CN104055578B - Tibial insertion of posterior cruciate ligament peels off location wire-threading device - Google Patents
Tibial insertion of posterior cruciate ligament peels off location wire-threading device Download PDFInfo
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- CN104055578B CN104055578B CN201410298509.9A CN201410298509A CN104055578B CN 104055578 B CN104055578 B CN 104055578B CN 201410298509 A CN201410298509 A CN 201410298509A CN 104055578 B CN104055578 B CN 104055578B
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Abstract
The invention provides a kind of tibial insertion of posterior cruciate ligament and peel off location wire-threading device, including: peel off registration arm (1), position fixing handle (2), guiding trestle (3);Peel off and removably connect between near-end and the far-end of position fixing handle (2) of registration arm (1);Removably connect between position fixing handle (2) and guiding trestle (3);Peel off and be provided with line guide duct (11) between far-end and the near-end of registration arm (1);Line pilot hole (21) it was provided with between far-end and the near-end of position fixing handle (2);The near-end crossing line guide duct (11) butted up against the far-end of line pilot hole (21)。The present invention after stripping completes, can retain and peel off registration arm in original position, can be installed on guiding trestle through changing after handle, thus directly carrying out follow-up steel wire to guide operation, it is to avoid peels off the operation that registration arm repeats to send into。
Description
Technical field
The present invention relates to medical instruments field, in particular it relates to tibial insertion of posterior cruciate ligament peels off location wire-threading device。
Background technology
Being usually present ligament stub fiber after posterior cruciate ligament injuries, for the ease of the implantation of localizer, the passing through of ligament, it is necessary to suitably peeled off by posterior cruciate ligament tibia stump, thus the special detacher of posterior cruciate ligament is extremely important。Currently used posterior cruciate ligament tibial insertion positioner includes cranking arm, and the top cranked arm is plugged with position fixing handle, and the bottom cranked arm can connect guide pin locator, wherein may pass through Kirschner wire or special guide pin。Owing to pin end is sharp, guide pin and position fixing handle foremost between easily skid dislocation, have the risk wearing out posterior condylar capsule, damage knee joint rear nervus vasculairs。After preset guide pin, it is necessary to expand tibial tunnel with hollow boring bit, but the degree of depth that hollow boring bit enters is often difficult to control, and has the risk that damage knee joint rear nervus vasculairs occur。In order to avoid hollow boring bit was inserted deep; again insert proximal ends of tibia rear protector after usually needing taking-up localizer, but be difficult to be accurately positioned protector be fixed on guide pin tip, in order to observe that guide pin is most advanced and sophisticated; usually need again to add and do the rear medial approach assisted, thus adding the wound of operation。After drilling through tibial tunnel, in order to introduce the graft intersected after reconstruction, it usually needs penetrate U-shaped steel wire in tibial tunnel, and by the annular section of steel wire intraarticular by after guide front into。But owing to posterior cruciate ligament stub fiber has often interfered with the guiding of steel wire。
Thus, there is detacher, localizer, protector in making and insert successively in current posterior cruciate ligament tibial tunnel, blind area, tibia rear location difficulty, and guide wire passes problems such as having some setbacks。Whole process had both lacked the effective protection to knee joint rear nervus vasculairs, lacks again step linking easily and effectively, operation inconvenience, and can not effectively reduce risk。
Summary of the invention
For defect of the prior art, it is an object of the invention to provide a kind of tibial insertion of posterior cruciate ligament and peel off location wire-threading device。
Location wire-threading device is peeled off according to a kind of tibial insertion of posterior cruciate ligament provided by the invention, including: peel off registration arm 1, position fixing handle 2, guiding trestle 3;
Peel off and removably connect between near-end and the far-end of position fixing handle 2 of registration arm 1;
Removably connect between position fixing handle 2 and guiding trestle 3;
Peel off and be provided with line guide duct 11 between far-end and the near-end of registration arm 1;
It was provided with line pilot hole 21 between far-end and the near-end of position fixing handle 2;
