CN105919631A - Medical instrument for plantar ligament reconstruction and using method - Google Patents
Medical instrument for plantar ligament reconstruction and using method Download PDFInfo
- Publication number
- CN105919631A CN105919631A CN201610419043.2A CN201610419043A CN105919631A CN 105919631 A CN105919631 A CN 105919631A CN 201610419043 A CN201610419043 A CN 201610419043A CN 105919631 A CN105919631 A CN 105919631A
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- guide pin
- hollow
- dilator
- guide
- pipe
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1655—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for tapping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1682—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the foot or ankle
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to the technical field of medical instruments and provides a medical instrument for plantar ligament reconstruction. The medical instrument comprises guide needles, a cylindrical hollow saw, a guider for guiding the guide sleeves, an expander sleeve and an expander head, the guide needles include a cylindrical round guide needle with a needle tip, a guide probe with a probe tip at the front end and a connecting portion at the rear end, a blunt guide needle with the front end of a spherical structure, and a connecting guide needle with a connecting portion at each of the front end and the rear end, the guider comprises a vertical guide pipe, an elbow communicated with the guide pipe is arranged on one side of the guide pipe, the expander head comprises an external thread matched with the expander sleeve and a crossed structure at the tail end, a through hole matched with the guide needles is formed inside the expander head, and a hollow wrench of a soft hollow pipe allowing the guide needles to penetrate is arranged in the middle. The medical instrument is simple in structure and convenient to operate, and each guide needle can be utilized for operation; the problem that the medical instrument is difficult to be taken out is avoided during use, the defect of depending on self healing in the prior art is overcome, and trouble in operation depending on large equipment is omitted. The medical instrument is low in cost and remarkable in effect.
Description
Technical field
The present invention relates to technical field of medical instruments, be specifically related to a kind of medical apparatus and instruments rebuild for plantar ligaments and using method.
Background technology
Foot pain is the major reason affecting foot function, and the reason causing foot pain is more, and plantar ligaments pathological changes is main cause.Plantar ligaments acute injury or chronic strain are relatively conventional in clinic, such as lisfranc's joint fracture and dislocation, comminuted calcaneal fracture, calcaneodynia etc., how with the long and short ligament in vola or the damage of plantar aponeurosis and fracture, may result in the complication such as plantar arch collapse.Because plantar dissection structure is complicated, organize tough and tensile, open when appearing plantar ligaments damage serious, and fracture ligament directly sews up more difficulty；Clinical repair method mostly is recovery joint or the anatomical reduction of fracture at present, ligament scar healing voluntarily, but the elastic modelling quantity of cicatrix and toughness are less than ligament, the maintenance strength of arch of foot is reduced, easily cause vola pain, affecting patient's walking, bearing a heavy burden and work capacity, if causing cicatricial contracture, may result in pes cavus, affect minimal invasive treatment.
Summary of the invention
For solving plantar ligaments reparation, the invention provides a kind of medical apparatus and instruments rebuild for plantar ligaments and using method, use the autologous tendon of Micro-operation row or allogeneic tendon grafting reparation fracture or the ligament of damage, opereating specification is positioned at shank bottom surface and Plantar Blood Vessels, nerve, the tendon back side, it is to avoid open reparation is to plantar ligaments and nerve, the damage of blood vessel.
The present invention realizes by the following technical solutions
A kind of medical apparatus and instruments rebuild for plantar ligaments, including guide pin, including the cylindrical round guide pin with needle point, front end be needle point, rear end be the guiding probe of connecting portion, front end is the blunt guide pin of spherical structure, the most all have the connection guide pin of connecting portion；
Columnar hollow saw, the front end of hollow saw is provided with to be easy to drill through sclerotin broached-tooth design, cavity volume it is provided with after sawtooth, the side of cavity volume is provided with to be easy to take out cavity volume internal skeleton post chute, cavity volume rear is provided with hollow saw, is easy to drill through sclerotin including front end laciniation, and side rectangle chute is easy to take out hollow saw internal skeleton post, rear is provided with the handle of through hole, and guide pin can be movable in through hole；
The guider guided for guide pin, including vertical conduit, the bend pipe that the side of conduit is communicated with；
Dilator sleeve pipe, including the tapped hard blank pipe in front, centre is soft blank pipe, and rear is hard blank pipe；Dilator head, including with the external screw thread matched with dilator sleeve pipe, tail end is decussate texture, and inside is provided with the through hole coordinating guide pin.
