CN106175875A - A kind of outward turning adjustor and using method thereof - Google Patents
A kind of outward turning adjustor and using method thereof Download PDFInfo
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- CN106175875A CN106175875A CN201610482245.1A CN201610482245A CN106175875A CN 106175875 A CN106175875 A CN 106175875A CN 201610482245 A CN201610482245 A CN 201610482245A CN 106175875 A CN106175875 A CN 106175875A
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- 238000000034 method Methods 0.000 title claims abstract description 14
- 238000010030 laminating Methods 0.000 claims description 9
- 210000000689 upper leg Anatomy 0.000 abstract description 6
- 238000005259 measurement Methods 0.000 description 8
- 238000010586 diagram Methods 0.000 description 4
- 210000000629 knee joint Anatomy 0.000 description 4
- 238000013150 knee replacement Methods 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 2
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 229910052802 copper Inorganic materials 0.000 description 1
- 239000010949 copper Substances 0.000 description 1
- 230000007797 corrosion Effects 0.000 description 1
- 238000005260 corrosion Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000008407 joint function Effects 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1657—Bone breaking devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1675—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Dentistry (AREA)
- Heart & Thoracic Surgery (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
The present invention provides a kind of outward turning adjustor and using method thereof, and wherein adjustor includes that body, body are provided with at least one pair of datum hole and some to adjusting hole；Datum hole is elongate holes, and its length bearing of trend is vertical with the center line connecting direction of a pair fixing nail；The distribution arrangement of paired datum hole is vertical with length bearing of trend, and a pair adjusting hole that circle center line connecting is minimum with the distribution arrangement differential seat angle of paired datum hole, the differential seat angle between its circle center line connecting and distribution arrangement of datum hole is 2 ° to the maximum；Differential seat angle between the circle center line connecting of the immediate any two pairs of adjusting holes of inclined degree is 2 ° to the maximum；Body is provided with several angle marks, lays respectively on the circle center line connecting of paired adjusting hole.The adjustor of the present invention, it is possible to effectively control former and later two tangent planes parallel with logical condyle line, it is to avoid before and after there is femur, condyle outward turning osteotomy is improper, it is achieved precisely osteotomy, improves clinical efficacy.
Description
Technical field
The present invention relates to total knee replacement technical field of medical instruments, be specifically related to a kind of outward turning adjustor and make
Use method.
Background technology
Along with making constant progress of medical skill, artificial knee replacement surgery has become the normal for the treatment of pathologic changes of knee joint
One of rule Therapeutic Method.Artificial knee joint replacement is the joint utilizing artificial joint prosthesis to substitute disease damage, to recover and to improve to close
Joint function, improves the quality of living.Due to artificial knee joint replacement short treating period, alleviating pain effect is obvious, is more and more cured
Suffer from and being accepted.In total knee replacement, need distal femur is carried out osteotomy, to obtain, artificial joint prosthesis is installed
Femur model, as it is shown in figure 1, first row distal femur carries out osteotomy, forms a vertical tangent plane a, then forms two and be somebody's turn to do
Side grain b vertical for vertical tangent plane a, forms oblique section c again between vertical tangent plane a and side grain b, internally installed with artificial prosthesis
Space is suitable, convenient installation.
The balance in gap of going down on one's knees is stretched, in addition it is also necessary to make the logical of upper and lower two side grains and joint to be replaced in order to obtain knee joint
Condyle line is parallel, i.e. parallel with the line d in Fig. 2.In order to reach this purpose, it is usually the vertical tangent plane a subscript first in joint to be replaced
Make this line d, the most again on the basis of this line d, cut out above-mentioned two side grain b.In order to calibrate this line d on vertical tangent plane a
Parallel lines, frequently with the calibration tool shown in Fig. 3 in prior art, calibration tool has main body 01 and fixes with main body 01
Collet 02 together, main body 01 is additionally provided with two through holes 03；Timing signal, first is adjacent to be fixed on diagram by collet 02 extruding
At femoral-posterior condyles, then hammering into two fixing nails 04 at through hole 03, after being removed by calibration tool, fixing nail 04 is stayed to be replaced
On joint, the line of two fixing nails 04 is the parallel lines of line d.
