CN105963009A - Operation guide plate and method for wrist fracture percutaneous fixation - Google Patents
Operation guide plate and method for wrist fracture percutaneous fixation Download PDFInfo
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- CN105963009A CN105963009A CN201610399640.3A CN201610399640A CN105963009A CN 105963009 A CN105963009 A CN 105963009A CN 201610399640 A CN201610399640 A CN 201610399640A CN 105963009 A CN105963009 A CN 105963009A
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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
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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
- A61B17/90—Guides therefor
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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
- A61B2017/564—Methods for bone or joint treatment
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Abstract
The invention relates to an operation guide plate and method for wrist fracture percutaneous fixation. The operation guide plate comprises a palm side plate and a back side plate, the side face of the palm side plate is provided with a palm wrist fixing groove matched with the palm side face of the wrist of a human body, the side face of the back side plate is provided with a back wrist fixing groove matched with the palm back side face of the wrist of the human body, a wrist fixing groove is formed after the palm wrist fixing groove and the back wrist fixing groove are spliced, the wrist fixing groove is matched with the wrist of the human body, the palm side plate is provided with a guide tube, steel needles are contained inside a tube hole of the guide tube, and the extending direction of the tube hole is in accordance with the longitudinal axis direction of a navicular bone of the wrist of the human body. The using method comprises the following steps that the palm side face of the wrist is placed in the palm wrist fixing groove; the back side plate and the palm side plate are correspondingly spliced; the steel needles are inserted into the guide tube, and the navicular bone is punctured through the steel needles. According to the operation guide plate and method for wrist fracture percutaneous fixation, the introducing process of steel needle puncture is simplified, the puncture positions of the steel needles are accurately positioned, the success rate of one-time needle puncturing is increased, damage to sclerotin is reduced, the operation time is shortened, and pain of a patient is relieved.
Description
Technical field
The invention belongs to the operation field of auxiliary that orthopaedics Wrist fracture percutaneous is fixing, particularly relate to a kind of fixing surgical guide of Wrist fracture percutaneous and method.
Background technology
When doing the operation that wrist fracture of the scaphoid bone percutaneous is fixed, operator need to be in the case of not doing skin incision, indulge with draw point and wear the carpal bone fractured, to realize the fixing of fracture site, but this operating technology difficulty is big, require height, even if the doctor that clinical experience quite enriches also is difficult to once success, sheet be need to repeatedly attempt and take the photograph, entry point and inserting needle direction adjusted.For the doctor lacked experience, repeatedly thread a needle unsuccessfully, the destruction of sclerotin can be caused, affect the healing ability of sclerotin, extend operating time, increase the misery of patient.
Summary of the invention
The technical problem to be solved is to provide a kind of fixing surgical guide of Wrist fracture percutaneous and method, not only facilitates the importing process of puncture of steel needles, and is accurately positioned the puncture position of draw point.
nullThe technical solution adopted for the present invention to solve the technical problems is to provide a kind of fixing surgical guide of Wrist fracture percutaneous，Including palmar plate and dorsal plate，Described palmar plate is fixed by the corresponding split of attachment structure with dorsal plate，Have palm wrist in the corresponding notopleural side of described palmar plate and fix groove，The palmar surface of shape and human body wrist that described palm wrist fixes groove matches，Have back of the body wrist in the side of described dorsal plate correspondence palmar plate and fix groove，The palm dorsal surface of shape and human body wrist that described back of the body wrist fixes groove matches，Described palm wrist fixes groove and back of the body wrist is fixed groove and formed by utilizing 3D to print after the acquisition skin data three-dimensional reconstruction design of CT scan human body wrist、Corresponding split forms wrist and fixes groove，Described wrist is fixed the shape of groove and is matched with human body wrist，Described palmar plate is provided with guide pipe，The draw point that the pore inner containment percutaneous of described guide pipe is fixed、The bearing of trend of pore is consistent with the y direction of human body wrist navicular bone，Described guide pipe utilizes 3D to print and is formed after obtaining navicular bone data three-dimensional Reconstruction Design by CT scan human body wrist.
As one of the present invention preferred embodiment, rectangular structure is formed after described palmar plate and dorsal plate overall at right angles prismatoid structure, split.
Overall in forming pipe structure after half tubular construction in uniform thickness, split as another preferred embodiment of the present invention, described palmar plate and dorsal plate.
As the further improvement to above-mentioned embodiment, described guide pipe is removable installed on palmar plate.
As the further improvement to above-mentioned embodiment, described guide pipe is arranged on palmar plate by the structure of interference fit.
