CN107126252B - Guider is used in neck of femur operation - Google Patents
Guider is used in neck of femur operation Download PDFInfo
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- CN107126252B CN107126252B CN201710334007.0A CN201710334007A CN107126252B CN 107126252 B CN107126252 B CN 107126252B CN 201710334007 A CN201710334007 A CN 201710334007A CN 107126252 B CN107126252 B CN 107126252B
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- guide pin
- plate
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- side plate
- femur
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/74—Devices for the head or neck or trochanter of the femur
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The present invention provides a kind of neck of femur operation guiders, and including top plate and the first side plate and the second side plate with X-ray permeability, the space for being configured to accommodating thigh proximal end is enclosed between the top plate and first side plate and second side plate；It further include in multiple guide pin perforation spaced on first side plate, and respectively at multiple the first guide pin placement sections and the second guide pin placement section being arranged side by side being arranged on the top plate and second side plate, and the perforation of guide pin described in one in the axially-extending line in the space can and one of the first guide pin placement section and the projection crosspoint of the second guide pin placement section cross together.Neck of femur operation guider of the present invention can be used in neck of femur operation being oriented to squeezing into for guide pin, position, accurately and rapidly to squeeze into fixing glue.
Description
Technical field
The present invention relates to fracture operation auxiliary appliance technical field, in particular to guider is used in a kind of neck of femur operation.
Background technique
Fracture of neck of femur is fracture of the femoral head between base of nebk ot femur, is old common one of fracture.Always
Year people due under osteoporosis, bone strength will, it is all muscle group regressions, slow in reacting or cause neck of femur to be broken by wound, with
Service life of people extend, disease incidence increasingly increases；Femoral neck fractures in young and middle aged adults is often due to caused by serious damage.In neck of femur
In the treatment of fracture, it is at present more nail fixed forms through a kind of therapeutic modality frequently with and with good therapeutic effect, i.e., generally adopts
With 3 pieces, the thinner fixing glue of needle diameter, undertakes different stress respectively by rational deployment and prevent from rotating, for the cunning of anti-non-magnetic shim
It moves, to use preferably the threaded steel nail in surface.Fracture of neck of femur operation carries out under x-ray monitoring, the 1st piece of drive screw (distal side
Nail) entry point generally under greater trochanter vertex 10cm, nail with the femoral shaft longitudinal axis be in 145 °~160 ° angles, be close to fractures on the inside of
Cortex reach femoral head away from joint margins 0.5cm at；The the 2nd, 3 piece of drive screw is pierced in succession every 1~1.5cm in the nearside of the nail,
Wherein the outer upside of one piece of deviation neck of femur is with to tensile stress, another piece of intersection is placed preferably to anti-rotation.In recent years
Compression hollow screw technology is applied because easy to operate, i.e., by first squeezing into diameter 2mm, long 2-10cm (general long 5cm)
Guide pin positioning, replant and fixed into hollow screw, to improve treatment curative effect, conducive to the rehabilitation of patient.Therefore fracture of neck of femur hand
The positioning of guide pin is extremely critical in art, accurately and rapidly positions, caused by not only can be reduced because constantly adjustment guide pin is positioned to patient
The additional pain of injury, moreover it is possible to effectively shortening positioning time is reduced caused by X-ray to the health effect of patient and medical staff.
Summary of the invention
In view of this, the invention proposes a kind of neck of femur operation guider, with can be in neck of femur operation to guide pin
Squeeze into and be oriented to, positioned.
In order to achieve the above objectives, the technical scheme of the present invention is realized as follows:
A kind of neck of femur operation guider,
Including top plate and the first side plate and the second side plate with X-ray permeability, first side plate is fixed on the top
The side of plate, second side plate are connected in the other side of the top plate, and second side plate adjacent to first side plate
Intersect setting with first side sheet room, and encloses and be configured between the top plate and first side plate and second side plate
There is the space of accommodating thigh proximal end；
It further include in multiple guide pins perforation spaced on first side plate, and respectively at the top plate and described
Multiple the first guide pin placement sections and the second guide pin placement section being arranged side by side being arranged on second side plate, first guide pin are placed
Setting is intersected with orthographic projection of the second guide pin placement section in the space in portion, and the perforation of guide pin described in one is in the sky
In axially-extending line can and one of the first guide pin placement section and the projection crosspoint of the second guide pin placement section meet at
Together.
