CN104146736B - Orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system - Google Patents
Orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system Download PDFInfo
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- CN104146736B CN104146736B CN201410408340.8A CN201410408340A CN104146736B CN 104146736 B CN104146736 B CN 104146736B CN 201410408340 A CN201410408340 A CN 201410408340A CN 104146736 B CN104146736 B CN 104146736B
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- 210000001264 anterior cruciate ligament Anatomy 0.000 title claims abstract description 18
- 210000000629 knee joint Anatomy 0.000 title claims abstract description 18
- 210000002303 tibia Anatomy 0.000 claims abstract description 57
- 210000000689 upper leg Anatomy 0.000 claims abstract description 55
- 239000004020 conductor Substances 0.000 claims abstract description 25
- 210000003041 ligament Anatomy 0.000 claims abstract description 20
- 238000000465 moulding Methods 0.000 claims description 21
- 210000003127 knee Anatomy 0.000 abstract description 2
- 238000010586 diagram Methods 0.000 description 5
- 238000005516 engineering process Methods 0.000 description 5
- 210000000988 bone and bone Anatomy 0.000 description 2
- 238000002224 dissection Methods 0.000 description 2
- 238000005553 drilling Methods 0.000 description 2
- 239000000835 fiber Substances 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- QDZOEBFLNHCSSF-PFFBOGFISA-N (2S)-2-[[(2R)-2-[[(2S)-1-[(2S)-6-amino-2-[[(2S)-1-[(2R)-2-amino-5-carbamimidamidopentanoyl]pyrrolidine-2-carbonyl]amino]hexanoyl]pyrrolidine-2-carbonyl]amino]-3-(1H-indol-3-yl)propanoyl]amino]-N-[(2R)-1-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-amino-4-methyl-1-oxopentan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]pentanediamide Chemical compound C([C@@H](C(=O)N[C@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(N)=O)NC(=O)[C@@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H]1N(CCC1)C(=O)[C@H](CCCCN)NC(=O)[C@H]1N(CCC1)C(=O)[C@H](N)CCCNC(N)=N)C1=CC=CC=C1 QDZOEBFLNHCSSF-PFFBOGFISA-N 0.000 description 1
- 206010065687 Bone loss Diseases 0.000 description 1
- 102100024304 Protachykinin-1 Human genes 0.000 description 1
- 101800003906 Substance P Proteins 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
- 230000005641 tunneling Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1675—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Dentistry (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system, including femur end localizer, centre bore localizer, 8/9mm core drill, 6/12 determine hole device, 6 hole sleeves, 3/9 determine hole device, 3/9 spot hole smoother, working column, working column conductor, ligament tibia end positioner, Kirschner wire and guide pin. Present configuration is simple, easy to use, can easily the anterior cruciate ligament of reconstruction of knee.
Description
Technical field
The present invention relates to anterior cruciate ligament femur and beam splitting is dissected in list tunnel, tibia stop footmark district and primary tension force is preset autologous or the reconstructing system field of Heterogeneous tendon, be specifically related to a kind of orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system.
Background technology
Kneed anterior cruciate ligament, it is called for short ACL, refer to after being attached to knee joint femoral ectocondyle medial surface, after upper, outer dense connective tissue assembles in intercondylar fossa, before oblique knee joint, under, in, terminate in ridge front between tibial plateau condyle and cave in and the ligament structure that formed. There are vasa and Substance P in its femur, tibia stop two ends, and major function is to control the abnormal reach of kneed tibia and rotate, and matches with other static(al) kneed and dynamic stabilization devices and maintains kneed stability.
But, ACL, once damage, repairs pretty troublesome. ACL reconstruction operations under traditional arthroscope, mainly rebuilds AM bundle by drilling through single osseous tunnel on the isometric point of femur and tibia stop respectively. To its a large amount of patient with operation multicenter more than 20 years long time follow up a case by regular visits to and show, its postoperative success rate is between 69% to 90%. Because it is provided without footmark district Anatomical orientation osseous tunnel, and do not rebuild PL bundle, therefore still have bigger curative effect room for promotion. 80 years last century, some scholars finds to drill through two osseous tunnels of AM and PL on femur and tibia footmark district respectively, can better simulating forward direction and the rotational strain of normal ACL, Clinical Follow-up also demonstrates more traditional isometric single better stability of rebuilding tunnel technology and controls. But operating technology is complicated under its mirror, it is necessary to drill through two osseous tunnels on femur and tibia respectively, and the consumption that makes of interior fixing consumptive material is the twice of single tunneling technique. Big owing to art drilling through bone loss behind 4 tunnels, cause it and overhaul particularly difficult, some patients needs could again overhaul after 1 year through first phase osseous tunnel bone grafting! Therefore, although the ACL dissection under arthroscope is bifilar, shin rebuilding tunnel has its theory advantage, but based on the difficulty that its high-tech difficulty, expense are multiplied and overhaul, international arthroscope main flow magazine " Arthroscopy " is when evaluating this technology, the comment used is " two tunnels, dual trouble. Doubletunnels, doubletroubles ".
