CN104983454A - Extracorporeal measuring and controlling device for closed reduction in human femur fracture operation - Google Patents

Extracorporeal measuring and controlling device for closed reduction in human femur fracture operation Download PDF

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Publication number
CN104983454A
CN104983454A CN201510437270.3A CN201510437270A CN104983454A CN 104983454 A CN104983454 A CN 104983454A CN 201510437270 A CN201510437270 A CN 201510437270A CN 104983454 A CN104983454 A CN 104983454A
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pointer
sleeve
pipe
angular readings
length scale
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CN104983454B (en
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韦晓航
胡居正
石展英
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Liuzhou Railway Vocational Technical College
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Liuzhou Railway Vocational Technical College
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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

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a measuring and controlling tool used in the field of orthopaedics, and particularly to an extracorporeal measuring and controlling device for closed reduction in human femur fracture operation. The device comprises a cannula I, a cannula II, a connecting sleeve I, a connecting sleeve II, an angle pointer, an angle reading assembly and a length scale tube. The cannula I penetrates the connecting sleeve I and is perpendicular to the connecting sleeve I, and the cannula II penetrates the connecting sleeve II and is perpendicular to the connecting sleeve II. The angle reading assembly comprises an angle reading disc, an angle reading disc scale tube and a storage chamber, and one end of the angle reading disc scale tube is connected with the connecting sleeve II. One end of the length scale tube is connected with the connecting sleeve I, and the other end stretches into the storage chamber. The length scale tube is provided with a pointer guide groove, and the angle pointer is located in the pointer guide groove. The extracorporeal measuring and controlling device for closed reduction in the human femur fracture operation is simple in structure, convenient to operate, high in position precision and low in manufacturing cost. The device can accurately control the rotational angle and the moving length of the femur at the extracorporeal, wound on a patient can be reduced, the precision of minimally invasive operation can be effectively raised, and the effect of reduction of fracture can be improved.

