CN106913368A - Minimally invasive irreducible is along intertrochanteric fracture reduction forceps - Google Patents
Minimally invasive irreducible is along intertrochanteric fracture reduction forceps Download PDFInfo
- Publication number
- CN106913368A CN106913368A CN201710265735.0A CN201710265735A CN106913368A CN 106913368 A CN106913368 A CN 106913368A CN 201710265735 A CN201710265735 A CN 201710265735A CN 106913368 A CN106913368 A CN 106913368A
- Authority
- CN
- China
- Prior art keywords
- arm
- reset
- along
- minimally invasive
- irreducible
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of minimally invasive irreducible along intertrochanteric fracture reduction forceps, including two reset arms, two reset arms are removably hinged by hinge assembly, each reset arm includes being divided into the caliper and arm of hinge assembly both sides, and the caliper of each reset arm is provided with clamp groove towards the side of the caliper of another reset arm.The minimally invasive irreducible along intertrochanteric fracture reduction forceps simple structure, be easy to make, convenient to use, efficiency high, the length of operative incision need not be increased when in use, will not also increase deep soft tissue damage.
Description
Technical field
The present invention relates to technical field of medical instruments, and in particular to a kind of minimally invasive irreducible is along intertrochanteric fracture reduction forceps.
Background technology
Intertrochanteric fracture is a kind of clinically common fracture, with the development and the aging of population of social economy, slightly
The complexity of the grand incidence of disease fractured and classification of fracture, into trend is gradually increasing, is the patient's early ambulation realized,
The complication of malunion and the elderly's long-term bed is avoided, internal fixation operation treatment has become the first-selection of the type fractures
Therapeutic modality, the key point of internal fixation operation treatment is the quality of reduction of fracture, and good reset can make to be obtained between sclerite
Excellent support, and then compression and shearing force that internal fixation material bears are reduced, improve the success rate of operation, it is to avoid fracture is moved again
Position and interior fixation cut out from femoral head and postoperative occur moving back the complication such as nail.Minimally invasive intramedullary nail treatment intertrochanteric fracture into
It is the developing direction of intertrochanteric fracture operative treatment, and has clinically been used widely, but how is not increasing soft
The anatomical reduction that fracture can be reached on the premise of tissue injury again is always focus and problem clinically.
Three problems for clinically mainly being faced using intramedullary nail treatment intertrochanteric fracture at present are as follows：
1st, it is difficult to good reset in complicated fracture art：Clinically main flow is consolidated using closed reduction intramedullary nail on traction table at present
Fixed, the principle of traction reduction is the tension force aids fracture reset by soft tissue, because femoral intertrochanteric anatomical features is relatively special,
Often fracture end occur during fracture closed draw resets well cannot accurately reset, particularly between complicated tuberosity
Difficulty is bigger in fracture, need to often be adjusted repeatedly in art and repeatedly carry out X-ray examination, this can increase operating time, and excessive X
Line perspective can also be damaged to medical worker and patient.And part is difficult to the fracture for resetting, open reduction is needed, this can increase wound
Bleeding is injured, causes the probability of postoperative fracture disunion to increase.
2nd, for serious fracture patient, the soft tissue set destruction of surrounding of fracturing is heavier, and the sclerite for having resetted is in hand
Easily occur resetting in art operation losing：More serious due to fracturing in complicated intertrochanteric fracture, fragmentation is multiple between tuberosity
Sclerite, lacks soft group of good link between sclerite, while fracture often adds up entry point, during marrow is expanded in main nail opening
Because opener or start bit are relatively large in diameter, opener or drill bit along guide pin in pulp cavity progradation to the bone piece shape of surrounding
Into peripherad extruding, particularly when fracture line adds up entry point, drill bit enters pulp cavity from fracture line, because drill bit is to surrounding
The extruding of bone piece, and then the reset of sclerite occur and lose again and significantly shift again, particularly bigelow's septum reset are lost again,
Bigelow's septum is the basal seat area of region compression between tuberosity, the malreduction in this region, it is easy to cause coxa vara, early loading
There is interior fixed cutting out and enters articular cavity in patient, increases the mortality performed the operation and the amount of bleeding for increasing postoperative pulp cavity.
3rd, often occurs the loss for resetting in art due to the deviation for operating in Fracture Simple：Due to inserting the process of guide pin
In be operative doctor and be implanted into manually, it is difficult to the axis after axis and the intramedullary nail implantation of the guide pin that ensures to perform the operation every time is weighed completely
It is folded, therefore exist between the normal position that should locate after the cavity and intramedullary nail entrance for expanding along guide pin and being formed after marrow is likely to occur in art
Certain deviation, after the main nail of intramedullary nail is inserted, main nail near-end will be formed to sclerite and extruded, and then fracture block reset occurs
, clinically often there is the loss that the sclerite of near-end resets to medial displacement, bigelow's septum in shift separation again afterwards.
