CN108403197A - A kind of femoral interlocking nail openings lead device - Google Patents

A kind of femoral interlocking nail openings lead device Download PDF

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Publication number
CN108403197A
CN108403197A CN201810295685.5A CN201810295685A CN108403197A CN 108403197 A CN108403197 A CN 108403197A CN 201810295685 A CN201810295685 A CN 201810295685A CN 108403197 A CN108403197 A CN 108403197A
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CN
China
Prior art keywords
galianconism
pilot hole
holder
long
arm support
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201810295685.5A
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Chinese (zh)
Inventor
郁传江
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Individual
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Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201810295685.5A priority Critical patent/CN108403197A/en
Publication of CN108403197A publication Critical patent/CN108403197A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary pins, nails or other devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74Devices for the head or neck or trochanter of the femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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

Abstract

The present invention relates to medical instruments, femoral interlocking nail openings lead device, galianconism holder including long arm support and with the perpendicular setting of the holder, it is equipped with pilot hole on long arm support and galianconism holder, the pilot hole of several and long-armed support vertical is set on long arm support, galianconism holder is equipped with several pilot holes vertical with galianconism, and the pilot hole is located on same section.The present invention uses the principle of two points one lines, when long-armed guide pipe is withstood on completely on the outside of the cortex of femoral shaft, the crosspoint of extended line is placed exactly in the center of femoral bone cavitas medullaris, using the tip of femoral bone tuberosity or Pyriform sinus as point of penetration, it is simple in structure easy to implement, it is fast and accurate for positioning.

Description

A kind of femoral interlocking nail openings lead device
Technical field
The present invention relates to medical instruments, and in particular to a kind of femoral interlocking nail openings lead device.
Background technology
In the operative treatment of intertrochanter fracture of femur, after the completion of the reduction of the fracture, all with tuberosity tip or Pyriform sinus Kirschner wire first carries out positioning and guiding.When clinical operation, often because of the blocking of the deviation and limbs of range estimation, and cause to position guide pin Position and direction mistake.Solve the problems, such as this, it is necessary to design one and can ensure that will disposably be oriented to Kirschner wire is implanted in The guider of near end of thighbone appropriate location, to avoid multiple perspective from saving operating time.
Invention content
The present invention positions inaccurate defect to solve above-mentioned guidance difficulties, provides a kind of simple in structure, and accurate positioning is fast Speed takes convenient femoral interlocking nail openings lead device.
The present invention using following technical scheme realize,
Femoral interlocking nail openings lead device, including long arm support and the galianconism holder with the perpendicular setting of the holder, long-armed branch It is equipped with pilot hole on frame and galianconism holder, the pilot hole of several and long-armed support vertical, galianconism branch are set on long arm support Frame is equipped with several pilot holes vertical with galianconism, and the pilot hole is located on same section.
Preferably, the top of the long arm support and galianconism holder is equipped with the linking arm for tilting connection.
Preferably, the movable straight barrel type guide pipe being fixedly connected is equipped in the pilot hole.
Preferably, one end of the guide pipe is equipped with the shaft shoulder of limit.
Preferably, the outside for the long arm support that the guide pipe shaft shoulder in the long-armed pilot hole is located at, in galianconism pilot hole The guide pipe shaft shoulder be located at the downside of galianconism holder.
The principle of the present invention, using the principle of two points one lines, i.e., the extended line of long-armed guide pipe and prolonging for galianconism guide pipe Long line crosspoint with a distance from long-armed guide pipe top at 1 centimetre or so, when long-armed guide pipe withstands on the cortex of femoral shaft completely When outside, the crosspoint of extended line is placed exactly in the center of femoral bone cavitas medullaris, using the tip of femoral bone tuberosity or Pyriform sinus as Point of penetration, upper 1/3 pulp cavity midpoint is positioned as anchor point in femur, and guide pin is screwed in from the guide pipe at femoral bone tuberosity position It can be realized and accurately enter upper 1/3 pulp cavity center in femur, it is simple in structure easy to implement, it is fast and accurate for positioning.
Description of the drawings
Fig. 1 main structure diagrams of the present invention;
Fig. 2 present invention looks up structural representation of the present invention;
Fig. 3 left view structural representations of the present invention;
Fig. 4 ~ Fig. 8 present invention implements structural schematic diagram;
1. galianconism holder in figure, 2. galianconism guide pipes, 3. long-armed guide pipes, 4. long arm supports, 5. linking arms, 6. femurs, 7. length Kirschner wire, 8. short Kirschner wires.
Specific implementation mode
The invention will be further described below in conjunction with the accompanying drawings.
As shown in Figure 1 to Figure 3, the present invention provides a kind of femoral interlocking nail openings lead device, includes the holder 4 of long-armed setting And the galianconism holder 1 with the perpendicular setting of the holder, long arm support form L-shaped support construction with galianconism holder.Long-armed branch Pilot hole is equipped on frame and galianconism holder, pilot hole enables to Kirschner wire to pass through after placing guide pipe.Wherein long arm support Upper setting 5 makes Kirschner wire holding and long-armed vertical pilot hole, and galianconism holder, which is equipped with, makes Kirschner wire keep vertical with galianconism Pilot hole, the pilot hole is located on same section.
And in order to reduce the contact area of guider and tissue, while being operated convenient for personnel, the long arm support and galianconism The top of holder is equipped with the linking arm 5 for tilting connection.
In the present embodiment, in order to further make Kirschner wire that there is better directionality in operation, it is equipped in pilot hole Guide pipe and pilot hole are fixed when using, so that Kirschner wire is screwed in along guide pipe by the movable guide pipe being fixedly connected, long It is replaced according to the fracture site and femur length of patient the position of arm guide pipe.
One end of guide pipe is equipped with the shaft shoulder limited with pilot hole, wherein as shown in Figure 1, the guiding in long-armed pilot hole The pipe shaft shoulder is located at the outside of long arm support, and the guide pipe shaft shoulder in galianconism pilot hole is located at the downside of galianconism holder.It is arranged in this way Purpose is fixed when so that Kirschner wire is screwed in guide pipe along guide pipe direction.
The application method of the present invention is as shown in Figures 4 to 7, and following Fig. 4 first selects suitable long-armed guide pipe, generally in stock 15 centimetres or so of bone tuberosity distal end, vertical femoral shaft direction screw in 2.5 millimeters of Kirschner wires of diameter so that Kirschner wire enters femur Among dry pulp cavity in the front-back direction, such as Fig. 5.Femoral interlocking nail openings lead device is placed, long-armed guiding is placed along Kirschner wire Pipe makes guide pipe push up always on the outside of the cortex bone of femoral shaft.Following Fig. 3 again from femoral bone tuberosity tip or Pyriform sinus direction, 2.8 millimeters of Kirschner wires of another piece of diameter are screwed in along galianconism guide pipe.If Fig. 4 is along pilot hole, screwed in femoral bone cavitas medullaris direction 20 centimetres can be completed guiding.Guider is removed, marrow is carried out out along the Kirschner wire at femoral bone tuberosity position, is implanted into intramedullary nail, it is complete At the fixation of femoral trochanteric.

