CN108652722B - Protective device for open fracture treatment - Google Patents

Protective device for open fracture treatment Download PDF

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Publication number
CN108652722B
CN108652722B CN201810337271.4A CN201810337271A CN108652722B CN 108652722 B CN108652722 B CN 108652722B CN 201810337271 A CN201810337271 A CN 201810337271A CN 108652722 B CN108652722 B CN 108652722B
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Prior art keywords
protective device
open fracture
fracture treatment
fixing
treatment according
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CN201810337271.4A
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CN108652722A (en
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张英泽
陈伟
王玲
朱燕宾
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Third Hospital of Hebei Medical University
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Third Hospital of Hebei Medical University
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    • 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
    • A61B17/60Surgical 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
    • 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)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses a protective device for open fracture treatment, which can replace a conventional external fixing frame and is used for treating open fracture. The outer protective sleeve of the protective device wraps the affected part, is inserted into the bone of the affected part by the fixing nail and is positioned axially and radially by magnetic adsorption, and can reduce infection and inflammation of the affected part caused by dust (bacteria) or water under the condition of ensuring air permeability; the outer protecting sleeve and the fixing nails play a role in mutual fixation, the outer protecting sleeve also plays a role in connecting and fixing a plurality of fixing nails, the protruding length of the fixing nails is prevented from being too long, the contact probability of external force and the fixing nails is reduced, and the intervention stability of the fixing nails is improved; in addition, the insertion holes are arranged in strip-shaped holes, so that the precision of the insertion positions of the fixing nails is improved.

Description

Protective device for open fracture treatment
Technical Field
The invention relates to the field of fracture treatment, in particular to a protection device for open fracture treatment.
Background
After open fracture is caused by external trauma, the prior external fixing frame or combined external fixing frame is mostly adopted to carry out fixation treatment on the fracture part. The recovery time after fracture is generally 3-6 months, and generally patients mostly choose to go home to live in Liaoning due to long recovery time, but the external fixing frame protrudes out of the limb, so that much inconvenience is brought to the daily life of the patients, the protection performance is poor, the infection chances are increased, the sanitation and the water resistance of the affected part need to be paid attention to all the time, and the secondary wound is avoided.
Disclosure of Invention
The invention aims to provide a protective device for open fracture treatment, which has good protective performance and avoids secondary injury.
In order to solve the technical problems, the technical scheme adopted by the invention is as follows:
a protection device for open fracture treatment, including being used for interveneeing affected part bone and connecting the staple of fixing it, its characterized in that: the protective device further comprises an outer protective sleeve which is sleeved on an affected part of a limb and forms an annular gap of 5-20 mm with the surface layer of the limb, an adaptation area is arranged on the outer wall of the outer protective sleeve along the axial direction of the outer protective sleeve, the adaptation area comprises an inwards-concave rectangular sinking groove, a plurality of intervention holes are formed in the rectangular sinking groove, the intervention holes are of a strip-shaped hole structure which is axially arranged along the outer protective sleeve, the periphery of the outer side of the intervention holes is positioned in the rectangular sinking groove to form an extrusion part, and the outer surface of the extrusion part is a metal layer; the staple is T shape structure, has spacing portion and the vertical intervention portion that can penetrate the hole of interveneeing of level setting, the arcwall face that can laminate mutually with the extrusion surface is personally submitted to the lower extreme of spacing portion, be equipped with the magnetic force adsorbed layer that can adsorb on the metal level on the arcwall face.
The further technical scheme is as follows: outer lag is the polymer splint material, the adaptation district is located the arc aluminum plate of outer lag of embedding, outer lag is the same with the thickness of arc aluminum plate.
The further technical scheme is as follows: arc aluminum plate and outer lag overlap joint are fixed, arc aluminum plate has first overlap joint portion all around, outer lag and arc aluminum plate lapped position have with first overlap joint portion assorted second overlap joint portion.
The further technical scheme is as follows: the thickness of the first overlapping part and the second overlapping part after overlapping is the same as that of the outer protective sleeve.
The further technical scheme is as follows: the first lap joint part is fixed with a connecting barb which can be embedded into the second lap joint part.
The further technical scheme is as follows: the first lap joint part and the second lap joint part are fixedly bonded.
The further technical scheme is as follows: the outer surface of the metal layer is provided with friction lines for increasing the friction force between the metal layer and the magnetic adsorption layer.
The further technical scheme is as follows: the fixing nail comprises a positioning sleeve and a carbon fiber rod, the carbon fiber rod is of a screw or screw structure, the positioning sleeve is of a T-shaped structure, and a T-shaped through hole matched with the carbon fiber rod is formed in the axis of the positioning sleeve.
The further technical scheme is as follows: a plurality of air holes are uniformly distributed on the outer protective sleeve.
Adopt the produced beneficial effect of above-mentioned technical scheme to lie in:
the protective device can replace a conventional external fixing frame and is used for treating open fracture. The outer protective sleeve wraps the affected part, the fixation nail is inserted into the bone, and the outer protective sleeve is positioned by magnetic adsorption, so that infection and inflammation of the affected part caused by dust (bacteria) or water can be reduced under the condition of ensuring air permeability; the outer protective sleeve also achieves the purpose of connecting and fixing a plurality of fixing nails, avoids overlong protruding length of the fixing nails, reduces the contact probability of external force and the fixing nails, and improves the stability of the intervention of the fixing nails; in addition, the insertion holes are arranged in strip-shaped holes, so that the precision of the insertion positions of the fixing nails is improved.
Drawings
The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the expanded configuration of FIG. 1;
fig. 3 is a schematic structural view of the fixing nail of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention are clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, not all, embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the description of the embodiments given herein without making any inventive step, are within the scope of the present invention.
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, but the present invention may be practiced in other ways than those specifically described and will be readily apparent to those of ordinary skill in the art without departing from the spirit of the present invention, and therefore the present invention is not limited to the specific embodiments disclosed below.
As shown in fig. 1 to 3, a protector for open fracture treatment includes a fixing pin 10 for inserting into a bone of an affected part to fixedly connect the bone, and the fractured bone is fixed by the fixing pin 10. The driving position of the fixing nail 10 is the same as that of the external fixator, and generally the fixing nail 10 is driven and fixed from the inner side after the fracture of the calf or forearm, while the fixing nail 10 is driven and fixed from the outer side after the fracture of the thigh or upper arm.
