CN105266875B - Sliding and swing type orthopaedics positioning guide pin guider - Google Patents

Sliding and swing type orthopaedics positioning guide pin guider Download PDF

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Publication number
CN105266875B
CN105266875B CN201510838938.5A CN201510838938A CN105266875B CN 105266875 B CN105266875 B CN 105266875B CN 201510838938 A CN201510838938 A CN 201510838938A CN 105266875 B CN105266875 B CN 105266875B
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CN
China
Prior art keywords
boss
sliding
rotating bar
guide pin
swing type
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Expired - Fee Related
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CN201510838938.5A
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Chinese (zh)
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CN105266875A (en
Inventor
丛海宸
成思源
刘吉安
庞智晖
李鹏飞
葛辉
杨雪荣
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Guangdong University of Technology
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Guangdong University of Technology
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Priority to CN201510838938.5A priority Critical patent/CN105266875B/en
Publication of CN105266875A publication Critical patent/CN105266875A/en
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Publication of CN105266875B publication Critical patent/CN105266875B/en
Expired - Fee Related legal-status Critical Current
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Abstract

The invention discloses sliding and swing type orthopaedics positioning guide pin guider, including:Fixed plate, sliding panel, head rod, the first rotating bar, the second rotating bar, the second connecting rod, DOCK LEVELER, aim at pin, fairlead and some screw tightenings;Sliding panel is arranged in fixed plate, head rod is fixedly connected with sliding panel, head rod, the first rotating bar, the second rotating bar, the second connecting rod pass sequentially through screw tightening flexible connection, second connecting rod is provided with chute, DOCK LEVELER is arranged in chute, and described aiming pin and fairlead are respectively perpendicular installed in the two ends of DOCK LEVELER.The present invention coordinates image technology, and the accuracy of pilot pin can be effectively improved in femoral head and neck operation is implemented, and realizes that hurtless measure is verified, solves hand operation instability problem.

