CN108938066A - A kind of Bone traction guiding device - Google Patents
A kind of Bone traction guiding device Download PDFInfo
- Publication number
- CN108938066A CN108938066A CN201810795471.4A CN201810795471A CN108938066A CN 108938066 A CN108938066 A CN 108938066A CN 201810795471 A CN201810795471 A CN 201810795471A CN 108938066 A CN108938066 A CN 108938066A
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- Prior art keywords
- upright
- cross member
- fixed
- guiding device
- screwing screw
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Classifications
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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
- A61B17/66—Alignment, compression or distraction mechanisms
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
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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)
- Surgical Instruments (AREA)
Abstract
The present invention relates to the field of medical instrument technology, specifically, it is a kind of Bone traction guiding device, it is whole to be made of dedicated medical metal material, including cross member and upright, the shape of cross member is cylinder, the quantity of upright is two, the shape and structure of two upright is just the same, one end of upright is provided with mounting hole, two upright are arranged in parallel, cross member is laterally arranged through the mounting hole of two upright, upright can be along cross member transverse shifting, the other end of upright is provided with locating piece, locating piece middle part is provided with location hole, the bottom of upright is provided with circular hole, the circular hole is connected to location hole, the device accurate positioning, improve traction efficiency, reduce the generation of postoperative complications, the position of local anaesthesia when also accurate operation, reduce the dosage of anaesthetic, improve anaesthetic effect, to alleviate the pain of patient, patient is improved to relax Appropriateness.
Description
Technical field
The present invention relates to the field of medical instrument technology, specifically, being a kind of Bone traction guiding device.
Background technique
Traction is to act on suffering limb by the drawing of gravity using the principle of active force and reaction force in mechanics, is alleviated
The anxiety and retraction of soft tissue at fracture and dislocation make to fracture or dislocate to reset, achieve the purpose that treatment.Traction divides duration skin
Traction and Bone traction two major classes, are mainly used for fracture of cervical spine, pelvic fracture, fracture of neck of femur, intertrochanteric fracture, femoral shaft bone
Folding and unstable fracture of tibia and fibula etc..
Bone traction is directly to draw bone by round needle, so that fracture, dislocation patient be made effectively to be resetted and be fixed.
It is frequently utilized for skin injury, swelling serious, infected wound or bone crush should not seriously go the patient of interior fixation.Method is main
Have: skull traction, ulna olecranon traction, traction, skeletal traction through tibial tubercle, calcaneal traction etc. on condyle of femur.System is by penetrating bone
Interior Kirschner wire or traction tongs, makes tractive force directly act on bone, and causes fracture end reduction, fixation and the effect of rest.
Clinically used traction method is to tap Kirschner wire by hammer to puncture skin and pass through bone, by Kirschner wire fixation at required position,
Play draw.This process will lead to Kirschner wire offset due to no point-to-point accuracy, and disequilibrium, reduction is led
Draw efficiency.One-time puncture is unsuccessful, secondary puncture, easily causes to draw pin tract infection, oozing of blood.The cumbersome wave of whole operation process steps
It is time-consuming.
Summary of the invention
In order to solve the above-mentioned technical problem, it the present invention discloses a kind of Bone traction guiding device, is led applied to orthopedic lower limb
In drawing, by clinical practice, one-time successful puncture rate is improved, traction efficiency is preferably maintained, thus after reducing traction simultaneously
It sends out disease and mitigates medical staff's workload.Promote the comfort level of patient.
The specific technical solution that the present invention uses is as follows: a kind of Bone traction guiding device, whole to use dedicated medical metal
Material is made, including cross member and upright, and the shape of cross member is cylinder, and the quantity of upright is two, the shape knot of two upright
Structure is just the same, and one end of upright is provided with mounting hole, and two upright are arranged in parallel, and cross member is horizontal through the mounting hole of two upright
To setting, upright can be provided with locating piece along cross member transverse shifting, the other end of upright, and locating piece middle part is provided with positioning
The bottom in hole, upright is provided with circular hole, which is connected to location hole.
In the technical scheme, whole device is made of dedicated medical metal material, such as medical stainless steel material, just
It kills virus in high temperature sterilization, the cross member and upright of the device constitute three bandings and close rectangle open on one side, in use, by device
It is stuck in patient's lower limb portion, Kirschner wire is passed through into location hole, is made marks on lower limb surface, Kirschner wire can be worn from the two sides of upright
It crosses, corresponding two labels is made on lower limb surface, two labels on a horizontal line, beat convenient for doctor by mark
Kirschner wire is penetrated into patient's lower limb portion when anaesthetic works by anaesthetic from location hole, and the inserting needle mouth and needle outlet of Kirschner wire are fixed
Positioned at same level, the accurate positioning accomplished is not deviated, and is maintained the balance and stability of Kirschner wire after traction, can be done
To the primary success of operation, traction efficiency is improved, the generation of postoperative complications is reduced, Kirschner wire can in the lower limb for squeezing into patient
It, can also be using the method for electric drill drive Kirschner Wire Drilling to take the artificial method tapped using hammer.
Further improvement of the present invention, the positioning hole number in upright are two, and the quantity of cross member is two, two cross members
It is parallel to run through one end that upright is set.The quantity of cross member is two, so that the stability of whole device is better.
Further improvement of the present invention, fixed upright is additionally provided among cross member, and the bottom of fixed upright is fixedly installed
Fixed cross member, fixed upright is vertical with fixed cross member, and fixed cross member is cuboid, and the both ends of fixed cross member are each provided with a drawing
Bar, pull rod can be fixedly installed top tight pieces through fixed cross member up-down stretch, the bottom of pull rod, and bottom and the human body of top tight pieces connect
The position of touching uses cambered design.By the device fixing card in patient's lower limb, top tight pieces are resisted to the upper surface of patient's lower limb,
Further function as fixed effect;Due to top tight pieces by two pull rods pull can up-down stretch, and two upright can also be along cross
Part is mobile, allows for the spatially-variable constituted between top tight pieces and upright in this way, suitable for different patients, is also applied for same
The different position of one patient's lower limb.
Further improvement of the present invention is provided with screwing screw with the interconnecting piece of cross member in fixed upright and is set as screwing spiral shell
Silk one is provided with the interconnecting piece of cross member screwing screw in upright and is set as screwing screw two, the connection in upright with locating piece
Portion is provided with screwing screw and is set as screwing screw three, and the interconnecting piece of pull rod is provided with screwing screw on fixed cross member and is set as
Screwing screw four.Top tight pieces fixation in the horizontal direction is convenient in the setting of screwing screw one, and the setting of screwing screw two is convenient for perpendicular
Part regulation in the horizontal direction, the setting of screwing screw three is convenient for the fixed Kirschner wire for being inserted into positioning hole, screwing screw four
Setting convenient for top tight pieces vertical direction fixation.
Further improvement of the present invention, upright generally rectangle design, and the both ends of data use circular-arc-shaped design, upright
Intermediate position be arranged using hollow out, hollow-out parts overall volume accounts for the one third of entire upright volume to half, positions
The bottom of upright is arranged in part, and the bottom of upright is provided with circular hole, which is connected to location hole, and locating piece generally two solid
It is scheduled on concentric cylinder together, the cylindrical cross section contacted with upright is less than the cylindrical cross section with human contact.It is perpendicular
The intermediate position of part significantly reduces the weight of upright to alleviate the weight of whole device, convenient for behaviour using hollow out setting
Make, locating piece generally two concentric cylinders being fixed together, the cylindrical cross section contacted with upright is less than and human body
The cylindrical cross section of contact increases device and human body lower limbs contact surface, further convenient for fixation.
Progress of the invention improves, and further includes limited slip piece, limited slip piece generally hollow cylindrical, and limited slip piece is sleeved on cross member
On, the limited slip piece on each cross member there are two suits, limited slip piece is located between two upright.The effect of limited slip piece prevents two to erect
Part arbitrarily slides on cross member, reduces between two upright, and the collision probability between upright and top tight pieces protects entire dress
It sets.
Progress of the invention improves, and further includes sleeve, and sleeve is hollow cylinder, and the internal diameter of sleeve is greater than the straight of Kirschner wire
Diameter, the length of sleeve are the one third of Kirschner wire length to 3/4ths.Sleeve is socketed in positioning hole, screws spiral shell
Silk three, sleeve is fixed, then again protrudes into Kirschner wire from the inside of sleeve, and such Kirschner wire is flexible certainly in the inside of sleeve
By, and the length of sleeve is the one third of Kirschner wire length to 3/4ths, is increased between Kirschner wire and sleeve in this way
Contact length further functions as fixed fixed function.
Beneficial effects of the present invention: accurate positioning, inserting needle mouth and needle outlet when which performs the operation traction are positioned at together
One is horizontal, and the accurate positioning accomplished does not deviate, maintains the balance and stability of Kirschner wire after traction, can accomplish to perform the operation
Primary success, improves traction efficiency, reduces the generation of postoperative complications;Not only act as the purpose of precise positioning traction, also essence
The position of local anaesthesia, reduces the dosage of anaesthetic, improves anaesthetic effect, to alleviate the pain of patient, mention when quasi- operation
High patient comfort;Consideration has men and women and fat or thin different patients, which is equipped with compensation linkage, can be according to the practical feelings of patient
Condition is adjusted, and any position that need to draw limbs is given in fixation, and suitable population is extensive;Need a people is fixed to suffer from when conventional traction operation
Limb, a people carries out traction operation, and the device is used immobilized patients suffering limb, a people can to perform the operation, solve very well
When human resources are inadequate, the problem that can not perform the operation.
Detailed description of the invention
Fig. 1 is structural schematic diagram of the invention.
Fig. 2 is the rearview of Fig. 1.
Fig. 3 is the structural schematic diagram of upright in Fig. 1.
Fig. 4 is the structural schematic diagram of middle sleeve and Kirschner wire of the present invention.
Fig. 5 is the structural schematic diagram that the present invention acts on patient's lower limb.
In figure, 1- cross member, 2- upright, the fixed upright of 3-, the fixed cross member of 4-, 5- pull rod, 6- top tight pieces, 7- screwing screw
One, 8- locating piece, 9- limited slip piece, 10- screwing screw two, 11- screwing screw three, 12- screwing screw four, 13- mounting hole, 14-
Hollow-out parts, 15- location hole, 16- sleeve, 17- Kirschner wire.
Specific embodiment
In order to deepen the understanding of the present invention, the present invention is done below in conjunction with drawings and examples and is further retouched in detail
It states, the embodiment is only for explaining the present invention, does not constitute and limits to protection scope of the present invention.
Embodiment: as depicted in figs. 1 and 2, a kind of Bone traction guiding device is whole to use dedicated medical metal material system
At, including cross member 1 and upright 2, the shape of cross member 1 are cylinder, the quantity of upright 2 is two, the shape and structure of two upright 2
Just the same, one end of upright 2 is provided with mounting hole 13, and two upright 2 are arranged in parallel, and cross member 1 runs through the installation of two upright 2
The laterally setting of hole 13, upright 2 can be provided with locating piece 8 along 1 transverse shifting of cross member, the other end of upright 2, among locating piece 8
Portion is provided with location hole 15, and the bottom of upright 2 is provided with circular hole, which is connected to location hole 15, the location hole 15 in upright 2
Quantity is two, and the quantity of cross member 1 is two, and two cross members 1 are also set among one end that upright 2 is arranged in, cross member 1 in parallel
It is equipped with fixed upright 3, the bottom of fixed upright 3 is fixedly installed fixed cross member 4, and fixed upright 3 is vertical with fixed cross member 4, Gu
Determining cross member 4 is cuboid, and the both ends of fixed cross member 4 are each provided with a pull rod 5, and pull rod 5 can pull down on fixed cross member 4
It stretches, the bottom of pull rod 5 is fixedly installed top tight pieces 6, and the bottom of top tight pieces 6 and the position of human contact use cambered design, Gu
Determine in upright 3 to be provided with screwing screw with the interconnecting piece of cross member 1 and is set as screwing screw 1, the connection in upright 2 with cross member 1
Portion is provided with screwing screw and is set as screwing screw 2 10, is provided with screwing screw setting in upright 2 with the interconnecting piece of locating piece 8
For screwing screw 3 11, the interconnecting piece of pull rod 5 is provided with screwing screw on fixed cross member 4 and is set as screwing screw 4 12, it should
Device further includes limited slip piece 9, the generally hollow cylindrical of limited slip piece 9, and limited slip piece 9 is sleeved on cross member 1, covers on each cross member 1
The limited slip piece 9 that there are two dresses, limited slip piece 9 are located between two upright 2.The effect of limited slip piece 9 prevents two upright 2 in cross member 1
Upper arbitrarily sliding, is reduced between two upright 2, the collision probability between upright 2 and top tight pieces 6 protects whole device
As shown in figure 3, the generally rectangle of upright 2 designs, the both ends of data use circular-arc-shaped design, the intermediate position of upright 2
It is arranged using hollow out, 14 overall volume of hollow-out parts accounts for the one third of entire 2 volume of upright to half, and locating piece 8 is arranged
In the bottom of upright 2, the bottom of upright 2 is provided with circular hole, which is connected to location hole 15, and locating piece 8 generally two solid
It is scheduled on concentric cylinder together, the cylindrical cross section contacted with upright 2 is less than the cylindrical cross section with human contact.
As shown in figure 4, further including sleeve 16, sleeve 16 is hollow cylinder, and the internal diameter of sleeve 16 is greater than Kirschner wire 17
Diameter, the length of sleeve 16 are the one third of 17 length of Kirschner wire to 3/4ths.
The concrete operating principle of the present embodiment is stuck in patient as shown in figure 5, adjust the distance between upright 2 of the device
Lower limb, screwing screw 2 10 is tightened after clamping, is secured transverse on patient's lower limb, then adjusts the position of fixed upright 3, one
As two upright 2 middle position, then tighten screwing screw 1, then adjusting yoke 5 so that pull rod 5 connect hold out against
Part 6 resists the upper surface of patient's lower limb, then tightens screwing screw 4 12, and such whole device is secured on patient's lower limb, connects
The suitable sleeve 16 of selection internal diameter be socketed on locating piece 8, bilateral symmetry is all arranged, and tightens screwing screw 3 11, and selection is closed
Suitable Kirschner wire 17 is speckled at one end with liquid medicine, is interted and is set for scutching medicine into having contact to mark with lower limb surface in sleeve 16
Determine injection port, similarly, also set injection port in the other side of lower limb, two injection ports are in a level, accurate operation
When local anaesthesia position, reduce the dosage of anaesthetic, improve anaesthetic effect, to alleviate the pain of patient, improve patient and relax
Appropriateness, when anaesthetic work when, select suitable Kirschner wire 17 to be interspersed in the sleeve 16 of side, then user's work hammering or
Using the method for electric drill, the Kirschner wire 17 in sleeve 16 is squeezed into lower limb, inserting needle mouth and the needle outlet of Kirschner wire 17 are positioned at
Same level, the accurate positioning accomplished, does not deviate, and maintains the balance and stability of Kirschner wire 17 after traction, can accomplish
The primary success of operation, improves traction efficiency, reduces the generation of postoperative complications.
The device randomly selects 200 patients in the lower limb traction patient of certain hospital, carries out control experiment.
Wherein 100 patients carry out traction using the device, and in addition 100 patients are drawn using conventional traction, comparison two
The incidence of the one-time success rate of kind surgical procedure, the validity of postoperative traction and postoperative traction complication, discovery use the dress
Set the traction of progress more fast, precisely, effectively, comfortably, conveniently.
Basic principles and main features and advantage of the invention have been shown and described above.The technical staff of the industry should
Understand, the present invention is not limited to the above embodiments, and the above embodiments and description only describe originals of the invention
Reason, without departing from the spirit and scope of the present invention, various changes and improvements may be made to the invention, these changes and improvements
It all fall within the protetion scope of the claimed invention.The claimed scope of the invention is by appended claims and its equivalent circle
It is fixed.
Claims (7)
1. a kind of Bone traction guiding device, which is characterized in that it is whole to be made of dedicated medical metal material, including cross member and perpendicular
Part, the shape of the cross member are cylinder, and the quantity of the upright is two, and the shape and structure of two upright is just the same, institute
The one end for stating upright is provided with mounting hole, and described two upright are arranged in parallel, and the cross member is horizontal through the mounting hole of two upright
To setting, the upright can be provided with locating piece, the locating piece along the cross member transverse shifting, the other end of the upright
Middle part is provided with location hole, and the bottom of the upright is provided with circular hole, which is connected to the location hole.
2. Bone traction guiding device according to claim 1, which is characterized in that the positioning hole number in the upright is two
A, the quantity of the cross member is two, and two cross members run through one end that the upright is arranged in parallel.
3. Bone traction guiding device according to claim 2, which is characterized in that be additionally provided among the cross member fixed perpendicular
Part, the bottom of the fixed upright are fixedly installed fixed cross member, and the fixed upright is vertical with the fixed cross member, described solid
Determining cross member is cuboid, and the both ends of the fixed cross member are each provided with a pull rod, and the pull rod can run through the fixed cross member
Up-down stretch, the bottom of the pull rod are fixedly installed top tight pieces, and the bottom of the top tight pieces and the position of human contact use
Cambered design.
4. Bone traction guiding device according to claim 3, which is characterized in that in the fixed upright with the cross member
Interconnecting piece is provided with screwing screw and is set as screwing screw one, is provided in the upright with the interconnecting piece of the cross member and screws spiral shell
Silk is set as screwing screw two, and the interconnecting piece of the locating piece is provided with screwing screw in the upright and is set as screwing screw
Three, the interconnecting piece of the pull rod is provided with screwing screw on the fixed cross member and is set as screwing screw four.
5. Bone traction guiding device according to claim 1-4, which is characterized in that the upright is generally rectangular
Shape design, the both ends of the data use circular-arc-shaped design, and the intermediate position of the upright is arranged using hollow out, the hollow-out parts
Overall volume accounts for the one third of entire upright volume to half, and the bottom of the upright, institute is arranged in the locating piece
The bottom for stating upright is provided with circular hole, which is connected to the location hole, and the locating piece generally two are fixed together
Concentric cylinder, the cylindrical cross section contacted with the upright is less than cylindrical cross section with human contact.
6. Bone traction guiding device according to claim 5, which is characterized in that further include limited slip piece, the limited slip piece is whole
Body is hollow cylindrical, and the limited slip piece is sleeved on the cross member, the limited slip piece on each cross member there are two suits, institute
Limited slip piece is stated between two upright.
7. Bone traction guiding device according to claim 6, which is characterized in that further include sleeve, the sleeve is hollow
Cylindrical body, the internal diameter of the sleeve are greater than the diameter of the Kirschner wire, and the length of the sleeve is the three of the Kirschner wire length
3/1 mono- to four.
Priority Applications (1)
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CN201810795471.4A CN108938066A (en) | 2018-07-19 | 2018-07-19 | A kind of Bone traction guiding device |
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CN201810795471.4A CN108938066A (en) | 2018-07-19 | 2018-07-19 | A kind of Bone traction guiding device |
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CN108938066A true CN108938066A (en) | 2018-12-07 |
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CN201810795471.4A Pending CN108938066A (en) | 2018-07-19 | 2018-07-19 | A kind of Bone traction guiding device |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109893236A (en) * | 2019-03-12 | 2019-06-18 | 河北医科大学第三医院 | A kind of knochenbruch resetting apparatus |
CN110507399A (en) * | 2019-08-27 | 2019-11-29 | 张逸飞 | A kind of directed navigation device for Bone traction |
CN114073571A (en) * | 2020-08-14 | 2022-02-22 | 孙灰灰 | Direction guide device of bone traction kirschner wire |
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CN206880724U (en) * | 2017-01-19 | 2018-01-16 | 梁远 | A kind of tibiofibula draw-gear |
CN209032587U (en) * | 2018-07-19 | 2019-06-28 | 句容市人民医院 | A kind of Bone traction guiding device |
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Publication number | Priority date | Publication date | Assignee | Title |
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CN109893236A (en) * | 2019-03-12 | 2019-06-18 | 河北医科大学第三医院 | A kind of knochenbruch resetting apparatus |
CN109893236B (en) * | 2019-03-12 | 2024-02-27 | 河北医科大学第三医院 | Broken bone resetting device |
CN110507399A (en) * | 2019-08-27 | 2019-11-29 | 张逸飞 | A kind of directed navigation device for Bone traction |
CN114073571A (en) * | 2020-08-14 | 2022-02-22 | 孙灰灰 | Direction guide device of bone traction kirschner wire |
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