CN106073973B - Chinese medicine plintlet shoulder joint external fixer - Google Patents

Chinese medicine plintlet shoulder joint external fixer Download PDF

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Publication number
CN106073973B
CN106073973B CN201610765843.XA CN201610765843A CN106073973B CN 106073973 B CN106073973 B CN 106073973B CN 201610765843 A CN201610765843 A CN 201610765843A CN 106073973 B CN106073973 B CN 106073973B
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China
Prior art keywords
clamping plate
plate
shoulder joint
chinese medicine
external fixer
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CN201610765843.XA
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CN106073973A (en
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孙雁群
范作盛
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/058Splints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses a kind of Chinese medicine plintlet shoulder joint external fixers, the Set by small splints from outside mechanism for connecting including the packet scapulet for coating human body shoulder joint and with packet scapulet and being used to be secured on human body upper arm.Chinese medicine plintlet shoulder joint external fixer of the invention, on the basis of solving Chinese medicine Set by small splints from outside device and human body shoulder joint biomorph suitability, also with its mutual corresponding bio-mechanical property, the suitability of quantitative relationship, the reasonability and stability of shoulder joint external fixer are constituted comprehensively, make the Dialectic Relationship of union and functional activity in order, meet the suitable mechanical environment requirement of shoulder joint fracture of upper end of the humerus External fixation, ensure that union advances side by side with functional rehabilitation, to the External fixation of fracture of surgical neck of humerus implementation specification.

Description

Chinese medicine plintlet shoulder joint external fixer
Technical field
The invention belongs to Chinese medicine plintlet technical fields, specifically, the present invention relates to one kind to be used for shoulder joint humerus Hold the Chinese medicine plintlet shoulder joint external fixer of fractures.
Background technique
Chinese medicine plintlet technology forms outer fixed system using Willow splint, fir-bark splint as representative, with band, pressure pad, Under the action of " the incompressible effect of fluid ", local External fixation is carried out to fracture, is the therapeutic modality of biology, meets The objective law of union.This advantage is originated from the general character of above two clamping plate and skeleton mechanical essence, system device Biocompatibility.However, natural material clamping plate drawback is many, it is confined to straight strip-shaped, does not adapt to human synovial biomorph With mechanics demand, poor particularly with shoulder joint external fixation of fracture therapeutic effect, key is that do not have suitability.But In Shoulder Joint Injury, such as fracture of surgical neck of humerus, it is more common in middle-older patient, in this age bracket, the body of majority of populations Situation cannot bear the wound and risk of operative treatment.Also, the easy adhesion of shoulder joint is freezed, and malpractice will seriously affect The function of shoulder joint, outer fixing process are more multi-purpose modes, but must should reach hard with " being association of activity and inertia " for principle of reatment Strong stability it is fixed, and can be carried out shoulder mobility appropriate.Therefore, headed by the treatment theoretically of Chinese medicine Set by small splints from outside Choosing, using 3 length of a film clamping plates and 1 short clamping plate, mushroom head is made in short clamping plate, with the corresponding rear side clamping plate of front side clamping plate, outside folder The corresponding inside short clamping plate of mushroom head of plate, give tie up it is opposite it is corresponding squeeze it is outer fixed, it has also become it is conventional.But either Cortex Cunninghamiae Lanceolatae Clamping plate mode or Willow splint mode cannot stablize the advantage that effective fixed shoulder joint plays Chinese medicine plintlet technology, It easily loosely falls off, complication is high, and operation nursing is cumbersome, anxious wait improve.
Summary of the invention
The present invention provides a kind of Chinese medicine plintlet shoulder joint external fixer, it is therefore an objective to improve shoulder joint fracture of upper end of the humerus The therapeutic effect of External fixation.
To achieve the goals above, the technical scheme adopted by the invention is as follows: Chinese medicine plintlet shoulder joint external fixer, packet It includes the packet scapulet for coating human body shoulder joint and connect with packet scapulet and consolidate outside the plintlet for being secured on human body upper arm Determine mechanism.
The packet scapulet includes the main part of arc and the pulling portion for being set to main part two sides.
The main part includes upper section clamping plate and the extension board that connect with the end of upper section clamping plate, and upper section clamping plate is orthogonal each Anisotropy plate.
The extension board is isotropic plate.
The pulling portion includes the connecting plate connecting with the main part and the upper arm-tie and drop-down that connect with connecting plate Plate.
The connecting plate is connect with the side of the extension board and the upper section clamping plate, the upper arm-tie and the lower pulling plate One end connect with connecting plate, upper arm-tie is connected with the other end of lower pulling plate.
The connecting plate, upper arm-tie and lower pulling plate are isotropic plate.
The main part and the pulling portion are integrated injection molding.
The Set by small splints from outside mechanism includes four clamping plates, elastic body shaping track plates and is used for elastic body shaping track Plate and four clamping plates are secured to the band on human body upper arm, inside and elastic body shaping rail of the three pieces clamping plate in elastic body shaping track plates Guidance tape connection.
It is centrally located for first clamping plate in the three pieces clamping plate being connect with the elastic body shaping track plates, separately Outer two panels clamping plate is the second clamping plate and third clamping plate for being located at first clamping plate two sides, and first clamping plate and the main part connect It connects, second clamping plate and third clamping plate are connect with a pulling portion respectively.
The first clamping plate, second clamping plate and third clamping plate are perpendicular heterogeneous slab, orthogonal under same external force The vertical axis flexible deformation of anisotropic plate is deformed less than transverse elasticity.
The second clamping plate and the third clamping plate include the straight panel section being connect with the elastic body shaping track plates and with institute The protuberance plate section of pulling portion connection is stated, protuberance plate section has recess, and the rigidity of protuberance plate section is less than the rigidity of straight panel section.
The first clamping plate, second clamping plate and third clamping plate have jack, the elastic body shaping track plates and the drawing Portion is equipped with the protrusion in insertion jack.
The elastic body shaping track plates are equipped with for making elastic body shaping track plates be maintained at a preset curved shape Moulding item.
The moulding item is made of metal material or nonmetallic materials.
In four clamping plates, remaining a piece of clamping plate be with the band connection and it is opposite with the first clamping plate position The 4th clamping plate.
4th clamping plate includes mounting base, the splint body being set in mounting base and is set on splint body and is used to set Enter the elastic supporting member for supporting optical member in human body armpit.
The splint body is movably to be set in the mounting base, and the elastic supporting member for supporting optical member is set to the upper of splint body End.
The splint body is equipped with rack gear, and the mounting base is equipped with the gear being engaged with rack.
The elastic supporting member for supporting optical member is oval spherical network.
4th clamping plate further includes connecting and being used for and the band with the splint body and/or the elastic supporting member for supporting optical member The hook band of bonding.
The perpendicular heterogeneous slab includes mainboard body, and mainboard body has upper flat horizontal-associate, lower flat horizontal-associate and vertical panel, upper flat Horizontal-associate is connect between two neighboring vertical panel and with one end of two vertical panels, and lower flat horizontal-associate is located at two neighboring vertical panel Between and connect with the other end of two vertical panels.
