CN115813522B - Tibia plateau fracture reduction fixing and guiding device - Google Patents

Tibia plateau fracture reduction fixing and guiding device Download PDF

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Publication number
CN115813522B
CN115813522B CN202211548287.2A CN202211548287A CN115813522B CN 115813522 B CN115813522 B CN 115813522B CN 202211548287 A CN202211548287 A CN 202211548287A CN 115813522 B CN115813522 B CN 115813522B
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arc
block
groove
nailing
fixedly connected
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CN115813522A (en
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刘宇
王晓晨
邵牧
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Wuxi No 9 Peoples Hospital
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Wuxi No 9 Peoples Hospital
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Abstract

The invention discloses tibia plateau fracture reduction fixing and guiding equipment, which relates to the technical field of tibia reduction of medical equipment, and comprises a reduction chassis, wherein a support column is arranged on the reduction chassis, a top plate is arranged at one end of the support column, which is far away from the reduction chassis, a control main plate is arranged on the surface of the top plate, a placing plate is arranged on the surface, which is close to the top plate, of the reduction chassis, and a transverse sliding groove is formed in the surface, which is close to the top plate, of the reduction chassis; the top plate is provided with a distance adjusting mechanism, the distance adjusting mechanism is provided with a fixing mechanism, and the placing plate is provided with a nailing mechanism; through being provided with nailing mechanism for medical staff can adjust the position of nailing piece in the arc inslot according to patient's fracture position, and then the follow-up medical staff of being convenient for is to the nailing of patient fracture department that resets, through having seted up the locating hole that is circumference distribution on the arc piece, makes the nailing piece can be fixed on the different positions of arc piece, and the medical staff of being convenient for carries out nailing from the position that the different directions fracture was reset to patient and fixes.

Description

Tibia plateau fracture reduction fixing and guiding device
Technical Field
The invention relates to the technical field of tibia reduction of medical equipment, in particular to tibia plateau fracture reduction fixing and guiding equipment.
Background
The difficulty in tibial plateau fracture treatment is mainly that the joint surface collapses the reduction treatment of bone piece, and at present medical staff carries out operation treatment to patient fracture position, still need corresponding medical staff to fix patient's shank, and for a long time, medical staff fixes this kind of fixed mode through artifical pressing and is unstable inadequately, and after the fracture position resets, because the medical staff of being inconvenient for carries out the nailing in partial fracture position, and then has increased medical staff nailing degree of difficulty, has also influenced patient's follow-up recovered degree.
Disclosure of Invention
Aiming at the defects existing in the prior art, the invention aims to provide a tibial plateau fracture reduction fixing guide device.
In order to achieve the above purpose, the present invention provides the following technical solutions: the utility model provides a fixed guiding device of tibia platform fracture reduction, including the chassis that resets, be provided with the support column on the chassis that resets, the support column is provided with four, and four support columns set up respectively in the four corners department of chassis that resets, support column and chassis fixed connection that resets, the support column is kept away from the one end of chassis that resets is provided with the roof, roof and support column fixed connection, the roof surface has seted up the removal groove that link up, the removal groove has been seted up two, and two removal grooves set up along chassis length direction symmetry that resets, the removal groove has been seted up with chassis width direction vertically surface that resets built-in groove, the roof surface is provided with the control mainboard, control mainboard and roof fixed connection, the chassis that resets is provided with the board that places near the roof surface that resets, the chassis that resets is close to the roof has seted up horizontal spout, place board and horizontal sliding connection;
the distance adjusting mechanisms are arranged on the top plate and are electrically connected with the control main board, two groups of distance adjusting mechanisms are arranged, and the two groups of distance adjusting mechanisms are symmetrically arranged along the length direction of the reset chassis;
the fixing mechanism is arranged on the distance-adjusting mechanism, is electrically connected with the control main board and is used for fixing thighs and calves of a patient;
the nailing mechanism is arranged on the placing plate and detachably and fixedly connected with the placing plate, and the nailing mechanism is used for nailing and fixing the fracture reduction part.
As a further scheme of the invention: the distance adjusting mechanism comprises a driving assembly and a moving assembly, the driving assembly is arranged on the top plate and is electrically connected with the control main board, the moving assembly is arranged in the moving groove, and the moving assembly is matched with the driving assembly.
