CN109199480A - The auxiliary device and method that a kind of pair of displacement articular disc is resetted - Google Patents
The auxiliary device and method that a kind of pair of displacement articular disc is resetted Download PDFInfo
- Publication number
- CN109199480A CN109199480A CN201811362010.4A CN201811362010A CN109199480A CN 109199480 A CN109199480 A CN 109199480A CN 201811362010 A CN201811362010 A CN 201811362010A CN 109199480 A CN109199480 A CN 109199480A
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- articular disc
- displacement
- auxiliary device
- resetted
- item
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- 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
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- Surgery (AREA)
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- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Rheumatology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The present invention provides a kind of to the auxiliary device that is resetted of displacement articular disc and method, including including clamp bar, telescopic rod, retract item, moving casing, fixing sleeve, motion bar and button, clamp bar right side is fixed with telescopic rod, fixing sleeve is fixed on telescopic rod bottom, fixing sleeve is internally provided with moving casing, moving casing left side is equipped with traction item, moving casing is internally provided with motion bar, motion bar right side is equipped with button, the design can carry out traction support to cutting part, solve the problems, such as that auxiliary device function is not complete enough in original articular disc reattachment surgery.Consumptive material of the present invention is few, at low cost, and miscellaneous function is complete, good operation effect.
Description
Technical field
The present invention is a kind of to the auxiliary device and method that articular disc is resetted is shifted, and belongs to Oral and Maxillofacial Surgery
Technical field.
Background technique
The patient of current clinically many condylar fractures or joint disc disease needs to carry out the reset anchoring art of articular disc.
Clinically common method is the ligament of sufficiently free articular disc, and articular disc is allowed to cover the cartilage surface of the prominent top of condyle.In order to
It prevents articular disc from shifting again, needs to be implanted into two pieces of anchor studs on the surface that condyle is dashed forward, the suture of suture articular disc is allowed to tie up to anchoring
The top of nail.So by means of the antagonism of anchor studs, articular disc would not shift again, and be held in the position after resetting
It sets.
In the prior art, anchor studs are metal materials, can be generated more or less for doing CT or MRI inspection after patient
Influence.In addition, anchor studs itself belong to external implantation material for body, it is right although material compatibility is fine
In the biggish patient of some psychological pressures, they, which often require that, removes intracorporal implantation material, so limits metal anchors
Admittedly the application followed closely.With the progress of material, clinically there are absorbable anchor studs, but this material itself is in vivo gradually
Degradation absorbs, and the long-term effect of replacement and fixation articular disc there is no from textual criticism.Existing articular disc is in reattachment surgery simultaneously
It assists the device of operation not comprehensive enough, in the course of surgery it is generally necessary to which several medical staff assist, is directed to above-mentioned feelings
Condition needs a kind of to solve the above problems to the auxiliary device that is resetted of displacement articular disc and method.
Summary of the invention
In view of the deficienciess of the prior art, it is an object of the present invention to provide a kind of auxiliary resetted to displacement articular disc
Device and method, to solve the problems mentioned in the above background technology, consumptive material of the present invention are few, at low cost, and miscellaneous function is complete, hand
Art effect is good.
To achieve the goals above, the present invention is to realize by the following technical solutions: it is a kind of to displacement articular disc into
The auxiliary device that row resets, including clamp bar, telescopic rod and auxiliary retract mechanism, and the clamp bar right side is fixed with telescopic rod,
The telescopic rod bottom is provided with auxiliary and retracts mechanism, the auxiliary retract mechanism include traction item, moving casing, fixing sleeve,
Motion bar and button, the fixing sleeve are fixed on telescopic rod bottom, and the fixing sleeve is internally provided with moving casing, the work
Dynamic casing left side is equipped with traction item, and the moving casing is internally provided with motion bar, and the motion bar right side is equipped with
Button.
Further, the traction mounted inside has lamp bar, and described retract is connected with connecting plate on the upside of a right side.
Further, the connecting plate right side is fixed with snap-gauge, and the traction item, connecting plate and snap-gauge, which are constituted, to be retracted
Component, and retract component and be provided with two groups, two groups of traction components are arranged in moving casing left side front and rear sides.
Further, it is provided with teeth on the left of the motion bar annular side, is arranged on the right side of the motion bar annular side
There is spring, is fixed with baffle ring on the left of the spring, the motion bar mounted inside has dry cell.
Further, the clamp bar is a kind of resilient strip, and the clamp bar inner surface is equipped with protective pad.
