CN107625572A - A kind of fracture of tibia auxiliary fixing device - Google Patents

A kind of fracture of tibia auxiliary fixing device Download PDF

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Publication number
CN107625572A
CN107625572A CN201710907422.0A CN201710907422A CN107625572A CN 107625572 A CN107625572 A CN 107625572A CN 201710907422 A CN201710907422 A CN 201710907422A CN 107625572 A CN107625572 A CN 107625572A
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CN
China
Prior art keywords
sliding block
fixed plate
gear
push rod
rack
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201710907422.0A
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Chinese (zh)
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CN107625572B (en
Inventor
谭洪宇
赵亮
张杨
宋瑞鹏
刘屹林
王利民
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Priority to CN201710907422.0A priority Critical patent/CN107625572B/en
Publication of CN107625572A publication Critical patent/CN107625572A/en
Application granted granted Critical
Publication of CN107625572B publication Critical patent/CN107625572B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The present invention relates to a kind of fracture of tibia auxiliary fixing device, including fixed plate, equipped with rotatable multiple gears in fixed plate, length direction distribution of multiple gears along fixed plate, equipped with the screw rod with gear coaxially slide on gear, there is the screwed hole to match with screw rod in fixed plate, have in fixed plate and multiple the vertical chutes at gear rear are corresponded and be placed in gear, the vertical chute connects with screwed hole, there are sliding block and the spring being placed in above sliding block in the vertical chute, there is compression semi-ring the lower end of sliding block, compresses semi-ring and is hinged with sliding block through spheroid;There is vertically arranged depression bar on sliding block, there is brake pad the lower end of depression bar, there is the push rod being placed in above depression bar on sliding block, the middle part of push rod is hinged with sliding block, the front end of push rod is placed in screwed hole, and rear end and the depression bar through connecting rod of push rod are hinged, and have the making leaf spring being placed in above push rod on sliding block, it can be meshed in fixed plate equipped with the rack that can be slided along fixed plate length direction, rack with gear.

