CN109009373B - A fracture surgery fixation device - Google Patents

A fracture surgery fixation device Download PDF

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CN109009373B
CN109009373B CN201810785137.0A CN201810785137A CN109009373B CN 109009373 B CN109009373 B CN 109009373B CN 201810785137 A CN201810785137 A CN 201810785137A CN 109009373 B CN109009373 B CN 109009373B
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shaped
frame
fixing frame
shaped fixing
base frame
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CN109009373A (en
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雷金来
庄岩
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Xian Honghui Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/62Ring frames, i.e. devices extending around the bones to be positioned
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6425Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/645Devices extending alongside the bones to be positioned comprising a framework
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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)
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Abstract

本发明公开了一种骨折手术固定装置,包括开口向上且并排设置的U型基础架和U型固定架,U型固定架的高度不小于U型基础架的高度,U型基础架一个开口端与U型固定架通过支杆连接,U型基础架另一个开口端通过支杆连接有伺服减速电机,伺服减速电机的电机轴与U型固定架刚性连接,U型基础架底部通过第一滑块水平连接支撑架一端,支撑架另一端通过第二滑块连接U型支架底端,U型支架内设置有外滑环,外滑环通过呈对称水平设置的滑轨与U型支架两个开口端连接。该装置整体结构简单,使用方便,在医务人员进行手术时,实现骨骼的精准对位,省时省力,减轻了医务人员的工作难度。

Figure 201810785137

The invention discloses a fracture operation fixing device, comprising a U-shaped base frame and a U-shaped fixing frame with an upward opening and arranged side by side. The height of the U-shaped fixing frame is not less than that of the U-shaped base frame, and the U-shaped base frame has an open end. It is connected with the U-shaped fixing frame through a strut, and the other open end of the U-shaped base frame is connected with a servo gear motor through a strut. The motor shaft of the servo gear motor is rigidly connected with the U-shaped fixing frame. The block is horizontally connected to one end of the support frame, and the other end of the support frame is connected to the bottom end of the U-shaped bracket through the second sliding block. The U-shaped bracket is provided with an outer slip ring, and the outer slip ring is connected to the two U-shaped brackets through the sliding rails arranged symmetrically and horizontally. Open end connection. The device has a simple overall structure and is convenient to use, and can achieve precise alignment of bones when medical personnel perform operations, save time and effort, and reduce the difficulty of work for medical personnel.

Figure 201810785137

Description

一种骨折手术固定装置A fracture surgery fixation device

技术领域technical field

本发明属于医疗器械技术领域,具体涉及一种骨折手术固定装置。The invention belongs to the technical field of medical devices, and in particular relates to a fracture operation fixing device.

背景技术Background technique

在医学临床中,骨折是骨创伤常见的疾病之一,治疗骨折常采用的方法是实施内固定手术,即将骨折部位复位后,借助由金属材料制成的接骨板和螺钉将复位后的骨骼连接起来。传统治疗骨折和畸形矫正的骨科外固定支架从产品结构上大致分为单边组合式外固定支架、多边组合式外固定支架和环形组合式外固定支架三大类别。环形组合式外固定支架当前我国沿用的大多是前苏联发明的环形外固定支架系统产品。环形外固定支架技术是一个非常先进的技术,以“微创、全能”著称,这种技术虽然能完成从最简单到最复杂的各种骨折固定和畸形矫正,但是环形外固定支架最大的问题是操作和使用十分复杂,产品的零件数量多,安装组合异常繁琐,一般医生大多都难以掌握。安装技术的复杂性都大大影响了该技术的推广和应用。In clinical medicine, fracture is one of the common diseases of bone trauma. The most commonly used method for treating fractures is to implement internal fixation surgery, that is, after the fracture site is reduced, the reduced bones are connected by means of bone plates and screws made of metal materials. stand up. The traditional orthopaedic external fixator for fracture and deformity correction is roughly divided into three categories in terms of product structure: unilateral combined external fixator, multilateral combined external fixator and annular combined external fixator. Most of the annular combined external fixation brackets currently used in my country are the annular external fixation bracket system products invented by the former Soviet Union. The annular external fixator technology is a very advanced technology, known as "minimally invasive and versatile". Although this technology can complete various fracture fixation and deformity correction from the simplest to the most complex, the biggest problem of the annular external fixator is It is very complicated to operate and use, the number of parts of the product is large, and the installation and combination are extremely cumbersome, which is difficult for most doctors to master. The complexity of installation technology greatly affects the promotion and application of this technology.