The near-end crossing line guide duct 11 butted up against the far-end of line pilot hole 21。
Preferably, the near-end peeling off registration arm 1 is provided with external screw thread 12, and the far-end of position fixing handle 2 is provided with thread groove 22, and external screw thread 12 is in mating connection with thread groove 22;
Cross line pilot hole 21 and extend to the near-end of position fixing handle 2 from the bottom land of thread groove 22。
Preferably, the side of position fixing handle 2 is provided with inserted link groove 23, and the stepped cell wall of inserted link groove 23 constitutes concave station 24;
Cross line pilot hole 21 and include leading portion pilot hole 2101, back segment pilot hole 2102;Leading portion pilot hole 2101, back segment pilot hole 2102 lay respectively at the front side of inserted link groove 23, rear side;
The near-end of leading portion pilot hole 2101 is communicated in inserted link groove 23, and back segment pilot hole 2102 is by the near-end extending to position fixing handle 2 in inserted link groove 23;
Guiding trestle 3 crank arm 31 free end extend match with inserted link groove 23 install inserted link 32, inserted link 32 with crank arm 31 junction constitute convex shoulder 34, convex shoulder 34 matches with concave station 24;
Being provided with interface channel 35 in inserted link 32, when inserted link 32 is installed in inserted link groove 23, the far-end of interface channel 35 butts up against the near-end of leading portion pilot hole 2101, and the near-end of interface channel 35 butts up against the far-end of back segment pilot hole 2102。
Preferably, the side of position fixing handle 2 is provided with inserted link groove 23, and the stepped cell wall of inserted link groove 23 constitutes concave station 24;
Cross line pilot hole 21 and include leading portion pilot hole 2101, back segment pilot hole 2102;Leading portion pilot hole 2101, back segment pilot hole 2102 lay respectively at the front side of inserted link groove 23, rear side;
Leading portion pilot hole 2101 is extended in inserted link groove 23 by the bottom land of thread groove 22, and back segment pilot hole 2102 is by the near-end extending to position fixing handle 2 in inserted link groove 23;
Guiding trestle 3 crank arm 31 free end extend match with inserted link groove 23 install inserted link 32, inserted link 32 with crank arm 31 junction constitute convex shoulder 34, convex shoulder 34 matches with concave station 24;
Being provided with interface channel 35 in inserted link 32, when inserted link 32 is installed in inserted link groove 23, the far-end of interface channel 35 butts up against the near-end of leading portion pilot hole 2101, and the near-end of interface channel 35 butts up against the far-end of back segment pilot hole 2102。
Preferably, leading portion pilot hole 2101, interface channel 35, back segment pilot hole 2102 are coaxially disposed。
Preferably, between inserted link groove 23 with inserted link 32, interference fit is connected。
Preferably, it is connected by locking nut 25 locking between inserted link groove 23 with inserted link 32。
Preferably, position fixing handle 2 is provided with installation through hole 26 and locking nut 25 of cranking arm, guiding trestle 3 crank arm 31 be inserted in described in crank arm in installation through hole 26;
When locking nut is in unlocked state, crank arm 31 can crank arm installation through hole 26 in slidably;
When locking nut is in the lock state, crank arm 31 and the relative position installed between through hole 26 of cranking arm be locked nut locking and be relatively fixed。
Preferably, the surface configuration of the proximal part of guiding trestle 3 has graduation mark 6。
Compared with prior art, the present invention has following beneficial effect:
The present invention can after stripping completes; retain and peel off registration arm in original position; guiding trestle can be installed on after changing handle; thus directly carrying out the making of follow-up tibial tunnel; can effectively stopping tibia guide pin, expanding the hollow boring bit in tunnel, thus conscientiously protecting the nervus vasculairs at knee joint rear。And then by positioning the hollow devices of detacher, easily steel wire is introduced from tibia front, in articular cavity, be drawn out to knee joint front through tibial plateau rear。Avoid and peel off the operation that registration arm repeats to send into, be effectively protected the nervus vasculairs at tibia rear, be readily incorporated into tibial tunnel guide wire。
Accompanying drawing explanation
By reading detailed description non-limiting example made with reference to the following drawings, the other features, objects and advantages of the present invention will become more apparent upon:
Fig. 1 peels off registration arm and the annexation schematic diagram peeling off handle;
