CN105997212B - Anterior cruciate ligament depends on avulsion fracture and punctures fixed wire-threading device - Google Patents
Anterior cruciate ligament depends on avulsion fracture and punctures fixed wire-threading device Download PDFInfo
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- CN105997212B CN105997212B CN201610595657.6A CN201610595657A CN105997212B CN 105997212 B CN105997212 B CN 105997212B CN 201610595657 A CN201610595657 A CN 201610595657A CN 105997212 B CN105997212 B CN 105997212B
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- passing tube
- cable clamping
- puncture cannula
- clamping interface
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- 208000011708 Avulsion fracture Diseases 0.000 title claims abstract description 20
- 210000001264 anterior cruciate ligament Anatomy 0.000 title claims abstract description 19
- 229920003023 plastic Polymers 0.000 claims description 6
- 239000004033 plastic Substances 0.000 claims description 6
- 238000005452 bending Methods 0.000 claims description 2
- 238000010586 diagram Methods 0.000 description 9
- 208000010392 Bone Fractures Diseases 0.000 description 3
- 206010017076 Fracture Diseases 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 2
- 210000000629 knee joint Anatomy 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 208000005137 Joint instability Diseases 0.000 description 1
- 206010062575 Muscle contracture Diseases 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 208000006111 contracture Diseases 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 210000002745 epiphysis Anatomy 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229910001092 metal group alloy Inorganic materials 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000002303 tibia Anatomy 0.000 description 1
- 230000005641 tunneling Effects 0.000 description 1
Classifications
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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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
-
- 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/683—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
-
- 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
- A61B2017/00238—Type of minimally invasive operation
-
- 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
-
- 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B2017/681—Alignment, compression, or distraction mechanisms
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Avulsion fracture, which is depended on, the present invention provides a kind of anterior cruciate ligament punctures fixed wire-threading device, including wire-passing tube (1)；The head tube wall of wire-passing tube (1) is provided with cable clamping interface (102)；Cable clamping interface (102) is axially extending along wire-passing tube (1).Wire-passing tube head end leading edge (101) is blunt mouth.Compared with prior art, with as follows the utility model has the advantages that structurally reasonable, multi-angle selects the present invention, easy to use, can puncture and can avoid injuring tissue.
Description
Technical field
The present invention relates to wire-threading devices, and in particular, to anterior cruciate ligament depends on avulsion fracture and punctures fixed wire-threading device.
Background technique
Anterior cruciate ligament of knee joint (anterior cruciate ligament, ACL) tibial plateau depends on avulsion bone
It is special to roll over position, is located in articular cavity.Anterior cruciate ligament depends on the relaxation that fracture often results in ACL, joint instability, patient's subjectivity
Show as pain and limitation of activity；If being not treated in time, joint will appear flexion contracture, seriously affect kneed function.It should
Classification of fracture is more common in Children and teenager, and in recent years due to the development of nationwide fitness programs and universal, adult prevalence rate is also in
Rise year by year trend.
Avulsion fracture is depended on for ACL tibial plateau, clinical imageology inspection prompts avulsion fracture block to shift more than 3mm,
It is recommended that the fixed treatment method of anatomical reduction under row arthroscope (such as: the binding of nonabsorable suture or screw are fixed).For fresh
Avulsion fracture block diameter of depending on be more than or equal to depending on for 2 pieces or more or oldness less than 10mm or number of blocks of fracturing
Avulsion fracture, we advocate to select nonabsorable suture (such as: No. 5 lines of ETHICON), will be fractured by arthroscope tunneling technique
Block is fixed on proximal ends of tibia.Since the type fracture is more common in teenager, since teenager's epiphysis is not yet closed, therefore screw is used
Fixed form treatment has some limitations and technical requirements, and clinically we advocate to stitch using identical nonabsorable at present
Line fixed form.Sclerite is depended on using nonabsorable suture (such as: No. 5 lines of ETHICON) fixed ACL, arthroscope tunnel need to be passed through
Road technology will be in suture guiding puncture such as articular cavity, it is therefore necessary to design corresponding wire-threading device tool.
Summary of the invention
For the defects in the prior art, avulsion fracture is depended on the object of the present invention is to provide a kind of anterior cruciate ligament to puncture
Fixed wire-threading device.
A kind of anterior cruciate ligament provided according to the present invention provided according to the present invention is depended on avulsion fracture puncture and was fixed
Line device, including wire-passing tube；
The inner portion tube wall and/or outside tube wall of wire-passing tube are provided with cable clamping interface；Or the head of wire-passing tube offers
Extend radially through the cable clamping interface of wire-passing tube tube wall；
Cable clamping interface is along the axial or tangentially extending of wire-passing tube.
