CN109276324B - External fixing device for limbs for orthopedic operation - Google Patents

External fixing device for limbs for orthopedic operation Download PDF

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Publication number
CN109276324B
CN109276324B CN201811104313.6A CN201811104313A CN109276324B CN 109276324 B CN109276324 B CN 109276324B CN 201811104313 A CN201811104313 A CN 201811104313A CN 109276324 B CN109276324 B CN 109276324B
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CN
China
Prior art keywords
plate
clamping plate
fixing device
upper clamping
loop bar
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Expired - Fee Related
Application number
CN201811104313.6A
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Chinese (zh)
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CN109276324A (en
Inventor
谢进
舒莉莉
张晨晨
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Xie jin
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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 for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Neurosurgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to an external extremity fixing device for orthopedic surgery, comprising: the upper clamping plate is in an omega shape in cross section, the lower clamping plate is in an omega shape in cross section, extension plates are arranged on two sides of the upper clamping plate and two sides of the lower clamping plate, the upper clamping plate is connected with the extension plate on the same side of the lower clamping plate through a first hinge, a plurality of threaded holes are formed in the extension plates on the other sides of the upper clamping plate and the lower clamping plate, the threaded holes of the upper clamping plate correspond to the threaded holes of the lower clamping plate one by one, a plurality of separation fences along the arc surface of the upper clamping plate are arranged on the hollowed part of the upper clamping plate, slide rails are arranged on the head and tail sides of the hollowed part and two sides of the separation fences, the slide rails extend into the upper clamping plate, an inner groove is formed in the upper clamping plate and extends to the left side and the right side of the hollowed part of the upper clamping plate, the sliding, the arc degree of the concave edge is consistent with that of the convex edge.