发明内容SUMMARY OF THE INVENTION

本发明的目的是提供一种骨折手术固定装置,解决了现有固定装置在对骨骼进行对接时使用不便的问题。The purpose of the present invention is to provide a fracture operation fixing device, which solves the problem of inconvenient use of the existing fixing device when docking the bones.

本发明所采用的技术方案是,一种骨折手术固定装置,包括开口向上且并排设置的U型基础架和U型固定架,U型固定架的高度不小于U型基础架的高度,U型基础架一个开口端与U型固定架通过支杆连接,U型基础架另一个开口端通过支杆连接有伺服减速电机,伺服减速电机的电机轴与U型固定架刚性连接,U型基础架底部通过第一滑块水平连接支撑架一端,支撑架另一端通过第二滑块连接U型支架底端,U型支架内设置有外滑环,外滑环通过呈对称水平设置的滑轨与U型支架两个开口端连接。The technical scheme adopted by the present invention is that a fracture operation fixing device includes a U-shaped base frame and a U-shaped fixing frame with an upward opening and arranged side by side. The height of the U-shaped fixing frame is not less than the height of the U-shaped base frame. One open end of the base frame is connected with the U-shaped fixing frame through a strut, and the other open end of the U-shaped base frame is connected with a servo gear motor through a strut, and the motor shaft of the servo gear motor is rigidly connected with the U-shaped fixing frame. The U-shaped base frame The bottom is horizontally connected to one end of the support frame through the first slider, and the other end of the support frame is connected to the bottom end of the U-shaped bracket through the second slider. The U-shaped bracket is provided with an outer slip ring, and the outer slip ring is connected with the sliding rails arranged symmetrically and horizontally. The two open ends of the U-shaped bracket are connected.

本发明的特点还在于,The present invention is also characterized in that,

U型基础架和U型固定架均固定在底座。Both the U-shaped base frame and the U-shaped fixing frame are fixed on the base.

U型固定架沿周向还均匀开设有多个通孔。The U-shaped fixing frame is also uniformly provided with a plurality of through holes along the circumferential direction.

U型固定架沿周向均匀套设有三个第一夹头,每个第一夹头上固定有第一钢钉,每个第一钢钉穿过U型固定架上的通孔且伸出第一夹头表面。The U-shaped fixing frame is uniformly sleeved with three first chucks along the circumferential direction, each first clamping head is fixed with a first steel nail, and each first steel nail passes through the through hole on the U-shaped fixing frame and protrudes out The first collet surface.

外滑环沿周向均匀套设有三个第二夹头,每个第二夹头上固定有第二钢钉。The outer slip ring is uniformly sleeved with three second chucks along the circumferential direction, and a second steel nail is fixed on each of the second chucks.

U型支架上固定有电机,电机的电机轴上连接有曲柄滑块机构,曲柄滑块机构与一个滑轨连接,滑轨通过曲柄滑块机构做往复运动。A motor is fixed on the U-shaped bracket, a crank-slider mechanism is connected to the motor shaft of the motor, the crank-slider mechanism is connected with a slide rail, and the slide rail reciprocates through the crank-slider mechanism.

本发明的有益效果是,整体结构简单,使用方便,在医务人员进行手术时,实现骨骼的精准对位,省时省力,减轻了医务人员的工作难度。The beneficial effects of the present invention are that the overall structure is simple, the use is convenient, and the precise alignment of the bones is realized when the medical staff performs an operation, which saves time and labor, and reduces the work difficulty of the medical staff.