The straight connecting rods that the lower flat horizontal-associate has two chord members disposed in parallel and connect with two chord members, straight connecting rods It is equipped with side by side between two chord members multiple and right along two in the cavity that two neighboring straight connecting rods are formed with two chord members An oblique connecting rods are respectively set in linea angulata.
The V-shaped arrangement of oblique connecting rods on the lower flat horizontal-associate in two neighboring cavity.
The straight connecting rods are vertical connect with the chord member.
The mainboard body has the first accommodating cavity and the second accommodating cavity, and the first accommodating cavity is put down by the upper flat horizontal-associate and with upper The two neighboring vertical panel of horizontal-associate connection surrounds to be formed, and the second accommodating cavity is connect by the lower flat horizontal-associate and with lower flat horizontal-associate The two neighboring vertical panel surround to be formed, the opening direction of the first accommodating cavity and the second accommodating cavity is opposite.
The mainboard body further includes the lip plate for being located at both sides of the edge and connecting with the vertical panel.
The Chinese medicine plintlet shoulder joint external fixer further includes connecting and using with the Set by small splints from outside mechanism In the elbow joint pocket plate for applying axial compression power to human body humerus.
Chinese medicine plintlet shoulder joint external fixer of the invention is solving Chinese medicine Set by small splints from outside device and human body shoulder On the basis of the biomorph suitability of joint, also with its mutual corresponding bio-mechanical property, the suitability of quantitative relationship, comprehensively The reasonability and stability for constituting shoulder joint external fixer, make the Dialectic Relationship of union and functional activity in order, meet The suitable mechanical environment requirement of shoulder joint fracture of upper end of the humerus External fixation, be greatly improved its value for clinical application and The safety of External fixation;External fixer integrally scrupulously abides by the traditional technology intension of Chinese medicine plintlet system, in mechanical performance Science, reasonably innovation are given in shape, solve the problems, such as that shoulder joint external fixation of fracture treatment is existing, single unit system New geometrically stable system is constituted with reasonable, stable structure and fracture end and shoulder joint, makes reduction, fixation and function It takes exercise and organically combines, ensure that union advances side by side with functional rehabilitation, sufficiently realize the Chinese medicine of " being association of activity and inertia, muscles and bones is laid equal stress on " Characteristic, to the External fixation of fracture of surgical neck of humerus implementation specification.
Detailed description of the invention
This specification includes the following drawings, and shown content is respectively:
Fig. 1 is the structural schematic diagram of Chinese medicine plintlet shoulder joint external fixer of the present invention;
Fig. 2 is the structural schematic diagram of packet scapulet;
Fig. 3 is the schematic cross-section of packet scapulet;
Fig. 4 is the structural schematic diagram after the expansion of elastic body shaping track plates;
Fig. 5 is schematic cross-section when elastic body shaping track plates are in use state;
Fig. 6 is the main view of the 4th clamping plate;
Fig. 7 is the side view of the 4th clamping plate;
Fig. 8 is the main view of mounting base;
Fig. 9 is the rearview of mounting base;
Figure 10 is the side view of mounting base;
Figure 11 is the main view of mat pressing device;
Figure 12 is the top view of mat pressing device;
Figure 13 is the structural schematic diagram of first clamping plate;
Figure 14 is the main view of second clamping plate and third clamping plate;
Figure 15 is the side view of second clamping plate and third clamping plate;
Figure 16 is the cross-sectional view of perpendicular heterogeneous slab;
Figure 17 is the top view of perpendicular heterogeneous slab;
In the figure, it is marked as
1, traction belt;2, band;3, packet scapulet;31, upper section clamping plate;32, extension board;33, connecting plate;34, upper arm-tie; 35, lower pulling plate;36, avoid holes;37, the first protrusion;4, first clamping plate;5, second clamping plate;6, third clamping plate;7, the 4th clamping plate; 71, splint body;72, elastic supporting member for supporting optical member;73, band is hooked;74, clamping plate mounting plate;75, guide rail;76, the second lantern ring;77, rack gear;78, Gear;8, perpendicular heterogeneous slab;81, upper flat horizontal-associate;82, lower flat horizontal-associate;83, vertical panel;84, lip plate;85, the first accommodating Chamber;86, the second accommodating cavity;87, chord member;88, oblique connecting rods;89, straight connecting rods;810, jack;811, the first supporting beam;812, Second supporting beam;9, mat pressing device;91, resilient pressure pad;92, pressure pad mounting plate;93, pressure pad adjustable plate;94, third protrusion;95, Tag line;10, elbow joint pocket plate;11, pressure monitor;12, the first lantern ring;13, elastic body shaping track plates;14, moulding item; 15, the second protrusion;16, straight panel section;17, plate section is swelled;18, it is recessed.
Specific embodiment
Below against attached drawing, by the description of the embodiment, making to a specific embodiment of the invention further details of Explanation, it is therefore an objective to those skilled in the art be helped to have more complete, accurate and deep reason to design of the invention, technical solution Solution, and facilitate its implementation.
As shown in Figure 1, the present invention provides solid outside a kind of Chinese medicine plintlet shoulder joint for fracture of upper end of the humerus treatment Determine device, is connect including the packet scapulet 3 for coating human body shoulder joint and with packet scapulet 3 and for being secured on human body upper arm Set by small splints from outside mechanism.
Specifically, packet scapulet 3 adapts to the biomorph of human body shoulder joint, as depicted in figs. 1 and 2, packet scapulet 3 includes arc The main part of shape and the pulling portion for being set to main part opposite sides, main part and pulling portion constitute inner hollow and are shell-slab The packet scapulet 3 of type, in order to be able to cover in human body shoulder joint.Main part includes upper section clamping plate 31 and the end with upper section clamping plate 31 The extension board 32 of portion's connection, upper section clamping plate 31 is the arc plate body with certain length and its radian complies with shoulder joint coronal-plane arc Degree deformation.After packet scapulet 3 is coated in human body shoulder joint, upper section clamping plate 31 be from the position of corresponding acromion extend to At the position of the humerus of corresponding lower section, i.e. the top that extends to humerus axialposition of upper section clamping plate 31, upper section presss from both sides on side elevation view The longitudinal rod axis of plate 31 complies with shoulder joint coronal-plane radian modification, to overlook to inner arc through shoulder joint, humerus axle position, shoulder blade Axial stiffness lever force cambered surface is formed above axle position, its longitudinal rod axis of vertical view face complies with humerus head cross section and elbow joint horizontal axis The angle of intersection tilts backwards 25 degree by acromion, and 31 longitudinal rod axis rigid lever power of upper section clamping plate is made also to have different angle variation.
