CN107080581A - Elastic internal fixation system and pressure-adjustable hold-down bars - Google Patents

Elastic internal fixation system and pressure-adjustable hold-down bars Download PDF

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Publication number
CN107080581A
CN107080581A CN201610110990.3A CN201610110990A CN107080581A CN 107080581 A CN107080581 A CN 107080581A CN 201610110990 A CN201610110990 A CN 201610110990A CN 107080581 A CN107080581 A CN 107080581A
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swivel nut
adjusting rod
slide fit
solid
screw
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CN201610110990.3A
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CN107080581B (en
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宋若怡
王秋霞
宋文超
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Henan Keke Biotechnology Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/686Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B2017/681Alignment, compression, or distraction mechanisms

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to a kind of elastic internal fixation system of orthopedics clinic practice and pressure-adjustable hold-down bars, using 1 or 2 pressure-adjustable hold-down bars, elastic internal fixation system is combined into more than 2 single rod types, double stick type or the solid spike devices of anatomical form.Wherein, the pressure-adjustable hold-down bars includes:Adjusting rod, slide fit swivel nut, elastic device and fix bar.The elastic internal fixation system and pressure-adjustable hold-down bars of the present invention have adjustable pressure, fixation, simple to operate, regulation it is easy, effectively prevent stress shielding, it is to avoid osteoporosis, the advantage of accelerating bone healing.

Description

Elastic internal fixation system and pressure-adjustable hold-down bars
Technical field
The present invention relates to the device of orthopedics clinic practice, more particularly to a kind of pressure-adjustable hold-down bars, and the elasticity including pressure-adjustable hold-down bars is interior solid Determine system.
Background technology
When human limb long bone is fractured, often need to reset fracture, fix, corresponding technique for fixing and material are also constantly entering Step is with updating, such as steel plate, intramedullary nail, exterior fixing rack, and conventional internal fixation device is steel plate at present, and its fixed range of performing the operation is big, soft tissue Peel off many, wound big, the drawback such as malreduction;Postoperative presence occurs osteoporosis, even fixture loosening, inside-fixture due to stress shielding Curative effect must not be had a strong impact on after the drawbacks such as disconnected rod, Unstable internal fixation without second operation even Repeated Operation.
Fracture healing process is complicated, domestic and foreign scholars to the theoretical understanding of union in constantly improve, the sight for the strong fixation of fracture that early stage is advocated Clinical practice and experimental study of the point by decades confirm that, due to the stress-shielding effect of fixture, osteoporosis easily occurs in fix bone, fixed The problems such as thing fractures, the biological rational osteopathy viewpoint of proposition is gradually received, and union is by patient age, mechanical environment, local blood Transport, the factors influence such as endocrine, stress is one of principal element, although existing various fixed apparatus shapes, configurations, can not enter Row micro-positioning regulators, using when be also easy to produce stress shielding, osteoporosis occur, though have can fine motion, can not precisely limit the scope of fine motion, direction, And the size of stress.
Stress and union aspect:Bone tissue is a kind of viscoelastic solid material, and mechanical characteristic is complicated, its structure and function and its mechanical characteristics and Mechanical environment state is closely related, determines that different stress stimulations have Different Effects power to Bone m etabolism and knitting.In terms of stress mechanism: Intracellular signal transduction pathway in stress influence fracture healing process, can be by positioned at endoglin expression or the calcium channel of cross-film presence, integration Element, growth factor etc., extracellular matrix signal are transmitted into intracellular.Mechanical signal coupling, cell propagation and the intracellular and cell of Gegenbaur's cell Between Ca2+The lifting of level is relevant, and integrin is the main matter for contacting intraor extracellular signal, and extraneous tensile stress can be intracellular with induced osteogenesis under stimulating Physiology, biochemical change, respond and are expressed with conducted signal, activated gene, synthesize and discharge cell factor and hormone, regulate and control to mechanical stimulus Sensing and propagation, differentiation and mineralising.The characteristics of relative association of integrins expression level has time limit change.Regulation of the stress to osteoblasts metabolism and cell factor The secretion of growth factor caused by stress can be directly by promoting growth factor or promoting the secretion of the hormone with growth in vivo, indirectly Promote cell growth, it is the more growth factor of content in Gegenbaur's cell to be converted into the factor, can adjust propagation and the differentiation of Gegenbaur's cell, another Aspect, promotes synthesis type collagen fiber connection element, promotes Gegenbaur's cell to synthesize type i collagen, fibronectin, osteonectin and proteoglycans.
Research is thought at present in terms of the mode of stress, opportunity, species, size:Intermittent stress stimulation is compared with continuity stress stimulation more Osteoblast activity can be excited;Research thinks that knitting early stage promotes the most effective period of knitting for mechanics factor, when union recovers original After structure and hardness, mechanics factor is the single factor of bone remodeling, and knitting early stage should ensure that appropriate stress and strain between fracture site, knitting In early days, the compression that axial load is produced can drive Gegenbaur's cell and fibroblast to develop to differentiation skeletonization direction, favourable to knitting, shearing and Torsional load produces shear stress, preferably causes fracture end dynamic friction, has the capillary and poroma of formation compared with major injury, and drive fibroblast Propagation, produces fibr tissue, is unfavorable for knitting, has certain promotion to the formation of poroma and reconstruction in knitting middle and later periods various stress; Knitting needs appropriate biomechanical environment or optimum stress level, only when fracture end stress level and healing district's groups knit the mutual balance coordination of rigidity Organizing ability's well differentiation and healing, stress is excessive, more than tissue ability to bear, and live body bone will occur at bone-to-bone interface or bone-inside-fixture interface Reactive surfaces absorb, and fracture end pressure reduces, and causes osteanabrosis, and pressure is bigger, and fracture end pressure reduction is rapider, conversely, being not enough to draw Play elastic deformation, tissue differentiation mechanics induction reduction, it is difficult to produce, bone delay in healing, bone nonunion may be caused.Typically think fracture end compression It is advisable no more than physiology body weight.
Fine motion and union aspect:Fracture end fine motion is maintained close ties with stress, is confirmed according to Wollf laws and recent many researchs, fracture The suitable fine motion of end controllability can promote the formation and calcification of poroma, and accelerating union of bone fracture is ground at present in terms of the frequency of fine motion, opportunity, amount Study carefully and think:Fine motion on low-frequency axial direction is favourable to union, and early stage Micromovement can promote union, late period (4-6 weeks) The fine motion easy damaged fracture site rete vasculosum of generation, postpones union.
The content of the invention
The defect existed it is an object of the invention to make up currently used internal fixation device treatment limbs fracture has there is provided one kind can adjust pressure , fixation, simple to operate, regulation readily elastic internal fixation system and pressure-adjustable hold-down bars, effectively prevent stress shielding, it is to avoid sclerotin is dredged Pine, accelerating bone healing.
Present invention employs following technical scheme:
A kind of pressure-adjustable hold-down bars of orthopedics clinic practice, the pressure-adjustable hold-down bars includes:Adjusting rod, slide fit swivel nut, elastic device and fix bar, Wherein,
Adjusting rod and fix bar are cylindrical bar, and slide fit swivel nut is cylindrical sleeve, or top is during irregular six prism, bottom are cylinder Empty set cylinder, the internal diameter of slide fit swivel nut is adapted with the external diameter of adjusting rod and fix bar, the bottom of slide fit swivel nut upper socket adjusting rod, under slide fit swivel nut Portion is fixed by socket the top of bar;Wherein,
Adjusting rod can micro-positioning regulators, but relatively unrotatable in the axial direction relative to slide fit swivel nut;
Fix bar is fixed relative to slide fit swivel nut;
Elastic device provides elastic force during micro-positioning regulators above and below adjusting rod axial direction.
Further, the specific connected mode of the adjusting rod and slide fit swivel nut is one of in the following manner:
(a), adjusting rod bottom sets the anti-rotation pin hole of both sides insertion, and the axial height of anti-rotation pin hole is slightly larger than transverse width;Slide fit swivel nut Top is provided with the anti-trepanning of radially opposite sides insertion, and the aperture of anti-trepanning is adapted with the transverse width of anti-rotation pin hole;Anti- rotation pin extends radially through slide fit The anti-trepanning of swivel nut and the anti-rotation pin hole of adjusting rod bottom, the diameter of anti-rotation pin are adapted with the aperture of anti-trepanning;
(b), adjusting rod bottom sets the anti-rotation pin hole of both sides insertion, and the axial length of anti-rotation pin hole is slightly greater height than transverse width;Slide fit spiral shell The anti-trepanning that top is provided with radially opposite sides insertion is covered, the diameter of anti-trepanning is adapted with the transverse width of anti-rotation pin hole;The cylinder of two identical sizes Shape key pin, one of cylinder key pin inserts the side of anti-trepanning and anti-rotation pin hole, and another cylindrical key pin inserts anti-trepanning and anti-rotation pin The opposite side in hole, the diameter of the cylindrical key pin is adapted with the aperture of anti-trepanning;
(c), adjusting rod bottom sets the anti-rotation pin hole of both sides insertion, and the axial length of the anti-rotation pin hole is slightly greater height than transverse width;It is sliding The anti-trepanning of radially opposite sides insertion is provided with swivel nut top, the diameter of anti-trepanning is adapted with the transverse width of anti-rotation pin hole;One cylindrical key pin is inserted Enter the side of anti-trepanning and anti-rotation pin hole, the diameter of the cylindrical key pin is adapted with the aperture of anti-trepanning;
(d), by setting a dive key to slide and anti-rotation, set relative with dive key in slide fit swivel nut upper inside wall and adjusting rod bottom outer wall The keyway answered, the dive key keyway that adjusting rod bottom outer wall is set is slightly long compared with dive key, and dive key is clenched connected with slide fit swivel nut with solid key pin Connect;
(e), adjusting rod lower end sets cylindrical outer diameter augmenting portion, and augmenting portion external diameter sets nozzle on an anti-rotation plane, slide fit swivel nut and is set to compared with cylinder Internal diameter is small, and upper nozzle is slidably connected with adjusting rod, and slide fit swivel nut upper inside wall sets a convex plane, coordinates with planar slide set by adjusting rod lower end;
(f), nozzle is set to small compared with cylinder internal diameter on slide fit swivel nut, and upper nozzle is slidably connected with adjusting rod, and it is raised flat that slide fit swivel nut upper inside wall sets one Face, adjusting rod lower end is set up defences cylinder of press-offing, and is cylindrical tube shape, is fastenedly connected anticreep sleeve and adjusting rod with pin for suppressing metal, anticreep sleeve outer wall sets one Plane, sets plane to be engaged with slide fit swivel nut upper inside wall;
(g), nozzle is set to small compared with cylinder internal diameter on slide fit swivel nut, and upper nozzle is slidably connected with adjusting rod, and it is raised flat that slide fit swivel nut upper inside wall sets one Face, adjusting rod lower end is set up defences cylinder of press-offing, and is cylindrical tube shape, is fastenedly connected anticreep sleeve and adjusting rod with fastening jackscrew, anticreep sleeve outer wall sets one Plane, sets plane to be engaged with slide fit swivel nut upper inside wall.
Further, the specific connected mode of the slide fit swivel nut and fix bar is one of in the following manner:
(a), fix bar top and slide fit swivel nut bottom are fastenedly connected with fastening jackscrew;
(b), fix bar top and slide fit swivel nut bottom are fastenedly connected with pin for suppressing metal;
(c), fix bar upper end sets cylindric diameter-increasing portion, is cylindrical in shape structure, and inwall sets screw thread, and it is threadedly coupled between slide fit swivel nut;
(d), fix bar upper end is set and sets screwed hole on cylindric diameter-increasing portion, side wall, and it is fastenedly connected between slide fit swivel nut with fastening jackscrew;
(e), fix bar upper end sets cylindric diameter-increasing portion, and it is fastenedly connected between slide fit swivel nut with pin for suppressing metal;
(f), fix bar and slide fit swivel nut are set to one, and fix bar top sets cylindric diameter-increasing portion, is cylindrical in shape structure.
Further, the fixed structure for setting limitation adjusting rod to slide so that adjusting rod is limited after the completion of pressure regulation and is axially moved;Its concrete structure be with One of under type:
(a), in fastening jackscrew hole of the slide fit swivel nut top provided with radially unilateral insertion, fastening jackscrew can be screwed in and is against adjusting rod outer wall;
(b) stop nut, is set on the adjusting rod outer wall of slide fit swivel nut upper end, stop nut inwall sets screw thread, is threadedly coupled with adjusting rod;
(c) limit casing, is set on the adjusting rod outer wall of slide fit swivel nut upper end, is fastenedly connected between limit casing and adjusting rod with fastening jackscrew;
(d), limited on the adjusting rod outer wall of slide fit swivel nut upper end a fixture block, spacing fixture block one end axially sets the circular hole being slidably matched with adjusting rod, Set in the middle of the other end and set screwed hole on gap and trip bolt that high 2mm is communicated with circular hole, the spacing fixture block of trip bolt head end, screw trip bolt Spacing fixture block can be fixed on adjusting rod;
Further, one-way pressure-regulating device is set on slide fit swivel nut cylinder, slide fit swivel nut outer wall sets pressure scale table, the tool of the one-way pressure-regulating device Body structure is one of in the following manner:
(a), regulator includes pressure regulation pin, fixed cover and look nut;The pressure regulation pin hole of both sides insertion, pressure regulation are radially set on slide fit swivel nut The axial length of pin hole is more than transverse width;Fixed cover is slidably socketed in the circular hole that insertion is radially provided with the outer wall of slide fit swivel nut, on fixed cover; Pressure regulation pin extends radially through the pressure regulation pin hole of slide fit swivel nut and the circular hole of fixed cover, and the diameter of pressure regulation pin is adapted with the aperture of pressure regulation pin hole; Elastic device is compression spring, and compression spring is located in slide fit swivel nut, and spring upper end is connected to the lower end of adjusting rod, and the lower end of spring is connected to pressure regulation On pin;Look nut is set to be placed on slide fit swivel nut outer wall, is threadedly coupled with slide fit swivel nut, look nut upper end is butted on fixed cover lower end;
(b), regulator includes pressure regulation pin, fixed cover and look nut;The pressure regulation pin hole of both sides insertion, pressure regulation are radially set on slide fit swivel nut The axial length of pin hole is more than transverse width;Fixed cover is slidably socketed in the circular hole that insertion is radially provided with the outer wall of slide fit swivel nut, on fixed cover; Pressure regulation pin extends radially through the pressure regulation pin hole of slide fit swivel nut and the circular hole of fixed cover, and the diameter of pressure regulation pin is adapted with the aperture of pressure regulation pin hole; Elastic device is elastic capsule, is additionally provided with elastic capsule base, and the upper end of elastic capsule is connected to the lower end of adjusting rod, and the lower end of elastic capsule is supported It is connected on elastic capsule base, elastic capsule base is placed on pressure regulation pin;Look nut is set to be placed on slide fit swivel nut outer wall, with slide fit swivel nut screw thread Connection, look nut upper end is butted on fixed cover lower end;
(c), regulator includes pressure regulation pin, fixed cover, stop collar and look nut;The pressure regulation pin of both sides insertion is radially set on slide fit swivel nut Hole, the axial length of pressure regulation pin hole is more than transverse width;Fixed cover is slidably socketed on the outer wall of slide fit swivel nut, and insertion is radially provided with fixed cover Circular hole;Pressure regulation pin extends radially through the pressure regulation pin hole of slide fit swivel nut and the circular hole of fixed cover, and pressure regulation pin is interference fitted with adjusting rod, fixed cover It is interference fitted, nozzle is less than lower inner diameter on stop collar, outside fixed cover, is interference fitted with fixed cover, fixed cover, stop collar with pressure regulation pin It is slidably matched with slide fit swivel nut;Spring is set to be placed on the compression spring below adjusting rod, and it is small that lower end is butted on barrel internal diameter on pressure regulation pin, slide fit swivel nut, Lower barrel internal diameter is big, on the step that the setting of slide fit swivel nut inwall is butted under spring upper end nature;Look nut is set to be placed on slide fit swivel nut outer wall, It is threadedly coupled with slide fit swivel nut, look nut upper end is butted on fixed cover lower end;
(d), regulator includes pressure regulation pin, fixed cover, stop collar and look nut;The pressure regulation pin of both sides insertion is radially set on slide fit swivel nut Hole, the axial length of pressure regulation pin hole is more than transverse width;Fixed cover is slidably socketed on the outer wall of slide fit swivel nut, and insertion is radially provided with fixed cover Circular hole;Pressure regulation pin extends radially through the pressure regulation pin hole of slide fit swivel nut and the circular hole of fixed cover, and pressure regulation pin is interference fitted with adjusting rod, adjusting rod Lower section is not provided with anti-rotation pin and anti-rotation pin hole, and spring is to be placed on the compression spring below adjusting rod, and lower end is butted on pressure regulation pin, slide fit swivel nut Barrel internal diameter is small, and lower barrel internal diameter is big, on the step that the setting of slide fit swivel nut inwall is butted under spring upper end nature;Look nut is set to be placed on cunning With swivel nut outer wall, it is threadedly coupled with slide fit swivel nut, look nut upper end is butted on fixed cover lower end;
(e), regulator includes pressure regulation pin, fixed cover, stop collar and look nut;The pressure regulation pin of both sides insertion is radially set on slide fit swivel nut Hole, the axial length of pressure regulation pin hole is more than transverse width;Fixed cover is slidably socketed on the outer wall of slide fit swivel nut, and insertion is radially provided with fixed cover Circular hole;Pressure regulation pin extends radially through the pressure regulation pin hole of slide fit swivel nut and the circular hole of fixed cover, and pressure regulation pin is interference fitted with adjusting rod, adjusting rod Lower section is not provided with anti-rotation pin and anti-rotation pin hole, and spring is the compression spring for being placed on slide fit swivel nut outer wall, and lower end is butted on pressure regulation pin, slide fit swivel nut It is set to barrel external diameter big, lower barrel external diameter is small, on the step that the setting of slide fit swivel nut outer wall is butted under spring upper end nature, look nut is set to Slide fit swivel nut outer wall is placed on, is threadedly coupled with slide fit swivel nut, look nut upper end is butted on fixed cover lower end.
