Combined type unilateral double-arm multistage femoral fracture is adjustable buckle bone compression fixator
Technical field
The present invention relates to fracture fixing apparatus, and in particular to buckle bone pressurization that combined type unilateral double-arm multistage femoral fracture is adjustable
Fixator, belongs to long bone fracture exterior fixing rack technical field.
Background technology
Current exterior fixing rack, such as annular external fixing rack and multifunctional combination exterior fixing rack, volume is big, carries not side
Just, postoperative to be inconvenient to nurse, single armed exterior fixing rack, such as Zhong Jia exterior fixing racks are heavy, the universal ball neck in pressurizer two ends
Design is thinner, and outer fixed support strength is weaker, and pressurizer design is larger longer, to make to wear in bone stump both sides steel nail because of centre plus
Depressor volume is restricted greatly, wears steel nail dumb, it is impossible to is accomplished to wear steel nail by bone stump, and is worn steel nail away from fracture line and do not meet
Mechanics fixation principle, causes outer fixed fracture not stable, if it find that Multiple segmental fracture in operation, and comminuted fracture need to be across
More wear fixed outside steel nail, need external fixator to lengthen, it is impossible to according to fracture complex situations occasional combination, it is impossible to make external fixator overall
Increase or shorten, outer fixed several sections of fracture, it is impossible to which middle sclerite is pressurizeed, two ends can not be segmented pressurization, it is impossible to recover multistage
Fracture, continuity long bone physiology adds stress, therefore, often occurs nonunion, and unilateral three dimensional steel nail is pressed from both sides, and cylindric centre has one
Cross-drilled hole can wear thin nail, and the top of fixed steel nail is followed closely in cylindrical tip, closer to the distance if necessary to two steel nails, and insertion top nail is pulled at right angle
It is obstructed, as shown in figure 42, so inapplicable.
The content of the invention
The invention aims to excessive, the very flexible that solves existing fracture external fixing rack volume and weight,
Design is unreasonable, and fixed pressurization does not meet mechanics principle, causes the problem of fracture is difficult healing.
The technical scheme is that:Combined type unilateral double-arm multistage femoral fracture is adjustable buckle bone compression fixator, bag
Include the Telescopic Fixed device of pressure regulation, some steel nail fixing devices, the first support arm, the second support arm and some reinforcings connection folder, second
Brace includes left arm body and right arm body, and the intercalation of left arm body is in the left side of the Telescopic Fixed device of pressure regulation, and the intercalation of right arm body is flexible in pressure regulation
The right side of fixator, connection is set up between left arm body and the first support arm and right arm body and the first support arm by reinforcing connection folder respectively
Connect, steel nail fixing device is arranged on the first support arm or the second support arm.
The Telescopic Fixed device of pressure regulation includes pressure regulation fixed block, pressure regulation sliding block, scale, scale and fixes nail, slide bar, fixed spiral shell
Nail and pressure regulation leading screw, pressure regulation fixed block is identical with shape with the structure of pressure regulation sliding block, and the pressure regulation fixed block is from top to bottom successively
Provided with scale open slot, upper cross through hole, lower cross through hole, the vertical side of pressure regulation fixed block is provided with projection, and pressure regulation is fixed
Plus thread through hole is provided with block is raised, the projection of pressure regulation sliding block is provided with left-hand thread through hole, and axis, the left-hand thread of plus thread through hole lead to
The side of the diameter parallel of the axis in hole, upper cross through hole and lower cross through hole, upper cross through hole and lower cross through hole is set respectively
There is the horizontal opening groove communicated therewith, the opening direction of horizontal opening groove is with the opening direction of scale open slot on the contrary, the mark
Chi intercalation is in scale open slot, and one end of scale is fixed nail by scale and is fixed in pressure regulation fixed block, the other end of scale
Stretch out and be in 90 ° and bend downwards, one end of slide bar is sequentially inserted on the upper cross through hole and pressure regulation fixed block of pressure regulation sliding block
Cross through hole, the other end stretches out, and the bending end of scale is set up with the elongated end of slide bar by fixing screws to be coupled, described
The two ends of pressure regulation leading screw are arranged between the projection by positive/negative thread respectively, and the left arm body intercalation is in pressure regulation fixed block
The left side of lower cross through hole, the intercalation of right arm body is on the right side of the lower cross through hole of pressure regulation sliding block.Utilize right-and-left threaded pressure regulation silk
Thick stick drives pressure regulation sliding block mobile to centre, and bone is pressurizeed, makes knitting faster.
The pressure regulation leading screw includes look nut with holes, left side adjusting threaded spindle and the anti-screw rod of right side pressure regulation, left side levelling spiral shell
Bar and the anti-screw rod of right side pressure regulation are set up by look nut with holes to be coupled, and left side adjusting threaded spindle and the anti-screw rod of right side pressure regulation lead to respectively
Cross and be threaded into having in plus thread and left-hand thread through hole in pressure regulation fixed block and pressure regulation sliding block projection.
It is equipped with the pressure regulation fixed block and pressure regulation sliding block in vertical through hole, vertical through hole and is provided with long spiro nail.
The steel nail fixing device is that adjustable steel nail joins folder, including bulb upper fixture block, bulb lower fixture block, the first screw and can
Square toes steel nail folder is adjusted, the bulb upper fixture block is identical with the planform of bulb lower fixture block, bulb upper fixture block and bulb lower fixture block
The side of contact surface be provided with ball recess, opposite side is provided with arc groove, and square toes steel nail presss from both sides one end to be spherical, and the other end is side
Shape, square end is followed closely provided with steel nail through hole and top, the square end center and the line at spheric end center and the axis of steel nail through hole
Vertically, the axis of top nail is vertical with the axis of steel nail through hole, and the bulb upper fixture block and bulb lower fixture block are built by the first screw
Vertical connection, the arc of first support arm or the second support arm through bulb upper fixture block and bulb lower fixture block contact surface is recessed
The region that groove is enclosed, the spheric end that adjustable square toes steel nail is pressed from both sides is placed in spherical between bulb upper fixture block and bulb lower fixture block contact surface
In the region that groove is enclosed.Top nail is inserted in the side of square end, and traditional top nail is arranged on top, can only be grasped in cylindrical tip
Make, and it is of the invention when needing two steel nails of regulation closer to the distance, and right angle is pulled and can operated from side, simple operation spirit
It is living.
The steel nail fixing device is that buckle steel nail joins folder, including the 3rd screw, steel nail train wheel bridge, steel nail lower plate, bullet
Spring, band tooth U grooves fixture block, U grooves fixture block and Screw, the lower end of the 3rd screw sequentially passes through steel nail train wheel bridge, steel nail lower plate, bullet
Set up and couple with Screw after spring, band tooth U grooves fixture block and U groove fixture blocks, the upper surface side of the steel nail lower plate is provided with boss,
Opposite side is provided with side on V-shaped groove, the lower surface of steel nail train wheel bridge and is provided with escape groove, and opposite side is provided with steel nail deep-slotted chip breaker, first
Escape groove is corresponding with the cooperation of first boss, and steel nail deep-slotted chip breaker is corresponding with the cooperation of V-shaped groove, the lower surface of the U-shaped upper fixture block
Side be provided with second boss, opposite side is provided with upper U-lag, and the side of the upper surface of U groove fixture blocks is provided with the second escape groove, another
Side is provided with lower U-lag, and the second escape groove is corresponding with the cooperation of second boss, and upper U-lag is corresponding with the cooperation of lower U-lag, in hand
The elastic force of spring is utilized in art, the side of steel nail from steel nail train wheel bridge and steel nail lower plate is caught in, it is easy to assembly quick.
The lower surface of the steel nail lower plate and upper surface with tooth U groove fixture blocks are toothed surfaces, be steel nail lower plate with
Couple between band tooth U groove fixture blocks and more stablize, prevent slip, shift steel nail.
The connection folder of reinforcing includes reinforcing upper fixture block, reinforces lower fixture block and the second screw, the reinforcing upper fixture block and reinforcing
The structure of lower fixture block is identical with shape, and the both sides for reinforcing upper fixture block and reinforcing the contact surface of lower fixture block are provided with arc groove, reinforce
Upper fixture block and reinforcing lower fixture block pass through the second screw and set up connection.
The adjustable buckle bone compression fixator of combined type unilateral double-arm multistage femoral fracture is combined including bar joining beam fixture block
Device, including including the 3rd screw, U grooves upper fixture block with holes, first band tooth U grooves fixture block, spring, the second band tooth U grooves fixture block, U grooves
Fixture block and Screw, the lower end of the 3rd screw sequentially pass through U grooves upper fixture block with holes, first band tooth U grooves fixture block, spring second with tooth
Set up and couple with Screw after U grooves fixture block, U groove fixture blocks, the side of the lower surface of the U grooves upper fixture block with holes is provided with escape groove,
Opposite side is provided with U-lag, and the upper surface side of first band tooth U groove fixture blocks is provided with boss, and opposite side is provided with lower U-lag, described
The side of second lower surface with tooth U groove fixture blocks is provided with second boss, and opposite side is provided with upper U-lag, the upper surface of U groove fixture blocks
Side is provided with the second escape groove, and opposite side is provided with lower U-lag, and first escape groove is corresponding with the cooperation of first boss, and second
Escape groove is corresponding with the cooperation of second boss, and upper U-lag is corresponding with the cooperation of lower U-lag.It is combined into outside super ankle-joint and fixes shin
Bone distal end comminuted fracture method is appeared and can not fixed with unilateral double-arm if cut in operation, need to be surpassed and be fixed outside ankle-joint, can
To unscrew long spiro nail in operation, extract and be not suitable for carbon rod, the carbon rod needed for insertion is then short with the folder connection of bar joining beam
Bar, cross, which is combined, couples adjustable steel nail connection folder at the two ends of quarter butt;The fixation of steel nail ten thousand is worn to root bone and contract bone or astragalus.
First support arm and the second support arm are carbon rod.
The present invention has the following effects that compared with prior art:The present invention can realize that each section of femur several sections of fracture wears steel nail
Outer fixation simultaneously can make fracture segment bone pressurize, and recover the overall physiology compression of femur, it is strong that unilateral double-arm locking can reach, stable outer
Fixed effect, improves cure rate.Existing single armed exterior fixing rack can not implement to wear several sections of fracture fixed outside steel nail, can not divide
Section bone pressurization, and the single armed treatment adjustable buckle bone pressuring external fixer of several sections of fracture of the present invention, can be any in several sections of fracture
Wear steel nail in position, it is possible to implement each fracture segment bone pressurization, recover the overall physiology compression of this long bone, such as Figure 32 promotes fracture
Healing;Existing single armed exterior fixing rack pressurizer length and it is heavy, for example, Zhong Jia exterior fixing racks, it is impossible to closely fractured in bone stump
Line wears steel nail, big because of intermediary press device length, limits nearly fracture site and wears steel nail, causes, away from steel nail is worn at fracture line, such as to scheme
Shown in 40, do not meet mechanics principle, fixation is not stable, so inapplicable, the external fixator of one's duty invention by contrast, volume
It is small, it is lightweight, steel nail can be worn close to any position of fracture line, fixation is stable;Existing single armed exterior fixing rack, pressurizer two
The design of extreme direction ball neck is thinner, therefore external fixing rack overally supports outer fixing intensity and weakened, such as Figure 40;Ring external fixation support
And multifunctional combined rack, greatly, multifunctional combined rack can not implement bone pressurization, such as Figure 41 to volume;Single armed exterior fixing rack pressurizer
The folder steel nail block of two ends multi-directional ball connection, it is impossible to according to the condition of the injury or the soft tissue injury change of being fractured in operation, it is impossible to change across bone
Steel nail length, such as Figure 40 are worn, using dumb therefore inapplicable;The external fixator of the present invention, finds to need to shorten in operation
Or increase outer fixed span fracture line length, long spiro nail can be unscrewed, inappropriate carbon rod is transferred to, such as Figure 26 changes long carbon
Plain rod, such as Figure 27, or short carbon rod, such as Figure 28, are flexibly used;Reinforcing carbon bar can combine that to be placed in pressure regulation Telescopic Fixed
Above device, treatment multistage femur external fixation of fracture can also be combined into, such as Figure 32, fabricated structure, can according to the fracture condition of the injury and
Carbon rod is reinforced the need for outer fixed drift bolt method, also be can be placed in below the Telescopic Fixed device of pressure regulation, it is solid outside composition unilateral double-arm
Determine femoral fracture, as shown in Figure 36 and Figure 37, strengthen exterior fixing rack intensity, it is flexible that steel nail is worn in outer fixation;Can be according to operation
Middle the fracture condition of the injury and soft tissue injury situation, select adjustable steel nail connection folder, or buckle steel nail folder, are placed in appointing for the first support arm
Position is selected, wears fixed outside steel nail to bone section, universal steel nail is disposed on the first support arm that adjustable telescopic fixator two ends couple
Fixture block, carry out outer resected femur stage casing or under, in upper 1/3 fracture, such as Figure 36;The of connection at pressure regulation Telescopic Fixed device two ends
Buckle steel nail fixture block is disposed on one support arm, carry out outer resected femur stage casing or under, in upper 1/3 fracture, such as Figure 37, pressure regulation is stretched
Contracting fixer structure is simple, with the loose long spiro nail of L right angles twisting, unilateral double-arm treatment several sections of fracture, adjustable buckle bone locking and pressurizing
External fixator, it can also be used to which fixed super ankle-joint is fixed, compared to ring type exterior fixing rack, small volume is easy to carry.
In summary, fixed mount small volume of the invention, lightweight, and adjustable universal steel nail folder and buckle steel nail folder wear steel nail
Flexibly, safety, simple to operate, easy to carry after expopexy, can reach that strong stable and mechanics is fixed, solve femur multistage
There is provided reliable treatment method for fracture.
Brief description of the drawings
Fig. 1, the overall structure of the adjustable buckle bone pressuring external fixer of combined type unilateral double-arm multistage femoral fracture of the present invention
Schematic diagram;
Fig. 2, adjustable steel nail connection clamping structure schematic diagram of the invention;
Fig. 3, the vertical section schematic diagram of bulb lower fixture block of the present invention;
Fig. 4, the top view of bulb lower fixture block of the present invention;
Fig. 5, bulb upper fixture block vertical section schematic diagram of the present invention;
Fig. 6, the top view of bulb upper fixture block of the present invention;
Fig. 7, the present invention loose first screw of L twistings, adjustable square toes steel nail folder rotates schematic diagram;
Fig. 8, the present invention reinforces the structural representation of connection folder;
Fig. 9, buckle steel nail of the present invention joins clamping structure schematic diagram;
Figure 10, buckle steel nail connection folder sectional view of the present invention;
Figure 11, steel nail train wheel bridge top view of the present invention;
Figure 12, the vertical section schematic diagram of steel nail train wheel bridge of the present invention;
Figure 13, the top view of steel nail lower plate of the present invention;
Figure 14, steel nail lower plate vertical section schematic diagram of the present invention;
Figure 15, the top view of the invention with tooth U groove fixture blocks;
Figure 16, the vertical section schematic diagram of the invention with tooth U groove fixture blocks;
Figure 17, the top view of U grooves fixture block of the present invention;
Figure 18, the vertical section schematic diagram of U grooves fixture block of the present invention;
Figure 19, the Telescopic Fixed device sub-assembly connection schematic diagram of pressure regulation of the present invention;
Figure 20, the right view of pressure regulation fixed block of the present invention;
Figure 21, pressure regulation fixed block top view of the present invention;
Figure 22, the front view of pressure regulation fixed block of the present invention;
Figure 23, the right view of pressure regulation sliding block of the present invention;
Figure 24, the top view of pressure regulation sliding block of the present invention;
Figure 25, the front view of pressure regulation sliding block of the present invention;
Figure 26, the present invention unscrews long spiro nail in pressure regulation fixed block, extracts improper carbon rod schematic diagram;
Figure 27, the present invention inserts long carbon rod in the schematic diagram of cross through hole on pressure regulation fixed block;
Figure 28, the present invention extracts pressure regulation fixed block and is not suitable for adjustable carbon rod, the schematic diagram of the adjustable carbon rod of insertion end;
Figure 29, the vertical section schematic diagram of bar joining beam fixture block combination of the present invention;
Figure 30, U grooves upper fixture block top view with holes of the invention;
Figure 31, the vertical section schematic diagram of U grooves upper fixture block with holes of the invention;
Figure 32, adjustable square toes steel nail of the invention is clamping to interrupt femoral fracture section, the outer resected femur two of buckle steel nail connection folder surely
Hold fracture segment schematic diagram;
Figure 33, the present invention is in outer resected femur several sections of fracture, and every section of steel nail afterbody is all pressed from both sides with adjustable square toes steel nail
Couple schematic diagram during external fixator;
Figure 34, the present invention is in outer resected femur several sections of fracture, and every section of steel nail afterbody is all pressed from both sides with buckle steel nail to be coupled
The schematic diagram of external fixator;
Several sections of fracture on Figure 35, the outer resected femur condyle of the present invention, all fixes schematic diagram with buckle steel nail folder T-shaped;
Figure 36, present invention combination is fractured with outer resected femur stage casing, and reinforcing carbon rod is shifted Telescopic Fixed in pressure regulation
The lower section of device, 4 all press from both sides the schematic diagram that is connected and fixed with steel nail afterbody with adjustable square toes steel nail;
