CN114176688A - Ligament repair fixing nail around ankle joint - Google Patents

Ligament repair fixing nail around ankle joint Download PDF

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Publication number
CN114176688A
CN114176688A CN202111636101.4A CN202111636101A CN114176688A CN 114176688 A CN114176688 A CN 114176688A CN 202111636101 A CN202111636101 A CN 202111636101A CN 114176688 A CN114176688 A CN 114176688A
Authority
CN
China
Prior art keywords
expansion
wing
suture shuttle
shuttle
expansion wing
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
CN202111636101.4A
Other languages
Chinese (zh)
Inventor
房志刚
贺军
陈建良
李想
花金锦
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.)
Eaglescope Medical Technology Co ltd
Original Assignee
Eaglescope Medical Technology Co ltd
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 Eaglescope Medical Technology Co ltd filed Critical Eaglescope Medical Technology Co ltd
Priority to CN202111636101.4A priority Critical patent/CN114176688A/en
Publication of CN114176688A publication Critical patent/CN114176688A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0642Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0408Rivets

Abstract

The invention relates to an ankle joint peripheral ligament repair fixing nail, which has the innovation points that: the innovation points are as follows: the suture shuttle is clamped in the expansion wing through an opening at one end of the expansion wing, and the limiting step of the expansion wing is clamped in the clamping groove of the suture shuttle. The invention is convenient to operate, can be quickly and conveniently locked and is not easy to fall off.

Description

Ligament repair fixing nail around ankle joint
Technical Field
The invention relates to a fixing nail, in particular to an ankle joint peripheral ligament repair fixing nail, and belongs to the technical field of medical instruments.
Background
Ankle sprains are the most common injuries in athletic activities. Although nearly 80% of ankle sprains are fully recovered, 20% of sprains can develop conditions of mechanical or functional instability and can produce conditions of chronic ankle instability. Chronic ankle instability can lead to persistent pain, decreased recreational activities, and possibly degenerative changes in the early ankle. The majority of ankle injuries involve the lateral ankle ligament complex, which includes the anterior talofibular ligament (ATFL), the calcaneofibular ligament (CFL)) and the posterior talofibular ligament (PTFL). Most of the injuries of the lateral ligaments are plantar flexion due to external force and ankle inversion due to unstable center of gravity of the body. ATFL is the weakest part of the lateral ankle ligament; therefore, it will be torn often. In fact, in multiple sprained ankle surgeries, two-thirds of the ratio is ATFL tears and one-third involves combined ATFL and CFL tears. Use apart from anterior fibula ligament (ATFL) fracture as an example, staple among the prior art is a screw formula structure, drill hole at the fibula in advance, provide into the way passageway for the staple, then implant screw formula staple from the passageway of going into the way, the screw thread that utilizes the staple periphery wall combines with the fibula, realize the fixed of staple, and rope on the staple is as an organic whole apart from anterior fibula ligament knot with the fracture, accomplish apart from the restoration of anterior fibula ligament, this kind of screw formula staple only relies on self screw thread and fibula combination, because the contact surface between the two is little, and then make the grip strength of staple also receive the limitation, in patient's recovered process, it is not firm to appear that the staple is fixed easily, have the risk that drops easily.
Disclosure of Invention
The purpose of the invention is: the ankle joint peripheral ligament repair fixing nail is convenient to operate, can be quickly and conveniently locked and is not easy to fall off.
In order to achieve the purpose, the technical scheme of the invention is as follows: the utility model provides an ankle joint is ligament repair staple around which innovation point lies in: the suture shuttle is characterized by comprising a suture shuttle and an expansion wing, wherein a threading fixing hole is formed in one end of the suture shuttle, a clamping groove is formed in the peripheral wall of the suture shuttle, a limiting step is formed in the inner wall of the expansion wing, a threading hole communicated with the inner cavity of the expansion wing is formed in the end portion of the expansion wing, the suture shuttle is clamped inside the expansion wing after being expanded through an opening in one end of the expansion wing, and the limiting step of the expansion wing is clamped in the clamping groove of the suture shuttle.
In the technical scheme, the suture shuttle comprises a line hooking part, an expansion part and a guide part which are connected into a whole, wherein the line hooking part is provided with a threading fixing hole, a clamping groove is formed in the peripheral wall of the line hooking part, the expansion part and the guide part of the suture shuttle are clamped inside the expansion wing, and the line hooking part is positioned at an opening at one end of the expansion wing.
In the technical scheme, the expansion wing comprises a connecting part and a wing edge which is connected with the connecting part into a whole and is splayed after expansion, the connecting part is provided with a threading hole communicated with an inner cavity of the expansion wing, the inner wall of the wing edge is provided with a limiting step, the splayed wing edge is hooped on the periphery of the sewing thread shuttle, and the limiting step on the wing edge is clamped in a clamping groove of the sewing thread shuttle to prevent the sewing thread shuttle from axially moving.
In the above technical scheme, the hook line part of the suture shuttle is a hemispherical body, the expansion part is a conical body, the guide part is a cylindrical body, and the end part of one end of the guide part is provided with an arc-shaped bulge.
In the technical scheme, the expansion wing is internally provided with a waist-shrinking hole and a guide positioning hole which are mutually communicated, the expansion part of the sewing shuttle is clamped in the waist-shrinking hole, and the guide part of the sewing shuttle is clamped in the guide positioning hole.
In the technical scheme, the expansion wing comprises a connecting part and a wing edge which is connected with the connecting part into a whole and is splayed after expansion, and a guide surface which is convenient for the suture shuttle to enter an inner cavity of the wing edge is arranged at the end part of the free end of the wing edge.
The invention has the positive effects that: after the ankle joint peripheral ligament repair fixing nail is adopted, the ankle joint peripheral ligament repair fixing nail comprises a suture shuttle and an expansion wing, wherein one end of the suture shuttle is provided with a threading fixing hole, the peripheral wall of the suture shuttle is provided with a clamping groove, the inner wall of the expansion wing is provided with a limiting step, the end part of the expansion wing is provided with a threading hole communicated with the inner cavity of the expansion wing, the suture shuttle is clamped inside the expansion wing after being expanded through an opening at one end of the expansion wing, and the limiting step of the expansion wing is clamped in the clamping groove of the suture shuttle,
when in use, a patient is placed in a supine position, a longitudinal incision taking the distal end of the fibula as the center is made, then the patient moves forward through the fibula to establish an access channel of the ligament repair fixing nail, a suture shuttle is implanted into the access channel established on the fibula in advance, then the expansion wing is accessed from the channel, a rope (plastic ligament) on the suture shuttle is led out from a threading hole of the expansion wing through a special threading tool and passes through a lifting rope, the suture shuttle enters from an opening at one end of the expansion wing and enables an opening at one end of the expansion wing to be in an expanded state, the suture shuttle slowly enters into an inner cavity of the expansion wing through the opening under the condition that the rope is continuously lifted, until a limit step of the expansion wing is clamped into a clamping groove of the suture shuttle to complete the limit of the suture shuttle, finally the rope (plastic ligament) and the fractured anterior fibula are knotted into a whole, and after the repair operation is completed, because the opening at one end of the expansion wing is always kept in an expansion state, the contact surface with the fibula is increased, the binding force between the expansion wing and the fibula is enhanced, the fixing firmness of the repair fixing nail is ensured, the repair fixing nail is not easy to fall off, and the secondary damage to a patient is avoided.
Drawings
FIG. 1 is a schematic structural diagram of an embodiment of the present invention;
FIG. 2 is a schematic view of the suture shuttle of FIG. 1;
FIG. 3 is a view of the inflatable wing of FIG. 1 prior to being expanded;
FIG. 4 is a schematic view of the assembled expansion wing and suture shuttle of FIG. 1;
FIG. 5 is a schematic perspective view of the present invention;
fig. 6 is a state diagram of the use of the present invention.
Detailed Description
The invention is further illustrated, but not limited, by the following examples in connection with the accompanying drawings.
As shown in fig. 1, 2, 3, 4, 5 and 6, the ankle joint peripheral ligament repair fixing nail comprises a suture shuttle 1 and an expansion wing 2, wherein one end of the suture shuttle 1 is provided with a threading fixing hole 11, a clamping groove 12 is arranged on the outer peripheral wall of the suture shuttle 1, the inner wall of the expansion wing 2 is provided with a limiting step 21, the end part of the expansion wing 2 is provided with a threading hole 26 communicated with the inner cavity of the expansion wing, the suture shuttle 1 is expanded through an opening at one end of the expansion wing 2 and then clamped inside the expansion wing 2, and the limiting step 21 of the expansion wing is clamped inside the clamping groove 12 of the suture shuttle 1.
As shown in fig. 2 and 5, in order to facilitate the suture shuttle 1 to enter and be clamped with the opening at one end of the expansion wing 2, the suture shuttle 1 comprises a line hooking part 13, an expansion part 14 and a guide part 15 which are connected into a whole, the line hooking part 13 is provided with a threading fixing hole 11, the peripheral wall of the line hooking part 13 is provided with a clamping groove 12, the expansion part 14 and the guide part 15 of the suture shuttle 1 are clamped inside the expansion wing 2, and the line hooking part 13 is positioned at the opening at one end of the expansion wing 2.
As shown in fig. 3 and 4, in order to ensure that the suture shuttle 1 can be firmly held inside the expansion wing 2 and is not easy to be separated from the expansion wing 2, the expansion wing 2 comprises a connecting part 22 and a flange 23 which is connected with the connecting part 22 into a whole and is splayed after being expanded, the connecting part 22 is provided with a threading hole 26 communicated with the inner cavity of the expansion wing 2, the inner wall of the flange 23 is provided with a limit step 21, the flange 23 which is splayed is held on the periphery of the suture shuttle 1, and the limit step 21 on the flange 23 is clamped in a clamping groove 12 of the suture shuttle 1 to prevent the suture shuttle 1 from moving axially.
As shown in fig. 2, in order to improve the structural rationality of the present invention and to secure the fastening between the hook and the expansion wing, the hook portion 13 of the hook 1 is formed in a hemispherical shape, the expansion portion 14 is formed in a tapered shape, the guide portion 15 is formed in a cylindrical shape, and the guide portion 15 has an arc-shaped protrusion 151 at one end thereof. The outer surface of the arc-shaped protrusion 151 is arc-shaped, so that the suture shuttle 1 can conveniently and smoothly enter the expansion wing 2 in the subsequent operation process.
As shown in fig. 1, in order to secure the anchor ear suture shuttle 1 in which the expansion wing 2 can be secured, the expansion wing 2 has a waisted hole 24 and a guide positioning hole 25 penetrating each other therein, the expansion portion 14 of the suture shuttle 1 is fitted in the waisted hole 24, and the guide portion 15 of the suture shuttle 1 is fitted in the guide positioning hole 25.
As shown in fig. 3 and 4, in order to facilitate the entry of the suture shuttle into the interior of the expansion wing 2 and guide the suture shuttle, the expansion wing 2 comprises a connecting portion 22 and a flange 23 which is connected with the connecting portion 22 and has a splayed shape after expansion, and the end of the free end of the flange 23 is provided with a guide surface 27 which facilitates the entry of the suture shuttle 1.
As shown in fig. 6, the working principle of the present invention is: the patient is placed in a supine position, a longitudinal incision with the distal fibula as the center is made, then the patient is stroked forward through the fibula to establish an entry channel of the ligament repair fixing nail,
the suture shuttle 1 is implanted into an access channel established on the fibula 3 in advance, then the expansion wing 2 is accessed from the channel, the rope 4 (plastic ligament) on the suture shuttle 1 is led out from a threading hole 27 of the expansion wing 2 through a special threading tool, the guide part 15 of the suture shuttle 1 expands the wing edge 23 of the expansion wing 2 under the guiding action of the guide surface 27 of the expansion wing 2 through the lifting rope 4, then the suture shuttle 1 enters the inner cavity of the expansion wing 1 through the expanded wing edge 23, the rope 4 is continuously lifted, the guide part 15 of the suture shuttle 1 enters the guide positioning hole 25 under the lifting action of the rope 4, the expansion part 14 of the suture shuttle 1 is clamped in the waist-contracting hole 24 until the limit step 21 on the wing edge 23 of the expansion wing 2 is clamped in the clamping groove 12 of the hook part 13 of the suture shuttle 1 to prevent the suture shuttle 1 from axially moving, finishing the limit of the sewing shuttle 1, finally knotting the rope 4 and the broken anterior fibular ligament into a whole, sewing the incision, and finally finishing the operation of the repair operation,
after the repair fixing nail is fixed, the opening at one end of the expansion wing 2 is always kept in an expansion state, namely the wing edge 23 is in a splayed shape after being expanded, so that the contact surface with the fibula is increased, the binding force between the expansion wing and the fibula is enhanced, the fixation firmness of the repair fixing nail is ensured, the repair fixing nail is not easy to fall off, and secondary damage to a patient is avoided.
In light of the foregoing description of the preferred embodiment of the present invention, many modifications and variations will be apparent to those skilled in the art without departing from the spirit and scope of the invention. The technical scope of the present invention is not limited to the content of the specification, and must be determined according to the scope of the claims.

Claims (6)

1. The utility model provides an ankle joint is ligament repair staple around which characterized in that: the suture shuttle comprises a suture shuttle (1) and an expansion wing (2), wherein a threading fixing hole (11) is formed in one end of the suture shuttle (1), a clamping groove (12) is formed in the peripheral wall of the suture shuttle (1), a limiting step (21) is formed in the inner wall of the expansion wing (2), a threading hole (26) communicated with the inner cavity of the expansion wing is formed in the end portion of the expansion wing (2), the suture shuttle (1) is clamped in the expansion wing (2) after being expanded through an opening in one end of the expansion wing (2), and the limiting step (21) of the expansion wing is clamped in the clamping groove (12) of the suture shuttle (1).
2. The ankle peri-articular ligament repair tack of claim 1, wherein: the suture shuttle (1) comprises a line hooking part (13), an expansion part (14) and a guide part (15) which are connected into a whole, the line hooking part (13) is provided with a threading fixing hole (11), a clamping groove (12) is formed in the peripheral wall of the line hooking part (13), the expansion part (14) and the guide part (15) of the suture shuttle (1) are clamped inside the expansion wing (2), and the line hooking part (13) is located at an opening at one end of the expansion wing (2).
3. The ankle peri-articular ligament repair tack of claim 1, wherein: the expansion wing (2) comprises a connecting part (22) and a wing edge (23) which is connected with the connecting part (22) into a whole and is splayed after expansion, the connecting part (22) is provided with a threading hole (26) communicated with the inner cavity of the expansion wing (2), a limiting step (21) is arranged on the inner wall of the wing edge (23), the wing edge (23) which is splayed is hooped on the periphery of the suture shuttle (1), and the limiting step (21) on the wing edge (23) is clamped in a clamping groove (12) of the suture shuttle (1) to prevent the suture shuttle (1) from moving axially.
4. The ankle peri-articular ligament repair tack of claim 2, wherein: the thread hooking part (13) of the sewing thread shuttle (1) is a hemispherical body, the expansion part (14) is a conical body, the guide part (15) is a cylindrical body, and an arc-shaped bulge (151) is arranged at the end part of one end of the guide part (15).
5. The ankle peri-articular ligament repair staple of claim 4, wherein: the expansion wing (2) is internally provided with a waist-tightening hole (24) and a guide positioning hole (25) which are mutually communicated, the expansion part (14) of the sewing shuttle (1) is clamped in the waist-tightening hole (24), and the guide part (15) of the sewing shuttle (1) is clamped in the guide positioning hole (25).
6. The ankle peri-articular ligament repair tack of claim 1, wherein: the expansion wing (2) comprises a connecting part (22) and a wing edge (23) which is connected with the connecting part (22) into a whole and is splayed after expansion, and a guide surface (27) which is convenient for the suture shuttle (1) to enter an inner cavity of the wing edge (23) is arranged at the end part of the free end of the wing edge.
CN202111636101.4A 2021-12-29 2021-12-29 Ligament repair fixing nail around ankle joint Pending CN114176688A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111636101.4A CN114176688A (en) 2021-12-29 2021-12-29 Ligament repair fixing nail around ankle joint

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111636101.4A CN114176688A (en) 2021-12-29 2021-12-29 Ligament repair fixing nail around ankle joint

Publications (1)

Publication Number Publication Date
CN114176688A true CN114176688A (en) 2022-03-15

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ID=80545125

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202111636101.4A Pending CN114176688A (en) 2021-12-29 2021-12-29 Ligament repair fixing nail around ankle joint

Country Status (1)

Country Link
CN (1) CN114176688A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114869378A (en) * 2022-05-24 2022-08-09 北京天星博迈迪医疗器械有限公司 Interface nail

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114869378A (en) * 2022-05-24 2022-08-09 北京天星博迈迪医疗器械有限公司 Interface nail

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