Fig. 2 is the overall structure schematic diagram of the present invention;
Fig. 3 is the assembling principle schematic of the present invention;
Fig. 4 is the detailed construction schematic diagram of position fixing handle;
Fig. 5 is the detailed construction schematic diagram peeling off registration arm far-end;
Fig. 6 is the overall structure schematic diagram of preference of the present invention;
Fig. 7 is the assembling principle schematic of preference of the present invention;
Fig. 8 is the detailed construction schematic diagram of the stripping registration arm far-end of preference;
Fig. 9 is the structural representation of the coupling groove face of the registration arm of preference。
In figure:
1 for peeling off registration arm;3 is guiding trestle;
11 was line guide duct;31 for cranking arm;
12 is external screw thread;32 is inserted link;
13 is gathering sill;34 is convex shoulder;
14 is the coupling groove face of registration arm;35 is interface channel;
15 was the mouth of pipe of line guide duct;4 for peeling off handle;
2 is position fixing handle;5 for leading brill;
21 was line pilot hole;6 is graduation mark;
2101 is leading portion pilot hole;7 is steel-wire inducer in osseous tunnel;
2102 is back segment pilot hole;71 is the coupling groove face of steel-wire inducer。
22 is thread groove;
23 is inserted link groove
24 is concave station;
25 is locking nut;
26 is installation through hole of cranking arm;
Detailed description of the invention
Below in conjunction with specific embodiment, the present invention is described in detail。Following example will assist in those skilled in the art and are further appreciated by the present invention, but do not limit the present invention in any form。It should be pointed out that, to those skilled in the art, without departing from the inventive concept of the premise, it is also possible to make some deformation and improvement。These broadly fall into protection scope of the present invention。
As in figure 2 it is shown, peel off location wire-threading device according to tibial insertion of posterior cruciate ligament provided by the invention, including: peel off registration arm 1, position fixing handle 2, guiding trestle 3;Peel off and removably connect between near-end and the far-end of position fixing handle 2 of registration arm 1;Removably connect between position fixing handle 2 and guiding trestle 3;Peel off and be provided with line guide duct 11 between far-end and the near-end of registration arm 1;It was provided with line pilot hole 21 between far-end and the near-end of position fixing handle 2;The near-end crossing line guide duct 11 butted up against the far-end of line pilot hole 21。
Wherein, the relation that removably connects between registration arm 1 and position fixing handle 2 and between position fixing handle 2 and guiding trestle 3 is peeled off, it is possible to realized by various ways such as plug receptacle, screw thread, interference fit。Below to being preferred embodiment described。
Preferably, the near-end peeling off registration arm 1 is provided with external screw thread 12, and the far-end of position fixing handle 2 is provided with thread groove 22, and external screw thread 12 is in mating connection with thread groove 22;Cross line pilot hole 21 and extend to the near-end of position fixing handle 2 from the bottom land of thread groove 22。The side of position fixing handle 2 is provided with inserted link groove 23, and the stepped cell wall of inserted link groove 23 constitutes concave station 24;Cross line pilot hole 21 and include leading portion pilot hole 2101, back segment pilot hole 2102;Leading portion pilot hole 2101, back segment pilot hole 2102 lay respectively at the front side of inserted link groove 23, rear side;Leading portion pilot hole 2101 is extended in inserted link groove 23 by the bottom land of thread groove 22, and back segment pilot hole 2102 is by the near-end extending to position fixing handle 2 in inserted link groove 23。
Further, guiding trestle 3 crank arm 31 free end extend match with inserted link groove 23 install inserted link 32, inserted link 32 with crank arm 31 junction constitute convex shoulder 34, convex shoulder 34 matches with concave station 24;Being provided with interface channel 35 in inserted link 32, when inserted link 32 is installed in inserted link groove 23, the far-end of interface channel 35 butts up against the near-end of leading portion pilot hole 2101, and the near-end of interface channel 35 butts up against the far-end of back segment pilot hole 2102。
It is further preferred that leading portion pilot hole 2101, interface channel 35, back segment pilot hole 2102 are coaxially disposed。Between inserted link groove 23 with inserted link 32, interference fit is connected。It is connected by locking nut 25 locking between inserted link groove 23 with inserted link 32。
