CN104970871B - Unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator - Google Patents

Unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator Download PDF

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Publication number
CN104970871B
CN104970871B CN201510316366.4A CN201510316366A CN104970871B CN 104970871 B CN104970871 B CN 104970871B CN 201510316366 A CN201510316366 A CN 201510316366A CN 104970871 B CN104970871 B CN 104970871B
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China
Prior art keywords
screw rod
steel nail
arm screw
protrusive board
nut
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CN104970871A (en
Inventor
王兆年
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HARBIN JIERUISI MEDICAL TECHNOLOGY Co.,Ltd.
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BRADVEN AHMAD ABDULLAH
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/60Surgical 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
    • A61B17/66Alignment, compression or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/60Surgical 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
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6416Devices extending alongside the bones to be positioned with non-continuous, e.g. hinged, pin-clamp connecting element
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/60Surgical 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
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6466Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
    • A61B17/6475Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod the connecting rod being threaded
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

Abstract

Unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, belongs to bone-specific drug technique with the apparatus field.The present invention is in order to solve the problem of big section of concurrent large segmental bone defect of comminuted fracture obstinate of lower limb femur causes limb shortening.The steel nail clamping plate connection folder that the present apparatus includes two, three or four are disposed in parallel between principal arm screw rod and auxiliary arm screw rod, the steel nail train wheel bridge and steel nail lower plate of steel nail clamping plate connection folder adjust its position in adjusting bolt up and down by nut, connecting plate upper end hole is connected with auxiliary arm screw rod, connecting plate adjusts its position on auxiliary arm screw rod by the nut of both sides, stomidium is connected with adjusting bolt up and down under connecting plate, chute is offered on principal arm screw rod, protrusive board coordinates with slide;Power nut is set between two adjacent protrusive boards, and protrusive board is adjusted its position on principal arm screw rod by power nut, is fixed on after adjustment using screw on principal arm screw rod.Present invention is mainly used in bone injury treatment.

Description

Unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator
Technical field
The present invention relates to a kind of Limb lengthening external fixator, a kind of unilateral double-arm is particularly related to adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, Cranial defect, Limb lengthening and malformation correction for lower limb are treated, and belong to bone-specific drug apparatus skill Art field.
Background technology
Extend pressuring locking type external fixator currently without the femur of the adjustable double-power bidirectional of unilateral double-arm, treatment femur is big Section comminuted fracture, obstinate, bone fracture bone information, the treatment means of concurrent large segmental bone defect.Interior fixation or existing outer fixation Limb lengthening (bone is moved) support is not applied to, and what obstinate had is up to 8 years, and pain is brought to patient, some requirement amputation, in order to This problem is solved, fixed extension (bone is moved) support (as shown in figure 17), its master existed outside a kind of single armed occurs in the market Have the disadvantage:1st, the physiology dissection for wearing slotted eye road and femur that steel nail fixes steel nail of design is not met, and the dissection of femur physiology is special Putting is:The dissection of femur physiology is slight curved to lordosis, and femur long bone axis is arc (as shown in figure 11), and is designed Single armed outside fixed extension (bone is moved) support, devise 3 pieces and wear steel nail folder steel nail slotted eye road, every piece can fix and select 2 steel Slotted eye road is followed closely all on a horizontal line, the steel nail of several groups of nail clipping boards is fixed outside drift bolt to be all through on femur axis, femur Proximally and distally can drift bolt on femur axis, and steel nail is then through on facies posterior femoris soft tissue in the middle of femur, or is through femur Below in cortex of bone;2nd, nail clip block is without adjustability forward or backward, it is impossible to complete extension osteotomy (bone is moved).It is fixed outside single armed The basic requirement of extension (bone is moved) support is all unable to reach, therefore is abandoned by orthopedics expert, not expanded.
Because single armed Limb lengthening support, design departs from the dissection of femur physiology, and femur has the slight arc to lordosis, nail clip groove Hole is without adjustability, inapplicable lower limb big section of comminuted fracture of femur, obstinate, and the large segmental bone defect that bone information is caused can not By effective method, patient's useless leg in tow, it is impossible to walk, bring long-term pain is having or even require amputation.Orthopaedics Expert needs to recall again her ring support (Figure 18) clinical practice of asking love to invent, osteotomy of 100 Nian Qian Russia in order to clinical Extended treatment Cranial defect, the open big section comminuted fracture Cranial defect of calf shank or treatment side Lower limb shortening, cyllopodia of walking, though So it is fixed on 4-6 becket on shank, intersection wears draw point, and to fix extension osteotomy very heavy, takes up space big, postoperative carrying is not It is convenient, but the therapeutic purposes of extension osteotomy repairing bone defect can be reached.
But big section of crushing sclerotin obstinate bone information of thigh femur is used in cause to fix not outside large segmental bone defect, ring type It is applicable, because thigh anatomical features soft tissue is abundant, femoribus internus has main artery and vein, Sciatic nerve, the outer fixed branch of annular Frame, intersection pin is worn to femur, and closure is passed from big leg outer side through femur from inside skin, and femoribus internus has compared with main artery, quiet Arteries and veins, nerve, it is necessary to avoid blood vessel, several draw points intersect big leg outer side and penetrated, and through femur, skin danger close is passed from inner side, Difficulty of threading a needle is big, runs into individual arteriovenous anatomical position variation, draw point wears out big blood vessel, can cause massive haemorrhage, particularly big Extension osteotomy under the small tuberosity of leg femur, at thigh femoral greater trochanter position, close to the nearly groin position of pelvis, (femur ditch position has Femoral artery and femoral vein, femoral nerve are all big blood vessels), it is impossible to it can only be fixed with loopful with semi-ring, two draw point vertical direction are worn Low-angle intersects draw point (fixed not as loopful intersect fixation of threading a needle stable), and outer fixation wears intersection pin and can cause to wear out femoribus internus Neurovascular danger, carries the several beckets of thigh after outer fixation and semi-ring takes up space greatly, sitting and lying all effected is near in thigh End semi-ring is unable to wide-angle and wears draw point, therefore fixation is not stable, and therapeutic effect is unreliable, therefore inapplicable.
