CN105943151A - Acromioclavicular joint closed reduction suturing device - Google Patents
Acromioclavicular joint closed reduction suturing device Download PDFInfo
- Publication number
- CN105943151A CN105943151A CN201610552618.8A CN201610552618A CN105943151A CN 105943151 A CN105943151 A CN 105943151A CN 201610552618 A CN201610552618 A CN 201610552618A CN 105943151 A CN105943151 A CN 105943151A
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- Prior art keywords
- screw rod
- acromioclavicular joint
- sleeve
- closed reduction
- joint closed
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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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8861—Apparatus for manipulating flexible wires or straps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
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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 invention relates to medical instruments, in particular to an acromioclavicular joint closed reduction suturing device. The acromioclavicular joint closed reduction suturing device comprises a left caliper body and a right caliper body, wherein the middle parts of the left caliper body and the right caliper body are rotationally connected through a rotating shaft; a lower supporting locator is arranged on the front end of the left caliper body; the lower supporting locator comprises sleeves arranged on two ends and a connecting pipe arranged at the middle part; the connecting pipe is communicated with the inner parts of the sleeves; a strip-shaped seam which is convenient for wire drawing is formed in one side, facing a bone surface, of the lower supporting locator; the strip-shaped seam is coherently formed in the sleeves and the connecting pipe and is used for communicating the inner parts and the outer parts of the sleeves and the connecting pipe; an upper supporting locator is arranged on the front end of the right caliper body; the upper supporting locator comprises spiral propulsion structures arranged on two ends and used for leaning against and fixing the bone surface and a connecting arm arranged at the middle part. According to the acromioclavicular joint closed reduction suturing device provided by the invention, a to-be-sutured clavicle can be stabilized and fixed through the lower supporting locator and the upper supporting locator, the center of the clavicle can be accurately found, the perforating success rate is increased, and acromioclavicular joints after suturing are enabled not to dislocate any more.
Description
Technical field
The present invention relates to medical apparatus and instruments, be specifically related to a kind of acromioclavicular joint closed reduction stitching devices.
Background technology
Acromioclavicular joint dislocation is common joint dislocation phenomenon, it usually needs carry out surgical menopause, bone
In section's clinic, for two, three degree of dislocations of acromioclavicular joint, general employing Kirschner wire fixation or shoulder lock
The mode that hook plate is fixing, belongs to open surgery, and general wound is relatively big, stable with Kirschner wire fixation
Property poor, the easy withdraw of the needle, easy solid failure, Acromioclavicular hook plate wound is big, needs to take out, and easily causes shoulder
The drawbacks such as joint disorders.
Summary of the invention
The present invention provides a kind of acromioclavicular joint closed reduction stitching devices, solves existing acromioclavicular joint dislocation
Can not the problem of effectively closed reattachment surgery, concrete technical scheme is as follows:
A kind of acromioclavicular joint closed reduction stitching devices, including: left and right caliper, described left and right pincers
Being connected by axis of rotation in the middle part of body, described left caliper front end is provided with down a localizer, determines for described lower
Position device includes the sleeve at two ends and middle connecting tube, and described connecting tube connects with sleeve inner, described
Prop up down above localizer the side to surface of bone to be provided with and facilitate the bar shaped of bracing wire to stitch, this bar shaped be sewn on sleeve and
Coherent distribution in connecting tube, and by sleeve and the inside of connecting tube and ft connection, before described right caliper body
End is provided with a localizer, and described upper localizer includes that two ends are for propping up surface of bone fixing precession
Structure and middle linking arm.
Further, described precession structure includes having female thread bush and coordinate with this thread bush
First screw rod of precession, described first screw rod has spacing top cover, described first screw rod two ends have with
The through hole that described sleeve aperture is consistent.
Further, described connecting tube is convexly curved along the axial of sleeve to the direction away from surface of bone, arc
The design of bending is convenient leaves behind the suture within lower localizer, relative to traditional straight barrel type success
Rate is higher, does not haves the situation that suture blocks.
Further, described sleeve becomes bell mouth shape with surface of bone contact surface, and bell mouth shape increases and surface of bone
Contact surface, it is ensured that facilitate threading after punching.