This calibration tool of the prior art, is to come according to the special angle being generally of between collet 02 and logical condyle line
Realize, however the joint of different patient not exclusively as, the special angle between collet 02 and logical condyle line is the most different.When adopting
When going to, with same default special angle, the joint demarcating different patient with above-mentioned calibration tool, hammer into inside two through holes 03
The lines of two fixing nails 04, often and there is angular error, generally within ± 6 ° between real logical condyle line.When in reality
When this error occurs in border operation, directly estimate with eye owing to adjusting instrument, usually operative doctor the most accurately, by bright
Aobvious inaccurate fixing nail 04 is removed, and orders one or two the most again and fix nail 04 to re-scale line on joint to be replaced
The parallel lines of d, but estimating of human eye is the most accurate, the line of the fixing nail 04 that human eye hammers into after estimating again and logical condyle line
Between still suffer from error, with this line for standard remove to cut upper and lower two tangent planes time, still there will be upper and lower two tangent planes and deposit with logical condyle line
In the defect of deviation, cause postoperative comfort level poor.
Summary of the invention
Therefore, the technical problem to be solved in the present invention is to overcome the line when using calibration tool of the prior art to demarcate
When the parallel lines of d are not parallel with logical condyle line, do not have special adjustment instrument to be adjusted, need human eye to estimate, cause demarcation
The parallel lines of line d can not be the most consistent with logical condyle line technological deficiency, thus provide a kind of and the parallel lines of above-mentioned line d can be entered
Row accurately adjusts, so that the line consistent outward turning adjustor parallel with logical condyle line demarcated.
The present invention also provides for the using method of a kind of outward turning adjustor.
To this end, the present invention provides a kind of outward turning adjustor, including body, described body be provided with at least one pair of datum hole and
Some to adjusting hole, the spacing setting between paired described datum hole makes it suitable for laminating simultaneously and is set in plan adjustment
Fixing nail on for a pair；Described datum hole is elongate holes, its length bearing of trend and the line of centres of the pair of fixing nail
Direction is vertical；
The distribution arrangement of paired described datum hole is vertical with described length bearing of trend, and circle center line connecting is described with paired
A pair adjusting hole that between the distribution arrangement of datum hole, differential seat angle is minimum, the distribution arrangement of its circle center line connecting and described datum hole it
Between differential seat angle be 2 ° to the maximum；Inclined degree immediate any two is to the differential seat angle between the circle center line connecting of described adjusting hole
Greatly 2 °；
Described body be provided with several for the angle mark contrasted with logical condyle line, several described angle marks are divided
It is not positioned on the circle center line connecting of paired described adjusting hole；
Described body has the first side parallel with the circle center line connecting of described datum hole and second side, and connects institute
State first side and the first arc-shaped side of described second side and the second arc-shaped side.
As a kind of preferred version, the circle center line connecting of paired described adjusting hole is arranged on above-mentioned body, and with described
The edge of body is crossed to form described angle mark.
As a kind of preferred version, differential seat angle minimum between the distribution arrangement of circle center line connecting and paired described datum hole
A pair adjusting hole, the differential seat angle between the distribution arrangement of its circle center line connecting and described datum hole is 1 ° to the maximum.
As a kind of preferred version, inclined degree immediate any two is to the angle between the circle center line connecting of described adjusting hole
Degree difference is 1 ° to the maximum.
As a kind of preferred version, the circle center line connecting of arbitrary paired described adjusting hole and the circle of paired described datum hole
Differential seat angle≤6 ° between heart line.
As a kind of preferred version, described adjusting hole is 6 right, respectively first pair adjusting hole, second pair of adjusting hole, the 3rd
To adjusting hole, the 4th pair of adjusting hole, the 5th pair of adjusting hole and the 6th pair of adjusting hole, 6 to the circle center line connecting of described adjusting hole and institute
State the angle difference between the distribution arrangement of datum hole and be followed successively by 1 °, 2 °, 3 °, 4 °, 5 ° and 6 °.
As a kind of preferred version, the spacing between paired described adjusting hole arrange make it suitable for fitting simultaneously sheathed
Nail on described the fixing intending adjusting.
