CN108324354A - A kind of external fixation of fracture Three Dimensional Shape brace - Google Patents
A kind of external fixation of fracture Three Dimensional Shape brace Download PDFInfo
- Publication number
- CN108324354A CN108324354A CN201810307258.4A CN201810307258A CN108324354A CN 108324354 A CN108324354 A CN 108324354A CN 201810307258 A CN201810307258 A CN 201810307258A CN 108324354 A CN108324354 A CN 108324354A
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- plate
- fracture
- titanium steel
- steel plate
- pull rod
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—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
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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
- 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)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
A kind of external fixation of fracture Three Dimensional Shape brace, is placed in orthopedic medical device technical field, for fracture to be fixed outside limbs.Its technical solution is:Moulding soft titanium steel plate is made of top plate and side plate, two side plates are connected to the both sides of top plate, and it is tilted respectively to the outside of top plate, it is arranged with locking screw hole respectively in the plate face of top plate and side plate, the front end of lock screw is connected with the upper surface of fracture site and side respectively, the nut of lock screw is connected with the plate face of top plate and side plate, the lower end of two side plates has pull rod to be connected respectively, the crooked radian of pull rod matches with fracture site limbs lower knuckle degree, and silicagel pad is located at the bottom surface of moulding soft titanium steel plate.The present invention is using three-dimensional fixed, stable fracture site can be realized without fixing joint to fix, it can prevent fracture site from dislocation occurs, shakes, and can avoid the anchylosis caused by fixing joint in fracture healing process, new approach is opened for the external fixation of fracture of juxtra-articular.
Description
Technical field
The utensil that the present invention relates to a kind of to be fixed fracture outside limbs is placed in orthopedic medical device technology neck
Domain.
Background technology
In to the various fractures caused by wound, after generally requiring manipulative reduction fix outside gypsum, or
Operation method is taken to be fixed, and most of patients is the outer fixation using No operation.Currently, being not yet cured completely in patients with fractures
Before conjunction, being fixedly secured for fracture site is still problem in therapeutic process.When on the one hand, using being fixed outside gypsum, for closing
The fracture fixation of backbone generally requires fixing joint near section, if fracture of distal radius needs fixed wrist joint, be easy to cause bone
Anchylosis after folding recovery from illness;On the other hand, fixed material is thicker outside gypsum and stuffiness, the limbs at patients with fractures position are non-
It is often uncomfortable, patient is be easy to cause in physiology and psychological various problems.Fixed outer other than gypsum, Boards wall is also bone
The fixing means that section's clinic uses, but Boards wall is not secured enough, Simultaneous Stabilization is poor, is not suitable for the backbone of juxtra-articular
Fracture fixation.Therefore current fracture site external fixation is difficult to achieve the effect that make doctor and patient satisfaction, and extremely having must
It is improved.
Invention content
Technical problem to be solved by the invention is to provide a kind of external fixation of fracture Three Dimensional Shape brace, this Three Dimensional Shapes
Brace can be realized stable fracture site without fixing joint and fix, and avoid causing the anchylosis in fracture healing process,
Meanwhile this brace is in open state to fracture peripheral limb, keeps the good comfort of limbs.
Solving the technical solution of above-mentioned technical problem is:
A kind of external fixation of fracture Three Dimensional Shape brace, it includes moulding soft titanium steel plate, pull rod, lock screw, silicagel pad, moulding soft
Titanium steel plate is made of top plate and side plate, and top plate and side plate are the identical elongated plates of length, and two side plates are located at top plate
One long side of both sides, two side plates is connected with the two sides of top plate respectively, and the plate face of two side plates is respectively to top plate
Outside tilts, and the plate face of top plate has curvature, the curvature of length direction and reset respectively in length and width directions
The shape of backbone afterwards matches, and limbs surface shape matches outside the curvature of width direction and fracture site, top plate and
Be arranged with locking screw hole in the plate face of side plate respectively, lock screw is spun in locking screw hole, the front end of lock screw respectively with bone
Fracture end the upper surface of be connected with side, the nut of lock screw is connected with the plate face of top plate and side plate, moulding soft titanium steel plate
The lower ends of two side plates there is pull rod to be connected respectively, pull rod is the 2-4 stainless steel lath being bent, the both ends of pull rod respectively with
The lower edge of two side plates is connected by fixing screws, crooked radian and the fracture site limbs lower knuckle degree phase of pull rod
Match, silicagel pad is located at the bottom surface of moulding soft titanium steel plate.
