CN201551378U - Intercondylar spine fracture reduction forceps - Google Patents

Intercondylar spine fracture reduction forceps Download PDF

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CN201551378U
CN201551378U CN200920206558XU CN200920206558U CN201551378U CN 201551378 U CN201551378 U CN 201551378U CN 200920206558X U CN200920206558X U CN 200920206558XU CN 200920206558 U CN200920206558 U CN 200920206558U CN 201551378 U CN201551378 U CN 201551378U
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handle
movable
caliper
spring
leaf
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郑璐
彭旭
邓姝
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First Affiliated Hospital of TMMU
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Abstract

本实用新型公开了一种髁间棘骨折复位钳,包括钳口、钳体、手柄、牵引索、压缩弹簧和弹簧固定座,手柄包括固定柄和活动柄,活动柄与固定柄铰接形成杠杆结构,钳口包括活动钳叶,活动钳叶与钳体铰接形成杠杆结构,牵引索的两端分别与活动柄和活动钳叶的动力臂相连,弹簧固定座与钳体固定连接,牵引索贯穿弹簧固定座,压缩弹簧两端分别与活动钳叶动力臂及弹簧固定座固定连接;手术时,用本器械夹住骨折的髁间棘并将其顶回脱落部位,还可采用小锤等辅助设施对钳体施以冲击帮助骨折复位;本器械仅钳口部位可以张合,钳体部位为细长结构,应用于小创面手术时,可深入患处并顺利操作,不仅结构简单,操作方便,而且省时省力,骨折复位迅速且效果好。

Figure 200920206558

The utility model discloses a reduction forceps for intercondylar spine fractures, which comprises a jaw, a forceps body, a handle, a traction cable, a compression spring and a spring fixing seat, the handle includes a fixed handle and a movable handle, and the movable handle and the fixed handle are hinged to form a lever structure , the jaws include movable pliers blades, the movable pliers blades are hinged with the pliers body to form a lever structure, the two ends of the traction cable are respectively connected with the movable handle and the power arm of the movable pliers blade, the spring fixing seat is fixedly connected with the pliers body, and the traction cable runs through the spring The fixed seat, the two ends of the compression spring are respectively fixedly connected with the power arm of the movable forceps blade and the spring fixed seat; during the operation, use this instrument to clamp the fractured intercondylar spine and push it back to the part where it fell off. Auxiliary facilities such as a small hammer can also be used Impact on the forceps to help the fracture reset; only the jaws of this device can be opened and closed, and the forceps is a slender structure. When it is applied to small wound surgery, it can penetrate into the affected area and operate smoothly. It is not only simple in structure and convenient in operation, but also It saves time and labor, and the fracture reduction is quick and the effect is good.

Figure 200920206558

Description

髁间棘骨折复位钳 Intercondylar spine fracture reduction forceps

技术领域technical field

本实用新型涉及医疗器械领域,特别涉及一种髁间棘骨折复位钳。The utility model relates to the field of medical instruments, in particular to a reduction forceps for intercondylar spine fractures.

背景技术Background technique

随着关节镜技术的发展,关节镜下治疗胫骨髁间棘骨折因其创伤小、操作简便、固定可靠、术后康复快、并发症少等优点,被越来越广泛地应用于临床。治疗时,首先通过器械对发生骨折的髁间棘部位进行复位,然后采用定位针自胫骨外髁向股骨内髁贯穿以对该部位临时固定,最后在定位针外钉入空心针即可。此类手术因其创面小,操作时,髁间棘骨折部位的复位操作成为保障此手术顺利进行的前提,现有的关节镜下治疗胫骨髁间棘骨折术中,医生常采用探针将骨折的髁间棘顶回原位。其缺陷在于:探针虽能顶住骨折的髁间棘,但无法对其进行夹持,同时受力有限,容易弯曲,医生需要反复多次操作才能实现复位,不仅延长手术时间、增加了医生的工作强度,也增加了患者的痛苦,对患者日后康复也造成一定程度的影响。With the development of arthroscopic technology, arthroscopic treatment of tibial intercondylar spine fractures has been more and more widely used clinically due to its advantages of less trauma, simple operation, reliable fixation, fast postoperative recovery, and fewer complications. During the treatment, the fractured intercondylar spine is first reduced with instruments, and then a positioning pin is used to penetrate from the lateral tibial condyle to the medial femoral condyle to temporarily fix the site, and finally a hollow needle is nailed outside the positioning pin. Due to the small trauma of this type of operation, the reduction operation of the intercondylar spine fracture site becomes the prerequisite to ensure the smooth operation of the operation. In the existing arthroscopic treatment of tibial intercondylar spine fractures, doctors often use probes to place the fractures into place. The top of the intercondylar spine returns to its original position. Its defect is that although the probe can withstand the fractured intercondylar spine, it cannot be clamped. At the same time, the force is limited and it is easy to bend. It also increases the pain of the patient and affects the recovery of the patient to a certain extent in the future.

