CN110037783A - The fixation bracket resetted for aids fracture based on electromagnetic navigation surgery systems - Google Patents

The fixation bracket resetted for aids fracture based on electromagnetic navigation surgery systems Download PDF

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Publication number
CN110037783A
CN110037783A CN201910468648.4A CN201910468648A CN110037783A CN 110037783 A CN110037783 A CN 110037783A CN 201910468648 A CN201910468648 A CN 201910468648A CN 110037783 A CN110037783 A CN 110037783A
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China
Prior art keywords
arc
bracket
main support
boss
threaded hole
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CN201910468648.4A
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Chinese (zh)
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CN110037783B (en
Inventor
毕占岁
丛海波
王炳强
谷鹏
余志平
侯红军
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Shandong Weigao Medical Technology Co Ltd
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Shandong Weigao Medical Technology Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2051Electromagnetic tracking systems

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

Abstract

The present invention proposes a kind of fixation bracket resetted for aids fracture based on electromagnetic navigation surgery systems, and the main support including being in arc-shaped, left side is equipped with arc-shaped groove;Fixed bracket further includes at least one detachable bracket, and the right side of each detachable bracket is equipped with arc-shaped boss, and left side is equipped with arc-shaped groove, is additionally provided with locating slot at the left side of each detachable bracket;Several hemispherical grooves of the distribution dispersed on detachable bracket;Each detachable bracket and main support can be successively plugged in together by the cooperation of arc-shaped boss and arc-shaped groove, fixed block and locating slot are pluggable together, several kirschner pin holes and threaded hole are equipped on fixed block and main support, the threaded hole of each kirschner pin hole corresponding thereto is arranged in a mutually vertical manner, and the cover plate bolt for fixation Kel's needle is additionally provided at threaded hole.Above-mentioned fixed bracket can improve operative reduction precision.