This protector still includes and is used for the cover to locate the limbs affected part and form 5 ~ 20mm annular gap's outer lag 20 with the limbs top layer, be equipped with adaptation district 21 along its axial on the outer wall of outer lag 20, adaptation district 21 is including inside sunken rectangle heavy groove, a plurality of intervention hole 211 has been seted up on the rectangle heavy groove, intervention hole 211 is the bar hole structure of arranging along outer lag 20 axial, be located the rectangle heavy inslot all around in the hole 211 outside and form extrusion portion 212, the surface of extrusion portion 212 is metal level 213.
The staple 10 is T shape structure, has spacing portion and the vertical intervention portion that can penetrate the hole 211 that intervenes that the level set up, the lower extreme of spacing portion is personally submitted the arcwall face that can laminate mutually with extrusion 212 surface, be equipped with the magnetic adsorption layer 11 that can adsorb on metal level 213 on the arcwall face.
The protective device can replace a conventional external fixing frame and is used for treating open fracture. When using, earlier overlap outer lag 20 in the affected part of limbs, then rotatory adjustment outer lag 20, make adaptation district 21 correspond with the affected part, and guarantee to keep certain annular interval as far as possible between outer lag 20 and the limbs, then pass intervention hole 211 with the portion of interveneeing of staple 10, and adjust the axial position of staple 10 along interveneeing hole 211, then use equipment is squeezed into the staple 10 into the bone in, and make spacing portion and extrusion portion 212 laminate mutually with the help of the absorption of magnetic force adsorbed layer 11 to metal level 213, realize that staple 10 is fixed to outer lag 20, can make and keep certain annular interval between outer lag 20 and the limbs through the length of squeezing into staple 10.
The outer protective sleeve 20 of the protective device wraps the affected part, the fixation nail 10 is inserted into the bone of the affected part, and the outer protective sleeve 20 is axially and radially positioned by magnetic adsorption, so that the infection and inflammation of the affected part caused by dust (bacteria) or water can be reduced under the condition of ensuring air permeability; the outer protecting sleeve 20 and the fixing nails 10 are mutually fixed, the outer protecting sleeve 20 also plays a role in connecting and fixing a plurality of fixing nails 10, the overlong protruding length of the fixing nails 10 is avoided, the contact probability of external force and the fixing nails is reduced, and the intervention stability of the fixing nails 10 is improved; in addition, the intervention hole 211 is a strip-shaped hole, so that the accuracy of the intervention position of the fixing nail 10 is improved.
The diameter of the sleeve formed by the outer protective sheath 20 is dependent on the size of the patient, since the patient may have different fat and thin body shapes. In order to facilitate the use of the device, the outer protective cover 20 is made of a polymer splint made of a plurality of layers of polymer fibers impregnated with polyurethane or polyester. The polyurethane material is a segmented copolymer containing soft segment, has higher plastic capability, can be shaped into a shape fitting with limbs in 75 ℃ water, has high curing speed, hard strength and light weight after curing, generally has no stimulation to affected parts, and does not generate anaphylactic reaction. And the adaptation zone 21 is located on an arc-shaped aluminum plate 22 embedded in the outer protective sleeve 20, and the thickness of the outer protective sleeve 20 is the same as that of the arc-shaped aluminum plate 22. The adaptation district 21 is because during the nailing, staple 10 need be spacing by extrusion portion 212, therefore adaptation district 21 need can bear great power, so imbed arc aluminum plate 22 on polymer splint material to improve the life of the device.
In order to improve the holistic structural strength of outer lag 20, it is fixed that arc aluminum plate 22 and outer lag 20 adopt the lapped form, arc aluminum plate 22 have first overlap joint portion 214 all around, outer lag 20 and the lapped position of arc aluminum plate 22 have with first overlap joint portion 214 assorted second overlap joint portion 201, in addition in order to guarantee that arc aluminum plate 22 imbeds whole inner wall in back smooth, improve the comfort level that the patient wore, thickness after first overlap joint portion 214 and the overlap joint of second overlap joint portion 201 is the same with outer lag 20's thickness.
Specifically, after the first overlapping portion 214 overlaps the second overlapping portion 201, a connection barb 215 capable of being embedded into the second overlapping portion 201 may be fixed to the first overlapping portion 214, so as to achieve overlapping fixation. The first strap 214 and the second strap 201 may be adhesively fixed.
In order to increase the friction between the metal layer 213 and the magnetic force absorption layer 11, so that the metal layer 213 and the magnetic force absorption layer 11 are not easy to slide axially, the outer surface of the metal layer 213 has friction lines for increasing the friction between the metal layer and the magnetic force absorption layer 11.
In order to prevent the driving of the fixing nail 10 from being affected by the magnetic force of the magnetic adsorption layer 11, the fixing nail 10 adopts a split structure and comprises a positioning sleeve 12 and a carbon fiber rod 13, the carbon fiber rod 13 is in a screw or screw structure, the positioning sleeve 12 is in a T-shaped structure, and a T-shaped through hole matched with the carbon fiber rod 13 is formed in the axis of the positioning sleeve 12. In use, since the magnetic force adsorption layer 11 is provided on the positioning sleeve 12, the positioning sleeve 12 is first mounted at a suitable position in the insertion hole 211 and fixed to the pressing portion 212 by adsorption, and then the carbon fiber rod 13 is inserted through the positioning sleeve 12 and driven into the bone with a tool. Thus, when the carbon fiber rod 13 is driven, the carbon fiber rod can be driven at any angle without being affected by the magnetic force.
Further, in order to improve the air permeability of the affected part, especially in summer, and prevent the affected part from rotting, a plurality of air holes 23 are uniformly distributed on the lower outer protective sleeve 20.
The above is only a preferred embodiment of the invention, and any simple modifications, variations and equivalents of the invention may be made by anyone in light of the above teachings and fall within the scope of the invention.

Claims (8)

1. A protection device for open fracture treatment, comprising a fixing nail (10) for being inserted into a bone of an affected part to be fixedly connected thereto, characterized in that:
the protective device further comprises an outer protective sleeve (20) which is sleeved on an affected part of a limb and forms an annular gap of 5-20 mm with the surface layer of the limb, an adaptation area (21) is arranged on the outer wall of the outer protective sleeve (20) along the axial direction of the outer protective sleeve, the adaptation area (21) comprises an inwards-concave rectangular sinking groove, a plurality of intervention holes (211) are formed in the rectangular sinking groove, the intervention holes (211) are of strip-shaped hole structures which are axially arranged along the outer protective sleeve (20), the periphery of the outer side of the intervention holes (211) is positioned in the rectangular sinking groove to form an extrusion part (212), and the outer surface of the extrusion part (212) is a metal layer (213);
staple (10), be T shape structure, the spacing portion that has the level setting and the intervention portion that vertical setting can penetrate intervention hole (211), the arcwall face that can laminate mutually with extrusion portion (212) surface is personally submitted to the lower extreme of spacing portion, be equipped with magnetic adsorption layer (11) that can adsorb on metal level (213) on the arcwall face.
2. A protective device for open fracture treatment according to claim 1, wherein: outer lag (20) are the polymer splint material, adaptation district (21) are located arc aluminum plate (22) of outer lag (20) of embedding, outer lag (20) are the same with arc aluminum plate (22)'s thickness.
3. A protective device for open fracture treatment according to claim 2, wherein: arc aluminum plate (22) and outer lag (20) overlap joint are fixed, arc aluminum plate (22) have first overlap joint portion (214) all around, outer lag (20) have with first overlap joint portion (214) assorted second overlap joint portion (201) with arc aluminum plate (22) lapped position.
4. A protective device for open fracture treatment according to claim 3, wherein: the thickness of the first overlapping part (214) and the second overlapping part (201) after overlapping is the same as that of the outer protection sleeve (20).
5. A protective device for open fracture treatment according to claim 3, wherein: the first overlapping part (214) is fixed with a connecting barb (215) which can be embedded into the second overlapping part (201).
6. A protective device for open fracture treatment according to claim 3, wherein: the first overlapping part (214) and the second overlapping part (201) are fixedly bonded.
7. A protective device for open fracture treatment according to claim 1, wherein: the outer surface of the metal layer (213) is provided with friction lines for increasing the friction force between the metal layer and the magnetic adsorption layer (11).
8. A protective device for open fracture treatment according to claim 1, wherein: the outer protective sleeve (20) is uniformly provided with a plurality of air holes (23).
CN201810337271.4A 2018-04-16 2018-04-16 Protective device for open fracture treatment Active CN108652722B (en)

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CN108652722B true CN108652722B (en) 2020-06-30

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109498142B (en) * 2018-12-27 2020-12-04 郭强 Closed type in-vitro positioning device for long bone fracture and using method

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KR100477282B1 (en) * 1995-03-01 2005-05-16 스미쓰 앤드 네퓨, 인크. Spatial frame
CN103750936B (en) * 2014-01-26 2015-10-28 陈春名 Top formula fracture fixation support in overcoat
CN205083590U (en) * 2015-11-02 2016-03-16 郑州睿之鲲机电科技有限公司 Annular kneecap restorer
CN105877831A (en) * 2015-02-18 2016-08-24 比德尔曼技术有限责任两合公司 Bone plate
CN208958285U (en) * 2018-04-16 2019-06-11 河北医科大学第三医院 A kind of protective device for open fracture treatment

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CN2228333Y (en) * 1995-01-09 1996-06-05 唐山市骨科医院 Patella external fixing-ring
HU3082U (en) * 2005-05-24 2006-04-28 Istvan Dr Kadas Device for covered screwing of shortening fractures
US7708736B2 (en) * 2006-02-22 2010-05-04 Extraortho, Inc. Articulation apparatus for external fixation device
CA2905865C (en) * 2013-03-13 2021-03-02 DePuy Synthes Products, Inc. External bone fixation device

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Publication number Priority date Publication date Assignee Title
KR100477282B1 (en) * 1995-03-01 2005-05-16 스미쓰 앤드 네퓨, 인크. Spatial frame
CN103750936B (en) * 2014-01-26 2015-10-28 陈春名 Top formula fracture fixation support in overcoat
CN105877831A (en) * 2015-02-18 2016-08-24 比德尔曼技术有限责任两合公司 Bone plate
CN205083590U (en) * 2015-11-02 2016-03-16 郑州睿之鲲机电科技有限公司 Annular kneecap restorer
CN208958285U (en) * 2018-04-16 2019-06-11 河北医科大学第三医院 A kind of protective device for open fracture treatment

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