CN109044511A - Hammer finger deformity extensor tendon stop rebuilds orthoses and silk-thread fixator - Google Patents

Hammer finger deformity extensor tendon stop rebuilds orthoses and silk-thread fixator Download PDF

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Publication number
CN109044511A
CN109044511A CN201810914756.5A CN201810914756A CN109044511A CN 109044511 A CN109044511 A CN 109044511A CN 201810914756 A CN201810914756 A CN 201810914756A CN 109044511 A CN109044511 A CN 109044511A
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CN
China
Prior art keywords
fixed
shaft
silk thread
thread
silk
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CN201810914756.5A
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Chinese (zh)
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CN109044511B (en
Inventor
闫合德
赵彬
周锡杰
李志杰
陈星隆
高伟阳
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Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
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Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
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Priority to CN201810914756.5A priority Critical patent/CN109044511B/en
Publication of CN109044511A publication Critical patent/CN109044511A/en
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Publication of CN109044511B publication Critical patent/CN109044511B/en
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    • 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
    • A61B17/60Surgical 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
    • A61B17/62Ring 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, 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
    • A61B17/60Surgical 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
    • 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
    • A61B17/60Surgical 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
    • A61B17/66Alignment, compression or distraction mechanisms

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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 a kind of hammer finger deformity extensor tendon stops to rebuild orthoses and silk-thread fixator, including Kirschner wire and fixed silk thread of performing the operation, fixed silk thread of performing the operation is combined with silk-thread fixator, the bending end that there is Kirschner wire transverse fold to be formed, silk-thread fixator is supported in bending end point, silk-thread fixator includes the matrix being fixedly supported on Kirschner wire, there is the guide through hole passed through for fixed silk thread of performing the operation on the front of matrix, matrix is equipped with the retracting pressing mechanism fixed for the fixing end for fixed silk thread of performing the operation, retracting pressing mechanism includes shaft and the shaft lock with the cooperation of shaft locking, matrix is equipped with the axis hole cooperated for shaft locating rotation, shaft is rotatably assorted on matrix, there is shaft fixed perform the operation to fix silk thread fixing end and furl the retracting shaft part for fixed silk thread of performing the operation and the operating side for furling operation.The impetus of fixed silk thread is acted on Kirschner wire end point by the present invention, has and Kirschner wire is auxiliarily fixed, and good operation effect improves postoperation recovery effect.

Description

Hammer finger deformity extensor tendon stop rebuilds orthoses and silk-thread fixator
Technical field
The present invention relates to surgical operating instrument technical fields, and phalanx bone is used for when being specifically operative treatment phalangeal fracture Fixed fixator and silk-thread fixator are corrected at folding.
Background technique
Hammer finger is that the violent buckling of finger causes extensor tendon stop to tear or cause at phalangette extensor tendon attachment Avulsion fracture cannot be stretched actively to digital tip flexion deformity occur.It is clinically divided into according to type of impairment as bone hammer Shape refers to (extensor tendon distal end is together with phalangette base portion avulsion fracture) and tendon hammer finger (simple extensor tendon tip breakages).Outside Surgical treatment is a kind of important means for treating hammer finger.It is existing subsidiary for the tearing of extensor tendon stop or tendon smaller The tearing of sclerite, operation penetrate phalanges using Kirschner wire is oblique, and the distal phalanx basal part brill two by osteocomma two sides is small Fixed silk thread of performing the operation (existing is often nylon wire) is passed through aperture and crosses the fixed osteocomma in stop portion of extensor tendon, operation by hole Fixed silk thread both ends are pierced by finger face, and fixed silk thread both ends of performing the operation are auxiliarily fixed using button, to reach fixed silk thread effect of performing the operation In fracture.But it is auxiliarily fixed using button, there are fixed poor reliability, button is easy to close with face paste is referred to, influences the hand of patient The healing of art position;It is additionally present of defect that is inconvenient, and fixing poor reliability, while cannot achieve and fracture is applied controllably Tension, to cause surgical effect undesirable, healing process of tendons is difficult, and failure rate is high.In addition, solid as operation using nylon wire Fixed thread line, nylon line tension is big, is easy to loosen for a long time.
