CN106667644B - A kind of Multifunctional infant supracondylar fracture of humerus auxiliary external fixation device - Google Patents
A kind of Multifunctional infant supracondylar fracture of humerus auxiliary external fixation device Download PDFInfo
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- CN106667644B CN106667644B CN201610605968.6A CN201610605968A CN106667644B CN 106667644 B CN106667644 B CN 106667644B CN 201610605968 A CN201610605968 A CN 201610605968A CN 106667644 B CN106667644 B CN 106667644B
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- arm
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- 206010020462 Humerus fracture Diseases 0.000 title claims abstract description 27
- 239000007788 liquid Substances 0.000 claims description 16
- 230000004087 circulation Effects 0.000 claims description 10
- 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 6
- 239000012530 fluid Substances 0.000 claims description 5
- 229920000742 Cotton Polymers 0.000 claims description 3
- 206010017076 Fracture Diseases 0.000 abstract description 29
- 208000010392 Bone Fractures Diseases 0.000 abstract description 26
- 241001227561 Valgus Species 0.000 abstract description 3
- 238000000554 physical therapy Methods 0.000 abstract 1
- 210000000245 forearm Anatomy 0.000 description 12
- 230000009467 reduction Effects 0.000 description 8
- 238000010586 diagram Methods 0.000 description 6
- 210000000988 bone and bone Anatomy 0.000 description 5
- 210000002310 elbow joint Anatomy 0.000 description 5
- 210000003414 extremity Anatomy 0.000 description 5
- 210000002758 humerus Anatomy 0.000 description 5
- 239000003814 drug Substances 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 4
- 230000035479 physiological effects, processes and functions Effects 0.000 description 4
- 238000000015 thermotherapy Methods 0.000 description 4
- 230000008901 benefit Effects 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 3
- 241000469816 Varus Species 0.000 description 2
- 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
- 238000000034 method Methods 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000009084 Cold Injury Diseases 0.000 description 1
- 241000628997 Flos Species 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
- 206010053615 Thermal burn Diseases 0.000 description 1
- 208000025865 Ulcer Diseases 0.000 description 1
- 230000000202 analgesic effect 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
- 238000002224 dissection Methods 0.000 description 1
- 230000009975 flexible effect Effects 0.000 description 1
- 230000003760 hair shine Effects 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000008338 local blood flow Effects 0.000 description 1
- 230000001718 repressive effect Effects 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
- 231100000397 ulcer Toxicity 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)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The present invention relates to a kind of Multifunctional infant supracondylar fracture of humerus to assist external fixation device, belongs to medical instruments field.It is mainly made of rotatable folding frame assembly, front side clamping plate, inside clamping plate, outside clamping plate, connection hose.Rotatable folding frame assembly is by arm-supporting splint, rear side clamping plate, special flexural pivot assembly, curved rod handle assembly are constituted, it connects arm-supporting splint and rear side clamping plate by special flexural pivot assembly, adjusts and stablize the angle between arm-supporting splint and rear side clamping plate by curved rod handle assembly.Special flexural pivot assembly is made of ball hinge, flexural pivot bar, flexural pivot head locking bolt again.Curved rod handle assembly is made of threaded curved rod, cylinder rotational pin, Y type inserted link, 2 pieces of convex surface nuts.The present invention can be facilitated children's supracondylar fracture with auxiliary traction reset, rapid fixation, demolition, prevent valgus deformity in elbow from occurring, suffering from elbow progress functional training to the effective physical therapy of fracture and auxiliary.
Description
Technical field
The present invention relates to a kind of Multifunctional infant supracondylar fracture of humerus to assist external fixation device, belongs to medical instruments field.
Background technique
Treatment of Humeral Supracondylar Fractures in Children is the common disease of pediatric Orthopaedics, frequently-occurring disease.Most of fracture infant can use
It is fixed to solve outside manipulative reduction, clamping plate.Because to correct the lateral displacement of Treatment of Humeral Supracondylar Fractures in Children, the rotation of condyles, look after
The physiology top rake of supracondylar fracture of humerus prevents the generation turned up in elbow, therefore children's supracondylar fracture is more difficult reset in fracture again
Fracture.There are massatherapy difficulties for traditional reduction by three persons fixed form；Fixation is cumbersome；It is inconvenient to adjust demolition clamping plate；
Cold treatment or thermotherapy effectively cannot be carried out to fracture.Making originally can be with the trouble cured fixed outside Chinese medicine massatherapy 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, the CO idea from AO, BO, again by now
Transformation, fixed fixed to dynamic from static(al) from dissection armor plate to locking steel plate, the marrow of fracture is outer eccentric solid fixed to center in marrow
It is fixed, from the open surgery of fracture to small notch, again to MIPPO technology fashionable for a time.And the outer fixation of thousands of years marrow of Chinese medicine
Plintlet technology is almost flooded in operation trend.Chinese medicine clamping plate technology is only inherited, and rarely has innovation.