Description

External fixing device for limbs for orthopedic operation
Technical Field
The invention relates to the field of medical instruments, in particular to an external fixing device for limbs for orthopedic surgery.
Background
The fixing splint used in the existing orthopedic treatment has the defects of infirm fixation, difficulty in controlling tightness, poor air permeability and complex dressing change process; in the using process, medical staff can not fix the fracture of a patient through the existing fixing splint. And the tightness of the existing fixing splint is difficult to control, so that the swelling of the fracture part of the patient or the dislocation of the fracture part again are easily caused, and the inflammation of the fracture part of the patient is easily caused due to the poor air permeability of the existing fixing splint, thereby bringing great pain to the patient. Current fixation clamp often can't dismantle after fixed, can cause certain trouble when needs nurse once more, simultaneously, because complete cladding, can't accurately fix at the operation in-process, especially to the patient of the operation of need driving into the steel nail. Before the steel nail is driven into the hole, the bone needs to be drilled, and for drilling, holes are usually drilled on the same straight line, which is usually ignored in the prior art; in addition, in the operation process, certain damage to other surface parts which do not need to be operated is inevitable, and the prior art often ignores the damage.
Disclosure of Invention
The purpose of the invention is as follows:
aiming at the problems that the prior art can not realize that the steel nail drilling holes keep the same straight line and the other positions are often physically injured to a certain extent in the operation process, the invention provides the external fixing device for the limbs for the orthopedic operation.
The technical scheme is as follows:
an external extremity fixation device for orthopedic surgery, comprising: the upper clamping plate is in an omega shape in cross section, the lower clamping plate is in an omega shape in cross section, extension plates are arranged on two sides of the upper clamping plate and two sides of the lower clamping plate, the upper clamping plate is connected with the extension plate on the same side of the lower clamping plate through a first hinge, a plurality of threaded holes are formed in the extension plate on the other side of the upper clamping plate and the extension plate on the other side of the lower clamping plate, the threaded holes of the upper clamping plate are in one-to-one correspondence with the threaded holes of the lower clamping plate, the upper clamping plate and the lower clamping plate are fixed through the threaded holes through threaded nails, the upper clamping plate is hollow, a plurality of separation fences along the trend of the cambered surface of the upper clamping plate are arranged on the hollow part of the upper clamping plate, slide rails are arranged on the head side and the tail side of the hollow part and on two sides of the separation fences, the slide, the upper clamping plate further comprises a sliding plate, the sliding plate is arranged in the hollowed-out part in an extending mode and extends to the inner groove, the sliding plate is provided with an opening, a plurality of adjusting sheets are arranged in the opening, one side of each adjusting sheet is sunken, one side of each adjusting sheet protrudes, and the arc degree of each sunken side is consistent with that of each protruding side.
In a preferred mode of the present invention, the sliding plate is provided with an annular groove on the side of the opening, and the depth of the annular groove is consistent with the maximum width of the adjusting sheet.
In a preferred aspect of the present invention, the adjustment plate is connected to the annular groove by a first rotating shaft, and the first rotating shaft is provided with a driven gear.
In a preferred aspect of the present invention, a driving gear is provided between the driven gears, the driving gear is connected to the annular groove via a second rotating shaft, and the second rotating shaft extends from the plate surface of the sliding plate.
As a preferable mode of the present invention, the sliding plate and the lower plate are provided with a plurality of ventilation holes.
As a preferable mode of the invention, a plurality of support shafts are arranged at the bottoms of the extension plates at the two sides of the lower clamping plate, and magnetic fixing seats are arranged at the bottoms of the support shafts and are used for being fixed on an operating table.
As a preferable mode of the invention, the support shaft comprises a loop bar and an inner bar, one end of the loop bar is connected with the extension plate of the lower clamping plate, the other end of the loop bar is hollow and covers the inner bar, one end of the inner bar is connected with the magnetic fixing seat, and the other end of the inner bar is covered on the loop bar.
As a preferable mode of the present invention, a plurality of threaded holes are formed in the outer side of the loop bar, threaded nails are disposed in the threaded holes, and the threaded nails and the threaded holes are used for fixing the loop bar and the inner bar.
The invention realizes the following beneficial effects:
the invention utilizes the opening to limit the operation position and utilizes the adjusting sheet to carry out accurate positioning, thereby solving the problems that the prior art can not realize that the steel nail drilling holes keep the same straight line and other positions are often damaged to a certain extent in the operation process.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the present disclosure and together with the description, serve to explain the principles of the disclosure.
FIG. 1 is a cross-sectional view of the present invention;
FIG. 2 is a top view of the present invention;
FIG. 3 is a schematic view of the slide plate;
FIG. 4 is a view showing a structure of a tab.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments.
The first embodiment is as follows:
the reference figures are figures 1-4. An external extremity fixation device for orthopedic surgery, comprising: the cross section of the upper clamping plate 1 is omega-shaped, the cross section of the lower clamping plate 2 is omega-shaped, extension plates 3 are arranged on two sides of the upper clamping plate 1 and two sides of the lower clamping plate 2, the upper clamping plate 1 is connected with the extension plate 3 on the same side of the lower clamping plate 2 through a first hinge 4, a plurality of threaded holes 5 are formed in the extension plate 3 on the other side of the upper clamping plate 1 and the lower clamping plate 2, the threaded holes 5 of the upper clamping plate 1 are in one-to-one correspondence with the threaded holes 5 of the lower clamping plate 2, the upper clamping plate 1 and the lower clamping plate 2 are fixed through the threaded holes 5 through threaded nails 6, the upper clamping plate 1 is hollowed, a plurality of separation fences 7 along the arc direction of the upper clamping plate 1 are arranged on the hollowed part, slide rails are arranged on the head and tail sides of the hollowed part and on two sides of the separation fences 7, the inner groove 8 is formed in the upper clamp plate 1, the inner groove 8 extends to the left side and the right side of the hollow part of the upper clamp plate 1, the upper clamp plate 1 further comprises a sliding plate 9, the sliding plate 9 is arranged in the hollow part in an extending mode and extends to the inner groove 8, the sliding plate 9 is provided with an opening 10, a plurality of adjusting sheets 11 are arranged in the opening 10, one side of each adjusting sheet 11 is sunken and the other side of each adjusting sheet protrudes, and the arc degree of each sunken side is consistent with that of each protruding side.
In a preferred form of the invention, the sliding plate 9 is provided with an annular groove at the side of the opening 10, and the depth of the annular groove is consistent with the maximum width of the adjusting plate 11.
In a preferred embodiment of the present invention, the adjustment plate and the annular groove are connected by a first rotating shaft 13, and the first rotating shaft 13 is provided with a driven gear 14.
In a preferred embodiment of the present invention, a driving gear 15 is disposed between the driven gears 14, the driving gear 15 is connected to the annular groove via a second rotating shaft 16, and the second rotating shaft 16 extends from the plate surface of the sliding plate 9.
In a preferred embodiment of the present invention, the sliding plate 9 is provided with a plurality of ventilation holes, and the lower plate 2 is provided with a plurality of ventilation holes.
As a preferred mode of the present invention, a plurality of support shafts are disposed at the bottom of the extension plates 3 on both sides of the lower splint 2, and a magnetic fixing seat is disposed at the bottom of each support shaft and used for fixing to an operating table.
As a preferable mode of the present invention, the support shaft includes a loop bar and an inner bar, one end of the loop bar is connected to the extension plate 3 of the lower splint 2, and the other end of the loop bar is hollow and covers the inner bar, one end of the inner bar is connected to the magnetic fixing base, and the other end of the inner bar is covered on the loop bar.
As a preferable mode of the present invention, a plurality of threaded holes 5 are formed in the outer side of the loop bar, threaded nails 6 are disposed in the threaded holes 5, and the threaded nails 6 and the threaded holes 5 are used for fixing the loop bar and the inner bar.
In the concrete implementation process, when patient need carry out bone surgery, to carry out the shank operation as an example, medical personnel take out the screw nail 6 on the loop bar from the screw thread mouth on the loop bar, and adjust loop bar and interior pole to behind the height that suitable patient operated to reuse screw nail 6 and screw hole 5 with loop bar and interior pole fixed, take out the screw nail 6 on the extension plate 3 again, and open upper plate 1 and lower plate 2 around first hinge 4, and place patient's leg at lower plate 2, and then close upper plate 1 and lower plate 2 around first hinge 4, and utilize screw nail 6 and screw hole 5 on the extension plate 3 to fix upper plate 1 and lower plate 2. Furthermore, the medical staff confirms the position of the leg part needing to be operated, and slides the sliding plate 9 corresponding to the position until the corresponding opening 10 on the sliding plate 9 is opposite to the position of the patient for operation; at this moment, the medical staff rotates the second rotating shaft 16, so that the second rotating shaft 16 drives the driving gear 15 to rotate, the driving gear 15 drives the driven gear 14 meshed with the driving gear to rotate, the driven gear 14 drives the first rotating shaft 13 to rotate, the first rotating shaft 13 drives the adjusting sheet 11 connected with the first rotating shaft to rotate, for the adjusting sheet 11A, the adjusting sheet 11A moves towards the inside of the annular groove along the protruding edge of the adjusting sheet 11A and the sunken edge of the adjusting sheet 11B connected with the adjusting sheet, so that the opening 10 originally covered by the adjusting sheet 11 is opened and is opened to the maximum state, and the medical staff can perform an operation on the position of the leg of the patient, which is required to be operated, in the completely. It should be noted that if the direction of opening the adjustment plate 11 is clockwise rotation, that is, the adjustment plate 11 rotates clockwise corresponding to the driven gear 14, the driving gear 15 engaged with the adjustment plate rotates counterclockwise, and the medical staff rotates counterclockwise the second rotation shaft 16 connected to the driving gear 15. When one driving gear 15 rotates counterclockwise, the two driven gears 14 on both sides engaged therewith rotate clockwise according to the rotation rule.
After the operation is completed on the operation position, the medical staff slides the adjacent sliding plate 9 until the opening 10 on the sliding plate 9 is on the same straight line with the opening 10 corresponding to the operation position, adjusts the adjusting sheet 11 on the openings 10, and adjusts the size of the opening 10 to the size of the section size of the steel nail to be driven, and at the moment, the openings 10 of the size of the steel nail are on the same straight line; the medical staff further drills holes through the openings 10 in the patient's leg bone mountain, so that the centers of the drilled holes are in the same line, and it is convenient to drive in steel nails and fix steel bars. After the steel nail hole is drilled, medical personnel open the upper clamping plate 1 through the steps and drive in the steel nail.
During operation, the fixing device can be firmly fixed on the operating table through the magnetic fixing seat. The ventilation openings of the sliding plate 9 and the lower splint 2 ensure the ventilation of the legs of the patient, thereby avoiding inflammation and the like at the operation position of the patient. After the operation is completed, the medical staff can utilize the threaded nail 6 and the threaded opening on the outer side of the loop bar to adjust the height of the fixing device, so that the legs of the patient can be raised, and the phenomenon that the fracture part falls off due to the fact that the patient moves the operation legs is avoided.
The above embodiments are merely illustrative of the technical ideas and features of the present invention, and are intended to enable those skilled in the art to understand the contents of the present invention and implement the present invention, and not to limit the scope of the present invention. All equivalent changes or modifications made according to the spirit of the present invention should be covered within the protection scope of the present invention.

Claims (8)

1. An external extremity fixation device for orthopedic surgery, comprising: the cross-section is the punch holder of omega shape and the lower plate that the cross-section is omega shape, punch holder and lower plate both sides all are provided with the extension plate, the punch holder with the extension plate of the same one side of lower plate passes through first hinged joint, the punch holder with be provided with a plurality of screw holes on the extension plate of lower plate opposite side, the screw hole of punch holder with the screw hole one-to-one of lower plate, the punch holder with the lower plate via the screw hole, fix its characterized in that through the screw nail: the upper clamp plate is hollow, the hollow part of the upper clamp plate is provided with a plurality of separation fences along the trend of the arc surface of the upper clamp plate, the head and tail sides of the hollow part and the two sides of the separation fences are provided with slide rails, the slide rails extend into the upper clamp plate, an internal groove is formed in the upper clamp plate, the internal groove extends into the left side and the right side of the hollow part of the upper clamp plate, the upper clamp plate further comprises a sliding plate, the sliding plate is arranged in the hollow part and extends into the internal groove, the sliding plate is provided with an opening, a plurality of adjusting pieces are arranged in the opening, one side of each adjusting piece is sunken and protrudes, and the radian of one side of each adjusting piece is consistent with.
2. The external extremity fixing device for orthopedic surgery according to claim 1, characterized in that: the side edge of the opening on the sliding plate is provided with an annular groove, and the depth of the annular groove is consistent with the maximum width of the adjusting sheet.
3. The external extremity fixing device for orthopedic surgery according to claim 2, characterized in that: the adjusting sheet is connected with the annular groove through a first rotating shaft, and the first rotating shaft is provided with a driven gear.
4. The external extremity fixing device for orthopedic surgery according to claim 3, characterized in that: and a driving gear is arranged between the driven gears, the driving gear is connected with the annular groove through a second rotating shaft, and the second rotating shaft extends out of the plate surface of the sliding plate.
5. The external extremity fixing device for orthopedic surgery according to claim 1, characterized in that: the sliding plate and the lower clamping plate are provided with a plurality of vent holes.
6. The external extremity fixing device for orthopedic surgery according to claim 1, characterized in that: the extension plate bottom of lower plate both sides is provided with a plurality of back shafts, the back shaft bottom is provided with the magnetism fixing base, the magnetism fixing base is used for being fixed in the operating table.
7. The external extremity fixing device for orthopedic surgery according to claim 6, characterized in that: the support shaft comprises a loop bar and an inner bar, one end of the loop bar is connected with the extension plate of the lower clamping plate, the other end of the loop bar is hollowed out and covers the inner bar, one end of the inner bar is connected with the magnetic fixing seat, and the other end of the inner bar is covered on the loop bar.
8. The external extremity fixing device for orthopedic surgery according to claim 7, characterized in that: the utility model discloses a telescopic pole, including loop bar, screw hole, screw nail and threaded hole, the loop bar outside is provided with a plurality of threaded holes, set up the screw nail in the threaded hole, screw nail and threaded hole be used for with the loop bar and interior pole is fixed.
CN201811104313.6A 2018-09-21 2018-09-21 External fixing device for limbs for orthopedic operation Expired - Fee Related CN109276324B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811104313.6A CN109276324B (en) 2018-09-21 2018-09-21 External fixing device for limbs for orthopedic operation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811104313.6A CN109276324B (en) 2018-09-21 2018-09-21 External fixing device for limbs for orthopedic operation

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Publication Number Publication Date
CN109276324A CN109276324A (en) 2019-01-29
CN109276324B true CN109276324B (en) 2020-02-25

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Inventor after: Xie Jin

Inventor after: Shu Lili

Inventor after: Zhang Chenchen

Inventor before: Zhang Chenchen

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Effective date of registration: 20200116

Address after: 530021 Guangxi International Zhuang Medical Hospital, No.8, Qiuyue Road, Nanning City, Guangxi Zhuang Autonomous Region

Applicant after: Xie Jin

Address before: 215400 Jiangsu province Suzhou city Taicang Lou Dong Street Hengtong home 10-1501

Applicant before: Zhang Chenchen

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Granted publication date: 20200225

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