CN108272497A - Manipulator joint arm combines reseting fracture exterior fixing rack - Google Patents

Manipulator joint arm combines reseting fracture exterior fixing rack Download PDF

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Publication number
CN108272497A
CN108272497A CN201810309667.8A CN201810309667A CN108272497A CN 108272497 A CN108272497 A CN 108272497A CN 201810309667 A CN201810309667 A CN 201810309667A CN 108272497 A CN108272497 A CN 108272497A
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CN
China
Prior art keywords
nail
block
rod
hole
machined
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Granted
Application number
CN201810309667.8A
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Chinese (zh)
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CN108272497B (en
Inventor
邵明
王旭明
王兆年
王新杰
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Harbin Jerry Medical Technology Co Ltd
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Harbin Jerry Medical Technology Co Ltd
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Priority to CN201810309667.8A priority Critical patent/CN108272497B/en
Publication of CN108272497A publication Critical patent/CN108272497A/en
Application granted granted Critical
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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
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/60—Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/60—Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6441—Bilateral fixators, i.e. with both ends of pins or wires clamped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/60—Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/645—Devices extending alongside the bones to be positioned comprising a framework
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/60—Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6491—Devices extending alongside the bones to be positioned allowing small-scale motion of bone ends
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564—Methods for bone or joint treatment

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

Abstract

Manipulator joint arm combines reseting fracture exterior fixing rack, belongs to bone-specific drug equipment technology field.The present invention is big in order to solve existing various exterior fixing rack volumes, and reset function is not good enough, fixed reset outside current existing area of computer aided space, and the outer fixed fracture of reset is cumbersome, and complicated for operation, somewhat expensive, volume is big, not applicable problem.The present invention includes longitudinal drawing-off mechanical return swivel of hand arm, mechanical return swivel of hand arm joining beam and combined type double track multifunctional external fixation apparatus；In knochenbruch both sides, the mechanical return swivel of hand arm joining beam is arranged on the combined type double track multifunctional external fixation apparatus for the longitudinal direction drawing-off mechanical return swivel of hand arm and combined type double track multifunctional external fixation apparatus setting.The configuration of the present invention is simple, flexible to operation, multifunctional combination external fixator, structure type diversification, the angle position of traction reduction and spacing flexible adjustment, improve therapeutic effect.

Description

Manipulator joint arm combines reseting fracture exterior fixing rack
Technical field
The present invention relates to the exterior fixing racks that a kind of manipulator joint arm combines reseting fracture, particularly relate to one kind Manipulator joint arm combines the exterior fixing rack of reseting fracture, particularly suitable serious for fixed outside the human limb reduction of the fracture Complicated fracture, broken ends of fractured bone overlapping displacement, side, front and back displacement or angle deformity are combined fixed outside reseting fracture with manipulator joint arm Holder and hand-held straight-bar, cooperation reach fixed outside the reduction of the fracture simultaneously, belong to bone-specific drug equipment technology field.
Background technology
Reseting fracture exterior fixing rack, existing various exterior fixing rack volumes are combined currently without manipulator joint arm Greatly, reset function is not good enough, fixed reset outside current existing area of computer aided space, and the outer fixed fracture of reset is cumbersome, and operation is again Miscellaneous, somewhat expensive, volume is big, is not suitable for.
Existing exterior fixing rack, such as Combined type external fixed support, half-ring external fixation are to represent holder, ring Formula exterior fixing rack also has the exterior fixing racks such as the external Shi Saike exterior fixing racks introduced, and generally believes that volume is big, band is in limb On body, there is fear in spirit, being fixed on fracture limbs influences trousers of wearing the clothes, inconvenient to carry, influences normal life and row It is dynamic, outer fixed fracture can only be played the role of merely, a whole set of drawing-off correction fracture site overlapping cannot be completed to manual reduction bone Displacement, while the front and back displacement of the broken ends of fractured bone is corrected, lateral displacement, manual reduction fracture, which is fallen to heaviness, to be had disadvantages that, such as two people's handles Fracture limbs both ends are held, stretching and drawing corrects fracture overlapping displacement, while third individual corrects the front and back displacement of fracture and side with hand Fang Yiwei, with human hand reduction, the power of application is not easy to grasp, also be not easily controlled, and active force is inaccurate, therefore this method at present Also it is abandoned.Taylor (Tylor) frame that foreign countries develop can calculate relatively lopsided parameter using computer software Extend pole length, Taylor space frame can be constructed in advance, carries out the various simple or complicated fractures for the treatment of box correction and deformity, still The disadvantage is that：It is big that Taylor's mounting ring and surrounding intersect linkage structure composition volume, and inconvenience is carried after expopexy, uses computer program Software finger point keyboard, control is cumbersome, and reduction external fixation of fracture complicating artificially, and integral installation is safe It strangles holder, wear the various displacements of draw point, fracture, calculate relatively lopsided this therapeutic process time of parameter long, somewhat expensive, discomfort With, especially not applicable basic hospital, " kill chicken what with knife of slaughtering an ox " proverb describe.Therefore this technology holder, is introduced into from foreign countries The country has nearly 30 years, up to the present never carries out extensively.
Invention content
The present invention overcomes above-mentioned the deficiencies in the prior art, provide fixed branch outside manipulator joint arm combination reseting fracture Frame.
Technical scheme of the present invention：
Manipulator joint arm combines reseting fracture exterior fixing rack, including longitudinal drawing-off mechanical return swivel of hand arm, machinery Reset swivel of hand arm joining beam and combined type double track multifunctional external fixation apparatus；The longitudinal direction drawing-off mechanical return swivel of hand arm and described The setting of combined type double track multifunctional external fixation apparatus is arranged in knochenbruch both sides, the mechanical return swivel of hand arm joining beam in the combination On formula double track multifunctional external fixation apparatus.
Further, longitudinal drawing-off mechanical return swivel of hand arm includes long-armed screw rod, nail fixed seat, drawing spiral shell Female, drawing nail and fixing bone pin screw, the nail fixed seat are cuboid fixed seat, are machined with and are used in nail fixed seat With the first through hole of long-armed screw rod cooperation installation, for penetrating drawing nail is machined on the length direction of nail fixed seat Two through-holes are machined with the third threaded hole for installing fixing bone pin screw, the third screw thread on the longitudinal direction of nail fixed seat Hole is connected to the second through-hole, and at least two nail fixed seats, the both sides of the nail fixed seat are equipped on the long-armed screw rod It is respectively arranged with drawing nut, drawing nut is installed with the cooperation of long-armed screw rod, and drawing nail, third are penetrated in second through-hole Fixing bone pin screw is installed in threaded hole, fixing bone pin screw hold out against effect under drawing nail be fixed on nail fixed seat The second through-hole in.
Further, longitudinal drawing-off mechanical return swivel of hand arm further includes reset angle regulating device, described Reset angle regulating device is mounted on long-armed screw rod, and the long-armed screw rod includes the first long-armed screw rod and the second long-armed spiral shell It is threaded on the lateral wall of bar, the first long-armed screw rod and the second long-armed screw rod, reset angle regulating device includes joint Buckle closure and reset angle adjustment seat, the reset angle adjustment seat are cylindrical mounting base, the longitudinal direction of reset angle adjustment seat It is machined with the first adjusting mounting hole, the second adjusting mounting hole is machined in the transverse direction of reset angle adjustment seat, second adjusts installation Hole connects with the first adjusting mounting hole, and the left end of the described second long-armed screw rod is machined with the first adjusting inner concave, described The right end of first long-armed screw rod is machined with the first adjusting rounded projections for adjusting inner concave cooperation with first, the described first length Arm screw rod and the second long-armed screw rod are mounted in the second adjusting mounting hole of reset angle adjustment seat, the first long-armed spiral shell after installation First adjusting rounded projections of bar right end and the first adjusting inner concave of the second long-armed screw rod left end cooperatively form joint shaft knot Structure, described first adjusting mounting hole in reset angle adjusting screw rod is installed；Outside the left side of the reset angle adjustment seat External screw thread is also machined on side wall, the joint buckle closure has female shell structure, and joint buckle closure passes through helicitic texture Mounted on the left side of reset angle adjustment seat.
Further, longitudinal drawing-off mechanical return swivel of hand arm includes being mechanically fixed hand A, being mechanically fixed hand B and rectify Positive propeller is mechanically fixed hand A and is mechanically fixed on hand B and is separately installed with the first nail and the second nail, described to be mechanically fixed Hand A establishes connection with hand B is mechanically fixed by a reinforcing bar, and the correction propeller setting is being mechanically fixed hand A and machinery Between fixed hand B, propeller is corrected by the long connecting rod at its both ends and is mechanically fixed hand A and is mechanically fixed hand B foundation installations Relationship.
Further, the hand A that is mechanically fixed includes that the first nail fixing clip, the first reinforcing bar fixture block and the first length connect Extension bar mounting blocks, the first nail fixing clip and the first reinforcing bar fixture block include the first rectangle fixed block and the second length Square fixed block, the first rectangle fixed block and the second rectangle fixed block are arranged oppositely, the inside of the first rectangle fixed block It is machined with V-shaped groove on face, U-lag is machined on the medial surface of the second rectangle fixed block, V-shaped groove and U-lag cooperatively form folder Tight slot, the first long connecting rod mounting blocks include geosynclinal concave cap folder and both ends screw rod convex block, and the geosynclinal concave cap folder is circular cylindrical shell The top surface of body structure, geosynclinal concave cap folder is machined with through-hole, and groove port, the both ends screw rod convex block are machined on the side wall of geosynclinal concave cap folder It is cylindrical block, the longitudinal direction of cylindrical block is machined with the threaded hole of perforation both ends screw rod convex block, the lateral processing of cylindrical block There is a long connecting rod installation through-hole, the threaded hole upper and lower ends of both ends screw rod convex block longitudinal direction are spirally connected respectively is equipped with screw thread Bar and lower threaded rod, the recessed cap folder are installed by the groove port on its side wall with the cooperation of both ends screw rod convex block, both ends after installation The upper threaded rod of screw rod convex block passes through the through-hole of the top surface processing of geosynclinal concave cap folder, and is matched by nut and the first nail fixing clip Installation is closed, the lower threaded rod in both ends screw rod convex block lower end is set and is installed by nut and the cooperation of the first reinforcing bar fixture block, it is described First nail is mounted in the clamping slot of the first nail fixing clip, and the long connecting rod is mounted on long connecting rod installation through-hole Interior, the reinforcing bar is mounted in the clamping slot of the first reinforcing bar fixture block.