Further, also include for the hollow spanner that dilator head is fixing with dilator sleeve pipe, the two ends of hollow spanner are hard blank pipe, mid portion is the soft hollow pipe that guide pin can be made to pass, back-up wrench one end is provided with brill turning handle, the other end is provided with the cross structure matched with dilator head, the cylindrical portion matched with guide pin.
Further, connect or threaded one for hooking ZHUANLIAN between described guide pin.
The using method of a kind of medical apparatus and instruments rebuild for plantar ligaments, comprises the following steps:
1) insert circle guide pin after determining position, drill through sclerotin with hollow saw, utilize chute to take out the bone post in cavity volume；
2) it is directed to device implant, keeps the direction needed；
3) implanting guiding probe, keep the direction guiding probe, connecting guide pin derives；
4) dilator sleeve pipe and dilator head are combined into dilator by hollow spanner, are combined with guider；
5) inserting in dilator by blunt guide pin, blunt guide pin pulls out passivity expanding channel；
6) utilize hollow spanner to be taken off by dilator head, connect guide pin and take out dilator head；
7) connection guide pin operation is utilized to repair；
8) taking-up bone post is utilized hollow saw Hui Zhi.
The invention have benefit that, the simple operations of this apparatus structure is convenient, each guide pin can be utilized to operate, the combination of dilator sleeve pipe and dilator head and separate reliable, in use avoid the occurrence of the problem being difficult to take out, solve the defect relying on self-heal in prior art, remove the trouble relying on main equipment operation from, with low cost, effect is notable.
Accompanying drawing explanation
The structural representation of the hollow saw of Fig. 1 present invention；
Fig. 2 guide pin of the present invention modular construction schematic diagram；
Fig. 3 guide pin of the present invention connection diagram；
Fig. 4 guide structure of the present invention schematic diagram；
Fig. 5 dilator of the present invention structural representation；
Fig. 6 present invention hollow spanner structure schematic diagram；
1. hollow saw in figure, 2. justifies guide pin, 3. guides probe, the most blunt guide pin, 5. connects guide pin, 6. link and connect, the most threaded, 8. guider, 9. dilator sleeve pipe, 10. dilator head, 11. hollow spanners.
Detailed description of the invention
The invention will be further described below in conjunction with the accompanying drawings.
As depicted in figs. 1 and 2, the present invention provides a kind of medical apparatus and instruments rebuild for plantar ligaments, including with lower component: guide pin, including the cylindrical round guide pin 2 with needle point, front end be needle point, rear end be the guiding probe 3 of connecting portion, front end is the blunt guide pin 4 of spherical structure, the most all has the connection guide pin 5 of connecting portion.
Columnar hollow saw 1, the front end of hollow saw 1 is provided with to be easy to drill through sclerotin broached-tooth design, cavity volume it is provided with after sawtooth, the side of cavity volume is provided with to be easy to take out cavity volume internal skeleton post chute, cavity volume rear is provided with hollow saw, is easy to drill through sclerotin including front end laciniation, and side rectangle chute is easy to take out hollow saw internal skeleton post, rear is provided with the handle of through hole, and guide pin can be movable in through hole.
As shown in Figure 4, the guider 8 guided for guide pin, including vertical conduit, the bend pipe that the side of conduit is communicated with, guider direction as required realizes guide effect.
As it is shown in figure 5, dilator sleeve pipe 9, including the tapped hard blank pipe in front, centre is soft blank pipe, and rear is hard blank pipe；Dilator head 10, including with the external screw thread matched with dilator sleeve pipe, tail end is decussate texture, and inside is provided with the through hole coordinating guide pin.
As shown in Figure 6, fixing with dilator sleeve pipe to realize dilator head, be additionally provided with hollow spanner 11, the two ends of hollow spanner 11 are hard blank pipe, and mid portion is soft hollow pipe, and guide pin can move forward and backward along hard blank pipe and hollow pipe.One end of hollow spanner is provided with brill turning handle, and the other end is provided with the cross structure matched with dilator head.Guide pin is operatively connected along inside, during use, is implanted along dilator sleeve pipe by dilator head, utilizes hollow spanner to rotate screw thread, forms dilator.
As it is shown on figure 3, connect or threaded one for hooking ZHUANLIAN between guide pin.
