CN108272545B - Proximal femur fracture transferring fixer - Google Patents

Proximal femur fracture transferring fixer Download PDF

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Publication number
CN108272545B
CN108272545B CN201810259109.5A CN201810259109A CN108272545B CN 108272545 B CN108272545 B CN 108272545B CN 201810259109 A CN201810259109 A CN 201810259109A CN 108272545 B CN108272545 B CN 108272545B
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CN
China
Prior art keywords
fixing
splint
thigh
sliding block
shank
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CN201810259109.5A
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Chinese (zh)
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CN108272545A (en
Inventor
徐洪
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XINDU HOSPITAL OF TRADITIONAL CHINESE MEDICINE
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XINDU HOSPITAL OF TRADITIONAL CHINESE MEDICINE
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Priority to CN201810259109.5A priority Critical patent/CN108272545B/en
Publication of CN108272545A publication Critical patent/CN108272545A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Abstract

The invention relates to a femur proximal fracture transferring fixer, which comprises a clamping plate fixing system and a T-shoe anti-rotation fixer, wherein the T-shoe anti-rotation fixer comprises T-shoes, a fixing plate, a sliding block for fixing the T-shoes and a locking structure for locking the sliding block, the fixing plate is provided with a fan-shaped sliding groove matched with the sliding block, and the fixing plate is provided with a fixing device for fixing the T-shoe anti-rotation fixer; the ankle of the T-shoe has an ankle strap for connection to the cleat retaining system; the splint fixing system comprises a chest and waist fixing device, a thigh fixing device and a shank fixing device which are sequentially inserted. The invention improves and combines the splint fixing system and the T-shoe device, thereby increasing the stability of the affected limb; the clamping plate can be sleeved back in a telescopic way, so that the assembly and the disassembly are convenient; the T-shoe anti-rotation fixer is convenient for adjusting the affected limb to be in a neutral position or a required abduction angle. The invention can be effectively fixed and is convenient to carry, and can bring great convenience to the transportation of the patient with the proximal femur fracture.

Description

Proximal femur fracture transferring fixer
Technical Field
The invention relates to the technical field of medical appliances, in particular to a femur proximal fracture transferring fixer.
Background
With the acceleration of the aging process of population, the wounds are increased, the proximal femur fractures such as femoral neck and intertrochanteric, tuberosity and subclavian parts are obviously increased, paraplegia and nerve injury patients are transported in a pre-hospital treatment mode, and the delivery and transportation of the patients need special fixing tools for fixing and then transporting. However, the conventional splint fixing method is used for transferring in clinical work, and has the following defects: (1) the external rotation of the affected limb cannot be prevented, and the fixation is unreliable; (2) the carrying is inconvenient and the storage is inconvenient; (3) The triangular towel is used as the binding belt, so that the operation is time-consuming, the use rate is low, and the secondary damage of patients is increased; (4) The neutral position can be adopted only or the affected limb position can not be controlled, and the neutral position and the abduction angle of the affected limb can not be selected for fixing; (5) Because the T-shaped shoes are not fixed on the stretcher or the spinal plate, even if the T-shaped shoes are used for fixation, the affected limbs still shake left and right during the running of the vehicle, the pain of a patient is increased, and new injuries are unavoidable.
Disclosure of Invention
The invention aims to provide a proximal femur fracture transferring fixer which can prevent the affected limb from rotating outwards, is firm in fixation and convenient to operate.
In order to achieve the above purpose, the invention adopts the following technical scheme:
the proximal femur fracture transferring fixer comprises a splint fixing system and a T-shoe anti-rotation fixer, wherein the T-shoe anti-rotation fixer comprises T-shoes, a fixing plate, a sliding block for fixing the T-shoes and a locking structure for locking the sliding block, the fixing plate is provided with a fan-shaped sliding groove matched with the sliding block, and the fixing plate is provided with a fixing device for fixing the T-shoe anti-rotation fixer; ankle straps for connection with the cleat fixing system are provided at the left and right ankle of the T-shoe.
Further, the balance rod of the T-shaped shoe is arranged at the root of the sole, one end of the balance rod is rotationally connected with the sole through a rotating shaft, a spring pin is arranged on the balance rod, the sole is provided with two pin holes matched with the spring pin, the number of the balance rod is two, and the rotating shaft is positioned between the two pin holes; when the two balance bars are in a horizontal state, spring pins of the two balance bars respectively extend into one of the pin holes under the action of springs, and the spring pins are exposed out of the balance bars.