Description

The external measurement and control instrument of closed reduction in human femur under loading fracture operation
Technical field
The present invention relates to a kind of Survey control instrument for Medical orthopaedic field, particularly the external measurement and control instrument of closed reduction in a kind of fracture operation.
Background technology
Closed reduction Interlocking intramedullary fixation has become a kind of treats the most frequently used method of fracture of shaft of femur.Closed reduction Interlocking intramedullary fixation can reduce the wound in operation, has Wicresoft, goes out insufficiency of blood, the advantage such as early ambulant functional exercise, can improve the healing rate of fracture.This Therapeutic Method has more and more been widely used in clinical, for the patient of Fracture of femur, when using closed reduction fracture end and femoral interlocking nail is inserted by Wicresoft, under not looking at straight, accurately control Fracture of femur end when reseting fracture in vitro the anglec of rotation and length are even more important, but accurate control femoral rotation angle and movable length are intractable problems always in operation.
Current good solution is the reset adopting medical computer navigation system to carry out assist control fracture, but a set of operation guiding system is expensive, about needs tens million of RMB, also all needs external import, and the hospital of the domestic overwhelming majority cannot popularize.So, current most of orthopedist still adopts the method for fluoroscopy during operation whether to control the anglec of rotation and length completely to control the fracture end after closed reduction, neither one survey tool carries out more accurate Survey control, can only judge according to the clinical experience of operator doctor, often application condition is large, according to domestic report, error rate is more than 50%.
Summary of the invention
The object of this invention is to provide the external measurement and control instrument of closed reduction in a kind of human femur under loading fracture operation, this measurement and control instrument has the features such as structure is simple, easy and simple to handle, positioning precision is high, cost of manufacture is low, it can control femoral rotation angle and movable length in vitro accurately, effectively solves above-mentioned background technology Problems existing.
The technical scheme that the present invention adopts for achieving the above object is: the external measurement and control instrument of closed reduction in a kind of human femur under loading fracture operation, comprise sleeve pipe I, sleeve pipe II, branch sleeve I, branch sleeve II, angle indicator, angular readings assembly and length scale pipe, described sleeve pipe I and sleeve pipe II be respectively arranged with run through its separately upper and lower surface for locating pin hole I and the pin hole II of Kirschner wire, sleeve pipe I is axially vertical with branch sleeve I through branch sleeve I, and sleeve pipe II is with branch sleeve II axis vertical through branch sleeve II; The angular readings dial scale pipe that described angular readings assembly comprises rounded angular readings dish and vertically extended to form by the rear end face of angular readings dish, angular readings dial scale pipe is coaxially connected with branch sleeve II away from angular readings dish one end, and angular readings assembly also comprises and to be extended back the host cavity formed by angular readings dish front end face; Length scale pipe one end is coaxially connected with branch sleeve I, and the length scale pipe other end extends in the host cavity of angular readings assembly, and length scale pipe can move vertically and radial rotating in host cavity; Described length scale pipe is also provided with the pointer gathering sill for orientation angle pointer, and angle indicator is positioned in pointer gathering sill and also can moves forward and backward along pointer gathering sill.
Further technical scheme of the present invention is: described angle indicator comprises slide block and is vertically connected on the pointer on slide block, described pointer gathering sill is extended back by the front end face of length scale pipe and is formed, pointer gathering sill comprises for the locating slot of positioning sliding block and the narrow slit for passing for pointer, described slide block is positioned in the locating slot of pointer gathering sill, and pointer also protrudes in the outside of length scale pipe through narrow slit.
Further technical scheme of the present invention is: described branch sleeve I is provided with the trip bolt I for locking sleeve I, and branch sleeve II is provided with the trip bolt II for locking sleeve II.
Further technical scheme of the present invention is: described angular readings assembly is also provided with the lock-screw for locking the length scale pipe being positioned at host cavity.
In human body Fracture of femur art of the present invention, the external measurement and control instrument of closed reduction has following beneficial effect:
1. utilize the external measurement and control instrument of closed reduction in human body Fracture of femur art of the present invention to carry out corrective therapy to fracture, namely preoperatively labeled in vitro is passed through, CT scan and Computerized three-dimensional software carry out sham operated, by CT data by Computerized three-dimensional software processes, and carry out sham operated Fracture of femur end is resetted completely, obtain the pivoting angle data after accurate reset and length data, in art, Kirschner wire is squeezed at gauge point Vertical dimension femoral bone cavitas medullaris center in vitro, by in human body Fracture of femur art of the present invention closed reduction external measurement and control instrument traction suffering limb and Survey control two Kirschner wire distances reach preoperative sham operated measure length value, realize femur length accurately to control, control to rotate the angular values that Kirschner wire reaches the measurement of preoperative sham operated by this observing and controlling instrument again, thus realize femoral rotation Angle ambiguity accurately, finally reach the identical desirable reset effect resetted completely with the operation plan of pre-operative simulation.Measurement and control instrument of the present invention has the advantages such as structure is simple, easy and simple to handle, positioning precision is high, cost of manufacture is low, it can control femoral rotation angle and movable length in vitro accurately, reduce the wound to patient, the equipment without the need to costliness also can reach the control that resets more accurately.This observing and controlling instrument is utilized to treat fracture patient, to effectively improve precision and the reduction of the fracture effect of closed Minimally Invasive Surgery, also the operation standard of orthopaedics industry will be improved, recover after being conducive to corrective surgery, and promote the technical development in orthopaedic trauma Minimally Invasive Surgery field greatly, orthopaedics academic development is very helpful, also will benefits from the patient of vast orthopaedic trauma, allow happier the getting well and improve the quality of living of patient.
2. in human body Fracture of femur art of the present invention, the external measurement and control instrument of closed reduction is provided with lock-screw for locking the length scale pipe being positioned at host cavity, after length and angle adjustment complete by lock-screw by length scale pipe locking positioning, reading can be read very easily; And be positioned at by angle indicator in pointer gathering sill, can move near angular readings dish by angle indicator after having located along pointer gathering sill, reading is more accurate, effectively raises positioning precision of the present invention.
Below in conjunction with drawings and Examples, the external measurement and control instrument of closed reduction in human body Fracture of femur art of the present invention is further described.
Accompanying drawing explanation
Fig. 1 is the structural representation of the external measurement and control instrument of closed reduction in human body Fracture of femur art of the present invention;
Fig. 2 is the sectional view at the place of B-B shown in Fig. 1;
Fig. 3 is the sectional view of the pipe of length scale shown in Fig. 1 and angle indicator;
Fig. 4 be the pipe of length scale shown in Fig. 3 A to side view;
Fig. 5 is the sectional view of angle indicator shown in Fig. 3;
Drawing reference numeral illustrates: 1-sleeve pipe I, 11-pin hole I, 2-branch sleeve I, 21-trip bolt I, 3-length scale pipe, 31-pointer gathering sill, 311-locating slot, 312-narrow slit, 4-angle indicator, 41-slide block, 42-pointer, 5-angular readings assembly, 51-angular readings dish, 52-lock-screw, 53-host cavity, 54-angular readings dial scale pipe, 6-branch sleeve II, 61-trip bolt II, 7-sleeve pipe II, 71-pin hole II, 8-Kirschner wire II, 9-Kirschner wire I.
Detailed description of the invention
As shown in Figure 1, the external measurement and control instrument of closed reduction in human body Fracture of femur art of the present invention, comprises sleeve pipe I 1, sleeve pipe II 7, branch sleeve I 2, branch sleeve II 6, angle indicator 4, angular readings assembly 5 and length scale pipe 3.
Described sleeve pipe I 1 and sleeve pipe II 7 be respectively arranged with run through its separately upper and lower surface for the pin hole I 11 of guide-localization Kirschner wire and pin hole II 71; During operation, Kirschner wire I 9 and Kirschner wire II 8 are each passed through pin hole I 11 and pin hole II 71 and are positioned in pin hole I and pin hole II.Described branch sleeve I 2 is provided with the trip bolt I 21 for locking sleeve I 1, branch sleeve II 6 is provided with the trip bolt II 61 for locking sleeve II 7, sleeve pipe I 1 is with branch sleeve I 2 axially vertical through branch sleeve I 2, sleeve pipe II 7 is with branch sleeve II 6 axially vertical through branch sleeve II 6, and sleeve pipe I 1 and sleeve pipe II 7 are located fastening respectively by trip bolt I and trip bolt II.
The angular readings dial scale pipe 54 that described angular readings assembly 5 comprises rounded angular readings dish 51 and vertically extended to form by the rear end face of angular readings dish 51, angular readings dial scale pipe 54 is coaxially connected with branch sleeve II 6 away from angular readings dish 51 one end, and angular readings assembly 5 also comprises and to be extended back the host cavity 53 formed by angular readings dish 51 front end face.Length scale pipe 3 one end is coaxially connected with branch sleeve I 2, and the other end extends in the host cavity 53 of angular readings assembly 5, and length scale pipe 3 and host cavity 53 adopt matched in clearance, and it can move vertically and radial rotating in host cavity 53.
In the present embodiment, angular readings assembly 5 is also provided with the lock-screw 52 for locking the length scale pipe 3 being positioned at host cavity 53, after the Distance geometry angle adjustment of Kirschner wire I 9 and Kirschner wire II 8 completes, lock-screw 52 can be tightened makes length scale pipe 3 be fixed in host cavity 53, the Kirschner wire I 9 and the Kirschner wire II 8 Distance geometry angle that realize two ends remain unchanged, and can facilitate follow-up operation.
