CN106175913A - Fixed guider and using method thereof in a kind of Phalangeal fracture Kirschner wire - Google Patents
Fixed guider and using method thereof in a kind of Phalangeal fracture Kirschner wire Download PDFInfo
- Publication number
- CN106175913A CN106175913A CN201610864622.8A CN201610864622A CN106175913A CN 106175913 A CN106175913 A CN 106175913A CN 201610864622 A CN201610864622 A CN 201610864622A CN 106175913 A CN106175913 A CN 106175913A
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- China
- Prior art keywords
- kirschner wire
- guide pin
- arm
- direction indicator
- needle
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7291—Intramedullary pins, nails or other devices for small bones, e.g. in the foot, ankle, hand or wrist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses fixed guider and using method thereof in a kind of Phalangeal fracture Kirschner wire.Guider includes hollow guide pin, arm for direction indicator, handle；Wherein having an arm for direction indicator parallel with it above hollow guide pin, arm for direction indicator is all connected with guide pin body with sleeve fashion with handle, and arm for direction indicator and handle all can rotate around the guide pin longitudinal axis.Present configuration is simple, easily manufactured, low cost.The inclined-plane of its hollow guide pin far-end can make Kirschner wire stably hole on smooth Phalanges medullary cavity inwall；Pin position can be prejudged out before Kirschner wire is threaded a needle, it is to avoid repeated multiple times threading a needle causes soft tissue injury simultaneously.Can improve success rate of once threading a needle, reduce in art x-ray to doctor and patient physical impairment, less to patient's muscle power, the dependence of experience.
Description
Technical field
The invention belongs to technical field of medical instruments, relating to drives in the wrong direction in one is specifically designed to Phalangeal fracture Kirschner wire marrow threads a needle
The Kirschner wire guider of internal fixation treatment.Abbreviation is fixed guider and using method thereof in a kind of Phalangeal fracture Kirschner wire.
Background technology
Phalangeal fracture is hands surgical common disease example, is fixed as a kind of commonly used in marrow in Cross K-wire of inversely threading a needle
Classic treatment mode.But there is certain drawback in this traditional Kirschner wire fixation method: chance of success of 1, once threading a needle is low, patient
Fatiguability, and easily cause operating time prolongation: Kirschner wire need to keep certain angle with the phalanges longitudinal axis, and angle is too small the most solid
Determining joint, angle is excessive, likely cannot fix fracture line nearly (or remote) end phalanges, and Phalanges medullary cavity inwall is more smooth, in art
During the hand-held heavy electric drill of person pierces Kirschner wire, in the range of Kirschner wire is very unstable to be maintained at this best angle.
2, repeatedly thread a needle Kirschner wire can be caused to loosen, local bone is downright bad, bone resorption, soft tissue iatrogenic injury probability is high, fracture fixation
The consequences such as instability, in art, repeated multiple times perspective can increase x-ray to doctor and patient physical impairment.So the warp that the method is to patient
Test, physical fitness requirement higher.
The technical problem to be solved is: during inversely threading a needle, make Kirschner wire needle point with pulp cavity inwall shape
Become " surface-to-surface " contact, and nontraditional technology only contacts with " point-face " of pulp cavity inwall by Kirschner wire needle point, thus improve and wear
Stability during pin, makes Kirschner wire relatively stably remain a fixed angle boring on pulp cavity inwall, and can profit
Help patient to judge that Kirschner wire goes out pin mark with arm for direction indicator, thus adjust inserting needle position in advance, and tradition method of puncture is only capable of
Pass cortex at Kirschner wire, just may know that it goes out pin mark and direction even across patient after soft tissue, so utilizing this equipment
And technology can be substantially reduced joint capsule, ligament, the damage probability of soft tissue.