The both ends of above-mentioned external fixation of fracture Three Dimensional Shape brace, the pull rod have multiple pull rod connecting holes, pull rod to connect respectively
It connects hole to arrange along the length direction of pull rod, has fixing threaded hole respectively in the lower edge of two side plates of moulding soft titanium steel plate, Gu
Determine screw and be each passed through the pull rod connecting hole at pull rod both ends to be connected with the fixing threaded hole of two side plate lower edges.
Above-mentioned external fixation of fracture Three Dimensional Shape brace, the screw thread of the lock screw front end and general bone fixation screw
Screw thread is identical, and the nut of lock screw is cone, the diameter of the front end smaller diameter end of conical nut and moulding soft titanium steel plate
The diameter of locking screw hole match, the diameter of the rear end larger diameter end of conical nut is more than the locking spiral shell of moulding soft titanium steel plate
The diameter in hole has locking screw, the screw pitch of locking screw gradually to increase from bottom to top on the outer wall of conical nut.
It is evenly equipped in above-mentioned external fixation of fracture Three Dimensional Shape brace, the top plate of the moulding soft titanium steel plate and the plate face of side plate
Multiple air holes, there is a plastic splint between silicagel pad and moulding soft titanium steel plate, the both sides plate face of plastic splint and silicagel pad and
Moulding soft titanium steel plate is bonded respectively, there is that screw hole is corresponding with the moulding locking screw hole of soft titanium steel plate respectively on plastic splint, plastics
There is corresponding air hole on clamping plate and silicagel pad.
Above-mentioned external fixation of fracture Three Dimensional Shape brace, it also has plastics protection board, plastics protection board to be located at moulding soft titanium steel
The outer layer of plate, the top plate and side plate of moulding soft titanium steel plate have the groove to raise up, plastics to protect respectively at the both ends of length direction
The both ends of backplate are embedding in a groove, and both ends and the groove of plastics protection board are to be slidably matched, and are had on plastics protection board corresponding
Stomata.
The beneficial effects of the invention are as follows:
The present invention is placed on the external limbs surface of fracture site, and moulding soft titanium steel plate can keep phase similar shape with fracture site
Shape, the top plate and side plate of moulding soft titanium steel plate are located at three faces of fracture site, and lock screw is from three faces and fracture site phase
Connection realizes and is fixed to the solid of fracture site that pull rod can keep the dimensionally stable of moulding soft titanium steel plate, matched lock
Determine screw upper end to lock with moulding soft titanium steel plate fastening, to ensure that fracture site and the firm stable of moulding soft titanium steel plate
Connection.
The present invention is the pioneering of external fixation of fracture, and solving current juxtra-articular external fixation of fracture must be fixed using gypsum
The problem of, open new approach for the external fixation of fracture of juxtra-articular.The present invention is fixed using three-dimensional, is without fixing joint
Stable fracture site can be achieved to fix, can prevent fracture site from dislocation occurs, shakes, and avoid caused by fixing joint
Anchylosis in fracture healing process.Meanwhile moulding soft titanium steel plate is in open state to fracture peripheral limb, can keep suffering from
The good comfort of person's limbs, is welcome by patient.
Description of the drawings
Fig. 1 is the structural schematic diagram of the present invention;
Fig. 2 is locked out the lock-out state schematic diagram of screw;
Fig. 3 is the use state diagram of the present invention.
It is marked in figure as follows:Moulding soft titanium steel plate 1, top plate 2, side plate 3, pull rod 4, silicagel pad 5, plastic splint 6, plastics are protected
Backplate 7, locking screw hole 8, lock screw 9, pull rod connecting hole 10, fixing screws 11, air hole 12, fracture site 13.
Specific implementation mode
The present invention by moulding soft titanium steel plate 1, pull rod 4, silicagel pad 5, plastic splint 6, plastics protection board 7, lock screw 9,
Fixing screws 11 form.
Fig. 1 shows that moulding soft titanium steel plate 1 is made of top plate 2 and side plate 3.Top plate 2 and side plate 3 are the identical strip of length
Shape plate, the both sides for being located at top plate 2 of two side plates 3, a long side of two side plates 3 two sides with top plate 2 respectively
It is connected, the plate face of two side plates 3 is tilted to the outside of top plate 2 respectively.
Fig. 1 shows, moulding soft titanium steel plate 1 can carry out it is moulding, using it is preceding by moulding soft titanium steel plate 1 according to fracture site into
Row bending is moulding, special long handle bending tool need to be used to carry out bending.The plate face of top plate 2 after moulding is in length direction and width
There are curvature, the curvature of length direction and the shape of the backbone after reset to match on direction respectively, the bending of width direction
Degree matches with limbs surface shape outside fracture site.
Fig. 1,3 displays, the lower end of two side plates 3 of moulding soft titanium steel plate 1 have pull rod 4 to be connected respectively, the effect of pull rod 4
It is the dimensionally stable that can keep moulding soft titanium steel plate 1, is more advantageous to lock screw 9 and fracture site is fixedly connected.Pull rod 4
There are multiple pull rod connecting holes 10 at the stainless steel lath being bent for 2-4, the both ends of pull rod 4 respectively, and pull rod connecting hole 10 is along drawing
The length direction of bar 4 arranges, and has fixing threaded hole, fixing screws 11 respectively in the lower edge of two side plates 3 of moulding soft titanium steel plate 1
The pull rod connecting hole 10 for being each passed through 4 both ends of pull rod is connected with the fixing threaded hole of two 3 lower edges of side plate.
Fig. 1,3 displays, crooked radian and the fracture site limbs lower knuckle degree of pull rod 4 match, and clinic can select
The pull rod 4 of differently curved radian, and the high and low position of pull rod 4 can be adjusted by different pull rod connecting holes 10, to reach most
Good link position.
Fig. 1,2 are shown, are arranged with locking screw hole 8, locking on the top plate 2 of moulding soft titanium steel plate 1 and the plate face of side plate 3 respectively
Screw 9 is spun in locking screw hole 8, and the front end of lock screw 9 is connected with the upper surface of fracture site 13 and side respectively, locking spiral shell
The nut of nail 9 is connected with the plate face of top plate 2 and side plate 3.The lock screw 9 of the present invention is made of hard titanium, is had enough
Intensity can carry out reaming and tapping to moulding soft titanium steel plate 1.
Fig. 2 shows that the screw thread of 9 front end of lock screw is identical as the general screw thread of bone fixation screw, for disconnected with fracture
End 13 is attached.The nut of lock screw 9 is cone, the diameter of the front end smaller diameter end of conical nut and moulding soft titanium
The diameter of the locking screw hole 8 of steel plate 1 matches, and the diameter of the rear end larger diameter end of conical nut is more than moulding soft titanium steel plate 1
Locking screw hole 8 diameter, there is locking screw, the screw pitch of locking screw gradually to increase from bottom to top on the outer wall of conical nut
Greatly.This structure can make the nut of lock screw 9 when being screwed into locking screw hole 8, and the larger diameter end screw thread at nut rear portion is to lock
Determine screw hole 8 and carry out reaming tapping, lock screw 9 is enable securely to be connect with locking screw hole 8.
Fig. 1,3 displays, silicagel pad 5 are located between the top plate 2 and the bottom surface and limbs of side plate 3 of moulding soft titanium steel plate 1.
There are plastic splint 6, both sides plate face and silicagel pad 5 and the moulding soft titanium of plastic splint 6 between silicagel pad 5 and moulding soft titanium steel plate 1
Steel plate 1 is bonded respectively, has screw hole corresponding with the locking screw hole 8 of moulding soft titanium steel plate 1 respectively in silicagel pad 5 and plastic splint 6.
