CN104398295A

CN104398295A - Bone malformation correction or fracture reduction and fixation device and method for processing same

Info

Publication number: CN104398295A
Application number: CN201410810373.5A
Authority: CN
Inventors: 乔锋; 郝定均
Original assignee: Individual
Current assignee: Individual
Priority date: 2013-12-05
Filing date: 2013-12-05
Publication date: 2015-03-11
Anticipated expiration: 2033-12-05
Also published as: CN104398295B

Abstract

The invention discloses a bone malformation correction or fracture reduction and fixation device and a method for processing the same. The bone malformation correction or fracture reduction and fixation device comprises external fixation brackets or one and more external fixation plates, wherein the external fixation brackets or the external fixation plates are used for fixing fixation needles inserted into the bone tissues; at least one end of each fixation needle is exposed outside the skin, and the exposed end of the fixation needle needs to be fixed; the external fixation brackets consist of a first fixation bracket and a second fixation bracket; the external fixation plates are used for fixing all the fixation needles inserted into the bone tissues needing to be fixed. The method for processing the bone malformation correction or fracture reduction and fixation device comprises the following steps of: (1) collecting the information of an image before reducing the bone; (2) reducing the bone virtually by using a computer; (3) designing the structure of the bone malformation correction or fracture reduction and fixation device; and (4) processing the bone malformation correction or fracture reduction and fixation device. The bone malformation correction or fracture reduction and fixation device provided by the invention has a function of automatically reducing the bone, is reasonable in structure, has a good bone fixing effect and can be used for effectively overcoming the defects of difficult bone malformation correction or fracture reduction, complex operation on malformed or fractured bone and excessive dependence on the clinical experience of a doctor of the existing bone malformation correction or fracture reduction and fixation mode.

Description

A kind of orthopaedics malformation correction and fixator for fracture reduction and processing method thereof

Patent application of the present invention is 2013 applyings date December 05 day, application number 201310654003.2, and invention and created name is the divisional application of the application for a patent for invention of " a kind of orthopaedics malformation correction and fixator for fracture reduction and processing method " thereof.

Technical field

The invention belongs to Osteological, resetting technique field, especially relate to a kind of orthopaedics malformation correction and fixator for fracture reduction and processing method thereof.

Background technology

Reset is that in fracture or deformity treatment is basic, and be also simultaneously a very important operation, its effect directly affects surgical outcome and post-operative recovery.Thus fracture or deformity operative treatment in, require antecedence reposition, the mode of internal fixtion or extenal fixation is taked to be fixed after reset is satisfied, the effect resetted will directly have influence on the effect of operation, although open reduction is relatively easy, but it is large to there is wound, hemorrhage many, easy infection, require high to skin, periosteum easily causes the defects such as nonunion and deficiency after destroying, and closed reduction mainly relies on the clinical experience of doctor, and need X-ray machine to have an X-rayed the alignment situation confirming bone, there is very large uncertainty, sometimes reset difficulty, doctor operates under needing to be directly exposed to X-ray, the health of patient and doctor is made to be subject to grievous injury.

In addition, after reset is satisfied, in order to ensure that fracture end is stablized, no matter internal fixtion or extenal fixation, all requirement must have enough intensity, and intensity is too large, fracture site does not just have the stress stimulation needed for union of fracture, so easily there is nonunion or delayed union, even if finally reach healing, the intensity of fracture is also low than normal sclerotin, after removal is fixing, and easy second fracture.

In the surgical procedure of malformation correction, more rely on the clinical experience of doctor, although can tentatively determine orthopedic scope by preoperative planning, the degree of correcting, but is mostly decided by the judgement of doctor in operation, there is judgment bias or other uncertain factor unavoidably, and inside-fixture often needs bending repeatedly, not only waste time and energy, also can reduce the intensity of internal fixation material, in addition when deformity is serious, disposable rectification easy damaged is neural, blood vessel, skin etc., Repeated Operation of can only taking in the conventional way, so not only increase the misery of patient, increase medical expense, increase operation risk, increase treatment cycle, and affect therapeutic effect.

To sum up, the existing reduction of the fracture or malformation correction mode exist all to some extent resetting orthopedic difficulty, operation technique loaded down with trivial details, undue dependence doctor clinical experience, firmly affect the defects such as union of fracture and deficiency because fixing.

Summary of the invention

Technical problem to be solved by this invention is for above-mentioned deficiency of the prior art, provide a kind of rational in infrastructure, reset precisely and the good orthopaedics malformation correction of processing and fabricating and simple installation, result of use and fixator for fracture reduction.

For solving the problems of the technologies described above, the technical solution used in the present invention is: a kind of orthopaedics malformation correction and fixator for fracture reduction, it is characterized in that: comprise and need fix to inserting the external fixer or outer stationary plates that the locking pin in osseous tissue is fixed, described locking pin at least one end exposes that skin is outer and it exposes extracutaneous end for needing stiff end;

Described external fixer comprises inserting the first fixing bracket body that is fixed of locking pin that need fix osseous tissue one end and to the second fixing bracket body inserting the locking pin that need fix the osseous tissue other end and be fixed, being connected as one between described first fixing bracket body and the second fixing bracket body by support body connector; Described first fixing bracket body and the second fixing bracket body all have for the described fixing hole needing stiff end fixing;

Described outer stationary plates for described need to be fixed in osseous tissue the fixing head that is fixed of all locking pins of inserting, described outer stationary plates comprises one or more fixed plate, and multiple described fixed plate is connected as one by plate connector or installing rack; Described fixed plate is one block of overall sheet material or by the assembled pin-connected panel fixing head of multiple security strip, described fixed plate has for the described fixing hole needing stiff end fixing.

Above-mentioned a kind of orthopaedics malformation correction and fixator for fracture reduction, is characterized in that: the quantity of described support body connector and described plate connector is multiple; Described support body connector and described plate connector are connecting rod, described first fixing bracket body, the second fixing bracket body and fixed plate all have the installing hole passed for described connecting rod, described first fixing bracket body, the second fixing bracket body and fixed plate are all fixed on described connecting rod; Multiple described fixed plate is all connected by removable connector with between described installing rack, and multiple described fixed plate is all fixed on described installing rack by described removable connector; The shape of described first fixing bracket body and the second fixing bracket body is annular, ellipse, arc or polygon; Described fixed plate is dull and stereotyped or arc.

Above-mentioned a kind of orthopaedics malformation correction and fixator for fracture reduction, is characterized in that: multiple described support body connector is parallel laying, and multiple described plate connector is parallel laying; Described installing rack comprises connector one and is the connector two of parallel laying with connector one, connected as one by many described connecting rods in parallel laying between described connector one and connector two, described connector one and connector two all have the installing hole that the described connecting rod of multiple confession passes.

Above-mentioned a kind of orthopaedics malformation correction and fixator for fracture reduction, is characterized in that: the material of described first fixing bracket body, the second fixing bracket body and fixed plate is rigid plastics, resin material or metal material; Multiple described security strip in described pin-connected panel fixing head is connected as one by described plate connector or is connected as one by lath connector; Multiple described connecting rod in multiple described support body connector, multiple described plate connectors and described installing rack is provided with stress detection device.

Above-mentioned a kind of orthopaedics malformation correction and fixator for fracture reduction, is characterized in that: the structure of described fixing hole and size all match with the described structure of stiff end and the size of needing; Described need fix osseous tissue be occur fracture need reset or because of exist osseous tissue that deformity need carry out correcting or with occur fracture or exist the adjacent osseous tissue of lopsided osseous tissue; Described first fixing bracket body and the second fixing bracket body assembled by assembled section of multiple support body.

Above-mentioned a kind of orthopaedics malformation correction and fixator for fracture reduction, it is characterized in that: described external fixer also comprises the 3rd fixing bracket body between the first fixing bracket body and the second fixing bracket body, described 3rd fixing bracket body is connected as one by described support body connector and the first fixing bracket body and the second fixing bracket body, described 3rd fixing bracket body has for the described fixing hole needing stiff end fixing.