A kind of Multifunctional infant supracondylar fracture of humerus auxiliary external fixation device, it is whole to solve children's supracondylar fracture tradition one by one
Fixed deficiency again, and innovated, developed.
Summary of the invention
It is outer the purpose of the present invention is overcoming the deficiencies of the prior art and provide a kind of Multifunctional infant supracondylar fracture of humerus auxiliary
Fixed instrument, makes Treatment of Humeral Supracondylar Fractures in Children be easier to reset, is more fixed easily, be easier to rehabilitation.Resetting time is reduced, perspective time is reduced
Number, avoids the generation of open surgery bring postoperative complication.
To achieve the goals above, the technical solution adopted by the present invention are as follows:
A kind of Multifunctional infant supracondylar fracture of humerus assists external fixation device, mainly by rotatable folding frame assembly, preceding
Side clamping plate, inside clamping plate, outside clamping plate, connection hose composition.
The rotatable folding frame assembly is made of arm-supporting splint, rear side clamping plate, flexural pivot assembly, curved rod handle assembly.
Arm-supporting splint, rear side clamping plate are linked by flexural pivot assembly, are opened and are collapsed the scope of activities of arm-supporting splint and rear side clamping plate in 30-
180°；Curved rod handle assembly is placed in inside and outside rotatable folding frame assembly.
Design has 3 one wide two narrow ligatures on arm-supporting splint, and the ligature at flexural pivot bar sliding support is slightly wider, and has
Viscose glue design, and have pad pasting covering protection, adherency and fixed function are made it have, in addition 2 ligatures are without the only fixed work of viscose glue
With；There are velcro fastener in 3 ligature distal ends；Arm-supporting splint is in recess cambered design, and there is flexural pivot bar at rear under arm-supporting splint proximal end
Sliding support, and it is provided with arch hole on flexural pivot bar sliding support, to place flexural pivot bar, so that flexural pivot bar is slided with respect to flexural pivot bar
Support slidably but cannot rotate, and there is flexural pivot rod lock bolt at flexural pivot bar sliding support rear；There is cross at rear among arm-supporting splint
Pass through the cylinder rotational pin via design of supporting plate.
For rear side clamping plate it is characterized in that lower section has about 30 ° forward of inclination angle design, front sees rear side clamping plate lower end in blunt circle
Shape, ball hinge 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 among rear side clamping plate
The Y type inserted link via design of plate.
Flexural pivot assembly is made of ball hinge, flexural pivot bar, flexural pivot head lock screw.The nearly flexural pivot head section of flexural pivot bar and flat segments are curved
Song at 30 ° of angle, with reduce rotatable folding frame assembly arm-supporting splint and rear side clamping plate when being constituted certain angle
Required rotation angle, to realize the composition angle for reaching in finite spatial extent and increasing arm-supporting splint and rear side clamping plate
Range, to adapt to the needs of different patients.The nearly bulb section cross sectional shape of flexural pivot bar is sector, when fully opening rotatable folding
When frame assembly, fan-shaped sharp corner can be mutually engaged with the angle-style incisura of ball hinge oblong opening lower section, realize arm-supporting splint
The function of being connected and be integral is engaged by flexural pivot bar in flexural pivot assembly and ball hinge with rear side clamping plate.Flexural pivot bar flat segments
For arch, flat segments cannot slidably rotate, flexural pivot bar sliding support in the flexural pivot bar sliding support of arm-supporting splint
The flexural pivot rod lock bolt at rear can lock flexural pivot bar.