As a kind of preferred version, also including some to translation hole, the circle center line connecting in paired described translation hole is with paired
The distribution arrangement of described datum hole parallel.
The present invention also provides for the using method of a kind of outward turning adjustor, comprises the steps:
A pair datum hole laminating laminating on body is set in fixing for a pair of plan adjustment nail on；
Length bearing of trend along described datum hole moves described body, contrasts adjusting hole until finding out with a certain
Pair of horns scale designation aligns with the two ends of logical condyle line simultaneously；
New fixing nail is reset in the position of the pair of adjusting hole found out.
As a kind of preferred version, when being unsuitable for arranging new fixing nail in the position of the pair of adjusting hole found out,
Also comprise the steps:
Through a pair translation hole, adjustment nail is set；
Described body is nailed on take off from described fixing nail and described adjustment, described fixing nail is removed, by described body
Translation, makes translation borehole jack described in the another pair of described body be located at described adjustment and nails on.
The outward turning adjustor of present invention offer and using method thereof, have the advantage that
1. the outward turning adjustor of the present invention, body is provided with at least one pair of datum hole and some to adjusting hole, paired base
Quasi-hole is suitable to fit and is set in that intend adjusting a pair is fixing to be nailed on, and datum hole is elongate holes, and its length bearing of trend is with above-mentioned
The center line connecting direction of a pair fixing nail is vertical；The distribution arrangement of paired datum hole is vertical with above-mentioned length bearing of trend, circle
A pair adjusting hole that between the distribution arrangement of heart line and paired datum hole, differential seat angle is minimum, differential seat angle is 2 ° to the maximum；Tilt
Differential seat angle between the circle center line connecting of the immediate any two pairs of adjusting holes of degree is 2 ° to the maximum；It is additionally provided with several on body to use
In the angle mark contrasted with logical condyle line, several angle marks lay respectively on the circle center line connecting of paired adjusting hole；When
When using calibration tool to nail on two fixing nails on the vertical tangent plane in joint to be replaced, if the line of two fixing nails and logical condyle
Line is not parallel, and people can move body along the length direction of datum hole, until find out with a certain adjusting hole is contrasted one
Angle mark is alignd with the two ends of logical condyle line simultaneously, then at this found out, adjusting hole inside is hammered into two again and fix nail,
Original two fixing nails are removed and can obtain two fixing nails that line is parallel with logical condyle line.The outward turning adjustor of the present invention
Compared with estimating with human eye of the prior art, more easily hold, and error can be controlled within 2 °.Further, circle is set
A pair adjusting hole that between the distribution arrangement of heart line and paired datum hole, differential seat angle is minimum, differential seat angle is 1 ° to the maximum, tilts
Differential seat angle between the circle center line connecting of the immediate any two pairs of adjusting holes of degree is 1 ° to the maximum, can by control error 1 ° with
In, thus substantially increase demarcation degree of accuracy, based on adjusting the fixing nail of complete two, it is possible to effectively control upper and lower two
Individual tangent plane is substantially parallel with logical condyle line, it is to avoid eccentric wear occur, improves postoperative experience.
2. the outward turning adjustor of the present invention, the circle center line connecting of paired adjusting hole is arranged on body, and with the limit of body
Edge is crossed to form angle mark；So when mobile body until the two ends of certain two angle mark and logical condyle line align time,
Target adjustment hole can be quickly found by the circle center line connecting being arranged on body.
3. the outward turning adjustor of the present invention, the distribution arrangement of the circle center line connecting of paired adjusting hole and paired datum hole it
Between differential seat angle≤6 °, angular deviation situation within ± 6 ° between adjustable fixing nail line and logical condyle line, in practice
It is fully able to meet needs.
4. the outward turning adjustor of the present invention, spacing between paired adjusting hole arrange make it suitable for fitting simultaneously sheathed
Nail on intending the fixing of adjustment, so at some special occasions, a pair adjusting hole can be used as datum hole.Further, in pairs
Adjusting hole between spacing can be adapted to fit and be set in that intend adjusting a pair is fixing to be nailed on, when following closely adjusting hole inside at this
When entering new fixing nail, the spacing between two fixing nails is identical with the spacing between original two fixing nails, it is simple to rear
Other continuous operating theater instruments match.
5. the outward turning adjustor of the present invention, also includes translating hole, when after the adjusting hole searching out target, it is possible to occur one
Individual adjusting hole is positioned at the situation outside vertical tangent plane, at this moment only need to hammer into two a pair adjusting hole position and adjust nail, by body from
Fixing nail and adjustment nail on and take off, and are removed by original fixing nail, then the another pair adjusting hole of body are alignd with adjusting nail,
Make target adjustment hole entirely fall within vertical tangent plane, hammer into two in this target adjustment hole site and fixing follow closely.
6. the present invention also provides for the using method of a kind of outward turning adjustor, the using method of outward turning adjustor of the present invention, energy
When enough lines at two fixing nails are not parallel with logical condyle line, adjust the position of body, find out and with a certain, adjusting hole is contrasted
Pair of horns scale designation align with the two ends of logical condyle line simultaneously, then at this found out, adjusting hole inside is hammered into two and fixes
Nail, the position of fixing nail after being adjustment, the line of the fixing nail after adjustment can reach the most parallel with logical condyle line.
The using method of outward turning adjustor the most of the present invention, after searching out target adjustment hole, it may also occur that an adjusting hole
It is positioned at outside vertical tangent plane, so that the problem that fixing nail cannot be set；At this moment can follow closely, then by body by mounting and adjusting in translation hole
Nail on from fixing nail and adjustment and take off, original fixing nail is removed, makes whole body translate, make another of body to translating hole
It is set in adjustment to nail on, thus target adjustment hole is adjusted to being respectively positioned on inside vertical tangent plane, in order to install.
Accompanying drawing explanation
In order to be illustrated more clearly that the technical scheme in prior art or the specific embodiment of the invention, below to existing skill
Accompanying drawing used in art or detailed description of the invention description is briefly described, it should be apparent that, for ordinary skill people
From the point of view of Yuan, on the premise of not paying creative work, it is also possible to obtain other accompanying drawing according to these accompanying drawings.
Fig. 1 is that condyle osteotomy forms truncation before and after the up distal femur in joint to be replaced cuts osteoplastic vertical tangent plane, femur
Face and the schematic diagram of oblique section.
Fig. 2 is the position view of logical condyle line.
Fig. 3 is the structural representation of calibration tool in prior art.
Fig. 4 is the top view that adjustor is revolved in embodiment of the present invention China and foreign countries.
Fig. 5 is to set up the top view after surveying obliquity structure in the diagram.
Fig. 6 is the overall structure schematic diagram of the body of improvement project in embodiment 3.
Fig. 7 is the structural representation surveying obliquity structure of improvement project in embodiment 3.
Fig. 8 is the structural representation after Fig. 7 is installed on Fig. 6.
Reference: 01-main body, 02-collet, 03-through hole, the fixing nail of 04-, 10-body, 101-first side, 102-
Second side, 103-the first arc-shaped side, 104-the second arc-shaped side, 1-datum hole, 11-angle number, 20-angle mark, 21-first
Measuring bar, 22-second measures bar, 23-guide post, 24-pilot hole, and 2-first is to adjusting hole, and 3-second is to adjusting hole, 4-the 3rd
To adjusting hole, the 4th pair of adjusting hole of 5-, the 5th pair of adjusting hole of 6-, the 6th pair of adjusting hole of 7-, 8-translates hole.
Detailed description of the invention
Below in conjunction with Figure of description, technical scheme is described, it is clear that following embodiment is not this
Invent whole embodiments.Based on embodiment described in the invention, those of ordinary skill in the art are not making other wounds
The every other embodiment obtained under the property made work premise, broadly falls into protection scope of the present invention.
It should be noted that in describing the invention, term " first ", " second " are only used for describing purpose, and can not
It is interpreted as instruction or hint relative importance.Additionally, technology involved in invention described below difference embodiment
Just can be combined with each other as long as feature does not constitutes conflict each other.
Embodiment 1
The present embodiment provides a kind of outward turning adjustor, and as shown in Figure 4, including body 10, described body 10 is provided with a pair
Datum hole 1 and some to adjusting hole 2,3,4,5,6,7, the spacing between paired described datum hole 1 arrange make it suitable for
Time laminating laminating be set in that intend adjusting a pair is fixing to be nailed on；Described datum hole 1 is elongate holes, its length bearing of trend and institute
The center line connecting direction stating a pair fixing nail is vertical；The distribution arrangement of paired described datum hole 1 and described length bearing of trend
Vertically, a pair adjusting hole 2 that circle center line connecting is minimum with the distribution arrangement differential seat angle of paired described datum hole 1,3,4,5,6,7,
Differential seat angle between the distribution arrangement of its circle center line connecting and described datum hole 1 is 2 ° to the maximum；Inclined degree immediate any two
Differential seat angle between the circle center line connecting of described adjusting hole 2,3,4,5,6,7 is to the maximum 2 °；Body 10 be provided with several for
The angle mark 20 contrasted with logical condyle line, several described angle marks 20 lay respectively at paired described adjusting hole 2, and 3,4,
On the circle center line connecting of 5,6,7；Described body 10 has the first side 101 parallel with the circle center line connecting of described datum hole 1 and
Dual side-edge 102, and connect the first arc-shaped side 103 and the second arc-shaped side of described first side 101 and described second side 102
104。
The outward turning adjustor of the present embodiment, fixes when using calibration tool to nail on two on the vertical tangent plane in joint to be replaced
During nail, if the line of two fixing nails is not parallel with logical condyle line, people can move body 10 along the length direction of datum hole,
Aliging with the two ends of logical condyle line with a certain pair of horns scale designation 20 that adjusting hole is contrasted until finding out simultaneously, then finding out
This adjusting hole inside is hammered into again two fixing nails, the removal of original two fixing nails can be obtained line and put down with logical condyle line
The fixing nail of two of row.The outward turning adjustor of the present embodiment is more easily held compared with estimating with human eye of the prior art, and
Error can be controlled within 2 °.Further, differential seat angle is set between the distribution arrangement of circle center line connecting and paired datum hole 1
A pair little adjusting hole, differential seat angle is 1 ° to the maximum, between the circle center line connecting of the immediate any two pairs of adjusting holes of inclined degree
Differential seat angle is 1 ° to the maximum, by control error within 1 °, thus can substantially increase demarcation degree of accuracy, to adjust complete two
Based on fixing nail, it is possible to effectively control upper and lower two tangent planes substantially parallel with logical condyle line, it is to avoid eccentric wear occurs, improves postoperative
Experience.
The circle center line connecting of paired adjusting hole is arranged on body 10, and is crossed to form angle mark with the edge of body 10
20；So when mobile body 10 until the two ends of certain two angle mark 20 and logical condyle line align time, can be by being arranged on
Circle center line connecting on body 10 quickly finds target adjustment hole.The circle center line connecting of paired described adjusting hole 2,3,4,5,6,7 with
Differential seat angle≤6 ° between the circle center line connecting of paired described datum hole 1.Angle between adjustable fixing nail line and logical condyle line
Deviation situation within ± 6 °, is fully able to meet needs in practice.
It is concrete that the most described adjusting hole 2,3,4,5,6,7 is 6 right, respectively first pair adjusting hole 2, second
To adjusting hole 3, the 3rd pair of adjusting hole 4, the 4th pair of adjusting hole 5, the 5th pair of adjusting hole 6 and the 6th pair of adjusting hole 7,6 are to described tune
Angle difference between circle center line connecting and the distribution arrangement of described datum hole 1 in whole hole 2,3,4,5,6,7 is followed successively by 1 °, 2 °, 3 °,
4 °, 5 ° and 6 °.
The paired spacing between described adjusting hole 2,3,4,5,6,7 arranges to make it suitable for fitting simultaneously and is set in plan tune
Whole described fixing nails on.At some special occasions, a pair adjusting hole can be used as datum hole 1.Further, paired adjustment
Spacing between hole can be adapted to fit and is set in that intend adjusting a pair is fixing to be nailed on, when hammering into new at this to adjusting hole inside
During fixing nail, the spacing between spacing and original two fixing nails between two fixing nails are identical, it is simple to follow-up its
He matches at operating theater instruments.