The content of the invention
The brief overview on the present invention is given below, to provide on the basic of certain aspects of the invention Understand.It should be appreciated that this general introduction is not the exhaustive general introduction on the present invention.It is not intended to determine the pass of the present invention Key or pith, nor is it intended to limit the scope of the present invention.Its purpose only provides some concepts in simplified form, In this, as the preamble in greater detail discussed later.
In consideration of it, according to an aspect of the invention, there is provided the adjustable two-way double dynamical Limb lengthening pressurization lock of unilateral double-arm Determine external fixator, caused with least solving concurrent big section (10cm or so) Cranial defect of big section of comminuted fracture obstinate of lower limb femur The problem of limb shortening.
Scheme one:The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm of the present invention, including principal arm Screw rod, auxiliary arm screw rod and four steel nail clamping plate connection folders, principal arm screw rod and auxiliary arm screw rod are setting up and down, and four steel nail clamping plate connection folders are simultaneously Row are arranged between principal arm screw rod and auxiliary arm screw rod, and each steel nail clamping plate connection folder includes connecting plate, steel nail train wheel bridge, upper downward Arranged above and below whole screw rod, steel nail lower plate and protrusive board, the steel nail train wheel bridge, steel nail lower plate and protrusive board, and by two Lower adjusting bolt links together, and steel nail train wheel bridge and steel nail lower plate adjust its position in adjusting bolt up and down by nut Put, the two ends of connecting plate are provided with hole, connecting plate upper end hole is connected with auxiliary arm screw rod, connecting plate by the nut of both sides adjust its Stomidium is connected with any one in about two adjusting bolts under position on auxiliary arm screw rod, connecting plate, is opened on principal arm screw rod Provided with chute, protrusive board coordinates with slide;One is provided between adjacent two protrusive board of four steel nail clamping plate connection folders to move Power nut, protrusive board adjusts its position on principal arm screw rod by power nut, and principal arm screw rod is fixed on using screw after adjustment On.
Further:The protrusive board is that the chute on dovetail protrusive board, principal arm screw rod is dovetail groove, and dovetail protrusive board is in dovetail Slided in groove.It is arranged such, structure is more stable.
Further:The connecting plate is L-square.It is arranged such, is easy to connection.
Further:The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm also includes scale, Scale is arranged in chute.It is arranged such, the adjustment of power nut is more accurate.
Further:Multiple apertures are provided with the periphery of the power nut.It is arranged such, is easy to rotational power spiral shell It is female.
Further:The nut, auxiliary arm screw rod, adjusting bolt, screw and scale are medical stainless steel standard up and down Part, the connecting plate, steel nail train wheel bridge, steel nail lower plate, protrusive board and power nut are made by aluminum alloy materials.
The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm of such scheme one, which is particularly suitable for use in, to be controlled Treat fixed outside the two-way femur extension of osteotomy Cranial defect and shin bone Bidirectional extension.
Scheme two:The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm of the present invention, including principal arm Screw rod, auxiliary arm screw rod and three steel nail clamping plate connection folders, principal arm screw rod and auxiliary arm screw rod are setting up and down, and four steel nail clamping plate connection folders are simultaneously Row are arranged between principal arm screw rod and auxiliary arm screw rod, and each steel nail clamping plate connection folder includes connecting plate, steel nail train wheel bridge, upper downward Arranged above and below whole screw rod, steel nail lower plate and protrusive board, the steel nail train wheel bridge, steel nail lower plate and protrusive board, and by two Lower adjusting bolt links together, and steel nail train wheel bridge and steel nail lower plate adjust its position in adjusting bolt up and down by nut Put, the two ends of connecting plate are provided with hole, connecting plate upper end hole is connected with auxiliary arm screw rod, connecting plate by the nut of both sides adjust its Stomidium is connected with any one in about two adjusting bolts under position on auxiliary arm screw rod, connecting plate, is opened on principal arm screw rod Provided with chute, protrusive board coordinates with slide;One is provided between adjacent two protrusive board of three steel nail clamping plate connection folders to move Power nut, is also equipped with power nut on the left of the protrusive board in left side, and protrusive board adjusts it on principal arm screw rod by power nut Position, be fixed on after adjustment using screw on principal arm screw rod.
Further:The protrusive board is that the chute on dovetail protrusive board, principal arm screw rod is dovetail groove, and dovetail protrusive board is in dovetail Slided in groove.It is arranged such, structure is more stable.
Further:The connecting plate is L-square.It is arranged such, is easy to connection.
Further:The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm also includes scale, Scale is arranged in chute.It is arranged such, the adjustment of power nut is more accurate.
Further:Multiple apertures are provided with the periphery of the power nut.It is arranged such, is easy to rotational power spiral shell It is female.
The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm of such scheme two, which is particularly suitable for use in, to be controlled Treat 1/3 Cranial defect under calf shank fixed outside 3 to 5cm unidirectional Limb lengthenings.
Scheme three:The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm of the present invention, including principal arm Screw rod, auxiliary arm screw rod and three steel nail clamping plate connection folders, principal arm screw rod and auxiliary arm screw rod are setting up and down, and four steel nail clamping plate connection folders are simultaneously Row are arranged between principal arm screw rod and auxiliary arm screw rod, and each steel nail clamping plate connection folder includes connecting plate, steel nail train wheel bridge, upper downward Arranged above and below whole screw rod, steel nail lower plate and protrusive board, the steel nail train wheel bridge, steel nail lower plate and protrusive board, and by two Lower adjusting bolt links together, and steel nail train wheel bridge and steel nail lower plate adjust its position in adjusting bolt up and down by nut Put, the two ends of connecting plate are provided with hole, connecting plate upper end hole is connected with auxiliary arm screw rod, connecting plate by the nut of both sides adjust its Stomidium is connected with any one in about two adjusting bolts under position on auxiliary arm screw rod, connecting plate, is opened on principal arm screw rod Provided with chute, protrusive board coordinates with slide;One is provided between adjacent two protrusive board of three steel nail clamping plate connection folders to move Power nut, protrusive board adjusts its position on principal arm screw rod by power nut, and principal arm screw rod is fixed on using screw after adjustment On.
