CN107951519A - A kind of heel string suturing assembly - Google Patents
A kind of heel string suturing assembly Download PDFInfo
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- CN107951519A CN107951519A CN201711315400.1A CN201711315400A CN107951519A CN 107951519 A CN107951519 A CN 107951519A CN 201711315400 A CN201711315400 A CN 201711315400A CN 107951519 A CN107951519 A CN 107951519A
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- hole
- fixed frame
- needle
- bracing wire
- wire rod
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Rheumatology (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention provides a kind of heel string suturing assembly, includes the first fixed frame and the second fixed frame being connected by width adjustor, stay rod and sewing needle；Wherein the first fixed frame includes the outer arm of the first fixed frame and the inner arm of the first fixed frame for forming U-shaped arm；Second fixed frame includes the outer arm of the second fixed frame and the inner arm of the second fixed frame for forming U-shaped arm；The inside of the inner arm of first fixed frame and the inner arm of the second fixed frame has the two or more bracing wire rod through-holes for being used to be inserted into stay rod；Wherein there is suture hole in the U-shaped arm of the first fixed frame and the second fixed frame, also have hole of threading a needle in U-shaped arm；The suture hole and through hole of the hole in the U-shaped arm of the first fixed frame and the second fixed frame of threading a needle is located in bracing wire rod through-hole.The component of the present invention can form two stitches by once-through operation on heel string, so as to be effectively reduced surgical injury, and improve the intensity of suture.
Description
Technical field
The invention belongs to orthopedic instrument technical field, and in particular to a kind of heel string suturing assembly
Background technology
Heel string is a big tendon positioned at ankle-joint rear, it connects the muscle group at shank rear to calcaneum, is people
Class such as is walked, runs, climbing at the indispensable tissue of movement.General heel string inflammation is divided into bacillary and aseptic, but due to
The relatively insufficient cause specific of tendon blood supply, its healing time is often long, indolence.
Heel string is the most thick tendon of human body, by triceps (the inside and outside head of musculus soleus, gastrocnemius) tendon in foot
Formation is merged about at 15cm with top.Heel string forms obvious strip projection in body surface.The major function of heel string be thigh and knee and
Plantar flexion of foot, people can jump, and run with can pedaling, and what is leaned on is all it.
It is clinically more at present to be sutured using minimal invasion operation, but existing stitching devices, stitched on heel string
Need to carry out multi-pass operation during conjunction；Cause to repeatedly being cut with tendinous tissue；And each suture unbalance stress, cause to suture
Intensity difference.
The content of the invention
The object of the present invention is to provide a kind of heel string suturing assembly, using the component can by once-through operation on heel string shape
Intersect into two sutures, so as to improve the intensity of suture.
The heel string suturing assembly of the present invention, includes the first fixed frame 2 and the second fixed frame being connected by width adjustor 1
3rd, stay rod 4 and sewing needle 5；Wherein the first fixed frame 2 includes the outer arm 2-1 and first for the first fixed frame for forming U-shaped arm
The inner arm 2-2 of fixed frame；Second fixed frame 3 includes the outer arm 3-1 and the second fixed frame for the second fixed frame for forming U-shaped arm
Inner arm 3-2；
The inside of the inner arm 2-2 of first fixed frame and the inner arm 3-2 of the second fixed frame have two or with
The upper bracing wire rod through-hole 6 for being used to be inserted into stay rod 4；
Wherein there is suture hole 7 in the U-shaped arm of the first fixed frame 2 and the second fixed frame 3, also have hole of threading a needle in U-shaped arm
8；The hole 8 of threading a needle include first thread a needle hole 8-1, second thread a needle hole 8-2, the 3rd thread a needle hole 8-3, the 4th thread a needle hole 8-4；
The suture hole 7 and through hole of the hole 8 in the U-shaped arm of the first fixed frame 2 and the second fixed frame 3 of threading a needle is located at
In bracing wire rod through-hole 6.
