CN109171878A - A kind of intoe substrate closure wedge osteotomy guider - Google Patents
A kind of intoe substrate closure wedge osteotomy guider Download PDFInfo
- Publication number
- CN109171878A CN109171878A CN201811095482.8A CN201811095482A CN109171878A CN 109171878 A CN109171878 A CN 109171878A CN 201811095482 A CN201811095482 A CN 201811095482A CN 109171878 A CN109171878 A CN 109171878A
- Authority
- CN
- China
- Prior art keywords
- osteotomy
- adjusting
- sliding
- plate
- slot
- 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.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1775—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1703—Guides or aligning means for drills, mills, pins or wires using imaging means, e.g. by X-rays
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/067—Measuring instruments not otherwise provided for for measuring angles
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
Abstract
The invention belongs to the field of medical instrument technology, in particular to a kind of intoe substrate is closed wedge osteotomy guider；A kind of its intoe substrate closure wedge osteotomy guider, including fixed device, the fixed device are equipped with adjusting rod.The present invention provides a kind of new intoe substrate closure wedge osteotomy guider, the intoe substrate is closed wedge osteotomy guider when in use, by slide assemblies by guide plate slides to parallel with metatarsal Load Level face, then measured osteotomy angle and osteotomy amount are surveyed according to preoperative, the distance between two-section bone plate and angle are adjusted by adjusting component, scale is adjusted according to the size for adjusting ruler and osteotomy slot side to determine osteotomy amount, osteotomy angle is determined according to the angular adjustment scale on angle adjustment plate, then positioning guide pin is squeezed into positioning hole, angle adjustment plate and adjusting ruler are removed, finally the tools such as goose saw are inserted into osteotomy slot and carry out osteotomy；The device can accurately determine osteotomy angle and osteotomy amount.
Description
Technical field
The invention belongs to the field of medical instrument technology, in particular to a kind of intoe substrate is closed wedge osteotomy guider.
Background technique
Intoe is one of common deformity of foot, in particular to big toe outwardly away from middle line, the angle being inclined outwardly
Greater than 15 degree, it is often accompanied by metatarsus primus varus, the complex deformity of big toe axial-rotation.Sick hair initial stage seldom causes people to pay close attention to,
But as time and age increase, intoe can be aggravated gradually, pain, swelling at thumb capsule finally occur.Pedionalgia piece paper, wears
Shoes, difficulty in walking, seriously affect daily life.Substrate wedge shape closure osteotomy belongs to one kind of substrate osteotomy, in treatment thumb
Aspect of turning up is that most doctors receive with orthopedic ability by force, and Loison mentioned the osteotomy in 1901 for the first time, and Balacescu exists
It is used for clinical operation within 1903, in 60~seventies of last century, the treatment for constantly having doctor that the art formula is used to carry out intoe, 80
After age, start constantly have document representative.In terms of the mathematics of the osteotomy and Study on Geometry, starting is also relatively more early, early in
Just there is within 1984 scholar to carry out Mathematics Research for the osteotomy.JahssMII in 1985 et al. docks 120 treated foots
Research in terms of having carried out mathematics and geometry using 5 kinds of osteotomies.In the nineties, which is well-known for a time.But with
Research is goed deep into, and disadvantage is also constantly found.If osteotomy causes first metatarsal bone to spend shortening and metatarsal distal end dorsiflexion deformity more, often
Cause metastatic metatarsalgia.To avoid the occurrence of above-mentioned complication, which is constantly modified, and becomes the classics for the treatment of intoe
One of art formula is unfavorable for beginner's operation however, most scholars point out that the surgical procedure is difficult, needs certain learning curve.
Tracing it to its cause mainly cannot accurately determine osteotomy direction and osteotomy amount.
Summary of the invention
In view of the above-mentioned problems, the present invention provides a kind of new intoe substrate closure wedge osteotomy guider, the intoe
Substrate closure wedge osteotomy guider can accurately determine osteotomy direction and osteotomy amount, operate convenient for beginner.
Specific technical solution of the present invention is as follows:
The present invention provides a kind of intoe substrate closure wedge osteotomy guider, including fixed device, the fixed device
Equipped with adjusting rod, guide plate is installed by slide assemblies on the adjusting rod, is pacified on the guide plate by adjusting component
Equipped with two-section bone plate, it is equipped with osteotomy slot on the guide plate and the two osteotomy plates, the osteotomy slot on the guide plate
It is arranged and runs through the upper and lower end face of the guide plate along the length direction of the guide plate, the osteotomy on each osteotomy plate
Slot is arranged along the length direction of the osteotomy plate and runs through the upper and lower end face of the osteotomy plate, the two sides of the guide plate and
It is equipped with location hole far from the side for adjusting component on each osteotomy plate, the lower end surface connection of the guide plate is angled
Adjustable plate and ruler is adjusted, the angle adjustment plate is equipped with angular adjustment scale, on the adjustings ruler and described in being set to
Osteotomy slot side on guide plate is equipped with size and adjusts scale.