As shown in Figure 3, described length scale pipe 3 is also provided with the pointer gathering sill 31 for orientation angle pointer 4, and pointer gathering sill 31 is extended back by the front end face of length scale pipe 3 and formed.Angle indicator 4 comprises slide block 41 and is vertically connected on pointer 42(on slide block 41 as shown in Figure 5), described pointer gathering sill 31 comprises the locating slot 311 and for the narrow slit 312(that passes for pointer 42 as shown in Figure 4 for positioning sliding block 41), narrow slit 312 runs through locating slot 311 total length.Described slide block 41 adopts the mode of matched in clearance to be positioned in the locating slot 311 of pointer gathering sill 31, and pointer 42 also protrudes in the outside of length scale pipe 3 through narrow slit 312.The slide block 41 be positioned in locating slot 311 can move forward and backward along locating slot 311 and drive pointer 42 to move in narrow slit 312.Angle indicator 4 is positioned in pointer gathering sill 31, angle indicator 4 can be moved near angular readings dish 51 along pointer gathering sill 31, make reading more accurate, effectively raise positioning precision of the present invention.
Described angular readings dish 51 is provided with angle index, angular readings dial scale pipe 54 and length scale pipe 3 are respectively arranged with length scale.
Be positioned at the Kirschner wire I 9 in sleeve pipe I 1 and sleeve pipe II 7 and the distance between Kirschner wire II 8 can combine reading by angular readings dial scale pipe 54 and length scale pipe 3, i.e. L=L1+L2, wherein L is the distance between Kirschner wire I 9 and Kirschner wire II 8; L1 is the distance of Kirschner wire I 9 to angular readings dish 51 front end face, i.e. the reading of length scale pipe 3; L2 is the distance of angular readings dish 51 front end face to Kirschner wire II 8, and L2 is fixed value in the present embodiment.
When the Kirschner wire I 9 be positioned in sleeve pipe I 1 and sleeve pipe II 7 and Kirschner wire II 8 are in keeping parallelism in same plane, be positioned at 0 degree of the angle indicator 4 orientation angle reading dial 51 in pointer gathering sill 31; When Kirschner wire I 9 and Kirschner wire II 8 produce relative rotation, length scale pipe 3 meeting relative angle reading dial 51 synchronous axial system, the angle indicator 4 be positioned in pointer gathering sill 31 also together rotates; The relative rotation angle that Kirschner wire I 9 and Kirschner wire II 8 produce can be read by the angle value that the position of angle indicator 4 on angular readings dish 51 is corresponding.
In human body Fracture of femur art of the present invention, the concrete using method of the external measurement and control instrument of closed reduction in bone fracture bonesetting operation is:
First, before surgery the thigh skin metal marker thing of injured fracture is adhered to as external anchor point (two points, locate near-end and the far-end of fractured femur respectively), then CT scan is carried out, by CT scan data by Computerized three-dimensional software processes, carry out sham operated fracture end is resetted completely, obtain the pivoting angle data after accurate reset and length data, the relative length of the required adjustment of reset completely of determining to fracture and relative angle.
Second, Kirschner wire I 9 and Kirschner wire II 8 is pierced perpendicular to the near-end of fractured femur and distal femoral center respectively at two individual outside fix point places in operation, thus pass through near-end and the distal femoral position of these two pieces of Kirschner wire determination thigh deeps fracture, now these two pieces of Kirschner wires I 9 are parallel in same plane with Kirschner wire II 8.
3rd, regulate length scale pipe 3 to suitable position when lock-screw 52 unclamps, then two sleeve pipes I 1 of external for the present invention measurement and control instrument and sleeve pipe II 7 are overlapped respectively and penetrate two pieces of Kirschner wires I 9 and Kirschner wire II 8, tighten trip bolt I 21 and trip bolt II 61, Kirschner wire and sleeve pipe are fixed; By drawing the far-end of fractured femur, length scale pipe 3 can read the relative movement distance between two pieces of Kirschner wires I 9 and Kirschner wire II 8, if this relative movement length is consistent with the relative length determined in preoperative sham operated, the cut to lengthen that fractured femur resets also just can be realized.
4th, the angle indicator 4 be positioned in pointer gathering sill 31 is pressed close to angular readings dish 51 along pointer gathering sill 31 slip, by rotating the far-end of fractured femur in art, now length scale pipe 3 can drive angle indicator 4 to rotate simultaneously and on angular readings dish 51, read the angle relatively rotated, if this angle relatively rotated is consistent with the relative angle determined in preoperative sham operated, the anglec of rotation that also just can realize fractured femur controls.
In the present embodiment, length scale pipe 3 is respectively one machine-shaping with branch sleeve I 2, angular readings dial scale pipe 54 with branch sleeve II 66, as the conversion of the present embodiment, also can adopt interference fit between them, bonding, pin connects, be threaded or the combination connecting mode of above-mentioned connection; Angular readings dish 51 and angular readings dial scale pipe 54 can make all-in-one-piece, also can be made into separate type, by interference fit, bonding, be threaded, sell the modes such as connection and be combined into one.
Above embodiment is only preferred embodiment of the present invention, and structure of the present invention is not limited to the form that above-described embodiment is enumerated, and all any amendments done within the spirit and principles in the present invention, equivalent replacement etc., all should be included within protection scope of the present invention.