Further, the hand B that is mechanically fixed includes the second nail fixing clip, the second long connecting rod mounting blocks, second Reinforcing bar fixture block and interior hexagonal adjusting screw rod, the second nail fixing clip, the second long connecting rod mounting blocks and second reinforce bar cramp Block includes the first rectangle fixture block and the second rectangle fixture block, and the first rectangle fixture block and the second rectangle fixture block opposite direction are set It sets, V-shaped groove is machined on the medial surface of the first rectangle fixture block, U-lag, V are machined on the medial surface of the second rectangle fixture block Shape slot and U-lag cooperatively form clamping slot, and interior hexagonal adjusting screw rod is from top to bottom sequentially installed with the second nail fixing clip, Two long connecting rod mounting blocks and the second reinforcing bar fixture block, the second nail fixing clip, the second long connecting rod mounting blocks and second add Gu being provided with multiple adjusting nuts between bar cramp block, realize that the second nail fixing clip, the second length connect by multiple adjusting nuts Adjusting and locking between extension bar mounting blocks and the second reinforcing bar fixture block, second nail are mounted on the second nail fixing clip Clamping slot in, the long connecting rod is mounted in the clamping slot of the second long connecting rod mounting blocks, and the reinforcing bar is mounted on the In the clamping slot of two reinforcing bar fixture blocks.
Further, the correction propeller connects block including two side poles, a side pole connects block, guide rod, correction adjusting screw thread Bar and push nut is led, it is rectangular block architecture that two side pole, which connects block, and two side poles connect is machined with guide rod respectively on the right side of block Threaded mounting hole and correction adjusting rod install threaded hole, and two side poles, which connect, is machined with the first long connecting rod installation on the left side of block Hole, it is rectangular block architecture that a side pole, which connects block, and a side pole, which connects, is machined with guide rod installation through-hole and correction on the left side of block Adjusting rod installation through-hole, a side pole, which connects, is machined with the second long connecting rod mounting hole, one end of the guide rod on the right side of block It is connected through a screw thread and connects in the guide rod thread mounting hole of block mounted on two side poles, the other end passes through guide rod installation through-hole and one Side pole connects block cooperation installation, and one end of the correction adjusting threaded rod, which uses to be threadedly coupled, is mounted on the correction tune that two side poles connect block Pole is installed on threaded hole, and the other end passes through the second long connecting rod mounting hole and a side pole to connect block cooperation and installs, and the correction is adjusted It is equipped on section threaded rod and leads push nut, being equidistantly machined with multiple lead on the side wall for leading push nut pushes away adjustment hole, leads and pushes away Adjustment hole is interior hexagonal adjustment hole, and the second length that two side pole connects the first long connecting rod mounting hole of block and a side pole connects block connects Extension bar mounting hole is for installing long connecting rod.
Further, the combined type double track multifunctional external fixation apparatus include long bolt, fixed link, single hole nail rod fixture block, Diplopore nail rod fixture block, porous nail rod fixture block and fixing bone pin；
The single hole nail rod fixture block, diplopore nail rod fixture block, porous nail rod fixture block are for card slot clamp structure, single hole nail rod For fixture block tool there are one card slot mounting hole and a fixing bone pin mounting hole, fixing bone pin mounting hole is machined with internal thread, diplopore nail For bar cramp block tool there are two card slot mounting hole and a fixing bone pin mounting hole, the porous nail rod fixture block includes at least two diplopores Nail rod fixture block is formed by connecting by connecting plate；
The long bolt and fixed link are arranged in parallel, and the single hole nail rod fixture block is mounted on the left of long bolt, described Diplopore nail rod fixture block and porous nail rod fixture block establish installation relation, the fixation by card slot mounting hole and long bolt and fixed link There is the spicule installation bolt of external thread structure, fixing bone pin to penetrate single hole nail rod fixture block, diplopore nail rod fixture block on the head of nail With the fixing bone pin mounting hole of porous nail rod fixture block, and pass through the internal thread locking of spicule installation bolt and fixing bone pin mounting hole Installation；
The combined type double track multifunctional external fixation apparatus further includes bracing piece, locks nail nut and screw thread top clip, described Locking nail nut is the female shell structure of tool, locks and is machined with U-lag on the side wall of nail nut, locks nail spiral shell The top of cap has taper installation end, locks and is machined with fixing bone pin installation through-hole at the top of nail nut, the long bolt and There are two porous nail rod fixture blocks, two porous nail rod fixture blocks to be disposed adjacent for installation in fixed link, two neighboring porous nail rod fixture block Fixing bone pin mounting hole in be mounted on locking nail nut, the fixing bone pin penetrate locking nail nut top installation Through-hole, bracing piece be mounted in the U-lag of two neighboring locking nail nut, the screw thread top clip with internal thread structure The cooperation installation of nail nut is locked, fixing bone pin and bracing piece inside locking nail nut will be arranged in installation rear thread top clip It holds out against.
Further, the mechanical return swivel of hand arm joining beam includes universal regulating mechanism, lateral adjustment, longitudinal tune Mechanism and correction spicule are saved, the lower end of the universal regulating mechanism is fixedly mounted on the combined type double track multifunctional external fixation apparatus On, described universal regulating mechanism one end is mounted on universal regulating mechanism, and the other end of universal regulating mechanism is equipped with longitudinal tune Mechanism is saved, the correction spicule is fixedly mounted on；
The lateral adjustment includes laterally adjusting anchor geosynclinal block, lateral adjustments nut and lateral drive screw, institute It is concave structure to state and laterally adjust anchor geosynclinal block, laterally adjusts and is machined with through-hole on anchor geosynclinal block, described laterally to adjust Section nut setting is laterally adjusting in anchor geosynclinal block, and one end of the transverse direction drive screw, which passes through, laterally adjusts anchor geosynclinal block Through-hole and with lateral adjustments nut by thread fiting mode realize install, it is described transverse direction drive screw the other end be equipped with Longitudinal adjusting mechanism realizes the transverse shifting of lateral drive screw by adjusting lateral adjustments nut；
The longitudinal adjusting mechanism include longitudinally adjusted anchor geosynclinal block, longitudinally adjust nut, longitudinal drive screw and Spicule fixed seat is corrected, the longitudinally adjusted anchor geosynclinal block is concave structure, longitudinally adjusted anchor geosynclinal block and transverse direction Drive screw is welded to connect, and through-hole is machined on the longitudinally adjusted anchor geosynclinal block, and longitudinally adjust nut is arranged in longitudinal tune In whole fixed groove block, one end of the longitudinal direction drive screw passes through the through-hole and longitudinally adjust spiral shell of longitudinally adjusted anchor geosynclinal block Mother realizes by thread fiting mode and installs that the other end of longitudinal drive screw is installed by welding with correction spicule fixed seat, described Correction spicule fixed seat longitudinal direction on be machined with correction spicule mounting hole, correct spicule fixed seat transverse direction on be machined with and rectify The correction spicule of positive spicule mounting hole perforation holds out against threaded hole, and the correction spicule is mounted in correction spicule mounting hole, rectifys Positive spicule holds out against installation by holding out against the realization of the screw in threaded hole mounted on correction spicule.
Further, the universal regulating mechanism includes gimbal suspension seat, groove joining beam, double end bar and joint nut, The gimbal suspension seat is cylindrical mounting base, and the longitudinal direction of gimbal suspension seat is machined with the first mounting hole, gimbal suspension seat The second mounting hole is processed in transverse direction, second mounting hole connects with the first mounting hole, the upper end of the groove joining beam with Lateral adjustment laterally adjusts fixed groove block welding connection, and external screw thread is machined on the outer wall of the groove joining beam, recessed The lower end of slot joining beam is machined with the first inner concave, and the lower end of the groove joining beam is mounted on the first mounting hole of gimbal suspension seat Interior, the double end bar upper end has the first rounded projections coordinate with the first inner concave, the upper end of double end bar be arranged In first mounting hole of gimbal suspension seat, double end bar is installed with the cooperation of groove joining beam, the second installation of the gimbal suspension seat Eccentric rod is installed in hole, external screw thread is machined on the lateral wall of the eccentric rod, after installation in gimbal suspension seat Eccentric rod is engaged with groove joining beam, and longitudinal tune of the groove joining beam in gimbal suspension seat can be realized by adjusting eccentric rod It saves, external screw thread is also machined on the bottom outside wall of the gimbal suspension seat, the joint nut has internal thread, joint Nut is mounted on the bottom of gimbal suspension seat.
