CN105476701B - A kind of bone handling device for femur large segmental bone defect - Google Patents

A kind of bone handling device for femur large segmental bone defect Download PDF

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Publication number
CN105476701B
CN105476701B CN201510925427.7A CN201510925427A CN105476701B CN 105476701 B CN105476701 B CN 105476701B CN 201510925427 A CN201510925427 A CN 201510925427A CN 105476701 B CN105476701 B CN 105476701B
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CN
China
Prior art keywords
bone
marrow
carrying
handling device
pin
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Expired - Fee Related
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CN201510925427.7A
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Chinese (zh)
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CN105476701A (en
Inventor
马坤龙
栾和旭
栾富钧
杨帆
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Yongchuan Hospital of Chongqing Medical University
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Yongchuan Hospital of Chongqing Medical University
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Priority to CN201510925427.7A priority Critical patent/CN105476701B/en
Publication of CN105476701A publication Critical patent/CN105476701A/en
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Expired - Fee Related legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary pins, nails or other devices
    • A61B17/7233Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary pins, nails or other devices
    • A61B17/7233Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/7241Intramedullary pins, nails or other devices with special means of locking the nail to the bone the nail having separate elements through which screws pass
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74Devices for the head or neck or trochanter of the femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

Abstract

Main nail in the marrow of sclerotin is squeezed into the invention discloses a kind of bone handling device for femur large segmental bone defect, including for axial direction, main nail is straight type in the marrow, and both ends are provided with the lock hole for coordinating with common fixing screws;Main nail both ends are provided with fixing threaded hole in the marrow;All lock holes and fixing threaded hole are generally aligned in the same plane;Also include a fixed support and some fixing screws;The fixing screws rear end is connected with fixed support, and front end is connected with the main fixing threaded hole nailed in marrow;Also main along marrow the carrying pin being axially moved can be followed closely including some, described pin one end of carrying is implanted into the bone piece that needs slide, and the other end is connected on fixed support.

Description

A kind of bone handling device for femur large segmental bone defect
Technical field
The present invention relates to a kind of device that art treatment femur large segmental bone defect is carried with bone.
Background technology
Long bone large segmental bone defect is that fracture of finger is unable to self-heal or is only capable of the Cranial defect of regeneration 10%, is generally involved 2-3 times of long bone diameter.Large segmental bone defect is generally caused by reasons such as High energy trauma, infection, tumours, and it is short to be often accompanied by limbs Contracting, deformity, osteomyelitis, muscular atrophy and adjacent joints are stiff, and its repairing and treating is always one of the biggest problem of field of orthopaedics. Show according to statistics, German bone collection operation be patient most often receive before 50 kinds treatment one of;Bone shifting need to be carried out every year in the U.S. Plant the patient about 800,000 of operation;Chinese annual single because wound needs the operation of row bone collection just to exceed 3,000,000;Big section bone lacks Damage gives patient and brings huge body and mind injury and financial burden, therefore how to solve the weight that this problem has turned into field of orthopaedics Want problem.