Further, the dry cell is connected by conductive sheet with button, and the lamp bar passes through conducting wire and dry cell phase
Connection, the snap-gauge inner surface is provided with card slot, and card slot is meshed with teeth.
The method that a kind of pair of displacement articular disc is resetted, comprising the following steps: step 1 is cut, conventional first to cut
Skin before ear removes tissue, manifests condyle and dashes forward, and step 2 retracts, clamp bar is first fixed on patients head, passes through telescopic rod tune
The whole position for retracting item will retract item and be supported on the inside of the tissue and skin of removing, step 3, positioning, articular disc of sufficiently loosening
Ligament determines and needs the position that anchors, and step 4 burrows, and with reciprocating saw and splits brill and does the bone hole an of balloon-type in anchor point,
Upward, step 5 knots, suture end is knotted into button loop shape structure, and retain certain length for the position of tail end balloon handle
Joint line, step 6, reset connection, the button loop position of suture is put into bone hole, the osteotomy line direction along reciprocating saw is led
Joint line is drawn, button loop is taken advantage of a situation just inside bone hole, and joint line passes through from balloon handle, to achieve the effect that antagonism, so
Joint line is passed through into articular disc afterwards, is locked with articular disc, step 7, is relocated, the work Step 4: five and six is repeated, is led to
Suture is crossed by articular disc and the complete replacement and fixation in condyle protrusion position, step 8, suture, by the tissue and skin closure of incision site.
Further, in step 7, anchorage point is relocated, the bone hole of multiple balloon-types is made, multiple bone holes
Position distribution is uniform, so that the connection for making articular disc dash forward with condyle is more stable.
Further, in step 4, the specification of the balloon handle is significantly less than the whole specification in bone hole.
Further, in step 5, the suture is made of joint line and button loop, size and the bone hole of the button loop
Size is identical, and the joint line passes through balloon handle and is connected in articular disc.
Beneficial effects of the present invention: 1. alleviate the financial burden of patient, the expense of consumptive material are reduced in operation, in addition not
Can have anchor studs loosening, fall off, rejection etc. need to perform the operation again taking-up etc. risks.2. postoperative can shoot hinge area
MRI is checked, not will receive the interference from metal, is conducive to the collection and long-term follow-up observation of patient data.3. postoperative effect
Fruit is obviously reliable.
Item, moving casing, fixing sleeve, motion bar, button, connecting plate, snap-gauge, lamp bar, tooth are retracted because the present invention is added to
Tooth, baffle ring, spring and dry cell, which can carry out traction support to cutting part, while be capable of providing illuminating effect,
Solve the problems, such as that auxiliary device function is not complete enough in original articular disc reattachment surgery, improves miscellaneous function of the invention
It is comprehensive.
Detailed description of the invention
Upon reading the detailed description of non-limiting embodiments with reference to the following drawings, other feature of the invention,
Objects and advantages will become more apparent upon:
Fig. 1 is a kind of structural schematic diagram of the auxiliary device resetted to displacement articular disc of the present invention；
Fig. 2 is the structural representation that auxiliary retracts mechanism in a kind of auxiliary device resetted to displacement articular disc of the present invention
Figure；
Fig. 3 is the sectional view of moving casing in a kind of auxiliary device resetted to displacement articular disc of the present invention；
Fig. 4 is the right view section of motion bar and snap-gauge in a kind of auxiliary device resetted to displacement articular disc of the present invention
Figure；
Fig. 5 is the sectional view that item is retracted in a kind of auxiliary device resetted to displacement articular disc of the present invention；
Fig. 6 is the prominent model configuration figure cut with articular disc of condyle of the invention；
Fig. 7 is the structural schematic diagram of suture of the invention；
Fig. 8 is a kind of flow chart of the method resetted to displacement articular disc of the present invention；
In figure: 1- clamp bar, 2- telescopic rod, 3- auxiliary retract mechanism, 4- articular disc, 5- balloon handle, 6- bone hole, 7- condyle it is prominent,
8- joint line, 9- button loop, 31- retract item, 32- moving casing, 33- fixing sleeve, 34- motion bar, 35- button, 311- connecting plate,
312- snap-gauge, 313- lamp bar, 341- teeth, 342- baffle ring, 343- spring, 351- dry cell.
Specific embodiment
To be easy to understand the technical means, the creative features, the aims and the efficiencies achieved by the present invention, below with reference to
Specific embodiment, the present invention is further explained.