The present invention has the advantages that compared with the existing technology：
1, manipulator joint arm of the present invention combines reseting fracture exterior fixing rack, simple in structure, solid outside the operation reduction of the fracture Fixed convenient, fast, economic and practical, after fracture site reaches anatomical reduction, the combined type double track for only retaining fixed fracture is multi-functional Exterior fixing rack dismantles reduction of the fracture component, small, is combined outside reseting fracture by using the manipulator joint arm of the present invention It is fixed on limbs outside fixing bracket so that patient's life is more convenient, does not interfere trousers of wearing the clothes；
2, the present invention is multi-functional, can increase reinforcing bar according to fracture situation, enhance the fastness to fixed fracture, Fracture site remnants displacements can be corrected at any time according to bone stump needs；
3, manipulator joint arm of the present invention combines reseting fracture exterior fixing rack, is the traditional gimmick in China of analyzing and researching Outside (unarmed) reduction reduction of the fracture clamping plate outside fixed and domestic exterior fixing rack fixed fracture there are the shortcomings that carry out innovation research, Manipulator joint arm of the present invention combines reseting fracture exterior fixing rack, and analysis fracture site is displaced rule and feature, develops Go out a whole set of straight-bar spanner dominated by hand, push nut is led in switching can be such that fracture site accurately corrects, fracture overlapping displacement, front and back Displacement, lateral displacement are restored；
4, a whole set of outer fixation procedure of the reduction of the fracture of completing of patent of the present invention is simple and quick, and it is multiple accurately to reach dissection Position, holder is small, light-weight, and multi-functional technical ability reaches anatomical reduction, and can fix outside, and can be gone out at any time according to fracture site Existing anomalous variation situation, implements bone stump pressurization at any time, restores bone stump physical stress, and can add at any time and set reinforcing bar, increases Outer fix tightly stability, convenient nursing after outer fixation, fixed frame is small on limbs, light easy to disassemble, using of the invention special The exterior fixing rack patient suffering of profit is small, has cured height, and therapeutic effect is best, and medical expense is low, especially uses basic hospital, and Its operating method is simple, convenient for being widely used to promote；
5, the configuration of the present invention is simple, flexible to operation, multifunctional combination external fixator, structure type diversification, traction The angle position of reset and spacing flexible adjustment improve therapeutic effect, reduce the pain of patient, are closed and adjust reseting fracture, rectify Positive deformity, is closed and extends skin, reduces operation number, reduces operation wound face, be conducive to the rehabilitation of patient.
Description of the drawings
Fig. 1 is the structure scheme of installation of the present invention；
Fig. 2 is the structure sectional view of nail fixed seat；
Fig. 3 is the structure installation diagram of specific implementation mode four；
Fig. 4 is the structural schematic diagram of longitudinal drawing-off mechanical return swivel of hand arm；
Fig. 5 is the structure installation diagram for being mechanically fixed hand A；
Fig. 6 is the front view of geosynclinal concave cap folder；
Fig. 7 is the structure sectional view of both ends screw rod convex block；
Fig. 8 is the explosion installation diagram for being mechanically fixed hand B；
Fig. 9 is the front view that two side poles connect block；
Figure 10 is that two side poles connect block and guide rod and correction adjusting threaded rod installation graph；
Figure 11 is the front view of Figure 10；
Figure 12 is the front view that a side pole connects block；
Figure 13 is the installation graph that a side pole connects block and long connecting rod；
Figure 14 is the vertical view for leading push nut；
Figure 15 is the axonometric drawing of single hole nail rod fixture block；
Figure 16 is the half sectional view of single hole nail rod fixture block；
Figure 17 is the axonometric drawing of diplopore nail rod fixture block；
Figure 18 is the half sectional view of diplopore nail rod fixture block；
Figure 19 is the axonometric drawing of porous nail rod fixture block；
Figure 20 is the axonometric drawing of fixing bone pin；
Figure 21 is the installation graph of porous nail rod fixture block and bracing piece；
Figure 22 is locked out the sectional view of nail nut；
Figure 23 is the installation graph of fixing bone pin and locking nail nut and screw thread top clip；
Figure 24 is the topology view of mechanical return swivel of hand arm joining beam；
Figure 25 is the topology view of universal regulating mechanism；
Figure 26 is the structure sectional view of gimbal suspension seat；
Figure 27 is the topology view for correcting spicule fixed seat；
Figure 28 is the topology view of specific implementation mode 11；
Figure 29 is the installation diagram of reset angle regulating device；
Figure 30 is the structure sectional view of reset angle adjustment seat；
The longitudinal directions 1- drawing-off mechanical return swivel of hand arm in figure, 2- mechanical return swivel of hand arm joining beams, 3- combined type double tracks are more Function external fixing rack, the long-armed screw rods of 4-, 5- nail fixed seats, 6- pull nut, and 7- pulls nail, 8- fixing bone pin screws, 9- First through hole, the second through-holes of 10-, 11- third threaded holes, the joints 12- buckle closure, 13- reset angle adjusting screw rods, 14- reset angle Adjustment seat is spent, 16- corrects propeller, 17- reinforcing bars, 18- long connecting rods, the first nails of 19-, the second nails of 20-, 21- first Nail fixing clip, 22- the first reinforcing bar fixture blocks, the first long connecting rod mounting blocks of 23-, 24- geosynclinal concave caps folder, the both ends 25- screw rod Convex block, 26- groove ports, 27- long connecting rod installation through-holes, the upper threaded rods of 28-, threaded rod under 29-, 30- the second nail geometrical clamps Block, the second long connecting rod mounting blocks of 31-, 32- the second reinforcing bar fixture blocks, hexagonal adjusting screw rod in 33-, two side poles of 34- connect block, Mono- side poles of 35- connect block, 36- guide rods, and 37- corrections adjust threaded rod, 38- the first rectangle fixture blocks, the second rectangular clevis of 39- Block, 40- guide rod thread mounting holes, 41- correct adjusting rod and install threaded hole, 42- long connecting rod mounting holes, 43- guide rods peace Through-hole is filled, 44- corrects adjusting rod installation through-hole, the second long connecting rod mounting holes of 45-, and 46- leads push nut, and 47-, which is led, pushes away adjustment hole, 48- long bolts, 49- fixed links, 50- single hole nail rod fixture blocks, 51- diplopore nail rod fixture blocks, the porous nail rod fixture blocks of 52-, 53- fix bone Nail, 54- card slot mounting holes, 55- fixing bone pin mounting holes, 56- connecting plates, 57- spicule installation bolts, 58- bracing pieces, 59- locks Determine nail nut, 60- screw thread top clips, 61- universal regulating mechanisms, 62- lateral adjustments, 63- longitudinal adjusting mechanisms, 64- rectifys Positive spicule, 65- laterally adjust anchor geosynclinal block, 66- lateral adjustments nuts, 67- transverse direction drive screws, the longitudinally adjusted fixations of 68- Groove block, 69- longitudinally adjust nuts, the longitudinal directions 70- drive screw, 71- correct spicule fixed seat, and 72- corrects spicule mounting hole, 73- correction spicules hold out against threaded hole, 74- gimbal suspension seats, 75- groove joining beams, 76- double end bars, the joints 77- nut, 78- first Mounting hole, the second mounting holes of 79-, the first inner concaves of 80-, the first rounded projections of 81-, 82- eccentric rods, 83- reset angles Regulating device, 141- first adjust mounting hole, and 142- second adjusts mounting hole, 221- the first rectangle fixed blocks, 222- second Rectangle fixed block, the first long-armed screw rods of 411-, the second long-armed screw rods of 412-, 413- first adjust inner concave, and 414- first is adjusted Save rounded projections.
Specific implementation mode
In order to make the objectives, technical solutions and advantages of the present invention clearer, below by shown in the accompanying drawings specific Embodiment describes the present invention.However, it should be understood that these descriptions are merely illustrative, and it is not intended to limit the model of the present invention It encloses.In addition, in the following description, descriptions of well-known structures and technologies are omitted, to avoid unnecessarily obscuring the present invention's Concept.
Specific implementation mode one：Illustrate present embodiment, the manipulator joint arm combination of present embodiment in conjunction with Fig. 1, Fig. 3 Reseting fracture exterior fixing rack, including longitudinal drawing-off mechanical return swivel of hand arm 1, mechanical return swivel of hand arm joining beam 2 and combination Formula double track multifunctional external fixation apparatus 3；The longitudinal direction drawing-off mechanical return swivel of hand arm 1 and the combined type double track are multi-functional outer solid The setting of frame 3 is determined in knochenbruch both sides, and the mechanical return swivel of hand arm joining beam 2 is arranged in the multi-functional outer fixation of the combined type double track On frame 3.So set, it is using process, fracture site is corrected using longitudinal drawing-off mechanical return swivel of hand arm 1 of the present invention Overlapping displacement then uses mechanical return swivel of hand arm the joining beam 2 accurately front and back displacement of correction fracture site and lateral displacement, longitudinal Drawing-off mechanical return swivel of hand arm 1 and mechanical return swivel of hand arm joining beam 2 have been completed after fracture site reaches anatomical reduction, to stand Outer fixation is carried out using combined type double track multifunctional external fixation apparatus 3, then removes longitudinal 1 He of drawing-off mechanical return swivel of hand arm Mechanical return swivel of hand arm joining beam 2 retains combined type double track multifunctional external fixation apparatus 3, and until union, complete equipment is completed Reduction of the fracture process is easy to operate, quick, fixed outside technical ability, and the anomalous variation situation that can be occurred at any time according to fracture site, Implement bone stump pressurization at any time, restores bone stump physical stress.