Utilize the operational approach of the medical apparatus and instruments rebuild for plantar ligaments that the present invention provides, comprise the following steps:
1) insert circle guide pin after determining position, drill through sclerotin with hollow saw 1, utilize chute to take out the bone post in cavity volume；
2) it is directed to device 8 implant, keeps the direction needed；
3) implanting guiding probe 3, keep the direction guiding probe, connecting guide pin 5 derives；
4) dilator sleeve pipe and dilator head are combined into dilator by hollow spanner, are combined with guider；
5) inserting in dilator by blunt guide pin, blunt guide pin 4 pulls out passivity expanding channel；
6) utilize hollow spanner to be taken off by dilator head, connect guide pin 5 and take out dilator head；
7) connection guide pin 5 operation is utilized to repair；
8) taking-up bone post is utilized hollow saw Hui Zhi.
The medical apparatus and instruments rebuild for plantar ligaments that the present invention provides, self-sustaining backcut mouth, manifest metatarsal substrate, round guide pin 2 is pierced from metatarsal bases diagonal, after C arm inspection determines that position is satisfied, drill through sclerotin with hollow saw 1, take out the bone post drilled through, it is directed to device 8 and implants osseous tunnel, keep the direction needed, implant and guide probe 3, keep probe to be close to Tarsal bones bottom, self-sustaining shin side or calf side pass, and connecting guide pin 5 derives outside skin.With hollow spanner, dilator sleeve pipe and dilator head being combined into set of dilators and dress up dilator, insert in dilator by blunt guide pin 4, derived by blunt guide pin to metatarsal substrate, traction passivity expanding channel is to metatarsal substrate, and connecting guide pin 5 derives to foot shin side or calf side.Utilize hollow spanner to be rotated by dilator head screw to take off, take out dilator head, utilize connection guide pin 5 that autologous or Heterogeneous tendon cause metatarsal substrate osseous tunnel, rebuild tendon stop, bone post Hui Zhi will be taken out, absorbable thread is fixed, and near-end tendon row tendon stop is rebuild or sewed up with ligament, tendon establishment, completes plantar ligaments and rebuilds.
Claims (4)
1. the medical apparatus and instruments rebuild for plantar ligaments, it is characterized in that, including: guide pin, including the cylindrical round guide pin (2) with needle point, front end be needle point, rear end be the guiding probe (3) of connecting portion, front end is the blunt guide pin (4) of spherical structure, the most all has the connection guide pin (5) of connecting portion；
Columnar hollow saw (1), the front end of hollow saw is provided with to be easy to drill through sclerotin broached-tooth design, cavity volume it is provided with after sawtooth, the side of cavity volume is provided with to be easy to take out cavity volume internal skeleton post chute, cavity volume rear is provided with hollow saw, is easy to drill through sclerotin including front end laciniation, and side rectangle chute is easy to take out hollow saw internal skeleton post, rear is provided with the handle of through hole, and guide pin can be movable in through hole；
The guider (8) guided for guide pin, including vertical conduit, the bend pipe that the side of conduit is communicated with；
Dilator sleeve pipe (9), including the tapped hard blank pipe in front, centre is soft blank pipe, and rear is hard blank pipe；Dilator head (10), including with the external screw thread matched with dilator sleeve pipe, tail end is decussate texture, and inside is provided with the through hole coordinating guide pin.
The medical apparatus and instruments rebuild for plantar ligaments the most according to claim 1, it is characterized in that, also include for the hollow spanner (11) that dilator head is fixing with dilator sleeve pipe, the two ends of hollow spanner are hard blank pipe, mid portion is the soft hollow pipe that guide pin can be made to pass, back-up wrench one end is provided with brill turning handle, and the other end is provided with the cross structure matched with dilator head, the cylindrical portion matched with guide pin.
The medical apparatus and instruments rebuild for plantar ligaments the most according to claim 2, it is characterised in that connect or threaded one for hooking ZHUANLIAN between described guide pin.