Preferably, the rotating shaft is positioned on the middle shaft of the sole, and the two balance rods are connected with the same rotating shaft;
the two balance bars are arranged front and back or one of the two balance bars is U-shaped, the other balance bar is in a straight shape, and the straight balance bar can be stored into the inner periphery of the U-shaped balance bar.
Further, the T-shaped shoes are provided with foot fixing belts for restraining feet, and the foot fixing belts are elastic belts or sticking buckles.
Further, the root of the sole of the T-shaped shoe is connected with the sliding block, wherein the sliding block is provided with a connecting arm used for being connected with the root of the sole, the balance rod is provided with a notch for the connecting arm to pass through, and when the balance rod is in a horizontal state, the notch is opened at the lower edge of the balance rod.
The sliding block is provided with a slot, the locking structure for locking the sliding block comprises a toothed surface arranged on the inner wall of the sliding groove, an elastic arm arranged in the slot, a latch arranged on the elastic arm and matched with the toothed surface, a clamping tongue arranged at the free end of the elastic arm and an inserting block used for extruding the elastic arm to enable the latch to pop out, the toothed surface is arranged on the inner annular surface and/or the outer annular surface of the sliding groove, the elastic arm is arranged on the inner side wall of the slot, the elastic arm is inclined inwards from top to bottom under the condition that no external force exists, the upper end of the elastic arm is connected with the sliding block, the lower end of the elastic arm is a free end, and the clamping tooth on the elastic arm is positioned in the sliding block; the side wall of the sliding block is provided with a through groove for the latch to extend out;
the utility model discloses a sliding block, including slider, spring button, guide hole, spring button's pole portion, the slot department is equipped with L type shell fragment on the slider, the inserted block lateral wall has with L type shell fragment snap fit's L type groove, there is the spring button on the inserted block on the lateral wall opposite with L type groove, the level is equipped with the guiding hole in the inserted block, and the guiding hole link up with the upper portion in L type groove, the pole portion of spring button is adorned in the guiding hole, and the length of pole portion is greater than the length of guiding hole.
The clamping plate fixing system comprises a thigh fixing device, a shank fixing device and a chest and waist fixing device, wherein the thigh fixing device comprises a thigh inner side clamping plate, a thigh outer side clamping plate and at least two thigh belts, the outer sides of the thigh inner side clamping plate and the thigh outer side clamping plate are respectively provided with a magic tape female buckle, the inner surface of the thigh belts is provided with a magic tape sub-buckle matched with the magic tape female buckle, and the outer surface of the thigh belts is provided with a magic tape female buckle;
the shank fixing device comprises a shank inner side clamping plate, a shank outer side clamping plate and at least two shank belts, wherein the outer sides of the shank inner side clamping plate and the shank outer side clamping plate are respectively provided with a magic tape female buckle, the inner surface of the shank belts is provided with a magic tape sub buckle matched with the magic tape female buckle in a sticking manner, and the outer surface of the shank belts is provided with a magic tape female buckle; the ankle binding belt is provided with a magic tape sub-buckle matched with the magic tape female buckle thread gluing;
the chest waist fixing device comprises a chest waist splint and at least three chest waist belts, the outer side face of the chest waist splint is provided with a hook and loop fastener, the inner surface of the chest waist belts is provided with a hook and loop fastener matched hook and loop fastener, and the outer surface of the chest waist belts is provided with a hook and loop fastener.
Further, a slot A which is matched with the thigh outside clamping plate is arranged in the chest and waist clamping plate, the slot A is opened at the lower end of the chest and waist clamping plate, a slot B which is matched with the shank inside clamping plate is arranged in the thigh inside clamping plate, and the slot B is opened at the lower end of the thigh inside clamping plate; the thigh outside splint is internally provided with a slot C which is matched with the shank outside splint, and the slot C is opened at the lower end of the thigh outside splint.
Further, the fixing device for fixing the T-shoe anti-rotation fixing device comprises two fixing belts, and two buckles matched with the fixing belts are respectively arranged at the left end and the right end of the fixing plate.
