CN107789050A - Femoral interlocking nail entry point quick positioner - Google Patents

Femoral interlocking nail entry point quick positioner Download PDF

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Publication number
CN107789050A
CN107789050A CN201711171537.4A CN201711171537A CN107789050A CN 107789050 A CN107789050 A CN 107789050A CN 201711171537 A CN201711171537 A CN 201711171537A CN 107789050 A CN107789050 A CN 107789050A
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entry point
angle
metal frame
storage tank
rectangular metal
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CN201711171537.4A
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CN107789050B (en
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陈立军
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897Guide wires or guide pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • A61B90/13Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints guided by light, e.g. laser pointers

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a kind of femoral interlocking nail entry point quick positioner, the femoral interlocking nail entry point quick positioner includes rectangular metal frame, fix bar and connecting rod, wherein fix bar is connected on operating table, connecting rod both ends are connected with rectangular metal frame and fix bar respectively by that can adjust the angle adjusting piece of angle, offered simultaneously on rectangular metal frame and be easy to guide pin movement and guide pin slot in the same plane and draw pin groove, the advantage of the invention is that:The locator disclosure satisfy that before surgery with surgical procedure to the fast positioning of lower pin mark, reduce the puncture number positioned during lower pin for patient legs, reduce patient suffering, simultaneously for the height and angle of inappropriate position regulator, apparatus structure is simple simultaneously, and assembly and disassembly is very convenient for.