Summary of the invention
For achieving the above object, the invention discloses following technology contents:
Fixed guider in a kind of Phalangeal fracture Kirschner wire, it is characterised in that it includes hollow guide pin 1, arm for direction indicator 2, handle 3；
Above hollow guide pin, wherein there is an arm for direction indicator parallel with it, be mainly used in before penetrating Kirschner wire prejudging
Go out the orientation of pin.Arm for direction indicator is all connected with hollow guide pin portion with sleeve fashion with handle, and arm for direction indicator and handle all can be around skies
The heart guide pin longitudinal axis rotates.
Fixed guider in Phalangeal fracture Kirschner wire of the present invention, wherein said hollow guide pin is similar to empty needle head,
Kirschner wire 6 can be inserted.
In Phalangeal fracture Kirschner wire disclosed by the invention, fixed guider is mainly referred to by the direction paralleled with guide pin
Pin is prejudged Kirschner wire and is gone out pin mark, goes out pin direction, for offer of precisely threading a needle with reference to basis for estimation, by the inclined-plane that guide pin is most advanced and sophisticated
With phalanx bone pulp cavity inwall formed " surface-to-surface " contact mode, for Kirschner wire thread a needle process provide a brill the most stable
Enter environment,
It is exactly generally speaking: the hollow guide pin of a similar empty needle head, Kirschner wire can be inserted；One handle, it is simple to make
Used time holds；Hollow guide pin is parallel with arm for direction indicator, was mainly used in before penetrating Kirschner wire prejudging out pin orientation, sees figure
1.Thus can solve Kirschner wire to skid on smooth Phalanges medullary cavity inwall and cause the problem of failure of threading a needle, and because going out
Pin direction, the problem going out that pin mark is incorrect, repeatedly thread a needle and causing soft tissue injury.
The present invention further discloses the using method of fixed guider in Phalangeal fracture Kirschner wire, it is characterised in that:
During use, guide pin tip is inserted in fracture end pulp cavity, judge that Kirschner wire goes out pin mark according to arm for direction indicator direction, and
Can adjustable guide pin position and direction accordingly, after the guide pin tip place of smoothing is sticked on pulp cavity inwall, by Kirschner wire from
Guider tail end is inserted therein, and pierces Kirschner wire, refers to Fig. 2.
The present invention further discloses in Phalangeal fracture Kirschner wire fixed guider and alleviates art in raising accuracy rate of threading a needle
Application in terms of rear finger body swelling pain, particularly to alleviate postoperative finger body swelling pain effect obvious.Clinical test results is demonstrate,proved
Bright:
(1) improve the accuracy rate threaded a needle, number of times of threading a needle can be reduced, shorten operating time.
(2) reduce the damage to soft tissue, alleviate postoperative finger body swelling and patient pain's sense
(3) reduce fluoroscopy during operation number of times, reduce doctor and patient radiolesion.
(4) alleviate patient's physical demands, thus improve accuracy rate, shorten operating time.
(5) decrease patient's muscle power and the dependence of experience.
The good effect that in Phalangeal fracture Kirschner wire disclosed by the invention, fixed guider is compared with prior art had
It is:
(1) present configuration is simple, easily manufactured, low cost.Can make Kirschner wire stably on smooth Phalanges medullary cavity inwall
Boring；Pin position can be prejudged out before Kirschner wire is threaded a needle, it is to avoid repeated multiple times threading a needle causes soft tissue injury simultaneously.
(2) fixed guider in Phalangeal fracture Kirschner wire disclosed by the invention, can improve success rate of once threading a needle, and reduces art
Middle x-ray is to doctor and patient physical impairment, less to patient's muscle power, the dependence of experience.
Accompanying drawing illustrates:
Fig. 1 is fixed guider structural representation in Phalangeal fracture Kirschner wire；
Fig. 2 is the use view of fixed guider in Phalangeal fracture Kirschner wire；
Wherein: 1, guide hollow guide pin, 2, arm for direction indicator, 3, handle
4, cortical bone, 5, skin, 6, Kirschner wire.