Description

Sliding and swing type orthopaedics positioning guide pin guider
Technical field
The invention belongs to orthopedic medical device, auxiliary positioning apparatus.
Background technology
At present, near end of thighbone operation, such as fracture of neck of femur internal fixation and caput femoris necrosis improvement decompression fibula are moved Plant art, positioning inserting for guide pin be under the guiding of C arm X-ray machines, to be carried out by doctor is free-hand, its accuracy, security and effectively Property is all relatively low, it is difficult to preferable biomethanics configuration is obtained in the narrow and small geometric space of neck of femur;Threading a needle repeatedly can also enter one The normal bone structure of step infringement femoral head and neck remaining, causes unnecessary iatrogenic infringement;Additionally, having an X-rayed repeatedly, Huan Zhehe Doctor will receive the ionising radiation of suitable dosage, also there is suitable harmfulness.
The content of the invention
A kind of orthopaedics positioning guide pin guider is provided it is an object of the invention to avoid of the prior art not enough, its Line slip and oscillation adjustment can be entered, so as to effectively improve the accuracy of pilot pin in implementation femoral head and neck operation.
The purpose of the present invention is achieved through the following technical solutions:
Sliding and swing type orthopaedics positioning guide pin guider, including:Fixed plate(1), sliding panel(2), head rod (3), the first rotating bar(4), the second rotating bar(5), the second connecting rod(6), DOCK LEVELER(7), aim at pin(8), fairlead (9)And some screw tightenings(10);The fixed plate(1)In the femoral shaft of human body, described sliding panel(2)Installed in solid Fixed board(1)On, head rod(3)With sliding panel(2)It is fixedly connected, head rod(3), the first rotating bar(4), second turn Lever(5), the second connecting rod(6)Pass sequentially through screw tightening(10)It is flexibly connected, the second connecting rod(6)It is provided with chute(61), Described DOCK LEVELER(7)By screw tightening(10)Installed in chute(61)It is interior, and can be in chute(61)Inside move in parallel, institute The aiming pin stated(8)And fairlead(9)It is respectively perpendicular installed in DOCK LEVELER(7)Two ends.
Further, described fixed plate(1)Outside is provided with gathering sill(11), described gathering sill(11)Inside it is provided with least Two femoral shaft locking holes(12)And at least one connection locking hole(13), described fixed plate(1)The connection locking hole of inner side (13)Position at be provided with groove(14), described sliding panel(2)It is provided with the mounting hole of some track types(21), screw tightening (10)By mounting hole(21)It is fixed on gathering sill(11)Connection locking hole(13)It is interior.
Preferably, described fixed plate(1)Inner side is respectively arranged at two ends with indent being in contact with Shaft of human femur Arc armlet(15).
Preferably, described sliding panel(2)It is provided with scale.
Further, described head rod(3)With the first rotating bar(4)First boss is provided with connection end (31), described the first rotating bar(4)One end is provided with second boss(41), one end is provided with the 3rd boss(42), described second Rotating bar(5)One end is provided with the 4th boss(51), one end is planar base surface C faces, the second described connecting rod(6)It is provided with the 5th convex Platform(62);Second boss(41)With first boss(31)Coordinate and be flexibly connected, its contact surface is A faces, the 4th boss(51)With Three boss(42)Coordinate and be flexibly connected, its contact surface is B faces, the 5th boss(62)Be flexibly connected with planar base surface, wherein A faces with B faces into an angle of 90 degrees, B faces and C faces into an angle of 90 degrees.
Wherein, described first boss(31), second boss(41), the 3rd boss(42), the 4th boss(51)Outside is equal It is arc surface.
Wherein, described DOCK LEVELER(7)It is provided with some track type height adjusting holes(71).
Preferably, described DOCK LEVELER(7)It is provided with scale.
As a result of above-mentioned structure, beneficial effects of the present invention are:
1st, simple structure of the present invention, equipment cost is relatively low.
2nd, coordinate image technology, implement the accuracy that femoral head and neck operation effectively improves pilot pin.Coordinate the present invention The position of the follow-up screw of configuration and fibula, improves accuracy, reaches the biomethanics for meeting equilateral triangle or del It is required that.
3rd, can realize that bone neck hurtless measure is verified, solve the problems, such as that hand operation is unstable and accuracy rate.
Brief description of the drawings
Using accompanying drawing, the invention will be further described, but embodiment in accompanying drawing is not constituted to any limit of the invention System, for one of ordinary skill in the art, on the premise of not paying creative work, can also obtain according to the following drawings Other accompanying drawings.
Fig. 1 is structural representation of the invention.
Fig. 2 is the structure schematic diagram of Fig. 1.
Fig. 3 is decomposing schematic representation of the invention.
Fig. 4 is head rod of the invention, the first rotating bar, the second rotating bar, the connection diagram of the second connecting rod.
Fig. 5 is the schematic front view of use state of the present invention.
Fig. 6 is the schematic top plan view of Fig. 5.
Primary clustering symbol description:
1:Fixed plate, 11:Gathering sill, 12:Femoral shaft locking hole, 13:Connection locking hole, 14:Groove, 15:Arc armlet
2:Sliding panel, 21:Mounting hole
3:Head rod, 31:First boss
4:First rotating bar, 41:Second boss, 42:3rd boss
5:Second rotating bar, 51:4th boss
6:Second connecting rod, 61:Chute, 62:5th boss
7:DOCK LEVELER, 71:Height adjusting holes
8:Aim at pin
9:Fairlead
10:Screw tightening.
Specific embodiment