As depicted in figs. 1 and 2, extension board 32 is to be fixedly installed on the end that acromion position is corresponded on upper section clamping plate 31, is prolonged The length for stretching plate 32 is shorter, less than the length of upper section clamping plate 31.The roughly triangular structure of pulling portion mainly includes and main body The connecting plate 33 and the upper arm-tie 34 and lower pulling plate 35 connecting with connecting plate 33 that portion is fixedly connected, connecting plate 33 are and main part Entire side edge connection, i.e., connecting plate 33 is fixedly connected with extension board 32 and upper section clamping plate 31, and connecting plate 33 be arc panel. Upper arm-tie 34 and lower pulling plate 35 are strip plate, and one end of upper arm-tie 34 is fixedly connected with one end of connecting plate 33, lower pulling plate 35 One end is fixedly connected with the other end of connecting plate 33, and the other end of upper arm-tie 34 is fixedly connected with the other end of lower pulling plate 35, on Pulling plate 34 and the top for being located at lower pulling plate 35.Two pulling portion are oppositely arranged, and two pulling portion are located at the side of main part, After packet scapulet 3 is coated in human body shoulder joint, two pulling portion are human body oxter extension inwardly and gradually narrow, two Pulling portion is respectively at front side and the rear side of shoulder joint.
Chinese medicine plintlet shoulder joint external fixer of the invention further includes connecting with packet scapulet 3 and fastening packet scapulet 3 Traction belt 1 on to human body shoulder joint, as depicted in figs. 1 and 2, pulling portion are equipped with the avoid holes 36 for allowing traction belt 1 to pass through, should Avoid holes 36 are the through-hole for being set to by upper arm-tie 34 end position formed that is connected with lower pulling plate 35, traction belt 1 and two A pulling portion is fixedly connected, and can be looped around on human body body and fasten or paste locking when in use, and packet scapulet 3 is made to coat and consolidate Due in shoulder joint, avoiding its loosening.
As shown in Figure 1, Set by small splints from outside mechanism includes four clamping plates, elastic body shaping track plates 13 and for will be elastic Moulding track plates 13 and four clamping plates are secured to the band 2 on human body upper arm, and three pieces clamping plate is in elastic body shaping track plates 13 Side is connect with elastic body shaping track plates 13.It is centrally located to be in the three pieces clamping plate being connect with elastic body shaping track plates 13 First clamping plate 4, in addition two panels clamping plate is the second clamping plate 5 and third clamping plate 6 for being located at 4 two sides of first clamping plate, first clamping plate 4 It is connect with main part, second clamping plate 5 and third clamping plate 6 are connect with a pulling portion respectively.In four clamping plates, remaining a piece of folder Plate is and band 2 connects and fourth clamping plate 7 opposite with 4 position of first clamping plate.In Set by small splints from outside, mechanism is coated on human body On upper arm and after fastening, first clamping plate 4 is opposite with 7 position of the 4th clamping plate, and second clamping plate 5 is opposite with 6 position of third clamping plate, and first Clamping plate 4 is located at the outside of human body upper arm, and the 4th clamping plate 7 is located at the inside of human body upper arm, before second clamping plate 5 is located at human body upper arm Side, third clamping plate 6 is located at the rear side of human body upper arm, and first clamping plate 4, second clamping plate 5 and third clamping plate 6 are clamped in human body upper arm Between elastic body shaping track plates 13.
As shown in Figure 1, one end of first clamping plate 4 extend out to the outside of elastic body shaping track plates 13 and with upper section clamping plate 31 End is fixedly connected, and extension board 32 is fixedly connected with the other end of upper section clamping plate 31.The one of second clamping plate 5 and third clamping plate 6 End extend out to the outside of elastic body shaping track plates 13 and is inserted into the inside of packet scapulet 3, second clamping plate 5 and third clamping plate 6 it is another The inside of end insertion elastic body shaping track plates 13, the pulling portion and elastic body shaping of second clamping plate 5 and third clamping plate 6 and packet scapulet 3 Track plates 13 are detachable connection, second clamping plate 5 and third clamping plate 6 relative to packet scapulet 3 and elastic body shaping track plates 13 Position is adjustable.
As shown in Figure 1, Chinese medicine plintlet shoulder joint external fixer of the invention further includes and Set by small splints from outside mechanism Connection and the elbow joint pocket plate 10 for being used to apply human body humerus axial compression power, one end of upper section clamping plate 31 and first clamping plate 4 It is fixedly connected, the other end of elbow joint pocket plate 10 and first clamping plate 4 is detachable connection, and elbow joint pocket plate 10 is towards small folder The lower section of the outer fixed mechanism of plate extends and flexible component, and elbow joint pocket plate 10 in the initial state is U-shaped, can accommodate Human elbow axially generates resilient pressing force to shoulder joint, humeral shaft from bottom to top for cooperating packet scapulet 3, is carrying out early Elbow joint can be limited when phase functional training in splay within the scope of 90 degree of elbow in the wrong, the fractures later period can take the circumstances into consideration removal elbow joint pocket plate 10, elbow joint pocket plate 10 is disassembled from Set by small splints from outside mechanism.
As shown in Figure 1, the main part and elastic body shaping track plates 13 of first clamping plate 4 and packet scapulet 3 are fixedly connected to form axis To main body mechanism, the components such as second clamping plate 5, third clamping plate 6 and the 4th clamping plate 7 constitute transverse splicing mechanism, axial main body mechanism For stationary structure, transverse splicing mechanism is adjustable structure.First clamping plate 4 is connected with elbow joint pocket plate 10 and upper section clamping plate 31 It connecing to form outside clamping plate assembly, first clamping plate 4 is made of the biggish homogeneous material of rigidity, humeral shaft is fixed for correspondence, The rigidity of upper section clamping plate 31 is less than the rigidity of first clamping plate 4 and the mechanical essence of the two is identical.Second clamping plate 5, third clamping plate 6 Rigidity is weakened by the way that cross section structure modification is opposite in upper end, to form different rigidity and resilient bars stick force, adapts to shoulder joint, the upper arm The biology morphology and mechanical state of bone upper section especially adapt to the weak link of sclerotin at collum chirurgicum humeri, elastic modulus change, Generate corresponding mechanical performance.
Preferably, main part and pulling portion and being integrated injection molding, packet scapulet 3 is formed, upper section clamping plate 31 is positive Anisotropic plate is handed over, extension board 32, connecting plate 33, upper arm-tie 34 and lower pulling plate 35 are isotropic plate, first clamping plate 4, the Second splint 5 and third clamping plate 6 are also perpendicular heterogeneous slab.Upper section clamping plate 31 is different with the material at 3 remaining position of packet scapulet, makes Upper section clamping plate 31 and remaining position form the overall structure of packet scapulet 3 with two different mechanical properties.With two different power Learning property keeps the upper end lever force of the generation of upper section clamping plate 31 and constraint power integrated, when pulling upper arm-tie 34 and lower pulling plate 35, Anisotropic upper section clamping plate 31 is pulled by uniform globality, comply with shoulder joint biological shapes it is special tilt backwards variation, Matched anisotropy lever force and isotropic restraining force are generated, correspondence is uniformly distributed the pressure of splint body.Right While second clamping plate 5 and 6 component of third clamping plate generate constraint fixed force, the 4th clamping plate 7 corresponding with ecto-entad from top to bottom Interaction force is generated, cooperates the pocket care of the elbow joint pocket plate 10 of lower section, had not only ensured shoulder joint, the stability of fracture end, but also right Fracture end forms the axial compression power of resultant force up and down, it is made effectively to obtain physiological stress.This mechanical performance is clinical and real Confirmed in testing, by its with to inner arc moulding Willow splint, fir-bark splint mode by sensor test comparison, two kinds Natural material clamping plate, by tying up fixation in shoulder joint, axial compression power is significantly less than this programme, and does not have stability and hold Long property.
