A kind of joint portion exter-nal fixer
Technical field
The present invention relates to a kind of joint portion exter-nal fixer, have and relate to a kind of exter-nal fixer adopting cable to carry out joint portion skeletal fixation.
Background technology
Wait in orthopaedics therapy process in fracture, postoperatively penetrate epidermis frequently by various support, skeleton is fixed and makes it to recover, after recovery, then pass through trauma operation, support is removed, whole process need carries out Repeated Operation, the wound brought human muscle and skin portion is larger, and the convalescence after Miles operation is also long, the compressing that simultaneously traditional support brings skeleton and wound all larger;
Existing commercially to this, provide wound degree and minimizing operation number of times when much can reduce operation to a certain extent, the orthopedic fixer healed can be accelerated again simultaneously, if the patent No. is the invention of ZL201120537796.6, where it is proposed a kind of steel wire for skeleton portion parcel, this steel wire is by arranging absorbable material protective sleeve to reduce the damage to skeleton in Steel Wire Surface, reduce the probability of skeleton ischemic necrosis, but itself still realizes the fixing of skeleton by the mode be repeatedly wound around, after skeleton recovers, removing steel wire performs the operation still very large on the skin and muscle bed that bring, the long time is needed to recover,
For another example a kind of patent of invention of patella external fixer is called with ZL201420132756.7 name, wherein it is also proposed a kind of fixed mount of skeleton outside of Wicresoft, this structure comparison comparing class is similar to the fixed structure of steel nail generally used now, its main purpose realizes multi-faceted skeletal fixation, simultaneously the wound brought human body of thin steel nail is also smaller, secondary can be avoided to take out injury that operation brings human body and infection, but in its technical scheme, steel nail plays main supporting role, in order to ensure its certain support performance (i.e. bending strength) thus steel nail itself cannot do thin as acupuncture needle, so the reduction of its steel nail to human epidermal and flesh wound degree is still more limited, and steel nail itself is because its volume cause and special biological property cause, if use titanium alloy etc materials to make, difficulty of processing and cost are all higher, if use the good polymer of some biological properties to make, its intensity cannot ensure again, the main eyelid retractor of this invention is simultaneously an annular metal sheet, during installation, the limbs portion that can treat operation brings blocks, installing can be more difficult, also the accurate installation under X-ray shines cannot be realized,
So in sum, skeleton external stability utensil of the prior art still also exists many deficiencies, such as: the wound that installation brings, secondary take out operation wound, cost cannot reduce, installation difficulty is large.
Summary of the invention
The technical problem to be solved in the present invention is: overcome prior art medium-height trestle and install the technical problems such as wound is large, fixing operation is complicated, there is provided a kind of less to setter wound, the fixed structure for fixing joint place skeleton even not needing second operation can be reduced.
The technical solution adopted for the present invention to solve the technical problems is:
A kind of joint portion exter-nal fixer, comprise and be fixed on fixer in vitro assembly in health limb portion and joint fixation apparatus, described joint fixation apparatus comprises outside framework and some surface of bone fixation kits be arranged on outside framework, described outside framework is fixed on health outside by fixer in vitro assembly, it is characterized in that:
Described outside framework comprises at least two fixed mounts;
Described surface of bone fixation kit comprises several fixed blocks, fixed cable is provided with between described fixed block, described fixed block is fixed on fixed mount, comprises the support frame be at least made up of two fixed cable between described fixed mount, and described support frame contacts, realizes the support of skeleton with surface of bone.
As further innovation of the present invention, described fixer in vitro assembly comprises at least two retainer rings be fixed in limb portion, body joints both sides, described joint fixation apparatus is arranged on the centre of retainer ring, described retainer ring comprises and is wrapped in the band in health limb portion and the support bar for supporting band, described support bar is embedded in band inside, and described support bar adopts elastic metallic to make.
As further innovation of the present invention, between described support bar, be provided with surface of bone fixation kit.
As further innovation of the present invention, in described outside framework, at least one fixed mount is platy structure, and the inside of described platy structure is provided with support cotton pad, and the surface of platy structure is provided with some fixing holes for installing fixed block.
As further innovation of the present invention, the fixed bar array that described fixed mount comprises two cleat assemblies and is arranged between two cleat assemblies, described cleat assembly side is connected with fixer in vitro assembly, described cleat assembly comprises train wheel bridge and lower plate, and described fixed bar array is clamped between train wheel bridge and lower plate.
As further innovation of the present invention, described fixed block comprises a fixing hole for fixing fixed cable, and the sidewall of described fixing hole is provided with lock-screw A; Described fixed block comprises one for the sliding eye be socketed with housing, the sidewall of described sliding eye is provided with lock-screw B.
As further innovation of the present invention, described fixed cable comprises elastic threads, and the material of described elastic threads has biocompatibility.
As further innovation of the present invention, described elastic threads adopts aliphatic polyester to make.
As further innovation of the present invention, be provided with reinforced metal cable in the middle part of described elastic threads, the material of described reinforced metal cable has biocompatibility.
As further innovation of the present invention, described reinforced metal cable adopts titanium alloy to make.