As the restriction to aforesaid way, dismountable guide pin guide pipe is inserted in the perforation of the guide pin described in one.
As the restriction to aforesaid way, the guide pin guide pipe can have the pendulum relative to guide pin perforation axis
It is dynamic.
As the restriction to aforesaid way, it is formed with deep gouge at the port of Yu Suoshu guide pin perforation, is oriented in the guide pin
The peripheral side of pipe, which is fixed with, is embedded in the deep gouge, at least side inserted block hemispherical.
As the restriction to aforesaid way, it is respectively arranged on Yu Suoshu top plate and second side plate and is penetrated with X-ray
Property the first placement plate and the second placement plate, the first guide pin placement section and the second guide pin placement section are respectively arranged on described
In first placement plate and second placement plate.
As the restriction to aforesaid way, the top plate can have relative to first side plate and second side plate
Rotation.
As the restriction to aforesaid way, first placement plate is rotatably set on the top plate, and described second puts
Setting plate is rotatably to be set on second side plate.
As the restriction to aforesaid way, the first guide pin placement section and the second guide pin placement section are respectively to be formed
In the first guide pin jack and the second guide pin jack in first placement plate and second placement plate.
As the restriction to aforesaid way, it is arranged in obtuse angle between first side plate and second side plate.
As the restriction to aforesaid way, relative to the top plate, in the another of first side plate and second side plate
One end is fixed with bottom plate.
Compared with the existing technology, present invention has the advantage that
(1) the axially-extending line that neck of femur operation guider of the invention is perforated by guide pin can be placed with the first guide pin
The projection crosspoint of portion and the second guide pin placement section is intersected in together, to during surgery, can place in two guide pin placement sections
Guide pin, and it is placed in thigh proximal end (including neck of femur position) in the space, with this under the irradiation of G arm X-ray machine, put
Two guide pins set can form intersection point in the projection in the space on neck of femur, and axially-extending line can cross with the intersection point at this time
Guide pin perforation be fixing glue fixed position, and the guide pin perforation also provide guiding for the insertion of fixing glue, to realize stock
The guiding purpose of bone neck operation.
(2) guide effect can be improved in setting guide pin guide pipe.Guide pin guide pipe is swingable to be conducive to promote the accurate of guiding
Property.
(3) two can be conducive to by the first placement plate of setting and the second placement plate to form the second placement section and the second placement section
The adjustment of a placement section position, in favor of being suitable for the guiding of different building shape patient.
(4) placement section is guide pin jack, and structure is simple, and is convenient for the insertion and holding of guide pin.
(5) two side sheet rooms in obtuse angle, can be convenient for the use of guider.
Detailed description of the invention
The attached drawing for constituting a part of the invention is used to provide further understanding of the present invention, schematic reality of the invention
It applies example and its explanation is used to explain the present invention, do not constitute improper limitations of the present invention.In the accompanying drawings:
Fig. 1 is the structural schematic diagram that guider is used in the operation of neck of femur described in the embodiment of the present invention；
Fig. 2 is the structural schematic diagram under the operation of neck of femur described in the embodiment of the present invention another visual angle of guider；
Fig. 3 is the structural schematic diagram under the operation of neck of femur described in the embodiment of the present invention another visual angle of guider；
When Fig. 4 is that neck of femur operation guider described in the embodiment of the present invention removes the first placement plate and the second placement plate
Structural schematic diagram；
Fig. 5 is the structural schematic diagram of the second placement plate described in the embodiment of the present invention；
Description of symbols:
1- top plate, the first side plate of 2-, the second side plate of 3-, 4- bottom plate, the first placement plate of 5-, 51- the first guide pin jack, 6- are led
Cause perforation, the second placement plate of 7-, 71- side lever body, 72- cross-bar body, 73- side lever body, 74- shaft, 75- the second guide pin jack, 8-
Guide pin guide pipe, 9- screw, 10- mounting hole.
Specific embodiment
It should be noted that in the absence of conflict, the feature in embodiment and embodiment in the present invention can phase
Mutually combination.