At present the main method of clinical treatment long bone large segmental bone defect have autologous bone transplanting, Masquelet technologies and Ilizarov technologies.Autologous bone transplanting has optimal osteoacusis, self-bone grafting and ostosis effect, is the mark for treating Cranial defect It is accurate.But autologous bone amount is limited, bone strength is not good enough, it is difficult to meets the needs of large segmental bone defect.Although the bone collection of anastomosis of blood vessel (Such as fibula, ilium, rib)And the effective ways for the treatment of large segmental bone defect, but the operation wound is big, for area's complication More, bone graft completes moulding and thickening time length, and patient is unable to early loading, and stress fracture, flesh easily occurs in the later stage Meat atrophy etc..In addition, the technological learning curve is grown, of a relatively high is required to patient, it is impossible to clinic is widely used in, therefore not It is the main stream approach for treating large segmental bone defect.The appearance of Masquelet technologies provides a kind of new way for the treatment of large segmental bone defect Footpath.The technology is the autologous bone transplanting treatment section Cranial defect using film auxiliary.The technology is specifically divided into two stages.The One stage:Thoroughly clear rear implantation PMMA bone cement spacers, are fixed using interior fixation or outer fixation, close the surface of a wound, shape Into induction film.Second stage:Induction film is cut after 6-8w, bone cement spacer is removed, gets through pulp cavity, is filled certainly in film Body cancellous bone, then close induction film and otch.The induction film not only have avoid transplant bone information, maintain bone graft position and The effects such as soft tissue intrusion are prevented, and can secrete growth factor and bone-inducing factor promotion bone tissue growth, such as blood vessel endothelium The factor, TGF-β 1, BMP-2 etc..It is certain that although multinomial clinical research proves that Masquelet technologies treatment Cranial defect can obtain Clinical effectiveness, but there is also significant limitations.The defects of technology maximum, is to need largely during repairing bone defect Autologous bone transplanting, add operation wound and supply area's complication;And the technology can not effectively correct limb shortening and the line of force, If merge large area skin soft tissue defects to also need to combine micro- flap technology.In addition, patient can not bear in early days after surgery Take exercise again, the complication such as stress fracture, bone information and bone nonunion easily occur, and this method needs progress even more twice Secondary operation, length of patient stay is long, it is high to spend.
The appearance that bone carries technology is considered as the milestone of 20th century orthopaedic srugery, is started for the treatment of Cranial defect One New Times.Bone, which carries technology, to be created by Russian orthopedist Ilizarov, it then follows the tension force of regeneration-should Force method then, meets " bone Natural Reconstruction " theory, is the goldstandard of current clinical treatment long bone large segmental bone defect.Bone carries technology Core is the distraction osteogenesis of Ilizarov supports, is specifically divided into three steps:1. suffering limb is fixed using Ilizarov supports, Stability is provided, maintains limbs length and the line of force;2. the metaphysis of pair close Cranial defect carries out low energy cortex osteotomy;3. regulation Active bone section is slid, drawn close by Ilizarov supports according to appropriate speed with frequency to Cranial defect stump, and Ilizarov supports fix lower completion bone defect healing.Compared with autologous bone transplanting art and Masquelet technologies, bone carries skill Art has the advantage that:1) repairing bone defect length is unrestricted, it is not necessary to autologous bone transplanting, avoid autologous bone transplanting and The defects of Masquelet technologies " with wound repair wound ";2) technology can same period stretching soft tissue regeneration, be not required to use skin Valve skin grafing and mending skin tissue defects;3) various complicated cacomelias can be corrected by the support arm same period.4) belong to minimally invasive Operation, curative effect is reliable, low-cost.
Although bone carries technology treatment, various complicated Cranial defects are curative for effect, there is also more complication, and these Complication and the use of Ilizarov supports are closely related.The Ilizarov supports that technology is carried currently used for bone are mainly ring type Exterior fixing rack and single pole exterior fixing rack.Ring type exterior fixing rack is three dimensions configuration, and fixed, stress distribution is equal It is even.The support needs to squeeze into several pieces of draw points on the both ends metaphysis of long bone and sliding bone piece, to provide stable, maintenance limbs The effect of length and the line of force., may but wearing more draw points in more planes can cause sclerotin to cut, and reduce local bone strength Cause iatrogenic fracture;And high is required to operating technology when more planes penetrate draw point, damage and severely injured want neurovascular wind It is dangerous.The Ilizarov support fixed cycles are grown, and clinical care is difficult, therefore pin site infection, needle track are loosened, fracture and soft tissue are cut Complication is cut often to occur.And some patientss tolerance is poor, easily there are anxiety, depression or even the psychic problems such as bigoted, Also there are some patientss because the senses of discomfort such as limbs pain, swelling refuse the weight training of lower ground, the later stage is likely to occur to give up and dredged with property sclerotin Pine, refracture, the bone delay in healing even complication such as disunion.Single pole exterior fixing rack has simple to operate, easy to carry, pin The advantages that road infection is less and patient is easily resistant to, is suitable for the less Cranial defect of length.But single pole exterior fixing rack mechanics Stability is poor, can not adjust the line of force, and suffering limb is unable to early loading, and the later stage may occur in which the bad line of force, again disuse osteoporosis, bone Folding, the bone delay in healing even complication such as disunion.