Further, bidirectional pressure regulating device is set on slide fit swivel nut cylinder, slide fit swivel nut outer wall sets pressure scale table, the tool of the bidirectional pressure regulating device Body structure is one of in the following manner:
(a), elastic device can be set to extension spring, in slide fit swivel nut barrel, be slidably connected with slide fit swivel nut, and adjusting rod bottom is set up defences rotation pin, Adjusting rod coordinates with anti-rotation pin fastener, and adjusting rod lower end axially sets the elongated slot being adapted with extension spring top, and anti-rotation pin two ends set fixed cover, spacing Set, fixed cover, stop collar and slide fit swivel nut are slidably connected, and positioning nut are set below anti-rotation pin, positioning nut is threadedly coupled with slide fit swivel nut, sliding The anti-rotation pin hole adaptable with anti-rotation pin is set with swivel nut barrel, axial length is more than radical length, fixed cover, limit can be promoted by above tuning a nut Position set, anti-rotation pin, adjusting rod are integrally moved up, and extension spring upper and lower end sets circular hook, and upper end hook sleeve is on anti-rotation pin, and lower end hook sleeve exists On pressure regulation pin, pressure regulation pin two ends set fixed cover, stop collar, and fixed cover, stop collar and slide fit swivel nut are slidably connected, and pressure regulation is set above stop collar Fixed cover, stop collar are butted on below nut, look nut, look nut is placed on slide fit swivel nut outer wall, and look nut is threadedly coupled with slide fit swivel nut, Slide fit swivel nut barrel set with pressure regulation pin be adapted pressure regulation pin hole, axial length be more than radical length, backspin look nut can drive fixed cover, Stop collar, pressure regulation pin, extension spring are moved down;
(b), spring is located in slide fit swivel nut barrel, and adjusting rod bottom axially penetrates through spring, and adjusting rod bottom sets up-regulation pressing in pins, pressure regulation pin, Adjusting rod bottom radially sets the elongated hole adaptable with up-regulation pressing in pins, and pressure regulation pin extends radially through adjusting rod, is fastenedly connected with adjusting rod, pressure regulation pin Two ends set fixed cover, stop collar respectively, and up-regulation pressing in pins two ends set fixed cover, stop collar respectively, and slide fit swivel nut barrel peripheral hardware screw thread is radially arranged With up-regulation pressing in pins, pressure regulation pin through being more than bottom barrel internal diameter in adaptable elongated hole, slide fit swivel nut top barrel, fix bar top is cylinder Shape diameter becomes most of, is slidably matched with slide fit swivel nut lower inner wall, look nut, look nut on slide fit swivel nut barrel peripheral hardware, on look nut End is butted on lower section fixed cover, stop collar lower end, and upper look nut lower end is butted on top fixed cover, spacing set upper side;
(c), spring is located at outside slide fit swivel nut barrel, and adjusting rod bottom sets up-regulation pressing in pins, pressure regulation pin, and adjusting rod bottom is radially set and upper pressure regulation The adaptable elongated hole of pin, pressure regulation pin extends radially through adjusting rod, is fastenedly connected with adjusting rod, and up-regulation pressing in pins two ends set fixed cover respectively, spacing Set, pressure regulation pin two ends set fixed cover, stop collar respectively, and slide fit swivel nut barrel peripheral hardware screw thread is radially arranged and raised pressing in pins, pressure regulation pin phase Look nut, look nut on the elongated hole of adaptation, slide fit swivel nut barrel peripheral hardware, look nut upper end are butted on lower section fixed cover, stop collar lower end, on Look nut lower end is butted on top fixed cover, spacing set upper side;
(d), spring is located in slide fit swivel nut barrel, and adjusting rod bottom axially penetrates through spring, and adjusting rod bottom radially sets up-regulation pressing in pins, pressure regulation pin Nail, radially sets the elongated hole adaptable with up-regulation pressing in pins, pressure regulation pin respectively, and axial length is more than radical length, and up-regulation pressing in pins two ends set fixation Set, stop collar, pressure regulation pin two ends set fixed cover, stop collar respectively, and slide fit swivel nut barrel peripheral hardware screw thread is radially arranged and raised pressing in pins, adjusts Through being more than bottom barrel internal diameter in the adaptable elongated hole of pressing in pins, slide fit swivel nut top barrel, fix bar top is that cylindrical diameter becomes most of, Be slidably matched with slide fit swivel nut lower inner wall, look nut, look nut on slide fit swivel nut barrel peripheral hardware, look nut upper end be butted on lower section fixed cover, Stop collar lower end, upper look nut lower end is butted on top fixed cover, spacing set upper side;
(e), spring is located at outside slide fit swivel nut barrel, and adjusting rod bottom radially sets up-regulation pressing in pins, pressure regulation pin, radially sets respectively and up-regulation pad The adaptable elongated hole of nail, pressure regulation pin, up-regulation pressing in pins two ends set fixed cover, stop collar respectively, and pressure regulation pin two ends set fixed cover respectively, spacing Set, slide fit swivel nut barrel peripheral hardware screw thread is radially arranged and raised pressure regulation on the adaptable elongated hole of pressing in pins, pressure regulation pin, slide fit swivel nut barrel peripheral hardware Nut, look nut, look nut upper end are butted on lower section fixed cover, stop collar lower end, and upper look nut lower end is butted on top fixed cover, stop collar Upper end;
(f), elastic device is set to 2 springs, and the form of the equal pressure-adjustable of adjusting rod is given upwards, downwards, and spring, lower spring are located at slide fit swivel nut In barrel, adjusting rod bottom axially penetrates through spring, and adjusting rod bottom radially sets up-regulation pressing in pins, catch spring pin, radially sets and is mutually fitted with up-regulation pressing in pins The elongated hole answered, up-regulation pressing in pins two ends set fixed cover, stop collar respectively, and catch spring pin extends radially through adjusting rod, is fastenedly connected with adjusting rod, natural State lower spring upper end is butted on up-regulation pressing in pins, and lower end is butted on catch spring pin, and lower spring is located in slide fit swivel nut barrel, and pressure regulation pin extends radially through cunning With swivel nut barrel, two ends set lower spring upper end under fixed cover, stop collar, nature and are butted on catch spring pin respectively, and lower end is butted on pressure regulation pin, sliding With swivel nut barrel peripheral hardware screw thread, it is radially arranged and raises in the adaptable elongated hole of pressing in pins, pressure regulation pin, catch spring pin, slide fit swivel nut top barrel Through more than bottom barrel internal diameter, fix bar top is that cylindrical diameter becomes most of, is slidably matched with slide fit swivel nut lower inner wall, slide fit swivel nut cylinder Look nut, look nut on wall peripheral hardware, look nut upper end are butted on lower section fixed cover, stop collar lower end, and it is solid that upper look nut lower end is butted on top Fixed set, spacing set upper side;
(g), elastic device is set to 2 springs, the form of the equal pressure-adjustable of adjusting rod is given upwards, downwards, spring, lower spring are respectively positioned on slide fit spiral shell Outside sleeve wall, slide fit swivel nut axially penetrates through spring, lower spring, and adjusting rod bottom, which is radially set up defences, revolves pin, catch spring pin, and adjusting rod radially sets and prevented The adaptable elongated hole of pin is revolved, axial length is more than radical length, and anti-rotation pin is fastenedly connected with slide fit swivel nut, and catch spring pin extends radially through adjusting rod, It is fastenedly connected with adjusting rod, slide fit swivel nut radially sets the elongated hole being adapted with catch spring pin, axial length is more than outside radical length, slide fit swivel nut barrel If upper look nut, look nut, it is threadedly coupled with slide fit swivel nut, nature lower spring upper end is butted on look nut, lower end is butted on catch spring pin Nail, lower spring upper end is butted on catch spring pin, and lower end is butted on look nut, and upper rotation look nut can drive catch spring pin to move up, give adjusting rod to On active force, look nut on backspin can drive catch spring pin to move down, give adjusting rod downward active force;
(h), elastic device is set to 2 springs, and the form of the equal pressure-adjustable of adjusting rod is given upwards, downwards, and spring is located above slide fit swivel nut, adjusts Pole axially penetrates through spring, and lower spring is located at outside slide fit swivel nut barrel, and slide fit swivel nut axially penetrates through lower spring, and slide fit swivel nut upper end sets pressure regulation swivel nut, Its upper end is slidably connected with adjusting rod, and lower inner wall sets screw thread, is threadedly coupled with slide fit swivel nut, and pressure regulation swivel nut upper portion side wall sets fastening jackscrew, with tune Press swivel nut threaded connection, screw-in is against adjusting rod outer wall, limitation adjusting rod is slided, adjusting rod from top to bottom radially set up-regulation pressing in pins, anti-rotation pin, Pressure regulation pin, adjusting rod radially sets the elongated hole adaptable with anti-rotation pin, and axial length is more than radical length, and anti-rotation pin is fastened with slide fit swivel nut to be connected Connect, up-regulation pressing in pins, pressure regulation pin and adjusting rod are fastenedly connected, and slide fit swivel nut radially sets the elongated hole being adapted with pressure regulation pin, and axial length is more than Radical length, slide fit swivel nut barrel peripheral voltage regulation nut, is threadedly coupled, nature lower spring upper end is butted on pressure regulation swivel nut, lower end with slide fit swivel nut Up-regulation pressing in pins is butted on, lower spring upper end is butted on downward pressing in pins, and lower end is butted on look nut;
(i), elastic device is set to 2 springs, the form of the equal pressure-adjustable of adjusting rod is given upwards, downwards, spring, lower spring are respectively positioned on slide fit spiral shell Set top, adjusting rod axially penetrates through spring, and pressure regulation swivel nut is set in lower spring, slide fit swivel nut upper end, and its upper end is slidably connected with adjusting rod, in bottom Wall sets screw thread, is threadedly coupled with slide fit swivel nut, and lower pressure regulation swivel nut outer wall sets screw thread, and top sets pressure regulation swivel nut, pressure regulation swivel nut and lower pressure regulation swivel nut screw thread Connection, adjusting rod radially sets catch spring pin, anti-rotation pin, and catch spring pin is fastenedly connected with adjusting rod, and adjusting rod is radially set to be adapted with anti-rotation pin Elongated hole, anti-rotation pin is fastenedly connected with slide fit swivel nut, and nature lower spring upper end is butted on pressure regulation swivel nut, and lower end is butted on catch spring pin, lower spring Upper end is butted on catch spring pin, and lower end is butted on lower pressure regulation swivel nut, and slide fit swivel nut outer wall, lower pressure regulation swivel nut outer wall set pressure scale table;
(j), elastic device can be set to 2 springs, and the form of the equal pressure-adjustable of adjusting rod is given upwards, downwards, and spring is located at outside slide fit swivel nut barrel, Extension spring is located in slide fit swivel nut barrel, and adjusting rod lower end axially sets the elongated slot being adapted with extension spring top, and adjusting rod bottom radially sets catch spring pin, prevented Revolve pin, adjusting rod and catch spring pin, anti-rotation pin fastener coordinate, pressure regulation pin is radially located at slide fit swivel nut, slide fit swivel nut barrel be radially arranged with The adaptable elongated hole of catch spring pin, anti-rotation pin, pressure regulation pin, axial length is more than radical length, and anti-rotation pin two ends set fixed cover, stop collar, Fixed cover, stop collar and slide fit swivel nut are slidably connected, and pressure regulation pin two ends set fixed cover, stop collar, and fixed cover, stop collar and slide fit swivel nut are slided Connection, extension spring upper and lower end sets circular hook, and upper end hook sleeve is on anti-rotation pin, and lower end hook sleeve is on pressure regulation pin, nature lower spring Upper end is butted on catch spring pin, and lower end is butted on below fixed cover, stop collar top, anti-rotation pin and sets positioning nut, positioning nut and slide fit swivel nut screw thread Lower section fixed cover, stop collar are butted on below connection, look nut, look nut is placed on slide fit swivel nut outer wall, and look nut connects with slide fit swivel nut screw thread Connect.
Adjusting rod (1), fix bar (6) they can be cylindric straight type solid hopkinson bar, can also be set to the cylindric arc solid hopkinson bar being adapted with bone, with Slide fit swivel nut (2) junction and above slipper are straight type;
A kind of elastic internal fixation system of orthopedics clinic practice, it includes any 1 or 2 above-mentioned pressure-adjustable hold-down bars, 2 or more than 2 The solid spike devices of single rod type, double stick type or anatomical form.
The solid spike devices of the single rod type are using one of following form:
(a), the solid spike devices of single rod type are set to be constituted by following closely block, bone screws admittedly, admittedly set on nail block parallel to solid nail block above and below solid rod hole and with Gu rod hole communicates, split nail block upper and lower part admittedly, the translot that about 2mm is high, and solid rod screw hole, bone screw, bone screw be set to 1 or More than 1, the bottom hole wall of bone screw sets screw thread, Gu rod screw hole, bone screw are vertical with nail block above and below admittedly, bone screws with following closely block admittedly Threaded connection, adjusting rod or fix bar can be fixed on solid nail block by tightening bone screws;
(b), the solid spike devices of single rod type are set to be constituted by following closely block, solid rod screw, bone screws admittedly, admittedly set on nail block parallel to solid nail block above and below Gu rod hole and communicated with solid rod hole, split nail block upper and lower part admittedly, the translot that about 2mm is high, and solid rod screw hole, bone screw, bone screw 1 or more than 1 is set to, the bottom hole wall being adapted with solid rod screw hole sets screw thread, admittedly nail block is connected with solid rod screw thread, tightens bone screws Adjusting rod or fix bar can be fixed on to solid nail block, bone screw can set screw thread, also not set screw thread, can also be set to one end and set screw thread, one end not set The elongated hole of screw thread;
(c), the solid spike devices of single rod type are constituted by following closely block, solid rod screw, bone screws admittedly:Set in solid nail block one end notch inwardly, under upper plane The groove of side, groove is adapted with adjusting rod or fix bar, and other end lower plane is convex to lower section, and solid rod screw hole, bone screw are set on solid nail block, Bone screw is set to 1 or more than 1, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, bone Screw hole can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
(d), the solid spike devices of single rod type are constituted by following closely block, solid rod screw, bone screws admittedly:Set in solid nail block one end notch inwardly, under upper plane The groove of side, groove is adapted with adjusting rod or fix bar, sets solid rod screw hole, bone screw on solid nail block, bone screw is set to 1 or 1 More than individual, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, bone screw can set screw thread, Screw thread is not set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
(e), the solid spike devices of single rod type are constituted by following closely block, solid rod screw, bone screws admittedly:Set in solid nail block one end notch inwardly, in upper plane The groove of side, groove is adapted with adjusting rod or fix bar, sets solid rod screw hole, bone screw on solid nail block, bone screw is set to 1 or 1 More than individual, Gu rod screw hole is located at groove upper wall, by it is interior it is upper outwards under oblique groove set, admittedly nail block is connected with rod screw thread admittedly, bone screw Screw thread can be set, screw thread is not also set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
(f), the solid spike devices of single rod type are constituted by following closely block, solid rod screw, bone screws admittedly:Set in solid nail block one end notch outwardly, in upper plane The groove of side, groove is adapted with adjusting rod or fix bar, sets solid rod screw hole, bone screw on solid nail block, bone screw is set to 1 or 1 More than individual, Gu rod screw hole is located at groove upper wall, by it is outside upper inwardly under oblique groove set, admittedly nail block is connected with rod screw thread admittedly, bone screw Screw thread can be set, screw thread is not also set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
(g), the solid spike devices of single rod type are set to be constituted by following closely block, bone screws admittedly, and the ditch of notch inwardly, above upper plane is set in solid nail block one end Groove, groove is adapted with adjusting rod or fix bar, and bone screw is set on solid nail block, and bone screws are threadedly coupled with nail block admittedly, and bone screw can also be set The elongated hole that screw thread, one end do not set screw thread is set for one end, bone screws tail end is adapted with adjusting rod or fix bar, tightening bone screws can be by adjusting rod or solid Fixed pole is fixed in solid nail block groove.
The solid spike devices of the double stick type are using one of following form:
(a), the solid spike devices of double stick type are set to be constituted by following closely block, bone screws admittedly, admittedly nail block two ends set 2 solid rods parallel to solid nail block above and below Hole and communicated with solid rod hole, split nail block upper and lower part admittedly, the translot that about 2mm is high, on fixed block plane set and bone screw, bone The bottom hole wall of screw hole sets screw thread, and bone screws are threadedly coupled with nail block admittedly, and adjusting rod or fix bar can be fixed on solid nail block by tightening bone screws;
(b), the solid spike devices of double stick type are set to be constituted by following closely block, solid rod screw, bone screws admittedly, admittedly nail block two ends are set parallel to solid nail block above and below 2 solid rod holes and communicate respectively with solid rod hole, split and follow closely block upper and lower part, the translot that about 2mm is high admittedly, notch outwardly, perpendicular to fixation Plane sets solid rod screw hole, bone screw on block, and bone screw is set to 1 or more than 1, Gu the bottom hole wall of rod screw hole sets screw thread, Gu rod Screw is threadedly coupled with nail block admittedly, and bone screw can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread, Adjusting rod or fix bar can be fixed on solid nail block by twisting fastening stick screw;
(c), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:Set at solid nail block two ends notch inwardly, under upper plane The groove of side, groove is adapted with adjusting rod or fix bar, and lower, planar is convex to admittedly being set in the middle of nail block, and solid rod screw hole, solid nail are set in groove upper wall Bone screw is set in the middle of block, bone screw is set to 1 or more than 1, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block with it is solid Rod screw thread is connected, and bone screw can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
(d), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:Set at solid nail block two ends notch inwardly, under upper plane The groove of side, groove is adapted with adjusting rod or fix bar, sets bone screw in the middle of solid nail block, bone screw is set to 1 or more than 1, Gu Rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, bone screw can set screw thread, also not set screw thread, Also one end can be set to and set the elongated hole that screw thread, one end do not set screw thread;
(e), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:2 notches are set in solid nail block one end to put down inwardly, positioned at upper Groove below face, groove and adjusting rod or fix bar are adapted, and bone screw is set in the solid nail block other end, bone screw be set to 1 or 1 with On, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, bone screw can set screw thread, also not set Screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
(f), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:Set in solid nail block one end 1 notch inwardly, the other end sets Outwardly, the groove below upper plane, groove is adapted 1 notch with adjusting rod or fix bar, and bone screw, murices are set in the middle of solid nail block Nail is set to 1 or more than 1, Gu rod screw hole one end by it is interior it is upper outwards under oblique groove set, the other end by it is outside upper it is lower in the diagonal set, Gu Nail block is connected with solid rod screw thread, and bone screw can set screw thread, also not set screw thread, can also be set to one end and set the length that screw thread, one end do not set screw thread Hole;
(g), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:Set at solid nail block two ends notch inwardly, in upper plane The groove of side, groove is adapted with adjusting rod or fix bar, sets bone screw in the middle of solid nail block, bone screw is set to 1 or more than 1, Gu Rod screw hole is located at groove upper wall, by it is interior it is upper outwards under oblique groove set, admittedly nail block is connected with rod screw thread admittedly, bone screw can set screw thread, Also screw thread can not be set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
(h), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:Set at solid nail block two ends notch outwardly, in upper plane The groove of side, groove is adapted with adjusting rod or fix bar, sets bone screw in the middle of solid nail block, bone screw is set to 1 or more than 1, Gu Rod screw hole is located at groove upper wall, by it is outside upper inwardly under oblique groove set, admittedly nail block is connected with rod screw thread admittedly, bone screw can set screw thread, Also screw thread can not be set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
(i), the solid spike devices of double stick type are set to be constituted by following closely block, bone screws admittedly, and the ditch of notch inwardly, above upper plane is set at solid nail block two ends Groove, groove is adapted with adjusting rod or fix bar, and bone screw is set in the middle of solid nail block, and bone screws are threadedly coupled with nail block admittedly, and bone screw also may be used Be set to one end and set the elongated hole that screw thread, one end do not set screw thread, bone screws tail end is adapted with adjusting rod or fix bar, tighten bone screws can by adjusting rod or Fix bar is fixed in solid nail block groove.
The solid spike devices of the anatomical form are made up of dissection plate, attachment means, solid rod screw etc., and dissection plate is set to and human limb long bone metaphysis Bone screw, bone reduction hole that the quantity being adapted with fixed position bone is not waited are set on the consistent metal bone fracture plate of skeletal form, dissection plate, Bone screws hole wall can set screw thread or not set screw thread, dissection plate have near end of thighbone dissect plate, dissection plate on the outside of distal femur, medial side of tibial plateau dissection plate, Plate, medial distal tibia are dissected on the outside of tibial plateau and dissects plate, distal fibular dissection plate, proximal humerus outside dissection plate, the dissection of distal humerus outside A variety of dissection plates such as dissection plate, olecroanon dissection plate, distal radius dorsal part dissection plate on the inside of plate, distal humerus, dissection plate is close to bone center-side If attachment means, the attachment means of any dissection plate can be set to that solid rod screw can be set in a variety of types of attachment, attachment means, for secured adjusted bar or Fix bar, attachment means are the dissection plate of single groove or 2 channel aways, and the head end of its groove can not set cell wall, can also set part cell wall or complete Close cell wall;
The attachment means of the further solid spike devices of the anatomical form are using one of following form:
(a), the solid spike devices of anatomical form are set to be made up of medial distal tibia dissection plate, solid rod screw, attachment means, and attachment means are remote in shin bone Dissection plate caudal part in end inner side sets groove of the notch towards side, positioned at dissection backboard side, and groove is adapted with adjusting rod or fix bar, groove dorsal part Cell wall sets the solid rod screw of oblique side channel wall, and adjusting rod or fix bar can be fixed on medial distal tibia dissection plate by twisting fastening stick screw;
(b), the solid spike devices of anatomical form are set to be made up of medial distal tibia dissection plate, attachment means, and attachment means are in medial distal tibia dissection Plate caudal part sets cylindrical screw bar, fixing nut, and threaded rod is threadedly coupled with the connection swivel nut set on adjusting rod or fix bar, and fixing nut can On the threaded rod that adjusting rod or fix bar are fixed on to medial distal tibia dissection plate;
(c), anatomical form is bound admittedly is set to medial distal tibia dissection plate and attachment means are set as integrated, and attachment means are in medial distal tibia solution Cut open plate caudal part and set threaded sleeve, threaded sleeve is threadedly coupled with the screw thread club shaped structure set on adjusting rod or fix bar, and fixing nut will can be adjusted Bar or fix bar are fixed on the threaded sleeve of medial distal tibia dissection plate;
(d), the solid spike devices of anatomical form are set to be made up of near end of thighbone dissection plate, solid rod screw, attachment means, and attachment means are near end of thighbone solution The both sides for cuing open plate caudal part set notch towards 2 grooves middle, positioned at dissection backboard side, and groove is adapted with adjusting rod or fix bar, the groove back of the body Side channel wall sets the solid rod screw of oblique side channel wall, and adjusting rod or fix bar can be fixed near end of thighbone dissection plate by twisting fastening stick screw;
(e), the solid spike devices of anatomical form are set to be made up of medial distal tibia dissection plate, solid rod screw, attachment means, and attachment means are remote in shin bone The both sides of end inner side dissection plate caudal part set notch towards 2 grooves middle, positioned at dissection backboard side, groove and solid rod screw tail end and adjusting rod Or fix bar is adapted, adjusting rod or fix bar can be fixed on medial distal tibia dissection plate by twisting fastening stick screw;
(f), the solid spike devices of anatomical form are set to be made up of medial side of tibial plateau dissection plate, solid rod screw, attachment means, and attachment means are flat in shin bone The both sides of dissection plate caudal part set 2 grooves of the notch towards outside, positioned at dissection backboard side on the inside of platform, and groove is adapted with adjusting rod or fix bar, Groove dorsal part cell wall sets solid rod screw, Gu rod screw head end is threadedly coupled with groove front side wall, adjusting rod or fix bar can be fixed by twisting fastening stick screw Plate is dissected in medial side of tibial plateau;
(g), the solid spike devices of anatomical form are set to be made up of distal femur inner side dissection plate, solid rod screw, attachment means, and attachment means are in femoral far The side of end inner side dissection plate caudal part sets groove of the notch towards inner side, positioned at dissection backboard side, and groove is adapted with adjusting rod or fix bar, ditch Groove dorsal part cell wall sets solid rod screw, Gu rod screw head end is threadedly coupled with groove front side wall, adjusting rod or fix bar can be fixed on by twisting fastening stick screw Dissection plate on the inside of distal femur;
(h), the solid spike devices of anatomical form are set to be made up of tibial plateau outside dissection plate, solid rod screw, attachment means, and attachment means are flat in shin bone 2 grooves of the notch towards outside, positioned at dissection backboard side are set on the outside of platform in the middle part of dissection plate caudal part, groove is adapted with adjusting rod or fix bar, Groove dorsal part cell wall sets the solid rod screw of oblique centre, and adjusting rod or fix bar can be fixed on dissection plate on the outside of tibial plateau by twisting fastening stick screw;
(i), the solid spike devices of anatomical form are set to be made up of proximal humerus dissection plate, solid rod screw, attachment means, and attachment means are in proximal humerus solution The side for cuing open plate caudal part sets groove of the notch towards opposite side, positioned at dissection backboard side, and groove is adapted with adjusting rod or fix bar, groove dorsal part Cell wall sets solid rod screw, Gu rod screw head end is threadedly coupled with groove front side wall, it is near that adjusting rod or fix bar can be fixed on humerus by stubborn fastening stick screw End dissection plate;
(g), the solid spike devices of anatomical form are set to be made up of tibial plateau outside dissection plate, solid rod screw, attachment means, dissection plate on the outside of tibial plateau Caudal part thickness increase, if 2 consistent with dissecting plate axial direction on the outside of tibial plateau are consolidated rod holes and communicated with solid rod hole, split outside tibial plateau Side dissection plate thickened section, about 2mm high translot, fixing screw hole, the depth of fixing screw hole are set dissecting plate thickened section on the outside of tibial plateau Portion's hole wall sets screw thread, and fixing screws are threadedly coupled with dissection plate on the outside of tibial plateau, and tightening bone screws can be by the outside of adjusting rod or fix bar tibial plateau Dissect plate;
(k), the solid spike devices of anatomical form are set to be made up of medial distal tibia dissection plate, solid rod screw, attachment means, and attachment means are remote in shin bone Dissection plate caudal part in end inner side sets groove of the notch towards side, positioned at dissection backboard side, and the remote center-side of groove sets totally-enclosed cell wall, stops adjusting rod Or fix bar is slided, groove is adapted with adjusting rod or fix bar, and groove dorsal part cell wall sets the solid rod screw of oblique side channel wall, and twisting fastening stick screw can Adjusting rod or fix bar are fixed on medial distal tibia dissection plate;
(1), the solid spike devices of anatomical form are set to be made up of proximal humerus dissection plate, solid rod screw, attachment means, and attachment means are in proximal humerus solution The side for cuing open plate caudal part sets groove of the notch towards opposite side, positioned at dissection backboard side, and the remote center-side of groove sets semiclosed cell wall, stop adjusting rod or Fix bar is slided, and groove is adapted with adjusting rod or fix bar, and groove dorsal part cell wall sets solid rod screw, Gu rod screw head end and groove front side wall screw thread Connection, adjusting rod or fix bar can be fixed on proximal humerus dissection plate by twisting fastening stick screw.
The elastic internal fixation system and pressure-adjustable hold-down bars of a kind of orthopedics clinic practice, using 1 or 2 above-mentioned pressure-adjustable hold-down bars, with 2 with The solid spike devices of upper single rod type, double stick type or anatomical form are combined into elastic internal fixation system.