Also include some to translation hole 8, the circle center line connecting in paired described translation hole 8 and paired described datum hole 1
Circle center line connecting is parallel.When after the adjusting hole searching out target, it is possible to occur an adjusting hole be positioned at vertical tangent plane outside situation,
At this moment only need to hammer into two a pair adjusting hole position and adjust nail, body 10 be nailed on from fixing nail and adjustment and takes off, by original
Fixing nail remove, then by the another pair adjusting hole of body 10 with adjust nail align, make target adjustment hole entirely fall within erect cut
On face, hammer into two in this target adjustment hole site and fixing follow closely.
In the present embodiment, body 10 is corrosion resistant plate, it is also possible to for other materials such as ferrum, copper, alloys.
Embodiment 2
The present embodiment provides the using method of a kind of outward turning adjustor, with reference to shown in Fig. 4, comprises the steps:
A pair datum hole 1 laminating on body 10 is set in fixing for a pair of plan adjustment and nails on by S1；
S2 moves described body 10 along the length bearing of trend of described datum hole 1, until finding out with a certain adjusting hole 2,
The pair of horns scale designation 20 that 3,4,5,6,7 contrast aligns with the two ends of logical condyle line simultaneously；
S3 resets new fixing nail in the position of the pair of adjusting hole 2,3,4,5,6,7 found out.
The using method of adjustor is revolved in the present embodiment China and foreign countries, it is possible to not parallel with logical condyle line at the line of two fixing nails
Time, adjust fixing nail arranges position, so that the line of the fixing nail after Tiao Zhenging reaches the most parallel with logical condyle line.
When being unsuitable for arranging new fixing nail in the position of the pair of adjusting hole 2,3,4,5,6,7 found out, also include
Following steps:
S2.1 arranges adjustment nail through a pair translation hole 8；
Described body 10 is nailed on take off from described fixing nail and described adjustment by S2.2, removes, described fixing nail by institute
State body 10 to translate, make translation hole 8 described in the another pair of described body 10 be set in described adjustment and nail on.
Pass through aforesaid operations, it is possible to adjusted in target adjustment hole to being respectively positioned on inside vertical tangent plane, in order to install.
Embodiment 3
The present embodiment provides a kind of outward turning adjustor, and it is the deformation on the basis of embodiment 1, as it is shown in figure 5, difference exists
In: also including surveying obliquity structure, (this survey obliquity structure does not arrange angle mark 20 on body 10, but resets survey and incline
Corner structure), described survey obliquity structure is arranged on described body 10, for measuring the center of circle of logical condyle line and paired datum hole 1
Differential seat angle between line.
Described survey obliquity structure includes: first measures bar 21, and one end is installed in rotation on described body 10, the other end
For pointer, described body 10 is provided with the described first rotation center of circle angle number 11 as the center of circle measuring bar 21；Second measures
Bar 22, measures bar 21 with described first and be arranged in parallel, and can measure between bar 21 by adjusting structural adjustment and described first
Distance, has two relative pointers.
When use calibration tool to hammer on the vertical tangent plane a in joint to be replaced two fix the lines of nail with logical condyle line not
Time parallel, adjust the rotational angle of the first measurement bar 21, and adjust the second measurement bar 22 and spacing distance of the first measurement bar 21,
Make two relative pointer of the second measurement bar 22 align with the two ends of logical condyle line, be then read out the first measurement bar 21 at angle number 11
On the angle value pointed out, then find the circle center line connecting with a pair datum hole 1 to become a pair adjusting hole 2 of the same angular number of degrees, 3,4,
5,6,7, at this to hammering into fixing nail in adjusting hole, the fixing nail of this pair hammered into be adjustment after fixing nail position is set
Put.
In this enforcement, described adjustment structure includes that at least two guide post 23, one end of two described guide posts 23 are fixed
Measure on bar 21 described first, and it is vertical to measure bar 21 with described first；Described second measures bar 22 is provided with two difference
It is intended for the pilot hole 24 that two described guide posts 23 insert.This structure designs, can adjust easily the second measurement bar 22 with
First measures the spacing distance between bar 21, moreover it is possible to ensure the second measurement bar 22 axially measure with first bar 21 the most all the time
Parallel.