Further to improve, the adjusting component includes sliding slot, two sliding blocks, two shafts and two locking components, the cunning
Slot is set on the guide plate and is arranged along the length direction of the guide plate, and each sliding block, which cooperates with the sliding slot, to be slided
It is dynamic, the turn trough with shaft cooperation rotation is equipped on each sliding block, one end of each shaft is respectively arranged on described in two
On the turn trough of sliding block, the other end is connected to the lower end surface of the two osteotomy plates, and each locking component is respectively arranged on each institute
It states on sliding block and is engaged with the shaft and connected.
Further to improve, each locking component includes set on the fastening groove of the turn trough bottom, set on the card
Only three grooves in groove sidewall, the spring and stop block in the groove, circle of each groove along the fastening groove
The setting of circumferential direction equidistant interval, one end of each spring are set to the bottom of the groove, and the other end is all connected with stop block, respectively
The stop block is pressed in the shaft.
Further to improve, the length direction on the two sidewalls of the sliding slot along the sliding slot is equipped at intervals with multiple cards
Slot, the card slot on two sidewalls are staggered, and locking spring and card ball, the locking bullet are equipped in each card slot
One end of spring is set to the bottom of the card slot, and the other end connects the card ball, is equipped on the two sidewalls of each sliding block and institute
It states the clamping of card ball and is connected and fixed slot, and two fixing grooves being set on same sliding block are staggered.
Further to improve, the angle adjustment plate, which is equipped with, adjusts fixture block, the rear end face of the guide plate be equipped with
The adjusting card slot for adjusting fixture block and being cooperatively connected, and limited block is equipped at the lower ending opening for adjusting card slot.
Further to improve, the angle adjustment plate and each osteotomy plate are transparent panel.
Further to improve, the length direction adjusted on ruler along the adjusting ruler, which is equipped with, adjusts sliding slot, described
Size adjusts scale and is respectively arranged on the left and right sides for adjusting sliding slot, the rear end face of the angle adjustment plate be equipped with it is described
The adjusting slider that sliding slot is cooperatively connected is adjusted, is equipped in the wherein one side wall for adjusting sliding slot along the length direction of the side wall
Through the sliding block fastening groove of the side wall, the adjusting slider is equipped with screw rod, and one end of the screw rod is slided set on the adjusting
On the side wall of block, the other end passes through the sliding block fastening groove, and the screw rod has screwed on the part of the sliding block fastening groove
Nut, the diameter of the nut are greater than the width of the sliding block fastening groove.
Further to improve, the two sides of the adjusting slider are equipped with convex lens, and each convex lens be set to it is described
It adjusts outside sliding slot.
Further to improve, the slide assemblies include guide runner, and the guide runner is equipped with and the adjusting rod
The adjustment hole of mating connection, the side wall of the guide runner are equipped with sliding groove, the side wall of the guide plate be equipped with it is described
The sliding shoe that sliding groove is cooperatively connected, and pass through hinged axis connection between the guide plate and the sliding shoe.
Further to improve, the fixed device includes vola support and holds in the palm the ankle support of articulated connection with the vola,
The both ends of the vola support are respectively equipped with fixed rack and adjust sliding rail, along the length side of the fixed rack in the vola support
To two regulating tanks are equipped with, adjustment spring is equipped in each regulating tank, one end of each adjustment spring is both connected to described
The bottom of regulating tank, the other end are both connected on the adjusting sliding rail；The adjusting rod is vertical with vola support to be connect, and institute
The bottom for stating adjusting rod is equipped with the fixed rack or adjusts the adjusting block of sliding rail mating connection.
Beneficial effects of the present invention are as follows:
The present invention provides a kind of new intoe substrate closure wedge osteotomy guider, and intoe substrate closure wedge shape is cut
Bone guider when in use, by slide assemblies by guide plate slides to parallel with metatarsal Load Level face, then according to preoperative
Measured osteotomy angle and osteotomy amount are surveyed, the distance between two-section bone plate and angle are adjusted by adjusting component, according to adjusting
The size of ruler and osteotomy slot side adjusts scale to determine osteotomy amount, is determined according to the angular adjustment scale on angle adjustment plate
Osteotomy angle then squeezes into positioning guide pin in positioning hole, angle adjustment plate and adjusting ruler is removed, finally by works such as goose saws
Osteotomy is carried out in tool insertion osteotomy slot；The device can accurately determine osteotomy angle and osteotomy amount, convenient for the operation of beginner.