Simultaneously, the invention also discloses a kind of method step simple, realize convenient, process velocity is fast and can carry out customizing processing, the orthopaedics malformation correction of good fixing effect of institute's machine-shaping fixture and fixator for fracture reduction processing method according to the concrete fixed demand of each patient, it is characterized in that the method comprises the following steps:

Image information collecting before step one, reset: adopt Medical CT or medical MRI to obtain the image information that osseous tissue fixed by the need inserting locking pin;

Step 2, virtual reset: adopt image processing software process needing the image information of fixing osseous tissue described in step one, and obtain described need fix osseous tissue reset after 3-D graphic information;

Step 3, fixture structure design, and process is as follows:

Step 301, fixture type selecting: fix the body part residing for osseous tissue according to described need, select needing the type of fixer for machining; The described type of fixer for machining that needs is external fixer or outer stationary plates;

Step 302, fixture size are determined: the Body Profile data fixing body part residing for osseous tissue according to the described need of current patents, determine needing the size of fixer for machining selected in step 301;

Step 303, fixing hole machined parameters are determined: according to needing the quantity of stiff end described in the information of 3-D graphic described in step 2 and respectively needing the shape of stiff end, size and axial centerline, fixer for machining need the shape of quantity and each fixing hole processing fixing hole, size and axial centerline determine to described need;

Step 4, fixture are processed: according to the shape of the type of fixture designed in step 3, size and each fixing hole, size and axial centerline, process the described fixer for machining that needs.

Said method, it is characterized in that: before carrying out virtual reset in step 2, first adopt Medical CT or medical MRI obtain patient with it with the image information of osseous tissue need fixing osseous tissue symmetry, adopt image processing software more afterwards and with reference to obtain with the image information of osseous tissue need fixing osseous tissue symmetry, process needing the image information of fixing osseous tissue described in step one; When being fixed type of device selection in step 301, when the described need body part fixed residing for osseous tissue is body trunk, the described type of fixer for machining that needs is outer stationary plates; When the described need body part fixed residing for osseous tissue is extremity, the described type of fixer for machining that needs is external fixer or outer stationary plates; Be fixed plant bulk in step 302 when determining, fix the Body Profile data of body part residing for osseous tissue according to the need of current patents, and need the type of fixer for machining selected in integrating step 301, the described size of fixer for machining that needs is determined.

Said method, is characterized in that: described first fixing bracket body is connected by support body connector with between the second fixing bracket body; The quantity of described support body connector and described plate connector is multiple; Described support body connector and described plate connector are connecting rod, described first fixing bracket body, the second fixing bracket body and fixed plate all have the installing hole passed for described connecting rod, described first fixing bracket body, the second fixing bracket body and fixed plate are all fixed on described connecting rod by securing member; Multiple described fixed plate is all connected by removable connector with between described installing rack, and multiple described fixed plate is all fixed on described installing rack by described removable connector; Described installing rack comprises connector one and is the connector two of parallel laying with connector one, connected as one by many described connecting rods in parallel laying between described connector one and connector two, described connector one and connector two all have the installing hole that the described connecting rod of multiple confession passes;

When described need fixer for machining to be outer stationary plates time, after needing fixer for machining to need the shape of quantity and each fixing hole processing fixing hole, size and axial centerline determine described in step 3, first the described shape of the quantity of fixed plate in fixer for machining and each fixed plate, size and the installation position of needing is determined; Afterwards, the quantity of the described plate fixture for being connected and fixed plate and the installation position of each plate fixture are determined, or determine the structure of the described installing rack for being connected and fixed plate, all plate fixtures and the multiple described connecting rod in described installing rack are all consistent with the line of force direction need fixing osseous tissue; Afterwards, then on connector one in each fixed plate or described installing rack and connector two open each installing hole installation position determine;

When described need on fixer for machining for external fixer time, after needing fixer for machining to need the shape of quantity and each fixing hole processing fixing hole, size and axial centerline determine described in step 3, determine the installation position of the support body connector quantity for connecting the first fixing bracket body and the second fixing bracket body and each support body connector, all support body connectors are all consistent with the line of force direction need fixing osseous tissue; Afterwards, then on the first fixing bracket body and the second fixing bracket body open each installing hole installation position determine.

Said method, it is characterized in that: in step 4, added to fixed plate man-hour, rapidform machine or 3D printer is adopted to process, or first adopt rig to process fixing hole on the sheet material machined in advance, adopt cutting equipment to cut the sheet material with fixing hole again, obtain the fixed plate of machine-shaping;

Described first fixing bracket body and the second fixing bracket body assembled by assembled section of multiple support body; In step 4, added to the first fixing bracket body and the second fixing bracket body man-hour, rapidform machine or 3D printer is adopted to process, or first the first fixing bracket body and the second fixing bracket body support body used are processed, described rig is adopted to process fixing hole again on the support body machined, afterwards the support body machined is divided into assembled section of multiple described support body, just obtains the first fixing bracket body and second fixing bracket body of machine-shaping.

The present invention compared with prior art has the following advantages:

1, adopt fixture structure reasonable in design and processing and fabricating and install easy to operate, input cost is lower, fixed, and operation technique is simple.

2, processing method is simple, reasonable in design and realization facilitates, processing effect is good, machining accuracy is high, the good fixing effect of the fixture of machine-shaping, can according to the concrete fixed demand of each patient, the fixture of the suitable each patient of processing, thus the customization demand of each patient can be met, after extracting patients with fractures's graphical information by Medical CT or medical MRI, PaintShop is utilized to complete the virtual reset of fracture on computers, afterwards according to the graph data design fixture after reset, by the fixture processed to inserting after the locking pin need fixing osseous tissue is fixed, there is fracture site just to automatically reset.That is, the present invention can according to the position of patient's bodily form, fracture or deformity, type, and personalized customization is applicable to the fixture of patient's own situation.

3, carry out virtual reset, orthopedic by computer software, avoid relying on the uncertain factors such as the experience of medical worker and technology, make to reset more accurate.

4, the connecting rod of fixture be parallel to each other and with the physiologic axis line parallel of bone, so fracture can only be of value to the movement of the physiology axis along bone of union of fracture, and the displacements such as side, angulation, rotation can not be there is.Union of fracture is more suitable in order to make the stress of fracture site, the support body connector adopted and the central axis of plate connector are all parallel to each other with the line of force need fixing osseous tissue, thus can easy adjustment broken ends of fractured bone stress, according to the feature of union of fracture different times, make the stress state in each period all with current knitting state fit.

5, traditional therapy, no matter internal fixtion or extenal fixation mode, it is fixing enough firm all to require, but fix sacrifices consisting of an ox, a sheep and a pig leaning on, stress shielding must be caused, easily cause nonunion or delayed union, even if union of fracture, after removal is fixing, fracture intensity is low, easily cause secondary to fracture, the present invention not only has fixing more firm advantage, and can not cause stress shielding, on the contrary can according to the needs of union of fracture different times, adjust stress intensity at any time, thus make union of fracture faster, remove after fixing and not easily occur that secondary is fractured.

6, by computer software design, because of not by the restriction of operating time, so can be calm to have fracture or deformity at three dimensions judges more clearly, thus good reset and orthopedic effect is obtained.

7, finite element analysis is passed through, design is optimized to fixture, gain in strength at stressed larger position, materials are reduced at stressed less position, make fixing more firm, more reasonable structure, install that easier, material requested is less, weight is lighter, after being used in patient body, minimal invasive treatment is affected minimum.

8, disperses force between traditional external fixer each locking pin, sometimes interfere with each other and even offset, its constant intensity is declined, locking pin loosens, this fixture respectively locking pin that is fracture is far away, near-end connects for overall, make each locking pin strength complementary, fixing more firm, be not easy loosening, the infection that occur locking pin.

9, processing method is advanced, mismachining tolerance≤0.1mm, and connected mode is finished product mechanical connection, eliminates the replacement and fixation effect deviation because anthropic factor causes, and ensures reset effect.

10, obviously shorten operating time, preoperatively process fixture, design installation steps, only need simply to be fastenedly connected fixture in art and can complete replacement and fixation.

11, repeatedly have an X-rayed confirmation fracture reduction to line situation without the need to x-ray in art, minimizing medical worker and patient injure by x-ray radiation.

12, traditional method may need to carry out bending repeatedly to inside-fixture, can reduce the intensity of material like this, easily occur fragmentation of internal fixation objects in patients after operation, the preoperative one-shot forming of this fixture, without the need to bending, so can not reduce intensity.

13, replacement and fixation once completes, and traditional method first resets and fixes afterwards, and after the fixture processed connects by the present invention, fracture automatically resets, and can complete fixing after being fastenedly connected bar.