The invention has the beneficial effects as follows:
1, whole holder can conveniently be arranged on joint by fixer in vitro assembly and joint fixation apparatus, by with fixed mount and static line cooperation, by the less elastic threads of diameter under the support of fixed mount, form one or more fixing mesh, thus the cooperation realized joint portion skeleton, because the low elasticity of elastic threads, the fixing of skeleton not only can be ensured, also elastic threads can be prevented the excessive compressing of bone surface simultaneously, cause osteonecrosis;
The present invention is simultaneously because its diameter is less, so during initial surgery, block surface is also smaller, can compare accurate operation, and its wound face of the implantation of elastic threads only has aperture size, can realize the object of Minimally Invasive Surgery;
In addition the present invention also can realize being fastened to skeleton, thus adapts to the situation of comminuted fracture.
2, holder can be arranged in the limb portion of human body by tie-type retainer ring of the present invention easily, support bar adopts elastic metallic to make simultaneously, provide a better circular support force, prevent postoperative patient when mobile, be moved, affect recovery effects, the surface of bone fixation kit simultaneously on support bar can strengthen the overall performance of whole supporting construction further.
3, in outside framework, at least one fixed mount is platy structure, the fixed mount of platy structure can give certain support force for needing the patient lain for a long time on one's sick bed, not only can reduce the probability of whole supporting construction distortion, also can provide certain comfort level for patient simultaneously.
4, the fixed mount of the present invention fixed bar array that comprises two cleat assemblies and be arranged between two cleat assemblies, can easily as the case may be, the quantity of adjustment fixed bar and angle, effectively optimize fixed structure, reduces the weight that unnecessary fixed bar produces.
5, elastic threads of the present invention adopts clamped-in style to fix, and this structure can improve the convenience of installation, and elastic threads also can be installed with a higher pretightning force simultaneously.
6, fixing for sliding between fixed block of the present invention and outside framework, the position between adjustment fixed block that can be convenient, thus easily according to concrete bone condition, the fixed position of adjustment elastic threads, greatly adds wide usage.
The elastic threads that the aliphatic polyester material 7, with biocompatibility is made, because its low biocompatible, after recovery, can stay in the body of human body, the wound degree that secondary removes operation can be reduced, if the destructiveness of skeleton own is little, secondary can not be carried out and remove operation.
8, strengthening cable that a titanium alloy makes also is added in tension cable of the present invention to prevent from straining the situation of the elastic threads fracture excessively caused, can directly be extracted out by the strengthening cable of titanium alloy after recovery, part stays in the body and also can not there is too large rejection problems.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, the present invention is further described.
Fig. 1 is the fixing schematic diagram of embodiment 1;
Fig. 2 is the outside framework schematic diagram of platy structure of the present invention;
Fig. 3 is the schematic diagram of outside framework of the present invention;
Fig. 4 is the profile of fixed block;
Fig. 5 is the fixing schematic diagram of embodiment 2.
In figure: 1, fixed block; 2, epidermis; 3, fixed cable; 4, skeleton A; 5, skeleton B; 6, skeleton C; 7, retainer ring; 8, support bar; 9, the outside framework of platy structure; 10, fixing hole; 11, outside framework; 12, cleat assembly; 13, fixed bar; 14, cotton pad is supported.
1-1, fixing hole; 1-2, sliding eye.
Detailed description of the invention
In conjunction with the accompanying drawings, the present invention is further detailed explanation.These accompanying drawings are the schematic diagram of simplification, only basic structure of the present invention are described in a schematic way, and therefore it only shows the formation relevant with the present invention.
embodiment 1
This product is mainly a kind of for fracture or the postoperative fixing and auxiliary a kind of exter-nal fixer recovered is carried out in the joint that misplaces, this product carries out the fixing fixed cable structure of surface of bone mainly through two for the retainer ring fixed with both sides, joint arm or leg noinvasive and a Wicresoft, realizes fixing the Wicresoft in joint;
As shown in Figure 1, this product mainly comprises two outside frameworks, and is arranged on the retainer ring 7 of two outside framework both sides, and outside framework comprises the outside framework 9 of a platy structure and a similar cancellated outside framework 11, two outside frameworks are oppositely arranged;
As Fig. 3, wherein similar cancellated outside framework 11 comprises two cleat assemblies 12 and fixed bar 13, and the profile of cleat assembly is arc, spherical corresponding with joint.The side of cleat assembly is fixedly connected with retainer ring 7, and cleat assembly 12 comprises train wheel bridge and lower plate, between train wheel bridge and lower plate, be provided with groove, and described fixed bar 13 is fixed between train wheel bridge and lower plate by groove;
Whole holder can conveniently be arranged on joint by fixer in vitro assembly and joint fixation apparatus, by with fixed mount and static line cooperation, by the less elastic threads of diameter under the support of fixed mount, form one or more fixing mesh, thus the cooperation realized joint portion skeleton, because the low elasticity of elastic threads, the fixing of skeleton not only can be ensured, also elastic threads can be prevented the excessive compressing of bone surface simultaneously, cause osteonecrosis;
Because its diameter of fixed cable is less, so during initial surgery, block surface is also smaller, can compare accurate operation, and its wound face of the implantation of elastic threads only has aperture size, can realize the object of Minimally Invasive Surgery;
The fixed bar array that fixed mount comprises two cleat assemblies and is arranged between two cleat assemblies, can easily as the case may be, and the quantity of adjustment fixed bar and angle, effectively optimize fixed structure, reduces the weight that unnecessary fixed bar produces;
Fixed bar 13 is arranged and is socketed with some fixed blocks 1, wherein fixed block (as shown in Figure 4) comprises one for fixed block 1 being overlapped the sliding eye 1-2 received on housing 2, the inwall of sliding eye 1-2 is provided with lock-screw B, fixed block is also provided with one for the fixing hole 1-1 through fixed cable 3, same is provided with a lock-screw A for fixing fixed cable 3 on the sidewall of fixing hole 1-1 simultaneously;
As shown in Figure 2, outside framework 9 both sides of platy structure are fixedly connected with retainer ring 7, the outside framework 9 of platy structure is provided with some fixing holes 10 for fixing fixed block, simultaneously at the outside framework 9 of platy structure, the side of similar cancellated outside framework 11 is provided with support cotton pad;
The fixed mount of platy structure can give certain support force for needing the patient lain for a long time on one's sick bed, not only can reduce the probability of whole supporting construction distortion, also can provide certain comfort level for patient simultaneously;
Wherein fixed cable comprises the elastic threads that the aliphatic polyester material with biocompatibility is made, and is provided with the reinforced metal line that the titanium alloy that is similarly biocompatible materials is made in the middle part of elastic threads;
The elastic threads that the aliphatic polyester material with biocompatibility is made, because its low biocompatible, after recovery, can stay in the body of human body, the wound degree that secondary removes operation can be reduced, if the destructiveness of skeleton own is little, secondary can not be carried out and remove operation;
The strengthening cable that titanium alloy is made is to prevent from straining the situation of the elastic threads fracture excessively caused, and can directly be extracted out by the strengthening cable of titanium alloy after recovery, part stays in the body and also can not there is too large rejection problems;
On retainer ring 7, be also inlaid with support bar 8, support bar 8 can adopt elastic steel strip to make, and support bar 8 is also processed with some fixing holes 10 for fixing fixed block 1 simultaneously;
Support bar provides a better circular support force, prevent postoperative patient when mobile, be moved, affect recovery effects, fixing hole 10 simultaneously on support bar may be used for installing surface of bone fixation kit, can strengthen the overall performance of whole supporting construction further;
When specifically fixing, as shown in Figure 1, first the both sides of knee received by retainer ring 7 cover made by two bands, be strained and fixed ring 7, subsequently the outside framework 9 of platy structure is fixed to knee patellar side dorsad, specifically add man-hour, screw can be processed between the two fix, subsequently, to cracked ossa articularia (skeleton A4, skeleton B5) be fixed by fixed cable 3, after fixedly completing, one end of fixed cable 3 is through fixing hole 10, be fixed by fixed block 1, by train wheel bridge and lower plate, fixed bar 13 is installed to the centre of two retainer rings 7 subsequently, simultaneously on fixed bar 13 corresponding fixed cable pass position, fixed block 1 is set, be fixed on fixed block 1 at the other end of fixed cable 3 simultaneously, realize the fixing of whole knee intrinsic articulation bone, also in retainer ring 7, fixed block 1 and fixed cable can be fixed by support bar simultaneously, ensure fixing effect further,
After surgery, directly fixed cable can be removed by Minimally Invasive Surgery, fix compared to traditional steel nail, remove Post operation, the time of recovery is shorter, and the wound brought human body is also less.
embodiment 2
When thigh etc. is fixed without articulation structure, as shown in Figure 5, first the both sides of bone fracture place epidermis received by retainer ring 7 cover made by two bands, be strained and fixed ring 7, subsequently the outside framework 9 of platy structure is fixed to the side of thigh towards back, specifically add man-hour, screw can be processed between the two fix, subsequently, cracked Thigh bone (bone C6) is fixed by fixed cable 3, after fixedly completing, one end of fixed cable 3 is through fixing hole 10, be fixed by fixed block 1, by train wheel bridge and lower plate, fixed bar 13 is installed to the centre of two retainer rings 7 subsequently, simultaneously on fixed bar 13 corresponding fixed cable pass position, fixed block 1 is set, be fixed on fixed block 1 at the other end of fixed cable 3 simultaneously, realize whole femoral fixing, also in retainer ring 7, fixed block 1 and fixed cable can be fixed by support bar simultaneously, ensure fixing effect further,
Time fixing, this product is just less to human body wound, can effectively reduce to perform the operation and bring the probability of infection, after surgery, directly fixed cable can be removed by Minimally Invasive Surgery, fix compared to traditional steel nail, remove Post operation, the time of recovering is shorter, and the wound brought human body is also less.
With above-mentioned according to desirable embodiment of the present invention for enlightenment, by above-mentioned description, relevant staff in the scope not departing from this invention technological thought, can carry out various change and amendment completely.The technical scope of this invention is not limited to the content in description, must determine its technical scope according to right.