Specific implementation mode two：Illustrate present embodiment, the manipulator joint arm group of present embodiment in conjunction with Fig. 1 and Fig. 2 Close reseting fracture exterior fixing rack, the longitudinal direction drawing-off mechanical return swivel of hand arm 1 include long-armed screw rod 4, nail fixed seat 5, Nut 6, drawing nail 7 and fixing bone pin screw 8 are pulled, the nail fixed seat 5 is cuboid fixed seat, nail fixed seat 5 On be machined with for the first through hole 9 with the cooperation installation of long-armed screw rod 4, be machined on the length direction of nail fixed seat 5 and be used for The second through-hole 10 for penetrating drawing nail 7 is machined with for installing fixing bone pin screw 8 on the longitudinal direction of nail fixed seat 5 Three threaded holes 11, the third threaded hole 11 are connected to the second through-hole 10, and at least two nails are equipped on the long-armed screw rod 4 The both sides of fixed seat 5, the nail fixed seat 5 are respectively arranged with drawing nut 6, and drawing nut 6 is pacified with the cooperation of long-armed screw rod 4 It fills, drawing nail 7 is penetrated in second through-hole 10, fixing bone pin screw 8 is installed in third threaded hole 11, in fixing bone pin The lower drawing nail 7 of effect that holds out against of screw 8 is fixed in the second through-hole 10 of nail fixed seat 5.So set, longitudinal drafting machine The function that tool resets swivel of hand arm 1 is correction fracture site overlapping displacement, realizes that fracture site overlapping moves using present embodiment The method of position is drawing nail 7 to be squeezed into proximal bone and the distal end of patients with fractures respectively first, then by long-armed screw rod 4, nail Fixed seat 5, drawing nut 6, drawing nail 7 and fixing bone pin screw 8 are combined installation in the way of Fig. 1, and combination is completed Afterwards, it realizes that nail fixed seat 5 is moved in 4 lateral position of long-armed screw rod by adjusting pulls nut 6, and pulls the peace of nail 7 In nail fixed seat 5, i.e., under the action of adjusting drawing nut 6, nail fixed seat 5 drives drawing nail 7 by fracture weight Drawing is realized in the position of folded displacement, restores fracture condition, realizes correction fracture site overlapping displacement.
Specific implementation mode three：Illustrate that present embodiment, the manipulator of present embodiment are closed in conjunction with Fig. 1, Figure 29 and Figure 30 Joint arm combines reseting fracture exterior fixing rack, and longitudinal drawing-off mechanical return swivel of hand arm 1 further includes that reset angle is adjusted Device 83, the reset angle regulating device 83 are mounted on long-armed screw rod 4, and the long-armed screw rod 4 includes first long-armed It is machined with spiral shell on the lateral wall of screw rod 411 and the second long-armed screw rod 412, the first long-armed screw rod 411 and the second long-armed screw rod 412 Line, reset angle regulating device 83 include joint buckle closure 12 and reset angle adjustment seat 14, the reset angle adjustment seat 14 Longitudinal direction for cylindrical mounting base, reset angle adjustment seat 14 is machined with the first adjusting mounting hole 141, reset angle adjustment seat 14 Transverse direction on be machined with the second adjusting mounting hole 142, the second adjusting mounting hole 142 adjusts mounting hole 141 with first and connects, institute The left end for the second long-armed screw rod 412 stated is machined with the first adjusting inner concave 413, the right end of the described first long-armed screw rod 411 It is machined with and adjusts the first adjusting rounded projections 414 that inner concave 413 coordinates, 411 He of the described first long-armed screw rod with first Second long-armed screw rod 412 is mounted in the second adjusting mounting hole 142 of reset angle adjustment seat 14, the first long-armed spiral shell after installation The first of 411 right end of bar adjusts rounded projections 414 and the first of 412 left end of the second long-armed screw rod and adjusts the cooperation of inner concave 413 Joint axle construction is formed, reset angle adjusting screw rod 13 is installed in the described first adjusting mounting hole 141；The reset angle It spends on the left side lateral wall of adjustment seat 14 and is also machined with external screw thread, the joint buckle closure 12 has female shell structure, Joint buckle closure 12 is mounted on the left side of reset angle adjustment seat 14 by helicitic texture.So set, long-armed screw rod 4 includes first Long-armed screw rod 411 and the second long-armed screw rod 412, the first long-armed screw rod 411 and the second long-armed screw rod 412 are used to nail fixed seat 5 installation, under the action of reset angle regulating device 83, the first long-armed screw rod 411 and the second long-armed screw rod 412 may be implemented The orientation of (as shown in Figure 1) left end nail fixed seat 5 and right end nail fixed seat 5 is adjusted, so that being fixed mounted on nail Drawing nail 7 on seat 5 realizes the drawing of different angle, realizes correction fracture site overlapping displacement；
The reset angle regulating device 83 of present embodiment includes reset angle adjustment seat 14, in reset angle adjustment seat 14 Portion is equipped with the first long-armed screw rod 411 and the second long-armed screw rod 412, and the first of 411 right end of the first long-armed screw rod processing is adjusted Rounded projections 414 and the first adjusting inner concave 413 of 412 left end of the second long-armed screw rod processing cooperatively form joint axle construction, In post operative recovery procedures, it can be adjusted by adjusting this joint axle construction and realize side inclination movement, while by adjusting joint The rotation direction of axle construction is beneficial to make the reduction of the fracture.
Specific implementation mode four：Embodiment is described with reference to Fig. 3, and the manipulator joint arm combination of present embodiment resets Fracture external fixing rack, the longitudinal direction drawing-off mechanical return swivel of hand arm 1 includes being mechanically fixed hand A, being mechanically fixed hand B and correction Propeller 16 is mechanically fixed hand A and is mechanically fixed on hand B and is separately installed with the first nail 19 and the second nail 20, the machinery Fixed hand A establishes connection with hand B is mechanically fixed by a reinforcing bar 17, and the setting of correction propeller 16 is being mechanically fixed hand A and be mechanically fixed between hand B, correction propeller 16 by the long connecting rod 18 at its both ends be mechanically fixed hand A and be mechanically fixed Hand B establishes installation relation.So set, present embodiment is to realize another method of correction fracture site overlapping displacement, In structure, this method includes a correction propeller 16, and the structure of correction propeller 16 can be realized accurate strong in displacement Just.
Specific implementation mode five：Illustrate present embodiment, the manipulator of present embodiment in conjunction with Fig. 3, Fig. 5, Fig. 6 and Fig. 7 Joint arm combines reseting fracture exterior fixing rack, and the hand A that is mechanically fixed includes the first nail fixing clip 21, the first reinforcing bar Fixture block 22 and the first long connecting rod mounting blocks 23, the first nail fixing clip 21 and the first reinforcing bar fixture block 22 include the One rectangle fixed block 221 and the second rectangle fixed block 222, the first rectangle fixed block 221 and the second rectangle fixed block 222 are arranged oppositely, and are machined with V-shaped groove on the medial surface of the first rectangle fixed block, on the medial surface of the second rectangle fixed block It is machined with U-lag, V-shaped groove and U-lag cooperatively form clamping slot；The first long connecting rod mounting blocks 23 include that geosynclinal concave cap presss from both sides 24 With both ends screw rod convex block 25, the geosynclinal concave cap folder 24 is Cylindrical housing structure, and the top surface of geosynclinal concave cap folder 24 is machined with through-hole, slot It is machined with groove port 26 on the side wall of recessed cap folder 24, the both ends screw rod convex block 25 is cylindrical block, the longitudinal direction of cylindrical block It is machined with the threaded hole of perforation both ends screw rod convex block 25, the transverse direction of cylindrical block is machined with a long connecting rod installation through-hole 27, institute It states the longitudinal threaded hole upper and lower ends of both ends screw rod convex block 25 and is spirally connected respectively and threaded rod 28 and lower threaded rod 29 are installed, it is described Recessed cap folder 24 is installed by the groove port 26 on its side wall with the cooperation of both ends screw rod convex block 25, both ends screw rod convex block 25 after installation Upper threaded rod 28 passes through the through-hole of the top surface processing of geosynclinal concave cap folder 24, and is pacified by nut and the cooperation of the first nail fixing clip 21 Dress is arranged the lower threaded rod 29 in 25 lower end of both ends screw rod convex block and is installed by nut and the cooperation of the first reinforcing bar fixture block 22, institute The first nail 19 is stated in the clamping slot of the first nail fixing clip 21, the long connecting rod 18 is pacified mounted on long connecting rod It fills in through-hole 27, the reinforcing bar 17 is mounted in the clamping slot of the first reinforcing bar fixture block 22.So set, being mechanically fixed hand A Effect be while in order to ensure to pull the firm fixation of nail 7, to devise for fixed drawing nail 7 and being mechanically fixed hand A's Structure includes reinforcing rod structure and the correction structure installation for correction of fracturing, and specifically used mode is that the first nail is fixed Fixture block 21 and the first reinforcing bar fixture block 22 are self-control fixture block, inside the V-shaped groove that has and U-lag to may be respectively used in clamping solid Fixed and reinforcing bar 17, fastening is i.e. in the first rectangle fixed block 221 of the first reinforcing bar fixture block 22 and the second rectangle It is machined with through-hole on fixed block 222, and bolt and nut is set in through-hole, clamping work(can be realized by tightening bolt and nut Energy；The both ends screw rod convex block 25 of the present invention has upper threaded rod 28 and lower threaded rod 29, upper threaded rod 28 solid across the first nail The through-hole processed on clamp block 21, and coordinated by nut and upper threaded rod 28, to which the first nail fixing clip will be mounted on The first nail 19 in 21 clamps, and lower threaded rod 29 passes through the through-hole processed on the first reinforcing bar fixture block 22, and passes through nut Under the action of lower threaded rod 29, the reinforcing bar 17 in the first reinforcing bar fixture block 22 is clamped into installation.