Compared with the prior art, the invention has the following beneficial effects:
1. the T-shoe anti-rotation fixator is used for preventing lower limbs from rotating, so that the fracture fixation stability is enhanced, longitudinal or rotation instability caused by the existing fixing device can be prevented, further injuries (including fracture displacement, vascular nerve soft tissue injury, aggravated bleeding and the like) caused by instability are prevented, pain of affected limbs is relieved, and comfort is improved;
2. the telescopic plug-in type clamping plate solves the problem that the traditional clamping plate is overlong and cannot be carried, and improves the utilization rate; meanwhile, the stable fixing function of the traditional splint is continued, the defect that the roll splint is too soft to fix is avoided, the possibility of longitudinal displacement of the affected limb is solved, and meanwhile, the fixing position of the fixing belt can be adjusted at will according to the height of a patient through the longitudinal magic tape on the side face;
3. the existing fixing device is not portable, and the field operation is tedious and time-consuming; the components of the invention can be assembled, the assembly and the disassembly are convenient, and a plurality of fixed places of the whole device are connected by using the magic tape sticking buckles, so the operation is convenient and quick; the detachable portable car is convenient to carry, occupies small space, and avoids occupying the rescue space in the car.
Drawings
FIG. 1 is a three-dimensional view of a T-shoe;
FIG. 2 is a schematic view of the structure of the sole-side T-shoe when the stabilizer bar is in a horizontal state;
FIG. 3 is a cross-sectional view at A in FIG. 2;
FIG. 4 is a schematic view of the structure of the sole-side T-shoe when the stabilizer bar is in the upright state;
FIG. 5 is a three-dimensional view of an insert block;
FIG. 6 is a three-dimensional view of the front side of the slider;
FIG. 7 is a three-dimensional view of the rear side of the slider;
FIG. 8 is a cross-sectional view of a slider;
FIG. 9 is a three-dimensional view of a fixation plate;
FIG. 10 is a top view of the mounting plate;
FIG. 11 is a schematic view of the structure of the T-shoe anti-rotation fastener;
FIG. 12 is a schematic view of the splinting system;
FIG. 13 is a cross-sectional view of the splint outside the splint fixing system;
FIG. 14 is a cross-sectional view of a medial splint of the splint fixing system;
FIG. 15 is a schematic view of the present invention in use for transportation;
FIG. 16 is a three-dimensional view of the insert block with an oval top cover;
FIG. 17 is a schematic view of a T-shoe construction with a foot strap as a hook and loop fastener;
FIG. 18 is a schematic view of another construction of a balance bar;
in the figure: 1-T shoe, 2-insert, 3-slide, 4-plate, 5-thigh securing device, 6-shank securing device, 7-chest waist securing device, 8-velcro button, 9-velcro button, 10-stretcher, 11-ankle strap, 12-foot strap, 13-stabilizer, 14-sole, 15-spring pin, 16-spindle, 17-pin hole, 18-spring, 19-notch, 21-L-slot, 22-spring button, 23-pilot hole, 24-oval cap, 31-slot, 32-L-clip, 33-spring arm, 34-latch, 35-tongue, 36-through slot, 37-connecting arm, 41-runner, 42-toothed surface, 43-securing strap, 44-buckle, 51-thigh medial splint, 52-thigh lateral splint, 53-thigh strap, 54-slot B, 55-slot C, 61-shank medial splint, 62-shank lateral splint, 63-shank, 71-chest waist, 72-slot A, chest splint.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings, in order to make the objects, technical solutions and advantages of the present invention more apparent.
As shown in fig. 11 and 12, the proximal femur fracture transferring fixator disclosed by the invention comprises a splint fixing system and a t-shoe rotation preventing fixator, and as shown in fig. 11, the t-shoe rotation preventing fixator comprises a t-shoe 1, a fixing plate 4, a sliding block 3 for fixing the t-shoe 1 and a locking structure for locking the sliding block 3. As shown in fig. 10, the fixing plate 4 is provided with a fan-shaped chute 41 which is matched with the sliding block 3, and the fixing plate 4 is provided with a fixing device for fixing the anti-rotation fixing device of the T-shoe. As shown in fig. 1, ankle straps 11 for connecting with a splint fastening system and foot fixing straps 12 for restraining the foot are provided at both left and right ankle sides of the T-shoe 1, and the two foot fixing straps 12 are provided, and the foot fixing straps 12 have elasticity suitable for patients of various sizes. Of course, as shown in fig. 17, the foot fixing strap 12 may be a hook and loop fastener, and the outer surface of the left foot fixing strap 12 has a hook and loop fastener 9, and the inner surface of the right foot fixing strap 12 has a hook and loop fastener corresponding to the outer surface, so that patients of various sizes can have higher comfort level.