Summary of the invention
Objects of the present invention: to overcome defect of the existing technology, the present invention provides a kind of operation fixed wire line end Be fixed conveniently reliable hammer finger deformity extensor tendon stop of head rebuilds orthoses, and the fixed impetus of operation fixed wire line end is made For Kirschner wire end point, have and Kirschner wire effect is auxiliarily fixed, good operation effect improves postoperation recovery effect.
To achieve the above object, the present invention provides the following technical scheme that
A kind of hammer finger deformity extensor tendon stop rebuilds orthoses, refers to back including passing through and refers to the Kirschner wire in face and be fixed on hand The fixed silk thread of operation on finger, fixed silk thread both ends of performing the operation are the fixing end for being piercing in Fingers face, and fixed silk thread of performing the operation is consolidated Fixed end is combined with silk-thread fixator, it is characterised in that: the Kirschner wire has across the bending for referring to face and transverse fold is formed End, the silk-thread fixator are supported in bending end point.
By using above-mentioned technical proposal, silk-thread fixator is supported on Kirschner wire, avoids referring to that face paste is closed with patient, and silk Line fixator is supported through Kirschner wire and is fixed, the operation for facilitating fixed silk thread of performing the operation to be fixed on silk-thread fixator, and bending end is same When with avoid operation fixed wire line formed tension force effect Kirschner wire on, cause Kirschner wire pressurize after slide.
Preferably, the silk-thread fixator includes the matrix for being fixedly supported to bending end point, is had on matrix for operation The guide through hole and be equipped with the retracting pressing mechanism fixed for the fixing end for fixed silk thread of performing the operation, retracting that fixed silk thread passes through Pressing mechanism includes shaft and the shaft lock with the cooperation of shaft locking, and matrix, which is equipped with, to be cooperated for shaft locating rotation Axis hole, the shaft are rotatably assorted on matrix, and there is shaft fixed perform the operation to fix silk thread fixing end and furl operation fixed wire The retracting shaft part of line and for furl operation operating side.Under structure design, shaft realizes the fixation for fixed silk thread of performing the operation End is fixed, and rotating shaft realizes that the tension to operation fixed wire line realizes that tension is controllable, to improve surgical effect, improves patient Healing effect.
Preferably, the mode that the shaft is axially movable is assemblied on matrix, and the shaft lock is with shaft axial direction It is mobile to constitute locking, unlock cooperation on direction of rotation between shaft and corresponding axis hole.It is easy to operate with simple and compact for structure The advantages of.
Preferably, the shaft consolidates that lock includes that the internal lock that is fixedly installed in axis hole is fixed and fixing sleeve is loaded on turning External lock on axis is fixed, and the fixed fixed ring including being fixed in axis hole of the internal lock, fixed ring is axially extending to be had by several edges The circumferential elasticity arranged at equal intervals clasps the elastic jacket that piece surrounds, and elastic jacket is relative to connecting the another of one end with fixed ring End is the locking end that elastic can gather, open, and interval forms annular chamber between the outer circumferential sides and axis hole wall of elastic jacket, described The fixed axis retainer plate including being fixed in shaft of external lock, axis retainer plate is axially extending positioning sleeve, and positioning sleeve is plugged in annular Intracavitary, the outer circumference surface of positioning sleeve cooperates with corresponding axis hole locating rotation, and the inner hole of positioning sleeve is the circle that front end is big, rear end is small Pyramidal, the locking end of the locking end cooperation composition banding elastic jacket of the inner hole rear end and elastic jacket of the positioning sleeve is clasped In in shaft, the inner hole front end of positioning sleeve and the locking end corresponding matching of elastic jacket constitute the locking end expansion of elastic jacket simultaneously Loosen shaft.Under structure design, when fixed thread tension of performing the operation is adjusted, the inner hole front end of positioning rotating shaft to positioning sleeve and bullet Property collet locking end it is corresponding, elastic jacket unclamps shaft, and shaft rotatably furl fixed wire line traffic control tension of performing the operation, in tension After the completion of adjusting, shaft is axially pushed, the external lock in shaft is fixed to be moved axially therewith, and the fixed positioning sleeve inner hole of external lock is by preceding Movement is gradually placed on the fixed elastic jacket locking end of internal lock to the back-end at end, and the locking end of elastic jacket gradually tapers up, final to embrace Tight shaft realizes the locking of shaft;Locking of the elastic locking sleeve to shaft is not only the power of clasping to shaft, while to positioning Set forms tension, and it is reliable and stable to have the advantages that shaft is locked;In addition, positioning is placed on annular chamber location fit, guarantee that shaft exists It is reliable and stable in rotation adjustment process, guarantee to adjust operation reliably.
