A kind of horizontal lying-type exter-nal fixer
Technical field
It is solid with being related to outside a kind of bone that patient can be allowed to lie low the present invention relates to a kind of horizontal lying-type exter-nal fixer
Determine device.
Background technology
During the orthopaedics therapies such as fracture, postoperative to penetrate epidermis frequently by various supports, bone, which is fixed, to be made
Recovery, after recovery, then by trauma operation, support is removed, whole process need carry out Repeated Operation, to human body
The wound ratio that muscle and skin portion are brought is larger, and the convalescence after Miles operation is also long, while traditional support is to osseous part band
After the compressing come and wound are all installed than larger, traditional exter-nal fixer, human body is in itself because the effect of outside steel nail, it is impossible to
Realization lies low, and comfort level is very poor, is not suitable for post-operative recovery;
To this, there is provided wound degree when can much reduce operation to a certain extent and reduction operation time currently on the market
Number, while the invention of the orthopedic fixer, such as Patent No. ZL201120537796.6 of healing can be accelerated again, where it is proposed
A kind of steel wire wrapped up for bone portion, this steel wire in Steel Wire Surface by setting absorbable material protective case to reduce to bone
The damage of bone, reduces the probability of bone ischemic necrosis, but itself still realizes the fixation of osseous part by way of repeatedly winding,
After bone recovery, remove on the brought skin of steel wire operation and muscle bed still very greatly, it is necessary to which the long time is carried out
Recover;
For another example with a kind of entitled patents of invention of kneecap external fixing rack of ZL201420132756.7, wherein it is also proposed one
The fixed mount outside minimally invasive bone is planted, this structure compares similar to the fixed structure of steel nail generally used now,
Its main purpose is to realize that multi-faceted osseous part is fixed, while the wound that thin steel nail is brought to human body is also smaller, can be avoided
It is secondary to take out injury and infection that operation is brought to human body, but in its technical scheme, steel nail plays main supporting role, in order to
Ensure its certain support performance(That is bending strength)So steel nail can not do in itself it is thin as acupuncture needle, so its steel nail
To reducing or than relatively limited for human epidermal and flesh wound degree, and steel nail is in itself because its volume reason and special
Biological property reason, if being made using titanium alloy etc materials, difficulty of processing and cost are all higher, if using one
If a little preferable polymer of biological property make, its intensity can not ensure again, while the main eyelid retractor of the invention is a ring
Shape metallic plate, during installation, the limbs portion that can treat operation brings and blocked, and installing can be relatively difficult, can not also realize under X-ray photograph
Accurate installation;
So in summary, bone external stability utensil of the prior art still has the deficiency of many, such as:Peace
Wound, secondary taking-up operation wound, the cost that dress is brought can not be reduced, installation difficulty is big.
The content of the invention
The technical problem to be solved in the present invention is:Overcome prior art medium-height trestle that patient can not be allowed to realize platform, pacify simultaneously
The technical problems such as dress wound is big, fixed operation complexity can lie low there is provided a kind of patient is postoperative, at the same it is smaller to patient trauma,
The Orthopedic fixing support even without second operation can be reduced.