Specific implementation mode six：Illustrate present embodiment, the manipulator joint arm group of present embodiment in conjunction with Fig. 3 and Fig. 8 Reseting fracture exterior fixing rack is closed, the hand B that is mechanically fixed includes the second nail fixing clip 30, the second long connecting rod mounting blocks 31, the second reinforcing bar fixture block 32 and interior hexagonal adjusting screw rod 33, the second nail fixing clip 30, the second long connecting rod mounting blocks 31 Include the first rectangle fixture block 38 and the second rectangle fixture block 39,38 He of the first rectangle fixture block with the second reinforcing bar fixture block 32 Second rectangle fixture block 39 is arranged oppositely, and V-shaped groove, the second rectangle fixture block are machined on the medial surface of the first rectangle fixture block 38 Be machined with U-lag on 39 medial surface, V-shaped groove and U-lag cooperatively form clamping slot, interior hexagonal adjusting screw rod 33 from top to bottom according to Secondary to be equipped with the second nail fixing clip 30,31 and second reinforcing bar fixture block 32 of the second long connecting rod mounting blocks, the second nail is solid Multiple adjusting nuts are provided between clamp block 30,31 and second reinforcing bar fixture block 32 of the second long connecting rod mounting blocks, by more A adjusting nut is realized between the second nail fixing clip 30,31 and second reinforcing bar fixture block 32 of the second long connecting rod mounting blocks It adjusts and locking, second nail 20 is mounted in the clamping slot of the second nail fixing clip 30, the long connecting rod 18 is pacified In the clamping slot of the second long connecting rod mounting blocks 31, the reinforcing bar 17 is mounted on the clamping slot of the second reinforcing bar fixture block 32 It is interior.So set, the function of being mechanically fixed hand B is consistent with the function of being mechanically fixed hand A, it is used to fixed drawing nail 7, ensures The structure installation for pulling the stability and correction propeller 16 of nail 7, specifically installs principle combination Fig. 8 explanations, the second nail Fixing clip 30,31 and second reinforcing bar fixture block 32 of the second long connecting rod mounting blocks include the first rectangle fixture block 38 and second Rectangle fixture block 39, the first rectangle fixture block 38 and the second rectangle fixture block 39 are arranged oppositely, and pass through the first rectangle fixture block The interior U-lag of the V-shaped groove of 38 inside and the second rectangle fixture block 39 realizes the second nail 20, reinforcing bar 17 and long connection The fixed installation of bar 18.
Specific implementation mode seven：Illustrate present embodiment, the manipulator joint of present embodiment in conjunction with Fig. 4, Fig. 9-Figure 14 Arm combines reseting fracture exterior fixing rack, and the correction propeller 16 connects block 34 including two side poles, a side pole connects block 35, guide rod 36, correction adjusts threaded rod 37 and leads push nut 46, and it is rectangular block architecture that two side pole, which connects block 34, and two side poles connect the right side of block 34 Guide rod thread mounting hole 40 and correction adjusting rod installation threaded hole 41 are machined on side respectively, two side poles connect a left side for block 34 The first long connecting rod mounting hole 42 is machined on side, it is rectangular block architecture that a side pole, which connects block 35, and a side pole connects block 35 Guide rod installation through-hole 43 and correction adjusting rod installation through-hole 44 are machined on left side, a side pole connects and adds on the right side of block 35 Work has the second long connecting rod mounting hole 45, and one end of the guide rod 36 is connected through a screw thread connects leading for block 34 mounted on two side poles Into bar threaded mounting hole 40, the other end passes through guide rod installation through-hole 43 and a side pole to connect the cooperation of block 35 and installs, the correction Adjust one end of threaded rod 37 using being threadedly coupled on the correction adjusting rod installation threaded hole 41 that two side poles connect block 34, separately One end connects the cooperation installation of block 35 across 45 and one side pole of the second long connecting rod mounting hole, and the correction is adjusted installs on threaded rod 37 Push nut 46 is led, multiple lead equidistantly is machined on the side wall for leading push nut 46 and pushes away adjustment hole 47, leads and pushes away adjustment hole 47 For interior hexagonal adjustment hole, 42 and one side pole of the first long connecting rod mounting hole that two side pole connects block 34 connects the second length of block 35 and connects Extension bar mounting hole 45 is for installing long connecting rod 18.So set, the method that the present invention realizes fracture site overlapping displacement correction Being that two side poles connect one end of block 34 and are mechanically fixed hand A establishes connection, and one end that a side pole connects block 35 is built with hand B is mechanically fixed Vertical connection, a side pole connect block 35 it is adjustable with the guide rod 36 and correction adjusting threaded rod 37 connected in two side poles on block 34 is set Installation relation is established, push nut 46 is led by adjusting, push nut is led and adjusts the installation of 37 screw-thread fit of threaded rod with correction, and then push away Connect block 35 in 36 transverse direction of guide rod into a side pole to move left and right, and then realizes a side pole and connect the drive of block 35 and be mechanically fixed hand B Transverse shifting, realize machine due to being mechanically fixed hand B for fixing the second nail 20, and then by adjusting correction propeller 16 Tool fixes the 20 opposite phase for being mounted on first be mechanically fixed on hand A and fixing on 19 realization positions of the second nail installed on hand B To variation.
Specific implementation mode eight：Illustrate present embodiment, the manipulator of present embodiment in conjunction with Fig. 1, Fig. 3, Figure 15-Figure 24 Joint arm combines reseting fracture exterior fixing rack, and the combined type double track multifunctional external fixation apparatus 3 includes long bolt 48, fixed link 49, single hole nail rod fixture block 50, diplopore nail rod fixture block 51, porous nail rod fixture block 52 and fixing bone pin 53；
The single hole nail rod fixture block 50, diplopore nail rod fixture block 51, porous nail rod fixture block 52 are for card slot clamp structure, list There are one card slot mounting holes 54 and a fixing bone pin mounting hole 55, fixing bone pin mounting hole 54 to be machined with for the tool of hole nail rod fixture block 50 Internal thread, there are two card slot mounting hole 54 and a fixing bone pin mounting hole 55, the porous nail rods for the tool of diplopore nail rod fixture block 51 Fixture block 52 is formed by connecting including at least two diplopore nail rod fixture blocks 51 by connecting plate 56；
The long bolt 48 and fixed link 49 are arranged in parallel, and it is left that the single hole nail rod fixture block 50 is mounted on long bolt 48 Side, the diplopore nail rod fixture block 51 and porous nail rod fixture block 52 are established by card slot mounting hole 54 and long bolt 48 and fixed link 49 There is the spicule installation bolt 57 of external thread structure, fixing bone pin 53 to penetrate list for installation relation, the head of the fixing bone pin 53 The fixing bone pin mounting hole 55 of hole nail rod fixture block 50, diplopore nail rod fixture block 51 and porous nail rod fixture block 52, and installed by spicule Bolt 57 and the internal thread locking of fixing bone pin mounting hole 55 are installed；
The combined type double track multifunctional external fixation apparatus 3 further includes bracing piece 58, locking nail nut 59 and screw thread top clip 60, the locking nail nut 59 is the female shell structure of tool, and U-shaped is machined on the side wall of locking nail nut 59 There is taper installation end, the top of locking nail nut 59 to be machined with fixing bone pin installation at the top of slot, locking nail nut 59 There are two porous nail rod fixture block 52, two porous nail rod fixture blocks 52 are adjacent for installation in through-hole, the long bolt 48 and fixed link 49 It is arranged, locking nail nut 59 is mounted in the fixing bone pin mounting hole 55 of two neighboring porous nail rod fixture block 52, it is described solid Determine the top installation through-hole that nail 53 penetrates locking nail nut 59, bracing piece 58 is mounted on two neighboring locking nail nut 59 U-lag in, the screw thread top clip 60 is installed with the cooperation of locking nail nut 59 with internal thread structure, installation rear thread top Button 60 fixing bone pin 53 inside locking nail nut 59 will be arranged and bracing piece 58 is held out against.The combined type of present embodiment is double Rail multifunctional external fixation apparatus 3 include long bolt 48 and fixed link 49, the upper and left-to-right of long bolt 48 and fixed link 49 successively Single hole nail rod fixture block 50, diplopore nail rod fixture block 51 and porous nail rod fixture block 52 are installed, as shown in figure 3, single hole nail rod fixture block 50, Diplopore nail rod fixture block 51 and porous nail rod fixture block 52 are used for the fixation of fixing bone pin 53, and then realize the traction installation of fracture, directly It is dismountable to union rear；Embodiment is in order to increase its fracture site fix tightly solidity simultaneously, two neighboring porous Bracing piece 58 there are one being installed on nail rod fixture block 52, under the action of bracing piece 58, there are one add for the fixed tool at fracture site Use is pretended, fracture convalescence fixing bone pin 53 is avoided and shifts, causes Rehabilitation slowly and pain.