Detailed description of the invention
Fig. 1 is the top view that 1 intoe substrate of embodiment is closed wedge osteotomy guider；
Fig. 2 is the side view of 2 guide plate of embodiment；
Fig. 3 is the cross-sectional view of 2 sliding block of embodiment；
Fig. 4 is the top view of 2 guide plate of embodiment；
Fig. 5 is the rearview of 3 guide plate of embodiment；
Fig. 6 is the side view of 4 angle adjustment plate of embodiment；
Fig. 7 is the cross-sectional view that embodiment 4 adjusts ruler；
Fig. 8 is the top view that embodiment 4 adjusts ruler；
Fig. 9 is the front view that 5 intoe substrate of embodiment is closed wedge osteotomy guider；
Figure 10 is the front view that 6 intoe substrate of embodiment is closed wedge osteotomy guider；
Figure 11 is the top view of 6 vola of embodiment support.
Specific embodiment
Invention is further described in detail with following embodiment with reference to the accompanying drawing.
Embodiment 1
The embodiment of the present invention 1 provides a kind of intoe substrate closure wedge osteotomy guider, as shown in Figure 1, including fixing
Device 1, the fixed device 1 is equipped with adjusting rod 2, passes through slide assemblies 3 on the adjusting rod 2 and be equipped with guide plate 4, described
Two-section bone plate 6 is installed by adjusting component 5 on guide plate 4, is equipped with osteotomy on the guide plate 4 and the two osteotomy plates 6
Slot 7, the osteotomy slot 7 on the guide plate 4 are arranged along the length direction of the guide plate 4 and run through the guide plate 4
Upper and lower end face, the osteotomy slot 7 on each osteotomy plate 6 are arranged along the length direction of the osteotomy plate 6 and run through described
Far from the side for adjusting component 5 on the upper and lower end face of osteotomy plate 6, the two sides of the guide plate 4 and each osteotomy plate 6
It is equipped with location hole 8, the lower end surface of the guide plate 4 is connected with angle adjustment plate 9 and adjusts ruler 10, the angular adjustment
Plate 9 is equipped with angular adjustment scale 11, and on the adjusting ruler 10 and 7 side of osteotomy slot on the guide plate 4 is all provided with
There is size to adjust scale 12.Osteotomy plate is arranged in parallel with guide plate on osteotomy plate in the present invention, the depth of osteotomy slot on osteotomy plate
Direction is vertical with guide plate, to guarantee that osteotomy direction is vertical with Load Level face, and then can guarantee postoperative caput metatarsale neither
It is too high also not reduce.
The present invention provides a kind of new intoe substrate closure wedge osteotomy guider, and intoe substrate closure wedge shape is cut
Bone guider when in use, by slide assemblies by guide plate slides to parallel with metatarsal Load Level face, then according to preoperative
Measured osteotomy angle and osteotomy amount are surveyed, the distance between two-section bone plate and angle are adjusted by adjusting component, according to adjusting
The size of ruler and osteotomy slot side adjusts scale to determine osteotomy amount, is determined according to the angular adjustment scale on angle adjustment plate
Osteotomy angle then squeezes into positioning guide pin in positioning hole, angle adjustment plate and adjusting ruler is removed, finally by works such as goose saws
Osteotomy is carried out in tool insertion osteotomy slot；The device can accurately determine osteotomy angle and osteotomy amount, convenient for the operation of beginner.
Embodiment 2
A kind of intoe substrate closure wedge osteotomy guider, as shown in Fig. 2, as different from Example 2: the adjusting
Component 5 includes that sliding slot 501, two sliding blocks 502, two shafts 503 and two locking components 504, the sliding slot 501 are set to the guiding
It is arranged on plate 4 and along the length direction of the guide plate 4, each sliding block 502, which cooperates with the sliding slot 501, to be slided, each institute
The turn trough 505 being equipped on sliding block 502 with the shaft 503 cooperation rotation is stated, one end of each shaft 503 is respectively arranged on two
On the turn trough 505 of the sliding block 502, the other end is connected to the lower end surface of the two osteotomy plates 6, each locking component
504 are respectively arranged on each sliding block 502 and engage connection with the shaft 503.Sliding slot, sliding block are set in the present invention are in order to
The distance between two-section bone plate is adjusted, so that it is determined that by the length of osteotomy slot osteotomy on guide plate, and shaft is to adjust
The angle of osteotomy plate, in the preoperative can be by angle adjustment plate when osteotomy plate rotates by the measurement determination of Weight carrying position X-ray film
Angular adjustment scale determine that the angle of rotation is engaged shaft by locking component when osteotomy plate turns to predetermined position,
To the position of fixed osteotomy plate, which can accurately determine osteotomy direction and osteotomy amount, avoid postoperative metastasis metatarsalgia
The appearance of disease.
