CN108245262A - The isometric measuring device of ligament reconstructive - Google Patents

The isometric measuring device of ligament reconstructive Download PDF

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Publication number
CN108245262A
CN108245262A CN201711288930.1A CN201711288930A CN108245262A CN 108245262 A CN108245262 A CN 108245262A CN 201711288930 A CN201711288930 A CN 201711288930A CN 108245262 A CN108245262 A CN 108245262A
Authority
CN
China
Prior art keywords
feeler lever
bar
upper shield
measuring device
isometric
Prior art date
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.)
Pending
Application number
CN201711288930.1A
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Chinese (zh)
Inventor
陈疾忤
刘少华
孙亚英
丁哲慈
陈世益
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Huashan Hospital of Fudan University
Original Assignee
Huashan Hospital of Fudan University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Huashan Hospital of Fudan University filed Critical Huashan Hospital of Fudan University
Priority to CN201711288930.1A priority Critical patent/CN108245262A/en
Publication of CN108245262A publication Critical patent/CN108245262A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • A61B90/06Measuring instruments not otherwise provided for
    • 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/061Measuring instruments not otherwise provided for for measuring dimensions, e.g. length

Abstract

The present invention provides a kind of isometric measuring devices of ligament reconstructive, include upper shield (1) and feeler lever (2);Axially extending bore is provided in the upper shield (1), feeler lever (2) is threaded through in the axially extending bore of upper shield (1);Upper shield (1) includes tunnel adaptation portion (12) and limiting end cap (11), and tunnel adaptation portion (12) is integrally formed or is fastenedly connected with limiting end cap (11);The feeler lever (2) sequentially forms depth sounding portion (21) and contact site (22) along proximal end to distal direction, and depth sounding portion (21) are integrally formed or are detachably connected with contact site (22).The present invention can directly determine isometric point according to the displacement of the feeler lever during bend and stretch joint when in use, intuitive accurate, reduce theoretical calculation and generate borehole throw in practical diversified application.