14, the experience that the reduction of the fracture is fixed, malformation correction does not rely on doctor, remote assistance can be realized, solve a difficult problem for China's some areas medical resource scarcity, the image data of this area patient is obtained by modes such as mails, after Strange Place Design processing, fixture is delivered to patient assessment hospital, simple installation gets final product completed treatment, solve a social difficult problem for Expensive and hard to visit doctors, really realize resource-sharing.

15, the patient serious to deformity, disposable rectification easy damaged is neural, blood vessel, skin etc., Repeated Operation of can only taking in the conventional way, so not only increase the misery of patient, increase medical expense, increase the risk of operation, increase the cycle for the treatment of, and affect therapeutic effect, the present invention is when designing, different installing holes can be designed, according to the different installing hole of connection, obtain in various degree orthopedic, first be remedied to a certain degree, treat skin, blood vessel, after nerve waits and adapts to, connect other installing hole again, obtain and correct greatly, until correct completely, Repeated Operation can be avoided.

16, wound is little, easy infection, not easily generation secondary are fractured, do not needed second operation to get internal fixtion soon, not in union of fracture.

17, result of use is good and practical value is high, compared with the fixture of the existing reduction of the fracture and orthopaedics malformation correction and corresponding fixing means, fixture of the present invention has the following advantages: the first, the high and good fixing effect of aligning accuracy: traditional fixing means mainly relies on the experience of doctor, rely on X-ray, but reset still has very large uncertainty; And the fixing means of fixture of the present invention and correspondence has the accurate feature of para-position, do not rely on the experience of doctor completely, without the need to radioscopy yet; The second, processing and installing is laid easy, use simple to operate, only the fixture processed need be connected with locking pin, just can reach reset and fixed effect, and reset and fixation procedure once completes; Three, when common fixation methods is fixed, the stress intensity of fracture site cannot change; The present invention adopts the stress intensity of support body connector and the easy adjustment fracture site of plate connector energy, makes it be applicable to the different times of union of fracture all the time, thus promotes the healing of fracture; Four, there is fixing too firm or fixing illusive defect in traditional method, causes stress shielding easily to cause nonunion when fixing too firm, and when fixing not firm, fracture may be shifted; Fixture of the present invention is not only fixed, does not worry stress shielding again, retains unique activity direction and is of value to union of fracture.Meanwhile, fixture of the present invention has the experience that the reduction of the fracture accurately, does not rely on doctor; The easy change of broken ends of fractured bone stress energy and control; Reset and fix and once complete; Safety, wound are little, patient suffering is few; Simple to operate, only need tighten the screws; Omnidistance without the need to perspective, but it is good to reset, and reduces the injury of doctor and patient's raying; Fixed, but do not worry stress shielding; The advantages such as life can be recovered soon after fixing.

As shown in the above, compared with the fixture of the existing reduction of the fracture and orthopaedics malformation correction and corresponding fixing means, fixture of the present invention has obvious advantage, due to fracture or deformity operative treatment in, require antecedence reposition, the mode of internal fixtion or extenal fixation is taked to fix after reset is satisfied, thus the effect resetted will directly have influence on the effect of operation, although reset relatively easily by the mode of cutting skin, but wound is large, hemorrhage many, easy infection, require high to skin, periosteum easily causes nonunion after destroying, and closed reduction mainly relies on the clinical experience of doctor, and need X-ray machine to have an X-rayed the alignment situation confirming bone, there is very large uncertainty, sometimes reset difficulty, doctor operates under needing to be directly exposed to X-ray, the health of patient and doctor is made to be subject to grievous injury, and, after reset is satisfied, in order to ensure that fracture end is stablized, be that internal fixtion or extenal fixation mode all require there is enough intensity, and the words that intensity is too large, fracture site does not just have the stress stimulation needed for union of fracture, so easily there is nonunion, even if finally reach healing, the intensity of fracture is also low than normal sclerotin, after removal is fixing, easy second fracture.And adopt fixture of the present invention to be first carry out virtual reset on computers, again according to the image information design fixture after virtual reset, after afterwards the fixture processed being connected with the insertion locking pin need fixed in osseous tissue, osseous tissue just can reach good reset automatically, and can support body connector or plate connector be passed through, control the stress intensity of fracture site or the orthopedic osseous tissue of need, efficiently solve the difficult problems such as reduction of the fracture difficulty, nonunion.

To sum up, fixture processing method disclosed in this invention mainly comprises the following steps: one, obtained with the fracture of locking pin or the original image information of deformity by equipment such as CT, MRI, sets up the threedimensional model of fracture or deformity; Two, utilize computer software to carry out virtual reset, orthopedic, obtain the spatial position data of locking pin after resetting orthopedic; Three, according to the position of locking pin after resetting orthopedic, computer software is utilized to carry out the design of individuation fixture; Four, fixture processing.Thus, the present invention obtains by CT or MRI the osseous tissue view data having inserted locking pin, utilize computer software virtual complete fracture reset, deformity rectification, relative tertiary location now between locking pin also there occurs change, according to the locus resetted and orthopedic rear locking pin is new, design fixture fixes these locking pins, after the fixture designed is processed, after the fixture processed is connected with locking pin, fracture automatically resets, and is fastenedly connected rear fracture and namely obtains fixing.As shown in the above, the present invention has the following advantages: the first, resetted by computer software, resets accurately; The second, fixed form meets biomechanics requirement most, both firm, does not worry stress shielding again, so patient is uncomfortable without local pain, and union of fracture is fast; Three, require low to soft tissues such as skins, greatly shorten preoperative preparation time, so patient suffering is few, be especially applicable to compound fracture, or when merging Other diseases; Four, in art without the need to x-ray fluoroscopy, reduce patient and medical worker and suffer X-ray radiation injury; Five, do not rely on doctors experience, preoperative nail of putting only needs doctor to grasp orthopaedics basic training, installs simple, only need tighten related fittings in art; Six, easy and simple to handle, without the need to considering fracture reduction situation in art, so greatly shorten operating time; Seven, realize the remote assistance consultation of doctors, solve the problems such as medical condition from far-off regions is poor, the difficulty and high cost of getting medical; Eight, the hospital stays is short, not even with being in hospital.

18, applied widely, not only may be used for the reduction of the fracture and fix, also may be used for orthopaedics malformation correction, also can be used for treating bone does not connect.

In sum, structure of the present invention is simple, reasonable in design and realization is convenient, the good fixing effect of institute's machine-shaping fixture, can effectively solve the existing reduction of the fracture or malformation correction mode exist all to some extent resetting orthopedic difficulty, operation technique loaded down with trivial details, undue dependence doctor clinical experience, fixingly strongly affect the defects such as union of fracture and deficiency, the fixture adopted has the experience that the reduction of the fracture accurately, does not rely on doctor; Broken ends of fractured bone stress energy arbitrarily changes and controls; Reset and fix and once complete; Safety, wound are little, patient suffering is few; Simple to operate, only need tighten the screws; Omnidistance without the need to perspective, but it is good to reset, and reduces the injury of doctor and patient's raying; Fixed, but do not worry stress shielding; The advantages such as life can be recovered soon after fixing, compared with the fixture of the existing reduction of the fracture and orthopaedics malformation correction and corresponding fixing means, there is obvious advantage.

Below by drawings and Examples, technical scheme of the present invention is described in further detail.

Accompanying drawing explanation

Fig. 1 is the processing method FB(flow block) of orthopaedics malformation correction of the present invention and fixator for fracture reduction.

Fig. 2 is the structural representation of external fixer in the embodiment of the present invention 1.

Fig. 3 is the perspective view of external fixer in the embodiment of the present invention 1.

Fig. 4 is the superstructure schematic diagram of external fixer in the embodiment of the present invention 1.

Fig. 5 is the structural representation of external fixer in the embodiment of the present invention 4.

Fig. 6 is the structural representation of outer stationary plates in the embodiment of the present invention 5.

Fig. 7 is the using state reference diagram of outer stationary plates in the embodiment of the present invention 5.

Fig. 8 is the superstructure schematic diagram of outer stationary plates in the embodiment of the present invention 5.

Fig. 9 is the using state reference diagram of outer stationary plates in the embodiment of the present invention 5.

Figure 10 is the structural representation of outer stationary plates in the embodiment of the present invention 6.

Figure 11 is the structural representation of outer stationary plates in the embodiment of the present invention 8.