As a further scheme of the invention: the drive assembly comprises a drive motor, a drive screw and a fixed sleeve, wherein the drive motor is arranged on the top plate and is electrically connected with the control main board, the fixed sleeve is arranged in the built-in groove and is fixedly connected with the built-in groove, the drive screw is arranged in the built-in groove, one end of the drive screw is rotationally connected with the fixed sleeve, and the other end of the drive screw is fixedly connected with the output end of the drive motor.
As a further scheme of the invention: the movable assembly comprises a movable block, a threaded block and a guide rod, wherein the threaded block is arranged on the surface, close to the built-in groove, of the movable block, the threaded block is fixedly connected with the movable block, the threaded block is in threaded connection with the driving screw, the guide rod is arranged on the surface, opposite to the reset chassis, of the movable block, and the guide rod is fixedly connected with the movable block.
As a further scheme of the invention: the fixed mechanism comprises a power component and a fixed component, wherein the power component is arranged on the movable block and is electrically connected with the control main board, the fixed component is arranged on the movable block and is electrically connected with the control main board, and the fixed component is matched with the power component.
As a further scheme of the invention: the power assembly comprises a power motor, a power gear, a longitudinal rod, a limit wheel, a rotary gear and a thread bush, wherein the power motor is arranged on the moving block, the power motor is electrically connected with the control main board, the output end of the power motor is fixedly connected with the power gear, the surface of the moving block, which is far away from the reset chassis, is provided with the longitudinal rod, the longitudinal rod is fixedly connected with the moving block, the middle part of the rotary gear is provided with the thread bush, the thread bush is fixedly connected with the rotary gear, the surface of the rotary gear is provided with a through wheel groove, the limit wheel is arranged in the wheel groove, and the limit wheel is rotationally connected with the longitudinal rod.
As a further scheme of the invention: the fixed subassembly includes longitudinal screw, the baffle, external cover, even piece, electric putter, the arc piece, connecting rod and fixed band, longitudinal screw and thread bush threaded connection, the one end and the baffle fixed connection of chassis that reset are kept away from to the longitudinal screw, the one end and the external cover fixed connection that reset are close to the longitudinal screw, external cover surface is provided with even piece, even piece and external cover fixed connection, even piece and guide bar sliding connection, external cover internal surface is provided with the connecting rod, connecting rod and external cover fixed connection, fixed band and connecting rod fixed connection, the arc groove has been seted up on the fixed band surface that is close to external cover, external cover is provided with electric putter with the relative surface of arc groove, electric putter and control mainboard electricity are connected, electric putter rotates with external cover to be connected, the arc piece sets up in the arc inslot, arc piece and arc groove sliding connection, arc piece and electric putter rotate to be connected.
As a further scheme of the invention: the nailing mechanism comprises a supporting component and a nailing component, wherein the supporting component is arranged on the surface of the placing plate, which is close to the top plate, and the nailing component is arranged on the supporting component.
As a further scheme of the invention: the supporting component comprises an arc-shaped block, an arc-shaped groove is formed in the surface of the arc-shaped block, an arc-shaped chute is formed in the end face of the arc-shaped block, positioning holes are formed in the surface of the arc-shaped chute, a plurality of positioning holes are formed in the positioning holes, and the positioning holes are uniformly distributed in the arc-shaped chute in circumference.
As a further scheme of the invention: the nailing subassembly includes nailing piece, the arc slider, the connecting plate, fixed button, reset spring, vertical plate group, telescopic link and locating lever, the arc slider sets up in the arc spout, arc slider and arc spout sliding connection, the standing groove has been seted up on the arc slider surface, reset spring sets up in the standing groove, and reset spring one end and arc slider fixed connection, the arc slider other end and fixed button fixed connection, fixed button and standing groove sliding connection, connecting plate one end and arc slider fixed connection, the connecting plate other end and nailing piece fixed connection, the nailing piece sets up in the arc inslot, nailing piece and arc groove sliding connection, the nailing hole has been seted up on the nailing piece surface, a plurality of have been seted up on the nailing hole, arc slider surface is provided with vertical plate group, vertical plate group and arc slider fixed connection, locating lever and arc slider sliding connection, be provided with the telescopic link in the vertical plate group, telescopic link and vertical plate group rotate to be connected, the tip of telescopic link rotates with fixed button and locating lever respectively.