As shown in figure 3, each locking component 504 includes the locking set on 505 bottom of turn trough in the present embodiment
Slot 506, three grooves 507 on 506 side wall of fastening groove, spring 508 and stop block in the groove 507
509, each groove 507 is arranged along the circumferencial direction equidistant interval of the fastening groove 506, and one end of each spring 508 is equal
Set on the bottom of the groove 507, the other end is all connected with stop block 509, and each stop block 509 is pressed on the shaft
On 503.Setting locking component is the rotation in order to engage shaft in the present invention, when osteotomy plate turns to predetermined position, will be turned
It is pressed down under axial direction, at this point, shaft enters fastening groove, three in fastening groove stop block engages shaft, when osteotomy plate needs
When rotating, it is pulled outwardly shaft, shaft is pulled out from fastening groove, then can rotate osteotomy plate, setting structure letter
It is single, it is easy to use, suitable for being widely used to promote.
As shown in figure 4, on the two sidewalls of sliding slot 501 described in the present embodiment along the length direction of the sliding slot 501 it is equal between
Every being equipped with multiple card slots 510, the card slot 510 on two sidewalls is staggered, and is equipped with locking in each card slot 510
One end of spring 511 and card ball 512, the locking spring 511 is set to the bottom of the card slot 510, and the other end connects the card
Ball 512 is equipped on the two sidewalls of each sliding block 502 and is connected and fixed slot 513 with the card ball 512 clamping, and is set to same
Two fixing grooves 513 on sliding block 502 are staggered.The present invention is the sliding in order to limit sliding block, when two-section bone plate slides
When to predetermined position, card ball is snapped into fixing groove, to limit the sliding of sliding block.
In the present invention at work, the angle for first passing through shaft adjustment two-section bone plate, after adjusting angle, sliding slider
Adjust transverse cutting bone length, the distance between two-section bone plate is transverse cutting bone length, can pass through osteotomy slot one on guide plate
The size of side adjusts scale and determines lateral distance, then determines and determines longitudinal osteotomy length by adjusting ruler, then removes angle
Degree adjustable plate and adjusting ruler pass through the works such as goose saw at this point, the osteotomy slot on guide plate is connected to the osteotomy slot on two-section bone plate
Tool carries out osteotomy, so that osteotomy amount and osteotomy direction are more accurate.
Embodiment 3
A kind of intoe substrate closure wedge osteotomy guider, as shown in figure 5, as different from Example 2: the angle
Adjustable plate 9, which is equipped with, adjusts fixture block 13, and the rear end face of the guide plate 4 is equipped with the tune being cooperatively connected with the adjusting fixture block 13
Card slot 14 is saved, and is equipped with limited block 15 at the lower ending opening for adjusting card slot 14.Angle adjustment plate passes through adjusting in the present invention
Fixture block and adjust card slot and guide plate clamping connect, convenient for the disassembly and installation of angle adjustment plate, and be arranged limited block be in order to
Guarantee that adjusting fixture block will not skid off in adjusting sliding slot, to influence the adjusting of osteotomy plate angle degree, and will adjust ruler and angle
Degree adjustable plate is mutually fixed, and longitudinal osteotomy amount is not only convenient for adjusting, and can also be removed by angle adjustment plate and be adjusted ruler, structure letter
It is single, it is easy to use, suitable for being widely used to promote.
Angle adjustment plate 9 described in the present embodiment and each osteotomy plate 6 are transparent panel.By angular adjustment in the present invention
It is to be mounted on angle due to adjusting ruler for the ease of the determination of osteotomy amount and osteotomy direction that plate and osteotomy plate, which are disposed as transparent panel,
The lower end surface of adjustable plate is spent, angle adjustment plate can block the part scale adjusted on ruler and therefore set angle adjustment plate to
Transparent panel more will can accurately determine longitudinal osteotomy amount, and equally, osteotomy plate can block the quarter of the part above angle adjustment plate
Degree, sets transparent panel for osteotomy plate, is in order to which osteotomy angle is determined more accurately；Angular adjustment on angle adjustment plate is carved
Degree is sequentially reduced from interphase two sides, i.e., mid-scale is 0 degree, and two sides are followed successively by 10 degree, 20 degree, 30 degree etc. respectively.
