CN112022473B

CN112022473B - Auxiliary fixing assembly for spine postoperative in orthopedic field

Info

Publication number: CN112022473B
Application number: CN202010946845.5A
Authority: CN
Inventors: 贾惊宇; 刘希娟; 何定文; 程细高; 吴添龙
Original assignee: Second Affiliated Hospital to Nanchang University
Current assignee: Second Affiliated Hospital to Nanchang University
Priority date: 2020-09-10
Filing date: 2020-09-10
Publication date: 2022-12-02
Anticipated expiration: 2040-09-10
Also published as: CN112022473A

Abstract

The invention discloses a fixing component for assisting spinal column postoperation in the field of orthopedics. The fixing assembly comprises a scapula clamp and a back clamp; the scapular clamp comprises a left scapular clamp and a right scapular clamp; the left scapular clamp is clamped on the left shoulder and the left back of the patient; the right scapular clamp is clamped on the right shoulder and the right back of the patient; the left scapular clamp and the right scapular clamp are connected with at least one fixed rod through the back of a patient; the fixed rod is provided with at least one fixed disk; the back clamp is mounted on the back of the patient and is connected with the fixed disc through a first tensioning piece. The fixing component disclosed by the invention can keep the patient in a correct posture which is beneficial to rehabilitation, and prevent the patient from bending inwards and bending to two sides.

Description

Auxiliary fixing assembly for spine postoperative in orthopedic field

Technical Field

The invention relates to the field of medical instruments, in particular to a fixing component for assisting spinal column postoperation in the field of orthopedics.

Background

The spine is a heavy skeleton of a human body, has the characteristics of uneven stress and large movement amplitude, and is a key part of hyperosteogeny. After operations such as vertebral reduction and scoliosis operations, patients generally need to be kept still due to the fact that relevant parts behind hands are fragile, namely, the spine needs to be ensured to be in a correct posture beneficial to recovery for a long time and cannot be bent inwards or towards two sides randomly until the spine is completely recovered.

In order to recover the body as soon as possible after the spinal surgery, a patient generally needs to lie on a reclining chair or a bed for a long time for rest, and the patient feels tired and is not favorable for blood circulation after lying for a long time; meanwhile, during the rest period, the patient usually does not take the actions of bending back and bending waist which are not beneficial to recovery for more comfort.

Disclosure of Invention

The embodiment of the invention at least discloses a fixing component for spinal column postoperative assistance in the field of orthopedics. Through reality fixed subassembly can make the disease keep in a correct posture that is favorable to recovered, prevents that the disease from bowing inwards and bowing to both sides's problem.

In order to achieve the above, the fixing assembly of the present embodiment includes a scapula clamp and a back clamp; the scapular clamp comprises a left scapular clamp and a right scapular clamp; the left scapula clamp is clamped on the left shoulder and the left back of a patient; the right scapular clamp is clamped on the right shoulder and the right back of the patient; the left scapular clamp and the right scapular clamp are connected with at least one fixed rod through the back of a patient; the fixed rod is provided with at least one fixed disk; the back clamp is mounted on the back of the patient and is connected to the fixed tray by a first tensioning member.

In some embodiments of the present disclosure, the left scapular clamp includes a left anterior rod and a left posterior rod hinged to each other; the left front rod and the left rear rod are kept clamped relatively through at least one left elastic piece; the right scapula clamp comprises a right front rod and a right rear rod which are hinged with each other; the right front rod and the right rear rod are kept clamped relatively through at least one right elastic piece; the fixed rod is installed between the left rear rod and the right rear rod.

In some embodiments of the present disclosure, the fixing rod is slidably connected to the left rear rod and the right rear rod, respectively.

In some embodiments disclosed in the present invention, the left rear rod is provided with a left sliding groove along the length direction; the right rear rod is provided with a right sliding chute along the length direction; the left end of the fixed rod is provided with a left sliding block which is in sliding fit with the left sliding groove, and the right end of the fixed rod is provided with a right sliding block which is in sliding fit with the right sliding groove; the left sliding chute and the left sliding block are locked through a left locking piece; the right sliding groove and the right sliding block are locked through a right locking piece. In some embodiments of the present disclosure, the fixing plate is slidably coupled with the fixing bar.

In some embodiments disclosed in the present invention, the fixing rod is provided with a transverse groove along the length direction; the fixed disc is provided with a transverse block which is in sliding fit with the transverse groove; the transverse block and the transverse groove are locked through a transverse locking piece.

In some embodiments of the present disclosure, the stationary disk comprises a rotating block; the rotating block is rotationally connected with the transverse block; the rotating block is connected with the back clamp through the first tensioning piece.

In some embodiments of the present disclosure, at least two of the back clamps are tensioned by a second tensioning member.

In some embodiments of the present disclosure, at least one of the back clamps is fixed with the left scapular clamp or the right scapular clamp by a third tensioning member.

In some embodiments of the present disclosure, the back clamp is vacuum-attached to the back of the patient.

In view of the foregoing, the present invention will also make apparent other features and advantages of the disclosed exemplary embodiments, from the following detailed description of the disclosed exemplary embodiments, with reference to the accompanying drawings.

Drawings

In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.

FIG. 1 is a structural view of a scapula clamp;

FIG. 2 is a structural view of another embodiment of the scapula clamp;

FIG. 3 is a partial detail view of the scapula clamp;

FIG. 4 is a part view of the fixing rod and the fixing plate;

FIG. 5 is a block diagram of a back clamp;

FIG. 6 is a block diagram of an embodiment of a fixing assembly;

FIG. 7 is a block diagram of another embodiment of a retaining assembly;

FIG. 8 is a diagram of a further embodiment of a mounting assembly;

the attached drawings are marked as follows:

100. a left scapula clamp; 110. a left front bar; 120. a left rear bar; 121. a left chute; 122. a first rod penetrating groove; 130. a connecting rod; 140. fixing the rod; 141. a first through hole; 142. a transverse slot; 210. a first compression screw; 220. a left slider; 221. a second through hole; 230. a first compression nut; 300. fixing the disc; 310. a third compression nut; 320. rotating the block; 330. a base plate; 340. a transverse block; 350. a third compression screw; 400. a back clamp; 410. bonding a sheet; 420. a vacuum adsorption pan; 430. a bump; 510. a left fixed slide block; 520. and a right fixed slide block.

Detailed Description

Reference will now be made in detail to the embodiments, examples of which are illustrated in the accompanying drawings. In the following detailed description, numerous specific details are set forth in order to provide a thorough understanding of various described embodiments. It will be apparent, however, to one skilled in the art that the various described embodiments may be practiced without these specific details. In other instances, well-known methods, procedures, components, circuits, and networks have not been described in detail as not to unnecessarily obscure aspects of the embodiments.

The terminology used in the description of the various described embodiments herein is for the purpose of describing particular embodiments only and is not intended to be limiting. As used in the description of the various embodiments and the appended claims, the singular forms "a," "an," and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will also be understood that the term "and/or" as used herein refers to and encompasses any and all possible combinations of one or more of the associated listed items. It will be further understood that the terms "comprises," "comprising," "includes," and/or "including," when used in this specification, specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof.

This embodiment discloses supplementary fixed subassembly of using of orthopedics field backbone postoperative. This fixed subassembly is exclusively used in and keeps the patient in the correct gesture that is favorable to the postoperative to recover at backbone postoperative, avoids the patient to appear habitual rickets, wrong gestures such as lateral curvature, improves the efficiency that the disease postoperative resumes. Specifically, the fixing assembly includes a scapula clamp and a plurality of back clamps 400. The scapular clamp is used for being worn and clamped on the back and the shoulder of a patient; the back clamps 400 are independently arranged on the back of the patient, and the elastic ropes are used for tensioning between the scapular clamp and the back clamps 400 and between two or more back clamps 400, so that the relative rest between the scapular clamp and the back clamps 400 and the relative rest between two or more back clamps 400 can be effectively kept, and the patient is kept in a correct posture which is favorable for self postoperative recovery by adjustment.

Referring to fig. 1, the scapular jig of the present embodiment includes a left scapular jig 100, a right scapular jig, a fixing rod 140 and a connecting rod 130.

Wherein, the left scapular clamp 100 and the right scapular clamp are both shear clamps. In this embodiment, the spine of the patient is used as a boundary, the left side of the spine is defined as the left shoulder, the left back and the left chest, and the right side of the spine is defined as the right shoulder, the right back and the right chest. The left scapula clamp 100 in this embodiment is clamped over the left thorax, the left shoulder, and the left back, and the right scapula clamp is clamped over the left thorax, the right shoulder, and the right back.

Specifically, the left scapular clamp 100 includes a left anterior rod 110 and a left posterior rod 120, the left anterior rod 110 is hinged to the left posterior rod 120, and a left elastic spring (not shown) for providing elastic return is connected between the left anterior rod 110 and the left posterior rod 120. The left front rod 110 and the left rear rod 120 can be maintained at a small relative angle in a state where the left elastic spring is not deformed.

When the left scapular clamp 100 is used, external force is applied to open the left front rod 110 and the left rear rod 120 relatively to rotate, and at the moment, the left elastic spring deforms to generate continuous elastic recovery; the left front rod 110 is placed on the left shoulder and the left chest of the patient, the rear front rod is placed on the left shoulder and the left back of the patient, the hinge part of the left front rod 110 and the left rear rod 120 is positioned right above the shoulder of the patient, and the left elastic spring is positioned between the hinge part of the left front rod 110 and the left rear rod 120 and the shoulder of the patient. After the applied external force is removed, under the elastic restoring action of the left elastic spring, the left front rod 110 and the left rear rod 120 can be clamped on the front chest and the back of the patient, so that the patient is forcedly kept in a relatively vertical trunk posture, and the inward and outward bending of the spine after the operation is prevented.

Meanwhile, the right scapular clamp and the left scapular clamp 100 of the present embodiment are designed to be symmetrical, such that the right front rod is disposed at the right chest of the patient, the right rear rod is disposed at the right back of the patient, the hinge portion of the right front rod and the right rear rod is disposed above the shoulder of the patient, and a right elastic spring is disposed between the hinge portion of the right front rod and the right rear rod and the shoulder of the patient.

Referring to fig. 2, for a patient suffering from rickets before operation, a plurality of fixing rods 140 are arranged between the right scapular clamp and the left scapular clamp 100 at intervals, so that the patient can be further effectively prevented from bowing. In the present embodiment, the fixing rods 140 can be adjusted to slide relative to the right and left scapular clamps 100.

The left rear rod 120 and the right rear rod of the present embodiment have symmetrical structures, and the matching manner of the left rear rod and the right rear rod is the same as that of the fixing rod 140; in this embodiment, only the structure of the left rear rod 120 and the matching manner with the fixing rod 140 are described in some embodiments disclosed in the present invention, and the related contents of the right rear rod will not be described again.

Referring to fig. 3, the left rear rod 120 is provided with a through left sliding slot 121 and a through first rod penetrating slot 122 along the length direction, the left sliding slot 121 faces perpendicular to the back of the patient, and the first rod penetrating slot 122 faces parallel to the back of the patient. The left end of the fixing rod 140 passes through the first perforated slot, and part of the fixing rod is exposed in the left sliding slot 121, a first through hole 141 is formed in the part of the fixing rod 140 exposed in the left sliding slot 121, a left sliding block 230 is placed in the left sliding slot 121 in a sliding manner, and a second through hole 221 is formed in the left sliding block 230. A first compression screw 210 sequentially passes through the first through hole 141 and the second through hole 221 and then is matched with a first compression nut 230, and the diameters of the first compression screw 210 and the first compression nut 230 are larger than that of the left sliding groove 121. The first compression screw 210 and the first compression nut 230 relatively lock the left rear bar 120 and the fixing bar 140. The fixing rod 140 can slide or lock with respect to the left rear rod 120 and the right rear rod, so that the fixing rod 140 can be fixed at different positions on the back of the patient, and the fixing assembly of the embodiment is suitable for patients with different diseases.

Referring to fig. 4, the fixing rod 140 of the present embodiment is provided with a through transverse slot 142 along the length direction. The transverse groove 142 is slidably connected with a fixed disc 300; specifically, the fixed plate 300 includes a transverse block 340 slidably fitted in the transverse groove 142, and a backing plate 330 and a rotating block 320 outside the transverse groove 142. A third compression screw 350 is connected to a third compression nut 310 through the rotation block 320, the backing plate 330 and the transverse block 340. The third compression screw 350 and the third compression nut 310 lock the fixed plate 300 relative to the fixed plate 140 when they are locked, and the rotation block 320 can lock relative to the transverse block 340 at this time; when the third compression screw 350 and the third compression nut 310 are relatively loosened, the fixed plate 300 is slid with respect to the fixed plate 140, and at this time, the rotating block 320 can be slid with respect to the transverse block 340.

Referring to fig. 5 and 6, in some embodiments of the present invention, the back jig 400 includes an adhesive sheet 410 and a bump 430 mounted on a front surface of the adhesive sheet 410. The back of the adhesive sheet 410 is coated with glue such as medical skin adhesive, so that the adhesive sheet 410 can be smoothly adhered to the skin of the patient, and meanwhile, the first elastic pull rope is tensioned between the protrusion 430 and the rotating block 320, so that the skin position of the fixed disc 300 and the skin position of the back clamp 400 can not be relatively displaced easily, and the patient can be further kept in a posture more beneficial to rehabilitation, for example, the center of the waist of the patient and the centers of the two shoulders can not be relatively displaced greatly.

The first elastic cord tensions the back clamp by wrapping and tightening one end of the first elastic cord around the tab 430. The first elastic cord is pulled tight against the rotation block 320 by winding and tightening one end of the first elastic cord around the rotation block 320.

Other features of the present embodiment that utilize an elastic pull cord may also be used, as may a wrap and tie connection. Of course, instead of the connection manner of winding and fastening, a clip for clipping may be provided on the rotating block 320 or the protrusion 430, which is not specifically limited in this embodiment.

In some embodiments of the present disclosure, the back jig 400 includes a vacuum chuck 420 that is turned over on the adhesive sheet 410 after the air in the vacuum chuck 420 is pumped or consumed, so that the vacuum chuck 420 and the adhesive sheet 410 are tightly connected together, and then the bump 430 is fixed on the vacuum chuck 420.

In some embodiments disclosed herein, the vacuum chuck 420 of the back clamp 400 can also be directly turned over on the patient's skin after the gas is extracted or consumed, also enabling the back clamp 400 to be tightly attached to the skin; and the inverted vacuum adsorption plate 420 can play a certain physical therapy effect, such as cupping of traditional Chinese medicine.

Of course, the direct suction of the vacuum suction pad 420 on the skin surface is not suitable for the case where the back jig 400 is fixed on the patient's skin for a long time, which may cause damage to the patient's skin. However, the method is very suitable for a treatment scene of wearing the fixing component in the embodiment in short-term rehabilitation training.

Referring to fig. 7, the fixing assembly of the present embodiment includes two back clamps 400 for closing the surgical incision. The two back clamps 400 are fixed on both sides of the operation wound (dotted line in the figure), and the back clamps 400 positioned on both sides of the operation wound are tightened by a second elastic string. The second elastic cord tensions the back clamp by wrapping and tightening one end of the second elastic cord around the tab 430.

The operation wound of the patient can be kept closed under the tightening of the second elastic pull rope to the two back clamps 400, so that the healing efficiency after the operation is improved, and the operation wound of the patient cannot be easily cracked in the daily activities.

Referring to fig. 8, in the present embodiment, a left fixed slider 510 is slidably engaged in the left sliding slot 121, and a right fixed slider 520 is slidably engaged in the right sliding slot. The left fixed slider 510 and the right sliding groove can be locked in the respective sliding grooves by bolts. Meanwhile, the fixing assembly of this embodiment includes a back clamp 400 tightened by a third elastic string with the left fixing block 510 and the right fixing block 520. After the back clamp 400 is fixed on the back of the patient, the back clamp 400 is pulled tightly by the third elastic pulling rope with the left fixing slider 510 or the right fixing slider 520, so that the left fixing slider 510 and the back clamp 400 or the right fixing slider 520 and the back clamp 400 are kept relatively still between the positions of the back of the patient, and the patient is further kept in a posture relatively beneficial to postoperative rehabilitation.

The present invention has been described in terms of the preferred embodiment, and it is not intended to be limited to the embodiment. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims

1. The fixing component is characterized by comprising a scapula clamp and at least four back clamps; the scapular clamp comprises a left scapular clamp and a right scapular clamp; the left scapular clamp is clamped on the left shoulder and the left back of the patient; the right scapula clamp is clamped on the right shoulder and the right back of the patient; the left scapular clamp and the right scapular clamp are connected with at least one fixed rod through the back of a patient; the fixed rod is provided with at least one fixed disk;

all the back clamps are divided into three groups and are respectively arranged on the back of a patient;

the back clamps of one group are connected with the fixed disc through a first tensioning piece, and at least two back clamps of the other group are tensioned through a second tensioning piece; at least one of the back clamps of the three groups is fixed with the left scapular clamp or the right scapular clamp through a third tensioning piece.

2. The orthopedic field spinal column postoperative auxiliary fixing assembly of claim 1, wherein the left scapular clamp comprises a left anterior rod and a left posterior rod hinged to each other; the left front rod and the left rear rod are kept clamped relatively through at least one left elastic piece; the right scapula clamp comprises a right front rod and a right rear rod which are hinged with each other; the right front rod and the right rear rod are kept clamped relatively through at least one right elastic piece; the fixed rod is installed between the left rear rod and the right rear rod.

3. The orthopedic field spinal column postoperative auxiliary fixing assembly of claim 2, wherein the fixing rod is slidably connected with the left rear rod and the right rear rod respectively.

4. The orthopedic field spinal column postoperative auxiliary fixing assembly of claim 3, wherein the left rear rod is provided with a left sliding groove along the length direction; the right rear rod is provided with a right sliding chute along the length direction; the left end of the fixed rod is provided with a left sliding block which is in sliding fit with the left sliding groove, and the right end of the fixed rod is provided with a right sliding block which is in sliding fit with the right sliding groove; the left sliding chute and the left sliding block are locked through a left locking piece; the right sliding groove and the right sliding block are locked through a right locking piece.

5. The orthopedic field spinal column postoperative auxiliary fixing assembly of claim 4, wherein the fixing rod is provided with a transverse groove along a length direction; the fixed disc is provided with a transverse block which is in sliding fit with the transverse groove; the transverse block and the transverse groove are locked through a transverse locking piece.

6. The orthopedic field spinal column postoperative auxiliary fixing assembly of claim 5, wherein the fixing plate comprises a rotating block; the rotating block is rotationally connected with the transverse block; the rotating block is connected with the back clamp through the first tensioning piece.

7. The orthopedic field spinal column postoperative aid fixing assembly of claim 1, wherein the back clamp is vacuum-sucked on the back of the patient.