CN108938070A - Fracture of neck of femur hollow nail anatomical positioner - Google Patents

Fracture of neck of femur hollow nail anatomical positioner Download PDF

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Publication number
CN108938070A
CN108938070A CN201810765889.0A CN201810765889A CN108938070A CN 108938070 A CN108938070 A CN 108938070A CN 201810765889 A CN201810765889 A CN 201810765889A CN 108938070 A CN108938070 A CN 108938070A
Authority
CN
China
Prior art keywords
femur
neck
fracture
long axis
hollow nail
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
CN201810765889.0A
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Chinese (zh)
Inventor
高健伟
高圣博
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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 CN201810765889.0A priority Critical patent/CN108938070A/en
Publication of CN108938070A publication Critical patent/CN108938070A/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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/864Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
    • 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
    • A61B17/8897Guide wires or guide pins
    • 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

Abstract

The invention discloses fracture of neck of femur hollow nail anatomical positioners, including retainer body and locator long axis, the end of retainer body is arranged in the locator long axis, it is the distal end positioning pinholes of 2cm that the top dead center position design of the locator long axis, which has depth, centre bore is provided on the retainer body, tripartite's location hole is surrounded with outside the centre bore, the retainer body is attached to body surface on the outside of greater trochanter of femur skin when in use, and hollow nail is pierced by femur strength center by the center positioning hole, secondly tripartite positions hole drill nail positioning, there is fracture face between the femoral trochanter and femoral head.Beneficial effect is: the present invention, which passes through, determines central point, other three anchor points have been determined simultaneously, the characteristics of contemplating neck of femur Coronal and 15 ° of angles of femur long axis and 15 ° of angles of femur anticollis, design the present invention, solve nailing positioning is inaccurate, position is inaccurate, direction is inaccurate, hollow nail unbalance stress and reduce take nail after refracture, the problems such as hollow nail is drilled out outside neck of femur is avoided, solves the urgent need of clinician.

Description

Fracture of neck of femur hollow nail anatomical positioner
Technical field
The present invention relates to treatment of femoral neck fracture apparatus fields, and the present invention relates to fracture of neck of femur hollow nail Anatomical orientations Device.
Background technique
Neck of femur is with hip pain, and groin midpoint nearby has tenderness and longitudinal axis percussion pain is the femoral head mainly showed Down toward base of nebk ot femur, the fracture in this region is the most common damage of hip, is only second to oar in Whole Body Bone Scanning its morbidity of compromising Bone fracture of distal, it is this fracture mostly because accidentally falling on foot, buttocks lands and causes, hip pain after wound, cannot stand with Walking.The fracture of neck of femur of young man is mostly because the Intense Violences such as traffic accident or eminence tumble injury cause.The most of of fracture of neck of femur have Obvious displacement, and because the leverage at this position is larger, it fractures unstable, majority needs to fold into femoral neck bone Operative treatment after row positioning.
Fracture of neck of femur often betides the elderly, and as the service life of people extends, disease incidence increasingly increases, especially as people Mouth aging, treatment of femoral neck fracture demand is also increasing, and during treatment of femoral neck fracture, it is easy to appear nailing Positioning is inaccurate, direction is inaccurate, location dislocation and hollow nail drill out the clinical problems such as neck of femur is outer.
Summary of the invention
The object of the invention is that providing fracture of neck of femur hollow nail anatomical positioner to solve the above-mentioned problems.
The present invention through the following technical solutions to achieve the above objectives:
Fracture of neck of femur hollow nail anatomical positioner, including retainer body and locator long axis, the locator long axis setting In the end of retainer body, it is the distal end positioning pinholes of 2cm that the top dead center position design of the locator long axis, which has depth, It is provided with centre bore on the retainer body, tripartite's location hole is surrounded with outside the centre bore, the retainer body exists It is attached to the skin surface of femoral trochanter when use, and is pierced hollow nail in femur long axis by tripartite's location hole, institute Stating has fracture face between femoral trochanter and femoral head.
Further, the present invention is made of for two sets left and right, and large, medium and small three kinds of models are respectively suitable for the stock of left leg and right leg Bone fracture of cervical vertebra.
Further, the retainer body, the locator long axis material be stainless steel.
Further, the retainer body surface is processed by shot blasting, visual invisible burr.
Further, the locator long axis is directed toward knee joint position when in use, the retainer body with it is described fixed Position device long axis integration pouring molding.
Further, the locator long axis distal center hole, for being inserted into Kirschner wire, kirschner needle distal is directed toward knee joint Centre.
Further, the locator long axis is in when in use 127 ° of angles with the femur strength.
Further, the centre bore, tripartite's location hole are through-hole, and the centre bore setting is fixed in the tripartite The centre for the triangle that position hole is formed.
Further, the present invention also provides a kind of application methods, are applied to above-mentioned fracture of neck of femur hollow nail Anatomical orientation In device, specifically used method of the invention are as follows:
1, patient is fixed on traction table, and the left or right side reduction of the fracture is carried out to patient, perspective determines
Position is good, chooses the corresponding present invention, and the present invention is placed in patient femur's rotor by the retainer body Skin surface, locator long axis distal end insertion Kirschner wire and the knee joint centre for being directed toward patient:
2, it is not required to incision patient skin and Kirschner wire is pierced by the positioning of the centre bore, later again directly on the outside of skin After the kirschner pin position of the positioning of centre bore described in fluoroscopic examination is good, under the positioning of tripartite's location hole, three pieces grams are pierced Family name's needle:
3, the pilot pin in the centre bore is taken out, perspective determines the position of tripartite's positioning hole Kirschner wire again, checks The present invention is removed after errorless, and pierces the hollow nail along the position of three pieces of Kirschner wires of tripartite's positioning hole, again thoroughly Inspection, which is looked into, determines that errorless rear operation terminates.
The beneficial effects of the present invention are: the present invention, which passes through, determines central point, while other three anchor points have been determined, The characteristics of considering neck of femur Coronal and 15 ° of angles of femur long axis and 15 ° of angles of femur anticollis, designs the present invention, solves Nailing of having determined positioning is inaccurate, position is inaccurate, direction is inaccurate, hollow nail unbalance stress and reduction take refracture after nail, avoids sky The problems such as heart nail bit is gone out outside neck of femur solves the urgent need of clinician.
Detailed description of the invention
Fig. 1 is the front view structure schematic diagram of fracture of neck of femur hollow nail anatomical positioner of the present invention;
Fig. 2 is the operation state views of fracture of neck of femur hollow nail anatomical positioner of the present invention;
Fig. 3 is that the work of fracture of neck of femur hollow nail anatomical positioner of the present invention finishes Status view;
Fig. 4 is the enlarged view of the fracture face of fracture of neck of femur hollow nail anatomical positioner of the present invention.
The reference numerals are as follows:
1, retainer body;2, locator long axis;3, long axis distal end;4, long axis distal center hole;5, main center hole;6, tripartite Location hole;7, femur long axis;8, Coronal neck of femur;9, fracture face;10, hollow nail.
Specific embodiment
The present invention will be further explained below with reference to the attached drawings:
As Figure 1-Figure 4, fracture of neck of femur hollow nail anatomical positioner, including retainer body 1 and locator long axis 2, institute The end that retainer body 1 is arranged in locator long axis 2 is stated, the top 3 of the locator long axis 2 is provided with centre bore 4, described It is provided with main center hole 5 on retainer body 1, tripartite's location hole 6, the locator master are surrounded with outside the centre bore 5 Body 1 is attached to the skin surface of femur long axis 7 when in use, and hollow nail 10 is pierced femur by tripartite's location hole 6 In neck 9, there is fracture face 9 between the femoral trochanter and femoral head 8.
In the present embodiment, the present invention is made of for two sets left and right, large, medium and small three kinds of models, is respectively suitable for left leg and right leg Fracture of neck of femur.
In the present embodiment, the retainer body 1, the locator long axis 2 material be stainless steel.
In the present embodiment, 1 surface of retainer body is processed by shot blasting, visual invisible burr.
In the present embodiment, the locator long axis 2 is directed toward knee joint position, the retainer body 1 and institute when in use State the integrated pouring molding of locator long axis 2.
In the present embodiment, the locator long axis distal center hole 4, for being inserted into Kirschner wire, kirschner needle distal is directed toward knee Articulation center position.
In the present embodiment, the locator long axis 2 is in when in use 127 ° of angles with the neck of femur 9.
In the present embodiment, the main center hole 5, tripartite's location hole 6 are through-hole, and the setting of centre bore 5 exists The centre for the triangle that tripartite's location hole 6 is formed.
In the present embodiment, the present invention also provides a kind of application methods, and it is fixed to be applied to the dissection of above-mentioned fracture of neck of femur hollow nail Specifically used method of the invention in the device of position are as follows:
1, patient is fixed on traction table, and the left or right side reduction of the fracture is carried out to patient, perspective determines
Position is good, chooses the corresponding present invention, and the present invention is placed in patient femur's rotor by the retainer body Skin surface, locator long axis distal end insertion Kirschner wire and the knee joint centre for being directed toward patient:
2, it is not required to incision patient skin and Kirschner wire, Zhi Houzai is pierced by the positioning of the centre bore 5 directly on the outside of skin After the kirschner pin position of the positioning of centre bore 5 described in secondary fluoroscopic examination is good, under the positioning of tripartite's location hole 6, three are pierced Piece Kirschner wire:
3, the pilot pin in the centre bore 5 is taken out, perspective determines the position of Kirschner wire in tripartite's location hole 6, inspection again Look into it is errorless after remove the present invention, and pierce the hollow nail 10 along the position of three pieces of Kirschner wires in tripartite's location hole 6, then Secondary fluoroscopic examination determines that errorless rear operation terminates.
The basic principles, main features and advantages 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.