Fix by being arranged at projection that be mutually matched on opposite flank, that section structure is major arc arch and groove split as another preferred embodiment of the present invention, described palmar plate and dorsal plate.
Fix the lateral hook of groove and hanging buckle structure as another preferred embodiment of the present invention, described palmar plate and dorsal plate connect fixing by being arranged at wrist.
The present invention solves another technical scheme that its technical problem used and is to provide a kind of Wrist fracture percutaneous using above-mentioned surgical guide and fixes operation method, comprises the following steps:
(1) palm wrist that the palmar surface of human body wrist is placed in palmar plate is fixed in groove；
(2) by corresponding with palmar plate for dorsal plate split, the palm dorsal surface of human body wrist is placed in notopleural back of the body wrist and fixes in groove；
(3) draw point is inserted into inside guide pipe；
(4) draw point is driven into wrist along the bearing of trend of guide pipe pore and fixes inside groove and the vertical navicular bone wearing human body wrist is fixed.
As one of the present invention preferred embodiment, the draw point in described step (4) is squeezed into by electric drill and indulges the navicular bone wearing human body wrist.
Beneficial effect
The surgical guide of the present invention includes palmar plate and dorsal plate, easily the wrist of patient can be fixed by the way of rear split, the bearing of trend of the guide pipe pore arranged on palmar plate is consistent with the y direction of human body wrist navicular bone, by palmar plate and notopleural fixation and the guide effect of guide pipe, on the one hand the importing process of puncture of steel needles is facilitated, on the other hand the puncture position of draw point can be positioned accurately, add the success rate disposably threaded a needle, thus reduce the destruction to sclerotin, shorten operating time, alleviate the misery of patient.
Accompanying drawing explanation
Fig. 1 is the perspective view of the present invention.
Fig. 2 is the perspective view of palmar plate of the present invention.
Fig. 3 is the notopleural perspective view of the present invention.
Fig. 4 is the cross section structure schematic diagram of the present invention.
Fig. 5 be the present invention be the perspective view of pipe structure.
Fig. 6 be the present invention be the schematic cross-section of pipe structure.
Fig. 7 is that the schematic diagram wearing wrist navicular bone indulged by draw point in guide pipe of the present invention.
Detailed description of the invention
Below in conjunction with specific embodiment, the present invention is expanded on further.Should be understood that these embodiments are merely to illustrate the present invention rather than limit the scope of the present invention.In addition, it is to be understood that after having read the content that the present invention lectures, the present invention can be made various changes or modifications by those skilled in the art, and these equivalent form of values fall within the application appended claims limited range equally.
A kind of fixing surgical guide of fracture of the scaphoid bone percutaneous as shown in Figure 1, is fixed by the corresponding split of attachment structure including palmar plate 1 and dorsal plate 2, palmar plate 1 and dorsal plate 2.
Having palm wrist in the side of the corresponding dorsal plate 2 of palmar plate 1 and fix groove 401, the palmar surface of shape and human body wrist that palm wrist fixes groove 401 matches.Having back of the body wrist in the side of the corresponding palmar plate 1 of dorsal plate 2 and fix groove 402, the palm dorsal surface of shape and human body wrist that back of the body wrist fixes groove 402 matches.After palmar plate 1 and dorsal plate 2 split, palm wrist fixes groove 401 and back of the body wrist is fixed groove 402 and formed by utilizing 3D to print after the acquisition skin data three-dimensional reconstruction design of CT scan human body wrist, corresponding split forms wrist and fixes groove 4, and wrist is fixed the shape of groove 4 and matched with human body wrist.
The set-up mode of the attachment structure of palmar plate 1 and dorsal plate 2 is not unique, provides below two kinds preferred embodiment:
First, the side of the corresponding dorsal plate 2 of palmar plate 1 is provided with the projection that some section structures are major arc arch, corresponding on the corresponding side of dorsal plate 2 offering some with the protruding groove matched, by protruding cooperating with groove, palmar plate 1 and the mutual split of dorsal plate 2 are also fixed.
Second, the palm wrist of palmar plate 1 is fixed and is provided with hook on the side, both sides of groove 401, and the back of the body wrist of dorsal plate 2 is fixed correspondence on the side, both sides of groove 402 and is provided with and buckles, and palmar plate 1 and dorsal plate 2 is linked together with buckling by hook.
Palmar plate 1 is provided with guide pipe 3, the draw point that the pore inner containment percutaneous of guide pipe 3 is fixed, the bearing of trend of guide pipe 3 pore is consistent with the y direction of human body wrist navicular bone, and guide pipe 3 utilizes 3D to print and formed after obtaining navicular bone data three-dimensional Reconstruction Design by CT scan human body wrist.By palmar plate 1 and the fixation of dorsal plate 2 and the guide effect of guide pipe 3, on the one hand the importing process of puncture of steel needles is facilitated, on the other hand the puncture position of draw point can be positioned accurately, add the success rate disposably threaded a needle, thus reduce the destruction to sclerotin, shorten operating time, alleviate the misery of patient.
