CN109288552B - Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support - Google Patents
Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support Download PDFInfo
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- CN109288552B CN109288552B CN201811100079.XA CN201811100079A CN109288552B CN 109288552 B CN109288552 B CN 109288552B CN 201811100079 A CN201811100079 A CN 201811100079A CN 109288552 B CN109288552 B CN 109288552B
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- 210000001361 achilles tendon Anatomy 0.000 title claims abstract description 99
- 238000000926 separation method Methods 0.000 title claims abstract description 36
- 230000008878 coupling Effects 0.000 claims description 64
- 238000010168 coupling process Methods 0.000 claims description 64
- 238000005859 coupling reaction Methods 0.000 claims description 64
- 101000623895 Bos taurus Mucin-15 Proteins 0.000 claims description 6
- 208000027418 Wounds and injury Diseases 0.000 abstract description 42
- 206010052428 Wound Diseases 0.000 abstract description 37
- 230000003872 anastomosis Effects 0.000 abstract description 11
- 230000006378 damage Effects 0.000 abstract description 7
- 208000014674 injury Diseases 0.000 abstract description 7
- 238000005336 cracking Methods 0.000 abstract description 3
- 230000007547 defect Effects 0.000 abstract description 2
- 238000002324 minimally invasive surgery Methods 0.000 abstract description 2
- 229910000831 Steel Inorganic materials 0.000 description 12
- 239000010959 steel Substances 0.000 description 12
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- 230000035790 physiological processes and functions Effects 0.000 description 4
- 238000000338 in vitro Methods 0.000 description 3
- 231100000241 scar Toxicity 0.000 description 3
- 210000004872 soft tissue Anatomy 0.000 description 3
- 210000002435 tendon Anatomy 0.000 description 3
- 230000008602 contraction Effects 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 210000001699 lower leg Anatomy 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 208000032544 Cicatrix Diseases 0.000 description 1
- 206010072170 Skin wound Diseases 0.000 description 1
- 206010043248 Tendon rupture Diseases 0.000 description 1
- 206010048038 Wound infection Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
- 210000000544 articulatio talocruralis Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
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Abstract
An external fixing bracket for multi-section separation combined minimally invasive treatment of achilles tendon skin relates to an external fixing bracket, in particular to an external fixing bracket for multi-section separation minimally invasive anastomosis treatment of broken ends of the achilles tendon skin. Aiming at the defects that the prior fixing bracket is easy to cause secondary injury, can not perform external anastomosis to cure wounds, can not perform minimally invasive operation and is inconvenient to use, the invention provides the external fixing bracket which can prevent secondary achilles tendon broken end pull-cracking injury, can perform external anastomosis to cure wounds and perform minimally invasive operation and is simple and easy to implement. The invention relates to an external fixing bracket for multi-section separation combined minimally invasive treatment of the skin of an achilles tendon. The invention is mainly applied to the external fixation of the achilles tendon skin multi-section separation minimally invasive surgery.
Description
Technical Field
The invention relates to an external fixing bracket, in particular to an external fixing bracket for treating broken ends of Achilles tendon skin through multi-section separation minimally invasive anastomosis. In particular to a minimally invasive anastomotic treatment broken end for multi-section separation of the skin of the Achilles tendon, which enables the multi-section separation of the skin wound section of the Achilles tendon to be butted and healed, and then the external fixing bracket is removed, and is also used for separating and minimally invasive connecting the aponeurosis of other parts of the human body and the soft tissue of the skin, and then the external fixing bracket is removed after healing.
Background
At present, the multi-section skin separation and fracture wound of the achilles tendon of the shank is treated, and an external fixing bracket for healing the multi-section skin separation and fracture combined minimally invasive wound of the achilles tendon is not available. The existing multi-section separation injury of crus skin is treated by using surgical scissors to peel off soft tissues around the broken ends of the Achilles tendon, then using surgical forceps to clamp the broken ends at two sides of the Achilles tendon, drawing towards the middle to ensure that the broken ends are involuted, suturing the Achilles tendon layer by using a suture line, simultaneously ligating bleeding blood vessels by using a ligature line, causing injury to the Achilles tendon and the soft tissues around the Achilles tendon during operation, forming adhesion between the Achilles tendon and an aponeurosis after operation, and losing elasticity of the Achilles tendon. The achilles tendon can not slide in the achilles tendon membrane cavity, so that dorsiflexion and extensional and plantar flexion disorders of the ankle joint are formed, the ambulation sequelae are obtained, the skin suture can be removed one week after the operation, but the deep suture can not be removed and is continuously remained in the body, the foreign matter is chronically stimulated, so that scars are generated at the anastomotic part of the achilles tendon, the achilles tendon is adhered with the peripheral aponeurosis, the achilles tendon and the peripheral aponeurosis are adhered, the physiological function is lost, for example, the achilles tendon is separated and broken by the famous athletes Liuxiang, Yaming and the like, the broken end of the achilles tendon is found by the operation incision of the current method, the broken end of the achilles tendon is sewed by the suture, the operation causes.
Therefore, an external fixing bracket which can prevent secondary achilles tendon broken end pull-cracking injury, heal wound by in vitro anastomosis and realize minimally invasive operation and is simple and easy is needed.
Disclosure of Invention
Aiming at the defects that the prior fixing bracket is easy to cause secondary injury, can not perform external anastomosis to cure wounds, can not perform minimally invasive operation and is inconvenient to use, the invention provides the external fixing bracket which can prevent secondary achilles tendon broken end pull-cracking injury, can perform external anastomosis to cure wounds and perform minimally invasive operation and is simple and easy to implement.
The invention relates to a technical scheme of an external fixing bracket for multi-section separation combined minimally invasive treatment of achilles tendon skin, which comprises the following steps:
the invention relates to an external fixing bracket for multi-section separation combined type minimally invasive treatment of the skin of an achilles tendon, which comprises a component I, a component II and a connecting rod clamping block combination, wherein the component I is a flat screw rod adjustable hook clamp combination and is used for external fixation of a far-end wound of the achilles tendon, the component II is an adjustable joint connecting rod single hook combination and is used for external fixation of a near-end wound of the achilles tendon, and the flat screw rod adjustable hook clamp combination and the adjustable joint connecting rod single hook combination are connected through the connecting rod clamping block combination.
Further: the adjustable flat screw rod hook clamp assembly comprises a jackscrew, two adjustable coupling hook blocks, a straight flat screw rod, a first hook clamp, a second hook clamp, a buffer pressure assembly and a nut with a hole, wherein the middle part of each adjustable coupling hook block is provided with a hole matched with the straight flat screw rod, the bottom of each adjustable coupling hook block is provided with a screw hole, the top of each adjustable coupling hook block is provided with a rectangular hole and a screw hole, the straight flat screw rod sequentially penetrates through the two adjustable coupling hook blocks, the first hook clamp and the second hook clamp are oppositely arranged and are inserted into the inner sides of the two adjustable coupling hook blocks through the rectangular holes, and the jackscrew is installed in the screw hole of each adjustable coupling hook block and used for tightly jacking the adjustable coupling hook blocks on the straight flat screw rod and respectively tightly jacking the first hook clamp and the second hook clamp on the two adjustable coupling hook blocks; one end of the straight flat screw penetrates through the buffer pressure combination, the buffer pressure combination is located on the outer sides of the two adjustable coupling blocks, the perforated nut is in threaded connection with the straight flat screw and located on the outer side of the buffer pressure combination, and the perforated nut is screwed to drive the buffer pressure combination to push the adjustable coupling blocks to move along the straight flat screw.
Further: the buffer pressure combination comprises an inner sleeve, an indicating screw, an outer sleeve and a spring, wherein a hole matched with the straight flat screw is formed in the bottom of the inner sleeve, a screw hole is formed in the side face of the inner sleeve, a hole matched with the inner sleeve is formed in the bottom of the outer sleeve, a scale groove is formed in the side face of the outer sleeve, the inner sleeve is sleeved at one end of the straight flat screw, the outer sleeve is partially sleeved outside the inner sleeve, the spring is arranged in a hollow cylinder formed by the inner sleeve and the outer sleeve, the indicating screw is installed in the scale groove, and the indicating screw is sequentially screwed into the scale groove of.
Further: the first hook clamp is a two-hook clamp, and the second hook clamp is a three-hook clamp.
Further: the periphery of the nut with the hole is provided with insections, and the periphery of the nut with the hole is provided with holes.
Further: the adjustable joint link rod single-hook combination comprises a jackscrew, two adjustable link blocks, two groups of buffer pressure combinations, a screw, a first perforated flat screw rod, a second perforated flat screw rod and two single-hook screw hole fixing needle clamps, wherein one end of the first perforated flat screw rod and one end of the second perforated flat screw rod are provided with screw holes, the screw sequentially penetrates through the screw holes to fix the first perforated flat screw rod and the second perforated flat screw rod, and the first perforated flat screw rod and the second perforated flat screw rod respectively penetrate through the two adjustable link blocks; one end of each of the two single-hook screw hole fixing needle clamps is inserted into a rectangular hole of each of the two adjustable coupling blocks, the other end of each of the two single-hook screw hole fixing needle clamps is in a hook shape, a screw hole is formed in the middle of each hook, and the jackscrews are fixed in the screw holes of the adjustable coupling blocks and the screw holes of the single-hook screw hole fixing needle clamps respectively and used for jacking the two adjustable coupling blocks tightly on the first flat screw rod with the holes and the second flat screw rod with the holes and jacking the two single-hook screw hole fixing needle clamps tightly on the two adjustable coupling blocks respectively.
Further: one end parts of the first flat screw rod with the holes and the second flat screw rod with the holes, which are provided with screw holes, are L-shaped, and the L-shaped planes are provided with insections; the jackscrew is a socket head cap screw, and the screw is a socket head cap screw.
Further: the link rod clamping block combination comprises a screw, an upper clamping plate, two middle clamping plates, a lower clamping plate and a spring, wherein one end of the upper clamping plate is L-shaped, the other end of the upper clamping plate is provided with a groove, the middle of the upper clamping plate is provided with a screw hole, one end of the lower splint is L-shaped, the other end is provided with a groove, the middle part is provided with a screw hole, one end of the two middle splints is respectively provided with L-shaped corresponding to the upper splint and the lower splint, the other end is respectively provided with a groove corresponding to the upper splint and the lower splint, the groove of the upper clamping plate and the groove of the middle clamping plate are completely matched to form a groove matched with the straight flat screw rod, the groove of the middle clamping plate and the groove of the lower clamping plate are completely matched to form a groove matched with the first flat screw rod with the hole, the two middle clamping plates are oppositely arranged, the middle part is in a concave table shape and is provided with a screw hole, the spring is arranged between the two middle clamping plates and is vertical to the middle clamping plates, the screw passes through punch holder screw, well splint screw, spring, well splint screw and lower plate screw in proper order.
Further: the inner sides of the two middle splints are both provided with insections.
Further: the straight flat screw rod is replaced by a bent flat screw rod, the bent flat screw rod sequentially penetrates through flat circular holes at one end parts of two adjustable coupling hook blocks which are arranged in pairs, and one end of the bent flat screw rod penetrates through a buffer pressure combination.
The invention relates to an external fixing bracket for multi-section separation combined minimally invasive treatment of achilles tendon skin, which has the beneficial effects that:
the invention relates to an external fixing bracket for multi-section separation combined type minimally invasive treatment of the skin of an achilles tendon.
The invention designs an external fixing bracket for multi-section separation combined minimally invasive connection of the achilles tendon skin, which firstly uses hands to assist in causing the ankle to flex backwards to shorten the distance between the broken ends of the achilles tendon, touches the achilles tendon to be separated off in vitro by hands, penetrates through the skin by using one end hook of a hook clamp, hooks the broken end of the achilles tendon by using the hook end, twists a nut with holes on a flat screw rod adjustable hook clamp combined part or an adjustable joint link rod single hook fixing combination in vitro to push an adjustable link block to combine buffer pressure, slowly and gradually pushes two hook clamps to hook the broken gap of the achilles tendon to be shortened until the broken ends of the achilles tendon are matched with each other, so that the broken ends of the achilles tendon are slowly matched and butted to prevent the broken ends of the achilles tendon from being pulled to be damaged due to quick force, if the broken ends of the achilles tendon are combined with a wound with a large opening infection wound, the skin of the other part and the aponeurosis, the method comprises the steps of penetrating steel needles on two sides of a skin tissue aponeurosis, fixing needle clamps through two single-hook screw holes respectively, hooking the steel needles on two sides of a wound exposed outside the skin, screwing down and fixing the steel needles fixed by inner hexagonal top nails on the single-hook screw hole fixing needle clamps through a right-angle spanner, screwing a nut with a hole, pushing a buffer pressure combination without a scale to enable the steel needle skin hooked by the single-hook screw hole fixing needle clamps to gradually move towards the wound, finally achieving inosculation and wound healing, dismantling a support, and achieving simple and easy minimally invasive operation to enable the achilles tendon to heal and recover normal physiological functions.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic structural diagram of a first component;
FIG. 3 is a schematic structural view of a second component;
FIG. 4 is a schematic diagram of a combination of buffer pressures, wherein (a) is an explosion diagram and (b) is a sectional view of an operating state;
FIG. 5 is a three-dimensional view of an adjustable coupler block, wherein (a) is a front cross-sectional view, (b) is a side cross-sectional view, and (c) is a top view;
FIG. 6 is a three-dimensional view of a flat straight screw, wherein (a) is a top view, (b) is a bottom view, and (c) is a side top view;
FIG. 7 is a three-dimensional view of a two-hook clip, wherein (a) is a side view, (b) is a front view, and (c) is a top view;
FIG. 8 is a three-dimensional view of a three-hook clip, wherein (a) is a side view, (b) is a front view, and (c) is a top view;
FIG. 9 is a three-dimensional view of the connection structure of the adjustable coupler block and the two hook clamps, wherein (a) is a side view, (b) is a front view, and (c) is a top view;
FIG. 10 is a three-dimensional view of the inner sleeve, wherein (a) is a side view, (b) is a front view, and (c) is a top view;
FIG. 11 is a three-dimensional view of the outer sleeve wherein (a) is a side view, (b) is a front view, and (c) is a top view;
FIG. 12 is a side view of the spring;
FIG. 13 is a schematic view of a combination of buffer pressures, wherein (a) is a side cross-sectional view and (b) is a top view;
FIG. 14 is a schematic representation of a vented nut in which (a) is a front cross-sectional view and (b) is a side cross-sectional view;
FIG. 15 is a schematic view of a flat screw with holes, in which (a) is a front view of the first flat screw with holes, (b) is a side sectional view of the first flat screw with holes, (c) is a top view of the first flat screw with holes, (d) is a front view of the second flat screw with holes, and (e) is a side sectional view of the second flat screw with holes;
FIG. 16 is a side cross-sectional view, (b) is a front view, and (c) is a top view of a single hook screw retaining clip;
fig. 17 is a schematic view showing a connection structure of an adjustable coupler block and a fixed needle clamp with a single hook screw hole, wherein (a) is a side sectional view, (b) is a front view, and (c) is a top view;
FIG. 18 is a schematic diagram of case
FIG. 19 is a schematic view of the case-minimally invasive surgery initiation;
FIG. 20 is a schematic view of the anastomosis of the Achilles tendon wound in case one;
FIG. 21 is a schematic view of a first case member and a second connecting member;
FIG. 22 is a schematic illustration of a case with a single application of the component treating Achilles tendon;
FIG. 23 is a schematic illustration of case one using the unit two alone to treat Achilles tendon;
FIG. 24 is a schematic view of a single application of the components for treating Achilles tendon after replacing the straight flat screw with the bent flat screw in case one;
FIG. 25 is a schematic view of a case where a two-hook clip, a three-hook clip or a single-hook screw hole needle clip is engaged with a wound;
fig. 26 is a schematic view of a patient after a two-hook clip, a three-hook clip or a single-hook screw hole fixing needle clip is used for wound anastomosis.
In the figure, 1 is an inner hexagonal jackscrew, 2 is an adjustable coupling block, 3 is a straight (bent) flat screw, 4 is a two-hook clamp, 5 is a three-hook clamp, 6 is an inner sleeve, 7 is an indicating screw, 8 is an outer sleeve, 9 is a spring, 10 is a perforated nut, 11 is an inner hexagonal screw, 12 is a combination of coupling block, 13 is a first perforated flat screw, 14 is a second perforated flat screw, 15 is a single-hook screw fixing needle clamp, 16 is an upper clamp plate, 17 is a middle toothed plate, and 18 is a lower clamp plate.
Detailed Description
The technical solutions of the present invention are further described below with reference to the following examples, but the present invention is not limited thereto, and any modifications or equivalent substitutions may be made to the technical solutions of the present invention without departing from the spirit and scope of the technical solutions of the present invention.
Example 1
The embodiment is described with reference to fig. 1-17, and in this embodiment, the achilles tendon skin multi-section separation combined type minimally invasive treatment external fixation bracket according to the invention comprises a component I, a component II and a link clamp block combination 12, wherein the component I is a flat screw adjustable hook clamp combination and is used for external fixation of a distal wound of the achilles tendon, the component II is an adjustable joint link single-hook combination and is used for external fixation of a proximal wound of the achilles tendon, and the flat screw adjustable hook clamp combination and the adjustable joint link single-hook combination are connected through the link clamp block combination 12.
More specifically: the flat screw rod adjustable hook clamp combination comprises a jackscrew 1, two adjustable coupling blocks 2, a straight flat screw rod 3, a first hook clamp 4, a second hook clamp 5, a buffer pressure combination and a nut 10 with a hole, wherein a hole matched with the straight flat screw rod 3 is formed in the middle of each adjustable coupling block 2, a screw hole is formed in the bottom of each adjustable coupling block, a rectangular hole and a screw hole are formed in the top of each adjustable coupling block, the straight flat screw rod 3 sequentially penetrates through the two adjustable coupling blocks 2, the first hook clamp 4 and the second hook clamp 5 are oppositely arranged and are inserted into the inner sides of the two adjustable coupling blocks 2 through the rectangular holes, the jackscrew 1 is installed in the screw hole of each adjustable coupling block 2 and used for jacking the adjustable coupling blocks 2 on the straight flat screw rods 3, and jacking the first hook clamp 4 and the second hook clamp 5 on the two adjustable coupling blocks 2 respectively; one end of the straight flat screw 3 penetrates through the buffer pressure combination, the buffer pressure combination is located on the outer sides of the two adjustable coupler blocks 2, the perforated nut 10 is in threaded connection with the straight flat screw 3 and located on the outer side of the buffer pressure combination, and the perforated nut 10 is screwed to drive the buffer pressure combination to push the adjustable coupler blocks 2 to move along the straight flat screw 3.
More specifically: buffer pressure combination includes inner skleeve 6, instruction screw 7, outer sleeve 8 and spring 9, inner skleeve 6 bottom is equipped with and straightens flat screw 3 anastomotic hole, and the side is equipped with the screw, 8 bottoms of outer sleeve are equipped with and straighten flat screw 3 anastomotic hole, and the side is equipped with the scale groove, 6 covers in the one end of straight flat screw 3 in the inner skleeve, 8 partial covers of outer sleeve are outside inner skleeve 6, spring 9 is located in the hollow cylinder that inner skleeve 6 and outer sleeve 8 formed, instruction screw 7 is installed in the scale inslot, instruction screw 7 twists outer sleeve 8's scale groove and inner skleeve 6's screw in proper order.
More specifically: the first hook clamp 4 is a two-hook clamp, and the second hook clamp 5 is a three-hook clamp.
More specifically: the periphery of the nut 10 with the hole is provided with insections, and the periphery of the nut is provided with holes.
More specifically: the adjustable joint link rod single-hook combination comprises a jackscrew 1, two adjustable link blocks 2, two groups of buffer pressure combinations, a screw 11, a first perforated flat screw 13, a second perforated flat screw 14 and two single-hook screw hole fixing needle clamps 15, wherein one ends of the first perforated flat screw 13 and the second perforated flat screw 14 are provided with screw holes, the screw 11 sequentially penetrates through the screw holes to fix the first perforated flat screw 13 and the second perforated flat screw 14, and the first perforated flat screw 13 and the second perforated flat screw 14 respectively penetrate through the two adjustable link blocks 2; one end of each of the two single-hook screw hole fixing needle clamps 15 is inserted into a rectangular hole of each of the two adjustable coupling blocks 2, the other end of each of the two single-hook screw hole fixing needle clamps is hook-shaped, a screw hole is formed in the middle of each hook, and the jackscrews 1 are fixed in screw holes of the adjustable coupling blocks 2 and the single-hook screw hole fixing needle clamps 15 respectively and used for jacking the two adjustable coupling blocks 2 tightly on the first flat screw rod with holes 13 and the second flat screw rod with holes 14 respectively and jacking the two single-hook screw hole fixing needle clamps 15 tightly on the two adjustable coupling blocks 2 respectively.
More specifically: one end parts of the first flat screw rod 13 with holes and the second flat screw rod 14 with holes, which are provided with screw holes, are L-shaped, and the L-shaped planes are provided with insections; the jackscrew 1 is an inner hexagonal jackscrew, and the screw 11 is an inner hexagonal screw 11.
More specifically: the link rod clamping block combination 12 comprises a screw 11, an upper clamping plate 16, two middle clamping plates 17, a lower clamping plate 18 and a spring 9, one end of the upper clamping plate 16 is L-shaped, the other end of the upper clamping plate 16 is provided with a groove, a screw hole is formed in the middle of the upper clamping plate, the other end of the lower clamping plate 18 is provided with a groove, a screw hole is formed in the middle of the lower clamping plate, one end of each of the two middle clamping plates 17 is respectively provided with an L-shaped groove corresponding to the upper clamping plate and the lower clamping plate, the other end of each of the two middle clamping plates 17 is respectively provided with a groove corresponding to the upper clamping plate and the lower clamping plate, the grooves of the upper clamping plate 16 and the grooves of the middle clamping plates 17 are completely matched to form a groove matched with the straight flat screw rod 3, the grooves of the middle clamping plates 17 and the grooves of the lower clamping plates 18 are completely matched to form a groove matched with the first flat screw rod 13 with the holes, A middle clamping plate 17 screw hole, a spring 9, a middle clamping plate 17 screw hole and a lower clamping plate 18 screw hole.
More specifically: the inner sides of the two middle splints 17 are both provided with insections.
More specifically: the straight flat screw rod 3 is replaced by a bent flat screw rod, the bent flat screw rod sequentially penetrates through flat circular holes at one end parts of two adjustable coupling hook blocks 2 which are arranged in pairs, and one end of the bent flat screw rod penetrates through a buffer pressure combination.
The adjustable flat screw rod hook clamp combination comprises an inner hexagonal jackscrew 1, two adjustable coupling blocks 2, a straight flat screw rod 3, two hook clamps 4, three hook clamps 5, a buffer pressure combination and a perforated nut 10, wherein the straight flat screw rod 3 sequentially penetrates through the flat round holes of the two adjustable coupling blocks 2, the lengths of the two hook clamps 4 and the three hook clamps 5 are determined according to the achilles tendon separation and the wound length, the inner hexagonal jackscrew 1 is installed in the screw hole of the adjustable coupling block 2 and used for jacking the adjustable coupling blocks 2 against the straight flat screw rod 3 and jacking the two hook clamps 4 and the three hook clamps 5 against the two adjustable coupling blocks 2 respectively, one end of the straight flat screw rod 3 penetrates through the buffer pressure combination, the buffer pressure combination is positioned on the outer sides of the two adjustable coupling blocks 2, a hole matched with the straight flat screw rod 3 is arranged in the middle of the perforated nut 10, the perforated nut 10 is sleeved on the straight flat screw rod 3 and positioned on the outer side of the buffer pressure combination, the adjustable coupler block 2 is pushed by adjusting the buffer pressure combination on the straight flat screw rod 3 through screwing the holed nut 10; the adjustable coupling block 2 is a rectangular block, a flat round hole is formed in one end of the adjustable coupling block and is connected with a straight (bent) flat screw rod 3 in an inserting mode, the bottom end of the adjustable coupling block 2 is connected with an inner hexagonal jackscrew 1, a rectangular hole is formed in the other end of the adjustable coupling block and is inserted into a rectangular piece at one end of two hook clamps 4 or three hook clamps 5, the adjustable coupling block is screwed and fixed through a screw hole inner hexagonal jackscrew 1 arranged on the other side of the adjustable coupling block 2, one end of the straight flat screw rod 3 is connected with a hole of a buffer pressure combination in a penetrating mode, the buffer pressure combination comprises an inner sleeve 6, an outer sleeve 8, an indicating screw 7 and a spring 9, the adjustable coupling block is screwed into a perforated nut 10 to push the buffer pressure combination, the perforated nut 10 slowly acts on the hook clamps, two broken ends of the achilles are enabled to be in butt joint fit slowly, scales on two sides of a groove of the.
Buffer pressure combination includes inner skleeve 6, instruction screw 7, outer sleeve 8 and spring 9, inner skleeve 6 is the tube-shape, and the bottom is equipped with the oblate screw with straight flat screw 3 is anastomotic, and the screw is established to one side, outer sleeve 8 bottom is equipped with the hole with inner skleeve 6 is anastomotic, and one side is equipped with the scale groove, inner skleeve 6 cover is in the one end of straight flat screw 3, outer sleeve 8 cover is outside inner skleeve 6, spring 9 is located in the hollow cylinder that inner skleeve 6 and outer sleeve 8 formed, instruction screw 7 is installed in the scale inslot, scale millimeter scale number is established respectively to scale groove both sides, instruction screw 7 twists the scale groove of outer skleeve 8 and the screw of inner skleeve 6.
The adjustable joint link rod single-hook combination comprises an inner hexagonal jackscrew 1, two adjustable coupling blocks 2, two groups of buffer pressure combinations, an inner hexagonal screw 11, a first perforated flat screw 13, a second perforated flat screw 14 and two single-hook screw hole fixing needle clamps 15, wherein one end parts of the first perforated flat screw 13 and the second perforated flat screw 14 are both in flat screw shapes, the other end parts are in L shapes, screw holes are formed in the middle parts of the other end parts, toothed patterns are formed in the L-shaped plane, the first perforated flat screw 13 and the second perforated flat screw 14 respectively penetrate through flat round holes in one end parts of the two adjustable coupling blocks 2 which are arranged in pairs, the inner hexagonal screw 11 sequentially penetrates through the screw holes of the first perforated flat screw 13 and the second perforated flat screw 14, the single-hook screw hole fixing needle clamps 15 are in Z shapes, one end parts are in flat square strip shapes, the other end parts are in hook shapes, screw holes are formed in the middle parts of hooks, one end parts of the two single-hook screw hole fixing needle clamps 15 in flat square shapes are respectively inserted, the inner hexagonal jackscrew 1 is respectively fixed in the screw holes of the adjustable coupling block 2 and the single-hook screw hole fixing needle clamp 15.