Preferably, the rubber damping of direction of rotation damping cooperation when being equipped with shaft rotation operation between the shaft and axis hole Circle.Under structure design, retardance sense is formed, convenient for adjusting operation, while damping force can be avoided under tension, and shaft is light Easily revolution guarantees convenient and reliable operation.
Preferably, circumferentially arranged with annular silk thread location indentations on the retracting shaft part of the shaft, annular silk thread positioning is recessed Portion has limited wall in the axial direction, and annular silk thread location indentations axial centre position is equipped with the silk thread perforation radially penetrated through, described Annular silk thread location indentations axial centre is additionally provided with the line pressing bolt hole being arranged in counter sink, and institute's line pressing bolt hole screw thread is screwed with Line pressing bolt, the head of line pressing bolt can be submerged in the port of line pressing bolt hole, and the fixed silk thread of the operation passes through silk thread and perforates simultaneously It is fixed in line pressing bolt along annular silk thread location indentations around to winding at line pressing bolt.Under structure design, fixed wire of performing the operation Line passes through silk thread and perforates and be fixed in line pressing bolt along annular silk thread location indentations around to wind at line pressing bolt, screw-in crimping Screw realizes that the fixing end by fixed silk thread of performing the operation is fixed;With easy to operate, compact-sized advantage.
Preferably, described matrix includes the front being supported on bending end, which far saves the extension of end side to phalanges There is the fingerstall portion at the remote section end for being wearing on finger.Under structure design, silk-thread fixator is fixed on finger by the way of wearing On, convenient for the fixation of silk-thread fixator, so that instrument is more firm, guarantee surgical effect.
The present invention also provides a kind of fixed silk thread fixed operations of operation conveniently, reliable, and impetus acts on Kirschner wire end Silk-thread fixator fixed to operation fixed wire line fixing end in the phalangeal fracture operation of postoperation recovery effect is improved at place, including The matrix being fixedly supported on Kirschner wire, described matrix include the front being supported on bending end, which far saves to phalanges End side is extended with the fingerstall portion for being wearing on the remote section end of finger, has on the front of matrix and leads for what fixed silk thread of performing the operation passed through To through-hole, matrix is equipped with the retracting pressing mechanism fixed for the fixing end for fixed silk thread of performing the operation, and retracting pressing mechanism includes turning Axis and the shaft lock cooperated with shaft locking, matrix are equipped with the axis hole cooperated for shaft locating rotation, the shaft Be rotatably assorted on matrix, shaft have it is fixed perform the operation fixed silk thread fixing end and furl the retracting shaft part for fixed silk thread of performing the operation with And the operating side for furling operation.It is supported on Kirschner wire with silk-thread fixator, avoids referring to that face paste is closed with patient, and silk thread Fixator is supported through Kirschner wire and is fixed, the operation for facilitating fixed silk thread of performing the operation to be fixed on silk-thread fixator.
The invention will be further described below in conjunction with the accompanying drawings.