Description

A kind of fracture of tibia auxiliary fixing device
Technical field
The present invention relates to technical field of medical instruments, particularly a kind of fracture of tibia auxiliary fixing device.
Background technology
When carrying out orthopaedic trauma fractures, three reset, fixation, healing key steps are generally divided into, and are fixed then It is to reset the link of forming a connecting link with healing, good fixation not only consolidates reset effect, can also promote healing rate and quality, While also have and relieve pain, mitigate wounded's pain, prevent condition of the injury exacerbation, protection wound, prevent from infecting, be easy to patient's transport etc. many Beneficial effect.
More conventional fracture fixation mode is mostly that clamping plate grips method at present, right although this method is easily realized Operation when fixed requires higher, and generally, skeleton is not absolute straight line or well-regulated curve-like, using shin bone as , though it is on the whole bar-shaped strip, not neat linear extension, different degrees of protruding parts, and two be present in example There is joint at end;Therefore in fixed tibial, require that clamping plate length matches with limbs length first, be to be directed to bony prominence in addition Position will carry out appropriate cushioning operation, to prevent the situation of Hanging sectionally from causing unbalance stress fracture site is moved in patient When produce different degrees of dislocation, but it is excessive easily to occur cushioning position stress in cushioning operating process, also results in stress Uneven situation, therefore higher is required to the specialty of operating personnel.
For the above situation, also a kind of exter-nal fixer for being specifically used to carry out fracture fixation at present, exter-nal fixer It is an external steelframe being assembled into by chuck and steel pipe, can be with support bones, correction bone occurs each in agglutination Kind displacement;It is solid using being drilled and being penetrated to bone but this fixator is in order to reach preferable fixation and support effect The mode of fixed pole is fixed, and unnecessary wound is brought to patient, adds infection risk.
The content of the invention
For the above situation, to make up the technical deficiency present in prior art, it is auxiliary that the present invention provides a kind of fracture of tibia Fixing device is helped, is not easy in a manner of solving the problems, such as existing fracture fixation fixed or increases wound.
Its solve technical scheme be:Including horizontally disposed fixed plate, in fixed plate equipped with can in fixed plate left and right The multiple gears rotated, length direction distribution of multiple gears along fixed plate, equipped with being coaxially disposed with gear and can be on gear The screw rod slid back and forth on gear, there is the screwed hole to match with screw rod in fixed plate, screw rod is connected through screwed hole with fixed plate, When forming pinion rotation, screw rod rotates and produces screw-driven between screwed hole simultaneously with gear, screw rod is gone forward in gear The structure slided afterwards;
Described fixed plate is provided with corresponds and is placed in multiple the vertical chutes at gear rear, the vertical chute and spiral shell with gear Pit connects, the vertical chute built with the sliding block that can slide up and down, have in the vertical chute be placed in it is vertically arranged above sliding block Spring, form structure of the sliding block through spring slide downward in the vertical chute;
The lower end of described sliding block is equipped with the compression semi-ring being placed in below fixed plate, compresses and is hinged between semi-ring and sliding block through spheroid It is connected;Vertically arranged depression bar is housed, the lower end of depression bar is equipped with the brake pad being placed in above spheroid, is equipped with and puts on sliding block on sliding block Above depression bar and the push rod that turns forward, the middle part of push rod and sliding block be front and rear to be rotated be hinged, and the front end of push rod is placed in screwed hole Interior and contacted with screw rod, the rear end of push rod and the upper end through connecting rod of depression bar are hinged and connected, and have the pressure being placed in above push rod on sliding block Reed, one end of making leaf spring and the front contact of push rod, the other end of making leaf spring are connected with sliding block, form push rod through making leaf spring The structure rotated forward on sliding block;
It can be meshed in described fixed plate equipped with the rack that can be slided along fixed plate length direction, rack with gear.
The present invention is not only convenient for fixing, and in general medical personnel can be operated, and will not be increased after fixing to patient Unnecessary wound, need not also drilling operation be carried out to shin bone, alleviate the physical pain of patient, avoid caused by wound Infection risk.
Brief description of the drawings
Fig. 1 is the front view of the present invention.
Fig. 2 is the A-A sectional views of the present invention.
Fig. 3 is the enlarged drawing of part B in Fig. 2 of the invention.
Fig. 4 is the isometric cutaway view of the present invention.
Embodiment
The embodiment of the present invention is described in further detail below in conjunction with accompanying drawing.
