CN105963009B - A kind of Wrist fracture percutaneously fixed surgical guide and method - Google Patents
A kind of Wrist fracture percutaneously fixed surgical guide and method Download PDFInfo
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- CN105963009B CN105963009B CN201610399640.3A CN201610399640A CN105963009B CN 105963009 B CN105963009 B CN 105963009B CN 201610399640 A CN201610399640 A CN 201610399640A CN 105963009 B CN105963009 B CN 105963009B
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- wrist
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- fixing groove
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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
-
- 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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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention relates to a kind of Wrist fracture percutaneously fixed surgical guide and methods, surgical guide includes palmar plate and dorsal plate, the side of palmar plate is provided with palm wrist fixing groove and matches with the palmar surface of human body wrist, the side of dorsal plate is provided with back wrist fixing groove and matches with the palm dorsal surface of human body wrist, wrist fixing groove is slapped after split and back wrist fixing groove forms wrist fixing groove, wrist fixing groove matches with human body wrist, palmar plate is equipped with guide pipe, and guide pipe pore inner containment steel needle, the extending direction of pore are consistent with the y direction of human body wrist scaphoid.Application method is the following steps are included: wrist palmar surface is placed in palm wrist fixing groove；Dorsal plate split corresponding with palmar plate；Steel needle is inserted into guide pipe and puncture of steel needles scaphoid.The present invention facilitates the importing process of puncture of steel needles, and the puncture position of steel needle is accurately positioned, and increases the success rate disposably threaded a needle, reduces the destruction to sclerotin, shortens operating time, mitigate the pain of patient.
Description
Technical field
The invention belongs to the operation field of auxiliary that orthopaedics Wrist fracture is percutaneously fixed, and pass through more particularly to a kind of Wrist fracture
The fixed surgical guide of skin and method.
Background technique
When doing the operation that wrist fracture of the scaphoid bone is percutaneously fixed, operator need to use steel in the case where not doing skin incision
Needle is vertical to wear the carpal bone fractured, and to realize the fixation of fracture site, but the technical difficulty of operation is big, it is high to require, and even faces
Bed experience doctor quite abundant is also difficult to once success, need to repeatedly attempt and take the photograph piece, adjusts entry point and inserting needle direction.For
The insufficient doctor of experience repeatedly threads a needle unsuccessfully, can cause the destruction of sclerotin, influences the healing ability of sclerotin, extends operating time,
Increase the pain of patient.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of Wrist fracture percutaneously fixed surgical guide and methods, no
The importing process of puncture of steel needles is only facilitated, and the puncture position of steel needle is accurately positioned.
Technical solution adopted by the utility model to solve its technical problems is providing, a kind of Wrist fracture is percutaneously fixed to be used
Surgical guide, including palmar plate and dorsal plate, the palmar plate and dorsal plate correspond to split by connection structure and fix, the palm
Side plate corresponds to and is provided with palm wrist fixing groove in the side of dorsal plate, the shape and the palmar surface phase of human body wrist of the palm wrist fixing groove
Matching, the dorsal plate correspond to and are provided with back wrist fixing groove in the side of palmar plate, the shape and human body wrist of the back wrist fixing groove
The palm dorsal surface in portion matches, and the palm wrist fixing groove and back wrist fixing groove pass through CT scan human body wrist acquisition skin data three
3D printing formation, corresponding split formation wrist fixing groove, the shape and human body of the wrist fixing groove are utilized after tieing up Reconstruction Design
Wrist matches, and the palmar plate is equipped with guide pipe, the pore inner containment of the guide pipe percutaneously fixed steel needle, manage
The extending direction in hole is consistent with the y direction of human body wrist scaphoid, and the guide pipe obtains boat by CT scan human body wrist
It is formed after shape bone data three-dimensional Reconstruction Design using 3D printing.
As a kind of preferred embodiment of the utility model, the whole body knot in a rectangular trapezoid of the palmar plate and dorsal plate
Rectangular parallelepiped structure is formed after structure, split.
As the utility model another preferred embodiment, the palmar plate and dorsal plate are integrally in homogeneous thickness
Pipe structure is formed after semicanal structure, split.
As the further improvement to above embodiment, the guide pipe is removable installed on palmar plate.
As the further improvement to above embodiment, the guide pipe is mounted on the palm by the structure being interference fitted
On side plate.
As the utility model another preferred embodiment, the palmar plate and dorsal plate are by being set to opposite side
Be mutually matched on face, section structure is fixed in the bowed protrusion of major arc and groove split.
As the utility model another preferred embodiment, the palmar plate and dorsal plate are solid by being set to wrist
Determine the lateral hook of slot and hanging buckle structure is connected and fixed.
Another technical solution adopted by the present invention to solve the technical problem thereof is that providing a kind of using above-mentioned surgical guide
Wrist fracture percutaneously fixes operation method, comprising the following steps:
(1) palmar surface of human body wrist is placed in the palm wrist fixing groove of palmar plate；
(2) by dorsal plate split corresponding with palmar plate, the palm dorsal surface of human body wrist is placed in the back wrist fixing groove of dorsal plate
In；
(3) steel needle is inserted into inside guide pipe；
(4) steel needle is driven into inside wrist fixing groove along the extending direction of guide pipe pore and is indulged and wear human body wrist
Scaphoid be fixed.