This Wrist fracture percutaneous preferred structure of fixing surgical guide has two kinds:
The first, palmar plate 1 and the overall at right angles prismatoid structure of dorsal plate 2, form rectangular structure after split, palm wrist fixes groove 401 and back of the body wrist is fixed in the opposed facets that groove 402 is opened in palmar plate 1 and dorsal plate 2 respectively, such as Fig. 1-4.
The second, palmar plate 1 and dorsal plate 2 entirety are half tubular construction in uniform thickness, form pipe structure after split, and the inner chamber of pipe structure is wrist and fixes groove 4, and shape matches with the wrist of human body.In the structure shown here, guide pipe 3 is removable installed on palmar plate 1 by the way of interference fit, it is possible to carry out independently producing molding, is conducive to improving the making precision of guide pipe 3, and meanwhile, when the No operation time, guide pipe 3 can be removed, and is not easy to damage.
Provide below a kind of Wrist fracture percutaneous using above-mentioned surgical guide and fix operation method, comprise the following steps:
(1) palm wrist that the palmar surface of human body wrist is placed in palmar plate 1 is fixed in groove 401；
(2) by corresponding with palmar plate 1 for dorsal plate 2 split, the palm dorsal surface of human body wrist is placed in the back of the body wrist of dorsal plate 2 and fixes in groove 402；
(3) draw point is inserted into guide pipe 3 internal；
(4) by electric drill, along the bearing of trend of guide pipe 3 pore, draw point being driven into wrist, to fix groove 4 internal, and the vertical navicular bone wearing human body wrist is fixed.
This apparatus structure is simple, easy to operate, economical and practical, it is simple to popularization and application.
Claims (9)
1. the fixing surgical guide of Wrist fracture percutaneous, including palmar plate (1) and dorsal plate (2), described palmar plate (1)
Fixed by the corresponding split of attachment structure with dorsal plate (2), it is characterised in that: the corresponding dorsal part of described palmar plate (1)
Having palm wrist in the side of plate (2) and fix groove (401), described palm wrist fixes shape and the human body wrist of groove (401)
The palmar surface in portion matches, and has back of the body wrist and fix groove (402) in the side of the corresponding palmar plate (1) of described dorsal plate (2),
The palm dorsal surface of shape and human body wrist that described back of the body wrist fixes groove (402) matches, and described palm wrist fixes groove (401)
Fixing after groove (402) obtains the design of skin data three-dimensional reconstruction by CT scan human body wrist with back of the body wrist utilizes 3D to beat
Impression becomes, corresponding split forms wrist and fixes groove (4), and described wrist fixes shape and the human body wrist phase of groove (4)
Coupling, described palmar plate (1) is provided with guide pipe (3), and the pore inner containment percutaneous of described guide pipe (3) is solid
Draw point, the bearing of trend of pore determined are consistent with the y direction of human body wrist navicular bone, and described guide pipe (3) leads to
Crossing utilizes 3D to print formation after CT scan human body wrist obtains navicular bone data three-dimensional Reconstruction Design.
A kind of fixing surgical guide of Wrist fracture percutaneous the most according to claim 1, it is characterised in that: described palmar plate
(1) and rectangular structure is formed after dorsal plate (2) overall at right angles prismatoid structure, split.
A kind of fixing surgical guide of Wrist fracture percutaneous the most according to claim 1, it is characterised in that: described palmar plate
And dorsal plate (2) is overall in forming pipe structure after half tubular construction in uniform thickness, split (1).
A kind of fixing surgical guide of Wrist fracture percutaneous the most according to claim 3, it is characterised in that: described guide pipe
(3) it is removable installed on palmar plate (1).
A kind of fixing surgical guide of Wrist fracture percutaneous the most according to claim 4, it is characterised in that: described guide pipe
(3) it is arranged on palmar plate (1) by the structure of interference fit.
A kind of fixing surgical guide of Wrist fracture percutaneous the most according to claim 1, it is characterised in that: described palmar plate
And dorsal plate (2) is by being arranged at projection that be mutually matched on opposite flank, that section structure is major arc arch (1)
Fix with groove split.
A kind of fixing surgical guide of Wrist fracture percutaneous the most according to claim 1, it is characterised in that: described palmar plate
(1) fix the lateral hook of groove (4) and hanging buckle structure with dorsal plate (2) connect fixing by being arranged at wrist.