Description

The isometric measuring device of ligament reconstructive
Technical field
The present invention relates to medical instruments fields, and in particular, to a kind of isometric measuring device of ligament reconstructive.
Background technology
Usually there is the concept and demand of " isometric " in cruciate ligament reconstruction operation, so-called " isometric " refers in bend and stretch joint When ligament length will not change, got to when only ligament is placed in isometric opposite with femur of shin bone isometric. The isometric point of shin bone is located at preceding the 42% of medial tibial plateau and the 50% of shin bone anteroposterior diameter overall length, and the isometric point of femur is located at postartis The center of 140 ° of arcs of composition, it also is located at 60% position of a line, this line is parallel to Blumensaat lines, and passes through Later condyle most salient point, the distance of the isometric point of femur to rear wall is between 4~13mm.But in fact, it is difficult to find absolutely in human body " isometric point ", " class isometric point " of the range of stretch in 2~3mm is then optimal bore path.In the prior art, it usually borrows CT scan is helped to carry out determining, the directly intuitive measurement work of shortage of the isometric point of shin bone and isometric position of femur with doctor's experience Tool.
Invention content
For the defects in the prior art, the object of the present invention is to provide a kind of isometric measuring devices of ligament reconstructive.
According to the isometric measuring device of ligament reconstructive provided by the invention, upper shield and feeler lever are included;
Axially extending bore is provided in the upper shield, feeler lever is threaded through in the axially extending bore of upper shield;
Upper shield includes tunnel adaptation portion and limiting end cap, and tunnel adaptation portion is integrally formed or is fastenedly connected with limiting end cap;
The feeler lever sequentially forms depth sounding portion and contact site along proximal end to distal direction, and depth sounding portion is integrally formed with contact site Or it is detachably connected.
Preferably, also comprising sheath, sheath is in axial direction provided with through-hole;Upper shield, sheath, feeler lever are nested successively to be connected It connects;
The distal face of the positive stop end cover rim axial direction is smooth surface, and limiting ending cover thickness has variation.
Preferably, the sheath includes observation portion, and the look-out station is in the proximal end of sheath;
Observation portion is made of transparent plastic.
Preferably, also comprising nailing mechanism, the nailing mechanism includes positioning and visits nail and bucking bar, and nail is visited in the positioning Tail portion is provided with holes;
Bucking bar and feeler lever be detachably connected on it is described it is with holes in.
Preferably, the bucking bar includes sub bar and female bar, and sub bar is detachably connected with female bar;
Clamp groove, clamping convex block are respectively arranged on sub bar, female bar, clamp groove matches with clamping convex block, clamps Convex block is reached after can running through with holes in clamp groove.
Preferably, it is provided with button on sub bar and/or female bar;
Nailing shank diameter is less than positioning and visits nail diameter.
Preferably, the proximal end of the feeler lever is additionally provided with handle, and the handle is integrally formed or is detachably connected with feeler lever.
There is bending with respect to the axially extending direction in depth sounding portion in the axially extending direction of contact site.
Compared with prior art, the present invention has following advantageous effect:
1st, the present invention can directly determine isometric point according to the displacement of the feeler lever during bend and stretch joint when in use, directly It is accurate to see, and reduces theoretical calculation and generates borehole throw in practical diversified application;
2nd, the present invention can not only protect existing osseous tunnel, prevent feeler lever from using by the setting of upper shield It is scraped in the process with osseous tunnel, moreover it is possible to guiding role is played to feeler lever, fast and easy precisely finds isometric point;
3rd, the present invention squeezes into positioning with female bar using sub bar on femur and visits nail, and the tail end of feeler lever can hook into positioning and visit Nail it is with holes in, prevent feeler lever from being slided in use with respect to bone surface, measurement process is more stable;
4th, the configuration of the present invention is simple, easy to operate, measurement result is accurate.
Description of the drawings
Upon reading the detailed description of non-limiting embodiments with reference to the following drawings, other feature of the invention, Objects and advantages will become more apparent upon:
Fig. 1 is nailing mechanism structure diagram;
Fig. 2 is nailing mechanism exploded perspective view;
Fig. 3 visits pin structure schematic diagram for positioning;
Fig. 4 is assembling structure schematic diagram when upper shield, feeler lever and sheath use;
Fig. 5 is the sheath structure diagram with observation portion;
It is shown in figure:
Specific embodiment
With reference to specific embodiment, the present invention is described in detail.Following embodiment will be helpful to the technology of this field Personnel further understand the present invention, but the invention is not limited in any way.It should be pointed out that the ordinary skill to this field For personnel, without departing from the inventive concept of the premise, various modifications and improvements can be made.These belong to the present invention Protection domain.
In the description of the present invention, it is to be understood that term " on ", " under ", "front", "rear", "left", "right", " perpendicular Directly ", the orientation of the instructions such as " level ", " top ", " bottom ", " interior ", " outer " or position relationship are based on orientation shown in the drawings or position Relationship is put, be for only for ease of the description present invention and simplifies description rather than instruction or implies that signified device or element are necessary With specific orientation, with specific azimuth configuration and operation, therefore be not considered as limiting the invention.