The present invention will be described in detail below with reference to the accompanying drawings and embodiments.
The present embodiment is related to a kind of neck of femur operation guider, as shown in Figure 1 to Figure 3 comprising there is X-ray to penetrate
The top plate 1 and the first side plate 2 of property and the second side plate 3, wherein the first side plate 2 is fixed on the side of top plate 1, and the second side plate 3 is adjacent
It is connected in the other side of top plate 1 in the first side plate 2, and intersects setting between the second side plate 3 and the first side plate 2, and in top plate 1,
The space being configured to for accommodating thigh proximal end (including neck of femur position) is enclosed between side plate 2 and the second side plate 3.This femur
The design philosophy of neck operation guider is, multiple guide pins perforation 6 are arranged at intervals on the first side plate 2, in top plate 1 and the
Multiple the first guide pin placement sections and the second guide pin placement section being arranged side by side are respectively arranged on two side plates 3, the first guide pin is placed
Setting is intersected in portion with orthographic projection of the second guide pin placement section in the space of above-mentioned enclosed composition, and the perforation of one guide pin is in the sky
In axially-extending line can also and one of the first guide pin placement section and the projection crosspoint of the second guide pin placement section meet at one
It rises.
The neck of femur operation guider of the present embodiment can be placed by the axially-extending line of guide pin perforation 6 with the first guide pin
The projection crosspoint of portion and the second guide pin placement section is intersected in together, to during surgery, can place in two guide pin placement sections
Guide pin, and it is placed in thigh proximal end (including neck of femur position) in the space, with this under the irradiation of G arm X-ray machine, put
Two guide pins set can form intersection point in the projection in the space on neck of femur, and axially-extending line can cross with the intersection point at this time
Guide pin perforation 6 be fixing glue fixed position, and guide pin perforation 6 also provides guiding for the insertion of fixing glue, with realization
The guiding purpose of neck of femur operation.
The present embodiment is on specific structure, in conjunction with shown in Fig. 4 and Fig. 5, in blunt between the first side plate 2 and the second side plate 3
Angle setting, guide pin perforation 6 are abound with to be rectangular on the first side plate 2, and are also inserted with guide pin in a wherein guide pin perforation 6
Guide pipe 8, guide pin guide pipe 8 can further improve the accuracy to fixing glue guiding.And in order to make to fixing glue insertion
Be oriented to it is more accurate, in the present embodiment guide pin guide pipe 8 can also have in setting relative to guide pin perforate 6 axis swing,
And particularly can be by one deep gouge of port setting in guide pin perforation 6, and being connected insertion in the peripheral side of guide pin guide pipe 8 should
Being realized in spherical inserted block in deep gouge.In addition, the internal diameter of guide pin guide pipe 8 with just accommodate guide pin be it is suitable, can avoid leading
Shaking of the needle in guide pipe and influence to guiding, positioning, the thickness of pipe of guide pipe can use 1mm.
After guide pin conduit 8 is inserted into, using the chondritic of inserted block, that is, spherical hinge structure can be similar to, and realize and lead indirectly
The swing of wire guide 8.Certainly, in addition to the inserted block that for chondritic, is fixed on outside guide pin conduit 8 can also only side be it is hemispherical,
In the side insertion deep gouge for making this hemispherical at this time.In the present embodiment, for the requirement for adapting to different patient femur's necks,
Top plate 1 is also configured as the rotation that can have relative to the first side plate 2 and the second side plate 3 in structure, and it specifically can be by making
The screw 9 that top plate 1 is bolted between 3 end of the first side plate 2 and the second side plate via one is attached and realizes, pushes up when needing to rotate
When plate 1, screw 9 is unscrewed.
For that can be adjusted to the position for the guide pin placement section being set on top plate 1 and the second side plate 3 in the present embodiment, with
The patient for better conforming to different building shape is respectively arranged with the first placement plate 5 and the second placement plate on top plate 1 and the second side plate 3
7, the first guide pin placement section and the second guide pin placement section are located in the first placement plate 5 and the second placement plate 7, and first puts
Setting plate 5 and the second placement plate 7 is also respectively to be rotatably arranged on top plate 1 and the second side plate 3.