Embodiment 4
A kind of intoe substrate closure wedge osteotomy guider, as shown in Figure 6, Figure 7, as different from Example 2: described
It adjusts to be equipped on ruler 10 along the length direction for adjusting ruler 10 and adjusts sliding slot 16, the size adjusts scale 12 and sets respectively
In the left and right sides for adjusting sliding slot 16, the rear end face of the angle adjustment plate 9 is equipped with to be cooperated with the adjusting sliding slot 16
The adjusting slider 17 of connection, the length direction in the wherein one side wall for adjusting sliding slot 16 along the side wall are equipped with through described
The sliding block fastening groove 18 of side wall, the adjusting slider 17 are equipped with screw rod 19, and one end of the screw rod 19 is slided set on the adjusting
On the side wall of block 17, the other end passes through the sliding block fastening groove 18, and the screw rod 19 passes through the part of the sliding block fastening groove 18
On screwed nut 20, the diameter of the nut 20 is greater than the width of the sliding block fastening groove 18.Setting, which is adjusted, in the present invention slides
Slot and adjusting slider are in order to pass through angle adjustment plate mobile guide plate, so that longitudinal osteotomy amount is adjusted, in use, will adjust straight
Ruler is aligned with the edge of osteotomy is needed, and such as right crus of diaphragm osteotomy, the lower end for adjusting ruler is aligned with the left end face of right crus of diaphragm, and is adjusted
The lower end of ruler is that 0 scale tightens nut when guide plate is moved to predetermined position, at this point, adjusting slider locking is motionless, is needed
When moving adjusting slider, it is only necessary to which the accuracy of osteotomy amount can be effectively ensured in loosening nut, the setting.
As shown in figure 8, the two sides of adjusting slider 17 described in the present embodiment are equipped with convex lens 22, and each convex lens
22 are set to outside the adjusting sliding slot 16.It is the reading in order to be more clear that convex lens is arranged in the present invention, due to adjusting ruler
On adjusting scale it is smaller, it is not easy to it is clear that be therefore respectively provided with convex lens in the two sides of adjusting slider, can accurately determine vertical
To osteotomy amount, so that the operation of beginner is more convenient.
Embodiment 5
A kind of intoe substrate closure wedge osteotomy guider, as shown in figure 9, as different from Example 2: the sliding
Component 3 includes guide runner 301, and the guide runner 301 is equipped with the adjustment hole 302 being cooperatively connected with the adjusting rod 2, institute
The side wall for stating guide runner 301 is equipped with sliding groove 303, and the side wall of the guide plate 4 is equipped with to be cooperated with the sliding groove 303
The sliding shoe 304 of connection, and connected between the guide plate 4 and the sliding shoe 304 by articulated shaft 305.
Setting slide assemblies are parallel with metatarsal Load Level face in order to control guide plate in the present invention, and guide plate is by leading
It slides and rotates on adjusting rod to sliding block, convenient for adjusting guide plate to suitable position, and guide plate can by articulated shaft
To adjust the angle of guide plate, so that guide plate is parallel with metatarsal Load Level face, so that osteotomy direction is perpendicular to metatarsal
Load Level face, and then can guarantee that postoperative caput metatarsale is both less high or does not reduce.
Embodiment 6
A kind of intoe substrate closure wedge osteotomy guider, as shown in Figure 10, Figure 11, as different from Example 2: institute
Stating fixed device 1 includes vola support 101 and the ankle support 102 with the vola support 101 articulated connection, the vola support 101
Both ends be respectively equipped with fixed rack 103 and adjust sliding rail 104, along the length of the fixed rack 103 in the vola support 101
Direction is equipped with two regulating tanks 105, is equipped with adjustment spring 106 in each regulating tank 105, and the one of each adjustment spring 106
End is both connected to the bottom of the regulating tank 105, and the other end is both connected on the adjusting sliding rail 104；The adjusting rod 2 and institute
It states vola support 101 vertically to connect, and the bottom of the adjusting rod 2 is equipped with and cooperates with the fixed rack 103 or adjusting sliding rail 104
The adjusting block 107 of connection.
It is articulated and connected between mesopodium collet of the present invention and ankle support, so that foot is in any position and can be carried out performing the operation
Operation, and fixed rack and shifting sledge are set, are in order to clamp foot, consequently facilitating the progress of operation, in osteotomy side
After being determined with osteotomy amount, removes angle adjustment plate and adjust ruler, then carry out the operation of osteotomy, fixed rack and shifting
Dynamic fixation of the sliding rail to foot, convenient for being precisely accomplished for bone-culting operation.
Embodiment described above is only that the preferred embodiment of the present invention is described, not to the scope of the present invention into
Row limits, and without departing from the spirit of the design of the present invention, those of ordinary skill in the art make technical solution of the present invention
Various changes and improvements out, should fall within the scope of protection determined by the claims of the present invention.