Plastics protection board 7 is located at the outer layer of moulding soft titanium steel plate 1, and the top plate 2 and side plate 3 of moulding soft titanium steel plate 1 are the two of length direction
There is the groove to raise up at end respectively, and the both ends of plastics protection board 7 are embedding in a groove, and both ends and the groove of plastics protection board 7 are
It is slidably matched.
Fig. 1 is shown, multiple air holes 12 are evenly equipped on the top plate 2 of moulding soft titanium steel plate 1 and the plate face of side plate 3, and plastics are protected
There is corresponding air hole in backplate 7, plastic splint 6 and silicagel pad 5.The effect of air hole 12 is to make the skin contact of corresponding site
Air keeps limbs more comfortable.
The application method of the present invention is as follows:
Closed reduction is carried out to fracture according to fracture situation first, later according to fracture segment length and patient's suffering limb diameter, selection
The moulding brace of suitable length and width carries out moulding.It is preliminary it is moulding after, moulding brace is buckled in suffering limb, aiming is passed through
Hole carries out screw merging to suffering limb, is punched first with electric drill under local anaesthesia, is percutaneously screwed into screw later, when screw-driving pressurizes
The hard titanium screw thread of tip of screw can cut soft titanium, form screw thread, ultimately form lock-out state, any angle may be implemented in this way
Locking.
Claims (5)
1. a kind of external fixation of fracture Three Dimensional Shape brace, it is characterised in that:It includes moulding soft titanium steel plate(1), pull rod(4), lock
Determine screw(9), silicagel pad(5), moulding soft titanium steel plate(1)By top plate(2)And side plate(3)Composition, top plate(2)And side plate(3)For
The identical elongated plates of length, two side plates(3)It is located at top plate(2)Both sides, two side plates(3)A long side point
Not and top plate(2)Two sides be connected, two side plates(3)Plate face respectively to top plate(2)Outside tilt, top plate(2)'s
Plate face has curvature, the curvature of length direction and the shape phase of the backbone after reset respectively in length and width directions
Matching, curvature and the limbs surface shape outside fracture site of width direction match, top plate(2)And side plate(3)Plate face
It is upper to be arranged with locking screw hole respectively(8), lock screw(9)It is spun on locking screw hole(8)In, lock screw(9)Front end respectively with
Fracture site(13)The upper surface of be connected with side, lock screw(9)Nut and top plate(2)And side plate(3)Plate face be connected
It connects, moulding soft titanium steel plate(1)Two side plates(3)Lower end have pull rod respectively(4)It is connected, pull rod(4)It is bent for 2-4
Stainless steel lath, pull rod(4)Both ends respectively with two side plates(3)Lower edge pass through fixing screws(11)It is connected, pull rod
(4)Crooked radian match with fracture site limbs lower knuckle degree, silicagel pad(5)Positioned at moulding soft titanium steel plate(1)Under
Bottom surface.
2. external fixation of fracture Three Dimensional Shape brace according to claim 1, it is characterised in that:The pull rod(4)Both ends
There are multiple pull rod connecting holes respectively(10), pull rod connecting hole(10)Along pull rod(4)Length direction arrangement, in moulding soft titanium steel
Plate(1)Two side plates(3)Lower edge have fixing threaded hole, fixing screws respectively(11)It is each passed through pull rod(4)The drawing at both ends
Lever attachment hole(10)With two side plates(3)The fixing threaded hole of lower edge is connected.
3. external fixation of fracture Three Dimensional Shape brace according to claim 2, it is characterised in that:The lock screw(9)Before
The screw thread at end is identical as the general screw thread of bone fixation screw, lock screw(9)Nut be cone, before conical nut
Hold the diameter of smaller diameter end and moulding soft titanium steel plate(1)Locking screw hole(8)Diameter match, the rear end of conical nut is big
The diameter of diameter end is more than moulding soft titanium steel plate(1)Locking screw hole(8)Diameter, have locking on the outer wall of conical nut
The screw pitch of screw thread, locking screw gradually increases from bottom to top.
4. external fixation of fracture Three Dimensional Shape brace according to claim 3, it is characterised in that:The moulding soft titanium steel plate
(1)Top plate(2)And side plate(3)Plate face on be evenly equipped with multiple air holes(12), in silicagel pad(5)With moulding soft titanium steel plate
(1)Between have plastic splint(6), plastic splint(6)Both sides plate face and silicagel pad(5)With moulding soft titanium steel plate(1)It glues respectively
It connects, plastic splint(6)On have screw hole respectively with moulding soft titanium steel plate(1)Locking screw hole(8)It is corresponding, plastic splint(6)With
Silicagel pad(5)On have corresponding air hole(12).
5. external fixation of fracture Three Dimensional Shape brace according to claim 1, it is characterised in that:It also has plastics protection board
(7), plastics protection board(7)Positioned at moulding soft titanium steel plate(1)Outer layer, moulding soft titanium steel plate(1)Top plate(2)And side plate(3)
There are the groove to raise up, plastics protection board respectively at the both ends of length direction(7)Both ends it is embedding in a groove, plastics protection board
(7)Both ends and groove be to be slidably matched, plastics protection board(7)On have corresponding air hole(12).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810307258.4A CN108324354A (en) | 2018-04-08 | 2018-04-08 | A kind of external fixation of fracture Three Dimensional Shape brace |
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CN201810307258.4A CN108324354A (en) | 2018-04-08 | 2018-04-08 | A kind of external fixation of fracture Three Dimensional Shape brace |
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CN108324354A true CN108324354A (en) | 2018-07-27 |
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CN201810307258.4A Pending CN108324354A (en) | 2018-04-08 | 2018-04-08 | A kind of external fixation of fracture Three Dimensional Shape brace |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110236759A (en) * | 2019-06-04 | 2019-09-17 | 河北医科大学第三医院 | A kind of multi-functional fracture stabilizing brace |
CN112006847A (en) * | 2019-05-29 | 2020-12-01 | 上海交通大学医学院附属第九人民医院 | Automatic change gypsum fixation machine people |
CN113729896A (en) * | 2021-09-09 | 2021-12-03 | 李春蜜 | Bone fracture repairing support for orthopedics department |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
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CN1416783A (en) * | 2001-11-08 | 2003-05-14 | 单联明 | External forearm fixing splints with pin |
CN2853015Y (en) * | 2005-12-27 | 2007-01-03 | 刁兴利 | External fixing plate for tibiofibula |
CN2857898Y (en) * | 2005-12-27 | 2007-01-17 | 刁兴利 | External tibiofibula fixator for orthopedics |
CN201987649U (en) * | 2011-03-13 | 2011-09-28 | 冯作强 | Bone fracture external fixer |
CN203195818U (en) * | 2013-04-23 | 2013-09-18 | 王占文 | Orthopedic stabilization splint |
CN209018900U (en) * | 2018-04-08 | 2019-06-25 | 河北医科大学第三医院 | A kind of external fixation of fracture Three Dimensional Shape brace |
-
2018
- 2018-04-08 CN CN201810307258.4A patent/CN108324354A/en active Pending
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1416783A (en) * | 2001-11-08 | 2003-05-14 | 单联明 | External forearm fixing splints with pin |
CN2853015Y (en) * | 2005-12-27 | 2007-01-03 | 刁兴利 | External fixing plate for tibiofibula |
CN2857898Y (en) * | 2005-12-27 | 2007-01-17 | 刁兴利 | External tibiofibula fixator for orthopedics |
CN201987649U (en) * | 2011-03-13 | 2011-09-28 | 冯作强 | Bone fracture external fixer |
CN203195818U (en) * | 2013-04-23 | 2013-09-18 | 王占文 | Orthopedic stabilization splint |
CN209018900U (en) * | 2018-04-08 | 2019-06-25 | 河北医科大学第三医院 | A kind of external fixation of fracture Three Dimensional Shape brace |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN112006847A (en) * | 2019-05-29 | 2020-12-01 | 上海交通大学医学院附属第九人民医院 | Automatic change gypsum fixation machine people |
CN110236759A (en) * | 2019-06-04 | 2019-09-17 | 河北医科大学第三医院 | A kind of multi-functional fracture stabilizing brace |
CN113729896A (en) * | 2021-09-09 | 2021-12-03 | 李春蜜 | Bone fracture repairing support for orthopedics department |
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