CN108309508A - Coracoclavicular ligament rebuilds positioning device - Google Patents
Coracoclavicular ligament rebuilds positioning device Download PDFInfo
- Publication number
- CN108309508A CN108309508A CN201810065201.8A CN201810065201A CN108309508A CN 108309508 A CN108309508 A CN 108309508A CN 201810065201 A CN201810065201 A CN 201810065201A CN 108309508 A CN108309508 A CN 108309508A
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- China
- Prior art keywords
- bar
- guide part
- outer bar
- boring positioning
- rebuilds
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 210000003041 ligament Anatomy 0.000 title claims abstract description 29
- 230000007246 mechanism Effects 0.000 claims abstract description 22
- 230000002093 peripheral effect Effects 0.000 claims description 3
- 238000000926 separation method Methods 0.000 claims description 3
- 235000008331 Pinus X rigitaeda Nutrition 0.000 claims 1
- 235000011613 Pinus brutia Nutrition 0.000 claims 1
- 241000018646 Pinus brutia Species 0.000 claims 1
- 210000003109 clavicle Anatomy 0.000 abstract description 11
- 241000135309 Processus Species 0.000 abstract description 8
- 238000005553 drilling Methods 0.000 abstract description 5
- 230000000149 penetrating effect Effects 0.000 abstract description 3
- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 description 7
- 238000010586 diagram Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 210000000142 acromioclavicular joint Anatomy 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 239000012620 biological material Substances 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 210000000323 shoulder joint Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 239000004575 stone Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0805—Implements for inserting tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
- A61F2002/0847—Mode of fixation of anchor to tendon or ligament
- A61F2002/0858—Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Rheumatology (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Dentistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Transplantation (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
- Earth Drilling (AREA)
Abstract
The present invention provides a kind of coracoclavicular ligaments to rebuild positioning device, including interior bar and outer bar, opposite sliding can occur in the axial direction with interior bar for outer bar;The interior bar includes guide part, reset portion and crotch, and guide part, reset portion, crotch are sequentially arranged on interior pole length extending direction;There are angles, guide part nesting to be mounted in the axial aperture of outer bar on length extending direction with reset portion for guide part;Guide part is integrally formed with reset portion, and reset portion is integrally formed or is fastenedly connected with crotch;Locking mechanism is provided in outer bar, the locking mechanism can limit the axially opposing sliding between outer bar and interior bar.The present invention can not only be applied to the replacement and fixation between processus coracoideus and clavicle, but also can play the role of drilling through osseous tunnel being oriented to, in addition, ligament penetrating in osseous tunnel can also be helped, ensure that convenience, the minimal invasive of operation.
Description
Technical field
The present invention relates to medical instruments fields, and in particular, to a kind of coracoclavicular ligament reconstruction positioning device.
Background technology
Coracoclavicular ligament has a very important role for the stabilization of shoulder joint, he maintains shoulder blade and interclavicular perseverance
Determine relationship, ensure that the stabilization of acromioclavicular joint in vertical direction.Clinically, coracoclavicular ligament damage is usually tough with acromioclavicular joint
Band damage occurs, and is mostly caused by shoulder lands after falling.Since the healing ability of acromioclavicular ligament and coracoclavicular ligament is poor, generally
The poor effect of expectant treatment needs operation to carry out coracoclavicular ligament reconstruction.When being damaged due to coracoclavicular ligament, lock often there is also
The case where diostosis, further increases the reconstruction operations difficulty of coracoclavicular ligament, and in the prior art, lacking one kind can be to clavicle
Replacement and fixation is carried out, and can help reliably to punch, the device that guiding reconstruction biomaterials penetrate.
Invention content
For the defects in the prior art, the object of the present invention is to provide a kind of coracoclavicular ligaments to rebuild positioning device.