Fig. 1-Fig. 8 is please referred to, the present invention provides a kind of technical solution: a kind of auxiliary dress resetted to displacement articular disc
It sets, including clamp bar 1, telescopic rod 2 and auxiliary retract mechanism 3,1 right side of clamp bar is fixed with telescopic rod 2, and 2 bottom of telescopic rod is set
It is equipped with auxiliary and retracts mechanism 3.
It includes retracting item 31, moving casing 32, fixing sleeve 33, motion bar 34 and button 35 that auxiliary, which retracts mechanism 3, fixed
Set 33 is fixed on 2 bottom of telescopic rod, and fixing sleeve 33 is internally provided with moving casing 32, and 32 left side of moving casing is equipped with traction
Item 31, moving casing 32 are internally provided with motion bar 34, and 34 right side of motion bar is equipped with button 35, which can be to notch
Position carries out traction support, while being capable of providing illuminating effect, solves auxiliary device function in original articular disc reattachment surgery
Problem that can be not complete enough.
Retracting 31 mounted inside of item has lamp bar 313, retracts and is connected with connecting plate 311 on the upside of 31 right side of item, the design energy
Enough to realize that retract item 31 drives snap-gauge 312 to be rotated by connecting plate 311,311 right side of connecting plate is fixed with snap-gauge 312,
It retracts item 31, connecting plate 311 and snap-gauge 312 and constitutes traction component, and retract component and be provided with two groups, two groups of traction components are set
It sets in 32 left side front and rear sides of moving casing, two groups of traction components can carry out convenient traction to operation cutting part and support.
It is provided with teeth 341 on the left of 34 annular side of motion bar, is arranged with spring 343 on the right side of 34 annular side of motion bar,
Baffle ring 342 is fixed on the left of spring 343,34 mounted inside of motion bar has dry cell 351, which lives
Dynamic, clamp bar 1 is a kind of resilient strip, and 1 inner surface of clamp bar is equipped with protective pad, which improves protection of the clamp bar 1 in clamping
Effect, dry cell 351 are connected by conductive sheet with button 35, and lamp bar 313 is connected by conducting wire with dry cell 351, snap-gauge
312 inner surfaces are provided with card slot, and card slot is meshed with teeth 341, which can facilitate is powered to lamp bar 313, together
When can limit retract item 31 Support Position.
The method that a kind of pair of displacement articular disc is resetted, comprising the following steps:
Step 1 is cut, and skin before cutting ear conventional first removes tissue, manifests condyle prominent 7.
Step 2 retracts, clamp bar 1 is first fixed on patients head, and the position for retracting item 31 is adjusted by telescopic rod 2, will
Item 31 is retracted to be supported on the inside of the tissue and skin of removing.
Step 3, positioning, 4 ligament of articular disc of sufficiently loosening determine the position for needing to anchor.
Step 4 burrows, and with reciprocating saw and splits brill and in anchor point does the bone hole 6 an of balloon-type, the position of tail end balloon handle 5
It sets upward.
Step 5 knots, suture end is knotted into 9 shape structure of button loop, and retain the joint line 8 of certain length.
Step 6 resets connection, 9 position of button loop of suture is put into bone hole 6, the osteotomy line direction along reciprocating saw is led
Joint line 8 is drawn, button loop 9 is taken advantage of a situation just embedded in 6 the inside of bone hole, and joint line 8 passes through from balloon handle 5, to reach the effect of antagonism
Then joint line 8 is passed through articular disc 4 by fruit, lock with articular disc 4.
Step 7 relocates, and repeats the work Step 4: five and six, and articular disc 4 and condyle are dashed forward 7 positions by suture
Complete replacement and fixation.
Step 8, suture, by the tissue and skin closure of incision site.
In step 7, anchorage point is relocated, the bone hole 6 of multiple balloon-types, the position distribution in multiple bone holes 6 are made
Uniformly, to keep articular disc 4 and the connection of condyle prominent 7 more stable.In step 4, the specification of balloon handle 5 is significantly less than bone hole 6
Whole specification.In step 5, suture is made of joint line 8 and button loop 9, and the size of button loop 9 is identical as the size in bone hole 6,
Joint line 8 is in articular disc 4 across balloon handle 5 and is connected.
