CN113730136A - Binding and fixing device for fracture reduction - Google Patents

Binding and fixing device for fracture reduction Download PDF

Info

Publication number
CN113730136A
CN113730136A CN202111186490.5A CN202111186490A CN113730136A CN 113730136 A CN113730136 A CN 113730136A CN 202111186490 A CN202111186490 A CN 202111186490A CN 113730136 A CN113730136 A CN 113730136A
Authority
CN
China
Prior art keywords
shank
thigh
articulated
plate body
fixed establishment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202111186490.5A
Other languages
Chinese (zh)
Inventor
仲杰
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.)
Qilu Hospital of Shandong University Qingdao
Original Assignee
Qilu Hospital of Shandong University Qingdao
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Qilu Hospital of Shandong University Qingdao filed Critical Qilu Hospital of Shandong University Qingdao
Priority to CN202111186490.5A priority Critical patent/CN113730136A/en
Publication of CN113730136A publication Critical patent/CN113730136A/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/075Rests specially adapted therefor for the limbs
    • A61G7/0755Rests specially adapted therefor for the limbs for the legs or feet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/70General characteristics of devices with special adaptations, e.g. for safety or comfort
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/10Devices for specific treatment or diagnosis for orthopedics

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurosurgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Nursing (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Rehabilitation Tools (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention provides a binding and fixing device for fracture reduction, which comprises: compared with the prior art, the invention has the following beneficial effects that: through setting up PMKD and mounting panel, make the equipment of PMKD upper end can utilize the wedge to adjust the gradient, promote the comfort level that patient's shank was placed, make things convenient for the patient to change the body appearance of rest, foot fixed establishment, shank fixed establishment and thigh fixed establishment's design, make patient's shank after fixed, the posture is placed to shank when can adjusting the rest according to the demand, the fixed back of supporting mechanism lower extreme slider before relieving simultaneously, foot fixed establishment, shank fixed establishment and thigh fixed establishment can realize the function that the shank resumes the exercise, avoid the patient to receive secondary damage, guarantee the travelling comfort of patient's shank when the rest or when taking exercise.

Description

Binding and fixing device for fracture reduction
Technical Field
The invention belongs to the technical field of medical treatment, relates to medical recovery equipment, and particularly relates to a binding and fixing device for fracture reduction.
Background
At present, general treatment after the leg bone fracture is the gypsum fixed, the patient lies when the sick bed, it is generally fixed with bandage suspension for the shank, patient's thigh and shank are all in unsettled state, thigh and shank are tired very easily, and the bandage all is soft material, rock very easily, be unfavorable for the fixed of shank, cause secondary damage to the shank of fracture very easily, the problem that some present leg bone fixing device ubiquitous highly can't be adjusted, the travelling comfort is relatively poor, be unfavorable for the recovery of patient's shank, some present leg bone fixing device do rehabilitation exercises not convenient for the patient of being convenient for simultaneously, consequently, need one kind to be used for fracture to reset to bind fixing device and solve above problem urgently.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a binding and fixing device for fracture reduction, so as to solve the problems in the background technology.
The technical scheme of the invention is realized as follows: a binding and fixation device for fracture reduction, comprising: fixing base plate, mounting panel, slide rail mechanism, preceding bracing piece mechanism, foot fixed establishment, shank fixed establishment, thigh fixed establishment and adjustment mechanism, the mounting panel articulates in the fixing base plate top, surface mounting has slide rail mechanism on the mounting panel, adjustment mechanism installs in the fixing base plate rear end, adjustment mechanism upper end movable mounting has thigh fixed establishment, thigh fixed establishment front end is connected with shank fixed establishment rear end is articulated, foot fixed establishment articulates at shank fixed establishment front end, preceding bracing piece mechanism articulates at shank fixed establishment front end downside, preceding bracing piece mechanism lower extreme movable mounting is on slide rail mechanism, the fixing base plate includes adjusting screw, spacing frame, wedge and plate body one, the wedge includes the draw runner, spacing frame includes spout one, plate body one includes articulated pipe and the arc groove of stepping down, the mounting plate comprises a plate body II and a hinge rod, the slide rail mechanism comprises a slide rail I and a slide rail II, the slide rail I and the slide rail II respectively comprise a groove rail, a roller, a locking screw rod I, a sliding block and a hinge plate, the front support rod mechanism comprises a front support rod I, a front support rod II, a connecting rod and a reinforcing rod, the front support rod I and the front support rod II respectively comprise a loop bar, an adjusting rod, a locking screw rod II, a fixed hole and a hinge head I, the foot fixing mechanism comprises a sole supporting plate, a foot bandage, a hinge soft plate, an ankle protection side pad and an ankle supporting plate, the shank fixing mechanism comprises a shank supporting plate, a shank supporting rod I and a shank supporting rod II, the shank supporting rod I comprises a hinge head II, the shank supporting rod II comprises a hinge head III, the shank supporting rod fixing mechanism comprises a shank supporting rod I, a thigh and a thigh supporting rod II, thigh bracing piece one includes articulated head four and flexion, thigh bracing piece two includes articulated head five, adjustment mechanism includes regulating pipe one, installation knee, regulation mobile jib, fixed knee and regulating pipe two.
As a preferred embodiment, spacing frame sets up in a plate body upper surface front side, spacing frame front surface movable mounting has adjusting screw, spout one sets up respectively at inside left side inner wall, the right side inner wall of spacing frame, the inside movable mounting of spacing frame has the wedge, the draw runner sets up respectively at wedge left surface, right surface, wedge front end and adjusting screw rear end swing joint, articulated pipe sets up at a plate body rear end, a plate body rear end left side, right side are equipped with respectively and let a position arc groove, the activity of articulated rod installation at two rear end of plate body downside, a plate body rear end is connected through articulated pipe, articulated rod and two rear end downside hinges of plate body, slide rail one, slide rail two are installed respectively in two upper surface left sides of plate body, right side.
As a preferred embodiment, the slide block is movably arranged at the upper end of the groove rail, the slide block is respectively movably arranged on the upper surfaces of a first slide rail and a second slide rail, the hinged plate is arranged in the middle of the upper surface of the slide block, a first locking screw rod is movably arranged at the outer side end of the slide block, the roller is movably arranged at the lower surface of the slide block, the lower end of the roller is in rolling connection with the inside of the groove rail, the lower ends of a first front support rod and a second front support rod are hinged with the slide block through the hinged plate, the loop bars are respectively arranged at the lower ends of the first front support rod and the second front support rod, the outer side surface of the loop bar is provided with a fixed hole, a second locking screw rod is arranged in the fixed hole, the upper end of the loop bar is movably arranged with an adjusting rod, the upper end of the adjusting rod is provided with a first hinged joint, the connecting rod is arranged between the lower ends of the first front support rod and the second front support rod, and a reinforcing rod is arranged between the upper ends of the first front support rod and the second front support rod, foot fixed establishment articulates between two upper ends of preceding branch one, preceding branch, articulated soft board articulates between adjusting the pole upper end through articulated first, articulated soft board lower extreme and sole layer board lower surface downside fixed connection, the bandage of foot is installed in sole layer board upper end, sole layer board downside left end, right-hand member are equipped with ankle protection side pad, the ankle layer board sets up at sole layer board lower extreme.
As a preferred embodiment, the inclined plane sets up the wedge upper surface, the groove of stepping down has been seted up to two rear ends of plate body, and the groove shape of stepping down is corresponding with articulated pipe, and the screw hole is seted up spacing frame front surface, the adjusting screw rear end passes through the bearing and is connected with the wedge front surface, and the crank setting is in the adjusting screw front end, when in actual use, when the height of two front ends of plate body need be adjusted, the manual clockwise rotation adjusting screw front end's crank, because adjusting screw and spacing frame front end threaded connection for adjusting screw moves backward in the screw thread hole of spacing frame front end, adjusting screw rear end backward movement drives the wedge and moves backward in spacing frame, and the draw runner of wedge left surface, right surface moves in spout one, guarantees that the wedge can not squint, along with the wedge backward movement, because a plate body rear end passes through articulated pole, The hinged pipe is hinged with the rear ends of the first plate body and the second plate body, the front ends of the first plate body and the second plate body are not contacted, and the front ends of the second plate body are supported by the wedge-shaped blocks, so that the second plate body is integrally inclined and ascends, the ascending quantity of the front ends of the second plate body is greater than the ascending quantity of the rear ends of the second plate body, the purpose of adjusting the inclination of the second plate body is achieved, and the comfort level of the legs of a patient is guaranteed.
As an optimal implementation mode, slide rail one is the same with two specifications of slide rail, and spout two sets up respectively left surface, right surface before the groove rail, the bar slider sets up respectively slider inner wall left side, right side, preceding branch one is the same with two specifications of preceding branch, sole layer board and the integrative design of ankle layer board, when in-service use, sole layer board cooperation ankle layer board lets patient's foot possess the impetus, promotes patient's comfort level of foot, and articulated soft board is connected with two articulations of preceding branch simultaneously and preceding branch for the sole layer board is convenient for the activity, is favorable to the motion of patient's foot, sets up the ankle protection side pad at sole layer board downside left end, right-hand member, makes the patient protect patient when doing the motion of foot.
As a preferred embodiment, the adjusting main rod is movably mounted at the rear end of the plate body through a fixed bent rod and a first adjusting pipe, the mounting bent rod is movably mounted at the left end and the right end of the adjusting main rod respectively, the upper end of the mounting bent rod is provided with a first adjusting pipe, the upper end of the first adjusting pipe is movably mounted with a bending part, the bending part is arranged at the lower ends of a first thigh supporting rod and a second thigh supporting rod respectively, the thigh supporting band is mounted between the first thigh supporting rod and the second thigh supporting rod, the front end of the first thigh supporting rod is provided with a fourth hinge joint, the fifth hinge joint is arranged at the front end of the second thigh supporting rod, the front end and the rear end of the first shank supporting rod are provided with a second hinge joint, the third hinge joint is arranged at the front end and the rear end of the second shank supporting rod respectively, the first shank supporting band is mounted between the first shank supporting rod and the second shank supporting rod, and the front end of the first thigh supporting rod is connected with the fourth hinge joint, The second hinge joint is hinged with the rear end of the first shank support rod, and the front end of the second thigh support rod is hinged with the rear end of the second shank support rod through the fifth hinge joint and the third hinge joint.
As a preferred embodiment, the soft cushion is arranged on the upper surface of the adjusting main rod, the lower ends of the first thigh supporting rod and the second thigh supporting rod are respectively connected with the left end and the right end of the adjusting main rod through a bending part, a first adjusting pipe and an installation bent rod, the front end of the first shank supporting rod is hinged with the upper end of the first front supporting rod through a second hinge joint and a first hinge joint, the front end of the second shank supporting rod is hinged with the upper end of the second front supporting rod through a third hinge joint and a first hinge joint, the binding band is arranged on the left side of the shank supporting band, and the binding band is arranged on the left side of the thigh supporting band Thigh fixed establishment and adjustment mechanism are articulated each other and are connected for possess the regulating power between shank fixed establishment, thigh fixed establishment and the adjustment mechanism, the patient can adjust shank fixed establishment, thigh fixed establishment according to actual demand, guarantees the comfort level that the shank was placed, and shank fixed establishment, thigh fixed establishment and the adjustment mechanism of activity make the patient be convenient for do the rehabilitation exercise simultaneously, promote patient's resilience.
After the technical scheme is adopted, the invention has the beneficial effects that: through setting up PMKD and mounting panel, make the equipment of PMKD upper end can utilize the wedge to adjust the gradient, promote the comfort level that patient's shank was placed, make things convenient for the patient to change the body appearance of rest, foot fixed establishment, shank fixed establishment and thigh fixed establishment's design, make patient's shank after fixed, the posture is placed to shank when can adjusting the rest according to the demand, the fixed back of supporting mechanism lower extreme slider before relieving simultaneously, foot fixed establishment, shank fixed establishment and thigh fixed establishment can realize the function that the shank resumes the exercise, avoid the patient to receive secondary damage, guarantee the travelling comfort of patient's shank when the rest or when taking exercise.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
Fig. 1 is a schematic overall structure diagram of a binding and fixing device for fracture reduction according to the present invention.
Fig. 2 is a schematic view of the connection between the mounting plate and the adjusting mechanism of the binding and fixing device for fracture reduction of the invention.
Fig. 3 is a schematic view of a fixing base plate of the binding and fixing device for fracture reduction of the invention.
Fig. 4 is a schematic view of the connection between the fixing base plate and the wedge-shaped block of the binding and fixing device for fracture reduction of the invention.
FIG. 5 is a schematic view of a foot fixing mechanism of the binding and fixing device for fracture reduction of the present invention.
Fig. 6 is a schematic view of a first slide rail and a second slide rail of the binding and fixing device for fracture reduction of the invention.
Fig. 7 is a schematic view of an adjusting mechanism for a fracture reduction binding and fixing device of the invention.
In the figure, 1-fixed bottom plate, 11-adjusting screw rod, 12-limit frame, 121-sliding chute I, 13-plate I, 131-hinged pipe, 132-abdicating arc groove, 14-wedge block, 141-slide bar, 2-mounting plate, 21-plate II, 22-hinged rod, 3-slide rail mechanism, 31-slide rail I, 32-slide rail II, 311-groove rail, 312-roller, 313-locking screw rod I, 314-hinged plate, 315-sliding block, 4-front supporting rod mechanism, 41-front supporting rod I, 411-sleeve rod, 412-adjusting rod, 42-front supporting rod II, 421-locking screw rod II, 422-fixing hole, 423-hinged head I, 43-connecting rod, 44-reinforcing rod, 5-foot fixing mechanism, 51-sole supporting plate, 52-foot binding belt, 53-hinging soft plate, 54-ankle protective side pad, 55-ankle supporting plate, 6-calf fixing mechanism, 61-calf supporting band, 62-calf supporting bar I, 621-hinging head II, 63-calf supporting bar II, 631-hinging head III, 7-thigh fixing mechanism, 71-thigh supporting bar I, 711-hinging head IV, 712-bending part, 72-thigh supporting band, 73-thigh supporting bar II, 731-hinging head V, 8-adjusting mechanism, 81-adjusting pipe I, 82-mounting bent rod, 83-adjusting main rod, 84-fixing bent rod and 85-adjusting pipe II.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1 to 7, the present invention provides a technical solution: a binding and fixation device for fracture reduction, comprising: the upper part of the fixed base plate 1 is hinged with the mounting plate 2, the upper surface of the mounting plate 2 is provided with the slide rail mechanism 3, the adjusting mechanism 8 is arranged at the rear end of the fixed base plate 1, the upper end of the adjusting mechanism 8 is movably provided with the thigh fixing mechanism 7, the front end of the thigh fixing mechanism 7 is hinged with the rear end of the shank fixing mechanism 6, the foot fixing mechanism 5 is hinged with the front end of the shank fixing mechanism 6, the front support rod mechanism 4 is hinged at the lower side of the front end of the shank fixing mechanism 6, the lower end of the front support rod mechanism 4 is movably arranged on the slide rail mechanism 3, the fixed base plate 1 comprises an adjusting screw rod 11, a limit frame 12, a wedge block 14 and a plate body I13, the wedge block 14 comprises a slide bar 141, the limit frame 12 comprises a slide groove I121, the first plate body 13 comprises a hinge pipe 131 and an abdicating arc groove 132, the mounting plate 2 comprises a second plate body 21 and a hinge rod 22, the slide rail mechanism 3 comprises a first slide rail 31 and a second slide rail 32, both the first slide rail 31 and the second slide rail 32 comprise a groove rail 311, a roller 312, a first locking screw 313, a slider 315 and a hinge plate 314, the front support rod mechanism 4 comprises a first front support rod 41, a second front support rod 42, a connecting rod 43 and a reinforcing rod 44, both the first front support rod 41 and the second front support rod 42 comprise a loop bar 411, an adjusting rod 412, a second locking screw 421, a fixing hole 422 and a first hinge head 423, the foot fixing mechanism 5 comprises a sole supporting plate 51, a foot binding belt 52, a hinge soft plate 53, an ankle protecting side pad 54 and an ankle supporting plate 55, the lower leg fixing mechanism 6 comprises a lower leg supporting plate 61, a first lower leg supporting rod 62 and a second lower leg supporting rod 63, the first lower leg supporting rod 62 comprises a second hinge head 621, the second lower leg supporting rod 63 comprises a third hinge head 631, the thigh fixing mechanism 7 comprises a thigh supporting rod I71, a thigh supporting belt 72 and a thigh supporting rod II 73, wherein the thigh supporting rod I71 comprises a hinge joint IV 711 and a bending part 712, the thigh supporting rod II 73 comprises a hinge joint V731, and the adjusting mechanism 8 comprises an adjusting pipe I81, a mounting bending rod 82, an adjusting main rod 83, a fixing bending rod 84 and an adjusting pipe II 85.
Referring to fig. 1 to 4, the limiting frame 12 is disposed on the front side of the upper surface of the first plate body 13, the adjusting screw 11 is movably mounted on the front surface of the limiting frame 12, the first sliding groove 121 is disposed on the inner wall of the left side and the inner wall of the right side of the limiting frame 12, the wedge block 14 is movably mounted inside the limiting frame 12, the sliding strip 141 is disposed on the left surface and the right surface of the wedge block 14, the front end of the wedge block 14 is movably connected with the rear end of the adjusting screw 11, the hinge pipe 131 is disposed on the rear end of the first plate body 13, the left side and the right side of the rear end of the first plate body 13 are respectively provided with the abdicating arc groove 132, the hinge rod 22 is movably mounted on the lower side of the rear end of the second plate body 21, the rear end of the first plate body 13 is hinged with the lower side of the rear end of the second plate body 21 through the hinge pipe 131 and the hinge rod 22, and the first sliding rail 31 and the second sliding rail 32 are respectively mounted on the left side and the upper surface of the second plate body 21.
Referring to fig. 1 to 6, a slide block 315 is movably mounted at the upper end of a slot track 311, the slide block 315 is movably mounted on the upper surfaces of a first slide rail 31 and a second slide rail 32, a hinge plate 314 is disposed in the middle of the upper surface of the slide block 315, a first locking screw 313 is movably mounted at the outer side end of the slide block 315, a roller 312 is movably mounted at the lower surface of the slide block 315, the lower end of the roller 312 is connected with the inside of the slot track 311 in a rolling manner, the lower ends of the first front support rod 41 and the second front support rod 42 are hinged with the slide block 315 through the hinge plate 314, a loop bar 411 is respectively disposed at the lower ends of the first front support rod 41 and the second front support rod 42, a fixed hole 422 is disposed on the outer side surface of the loop bar 411, a second locking screw 421 is mounted in the fixed hole 422, an adjusting bar 412 is movably mounted at the upper end of the adjusting bar 412, a connecting bar 43 is disposed between the lower ends of the first front support rod 41 and the second front support rod 42, a reinforcing bar 44 is disposed between the upper ends of the first front support rod 41 and the second front support rod 42, the foot fixing mechanism 5 is hinged between the upper ends of the first front support rod 41 and the second front support rod 42, the hinged soft board 53 is hinged between the upper ends of the adjusting rods 412 through a first hinge joint 423, the lower end of the hinged soft board 53 is fixedly connected with the lower surface lower side of the sole supporting plate 51, the foot bandage 52 is installed at the upper end of the sole supporting plate 51, ankle protecting side pads 54 are arranged at the left end and the right end of the lower side of the sole supporting plate 51, and the ankle supporting plate 55 is arranged at the lower end of the sole supporting plate 51.
Referring to fig. 1 to 4, the inclined surface is disposed on the upper surface of the wedge block 14, the rear end of the second plate body 21 is provided with a relief groove, the shape of the relief groove corresponds to that of the hinged pipe 131, the threaded hole is disposed on the front surface of the limit frame 12, the rear end of the adjusting screw 11 is connected with the front surface of the wedge block 14 through a bearing, the crank is disposed at the front end of the adjusting screw 11, when the height of the front end of the second plate body 21 needs to be adjusted in practical use, the crank at the front end of the adjusting screw 11 is manually rotated clockwise, due to the threaded connection between the adjusting screw 11 and the front end of the limit frame 12, the adjusting screw 11 moves backwards in the threaded hole at the front end of the limit frame 12, the rear end of the adjusting screw 11 moves backwards to drive the wedge block 14 to move backwards in the limit frame 12, the sliding strips 141 on the left surface and the right surface of the wedge block 14 move in the first sliding groove 121, so as to ensure that the wedge block 14 does not shift backwards, because the rear end of the first plate body 13 is hinged and connected with the rear end of the second plate body 21 through the hinge rod 22 and the hinge pipe 131, the front ends of the first plate body 13 and the second plate body 21 are not contacted, the front ends of the second plate body 21 are supported by the wedge block 14, so that the whole inclined type of the second plate body 21 is lifted, the lifting amount of the front end of the second plate body 21 is greater than the lifting amount of the rear end of the second plate body 21, the purpose of adjusting the inclination of the second plate body 21 is achieved, and the comfort level of legs of a patient is guaranteed.
Referring to fig. 1 to 6, the first slide rail 31 and the second slide rail 32 have the same specification, the second slide groove is respectively disposed on the front left surface and the right surface of the groove rail 311, the bar-shaped slide block 315 is respectively disposed on the left side and the right side of the inner wall of the slide block 315, the first front support rod 41 and the second front support rod 42 have the same specification, the sole supporting plate 51 and the ankle supporting plate 55 are integrally designed, in practical use, the sole supporting plate 51 cooperates with the ankle supporting plate 55 to enable the foot of the patient to have a force application point, so as to improve the comfort of the foot of the patient, and the hinged soft plate 53 is hinged to the first front support rod 41 and the second front support rod 42 to enable the sole supporting plate 51 to move conveniently, so as to facilitate the movement of the foot of the patient, and the protective side pads 54 are disposed at the left end and the right end of the lower side of the ankle of the sole supporting plate 51 to protect the ankle of the patient when the patient is doing foot movement.
Referring to fig. 1 to 7, the adjusting main rod 83 is movably mounted at the rear end of the second plate body 21 through a fixed bent rod 84 and an adjusting tube two 85, the mounting bent rod 82 is movably mounted at the left end and the right end of the adjusting main rod 83 respectively, the upper end of the mounting bent rod 82 is provided with an adjusting tube one 81, the upper end of the adjusting tube one 81 is movably mounted with a bending part 712, the bending part 712 is arranged at the lower end of the thigh support rod one 71 and the thigh support rod two 73 respectively, the thigh support band 72 is mounted between the thigh support rod one 71 and the thigh support rod two 73, the front end of the thigh support rod one 71 is provided with a hinge head four 711, the front end and the rear end of the shank support band one 62 are provided with a hinge head two 621, the hinge head three 631 is arranged at the front end and the rear end of the shank support band two 63 respectively, the shank 61 is mounted between the shank support band one 62 and the shank support band two 63, the front end of the thigh support band one 71 is provided with a hinge head four 711, The second hinge joint 621 is hinged with the rear end of the first shank support rod 62, and the front end of the second thigh support rod 73 is hinged with the rear end of the second shank support rod 63 through the fifth hinge joint 731 and the third hinge joint 631.
Referring to fig. 1 to 7, the soft pad is disposed on the upper surface of the adjusting main rod 83, the lower ends of the thigh support rods 71 and the thigh support rods 73 are respectively connected with the left end and the right end of the adjusting main rod 83 through the bending part 712, the adjusting pipe 81 and the installation bent rod 82, the front end of the shank support rod 62 is hinged with the upper end of the front support rod 41 through the hinge joint two 621 and the hinge joint one 423, the front end of the shank support rod two 63 is hinged with the upper end of the front support rod two 42 through the hinge joint three 631 and the hinge joint one 423, the binding band is disposed on the left side of the shank support band 61 and on the left side of the thigh support band 72, when in actual use, the shank support band 61 in the shank fixing mechanism 6 and the thigh support band 72 in the thigh fixing mechanism 7 respectively support and protect the shank and the thigh of a patient, thereby improving comfort of the patient and reducing discomfort caused by long-time placement of the thigh and the shank, because the front end of the thigh supporting rod 71 is hinged with the rear end of the shank supporting rod 62 through the hinge head four 711 and the hinge head two 621, the front end of the thigh supporting rod two 73 is hinged with the rear end of the shank supporting rod 62 through the hinge head five 731 and the hinge head three 631 is hinged with the rear end of the shank supporting rod 62, so that the hinged part between the thigh fixing mechanism 7 and the shank fixing mechanism 6 has the bending and stretching capacity, the patient can adjust the shank fixing mechanism 6 according to actual requirements, the thigh fixing mechanism 7 ensures the comfort degree of leg placement, the shank fixing mechanism 6 which moves simultaneously, the thigh fixing mechanism 7 and the adjusting mechanism 8 enable the patient to do rehabilitation exercise conveniently, and the recovery capacity of the patient is improved.
As an embodiment of the present invention: when a patient lies or sits for a long time, the patient can feel uncomfortable, sometimes the patient needs to lean against a sickbed for sitting for a while and then lies again, so that the discomfort of lying for a long time is relieved, the height of the front end of the plate body II 21 needs to be adjusted, the body posture of the patient can be conveniently adjusted, a medical worker manually and clockwise shakes a crank at the front end of the adjusting screw 11, because the adjusting screw 11 is in threaded connection with the front end of the limiting frame 12, the adjusting screw 11 rotating clockwise moves backwards in a threaded hole at the front end of the limiting frame 12, the rear end of the adjusting screw 11 moves backwards and simultaneously pushes the wedge block 14 to move backwards in the limiting frame 12, the sliding strips 141 on the left surface and the right surface of the wedge block 14 move in the sliding groove I121 in the limiting frame 12, the limiting of the sliding strips 141 and the sliding groove I121 ensure that the wedge block 14 cannot deflect when moving backwards, and as the wedge block 14 moves backwards, the upper surface of the wedge block 14 applies upward thrust to the plate body II 21, meanwhile, downward pressure is applied to the first plate body 13, the first plate body 13 is in contact with the surface of a sickbed and cannot move downwards, the rear end of the first plate body 13 is hinged with the rear end of the second plate body 21 through the hinge rod 22 and the hinge pipe 131, the front ends of the first plate body 13 and the second plate body 21 are not in contact with each other, the front end of the second plate body 21 is supported by the upward thrust of the wedge block 14, the second plate body 21 rotates on the original place by taking the axis of the hinge rod 22 as the center of a circle, the second plate body 21 integrally inclines and ascends, the ascending amount of the front end of the second plate body 21 is larger than the ascending amount of the rear end of the second plate body 21, so that the purpose of adjusting the inclination of the second plate body 21 is achieved, the foot fixing mechanisms 5 and the shank fixing mechanisms 6 above the second plate body 21 are obliquely lifted, the comfort level of the legs of the patient is improved, when the foot fixing mechanisms 5 and the shank fixing mechanisms 6 need to be lowered, only the crank at the front end of the adjusting screw rod 11 needs to be shaken anticlockwise, the wedge block 14 is pulled forwards by the adjusting screw 11, and the front end of the second plate body 21 which is not supported descends along with the forward movement of the wedge block 14, so that the use is convenient, and the operation of medical staff is convenient.
As an embodiment of the present invention: when a patient needs to perform leg rehabilitation training, a medical staff manually unscrews the first locking screw 313 at the outer side end of the sliding block 315, so that the lower end of the first locking screw 313 is not in contact with the upper surface of the groove rail 311, the sliding block 315 is in a slidable state, the lower leg supporting band 61 in the lower leg fixing mechanism 6 and the thigh supporting band 72 in the thigh fixing mechanism 7 respectively support the lower leg and the thigh of the patient, meanwhile, the left binding bands of the left side of the thigh supporting band 72 and the left side of the lower leg supporting band 61 fix the thigh and the lower leg of the patient, so that the thigh fixing mechanism 7 and the lower leg fixing mechanism 6 form a leg supporting exoskeleton to protect the legs of the patient and provide supporting force, because the front end of the first thigh supporting bar 71 is hinged with the rear end of the first lower leg supporting bar 62 through the fourth hinge joint 711 and the second hinge joint 621, the front end of the second thigh supporting bar 73 is hinged with the rear end of the first lower leg supporting bar 62 through the fifth hinge joint 731 and the third hinge joint 631, the hinged part between the thigh fixing mechanism 7 and the shank fixing mechanism 6 can be bent and straightened like the knee of a person, a patient can drive the thigh fixing mechanism 7 and the shank fixing mechanism 6 to do repeated bending and straightening motions of the leg by controlling leg muscles and exerting force through muscle contraction, meanwhile, the installation bent rod 82 and the adjustment main rod 83 in the adjustment mechanism 8 can rotate, so that the first thigh support rod 71 and the second thigh support rod 73 can move in a fixed axis mode through the bent part 712, the first adjustment pipe 81 and the rear end of the installation bent rod 82, the thigh fixing mechanism 7 and the shank fixing mechanism 6 can move freely when the repeated bending and straightening motions of the leg are guaranteed, the shank fixing mechanism 6 can move forwards and backwards, and meanwhile, the lower end hinged sliding block 315 of the front support rod mechanism 4 is in a movable state, and the shank fixing mechanism 6 is driven by the leg muscles of the patient to push forwards or pull backwards to drive the front support The first front support bar and the second front support bar in the bar mechanism 4 respectively slide on the first slide rail 31 and the second slide rail 32, the roller 312 installed on the lower surface of the slider 315 reduces the sliding resistance of the slider 315 on the slot rail 311, so as to facilitate the bending and stretching movement of the leg of the patient, when the patient feels that the foot is placed higher or lower, the length of the lower end of the adjusting bar 412 in the upper end of the loop bar 411 can be adjusted by loosening the locking screw rod II 421, so as to change the heights of the lower leg fixing mechanism 6 and the foot fixing mechanism 5, when the patient needs to do exercise on the lower leg muscles and the ankle, the ankle of the patient is placed in the ankle support plate 55, the two sides of the ankle of the patient are contacted with the ankle protection side pads 54, the sole of the patient is attached to the sole support plate 51, the front end of the sole of the patient is fixed on the sole support plate 51 through the foot strap 52, and the ankle of the patient controls the ankle to move by using the muscles on the lower leg, because sole layer board 51 is articulated through articulated soft board 53 and shank fixed establishment 6 front end, make whole foot fixed establishment 5 use articulated soft board 53 and shank fixed establishment 6 front end hinge department as the centre of a circle to move about, make patient's ankle can move about freely, can not receive the constraint, ankle protection side pad 54 cooperates ankle layer board 55 to provide support and protection for patient's ankle simultaneously, prevent that patient's ankle from breaking away from with foot fixed establishment 5 when the activity, avoid patient's shank to take place the condition emergence of secondary injury.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (7)

1. A binding and fixation device for fracture reduction, comprising: PMKD (1), mounting panel (2), slide rail mechanism (3), preceding bracing piece mechanism (4), foot fixed establishment (5), shank fixed establishment (6), thigh fixed establishment (7) and adjustment mechanism (8), its characterized in that: mounting panel (2) articulates in PMKD (1) top, surface mounting has slide rail mechanism (3) on mounting panel (2), adjustment mechanism (8) are installed to PMKD (1) rear end, adjustment mechanism (8) upper end movable mounting has thigh fixed establishment (7), thigh fixed establishment (7) front end is connected with shank fixed establishment (6) rear end is articulated, shank fixed establishment (6) front end is articulated to have foot fixed establishment (5), shank fixed establishment (6) front end downside is articulated to have preceding bracing piece mechanism (4), preceding bracing piece mechanism (4) lower extreme movable mounting is on slide rail mechanism (3), PMKD (1) includes adjusting screw (11), spacing frame (12), wedge (14) and plate body (13), wedge (14) include draw runner (141), spacing frame (12) are including spout one (121), plate body one (13) are including articulated pipe (131) and abdicating arc groove (132), mounting panel (2) are including plate body two (21), hinge bar (22), slide rail mechanism (3) are including slide rail one (31), slide rail two (32), slide rail one (31), slide rail two (32) all include grooved rail (311), gyro wheel (312), locking screw one (313), slider (315) and articulated board (314), preceding bracing piece mechanism (4) are including preceding branch (41), preceding branch two (42), connecting rod (43) and stiffener (44), preceding branch one (41), preceding branch two (42) all include loop bar (411), adjust pole (412), locking screw two (421), fixed orifices (422) and articulated first (423), foot fixed establishment (5) are including sole layer board (51), A foot strap (52), a hinged soft board (53), an ankle protective side pad (54) and an ankle supporting board (55), the shank fixing mechanism (6) comprises a shank supporting strap (61), a shank supporting rod I (62) and a shank supporting rod II (63), the first shank support rod (62) comprises a second articulated joint (621), the second shank support rod (63) comprises a third articulated joint (631), the thigh fixing mechanism (7) comprises a thigh supporting rod I (71), a thigh supporting band (72) and a thigh supporting rod II (73), the thigh support rod I (71) comprises a joint IV (711) and a bending part (712), thigh bracing piece two (73) are including articulated head five (731), adjustment mechanism (8) are including adjusting pipe one (81), installation curved bar (82), regulation mobile jib (83), fixed curved bar (84) and adjusting pipe two (85).
2. The binding fixture for fracture reduction of claim 1, wherein: the utility model discloses a plate body, including plate body one (13) upper surface front side, surface movable mounting has adjusting screw (11) before spacing frame (12), inside left side inner wall, the right side inner wall of spacing frame (12) are equipped with spout one (121) respectively, inside movable mounting has wedge (14) in spacing frame (12), wedge (14) left surface, right surface are equipped with draw runner (141) respectively, wedge (14) front end and adjusting screw (11) rear end swing joint, be equipped with articulated pipe (131) in the middle of plate body one (13) rear end, plate body one (13) rear end left side, right side are equipped with respectively and let a position arc groove (132), plate body two (21) rear end downside movable mounting has articulated pole (22), plate body one (13) rear end is connected with plate body two (21) rear end downside through articulated pipe (131), articulated pole (22), and a first sliding rail (31) and a second sliding rail (32) are respectively arranged on the left side and the right side of the upper surface of the second plate body (21).
3. The binding fixture for fracture reduction of claim 1, wherein: the upper end of the groove rail (311) is movably provided with a sliding block (315), the sliding block (315) is respectively movably arranged on the upper surfaces of a first sliding rail (31) and a second sliding rail (32), a hinged plate (314) is arranged in the middle of the upper surface of the sliding block (315), a first locking screw rod (313) is movably arranged at the outer side end of the sliding block (315), a roller (312) is movably arranged at the lower surface of the sliding block (315), the lower end of the roller (312) is connected with the groove rail (311) in a rolling manner, the lower ends of a first front supporting rod (41) and a second front supporting rod (42) are hinged with the sliding block (315) through the hinged plate (314), sleeve rods (411) are respectively arranged at the lower ends of the first front supporting rod (41) and the second front supporting rod (42), fixed holes (422) are formed in the outer side surface of the sleeve rods (411), a second locking screw rod (421) is arranged in the fixed holes (422), and adjusting rods (412) are movably arranged at the upper end of the sleeve rods (411), adjust pole (412) upper end and be equipped with articulated first (423), be equipped with connecting rod (43) between first (41), two (42) lower extremes of front strut, be equipped with stiffener (44) between first (41), two (42) upper extremes of front strut, it has foot fixed establishment (5) to articulate between first (41), two (42) upper extremes of front strut, articulated soft board (53) articulate between adjusting pole (412) upper end through articulated first (423), articulated soft board (53) lower extreme and sole layer board (51) lower surface downside fixed connection, foot bandage (52) are installed to sole layer board (51) upper end, sole layer board (51) downside left end, right-hand member are equipped with protection ankle side pad (54), sole layer board (51) lower extreme is equipped with ankle layer board (55).
4. The binding fixture for fracture reduction of claim 1, wherein: the wedge (14) upper surface is equipped with the inclined plane, the groove of stepping down has been seted up to two (21) rear ends of plate body, and the groove shape of stepping down is corresponding with articulated pipe (131), threaded hole has been seted up to spacing frame (12) front surface, adjusting screw (11) rear end is passed through the bearing and is connected with wedge (14) front surface, adjusting screw (11) front end is equipped with the crank, and when the in-service use, when the height of two (21) front ends of needs adjusting plate body, the crank of manual clockwise rotation adjusting screw (11) front end because adjusting screw (11) and spacing frame (12) front end threaded connection for adjusting screw (11) is at the downthehole rearward movement of the screw of spacing frame (12) front end, and adjusting screw (11) rear end rearward movement drives wedge (14) and moves backward in spacing frame (12), and slide bar (141) on wedge (14) left surface, right surface move in spout (121), guarantee wedge (14) can not squint, along with wedge (14) rearward movement, because plate body (13) rear end passes through hinge bar (22), articulated pipe (131) and plate body two (21) rear end is articulated to be connected, plate body one (13), plate body two (21) front end contactless, wedge (14) prop up plate body two (21) front end for plate body two (21) whole tilting rises, plate body two (21) front end uplift volume is greater than plate body two (21) rear end uplift volume, reach the purpose of adjusting plate body two (21) gradient with this.
5. The binding fixture for fracture reduction of claim 1, wherein: slide rail (31) are the same with slide rail two (32) specification, left surface, right surface are equipped with spout two respectively before grooved rail (311), slider (315) inner wall left side, right side are equipped with bar slider (315) respectively, preceding branch (41) are the same with two (42) specifications of preceding branch, sole layer board (51) and ankle layer board (55) body design, when the in-service use, sole layer board (51) cooperation ankle layer board (55), let patient's foot possess the impetus, promote patient's comfort level, articulated soft board (53) are connected with preceding branch (41) and two (42) hinges simultaneously for sole layer board (51) are convenient for the activity, set up ankle protection side pad (54) at sole layer board (51) downside left end, right-hand member, make the patient protect the patient's ankle when doing the foot motion.
6. The binding fixture for fracture reduction of claim 1, wherein: adjust mobile jib (83) through fixed knee (84), two (85) movable mounting of control tube in plate body two (21) rear end, adjust mobile jib (83) left end, right-hand member movable mounting have installation knee (82), installation knee (82) upper end is equipped with control tube (81), control tube (81) upper end movable mounting has flexion (712), thigh bracing piece one (71), thigh bracing piece two (73) lower extreme all are equipped with flexion (712), install thigh supporting band (72) between thigh bracing piece one (71), thigh bracing piece two (73), thigh bracing piece one (71) front end is equipped with hinge head four (711), thigh bracing piece two (73) front end is equipped with hinge head five (731), shank bracing piece one (62) front end, rear end all are equipped with hinge head two (621), shank bracing piece two (63) front end, The rear end all is equipped with articulated head three (631), install shank support area (61) between shank bracing piece one (62), the shank bracing piece two (63), thigh bracing piece one (71) front end is connected with shank bracing piece one (62) rear end is articulated through articulated head four (711), articulated head two (621), thigh bracing piece two (73) front end is connected with shank bracing piece two (63) rear end is articulated through articulated head five (731), articulated head three (631).
7. The binding fixture for fracture reduction of claim 1, wherein: the upper surface of the adjusting main rod (83) is provided with a cushion, the lower ends of the thigh supporting rod I (71) and the thigh supporting rod II (73) are respectively connected with the left end and the right end of the adjusting main rod (83) through a bending part (712), an adjusting pipe I (81) and an installation bent rod (82), the front end of the shank supporting rod I (62) is hinged with the upper end of the front supporting rod I (41) through a hinge joint II (621) and a hinge joint I (423), the front end of the shank supporting rod II (63) is hinged with the upper end of the front supporting rod II (42) through a hinge joint III (631) and a hinge joint I (423), the left side of the shank supporting band (61) is provided with a binding band, when the thigh supporting band is actually used, the shank supporting band (61) in the shank fixing mechanism (6) and the thigh supporting band (72) in the thigh fixing mechanism (7) respectively support and protect the shank and the thigh of a patient, promote patient's comfort level, reduce the uncomfortable sense that patient's thigh and shank were placed for a long time and are brought, because shank fixed establishment (6), thigh fixed establishment (7) and adjustment mechanism (8) are articulated each other and are connected, make shank fixed establishment (6), possess the controllability between thigh fixed establishment (7) and the adjustment mechanism (8), the patient can adjust shank fixed establishment (6) according to actual demand, thigh fixed establishment (7), guarantee the comfort level that the shank was placed, shank fixed establishment (6) of activity simultaneously, thigh fixed establishment (7) and adjustment mechanism (8) make the patient be convenient for do the rehabilitation campaign.
CN202111186490.5A 2021-10-12 2021-10-12 Binding and fixing device for fracture reduction Pending CN113730136A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111186490.5A CN113730136A (en) 2021-10-12 2021-10-12 Binding and fixing device for fracture reduction

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111186490.5A CN113730136A (en) 2021-10-12 2021-10-12 Binding and fixing device for fracture reduction

Publications (1)

Publication Number Publication Date
CN113730136A true CN113730136A (en) 2021-12-03

Family

ID=78726462

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202111186490.5A Pending CN113730136A (en) 2021-10-12 2021-10-12 Binding and fixing device for fracture reduction

Country Status (1)

Country Link
CN (1) CN113730136A (en)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6224521B1 (en) * 1998-06-08 2001-05-01 MISSION SANTé BOIS-FRANCS INC. Orthopedic exerciser
EP1537793A2 (en) * 2003-12-05 2005-06-08 Falke Kg Leg garment
CN206473518U (en) * 2016-10-25 2017-09-08 程文琦 A kind of exercising machine for the rehabilitation training of sickbed patients leg
CN107468464A (en) * 2017-09-01 2017-12-15 深圳市人民医院 The multi-functional exercising apparatus of lower limb
CN208693655U (en) * 2017-12-11 2019-04-05 内蒙古科技大学包头医学院 It is multifunctional medical nursing bed
CN211067278U (en) * 2019-10-30 2020-07-24 丰青宁 Leg bone external fixation device suitable for orthopedic medical treatment

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6224521B1 (en) * 1998-06-08 2001-05-01 MISSION SANTé BOIS-FRANCS INC. Orthopedic exerciser
EP1537793A2 (en) * 2003-12-05 2005-06-08 Falke Kg Leg garment
CN206473518U (en) * 2016-10-25 2017-09-08 程文琦 A kind of exercising machine for the rehabilitation training of sickbed patients leg
CN107468464A (en) * 2017-09-01 2017-12-15 深圳市人民医院 The multi-functional exercising apparatus of lower limb
CN208693655U (en) * 2017-12-11 2019-04-05 内蒙古科技大学包头医学院 It is multifunctional medical nursing bed
CN211067278U (en) * 2019-10-30 2020-07-24 丰青宁 Leg bone external fixation device suitable for orthopedic medical treatment

Similar Documents

Publication Publication Date Title
CN110916979A (en) Knee joint rehabilitation training chair
CN111111096A (en) Recovered exerciser that uses of disabled patient
CN207785792U (en) A kind of lower limb rehabilitation training device
CN207722014U (en) A kind of improved limb bracket
CN208031353U (en) It is a kind of lumbar traction bed
CN213098952U (en) Medical treatment is with shank support nursing device
CN113730136A (en) Binding and fixing device for fracture reduction
CN206151796U (en) Intelligence low limbs rehabilitation training device
CN113599176A (en) Knee joint active bending and stretching function exercise robot after artificial total knee joint replacement
CN214632928U (en) Orthopedic nursing rehabilitation device
CN209847672U (en) Support is used in vascular surgery nursing
CN211962500U (en) Four-limb rehabilitation exercise bed for stroke patient
CN211356563U (en) Portable ankle sport device
CN109481121B (en) Unpowered cervical vertebra rehabilitation physiotherapy instrument
CN107242947A (en) It is a kind of medical care bed
CN108404361A (en) A kind of paces training aids
CN208864674U (en) Bedside multi-angle recovery function plint
CN209285341U (en) A kind of toilet seat
CN208065375U (en) A kind of modified three-stage mattress
CN213490339U (en) Movable plate capable of preventing deep vein thrombosis of lower limbs
CN219941150U (en) Bone fracture recovery training device
CN210989266U (en) Universal spine protection bed bracket assembly
CN214968554U (en) Hemiplegia fitness equipment for rehabilitation medical science
CN217162401U (en) Hip-knee joint drafting bed
CN221332655U (en) Lumbar intervertebral disc protrusion patient's back muscle exercise appearance

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
RJ01 Rejection of invention patent application after publication
RJ01 Rejection of invention patent application after publication

Application publication date: 20211203