Detailed description of the invention
Fig. 1 is specific embodiment of the invention using state structure diagram;
Fig. 2 is specific embodiment of the invention silk-thread fixator structural schematic diagram;
Fig. 3 is that the specific embodiment of the invention furls pressing mechanism structural schematic diagram;
Fig. 4 is specific embodiment of the invention pivot structure schematic diagram;
Fig. 5 is specific embodiment of the invention internal lock tight tube structure schematic diagram.
Specific embodiment
Referring to attached drawing 1~5, a kind of hammer finger deformity extensor tendon stop reconstruction orthoses disclosed by the invention, including pass through Refer to back and refer to the Kirschner wire 1 in face and the fixed silk thread 2 of the operation being fixed on finger 9, fixed 2 both ends of silk thread of performing the operation are to be piercing in The fixing end in Fingers face, the fixing end for fixed silk thread 2 of performing the operation are combined with silk-thread fixator 3, the Kirschner wire 1 have across The bending end 11 that finger face and transverse fold are formed, the silk-thread fixator 3 are supported at bending end 11.Silk-thread fixator branch Support avoids referring to that face paste is closed with patient on Kirschner wire, and silk-thread fixator is supported through Kirschner wire and fixed, and facilitates the fixed silk thread of operation The operation being fixed on silk-thread fixator, bending end have the tension force effect Kirschner wire for avoiding operation fixed wire line from being formed simultaneously On, it is slided after causing Kirschner wire to pressurize.Fixed silk thread 2 of wherein performing the operation uses steel wire, has the advantages that reliable and stable, avoids centainly The variation of time backward pull improves patient's postoperation recovery effect.
The silk-thread fixator 3 includes the matrix 31 being fixedly supported at bending end 11, is had on matrix 31 for operation The guide through hole 311 and be equipped with the retracting pressuring machine fixed for the fixing end for fixed silk thread 31 of performing the operation that fixed silk thread 2 passes through Structure, retracting pressing mechanism include that shaft 32 and the shaft lock with the cooperation of 32 locking of shaft, matrix 31 are equipped with for shaft The axis hole of 32 locating rotations cooperation, the shaft 32 are rotatably assorted on matrix 31, and shaft 32 has fixed fixed silk thread 2 of performing the operation Fixing end simultaneously furls the retracting shaft part 321 for fixed silk thread 2 of performing the operation and the operating side 322 for furling operation.Shaft realizes hand The fixing end of the fixed silk thread of art is fixed, and rotating shaft realizes that the tension to operation fixed wire line realizes that tension is controllable, to improve Surgical effect improves patient's healing effect.Certainly it as the feasible scheme of the present invention, can be formed accordingly in Kirschner wire bending part Bending shape processing, nylon wire is directly tied up in bending part, but above-mentioned setting, to the fixation of steel wire there are inconvenient and Unstable defect.For convenience and guarantee that fixed the postoperative of silk thread of operation is reliably fixed on patient's finger, described matrix 31 include the front 31-1 that are supported on bending end 11, and front 31-1, which to phalanges far saves end side and is extended with, is wearing on finger The fingerstall portion 31-2 at 9 remote section end.In this way, silk-thread fixator is fixed on finger by the way of wearing, fixed convenient for silk thread The fixation of device guarantees surgical effect so that instrument is more firm.Fingerstall portion can a side opening, convenient for open wear, opening Place is fixed through band.
