CN107174324A - A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint - Google Patents
A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint Download PDFInfo
- Publication number
- CN107174324A CN107174324A CN201710494014.7A CN201710494014A CN107174324A CN 107174324 A CN107174324 A CN 107174324A CN 201710494014 A CN201710494014 A CN 201710494014A CN 107174324 A CN107174324 A CN 107174324A
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- China
- Prior art keywords
- guide
- processus coracoideus
- locating rod
- dislocation
- minimally invasive
- Prior art date
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- 210000000142 acromioclavicular joint Anatomy 0.000 title claims abstract description 34
- 241000135309 Processus Species 0.000 claims abstract description 63
- 210000003323 beak Anatomy 0.000 claims description 5
- 210000003739 neck Anatomy 0.000 claims description 4
- 238000013139 quantization Methods 0.000 abstract description 2
- 210000003109 clavicle Anatomy 0.000 description 18
- 210000002659 acromion Anatomy 0.000 description 9
- 238000000034 method Methods 0.000 description 9
- 238000010586 diagram Methods 0.000 description 5
- 210000003041 ligament Anatomy 0.000 description 5
- 229910000831 Steel Inorganic materials 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 239000010959 steel Substances 0.000 description 4
- 210000000988 bone and bone Anatomy 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 238000005553 drilling Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 210000000323 shoulder joint Anatomy 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 208000029549 Muscle injury Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 210000000852 deltoid muscle Anatomy 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000008450 motivation Effects 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—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
- A61B17/683—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Landscapes
- Health & Medical Sciences (AREA)
- 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)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
Abstract
A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint, two wire guides being oriented to Kirschner wire are connected by connecting rod, guide pipe with pilot hole is housed on connecting rod, separately there is the processus coracoideus locating rod moved along pilot hole, the end of the processus coracoideus locating rod is equipped with the positioning hook plate being arranged at below processus coracoideus, the lock for being also equipped with processus coracoideus locating rod being fixed on a certain position with the axis of two wire guide through holes respectively on two positioning holes overlapped, guide pipe is provided with positioning hook plate.The apparatus structure is simple, and operation facility, wound is small and safe, can effectively reduce the learning curve of operation, improves operation accuracy and security, and traditional operation is evolved into quantization, standardization precise manipulation.
Description
Technical field
The present invention relates to Medical Devices, more particularly to a kind of minimally invasive prosthetic device for being used to treat dislocation of acromioclavicular joint.
Background technology
Acromioclavicular joint is the plane articulation of shoulders of human body, can do the jogging motion of all directions.As shown in figure 1, acromioclavicular joint
It is made up of the processus coracoideus 104 of the end articular surface of acromion 102 and shoulder blade 103 of clavicle 101.Acromioclavicular joint during exercise can be because
Violence and cause injury of acromioclavicular joint, be embodied in shoulder blade drop, acromion move down, clavicle distal end upwarp, cause shoulder lock pass
Ligament and muscle damage and dislocation of acromioclavicular joint around saving.It can use different for different degrees of injury of acromioclavicular joint
Therapeutic scheme, fixes for example with triangle bandage, drug therapy or is repaired by performing the operation, conventional operation method has acromioclavicular joint to cut
Redution-in-fixed, coracoclavicular ligament is opened to rebuild or ligamentopexis, Lateral clavicular resection, muscular motivation Reconstruction etc..
Existing internal fixation mainly using a kind of orthopaedics commonly use internal fixation material --- Kirschner wire is fixed, the hand
Art process needs first to take clavicle distal end to the arc incision of processus coracoideus, appears acromioclavicular joint, removes IA cartilaginous opereulum, reduction takes off
Position, first piece of Kirschner wire is crept into by acromion compared with low level, enters clavicle distal end through acromioclavicular joint, depth of needle is 5cm, is pierced with method
2nd piece of Kirschner wire, intersects, backshank is stayed in skin excurvation at an angle of 90 with first piece；Appear processus coracoideus through deltoid muscle inner edge, dissociate beak shoulder
Ligament, cuts off ligamentum coracoacromiale extremitas acromialis；Then the ligamentum coracoacromiale broken ends of fractured bone is made into mattress suture of multiply absorbable thread, and beak shoulder is tough
Band dissociates at processus coracoideus for future use；In clavicle distal end away from the cortex of bone drill two holes at acromioclavicular joint 1.5cm, it can be inhaled carrying
The ligamentum coracoacromiale of suture is received, tensing ligamentum coracoacromiale by this clavicle hole, after extraction is knotted, and this ligament is fixed on clavicle.
Another method is to cut clavicle distal end, is fixed using clavicular hook plate, and this method damage is larger and tough without beak lock is rebuild
The structures such as band, therapeutic effect owes ideal.Recently as the popularization of arthroscopic techniques, in the descending minimally invasive coracoclavicular ligament of shoulder joint mirror
Rebuild, achieve good effect, but this method operating process is complex, to the individual skill level requirement pole of surgical doctor
Growth cycle needed for height, and learning art is longer, is difficult to grasp in a short time, meanwhile, special acromioclavicular joint is still lacked at present
Fix tool, causes operating difficulty huge, and time-consuming, and is difficult to effectively control and holds, and is unfavorable for progress and the patient of operation
Rehabilitation.
The content of the invention
The present invention is intended to provide a kind of be used to treat the minimally invasive prosthetic device of dislocation of acromioclavicular joint, with reduce operating difficulty and
Improve operation precision high.
The minimally invasive prosthetic device of dislocation of acromioclavicular joint of the present invention, including two pins being oriented to Kirschner wire are led
Axially extending bore is provided with pipe, wire guide, the axis direction of two wire guide through holes points to extremitas acromialis claviculae and processus coracoideus simultaneously；
The middle part of two wire guides is connected by connecting rod, is equipped with connecting rod on guide pipe, guide pipe and is provided with pilot hole, the direction position of pilot hole
In the outside of extremitas acromialis claviculae and processus coracoideus；Separately there are the processus coracoideus locating rod moved along pilot hole, the bottom of processus coracoideus locating rod
Provided with positioning hook plate, positioning hook plate is located at below processus coracoideus, and is provided with two positioning holes, the axis point of two positioning holes thereon
Axis not with two wire guide through holes overlaps；It is also equipped with processus coracoideus locating rod being fixed on the lock of a certain position on guide pipe
Button.
The minimally invasive prosthetic device of dislocation of acromioclavicular joint of the present invention, two wire guides, connecting rod and guide pipe are connected to
It is overall, wherein two wire guides can be oriented to Kirschner wire, and guide pipe then with processus coracoideus locating rod mutual orientation and spacing, two grams
Family name's pin is sequentially passed through in two positioning holes after clavicle acromion and processus coracoideus on positioning hook plate is respectively penetrated.Should using
When device carries out acromioclavicular joint reparation, first penetrate to fix acromioclavicular joint temporarily from extremitas acromialis with one piece of Kirschner wire, then in clavicle
An about otch is done at upper flat processus coracoideus level, the otch is close between clavicle leading edge and processus coracoideus lateral border, then supervised in shoulder joint mirror
Processus coracoideus locating rod is stretched into from otch depending on lower, until the positioning hook plate of its end is positioned over below processus coracoideus, and location hook
Positioning hole on plate is located at required correct position；Then, the pilot hole of pipe is directed to be placed in processus coracoideus locating rod so as to be oriented to
Pipe is slipped into along processus coracoideus locating rod, until clavicle upper limb bone face center position is close in the end of the wire guide connected with guide pipe, so
Pipe is directed to using lock afterwards to be mutually locked with processus coracoideus locating rod；And then, kirschner is pierced successively along the through hole of two wire guides
Pin, is drilled using Kirschner wire on clavicle acromion and processus coracoideus, and drilling unclamps lock after finishing, and removes prosthetic device；Most
After can traditionally threading is so that belt loop steel plate to be brought into successively from Kirschner wire Suo Zuangu roads, then knot fixed steel
Plate, then remove at acromion to temporarily fixed Kirschner wire, that is, complete the operation entirely performed the operation.The minimally invasive prosthetic device structure letter
It is single, the diopter only constituted including wire guide, connecting rod and guide pipe and the processus coracoideus locating rod with positioning hook plate, it is operated extremely just
Profit, wound is small and safe, can also be operated safely without special experience person, and it is accurate in surgical procedure to effectively increase
Property and security, shorten operating time；The learning curve of operation is also shortened simultaneously, is eliminated because of doctor's individual skill difference
Caused by surgical effect difference；Can also greatly reduce the incidence of postoperative complications, by traditional operation be evolved into quantization,
The precise manipulation of standardization, be in operative doctor art it is quick, be accurately positioned there is provided a kind of new method, reduce different medical machine
The difference of such surgical technic level of structure, so as to a certain extent, it is current caused by difference of technology level to solve China
There is provided a new approaches for the Medical problems such as the concentrations of medical resource.
Brief description of the drawings
Fig. 1 is the skeletal structure schematic diagram of acromioclavicular joint.
Fig. 2 is the structural representation of the minimally invasive prosthetic device of dislocation of acromioclavicular joint of the present invention.
Fig. 3 is the attachment structure schematic diagram of conduit, connecting rod and guide pipe.
Fig. 4,5 be the minimally invasive prosthetic device of dislocation of acromioclavicular joint state change schematic diagram.
Fig. 6,7,8 are the use state schematic diagrames of the minimally invasive prosthetic device of dislocation of acromioclavicular joint.
Fig. 9 is the perforate schematic diagram of acromioclavicular joint.
Figure 10 is the structural representation of guide pipe.
Figure 11 is the structural representation of processus coracoideus locating rod.
Figure 12 is the structural representation of lock.
Embodiment
A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint, including two wire guides 1 being oriented to Kirschner wire 200, pin
Axially extending bore is provided with conduit, the axis direction of two wire guide through holes points to extremitas acromialis claviculae and processus coracoideus simultaneously；Two pins
The middle part of conduit is connected by connecting rod 2, is equipped with connecting rod on guide pipe 3, guide pipe and is provided with pilot hole 4, the direction position of pilot hole
In the outside of extremitas acromialis claviculae and processus coracoideus；Separately there are the processus coracoideus locating rod 5 moved along pilot hole, the bottom of processus coracoideus locating rod
Provided with positioning hook plate 6, positioning hook plate is located at below processus coracoideus, and is provided with two positioning holes 7, the axis of two positioning holes thereon
The axis with two wire guide through holes overlaps respectively；It is also equipped with processus coracoideus locating rod being fixed on the lock of a certain position on guide pipe
Button 8.
As in Figure 3-5, two wire guides, connecting rod and guide pipe are connected to the diopter of an entirety, wherein two pins
Conduit can be oriented to Kirschner wire, and guide pipe then with processus coracoideus locating rod mutual orientation and spacing, two Kirschner wires are sequentially passed through
In two positioning holes after clavicle acromion and processus coracoideus on positioning hook plate is respectively penetrated.Shoulder lock is being carried out using the device
During joint repair, first penetrated to fix acromioclavicular joint, then the flat processus coracoideus level on clavicle temporarily from extremitas acromialis with one piece of Kirschner wire
An about otch is done at place, and the otch is close between clavicle leading edge and processus coracoideus lateral border, then stretched into processus coracoideus locating rod from otch, directly
Positioning hook plate to its end is positioned over below processus coracoideus, and the positioning hole on positioning hook plate is located at required suitable position
Put, as shown in Figure 6；Then, the pilot hole of pipe is directed to be placed in processus coracoideus locating rod so that guide pipe is slipped into along processus coracoideus locating rod,
Until be close to clavicle upper limb bone face center position with the end of wire guide that guide pipe is connected, then using lock be directed to pipe with
Processus coracoideus locating rod is mutually locked, as shown in Figure 7；And then, Kirschner wire is pierced successively along the through hole of two wire guides, utilize kirschner
Pin drills on clavicle acromion and processus coracoideus, forms hole position 105, as shown in Figure 8,9；Drilling unclamps lock after finishing, and removes
Remove prosthetic device, finally can traditionally threading is so that belt loop steel plate to be brought into successively from Kirschner wire Suo Zuangu roads, so
After knot fixation steel plate, then remove at acromion to temporarily fixed Kirschner wire, that is, complete the operation entirely performed the operation.
The minimally invasive prosthetic device of described dislocation of acromioclavicular joint, as shown in Figure 10,11, the pilot hole 4 of guide pipe 3 includes axis
Guide through hole 41 and guide chute 42 that direction is parallel to each other, the side of guide chute and the side of guide through hole are interconnected；
Processus coracoideus locating rod 5 includes the guide rod 51 being engaged with guide through hole, and the side of guide rod towards positioning hook plate 6 is equipped with and guide chute
The gag lever post 52 being engaged；The length of gag lever post 52 is less than guide rod 51, and the two ends of gag lever post are arranged at the top of guide rod and middle part
Position.The structure of the pilot hole and processus coracoideus locating rod is relatively simple and coordinates intensity high and is extremely easy to relative shifting between the two
It is dynamic, gag lever post is arranged to upper, the middle part of guide rod so that the cross section of processus coracoideus locating rod bottom is smaller, so that processus coracoideus of being more convenient for
Locating rod is adjacent to bone placement, can also improve its operation ease.
As shown in Figure 10,12, lock 8 includes the Button Block 81 being fixedly installed on guide pipe 3, and the card being articulated with Button Block
Button 82, is provided with torsion spring between Button Block and buckle, torsion spring has the trend for driving buckle end to press to processus coracoideus locating rod 5.Pass through
The cooperation of buckle and processus coracoideus locating rod can be directed to pipe and processus coracoideus locating rod is mutually located, strong in order to improve positioning between the two
Degree, can in the side of processus coracoideus locating rod 5, compartment of terrain opens up several necks caved inward in the axial direction, latch 8 directions
One end of pilot hole 4 can be caught in or exit neck and be interfixed with processus coracoideus locating rod；And because lock is located in human body, in order to carry
The convenience of its high operation, towards the end face of the one end of pilot hole 4 can be set to band by the side of processus coracoideus locating rod 5 and buckle 8
There is the monodirectional locking face of certain taper so that guide pipe is only slipped into along processus coracoideus locating rod and can not reversely skidded off, thus by two
Person locks, until when needing to release locking between the two, pressing lock, this kind is simple in construction and easily operated, it is possible to decrease
To the possibility of injury of human, wrong phase unnecessary between guide pipe and processus coracoideus locating rod is avoided by the setting of this kind of structure
To movement, it is ensured that the safety progress of operation.
Claims (6)
1. a kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint, it is characterised in that：Led including two pins being oriented to Kirschner wire
Pipe（1）, axially extending bore is provided with wire guide, the axis direction of two wire guide through holes points to extremitas acromialis claviculae and shoulder blade beak simultaneously
It is prominent；The middle part of two wire guides passes through connecting rod（2）Guide pipe is housed on connection, connecting rod（3）, pilot hole is provided with guide pipe（4）, lead
It is located at the outside of extremitas acromialis claviculae and processus coracoideus to the direction in hole；Separately there is the processus coracoideus locating rod moved along pilot hole（5）, beak
The bottom of prominent locating rod is provided with positioning hook plate（6）, positioning hook plate is located at below processus coracoideus, and is provided with two positioning holes thereon
（7）, the axis of the axis of two positioning holes respectively with two wire guide through holes overlaps；It is also equipped with processus coracoideus locating rod on guide pipe
It is fixed on the lock of a certain position（8）.
2. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 1, it is characterised in that：Guide pipe（3）Guiding
Hole（4）The guide through hole being parallel to each other including axis direction（41）And guide chute（42）, the side of guide chute leads to being oriented to
The side in hole is interconnected；Processus coracoideus locating rod（5）Including the guide rod being engaged with guide through hole（51）, guide rod direction positioning hook plate
（6）Side the gag lever post that is engaged with guide chute is housed（52）.
3. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 2, it is characterised in that：Gag lever post（52）Length
Less than guide rod（51）, and the two ends of gag lever post are arranged at guide rod top and medium position.
4. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 1, it is characterised in that：Lock（8）Including fixation
It is installed on guide pipe（3）On Button Block（81）, and the buckle being articulated with Button Block（82）, torsion is provided between Button Block and buckle
Spring, torsion spring, which has, drives buckle end to press to processus coracoideus locating rod（5）Trend.
5. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 1 or 4, it is characterised in that：Processus coracoideus locating rod（5）
Compartment of terrain opens up several necks caved inward in the axial direction for side, lock（8）Towards pilot hole（4）One end cocker
Enter or exit neck and interfixed with processus coracoideus locating rod.
6. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 4, it is characterised in that：Processus coracoideus locating rod（5）'s
Side and buckle（8）Towards pilot hole（4）The end face of one end is set to the monodirectional locking face with certain taper.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710494014.7A CN107174324B (en) | 2017-06-26 | 2017-06-26 | Minimally invasive repairing device for dislocation of acromioclavicular joint |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710494014.7A CN107174324B (en) | 2017-06-26 | 2017-06-26 | Minimally invasive repairing device for dislocation of acromioclavicular joint |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107174324A true CN107174324A (en) | 2017-09-19 |
| CN107174324B CN107174324B (en) | 2023-10-31 |
Family
ID=59845304
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710494014.7A Active CN107174324B (en) | 2017-06-26 | 2017-06-26 | Minimally invasive repairing device for dislocation of acromioclavicular joint |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107174324B (en) |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2419940Y (en) * | 2000-04-29 | 2001-02-21 | 佟杰 | Two Purpose external fixed for curing clavicular fracture and acromioclavicular joint dislocation |
| US20040193172A1 (en) * | 2003-03-24 | 2004-09-30 | Ross Herbert Earl | Device and method to assist in arthroscopic repair of detached connective tissue |
| CN105769326A (en) * | 2016-01-08 | 2016-07-20 | 深圳市第二人民医院 | Surgery binocular locator |
| CN207693664U (en) * | 2017-06-26 | 2018-08-07 | 吴宇峰 | A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint |
-
2017
- 2017-06-26 CN CN201710494014.7A patent/CN107174324B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2419940Y (en) * | 2000-04-29 | 2001-02-21 | 佟杰 | Two Purpose external fixed for curing clavicular fracture and acromioclavicular joint dislocation |
| US20040193172A1 (en) * | 2003-03-24 | 2004-09-30 | Ross Herbert Earl | Device and method to assist in arthroscopic repair of detached connective tissue |
| CN105769326A (en) * | 2016-01-08 | 2016-07-20 | 深圳市第二人民医院 | Surgery binocular locator |
| CN207693664U (en) * | 2017-06-26 | 2018-08-07 | 吴宇峰 | A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint |
Also Published As
| Publication number | Publication date |
|---|---|
| CN107174324B (en) | 2023-10-31 |
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