CN105816248B - Knee joint front cruciate ligament tibia end positioner - Google Patents

Knee joint front cruciate ligament tibia end positioner Download PDF

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Publication number
CN105816248B
CN105816248B CN201610283494.8A CN201610283494A CN105816248B CN 105816248 B CN105816248 B CN 105816248B CN 201610283494 A CN201610283494 A CN 201610283494A CN 105816248 B CN105816248 B CN 105816248B
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guide rod
knee joint
cruciate ligament
joint front
arm
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CN105816248A (en
Inventor
孔庆波
赵巍
李卫
崔国庆
赵建刚
孟庆刚
曲志伟
马立学
李宝林
高志国
董艳如
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HARBIN FIRST HOSPITAL
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HARBIN FIRST HOSPITAL
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
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Abstract

The present invention relates to medical instruments field, be specially a kind of knee joint front cruciate ligament tibia end positioner its main feature is that:A kind of knee joint front cruciate ligament tibia end positioner, it includes registration arm, handle bearing, guide rod, locknut, it is characterised in that:The front of the registration arm is equipped with circular arc protrusion, blocking teeth, circular arc protrusion arm, blocking surface;Raised front is equipped with blocking surface, and raised rear is equipped with circular arc protrusion arm;Through hole extended line and blocking surface contact point on the guide rod are L, and L distance protrusions are the length of 6mm.Of low cost the beneficial effects of the invention are as follows simple in structure, machine driving, easy for operation, quick, accurate positioning, the revision rate of revision procedure reduces;Reduce patient suffering.