The fixed operation of silk thread is fixed preferably to facilitate to perform the operation, is circumferentially set on the retracting shaft part 321 of the shaft 32 There are annular silk thread location indentations 3211, annular silk thread location indentations 3211 have limited wall in the axial direction, and annular silk thread positioning is recessed 3211 axial centre position of portion is equipped with the silk thread perforation 3212 radially penetrated through, 3211 axial centre of annular silk thread location indentations It is additionally provided with the line pressing bolt hole 3214 in counter sink setting, 3214 screw thread of institute's line pressing bolt hole is screwed with line pressing bolt 3213, presses The head of line screw 3213 can be submerged in the port of line pressing bolt hole, and the fixed silk thread 2 of the operation passes through silk thread and perforates and along annular Silk thread location indentations are fixed in line pressing bolt 3213 around to winding at line pressing bolt 3213.Fixed silk thread of performing the operation is worn across silk thread Hole is simultaneously fixed in line pressing bolt along annular silk thread location indentations around to winding at line pressing bolt, is screwed in line pressing bolt and is realized hand The fixing end of the fixed silk thread of art is fixed;With easy to operate, compact-sized advantage.Line pressing bolt is arranged using countersunk head, avoids The interference that the operation fixed wire coil of wire is received.
In this specific embodiment, the mode that the shaft 32 is axially movable is assemblied on matrix 31, the shaft locking Device is moved axially with shaft 32 constitutes locking, unlock cooperation on direction of rotation between shaft 32 and corresponding axis hole.With structure Simple and compact, easy to operate advantage.
Specifically, it includes that the internal lock fixed 33 being fixedly installed in axis hole and fixing sleeve are loaded on that the shaft, which consolidates lock, External lock fixed 34 in shaft 32, the internal lock fixed 33 include the fixed ring 331 being fixed in axis hole, and fixed ring 331 is axial Be extended with and clasp the elastic jacket 332 that piece surrounds by several elasticity circumferentially arranged at equal intervals, elastic jacket 332 relative to The other end that fixed ring 331 connects one end is the locking end that elastic can gather, open, the outer circumferential sides and axis of elastic jacket 332 Interval forms annular chamber 35 between hole wall, and the external lock fixed 34 includes the axis retainer plate 341 being fixed in shaft 32, and axis is fixed Enclose 341 it is axially extending have positioning 342 sets, positioning sleeve 342 is plugged in annular chamber 35, the outer circumference surface of positioning sleeve 342 with accordingly The cooperation of axis hole locating rotation, the inner hole 3421 of positioning sleeve 342 is the circular cone shape that front end is big, rear end is small, the positioning sleeve 342 Inner hole rear end and the locking end cooperation of elastic jacket 332 constitute the locking end of banding elastic jacket 332 and clasp in shaft 32, The inner hole front end of positioning sleeve 342 and the locking end corresponding matching of elastic jacket 332 constitute the locking end expansion of elastic jacket 332 simultaneously Loosen shaft 32.Under structure design, when fixed thread tension of performing the operation is adjusted, the inner hole front end of positioning rotating shaft to positioning sleeve with The locking end of elastic jacket is corresponding, and elastic jacket unclamps shaft, and shaft rotatably furls operation fixed wire line traffic control tension, is opening Axial to push shaft after the completion of power is adjusted, external lock in shaft is fixed to be moved axially therewith, the fixed positioning sleeve inner hole of external lock by Movement is gradually placed on the fixed elastic jacket locking end of internal lock to the back-end for front end, and the locking end of elastic jacket gradually tapers up, finally It holds shaft tightly, realizes the locking of shaft;Locking of the elastic locking sleeve to shaft is not only the power of clasping to shaft, while to fixed Position set forms tension, and it is reliable and stable to have the advantages that shaft is locked;In addition, positioning is placed on annular chamber location fit, guarantee shaft It is reliable and stable during the rotation adjustment process, guarantee to adjust operation reliably.
The rubber damping ring of direction of rotation damping cooperation when being equipped with shaft rotation operation between the shaft 32 and axis hole 36.Retardance sense is formed, convenient for adjusting operation, while damping force can be avoided under tension, and shaft is turned round easily, guarantee behaviour Make convenient and reliable.Damping sleeve is set to one end that shaft consolidates lock far from shaft, is easily installed and arranges.