As a kind of preferred embodiment of the present invention, the steel needle in the step (4), which is squeezed into and indulged by electric drill, wears people
The scaphoid of body wrist.
Beneficial effect
Surgical guide of the invention includes palmar plate and dorsal plate, can be easily right by way of split after separately
The wrist of patient is fixed, the extending direction for the guide pipe pore being arranged on palmar plate and the longitudinal axis side of human body wrist scaphoid
To consistent, by the guiding role of the fixed function and guide pipe of palmar plate and dorsal plate, puncture of steel needles is on the one hand facilitated
Importing process, on the other hand can the puncture position to steel needle accurately positioned, increase the success rate disposably threaded a needle,
To reduce the destruction to sclerotin, shortens operating time, mitigate the pain of patient.
Detailed description of the invention
Fig. 1 is schematic perspective view of the invention.
Fig. 2 is the schematic perspective view of palmar plate of the present invention.
Fig. 3 is the schematic perspective view of dorsal plate of the present invention.
Fig. 4 is cross section structure schematic diagram of the invention.
Fig. 5 is the schematic perspective view that the present invention is pipe structure.
Fig. 6 is the schematic cross-section that the present invention is pipe structure.
Fig. 7 is the vertical schematic diagram for wearing wrist scaphoid of steel needle in guide pipe of the present invention.
Specific embodiment
Present invention will be further explained below with reference to specific examples.It should be understood that these embodiments are merely to illustrate the present invention
Rather than it limits the scope of the invention.In addition, it should also be understood that, after reading the content taught by the present invention, those skilled in the art
Member can make various changes or modifications the present invention, and such equivalent forms equally fall within the application the appended claims and limited
Range.
A kind of fracture of the scaphoid bone as shown in Figure 1 percutaneously fixed surgical guide, including palmar plate 1 and dorsal plate 2, palmar
Plate 1 and dorsal plate 2 correspond to split by connection structure and fix.
It is provided with palm wrist fixing groove 401 in the side of the corresponding dorsal plate 2 of palmar plate 1, slaps the shape and human body of wrist fixing groove 401
The palmar surface of wrist matches.It is provided with back wrist fixing groove 402 in the side of the corresponding palmar plate 1 of dorsal plate 2, carries on the back wrist fixing groove 402
Shape and the palm dorsal surface of human body wrist match.Wrist fixing groove 401 is slapped after 2 split of palmar plate 1 and dorsal plate and back wrist is solid
Slot 402 is determined by being formed after the acquisition skin data three-dimensional reconstruction design of CT scan human body wrist using 3D printing, corresponds to split shape
At wrist fixing groove 4, shape and the human body wrist of wrist fixing groove 4 match.
The set-up mode of the connection structure of palmar plate 1 and dorsal plate 2 is not unique, and two kinds of preferred embodiment party are provided below
Formula:
First, it is in the bowed protrusion of major arc, back side that the side of the corresponding dorsal plate 2 of palmar plate 1, which is equipped with several section structures,
It is corresponding on the corresponding side of plate 2 to open up several and raised groove to match, pass through the mutual cooperation of protrusion with groove, palmar plate
1 and the mutual split of dorsal plate 2 and fixation.
Second, hook, the back wrist fixing groove of dorsal plate 2 are installed on the two sides side of the palm wrist fixing groove 401 of palmar plate 1
Correspondence is equipped with hanging buckle on 402 two sides side, and palmar plate 1 and dorsal plate 2 are linked together by hook and hanging buckle.
Palmar plate 1 is equipped with guide pipe 3, the steel needle that the pore inner containment of guide pipe 3 is percutaneously fixed, and guide pipe 3 is managed
The extending direction in hole is consistent with the y direction of human body wrist scaphoid, and guide pipe 3 is obtained navicular by CT scan human body wrist
It is formed after bone data three-dimensional Reconstruction Design using 3D printing.Pass through the fixed function and guide pipe 3 of palmar plate 1 and dorsal plate 2
On the one hand guiding role facilitates the importing process of puncture of steel needles, on the other hand can carry out to the puncture position of steel needle accurate
Positioning, increase the success rate disposably threaded a needle, to reduce destruction to sclerotin, shorten operating time, mitigate patient's
Pain.
This Wrist fracture is percutaneously there are two types of the preferred structures of fixed surgical guide:
The first, palmar plate 1 and the whole body structure in a rectangular trapezoid of dorsal plate 2 form rectangular parallelepiped structure, slap wrist after split
Fixing groove 401 and back wrist fixing groove 402 are opened in respectively in palmar plate 1 and the opposed facets of dorsal plate 2, picture 1-4.
