CN104622553B - A kind of calcaneus replacement and fixation support - Google Patents
A kind of calcaneus replacement and fixation support Download PDFInfo
- Publication number
- CN104622553B CN104622553B CN201510093110.1A CN201510093110A CN104622553B CN 104622553 B CN104622553 B CN 104622553B CN 201510093110 A CN201510093110 A CN 201510093110A CN 104622553 B CN104622553 B CN 104622553B
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- block
- pin
- calcaneus
- seat
- nut
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- 210000000459 calcaneus Anatomy 0.000 title claims abstract description 33
- 230000001105 regulatory effect Effects 0.000 claims abstract description 30
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 19
- 210000002303 tibia Anatomy 0.000 claims abstract description 14
- 230000015572 biosynthetic process Effects 0.000 claims description 7
- 230000003044 adaptive effect Effects 0.000 claims description 6
- 239000000203 mixture Substances 0.000 claims description 3
- 238000012423 maintenance Methods 0.000 abstract description 3
- 238000010276 construction Methods 0.000 abstract description 2
- 206010017076 Fracture Diseases 0.000 description 5
- 208000010392 Bone Fractures Diseases 0.000 description 4
- 239000007787 solid Substances 0.000 description 3
- 206010016970 Foot fracture Diseases 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000036244 malformation Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000001537 neural effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
- A61B17/62—Ring frames, i.e. devices extending around the bones to be positioned
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of calcaneus replacement and fixation support, fix including annulus and the tibia that is positioned on annulus that pin grips seat, nut bone fixes that pin grips seat, calcaneus is fixed pin and gripped seat and fixing pin;Described tibia is fixed pin and is gripped seat, nut bone fixes pin gripping seat and calcaneus is fixed pin gripping seat and all included the first regulating block, second regulating block, screw mandrel and for gripping the chuck of pin, have bottom described first regulating block and hold longitudinal chute that annulus penetrates, top has horizontal concrete chute, sidepiece connects the first nut block, there is bottom described second regulating block the horizontal slide rail embedding described horizontal concrete chute, sidepiece connects the second nut block, described screw mandrel is located in the screwed hole of described first nut block and the second nut block, the hand of spiral of the screwed hole of described first nut block and the second nut block is contrary.The calcaneus replacement and fixation support of the present invention has the series of advantages such as simple in construction, facilitating operation, easily dimmable and stability maintenance are strong.
Description
Technical field
The invention belongs to technical field of medical instruments, particularly relate to a kind of carry out calcaneus fractures with
Reduction fixed support.
Background technology
External fixed support for bone may be used for the treatment of the most common fracture, it is also possible to is used for correcting certain
A little bone malformation, are the important utensils of one of orthopaedics.Any exter-nal fixer all includes fixing pin, fixes
Pin fixture and three kinds of basic elements of character of connecting rod, when for fractures, its operational approach is typically
After the reduction of the fracture, select thread a needle position and the fixing pin of angle insertion, then fixture, connecting rod are installed
Deng, select thread a needle position and angle time, it should preferentially meet claimed below: fixing pin as far as possible with
Key vertical;Fixing pin avoids damage to neural blood vessel as far as possible, the most multidirectional threads a needle, and strengthens antitorque
Turn performance.But it is it is true that conventional external fixator is higher to angle, the status requirement of fixing pin, outer solid
Determine frame structures shape needling position own and the bounds of lower pin angle, when deviation occurs, just
Can cause connecting rod installation difficulty, after easily occurring installing, the situation such as fracture end displacement, needs again to insert
Enter fixing pin and the problems such as connecting rod are installed again.
The Chinese utility model patent of Application No. 200920085010.4 discloses a kind of calcaneus multiple
Position external fixer, including the screw rod of the positive and negative interior female thread of two ends band, is arranged with at the two ends of screw rod
Universal joint, universal joint is made up of ball screw, screw base, hold-down column, housing screw, bulb
Screw correspondence screw rod is provided with screw thread and screws in screw rod, and the bulb of ball screw is positioned at screw base, ball
It is the face cooperated that head is provided with hold-down column, spherical surface and compression face, residence, and hold-down column passes through screw
Housing screw on seat is fixed.Although so calcaneus replacement and fixation support facilitates fixing pin direction
The regulation of angle, but there are the following problems in meeting:
1. universal joint is attached by screw rod, and in the treatment of fracture of calcaneus, it is common that respectively
Tibia, nut bone and calcaneus are fixed pin location respectively and also and then form a frame structure, because of
This, this to carry out calcaneus fractures by a screw rod very unrealistic;Want to be formed 3 points simultaneously
The frame structure of location, it is necessary to using the connecting rod of at least three, this will make whole operation use
Part increase and add the complexity of operation, and framework is owing to many connecting rods combine,
Globality and steadiness are the most poor.
2, the rigidity of universal joint is weaker, during when plus load is excessive or by heavier colliding with
Dig-in resistance surface between screw and bulb and there will be deformation, and then occur relatively sliding, and later
Again or when being repeatedly subjected to external force, this slippage can be increasing, finally boils solid failure.
Summary of the invention
The technical problem to be solved is to provide a kind of facilitating operation, easily dimmable and fixed stably
Qualitative strong calcaneus replacement and fixation support, with the deficiency overcoming prior art to exist.
For solving the problems referred to above, the present invention adopts the following technical scheme that:
A kind of calcaneus replacement and fixation support, it is characterised in that: include annulus and the shin being positioned on annulus
Bone fixes pin gripping seat, nut bone fixes pin gripping seat, calcaneus is fixed pin and gripped seat and fixing pin;Institute
State tibia to fix pin and grip seat, nut bone and fix pin and grip seat and calcaneus is fixed pin and gripped seat and all include the
One regulating block, the second regulating block, screw mandrel and for gripping the chuck of pin, described first regulation
Having bottom block and hold longitudinal chute that annulus penetrates, top has horizontal concrete chute, and sidepiece connects first
Nut block, has the horizontal slide rail embedding described horizontal concrete chute bottom described second regulating block, sidepiece is even
Being connected to the second nut block, described screw mandrel is located in described first nut block and the screwed hole of the second nut block
In, the hand of spiral of the screwed hole of described first nut block and the second nut block is contrary;Described chuck by
The first fixture block being bolted and the second fixture block are constituted, and described first fixture block passes through bolt with described
The termination of the second regulating block connects formation cradle head, described first fixture block and described second fixture block and engages
Fixing pin clamping hole is formed at face.
In invention has embodiment, described longitudinal chute is T-slot, and the cross section of described annulus is
The T-shaped structure adaptive with described T-slot, described horizontal concrete chute is dovetail groove, and described horizontal slide rail is
The dovetails adaptive with described dovetail groove.
There is on described annulus the convex eaves in both sides at there is breach form the entrance position of described first regulating block
Put.
Described tibia fixes pin gripping seat and described nut bone is fixed pin and gripped the first fixture block of seat for by first
Horizontal block, first indulging the one zigzag structure that block and the second horizontal block are constituted, described first horizontal block is with described
Second regulating block connects, and described second horizontal block is combined formation described fixing pin clamping with described second fixture block
Hole;Described calcaneus is fixed pin and gripped the first fixture block of seat is that the 3rd horizontal block and second is indulged block and purchased the one of composition
The T-shaped structure of body, described second indulges block and the second fixture block combination formation described fixing pin clamping hole.
Using technique scheme, the calcaneus that the calcaneus replacement and fixation support of the present invention has the present invention is multiple
It is strong etc. a series of that position fixed support has simple in construction, facilitating operation, easily dimmable and stability maintenance
Advantage.
Accompanying drawing explanation
The present invention is described in detail with detailed description of the invention below in conjunction with the accompanying drawings:
Fig. 1 is the structural representation of the present invention.
Fig. 2 is the structural representation of annulus;
Fig. 3 is the schematic cross-section of annulus;
Fig. 4 is the in-position schematic cross-section of the first regulating block on annulus;
Fig. 5 is that tibia fixes pin gripping seat and nut bone is fixed pin and gripped the structural representation of seat;
Fig. 6 is the structural representation that calcaneus fixes pin gripping seat;
Fig. 7 is the top view of Fig. 5;
Fig. 8 be from Fig. 7 A to the first shown regulating block and the cooperation schematic diagram of the second regulating block.
Detailed description of the invention
As it is shown in figure 1, the calcaneus replacement and fixation support of the present invention, including annulus 100, it is positioned at annulus
Tibia on 100 fixes pin gripping seat 200, nut bone fixes pin gripping seat 300, calcaneus is fixed pin and gripped
Seat 400 and fixing pin 500.
Wherein, tibia fixes pin gripping seat 200, nut bone fixes pin gripping seat 300, calcaneus is fixed pin and held
Hold seat 400 all include first regulating block the 601, second regulating block 602, screw mandrel 603 and for
Grip the chuck of pin 500.
Shown in Fig. 5, Fig. 7-Fig. 8, there is bottom the first regulating block 601 hold that annulus penetrates vertical
To chute 604, top has horizontal concrete chute 605, and sidepiece connects the first nut block 606.Second adjusts
Having the horizontal slide rail 607 that can embed horizontal concrete chute 605 bottom locking nub 602, sidepiece connects the
Two nut block 608, screw mandrel 603 is located in the first nut block 606 and screw thread of the second nut block 608
Kong Zhong, the hand of spiral of the screwed hole of the first nut block 606 and the second nut block 608 is contrary.
Chuck is constituted by the first fixture block being bolted and the second fixture block.In conjunction with Fig. 5 and Fig. 6
Shown in, tibia is fixed pin and is gripped the chuck of seat 200 and nut bone is fixed pin and gripped seat 300 chuck structure phase
With, but be different from calcaneus and fix the chuck of pin gripping seat 400.
Shown in Fig. 5, tibia is fixed pin and is gripped the chuck of seat 200 or nut bone is fixed pin and gripped seat 300 and press from both sides
The zigzag structure that is integrated of first fixture block 630 of head, by the first horizontal block 631, first indulges block 632
And second horizontal block 633 constitute.First horizontal block 631 passes through with the second prominent termination of regulating block 602
Bolt connection formation tibia fixes pin gripping seat 200 or nut bone is fixed pin and gripped the cradle head of seat 300.
Second horizontal block 633 is fastened by bolts, at medial surface and the second fixture block 650, the pin 500 that is fixedly clamped, and two
The faying face of person has two fixing pin clamping holes 651, for two fixing pins 500 of clamping.
Shown in Fig. 6, calcaneus fixes the T that the first fixture block 640 of the chuck that pin grips seat 400 is integrated
Font mechanism, is indulged block 642 by the 3rd horizontal block 641 and second and connects and composes.First horizontal block 641 with
Bone is fixed the second prominent termination of regulating block 602 of pin gripping seat 400 and is bolted shape calcaneus admittedly
Determine pin gripping seat 400 and become cradle head.Second indulges block 642 is fastened by bolts with the second fixture block 650
Be fixedly clamped pin 500, and the composition surface of the two has three fixing pin clamping holes 651, for clamping three
Fixing pin 500.
As it is shown in fig. 7, in the present invention, longitudinal chute 604 of the first regulating block 601 is T-slot.
As shown in Figure 2 and Figure 3, the cross section of annulus 100 is the T-shaped structure adaptive with T-slot.
As shown in Figure 2, Figure 4 shows, for making the first regulating block 601 can be assembled on annulus 100,
There is on annulus 100 the convex eaves in both sides at there is breach 101, form the entrance of the first regulating block 601
Position 102.
As shown in Figure 8, the horizontal concrete chute 605 on the first regulating block 601 is dovetail groove, the second regulation
Horizontal slide rail 607 on block 602 is the dovetails adaptive with dovetail groove.
Being exactly more than the calcaneus replacement and fixation support of the present invention, three fixing pins grip seat by a circle
Ring just can form one and have integrally-built fixed frame, and the amount of parts of use is few but firm
Property strengthened, and three fixing pins grip seats and can justify flexibly according to the concrete condition of patient
Adjusting position on ring.Can conveniently be regulated solid by the angle being fastened by bolts changing cradle head
Determine the direction of pin, can conveniently regulate three fixing pins by regulation screw mandrel and grip the expanding force between seat,
And the most block parts of parts that three fixing pins grip seat, intensity can be guaranteed.
Pass through foregoing detailed description, it can be seen that the calcaneus replacement and fixation support of the present invention has structure
The series of advantages such as simply, facilitating operation, easily dimmable and stability maintenance be strong.
The above, be only presently preferred embodiments of the present invention, not makees the present invention any pro forma
Limit, any art has usually intellectual, if without departing from proposed by the invention
In scope of the claims, the local done by disclosed technology contents is utilized to change
Or the Equivalent embodiments modified, and without departing from the technical characteristic content of the present invention, the most still belong to the present invention
In the range of technical characteristic.
Claims (4)
1. a calcaneus replacement and fixation support, it is characterised in that: include that annulus and the tibia being positioned on annulus fix pin gripping seat, nut bone fixes pin gripping seat, calcaneus is fixed pin and gripped seat and fixing pin;Described tibia is fixed pin and is gripped seat, nut bone fixes pin gripping seat and calcaneus is fixed pin gripping seat and all included the first regulating block, second regulating block, screw mandrel and for gripping the chuck of pin, have bottom described first regulating block and hold longitudinal chute that annulus penetrates, top has horizontal concrete chute, sidepiece connects the first nut block, there is bottom described second regulating block the horizontal slide rail embedding described horizontal concrete chute, sidepiece connects the second nut block, described screw mandrel is located in the screwed hole of described first nut block and the second nut block, the hand of spiral of the screwed hole of described first nut block and the second nut block is contrary;Described chuck is made up of the first fixture block being bolted and the second fixture block, and described first fixture block is connected formation cradle head by bolt with the termination of described second regulating block, forms fixing pin clamping hole at described first fixture block and described second fixture block composition surface.
Calcaneus replacement and fixation support the most according to claim 1, it is characterized in that: described longitudinal chute is T-slot, the cross section of described annulus is the T-shaped structure adaptive with described T-slot, and described horizontal concrete chute is dovetail groove, and described horizontal slide rail is the dovetails adaptive with described dovetail groove.
Calcaneus replacement and fixation support the most according to claim 2, it is characterised in that: there is on described annulus the convex eaves in both sides at and there is breach form the in-position of described first regulating block.
Calcaneus replacement and fixation support the most according to claim 1, it is characterized in that: described tibia is fixed pin and gripped seat and described nut bone and fix pin and grip the first fixture block of seat and be by the first horizontal block, first indulge block and one zigzag structure that the second horizontal block is constituted, described first horizontal block is connected with described second regulating block, and described second horizontal block is combined formation described fixing pin clamping hole with described second fixture block;It is the T-shaped structure of one that the 3rd horizontal block and second indulges that block is constituted that described calcaneus fixes the first fixture block of pin gripping seat, and described second indulges block and the second fixture block combination formation described fixing pin clamping hole.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201510093110.1A CN104622553B (en) | 2015-03-02 | 2015-03-02 | A kind of calcaneus replacement and fixation support |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201510093110.1A CN104622553B (en) | 2015-03-02 | 2015-03-02 | A kind of calcaneus replacement and fixation support |
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CN104622553A CN104622553A (en) | 2015-05-20 |
CN104622553B true CN104622553B (en) | 2016-11-30 |
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Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107753094A (en) * | 2016-08-19 | 2018-03-06 | 荆门市掇刀人民医院 | A kind of wrist joints moving device |
CN106955146B (en) * | 2017-05-09 | 2023-05-26 | 上海市奉贤区中心医院 | Miniature fixer for calcaneus fracture |
CN107811696B (en) * | 2017-11-10 | 2024-03-08 | 中国人民解放军总医院 | Locking device for bone fixation needle |
CN110680518B (en) * | 2019-10-16 | 2022-05-17 | 彭斌 | A disconnected bone butt joint auxiliary device of type of being convenient for to use for orthopedics |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN203763213U (en) * | 2014-05-29 | 2014-08-13 | 张英泽 | Height repositor of calcaneal fracture |
CN203915047U (en) * | 2014-06-25 | 2014-11-05 | 天津市新中医疗器械有限公司 | A kind of ring rod combination exterior fixation bracket |
CN204446066U (en) * | 2015-03-02 | 2015-07-08 | 上海市奉贤区中心医院 | Calcaneus replacement and fixation support |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9949744B2 (en) * | 2012-08-30 | 2018-04-24 | Wright Medical Technology, Inc. | Implant suitable for calcaneal osteotomy |
US9204912B2 (en) * | 2012-09-06 | 2015-12-08 | Orthohelix Surgical Designs, Inc. | Contoured calcaneal plate and a percutaneous drill guide for use therewith |
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2015
- 2015-03-02 CN CN201510093110.1A patent/CN104622553B/en active Active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN203763213U (en) * | 2014-05-29 | 2014-08-13 | 张英泽 | Height repositor of calcaneal fracture |
CN203915047U (en) * | 2014-06-25 | 2014-11-05 | 天津市新中医疗器械有限公司 | A kind of ring rod combination exterior fixation bracket |
CN204446066U (en) * | 2015-03-02 | 2015-07-08 | 上海市奉贤区中心医院 | Calcaneus replacement and fixation support |
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