As a kind of improved design project, as shown in figs 6-8, described survey obliquity structure includes: first measures bar 21, middle part
Being installed in rotation on described body 10, two ends are pointer, and described body 10 is provided with measures turning of bar 21 with described first
The dynamic center of circle is the angle number 11 in the center of circle；Second measures bar 22, measures bar 21 with described first and be arranged in parallel, and can be tied by adjustment
Structure adjusts the distance between described first measurement bar 21, has two relative pointers.
Obviously, above-described embodiment is only for clearly demonstrating example, and not restriction to embodiment.Right
For those of ordinary skill in the field, can also make on the basis of the above description other multi-form change or
Variation.Here without also cannot all of embodiment be given exhaustive.And the obvious change thus extended out or
Change among still in the protection domain of the invention.
Claims (10)
1. an outward turning adjustor, it is characterised in that: include that body (10), described body (10) are provided with at least one pair of datum hole
(1) and some to adjusting hole (2,3,4,5,6,7), the spacing between paired described datum hole (1) arrange make it suitable for
Time laminating laminating be set in that intend adjusting a pair is fixing to be nailed on；Described datum hole (1) is elongate holes, its length bearing of trend with
The center line connecting direction of the pair of fixing nail is vertical；
The distribution arrangement of paired described datum hole (1) is vertical with described length bearing of trend, and circle center line connecting is described with paired
A pair adjusting hole (2,3,4,5,6,7) that between the distribution arrangement of datum hole (1), differential seat angle is minimum, its circle center line connecting and described base
Differential seat angle between the distribution arrangement in quasi-hole (1) is 2 ° to the maximum；Inclined degree immediate any two to described adjusting hole (2,3,
4,5,6,7) the differential seat angle between circle center line connecting is 2 ° to the maximum；
Described body (10) be provided with several for the angle mark (20) contrasted with logical condyle line, several described angle marks
Note (20) lays respectively on the circle center line connecting of paired described adjusting hole (2,3,4,5,6,7)；
Described body (10) has the first side (101) parallel with the circle center line connecting of described datum hole (1) and second side
, and connect the first arc-shaped side (103) and second arc of described first side (101) and described second side (102) (102)
Limit (104).
Outward turning adjustor the most according to claim 1, it is characterised in that: paired described adjusting hole (2,3,4,5,6,7)
Circle center line connecting be arranged on above-mentioned body (10), and be crossed to form described angle mark with the edge of described body (10)
(20)。
Outward turning adjustor the most according to claim 1 and 2, it is characterised in that: circle center line connecting and paired described datum hole
(1) a pair adjusting hole (2,3,4,5,6,7) that between distribution arrangement, differential seat angle is minimum, its circle center line connecting and described datum hole
(1) the differential seat angle between distribution arrangement is 1 ° to the maximum.
4. according to the outward turning adjustor according to any one of claim 1-3, it is characterised in that: inclined degree is immediate arbitrarily
Differential seat angle between the circle center line connecting of two pairs of described adjusting holes (2,3,4,5,6,7) is 1 ° to the maximum.
5. according to the outward turning adjustor according to any one of claim 1-4, it is characterised in that: arbitrary paired described adjusting hole
(2,3,4,5,6,7) differential seat angle≤6 ° between circle center line connecting and the circle center line connecting of paired described datum hole (1).
Outward turning adjustor the most according to claim 5, it is characterised in that: described adjusting hole (2,3,4,5,6,7) is 6 right,
Being respectively first pair of adjusting hole (2), second pair of adjusting hole (3), the 3rd pair of adjusting hole (4), the 4th pair of adjusting hole (5), the 5th is right
Adjusting hole (6) and the 6th pair of adjusting hole (7), 6 to the circle center line connecting of described adjusting hole (2,3,4,5,6,7) and described datum hole
(1) the angle difference between distribution arrangement is followed successively by 1 °, 2 °, 3 °, 4 °, 5 ° and 6 °.
Outward turning adjustor the most according to claim 6, it is characterised in that: paired described adjusting hole (2,3,4,5,6,7)
Between spacing arrange making it suitable for fitting simultaneously and be set in intend adjusting described fixing and nail on.
8. according to the outward turning adjustor according to any one of claim 1-7, it is characterised in that: also include some to translation hole
(8) circle center line connecting of, paired described translation hole (8) is parallel with the distribution arrangement of paired described datum hole (1).