As shown in fig. 1 and 2, the shoe tip of the vamp of the T-shaped shoe 1 is exposed, and the exposed shoe tip is convenient for observing the blood circulation condition; the heel of the vamp is designed to prevent skin from being crushed by using a hollowed-out design. As shown in fig. 2 and 3, a balance rod 13 of the T-shaped shoe 1 is arranged at the root of a sole 14, one end of the balance rod 13 is rotationally connected with the sole 14 through a rotating shaft 16, a spring pin 15 is arranged on the balance rod 13, the sole 14 is provided with two pin holes 17 matched with the spring pin 15, the number of the balance rod 13 is two, the number of the pin holes 17 is two, and the rotating shaft 16 is positioned between the two pin holes 17; when the two balance bars 13 are in a horizontal state, the spring pins 15 of the two balance bars 13 respectively extend into one of the pin holes 17 under the action of the springs 18, and the spring pins 15 are exposed out of the balance bars 13.
When it is desired to retract the balance bar 13 to the upright position, the spring pins 15 are pulled out slightly, as shown in fig. 4, causing the spring pins 15 to move out of the pin holes 17, and then the balance bar 13 is rotated to the upright position. Of course, a torsion spring can be arranged between the rotating shaft 16 and the balance bar 13, and when the spring pin 15 is out of the constraint of the pin hole 17, the balance bar 13 automatically rotates back to the vertical state under the action of the torsion spring. When the balance bar 13 needs to be adjusted to the horizontal state, the balance bar 13 is rotated, the pin of the spring pin 15 is pressed against the sole 14 under the force of the spring, as shown in fig. 3, when the balance bar 13 rotates to the horizontal state, the spring pin 15 is just aligned with the pin hole 17 on the sole, and the pin of the spring pin 15 stretches into the pin hole 17 under the force of the spring, so that the balance bar 13 can keep the horizontal state and can not rotate any more.
The rotating shaft 16 is positioned on the central shaft of the sole 14, the two balance bars 13 are connected with the same rotating shaft 16, the two balance bars 13 are arranged front and back, and when the two balance bars 13 are retracted to be in a vertical state, the two balance bars 13 are arranged front and back to be overlapped; or as shown in fig. 18, one of the balance bars 13 is U-shaped, the other balance bar 13 is in a straight shape, and the straight balance bar 13 can be accommodated in the inner periphery of the U-shaped balance bar 13. As shown in fig. 4, when the two balance bars 13 are retracted in the vertical state, the straight balance bar 13 is located at the inner periphery of the U-shaped balance bar 13, and the whole is in the vertical state. Whichever structure of the balance bars is adopted, when the two balance bars 13 are retracted to the vertical state, the two balance bars 13 are parallel to the central axis of the sole 14. The two balance bars 13 can be rotated back to the direction of the central axis of the sole when not in use, so that the sole is convenient to carry and can avoid the balance bars from injuring other people by mistake.
As shown in fig. 5-11, the sliding block 3 is provided with a slot 31, the locking structure for locking the sliding block 3 comprises a toothed surface 42 arranged on the inner wall of the sliding groove 41, an elastic arm 33 arranged in the slot 31, a latch 34 arranged on the elastic arm 33 and matched with the toothed surface 42, a latch 35 arranged at the free end of the elastic arm 33, and an inserting block 2 for extruding the elastic arm 33 to eject the latch 34, the toothed surface 42 is arranged on the inner ring surface and/or the outer ring surface of the sliding groove 41, the elastic arm 33 is arranged on the inner side wall of the slot 31, the elastic arm 33 is inclined inwards from top to bottom in the absence of external force, the upper end of the elastic arm 33 is connected with the sliding block 3, the lower end of the elastic arm 33 is a free end, and the latch 34 on the elastic arm 33 is positioned in the sliding block 3; the side wall of the sliding block 3 is provided with a through groove 36 for the latch 34 to extend. The inner ring surface and the outer ring surface of the chute 41 are respectively provided with a toothed surface 42, and as shown in fig. 8, two opposite inner side walls of the slot 31 are respectively provided with an elastic arm 33 corresponding to the toothed surfaces, and under the condition of no external force, the two elastic arms 33 are in an inverted splayed shape.