附图说明Description of drawings

图1是本发明一种骨折手术固定装置的结构示意图。FIG. 1 is a schematic structural diagram of a fracture surgery fixation device of the present invention.

图中,1.底座,2.U型固定架,3.U型基础架,4.第一夹头,5.滑轨,6.伺服减速电机,7.支撑架,8.第二夹头,9.U型支架,10.外滑环,11.内滑环,12.电机。In the figure, 1. Base, 2. U-shaped fixing frame, 3. U-shaped base frame, 4. First chuck, 5. Slide rail, 6. Servo gear motor, 7. Support frame, 8. Second chuck , 9.U-shaped bracket, 10. Outer slip ring, 11. Inner slip ring, 12. Motor.

具体实施方式Detailed ways

下面结合附图和具体实施方式对本发明进行详细说明。The present invention will be described in detail below with reference to the accompanying drawings and specific embodiments.

本发明一种骨折手术固定装置,如图1所示,包括开口向上且并排设置的U型基础架3和U型固定架2,U型基础架3和U型固定架2均固定在底座1,U型固定架2的高度不小于基础架3的高度,U型基础架3一个开口端与U型固定架2通过支杆连接,U型基础架3另一个开口端通过支杆连接有伺服减速电机6,伺服减速电机6的电机轴与U型固定架2刚性连接,U型固定架2沿周向还均匀开设有多个通孔,U型固定架2沿周向均匀套设有三个第一夹头4,每个第一夹头4上固定有第一钢钉,每个第一钢钉穿过U型固定架2上的通孔且伸出第一夹头4表面;A fracture surgery fixation device of the present invention, as shown in FIG. 1 , includes a U-shaped base frame 3 and a U-shaped fixation frame 2 with an upward opening and arranged side by side. The U-shaped base frame 3 and the U-shaped fixation frame 2 are both fixed on the base 1 . , the height of the U-shaped base frame 2 is not less than the height of the base frame 3, one open end of the U-shaped base frame 3 is connected with the U-shaped base frame 2 through a strut, and the other open end of the U-shaped base frame 3 is connected with a servo through a strut The motor shafts of the geared motor 6 and the servo geared motor 6 are rigidly connected to the U-shaped fixing frame 2 . The U-shaped fixing frame 2 is also uniformly provided with a plurality of through holes along the circumferential direction, and the U-shaped fixing frame 2 is uniformly sleeved with three circumferentially. The first collet 4, each first collet 4 is fixed with a first steel nail, and each first steel nail passes through the through hole on the U-shaped fixing frame 2 and protrudes from the surface of the first collet 4;

U型基础架3底部通过第一滑块水平连接支撑架7一端,支撑架7内部中空,支撑架7由透光材料制成,支撑架7另一端通过第二滑块连接U型支架9闭口端底部,U型支架9开口朝上且固定在安装台上,U型支架9侧面通过竖直设置的支撑杆支撑,U型支架9内设置有外滑环10,外滑环10内嵌套有内滑环11,内滑环11和外滑环10沿周向分别均匀开设有多个通孔,且内滑环11和外滑环10上通孔的位置和大小一致,外滑环10沿周向均匀套设有三个第二夹头8,每个第二夹头8上固定有第二钢钉,每个第二钢钉穿过内滑环11和外滑环10上的通孔且伸出第二夹头8表面,外滑环10通过呈对称水平设置的滑轨5与U型支架9两个开口端连接,滑轨5一端穿出U型支架9,U型支架9上固定有电机12,电机12的电机轴上连接有曲柄滑块机构,曲柄滑块机构与一个滑轨5连接,滑轨5通过曲柄滑块机构做往复运动。The bottom of the U-shaped base frame 3 is horizontally connected to one end of the support frame 7 through the first slider, the support frame 7 is hollow inside, the support frame 7 is made of light-transmitting material, and the other end of the support frame 7 is connected to the U-shaped bracket 9 through the second slider. At the bottom of the end, the opening of the U-shaped bracket 9 faces upward and is fixed on the installation table. The side of the U-shaped bracket 9 is supported by a vertically arranged support rod. The U-shaped bracket 9 is provided with an outer slip ring 10, and the outer slip ring 10 is nested inside. There is an inner slip ring 11, the inner slip ring 11 and the outer slip ring 10 are respectively provided with a plurality of through holes uniformly along the circumferential direction, and the positions and sizes of the through holes on the inner slip ring 11 and the outer slip ring 10 are the same, and the outer slip ring 10 Three second chucks 8 are evenly sleeved along the circumferential direction, each second chuck 8 is fixed with a second steel nail, and each second steel nail passes through the through holes on the inner slip ring 11 and the outer slip ring 10 And protruding from the surface of the second chuck 8, the outer slip ring 10 is connected with the two open ends of the U-shaped bracket 9 through the sliding rail 5 arranged symmetrically and horizontally. The motor 12 is fixed, the motor shaft of the motor 12 is connected with a crank-slider mechanism, the crank-slider mechanism is connected with a slide rail 5, and the slide rail 5 reciprocates through the crank-slider mechanism.

第一夹头4和第二夹头8能分别用于将第一钢钉和第二钢钉锁紧。The first collet 4 and the second collet 8 can be used for locking the first steel nail and the second steel nail, respectively.

本发明一种骨折手术固定装置,其具体工作原理是:The present invention is a fracture operation fixation device, and its specific working principle is as follows:

具体使用时,将需要对接的骨骼分别水平放入U型固定架2、U型支架9和外滑环10形成的空腔内,且将需要对接部分放到支撑架7上,为避免X光透视时对照片造成影响,使用的支撑架7由透光材料制成,滑动第一滑块、和第二滑块8调整设备整体长度,利用U型固定架2上的第一夹头4和第一钢钉定位骨骼,由于第一钢钉均匀分布,可实现骨骼稳定固定,伺服减速电机6与U型固定架2刚性连接,从而能调整U型固定架2的旋转角度,进而调整骨骼的对接位置,另一个对接骨骼放入U型支架9和外滑环10内,并通过外滑环10上的第二夹头8和第二钢钉固定骨骼,电机12转动带动曲柄滑块机构,曲柄滑块机构带动滑轨5左右移动,滑轨5带动外滑环10在U型支架9内左右移动,实现骨骼对接位置和角度的电动调整,该设备整体结构简单,方便医务人员进行调整、拍摄,实现精准对接,省时省力,减轻了医务人员的工作难度。In specific use, the bones that need to be docked are placed horizontally into the cavity formed by the U-shaped fixing frame 2, the U-shaped bracket 9 and the outer slip ring 10, and the parts that need to be docked are placed on the supporting frame 7, in order to avoid X-rays When the perspective is used, the photo will be affected. The supporting frame 7 used is made of light-transmitting material. Slide the first slider and the second slider 8 to adjust the overall length of the device. Use the first chuck 4 on the U-shaped fixing frame 2 and The first steel nails locate the bones. Since the first steel nails are evenly distributed, stable fixation of the bones can be achieved. The servo gear motor 6 is rigidly connected with the U-shaped fixing frame 2, so that the rotation angle of the U-shaped fixing frame 2 can be adjusted, thereby adjusting the bone's rotation angle. In the docking position, the other docking bone is put into the U-shaped bracket 9 and the outer slip ring 10, and the bone is fixed by the second chuck 8 and the second steel nail on the outer slip ring 10, and the motor 12 rotates to drive the crank slider mechanism, The crank-slider mechanism drives the slide rail 5 to move left and right, and the slide rail 5 drives the outer slip ring 10 to move left and right in the U-shaped bracket 9, so as to realize the electric adjustment of the docking position and angle of the bones. Shooting to achieve precise docking, saving time and effort, and reducing the difficulty of medical staff's work.

