CN113925592A - Axial compression reduction device for calcaneus fracture - Google Patents

Axial compression reduction device for calcaneus fracture Download PDF

Info

Publication number
CN113925592A
CN113925592A CN202111367276.XA CN202111367276A CN113925592A CN 113925592 A CN113925592 A CN 113925592A CN 202111367276 A CN202111367276 A CN 202111367276A CN 113925592 A CN113925592 A CN 113925592A
Authority
CN
China
Prior art keywords
clamp body
calcaneus
axial compression
reduction device
fracture
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
CN202111367276.XA
Other languages
Chinese (zh)
Inventor
李振东
和文宝
杨云峰
李兵
夏江
周海超
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.)
Shanghai Tongji Hospital
Original Assignee
Shanghai Tongji Hospital
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 Shanghai Tongji Hospital filed Critical Shanghai Tongji Hospital
Priority to CN202111367276.XA priority Critical patent/CN113925592A/en
Publication of CN113925592A publication Critical patent/CN113925592A/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/2833Locking means

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

The utility model relates to an axial compression reduction device for calcaneal fracture, which comprises a first clamp body and a second clamp body; the first clamp body is hinged with the second clamp body through a rotating shaft; the parts of the first clamp body and the second clamp body at the front section of the rotating shaft are both in an oblique and upward bending shape; the head end of the first clamp body is provided with two branch structures, the head end of each branch structure is provided with a solid metal ball, and the solid metal ball is connected with a conical sharp device; the head end of the second clamp body has no branch structure, and the rest structures are the same as the first clamp body; the first clamp body and the second clamp body are in a connectable fixed structure between the rear sections of the rotating shafts. Its advantages are: the axial pressurization and the double-arm design are adopted, so that the device is suitable for the complicated anatomical characteristics of calcaneus, the operation difficulty is reduced, and the holding force between the device and a bone block is increased.

Description

Axial compression reduction device for calcaneus fracture
Technical Field
The utility model relates to the technical field of medical instruments, in particular to an axial compression reduction device for calcaneal fracture.
Background
In clinical work of ankle surgery, calcaneus fracture is relatively common, and when incision reduction surgery is performed, anatomical reduction is required to be optimal, so that the postoperative function of a patient is close to that of a normal person as much as possible. Calcaneal fractures are less likely to be nonunion, but often have abnormal healing, i.e., high loss, joint surface mismatching, lateral bulging, and abnormal force lines, and therefore require more anatomical reduction. Methods for intraoperative reduction of bone mass currently typically employ tools such as distractors, k-wire periosteum dissectors, and tissue clamps. However, because the calcaneus bone structure is complex, sometimes the operation is difficult by using the above-mentioned apparatus, and the anatomical reduction of the displaced bone block is difficult in the operation. Especially when the heel bone fracture is two or more parts in front and back, the current apparatus is difficult to play a good reset effect and the operation difficulty is very big, the operation time is increased, and the repeated operation can also cause trauma to peripheral nerve blood vessels, resulting in postoperative complications. In addition, the kirschner wire, the vascular forceps and the tissue forceps are used as a resetting device, on one hand, the holding force is weak, and the bone block is easy to slip off during the operation in the operation, so that the repeated operation in the operation is caused; on the other hand, since they are not dedicated compression reduction devices, there is a high possibility that these instruments are damaged or cause a medically-derived fracture in surgery when they are improperly used. The existing calcaneus reduction device also has the defects of difficult axial reduction, insufficient holding force and the like.
Chinese patent documents: CN201420731733.8, application date 2014.11.28, patent names: a calcaneus inclined forceps restorer. The utility model discloses a calcaneum diagonal forceps restorer, including the pincers body, the pincers body includes and connects in integrative first pincers body and second pincers body through the pivot, the head end of first pincers body and second pincers body respectively is equipped with a solid spherical blunt head of metal, a toper sharp ware is connected to the solid spherical blunt head of metal, the two forms a closed framework in the part of pivot anterior segment when the toper sharp ware of first pincers body and second pincers body each other contacts, and the part of first pincers body and second pincers body at the pivot anterior segment all is ascending crooked shape in the slant, the tail end of first pincers body and second pincers body respectively is equipped with a latch closure, be located the first pincers body at pivot rear and be fixed with the screw rod, the other end of screw rod passes the second pincers body and is provided with the nut on the screw rod of wearing out the second pincers body.
Chinese patent documents: CN201620441070.5, application date 2016.05.16, patent names: a compression repositor for calcaneal fracture. Discloses a calcaneus fracture compression repositor, belongs to the technical field of orthopedic medical instruments, and is used for compression reposition of calcaneus fracture. The technical scheme is as follows: the utility model adopts a clamp type structure, the plate surfaces of two clamp plates are parallel and opposite, the clamp plates are clamped at two sides of the calcaneus needing to be reset, two handles are tightly held, and the two clamp plates apply pressure to the middle of two sides of the calcaneus to reset the fracture of the calcaneus, thereby achieving the purpose of correcting the widening and the malformation of the calcaneus. The pressing balls and the springs on the two splints can have better adaptability to the fracture part, and the whole even flexible pressing is carried out along with the different heights of the fracture part, thereby achieving better pressing reset effect.
The calcaneus diagonal forceps restorer in the patent document CN201420731733.8 is characterized in that a first forceps body and a second forceps body are connected into a whole through a rotating shaft, the head ends of the first forceps body and the second forceps body are respectively provided with a metal solid spherical blunt head, the metal solid spherical blunt heads are connected with a conical sharp device, and when the conical sharp devices of the first forceps body and the second forceps body are contacted, a closed frame is formed at the front section of the rotating shaft; and a calcaneus fracture pressurization restorer in patent document CN201620441070.5, then through clamp type structure, the face parallel of two splint is relative, splint clamp is in the calcaneus both sides that need reset, hold tightly two handles, two splint are in designs such as the middle application of pressure of calcaneus both sides side direction, the utility model discloses a calcaneus fracture restorer's pioneering, simple structure has, convenient to use, the pressurization is even reliable, the effectual advantage resets, can reset the operation to calcaneus fracture under soft closed state such as skin, muscle, correct calcaneus widen deformity, the defect of traditional operation method has been avoided, created the advantage for carrying out minimal access surgery. However, there is no report on an axial compression reduction device for calcaneal fracture, which adopts axial compression and double-arm design, so as to adapt to the complex anatomical features of calcaneus, reduce the operation difficulty and increase the holding force between the instruments and the bone blocks.
In summary, there is a need for an axial compression reduction device for calcaneal fracture, which adopts axial compression and double-arm design, so as to adapt to the complicated anatomical features of calcaneus, reduce the surgical difficulty, and increase the holding force between the instruments and the bone block.
Disclosure of Invention
The utility model aims to overcome the defects of the prior art and provide the axial compression reduction device for calcaneus fracture, which adopts axial compression and double-arm design, thereby being suitable for the complicated anatomical characteristics of calcaneus, reducing the operation difficulty and increasing the holding force between instruments and bone blocks.
In order to achieve the purpose, the utility model adopts the technical scheme that:
an axial compression reduction device for calcaneal fracture, which comprises a first clamp body and a second clamp body; the first clamp body is hinged with the second clamp body through a rotating shaft; the parts of the first clamp body and the second clamp body at the front section of the rotating shaft are both in an oblique and upward bending shape; the head end of the first clamp body is provided with two branch structures, the head end of each branch structure is provided with a solid metal ball, and the solid metal ball is connected with a conical sharp device; the head end of the second clamp body has no branch structure, and the rest structures are the same as the first clamp body; the first clamp body and the second clamp body are in a connectable fixed structure between the rear sections of the rotating shafts.
As a preferred technical scheme, a screw rod is fixedly arranged on the first clamp body at the rear section of the rotating shaft, and the other end of the screw rod penetrates through the second clamp body and is provided with a nut on the screw rod penetrating through the second clamp body.
As a preferable technical scheme, the tail ends of the first forceps body and the second forceps body are respectively provided with a buckle.
As a preferable technical scheme, a hollowed-out inserting sheet is arranged on the inner side of the rear section of the first clamp body, and a hollowed-out inserting groove which is mutually embedded with the inserting sheet is arranged on the inner side of the rear section of the second clamp body; and the inserting pieces and the slot hollow-out shapes are also internally provided with screws and nuts.
The utility model has the advantages that:
1. all be oblique ascending bending shape through the part of first pincers body and second pincers body at the pivot anterior segment, and first pincers body head end is equipped with the design of two branch structures, arranges two of first pincers body in calcaneus tubercle both sides in the art, and the second pincers body is arranged in near calcaneus cuboid joint calcaneus side, alright carry out the pressurization effect that resets to the bone piece.
2. Through the design of the screw rod, when the first clamp body and the second clamp body are respectively arranged on two sides of the root bone joint and on the side close to the calcaneus of the calcaneus and the joint to be reset and pressurized satisfactorily, the first clamp body and the second clamp body can be temporarily fixed through rotating the nut.
3. Compared with the existing calcaneus compression reduction instrument, the axial compression reduction device for calcaneus fracture adopts an axial compression mode, is suitable for the complicated anatomical characteristics of the calcaneus, reduces the operation difficulty, and avoids the trauma to peripheral nerve vessels and the generation of postoperative complications.
4. Through the design that first pincers body front end is branch form, screw rod isotructure, increased the power of controlling between apparatus and the bone piece, operation in the simplification art saves operation time, and the bone piece is difficult to the slippage when operating in the art, avoids operating repeatedly in the art or using improperly and damaging the apparatus or cause the problem of the traditional chinese medical science nature fracture in the art.
Drawings
FIG. 1 is a schematic plane structure diagram of an axial compression reduction device for calcaneal fracture.
FIG. 2 is a schematic diagram of the connection structure of the rear sections of the first clamp body and the second clamp body of another axial compression reduction device for calcaneus fracture.
FIG. 3 is a schematic view of the mutual matching structure of the insertion sheet, the slot, the screw and the nut of another calcaneus fracture axial compression reduction device.
Detailed Description
The utility model is further described with reference to the following examples and with reference to the accompanying drawings.
The reference numerals and components referred to in the drawings are as follows:
1. a first clamp body 11, a rotating shaft
12. Metal solid sphere 13. cone sharp implement
14. Ring buckle 15. inserting piece
16. Slot 17. screw
18. Nut 2. second clamp
3. Screw rod 31, nut
Example 1
Referring to fig. 1, fig. 1 is a schematic plan view of an axial compression reduction device for calcaneal fracture according to the present invention. An axial compression reduction device for calcaneal fracture, which comprises a first clamp body 1 and a second clamp body 2; the first clamp body 1 is hinged with the second clamp body 2 through a rotating shaft 11; the parts of the first clamp body 1 and the second clamp body 2 at the front section of the rotating shaft are both in an oblique and upward bending shape; the head end of the first clamp body 1 is provided with two branch structures, the head end of each branch structure is provided with a solid metal sphere 12, and the solid metal sphere 12 is connected with a conical sharp device 13; the head end of the second clamp body 2 has no branch structure, and the rest structures are the same as the first clamp body 1; a screw 3 is fixedly arranged on the first clamp body 1 at the rear section of the rotating shaft 11; the other end of the screw rod 3 penetrates through the second clamp body 2, and a nut 31 is arranged on the screw rod 3 penetrating through the second clamp body 2; the tail ends of the first forceps body 1 and the second forceps body 2 are respectively provided with a ring buckle 14.
It should be noted that: the parts of the first clamp body 1 and the second clamp body 2 at the front section of the rotating shaft are both in an oblique and upward bending shape, the head end of the first clamp body 1 is provided with a design of two branch structures, two first clamp bodies 1 are arranged at two sides of a calcaneal tubercle in an operation, and the second clamp body 2 is arranged at the calcaneus side close to a calcaneus and cuboid joint, so that the bone block can be reset and pressurized; through the design of the screw rod 3, when the first clamp body 1 and the second clamp body 2 are respectively arranged on two sides of a root bone joint and on the heel bone side close to the calcaneus and the pressure is satisfied, the first clamp body 1 and the second clamp body 2 can be temporarily fixed through rotating the nut 31; compared with the existing calcaneus compression reduction instrument, the axial compression reduction device for calcaneus fracture adopts an axial compression mode, is suitable for the complicated anatomical characteristics of calcaneus, reduces the operation difficulty, avoids the injury to peripheral nerve vessels and the generation of postoperative complications, increases the holding force between the instrument and the bone block through the design that the front end of the first clamp body 1 is in a branching shape, the screw rod 3 and the like, simplifies the operation in the operation, saves the operation time, prevents the bone block from slipping easily during the operation, and avoids the problem that the instrument is damaged or the traditional Chinese medicine derived fracture is caused due to the repeated operation or improper use in the operation.
Example 2
Referring to fig. 2-3, fig. 2 is a schematic view of a connection structure of a rear section of a first clamp body and a rear section of a second clamp body of another axial compression reduction device for calcaneal fracture, and fig. 3 is a schematic view of a structure of mutual matching of an insert, a slot, a screw and a nut of another axial compression reduction device for calcaneal fracture. The embodiment is basically the same as embodiment 1, and the difference is that a hollowed-out insert piece 15 is arranged on the inner side of the rear section of the first caliper body 1, and a hollowed-out slot 16 which is mutually embedded with the insert piece 15 is arranged on the inner side of the rear section of the second caliper body 2; the inserting pieces 15 and the slots 16 are also provided with screws 17 and screw caps 18 in hollow shapes; in the embodiment, a screw rod 3 and a nut 31 are not matched and fixed, but a screw 17 and a nut 18 are adopted, specifically, the rear sections of the first clamp body 1 and the second clamp body 2 are mutually embedded through an inserting piece 15 and a slot 1, and the screw 17 and the nut 18 are arranged, when the fixation is needed, the inserting piece 15 and the slot 16 can be fixed through the matching action of the nut 18 and the screw 17, so that when the first clamp body 1 and the second clamp body 2 are respectively arranged on two sides of a root bone joint and on the side close to the calcaneus of a dice joint to be restored and pressurized satisfactorily, the first clamp body 1 and the second clamp body 2 are temporarily fixed; the embodiment in the design of mutually supporting and fixing the inserting sheet 15, the slot 16, the screw 17 and the screw cap 18 is more convenient to use, and the fixing effect is more stable.
According to the calcaneal fracture axial compression reduction device, the parts of the first clamp body and the second clamp body at the front section of the rotating shaft are both in an oblique upward bending shape, the head end of the first clamp body is provided with the design of two branch structures, two first clamp bodies are arranged on two sides of a calcaneal tubercle in an operation, and the second clamp body is arranged on the calcaneus side close to a calcaneus dice joint, so that the bone blocks can be subjected to reduction and compression; through the design of the screw, when the first clamp body and the second clamp body are respectively arranged on two sides of a root bone joint and on the side close to the calcaneus of the calcaneus cuboid joint to restore and pressurize satisfactorily, the first clamp body and the second clamp body can be temporarily fixed through rotating the nut; compared with the existing calcaneus compression reduction instrument, the axial compression reduction device for calcaneus fracture adopts an axial compression mode, is suitable for the complicated anatomical characteristics of calcaneus, reduces the operation difficulty, avoids the injury to peripheral nerve vessels and the generation of postoperative complications, increases the holding force between the instrument and the bone block through the design that the front end of the first clamp body is in a branching shape, a screw rod and other structures, simplifies the operation in the operation, saves the operation time, is not easy to slip the bone block during the operation in the operation, and avoids the problem that the instrument is damaged or the traditional Chinese medicine derived fracture is caused by the repeated operation or improper use in the operation.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and additions can be made without departing from the principle of the present invention, and these should also be considered as the protection scope of the present invention.

Claims (4)

1. The axial compression reduction device for calcaneal fracture is characterized by comprising a first clamp body and a second clamp body; the first clamp body is hinged with the second clamp body through a rotating shaft; the parts of the first clamp body and the second clamp body at the front section of the rotating shaft are both in an oblique and upward bending shape; the head end of the first clamp body is provided with two branch structures, the head end of each branch structure is provided with a solid metal ball, and the solid metal ball is connected with a conical sharp device; the head end of the second clamp body has no branch structure, and the rest structures are the same as the first clamp body; the first clamp body and the second clamp body are in a connectable fixed structure between the rear sections of the rotating shafts.
2. The axial compression reduction device for calcaneus fracture according to claim 1, wherein a screw is fixedly arranged on the first clamp body at the rear section of the rotating shaft, and a nut is arranged on the screw which penetrates through the second clamp body and penetrates through the other end of the screw.
3. The axial compression reduction device for calcaneus fracture according to claim 1, wherein the first clamp body and the second clamp body are provided with a buckle at the tail end respectively.
4. The calcaneus fracture axial compression reduction device according to claim 1, wherein a hollowed-out insertion piece is arranged on the inner side of the rear section of the first forceps body, and a hollowed-out slot which is mutually embedded with the insertion piece is arranged on the inner side of the rear section of the second forceps body; and the inserting pieces and the slot hollow-out shapes are also internally provided with screws and nuts.
CN202111367276.XA 2021-11-18 2021-11-18 Axial compression reduction device for calcaneus fracture Pending CN113925592A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111367276.XA CN113925592A (en) 2021-11-18 2021-11-18 Axial compression reduction device for calcaneus fracture

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111367276.XA CN113925592A (en) 2021-11-18 2021-11-18 Axial compression reduction device for calcaneus fracture

Publications (1)

Publication Number Publication Date
CN113925592A true CN113925592A (en) 2022-01-14

Family

ID=79287067

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202111367276.XA Pending CN113925592A (en) 2021-11-18 2021-11-18 Axial compression reduction device for calcaneus fracture

Country Status (1)

Country Link
CN (1) CN113925592A (en)

Similar Documents

Publication Publication Date Title
US9757172B2 (en) System and method for minimally invasive clavicle plate application
US8273111B2 (en) Growth control device
US20120259370A1 (en) Method for Minimally Invasive Treatment of Unstable Pelvic Ring Injuries
JP2014050722A (en) Fixation device for distal tibia flat plate
US9402672B2 (en) Joint distraction device for arthroscopic surgery
CN106913368B (en) Minimally invasive difficult-to-restore cis-tuberosity fracture reduction forceps
CN217366055U (en) Axial compression repositor for calcaneal fracture
CN215458565U (en) Percutaneous tibial bone fracture reduction fixing forceps
CN113925592A (en) Axial compression reduction device for calcaneus fracture
CN211325523U (en) Reduction forceps with point
JP2024503093A (en) Contoured bone plate with locking screws for bone compression specifically over the tarsometatarsal joint
CN107260282A (en) A kind of pair of U screw
CN106725788A (en) A kind of wing plate with curved surface internal fixation system for spondylolysis and spondylolithesis of the lumbar spine
CN103720507A (en) Pressurizing locking screw system
CN108433803B (en) A kind of fracture of calcaneus joint restorer
CN111493990A (en) Percutaneous minimally invasive in-vitro reduction integrated device for vertebral fracture
CN208573808U (en) A kind of titanium plate for laminoplasty
CN201131787Y (en) Supporting bone and resetting fixator
CN207400763U (en) A kind of intervertenral space device for spreading
WO2020083262A1 (en) Bone clip for fracture internal fixation
CN215129912U (en) Sacroiliac joint reduction fixing plate
CN219250383U (en) Memory alloy finger metacarpal bone internal fixer
CN204971529U (en) Two nails hook metaphysis pressurization fixer
CN216535477U (en) Dynamic pressurizing device for bone wound repair
CN216535472U (en) Proximal tibia combined internal fixing system

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