Further:The protrusive board is that the chute on dovetail protrusive board, principal arm screw rod is dovetail groove, and dovetail protrusive board is in dovetail Slided in groove.It is arranged such, structure is more stable.
Further:The connecting plate is L-square.It is arranged such, is easy to connection.
Further:The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm also includes scale, Scale is arranged in chute.It is arranged such, the adjustment of power nut is more accurate.
Further:Multiple apertures are provided with the periphery of the power nut.It is arranged such, is easy to rotational power spiral shell It is female.
The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm of such scheme three, which is particularly suitable for use in, to be controlled Lower limb side limb shortening, the outer fixation of the unidirectional shank Limb lengthening of osteotomy are treated, correction is walked lamely.
Scheme four:The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm of the present invention, including principal arm Screw rod, auxiliary arm screw rod and two steel nail clamping plate connection folders, principal arm screw rod and auxiliary arm screw rod are setting up and down, and four steel nail clamping plate connection folders are simultaneously Row are arranged between principal arm screw rod and auxiliary arm screw rod, and each steel nail clamping plate connection folder includes connecting plate, steel nail train wheel bridge, upper downward Arranged above and below whole screw rod, steel nail lower plate and protrusive board, the steel nail train wheel bridge, steel nail lower plate and protrusive board, and by two Lower adjusting bolt links together, and steel nail train wheel bridge and steel nail lower plate adjust its position in adjusting bolt up and down by nut Put, the two ends of connecting plate are provided with hole, connecting plate upper end hole is connected with auxiliary arm screw rod, connecting plate by the nut of both sides adjust its Stomidium is connected with any one in about two adjusting bolts under position on auxiliary arm screw rod, connecting plate, is opened on principal arm screw rod Provided with chute, protrusive board coordinates with slide;One is provided between adjacent two protrusive board of two steel nail clamping plate connection folders to move Power nut, is also equipped with power nut on the left of the protrusive board in left side, and protrusive board adjusts it on principal arm screw rod by power nut Position, be fixed on after adjustment using screw on principal arm screw rod.
Further:The protrusive board is that the chute on dovetail protrusive board, principal arm screw rod is dovetail groove, and dovetail protrusive board is in dovetail Slided in groove.It is arranged such, structure is more stable.
Further:The connecting plate is L-square.It is arranged such, is easy to connection.
Further:The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm also includes scale, Scale is arranged in chute.It is arranged such, the adjustment of power nut is more accurate.
Further:Multiple apertures are provided with the periphery of the power nut.It is arranged such, is easy to rotational power spiral shell It is female.
The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm of such scheme four, which is particularly suitable for use in, to be controlled Fixed outside treatment open tibial, comminuted merging soft tissue infection, bone pressurization association bar shin bone bone section Physiological Pressure stress promotes to fracture Immediate union.
The effect that is reached of the present invention is:Unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, it is single Side takes up space small, both arms tension, warping resistance, and intensity is high, adjustable, can transfer nail clip plate and move up and down, steel nail is accurately through stock On bone axial line.Specific advantage is as follows:
1st, it is unilateral:Draw point is worn in big leg outer side, big leg outer side does not have big nervus vasculairs safety, and external fixator is fixed on thigh Outside, compared with toroidal frame, takes up space small, easy to carry, is easy to nursing.
2nd, both arms:Bear bending resistance, tensile strength, meet mechanics principle, both arms one are principal arm screw rods, top have one it is auxiliary Arm screw rod, its mechanical structure is very long just as tower crane cantilever, to sling transport thousands of kilograms of fragments of brick, cement, there is a steel wire top Rope as tower crane cantilever two ends connection mechanics principle, arm structure of the present invention make outside Limb lengthening process admittedly device it is integrally stable solid It is fixed.Lower limb function is practised, during lower limb exercise, and new life extension poroma is not broken.
3rd, it is adjustable:It is connected by about two adjusting bolts with steel nail train wheel bridge, steel nail lower plate and the stomidium of protrusive board two, up and down Slide and alternately twisting the nut on steel nail train wheel bridge and steel nail lower plate two sides, steel nail clamping plate can rise along adjusting bolt or under Drop, the adjustable orientation for wearing steel nail can also be at any time adjusted to the identical broken ends of fractured bone up or down displacement of Cranial defect during extension, can Bent according to the slight convex forward of femur physiology dissection, the steel nail slotted eye on steel nail point, adjustment steel nail clamping plate is worn in adjustment, makes institute There is steel nail to be accurately aimed at femur central axis, drift bolt fixes not skewed, and adjustment at any time has flexibility.
4th, it is double dynamical:Bone uptake advantage:The present invention promotes the power source of osteotomy section Limb lengthening by two, and one is to twist master The power nut connected on arm screw rod, promotes the adjusting bolt up and down of protrusive board connection during switching, the steel nail of steel nail clamping plate connection is cut Limb lengthening bone section is moved to the daily 1mm in Cranial defect direction;Another power source is the spiral shell of the auxiliary arm screw rod upper junction plate both sides of switching Mother, promotes the steel nail clamping plate connection steel nail extension osteotomy bone section of connecting plate connection, while Limb lengthening is moved to the Cranial defect broken ends of fractured bone, this The promotion of two power source formation is made a concerted effort, and protrusive board average rate in chute can be made not to be tilted towards bone stump movement Limb lengthening, and dovetail is convex Plate occurs without stagnant card phenomenon in dovetail groove.Scale is designed with dovetail groove, it may be observed that the distance extended every time.
5th, two-way Limb lengthening:Big section of comminuted fracture of femur, large segmental bone defect, obstinate Chang Bingfa adjacent joints are stiff etc. Complication, two-way Limb lengthening repairs Cranial defect, makes Cranial defect end-to-end anastomosis, and healing time shortens one times, early stage healing, early stage work( It can practise, it is to avoid complication.Big section (10cm) Cranial defect is repaired in unidirectional extension, and extension bone section stroke distances are long, also dangerous.