Positioning device is rebuild according to coracoclavicular ligament provided by the invention, including interior bar and outer bar, outer bar in the axial direction can
Opposite sliding occurs for enough and interior bar;
The interior bar includes guide part, reset portion and crotch, and guide part, reset portion, crotch are in interior pole length extension side
It is sequentially arranged upwards;There are angles, guide part nesting to be mounted on the axis of outer bar on length extending direction with reset portion for guide part
Into trepanning;
Guide part is integrally formed with reset portion, and reset portion is integrally formed or is fastenedly connected with crotch;
Locking mechanism is provided in outer bar, the locking mechanism can limit the axially opposing cunning between outer bar and interior bar
It is dynamic.
Preferably, the outer bar includes hand-held part and boring positioning portion, and hand-held part is with the integrated molding of boring positioning portion or tightly
It is solidly connected;
Boring positioning portion includes boring positioning bar and boring positioning ring, and boring positioning ring is located at boring positioning bar in an axial direction
On one end.
Preferably, locking mechanism is located on hand-held part, and locking mechanism includes contact site;The locking mechanism circumferentially rotates
It can be converted between locked state and releasing orientation both states:
Under the locked state, contact site contacts with each other with guide part;
Under the releasing orientation, contact site is separated from each other with guide part.
Preferably, guide part peripheral surface includes multiple sequentially connected evacuation faces and arc surface;
Arc surface matches with outer bar axial aperture inner wall shape, is formed and is kept away between evacuation face and outer bar axial aperture inner wall
Allow space;
Under the releasing orientation, contact site is integrally located in avoiding space;Under the locked state, contact site and arc surface
Contact.
Preferably, it is provided with multiple arc grooves uniformly distributed in an axial direction on arc surface, arc raised line is provided on contact site,
Arc raised line matches with arc groove;Alternatively,
It is respectively arranged with the external screw thread to match, internal thread on arc surface and contact site.
Preferably, the outer bar is relatively fixed in circumferential direction with guide part;
Be arranged on outer bar axial aperture inner wall it is limited turn raised line, be arranged on guide part and limited turn groove.
Preferably, boring positioning ring central axes are intersected with crotch;
Boring positioning ring is hinged with boring positioning bar.
Preferably, the boring positioning bar includes fixed pole and adjusting rod, and fixed pole is slidably connected with adjusting rod, boring positioning ring
It is hinged on adjusting rod;
It is provided with rack in fixed pole, gear is provided on boring positioning ring, the rack and pinion matches;Or;
Include also drive link, be provided in fixed pole and determine nut, be provided with worm gear on boring positioning ring, drive link is in an axial direction
Both ends are respectively formed leading screw and worm screw, determine nut and match with leading screw, worm gear matches with worm screw.
Preferably, bearing is provided on adjusting rod, the drive link is worn within the bearing;
Switch screw is provided in fixed pole, switch screw can be contacted or be detached with adjusting rod axially movable.
Preferably, scroll wheel and push-and-pull button are additionally provided in the outer bar.
Compared with prior art, the present invention has following advantageous effect:
1, the present invention can not only be applied to replacement and fixation between processus coracoideus and clavicle, but can play to osseous tunnel drill through into
The effect that row is oriented to ensure that convenience, the minimal invasive of operation in addition, ligament penetrating in osseous tunnel can also be helped.
Outer bar, can quickly be moved to just by 2, interior bar and outer bar nested encryptions in the present invention when locking mechanism unclamps
Position, can further realize the contact dynamics between boring positioning portion and operative site by screw thread again when locking mechanism is sealed.
3, boring positioning ring central axes angle can be adjusted in the present invention, adapt to the needs of different bore angles, and drilling is fixed
In rotation, the length of boring positioning bar changes position ring simultaneously so that it is in place to be directed toward crotch institute always for core drill in operation
It sets, facilitates penetrating for titanium-nickel wire ring.
4, in the present invention scroll wheel setting, be conducive to the up and down adjustment to titanium-nickel wire ring, push-and-pull button then can be conveniently outer
The push operation of bar.