Claims (10)

1. a kind of hammer finger deformity extensor tendon stop rebuilds orthoses, refers to back including passing through and refer to the Kirschner wire in face and be fixed on The fixed silk thread of operation on finger, fixed silk thread both ends of performing the operation are the fixing end for being piercing in Fingers face, fixed silk thread of performing the operation Fixing end is combined with silk-thread fixator, it is characterised in that: the Kirschner wire has across the folding for referring to face and transverse fold is formed Bent-up end head, the silk-thread fixator are supported in bending end point.
2. hammer finger deformity extensor tendon stop rebuilds orthoses according to claim 1, it is characterised in that: the silk thread is fixed Device includes the matrix for being fixedly supported to bending end point, has the guide through hole and peace passed through for fixed silk thread of performing the operation on matrix Equipped with the retracting pressing mechanism that the fixing end for fixed silk thread of performing the operation is fixed, retracting pressing mechanism includes shaft and and spindle lock The shaft lock only cooperated, matrix are equipped with the axis hole cooperated for shaft locating rotation, and the shaft is rotatably assorted in matrix On, there is shaft fixed perform the operation to fix silk thread fixing end and furl the retracting shaft part for fixed silk thread of performing the operation and operate for furling Operating side.
3. hammer finger deformity extensor tendon stop rebuilds orthoses according to claim 2, it is characterised in that: the shaft can axis It is assemblied on matrix to mobile mode, the shaft lock is moved axially with shaft and constituted between shaft and corresponding axis hole It locked on direction of rotation, unlock cooperation.
4. hammer finger deformity extensor tendon stop rebuilds orthoses according to claim 3, it is characterised in that: the shaft solid lock Determining device includes that the internal lock that is fixedly installed in axis hole is fixed and the fixed external lock being set on the shaft is fixed, and the internal lock is fixed Including the fixed ring being fixed in axis hole, fixed ring is axially extending to be had and clasps piece by several elasticity circumferentially arranged at equal intervals and enclose At elastic jacket, elastic jacket relative to the other end that one end is connect with fixed ring be can the elasticity locking end that gather, open, Interval forms annular chamber, the fixed axis including being fixed in shaft of the external lock between the outer circumferential sides and axis hole wall of elastic jacket Retainer plate, axis retainer plate is axially extending positioning sleeve, and positioning sleeve is plugged in annular chamber, the outer circumference surface of positioning sleeve with it is corresponding The cooperation of axis hole locating rotation, the inner hole of positioning sleeve are the circular cone shape that front end is big, rear end is small, the inner hole rear end of the positioning sleeve with The locking end that the locking end cooperation of elastic jacket constitutes banding elastic jacket is clasped in shaft, the inner hole front end of positioning sleeve and bullet Property collet locking end corresponding matching constitute elastic jacket locking end be unfolded and loosen shaft.
5. hammer finger deformity extensor tendon stop rebuilds orthoses according to claim 2, it is characterised in that: the shaft and axis The rubber damping ring of direction of rotation damping cooperation when being equipped with shaft rotation operation between hole.
6. hammer finger deformity extensor tendon stop rebuilds orthoses according to claim 2, it is characterised in that: the volume of the shaft It receives on shaft part circumferentially arranged with annular silk thread location indentations, annular silk thread location indentations have limited wall, annular silk in the axial direction Line location indentations axial centre position is equipped with the silk thread perforation radially penetrated through, and the annular silk thread location indentations axial centre is also set There is the line pressing bolt hole in counter sink setting, institute's line pressing bolt hole screw thread is screwed with line pressing bolt, and the head of line pressing bolt can not have Enter in the port of line pressing bolt hole, the fixed silk thread of the operation passes through silk thread and perforates and along annular silk thread location indentations around to crimping spiral shell Winding is fixed in line pressing bolt at nail.
7. the according to claim 1 or 2 or 3 or 4 or 5 or 6 hammer finger deformity extensor tendon stops rebuild orthoses, feature exists It include the front being supported on bending end in: described matrix, which, which to phalanges far saves end side and be extended with, is wearing on finger Remote section end fingerstall portion.
