CN110464478A - Percutaneous children's supracondylar fracture resets measuring device - Google Patents
Percutaneous children's supracondylar fracture resets measuring device Download PDFInfo
- Publication number
- CN110464478A CN110464478A CN201910704998.6A CN201910704998A CN110464478A CN 110464478 A CN110464478 A CN 110464478A CN 201910704998 A CN201910704998 A CN 201910704998A CN 110464478 A CN110464478 A CN 110464478A
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- Prior art keywords
- pointer
- disk body
- humerus
- reference line
- children
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- 210000002758 humerus Anatomy 0.000 claims abstract description 36
- 210000002310 elbow joint Anatomy 0.000 claims abstract description 11
- 239000007769 metal material Substances 0.000 claims abstract description 8
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 7
- 239000000741 silica gel Substances 0.000 claims description 7
- 229910002027 silica gel Inorganic materials 0.000 claims description 7
- 229960001866 silicon dioxide Drugs 0.000 claims description 7
- 206010017076 Fracture Diseases 0.000 abstract description 11
- 210000004349 growth plate Anatomy 0.000 abstract description 9
- 206010020462 Humerus fracture Diseases 0.000 abstract description 5
- 208000010392 Bone Fractures Diseases 0.000 description 10
- 210000003414 extremity Anatomy 0.000 description 10
- 238000010586 diagram Methods 0.000 description 6
- 210000000988 bone and bone Anatomy 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 241000469816 Varus Species 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 238000011161 development Methods 0.000 description 2
- 229910052602 gypsum Inorganic materials 0.000 description 2
- 239000010440 gypsum Substances 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 238000012549 training Methods 0.000 description 2
- 210000003423 ankle Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000000354 decomposition reaction Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000007634 remodeling Methods 0.000 description 1
- 230000000698 schizophrenic effect Effects 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- 230000014616 translation Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/067—Measuring instruments not otherwise provided for for measuring angles
Abstract
The invention discloses percutaneous children's supracondylar fractures to reset measuring device, and the first disk body including being set to elbow joint, the first disk body is equipped with the reference line that the projection with ectocondyle line in humerus coincides;It is additionally provided with the second pointer and the second disk body on first disk body, the second disk body is equipped with the first pointer, and the first disk body is additionally provided with the first pointer and the second pointer, and the projection of the rotation axis of the first pointer and the second pointer is overlapped with reference line;First pointer, the second pointer and reference line are metal material.First device is placed in healthy limb, makes ectocondyle line in reference line alignment humerus, the first pointer is parallel or coincides with the oblique line of lateral malleolus epiphyseal plate, and the second pointer is overlapped with humerus axis;Then device is placed on sufferer limbs, makes ectocondyle line in reference line alignment humerus, supracondylar fracture of humerus reset case is judged by the position of the first pointer of observation and the second pointer.The present invention is capable of measuring the angle Bao Man, accurate to assess suffering limb reset case, assesses in art and resets degree.
Description
Technical field
The present invention relates to measuring tool, specifically percutaneous children's supracondylar fracture resets measuring device.
Background technique
Supracondylar fracture of humerus is the common elbow of children, accounts for about children all fracture 12% ~ 17%, is apt to occur in 7
Year old or less children, fracture be more common in schizophrenics patient, men and women's disease incidence is without bright colour development difference.Injured reason is common to be fallen for eminence
The hyperextension generated when falling or excessively bent distortion violence, can be divided into the type of stretching and buckling type according to injured mechanism, wherein stretching type
98% is accounted for, the mode that Gartland I type fracture mostly uses gypsum to brake at present at present, which is fixed, can reach satisfied pre- aftereffect for 3 ~ 4 weeks
Fruit, II type and type III can be used the fixed mode of closed reduction gypsum and treat, but progress now with surgical technic and built-in
The development of material now mostly uses closed reduction combination Kirschner wire fixation.The purpose of operative treatment is to restore distal humerus dissection position
It sets, especially the integrality of humerus columnae medialis, and then reduces the generation of postoperative Cubitus varus deformity.It is now recognized that the angle Baumann is
Assess the evaluation criteria of humerus columnae medialis recovery extent, the angle Baumann Chinese also translations " angle Bao Man ", i.e. humerus axis and humerus
The angle of lateral epicondyle epiphyseal plate axis, Williamson proposes that the normal range (NR) at the angle Baumann is 64 ° to 81 °, when the angle Baumann
In normal range (NR), the reduction of the fracture reaches promising result.
