CN109793579A - It is a kind of through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator - Google Patents
It is a kind of through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator Download PDFInfo
- Publication number
- CN109793579A CN109793579A CN201910163372.9A CN201910163372A CN109793579A CN 109793579 A CN109793579 A CN 109793579A CN 201910163372 A CN201910163372 A CN 201910163372A CN 109793579 A CN109793579 A CN 109793579A
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- CN
- China
- Prior art keywords
- oversleeve
- cruciate ligament
- anterior cruciate
- hole
- tibial bone
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Links
- 210000001264 anterior cruciate ligament Anatomy 0.000 title claims abstract description 31
- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 28
- 210000000689 upper leg Anatomy 0.000 abstract description 18
- 238000000034 method Methods 0.000 abstract description 10
- 238000001356 surgical procedure Methods 0.000 abstract description 9
- 210000002303 tibia Anatomy 0.000 description 6
- 230000006378 damage Effects 0.000 description 3
- 210000003127 knee Anatomy 0.000 description 3
- 210000003041 ligament Anatomy 0.000 description 3
- 208000025978 Athletic injury Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006735 deficit Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 230000000116 mitigating effect Effects 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
Abstract
The invention discloses a kind of through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, it includes positioning device (1), oversleeve (2), fastener (3) and guide pin (4), positioning device (1) is equipped with oversleeve through-hole (5) and threaded hole (6), the axis of oversleeve through-hole (5) and threaded hole (6) intersects vertically, oversleeve (2) passes through oversleeve through-hole (5), and both ends are placed in oversleeve through-hole (5) outside afterwards, fastener (3) is fixed oversleeve (2) and positioning device (1) by threaded hole (6), guide pin (4) passes through oversleeve (2), and it is coaxial with oversleeve (2).The present invention can be after carrying out tibial side tunnel placement, directly carry out femur side tunnel placement, eliminate the process of femur side tunnel repositioning, femur side tunnel placement error can be reduced to the greatest extent, simplify surgical procedure, the efficiency of tunnel surgery positioning is improved, and then shortens operation duration, improves success rate of operation.
Description
Technical field
It is especially a kind of to dissect weight through tibial bone road anterior cruciate ligament the present invention relates to Healing in Anterior Cruciate Ligament Reconstruction technical field
Build locator.
Background technique
Cross ligament damage is one of the Athletic Injuries In The Knee occurred most frequently, the reconstruction of cross ligament damage
The always important subject of orthopaedics and athletic injury field, in recent years, the operation of anterior cruciate ligament Anatomical Reconstruction also receive
More concerns.Anterior cruciate ligament Anatomical Reconstruction operation basic process are as follows: operative approach (Anteroposterior aproach, anterior-medial approach,
Interior upper approach, outer upside approach), tunnel placement (tibial side, femur side), drilling (tibial side, femur side), implantation graft,
Suture.Focus on tunnel placement during this, the accuracy of tunnel placement is higher, and operating time is shorter, successful surgery
Possibility is also bigger.Reconstruction operations require the mobility for simulating primary ligament as far as possible, so needing to examine during tunnel placement
The influence factor of worry is more and complicated, such as position, knee flexion angle, tunnel reconnaissance anticipation, therefore determine compared to tibial side tunnel
Position, femur side tunnel placement difficulty are bigger.So the time of femur side tunnel placement process consumption is more, not to operation bring
Stability is also bigger.Currently, widely applied operating method is to carry out tunnel placement, this tunnel respectively to tibial side and femur side
The time that channel positioning method needs is longer, also larger to operation bring risk.
Summary of the invention
The object of the present invention is to provide a kind of through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator.It can be
After carrying out tibial side tunnel placement, femur side tunnel placement is directly carried out, eliminates the process of femur side tunnel repositioning, it can
It reduces femur side tunnel placement error to the greatest extent, simplifies surgical procedure, when improving the efficiency of tunnel surgery positioning, and then shortening operation
It is long, improve success rate of operation.
In order to solve the above technical problems, the present invention adopts the following technical scheme that: a kind of through tibial bone road anterior cruciate ligament
Anatomical Reconstruction locator, including positioning device, oversleeve, fastener and guide pin, positioning device are equipped with oversleeve through-hole and threaded hole,
The axis of oversleeve through-hole and threaded hole intersects vertically, and both ends are placed in outside oversleeve through-hole after oversleeve passes through oversleeve through-hole, fastener
Oversleeve and positioning device are fixed by threaded hole, guide pin passes through oversleeve, and coaxial with oversleeve.
It is above-mentioned through positioning device in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator further include handle, location hook connect
Connect arm and location hook, handle is connect with location hook linking arm one end, and at a fixed angle, the other end of location hook linking arm with
Position hook connects；Wherein, handle, location hook linking arm and location hook are integrally formed.
Above-mentioned through location hook in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator further includes the neck of hook and bill, bill
Longitudinal cross-section be that class is trapezoidal, wherein trapezoidal two waist of class is round and smooth curve, and the trapezoidal upper bottom of class connect with the neck of hook, and class is trapezoidal
It goes to the bottom parallel with the axis of guide pin.
The bottom trapezoidal through bill longitudinal cross-section class in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator above-mentioned with
The axial line distance of guide pin is 1.3 ㎜ -2.0mm, and wherein the diameter of guide pin 4 is 2.4mm, specifically, 11 longitudinal cross-section class ladder of bill
The bottom of shape and the axial line distance of guide pin 4 can be 1.6mm.
Side above-mentioned through handle in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, which is run through, offers several
Lightening hole facilitates operation for mitigating the weight of locator, the specific can be that 6.
It is above-mentioned through handle in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator to hold side to offer 4 arcs recessed
Slot increases the stability in operating process convenient for holding.
Two through the bill longitudinal cross-section trapezoidal bottom of class in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator above-mentioned
A base angle is fillet, it is therefore prevented that injury of the sharp component to patient.
Compared with prior art, the invention has the beneficial effects that: anterior cruciate ligament Anatomical Reconstruction operation in, using this
Invention can directly carry out femur side tunnel placement, it is not necessary to take out locator to femur side after carrying out tibial side tunnel placement
It relocates, has thus reduced femur side tunnel placement error to the greatest extent, simplified surgical procedure, improved tunnel in surgical procedure
The efficiency of road positioning, shortens operation duration, improves success rate of operation.
Detailed description of the invention
Fig. 1 is main view of the invention；
Fig. 2 is the cross-sectional view of positioning device in the present invention；
Fig. 3 is the structural schematic diagram of location hook in the present invention；
Fig. 4 is the schematic diagram of clinical application of the present invention.
The meaning of appended drawing reference: 1- positioning device, 2- oversleeve, 3- fastener, 4- guide pin, 5- oversleeve through-hole, 6- threaded hole,
7- handle, 8- location hook linking arm, 9- location hook, the 10- neck of hook, 11- bill.
The present invention is further illustrated with reference to the accompanying drawings and detailed description.
Specific embodiment
The embodiment of the present invention 1: a kind of through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, structure is as shown in Figure 1, Figure 2
Shown, positioning device 1 is equipped with oversleeve through-hole 5 and threaded hole 6, and the axis of oversleeve through-hole 5 and threaded hole 6 intersects vertically, oversleeve 2
It is placed in outside oversleeve through-hole 5 across both ends after oversleeve through-hole 5, fastener 3 carries out oversleeve 2 and positioning device 1 by threaded hole 6
Fixed, the bottom of fastener 3 withstands on the surface of oversleeve 2, prevents oversleeve 2 and positioning device 1 from relative displacement occurs, guide pin 4 passes through
Oversleeve 2, and it is coaxial with oversleeve 2, and oversleeve 2 limits the offset of guide pin 4, and guide pin 4 can only be moved forward and backward in oversleeve 2.
Embodiment 2: it is described through positioning device 1 in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator include handle 7,
Location hook linking arm 8 and location hook 9, handle 7 are connect with 8 one end of location hook linking arm, and at a fixed angle, position hook connects
The other end of arm 8 is connect with location hook 9；Wherein, handle 7, location hook linking arm 8 and location hook 9 are integrally formed.
Embodiment 3: described to include 10 He of the neck of hook through location hook 9 in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator
Bill 11, the longitudinal cross-section of bill 11 are that class is trapezoidal, and wherein trapezoidal two waist of class is round and smooth curve, the trapezoidal upper bottom of class and the neck of hook
10 connections, the trapezoidal bottom of class are parallel with the axis of guide pin 4.
Embodiment 4: described through 11 longitudinal cross-section class ladder of bill in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator
The bottom of shape and the axial line distance of guide pin 4 are 1.3 ㎜ -2.0mm, and wherein the diameter of guide pin 4 is 2.4mm, specifically, bill 11 is vertical
The axial line distance of the bottom and guide pin 4 trapezoidal to section class can be 1.6mm.
Embodiment 5: it is described through 7 side of handle in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator through offering
Several lightening holes, effect are to mitigate the weight of whole equipment, convenient for operation, specifically as shown in Figure 1, can be 6.
Embodiment 6: described to be offered through the holding of handle 7 side in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator
4 arc grooves, this design improve the stability in operating process convenient for holding.
Embodiment 7: described through 11 longitudinal cross-section class ladder of bill in tibial bone road anterior cruciate ligament Anatomical Reconstruction locator
Two base angles of shape bottom are fillet, prevent sharp component from injuring to patient.
The working principle of the invention: in carrying out anterior cruciate ligament Anatomical Reconstruction surgical procedure, by the knee angle of patient
Degree is adjusted to 90 °, establishes operative approach, then carries out tunnel placement to shin bone and femur.
With the help of arthroscope, doctor first carries out tunnel placement to tibial side using the present apparatus；
Specifically, adjusting fastener 3 is fixed, guide pin 4 is placed in as shown in figure 4, oversleeve 2 is inserted into oversleeve through-hole 5
In oversleeve 2；It determines skin openings position, cuts skin, blunt separation is subcutaneously until shin bone dermoskeleton face, is resisted with 2 front end of oversleeve
Shin bone dermoskeleton face；Simultaneously location hook 9 is placed in the articular cavity of patient by operative approach, joint under the microscope and adjust calmly
Position hook 9 angle, so that 11 rear end of bill of location hook 9 is resisted against shin bone in-seam face, at this time guide pin 4 along 2 axis of oversleeve side
To release, pierced in articular cavity along shin bone.
Then femur side tunnel placement is carried out, adjusts the angle in patient's knee joint under arthroscope according to the degree of impairment of patient
Degree, guide pin 4 then continued to push ahead, until be resisted against femur in-seam face, the contact point of guide pin 4 and femur in-seam face at this time
For the anchor point of femoral bone tunnel, then guide pin 4 is exited, oversleeve 2 is removed from shin bone dermoskeleton face.
Suitable drill bit is selected, reaming is carried out along the bore path of guide pin 4, establishes osseous tunnel, graft is placed in bone
In tunnel, and then complete surgical procedure.
The present invention is also made that adaptability design to positioning device 1.It is recessed that 4 arcs are offered in the holding side of handle 7
Slot, this design facilitate operator to hold, keep entire position fixing process more stable；It is several through offering in the side of handle 7
A lightening hole, the purpose of this design are to mitigate positioning device 1 as far as possible under the premise of not influencing the intensity of positioning device 1
Weight prevents in position fixing process since equipment self-weight influences operation precision.
Claims (7)
1. a kind of through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, it is characterised in that: including positioning device (1), oversleeve
(2), fastener (3) and guide pin (4), positioning device (1) be equipped with oversleeve through-hole (5) and threaded hole (6), oversleeve through-hole (5) and
The axis of threaded hole (6) intersects vertically, and oversleeve (2) passes through oversleeve through-hole (5), and both ends are placed in oversleeve through-hole (5) outside afterwards, fastening
Part (3) is fixed oversleeve (2) and positioning device (1) by threaded hole (6), and guide pin (4) passes through oversleeve (2), and and oversleeve
(2) coaxial.
