CN114533233A - Kirschner wire for patellar fracture and using method thereof - Google Patents

Kirschner wire for patellar fracture and using method thereof Download PDF

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Publication number
CN114533233A
CN114533233A CN202210171847.0A CN202210171847A CN114533233A CN 114533233 A CN114533233 A CN 114533233A CN 202210171847 A CN202210171847 A CN 202210171847A CN 114533233 A CN114533233 A CN 114533233A
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needle
wire
patella
hole
tail
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盛晓磊
田守进
葛建飞
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/683Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
    • 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/846Nails or pins, i.e. anchors without movable parts, holding by friction only, with or without structured surface
    • A61B17/848Kirschner wires, i.e. thin, long nails

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

Abstract

The invention discloses a Kirschner wire for patella fracture and a using method thereof, wherein a wire tail, a wire hole I, a wire body, an easy-folding line and a wire hole II are arranged, the round wire tail, the round wire body and the easy-folding line form the whole Kirschner wire, the wire tail and the wire body are connected together through the easy-folding line, the wire hole I and the wire hole II are connected on the surface of the wire body, the length of the wire tail is 10cm, the diameter of the wire tail is 2mm, the length of the wire body is 15cm, the diameter of the wire body is 2mm, the diameter of the wire hole is 1.5mm, the diameter of the easy-folding line is 1.4mm, the wire hole I and the central axis of the wire body form 180 degrees, and the wire hole II and the central axis of the wire body form 90 degrees, so that the conditions of common complications such as wire tail (tip) tenderness, bursitis, slippage of the Kirschner wire, steel wire loosening and the like can not be caused.

Description

Kirschner wire for patellar fracture and using method thereof
Technical Field
The invention discloses a kirschner wire for patellar fracture and a using method thereof, belonging to the field of medical instruments.
Background
Patella fracture accounts for about 1% of all fracture injuries, and the clinical common fracture is that the kirschner wire tension band technology is frequently used for treating the patella fracture, but the technology has the irritation of internal fixed objects to surrounding tissues and the common complications such as needle tail tenderness, bursitis, slippage of the kirschner wire, steel wire loosening and the like caused by the kirschner wire retained in the tension band fixing operation.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide the kirschner wire for patellar fracture and the using method thereof, which can not cause the occurrence of the common complications such as needle tail (tip) tenderness, bursitis, kirschner wire slippage, steel wire loosening and the like.
In order to achieve the purpose, the invention provides the following technical scheme: a k-wire for patellar fracture and method of use thereof, comprising: needle tail, pinhole I, needle body, easy broken line and pinhole II, circular shape needle tail, circular shape needle body and easy broken line constitute the whole of ke shi needle, needle tail, pinhole I, needle body, easy broken line and pinhole II are integrated into one piece, and the needle tail links together through easy broken line with the needle body, and pinhole I and pinhole II connect the needle body on the surface, the length dimension of needle tail be 10cm, the diameter dimension of needle tail is 2mm, the length dimension of needle body be 15cm, the diameter dimension of needle body is 2mm, the diameter dimension of pinhole be 1.5mm, the diameter of easy broken line be 1.4mm, pinhole I become 180 degrees with the axis of needle body, the axis of pinhole II and needle body become 90 degrees.
The using method comprises the following steps: firstly, preoperative preparation: sterilizing and packaging the novel Kirschner wire at high temperature for later use;
secondly, the surgical process of the Kirschner wire tension band is as follows: after combined anesthesia or general anesthesia takes effect, the affected limb is disinfected and paved conventionally; secondly, the blood flow blockage of the near end of the thigh is finished by the air bag tourniquet; making an incision at the front center of the knee, and performing operations such as blood clot removal, patella reduction, joint cavity flushing and the like after the fractured end is exposed; and fourthly, temporarily fixing the fracture by using patella reduction forceps, driving 2 novel Kirschner wires into the patella in a manner of being 5mm away from the cartilage surface, stopping when the easy-to-break position is close to the superior level of the patella, fixing one of the double titanium cables around the patella and penetrating through the lower Billroth hole of the Kirschner wires, and tightening and fixing the other of the double titanium cables after penetrating through the I hole on the side of the Kirschner wires and crossing the 8 word in front of the patella. Cutting off the redundant part of the Kirschner wire body; breaking off the tail part of the kirschner wire at the position easy to be broken; and fifthly, finishing subsequent stitching after the patella is proved to be well restored by the C-shaped arm X-ray machine.
Thirdly, post-operation review: after the operation, the operation is carried out for one, two, three, six months and one year, and the fracture can be taken out and fixed internally after being healed;
fourthly, taking the internal fixation operation process: after combined anesthesia or general anesthesia takes effect, the affected limb is disinfected and paved conventionally; secondly, the blood flow blockage of the near end of the thigh is finished by the air bag tourniquet; taking 3cm above the original incision, finding two Kirschner wires and two titanium cables, cutting the titanium cables, drawing out the two titanium cables and drawing out the two Kirschner wires; and fifthly, finishing subsequent sewing after the C-shaped arm X-ray machine confirms that no internal fixation residue exists.
The pinhole of this application is smooth, just so can solve the unsmooth condition after the steel needle is tailor, buries the patient that can not injure in the soft tissue, stops the emergence that the steel wire was bent 90 degrees and is fallen out the condition from the pinhole, and this application cost of manufacture is low, is fit for on a large scale popularization and use.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a longitudinal structural view along the medial axis of the needle body;
FIG. 3 is a schematic view of a transverse configuration along the medial axis of the needle body;
FIG. 4 is a schematic structural diagram of a method of using the present invention;
in the figure: 1. needle tail 2, needle hole I, 3, needle body 4, easy broken line 5, needle hole 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 3, the present invention provides a technical solution: a k-wire for patellar fracture and method of use thereof, comprising: the kirschner wire comprises a needle tail 1, a needle hole I2, a needle body 3, an easy folding line 4 and a needle hole II 5, wherein the round needle tail 1, the round needle body 3 and the easy folding line 4 form the whole of the kirschner wire, the needle tail 1, the needle hole I2, the needle body 3, the easy folding line 4 and the needle hole II 5 are integrally formed, the needle tail 1 and the needle body 3 are connected together through the easy folding line 4, the needle hole I2 and the needle hole II 5 are connected on the surface of the needle body 3, the length of the needle tail 1 is 10cm, the diameter of the needle tail 1 is 2mm, the length of the needle body 3 is 15cm, the diameter of the needle body 3 is 2mm, the inner hole diameters of the needle holes I2 and II 5 are both 1.5mm, the diameter of the easy folding line 4 is 1.4mm, pinhole I2 become 180 degrees with the axis of needle body 3, pinhole II 5 become 90 degrees with the axis of needle body 3, the contained angle of pinhole I2 and pinhole II 5 is 90 degrees.
As shown in fig. 4, the method of use:
firstly, preoperative preparation: sterilizing and packaging the novel Kirschner wire at high temperature for later use;
secondly, the surgical process of the Kirschner wire tension band is as follows: after combined anesthesia or general anesthesia takes effect, the affected limb is disinfected and paved conventionally; secondly, the blood flow blockage of the near end of the thigh is finished by the air bag tourniquet; making an incision at the front center of the knee, and performing operations such as blood clot removal, patella reduction, joint cavity flushing and the like after the fractured end is exposed; the patella reduction forceps are used for temporarily fixing the fracture, 2 novel Kirschner wires are parallelly driven into the patella from the 5mm distance of the cartilage surface, the patella reduction forceps stop when the easy-to-break part is pressed close to the superior level of the patella, one of the double titanium cables is fixed by being annularly wound around the patella and penetrating through a below-arranged Billerplate hole of the Kirschner wires, and the other of the double titanium cables penetrates through a side I hole of the Kirschner wires and is tightened and fixed after the cross of the 8-shaped Bill wires in front of the patella. Cutting off the redundant part of the Kirschner wire body; breaking off the tail part of the kirschner wire at the position easy to be broken; and fifthly, finishing subsequent stitching after the patella is proved to be well restored by the C-shaped arm X-ray machine.
Thirdly, post-operation review: after the operation, the operation is carried out for one, two, three, six months and one year, and the fracture can be taken out and fixed internally after being healed;
fourthly, taking the internal fixation operation process: after combined anesthesia or general anesthesia takes effect, the affected limb is disinfected and paved conventionally; completing the blood flow blockage of the near end of the thigh by means of an air bag tourniquet; taking 3cm above the original incision, finding two Kirschner wires and two titanium cables, cutting the titanium cables, drawing out the two titanium cables and drawing out the two Kirschner wires; c-shaped arm X-ray machine confirms that there is no residual internal fixation and then completes the subsequent stitching.
Example 1
The patient, male, is 59 years old, falls and causes the fracture of the right patella, is admitted to the hospital 2 h after injury, and X-ray film and three-dimensional CT show the fracture of the right patella before operation. The patient is given perfect preoperative examination, the contraindication of the operation is eliminated, and the right patellar fracture incision reduction internal fixation operation is performed in the selected period: after combined anesthesia or general anesthesia takes effect, the affected limb is disinfected and paved conventionally; secondly, the blood flow blockage of the near end of the thigh is finished by the air bag tourniquet; making an incision at the front center of the knee, and performing operations such as blood clot removal, patella reduction, joint cavity flushing and the like after the fractured end is exposed; fourthly, temporarily fixing the fracture by using patella reduction forceps, parallelly driving 2 Kirschner wires 5mm away from the cartilage surface into the patella, circularly pricking one of the double titanium cables around the patella, and tightening and fixing the other of the double titanium cables after the other of the double titanium cables is crossed in a shape of 8 in front of the patella; and fifthly, finishing subsequent stitching after the patella is proved to be well restored by the C-shaped arm X-ray machine. The postoperative March patient rechecks the X-ray to prompt that the 8-shaped titanium cable falls off, the Kirschner wire withdraws the needle, and the patient complains of the right knee pain.
Example 2
The patient, female, was 45 years old, left patellar fractured due to traumatic injury, was admitted to the hospital 24h after injury, and left patellar fractured was shown by X-ray film and three-dimensional CT before surgery. The patient is given perfect preoperative examination, the contraindication of the operation is eliminated, and the left patella fracture incision reduction internal fixation operation is performed in a selected period: after combined anesthesia or general anesthesia takes effect, the affected limb is disinfected and paved conventionally; secondly, after an ideal anesthesia effect is achieved, the blood flow blockage of the near end of the thigh is finished by means of the air bag tourniquet; making an incision at the front center of the knee, and performing operations such as blood clot removal, patella reduction, joint cavity flushing and the like after the fractured end is exposed; fourthly, temporarily fixing the fracture by using patella reduction forceps, driving 2 novel Kirschner wires 5mm away from the cartilage surface into the patella in parallel, stopping when the easily-broken part is close to the superior patella, performing cerclage on one of the double titanium cables around the patella, penetrating through a cerclage hole below the Kirschner wires, penetrating through a cerclage hole on the lateral side of the Kirschner wires, crossing and then tightening and fixing the two titanium cables after the 8-shaped wires are crossed, and breaking the tail part of the Kirschner wires at the easily-broken part; and fifthly, finishing subsequent stitching after the patella is proved to be well restored by the C-shaped arm X-ray machine. The postoperative March patient reexamines the X-ray to prompt that the internal fixation is fixed in place, and the patient has no special discomfort and the knee joint can move.
Comparison of the use of the current k-wire example 1 with the surgical use of k-wire example 2 of the present application reveals that (i) soft tissue irritation is small: because the traditional needle tail is cut by a strong shear, the needle tail is rough after being cut and is buried in soft tissues to cause irritation of different degrees, and patients feel pain when the needle tail is buried in the soft tissues; secondly, the pin tail is easy to break: because the local operation space of the incision is limited, the operation of breaking the needle in the incision is very laborious and difficult, time and labor are wasted, and the novel Kirschner wire has a design of easy breaking and can be easily broken by bare hands; avoiding the splayed titanium cable from falling off: the traditional method is characterized in that after the traditional method is bent by 90 degrees, a 8-shaped titanium cable is bound, the splayed titanium cable is usually separated after operation due to the fact that a Kirschner wire is not suitable for closed loop, a novel Kirschner wire is reserved with a needle hole I as a closed loop, and the titanium cable cannot be separated from the splayed titanium cable; and fourthly, the problem that the traditional Kirschner wire can be withdrawn after operation due to the reasons of osteoporosis and the like is solved, and the novel Kirschner wire is reserved with II holes and is firmly fixed by passing through a cerclage steel cable, so that the Kirschner wire cannot be withdrawn easily.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (2)

1. A k-wire for patellar fracture and method of use thereof, comprising: the needle tail (1), the needle hole I (2), the needle body (3), the easy broken line (4) and the needle hole II (5), which is characterized in that the whole of the Kirschner wire is composed of the round needle tail (1), the round needle body (3) and the easy broken line (4), the needle tail (1), the needle hole I (2), the needle body (3), the easy broken line (4) and the needle hole II (5) are integrally formed, the needle tail (1) is connected with the needle body (3) through the easy broken line (4), the needle hole I (2) and the needle hole II (5) are connected on the surface of the needle body (3), the length of the needle tail (1) is 10cm, the diameter of the needle tail (1) is 2mm, the length of the needle body (3) is 15cm, the diameter of the needle body (3) is 2mm, the diameter of the needle hole (2) is 1.5mm, the diameter of the easy broken line (4) is 1.4mm, the central axis of the needle hole (2) and the needle body I form 180 degrees, the needle hole II (5) and the central axis of the needle body (3) form an angle of 90 degrees.
2. The kirschner wire for patellar fracture and the use method thereof according to claim 1, wherein the use method comprises the following steps: firstly, preoperative preparation: sterilizing and packaging the novel Kirschner wire at high temperature for later use;
secondly, the surgical process of the Kirschner wire tension band is as follows: after combined anesthesia or general anesthesia works, the affected limb is disinfected and paved conventionally; completing the blood flow blockage of the near end of the thigh by means of an air bag tourniquet; making an incision at the front center of the knee, and performing operations such as blood clot removal, patella reduction, joint cavity flushing and the like after the fractured end is exposed; fourthly, temporarily fixing the fracture by using patella reduction forceps, driving 2 novel kirschner wires into the patella in a manner of being 5mm away from the cartilage surface, stopping when the easy-to-break part is close to the superior level of the patella, fixing one of the double titanium cables around the patella and penetrating through a below-arranged Billerplate hole of the kirschner wires, and tightening and fixing the other of the double titanium cables after penetrating through a side I hole of the kirschner wires and crossing a front 8-shaped bill of the patella;
cutting off the redundant part of the Kirschner wire body; breaking the tail part of the kirschner wire at the position easy to break; after the patella is proved to be well restored by the C-shaped arm X-ray machine, the subsequent stitching is completed;
thirdly, post-operation review: after the operation, the first, second, third, june and one year are rechecked, and the fracture can be taken out and fixed internally after healing;
fourthly, taking the internal fixation operation process: after combined anesthesia or general anesthesia takes effect, the affected limb is disinfected and paved conventionally; secondly, the blood flow blockage of the near end of the thigh is finished by the air bag tourniquet; taking 3cm above the original incision, finding two Kirschner wires and two titanium cables, cutting the titanium cables, drawing out the two titanium cables and drawing out the two Kirschner wires; c-shaped arm X-ray machine confirms that there is no residual internal fixation and then completes the subsequent stitching.
CN202210171847.0A 2022-02-24 2022-02-24 Kirschner wire for patellar fracture and using method thereof Pending CN114533233A (en)

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Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2336762Y (en) * 1998-07-16 1999-09-08 董斌 Patella tension belt fixing bar
WO2006104060A1 (en) * 2005-03-29 2006-10-05 Hi-Lex Corporation Double needle for medical treatment, bone centesis needle, and bone marrow sampling device
CN201119909Y (en) * 2007-08-22 2008-09-24 李家立 Fracture of patella internal fixation needle with holes and capable of being broken
CN201710453U (en) * 2010-06-25 2011-01-19 李春江 Steel needle used in the internal fixation of fracture
CN201759657U (en) * 2010-08-13 2011-03-16 李春江 Tension band fixing device
CN202136410U (en) * 2011-06-03 2012-02-08 李晓华 Medical steel needle
CN202568424U (en) * 2012-02-15 2012-12-05 上海市第十人民医院 Pressable needle cable fixing system for patellar fracture
CN103239281A (en) * 2012-02-10 2013-08-14 史艳光 Krischner wire with sliding sleeve
CN108703797A (en) * 2018-07-18 2018-10-26 刘应良 Draw point is fixed in a kind of novel orthopaedics
CN210843402U (en) * 2019-09-03 2020-06-26 苏州吉美瑞医疗器械股份有限公司 Internal fixing device for patellar fracture
CN213129853U (en) * 2020-07-13 2021-05-07 常州亨杰医疗器械有限公司 Tension band self-breaking needle for fixing patella fracture

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2336762Y (en) * 1998-07-16 1999-09-08 董斌 Patella tension belt fixing bar
WO2006104060A1 (en) * 2005-03-29 2006-10-05 Hi-Lex Corporation Double needle for medical treatment, bone centesis needle, and bone marrow sampling device
CN201119909Y (en) * 2007-08-22 2008-09-24 李家立 Fracture of patella internal fixation needle with holes and capable of being broken
CN201710453U (en) * 2010-06-25 2011-01-19 李春江 Steel needle used in the internal fixation of fracture
CN201759657U (en) * 2010-08-13 2011-03-16 李春江 Tension band fixing device
CN202136410U (en) * 2011-06-03 2012-02-08 李晓华 Medical steel needle
CN103239281A (en) * 2012-02-10 2013-08-14 史艳光 Krischner wire with sliding sleeve
CN202568424U (en) * 2012-02-15 2012-12-05 上海市第十人民医院 Pressable needle cable fixing system for patellar fracture
CN108703797A (en) * 2018-07-18 2018-10-26 刘应良 Draw point is fixed in a kind of novel orthopaedics
CN210843402U (en) * 2019-09-03 2020-06-26 苏州吉美瑞医疗器械股份有限公司 Internal fixing device for patellar fracture
CN213129853U (en) * 2020-07-13 2021-05-07 常州亨杰医疗器械有限公司 Tension band self-breaking needle for fixing patella fracture

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