In the present embodiment, two guide pin placement sections are respectively the first guide pin jack 51 being formed in the first placement plate 5, with
And it is formed in the second guide pin jack 75 in the second placement plate 7, the placement of guide pin can be convenient for this.And it is as shown in Figure 5, second
Placement plate 7 specifically includes the side lever body 71 and side lever body 73 positioned at two opposite sides, and is connected to side lever body 71 and the side of two sides
The multiple cross-bar bodies 72 being arranged side by side between the body of rod 73, the second guide pin jack 75 correspond to each cross-bar body 72, are opened on side
On the body of rod 71, and it is arranged through cross-bar body 72, in 73 side of side lever body, each second guide pin jack 75 is to block shape, slotting can be avoided
The guide pin entered is fallen.
It is fixed with shaft 74 in a cross-bar body 72 in the present embodiment in the second placement plate 7, corresponds to the shaft 74,
The mounting hole 10 of indent is also equipped on the second side plate 3, being embedded in by rotation of the shaft 74 in mounting hole 10 can be realized
The rotation of second placement plate 7 above-mentioned is arranged.It certainly, can not make the position of the second placement plate 7 change after rotation again
Make shaft 74 using diameter be slightly larger than mounting hole 10 rubber cylinder structure, between 10 inner wall of shaft 74 and mounting hole generate compared with
Big damping.Alternatively, the second placement plate 7 can also be made equally to be mounted on second side using bolt structure such as the setting structure of top plate 1
On plate 3.
The second placement plate 7 also selects the material that X-ray can be saturating in the present embodiment, and in addition to using frame-type as shown in Figure 5
Structure can also make the second placement plate 7 be designed as a simple slab construction certainly, and the second guide pin jack 75 is in the slab construction
It is arranged side by side.The first placement plate 5 is consistent with the structure of the second placement plate 7 in the present embodiment, and the two is only on concrete shape
Difference.In addition, corresponding to top plate 1 in the present embodiment, bottom plate is also fixed in the other end of the first side plate 2 and the second side plate 3
4, the structural stability of this guider can be improved in the setting of bottom plate 4.
The operation of this neck of femur when in use, is made the thigh proximal end (including neck of femur position) of patient be placed in this and led with guider
It encloses in the space being configured to, is placed under G arm X-ray machine into device structure, be then suitable in the position for corresponding to neck of femur
The first guide pin jack 51 and the second guide pin jack 75 in be inserted into guide pin, according to projection of two guide pins of insertion on neck of femur
Intersection point finds the guide pin perforation 6 of suitable position, and in conjunction with the guiding of guide pin conduit 8, fixing glue is squeezed by guide pin perforation 6
Neck of femur.Implement in use, according to different necks of femur can position to the first placement plate 5 and the second placement plate 7 with
And the angle of guide pin guide pipe 8 is adjusted, in favor of guiding.Determining for 3 guide pins is successively accurately and rapidly determined through this operation
Position and the fracture site for squeezing into patient, then carry out squeezing into and fixing for hollow screw.Not only can be reduced using this guider because
Constantly adjustment guide pin is positioned to additional grieved caused by patient, moreover it is possible to be effectively shortened caused by positioning time reduction X-ray to trouble
The health effect of person and medical staff.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all in essence of the invention
Within mind and principle, any modification, equivalent replacement, improvement and so on be should all be included in the protection scope of the present invention.
Claims (10)
1. a kind of neck of femur operation guider, it is characterised in that:
Including top plate and the first side plate and the second side plate with X-ray permeability, first side plate is fixed on the top plate
Side, second side plate are connected in the other side of the top plate, and second side plate and institute adjacent to first side plate
The intersection setting of the first side sheet room is stated, and is enclosed between the top plate and first side plate and second side plate and has been configured to appearance
Set the space of thigh proximal end；
It further include in multiple guide pins perforation spaced on first side plate, and respectively at the top plate and described second
Multiple the first guide pin placement sections and the second guide pin placement section being arranged side by side being arranged on side plate, the first guide pin placement section with
Setting is intersected in orthographic projection of the second guide pin placement section in the space, and the perforation of guide pin described in one is in the space
Axially-extending line can and one of the first guide pin placement section and the projection crosspoint of the second guide pin placement section cross together；
And the neck of femur operation with guider be configured as in use, include neck of femur position thigh proximal end be placed in it is described
It in space, is placed under G arm X-ray machine, and is put in the first guide pin placement section of the position for corresponding to neck of femur and the second guide pin
It sets portion and places guide pin, and form intersection point in being projected on neck of femur in the space according to two guide pins, then by that can hand over intersection point
The axially-extending line of the guide pin perforation of remittance finds the guide pin punch position that suitable fixing glue is squeezed into.