Fig. 6 to Fig. 9 illustrates the preference of the present invention, specific as follows:
As shown in Figure 6, tibial insertion of posterior cruciate ligament peels off location wire-threading device, including: peel off registration arm 1, position fixing handle 2, guiding trestle 3;Peel off and removably connect between near-end and the far-end of position fixing handle 2 of registration arm 1;Removably connect between position fixing handle 2 and guiding trestle 3;Peel off and be provided with line guide duct 11 between far-end and the near-end of registration arm 1。The near-end peeling off registration arm 1 is provided with external screw thread 12, and the far-end of position fixing handle 2 is provided with thread groove 22, and external screw thread 12 is in mating connection with thread groove 22。
As it is shown in fig. 7, position fixing handle 2 is provided with installation through hole 26 and locking nut 25 of cranking arm, guiding trestle 3 crank arm 31 be inserted in described in crank arm in installation through hole 26;When locking nut is in unlocked state, crank arm 31 can crank arm installation through hole 26 in slidably;When locking nut is in the lock state, crank arm 31 and the relative position installed between through hole 26 of cranking arm be locked nut locking and be relatively fixed。The surface configuration of the proximal part of guiding trestle 3 has graduation mark 6, and this graduation mark 6 is for representing the spacing d between the far-end of guiding trestle 3 and the end peeling off registration arm 1。
As shown in Figure 8, Figure 9, it is shown that steel-wire inducer 7 in the coupling groove face 14 of registration arm, the excessively mouth of pipe 15 of line guide duct, osseous tunnel;The coupling groove face 14 of registration arm is mutually matched with the groove face 71 that mates of the steel-wire inducer of steel-wire inducer in osseous tunnel 7, it is thus possible to be easy to peel off being accurately positioned between registration arm 1 and guiding trestle 3, in time again both just contacts time slightly deviation, it is also possible to reached the purpose being accurately positioned with the matching effect mating groove face 71 of steel-wire inducer by the coupling groove face 14 of registration arm。
The use principle of the present invention is as follows:
Step 1: stripping registration arm 1 is installed with peeling off handle 4, as shown in Figure 1;
Step 2: doctor holds stripping handle 4, carries out strip operation after stripping registration arm 1 being sent into;
Step 3: after strip operation completes, pulls down stripping handle 4;
Step 4: position fixing handle 2 is installed on stripping registration arm 1;
Step 5: be directed to support 3 and be mounted to position fixing handle 2;
Step 6: carry out the associative operation of steel wire guiding。
Step 7: pull down position fixing handle 2 and guiding trestle 3;
Step 8: steel wire is passed from the near-end peeling off registration arm 1。
Wherein, step 7, step 8 are preferred step。
Above specific embodiments of the invention are described。It is to be appreciated that the invention is not limited in above-mentioned particular implementation, those skilled in the art can make various deformation or amendment within the scope of the claims, and this has no effect on the flesh and blood of the present invention。
Claims (8)
1. a tibial insertion of posterior cruciate ligament peels off location wire-threading device, it is characterised in that including: peel off registration arm (1), position fixing handle (2), guiding trestle (3);
Peel off and removably connect between near-end and the far-end of position fixing handle (2) of registration arm (1);
Removably connect between position fixing handle (2) and guiding trestle (3);
Peel off and be provided with line guide duct (11) between far-end and the near-end of registration arm (1);
Line pilot hole (21) it was provided with between far-end and the near-end of position fixing handle (2);
The near-end crossing line guide duct (11) butted up against the far-end of line pilot hole (21);
Cross line pilot hole (21) and extend to the near-end of position fixing handle (2) from the bottom land of thread groove (22);
The side of position fixing handle (2) is provided with inserted link groove (23), and the stepped cell wall of inserted link groove (23) constitutes concave station (24);
Cross line pilot hole (21) and include leading portion pilot hole (2101), back segment pilot hole (2102);Leading portion pilot hole (2101), back segment pilot hole (2102) lay respectively at the front side of inserted link groove (23), rear side;
The near-end of leading portion pilot hole (2101) is communicated in inserted link groove (23), and back segment pilot hole (2102) is by the near-end extending to position fixing handle (2) in inserted link groove (23);