Description

The fixation bracket resetted for aids fracture based on electromagnetic navigation surgery systems
Technical field
The present invention relates to technical field of medical equipment more particularly to it is a kind of based on electromagnetic navigation surgery systems for assisting The fixation bracket of the reduction of the fracture.
Background technique
After doctors experience Primary Location is leaned in the usual thigh bone reduction of the fracture mostly, then reset checked by CT or MRI image Whether the reduction of the fracture accurately completed.This method is complicated for operation, needs to carry out multiple image taking, time and effort consuming.
With advances in technology, in the surgical procedure of the thigh bone reduction of the fracture, it can use electromagnetic navigation technology, by thigh bone CT or MRI two dimensional image carry out three-dimensional reconstruction, establish out the threedimensional model of thigh bone, utilize probe and six degree of freedom reference tool Thigh bone is positioned, completion thigh bone is associated with threedimensional model, and when thigh bone movement, threedimensional model also can opposite fortune It is dynamic, the reset case of the threedimensional model by observing thigh bone, so that it may the reset case of thigh bone is embodied, thus to complete thigh bone The reset of fracture.
It in the prior art, is the leg directly by people when realizing that thigh bone is associated with the positioning of thigh bone threedimensional model Portion is positioned, and there is a certain error for meeting in this way, influences operative reduction precision.
Summary of the invention
In order to solve the problems in the existing technology, the invention proposes a kind of use based on electromagnetic navigation surgery systems In the fixation bracket that aids fracture resets, to improve operative reduction precision.
To achieve the goals above, it is multiple for aids fracture based on electromagnetic navigation surgery systems that the invention proposes a kind of The left side of the fixation bracket of position, the main support including being in arc-shaped, the main support is equipped with arc-shaped groove, the main branch Frame is equipped with several kirschner pin holes and threaded hole, and each kirschner pin hole and each threaded hole correspond, each kirschner pin hole along Up and down direction runs through the main support, and the threaded hole of each kirschner pin hole corresponding thereto is arranged in a mutually vertical manner, and each kirschner Pin hole dispersion is distributed on entire main support;The cover plate bolt for fixation Kel's needle is additionally provided at the threaded hole;Institute Stating fixed bracket further includes at least one detachable bracket, and the right side of each detachable bracket is equipped with arc-shaped boss, left end Face is equipped with arc-shaped groove, and adjacent arc-shaped boss and arc-shaped groove cooperate grafting, in the left end of each detachable bracket The locating slot for positioning fixed block is additionally provided at face;Several hemispherical grooves of the distribution dispersed on the detachable bracket, institute Hemispherical groove is stated for being used cooperatively with probe;Each detachable bracket and main support pass through arc-shaped boss and arc-shaped The cooperation of groove can be successively plugged in together, and the fixed block and locating slot are pluggable together, be equipped on the fixed block Kirschner pin hole and threaded hole, each kirschner pin hole and each threaded hole correspond, and each kirschner pin hole runs through along up and down direction The fixed block, the threaded hole of each kirschner pin hole corresponding thereto are arranged in a mutually vertical manner, and are additionally provided with use at the threaded hole In the cover plate bolt of fixation Kel's needle.
Preferably, the size on the left and right directions of each detachable bracket can be different.
Preferably, connecting plate, the upper surface of each connecting plate are extended in the rear and front end of the main support to the left respectively It is equipped with first boss;The rear and front end of each detachable bracket is equipped with the first groove, each detachable bracket and main branch Frame can be successively plugged in together by the cooperation of arc-shaped boss and arc-shaped groove, and each detachable bracket and main support are also Several link blocks can be passed sequentially through and connecting plate is plugged in together, the left side of each link block and connecting plate is equipped with Two grooves, the right side of each link block are equipped with second boss, and adjacent second boss and the second groove cooperate grafting, Mei Gelian The upper surface for connecing block is equipped with first boss, and adjacent first boss and the first groove cooperate grafting.
The beneficial effect of the program of the present invention is above-mentioned multiple for aids fracture based on electromagnetic navigation surgery systems The fixation bracket of position can assist positioning the thigh bone of people, and auxiliary completion thigh bone is associated with registration with its threedimensional model, into And it can be improved operative reduction precision.
Detailed description of the invention
Fig. 1 shows support bracket fastened structural schematic diagram according to the present invention.
Fig. 2 shows support bracket fastened use state diagrams according to the present invention.
Appended drawing reference: 1- main support, 2- arc-shaped groove, 3- connecting plate, 4- first boss, 5- kirschner pin hole, 6- cover board Bolt, 7- detachable bracket, 8- arc-shaped boss, 9- locating slot, 10- hemispherical groove, the first groove of 11-, 12- link block, The second groove of 13-, 14- second boss, 15- fixed block, 16- threaded hole, A- thigh bone, B- Kirschner wire.
Specific embodiment
A specific embodiment of the invention is further described with reference to the accompanying drawing.
As shown in Figure 1, the fixation according to the present invention that resetted for aids fracture based on electromagnetic navigation surgery systems Bracket includes the main support 1 in arc-shaped, and the left side of the main support 1 is equipped with arc-shaped groove 2, on the main support 1 Equipped with several kirschner pin holes 5 and threaded hole 16, each kirschner pin hole 5 is corresponded with each threaded hole 16, each 5 edge of kirschner pin hole Up and down direction run through the main support 1, the threaded hole 16 of each kirschner pin hole 5 corresponding thereto is arranged in a mutually vertical manner, and What each kirschner pin hole 5 dispersed is distributed on entire main support 1;It is additionally provided at the threaded hole 16 for fixation Kel's needle B's Cover plate bolt 6.
The fixed bracket further includes at least one detachable bracket 7, the size on the left and right directions of each detachable bracket 7 (i.e. width) can be different, the quantity of the detachable bracket 7 according to the actual situation depending on, the right side of each detachable bracket 7 Equipped with arc-shaped boss 8, left side is equipped with arc-shaped groove 2, and adjacent arc-shaped boss 8 and arc-shaped groove 2 cooperate grafting, The locating slot 9 for positioning fixed block 15 is additionally provided at the left side of each detachable bracket 7, certainly, when include it is multiple can When removal bracket 7, can also only have the detachable bracket 7 of the leftmost side to be equipped with locating slot 9;Disperse on the detachable bracket 7 Several hemispherical grooves 10 of distribution, the hemispherical groove 10 with probe for being used cooperatively;Each detachable bracket 7 and Main support 1 is successively plugged in together by arc-shaped boss 8 and the cooperation of arc-shaped groove 2, the fixed block 15 and locating slot 9 It is plugged in together, kirschner pin hole 5 and threaded hole 16, each kirschner pin hole 5 and each threaded hole 16 is equipped on the fixed block 15 It corresponds, each kirschner pin hole 5 runs through the fixed block 15 along up and down direction, and each kirschner pin hole 5 is corresponding thereto Threaded hole 16 is arranged in a mutually vertical manner, and the cover plate bolt 6 for fixation Kel's needle B is additionally provided at the threaded hole 16.
In order to more firm in connection, extend connecting plate 3 to the left respectively in the rear and front end of the main support 1, The upper surface of each connecting plate 3 is equipped with first boss 4;The rear and front end of each detachable bracket 7 is equipped with the first groove 11, Each detachable bracket 7 and main support 1 are successively plugged in together by arc-shaped boss 8 and the cooperation of arc-shaped groove 2, respectively A detachable bracket 7 and main support 1 also pass sequentially through several link blocks 12 and connecting plate 3 is plugged in together, each connection The left side of block 12 and connecting plate 3 is equipped with the second groove 13, and the right side of each link block 12 is equipped with second boss 14, phase Adjacent second boss 14 and the second groove 13 cooperates grafting, and the upper surface of each link block 12 is equipped with first boss 4, adjacent First boss 4 and the first groove 11 cooperate grafting.
In the present embodiment, it is illustrated so that thigh bone is fractured as an example, as shown in Fig. 2, in the specific use process, (1) Kirschner wire B is beaten respectively in the one end thigh bone A and fracture first, selects suitable gram according to Kirschner wire B location and fracture The fixation bracket of family name's pin hole 5 and respective width is fastened by fixed bracket string on corresponding Kirschner wire B by cover plate bolt 6, Guarantee that thigh bone A keeps opposing stationary with fixed bracket.
(2) scanning has support bracket fastened leg CT or MRI image, and the image after scanning is uploaded to magnetic navigation positioning In surgery systems, corresponding threedimensional model is generated.
(3) instrument tracking needle folder is fixed on the Kirschner wire of the one end thigh bone A, fixed bracket and thigh bone A is made to be in magnetic field In range, multiple points are taken to carry out preoperative registration on fixed bracket using probe, and then complete the pass of thigh bone A and its threedimensional model Connection registration only retains fixed block 15 and corresponding Kirschner wire B and instrument tracking needle folder, removes other Kirschner wires after the completion of registration B, the parts such as detachable bracket 7 and main support 1.
(4) after the completion of removing, the thigh bone reduction of the fracture is completed by observing the reset case of threedimensional model.
Fixation bracket according to the present invention that reset for aids fracture based on electromagnetic navigation surgery systems can be auxiliary It helps and the thigh bone of people is positioned, auxiliary completion thigh bone is associated with registration with its threedimensional model, and then can be improved operative reduction Precision.

Claims (3)

1. a kind of fixation bracket resetted for aids fracture based on electromagnetic navigation surgery systems, it is characterised in that: including being in The main support of arc-shaped, the left side of the main support are equipped with arc-shaped groove, and the main support is equipped with several Kirschner wires Hole and threaded hole, each kirschner pin hole and each threaded hole correspond, and each kirschner pin hole runs through the master along up and down direction Bracket, the threaded hole of each kirschner pin hole corresponding thereto are arranged in a mutually vertical manner, and each kirschner pin hole dispersion be distributed in it is whole On a main support;The cover plate bolt for fixation Kel's needle is additionally provided at the threaded hole;The fixed bracket further include to A few detachable bracket, the right side of each detachable bracket are equipped with arc-shaped boss, and left side is equipped with arc-shaped groove, phase Adjacent arc-shaped boss and arc-shaped groove cooperates grafting, is additionally provided at the left side of each detachable bracket solid for positioning Determine the locating slot of block;Several hemispherical grooves of the distribution dispersed on the detachable bracket, the hemispherical groove are used for and spy Needle is used cooperatively;Each detachable bracket and main support can successively grafting by the cooperation of arc-shaped boss and arc-shaped groove Together, the fixed block and locating slot are pluggable together, kirschner pin hole and threaded hole are equipped on the fixed block, respectively Kirschner pin hole and each threaded hole correspond, and each kirschner pin hole runs through the fixed block, each Kirschner wire along up and down direction The threaded hole of hole corresponding thereto is arranged in a mutually vertical manner, and the cover board spiral shell for fixation Kel's needle is additionally provided at the threaded hole Bolt.
2. the fixation bracket according to claim 1 that resetted for aids fracture based on electromagnetic navigation surgery systems, Be characterized in that: the size on the left and right directions of each detachable bracket can be different.
3. the fixation bracket according to claim 1 or 2 that resetted for aids fracture based on electromagnetic navigation surgery systems, It is characterized by: connecting plate is extended in the rear and front end of the main support to the left respectively, the upper surface of each connecting plate is equipped with First boss;The rear and front end of each detachable bracket is equipped with the first groove, and each detachable bracket and main support pass through The cooperation of arc-shaped boss and arc-shaped groove can be successively plugged in together, and each detachable bracket and main support can also be successively It is plugged in together by several link blocks and connecting plate, it is recessed that the left side of each link block and connecting plate is equipped with second Slot, the right side of each link block are equipped with second boss, and adjacent second boss and the second groove cooperate grafting, each link block Upper surface be equipped with first boss, adjacent first boss and the first groove cooperate grafting.
CN201910468648.4A 2019-05-31 2019-05-31 Fixed support for assisting fracture reduction based on electromagnetic navigation operation system Active CN110037783B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110037784A (en) * 2019-05-31 2019-07-23 山东威高医疗科技有限公司 A kind of fixation bracket resetted for aids fracture based on electromagnetic navigation technology

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CN2038372U (en) * 1988-05-19 1989-05-31 中日友好医院 Fixation support for reduction of fracture
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CN104042314A (en) * 2014-06-25 2014-09-17 天津市新中医疗器械有限公司 Outer fixing support with rings and bars combined
CN104382643A (en) * 2014-12-12 2015-03-04 陈伟 Kirschner wire positioner for minimally invasive fixation for fracture
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CN207886266U (en) * 2017-08-14 2018-09-21 河北博川医疗器械有限公司 Horizontal type bone moves external fixing rack
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RU2152762C1 (en) * 1999-03-31 2000-07-20 Уральский научно-исследовательский институт травматологии и ортопедии Method and device for treating fractures and pseudoarthroses of femoral neck
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CN104042314A (en) * 2014-06-25 2014-09-17 天津市新中医疗器械有限公司 Outer fixing support with rings and bars combined
CN104382643A (en) * 2014-12-12 2015-03-04 陈伟 Kirschner wire positioner for minimally invasive fixation for fracture
CN207886266U (en) * 2017-08-14 2018-09-21 河北博川医疗器械有限公司 Horizontal type bone moves external fixing rack
CN208301717U (en) * 2017-11-12 2019-01-01 李永耀 A kind of Kirschner wire of the orthopaedics with fixed device
CN108553152A (en) * 2018-05-11 2018-09-21 石家庄高新区亿成科技有限公司 Orthopaedics arbitrarily has an X-rayed replacement and fixation frame
CN208838286U (en) * 2018-08-02 2019-05-10 张珊珊 A kind of Combined medical formula fixation support for reduction of fracture
CN210250031U (en) * 2019-05-31 2020-04-07 山东威高医疗科技有限公司 Fixing support for assisting fracture reduction based on electromagnetic navigation surgery system

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110037784A (en) * 2019-05-31 2019-07-23 山东威高医疗科技有限公司 A kind of fixation bracket resetted for aids fracture based on electromagnetic navigation technology
CN110037784B (en) * 2019-05-31 2024-07-09 山东威高医疗科技有限公司 Fixed support for assisting fracture reduction based on electromagnetic navigation technology

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