The content of the invention
For above-mentioned technical problem, the present invention provides a kind of bone handling device for femur large segmental bone defect, Sclerotin inserting needle is few, and stability is good.
In order to solve the above-mentioned technical problem, the technical solution adopted by the present invention is:It is a kind of for femur large segmental bone defect Bone handling device, including for axially squeezing into main nail in the marrow of sclerotin, main nail be straight type in the marrow, both ends be provided be used for it is general The lock hole that logical fixing screws coordinate;It is characterized in that:Main nail both ends are provided with fixing threaded hole in the marrow;All lock holes It is generally aligned in the same plane with fixing threaded hole;Also include a fixed support and some fixing screws;The fixing screws rear end is with consolidating Fixed rack connects, and front end is connected with the main fixing threaded hole nailed in marrow;Can also axially it be transported main nail along marrow including some Dynamic carrying pin, the bone piece carried the implantation of pin one end and need to slide, the other end are connected on fixed support.
As an improvement it is provided with axially disposed carrying elongated hole in the middle part of main nail in the marrow;The carrying pin passes through The main carrying elongated hole implantation nailed on needs the bone piece slid in perforation of pulp chamber.Advantage is to carry pin to squeeze into double cortex, and hold is strong, It is small to there is the probability that needle track loosening is cut out, is suitable for the patient of osteoporosis.
As an improvement it is provided with axially disposed carrying elongated slot in the middle part of main nail in the marrow;The carrying pin is planted Enter to need the bone piece slid, and elongated slot is carried in one end insertion.Main nail on opens up elongated slot in marrow, is easy to carry pin insertion, can Ensure to carry the hold for bone piece, and can ensures the intensity of main nail in marrow.
As an improvement the fixed mount is three-stage, including two save canned paragraph to be connected with fixing screws and The middle carrying section for being used to be connected with carrying pin;Connected between the canned paragraph and carrying section by universal joint.Due to bone Outside anatomical structure is slightly different, and the support of existing straight rod-shaped coordinates bad with it.Fixed support is arranged to three-stage, section It is connected by universal joint between section, can be so adapted to by the radian of universal joint adjustment fixed mount.
As an improvement the hole passed through for fixing screws is provided with the canned paragraph;Fixing screws rear end is through described Hole, and fastened by bolt.First by fixing screws through the hole on canned paragraph, the fixation spiral shell that then master nails in inserting needle screw-in marrow Hole, last screwing bolts are fastened.Its stability is good, convenient regulation.Certainly also there is other connection fastening means, such as directly It is connected on canned paragraph and opens up screw, the screw first screwed in fixing screws on canned paragraph when use, is then screwing in marrow The main fixing threaded hole nailed on.Fixing screws both ends are all threaded connection, have both served the effect of main nail in fixed marrow, itself Locked again with fixed support, it has arrived the effect of locking.
Formed as an improvement the carrying section is nested by some section sleeves;Position pair is provided with adjacent sleeve The elongated hole answered, and fixed using the bolt through elongated hole.Human body long bone length is different, and identical bone between Different Individual Length also differs, and the carrying section on fixed support is arranged into adjustable in length, suitable for the long bone of different length so that whole Individual device wide adaptability.
As a kind of further improvement, scale is provided with the sleeve.Length sleeve is indicated, is advantageous to accurately adjust Section.