Claims (10)
1. a kind of intoe substrate is closed wedge osteotomy guider, which is characterized in that including fixed device (1), the fixed dress
It sets (1) and is equipped with adjusting rod (2), guide plate (4), the guide plate are installed by slide assemblies (3) on the adjusting rod (2)
(4) it is equipped with two-section bone plate (6) on by adjusting component (5), is equipped on the guide plate (4) and the two osteotomy plates (6)
Osteotomy slot (7), the osteotomy slot (7) being set on the guide plate (4) are arranged along the length direction of the guide plate (4) and run through institute
The upper and lower end face of guide plate (4) is stated, is set to the osteotomy slot (7) on each osteotomy plate (6) along the length of the osteotomy plate (6)
Direction is arranged and runs through the upper and lower end face of the osteotomy plate (6), the two sides of the guide plate (4) and each osteotomy plate (6)
Upper to be equipped with location hole (8) far from the side for adjusting component (5), the lower end surface of the guide plate (4) connects angled tune
It saves plate (9) and adjusts ruler (10), the angle adjustment plate (9) is equipped with angular adjustment scale (11), the adjusting ruler
(10) osteotomy slot (7) side on and on the guide plate (4) is equipped with size and adjusts scale (12).
2. intoe substrate according to claim 1 is closed wedge osteotomy guider, which is characterized in that the adjusting component
It (5) include that sliding slot (501), two sliding blocks (502), two shafts (503) and two lockings component (504), the sliding slot (501) are set to
On the guide plate (4) and along the length direction of the guide plate (4) be arranged, each sliding block (502) with the sliding slot
(501) cooperation is slided, and the turn trough (505) with the shaft (503) cooperation rotation, each institute are equipped on each sliding block (502)
The one end for stating shaft (503) is respectively arranged on the turn trough (505) of two sliding blocks (502), and the other end is connected to described in two
The lower end surface of osteotomy plate (6), each locking component (504) be respectively arranged on each sliding block (502) and with the shaft
(503) locking connection.
3. intoe substrate according to claim 2 is closed wedge osteotomy guider, which is characterized in that each locking group
Part (504) includes the fastening groove (506) for being set to the turn trough (505) bottom, three on the fastening groove (506) side wall
A groove (507), the spring (508) and stop block (509) being set in the groove (507), each groove (507) is along described
The circumferencial direction equidistant interval of fastening groove (506) is arranged, and one end of each spring (508) is set to the groove (507)
Bottom, the other end are all connected with stop block (509), and each stop block (509) is pressed on the shaft (503).
4. intoe substrate according to claim 3 is closed wedge osteotomy guider, which is characterized in that the sliding slot
(501) length direction on two sidewalls along the sliding slot (501) is equipped at intervals with multiple card slots (510), is set on two sidewalls
The card slot (510) be staggered, locking spring (511) and card ball (512) are equipped in each card slot (510), it is described
The one end for engaging spring (511) is set to the bottom of the card slot (510), and the other end connects the card ball (512), each sliding block
(502) it is equipped on two sidewalls and is connected and fixed slot (513) with the card ball (512) clamping, and be set on same sliding block (502)
Two fixing grooves (513) be staggered.
5. intoe substrate according to claim 1 is closed wedge osteotomy guider, which is characterized in that the angular adjustment
Plate (9), which is equipped with, adjusts fixture block (13), and the rear end face of the guide plate (4) is equipped with to be cooperatively connected with the adjusting fixture block (13)
Adjusting card slot (14), and it is described adjust card slot (14) lower ending opening at be equipped with limited block (15).
6. intoe substrate according to claim 5 is closed wedge osteotomy guider, which is characterized in that the angular adjustment
Plate (9) and each osteotomy plate (6) are transparent panel.
7. intoe substrate according to claim 6 is closed wedge osteotomy guider, which is characterized in that the adjusting ruler
(10) it is equipped on along the length direction for adjusting ruler (10) and adjusts sliding slot (16), the size adjusts scale (12) and sets respectively
In the left and right sides for adjusting sliding slot (16), the rear end face of the angle adjustment plate (9) is equipped with and the adjusting sliding slot
(16) be cooperatively connected adjusting slider (17), it is described adjust sliding slot (16) wherein one side wall on along the side wall length direction
Equipped with the sliding block fastening groove (18) for running through the side wall, the adjusting slider (17) is equipped with screw rod (19), the screw rod (19)
One end be set to the adjusting slider (17) side wall on, the other end pass through the sliding block fastening groove (18), the screw rod (19)
It has been screwed nut (20) on the part of the sliding block fastening groove (18), the diameter of the nut (20) is greater than the sliding block card
The only width of slot (18).
8. intoe substrate according to claim 7 is closed wedge osteotomy guider, which is characterized in that the adjusting slider
(17) two sides are equipped with convex lens (22), and each convex lens (22) is set to the adjusting sliding slot (16) outside.