8. the Wrist fracture percutaneous using surgical guide described in claims 1 fixes an operation method, comprises the following steps:
(1) palm wrist that the palmar surface of human body wrist is placed in palmar plate (1) is fixed in groove (401)；
(2) by dorsal plate (2) and palmar plate (1) corresponding split, the palm dorsal surface of human body wrist is placed in dorsal plate (2)
Back of the body wrist fix in groove (402)；
(3) draw point is inserted into guide pipe (3) internal；
(4) draw point is driven into wrist along the bearing of trend of guide pipe (3) pore and fixes that groove (4) is internal and vertical to be worn
The navicular bone of human body wrist is fixed.
A kind of Wrist fracture percutaneous the most according to claim 5 fixes operation method, it is characterised in that: described step (4)
In draw point squeezed into by electric drill and indulge the navicular bone wearing human body wrist.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610399640.3A CN105963009B (en) | 2016-06-07 | 2016-06-07 | A kind of Wrist fracture percutaneously fixed surgical guide and method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610399640.3A CN105963009B (en) | 2016-06-07 | 2016-06-07 | A kind of Wrist fracture percutaneously fixed surgical guide and method |
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| CN105963009A true CN105963009A (en) | 2016-09-28 |
| CN105963009B CN105963009B (en) | 2018-12-25 |
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| CN201610399640.3A Active CN105963009B (en) | 2016-06-07 | 2016-06-07 | A kind of Wrist fracture percutaneously fixed surgical guide and method |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106725850A (en) * | 2017-02-06 | 2017-05-31 | 北京瀚智恒远科技发展有限公司 | A kind of medical aid and preparation method thereof |
| CN107184268A (en) * | 2017-07-03 | 2017-09-22 | 宁波市第六医院 | Wrist scaphoid Kirschner wire guider and its application method |
| CN108309429A (en) * | 2018-02-06 | 2018-07-24 | 中国人民解放军陆军军医大学第附属医院 | A kind of individuation fusion of subtalar joint guide plate and its manufacturing method |
| CN108542491A (en) * | 2018-06-25 | 2018-09-18 | 北京大学深圳医院 | Scaphoid bone percutaneously sets nail art 3D positioning devices and preparation method thereof |
| CN109223137A (en) * | 2018-11-21 | 2019-01-18 | 深圳悟恫三维科技有限公司 | Multi-functional controllable depth oval foramen guiding device for interventional therapy |
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| CN104287839A (en) * | 2014-10-28 | 2015-01-21 | 江苏舟可医疗器械科技有限公司 | Navigation template used for glossopharyngeal nerve navigation puncture and navigation puncture method |
| CN205795793U (en) * | 2016-06-07 | 2016-12-14 | 复旦大学附属华山医院 | A kind of fixing surgical guide of fracture of the scaphoid bone percutaneous |
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2016
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| US6589242B1 (en) * | 2000-10-20 | 2003-07-08 | Frederic C. Feiler | Percutaneous scaphoid fixation method and device |
| CN103476354A (en) * | 2010-08-16 | 2013-12-25 | 史密夫和内修有限公司 | Patient-matched tissue guide for placing a surgical device |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106725850A (en) * | 2017-02-06 | 2017-05-31 | 北京瀚智恒远科技发展有限公司 | A kind of medical aid and preparation method thereof |
| CN107184268A (en) * | 2017-07-03 | 2017-09-22 | 宁波市第六医院 | Wrist scaphoid Kirschner wire guider and its application method |
| CN108309429A (en) * | 2018-02-06 | 2018-07-24 | 中国人民解放军陆军军医大学第附属医院 | A kind of individuation fusion of subtalar joint guide plate and its manufacturing method |
| CN108309429B (en) * | 2018-02-06 | 2019-09-10 | 中国人民解放军陆军军医大学第一附属医院 | A kind of individuation fusion of subtalar joint guide plate and its manufacturing method |
| CN108542491A (en) * | 2018-06-25 | 2018-09-18 | 北京大学深圳医院 | Scaphoid bone percutaneously sets nail art 3D positioning devices and preparation method thereof |
| CN109223137A (en) * | 2018-11-21 | 2019-01-18 | 深圳悟恫三维科技有限公司 | Multi-functional controllable depth oval foramen guiding device for interventional therapy |
| CN109223137B (en) * | 2018-11-21 | 2024-06-07 | 深圳悟恫三维科技有限公司 | Multifunctional depth-controllable oval hole interventional guide |
Also Published As
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|---|---|
| CN105963009B (en) | 2018-12-25 |
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