The isometric measuring device of ligament reconstructive provided by the invention, includes upper shield 1, feeler lever 2 and nailing mechanism, nailing mechanism Nail 4 and bucking bar 5 are visited comprising positioning, the tail portion that nail 4 is visited in the positioning is provided with holes 41, and bucking bar 5 is detachably connected on institute In stating with holes 41, positioning can be stamped on femur 91 by nailing mechanism and visit nail 4, after removing bucking bar 5, feeler lever 2 can hook Enter in described with holes 41.Axially extending bore is provided in the upper shield 1, feeler lever 2 is threaded through in the axially extending bore of upper shield 1, upper shield 1 Comprising tunnel adaptation portion 12 and limiting end cap 11, tunnel adaptation portion 12 is integrally formed or is fastenedly connected with limiting end cap 11, described Feeler lever 2 sequentially forms depth sounding portion 21 and contact site 22 along proximal end to distal direction, depth sounding portion 21 be integrally formed with contact site 22 or It is detachably connected, 22 axially extending direction of contact site exists with respect to 21 axially extending direction of depth sounding portion to be bent.
In embodiment, as shown in Figure 1 and Figure 2, the bucking bar 5 includes the sub bar 51 being detachably connected and female bar 52.Such as figure Shown in 3, the tail portion that nail 4 is visited in the positioning is provided with holes 41, and clamp groove 511, folder are respectively arranged on sub bar 51, female bar 52 Convex block 521 is held, clamp groove 511 matches with clamping convex block 521, and clamping convex block 521 reaches clamping after can running through with holes 41 In groove 511.In actual use, doctor goes out isometric position by theoretical calculation, is directed through by nailing mechanism Skin stamps one or more positioning in theoretical 91 isometric positions of femur and neighbouring position and visits nail 4.Squeezing into for nail 4 is visited in positioning Operating process is:Sub bar 51, female bar 52 and positioning first are visited nail 4 to assemble, pass is extend by existing incision on dermatology Chamber is saved, after positioning spy nail 4 is fixed on femur 91 using the mode of such as impact, will be torn open between sub bar 51 and female bar 52 Separation is unloaded, is taken out from above-mentioned incision on dermatology.Preferably, it is set on the proximal end of sub bar 51 and/or the proximal end of female bar 52 There is button 512, facilitate the push-in and draw out operation of sub bar 51 and/or female bar 52.Preferably, 5 diameter of bucking bar is less than positioning and visits Follow closely 4 diameters, that is to say, that after the completion of mutually being assembled between sub bar 51 and female bar 52, cross-sectional profiles should be located at positioning and visit nail 4 Inside cross-sectional profiles, the push-in and draw out operation of sub bar 51 could be facilitated in this way.Preferably, the diameter of nail 4 is visited in the positioning The a diameter of 1.5mm of bucking bar 5 formed for 2mm, sub bar 51 with female bar 52.
In embodiment, the rigid bar as shown in figure 4, feeler lever 2 is integrally formed, depth sounding portion 21 linearly prolongs It stretches, 22 shape of contact site is U-shaped, L-shaped or other shapes with bending.During actual operation, the tunnel adaptation portion of upper shield 1 12 are first mounted in one of duct in the multiple ducts being drilled on shin bone 92, these ducts are used only as the survey of isometric point Amount is significantly larger than the duct eventually for the diameter of the osseous tunnel of artificial ligament installation.It limits 11 diameter of end cap and is more than duct Diameter, prevent entire upper shield 1 from entering in duct, due to duct with respect to 92 axial direction of shin bone there are angle, It is a smooth surface to limit 11 axial distal end face of end cap, and for adapting to the shape of 92 outer surface of shin bone, this allows for limiting end cap 11 have variation on thickness.Depth sounding portion 21 is additionally provided with handle 23 on proximal end, and preferably of course, the depth sounding portion 21 also may be used To be that proximal diameter is big, the structure under distal diameter facilitates doctor's hand-held.When in use, depth sounding portion 21 will across duct Contact site 22 send to the positioning on femur 91 and visits 4 hooks of nail, and contact site 22 is visited with one of positioning after nail 4 hooks together, Patient knees are bent and stretched, the displacement of 2 proximal end of observation feeler lever then moves on contact site 22 and is hooked together to another positioning spy nail 4, Knee operation is bent and stretched in repetition, until during 2 proximal displacement unobvious of feeler lever, obtains the isometric point on femur 91.Preferably, it also sets up There is a sheath 3, sheath 3 is in axial direction provided with through-hole, upper shield 1, sheath 3, feeler lever 2 nested encryptions successively, it is further preferred that As shown in figure 5, the sheath 3 includes observation portion 31, the observation portion 31 is located at the proximal end of sheath 3, and observation portion 31 is by transparent modeling Material is made, and in this way in isometric measurement process, can observe the movement of feeler lever 2 in time by observation portion 31.Preferably, it is described A diameter of 1.5mm of sheath 3.Preferably, the depth sounding portion 21 of the feeler lever 2 and contact site 22 are detachably connected, during use It is assembled under arthroscope;Preferably, the contact site 22 can also be the thin seal wire or steel wire that can carry out bending, feeler lever 2 initial shapes are linear, and after contact site 22 is extend into articular cavity, under the cooperation of arthroscope, contact site 22 is carried out Bending, which facilitates the insertion of feeler lever 2, but additionally increases the bending operation process of contact site 22.
In preference, above-mentioned nailing mechanism can also be omitted, is directly penetrated from the duct accomplished fluently using feeler lever 2, After contacting with the surface of femur 91, carry out bending and stretching knee motions to determine isometric point, contact site 22 does camber, on the one hand prevents 91 surface of femur is caused to wear during a measurement is changed, certain contact dynamics is on the other hand can also ensure that, prevents It slides, the structure measurement process is simpler, but nailing mechanism is combined in opposite embodiment and squeezes into the structure that nail 4 is visited in positioning, Prevent the effect that feeler lever 2 slides poor in measurement process, measurement accuracy also Shortcomings.
Specific embodiments of the present invention are described above.It is to be appreciated that the invention is not limited in above-mentioned Particular implementation, those skilled in the art can make various deformations or amendments within the scope of the claims, this not shadow Ring the substantive content of the present invention.In the absence of conflict, the feature in embodiments herein and embodiment can arbitrary phase Mutually combination.

Claims (7)

1. a kind of isometric measuring device of ligament reconstructive, which is characterized in that include upper shield (1) and feeler lever (2);
Axially extending bore is provided in the upper shield (1), feeler lever (2) is threaded through in the axially extending bore of upper shield (1);
Upper shield (1) includes tunnel adaptation portion (12) and limiting end cap (11), tunnel adaptation portion (12) and limiting end cap (11) one It is molded or is fastenedly connected;
The feeler lever (2) sequentially forms depth sounding portion (21) and contact site (22) along proximal end to distal direction, and depth sounding portion (21) are with connecing Contact portion (22) is integrally formed or is detachably connected.
2. the isometric measuring device of ligament reconstructive according to claim 1, which is characterized in that also comprising sheath (3), sheath (3) in axial direction it is provided with through-hole;Upper shield (1), sheath (3), feeler lever (2) nested encryptions successively;
The distal face of the limiting end cap (11) in axial direction is smooth surface, and limiting end cap (11) thickness has variation.
3. the isometric measuring device of ligament reconstructive according to claim 2, which is characterized in that the sheath (3) includes observation Portion (31), the observation portion (31) is positioned at the proximal end of sheath (3);
Observation portion (31) is made of transparent plastic.
4. the isometric measuring device of ligament reconstructive according to claim 1, which is characterized in that described also comprising nailing mechanism Nailing mechanism includes positioning and visits nail (4) and bucking bar (5), and the tail portion that nail (4) is visited in the positioning is provided with (41) with holes;
Bucking bar (5) is detachably connected on feeler lever (2) in (41) with holes.
5. the isometric measuring device of ligament reconstructive according to claim 4, which is characterized in that the bucking bar (5) includes son Bar (51) and female bar (52), sub bar (51) are detachably connected with female bar (52);
Be respectively arranged with clamp groove (511), clamping convex block (521) on sub bar (51), female bar (52), clamp groove (511) with Clamping convex block (521) matches, and clamping convex block (521) can run through (41) with holes and reach in clamp groove (511) afterwards.
6. the isometric measuring device of ligament reconstructive according to claim 5, which is characterized in that sub bar (51) and/or female bar (52) button (512) is provided on;
Bucking bar (5) diameter is less than positioning and visits nail (4) diameter.
7. the isometric measuring device of ligament reconstructive according to claim 2, which is characterized in that the proximal end of the feeler lever (2) is also Handle (23) is provided with, the handle (23) is integrally formed or is detachably connected with feeler lever (2).
There is bending with respect to depth sounding portion (21) axially extending direction in contact site (22) axially extending direction.
CN201711288930.1A 2017-12-07 2017-12-07 The isometric measuring device of ligament reconstructive Pending CN108245262A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201711288930.1A CN108245262A (en) 2017-12-07 2017-12-07 The isometric measuring device of ligament reconstructive

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711288930.1A CN108245262A (en) 2017-12-07 2017-12-07 The isometric measuring device of ligament reconstructive

Publications (1)

Publication Number Publication Date
CN108245262A true CN108245262A (en) 2018-07-06