Claims (5)

1. femoral interlocking nail openings lead device, it is characterised in that:It is short including long arm support and with the perpendicular setting of the holder It is equipped with pilot hole on arm support, long arm support and galianconism holder, several and long-armed support vertical are set on long arm support Pilot hole, galianconism holder are equipped with several pilot holes vertical with galianconism, and the pilot hole is located on same section.
2. femoral interlocking nail openings lead device according to claim 1, which is characterized in that the long arm support and galianconism branch The top of frame is equipped with the linking arm for tilting connection.
3. femoral interlocking nail openings lead device according to claim 2, which is characterized in that being equipped in the pilot hole can The straight barrel type guide pipe that activity is fixedly connected.
4. femoral interlocking nail openings lead device according to claim 3, which is characterized in that one end of the guide pipe is equipped with The shaft shoulder of limit.
5. femoral interlocking nail openings lead device according to claim 4, which is characterized in that leading in the long-armed pilot hole The outside for the long arm support being located to the pipe shaft shoulder, the guide pipe shaft shoulder in galianconism pilot hole are located at the downside of galianconism holder.
CN201810295685.5A 2018-03-30 2018-03-30 A kind of femoral interlocking nail openings lead device Pending CN108403197A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810295685.5A CN108403197A (en) 2018-03-30 2018-03-30 A kind of femoral interlocking nail openings lead device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810295685.5A CN108403197A (en) 2018-03-30 2018-03-30 A kind of femoral interlocking nail openings lead device

Publications (1)

Publication Number Publication Date
CN108403197A true CN108403197A (en) 2018-08-17

Family

ID=63134447

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201810295685.5A Pending CN108403197A (en) 2018-03-30 2018-03-30 A kind of femoral interlocking nail openings lead device

Country Status (1)

Country Link
CN (1) CN108403197A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110974390A (en) * 2019-12-11 2020-04-10 常州市图尔迈医疗器械有限公司 Mounting rack for accurately positioning intramedullary nail

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2662844Y (en) * 2003-08-27 2004-12-15 王庆贤 Improved femoral intramedullary nail aiming instrument
CN1657014A (en) * 2005-03-19 2005-08-24 戴维享 Location-guiding apparatus for arranging internal guide meedle in femur neck
CN201135492Y (en) * 2007-12-03 2008-10-22 上海市第六人民医院 Femoral intramedullary nail needle insertion sights
CN202313574U (en) * 2011-11-22 2012-07-11 王光明 Dimensional coordinate location drilling guide apparatus
US20160199108A1 (en) * 2015-01-09 2016-07-14 Dean Matsuda Method and apparatuses for angular and rotational correction of the femur

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2662844Y (en) * 2003-08-27 2004-12-15 王庆贤 Improved femoral intramedullary nail aiming instrument
CN1657014A (en) * 2005-03-19 2005-08-24 戴维享 Location-guiding apparatus for arranging internal guide meedle in femur neck
CN201135492Y (en) * 2007-12-03 2008-10-22 上海市第六人民医院 Femoral intramedullary nail needle insertion sights
CN202313574U (en) * 2011-11-22 2012-07-11 王光明 Dimensional coordinate location drilling guide apparatus
US20160199108A1 (en) * 2015-01-09 2016-07-14 Dean Matsuda Method and apparatuses for angular and rotational correction of the femur

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110974390A (en) * 2019-12-11 2020-04-10 常州市图尔迈医疗器械有限公司 Mounting rack for accurately positioning intramedullary nail
CN110974390B (en) * 2019-12-11 2020-11-17 常州市图尔迈医疗器械有限公司 Mounting rack for accurately positioning intramedullary nail

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Application publication date: 20180817