6th, bone pressurizes:Scale is provided with dovetail groove, it may be observed that bone pressurization displacement, Cranial defect broken ends of fractured bone bone after coincideing Pressurization, method is after bone stump coincide, while twisting the power on the nut and principal arm screw rod of auxiliary arm screw rod upper junction plate both sides Nut, in dovetail groove scale move up dynamic 3mm (do mechanical loading test bone stump compression be 3kg, be that human femur under loading is normal Physiology compression).Recover normal physiological compression, promote fracture site healing.
7th, lock:Lock function is designed with, in the identical bone pressurization of bone stump, recovers the bone physiology compression, tightens immediately Dovetail protrusive board two ends screw locking dovetail protrusive board, makes dovetail protrusive board connect adjusting bolt, steel nail clamping plate, steel nail, two osteotomy sections The broken ends of fractured bone that coincide keeps 3kg physiology compression to union is arrived, and finally tightens whole screws, nut, power nut locking, stable It is fixed.Bone stump and the newborn poroma of Limb lengthening is set not to be fractureed because of limb activity, function exercise.
The present invention is a kind of small volume in summary, lightweight, adjustable, flexibly, safety, simple to operate, after outer fixation It is easy to carry, the preferable therapeutic system of the reliable thigh femur obstinate large segmental bone defect of therapeutic effect.
Brief description of the drawings
Fig. 1 is the adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm according to an embodiment of the invention Three-dimensional structure diagram;
Fig. 2 is the three-dimensional structure diagram of steel nail clamping plate connection folder according to an embodiment of the invention;
Fig. 3 is the steel nail duct adjustability schematic diagram of steel nail clamping plate according to an embodiment of the invention;
Fig. 4 is the structural representation of L-square according to an embodiment of the invention;
Fig. 5 is the structural representation of steel nail train wheel bridge or steel nail lower plate according to an embodiment of the invention;
Fig. 6 is dovetail protrusive board stereogram according to an embodiment of the invention;
Fig. 7 is the cross-sectional view of dovetail protrusive board according to an embodiment of the invention;
Fig. 8 is the connection diagram of principal arm screw rod and power nut according to an embodiment of the invention;
Fig. 9 is power nut side view according to an embodiment of the invention;
Figure 10 is the stereogram of power nut according to an embodiment of the invention;
Figure 11 is femur side position physiology dissection femur tubulose axis of bone heart line schematic diagram;
Figure 12 is that 4 groups of steel nail clamping plate connection are pressed from both sides according to an embodiment of the invention, osteotomy double-power bidirectional femur extension work View;
Figure 13 is shin bone Bidirectional extension working state schematic representation according to an embodiment of the invention;
Figure 14 is that shin bone unidirectionally extends working state schematic representation according to an embodiment of the invention;
Figure 15 is that lower leg lengthening corrects side Lower limb shortening working state schematic representation according to an embodiment of the invention;
Figure 16 is that infected fracture working state figure is crushed in shin bone exploration according to an embodiment of the invention;
Figure 17 is the application state figure of existing single armed Limb lengthening support;
Figure 18 is existing ring type or half-ring external fixing rack application state figure.
In figure:1- connecting plates;2- nuts;The auxiliary arm screw rods of 3-;4- steel nail train wheel bridges;Above and below 5- adjusting bolts;Under 6- steel nails Clamping plate;7- protrusive boards;8- screws;9- principal arm screw rods;10- scales;11- power nuts.
Embodiment
The one exemplary embodiment of the present invention is described hereinafter in connection with accompanying drawing.For clarity and conciseness, All features of actual embodiment are not described in the description.It should be understood, however, that developing any this actual implementation Many decisions specific to embodiment must be made during example, to realize the objectives of developer, for example, symbol Those restrictive conditions related to system and business are closed, and these restrictive conditions may have with the difference of embodiment Changed.In addition, it also should be appreciated that, although development is likely to be extremely complex and time-consuming, but to having benefited from the present invention For those skilled in the art of disclosure, this development is only routine task.
Herein, in addition it is also necessary to which explanation is a bit, in order to avoid having obscured the present invention because of unnecessary details, in the accompanying drawings It illustrate only and according to the closely related apparatus structure of the solution of the present invention and/or process step, and eliminate and the present invention The little other details of relation.
It is adjustable two-way The embodiment provides the first unilateral double-arm as shown in Fig. 1 to Figure 10, Figure 12, Figure 13 Double dynamical Limb lengthening locking and pressurizing external fixator, including principal arm screw rod 9, auxiliary arm screw rod 3 and four steel nail clamping plate connection folders, principal arm spiral shell Bar 9 and auxiliary arm screw rod 3 are setting up and down, and four steel nail clamping plate connection folders are disposed in parallel between principal arm screw rod 9 and auxiliary arm screw rod 3, often Individual steel nail clamping plate connection folder includes connecting plate 1, up and down steel nail train wheel bridge 4, adjusting bolt 5, steel nail lower plate 6 and protrusive board 7, described Steel nail train wheel bridge 4, steel nail lower plate 6 and protrusive board are arranged about 7, and are linked together by about two adjusting bolts 5, steel nail There is steel nail clamping hole, steel nail train wheel bridge 4 and steel nail lower plate 6 pass through steel nail train wheel bridge 4 on train wheel bridge 4 and steel nail lower plate 6 Above and steel nail lower plate 6 below nut adjust its in position up and down in adjusting bolt 5, the two of the connecting plate 1 End is provided with hole, and the upper end hole of connecting plate 1 is connected with auxiliary arm screw rod 3, and connecting plate 1 adjusts it in auxiliary arm screw rod 3 by the nut 2 of both sides On position, 1 time stomidium of connecting plate is connected with any one in about two adjusting bolts 5, and cunning is offered on principal arm screw rod 9 Groove, the protrusive board 7 coordinates with slide;One is provided between adjacent two protrusive board 7 of four steel nail clamping plate connection folders to move Power nut 11, protrusive board 7 adjusts its position on principal arm screw rod 9 by power nut 11, and master is fixed on using screw 8 after adjustment On arm screw rod 9, a diameter of 18mm of principal arm screw rod 9, a diameter of 6mm of auxiliary arm screw rod 3, steel nail train wheel bridge 4, steel nail lower plate 6 A diameter of 7mm through hole of adjusting bolt 5 above and below upper, through the two edge chamferings in hole.The protrusive board 7 is dovetail protrusive board, principal arm Chute on screw rod 9 is dovetail groove, and dovetail protrusive board is slided in dovetail groove.The connecting plate 1 is L-square.The one side Both arms are adjustable, and two-way double dynamical Limb lengthening locking and pressurizing external fixator also includes scale 10, and scale 10 is arranged in chute.It is described Multiple apertures are provided with the periphery of power nut.The nut 2, up and down auxiliary arm screw rod 3, adjusting bolt 5, screw 8 and mark Chi 10 is medical stainless steel standard component, the L-square, steel nail train wheel bridge 4, steel nail lower plate 6, protrusive board 7 and power nut 11 It is made by aluminum alloy materials.Described unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator is (such as Fig. 1 institutes Show) be particularly suitable for use in and treat femoral fracture obstinate, bone stump bone information, concurrent large segmental bone defect (referring to Figure 12);It is also special It Shi Yongyu not fixed outside shin bone Bidirectional extension (referring to Figure 13).