4. utilize a using method for the medical apparatus and instruments rebuild for plantar ligaments described in claim 3, comprise the following steps:
1) insert circle guide pin after determining position, drill through sclerotin with hollow saw 1, utilize chute to take out the bone post in cavity volume；
2) it is directed to device 8 implant, keeps the direction needed；
3) implanting guiding probe 3, keep the direction guiding probe, connecting guide pin 5 derives；
4) dilator sleeve pipe and dilator head are combined into dilator by hollow spanner, are combined with guider；
5) inserting in dilator by blunt guide pin, blunt guide pin 4 pulls out passivity expanding channel；
6) utilize hollow spanner to be taken off by dilator head, connect guide pin 5 and take out dilator head；
7) connection guide pin 5 operation is utilized to repair；
8) taking-up bone post is utilized hollow saw Hui Zhi.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610419043.2A CN105919631B (en) | 2016-06-13 | 2016-06-13 | A kind of medical instrument rebuild for plantar ligaments and application method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610419043.2A CN105919631B (en) | 2016-06-13 | 2016-06-13 | A kind of medical instrument rebuild for plantar ligaments and application method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105919631A true CN105919631A (en) | 2016-09-07 |
| CN105919631B CN105919631B (en) | 2018-06-19 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610419043.2A Active CN105919631B (en) | 2016-06-13 | 2016-06-13 | A kind of medical instrument rebuild for plantar ligaments and application method |
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| CN (1) | CN105919631B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111904658A (en) * | 2020-08-11 | 2020-11-10 | 王加利 | Instrument for reconstructing injured ankle ligament and operation method thereof |
Citations (9)
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| US5713905A (en) * | 1993-09-15 | 1998-02-03 | Mitek Surgical Products, Inc. | Modular drill and method for using the same |
| US6499486B1 (en) * | 1999-07-29 | 2002-12-31 | Ethicon, Inc. | Method for reconstructing a ligament |
| US6623524B2 (en) * | 2000-06-09 | 2003-09-23 | Arthrex, Inc. | Method for anterior cruciate ligament reconstruction using cross-pin implant with eyelet |
| WO2006023980A2 (en) * | 2002-12-03 | 2006-03-02 | Arthrosurface, Inc. | System and method for retrograde procedure |
| CN1988859A (en) * | 2004-04-22 | 2007-06-27 | 斯坎迪乌斯生物医药公司 | Apparatus and method for reconstructing a ligament |
| CN202409093U (en) * | 2011-12-20 | 2012-09-05 | 黄长明 | Overhaul device used after cruciate ligament reconstruction operation |
| US20120323248A1 (en) * | 2005-06-21 | 2012-12-20 | Brian D. Dross | Arthroscopic method and apparatus for tissue attachment to bone |
| CN103230292A (en) * | 2013-05-14 | 2013-08-07 | 潘海乐 | Cruciate ligament rebuilding hollow trephine |
| CN205758620U (en) * | 2016-06-13 | 2016-12-07 | 王加利 | A kind of medical apparatus and instruments rebuild for plantar ligaments |
-
2016
- 2016-06-13 CN CN201610419043.2A patent/CN105919631B/en active Active
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5713905A (en) * | 1993-09-15 | 1998-02-03 | Mitek Surgical Products, Inc. | Modular drill and method for using the same |
| US6499486B1 (en) * | 1999-07-29 | 2002-12-31 | Ethicon, Inc. | Method for reconstructing a ligament |
| US6623524B2 (en) * | 2000-06-09 | 2003-09-23 | Arthrex, Inc. | Method for anterior cruciate ligament reconstruction using cross-pin implant with eyelet |
| WO2006023980A2 (en) * | 2002-12-03 | 2006-03-02 | Arthrosurface, Inc. | System and method for retrograde procedure |
| CN1988859A (en) * | 2004-04-22 | 2007-06-27 | 斯坎迪乌斯生物医药公司 | Apparatus and method for reconstructing a ligament |
| US20120323248A1 (en) * | 2005-06-21 | 2012-12-20 | Brian D. Dross | Arthroscopic method and apparatus for tissue attachment to bone |
| CN202409093U (en) * | 2011-12-20 | 2012-09-05 | 黄长明 | Overhaul device used after cruciate ligament reconstruction operation |
| CN103230292A (en) * | 2013-05-14 | 2013-08-07 | 潘海乐 | Cruciate ligament rebuilding hollow trephine |
| CN205758620U (en) * | 2016-06-13 | 2016-12-07 | 王加利 | A kind of medical apparatus and instruments rebuild for plantar ligaments |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111904658A (en) * | 2020-08-11 | 2020-11-10 | 王加利 | Instrument for reconstructing injured ankle ligament and operation method thereof |
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| Publication number | Publication date |
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| CN105919631B (en) | 2018-06-19 |
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| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| CB03 | Change of inventor or designer information |
Inventor after: Zhao Chunxia Inventor after: Wang Jiali Inventor before: Wang Jiali |
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| CB03 | Change of inventor or designer information | ||
| TA01 | Transfer of patent application right |
Effective date of registration: 20180516 Address after: 276000 No. 17 health Road, Yishui Town, Yishui County, Linyi, Shandong. Applicant after: Zhao Chunxia Applicant after: Wang Jiali Address before: 276000 Yishui Central Hospital of Linyi City, Shandong Province Applicant before: Wang Jiali |
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