9. the using method of outward turning adjustor as according to any one of claim 1-8, it is characterised in that: include walking as follows
Rapid:
The laminating of a pair datum hole (1) on body (10) is set in fixing for a pair of plan adjustment nail on；
Length bearing of trend along described datum hole (1) moves described body (10), until find out with a certain to adjusting hole (2,3,
4,5,6,7) the pair of horns scale designation (20) contrasted aligns with the two ends of logical condyle line simultaneously；
New fixing nail is reset in the position of the pair of adjusting hole (2,3,4,5,6,7) found out.
The using method of outward turning adjustor the most according to claim 9, it is characterised in that: in the pair of adjustment found out
When the position in hole (2,3,4,5,6,7) is unsuitable for arranging new fixing nail, also comprise the steps:
Through a pair translation hole (8), adjustment nail is set；
Described body (10) is nailed on take off from described fixing nail and described adjustment, described fixing nail is removed, by described body
(10) translation, makes translation hole (8) described in the another pair of described body (10) be set in described adjustment and nails on.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610482245.1A CN106175875B (en) | 2016-06-26 | 2016-06-26 | A kind of outward turning adjuster |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610482245.1A CN106175875B (en) | 2016-06-26 | 2016-06-26 | A kind of outward turning adjuster |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106175875A true CN106175875A (en) | 2016-12-07 |
| CN106175875B CN106175875B (en) | 2019-03-05 |
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| CN201610482245.1A Expired - Fee Related CN106175875B (en) | 2016-06-26 | 2016-06-26 | A kind of outward turning adjuster |
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|---|---|---|---|---|
| US4703751A (en) * | 1986-03-27 | 1987-11-03 | Pohl Kenneth P | Method and apparatus for resecting a distal femoral surface |
| US5776137A (en) * | 1995-05-31 | 1998-07-07 | Katz; Lawrence | Method and apparatus for locating bone cuts at the distal condylar femur region to receive a knee prosthesis |
| US6173200B1 (en) * | 1997-04-04 | 2001-01-09 | T. Derek V. Cooke | Method and apparatus for locating transepicondylar line in a joint that defines transverse action for a motion |
| US20050209605A1 (en) * | 2002-12-20 | 2005-09-22 | Grimm James E | Navigated orthopaedic guide and method |
| CN101102724A (en) * | 2004-12-21 | 2008-01-09 | 史密夫和内修有限公司 | Rotational alignment femoral sizing guide |
| US7364581B2 (en) * | 2004-01-14 | 2008-04-29 | Howmedica Osteonics Corp. | Variable angle cutting block |
| US20140330278A1 (en) * | 2002-05-15 | 2014-11-06 | Otismed Corporation | Arthroplasty jig and method of performing arthroplasty |
-
2016
- 2016-06-26 CN CN201610482245.1A patent/CN106175875B/en not_active Expired - Fee Related
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4703751A (en) * | 1986-03-27 | 1987-11-03 | Pohl Kenneth P | Method and apparatus for resecting a distal femoral surface |
| US5776137A (en) * | 1995-05-31 | 1998-07-07 | Katz; Lawrence | Method and apparatus for locating bone cuts at the distal condylar femur region to receive a knee prosthesis |
| US6173200B1 (en) * | 1997-04-04 | 2001-01-09 | T. Derek V. Cooke | Method and apparatus for locating transepicondylar line in a joint that defines transverse action for a motion |
| US20140330278A1 (en) * | 2002-05-15 | 2014-11-06 | Otismed Corporation | Arthroplasty jig and method of performing arthroplasty |
| US20050209605A1 (en) * | 2002-12-20 | 2005-09-22 | Grimm James E | Navigated orthopaedic guide and method |
| US7364581B2 (en) * | 2004-01-14 | 2008-04-29 | Howmedica Osteonics Corp. | Variable angle cutting block |
| CN101102724A (en) * | 2004-12-21 | 2008-01-09 | 史密夫和内修有限公司 | Rotational alignment femoral sizing guide |
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| Publication number | Publication date |
|---|---|
| CN106175875B (en) | 2019-03-05 |
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