The content of the invention
The technical problem to be solved in the present invention is to overcome the shortcomings of that prior art is present, there is provided a kind of simple structure, be easy to
Making, convenient to use, efficiency high, the length that operative incision need not be increased, will not also increase deep soft tissue damage
Minimally invasive irreducible is along intertrochanteric fracture reduction forceps.
In order to solve the above technical problems, the present invention uses following technical scheme：
A kind of minimally invasive irreducible along intertrochanteric fracture reduction forceps, including two reset arms, two reset arms by hinge assembly with
Removably is hinged, and each reset arm includes being divided into the caliper and arm of hinge assembly both sides, each reset arm
Caliper is provided with clamp groove towards the side of the caliper of another reset arm.
Above-mentioned minimally invasive irreducible is along intertrochanteric fracture reduction forceps, it is preferred that the minimally invasive irreducible is along intertrochanteric fracture
Reduction forceps are additionally provided with the pressure-applying unit for fracture end push pressurization, and the pressure-applying unit includes pressure rod and is arranged on
Pilot sleeve in any one reset arm, the pressure rod is slidedly arranged in the pilot sleeve and can make pressure rod by slip
One end extend between two calipers of reset arm.
Above-mentioned minimally invasive irreducible is along intertrochanteric fracture reduction forceps, it is preferred that the pressure rod is provided with guide pin through hole, described
The axis of guide pin through hole is parallel with the glide direction of pressure rod, and the axis of the guide pin through hole is located between two calipers.
Above-mentioned minimally invasive irreducible is along intertrochanteric fracture reduction forceps, it is preferred that two calipers of reset arm are located at same putting down
There is the angle more than 0 degree in face, between planes where the axis of the guide pin through hole and two calipers, and guide pin through hole axle
Line intersects with plane where two calipers.
Above-mentioned minimally invasive irreducible is along intertrochanteric fracture reduction forceps, it is preferred that the clamp groove clamping of one of caliper
When with the contact surface of bone piece be the curved surface matched with the anatomic characteristic of femoral greater trochanter and neck of femur leading flank, another pincers
It is the anatomic characteristic phase with femoral greater trochanter and neck of femur trailing flank with the contact surface of bone piece when the clamp groove of body is clamped
The curved surface matched somebody with somebody.
Above-mentioned minimally invasive irreducible is along intertrochanteric fracture reduction forceps, it is preferred that the caliper of at least one reset arm is additionally provided with
For the avoidance passage passed through for anteversion of femoral neck pilot pin；The avoidance passage is located at the recessed of clamp groove bottom
Groove.
Above-mentioned minimally invasive irreducible is along intertrochanteric fracture reduction forceps, it is preferred that the minimally invasive irreducible is along intertrochanteric fracture
Reduction forceps also include being inserted for being oriented to the needle sleeve of putting of anteversion of femoral neck pilot pin, and the needle sleeve of putting is installed in a cross bar
On, the cross bar is removably mounted in and is provided with the reset arm for avoiding passage, and the axis for putting needle sleeve passes through institute
State avoidance passage.
Above-mentioned minimally invasive irreducible is along intertrochanteric fracture reduction forceps, it is preferred that be provided with the reset arm for avoiding passage
Non-circular rotation stop hole is offered, one end of the cross bar is provided with the section plug consistent with the non-circular rotation stop hole section, institute
Plug is stated through the non-circular rotation stop hole, and is provided with and supporting that reset arm 1 offsets in the one end in non-circular rotation stop hole on plug
Gear boss, the other end on plug in non-circular rotation stop hole is connected with locking nut；The needle sleeve of putting is by angular adjustment machine
Structure is arranged on cross bar and can adjust the folder for putting needle sleeve axis and two hinge axes of reset arm by angle adjusting mechanism
Angle size, the angle adjusting mechanism includes that link bolt can be locked and is fixed in the connecting rod put in needle sleeve, the cross bar and
Connecting rod is equipped with and is hinged through hole, and the link bolt of locking wears being hinged in through hole installed in cross bar and connecting rod.
Above-mentioned minimally invasive irreducible is along intertrochanteric fracture reduction forceps, it is preferred that the arm of one of reset arm is to another
The arm bending of one reset arm extends the avoidance space formed when intramedullary nail locating rack is laid.
Above-mentioned minimally invasive irreducible is along intertrochanteric fracture reduction forceps, it is preferred that the hinge assembly includes jointed shaft and determines
Position nut, one end of the jointed shaft is fixed in one of reset arm, and the other end passes through the through hole in another reset arm
It is connected with location nut screw thread；The arm of one reset arm is provided with draw-in groove, and the arm of another reset arm is hinged peace
Equipped with can pass through swing snap in draw-in groove or from draw-in groove depart from swing rod, the swing rod is provided with some spaced apart along swing rod
Positioning teeth groove, be provided with the draw-in groove for snap in it is any positioning teeth groove in prevent two reset arm opposing oscillatories locator card
Tooth.