Femur Bidirectional extension (referring to Fig. 1 and Figure 12):Femoral fracture obstinate, bone stump bone information, concurrent big section bone Defect 10cm, 2 steel nails are worn in distal femur and near-end respectively, are then drafting drift bolt point close to distal end and close to near-end, Two steel nails are worn respectively, are then cut and are appeared bone stump, the defect that cuts bone bone stump soft tissue and sclerotic bone, with above-mentioned unilateral pair Four steel nail clamping plates connection folder of arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator clamps eight steel nail afterbodys, uses steel Nail on, the nut of lower plate both sides tightens fixation, then appear proximally and distally cancellous bone scroll saw osteotomy, alternately twist respectively The nut 2 of the auxiliary both sides of 3 upper junction plate of arm screw rod 1, while alternately twisting the power nut 11 of the both sides of protrusive board 7 on principal arm screw rod 9, is pushed away Two bone sections of steel nail and osteotomy on dynamic steel nail clamping plate connection folder are moved to middle Cranial defect respectively, and final repairing bone defect breaks End coincide, bone pressurization, union.
Shin bone Bidirectional extension (referring to Fig. 1 and Figure 13):1/3 Cranial defect under shin bone obstinate, bone stump bone information, shin bone Below 8cm, two steel nails are worn in proximal tibia and distal tibial respectively, are drafted in femur upper 1/3 and are worn steel nail point, penetrate two Steel nail, every group of two afterbodys of four groups of steel nails are respectively placed in the steel nail clamping hole of steel nail clamping plate connection folder, with the upper and lower clamping plate of steel nail The nut of both sides tightens fixation, then appears near-end cancellous bone scroll saw osteotomy, appears bone stump excision soft tissue and sclerotic bone, Start Limb lengthening, the nut 2 of the auxiliary both sides of 3 upper junction plate of arm screw rod 1 is alternately twisted respectively, while alternately twisting on principal arm screw rod 9 The power nut 11 of the both sides of protrusive board 7, promotes two bone sections of the steel nail on steel nail clamping plate connection folder and osteotomy to lack respectively to intermedium Damage mobile extension, final repairing bone defect, end-to-end anastomosis, bone pressurization, union.
In addition, according to a kind of implementation, as shown in Fig. 1 to Figure 10, Figure 14, The embodiment provides second Unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, including principal arm screw rod 9, auxiliary arm screw rod 3 and three steel Nail clip plate connection folder, principal arm screw rod 9 and auxiliary arm screw rod 3 be setting up and down, four steel nail clamping plates connection folders be disposed in parallel in principal arm screw rod 9 with Between auxiliary arm screw rod 3, each steel nail clamping plate connection folder includes connecting plate 1, steel nail train wheel bridge 4, up and down under adjusting bolt 5, steel nail Clamping plate 6 and protrusive board 7, the steel nail train wheel bridge 4, steel nail lower plate 6 and protrusive board are arranged about 7, and pass through about two adjustment spiral shells Bar 5 links together, and has on steel nail train wheel bridge 4 and steel nail lower plate 6 and is pressed from both sides under steel nail clamping hole, steel nail train wheel bridge 4 and steel nail Plate 6 adjusts its in position up and down in adjusting bolt 5 by nut, and the two ends of connecting plate 1 are provided with hole, the upper end hole of connecting plate 1 with Auxiliary arm screw rod 3 is connected, connecting plate 1 by its position on auxiliary arm screw rod 3 of the nuts 2 of both sides adjustment, 1 time stomidium of connecting plate and Chute is offered on any one connection in about two adjusting bolts 5, principal arm screw rod 9, protrusive board 7 coordinates with slide; A power nut 11 is provided between adjacent two protrusive board 7 of three steel nail clamping plate connection folders, positioned at a left side for the protrusive board 7 in left side Side is also equipped with power nut 11, and protrusive board 7 adjusts its position on principal arm screw rod 9 by power nut 11, spiral shell is used after adjustment Nail 8 is fixed on principal arm screw rod 9, a diameter of 18mm of principal arm screw rod 9, a diameter of 6mm of auxiliary arm screw rod 3, steel nail train wheel bridge 4, A diameter of 7mm through hole of adjusting bolt 5 above and below on steel nail lower plate 6, through the two edge chamferings in hole.The protrusive board 7 is swallow Chute on tail protrusive board, principal arm screw rod 9 is dovetail groove, and dovetail protrusive board is slided in dovetail groove.The connecting plate 1 is right angle Plate.The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm also includes scale 10, and scale 10 is arranged on In chute.Multiple apertures are provided with the periphery of the power nut.The nut 2, auxiliary arm screw rod 3, up and down adjusting bolt 5th, screw 8 and scale 10 are medical stainless steel standard component, the L-square, steel nail train wheel bridge 4, steel nail lower plate 6, protrusive board 7 It is made with power nut 11 by aluminum alloy materials.It is solid outside second of unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing Determine device and the difference of the adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator (as shown in Figure 1) of the first unilateral double-arm exists In second of external fixator includes three steel nail clamping plate connection folders, and power nut 11 is also equipped with positioned at the left side of the protrusive board 7 in left side. The above-mentioned adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm, which is particularly suitable for use in, treats 1/3 bone under calf shank Defect is fixed (referring to Figure 14) outside 3 to 5cm unidirectional Limb lengthenings.
Furthermore, according to a kind of implementation, as shown in Fig. 1 to Figure 10, Figure 15, The embodiment provides the third Unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, including principal arm screw rod 9, auxiliary arm screw rod 3 and three steel Nail clip plate connection folder, principal arm screw rod 9 and auxiliary arm screw rod 3 be setting up and down, four steel nail clamping plates connection folders be disposed in parallel in principal arm screw rod 9 with Between auxiliary arm screw rod 3, each steel nail clamping plate connection folder includes connecting plate 1, steel nail train wheel bridge 4, up and down under adjusting bolt 5, steel nail Clamping plate 6 and protrusive board 7, the steel nail train wheel bridge 4, steel nail lower plate 6 and protrusive board are arranged about 7, and pass through about two adjustment spiral shells Bar 5 links together, and steel nail train wheel bridge 4 and steel nail lower plate 6 adjust its position in adjusting bolt 5 up and down by nut, The two ends of connecting plate 1 are provided with hole, and the upper end hole of connecting plate 1 is connected with auxiliary arm screw rod 3, and connecting plate 1 adjusts it by the nut 2 of both sides Position on auxiliary arm screw rod 3,1 time stomidium of connecting plate is connected with any one in about two adjusting bolts 5, principal arm screw rod Chute is offered on 9, protrusive board 7 coordinates with slide;It is provided between adjacent two protrusive board 7 of three steel nail clamping plate connection folders One power nut 11, protrusive board 7 adjusts its position on principal arm screw rod 9 by power nut 11, is consolidated after adjustment using screw 8 It is scheduled on principal arm screw rod 9.Under a diameter of 18mm of principal arm screw rod 9, a diameter of 6mm of auxiliary arm screw rod 3, steel nail train wheel bridge 4, steel nail A diameter of 7mm through hole of adjusting bolt 5 above and below on clamping plate 6, through the two edge chamferings in hole.The protrusive board 7 is dovetail protrusive board, Chute on principal arm screw rod 9 is dovetail groove, and dovetail protrusive board is slided in dovetail groove.The connecting plate 1 is L-square.It is described Unilateral double-arm is adjustable, and two-way double dynamical Limb lengthening locking and pressurizing external fixator also includes scale 10, and scale 10 is arranged in chute. Multiple apertures are provided with the periphery of the power nut.The nut 2, up and down auxiliary arm screw rod 3, adjusting bolt 5, screw 8 It is medical stainless steel standard component, the L-square, steel nail train wheel bridge 4, steel nail lower plate 6, protrusive board 7 and power spiral shell with scale 10 Mother 11 is made by aluminum alloy materials.The third unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator and A kind of difference of the adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator (as shown in Figure 1) of unilateral double-arm is, the third External fixator includes three steel nail clamping plate connection folders.The above-mentioned adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm Be particularly suitable for use in treatment lower limb side limb shortening, the outer fixation (referring to Figure 15) of the unidirectional shank Limb lengthening of osteotomy, makes two lower limb Isometric, correction is walked lamely.
Finally, according to a kind of implementation, as shown in Fig. 1 to Figure 10, Figure 16, The embodiment provides the 4th kind Unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, including principal arm screw rod 9, auxiliary arm screw rod 3 and two steel Nail clip plate connection folder, principal arm screw rod 9 and auxiliary arm screw rod 3 be setting up and down, four steel nail clamping plates connection folders be disposed in parallel in principal arm screw rod 9 with Between auxiliary arm screw rod 3, each steel nail clamping plate connection folder includes connecting plate 1, steel nail train wheel bridge 4, up and down under adjusting bolt 5, steel nail Clamping plate 6 and protrusive board 7, the steel nail train wheel bridge 4, steel nail lower plate 6 and protrusive board are arranged about 7, and pass through about two adjustment spiral shells Bar 5 links together, and steel nail train wheel bridge 4 and steel nail lower plate 6 adjust its position in adjusting bolt 5 up and down by nut, The two ends of connecting plate 1 are provided with hole, and the upper end hole of connecting plate 1 is connected with auxiliary arm screw rod 3, and connecting plate 1 adjusts it by the nut 2 of both sides Position on auxiliary arm screw rod 3,1 time stomidium of connecting plate is connected with any one in about two adjusting bolts 5, principal arm screw rod Chute is offered on 9, protrusive board 7 coordinates with slide;It is provided between adjacent two protrusive board 7 of two steel nail clamping plate connection folders One power nut 11, power nut 11 is also equipped with positioned at the left side of the protrusive board 7 in left side, and protrusive board 7 is adjusted by power nut 11 Its position on principal arm screw rod 9, is fixed on principal arm screw rod 9 after adjustment using screw 8.A diameter of 18mm of principal arm screw rod 9, Adjusting bolt 5 passes through a diameter of of hole above and below on a diameter of 6mm of auxiliary arm screw rod 3, steel nail train wheel bridge 4, steel nail lower plate 6 7mm, through the two edge chamferings in hole.The protrusive board 7 is that the chute on dovetail protrusive board, principal arm screw rod 9 is dovetail groove, dovetail protrusive board Slided in dovetail groove.The connecting plate 1 is L-square.The adjustable two-way double dynamical Limb lengthening locking and pressurizing of unilateral double-arm External fixator also includes scale 10, and scale 10 is arranged in chute.Multiple apertures are provided with the periphery of the power nut. The nut 2, auxiliary arm screw rod 3, adjusting bolt 5, screw 8 and scale 10 are medical stainless steel standard component, the right angle up and down Plate, steel nail train wheel bridge 4, steel nail lower plate 6, protrusive board 7 and power nut 11 are made by aluminum alloy materials.4th kind of unilateral double-arm Adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator pressurizes with the adjustable two-way double dynamical Limb lengthening of the first unilateral double-arm The difference of locking external fixator (as shown in Figure 1) is that the 4th kind of external fixator includes two steel nail clamping plate connection folders, positioned at left side The left side of protrusive board 7 be also equipped with power nut 11.Above-mentioned 4th kind of fixator is particularly suitable for use in treatment open tibial, comminuted Merge and fixed outside soft tissue infection (referring to Figure 16), bone pressurization association bar shin bone bone section Physiological Pressure stress promotes fracture immediate union.