Description of the drawings
Upon reading the detailed description of non-limiting embodiments with reference to the following drawings, other feature of the invention,
Objects and advantages will become more apparent upon:
Fig. 1 is schematic structural view of the invention;
Fig. 2 is locking mechanism releasing orientation schematic diagram;
Fig. 3 is locking mechanism locked state schematic diagram;
Fig. 4 is boring positioning rod structure schematic diagram in embodiment;
Fig. 5 is boring positioning rod structure schematic diagram in change case.
It is shown in figure:
Specific implementation mode
With reference to specific embodiment, the present invention is described in detail.Following embodiment will be helpful to the technology of this field
Personnel further understand the present invention, but the invention is not limited in any way.It should be pointed out that the ordinary skill of this field
For personnel, without departing from the inventive concept of the premise, various modifications and improvements can be made.These belong to the present invention
Protection domain.
In the description of the present invention, it is to be understood that, term "upper", "lower", "front", "rear", "left", "right", " perpendicular
Directly ", the orientation or positional relationship of the instructions such as "horizontal", "top", "bottom", "inner", "outside" is orientation based on ... shown in the drawings or position
Relationship is set, is merely for convenience of description of the present invention and simplification of the description, device is not indicated or implied the indicated or element is necessary
With specific orientation, with specific azimuth configuration and operation, therefore be not considered as limiting the invention.
As shown in Figure 1, in embodiment, it includes interior bar 1 and outer bar 2 that coracoclavicular ligament provided by the invention, which rebuilds positioning device,.
Wherein interior bar 1 is included in the guide part 3, reset portion 4, the crotch 5 that are sequentially arranged on axially extending direction, wherein guide part 3 with it is multiple
There are angles, guide part 3 to be integrally formed with reset portion 4 on length extending direction in position portion 4, and reset portion 4 is integrally formed with crotch 5
Or it is fastenedly connected;Outer bar 2 includes hand-held part 7 and boring positioning portion 8, and hand-held part 7 is integrally formed with boring positioning portion 8 or the company of fastening
It connects, boring positioning portion 8 includes boring positioning bar 9 and boring positioning ring 10, and boring positioning ring 10 is located at boring positioning bar 9 in an axial direction
One end on.Axial aperture is both provided in interior bar 1 and outer bar 2, guide part 3 is nested to be mounted in the axial aperture of outer bar 2, outside
Bar 2 can be oppositely oriented portion 3 and be slided in the up-down direction, and the axial aperture of interior bar 1 is then used to penetrate in the course of surgery
Titanium-nickel wire ring 26, guiding ligament is penetrated from osseous tunnel to be pierced by.Locking mechanism 6, locking mechanism 6 are provided on hand-held part 7
It can be converted between locked state and releasing orientation both states, under releasing orientation, outer bar 2 can be oppositely oriented portion
3 slidings quickly reach target location, then can be by axially opposing fixation between outer bar 2 and guide part 3, on the one hand under locked state
Realize on the other hand the fixation between processus coracoideus and clavicle also provides stable guiding for the use of core drill.Preferably, outside
It is additionally provided with scroll wheel 24 on bar 2 and pushes and pulls button 25, the solderless wrapped connection on scroll wheel 24 after being pierced by interior bar 1 of titanium-nickel wire ring 26,
Then the adjusting of titanium-nickel wire ring 26 in the up-down direction can be realized by scroll wheel 24;Push-and-pull button 25 can then facilitate outer bar 2
Opposite sliding on guide part 3.