Compared with prior art, the advantage of the invention is that：Minimally invasive irreducible of the invention is along intertrochanteric fracture reduction forceps
Split-type design is used, in use, two reset arm dismountings are separated, two calipers of reset arm from the original performed the operation is made respectively
Otch is inserted, then is hinged combination using hinge assembly, can be realized using two clamp grooves of caliper multiple to encircling for sclerite
Position, its is fixed, can avoid the second displacement problem after fracture end in putting nail and operating process is multiple.Deposited compared to tradition
Integral type reduction forceps the shortcomings of inserting difficult and big to soft tissue injury, the minimally invasive irreducible is along intertrochanteric fracture reduction forceps
The length of operative incision need not be increased, will not also increase the damage of deep soft tissue, with simple structure, be easy to make, make
With convenient and swift, efficiency high advantage.
Brief description of the drawings
Fig. 1 is main structure diagram of the minimally invasive irreducible along intertrochanteric fracture reduction forceps（Equipped with pressure rod）.
Fig. 2 is backsight structural representation of the minimally invasive irreducible along intertrochanteric fracture reduction forceps（Without pressure rod）.
Fig. 3 is the structural representation for installing sleeved reset arm.
Fig. 4 be Fig. 3 in reset arm load onto the present invention looks up structural representation after pressure rod.
Fig. 5 is the structural representation of the reset arm of non-installation sleeve.
Fig. 6 is the structural representation of pressure rod.
Fig. 7 is the structural representation for putting needle sleeve in reset arm.
Marginal data：
1st, reset arm；11st, caliper；12nd, arm；13rd, clamp groove；14th, recessed channel；15th, draw-in groove；16th, non-circular rotation stop hole；
2nd, hinge assembly；21st, jointed shaft；22nd, location nut；3rd, pressure rod；31st, guide pin through hole；32nd, gripping handle；4th, pilot sleeve；
5th, swing rod；6th, needle sleeve is put；7th, cross bar；71st, plug；72nd, boss is kept out；73rd, locking nut；8th, link bolt can be locked；9、
Connecting rod.
Specific embodiment
The present invention is described in further detail below in conjunction with the drawings and specific embodiments.
As shown in Figures 1 to 5, the minimally invasive irreducible of the present embodiment is along intertrochanteric fracture reduction forceps, including two reset arms
1, two reset arms 1 are removably hinged by hinge assembly 2, and each reset arm 1 includes being divided into 2 liang of hinge assembly
The caliper 11 and arm 12 of side, the caliper 11 of each reset arm 1 are provided with clamping towards the side of the caliper 11 of another reset arm 1
Groove 13.The minimally invasive irreducible uses split-type design along intertrochanteric fracture reduction forceps, in use, two reset arms 1 are torn open
Unload and separate, two calipers of reset arm 1 11 is inserted from the former otch performed the operation respectively, then combination is hinged using hinge assembly 2, profit
Can be realized encircling reset to sclerite with two clamp grooves of caliper 11 13, its is fixed, can avoid put nail and
Second displacement problem after fracture end is multiple in operating process.Lack in the presence of grade difficult and big to soft tissue injury is inserted compared to tradition
The integral type reduction forceps of point, the minimally invasive irreducible enters along intertrochanteric fracture reduction forceps from muscle gap, it is not necessary to increase operation
The length of otch, will not also increase the damage of deep soft tissue, with simple structure, be easy to make, insert convenient and swift, efficiency
Advantage high.
In the present embodiment, minimally invasive irreducible is additionally provided with for carrying out pushing pressurization to fracture end along intertrochanteric fracture reduction forceps
Pressure-applying unit, by pressure-applying unit to fracture end carry out push pressurization be capable of achieving fracture end further reset.Such as Fig. 1, Fig. 4
With shown in Fig. 6, the pressure-applying unit includes pressure rod 3 and pilot sleeve 4, and pilot sleeve 4 is arranged in any one reset arm 1,
Pressure rod 3 is slidedly arranged in pilot sleeve 4, and pressure rod 3 is slided along pilot sleeve 4 can make one end of pressure rod 3 extend into two again
Between the caliper 11 of position arm 1, and then pushing pressurization is carried out to fracture end, pressure rod 3 into pressurizeed between caliper 11 when, can
Make pressure point and caliper 11 substantially in one plane, it is to avoid the movement of caliper 11 is caused in pressure process.Need not push
During extruding, pressure rod 3 can be extracted out pilot sleeve 4.The pressure rod 3 of the present embodiment be provided with gripping handle 32, be easy to grip
Operation.
