CN105769326B - One kind operation bitubular locator - Google Patents

One kind operation bitubular locator Download PDF

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Publication number
CN105769326B
CN105769326B CN201610016938.1A CN201610016938A CN105769326B CN 105769326 B CN105769326 B CN 105769326B CN 201610016938 A CN201610016938 A CN 201610016938A CN 105769326 B CN105769326 B CN 105769326B
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CN
China
Prior art keywords
abutment sleeve
bitubular
connecting portion
locator
hole
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201610016938.1A
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Chinese (zh)
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CN105769326A (en
Inventor
朱伟民
王大平
熊建义
陆伟
崔家鸣
陈康
彭亮权
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Shenzhen Second Peoples Hospital
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Shenzhen Second Peoples Hospital
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Priority to CN201610016938.1A priority Critical patent/CN105769326B/en
Publication of CN105769326A publication Critical patent/CN105769326A/en
Application granted granted Critical
Publication of CN105769326B publication Critical patent/CN105769326B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • 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

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

Abstract

The present invention discloses a kind of operation bitubular locator, its Laterjet operation being used under arthroscope, including main body and abutment sleeve, wherein, main body includes pedestal, is provided with the protuberance of long column shape in one end of pedestal, hook portion is provided with the top of protuberance.Operation bitubular locator of the present invention can effectively solve the problem that under arthroscope to the fixation problem of processus coracoideus, processus coracoideus bone graft can be fixed on into glenoid cavity correct position under mirror, realize good surgical effect.

Description

One kind operation bitubular locator
Technical field
The present invention relates to the operating theater instruments under a kind of shoulder joint mirror, and in particular to one kind is repaiied for cavitas glenoidalis bone defect The operation bitubular locator of Psoralen positioning.
Background technology
Cavitas glenoidalis injury of lip is a kind of common disease, is often caused by habitual dislocation of shoulder.Most of patients is first It is secondary by motion or after external force causes dislocation, that is, develop into habitual dislocation.(Bankart is repaired capsular ligament broad-mouthed receptacle for holding liquid repair of lip Art) it is the fixed the most frequently used modus operandi of shoulder joint anterior instability, but answered for the patient of the serious bony defect of shoulder broad-mouthed receptacle for holding liquid leading edge be present The risk for sending out dislocation is higher.Coracoid displacement Latarjet operations provide solution for this kind of patient, and obtain good Effect, especially for young patient.
Minimally invasive surgery is one of cross-centennial high-new surgery technological achievement of clinical medicine circle.Minimally invasive surgery apparatus is represented as Endoscope.Such as duct using keyhole size or miniature incision, you can carry out the excision of abdominal visceral browser lesion, deformity is entangled Just, the various surgical operations such as reparation or reconstruction, are finally reached therapeutic purposes.Minimally Invasive Surgery be different from last century surgical operation it Be in, the former can reduce surgical wound area, avoid significantly the exposing of in-vivo tissue caused by infection, and disease can be made People faster fully recovers, and shortens hospital stays and medical expense.Minimally Invasive Surgery apparatus traditional surgery can be caused inside wound It is reduced to minimum degree.Therefore, research is thought, micro-wound surgical operation is one " cross-centennial milestone ".Such as arthroscopic surgery Be major progress of the Minimally Invasive Surgery theory in field of orthopaedics, is the developing direction of joint surgery.It is external from last century 70 Age starts gradually to be applied to clinic, and China has introduced this technology in the eighties.In recent years with the hair of medical knowledge Exhibition and medicine equipment are updated, arthrocsopic surgery with its it is notable the advantages of received by increasing doctor and patient, Gospel is brought for numerous patients with joint diseases.By decades fast development, led now applied to the most of of orthopaedics Domain, especially in terms of shoulder joint mirror and knee arthroscope surgical technic, various new methods are even more to emerge in an endless stream, and are maked rapid progress.
As the open surgery characterized by " big wound " develops to the Minimally Invasive Surgery direction characterized by " microtrauma ", The Minimally Invasive Surgery apparatus of new generation towards natural cavity is explored into inexorable trend.In face of the demand of life medical development, explore The principles of science of advanced operating theater instruments innovative design and bionical manufacture is one of subjects of mechanical engineering vital task.Currently, due to Minimally Invasive Surgery device design theory does not have fundamental change, causes many complicated delicate procedures not complete.For a long time, China In this direction basic research deficiency, the development of Minimally Invasive Surgery technique with the apparatus is constrained.Minimally Invasive Surgery apparatus is created into the section with manufacture The mixing together that basis is related to the subjects such as machine science, life science and clinical medicine is learned, passes through the basis of Minimally Invasive Surgery apparatus Theory and methods, will provide new treatment principle for clinical medicine and instrument, correlative study will expedite the emergence of the new change of medical technology Leather.
During Coracoid displacement Latarjet operations are carried out, the location difficulty of lower processus coracoideus is intercepted, due to no joint Processus coracoideus positioning or the drilling that special operating theater instruments is used under mirror under mirror, so open surgery is needed at present, caused otch Considerable influence is attractive in appearance, and lacks the amplification monitoring effect under arthroscope, only by patient's possessed surgical experience in itself, so Cartilage transplantation special equipment under mirror is needed, so as to reduce the wound for patient.At present latarjet operating theater instruments firstly the need of What is solved is exactly to the fixation problem of processus coracoideus under arthroscope, due to being positioned currently without processus coracoideus Kirschner Wire Drilling under suitable mirror Device so that it is more difficult that processus coracoideus is fixed on glenoid cavity correct position under mirror.So it is at present to rely on surgical experience Drilling through for bone road is carried out, so as to which final tunnel position has part deviation, and influences final surgical effect.
The content of the invention
The present invention provides a kind of operation bitubular locator, so that solve can not be to processus coracoideus under arthroscope present in prior art The problem of effective fixation problem.
In order to solve the above problems, the present invention provides a kind of operation bitubular locator, and it is used under arthroscope Laterjet performs the operation, including main body and abutment sleeve, wherein, main body includes pedestal, and the prominent of long column shape is provided with one end of pedestal Go out portion, hook portion is provided with the top of protuberance.
Preferably, being provided with the fixed part being arranged symmetrically in the both sides of pedestal, certain angle is formed between two fixed parts.
Preferably, abutment sleeve and protuberance are parallel to each other.
Preferably, each fixed part is provided with first connecting portion and second connecting portion, connect in first connecting portion and second First through hole and the second through hole are respectively equipped with socket part.
Preferably, abutment sleeve includes head and afterbody, the afterbody of abutment sleeve is sequentially passed through first when mounted Through hole and the second through hole are so that abutment sleeve is fixed in main body.
Preferably, the side of the afterbody of abutment sleeve has Dentate groove, it is provided with the end face on the head of abutment sleeve flat Groove.
Preferably, the side of the afterbody of abutment sleeve has a screw thread, the first through hole of fixed part and the second through hole it is interior Side roof part is provided with screw thread latch so that the afterbody of abutment sleeve can be screwed into first through hole and the second through hole.
Preferably, first connecting portion and second connecting portion are spherical, on the inside of first connecting portion and on the inside of second connecting portion The distance between be 2.2cm, be 4cm the distance between on the outside of first connecting portion and on the outside of second connecting portion.
Preferably, the length of abutment sleeve is 7-9mm.
Preferably, the distance between the pedestal of main body and hook portion of the junction of protuberance and protuberance are 1.8cm.
Preferably, the afterbody of abutment sleeve and the mutual distance of the hook portion of protuberance are 4-6cm.
It is can effectively solve the problem that using above-mentioned operation bitubular locator to the fixation problem of processus coracoideus under arthroscope, can be under mirror Processus coracoideus is fixed on glenoid cavity correct position, realizes good surgical effect.
Brief description of the drawings
Fig. 1 is a kind of dimensional structure diagram of bitubular locator of performing the operation of the present invention;
Fig. 2 is a kind of rearview of bitubular locator of performing the operation of the present invention;
Fig. 3 is a kind of top view of bitubular locator of performing the operation of the present invention;
Fig. 4 is a kind of side view of bitubular locator of performing the operation of the present invention;
Fig. 5 is the sectional view of abutment sleeve in a kind of bitubular locator of performing the operation of the present invention;
Fig. 6 is the stereogram of abutment sleeve in a kind of bitubular locator of performing the operation of the present invention;
Fig. 7 is the schematic cross-section of abutment sleeve in a kind of bitubular locator of performing the operation of the present invention.
Reference:
1st, main body;2nd, abutment sleeve;3rd, protuberance;4th, fixed part;5th, first through hole;6th, the second through hole;7th, hook portion;8th, base Seat;9th, head;10th, hollow bulb;11st, first connecting portion;12nd, second connecting portion;13rd, afterbody.
Embodiment
In order to which the intent of the present invention is better described, present disclosure is described further below in conjunction with the accompanying drawings.
As Figure 1-4, Fig. 1 shows a kind of operation bitubular locator, and it is mainly used in the Laterjet under arthroscope Operation, when carrying out Laterjet operations, accurate surgery location can be drilled into by the bitubular locator gram history pin, should Operation bitubular locator includes main body 1 and abutment sleeve 2, wherein, main body 1 includes pedestal 8, and long column is provided with one end of pedestal 8 The protuberance 3 of shape, hook portion 7 is provided with the top of protuberance 3, is provided with the fixed part 4 that is arranged symmetrically in the both sides of pedestal 8, two Fixed part 4 and protuberance 3 do not form certain angle in the same plane and between two fixed parts 4, are set on each fixed part 4 There are first connecting portion 11 and second connecting portion 12, first connecting portion 11 and second connecting portion 12 are preferably spherical, it is preferable that first The distance between the inner side of connecting portion 11 and the inner side of second connecting portion 12 are 2.2cm, the outside of first connecting portion 11 and second connecting portion The distance between 12 outsides are 4cm, and it is logical that first through hole 5 and second is respectively equipped with first connecting portion 11 and second connecting portion 12 Hole 6 is to stationary positioned sleeve 2.Preferably, abutment sleeve 2 and protuberance 3 are parallel to each other, so, by performing the operation, the bitubular is determined The mating reaction of the abutment sleeve 2 of protuberance 3 and two with hook portion 7 in the device of position, can be fixed on joint under mirror by processus coracoideus Broad-mouthed receptacle for holding liquid correct position.
Specifically as shown in figs. 4-7, abutment sleeve 2 has hollow bulb 10, to cause Kirschner wire to be passed through from hollow bulb 10, And creep into the processus coracoideus graft under interception, wherein, the length of abutment sleeve 2 is preferably 7-9mm, and the diameter of its hollow bulb 11 is excellent Elect 3.3mm as.Specifically, abutment sleeve 2 includes head 9 and afterbody 13, and the end of its afterbody 13 is tip shape, in afterbody 13 Side has Dentate groove, and the diameter on its head 9 is preferably 1.1cm, and rise as high as the banks corresponding with Dentate groove is provided with the end face on head 9. When mounted, the afterbody 13 of abutment sleeve 2 sequentially passes through the through hole 6 of first through hole 5 and second so as to which abutment sleeve 2 is fixed on into master On body 1, when the first and second connecting portions 11,12 form duct to allow abutment sleeve 2 to pass through, if the head of abutment sleeve 2 Rising as high as the banks upward in portion 9, then locking action can not be formed, abutment sleeve 2 can move forward and backward, when on the head 9 of abutment sleeve 2 Rise as high as the banks down so that the Dentate groove of the opposing party is upward, then the duct that can be formed with the first and second connecting portions 11,12 is blocked And lock so that abutment sleeve 2 can not move forward and backward.
In one preferred embodiment, the side of the afterbody 13 of abutment sleeve 2 has a screw thread, and the first of fixed part 4 The inside top of the through hole 6 of through hole 5 and second is provided with screw thread latch, and so, the afterbody 13 of abutment sleeve 2 can be screwed into first and lead to In the through hole 6 of hole 5 and second so that connection is even closer, wherein, the pedestal 8 of main body 1 and the junction of protuberance 3 and protuberance 3 The distance between hook portion 7 be preferably 1.8cm, in addition, the hook portion 7 of the afterbody 13 of abutment sleeve 2 and protuberance 3 is positioned at same flat In face, mutual distance is preferably 4-6cm.It is can effectively solve the problem that using above-mentioned operation bitubular locator under arthroscope to beak Prominent fixation problem, processus coracoideus can be fixed on glenoid cavity correct position under mirror, realize good surgical effect.
Embodiments of the invention are only the descriptions carried out to the preferred embodiment of the present invention, not to present inventive concept and Scope is defined, on the premise of design philosophy of the present invention is not departed from, skill of the engineers and technicians to the present invention in this area The all variations and modifications that art scheme is made, all should fall into protection scope of the present invention, the claimed technology contents of the present invention, All record in detail in the claims.

Claims (9)

1. one kind operation bitubular locator, its Laterjet operation being used under arthroscope, it is characterised in that:Including main body (1) With abutment sleeve (2), wherein, the main body (1) includes pedestal (8), one end of the pedestal (8) be provided with long column shape protrusion Portion (3), hook portion (7) is provided with the top of the protuberance (3);The both sides of the pedestal (8) are provided with the fixed part being arranged symmetrically (4), two fixed parts (4) and protuberance (3) in the same plane and do not form one jiao between two fixed parts (4) Degree, the abutment sleeve (2) include head (9) and afterbody (13), afterbody (13) and the protuberance (3) of the abutment sleeve (2) Hook portion (7) be generally aligned in the same plane in.
2. operation bitubular locator according to claim 1, it is characterised in that the abutment sleeve (2) and the protrusion Portion (3) is parallel to each other.
3. operation bitubular locator according to claim 2, it is characterised in that each fixed part (4) is provided with the One connecting portion (11) and second connecting portion (12), set respectively in the first connecting portion (11) and the second connecting portion (12) There are first through hole (5) and the second through hole (6);The afterbody (13) of the abutment sleeve (2) is sequentially passed through into institute when mounted First through hole (5) and second through hole (6) are stated so as to which the abutment sleeve (2) is fixed in the main body (1).
4. operation bitubular locator according to claim 3, it is characterised in that the afterbody of the abutment sleeve (2) (13) side has Dentate groove, is provided with and rises as high as the banks in the end face on the head (9) of the abutment sleeve (2).
5. operation bitubular locator according to claim 4, it is characterised in that the afterbody of the abutment sleeve (2) (13) side has screw thread, the first through hole (5) of the fixed part (4) and the inside top of second through hole (6) Provided with screw thread latch so that the afterbody (13) of the abutment sleeve (2) can be screwed into the first through hole (5) and described In second through hole (6).
6. operation bitubular locator according to claim 3, it is characterised in that the first connecting portion (11) and described the Two connecting portions (12) are spherical, and the distance between on the inside of the first connecting portion (11) and the second connecting portion (12) inner side is The distance between 2.2cm, first connecting portion (11) outside and the second connecting portion (12) outside is 4cm.
7. operation bitubular locator according to claim 1, it is characterised in that the length of the abutment sleeve (2) is 7- 9mm。
8. it is according to claim 1 operation bitubular locator, it is characterised in that the pedestal (8) of the main body (1) with The distance between the junction of the protuberance (3) and the hook portion (7) of the protuberance (3) are 1.8cm.
9. operation bitubular locator according to claim 1, it is characterised in that the afterbody of the abutment sleeve (2) (13) distance mutual with the hook portion (7) of the protuberance (3) is 4-6cm.
CN201610016938.1A 2016-01-08 2016-01-08 One kind operation bitubular locator Expired - Fee Related CN105769326B (en)

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Application Number Priority Date Filing Date Title
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CN105769326B true CN105769326B (en) 2017-12-29

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108567496A (en) * 2017-03-09 2018-09-25 深圳市第二人民医院 Adjustable operation locator
CN107174324B (en) * 2017-06-26 2023-10-31 吴宇峰 Minimally invasive repairing device for dislocation of acromioclavicular joint
CN108742868A (en) * 2018-07-03 2018-11-06 杭州埃杜医疗科技有限公司 A kind of cartilage transplantation prosthesis instrument packet

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US4153053A (en) * 1977-09-12 1979-05-08 Eleazar Figallo E Method of reducing malar fractures using a hammer disimpactor
CN2852973Y (en) * 2005-11-07 2007-01-03 谢福广 Multifunction extraction for orthopedic slip screw
CN101366657A (en) * 2008-10-09 2009-02-18 中国人民解放军第三军医大学 Multifunctional intra-articular fracture guide apparatus
CN201328877Y (en) * 2009-01-20 2009-10-21 四川大学华西医院 Thoracolumbar vertebrae front-path screw guider
CN202288471U (en) * 2011-09-30 2012-07-04 肖洪 Guiding device for percutaneous hollow-screw internal fixation for femur near-end fractures
CN203468729U (en) * 2013-09-30 2014-03-12 窦志 Sighting device for orthopedic surgery operations
CN104083204A (en) * 2014-07-18 2014-10-08 广西大学 Tibia tunnel locating device and method based on personalized navigation template
CN204909620U (en) * 2015-07-02 2015-12-30 王维山 But angle regulation's pedicle of vertebral arch nail director
CN205598001U (en) * 2016-01-08 2016-09-28 深圳市第二人民医院 Operation binocular locator

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US7175633B2 (en) * 2001-10-17 2007-02-13 Synthes (Usa) Orthopedic implant insertion instruments

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4153053A (en) * 1977-09-12 1979-05-08 Eleazar Figallo E Method of reducing malar fractures using a hammer disimpactor
CN2852973Y (en) * 2005-11-07 2007-01-03 谢福广 Multifunction extraction for orthopedic slip screw
CN101366657A (en) * 2008-10-09 2009-02-18 中国人民解放军第三军医大学 Multifunctional intra-articular fracture guide apparatus
CN201328877Y (en) * 2009-01-20 2009-10-21 四川大学华西医院 Thoracolumbar vertebrae front-path screw guider
CN202288471U (en) * 2011-09-30 2012-07-04 肖洪 Guiding device for percutaneous hollow-screw internal fixation for femur near-end fractures
CN203468729U (en) * 2013-09-30 2014-03-12 窦志 Sighting device for orthopedic surgery operations
CN104083204A (en) * 2014-07-18 2014-10-08 广西大学 Tibia tunnel locating device and method based on personalized navigation template
CN204909620U (en) * 2015-07-02 2015-12-30 王维山 But angle regulation's pedicle of vertebral arch nail director
CN205598001U (en) * 2016-01-08 2016-09-28 深圳市第二人民医院 Operation binocular locator

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