The slot 31 department is equipped with L type shell fragment 32 on the slider 3, and the inserted block 2 lateral wall has the L type groove 21 with L type shell fragment 32 snap fit, has spring button 22 on the lateral wall opposite with L type groove 21 on the inserted block 2, and the level is equipped with guiding hole 23 in the inserted block 2, and guiding hole 23 link up with the upper portion of L type groove 21, and spring button 22's pole portion is adorned in guiding hole 23, and the length of pole portion is greater than the length of guiding hole 23, and its afterbody is equipped with button appearance tail cap. As shown in fig. 16, an oval cap 24 wider than the top surface of the insert may be provided on the top of the insert 2, the oval cap 24 serving as a handle to facilitate insertion and removal of the insert 2, the outside edge of the oval cap 24 being flush with the button edge of the spring button 22. When the insert block 2 is inserted into the slot 31, the insert block 2 can press the elastic arm 33, so that the latch 34 and the latch 35 extend out of the slide block 3, the latch 35 extends to the bottom surface of the fixed plate 4, and the slide block 3 is prevented from being separated from the slide groove 41 upwards; the latch 34 extends out to be meshed with the toothed surface 42, so that the sliding block 3 is prevented from sliding along the sliding groove 41; since the L-shaped spring piece 32 is clamped into the L-shaped groove 21, the insert block 2 can be prevented from falling out of the slot 31. When the insert 2 is taken out upwards, the elastic arm 33 is restored after the external force is removed, the latch 34 is separated from the constraint of the toothed surface 42, and the sliding block 3 can slide along the sliding groove 41 at this time, so that the position of the sliding block 3 can be conveniently adjusted. As shown in fig. 10, the chute 41 is designed in a circular arc shape, and the position and abduction angle of the foot can be conveniently adjusted in the case that the buttocks of the patient are not moved.
When the insert 2 needs to be taken out, the spring button 22 is pressed, and the rod part of the spring button 22 extends out along the guide hole 23 to push the L-shaped elastic sheet 32 outwards, so that the insert 2 is separated from the constraint of the L-shaped elastic sheet 32. The insert block 2 is inserted with the slide block 3, and the installation and the disassembly are convenient and quick.
The root of the sole 14 of the T-shaped shoe 1 is connected with the insert block 2 through the slide block 3, the top surface of the slide block 3 is provided with a slot 31 which is matched with the insert block 2, the slot 31 on the slide block 3 is provided with an L-shaped elastic sheet 32, the side wall of the insert block 2 is provided with an L-shaped groove 21 which is in snap fit with the L-shaped elastic sheet 32, the side wall of the insert block 2 opposite to the L-shaped groove 21 is provided with a spring button 22, the interior of the insert block 2 is horizontally provided with a guide hole 23, the guide hole 23 is communicated with the upper part of the L-shaped groove 21, the rod part of the spring button 22 is arranged in the guide hole 23, and the length of the rod part is greater than that of the guide hole 23.
The root of the sole 14 of the T-shoe 1 is connected with the slider 3. As shown in fig. 7, the slider 3 is provided with a connecting arm 37 for connecting with the root of the sole 14, the balance bar 13 is provided with a notch 19 for the connecting arm 37 to pass through, and when the balance bar 13 is in a horizontal state, the notch 19 is opened at the lower edge of the balance bar 13, so that the connecting arm 37 does not influence the rotation of the balance bar 13.
As shown in fig. 9, the fixing device for fixing the anti-rotation fixing device of the t-shoe comprises two fixing bands 43, and two buckles 44 matched with the fixing bands 43 are arranged at the left and right ends of the fixing plate 4. As shown in fig. 12, the splint fixing system includes a thigh fixing device 5, a shank fixing device 6 and a chest and waist fixing device 7, the thigh fixing device 5 includes a thigh inner side splint 51, a thigh outer side splint 52 and at least two thigh belts 53, the outer sides of the thigh inner side splint 51 and the thigh outer side splint 52 are all provided with a hook and loop fastener 8, the inner surface of the thigh belt 53 is provided with a hook and loop fastener 9 which is in hook and loop fastener fit with the hook and loop fastener 8, and the outer surface is provided with a hook and loop fastener 8.
The shank fixing device 6 comprises a shank inner side clamping plate 61, a shank outer side clamping plate 62 and at least two shank belts 63, wherein the outer side surfaces of the shank inner side clamping plate 61 and the shank outer side clamping plate 62 are respectively provided with a magic tape female buckle 8, the inner surface of the shank belts 63 is provided with a magic tape sub buckle 9 in sticky buckle fit with the magic tape female buckle 8, and the outer surface of the shank belts 63 is provided with the magic tape female buckle 8; as shown in fig. 1, the ankle strap 11 is provided with a hook and loop fastener 9 which is in hook and loop fit with the hook and loop fastener 8.