In the present embodiment, pressure rod 3 is provided with guide pin through hole 31, the axis A of guide pin through hole 31 and the glide direction of pressure rod 3
It is parallel, and guide pin through hole 31 axis position A between two calipers 11.Can be made by the guiding of the guide pin through hole 31 of pressure rod 3
It is placed in bone between two calipers 11 with by draw point, realizes the fixation to reduction forceps, it is to avoid is multiple during loaded reset
Position pincers swing, and can also further be pierced draw point by the guide effect of the guide pin through hole 31 of pressure rod 3, to realize to fracture end
Fixation.
Preferably, in two calipers of reset arm 1 11 are generally aligned in the same plane, the axis A of guide pin through hole 31 and two calipers
There is the angle more than 0 degree between 11 place planes, and the axis A of guide pin through hole 31 intersects with two place planes of caliper 11,
The intersection point that the axis A of guide pin through hole 31 intersects with two place planes of caliper 11 is located between two calipers 11.Foregoing guide pin leads to
The setting form in hole 31 so that pilot sleeve 4 and pressure rod 3 can be arranged on the side of reset arm 1, so make whole reduction forceps
It is easy to make, pressure rod 3 also allows for handling, and need not open up hole in reset arm 1 or hinge assembly 2, ensure that
Whole reduction forceps have preferable rigidity.Additionally, making the place plane of caliper 11 and flat where intramedullary nail outside fix frame in art
Face is vertical, can also easily determine the direction of neck nail, beneficial to the degree of accuracy for saving operating time and raising operation.
With the contact surface of bone piece be in the present embodiment, when clamp groove for caliper 11 13 is clamped with femoral greater trochanter and
The curved surface that the anatomic characteristic of neck of femur leading flank matches, connects when the clamp groove 13 of another caliper 11 is clamped with bone piece
Contacting surface is the curved surface matched with the anatomic characteristic of femoral greater trochanter and neck of femur trailing flank, each caliper 11 and bone in clamping
The contact area of block is big, it is possible to increase the fixing and stability of clamping.
In the present embodiment, the caliper 11 of at least one reset arm 1 is additionally provided with for passing through for anteversion of femoral neck pilot pin
Avoidance passage, do not interfere with inserting for anteversion of femoral neck pilot pin.The avoidance passage is specially located at the bottom of clamp groove 13
The recessed channel 14 in portion, it is easy to make.
In the present embodiment, as shown in fig. 7, minimally invasive irreducible is additionally provided with along intertrochanteric fracture reduction forceps inserts stock for guiding
Bone throat inclination angle pilot pin puts needle sleeve 6, puts needle sleeve 6 on a cross bar 7, and cross bar 7 is removably mounted in
It is provided with the reset arm 1 for avoiding passage, the axis for putting needle sleeve 6 passes through avoidance passage.Putting needle sleeve 6 using this can facilitate fast
The guiding of speed inserts anteversion of femoral neck pilot pin, can greatly improve the accuracy and raising procedure efficiency for putting pin.And then carry
The accuracy of fixation kit position in femoral head in intramedullary nail neck direction high, it is postoperative in reduction art to occur cutting out femoral head entrance
The risk of articular cavity.
Above-mentioned cross bar 7 is removably mounted in reset arm 1, is being provided with the reset arm 1 for avoiding passage
Non-circular rotation stop hole 16 is offered, one end of cross bar 7 is provided with the section plug 71 consistent with the non-circular section of rotation stop hole 16, inserted
First 71 run through non-circular rotation stop hole 16, and both will not relatively rotate, and be set in the one end in non-circular rotation stop hole 16 on plug 71
Have and keep out boss 72 with reset arm 1 offsets, the other end on plug 71 in non-circular rotation stop hole 16 is connected with locking nut 73,
Cross bar 7 is firmly fixed to by reset arm 1 by the cooperation for keeping out boss 72 and locking nut 73, when dismounting is needed, is only needed
Locking nut 73 is unclamped, plug 71 is extracted from non-circular rotation stop hole 16.In other embodiments, cross bar 7 can also be adopted
With other dismountable mounting means.
Further, the needle sleeve 6 of putting of the present embodiment is arranged on cross bar 7 by angle adjusting mechanism, angular adjustment machine
Structure can adjust the size of angle between the axis and two hinge axes of reset arm 1 for putting needle sleeve 6, namely needle sleeve is put in regulation
Angle between 6 and two place planes of caliper 11, can so adjust to the angle of inserting of anteversion of femoral neck pilot pin
It is whole, disclosure satisfy that and different put pin situation.