Further, the rear end of described left and right caliper is provided with locking mechanism, and described locking mechanism includes
The second screw rod that one end is connected with left caliper and lock nut, described right caliper body is provided with for the second screw rod
The through hole passed, described lock nut adjusts opening of left and right caliper along the spinning in and out back and forth of the second screw rod
Tight degree.
Further, described first screw rod top half is provided with screw thread, is only provided with screw thread in top half
The main convenient process reducing precession, facilitates medical personnel to install, more saves time.
Further, the shaft cross section of described second screw rod is tetragon, up and down the two of described tetragon
While be parallel straight line, the right and left is camber line, the face that the second screw rod both sides upper and lower with tetragon are corresponding
Being provided with rule, the face corresponding with tetragon the right and left is provided with screw thread, is designed to this type of four limit
Shape one is cost-effective, and two is the main convenient tensioning degree at realization accurately regulation left and right caliper, and
Relative to traditional whole body screw thread, there is less friction area, more convenient operation.
It should be noted that the length of the connecting tube of each closed reduction stitching devices and linking arm is equal
Differ, need the position according to concrete clavicle to acromion to select suitable length to be operated.
Beneficial effect:
The present invention provides a kind of acromioclavicular joint closed reduction stitching devices, by lower localizer and upper
Clavicle to be stapled can stably be fixed by localizer, is exactly found the center of clavicle, improves punching
Success rate, and can be implemented on acromioclavicular joint both sides, make a call to two groups of holes by rotating caliper, two groups of seams
After line ensures to sew up, acromioclavicular joint is no longer dislocated.
Accompanying drawing explanation
In order to be illustrated more clearly that the embodiment of the present invention or technical scheme of the prior art, below by right
In embodiment or description of the prior art, the required accompanying drawing used is briefly described, it should be apparent that,
Accompanying drawing in describing below is only some embodiments of the present invention, for those of ordinary skill in the art
From the point of view of, on the premise of not paying creative work, it is also possible to obtain the attached of other according to these accompanying drawings
Figure.
Fig. 1 is present configuration schematic diagram;
Fig. 2 is upper localizer and lower localizer perspective view;
Fig. 3 is lower localizer top view,
Fig. 4 is the schematic cross-section of the second screw rod and lock nut.
Accompanying drawing illustrates:
1: left caliper, 2: right caliper body, 3: lower localizer, 4,5: sleeve, 6: connecting tube, 7:
Bar shaped is stitched, and 8: above prop up localizer, 9,10: precession structure, 11: linking arm, 12: thread bush,
13: the first screw rods, 14: top cover, 15: locking mechanism, 16: the second screw rods, 17: lock nut,
18: rule, 19: screw thread.
Detailed description of the invention
For making the purpose of the embodiment of the present invention, technical scheme and advantage clearer, below to the present invention
Technical scheme in embodiment is clearly and completely described, it is clear that described embodiment is this
Invent a part of embodiment rather than whole embodiments.Based on the embodiment in the present invention, ability
The every other embodiment that territory those of ordinary skill is obtained under not making creative work premise,
Broadly fall into the scope of protection of the invention.
As Figure 1-3, a kind of acromioclavicular joint closed reduction stitching devices, including: left and right caliper 1,
2, connected by axis of rotation in the middle part of described left and right caliper, described left caliper 1 front end is provided with down to prop up determines
Position device 3, described lower localizer 3 includes sleeve 4,5 and the connecting tube 6 of centre at two ends, described
Connecting tube 6 is internal with sleeve 4,5 to be connected, and the side of surface of bone is provided with by described lower localizer 3 above
Facilitating the bar shaped seam 7 of bracing wire, this bar shaped seam 7 is coherent distribution on sleeve 4,5 and connecting tube 6, and
By sleeve and the inside of connecting tube and ft connection, described right caliper body 2 front end is provided with a localizer 8,
Described upper localizer 8 includes that two ends are for propping up surface of bone fixing precession structure 9,10 and centre
Linking arm 11, described precession structure 9,10 include having female thread bush 12 and with this spiral shell
Stricture of vagina set coordinates the first screw rod 13 of precession, and described first screw rod 13 has spacing top cover 14, described
First screw rod two ends have the through hole consistent with described sleeve aperture, and described connecting tube 6 is along the axle of sleeve
Being convexly curved to the direction away from surface of bone, the design of arc-shaped bend is convenient by inside lower localizer
Suture leave behind, have higher success rate relative to traditional straight barrel type, do not have the situation that suture blocks,
Described sleeve 4,5 becomes bell mouth shape with surface of bone contact surface, and bell mouth shape increases the contact surface with surface of bone,
Threading, the rear end of described left and right caliper is facilitated to be provided with locking mechanism 15, described locking after ensureing punching
Structure 15 includes the second screw rod 16 and lock nut 17, the described right pincers that one end is connected with left caliper 1
Body 2 is provided with the through hole passed for the second screw rod 16, and described lock nut 17 is along the second screw rod 16
Spinning in and out adjust the tensioning degree of left and right caliper back and forth, and described first screw rod top half is provided with spiral shell
Stricture of vagina, the shaft cross section of described second screw rod is tetragon, and the both sides up and down of described tetragon are parallel
Straight line, the right and left is camber line, and as shown in Figure 4, the second screw rod both sides upper and lower with tetragon are corresponding
Face is provided with rule 18, and the face corresponding with tetragon the right and left is provided with screw thread 19.