Claims (4)

1. the external measurement and control instrument of closed reduction in a human femur under loading fracture operation, it is characterized in that, comprise sleeve pipe I (1), sleeve pipe II (7), branch sleeve I (2), branch sleeve II (6), angle indicator (4), angular readings assembly (5) and length scale pipe (3), described sleeve pipe I (1) and sleeve pipe II (7) be respectively arranged with run through its separately upper and lower surface for locating pin hole I (11) and the pin hole II (71) of Kirschner wire, sleeve pipe I (1) is with branch sleeve I (2) axially vertical through branch sleeve I (2), sleeve pipe II (7) is with branch sleeve II (6) axially vertical through branch sleeve II (6), the angular readings dial scale pipe (54) that described angular readings assembly (5) comprises rounded angular readings dish (51) and vertically extended to form by the rear end face of angular readings dish (51), angular readings dial scale pipe (54) is coaxially connected with branch sleeve II (6) away from angular readings dish (51) one end, and angular readings assembly (5) also comprises and to be extended back the host cavity (53) formed by angular readings dish (51) front end face, length scale pipe (3) one end is coaxially connected with branch sleeve I (2), length scale pipe (3) other end extends in the host cavity (53) of angular readings assembly (5), and length scale pipe (3) can move vertically and radial rotating in host cavity (53), described length scale pipe (3) is also provided with the pointer gathering sill (31) for orientation angle pointer (4), and angle indicator (4) is positioned in pointer gathering sill (31) and also can moves forward and backward along pointer gathering sill (31).
2. the external measurement and control instrument of closed reduction in human femur under loading fracture operation as claimed in claim 1, it is characterized in that, described angle indicator (4) comprises slide block (41) and is vertically connected on the pointer (42) on slide block (41), described pointer gathering sill (31) is extended back by the front end face of length scale pipe (3) and is formed, pointer gathering sill (31) comprises for the locating slot (311) of positioning sliding block (41) and the narrow slit (312) for passing for pointer (42), described slide block (41) is positioned in the locating slot (311) of pointer gathering sill (31), and pointer (42) to protrude in the outside of length scale pipe (3) through narrow slit (312).
3. the external measurement and control instrument of closed reduction in human femur under loading fracture operation as claimed in claim 1, it is characterized in that, described branch sleeve I (2) is provided with the trip bolt I (21) for locking sleeve I (1), and branch sleeve II (6) is provided with the trip bolt II (61) for locking sleeve II (7).
4. the external measurement and control instrument of closed reduction in human femur under loading fracture operation as claimed in claim 1, is characterized in that, described angular readings assembly (5) is also provided with the lock-screw (52) being positioned at the length scale pipe (3) of host cavity (53) for locking.
CN201510437270.3A 2015-07-23 2015-07-23 Extracorporeal measuring and controlling device for closed reduction in human femur fracture operation Active CN104983454B (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109223160A (en) * 2018-09-18 2019-01-18 牛云飞 Adjustable minimally invasive pressurization fixed guider and its application method of fracturing
CN110164277A (en) * 2019-06-21 2019-08-23 赵华国 A kind of orthopedic percutaneous navigation device of distal humerus osteotomy and its operating method
CN110584762A (en) * 2018-06-12 2019-12-20 颉强 Osteotomy reduction device for femur and tibia

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EP0256984A2 (en) * 1986-08-11 1988-02-24 Jaquet Orthopedie S.A. External bone fixation device with biocompression
US20020165551A1 (en) * 2001-04-04 2002-11-07 Newdeal S.A. Guide for angularly positioning the bones of a joint in order to perform arthrodesis
CN101828951A (en) * 2010-04-26 2010-09-15 奚华高 In vitro fracture fixer
CN103083092A (en) * 2013-03-01 2013-05-08 张忠荣 Three-dimensional positioning and guiding device for penetrating vertebral pedicle through skin
CN104138293A (en) * 2013-05-08 2014-11-12 刘瑾 Lumbosacral vertebrae percutaneous pedicle screw placement positioner
CN104644254A (en) * 2015-02-13 2015-05-27 四川大学华西医院 Cervical vertebrae fracture dislocation anterior approach resetting inner fixing system
CN204890140U (en) * 2015-07-23 2015-12-23 柳州铁道职业技术学院 External observing and controlling appearance of closed reduction in human femoral fracture art

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0256984A2 (en) * 1986-08-11 1988-02-24 Jaquet Orthopedie S.A. External bone fixation device with biocompression
US20020165551A1 (en) * 2001-04-04 2002-11-07 Newdeal S.A. Guide for angularly positioning the bones of a joint in order to perform arthrodesis
CN101828951A (en) * 2010-04-26 2010-09-15 奚华高 In vitro fracture fixer
CN103083092A (en) * 2013-03-01 2013-05-08 张忠荣 Three-dimensional positioning and guiding device for penetrating vertebral pedicle through skin
CN104138293A (en) * 2013-05-08 2014-11-12 刘瑾 Lumbosacral vertebrae percutaneous pedicle screw placement positioner
CN104644254A (en) * 2015-02-13 2015-05-27 四川大学华西医院 Cervical vertebrae fracture dislocation anterior approach resetting inner fixing system
CN204890140U (en) * 2015-07-23 2015-12-23 柳州铁道职业技术学院 External observing and controlling appearance of closed reduction in human femoral fracture art

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110584762A (en) * 2018-06-12 2019-12-20 颉强 Osteotomy reduction device for femur and tibia
CN110584762B (en) * 2018-06-12 2024-04-26 颉强 Osteotomy reduction device for femur and tibia
CN109223160A (en) * 2018-09-18 2019-01-18 牛云飞 Adjustable minimally invasive pressurization fixed guider and its application method of fracturing
CN110164277A (en) * 2019-06-21 2019-08-23 赵华国 A kind of orthopedic percutaneous navigation device of distal humerus osteotomy and its operating method

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