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 PDFInfo
- 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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- CN
- China
- Prior art keywords
- ontology
- femur
- hole
- neck
- positioning device
- 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
- 210000000689 upper leg Anatomy 0.000 title claims abstract description 27
- 238000000034 method Methods 0.000 title claims abstract description 9
- 239000003292 glue Substances 0.000 claims abstract description 18
- 239000011521 glass Substances 0.000 claims description 3
- 239000004033 plastic Substances 0.000 claims description 3
- 229920003023 plastic Polymers 0.000 claims description 3
- 230000004807 localization Effects 0.000 claims description 2
- 210000002436 femur neck Anatomy 0.000 claims 1
- 239000000049 pigment Substances 0.000 description 2
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 238000005034 decoration Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 239000000975 dye Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
- A61B90/11—Instruments, 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
- A61B2090/101—Instruments, 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
Landscapes
- 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
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.
Priority Applications (1)
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 |
Applications Claiming Priority (1)
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 |
Publications (2)
Publication Number | Publication Date |
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CN108836507A true CN108836507A (en) | 2018-11-20 |
CN108836507B CN108836507B (en) | 2021-01-08 |
Family
ID=64203462
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN201810654053.3A Expired - Fee Related CN108836507B (en) | 2018-06-22 | 2018-06-22 | Positioning device for fixing femoral neck and using method thereof |
Country Status (1)
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CN (1) | CN108836507B (en) |
Cited By (1)
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 |