Embodiment 1:
As the left and right caliper part 1,2 of device is inserted under shoulder joint acromion by 1-2 figure line, until clavicle
Under, by the lock nut 17 in locking mechanism, on the second screw rod 16, precession, will set to predetermined graduated
Cylinder 5, precession structure 10 move to intend punch position locking;Reset acromioclavicular joint, rotates caliper and makes precession
Structure 9 and sleeve 4 slide along bone circumferential surface, it is generally the case that when sleeve 4 blocks and is positioned at lock
The position that bone is innermost, then be straight through bone between the first screw rod 13 in sleeve 4 and precession structure 9
The punching direction in footpath, now locking precession structure 9, along the first screw rod in precession structure 9 to set
The punching of cylinder 4 directions, the first screw rod along precession structure 10 punches to sleeve 5 direction, make 9,4,
5,10 passages formed are in one plane, take finer wire lead-in wire by the first screw rod of precession structure 9
Insert, pass from sleeve 4 through passage, worn to sleeve 5 by connecting tube, then by precession structure 10
First screw rod pull-out, tightens up stitching thread, and the suture between sleeve 4,5 and connecting tube 6 passes through bar
Shape sews pull-out, tightens on surface of bone, now unclamps precession structure 10, again rotates caliper, at shoulder
After peak looks for second group of eyelet, it is ensured that misplace with first group of eyelet of threading, then screw precession structure
10, then wear second group of line, unclamp precession mechanism 9,10 after success, utilize suture needle to set up subcutaneous
Silk thread knotting is embedded in subcutaneous (the most again resetting before knotting).
This above example only in order to technical scheme to be described, is not intended to limit;Although ginseng
Being described in detail the present invention according to previous embodiment, those of ordinary skill in the art should manage
Solve: the technical scheme described in foregoing embodiments still can be modified by it, or to wherein
Portion of techniques feature carries out equivalent;And these amendments or replacement, do not make appropriate technical solution
Essence depart from various embodiments of the present invention technical scheme spirit and scope.
Claims (7)
1. an acromioclavicular joint closed reduction stitching devices, including: left and right caliper, described left and right
Connected by axis of rotation in the middle part of caliper, it is characterised in that described left caliper front end is provided with down a location
Device, described lower localizer includes sleeve and middle connecting tube, described connecting tube and the sleeve at two ends
Internal connection, above described lower localizer, side to surface of bone is provided with and facilitates the bar shaped of bracing wire to stitch, this
Bar shaped is sewn in sleeve and connecting tube coherent distribution, and by sleeve and the inside of connecting tube and ft connection,
Described right caliper body front end is provided with a localizer, and a described upper localizer includes that two ends are for propping up surface of bone
And fixing precession structure and middle linking arm.
2. acromioclavicular joint closed reduction stitching devices as claimed in claim 1, it is characterised in that institute
State precession structure and include having female thread bush and coordinate the first screw rod of precession with this thread bush,
Described first screw rod has spacing top cover, and described first screw rod two ends have and described sleeve aperture one
The through hole caused.
3. acromioclavicular joint closed reduction stitching devices as claimed in claim 1, it is characterised in that institute
State connecting tube to be convexly curved along the axial of sleeve to the direction away from surface of bone.
