CN113017963B - Fixing device for orthopedic reduction - Google Patents
Fixing device for orthopedic reduction Download PDFInfo
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- CN113017963B CN113017963B CN202110192470.2A CN202110192470A CN113017963B CN 113017963 B CN113017963 B CN 113017963B CN 202110192470 A CN202110192470 A CN 202110192470A CN 113017963 B CN113017963 B CN 113017963B
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- 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. splints, casts or braces
- A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
- A61F5/042—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
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Abstract
The invention discloses a fixing device for orthopedic reduction, which comprises a base plate, a folding top fixing structure and a traction structure, wherein the folding top fixing structure is rotatably installed on the base plate, the traction structure is arranged above the base plate, the folding top fixing structure comprises a front arm supporting structure, a hand fixing component and a folding top rotating structure, the front arm supporting structure is rotatably connected above the base plate, the folding top rotating structure comprises a sliding frame and a rotating frame which are rotatably connected with each other, the rotating frame is fixedly connected with the hand fixing component, the sliding frame is slidably connected with a front guide component, a sliding locking structure which is fixedly locked with the front guide component is arranged on the sliding frame, the rotating frame is fixedly locked with the sliding frame through the rotating locking structure, and the hand fixing component is detachably and fixedly connected with a sliding end part of the traction structure. The invention realizes the relative fixation of the hand and the forearm after the top is folded in a rotating way, and solves the problems that the reset state after the top is folded must be kept manually in the prior art, more medical personnel are needed, and the influence of human errors is easy.
Description
Technical Field
The invention belongs to medical instruments and relates to a fixing device for orthopedic reduction.
Background
The forearm fracture is a common fracture in orthopedics, and the treatment methods of the fracture mainly comprise manual reduction plaster external fixation, incision reduction internal fixation, stent external fixation and the like, and the treatment method is determined according to specific injury conditions. The plaster external fixation is the most classical and basic treatment method in orthopedics department, has small wound and low cost, does not need secondary operation to take out internal objects, and is used under the condition of most mild fracture or temporary fixation before operation. However, in practice, this technique is greatly influenced by human factors, and the effect of reduction depends on the skill, skill and experience of the operator and the cooperation of the assistant. Furthermore, depending on the specific situation of the fracture, the wrist portion may be bent inward by the rotating vertex method as shown in fig. 10, some may be stretched after stretching and traction, and some may be stretched as shown in fig. 9, some may be stretched before rotation vertex is restored, and the wrist portion may be fixed by plaster after reduction by the above-mentioned method, so that the reduction and fixation may be performed by more than 2 doctors at the same time, while the part for stretching and restoring may be subjected to long-term counter traction, and if the wrist portion is restored by rotating vertex, the posture may be maintained to prevent deformation, so that the fracture part may be displaced before the plaster is solidified after reduction.
Although some reduction fixing devices for assisting traction can be used for traction and fixation of fracture parts, the devices are not suitable for the condition that a turning vertex method is needed, so that the prior art needs to be further improved to solve the problems that the turning vertex method is used for assisting in rotating and fixing the fracture of the distal radius end and the fracture displacement is prevented in the reduction process and the plaster curing process.
Disclosure of Invention
The invention aims to provide a fixing device for orthopedic reduction, which solves the technical problems that in the prior art, when the fracture of the far end of the radius is reduced by a rotary top-folding method, the wrist can be kept in a folded posture only through manual shaping, and the fractured part can be displaced due to human errors after top-folding or wrist traction and top-folding.
The fixing device for orthopedic reduction comprises a bottom plate, a fracture top fixing structure which is rotatably arranged on the bottom plate and a traction structure which is arranged above the bottom plate, the folding top fixing structure comprises a forearm supporting structure for fixing a forearm, a hand fixing component for fixing a hand and a folding top rotating structure, the forearm supporting structure is rotatably connected above the bottom plate, the folding top rotating structure comprises a sliding frame and a rotating frame which are mutually and rotatably connected, the rotating frame is fixedly connected with the hand fixing component, the sliding frame is connected with the front guide component on the front arm supporting structure in a sliding way and can slide along the front and back directions of the front arm, be equipped with on the carriage with the fixed slip locking structure of front portion direction subassembly locking, the rotating turret with it is fixed to lock through rotating locking structure between the carriage, the fixed subassembly of hand with fixed connection can be dismantled to the slip end member that pulls the structure.
Preferably, anterior direction subassembly includes the guide rail that bilateral symmetry set up, the direction of guide rail is the same with the forearm fore-and-aft direction after fixing, the guide rail lower extreme with the bottom plate rotates to be connected, be equipped with the guide slot that the syntropy set up on the guide rail, the carriage includes sliding connection in the flute profile sliding part in the guide rail outside.
The sliding locking structure of the front guide assembly comprises a screw rod fixed on the groove-shaped sliding portion and a locking nut in threaded connection with the screw rod, the screw rod penetrates through the guide groove and can slide along the guide groove, and the locking nut and the groove-shaped sliding portion clamp the guide rail from two sides after being screwed down.
Anterior direction subassembly removes the carriage still include with the integrative extension that links to each other of flute profile sliding part, the rotating turret includes diaphragm and a pair of L type side extension board, L type side extension board one end perpendicular to the forearm stretches out to the disease of treating to reset and forms the rotation link, and other end vertical fixation is in the diaphragm both ends, rotate the link with the extension rotates through the wrist pivot and connects, the wrist pivot is located the wrist position of disease.
The wrist rotating shaft of the front guide assembly is vertically and fixedly connected with the rotating connecting end, the rotating locking structure comprises a locking shell fixed on the extending part, a locking screw, a fixed bearing bush and a locking bearing bush, a screw rod part of the locking screw comprises an upper cylindrical section and a lower threaded section with larger diameters, the fixed bearing bush is fixed at the lower part in the locking shell, one end of the locking bearing bush is hinged in the locking shell, the other end of the locking bearing bush is penetrated through by the lower threaded section, the lower end of the lower threaded section is in threaded connection with the end part of the fixed bearing bush, the bottom end of the upper cylindrical section is abutted against the end part of the locking bearing bush, the head part of the locking screw is exposed above the locking shell, and the locking bearing bush and the fixed bearing bush clamp the wrist rotating shaft from two sides under the extrusion of the locking screw.
The front guide assembly and the hand fixing assembly comprise an L-shaped fixing plate with an L-shaped cross section, a half sole fixing plate and a finger stall, the horizontal part of the L-shaped fixing plate is fixed on the transverse plate, the vertical part of the L-shaped fixing plate is located on one side, facing a patient, of the transverse plate and is used for fixing the half sole fixing plate, and the finger stall is fixed on the upper portion, facing one side of the patient, of the half sole fixing plate.
Anterior direction subassembly L type fixed plate with the slip end part links to each other through dismantling coupling assembling, can dismantle coupling assembling includes the vertical fixation and is in the spliced pole at L type fixed plate top, the T type connecting rod that lower extreme center is connected with the screw rod and the clamping piece that sets up in pairs, a pair of clamping piece is fixed respectively the spliced pole with the tip that T type connecting rod is relative each other, the screw rod with a screw hole threaded connection at spliced pole center, the slip end part is equipped with to keeping away from patient direction open-ended spread groove, the screw rod is followed the opening of spread groove is inserted, the clamping piece is in press from both sides tightly or loosen from both sides when T type connecting rod is rotatory L type fixed plate.
Anterior direction subassembly the bottom plate quilt it divide into upper arm fixed part and forearm supporting part to roll over a fixed knot structure, be equipped with the upper arm band on the upper arm fixed part, forearm supporting structure supports when rolling over a reset to the palm forearm supporting part, forearm supporting structure includes that the left and right sides is fixed forearm fixed plate on the guide rail, forearm fixed plate keeps away from patient one side and is fixed with the supporting component and the opposite side is equipped with the forearm band.
Anterior direction subassembly bottom plate middle part vertical fixation has a door type mount, the guide rail lower extreme pass through the elbow pivot with the curb plate lower extreme of door type mount rotates to be connected, the elbow pivot is located patient's elbow position, the top plate of door type mount is higher than the finger height when the patient stands upright forearm, set up on the top plate pull the structure.
Anterior direction subassembly the traction structure includes T type handle, upper bracket, threaded connection pole, slip end spare and guide structure, slip end spare both ends are passed through guide structure with curb plate upper portion sliding connection on vertical direction, threaded connection pole's lower extreme passes the roof with slip end spare fixed connection, the lower extreme butt of T type handle is in the upper bracket top is equipped with screw hole two at terminal surface center down, threaded connection pole's upper end is equipped with the screw thread and passes the upper bracket with two threaded connection in screw hole.
The invention has the technical effects that: 1. this technical scheme has set up the structure of fixed forearm respectively and with the fixed structure of hand half-sole part to the two is connected through the book top rotating-structure that can be locked, and is rolling over the top in-process and when reaching suitable book top position, will roll over a rotating-structure locking fixed and realize the relative fixed of hand and forearm in the rotatory position of rolling over after the top promptly through this fixing device.
2. The structure that simultaneously rolls over a rotating-structure and pass through anterior guide assembly and fixed forearm can the relative slip for this device can not only adapt to the great patient of arm length difference, can also be applied to the patient that will stretch earlier before rotatory book top and pull the reduction, and through the fixed position of confirming the wrist pivot of locking to the carriage, and maintain and pull the effort, prevent that the patient from taking place the problem that the fracture part shifted when resetting to the gypsum solidification in-process.
3. This scheme passes through fixing device and keeps each part of arm fixed, has liberated medical personnel's both hands, has both reduced the needs that maintain the gesture to medical personnel, avoids the artificial error that probably produces in the artificial gesture process of maintaining, has also reduced and has reset the demand to medical personnel quantity to the gypsum solidification stage.
Drawings
Fig. 1 is a schematic structural view of a fixing device for orthopedic reduction according to the present invention.
Fig. 2 is an enlarged view of region a of the structure shown in fig. 1.
Fig. 3 is a schematic structural diagram of the structure shown in fig. 1 during the rotating-bending roof-method resetting.
Fig. 4 is a top view of the structure shown in fig. 3.
Fig. 5 is a schematic view of the rotary lock structure in the structure shown in fig. 1.
Fig. 6 is a front view of the structure shown in fig. 1.
Fig. 7 is a cross-sectional view taken in the direction a-a of the structure shown in fig. 6.
Fig. 8 is a cross-sectional view of the removable connection assembly of the configuration of fig. 1.
Fig. 9 is a schematic diagram of the prior art when the back extension of the wrist joint is reduced by stretching and pulling the fracture part.
Fig. 10 is a schematic view illustrating the rotation-turning and top-reduction of the wrist joint and the palm flexion at the fracture site in the prior art.
The labels in the figures are: 1. a base plate, 11, an upper arm strap, 12, a forearm support part, 13, an upper arm fixing part, 2, a forearm support structure, 21, a guide rail, 22, a forearm fixing plate, 23, a forearm strap, 24, a support part, 3, a folding top rotating structure, 31, a rotating frame, 311, an L-shaped side support plate, 312, a transverse plate, 32, a sliding frame, 33, a rotating locking structure, 331, a locking shell, 332, an upper cylindrical section, 333, a lower thread section, 334, a fixed bearing bush, 335, a locking bearing bush, 34, a locking nut, 35, a wrist rotating shaft, 4, a hand fixing component, 41, an L-shaped fixing plate, 42, a forefoot fixing plate, 43, a finger stall, 5, a detachable connecting component, 51, a connecting column, 52, a T-shaped connecting rod, 53, a clamping piece, 54, a connecting screw rod, 6, a traction structure, 61, an upper support, 62, a T-shaped handle, 63, a threaded connecting rod, 64 and a sliding end part, 65. guide structure, 7, door type mount, 72, curb plate, 71, roof, 73, elbow pivot.
Detailed Description
The following detailed description of the embodiments of the present invention will be given in order to provide those skilled in the art with a more complete, accurate and thorough understanding of the inventive concept and technical solutions of the present invention.
As shown in fig. 1-8, the present invention provides a fixing device for orthopedic reduction, comprising a base plate 1, a folding top fixing structure rotatably installed in the middle of the base plate 1, and a traction structure 6 disposed above the base plate 1, wherein the folding top fixing structure comprises a forearm supporting structure 2 for fixing a forearm, a hand fixing component 4 for fixing a hand, and a folding top rotating structure 3, the forearm supporting structure 2 is rotatably connected above the base plate 1, the folding top rotating structure 3 comprises a sliding frame 32 and a rotating frame 31 which are rotatably connected with each other, the rotating frame 31 is fixedly connected with the hand fixing component 4, the sliding frame 32 is slidably connected with a front guiding component on the forearm supporting structure 2 and can slide along the front-back direction of the forearm, a sliding locking structure which is locked and fixed with the front guiding component is disposed on the sliding frame 32, the rotating frame 31 and the sliding frame 32 are locked and fixed through a rotating locking structure 33, and the hand fixing assembly 4 is detachably and fixedly connected with a sliding end part 64 of the traction structure 6.
The front guide assembly comprises guide rails 21 which are symmetrically arranged left and right, the direction of the guide rails 21 is the same as the front and rear directions of the front arm after being fixed, the lower end of the guide rails 21 is rotatably connected with the bottom plate 1, guide grooves which are arranged in the same direction are formed in the guide rails 21, and the sliding frame 32 comprises a sliding connection and a groove-shaped sliding part which is arranged on the outer side of the guide rails 21.
The sliding locking structure comprises a sliding screw fixed on the groove-shaped sliding part and a locking nut 34 in threaded connection with the sliding screw, the sliding screw penetrates through the guide groove and can slide along the guide groove, and the locking nut 34 and the groove-shaped sliding part clamp the guide rail 21 from two sides after being screwed down.
Carriage 32 still include with the integrative portion of stretching out that links to each other of flute profile sliding part, rotating turret 31 includes diaphragm 312 and a pair of L type collateral branch board 311, L type collateral branch board 311 one end perpendicular to the forearm stretches out to the disease of treating to reset and forms the rotation link, and other end vertical fixation is in diaphragm 312 both ends, rotate the link with the portion of stretching out is connected through wrist pivot 35 rotation, wrist pivot 35 is located the wrist position of disease.
L type collateral branch board 311 is located the guide rail 21 outside, has great space between guide rail 21 and the hand and the wrist after fixing to make things convenient for the doctor to contact with wrist or hand, grip, thereby for subsequent book end process and beat the sufficient space of gypsum process outflow and operate.
The wrist rotary shaft 35 is vertically and fixedly connected with the rotary connection end, the rotary locking structure 33 includes a locking housing 331 fixed on the extension portion, a locking screw, a fixing bush 334 and a locking bush 335, the shank portion of the locking screw includes an upper cylindrical section 332 and a lower threaded section 333 of relatively large diameter, the fixed bearing bush 334 is fixed to the lower portion of the locking housing 331, one end of the locking bearing bush 335 is hinged to the locking housing 331, and the other end is penetrated by the lower thread section 333, the lower end of the lower thread section 333 is in threaded connection with the end part of the fixed bearing bush 334, the bottom end of the upper cylindrical section 332 abuts against the end of the locking bush 335, the head of the locking screw is exposed above the locking housing 331, the locking bearing bush 335 clamps the wrist rotary shaft 35 with the fixed bearing bush 334 from both sides under the compression of the locking screw.
The hand fixing assembly 4 comprises an L-shaped fixing plate 41 with an L-shaped cross section, a half sole fixing plate 42 and finger sleeves 43, wherein the horizontal part of the L-shaped fixing plate 41 is fixed on the transverse plate 312, the vertical part of the L-shaped fixing plate 41 is located on the side of the transverse plate 312 facing the patient and fixes the half sole fixing plate 42, and the finger sleeves 43 are fixed on the upper part of the half sole fixing plate 42 facing the patient.
L type fixed plate 41 with sliding end part 64 links to each other through dismantling coupling assembling 5, can dismantle coupling assembling 5 including the vertical fixation in spliced pole 51 at L type fixed plate 41 top, the T type connecting rod 52 that lower extreme center is connected with connecting screw 54 and the clamping piece 53 that sets up in pairs, a pair of clamping piece 53 is fixed respectively spliced pole 51 with the tip that T type connecting rod 52 is relative each other, connecting screw 54 with a screw hole threaded connection at spliced pole 51 center, sliding end part 64 is equipped with to keeping away from patient direction open-ended connecting groove, connecting screw 54 follows the opening of connecting groove inserts, clamping piece 53 is in it presss from both sides tightly or loosens from both sides when T type connecting rod 52 rotates L type fixed plate 41.
Before the scheme is used, the front sole fixing plate 42 is parallel to the front arm fixing plate 22, and the rotating locking structure 33 and the sliding locking structure are in a locking state. If the fixing device is used without traction, but only needs to be reset and fixed by a rotating and turning top method, the arm of a patient is firstly placed on the fixing device, the elbow is positioned at the position of the elbow rotating shaft 73, and the upper arm is fixed on the upper arm fixing part 13 through the upper arm strap 11. The forearm is lowered forward and secured to the forearm attachment plate 22 by means of a forearm strap 23, with the support part 24 of the forearm support arrangement 2 resting on the forearm support 12.
Then the sliding lock structure is released to adjust the position of the sliding frame 32 until the front sole fixing plate 42 reaches the front sole position of the hand of the patient, the front sole of the patient is placed on the front sole fixing plate 42 and is connected with the fingers of at least two patients through the finger sleeves 43, the wrist rotating shaft 35 is located at the wrist position of the patient, and then the lock nut 34 is rotated to clamp the sliding rail to realize the locking of the sliding lock structure. Since the length difference range of the palms between people is smaller than that of the forearms, the distance between the wrist rotating shaft 35 and the palm fixing plate is relatively fixed and is relatively close to the wrist position of the patient, and the defect that the rotating track of the rotating wrist and the forepaw fixing plate 42 is greatly staggered due to the fact that the distance between the rotating shaft and the wrist is larger during rotation is avoided. In the case of the folding top reset after the traction reset, the wrist rotation shaft 35 needs to be determined according to the position after the traction, and therefore should slide relative to the guide rail 21 before the determination of the position, and be locked and positioned at the hand position after the traction.
The rotating locking structure 33 is loosened, the rotating frame 31 can rotate around the wrist rotating shaft 35, then a doctor rotates the wrist of the patient by a professional method, the top folding method resetting process is completed, the wrist is temporarily fixed at the top folding rear position by one hand, meanwhile, the locking screws of the rotating locking structures 33 at the left side and the right side are successively screwed by the other hand, the locking screws drive the locking bearing bushes 335 to press the fixed bearing bushes 334, the locking bearing bushes 335 and the fixed bearing bushes 334 clamp the wrist rotating shaft 35 relatively, the locking of the rotating locking structure 33 is realized, and the wrist of the patient can be kept at the top folding reset position. Then, the wrist and the surrounding portion in this state are plastered, and the fixed posture is maintained until the plaster is set.
Obviously, the above process enables a doctor to keep the wrist in the folded posture by one hand and conveniently realize the relative fixation of the rotating frame 31 and the sliding frame 32 after rotation by the other hand, so that at least one doctor does not need to maintain the folded posture of the wrist of a patient during subsequent plaster application, the posture of the wrist part of the doctor in the folded posture is conveniently maintained, and the problem that the wrist moves in the plaster application and plaster curing process to cause the displacement of the bone or ligament at the fracture part is avoided.
If the fixing device needs to stretch and draw the fracture part of the wrist before use, the folding top fixing structure is firstly rotated to enable the guide rail 21 to be upright, the connecting screw rod 54 of the detachable connecting component 5 is inserted into the connecting groove, and then the T-shaped connecting rod 52 is screwed down to enable the sliding end part 64 to be fixedly connected with the hand fixing component 4. The patient's upper arm and forearm is then secured to the upper arm securing portion 13 and forearm fixing plate 22, respectively, as previously described, the slider locking arrangement is released and the slider end member 64 is then adjusted until the patient's forefoot can be fixedly attached to the forefoot fixing plate 42. After the parts of the arm are fixed, the upper end of the threaded connecting rod 63 with the threads extends out of the top of the upper support 61, the lower end of the T-shaped handle 62 is connected with the upper end of the threaded connecting rod 63, the lower end of the T-shaped handle 62 abuts against the top of the upper support 61 and then the T-shaped handle 62 continues to rotate, the hands of a patient can be further pulled upwards through the threaded connecting rod 63 to be stretched, and the pulling and resetting effects of the wrist parts are achieved. And after traction reduction is finished, the sliding locking structure is locked in a traction state, so that the traction state of the hand fixing component 4 on the fracture part of the wrist can be kept, and displacement is avoided. Then the T-shaped connecting rod 52 is rotated to lead the clamping piece 53 to be relatively far away from the loose sliding end part 64, when the distance between the clamping pieces 53 reaches a certain distance, the whole folding top fixing structure can be rotated to lead the connecting screw rod 54 to be separated from the opening of the connecting groove, and then the connecting screw rod is converted into a state that the forearm is supported by the forearm supporting structure 2 after being put down, and then the folding top fixing structure is operated according to the method to realize the folding top and the folding top gesture maintenance of the wrist part, and finally the process of plaster fixation is finished.
In the method, the stretching traction is reset, the forearm is pulled under an upright posture, and the purpose is to ensure that the direction of the forearm under the action of gravity is parallel to the direction of the traction action, so that the influence of the action force of other directions on the arm on the traction effect during traction is reduced. And roll over the wrist and roll over when pushing up owing to roll over the top and be rotary motion, needn't consider the influence of gravity, roll over the back in addition and will make things convenient for the operation to rotate locking structure 33 and reserve sufficient space for the process of later playing the gypsum to it prevents the swing to make things convenient for the bearing forearm, so this scheme lets roll over a fixed knot and construct and can rotate the slope or the gesture of keeping flat, lets anterior bearing structure support the forearm, keeps forearm position stability, also makes things convenient for follow-up to reset and play the gypsum.
The invention is described above with reference to the accompanying drawings, it is obvious that the specific implementation of the invention is not limited by the above-mentioned manner, and it is within the scope of the invention to adopt various insubstantial modifications of the inventive concept and solution of the invention, or to apply the inventive concept and solution directly to other applications without modification.
Claims (4)
1. The utility model provides a fixing device that orthopedics reset usefulness which characterized in that: including bottom plate (1), rotatable install roll over a fixed knot construct on bottom plate (1) and set up traction structure (6) in bottom plate (1) top, roll over a fixed knot construct including forearm bearing structure (2) of fixed forearm, hand fixed component (4) and roll over a rotating-structure (3) of fixed hand, forearm bearing structure (2) rotate to be connected in bottom plate (1) top, roll over a rotating-structure (3) including carriage (32) and rotating turret (31) that rotate each other and link to each other, rotating turret (31) with hand fixed component (4) fixed connection, carriage (32) with the front portion direction subassembly sliding connection on forearm bearing structure (2) can slide along the fore-and-aft direction of forearm, be equipped with on carriage (32) with the fixed slip locking structure of front portion direction subassembly locking, the rotating frame (31) and the sliding frame (32) are locked and fixed through a rotating locking structure (33), and the hand fixing assembly (4) is detachably and fixedly connected with a sliding end part (64) of the traction structure (6);
the front guide assembly comprises guide rails (21) which are arranged in a bilateral symmetry mode, the direction of each guide rail (21) is the same as the front-back direction of a fixed front arm, the lower end of each guide rail (21) is rotatably connected with the bottom plate (1), guide grooves which are arranged in the same direction are formed in the guide rails (21), and each sliding frame (32) comprises a groove-shaped sliding part which is connected to the outer side of each guide rail (21) in a sliding mode;
the sliding frame (32) further comprises an extending part integrally connected with the groove-shaped sliding part, the rotating frame (31) comprises a transverse plate (312) and a pair of L-shaped side supporting plates (311), one end of each L-shaped side supporting plate (311) is perpendicular to the forearm and extends out to a patient to be reset to form a rotating connecting end, the other end of each L-shaped side supporting plate is perpendicularly fixed at two ends of the transverse plate (312), the rotating connecting end is rotatably connected with the extending part through a wrist rotating shaft (35), and the wrist rotating shaft (35) is located at the wrist position of the patient;
a door-shaped fixing frame (7) is vertically fixed in the middle of the bottom plate (1), the lower end of the guide rail (21) is rotatably connected with the lower end of a side plate (72) of the door-shaped fixing frame (7) through an elbow rotating shaft (73), the elbow rotating shaft (73) is positioned at the elbow position of a patient, a top plate (71) of the door-shaped fixing frame (7) is higher than the height of fingers of the patient when the forearm is erected, and the top plate (71) is provided with the traction structure (6);
the hand fixing assembly (4) comprises an L-shaped fixing plate (41) with an L-shaped cross section, a half sole fixing plate (42) and finger sleeves (43), the horizontal part of the L-shaped fixing plate (41) is fixed on the transverse plate (312), the vertical part of the L-shaped fixing plate (41) is positioned on one side, facing a patient, of the transverse plate (312) and is used for fixing the half sole fixing plate (42), and the finger sleeves (43) are fixed on the upper part, facing the patient, of the half sole fixing plate (42);
the L-shaped fixing plate (41) is connected with the sliding end part (64) through a detachable connecting component (5), the detachable connecting component (5) comprises a connecting column (51) vertically fixed at the top of the L-shaped fixing plate (41), a T-shaped connecting rod (52) with a connecting screw rod (54) connected at the center of the lower end, and clamping pieces (53) arranged in pairs, wherein the pair of clamping pieces (53) are respectively fixed at the opposite ends of the connecting column (51) and the T-shaped connecting rod (52), the connecting screw rod (54) is in threaded connection with a threaded hole in the center of the connecting column (51), the sliding end piece (64) is provided with a connecting groove which is open in the direction away from the patient, the connecting screw (54) is inserted through the opening of the connecting groove, the clamping piece (53) clamps or releases the L-shaped fixing plate (41) from both sides when the T-shaped connecting rod (52) rotates;
draw structure (6) including T type handle (62), upper bracket (61), threaded connection pole (63), slip end piece (64) and guide structure (65), slip end piece (64) both ends are passed through guide structure (65) with curb plate (72) upper portion sliding connection on vertical direction, the lower extreme of threaded connection pole (63) is passed roof (71) with slip end piece (64) fixed connection, the lower extreme butt of T type handle (62) is in upper bracket (61) top is equipped with screw hole two at terminal surface center down, the upper end of threaded connection pole (63) is equipped with the screw thread and passes upper bracket (61) with screw hole two threaded connection.
2. A fixation device for orthopedic reduction as claimed in claim 1, wherein: the sliding locking structure comprises a sliding screw fixed on the groove-shaped sliding portion and a locking nut (34) in threaded connection with the sliding screw, the sliding screw penetrates through the guide groove and can slide along the guide groove, and the locking nut (34) and the groove-shaped sliding portion clamp the guide rail (21) from two sides after being screwed down.
3. A fixation device for orthopedic reduction as claimed in claim 2, wherein: the wrist rotating shaft (35) is vertically and fixedly connected with the rotating connecting end, the rotating locking structure (33) comprises a locking shell (331) fixed on the extending part, a locking screw, a fixed bearing bush (334) and a locking bearing bush (335), the screw rod part of the locking screw comprises an upper cylindrical section (332) and a lower threaded section (333), the diameter of the upper cylindrical section (332) is larger than that of the lower threaded section (333), the fixed bearing bush (334) is fixed on the lower part in the locking shell (331), one end of the locking bearing bush (335) is hinged in the locking shell (331), the other end of the locking bearing bush (335) is penetrated through the lower threaded section (333), the lower end of the lower threaded section (333) is in threaded connection with the end part of the fixed bearing bush (334), the bottom end of the upper cylindrical section (332) abuts against the end part of the locking bearing bush (335), and the head part of the locking screw is exposed above the locking shell (331), the locking bearing bush (335) and the fixed bearing bush (334) clamp the wrist rotating shaft (35) from two sides under the extrusion of the locking screw.
4. A fixation device for reduction of the bone as claimed in claim 1, wherein: bottom plate (1) quilt it divide into upper arm fixed part (13) and forearm supporting part (12) to roll over a fixed knot structure, be equipped with upper arm band (11) on upper arm fixed part (13), forearm supporting structure (2) are rolling over the palm when restoring to the top the forearm supporting part (12), forearm supporting structure (2) are fixed including the left and right sides forearm fixed plate (22) on guide rail (21), forearm fixed plate (22) are kept away from patient one side and are fixed with supporting component (24) and the opposite side is equipped with forearm band (23).
Priority Applications (1)
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CN202110192470.2A CN113017963B (en) | 2021-02-20 | 2021-02-20 | Fixing device for orthopedic reduction |
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CN202110192470.2A CN113017963B (en) | 2021-02-20 | 2021-02-20 | Fixing device for orthopedic reduction |
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CN113017963A CN113017963A (en) | 2021-06-25 |
CN113017963B true CN113017963B (en) | 2022-09-30 |
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CN202110192470.2A Active CN113017963B (en) | 2021-02-20 | 2021-02-20 | Fixing device for orthopedic reduction |
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