CN112957117A - X-shaped restorer special for cervical vertebra dislocation - Google Patents

X-shaped restorer special for cervical vertebra dislocation Download PDF

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Publication number
CN112957117A
CN112957117A CN202110151380.9A CN202110151380A CN112957117A CN 112957117 A CN112957117 A CN 112957117A CN 202110151380 A CN202110151380 A CN 202110151380A CN 112957117 A CN112957117 A CN 112957117A
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CN
China
Prior art keywords
plier
sleeve
forceps
head
handle
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Granted
Application number
CN202110151380.9A
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Chinese (zh)
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CN112957117B (en
Inventor
王新家
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cancer Hospital of Shantou University Medical College
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Cancer Hospital of Shantou University Medical College
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Priority to CN202110151380.9A priority Critical patent/CN112957117B/en
Publication of CN112957117A publication Critical patent/CN112957117A/en
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Publication of CN112957117B publication Critical patent/CN112957117B/en
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    • 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
    • A61B17/885Tools for expanding or compacting bones or discs or cavities therein
    • 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
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators

Abstract

The invention discloses a special X-shaped restorer for cervical vertebra dislocation, which comprises a first plier body and a second plier body, wherein the first plier body comprises a first plier arm and a first plier handle, the first plier arm and the first plier handle are integrally formed, the second plier body comprises a second plier arm and a second plier handle, the second plier arm and the second plier handle are integrally formed, the head ends of the first plier handle and the second plier handle are hinged with a first plier head and a second plier head, a first sleeve and a second sleeve are movably arranged in the first plier head and the second plier head, the first sleeve and the second sleeve open two adjacent centrums, and the first sleeve and the second sleeve adjust the forward/backward bending and stretching of the dislocated centrum and push-pull resetting of the dislocated centrum. The invention has simple structure and convenient operation, and can adjust and control lateral deviation and proper rotation by expanding and buckling two adjacent centrums to reset the dislocated centrum, thereby effectively reducing the operation difficulty, shortening the operation time and improving the success rate of the operation.

Description

X-shaped restorer special for cervical vertebra dislocation
Technical Field
The invention relates to the technical field of medical instruments, in particular to a special X-shaped restorer for cervical vertebra dislocation.
Background
The trauma often causes dislocation of cervical vertebra and even the joint process interlocking. The caspar centrum struts ware system commonly used at present and struts the reduction, and this system is cervical vertebra way axial struts the apparatus, and the theory of operation does not conform to the reduction mechanism that cervical vertebra dislocation combines articular process interlocking, especially to unilateral articular process interlocking, can not accomplish bucking and lateral deviation, can't be accurate with the centrum push-and-pull around the dislocation reset, more can not correct the rotation, the success rate that resets of way operation before is low. Therefore, a surgical reduction instrument special for the injuries is not available at present.
Disclosure of Invention
The invention aims to provide the X-shaped restorer special for cervical vertebra dislocation, which has a simple structure and is convenient to operate, two adjacent vertebral bodies are expanded and bent to restore the dislocated vertebral bodies, the operation difficulty is effectively reduced, the operation time is shortened, and the success rate of the operation is improved.
In order to achieve the above scheme, an embodiment of the present invention provides a special X-type repositor for cervical vertebra dislocation, which includes a first forceps body and a second forceps body, where the first forceps body includes a first forceps arm and a first forceps handle, the first forceps arm and the first forceps handle are integrally formed, the second forceps body includes a second forceps arm and a second forceps handle, the second forceps arm and the second forceps handle are integrally formed, the first and second forceps handles are respectively hinged to a first forceps head and a second forceps head, the first and second forceps heads are respectively and movably provided with a first sleeve and a second sleeve, the first and second forceps heads are opened to open two adjacent vertebral bodies, and the first and second sleeves adjust forward/backward flexion and extension of a dislocated vertebral body and push-pull and reposition the dislocated vertebral body.
Preferably, a first through hole and a second through hole penetrating through two ends are formed in the first tong head and the second tong head, internal threads are formed in the first through hole and the second through hole, and external threads are formed on the peripheries of the first sleeve and the second sleeve and are respectively in threaded connection with the first through hole and the second through hole.
Preferably, the first and second sleeves extend outwards along the first and second through holes adjacent to one ends of the first and second clamp arms, and the ends of the first and second sleeves, which are not adjacent to the first and second clamp arms, are provided with sleeve holes.
Preferably, the first and second forceps heads and the first and second forceps arms form an included angle of 90 degrees.
Preferably, the first and second clamp arms are in a circular arc structure.
Preferably, a ratchet rack is arranged on the inner side surface of the second caliper body, a ratchet is arranged on the first caliper handle, and the ratchet is meshed with the ratchet rack so as to move or lock the ratchet on the ratchet rack.
The embodiment of the invention has the following beneficial effects:
the invention has simple structure and convenient operation, the dislocation vertebra and the adjacent vertebra are expanded to cause lateral deviation, the first sleeve or the second sleeve adjusts a certain angle of forward bending and extending of the dislocation vertebra, and the dislocation vertebra is pushed and pulled to reset by the resetting clamp, thereby having higher flexibility, effectively reducing the operation difficulty, shortening the operation time, improving the success rate of the operation, simultaneously allowing the first and the second clamp heads to move left and right, and being X-shaped between the first and the second clamp heads and the first and the second clamp arms in the resetting process, and being beneficial to the resetting between the vertebra.
Drawings
FIG. 1 is a front view of the overall structure of the present invention;
FIG. 2 is a side view of the overall structure of the present invention;
fig. 3 is an operation state diagram of the overall structure of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention will be described in further detail with reference to the accompanying drawings.
Referring to fig. 1, the X-shaped restorer special for cervical vertebra dislocation comprises a first clamp body 1 and a second clamp body 2.
The first forceps body 1 comprises a first forceps arm 11 and a first forceps handle 12, the first forceps arm 11 is arranged on the upper portion of the first forceps handle 12 and integrally formed between the first forceps arm and the first forceps handle, the second forceps body 2 comprises a second forceps arm 21 and a second forceps handle 22, the second forceps arm 21 is arranged on the upper portion of the second forceps handle 22 and integrally formed between the second forceps arm and the second forceps handle, and the upper portion of the first forceps handle 12 is hinged to the upper portion of the second forceps handle 22.
Referring to fig. 1 and 2, the front ends of the first and second forceps arms 11 and 21 are respectively hinged with a first forceps head 13 and a second forceps head 23, so that the first and second forceps heads are allowed to move left and right, the first and second forceps heads 13 and 23 and the first and second forceps arms 11 and 21 form an included angle of 90 degrees, and thus the surgical wound can be conveniently stretched into, the second forceps head 23 and the second forceps arm 21 are hinged with each other, a doctor grasps and opens the first and second forceps handles 12 and 22, so that the first and second forceps heads 13 and 23 move close to each other, and when pressing the first and second forceps handles 12 and 22, the first and second forceps heads 13 and 23 move far from each other.
Referring to fig. 1, the first and second clamp arms 11 and 21 are in a circular arc structure, so as to effectively increase the clamping area and make the clamping more stable.
Referring to fig. 1 and 2, a first sleeve 3 and a second sleeve 4 are movably disposed in each of the first and second bits 13 and 14, a first through hole 131 and a second through hole 231 penetrating through both ends are disposed in each of the first and second bits 13 and 23, and internal threads are disposed in each of the first and second through holes 131 and 231, and external threads are disposed on the outer peripheries of the first and second sleeves 3 and 4 to be respectively in threaded connection with the first and second through holes 131 and 231, and one ends of the first and second sleeves 3 and 4 adjacent to the first and second arms 11 and 21 extend outward along the first and second through holes 131 and 231, so that the first and second sleeves 3 and 4 are axially moved along the first and second through holes 131 and 231 by rotating the first and second sleeves 3 and 4.
One ends of the first sleeve 3 and the second sleeve 4, which are not adjacent to the first tong arm 11 and the second tong arm 21, are provided with trepanning holes, the dislocated vertebral body and the adjacent vertebral body are respectively driven into the nail rods 5 and 6, then a doctor sleeves the first sleeve 3 and the second sleeve 4 on the first tong head 13 and the second tong head 23 on the nail rods 5 and 6 of the two adjacent vertebral bodies, the first tong head 13 and the second tong head 23 are opened to enable the first sleeve 3 and the second sleeve 4 to oppositely prop open the two adjacent vertebral bodies, the inner side of the second tong handle 22 is provided with a ratchet rack 221, the first tong handle 12 is provided with a ratchet wheel 121, the ratchet wheel 121 is meshed with the ratchet rack 221, when the first tong head 13 and the second tong head 23 prop open the two adjacent vertebral bodies for a certain distance, the ratchet rack 221 is locked under the action of the ratchet wheel 121, so that the two adjacent vertebral bodies can be temporarily stabilized, and the two adjacent vertebral bodies are propped open and fixed, the vertebral body of the subsequent dislocation is convenient to reset.
Referring to fig. 1 and 3, after two adjacent vertebral bodies are expanded, the second sleeve 3 is rotated to move along the axial direction of the second through hole to bend the dislocated vertebral body forwards, and after the dislocated vertebral body bends forwards by a certain angle, the dislocated vertebral body is pushed and pulled along the radial direction to correct and rotate to complete the reduction, so that the operation time is effectively shortened, and the first and second forceps heads 13 and 23 are allowed to move left and right, so that the X-shaped structures are formed between the first and second forceps heads 13 and 23 and the first and second forceps arms 11 and 21 in the reduction process, and the reduction of the dislocated vertebral body is facilitated.
It should be understood that the above-mentioned embodiments are only illustrative of the technical concepts and features of the present invention, and are intended to enable those skilled in the art to understand the contents of the present invention and implement the present invention, and not to limit the scope of the present invention. All modifications made according to the spirit of the main technical scheme of the invention are covered in the protection scope of the invention.

Claims (6)

1. The restorer is characterized by comprising a first plier body and a second plier body, wherein the first plier body comprises a first plier arm and a first plier handle, the first plier arm and the first plier handle are integrally formed, the second plier body comprises a second plier arm and a second plier handle, the second plier arm and the second plier handle are integrally formed, the head ends of the first plier handle and the second plier handle are hinged with a first plier head and a second plier head, a first sleeve and a second sleeve are movably arranged in the first plier head and the second plier head, the first plier head and the second sleeve are opened to enable the first sleeve and the second sleeve to prop open two adjacent centrums, and the first sleeve or the second sleeve is rotated to adjust the dislocation centrum to bend forwards/backwards and restore and push and pull the dislocation centrum to restore.
2. The special X-shaped repositor for cervical spondylolisthesis according to claim 1, wherein a first through hole and a second through hole penetrating through two ends of the first forceps head and the second forceps head are provided, the first through hole and the second through hole are internally provided with internal threads, and the first sleeve and the second sleeve are externally provided with threads on the outer circumference thereof so as to be in threaded connection with the first through hole and the second through hole respectively.
3. The repositor according to claim 2, wherein the first and second sleeves extend outwardly along the first and second openings adjacent to the ends of the first and second forceps arms, and wherein the first and second sleeves are provided with openings at ends thereof not adjacent to the first and second forceps arms.
4. The repositor according to claim 3, wherein the first and second forceps heads are at a 90 ° angle to the first and second forceps arms.
5. The repositor for X-shaped cervical spondylolisthesis according to claim 4, wherein the first and second forceps arms are arc-shaped.
6. The special X-shaped repositor for cervical spondylolisthesis according to claim 5, wherein a ratchet rack is arranged on the inner side of the second forceps body, a ratchet is arranged on the first forceps handle, and the ratchet is engaged with the ratchet rack so that the ratchet moves or locks on the ratchet rack.
CN202110151380.9A 2021-02-03 2021-02-03 X-shaped restorer special for cervical vertebra dislocation Active CN112957117B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202110151380.9A CN112957117B (en) 2021-02-03 2021-02-03 X-shaped restorer special for cervical vertebra dislocation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202110151380.9A CN112957117B (en) 2021-02-03 2021-02-03 X-shaped restorer special for cervical vertebra dislocation

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CN112957117A true CN112957117A (en) 2021-06-15
CN112957117B CN112957117B (en) 2023-04-07

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113842198A (en) * 2021-09-08 2021-12-28 汕头大学 Rotary locking type cervical vertebra restorer with 3D printing function

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201147359Y (en) * 2008-02-01 2008-11-12 刘兰泽 Anterior cervical positor
CN201752429U (en) * 2010-08-14 2011-03-02 卢俊范 Intervertebral opening device
CN210330629U (en) * 2019-04-15 2020-04-17 上海市东方医院(同济大学附属东方医院) Intervertebral spreader

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201147359Y (en) * 2008-02-01 2008-11-12 刘兰泽 Anterior cervical positor
CN201752429U (en) * 2010-08-14 2011-03-02 卢俊范 Intervertebral opening device
CN210330629U (en) * 2019-04-15 2020-04-17 上海市东方医院(同济大学附属东方医院) Intervertebral spreader

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113842198A (en) * 2021-09-08 2021-12-28 汕头大学 Rotary locking type cervical vertebra restorer with 3D printing function
CN113842198B (en) * 2021-09-08 2024-02-20 汕头大学 Rotary locking type cervical vertebra restorer with 3D printing function

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