Present invention firstly provides a kind of improved pressure regulation hold-down bars, then by pressure regulation hold-down bars and the solid spike devices of single rod type, double stick type or anatomical form Etc. being combined into above-mentioned elastic internal fixation system.The beneficial effects of the present invention are the following aspects:
First, the more original hold-down bars of the pressure regulation hold-down bars of the elastic internal fixation system of the adjustable pressure of the present invention compares, several in terms of main-body structure Redesign completely, from original simple pitman, be changed to adjusting rod, slide swivel nut, it is elastic device, unidirectional and bidirectional pressure regulating device, solid The combination of fixed pole, this inching gear can reduce the stress shielding of spinal fixation system, it is to avoid osteoporosis, it is to avoid the fatigue fracture of hold-down bars.
Secondly, bidirectional pressure regulating device is more accurate, can be needed to realize pressure regulation up or down according to specific patient profiles, so as to easily and effectively realize The advantage of pressure regulation;
Finally, adjusting rod, fix bar can be set to the arcuation consistent with skeleton radian, reduce the pre-bending step of operation, and operation more facilitates;
To sum up, using the present invention elastic internal fixation system be fixed, bone under axial, by the bone screws on bone, adjusting rod and Fix bar upper and lower side, promotes adjusting rod to move down pressurization, elasticity of compression capsule or spring, due to adjusting rod can fine motion move down, drive therewith and control bone Folding bone also conducts stress, by fracture end stress, and fracture end poroma can be stimulated to generate, it is to avoid fracture end produces stress shielding.Work as fractured bones During by axial stress, can stimulate fracture end poroma generate, it is to avoid external fixing rack stress shielding formation osteoporosis, can accelerating bone healing speed, The generation of the intensity of increase healing sclerotin, the effectively disconnected rod of prevention fixing device.
Brief description of the drawings
The drawing of accompanying drawing is described as follows
Fig. 1 is pressure-adjustable hold-down bars I types structure, adjusting rod, slide fit swivel nut attachment structure I type structures, fix bar, slide fit swivel nut attachment structure I Type structural representation
Fig. 2 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure II type structural representations
Fig. 3 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure type III structural representation
Fig. 4 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure IV type structural representations
Fig. 5 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure V-structure schematic diagram
Fig. 6 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure VI type structural representations
Fig. 7 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure VII type structural representations
Fig. 8 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure II type structural representations
Fig. 9 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure type III structural representation
Figure 10 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure IV type structural representations
Figure 11 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure V-structure schematic diagram
Figure 12 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure VI type structural representations
Figure 13 is pressure-adjustable hold-down bars II types structure, limitation adjusting rod slip fixed structure I type structural representations
Figure 14 is that pressure-adjustable hold-down bars limitation adjusting rod slides fixed structure II type structural representations
Figure 15 is that pressure-adjustable hold-down bars limitation adjusting rod slides fixed structure type III structural representation
Figure 16 is that pressure-adjustable hold-down bars limitation adjusting rod slides fixed structure IV type structural representations
Figure 17 is pressure-adjustable hold-down bars type III structural representation
Figure 18 is pressure-adjustable hold-down bars IV type structural representations
Figure 19 is pressure-adjustable hold-down bars V-structure schematic diagram
Figure 20 is pressure-adjustable hold-down bars VI type structural representations
Figure 21 is pressure-adjustable hold-down bars VII type structural representations
Figure 22 is pressure-adjustable hold-down bars VIII type structural representations
Figure 23 is pressure-adjustable hold-down bars IX type structural representations
Figure 24 is pressure-adjustable hold-down bars X-type structural representation
Figure 25 is pressure-adjustable hold-down bars XI type structural representations
Figure 26 is pressure-adjustable hold-down bars XII type structural representations
Figure 27 is pressure-adjustable hold-down bars XIII type structural representations
Figure 28 is pressure-adjustable hold-down bars XIV type structural representations
Figure 29 is pressure-adjustable hold-down bars XV type structural representations
Figure 30 is pressure-adjustable hold-down bars XVI type structural representations
Figure 31 is pressure-adjustable hold-down bars XVII type structural representations
Figure 32 is the solid spike devices I type structural representations of single rod type
Figure 33 is the solid spike devices II type structural representations of single rod type
Figure 34 is the solid spike devices type III structural representation of single rod type
Figure 35 is the solid spike devices IV type structural representations of single rod type
Figure 36 is the solid spike devices V-structure schematic diagram of single rod type
Figure 37 is the solid spike devices VI type structural representations of single rod type
Figure 38 is the solid spike devices VII type structural representations of single rod type
Figure 39 is the solid spike devices I type structural representations of double stick type
Figure 40 is the solid spike devices II type structural representations of double stick type
Figure 41 is the solid spike devices type III structural representation of double stick type
Figure 42 is the solid spike devices IV type structural representations of double stick type
Figure 43 is the solid spike devices V-structure schematic diagram of double stick type
Figure 44 is the solid spike devices VI type structural representations of double stick type
Figure 45 is the solid spike devices VII type structural representations of double stick type
Figure 46 is the solid spike devices VIII type structural representations of double stick type
Figure 47 is the solid spike devices IX type structural representations of double stick type
Figure 48 is the solid spike devices I type structural representations of anatomical form
Figure 49 is the solid spike devices II type structural representations of anatomical form
Figure 50 is the solid spike devices type III structural representation of anatomical form
Figure 51 is the solid spike devices IV type structural representations of anatomical form
Figure 52 is the solid spike devices V-structure schematic diagram of anatomical form
Figure 53 is the solid spike devices VI type structural representations of anatomical form
Figure 54 is the solid spike devices VII type structural representations of anatomical form
Figure 55 is the solid spike devices VIII type structural representations of anatomical form
Figure 56 is the solid spike devices IX type structural representations of anatomical form
Figure 57 is the solid spike devices X-type structural representation of anatomical form
Figure 58 is the solid spike devices XI type structural representations of anatomical form
Figure 59 is the solid spike devices XII type structural representations of anatomical form
Figure 60 elasticity internal fixation system I type structural representations
Figure 61 elasticity internal fixation system II type structural representations
Figure 62 elasticity internal fixation system type III structural representations
Embodiment
Clear, complete description is carried out to the technical scheme in the embodiment of the present invention below in conjunction with the accompanying drawing of specification, it is clear that described embodiment Only be the present invention a part of embodiment, the embodiment being not all of, based on the embodiment in the present invention, those of ordinary skill in the art are not paying Go out the every other embodiment obtained under the premise of creative work, belong to the scope of protection of the invention.
1 or 2 pressure-adjustable hold-down bars and more than 2 single rod types, double stick type or the solid spike devices of anatomical form are combined into elastic internal fixation system.
Elastic internal fixation system generally comprises following structure:Adjusting rod (1), slide fit swivel nut (2), anti-rotation pin (3), spring (4), fastening Screw (5), fix bar (6), anti-rotation half bond (7), dive key (8), solid key pin nail (9), anticreep sleeve (10), pin for suppressing metal (11), Fastening jackscrew (12), pin for suppressing metal (13), fastening jackscrew (14), fastening jackscrew (15), stop nut (16), fastening jackscrew (17), limit Position sleeve pipe (18), trip bolt (19), spacing fixture block (20), fixed cover (21), pressure regulation pin (22), look nut (23), elastic capsule (24), elastic capsule base (25), stop collar (26), stop collar (27), fixed cover (28), it is anti-rotation pin (29), positioning nut (30), Look nut (31), extension spring (32), pressure regulation pin (33), fixed cover (34), stop collar (35), upper look nut (36), fixed cover (37), Raise pressing in pins (38), stop collar (39), lower spring (40), catch spring pin (41), up-regulation pressing in pins (42), pressure regulation swivel nut (43), gear Spring pin (44), lower pressure regulation swivel nut (45),
Bone screws (46), admittedly nail block (47), admittedly nail block (48), admittedly rod screw (49), admittedly nail block (50), admittedly nail block (51), admittedly nail block (52), Admittedly follow closely block (53), admittedly nail block (54), admittedly nail block (55), admittedly nail block (56), admittedly nail block (57), admittedly nail block (58), admittedly nail block (59), Admittedly follow closely block (60), admittedly nail block (61), admittedly nail block (62), admittedly nail block (63), medial distal tibia dissection plate (64), medial distal tibia solution Cut open plate (65), fixing nut (66), medial distal tibia dissection plate (67), near end of thighbone dissection plate (68), medial distal tibia dissection plate (69), Medial side of tibial plateau dissection plate (70), dissection plate (71) on the inside of distal femur, dissection plate (72) on the outside of tibial plateau, proximal humerus dissection plate (73), Dissection plate (74) on the outside of tibial plateau, medial distal tibia dissection plate (75), proximal humerus dissection plate (76),
Wherein, adjusting rod (1) and fix bar (6) are cylindric solid hopkinson bar, and solid hopkinson bar is set to smooth surface, can also be set on solid hopkinson bar surface straight burr or Decorative pattern, adjusting rod (1) bottom is radially set up defences rotation pin hole, and anti-rotation pin hole axial length is more than radical length, and it is flat that fix bar (6) top sets one Face, it is corresponding with trip bolt (5);
Slide fit swivel nut (2) is set as that upper and lower part internal diameter is identical, and slide fit swivel nut (2) upper inside wall and the bottom outer wall of adjusting rod (1) are slidably matched, The external wall of upper portion of slide fit swivel nut (2) lower inner wall and fix bar (6) is slidably matched, and elastic device is arranged on adjusting rod (1) and fix bar (6) Between;Wherein,
Slide fit swivel nut (2) top is radially arranged anti-rotation pin (3), is adapted with the anti-rotation pin hole that adjusting rod (1) bottom is set, and prevents from adjusting Pole (1) horizontal direction rotates, and slide fit swivel nut (2) bottom is radially arranged trip bolt (5), and trip bolt (5) screws in and is against fix bar (6) Plane set by external wall of upper portion, prevents fix bar (6) from rotating and move up and down relative to slide fit swivel nut (2) horizontal direction;
As a kind of preferred embodiment of elastic device, elastic device is made up of spring (4) or elastic capsule (24), and spring (4) is placed in Between adjusting rod (1) and fix bar (6);Elastic capsule (24) is placed between adjusting rod (1) and elastic capsule base (25);
As the further setting of the sliding connecting device between adjusting rod (1) and slide fit swivel nut (2), adjusting rod (1) and slide fit swivel nut (2) Between be slidably connected and be set to:2 cylindrical key pins (7) are radially arranged on slide fit swivel nut (2) tube wall, are set with adjusting rod (1) bottom The anti-rotation pin hole put is slidably matched;
As the further setting of the sliding connecting device between adjusting rod (1) and slide fit swivel nut (2), adjusting rod (1) and slide fit swivel nut (2) Between be slidably connected and be set to:1 cylindrical key pin (7) is radially arranged on slide fit swivel nut (2) tube wall, is set with adjusting rod (1) bottom The anti-rotation pin hole put is slidably matched;
As the further setting of the sliding connecting device between adjusting rod (1) and slide fit swivel nut (2), adjusting rod (1) and slide fit swivel nut (2) Between be slidably connected and be set to the anti-rotation of dive key (8), set in slide fit swivel nut (2) upper inside wall and adjusting rod (1) bottom outer wall with being oriented to Flat key (8) corresponding keyway, the dive key keyway that adjusting rod (1) bottom outer wall is set is slightly long compared with dive key (8), dive key (8) It is fastenedly connected with slide fit swivel nut (2) with solid key pin nail (9);
As the further setting of the sliding connecting device between adjusting rod (1) and slide fit swivel nut (2), adjusting rod (1) and slide fit swivel nut (2) Between be slidably connected and be set to:Adjusting rod (1) lower end sets cylindrical outer diameter augmenting portion, and augmenting portion external diameter sets an anti-rotation plane, slide fit swivel nut (2) nozzle is set to small compared with cylinder internal diameter on, and upper nozzle is slidably connected with adjusting rod (1), and slide fit swivel nut (2) upper inside wall sets a convex plane, Coordinate with planar slide set by adjusting rod (1) lower end, prevent from rotating in adjusting rod (1) horizontal direction;
As the further setting of the sliding connecting device between adjusting rod (1) and slide fit swivel nut (2), adjusting rod (1) and slide fit swivel nut (2) Between be slidably connected and be set to:Nozzle is set to small compared with cylinder internal diameter on slide fit swivel nut (2), and upper nozzle is slidably connected with adjusting rod (1), slide fit spiral shell Set (2) upper inside wall sets a convex plane, and adjusting rod (1) lower end is set up defences cylinder (10) of press-offing, with pin for suppressing metal (11) by anticreep sleeve (10) It is fastenedly connected with adjusting rod (1), anticreep sleeve (10) outer wall sets a plane, sets plane to be engaged with slide fit swivel nut (2) upper inside wall;
As the further setting of the sliding connecting device between adjusting rod (1) and slide fit swivel nut (2), adjusting rod (1) and slide fit swivel nut (2) Between be slidably connected and be set to:Nozzle is set to small compared with cylinder internal diameter on slide fit swivel nut (2), and upper nozzle is slidably connected with adjusting rod (1), slide fit spiral shell Set (2) upper inside wall sets a convex plane, and adjusting rod (1) lower end is set up defences cylinder (10) of press-offing, and is cylindrical tube shape, will with fastening jackscrew (12) Anticreep sleeve (10) is fastenedly connected with adjusting rod (1), and anticreep sleeve (10) outer wall sets a plane, is set with slide fit swivel nut (2) upper inside wall Plane is engaged;
As the further improvement of the attachment structure between slide fit swivel nut (2) and fix bar (6), between fix bar (6) and slide fit swivel nut (2) Bindiny mechanism is specifically configured to:Fix bar (6) top is fastenedly connected with slide fit swivel nut (2) bottom with pin for suppressing metal (13);
As the further improvement of the attachment structure between slide fit swivel nut (2) and fix bar (6), between fix bar (6) and slide fit swivel nut (2) Bindiny mechanism is specifically configured to:Fix bar (6) upper end sets cylindric diameter-increasing portion, is cylindrical in shape structure, inwall sets screw thread, itself and slide fit It is threadedly coupled between swivel nut (2);
As the further improvement of the attachment structure between slide fit swivel nut (2) and fix bar (6), between fix bar (6) and slide fit swivel nut (2) Bindiny mechanism is specifically configured to:Fix bar (6) upper end sets and sets screwed hole on cylindric diameter-increasing portion, side wall, itself and slide fit swivel nut (2) Between be fastenedly connected with fastening jackscrew (14);
As the further improvement of the attachment structure between slide fit swivel nut (2) and fix bar (6), between fix bar (6) and slide fit swivel nut (2) Bindiny mechanism is specifically configured to:Fix bar (6) upper end sets cylindric diameter-increasing portion, and it is between slide fit swivel nut (2) with pin for suppressing metal (13) It is fastenedly connected;
As the further improvement of the attachment structure between slide fit swivel nut (2) and fix bar (6), between fix bar (6) and slide fit swivel nut (2) Bindiny mechanism is specifically configured to:Fix bar (6) is set to one with slide fit swivel nut (2), and fix bar (6) top sets cylindric enlarged diameter portion Point, it is cylindrical in shape structure;
Can restriction adjusting rod (1) slide fixed structure be set to:In slide fit swivel nut (2), upper portion side wall sets fastening jackscrew (15), with slide fit spiral shell The connection of (2) sidewall thread is covered, screw-in is against adjusting rod (1) outer wall, and limitation adjusting rod (1) is slided;
The further improvement of the fixed structure slided as limitation adjusting rod (1), sets on adjusting rod (1) outer wall of slide fit swivel nut (2) upper end Stop nut (16), stop nut (16) inwall sets screw thread, is threadedly coupled with adjusting rod (1);
The further improvement of the fixed structure slided as limitation adjusting rod (1), sets on adjusting rod (1) outer wall of slide fit swivel nut (2) upper end Limit casing (18), is fastenedly connected between limit casing (18) and adjusting rod (1) with fastening jackscrew (17);
The further improvement of the fixed structure slided as limitation adjusting rod (1), sets on adjusting rod (1) outer wall of slide fit swivel nut (2) upper end Spacing fixture block (20), spacing fixture block (20) one end axially sets and sets high 2mm and circular hole in the middle of the circular hole being slidably matched with adjusting rod (1), the other end Screwed hole is set on the gap communicated and trip bolt (19), the spacing fixture block of trip bolt (19) head end, screwing trip bolt (19) will can limit Position fixture block (20) is fixed on adjusting rod (1);
Regulator can be set on slide fit swivel nut (2) cylinder, regulator is specifically configured to:Regulator is by pressure regulation pin (22), fixed cover (21), look nut (23) is constituted, when elastic device is elastic capsule (24), if elastic capsule base (25), pressure regulation pin (22) is located at Below spring (4) or elastic capsule base (25), elastic capsule base (25) is located at below elastic capsule (24);Fixed cover (21) is located at Outside slide fit swivel nut (2) barrel, it is slidably connected, its radial direction sets 2 circular holes, is fastenedly connected with pressure regulation pin (22) with slide fit swivel nut (2);It is sliding Screw thread is set with swivel nut (2) outer wall, pressure regulation pin hole is radially set, look nut (23) inwall is threadedly coupled with slide fit swivel nut (2), slide fit swivel nut (2) Outer wall sets pressure scale table;
As the further improvement of regulator, regulator is specifically configured to:Regulator is by pressure regulation pin (22), fixed cover (21), limit Position set (26) composition, stop collar (26) is located at fixed cover (21) outside, is interference fitted with fixed cover (21), fixed cover (21), stop collar (26) It is slidably matched with slide fit swivel nut (2), spring (4) is set to be placed on below adjusting rod (1), and lower end is butted on pressure regulation pin (22), slide fit swivel nut (2) Upper barrel internal diameter is small, and lower barrel internal diameter is big, on the step that the setting of slide fit swivel nut (2) inwall is butted under the nature of spring (4) upper end, fix bar (6) top sets cylindric diameter-increasing portion, coordinates with slide fit swivel nut (2) lower slide, and slide fit swivel nut (2) outer wall sets pressure scale table;
As the further improvement of regulator, regulator is specifically configured to:Pressure regulation pin (22) is set to extend radially through under adjusting rod (1) Anti- rotation pin (3) and anti-rotation pin hole are not provided with below side, adjusting rod (1), regulator is by pressure regulation pin (22), fixed cover (21), limit Position set (26) composition, spring (4) is set to be placed on below adjusting rod (1), and lower end is butted on barrel on pressure regulation pin (22), slide fit swivel nut (2) Internal diameter is small, and lower barrel internal diameter is big, on the step that the setting of slide fit swivel nut (2) inwall is butted under the nature of spring (4) upper end, fix bar (6) Top sets cylindric diameter-increasing portion, coordinates with slide fit swivel nut (2) lower slide, and slide fit swivel nut (2) outer wall sets pressure scale table;
As the further improvement of regulator, regulator is specifically configured to:Pressure regulation pin (22) is set to extend radially through under adjusting rod (1) Side, regulator is made up of pressure regulation pin (22), fixed cover (21), stop collar (26), and spring (4) is set to be placed on slide fit swivel nut (2) outside Wall, lower end is butted on pressure regulation pin (22), and slide fit swivel nut (2) is set to barrel external diameter greatly, and lower barrel external diameter is small, spring (4) upper end nature shape On the step that the setting of slide fit swivel nut (2) outer wall is butted under state, slide fit swivel nut (2) outer wall sets pressure scale table;
Further, regulator, elastic device can be set to upward, give adjusting rod (1) downwards pressure-adjustable form, be specifically configured to: Elastic device is set to extension spring (32), in slide fit swivel nut (2) barrel, is slidably connected with slide fit swivel nut (2), and adjusting rod (1) bottom is set up defences Pin (29), adjusting rod (1) and anti-rotation pin (29) immovable fitting are revolved, adjusting rod (1) lower end is axially set mutually fits with extension spring (32) top The elongated slot answered, anti-rotation pin (29) two ends set fixed cover (28), stop collar (27), fixed cover (28), stop collar (27) and slide fit swivel nut (2) It is slidably connected, positioning nut (30) is set below anti-rotation pin (29), positioning nut (30) is threadedly coupled with slide fit swivel nut (2), slide fit swivel nut (2) barrel sets the anti-rotation pin hole adaptable with anti-rotation pin (29), and axial length is more than radical length, and above tuning a nut (30) can push away Dynamic fixed cover (28), stop collar (27), anti-rotation pin (29), adjusting rod (1) are integrally moved up, and extension spring (32) upper and lower end sets circular hook, Upper end hook sleeve on anti-rotation pin (29), lower end hook sleeve on pressure regulation pin (33), pressure regulation pin (33) two ends set fixed cover (34), Stop collar (35), fixed cover (34), stop collar (35) are slidably connected with slide fit swivel nut (2), and look nut (31) is set above stop collar (35), Fixed cover (34), stop collar (35) are butted on below look nut (31), look nut (31) is placed on slide fit swivel nut (2) outer wall, look nut (31) it is threadedly coupled with slide fit swivel nut (2), slide fit swivel nut (2) barrel sets the pressure regulation pin hole being adapted with pressure regulation pin (33), axially long Degree is more than radical length, and backspin look nut (31) can be driven under fixed cover (34), stop collar (35), pressure regulation pin (33), extension spring (32) Move;Slide fit swivel nut (2) outer wall sets pressure scale table;
As the further improvement of the regulator of bidirectional pressure regulating, elastic device, regulator is specifically configured to:Spring (4) is located at slide fit spiral shell Cover in (2) barrel, adjusting rod (1) bottom axially penetrates through spring (4), adjusting rod (1) bottom sets pressure regulation pin (22), up-regulation pressing in pins (38), Adjusting rod (1) bottom radially sets the elongated hole adaptable with up-regulation pressing in pins (38), and up-regulation pressing in pins (38) extends radially through adjusting rod (1), on Pressure regulation pin (38) two ends set fixed cover (37), stop collar (39) respectively, and pressure regulation pin (22) extends radially through adjusting rod (1), with adjusting rod (1) it is fastenedly connected, pressure regulation pin (22) two ends set fixed cover (21), stop collar (26) respectively, slide fit swivel nut (2) barrel peripheral hardware screw thread, It is radially arranged in the elongated hole adaptable with pressure regulation pin (22), up-regulation pressing in pins (38), slide fit swivel nut (2) top barrel through being more than bottom barrel Internal diameter, fix bar (6) top is that cylindrical diameter becomes most of, is slidably matched with slide fit swivel nut (2) lower inner wall, slide fit swivel nut (2) cylinder Wall peripheral voltage regulation nut (23), upper look nut (36), look nut (23) upper end are butted on fixed cover (21), stop collar (26) lower end, on Look nut (36) lower end is butted on fixed cover (37), stop collar (39) upper end, and slide fit swivel nut (2) outer wall sets pressure scale table;
As the further improvement of the regulator of bidirectional pressure regulating, elastic device, it is specifically configured to:Spring (4) is located at slide fit swivel nut (2) barrel Outside, adjusting rod (1) bottom sets pressure regulation pin (22), up-regulation pressing in pins (38), and adjusting rod (1) bottom is radially set and up-regulation pressing in pins (38) Adaptable elongated hole, up-regulation pressing in pins (38) extends radially through adjusting rod (1), and pressure regulation pin (38) two ends set fixed cover (37), stop collar respectively (39), pressure regulation pin (22) extends radially through adjusting rod (1), is fastenedly connected with adjusting rod (1), and two ends set fixed cover (21), stop collar respectively (26), slide fit swivel nut (2) barrel peripheral hardware screw thread, is radially arranged the elongated hole adaptable with pressure regulation pin (22), up-regulation pressing in pins (38), sliding With swivel nut (2) barrel peripheral voltage regulation nut (23), upper look nut (36), look nut (23) upper end is butted on fixed cover (21), stop collar (26) lower end, upper look nut (36) lower end is butted on fixed cover (37), stop collar (39) upper end, and slide fit swivel nut (2) outer wall sets pressure quarter Spend table;