9. intoe substrate according to claim 7 is closed wedge osteotomy guider, which is characterized in that the slide assemblies
It (3) include guide runner (301), the guide runner (301) is equipped with the adjustment hole being cooperatively connected with the adjusting rod (2)
(302), the side wall of the guide runner (301) is equipped with sliding groove (303), and the side wall of the guide plate (4) is equipped with and institute
The sliding shoe (304) of sliding groove (303) mating connection is stated, and passes through hinge between the guide plate (4) and the sliding shoe (304)
Spindle (305) connection.
10. intoe substrate according to claim 1 is closed wedge osteotomy guider, which is characterized in that the fixed dress
Setting (1) includes vola support (101) and the ankle support (102) with vola support (101) articulated connection, the vola support
(101) both ends are respectively equipped with fixed rack (103) and adjust sliding rail (104), along described fixed sliding on the vola support (101)
The length direction of rail (103) is equipped with two regulating tanks (105), is equipped with adjustment spring (106) in each regulating tank (105), respectively
One end of the adjustment spring (106) is both connected to the bottom of the regulating tank (105), and the other end is both connected to the adjusting and slides
On rail (104)；(101) are vertical connect for the adjusting rod (2) and the vola support, and the bottom of the adjusting rod (2) equipped with
The fixed rack (103) adjusts the adjusting block (107) that sliding rail (104) are cooperatively connected.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811095482.8A CN109171878B (en) | 2018-09-19 | 2018-09-19 | Thumb everting substrate closed wedge-shaped osteotomy guider |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811095482.8A CN109171878B (en) | 2018-09-19 | 2018-09-19 | Thumb everting substrate closed wedge-shaped osteotomy guider |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109171878A true CN109171878A (en) | 2019-01-11 |
| CN109171878B CN109171878B (en) | 2023-08-04 |
Family
ID=64908596
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811095482.8A Active CN109171878B (en) | 2018-09-19 | 2018-09-19 | Thumb everting substrate closed wedge-shaped osteotomy guider |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109171878B (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110151253A (en) * | 2019-05-24 | 2019-08-23 | 西安市红会医院 | Osteotomy guide plate |
| CN111887932A (en) * | 2020-07-31 | 2020-11-06 | 北京积水潭医院 | Auxiliary positioning device for foot osteotomy |
| CN113693673A (en) * | 2021-08-27 | 2021-11-26 | 周君琳 | Metatarsal cuts bone baffle based on bone surgery |
| CN116869606A (en) * | 2023-09-04 | 2023-10-13 | 内蒙古科技大学包头医学院第一附属医院 | Spherical bone cutting pendulum saw for hallux valgus orthopedics |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1631328A (en) * | 2004-12-22 | 2005-06-29 | 天津医科大学总医院 | Tongue tenesmus proof device for patient under surgery |
| CH697473B1 (en) * | 2004-06-15 | 2008-10-31 | Synthes Gmbh | Device for the measurement of force amplitudes and force application points in a total Kniegelenkarthroplastik. |
| CN101427971A (en) * | 2008-12-11 | 2009-05-13 | 桂鉴超 | Dynamic state orthopedic device for hallux valgus |
| CN203153738U (en) * | 2013-03-27 | 2013-08-28 | 毛威 | Hallux valgus angle gauge |
| CN103860233A (en) * | 2014-03-28 | 2014-06-18 | 毛威 | Hallux valgus substrate occlusion wedged osteotomy guider |
| US20160199110A1 (en) * | 2015-01-08 | 2016-07-14 | Neutin Orthopedics, LLC | Fixed bone plate for rotational and translational first metatarsal osteotomy procedures |
| DE102015014795A1 (en) * | 2015-11-14 | 2017-05-18 | Michael Wagner | Saw gauge for introducing at least one saw cut into a bone and use of the saw jig |
| CN107280727A (en) * | 2017-07-15 | 2017-10-24 | 常州奥斯迈医疗器械有限公司 | Shin bone marrow interior orientation device |
| KR20180078484A (en) * | 2016-12-30 | 2018-07-10 | 한림대학교 산학협력단 | Device for harvesting tricortical bone |
| CN209269801U (en) * | 2018-09-19 | 2019-08-20 | 北京新星靓京广医疗美容医院有限公司 | A kind of intoe substrate closure wedge osteotomy guider |
-
2018
- 2018-09-19 CN CN201811095482.8A patent/CN109171878B/en active Active
