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.