2. according to claim 1 through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, it is characterised in that: positioning dress
Setting (1) includes handle (7), location hook linking arm (8) and location hook (9), and handle (7) is connect with location hook linking arm (8) one end,
And at a fixed angle, the other end of location hook linking arm (8) is connect with location hook (9)；Wherein, handle (7), positioning hook connects
Arm (8) and location hook (9) are integrally formed.
3. according to claim 2 through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, it is characterised in that: location hook
It (9) include the neck of hook (10) and bill (11), the longitudinal cross-section of bill (11) is that class is trapezoidal, and wherein trapezoidal two waist of class is round and smooth song
Line, the trapezoidal upper bottom of class are connect with the neck of hook (10), and the trapezoidal bottom of class is parallel with the axis of guide pin (4).
4. according to claim 3 through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, it is characterised in that: bill
(11) axial line distance of the trapezoidal bottom of longitudinal cross-section class and guide pin (4) is 1.3 ㎜ -2.0mm.
5. according to claim 2 or 3 through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, it is characterised in that: hand
Handle (7) side, which is run through, offers several lightening holes.
6. according to claim 2 or 3 through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, it is characterised in that: hand
Handle (7) holds side and offers 4 arc grooves.
7. according to claim 3 through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator, it is characterised in that: bill
(11) two base angles of the trapezoidal bottom of longitudinal cross-section class are fillet.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910163372.9A CN109793579A (en) | 2019-03-05 | 2019-03-05 | It is a kind of through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910163372.9A CN109793579A (en) | 2019-03-05 | 2019-03-05 | It is a kind of through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109793579A true CN109793579A (en) | 2019-05-24 |
Family
ID=66561650
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910163372.9A Pending CN109793579A (en) | 2019-03-05 | 2019-03-05 | It is a kind of through tibial bone road anterior cruciate ligament Anatomical Reconstruction locator |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109793579A (en) |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090216236A1 (en) * | 2008-02-21 | 2009-08-27 | Paul Re | Device for orienting the tibial tunnel position during an acl reconstruction |
| CN104146749A (en) * | 2014-02-28 | 2014-11-19 | 中国人民解放军南京军区福州总医院 | Reconstruction and manufacturing device for femoral tunnel of knee joint posterior cruciate ligament |
| CN205698003U (en) * | 2016-03-29 | 2016-11-23 | 中国人民解放军第三军医大学第三附属医院 | Anterior cruciate ligament of knee joint based on virtual operation rebuilds tibia guider |
| CN205758617U (en) * | 2016-05-24 | 2016-12-07 | 袁振 | A kind of anterior cross ligament location guide |
| CN209770551U (en) * | 2019-03-05 | 2019-12-13 | 潘海乐 | Reconstruction locator for dissecting anterior cruciate ligament through tibial bone canal |
-
2019
- 2019-03-05 CN CN201910163372.9A patent/CN109793579A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090216236A1 (en) * | 2008-02-21 | 2009-08-27 | Paul Re | Device for orienting the tibial tunnel position during an acl reconstruction |
| CN104146749A (en) * | 2014-02-28 | 2014-11-19 | 中国人民解放军南京军区福州总医院 | Reconstruction and manufacturing device for femoral tunnel of knee joint posterior cruciate ligament |
| CN205698003U (en) * | 2016-03-29 | 2016-11-23 | 中国人民解放军第三军医大学第三附属医院 | Anterior cruciate ligament of knee joint based on virtual operation rebuilds tibia guider |
| CN205758617U (en) * | 2016-05-24 | 2016-12-07 | 袁振 | A kind of anterior cross ligament location guide |
| CN209770551U (en) * | 2019-03-05 | 2019-12-13 | 潘海乐 | Reconstruction locator for dissecting anterior cruciate ligament through tibial bone canal |
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