As the further improvement of the regulator of bidirectional pressure regulating, elastic device, it is specifically configured to:Spring (4) is located at slide fit swivel nut (2) barrel Interior, adjusting rod (1) bottom axially penetrates through spring (4), and adjusting rod (1) bottom radially sets pressure regulation pin (22), up-regulation pressing in pins (38), footpath To the elongated hole adaptable with pressure regulation pin (22), up-regulation pressing in pins (38) is set respectively, axial length is more than radical length, up-regulation pressing in pins (38) Two ends set fixed cover (37), stop collar (39), and pressure regulation pin (22) two ends set fixed cover (21), stop collar (26), slide fit swivel nut (2) respectively Barrel peripheral hardware screw thread, is radially arranged in the elongated hole adaptable with pressure regulation pin (22), up-regulation pressing in pins (38), slide fit swivel nut (2) top barrel Through more than bottom barrel internal diameter, fix bar (6) top is that cylindrical diameter becomes most of, is slidably matched with slide fit swivel nut (2) lower inner wall, Slide fit swivel nut (2) barrel peripheral voltage regulation nut (23), upper look nut (36), look nut (23) upper end is butted on fixed cover (21), spacing (26) lower end is covered, upper look nut (36) lower end is butted on fixed cover (37), stop collar (39) upper end, and slide fit swivel nut (2) outer wall sets pressure Graduation apparatus;
As the further improvement of the regulator of bidirectional pressure regulating, elastic device, it is specifically configured to:Spring (4) is located at slide fit swivel nut (2) barrel Outside, adjusting rod (1) bottom radially sets pressure regulation pin (22), pressure regulation pin (38), radially sets respectively and pressure regulation pin (22), up-regulation pressing in pins (38) adaptable elongated hole, up-regulation pressing in pins (38) two ends set fixed cover (37), stop collar (39), pressure regulation pin (22) two ends point respectively Fixed cover (21), stop collar (26) are not set, and slide fit swivel nut (2) barrel peripheral hardware screw thread is radially arranged and pressure regulation pin (22), up-regulation pressing in pins (38) adaptable elongated hole, slide fit swivel nut (2) barrel peripheral voltage regulation nut (23), upper look nut (36), look nut (23) upper end Fixed cover (21), stop collar (26) lower end are butted on, upper look nut (36) lower end is butted on fixed cover (37), stop collar (39) upper end, slide fit Swivel nut (2) outer wall sets pressure scale table;
As the further improvement of the regulator of bidirectional pressure regulating, elastic device, elastic device can be set to 2 springs, be specifically configured to:Elasticity dress Install as 2 springs, the form of adjusting rod (1) pressure-adjustable given upwards, downwards, spring (4) is located in slide fit swivel nut (2) barrel, Adjusting rod (1) bottom axially penetrates through spring (4), and adjusting rod (1) bottom radially sets up-regulation pressing in pins (38), catch spring pin (41), radially set The adaptable elongated hole with up-regulation pressing in pins (38), up-regulation pressing in pins (38) two ends set fixed cover (37), stop collar (39), catch spring pin respectively (41) adjusting rod (1) is extended radially through, is fastenedly connected with adjusting rod (1), nature lower spring (4) upper end is butted on up-regulation pressing in pins (38), Lower end is butted on catch spring pin (41), and lower spring (40) is located in slide fit swivel nut (2) barrel, and pressure regulation pin (22) extends radially through slide fit swivel nut (2) Barrel, two ends set lower spring (40) upper end under fixed cover (21), stop collar (26), nature and are butted on catch spring pin (41) respectively, and lower end is supported In pressure regulation pin (22), slide fit swivel nut (2) barrel peripheral hardware screw thread is radially arranged and pressure regulation pin (22), up-regulation pressing in pins (38), catch spring pin Follow closely through being more than bottom barrel internal diameter in (41) adaptable elongated hole, slide fit swivel nut (2) top barrel, fix bar (6) top is cylindrical straight Footpath becomes most of, is slidably matched with slide fit swivel nut (2) lower inner wall, slide fit swivel nut (2) barrel peripheral voltage regulation nut (23), upper look nut (36), look nut (23) upper end is butted on fixed cover (21), stop collar (26) lower end, upper look nut (36) lower end be butted on fixed cover (37), Stop collar (39) upper end, slide fit swivel nut (2) outer wall sets pressure scale table;
As the further improvement of the regulator of bidirectional pressure regulating, elastic device, elastic device can be set to 2 springs, be specifically configured to:Elasticity dress Install as 2 springs, the form of adjusting rod (1) pressure-adjustable is given upwards, downwards, spring (4), lower spring (40) are respectively positioned on slide fit spiral shell Cover outside (2) barrel, adjusting rod (1) axially penetrates through spring (4), lower spring (40), adjusting rod (1) bottom radially set up defences rotation pin (3), Catch spring pin (41), adjusting rod (1) radially sets the elongated hole adaptable with anti-rotation pin (3), and axial length is more than radical length, anti-rotation pin (3) it is fastenedly connected, catch spring pin (41) extends radially through adjusting rod (1), is fastenedly connected with adjusting rod (1), slide fit with slide fit swivel nut (2) Swivel nut (2) radially sets the elongated hole being adapted with catch spring pin (41), and axial length is more than radical length, slide fit swivel nut (2) barrel peripheral voltage regulation Nut (23), upper look nut (36), are threadedly coupled with slide fit swivel nut (2), and nature lower spring (4) upper end is butted on look nut (36), Lower end is butted on catch spring pin (41), and lower spring (40) upper end is butted on catch spring pin (41), and lower end is butted on look nut (23), above tunes pressure spiral shell Female (23), can drive catch spring pin (41) to move up, give adjusting rod (1) upward active force, look nut (36) on backspin can drive Catch spring pin (41) is moved down, and gives adjusting rod (1) downward active force, and slide fit swivel nut (2) outer wall sets pressure scale table, and pressure can be carried out Accurate adjustment;
As the further improvement of the regulator of bidirectional pressure regulating, elastic device, elastic device can be set to 2 springs, be specifically configured to:Elasticity dress Install as 2 springs, the form of adjusting rod (1) pressure-adjustable is given upwards, downwards, spring (4) is located above slide fit swivel nut (2), adjusts Pole (1) axially penetrates through spring (4), and lower spring (40) is located at outside slide fit swivel nut (2) barrel, and slide fit swivel nut (2) axially penetrates through lower spring (40), slide fit swivel nut (2) upper end sets pressure regulation swivel nut (43), and its upper end is slidably connected with adjusting rod (1), and lower inner wall sets screw thread, with slide fit Swivel nut (2) is threadedly coupled, and pressure regulation swivel nut (43) upper portion side wall sets fastening jackscrew (15), is threadedly coupled with pressure regulation swivel nut (43), and screw-in is against tune Pole (1) outer wall, limitation adjusting rod (1) slide, adjusting rod (1) from top to bottom radially set up-regulation pressing in pins (42), it is anti-rotation pin (3), Pressure regulation pin (22), adjusting rod (1) radially sets the elongated hole adaptable with anti-rotation pin (3), and axial length is more than radical length, anti-rotation pin (3) it is fastenedly connected with slide fit swivel nut (2), up-regulation pressing in pins (42), pressure regulation pin (22) are fastenedly connected with adjusting rod (1), slide fit swivel nut (2) elongated hole being adapted with pressure regulation pin (22) is radially set, axial length is more than radical length, slide fit swivel nut (2) barrel peripheral voltage regulation nut (23), it is threadedly coupled with slide fit swivel nut (2), nature lower spring (4) upper end is butted on pressure regulation swivel nut (43), and lower end is butted on up-regulation pressing in pins (42), lower spring (40) upper end is butted on pressure regulation pin (22), and lower end is butted on look nut (23), and slide fit swivel nut (2) outer wall sets pressure scale Table;
As the further improvement of the regulator of bidirectional pressure regulating, elastic device, elastic device can be set to 2 springs, be specifically configured to:Elasticity dress Install as 2 springs, the form of adjusting rod (1) pressure-adjustable is given upwards, downwards, spring (4), lower spring (40) are respectively positioned on slide fit spiral shell Cover above (2), adjusting rod (1) axially penetrates through spring (4), and pressure regulation swivel nut (45) is set in lower spring (40), slide fit swivel nut (2) upper end, Its upper end is slidably connected with adjusting rod (1), and lower inner wall sets screw thread, is threadedly coupled with slide fit swivel nut (2), and lower pressure regulation swivel nut (45) outer wall is set Screw thread, top sets pressure regulation swivel nut (43), and pressure regulation swivel nut (43) is threadedly coupled with lower pressure regulation swivel nut (45), and adjusting rod (1) radially sets catch spring pin (44), anti-rotation pin (3) are followed closely, catch spring pin (44) is fastenedly connected with adjusting rod (1), adjusting rod (1) is radially set and anti-rotation pin (3) Adaptable elongated hole, anti-rotation pin (3) is fastenedly connected with slide fit swivel nut (2), and nature lower spring (4) upper end is butted on pressure regulation swivel nut (43), Lower end is butted on catch spring pin (44), and lower spring (40) upper end is butted on catch spring pin (44), and lower end is butted on lower pressure regulation swivel nut (45), slide fit swivel nut (2) outer wall, lower pressure regulation swivel nut (45) outer wall set pressure scale table;
As the further improvement of the regulator of bidirectional pressure regulating, elastic device, elastic device is set to 2 springs, is specifically configured to:Elastic device 2 springs can be set to, the form of adjusting rod (1) pressure-adjustable is given upwards, downwards, spring (4) is located at outside slide fit swivel nut (2) barrel, Extension spring (32) is located in slide fit swivel nut (2) barrel, and adjusting rod (1) lower end axially sets the elongated slot being adapted with extension spring (32) top, adjusting rod (1) bottom, which is radially set up defences, revolves pin (29), catch spring pin (41), and adjusting rod (1) is fastened with anti-rotation pin (29), catch spring pin (41) Coordinate, pressure regulation pin (33) is radially located at slide fit swivel nut (2), slide fit swivel nut (2) barrel is radially arranged and catch spring pin (41), anti-rotation pin (29), the adaptable elongated hole of pressure regulation pin (33), axial length is more than radical length, and anti-rotation pin (29) two ends set fixed cover (28), limit Position set (27), fixed cover (28), stop collar (27) be slidably connected with slide fit swivel nut (2), pressure regulation pin (33) two ends set fixed cover (34), Stop collar (35), fixed cover (34), stop collar (35) are slidably connected with slide fit swivel nut (2), and extension spring (32) upper and lower end sets circular hook, Upper end hook sleeve is on anti-rotation pin (29), and lower end hook sleeve is on pressure regulation pin (33), and nature lower spring (4) upper end is butted on catch spring Pin (41), lower end is butted on below fixed cover (28), stop collar (27) top, anti-rotation pin (29) and sets positioning nut (30), nut of transposing (30) it is threadedly coupled with slide fit swivel nut (2), fixed cover (34), stop collar (35), look nut (31) is butted on below look nut (31) Slide fit swivel nut (2) outer wall is placed on, look nut (31) is threadedly coupled with slide fit swivel nut (2), slide fit swivel nut (2) outer wall sets pressure scale table;
Adjusting rod (1), fix bar (6) they can be cylindric straight type solid hopkinson bar, can also be set to the cylindric arc solid hopkinson bar being adapted with bone, with Slide fit swivel nut (2) junction and above slipper are straight type;
Gu spike devices are set to single rod type, double stick type, three kinds of forms of anatomical form, Gu spike devices are constituted by following closely block, solid rod screw, bone screws etc. admittedly, Gu Rod screw, bone screws can be also set to while having solid rod screw, the bone screws form of bone screws function;
The solid spike devices of single rod type are set to constitute by following closely block (47), bone screws (46) admittedly, admittedly set on nail block (47) parallel to it is solid follow closely on block (47), Following solid rod hole and communicated with solid rod hole, split nail block (47) upper and lower part, the translot that about 2mm is high admittedly, and solid rod screw hole, bone screws Hole, bone screw is set to 1 or more than 1, and the bottom hole wall of bone screw sets screw thread, Gu rod screw hole, bone screw and nail block (47) admittedly Above and below is vertical, and bone screws (46) are threadedly coupled with nail block (47) admittedly, and tightening bone screws (46) can be by adjusting rod (1) or fix bar (6) It is fixed on solid nail block (47);
The further solid spike devices of single rod type are set to be constituted by following closely block (48), solid rod screw (49), bone screws (46) admittedly, admittedly on nail block (48) If being communicated parallel to the solid solid rod hole for following closely block (48) above and below and with solid rod hole, splitting nail block (48) upper and lower part, the horizontal stroke that about 2mm is high admittedly Groove, and solid rod screw hole, bone screw, bone screw are set to 1 or more than 1, and the bottom hole wall being adapted with solid rod screw hole sets screw thread, Admittedly nail block (48) is threadedly coupled with solid rod screw (49), solid nail can be fixed on by adjusting rod (1) or fix bar (6) by tightening bone screws (46) Block (48), bone screw can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
The further solid spike devices of single rod type are constituted by following closely block (50), solid rod screw (49), bone screws (46) admittedly:In solid nail block (50) one end If the groove of notch inwardly, below upper plane, groove is adapted with adjusting rod (1) or fix bar (6), and other end lower plane is convex to lower section, Solid rod screw hole, bone screw are set on solid nail block (50), bone screw is set to 1 or more than 1, Gu rod screw hole is by interior upper outwards oblique Set to groove, admittedly nail block (50) is threadedly coupled with solid rod screw (49), bone screw can set screw thread, also not set screw thread, can also be set to one End sets the elongated hole that screw thread, one end do not set screw thread;
The further solid spike devices of single rod type are constituted by following closely block (51), solid rod screw (49), bone screws (46) admittedly:In solid nail block (51) one end If the groove of notch inwardly, below upper plane, groove is adapted with adjusting rod (1) or fix bar (6), sets solid on solid nail block (51) Rod screw hole, bone screw, bone screw are set to 1 or more than 1, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block (51) It is threadedly coupled with solid rod screw (49), bone screw can set screw thread, also not set screw thread, can be also set to one end and sets screw thread, one end not set screw thread Elongated hole;
The further solid spike devices of single rod type are constituted by following closely block (52), solid rod screw (49), bone screws (46) admittedly:In solid nail block (52) one end If the groove of notch inwardly, above upper plane, groove is adapted with adjusting rod (1) or fix bar (6), sets solid on solid nail block (52) Rod screw hole, bone screw, bone screw are set to 1 or more than 1, Gu rod screw hole be located at groove upper wall, by it is interior it is upper outwards under oblique groove Set, admittedly nail block (52) is threadedly coupled with solid rod screw (49), bone screw can set screw thread, also not set screw thread, can also be set to one end and set spiral shell Line, one end do not set the elongated hole of screw thread;
The further solid spike devices of single rod type are constituted by following closely block (53), solid rod screw (49), bone screws (46) admittedly:In solid nail block (53) one end If the groove of notch outwardly, above upper plane, groove is adapted with adjusting rod (1) or fix bar (6), sets solid on solid nail block (53) Rod screw hole, bone screw, bone screw are set to 1 or more than 1, Gu rod screw hole be located at groove upper wall, by it is outside upper inwardly under oblique groove Set, admittedly nail block (53) is threadedly coupled with solid rod screw (49), bone screw can set screw thread, also not set screw thread, can also be set to one end and set spiral shell Line, one end do not set the elongated hole of screw thread;
The further solid spike devices of single rod type are set to constitute by following closely block (54), bone screws (46) admittedly, it is solid follow closely block (54) one end set notch inwardly, Groove above upper plane, groove is adapted with adjusting rod (1) or fix bar (6), and bone screw, murices are set on solid nail block (54) Nail (46) is threadedly coupled with nail block (54) admittedly, and bone screw can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread, bone screws (46) Tail end is adapted with adjusting rod (1) or fix bar (6), and solid nail can be fixed on by adjusting rod (1) or fix bar (6) by tightening bone screws (46) In block (54) groove;
The solid spike devices of double stick type are set to be constituted by following closely block (55), bone screws (46) admittedly, admittedly nail block (55) two ends are set parallel to solid nail block (55) 2 of above and below consolidate rod hole and are communicated with solid rod hole, split nail block (55) upper and lower part, the translot that about 2mm is high admittedly, perpendicular to fixation Plane is set and bone screw on block (55), and the bottom hole wall of bone screw sets screw thread, and bone screws (46) are threadedly coupled with nail block (55) admittedly, twisted Adjusting rod (1) or fix bar (6) can be fixed on solid nail block (55) by tight bone screws (46);
The solid spike devices of double stick type are set to be constituted by following closely block (56), solid rod screw (49), bone screws (46) admittedly, admittedly nail block (56) two ends set parallel Communicated in the solid solid rod holes of nail 2 of block (56) above and below and respectively with solid rod hole, split follow closely admittedly block (56) upper and lower part, about 2mm it is high Translot, notch outwardly, on fixed block (56) plane set solid rod screw hole, bone screw, bone screw is set to 1 or more than 1, Gu the bottom hole wall of rod screw hole sets screw thread, Gu rod screw (49) is threadedly coupled with nail block (56) admittedly, bone screw can set screw thread, also not set Screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread, and twisting fastening stick screw (49) can be by adjusting rod (1) or fix bar (6) It is fixed on solid nail block (56);
The further solid spike devices of double stick type are constituted by following closely block (57), solid rod screw (49), bone screws (46) admittedly:At solid nail block (57) two ends If the groove of notch inwardly, below upper plane, groove is adapted with adjusting rod (1) or fix bar (6), admittedly set convex in the middle of nail block (57) Plane, sets in groove upper wall and sets bone screw in the middle of solid rod screw hole, admittedly nail block (57), bone screw is set to 1 or more than 1 downwards, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block (57) is threadedly coupled with consolidating rod screw (49), bone screw can set screw thread, Also screw thread can not be set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
The further solid spike devices of double stick type are constituted by following closely block (58), solid rod screw (49), bone screws (46) admittedly:At solid nail block (58) two ends If the groove of notch inwardly, below upper plane, groove is adapted with adjusting rod (1) or fix bar (6), is set in the middle of solid nail block (58) Bone screw, bone screw is set to 1 or more than 1, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block (58) and solid rod Screw (49) is threadedly coupled, and bone screw can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
The further solid spike devices of double stick type are constituted by following closely block (59), solid rod screw (49), bone screws (46) admittedly:In solid nail block (59) one end If the groove of 2 notches inwardly, below upper plane, groove is adapted with adjusting rod (1) or fix bar (6), another in solid nail block (59) One end sets bone screw, and bone screw is set to 1 or more than 1, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block (59) It is threadedly coupled with solid rod screw (49), bone screw can set screw thread, also not set screw thread, can be also set to one end and sets screw thread, one end not set screw thread Elongated hole;
The further solid spike devices of double stick type are constituted by following closely block (60), solid rod screw (49), bone screws (46) admittedly:In solid nail block (60) one end If 1 notch inwardly, the other end set 1 notch outwardly, the groove below upper plane, groove and adjusting rod (1) or fix bar (6) phase Adapt to, set bone screw in the middle of solid nail block (60), bone screw is set to 1 or more than 1, Gu rod screw hole one end is by interior upper outwards oblique Set to groove, the other end by it is outside upper it is lower in the diagonal set, admittedly nail block (60) is threadedly coupled with solid rod screw (49), bone screw can set screw thread, Also screw thread can not be set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
The further solid spike devices of double stick type are constituted by following closely block (61), solid rod screw (49), bone screws (46) admittedly:At solid nail block (61) two ends If the groove of notch inwardly, above upper plane, groove is adapted with adjusting rod (1) or fix bar (6), is set in the middle of solid nail block (61) Bone screw, bone screw is set to 1 or more than 1, Gu rod screw hole is located at groove upper wall, by it is interior it is upper outwards under oblique groove set, follow closely admittedly Block (61) is threadedly coupled with solid rod screw (49), and bone screw can set screw thread, also not set screw thread, can also be set to one end and set screw thread, one end not If the elongated hole of screw thread;
The further solid spike devices of double stick type are constituted by following closely block (62), solid rod screw (49), bone screws (46) admittedly:At solid nail block (62) two ends If the groove of notch outwardly, above upper plane, groove is adapted with adjusting rod (1) or fix bar (6), is set in the middle of solid nail block (62) Bone screw, bone screw is set to 1 or more than 1, Gu rod screw hole is located at groove upper wall, by it is outside upper inwardly under oblique groove set, follow closely admittedly Block (62) is threadedly coupled with solid rod screw (49), and bone screw can set screw thread, also not set screw thread, can also be set to one end and set screw thread, one end not If the elongated hole of screw thread;
The further solid spike devices of double stick type are set to constitute by following closely block (63), bone screws (46) admittedly, it is solid follow closely block (63) two ends set notch inwardly, Groove above upper plane, groove is adapted with adjusting rod (1) or fix bar (6), and bone screw, bone are set in the middle of solid nail block (63) Screw (46) is threadedly coupled with nail block (63) admittedly, and bone screw can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread, bone screws (46) Tail end is adapted with adjusting rod (1) or fix bar (6), and solid nail can be fixed on by adjusting rod (1) or fix bar (6) by tightening bone screws (46) In block (63) groove;
The solid spike devices of anatomical form are made up of dissection plate, attachment means, solid rod screw etc., and dissection plate is set to and human limb long bone metaphysis bone Bone screw, bone reduction hole, murices that the quantity being adapted with fixed position bone is not waited are set on the consistent metal bone fracture plate of form, dissection plate Nail wall can set screw thread or not set screw thread, and dissection plate has near end of thighbone to dissect plate, distal femur outside dissection plate, medial side of tibial plateau dissection plate, shin Dissection plate on the outside of bone platform, medial distal tibia dissection plate, distal fibular dissection plate, dissection plate on the outside of proximal humerus, dissection plate on the outside of distal humerus, A variety of dissection plates such as dissection plate, olecroanon dissection plate, distal radius dorsal part dissection plate on the inside of distal humerus, dissection plate sets company close to bone center-side Connection device, the attachment means of any dissection plate can be set to that solid rod screw (49) can be set in a variety of types of attachment, attachment means, for secured adjusted bar (1) or fix bar (6), attachment means are the dissection plate of single groove or 2 channel aways, and the head end of its groove can not set cell wall, can also set Part cell wall or totally-enclosed cell wall;
The attachment means of the further solid spike devices of the anatomical form are using one of following form:
The solid spike devices of anatomical form are set to be made up of medial distal tibia dissection plate (64), solid rod screw (49), attachment means, and attachment means are in shin Bone distal medial dissection plate caudal part sets groove of the notch towards side, positioned at dissection backboard side, groove and adjusting rod (1) or fix bar (6) phase Adapt to, groove dorsal part cell wall sets the solid rod screw (49) of oblique side channel wall, twisting fastening stick screw (49) can be by adjusting rod (1) or fix bar (6) It is fixed on medial distal tibia dissection plate (64);
The solid spike devices of anatomical form are set to be made up of medial distal tibia dissection plate (65), attachment means, and attachment means are in medial distal tibia dissection Plate caudal part sets cylindrical screw bar, fixing nut (66), threaded rod and the connection swivel nut (77) set on adjusting rod (1) or fix bar (6) Adjusting rod (1) or fix bar (6) can be fixed on the threaded rod of medial distal tibia dissection plate (65) by threaded connection, fixing nut (66);
Anatomical form is bound admittedly is set to medial distal tibia dissection plate (67) and attachment means are set as integrated, and attachment means is in medial distal tibia solutions Cut open plate caudal part and set threaded sleeve, threaded sleeve is threadedly coupled with the screw thread club shaped structure set on adjusting rod (1) or fix bar (6), fixed spiral shell Adjusting rod (1) or fix bar (6) can be fixed on the threaded sleeve of medial distal tibia dissection plate (67) by female (66);
