CN106063737B - 桡骨远端骨折整复器 - Google Patents

桡骨远端骨折整复器 Download PDF

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CN106063737B
CN106063737B CN201610134212.8A CN201610134212A CN106063737B CN 106063737 B CN106063737 B CN 106063737B CN 201610134212 A CN201610134212 A CN 201610134212A CN 106063737 B CN106063737 B CN 106063737B
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CN106063737A (zh
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张宝峰
张宝山
孙晓娜
金毓涛
田洪波
朱开东
潘登
于秀红
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/042—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
    • 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
    • A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66—Alignment, compression or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • 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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  • Orthopedic Medicine & Surgery (AREA)
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Abstract

桡骨远端骨折整复器的技术领域为临床医学骨外科。调整A旋钮使1半环适度旋转，将患者肘部固定于1、2半环之间，使肘部保持90度屈曲位。患手抓住3横杆，用捆绑带固定患手于其上，旋松C、D旋钮，将4、5金属杆从6、7金属管中适度拉出，使手臂保持于水平位并保持一定张力，旋转B旋钮逐渐加大3横杆与8横杆之间的距离，从而加大骨折断端的牵引力度，并从E显示器上读出相应的读数。同时因为9横杆能够旋转，术者能够对骨折断端对位对线、成角折顶，达到骨折复位的目的。本装置还可消毒环境下牵引复位，可用于外固定架手术治疗。

Description

桡骨远端骨折整复器
技术领域：临床医学骨外科
背景技术：临床桡骨远端骨折的治疗方法分手术治疗和保守治疗两种，手术治疗多采取切开复位钢板内固定，一年左右骨折端愈合后，再手术取出内固定物。保守治疗是通过相应手法整复骨折断端，使之对位对线、骨折复原后小夹板外固定于患肢前臂及腕部，按时调整夹板松紧度，按期复查，4-6周后拆除小夹板，功能锻炼，直至骨折愈合。手法整复时，由术者(A医师)和助手(B医师)两人，分别固定住患肢手腕部及前臂近肘侧，持续牵引，利用拔伸牵引、折顶回旋等手法达到骨折端对位对线满意，然后绑缚小夹板。但这种手法整复须身强力壮的两人持续牵引，还需另外至少一名助手(C医师)绑缚夹板及缚带，不仅费人费力，而且整复过程中由于用力牵引致医患出汗，术者手部易打滑而致牵引失败；初学手法者握住患肢远折端过紧，可导致骨折远折端鸭嘴样变，导致骨折远近端因厚薄不等不能满意复位；而且很多年轻医师经验不足而致复位满意率低，导致手法复位失败，最后不得不进行手术治疗，给患者带来身体和精神的双重损伤。
发明内容：本发明是由一个有着20年该疾病治疗经验的团体和一位高级机械技师合作完成的。其结构简单，安全便捷，借助本发明一人便可操作，省人省力。该装置简便易学，利于推广，可为骨科初级医师和基层初级医疗单位提供一种形象、客观、易于掌握的桡骨远端整复办法，可为每位患者节省大概3万左右的医疗费用，有效地减轻了患者及医保负担。
附图说明：图1是效果图整体观，图2是效果图例面观，图3是效果图前部，图4是效果图后部，图5是实物图打开侧面观，图6是实物图闭合侧面观，图7是实物图正面观，附图8是实物图后面观，图9是机械分解图后部，图10是机械分解图前部。
具体实施方式：本装置是桡骨远端骨折复位器材，包括低座、固定于底座上的前部手柄部(3，9)和固定于底座上的后部支撑部。底座由U型金属管(6，7)和U型金属杆(4，5)组成。U型金属管(6，7)内径1.7cm，底宽(6，7之间)20cm，臂长35cm，U型金属杆(4)直径1.6cm，底宽(4，5之间)20cm，臂长35cm，金属杆双臂插入金属管内并能够自由滑动，以金属管上的旋钮(C，D)固定。滑动时两底(前后)最短距离40cm，最长距离65cm。固定于底座上的前部手柄部(3)的矩形手柄通过长方形金属板固定于底座上的U型金属杆(4，5)底部，旋转旋钮(B)使金属板带动矩形手柄部(3)远离后部支撑部，并将旋钮的拉力通过拉力传感器(F)显示在显示器(E)上。固定于底座上的后部支撑部，通过四根金属杆将一根长约45cm的金属管(8)与U型金属管(6，7)底部固定在一起，在长金属管(8)上固定两个半圆形金属环(2)，相距10cm，金属管内穿入金属杆，金属杆两头分别固定半圆形金属环(1)，使之随金属杆(G)转动，并能通过旋钮(A)固定于适当角度。
调整A旋钮使1半环适度旋转，将患者肘部固定于1、2半环之间，使肘部保持90度屈曲位。患手抓住3横杆，用捆绑带固定患手于其上，旋松C、D旋钮，将4、5金属杆从6、7金属管中适度拉出，使手臂保持于水平位并保持一定张力，旋转B旋钮逐渐加大3横杆与8横杆之间的距离，从而加大骨折断端的牵引力度，并从10拉力表上读出相应的读数。同时因为9横杆能够旋转，术者能够对骨折断端对位对线、成角折顶，达到骨折复位的目的。本装置可以透过X射线，透视显示复位好，便可小夹板外固定。本装置还可在消毒环境下牵引复位，用于外固定架手术治疗。
A后侧旋钮、B拉力旋钮、C连接旋钮、D连接旋钮、E显示器、F拉力传感器
1旋转半环、2固定半环、3手握横杆、4金属杆、5金属杆、6金属管、7金属管、8后侧横杆、9旋转横杆。

Claims (1)

1.一种桡骨远端骨折复位器材，包括底座、固定于底座上的前部手柄部、固定于底座上的后部支撑部、拉力传感器F、显示器E和长方形金属板；前部手柄部和后部支撑部之间的最短距离为40cm，最长距离65cm；底座由U型金属管和U型金属杆组成，长方形金属板固定于U型金属杆的前侧，U型金属管包括金属管A(6)和金属管B(7)，金属管A(6)和金属管B(7)的内径均为1.7cm，金属管A(6)和金属管B(7)之间的距离为20cm，金属管A(6)和金属管B(7)的长度均为35cm，U型金属杆包括金属杆A(4)和金属杆B(5)，金属杆A(4)和金属杆B(5)的直径均为1.6cm，金属杆A(4)和金属杆B(5)之间的距离为20cm，金属杆A(4)和金属杆B(5)的长度均为35cm，金属杆A(4)和金属杆B(5)分别插入金属管A(6)和金属管B(7)内并能够自由滑动，金属管A(6)上设有旋钮C，金属管B(7)上设有旋钮D，通过拧紧旋钮C、D使金属管A(6)和金属杆A(4)、金属管B(7)和金属杆B(5)相互固定；前部手柄部包括矩形手柄，矩形手柄包括手握横杆(3)、旋转横杆(9)及位于手握横杆(3)与旋转横杆(9)两侧的两根竖杆，该两根竖杆上分别设有五个通孔，手握横杆(3)和旋转横杆(9)分别插入两根竖杆上对应的通孔内，矩形手柄通过长方形金属板固定于底座的U型金属杆；后部支撑部通过四根金属杆固定于底座的U型金属管，后部支撑部包括长金属管(8)、两个半圆形金属环A(2)、金属杆G及两个半圆形金属环B(1)，长金属管(8)的长度为45cm，长金属管(8)上设有旋钮A，两个半圆形金属环A(2)沿长金属管(8)的纵轴固定在长金属管(8)上，两个半圆形金属环A(2)之间的距离为10cm，金属杆G穿过长金属管(8)并可在长金属管(8)内转动，两个半圆形金属环B(1)分别固定于金属杆G的两个端头，且能够随金属杆G转动，通过旋钮A将两个半圆形金属环B(1)固定于适当角度；长方形金属板上设有旋钮B，旋转旋钮B能够使长方形金属板带动矩形手柄远离后部支撑部，旋钮B产生的拉力通过拉力传感器F测量并显示在显示器E上；使用时，调整旋钮A使两个半圆形金属环B(1)适度旋转，将患者肘部固定于半圆形金属环A和半圆形金属环B之间，使肘部保持90度屈曲位，患手抓住手握横杆(3)，用捆绑带固定患手于手握横杆(3)上，旋松旋钮C、D，将金属杆A(4)和金属杆B(5)从金属管A(6)和金属管B(7)中适度拉出，使患者前臂保持于水平位并保持一定张力，旋转旋钮B逐渐加大手握横杆(3)与长金属管(8)之间的距离，从而加大骨折断端的牵引力度，旋转旋转横杆(9)对骨折断端对位对线、成角折顶，达到骨折复位的目的。
CN201610134212.8A 2016-03-07 2016-03-07 桡骨远端骨折整复器 Expired - Fee Related CN106063737B (zh)

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