Detailed description of the invention
The present invention is described below by specific embodiment.Unless stated otherwise, technological means used in the present invention
It is method known in those skilled in the art.It addition, embodiment is interpreted as illustrative, and the model of unrestricted invention
Enclosing, the spirit and scope of the invention are limited only by the claims that follow.To those skilled in the art, without departing substantially from this
On the premise of bright spirit and scope, the various changes or the change that carry out the material component in these embodiments and consumption also belong to
In protection scope of the present invention.
Referring to the drawings the present invention is described in detail.Specific embodiments described below is only the present invention
Preferred forms, and be not considered as limiting the invention.
Embodiment 1
Fixed guider in a kind of Phalangeal fracture Kirschner wire, it includes hollow guide pin arm for direction indicator, handle；Guiding hollow needle
There is an arm for direction indicator parallel with it top, and arm for direction indicator is all connected with hollow guide pin with sleeve fashion with handle, and direction refers to
Pin and handle all can rotate around the guide pin longitudinal axis, and it is convenient at different parts, wound site shape and skin soft tissue bar to its objective is
Operate under the conditions of part, fracture.The inclined-plane of its hollow guide pin far-end can make Kirschner wire stably on smooth Phalanges medullary cavity inwall
Boring；Before Kirschner wire is threaded a needle, prejudge out pin position furthermore with arm for direction indicator, it is to avoid repeated multiple times thread a needle cause soft
Tissue injury.
Embodiment 2
The using method of fixed guider in Phalangeal fracture Kirschner wire: during use, guide pin tip is inserted in fracture end pulp cavity, root
Judge that Kirschner wire goes out pin mark according to arm for direction indicator direction, and can adjustable guide pin position and direction accordingly, after by guide pin
Most advanced and sophisticated smooth place sticks on pulp cavity inwall, is inserted therein by Kirschner wire self-steering device tail end, pierces Kirschner wire.So can gram
Family name's pin is threaded a needle and is prejudged out pin position before, it is to avoid repeated multiple times threading a needle causes soft tissue injury.
Embodiment 3
The Kirschner wire internal fixation method of conventional Phalangeal fracture a: illustration refers to proximal phalanx open fracture case, same doctor
Being operated, expose fracture end after debridement, first being driven in the wrong direction by Kirschner wire pierces the cortex of fracture distal portions, according to patient's warp
Test Kirschner wire needle point after judging with anatomical knowledge and determining pin mark to pierce in about 30-40 ° angular position with cortical bone, will
The Kirschner wire other end carries out the reduction of the fracture after exiting fracture line, bored back kirschner by with the most contrary direction again after the satisfaction that resets
Pin, fixing contralateral cortex, thus complete fixation procedure in whole Kirschner wire.
Result: in art, Kirschner wire repeatedly skids, repeatedly adjusts, and needle angle repeatedly adjusts, therefore 4 powers of altogether threading a needle obtain full
Meaning effect, fluoroscopy during operation three times, perform the operation time-consuming 1 hour 10 minutes, patient has obvious feeling of fatigue, holds the obvious ache of hands of electric drill
Uncomfortable；Postoperative patient refers to body relatively swelling, and patient pain is more apparent, applies antalgica.
The problem existed: during this traditional method.First to conciliate according to patient's experience before piercing Kirschner wire
Cut open knowledge judge and determine pin mark；Then during boring, the hand-held heavy electric drill of patient must keep the steady of Kirschner wire
Fixed, but the cortical bone of pulp cavity inwall is more smooth, and needle angle is acute angle, so during Kirschner wire needle point usually occurs at skin
Skidding in matter, position is moved, so that patient has to interrupt boring, has readjusted inserting needle position, has the most again bored
Entering, before successfully piercing Kirschner wire, above-mentioned this failure may repeatedly occur, and patient also has to repeatedly redrilling so that
Patient's physically-draining, thus more reduce the stability of electric drill boring procedure, the most just define a vicious cycle.And repeatedly
Holing in cortical bone, the Kirschner wire of high speed rotating can make the cortex contacted high temperature occur, forms small osteonecrosis, downright bad
Sclerotin can gradually absorb, and makes pin hole expand, thus causes Kirschner wire to loosen, fix tightly solidity in reducing；If additionally same
Entry point repeatedly translation-angle is holed, and will also result in pin hole expansion thus causes Kirschner wire to loosen, fix tightly solidity in reducing.Institute
High to patient's physical fitness requirement and skill requirement with this traditional operation.
Embodiment 4
The Kirschner wire internal fixation method of fixed guider in the Phalangeal fracture Kirschner wire of the use present invention: be that an illustration refers to closely equally
Joint open fracture of phalanx of finger case, exposes fracture end after debridement, first being driven in the wrong direction by Kirschner wire pierces the cortex of fracture distal portions, first
First it is directed to the insertion fracture far-end pulp cavity inwall that device is most advanced and sophisticated, the most just can prejudge going out of Kirschner wire according to arm for direction indicator
Pin position, and it is adjusted the position that guider is placed accordingly, until Kirschner wire self-steering device afterbody being inserted after Man Yi, along
The direction of hollow guide pin pierces Kirschner wire, owing to guide pin and cortical bone are the ways of contact of " surface-to-surface ", therefore is greatly improved drill point
The stability of process, improves the success rate threaded a needle, and after the first step is inversely threaded a needle successfully, the Kirschner wire other end is exited fracture line
After carry out the reduction of the fracture, reset satisfied after is bored back Kirschner wire by with the most contrary direction again, fixing contralateral cortex, thus complete
Fixation procedure in whole Kirschner wire.
After can also be used for resetting with sample guider, direct motion is threaded a needle fixing: is directed to device after the reduction of the fracture is satisfied and withstands on fracture
In the cortex of far-end or near-end, go out pin position according to what arm for direction indicator prejudged Kirschner wire, and be adjusted guider accordingly
The position placed, until being inserted by Kirschner wire self-steering device afterbody after Man Yi, pierces Kirschner wire along the direction of hollow guide pin, by
It is the way of contact of " surface-to-surface " in guide pin and cortical bone, therefore is greatly improved the stability of drill point process, also improve direct motion and wear
The success rate of pin.
Result: thread a needle and once become merit, only has an X-rayed once in art, and operating time is only 35 minutes, and patient is without the most tired
Sense；Postoperative patient refers to that body swelling is relatively light, and patient pain is relatively light, does not applies antalgica.
Claims (5)
1. fixed guider in a Phalangeal fracture Kirschner wire, it is characterised in that it includes hollow guide pin (1), arm for direction indicator (2),
Handle (3)；Wherein above guiding hollow needle, there is an arm for direction indicator parallel with it, for pre-before penetrating Kirschner wire
First judging that pin azimuth direction, pointer and handle are all connected with hollow guide pin with sleeve fashion, arm for direction indicator and handle all can be around
The hollow guide pin longitudinal axis rotates.
Fixed guider in Phalangeal fracture Kirschner wire the most according to claim 1, it is characterised in that described guiding is hollow
Pin is similar to empty needle head, can Kirschner wire (6) be inserted.
Fixed guider in Phalangeal fracture Kirschner wire the most according to claim 1, it is characterised in that described arm for direction indicator
Parallel with guiding hollow needle, it was mainly used in before penetrating Kirschner wire prejudging out the orientation of pin.
4. the using method of fixed guider in the Phalangeal fracture Kirschner wire described in claim 1, it is characterised in that: will during use
Guide pin tip is inserted in fracture end pulp cavity, judges that Kirschner wire goes out pin mark according to arm for direction indicator direction, and can adjustable accordingly
Guide pin position and direction, after the guide pin tip place of smoothing is sticked on pulp cavity inwall, Kirschner wire self-steering device tail end is inserted
Enter in it, pierce Kirschner wire.