Second, palmar plate 1 and 2 entirety of dorsal plate are in semicanal structure in homogeneous thickness, form pipe structure after split, manage
The inner cavity of body structure is wrist fixing groove 4, and the wrist of shape and human body matches.In this configuration, guide pipe 3 passes through interference
The mode of cooperation is removable installed on palmar plate 1, can independently carry out production molding, is conducive to improve guide pipe 3
Precision is made, meanwhile, in the No operation time, guide pipe 3 can be removed, and be not easy to damage.
A kind of Wrist fracture using above-mentioned surgical guide is provided below and percutaneously fixes operation method, comprising the following steps:
(1) palmar surface of human body wrist is placed in the palm wrist fixing groove 401 of palmar plate 1；
(2) by the split corresponding with palmar plate 1 of dorsal plate 2, the back wrist that the palm dorsal surface of human body wrist is placed in dorsal plate 2 is fixed
In slot 402；
(3) steel needle is inserted into inside guide pipe 3；
(4) steel needle is driven into inside wrist fixing groove 4 by electric drill along the extending direction of 3 pore of guide pipe, and indulged
The scaphoid for wearing human body wrist is fixed.
The apparatus structure is simple, easy to operate, economical and practical, easy to promote and utilize.
Claims (5)
1. a kind of Wrist fracture percutaneously fixed surgical guide, including palmar plate (1) and dorsal plate (2), the palmar plate (1) and
Dorsal plate (2) corresponds to split by connection structure and fixes, it is characterised in that: the palmar plate (1) and dorsal plate (2) are integrally in straight
Rectangular parallelepiped structure is formed after angle prismatoid structure, split, the palmar plate (1) and dorsal plate (2) are by being set to opposite flank
On be mutually matched, section structure fixed in the bowed protrusion of major arc and groove split, the corresponding dorsal plate of the palmar plate (1)
(2) palm wrist fixing groove (401), the shape and the palmar surface phase of human body wrist of palm wrist fixing groove (401) are provided in side
It matches, is provided with back wrist fixing groove (402), the back wrist fixing groove in the side of the dorsal plate (2) corresponding palmar plate (1)
(402) shape and the palm dorsal surface of human body wrist match, and the palm wrist fixing groove (401) and back wrist fixing groove (402) are logical
It crosses after CT scan human body wrist obtains the design of skin data three-dimensional reconstruction and is formed using 3D printing, the palm wrist fixing groove (401)
Wrist fixing groove (4) are formed with the corresponding split of back wrist fixing groove (402), the shape and human body wrist of the wrist fixing groove (4)
Match, the palmar plate (1) is equipped with guide pipe (3), the steel that the pore inner containment of the guide pipe (3) is percutaneously fixed
Needle, the extending direction of pore are consistent with the y direction of human body wrist scaphoid, and the guide pipe (3) passes through CT scan human body wrist
Portion is formed after obtaining scaphoid data three-dimensional Reconstruction Design using 3D printing.
2. a kind of percutaneous fixed surgical guide of Wrist fracture according to claim 1, it is characterised in that: the palmar plate
(1) and after the whole body structure in a rectangular trapezoid of dorsal plate (2), split formed rectangular parallelepiped structure be substituted for the palmar plate (1) and
Dorsal plate (2) integrally forms pipe structure in semicanal structure in homogeneous thickness, after split.
3. a kind of percutaneous fixed surgical guide of Wrist fracture according to claim 2, it is characterised in that: the guide pipe
(3) it is removable installed on palmar plate (1).
4. a kind of percutaneous fixed surgical guide of Wrist fracture according to claim 3, it is characterised in that: the guide pipe
(3) it is mounted on palmar plate (1) by the structure being interference fitted.
5. a kind of percutaneous fixed surgical guide of Wrist fracture according to claim 1, it is characterised in that: the palmar plate
(1) it is spelled by being set to be mutually matched on opposite flank, section structure in the bowed protrusion of major arc and groove with dorsal plate (2)
It closes fixation and is substituted for the palmar plate (1) and dorsal plate (2) by being set to wrist fixing groove (4) lateral hook and hanging buckle knot
Structure is connected and fixed.
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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| Publication Number | Publication Date |
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| CN105963009A CN105963009A (en) | 2016-09-28 |
| CN105963009B true CN105963009B (en) | 2018-12-25 |
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| Application Number | Title | Priority Date | Filing Date |
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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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Families Citing this family (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 |
| 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 |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6589242B1 (en) * | 2000-10-20 | 2003-07-08 | Frederic C. Feiler | Percutaneous scaphoid fixation method and device |
| BR112013003628A2 (en) * | 2010-08-16 | 2016-09-06 | Smith & Nephew Inc | tissue guide corresponding to a patient for surgical device operation |
| CN103190949A (en) * | 2013-02-28 | 2013-07-10 | 陈山林 | Scaphoid guide apparatus |
| CN104287839B (en) * | 2014-10-28 | 2016-06-29 | 江苏舟可医疗器械科技有限公司 | A kind of navigation template for nervus glossopharyngeus navigation puncture and navigation puncture method |
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- 2016-06-07 CN CN201610399640.3A patent/CN105963009B/en active Active
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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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| CN105963009A (en) | 2016-09-28 |
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