Compared with the prior art, the invention has the following beneficial effects:
1. the driving assembly is arranged, so that the device can adjust the moving blocks in the moving assembly according to the fracture parts of the legs of the patient, the distance between the fixing mechanisms arranged on the two moving blocks is adjusted, the fixing mechanisms are adapted to the fracture parts of the legs of the patient, and the stability of the subsequent fixing mechanisms on the fracture parts of the legs of the patient is improved to a certain extent by adjusting the fixing mechanisms to proper positions according to the fracture parts of the legs of the patient;
2. through being provided with fixed establishment for medical staff's accessible fixed band is fixed patient's shank before the operation, adjusts the position of fixed band both sides through electric push rod, and then makes this device applicable in different leg girth, fixes patient's shank through the fixed band before the operation, has also promoted the accuracy that follow-up medical staff was nailed to patient's shank fracture position nailing to a certain extent, fixes patient's shank through fixed establishment simultaneously and has also avoided the operation accident that patient's shank accidentally moves and cause in the operation process;
3. through being provided with nailing mechanism for medical staff can adjust the position of nailing piece in the arc inslot according to patient's fracture position, and then the follow-up medical staff of being convenient for is to the nailing of patient fracture department that resets, through having seted up the locating hole that is circumference distribution on the arc piece, makes the nailing piece can be fixed on the different positions of arc piece, and the medical staff of being convenient for carries out nailing from the position that the different directions fracture was reset to patient and fixes.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the description of the embodiments will be briefly described below, it being obvious that the drawings described below are only some embodiments of the present invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of a tibial plateau fracture reduction fixation guide device;
FIG. 2 is a schematic view in side elevation and partially in section of FIG. 1;
FIG. 3 is a schematic view of the nailing mechanism;
FIG. 4 is a front view of the nailing mechanism;
FIG. 5 is a cross-sectional view A-A of FIG. 4;
FIG. 6 is a schematic view of a portion of the structure of a power assembly;
FIG. 7 is an enlarged schematic view of a partial structure at A in FIG. 4;
FIG. 8 is an enlarged schematic view of a partial structure at B in FIG. 2;
1. resetting the chassis; 2. a support column; 3. a top plate; 4. a moving groove; 5. a built-in groove; 6. a control main board; 7. placing a plate; 8. a horizontal sliding groove; 9. a driving motor; 10. driving a screw; 11. a fixed sleeve; 12. a moving block; 13. a screw block; 14. a guide rod; 15. a power motor; 16. a power gear; 17. a longitudinal bar; 18. a limiting wheel; 19. rotating the gear; 20. a thread sleeve; 21. a longitudinal screw; 22. a baffle; 23. an external sleeve; 24. connecting blocks; 25. an electric push rod; 26. an arc block; 27. a connecting rod; 28. a fixing belt; 29. an arc groove; 30. an arc-shaped block; 31. an arc-shaped groove; 32. an arc chute; 33. positioning holes; 34. nailing blocks; 35. an arc-shaped sliding block; 36. a connecting plate; 37. a fixed button; 38. a return spring; 39. a longitudinal plate group; 40. a telescopic rod; 41. a positioning rod; 42. a placement groove; 43. punching nail holes; 44. a guide tube.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is evident that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In the description of the present invention, it should be understood that the terms "length," "width," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like indicate orientations or positional relationships based on the orientation or positional relationships shown in the drawings, merely to facilitate describing the present invention and simplify the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and therefore should not be construed as limiting the present invention.
Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. In the description of the present invention, the meaning of "a plurality" is two or more, unless explicitly defined otherwise.
An embodiment of a tibial plateau fracture reduction fixation guide device of the present invention is further described with reference to fig. 1-8.
The utility model provides a fixed guiding device of tibia fracture reduction, including reduction chassis 1, be provided with support column 2 on the reduction chassis 1, support column 2 is provided with four, and four support columns 2 set up respectively in the four corners department of reduction chassis 1, support column 2 and reduction chassis 1 fixed connection, support column 2 is kept away from the one end of reduction chassis 1 and is provided with roof 3, roof 3 and support column 2 fixed connection, roof 3 surface has seted up the removal groove 4 that link up, two removal grooves 4 have been seted up, and two removal grooves 4 are along reduction chassis 1 length direction symmetry setting, the removal groove 4 has seted up built-in groove 5 with reduction chassis 1 width direction vertically surface, roof 3 surface is provided with control mainboard 6, control mainboard 6 and roof 3 fixed connection, reduction chassis 1 is provided with and places board 7 near roof 3's surface, reduction chassis 1 is close to roof 3's surface and has seted up horizontal spout 8, place board 7 and horizontal spout 8 sliding connection;
the distance adjusting mechanisms are arranged on the top plate 3 and are electrically connected with the control main board 6, two groups of distance adjusting mechanisms are arranged, and the two groups of distance adjusting mechanisms are symmetrically arranged along the length direction of the reset chassis 1; the distance adjusting mechanism comprises a driving component and a moving component, the driving component is arranged on the top plate 3 and is electrically connected with the control main board 6, the moving component is arranged in the moving groove 4, and the moving component is matched with the driving component.
The drive assembly comprises a drive motor 9, a drive screw 10 and a fixed sleeve 11, wherein the drive motor 9 is arranged on the top plate 3, the drive motor 9 is electrically connected with the control main board 6, the fixed sleeve 11 is arranged in the built-in groove 5, the fixed sleeve 11 is fixedly connected with the built-in groove 5, the drive screw 10 is arranged in the built-in groove 5, one end of the drive screw 10 is rotationally connected with the fixed sleeve 11, and the other end of the drive screw 10 is fixedly connected with the output end of the drive motor 9.
Before operation, a patient pushes the device to be placed on the placement plate 7, medical staff controls the driving motor 9 to start through the control main board 6, so that the driving screw 10 fixedly connected with the output end of the driving motor 9 rotates, and the distance between the two moving blocks 12 on the top plate 3 is adjusted through the threaded transmission fit between the driving screw 10 and the threaded blocks 13; the movable blocks 12 in the movable assembly can be adjusted according to the fracture parts of the legs of the patient through the driving assembly, so that the distance between the fixing mechanisms arranged on the two movable blocks 12 is adjusted, the fixing mechanisms are adapted to the fracture parts of the legs of the patient, and the stability of the subsequent fixing mechanisms for fixing the fracture parts of the legs of the patient is improved to a certain extent through adjusting the fixing mechanisms to proper positions according to the fracture parts of the legs of the patient.
The movable assembly comprises a movable block 12, a threaded block 13 and a guide rod 14, wherein the threaded block 13 is arranged on the surface, close to the built-in groove 5, of the movable block 12, the threaded block 13 is fixedly connected with the movable block 12, the threaded block 13 is in threaded connection with the driving screw 10, the guide rod 14 is arranged on the surface, opposite to the reset chassis 1, of the movable block 12, and the guide rod 14 is fixedly connected with the movable block 12.
The fixing mechanism is arranged on the distance-adjusting mechanism, is electrically connected with the control main board 6 and is used for fixing thighs and calves of a patient; the fixed mechanism comprises a power component and a fixed component, wherein the power component is arranged on the movable block 12, the power component is electrically connected with the control main board 6, the fixed component is arranged on the movable block 12, the fixed component is electrically connected with the control main board 6, and the fixed component is matched with the power component.
The power assembly comprises a power motor 15, a power gear 16, a longitudinal rod 17, a limit wheel 18, a rotating gear 19 and a thread bush 20, wherein the power motor 15 is arranged on the moving block 12, the power motor 15 is electrically connected with the control main board 6, the output end of the power motor 15 is fixedly connected with the power gear 16, the surface of the moving block 12 far away from the reset chassis 1 is provided with the longitudinal rod 17, the longitudinal rod 17 is fixedly connected with the moving block 12, the middle part of the rotating gear 19 is provided with the thread bush 20, the thread bush 20 is fixedly connected with the rotating gear 19, a through wheel groove is formed in the surface of the rotating gear 19, the limit wheel 18 is arranged in the wheel groove, and the limit wheel 18 is rotationally connected with the longitudinal rod 17.
The fixed subassembly includes vertical screw 21, baffle 22, external cover 23, even piece 24, electric putter 25, the arc piece 26, connecting rod 27 and fixed band 28, vertical screw 21 and thread bush 20 threaded connection, the one end that vertical screw 21 kept away from chassis 1 resets and baffle 22 fixed connection, the one end that vertical screw 21 is close to chassis 1 resets and external cover 23 fixed connection, external cover 23 surface is provided with even piece 24, even piece 24 and external cover 23 fixed connection, even piece 24 and guide bar 14 sliding connection, external cover 23 internal surface is provided with the connecting rod, connecting rod and external cover 23 fixed connection, fixed band 28 and connecting rod fixed connection, the fixed band 28 is close to external cover 23's surface and has seted up arc groove 29, external cover 23 is provided with electric putter 25 with the relative surface of arc groove 29, electric putter 25 is connected with control mainboard 6 electricity, electric putter 25 and external cover 23 swivelling joint, arc piece 26 sets up in arc groove 29, arc piece 26 and arc groove 29 sliding connection, arc piece 26 and electric putter 25 swivelling joint.
After the distance between the fixing mechanisms is adjusted, medical staff controls the power motor 15 to start through the control main board 6, so that the power gear 16 fixedly connected with the output end of the power motor 15 rotates, the threaded sleeve 20 fixedly connected with the rotating gear 19 rotates through the engagement between the power gear 16 and the rotating gear 19, the external sleeve 23 fixedly connected with the longitudinal screw 21 is driven to move towards the leg of a patient through the threaded transmission fit between the threaded sleeve 20 and the longitudinal screw 21, the fixing belt 28 fixedly connected with the external sleeve 23 moves towards the leg of the patient until the fixing belt 28 is attached to the leg surface of the patient and applies a certain pressure, and then the medical staff controls the electric push rod 25 to start through the control main board 6, so that the electric push rod 25 drives the arc block 26 to squeeze the fixing belt 28, and two sides of the fixing belt 28 are attached to the leg surface of the patient and apply a certain pressure; through being provided with fixed establishment for medical staff's accessible fixed band 28 is fixed patient's shank before the operation, adjusts the position of fixed band 28 both sides through electric putter 25, and then makes this device applicable in different leg girth, fixes patient's shank through fixed band 28 before the art, has also promoted the accuracy of follow-up medical staff to patient shank fracture position nailing to a certain extent, fixes patient's shank through fixed establishment simultaneously and has also avoided the operation accident that causes at the unexpected removal of operation in-process patient's shank.
Embodiment two:
on the basis of the first embodiment, referring to fig. 1-8, a nailing mechanism is arranged on the placement plate 7, the nailing mechanism is detachably and fixedly connected with the placement plate 7, and the nailing mechanism is used for nailing and fixing the fracture reduction part; the nailing mechanism comprises a supporting component and a nailing component, wherein the supporting component is arranged on the surface of the placing plate 7, which is close to the top plate 3, and the nailing component is arranged on the supporting component.
The supporting component comprises an arc-shaped block 30, an arc-shaped groove 31 is formed in the surface of the arc-shaped block 30, an arc-shaped chute 32 is formed in the end face of the arc-shaped block 30, positioning holes 33 are formed in the surface of the arc-shaped chute 32, a plurality of positioning holes 33 are formed, and the positioning holes 33 are uniformly distributed in the arc-shaped chute 32 in circumference.
The nailing assembly comprises a nailing block 34, an arc sliding block 35, a connecting plate 36, a fixed button 37, a reset spring 38, a vertical plate group 39, a telescopic rod 40 and a positioning rod 41, wherein the arc sliding block 35 is arranged in the arc sliding groove 32, the arc sliding block 35 is slidably connected with the arc sliding groove 32, a placing groove 42 is formed in the surface of the arc sliding block 35, the reset spring 38 is arranged in the placing groove 42, one end of the reset spring 38 is fixedly connected with the arc sliding block 35, the other end of the arc sliding block 35 is fixedly connected with the fixed button 37, the fixed button 37 is slidably connected with the placing groove 42, one end of the connecting plate 36 is fixedly connected with the arc sliding block 35, the other end of the connecting plate 36 is fixedly connected with the nailing block 34, the nailing block 34 is arranged in the arc sliding groove 31, a nailing hole 43 is formed in the surface of the nailing block 34, a plurality of nailing holes 43 are formed in the surface of the arc sliding block 35, the vertical plate group 39 is fixedly connected with the arc sliding block 35, the positioning rod 41 is slidably connected with the arc sliding block 35, the telescopic rod 40 is arranged in the vertical plate group 39, the telescopic rod 40 is rotatably connected with the vertical plate group 39, and the end of the telescopic rod 40 is rotatably connected with the vertical plate group 39 respectively, and the end of the nailing block 40 is rotatably connected with the fixed rod 37.
After the legs of the patient are fixed, medical staff presses the fixing button 37, so that the fixing button 37 slides into the placing groove 42 to extrude the reset spring 38, the telescopic rod 40 rotationally connected with the fixing button 37 drives the positioning rod 41 rotationally connected with the telescopic rod 40 to be pulled out from the positioning hole 33, the medical staff moves the arc-shaped slide block 35 according to the fracture part of the legs of the patient, the arc-shaped slide block 35 slides in the arc-shaped slide groove 32 until the arc-shaped slide block 35 is moved to a proper nailing position, the medical staff releases the fixing button 37, the fixing button 37 resets under the action of the reset spring 38, and meanwhile, the positioning rod 41 is inserted into the corresponding positioning hole 33, so that the arc-shaped slide block 35 can be stably fixed at the nailing position required by the medical staff, and then the medical staff can fix the fracture part of the patient through the corresponding nailing device; through being provided with nailing mechanism for medical staff can adjust nailing piece 34 the position of arc inslot 31 according to patient's fracture position, and then the follow-up medical staff of being convenient for is to the nailing of patient fracture department that resets, through offer the locating hole 33 that is circumference distribution on arc piece 30, makes nailing piece 34 can be fixed on the different positions of arc piece 30, and the medical staff of being convenient for carries out nailing fixing to patient fracture position from different directions.
Be provided with stand pipe 44 in the nail hole 43, during the operation, when medical staff need throw into tiny top to fix to the position after the fracture resets, can not appear the skew of the drilling direction of staple when nailing through being provided with stand pipe 44 for medical staff, and then very big improvement medical staff nailing's degree of accuracy.
Working principle: before operation, a patient pushes the device to be placed on the placement plate 7, medical staff controls the driving motor 9 to start through the control main board 6, so that the driving screw 10 fixedly connected with the output end of the driving motor 9 rotates, and the distance between the two moving blocks 12 on the top plate 3 is adjusted through the threaded transmission fit between the driving screw 10 and the threaded blocks 13; the driving assembly is arranged to enable the device to adjust the moving blocks 12 in the moving assembly according to the fracture parts of the legs of the patient, so that the distance between the fixing mechanisms arranged on the two moving blocks 12 is adjusted to adapt to the fracture parts of the legs of the patient, and the stability of the subsequent fixing mechanisms to the fracture parts of the legs of the patient is improved to a certain extent by adjusting the fixing mechanisms to proper positions according to the fracture parts of the legs of the patient; after the distance between the fixing mechanisms is adjusted, medical staff controls the power motor 15 to start through the control main board 6, so that the power gear 16 fixedly connected with the output end of the power motor 15 rotates, the threaded sleeve 20 fixedly connected with the rotating gear 19 rotates through the engagement between the power gear 16 and the rotating gear 19, the external sleeve 23 fixedly connected with the longitudinal screw 21 is driven to move towards the leg of a patient through the threaded transmission fit between the threaded sleeve 20 and the longitudinal screw 21, the fixing belt 28 fixedly connected with the external sleeve 23 moves towards the leg of the patient until the fixing belt 28 is attached to the leg surface of the patient and applies a certain pressure, and then the medical staff controls the electric push rod 25 to start through the control main board 6, so that the electric push rod 25 drives the arc block 26 to squeeze the fixing belt 28, and two sides of the fixing belt 28 are attached to the leg surface of the patient and apply a certain pressure; through being provided with fixing mechanism, make medical staff fix patient's shank through fixed band 28 before the operation, adjust the position of fixed band 28 both sides through electric putter 25, and then make this device applicable in different leg girth, fix patient's shank through fixed band 28 before the operation, also promoted the accuracy of follow-up medical staff to patient shank fracture position nailing to a certain extent, fix patient's shank through fixing mechanism simultaneously also avoided the operation accident that patient's shank accidentally removed caused in the operation process; after the legs of the patient are fixed, medical staff presses the fixing button 37, so that the fixing button 37 slides into the placing groove 42 to extrude the reset spring 38, the telescopic rod 40 rotationally connected with the fixing button 37 drives the positioning rod 41 rotationally connected with the telescopic rod 40 to be pulled out from the positioning hole 33, the medical staff moves the arc-shaped slide block 35 according to the fracture part of the legs of the patient, the arc-shaped slide block 35 slides in the arc-shaped slide groove 32 until the arc-shaped slide block 35 is moved to a proper nailing position, the medical staff releases the fixing button 37, the fixing button 37 resets under the action of the reset spring 38, and meanwhile, the positioning rod 41 is inserted into the corresponding positioning hole 33, so that the arc-shaped slide block 35 can be stably fixed at the nailing position required by the medical staff, and then the medical staff can fix the fracture part of the patient through the corresponding nailing device; through being provided with nailing mechanism for medical staff can adjust nailing piece 34 the position of arc inslot 31 according to patient's fracture position, and then the follow-up medical staff of being convenient for is to the nailing of patient fracture department that resets, through offer the locating hole 33 that is circumference distribution on arc piece 30, makes nailing piece 34 can be fixed on the different positions of arc piece 30, and the medical staff of being convenient for carries out nailing fixing to patient fracture position from different directions.
The above is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above examples, and all technical solutions belonging to the concept of the present invention belong to the protection scope of the present invention. It should be noted that modifications and adaptations to the present invention may occur to one skilled in the art without departing from the principles of the present invention and are intended to be within the scope of the present invention.

Claims (1)

1. The utility model provides a fixed guiding device of tibia fracture reduction, a serial communication port, including reduction chassis (1), be provided with support column (2) on reduction chassis (1), support column (2) are provided with four, and four support column (2) set up in the four corners department of reduction chassis (1) respectively, support column (2) and reduction chassis (1) fixed connection, the one end that reduction chassis (1) was kept away from to support column (2) is provided with roof (3), roof (3) and support column (2) fixed connection, moving groove (4) that link up have been seted up on roof (3) surface, moving groove (4) have been seted up two, and two moving groove (4) are along reduction chassis (1) length direction symmetry setting, moving groove (4) and reduction chassis (1) width direction vertically surface have seted up built-in groove (5), roof (3) surface is provided with control mainboard (6), control mainboard (6) and roof (3) fixed connection, the surface that reduction chassis (1) is close to roof (3) is provided with placing plate (7), the surface that reduction chassis (1) is close to roof (3) has seted up cross slide groove (8) and has been seted up cross slide groove (8);
the distance adjusting mechanisms are arranged on the top plate (3) and are electrically connected with the control main board (6), two groups of distance adjusting mechanisms are arranged, and the two groups of distance adjusting mechanisms are symmetrically arranged along the length direction of the reset chassis (1); the distance adjusting mechanism comprises a driving component and a moving component, the driving component is arranged on the top plate (3), the driving component is electrically connected with the control main board (6), the moving component is arranged in the moving groove (4), and the moving component is matched with the driving component; the driving assembly comprises a driving motor (9), a driving screw (10) and a fixing sleeve (11), wherein the driving motor (9) is arranged on the top plate (3), the driving motor (9) is electrically connected with the control main board (6), the fixing sleeve (11) is arranged in the built-in groove (5), the fixing sleeve (11) is fixedly connected with the built-in groove (5), the driving screw (10) is arranged in the built-in groove (5), one end of the driving screw (10) is rotationally connected with the fixing sleeve (11), and the other end of the driving screw (10) is fixedly connected with the output end of the driving motor (9); the movable assembly comprises a movable block (12), a threaded block (13) and a guide rod (14), wherein the threaded block (13) is arranged on the surface, close to the built-in groove (5), of the movable block (12), the threaded block (13) is fixedly connected with the movable block (12), the threaded block (13) is in threaded connection with the driving screw (10), the guide rod (14) is arranged on the surface, opposite to the reset chassis (1), of the movable block (12), and the guide rod (14) is fixedly connected with the movable block (12);
the fixing mechanism is arranged on the distance-adjusting mechanism, is electrically connected with the control main board (6) and is used for fixing thighs and calves of a patient; the fixing mechanism comprises a power component and a fixing component, the power component is arranged on the moving block (12), the power component is electrically connected with the control main board (6), the fixing component is arranged on the moving block (12), the fixing component is electrically connected with the control main board (6), and the fixing component is matched with the power component; the power assembly comprises a power motor (15), a power gear (16), a longitudinal rod (17), a limit wheel (18), a rotating gear (19) and a thread bush (20), wherein the power motor (15) is arranged on the movable block (12), the power motor (15) is electrically connected with the control main board (6), the output end of the power motor (15) is fixedly connected with the power gear (16), the surface of the movable block (12) far away from the reset chassis (1) is provided with the longitudinal rod (17), the longitudinal rod (17) is fixedly connected with the movable block (12), the middle part of the rotating gear (19) is provided with the thread bush (20), the thread bush (20) is fixedly connected with the rotating gear (19), the surface of the rotating gear (19) is provided with a through wheel groove, the limit wheel (18) is arranged in the wheel groove, and the limit wheel (18) is rotationally connected with the longitudinal rod (17); the fixing component comprises a longitudinal screw rod (21), a baffle plate (22), an external sleeve (23), a connecting block (24), an electric push rod (25), an arc block (26), a connecting rod (27) and a fixing belt (28), wherein the longitudinal screw rod (21) is in threaded connection with the threaded sleeve (20), one end of the longitudinal screw rod (21) far away from the reset chassis (1) is fixedly connected with the baffle plate (22), one end of the longitudinal screw rod (21) close to the reset chassis (1) is fixedly connected with the external sleeve (23), the outer surface of the external sleeve (23) is provided with the connecting block (24), the connecting block (24) is fixedly connected with the external sleeve (23), the connecting block (24) is in sliding connection with the guide rod (14), the inner surface of the external sleeve (23) is provided with a connecting rod, the connecting rod is fixedly connected with the external sleeve (23), the fixing belt (28) is fixedly connected with the connecting rod, an arc groove (29) is formed in the surface of the fixing belt (28) close to the external sleeve (23), the surface of the external sleeve (23) opposite to the arc groove (29), the electric push rod (25) is electrically connected with the control (6), the electric push rod (25) is connected with the control (25), the electric push rod (23) is in sliding connection with the arc groove (29) and is connected with the arc groove (26), the arc block (26) is rotationally connected with the electric push rod (25);
the nailing mechanism is arranged on the placing plate (7), is detachably and fixedly connected with the placing plate (7) and is used for nailing and fixing the fracture reduction part; the nailing mechanism comprises a supporting component and a nailing component, the supporting component is arranged on the surface of the placing plate (7) close to the top plate (3), and the nailing component is arranged on the supporting component; the support assembly comprises an arc-shaped block (30), an arc-shaped groove (31) is formed in the surface of the arc-shaped block (30), an arc-shaped chute (32) is formed in the end face of the arc-shaped block (30), positioning holes (33) are formed in the surface of the arc-shaped chute (32), a plurality of positioning holes (33) are formed, and the positioning holes (33) are uniformly distributed in the arc-shaped chute (32) in a circumferential manner; the nailing assembly comprises a nailing block (34), an arc sliding block (35), a connecting plate (36), a fixed button (37), a reset spring (38), a longitudinal plate group (39), a telescopic rod (40) and a positioning rod (41), wherein the arc sliding block (35) is arranged in an arc sliding groove (32), the arc sliding block (35) is in sliding connection with the arc sliding groove (32), a placing groove (42) is formed in the surface of the arc sliding block (35), the reset spring (38) is arranged in the placing groove (42), one end of the reset spring (38) is fixedly connected with the arc sliding block (35), the other end of the arc sliding block (35) is fixedly connected with the fixed button (37), the fixed button (37) is in sliding connection with the placing groove (42), one end of the connecting plate (36) is fixedly connected with the arc sliding block (35), the other end of the connecting plate (36) is fixedly connected with the nailing block (34), nailing holes (43) are formed in the arc sliding groove (31), a plurality of nailing holes (43) are formed in the surface of the nailing block (34), a plurality of the nailing blocks (35) are fixedly connected with the surface of the arc sliding block (34), the longitudinal plate group (39) and the arc sliding plate group (41), a telescopic rod (40) is arranged in the vertical plate group (39), the telescopic rod (40) is rotationally connected with the vertical plate group (39), and the end part of the telescopic rod (40) is rotationally connected with the fixed button (37) and the positioning rod (41) respectively.
CN202211548287.2A 2022-12-05 2022-12-05 Tibia plateau fracture reduction fixing and guiding device Active CN115813522B (en)

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CN208864467U (en) * 2018-05-22 2019-05-17 王凯 Shin embolia fixed guider under ankle surgery
CN109620388A (en) * 2019-01-29 2019-04-16 丽水市人民医院 A kind of Kirschner wire auxiliary locator for bone surgery
WO2020187463A1 (en) * 2019-03-15 2020-09-24 Augustin Betz Connecting device for connecting two bone parts
CN110693599A (en) * 2019-10-30 2020-01-17 邓迎生 Circle-center-fixed rotation radius offset-minimally invasive sacroiliac screw positioning guider
CN111227923A (en) * 2020-03-10 2020-06-05 李庆磊 Fracture coaptation auxiliary fixture for orthopedics
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CN214761509U (en) * 2020-11-26 2021-11-19 周立哲 Positioner for orthopedic surgery
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CN115068094A (en) * 2022-07-01 2022-09-20 鄂东医疗集团市中心医院 Novel orthopedic reduction nail locking device

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