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Citations (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5037426A (en) * 1988-09-19 1991-08-06 Marlowe Goble E Procedure for verifying isometric ligament positioning
DE4016476A1 (en) * 1990-05-22 1991-11-28 Aesculap Ag Isometer for determining isometric positioning of ligament transparent - has supporting foot applied to one bone of joint, traction element, spring, holder and indicator
FR2744621A1 (en) * 1996-02-09 1997-08-14 Lars Tool used during the replacement of anterior cruciate ligament of the knee while under arthroscopy
US20040015237A1 (en) * 1998-01-28 2004-01-22 Ethicon, Inc. Method and apparatus for fixing a graft in a bone tunnel
CN2683040Y (en) * 2004-03-26 2005-03-09 马东方 Bone perforating bit capable of stopping in case of penetrating
CN2726545Y (en) * 2004-08-19 2005-09-21 中国人民解放军第二军医大学 Nail with wing end and nailing device thereof
CN101816584A (en) * 2004-04-22 2010-09-01 斯坎迪乌斯生物医药公司 Be used to rebuild the apparatus and method of ligament
KR20120001959A (en) * 2010-06-30 2012-01-05 (주)오티스바이오텍 Screw holder
CN202446244U (en) * 2012-01-15 2012-09-26 刘付强 Novel fracture reduction nailing tongs for orthopedics and traumatology
CN102835956A (en) * 2011-06-24 2012-12-26 德普伊米特克公司 Acl reconstruction tunnel gauge and method
CN104055578A (en) * 2014-06-26 2014-09-24 复旦大学附属华山医院 Posterior cruciate ligament tibial insertion stripping-positioning line threading device
CN204600628U (en) * 2015-04-20 2015-09-02 杭州锐健马斯汀医疗器材有限公司 A kind of integrated device for front and back Cruciate ligament reconstruction tibial tunnel location
CN205107877U (en) * 2015-11-17 2016-03-30 赵晔 Get nail integral type nailing device in orthopedics
CN105455877A (en) * 2014-09-30 2016-04-06 美多斯国际有限公司 Gage for Limiting Distal Travel of Drill Pin
CN106618750A (en) * 2016-10-21 2017-05-10 上海利格泰生物科技有限公司 Test model tool for measuring generic isometric points of anterior cruciate ligament and method
CN107106290A (en) * 2015-01-12 2017-08-29 苏黎世大学 For tendon and the device of ligament reconstructive
CN208552049U (en) * 2017-12-07 2019-03-01 复旦大学附属华山医院 The isometric measuring device of ligament reconstructive

Patent Citations (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5037426A (en) * 1988-09-19 1991-08-06 Marlowe Goble E Procedure for verifying isometric ligament positioning
DE4016476A1 (en) * 1990-05-22 1991-11-28 Aesculap Ag Isometer for determining isometric positioning of ligament transparent - has supporting foot applied to one bone of joint, traction element, spring, holder and indicator
FR2744621A1 (en) * 1996-02-09 1997-08-14 Lars Tool used during the replacement of anterior cruciate ligament of the knee while under arthroscopy
US20040015237A1 (en) * 1998-01-28 2004-01-22 Ethicon, Inc. Method and apparatus for fixing a graft in a bone tunnel
CN2683040Y (en) * 2004-03-26 2005-03-09 马东方 Bone perforating bit capable of stopping in case of penetrating
CN101816584A (en) * 2004-04-22 2010-09-01 斯坎迪乌斯生物医药公司 Be used to rebuild the apparatus and method of ligament
CN2726545Y (en) * 2004-08-19 2005-09-21 中国人民解放军第二军医大学 Nail with wing end and nailing device thereof
KR20120001959A (en) * 2010-06-30 2012-01-05 (주)오티스바이오텍 Screw holder
CN102835956A (en) * 2011-06-24 2012-12-26 德普伊米特克公司 Acl reconstruction tunnel gauge and method
CN202446244U (en) * 2012-01-15 2012-09-26 刘付强 Novel fracture reduction nailing tongs for orthopedics and traumatology
CN104055578A (en) * 2014-06-26 2014-09-24 复旦大学附属华山医院 Posterior cruciate ligament tibial insertion stripping-positioning line threading device
CN105455877A (en) * 2014-09-30 2016-04-06 美多斯国际有限公司 Gage for Limiting Distal Travel of Drill Pin
CN107106290A (en) * 2015-01-12 2017-08-29 苏黎世大学 For tendon and the device of ligament reconstructive
CN204600628U (en) * 2015-04-20 2015-09-02 杭州锐健马斯汀医疗器材有限公司 A kind of integrated device for front and back Cruciate ligament reconstruction tibial tunnel location
CN205107877U (en) * 2015-11-17 2016-03-30 赵晔 Get nail integral type nailing device in orthopedics
CN106618750A (en) * 2016-10-21 2017-05-10 上海利格泰生物科技有限公司 Test model tool for measuring generic isometric points of anterior cruciate ligament and method
CN208552049U (en) * 2017-12-07 2019-03-01 复旦大学附属华山医院 The isometric measuring device of ligament reconstructive

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