Provided by Fig. 1 to Fig. 4, the present invention includes horizontally disposed fixed plate 1, and being equipped with fixed plate 1 can be in fixed plate 1 Multiple gears 2 of left-right rotation, length direction of multiple gears 2 along fixed plate 1 are distributed, and are equipped with gear 2 and are coaxially set with gear 2 The screw rod 3 put and can slid back and forth on gear 2, there is the screwed hole 4 to match with screw rod 3 in fixed plate 1, screw rod 3 is through screw thread Hole 4 is connected with fixed plate 1, and when forming the rotation of gear 2, screw rod 3 rotates and produces screw thread between screwed hole 4 simultaneously with gear 2 Transmission, the structure for making screw rod 3 be slid back and forth on gear 2;
Described fixed plate 1 is provided with and is corresponded with gear 2 and be placed in multiple the vertical chutes 5 at the rear of gear 2, the vertical chute 5 connect with screwed hole 4, and the vertical chute 5 has in the vertical chute 5 and is placed in the top of sliding block 6 built with the sliding block 6 that can slide up and down Vertically arranged spring 7, form structure of the sliding block 6 through the slide downward in the vertical chute 5 of spring 7;
The lower end of described sliding block 6 is equipped with the compression semi-ring 8 for being placed in the lower section of fixed plate 1, compresses between semi-ring 8 and sliding block 6 through ball Body 9 is hinged and connected;Vertically arranged depression bar 10 is housed, the lower end of depression bar 10 is equipped with the brake pad for being placed in the top of spheroid 9 on sliding block 6 11, equipped with the push rod 12 for being placed in the top of depression bar 10 and turning forward, middle part and the rotating hinge before and after sliding block 6 of push rod 12 on sliding block 6 Connect, the front end of push rod 12 is placed in screwed hole 4 and contacted with screw rod 3, the rear end of push rod 12 and the upper end through connecting rod 13 of depression bar 10 It is hinged and connected, has the making leaf spring 14 for being placed in the top of push rod 12 on sliding block 6, one end and the front portion of push rod 12 of making leaf spring 14 connect Touch, the other end of making leaf spring 14 is connected with sliding block 6, forms the structure that push rod 12 rotates forward through making leaf spring 14 on sliding block 6;
It can be meshed in described fixed plate 1 equipped with the rack 15 that can be slided along the length direction of fixed plate 1, rack 15 with gear 2.
In order that the present invention reaches more preferable locating effect, described rack 15 when being slided in fixed plate 1, rack 15 with Multiple gears 2 engage successively;, can be in position fixing process according to each pressure by engaging successively for rack 15 and multiple gears 2 Tight semi-ring 8 carries out manual fine-tuning with the situation that is bonded of shin bone to being bonded compression semi-ring 8 not in place.
In order that the present invention reaches more preferable locating effect, described rack 15 when being slided in fixed plate 1, rack 15 with Multiple gears 2 engage simultaneously;Due to multiple synchronous axial systems of gear 2, therefore can be entered according to stopping of the actual conditions to rack 15 Row control manually, to ensure that sliding block 6 and spheroid 9 are reliably fixed on current location.
In order that compressing semi-ring 8 reaches preferably fitting effect, the silicon being arranged below is housed on described compression semi-ring 8 Glue-line 16.
In order that the present invention, which reaches, easily binds effect, it is hinged with described sliding block 6 before being respectively placed in sliding block 6 Two adhesive tape buttons 17 of both sides afterwards.
In order that gear 2 reaches more preferable sliding effect with screw rod 3, described screw rod 3 is provided with two opposing upper and lower Section, there is binding face corresponding with section on gear 2, section contacts with binding face.
Then the present invention is put the present invention to the shin bone resetted in use, first resetted the shin bone of patient Side, make the length direction of fixed plate 1 consistent with the length direction of shin bone, the mobile present invention makes layer of silica gel 16 be connect with front side of shin bone Touch, now under the universal rotational effect of spheroid 9, compress semi-ring 8 and carry out automatic rotate with suitable according to the tibia sites contacted Answer the shape of shin bone;Keep patient's shin bone to be in engagement state and press lightly on fixed plate 1 to shin bone direction, now compress semi-ring 8 are promoted sliding block 6 to be slided to the direction of fixed plate 1 by the resistance of shin bone, according to the flatness of shin bone different parts, multiple sliding blocks 6 corresponding displacement is slipped in fixed plate 1 after stop, spring 7 elastic force effect under, sliding block 6 stop after compress semi-ring 8 on Layer of silica gel 16 all the time with tibia contact;When multiple compression semi-rings 8 are completed with shin bone after fitting all in accordance with the position corresponding to it, Stop pressing fixed plate 1, now, because the distance that each sliding block 6 slides is not quite similar, therefore the pressure of spring 7 corresponding to sliding block 6 Contracting distance is also incomplete same, therefore the elastic force that multiple springs 7 provide is different, now as directly carried out bundling operation, can make shin bone Each position unbalance stress, dislocation is also easy to produce after fixed for a long time, therefore sliding block 6 is positioned at current location, and by ball Body 9 is fixed turns into an entirety of adaptation patient's Tibial shape to ensure multiple compression semi-rings 8 with fixed plate 1, then carries out Bundling operation, according to the different set of rack 15, positioning action is divided into following two situations:
a)When being slided in fixed plate 1, rack 15 engages rack 15 successively with multiple gears 2:Now sliding rack 15 make its from One end of fixed plate 1 slides into the other end, and because the number of teeth of rack 15 is fixed, therefore in its sliding process, multiple gears 2 are successively Engaged with rack 15, and the number of turns that multiple gears 2 rotate is identical;When gear 2 rotates, screw rod 3 turns simultaneously with gear 2 It is dynamic, while worm drive are produced between screw rod 3 and screwed hole 4 makes screw rod 3 be slided to the direction of sliding block 6, when rack 15 and gear 2 After engagement terminates, gear 2 is stopped operating with screw rod 3, and screw rod 3 and sliding block 6 are extruded and contacted, sliding block 6 be fixed on current location and It can not slide up and down;Simultaneously as push rod 12 contacts with screw rod 3, therefore when screw rod 3 moves to the direction of sliding block 6, push rod 12 exists Produced under the promotion of screw rod 3 and rotate simultaneously compression press spring piece 14, the rotation through connecting rod 13 of push rod 12, which is transferred to depression bar 10, makes depression bar 10 Downward sliding is produced, after screw rod 3 stops, the slide downward of depression bar 10 makes brake pad 11 be contacted with the extruding of spheroid 9, spheroid 9 It is fixed on current state and can not rotates;
b)When being slided in fixed plate 1, rack 15 engages rack 15 simultaneously with multiple gears 2:Now in the cunning of sliding rack 15 During dynamic, multiple gears 2 engage simultaneously with rack 15, therefore the synchronous axial system of multiple gears 2;When gear 2 rotates, spiral shell Bar 3 rotates simultaneously with gear 2, while worm drive are produced between screw rod 3 and screwed hole 4 makes screw rod 3 be slided to the direction of sliding block 6, When screw rod 3 contacts with the extruding of sliding block 6, sliding block 6 is fixed on current location and can not slided up and down, now due to the nothing of screw rod 3 Method is rotated further, therefore gear 2 stops operating, and rack 15, which slides, to be stopped, and gear 2 stops operating with screw rod 3;Simultaneously as push away Bar 12 contacts with screw rod 3, therefore when screw rod 3 moves to the direction of sliding block 6, push rod 12 produces rotation simultaneously under the promotion of screw rod 3 Compression press spring piece 14, the rotation through connecting rod 13 of push rod 12, which is transferred to depression bar 10, makes depression bar 10 produce downward sliding, when screw rod 3 stops After only, the slide downward of depression bar 10 makes brake pad 11 be contacted with the extruding of spheroid 9, and spheroid 9 is fixed on current state and can not turned It is dynamic;
After sliding block 6 and spheroid 9 are by fixation, due to the self-locking action of threaded connection, when not influenceed by external force, screw rod 3 will not Movement is produced, fixed plate 1 is connected as an entirety with multiple compression semi-rings 8 and matched with the Tibial shape of patient.
After the completion of above-mentioned positioning action, keep fixed plate 1 constant in current location, utilize the adhesive tape button 17 of the both sides of sliding block 6 The present invention is bundled on patient's shank to complete shin bone fixed operation;Because fixed plate 1 and multiple compression semi-rings 8 are connected as one Individual entirety, and the position of sliding block 6 is locked, therefore the elastic force of spring 7 will not act on patient's through sliding block 6 and compression semi-ring 8 On shin bone, and after the completion of binding, power caused by the binding of adhesive tape button 17 corresponding to each sliding block 6 is integrally scattered by this It is transferred on patient's shin bone, the uneven situation of local pressure will not be produced, the holding for shin bone reset state has preferable Protecting effect.
At the end of use of the present invention, adhesive tape button 17 is unclamped, the binding force between the present invention and shin bone disappears, and can now incite somebody to action The present invention removes;Reset operation should be carried out after removing:To above-mentioned opposite direction sliding rack 15, gear 2 is nibbled through rack 15 Close and rotate backward, screw rod 3 therewith rotate backward and screw-driven through screwed hole 4 and slided to the direction of gear 2, screw rod 3 with Sliding block 6 separates, and under the elastic force effect of spring 7, sliding block 6 resets downwards ejection;Simultaneously as the elastic force effect of making leaf spring 14, Push rod 12 rotates to the direction of screw rod 3 and through connecting rod 13 pulls the upward sliding of depression bar 10, and brake pad 11 separates with spheroid 9, compresses Semi-ring 8 is active, and after rack 15 slides stopping, completing to reset operation, in order to reuse.
Clever structure of the present invention, it is simple to operate, under the be hinged synergy slided with sliding block of spheroid, compress semi-ring according to The shape of patient's shin bone and produce rotation and offset and finally fitted with patient's shin bone, eliminate cushioning operation, simplify solid Determine step;Meanwhile after completing to match with patient's shin bone, sliding block and compression semi-ring can be fixed on current state by sliding rack It is set to turn into an entirety with fixed plate, to ensure that the elastic force of spring will not be acted on shin bone, and different parts after binding Seizing force is transferred on shin bone through fixed plate is scattered, it is not necessary to worries that local pressure inequality causes junction to produce dislocation.
Compared to currently used fixing means, the present invention not only easily facilitates fixation, in general medical personnel Operated, and will not increase unnecessary wound to patient after fixing, need not also carried out drilling operation to shin bone, alleviate trouble The physical pain of person, avoid infection risk caused by wound.

Claims (5)

1. a kind of fracture of tibia auxiliary fixing device, it is characterised in that including horizontally disposed fixed plate(1), fixed plate(1)On Equipped with can be in fixed plate(1)Multiple gears of upper left-right rotation(2), multiple gears(2)Along fixed plate(1)Length direction point Cloth, gear(2)On be equipped with and gear(2)It is coaxially disposed and can be in gear(2)On the screw rod that slides back and forth(3), fixed plate(1)On Have and screw rod(3)The screwed hole to match(4), screw rod(3)Through screwed hole(4)With fixed plate(1)Connection, form gear(2)Turn When dynamic, screw rod(3)With gear(2)Rotation simultaneously and and screwed hole(4)Between produce screw-driven, make screw rod(3)In gear(2) On the structure that slides back and forth;
Described fixed plate(1)It is provided with and gear(2)Correspond and be placed in gear(2)Multiple the vertical chutes at rear(5), The vertical chute(5)With screwed hole(4)Connection, the vertical chute(5)Built with the sliding block that can slide up and down(6), the vertical chute(5)It is interior It is placed in sliding block(6)The vertically arranged spring of top(7), form sliding block(6)Through spring(7)In the vertical chute(5)It is interior downward The structure of slip;
Described sliding block(6)Lower end equipped with being placed in fixed plate(1)The compression semi-ring of lower section(8), compress semi-ring(8)With sliding block (6)Between through spheroid(9)It is hinged and connected;Sliding block(6)It is upper that vertically arranged depression bar is housed(10), depression bar(10)Lower end equipped with putting In spheroid(9)The brake pad of top(11), sliding block(6)Upper be equipped with is placed in depression bar(10)Top and the push rod to turn forward(12), Push rod(12)Middle part and sliding block(6)It is front and rear to rotate be hinged, push rod(12)Front end be placed in screwed hole(4)Interior and and screw rod(3) Contact, push rod(12)Rear end and depression bar(10)Upper end through connecting rod(13)It is hinged and connected, sliding block(6)On be placed in push rod(12) The making leaf spring of top(14), making leaf spring(14)One end and push rod(12)Front contact, making leaf spring(14)The other end with Sliding block(6)Connection, form push rod(12)Through making leaf spring(14)In sliding block(6)On the structure that rotates forward;
Described fixed plate(1)Upper be equipped with can be along fixed plate(1)The rack that length direction slides(15), rack(15)Can be with gear (2)It is meshed.
A kind of 2. fracture of tibia auxiliary fixing device according to claim 1, it is characterised in that rack(15)In fixed plate (1)During upper slip, rack(15)With multiple gears(2)Engage successively.
A kind of 3. fracture of tibia auxiliary fixing device according to claim 1, it is characterised in that rack(15)In fixed plate (1)During upper slip, rack(15)With multiple gears(2)Engage simultaneously.
4. a kind of fracture of tibia auxiliary fixing device according to any one of claims 1 to 3, it is characterised in that compress semi-ring (8)It is upper that the layer of silica gel being arranged below is housed(16).
A kind of 5. fracture of tibia auxiliary fixing device according to any one of claims 1 to 4, it is characterised in that sliding block(6) On be hinged with and be respectively placed in sliding block(6)Two adhesive tape buttons of front and rear sides(17).
CN201710907422.0A 2017-09-29 2017-09-29 A kind of fracture of tibia auxiliary fixing device Expired - Fee Related CN107625572B (en)

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Application Number Priority Date Filing Date Title
CN201710907422.0A CN107625572B (en) 2017-09-29 2017-09-29 A kind of fracture of tibia auxiliary fixing device

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Application Number Priority Date Filing Date Title
CN201710907422.0A CN107625572B (en) 2017-09-29 2017-09-29 A kind of fracture of tibia auxiliary fixing device

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CN107625572A true CN107625572A (en) 2018-01-26
CN107625572B CN107625572B (en) 2018-08-03

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2085659U (en) * 1990-11-27 1991-10-02 武警部队吉林省总队医院 Adjustable spring tractor
JPH08126655A (en) * 1994-02-23 1996-05-21 Isao Fujita Pulling apparatus in bath
US6467713B1 (en) * 2000-03-17 2002-10-22 Kabushikikaisha Nihon M.D.M. Traction device for medical use
CN203089488U (en) * 2013-03-01 2013-07-31 林琳 Ulna and radius fracture traction repositor
CN204428146U (en) * 2015-02-02 2015-07-01 郑春山 A kind of novel orthopaedics rib fixture
CN206381266U (en) * 2016-10-11 2017-08-08 李光淳 A kind of orthopaedics quick fixed splint

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2085659U (en) * 1990-11-27 1991-10-02 武警部队吉林省总队医院 Adjustable spring tractor
JPH08126655A (en) * 1994-02-23 1996-05-21 Isao Fujita Pulling apparatus in bath
US6467713B1 (en) * 2000-03-17 2002-10-22 Kabushikikaisha Nihon M.D.M. Traction device for medical use
CN203089488U (en) * 2013-03-01 2013-07-31 林琳 Ulna and radius fracture traction repositor
CN204428146U (en) * 2015-02-02 2015-07-01 郑春山 A kind of novel orthopaedics rib fixture
CN206381266U (en) * 2016-10-11 2017-08-08 李光淳 A kind of orthopaedics quick fixed splint

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Granted publication date: 20180803

Termination date: 20210929