4. acromioclavicular joint closed reduction stitching devices as claimed in claim 1, it is characterised in that institute
State sleeve and become bell mouth shape with surface of bone contact surface.
5. acromioclavicular joint closed reduction stitching devices as claimed in claim 1, it is characterised in that institute
The rear end stating left and right caliper is provided with locking mechanism, and described locking mechanism includes that one end is connected with left caliper
The second screw rod and lock nut, described right caliper body is provided with the through hole passed for the second screw rod, described
The tensioning degree realizing left and right caliper selected by lock nut along the precession back and forth of the second screw rod.
6. acromioclavicular joint closed reduction stitching devices as claimed in claim 2, it is characterised in that institute
State the first screw rod top half and be provided with screw thread.
7. acromioclavicular joint closed reduction stitching devices as claimed in claim 5, it is characterised in that institute
The shaft cross section stating the second screw rod is tetragon, and the both sides up and down of described tetragon are parallel straight line,
The right and left is camber line, and face corresponding to the second screw rod both sides upper and lower with tetragon is provided with rule.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201610552618.8A CN105943151B (en) | 2016-07-13 | 2016-07-13 | A kind of acromioclavicular joint closed reduction stitching devices |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201610552618.8A CN105943151B (en) | 2016-07-13 | 2016-07-13 | A kind of acromioclavicular joint closed reduction stitching devices |
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CN105943151A true CN105943151A (en) | 2016-09-21 |
CN105943151B CN105943151B (en) | 2018-03-09 |
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CN201610552618.8A Expired - Fee Related CN105943151B (en) | 2016-07-13 | 2016-07-13 | A kind of acromioclavicular joint closed reduction stitching devices |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
RU2690611C1 (en) * | 2018-02-01 | 2019-06-04 | Ахметкали Зайнолдаевич Дюсупов | Device for closed reduction of acromial extremity of clavicle dislocation |
RU2722355C2 (en) * | 2018-02-01 | 2020-05-29 | Ахметкали Зайнолдаевич Дюсупов | Device for reduction and retention of bone fragments of spongy bones during their osteosynthesis |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2083919U (en) * | 1991-01-24 | 1991-09-04 | 贾维东 | External fixator for reducing clavicular joint |
US20020123754A1 (en) * | 2001-02-28 | 2002-09-05 | Holmes Russell P. | Instrument for bone distraction and compression having ratcheting tips |
WO2011017321A2 (en) * | 2009-08-04 | 2011-02-10 | University Of South Florida | Apparatus for osteotomy and graft preparation |
CN103892896A (en) * | 2014-04-09 | 2014-07-02 | 张英泽 | Three-dimensional restorer for fractured clavicles |
CN203677218U (en) * | 2013-12-31 | 2014-07-02 | 张文涛 | Acromioclavicular joint reduction guider |
CN203777034U (en) * | 2014-04-24 | 2014-08-20 | 昝世永 | Acromioclavicular joint fixing apparatus |
-
2016
- 2016-07-13 CN CN201610552618.8A patent/CN105943151B/en not_active Expired - Fee Related
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2083919U (en) * | 1991-01-24 | 1991-09-04 | 贾维东 | External fixator for reducing clavicular joint |
US20020123754A1 (en) * | 2001-02-28 | 2002-09-05 | Holmes Russell P. | Instrument for bone distraction and compression having ratcheting tips |
WO2011017321A2 (en) * | 2009-08-04 | 2011-02-10 | University Of South Florida | Apparatus for osteotomy and graft preparation |
CN203677218U (en) * | 2013-12-31 | 2014-07-02 | 张文涛 | Acromioclavicular joint reduction guider |
CN103892896A (en) * | 2014-04-09 | 2014-07-02 | 张英泽 | Three-dimensional restorer for fractured clavicles |
CN203777034U (en) * | 2014-04-24 | 2014-08-20 | 昝世永 | Acromioclavicular joint fixing apparatus |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
RU2690611C1 (en) * | 2018-02-01 | 2019-06-04 | Ахметкали Зайнолдаевич Дюсупов | Device for closed reduction of acromial extremity of clavicle dislocation |
RU2722355C2 (en) * | 2018-02-01 | 2020-05-29 | Ахметкали Зайнолдаевич Дюсупов | Device for reduction and retention of bone fragments of spongy bones during their osteosynthesis |
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