Figure 37, the present invention is applied in outer resected femur stage casing fracture, reinforces the transfer of carbon rod in the Telescopic Fixed device of pressure regulation
Lower section, 4 steel nail afterbodys are all connected and fixed schematic diagram with buckle steel nail connection folder;
Figure 38, patent of the present invention applies fixed outside the outer super ankle-joint of fixed tibial ankle complicated fracture, bar joining beam
Fixture block connection quarter butt T combination T-shaped, is all pressed from both sides, the super ankle of steel nail fixes the signal of root bone and contract bone (astragalus) respectively with buckle steel nail
Figure;
Figure 39, the present invention is applied combines T-shaped outer fixed tibial ankle complicated fracture in combination fixture block connection quarter butt,
Root bone and contract bone are fixed outside super ankle-joint, the schematic diagram for pressing from both sides linking fixer is all joined with adjustable square toes steel nail;
Figure 40, Zhong Jia exterior fixing rack structural representation;
Figure 41, is existing multifunctional combination exterior fixing rack structural representation;
Figure 42, is existing single armed three-dimensional external fixed support structural representation.
Embodiment
Embodiment one:As shown in Fig. 1 to Figure 32, the adjustable buckle of combined type unilateral double-arm multistage femoral fracture of the present embodiment
Bone compression fixator, if including the Telescopic Fixed device of pressure regulation, some steel nail fixing devices, the first support arm 10, the second support arm and
Dry to reinforce connection folder, the second support arm includes left arm body 17-1 and right arm body 17-2, and left arm body 17-1 intercalations are Telescopic Fixed in pressure regulation
The left side of device, right arm body 17-2 intercalations are in the right side of the Telescopic Fixed device of pressure regulation, left arm body 17-1 and the first support arm 10 and right arm
Coupled respectively by reinforcing connection folder and setting up between body 17-2 and the first support arm 10, steel nail fixing device is arranged on the first support arm
Or second on support arm.
The Telescopic Fixed device of pressure regulation includes pressure regulation fixed block 20, pressure regulation sliding block 22, scale 2, scale and fixes nail 8, slide bar
23rd, fixing screws 24 and pressure regulation leading screw, pressure regulation fixed block 20 are identical with shape with the structure of pressure regulation sliding block 22, and the pressure regulation is fixed
Block 20 is from top to bottom sequentially provided with scale open slot, upper cross through hole, lower cross through hole, the vertical side of pressure regulation fixed block 20
Provided with projection, pressure regulation fixed block 20 is raised interior provided with plus thread through hole, and the projection of pressure regulation sliding block 22 is provided with left-hand thread through hole, positive spiral shell
The axis of line through hole, the axis of left-hand thread through hole, the diameter parallel of the axis of upper cross through hole and lower cross through hole, upper transverse direction are led to
Hole and the side of lower cross through hole are respectively equipped with the horizontal opening groove communicated therewith, and opening direction and the scale of horizontal opening groove are opened
The opening direction of mouth groove is on the contrary, the intercalation of the scale 2 is in scale open slot, and the upper end of the pressure regulation fixed block 20 is provided with positive spiral shell
Pit, scale fixes 8 lower ends of nail and inserts the scale open slot that one end of scale 2 is fixed on pressure regulation fixed block 20 by the screwed hole
Interior, the other end of scale 2 extends pressure regulation sliding block 22 and in 90 ° of bendings downwards, and one end of slide bar 23 is sequentially inserted into pressure regulation sliding block
Cross through hole on 22 upper cross through hole and pressure regulation fixed block 20, the other end other end extends pressure regulation sliding block 22 and and scale
2 bending end is set up by fixing screws 24 to be coupled, plus thread hole and pressure regulation sliding block in the projection of the pressure regulation fixed block 20
Set up and coupled by pressure regulation leading screw between left-hand thread hole in 22 projection, the left arm body 17-1 intercalations are in pressure regulation fixed block 20
The left side of lower cross through hole, right arm body 17-2 intercalations are on the right side of the lower cross through hole of pressure regulation sliding block 22.In order to increase outside single armed