There is special shape opening in ball hinge, opening shape is constituted by three sections, and lower section is wedge angle section, bulb close with flexural pivot bar
Fan-shaped wedge angle be fully engaged against so that stuck when fully opening the rear side clamping plate of rotatable folding frame assembly rotate to the position
Flexural pivot bar；Middle section is straightway, this section of opening width is 1.5~2 times of flexural pivot shank diameter, so that flexural pivot bar can be in flexural pivot
It swings, that is, is realized when stablizing arm-supporting splint in seat, rear side clamping plate can the inside and outside function of swinging 15 °~30 ° of inclination；On
Section is arc section.The left and right sides of ball hinge is equipped with threaded hole, to place flexural pivot head lock screw, realizes arm-supporting splint with after
Locking after side clamping plate angle is satisfied to flexural pivot head.In addition, the rear side of ball hinge is equipped with non-slip hook, front side clamping plate distal end can be hooked
Cord.
Curved rod handle assembly is by curved rod, cylinder rotational pin, Y type inserted link, 2 pieces of convex surface nut compositions.Cylinder rotation
Pin is inserted into the cylinder rotational pin through-hole of arm-supporting splint, and can be rotated；Y type inserted link is inserted into the Y type inserted link of rear side clamping plate
It is also rotatable in through-hole；Curved rod is linked together by rivet and cylinder rotational pin, and curved rod can be with rivet
Rotary shaft is rotated；Y type inserted link upper end is in U-shape, and curved rod can be caught in the U-lag of Y type inserted link upper end；Have on curved rod
Curved rod can be secured firmly to Y type inserted link upper end by 2 pieces of convex surface nuts by Design of Screw Thread；Curved rod assembly passes through circle
Column rotational pin, cylinder rotational pin through-hole, Y type inserted link, Y type inserted link through-hole is to the arm-supporting splint and rear side clamping plate after determining angle
To fixed and stabilization.Curved rod handle assembly totally 2 sets of mountable inner or outer sides in rotatable folding frame assembly, can not
Point or so.
There is about 30 ° forward of inclination angle design in the front side clamping plate distal end, and clamping plate distal end in front side is in blunt round, front side clamping plate
Front is fixed with 4 groups of cords that one is long and the other is short, and cord has certain elasticity, and the cord at front side clamping plate both ends is pressed from both sides as close as possible to front side
Front plate is divided into three equal parts by board ends, intermediate 2 groups of cords.
The inside clamping plate is it is characterized in that distal end is slightly in elliptic design facing forward.
The outside clamping plate is it is characterized in that distal end is slightly in elliptic design facing forward.
The arm-supporting splint, front side clamping plate, inside clamping plate, rear side clamping plate, outside clamping plate are 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, inside clamping plate, rear side clamping plate, outside clamping plate in its base layer, if
Liquid circulation line is set, the top upper end two sides of four pieces of clamping plates are respectively disposed with inlet and leakage fluid dram, by connecting hose
Front side clamping plate, inside 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
Liquid circulation line connection one closed pipe-line system of composition in body layer, to access cold liquid or hydrothermal solution.
Compared with prior art, the present invention having the advantage that 1. auxiliary instruments have is utilizing 3 of arm-supporting splint
The fixed forearm of ligature makes forearm and arm-supporting splint become an entirety, fully opens rear side clamping plate since the effect of flexural pivot assembly can
To the supracondylar fracture of humerus broken ends of fractured bone carry out counterextension, for the first time assign condyle of humerus on outer strap with the function of auxiliary traction.2.
Rotatable folding frame assembly is provided to be used under toggle position, and cooperation bone fracture gimmick carries out bone fracture manipulative reduction to fracture site,
Humerus condyles top rake can have been looked after, fracture is made to be easier to success.3. supracondylar fracture of humerus utilizes on the clamping plate of front side after resetting successfully
The design of the non-slip hook of included 4 groups of cords and flexural pivot make it is fixed more convenient, more evenly, it is more firm, more scientific, adjustment clamping plate is more
Become easy.4. preventing cubitus varus or Cubitus Valgus Deformity from occurring by placing tower-shaped pad or trapezoidal pad in medial and lateral clamping plate distal end.
5. carrying out cold treatment to fracture initial stage by designing the liquid circulation line in clamping plate base layer, the later period carries out warm physics and treats
Method.6. the later period enables in arm-supporting splint with rear side cleat design curved rod handle assembly to elbow joint progress or function that is bent or stretching
The multiple functions such as energy reconditioning.