The appearance of current high analogue simulation silica gel people provides the training approach of inexpensive low-risk for teaching and training, still
As the case where occurring with true man's operation, there are different degrees of rotation or shiftings for the distal end broken ends of fractured bone in supracondylar fracture of humerus reseting procedure
Position, the measurement angle Baumann are difficult.Therefore the angle Baumann how is accurately measured, supracondylar fracture of humerus is resetted, restores columnae medialis
Integrality, and then Cubitus varus deformity is reduced as key problem in technology.
Summary of the invention
The technical problem to be solved by the present invention is in view of the above-mentioned state of the art, and provide topology layout rationally,
It is capable of measuring the angle Bao Man, can accurately assess suffering limb reset case, to guarantee the stability of distal humerus columnae medialis, assesses and is resetted in art
Degree, the percutaneous children's supracondylar fracture for reducing incidence of cubitus varus reset measuring device.
The technical scheme of the invention to solve the technical problem is: percutaneous children's supracondylar fracture resets measurement dress
It sets, the first disk body including being set to elbow joint, the first disk body is equipped with the reference line that the projection with ectocondyle line in humerus coincides;
It is additionally provided with the second pointer, and the second disk body of the length direction sliding along reference line on first disk body, is set on the second disk body
There is the first pointer, the first disk body is additionally provided with the first pointer and the second pointer, the projection of the rotation axis of the first pointer and the second pointer
It is overlapped with reference line;First pointer, the second pointer and reference line are metal material.
To optimize above-mentioned technical proposal, the measure taken further include:
The second above-mentioned disk body is equipped with the first angle index for the first pointer reading angular value, and the first disk body, which is equipped with, supplies second
Second angle index of pointer reading angular value, the first angle index and the second angle index are metal material.
Above-mentioned the first pointer, the second disk body and the second pointer is located at the same side of the first disk body, and reference line is located at the
The another side of one disk body.
The first above-mentioned disk body primary and secondary fastening lid has third disk body, and the first pointer and the second pointer are located at the first disk body and
Between three disk bodies.
The edge of above-mentioned the first disk body or third disk body is equipped with the elastic band for being fixed on arm.
Above-mentioned elastic band is set to the edge of third disk body.
Above-mentioned the first disk body and third disk body is respectively equipped with the silicagel pad to match with elbow joint.
Compared with prior art, percutaneous children's supracondylar fracture of the invention resets measuring device, including being set to elbow joint
First disk body, the first disk body are equipped with the reference line that the projection with ectocondyle line in humerus coincides;Is additionally provided on first disk body
Two pointers and the second disk body, the second disk body are equipped with the first pointer, and the first disk body is additionally provided with the first pointer and the second pointer,
The projection of the rotation axis of first pointer and the second pointer is overlapped with reference line;First pointer, the second pointer and reference line are metal
Material.First device is placed in healthy limb, makes ectocondyle line in reference line alignment humerus, the first pointer is parallel or coincides with
The oblique line of lateral malleolus epiphyseal plate, and the second pointer is overlapped with humerus axis;Then device is placed on sufferer limbs, makes reference line
It is directed at ectocondyle line in humerus, judges that supracondylar fracture of humerus resets feelings by the position of the first pointer of observation and the second pointer
Condition.The present invention is capable of measuring the angle Bao Man, accurate to assess suffering limb reset case, assesses in art and resets degree.
Detailed description of the invention
Fig. 1 is schematic perspective view of the invention;
Fig. 2 is the decomposition diagram of Fig. 1;
Fig. 3 is the positive structural schematic diagram of the first disk body of the invention;
Fig. 4 is the structural schematic diagram at the first disk body back side;
Fig. 5 is working state schematic representation of the first disk body of the invention on elbow joint;
Fig. 6 is the structural schematic diagram of the first disk body of the present invention, third disk body, elastic band and silicagel pad.
Specific embodiment
The embodiment of the present invention is described in further detail below in conjunction with attached drawing.
Fig. 1 to Fig. 6 is structural schematic diagram of the invention.
Appended drawing reference therein are as follows: the first pointer 1, the first angle index 11, reference line 2, the second pointer 3, the second angle index
31, the first disk body 4, sliding slot 41, the second disk body 5, ectocondyle line 61 in humerus, humerus axis 62, lateral malleolus epiphyseal plate oblique line 63,
Third disk body 7, elastic band 8, silicagel pad 9, bone 10 on condyle of humerus.
Fig. 1 to Fig. 6 is structural schematic diagram of the invention, is surveyed as shown, percutaneous children's supracondylar fracture of the invention resets
Device is measured, the first disk body 4 including being set to elbow joint, the projection that the first disk body 4 is equipped with ectocondyle line 61 in humerus coincides
Reference line 2;The second pointer 3, and the second disk body of the length direction sliding along reference line 2 are additionally provided on first disk body 4
5, the second disk body 5 is equipped with the first pointer 1, and the first disk body 4 is additionally provided with the first pointer 1 and the second pointer 3, the first pointer 1 and the
The projection of the rotation axis of two pointers 3 is overlapped with reference line 2;First pointer 1, the second pointer 3 and reference line 2 are metal material.First
Device is placed in healthy limb, so that reference line 2 is directed at ectocondyle line 61 in humerus, the first pointer 1 is parallel or coincides with outer
The oblique line 63 of side ankle epiphyseal plate, and the second pointer 3 is overlapped with humerus axis 62;Then device is placed on sufferer limbs, makes to join
It examines line 2 and is directed at ectocondyle line 61 in humerus, bone on condyle of humerus is judged by the position of the first pointer 1 of observation and the second pointer 3
Roll over reset case.The angle α of the oblique line 63 of ectocondyle line 61 and lateral malleolus epiphyseal plate is " angle Bao Man ", ectocondyle in humerus in humerus
The angle of the oblique line 63 of line 61 and lateral malleolus epiphyseal plate is β, in humerus between ectocondyle line 61 and humerus axis 62 outside humerus
It is γ that side, which is formed by angle, can be found out accurately according to principle alpha+beta=γ that the sum of two interior angles of triangle are equal to an exterior angle
" angle Bao Man " α.
In embodiment, as shown in Fig. 2,3 and Fig. 5, the second disk body 5 is equipped with first for 1 reading angular value of the first pointer
Angle index 11, the first disk body 4 are equipped with the second angle index 31 for 3 reading angular value of the second pointer, the first angle index 11 and the
Two angle index 31 are metal material.It, can be according to if the first pointer 1 and the second pointer 3 move in the process of moving
The instruction of one angle index 11 and the second angle index 31 sets back the first pointer 1 and the second pointer 3, in addition if without health
Limbs refer to, then are measured according to the prevalent value of " angle Bao Man " α, 64 °≤α≤81 °.
In embodiment, as shown in Figures 2 and 3, the first pointer 1, the second disk body 5 and the second pointer 3 are located at the first disk body 4
Same side, as shown in figure 4, reference line 2 is located at the another side of the first disk body 4.
In embodiment, as shown in Fig. 1,2 and Fig. 6,4 primary and secondary fastening lid of the first disk body has third disk body 7,1 He of the first pointer
Second pointer 3 accidentally touches the first pointer 1 and the second pointer 3 between the first disk body 4 and third disk body 7, to be avoided that.
In embodiment, as shown in Fig. 1,2 and Fig. 6, the edge of the first disk body 4 or third disk body 7 is equipped with for being fixed on
Elastic band 8 on arm, elastic band 8 can translate into the side of the first disk body 4, can also translate into the side of third disk body 7, such energy
Humerus for right-hand man measures.
In embodiment, elastic band 8 is set to the edge of third disk body 7.
In embodiment, as shown in fig. 6, the first disk body 4 and third disk body 7 are respectively equipped with the silicagel pad to match with elbow joint
9, silicagel pad 9 can anti-locking apparatus rotated on elbow joint.
The application method of the present apparatus:
The first step, by present apparatus band healthy limb elbow joint, make reference line 2 be aligned humerus in ectocondyle line 61, first
Pointer 1 is parallel or coincides with the oblique line 63 of lateral malleolus epiphyseal plate, and the second pointer 3 is overlapped with humerus axis 62, writes down β and γ respectively
Angle value, the value of " angle Bao Man " α can be found out.
Device is placed on sufferer limbs by second step, so that reference line 2 is directed at ectocondyle line 61 in humerus, in scenograph
Under the observation of device, the first pointer 1 coincides with to the oblique line 63 of lateral malleolus epiphyseal plate, whether are the second pointer of observation 3 and humerus axis 62
It is overlapped.
Third step adjusts bone 10 on the condyle of humerus of sufferer limbs, until the second pointer 3 is overlapped with humerus axis 62.
Highly preferred embodiment of the present invention has illustrated, and the various change or remodeling made by those of ordinary skill in the art are not
It can depart from the scope of the present invention.
Claims (7)
1. percutaneous children's supracondylar fracture resets measuring device, the first disk body (4) including being set to elbow joint, it is characterized in that: described
The first disk body (4) be equipped with the reference line (2) to coincide with the projection of ectocondyle line (61) in humerus;First disk body
(4) it is additionally provided on the second pointer (3), and along the second disk body (5) for sliding of length direction of reference line (2), described the
Two disk bodies (5) are equipped with the first pointer (1), and first disk body (4) is additionally provided with the first pointer (1) and the second pointer (3), institute
The projection of the rotation axis of the first pointer (1) and the second pointer (3) stated is overlapped with the reference line (2);Described first refers to
Needle (1), the second pointer (3) and reference line (2) are metal material.
2. percutaneous children's supracondylar fracture according to claim 1 resets measuring device, it is characterized in that: second disk body
(5) it is equipped with the first angle index (11) for the first pointer (1) reading angular value, first disk body (4) is equipped with for the
Second angle index (31) of two pointers (3) reading angular value, first angle index (11) and second angle index
It (31) is metal material.
3. percutaneous children's supracondylar fracture according to claim 2 resets measuring device, it is characterized in that: first pointer
(1), the second disk body (5) and the second pointer (3) are located at the same side of the first disk body (4), and the reference line (2) is located at first
The another side of disk body (4).
4. percutaneous children's supracondylar fracture according to claim 3 resets measuring device, it is characterized in that: first disk body
(4) primary and secondary fastening lid has third disk body (7), and first pointer (1) and the second pointer (3) are located at the first disk body (4) and institute
Between the third disk body (7) stated.
5. percutaneous children's supracondylar fracture according to claim 4 resets measuring device, it is characterized in that: first disk body
(4) or the edge of the third disk body (7) is equipped with the elastic band (8) for being fixed on arm.
6. percutaneous children's supracondylar fracture according to claim 5 resets measuring device, it is characterized in that: the elastic band
(8) it is set to the edge of the third disk body (7).
7. percutaneous children's supracondylar fracture according to claim 6 resets measuring device, it is characterized in that: first disk body
(4) and the third disk body (7) is respectively equipped with the silicagel pad (9) to match with the elbow joint.
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