CN1075071A - A kind of metal tape of fixing limbs of comminuted fracture - Google Patents

A kind of metal tape of fixing limbs of comminuted fracture Download PDF

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Publication number
CN1075071A
CN1075071A CN 92100757 CN92100757A CN1075071A CN 1075071 A CN1075071 A CN 1075071A CN 92100757 CN92100757 CN 92100757 CN 92100757 A CN92100757 A CN 92100757A CN 1075071 A CN1075071 A CN 1075071A
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CN
China
Prior art keywords
metal tape
afterbody
head
tension
fracture
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Pending
Application number
CN 92100757
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Chinese (zh)
Inventor
吕天亮
付智民
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Hospital For Staff And Workers Baotou Iron & Steel Works
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Hospital For Staff And Workers Baotou Iron & Steel Works
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Publication date
Application filed by Hospital For Staff And Workers Baotou Iron & Steel Works filed Critical Hospital For Staff And Workers Baotou Iron & Steel Works
Priority to CN 92100757 priority Critical patent/CN1075071A/en
Publication of CN1075071A publication Critical patent/CN1075071A/en
Pending legal-status Critical Current

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Abstract

A kind of metal tape of fixing limbs of comminuted fracture is to be made of three parts, i.e. head, body and afterbody.The head that it is characterized in that metal tape has the tension hole, at body vertical shape bar (claiming the lobe window again) with holes is arranged, and at afterbody anti-slip device of reversed acanthoid and tension hole is arranged; The installation of metal tape is finished tension by guide and tensioner.Treatment effect cross-section, the lobe fracture to the treatment extremity syntripsis that traumatic condition is serious, sclerite is more, butterfly-shaped fracture, big oblique fracture, complexity is fine.Cooperate spring steel plate or screw, intramedullary needle in the marrow, that kesi pin adds the metal tape effect is better.

Description

A kind of metal tape of fixing limbs of comminuted fracture
A kind of metal tape of fixing limbs of comminuted fracture belongs to the category of surgery medical supplies and apparatus.
This utility model relates to a kind of metal tape of fixing limbs of comminuted fracture, it comprises following several architectural feature: be to be made of three parts, be head, body and the afterbody of metal tape, head has the tension hole, at body vertical shape bar (claiming the lobe window again) with holes is arranged, anti-slip device of reversed acanthoid and tension hole are arranged at afterbody; The installation of metal tape is finished tension by guide and tensioner.
Having announced number of patent application on May 20th, 87 is 86206488, patent name is multi-functional fixing band, its purpose is fixing using after clavicular fracture, acromioclavicular joint dislocation, dislocation of sternoclavicular joint, the dislocation of the elbow joint etc. reset, the patient is felt comfortably cool, but and also repeated multiple times use of this multi-functional fixing band, be easy to grasp, self and mutual medical aid is rapid.
Disclosing number of patent application on June 17th, 87 is 86108709, patent name is the transcutaneous pin of fixing bone or broken bone, its purpose is to have along circumferential uniform chip area by the threaded portion front end, tapping is also tightened broken bone, when the front end injection bone piece of this threaded portion, can on bone, attack system screw thread and directly fixing broken bone, two procedures can once be finished, and are easy to operate, and fixing broken bone is reliable.
More than two kinds of patents can both play fixation to broken bone, weak point is all can not play around the broken bone to surround broken bone, and with the effect of the fastening encirclement of comminuted broken bone.
The purpose of this utility model is to avoid above-mentioned weak point of the prior art and provides a kind of and can surround broken bone, and the metal tape of the fixing limbs of comminuted fracture of fastening fixing comminuted broken bone.
The purpose of this utility model can reach by following measure: a kind of metal tape of fixing limbs of comminuted fracture, it is characterized in that metal tape is made of three parts, be head, body and afterbody, the head that it is characterized in that metal tape has the tension hole, at body vertical shape bar (claiming the lobe window again) with holes is arranged, anti-slip device of reversed acanthoid and tension hole are arranged at afterbody; And the installation of metal tape is finished tension by guide and tensioner.
The purpose of this utility model can also reach by following measure: a kind of metal tape of fixing limbs of comminuted fracture is characterized in that metal tape is centered around around the fracture site, utilize a guide that metal tape is guided between broken bone and muscle, the structure of this guide is one to have the L shaped long handle drag hook of the anti-slip device of reversed acanthoid; Being also that metal tape is tightened up utilizes the tension of two tensioners, and the structure of this tensioner is: an end of tensioner has 1-2 drag hook respectively, and the other end is the draw ring handgrip, and the centre is the drag hook body.
The drawing of accompanying drawing is described as follows:
Fig. 1 is a metal tape shaft side projection drawing, and piece number A, B, C represent head, body and afterbody respectively, and piece number 1,4 is that bar is with holes for tension hole, piece number 2, and piece number 3 is the anti-slip device of reversed acanthoid.
Fig. 2 is a guide shaft side projection drawing, and piece number 5 is a handle, and piece number 6 is L shaped crotch, and piece number 7 breaks off relations for the reversed acanthoid antiskid.
Fig. 3 is the tensioner shaft side projection drawing of 1-2 drag hook, and piece number 8 is a drag hook, and piece number 9 is the drag hook body, and piece number 10 is the draw ring handgrip.
Fig. 4 is the preceding exemplary view of metal tape operation, and piece number A, B, C represent head, body and the afterbody of metal tape respectively.
Fig. 5 is sketch map in the metal tape operation, and China A, B, C represent head, body and the afterbody of metal tape respectively, and piece number 8 is a drag hook, and piece number 10 is the draw ring handgrip, and piece number 11 is comminuted broken bony site, and piece number 12 is a skeleton.
This utility model is described in further detail below in conjunction with embodiment:
Head, body and the afterbody of the metal tape of A, B, C representative are one among Fig. 1, and piece number 1,4 tension holes are specially to wait upon tension usefulness, and piece number 1 also plays guide with the bullport effect of metal tape from guiding between broken bone and the muscle; Piece number 2 is bar (claiming the lobe window again) with holes, and 6-7 upright opening arranged, and when the bone fixation fragment, by the blood supply of this hole reinforcement to osteocomma, quickens callus formation, and GUSUIPIAN is played the constraint pressurization; Piece number 3 is the anti-slip device of reversed acanthoid, passes the bar 2 tension opisthotonos with holes among the body B, avoids slippage.The body of metal tape and head broad, afterbody is narrower, and the width of the bar of body B with holes 2 should be enough to be passed by afterbody C.Metal tape is 0.2 millimeter a titanium alloy steel sheet, or adopts than strong hardness and flexible material punching press and make.Rugosity, damage location and degree of injury according to bones of limbs are made different model, can be divided into large, medium and small, special four kinds, generally long 70-120 millimeter, and wide 20-25 millimeter after making by the mould punching press, is scraped, decontamination, sterilization be standby.Effect test is as follows:
Steel composition: Ti-Ni alloy
Whole drawing: 450 newton
Ring draws: 300 newton
Alternating bending number of times: major part 60 times, microcephaly 50 times.
Number of torsions: 3 times (1080 degree)
Antiacid basicity pH value neutrality, in the human body long preservation, no corrosion phenomenon.
L shaped crotch 6 is the shapes that bend at any time according to the skeleton rugosity among Fig. 2, and reversed acanthoid antiskid unhook 7 is planforms necessary on each guide, be matching used with the tension hole 4 of metal tape, so metal tape only can be present between muscle and skeleton, entirely by the reversed acanthoid antiskid of the guide result that the 7 tension holes 4 of hooking metal tape among Fig. 1 are used that breaks off relations.The handle 5 of holding with a firm grip during use, near skeleton, piece number 7 agnail antiskids unhook fastens the piece number 4 of metal tape afterbody C among Fig. 1, and metal tape is pulled out to the appropriate location from the damage location between muscle and skeleton by L shaped crotch 6, promptly finish the effect of guide, played the effect that does not damage too many muscle.
Tensioner among Fig. 3 is two kinds of forms that play same effect, the head tension hole 1 of the pulling metal tape of two drag hooks, the afterbody tension hole 4 of the pulling metal tape of single drag hook, more much older than the pulling force of directly holding metal tape with the finger of two handss, available two hold draw ring handgrip 10 by drag hook body 9 and drag hook 8 with the metal tape tension, make the finger pulling force become the pulling force of whole two handss.
Fig. 4 is a sketch map before the metal tape operation, demonstrates out demonstration example before use among the figure, and promptly afterbody C passes through the position shape demonstration example of body B discal patch with holes 2, and the anti-slip device of the reversed acanthoid among the afterbody C of energy metal tape directly perceived position shape.
Fig. 5 is a sketch map in the metal tape operation, can clearly express metal tape A, B, C(head, body and afterbody) be that tight cover (encirclement) is on skeleton 12, two tensioner draw ring handgrips 10 and drag hook 8 link to each other with metal tape tension hole, and comminuted broken bony site 11 links to each other with metal tape.
From above narration, can demonstrate closely linking of metal tape and guide, tensioner.
Through implementing, except the structure of metal tape, guide, tensioner is improved, operative indication selection, operation method, observation of curative effect, clinical data are all put down in writing.
1. operative indication is selected:
This metal tape is applicable to adult's extremity syntripsis, big oblique fracture, butterfly-shaped fracture, cross-section lobe shape complicated fracture.Teenager extremity unstable fracture should strictly be grasped.
2. operation method:
2.1 the selection of anesthesia: the position different, upper limb brachial plexus anesthesial, lower limb epidural anesthesia according to limbs.
2.2 operation: with the fracture site is the center; percutaneous incision undertissue in two ends appears fracture up and down, earlier with spring steel plate internal fixation in intramedullary needle or the marrow, as the bone support; limb is suffered from traction again; GUSUIPIAN is resetted,, penetrate with thinner metal tape afterbody for the periosteum of protecting GUSUIPIAN is complete; with guide metal tape is pulled to the appropriate location; the reuse tensioner is strained metal tape, the layer-by-layer suture that irrigates, plaster slab external fixation.Fibula is fixed with Kirschner wire after fracture person's anatomical reduction is arranged, and has guaranteed stablizing after the reduction of the fracture.
3. observation of curative effect: with titanium alloy fixing band treatment extremity syntripsis 55 examples, followed up a case by regular visits to maximum duration 5 years, the shortest six months, use the intramedullary needle person that does the support, postoperative is done the bone support with three weeks of skin traction of lower extremity with the interior elastic force steel plate of marrow, postoperative fixed for three weeks with plaster slab, clinical follow is by this kind processing, and growth of spur was six weeks, no bone does not connect or slow concrescence.Extract spring steel plate in intramedullary needle or the marrow after 1 year, metal tape does not take out, and long-term the reservation has no adverse reaction.
4. clinical data: applied metal band treatment comminuted fracture is totally 55 examples: male 45 examples, women 10 examples, the oldest 65 years old, minimum 7 years old, proximal femur 17 examples of fracturing wherein, lower fracture 3 examples, fracture of tibia and fibula 34 examples, humeral fracture 1 example.Fixing means is: intramedullary needle adds metal tape 18 examples; Spring steel plate adds metal tape 30 examples in the marrow; Screw adds metal tape 3 examples; Kesi pin adds metal tape 4 examples.
The utility model has following advantage compared to existing technology:
1. previously to the processing of four limbs comminuted fracture, butterfly fracture, big oblique fracture, complicated cross-section, lobe fracture, general silk thread or the steel wire bundle of adopting fixed, but because steel wire or silk thread Shugu folding area are little and insecure, result for the treatment of often can not be satisfied with, and it is solid to use wider metal tape Surely can overcome this deficiency.
2. although the condition of the injury is heavier, bone fragment is more, can reach anatomical reduction by operation, adds with metal tape firmly to make the fracture line closure, does not separate in a large number periosteum in art, for condition has been created in knitting.
3. on metal tape, tension hole, lobe window are arranged, after the metal tape tension, metal tape is close to surface of bone, and periosteum, soft tissue can be supplied with blood fortune by the lobe window on the metal tape, promote sclerotin healing.
4. this metal tape can reach clinical in fixedly requirement of comminuted fracture by effect test.Through following up a case by regular visits to for a long time, metal tape is preserved in vivo and is had no side effect.

Claims (4)

1, a kind of metal tape of fixing limbs of comminuted fracture, be to be made of three parts, promptly head, body and afterbody is characterized in that the head of metal tape has the tension hole, at body vertical shape bar (claiming the lobe window again) with holes is arranged, anti-slip device of reversed acanthoid and tension hole are arranged at afterbody; The installation of metal tape is finished tension by guide and tensioner.
2, the metal tape of a kind of fixing limbs of comminuted fracture according to claim 1, it is characterized in that metal tape is a metal sheet, head and body broad, afterbody is narrower, the band hole width of head and body should be enough to be penetrated by afterbody, bar 6-7 with holes or more some more; Tension hole head has 2, and afterbody has 1; Metallic plate is 0.2 millimeter a titanium alloy steel sheet, or adopts stronger hardness and flexible material; Metallic plate total length 70-120 millimeter, wide 20-25 millimeter.
3, the metal tape of a kind of fixing limbs of comminuted fracture according to claim 1 is characterized in that metal tape is centered around around the fracture site, utilize a guide that metal tape is guided between broken bone and muscle, the structure of this guide is one to have the L shaped long handle drag hook of the anti-slip device of reversed acanthoid, the reversed acanthoid antiskid is broken off relations and is linked to each other with L shaped crotch, and L shaped crotch links to each other with handle.
4, the metal tape of a kind of fixing limbs of comminuted fracture according to claim 1 is characterized in that metal tape is tightened up and utilizes the tension of two tensioners, the structure of this tensioner is: an end of tensioner has 1-2 drag hook respectively, the other end is the draw ring handgrip, and the centre is the drag hook body.
CN 92100757 1992-02-02 1992-02-02 A kind of metal tape of fixing limbs of comminuted fracture Pending CN1075071A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 92100757 CN1075071A (en) 1992-02-02 1992-02-02 A kind of metal tape of fixing limbs of comminuted fracture

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 92100757 CN1075071A (en) 1992-02-02 1992-02-02 A kind of metal tape of fixing limbs of comminuted fracture

Publications (1)

Publication Number Publication Date
CN1075071A true CN1075071A (en) 1993-08-11

Family

ID=4938779

Family Applications (1)

Application Number Title Priority Date Filing Date
CN 92100757 Pending CN1075071A (en) 1992-02-02 1992-02-02 A kind of metal tape of fixing limbs of comminuted fracture

Country Status (1)

Country Link
CN (1) CN1075071A (en)

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C06 Publication
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C01 Deemed withdrawal of patent application (patent law 1993)
WD01 Invention patent application deemed withdrawn after publication