The bracing wire rod through-hole 6, on the inner arm 2-2 of the first fixed frame point Wei not the first bracing wire rod through-hole 6-1, the
Two bracing wire rod through-hole 6-2；On the inner arm 3-2 of second fixed frame is respectively the 3rd bracing wire rod through-hole 6-3, the 4th bracing wire rod through-hole
6-4。
Described first thread a needle hole 8-1, the 3rd thread a needle inner arm 3-2s of the hole 8-3 in the second fixed frame through hole be located at the 3rd
In bracing wire rod through-hole 6-3；It is located in the through hole of the inner arm 2-2 of the first fixed frame in the first bracing wire rod through-hole 6-1；
Described second thread a needle hole 8-2 and the 4th thread a needle inner arm 3-2s of the hole 8-4 in the second fixed frame through hole be located at the 4th
In bracing wire rod through-hole 6-4；It is located in the through hole of the inner arm 2-2 of the first fixed frame in the second bracing wire rod through-hole 6-2；
The suture hole 7 is in through hole the first bracing wire rod through-hole 6-1 of the inner arm 2-2 of the first fixed frame；Second
The through hole of the inner arm 3-2 of fixed frame is located in the 4th bracing wire rod through-hole 6-4；
In order to facilitate the operation in operation, wherein the end of the second bracing wire rod through-hole 6-2 exists positioned at the 4th hole 8-4 that threads a needle
The through hole of the inner arm 2-2 of first fixed frame；The end of 3rd bracing wire rod through-hole 6-3 is solid second positioned at the 3rd hole 8-3 that threads a needle
Determine the through hole of the inner arm 3-2 of frame.
The width adjustor includes adjusting bolt 1-1, the connecting rod 1-2 of one or more.
The stay rod 4 includes the stay rod main body 4-1 and stay rod sewing needle perforation 4-2 installed in front end.
There is sewing needle stay rod perforation 5-3 on the sewing needle 5, sewing needle 5 can be divided into suture hour hand 5-1 and seam
Close minute hand 5-2；The sewing needle stay rod perforation 5-3 for wherein suturing hour hand 5-1 is located at front end, and sutures the sewing needle of minute hand 5-2
Stay rod perforation 5-3 is located at rearward position.
The component of the present invention can form two stitches by once-through operation on heel string, so as to effectively subtract
Lack surgical injury, and improve the intensity of suture.
Brief description of the drawings
Fig. 1：The structure chart of identical fixator；
Fig. 2：The structure diagram of through hole 6；
Fig. 3：Wear the locations of structures schematic diagram of suture hole and sewing hole；
Fig. 4：Through hole, suture hole and sectional view of the hole in the inner arm of the first fixed frame of threading a needle；
Fig. 5：Through hole, suture hole and sectional view of the hole in the inner arm of the second fixed frame of threading a needle；
Fig. 6：The structure diagram of stay rod；
Fig. 7：The structure diagram of sewing needle；
Fig. 8：The sewing effect figure of apparatus of the present invention；
Wherein：Width adjustor 1 (adjusting bolt 1-1, connecting rod 1-2), the 2 (outer arm of the first fixed frame of the first fixed frame
The inner arm 2-2 of 2-1, the first fixed frame), the second fixed frame 3 (the outer arm 3-1 of the second fixed frame, the inner arm 3- of the second fixed frame
2), stay rod 4 (stay rod main body 4-1, stay rod sewing needle perforation 4-2), sewing needle 5 (suture hour hand 5-1, suture minute hand 5-
2nd, sewing needle stay rod perforation 5-3)；Bracing wire rod through-hole 6 (the first bracing wire rod through-hole 6-1, the second bracing wire rod through-hole 6-2, the 3rd
Bracing wire rod through-hole 6-3, the 4th bracing wire rod through-hole 6-4), suture hole 7, hole 8 of threading a needle (first thread a needle hole 8-1, second thread a needle hole 8-
2nd, the 3rd thread a needle hole 8-3, the 4th thread a needle hole 8-4).
Embodiment
The present invention is described in detail below in conjunction with the accompanying drawings.
The heel string suturing assembly of the present invention, includes the first fixed frame 2 and the second fixed frame being connected by width adjustor 1
3；Stay rod 4 and sewing needle 5.Wherein the first fixed frame 2 includes the outer arm 2-1 of the first fixed frame, the inner arm of the first fixed frame
2-2, forms the U-shaped arm of the first fixed frame 2；Second fixed frame 3 includes the outer arm 3-1 of the second fixed frame, the second fixed frame
Inner arm 3-2 forms the U-shaped arm of the second fixed frame 3；
The inside of the inner arm 2-2 of first fixed frame and the inner arm 3-2 of the second fixed frame have two or more be used for
It is inserted into the bracing wire rod through-hole 6 of stay rod 4；
There is suture hole 7 in the U-shaped arm of first fixed frame 2 and the second fixed frame 3, also have hole 8 of threading a needle in U-shaped arm；Institute
The hole 8 of threading a needle stated include first thread a needle hole 8-1, second thread a needle hole 8-2, the 3rd thread a needle hole 8-3, the 4th thread a needle hole 8-4；
The suture hole 7 and through hole of the hole 8 in the U-shaped arm of the first fixed frame 2 and the second fixed frame 3 of threading a needle is located at
In bracing wire rod through-hole 6.
The bracing wire rod through-hole 6, is respectively the first bracing wire rod through-hole 6- on the bottom of the inner arm 2-2 of the first fixed frame
1st, the second bracing wire rod through-hole 6-2；It is respectively the 3rd bracing wire rod through-hole 6-3, the 4th drawing on the bottom of the inner arm 3-2 of second fixed frame
Line bar through hole 6-4.
In described first thread a needle hole 8-1, the 3rd thread a needle through holes of the hole 8-3 in the inner arm 3-2 of the second fixed frame positioned at the
In three bracing wire rod through-hole 6-3；
Described first thread a needle hole 8-1, the 3rd thread a needle inner arm 2-2s of the hole 8-3 in the first fixed frame through hole be located at first
In bracing wire rod through-hole 6-1；
Second through holes of the hole 8-4 in the inner arm 3-2 of the second fixed frame of threading a needle of hole 8-2 and the 4th of threading a needle is located at the 4th stay rod
In through hole 6-4；
Second through holes of the hole 8-4 in the inner arm 2-2 of the first fixed frame of threading a needle of hole 8-2 and the 4th of threading a needle is located at the second stay rod
In through hole 6-2；
Suture hole 7 is in through hole the first bracing wire rod through-hole 6-1 of the inner arm 2-2 of the first fixed frame；In the second fixed frame
The through hole of inner arm 3-2 be located in the 4th bracing wire rod through-hole 6-4；
In order to facilitate the operation in operation, wherein the end of the second bracing wire rod through-hole 6-2 exists positioned at the 4th hole 8-4 that threads a needle
The through hole of the inner arm 2-2 of first fixed frame；The end of 3rd bracing wire rod through-hole 6-3 is solid second positioned at the 3rd hole 8-3 that threads a needle
Determine the through hole of the inner arm 3-2 of frame.
The width adjustor includes adjusting bolt 1-1, the connecting rod 1-2 of one or more.
The width adjustor 1 can according to the ankle situation of patient come adjust the first fixed frame 2 and the second fixed frame 3 it
Between width, that is, adjust between the inner arm 3-2 of the inner arm 2-2 of the first fixed frame and the second fixed frame of the second fixed frame 3 away from
From.As shown in Figure 1, width adjustor 1 is arranged on the first fixed frame 2 and the end of the second fixed frame 3 (is penetrated relative to fixed frame
The direction of skin)；It can be by sliding the first fixed frame 2 and/or the second fixed frame 3；Or rotation bolt drives any one
The method of fixed frame adjusts the width between the first fixed frame 2 and the second fixed frame 3.The present invention specifically used is to pass through
Adjusting bolt 1-1；By rotating adjusting bolt 1-1, the first fixed frame 2 is set to be moved along connecting rod 1-2；So as to play clamping with
Tendon or the effect loosened.
First fixed frame 2 includes the inner arm 2-2 of the outer arm 2-1 of the first fixed frame, the first fixed frame, forms first and fixes
The U-shaped arm of frame 2；It is solid that second fixed frame 3 includes the outer arm 3-1 of the second fixed frame, the inner arm 3-2 of the second fixed frame forms second
Determine the U-shaped arm of frame 3；In order to more easily make U-shaped arm be inserted into heel string sheath, the front end of U-shaped arm is preferably smooth circular cone
Shape, and the cross section of inner and outer wall can be the common shape such as square, rectangle, circle, and disease is reduced with maximum possible
People's tissue damage is taken as standard.
Two or more use are had in the inner arm 2-2 of the first fixed frame and the end of inner arm 3-2 of the second fixed frame
It is consistent with the direction of U-shaped arm in the bracing wire rod through-hole 6 of insertion stay rod 4, the direction of bracing wire rod through-hole 6.
As shown in Figure 2, the inner arm 2-2 of the first fixed frame terminal part (close to width adjustor 1) be provided with two it is logical
Hole, is respectively the first bracing wire rod through-hole 6-1, the second bracing wire rod through-hole 6-2；It is provided with the bottom of the inner arm 3-2 of second fixed frame
Two through holes, are respectively the 3rd bracing wire rod through-hole 6-3, the 4th bracing wire rod through-hole 6-4.Wherein the first bracing wire rod through-hole 6-1,
Straight line where two bracing wire rod through-hole 6-2 can be where the inner arm 2-2 perpendicular to the first fixed frame straight line；Can also be with first
There are certain angle by the inner arm 2-2 of fixed frame.Where corresponding 3rd bracing wire rod through-hole 6-3, the 4th bracing wire rod through-hole 6-4
Straight line can also be where the inner arm 3-2 perpendicular to the second fixed frame straight line；Can also exist with the inner arm 3-2 of the second fixed frame
Certain angle.
As shown in figure 3, suture hole 7 is located at the front portion of the first fixed frame 2 and the second fixed frame 3, it is solid to sequentially pass through first
Determine the outer arm 2-1 of frame, the inner arm 2-2 of the first fixed frame, the inner arm 3-2 of the second fixed frame, the outer arm 3-1 of the second fixed frame.And
Suture hole 7 is in through hole the first bracing wire rod through-hole 6-1 of the inner arm 2-2 of the first fixed frame；In the inner arm 3-2 of the second fixed frame
Through hole be located in the 4th bracing wire rod through-hole 6-4.Its through hole in the U-shaped arm of the first fixed frame 2 and the second fixed frame 3 is one
On bar straight line, facilitate surgical procedure.
When carrying out heel string suture operation, the sewing needle 7-1 of suture is carried by suture hole 7 from the first fixed frame
Outer arm 2-1 penetrates skin, then is pierced by from the outer arm 3-1 of the second fixed frame；Or penetrated from the outer arm 3-1 of the second fixed frame, from
The outer arm 2-1 of first fixed frame is pierced by.
As shown in figure 3, being provided with hole 8 of threading a needle in the U-shaped arm of the first fixed frame 2 and the second fixed frame 3, include first and wear
Pin hole 8-1, second thread a needle hole 8-2, the 3rd thread a needle hole 8-3, the 4th thread a needle hole 8-4.In order to facilitate sewing needle penetrate skin and with
Tendon, first thread a needle hole 8-1, second thread a needle hole 8-2, the 3rd thread a needle hole 8-3, the 4th thread a needle each of hole 8-4 in U-shaped arm
Through hole is all as far as possible point-blank.
In Fig. 4 display first thread a needle hole 8-1, the 3rd thread a needle through holes of the hole 8-3 in the inner arm 2-2 of the first fixed frame positioned at the
In one bracing wire rod through-hole 6-1；Second through holes of the hole 8-4 in the inner arm 2-2 of the first fixed frame of threading a needle of hole 8-2 and the 4th of threading a needle is located at
In second bracing wire rod through-hole 6-2；And through hole of the suture hole 7 in the inner arm 2-2 in the first fixed frame also is located at the first stay rod
In through hole 6-1.
As shown in Figure 5 first thread a needle hole 8-1, the 3rd thread a needle through holes of the hole 8-3 in the inner arm 3-2 of the second fixed frame positioned at the
In three bracing wire rod through-hole 6-3；Second through holes of the hole 8-4 in the inner arm 3-2 of the second fixed frame of threading a needle of hole 8-2 and the 4th of threading a needle is located at
In 4th bracing wire rod through-hole 6-4；Through hole of the suture hole 7 in the inner arm 3-2 of the second fixed frame also is located at the 4th bracing wire rod through-hole
In 6-4.
In order to facilitate surgical procedure, the front end of the first bracing wire rod through-hole 6-1 and the 4th bracing wire rod through-hole 6-4 are respectively to stitch
Zygonema hole 7 the first fixed frame inner arm 2-2 and the second fixed frame inner arm 3-2 through hole in；And the second bracing wire rod through-hole 6-2
Front end thread a needle hole 8-4 in the through hole of the inner arm 2-2 of the first fixed frame for the 4th, the 3rd bracing wire rod through-hole 6-3 most before
Hold and thread a needle hole 8-3 in the through hole of the inner arm 3-2 of the second fixed frame (Fig. 4 and Fig. 5) for the 3rd.I.e. in the first fixed frame
The through hole and a short through hole of a passage length are provided with arm 2-2, the two through holes are distributed up and down；And in the second fixed frame
Also the through hole and a short through hole of a passage length are provided with inner arm 3-2；Its put in order just with the first fixed frame
It is opposite in arm 2-2.
A kind of specific arrangement, is a through hole in the inner arm 2-2 of the first fixed frame and 7 weight of suture hole of front end
It is folded；It is the first bracing wire rod through-hole 6-1 above in Fig. 4, its through hole length is longer；It is relatively short for through hole length below
Second bracing wire rod through-hole 6-2.It is corresponding, in a through hole of the inner arm 3-2 of the second fixed frame and 7 weight of suture hole of front end
It is folded；It is underlying 4th bracing wire rod through-hole 6-4 in Fig. 5, its through hole length is longer (long through-hole)；Its top is through hole length
The 3rd bracing wire rod through-hole 6-3 of relatively short (short through hole).
By the setting of above-mentioned through hole 6, suture hole 7 and hole 8 of threading a needle, during carrying out with tenosuture, stitch first
Zygonema passes through suture hole 7, then by pulling the stay rod 6 in long through-hole, suture is entered positioned at long through-hole
In the hole of sewing needle, after sewing needle passes through heel string, just suture is carried out on heel string for the first time to intersect, and enter short through hole
Stay rod pulling eye in pulled out from through hole；The stay rod positioned at short through hole is pulled again, is entered suture and is located at short through hole
Sewing needle hole in；After sewing needle passes through heel string, suture is just carried out to second on heel string and has been intersected；Finally pull out position
In the stay rod of short through hole, suture is set to be pulled out from two other through hole.
Above-mentioned purpose is realized, with stay rod 4 and structure such as Fig. 6 of sewing needle 5, the figure being used cooperatively with tendon matching fixator
Shown in 7.Wherein stay rod 4 includes the stay rod main body 4-1 and stay rod sewing needle perforation 4-2 installed in front end.Stay rod
Main body 4-1 can be the stock that metal is prepared into, its leading portion can have certain elastic material to be prepared into, and diameter is can wear
Cross subject to the hole size on sewing needle；And stay rod sewing needle perforation 4-2 can pass through sewing needle 5.
The sewing needle stay rod perforation 5-3 that stay rod 4 passes through, in order to facilitate the operation, sewing needle are useful on sewing needle 5
5 can be divided into suture hour hand 5-1 and suture minute hand 5-2；Before the sewing needle stay rod perforation 5-3 of wherein suture hour hand 5-1 is located at
End, and the sewing needle stay rod perforation 5-3 for suturing minute hand 5-2 is located at rearward position.This is because during surgical procedure, suture is short
The sewing needle stay rod perforation 5-3 of pin 5-1 is located in the bracing wire rod through-hole 6 of homonymy, and syringe needle is not passed through the inner arm to side stand.
And the sewing needle stay rod perforation 5-3 for suturing minute hand 5-2 is located in the bracing wire rod through-hole 6 of homonymy, syringe needle has penetrated offside inner arm
Bracing wire rod through-hole 6 in.
The present invention with tendon matching fixator, the basic stitching step that it is used is as follows：
1) threading is inserted at two holes of threading a needle close to bracing wire rod through-hole (near-end, for width adjusting) first
Pin, threading needle are inserted into from the outer arm of the first fixed frame, the second fixed frame respectively, the sewing needle stay rod of threading needle is perforated and are entered
In the bracing wire rod through-hole of same fixed frame inner arm, and needle point is each passed through the first fixed frame, the inner arm of the second fixed frame；Needle point
It is inserted into the skin of heel string and offside, but is not inserted into the bracing wire rod through-hole of the inner arm of another fixed frame；
2) stay rod and then in bracing wire rod through-hole is penetrated, the sewing needle stay rod of stay rod through sewing needle is perforated, and
Another of passage where the position of the stay rod sewing needle perforation of stay rod front end is located at the bracing wire rod through-hole is threaded a needle in hole；
3) adjust stay rod, make the perforation of stay rod sewing needle towards threading a needle hole, then respectively close to sewing needle 5 (distal end,
Relative to width adjustor) hole of threading a needle at be inserted into threading needle, threading needle is respectively from the first fixed frame, the outer arm of the second fixed frame
Insertion, perforates at inner arm through stay rod sewing needle, makes the perforation of sewing needle stay rod positioned at the inner arm of another fixed frame
In bracing wire rod through-hole；And needle point preferably passes through the outer arm of another fixed frame；
4) stay rod is penetrated in remaining two bracing wire rod through-holes, the sewing needle stay rod of stay rod through sewing needle is worn
Hole, and the position of the stay rod sewing needle of stay rod front end perforation is located in suture hole；
5) stay rod is adjusted, the perforation of stay rod sewing needle, by suture hole into line lead, is made seam towards suture hole
Zygonema passes through bracing wire rod through-hole by sewing needle；So as to which suture is passed through stay rod；
6) stay rod is pulled out, after suture is perforated by sewing needle stay rod, then be pierced by from bracing wire rod through-hole；At this time
Two heads of suture are respectively in stay rod through hole.According still further to the order to draw near, the suture of sewing hole will be close to first
Pin is pierced by；Heel string is passed through after suture is perforated by two other sewing needle stay rod, forms the suture of first time rectangular-ambulatory-plane；So
Pull out stay rod again afterwards, after suture is entered the sewing needle stay rod perforation of two other sewing needle, then be pierced by sewing needle, it is complete
Sutured into second rectangular-ambulatory-plane.
The application method of the device of the invention is described with reference to specific structure：
1) patient is made to take prone position, epimere pricks tourniquet in thigh after being anesthetized, then touches at rupture of Achilles tendon, in its table
The vertical heel string direction of travel in face, is about 1.5-2cm long horizontal strokes or stringer notch.Skin, subcutaneous tissue, that is, heel string aponeurosis of investment are cut,
Expose heel string to be completely cured.The heel string of fracture is clamped with Tendon forceps, pulls out notch；
2) and then along the inner arm that the first fixed frame 2 and the second fixed frame 3 are inserted between stndon sheath and heel string, wherein first fixes
Insertion on the left of the inner arm 2-2 of frame 2；And the inner arm 3-2 of the second fixed frame 3 is inserted into right side, then rotate the adjusting of width adjustor 1
Bolt 1-1；The first fixed frame 2 is set to be moved along connecting rod 1-2；Make the inner arm 2-2 and second fixed frame 3 of the first fixed frame 2
Inner arm 3-2 clamps heel string；
3) first, at the outer arm 3-1 of the second fixed frame, thread a needle close to the first of fixed frame bottom and seam be inserted into the 8-1 of hole
Hour hand 5-1 is closed, the needle point of suture hour hand 5-1 pass through the second fixed frame inner arm 3-2, sewing needle stay rod perforation 5-3 is located at the
In passage where three bracing wire rod through-hole 6-3；
4) stay rod 4 and then in the 3rd bracing wire rod through-hole 6-3 is inserted into, stay rod 4 is perforated through sewing needle stay rod
5-3, make 4 front end of stay rod stay rod sewing needle perforate 4-2 positioned at the 3rd thread a needle hole 8-3 path on；
5) at the outer arm 2-1 of the first fixed frame, thread a needle close to the second of fixed frame bottom and be inserted into another seam in the 8-2 of hole
Hour hand 5-1 is closed, the needle point of suture hour hand 5-1 pass through the first fixed frame inner arm 2-2, sewing needle stay rod perforation 5-3 is located at the
In passage where two bracing wire rod through-hole 6-2；Then stay rod 4 is inserted into the second bracing wire rod through-hole 6-2, wears stay rod 4
Sewing needle stay rod perforation 5-3 is crossed, the stay rod sewing needle 4-2 that perforates of 4 front end of stay rod is threaded a needle the logical of hole 8-4 positioned at the 4th
Lu Shang；
6) the 4th at the outer arm 2-1 of the first fixed frame threads a needle and penetrates suture minute hand 5-2 in the 8-4 of hole, makes suture minute hand
The stay rod sewing needle of 5-2 through the second bracing wire rod through-hole 6-2 are perforated after 4-2, are then passed through the inner arm 3-2 of the second fixed frame, are made
Sewing needle stay rod perforation 5-3 is located in the passage of the 4th line bar through hole 6-4；
7) stay rod 4 is inserted into the 4th bracing wire rod through-hole 6-4, stay rod 4 is passed through sewing needle stay rod perforation 5-3,
The stay rod sewing needle perforation 4-2 of 4 front end of stay rod is set to be located on the path of suture hole 7；
8) the 3rd at the outer arm 3-1 of the second fixed frame threads a needle and penetrates suture minute hand 5-2 in the 8-3 of hole, makes suture minute hand
After 5-2 is placed through the stay rod sewing needle perforation 4-2 of the 3rd bracing wire rod through-hole 6-3, the inner arm 22 of the first fixed frame is then passed through,
Sewing needle stay rod perforation 5-3 is set to be located in the passage of First Line rod through-hole 6-1；Then inserted in the first bracing wire rod through-hole 6-1
Enter stay rod 4, stay rod 4 is passed through sewing needle stay rod perforation 5-3, make the stay rod sewing needle perforation 4- of 4 front end of stay rod
2 on the path of suture hole 7；
9) sewing needle 5 and then in suture hole 7 is inserted into, is installed with the sewing needle stay rod perforation 5-3 of the sewing needle 5
Suture,
10) sewing needle 5 is penetrated into skin and heel string, so that suture passes through heel string；
11) and then extraction first is located at the stay rod 4 in the first bracing wire rod through-hole 6-1 and the 4th bracing wire rod through-hole 6-4；Make
Suture respectively enter by the 3rd thread a needle hole 8-3 and the 4th thread a needle hole 8-4 penetrate heel string suture minute hand 5-2 sewing needle bracing wire
In bar perforation 5-3；
12) suture minute hand 5-2 is pierced by from heel string respectively again, during being pierced by, threads a needle hole 8-3's positioned at the 3rd
Suture is placed through the stay rod 4 of the 3rd bracing wire rod through-hole 6-3 by suture minute hand；And the suture for the hole 8-4 that threads a needle positioned at the 4th
Suture is placed through the stay rod of the second bracing wire rod through-hole 6-2 by minute hand；By two suture minute hands, the is formed on heel string
One rectangular-ambulatory-plane suture intersects；
13) suture is made by pulling the stay rod positioned at the second bracing wire rod through-hole 6-2 and the 3rd bracing wire rod through-hole 6-3 again
Line enter positioned at respectively positioned at first thread a needle hole 8-1 and second thread a needle hole 8-2 suture hour hand 5-1 the perforation of sewing needle stay rod
It is interior, second rectangular-ambulatory-plane suture intersection is formed on heel string by suturing hour hand 5-1.First is unclamped by adjusting bolt 1- to fix
Frame and the second fixed frame, two the end of a thread are threaded a needle at the 8-2 of hole in the first hole 8-1 and second that threads a needle respectively；
Suture operation is carried out on the heel string of opposite side according to above-mentioned step, then tense suture knot, complete with
The final suture (Fig. 8) of tendon.
Claims (10)
1. a kind of heel string anastomotic component, it is characterised in that the heel string anastomotic component includes to be connected by width adjustor (1)
The first fixed frame (2) and the second fixed frame (3), stay rod (4) and sewing needle (5)；Wherein the first fixed frame (2) includes structure
Into the outer arm (2-1) of the first fixed frame of U-shaped arm and the inner arm (2-2) of the first fixed frame；Second fixed frame (3) includes composition
The outer arm (3-1) of second fixed frame of U-shaped arm and the inner arm (3-2) of the second fixed frame；
The inside of the inner arm (2-2) of first fixed frame and the inner arm (3-2) of the second fixed frame have two or with
The upper bracing wire rod through-hole (6) for being used to be inserted into stay rod (4)；
There is suture hole (7) in the U-shaped arm of wherein the first fixed frame (2) and the second fixed frame (3), also have in U-shaped arm and thread a needle
Hole (8)；The hole of threading a needle (8) include first thread a needle hole (8-1), second thread a needle hole (8-2), the 3rd thread a needle hole (8-3),
Four thread a needle hole (8-4)；
The suture hole (7) and hole of threading a needle (8) is located at bracing wire in the through hole of the first fixed frame (2) and the second fixed frame (3)
In rod through-hole (6).
2. heel string anastomotic component as claimed in claim 1, it is characterised in that the bracing wire rod through-hole (6) is fixed first
That divides on the inner arm (2-2) of frame Wei not the first bracing wire rod through-hole (6-1) and the second bracing wire rod through-hole (6-2)；In the second fixed frame
Inner arm (3-2) on be respectively the 3rd bracing wire rod through-hole (6-3) and the 4th bracing wire rod through-hole (6-4).
3. heel string anastomotic component as claimed in claim 1, it is characterised in that described first thread a needle hole (8-1), the 3rd thread a needle
Hole (8-3) is located in the 3rd bracing wire rod through-hole (6-3) in the through hole of the inner arm (3-2) of the second fixed frame；In the first fixed frame
The through hole of inner arm (2-2) is located in the first bracing wire rod through-hole (6-1).
4. heel string anastomotic component as claimed in claim 1, it is characterised in that wear in the hole (8-2) and the 4th of threading a needle of described second
Pin hole (8-4) is located in the 4th bracing wire rod through-hole (6-4) in the through hole of the inner arm (3-2) of the second fixed frame；In the first fixed frame
The through hole of inner arm (2-2) be located in the second bracing wire rod through-hole (6-2).
5. heel string anastomotic component as claimed in claim 1, it is characterised in that the suture hole (7) is in the first fixed frame
Inner arm (2-2) through hole the first bracing wire rod through-hole (6-1) in；It is located at the 4th in the through hole of the inner arm (3-2) of the second fixed frame
In bracing wire rod through-hole (6-4).
6. heel string anastomotic component as claimed in claim 2, it is characterised in that the end of the second bracing wire rod through-hole (6-2)
Hole (8-4) is threaded a needle in the through hole of the inner arm (2-2) of the first fixed frame positioned at the 4th in end；The end of 3rd bracing wire rod through-hole (6-3)
Hole (8-3) is threaded a needle in the through hole of the inner arm (3-2) of the second fixed frame positioned at the 3rd in end.
7. heel string anastomotic component as claimed in claim 1, it is characterised in that the width adjustor (1) includes adjusting
The connecting rod (1-2) of bolt (1-1), one or more.
8. heel string anastomotic component as claimed in claim 1, it is characterised in that the stay rod (4) includes stay rod master
Body (4-1) and the stay rod sewing needle perforation (4-2) installed in front end.
9. heel string anastomotic component as claimed in claim 1, it is characterised in that have sewing needle bracing wire on the sewing needle (5)
Bar perforates (5-3).
10. heel string anastomotic component as claimed in claim 9, it is characterised in that the sewing needle (5) includes suture hour hand
(5-1) and suture minute hand (5-2)；The sewing needle stay rod perforation (5-3) for wherein suturing hour hand (5-1) is located at front end, and sutures
The sewing needle stay rod perforation (5-3) of minute hand (5-1) is located at rear end.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711315400.1A CN107951519A (en) | 2017-12-09 | 2017-12-09 | A kind of heel string suturing assembly |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711315400.1A CN107951519A (en) | 2017-12-09 | 2017-12-09 | A kind of heel string suturing assembly |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107951519A true CN107951519A (en) | 2018-04-24 |
Family
ID=61958754
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711315400.1A Withdrawn CN107951519A (en) | 2017-12-09 | 2017-12-09 | A kind of heel string suturing assembly |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107951519A (en) |
-
2017
- 2017-12-09 CN CN201711315400.1A patent/CN107951519A/en not_active Withdrawn
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Application publication date: 20180424 |