Description

Femoral interlocking nail entry point quick positioner
Technical field
The present invention relates to medical instruments field, more particularly to a kind of femoral interlocking nail entry point quick positioner.
Background technology
Femoral shaft and fractured near end of thighbone are a kind of very common fracture, in intramedullary nail fixation be very common at present and have There is the treatment method of good curative effect, its modus operandi has two kinds of open reduction and closed reduction, wherein, open reduction can make bone Folding reaches good reset, but the blood fortune local due to destroying fracture, easily causes fracture delayed union or disunion, operation is lost blood The increase of amount and the obvious increase of infection chance, closed reduction due to soft tissue injury it is light, do not destroy fracture end blood circulation, Therefore healing time is shorter than open reduction, and healing effect is preferable, while can reduce blood loss and postoperative infection.
Need to insert bone from greater trochanter summit by guide pin although closed reduction Intramedullary nailing has above-mentioned advantage, when performing the operation The pulp cavity of near-end is rolled over, and enters the pulp cavity of fracture distal end by fracture end, in this process, the arrogant rotor apex of guide pin will be led The pulp cavity of pin insertion fracture near-end is extremely difficult, embodies in the following areas:First, the determination of entry point is difficult, because marrow In being inserted in before greater trochanter summit of interior nail 1/3rd intersection it is slightly biased in, because there is a gluteus medius on greater trochanter summit, stern is small Flesh adheres to, and its inner side is extended to neck of femur, therefore the area very little of entry point with abrupt slope quickly, is not easy to determine very much, it is determined that Needle point also easily shifts during inserting needle afterwards, and incorrect entry point can cause intramedullary nail to insert difficulty, or even can cause to cure Source property is fractured;Secondly if fracture of femoral shaft, its fractured near end is due in muscle traction and the resistance of perineum counterextension post Under gear, often outwards top shifts, so that greater trochanter summit more tilts to body core, inserting needle direction is indulged with fracture proximal section The angle of axle diminishes, and causes inserting needle difficult.
The determination in intramedullary nail entry point and inserting needle direction at present place one's entire reliance upon patient experience and C-arm X-ray machine it is saturating Depending on being stranded this and needing a kind of assistive device of intramedullary nail entry point badly.
The content of the invention
It is flexibly square the technical problem to be solved by the invention for the present situation of prior art is to provide a kind of angle adjustment Just, the femoral interlocking nail entry point quick positioner for piercing through number and accurate positioning is reduced.
Technical scheme is used by the present invention solves above-mentioned technical problem:A kind of femoral interlocking nail entry point fast positioning Device, it is characterised in that:Including rectangular metal frame and the rectangular metal frame is fixed on operation table and rectangle gold can be adjusted Belong to the adjusting means of frame angle degree, the rectangular metal frame includes the first short side being connected with adjusting means and the first short side phase To the second short side, the interior long side close to patient legs and the outer long side away from patient legs, the interior long side and described outer Long side is oppositely arranged, and the interior long side and the outer long side correspondingly offer the first guide pin slot and the second guide pin slot, and described second Draw pin groove is offered on short side, the draw pin groove is connected with second guide pin slot, first guide pin slot, the second guide pin slot In being generally aligned in the same plane with draw pin groove, so, guide pin can easily pierce through leg from each angle.
For convenience of the angle of regulation rectangular metal frame, it is preferable that the adjusting means includes being fixed on consolidating on operation table Fixed pole, the upper end of the fix bar are connected with connecting rod by first angle regulating part, and the rectangular metal frame passes through second jiao Degree regulating part is connected with the connecting rod.
Specifically, the first angle regulating part includes is hinged and offers respectively upper house by the first screw The first top connection and the first lower contact of groove and lower storage tank, the first screw tail end are equipped with what is be adapted with the first screw First nut;The second angle regulating part includes is hinged and offers upper storage tank and lower accommodating by the second screw The second top connection and the second lower contact of groove, the second screw tail end are equipped with the second nut being adapted with the second screw.
Further, the first short side of the rectangular metal frame is outward extended with extension rod, and the extension rod close-fitting is In the lower storage tank of second lower contact of two angle adjusting pieces, one end close-fitting of the connecting rod is the of second angle regulating part In the upper storage tank of two top connections;One end close-fitting of the fix bar houses in the lower of the first lower contact of first angle regulating part In groove, the other end close-fitting of the connecting rod is in the upper storage tank of the first top connection of first angle regulating part.
It is whether accurate in order to facilitate the lower pin position of observation, it is preferable that the interior long side or outer long side bottom are selected once offering In it is determined that guide pin slot and treating the loophole of art thigh bone on the same line.
To adjust rectangular metal frame to adapt to the height of operation needs, it is preferable that be additionally provided with adjustment in the fix bar The lowering or hoisting gear of fix bar upper-lower height.
Compared with prior art, the advantage of the invention is that:The femoral interlocking nail entry point quick positioner, including rectangle Metal frame, fix bar and connecting rod, wherein fix bar are connected on operating table, and connecting rod both ends are by that can adjust the angle of angle Regulating part is connected with rectangular metal frame and fix bar respectively, at the same offer on rectangular metal frame be easy to guide pin mobile and Guide pin slot and draw pin groove in same plane, said structure disclosure satisfy that quickly fixed to the position of lower pin mark in surgical procedure Position, the puncture number positioned during lower pin for patient legs is reduced, reduces patient suffering, while be directed to inappropriate position, adjusted The height and angle of engagement positions, while apparatus structure is simple, assembly and disassembly is very convenient for.
Brief description of the drawings
Fig. 1 is the overall structure diagram of the embodiment of the present invention;
Fig. 2 is angle adjusting piece enlarged diagram in the embodiment of the present invention;
Fig. 3 is Fig. 2 sectional view;
Fig. 4 is rectangular metal mount structure schematic diagram in the embodiment of the present invention.
Embodiment
The present invention is described in further detail below in conjunction with accompanying drawing embodiment.
As shown in Figures 1 to 4, in the present embodiment, the femoral interlocking nail entry point quick positioner, including rectangular metal Frame 1 and the rectangular metal frame 1 is fixed on operation table and the adjusting means 2 of the angle of rectangular metal frame 1, rectangle can be adjusted Metal frame 1 is included with the first short side 1a that adjusting means 2 is connected, the second short side 1b relative with the first short side 1a, close to trouble The outer long side 1d, interior long side 1c and outer long side 1d of the interior long side 1c of person leg and remote patient legs are oppositely arranged, interior long side 1c and outer long side 1d correspondingly offers the first guide pin slot 11 and the second guide pin slot 12, and draw pin groove 13 is offered on the second short side 1b, Draw pin groove 13 is connected with the second guide pin slot 12, and the first guide pin slot 11, the second guide pin slot 12 and draw pin groove 13 are generally aligned in the same plane It is interior, the connection design of this guide pin slot 12 of draw pin groove 13 and second, guide pin can be made to be pierced into the deflection angle of the pulp cavity of fracture near-end Degree increases, and in the case of minimum when the position and patient legs' angle that need pin, can also complete lower pin action.
The enlarged drawing of rectangular metal frame 1 in Fig. 4 the present embodiment, it can be seen that offered in interior long side 1c and be easy to determine guide pin slot With treat the loophole 15 of art thigh bone on the same line, the position that the loophole 15 opens up is not limited to interior long side 1c, may be used also To be to select one in interior long side 1c or outer long side 1d bottoms to open up, need to only meet when two long sides with thigh bone to be performed the operation in same plane When it is light tight.
Fig. 2 and Fig. 3 is angle adjusting piece schematic diagram, and in the present embodiment, adjusting means 2 includes being fixed on operation table Fix bar 21, the upper end of fix bar 21 are connected with connecting rod 22 by first angle regulating part 5, and rectangular metal frame 1 passes through second Angle adjusting piece 6 is connected with connecting rod 22, meanwhile, fix bar 21 can adjust its height relative to operation table, in this reality Apply in example, the lowering or hoisting gear 4 of the adjustment upper-lower height of fix bar 21 is additionally provided with fix bar 21.
Wherein, first angle regulating part 5 includes is hinged and offers the upper He of storage tank 53 by the first screw 55 The first top connection 51 and the first lower contact 52 of lower storage tank 54, the tail end of the first screw 55 is equipped with to be adapted with the first screw 55 The first nut 56;Second angle regulating part 6 includes is hinged and offers the upper He of storage tank 63 by the second screw 65 The second top connection 61 and the second lower contact 62 of lower storage tank 64, the tail end of the second screw 65 is equipped with to be adapted with the second screw 65 The second nut 66.
Specifically, the first short side 1a of rectangular metal frame 1 is outward extended with extension rod 14, and the close-fitting of extension rod 14 is at second jiao Spend in the lower storage tank 64 of the second lower contact 62 of regulating part 6, one end close-fitting of connecting rod 22 in second angle regulating part 6 the In the upper storage tank 63 of two top connections 61, one end close-fitting of fix bar 21 is under the first lower contact 52 of first angle regulating part 5 In storage tank 54, the other end close-fitting of connecting rod 22 is in the upper storage tank 53 of the first top connection 51 of first angle regulating part 5; Thus, by the first angle regulating part 5 and second angle regulating part 6 in the be hinged setting in the both ends of connecting rod 22, fix bar 21 is made With the close-fitting of rectangular metal frame 1 at the both ends of connecting rod 22, and under the collective effect of two angle adjusting pieces, the rotation of angle is realized Regulation.
After patient anaesthetizes, patient lies supine position, kept flat after double lower limb traction, lie down and draw operation table, padded trouble in orthopaedics Side buttocks, patient's continuous traction suffering limb, according to fracture situation, suffering limb makees interior receipts, inward turning and slightly bends and stretches hip joint reduction fracture The broken ends of fractured bone, being had an X-rayed through C-arm confirms that the line of force between tuberosity, collodiaphyseal angle are fixed on operation table after being satisfied with, and C arm X-ray machines are placed in side position, with Loophole 15 is with reference to adjustment directions of rays, and it is in a straight line to make femoral shaft, neck of femur, femoral head basic in the development of side position, if Not on a straight line, X-ray has light and appeared, and now just needs adjustment angle, on the contrary then complete Primary Location;Now exist The lower adjustment angle controller of C arms X-ray machine monitoring, until the guide pin tank development maximization in rectangular metal frame 1 is overlapping, and it is in On the center line that femoral shaft, neck of femur, femoral head develop, first guide pin is by both sides draw pin groove 13 via the He of the first guide pin slot 11 The first guide pin position is had an X-rayed in second guide pin slot, 12 oblique greater trochanter direction insertion, backshank end close proximity to trunk, now normotopia, with This guide pin for reference, if position is just correct, need not further be operated, if position is deviated, then inwardly or to It is outer insertion other guide pins, until determine be finally inserted guide pin position satisfaction after remove as reference guide pin, perform the operation continue into OK.

Claims (6)

  1. A kind of 1. femoral interlocking nail entry point quick positioner, it is characterised in that:It is including rectangular metal frame (1) and the rectangle is golden Category frame (1) is fixed on operation table and can adjust the adjusting means (2) of rectangular metal frame (1) angle, the rectangular metal Frame (1) include be connected with adjusting means (2) the first short side (1a), with relative the second short side (1b) of the first short side (1a), Interior long side (1c) close to patient legs and the outer long side (1d) away from patient legs, the interior long side (1c) and the foreign minister (1d) is oppositely arranged on side, and the interior long side (1c) and the outer long side (1d) correspondingly offer the first guide pin slot (11) and second and led Needle tray (12), draw pin groove (13), the draw pin groove (13) and second guide pin slot are offered on second short side (1b) (12) it is connected, first guide pin slot (11), the second guide pin slot (12) and draw pin groove (13) are generally aligned in the same plane interior.
  2. 2. femoral interlocking nail entry point quick positioner according to claim 1, it is characterised in that:The adjusting means (2) fix bar (21) being fixed on operation table is included, the upper end of the fix bar (21) is connected by first angle regulating part (5) Connecting rod (22) is connected to, the rectangular metal frame (1) is connected by second angle (6) regulating part (31) with the connecting rod (22) Connect.
  3. 3. femoral interlocking nail entry point quick positioner according to claim 2, it is characterised in that:The first angle is adjusted Section part (5) includes is hinged and offers the first of upper storage tank (53) and lower storage tank (54) by the first screw (55) Top connection (51) and the first lower contact (52), the first screw (55) tail end are equipped be adapted with the first screw (55) One nut (56);
    The second angle regulating part (6) include be hinged and offered by the second screw (65) upper storage tank (63) and The second top connection (61) and the second lower contact (62) of lower storage tank (64), the second screw (65) tail end are equipped with and second The second nut (66) that screw (65) is adapted.
  4. 4. femoral interlocking nail entry point quick positioner according to claim 3, it is characterised in that:The rectangular metal frame (1) the first short side (1a) is outward extended with extension rod (14), and extension rod (14) close-fitting is in second angle regulating part (6) In the lower storage tank (64) of second lower contact (62), one end close-fitting of the connecting rod (22) is in second angle regulating part (6) In the upper storage tank (63) of second top connection (61);
    Lower storage tank (54) of fix bar (21) one end close-fitting in the first lower contact (52) of first angle regulating part (5) It is interior, the upper storage tank of the other end close-fitting of the connecting rod (22) in the first top connection (51) of first angle regulating part (5) (53) in.
  5. 5. femoral interlocking nail entry point quick positioner according to claim 1, it is characterised in that:The interior long side (1c) Or outer long side (1d) bottom is selected one and offered and is easy to determine guide pin slot and treats the loophole (15) of art thigh bone on the same line.
  6. 6. femoral interlocking nail entry point quick positioner according to claim 5, it is characterised in that:The fix bar (21) On be additionally provided with adjustment fix bar (21) upper-lower height lowering or hoisting gear (4).
CN201711171537.4A 2017-11-22 2017-11-22 Quick positioner for femoral intramedullary nail needle insertion point Active CN107789050B (en)

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Application Number Priority Date Filing Date Title
CN201711171537.4A CN107789050B (en) 2017-11-22 2017-11-22 Quick positioner for femoral intramedullary nail needle insertion point

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Application Number Priority Date Filing Date Title
CN201711171537.4A CN107789050B (en) 2017-11-22 2017-11-22 Quick positioner for femoral intramedullary nail needle insertion point

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CN107789050B CN107789050B (en) 2023-10-03

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109009399A (en) * 2018-06-20 2018-12-18 陈聚伍 Fracture of neck of femur hollow nail accurate-location device
CN109157277A (en) * 2018-08-09 2019-01-08 张晨晨 A kind of orthopaedics is oriented to coplanar fixed Kirschner wire and pre-fixes device
CN112137734A (en) * 2020-09-25 2020-12-29 林焱斌 Femoral intertrochanteric fracture body surface incision locator

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2868222Y (en) * 2005-12-31 2007-02-14 孙观荣 Thigh-bone anticollis angle sighting device
CN202060860U (en) * 2011-04-20 2011-12-07 马台 Navigator of intramedullary nail at near end of thighbone
CN103040526A (en) * 2013-01-04 2013-04-17 浙江科惠医疗器械有限公司 Three-dimensional positioning sighting device for orthopedic surgery
CN103393462A (en) * 2013-07-22 2013-11-20 陈立军 In-vitro dynamic hip screw guider
CN203539428U (en) * 2013-11-11 2014-04-16 季烈峰 Opening positioning auxiliary system of proximal femur intramedullary nail
CN204708973U (en) * 2015-05-18 2015-10-21 阮渊 Guiding means for diculus arcus vertebrae nail
CN105125285A (en) * 2015-07-02 2015-12-09 贺石生 Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor
CN105748143A (en) * 2016-04-29 2016-07-13 谢小波 Femur neck guider
US20170007303A1 (en) * 2014-02-12 2017-01-12 Swemac Innovation Ab Targeting device and method
CN205964124U (en) * 2016-05-31 2017-02-22 丁军峰 Positioner punctures under CT guides

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2868222Y (en) * 2005-12-31 2007-02-14 孙观荣 Thigh-bone anticollis angle sighting device
CN202060860U (en) * 2011-04-20 2011-12-07 马台 Navigator of intramedullary nail at near end of thighbone
CN103040526A (en) * 2013-01-04 2013-04-17 浙江科惠医疗器械有限公司 Three-dimensional positioning sighting device for orthopedic surgery
CN103393462A (en) * 2013-07-22 2013-11-20 陈立军 In-vitro dynamic hip screw guider
CN203539428U (en) * 2013-11-11 2014-04-16 季烈峰 Opening positioning auxiliary system of proximal femur intramedullary nail
US20170007303A1 (en) * 2014-02-12 2017-01-12 Swemac Innovation Ab Targeting device and method
CN204708973U (en) * 2015-05-18 2015-10-21 阮渊 Guiding means for diculus arcus vertebrae nail
CN105125285A (en) * 2015-07-02 2015-12-09 贺石生 Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor
CN105748143A (en) * 2016-04-29 2016-07-13 谢小波 Femur neck guider
CN205964124U (en) * 2016-05-31 2017-02-22 丁军峰 Positioner punctures under CT guides

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109009399A (en) * 2018-06-20 2018-12-18 陈聚伍 Fracture of neck of femur hollow nail accurate-location device
CN109009399B (en) * 2018-06-20 2020-12-11 陈聚伍 Accurate positioner of hollow nail of femoral neck fracture
CN109157277A (en) * 2018-08-09 2019-01-08 张晨晨 A kind of orthopaedics is oriented to coplanar fixed Kirschner wire and pre-fixes device
CN109157277B (en) * 2018-08-09 2020-02-21 管志强 Orthopedics is with fixed type kirschner wire direction of coplanar fixing device in advance
CN112137734A (en) * 2020-09-25 2020-12-29 林焱斌 Femoral intertrochanteric fracture body surface incision locator
CN112137734B (en) * 2020-09-25 2024-03-01 林焱斌 Femoral intertrochanteric fracture body surface incision positioner

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