As an embodiment of the present invention: when being resetted to the articular disc 4 of displacement, being grasped by following steps
Make, step 1, cut, skin before cutting ear conventional first removes tissue, manifests condyle prominent 7, step 2 retracts, first by clamp bar
1 is fixed on patients head, and the position for retracting item 31 is adjusted by telescopic rod 2, and traction item 31 is supported on to the tissue and skin of removing
On the inside of skin, step 3, positioning, 4 ligament of articular disc of sufficiently loosening determines the position for needing to anchor, and step 4 burrows, with reciprocal
It saws and splits brill and do the bone hole 6 an of balloon-type in anchor point, upward, step 5 knots, by suture for the position of tail end balloon handle 5
End is knotted into 9 shape structure of button loop, and retains the joint line 8 of certain length, step 6, connection is resetted, by the button loop 9 of suture
Position is put into bone hole 6, pulls joint line 8 along the osteotomy line direction of reciprocating saw, button loop 9 is taken advantage of a situation just embedded in 6 the inside of bone hole, closed
Nodel line 8 passes through from balloon handle 5, to achieve the effect that antagonism, joint line 8 is then passed through articular disc 4, with articular disc 4
Locking, step 7 relocate, and repeat the work Step 4: five and six, by suture that articular disc 4 and prominent 7 positions of condyle is complete
Replacement and fixation, step 8, suture by the tissue and skin closure of incision site, improve surgical effect of the invention, reduce
The risk that cost of performing the operation and operation are repelled.
As an embodiment of the present invention: in step 2, clamp bar 1 being accommodated in patients head, is adjusted by telescopic rod 2
The position that item 31 is in operative incision is retracted, when needing to retract auxiliary for cutting part, pulls motion bar 34,34 band of motion bar
Spring 343 is compressed in inside moving casing 32 by dynamic baffle ring 342, and motion bar 34 is to can make tooth when moving on the right side of moving casing 32
Tooth 341 is mutually separated with the card slot inside snap-gauge 312, and then the adjustable angle for retracting item 31 and retracting of medical staff, retracts item
31 drive snap-gauge 312 to be rotated by connecting plate 311, after the completion of adjusting, unclamp motion bar 34, spring 343 drives motion bar
34 teeth 341 are caught in the card slot of snap-gauge 312, realize and the support angle for retracting item 31 is fixed, and medical staff can be with
It is connected by the power supply that button 35 is connected between dry cell 351 and lamp bar 313, lamp bar 313 issues light after being powered, being capable of opponent
Art position carries out illumination enhancing, improves miscellaneous function of the invention.
The above shows and describes the basic principles and main features of the present invention and the advantages of the present invention, for this field skill
For art personnel, it is clear that invention is not limited to the details of the above exemplary embodiments, and without departing substantially from spirit of the invention or
In the case where essential characteristic, the present invention can be realized in other specific forms.Therefore, in all respects, should all incite somebody to action
Embodiment regards exemplary as, and is non-limiting, the scope of the present invention by appended claims rather than on state
Bright restriction, it is intended that including all changes that fall within the meaning and scope of the equivalent elements of the claims in the present invention
It is interior.Any reference signs in the claims should not be construed as limiting the involved claims.
In addition, it should be understood that although this specification is described in terms of embodiments, but not each embodiment is only wrapped
Containing an independent technical solution, this description of the specification is merely for the sake of clarity, and those skilled in the art should
It considers the specification as a whole, the technical solutions in the various embodiments may also be suitably combined, forms those skilled in the art
The other embodiments being understood that.
Claims (10)
1. a kind of auxiliary device resetted to displacement articular disc, including clamp bar, telescopic rod and auxiliary retract mechanism, special
Sign is: the clamp bar right side is fixed with telescopic rod, and the telescopic rod bottom is provided with auxiliary and retracts mechanism；
It includes retracting item, moving casing, fixing sleeve, motion bar and button, the fixing sleeve to fix that the auxiliary, which retracts mechanism,
In telescopic rod bottom, the fixing sleeve is internally provided with moving casing, and the moving casing left side is equipped with traction item, described
Moving casing is internally provided with motion bar, and the motion bar right side is equipped with button.
2. a kind of auxiliary device resetted to displacement articular disc according to claim 1, it is characterised in that: described to lead
Opening a mounted inside has lamp bar, and described retract is connected with connecting plate on the upside of a right side.
3. a kind of auxiliary device resetted to displacement articular disc according to claim 2, it is characterised in that: the company
Fishplate bar right side is fixed with snap-gauge, and the traction item, connecting plate and snap-gauge, which are constituted, retracts component, and retracts component and be provided with two
Group, two groups of traction components are arranged in moving casing left side front and rear sides.
4. a kind of auxiliary device resetted to displacement articular disc according to claim 1, it is characterised in that: the work
It is provided with teeth on the left of lever annular side, spring is arranged on the right side of the motion bar annular side, is fixed on the left of the spring
There is baffle ring, the motion bar mounted inside has dry cell.