As shown in Figure 2 and Figure 3, locking mechanism 6 includes contact site 11, and multiple contact sites 11 are distributed along circumferential direction;Guide part
3 cross-sectional shape is in playground track type, and 3 peripheral surface of guide part includes multiple sequentially connected evacuation faces 12 and arc surface 13,
Arc surface 13 matches with 2 axial aperture inner wall shape of outer bar, avoids and forms evacuation between face 12 and 2 axial aperture inner wall of outer bar
Space.As shown in Fig. 2, in the loosened condition, contact site 11 is integrally located in avoiding space, contact site 11 does not connect with guide part 3
It touches, at this point, in the axial direction can be free to slide between outer bar 2 and guide part 3;As shown in figure 3, circumferentially by locking mechanism 6
Rotation completes the conversion from releasing orientation to locked state, at this point, contact site 11 is contacted with arc surface 13, theoretically, by rubbing
It wipes power and the axial restraint between outer bar 2 and guide part 3 can be realized, it is preferable that rubber material can be used in contact site 11, but only logical
It crosses frictional force and can not effectively fix outer bar 2 and guide part 3, therefore, in embodiment, arc surface 13 is set respectively on contact site 11
It is equipped with the external screw thread to match, internal thread, when contact site 11, which is gone to, to be contacted with arc surface 13, is completed in upper and lower by screw thread
Upward locking, and helicitic texture is also possible that position of the outer bar 2 on guide part 3 can be finely adjusted, and further increases
Add the present invention in operative site, such as SC fixed dynamics, kills two birds with one stone.Preferably, multiple edges are provided on arc surface 13
Axially uniformly distributed arc groove is provided with arc raised line on contact site 11, and arc raised line matches with arc groove, when contact
Portion 11 is gone to when being contacted with arc surface 13, and arc raised line is transferred in arc groove, can also be realized between outer bar 2 and guide part 3
Axial restraint, and the fixation of opposite thread structure can be stronger, but just cannot be finely adjusted to 2 position of outer bar after fixing.
Preferably, be arranged on 2 axial aperture inner wall of outer bar it is limited turn raised line 14, be arranged on guide part 3 it is limited turn groove, by limit turn it is convex
The setting of item 14 and limiting groove can prevent outer bar 2 from circumferentially opposed rotation occurs with limiting section, influence boring positioning ring 10
Angle orientation, certainly, circumferentially fixed between outer bar 2 and limiting section can also be realized by the cross-sectional shape of itself.It is excellent
Selection of land, can also only there are one contact site 11, manufacture is simpler for setting, but be susceptible to outer bar 2 and incline with respect to interior bar 1
Oblique phenomenon, influences fixed effect.
10 central axes of boring positioning ring are intersected with crotch 5, in order to which core drill can reach 5 position of crotch, but hand
During art, there are diversity for the selection of bore angle, and as shown in Figure 4, Figure 5, the present invention is fixed with drilling by boring positioning ring 10
Position bar 9 is hinged so that the central axes angle of boring positioning ring 10 can be adjusted, to prevent 10 axis line angle of boring positioning ring
After degree changes, 5 position of crotch is deviateed in central axes, and boring positioning bar 9 is designed to comprising fixed pole 15 and tune by the present invention
Pole 16, the structure that fixed pole 15 is slidably connected with adjusting rod 16, wherein boring positioning ring 10 are hinged on adjusting rod 16.Such as Fig. 4
It is shown, in embodiment, it is provided with rack 17 in fixed pole 15, gear 18, the rack 17 and tooth are provided on boring positioning ring 10
Wheel 18 matches, and in angular adjustment, band moving gear 18 rotates and generates displacement on rack 17 boring positioning ring 10, and then makes
Entire adjusting rod 16 is obtained to move forward and backward with respect to fixed pole 15.For example, when boring positioning ring 10 is rotated down, adjusting rod 16 is relatively fixed
Bar 15 is displaced outwardly;When boring positioning ring 10 is rotated up, adjusting rod 16 is moved inward with respect to fixed pole 15, boring positioning ring 10
Central axes be directed toward 5 position of crotch always.When practical application, due in the operation to different crowd, 8 phase of boring positioning portion
To the height of crotch 5 can difference, when boring positioning ring 10 rotates, central axes may not always point to some of crotch 5
Fixed point may also occur occurring the case where being detached from crotch 5 under extreme conditions, but structure provided by the invention is still being protected
Under the premise of card 5 size of crotch is constant, the operable range of bore angle is significantly increased.As shown in figure 5, in change case, also
Including drive link 19, it is provided in fixed pole 15 and determines nut 20, worm gear 21 is provided on boring positioning ring 10, drive link 19 is in an axial direction
Both ends be respectively formed leading screw and worm screw, determine nut 20 and match with leading screw, worm gear 21 matches with worm screw, in addition, adjusting rod
Bearing 22 is provided on 16, the drive link 19 is threaded through in bearing 22, ensures the axial direction between drive link 19 and adjusting rod 16
It is fixed, while playing the supporting role to drive link 19.When boring positioning ring 10 rotates, worm gear 21 is driven to rotate, and then band
Dynamic drive link 19 rotates, and the left end of drive link 19 and determines to form Lead screw transmission structure between nut 20, to drive adjusting rod 16
It moves in the axial direction.Preferably, switch screw 23 is provided in fixed pole 15, switch screw 23 axially movable can be with tune
Pole 16 contacts or separation, and by switching the setting of screw 23, the axial direction further increased between fixed pole 15 and adjusting rod 16 is solid
Capability prevents occurring the unstable situation of boring positioning bar 9 when drilling, ensures the safety of operation.
Preferred embodiment:The small notch that one 2~3cm is along clavicle outer rim, along clavicle blunt separation until processus coracoideus;It unclamps
Coracoclavicular ligament rebuilds the locking mechanism 6 of locator, and locator interior bar 1 is slowly probeed into along notch, until crotch 5 is visited to processus coracoideus
Edge;1 angle of interior bar is adjusted, make crotch 5 around processus coracoideus and hooks processus coracoideus lower edge;Push-and-pull button 25 is pushed, the drilling in outer bar 2 is made
Location hole is positioned at clavicle;The clavicle of dislocation reset it is appropriate, boring positioning ring 10 be close to reset after clavicle, by outer bar 2
Locking mechanism 6 lock;Centre bore through boring positioning ring 10, by the drill-through clavicle of 4.5mm core drills with processus coracoideus until reaching curved
On hook 5;Come loose core drill, and the head end of titanium-nickel wire ring 26 is penetrated by core drill, and the axial direction of interior bar 1 is bent at crotch 5
In trepanning, it is pierced by by 2 tail portion of outer bar;Core drill is taken out, by 26 indwelling of titanium-nickel wire ring above clavicle, convenient for drawing ligament reconstructive
Material.
Specific embodiments of the present invention are described above.It is to be appreciated that the invention is not limited in above-mentioned
Particular implementation, those skilled in the art can make various deformations or amendments within the scope of the claims, this not shadow
Ring the substantive content of the present invention.In the absence of conflict, the feature in embodiments herein and embodiment can arbitrary phase
Mutually combination.
Claims (10)
1. a kind of coracoclavicular ligament rebuilds positioning device, which is characterized in that comprising interior bar (1) and outer bar (2), outer bar (2) is in axial direction
Opposite sliding can occur with interior bar (1) for direction;
The interior bar (1) includes guide part (3), reset portion (4) and crotch (5), guide part (3), reset portion (4), crotch (5)
It is sequentially arranged on interior bar (1) length extending direction;Guide part (3) and reset portion (4) on length extending direction there are angle,
Guide part (3) is nested to be mounted in the axial aperture of outer bar (2);
Guide part (3) is integrally formed with reset portion (4), and reset portion (4) is integrally formed or is fastenedly connected with crotch (5);
Locking mechanism (6) is provided in outer bar (2), the locking mechanism (6) can limit between outer bar (2) and interior bar (1)
Axially opposing sliding.
2. coracoclavicular ligament according to claim 1 rebuilds positioning device, which is characterized in that the outer bar (2) includes hand-held
Portion (7) and boring positioning portion (8), hand-held part (7) are integrally formed or are fastenedly connected with boring positioning portion (8);
Boring positioning portion (8) includes boring positioning bar (9) and boring positioning ring (10), and boring positioning ring (10) is located at boring positioning
On the one end of bar (9) in an axial direction.
3. coracoclavicular ligament according to claim 2 rebuilds positioning device, which is characterized in that locking mechanism (6) is located at hand-held
In portion (7), locking mechanism (6) includes contact site (11);The locking mechanism (6) circumferentially rotates can be in locked state and pine
It is converted between both states of open state:
Under the locked state, contact site (11) contacts with each other with guide part (3);
Under the releasing orientation, contact site (11) is separated from each other with guide part (3).
4. coracoclavicular ligament according to claim 3 rebuilds positioning device, which is characterized in that guide part (3) peripheral surface includes
Multiple sequentially connected evacuation faces (12) and arc surface (13);
Arc surface (13) matches with outer bar (2) axial aperture inner wall shape, evacuation face (12) and outer bar (2) axial aperture inner wall
Between form avoiding space;
Under the releasing orientation, contact site (11) is integrally located in avoiding space;Under the locked state, contact site (11) and circle
Cambered surface (13) contacts.
5. coracoclavicular ligament according to claim 4 rebuilds positioning device, which is characterized in that be provided on arc surface (13) more
A arc groove uniformly distributed in an axial direction is provided with arc raised line on contact site (11), and arc raised line matches with arc groove;Or
Person,
It is respectively arranged with the external screw thread to match, internal thread on arc surface (13) and contact site (11).
6. coracoclavicular ligament according to claim 5 rebuilds positioning device, which is characterized in that the outer bar (2) and guide part
(3) it is relatively fixed in circumferential direction;
Be arranged on outer bar (2) axial aperture inner wall it is limited turn raised line (14), be arranged on guide part (3) and limited turn groove.
7. coracoclavicular ligament according to claim 2 rebuilds positioning device, which is characterized in that in the boring positioning ring (10)
Axis intersects with crotch (5);
Boring positioning ring (10) is hinged with boring positioning bar (9).
8. coracoclavicular ligament according to claim 7 rebuilds positioning device, which is characterized in that boring positioning bar (9) packet
Containing fixed pole (15) and adjusting rod (16), fixed pole (15) is slidably connected with adjusting rod (16), and boring positioning ring (10) is hinged on adjusting
On bar (16);
It is provided with rack (17) in fixed pole (15), gear (18), the rack (17) and tooth are provided on boring positioning ring (10)
Wheel (18) matches;Or;
Also include drive link (19), is provided in fixed pole (15) and determines nut (20), boring positioning ring is provided with worm gear on (10)
(21), the both ends of drive link (19) in an axial direction are respectively formed leading screw and worm screw, determine nut (20) and match with leading screw, worm gear (21)
Match with worm screw.
9. coracoclavicular ligament according to claim 8 rebuilds positioning device, which is characterized in that adjusting rod is provided with axis on (16)
It holds (22), the drive link (19) is threaded through in bearing (22);
Be provided in fixed pole (15) switch screw (23), switch screw (23) can be contacted axially movable with adjusting rod (16) or
Separation.
10. coracoclavicular ligament according to claim 1 rebuilds positioning device, which is characterized in that also set up on the outer bar (2)
There are scroll wheel (24) and push-and-pull button (25).
Priority Applications (1)
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CN114272469A (en) * | 2021-12-14 | 2022-04-05 | 金磊 | Injection device for supporting and lifting ligament |
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CN114272469B (en) * | 2021-12-14 | 2024-04-05 | 金磊 | Injection device for ligament support lifting |
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CN108309508B (en) | 2024-02-02 |
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