By above description, fixed outside the adjustable two-way double dynamical Limb lengthening locking and pressurizing of unilateral double-arm of the present embodiment Device, safe and reliable one side takes up space small, both arms tension, warping resistance, and intensity is high, can transfer lower plate on steel nail and move up and down (ginseng See Fig. 3, alternately the nut of switching steel nail clamping plate both sides, moves down one end steel nail duct, other end steel nail duct is to moving up It is dynamic), steel nail is accurately through on femur axial line, it is double dynamical:1st, auxiliary arm screw rod and connecting plate two sides nut 2, alternately lack to bone Damage direction to twist, produce steel nail clamping plate connection folder motive force;2nd, turn principal arm screw rod side power nut 11 and produce steel nail clamping plate connection Motive force is pressed from both sides, both make a concerted effort in generation, promoting steel nail clamping plate connection folder attachment screw osteotomy bone section, (bone is removed to Cranial defect direction Limb lengthening Move).Two-way Limb lengthening:Two osteotomy blocks are two-way to the daily 1mm Limb lengthenings in Cranial defect direction, shorten broken ends of fractured bone healing time, in bone During end-to-end anastomosis, it is shifted over, the nut on steel nail train wheel bridge and steel nail lower plate can be alternately turned simultaneously, skewed correction can be made Docking;Locking and pressurizing:To recover the bone physiology compression when bone stump coincide contact, therefore continue to twist dynamic to the bone contact broken ends of fractured bone Power nut movement 3mm (scale on scale is defined), it is that (this is that the bone section physical stress should to 3kg to produce pressure in bone stump Power);Locking:The screw at dovetail protrusive board two ends is twisted after pressurization, lower plate on steel nail, steel nail, bone section is fixedly connected with, makes bone stump pressure Stress remains at 3kg, promotes union, until union.It is suitable for 1, shin bone large segmental bone defect is double To Limb lengthening;2 shin bones, femoral fracture are not cured Cranial defect 3-5cm, unidirectional Limb lengthening repairing bone defect;3rd, side Lower limb shortening 3- 5cm, shin bone or femur extension, make two lower limb isometric, correct cyllopodia;4th, the open bony metachromia external fixation of fracture of calf shank.
Although disclosed embodiment is as above, its content is only to facilitate understand the technical side of the present invention Case and the embodiment used, are not intended to limit the present invention.Any those skilled in the art to which this invention pertains, not On the premise of departing from disclosed core technology scheme, any modification can be made in the form and details of implementation with becoming Change, but the protection domain that the present invention is limited, the scope that must be still limited by appended claims are defined.

Claims (10)

1. unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, it is characterised in that:Including principal arm screw rod (9), auxiliary arm screw rod (3) and four steel nail clamping plate connection folders, principal arm screw rod (9) and auxiliary arm screw rod (3) are setting up and down, four steel nail folders Plate connection folder is disposed in parallel between principal arm screw rod (9) and auxiliary arm screw rod (3), each steel nail clamping plate connection folder including connecting plate (1), Under steel nail train wheel bridge (4), up and down adjusting bolt (5), steel nail lower plate (6) and protrusive board (7), the steel nail train wheel bridge (4), steel nail Clamping plate (6) and protrusive board (7) are arranged up and down, and are linked together by about two adjusting bolts (5), steel nail train wheel bridge (4) and Steel nail lower plate (6) adjusts its position in adjusting bolt (5) up and down by nut, and the two ends of connecting plate (1) are provided with hole, even Fishplate bar (1) upper end hole is connected with auxiliary arm screw rod (3), and connecting plate (1) adjusts it in auxiliary arm screw rod (3) by the nut (2) of both sides On position, stomidium is connected with any one in about two adjusting bolts (5) under connecting plate (1), and principal arm screw rod is opened on (9) Provided with chute, protrusive board (7) coordinates with slide;It is provided between adjacent two protrusive board (7) of four steel nail clamping plate connection folders One power nut (11), protrusive board (7) adjusts its position on principal arm screw rod (9) by power nut (11), is adopted after adjustment It is fixed on screw (8) on principal arm screw rod (9).
2. the adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm according to claim 1, its feature It is:The protrusive board (7) is that the chute on dovetail protrusive board, principal arm screw rod (9) is dovetail groove, and dovetail protrusive board is in dovetail groove Slide.
3. the adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm according to claim 2, its feature It is:The connecting plate (1) is L-square.
4. the adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm according to claim 1,2 or 3, its It is characterised by:The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm also includes scale (10), scale (10) it is arranged in chute.
5. the adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm according to claim 1, its feature It is:Multiple apertures are provided with the periphery of the power nut.
6. the adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm according to claim 4, its feature It is:The nut (2), auxiliary arm screw rod (3), adjusting bolt (5), screw (8) and scale (10) are medical stainless steel up and down Standard component, the connecting plate, steel nail train wheel bridge (4), steel nail lower plate (6), protrusive board (7) and power nut (11) are by aluminium alloy Material is made.
7. unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, it is characterised in that:Including principal arm screw rod (9), auxiliary arm screw rod (3) and three steel nail clamping plate connection folders, principal arm screw rod (9) and auxiliary arm screw rod (3) are setting up and down, four steel nail folders Plate connection folder is disposed in parallel between principal arm screw rod (9) and auxiliary arm screw rod (3), each steel nail clamping plate connection folder including connecting plate (1), Under steel nail train wheel bridge (4), up and down adjusting bolt (5), steel nail lower plate (6) and protrusive board (7), the steel nail train wheel bridge (4), steel nail Clamping plate (6) and protrusive board (7) are arranged up and down, and are linked together by about two adjusting bolts (5), steel nail train wheel bridge (4) and Steel nail lower plate (6) adjusts its position in adjusting bolt (5) up and down by nut, and the two ends of connecting plate (1) are provided with hole, even Fishplate bar (1) upper end hole is connected with auxiliary arm screw rod (3), and connecting plate (1) adjusts it in auxiliary arm screw rod (3) by the nut (2) of both sides On position, stomidium is connected with any one in about two adjusting bolts (5) under connecting plate (1), and principal arm screw rod is opened on (9) Provided with chute, protrusive board (7) coordinates with slide;It is provided between adjacent two protrusive board (7) of three steel nail clamping plate connection folders One power nut (11), is also equipped with power nut (11) on the left of the protrusive board (7) in left side, and protrusive board (7) passes through power spiral shell Female (11) adjust its position on principal arm screw rod (9), are fixed on after adjustment using screw (8) on principal arm screw rod (9).
8. the adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm according to claim 7, its feature It is:The protrusive board (7) is that the chute on dovetail protrusive board, principal arm screw rod (9) is dovetail groove, and dovetail protrusive board is in dovetail groove Slide, the connecting plate (1) is L-square;The adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator of unilateral double-arm is also Including scale (10), scale (10) is arranged in chute.
9. unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, it is characterised in that:Including principal arm screw rod (9), auxiliary arm screw rod (3) and three steel nail clamping plate connection folders, principal arm screw rod (9) and auxiliary arm screw rod (3) are setting up and down, four steel nail folders Plate connection folder is disposed in parallel between principal arm screw rod (9) and auxiliary arm screw rod (3), each steel nail clamping plate connection folder including connecting plate (1), Under steel nail train wheel bridge (4), up and down adjusting bolt (5), steel nail lower plate (6) and protrusive board (7), the steel nail train wheel bridge (4), steel nail Clamping plate (6) and protrusive board (7) are arranged up and down, and are linked together by about two adjusting bolts (5), steel nail train wheel bridge (4) and Steel nail lower plate (6) adjusts its position in adjusting bolt (5) up and down by nut, and the two ends of connecting plate (1) are provided with hole, even Fishplate bar (1) upper end hole is connected with auxiliary arm screw rod (3), and connecting plate (1) adjusts it in auxiliary arm screw rod (3) by the nut (2) of both sides On position, stomidium is connected with any one in about two adjusting bolts (5) under connecting plate (1), and principal arm screw rod is opened on (9) Provided with chute, protrusive board (7) coordinates with slide;It is provided between adjacent two protrusive board (7) of three steel nail clamping plate connection folders One power nut (11), protrusive board (7) adjusts its position on principal arm screw rod (9) by power nut (11), is adopted after adjustment It is fixed on screw (8) on principal arm screw rod (9).
10. unilateral double-arm is adjustable two-way double dynamical Limb lengthening locking and pressurizing external fixator, it is characterised in that:Including principal arm screw rod (9), auxiliary arm screw rod (3) and two steel nail clamping plate connection folders, principal arm screw rod (9) and auxiliary arm screw rod (3) are setting up and down, four steel nail folders Plate connection folder is disposed in parallel between principal arm screw rod (9) and auxiliary arm screw rod (3), each steel nail clamping plate connection folder including connecting plate (1), Under steel nail train wheel bridge (4), up and down adjusting bolt (5), steel nail lower plate (6) and protrusive board (7), the steel nail train wheel bridge (4), steel nail Clamping plate (6) and protrusive board (7) are arranged up and down, and are linked together by about two adjusting bolts (5), steel nail train wheel bridge (4) and Steel nail lower plate (6) adjusts its position in adjusting bolt (5) up and down by nut, and the two ends of connecting plate (1) are provided with hole, even Fishplate bar (1) upper end hole is connected with auxiliary arm screw rod (3), and connecting plate (1) adjusts it in auxiliary arm screw rod (3) by the nut (2) of both sides On position, stomidium is connected with any one in about two adjusting bolts (5) under connecting plate (1), and principal arm screw rod is opened on (9) Provided with chute, protrusive board (7) coordinates with slide;It is provided between adjacent two protrusive board (7) of two steel nail clamping plate connection folders One power nut (11), is also equipped with power nut (11) on the left of the protrusive board (7) in left side, and protrusive board (7) passes through power spiral shell Female (11) adjust its position on principal arm screw rod (9), are fixed on after adjustment using screw (8) on principal arm screw rod (9).
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CN105832390B (en) * 2016-06-21 2018-03-20 文根 The adjustable migration exterior fixing rack of multiaxis
CN107049449B (en) * 2017-02-15 2018-06-08 哈尔滨杰瑞斯医疗科技有限公司 Foot, hand multistage open fracture Combined type external fixed support
CN108635029A (en) * 2018-05-11 2018-10-12 王小华 A kind of orthopaedics is for fixed fixed frame outside bone
CN108904020B (en) * 2018-05-22 2021-01-15 哈尔滨杰瑞斯医疗科技有限公司 Mechanical double-upper-limb type dynamic comprehensive reduction multi-section bone malformation external fixation support
CN108670392B (en) * 2018-05-29 2020-01-03 胡鹏 Treatment device for bone fracture of hip and leg of orthopedics department
CN109330686B (en) * 2018-10-25 2021-06-04 上海大学 Robot-assisted reduction system for long bone fracture

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IT1391222B1 (en) * 2008-09-11 2011-12-01 Orthofix Srl ORTHOPEDIC DEVICE TO BE ASSOCIATED WITH A BONE
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