At present, Most scholars agrees to that the reconstruction operations of ACL should position based on the footmark district that each patient femur and tibia stop are unique, no matter art uses single tunnel, or twin tunnel, Liang Ge footmark district all should be covered hand and foot, from Anatomical orientation and functional structure, fully simulate forward direction and the rotational stabilization of each angle required in knee joint on a large scale flexion-extension motion for ACL.
Summary of the invention
The technical problem to be solved is for above-mentioned the deficiencies in the prior art, it is provided that a kind of orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system, and simple in construction is easy to use, can easily the anterior cruciate ligament of reconstruction of knee.
The technical solution adopted in the present invention is: include femur end localizer, centre bore localizer, 8/9mm core drill, 6/12 determine hole device, 6 hole sleeves, 3/9 determine hole device, 3/9 spot hole smoother, working column, working column conductor, ligament tibia end positioner, Kirschner wire and guide pin
Femur connecting portion that described femur end localizer includes U-shaped and the femur location division being attached thereto respectively and femur clamping part, described femur location division has location of the core hole, 3 point location holes, 6 point location holes, 9 point location holes and 12 point location holes, described femur clamping part has and is available for the femur localizer passage that centre bore localizer passes through, described femur localizer passage is provided with femur centre bore localizer orientation bolt, and described femur location division is provided with location division, ACL footmark district, femoral lateral condyle inner edge away from one end of femur connecting portion;
Described centre bore localizer includes the centre bore location bar of centre bore termination and molding in conjunction, and described centre bore termination has the centralized positioning pin hole and 6 point location pin holes that sequentially pass through centre bore termination and centre bore location bar;
Described 8/9mm core drill is handle and the integrated core drill of drill bit;
Determine hole device and include 6/12 6/12 point location bar determining nose end head and molding in conjunction for described 6/12, determining to have on nose end head and sequentially pass through whole 6/12 6 Kirschner wire determining nose end head and 6/12 point location bar and 6 spot hole sleeve channels and 12 Kirschner wire passages for described 6/12, described 6 Kirschner wires and 6 spot hole sleeve channels and 12 Kirschner wire channel diameters are 3.1mm;
Described 6 hole sleeves include sleeve pipe termination and the socket bar of molding in conjunction, and it is 3.0mm that described sleeve pipe termination has outer dia, and inside diameter is the 6 spot hole placed channels of 2.1mm;
Determine hole device and include 3/9 3/9 point location bar determining nose end head and molding in conjunction for described 3/9, determine nose end head has and sequentially pass through 3/9 6 spot hole Kirschner wire passage determining nose end head and 3 spot hole Kirschner wire passages of 3/9 point location bar, 9 spot hole Kirschner wire passages and location for described 3/9;
Described 3/9 spot hole smoother includes the smoother location bar of smoother termination and molding in conjunction, described smoother termination Side symmetrical is provided with smoother connecting rod, and described smoother termination has the smooth hole sequentially passing through smoother termination and smoother location bar;
Described working column includes the sleeve pipe location bar of sleeve pipe termination and molding in conjunction, described sleeve pipe termination has the sleeve channel running through whole sleeve pipe termination and sleeve pipe location bar, described sleeve end head Side symmetrical is provided with telescopic joint bar, and described telescopic joint bar has fixing pin hole;
Described working column conductor includes the conductor location bar of conductor termination and molding in conjunction, and described conductor termination has the guide hole being available for working column entrance running through whole conductor termination and conductor location bar;
Described ligament tibia end positioner includes the tibia connecting portion that tibia clamping part is connected and the location division, tibia footmark district being connected with tibia connecting portion with tibia clamping part, described tibia clamping part has and is available for the ligament tibia locator passage that centre bore localizer passes through, described ligament tibia locator passage is provided with tibia centre bore localizer bolt, and location division, described tibia footmark district is provided with anti-skidding lock-bit bayonet socket;
Described Kirschner wire is several, and several Kirschner wire diameters, length are all different.
As preferably, 3 point location holes on described femur location division are consistent with 9 point location hole dimensions, and 6 point location holes are consistent with 12 point location hole dimensions.
As preferably, described 6/12 determine 6/12 of hole device determine nose end head, the sleeve pipe termination of 6 hole sleeves, 3/9 determine 3/9 of hole device and determine hole tip diameter and be 20mm.
As preferably, the diameter of the smoother termination of described 3/9 spot hole smoother is 16mm.
As preferably, the smooth bore dia of described 3/9 spot hole smoother is 2.1mm.
As preferably, the smoother location bar of described 3/9 spot hole smoother is equipped with the inserting surface of inclination away from one end of smoother termination and the sleeve pipe location bar of working column away from one end of sleeve pipe termination.
As preferably, the telescopic joint bar of described working column is first body formed with sleeve end.
As preferably, outside the location division, tibia footmark district of ligament tibia end positioner, outside has hole, 4 location.
The beneficial effects of the present invention is:
(1) instrument is simple, convenient, and operating procedure is few, reduces operating time, reduces operation risk;
(2) kit completes the perforate positioning function of each 4 positions, hole, stock/shin two ends of ACL;
(3) perforate of articular cavity inner cortex surface of bone uses the Kirschner wire that operating room is standing, it is not necessary to special expensive tool, and operation cost is low;
(4) instrument consumes low, meets and repeatedly uses, and reduces operation cost;
(5) tool design realizes standardization operation, it is to avoid because of problems such as medical technologies level or the postoperative effect that causes in operating-table error in judgement differ greatly;
(6) pith performed the operation all completes under naked eyes are looked at straight, arthroscope is only used as aid, doctor completes this type of operation without good arthroscope specialty operation basis, therefore has universal, popularizing action, more doctor can be allowed to have grasped the technical ability of this type of operation in a short time;
(7) perfection realizes the primary Reconstruction of The Function of dissection of ACL;
(8) the anatomical function structure of ACL is embodied truly, it is achieved arranging functional is tightened in the fiber distribution of footmark district and body fiber crossovers district that two ends are full.
Accompanying drawing explanation
Fig. 1 is femur end locator structure schematic diagram of the present invention;
Fig. 2 is femur end localizer of the present invention location pore structure schematic diagram;
Fig. 3 is centre bore locator structure schematic diagram of the present invention;
Fig. 4 is 8/9mm core drill structural representation of the present invention;
Fig. 5 is that the present invention 6/12 determines hole device structural representation;
Fig. 6 is the present invention 6 spot hole sleeve structure schematic diagram;
Fig. 7 is that the present invention 3/9 determines hole device structural representation;
Fig. 8 is the present invention 3/9 spot hole smoother structural representation;
Fig. 9 is working column structural representation of the present invention;
Figure 10 is working column guide structure schematic diagram of the present invention;
Figure 11 is ligament tibia end positioner structural representation of the present invention;
In figure: 1, femur end localizer; 2, centre bore localizer; 3,8/9mm core drill; 4, hole device is determined at 6/12; 5,6 hole sleeves; 6, hole device is determined at 3/9; 7,3/9 spot hole smoother; 8, working column; 9, working column conductor; 10, ligament tibia end positioner;
11, femur connecting portion; 12, femur location division; 13, femur clamping part; 14,3 point location hole; 15,6 point location hole; 16,9 point location hole; 17,12 point location hole; 18, femur localizer passage; 19, femur centre bore localizer orientation bolt; 110, location division, ACL footmark district, femoral lateral condyle inner edge;
21, centre bore termination; 22, centre bore location bar; 23, centralized positioning pin hole; 24,6 point location pin hole;
31, drill bit; 32, hands handle;
41, nose end head is determined at 6/12; 42,6/12 point location bar; 43,6 Kirschner wires and 6 spot hole sleeve channels; 44,12 Kirschner wire passages;
51, sleeve pipe termination; 52, socket bar; 53,6 spot hole placed channel;
61, nose end head is determined at 3/9; 62,3/9 point location bar; 63,3 spot hole Kirschner wire passage; 64,9 spot hole Kirschner wire passage;
71, smoother termination; 72, smoother location bar; 73, smoother connecting rod; 74, smooth hole;
81, sleeve pipe termination; 82, sleeve pipe location bar; 83, sleeve channel; 84, telescopic joint bar; 85, fixing pin hole;
91, conductor termination; 92, conductor location bar; 93, guide hole;
101, tibia clamping part; 102, tibia connecting portion; 103, location division, tibia footmark district; 104, ligament tibia locator passage; 105, tibia centre bore localizer orientation bolt; 106, anti-skidding lock-bit bayonet socket; 107, connecting hole;
Detailed description of the invention
Below in conjunction with the accompanying drawings and the specific embodiments the present invention is described in further detail.
