CN110393573B - Nail hole corrector for orthopedic surgery - Google Patents

Nail hole corrector for orthopedic surgery Download PDF

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Publication number
CN110393573B
CN110393573B CN201910737494.4A CN201910737494A CN110393573B CN 110393573 B CN110393573 B CN 110393573B CN 201910737494 A CN201910737494 A CN 201910737494A CN 110393573 B CN110393573 B CN 110393573B
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core
sleeve
correction sleeve
correction
holding arm
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CN201910737494.4A
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CN110393573A (en
Inventor
杨相丞
高洪升
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Northwestern Polytechnical University
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Northwestern Polytechnical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1717Guides or aligning means for drills, mills, pins or wires for applying intramedullary nails or pins
    • 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

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

Abstract

The invention discloses a nail hole corrector for orthopedic surgery, which consists of a correction sleeve, a correction sleeve holding arm, a complementary core and a complementary core holding arm; the correction sleeve is fixedly connected with the correction sleeve holding arm, the supplement core is connected with the supplement core holding arm, and the supplement core is positioned in the correction sleeve and is installed in a matching way with the correction sleeve; the center of the section of the correction sleeve is provided with an 8-shaped guide hole, the guide hole penetrates through the whole length of the correction sleeve and can accommodate a drill bit which is matched with the correction sleeve to pass through, and the rest space is occupied by the supplement core; the bushing can be inserted into the original bone hole for fixing and occupying, and the hole drilling at the position with a certain distance corrected to the designated direction is realized on the basis of the original bone hole. The nail hole corrector has the advantages of simple structure, light weight and convenient use; the problems of locking the far end of the intramedullary nail and deviating bone pore canals in other orthopedic surgeries are effectively solved, the surgery time is shortened, and the surgery effect is improved; is a bone surgery instrument which is suitable for various hospitals, in particular to primary hospitals and can be popularized; has good practical value.

Description

Nail hole corrector for orthopedic surgery
Technical Field
The invention relates to the technical field of medical instruments, in particular to an instrument for correcting a certain distance of a cortical bone pore canal of a screw in an orthopedic operation to a specified direction.
Background
With the continuous development of orthopedic surgery, minimally invasive and precise orthopedics becomes mainstream nowadays, and the requirements on the position of a screw on a bone are higher and higher. The cortical bone tunnel of the screw is often offset from the target site due to minimally invasive and intraoperative exposure constraints. If the deviation is more than 5mm, the hole can be re-drilled after the position is determined, but if the nail hole deviation is less than 5mm, the drill bit can easily slide into the original hole channel or deviate from the target position again when the hole is re-drilled. Resulting in prolonged operation time and partial screw holes which reduce the screw fixation strength and even make the operation impossible. For example, when the intramedullary nail operation is carried out on fractures such as femur, tibia and the like, the far-end locking device is out of alignment, a drill bit cannot enter a lock hole of the intramedullary nail through an original bone hole, the deviation distance of the original bone hole is often smaller than 5mm, the drill bit often slides into the original bone hole when the bare-handed locking nail technology is applied to drilling, and the drill bit is easy to break when the angle drilling is adjusted. Similar situations may occur in some procedures where the placement of cannulated screws is highly desirable, such as procedures where the anterior and posterior columns of a pelvic fracture and the guide pin of the sacroiliac joint screw deviate from the ideal position and do not deviate so much.
Disclosure of Invention
In order to avoid the defects of the prior art, the invention provides a nail hole corrector for orthopedic surgery; the nail hole corrector is simple in structure, light in weight and convenient and fast to use, and can realize the purpose of drilling holes at positions with a certain distance in the specified direction on the basis of original bone holes so as to achieve the expected purpose.
The invention solves the technical problem by adopting the technical scheme that the device comprises a correction sleeve, a correction sleeve holding arm, a fixed pore passage, a correction pore passage, a complementary core and a complementary core holding arm, and is characterized in that the correction sleeve is fixedly connected with the correction sleeve holding arm, the complementary core is connected with the complementary core holding arm, and the complementary core is positioned in the correction sleeve and is installed in a matching way with the correction sleeve;
the correction sleeve is in an elliptic cylindrical shape, a guide hole which is 8-shaped along the longitudinal axis direction is arranged in the center of the section of the correction sleeve to form a fixed pore passage and a correction pore passage, circles with the diameters of 4mm and the distances of two circle centers of the guide hole being 2mm, 3mm and 4mm are intersected to form the correction sleeve, the guide hole penetrates through the whole length of the correction sleeve, and a correction sleeve holding arm along the elliptic longitudinal axis direction is fixedly arranged at the upper end part of the correction sleeve;
the bushing core is a semi-cylindrical body, a guide hole of the correction sleeve becomes a pore channel with the diameter of 4mm after the bushing core is embedded into the correction sleeve, a bushing core holding arm along the longitudinal axis direction of the ellipse is fixedly arranged at the upper end part of the bushing core, the bushing core holding arm is overlapped with the correction sleeve holding arm after the bushing core is embedded into the correction sleeve, and the length of the bushing core is 10mm longer than that of the correction sleeve; when the device is used, the bushing can be inserted into an original bone hole for fixing and occupying, and the hole drilling at the position with a certain distance corrected to the designated direction on the basis of the original bone hole is realized.
The correction sleeve and the supplement core are made of 316 medical stainless steel.
Advantageous effects
The invention provides a nail hole corrector for an orthopedic operation, which is an instrument for correcting a bone pore canal with an improper position on a bone cortex in the orthopedic operation at a certain distance. The device consists of a correction sleeve, a correction sleeve holding arm, a complementary core and a complementary core holding arm; the correction sleeve is fixedly connected with the correction sleeve holding arm, the supplement core is connected with the supplement core holding arm, and the supplement core is positioned in the correction sleeve and is installed in a matching way with the correction sleeve; revise sleeve pipe cross-section central authorities and be equipped with into 8 font guiding hole, the guiding hole runs through and revises sleeve pipe full length, can hold the drill bit of supporting operation with it and pass through, and remaining space is occupied by mending the core, mends the core and can insert the downthehole fixing and the occupy-place effect that is used for of former bone, realizes revising the position drilling of certain distance to the specified direction on the basis of former bone hole.
The nail hole corrector for the orthopedic surgery has the advantages of simple structure, light weight and convenient use; the problems of locking the far end of the intramedullary nail and deviating bone pore canals in other orthopedic surgeries are effectively solved, the surgery time is shortened, and the surgery effect is improved; is a bone surgery instrument which is suitable for various hospitals, in particular to a primary hospital and can be popularized.
The nail hole corrector for the orthopedic surgery has good clinical significance and practical value.
Drawings
The nail hole corrector for orthopedic surgery of the present invention will be described in further detail with reference to the accompanying drawings and embodiments
Fig. 1 is a schematic structural view of a nail hole corrector for orthopedic surgery according to the present invention.
Fig. 2 is a top view of the nail hole corrector for orthopedic surgery according to the present invention.
In the drawings
1. Correction sleeve 2, correction sleeve holding arm 3, fixed pore channel 4, correction pore channel 5, core 6 and core holding arm
Detailed Description
The embodiment is a nail hole corrector for orthopedic surgery.
Referring to fig. 1 and 2, the nail hole corrector for orthopedic surgery in this embodiment is composed of a correction sleeve 1, a correction sleeve holding arm 2, a fixing hole 3, a correction hole 4, a complementary core 5 and a complementary core holding arm 6, wherein the correction sleeve 1 is fixedly connected with the correction sleeve holding arm 2, the complementary core 5 is connected with the complementary core holding arm 6, and the complementary core 5 is located in the correction sleeve 1 and is installed in cooperation with the correction sleeve 1. The correction sleeve 1 is in an elliptic cylindrical shape, a guide hole which is 8-shaped along the direction of a longitudinal axis is arranged in the center of the cross section to form a fixed hole channel 3 and a correction hole channel 4, two circle centers of the guide hole are 2mm, 3mm and 4mm away, the diameter of the guide hole is 4mm, the guide hole penetrates through the total length of the correction sleeve, a drill bit with the diameter of 4mm can be accommodated and passes through, the rest space is occupied by a supplement core, the supplement core prevents the drill bit from sliding into an original bone hole, and the newly drilled bone hole is enabled to move for a certain distance in the appointed direction. The upper end part of the correction sleeve 1 is fixedly provided with a correction sleeve holding arm 2 along the direction of the longitudinal axis of the ellipse, so that the correction sleeve can be held conveniently. The bushing 5 is a semi-cylindrical body, the bushing is embedded into the correction sleeve to enable a guide hole of the correction sleeve 1 to be a hole channel with the diameter of 4mm, a bushing holding arm 6 along the longitudinal axis direction of the ellipse is fixedly arranged at the upper end part of the bushing 5, the bushing 5 is convenient to hold and operate, and the bushing holding arm 6 is overlapped with the correction sleeve holding arm 2 after the bushing 5 is embedded into the correction sleeve 1; in order to fix the bone surface of the correction sleeve and prevent sliding, the length of the supplement core 5 is 10mm longer than that of the correction sleeve 1; when the bone repairing core is used, the repairing core 5 can be inserted into an original bone hole for fixing and occupying, so that the newly drilled bone hole moves a certain distance in the appointed direction.
In this embodiment, the correction sleeve 1 and the supplement core 5 are made of 316 medical stainless steel.
In this embodiment, when the bone surgery, the drill bit or the guide pin can confirm the position deviation through intraoperative perspective after drilling into the bone, and can confirm the direction and the distance of deviation, need not pull out drill bit or guide pin, insert the correction sleeve pipe along drill bit or guide pin, the separation soft tissue will revise the sleeve pipe and be fixed in the bone surface, will revise the sleeve pipe and rotate and fix along the anticipated drilling direction of axial, pull out drill bit or guide pin, insert the benefit core into former bone hole, can play the fixed effect of revising the sleeve pipe and can prevent drill bit or the guide pin of driling once more from sliding into former bone hole, make secondary drilling reach the target location.
In the embodiment, the correcting sleeve has a simple structure, is convenient to use, can directionally fix the bone pore canal at a fixed distance, effectively solves the problems of locking the far end of an intramedullary nail and deviating the bone pore canal of other orthopedic operations under the trend of higher requirements on the accuracy and the minimally invasive property of the orthopedic operations, shortens the operation time, relieves the pain of a patient, reduces the operation complications and improves the operation effect; is a bone surgery instrument which is suitable for various hospitals, in particular to primary hospitals and can be popularized; has good practical value.