The free end of crank arm (31) of guiding trestle (3) extends the inserted link (32) installed that matches with inserted link groove (23), the junction of inserted link (32) and crank arm (31) constitutes convex shoulder (34), and convex shoulder (34) matches with concave station (24);
Interface channel (35) it is provided with in inserted link (32), when inserted link (32) is installed in inserted link groove (23), the far-end of interface channel (35) butts up against the near-end of leading portion pilot hole (2101), and the near-end of interface channel (35) butts up against the far-end of back segment pilot hole (2102)。
2. tibial insertion of posterior cruciate ligament according to claim 1 peels off location wire-threading device, it is characterized in that, the near-end peeling off registration arm (1) is provided with external screw thread (12), the far-end of position fixing handle (2) is provided with thread groove (22), and external screw thread (12) is in mating connection with thread groove (22)。
3. tibial insertion of posterior cruciate ligament according to claim 2 peels off location wire-threading device, it is characterized in that, the side of position fixing handle (2) is provided with inserted link groove (23), and the stepped cell wall of inserted link groove (23) constitutes concave station (24);
Cross line pilot hole (21) and include leading portion pilot hole (2101), back segment pilot hole (2102);Leading portion pilot hole (2101), back segment pilot hole (2102) lay respectively at the front side of inserted link groove (23), rear side;
Leading portion pilot hole (2101) is extended in inserted link groove (23) by the bottom land of thread groove (22), and back segment pilot hole (2102) is by the near-end extending to position fixing handle (2) in inserted link groove (23);
The free end of crank arm (31) of guiding trestle (3) extends the inserted link (32) installed that matches with inserted link groove (23), the junction of inserted link (32) and crank arm (31) constitutes convex shoulder (34), and convex shoulder (34) matches with concave station (24);
Interface channel (35) it is provided with in inserted link (32), when inserted link (32) is installed in inserted link groove (23), the far-end of interface channel (35) butts up against the near-end of leading portion pilot hole (2101), and the near-end of interface channel (35) butts up against the far-end of back segment pilot hole (2102)。
4. the tibial insertion of posterior cruciate ligament according to claim 1 or 3 peels off location wire-threading device, it is characterised in that leading portion pilot hole (2101), interface channel (35), back segment pilot hole (2102) are coaxially disposed。
5. the tibial insertion of posterior cruciate ligament according to claim 1 or 3 peels off location wire-threading device, it is characterised in that between inserted link groove (23) with inserted link (32), interference fit is connected。
6. the tibial insertion of posterior cruciate ligament according to claim 1 or 3 peels off location wire-threading device, it is characterised in that be connected by locking nut (25) locking between inserted link groove (23) with inserted link (32)。
7. tibial insertion of posterior cruciate ligament according to claim 1 peels off location wire-threading device, it is characterized in that, position fixing handle (2) is provided with installation through hole (26) and locking nut (25) of cranking arm, crank arm (31) of guiding trestle (3) be inserted in described in crank arm and install in through hole (26);
When locking nut is in unlocked state, crank arm (31) can cranking arm in installation through hole (26) slidably;
When locking nut is in the lock state, the relative position installed between through hole (26) of cranking arm (31) and crank arm is locked nut locking and is relatively fixed。
8. tibial insertion of posterior cruciate ligament according to claim 1 peels off location wire-threading device, it is characterised in that the surface configuration of the proximal part of guiding trestle (3) has graduation mark (6)。
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CN201410298509.9A CN104055578B (en) | 2014-06-26 | 2014-06-26 | Tibial insertion of posterior cruciate ligament peels off location wire-threading device |
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Families Citing this family (4)
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CN108065993A (en) * | 2017-12-06 | 2018-05-25 | 四川大学华西医院 | Shin bone locator for rebuilding posterior cruciate ligament on adjustable dissection line of force axis extended line |
CN108245262A (en) * | 2017-12-07 | 2018-07-06 | 复旦大学附属华山医院 | The isometric measuring device of ligament reconstructive |
CN109730756A (en) * | 2018-12-24 | 2019-05-10 | 宁波市第六医院 | Fracture removing aims at locator |
CN113081094A (en) * | 2021-04-02 | 2021-07-09 | 上海市杨浦区中心医院(同济大学附属杨浦医院) | Single condyle replacement osteotomy protector |
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