As an improvement in addition to a needle stand that can be slided up and down along fixed support, it is described carrying pin be fixed on pin On seat.The bone piece that the implantation of pin front end needs to carry is carried, its rear end is fixed on needle stand.When needing to carry bone piece, metering needle Position of the seat on fixed support.
Further improved as a kind of, there is the scale of sign needle stand displacement on the fixed support.It is easy to accurate Adjust the position of needle stand, the distance that and can record bone piece is carried.
As an improvement the fixed support is axially arranged rack, it is provided with what is coordinated with rack in the needle stand Gear;The regulating bolt for driving gear rotation is provided with outside needle stand.Main nail in marrow is axially squeezed into due to long bone to be fixed, The power carried needed for bone piece is larger, is not easy to move.Coordinated using rack-and-pinion, only need to rotate regulating bolt, can just cause pin Seat is axially moved along fixed support, while is driven and carried pin carrying bone piece.
As a preferred embodiment, main nail both ends are each provided with two fixing screws in the marrow;The carrying pin is two.Two Hold two fixing screws of each setting so that whole system is more firm.Similarly, two carrying pins also can guarantee that steady when bone is carried It is qualitative.And if fixing same bone plane using more pieces of draw points local sclerotin can be caused to cut, local sclerotin intensity is reduced, is had Iatrogenic risk of bone fracture, and metaphysis neural blood vessel is more, easily damage during operation.
The present invention is advantageous in that:1. the present apparatus whole can maintain the key line of force and length, bone handling process is avoided In there is the bad line of force, shortened deformity and lateral displacement;2. the present apparatus fixes reliable, the postoperative i.e. feasible exercise of joint function of patient And lower ground loaded exercise, reduce disuse osteoporosis, the postoperative refracture incidence of anchylosis agent;3. the steel of present apparatus implantation Pin quantity is few, reduces pin site infection, iatrogenic fracture and Soft tissue cutting incidence;4. present apparatus operating technology is relatively simple Single, learning curve is short, is adapted to situation of all-level hospitals popularity to carry out;5. the present apparatus is light, clinical care is convenient, and does not influence patient Daily life, patient compliance is good, reduces the mental symptoms such as patient anxiety, depression.
Brief description of the drawings
Fig. 1-Fig. 3 is the structural representation of embodiments of the invention 1, while illustrates the agglutination of femur Cranial defect.
Fig. 4 is that main pin structure schematic diagram in the marrow for carrying elongated hole is provided with embodiment 1.
Fig. 5 is that main pin structure schematic diagram in the marrow for carrying elongated slot is provided with embodiment 1.
It is to carry the carrying pin that main nail coordinates in elongated slot marrow with being provided with and enter pin situation schematic diagram in Fig. 6 embodiments 1.
Fig. 7 is to be not provided with carrying main pin structure schematic diagram in the marrow of elongated hole or carrying elongated slot in embodiment 1.
Fig. 8 is with being not provided with the carrying pin that main nail coordinates in the marrow of carrying elongated hole or carrying elongated slot in embodiment 1 Enter pin situation schematic diagram.
Fig. 9 is the schematic diagram for carrying out two-way bone carrying in embodiment 1 to the special large segmental bone defect of femur.
Marked in figure:Elongated hole, 13 lock holes, 2 fixing screws, 3 carrying pins, 4 are carried in main nail, 11 fixing threaded holes, 12 in 1 marrow Section, 43 bolts, 44 elongated holes, 45 regulating bolts, 46 needle stands, 47 universal joints are carried in fixed support, 41 canned paragraphs, 42.
Embodiment
Below in conjunction with the accompanying drawings, the present invention is described in detail.
In order to make the purpose , technical scheme and advantage of the present invention be clearer, it is right below in conjunction with drawings and Examples The present invention is further elaborated.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, and It is not used in the restriction present invention.
