CN110477996A - It is a kind of improve distal femur osteotomy accuracy marrow in locating rod - Google Patents

It is a kind of improve distal femur osteotomy accuracy marrow in locating rod Download PDF

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Publication number
CN110477996A
CN110477996A CN201910811669.1A CN201910811669A CN110477996A CN 110477996 A CN110477996 A CN 110477996A CN 201910811669 A CN201910811669 A CN 201910811669A CN 110477996 A CN110477996 A CN 110477996A
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CN
China
Prior art keywords
bar
straight
locating
rod
distal femur
Prior art date
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.)
Pending
Application number
CN201910811669.1A
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Chinese (zh)
Inventor
徐石庄
刘磊
赵凤朝
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Xuzhou Medical University
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Xuzhou Medical University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Xuzhou Medical University filed Critical Xuzhou Medical University
Priority to CN201910811669.1A priority Critical patent/CN110477996A/en
Publication of CN110477996A publication Critical patent/CN110477996A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • 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
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74Devices for the head or neck or trochanter of the femur

Abstract

The present invention relates to the clinical operation technical field of knee prosthesis distal femur osteotomy, locating rod in specifically a kind of marrow for improving distal femur osteotomy accuracy, including handle, straight-bar and positioning head;One end of the straight-bar is fixedly connected with the lower part of handle, and the other end of straight-bar is provided with positioning head;The inside of the straight-bar offers sliding slot, the inner rotation of sliding slot is equipped with screw rod, and screw rod lower thread is connected with swivel nut, and the opening of straight-bar is symmetrically arranged with several locating plates, straight-bar is fixedly installed with hinged seat between two locating plates, and locating plate is hingedly mounted on hinged seat;The inside of the locating plate is hingedly equipped with connecting rod, and the other end of connecting rod and the bottom of swivel nut are hinged.The present invention controls locating rod end by increasing turntable in handle end, end is set freely to be divided into 4 parts of inside and outside front and back, to adjust position of the locating rod in femoral bone cavitas medullaris, ensure that locating rod can accurately and effectively be fixed on femoral bone cavitas medullaris center, to increase the accuracy of distal femur osteotomy, the postoperative satisfaction of patient is improved.

Description

It is a kind of improve distal femur osteotomy accuracy marrow in locating rod
Technical field
The present invention relates to the clinical operation technical field of knee prosthesis distal femur osteotomy, specifically a kind of raising femur Locating rod in the marrow of osteotomy of distal accuracy.
Background technique
The coronal-plane line of force is always the hot spot in total knee replacement, and coronal-plane is neutral after Yao Shixian total knee arthroplasty The position line of force, the mechanical axis osteotomy of femur and shin bone should be respectively perpendicular in art when row distal femur, proximal tibia osteotomy.Shin bone machine Tool axis and anatomical axis overlapping can by position realization outside marrow, and femur mechanical axis be it is virtual, Yao Shixian is perpendicular to femur machine The osteotomy of tool axis can pass through positioning system, computer assisted navigation in positioning system outside marrow, marrow in total knee arthroplasty The technologies such as technology, individual patient osteotomy guide plate based on CT/MRI.But since inconvenient for operation, learning curve is long, expense Height, time are long, increase the problems such as patient radiates, and majority doctors select the interior positioning of distal femur marrows to realize in clinic at present Distal femur osteotomy.
Positioning osteotomy system will realize accurate distal femur osteotomy in distal femur marrow, need by locating rod in marrow with Femur anatomical axis is precisely coincident, and the diameter of locating rod is mostly 8mm in the marrow of clinical application at present, length 20cm, 30cm, Tri- kinds of specifications of 40cm, but researches show that the femoral bone cavitas medullaris length average out to 33cm of Chinese, the most narrow hats of femoral bone cavitas medullaris by Yan Hongwei etc. Shape face diameter is 1.1cm, and sagittal plane diameter is 1.2cm, this result in femur marrow locating rod exist in art it is in partially or partially outer, Partial is placed, bad so as to cause distal femur osteotomy, is caused the femoral prosthesis line of force bad, is needed and outer soft tissue It loosens, the postoperative dissatisfaction of patient is caused to increase.And as the depth that locating rod enters increases the postoperative negative blood loss meeting of patient Increase, the probability of fat embolism disease will increase.
Locating rod is first before posterior cruciate ligament of knee starting point in the condyle of femur inter-drain of 7-10mm in current distal femur marrow Enter pulp cavity 5-7cm with 5/16 inch drill bit on line, locating rod in marrow is then inserted into femur isthmus, it is default then to remove marrow The handle of position bar, reapposes in im rod and pulp cavity, mounting and positioning device on bar is set in marrow.
Positioning osteotomy is by preoperative measurement mechanical axis and to dissect axle clamp angle in distal femur marrow, passes through positioning in marrow in art Bar is come what is determined, and since the anatomic form of femoral bone cavitas medullaris has differences, there are position inaccurates for existing locating rod, therefore, For the above status, there is an urgent need to develop locating rods in a kind of marrow for improving distal femur osteotomy accuracy, to overcome current reality Deficiency in the application of border.
Summary of the invention
It is above-mentioned to solve the purpose of the present invention is to provide locating rod in a kind of marrow for improving distal femur osteotomy accuracy The problem of being proposed in background technique.
To achieve the above object, the invention provides the following technical scheme:
Locating rod in a kind of marrow improving distal femur osteotomy accuracy, including handle, straight-bar and positioning head;The one of the straight-bar End is fixedly connected with the lower part of handle, and the other end of straight-bar is provided with positioning head;The inside of the straight-bar lower ending opening, straight-bar is perpendicular Sliding slot is directly offered, the inner rotation of sliding slot is equipped with screw rod, and screw rod lower thread is connected with swivel nut, and swivel nut and sliding slot sliding connect It connects;The opening of the straight-bar is symmetrically arranged with several locating plates, and straight-bar, which is located between two locating plates, to be fixedly installed with hingedly Seat, locating plate are hingedly mounted on hinged seat;The inside of the locating plate is hingedly equipped with connecting rod, the other end of connecting rod with The bottom of swivel nut is hinged, and pushes locating plate to swing out by connecting rod when swivel nut slide downward, and each locating plate is unfolded At petal-shaped.
As a further solution of the present invention: the locating plate is symmetrically arranged with four.
As a further solution of the present invention: the inner rotation of the handle is equipped with turntable, and the upper end of the screw rod is passed through It wears straight-bar and handle and is fixedly connected with turntable.
As a further solution of the present invention: the length of the straight-bar is 15cm, and the diameter of straight-bar is not more than 8mm.
As a further solution of the present invention: the length of the locating plate and connecting rod is respectively less than 1cm.
Compared with prior art, the beneficial effects of the present invention are: the present invention is by increasing turntable control positioning in handle end Bar end allows end to be freely divided into 4 parts of inside and outside front and back, to adjust position of the locating rod in femoral bone cavitas medullaris, it is ensured that Locating rod can be accurately and effectively fixed on inside femur, increase the postoperative satisfaction of patient.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of locating rod in the marrow for improve distal femur osteotomy accuracy.
Fig. 2 is the cross-sectional view of locating rod in the marrow for improve distal femur osteotomy accuracy.
Fig. 3 is the bottom view of positioning head in locating rod in the marrow for improve distal femur osteotomy accuracy.
In figure: 1- handle, 2- turntable, 3- straight-bar, 4- positioning head, 5- sliding slot, 6- screw rod, 7- swivel nut, 8- locating plate, 9- hinge Joint chair, 10- connecting rod.
Specific embodiment
The technical solution of the patent is explained in further detail With reference to embodiment.
The embodiment of this patent is described below in detail, examples of the embodiments are shown in the accompanying drawings, wherein from beginning to end Same or similar label indicates same or similar element or element with the same or similar functions.Below with reference to attached The embodiment of figure description is exemplary, and is only used for explaining this patent, and cannot be understood as a limitation of this patent.
In the description of this patent, it is to be understood that term " center ", "upper", "lower", "front", "rear", " left side ", The orientation or positional relationship of the instructions such as " right side ", "vertical", "horizontal", "top", "bottom", "inner", "outside" is based on the figure Orientation or positional relationship, be merely for convenience of description this patent and simplify description, rather than the device of indication or suggestion meaning or Element must have a particular orientation, be constructed and operated in a specific orientation, therefore should not be understood as the limitation to this patent.
In the description of this patent, it should be noted that unless otherwise clearly defined and limited, term " installation ", " phase Even ", " connection ", " setting " shall be understood in a broad sense, for example, it may be being fixedly linked, being arranged, may be a detachable connection, set It sets, or is integrally connected, is arranged.For the ordinary skill in the art, above-mentioned art can be understood as the case may be The concrete meaning of language in this patent.
Please refer to Fig. 1~3, in the embodiment of the present invention, locating rod in a kind of marrow improving distal femur osteotomy accuracy, packet Include handle 1, straight-bar 3 and positioning head 4;One end of the straight-bar 3 is fixedly connected with the lower part of handle 1, the other end setting of straight-bar 3 There is positioning head 4, by locating rod insertion pulp cavity to femur isthmus, straight-bar 3 is positioned by positioning head 4;
3 lower ending opening of straight-bar, the inner vertical of straight-bar 3 offer sliding slot 5, and the inner rotation of sliding slot 5 is equipped with screw rod 6, 6 lower thread of screw rod is connected with swivel nut 7, and swivel nut 7 is slidably connected with sliding slot 5, by the rotation band movable snail sleeve 7 of screw rod 6 in sliding slot 5 Inside slide up and down, sliding slot 5 is stretched out when swivel nut 7 slides down to distalmost end;If the opening of the straight-bar 3 is symmetrically arranged with Dry locating plate 8, straight-bar 3 are fixedly installed with hinged seat 9 between two locating plates 8, and locating plate 8 is hingedly mounted on hinged seat 9 On, and can swing back and forth on hinged seat 9;The inside of the locating plate 8 is hingedly equipped with connecting rod 10, connecting rod 10 it is another End is hinged with the bottom of swivel nut 7, pushes locating plate 8 to swing out by connecting rod 10 when 7 slide downward of swivel nut, to make respectively A locating plate 8 is launched into petal-shaped, is accurately located straight-bar 3 and is mounted on inside pulp cavity;
Specifically, the locating plate 8 is symmetrically arranged with four in the present embodiment;
The inner rotation of the handle 1 is equipped with turntable 2, and the upper end of the screw rod 6 is through straight-bar 3 and handle 1 and solid with turntable 2 Fixed connection drives straight-bar 3 to rotate, to moving up and down for swivel nut 7 be adjusted, thus to locating plate 8 by rotary turnplate 2 Position be adjusted;
In order to ensure straight-bar 3 is inserted into femur, the length of the straight-bar 3 is 15cm, and the diameter of straight-bar 3 is not more than 8mm, simultaneously Guarantee that the length of locating plate 8 and connecting rod 10 is respectively less than 1cm.
The present invention controls locating rod end by increasing turntable in handle end, and end is allow freely to be divided into inside and outside front and back 4 Part, to adjust position of the locating rod in femoral bone cavitas medullaris, it is ensured that locating rod can be accurately and effectively fixed on inside femur, Increase the postoperative satisfaction of patient.
The above are merely the preferred embodiment of the present invention, it is noted that for those skilled in the art, not Under the premise of being detached from present inventive concept, several modifications and improvements can also be made, these also should be considered as protection model of the invention It encloses, these all will not influence the effect and patent practicability that the present invention is implemented.

Claims (5)

1. locating rod in the marrow of distal femur osteotomy accuracy in a kind of raising total knee replacement, including handle (1), straight-bar (3) and positioning head (4), which is characterized in that one end of the straight-bar (3) is fixedly connected with the lower part of handle (1), straight-bar (3) The other end is provided with positioning head (4);Straight-bar (3) lower ending opening, the inner vertical of straight-bar (3) offer sliding slot (5), sliding slot (5) inner rotation is equipped with screw rod (6), and screw rod (6) lower thread is connected with swivel nut (7), and swivel nut (7) and sliding slot (5) are slided Connection;The opening of the straight-bar (3) is symmetrically arranged with several locating plates (8), and straight-bar (3) is located between two locating plates (8) It is fixedly installed with hinged seat (9), locating plate (8) is hingedly mounted on hinged seat (9);Hingedly pacify the inside of the locating plate (8) Equipped with connecting rod (10), the bottom of the other end and swivel nut (7) of connecting rod (10) is hinged, and when swivel nut (7) slide downward passes through Connecting rod (10) pushes locating plate (8) to swing out, and each locating plate (8) is made to be launched into petal-shaped.
2. locating rod in the marrow according to claim 1 for improving distal femur osteotomy accuracy, which is characterized in that described fixed Bit slice (8) is symmetrically arranged with four.
3. locating rod in the marrow according to claim 1 for improving distal femur osteotomy accuracy, which is characterized in that described The inner rotation of hand (1) is equipped with turntable (2), the upper end of the screw rod (6) through straight-bar (3) and handle (1) and with turntable (2) It is fixedly connected.
4. locating rod in the marrow according to claim 1 to 3 for improving distal femur osteotomy accuracy, which is characterized in that The length of the straight-bar (3) is 15cm, and the diameter of straight-bar (3) is not more than 8mm.
5. locating rod in the marrow according to claim 4 for improving distal femur osteotomy accuracy, which is characterized in that described fixed The length of bit slice (8) and connecting rod (10) is respectively less than 1cm.
CN201910811669.1A 2019-08-30 2019-08-30 It is a kind of improve distal femur osteotomy accuracy marrow in locating rod Pending CN110477996A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910811669.1A CN110477996A (en) 2019-08-30 2019-08-30 It is a kind of improve distal femur osteotomy accuracy marrow in locating rod

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910811669.1A CN110477996A (en) 2019-08-30 2019-08-30 It is a kind of improve distal femur osteotomy accuracy marrow in locating rod

Publications (1)

Publication Number Publication Date
CN110477996A true CN110477996A (en) 2019-11-22

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4236512A (en) * 1978-02-12 1980-12-02 Jacob Aginsky Connector for fractured bones
CN101801286A (en) * 2007-09-21 2010-08-11 德普伊国际有限公司 Intramedullary rod instrument
CN203506854U (en) * 2013-08-28 2014-04-02 李子剑 Line of force alignment assist device for external positioning of tibia marrow
CN107981835A (en) * 2018-01-16 2018-05-04 李霞 A kind of gynemetrics's vaginal dilation device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4236512A (en) * 1978-02-12 1980-12-02 Jacob Aginsky Connector for fractured bones
CN101801286A (en) * 2007-09-21 2010-08-11 德普伊国际有限公司 Intramedullary rod instrument
CN203506854U (en) * 2013-08-28 2014-04-02 李子剑 Line of force alignment assist device for external positioning of tibia marrow
CN107981835A (en) * 2018-01-16 2018-05-04 李霞 A kind of gynemetrics's vaginal dilation device

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Application publication date: 20191122

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