As shown in Fig. 1 Figure 11, a kind of orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system, including femur end localizer 1, centre bore localizer 2,8/9mm core drill 3,6/12 determine hole device 4,6 hole sleeves 5,3/9 determine hole device 6,3/9 spot hole smoother 7, working column 8, working column conductor 9, ligament tibia end positioner 10, Kirschner wire and guide pin
Femur connecting portion 11 that described femur end localizer 1 includes U-shaped and the femur location division 12 being attached thereto respectively and femur clamping part 13, described femur location division 12 has location of the core hole, 3 point location holes 14, 6 point location holes 15, 9 point location hole 17, point location holes 16 and 12, described femur clamping part 13 has and is available for the femur localizer passage 18 that centre bore localizer 2 passes through, described femur localizer passage 18 is provided with femur centre bore localizer orientation bolt 19, described femur location division 12 is provided with location division, ACL footmark district, femoral lateral condyle inner edge 110 away from one end of femur connecting portion 11,
Described centre bore localizer 2 includes the centre bore location bar 22 of centre bore termination 21 and molding in conjunction, and described centre bore termination 21 has centralized positioning the pin hole 23 and 6 point location pin hole 24 sequentially passing through centre bore termination 21 and centre bore location bar 22;
Described 8/9mm core drill 3 includes handle 32 and drill bit 31 integrated with handle 32;
Determine hole device 4 and include 6/12 6/12 point location bar 42 determining nose end head 41 and molding in conjunction for described 6/12, determine nose end head 41 has and sequentially pass through whole 6/12 6 Kirschner wire determining nose end head 41 and 6/12 point location bar 42 and 6 spot hole sleeve channels 43 and 12 Kirschner wire passages 44, described 6 Kirschner wires and 6 spot hole sleeve channels 42 and 12 Kirschner wire passage 43 diameters are 3.1mm for described 6/12;
Described 6 hole sleeves 5 include the socket bar 52 of sleeve pipe termination 51 and molding in conjunction, and it is 3.0mm that described sleeve pipe termination 51 has outer dia, and inside diameter is the 6 spot hole placed channels 53 of 2.1mm;
Determine hole device 6 and include 3/9 3/9 point location bar 62 determining nose end head 61 and molding in conjunction, determine nose end head 61 has the 6 spot hole Kirschner wire passages sequentially passing through 3/9 3 spot hole Kirschner wire passage 63,9 spot hole Kirschner wire passage 64 determining nose end head 61 and 3/9 point location bar 62 and location for described 3/9 for described 3/9;
Described 3/9 spot hole smoother 7 includes the smoother location bar 72 of smoother termination 71 and molding in conjunction, described smoother termination 71 Side symmetrical is provided with smoother connecting rod 73, and described smoother termination 7 has the smooth hole 74 sequentially passing through smoother termination 71 and smoother location bar 72;
Described working column 8 includes the sleeve pipe location bar 82 of sleeve pipe termination 81 and molding in conjunction, described sleeve pipe termination 81 has the sleeve channel 83 running through whole sleeve pipe termination 81 and sleeve pipe location bar 82, described sleeve pipe termination 81 Side symmetrical is provided with telescopic joint bar 84, and described telescopic joint bar 84 has fixing pin hole 85;
Described working column conductor 9 includes the conductor location bar 92 of conductor termination 91 and molding in conjunction, and described conductor termination 91 has the guide hole 93 being available for working column 8 entrance running through whole conductor termination 91 and conductor location bar 92;
Described ligament tibia end positioner 10 includes the tibia connecting portion 102 that tibia clamping part 101 is connected and the location division, tibia footmark district 103 being connected with tibia connecting portion 102 with tibia clamping part 101, described tibia clamping part 101 has and is available for the ligament tibia locator passage 104 that centre bore localizer 2 passes through, described ligament tibia locator passage 104 is provided with tibia centre bore localizer orientation bolt 105, is provided with the anti-skidding lock-bit bayonet socket 106 of taper inside location division, described tibia footmark district 103;
Described Kirschner wire is several, and several Kirschner wire diameters, length are all different.
As preferably, 3 point location hole 16, point location hole 14 and 9 consistent size of described femur location division 12,6 point location hole 17, point location hole 15 and 12 consistent size.
As preferably, described 6/12 determine 6/12 of hole device 4 determine nose end head 41, the sleeve pipe termination 51 of 6 hole sleeves 5,3/9 determine 3/9 of hole device 6 and determine nose end head 61 diameter and be 20mm.
As preferably, the diameter of the smoother termination 71 of described 3/9 spot hole smoother 7 is 16mm.
As preferably, smooth hole 74 diameter of described 3/9 spot hole smoother 7 is 2.1mm.
As preferably, the smoother location bar 72 of described 3/9 spot hole smoother 7 is equipped with the inserting surface of inclination away from one end of smoother termination 71 and the sleeve pipe location bar 82 of working column 8 away from one end of sleeve pipe termination 81.
As preferably, the telescopic joint bar 84 of described working column 8 is one-body molded with sleeve pipe termination 81.
As preferably, having hole 107,4 location outside the location division, tibia footmark district 103 of ligament tibia end positioner 10.
Wherein, femur localizer footmark district position point divides left and right knee joint rightabout.
Embodiment described above only have expressed the specific embodiment of the present invention, and it describes comparatively concrete and detailed, but therefore can not be interpreted as the restriction to the scope of the claims of the present invention. It should be pointed out that, for the person of ordinary skill of the art, without departing from the inventive concept of the premise, it is also possible to making some deformation and improvement, these broadly fall into protection scope of the present invention.
Claims (8)
1. an orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system, it is characterized in that: include femur end localizer, centre bore localizer, 8/9mm core drill, 6/12 determine hole device, 6 hole sleeves, 3/9 determine hole device, 3/9 spot hole smoother, working column, working column conductor, ligament tibia end positioner, Kirschner wire and guide pin
Femur connecting portion that described femur end localizer includes U-shaped and the femur location division being attached thereto respectively and femur clamping part, described femur location division has location of the core hole, 3 point location holes, 6 point location holes, 9 point location holes and 12 point location holes, described femur clamping part has and is available for the femur localizer passage that centre bore localizer passes through, described femur localizer passage is provided with femur centre bore localizer orientation bolt, and described femur location division is provided with location division, ACL footmark district, femoral lateral condyle inner edge away from one end of femur connecting portion;
Described centre bore localizer includes the centre bore location bar of centre bore termination and molding in conjunction, and described centre bore termination has the centralized positioning pin hole and 6 point location pin holes that sequentially pass through centre bore termination and centre bore location bar;
Described 8/9mm core drill is handle and the integrated core drill of drill bit;
Determine hole device and include 6/12 6/12 point location bar determining nose end head and molding in conjunction for described 6/12, determining to have on nose end head and sequentially pass through whole 6/12 6 Kirschner wire determining nose end head and 6/12 point location bar and 6 spot hole sleeve channels and 12 Kirschner wire passages for described 6/12, described 6 Kirschner wires and 6 spot hole sleeve channels and 12 Kirschner wire channel diameters are 3.1mm;
Described 6 hole sleeves include the socket bar of 6 spot hole sleeve pipe terminations and molding in conjunction, and it is 3.0mm that described 6 spot hole sleeve pipe terminations have outer dia, and inside diameter is the 6 spot hole placed channels of 2.1mm;
Determine hole device and include 3/9 3/9 point location bar determining nose end head and molding in conjunction for described 3/9, determine nose end head has and sequentially pass through 3/9 6 spot hole Kirschner wire passage determining nose end head and 3 spot hole Kirschner wire passages of 3/9 point location bar, 9 spot hole Kirschner wire passages and location for described 3/9;
Described 3/9 spot hole smoother includes the smoother location bar of smoother termination and molding in conjunction, described smoother termination Side symmetrical is provided with smoother connecting rod, and described smoother termination has the smooth hole sequentially passing through smoother termination and smoother location bar;
Described working column includes the sleeve pipe location bar of working column termination and molding in conjunction, described working column termination has the sleeve channel running through whole sleeve pipe termination and sleeve pipe location bar, described working column termination Side symmetrical is provided with telescopic joint bar, and described telescopic joint bar has fixing pin hole;
Described working column conductor includes the conductor location bar of conductor termination and molding in conjunction, and described conductor termination has the guide hole being available for working column entrance running through whole conductor termination and conductor location bar;
Described ligament tibia end positioner includes the tibia connecting portion that tibia clamping part is connected and the location division, tibia footmark district being connected with tibia connecting portion with tibia clamping part, described tibia clamping part has and is available for the ligament tibia locator passage that centre bore localizer passes through, described ligament tibia locator passage is provided with tibia centre bore localizer bolt, and location division, described tibia footmark district is provided with anti-skidding lock-bit bayonet socket;
Described Kirschner wire is several, and several Kirschner wire diameters, length are all different.
2. orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system according to claim 1, it is characterised in that: 3 point location holes on described femur location division are consistent with 9 point location hole dimensions, and 6 point location holes are consistent with 12 point location hole dimensions.
3. orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system according to claim 1 and 2, it is characterised in that: described 6/12 determine 6/12 of hole device determine nose end head, the sleeve pipe termination of 6 hole sleeves, 3/9 determine 3/9 of hole device and determine hole tip diameter and be 20mm.
4. orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system according to claim 1 and 2, it is characterised in that: the diameter of the smoother termination of described 3/9 spot hole smoother is 16mm.
5. orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system according to claim 1 and 2, it is characterised in that: the smooth bore dia of described 3/9 spot hole smoother is 2.1mm.
6. orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system according to claim 1 and 2, it is characterised in that: the smoother of described 3/9 spot hole smoother location bar is equipped with the inserting surface of inclination away from one end of smoother termination and the sleeve pipe location bar of working column away from one end of working column termination.
7. orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system according to claim 1 and 2, it is characterised in that: the telescopic joint bar of described working column is one-body molded with working column termination.
8. orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system according to claim 1 and 2, it is characterised in that: have hole, 4 location outside the location division, tibia footmark district of ligament tibia end positioner.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201410408340.8A CN104146736B (en) | 2014-08-19 | 2014-08-19 | Orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system |
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| CN201410408340.8A CN104146736B (en) | 2014-08-19 | 2014-08-19 | Orthopaedics anterior cruciate ligament of knee joint Anatomical Reconstruction system |
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| CN104146736A CN104146736A (en) | 2014-11-19 |
| CN104146736B true CN104146736B (en) | 2016-06-08 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN104814786B (en) * | 2015-01-04 | 2017-02-22 | 雷俊虎 | Multi-beam reconstruction component for knee-joint ACL (anterior cruciate ligament) for department of orthopaedics |
| CN105411635B (en) * | 2015-12-22 | 2017-12-15 | 雷俊虎 | Anterior cruciate ligament of knee joint femoral bone tunnel goes out pin direction guided positioning system |
| CN106618797B (en) * | 2016-11-03 | 2018-11-27 | 雷俊虎 | The band-like Anatomical Reconstruction system of orthopaedics replacement knee anterior cruciate ligament |
| CN106361466B (en) * | 2016-11-10 | 2017-12-12 | 杨广华 | A kind of orthopaedics replacement knee posterior cruciate ligament of knee Anatomical Reconstruction system |
| CN108378906A (en) * | 2018-04-02 | 2018-08-10 | 肖新才 | Hematoma puncture direction finder and its application method |
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|---|---|---|---|---|
| US7766964B2 (en) * | 2007-03-30 | 2010-08-03 | Biomet Sports Medicine, Llc | In situ graft preparation for knee ligament reconstruction |
| US8617168B2 (en) * | 2010-10-25 | 2013-12-31 | Smith & Nephew, Inc. | Oval tibia guide |
| CN103230292A (en) * | 2013-05-14 | 2013-08-07 | 潘海乐 | Cruciate ligament rebuilding hollow trephine |
| CN103932795B (en) * | 2014-04-10 | 2015-12-30 | 中国人民解放军第四军医大学 | The femoral bone tunnel dial-type localizer of Healing in Anterior Cruciate Ligament Reconstruction under arthroscope |
-
2014
- 2014-08-19 CN CN201410408340.8A patent/CN104146736B/en not_active Expired - Fee Related
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| Publication number | Publication date |
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| CN104146736A (en) | 2014-11-19 |
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