In order that those skilled in the art more fully understands technical scheme, it is below in conjunction with the accompanying drawings and specific real The present invention is described in further detail to apply example.
Core of the invention is to provide a kind of sliding and swing type orthopaedics positioning guide pin guider, as shown in Figure 1, Figure 2 institute Show, including fixed plate 1, sliding panel 2, head rod 3, the first rotating bar 4, the second rotating bar 5, the second connecting rod 6, height are adjusted Section plate 7, aims at pin 8, fairlead 9 and some screw tightenings 10.
The concrete structure of each part is as shown in figure 3, details are as follows:
The outside of fixed plate 1 is provided with gathering sill 11.At least two are provided with gathering sill 11(The present embodiment is four)Femoral shaft Locking hole 12 and at least one(The present embodiment is two)Connection locking hole 13.The position of the connection locking hole 13 of the inner side of fixed plate 1 The place of putting is provided with groove 14.The setting of groove 14, makes fixed plate 1 when being locked with screw-nut, and nut is placed exactly in groove In 14, not with the femur dry contact of human body.The inner side of fixed plate 1 is respectively arranged at two ends with an indent being in contact with Shaft of human femur Arc armlet 15, the setting of arc armlet 15, laminating degree is more preferable when making fixed plate 1 with femur dry contact.
Sliding panel 2 is provided with two track type mounting holes 21, and screw tightening 10 is fixed on gathering sill 11 by mounting hole 21 In connection locking hole 13.Sliding panel 2 is provided with scale, the distance for being easy to precise control to slide.
With reference to shown in Fig. 4, head rod 3 with the connection end of the first rotating bar 4 at be provided with first boss 31.First rotates The one end of bar 4 is provided with second boss 41, and one end is provided with the 3rd boss 42, and 41 and the 3rd boss of second boss, 42 one-tenth an angle of 90 degrees are set. The one end of second rotating bar 5 is provided with the 4th boss 51, and one end is planar base surface C faces.Second connecting rod 6 is provided with the 5th boss 62.
Second boss 41 is A faces with the contact surface of first boss 31, and two boss coordinate flexible connection, first boss 31, second The outside of boss 41 is arc surface, and scope of activities is the 180 degree anglec of rotation.4th boss 51 and the contact surface of the 3rd boss 42 are B faces, two Boss coordinates flexible connection, and the 4th boss 51, the outside of the 3rd boss 42 are that arc surface scope of activities is the 180 degree anglec of rotation.5th Boss 62 is flexibly connected with planar base surface, and contact surface is C faces, and scope of activities is 360 degree of anglecs of rotation.A faces and B faces into an angle of 90 degrees, B Face and C faces into an angle of 90 degrees.Be can be seen that by two rotating bars and two connecting rods from the structure, be capable of achieving three degree of freedom Motion, be easy to the adjustment of all directions.
DOCK LEVELER 7 is provided with two track type height adjusting holes 71, and DOCK LEVELER 7 is provided with scale, is easy to essence The height distance that really adjustment slides.
Installation process of the invention is as follows:
Sliding panel 2 by connecting locking hole 13 in the fixed plate 1, head rod 3 and the screw tightening 10 of sliding panel 2 It is fixedly connected, head rod 3, the first rotating bar 4, the second rotating bar 5, the second connecting rod 6 pass sequentially through the activity of screw tightening 10 Connection, DOCK LEVELER 7 is arranged in the chute 61 of the second connecting rod 6 by screw tightening 10, and can the parallel shifting in chute 61 It is dynamic, aim at pin 8 and fairlead 9 is respectively perpendicular installed in the two ends of DOCK LEVELER 7.
The present invention is as follows using process:
1st, by fairlead of the invention 9 tentatively near neck of femur outer end, fixed plate 1 is basically identical with femoral shaft axis, uses Be fixed on fixed plate 1 in femoral shaft through femoral shaft locking hole 12 by screw.
2. with laser rays Verticality gauge correction aiming pin 8 and the axis of fairlead 9 in same vertical plane.Correction navigator Or C-arm X-ray machine is vertical.Pin 8 is aimed under the guiding of navigator or C-arm X-ray machine, display aims at pin 8 and femoral head The position of the image of neck, adjustment aims at the position of pin 8, is overlapped with femoral head neck axis until aiming at pin 8, now pilot pin(Gram Family name's pin)Axis also overlapped with neck of femur axis.
3. the height of fairlead 9 is adjusted so that laser rays is directed at entry point.Adjustment top rake is at 12 °~15 °.Adjust A certain concrete condition afterwards is as shown in Figure 5, Figure 6.Implement pilot pin finally by fairlead 9(Kirschner wire)Inserting needle.
The present invention navigator it is image-guided under, it is first parallel with femur neck angle and top rake using the external pin 8 that aims at, The external pin 8 that aims at is translated again to be overlapped with neck of femur rod axis.Or C arm X-ray machines it is image-guided under, first aim at pin using external 8 is parallel with femur neck angle, adjusts the top rake of guider at 12 °~15 °.External aiming pin 8 and femur neck are translated again Axis overlaps.Finally by the guiding positioning guide pin inserting needle of fairlead 9.The present invention can improve accuracy, the safety of positioning guide pin Property and validity, while in ensureing fixed configuration biomethanics efficiency, reduce iatrogenic and ionising radiation infringement.
Although the present invention illustrates above-mentioned preferred embodiment, although it should be noted that those skilled in the art can To carry out various change and remodeling, unless such change and remodeling deviate from the scope of the present invention, otherwise should be construed as being included in In protection scope of the present invention.