Preferably, wire-passing tube head end leading edge is blunt mouth；Wire-passing tube can be bent；It is provided in plastics in wire-passing tube
Core；It is smoothly connected between the inner tube wall and/or outside tube wall of wire-passing tube (1) and the groove face of cable clamping interface (102) by arc surface.
Preferably, in the axial direction, after the distal end of cable clamping interface is located at wire-passing tube head end leading edge and wire-passing tube head end
Between edge.
Preferably, cable clamping interface is U-lag or arc groove.
Preferably, in the axial direction, the depth of cable clamping interface is gradually become shallower as to distal end, proximal end respectively from intermediate, in distal end, proximal end
Place is smoothly connected with wire-passing tube.
Preferably, the groove face of cable clamping interface extends raised line, the top of raised line be disposed in the axial direction it is a plurality of perpendicular to
Axial band.
It preferably, further include threading；
The depth of cable clamping interface is less than the radius of threading；
The width of cable clamping interface is less than the diameter of threading.
It preferably, further include puncture cannula；
Puncture cannula is set in outside wire-passing tube；
Wire-passing tube can move axially relatively in puncture cannula, and wire-passing tube head end leading edge is exposed and is worn
Thorn casing is built in puncture cannula；
Puncture cannula head end leading edge is orifice.
Preferably, outer wall is provided with caulking groove in the middle part of wire-passing tube；A part of puncture cannula can be embedded into caulking groove, so that
Puncture cannula head end is bonded with the groove face of caulking groove.
Preferably, puncture cannula is provided with the first joint portion, and wire-passing tube is provided with second to match with the first joint portion
Joint portion；
Detachably connected between first joint portion and the second joint portion using magnet, buckle, hasp, trip or bolt mode
It connects；
When the first joint portion is connect with the second joint portion:
Wire-passing tube head end leading edge exposes puncture cannula；
Wire-passing tube head end leading edge is built in puncture cannula；Or
Puncture cannula head end is bonded with the groove face of caulking groove.
Compared with prior art, with as follows the utility model has the advantages that structurally reasonable, multi-angle selects the present invention, easy to use,
It can puncture and can avoid injuring tissue.
Detailed description of the invention
Upon reading the detailed description of non-limiting embodiments with reference to the following drawings, other feature of the invention,
Objects and advantages will become more apparent upon:
Fig. 1 shows for the structure that anterior cruciate ligament provided by the invention depends on wire-passing tube in the fixed wire-threading device of avulsion fracture puncture
It is intended to.
Fig. 2 is the structure that anterior cruciate ligament provided by the invention depends on that avulsion fracture punctures puncture cannula in fixed wire-threading device
Schematic diagram.
Fig. 3 is the structural schematic diagram that wire-passing tube head is built in puncture cannula.
Fig. 4 is the structural schematic diagram that wire-passing tube head exposes to puncture cannula.
Fig. 5 is the structural schematic diagram at the first joint portion and the second joint portion.
Fig. 6 is the structural schematic diagram of the groove face of cable clamping interface.
Fig. 7 is the structural schematic diagram of caulking groove.
Fig. 8 is the structural schematic diagram that puncture cannula is embedded in caulking groove.
Fig. 9, Figure 10, Figure 12 are the structural schematic diagram of wire-passing tube and cable clamping interface in different change case.
Figure 11 is the curved structural schematic diagram of wire-passing tube.
Specific embodiment
The present invention is described in detail combined with specific embodiments below.Following embodiment will be helpful to the technology of this field
Personnel further understand the present invention, but the invention is not limited in any way.It should be pointed out that the ordinary skill of this field
For personnel, without departing from the inventive concept of the premise, several changes and improvements can also be made.These belong to the present invention
Protection scope.
As shown in Figure 1, a kind of anterior cruciate ligament provided according to the present invention, which depends on avulsion fracture, punctures fixed wire-threading device, packet
Include wire-passing tube 1；The inner portion tube wall of wire-passing tube 1 is provided with cable clamping interface 102；Cable clamping interface 102 is along the axial direction of wire-passing tube 1 or tangential
Extend.Preferably, wire-passing tube head end leading edge 101 is blunt mouth.It is described tangentially extending, refer to: when wire-passing tube 1 is curved
When, the also corresponding bending of cable clamping interface 102.Between the inner tube wall and/or outside tube wall and the groove face of cable clamping interface 102 of wire-passing tube 1
It is smoothly connected by arc surface.
Plastic core is provided in wire-passing tube 1.Casing of the wire-threading device of metal or titanium alloy as periphery, wherein containing
There is a plastic core, plastic core is solid parts, wire-passing tube 1 can be dredged in time by plastic core in this way, so as to
With guarantee the pipeline of wire-threading device do not organized or other foreign matters from being blocked, to suture pass through wire-threading device pipeline impact.?
