CN108836507A - A kind of positioning device and its application method fixed for neck of femur - Google Patents

A kind of positioning device and its application method fixed for neck of femur Download PDF

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Publication number
CN108836507A
CN108836507A CN201810654053.3A CN201810654053A CN108836507A CN 108836507 A CN108836507 A CN 108836507A CN 201810654053 A CN201810654053 A CN 201810654053A CN 108836507 A CN108836507 A CN 108836507A
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Prior art keywords
ontology
femur
hole
neck
positioning device
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CN201810654053.3A
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CN108836507B (en
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朱求亮
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Anji County People's Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B2090/101Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis for stereotaxic radiosurgery

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

Abstract

The present invention relates to a kind of medical instruments field more particularly to a kind of positioning devices and its application method fixed for neck of femur.A kind of positioning device fixed for neck of femur, including ontology, several linear type through-holes are offered on the ontology, the through-hole constitutes equidistant array, ontology head end surface is identified with coordinate system, the through-hole of the coordinate system and the array constitutes corresponding relationship, and the ontology tail end is inclined-plane, and the inclined-plane and the smallest side of the bulk area constitute 135 ° of angles.The present invention can make inexperienced new hand doctor, it can also accomplish precisely effectively the positioning of fixing glue, the maximum interference for eliminating artificial power factor while reaching maximum biomethanics efficiency, dependence of the positioning work to experience is avoided, the unexpected factors such as sidesway, slippage, the distortion of fixing glue are also avoided.