The chest and waist fixing device 7 comprises a chest and waist splint 71 and at least three chest and waist belts 72, wherein a hook and loop fastener 8 is arranged on the outer side surface of the chest and waist splint 71, a hook and loop fastener 9 which is in hook and loop fastener 8 hook and loop fastener fit is arranged on the inner surface of the chest and waist belts 72, and a hook and loop fastener 8 is arranged on the outer surface of the chest and waist belts 72.
As shown in fig. 13 and 14, the chest and waist splint 71 has a slot a73 therein, which is adapted to the thigh outside splint 52, and the slot a73 is opened at the lower end of the chest and waist splint 71; the thigh inner clamping plate 51 is internally provided with a slot B54 matched with the shank inner clamping plate 61, and the slot B54 is opened at the lower end of the thigh inner clamping plate 51; the thigh outside splint 52 has a slot C55 therein which is fitted with the shank outside splint 62, and the slot C55 is opened at the lower end of the thigh outside splint 52. The buckle at the end of the connection prevents separation and slipping, the plugging mode is convenient to detach and assemble, meanwhile, the outer clamping plates are convenient to connect into a whole, the inner clamping plates are connected into a whole, the whole constraint effect of the clamping plates is enhanced, all clamping plate materials are made of radiology perspective materials, and the fixing device does not need to be detached during radiology examination.
As shown in fig. 15, when in use, one end of the fixing strap 43 is connected with the buckle 44 at one end of the fixing plate 4, and the other end of the fixing strap 43 wraps around the stretcher 10 or the spinal plate and is connected with the buckle 44 at the other end of the fixing plate 4, so that the fixing plate 4 is fixed on the stretcher 10 or the spinal plate, the affected limb can be fixed at a neutral position or at any abduction angle, and meanwhile, the affected limb of a patient and the spinal plate are integrated, thereby improving the stability. Subsequently, the slide 3 is slid along the slide groove 41 to adjust the position of the slide 3, then the insert 2 is inserted into the slot 31, and the positions of the slide 3 and the T-shoe 1 are fixed, so that the T-shoe anti-rotation fixer is fixed on the stretcher 10 or the spinal plate.
The chest and waist splint 71 is arranged at the chest and waist of the patient, the free end of the chest and waist strap 72 is adhered by the magic tape snap fastener after wrapping the chest and waist for a circle, and meanwhile, the snap fastener on the inner surface of the chest and waist strap 72 is adhered and attached with the snap fastener on the outer surface of the chest and waist splint 71. Each velcro area on the splint fixing system is disposed along the entire length in the axial direction.
The thigh outside splint 52 is arranged outside the thigh of the patient, the thigh inside splint 51 is arranged inside the thigh of the patient, the magic tape buckle 9 on the inner surface of the thigh strap 53 is stuck on the magic tape buckle 8 on the outer surface of the thigh inside splint 51, and the thigh strap 53 is stuck by the magic tape buckle on the inner and outer surfaces of the two ends after being tightened around the thigh, so that the thigh is restrained and fixed.
The outer side clamping plate 62 of the lower leg is arranged on the outer side of the lower leg of a patient, the inner side clamping plate 61 of the lower leg is arranged on the inner side of the lower leg of the patient, the magic tape on the inner surface of the lower leg binding belt 63 is stuck on the inner side clamping plate 61 of the lower leg, and the lower leg binding belt 63 is stuck and fixed through the magic tape snap fastener after being tightened around the lower leg; then the outside ankle strap 11 is stuck on the outside shank splint 62 through the magic tape, the inside ankle strap 11 is stuck on the inside shank splint 61 through the magic tape, make T-shoe anti-rotation fixer and splint fixing system rigid coupling, carry out whole restraint fixing to shank and foot.
The invention improves and combines the splint fixing system and the T-shoe device, and the fixing operation is simple, convenient and quick by using the magic tape on the aspect of increasing the stability of the affected limb; the clamping plate can be sleeved back in a telescopic way, the fixing position of the adjustable binding belt of the lateral longitudinal magic tape is adjustable, and the length of the clamping plate is adjustable; the T-shaped shoe anti-rotation fixer is convenient for adjusting the affected limb to be in a neutral position and an abduction angle. The invention can be effectively fixed and is convenient to carry, can bring great convenience to the transportation of the patient with the proximal femur fracture, and can well meet the market demand.
There are, of course, many other embodiments of the invention that can be made by those skilled in the art in light of the above teachings without departing from the spirit or essential scope thereof, but that such modifications and variations are to be considered within the scope of the appended claims.

Claims (8)

1. The femur proximal fracture transferring fixer is characterized by comprising a splint fixing system and a T-shoe anti-rotation fixer, wherein the T-shoe anti-rotation fixer comprises T-shoes (1), a fixing plate (4), a sliding block (3) for fixing the T-shoes (1) and a locking structure for locking the sliding block (3), the fixing plate (4) is provided with a fan-shaped sliding groove (41) matched with the sliding block (3), and the fixing plate (4) is provided with a fixing device for fixing the T-shoe anti-rotation fixer; ankle belts (11) used for being connected with the splint fixing system are arranged at the ankle parts at the left side and the right side of the T-shaped shoe (1);
the sliding block (3) is provided with a slot (31), the locking structure for locking the sliding block (3) comprises a toothed surface (42) arranged on the inner wall of the sliding groove (41), an elastic arm (33) arranged in the slot (31), a latch (34) arranged on the elastic arm (33) and matched with the toothed surface (42), a clamping tongue (35) arranged at the free end of the elastic arm (33) and an inserting block (2) used for extruding the elastic arm (33) to enable the latch (34) to pop out, the toothed surface (42) is arranged on the inner annular surface and/or the outer annular surface of the sliding groove (41), the elastic arm (33) is arranged on the inner side wall of the sliding groove (31), the elastic arm (33) is inclined inwards from top to bottom under the condition that no external force exists, the upper end of the elastic arm (33) is connected with the sliding block (3), the lower end of the elastic arm (33) is a free end, and the latch (34) on the elastic arm (33) is positioned in the sliding block (3); the side wall of the sliding block (3) is provided with a through groove (36) for the latch (34) to extend out;
an L-shaped elastic piece (32) is arranged at a slot (31) on the sliding block (3), an L-shaped groove (21) which is in clamping fit with the L-shaped elastic piece (32) is arranged on the side wall of the inserting block (2), a spring button (22) is arranged on the side wall opposite to the L-shaped groove (21), a guide hole (23) is horizontally arranged in the inserting block (2), the guide hole (23) is communicated with the upper part of the L-shaped groove (21), and a rod part of the spring button (22) is arranged in the guide hole (23) and the length of the rod part is larger than that of the guide hole (23);
the root of the sole (14) of the T-shaped shoe (1) is connected with the sliding block (3).
2. The proximal femoral fracture transport fixator of claim 1, wherein: the balance rod (13) of the T-shaped shoe (1) is arranged at the root of the sole (14), one end of the balance rod (13) is rotationally connected with the sole (14) through a rotating shaft (16), a spring pin (15) is arranged on the balance rod (13), the sole (14) is provided with two pin holes (17) matched with the spring pin (15), the number of the balance rod (13) is two, the number of the pin holes (17) is two, and the rotating shaft (16) is positioned between the two pin holes (17); when the two balance bars (13) are in a horizontal state, spring pins (15) of the two balance bars (13) respectively extend into one of the pin holes (17) under the action of springs (18), and the spring pins (15) are exposed out of the balance bars (13).
3. The proximal femoral fracture transport fixator of claim 2, wherein: the rotating shaft (16) is positioned on the middle shaft of the sole (14), and the two balance rods (13) are connected with the same rotating shaft (16);
two balancing poles (13) are arranged back and forth or one of the balancing poles (13) is U-shaped, the other balancing pole (13) is in a straight shape, and the straight balancing pole (13) can be contained in the U-shaped balancing pole (13).
4. The proximal femoral fracture transport fixator of claim 1 or 2, wherein: the T-shaped shoe (1) is provided with a foot fixing band (12) for restraining the foot, and the foot fixing band (12) is an elastic band or a sticking buckle band.
5. The proximal femoral fracture transport fixator of claim 1, wherein: the clamping plate fixing system comprises a thigh fixing device (5), a shank fixing device (6) and a chest and waist fixing device (7), wherein the thigh fixing device (5) comprises a thigh inner side clamping plate (51), a thigh outer side clamping plate (52) and at least two thigh belts (53), magic tape female buckles (8) are respectively arranged on the outer sides of the thigh inner side clamping plate (51) and the thigh outer side clamping plate (52), and magic tape male buckles (9) in hook-and-loop fit with the magic tape female buckles (8) are arranged on the inner surfaces of the thigh belts (53); the outer surface of the thigh strap (53) is provided with a magic tape female buckle (8);
the shank fixing device (6) comprises a shank inner side clamping plate (61), a shank outer side clamping plate (62) and at least two shank belts (63), the outer sides of the shank inner side clamping plate (61) and the shank outer side clamping plate (62) are respectively provided with a magic tape female buckle (8), the inner surface of the shank belts (63) is provided with a magic tape sub buckle (9) in sticking fit with the magic tape female buckle (8), and the outer surface of the shank belts (63) is provided with the magic tape female buckle (8); a magic tape sub-buckle (9) in thread gluing fit with the magic tape female buckle (8) is arranged on the ankle strap (11);
chest waist fixing device (7) are including chest waist splint (71) and at least three chest waist band (72), the lateral surface of chest waist splint (71) has magic to paste box (8), the internal surface of chest waist band (72) be equipped with magic paste box (8) thread gluing complex magic sub-knot (9), the surface of chest waist band (72) is equipped with magic paste box (8).
6. The proximal femoral fracture transport fixator of claim 5, wherein: the chest and waist splint (71) is internally provided with a slot A (73) which is matched with the thigh outside splint (52), and the slot A (73) is opened at the lower end of the chest and waist splint (71); the thigh inner side splint (51) is internally provided with a slot B (54) which is matched with the shank inner side splint (61), and the slot B (54) is opened at the lower end of the thigh inner side splint (51); the thigh outside splint (52) is internally provided with a slot C (55) which is matched with the shank outside splint (62), and the slot C (55) is opened at the lower end of the thigh outside splint (52).
7. The proximal femoral fracture transport fixator of claim 1, wherein: the fixing device for fixing the T-shoe anti-rotation fixing device comprises two fixing belts (43), and two buckles (44) matched with the fixing belts (43) are respectively arranged at the left end and the right end of the fixing plate (4).
8. The proximal femoral fracture transport fixator of claim 1, wherein: the sliding block (3) is provided with a connecting arm (37) connected with the root of the sole (14), the balance bar (13) is provided with a notch (19) for the connecting arm (37) to pass through, and when the balance bar (13) is in a horizontal state, the notch (19) is opened at the lower edge of the balance bar (13).
CN201810259109.5A 2018-03-27 2018-03-27 Proximal femur fracture transferring fixer Active CN108272545B (en)

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CN109009632A (en) * 2018-08-28 2018-12-18 南京医科大学附属逸夫医院 A kind of portable fracture splint of pull

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CN205515077U (en) * 2016-03-11 2016-08-31 张宁 Integrative shoes of T are soon prevented in skin traction of lower extremity
CN205569149U (en) * 2016-03-17 2016-09-14 李光 Swift fracture fixation device of field operations
CN206391058U (en) * 2016-10-25 2017-08-11 公安县人民医院 A kind of T-shaped shoes of angle variable
CN208958457U (en) * 2018-03-27 2019-06-11 成都市新都区中医医院 A kind of fractured near end of thighbone transhipment fixator

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Publication number Priority date Publication date Assignee Title
CN201831940U (en) * 2010-10-30 2011-05-18 龚志贤 Appliance for lower crus section fracture fixation
CN202235812U (en) * 2011-10-12 2012-05-30 汕头大学医学院第一附属医院 Angle-adjustable orthopedic nursing shoe
CN203677348U (en) * 2013-12-12 2014-07-02 王志鹏 Thigh fracture fixing device
CN205515077U (en) * 2016-03-11 2016-08-31 张宁 Integrative shoes of T are soon prevented in skin traction of lower extremity
CN205569149U (en) * 2016-03-17 2016-09-14 李光 Swift fracture fixation device of field operations
CN105726188A (en) * 2016-03-31 2016-07-06 张强 Fixing and transferring splint device special for femoral neck or femoral shaft fracture emergency treatment
CN206391058U (en) * 2016-10-25 2017-08-11 公安县人民医院 A kind of T-shaped shoes of angle variable
CN208958457U (en) * 2018-03-27 2019-06-11 成都市新都区中医医院 A kind of fractured near end of thighbone transhipment fixator

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