Specific implementation mode nine：Illustrate present embodiment, the manipulator joint arm group of present embodiment in conjunction with Figure 24-Figure 27 Reseting fracture exterior fixing rack is closed, the mechanical return swivel of hand arm joining beam 2 includes universal regulating mechanism 61, lateral adjustment 62, longitudinal adjusting mechanism 63 and correction spicule 64, the lower end of the universal regulating mechanism 61 are fixedly mounted on the combined type pair On rail multifunctional external fixation apparatus 3,61 one end of the universal regulating mechanism is mounted on universal regulating mechanism 61, universal regulating mechanism 61 other end is equipped with longitudinal adjusting mechanism 63, and the correction spicule 64 is fixedly mounted on；
The lateral adjustment 62 includes laterally adjusting anchor geosynclinal block 65, lateral adjustments nut 66 and lateral transmission spiral shell Bar 67, the anchor geosynclinal block 65 that laterally adjusts is concave structure, laterally adjusts and is machined with through-hole on anchor geosynclinal block 65, The setting of lateral adjustments nut 66 is laterally adjusting in anchor geosynclinal block 65, and one end of the transverse direction drive screw 67 passes through cross To the through-hole for adjusting anchor geosynclinal block 65 and pass through thread fiting mode with lateral adjustments nut 66 and realizes installation, it is described laterally to pass The other end of dynamic screw rod 67 is equipped with longitudinal adjusting mechanism 63, and lateral drive screw 67 is realized by adjusting lateral adjustments nut 66 Transverse shifting；
The longitudinal adjusting mechanism 63 includes longitudinally adjusted anchor geosynclinal block 68, longitudinally adjust nut 69, longitudinal transmission Screw rod 70 and correction spicule fixed seat 71, the longitudinally adjusted anchor geosynclinal block 68 are concave structure, longitudinally adjusted fixation Groove block 68 is welded to connect with lateral drive screw 67, and through-hole is machined on the longitudinally adjusted anchor geosynclinal block 68, longitudinal to adjust It saves nut 69 to be arranged in longitudinally adjusted anchor geosynclinal block 68, one end of the longitudinal direction drive screw 70 passes through longitudinally adjusted fixation The through-hole of groove block 68 realizes installation, the other end of longitudinal drive screw 70 with longitudinally adjust nut 69 by thread fiting mode It is installed by welding with correction spicule fixed seat 71, correction spicule mounting hole is machined on the longitudinal direction of the correction spicule fixed seat 71 72, it corrects the correction spicule for being machined in the transverse direction of spicule fixed seat 71 and being penetrated through with correction spicule mounting hole 72 and holds out against threaded hole 73, the correction spicule 64 is mounted in correction spicule mounting hole 72, and correction spicule 64 is held out against by being mounted on correction spicule Screw realization in threaded hole 73 holds out against installation.So set, the effect of mechanical return swivel of hand arm joining beam 2 is accurate correction bone It fractures the front and back displacement in end and lateral displacement, mechanical return swivel of hand arm joining beam 2 has 4 degree of freedom, be respectively, 1, universal adjustment The whole universal adjustment of mechanism 61.2, the lifting of lateral adjustment 62,3, the lateral adjustments of lateral adjustment 62,4, longitudinal The longitudinally adjust of regulating mechanism 63, specific implementation be,
1, universal regulating mechanism 61 has universal adjustment seat, specifically refers to embodiment ten；
2, the lifting of lateral adjustment 62 passes through, and specifically refers to embodiment ten；
3, the lateral adjustments of lateral adjustment 62, lateral adjustment 62 include laterally adjusting anchor geosynclinal block 65, cross To adjusting nut 66 and lateral drive screw 67, laterally adjusts and be machined with through-hole on anchor geosynclinal block 65, lateral adjustments nut 66 Setting is laterally adjusting in anchor geosynclinal block 65, and one end of lateral drive screw 67, which passes through, laterally adjusts the logical of anchor geosynclinal block 65 Kong Bingyu lateral adjustments nut 66 realizes by thread fiting mode and installs that the other end of lateral drive screw 67 is equipped with longitudinal direction Regulating mechanism 63 realizes the transverse shifting of lateral drive screw 67 by adjusting lateral adjustments nut 66；
4, the longitudinally adjust of longitudinal adjusting mechanism 63, longitudinal adjusting mechanism 63 include longitudinally adjusted anchor geosynclinal block 68, indulge To adjusting nut 69, longitudinal drive screw 70 and correction spicule fixed seat 71, longitudinally adjusted anchor geosynclinal block 68 and laterally transmission Screw rod 67 is welded to connect, and through-hole is machined on longitudinally adjusted anchor geosynclinal block 68, and longitudinally adjust nut 69 is arranged longitudinally adjusted In anchor geosynclinal block 68, one end of longitudinal drive screw 70 passes through the through-hole and longitudinally adjust spiral shell of longitudinally adjusted anchor geosynclinal block 68 Mother 69 realizes by thread fiting mode and installs that the other end of longitudinal drive screw 70 is installed by welding with correction spicule fixed seat 71, the longitudinally adjusted of longitudinal drive screw 70 can be realized by adjusting longitudinally adjust nut 69.
Specific implementation mode ten：Illustrate that present embodiment, the manipulator joint arm combination of present embodiment are multiple in conjunction with Figure 25 Position fracture external fixing rack, the universal regulating mechanism 61 include gimbal suspension seat 74, groove joining beam 75, double end bar 76 and close Nut 77 is saved, the gimbal suspension seat 74 is cylindrical mounting base, and the longitudinal direction of gimbal suspension seat 74 is machined with the first mounting hole 78, the second mounting hole 79 is processed in the transverse direction of gimbal suspension seat 74, and second mounting hole 79 is passed through with 78 phase of the first mounting hole Logical, the upper end of the groove joining beam 75 is welded to connect with the anchor geosynclinal block 65 that laterally adjusts of lateral adjustment 62, described recessed External screw thread is machined on the outer wall of slot joining beam 75, the lower end of groove joining beam 75 is machined with the first inner concave 80, the groove joining beam 75 lower end is mounted in the first mounting hole 78 of gimbal suspension seat 74, and 76 upper end of double end bar has and the first inner concave First rounded projections 81 of 80 cooperations, the upper end of double end bar 76 are arranged in the first mounting hole 78 in gimbal suspension seat 74, Double end bar 76 is installed with the cooperation of groove joining beam 75, and eccentric rod is equipped in the second mounting hole 79 of the gimbal suspension seat 74 82, be machined with external screw thread on the lateral wall of the eccentric rod 82, the eccentric rod 82 after installation in gimbal suspension seat 74 with Groove joining beam 75 engages, and longitudinal tune of the groove joining beam 75 in gimbal suspension seat 74 can be realized by adjusting eccentric rod 82 It saving, external screw thread is also machined on the bottom outside wall of the gimbal suspension seat 74, the joint nut 77 has internal thread, Joint nut 77 is mounted on the bottom of gimbal suspension seat 74.So set, universal regulating mechanism 61 can assist enough realize laterally adjust The lifting of mechanism 62 is saved, and universal regulating mechanism has the function of that universal adjustment, auxiliary enough realize the liter of lateral adjustment 62 It includes being equipped with groove joining beam 75 and eccentric shaft in 74 ontology of gimbal suspension seat that drop, which is achieved in that in universal regulating mechanism 61, Bar 82, groove joining beam 75 are equipped with lateral adjustment 62, i.e., by realizing that it is horizontal that the lifting of groove joining beam 75 can assist realizing Lifting to regulating mechanism 62, since what the groove joining beam 75 and eccentric rod 82 that are arranged inside gimbal suspension seat 74 used matches The principle for closing mounting means is Worm Wheel System principle, therefore groove joining beam 75 can be realized by adjusting eccentric rod 82 and exist Lifting inside gimbal suspension seat 74；And universal adjustment function is, 75 lower end of groove joining beam is machined with the first inner concave 80, described 76 upper end of double end bar there is the first rounded projections 81 for coordinating with the first inner concave 80, such double end bar 76 and groove joining beam 75 installation forms a spindle nose cooperation installation, and then realizes universal adjustment function.
The application method of the present invention is as follows：
First step；Joined first with hand B is mechanically fixed with the hand A that is mechanically fixed of longitudinal drawing-off mechanical return swivel of hand arm 1 Proximally and distally, the leading for push nut 46 of leading that correction propeller 16 is inserted into hand-held straight-bar pushes away tune to the fixed curdled milk thigh bone respectively connect In knothole 47, and outside switching so that a side pole connects the direction movement that block 35 connects block 34 towards opposite end bar, makes to be mechanically fixed The fixed proximal end relative position that fixing bone pin distal end relative mechanical on hand B fixes hand A moves, and is monitored from X-ray Fracture site open by drawing-off, and the overlapping broken ends of fractured bone has detached, and carries out next step operation；
Second step；Then step 1 application mechanical return swivel of hand arm joining beam 2 is screwed into correction spicule in fracture site 64, adjust longitudinal adjusting mechanism 63 longitudinally adjust nut 69, realize correction fracture site backward, shift forward, monitor X-ray Monitoring bone stump has reached anatomical reduction, carries out next step；
Third step；Then it applies combined type double track multifunctional external fixation apparatus 3 to fix fracture site, reaches reseting fracture, Double track multifunctional external fixation apparatus 3 is fixed on the inside of patients with fractures, and nail is passed through into the list on double track multifunctional external fixation apparatus 3 Hole nail rod fixture block 50, diplopore nail rod fixture block 51 and porous nail rod fixture block 52, are fixed on patients with fractures, are fixed for rehabilitation, it is known that After patients with fractures's healing, it is double to remove longitudinal drawing-off mechanical return swivel of hand arm 1, mechanical return swivel of hand arm joining beam 2 and combined type Rail multifunctional external fixation apparatus 3.
Specific implementation mode 11, manipulator joint arm of the invention combine reseting fracture exterior fixing rack, and feature is, Middle part and assembly can be combined according to fracture site situation or emergency treatment emergency requirement, combination, exchange and form various constructions, example Such as, shin bone multistage open fracture unstable fracture is encountered, two longitudinal 1 Hes of drawing-off mechanical return swivel of hand arm can be used A threaded draw point in centre is crossed, draw point both ends connect with longitudinal drawing-off mechanical return swivel of hand arm 1 using hand A is mechanically fixed It connects, is connected in two side poles of the porous nail clip D of proximal tibia trough of belt square with hand B is mechanically fixed, the porous nail clip D of trough of belt square connects Two nails are connect, the recovery of the different disconnected situations of fracture can be realized using the combination as shown in figure 28 for fixed tibial proximal end Treatment.