5. in the Phalangeal fracture Kirschner wire described in claim 1, fixed guider is improving surgical effect, is reducing operating difficulty, contracting
The time-related application of short hand art.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610864622.8A CN106175913A (en) | 2016-09-30 | 2016-09-30 | Fixed guider and using method thereof in a kind of Phalangeal fracture Kirschner wire |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610864622.8A CN106175913A (en) | 2016-09-30 | 2016-09-30 | Fixed guider and using method thereof in a kind of Phalangeal fracture Kirschner wire |
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| Publication Number | Publication Date |
|---|---|
| CN106175913A true CN106175913A (en) | 2016-12-07 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610864622.8A Pending CN106175913A (en) | 2016-09-30 | 2016-09-30 | Fixed guider and using method thereof in a kind of Phalangeal fracture Kirschner wire |
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Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2003059181A1 (en) * | 2002-01-17 | 2003-07-24 | Woo Shin Cho | Intramedullary nail, device for inserting a screw into the same and method thereof |
| WO2005044083A2 (en) * | 2003-10-30 | 2005-05-19 | Behrens Alfred F | Intramedullary nail-based bone fracture treatment |
| CN201542730U (en) * | 2009-12-17 | 2010-08-11 | 周松 | Transdermal bone marrow cavity mouth-gag |
| CN101810506A (en) * | 2010-01-29 | 2010-08-25 | 李冀 | Percutaneous bone grafting apparatus |
| CN104173101A (en) * | 2014-09-11 | 2014-12-03 | 昆明医科大学第一附属医院 | Device for constructing dilator channel under unilateral pedicle admission passage condition |
| CN105476708A (en) * | 2015-12-23 | 2016-04-13 | 苏州瑞华医院有限公司 | Kirschner needle arc-shaped guiding device |
| CN205433874U (en) * | 2016-03-15 | 2016-08-10 | 河北省沧州中西医结合医院 | Parallel director of ke shi needle |
| CN205569055U (en) * | 2016-03-18 | 2016-09-14 | 管人平 | Orthopedics steel wire guider |
| CN206473391U (en) * | 2016-09-30 | 2017-09-08 | 天津市天津医院 | Fixed guider in a kind of phalangeal fracture Kirschner wire |
-
2016
- 2016-09-30 CN CN201610864622.8A patent/CN106175913A/en active Pending
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2003059181A1 (en) * | 2002-01-17 | 2003-07-24 | Woo Shin Cho | Intramedullary nail, device for inserting a screw into the same and method thereof |
| WO2005044083A2 (en) * | 2003-10-30 | 2005-05-19 | Behrens Alfred F | Intramedullary nail-based bone fracture treatment |
| CN201542730U (en) * | 2009-12-17 | 2010-08-11 | 周松 | Transdermal bone marrow cavity mouth-gag |
| CN101810506A (en) * | 2010-01-29 | 2010-08-25 | 李冀 | Percutaneous bone grafting apparatus |
| CN104173101A (en) * | 2014-09-11 | 2014-12-03 | 昆明医科大学第一附属医院 | Device for constructing dilator channel under unilateral pedicle admission passage condition |
| CN105476708A (en) * | 2015-12-23 | 2016-04-13 | 苏州瑞华医院有限公司 | Kirschner needle arc-shaped guiding device |
| CN205433874U (en) * | 2016-03-15 | 2016-08-10 | 河北省沧州中西医结合医院 | Parallel director of ke shi needle |
| CN205569055U (en) * | 2016-03-18 | 2016-09-14 | 管人平 | Orthopedics steel wire guider |
| CN206473391U (en) * | 2016-09-30 | 2017-09-08 | 天津市天津医院 | Fixed guider in a kind of phalangeal fracture Kirschner wire |
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| C06 | Publication | ||
| PB01 | Publication | ||
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Application publication date: 20161207 |