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CH697473B1 (en) * | 2004-06-15 | 2008-10-31 | Synthes Gmbh | Device for the measurement of force amplitudes and force application points in a total Kniegelenkarthroplastik. |
| CN1631328A (en) * | 2004-12-22 | 2005-06-29 | 天津医科大学总医院 | Tongue tenesmus proof device for patient under surgery |
| CN101427971A (en) * | 2008-12-11 | 2009-05-13 | 桂鉴超 | Dynamic state orthopedic device for hallux valgus |
| CN203153738U (en) * | 2013-03-27 | 2013-08-28 | 毛威 | Hallux valgus angle gauge |
| CN103860233A (en) * | 2014-03-28 | 2014-06-18 | 毛威 | Hallux valgus substrate occlusion wedged osteotomy guider |
| US20160199110A1 (en) * | 2015-01-08 | 2016-07-14 | Neutin Orthopedics, LLC | Fixed bone plate for rotational and translational first metatarsal osteotomy procedures |
| DE102015014795A1 (en) * | 2015-11-14 | 2017-05-18 | Michael Wagner | Saw gauge for introducing at least one saw cut into a bone and use of the saw jig |
| KR20180078484A (en) * | 2016-12-30 | 2018-07-10 | 한림대학교 산학협력단 | Device for harvesting tricortical bone |
| CN107280727A (en) * | 2017-07-15 | 2017-10-24 | 常州奥斯迈医疗器械有限公司 | Shin bone marrow interior orientation device |
| CN209269801U (en) * | 2018-09-19 | 2019-08-20 | 北京新星靓京广医疗美容医院有限公司 | A kind of intoe substrate closure wedge osteotomy guider |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110151253A (en) * | 2019-05-24 | 2019-08-23 | 西安市红会医院 | Osteotomy guide plate |
| CN111887932A (en) * | 2020-07-31 | 2020-11-06 | 北京积水潭医院 | Auxiliary positioning device for foot osteotomy |
| CN113693673A (en) * | 2021-08-27 | 2021-11-26 | 周君琳 | Metatarsal cuts bone baffle based on bone surgery |
| CN113693673B (en) * | 2021-08-27 | 2023-09-22 | 周君琳 | Metatarsal bone cuts bone conduction board based on orthopedic operation |
| CN116869606A (en) * | 2023-09-04 | 2023-10-13 | 内蒙古科技大学包头医学院第一附属医院 | Spherical bone cutting pendulum saw for hallux valgus orthopedics |
| CN116869606B (en) * | 2023-09-04 | 2023-11-07 | 内蒙古科技大学包头医学院第一附属医院 | Spherical bone cutting pendulum saw for hallux valgus orthopedics |
Also Published As
| Publication number | Publication date |
|---|---|
| CN109171878B (en) | 2023-08-04 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN109171878A (en) | A kind of intoe substrate closure wedge osteotomy guider | |
| CN209269801U (en) | A kind of intoe substrate closure wedge osteotomy guider | |
| CN205924106U (en) | Cut orthopedic baffle of bone based on 3D prints | |
| CN210871929U (en) | Bone marrow puncture tool for pediatric clinic | |
| CN103860233B (en) | A kind of intoe substrate closes wedge osteotomy guider | |
| CN109875673B (en) | Lower tibiofibular combined reduction and screw implantation guiding device | |
| CN204708973U (en) | Guiding means for diculus arcus vertebrae nail | |
| CN207400780U (en) | A kind of department of general surgery sucked type scalpel | |
| CN205795792U (en) | Thoracolumbar disk screw entrance point and angle positioning device | |
| CN215960129U (en) | High-order osteotomy of shin bone is with cutting bone baffle | |
| CN106037909A (en) | Thoracolumbar spine vertebral pedicle screw entrance point and angle positioning device | |
| CN214857176U (en) | Accurate guider of closed osteotomy of thighbone distal end inboard | |
| CN214049107U (en) | Surgical clinic is with peritoneoscope operation belly incision protection device | |
| CN213098258U (en) | Three-dimensional positioning guider for vertebral pedicle of vertebral column | |
| CN107233121A (en) | Shin bone adjusts seat | |
| CN114767349A (en) | Equal-length calibrator for total hip replacement lower limbs | |
| CN209186846U (en) | Drilling depressurizes external limit plate | |
| CN209695307U (en) | The brill guider of integrated angle adjustable | |
| CN213656106U (en) | Medical instrument external fixation support angle adjuster | |
| CN215960228U (en) | Calcaneus hollow nail implantation guider | |
| CN201624768U (en) | Guider for lower cervical vertebra anterior vertebral pedicle screw implantation | |
| CN216652474U (en) | Adjust device of skull side piece fixed point precision | |
| CN111134859A (en) | Knee joint flexion clearance distance measurement balance positioning tool | |
| CN108542490B (en) | Accurately-guided kirschner wire guide | |
| CN218010081U (en) | Total knee joint replacement tibial plateau prosthesis test device |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |