CN109106440A - A kind of humeral intramedullary nail implantation sighting device and its application method - Google Patents
A kind of humeral intramedullary nail implantation sighting device and its application method Download PDFInfo
- Publication number
- CN109106440A CN109106440A CN201810867302.7A CN201810867302A CN109106440A CN 109106440 A CN109106440 A CN 109106440A CN 201810867302 A CN201810867302 A CN 201810867302A CN 109106440 A CN109106440 A CN 109106440A
- Authority
- CN
- China
- Prior art keywords
- kirschner wire
- sleeve
- sighting device
- kirschner
- main body
- 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
Links
- 238000002513 implantation Methods 0.000 title claims abstract description 14
- 238000000034 method Methods 0.000 title claims abstract description 9
- 210000002758 humerus Anatomy 0.000 claims abstract description 19
- 238000005452 bending Methods 0.000 claims abstract description 8
- 238000003780 insertion Methods 0.000 claims abstract description 5
- 230000037431 insertion Effects 0.000 claims abstract description 5
- 238000001356 surgical procedure Methods 0.000 abstract description 3
- 241001269238 Data Species 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- 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
Abstract
The present invention relates to a kind of humeral intramedullary nails to be implanted into sighting device, including sighting device main body, and the sighting device main body bending part upper end has the through-hole passed vertically through for two sleeve of Kirschner wire, has Kirschner wire two in two sleeve of Kirschner wire；The vertical portion and bending part junction of the sighting device main body are provided with the through-hole passed through for one sleeve of Kirschner wire, have Kirschner wire one in one sleeve of Kirschner wire, and two sleeve of Kirschner wire and one sleeve within angle of Kirschner wire are 60 °.Entire surgical procedure does not need to cut humerus, adjust the length of one sleeve of Kirschner wire, it keeps handle parallel with humerus, is inserted into kirschner needle sleeve two, be further inserted into Kirschner wire two along kirschner needle sleeve two, two sleeves and sighting device are removed again after insertion Kirschner wire two, it is drilled by core drill along Kirschner wire two, precision is high, and surgical quality is high, restore fast more afterwards, effectively reduce patient's pain.Also disclose a kind of application method of humeral intramedullary nail implantation sighting device.
Description
Technical field
The present invention relates to humeral intramedullary nail implanted device field, specifically a kind of humeral intramedullary nail is implanted into sighting device and its makes
Use method.
Background technique
It when carrying out humeral intramedullary nail implantation, needs to carry out humeral shaft drilling and expands marrow, to establish intramedullary nail implantation channel.
When being drilled, it is accurate that the position and direction of drill bit need, to guarantee the smooth and correct of implantation.In existing surgical procedure
In, it is mostly to need to cut humerus, the exposure visual field, and entry point is determined by doctors experience.Its drawback has following side
Face:
1. needing to cut.
2. entry point position is not accurate.
3. direction is not easy to grasp.It easily causes surgical quality poor, influences to restore or even operative failure, brought to patient secondary
Injury.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of humeral intramedullary nails to be implanted into sighting device and its application method, with
Solve defect existing in the prior art.
The technical scheme to solve the above technical problems is that
A kind of humeral intramedullary nail implantation sighting device, including sighting device main body, the sighting device main body bending part upper end have
For the through-hole that two sleeve of Kirschner wire passes vertically through, there is Kirschner wire two in two sleeve of the Kirschner wire；The sighting device main body
Vertical portion and bending part junction are provided with the through-hole passed through for one sleeve of Kirschner wire, have kirschner in one sleeve of Kirschner wire
Needle one, two sleeve of Kirschner wire and one sleeve within angle of Kirschner wire are 60 °, and the vertical portion lower end of the sighting device main body has
The extension handle being fixedly connected by fixed screw；
Further, the sighting device main body is correspondingly arranged on length adjustment for the surface for the through-hole that Kirschner wire one passes through and carves
Ruler is spent, one sleeve of Kirschner wire is used to indicate and carries out length adjustment；
Further, the position of 6 degree of drift angle intramedullary nails has been reserved by two sleeve of Kirschner wire, to select 6 degree of drift angles of implantation
Intramedullary nail；
Further, fluting has been reserved below one sleeve of Kirschner wire, if Kirschner wire 1 is inserted into from A point, not pre-
If B at be pierced by, that is, deviated, also can using range estimation normal place (AB line) between differential seat angle, use sighting device
On angular adjustment graduated scale rectify a deviation；
A kind of application method of humeral intramedullary nail implantation sighting device, which comprises the steps of:
1) it is inserted into Kirschner wire one: measuring patient's humerus head major tubercle vertex A under preoperative image and handed over to articular surface and collum chirurgicum
The distance of B point at boundary, cuts the osculum within one centimeter at A point, from A point inserting needle, wears to B point；
2) sighting device is installed:
Distance between A, B has been determined, one sleeve of Kirschner wire has been inserted into sighting device main body corresponding aperture, and keep Kirschner wire a set of
Graduation mark on cylinder is aligned with scale corresponding in sighting device main body, and graduation mark is AB distance between two points value；
One sleeve of Kirschner wire in sighting device main body is covered on Kirschner wire one, until sleeve ends and greater tubercles of humerus top
End is the entry point A point contact of Kirschner wire one；
3) it is inserted into Kirschner wire two:
Keeping sighting device to extend, handle is parallel with humerus, and insertion two sleeve of Kirschner wire is contacted with humerus head up to its end,
Then Kirschner wire two is inserted into along two sleeve of Kirschner wire；
4) it removes sighting device: two sleeve of one sleeve of Kirschner wire and Kirschner wire is first taken away, by sighting device along one He of Kirschner wire
The notch on two side of Kirschner wire withdraws sighting device, and after removing sighting device, i.e., available core drill drill and then plants along Kirschner wire two
Enter intramedullary nail.
The beneficial effects of the present invention are: entire surgical procedure does not need to cut humerus, one sleeve of Kirschner wire is adjusted
Length keeps handle parallel with humerus, is inserted into kirschner needle sleeve two, is further inserted into Kirschner wire two along kirschner needle sleeve two,
Two sleeves and sighting device are removed again after insertion Kirschner wire two, is drilled by core drill along Kirschner wire two, and precision is high, matter of performing the operation
Amount is high, restores fast more afterwards, effectively reduces patient's pain.
Detailed description of the invention
Fig. 1 is schematic structural view of the invention；
Fig. 2 is another angled arrangement schematic diagram of the present invention；
The reference numerals are as follows:
1, sighting device main body, 2, two sleeve of Kirschner wire, 3, Kirschner wire two, 4, one sleeve of Kirschner wire, 5, Kirschner wire one, 6, prolong
Long handle, 7, fixed screw, 8, length adjustment graduated scale, 9, angular adjustment graduated scale；
Specific embodiment
The principle and features of the present invention will be described below with reference to the accompanying drawings, and the given examples are served only to explain the present invention, and
It is non-to be used to limit the scope of the invention.
As shown in Figs. 1-2, a kind of humeral intramedullary nail is implanted into sighting device, including sighting device main body 1, the sighting device main body 1
Bending part upper end has the through-hole passed vertically through for two sleeve 2 of Kirschner wire, has Kirschner wire 23 in two sleeve 2 of Kirschner wire；
The vertical portion and bending part junction of the sighting device main body 1 are provided with the through-hole passed through for one sleeve 4 of Kirschner wire, the kirschner
There is Kirschner wire 1, two sleeve 2 of Kirschner wire and one sleeve of Kirschner wire, 4 within angle are 60 °, the aiming in one sleeve 4 of needle
The vertical portion lower end of device main body 1 has the extension handle 6 being fixedly connected by fixed screw 7；
Further, the sighting device main body 1 is correspondingly arranged on length adjustment for the surface for the through-hole that Kirschner wire 1 passes through
Graduated scale 8 is used to indicate one sleeve 4 of Kirschner wire and carries out length adjustment；
Further, the position of 6 degree of drift angle intramedullary nails has been reserved by two sleeve 2 of Kirschner wire, to select 6 degree of drift angles of implantation
Intramedullary nail；
Further, fluting has been reserved below one sleeve 4 of Kirschner wire, if Kirschner wire 1 is inserted into from A point, do not existed
It is pierced by, that is, is deviated at preset B, it also can be using differential seat angle between range estimation and normal place (AB line), with aiming
Angular adjustment graduated scale 9 on device is rectified a deviation；
A kind of application method of humeral intramedullary nail implantation sighting device, which comprises the steps of:
1) it is inserted into Kirschner wire one: measuring patient's humerus head major tubercle vertex A under preoperative image and handed over to articular surface and collum chirurgicum
The distance of B point at boundary, cuts the osculum within one centimeter at A point, from A point inserting needle, wears to B point；
2) sighting device is installed:
Distance between A, B has been determined, one sleeve of Kirschner wire has been inserted into sighting device main body corresponding aperture, and keep Kirschner wire a set of
Graduation mark on cylinder is aligned with scale corresponding in sighting device main body, and graduation mark is AB distance between two points value；
One sleeve of Kirschner wire in sighting device main body is covered on Kirschner wire one, until sleeve ends and greater tubercles of humerus top
End is the entry point A point contact of Kirschner wire one；
3) it is inserted into Kirschner wire two:
Keeping sighting device to extend, handle is parallel with humerus, and insertion two sleeve of Kirschner wire is contacted with humerus head up to its end,
Then Kirschner wire two is inserted into along two sleeve of Kirschner wire；
4) it removes sighting device: two sleeve of one sleeve of Kirschner wire and Kirschner wire is first taken away, by sighting device along one He of Kirschner wire
The notch on two side of Kirschner wire withdraws sighting device, and after removing sighting device, i.e., available core drill drill and then plants along Kirschner wire two
Enter intramedullary nail.
Instrument principle:
By a large amount of image datas and the Comparison Study of Clinical anatomic example, following rule is found:
Line and humeral shaft axis are in fixed angle between 1.AB two o'clock, and generally 60 degree.I.e. intramedullary nail is implanted into pulp cavity
When with AB line be in 60 degree.
2. the midpoint that medullary cavity of humerus axis and AB line intersection point are AB two o'clock.
Instrument relevant parameter:
1. angle is 60 degree between kirschner needle sleeve 1 and kirschner needle sleeve 2.
2. the adjustable extent on sighting device theme of kirschner needle sleeve 1 is 39-67mm, each age height is covered substantially
The humerus diameter of section.
3. the position of 6 degree of drift angle intramedullary nails has been reserved by kirschner needle sleeve 2, to select the intramedullary nail of 6 degree of drift angles of implantation.
4. having reserved fluting below kirschner needle sleeve 1.If Kirschner wire 1 is inserted into from A point, it is not pierced by preset B,
Deviated, it also can be using differential seat angle between range estimation and normal place (AB line), with the angular adjustment on sighting device
Graduated scale is rectified a deviation.
The foregoing is merely presently preferred embodiments of the present invention, is not intended to limit the invention, it is all in spirit of the invention and
Within principle, any modification, equivalent replacement, improvement and so on be should all be included in the protection scope of the present invention.
Claims (5)
1. a kind of humeral intramedullary nail is implanted into sighting device, it is characterised in that: including sighting device main body, the sighting device main body bending part
Upper end has the through-hole passed vertically through for two sleeve of Kirschner wire, has Kirschner wire two in two sleeve of Kirschner wire；The aiming
There is fixed screw, the vertical portion and bending part junction of the sighting device main body are provided with for kirschner on the vertical portion of device main body
The through-hole that one sleeve of needle passes through, one sleeve of Kirschner wire is interior to have Kirschner wire one, two sleeve of Kirschner wire and Kirschner wire one
Sleeve within angle is 60 °, and the vertical portion lower end of the sighting device main body, which has, extends handle.
2. a kind of humeral intramedullary nail according to claim 1 is implanted into sighting device, it is characterised in that: the sighting device main body supplies
The surface for the through-hole that Kirschner wire one passes through is correspondingly arranged on length adjustment graduated scale, is used to indicate one sleeve of Kirschner wire and carries out length
It adjusts.
3. a kind of humeral intramedullary nail according to claim 1 is implanted into sighting device, it is characterised in that: two sleeve of Kirschner wire
The position of 6 degree of drift angle intramedullary nails has been reserved on side, to select the intramedullary nail of 6 degree of drift angles of implantation.
4. a kind of humeral intramedullary nail according to claim 3 is implanted into sighting device, it is characterised in that: one sleeve of Kirschner wire
Fluting has been reserved in lower section, and the angle for carrying out Kirschner wire one is rectified a deviation.
5. a kind of application method of humeral intramedullary nail implantation sighting device, which comprises the steps of:
1) it is inserted into Kirschner wire one: measuring patient's humerus head major tubercle vertex A under preoperative image to articular surface and collum chirurgicum intersection B
The distance of point, the osculum within one centimeter is cut at A point, from A point inserting needle, is worn to B point；
2) sighting device is installed:
Distance between A, B has been determined, one sleeve of Kirschner wire has been inserted into sighting device main body corresponding aperture, and is made on one sleeve of Kirschner wire
Graduation mark be aligned with scale corresponding in sighting device main body, graduation mark is AB distance between two points value；
One sleeve of Kirschner wire in sighting device main body is covered on Kirschner wire one, until sleeve ends are with greater tubercles of humerus top
The entry point A point contact of Kirschner wire one；
3) it is inserted into Kirschner wire two:
Keeping sighting device to extend, handle is parallel with humerus, and insertion two sleeve of Kirschner wire is until its end is contacted with humerus head, then
Kirschner wire two is inserted into along two sleeve of Kirschner wire；
4) it removes sighting device: two sleeve of one sleeve of Kirschner wire and Kirschner wire is first taken away, by sighting device along Kirschner wire one and kirschner
The notch on two side of needle withdraws sighting device, and after removing sighting device, i.e., available core drill drill along Kirschner wire two and then is implanted into marrow
Interior nail.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810867302.7A CN109106440A (en) | 2018-07-25 | 2018-07-25 | A kind of humeral intramedullary nail implantation sighting device and its application method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810867302.7A CN109106440A (en) | 2018-07-25 | 2018-07-25 | A kind of humeral intramedullary nail implantation sighting device and its application method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109106440A true CN109106440A (en) | 2019-01-01 |
Family
ID=64862508
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810867302.7A Pending CN109106440A (en) | 2018-07-25 | 2018-07-25 | A kind of humeral intramedullary nail implantation sighting device and its application method |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109106440A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110115620A (en) * | 2019-06-05 | 2019-08-13 | 苏州伯塔医疗科技有限公司 | A kind of humeral intramedullary nail implantation sighting device and its application method |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5112335A (en) * | 1989-07-11 | 1992-05-12 | Laboureau Jacques Philippe | Instrument for marking and drilling femoral and tibial insertion tunnels |
| CN2403376Y (en) * | 1999-12-21 | 2000-11-01 | 戚建勇 | Double pulling fore locking intramedullary nail apparatus with distance aiming |
| US20080281331A1 (en) * | 2007-02-08 | 2008-11-13 | Zimmer, Inc. | Targeting device |
| CN201445559U (en) * | 2009-08-12 | 2010-05-05 | 苏纪权 | Three-dimensional angle positioner |
| CN202060860U (en) * | 2011-04-20 | 2011-12-07 | 马台 | Navigator of intramedullary nail at near end of thighbone |
| CN103040526A (en) * | 2013-01-04 | 2013-04-17 | 浙江科惠医疗器械有限公司 | Three-dimensional positioning sighting device for orthopedic surgery |
| US20140046332A1 (en) * | 2011-04-28 | 2014-02-13 | Ayishwariya Premanathan | Stopping tool guides and combinations thereof with surgical guides, methods for manufacturing and uses thereof |
| CN203634279U (en) * | 2013-12-18 | 2014-06-11 | 廖志峰 | Perspective positioning sighting device of tibia interlocking intramedullary nail far-end dual-pillar press rod |
| CN205234569U (en) * | 2015-12-11 | 2016-05-18 | 张军 | Thighbone neck side position drilling director |
| CN108210048A (en) * | 2018-01-19 | 2018-06-29 | 梁志强 | A kind of near end of thighbone Kirschner wire fixation device |
-
2018
- 2018-07-25 CN CN201810867302.7A patent/CN109106440A/en active Pending
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5112335A (en) * | 1989-07-11 | 1992-05-12 | Laboureau Jacques Philippe | Instrument for marking and drilling femoral and tibial insertion tunnels |
| CN2403376Y (en) * | 1999-12-21 | 2000-11-01 | 戚建勇 | Double pulling fore locking intramedullary nail apparatus with distance aiming |
| US20080281331A1 (en) * | 2007-02-08 | 2008-11-13 | Zimmer, Inc. | Targeting device |
| CN201445559U (en) * | 2009-08-12 | 2010-05-05 | 苏纪权 | Three-dimensional angle positioner |
| CN202060860U (en) * | 2011-04-20 | 2011-12-07 | 马台 | Navigator of intramedullary nail at near end of thighbone |
| US20140046332A1 (en) * | 2011-04-28 | 2014-02-13 | Ayishwariya Premanathan | Stopping tool guides and combinations thereof with surgical guides, methods for manufacturing and uses thereof |
| CN103040526A (en) * | 2013-01-04 | 2013-04-17 | 浙江科惠医疗器械有限公司 | Three-dimensional positioning sighting device for orthopedic surgery |
| CN203634279U (en) * | 2013-12-18 | 2014-06-11 | 廖志峰 | Perspective positioning sighting device of tibia interlocking intramedullary nail far-end dual-pillar press rod |
| CN205234569U (en) * | 2015-12-11 | 2016-05-18 | 张军 | Thighbone neck side position drilling director |
| CN108210048A (en) * | 2018-01-19 | 2018-06-29 | 梁志强 | A kind of near end of thighbone Kirschner wire fixation device |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110115620A (en) * | 2019-06-05 | 2019-08-13 | 苏州伯塔医疗科技有限公司 | A kind of humeral intramedullary nail implantation sighting device and its application method |
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|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| WD01 | Invention patent application deemed withdrawn after publication | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20190101 |