Description

A kind of positioning device and its application method fixed for neck of femur
Technical field
The present invention relates to a kind of medical instruments field more particularly to a kind of positioning device fixed for neck of femur and its make Use method.
Background technique
Due to such as needing to reach optimum therapeuticing effect in the fixed operation of neck of femur, then fixing glue needs reach maximum Biomethanics efficiency.In specific medical cases, a triangle is constituted using three fixing glues, and make triangle Area maximizes, and as has the scheme of best biomethanics efficiency, wherein maximum difficult point be exactly position fixing glue hammer into position It sets:Since neck of femur is shaped like dumbbell, both ends are thick, intermediate thin, and have certain torsion angle, and fixing glue hammers into position and leans on Proximal edge can get triangle area and maximize, but be easy to be pierced by neck of femur in this way, cause fixing glue to be exposed to outer;Fixing glue It hammers into and is located proximate to center and then triangle area is become smaller, cause biomethanics efficiency bad.Now to this contradiction Solution and its passiveness, purely by doctor micro-judgment and during surgery observe femur throat area CT piece carry out Artificial judgement, it is quite unfavorable to patient.This conflict so how is solved, a kind of dress that can be easily positioned is provided It sets and its application method, exactly inventor will solve the problems, such as.
Summary of the invention
The present invention solves the problems, such as that the fixed hand Intraoperative position of femoral head is difficult, provides a kind of fixed for femoral head Positioning device and its application method, specific technical solution are as follows:
A kind of positioning device fixed for neck of femur, including ontology offer several linear type through-holes on the ontology, The through-hole constitutes equidistant array, and ontology head end surface is identified with coordinate system, and the coordinate system is logical with the array Hole constitutes corresponding relationship, and the ontology tail end is inclined-plane, and the inclined-plane and the smallest side of the bulk area are constituted 135 ° of angles.The linear type through-hole opened up in ontology can accommodate fixing glue, and in positioning, tail end and femoral head are offseted, tail end Its bevel angle just matches with the shape of femoral head, so that the center line of through-hole is consistent with the center line of neck of femur, then User delineates neck of femur cross sectional shape on ontology head end surface according to CT film, then through-hole needed for being determined according to coordinate system exists Through-hole is built into fixing glue, completes positioning work.What this device simply can be omited just position, and solve positioning device has No problem, while solving the problems, such as the sideslip of fixing glue, sideslip, it solves the problems, such as most basic.
Preferably, opening of the through-hole on ontology head end surface is equipped with horn mouth, it is fixedly embedded at thereon The loop magnetic drawing that shape matches therewith.This structure further solves technical solution described in the claims not Foot place:Since the expression things such as paintbrush have the coloring agents such as pigment, it is possible to can pollute to surgical wound, can also make again It needs to clean when secondary use, so that it is inconvenient for use and have security risk, then the technical program just solves this problem, make With magnetic drawing substitution pigment dyeing agent etc., securely and reliably, the zero after use also only needs opposite direction magnetic, is particularly suitable for Operation etc. needs the free of contamination environment of rigorous aseptic, further improves creativeness.
Preferably, the ontology head end is arranged with glass or plastics external member, the external member surface is equipped with hole location, and It is consistent with the lead to the hole site, side be also identified with the consistent coordinate system of ontology, the external member surface be double-layer structure its Middle position is equipped with the clip slot for accommodating CT film.The pattern that doctor rule of thumb draws is always accurate without CT film, then transparent It is inserted into CT film among the external member of material, can to position more accurate, can more find optimum position through-hole, also, after all Hole bit density is limited, since neck of femur cross sectional shape is irregular, then can come to select institute artificially by adjusting lower film position The block of hole bit array is needed, optimum position through-hole more can be conveniently found.Meanwhile can by replace different cross section CT film, To observe whether the change in shape in section can make fixing glue beyond outside neck of femur, so that operation is perfectly safe.
A kind of localization method fixed for neck of femur, determines according to the claims for what neck of femur was fixed Position device uses pen or other identifier side in use, the CT film of femur throat area is inserted into the clip slot in the external member Formula mark not needed for hole location, then replace different cross section CT film adjust needed for hole location to i.e. without departing from neck of femur, and can make The triangle area that hole location is constituted maximizes, and then reads hole location coordinate, is identified on the magnetic drawing with magnetic pen, also Or on the body by external member socket, magnetic drawing board is identified with magnetic pen, is then filled in the through-hole of ontology being identified Enter fixing glue, completes to fix by operation.
The present invention can make inexperienced new hand doctor, can also accomplish precisely effectively, to reach to the positioning of fixing glue The maximum interference for eliminating artificial power factor while maximum biomethanics efficiency, the initiative work that position become Intuitive and convenient avoids dependence of the positioning work to experience, also avoids the unexpected factors such as sidesway, slippage, the distortion of fixing glue, The trend for meeting modern medicine development, has high creativeness.
Detailed description of the invention
Fig. 1 is ontology positive structure schematic of the present invention;
Fig. 2 is ontology side structure schematic diagram of the present invention;
Fig. 3 is external member positive structure schematic of the present invention;
Fig. 4 is external member top view of the present invention.
Specific embodiment
Embodiment 1
The embodiment of the present invention 1 is described in further detail below with reference to Fig. 1, Fig. 2, Fig. 3, Fig. 4:
It is logical to offer several linear types on the ontology 1 for a kind of positioning device fixed for neck of femur, including ontology 1 Hole 2, the through-hole 2 constitute equidistant array, and the 1 head end surface of ontology is identified with coordinate system, the coordinate system and the battle array The through-hole 2 of column constitutes corresponding relationship, and 1 tail end of ontology is inclined-plane, and the inclined-plane and 1 area of ontology are one the smallest Side constitutes 135 ° of angles.Opening of the through-hole 2 on the 1 head end surface of ontology is equipped with horn mouth, and fixation is embedded thereon There is the loop magnetic drawing 3 that shape matches therewith.1 head end of ontology is arranged with glass or plastics external member 6, the set 6 surface of part is equipped with hole location 4, and with 2 position consistency of through-hole, side is also identified with coordinate system, and 6 surface of external member is Double-layer structure intermediate position is equipped with the clip slot 5 for accommodating CT film.In use, by described in the insertion of the CT film of femur throat area Then clip slot, hole location needed for being identified not in the external member with pen or other identifier mode replace the CT film tune of different cross section It is whole needed for hole location to i.e. without departing from neck of femur, and can make hole location constitute triangle area maximize, then by hole location coordinate It reads, is identified on the magnetic drawing 3 with magnetic pen, or external member is socketed on the ontology 1, identify magnetic with magnetic pen Then power drawing board 3 is packed into fixing glue in the through-hole 2 of ontology 1 being identified, complete to fix by operation.The external member its Basic structure is the slab construction more bigger than ontology head end, and back is equipped with one and the consistent groove of ontology head end shape, is used When, rear channel can be fastened on the ontology head end fixed.When in use, B2 point is such as taken in first CT film, the It finds that B2 exceeds neck of femur cross section profile when two films are put up, is then changed to a little such as C3 in profile, so adjusts, After determining at 3 points, is marked with magnetic pen in the same coordinate points of ontology, then in operation, by fixing glue receiving through-hole, squeezes into bone, It completes to fix.
It is emphasized that:The above is only the preferred embodiments that the present invention invents, and not do any shape to the present invention Limitation in formula, according to the technical essence of the invention to above embodiments make it is any it is simple modification, equivalent variations with repair Decorations, still fall within protection category of the present invention.

Claims (4)

1. a kind of positioning device fixed for neck of femur, which is characterized in that including ontology (1), offered on the ontology (1) Several linear type through-holes (2), the through-hole (2) constitute equidistant array, and ontology (1) the head end surface is identified with coordinate system, The through-hole (2) of the coordinate system and the array constitutes corresponding relationship, and ontology (1) tail end is inclined-plane, and the inclined-plane with The smallest side of ontology (1) area constitutes 135 ° of angles.
2. a kind of positioning device fixed for neck of femur according to claim 1, which is characterized in that the through-hole (2) Opening on the ontology (1) head end surface is equipped with horn mouth, is fixedly embedded at the loop that shape matches therewith thereon Magnetic drawing (3).
3. a kind of positioning device fixed for femoral head according to claim 1, which is characterized in that the ontology (1) Head end is arranged with glass or plastics external member (6), and external member (6) surface is equipped with hole location (4), and with the through-hole (2) position It sets unanimously, side is also identified with and ontology (1) consistent coordinate system, and external member (6) surface is double-layer structure wherein meta position Install the clip slot (5) for accommodating CT film.
4. a kind of localization method fixed for neck of femur, which is characterized in that be used for femur according to the claims The fixed positioning device of neck, in use, the CT film of femur throat area is inserted into the clip slot, in the external member with pen or Hole location needed for other identifier mode identifies not, the CT film for then replacing different cross section adjust required hole location to i.e. without departing from femur Neck, but the triangle area that hole location can be made to constitute maximizes, and then reads hole location coordinate, with magnetic pen in the magnetic drawing Plate identifies on (3), or external member is socketed on the ontology (1), magnetic drawing board (3) is identified with magnetic pen, then in ontology (1) it is packed into fixing glue in the through-hole (2) being identified, completes to fix by operation.
CN201810654053.3A 2018-06-22 2018-06-22 Positioning device for fixing femoral neck and using method thereof Expired - Fee Related CN108836507B (en)

Priority Applications (1)

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CN201810654053.3A CN108836507B (en) 2018-06-22 2018-06-22 Positioning device for fixing femoral neck and using method thereof

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Application Number Priority Date Filing Date Title
CN201810654053.3A CN108836507B (en) 2018-06-22 2018-06-22 Positioning device for fixing femoral neck and using method thereof

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CN108836507B CN108836507B (en) 2021-01-08

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109620280A (en) * 2019-01-23 2019-04-16 济南市儿童医院(山东大学齐鲁儿童医院) CT image and nuclear magnetic resonance image positioning identification point device

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CN107280676A (en) * 2016-04-11 2017-10-24 丁盛 A kind of PCI measurement and positioning plate
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WO2002100239A2 (en) * 2001-04-13 2002-12-19 Endocare, Inc. Entry position grid for computer guided cryosurgery
US20020198514A1 (en) * 2001-06-01 2002-12-26 Barzell Winston E. Template grid
JP2007510484A (en) * 2003-11-08 2007-04-26 メディカル インテリジェンス メディツィン テヒニーク ゲーエムベーハー Patient identification system and patient positioning method
CN201492497U (en) * 2009-05-18 2010-06-02 赵海波 X-ray fluoroscopy guided grid for puncturing and positioning pulmonary lump
US20110009748A1 (en) * 2009-06-11 2011-01-13 Galil Medical Ltd. Transperineal prostate biopsy system and methods
CN102028550A (en) * 2011-01-05 2011-04-27 武汉维斯第医用科技有限公司 Clinical medicinal patch with developing coordinates
CN201977943U (en) * 2011-03-11 2011-09-21 四川大学华西医院 Instrument for locating surgical incision by combining fluoroscopy
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109620280A (en) * 2019-01-23 2019-04-16 济南市儿童医院(山东大学齐鲁儿童医院) CT image and nuclear magnetic resonance image positioning identification point device

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Effective date of registration: 20210413

Address after: 313300 Tianmu Road, Dipu Town, Anji County, Huzhou City, Zhejiang Province

Patentee after: Anji County People's Hospital

Address before: 313300 Anji people's Hospital, 699 Tianmu Middle Road, Dipu Town, Anji County, Huzhou City, Zhejiang Province

Patentee before: Zhu Qiuliang

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Granted publication date: 20210108