CN106667644A - Multifunctional auxiliary external fixing instrument for supracondylar fracture of humerus in children - Google Patents
Multifunctional auxiliary external fixing instrument for supracondylar fracture of humerus in children Download PDFInfo
- Publication number
- CN106667644A CN106667644A CN201610605968.6A CN201610605968A CN106667644A CN 106667644 A CN106667644 A CN 106667644A CN 201610605968 A CN201610605968 A CN 201610605968A CN 106667644 A CN106667644 A CN 106667644A
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- China
- Prior art keywords
- clamping plate
- ball pivot
- side clamping
- rear side
- arm
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Links
- 206010020462 Humerus fracture Diseases 0.000 title abstract 3
- 210000002758 humerus Anatomy 0.000 claims description 34
- 239000007788 liquid Substances 0.000 claims description 14
- 230000004087 circulation Effects 0.000 claims description 11
- 229920000297 Rayon Polymers 0.000 claims description 8
- 239000003292 glue Substances 0.000 claims description 8
- 239000000203 mixture Substances 0.000 claims description 8
- 230000000694 effects Effects 0.000 claims description 7
- 239000012530 fluid Substances 0.000 claims description 5
- 229920000742 Cotton Polymers 0.000 claims description 4
- 208000010392 Bone Fractures Diseases 0.000 abstract description 43
- 230000009467 reduction Effects 0.000 abstract description 10
- 241000469816 Varus Species 0.000 abstract description 3
- 241001227561 Valgus Species 0.000 abstract description 2
- 238000000554 physical therapy Methods 0.000 abstract description 2
- 206010017076 Fracture Diseases 0.000 abstract 2
- 210000000245 forearm Anatomy 0.000 description 13
- 210000000988 bone and bone Anatomy 0.000 description 5
- 210000002310 elbow joint Anatomy 0.000 description 5
- 238000005516 engineering process Methods 0.000 description 5
- 210000003414 extremity Anatomy 0.000 description 5
- 230000035479 physiological effects, processes and functions Effects 0.000 description 4
- 238000000015 thermotherapy Methods 0.000 description 4
- 206010061363 Skeletal injury Diseases 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 3
- 230000007812 deficiency Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000009084 Cold Injury Diseases 0.000 description 1
- 208000032170 Congenital Abnormalities Diseases 0.000 description 1
- 238000006424 Flood reaction Methods 0.000 description 1
- 206010030113 Oedema Diseases 0.000 description 1
- 206010058046 Post procedural complication Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- 206010043101 Talipes Diseases 0.000 description 1
- 206010053615 Thermal burn Diseases 0.000 description 1
- 230000004308 accommodation Effects 0.000 description 1
- 230000000202 analgesic effect Effects 0.000 description 1
- 230000009172 bursting Effects 0.000 description 1
- 230000002595 cold damage Effects 0.000 description 1
- 206010010121 compartment syndrome Diseases 0.000 description 1
- 230000001447 compensatory effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 210000004247 hand Anatomy 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000008338 local blood flow Effects 0.000 description 1
- 230000004899 motility Effects 0.000 description 1
- 230000001718 repressive effect Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 230000007306 turnover Effects 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
- A61F5/042—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
- A61F5/048—Traction splints
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
- A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
- A61F5/058—Splints
- A61F5/05841—Splints for the limbs
- A61F5/05858—Splints for the limbs for the arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/0053—Cabins, rooms, chairs or units for treatment with a hot or cold circulating fluid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0001—Body part
- A61F2007/0029—Arm or parts thereof
- A61F2007/0031—Upper arm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0001—Body part
- A61F2007/0029—Arm or parts thereof
- A61F2007/0034—Lower arm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0054—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0054—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
- A61F2007/0056—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water for cooling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/02—Compresses or poultices for effecting heating or cooling
- A61F2007/0295—Compresses or poultices for effecting heating or cooling for heating or cooling or use at more than one temperature
Landscapes
- Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Nursing (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention relates to a multifunctional auxiliary external fixing instrument for supracondylar fracture of humerus in children and belongs to the field of medical instruments. The multifunctional auxiliary external fixing instrument mainly comprises a rotary folding frame assembly, a front splint, an inner splint, an outer splint, and a connection hose; the rotary folding frame assembly comprises a front arm support plate, a rear splint, a special ball hinge assembly, an arc link-handle assembly, the front arm support plate and the rear splint are connected through the special ball hinge assembly, and the included angle between the front arm support plate and the rear splint is adjusted and stabilized through the arc link-handle assembly. The special ball hinge assembly comprises a ball hinge seat, a ball hinge rod, and ball hinge head locking bolts. The arc link-handle assembly is composed of a threaded arc link, a cylindrical rotary pin, a Y-shaped insert rod and two convex nuts. The multifunctional auxiliary external fixing instrument for supracondylar fracture of humerus in children can provide assisted traction reduction for supracondylar fracture in children, is quick to fix and convenient to assemble and disassemble, can prevent cubitus varus or valgus deformity, can provide effective physiotherapy for the fracture, and can assist the affected elbow in performing functional training.