8. the silk-thread fixator that a kind of hammer finger deformity extensor tendon stop rebuilds orthoses, it is characterised in that: supported including fixed In the matrix on Kirschner wire, described matrix includes the front being supported on bending end, which far saves end side to phalanges and prolong The fingerstall portion for having the remote section end for being wearing on finger is stretched, there is the guide through hole passed through for fixed silk thread of performing the operation on the front of matrix, Matrix is equipped with the retracting pressing mechanism fixed for the fixing end for fixed silk thread of performing the operation, retracting pressing mechanism include shaft and with The shaft lock of shaft locking cooperation, matrix are equipped with the axis hole cooperated for shaft locating rotation, and the shaft is rotatably assorted In on matrix, shaft has the retracting shaft part fixed the fixed silk thread fixing end of operation and furl the fixed silk thread of operation and for rolling up It brings drill to an end the operating side of work.
9. hammer finger deformity extensor tendon stop rebuilds the silk-thread fixator of orthoses according to claim 8, it is characterised in that: The mode that the shaft is axially movable is assemblied on matrix, and the shaft lock moves axially with shaft and constitutes shaft and phase Between the axis hole answered on direction of rotation lock, unlock cooperation, the shaft consolidate lock include be fixedly installed in it is interior in axis hole Lock sleeve and the fixed external lock being set on the shaft are fixed, the fixed fixed ring including being fixed in axis hole of the internal lock, Gu Determine annulate shaft and clasp the elastic jacket that piece surrounds by several elasticity circumferentially arranged at equal intervals to being extended with, elastic jacket relative to The other end that one end is connect with fixed ring is the locking end that elastic can gather, open, the outer circumferential sides and axis hole wall of elastic jacket Between interval form annular chamber, the fixed axis retainer plate including being fixed in shaft of the external lock, axis retainer plate is axially extending to be had Positioning sleeve, positioning sleeve are plugged in annular chamber, and the outer circumference surface of positioning sleeve cooperates with corresponding axis hole locating rotation, positioning sleeve Inner hole is the circular cone shape that front end is big, rear end is small, and the inner hole rear end of the positioning sleeve and the locking end of elastic jacket, which cooperate, to be constituted The locking end of banding elastic jacket is clasped in shaft, the inner hole front end of positioning sleeve and the locking end corresponding matching structure of elastic jacket It is unfolded at the locking end of elastic jacket and loosens shaft.
10. hammer finger deformity extensor tendon stop rebuilds the silk-thread fixator of orthoses according to claim 9, feature exists In: circumferentially arranged with annular silk thread location indentations on the retracting shaft part of the shaft, annular silk thread location indentations have in the axial direction There is limited wall, annular silk thread location indentations axial centre position is equipped with the silk thread perforation radially penetrated through, the annular silk thread positioning Recess portion axial centre is additionally provided with the line pressing bolt hole being arranged in counter sink, and institute's line pressing bolt hole screw thread is screwed with line pressing bolt, presses The head of line screw can be submerged in the port of line pressing bolt hole, and the fixed silk thread of the operation passes through silk thread and perforates and determine along annular silk thread Position recess portion is fixed in line pressing bolt around to winding at line pressing bolt.
CN201810914756.5A 2018-08-01 2018-08-01 Orthopedic ware and silk thread fixer are rebuild to malleus extensor tendon dead point of finger deformity Active CN109044511B (en)

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CN201810914756.5A CN109044511B (en) 2018-08-01 2018-08-01 Orthopedic ware and silk thread fixer are rebuild to malleus extensor tendon dead point of finger deformity

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CN201810914756.5A CN109044511B (en) 2018-08-01 2018-08-01 Orthopedic ware and silk thread fixer are rebuild to malleus extensor tendon dead point of finger deformity

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111920500A (en) * 2020-08-10 2020-11-13 上海市嘉定区安亭医院 Kirschner wire with wire for treating hammer finger deformity by reconstruction of extensor tendon insertion point

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