The solid spike devices of anatomical form are set to be made up of near end of thighbone dissection plate (68), solid rod screw (49), attachment means, and attachment means are near in femur The both sides of end dissection plate caudal part set notch towards 2 grooves middle, positioned at dissection backboard side, groove and adjusting rod (1) or fix bar (6) It is adapted, groove dorsal part cell wall sets the solid rod screw (49) of oblique side channel wall, twisting fastening stick screw (49) can be by adjusting rod (1) or fix bar (6) It is fixed near end of thighbone dissection plate;
The solid spike devices of anatomical form are set to be made up of medial distal tibia dissection plate (69), solid rod screw (49), attachment means, and attachment means are in shin The both sides of bone distal medial dissection plate (69) caudal part set notch towards 2 grooves middle, positioned at dissection backboard side, groove and solid rod screw (49) Tail end is adapted with adjusting rod (1) or fix bar (6), and shin can be fixed on by adjusting rod (1) or fix bar (6) by twisting fastening stick screw (49) Bone distal medial dissection plate (69);
The solid spike devices of anatomical form are set to be made up of medial side of tibial plateau dissection plate (70), solid rod screw (49), attachment means, and attachment means are in shin The both sides of dissection plate (70) caudal part set 2 grooves of the notch towards outside, positioned at dissection backboard side, groove and adjusting rod (1) on the inside of bone platform Or fix bar (6) is adapted, groove dorsal part cell wall sets solid rod screw (49), Gu rod screw (49) head end is threadedly coupled with groove front side wall, twists Adjusting rod (1) or fix bar (6) can be fixed on medial side of tibial plateau dissection plate (70) by fastening stick screw (49);
The solid spike devices of anatomical form are set to dissection plate (71), solid rod screw (49), attachment means on the inside of distal femur and constituted, and attachment means are in stock The side of bone distal medial dissection plate (71) caudal part sets groove of the notch towards inner side, positioned at dissection backboard side, groove and adjusting rod (1) or Fix bar (6) is adapted, and groove dorsal part cell wall sets solid rod screw (49), Gu rod screw (49) head end is threadedly coupled with groove front side wall, tightens Gu adjusting rod (1) or fix bar (6) can be fixed on dissection plate (71) on the inside of distal femur by rod screw (49);
The solid spike devices of anatomical form are set to dissection plate (72), solid rod screw (49), attachment means on the outside of tibial plateau and constituted, and attachment means are in shin 2 grooves of the notch towards outside, positioned at dissection backboard side, groove and adjusting rod (1) are set on the outside of bone platform in the middle part of dissection plate (72) caudal part Or fix bar (6) is adapted, groove dorsal part cell wall sets the solid rod screw (49) of oblique centre, and twisting fastening stick screw (49) can be by adjusting rod (1) Or fix bar (6) is fixed on dissection plate (72) on the outside of tibial plateau;
The solid spike devices of anatomical form are set to be made up of proximal humerus dissection plate (73), solid rod screw (49), attachment means, and attachment means are near in humerus The side of end dissection plate (73) caudal part sets groove of the notch towards opposite side, positioned at dissection backboard side, groove and adjusting rod (1) or fix bar (6) it is adapted, groove dorsal part cell wall sets solid rod screw (49), Gu rod screw (49) head end is threadedly coupled with groove front side wall, twists fastening stick spiral shell Adjusting rod (1) or fix bar (6) can be fixed on proximal humerus dissection plate (73) by nail (49);
The solid spike devices of anatomical form are set to dissection plate (74), solid rod screw (49), attachment means on the outside of tibial plateau and constituted, and are solved on the outside of tibial plateau The increase of plate (74) caudal part thickness is cutd open, if 2 consistent with dissecting plate (74) axial direction on the outside of tibial plateau are consolidated rod holes and communicated with solid rod hole, Split translot dissection plate (74) thickened section, about 2mm high on the outside of tibial plateau, set dissecting plate (74) thickened section on the outside of tibial plateau Fixing screw hole, the deep hole wall of fixing screw hole sets screw thread, and fixing screws (46) are threadedly coupled with dissection plate (74) on the outside of tibial plateau, twisted Tight bone screws (46) can be by dissection plate (74) on the outside of adjusting rod (1) or fix bar (6) tibial plateau;
The solid spike devices of anatomical form are set to be made up of medial distal tibia dissection plate (75), solid rod screw (49), attachment means, and attachment means are in shin Bone distal medial dissection plate caudal part sets groove of the notch towards side, positioned at dissection backboard side, and the remote center-side of groove sets totally-enclosed cell wall, stops and adjusts Pole (1) or fix bar (6) are slided, and groove is adapted with adjusting rod (1) or fix bar (6), and groove dorsal part cell wall sets oblique side channel wall Gu rod screw (49), adjusting rod (1) or fix bar (6) can be fixed on medial distal tibia dissection plate by twisting fastening stick screw (49);
The solid spike devices of anatomical form are set to be made up of proximal humerus dissection plate (76), solid rod screw (49), attachment means, and attachment means are near in humerus The side of end dissection plate (76) caudal part sets groove of the notch towards opposite side, positioned at dissection backboard side, and the remote center-side of groove sets semiclosed cell wall, hinders Keep off adjusting rod (1) or fix bar (6) is slided, groove is adapted with adjusting rod (1) or fix bar (6), and groove dorsal part cell wall sets solid rod screw (49), Gu rod screw (49) head end is threadedly coupled with groove front side wall, twisting fastening stick screw (49) can be by adjusting rod (1) or fix bar (6) It is fixed on proximal humerus dissection plate (76);
The elastic internal fixation system and pressure-adjustable hold-down bars of a kind of orthopedics clinic practice, using 1 or 2 above-mentioned pressure-adjustable hold-down bars, with 2 with The solid spike devices of upper single rod type, double stick type or anatomical form are combined into elastic internal fixation system.
Fig. 1 is pressure-adjustable hold-down bars I types structure, adjusting rod, slide fit swivel nut attachment structure I type structures, fix bar, slide fit swivel nut attachment structure I Type structure, pressure-adjustable hold-down bars therein is first embodiment, and slide fit swivel nut (2) top is radially arranged anti-rotation pin (3), slide fit swivel nut (2) Bottom is radially arranged trip bolt (5), and elastic device is spring (4);
Fig. 2 is to be radially arranged 2 cylinders on pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure II type structures, slide fit swivel nut (2) tube wall Shape key pin (7), the anti-rotation pin hole set with adjusting rod (1) bottom is slidably matched;
Fig. 3 is to be radially arranged 1 cylinder on pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure type III structure, slide fit swivel nut (2) tube wall Shape key pin (7), the anti-rotation pin hole set with adjusting rod (1) bottom is slidably matched;
Fig. 4 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure IV type structures, between adjusting rod (1) and slide fit swivel nut (2) Rotation-preventing mechanism is specifically configured to:One dive key (8) is set, set and dive key (8) in slide fit swivel nut upper inside wall and adjusting rod bottom outer wall Corresponding keyway;
Fig. 5 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure V-structure, and adjusting rod (1) lower end sets cylindrical outer diameter augmenting portion, Augmenting portion external diameter sets an anti-rotation plane, and slide fit swivel nut (2) upper inside wall sets a convex plane, matches somebody with somebody with planar slide set by adjusting rod (1) lower end Close;
Fig. 6 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure VI type structures, and slide fit swivel nut (2) upper inside wall sets a convex plane, Adjusting rod (1) lower end is set up defences cylinder (10) of press-offing, and is fastenedly connected anticreep sleeve (10) with adjusting rod (1) with pin for suppressing metal (11), anticreep Sleeve (10) outer wall sets a plane, sets plane to be engaged with slide fit swivel nut (2) upper inside wall;
Fig. 7 is pressure-adjustable hold-down bars adjusting rod, slide fit swivel nut attachment structure VII type structures, and slide fit swivel nut (2) upper inside wall sets a convex plane, Adjusting rod (1) lower end is set up defences cylinder (10) of press-offing, and is cylindrical tube shape, with fastening jackscrew (12) that anticreep sleeve (10) and adjusting rod (1) is tight It is solidly connected, anticreep sleeve (10) outer wall sets a plane;
Fig. 8 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure II type structures, fix bar (6) top and slide fit swivel nut (2) bottom with Pin for suppressing metal (13) is fastenedly connected;
Fig. 9 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure type III structure, and fix bar (6) upper end sets cylindric diameter-increasing portion, Structure is cylindrical in shape, inwall sets screw thread, it is threadedly coupled between slide fit swivel nut (2);
Figure 10 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure IV type structures, and fix bar (6) upper end sets cylindric enlarged diameter portion Point, screwed hole is set on the wall of side, it is fastenedly connected between slide fit swivel nut (2) with fastening jackscrew (14);
Figure 11 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure V-structure, and fix bar (6) upper end sets cylindric diameter-increasing portion, It is fastenedly connected between slide fit swivel nut (2) with pin for suppressing metal (13);
Figure 12 is pressure-adjustable hold-down bars fix bar, slide fit swivel nut attachment structure VI type structures, and fix bar (6) is set to one with slide fit swivel nut (2), Fix bar (6) top sets cylindric diameter-increasing portion, is cylindrical in shape structure;
Figure 13 is pressure-adjustable hold-down bars II types structure, limitation adjusting rod slip fixed structure I type structures, and pressure-adjustable hold-down bars therein is second real Example is applied, slide fit swivel nut (2) upper portion side wall sets fastening jackscrew (15), is connected with slide fit swivel nut (2) sidewall thread, screw-in is against adjusting rod (1) outside Wall, limitation adjusting rod (1) is slided;
Figure 14 is that pressure-adjustable hold-down bars limitation adjusting rod is slided on fixed structure II type structures, adjusting rod (1) outer wall of slide fit swivel nut (2) upper end If stop nut (16), stop nut (16) inwall sets screw thread, is threadedly coupled with adjusting rod (1);
Figure 15 is that pressure-adjustable hold-down bars limitation adjusting rod is slided on fixed structure type III structure, adjusting rod (1) outer wall of slide fit swivel nut (2) upper end If limit casing (18), it is fastenedly connected between limit casing (18) and adjusting rod (1) with fastening jackscrew (17);
Figure 16 is that pressure-adjustable hold-down bars limitation adjusting rod is slided on fixed structure IV type structures, adjusting rod (1) outer wall of slide fit swivel nut (2) upper end Limit a fixture block (20), set on spacing fixture block (20) and set screwed hole on trip bolt (19), the spacing fixture block of trip bolt (19) head end, revolve Spacing fixture block (20) can be fixed on adjusting rod (1) by tight trip bolt (19);
The middle part of slide fit swivel nut (2) can set single regulator, and regulator is by fixed cover (21), pressure regulation pin (22), look nut (23) Composition,
Figure 17 is pressure-adjustable hold-down bars type III structure, and pressure-adjustable hold-down bars therein is 3rd embodiment, i.e., totally tied in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Regulator is set on slide fit swivel nut (2) cylinder, regulator is by pressure regulation pin (22), fixed cover (21), tune Nut (23) composition is pressed, pressure regulation pin (22) is located at below spring (4), and slide fit swivel nut (2) outer wall sets screw thread, radially sets pressure regulation pin hole, Slide fit swivel nut (2) outer wall sets pressure scale table, and accurate adjustment is carried out to pressure;
Figure 18 is pressure-adjustable hold-down bars IV type structures, and pressure-adjustable hold-down bars therein is fourth embodiment, i.e., totally tied in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Regulator is set on slide fit swivel nut (2) cylinder, regulator is by pressure regulation pin (22), fixed cover (21), tune Nut (23) composition is pressed, elastic device is elastic capsule (24), if elastic capsule base (25), pressure regulation pin (22) is located at elastic capsule base (25) lower section, elastic capsule base (25) is located at below elastic capsule (24);
Figure 19 is pressure-adjustable hold-down bars V-structure, and pressure-adjustable hold-down bars therein is the 5th embodiment, i.e., totally tied in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Pressure regulation pin (22) is set to extend radially through below adjusting rod (1), is interference fitted with adjusting rod (1), pressure regulation Device is made up of pressure regulation pin (22), fixed cover (21), stop collar (26), and spring (4) is set to be placed on below adjusting rod (1), and lower end is supported Small in barrel internal diameter on pressure regulation pin (22), slide fit swivel nut (2), lower barrel internal diameter is big, and fix bar (6) top sets cylindric enlarged diameter portion Point, in spring (4) under regulator gives pressure regulation state, spring (4) gives adjusting rod (1) downward active force, and slide fit swivel nut (2) is outside Wall sets pressure scale table;
Figure 20 is pressure-adjustable hold-down bars VI type structures, and pressure-adjustable hold-down bars therein is sixth embodiment, i.e., totally tied in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Pressure regulation pin (22) is set to extend radially through below adjusting rod (1), is interference fitted with adjusting rod (1), pressure regulation Device is made up of pressure regulation pin (22), fixed cover (21), stop collar (26), and spring (4) is set to be placed on below adjusting rod (1), and lower end is supported In pressure regulation pin (22), fix bar (6) top sets cylindric diameter-increasing portion, and spring (4) is in the case where giving pressure regulation state, and spring (4) is given The active force for giving adjusting rod (1) downward, slide fit swivel nut (2) outer wall sets pressure scale table;
Figure 21 is pressure-adjustable hold-down bars VII type structures, and pressure-adjustable hold-down bars therein is the 7th embodiment, i.e., totally tied in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Pressure regulation pin (22) is set to extend radially through below adjusting rod (1), is interference fitted with adjusting rod (1), pressure regulation Device is made up of pressure regulation pin (22), fixed cover (21), stop collar (26), and spring (4) is set to be placed on slide fit swivel nut (2) outer wall, lower end Pressure regulation pin (22) is butted on, slide fit swivel nut (2) is set to barrel external diameter greatly, and lower barrel external diameter is small, is butted under the nature of spring (4) upper end Slide fit swivel nut (2) outer wall set step on, in spring (4) under regulator gives pressure regulation state, spring (4) give adjusting rod (1) to Under active force, slide fit swivel nut (2) outer wall sets pressure scale table;
Regulator, elastic device can be set to single spring (4), and the form of adjusting rod (1) pressure-adjustable is given upwards, downwards;
Figure 22 is pressure-adjustable hold-down bars VIII type structures, and pressure-adjustable hold-down bars therein is the 8th embodiment, i.e., overall in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Elastic device is set to extension spring (32), in slide fit swivel nut (2) barrel, and adjusting rod (1) bottom is set up defences Pin (29), adjusting rod (1) and anti-rotation pin (29) immovable fitting are revolved, adjusting rod (1) lower end is axially set mutually fits with extension spring (32) top The elongated slot answered, anti-rotation pin (29) two ends set and set positioning nut (30) below fixed cover (28), stop collar (27), anti-rotation pin (29), sliding The anti-rotation pin hole adaptable with anti-rotation pin (29) is set with swivel nut (2) barrel, extension spring (32) upper and lower end sets circular hook, upper end hook It is enclosed on anti-rotation pin (29), lower end hook sleeve is on pressure regulation pin (33), and pressure regulation pin (33) two ends set fixed cover (34), stop collar (35), Set look nut (31) above stop collar (35), backspin look nut (31) can drive fixed cover (34), stop collar (35), pressure regulation pin (33), Extension spring (32) is moved down, and gives adjusting rod (1) downward active force, and slide fit swivel nut (2) outer wall sets pressure scale table;
Figure 23 is pressure-adjustable hold-down bars IX type structures, and pressure-adjustable hold-down bars therein is the 9th embodiment, i.e., totally tied in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Regulator, elastic device are set to single spring (4), and adjusting rod (1) pressure-adjustable is given upwards, downwards Form, spring (4) be located at slide fit swivel nut (2) barrel in, adjusting rod (1) bottom axially penetrates through spring (4), and adjusting rod (1) bottom is set Pressure regulation pin (22), up-regulation pressing in pins (38), adjusting rod (1) bottom radially sets the elongated hole adaptable with up-regulation pressing in pins (38), upper pressure regulation Pin (38) extends radially through adjusting rod (1), is fastenedly connected with adjusting rod (1), up-regulation pressing in pins (38) two ends set respectively fixed cover (37), Stop collar (39), pressure regulation pin (22) two ends set fixed cover (21), stop collar (26), slide fit swivel nut (2) barrel peripheral hardware screw thread, footpath respectively To the elongated hole set and pressure regulation pin (22), up-regulation pressing in pins (38) are adapted, elongated hole axial length is more than radical length, slide fit swivel nut (2) Through being more than bottom barrel internal diameter in the barrel of top, fix bar (6) top is that cylindrical diameter becomes most of, and slide fit swivel nut (2) barrel peripheral hardware is adjusted Nut (23), upper look nut (36) are pressed, look nut (23) upper end is butted on fixed cover (21), stop collar (26) lower end, upper look nut (36) lower end is butted on fixed cover (37), stop collar (39) upper end, upper rotation look nut (23), can drive fixed cover (21), stop collar (26), Pressure regulation pin (22) is moved up, and gives adjusting rod (1) upward active force, look nut (36) on backspin, can drive fixed cover (37), spacing Set (39), up-regulation pressing in pins (38) are moved down, and give adjusting rod (1) downward active force, slide fit swivel nut (2) outer wall sets pressure scale table;
Figure 24 is pressure-adjustable hold-down bars X-type structure, and pressure-adjustable hold-down bars therein is the tenth embodiment, i.e., totally tied in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Regulator, elastic device can be set to single spring (4), upwards, give adjusting rod (1) downwards The form of pressure regulation, spring (4) is located at outside slide fit swivel nut (2) barrel, and adjusting rod (1) bottom sets pressure regulation pin (22), up-regulation pressing in pins (38), Adjusting rod (1) bottom radially sets the elongated hole adaptable with up-regulation pressing in pins (38), and up-regulation pressing in pins (38) extends radially through adjusting rod (1), with Adjusting rod (1) is fastenedly connected, and up-regulation pressing in pins (38) two ends set fixed cover (37), stop collar (39), pressure regulation pin (22) two ends point respectively Fixed cover (21), stop collar (26) are not set, and slide fit swivel nut (2) barrel peripheral hardware screw thread is radially arranged and pressure regulation pin (22), up-regulation pressing in pins (38) adaptable elongated hole, slide fit swivel nut (2) barrel peripheral voltage regulation nut (23), upper look nut (36), look nut (23) upper end Fixed cover (21), stop collar (26) lower end are butted on, upper look nut (36) lower end is butted on fixed cover (37), stop collar (39) upper end, upper rotation Look nut (23), can drive fixed cover (21), stop collar (26), pressure regulation pin (22) to move up, and give adjusting rod (1) upward effect Look nut (36) on power, backspin, can drive fixed cover (37), stop collar (39), up-regulation pressing in pins (38) to move down, give adjusting rod (1) Downward active force, slide fit swivel nut (2) outer wall sets pressure scale table;
Figure 25 is pressure-adjustable hold-down bars XI type structures, and pressure-adjustable hold-down bars therein is the 11st embodiment, i.e., overall in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Regulator, elastic device are set to single spring (4), adjusting rod (1) are given upwards, downwards adjustable The form of pressure, spring (4) is located in slide fit swivel nut (2) barrel, and adjusting rod (1) bottom radially sets pressure regulation pin (22), up-regulation pressing in pins (38), Radially set the elongated hole adaptable with pressure regulation pin (22), up-regulation pressing in pins (38) respectively, up-regulation pressing in pins (38) two ends set respectively fixed cover (37), Stop collar (39), pressure regulation pin (22) two ends set fixed cover (21), stop collar (26), slide fit swivel nut (2) barrel peripheral hardware screw thread, footpath respectively To the elongated hole set and pressure regulation pin (22), up-regulation pressing in pins (38) are adapted, elongated hole axial length is more than radical length, slide fit swivel nut (2) Through being more than bottom barrel internal diameter in the barrel of top, fix bar (6) top is that cylindrical diameter becomes most of, with slide fit swivel nut (2) lower inner wall It is slidably matched, slide fit swivel nut (2) barrel peripheral voltage regulation nut (23), upper look nut (36), slide fit swivel nut (2) outer wall set pressure scale table;
Figure 26 is pressure-adjustable hold-down bars XII type structures, and pressure-adjustable hold-down bars therein is the 12nd embodiment, i.e., overall in above-mentioned pressure-adjustable hold-down bars Further set on the basis of structure:Regulator, elastic device are set to single spring (4), adjusting rod (1) are given upwards, downwards adjustable The form of pressure, spring (4) is located at outside slide fit swivel nut (2) barrel, and adjusting rod (1) bottom radially sets pressure regulation pin (22), up-regulation pressing in pins (38), The elongated hole adaptable with pressure regulation pin (22), up-regulation pressing in pins (38) is radially set respectively, and axial length is more than radical length, up-regulation pressing in pins (38) Two ends set fixed cover (37), stop collar (39) respectively, and pressure regulation pin (22) two ends set fixed cover (21), stop collar (26), slide fit swivel nut respectively (2) barrel peripheral hardware screw thread, is radially arranged the elongated hole adaptable with pressure regulation pin (22), up-regulation pressing in pins (38), slide fit swivel nut (2) barrel Peripheral voltage regulation nut (23), upper look nut (36), look nut (23) upper end are butted on fixed cover (21), stop collar (26) lower end, up-regulation Pressure nut (36) lower end is butted on fixed cover (37), stop collar (39) upper end, and slide fit swivel nut (2) outer wall sets pressure scale table;
Elastic device can be set to 2 springs, and the form of adjusting rod (1) pressure-adjustable is given upwards, downwards;
Figure 27 is pressure-adjustable hold-down bars XIII type structures, and pressure-adjustable hold-down bars therein is the 13rd embodiment, i.e., total in above-mentioned pressure-adjustable hold-down bars Further set on the basis of body structure:Elastic device is set to 2 springs, and the form of adjusting rod (1) pressure-adjustable, bullet are given upwards, downwards Spring (4) is located in slide fit swivel nut (2) barrel, and adjusting rod (1) bottom axially penetrates through spring (4), and adjusting rod (1) bottom radially sets pressure regulation Pin (38), catch spring pin (41), radially set the elongated hole adaptable with up-regulation pressing in pins (38), and up-regulation pressing in pins (38) two ends set solid respectively Fixed set (37), stop collar (39), catch spring pin (41) extend radially through adjusting rod (1), are fastenedly connected with adjusting rod (1), lower spring (40) In slide fit swivel nut (2) barrel, pressure regulation pin (22) extends radially through slide fit swivel nut (2) barrel, and two ends set fixed cover (21) respectively, spacing Cover (26), slide fit swivel nut (2) barrel peripheral hardware screw thread, be radially arranged and pressure regulation pin (22), up-regulation pressing in pins (38), catch spring pin (41) Through being more than bottom barrel internal diameter in adaptable elongated hole, slide fit swivel nut (2) top barrel, fix bar (6) top is that cylindrical diameter becomes big portion Point, slide fit swivel nut (2) barrel peripheral voltage regulation nut (23), upper look nut (36), slide fit swivel nut (2) outer wall set pressure scale table;
Figure 28 is pressure-adjustable hold-down bars XIV type structures, and pressure-adjustable hold-down bars therein is the 14th embodiment, i.e., total in above-mentioned pressure-adjustable hold-down bars Further set on the basis of body structure:Elastic device is set to 2 springs, and the form of adjusting rod (1) pressure-adjustable, bullet are given upwards, downwards Spring (4), lower spring (40) are respectively positioned on outside slide fit swivel nut (2) barrel, and adjusting rod (1) axially penetrates through spring (4), lower spring (40), are adjusted Pole (1) bottom, which is radially set up defences, revolves pin (3), catch spring pin (41), and adjusting rod (1) radially sets the elongated hole adaptable with anti-rotation pin (3), Slide fit swivel nut (2) radially sets the elongated hole being adapted with catch spring pin (41), slide fit swivel nut (2) barrel peripheral voltage regulation nut (23), upper pressure regulation Nut (36), slide fit swivel nut (2) outer wall sets pressure scale table;
Figure 29 is pressure-adjustable hold-down bars XV type structures, and pressure-adjustable hold-down bars therein is the 15th embodiment, i.e., total in above-mentioned pressure-adjustable hold-down bars Further set on the basis of body structure:Elastic device is set to 2 springs, and the form of adjusting rod (1) pressure-adjustable, bullet are given upwards, downwards Spring (4) is located above slide fit swivel nut (2), and adjusting rod (1) axially penetrates through spring (4), and lower spring (40) is located at slide fit swivel nut (2) barrel Outside, slide fit swivel nut (2) axially penetrates through lower spring (40), and slide fit swivel nut (2) upper end sets pressure regulation swivel nut (43), its upper end and adjusting rod (1) It is slidably connected, lower inner wall sets screw thread, is threadedly coupled with slide fit swivel nut (2), pressure regulation swivel nut (43) upper portion side wall sets fastening jackscrew (15), screws in Adjusting rod (1) outer wall is against, limitation adjusting rod (1) is slided, and adjusting rod (1) from top to bottom radially sets up-regulation pressing in pins (42), anti-rotation pin (3), pressure regulation pin (22), adjusting rod (1) radially sets the elongated hole adaptable with anti-rotation pin (3), anti-rotation pin (3) and slide fit swivel nut (2) It is fastenedly connected, up-regulation pressing in pins (42), pressure regulation pin (22) are fastenedly connected with adjusting rod (1), and slide fit swivel nut (2) is radially set and pressure regulation pin (22) adaptable elongated hole is followed closely, slide fit swivel nut (2) barrel peripheral voltage regulation nut (23), slide fit swivel nut (2) outer wall sets pressure scale table;
Figure 30 is pressure-adjustable hold-down bars XVI type structures, and pressure-adjustable hold-down bars therein is the 16th embodiment, i.e., total in above-mentioned pressure-adjustable hold-down bars Further set on the basis of body structure:Elastic device is set to 2 springs, and the form of adjusting rod (1) pressure-adjustable, bullet are given upwards, downwards Spring (4), lower spring (40) are respectively positioned on above slide fit swivel nut (2), and adjusting rod (1) axially penetrates through spring (4), lower spring (40), slide fit Pressure regulation swivel nut (45) is set in swivel nut (2) upper end, and its upper end is slidably connected with adjusting rod (1), and lower inner wall sets screw thread, with slide fit swivel nut (2) Threaded connection, lower pressure regulation swivel nut (45) outer wall sets screw thread, and top sets pressure regulation swivel nut (43), pressure regulation swivel nut (43) and lower pressure regulation swivel nut (45) Threaded connection, adjusting rod (1) radially sets catch spring pin (44), anti-rotation pin (3), and catch spring pin (44) is fastenedly connected with adjusting rod (1), Adjusting rod (1) radially sets the elongated hole adaptable with anti-rotation pin (3), and anti-rotation pin (3) is fastenedly connected with slide fit swivel nut (2), slide fit swivel nut (2) outer wall, lower pressure regulation swivel nut (45) outer wall set pressure scale table;
Figure 31 is pressure-adjustable hold-down bars XVII type structures, and pressure-adjustable hold-down bars therein is the 17th embodiment, i.e., total in above-mentioned pressure-adjustable hold-down bars Further set on the basis of body structure:Elastic device can be set to 2 springs, and the form of adjusting rod (1) pressure-adjustable is given upwards, downwards, Spring (4) be located at slide fit swivel nut (2) barrel outside, extension spring (32) be located at slide fit swivel nut (2) barrel in, adjusting rod (1) lower end axially set with The adaptable elongated slot in extension spring (32) top, adjusting rod (1) bottom is radially set up defences rotation pin (29), catch spring pin (41), adjusting rod (1) with Anti- rotation pin (29), catch spring pin (41) immovable fitting, pressure regulation pin (33) are radially located at slide fit swivel nut (2), slide fit swivel nut (2) barrel The elongated hole adaptable with catch spring pin (41), anti-rotation pin (29), pressure regulation pin (33) is radially arranged, anti-rotation pin (29) two ends set fixation (28), stop collar (27) are covered, pressure regulation pin (33) two ends set fixed cover (34), stop collar (35), and extension spring (32) upper and lower end sets circular extension Hook, upper end hook sleeve is on anti-rotation pin (29), and lower end hook sleeve is on pressure regulation pin (33), and slide fit swivel nut (2) outer wall sets pressure scale Table;
Adjusting rod (1), fix bar (6) can be set to the cylindric arc solid hopkinson bar being adapted with bone, and above-mentioned pressure-adjustable hold-down bars can be set to Arc pressure-adjustable hold-down bars, is divided into straight type solid hopkinson bar with slide fit swivel nut (2) junction and above slide assembling part, and length is set according to the length of fix bone It is fixed.
Figure 32 is the solid spike devices I type structures of single rod type, and the solid spike devices of single rod type are set to be constituted by following closely block (47), bone screws (46) admittedly, admittedly follow closely block (47) set on parallel to the solid rod hole of solid nail block (47) above and below and communicated with solid rod hole, split nail block (47) upper and lower part, about 2mm admittedly High translot, and solid rod screw hole, bone screw, bone screw are set to 1 or more than 1, and the bottom hole wall of bone screw sets screw thread, Gu rod Screw hole, bone screw are vertical with nail block (47) above and below admittedly, and bone screws (46) are threadedly coupled with nail block (47) admittedly, tighten bone screws (46) Adjusting rod (1) or fix bar (6) can be fixed on to solid nail block (47);
Figure 33 is the solid spike devices II type structures of single rod type, the solid spike devices of further single rod type be set to by follow closely admittedly block (48), solid rod screw (49), Bone screws (46) are constituted, admittedly set on nail block (48) parallel to the solid rod hole of solid nail block (48) above and below and communicated with solid rod hole, split solid nail Block (48) upper and lower part, the translot that about 2mm is high, and consolidate rod screw hole, bone screw, bone screw is set to 1 or more than 1, with consolidating The adaptable bottom hole wall of rod screw hole sets screw thread, admittedly nail block (48) is threadedly coupled with solid rod screw (49), tightening bone screws (46) will can adjust Pole (1) or fix bar (6) are fixed on solid nail block (48), and bone screw can set screw thread, also not set screw thread, can also be set to one end set screw thread, One end does not set the elongated hole of screw thread;
Figure 34 is the solid spike devices type III structure of single rod type, and the solid spike devices of further single rod type by following closely block (50), solid rod screw (49), murices admittedly Follow closely (46) composition:The groove of notch inwardly, below upper plane, groove and adjusting rod (1) or fix bar are set in solid nail block (50) one end (6) it is adapted, other end lower plane is convex to lower section, sets solid rod screw hole, bone screw on solid nail block (50), bone screw is set to 1 Or more than 1, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block (50) is threadedly coupled with consolidating rod screw (49), bone screws Kong Keshe screw threads, screw thread can not be also set, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
Figure 35 is the solid spike devices IV type structures of single rod type, and the solid spike devices of further single rod type by following closely block (51), solid rod screw (49), murices admittedly Follow closely (46) composition:The groove of notch inwardly, below upper plane, groove and adjusting rod (1) or fix bar are set in solid nail block (51) one end (6) it is adapted, sets solid rod screw hole, bone screw on solid nail block (51), bone screw is set to 1 or more than 1, Gu rod screw hole By it is interior it is upper outwards under oblique groove set, admittedly nail block (51) is threadedly coupled with consolidating rod screw (49), bone screw can set screw thread, also not set spiral shell Line, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
Figure 36 is the solid spike devices V-structure of single rod type, and the solid spike devices of further single rod type by following closely block (52), solid rod screw (49), murices admittedly Follow closely (46) composition:The groove of notch inwardly, above upper plane, groove and adjusting rod (1) or fix bar are set in solid nail block (52) one end (6) it is adapted, sets solid rod screw hole, bone screw on solid nail block (52), bone screw is set to 1 or more than 1, Gu rod screw hole Located at groove upper wall, by it is interior it is upper outwards under oblique groove set, admittedly nail block (52) is threadedly coupled with consolidating rod screw (49), bone screw can set spiral shell Line, screw thread can not be also set, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
Figure 37 is the solid spike devices VI type structures of single rod type, and the solid spike devices of further single rod type by following closely block (53), solid rod screw (49), murices admittedly Follow closely (46) composition:The groove of notch outwardly, above upper plane, groove and adjusting rod (1) or fix bar are set in solid nail block (53) one end (6) it is adapted, sets solid rod screw hole, bone screw on solid nail block (53), bone screw is set to 1 or more than 1, Gu rod screw hole Located at groove upper wall, by it is outside upper inwardly under oblique groove set, admittedly nail block (53) is threadedly coupled with consolidating rod screw (49), bone screw can set spiral shell Line, screw thread can not be also set, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
Figure 38 is the solid spike devices VII type structures of single rod type, and the solid spike devices of single rod type are set to be constituted by following closely block (54), bone screws (46) admittedly, solid Nail block (54) one end sets the groove of notch inwardly, above upper plane, and groove is adapted with adjusting rod (1) or fix bar (6), in solid nail Bone screw is set on block (54), bone screws (46) are threadedly coupled with nail block (54) admittedly, and bone screw can also be set to one end and set screw thread, one end not If the elongated hole of screw thread, bone screws (46) tail end is adapted with adjusting rod (1) or fix bar (6), and tightening bone screws (46) can be by adjusting rod (1) Or fix bar (6) is fixed in solid nail block (54) groove;
Figure 39 is the solid spike devices I type structures of double stick type, and the solid spike devices of double stick type are set to be constituted by following closely block (55), bone screws (46) admittedly, admittedly follow closely block (55) two ends set parallel to the solid solid rod holes of nail 2 of block (55) above and below and communicated with solid rod hole, split follow closely admittedly block (55) upper and lower part, Translot high about 2mm, on fixed block (55) plane set and bone screw, the bottom hole wall of bone screw sets screw thread, bone screws (46) It is threadedly coupled with solid nail block (55), adjusting rod (1) or fix bar (6) can be fixed on solid nail block (55) by tightening bone screws (46);
Figure 40 is the solid spike devices II type structures of double stick type, and the solid spike devices of double stick type are set to by following closely block (56), solid rod screw (49), bone screws (46) admittedly Composition, admittedly nail block (56) two ends set parallel to 2 solid rod holes of solid nail block (56) above and below and are communicated respectively with solid rod hole, split and follow closely block admittedly (56) upper and lower part, the translot that about 2mm is high, notch outwardly, on fixed block (56) plane set solid rod screw hole, bone screw, Bone screw is set to 1 or more than 1, Gu the bottom hole wall of rod screw hole sets screw thread, Gu rod screw (49) is threadedly coupled with nail block (56) admittedly, Bone screw can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread, and twisting fastening stick screw (49) can Adjusting rod (1) or fix bar (6) are fixed on solid nail block (56);
Figure 41 is the solid spike devices type III structure of double stick type, and the solid spike devices of further double stick type by following closely block (57), solid rod screw (49), murices admittedly Follow closely (46) composition:The groove of notch inwardly, below upper plane, groove and adjusting rod (1) or fix bar are set at solid nail block (57) two ends (6) it is adapted, lower, planar is convex to admittedly being set in the middle of nail block (57), is set in groove upper wall and set murices in the middle of solid rod screw hole, admittedly nail block (57) Nail, bone screw is set to 1 or more than 1, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block (57) and solid rod screw (49) it is threadedly coupled, bone screw can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
Figure 42 is the solid spike devices IV type structures of double stick type, and the solid spike devices of further double stick type by following closely block (58), solid rod screw (49), murices admittedly Follow closely (46) composition:The groove of notch inwardly, below upper plane, groove and adjusting rod (1) or fix bar are set at solid nail block (58) two ends (6) it is adapted, sets bone screw in the middle of solid nail block (58), bone screw is set to 1 or more than 1, Gu rod screw hole is by interior outside Under oblique groove set, admittedly nail block (58) is threadedly coupled with consolidating rod screw (49), bone screw can set screw thread, also not set screw thread, can also set The elongated hole that screw thread, one end do not set screw thread is set for one end;
Figure 43 is the solid spike devices V-structure of double stick type, and the solid spike devices of further double stick type by following closely block (59), solid rod screw (49), murices admittedly Follow closely (46) composition:The groove of 2 notches inwardly, below upper plane, groove and adjusting rod (1) or solid are set in solid nail block (59) one end Fixed pole (6) is adapted, and sets bone screw in solid nail block (59) other end, bone screw is set to 1 or more than 1, Gu rod screw hole is by interior It is upper outwards under oblique groove set, admittedly nail block (59) is threadedly coupled with rod screw (49) admittedly, bone screw can set screw thread, also not set screw thread, Also one end can be set to and set the elongated hole that screw thread, one end do not set screw thread;
Figure 44 is the solid spike devices VI type structures of double stick type, and the solid spike devices of further double stick type by following closely block (60), solid rod screw (49), murices admittedly Follow closely (46) composition:It is solid nail block (60) one end set 1 notch inwardly, the other end set 1 notch outwardly, the groove below upper plane, Groove and adjusting rod (1) or fix bar (6) are adapted, and set bone screw in the middle of solid nail block (60), bone screw be set to 1 or 1 with On, Gu rod screw hole one end by it is interior it is upper outwards under oblique groove set, the other end by it is outside upper it is lower in the diagonal set, admittedly nail block (60) and solid rod screw (49) it is threadedly coupled, bone screw can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
Figure 45 is the solid spike devices VII type structures of double stick type, and the solid spike devices of further double stick type by following closely block (61), solid rod screw (49), bone admittedly Screw (46) is constituted:The groove of notch inwardly, above upper plane, groove and adjusting rod (1) or fixed are set at solid nail block (61) two ends Bar (6) is adapted, and sets bone screw in the middle of solid nail block (61), bone screw is set to 1 or more than 1, Gu rod screw hole is located at groove Upper wall, by it is interior it is upper outwards under oblique groove set, admittedly nail block (61) is threadedly coupled with consolidating rod screw (49), bone screw can set screw thread, Screw thread is not set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
Figure 46 is the solid spike devices VIII type structures of double stick type, and the solid spike devices of further double stick type by following closely block (62), solid rod screw (49), bone admittedly Screw (46) is constituted:The groove of notch outwardly, above upper plane, groove and adjusting rod (1) or fixed are set at solid nail block (62) two ends Bar (6) is adapted, and sets bone screw in the middle of solid nail block (62), bone screw is set to 1 or more than 1, Gu rod screw hole is located at groove Upper wall, by it is outside upper inwardly under oblique groove set, admittedly nail block (62) is threadedly coupled with consolidating rod screw (49), bone screw can set screw thread, Screw thread is not set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
Figure 47 is the solid spike devices IX type structures of double stick type, and the solid spike devices of further double stick type are set to by following closely block (63), bone screws (46) group admittedly Into, the groove of notch inwardly, above upper plane is set at solid nail block (63) two ends, groove is adapted with adjusting rod (1) or fix bar (6), Bone screw is set in the middle of solid nail block (63), bone screws (46) are threadedly coupled with following closely block (63) admittedly, bone screw can also be set to one end set screw thread, One end does not set the elongated hole of screw thread, and bone screws (46) tail end is adapted with adjusting rod (1) or fix bar (6), and tightening bone screws (46) will can adjust Pole (1) or fix bar (6) are fixed in solid nail block (63) groove;
The solid spike devices of anatomical form are made up of dissection plate, attachment means, solid rod screw etc., and dissection plate is set to and human limb long bone metaphysis bone Bone screw, bone reduction hole, murices that the quantity being adapted with fixed position bone is not waited are set on the consistent metal bone fracture plate of form, dissection plate Nail wall can set screw thread or not set screw thread, and dissection plate has near end of thighbone to dissect plate, distal femur outside dissection plate, medial side of tibial plateau dissection plate, shin Dissection plate on the outside of bone platform, medial distal tibia dissection plate, distal fibular dissection plate, dissection plate on the outside of proximal humerus, dissection plate on the outside of distal humerus, A variety of dissection plates such as dissection plate, olecroanon dissection plate, distal radius dorsal part dissection plate on the inside of distal humerus, dissection plate sets company close to bone center-side Connection device, the attachment means of any dissection plate can be set to that solid rod screw (49) can be set in a variety of types of attachment, attachment means, for secured adjusted bar (1) or fix bar (6), attachment means are the dissection plate of single groove or 2 channel aways, and the head end of its groove can not set cell wall, can also set Part cell wall or totally-enclosed cell wall;
Figure 48 is the solid spike devices I type structures of anatomical form, the solid spike devices of anatomical form be set to by medial distal tibia dissection plate (64), solid rod screw (49), Attachment means are constituted, and attachment means are to dissect plate caudal part in medial distal tibia to set groove of the notch towards side, positioned at dissection backboard side, groove It is adapted with adjusting rod (1) or fix bar (6), groove dorsal part cell wall sets the solid rod screw (49) of oblique side channel wall, twists fastening stick screw (49) Adjusting rod (1) or fix bar (6) can be fixed on to medial distal tibia dissection plate (64);
Figure 49 is the solid spike devices II type structures of anatomical form, and the solid spike devices of anatomical form are set to by medial distal tibia dissection plate (65), attachment means group Be to set cylindrical screw bar, fixing nut (66) in medial distal tibia dissection plate caudal part into, attachment means, threaded rod and adjusting rod (1) or Adjusting rod (1) or fix bar (6) can be fixed on by connection swivel nut (77) threaded connection set in fix bar (6), fixing nut (66) On the threaded rod of medial distal tibia dissection plate (65);
Figure 50 is the solid spike devices type III structure of anatomical form, and anatomical form is bound admittedly is set to medial distal tibia dissection plate (67) and attachment means are set as one Body shape, attachment means are to set threaded sleeve in medial distal tibia dissection plate caudal part, and threaded sleeve on adjusting rod (1) or fix bar (6) with setting Adjusting rod (1) or fix bar (6) can be fixed on medial distal tibia dissection plate by the screw thread club shaped structure threaded connection put, fixing nut (66) (67) on threaded sleeve;
Figure 51 is the solid spike devices IV type structures of anatomical form, the solid spike devices of anatomical form be set to by near end of thighbone dissection plate (68), solid rod screw (49), Attachment means are constituted, and attachment means are that the both sides for dissecting plate caudal part near end of thighbone set notch towards 2 grooves middle, positioned at dissection backboard side, Groove is adapted with adjusting rod (1) or fix bar (6), and groove dorsal part cell wall sets the solid rod screw (49) of oblique side channel wall, twists fastening stick screw (49) adjusting rod (1) or fix bar (6) can be fixed on near end of thighbone dissection plate;
Figure 52 is the solid spike devices V-structure of anatomical form, the solid spike devices of anatomical form be set to by medial distal tibia dissection plate (69), solid rod screw (49), Attachment means are constituted, and attachment means are that the both sides for dissecting plate (69) caudal part in medial distal tibia set notch towards centre, positioned at dissection backboard side 2 grooves, groove and solid rod screw (49) tail end be adapted with adjusting rod (1) or fix bar (6), and twisting fastening stick screw (49) can be by Adjusting rod (1) or fix bar (6) are fixed on medial distal tibia dissection plate (69);
Figure 53 is the solid spike devices VI type structures of anatomical form, the solid spike devices of anatomical form be set to by medial side of tibial plateau dissection plate (70), solid rod screw (49), Attachment means are constituted, and attachment means are that the both sides for dissecting plate (70) caudal part in medial side of tibial plateau set notch towards outside, positioned at dissection backboard side 2 grooves, groove and adjusting rod (1) or fix bar (6) be adapted, and groove dorsal part cell wall sets solid rod screw (49), Gu rod screw (49) Head end is threadedly coupled with groove front side wall, and medial side of tibial plateau solution can be fixed on by adjusting rod (1) or fix bar (6) by twisting fastening stick screw (49) Cut open plate (70);
Figure 54 is the solid spike devices VII type structures of anatomical form, the solid spike devices of anatomical form be set on the inside of distal femur dissection plate (71), solid rod screw (49), Attachment means are constituted, and attachment means set notch towards inner side, positioned at dissection backboard side to dissect the side of plate (71) caudal part on the inside of distal femur Groove, groove and adjusting rod (1) or fix bar (6) be adapted, and groove dorsal part cell wall sets solid rod screw (49), Gu rod screw (49) head End is threadedly coupled with groove front side wall, and adjusting rod (1) or fix bar (6) can be fixed on dissection on the inside of distal femur by twisting fastening stick screw (49) Plate (71);
Figure 55 is the solid spike devices VIII type structures of anatomical form, and the solid spike devices of anatomical form are set to dissection plate (72), solid rod screw on the outside of tibial plateau (49), attachment means are constituted, and attachment means are to dissect to set notch towards outside, positioned at solution in the middle part of plate (72) caudal part on the outside of tibial plateau 2 grooves of backboard side are cutd open, groove is adapted with adjusting rod (1) or fix bar (6), and groove dorsal part cell wall sets the solid rod screw (49) of oblique centre, Adjusting rod (1) or fix bar (6) can be fixed on dissection plate (72) on the outside of tibial plateau by twisting fastening stick screw (49);
Figure 56 is the solid spike devices IX type structures of anatomical form, the solid spike devices of anatomical form be set to by proximal humerus dissection plate (73), solid rod screw (49), Attachment means are constituted, and attachment means are that the side for dissecting plate (73) caudal part in proximal humerus sets notch towards opposite side, positioned at dissection backboard side Groove, groove is adapted with adjusting rod (1) or fix bar (6), and groove dorsal part cell wall sets solid rod screw (49), Gu rod screw (49) head end It is threadedly coupled with groove front side wall, adjusting rod (1) or fix bar (6) can be fixed on proximal humerus dissection plate (73) by twisting fastening stick screw (49);
Figure 57 is the solid spike devices X-type structure of anatomical form, the solid spike devices of anatomical form be set on the outside of tibial plateau dissection plate (74), solid rod screw (49), Dissection plate (74) caudal part thickness increase on the outside of attachment means composition, tibial plateau, if with dissecting plate (74) axial direction one on the outside of tibial plateau 2 caused consolidate rod holes and are communicated with solid rod hole, split the high translot of distal fibular dissection plate (74) thickened section, about 2mm, flat perpendicular to shin bone Dissection plate (74) thickened section sets fixing screw hole on the outside of platform, and the deep hole wall of fixing screw hole is set outside screw thread, fixing screws (46) and tibial plateau Side dissection plate (74) threaded connection, tightening bone screws (46) can be by dissection plate (74) on the outside of adjusting rod (1) or fix bar (6) tibial plateau;
Figure 58 is the solid spike devices XI type structures of anatomical form, the solid spike devices of anatomical form be set to by medial distal tibia dissection plate (75), solid rod screw (49), Attachment means are constituted, and attachment means are to dissect plate caudal part in medial distal tibia to set groove of the notch towards side, positioned at dissection backboard side, groove Remote center-side sets totally-enclosed cell wall, stops that adjusting rod (1) or fix bar (6) are slided, groove is adapted with adjusting rod (1) or fix bar (6), Groove dorsal part cell wall sets the solid rod screw (49) of oblique side channel wall, and twisting fastening stick screw (49) can be fixed by adjusting rod (1) or fix bar (6) Plate is dissected in medial distal tibia;
Figure 59 is the solid spike devices XII type structures of anatomical form, the solid spike devices of anatomical form be set to by proximal humerus dissection plate (76), solid rod screw (49), Attachment means are constituted, and attachment means are that the side for dissecting plate (76) caudal part in proximal humerus sets notch towards opposite side, positioned at dissection backboard side Groove, the remote center-side of groove sets semiclosed cell wall, stops that adjusting rod (1) or fix bar (6) are slided, groove and adjusting rod (1) or fix bar (6) It is adapted, groove dorsal part cell wall sets solid rod screw (49), Gu rod screw (49) head end is threadedly coupled with groove front side wall, twists fastening stick screw (49) Adjusting rod (1) or fix bar (6) can be fixed on to proximal humerus dissection plate (76);
Any 1 or 2 above-mentioned pressure-adjustable hold-down bars and more than 2 single rod types, double stick type or the solid spike devices of anatomical form are combined into elasticity fixed System, adjusting rod (1), fix bar (6) can be set to straight type solid hopkinson bar, can also be set to the cylindric arc solid hopkinson bar being adapted with fix bone, It is divided into straight type solid hopkinson bar with slide fit swivel nut (2) junction and above slide assembling part, how much the length that length needs according to fix bone sets.
Figure 60 elasticity internal fixation system I type structures, by 1 type III pressure-adjustable hold-down bars, 2 I type single rods types solid spike devices, 2 II type single rods The solid spike devices composition of type;
Figure 61 elasticity internal fixation system II type structures, it is double by 2 XI type pressure-adjustables hold-down bars, the solid spike devices of 1 II type double sticks type, 1 I type The solid spike devices composition of the solid spike devices of rod type, 1 V-type anatomical form;
Figure 62 elasticity internal fixation system type III structures, 1 VII type pressure-adjustables hold-down bars, 1 I type single rods type solid spike devices, 1 II type single rod The solid spike devices composition of the solid spike devices of type, 1 II types anatomical form;
Through the above description of the embodiments, those skilled in the art can be understood that the present invention can also be by other structures come real Existing, especially pressure regulation hold-down bars has multiple combinations form, and the fitment combination such as spike devices goes out in various elasticity admittedly admittedly with single rod type, double stick type or anatomical form Determine system, therefore, feature of the invention is not limited to above-mentioned preferred embodiment.Any personnel for being familiar with this technology lead in the technology of the present invention In domain, the change or modification that can be readily occurred in should all be covered within the scope of patent protection of the present invention.

Claims (11)

1. a kind of pressure-adjustable hold-down bars of orthopedics clinic practice, it is characterised in that the pressure-adjustable hold-down bars bag Include:Adjusting rod, slide fit swivel nut, elastic device and fix bar, wherein,
Adjusting rod and fix bar are cylindrical bar, and slide fit swivel nut is cylindrical sleeve, the internal diameter of slide fit swivel nut It is adapted with the external diameter of adjusting rod and fix bar, the bottom of slide fit swivel nut upper socket adjusting rod, slide fit swivel nut Bottom is fixed by socket the top of bar;Wherein,
Adjusting rod can micro-positioning regulators, but relatively unrotatable in the axial direction relative to slide fit swivel nut;
Fix bar is fixed relative to slide fit swivel nut;
Elastic device provides elastic force during micro-positioning regulators above and below adjusting rod axial direction.
2. a kind of pressure-adjustable hold-down bars according to claim 1, it is characterised in that:
The specific connected mode of the adjusting rod and slide fit swivel nut is one of in the following manner:
(a), adjusting rod bottom sets the anti-rotation pin hole of both sides insertion, and the axial height of anti-rotation pin hole is slightly More than transverse width;Slide fit swivel nut top is provided with the anti-trepanning of radially opposite sides insertion, and the aperture of anti-trepanning is with preventing The transverse width of rotation pin hole is adapted;Anti- rotation pin is extended radially through under the anti-trepanning and adjusting rod of slide fit swivel nut The anti-rotation pin hole in portion, the diameter of anti-rotation pin is adapted with the aperture of anti-trepanning;
(b), adjusting rod bottom sets the anti-rotation pin hole of both sides insertion, the axial length height of anti-rotation pin hole Slightly larger than transverse width;Slide fit swivel nut top be provided with radially opposite sides insertion anti-trepanning, the diameter of anti-trepanning with The transverse width of anti-rotation pin hole is adapted;The cylindrical key pin of two identical sizes, one of cylinder Key pin inserts the side of anti-trepanning and anti-rotation pin hole, and another cylindrical key pin inserts anti-trepanning and anti-rotation pin The opposite side of nail, the diameter of the cylindrical key pin is adapted with the aperture of anti-trepanning;
(c), adjusting rod bottom sets the anti-rotation pin hole of both sides insertion, the axial length of the anti-rotation pin hole Slightly greater height than transverse width;Slide fit swivel nut top be provided with radially opposite sides insertion anti-trepanning, anti-trepanning it is straight Footpath is adapted with the transverse width of anti-rotation pin hole;One cylindrical key pin inserts anti-trepanning and anti-rotation pin hole Side, the diameter of the cylindrical key pin is adapted with the aperture of anti-trepanning;
(d), by setting a dive key to slide and anti-rotation, in slide fit swivel nut upper inside wall and adjusting rod bottom Outer wall sets the keyway corresponding with dive key, and the dive key keyway that adjusting rod bottom outer wall is set relatively is led Slightly long to flat key, dive key is clenched with solid key pin with slide fit swivel nut and is solidly connected;
(e), adjusting rod lower end sets cylindrical outer diameter augmenting portion, and augmenting portion external diameter sets an anti-rotation plane, sliding It is set to small compared with cylinder internal diameter with nozzle on swivel nut, upper nozzle is slidably connected with adjusting rod, in slide fit swivel nut top Wall sets a convex plane, coordinates with planar slide set by adjusting rod lower end;
(f), nozzle is set to small compared with cylinder internal diameter on slide fit swivel nut, and upper nozzle is slidably connected with adjusting rod, slide fit Swivel nut upper inside wall sets a convex plane, and adjusting rod lower end is set up defences cylinder of press-offing, and is cylindrical tube shape, with holding pin Anticreep sleeve and adjusting rod are fastenedly connected by nail, and anticreep sleeve outer wall sets a plane, in slide fit swivel nut top Wall sets plane to be engaged;
(g), nozzle is set to small compared with cylinder internal diameter on slide fit swivel nut, and upper nozzle is slidably connected with adjusting rod, slide fit Swivel nut upper inside wall sets a convex plane, and adjusting rod lower end is set up defences cylinder of press-offing, and is cylindrical tube shape, to fasten top Anticreep sleeve and adjusting rod are fastenedly connected by silk, and anticreep sleeve outer wall sets a plane, in slide fit swivel nut top Wall sets plane to be engaged.
3. a kind of pressure-adjustable hold-down bars according to claim 1, it is characterised in that:
The specific connected mode of the slide fit swivel nut and fix bar is one of in the following manner:
(a), fix bar top and slide fit swivel nut bottom are fastenedly connected with fastening jackscrew;
(b), fix bar top and slide fit swivel nut bottom are fastenedly connected with pin for suppressing metal;
(c), fix bar upper end sets cylindric diameter-increasing portion, is cylindrical in shape structure, and inwall sets screw thread, its with It is threadedly coupled between slide fit swivel nut;
(d), fix bar upper end sets and sets screwed hole on cylindric diameter-increasing portion, side wall, itself and slide fit swivel nut Between be fastenedly connected with fastening jackscrew;
(e), fix bar upper end sets cylindric diameter-increasing portion, and it is clenched between slide fit swivel nut with holding pin It is solidly connected;
(f), fix bar and slide fit swivel nut are set to one, and fix bar top sets cylindric diameter-increasing portion, is in Tubular structure.
4. according to a kind of pressure-adjustable hold-down bars of claim 1 or 2 or 3, it is characterised in that:
Further, the fixed structure for setting limitation adjusting rod to slide so that adjusting rod axle is limited after the completion of pressure regulation To motion;Its concrete structure is one of in the following manner:
(a), in fastening jackscrew hole of the slide fit swivel nut top provided with radially unilateral insertion, fastening jackscrew can be screwed in It is against adjusting rod outer wall;
(b) stop nut, is set on the adjusting rod outer wall of slide fit swivel nut upper end, stop nut inwall sets screw thread, It is threadedly coupled with adjusting rod;
(c) limit casing, is set on the adjusting rod outer wall of slide fit swivel nut upper end, between limit casing and adjusting rod It is fastenedly connected with fastening jackscrew;
(d), limited on the adjusting rod outer wall of slide fit swivel nut upper end a fixture block, spacing fixture block one end axially set with Gap and trip bolt that high 2mm is communicated with circular hole are set in the middle of the circular hole that adjusting rod is slidably matched, the other end, Screwed hole is set on the spacing fixture block of trip bolt head end, regulation can be fixed on by spacing fixture block by screwing trip bolt Bar.
5. a kind of pressure-adjustable hold-down bars according to claim 1 or 2 or 3, it is characterised in that:
Further, one-way pressure-regulating device is set on slide fit swivel nut cylinder, slide fit swivel nut outer wall sets pressure scale table, The concrete structure of the one-way pressure-regulating device is one of in the following manner:
(a), regulator includes pressure regulation pin, fixed cover and look nut;Both sides are radially set on slide fit swivel nut The pressure regulation pin hole of insertion, the axial length of pressure regulation pin hole is more than transverse width;Fixed cover be slidably socketed in The circular hole of insertion is radially provided with the outer wall of slide fit swivel nut, on fixed cover;Pressure regulation pin extends radially through slide fit spiral shell The pressure regulation pin hole and the circular hole of fixed cover of set, the diameter of pressure regulation pin are adapted with the aperture of pressure regulation pin hole; Elastic device is compression spring, and compression spring is located in slide fit swivel nut, and spring upper end is connected under adjusting rod End, the lower end of spring is connected on pressure regulation pin;Look nut is set to be placed on slide fit swivel nut outer wall, with slide fit Swivel nut is threadedly coupled, and look nut upper end is butted on fixed cover lower end;
(b), regulator includes pressure regulation pin, fixed cover and look nut;Both sides are radially set on slide fit swivel nut The pressure regulation pin hole of insertion, the axial length of pressure regulation pin hole is more than transverse width;Fixed cover be slidably socketed in The circular hole of insertion is radially provided with the outer wall of slide fit swivel nut, on fixed cover;Pressure regulation pin extends radially through slide fit spiral shell The pressure regulation pin hole and the circular hole of fixed cover of set, the diameter of pressure regulation pin are adapted with the aperture of pressure regulation pin hole; Elastic device is elastic capsule, is additionally provided with elastic capsule base, and the upper end of elastic capsule is connected to adjusting rod Lower end, the lower end of elastic capsule is connected on elastic capsule base, and elastic capsule base is placed in pressure regulation pin On;Look nut is set to be placed on slide fit swivel nut outer wall, is threadedly coupled with slide fit swivel nut, look nut upper end is supported In fixed cover lower end;
(c), regulator includes pressure regulation pin, fixed cover, stop collar and look nut;Footpath on slide fit swivel nut To the pressure regulation pin hole for setting both sides insertion, the axial length of pressure regulation pin hole is more than transverse width;Fixed cover is slided It is dynamic to be socketed on the outer wall of slide fit swivel nut, the circular hole of insertion is radially provided with fixed cover;Pressure regulation pin is radially passed through The pressure regulation pin hole of slide fit swivel nut and the circular hole of fixed cover are worn, pressure regulation pin is interference fitted with adjusting rod, fixed Set is interference fitted with pressure regulation pin, and nozzle is less than lower inner diameter on stop collar, outside fixed cover, with fixation Set interference fit, fixed cover, stop collar and slide fit swivel nut are slidably matched;Spring is set to be placed on below adjusting rod Compression spring, it is small that lower end is butted on barrel internal diameter on pressure regulation pin, slide fit swivel nut, and lower barrel internal diameter is big, bullet On the step that the setting of slide fit swivel nut inwall is butted under the nature of spring upper end;Look nut is set to be placed on slide fit spiral shell Outer wall is covered, is threadedly coupled with slide fit swivel nut, look nut upper end is butted on fixed cover lower end;
(d), regulator includes pressure regulation pin, fixed cover, stop collar and look nut;On slide fit swivel nut The pressure regulation pin hole of both sides insertion is radially set, the axial length of pressure regulation pin hole is more than transverse width;Fixed cover It is slidably socketed in the circular hole that insertion is radially provided with the outer wall of slide fit swivel nut, on fixed cover;Pressure regulation pin is radially Through the pressure regulation pin hole and the circular hole of fixed cover of slide fit swivel nut, pressure regulation pin is interference fitted with adjusting rod, is adjusted Anti- rotation pin and anti-rotation pin hole are not provided with below pole, spring is to be placed on the compression spring below adjusting rod, It is small that lower end is butted on barrel internal diameter on pressure regulation pin, slide fit swivel nut, and lower barrel internal diameter is big, spring upper end nature shape On the step that the setting of slide fit swivel nut inwall is butted under state;Look nut is set to be placed on slide fit swivel nut outer wall, with cunning With swivel nut threaded connection, look nut upper end is butted on fixed cover lower end;
(e), regulator includes pressure regulation pin, fixed cover, stop collar and look nut;On slide fit swivel nut The pressure regulation pin hole of both sides insertion is radially set, the axial length of pressure regulation pin hole is more than transverse width;Fixed cover It is slidably socketed in the circular hole that insertion is radially provided with the outer wall of slide fit swivel nut, on fixed cover;Pressure regulation pin is radially Through the pressure regulation pin hole and the circular hole of fixed cover of slide fit swivel nut, pressure regulation pin is interference fitted with adjusting rod, is adjusted Anti- rotation pin and anti-rotation pin hole are not provided with below pole, spring is the compression spring for being placed on slide fit swivel nut outer wall, Lower end is butted on pressure regulation pin, and slide fit swivel nut is set to barrel external diameter greatly, and lower barrel external diameter is small, and spring upper end is certainly It is butted under right state on the step of slide fit swivel nut outer wall setting, look nut is set to be placed on slide fit swivel nut outer wall, It is threadedly coupled with slide fit swivel nut, look nut upper end is butted on fixed cover lower end.
6. a kind of pressure-adjustable hold-down bars according to claim 1 or 2 or 3, it is characterised in that:
Further, bidirectional pressure regulating device is set on slide fit swivel nut cylinder, slide fit swivel nut outer wall sets pressure scale table, The concrete structure of the bidirectional pressure regulating device is one of in the following manner:
(a), elastic device can be set to extension spring, in slide fit swivel nut barrel, be slidably connected with slide fit swivel nut, Adjusting rod bottom is set up defences rotation pin, and adjusting rod coordinates with anti-rotation pin fastener, and adjusting rod lower end axially sets and drawn The adaptable elongated slot in spring top, anti-rotation pin two ends set fixed cover, stop collar, fixed cover, stop collar and cunning It is slidably connected with swivel nut, positioning nut is set below anti-rotation pin, positioning nut is threadedly coupled with slide fit swivel nut, Slide fit swivel nut barrel sets the anti-rotation pin hole adaptable with anti-rotation pin, and axial length is more than radical length, on Tuning a nut can promote fixed cover, stop collar, anti-rotation pin, adjusting rod integrally to move up, and extension spring is upper and lower End sets circular hook, and upper end hook sleeve is on anti-rotation pin, and lower end hook sleeve is on pressure regulation pin, pressure regulation pin Nail two ends set fixed cover, stop collar, and fixed cover, stop collar and slide fit swivel nut are slidably connected, above stop collar If look nut, fixed cover, stop collar are butted on below look nut, look nut is placed on slide fit swivel nut outer wall, Look nut is threadedly coupled with slide fit swivel nut, and slide fit swivel nut barrel sets the pressure regulation pin being adapted with pressure regulation pin Hole, axial length be more than radical length, backspin look nut can drive fixed cover, stop collar, pressure regulation pin, Extension spring is moved down;
(b), spring is located in slide fit swivel nut barrel, and adjusting rod bottom axially penetrates through spring, and adjusting rod bottom is set Pressing in pins, pressure regulation pin are raised, adjusting rod bottom radially sets the elongated hole adaptable with up-regulation pressing in pins, pressure regulation Pin extends radially through adjusting rod, is fastenedly connected with adjusting rod, and pressure regulation pin two ends set fixed cover respectively, spacing Set, up-regulation pressing in pins two ends set fixed cover, stop collar respectively, and slide fit swivel nut barrel peripheral hardware screw thread is radially set Put and raise in the adaptable elongated hole of pressing in pins, pressure regulation pin, slide fit swivel nut top barrel through being more than lower sleeve Wall internal diameter, fix bar top is that cylindrical diameter becomes most of, is slidably matched with slide fit swivel nut lower inner wall, Look nut, look nut on slide fit swivel nut barrel peripheral hardware, look nut upper end are butted on lower section fixed cover, limit Position set lower end, upper look nut lower end is butted on top fixed cover, spacing set upper side;
(c), spring is located at outside slide fit swivel nut barrel, and adjusting rod bottom sets up-regulation pressing in pins, pressure regulation pin, Adjusting rod bottom radially sets the elongated hole adaptable with up-regulation pressing in pins, and pressure regulation pin extends radially through adjusting rod, with Adjusting rod is fastenedly connected, and up-regulation pressing in pins two ends set fixed cover, stop collar, pressure regulation pin two ends difference respectively If fixed cover, stop collar, slide fit swivel nut barrel peripheral hardware screw thread is radially arranged and raised pressing in pins, pressure regulation pin Look nut, look nut on the adaptable elongated hole of nail, slide fit swivel nut barrel peripheral hardware, look nut upper end is supported In lower section fixed cover, stop collar lower end, upper look nut lower end is butted on top fixed cover, spacing set upper side;
(d), spring is located in slide fit swivel nut barrel, and adjusting rod bottom axially penetrates through spring, adjusting rod bottom footpath To up-regulation pressing in pins, pressure regulation pin is set, the length adaptable with up-regulation pressing in pins, pressure regulation pin is radially set respectively Hole, axial length is more than radical length, and up-regulation pressing in pins two ends set fixed cover, stop collar, pressure regulation pin two End sets fixed cover, stop collar respectively, slide fit swivel nut barrel peripheral hardware screw thread, be radially arranged and raise pressing in pins, Through being more than in bottom barrel internal diameter, fix bar in the adaptable elongated hole of pressure regulation pin, slide fit swivel nut top barrel Portion is that cylindrical diameter becomes most of, is slidably matched with slide fit swivel nut lower inner wall, slide fit swivel nut barrel peripheral hardware Upper look nut, look nut, look nut upper end are butted on lower section fixed cover, stop collar lower end, upper pressure regulation Nut lower end is butted on top fixed cover, spacing set upper side;
(e), spring is located at outside slide fit swivel nut barrel, and adjusting rod bottom radially sets up-regulation pressing in pins, pressure regulation pin, The elongated hole adaptable with up-regulation pressing in pins, pressure regulation pin is radially set respectively, and up-regulation pressing in pins two ends set solid respectively Fixed set, stop collar, pressure regulation pin two ends set fixed cover, stop collar respectively, slide fit swivel nut barrel peripheral hardware screw thread, It is radially arranged and raises pressure regulation spiral shell on the adaptable elongated hole of pressing in pins, pressure regulation pin, slide fit swivel nut barrel peripheral hardware Female, look nut, look nut upper end is butted on lower section fixed cover, stop collar lower end, upper look nut lower end It is butted on top fixed cover, spacing set upper side;
(f), elastic device is set to 2 springs, and the form of the equal pressure-adjustable of adjusting rod, bullet are given upwards, downwards Spring, lower spring are located in slide fit swivel nut barrel, and adjusting rod bottom axially penetrates through spring, and adjusting rod bottom is radially If raising pressing in pins, catch spring pin, the elongated hole adaptable with up-regulation pressing in pins is radially set, pressing in pins two is raised End sets fixed cover, stop collar respectively, and catch spring pin extends radially through adjusting rod, is fastenedly connected with adjusting rod, from Right state lower spring upper end is butted on up-regulation pressing in pins, and lower end is butted on catch spring pin, and lower spring is located at slide fit swivel nut In barrel, pressure regulation pin extends radially through slide fit swivel nut barrel, and two ends set fixed cover, stop collar respectively, natural Lower spring upper end is butted on catch spring pin under state, and lower end is butted on pressure regulation pin, slide fit swivel nut barrel peripheral hardware screw thread, It is radially arranged and raises the adaptable elongated hole of pressing in pins, pressure regulation pin, catch spring pin, slide fit swivel nut top cylinder Through being more than bottom barrel internal diameter in wall, fix bar top is that cylindrical diameter becomes most of, and under slide fit swivel nut Portion's inwall is slidably matched, look nut, look nut on slide fit swivel nut barrel peripheral hardware, and look nut upper end is supported In lower section fixed cover, stop collar lower end, upper look nut lower end is butted on top fixed cover, spacing set upper side;
(g), elastic device is set to 2 springs, and the form of the equal pressure-adjustable of adjusting rod, bullet are given upwards, downwards Spring, lower spring are respectively positioned on outside slide fit swivel nut barrel, and slide fit swivel nut axially penetrates through spring, lower spring, adjusting rod Bottom, which is radially set up defences, revolves pin, catch spring pin, and adjusting rod radially sets the elongated hole adaptable with anti-rotation pin, axle It is more than radical length to length, anti-rotation pin is fastenedly connected with slide fit swivel nut, and catch spring pin extends radially through regulation Bar, is fastenedly connected with adjusting rod, and slide fit swivel nut radially sets the elongated hole being adapted with catch spring pin, axial length More than radical length, look nut, look nut on slide fit swivel nut barrel peripheral hardware connect with slide fit swivel nut screw thread Connect, nature lower spring upper end is butted on look nut, lower end is butted on catch spring pin, and lower spring upper end is supported In catch spring pin, lower end is butted on look nut, and upper rotation look nut can drive catch spring pin to move up, give Look nut on the upward active force of adjusting rod, backspin, can drive catch spring pin to move down, give adjusting rod to Under active force;
(h), elastic device is set to 2 springs, and the form of the equal pressure-adjustable of adjusting rod, bullet are given upwards, downwards Spring is located above slide fit swivel nut, and adjusting rod axially penetrates through spring, and lower spring is located at outside slide fit swivel nut barrel, sliding Lower spring is axially penetrated through with swivel nut, slide fit swivel nut upper end sets pressure regulation swivel nut, and its upper end is slidably connected with adjusting rod, Lower inner wall sets screw thread, is threadedly coupled with slide fit swivel nut, and pressure regulation swivel nut upper portion side wall sets fastening jackscrew, with pressure regulation Swivel nut is threadedly coupled, and screw-in is against adjusting rod outer wall, and limitation adjusting rod is slided, and adjusting rod is from top to bottom radially If raising pressing in pins, anti-rotation pin, pressure regulation pin, adjusting rod radially sets the elongated hole adaptable with anti-rotation pin, Axial length is more than radical length, and anti-rotation pin is fastenedly connected with slide fit swivel nut, up-regulation pressing in pins, pressure regulation pin Nail is fastenedly connected with adjusting rod, and slide fit swivel nut radially sets the elongated hole being adapted with pressure regulation pin, and axial length is big In radical length, slide fit swivel nut barrel peripheral voltage regulation nut is threadedly coupled with slide fit swivel nut, under nature Spring upper end is butted on pressure regulation swivel nut, and lower end is butted on up-regulation pressing in pins, and lower spring upper end is butted on downward pressing in pins, Lower end is butted on look nut;
(i), elastic device is set to 2 springs, and the form of the equal pressure-adjustable of adjusting rod, bullet are given upwards, downwards Spring, lower spring are respectively positioned on above slide fit swivel nut, and adjusting rod is axially penetrated through on spring, lower spring, slide fit swivel nut Pressure regulation swivel nut is set at end, and its upper end is slidably connected with adjusting rod, and lower inner wall sets screw thread, with slide fit swivel nut spiral shell Line is connected, and lower pressure regulation swivel nut outer wall sets screw thread, and top sets pressure regulation swivel nut, pressure regulation swivel nut and lower pressure regulation swivel nut spiral shell Line is connected, and adjusting rod radially sets catch spring pin, anti-rotation pin, and catch spring pin is fastenedly connected with adjusting rod, is adjusted Pole radially sets the elongated hole adaptable with anti-rotation pin, and anti-rotation pin is fastenedly connected with slide fit swivel nut, natural shape State lower spring upper end is butted on pressure regulation swivel nut, and lower end is butted on catch spring pin, and lower spring upper end is butted on catch spring pin, Lower end is butted on lower pressure regulation swivel nut, and slide fit swivel nut outer wall, lower pressure regulation swivel nut outer wall set pressure scale table;
(j), elastic device can be set to 2 springs, and the form of the equal pressure-adjustable of adjusting rod is given upwards, downwards, Spring is located at outside slide fit swivel nut barrel, and extension spring is located in slide fit swivel nut barrel, and adjusting rod lower end axially sets and drawn The adaptable elongated slot in spring top, adjusting rod bottom radially sets catch spring pin, anti-rotation pin, adjusting rod and catch spring Pin, anti-rotation pin fastener coordinate, and pressure regulation pin is radially located at slide fit swivel nut, and slide fit swivel nut barrel is radially set The elongated hole adaptable with catch spring pin, anti-rotation pin, pressure regulation pin is put, axial length is more than radical length, Anti- rotation pin two ends set fixed cover, stop collar, and fixed cover, stop collar and slide fit swivel nut are slidably connected, pressure regulation Pin two ends set fixed cover, stop collar, and fixed cover, stop collar and slide fit swivel nut are slidably connected, in extension spring, Lower end sets circular hook, and upper end hook sleeve is on anti-rotation pin, and lower end hook sleeve is natural on pressure regulation pin State lower spring upper end is butted on catch spring pin, and lower end is butted on below fixed cover, stop collar top, anti-rotation pin If positioning nut, positioning nut be threadedly coupled with slide fit swivel nut, look nut lower section be butted on below fixed cover, Stop collar, look nut is placed on slide fit swivel nut outer wall, and look nut is threadedly coupled with slide fit swivel nut.
7. a kind of pressure-adjustable hold-down bars according to claim 1 or 2 or 3, it is characterised in that:Regulation Bar, fix bar can be cylindric straight type solid hopkinson bar, and the cylindric arc that can be also set to be adapted with bone is solid Bar, is straight type solid hopkinson bar with slide fit swivel nut junction and above slipper.
8. the elastic internal fixation system of a kind of orthopedics clinic practice, using 1 or 2 such as claim 1-7 Any described pressure-adjustable hold-down bars, is combined with more than 2 single rod types, double stick type or the solid spike devices of anatomical form Into elastic internal fixation system.
9. elastic internal fixation system according to claim 8, it is characterised in that:
The solid spike devices of the single rod type can be using one of following form:
(a), the solid spike devices of single rod type are set to be constituted by following closely block, bone screws admittedly, admittedly set on nail block parallel to solid The solid rod hole of nail block above and below and communicated with solid rod hole, split follow closely admittedly block upper and lower part, about 2mm it is high Translot, and solid rod screw hole, bone screw, bone screw are set to 1 or more than 1, bone screw Bottom hole wall sets screw thread, Gu rod screw hole, bone screw are vertical with nail block above and below admittedly, bone screws are with consolidating Block threaded connection is followed closely, adjusting rod or fix bar can be fixed on solid nail block by tightening bone screws;
(b), the solid spike devices of single rod type are set to be constituted by following closely block, solid rod screw, bone screws admittedly, admittedly on nail block If solid rod hole parallel to solid nail block above and below and communicated with solid rod hole, split follow closely admittedly block upper and lower part, Translot high about 2mm, and solid rod screw hole, bone screw, bone screw are set to 1 or more than 1, The bottom hole wall being adapted with solid rod screw hole sets screw thread, admittedly nail block is connected with solid rod screw thread, tightens bone Adjusting rod or fix bar can be fixed on solid nail block by screw, and bone screw can set screw thread, also not set screw thread, Also one end can be set to and set the elongated hole that screw thread, one end do not set screw thread;
(c), the solid spike devices of single rod type are constituted by following closely block, solid rod screw, bone screws admittedly:In solid nail block one end If the groove of notch inwardly, below upper plane, groove is adapted with adjusting rod or fix bar, the other end Lower plane is convex to lower section, sets solid rod screw hole, bone screw on solid nail block, bone screw is set to 1 or 1 More than individual, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, Bone screw can set screw thread, also not set screw thread, can also be set to one end and set the length that screw thread, one end do not set screw thread Hole;
(d), the solid spike devices of single rod type are constituted by following closely block, solid rod screw, bone screws admittedly:In solid nail block one end If the groove of notch inwardly, below upper plane, groove is adapted with adjusting rod or fix bar, in solid nail Solid rod screw hole, bone screw are set on block, bone screw is set to 1 or more than 1, Gu rod screw hole by It is interior it is upper outwards under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, bone screw can set screw thread, Also screw thread can not be set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
(e), the solid spike devices of single rod type are constituted by following closely block, solid rod screw, bone screws admittedly:In solid nail block one end If the groove of notch inwardly, above upper plane, groove is adapted with adjusting rod or fix bar, in solid nail Solid rod screw hole, bone screw are set on block, bone screw is set to 1 or more than 1, Gu rod screw hole is set In groove upper wall, by it is interior it is upper outwards under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, murices Nail can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
(f), the solid spike devices of single rod type are constituted by following closely block, solid rod screw, bone screws admittedly:In solid nail block one end If the groove of notch outwardly, above upper plane, groove is adapted with adjusting rod or fix bar, in solid nail Solid rod screw hole, bone screw are set on block, bone screw is set to 1 or more than 1, Gu rod screw hole is set In groove upper wall, by it is outside upper inwardly under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, murices Nail can set screw thread, also not set screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
(g), the solid spike devices of single rod type are set to be constituted by following closely block, bone screws admittedly, and notch is set in solid nail block one end Inwardly, the groove above upper plane, groove is adapted with adjusting rod or fix bar, is set on solid nail block Bone screw, bone screws are threadedly coupled with nail block admittedly, and bone screw can also be set to one end and set screw thread, one end not If the elongated hole of screw thread, bone screws tail end is adapted with adjusting rod or fix bar, and tightening bone screws can be by adjusting rod Or fix bar is fixed in solid nail block groove.
10. elastic internal fixation system according to claim 8, it is characterised in that:
The solid spike devices of the double stick type can be using one of following form:
(a), the solid spike devices of double stick type are set to be constituted by following closely block, bone screws admittedly, admittedly nail block two ends set parallel to Admittedly 2 of nail block above and below are consolidated rod holes and are communicated with solid rod hole, split and follow closely block upper and lower part, about 2mm admittedly High translot, on fixed block plane set and bone screw, the bottom hole wall of bone screw sets screw thread, Bone screws are threadedly coupled with nail block admittedly, and adjusting rod or fix bar can be fixed on solid nail block by tightening bone screws;
(b), the solid spike devices of double stick type are set to be constituted by following closely block, solid rod screw, bone screws admittedly, admittedly nail block two End sets parallel to 2 solid rod holes of solid nail block above and below and communicated respectively with solid rod hole, split follow closely admittedly on block, Bottom, the translot that about 2mm is high, notch outwardly, on fixed block plane set solid rod screw hole, Bone screw, bone screw is set to 1 or more than 1, Gu the bottom hole wall of rod screw hole sets screw thread, Gu Rod screw is threadedly coupled with nail block admittedly, and bone screw can set screw thread, also not set screw thread, can also be set to one end If screw thread, one end do not set the elongated hole of screw thread, solid nail can be fixed on by adjusting rod or fix bar by twisting fastening stick screw Block;
(c), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:At solid nail block two ends If the groove of notch inwardly, below upper plane, groove is adapted with adjusting rod or fix bar, admittedly follow closely block Centre, which is set, is convex to lower, planar, is set in groove upper wall and sets bone screw, bone in the middle of solid rod screw hole, admittedly nail block Screw hole is set to 1 or more than 1, Gu rod screw hole by it is interior it is upper outwards under oblique groove set, admittedly follow closely block It is connected with solid rod screw thread, bone screw can set screw thread, also not set screw thread, can be also set to one end and set spiral shell Line, one end do not set the elongated hole of screw thread;
(d), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:At solid nail block two ends If the groove of notch inwardly, below upper plane, groove is adapted with adjusting rod or fix bar, in solid nail Bone screw is set in the middle of block, bone screw is set to 1 or more than 1, Gu rod screw hole by it is interior it is upper outwards under Oblique groove is set, admittedly nail block is connected with solid rod screw thread, bone screw can set screw thread, also not set spiral shell Line, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
(e), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:Set in solid nail block one end The groove of 2 notches inwardly, below upper plane, groove is adapted with adjusting rod or fix bar, in solid nail The block other end sets bone screw, and bone screw is set to 1 or more than 1, Gu rod screw hole is by interior outside Under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, bone screw can set screw thread, also not set Screw thread, can also be set to one end and set the elongated hole that screw thread, one end do not set screw thread;
(f), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:In solid nail block one end If 1 notch inwardly, the other end set 1 notch outwardly, the groove below upper plane, groove with adjust Pole or fix bar are adapted, and set bone screw in the middle of solid nail block, bone screw be set to 1 or 1 with On, Gu rod screw hole one end by it is interior it is upper outwards under oblique groove set, the other end by it is outside upper it is lower in the diagonal set, Admittedly nail block is connected with solid rod screw thread, bone screw can set screw thread, also not set screw thread, can also be set to one End sets the elongated hole that screw thread, one end do not set screw thread;
(g), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:At solid nail block two ends If the groove of notch inwardly, above upper plane, groove is adapted with adjusting rod or fix bar, in solid nail Bone screw is set in the middle of block, bone screw is set to 1 or more than 1, Gu rod screw hole is located at groove upper wall, By it is interior it is upper outwards under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, bone screw can set screw thread, Also screw thread can not be set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
(h), the solid spike devices of double stick type are constituted by following closely block, solid rod screw, bone screws admittedly:At solid nail block two ends If the groove of notch outwardly, above upper plane, groove is adapted with adjusting rod or fix bar, in solid nail Bone screw is set in the middle of block, bone screw is set to 1 or more than 1, Gu rod screw hole is located at groove upper wall, By it is outside upper inwardly under oblique groove set, admittedly nail block is connected with consolidating rod screw thread, bone screw can set screw thread, Also screw thread can not be set, one end can be also set to and set the elongated hole that screw thread, one end do not set screw thread;
(i), the solid spike devices of double stick type are set to be constituted by following closely block, bone screws admittedly, and notch is set at solid nail block two ends Inwardly, the groove above upper plane, groove is adapted with adjusting rod or fix bar, in the middle of solid nail block If bone screw, bone screws are threadedly coupled with nail block admittedly, and bone screw can also be set to one end and set screw thread, one end The elongated hole of screw thread is not set, and bone screws tail end is adapted with adjusting rod or fix bar, and tightening bone screws will can be adjusted Bar or fix bar are fixed in solid nail block groove.
11. elastic internal fixation system according to claim 8, it is characterised in that:
The solid spike devices of anatomical form are made up of dissection plate, attachment means, solid rod screw etc., and dissection plate is set to and people Set and fixed position on the consistent metal bone fracture plate of body limb long tubular bone metaphysis skeletal form, dissection plate Bone screw that the adaptable quantity of bone is not waited, bone reduction hole, bone screws hole wall can set screw thread or not set Screw thread, dissection plate have near end of thighbone dissect plate, dissection plate on the outside of distal femur, medial side of tibial plateau dissection plate, Dissection plate, medial distal tibia dissection plate, distal fibular dissection plate, proximal humerus outside on the outside of tibial plateau Dissect plate, distal humerus outside dissection plate, distal humerus inner side dissection plate, olecroanon dissection plate, radius A variety of dissection plates such as distal dorsal dissection plate, dissection plate sets attachment means close to bone center-side, any dissection The attachment means of plate can be set to that solid rod screw can be set in a variety of types of attachment, attachment means, for secured adjusted Bar or fix bar, attachment means are the dissection plate of single groove or 2 channel aways, and the head end of its groove can Cell wall is not set, part cell wall or totally-enclosed cell wall can be also set;
The attachment means of the solid spike devices of the anatomical form can be using one of following form:
(a), the solid spike devices of anatomical form are set to by medial distal tibia dissection plate, solid rod screw, attachment means Composition, attachment means are to set notch towards side, positioned at dissection plate in medial distal tibia dissection plate caudal part The groove of dorsal part, groove is adapted with adjusting rod or fix bar, and groove dorsal part cell wall sets consolidating for oblique side channel wall Rod screw, adjusting rod or fix bar can be fixed on medial distal tibia dissection plate by twisting fastening stick screw;
(b), the solid spike devices of anatomical form are set to be made up of medial distal tibia dissection plate, attachment means, connect Device is to set cylindrical screw bar, fixing nut in medial distal tibia dissection plate caudal part, and threaded rod is with adjusting The connection swivel nut threaded connection set on pole or fix bar, fixing nut can fix adjusting rod or fix bar In on the threaded rod that medial distal tibia dissects plate;
(c), anatomical form bind admittedly be set to medial distal tibia dissection plate and attachment means be set as integrated, even Tipping is set to sets threaded sleeve, threaded sleeve and adjusting rod or fixation in medial distal tibia dissection plate caudal part Adjusting rod or fix bar can be fixed on shin bone by the screw thread club shaped structure threaded connection set on bar, fixing nut On the threaded sleeve of distal medial dissection plate;
(d), the solid spike devices of anatomical form are set to be made up of near end of thighbone dissection plate, solid rod screw, attachment means, Attachment means are that the both sides for dissecting plate caudal part near end of thighbone set notch towards centre, positioned at dissection backboard side 2 grooves, groove and adjusting rod or fix bar be adapted, and groove dorsal part cell wall sets consolidating for oblique side channel wall Rod screw, adjusting rod or fix bar can be fixed near end of thighbone dissection plate by twisting fastening stick screw;
(e), the solid spike devices of anatomical form are set to by medial distal tibia dissection plate, solid rod screw, attachment means Composition, attachment means are that the both sides for dissecting plate caudal part in medial distal tibia set notch direction centre, are located at 2 grooves of backboard side are dissected, groove and solid rod screw tail end are adapted with adjusting rod or fix bar, tightened Gu adjusting rod or fix bar can be fixed on medial distal tibia dissection plate by rod screw;
(f), the solid spike devices of anatomical form are set to by medial side of tibial plateau dissection plate, solid rod screw, attachment means Composition, attachment means be medial side of tibial plateau dissect plate caudal part both sides set notch towards outside, be located at 2 grooves of backboard side are dissected, groove is adapted with adjusting rod or fix bar, and groove dorsal part cell wall sets solid rod Screw, Gu rod screw head end is threadedly coupled with groove front side wall, twisting fastening stick screw can be by adjusting rod or fixation Bar is fixed on medial side of tibial plateau dissection plate;
(g), the solid spike devices of anatomical form are set to dissection plate, solid rod screw, attachment means on the inside of distal femur Composition, attachment means on the inside of distal femur dissect plate caudal part side set notch towards inner side, be located at The groove of backboard side is dissected, groove is adapted with adjusting rod or fix bar, and groove dorsal part cell wall sets solid rod screw, Gu rod screw head end is threadedly coupled with groove front side wall, adjusting rod or fix bar can be fixed by twisting fastening stick screw The dissection plate on the inside of distal femur;
(h), the solid spike devices of anatomical form are set to dissection plate, solid rod screw, attachment means on the outside of tibial plateau Composition, attachment means be on the outside of tibial plateau dissect plate caudal part in the middle part of set notch towards outside, be located at 2 grooves of backboard side are dissected, groove is adapted with adjusting rod or fix bar, and groove dorsal part cell wall sets oblique Middle solid rod screw, adjusting rod or fix bar can be fixed on dissection on the outside of tibial plateau by twisting fastening stick screw Plate;
(i), the solid spike devices of anatomical form are set to be made up of proximal humerus dissection plate, solid rod screw, attachment means, Attachment means are that the side for dissecting plate caudal part in proximal humerus sets notch towards opposite side, positioned at dissection backboard The groove of side, groove is adapted with adjusting rod or fix bar, and groove dorsal part cell wall sets solid rod screw, Gu rod spiral shell Ailhead end is threadedly coupled with groove front side wall, and humerus can be fixed on by adjusting rod or fix bar by twisting fastening stick screw Near-end dissects plate;
(g), the solid spike devices of anatomical form are set to dissection plate, solid rod screw, attachment means on the outside of tibial plateau Constitute, dissection plate caudal part thickness increase on the outside of tibial plateau, if with dissecting board shaft on the outside of tibial plateau to side Communicated to consistent 2 solid rod holes and with solid rod hole, split dissection plate thickened section, about 2mm on the outside of tibial plateau High translot, fixing screw hole is set dissecting plate thickened section on the outside of tibial plateau, fixing screw hole Deep hole wall sets screw thread, and fixing screws are threadedly coupled with dissection plate on the outside of tibial plateau, and tightening bone screws can be by Dissection plate on the outside of adjusting rod or fix bar tibial plateau;
(k), the solid spike devices of anatomical form are set to by medial distal tibia dissection plate, solid rod screw, attachment means Composition, attachment means are to set notch towards side, positioned at dissection plate in medial distal tibia dissection plate caudal part The groove of dorsal part, the remote center-side of groove sets totally-enclosed cell wall, stops that adjusting rod or fix bar are slided, groove with Adjusting rod or fix bar are adapted, and groove dorsal part cell wall sets the solid rod screw of oblique side channel wall, twist fastening stick spiral shell Adjusting rod or fix bar can be fixed on medial distal tibia dissection plate by nail;
(l), the solid spike devices of anatomical form are set to be made up of proximal humerus dissection plate, solid rod screw, attachment means, Attachment means are that the side for dissecting plate caudal part in proximal humerus sets notch towards opposite side, positioned at dissection backboard The groove of side, the remote center-side of groove sets semiclosed cell wall, stops that adjusting rod or fix bar are slided, groove and regulation Bar or fix bar are adapted, and groove dorsal part cell wall sets solid rod screw, Gu rod screw head end and groove front side wall spiral shell Line is connected, and adjusting rod or fix bar can be fixed on proximal humerus dissection plate by twisting fastening stick screw.
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CN107080582A (en) * 2016-02-16 2017-08-22 宋若怡 Flexible spinal fixed system and pressure-adjustable hold-down bars
CN110115605A (en) * 2018-02-06 2019-08-13 上海梵焜医疗器械有限公司 A kind of Linear type suturing instrument

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CN107080582A (en) * 2016-02-16 2017-08-22 宋若怡 Flexible spinal fixed system and pressure-adjustable hold-down bars
CN107080582B (en) * 2016-02-16 2020-08-11 宋若怡 Elastic spine fixing system and pressure-adjustable fixing rod
CN110115605A (en) * 2018-02-06 2019-08-13 上海梵焜医疗器械有限公司 A kind of Linear type suturing instrument
CN110115605B (en) * 2018-02-06 2022-08-26 上海梵焜医疗器械有限公司 Linear type stitching instrument

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