Claims (3)

1.一种骨折手术固定装置,其特征在于,包括开口向上且并排设置的U型基础架(3)和U型固定架(2),所述U型固定架(2)的高度不小于U型基础架(3)的高度,所述U型基础架(3)一个开口端与所述U型固定架(2)通过支杆连接,所述U型基础架(3)另一个开口端通过支杆连接有伺服减速电机(6),所述伺服减速电机(6)的电机轴与U型固定架(2)刚性连接,所述U型基础架(3)底部通过第一滑块水平连接支撑架(7)一端,所述支撑架(7)另一端通过第二滑块连接U型支架(9)底端,所述U型支架(9)内设置有外滑环(10),所述外滑环(10)通过呈对称水平设置的滑轨(5)与U型支架(9)两个开口端连接;1. A fracture operation fixation device, characterized in that it comprises a U-shaped base frame (3) and a U-shaped fixing frame (2) whose opening is upward and arranged side by side, and the height of the U-shaped fixing frame (2) is not less than U The height of the U-shaped base frame (3), one open end of the U-shaped base frame (3) is connected with the U-shaped fixing frame (2) through a strut, and the other open end of the U-shaped base frame (3) is connected by a strut. The support rod is connected with a servo reduction motor (6), the motor shaft of the servo reduction motor (6) is rigidly connected with the U-shaped fixing frame (2), and the bottom of the U-shaped base frame (3) is horizontally connected by a first sliding block One end of the support frame (7), the other end of the support frame (7) is connected to the bottom end of the U-shaped bracket (9) through the second slider, and the U-shaped bracket (9) is provided with an outer slip ring (10), so The outer slip ring (10) is connected with the two open ends of the U-shaped bracket (9) through the slide rails (5) arranged symmetrically and horizontally; 所述U型基础架(3)和所述U型固定架(2)均固定在底座(1);所述U型固定架(2)沿周向还均匀开设有多个通孔;所述U型固定架(2)沿周向均匀套设有三个第一夹头(4),每个所述第一夹头(4)上固定有第一钢钉,每个第一钢钉穿过U型固定架(2)上的通孔且伸出第一夹头(4)表面。The U-shaped base frame (3) and the U-shaped fixing frame (2) are both fixed on the base (1); the U-shaped fixing frame (2) is also uniformly provided with a plurality of through holes along the circumferential direction; The U-shaped fixing frame (2) is uniformly sleeved with three first chucks (4) along the circumferential direction, each of the first chucks (4) is fixed with a first steel nail, and each first steel nail passes through The through hole on the U-shaped fixing frame (2) protrudes from the surface of the first chuck (4). 2.根据权利要求1所述的一种骨折手术固定装置,其特征在于,所述外滑环(10)沿周向均匀套设有三个第二夹头(8),每个第二夹头(8)上固定有第二钢钉。2. A fracture surgery fixation device according to claim 1, characterized in that, the outer slip ring (10) is uniformly sleeved with three second chucks (8) along the circumferential direction, and each second chuck (8) A second steel nail is fixed on it. 3.根据权利要求1所述的一种骨折手术固定装置,其特征在于,所述U型支架(9)上固定有电机(12),所述电机(12)的电机轴上连接有曲柄滑块机构,所述曲柄滑块机构与一个所述滑轨(5)连接,所述滑轨(5)通过曲柄滑块机构做往复运动。3. A fracture surgery fixation device according to claim 1, characterized in that a motor (12) is fixed on the U-shaped bracket (9), and a crank slider is connected to a motor shaft of the motor (12). A block mechanism, the crank-slider mechanism is connected with one of the slide rails (5), and the slide rail (5) reciprocates through the crank-slider mechanism.
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SU797667A1 (en) * 1979-01-30 1981-01-28 Военно-Медицинская Ордена Ленинакраснознаменная Академия Именис.M.Кирова Method of fixation of long tubular bone fragments
CN87203117U (en) * 1987-03-31 1988-02-17 赵广富 Adjustable multifunctional fixator for fracture reduction
SU1623638A1 (en) * 1989-01-26 1991-01-30 Казанский филиал Всесоюзного Курганского научного центра "Восстановительная травматология и ортопедия" Compression-distraction appliance
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