The link rod clamping block combination 12 comprises an inner hexagon screw 11, an upper clamping plate 16, two middle clamping plates 17, a lower clamping plate 18 and a spring 9, wherein the upper clamping plate 16 is in a long flat square shape, the end part of the upper clamping plate is in an L shape, the other end of the upper clamping plate is provided with a groove, the middle of the upper clamping plate is provided with a screw hole, the lower clamping plate 18 is in a rectangular plate shape, one end of the lower clamping plate is in an L shape, the other end of the lower clamping plate is in a groove shape, the middle clamping plate 17 is oppositely arranged, the inner sides of the two middle clamping plates 17 are provided with teeth and are in a rectangular flat shape, the middle concave platform shape is provided with a screw hole, one end of each of the two middle clamping plates 17 is respectively provided with an L shape corresponding to the upper clamping plate and the lower clamping plate, the other end of each of the two middle clamping plates 17 is respectively provided with a groove corresponding to the upper clamping plate and the lower clamping plate, the grooves of the, the spring 9 is perpendicular to the middle clamping plate and is arranged between the two middle clamping plates 17, and the inner hexagon screws 11 sequentially penetrate through screw holes of the upper clamping plate 16, screw holes of the middle clamping plate 17, the spring 9, screw holes of the middle clamping plate 17 and screw holes of the lower clamping plate 18.
Connecting a second component (an adjustable joint link rod single-hook combination) by using a link rod clamping block combination 12, wherein the components comprise: a first perforated flat screw 13, a second perforated flat screw 14 and a single-hook screw hole fixing needle clamp 15, wherein one end parts of the first perforated flat screw 13 and the second perforated flat screw 14 are both in the shape of flat screw rods, the other end is in the shape of L, the plane is provided with a toothed pattern, the middle part is provided with a hole, an inner hexagonal screw 11 penetrates through the hole to be connected with a screw hole arranged in the middle of the L plane at one end of the second perforated flat screw 14, the end parts of the flat screws at two ends of the first perforated flat screw 13 and the second perforated flat screw 14 are respectively connected with a flat round hole at one end of an adjustable coupler block 2 in a penetrating manner, a long square hole at the other end part of the adjustable coupler block 2 is connected with a flat strip-shaped inserting manner, a screw hole arranged at one side of the adjustable coupler block 2 is connected with an inner hexagonal jackscrew 1, the single-hook screw hole fixing needle clamp 15 is fixed from the side, the single-hook screw hole fixing needle clamp 15 is in the shape of, the other end of the hook is in a hook shape, a screw hole is arranged in the middle of the hook, and the screw hole is connected with the inner hexagonal jackscrew 1 to form a second component; a first connecting part and a second connecting part are respectively connected and fixed by a link rod clamping block combination 12 through inner hexagon screws 11, an upper clamping plate 16 in the link rod clamping block combination 12 is in a flat rectangular shape, one end part is in an L shape, the other end part is in a groove shape and is connected with a straight flat screw 3, a hole is formed in the middle of the link rod clamping block combination 12 and penetrates through the inner hexagon screw 11, a middle hole of the link rod clamping block combination 12 and a middle clamping plate 17 penetrates through one surface of the middle clamping plate 17 and is in a tooth-line shape and is in a rectangular flat shape, one end of the link rod clamping block combination is in an arc shape, one end of the link rod clamping block combination is in a concave platform shape, the other end of the link rod clamping block combination is provided with a groove, a spring 9 is clamped between the two blocks, the top end of the inner hexagon screw 1 is screwed into a middle screw hole of a lower clamping plate.
Example 2
The application of the invention is as follows:
in this embodiment, the achilles tendon skin multi-section separation combined type minimally invasive treatment external fixation support disclosed by the invention is applied to case one, namely, an open calf achilles tendon separation wound and an open skin achilles tendon aponeurosis open wound (two wounds), 1-1 is an achilles tendon distal wound, 1-2 is an achilles tendon proximal wound, 1-3 is an achilles tendon distal separation wound, 1-4 is an achilles tendon severed end, 1-5 is an achilles tendon proximal severed end, 1-6 is a distal severed end, 1-7 is a proximal severed tendon and aponeurosis retracted to a wound, 1-8 is skin contractions on two sides of the wound, and 1-9 is subcutaneous tissue.
The external fixation treatment method comprises the following steps: the external fixation method is characterized in that the far-end wound 1 of the Achilles tendon is held by a forceps 1 with hands to respectively clamp the Achilles tendon contracted at two sides of the far-end wound 1-1 of the Achilles tendon and the near-end broken ends 1-5 of the Achilles tendon, the two hook ends connected with the adjustable hook block 2 penetrate through the skin, continue to penetrate through the Achilles tendon aponeurosis and hook the hook ends, the preparation work is carried out by the same method, the three hook clamps 5 are applied, the forceps 1 are used to pull the broken ends of the Achilles tendon aponeurosis contracted inside to the same plane with the skin edge of the wound, the preparation work is carried out by the three hook clamps 5 according to the direction of an arrow finger, the three hook clamps penetrate through the skin and penetrate through the Achilles tendon aponeurosis membrane layer by the same method to treat the open wound at the near-end of the Achilles tendon, the long wound, the forceps 2 can be used to pull the broken ends of the Achilles tendon and the near-end aponeuros, the method comprises the steps of penetrating 1-9 achilles tendon aponeurosis discontinuities into subcutaneous tissues from skin by using a steel needle, enabling the 1-9 achilles tendon and the aponeurosis of the subcutaneous tissues to be connected together and fixed on the same plane, hooking the steel needle exposed out of the surface of the skin by using the steel needle discontinuities, hooking the steel needle by using a single-hook screw hole fixing needle clamp 15, fixing the steel needle by using an inner hexagonal top nail 11, respectively screwing or inserting a straight rod into a perforated nut 10, rotating clockwise, enabling the perforated nut 10 to push a buffer pressure combination on a flat screw rod, and arranging a calibration component I on which a scale is arranged, wherein the flat screw rod of the component I is provided with a scale rod of 1-8 cm. And the connecting rod clamping block combination 12 is used for clamping the flat screw rod ends of the first component, and meanwhile, the connecting rod clamping block combination 12 is used for clamping the second component and the flat screw rod at the other end to form the achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support.
Example 3
In the embodiment, the achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing bracket is applied to case 2, and the invention is suitable for one part of achilles tendon separation wound treatment achilles tendon subcutaneous tissue aponeurosis to be anastomosed on the same plane, and a screwing and rotating part with a hole nut 10 pushes two hook clamps 4 and three hook clamps 5 which are connected with an adjustable coupling block 2, so that the hooked achilles tendon subcutaneous tissue aponeurosis is close to the middle of a wound and is gradually anastomosed and healed.
Example 4
Referring to fig. 23, the embodiment is described, in the embodiment, the achilles tendon skin multi-section separation combined type minimally invasive treatment external fixation support provided by the invention is applied to case 3, a straight flat screw 3 in a first component can be replaced by a bent flat screw, and parts of other components are not replaced.
Example 5
Referring to fig. 24, in this embodiment, the achilles tendon skin multi-section separation combined type minimally invasive treatment external fixation stent of the present invention is applied to case 4, which is suitable for wound infection, and is convenient for dressing change or convex or concave anastomosis of tissues around a wound after operation, and in this embodiment, an adjustable joint link rod single hook combination is applied, a hook of a needle clip 15 is fixed by a single hook screw hole, a steel needle protruding out of the skin and protruding out of the skin on both sides of the wound is hooked, an inner hexagonal jackscrew 1 is screwed, the steel needle is fixed, nuts 10 with holes on both sides are screwed, an adjustable link block 2 and the single hook screw hole fixed needle clip 15 are sequentially pushed, the achilles tendon skin, subcutaneous tissue and aponeurosis connected by the steel needle are pushed to prepare to close and layer-by layer tissues on both sides of the same plane, physiological anatomy of each layer of tissues is restored to heal, fractured tissues are directly anastomosed, no scar is left in the tendon tissues after, the original physiological function of the achilles tendon is achieved, and the tendon tissue structure of the healed heel of the achilles tendon is the same.
The invention discloses an external fixing bracket for multi-section separation combined type minimally invasive treatment of achilles tendon skin, which belongs to the technical field of external fixing treatment instruments for the achilles tendon, and aims to solve the problems that the existing achilles tendon for treatment is damaged, scar is formed, the achilles tendon and surrounding tissues are adhered to the achilles tendon and lose elasticity, and therefore foot dorsiflexion dysfunction is caused, the invention discloses a separation and contraction technology of the achilles tendon inside the achilles tendon, the aponeurosis is pulled out to be aligned with the edges of the skin at two sides of the wound on the same plane, the support is immediately penetrated through the skin by a hook and a spine of the application, the achilles tendon under the skin tissue is hooked, dissected, restored and healed, the minimally invasive removal operation is simple and easy, the support is removed by paying attention to the anastomosis of the broken ends to remove the support of a seamless line foreign body tendon, and the normal physiological function of the achilles is recovered, and the invention comprises a first component, the device comprises a second connecting part (an adjustable joint connecting rod single-hook combination), wherein the parts comprise an adjustable connecting block, a flat screw rod, two hook blocks, a three-hook clamp, a buffer pressure combination, a flat bolt with a hole, a flat bolt with a screw hole and a single-hook screw hole fixing needle clamp.
Claims (8)
1. The external fixing bracket for the minimally invasive treatment is characterized by comprising a component I, a component II and a connecting rod clamping block combination (12), wherein the component I is a flat screw rod adjustable hook clamp combination and is used for externally fixing a far-end wound of an achilles tendon, the component II is an adjustable joint connecting rod single hook combination and is used for externally fixing a near-end wound of the achilles tendon, and the flat screw rod adjustable hook clamp combination and the adjustable joint connecting rod single hook combination are connected through the connecting rod clamping block combination (12);
the adjustable flat screw rod hook clamp assembly comprises a jackscrew (1), two adjustable coupling hook blocks (2), a straight flat screw rod (3), a first hook clamp (4), a second hook clamp (5), a buffer pressure assembly and a nut (10) with a hole, the middle part of the adjustable coupling block (2) is provided with a hole matched with the straight flat screw rod (3), the bottom part is provided with a screw hole, the top part is provided with a rectangular hole and a screw hole, the straight and flat screw rod (3) sequentially penetrates through the two adjustable coupling blocks (2), the first hook clamp (4) and the second hook clamp (5) are oppositely arranged and are inserted into the inner sides of the two adjustable coupling blocks (2) through rectangular holes, a jackscrew (1) is installed in a screw hole of each adjustable coupling block (2), the adjustable coupling hook block (2) is tightly propped against the straight flat screw (3), and the first hook clamp (4) and the second hook clamp (5) are respectively tightly propped against the two adjustable coupling hook blocks (2); one end of the straight flat screw (3) penetrates through the buffer pressure combination, the buffer pressure combination is positioned on the outer sides of the two adjustable coupling blocks (2), the nut with the hole (10) is in threaded connection with the straight flat screw (3) and is positioned on the outer side of the buffer pressure combination, and the nut with the hole (10) is screwed to drive the buffer pressure combination so as to push the adjustable coupling blocks (2) to move along the straight flat screw (3);
the adjustable joint link rod single-hook combination comprises a jackscrew (1), two adjustable link blocks (2), two groups of buffer pressure combinations, a first screw, a first perforated flat screw (13), a second perforated flat screw (14) and two single-hook screw hole fixing needle clamps (15), wherein one ends of the first perforated flat screw (13) and the second perforated flat screw (14) are provided with screw holes, the first screw sequentially penetrates through the screw holes to fix the first perforated flat screw (13) and the second perforated flat screw (14), and the first perforated flat screw (13) and the second perforated flat screw (14) respectively penetrate through the two adjustable link blocks (2); one end of each of the two single-hook screw hole fixing needle clamps (15) is inserted into a rectangular hole of each of the two adjustable coupling blocks (2), the other end of each of the two adjustable coupling blocks is hook-shaped, a screw hole is formed in the middle of each hook, the jackscrew (1) is fixed in the screw holes of the adjustable coupling blocks (2) and the single-hook screw hole fixing needle clamps (15) respectively and used for tightly propping each of the two adjustable coupling blocks (2) on the first hole flat screw rod (13) and the second hole flat screw rod (14) respectively and tightly propping each of the two single-hook screw hole fixing needle clamps (15) on the two adjustable coupling blocks (2) respectively.
2. The Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing bracket as claimed in claim 1, it is characterized in that the buffer pressure combination comprises an inner sleeve (6), an indicating screw (7), an outer sleeve (8) and a first spring, the bottom of the inner sleeve (6) is provided with a hole matched with the straight flat screw rod (3), the side surface is provided with a screw hole, the bottom of the outer sleeve (8) is provided with a hole matched with the inner sleeve (6), the side surface is provided with a scale groove, the inner sleeve (6) is sleeved at one end of the straight and flat screw rod (3), the outer sleeve (8) is partially sleeved outside the inner sleeve (6), the first spring is arranged in a hollow cylinder formed by the inner sleeve (6) and the outer sleeve (8), the indicating screw (7) is arranged in the scale groove, and the indicating screw (7) is screwed into the scale groove of the outer sleeve (8) and the screw hole of the inner sleeve (6) in sequence.
3. The achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support as claimed in claim 1, wherein the first hook clamp (4) is a two-hook clamp, and the second hook clamp (5) is a three-hook clamp.
4. The Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support is characterized in that insections are arranged on the periphery of the nut (10) with holes, and holes are formed in the periphery of the nut.
5. The Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support as claimed in claim 1 or 4, wherein one end parts of the first perforated flat screw rod (13) and the second perforated flat screw rod (14) with screw holes are L-shaped, and the L-shaped plane is provided with insections; the jackscrew (1) is an inner hexagonal jackscrew, and the first screw is an inner hexagonal screw.
6. The achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support as claimed in claim 1, wherein the link rod clamping block combination (12) comprises a second screw, an upper clamping plate (16), two middle clamping plates (17), a lower clamping plate (18) and a second spring, one end of the upper clamping plate (16) is L-shaped, the other end of the upper clamping plate is provided with a groove, a screw hole is arranged in the middle of the upper clamping plate, one end of the lower clamping plate (18) is L-shaped, the other end of the lower clamping plate is provided with a groove, a screw hole is arranged in the middle of the lower clamping plate, one end of each of the two middle clamping plates (17) is respectively provided with L-shaped corresponding to the upper clamping plate and the lower clamping plate, the other end of each of the two middle clamping plates is respectively provided with a groove corresponding to the upper clamping plate and the lower clamping plate, the grooves of the upper clamping plate (16) and the middle clamping plates (17) are completely matched to form a groove matched with the straight flat, two well splint (17) set up relatively, and the centre is concave station form and is equipped with the screw, splint locate between two well splint (17) in the spring perpendicular to No. two, No. two screws pass punch plate (16) screw, well splint (17) screw, No. two springs, well splint (17) screw and lower plate (18) screw in proper order.
7. The Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support is characterized in that insections are arranged on the inner sides of the two middle splints (17).
8. The Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support as claimed in claim 1, wherein a straight flat screw (3) is replaced by a bent flat screw, the bent flat screw sequentially passes through oblate holes at one end parts of two adjustable coupling blocks (2) which are arranged in pairs, and one end of the bent flat screw passes through a buffer pressure combination.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201811100079.XA CN109288552B (en) | 2018-09-20 | 2018-09-20 | Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support |
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| CN201811100079.XA CN109288552B (en) | 2018-09-20 | 2018-09-20 | Achilles tendon skin multi-section separation combined type minimally invasive treatment external fixing support |
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| CN109288552B true CN109288552B (en) | 2020-05-29 |
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| CN112043329A (en) * | 2020-08-28 | 2020-12-08 | 北京市春立正达医疗器械股份有限公司 | Achilles tendon suture positioner |
| CN112006736B (en) * | 2020-09-10 | 2025-10-31 | 绵竹市人民医院 | Achilles tendon fixing device and application method thereof |
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