Claims (9)

1. fracture of neck of femur hollow nail anatomical positioner, it is characterised in that: described fixed including retainer body and locator long axis The end of retainer body is arranged in position device long axis, and the top of the locator long axis is provided with a center positioning hole (deeply about 2cm), it is provided with centre bore on the retainer body, tripartite's location hole, the locator master are surrounded with outside the centre bore Body is attached to body surface on the outside of greater trochanter of femur skin when in use, and hollow nail is pierced femur strength by the center positioning hole Center, secondly tripartite positions hole drill nail positioning, has fracture face between the femoral trochanter and femoral head.
2. fracture of neck of femur hollow nail anatomical positioner according to claim 1, it is characterised in that: the present invention is by left and right two Set composition, is respectively suitable for the fracture of neck of femur of left leg and right leg.
3. fracture of neck of femur hollow nail anatomical positioner according to claim 1, it is characterised in that: the locator master Body, the locator long axis material be stainless steel.
4. fracture of neck of femur hollow nail anatomical positioner according to claim 1, it is characterised in that: the retainer body Surface is processed by shot blasting, visual invisible burr.
5. fracture of neck of femur hollow nail anatomical positioner according to claim 1, it is characterised in that: the locator long axis Remote stomidium insertion Kirschner wire is directed toward knee joint centre, the retainer body and locator long axis one when in use Change pouring molding.
6. fracture of neck of femur hollow nail anatomical positioner according to claim 1, it is characterised in that: the locator long axis Distal end, which has, is inserted into Kirschner wire for being directed toward knee joint centre, for determining neck of femur Coronal and femur when centre bore use 15 ° of angle Anatomical orientations of long axis.
7. fracture of neck of femur hollow nail anatomical positioner according to claim 1, it is characterised in that: the locator long axis It is parallel with the femur long axis when in use, it is in 127 ° of angles with neck of femur.
8. fracture of neck of femur hollow nail anatomical positioner according to claim 1, it is characterised in that: the centre bore, institute Stating tripartite's location hole is through-hole, and the centre for the triangle that tripartite's location hole is formed is arranged in the centre bore.
9. fracture of neck of femur hollow nail anatomical positioner according to claim 1, it is characterised in that: the present invention also provides one Kind application method, is applied in above-mentioned fracture of neck of femur hollow nail anatomical positioner, specifically used method of the invention are as follows:
1, patient is fixed on traction table, and the left or right side reduction of the fracture is carried out to patient, had an X-rayed and determine that position is good, choosing The corresponding present invention is taken, the present invention is placed in by patient femur's rotor skin surface by the retainer body, it is described fixed Position device long axis distal end insertion Kirschner wire and the knee joint centre for being directed toward patient:
2, it is not required to incision patient skin and Kirschner wire is pierced by the positioning of the centre bore, later again directly in skin surface After the kirschner pin position of the positioning of centre bore described in fluoroscopic examination is good, then under the positioning of tripartite's location hole, pierce three pieces Kirschner wire:
3, the pilot pin in the centre bore is taken out, perspective determines the position of tripartite's positioning hole Kirschner wire again, checks The present invention is removed after errorless, and pierces the hollow nail along the position of three pieces of Kirschner wires of tripartite's positioning hole, again thoroughly Inspection, which is looked into, determines that errorless rear operation terminates.
CN201810765889.0A 2018-07-12 2018-07-12 Fracture of neck of femur hollow nail anatomical positioner Pending CN108938070A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810765889.0A CN108938070A (en) 2018-07-12 2018-07-12 Fracture of neck of femur hollow nail anatomical positioner

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810765889.0A CN108938070A (en) 2018-07-12 2018-07-12 Fracture of neck of femur hollow nail anatomical positioner

Publications (1)

Publication Number Publication Date
CN108938070A true CN108938070A (en) 2018-12-07

Family

ID=64483831

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201810765889.0A Pending CN108938070A (en) 2018-07-12 2018-07-12 Fracture of neck of femur hollow nail anatomical positioner

Country Status (1)

Country Link
CN (1) CN108938070A (en)

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