Fixed support bulk strength, this external fixator increase support body intermediate intensity is designed with pressure regulation leading screw, slide bar, at the end of outer fixation,
Tighten long spiro nail to fix, be more importantly also devised with the first support arm, play reinforcement effect, by reinforcing upper lower fixture block, across
Pressure point is crossed, is fixed on respectively in the Telescopic Fixed device both sides of pressure regulation on the first support arm, it is particularly suitable as shown in Figure 19 and Figure 32
Femoral fracture, because lower limb lever adds brachium, the myotility of femur is strong, it is necessary to which strong stable outer fixation can be only achieved outside postoperative
The fixed newborn poroma of bone stump, not because of fixed not stable two this sections, it is to avoid cause nonunion situation to occur.
The pressure regulation leading screw includes look nut 21-1 with holes, left side adjusting threaded spindle 21-2 and the anti-screw rod 21- of right side pressure regulation
3, left side adjusting threaded spindle 21-2 and the anti-screw rod 21-3 of right side pressure regulation are set up by look nut 21-1 with holes to be coupled, left side levelling spiral shell
Bar 21-2 and the anti-screw rod 21-3 of right side pressure regulation screw in the plus thread hole of pressure regulation fixed block 20 by positive/negative thread respectively and pressure regulation is slided
In left-hand thread through hole in the projection of block 22.
Vertical through hole is equipped with the pressure regulation fixed block 20 and pressure regulation sliding block 22, the vertical of the pressure regulation fixed block 20 leads to
It is provided with hole in long spiro nail 19, the vertical through hole of pressure regulation sliding block 22 and is provided with long spiro nail 1.
The steel nail fixing device is that adjustable steel nail joins folder, including bulb upper fixture block 6, bulb lower fixture block 5, the first screw 7
With adjustable square toes steel nail folder 4, the bulb upper fixture block 6 is identical with the planform of bulb lower fixture block 5, bulb upper fixture block 6 and ball
The side of the contact surface of head lower fixture block 5 is provided with ball recess, and opposite side is provided with arc groove, and square toes steel nail presss from both sides 4 one end to be spherical,
The other end is square, and square end is provided with steel nail through hole and top nail 3, the line and steel nail at the square end center and spheric end center
The axis of through hole is vertical, and the axis of top nail 3 is vertical with the axis co-planar of steel nail through hole, is pressed from both sides under the bulb upper fixture block 6 and bulb
Block 5 is set up by the first screw 7 to be coupled, first support arm 10 through bulb upper fixture block 6 and the contact surface of bulb lower fixture block 5 it
Between arc groove in, the spheric end of adjustable square toes steel nail folder 4 is placed between bulb upper fixture block 6 and the contact surface of bulb lower fixture block 5
Ball recess in.
The steel nail fixing device is that buckle steel nail joins folder, including the 3rd screw 13, steel nail train wheel bridge 14, steel nail lower plate
15th, spring 26, band tooth U grooves fixture block 16, U grooves fixture block 18 and Screw 27, the lower end of the 3rd screw 13 is sequentially passed through to press from both sides on steel nail
Set up and couple with Screw 27 after plate 14, steel nail lower plate 15, spring 26, band tooth U grooves fixture block 16 and U grooves fixture block 18, the steel
The upper surface side for following closely lower plate 15 is provided with boss, and opposite side is provided with side on V-shaped groove, the lower surface of steel nail train wheel bridge 14 and is provided with
Escape groove, opposite side is provided with steel nail deep-slotted chip breaker, and the first escape groove is corresponding with the cooperation of first boss, steel nail deep-slotted chip breaker and V-shaped groove
Cooperation correspondence, the side of the lower surface of the U-shaped upper fixture block is provided with second boss, and opposite side is provided with upper U-lag, U groove fixture blocks
The side of 18 upper surface is provided with the second escape groove, and opposite side is provided with lower U-lag, the cooperation pair of the second escape groove and second boss
Should, upper U-lag is corresponding with the cooperation of lower U-lag, and the second support arm is passed through between band tooth U grooves fixture block 16 and the contact surface of U grooves fixture block 18
U-lag.
