external fixation bone fracture treatment |
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Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106420142B (en) * | 2016-06-07 | 2018-09-25 | 孙雁群 | Chinese medicine plintlet component and Chinese medicine plintlet device with it |
| CN106073973B (en) * | 2016-08-30 | 2019-06-04 | 孙雁群 | Chinese medicine plintlet shoulder joint external fixer |
| CN108542578B (en) * | 2017-11-13 | 2020-05-05 | 罗成 | Fastening device for fixing fracture in orthopedics department |
| CN107874889B (en) * | 2017-11-19 | 2020-01-10 | 张维霞 | Leg skeleton splint fixer |
| CN108042255B (en) * | 2017-12-08 | 2019-11-29 | 靳职雄 | Fracture fixation device |
| CN108652816B (en) * | 2018-05-24 | 2024-01-12 | 芜湖普敦特医疗器械有限公司 | External fixing device for wrist and metacarpal joints of traditional Chinese medicine small splint |
| CN109498241A (en) * | 2019-01-02 | 2019-03-22 | 京东方科技集团股份有限公司 | Clamping plate and its operating method |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN201223479Y (en) * | 2008-03-28 | 2009-04-22 | 孙彦奇 | Multifunctional waist protector |
| JP5544019B2 (en) * | 2010-10-13 | 2014-07-09 | Ｙｋｋ株式会社 | Cam lock buckle |
| CN202313858U (en) * | 2011-11-08 | 2012-07-11 | 鞠亮 | Orthopedic splint |
| CN202446310U (en) * | 2012-02-08 | 2012-09-26 | 孙雁群 | Pressure monitoring device for external fixation treatment fracture splint |
| CN102824243B (en) * | 2012-08-10 | 2014-06-18 | 孙雁群 | External bone splint device for treating bone injury |
| CN203647551U (en) * | 2013-12-26 | 2014-06-18 | 孙雁群 | Traditional Chinese medicine small splint device used for treating bone fracture through external fixation |
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