Claims (1)

1. A nail hole corrector for orthopedic surgery comprises a correction sleeve, a correction sleeve holding arm, a fixing pore channel, a correction pore channel, a complementary core and a complementary core holding arm, and is characterized in that the correction sleeve is fixedly connected with the correction sleeve holding arm, the complementary core is connected with the complementary core holding arm, and the complementary core is positioned in the correction sleeve and is installed in a matching way with the correction sleeve;
the correcting sleeve is in an elliptic cylinder shape, a guide hole which is 8-shaped along the longitudinal axis direction is arranged in the center of the section of the correcting sleeve to form a fixed pore passage and a correcting pore passage, the guide hole is formed by intersecting two circles with the diameter of 4mm, the distance between the centers of the two circles is 2mm, 3mm or 4mm, the guide hole penetrates through the whole length of the correcting sleeve, and a correcting sleeve holding arm along the longitudinal axis direction of the ellipse is fixedly arranged at the upper end part of the correcting sleeve;
the bushing core is a semi-cylindrical body, a guide hole of the correction sleeve becomes a pore channel with the diameter of 4mm after the bushing core is embedded into the correction sleeve, a bushing core holding arm along the longitudinal axis direction of the ellipse is fixedly arranged at the upper end part of the bushing core, the bushing core holding arm is overlapped with the correction sleeve holding arm after the bushing core is embedded into the correction sleeve, and the length of the bushing core is 10mm longer than that of the correction sleeve; when the bone repairing core is used, the repairing core can be inserted into an original bone hole for fixing and occupying, and hole drilling at a position corrected to a certain distance in an appointed direction is realized on the basis of the original bone hole;
the correction sleeve and the supplement core are made of 316 medical stainless steel.
CN201910737494.4A 2019-08-12 2019-08-12 Nail hole corrector for orthopedic surgery Active CN110393573B (en)

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Application Number Priority Date Filing Date Title
CN201910737494.4A CN110393573B (en) 2019-08-12 2019-08-12 Nail hole corrector for orthopedic surgery

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Application Number Priority Date Filing Date Title
CN201910737494.4A CN110393573B (en) 2019-08-12 2019-08-12 Nail hole corrector for orthopedic surgery

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CN110393573A CN110393573A (en) 2019-11-01
CN110393573B true CN110393573B (en) 2022-09-27

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203447351U (en) * 2013-07-22 2014-02-26 陈立军 External guider for dynamic hip screw
CN204219020U (en) * 2014-06-20 2015-03-25 戚珊红 A kind of locating hole of interlocking intramedullary nail sight offsets correcting device again
CN207870927U (en) * 2017-06-05 2018-09-18 山东冠龙医疗用品有限公司 A kind of sclerotin lesion clean-out assembly
CN108992161A (en) * 2018-07-16 2018-12-14 酒泉市人民医院 Femoral interlocking nail inserting needle spot locator
CN208552005U (en) * 2017-09-23 2019-03-01 深圳德智达科技有限公司 Pedicle nail adjuster

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE20309481U1 (en) * 2003-06-20 2003-09-04 Stryker Trauma Gmbh Device for correctly inserting a guide wire for a drilling tool into a bone
AU2006216759B2 (en) * 2005-02-22 2011-11-17 Smith & Nephew, Inc. Instrument for targeting blocking screws
US20080132900A1 (en) * 2006-11-13 2008-06-05 Stryker Trauma Gmbh Drill alignment assembly for a bone plate using tissue protection sleeves that are fixed in the bone plate
US8137359B2 (en) * 2008-04-28 2012-03-20 Depuy (Ireland) Variable offset reamer assembly for modular humeral component

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203447351U (en) * 2013-07-22 2014-02-26 陈立军 External guider for dynamic hip screw
CN204219020U (en) * 2014-06-20 2015-03-25 戚珊红 A kind of locating hole of interlocking intramedullary nail sight offsets correcting device again
CN207870927U (en) * 2017-06-05 2018-09-18 山东冠龙医疗用品有限公司 A kind of sclerotin lesion clean-out assembly
CN208552005U (en) * 2017-09-23 2019-03-01 深圳德智达科技有限公司 Pedicle nail adjuster
CN108992161A (en) * 2018-07-16 2018-12-14 酒泉市人民医院 Femoral interlocking nail inserting needle spot locator

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