The technical solution adopted for the present invention to solve the technical problems is:
A kind of horizontal lying-type exter-nal fixer, including fixer in vitro and some longitudinally fixed devices, it is described some longitudinally fixed
Fixed between device by fixer in vitro, the longitudinally fixed device includes housing and some bone face fixation groups being arranged on housing
Part, the fixer in vitro includes eyelid retractor, and the eyelid retractor includes connection strap and is arranged on the retainer ring of connection strap both sides, institute
Being fixed on connection strap for housing array is stated, the wherein a line of the housing is embedded on connection strap, it is flat where the housing
Face is vertical with the axis of connection strap, and support frame is provided with the centre of each adjacent housing, and support frame as described above includes pillar and solid
Fixed board, the fixed plate is that the band for fettering body limb portion is fixed with arc, the fixed plate;
The retainer ring includes fixed ring body, latch assembly and support component, and the support component includes positioning component
And the curved support plate contour with support frame, the middle split axle of the curved support plate and the middle split axle of support frame be coplanar, described
Curved support plate is fixed on the inner headed face of fixed ring body, and the positioning component is included using the center of circle of curved support plate in
Some fixation forks of the heart, annular array, the fixation fork includes drive rod and clamped to pitch, the drive rod and retainer ring sheet
The wall of body is connected through a screw thread, and the fork that clamps is arranged on drive rod towards the side in the curved support plate center of circle, the clamping
Fork is rotated with drive rod and is connected, and the fork that clamps coordinates the fixation realized to body limb portion position body surface, institute with curved support plate
The height for stating support frame is up to 1/8th of fixed ring diameter;
Bone face fixation kit includes being provided with fixed cable between several fixed blocks, the fixed block, described solid
Determine block to be fixed on housing, the carriage being at least made up of two fixed cables is included between the fixed block of the longitudinally fixed device
Frame, the support frame contacts, realized the support of bone with bone face.
As a further innovation of the present invention, the housing is annular.
As a further innovation of the present invention, the fixed block includes a fixing hole for being used to fix fixed cable, institute
State and lock-screw A is provided with the side wall of fixing hole.
As a further innovation of the present invention, the fixed block includes a sliding eye for being used to be socketed with housing, it is described
Lock-screw B is provided with the side wall of sliding eye.
As a further innovation of the present invention, the fixed cable includes elastic threads, the material of the elastic threads has life
Thing compatibility.
As a further innovation of the present invention, the elastic threads is made of aliphatic polyester.
As a further innovation of the present invention, being provided with reinforced metal cable, the reinforced metal in the middle part of the elastic threads
The material of cable has biocompatibility.
As a further innovation of the present invention, the reinforced metal cable is made of titanium alloy.
As a further innovation of the present invention, the housing includes leading between more than two sections of connecting rod, the connecting rod
Contiguous block is crossed to be fixedly connected.
As a further innovation of the present invention, the contiguous block is provided with the fixation of two relative contiguous block axisymmetricals
Be provided with hole, the side wall of the fixing hole on straight line groove, the contiguous block be provided with one through straight-line groove and with it is straight
Lock-screw is provided with the vertical screw hole of wire casing, the screw hole.
The beneficial effects of the invention are as follows:
1. the present invention is compared to traditional external bone fixator, the present invention can allow what body lay low to put in bed,
Rather than traditional external bone fixator, it is necessary to vacantly, can so cause patient in whole recovery process, can feel
To more comfortable, while cooperation of the present invention using housing and elastic threads, by the smaller elastic threads of diameter housing branch
Under support, one or more fixed mesh are formed,, not only can be with because the low elasticity of elastic threads so as to realize the cooperation to bone
Ensure the fixation of bone, while being also possible to prevent excessive compressing of the elastic threads to bone surface, cause osteonecrosis;
The present invention is because its diameter is smaller simultaneously, and during initial surgery, block surface is also smaller, can be compared essence
True operation, and its wound face of the implantation of elastic threads only has aperture size, it is possible to achieve the purpose of Minimally Invasive Surgery;
In addition the present invention can also be realized is fastened to bone, so as to adapt to the situation of comminuted fracture;
The support frame of the present invention is fixed by band with human body, convenient material drawing, is fixed and is removed also more convenient, Er Qiegu
The adjustment for determining power is also more convenient;
The clamping fork of the present invention coordinates with curved support plate, it is possible to achieve automatically centering is fixed, and not only ensure that fixation
Stability, while also eliminate operation when, the trouble adjusted repeatedly.
2. the housing of the present invention is also used, profile is smaller, shielded area also smaller loop configuration, alleviates whole
The weight of fixator, reduces the difficulty of operation, also saves material.
3. the elastic threads of the present invention is fixed using clamped-in style, this structure can improve the convenience of installation, tense simultaneously
Line can also be installed with pretightning force one higher.
4. being fixed between the fixed block and housing of the present invention to slide, the position between fixed block can be more easily adjusted
Put, thus it is convenient according to specific bone condition, the fixed position of elastic threads is adjusted, wide usage has been significantly greatly increased.
5. the elastic threads that the aliphatic polyester material with biocompatibility is made, because its low biocompatible, extensive
After multiple, the internal of human body can be stayed in, the secondary wound degree for removing operation can be reduced, if bone destructiveness itself is not
If big, it can be performed the operation without secondary remove.
6. reinforcing cable that a titanium alloy is made is also added into the tensions cable of the present invention to prevent tension from excessively leading
The situation of the tension thread breakage of cause, directly can extract the reinforcing cable of titanium alloy out after recovery, be partially left at it is internal not yet
There can be too big rejection problems.
7. the housing of the present invention is combined by more than two sections of rod member, in that context it may be convenient to according to specific limbs diameter
To change the quantity of rod member, while easily fixed block set can also be connected on housing.
Housing of the invention is fixedly clamped by simple connector, and operation is more convenient, anti-simultaneously for carbon fiber etc.
The poor material of radial load, such a fixed form can ensure certain fixing intensity.
Brief description of the drawings
The present invention is further described with reference to the accompanying drawings and examples.
Fig. 1 is scheme of installation of the present invention;
Fig. 2 is the schematic diagram of the use state 1 of the present invention;
Fig. 3 is the schematic diagram of the use state 2 of the present invention;
Fig. 4 is the profile of fixed block;
Fig. 5 is the transverse cross-sectional view of contiguous block;
Fig. 6 is housing profile;
Fig. 7 is the structure total figure of eyelid retractor;
Fig. 8 is the structural representation of retainer ring;
Fig. 9 is fixed schematic diagram(The front view of use state 1 and use state 2).
In figure:1st, fixed block;2nd, housing;3rd, fixed cable;4th, bone A;5th, bone B;6th, bone C;7th, fixed plate;8th, prop up
Post;9th, fixed ring body;10th, curved support plate;11st, drive rod;12nd, fork is clamped;13rd, connection strap;14th, limb portion;
1-1, fixing hole;1-2, sliding eye;
2-1, connecting rod;2-2, contiguous block;
2-2-1, fixing hole;2-2-2, straight-line groove.
Embodiment
In conjunction with the accompanying drawings, the present invention is further explained in detail.These accompanying drawings are simplified schematic diagram, only with
Illustration illustrates the basic structure of the present invention, therefore it only shows the composition relevant with the present invention.
Embodiment 1
Outer bone anchor mainly includes some longitudinally fixed devices and the connection branch for each longitudinally fixed device that is connected
Frame, while in the fixer in vitro being provided at both ends with for being fixed with limb part of support, it is external fixed as shown in Fig. 7 ~ 9
Device includes eyelid retractor, eyelid retractor includes setting connection strap 13 and is arranged on the retainer rings of the both sides of connection strap 13, and the array of housing 2 is consolidated
It is scheduled on connection strap 13, the wherein a line of housing 2 is embedded on connection strap 13, the place plane of housing 2 and the axle of connection strap 13
Line is vertical, and support frame is provided with the centre of housing 2, and support frame includes pillar 8 and fixed plate, and fixed plate is arc, fixed plate
On be fixed with band for fettering body limb portion 14;
Retainer ring includes fixed ring body 9, latch assembly and support component, support component include positioning component and with branch
The contour curved support plate 10 of support, the middle split axle of curved support plate 10 and the middle split axle of support frame are coplanar, curved support plate 10
On the inner headed face for being fixed on fixed ring body 9, positioning component is included centered on the center of circle of curved support plate 10, annular array row
Some fixation forks of cloth, fixation fork includes folder drive rod 11 and clamps fork 12, and folder drive rod 11 and the wall of fixed ring body 9 lead to
Threaded connection is crossed, fork 12 is clamped and is arranged on side of the folder drive rod 11 towards the center of circle of curved support plate 10, fork 12 is clamped and is driven with folder
Lever 11 rotates connection, clamps fork 12 and coordinates the fixation realized to the position body surface of body limb portion 14 with curved support plate 10;
As shown in figure 1, the longitudinally fixed device in this product mainly includes setting between some fixed blocks 1, the fixed block 1
Have fixed cable 3, the fixed block is fixed on housing 2, between the fixed cable 3 by fixed block determining on housing 2
Position, so as to surround support frame;
Wherein fixed block(As shown in Figure 4)It is used for sliding eye 1-2 that 1 set of fixed block is connected on housing 2 including one,
Lock-screw B is provided with sliding eye 1-2 inwall, while one is additionally provided with fixed block is used for through fixed cable 3
Fixing hole 1-1, same is provided with a lock-screw A for being used to fix fixed cable 3 on fixing hole 1-1 side wall;
Wherein fixed cable includes the elastic threads that the aliphatic polyester material with biocompatibility is made, in elastic threads
Portion, which is provided with, is similarly the reinforced metal cable that the titanium alloy of biocompatible materials is made;
The elastic threads that aliphatic polyester material with biocompatibility is made, because its low biocompatible, is recovering
Afterwards, the internal of human body can be stayed in, the secondary wound degree for removing operation can be reduced, if bone destructiveness itself is little
If, it can be performed the operation without secondary remove;
The reinforcing cable that titanium alloy is made, after recovery can be with to tense the situation of thread breakage caused by preventing from tensing excessively
Directly the reinforcing cable of titanium alloy is extracted out, it is also not in vivo too big rejection problems to be partially left at;
In addition, as shown in Figure 5, Figure 6, connecting rod 2-1 that housing 2 is made up of the carbon fibre materials of two arcs, pass through even
Meet block 2-2 to be formed by connecting, the connecting rod of carbon fibre materials has higher rigidity, deformation can be effectively prevented, while quality
Lighter, it is in center pair that can reduce and be provided with two relative to contiguous block 2-2 centers on the body load of patient, contiguous block 2-2
The fixing hole 2-2-1 of title, straight-line groove 2-2-2 is additionally provided with the side wall of centre bore, by the way that connecting rod 2-1 end is inserted
Into fixing hole 2-2-1, the lock-screw vertical with straight-line groove 2-2-2 is tightened so that connecting rod 2-1 is clamped to fixing hole 2-
In 2-1, realize and fix.
When fixing, as shown in Fig. 2 being single bone in Fig. 2(Bone A4)Fixation schematic diagram, first as the case may be,
Three pairs of fixed blocks 1 are socketed on housing 2, then by specific profile of the fixed block according to bone, fixed on housing 2, then will
Fixed cable 3 is penetrated into subcutaneously, until the opposite side extraction from limb portion 14, then the two ends of fixed cable 3 is tensed and led to
Lock-screw A is crossed, fixed cable 3 is fixed, the fixed cable on second group of fixed block is then set, until by bone beam
It is tied in the Main subrack that fixed cable shown in Fig. 2 is surrounded, realizes the fixation of bone.
