CN109717938A - A kind of medical external fixator - Google Patents

A kind of medical external fixator Download PDF

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Publication number
CN109717938A
CN109717938A CN201910210437.0A CN201910210437A CN109717938A CN 109717938 A CN109717938 A CN 109717938A CN 201910210437 A CN201910210437 A CN 201910210437A CN 109717938 A CN109717938 A CN 109717938A
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China
Prior art keywords
support
fixed
block
sliding rack
hole
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CN201910210437.0A
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Chinese (zh)
Inventor
高志书
白刚
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Individual
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Individual
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Priority to CN201910210437.0A priority Critical patent/CN109717938A/en
Publication of CN109717938A publication Critical patent/CN109717938A/en
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Abstract

The present invention discloses a kind of medical external fixator, solve the unstable of previous hip external fixator, caused femoral neck shaft angle is lost, top rake is lost, there is the problem of coxa vara deformity, and a possibility that solving the problems, such as elastic pressurized, improving union rate and reduce bed rest time long and lead to complication;Long through-hole is provided in first support, there are two cylindricality adjustment blocks for setting in long through-hole, the both ends of cylindricality adjustment block are arranged through long through-hole, one end of two cylindricality adjustment blocks is provided with fastener, the other end of two cylindricality adjustment blocks is provided with pin hole, pin hole is arranged through cylindricality adjustment block, sliding rack is movably set in second support, that is sliding rack correspondence is sleeved on guiding axis and screw rod, and internal screw thread is provided in the hole being set with lead screw, so that sliding rack is when lead screw rotates, it can be moved along guiding axis transverse reciprocating, there are two the second fixed pins for fixed setting on sliding rack, the present invention is widely used in the field of medical instrument technology.

Description

A kind of medical external fixator
Technical field
A kind of medical external fixator of the present invention, belongs to the field of medical instrument technology, specifically for adult thighbone tuberosity part The outer fixation of outer fixation and children and youth neck of femur.
Background technique
At present for femoral bone tuberosity () portion fracture patient, be all made of cutting operation treatment, but be easy to appear bleeding, Situations such as traumatic multiple organ interferes, hip external fixator there are unstable, lose, lean forward by the femoral neck shaft angle easily caused Angle is lost, and it is unstable hip external fixator occur, causes femoral neck shaft angle to be lost, top rake is lost, and coxa vara deformity occurs The problem of.And after the previous senile osteoporosis of patient of femoral bone tuberosity () portion fracture is fixed, only rigidly fix, but without bullet Property pressurization, causes union rate low and extends bed rest time, or even can cause complication.
Summary of the invention
The invention overcomes the deficiencies of the prior art, and provides a kind of medical external fixators, solve previous hip Unstable, the caused femoral neck shaft angle loss, top rake loss of exterior fixing rack, thus there is the problem of coxa vara deformity, And a possibility that solving the problems, such as elastic pressurized, improving union rate and reduce bed rest time long and lead to complication.
In order to solve the above-mentioned technical problem, the technical solution adopted by the present invention are as follows: a kind of medical external fixator, including first Bracket and second support, one end of the first support and second support are fixed together, and the first support and Angle between two brackets is 3~10 °, is provided with long through-hole in the first support, the central axis of the long through-hole in First support and second support cross the plane to be formed, and at least two cylindricality adjustment blocks, the column are provided in the long through-hole Shape adjustment block is arranged in convex and through long through-hole, and the cylindricality adjustment block can be slided along long through-hole transverse reciprocating, also can be around certainly Body central axis is freely rotated, and described thinner one end of cylindricality adjustment block is provided with fastener, and the fastener is used for cylindricality Adjustment block is fixed in first support, and the other end of the cylindricality adjustment block is provided with pin hole, and the pin hole is adjusted through cylindricality Block setting, and the central axis upright of the pin hole, in the central axis of cylindricality adjustment block, the pin hole is solid for inserting first Determine needle;
The structure of the second support are as follows: including fixed block, guiding axis, screw rod and supporting block, the guiding axis is parallel with screw rod Setting, the fixed block are fixed at one end of guiding axis, and the other end of the guiding axis is fixedly installed supporting block, described One end of lead screw is movably arranged on fixed block, and the other end of the lead screw is arranged through supporting block, and is stretching out supporting block End is provided with screw on nut, and the screw on nut and lead screw are fixedly installed together, drives lead screw by rotation screw on nut Rotation;
Sliding rack is movably set in the second support, i.e., the described sliding rack correspondence is sleeved on guiding axis and screw rod, and with It is provided with internal screw thread in the hole of lead screw suit, so that the sliding rack can be moved when lead screw rotates along guiding axis transverse reciprocating, There are two the second fixed pin, two second fixed pins are arranged in parallel for fixed setting on the sliding rack.
First fixed pin is fixed by the way that the fastening screw of cylindricality adjustment block end is arranged in.
Angle between the first support and second support is 6.5 °.
Anti-revolved clamp block is set in the cylindricality adjustment block, the anti-revolved clamp block is the nut of side pulley teeth, described anti- Rotation fixture block is arranged in the cylindricality adjustment block of fastener side, is meshed, is used for the gear teeth being arranged in cylindricality adjustment block Cylindricality adjustment block it is self-locking.
The sliding rack be in convex shape, and the sliding rack it is thicker one end suit on the secondary support bracket, the sliding The other end of frame is successively set with lower clamp plate and upper clamp plate, is respectively provided with two and half on the lower clamp plate and the opposite side of upper clamp plate Round guide groove, and corresponding two semi-circular guide grooves cooperatively form a circular holding holes on the lower clamp plate and upper clamp plate, The holding holes are used to clamp the second fixed pin, and the second fixed pin is fixed on lower clamp plate by the upper clamp plate by bolt.
The sliding rack is in the form of a column structure, and the gear teeth, institute are provided on the contact surface between the lower clamp plate and sliding rack The gear teeth are stated for self-locking between lower clamp plate and sliding rack.
Compared with the prior art, the invention has the beneficial effects that: the fixation of the universal fixture block in present invention distal end not only facilitates Medical worker's operation, and can significantly shorten operating time and healing time, reduce the wound of patient, bleeding and Other risks make patient leave the bed ahead of time;Distal end pressurization screw rod can produce the elastic prying and pulling power of proximal end fixed pin up and out, closely Hold two fixed pins and femoral shaft to form stable triangular, be embedded in sliding slot in conjunction with the protrusion rectangle of fixture block, make fixed pin with it is outer solid Fixed pole position is more stable, can reduce the generation of hip deformity, improve the survival rate of patient, union rate;In addition, this fixation side Formula can operate under local anaesthesia, reduce general anesthesia or the hard outer risk anaesthetized, and be that advanced age, the intertrochanteric fracture of the femur more than the disease of basis are suffered from The Gospel of person.
Detailed description of the invention
Following further describes the present invention with reference to the drawings.
Fig. 1 is the structural diagram of the present invention.
Fig. 2 is perspective view of the invention.
In figure: 1 being first support, 2 be second support, 21 be fixed block, 22 be guiding axis, 23 be screw rod, 24 be support Block, 25 be screw on nut, 3 be long through-hole, 4 be cylindricality adjustment block, 5 be pin hole, 6 be the first fixed pin, 7 be fastening screw, 8 be Sliding rack, 9 be the second fixed pin, 10 be semi-circular guide groove, 11 be lower clamp plate, 12 be bolt, 13 be anti-revolved clamp block, 14 be fastening Part, 15 are upper clamp plate.
Specific embodiment
As depicted in figs. 1 and 2, a kind of medical external fixator of the present invention, including first support 1 and second support 2, described the One end of one bracket 1 and second support 2 are fixed together, and the angle between the first support 1 and second support 2 is 3~10 °, long through-hole 3 is provided in the first support 1, the central axis of the long through-hole 3 is in first support 1 and second Bracket 2 crosses the plane to be formed, and at least two cylindricality adjustment blocks 4 is provided in the long through-hole 3, the cylindricality adjustment block 4 is in Convex and it is arranged through long through-hole 3, the cylindricality adjustment block 4 can slide along 3 transverse reciprocating of long through-hole, also can be around central axis Line is freely rotated, and the thinner one end of the cylindricality adjustment block 4 is provided with fastener 14, and the fastener 14 is for adjusting cylindricality Block 4 is fixed in first support 1, and the other end of the cylindricality adjustment block 4 is provided with pin hole 5, and the pin hole 5 is adjusted through cylindricality Block 4 is arranged, and the central axis upright of the pin hole 5 is in the central axis of cylindricality adjustment block 4, and the pin hole 5 is for inserting the One fixed pin 6;
The structure of the second support 2 are as follows: including fixed block 21, guiding axis 22, screw rod 23 and supporting block 24, the guiding axis 22 It is arranged in parallel with screw rod 23, the fixed block 21 is fixed at one end of guiding axis 22, and the other end of the guiding axis 22 is solid Surely it is provided with supporting block 24, one end of the lead screw 23 is movably arranged on fixed block 21, and the other end of the lead screw 23 runs through Supporting block 24 is arranged, and the end for stretching out supporting block 24 is provided with screw on nut 25, and the screw on nut 25 and lead screw 23 are solid Surely it is set together, drives lead screw 23 to rotate by rotation screw on nut 25;
It is movably set with sliding rack 8 in the second support 2, i.e., the described correspondence of sliding rack 8 is sleeved on guiding axis 22 and screw rod 23 On, and with lead screw 23 be set with hole in be provided with internal screw thread so that the sliding rack 8 lead screw 23 rotate when, can be along guiding axis 22 transverse reciprocatings are mobile, and there are two the second fixed pins 9 for fixed setting on the sliding rack 8, and two second fixed pins 9 are mutually It is arranged in parallel.
First fixed pin 6 is fixed by the fastening screw 7 that 4 end of cylindricality adjustment block is arranged in.
Angle between the first support 1 and second support 2 is 6.5 °.
Anti-revolved clamp block 13 is set in the cylindricality adjustment block 4, the anti-revolved clamp block 13 is the nut of side pulley teeth, institute It states anti-revolved clamp block 13 to be arranged in the cylindricality adjustment block 4 of 14 side of fastener, with the gear teeth phase being arranged in cylindricality adjustment block 4 Engagement, for the self-locking of cylindricality adjustment block 4.
The sliding rack 8 is in convex shape, and the thicker one end of the sliding rack 8 is sleeved in second support 2, the cunning The other end of moving frame 8 is successively set with lower clamp plate 11 and upper clamp plate 15, on the lower clamp plate 11 and the opposite side of upper clamp plate 15 Two semi-circular guide grooves 10 are respectively provided with, and corresponding two semi-circular guide grooves 10 cooperate shape on the lower clamp plate 11 and upper clamp plate 15 At a circular holding holes, the holding holes are for clamping the second fixed pin 9, and the upper clamp plate 15 is by bolt 12 by the Two fixed pins 9 are fixed on lower clamp plate 11.
The sliding rack 8 is in the form of a column structure, is provided with wheel on the contact surface between the lower clamp plate 11 and sliding rack 8 Tooth, the gear teeth are for self-locking between lower clamp plate 11 and sliding rack 8.
Fixed block 21 and supporting block 24 are fixed by screws on guiding axis 22 in the present invention, the guiding axis 22 and One bracket 1 is integrally formed, and scale is arranged in guiding axis 22, and the scale is for accurately controlling shifting of the sliding rack 8 on lead screw 23 Dynamic position.
The present invention is directed to the patient of femoral bone tuberosity () portion fracture, is treated using cutting operation, bleeding, traumatic easily occurs Situations such as multiple organ interferes, controls using tcm characteristic is minimally invasive, theoretical by gradient flexible fastening, and stable triangular is theoretical, anti-rotational Fixation principle, bracket length adjustable maintain outrigger tension principle, solve previous hip external fixator because unstable, cause Femoral neck shaft angle lose, top rake is lost, there is the problem of coxa vara deformity, and for the trouble that femoral bone tuberosity () portion fractures After the previous senile osteoporosis of person is fixed, only rigidly fix, the problem of nonelastic pressurization, the present invention is not only solved Elastic pressurized problem, and a possibility that improve union rate and reduce bed rest time long and lead to complication.
The present invention proposes that " two precisely, two parallel " are theoretical, it may be assumed that
Two precisely: the accurately region of anatomy, accurate inserting needle (inserting needle of proximal femoral neck maintenance hexagonal angle degree).
Two parallel: proximal end sliding slot (i.e. long through-hole) is parallel with thigh lateral, the pressurization adjustment portion of distal end after proximal end is fixed Divide (i.e. lead screw) parallel with thigh middle and lower sections.
The present invention has the feature that
6.5 ° of angles 1. the opposite first support 1 of design second support 2 is turned up, with lasting maintenance lateral side of femur pressing tension, dynamic is tieed up Hold femoral neck shaft angle;
2. adjustable (lead screw) is designed, and by the way of first extending and pressurizeing afterwards, adjustment length needs to determine according to actual therapeutic, The adjustability of sliding rack 8 is increased, graduated scale is convenient for accurate adjustment size.
3. the design (i.e. tooth design) of anti-revolved clamp block, can stablize the bone fixation needle at far and near end, and then limit fixed pin In the tired fine motion for the treatment of plane;
4. outer solid rod is used in 6.5 degree of EEF bogie (place that stress is concentrated, the i.e. interconnecting piece of first support 1 and guiding axis 22) Integrated molding design, effectively prevent being broken herein in use process;
5. the thickness of fixed pin selects Φ 4mm or Φ 5mm, to generate the elasticity of fixed pin, product material selects flexibility requirements Height, elastic membrane amount are big, and fixed pin front end uses unidirectional Design of Screw Thread, can the effectively anti-withdraw of the needle;
6. the sharp keen design of needle point trigone, can rapidly enter cortical bone, the damage of periosteum is reduced, prevents from sliding at bone face.Inserting needle Angle requirement: two pieces of proximal end needle, one piece enters in parallel along neck of femur tension lines, and another piece enters in parallel along bone stock pressure line, produces Raw two needle bodies and lateral side of femur are in the stabilization fixed structure of " triangle ", can anti-needle is sliding moves back or enter abdomen depths, later period elasticity adds After pressure, the continuous elastic that fracture proximal end generates up and out can be fixed, prevent coxa vara;
7. the parallel of two pieces of distal end needle enters in distal femur bone, bone mass is good herein, and holding strength is stronger, beats for flexible fastening Lower basis.
The present invention is outer using minimally invasive exterior fixing rack elasticity treatment intertrochanteric fracture of the femur and children and youth neck of femur It is fixed, wound, bleeding and other risks of patient are reduced, the incidence of coxa vara deformity and phlebothrombosis is reduced, improves fracture Healing rate makes patient leave the bed ahead of time, and easy to operate, application easy to spread.
The fixation of the universal fixture block (i.e. supporting block 24) in present invention distal end not only facilitates medical worker to operate, but also can be substantially Degree ground shortens operating time and healing time, reduces wound, bleeding and other risks of patient, and patient is made to leave the bed ahead of time; Pressurization screw rod in distal end (makes to generate relative displacement between sliding rack 8 and lead screw 23 by rotational lead screw 23, since sliding rack 8 is with the Two fixed pins 9 are fixed on bone, are just produced the mobile effect of setting lead screw 23 at this time, are moved to pull on or press by lead screw 23 Tight first support 1 generates pressure to the first fixed pin 6 being fixed in first support 1) can produce proximal end fixed pin upwards, to Outer elastic prying and pulling power, the fixed pin of proximal end two and femoral shaft form stable triangular, are embedded in cunning in conjunction with the protrusion rectangle of fixture block Slot keeps fixed pin and outer fixed link position more stable, can reduce the generation of hip deformity, improve the survival rate of patient, fracture is cured Conjunction rate;In addition, this fixed form can operate under local anaesthesia, reduction general anesthesia or the hard outer risk anaesthetized are advanced ages, basic sick more Intertrochanteric fracture of the femur patient Gospel.
The embodiment of the present invention is explained in detail above in conjunction with attached drawing, but the present invention is not limited to above-mentioned implementations Example, within the knowledge of a person skilled in the art, can also make without departing from the purpose of the present invention Various change out.

Claims (6)

1. a kind of medical external fixator, which is characterized in that including first support (1) and second support (2), the first support (1) one end and second support (2) is fixed together, and the angle between the first support (1) and second support (2) It is 3~10 °, is provided with long through-hole (3) on the first support (1), the central axis of the long through-hole (3) is in first support (1) it crosses the plane to be formed with second support (2), is provided at least two cylindricality adjustment blocks (4), institute in the long through-hole (3) It states cylindricality adjustment block (4) to be arranged in convex and through long through-hole (3), the cylindricality adjustment block (4) can be laterally past along long through-hole (3) Multiple sliding, can also be freely rotated, the thinner one end of the cylindricality adjustment block (4) is provided with fastener around center axis (14), the fastener (14) is used to for cylindricality adjustment block (4) being fixed on first support (1), the cylindricality adjustment block (4) The other end is provided with pin hole (5), and the pin hole (5) is arranged through cylindricality adjustment block (4), and the central axis of the pin hole (5) Perpendicular to the central axis of cylindricality adjustment block (4), the pin hole (5) is for inserting the first fixed pin (6);
The structure of the second support (2) are as follows: including fixed block (21), guiding axis (22), screw rod (23) and supporting block (24), institute It states guiding axis (22) and screw rod (23) is arranged in parallel, the fixed block (21) is fixed at one end of guiding axis (22), described The other end of guiding axis (22) is fixedly installed supporting block (24), and one end of the lead screw (23) is movably arranged on fixed block (21) On, the other end of the lead screw (23) is arranged through supporting block (24), and is provided with and screws in the end for stretching out supporting block (24) Nut (25), the screw on nut (25) and lead screw (23) are fixedly installed together, drive silk by rotation screw on nut (25) Thick stick (23) rotation;
Sliding rack (8) are movably set on the second support (2), i.e., described sliding rack (8) correspondence is sleeved on guiding axis (22) It is provided with internal screw thread on screw rod (23), and in the hole being set with lead screw (23), so that the sliding rack (8) turns in lead screw (23) , can be mobile along guiding axis (22) transverse reciprocating when dynamic, on the sliding rack (8) there are two fixed settings the second fixed pin (9), two A second fixed pin (9) is arranged in parallel.
2. a kind of medical external fixator according to claim 1, which is characterized in that first fixed pin (6) is by setting The fastening screw (7) set in cylindricality adjustment block (4) end is fixed.
3. a kind of medical external fixator according to claim 1, which is characterized in that the first support (1) and second Angle between frame (2) is 6.5 °.
4. a kind of medical external fixator according to claim 1, which is characterized in that be set on the cylindricality adjustment block (4) Have anti-revolved clamp block (13), the anti-revolved clamp block (13) is the nut of side pulley teeth, and anti-revolved clamp block (13) setting is deviating from It in the cylindricality adjustment block (4) of fastener (14) side, is meshed with the gear teeth being arranged on cylindricality adjustment block (4), is used for cylindricality tune Monolith (4) it is self-locking.
5. a kind of medical external fixator according to claim 1, which is characterized in that the sliding rack (8) is in convex shape, And the thicker one end of the sliding rack (8) is sleeved on second support (2), the other end of the sliding rack (8) is successively set with Be respectively provided on lower clamp plate (11) and upper clamp plate (15), the lower clamp plate (11) and the opposite side of upper clamp plate (15) two it is semi-circular Guide groove (10), and the lower clamp plate (11) and the upper corresponding two semi-circular guide grooves (10) of upper clamp plate (15) cooperatively form a circle The holding holes of shape, the holding holes are used to clamp the second fixed pin (9), and the upper clamp plate (15) passes through bolt (12) for second Fixed pin (9) is fixed on lower clamp plate (11).
6. a kind of medical external fixator according to claim 5, which is characterized in that the sliding rack (8) is in the form of a column structure, Be provided with the gear teeth on contact surface between the lower clamp plate (11) and sliding rack (8), the gear teeth for lower clamp plate (11) with It is self-locking between sliding rack (8).
CN201910210437.0A 2019-03-20 2019-03-20 A kind of medical external fixator Pending CN109717938A (en)

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CN201910210437.0A CN109717938A (en) 2019-03-20 2019-03-20 A kind of medical external fixator

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Application Number Priority Date Filing Date Title
CN201910210437.0A CN109717938A (en) 2019-03-20 2019-03-20 A kind of medical external fixator

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111658042A (en) * 2020-07-09 2020-09-15 中南大学湘雅二医院 Skin tension reducer
CN112220541A (en) * 2020-11-11 2021-01-15 佳木斯大学附属第一医院 Wrist fracture first aid external fixation support
WO2022042191A1 (en) * 2020-08-28 2022-03-03 北京和华瑞博医疗科技有限公司 Needle clamping device and leg holder device

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
BG100327A (en) * 1996-01-31 1997-07-31 Станислав Несторов External fixative
US6423061B1 (en) * 2000-03-14 2002-07-23 Amei Technologies Inc. High tibial osteotomy method and apparatus
CN2868222Y (en) * 2005-12-31 2007-02-14 孙观荣 Thigh-bone anticollis angle sighting device
CN103654929A (en) * 2012-09-25 2014-03-26 李加龙 Intramedullary needle for treating human body clavicle fracture
CN209864008U (en) * 2019-03-20 2019-12-31 高志书 Medical external fixator

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
BG100327A (en) * 1996-01-31 1997-07-31 Станислав Несторов External fixative
US6423061B1 (en) * 2000-03-14 2002-07-23 Amei Technologies Inc. High tibial osteotomy method and apparatus
CN2868222Y (en) * 2005-12-31 2007-02-14 孙观荣 Thigh-bone anticollis angle sighting device
CN103654929A (en) * 2012-09-25 2014-03-26 李加龙 Intramedullary needle for treating human body clavicle fracture
CN209864008U (en) * 2019-03-20 2019-12-31 高志书 Medical external fixator

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111658042A (en) * 2020-07-09 2020-09-15 中南大学湘雅二医院 Skin tension reducer
WO2022042191A1 (en) * 2020-08-28 2022-03-03 北京和华瑞博医疗科技有限公司 Needle clamping device and leg holder device
CN112220541A (en) * 2020-11-11 2021-01-15 佳木斯大学附属第一医院 Wrist fracture first aid external fixation support

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