2. neck of femur operation guider according to claim 1, it is characterised in that: inserted in the perforation of the guide pin described in one
Equipped with dismountable guide pin guide pipe.
3. neck of femur operation guider according to claim 2, it is characterised in that: the guide pin guide pipe can have phase
Swing for guide pin perforation axis.
4. neck of femur operation guider according to claim 3, it is characterised in that: at the port of Yu Suoshu guide pin perforation
It is formed with deep gouge, is fixed in the peripheral side of the guide pin guide pipe and is embedded at that in the deep gouge, at least side is hemispherical
Inserted block.
5. neck of femur operation guider according to claim 1, it is characterised in that: Yu Suoshu top plate and described second side
It is respectively arranged with the first placement plate and the second placement plate with X-ray permeability on plate, the first guide pin placement section and described
Second guide pin placement section is respectively arranged in first placement plate and second placement plate.
6. neck of femur operation guider according to claim 5, it is characterised in that: the top plate can have relative to institute
State the rotation of the first side plate and second side plate.
7. neck of femur operation guider according to claim 5, it is characterised in that: first placement plate is rotatable
On the top plate, second placement plate is rotatably to be set on second side plate.
8. neck of femur operation guider according to any one of claims 5 to 7, it is characterised in that: described first leads
Needle placement section and the second guide pin placement section are respectively the be formed in first placement plate and second placement plate
One guide pin jack and the second guide pin jack.
9. neck of femur operation guider according to claim 1, it is characterised in that: first side plate and described second
It is arranged in obtuse angle between side plate.
10. neck of femur operation guider according to claim 1, it is characterised in that: relative to the top plate, described
The other end of first side plate and second side plate is fixed with bottom plate.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710334007.0A CN107126252B (en) | 2017-05-12 | 2017-05-12 | Guider is used in neck of femur operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710334007.0A CN107126252B (en) | 2017-05-12 | 2017-05-12 | Guider is used in neck of femur operation |
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| Publication Number | Publication Date |
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| CN107126252A CN107126252A (en) | 2017-09-05 |
| CN107126252B true CN107126252B (en) | 2019-07-12 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201710334007.0A Active CN107126252B (en) | 2017-05-12 | 2017-05-12 | Guider is used in neck of femur operation |
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| CN (1) | CN107126252B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108836507B (en) * | 2018-06-22 | 2021-01-08 | 朱求亮 | Positioning device for fixing femoral neck and using method thereof |
| CN110693601A (en) * | 2019-11-27 | 2020-01-17 | 上海市浦东新区公利医院(第二军医大学附属公利医院) | Three-hollow-nail implantation guiding device for femoral neck fracture operation |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2638681Y (en) * | 2003-06-24 | 2004-09-08 | 中南大学湘雅医院 | Multi-screw positioning device for neck of femur |
| CN204121158U (en) * | 2014-08-14 | 2015-01-28 | 程建崇 | A kind of femur neck hollow nail fixes navigation positional device |
| CN105030323A (en) * | 2015-07-13 | 2015-11-11 | 朱求亮 | External guiding device for minimally invasive femoral neck internal fixation |
| CN204951176U (en) * | 2015-09-18 | 2016-01-13 | 中国十九冶集团有限公司职工医院 | Thighbone neck locator |
| CN205126325U (en) * | 2015-11-13 | 2016-04-06 | 徐静蔚 | Magnet draw -in groove seam faller |
| CN207462141U (en) * | 2017-05-12 | 2018-06-08 | 河北医科大学第三医院 | Neck of femur operation guider |
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2017
- 2017-05-12 CN CN201710334007.0A patent/CN107126252B/en active Active
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