Elastic body shaping track plates 13 are made of elastic material, are the main body connecting elements of this external fixer, with outside Clamping plate assembly is center framework, connection second clamping plate 5, third clamping plate 6 and the 4th clamping plate 7.As shown in figure 4, elastic body shaping track Plate 13 is the trapezium structure that one end is wide, one end is narrow after deployment.Since elastic body shaping track plates 13 are coated on human body upper arm, This section of limbs are cylindrical, and individual difference is larger, and elastic body shaping track plates 13 only cause easily to rotate with elastic material production Mobile, stability is difficult to keep.Therefore, preferably, elastic body shaping track plates 13 are equipped with for making elastic body shaping track Plate 13 is maintained at the moulding item 14 of a preset curved shape, and the preset curved shape is generally U-shaped or semicircular arc, with people Body upper arm shape is adapted.Moulding item 14 is made of metal material or nonmetallic materials, it is preferred to use resin material or aluminium It is made, moulding item 14 is to be extended along the length directions of elastic body shaping track plates 13, and along the width of elastic body shaping track plates 13 Degree direction is arranged parallel multiple.The material of elastic body shaping track plates 13 and moulding item 14 is different, using two kinds of materials can Plasticity preferably controls 13 rotational problems of elastic body shaping track plates according to the random moulding of suffering limb individual shapes, ensures stability. Plastic material is combined with elastic material, does not influence clamping plate flexible fastening function, forms elastic body shaping, area with semicircular arc structure Not in firm moulding fixed outside gypsum material.
First clamping plate 4, second clamping plate 5 and third clamping plate 6 and strip plate, first clamping plate 4, second clamping plate 5 and third clamping plate 6 It is equipped with jack, jack is arranged with width direction along its length respectively on first clamping plate 4, second clamping plate 5 and third clamping plate 6 It is multiple.As shown in figure 3, the medial surface of two pulling portion of packet scapulet 3 is equipped with the first protrusion 37 of protrusion, it is set to two and leads The first protrusion 37 in drawing portion is respectively for insertion into jack set on second clamping plate 5 and third clamping plate 6, when the first protrusion 37 After being inserted into the jack on second clamping plate 5 and third clamping plate 6, second clamping plate 5 and third clamping plate 6 and packet scapulet 3 may be implemented It is relatively fixed.As shown in figure 5, three medial surfaces of elastic body shaping track plates 13 are equipped with the second protrusion 15 of protrusion, it is set to The second protrusion 15 on three medial surfaces is respectively for insertion into set on first clamping plate 4, second clamping plate 5 and third clamping plate 6 insert Kong Zhong may be implemented first after the second protrusion 15 is inserted into the jack on first clamping plate 4, second clamping plate 5 and third clamping plate 6 Clamping plate 4, second clamping plate 5 and third clamping plate 6 are relatively fixed with elastic body shaping track plates 13.Moreover, the first protrusion 37 and second Protrusion 15 can deviate from from the jack of first clamping plate 4, second clamping plate 5 and third clamping plate 6, in order to adjust the first, second folder Relative position and second clamping plate 5, third clamping plate 6 and packet scapulet 3 between plate 5, third clamping plate 6 and elastic body shaping track plates 13 Between relative position, formed the adjustable limit structural of clamping plate.
As shown in Figure 1 and Figure 4, elastic body shaping track plates 13 are equipped with multiple air holes, and air hole is along elastic body shaping rail Through-hole of the thickness direction of guidance tape 13 through setting.Set by small splints from outside mechanism further includes being set on elastic body shaping track plates 13 And the pressure monitor connecting with band 2, pressure monitor are the pressure size generated for monitor beam band 2 to limbs, pressure As well known in the skilled person, details are not described herein for the structure of monitor.On elastic body shaping track plates 13 also Equipped with the first lantern ring 12, the first lantern ring 12 has the through-hole for allowing band 2 to pass through, and the first lantern ring 12 is distributed in the two of pressure monitor Side.
As shown in Figure 14 and Figure 15, preferably, second clamping plate 5 and third clamping plate 6 include and elastic body shaping track plates The straight panel section 16 of 13 connections and the protuberance plate section 17 connecting with pulling portion, straight panel section 16 is the plate body extended straight, swells plate section 17 have spherical recess 18, which is in the protuberance recessed formation of 17 one side of plate section, so that protuberance 17 other side of plate section Face is the spherical ridge structure of protrusion, and weakens rigidity by the way that cross section structure modification is opposite, adapts to upper section and shoulder joint in humeral shaft The biomorph and mechanical state of section enable second clamping plate 5 and third clamping plate 6 preferably to paste with human body shoulder joint and upper arm It closes, improves therapeutic effect.
As shown in Fig. 1, Fig. 6 to Fig. 9, the 4th clamping plate 7 includes mounting base, the splint body 71 being set in mounting base and setting In the elastic supporting member for supporting optical member 72 on splint body 71 and for being placed in human body armpit, the 4th clamping plate 7 by that can be placed in armpit upwards Elastic supporting member for supporting optical member 72 contacted with armpit, and then mainly humerus head, Glenohumeral joint can be formed effectively through armpit to shoulder joint With enough supports, and with support form outside extruding force.Preferably, elastic supporting member for supporting optical member 72 is set to splint body 71 Upper end, splint body 71 is movably to be set in mounting base, so that the varying height positions of elastic supporting member for supporting optical member 72.Mounting base packet The guide rail 75 and the second lantern ring 76 for including clamping plate mounting plate 74 and being set on clamping plate mounting plate 74, guide rail 75 and the second lantern ring 76 It is set on two sides opposite on clamping plate mounting plate 74.The cross section of guide rail 75 is L shape, and guide rail 75 is in clamping plate mounting plate 74 Side on parallel two are fixedly installed and two guide rails 75 form the T-type sliding slot for allowing splint body 71 to be inserted into.Second lantern ring 76 be fixedly installed on clamping plate installation another side on and the second lantern ring 76 it is parallel with the length direction of guide rail 75, the second lantern ring After 76 there is the through-hole for allowing band 2 to pass through, band 2 to pass through through-hole set on the second lantern ring 76, the 4th clamping plate 7 and elasticity are realized The connection of moulding track plates 13.
Preferably, as shown in Figures 6 to 9, splint body 71 is equipped with rack gear 77, mounting base is equipped with and nibbles with rack gear 77 The length direction of the gear 78 of conjunction, rack gear 77 is parallel with the length direction of splint body 71, and gear 78 is to be rotatably arranged on On clamping plate mounting plate 74, the axis of gear 78 and the side for being provided with guide rail 75 on clamping plate mounting plate 74 are perpendicular, guide rail 75 It is located at the same side of clamping plate mounting plate 74 with gear 78.After splint body 71 is inserted into the T-type sliding slot that two guide rails 75 are constituted, folder Rack gear 77 on plate body 71 is engaged with the holding of gear 78, can be by stirring tooth when needing to adjust the position of elastic supporting member for supporting optical member 72 Wheel 78, moves up and down rack gear 77, and then can very easily adjust the height and position of elastic supporting member for supporting optical member 72.
Preferably, as shown in fig. 6, the 4th clamping plate 7 further include connect with splint body 71 and/or elastic supporting member for supporting optical member 72 and For the hook band 73 Nian Jie with band 2.Band 2 is the long strip with hair side and hook surface, and hooking band 73 has portion corresponding with band 2 The hook surface of hair side bonding at position, selects hair hook belt to substitute strap, and Poisson's ratio is better than the latter, and source is extensively easy to get, and pastes self-locking.When When the free end of band 2 is hook surface, remaining position of band 2 is the hair side Nian Jie with end hook surface;When the free end of band 2 is hair When face, remaining position of band 2 is the hook surface Nian Jie with end hair side.
Preferably, as shown in Figure 6 and Figure 7, elastic supporting member for supporting optical member 72 is oval spherical network, oval ball grid Structure refers to that the global shape of elastic supporting member for supporting optical member 72 gathers on spherical and oval spherical spherical shell in the ellipse of inner hollow There are multiple through-holes, forms fenestral fabric.The elastic supporting member for supporting optical member 72 of this structure is made of elastic material, and not only gas permeability is good It is good, it is also equipped with enough rigidity and elasticity, is adapted with human body armpit, with its rigidity and elasticity by armpit to shoulder joint, mainly It is that enough supports, the surface of elastic supporting member for supporting optical member 72 also Pasting permeability type liner are constituted to humerus head, Glenohumeral joint.
Chinese medicine plintlet shoulder joint external fixer of the invention further includes mat pressing device 9, and mat pressing device 9 is mountable to It on one clamping plate 4, second clamping plate 5 and third clamping plate 6 and is detachable connection.As is illustrated by figs. 11 and 12, which wraps Include pressure pad mounting plate 92, the pressure pad adjustable plate 93 that is set on pressure pad mounting plate 92, the third being set on pressure pad adjustable plate 93 Protrusion 94 and the resilient pressure pad 91 being set on pressure pad mounting plate 92, pressure pad adjustable plate 93 and resilient pressure pad 91 are set to pressure pad peace In loading board 92 on two opposite sides, third protrusion 94 be fixedly installed on pressure pad adjustable plate 93 with 92 phase of pressure pad mounting plate Pair side on and towards 92 position of pressure pad mounting plate protrude, if third protrusion 94 for be inserted into first clamping plate 4, second folder On plate 5 and third clamping plate 6 in set jack, on pressure pad adjustable plate 93 and it is equipped with the tag line 95 for being used to indicate pressure pad position.
First clamping plate 4, second clamping plate 5, third clamping plate 6 and the 4th clamping plate 7 splint body 71 be Chinese medicine plintlet component Perpendicular heterogeneous slab, perpendicular heterogeneous slab is raw to adapt to human body limb according to the biomorph moulding of human body limb joint Board-type and irregular shape plate is made in object metamorphosis, and the perpendicular heterogeneous slab of board-type shown in Figure 13, Figure 14 is shown not The perpendicular heterogeneous slab of regular shape.
Perpendicular heterogeneous slab has orthotropic mechanical property, one of feature, in phase based on axial force Under same external force, the vertical axis flexible deformation of perpendicular heterogeneous slab is deformed less than transverse elasticity, and vertical axis refers to clamping plate Length direction, laterally refer to the width direction of clamping plate.Its flexible deformation physical definition is: material members produce under external force Change shape, and after external force is cancelled, deformation can disappear and can restore the property referred to as elasticity of original form completely, this to restore Deformation be known as flexible deformation.The ability that component longitudinally resists flexible deformation is greater than the ability of transverse elasticity deformation, can behave as Longitudinal elasticity deforms less than transverse elasticity deformation.The cross-sectional structure of perpendicular heterogeneous slab is as shown in figure 16, Orthotropy Property plate include mainboard body and the permeability type liner Nian Jie with mainboard body, gas permeability liner can enhance gas permeability, improve outer fixed Comfort.Mainboard body has upper flat horizontal-associate 81, lower flat horizontal-associate 82 and vertical panel 83, and upper flat horizontal-associate 81 is located at two neighboring vertical panel It is connect between 83 and with one end of two vertical panels 83, lower flat horizontal-associate 82 hangs down between two neighboring vertical panel 83 and with two The other end of straight panel 83 connects.
Upper flat horizontal-associate 81, lower flat horizontal-associate 82 and vertical panel 83 on mainboard body are more along being equipped with laterally side by side for mainboard body It is a, and each flat horizontal-associate 81, lower flat horizontal-associate 82 and vertical panel 83 are the axially extending setting along mainboard body.Moreover, mainboard Vertical panel 83 on body can be in multi-direction axial alignment, can be with shape according to the joint biomorph fixed on a piece of clamping plate At the polyaxial variation such as vertical, horizontal, circular arc, angulation, oblique, and agree to axial vertical with upper flat horizontal-associate 81 and lower flat horizontal-associate 82 Connection forms lateral curved support.To which vertical panel 83 can become according to the demand of Axial changes, metamorphosis and lever force Change and stiffness variation, form and mechanical property also generate the irregular variation of adaptability.As shown in figure 16, mainboard body has There are the first accommodating cavity 85 and the second accommodating cavity 86, the first accommodating cavity 85 connect adjacent by upper flat horizontal-associate 81 and with upper flat horizontal-associate 81 Two vertical panels 83, which surround, to be formed, and the second accommodating cavity 86 connect two neighboring vertical by lower flat horizontal-associate 82 and with lower flat horizontal-associate 82 Plate 83, which surrounds, to be formed, and the opening direction of the first accommodating cavity 85 and the second accommodating cavity 86 is opposite.As shown in figure 17, lower flat horizontal-associate 82 is Truss structure, the straight connecting rods 89 that lower flat horizontal-associate 82 has two chord members 87 disposed in parallel and connect with two chord members 87, directly Connecting rod 89 and chord member 87 be it is vertical connect, straight connecting rods 89 between two chord members 87 side by side equipped with multiple, and adjacent two An oblique connecting rods 88 are respectively set along two diagonal lines in the rectangular enclosure that a straight connecting rods 89 and two chord members 87 are formed.Directly Connecting rod 89 be arranged between two chord members 87 it is multiple, it is each to form the cavity of multiple quadrangles on lower flat horizontal-associate 82 Two oblique connecting rods 88 are respectively provided in cavity, and the V-shaped arrangement of oblique connecting rods 88 on lower flat horizontal-associate 82 in two neighboring cavity.
Preferably, as shown in figure 17, the straight connecting rods 89 on lower flat horizontal-associate 82 are connect with two chord members 87 to be vertical, And straight connecting rods 89 are to be equally spaced, it is two neighboring to form the identical rectangular enclosure of multiple sizes on lower flat horizontal-associate 82 Oblique connecting rods 88 in cavity are arranged symmetrically.
As shown in figure 16, mainboard body further includes the lip plate 84 for being located at both sides of the edge and connecting with vertical panel 83, lip plate 84 arc panel to extend towards two outsides, two lip plates 84 are fixedly connected with a vertical panel 83 respectively.As shown in figure 17, The second protrusion 15 in the first protrusion 37, elastic body shaping track plates 13 for allowing on packet scapulet 3 and the third on mat pressing device 9 The jack 810 of 94 insertion of protrusion is set on lower flat horizontal-associate 82 and lip plate 84.
As shown in figure 16, the first supporting beam 811, the first supporting beam 811 are equipped in each first accommodating cavity 85 of mainboard body Be set to the both ends in flat 81 width direction of horizontal-associate, and be set to first supporting beam 811 at flat 81 both ends of horizontal-associate respectively with The vertical panel 83 in outside is fixedly connected with upper flat horizontal-associate 81, and the first supporting beam 811 is cross section straight beam body triangular in shape, the The length direction of one supporting beam 811 is parallel with the length direction of upper flat horizontal-associate 81 and vertical panel 83, and the first supporting beam is arranged 811, the bar axis support force of clamping plate can be increased.In each second accommodating cavity 86 of mainboard body be equipped with the second supporting beam 812, second Supporting beam 812 is set to the both ends in lower 82 width direction of flat horizontal-associate, and is set to second supporting beam at lower 82 both ends of flat horizontal-associate 812 are fixedly connected with the vertical panel 83 in outside and lower flat horizontal-associate 82 respectively, and the second supporting beam 812 is cross section pen triangular in shape Straight beam body, the length direction of the second supporting beam 812 is parallel with the length direction of the first supporting beam 811, and the second supporting beam is arranged 812, increase the bending strength of the interior arm of force for transmitting stress, be convenient for structure change and combination, realizes the variation of clamping plate rigidity.No It crosses it should be noted that for second clamping plate 5 and third clamping plate 6, at protuberance plate section 17 (region that length is 40-60mm) not First supporting beam 811 and the second supporting beam 812 are set, first supporting beam 811 and the second supporting beam 812 are set at straight panel section 16, To change the moment of flexure and shearing distribution inside truss structure, the rigidity of splint body can be reduced relatively, make to swell the rigid of plate section 17 Degree is less than the rigidity of straight panel section 16.
Chinese medicine plintlet shoulder joint external fixer of the invention using the above structure, is solving Chinese medicine Set by small splints from outside On the basis of device and human body shoulder joint biomorph suitability, also with its mutual corresponding bio-mechanical property, quantitative relationship Suitability, constitute the reasonability and stability of shoulder joint external fixer comprehensively, make distinguishing for union and functional activity in order Card relationship meets the suitable mechanical environment requirement of shoulder joint fracture of upper end of the humerus External fixation, combines mating application Pressure prompt adjusting, Internet surveillance system, are greatly improved the safety of its value for clinical application and External fixation.It is whole Body device scrupulously abides by the traditional technology intension of Chinese medicine plintlet system, gives science, reasonable wound in mechanical performance and in shape Newly, become fixed medical instrument outside one kind modernization plintlet shoulder joint with Chinese characteristics.
For treating fracture of surgical neck of humerus using Chinese medicine Set by small splints from outside, it is that wound is small, is association of activity and inertia, prevents bone Matter is loose, avoids adhesion etc..Theoretically, clamping plate is with the lever of the corresponding internal displacement fracture of external lever, according to " fluid can not The effect of compression " principle flexible fastening is implemented symmetrical extruding force to fracture end by pressure pad efficacy, is controlled unbalanced Muscular strength resists the tendency power of fracture redisplacement, coordinates muscle and compresses axially to fracture end, ensure the stability of fracture end, generates Physiological stress.On condition that external fixer not only should should also constitute new geometry unchanged body with remote, proximal end of fracturing with shoulder joint System, currently, either Willow splint system or fir-bark splint system cannot achieve.Two kinds of clamping plates can be solid with over-articular It is fixed, but its biology and mechanics effect are not played to human body shoulder joint.Willow splint can be curved in side elevation view by being heat-treated Bent moulding, but can not be tilted backwards in vertical view face, the moulding of fir-bark splint only simply fractures, and is equally unable to shape in vertical view face At hypsokinesis.Also, humerus head is located under acromion, and traditional plintlet directly cannot form extruding force to humerus by axial direction, outside humerus Section's neck is cancellous bone to the engaging portion of the transition region of compact bone and two kinds of different mechanics quantitative relationships, is located at pectoralis major stop More than, it is the weak link of upper end of humerus, stability is poor, and skeletal muscle can not produce the axial compression power to fracture end.Two kinds of days Even if right clamping plate forms bending above shoulder joint, used ties up mode and shoulder protector band model, is difficult to constrain clamping plate to shoulder Joint applies stable and uniform and adaptable fixed force, and the physiological stress for giving fracture of surgical neck of humerus end is limited, less possesses Required mechanics quantitative relationship, can not integrate with modern science and technology.
Chinese medicine plintlet shoulder joint external fixer of the invention, has the advantage that as follows:
1, the present apparatus is according to shoulder joint biomorph and mechanical state, four clamping plates of Traditional Chinese Medicine plintlet and three treaties The stable overall mechanism with mechanics quantitative relationship is made in band combined system.Four clamping plates are orthogonal based on axial force Anisotropic mechanical essence, humerus elasticity modulus ratio and with this ratio formulate the longitudinal and transverse direction elasticity modulus ratio of clamping plate, indulge Axial elastic deformation's amount is less than transverse elasticity deflection.For one of quantitative relationship feature, changed by cross section structure in a piece of folder Irregular shape is formed on plate body, becomes axial lever force and different mechanics quantitative relationships.Using non-natural homogeneous chemical industry green wood Material production, stable mechanical property treat shoulder joint fracture of upper end of the humerus with biocompatibility building fixed outside generation suitability Biology and mechanics effect.
2, outside cleat member makes full use of the mechanical essence and quantitative relationship of Chinese medicine plintlet, and splint body is divided to upper and lower two Section, forms two different power using the material of different-stiffness with identical channel-shaped truss rod shaft section structure, mechanical essence Learn quantitative relationship, the corresponding shoulder joint humeral shaft mechanics quantitative relationship different from more than collum chirurgicum humeri.Upper section clamping plate rigidity phase It to smaller, innovates as packet scapulet shape, upper section clamping plate is located at packet scapulet center, and arc surmounts humerus axis projection upwards, in acromion Place tilts backwards 25 degree, is changed with adapting to the humerus head hypsokinesis in humerus cross section and the formation of the elbow joint horizontal axis angle of intersection, makes outside Clamping plate body rod axis forms the axial lever force of corresponding change with different trends.It is opened up around upper section clamping plate with isotropism is hemispherical The packet scapulet of exhibition, forward and backward face extend to the upper and lower pulling plate moved towards with triangle, in composition, in two restraining force bands.Make to wrap Scapulet forms the integrated function of clamping plate, band with two kinds of different mechanical properties, in the clamping plate of external with suitability, forward and backward side on Section implements uniform restraining force, cooperates the support force of mushroom head to generate shoulder joint forward and backward opposite symmetrical, upper and lower opposite symmetrical Humerus is generated from bottom to top and is axially squeezed with elbow joint pocket plate 10 in functional training with inside and outside opposite symmetrical extruding fixed force Pressure, makes fracture end obtain necessary physiological stress, really realizes fixed outside super shoulder joint.
3, forward and backward side cleat member (second clamping plate and third clamping plate) is that cross-section truss rod axis is straight overlooking face middle and lower sections Strip structure, until middle section is increased up as variable cross-section truss rod axis semilune structure, longitudinal rod axis comply with coronal-plane humerus head with The humeral shaft angle of intersection, by turning to the vertical axis laterally to move towards on the inside of vertical axis with 133 degree of arcs.Side elevation view complies with shoulder joint shape State protuberance hemispherical, orthotropy essence is constant, realizes polyaxial power with the variation of bar axis, moves towards to be formed with bar axis It is longitudinal to show as rigid lever power always, it is lateral then show as elastic-restoring force.In the top by cross section structure modification, make to press from both sides Panel stiffness is opposite to be weakened, and to meet the mechanics demand of shoulder joint, fracture of upper end of the humerus External fixation, is adapted to, is coordinated muscle Easypro contracting activity.
4, elastic body shaping track plates are made of elastic material, are center mechanism, connect forward and backward cleat member with track, Fixation is worn on suffering limb middle and lower sections.Since this section of limbs are cylindrical, individual difference is larger, and elastic material external fixer easily revolves Transfer is dynamic, and stability is difficult to keep.Therefore the strip of metal material for posting lateral shaping is filled in track plates longitudinal direction upper and lower ends Or non-metallic material material strip, control is preferably resolved according to the random moulding of suffering limb individual shapes using the plasticity of two kinds of materials Rotational problems ensure stability.Plastic material is combined with elastic material, forms elastic body shaping with semicircular arc structure, not shadow Clamping plate flexible fastening function is rung, firm moulding fixed outside gypsum material is different from.
5, the 4th clamping plate constitutes support to shoulder joint upwards by armpit, and packet scapulet is made to generate axial compression power to shoulder joint, Make up the deficiency of fracture end axial compression power.Mushroom head (elastic supporting member for supporting optical member 72) is grid cancelled structure, is keeping support enough Under the premise of power, its good gas permeability is realized to greatest extent, outer fixed ring of loosening is not needed after outer fixation, can roll tooth Wheel lifting mushroom head, and the pressure and blood fortune state of armpit can be intuitively understood by display.Mushroom head is inserted into using wide hair-videotape Short slab is fixed, and carries out enhancing support to wide hair-videotape, to guarantee effective support force of mushroom head short slab.
6, the present apparatus had not only facilitated adjusting by the fixed each clamping plate of the restriction mode of jack and male cooperation, but also not loose It falls off.
7, present apparatus clamping plate body section is flute profile truss rod axis permeable structures, and permeability type liner is two-pile velvet material Material, centre are polyurethane sponge, melt cutting process using ultrasonic wave, permeable structures are made, be pasted on splint body, improve clamping plate structure The gas permeability and comfort of part.
8, single unit system is innovated with modern science and technology on the basis of keeping tcm characteristic, solves shoulder joint The existing problem of external fixation of fracture treatment, single unit system are constituted newly with reasonable, stable structure and fracture end and shoulder joint Geometrically stable system, organically combine reduction, fixation and functional training, ensure that union and functional rehabilitation are flush simultaneously Into the abundant tcm characteristic for realizing " being association of activity and inertia, muscles and bones is laid equal stress on " controls the outer fixation of fracture of surgical neck of humerus implementation specification It treats.
The present invention is exemplarily described in conjunction with attached drawing above.Obviously, present invention specific implementation is not by above-mentioned side The limitation of formula.As long as using the improvement for the various unsubstantialities that the inventive concept and technical scheme of the present invention carry out;Or not It is improved, above-mentioned conception and technical scheme of the invention are directly applied into other occasions, in protection scope of the present invention Within.

Claims (25)

1. Chinese medicine plintlet shoulder joint external fixer, it is characterised in that: including for coating human body shoulder joint packet scapulet, with Packet scapulet connects and the traction belt that is secured to packet scapulet in human body shoulder joint and connect with packet scapulet and be used to be secured to human body Set by small splints from outside mechanism on upper arm;
The packet scapulet includes the main part of arc and the pulling portion for being set to main part two sides, the Set by small splints from outside mechanism Including four clamping plates, elastic body shaping track plates and for elastic body shaping track plates and four clamping plates to be secured to human body upper arm Band, three pieces clamping plate connect in the inside of elastic body shaping track plates with elastic body shaping track plates;Connect with elastic body shaping track plates Centrally located for first clamping plate in the three pieces clamping plate connect, in addition two panels clamping plate is to be located at first clamping plate two The second clamping plate and third clamping plate of side;Remaining a piece of clamping plate is the 4th clamping plate connecting with band in four clamping plates;First folder Plate is fixedly connected with the main part of packet scapulet and elastic body shaping track plates, and second clamping plate and third clamping plate are relative to packet scapulet and bullet The position of property moulding track plates is adjustable.
2. Chinese medicine plintlet shoulder joint external fixer according to claim 1, it is characterised in that: the main part includes Upper section clamping plate and the extension board connecting with the end of upper section clamping plate, upper section clamping plate are perpendicular heterogeneous slab.
3. Chinese medicine plintlet shoulder joint external fixer according to claim 2, it is characterised in that: the extension board is each To same sex plate, the length of the extension board is less than the length of the upper section clamping plate.
4. Chinese medicine plintlet shoulder joint external fixer according to claim 2, it is characterised in that: the pulling portion includes The connecting plate being connect with the main part and the upper arm-tie and lower pulling plate that are connect with connecting plate.
5. Chinese medicine plintlet shoulder joint external fixer according to claim 4, it is characterised in that: the connecting plate and institute Extension board to be stated to connect with the side of the upper section clamping plate, one end of the upper arm-tie and the lower pulling plate is connect with connecting plate, on Pulling plate is connected with the other end of lower pulling plate.