As shown in Figures 1 to 9, art is carried suitable for femur large segmental bone defect, for the different sclerotin situation of patient, again may be used So that main nail in marrow is arranged into three types.
It is the patient for osteoporosis first, as shown in Figures 1 to 4, the present invention includes being used for axially squeezing into sclerotin Main in marrow to follow closely 1,1 both ends of main nail are provided with fixing threaded hole 11 in the marrow, and its middle part is provided with axially disposed carrying elongated hole 12; Main nail 1 is straight type in the marrow, and both ends are provided with the lock hole 13 for coordinating with common fixing screws;All lock holes 13 It is generally aligned in the same plane with fixing threaded hole 11;Main nail 1 is additionally provided with oblique lock hole 13 in the marrow, itself and main nail 1 in marrow Angle is 60 ° or 120 °.Also include a fixed support 4 and some fixing screws 2;The rear end of fixing screws 2 and fixation Support 4 connects, and front end is connected with the fixing threaded hole 11 in marrow on main nail 1;Also main along marrow 1 can be followed closely including some axially The carrying pin 3 of motion, carrying elongated hole 12 implantation for carrying the one end of pin 3 in marrow on main nail 1 need the bone piece slid, separately One end is connected on fixed support 4.So carry pin 3 and run through whole bone piece.1 both ends of main nail are each provided with two fixed spiral shells in marrow Nail 2;The carrying pin 3 is two.
For the relatively good patient of cortex of bone, as shown in Figure 7, Figure 8, carrying elongated hole is not opened up on main nail 1 in the marrow 12, due to patient's sclerotin consolidation, carrying pin is only implanted to a part of bone piece and also ensures that the carrying hold of pin 3.And due to not having There is the limitation for carrying elongated hole 12, carrying pin diameter can be made relatively thick, proof strength.
With reference to the advantages of upper two kinds of structures, as shown in Figure 5, Figure 6, the main middle part of nail 1 is provided with axially disposed in the marrow Carrying elongated slot 16;The bone piece carried the implantation of pin 3 and need to slide, and elongated slot 16 is carried in one end insertion.Carry one end edge of pin 3 Fixed support 4 moves up and down, and the other end is carrying slip in elongated slot 16, both can guarantee that and carries pin 3 to the hold of bone piece, and can Ensure the intensity of main nail in 1 marrow.Meanwhile 3 pin front ends of carrying can be fabricated to the tip coordinated with carrying elongated slot 16, and its bar Portion's diameter can be made relatively thick so as to proof strength by the limitation of elongated slot 16 is carried.
Fixed support 4 is three-stage, including two canned paragraphs 41 for saving to be connected with fixing screws 2 and centre be used for Carry the carrying section 42 that pin 3 connects;Connect 47 by universal joint between the canned paragraph 41 and carrying section 42 to connect.Opened on canned paragraph 42 There is the hole passed through for fixing screws 2;The hole is run through in fixing screws rear end, and is fastened by bolt.Section 42 is carried to be covered by some sections Cylinder, which is nested, to be formed;The elongated hole 44 of position correspondence is provided with adjacent sleeve, and is fixed using the bolt 43 through elongated hole 44.Set Scale is provided with cylinder.Length sleeve is indicated, is advantageous to accurate adjustment.
Also include a needle stand 46 that can be slided up and down along fixed support 4, the carrying pin 3 is fixed on needle stand 46.Institute State that fixed support 4 is axially arranged rack, the gear coordinated with rack is provided with the needle stand 46;Band is provided with outside needle stand 46 The regulating bolt 45 of moving gear rotation.There is the scale of the sign displacement of needle stand 46 on the fixed support 4.It is easy to accurately adjust The position of markingoff pin seat 46, the distance that and can record bone piece is carried.
Lock 13 holes and often hold and be preferably provided two, and be arranged on the outside of fixing threaded hole 11.
Fig. 1-Fig. 3 illustrates the agglutination of femur Cranial defect.