5. a kind of auxiliary device resetted to displacement articular disc according to claim 1, it is characterised in that: the folder
Item is a kind of resilient strip, and the clamp bar inner surface is equipped with protective pad.
6. a kind of auxiliary device resetted to displacement articular disc, feature described in any one according to claim 1-4
Be: the dry cell is connected by conductive sheet with button, and the lamp bar is connected by conducting wire with dry cell, the snap-gauge
Inner surface is provided with card slot, and card slot is meshed with teeth.
7. a kind of method resetted to displacement articular disc, it is characterised in that: the following steps are included:
Step 1 is cut, and skin before cutting ear conventional first removes tissue, it is prominent to manifest condyle；
Step 2 retracts, clamp bar is first fixed on patients head, and the position for retracting item is adjusted by telescopic rod, will retract item branch
Support is on the inside of the tissue and skin of removing；
Step 3, positioning, articular disc ligament of sufficiently loosening determine the position for needing to anchor；
Step 4 burrows, and with reciprocating saw and splits brill and in anchor point does the bone hole an of balloon-type, the position court of tail end balloon handle
On；
Step 5 knots, suture end is knotted into button loop shape structure, and retain the joint line of certain length；
Step 6 resets connection, the button loop position of suture is put into bone hole, pulls joint along the osteotomy line direction of reciprocating saw
Line, button loop are taken advantage of a situation just inside bone hole, and joint line passes through from balloon handle, to achieve the effect that antagonism, then will close
Nodel line passes through articular disc, locks with articular disc；
Step 7 relocates, and repeats the work Step 4: five and six, by suture that articular disc and condyle protrusion position is completely multiple
Position is fixed；
Step 8, suture, by the tissue and skin closure of incision site.
8. a kind of auxiliary device resetted to displacement articular disc according to claim 7 and method, it is characterised in that:
In step 7, anchorage point being relocated, the bone hole of multiple balloon-types is made, the position distribution in multiple bone holes is uniform, thus
The connection for making articular disc dash forward with condyle is more stable.
9. a kind of auxiliary device resetted to displacement articular disc according to claim 7 and method, it is characterised in that:
In step 4, the specification of the balloon handle is significantly less than the whole specification in bone hole.
10. a kind of auxiliary device resetted to displacement articular disc according to claim 7 and method, feature exist
In: in step 5, the suture is made of joint line and button loop, and the size of the button loop is identical as the size in bone hole, described
Joint line passes through balloon handle and is connected in articular disc.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811362010.4A CN109199480B (en) | 2018-11-15 | 2018-11-15 | Auxiliary device and method for resetting shifting joint disc |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811362010.4A CN109199480B (en) | 2018-11-15 | 2018-11-15 | Auxiliary device and method for resetting shifting joint disc |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109199480A true CN109199480A (en) | 2019-01-15 |
| CN109199480B CN109199480B (en) | 2021-06-01 |
Family
ID=64996673
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811362010.4A Expired - Fee Related CN109199480B (en) | 2018-11-15 | 2018-11-15 | Auxiliary device and method for resetting shifting joint disc |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109199480B (en) |
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| CN208017525U (en) * | 2018-01-11 | 2018-10-30 | 于川东 | A kind of Orthopedic operation retractor |
| CN208081425U (en) * | 2017-11-21 | 2018-11-13 | 谷香梅 | A kind of limb rehabilitating therapeutic support frame |
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2018
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101711702A (en) * | 2009-12-08 | 2010-05-26 | 贾恩鹏 | Special tool used by internal and external fixation instrument for orthopaedic medical treatment |
| CN202313503U (en) * | 2011-08-10 | 2012-07-11 | 卜博 | Miniature pharynx rear wall retractor |
| US9113853B1 (en) * | 2011-08-31 | 2015-08-25 | Nuvasive, Inc. | Systems and methods for performing spine surgery |
| US20140114140A1 (en) * | 2012-10-22 | 2014-04-24 | Alan G. Ellman | Tissue Retractor |
| US20150018625A1 (en) * | 2013-07-09 | 2015-01-15 | Edwards Lifesciences Corporation | Tissue retractor |
| CN205286410U (en) * | 2015-12-16 | 2016-06-08 | 中国人民解放军第四军医大学 | Grip ware through esophagus probe |
| CN207949836U (en) * | 2017-09-27 | 2018-10-12 | 云南省肿瘤医院 | A kind of thoracic surgery pull device with light source |
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| Publication number | Publication date |
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| CN109199480B (en) | 2021-06-01 |
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