Description
Technical field
The present invention relates to a kind of Multifunctional infant supracondylar fracture of the humerus aids in external fixation device, belong to medical instruments field.
Background technology
Treatment of Humeral Supracondylar Fractures in Children is the commonly encountered diseases of pediatric Orthopaedics, frequently-occurring disease.Most of fracture infant can be adopted
Fix to solve outside manual reduction, clamping plate.Lateral displacement, the rotation of condyles, treatment because to correct Treatment of Humeral Supracondylar Fractures in Children
The physiology top rake of supracondylar fracture of the humerus, the generation turned up in elbow is prevented, therefore children's supracondylar fracture is again more difficult reset in fracture
Fracture.It is difficult to there is manual reduction in traditional reduction by three persons fixed form；Fixation is loaded down with trivial details；Adjustment demolition clamping plate is inconvenient；
Effectively cold treatment or thermotherapy can not be carried out to fracture.Making originally can be with the fixed trouble cured outside traditional Chinese medical science manual reduction clamping plate
Youngster is changed to open operation, actually unfortunately.The development of doctor trained in Western medicine Internal fixation technology is maked rapid progress, from AO, BO, CO ideas again by now
Transformation, from dissection armor plate to locking steel plate, from static(al) dynamic fixation is fixed to, and the outer bias of marrow of fracture is fixed to Sui Nei centers and consolidates
Fixed, the open surgery from fracture is to little otch, again to MIPPO technologies fashionable for a time.And the outer fixation of thousand of years marrow of the traditional Chinese medical science
Plintlet technology, almost floods in operation trend.Traditional Chinese medical science clamping plate technology is only inherited, and rarely has innovation.
A kind of Multifunctional infant supracondylar fracture of the humerus aids in external fixation device, can one by one solve children's supracondylar fracture tradition whole
Multiple fixed deficiency, and innovated, developed.
The content of the invention
The purpose of the present invention is to overcome the deficiencies in the prior art, there is provided a kind of Multifunctional infant supracondylar fracture of the humerus auxiliary is outer
Fixed apparatus, makes Treatment of Humeral Supracondylar Fractures in Children be more easy to reset, and is more fixed easily, and is more easy to rehabilitation.Resetting time is reduced, perspective time is reduced
Number, it is to avoid the generation of the postoperative complication that open surgery is brought.
To achieve these goals, the technical solution used in the present invention is：
A kind of Multifunctional infant supracondylar fracture of the humerus aids in external fixation device, and it is mainly by rotatable folding frame assembly, front
Side clamping plate, inner side clamping plate, outside clamping plate, connection flexible pipe composition.
The rotatable folding frame assembly is by arm-supporting splint, rear side clamping plate, special ball pivot assembly, curved rod handle assembly structure
Into.Arm-supporting splint, back side panel are linked by special ball pivot assembly, are opened and the range of activity for drawing arm-supporting splint and rear side clamping plate in
At 30-180 °；Curved rod handle assembly is placed in inside and outside rotatable folding frame assembly.
Three one wide two narrow ligatures are designed with arm-supporting splint, the ligature at ball pivot bar sliding support is slightly wider, and
There is viscose glue to design, and have pad pasting covering protection so as to which, with adhesion and fixing function, in addition 2 ligatures are without viscose glue only fixation
Effect；There is velcro three ligature distal ends；The concave cambered design of arm-supporting splint, there is ball pivot at rear under arm-supporting splint near-end
Bar sliding support, and arch hole is provided with ball pivot bar sliding support, to place ball pivot bar so that ball pivot bar is slided with respect to ball pivot bar
Dynamic bearing slidably but can not rotate, and there is ball pivot rod lock bolt at ball pivot bar sliding support rear；There is rear in the middle of arm-supporting splint
Traverse the cylinder rotational pin via design of supporting plate.
It is characterized in that hypomere has about 30 ° forward of inclination angle design, front sees that rear side clamping plate lower end is in blunt circle to rear side clamping plate
Shape, ball pivot seat is at the lower end rear of rear side clamping plate；Rear side clamping plate is slightly long compared with front side clamping plate, and folder is traversed at rear in the middle of rear side clamping plate
The Y type inserted link via designs of plate.
Special ball pivot assembly is made up of ball pivot seat, ball pivot bar, ball pivot head lock screw.The nearly ball pivot head section of ball pivot bar with it is straight
Section bends to 30 ° of angle, and with the arm-supporting splint and rear side clamping plate that reduce rotatable folding frame assembly certain angle is being constituted
When the required anglec of rotation, so as to realize that the composition for increasing arm-supporting splint and rear side clamping plate is reached in finite spatial extent
Angular range, to adapt to the needs of different patients.The nearly bulb section cross sectional shape of ball pivot bar is sector, rotatable when fully opening
During folding stand assembly, fan-shaped sharp corner can mutually be engaged with the angle-style incisura of ball pivot seat oblong opening hypomere, realize forearm
Supporting plate and rear side clamping plate are connected as holistic function by ball pivot bar in special ball pivot assembly with being engaged for ball pivot seat.Ball pivot
Bar flat segments are arch, and flat segments are mounted in the ball pivot bar sliding support of arm-supporting splint, and slidably can not be rotated, ball pivot bar
The ball pivot rod lock bolt at sliding support rear can be locked to ball pivot bar.
There is special shape opening on ball pivot seat, opening shape is constituted by three sections, hypomere is wedge angle section, with the nearly bulb of ball pivot bar
Fan-shaped wedge angle be fully engaged against so that it is stuck when the rear side clamping plate of rotatable folding frame assembly is fully opened to rotate to the position
Ball pivot bar；Stage casing is straightway, and this section of A/F is 1.5~2 times of ball pivot shank diameter, so that ball pivot bar can be in ball pivot
Swing in seat, that is, realize when arm-supporting splint is stablized, rear side clamping plate inside and outside can swing the function of inclining 15 °~30 °；On
Section is arc section.The left and right sides of ball pivot seat is provided with screwed hole, to place ball pivot head lock screw, realize arm-supporting splint with it is rear
Locking after the clamping plate angle satisfaction of side to ball pivot head.In addition, being provided with non-slip hook on rear side of ball pivot seat, front side clamping plate distal end can be hooked
Cord.
Curved rod handle assembly is by curved rod, cylinder rotational pin, Y type inserted links, 2 pieces of convex surface nut compositions.Cylinder is rotated
Pin is inserted in the cylinder rotational pin through hole of arm-supporting splint, it is possible to rotated；Y type inserted links are inserted into the Y type inserted links of rear side clamping plate
It is also rotatable in through hole；Curved rod is linked together by rivet with cylinder rotational pin, and curved rod can be with rivet
Rotary shaft is rotated；Y type inserted links upper end takes the shape of the letter U, and curved rod can snap in the U-lag of Y type inserted links upper end；Have on curved rod
Screw thread design, Y type inserted links upper end can be secured firmly to by 2 pieces of convex surface nuts by curved rod；Curved rod assembly is by circle
Post rotational pin, cylinder rotational pin through hole, Y type inserted links, Y type inserted links through hole pair determines that arm-supporting splint and rear side clamping plate after angle rise
To fixed and Stabilization.Curved rod handle assembly may be installed the inner side of rotatable folding frame assembly or outgoing for totally 2 sets, can not
Point or so.
There is about 30 ° forward of inclination angle design described front side clamping plate distal end, and front side clamping plate distal end is in blunt round, front side clamping plate
Four groups of cords that one is long and the other is short are above fixed with, cord has certain elasticity, and the cord at front side clamping plate two ends is close proximity to front side
Clamping plate two ends, middle two cords are by the front plate quartering.
Described inner side clamping plate is it is characterized in that distal end is slightly in elliptic design forward.
Described outside clamping plate is it is characterized in that distal end is slightly in elliptic design forward.
Described arm-supporting splint, front side clamping plate, inner side clamping plate, rear side clamping plate, outside clamping plate it is characterized in that with patient's limb
Body contact surface is provided with one layer of soft cotton layer；Front side clamping plate, inner side clamping plate, rear side clamping plate, outside clamping plate in its base layer, if
Liquid circulation line is put, the top upper end both sides of four pieces of clamping plates are respectively disposed with inlet and leakage fluid dram, by connecting flexible pipe
Front side clamping plate, inner side clamping plate, rear side clamping plate, the inlet of outside clamping plate and leakage fluid dram can be sequentially connected with；Make four pieces of clamping plate bases
The tubing of liquid circulation line connection one closing of composition in body layer, to access cold night or hydrothermal solution.
The present invention compared with prior art, with advantages below：1. this assistive device has in three using arm-supporting splint
Root ligature fixes forearm makes forearm and arm-supporting splint become an entirety, fully opens rear side clamping plate due to special ball pivot assembly
Effect can carry out countertraction to the supracondylar fracture of the humerus broken ends of fractured bone, first give condyle of humerus on outer strap with the work(of auxiliary traction
Energy.2. special offer of rotatable folding frame assembly uses under toggle position, coordinates bone injury maneuver to carry out bone injury maneuver to fracture site
Reset, humerus condyles top rake can have been looked after, fracture is more easy to successfully.3. pressed from both sides using front side after supracondylar fracture of the humerus reset success
The design of the four groups of cords and the non-slip hook of special ball pivot that carry on plate make it is fixed more convenient, evenly, it is more firm, more scientific,
Adjustment clamping plate is easier.4. prevented outside cubitus varuss or elbow by placing turriform pad or trapezoidal pad in medial and lateral clamping plate distal end
Talipes varus occur.5. the liquid circulation line by design in clamping plate base layer carries out cold treatment, later stage to the fracture initial stage is carried out
Warm physiotherapy.6. the later stage enable elbow joint is carried out in arm-supporting splint and rear side cleat design curved rod handle assembly or
The multiple functions such as the bent or functional rehabilitation exercise stretched.
Description of the drawings
Fig. 1 is the partial cutaway structural representation that a kind of Multifunctional infant supracondylar fracture of the humerus of the invention aids in external fixation device
Figure.
Fig. 2 be Figure 1A to structural representation.
Fig. 3 be Figure 1B to structural representation.
Fig. 4 be Fig. 1 C to structural representation.
Fig. 5 is the three dimensional structure diagram of 4 ball pivot seats in Fig. 1.
Fig. 6 is the structural representation of 18Y types inserted link in Fig. 1.
Fig. 7 is the structural representation of 36 connection flexible pipes in Fig. 1.
In figure：1. outside clamping plate liquid circulation line, 2. outside clamping plate, 3. rear side clamping plate liquid circulation line, 4. ball pivot
Seat, 5. ball pivot bar, 6. ball pivot rod lock bolt, 7. ball pivot bar sliding support, 8. wide ligature, 9. arm-supporting splint, 10. arc connect
Bar, 11. cylinder rotational pin through holes, 12. cylinder rotational pins, 13. rivets, 14. curved rods, 15. narrow ligatures, 16. narrow ligatures,
17. convex surface nuts, 18.Y type inserted links, 19. convex surface nuts, 20.Y type inserted link through holes, 21. rear side clamping plates, 22. inner side clamping plate liquid
Circulation line, 23. inner side clamping plates, 24. front side clamping plate liquid circulation lines, 25. front side clamping plates, 26. cords, 27. cords, 28.
Cord, 29. cords, 30. rivets, 31. cylinder rotational pins, 32. ball pivot head lock screw, 33. ball pivot head lock screw, 34.Y types
Inserted link, 35. convex surface nuts, 36. connection flexible pipes.
Specific embodiment
In order that the objects, technical solutions and advantages of the present invention become more apparent, it is right below in conjunction with drawings and Examples
The present invention is further elaborated.It should be appreciated that specific embodiment described herein is only to explain the present invention, not
For limiting patent of the present invention.
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4, Fig. 5, a kind of Multifunctional infant supracondylar fracture of the humerus auxiliary of the invention is outer fixed
Apparatus, it is mainly by rotatable folding frame assembly, front side clamping plate (25), inner side clamping plate (23), outside clamping plate (2), connection flexible pipe
(36) constitute.
A kind of Multifunctional infant supracondylar fracture of the humerus aids in external fixation device, and described rotatable folding frame assembly is by forearm
Supporting plate (9), rear side clamping plate (21), special ball pivot assembly, curved rod handle assembly are constituted；Arm-supporting splint (9), rear side clamping plate (21)
Linked by special ball pivot assembly, open and draw the range of activity of arm-supporting splint (9) and rear side clamping plate (21) at 30-180 °,
Make in the range of elbow joint can be fixed on extreme flexing and stretch.Curved rod handle assembly is placed in rotatable folding frame assembly
Inside and outside.
Three one wide two narrow ligatures (8,15,16) are designed with the arm-supporting splint (9), near ball pivot bar sliding support
(7) ligature (8) at place is slightly wider, and has viscose glue (Q) to design, and has pad pasting covering protection so as to adhesion and fixing function, separately
Outer two ligatures (15,16) only have fixation without viscose glue；There is velcro (L, M, N) three ligature (8,15,16) distal ends,
Three ligature (8,15,16) winding forearms are simultaneously fixed by velcro (L, M, N) to forearm；Tear width before reduction to tie up
The pad pasting of band (8), viscose glue (Q) on wide ligature (8) can with skin close adhesion, in addition other two ligatures (15,16) consolidate
It is set for using, makes forearm firmly fix integral and non-slip with arm-supporting splint (9), is conducive to the utilization under elbow flexion position to revolve
Turnover superimposed assembly carries out countertraction and appropriateness rotation to the supracondylar fracture of the humerus broken ends of fractured bone.Film of replying to the topic is pasted after reduction success, it is wide
Ligature (8) only has fixation, can prevent the constraint of ligature (8) and increase the edema of forearm.The concave arc of arm-supporting splint (9)
Design, makes forearm contact more comfortable with supporting plate (9).There is ball pivot bar sliding support (7) at rear under arm-supporting splint (9) near-end, in have
Arch hole, accommodates ball pivot bar (5), and can slide in hole but can not rotate, and there is ball pivot lever lock at ball pivot bar sliding support (7) rear
Determine bolt (6).After rear side clamping plate (21) and upper arm rear side docile, lockable ball pivot rod lock bolt (6).Arm-supporting splint (9)
There is cylinder rotational pin through hole (11) design for traversing supporting plate at middle rear.
There is about 30 ° forward of inclination angle design described rear side clamping plate (21) distal end, meets supracondylar fracture of the humerus life forward
Reason top rake, front sees that rear side clamping plate hypomere is in blunt round；Ball pivot seat (4) is at the lower end rear of rear side clamping plate (21)；Rear side folder
Plate (21) is slightly long compared with front side clamping plate (25), can prevent cord (26,29) from slipping from rear side clamping plate (21), in the middle of rear side clamping plate (21)
There are Y types inserted link through hole (20) designs for traversing clamping plate at rear.
Special ball pivot assembly is made up of ball pivot seat (4), ball pivot bar (5), ball pivot head lock screw (32,33) again.Ball pivot bar
(5) nearly ball pivot head section and flat segments bend to 30 ° of angle, with reduce rotatable folding frame assembly arm-supporting splint (9) and after
Required anglec of rotation when certain angle is constituted of side clamping plate (21), so as to realize that increasing is reached in finite spatial extent
Plus the composition angular range of arm-supporting splint (9) and rear side clamping plate (21), to adapt to the needs of different patients.Ball pivot bar (5) is near
Bulb section cross sectional shape is sector, and when rotatable folding frame assembly is fully opened, fan-shaped sharp corner can be open with ball pivot seat (4)
The angle-style incisura of hypomere is mutually engaged, and realizes arm-supporting splint (9) and rear side clamping plate (21) by ball pivot bar in special ball pivot assembly
It is connected as holistic function with being engaged for ball pivot seat；Ball pivot bar (5) flat segments are arch, and flat segments are mounted in the slip of ball pivot bar
In bearing (7), and can not slidably rotate, after rear side clamping plate (21) and upper arm rear fit satisfaction, lock ball pivot bar
Ball pivot rod lock bolt (6) at sliding support (7) rear, can be relatively fixed ball pivot bar (5) with arm-supporting splint (9).
There is special shape opening on ball pivot seat (4), opening shape is constituted by three sections, hypomere is wedge angle section, it is that angle-style is cut
Mark, is fully engaged against so that in the rear side clamping plate for opening rotatable folding frame assembly with the fan-shaped wedge angle of the nearly bulb of ball pivot bar (5)
(21) the stuck ball pivot bar (5) for rotating to position when, during reduction by forearm and arm-supporting splint (9) fixation it is safe after, in elbow in the wrong
The next handss in position hold forearm and arm-supporting splint (9), and rear side clamping plate (21) distal end is held on the other hand, now can have to fracture site
Effect traction, appropriateness rotation, and skidding is occurred without, Treatment of Humeral Supracondylar Fractures in Children cuttage, rotation and lateral displacement are easily corrected, while according to
The top rake of supracondylar fracture of the humerus is turned round and look at, the external fixation device is given first with the function of auxiliary traction.Coordinate bone under toggle position
Hinder maneuver carries out bone injury manual reduction to fracture site, has looked after the physiology top rake of humerus condyles, fracture is more easy to successfully.Remove
Outside this, such as rear side clamping plate (21) blocks inconvenience reset and can also remove rear side clamping plate (21), and condyles pair are held under elbow flexion position
Supracondylar fracture of the humerus carries out reduction, and rear side clamping plate (21) is laid after applying art and finishing, and embodies the motility and accommodation of the apparatus
Property.Stage casing is straightway, and this section of A/F is 1.5~2 times of ball pivot bar (5) diameter, so that when arm-supporting splint is stablized,
Ball pivot bar (5) can swing in ball pivot seat (4), that is, realize rear side clamping plate (21) and incline 15 °~30 ° with inside and outside swing
Function, one no matter left side fracture or right side are fractured when being capable of achieving Treatment of Humeral Supracondylar Fractures in Children replacement and fixation, a set of apparatus
Can fix and use；Two can under elbow flexion position the more preferable docile of rear side clamping plate (21) and upper arm rear side, more small displacement fixes,
The requirement of satisfaction and 15 °~30 ° carrying angles of compensatory elbow joint, using the apparatus physiological characteristicies of elbow joint are more met.Epimere is
Arc section.The left and right sides of ball pivot seat (4) is provided with screwed hole, to place ball pivot head lock screw (32,33), realizes forearm holder
Locking after plate (9) and the satisfaction of rear side clamping plate (21) angle to ball pivot head.In addition, being provided with non-slip hook on rear side of ball pivot seat (4)
(P)；The cord (29) of front side clamping plate (25) distal end can be hooked, playing prevents cord from sliding, be capable of achieving cord to bone on condyle of humerus
The more firm fixation of folding.
Curved rod handle assembly is by curved rod (10), cylinder rotational pin (12), Y type inserted links (18), 2 pieces of convex surface nuts
(17,19) constitute.Cylinder rotational pin (12) is inserted in cylinder rotational pin through hole (11) of arm-supporting splint (9), it is possible to rotated；
Y type inserted links (18) is inserted in Y types inserted link through hole (20) of rear side clamping plate (21), and also rotatable, curved rod (10) is by riveting
Nail (13) links together with cylinder rotational pin (12), and curved rod (10) can be revolved with rivet (13) as rotary shaft
Turn；Y type inserted link (18) upper ends take the shape of the letter U, and curved rod (10) can snap in the U-lag of Y type inserted link (18) upper ends, curved rod (10)
On have screw thread design, be fixed together with Y type inserted links (18) by 2 pieces of convex surface nuts (17,19)；Curved rod (10) is by circle
Post rotational pin (12), cylinder rotational pin through hole (11), Y type inserted links (18), Y types inserted link through hole (20) pair of forearm determined after angle
Supporting plate (9) and rear side clamping plate (21) play fixation.Rotation of the cylinder rotational pin (12) in cylinder rotational pin through hole (11)
The rotation that is inserted in Y types inserted link through hole (20) with Y type inserted links (18) so that curved rod (10) adapt to arm-supporting splint (9) and after
Different angles between side clamping plate (21) are fixed and required.Curved rod handle assembly may be installed rotatable folding frame assembly for totally 2 sets
Inner side or outgoing, can be regardless of left and right.Fracture initial stage curved rod handle assembly has been mainly stable rotatable folding frame assembly and has made
With not causing fracture redisplacement；Can pass through the upper 2 pieces of convex surface nuts of interior outside curved rod (10) after later stage fracture site is stable
The advance and retreat of (17,19) realize rear side clamping plate (21) and arm-supporting splint (9) or close, reach passive to fixed elbow joint or stretch
Or the functional exercise of song, make fixation synchronous with rehabilitation, this is outer solid for a kind of Multifunction Treatment of Humeral Supracondylar Fractures in Children auxiliary
Determine the important innovations point of apparatus.
There is about 30 ° forward of inclination angle design described front side clamping plate (25) distal end, meets supracondylar fracture of the humerus life forward
Reason top rake, front side clamping plate (25) distal end is in blunt round, and front side clamping plate (25) front side is fixed with four groups of cords that one is long and the other is short, long
Front side clamping plate (25), inner side clamping plate (23), rear side clamping plate (21), outside clamping plate (2) can be bundled in rope the surrounding of fracture limbs,
Short rope plays a part of to aid in long rope to knot, and it is achievable quick to limbs that front side clamping plate (25) carries cord (26,27,28,29)
Fixation.Cord (26,27,28,29) can prevent the generation of compartment syndrome with certain elasticity.Front side clamping plate (25)
Close proximity to front side clamping plate (25) two, middle 2 cords make front side clamping plate (25) quartering to the cord (26,29) at two ends
Supracondylar fracture of the humerus fix stress evenly, it is more firm.
Described inner side clamping plate (23) distal end can meet inner side clamping plate (23) and meet from side slightly in elliptic design forward
Humerus condyles anatomical physiology top rake forward.
Described outside clamping plate (2) distal end can meet inner side clamping plate (2) and meet the upper arm from side slightly in elliptic design forward
Bone condyles anatomical physiology top rake forward.
Described arm-supporting splint (9), front side clamping plate (25), inner side clamping plate (23), rear side clamping plate (21), outside clamping plate (2)
One layer of soft cotton layer is provided with limbs of patient contact surface, increases suffering limb and clamping plate contact comfort, and repressive bursting can be prevented
The generation of infectionss.Front side clamping plate (25), inner side clamping plate (23), rear side clamping plate (21), outside clamping plate (2) are arranged in its base layer
Liquid circulation line (24,22,3,1), the top layout of four pieces of clamping plates has inlet and leakage fluid dram (D-K), soft by connecting
Inlet and row that pipe (36) can be arranged on front side clamping plate (25), inner side clamping plate (23), rear side clamping plate (21), outside clamping plate (2)
Liquid circulation line (24,22,3,1) connection in four pieces of clamping plate base layers is constituted liquid mouth (D-K) the pipeline system of a closing
System, the fracture initial stage instils and ices liquid, the cold treatment to affected part is capable of achieving, to reach the detumescence to affected part, hemostasis, analgesic effect；
Later stage instillation warm liquid, is capable of achieving the thermotherapy to affected part, and having improves local blood circulation, promotes union of fracture effect.Jing faces
Bed proves, this is more traditional to carry out cold treatment or thermotherapy more effectively outside clamping plate.Soft cotton layer can effective protection skin not by
Cold injury or scald.
A kind of Multifunctional infant supracondylar fracture of the humerus auxiliary external fixation device spy provides one kind can be under toggle position to children
Supracondylar fracture of the humerus auxiliary traction resets, rapid effectively fixed, demolition is convenient, by placing turriform pad in interior outside clamping plate distal end
Or trapezoidal pad is to prevent cubitus varuss or Cubitus Valgus Deformity from occurring, to fracture initial stage effectively cold treatment and thermotherapy, the profit in later stage
Suffering from elbow with curved rod handle auxiliary carries out functional exercise, is worth clinically wideling popularize.
Claims (10)
1. a kind of Multifunctional infant supracondylar fracture of the humerus aids in external fixation device, it is characterised in that its structure is by rotatable folding frame
Assembly, front side clamping plate (25), inner side clamping plate (23), outside clamping plate (2), connection flexible pipe (36) composition.
2. a kind of Multifunctional infant supracondylar fracture of the humerus according to claim 1 aids in external fixation device, it is characterised in that：
The rotatable folding frame assembly is by arm-supporting splint (9), rear side clamping plate (21), special ball pivot assembly, curved rod handle assembly structure
Into；Arm-supporting splint (9), rear side clamping plate (21) are coupled by special ball pivot assembly, are opened and are drawn arm-supporting splint (9) and rear side folder in
The range of activity of plate (21) is at 30-180 °；Curved rod handle assembly is placed in inside and outside rotatable folding frame assembly.
3. a kind of Multifunctional infant supracondylar fracture of the humerus according to claim 1,2 aids in external fixation device, its feature to exist
Three one wide two narrow ligatures (8,15,16) are designed with arm-supporting splint (9), by the ligature at ball pivot bar sliding support (7) place
(8) it is slightly wider, and have viscose glue (Q) to design, there is pad pasting covering protection on viscose glue, in addition two ligatures (15,16) are arranged without viscose glue；Three
There is velcro (L, M, N) root ligature (8,15,16) distal end；The concave cambered design of arm-supporting splint (9), arm-supporting splint (9)
There is ball pivot bar sliding support (7) at rear under near-end, in have an arch hole, accommodate ball pivot bar (5), and can slide in hole, ball pivot bar
There is ball pivot rod lock bolt (6) at sliding support (7) rear；There is the cylinder rotational pin for traversing supporting plate at rear in the middle of arm-supporting splint (9)
Through hole (11) is designed.
4. a kind of Multifunctional infant supracondylar fracture of the humerus according to claim 1,2 aids in external fixation device, its feature to exist
There is about 30 ° forward of inclination angle design in rear side clamping plate (21) distal end, front sees that rear side clamping plate (21) lower end is in blunt round；Ball pivot seat
(4) at the lower end rear of rear side clamping plate (21), rear side clamping plate (21) is slightly long compared with front side clamping plate (25), behind rear side clamping plate (21) centre
There are Y types inserted link through hole (20) designs for traversing clamping plate side.
5. a kind of Multifunctional infant supracondylar fracture of the humerus according to claim 1,2 aids in external fixation device, its feature to exist
It is made up of ball pivot seat (4), ball pivot bar (5), ball pivot head lock screw (32,33) in special ball pivot assembly；The nearly bulb of ball pivot bar (5)
Section bends to 30 ° of angle with flat segments, and the nearly bulb section shape of cross section of ball pivot bar (5) is sector, fan-shaped sharp corner and ball pivot
The angle-style incisura of seat (4) opening hypomere is mutually engaged, and ball pivot bar (5) flat segments are arch, and flat segments are mounted in the ball of arm-supporting splint (9)
In toggle sliding support (7), and slidably but can not rotate；There is special shape opening on ball pivot seat (4), opening shape is by three sections
Constitute, hypomere is wedge angle section, and it is angle-style incisura, be fully engaged against with the fan-shaped wedge angle of the nearly bulb of ball pivot bar (5), stage casing is straight line
Section, this section of A/F is 1.5~2 times of ball pivot bar (5) diameter, so that ball pivot bar (5) can the inside and outside shifting in ball pivot seat (4)
Dynamic to incline 15 °~30 °, epimere is arc section；The left and right sides of ball pivot seat (4) is provided with screwed hole, to place the locking of ball pivot head
Screw (32,33)；Non-slip hook (P) is provided with rear side of ball pivot seat (4).
6. a kind of Multifunctional infant supracondylar fracture of the humerus according to claim 1,2 aids in external fixation device, its feature to exist
In curved rod handle assembly by curved rod (10), cylinder rotational pin (12), Y type inserted links (18), two pieces of convex surface nuts (17,19)
Composition；Cylinder rotational pin (12) is inserted in cylinder rotational pin through hole (11) of arm-supporting splint (9), it is possible to rotated；Y type inserted links
(18) it is also rotatable in being inserted into Y types inserted link through hole (20) of rear side clamping plate (21)；Curved rod (10) by rivet (13) with
Cylinder rotational pin (12) links together, and curved rod (10) can be rotated with rivet (13) as rotary shaft；Y type inserted links
(18) upper end takes the shape of the letter U, and curved rod (10) can snap in the U-lag of Y type inserted link (18) upper ends, and curved rod has screw thread to set on (10)
Meter, can be secured firmly to curved rod (10) on Y type inserted links (18) by two pieces of convex surface nuts (17,19)；Curved rod handle
Assembly may be installed the inner side of rotatable folding frame assembly or outgoing for totally two sets, can be regardless of left and right.
7. a kind of Multifunctional infant supracondylar fracture of the humerus according to claim 1 aids in external fixation device, it is characterised in that
There is about 30 ° forward of inclination angle design described front side clamping plate (25) distal end, and front side clamping plate (25) distal end is in blunt round, front side clamping plate
(25) front side is fixed with four groups of cords that one is long and the other is short, and cord has certain elasticity, the cord at front side clamping plate (25) two ends (26,
29) close proximity to front side clamping plate (25) two ends, middle two groups of cords are by the front side clamping plate quartering.
8. a kind of Multifunctional infant supracondylar fracture of the humerus according to claim 1 aids in external fixation device, it is characterised in that
Inner side clamping plate (23) distal end is slightly in elliptic design forward.
9. a kind of Multifunctional infant supracondylar fracture of the humerus according to claim 1 aids in external fixation device, it is characterised in that
Outside clamping plate (2) distal end is slightly in elliptic design forward.
10. a kind of Multifunctional infant supracondylar fracture of the humerus according to claim 1,2,3,4,7,8,9 aids in external fixator
Tool, it is characterised in that arm-supporting splint (9), front side clamping plate (25), inner side clamping plate (23), rear side clamping plate (21), outside clamping plate (2) with
Limbs of patient contact surface is provided with one layer of soft cotton layer；Front side clamping plate (25), inner side clamping plate (23), rear side clamping plate (21), outside
Clamping plate (2) is provided with liquid circulation line (24,22,3,1) in its base layer, and the top layout of four pieces of clamping plates has inlet
And leakage fluid dram (D-K), connection flexible pipe (36) can be by front side clamping plate (25), inner side clamping plate (23), rear side clamping plate (21), outside clamping plate
(2) inlet is attached with leakage fluid dram (D-K), can make liquid circulation line in four pieces of clamping plate base layers (24,22,3,
1) tubing of one closing of connection composition, to access cold night or hydrothermal solution.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201610605968.6A CN106667644B (en) | 2016-07-29 | 2016-07-29 | A kind of Multifunctional infant supracondylar fracture of humerus auxiliary external fixation device |
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| CN201610605968.6A CN106667644B (en) | 2016-07-29 | 2016-07-29 | A kind of Multifunctional infant supracondylar fracture of humerus auxiliary external fixation device |
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| CN106667644B CN106667644B (en) | 2019-02-12 |
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| CN111134813A (en) * | 2020-01-13 | 2020-05-12 | 无锡市人民医院 | Adjustable lower limb bone traction device without sliding weight |
| CN111227915A (en) * | 2020-01-14 | 2020-06-05 | 成都市新都区中医医院 | Auxiliary external fixation instrument for treating child supracondylar fracture of humerus by fixing through cross Kirschner wire |
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|---|---|
| CN106667644B (en) | 2019-02-12 |
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