6. Chinese medicine plintlet shoulder joint external fixer according to claim 4, it is characterised in that: the connecting plate, on Pulling plate and lower pulling plate are isotropic plate.
7. Chinese medicine plintlet shoulder joint external fixer according to claim 1, it is characterised in that: the main part and institute It states pulling portion and is integrated injection molding.
8. Chinese medicine plintlet shoulder joint external fixer according to claim 1, it is characterised in that: the first clamping plate, Second clamping plate and third clamping plate are perpendicular heterogeneous slab, under same external force, the vertical axis bullet of perpendicular heterogeneous slab Property deform less than transverse elasticity deformation.
9. Chinese medicine plintlet shoulder joint external fixer according to claim 1, it is characterised in that: the second clamping plate packet The protuberance plate section for including the straight panel section connecting with elastic body shaping track plates and connecting with pulling portion, protuberance plate section have recess, protuberance The rigidity of plate section is less than the rigidity of straight panel section.
10. Chinese medicine plintlet shoulder joint external fixer according to claim 9, it is characterised in that: the third clamping plate Including the straight panel section connecting with the elastic body shaping track plates and the protuberance plate section connecting with the pulling portion, swelling plate section has Recess.
11. Chinese medicine plintlet shoulder joint external fixer according to claim 1, it is characterised in that: the first clamping plate, Second clamping plate and third clamping plate have jack, and the elastic body shaping track plates and the pulling portion are equipped with convex in insertion jack It rises.
12. Chinese medicine plintlet shoulder joint external fixer according to claim 1, it is characterised in that: the elastic body shaping Track plates are equipped with for making elastic body shaping track plates be maintained at the moulding item of a preset curved shape.
13. Chinese medicine plintlet shoulder joint external fixer according to claim 12, it is characterised in that: the moulding item is adopted It is made of metal material or nonmetallic materials.
14. Chinese medicine plintlet shoulder joint external fixer according to claim 8, it is characterised in that: the 4th clamping plate Including mounting base, the splint body being set in mounting base and it is set to the elasticity branch on splint body and for being placed in human body armpit Support member.
15. Chinese medicine plintlet shoulder joint external fixer according to claim 14, it is characterised in that: the splint body is It is movably set in the mounting base, the elastic supporting member for supporting optical member is set to the upper end of splint body.
16. Chinese medicine plintlet shoulder joint external fixer according to claim 14, it is characterised in that: on the splint body Equipped with rack gear, the mounting base is equipped with the gear being engaged with rack.
17. Chinese medicine plintlet shoulder joint external fixer according to claim 14, it is characterised in that: the resilient support Part is oval spherical network.
18. Chinese medicine plintlet shoulder joint external fixer according to claim 14, it is characterised in that: the 4th clamping plate It further include with the splint body and/or elastic supporting member for supporting optical member connection and for the hook band Nian Jie with the band.
19. Chinese medicine plintlet shoulder joint external fixer according to claim 8, it is characterised in that: it is described it is orthogonal respectively to Anisotropic plate includes mainboard body, and mainboard body has upper flat horizontal-associate, lower flat horizontal-associate and vertical panel, and upper flat horizontal-associate is located at two neighboring vertical Connect between plate and with one end of two vertical panels, lower flat horizontal-associate between two neighboring vertical panel and with two vertical panels Other end connection.
20. Chinese medicine plintlet shoulder joint external fixer according to claim 19, it is characterised in that: the lower flat horizontal-associate With two chord members disposed in parallel and the straight connecting rods connecting with two chord members, straight connecting rods are set side by side between two chord members Have multiple, and is respectively set one along two diagonal lines in the cavity that two neighboring straight connecting rods are formed with two chord members and tiltedly connect Bar.
21. Chinese medicine plintlet shoulder joint external fixer according to claim 20, it is characterised in that: the lower flat horizontal-associate The V-shaped arrangement of oblique connecting rods in upper two neighboring cavity.
22. Chinese medicine plintlet shoulder joint external fixer according to claim 20, it is characterised in that: the straight connecting rods It is vertical connect with the chord member.
23. Chinese medicine plintlet shoulder joint external fixer according to claim 19, it is characterised in that: the mainboard body tool There are the first accommodating cavity and the second accommodating cavity, the first accommodating cavity is by the upper flat horizontal-associate and the two neighboring institute connecting with upper flat horizontal-associate It states vertical panel to surround to be formed, the second accommodating cavity is by the lower flat horizontal-associate and the two neighboring vertical panel connecting with lower flat horizontal-associate It surrounds and is formed, the opening direction of the first accommodating cavity and the second accommodating cavity is opposite.
24. Chinese medicine plintlet shoulder joint external fixer according to claim 19, it is characterised in that: the mainboard body is also Including the lip plate for being located at both sides of the edge and being connect with the vertical panel.
25. Chinese medicine plintlet shoulder joint external fixer according to claim 2, it is characterised in that: further include with it is described Set by small splints from outside mechanism connection and for human body humerus apply axial compression power elbow joint pocket plate, the upper section clamping plate with One end of the first clamping plate is fixedly connected, and the other end of elbow joint pocket plate and first clamping plate is detachable connection, elbow joint Pocket plate is to extend towards the lower section of Set by small splints from outside mechanism and flexible component, elbow joint pocket plate in the initial state It is U-shaped, human elbow can be accommodated.
CN201610765843.XA 2016-08-30 2016-08-30 Chinese medicine plintlet shoulder joint external fixer Expired - Fee Related CN106073973B (en)

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CN108567517A (en) * 2018-05-02 2018-09-25 芜湖普敦特医疗器械有限公司 Chinese medicine plintlet shoulder joint external fixer
CN108992233A (en) * 2018-09-04 2018-12-14 芜湖普敦特医疗器械有限公司 Chinese medicine plintlet shoulder joint external fixation system
CN110507467B (en) * 2019-08-30 2024-09-03 芜湖普敦特医疗器械有限公司 External fixing device for traditional Chinese medicine small splint for shoulder joint
CN116763521B (en) * 2023-07-25 2024-03-15 北京积水潭骨科机器人工程研究中心有限公司 Shoulder joint restorer

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SU1732973A1 (en) * 1990-02-26 1992-05-15 И.Л.Ротков Transport splint for an upper extremity
CN201012143Y (en) * 2007-02-10 2008-01-30 张德胤 Adjustable humerus surgical neck bone fracture plywood
CN201977985U (en) * 2011-01-29 2011-09-21 孙雁群 Novel outer fixing support
CN103190975B (en) * 2013-04-25 2015-03-11 程灏 Fracture fixation device
CN103989547B (en) * 2013-12-26 2017-01-25 孙雁群 Traditional Chinese medicine plintlet device for external fixation bone fracture treatment
CN204698786U (en) * 2015-04-01 2015-10-14 孙雁群 Biological truss structure formula traditional Chinese medical science plintlet component and traditional Chinese medical science plintlet device
CN206612871U (en) * 2016-08-30 2017-11-07 孙雁群 Traditional Chinese medical science plintlet shoulder joint external fixer

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