Above example is only to the exemplary description of this patent does not limit its scope of protection, people in the art Member can also be changed its part, as long as it does not exceed the essence of this patent, within the protection scope of the present patent.

Claims (10)

1. fixing bracket at a kind of manipulator joint arm combination reseting fracture, it is characterised in that：Including longitudinal drawing-off mechanical return Swivel of hand arm (1), mechanical return swivel of hand arm joining beam (2) and combined type double track multifunctional external fixation apparatus (3)；The longitudinal direction drawing-off In knochenbruch both sides, the machinery is multiple for mechanical return swivel of hand arm (1) and the combined type double track multifunctional external fixation apparatus (3) setting Position swivel of hand arm joining beam (2) is arranged on the combined type double track multifunctional external fixation apparatus (3).
2. fixing bracket at a kind of manipulator joint arm combination reseting fracture according to claim 1, which is characterized in that described Longitudinal drawing-off mechanical return swivel of hand arm (1) includes long-armed screw rod (4), nail fixed seat (5), drawing nut (6), drawing nail (7) and fixing bone pin screw (8), the nail fixed seat (5) are cuboid fixed seat, are processed in nail fixed seat (5) useful It is machined in the first through hole (9) with long-armed screw rod (4) cooperation installation, the length direction of nail fixed seat (5) for penetrating The second through-hole (10) of nail (7) is pulled, is machined on the longitudinal direction of nail fixed seat (5) for installing fixing bone pin screw (8) Third threaded hole (11), the third threaded hole (11) is connected to the second through-hole (10), is equipped on the long-armed screw rod (4) The both sides of at least two nail fixed seats (5), the nail fixed seat (5) are respectively arranged with drawing nut (6), pull nut (6) it is installed with long-armed screw rod (4) cooperation, is penetrated in second through-hole (10) and pull nail (7), peace in third threaded hole (11) Equipped with fixing bone pin screw (8), nail fixed seat is fixed in the lower nail (7) that pulls of effect that holds out against of fixing bone pin screw (8) (5) in the second through-hole (10).
3. fixing bracket at a kind of manipulator joint arm combination reseting fracture according to claim 2, which is characterized in that described Longitudinal drawing-off mechanical return swivel of hand arm (1) further include reset angle regulating device (83), the reset angle adjusts dress (83) are set on long-armed screw rod (4), the long-armed screw rod (4) includes the first long-armed screw rod (411) and the second long-armed spiral shell It is threaded on the lateral wall of bar (412), the first long-armed screw rod (411) and the second long-armed screw rod (412), reset angle tune Regulating device (83) includes joint buckle closure (12) and reset angle adjustment seat (14), and the reset angle adjustment seat (14) is cylinder The longitudinal direction of shape mounting base, reset angle adjustment seat (14) is machined with the first adjusting mounting hole (141), reset angle adjustment seat (14) Transverse direction on be machined with the second adjusting mounting hole (142), second adjusts mounting hole (142) and first adjusting mounting hole (141) phase Perforation, the left end of the described second long-armed screw rod (412) are machined with the first adjusting inner concave (413), the described first long-armed spiral shell The right end of bar (411) is machined with adjusts the first adjusting rounded projections (414) that inner concave (413) coordinates with first, described First long-armed screw rod (411) and the second long-armed screw rod (412) are mounted on the second adjusting mounting hole of reset angle adjustment seat (14) (142) in, the first adjusting rounded projections (414) and the second long-armed screw rod of the first long-armed screw rod (411) right end after installation (412) the first adjusting inner concave (413) of left end cooperatively forms joint axle construction, and described first is adjusted in mounting hole (141) Reset angle adjusting screw rod (13) is installed；It is also machined with outer spiral shell on the left side lateral wall of the reset angle adjustment seat (14) Line, the joint buckle closure (12) have female shell structure, and joint buckle closure (12) is mounted on by helicitic texture to be resetted The left side of angular adjustment seat (14).
4. fixing bracket at a kind of manipulator joint arm combination reseting fracture according to claim 1, which is characterized in that described Longitudinal drawing-off mechanical return swivel of hand arm (1) includes being mechanically fixed hand A, being mechanically fixed hand B and correction propeller (16), and machinery is solid Determine hand A and be mechanically fixed on hand B to be separately installed with the first nail (19) and the second nail (20), it is described to be mechanically fixed hand A and machine Tool fixes hand B and establishes connection by a reinforcing bar (17), and correction propeller (16) setting is being mechanically fixed hand A and machinery Between fixed hand B, propeller (16) is corrected by the long connecting rod (18) at its both ends and is mechanically fixed hand A and is mechanically fixed hand B Establish installation relation.
5. fixing bracket at a kind of manipulator joint arm combination reseting fracture according to claim 4, which is characterized in that described It includes the first nail fixing clip (21), the first reinforcing bar fixture block (22) and the first long connecting rod mounting blocks to be mechanically fixed hand A (23), the first nail fixing clip (21) and the first reinforcing bar fixture block (22) include the first rectangle fixed block (221) With the second rectangle fixed block (222), the first rectangle fixed block (221) and the second rectangle fixed block (222) are arranged oppositely, It is machined with V-shaped groove on the medial surface of first rectangle fixed block, U-lag, V are machined on the medial surface of the second rectangle fixed block Shape slot and U-lag cooperatively form clamping slot；
The first long connecting rod mounting blocks (23) include geosynclinal concave cap folder (24) and both ends screw rod convex block (25), the geosynclinal concave cap folder (24) it is Cylindrical housing structure, the top surface of geosynclinal concave cap folder (24) is machined with through-hole, is machined on the side wall of geosynclinal concave cap folder (24) Groove port (26), the both ends screw rod convex block (25) are cylindrical block, and it is convex that the longitudinal direction of cylindrical block is machined with perforation both ends screw rod The transverse direction of the threaded hole of block (25), cylindrical block is machined with a long connecting rod installation through-hole (27), the both ends screw rod convex block (25) longitudinal threaded hole upper and lower ends are spirally connected respectively is equipped with threaded rod (28) and lower threaded rod (29), the recessed cap folder 24 It is installed with both ends screw rod convex block (25) cooperation by the groove port (26) on its side wall, both ends screw rod convex block (25) is upper after installation Threaded rod (28) passes through the through-hole of the top surface processing of geosynclinal concave cap folder (24), and is matched by nut and the first nail fixing clip (21) Installation is closed, the lower threaded rod (29) in both ends screw rod convex block (25) lower end is set and is matched by nut and the first reinforcing bar fixture block (22) Installation is closed, first nail (19) is mounted in the clamping slot of the first nail fixing clip (21), the long connecting rod (18) In long connecting rod installation through-hole (27), the reinforcing bar (17) is mounted on the clamping slot of the first reinforcing bar fixture block (22) It is interior.
6. fixing bracket at a kind of manipulator joint arm combination reseting fracture according to claim 4, which is characterized in that described It includes the second nail fixing clip (30), the second long connecting rod mounting blocks (31), the second reinforcing bar fixture block (32) to be mechanically fixed hand B With interior hexagonal adjusting screw rod (33), the second nail fixing clip (30), the second long connecting rod mounting blocks (31) and the second reinforcing bar Fixture block (32) includes the first rectangle fixture block (38) and the second rectangle fixture block (39), the first rectangle fixture block (38) and second Rectangle fixture block (39) is arranged oppositely, and V-shaped groove, the second rectangle fixture block are machined on the medial surface of the first rectangle fixture block (38) (39) be machined with U-lag on medial surface, V-shaped groove and U-lag cooperatively form clamping slot, interior hexagonal adjusting screw rod (33) by up to Under be sequentially installed with the second nail fixing clip (30), the second long connecting rod mounting blocks (31) and the second reinforcing bar fixture block (32), It is provided between second nail fixing clip (30), the second long connecting rod mounting blocks (31) and the second reinforcing bar fixture block (32) multiple Adjusting nut realizes the second nail fixing clip (30), the second long connecting rod mounting blocks (31) and the by multiple adjusting nuts Adjusting and locking between two reinforcing bar fixture blocks (32), second nail (20) are mounted on the second nail fixing clip (30) In clamping slot, the long connecting rod (18) is mounted in the clamping slot of the second long connecting rod mounting blocks (31), the reinforcing bar (17) it is mounted in the clamping slot of the second reinforcing bar fixture block (32).
7. fixing bracket at a kind of manipulator joint arm combination reseting fracture according to claim 4, which is characterized in that described Correction propeller (16) connects block (34) including two side poles, a side pole connects block (35), guide rod (36), correction adjusting threaded rod (37) With lead push nut (46), it is rectangular block architecture that two side pole, which connects block (34), two side poles connect on the right side of block (34) respectively plus Work has guide rod thread mounting hole (40) and correction adjusting rod installation threaded hole (41), two side poles to connect on the left side of block (34) It is machined with the first long connecting rod mounting hole (42), it is rectangular block architecture that a side pole, which connects block (35), and a side pole connects block (35) Guide rod installation through-hole (43) and correction adjusting rod installation through-hole (44) are machined on left side, a side pole connects the right side of block (35) The second long connecting rod mounting hole (45) is machined on face, one end of the guide rod (36) is connected through a screw thread mounted on two side poles Even in the guide rod thread mounting hole (40) of block (34), the other end passes through guide rod installation through-hole (43) to connect block (35) with a side pole Cooperation installation, one end of the correction adjusting threaded rod (37), which uses to be threadedly coupled, is mounted on the correction tune that two side poles connect block (34) Pole is installed on threaded hole (41), and the other end passes through the second long connecting rod mounting hole (45) to connect block (35) cooperation peace with a side pole Dress, the correction, which adjusts to be equipped on threaded rod (37), leads push nut (46), on the side wall for leading push nut (46) equidistantly It is machined with multiple lead and pushes away adjustment hole (47), it is interior hexagonal adjustment hole to lead and push away adjustment hole (47), and two side pole connects the of block (34) One long connecting rod mounting hole (42) and a side pole connect the second long connecting rod mounting hole (45) of block (35) for installing long connecting rod (18)。
8. fixing bracket at a kind of manipulator joint arm combination reseting fracture according to claim 1, which is characterized in that described Combined type double track multifunctional external fixation apparatus (3) includes long bolt (48), fixed link (49), single hole nail rod fixture block (50), diplopore nail Bar cramp block (51), porous nail rod fixture block (52) and fixing bone pin (53)；
The single hole nail rod fixture block (50), diplopore nail rod fixture block (51), porous nail rod fixture block (52) be for card slot clamp structure, There are one card slot mounting hole (54) and a fixing bone pin mounting hole (55), fixing bone pin mounting holes for single hole nail rod fixture block (50) tool (55) it is machined with internal thread, there are two card slot mounting hole (54) and a fixing bone pin mounting holes for diplopore nail rod fixture block (51) tool (55), the porous nail rod fixture block (52) is formed by connecting including at least two diplopore nail rod fixture blocks (51) by connecting plate (56)；
The long bolt (48) and fixed link (49) are arranged in parallel, and the single hole nail rod fixture block (50) is mounted on long bolt (48) left side, the diplopore nail rod fixture block (51) and porous nail rod fixture block (52) pass through card slot mounting hole (54) and long bolt (48) Installation relation is established with fixed link (49), the head of the fixing bone pin (53) has the spicule installation bolt of external thread structure (57), fixing bone pin (53) penetrates single hole nail rod fixture block (50), diplopore nail rod fixture block (51) and porous nail rod fixture block (52) are consolidated Determine nail mounting hole (55), and is installed by the internal thread locking of spicule installation bolt (57) and fixing bone pin mounting hole (55)；
The combined type double track multifunctional external fixation apparatus (3) further includes bracing piece (58), locking nail nut (59) and screw thread top It detains (60), the locking nail nut (59) is the female shell structure of tool, is added on the side wall of locking nail nut (59) Work has U-lag, the top of locking nail nut (59) to have taper installation end, be machined at the top of locking nail nut (59) solid Determine nail installation through-hole, there are two porous nail rod fixture blocks (52) for installation on the long bolt (48) and fixed link (49), more than two Hole nail rod fixture block (52) is disposed adjacent, and is mounted in the fixing bone pin mounting hole (55) of two neighboring porous nail rod fixture block (52) Nail nut (59) is locked, the fixing bone pin (53) penetrates the top installation through-hole of locking nail nut (59), bracing piece (58) be mounted on it is two neighboring locking nail nut (59) U-lag in, the screw thread top clip (60) with have internal thread structure Locking nail nut (59) cooperation installation, installation rear thread top clip (60) will be arranged and consolidate locking nail nut (59) is internal Determine nail (53) and bracing piece (58) is held out against.
9. fixing bracket at a kind of manipulator joint arm combination reseting fracture according to claim 1, which is characterized in that described Mechanical return swivel of hand arm joining beam (2) includes universal regulating mechanism (61), lateral adjustment (62), longitudinal adjusting mechanism (63) With correction spicule (64), the lower end of the universal regulating mechanism (61) is fixedly mounted on the multi-functional outer fixation of the combined type double track On frame (3), described universal regulating mechanism (61) one end be mounted on universal regulating mechanism (61) on, universal regulating mechanism (61) it is another One end is equipped with longitudinal adjusting mechanism (63), and the correction spicule (64) is fixedly mounted on；
The lateral adjustment (62) includes laterally adjusting anchor geosynclinal block (65), lateral adjustments nut (66) and laterally transmission Screw rod (67), the anchor geosynclinal block (65) that laterally adjusts is concave structure, laterally adjusts and adds on anchor geosynclinal block (65) Work has through-hole, lateral adjustments nut (66) setting laterally adjusting in anchor geosynclinal block (65), the transverse direction drive screw (67) one end passes through and laterally adjusts the through-hole of anchor geosynclinal block (65) and with lateral adjustments nut (66) by screw-thread fit side Formula realizes that installation, the other end of the transverse direction drive screw (67) are equipped with longitudinal adjusting mechanism (63), are laterally adjusted by adjusting Save the transverse shifting that nut (66) realizes lateral drive screw (67)；
The longitudinal adjusting mechanism (63) includes longitudinally adjusted anchor geosynclinal block (68), longitudinally adjust nut (69), Zong Xiangchuan Dynamic screw rod (70) and correction spicule fixed seat (71), the longitudinally adjusted anchor geosynclinal block (68) is concave structure, longitudinal Adjustment anchor geosynclinal block (68) is welded to connect with lateral drive screw (67), is processed on the longitudinally adjusted anchor geosynclinal block (68) There is through-hole, longitudinally adjust nut (69) setting is interior in longitudinally adjusted anchor geosynclinal block (68), the longitudinal direction drive screw (70) One end passes through the through-hole of longitudinally adjusted anchor geosynclinal block (68) to realize peace by thread fiting mode with longitudinally adjust nut (69) The other end of dress, longitudinal drive screw (70) is installed by welding with correction spicule fixed seat (71), the correction spicule fixed seat (71) it is machined with correction spicule mounting hole (72) on longitudinal direction, is machined in the transverse direction of correction spicule fixed seat (71) and correction bone The correction spicule of needle mounting hole (72) perforation holds out against threaded hole (73), and the correction spicule (64) is mounted on correction spicule installation In hole (72), correction spicule (64) holds out against the screw realization in threaded hole (73) by being mounted on correction spicule and holds out against installation.
10. fixing bracket at a kind of manipulator joint arm combination reseting fracture according to claim 9, which is characterized in that institute The universal regulating mechanism (61) stated includes gimbal suspension seat (74), groove joining beam (75), double end bar (76) and joint nut (77), The gimbal suspension seat (74) is cylindrical mounting base, and the longitudinal direction of gimbal suspension seat (74) is machined with the first mounting hole (78), The second mounting hole (79), second mounting hole (79) and the first mounting hole (78) are processed in the transverse direction of gimbal suspension seat (74) It connects, the upper end of the groove joining beam (75) connects with anchor geosynclinal block (65) welding that laterally adjusts of lateral adjustment (62) It connects, external screw thread is machined on the outer wall of the groove joining beam (75), the lower end of groove joining beam (75) is machined with the first inner concave (80), the lower end of the groove joining beam (75) is mounted in the first mounting hole (78) of gimbal suspension seat (74), the double end There are the first rounded projections (81) coordinated with the first inner concave (80), the upper end setting of double end bar (76) to exist for bar (76) upper end In the first mounting hole (78) of gimbal suspension seat (74), double end bar (76) is installed with groove joining beam (75) cooperation, and described ten thousand Eccentric rod (82) is installed into the second mounting hole (79) of socket joint (74), on the lateral wall of the eccentric rod (82) It is machined with external screw thread, the eccentric rod (82) after installation in gimbal suspension seat (74) is engaged with groove joining beam (75), passes through adjusting Eccentric rod (82) can realize longitudinally adjust of the groove joining beam (75) in gimbal suspension seat (74), the gimbal suspension seat (74) external screw thread is also machined on bottom outside wall, the joint nut (77) has internal thread, joint nut (77) peace Bottom mounted in gimbal suspension seat (74).
CN201810309667.8A 2018-04-08 2018-04-08 Mechanical arm joint arm combined reduction fracture external fixation support Active CN108272497B (en)

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CN109330686A (en) * 2018-10-25 2019-02-15 上海大学 A kind of robot assisted reset system for long bone fracture
CN109938816A (en) * 2019-03-29 2019-06-28 河北医科大学第三医院 A kind of shin bone apparatus for correcting for treating valgus deformity in knee joint osseous arthritis
CN112220541A (en) * 2020-11-11 2021-01-15 佳木斯大学附属第一医院 Wrist fracture first aid external fixation support
CN113288381A (en) * 2021-05-31 2021-08-24 河北省胸科医院 Combined external fixing frame for fracture and using method thereof
CN117598766A (en) * 2024-01-23 2024-02-27 苏州大学附属第二医院 Surgical instrument for treating fracture in tibial plateau joint in minimally invasive surgery

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CN207101348U (en) * 2017-02-15 2018-03-16 哈尔滨杰瑞斯医疗科技有限公司 Foot, hand multistage open fracture Combined type external fixed support

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CN105263434A (en) * 2013-02-20 2016-01-20 奥林巴斯株式会社 Medical manipulator
CN204106167U (en) * 2014-09-29 2015-01-21 海南陵水海力高新科技医疗设备开发研究所 Bone guide needle guidance apparatus
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CN109330686A (en) * 2018-10-25 2019-02-15 上海大学 A kind of robot assisted reset system for long bone fracture
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CN113288381A (en) * 2021-05-31 2021-08-24 河北省胸科医院 Combined external fixing frame for fracture and using method thereof
CN117598766A (en) * 2024-01-23 2024-02-27 苏州大学附属第二医院 Surgical instrument for treating fracture in tibial plateau joint in minimally invasive surgery
CN117598766B (en) * 2024-01-23 2024-04-26 苏州大学附属第二医院 Surgical instrument for treating fracture in tibial plateau joint in minimally invasive surgery

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