Above-mentioned angle adjusting mechanism includes that link bolt 8 can be locked and is fixed in the connecting rod 9 put in needle sleeve 6, the He of cross bar 7
Connecting rod 9 is equipped with and is hinged through hole, can lock link bolt 8 and wear being hinged in through hole installed in cross bar 7 and connecting rod 9.Can lock
Link bolt 8 is the combination of existing screw bolt and nut, and when release can lock link bolt 8, connecting rod 9 and cross bar 7 can be around being hinged
Through-bore axis are relatively rotated, and then adjust the angle for putting needle sleeve 6, and locking can lock link bolt 8 and can be by connecting rod 9 and cross bar
7 lockings, make the angle for putting needle sleeve 6 also keep constant.The detachable mounting structure and angle adjusting mechanism of above-mentioned cross bar 7 are not only
Simple structure, it is easy to make, it is and simple to operate.
In the present embodiment, hinge assembly 2 includes jointed shaft 21 and location nut 22, and one end of jointed shaft 21 is fixed in wherein
In one reset arm 1, the other end is connected through the through hole in another reset arm 1 with the screw thread of location nut 22, by rotation
Twist dismounting location nut 22, you can take or combine two reset arms 1 apart easily and fast.
In the present embodiment, as depicted in figs. 1 and 2, the arm 12 of one of reset arm 1 is to another reset arm 1
The bending of arm 12 extends the avoidance space formed when intramedullary nail locating rack is laid, the avoidance space energy that arm 12 is bent to form
Avoid reduction forceps from forming intramedullary nail locating rack to stop, prevent from producing influence to follow-up operation technique.
In the present embodiment, an arm for reset arm 1 12 is provided with draw-in groove 15 away from one end of hinge assembly 2, another
The arm 12 of reset arm 1 is hinged away from one end of hinge assembly 2 and is provided with and can snap in draw-in groove 15 or from draw-in groove 15 by swing
The swing rod 5 of middle disengaging, swing rod 5 is provided with some along the spaced apart positioning teeth groove of swing rod 5, be provided with draw-in groove 15 for snap in appoint
One positioning teeth groove in positioning latch, swing rod 5 swing snap in draw-in groove 15 in and make positioning latch snap in wherein any one determine
When in the teeth groove of position, the interim fixation between two reset arms 1 can be realized, prevent the opposing oscillatory of two reset arm 1（Even if also answering for two
The angle that position arm 1 keeps correspondingly sized is constant）, and then maintain reset effect；Swing rod 5 is swung into disengaging draw-in groove 15, you can recover
Two reset arms 1 freely swing.The above-mentioned swing rod 5 by with positioning teeth groove and the draw-in groove 15 with positioning latch are combined
The fixation kit that two reset arms 1 are fixed, have the advantages that simple structure, be easy to make, it is easy to operate, can be significantly
Facilitate operation technique, improve procedure efficiency.
In the present embodiment, each caliper 11 is cutting-edge structure away from one end of hinge assembly 2, facilitates access for muscle gap and week
Enclose the joint lens capsule tissue of wilfulness.
The minimally invasive irreducible of the present embodiment along intertrochanteric fracture reduction forceps in concrete application, first by two 1 point of reset arms
From front slightly separates along gluteus medius muscle fibre direction, by a reset arm 1 along the spatium intermusculare in front of near end of thighbone（Between Heuter
Gap）Into, the front of near end of thighbone is placed in, tip is positioned at the inner side of neck of femur.By another reset arm 1 along near end of thighbone after
Quadratus gap is inserted, and tip is similarly positioned in neck of femur inner side, after two reset arms 1 are respectively implanted the forward and backward side of fracture end, passes through
Be grouped together for two reset arms 1 by hinge assembly 2, adjusts the traction and rotation of far-end of limb, clamp and resets, and realizes fracture end
Reset purpose, it is fixed after the lower fracture end reduction of perspective is good.Due to the individual difference of Skeletal size, in part with arrow
In the case of shape facial bone folding, the push effect of fracture end can be pressurizeed to fracture end using pressure rod 3, realize fracture end
Further reset, and draw point can be inserted by the guide pin through hole 31 of pressure rod 3, realize the interim fixation to fracture end, Yi Jishi
The relative position of existing fixed reset pincers and bone.
The above is only the preferred embodiment of the present invention, and protection scope of the present invention is not limited merely to above-mentioned implementation
Example.To those of ordinary skill in the art, the improvement and change resulting in the case where the technology of the present invention concept thereof is not departed from
Change and also should be regarded as protection scope of the present invention.
Claims (10)
1. a kind of minimally invasive irreducible is along intertrochanteric fracture reduction forceps, including two reset arms（1）, it is characterised in that：Two resets
Arm（1）By hinge assembly（2）Removably it is hinged, each reset arm（1）Including being divided into hinge assembly（2）Both sides
Caliper（11）And arm（12）, each reset arm（1）Caliper（11）Towards another reset arm（1）Caliper（11）One
Side is provided with clamp groove（13）.
2. minimally invasive irreducible according to claim 1 is along intertrochanteric fracture reduction forceps, it is characterised in that：It is described minimally invasive difficult multiple
Property be additionally provided with pressure-applying unit for fracture end push pressurization along intertrochanteric fracture reduction forceps, the pressure-applying unit includes
Pressure rod（3）With installed in any one reset arm（1）On pilot sleeve（4）, the pressure rod（3）It is slidedly arranged on the guiding
Sleeve（4）In and pressure rod can be made by slip（3）One end extend into two reset arms（1）Caliper（11）Between.
3. minimally invasive irreducible according to claim 2 is along intertrochanteric fracture reduction forceps, it is characterised in that：The pressure rod
（3）It is provided with guide pin through hole（31）, the guide pin through hole（31）Axis and pressure rod（3）Glide direction it is parallel, and described lead
Pin through hole（31）Axis be located at two calipers（11）Between.
4. minimally invasive irreducible according to claim 3 is along intertrochanteric fracture reduction forceps, it is characterised in that：Two reset arms
（1）Caliper（11）In being generally aligned in the same plane, the guide pin through hole（31）Axis and two calipers（11）Between the plane of place
With the angle more than 0 degree, and guide pin through hole（31）Axis and two calipers（11）Place plane intersects.
5. minimally invasive irreducible according to claim 1 is along intertrochanteric fracture reduction forceps, it is characterised in that：One of caliper
（11）Clamp groove（13）With the contact surface of bone piece it is special with the anatomy of femoral greater trochanter and neck of femur leading flank during clamping
The curved surface that point matches, another caliper（11）Clamp groove（13）It is and femoral greater trochanter with the contact surface of bone piece during clamping
The curved surface matched with the anatomic characteristic of neck of femur trailing flank.
6. minimally invasive irreducible according to claim 1 is along intertrochanteric fracture reduction forceps, it is characterised in that：At least one resets
Arm（1）Caliper（11）It is additionally provided with the avoidance passage for passing through for anteversion of femoral neck pilot pin；The avoidance passage is to set
In clamp groove（13）The recessed channel of bottom（14）.
7. minimally invasive irreducible according to claim 6 is along intertrochanteric fracture reduction forceps, it is characterised in that：It is described minimally invasive difficult multiple
Property also include along intertrochanteric fracture reduction forceps for be oriented to insert anteversion of femoral neck pilot pin put needle sleeve（6）, it is described to put
Needle sleeve（6）Installed in a cross bar（7）On, the cross bar（7）It is removably mounted in the reset arm for being provided with and avoiding passage
（1）On, it is described to put needle sleeve（6）Axis pass through the avoidance passage.
8. minimally invasive irreducible according to claim 7 is along intertrochanteric fracture reduction forceps, it is characterised in that：It is provided with avoidance passage
The reset arm（1）On offer non-circular rotation stop hole（16）, the cross bar（7）To be provided with section non-circular with described for one end
Rotation stop hole（16）The consistent plug in section（71）, the plug（71）Through the non-circular rotation stop hole（16）, and plug（71）
On in non-circular rotation stop hole（16）One end be provided with and reset arm（1）What is offseted keeps out boss（72）, plug（71）On in not rounded
Shape rotation stop hole（16）The other end be connected with locking nut（73）；It is described to put needle sleeve（6）It is arranged on by angle adjusting mechanism
Cross bar（7）Upper can simultaneously regulation by angle adjusting mechanism put needle sleeve（6）Axis and two reset arms（1）Hinge axes folder
Angle size, the angle adjusting mechanism includes that link bolt can be locked（8）Needle sleeve is put with being fixed in（6）On connecting rod（9）, institute
State cross bar（7）And connecting rod（9）It is equipped with and is hinged through hole, it is described to lock link bolt（8）Wear installed in cross bar（7）And connecting rod
（9）Be hinged in through hole.
9. minimally invasive irreducible according to any one of claim 1 to 7 is along intertrochanteric fracture reduction forceps, it is characterised in that：
One of reset arm（1）Arm（12）To another reset arm（1）Arm（12）Bending extension forms intramedullary nail
Avoidance space when locating rack is laid.
10. minimally invasive irreducible according to any one of claim 1 to 7 is along intertrochanteric fracture reduction forceps, it is characterised in that：
The hinge assembly（2）Including jointed shaft（21）And location nut（22）, the jointed shaft（21）One end be fixed in wherein one
Individual reset arm（1）On, the other end passes through another reset arm（1）On through hole and location nut（22）Screw thread is connected；One
Individual reset arm（1）Arm（12）It is provided with draw-in groove（15）, another reset arm（1）Arm（12）It is hinged and is provided with and can lead to
Cross swing and snap in draw-in groove（15）Or from draw-in groove（15）The swing rod of middle disengaging（5）, the swing rod（5）It is provided with some along swing rod（5）
Spaced apart positioning teeth groove, the draw-in groove（15）In be provided with for snap in it is any positioning teeth groove in prevent two reset arms（1）
The positioning latch of opposing oscillatory.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710265735.0A CN106913368B (en) | 2017-04-21 | 2017-04-21 | Minimally invasive difficult-to-restore cis-tuberosity fracture reduction forceps |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710265735.0A CN106913368B (en) | 2017-04-21 | 2017-04-21 | Minimally invasive difficult-to-restore cis-tuberosity fracture reduction forceps |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106913368A true CN106913368A (en) | 2017-07-04 |
| CN106913368B CN106913368B (en) | 2023-09-26 |
Family
ID=59567619
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710265735.0A Active CN106913368B (en) | 2017-04-21 | 2017-04-21 | Minimally invasive difficult-to-restore cis-tuberosity fracture reduction forceps |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106913368B (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108420515A (en) * | 2018-03-16 | 2018-08-21 | 吉林大学 | A kind of calcaneus fracture diaplasis device |
| CN108433803A (en) * | 2018-03-22 | 2018-08-24 | 河北医科大学第三医院 | A kind of fracture of calcaneus joint restorer |
| CN109730747A (en) * | 2019-01-08 | 2019-05-10 | 王峰 | A kind of orthopaedic trauma of accurate positioning is clamped with replacement and fixation |
| CN112545611A (en) * | 2020-12-02 | 2021-03-26 | 中国科学院大学宁波华美医院 | Femoral tuberosity resetting device |
Citations (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030212435A1 (en) * | 2002-03-26 | 2003-11-13 | Adam Gold | Handleless clamping device |
| JP2007075429A (en) * | 2005-09-15 | 2007-03-29 | For S Medical:Kk | Reposition forceps |
| US20080215057A1 (en) * | 2005-10-06 | 2008-09-04 | Zimmer Gmbh | Instrument for Preparing and/or Machining a Femoral Head |
| CN201131787Y (en) * | 2008-01-04 | 2008-10-15 | 孙友良 | Supporting bone and resetting fixator |
| CN203138653U (en) * | 2013-04-05 | 2013-08-21 | 翟延荣 | Multifunctional fracture reduction oriented pliers |
| CN103565508A (en) * | 2013-11-26 | 2014-02-12 | 段强民 | Orthopedic guide reset pincers |
| CN204192702U (en) * | 2014-10-27 | 2015-03-11 | 泸州市中医医院 | Femoral bone tuberosity reduction forceps |
| CN204207832U (en) * | 2014-10-30 | 2015-03-18 | 山东省生建重工有限责任公司 | Multifunctional bone hold tool |
| CN204274569U (en) * | 2014-11-19 | 2015-04-22 | 单力国 | The whole ridge reduction forceps of easy-dismount |
| CN104665902A (en) * | 2015-03-02 | 2015-06-03 | 毕宏政 | Guide fixing device for reduction of fracture |
| CN204734542U (en) * | 2015-05-29 | 2015-11-04 | 黄石市爱康医院 | Three -dimensional reduction of fracture fixer of multi -angle |
| CN205234573U (en) * | 2015-11-03 | 2016-05-18 | 尤微 | Fixed pincers and fixed pincers of combination that key fracture steel sheet resets and implants |
| CN205411305U (en) * | 2015-12-16 | 2016-08-03 | 王亮 | Fixed nail locator of putting of multi -functional reduction of fracture |
| CN105832398A (en) * | 2016-03-21 | 2016-08-10 | 段强民 | Positioning and guiding orthopedic reduction forceps |
| CN205612538U (en) * | 2016-02-16 | 2016-10-05 | 上海市浦东新区周浦医院 | Top stick pincers that reset |
| CN207545162U (en) * | 2017-04-21 | 2018-06-29 | 胡金玺 | Minimally invasive irreducible is along intertrochanteric fracture reduction forceps |
-
2017
- 2017-04-21 CN CN201710265735.0A patent/CN106913368B/en active Active
Patent Citations (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030212435A1 (en) * | 2002-03-26 | 2003-11-13 | Adam Gold | Handleless clamping device |
| JP2007075429A (en) * | 2005-09-15 | 2007-03-29 | For S Medical:Kk | Reposition forceps |
| US20080215057A1 (en) * | 2005-10-06 | 2008-09-04 | Zimmer Gmbh | Instrument for Preparing and/or Machining a Femoral Head |
| CN201131787Y (en) * | 2008-01-04 | 2008-10-15 | 孙友良 | Supporting bone and resetting fixator |
| CN203138653U (en) * | 2013-04-05 | 2013-08-21 | 翟延荣 | Multifunctional fracture reduction oriented pliers |
| CN103565508A (en) * | 2013-11-26 | 2014-02-12 | 段强民 | Orthopedic guide reset pincers |
| CN204192702U (en) * | 2014-10-27 | 2015-03-11 | 泸州市中医医院 | Femoral bone tuberosity reduction forceps |
| CN204207832U (en) * | 2014-10-30 | 2015-03-18 | 山东省生建重工有限责任公司 | Multifunctional bone hold tool |
| CN204274569U (en) * | 2014-11-19 | 2015-04-22 | 单力国 | The whole ridge reduction forceps of easy-dismount |
| CN104665902A (en) * | 2015-03-02 | 2015-06-03 | 毕宏政 | Guide fixing device for reduction of fracture |
| CN204734542U (en) * | 2015-05-29 | 2015-11-04 | 黄石市爱康医院 | Three -dimensional reduction of fracture fixer of multi -angle |
| CN205234573U (en) * | 2015-11-03 | 2016-05-18 | 尤微 | Fixed pincers and fixed pincers of combination that key fracture steel sheet resets and implants |
| CN205411305U (en) * | 2015-12-16 | 2016-08-03 | 王亮 | Fixed nail locator of putting of multi -functional reduction of fracture |
| CN205612538U (en) * | 2016-02-16 | 2016-10-05 | 上海市浦东新区周浦医院 | Top stick pincers that reset |
| CN105832398A (en) * | 2016-03-21 | 2016-08-10 | 段强民 | Positioning and guiding orthopedic reduction forceps |
| CN207545162U (en) * | 2017-04-21 | 2018-06-29 | 胡金玺 | Minimally invasive irreducible is along intertrochanteric fracture reduction forceps |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108420515A (en) * | 2018-03-16 | 2018-08-21 | 吉林大学 | A kind of calcaneus fracture diaplasis device |
| CN108420515B (en) * | 2018-03-16 | 2023-12-22 | 吉林大学 | Calcaneus fracture reduction device |
| CN108433803A (en) * | 2018-03-22 | 2018-08-24 | 河北医科大学第三医院 | A kind of fracture of calcaneus joint restorer |
| CN108433803B (en) * | 2018-03-22 | 2019-05-31 | 河北医科大学第三医院 | A kind of fracture of calcaneus joint restorer |
| CN109730747A (en) * | 2019-01-08 | 2019-05-10 | 王峰 | A kind of orthopaedic trauma of accurate positioning is clamped with replacement and fixation |
| CN109730747B (en) * | 2019-01-08 | 2020-08-25 | 王峰 | Accurate-positioning reduction fixing forceps for traumatic orthopedics department |
| CN112545611A (en) * | 2020-12-02 | 2021-03-26 | 中国科学院大学宁波华美医院 | Femoral tuberosity resetting device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN106913368B (en) | 2023-09-26 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US9603640B2 (en) | Lower extremity fusion devices and methods | |
| US20200261235A1 (en) | Upper extremity fusion devices and methods | |
| CN106913368A (en) | Minimally invasive irreducible is along intertrochanteric fracture reduction forceps | |
| US5490852A (en) | Orthopedic awl | |
| EP2349040B1 (en) | Intramedullary nail | |
| US7722611B2 (en) | Method of treating a clavicle fracture | |
| EP2292162B1 (en) | Tunnel notcher and guidewire delivery device | |
| US9861352B2 (en) | Method and apparatus for attaching an elongated object to bone | |
| CN103860249B (en) | The anti-locking device that revolves of a kind of near end of thighbone | |
| AU2014321392B2 (en) | Variable angle blade plate system and method | |
| CN113453634A (en) | Systems and methods for high tibial osteotomy | |
| CN207545162U (en) | Minimally invasive irreducible is along intertrochanteric fracture reduction forceps | |
| EP3170465B1 (en) | Device for fixing proximal humerus | |
| CN206315130U (en) | Neck of femur minimal invasion navigation template | |
| US20220000528A1 (en) | Modular Head Compression Screw System and Device | |
| CN213665664U (en) | Locking plate for proximal greater tubercle of humerus | |
| CN208808574U (en) | A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine | |
| CA2660117C (en) | Insertion system for implanting a medical device and surgical methods | |
| CN209966541U (en) | Working sleeve capable of replacing guide pin in minimally invasive screw fixation operation of pelvis and acetabulum | |
| CN209751199U (en) | Fixing steel plate for fixing posterior cruciate ligament avulsion fracture of knee joint | |
| CN113262030A (en) | Child primary and secondary elastic intramedullary nail | |
| CN209611265U (en) | A kind of synthetism folder of Fracture internal fixaiion | |
| JP6588127B1 (en) | Intramedullary nail auxiliary device and intramedullary nail | |
| CN209059398U (en) | A kind of femoral interlocking nail opener with three-dimensional localization function | |
| CN109363761A (en) | A kind of fracture of lesser trochanter replacement and fixation guider |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |