CN114886532A - Fixed draw gear of formula is raised to shank - Google Patents

Fixed draw gear of formula is raised to shank Download PDF

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Publication number
CN114886532A
CN114886532A CN202210339696.5A CN202210339696A CN114886532A CN 114886532 A CN114886532 A CN 114886532A CN 202210339696 A CN202210339696 A CN 202210339696A CN 114886532 A CN114886532 A CN 114886532A
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CN
China
Prior art keywords
traction
calcaneus
lifting device
kirschner wire
bow
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Pending
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CN202210339696.5A
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Chinese (zh)
Inventor
陈培生
林凤飞
陈宾
林朝晖
郑科
林东泽
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Fuzhou Second Hospital
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Fuzhou Second Hospital
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Publication date
Application filed by Fuzhou Second Hospital filed Critical Fuzhou Second Hospital
Priority to CN202210339696.5A priority Critical patent/CN114886532A/en
Publication of CN114886532A publication Critical patent/CN114886532A/en
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66—Alignment, compression or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • A61G7/065—Rests specially adapted therefor
    • A61G7/075—Rests specially adapted therefor for the limbs
    • A61G7/0755—Rests specially adapted therefor for the limbs for the legs or feet

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

Abstract

A calf-lift fixed traction device comprising: the device comprises a lifting device, a calcaneus traction Kirschner wire, a traction bow and a tension mechanism; the lifting device is of a hollow box-type structure, and the upper surface of the lifting device is an arc surface which is matched with the shank of a human body and accords with human engineering; the lower leg of the patient is lapped on the cambered surface of the lifting device; the calcaneus traction Kirschner wire is placed at the calcaneus of a patient, and the protruding parts at the two sides of the calcaneus are respectively connected with the two ends of the traction bow; the traction bow is U-shaped, and the tail end of the traction bow is connected with a tension mechanism; two sides of the lifting device are respectively provided with a sliding seat, and a side plate is arranged in each sliding seat; the front ends of the two sides of the traction bow are respectively connected with the two ends of the calcaneus traction Kirschner wire through side plates. The tension mechanism is arranged in the inner space of the lifting device, when a patient needs to leave a sickbed, the patient is transferred to the stretcher together with the lifting device, and examination items can be performed during traction operation.

Description

Fixed draw gear of formula is raised to shank
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a shank lifting type fixed traction device.
Background
The traction technique is a common treatment method for orthopedics department, and the weight of a suspension is used as traction force and the weight of a body is used as counter traction force through a traction device so as to relieve muscle tension and strong contraction, reduce fracture and dislocation, prevent and correct soft tissue contracture, and treat preoperative tissue release and postoperative brake of certain diseases. The traction therapy includes bone traction, skin traction, cloth-supported traction, etc.
Crus are mostly of a 'leather bag bone' structure, and when the tibia is fractured, crus swelling is often serious due to embedding and inserting at the fractured end, bleeding and the like. Clinically, usually, the kirschner wire is adopted to fix and draw the two sides of the calcaneus so as to reduce the fracture, and the traction weight is used as the suspended weight, but when the weight is loaded or changed, the traction weight may fall off and fall to the ground, so that the risk of accidental injury is brought to family members or patients, and the traction weight is an object with preset weight, and is used as a traction force source, so that the traction force actually required by the patients cannot be adjusted most accurately. In addition, the fixed traction device is fixed on the bed tail bracket and is fixed with the sickbed. The patient needs to do some necessary examination items during the traction operation, and the patient is required to leave the ward and arrive at the examination room for the operation. Such a traction device fixed to the patient bed causes a lot of troubles.
Disclosure of Invention
The invention aims to solve the technical problem of providing a shank lifting type fixed traction device which is convenient to use, wherein a tension mechanism is arranged in the inner space of the lifting device, so that the fixed traction device is separated from a sickbed.
The invention is realized in the following way:
a calf-lift fixed traction device comprising: the device comprises a lifting device, a calcaneus traction Kirschner wire, a traction bow and a tension mechanism;
the lifting device is of a hollow box-type structure, and the upper surface of the lifting device is an arc surface which is matched with the shank of a human body and accords with human engineering; the lower leg of the patient is lapped on the cambered surface of the lifting device;
the calcaneus traction Kirschner wire is placed at the calcaneus of a patient, and the protruding parts at two sides of the calcaneus are respectively connected with two ends of the traction bow;
the traction bow is U-shaped, and the tail end of the traction bow is connected with the tension mechanism;
the tension mechanism comprises: a pull rope, a tension meter, a hinge wire and a capstan; the winch is fixedly arranged in the lifting device, one end of the hinge wire is fixedly wound on the winch, the other end of the hinge wire is fixedly connected to the lower end of the tension meter through a first pulley, the upper end of the tension meter is connected with one end of the pull rope, and the other end of the pull rope is fixedly connected to the tail end of the traction bow through a second pulley;
two sides of the lifting device are respectively provided with a sliding seat, and a side plate is arranged in each sliding seat; the front ends of the two sides of the traction bow are respectively connected with the two ends of the calcaneus traction Kirschner wire through the side plates.
Furthermore, the front ends of the two sides of the traction bow are respectively connected with one end of the calcaneus traction Kirschner wire through universal ball heads arranged in the circular holes in the side plates.
Furthermore, the front ends of the two sides of the traction bow are respectively connected with one end of the calcaneus traction kirschner wire through a clamping groove hole formed in the side plate.
Furthermore, the calcaneus traction Kirschner wire also comprises two hemostasis structures which are respectively sleeved on the calcaneus traction Kirschner wire;
each of the hemostatic structures, comprising: a hemostatic gland, an inner sleeve, an outer sleeve and a nut;
the front end of the hemostasis gland is buckled on a hemostasis cotton ball at an affected part, the tail end of the hemostasis gland is connected with one end of the inner sleeve, the other end of the inner sleeve is sleeved with one end of the outer sleeve, and the other end of the outer sleeve is fixed on the side plate; the inner sleeve is provided with an external thread, and the outer sleeve is provided with an internal thread; the nut is sleeved on the inner sleeve and used for adjusting the distance of the inner sleeve advancing or retreating in the outer sleeve.
Furthermore, the hemostatic gland is provided with air holes.
Furthermore, a crus proximal traction Kirschner wire is also arranged and is placed into the crus proximal end for reverse traction; and two ends of the near-end traction kirschner wire are respectively connected with one ends of the supporting rods arranged at two sides of the near end of the lifting device.
The invention has the advantages that:
1. the tension mechanism is arranged in the inner space of the lifting device, when a patient needs to leave a sickbed, the patient is transferred to the stretcher together with the lifting device, and examination items can be performed during traction operation.
2. The invention not only uses the traction bow to draw the dislocated fracture end, but also the lifting device has an arc surface matched with the human shank according with human engineering, maintains the length of the lower limb, corrects the force line of the lower limb, and simultaneously can lift the affected limb, thereby being beneficial to detumescence.
3. The invention adopts the tension meter to connect the capstan, so that medical personnel can slowly and accurately change the pressure applied to the calcaneus traction Kirschner wire according to the medical advice as long as the capstan is easily rotated, thereby improving the safety and the accuracy in clinical operation.
4. The invention adopts two symmetrically arranged side plates to realize the positioning of the calcaneus traction kirschner wire, so as to avoid the positioning deviation when a patient carelessly swings the feet left and right and the legs inward and outward or shakes up and down. The both ends of calcaneum traction kirschner wire are fixed to the side plates through universal ball heads or clamping groove holes, and the two side plates can move back and forth in the sliding seat of the lifting device and cannot move left and right, so that the calcaneum traction kirschner wire is positioned.
5. The invention designs a hemostasis gland which is sleeved on a calcaneus traction Kirschner wire and can control the calcaneus traction Kirschner wire to move left and right, firstly applies a hemostasis cotton ball at the position of the bleeding, and then covers the hemostasis cotton ball with the hemostasis gland to be fixed, thereby realizing the hemostasis function.
Drawings
The invention will be further described with reference to the following examples with reference to the accompanying drawings.
Fig. 1 is a schematic structural view of the present invention.
Fig. 2 is a schematic structural view of another embodiment of the side plate of the present invention.
Fig. 3 is a longitudinal sectional view of the present invention.
Detailed Description
As shown in fig. 1 to 3, a calf-lift fixed traction device comprises: the device comprises a lifting device 1, a calcaneal traction Kirschner wire 2, a traction bow 3 and a tension mechanism 4.
The lifting device 1 is of a hollow box-type structure, and the upper surface of the lifting device is an arc surface which is matched with the shank of a human body and accords with human engineering; the lower leg of the patient is lapped on the cambered surface of the lifting device 1;
the calcaneus traction Kirschner wire 2 is placed at the calcaneus of a patient, and the protruding parts at the two sides of the calcaneus are respectively connected with the two ends of the traction bow 3;
the traction bow 3 is U-shaped, and the tail end of the traction bow is connected with the tension mechanism 4;
the tension mechanism 4 includes: a pull rope 41, a tension meter 42, a hinge wire 43 and a hinge plate 44; the hinge disc 44 is fixedly arranged inside the lifting device 1, one end of the hinge wire 43 is fixedly wound on the hinge disc 44, the other end of the hinge wire is fixedly connected to the lower end of the tension meter 42 through a first pulley 45, the upper end of the tension meter 42 is connected with one end of the pull rope 41, and the other end of the pull rope 41 is fixedly connected to the tail end of the traction bow 3 through a second pulley 46.
Two sides of the lifting device 1 are respectively provided with a sliding seat 11, and a side plate 5 is arranged in each sliding seat 11; the front ends of the two sides of the traction bow 3 respectively penetrate through the side plates 5 to be connected with the two ends of the calcaneal traction Kirschner wire 2. The side plates 5 are used for enhancing the positioning of the calcaneus traction kirschner wires 2 on the calcaneus, and can prevent the left and right sides from moving and also prevent the movement in the up-down direction and the front-back direction. The side plate 5 can only move back and forth in the slide seat 11 and can not move transversely, so that the malposition of the calcaneus traction kirschner wire 2 caused by the careless left and right swinging of the feet, the inward and outward rotation of the shank or the upward and downward swinging of the patient can be avoided. The both sides front end of traction bow 3 has two kinds of concrete schemes with the both ends of calcaneum traction kirschner wire 2 and can realize: the front ends of the two sides of the traction bow 3 are respectively connected with the two ends of the calcaneus traction Kirschner wire 2 through universal ball heads 51 arranged in circular holes of the side plates 5; and the front ends of the two sides of the traction bow 3 are respectively connected with the two ends of the calcaneus traction Kirschner wire 2 through the clamping groove holes 52 on the side plates 5. As shown in fig. 2, the shape of the slot 52 is such that the upper part is a large hole and the lower part is a slot, the calcaneal traction kirschner wire 2 firstly penetrates the large hole at the upper part and then is clamped into the slot downwards, the slot can clamp and fix the calcaneal traction kirschner wire 2, and the upper part is separated from the slot when the upper part is pushed upwards.
The medical blood vessel hemostatic device further comprises two hemostatic structures 6, wherein the two hemostatic structures 6 are respectively sleeved on the Kirschner wire 2;
each of said hemostatic structures 6, comprising: hemostasis gland 61, inner tube 62, outer tube 63, nut 64.
The front end of the hemostatic gland 61 is buckled on a hemostatic cotton ball at an affected part, the tail end of the hemostatic gland is connected with one end of the inner sleeve 62, the other end of the inner sleeve 62 is sleeved with one end of the outer sleeve 63, and the other end of the outer sleeve 63 is fixed on the side plate 5; the inner sleeve 62 is externally threaded and the outer sleeve 63 is internally threaded; the nut 64 is sleeved on the inner sleeve 62 and used for adjusting the advancing or retreating distance of the inner sleeve 62 in the outer sleeve 63. The hemostatic gland 61 is also provided with air holes.
In addition, the invention applies traction to the far end of the foot of the human body by the broken bones close to the calcaneus, and the broken bones close to the near end (knee) of the crus are only used as reverse traction by the gravity of the human body, in order to ensure better operation effect, the invention also respectively connects one end of a supporting rod 7 in a rotary manner at the two sides of the front end of the lifting device 1, the other end of the supporting rod 7 is provided with a crus near traction Kirschner wire 8, and the crus near traction Kirschner wire 8 is used for reverse traction.
The tension mechanism 4 is arranged in the inner space of the lifting device 1, when a patient needs to leave a sickbed, the patient is transferred to a stretcher together with the lifting device 1, and examination items can be performed during traction operation; if necessary, the two sides of the middle section of the lifting device 1 can be provided with a binding band and a buckle so as to further increase the stability.
According to the invention, the tension meter 42 is connected with the hinge plate 44, so that the medical staff can slowly and accurately change the pressure applied to the calcaneus traction Kirschner wire 2 according to the medical advice as long as the hinge plate 44 is easily rotated, and the safety and the accuracy in clinical operation are improved;
the invention adopts the two symmetrically arranged side plates 5 to realize the positioning of the calcaneal traction kirschner wire 2, so as to avoid the positioning deviation when a patient carelessly swings the feet left and right and the legs inward and outward or swings up and down. The patient calcaneus is put into to calcaneus traction kirschner wire 2's one end, and the other end passes through universal bulb 51 or draw-in groove hole 52 and fixes to curb plate 5 on, but both sides board 5 moves back-and-forth in the slide 11 of raising device 1, and can not remove about to realize calcaneus traction kirschner wire 2's location.
The invention discloses a hemostatic gland 61 which is sleeved on a calcaneus traction Kirschner wire 2 and can control the calcaneus traction Kirschner wire to move left and right, wherein a hemostatic cotton ball is firstly applied to the position of bleeding, and then covered by the hemostatic gland 61 to be fixed, so that the hemostatic function is realized.
The above description is only an example of the preferred embodiment of the present invention, and is not intended to limit the scope of the present invention. Any modification, equivalent replacement, and improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (6)

1. The utility model provides a fixed draw gear of formula is raised to shank which characterized in that: the method comprises the following steps: the device comprises a lifting device, a calcaneus traction Kirschner wire, a traction bow and a tension mechanism;
the lifting device is of a hollow box-type structure, and the upper surface of the lifting device is an arc surface which is matched with the shank of a human body and accords with human engineering; the lower leg of the patient is lapped on the cambered surface of the lifting device;
the calcaneus traction Kirschner wire is placed at the calcaneus of a patient, and the protruding parts at two sides of the calcaneus are respectively connected with two ends of the traction bow;
the traction bow is U-shaped, and the tail end of the traction bow is connected with the tension mechanism;
the tension mechanism comprises: a pull rope, a tension meter, a twisted wire and a winch; the winch is fixedly arranged in the lifting device, one end of the hinge wire is fixedly wound on the winch, the other end of the hinge wire is fixedly connected to the lower end of the tension meter through a first pulley, the upper end of the tension meter is connected with one end of the pull rope, and the other end of the pull rope is fixedly connected to the tail end of the traction bow through a second pulley;
two sides of the lifting device are respectively provided with a sliding seat, and a side plate is arranged in each sliding seat; the front ends of the two sides of the traction bow are respectively connected with the two ends of the calcaneus traction Kirschner wire through the side plates.
2. A calf-lifting fixed traction device as claimed in claim 1, wherein: the front ends of the two sides of the traction bow are respectively connected with one end of the calcaneus traction Kirschner wire through universal ball heads arranged in circular holes in the side plates.
3. A calf-lifting fixed traction device as claimed in claim 1, wherein: the front ends of the two sides of the traction bow are respectively connected with one end of the calcaneus traction Kirschner wire through slot holes formed in the side plates.
4. A calf-lifting fixed traction device as claimed in claim 1, wherein: the calcaneus traction Kirschner wire is sleeved with the calcaneus traction Kirschner wire in a sleeved mode;
each of the hemostatic structures, comprising: a hemostatic gland, an inner sleeve, an outer sleeve and a nut;
the front end of the hemostasis gland is buckled on a hemostasis cotton ball at an affected part, the tail end of the hemostasis gland is connected with one end of the inner sleeve, the other end of the inner sleeve is sleeved with one end of the outer sleeve, and the other end of the outer sleeve is fixed on the side plate; the inner sleeve is provided with an external thread, and the outer sleeve is provided with an internal thread; the nut is sleeved on the inner sleeve and used for adjusting the distance of the inner sleeve advancing or retreating in the outer sleeve.
5. A calf-lifting fixed traction device according to claim 4, characterized in that: and the hemostatic gland is provided with air holes.
6. A calf-lifting fixed traction device as claimed in claim 1, wherein: a proximal crus traction Kirschner wire is also arranged and is placed at the proximal crus for reverse traction; and two ends of the near-end traction kirschner wire are respectively connected with one ends of the supporting rods arranged at two sides of the near end of the lifting device.
CN202210339696.5A 2022-04-01 2022-04-01 Fixed draw gear of formula is raised to shank Pending CN114886532A (en)

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CN202210339696.5A CN114886532A (en) 2022-04-01 2022-04-01 Fixed draw gear of formula is raised to shank

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116236334A (en) * 2023-03-08 2023-06-09 上海云程安华生物科技有限公司 calcaneal traction fixation device

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CN205729485U (en) * 2015-12-11 2016-11-30 中国人民解放军第二军医大学 A kind of calcaneal traction device
CN106473797A (en) * 2015-08-24 2017-03-08 十堰市人民医院 A kind of phalanges traction apparatuss
KR101861448B1 (en) * 2016-11-29 2018-05-25 한림대학교 산학협력단 Ankle joint towing device for ankle arthroscope surgery
CN110693587A (en) * 2019-10-09 2020-01-17 河北医科大学第三医院 A lower extremity bone reduction device for intramedullary nail surgery
CN213430485U (en) * 2020-09-30 2021-06-15 柳州市工人医院 Auxiliary device for calcaneal traction operation
CN213525417U (en) * 2020-09-25 2021-06-25 中国人民解放军联勤保障部队第九0四医院 Novel internal fixation traction chest expander
CN217286017U (en) * 2022-04-01 2022-08-26 福州市第二医院(福建省福州中西医结合医院、福州市职业病医院) A calcaneal distraction device with hemostatic structure

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090105710A1 (en) * 2007-10-23 2009-04-23 Charles Saltzman Mechanical Distractor To Facilitate Surgery And Evaluation Of Joints
RU86865U1 (en) * 2008-09-30 2009-09-20 Дагестанская государственная медицинская академия DEVICE FOR ENSURING THE PHYSIOLOGICAL BEND OF THE LOWER SEGMENT
CN102247197A (en) * 2011-06-22 2011-11-23 山东省文登整骨医院 Lower limb traction hemostasis device
DE102012112656A1 (en) * 2012-12-19 2014-06-26 T&T Medilogic Medizintechnik Gmbh Device for performing operations on extended limbs, particularly minimally invasive hip joint operations, has pressure measuring pad attached on lateral surface of counter tension rod for detecting pressure distribution at body surface
CN106473797A (en) * 2015-08-24 2017-03-08 十堰市人民医院 A kind of phalanges traction apparatuss
CN205729485U (en) * 2015-12-11 2016-11-30 中国人民解放军第二军医大学 A kind of calcaneal traction device
KR101861448B1 (en) * 2016-11-29 2018-05-25 한림대학교 산학협력단 Ankle joint towing device for ankle arthroscope surgery
CN110693587A (en) * 2019-10-09 2020-01-17 河北医科大学第三医院 A lower extremity bone reduction device for intramedullary nail surgery
CN213525417U (en) * 2020-09-25 2021-06-25 中国人民解放军联勤保障部队第九0四医院 Novel internal fixation traction chest expander
CN213430485U (en) * 2020-09-30 2021-06-15 柳州市工人医院 Auxiliary device for calcaneal traction operation
CN217286017U (en) * 2022-04-01 2022-08-26 福州市第二医院(福建省福州中西医结合医院、福州市职业病医院) A calcaneal distraction device with hemostatic structure

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116236334A (en) * 2023-03-08 2023-06-09 上海云程安华生物科技有限公司 calcaneal traction fixation device
CN116236334B (en) * 2023-03-08 2025-11-28 上海云程安华生物科技有限公司 Calcaneus traction fixing device

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