CN112022479A - Integrated fixing method for humerus surgical neck splint - Google Patents
Integrated fixing method for humerus surgical neck splint Download PDFInfo
- Publication number
- CN112022479A CN112022479A CN202011045332.3A CN202011045332A CN112022479A CN 112022479 A CN112022479 A CN 112022479A CN 202011045332 A CN202011045332 A CN 202011045332A CN 112022479 A CN112022479 A CN 112022479A
- Authority
- CN
- China
- Prior art keywords
- splint
- surgical neck
- humerus
- humerus surgical
- fixing
- 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.)
- Granted
Links
- 210000002758 humerus Anatomy 0.000 title claims abstract description 64
- 238000000034 method Methods 0.000 title claims abstract description 23
- 210000000323 shoulder joint Anatomy 0.000 claims abstract description 15
- 238000004804 winding Methods 0.000 claims abstract description 10
- 230000003014 reinforcing effect Effects 0.000 claims abstract 2
- 230000008859 change Effects 0.000 claims description 4
- 208000010392 Bone Fractures Diseases 0.000 abstract description 14
- 239000003814 drug Substances 0.000 abstract description 2
- 208000027418 Wounds and injury Diseases 0.000 description 12
- 206010017076 Fracture Diseases 0.000 description 11
- 206010040007 Sense of oppression Diseases 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 239000002390 adhesive tape Substances 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 210000000784 arm bone Anatomy 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000008092 positive effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
- A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
- A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
- A61F5/058—Splints
- A61F5/05841—Splints for the limbs
- A61F5/05858—Splints for the limbs for the arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
- A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
- A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
- A61F5/058—Splints
- A61F5/05825—Strips of substantially planar form
Landscapes
- Health & Medical Sciences (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Surgical Instruments (AREA)
Abstract
The invention belongs to the field of traditional Chinese medicine bone fracture clinical treatment, and particularly discloses an integrated fixing method of a humerus surgical neck splint, which comprises the following steps: firstly, tying a string at the upper end of an outer side splint of a humerus surgical neck, winding 2 strings outside the four humerus surgical neck splints in a crossed manner from top to bottom, tightening the strings at the intersection of the inner side splint and the outer side splint, changing the direction after crossing 180 degrees or 360 degrees, fixing the humerus surgical neck splint in a zigzag manner from top to bottom in a reciprocating manner for 2-3 times, tightening the strings at the lower end of the humerus surgical neck splint, tying and fixing, and integrally fixing the humerus surgical neck splint; and secondly, spirally lifting the medical bandage clockwise or anticlockwise from the far end of the humerus surgical neck splint to wind the humerus surgical neck splint, and winding, reinforcing and fixing the humerus surgical neck splint around the shoulder joint. The fixing method can quickly and effectively fix the humerus surgical neck splint, and reduces the complexity, the binding feeling and the oppressive feeling of the fixing of the original sectional fixing method.
Description
Technical Field
The invention belongs to the field of traditional Chinese medicine bone fracture clinical treatment, and particularly relates to an integrated fixing method of a humerus surgical neck splint.
Background
Humerus surgery neck fracture is a frequently-occurring and common disease of old aged patients with bone fracture, and as the old aged patients have more basic diseases, high operation risk and more operation complications, and the patients have low requirements for functional recovery, conservative treatment is often adopted, and a sectional type fixing method is necessary to be adopted for the patients with traditional humerus surgery neck fracture conservative treatment as follows: the method comprises the steps of placing four humerus surgical neck splints on the outer side of a shoulder joint of an affected side, arranging 3 sleeve fasteners at the front side, the outer side and the upper end of a back splint of the humerus surgical neck, sequentially penetrating medical bandages through the sleeve fasteners, tightening and knotting the bandages, enabling one end of the knotted bandage to obliquely pass through the armpit and then to be tightened and knotted with the other end of the bandage, enabling the three splints to extrude and fix the shoulder joint from the front side, the outer side and the back side of the shoulder joint respectively, further taking 3 sections of thin ropes to pass through the inner side of an upper arm to be located at the upper end, the middle section and the lower end of the inner humerus splint, and fixing the four (inner side, front side, outer side and back side) splints of the humerus surgical neck at the proximal humerus end, the middle section. The common segmented fixing method of the humerus surgical neck splint is complex in fixing, a patient has constraint and oppression feeling, and the periphery of an affected shoulder joint cannot be effectively fixed.
Disclosure of Invention
Aiming at the problems in the prior art, the invention provides an integrated fixing method of a humerus surgical neck splint, which is used for reducing the complexity, constraint and oppression of the original sectional fixing method and effectively fixing the periphery of a shoulder joint of humerus surgical neck fracture.
To achieve the above object, the present invention is realized by:
(1) the thin rope is wound on the upper end of the outer side splint of the humerus surgical neck, and is knotted outside the upper part of the outer side splint,
(2) the knotted string presses the near ends of the humerus surgical neck anterior and posterior splints from the upper part of the shoulder joint to the inner part from the front to the back, the further string obliquely below crosses at the armpit, presses the upper part of the inner splint, and the string is tightened and wound in a crossed way for 180 degrees or 360 degrees to change the direction;
(3) the front and the rear side splints are pressed by the two strings of strings from the front and the rear sides of the upper arm in the obliquely outward lower direction, and the strings are crossed for 180 degrees and reversed again outside the outer side splint of the upper arm,
(4) the further crossed strings are obliquely inward and downward again, are wound through the front side splint and the rear side splint in tandem, the two strings of strings are intersected with the inner side splint and are crossed and wound for 180 degrees again after changing the direction,
(5) the thin rope after further direction changing is wound through the front side splint and the rear side splint, the reciprocating zigzag shape is wound and fixed on the humerus surgical neck splint for 2-3 times, the far end of the humerus surgical neck splint is wound for a circle, the thin rope is tightened at the far end of the humerus surgical neck splint, and the outer side splint is knotted to integrally fix the humerus surgical neck splint;
(6) preferably, the medical bandage is spirally lifted clockwise or anticlockwise from the far end of the humerus surgical neck splint to be wound on the humerus surgical neck splint, the bandage which is positioned at the affected side armpit at the near end of the humerus surgical neck splint can be wound and fixed on the shoulder joint in the front or back direction,
(7) furthermore, the upper end of the humerus surgical neck splint can be wound, reinforced and fixed in a imbricate manner around the shoulder joint, and the shoulder joint is repeatedly wound for a plurality of times in such a way to fix the proximal end of the humerus surgical neck splint; the end of the bandage is fixed by adhesive tape to prevent falling off.
The invention has the advantages and positive effects that:
1. the two strings of strings intersect at the inner side or the outer side splint every time, the directions are crossed and changed, and the strings are drawn and wound obliquely downwards, so that the displacement and the slippage of the intersection point are prevented.
2. The fixed upper arm bone surgery neck splint of fine rope from last to integration down, fixed stability, wholeness and the validity of splint can be reflected more than the sectional type is fixed.
3. The humerus surgical neck fracture is fixed in a clamp type surrounding mode, the fracture end of the humerus surgical neck fracture is protected, and an environment which enables fracture healing to be relatively static is provided.
4. The bandage is spirally wound from bottom to top to fix the splint, and plays a role in assisting in fixing the humerus surgical neck splint.
5. Compared with the traditional sectional type fixation, the fixing device can simplify the process, is more effective for fixing the humerus surgical neck fracture, and has less constraint and oppression compared with the traditional fixing method. Compared with the traditional sectional fixing method, the fixing is firm, simple and convenient.
Drawings
Fig. 1 is an overall embodiment implementation view of an integrated fixation method of a humeral surgical neck splint provided by an embodiment of the present invention.
Fig. 2 is a medial view of fig. 1 illustrating an integrated fixation method of a humeral surgical neck splint according to an embodiment of the present invention.
FIG. 3 is a partial enlarged view of FIG. 1
In the figure: 1. a string; 2. humerus surgical anterior cervical splint; 3. humeral surgical neck lateral splints; 4. humeral surgical neck posterior splints; 5. humeral surgical neck medial splints; 6. 2 strands of thin ropes are arranged at the intersection points a, b and c of the outer splint; 7. 2 strands of string are at the intersection points e, f of the outside splints.
Detailed Description
To further understand the contents, features and effects of the present invention, the following embodiments are illustrated and described in detail with reference to fig. 1 to 3.
The following detailed description of specific embodiments of the invention is provided in connection with the accompanying drawings.
As a preferred embodiment of the present invention,
(1) the string is wound around the upper end of the outer splint 3 for the surgical neck of the humerus, and a is knotted outside the upper end of the outer splint 3, and the knotting has three actions: firstly, the thin rope is convenient to wind on the outer surface of the splint; secondly, the knot is tied at the upper end, and the aim is that the method is to fix the fracture from the fracture end of the humerus surgical neck to the fracture far end from top to bottom; thirdly, the string can be prevented from slipping and being fixed and losing efficacy in the process of pulling the string downwards and inwards after knotting.
(2) The knotted string can be used for pressing the near ends of the humerus surgical neck front and back side splints 4 respectively in a front-back oblique downward mode, the string can be used for fixing the upper end of the humerus surgical neck splint in an annular mode in a front-back mode, the inner side splint 5 is shorter than the outer side splint 3, the string in the oblique downward mode is crossed at an armpit position to form an e shape, the upper end of the inner side splint 5 is pressed, the cross winding is conducted for 180 degrees or 360 degrees, the cross point e can serve as a force point and acts on the outer side of the upper end of the inner side splint 5, the string is in an oval shape to fix the near end of the humerus surgical neck splint in a clamping and encircling mode, the cross point e on the inner side has the tendency of upward sliding and shifting, in order to prevent the cross point e from sliding off and losing efficacy, the two strings which are crossed at the upper end of the inner side splint 5,
(3) the thin ropes press the front and rear side clamping plates 4 from the front and rear sides, and the thin ropes are crossed by 180 degrees outside the outer side clamping plate 3 to change the directions, so that the situation that the fixing fails due to shifting slipping can be prevented by changing the thin ropes locked in the opposite directions;
(4) further, the thin rope b which is intersected with the outer splint 3 is obliquely inward and downward again, and is wound through the front splint 2 and the rear splint 4 in tandem, the intersection f of the two thin ropes is wound on the inner splint 5 again, and after the direction is changed by crossing and winding 180 degrees again,
(5) the thin rope is further wound through the front side clamping plate 2 and the rear side clamping plate 4, the intersection of the thin ropes is changed in direction and inclines downwards each time, so that the fixation is firmer, and the thin ropes are prevented from slipping and failing to be fixed; after the reciprocating zigzag winding is fixed on the humerus surgical neck splint for 2-3 times, and after the far end of the splint is wound for a circle, a thin rope is tightened on the far end of the humerus surgical neck splint, and a knot is tied at the outer splint 3 to integrally fix the humerus surgical neck splint;
(6) in order to make the fixation more reliable and more beautiful, a medical bandage is further taken to spirally lift and wind the humerus surgical neck splint clockwise or anticlockwise from the far end of the humerus surgical neck splint, the bandage which is positioned at the proximal end of the humerus surgical neck splint and has an armpit at the affected side can wind and fix a shoulder joint in the front or back direction, the upper end of the humerus surgical neck splint can be wound and reinforced and fixed in a imbricated shape around the shoulder joint, the shoulder joint is repeatedly wound for a plurality of times in such a way, so that the proximal end of the humerus surgical neck splint is quickly fixed, the proximal end of the humerus surgical neck splint is fixed, and the tail end of the bandage is fixed by using an adhesive tape to prevent falling off.
The fixing method can quickly and effectively fix the humerus surgical neck splint, and reduces the complexity, the binding feeling and the oppressive feeling of the fixing of the original sectional fixing method. Is worthy of being widely popularized in clinical orthopedics and traumatology.
The above description is only a preferred embodiment of the present invention, and is not intended to limit the present invention in any way, and all simple modifications, equivalent changes and modifications made to the above embodiment according to the technical spirit of the present invention are within the scope of the technical solution of the present invention.
Claims (2)
1. An integrated fixing method of a humerus surgical neck splint is characterized by comprising the following steps:
step one, winding the upper section end of the humerus surgical neck outer side splint (3) by a string, and knotting the outer side surface of the outer side splint (3);
one end of the string is wound forwards and downwards through the upper end of the front side clamping plate (2), the other end of the string is wound backwards and downwards through the upper end of the rear side clamping plate (4), the two strings of strings are crossed under the armpit and press the upper end of the inner side clamping plate (5), and the two strings of strings are tightened and then rotated for 180 degrees or 360 degrees to change directions;
step three, pressing the front side splint (2) or the rear side splint (4) by the two strings of thin ropes from the front side and the rear side of the upper arm to the lower side respectively, crossing the outer side splint (3) and rotating the thin ropes for 180 degrees;
the two strands of the strings with the changed directions are inclined to the inner side splint (5) in tandem again, rotate and cross for 180 degrees on the inner side splint, change directions and then wind through the front side splint (2) and the rear side splint (4);
after the herringbone-shaped humerus surgical neck splint is fixed for 2-3 times in the reciprocating winding mode, a circle of string is wound at the far end of the splint, and then the thin string is tightened, and the humerus surgical neck splint is integrally fixed by knotting at the outer splint (3);
and (VI) winding the medical bandage to assist in fixing the humerus surgical neck splint.
2. The integrated fixation method of a surgical humeral neck splint according to claim 1, wherein the fixation method of a medical bandage to the surgical humeral neck splint comprises the steps of:
taking a medical bandage, spirally lifting clockwise or anticlockwise from the far end of the humerus surgical neck splint, and winding and fixing the humerus surgical neck splint;
and (II) the bandage which is arranged at the affected side armpit at the near end of the humerus surgical neck splint can be used for carrying out imbricated winding, reinforcing and fixing on the upper end of the humerus surgical neck splint around the shoulder joint, and the shoulder joint is wound repeatedly for many times so as to quickly fix the near end of the humerus surgical neck splint.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011045332.3A CN112022479B (en) | 2020-09-29 | 2020-09-29 | Integrated fixing method for humerus surgical neck splint |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011045332.3A CN112022479B (en) | 2020-09-29 | 2020-09-29 | Integrated fixing method for humerus surgical neck splint |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN112022479A true CN112022479A (en) | 2020-12-04 |
| CN112022479B CN112022479B (en) | 2022-10-14 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011045332.3A Expired - Fee Related CN112022479B (en) | 2020-09-29 | 2020-09-29 | Integrated fixing method for humerus surgical neck splint |
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| CN (1) | CN112022479B (en) |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AT223317B (en) * | 1961-04-21 | 1962-09-10 | Josef Dr Jecel | Ready-to-use, padded splint to support and immobilize sick or broken limbs |
| SU1637791A1 (en) * | 1987-08-03 | 1991-03-30 | Иркутский Государственный Медицинский Институт | Transportation splint for shoulder immobilization |
| CN201012143Y (en) * | 2007-02-10 | 2008-01-30 | 张德胤 | Adjustable humerus surgical neck bone fracture plywood |
| DE102009060098A1 (en) * | 2009-12-21 | 2011-06-22 | Otto Bock HealthCare GmbH, 37115 | Rail for immobilizing a body part and method for adapting a rail to a body part |
| CN202173493U (en) * | 2011-06-02 | 2012-03-28 | 李卫国 | Fixing band for upper arm of shoulder |
| CN103190975A (en) * | 2013-04-25 | 2013-07-10 | 程灏 | Fracture fixation device |
| CN203291094U (en) * | 2013-04-25 | 2013-11-20 | 程灏 | Fracture fixing device |
| KR20140000615A (en) * | 2012-06-25 | 2014-01-03 | 우삼의료기 주식회사 | Synthetic splint |
| CN111227915A (en) * | 2020-01-14 | 2020-06-05 | 成都市新都区中医医院 | Auxiliary external fixation instrument for treating child supracondylar fracture of humerus by fixing through cross Kirschner wire |
-
2020
- 2020-09-29 CN CN202011045332.3A patent/CN112022479B/en not_active Expired - Fee Related
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AT223317B (en) * | 1961-04-21 | 1962-09-10 | Josef Dr Jecel | Ready-to-use, padded splint to support and immobilize sick or broken limbs |
| SU1637791A1 (en) * | 1987-08-03 | 1991-03-30 | Иркутский Государственный Медицинский Институт | Transportation splint for shoulder immobilization |
| CN201012143Y (en) * | 2007-02-10 | 2008-01-30 | 张德胤 | Adjustable humerus surgical neck bone fracture plywood |
| DE102009060098A1 (en) * | 2009-12-21 | 2011-06-22 | Otto Bock HealthCare GmbH, 37115 | Rail for immobilizing a body part and method for adapting a rail to a body part |
| CN202173493U (en) * | 2011-06-02 | 2012-03-28 | 李卫国 | Fixing band for upper arm of shoulder |
| KR20140000615A (en) * | 2012-06-25 | 2014-01-03 | 우삼의료기 주식회사 | Synthetic splint |
| CN103190975A (en) * | 2013-04-25 | 2013-07-10 | 程灏 | Fracture fixation device |
| CN203291094U (en) * | 2013-04-25 | 2013-11-20 | 程灏 | Fracture fixing device |
| CN111227915A (en) * | 2020-01-14 | 2020-06-05 | 成都市新都区中医医院 | Auxiliary external fixation instrument for treating child supracondylar fracture of humerus by fixing through cross Kirschner wire |
Non-Patent Citations (1)
| Title |
|---|
| 王爱国: "夹板固定带的研究进展", 《中国骨伤》 * |
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| Publication number | Publication date |
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| CN112022479B (en) | 2022-10-14 |
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