Description

Knee joint front cruciate ligament tibia end positioner
Technical field
The present invention relates to medical instruments field, is specially a kind of knee joint front cruciate ligament tibia end positioner.
Background technology
In sports medical science disease, anterior cruciate ligament of knee joint fracture is relatively conventional, and the fracture of anterior cruciate ligament can cause The damage of its hetero-organization such as articular cartilage meniscus, anterior cruciate ligament of knee joint occurs in kneed shakiness, treatment not in time Reconstruction be the important research topic of medicine in field of sports medicine all the time.Anterior cruciate ligament of knee joint rebuilds minimally invasive hand under arthroscope Art is a Minimally Invasive Surgery, and this method difficulty is larger and operation is fine, it is necessary to dedicated apparatus, but relative to traditional open Operation, the integrality of capsula articularis genus can be kept in ligament reconstructive, have wound small, recover fast, and postoperative pain is light, complication hair Raw rate is low and the advantages that the hospital stays is short, and a kind of Special surgical instrument used in above-mentioned operation is that tibial insertion of anterior cruciate ligament is determined Position device.During operation, arthroscope, douche can injection system are inserted in kneed articular cavity first, then under Arthroscopy, The position that the anterior cruciate ligament that the positioning protrusion of locator front end is placed on the inside of eminentia intercondyloidea is adhered to, guide rod front end is abutted against On shin bone, guide pin is penetrated in the guide slide of guide rod, bone road is established on shin bone along the direction of guide slide, is determined The introduction channel position of ligament tibia end ligament, during guide pin penetrates tibial plateau, above-mentioned shin bone guider use, due to intercondylar Swell (anterior cruciate ligament original attachment position) and adhere to substantial amounts of soft tissue, it is difficult to accurately find desired position point;In addition this Place is located at articular cavity middle section, and shin bone guider is positioned at this, has further blocked light and the visual field of arthroscope, and technology will Ask high, thus easily lead to the error of anterior cruciate ligament attachment point (lower dead center) on tibial plateau determined in operation Greatly, therapeutic effect is poor, cannot complete stop anatomical position reconstruction, or even occur function of joint be limited, must revision procedure, overhaul Rate is high.Through State Patent Office's CD query and search, number of patent application:2015110116653, a kind of eccentric positioning shin bone is oriented to Device.Although it reduces the revision rate of revision procedure.It is of high cost but it is complicated, different sizes are needed replacing in operation Registration arm, the ligament of selection is measured in operation certain error according to the diameter for soaking degree measurement, complicated, be not easy Grasp its operation order.
The content of the invention
It is of low cost the object of the present invention is to provide a kind of simple in structure, machine driving, easy for operation, quick side Just knee joint front cruciate ligament tibia end positioner.The object of the present invention is achieved like this:Intersect before a kind of knee joint Ligament shin bone end positioning device, it includes registration arm, handle bearing, guide rod, locknut, it is characterised in that:The registration arm Front is equipped with circular arc protrusion, blocking teeth, circular arc protrusion arm, blocking surface;Raised front is equipped with blocking surface, and raised rear is equipped with circular arc Raised arm;Through hole extended line and blocking surface contact point on the guide rod are L, and L distance protrusions are the length of 6mm.Blocking surface On be to have blocking teeth or unobstructed tooth.The registration arm rear is provided with locking groove, cambered way.In the handle One end is provided with guide slide on bearing, and slideway retaining groove, locking screw pit, locking nut places groove, in the handle branch The other end on seat is equipped with guide rod and slides duct, observes hole slot, closing piece placed hole.Gradual change is provided with the guide rod Bar, stablizes tooth, through hole, card slot, block, planar end surface;The top of gradual change bar is provided with stable tooth.It is provided with the closing piece Positive stop lug boss and closing piece latch.The locknut is provided with locknut adjustment tank, locknut threaded portion.In the adjustment locking screw Locking nut threaded portion, locking nut adjustment part are provided with mother.The beneficial effects of the invention are as follows simple in structure, machine driving, Of low cost, easy for operation, quick, accurate positioning, the revision rate of revision procedure reduces.
Brief description of the drawings:Fig. 1 is structural principle stereo-resolution schematic diagram of the present invention;Fig. 2 is that stereochemical structure principle of the present invention is bowed Depending on schematic diagram;Fig. 3 is stereochemical structure principle elevational schematic view of the present invention;Fig. 4 is the registration arm principle schematic top plan view of the present invention; Fig. 5 is the registration arm principle elevational schematic view of the present invention;Fig. 6 is handle bearing stereochemical structure principle schematic of the present invention;Fig. 7 is Handle bearing stereochemical structure principle schematic side view of the present invention;Fig. 8 is handle bearing stereochemical structure principle main view signal of the present invention Figure;Fig. 9 is the guide rod structural principle solid schematic front view of the present invention;The guide rod structural principle that Figure 10 is the present invention is three-dimensional Schematic top plan view;Figure 11 is the locking nut structure principle schematic perspective view of the present invention;The lock block structure that Figure 12 is the present invention is former Manage schematic perspective view;Figure 13 is the locknut structural principle schematic perspective view of the present invention.
Embodiment