Detailed description of the invention
Fig. 1 is a kind of partial cutaway structural representation of Multifunctional infant supracondylar fracture of humerus auxiliary external fixation device of the present invention
Figure.
Fig. 2 be Figure 1A to structural schematic diagram.
Fig. 3 be Figure 1B to structural schematic diagram.
Fig. 4 be Fig. 1 C to structural schematic diagram.
Fig. 5 is the three dimensional structure diagram of 4 ball hinges in Fig. 1.
Fig. 6 is the structural schematic diagram of 18Y type inserted link in Fig. 1.
Fig. 7 is the structural schematic diagram of 36 connection hoses in Fig. 1.
In figure: 1. outside clamping plate liquid circulation lines, 2. outside clamping plates, 3. rear side clamping plate liquid circulation lines, 4. flexural pivots
Seat, 5. flexural pivot bars, 6. flexural pivot rod lock bolts, 7. flexural pivot bar sliding supports, 8. wide ligatures, 9. arm-supporting splints, 10. arcs 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 nut, 18.Y type inserted link, 19. convex surface nuts, 20.Y type inserted link through-hole, 21. rear side clamping plates, 22. inside clamping plate liquid
Circulation line, 23. inside 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. flexural pivot head lock screws, 33. flexural pivot head lock screws, 34.Y type
Inserted link, 35. convex surface nuts, 36. connection hoses.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, with reference to the accompanying drawings and embodiments, right
The present invention is further elaborated.It should be appreciated that described herein, specific examples are only used to explain the present invention, not
For limiting the invention patent.
As shown in figure 1, figure 2, figure 3, figure 4 and figure 5, a kind of Multifunctional infant supracondylar fracture of humerus auxiliary of the present invention is outer fixed
Instrument, mainly by rotatable folding frame assembly, front side clamping plate (25), inside clamping plate (23), outside clamping plate (2), connection hose
(36) it forms.
A kind of Multifunctional infant supracondylar fracture of humerus auxiliary external fixation device, the rotatable folding frame assembly is by forearm
Supporting plate (9), rear side clamping plate (21), flexural pivot assembly, curved rod handle assembly are constituted；Arm-supporting splint (9), rear side clamping plate (21) pass through
The link of flexural pivot assembly opens with the scope of activities of gathering arm-supporting splint (9) and rear side clamping plate (21) at 30-180 °, makes elbow joint
In the range of extreme buckling can be fixed on and stretched.Curved rod handle assembly is placed in inside and outside the two of rotatable folding frame assembly
Side.
Design has 3 one wide two narrow ligatures (8,15,16) on the arm-supporting splint (9), close to flexural pivot bar sliding support
(7) ligature (8) at is slightly wider, and has viscose glue (Q) design, and have pad pasting covering protection, makes it have adherency and fixed function, separately
Outer 2 ligatures (15,16) only have fixed function without viscose glue；3 ligature (8,15,16) distal ends have velcro fastener (L, M, N), and 3
Root ligature (8,15,16) winding forearm is simultaneously fixed forearm by velcro fastener；The patch of wide ligature (8) is torn before reduction
Film, viscose glue (Q) on wide ligature (8) can with skin close adhesion, the in addition fixed function of other 2 ligatures (15,16), before making
Arm firmly fixed with arm-supporting splint (9) it is integral and non-slip, be conducive under elbow flexion position using rotatable folding frame it is total
The pairs of supracondylar fracture of humerus broken ends of fractured bone carries out counterextension and appropriateness rotation.Film of replying to the topic is pasted after reduction success, wide ligature (8) is only
Fixed function can prevent the constraint of ligature (8) and aggravate the oedema of forearm.Arm-supporting splint (9) makes forearm in recess cambered design
It is contacted with supporting plate (9) more comfortable.There is flexural pivot bar sliding support (7) at rear under arm-supporting splint (9) proximal end, in have arch hole, accommodate
Flexural pivot bar (5), and can slide but cannot rotate in hole, there is flexural pivot rod lock bolt (6) at flexural pivot bar sliding support (7) rear.
On rear side of rear side clamping plate (21) and upper arm after docile, lockable flexural pivot rod lock bolt (6).The intermediate rear of arm-supporting splint (9) has
Traverse cylinder rotational pin through-hole (11) design of supporting plate.
The rear side clamping plate (21) distally has about 30 ° forward of inclination angle design, meets the forward life of supracondylar fracture of humerus
Top rake is managed, front sees rear side clamping plate lower section in blunt round；Ball hinge (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), and rear side clamping plate (21) is intermediate
There is Y type inserted link through-hole (20) design for traversing clamping plate at rear.
Flexural pivot assembly is made of ball hinge (4), flexural pivot bar (5), flexural pivot head lock screw (32,33) again.Flexural pivot bar (5) is close
Flexural pivot head section and flat segments bend to 30 ° of angle, to reduce the arm-supporting splint (9) and rear side clamping plate of rotatable folding frame assembly
(21) required rotation angle when constituting certain angle reaches increase forearm to realize in finite spatial extent
The composition angular range of supporting plate (9) and rear side clamping plate (21), to adapt to the needs of different patients.The nearly bulb section of flexural pivot bar (5)
Cross sectional shape is sector, and when fully opening rotatable folding frame assembly, fan-shaped sharp corner can be with ball hinge (4) opening lower section
Angle-style incisura is mutually engaged, and is realized arm-supporting splint (9) and rear side clamping plate (21) and is passed through flexural pivot bar in flexural pivot assembly and ball hinge
It is engaged and the function being integral that is connected；Flexural pivot bar (5) flat segments are arch, and flat segments are mounted in flexural pivot bar sliding support (7),
And cannot slidably rotate, after rear side clamping plate (21) fit satisfied with upper arm rear, lock flexural pivot bar sliding support (7)
The flexural pivot rod lock bolt (6) at rear, can be relatively fixed by flexural pivot bar (5) and arm-supporting splint (9).
There is special shape opening in ball hinge (4), opening shape is constituted by three sections, and lower section is wedge angle section, is cut for angle-style
Mark, the fan-shaped wedge angle of nearly bulb is fully engaged against with flexural pivot bar (5), so that in the rear side clamping plate for opening rotatable folding frame assembly
(21) the stuck flexural pivot bar (5) for rotating to position when, when reduction by forearm and arm-supporting splint (9) it is fixed it is safe after, in elbow in the wrong
The next hand in position holds forearm and arm-supporting splint (9), holds rear side clamping plate (21) distal end on the other hand, can have at this time to fracture site
Effect traction, appropriateness rotates, and without having skidded, easily corrects Treatment of Humeral Supracondylar Fractures in Children cuttage, rotation and lateral displacement, shines simultaneously
The top rake for caring for supracondylar fracture of humerus, assigns the external fixation device for the first time with the function of auxiliary traction.Cooperate bone under toggle position
Hurt gimmick and bone fracture manipulative reduction is carried out to fracture site, looked after the physiology top rake of humerus condyles, fracture is made to be easier to success.It removes
Except this, rear side clamping plate (21) can be also removed as rear side clamping plate (21) blocks inconvenient reset, condyles pair are held under elbow flexion position
Supracondylar fracture of humerus carries out reduction, wait apply art after place rear side clamping plate (21), embody the flexibility of the instrument and flexible
Property.Middle section is straightway, this section of opening width is 1.5~2 times of flexural pivot bar (5) diameter, so that when stablizing arm-supporting splint,
Flexural pivot bar (5) can swing in ball hinge (4), that is, realizing rear side clamping plate (21), there is inside and outside swing to tilt 15 °~30 °
Function, one no matter left side fracture or right side are fractured when can be achieved Treatment of Humeral Supracondylar Fractures in Children replacement and fixation, a set of instrument
Use can be fixed；Two can fix in rear side clamping plate (21) and the better docile of upper arm rear side, more small displacement under elbow flexion position,
The requirement of satisfaction and 15 °~30 ° carrying angles of compensatory elbow joint, the physilogical characteristics of elbow joint are more met using the instrument.Upper section is
Arc section.The left and right sides of ball hinge (4) is equipped with threaded hole, to place flexural pivot head lock screw (32,33), realizes forearm holder
Locking after plate (9) and rear side clamping plate (21) angle are satisfied to flexural pivot head.In addition, the rear side of ball hinge (4) is equipped with non-slip hook
(P)；The cord (29) that front side clamping plate (25) distal end can be hooked, playing prevents cord from sliding, it can be achieved that cord is to bone on condyle of humerus
Roll over more firm fixation.
Curved rod handle assembly is by curved rod (10), cylinder rotational pin (12), Y type inserted link (18), 2 pieces of convex surface nuts
(17,19) it forms.Cylinder rotational pin (12) is inserted into the cylinder rotational pin through-hole (11) of arm-supporting splint (9), and can be rotated；
Y type inserted link (18) is inserted into the Y type inserted link through-hole (20) of rear side clamping plate (21), and also rotatable, curved rod (10) passes through riveting
Nail (13) links together with cylinder rotational pin (12), and curved rod (10) can be that rotary shaft is revolved with rivet (13)
Turn；Y type inserted link (18) upper end is in U-shape, and curved rod (10) can be caught in the U-lag of Y type inserted link (18) upper end, curved rod (10)
On have Design of Screw Thread, be fixed together by 2 pieces of convex surface nuts (17,19) with Y type inserted link (18)；Curved rod (10) passes through circle
Column rotational pin (12), cylinder rotational pin through-hole (11), Y type inserted link (18), Y type inserted link through-hole (20) is to the forearm after determining angle
Supporting plate (9) and rear side clamping plate (21) play fixed function.Rotation of the cylinder rotational pin (12) in cylinder rotational pin through-hole (11)
The rotation that is inserted in Y type inserted link through-hole (20) with Y type inserted link (18) so that curved rod (10) adapt to arm-supporting splint (9) and after
The fixed requirement of different angle between side clamping plate (21).Curved rod handle assembly totally 2 sets it is mountable in rotatable folding frame assembly
Inner or outer side, can regardless of left and right.Fracture initial stage curved rod handle assembly has been mainly to stablize rotatable folding frame assembly to make
With not causing fracture redisplacement；Later period fracture site can pass through the upper 2 pieces of convex surface nuts of interior outside curved rod (10) after stablizing
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 bent functional training, keep fixation synchronous with rehabilitation, this is outer solid for a kind of novel and multifunctional Treatment of Humeral Supracondylar Fractures in Children auxiliary
Determine the important innovations point of instrument.
The front side clamping plate (25) distally has about 30 ° forward of inclination angle design, meets the forward life of supracondylar fracture of humerus
Top rake is managed, front side clamping plate (25) is distally in blunt round, is fixed with 4 groups of cords that one is long and the other is short on front side of front side clamping plate (25), long
Front side clamping plate (25), inside clamping plate (23), rear side clamping plate (21), outside clamping plate (2) can be bundled in the surrounding of fracture limbs by rope,
Short rope plays the role of that long rope is assisted 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) has certain elasticity, can prevent the generation of compartment syndrome.Front side clamping plate (25)
Front side clamping plate (25) is divided into third by the cord (26,29) at both ends as close as possible to front side clamping plate (25) both ends, intermediate 2 groups of cords
Part, make the fixed stress of supracondylar fracture of humerus more evenly, it is more firm.
Inside clamping plate (23) distal end is slightly in elliptic design facing forward, is able to satisfy inside clamping plate (23) and meets from side
The forward anatomical physiology top rake of humerus condyles.
Outside clamping plate (2) distal end is slightly in elliptic design facing forward, is able to satisfy inside clamping plate (2) from side and meets the upper arm
The forward anatomical physiology top rake of bone condyles.
The arm-supporting splint (9), front side clamping plate (25), inside clamping plate (23), rear side clamping plate (21), outside clamping plate (2)
It is provided with one layer of soft cotton layer with limbs of patient contact surface, increases suffering limb and clamping plate contact comfort, and repressive burst can be prevented
The generation of ulcer.Front side clamping plate (25), inside clamping plate (23), rear side clamping plate (21), outside clamping plate (2) are in its base layer, setting
Liquid circulation line (24,22,3,1), the top layout of four pieces of clamping plates has inlet and leakage fluid dram, can will by connection hose
Liquid circulation line (24,22, the 3,1) company of front side clamping plate (25), inside clamping plate (23), rear side clamping plate (21), outside clamping plate (2)
Connect one closed pipe-line system of composition, fracture initial stage instils iced liquid, it can be achieved that cold treatment to affected part, to reach to affected part
Detumescence, hemostasis, analgesic effect.Later period instillation warm liquid has improvement local blood circulation, it can be achieved that thermotherapy to affected part,
Promote union effect.Clinical application proves that this it is more traditional carried out outside clamping plate it is cold treatment or thermotherapy it is more effective.Soft silk floss
Layer can effectively protect skin not by cold injury or scald.
A kind of Multifunctional infant supracondylar fracture of humerus auxiliary external fixation device provides one kind can be under toggle position to children
Supracondylar fracture of humerus auxiliary traction resets, effectively fixation, demolition conveniently, by outside clamping plate distal end inside place tower-shaped pad rapidly
Or trapezoidal pad come prevent cubitus varus or Cubitus Valgus Deformity from occurring, cold treatment effective to fracture initial stage and thermotherapy, the benefit in later period
Suffer from elbow with curved rod handle auxiliary and carry out functional training, is worth clinically wideling popularize.
Claims (6)
1. a kind of Multifunctional infant supracondylar fracture of humerus assists external fixation device, be by rotatable folding frame assembly, front side clamping plate,
Inside clamping plate, outside clamping plate and connection hose composition, it is characterised in that: the rotatable folding frame assembly by arm-supporting splint (9),
Rear side clamping plate (21), flexural pivot assembly, curved rod handle assembly are constituted；Arm-supporting splint (9), rear side clamping plate (21) are joined with flexural pivot assembly
It connects, opens or collapse the scope of activities of arm-supporting splint (9) and rear side clamping plate (21) at 30-180 °；Curved rod handle assembly is placed
Inside and outside rotatable folding frame assembly；Three ligatures (8,15,16) are provided on above-mentioned arm-supporting splint (9), i.e., width is tied up
Wide ligature (8) is arranged at flexural pivot bar sliding support (7), is coated with viscose glue on wide ligature for band (8) and narrow ligature (15,16)
(Q), viscose glue (Q) is equipped with pad pasting covering protection, and another two narrow ligature (15,16) is arranged without viscose glue；Three ligatures (8,15,16)
Distal end is mounted with velcro fastener (L, M, N)；Arm-supporting splint (9) is in recess arc shape, and rear is arranged under arm-supporting splint (9) proximal end
There is a flexural pivot bar sliding support (7), arch hole is equipped in flexural pivot bar sliding support (7) and accommodates flexural pivot bar (5), flexural pivot bar (5) can be
Arch is slided in hole, and flexural pivot bar sliding support (7) rear is equipped with flexural pivot rod lock bolt (6)；The intermediate rear of arm-supporting splint (9) is set
There is the cylinder rotational pin through-hole (11) for traversing arm-supporting splint.
2. Multifunctional infant supracondylar fracture of humerus according to claim 1 assists external fixation device, it is characterised in that: described
Rear side clamping plate (21) distally has about 30 ° forward of inclination angle design, and front sees rear side clamping plate (21) lower end in blunt round；Ball hinge
(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
Side is provided with the Y type inserted link through-hole (20) for traversing clamping plate.
3. Multifunctional infant supracondylar fracture of humerus according to claim 1 assists external fixation device, it is characterised in that: described
Flexural pivot assembly is made of ball hinge (4), flexural pivot bar (5), flexural pivot head lock screw (32,33)；The nearly bulb section of flexural pivot bar (5) with
Flat segments bend to 30 ° of angle, and the nearly bulb section cross-sectional shape of flexural pivot bar (5) is fan-shaped, fan-shaped sharp corner and ball hinge (4)
The angle-style incisura of opening lower section is mutually engaged, and flexural pivot bar (5) flat segments are arch, and flat segments are mounted in the flexural pivot bar of arm-supporting splint (9)
In sliding support (7), and slidably but it cannot rotate；Ball hinge (4) is open equipped with special shape, and opening shape is by three sections of structures
At lower section is that wedge angle section is angle-style incisura, and the fan-shaped wedge angle of nearly bulb is fully engaged against with flexural pivot bar (5), and middle section is straightway, should
Section opening width is 1.5~2 times of flexural pivot bar (5) diameter, so that flexural pivot bar (5) can incline in inside and outside movement in ball hinge (4)
Oblique 15 °~30 °, upper section is arc section；The left and right sides of ball hinge (4) is equipped with threaded hole, to place flexural pivot head lock screw
(32,33)；The rear side of ball hinge (4) is equipped with non-slip hook (P).
4. Multifunctional infant supracondylar fracture of humerus according to claim 1 assists external fixation device, it is characterised in that: described
Curved rod handle assembly is by curved rod (10), cylinder rotational pin (12), Y type inserted link (18) and convex surface nut (17,19) group
At；Cylinder rotational pin (12) is inserted into the cylinder rotational pin through-hole (11) of arm-supporting splint (9), and can be rotated；Y type inserted link
(18) it is inserted into the Y type inserted link through-hole (20) of rear side clamping plate (21), can rotate；Curved rod (10) rivet (13) and circle
Column rotational pin (12) connection, curved rod (10) can be that rotary shaft is rotated along rivet (13)；Y type inserted link (18) upper end is in
U-shaped, curved rod (10) can be caught in the U-lag of Y type inserted link (18) upper end, and curved rod is provided with screw thread on (10), with two pieces
Curved rod (10) is secured firmly on Y type inserted link (18) by convex surface nut (17,19)；Two sets of peaces are arranged in curved rod handle assembly
It, can be regardless of left and right mounted in the inner or outer side of rotatable folding frame assembly.
5. Multifunctional infant supracondylar fracture of humerus according to claim 1 assists external fixation device, it is characterised in that: described
Front side clamping plate (25) is distally equipped with about 30 ° forward of inclination angle, and front side clamping plate (25) is distally in blunt round；On front side of front side clamping plate (25)
Four groups of cords that one is long and the other is short (26,27,28,29) are fixed with, four groups of cords all have certain elasticity；Front side clamping plate (25) both ends
Two groups of cords (26,29) as close as possible to the both ends of front side clamping plate (25), the intermediate two groups of cords (27,28) of front side clamping plate (25)
At by front side clamping plate (25) three equal parts；The inside clamping plate (23) is distally set as slightly in ellipse forward；The outside
Clamping plate (2) is distally set as slightly in ellipse forward.
6. Multifunctional infant supracondylar fracture of humerus described according to claim 1 or 2 or 5 assists external fixation device, feature
It is: arm-supporting splint (9), front side clamping plate (25), inside clamping plate (23), rear side clamping plate (21), outside clamping plate (2) and the trouble
Person's extremity surface is provided with one layer of soft cotton layer；Its front side clamping plate (25), inside clamping plate (23), rear side clamping plate (21) and outside
Clamping plate (2) is provided with liquid circulation line (24,22,3,1) in its base layer, be provided at the top of above-mentioned four pieces of clamping plates into
Liquid mouth and leakage fluid dram (D-E, F-G, H-I, J-K)；Hose (36) are connected to press from both sides front side clamping plate (25), inside clamping plate (23), rear side
The inlet of plate (21) and outside clamping plate (2) is attached with leakage fluid dram (D-K), makes liquid circulating pipe in four pieces of clamping plate base layers
Road (24,22,3,1) connection one closed pipe-line system of composition, to access cold liquid or hydrothermal solution.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| 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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| CN110680585B (en) * | 2019-09-30 | 2023-06-20 | 四川大学华西医院 | Reverse skin traction frame for diaphyseal fracture of children and application method thereof |
| CN111134813B (en) * | 2020-01-13 | 2021-04-06 | 无锡市人民医院 | Adjustable lower limb bone traction device without sliding weight |
| CN111227915B (en) * | 2020-01-14 | 2023-03-07 | 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 |
| CN118614673A (en) * | 2024-08-13 | 2024-09-10 | 昆明医科大学第一附属医院(云南省皮肤病医院) | Lumbar support waist support device convenient to disassemble and assemble |
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| US6080122A (en) * | 1998-08-24 | 2000-06-27 | Gulledge; Ronald E. | Motion restraining brace |
| UA62479A (en) * | 2003-03-31 | 2003-12-15 | Device for self-training in case of flexion-extension and abduction contractures in hip joint | |
| CN2827302Y (en) * | 2005-08-26 | 2006-10-18 | 董永华 | Postoperative posture supporting after pedicle flap repairing due to lower limb soft tissure defect |
| CN201775704U (en) * | 2010-07-29 | 2011-03-30 | 杨德育 | Adjustable clamp plate |
| CN202235829U (en) * | 2011-10-10 | 2012-05-30 | 郭艳霞 | Bone fractural nursing splint |
| CN202497282U (en) * | 2012-02-14 | 2012-10-24 | 廖家新 | A cubitus varus orthosis |
| CN203591368U (en) * | 2013-12-10 | 2014-05-14 | 张福娟 | Upper limb fracture fixation bracket |
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