Claims (8)

1. sliding and swing type orthopaedics position guide pin guider, it is characterised in that including:Fixed plate (1), sliding panel (2), One connecting rod (3), the first rotating bar (4), the second rotating bar (5), the second connecting rod (6), DOCK LEVELER (7), aiming pin (8), fairlead (9) and some screw tightenings (10);The fixed plate (1) in the femoral shaft of human body, described sliding panel (2) in fixed plate (1), head rod (3) is fixedly connected with sliding panel (2), and head rod (3), first rotate Bar (4), the second rotating bar (5), the second connecting rod (6) pass sequentially through screw tightening (10) flexible connection, and the second connecting rod sets on (6) There is chute (61), described DOCK LEVELER (7) is interior installed in chute (61) by screw tightening (10), and can be in chute (61) Move in parallel, described aiming pin (8) and fairlead (9) is respectively perpendicular the two ends installed in DOCK LEVELER (7).
2. sliding as claimed in claim 1 and swing type orthopaedics position guide pin guider, it is characterised in that:Described fixation Plate (1) outside is provided with gathering sill (11), and at least two femoral shaft locking holes (12) and at least are provided with described gathering sill (11) One connection locking hole (13), groove (14), institute are provided with the position of the connection locking hole (13) on the inside of described fixed plate (1) The sliding panel (2) stated is provided with the mounting hole (21) of some track types, and screw tightening (10) is fixed on guiding by mounting hole (21) In the connection locking hole (13) of groove (11).
3. sliding as claimed in claim 2 and swing type orthopaedics position guide pin guider, it is characterised in that:
Described fixed plate (1) inner side is respectively arranged at two ends with an arc armlet for the indent being in contact with Shaft of human femur (15)。
4. sliding as claimed in claim 2 and swing type orthopaedics position guide pin guider, it is characterised in that:Described slip Plate (2) is provided with scale.
5. sliding as described in any one of Claims 1 to 4 and swing type orthopaedics positioning guide pin guider, it is characterised in that: Described head rod (3) with the first rotating bar (4) connection end at be provided with first boss (31), the first described rotating bar (4) one end is provided with second boss (41), and one end is provided with the 3rd boss (42), and described the second rotating bar (5) one end is provided with the 4th Boss (51), one end is planar base surface C faces, and described the second connecting rod (6) is provided with the 5th boss (62);Second boss (41) with First boss (31) coordinates flexible connection, and its contact surface is A faces, and the 4th boss (51) connects with the 3rd boss (42) cooperation activity Connect, its contact surface is B faces, and the 5th boss (62) is flexibly connected with planar base surface, wherein A faces and B faces into an angle of 90 degrees, B faces and C faces into An angle of 90 degrees.
6. sliding as claimed in claim 5 and swing type orthopaedics position guide pin guider, it is characterised in that:Described first Boss (31), second boss (41), the 3rd boss (42), the 4th boss (51) outside are arc surface.
7. sliding as claimed in claim 1 and swing type orthopaedics position guide pin guider, it is characterised in that:Described height Adjustable plate (7) is provided with some track type height adjusting holes (71).
8. sliding as claimed in claim 7 and swing type orthopaedics position guide pin guider, it is characterised in that:Described height Adjustable plate (7) is provided with scale.
CN201510838938.5A 2015-11-27 2015-11-27 Sliding and swing type orthopaedics positioning guide pin guider Expired - Fee Related CN105266875B (en)

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CN201510838938.5A CN105266875B (en) 2015-11-27 2015-11-27 Sliding and swing type orthopaedics positioning guide pin guider

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Application Number Priority Date Filing Date Title
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CN105266875B true CN105266875B (en) 2017-06-09

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110811809B (en) * 2019-12-02 2023-12-12 郭志伟 Medical orthopedic channel screw imbedding and adjusting system
CN115444538A (en) * 2022-09-13 2022-12-09 上海焰医数字医疗科技有限公司 Guiding device for implanting steel plate for humerus proximal fracture

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Publication number Priority date Publication date Assignee Title
CN2662844Y (en) * 2003-08-27 2004-12-15 王庆贤 Improved femoral intramedullary nail aiming instrument
CN2678586Y (en) * 2004-01-09 2005-02-16 叶保国 Nail grafting guider for pedicle of vertebral arch
CN205126445U (en) * 2015-11-27 2016-04-06 广东工业大学 Slide and oscillating orthopedics location guide pin guider

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Publication number Priority date Publication date Assignee Title
CA2539488C (en) * 2003-09-18 2011-11-08 Synthes Gmbh Device for the treatment of femoral fractures
US20130066334A1 (en) * 2011-09-08 2013-03-14 Stryker Leibinger Gmbh & Co., Kg Axial Surgical Trajectory Guide

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2662844Y (en) * 2003-08-27 2004-12-15 王庆贤 Improved femoral intramedullary nail aiming instrument
CN2678586Y (en) * 2004-01-09 2005-02-16 叶保国 Nail grafting guider for pedicle of vertebral arch
CN205126445U (en) * 2015-11-27 2016-04-06 广东工业大学 Slide and oscillating orthopedics location guide pin guider

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