It is more than more than 6cm patient for femur defect, as shown in figure 9, the needle stand 46 is upper and lower two, carries pin 3 Also it is two groups, is saved respectively with two 46 liang of needle stands.Two groups of carrying pins 3 are respectively implanted two bone pieces for needing to carry, two bone pieces Respectively at the both ends at Cranial defect position.Cranial defect both ends grow simultaneously, accelerate healing rate.
It is as follows using step:1. main length, the line of force followed closely 1 and locked, recover backbone in implantation marrow in advance;
2. mounting and fixing bracket 4, then main in inserting needle screw-in marrow first by fixing screws 2 through the hole on canned paragraph 41 Fixing threaded hole 11 on nail 1, last screwing bolts are fastened.
3. in metaphysis target site osteotomy, will then carry pin 3 needs to slide in bone piece through the implantation of elongated hole 12 is carried;
4. the needle stand 46 slid by rotating regulating bolt 45 on fixed support 4, which drives, carries the sliding sclerite of pin 3, according to Fixed support high scale carries out precise flow, until slide onto docking site, finally takes out fixed support 4, and main nail 1 is always in marrow Retain to healing completely of fracturing.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all essences in the present invention All any modification, equivalent and improvement made within refreshing and principle etc., should be included in the scope of the protection.

Claims (8)

1. a kind of bone handling device for femur large segmental bone defect, including for axially squeezing into main nail in the marrow of sclerotin, it is described Main nail is straight type in marrow, and both ends are provided with the lock hole for coordinating with common fixing screws;It is characterized in that:Main nail in the marrow Both ends are provided with fixing threaded hole;All lock holes and fixing threaded hole are generally aligned in the same plane;If also include fixed support and Dry fixing screws;The fixing screws rear end is connected with fixed support, and front end is connected with the main fixing threaded hole nailed in marrow; Also main along marrow the carrying pin being axially moved can be followed closely including some, described pin one end of carrying is implanted into the bone piece that needs slide, separately One end is connected on fixed support;In the marrow axially disposed carrying elongated slot is provided with the middle part of main nail;The carrying pin is planted Enter to need the bone piece slid, and elongated slot is carried in one end insertion.
2. a kind of bone handling device for femur large segmental bone defect according to claim 1 any one, its feature exist In:The fixed mount is three-stage, including two save being used for and carrying pin for canned paragraph to be connected with fixing screws and centre The carrying section of connection;Connected between the canned paragraph and carrying section by universal joint.
A kind of 3. bone handling device for femur large segmental bone defect according to claim 2, it is characterised in that:It is described solid Determine to be provided with the hole passed through for fixing screws in section;The hole is run through in fixing screws rear end, and is fastened by bolt.
A kind of 4. bone handling device for femur large segmental bone defect according to claim 2, it is characterised in that:It is described to remove Fortune section is nested by some section sleeves and formed;The elongated hole of position correspondence is provided with adjacent sleeve, and utilizes the spiral shell through elongated hole Bolt is fixed.
A kind of 5. bone handling device for femur large segmental bone defect according to claim 4, it is characterised in that:The set Scale is provided with cylinder.
6. a kind of bone handling device for femur large segmental bone defect according to claim 1 any one, its feature exist In:Also include a needle stand that can be slided up and down along fixed support, the carrying pin is fixed on needle stand.
A kind of 7. bone handling device for femur large segmental bone defect according to claim 6, it is characterised in that:It is described solid There is the scale of sign needle stand displacement on fixed rack.
A kind of 8. bone handling device for femur large segmental bone defect according to claim 6, it is characterised in that:It is described solid Fixed rack is axially arranged rack, and the gear coordinated with rack is provided with the needle stand;It is provided with outside needle stand and drives gear rotation The regulating bolt turned.
CN201510925427.7A 2015-12-14 2015-12-14 A kind of bone handling device for femur large segmental bone defect Expired - Fee Related CN105476701B (en)

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