In axial direction, the distal end of cable clamping interface 102 is located between wire-passing tube head end leading edge 101 and wire-passing tube head end rear 104.Card
Wire casing 102 is U-lag or arc groove.In the axial direction, the depth of cable clamping interface 102 is gradually become to distal end, proximal end respectively from intermediate
Shallowly, it is smoothly connected in distal end, proximal end and wire-passing tube 1.The groove face 1020 of cable clamping interface 102 extends raised line 1021, raised line 1021
Top be disposed in the axial direction it is a plurality of perpendicular to axial band.
It further includes threading that the anterior cruciate ligament, which depends on avulsion fracture and punctures fixed wire-threading device,；The depth of cable clamping interface 102 is small
In the radius of threading；The width of cable clamping interface 102 is less than the diameter of threading.The anterior cruciate ligament depends on avulsion fracture and punctures fixation
Wire-threading device further includes puncture cannula 2；Puncture cannula 2 is set in outside wire-passing tube 1；Wire-passing tube 1 can be in puncture cannula 2 along axial direction
Relative movement, enables wire-passing tube head end leading edge 101 to expose puncture cannula 2 or be built in puncture cannula 2；It punctures
Bushing head end face leading edge 201 is orifice.
1 middle part outer wall of wire-passing tube is provided with caulking groove 105；A part of puncture cannula 2 can be embedded into caulking groove 105, make
Puncture cannula head end is obtained to be bonded with the groove face of caulking groove 105.Puncture cannula 2 is provided with the first joint portion 202, and wire-passing tube 1 is set
It is equipped with the second joint portion 103 to match with the first joint portion 202；It is used between first joint portion 202 and the second joint portion 103
Magnet, buckle, hasp, trip or bolt mode are detachably connected；When the first joint portion 202 is connect with the second joint portion 103
When:
Wire-passing tube head end leading edge 101 exposes puncture cannula 2；
Wire-passing tube head end leading edge 101 is built in puncture cannula 2；Or
Puncture cannula head end is bonded with the groove face of caulking groove 105.
In change case, tube wall is provided with cable clamping interface 102 on the outside of the head of wire-passing tube 1, as shown in Figure 9.
In change case, the head of wire-passing tube 1 offers the cable clamping interface 102 for extending radially through 1 tube wall of wire-passing tube, such as Figure 10
Shown, a part of cable clamping interface 102 is provided with wire-passing tube head end rear.
In preference, wire-passing tube 1 can be bent, and as shown in figure 11, can be bent to different angle.Such as 0 °, 15 °,
30 °, 45 °, 60 °, 90 ° etc., to be conducive to surgical procedure.
In preference, the head of wire-passing tube 1 offers the cable clamping interface 102 for extending radially through 1 tube wall of wire-passing tube, such as Figure 12
Shown, a part of cable clamping interface 102 is provided with wire-passing tube head end rear, and the bottom of cable clamping interface 102 is rounded shapes
Round blunt structure.
It in the accompanying drawings, is the chamfered shape for showing cable clamping interface, the junction between the opening's edge of cable clamping interface and other components
Crest line is formed, and is connected in change case, between the opening's edge of cable clamping interface and other components by cambered surface smooth excessiveness, to avoid
Cutting of the cable clamping interface to line.
In preference, the anterior cruciate ligament depends on avulsion fracture and punctures the diameter of fixed wire-threading device in 1.5mm or so,
Can float up and down several millimeters, be not easy slightly, to avoid having destruction to normal tissue in knee joint；The diameter of inner core is on the left side 0.8mm
It is right.
In preference, in the same plane, including leading edge, rear are in the plane for wire-passing tube head end.
Specific embodiments of the present invention are described above.It is to be appreciated that the invention is not limited to above-mentioned
Particular implementation, those skilled in the art can make a variety of changes or modify within the scope of the claims, this not shadow
Ring substantive content of the invention.In the absence of conflict, the feature in embodiments herein and embodiment can any phase
Mutually combination.