Figure 12 is the structural representation of outer stationary plates in the embodiment of the present invention 9.

Figure 13 is the structural representation of outer stationary plates in the embodiment of the present invention 10.

Figure 14 is the structural representation of outer stationary plates in the embodiment of the present invention 11.

Figure 15 is the structural representation of outer stationary plates in the embodiment of the present invention 12.

Figure 16 is the structural representation of outer stationary plates in the embodiment of the present invention 13.

Description of reference numerals:

1-locking pin; 1-1-fixed plate; 1-11-security strip;

2-1-the first fixing bracket body; 2-2-the second fixing bracket body; 3-fixing hole;

4-1-screw-thread steel; 4-2-clamp nut; 4-3-installing hole;

5-1-connector one; 5-2-connector two; 6-reinforce cuff;

7-calf shank.

Detailed description of the invention

Embodiment 1

A kind of orthopaedics malformation correction as shown in Figure 2, Figure 3 and Figure 4 and fixator for fracture reduction, comprise and need fix to inserting the external fixer that the locking pin 1 in osseous tissue is fixed, described locking pin 1 at least one end exposes that skin is outer and it exposes extracutaneous end for needing stiff end.Described need fix osseous tissue be occur fracture need reset or because of exist osseous tissue that deformity need carry out correcting or with occur fracture or exist the adjacent osseous tissue of lopsided osseous tissue.

Described external fixer is comprised inserting the first fixing bracket body 2-1 that is fixed of locking pin 1 that need fix osseous tissue one end and to the second fixing bracket body 2-2 inserting the locking pin 1 that need fix the osseous tissue other end and be fixed, being connected as one between described first fixing bracket body 2-1 and the second fixing bracket body 2-2 by support body connector.Described first fixing bracket body 2-1 and the second fixing bracket body 2-2 all has for the described fixing hole 3 needing stiff end fixing.

In the present embodiment, the shape of described first fixing bracket body 2-1 and the second fixing bracket body 2-2 is annular.

Actually add man-hour, described first fixing bracket body 2-1 and the second fixing bracket body 2-2 also can be the support body of other shape, as shapes such as oval, arc or polygons.

For increasing constant intensity, playing effective fixed effect, also needing to adopt reinforcing cuff 6 to be sleeved on the first fixing bracket body 2-1 and/or the second fixing bracket body 2-2, to reinforce the first fixing bracket body 2-1 and the second fixing bracket body 2-2.During actual use, the girth member of other type also can be adopted to reinforce the first fixing bracket body 2-1 and/or the second fixing bracket body 2-2.

In the present embodiment, described first fixing bracket body 2-1 is connected by support body connector with between the second fixing bracket body 2-2.

Actually add man-hour, described first fixing bracket body 2-1 and the second fixing bracket body 2-2 also can be integrated by processing and fabricating.

In the present embodiment, the line of force that osseous tissue fixed by central axis and the described need of described support body connector is parallel laying.

In the present embodiment, the quantity of described support body connector is multiple, and multiple described support body connector is along the circumferential direction laid.Multiple described support body connector is provided with stress detection device.

During actual use, can according to specific needs, the quantity of described support body connector and the axial centerline of each support body connector be adjusted accordingly.In the present embodiment, described support body connector is connecting rod, described first fixing bracket body 2-1 and the second fixing bracket body 2-2 all has the installing hole 4-3 passed for described connecting rod, described first fixing bracket body 2-1 and the second fixing bracket body 2-2 is all fixed on described connecting rod.During actual use, described support body connector also can adopt the connector of other type, only the first fixing bracket body 2-1 and the second fixing bracket body 2-2 need be connected as one.In the present embodiment, described first fixing bracket body 2-1 and the second fixing bracket body 2-2 is all fixed on described connecting rod by securing member.

In the present embodiment, the described connecting rod in multiple described support body connector is all in parallel laying, and the cloth set direction of multiple described support body connector is all consistent with the line of force direction need fixing osseous tissue.And the cross-sectional structure of connecting rod is all identical with size described in multiple described support body connector.

In the present embodiment, described connecting rod is screw-thread steel 4-1, and described securing member is clamp nut 4-2.Thus, processing and fabricating and use operate all very easy, and can easyly be adjusted accordingly the relative position between the first fixing bracket body 2-1 and the second fixing bracket body 2-2 by clamp nut 4-2.

Actually add man-hour, described connecting rod also can adopt the connecting rod of other type, as upper and lower two ends are provided with externally threaded connecting rod.

In the present embodiment, on described first fixing bracket body 2-1 and the second fixing bracket body 2-2 open installing hole 4-3 quantity be multiple.Further, described first fixing bracket body 2-1 with on the second fixing bracket body 2-2 to open the structure of installing hole 4-3 all identical with size.

The structure of described fixing hole 3 and size all match with the described structure of stiff end and the size of needing, and the structure of described fixing hole 3 is consistent with the structure of locking pin 1 tail end.In the present embodiment, described fixing hole 3 is circular hole.Actually add man-hour, described fixing hole 3 also can be the hole of other structure.

Described locking pin 1 is existing external fixer locking pin, and the shape of described locking pin 1 is column pin, screw needle, Fructus Canarii albi pin etc.

In the present embodiment, described reinforcing cuff 6 have multiple respectively for the installing hole 4-3 that described connecting rod passes.

Actually add man-hour, the material of described first fixing bracket body 2-1 and the second fixing bracket body 2-2 is rigid plastics, resin material or metal material.

In the present embodiment, described first fixing bracket body 2-1 and the second fixing bracket body 2-2 is assembled by assembled section of multiple support body.

Actually add man-hour, described in multiple support body, assembled section to be fastenedly connected by the assembled connector of support body and to be integrated, and the assembled connector of described support body is connecting bolt, link, connection sheet material etc.In the present embodiment, described first fixing bracket body 2-1 and the second fixing bracket body 2-2 is assembled by two, left and right semicircular rings, and is fastenedly connected by multiple connecting bolt between the described semicircular rings in two, left and right.

Actually add man-hour, can according to specific needs, the quantity of assembled section of described support body and the size of assembled section of each support body being assemblied to form the first fixing bracket body 2-1 and the second fixing bracket body 2-2 be adjusted accordingly.

In the present embodiment, the wall thickness of described first fixing bracket body 2-1 and the second fixing bracket body 2-2 is 10mm ~ 20mm.

Actually add man-hour, can according to specific needs, the wall thickness of the first fixing bracket body 2-1 and the second fixing bracket body 2-2 be adjusted accordingly.

In the present embodiment, the quantity of described support body connector is no less than three.

During actual use, can according to specific needs, the quantity of described support body connector and the axial centerline of each support body connector be adjusted accordingly.

A kind of method of processing orthopaedics malformation correction and fixator for fracture reduction as shown in Figure 3, comprises the following steps:

Image information collecting before step one, reset: adopt Medical CT or medical MRI to obtain the image information that osseous tissue fixed by the need inserting locking pin 1.

In the present embodiment, in step one to obtain the image information need fixing osseous tissue be dicom form.

In the present embodiment, patient is because of after calf shank generation fracture carrys out hospital admission, first under narcotism, hole respectively at the distance end of calf shank 7 (namely osseous tissue fixed by described need) that fracture occurs and insert locking pin 1, described need fix the far-end of osseous tissue and near-end insert locking pin 1 quantity be many pieces.Described first fixing bracket body 2-1 and the second fixing bracket body 2-2 is respectively inserting the far-end fixed mount that is fixed of locking pin 1 and near-end fixed mount that need fix osseous tissue far-end and near-end, and described first fixing bracket body 2-1 has the fixing hole 3 that multiple many pieces of locking pins 1 need fixing osseous tissue far-end to insertion are respectively fixed, described second fixing bracket body 2-2 has the fixing hole 3 that multiple many pieces of locking pins 1 need fixing osseous tissue near-end to insertion are respectively fixed.

Actual when being fixed, insert the locking pin 1 need fixing osseous tissue and at least expose outside skin one end, to be fastenedly connected with the first fixing bracket body 2-1 and the second fixing bracket body 2-2.

Step 2, virtual reset: adopt image processing software process needing the image information of fixing osseous tissue described in step one, and obtain described need fix osseous tissue reset after 3-D graphic information.Wherein, the image information that osseous tissue fixed to described need process and obtain described need fix osseous tissue reset after the process of 3-D graphic information be just virtual reseting procedure, also can be called analog reset.Reality processes the image information that osseous tissue fixed by described need, adopts the processing mode such as translation, rotation.

In the present embodiment, described image processing software is reconstruction of medical images software.

During actual use, described image processing software also can adopt the 3-D view process software of other type.

In the present embodiment, described reconstruction of medical images software is Mimics software or VGStudio MAX software.The form of the information of 3-D graphic described in step 2 is STL form.

Actual when carrying out virtual reset, adopt described reconstruction of medical images software that the osseous tissue after fracturing in view data described in step one is returned to original position, that is, 3-D graphic information after osseous tissue reset fixed by described need is the view data after need fixing osseous tissue reset, and namely the view data before osseous tissue is fractured fixed by described need.

In the present embodiment, before carrying out virtual reset in step 2, also can first adopt Medical CT or medical MRI obtain patient with it with the image information of osseous tissue need fixing osseous tissue symmetry, adopt image processing software more afterwards and with reference to obtain with the image information of osseous tissue need fixing osseous tissue symmetry, process needing the image information of fixing osseous tissue described in step one.That is, with the image information of the osseous tissue need fixing osseous tissue symmetry be described need fix osseous tissue reset after the mirror image of 3-D graphic information.

In addition, if patients with fractures pulverizes seriously, and when being difficult to carry out virtual reset according to the view data obtained in step one, doing CT examination or MRI inspection first to patient's contralateral limbs, according to the view data after mirror image, virtual reset is carried out to the view data obtained in step one more afterwards.

Step 3, fixture structure design, and process is as follows:

Step 301, fixture type selecting: fix the body part residing for osseous tissue according to described need, select needing the type of fixer for machining; The described type of fixer for machining that needs is external fixer or outer stationary plates.

Actual be fixed type of device select time, when the described need body part fixed residing for osseous tissue is body trunk, the described type of fixer for machining that needs is outer stationary plates; When the described need body part fixed residing for osseous tissue is extremity, the described type of fixer for machining that needs is external fixer or outer stationary plates.

In the present embodiment, the type of fixer for machining described in step 301, is needed to be external fixer.

Step 302, fixture size are determined: the Body Profile data fixing body part residing for osseous tissue according to the described need of current patents, determine needing the size of fixer for machining selected in step 301.

In the present embodiment, plant bulk is fixed when determining in step 302, fix the Body Profile data of body part residing for osseous tissue according to the need of current patents, and need the type of fixer for machining selected in integrating step 301, the described size of fixer for machining that needs is determined.

Step 303, fixing hole machined parameters are determined: according to needing the quantity of stiff end described in the information of 3-D graphic described in step 2 and respectively needing the shape of stiff end, size and axial centerline, fixer for machining need the shape of quantity and each fixing hole 3 processing fixing hole 3, size and axial centerline determine to described need.

In the present embodiment, when being fixed apparatus structure design in step 3, autocad software, Sol idworks software or Pro/E software is adopted to design.

In the present embodiment, in step 303 to described need the axial centerline of each fixing hole 3 on fixer for machining to determine time, need the determined described size of fixer for machining that needs in the expectation installation site of fixer for machining and step 302 to determine in conjunction with described.

In the present embodiment, in step 303 to described need the shape of each fixing hole 3 on fixer for machining, size and axial centerline to determine time, first adopt Geomagic Studio software or Imageware software to process the information of 3-D graphic described in step 2, and obtain described need fix osseous tissue reset after cad model; Afterwards, then according to respectively needing the shape of stiff end, size and axial centerline in described cad model, in step 303, the described shape of each fixing hole 3 on fixer for machining, size and the axial centerline of needing is determined.

In the present embodiment, the form of described cad model is IGES form.

Step 4, fixture are processed: according to the shape of the type of fixture designed in step 3, size and each fixing hole 3, size and axial centerline, process the described fixer for machining that needs.

In the present embodiment, after needing fixer for machining to need the shape of quantity and each fixing hole 3 processing fixing hole 3, size and axial centerline determine described in step 3, determine the installation position of the support body connector quantity for connecting the first fixing bracket body 2-1 and the second fixing bracket body 2-2 and each support body connector, all support body connectors are all consistent with the line of force direction need fixing osseous tissue; Afterwards, then on the first fixing bracket body 2-1 and the second fixing bracket body 2-2 open each installing hole 4-3 installation position determine.That is, when being fixed apparatus structure design in step 3, also needing the line of force according to osseous tissue need be fixed, described support body connector installation position is determined.

After described in step 3, fixture structure has designed, obtaining describedly needs the first fixing bracket body 2-1 of fixer for machining and the manuscript of the second fixing bracket body 2-2.

In the present embodiment, the form of described manuscript is STL form.During actual use, described manuscript also can be other type graphical format that described rapidform machine and 3D print function use.

In step 4, added to the described fixer for machining that needs man-hour, first according to described manuscript, described the first fixing bracket body 2-1 of fixer for machining and the second fixing bracket body 2-2 that needs is processed, afterwards again according to the described axial centerline needing each fixing hole 3 on fixer for machining determined in step 3, the first fixing bracket body 2-1 and the second fixing bracket body 2-2 process the installing hole 4-3 of described support body connector.During actual use, by described support body connector, the first fixing bracket body 2-1 be fixed locking pin 1 and the second fixing bracket body 2-2 is connected as one.

In the present embodiment, add man-hour in step 4 to the first fixing bracket body 2-1 and the second fixing bracket body 2-2, adopt rapidform machine or 3D printer to process, not only process velocity is fast, and the molding of energy time processing, and crudy is easy to ensure.

In the present embodiment, the first fixing bracket body 2-1 be processed into and the second fixing bracket body 2-2 is annular, and the internal diameter of the first fixing bracket body 2-1 and the second fixing bracket body 2-2 adjusts accordingly according to the limbs thickness of patient.

Embodiment 2

In the present embodiment, as different from Example 1: described external fixer also comprises the 3rd fixing bracket body between the first fixing bracket body 2-1 and the second fixing bracket body 2-2, described 3rd fixing bracket body is connected as one by described support body connector and the first fixing bracket body 2-1 and the second fixing bracket body 2-2, described 3rd fixing bracket body has for the described fixing hole 3 needing stiff end fixing.

Actual when using, on described 3rd fixed mount, institute opens the quantity of fixing hole 3 is one or more, is insert the locking pin 1 between need fixing that osseous tissue is far and near and holding to be fixed by described 3rd fixed mount.

In the present embodiment, other parts structure, the size of described external fixer are all identical with embodiment 1 with annexation.

In the present embodiment, adopt processing method as shown in Figure 1 to process described external fixer, and adopt each procedure of processing of processing method all identical with embodiment 1.

Embodiment 3

In the present embodiment, structure, the size of the described external fixer of machine-shaping are all identical with embodiment 1 with annexation.

In the present embodiment, processing method is as shown in Figure 1 adopted to add man-hour to described external fixer, as different from Example 1: in step 4, added to the first fixing bracket body 2-1 and the second fixing bracket body 2-2 man-hour, support body first used to the first fixing bracket body 2-1 and the second fixing bracket body 2-2 is processed, adopt described rig to process fixing hole 3 again on the support body machined, obtain the first fixing bracket body 2-1 and the second fixing bracket body 2-2 of machine-shaping.

That is, man-hour is added to the first fixing bracket body 2-1 and the second fixing bracket body 2-2, also can adopt traditional machine-tooled method.

Actually add man-hour, first the first fixing bracket body 2-1 of sizes of the suitable different bodily form patient of processing in advance and the support body of the second fixing bracket body 2-2; After patient comes to go to a doctor, then according to the method described in step one to step 3, obtain the described manuscript needing fixer for machining that suitable current patents uses; Subsequently, again according to the bodily form of current patents, specifically according to shank thickness, the support body of corresponding size is selected in the support body machined in advance, and according to the shape of each fixing hole 3 on determined first fixing bracket body 2-1 and the second fixing bracket body 2-2, size and axial centerline, adopt rig to hole on selected support body fixing hole 3; After all fixing holes 3 are all drilled to, then the support body machined is divided into assembled section of multiple described support body, just obtains the first fixing bracket body 2-1 and the second fixing bracket body 2-2 of machine-shaping.

In the present embodiment, adopt processing method as shown in Figure 1 to add man-hour to described external fixer, all the other procedure of processings are all identical with embodiment 1.

Embodiment 4

As shown in Figure 5, in the present embodiment, as different from Example 1: in described external fixer, the shape of the first fixing bracket body 2-1 is circular arc, and the first fixing bracket body 2-1 is semi-circular shape.

Embodiment 5

A kind of orthopaedics malformation correction as shown in Fig. 7, Fig. 8 and Fig. 9 and fixator for fracture reduction, comprise and need fix to inserting the outer stationary plates that the locking pin 1 in osseous tissue is fixed, described locking pin 1 at least one end exposes that skin is outer and it exposes extracutaneous end for needing stiff end.

Described outer stationary plates for described need to be fixed in osseous tissue the fixing head that is fixed of all locking pins 1 of inserting, described outer stationary plates comprises one or more fixed plate 1-1, and multiple described fixed plate 1-1 is connected as one by plate connector.Described fixed plate 1-1 is one block of overall sheet material or by the assembled pin-connected panel fixing head of multiple security strip 1-11, described fixed plate 1-1 has for the described fixing hole 3 needing stiff end fixing.

Actually add man-hour, also one or more batten cleat need be installed on described pin-connected panel fixing head and described pin-connected panel fixing head is reinforced, in addition, can also be reinforced described pin-connected panel fixing head by an outside framework.

In the present embodiment, described outer stationary plates comprises a fixed plate 1-1.

During actual use, can according to specific needs, the quantity of described fixed plate 1-1 and the installation position of each fixed plate 1-1 be adjusted accordingly.

In the present embodiment, described fixed plate 1-1 is assembled by three security strip 1-11.Actually add man-hour, can according to specific needs, the quantity of security strip 1-11 and the installation position of each fixed plate 1-1 being assemblied to form fixed plate 1-1 be adjusted accordingly.

Actually add man-hour, the multiple described security strip 1-11 in described pin-connected panel fixing head also can be connected as one by lath connector.Described lath connector is holding screw, buckle etc.

In general, for fixing easy, multiple fixing hole 3 between adjacent two described security strip 1-11 on splicing seams should in the fixing hole 3 that described fixed plate 1-1 opens, be comprised.

During actual use, described fixed plate 1-1 also can be one block of overall sheet material.

In the present embodiment, described fixed plate 1-1 is arc.Actually add man-hour, described fixed plate 1-1 also can be flat board as shown in Figure 6, flat board as shown in Figure 6 can be used for the rectification of deformity of spine, when carrying out virtual reset in step 2, adopt described reconstruction of medical images software that the osseous tissue after fracturing in view data described in step one is returned to original position, that is, the vertebral body of fractured vertebral body upper and lower is returned to original position.3-D graphic information after osseous tissue reset fixed by described need is the view data after need fixing osseous tissue reset, and namely the view data before osseous tissue is fractured fixed by described need.

In the present embodiment, the multiple described security strip 1-11 in described pin-connected panel fixing head is connected as one by lath connector.

In the present embodiment, described lath connector is connecting bolt or buckle.

During actual use, described lath connector also can adopt the connector of other type.

In the present embodiment, the material of described fixed plate 1-1 is rigid plastics, resin material or metal material.

In the present embodiment, the wall thickness of described fixed plate 1-1 is 10mm ~ 20mm.

Actually add man-hour, can according to specific needs, the wall thickness of fixed plate 1-1 be adjusted accordingly.

In the present embodiment, man-hour is added to described outer stationary plates, comprises the following steps:

In the present embodiment, patient comes after hospital admission because of deformity or fracture, under narcotism, osseous tissue holes respectively and inserts locking pin 1 need fix, then adopting Medical CT or medical MRI to obtain the image information that osseous tissue fixed by the need inserting locking pin 1.Described fixed plate 1-1, to inserting the plate need fixed all locking pins 1 in osseous tissue and be fixed, described fixed plate 1-1 has multiple respectively to inserting the fixing hole 3 need fixed all locking pins 1 in osseous tissue and be fixed.Actual when being fixed, insert the locking pin 1 need fixing osseous tissue and at least expose outside skin one end, to be fastenedly connected with fixed plate 1-1.

Step 2, virtual reset: adopt image processing software process needing the image information of fixing osseous tissue described in step one, and obtain described need fix osseous tissue reset after 3-D graphic information.

In the present embodiment, described reconstruction of medical images software is Mimics software or VGStudio MAX.The form of the information of 3-D graphic described in step 2 is STL form.

Step 3, fixture structure design, and process is as follows:

In the present embodiment, the described type of fixer for machining that needs is outer stationary plates.

In the present embodiment, the form of described cad model is IGES form.

In the present embodiment, after fixture structure has designed described in step 3, obtain the described manuscript needing the fixed plate 1-1 of fixer for machining.

In the present embodiment, described rapidform machine is SPS 600B laser photocuring rapidform machine.

In step 4, added to the described fixer for machining that needs man-hour, according to described manuscript, the described fixed plate 1-1 of fixer for machining that needs is processed.

In the present embodiment, add man-hour in step 4 to fixed plate 1-1, adopt rapidform machine or 3D printer to process, not only process velocity is fast, and the molding of energy time processing, and crudy is easy to ensure.

Embodiment 6

In the present embodiment, as shown in Figure 10, as different from Example 5: the quantity of described fixed plate 1-1 is multiple, connected as one by plate connector between multiple described fixed plate 1-1.

In the present embodiment, the line of force that osseous tissue fixed by central axis and the described need of described plate connector is parallel laying.

In the present embodiment, the quantity of described fixed plate 1-1 is two, and two described fixed plate 1-1 are laid in the two ends up and down need fixing osseous tissue respectively.During actual use, can according to specific needs, the quantity of fixed plate 1-1 be adjusted accordingly.

Actually add man-hour, the quantity of described plate connector is multiple, and multiple described plate connector is laid from left to right.Multiple described plate connector is provided with stress detection device.

In the present embodiment, the quantity of described plate connector is two.

During actual use, can according to specific needs, the quantity of described plate connector and the axial centerline of each plate connector be adjusted accordingly.

In the present embodiment, described plate connector is connecting rod, and two described fixed plate 1-1 have the installing hole 4-3 passed for described connecting rod, two described fixed plate 1-1 are fixed on described connecting rod by securing member.During actual use, described plate connector also can adopt the connector of other type, only two described fixed plate 1-1 need be connected as one.

In the present embodiment, the described connecting rod in multiple described plate connector is all in parallel laying, and described in multiple described plate connector, the cross-sectional structure of connecting rod is all identical with size.

In the present embodiment, described connecting rod is screw-thread steel 4-1, and described securing member is clamp nut 4-2.Thus, processing and fabricating and use operate all very easy, and can easyly be adjusted accordingly the relative position between two described fixed plate 1-1 by clamp nut 4-2.

In the present embodiment, on two described fixed plate 1-1 open installing hole 4-3 quantity be 4.Further, on two described fixed plate 1-1 to open the structure of installing hole 4-3 all identical with size.Two described fixed plate 1-1 are square plate.

Described locking pin 1 is existing external fixer locking pin, and the shape of described locking pin 1 is column pin, olive-shaped pin etc.

In the present embodiment, two described fixed plate 1-1 are all for by the assembled pin-connected panel fixing head of three security strip 1-11, and three described security strip 1-11 from top to bottom lay.Described security strip 1-11 is rectangle lath.

Actually add man-hour, can according to specific needs, the quantity of security strip 1-11 and the size of each security strip 1-11 being assemblied to form fixed plate 1-1 be adjusted accordingly.

In the present embodiment, other parts structure, the size of described outer stationary plates are all identical with embodiment 4 with annexation.

Actually add man-hour, after needing fixer for machining to need the shape of quantity and each fixing hole 3 processing fixing hole 3, size and axial centerline determine described in step 3, first the described shape of the quantity of fixed plate 1-1 in fixer for machining and each fixed plate 1-1, size and the installation position of needing is determined; Afterwards, determine the quantity of the described plate fixture for being connected and fixed plate 1-1 and the installation position of each plate fixture, all plate fixtures are all consistent with the line of force direction need fixing osseous tissue; Afterwards, then on each fixed plate 1-1 open each installing hole 4-3 installation position determine.

In the present embodiment, processing method is as shown in Figure 1 adopted to process described outer stationary plates, as different from Example 4: after needing fixer for machining to need the shape of quantity and each fixing hole 3 processing fixing hole 3, size and axial centerline determine described in step 3, first the described shape of two fixed plate 1-1 in fixer for machining, size and the installation position of needing is determined; Secondly, determine the installation position of the described plate fixture of two for being connected and fixed plate 1-1, two plate fixtures are all consistent with the line of force direction need fixing osseous tissue; Afterwards, then on two fixed plate 1-1 open each installing hole 4-3 installation position determine; Then, after two described fixed plate 1-1 are processed, again according in step 3 determined described to need on the axial centerline of each fixing hole 3 on fixer for machining and each fixed plate 1-1 open the installation position of each installing hole 4-3, by the described plate connector machined in advance, be fixed locking pin 1 two described fixed plate 1-1 are connected as one.

In the present embodiment, adopt processing method as shown in Figure 1 to add man-hour to described outer stationary plates, all the other procedure of processings are all identical with embodiment 5.

Embodiment 7

In the present embodiment, structure, the size of the described outer stationary plates of machine-shaping are all identical with embodiment 6 with annexation.

In the present embodiment, processing method is as shown in Figure 1 adopted to add man-hour to described outer stationary plates, as different from Example 6: in step 4, added to fixed plate 1-1 man-hour, sheet material first used to fixed plate 1-1 is processed, described rig is adopted to process fixing hole 3 again on the sheet material machined, adopt cutting equipment to cut the sheet material with fixing hole 3 subsequently again, obtain the fixed plate 1-1 of machine-shaping.Actually add man-hour, when fixed plate 1-1 is one block of overall sheet material, then without the need to adopting cutting equipment cutting.That is, added to fixed plate 1-1 man-hour, also can adopt traditional machine-tooled method.

Actually add man-hour, first the fixed plate 1-1 sheet material of the sizes of the suitable different bodily form patient of processing in advance; After patient comes to go to a doctor, then according to the method described in step one to step 3, obtain the described manuscript needing fixer for machining that suitable current patents uses; Subsequently, again according to the bodily form of current patents, the sheet material of corresponding size is selected in the support body machined in advance, and according to the shape of fixing hole 3 each on determined fixed plate 1-1, size and axial centerline, rig is adopted to hole on selected sheet material fixing hole 3, after all fixing holes 3 are all drilled to, then the plate cutting with fixing hole 3 is become multiple security strip 1-11, just obtain the fixed plate 1-1 of machine-shaping.

Embodiment 8

In the present embodiment, as shown in figure 11, as different from Example 6: the quantity of described fixed plate 1-1 is three, connected as one between three described fixed plate 1-1 by described plate connector, three described fixed plate 1-1 from top to bottom lay.In three described fixed plate 1-1, upper and lower two described fixed plate 1-1 are all pin-connected panel fixing head that the security strip 1-11 laid from left to right by three is assembled; Being positioned at middle fixed plate 1-1 is by the assembled pin-connected panel fixing head of two security strip 1-11 laid from top to bottom.

In the present embodiment, the fixture of processing is corrected for deformity of spine.During actual use, patient is because of after deformity of spine carrys out hospital admission, under narcotism, osseous tissue (namely need correct spinal column) hole respectively and inserts locking pin 1 need fix, then adopting Medical CT or medical MRI to obtain the image information that osseous tissue fixed by the need inserting locking pin 1.Described fixed plate 1-1, to inserting the plate need fixed all locking pins 1 in osseous tissue and be fixed, described fixed plate 1-1 has multiple respectively to inserting the fixing hole 3 need fixed all locking pins 1 in osseous tissue and be fixed.Actual when being fixed, insert the locking pin 1 need fixing osseous tissue and at least expose outside skin one end, to be fastenedly connected with fixed plate 1-1.When carrying out virtual reset in step 2, adopt described reconstruction of medical images software that the osseous tissue after fracturing in view data described in step one is returned to original position, that is, the vertebral body of fractured vertebral body upper and lower is returned to original position.3-D graphic information after osseous tissue reset fixed by described need is the view data after need fixing osseous tissue reset, and namely the view data before osseous tissue is fractured fixed by described need.

In the present embodiment, other parts structure, the size of described outer stationary plates are all identical with embodiment 5 with annexation.

In the present embodiment, adopt processing method as shown in Figure 1 to process described outer stationary plates, and adopt each procedure of processing of processing method all identical with embodiment 6.

Embodiment 9

In the present embodiment, as shown in figure 12, as different from Example 6: the quantity of described fixed plate 1-1 is three, connected as one between three described fixed plate 1-1 by described plate connector, three described fixed plate 1-1 from top to bottom lay.In three described fixed plate 1-1, the fixed plate 1-1 being positioned at top is by the assembled pin-connected panel fixing head of three security strip 1-11 laid from top to bottom, this fixed plate 1-1 has 4 fixing holes 3, and on 4 described fixing holes 3 splicing seams all between adjacent two described fixed plate 1-1; Being positioned at middle fixed plate 1-1 is by the assembled pin-connected panel fixing head of two security strip 1-11 laid from left to right, this fixed plate 1-1 has 2 fixing holes 3, one of them fixing hole is laid on security strip 1-11, on the splicing seams of another fixing hole 3 between two described fixed plate 1-1; Be positioned at the as a whole sheet material of fixed plate 1-1 of below, and this fixed plate 1-1 has a fixing hole 3.

In the present embodiment, other parts structure, the size of described outer stationary plates are all identical with embodiment 6 with annexation.

Embodiment 10

In the present embodiment, as shown in figure 13, as different from Example 6: the fixed plate 1-1 being positioned at top in two described fixed plate 1-1 is L shaped plate block, and this fixed plate 1-1 has 3 fixing holes

Embodiment 11

In the present embodiment, as shown in figure 14, as different from Example 6: the quantity of described fixed plate 1-1 is three, connected as one between three described fixed plate 1-1 by described plate connector, three described fixed plate 1-1 from top to bottom lay.Three described fixed plate 1-1 all for by the assembled pin-connected panel fixing head of two security strip 1-11, on three described fixed plate 1-1 open fixing hole 3 quantity be respectively 4,2 and 3 from top to bottom.

Embodiment 12

In the present embodiment, as shown in figure 15, as different from Example 6: the quantity of described fixed plate 1-1 is three, connected as one between three described fixed plate 1-1 by described plate connector, three described fixed plate 1-1 from top to bottom lay.Three described fixed plate 1-1 all for by the assembled pin-connected panel fixing head of two security strip 1-11, on three described fixed plate 1-1 open fixing hole 3 quantity be respectively 2,2 and 3 from top to bottom.

Embodiment 13

In the present embodiment, as shown in figure 16, as different from Example 6: multiple described fixed plate 1-1 is connected as one by installing rack, multiple described fixed plate 1-1 is all connected by removable connector with between described installing rack, and multiple described fixed plate 1-1 is all fixed on described installing rack by described removable connector.

During actual use, described removable connector is the connector such as bolt, screw.

In the present embodiment, described installing rack comprises connector one 5-1 and is connector two 5-2 of parallel laying with connector one 5-1, the described connecting rod being parallel laying by many between described connector one 5-1 and connector two 5-2 connects as one, and described connector one 5-1 and connector two 5-2 all has the installing hole 4-3 that the described connecting rod of multiple confession passes.In the present embodiment, the quantity of described fixed plate 1-1 is 3, and the fixed plate 1-1 being wherein positioned at top, left side and right side is one block of overall sheet material, and the fixed plate 1-1 being positioned at below, left side is by the assembled pin-connected panel fixing head of two security strip 1-11.

During actual use, many in described installing rack described connecting rods are provided with stress detection device.

In the present embodiment, described connector one 5-1 and connector two 5-2 is straight plate, and the quantity of described connecting rod is two.In the present embodiment, described connector one 5-1 and connector two 5-2 is connecting plate.During actual use, described connector one 5-1 and connector two 5-2 also can be connector.In the present embodiment, the shape of described connector one 5-1 and connector two 5-2 is the connecting plate of other shape such as arc, annular slab.

Actually adding man-hour, after needing fixer for machining to need the shape of quantity and each fixing hole 3 processing fixing hole 3, size and axial centerline determine described in step 3, first the structure of the described installing rack for being connected and fixed plate 1-1 being determined; Multiple described connecting rod in described installing rack is all consistent with the line of force direction need fixing osseous tissue; Afterwards, then on connector one 5-1 in described installing rack and connector two 5-2 open each installing hole 4-3 installation position determine.

In the present embodiment, processing method is as shown in Figure 1 adopted to process described outer stationary plates, as different from Example 6: after needing fixer for machining to need the shape of quantity and each fixing hole 3 processing fixing hole 3, size and axial centerline determine described in step 3, first the described structure of installing rack described in fixer for machining that needs is determined; Afterwards, then to connector one 5-1 and connector two 5-2 open each installing hole 4-3 installation position determine; Then, after three described fixed plate 1-1 are processed, again according in step 3 determined described to need on the axial centerline of each fixing hole 3 on fixer for machining and each connector one 5-1 and connector two 5-2 open the installation position of each installing hole 4-3, by the described installing rack machined in advance, be fixed locking pin 1 two described fixed plate 1-1 are connected as one.

Actually add man-hour, also can first the installing hole 4-3 on connector one 5-1 and connector two 5-2 all be machined, after needing described in step 3 fixer for machining to need the shape of quantity and each fixing hole 3 processing fixing hole 3, size and axial centerline determine, according to the installation position of each installing hole 4-3 on connector one 5-1 and connector two 5-2, each fixed plate 1-1 processes fixing hole 3.

In the present embodiment, adopt processing method as shown in Figure 1 to add man-hour to described external fixer, all the other procedure of processings are all identical with embodiment 6.

The above; it is only preferred embodiment of the present invention; not the present invention is imposed any restrictions, every above embodiment is done according to the technology of the present invention essence any simple modification, change and equivalent structure change, all still belong in the protection domain of technical solution of the present invention.

Claims

1. an orthopaedics malformation correction and fixator for fracture reduction, it is characterized in that: comprise and need fix to inserting the outer stationary plates that the locking pin (1) in osseous tissue is fixed, described locking pin (1) at least one end exposes that skin is outer and it exposes extracutaneous end for needing stiff end;

Described outer stationary plates for described need to be fixed in osseous tissue the fixing head that is fixed of all locking pins (1) of inserting, described outer stationary plates comprises one or more fixed plate (1-1), and multiple described fixed plate (1-1) is connected as one by plate connector or installing rack; Described fixed plate (1-1) is one block of overall sheet material or by the assembled pin-connected panel fixing head of multiple security strip (1-11), described fixed plate (1-1) has for the described fixing hole (3) needing stiff end fixing;

The shape of the quantity of fixing hole (3) and each fixing hole (3), size and axial centerline on described outer stationary plates, according to needing the quantity of stiff end described in 3-D graphic information and respectively needing the shape of stiff end, size and axial centerline to determine; Described 3-D graphic information is after adopting image processing software to process the image information that osseous tissue fixed by the need inserting locking pin (1), the described need of acquisition fix osseous tissue reset after 3-D graphic information; The image information that osseous tissue fixed by the need inserting locking pin (1) is the image information adopting Medical CT or medical MRI to obtain.

2. according to a kind of orthopaedics malformation correction according to claim 1 and fixator for fracture reduction, it is characterized in that: the quantity of described plate connector is multiple; Described plate connector is connecting rod, and described fixed plate (1-1) has the installing hole (4-3) passed for described connecting rod, described fixed plate (1-1) is fixed on described connecting rod; Multiple described fixed plate (1-1) is all connected by removable connector with between described installing rack, and multiple described fixed plate (1-1) is all fixed on described installing rack by described removable connector; Described fixed plate (1-1) is dull and stereotyped or arc.

3. according to a kind of orthopaedics malformation correction according to claim 2 and fixator for fracture reduction, it is characterized in that: multiple described plate connector is parallel laying; Described installing rack comprise connector one (5-1) and with the connector two (5-2) of connector one (5-1) in parallel laying, connected as one by many described connecting rods in parallel laying between described connector one (5-1) and connector two (5-2), described connector one (5-1) and connector two (5-2) all have the installing hole (4-3) that the described connecting rod of multiple confession passes.

4. according to a kind of orthopaedics malformation correction described in claim 1,2 or 3 and fixator for fracture reduction, it is characterized in that: the material of described fixed plate (1-1) is rigid plastics, resin material or metal material; Multiple described security strip (1-11) in described pin-connected panel fixing head is connected as one by described plate connector or is connected as one by lath connector; Multiple described connecting rod in multiple described plate connectors and described installing rack is provided with stress detection device.

5. according to a kind of orthopaedics malformation correction described in claim 1,2 or 3 and fixator for fracture reduction, it is characterized in that: the structure of described fixing hole (3) and size all match with the described structure of stiff end and the size of needing; Described need fix osseous tissue be occur fracture need reset or because of exist osseous tissue that deformity need carry out correcting or with occur fracture or exist the adjacent osseous tissue of lopsided osseous tissue.

6., to the method that fixture is as claimed in claim 1 processed, it is characterized in that the method comprises the following steps:

Image information collecting before step one, reset: adopt Medical CT or medical MRI to obtain the image information that osseous tissue fixed by the need inserting locking pin (1);

Step 3, fixture structure design, and process is as follows:

Step 301, fixture type selecting: fix the body part residing for osseous tissue according to described need, select needing the type of fixer for machining; The described type of fixer for machining that needs is outer stationary plates;

Step 303, fixing hole machined parameters are determined: according to needing the quantity of stiff end described in the information of 3-D graphic described in step 2 and respectively needing the shape of stiff end, size and axial centerline, fixer for machining need the shape of quantity and each fixing hole (3) processing fixing hole (3), size and axial centerline determine to described need;

Step 4, fixture are processed: according to the shape of the type of fixture designed in step 3, size and each fixing hole (3), size and axial centerline, process the described fixer for machining that needs.

7. in accordance with the method for claim 6, it is characterized in that: before carrying out virtual reset in step 2, first adopt Medical CT or medical MRI obtain patient with it with the image information of osseous tissue need fixing osseous tissue symmetry, adopt image processing software more afterwards and with reference to obtain with the image information of osseous tissue need fixing osseous tissue symmetry, process needing the image information of fixing osseous tissue described in step one; When being fixed type of device selection in step 301, when the described need body part fixed residing for osseous tissue is body trunk, the described type of fixer for machining that needs is outer stationary plates; When the described need body part fixed residing for osseous tissue is extremity, the described type of fixer for machining that needs is outer stationary plates; Be fixed plant bulk in step 302 when determining, fix the Body Profile data of body part residing for osseous tissue according to the need of current patents, and need the type of fixer for machining selected in integrating step 301, the described size of fixer for machining that needs is determined.

8. according to the method described in claim 6 or 7, it is characterized in that: the quantity of described plate connector is multiple; Described plate connector is connecting rod, and described fixed plate (1-1) has the installing hole (4-3) passed for described connecting rod, described fixed plate (1-1) is fixed on described connecting rod by securing member; Multiple described fixed plate (1-1) is all connected by removable connector with between described installing rack, and multiple described fixed plate (1-1) is all fixed on described installing rack by described removable connector; Described installing rack comprise connector one (5-1) and with the connector two (5-2) of connector one (5-1) in parallel laying, connected as one by many described connecting rods in parallel laying between described connector one (5-1) and connector two (5-2), described connector one (5-1) and connector two (5-2) all have the installing hole (4-3) that the described connecting rod of multiple confession passes;

When described need fixer for machining to be outer stationary plates time, after needing fixer for machining to need the shape of quantity and each fixing hole (3) processing fixing hole (3), size and axial centerline determine described in step 3, first the described shape of the quantity of fixed plate in fixer for machining (1-1) and each fixed plate (1-1), size and the installation position of needing is determined; Afterwards, the quantity of the described plate fixture for being connected and fixed plate (1-1) and the installation position of each plate fixture are determined, or determine the structure of the described installing rack for being connected and fixed plate (1-1), all plate fixtures and the multiple described connecting rod in described installing rack are all consistent with the line of force direction need fixing osseous tissue; Afterwards, then on connector one (5-1) in each fixed plate (1-1) or described installing rack and connector two (5-2) open each installing hole (4-3) installation position determine.

9. according to the method described in claim 6 or 7, it is characterized in that: in step 4, added to fixed plate (1-1) man-hour, rapidform machine or 3D printer is adopted to process, or first adopt rig on the sheet material machined in advance, process fixing hole (3), adopt cutting equipment to cut the sheet material with fixing hole (3) again, obtain the fixed plate (1-1) of machine-shaping.