A kind of knee joint front cruciate ligament tibia end positioner, it includes registration arm 1, handle bearing 3, guide rod 4, lock Mother 7, it is characterised in that:The front of the registration arm 1 is equipped with circular arc protrusion 1-1, blocking teeth 1-2, circular arc protrusion arm 1-3, stops Face 1-7;Blocking surface 1-7 is equipped with front of raised 1-1, raised 1-1 rears are equipped with circular arc protrusion arm 1-3;It is logical on the guide rod 4 Hole 4-3 extended lines (guide pin direction) are L with blocking surface 1-7 contact points, and L distances protrusion 1-1 is the length of 6mm.On blocking surface 1-7 It is to have blocking teeth 1-2 or unobstructed teeth 1-2.Locking groove 1-4, cambered way 1-5 are provided with 1 rear of registration arm. One end is provided with guide slide 3-1 on the handle bearing 3, slideway retaining groove 3-2, locking screw pit 3-3, locking nut peace Groove 3-6 is put, the other end on the handle bearing 3 is equipped with guide rod and slides duct 3-4, observes hole slot 3-5, closing piece peace Discharge hole 3-7.Gradual change bar 4-1 is provided with the guide rod 4, stablizes tooth 4-2, through hole 4-3, card slot 4-4, block 4-5, is put down End face 4-6;The top of gradual change bar 4-1 is provided with stable tooth 4-2.Positive stop lug boss 5-1 and closing piece are provided with the closing piece 5 Latch 5-2.The locknut 7 is provided with locknut adjustment tank 7-1, locknut threaded portion 7-2.In the adjustment locking nut 2 On be provided with locking nut threaded portion 2-1, locking nut adjustment part 2-2.
Operation principle, the course of work of the present invention are described in detail below in conjunction with the accompanying drawings:Circular arc protrusion arm is provided with registration arm 1 1-3, is provided with raised 1-1, it is L that raised 1-1 goes out pin mark distance apart from guide pin on circular arc protrusion arm 1-3 horizontal levels.In circle Blocking surface 1-7 is provided with the right side of arc protrusion arm 1-3 horizontal levels.The effect of blocking surface 1-7 is:Prevent Kirschner wire from penetrating articular cavity It is too deep to cause Accessory injury;Some blocking teeth 1-2 are provided with blocking surface 1-7 both sides, blocking teeth 1-2 plays protection surrounding soft tissue The effect of Simultaneous Stabilization horizontal arm.Cambered way 1-5 is provided with registration arm 1, cambered way 1-5 is provided with locking on side Groove 1-4, angle index line 1-6 is provided with cambered way 1-5 opposite sides.Locking nut 2 by locking nut threaded portion 2-1 and Locking nut adjustment part 2-2 is formed.Slideway retaining groove 3-2 is provided with handle bearing 3, slideway retaining groove 3-2 can prevent registration arm 1 Skidded off during being slided in handle bearing 3.Locking screw pit 3-3 is provided with handle bearing 3.Registration arm 1 is in handle branch Slided on seat 3, when selected slip angle, by adjusting the locking nut adjustment part 2-2 on locking nut 2.Adjust locking screw Locking nut threaded portion 2-1 on mother 2 passes through locking screw pit 3-3 so that locking nut threaded portion 2-1 is withstood in registration arm 1 Locking groove 1-4, so as to fulfill registration arm 1 angle position.Guide rod is provided with handle bearing 3 and slides duct 3-4, Guide rod, which slides, is provided with observation hole slot 3-5 by the 3-4 of duct;Guide rod 4 can be observed by card slot 4-4 in guide rod sliding eye Position in road 3-4,
Locking nut is provided with handle bearing 3 and places groove 3-6, closing piece placed hole 3-7, closing piece 5 is arranged at closing piece In placed hole 3-7, closing piece 5 can slide in closing piece placed hole 3-7;There are limited step 3-8, limiting stand on closing piece placed hole 3-7 Its position-limiting action of movements of the rank 3-8 to closing piece 5, sets angled indicator 3-9 on handle bearing 3.
Guide rod 4 through guide rod slide duct 3-4, guide rod 4 can guide rod slide duct 3-4 in rotate and on Lower slider;Gradual change bar 4-1 is provided with guide rod 4, stablizes tooth 4-2, through hole 4-3, card slot 4-4, block 4-5, planar end surface 4-6. Gradual change bar 4-1, effect are to reduce footprint from the coarse to fine, expand field range.Stablize tooth 4-2, effect is to make guide rod 4 more On stable fixed tibial bone face.Whole guide rod 4 is axially penetrated through in through hole 4-3, through hole 4-3 effects are Kirschner wire is pierced bone Stablize in road direction.Planar end surface 4-6 and card slot 4-4 are in same direction, by observing whether planar end surface 4-6 can learn guide rod 4 Locking;When card slot 4-4 is towards closing piece placed hole 3-7 directions on handle bearing 3, guide rod 4 locks.It is distributed on guide rod 4 There is several card slots 4-4, when guide rod 4 is rotated sliding in the 3-4 of duct, make the card slot 4-4 of guide rod 4 towards leaving through hole 4- 3 directions, guide rod 4 can be slided in the 3-4 of duct in guide rod and slided up and down.Block 4-5 plays guide rod 4 and is slided in guide rod Spacing effect is slided in the 3-4 of duct, the side of block 4-5 is machined with planar end surface 4-6.Positive stop lug boss is provided with closing piece 5 5-1 and closing piece latch 5-2, is distributed with several closing pieces latch 5-2 on closing piece 5, and closing piece 5 is arranged in closing piece placed hole 3-7, lock Block 5 slides in closing piece placed hole 3-7, and closing piece latch 5-2 directions are corresponding with the card slot 4-4 on guide rod 4.Limiting stand Rank 3-8 plays the positive stop lug boss 5-1 on closing piece 5 position-limiting action, and closing piece latch 5-2 can be locked with the card slot 4-4 on guide rod 4 Close;Spring 6 is arranged in closing piece placed hole 3-7, and 6 one end of spring is withstood on closing piece 5, and the other end is withstood on locknut 7;Pacify in closing piece Screw thread is also equipped with discharge hole 3-7.Locknut threaded portion 7-2 on locknut 7 can be installed on closing piece placed hole 3-7 by screw thread On, by locknut adjustment tank 7-1, adjustment locknut 7, adjusted so as to fulfill the elastic force of spring 6, when rotating guide rod 4, guide rod Card slot 4-4 on 4 leaves the closing piece latch 5-2 on closing piece 5, and closing piece latch 5-2 can slide sliding in the 3-4 of duct in guide rod Dynamic, when latch 5-2 is slided, spring 6 is compressed;When guide rod 4 is repositioned, latch 5-2 is under the action of spring 6, bullet Spring 6 is ejected by compressive state, and latch 5-2 is again sealed with guide rod 4.
When being performed the operation, angle, adjustment handle bearing 3 are pierced according to the Kirschner wire of selection.Under the auxiliary of arthroscope 1 front end of registration arm is inserted in articular cavity from level immediately ahead of knee joint, the raised 1-1 in registration arm 1 is placed in tibial plateau The leading edge peak of interior lateral ridge, rotates guide rod 4, makes to stablize tooth 4-2 and withstands on shin bone, and at this time, doctor can pierce kirschner Pin, establishes bone road, is normally carried out performing the operation.