Claims (2)
1. a kind of anterior cruciate ligament depends on avulsion fracture and punctures fixed wire-threading device, which is characterized in that including wire-passing tube (1)；
The inner portion tube wall of wire-passing tube (1) is provided with cable clamping interface (102)；
Cable clamping interface (102) is axial or tangentially extending along wire-passing tube (1)；
Wire-passing tube head end leading edge (101) is blunt mouth；Wire-passing tube (1) can be bent；It is provided in plastics in wire-passing tube (1)
Core；It is smoothly connected between the inner tube wall of wire-passing tube (1) and the groove face of cable clamping interface (102) by arc surface；
In the axial direction, the distal end of cable clamping interface (102) is located at wire-passing tube head end leading edge (101) and wire-passing tube head end rear
(104) between；
In the axial direction, the depth of cable clamping interface (102) is gradually become shallower as to distal end, proximal end respectively from intermediate, in distal end, proximal end and mistake
Spool (1) is smoothly connected；
The groove face (1020) of cable clamping interface (102) extends raised line (1021), and the top of raised line (1021) is set gradually in the axial direction
Have a plurality of perpendicular to axial band；
The anterior cruciate ligament depends on avulsion fracture and punctures fixed wire-threading device, further includes threading；
The depth of cable clamping interface (102) is less than the radius of threading；
The width of cable clamping interface (102) is less than the diameter of threading；
The anterior cruciate ligament depends on avulsion fracture and punctures fixed wire-threading device, further includes puncture cannula (2)；
Puncture cannula (2) is set in wire-passing tube (1) outside；
Wire-passing tube (1) can move axially relatively in puncture cannula (2), so that wire-passing tube head end leading edge (101) energy
Enough expose puncture cannula (2) or is built in puncture cannula (2)；
Puncture cannula head end leading edge (201) is orifice；
Outer wall is provided with caulking groove (105) in the middle part of wire-passing tube (1)；A part of puncture cannula (2) can be embedded into caulking groove (105)
In, so that puncture cannula head end is bonded with the groove face of caulking groove (105)；
Puncture cannula (2) is provided with the first joint portion (202), and wire-passing tube (1), which is provided with, to match with the first joint portion (202)
Second joint portion (103)；
It can using magnet, buckle, hasp, trip or bolt mode between first joint portion (202) and the second joint portion (103)
Dismantling connection；
When the first joint portion (202) are connect with the second joint portion (103):
Wire-passing tube head end leading edge (101) exposes puncture cannula (2)；
Wire-passing tube head end leading edge (101) is built in puncture cannula (2)；Or
Puncture cannula head end is bonded with the groove face of caulking groove (105)；
It is described tangentially extending, refer to: when wire-passing tube 1 is curved, cable clamping interface (102) also corresponding bending；
In the same plane, including leading edge, rear are in the plane for wire-passing tube head end.
2. anterior cruciate ligament according to claim 1 depends on avulsion fracture and punctures fixed wire-threading device, which is characterized in that card line
Slot (102) is U-lag or arc groove.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610595657.6A CN105997212B (en) | 2016-07-26 | 2016-07-26 | Anterior cruciate ligament depends on avulsion fracture and punctures fixed wire-threading device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610595657.6A CN105997212B (en) | 2016-07-26 | 2016-07-26 | Anterior cruciate ligament depends on avulsion fracture and punctures fixed wire-threading device |
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| Publication Number | Publication Date |
|---|---|
| CN105997212A CN105997212A (en) | 2016-10-12 |
| CN105997212B true CN105997212B (en) | 2018-12-18 |
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|---|---|---|---|
| CN201610595657.6A Active CN105997212B (en) | 2016-07-26 | 2016-07-26 | Anterior cruciate ligament depends on avulsion fracture and punctures fixed wire-threading device |
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| CN (1) | CN105997212B (en) |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106356782A (en) * | 2016-11-02 | 2017-01-25 | 成都聚合追阳科技有限公司 | Internal cable protection pipe with cable clamping grooves for light-focusing photovoltaic module |
| CN107349005B (en) * | 2017-07-13 | 2023-07-07 | 上海市同济医院 | Cruciate ligament epiphysis fracture fixing plate |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN102292032A (en) * | 2008-11-26 | 2011-12-21 | 史密夫和内修有限公司 | Tissue repair device |
| CN201524129U (en) * | 2009-11-10 | 2010-07-14 | 张纯朴 | Orthopedic thread guiding needle |
| US8679135B2 (en) * | 2010-05-25 | 2014-03-25 | Biomet Sports Medicine, Llc | Method and apparatus for passing a suture |
| CN103211634A (en) * | 2013-04-12 | 2013-07-24 | 同济大学 | Thread leading machine for arthroscopic surgery |
| US9808237B2 (en) * | 2013-09-26 | 2017-11-07 | Depuy Mitek, Llc | Methods and devices for passing sutures around anatomical structures |
| CN206044708U (en) * | 2016-07-26 | 2017-03-29 | 上海市同济医院 | Anterior cruciate ligament is depended on avulsion fracture and punctures fixed wire-threading device |
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Application publication date: 20161012 Assignee: Suzhou Meixindis Medical Technology Co.,Ltd. Assignor: Shanghai Tongji Hospital Contract record no.: X2024310000049 Denomination of invention: Anterior cruciate ligament accessory avulsion fracture puncture fixation thread passing device Granted publication date: 20181218 License type: Common License Record date: 20240430 |
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