Embodiment 2
As shown in figure 3, the use schematic diagram for the present invention when carrying out many skeletal fixations;
Outer bone anchor mainly includes some longitudinally fixed devices and the connection branch for each longitudinally fixed device that is connected
Frame, while in the fixer in vitro being provided at both ends with for being fixed with limb part of support, it is external fixed as shown in Fig. 7 ~ 9
Device includes eyelid retractor, eyelid retractor includes setting connection strap 13 and is arranged on the retainer rings of the both sides of connection strap 13, and the array of housing 2 is consolidated
It is scheduled on connection strap 13, the wherein a line of housing 2 is embedded on connection strap 13, the place plane of housing 2 and the axle of connection strap 13
Line is vertical, and support frame is provided with the centre of housing 2, and support frame includes pillar 8 and fixed plate, and fixed plate is arc, fixed plate
On be fixed with band for fettering body limb portion 14;
Retainer ring includes fixed ring body 9, latch assembly and support component, support component include positioning component and with branch
The contour curved support plate 10 of support, the middle split axle of curved support plate 10 and the middle split axle of support frame are coplanar, curved support plate 10
On the inner headed face for being fixed on fixed ring body 9, positioning component is included centered on the center of circle of curved support plate 10, annular array row
Some fixation forks of cloth, fixation fork includes folder drive rod 11 and clamps fork 12, and folder drive rod 11 and the wall of fixed ring body 9 lead to
Threaded connection is crossed, fork 12 is clamped and is arranged on side of the folder drive rod 11 towards the center of circle of curved support plate 10, fork 12 is clamped and is driven with folder
Lever 11 rotates connection, clamps fork 12 and coordinates the fixation realized to the position body surface of body limb portion 14 with curved support plate 10;
Specifically as shown in figure 1, the longitudinally fixed device in this product mainly includes between some fixed blocks 1, the fixed block 1
Fixed cable 3 is provided with, the fixed block is fixed on housing 2, between the fixed cable 3 by fixed block on housing 2
Positioning, so as to surround support frame;
Wherein fixed block(As shown in Figure 4)It is used for sliding eye 1-2 that 1 set of fixed block is connected on housing 2 including one,
Lock-screw B is provided with sliding eye 1-2 inwall, while one is additionally provided with fixed block is used for through fixed cable 3
Fixing hole 1-1, same is provided with a lock-screw A for being used to fix fixed cable 3 on fixing hole 1-1 side wall;
Wherein fixed cable includes the elastic threads that the aliphatic polyester material with biocompatibility is made, in elastic threads
Portion, which is provided with, is similarly the reinforced metal line that the titanium alloy of biocompatible materials is made;
As shown in Figure 5, Figure 6, housing 2 is made up of the carbon fibre materials of two arcs connecting rod 2-1, by contiguous block 2-
2 are formed by connecting, and the connecting rod of carbon fibre materials has higher rigidity, can effectively prevent deformation, while quality is also lighter, can
Loaded with the body for reducing patient, two are provided with relative to the fixation that contiguous block 2-2 centers are centrosymmetric on contiguous block 2-2
Hole 2-2-1, straight-line groove 2-2-2 is additionally provided with the side wall of centre bore, by the way that connecting rod 2-1 end is inserted into fixing hole
In 2-2-1, the lock-screw vertical with straight-line groove 2-2-2 is tightened so that connecting rod 2-1 is clamped in fixing hole 2-2-1, it is real
Now fix;
The shin bone on shank is represented with bone B5 in Fig. 3, the fibula on shank is simulated with bone C6, it is solid by two pairs first
Determine block 1 and two fixed cables, realize bone C5 fixation, while being consolidated by two further pairs fixed block 1 and other two
Alignment cable, realizes bone C6 fixation, can finally be realized by one to two pairs of fixed blocks 1 and fixed cable between two bones
Relative positioning.
Embodiment 3
Fixed cable can be carried out intersection company by the present invention between the fixed block of different longitudinally fixed devices simultaneously
Connect, what is be for example fixed has 3 longitudinally fixed devices, including longitudinally fixed device A, longitudinally fixed device B, longitudinally fixed device C, each
Longitudinally fixed device includes 4 fixed blocks, wherein longitudinally fixed device A four fixed blocks are respectively labeled as fixed block AI, fixed block
AII, fixed block AIII, fixed block AIV, in cross arrangement, the fixed block AI on longitudinally fixed device A can be with longitudinally fixed device
Connected between B fixed block BII by fixed cable, while on the fixed block AII and longitudinally fixed device C on longitudinally fixed device A
Fixed block CIV connected by fixed cable, two fixed cables contacted with bone surface composition one support frame.
Using the above-mentioned desirable embodiment according to the present invention as enlightenment, by above-mentioned description, relevant staff is complete
Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention
Property scope is not limited to the content on specification, it is necessary to its technical scope is determined according to right.