Claims (6)

1. a kind of knee joint front cruciate ligament tibia end positioner, it includes registration arm, handle bearing, guide rod, locknut, its It is characterized in that:The front of the registration arm is equipped with circular arc protrusion, blocking teeth, circular arc protrusion arm, blocking surface;Raised front is equipped with resistance Block face, raised rear are equipped with circular arc protrusion arm;Stabilization tooth described in protrusion distance on guide rod and blocking surface contact point are L, L away from From the length that protrusion is 6mm;It is to have blocking teeth or unobstructed tooth on blocking surface, it is recessed that locking is provided with the registration arm rear Groove, cambered way.
A kind of 2. knee joint front cruciate ligament tibia end positioner according to claim 1, it is characterised in that:Described Handle bearing on one end be provided with guide slide, slideway retaining groove, locking screw pit, locking nut places groove, described The other end on handle bearing is equipped with guide rod and slides duct, observes hole slot, closing piece placed hole.
A kind of 3. knee joint front cruciate ligament tibia end positioner according to claim 1, it is characterised in that:Described Guide rod on be provided with gradual change bar, stablize tooth, through hole, card slot, block, planar end surface;The top of gradual change bar is provided with stable tooth.
A kind of 4. knee joint front cruciate ligament tibia end positioner according to claim 1, it is characterised in that:In closing piece On be provided with positive stop lug boss and closing piece latch.
A kind of 5. knee joint front cruciate ligament tibia end positioner according to claim 1, it is characterised in that:Described Locknut be provided with locknut adjustment tank, locknut threaded portion.
A kind of 6. knee joint front cruciate ligament tibia end positioner according to claim 1, it is characterised in that:Adjusting Locking nut threaded portion, locking nut adjustment part are provided with locking nut.
CN201610283494.8A 2016-05-02 2016-05-02 Knee joint front cruciate ligament tibia end positioner Active CN105816248B (en)

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108451654A (en) * 2018-03-13 2018-08-28 谷守滨 A kind of posterior cruciate ligament of knee ligament tibia locator
CN108969085A (en) * 2018-08-30 2018-12-11 广州市天鹰精密工具有限公司 A kind of knee joint front and rear fork ligament reparation positioning sighting device
CN111494023A (en) * 2019-01-30 2020-08-07 北京大学第三医院(北京大学第三临床医学院) Posterior cruciate ligament tibia guider
CN111015727A (en) * 2019-12-10 2020-04-17 长春工业大学 Stretching bionic artificial knee joint

Citations (5)

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Publication number Priority date Publication date Assignee Title
FR2901465A1 (en) * 2006-05-24 2007-11-30 Fournitures Hospitalieres Ind View finder for knee desmoid surgery, has two circular arc portions that are articulated to allow angular displacement of guide pin with respect to sighting device according to intersection axis of two planes defined by portions
CN201814608U (en) * 2010-10-14 2011-05-04 曲泽杰 Knee joint front cruciate ligament tibia end positioner
CN102125463A (en) * 2011-04-11 2011-07-20 邵汝谊 Tibia aiming device for posterior cruciate ligament rupture treatment
KR20150111542A (en) * 2014-03-25 2015-10-06 현대중공업 주식회사 Apparatus for reconstruction of cruciate ligament
CN105395223A (en) * 2015-12-30 2016-03-16 山东威高骨科材料股份有限公司 Tibia guider for conducting eccentric positioning

Family Cites Families (1)

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Publication number Priority date Publication date Assignee Title
DE102010024259B4 (en) * 2010-06-18 2012-12-13 Richard Wolf Gmbh Surgical target device for cruciate ligament reconstruction

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2901465A1 (en) * 2006-05-24 2007-11-30 Fournitures Hospitalieres Ind View finder for knee desmoid surgery, has two circular arc portions that are articulated to allow angular displacement of guide pin with respect to sighting device according to intersection axis of two planes defined by portions
CN201814608U (en) * 2010-10-14 2011-05-04 曲泽杰 Knee joint front cruciate ligament tibia end positioner
CN102125463A (en) * 2011-04-11 2011-07-20 邵汝谊 Tibia aiming device for posterior cruciate ligament rupture treatment
KR20150111542A (en) * 2014-03-25 2015-10-06 현대중공업 주식회사 Apparatus for reconstruction of cruciate ligament
CN105395223A (en) * 2015-12-30 2016-03-16 山东威高骨科材料股份有限公司 Tibia guider for conducting eccentric positioning

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Inventor after: Kong Qingbo

Inventor after: Gao Zhiguo

Inventor after: Dong Yanru

Inventor after: Zhao Wei

Inventor after: Li Wei

Inventor after: Cui Guoqing

Inventor after: Zhao Jiangang

Inventor after: Meng Qinggang

Inventor after: Qu Zhiwei

Inventor after: Ma Lixue

Inventor after: Li Baolin

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