The lower surface of the steel nail lower plate 15 and upper surface with tooth U grooves fixture block 16 are toothed surfaces.
The connection folder of reinforcing includes reinforcing upper fixture block 11, reinforces the screw 12 of lower fixture block 9 and second, the reinforcing upper fixture block 11
Identical with shape with the structure for reinforcing lower fixture block 9, the both sides for reinforcing upper fixture block 11 and reinforcing the contact surface of lower fixture block 9 are provided with arc
Groove, reinforces upper fixture block 11 and reinforces lower fixture block 9 and set up connection by the second screw 12.
The support arm of first support arm 10 and second is carbon rod.
First screw 7, the second screw 12, the 3rd screw 13, long spiro nail 1 and long spiro nail 19 are soket head cap screw.
As shown in figure 32, the present invention is combined into outside the adjustable buckle bone pressuring external fixer of unilateral double-arm multistage femoral fracture solid
Determine femur several sections of fracture as shown in figure 32, the end of femur 3 fracture drills to fracture segment, is screwed into two steel nails respectively in big leg outer side,
Steel nail afterbody couples with accelerating 15 under external fixator two ends steel nail train wheel bridge 14 and steel nail, two steel nail afterbodys of intermedium trisection
4 couple with adjustable square toes steel nail folder, then the locking that makes a decision with the tight external fixator each several part of L twistings starts to piecewise fracture segment
Bone pressurizes, and method is, with the loose screw 12 of long spiro nail 1 and second of L twistings, insertion screw press 21 with holes, counterclockwise rotation to be pulled with straight-bar
It is dynamic, fracture segment is moved to the direction i.e. bone stump direction that arrow refers to, observe scale 2, close fracture gap, continue switching,
3mm is moved again, produces 3kg compression (result calculated with straightforward procedure), the screw of long spiro nail 1 and second is tightened immediately after
12, locking makes bone stump produce compression, remains to union, recovers this bone section fracture physiology compression, improves fracture and control
More rate;
Embodiment two:As shown in figure 33, the present embodiment is combined into outside the adjustable buckle pressurization of unilateral double-arm multistage femoral fracture
Fixator, the steel nail folder of the outer end of resected femur 3 fracture all presss from both sides two steel that 4 combinations couple every piece of bone section with adjustable square toes steel nail
Afterbody is followed closely, is fixed described in each fracture segment pressure method embodiment one, feature is that adjustable square toes steel nail folder 4 can be transferred, correct bone
Folding displacement.
Embodiment three:As shown in figure 34, the present embodiment is combined into the adjustable buckle bone locking and pressurizing of both arms multistage femoral fracture
The steel nail afterbody of the outer end of resected femur 3 fracture of external fixator, is all joined with buckle steel nail and pressed from both sides, is connected and fixed, buckle steel nail connection folder
Feature connection steel nail speed is fast, described in each fracture segment pressure method be the same as Example one.
Example IV:The present embodiment and the difference of embodiment one are that the combined type unilateral double-arm multistage femoral fracture can
Adjust buckle bone compression fixator include bar joining beam fixture block combination unit, including including the 3rd screw 13, U grooves upper fixture block 25 with holes,
First band tooth U groove fixture blocks 16-1, band tooth U groove fixture block 16-2, U grooves of spring 26, second fixture block 18 and Screw 27, the 3rd screw 13
Lower end sequentially pass through U grooves upper fixture block 25 with holes, first band tooth U groove fixture blocks 16-1, the band tooth U groove fixture blocks of spring 26 second 16-2, U
Set up and couple with Screw 27 after groove fixture block 18, the side of the lower surface of the U grooves upper fixture block 25 with holes is provided with escape groove, another
Side is provided with U-lag, and first band tooth U groove fixture blocks 16-1 upper surface side is provided with boss, and opposite side is provided with lower U-lag, described
The side of second lower surface with tooth U groove fixture blocks 16-2 be provided with second boss, opposite side be provided with upper U-lag, U grooves fixture block 18 it is upper
The side of end face is provided with the second escape groove, and opposite side is provided with lower U-lag, the cooperation pair of first escape groove and first boss
Should, the second escape groove is corresponding with the cooperation of second boss, and upper U-lag is corresponding with the cooperation of lower U-lag, as shown in figure 35, this hair
It is bright during several sections of fracture, all to be fixed on outer resected femur condyle with buckle steel nail folder T-shaped;
As shown in figure 35, the present embodiment is combined into outside the adjustable buckle bone locking and pressurizing of unilateral double-arm multistage femoral fracture fixed
Device, all with the connection folder combination of buckle steel nail, be connected and fixed each fracture segment, wherein four nearly fracture of the femoral condyle bar joining beam is pressed from both sides
Block, the first support arm of connection and the connection right-angled intersection of quarter butt 28 are fixed, the buckle steel nail folder connection folder combination connection of the two ends of quarter butt 28
The fixed steel nail of ankle two, and two steel nail afterbodys of two steel nail afterbodys of sclerite and fractured near end block, bone are interrupted in connection respectively
Pressure method is identical with embodiment one.
Embodiment five:As shown in figure 36, the present embodiment present invention is applied in outer resected femur stage casing fracture, the first support
Arm 10 is shifted below flexible pressure regulator, is all connected and fixed with adjustable square toes steel nail, pressure method is:Unscrew the He of long spiro nail 1
The switching clockwise of second screw 12, pressure regulation leading screw makes fracture segment be moved to the direction of arrow, bone pressurization, sutura is healed.
Embodiment six:As shown in figure 37, outer resected femur stage casing fracture is originally practiced, the first support arm 10 is transferred
Below pressure regulation expansion bend, all couple steel nail afterbody with buckle steel nail, bone pressurization is identical with embodiment five.
Embodiment seven:As shown in figure 38, this implementation is combined into outside the super ankle-joint of shank and fixed, and is all joined with buckle steel nail
Folder, the super ankle of two of which couples the first support arm 10 and quarter butt 28 with bar joining beam fixture block 25, is fixed in right-angled intersection, 28 liang of quarter butt
Calcaneum and contract bone (astragalus) are fixed in end respectively with buckle steel nail folder connection two and the super ankle of steel nail, and feature is the folder connection of buckle steel nail
Steel nail is easy to operate, and outer fixation is quick.
Embodiment eight:As shown in figure 39, as shown in figure 39, the whole steel nail folders of the present invention are combined into adjustable square toes steel nail folder
The nearly ankle-joint complicated fracture of the super ankle-joint External fixation shin bone of shank, bar joining beam fixture block connects the first support arm 10 and short
Bar 28 is fixed in right-angled intersection, and quarter butt two ends press from both sides be connected and fixed calcaneum and contract bone, adjustable square toes steel nail folder with adjustable square toes steel nail
Feature is the adjustable positive remaining displacement of fracture of bulb folder steel nail after outer fixation.
Long spiro nail 1 and long spiro nail 19 of the present invention, scale 2, top nail 3, short 3rd screw 7, scale fix nail 8, solid
It is all medical stainless steel standard component to determine screw 24;Described adjustable square toes steel nail presss from both sides 4, bulb lower fixture block 5, bulb upper fixture block 6, added
Gu lower fixture block 9, reinforcing upper fixture block 11 make by medical stainless steel, steel nail train wheel bridge 14, steel nail lower plate 15, band tooth U groove folders
Block 16, U grooves fixture block 18, pressure regulation fixed block 20, screw press with holes 21, pressure regulation sliding block 22 are manufactured by aluminum alloy materials, and described
The carbon rod of one support arm and the second support arm is the standard component that carbon fiber material makes.
Patent of the present invention preferably embodiment is the foregoing is only, these embodiments are all based on this hair
Different implementations under bright patent general idea, moreover, the protection domain of patent of the present invention is not limited to this, it is any to be familiar with sheet
Those skilled in the art, the invention discloses technical scope in, the varying type that can readily occur in is replaced, and all should be covered
Within protection scope of the present invention.