实用新型内容Utility model content

有鉴于此,本实用新型的目的是提供一种髁间棘骨折复位钳,能在关节镜下治疗胫骨髁间棘骨折术中对骨折的髁间棘快速有效进行复位,并且结构简单,使用方便,复位效果好。In view of this, the purpose of this utility model is to provide a kind of intercondylar spine fracture reduction forceps, which can quickly and effectively reset the fractured intercondylar spine in arthroscopic treatment of tibial intercondylar spine fractures, and has a simple structure and is easy to use , the reset effect is good.

本实用新型的髁间棘骨折复位钳包括钳口、钳体、手柄和牵引索,所述手柄包括固定柄和活动柄,所述固定柄与钳体制成一体,所述活动柄与固定柄铰接形成杠杆结构,所述钳口包括活动钳叶,所述活动钳叶与钳体铰接形成杠杆结构,所述牵引索的两端分别与活动柄阻力臂和活动钳叶动力臂相连,所述活动柄通过牵引索对活动钳叶施加拉力;The intercondylar spine fracture reduction forceps of the utility model comprises jaws, forceps body, handle and traction cable, and described handle comprises fixed handle and movable handle, and described fixed handle and forceps body are made into one, and described movable handle is hinged with fixed handle Form a lever structure, the jaws include movable pliers blades, the movable pliers blades are hinged with the pliers body to form a lever structure, the two ends of the traction rope are respectively connected with the movable handle resistance arm and the movable pliers blade power arm, the movable The handle exerts tension on the movable pliers blade through the traction cable;

还包括压缩弹簧和弹簧固定座,所述弹簧固定座与钳体固定连接,所述牵引索沿纵向贯穿弹簧固定座,所述压缩弹簧的两端分别与活动钳叶动力臂及弹簧固定座固定连接并对活动钳叶施加压预紧力。It also includes a compression spring and a spring fixing seat, the spring fixing seat is fixedly connected with the pliers body, the traction cable runs through the spring fixing seat in the longitudinal direction, and the two ends of the compression spring are respectively fixed to the movable pliers blade power arm and the spring fixing seat Connect and apply pressure preload to the movable pliers.

进一步,还包括定滑轮,所述定滑轮、牵引索、压缩弹簧和弹簧固定座均位于钳体内,所述定滑轮的转轴垂直于活动柄的转动平面,所述牵引索绕过定滑轮形成直角形状;Further, it also includes a fixed pulley, the fixed pulley, the traction cable, the compression spring and the spring holder are all located in the clamp body, the rotating shaft of the fixed pulley is perpendicular to the rotation plane of the movable handle, and the traction cable forms a right angle around the fixed pulley shape;

进一步,所述钳口的上叶和下叶均为活动钳叶并相互铰接形成杠杆结构;Further, the upper leaf and the lower leaf of the jaw are both movable pincer leaves and are hinged to each other to form a lever structure;

进一步,所述钳口上叶为活动钳叶并与钳体铰接形成杠杆结构,所述钳口下叶与钳体制成一体;Further, the upper leaf of the jaw is a movable pincer leaf and is hinged with the pliers body to form a lever structure, and the lower leaf of the jaw is integrated with the pliers body;

进一步,所述钳口下叶为活动钳叶并与钳体铰接形成杠杆结构,所述钳口上叶与钳体制成一体。Further, the lower leaves of the jaws are movable pincers leaves and are hinged with the pliers body to form a lever structure, and the upper leaves of the jaws are integrated with the pliers body.

本实用新型的有益效果是:本实用新型的髁间棘骨折复位钳,包括钳口、钳体、手柄、牵引索、压缩弹簧和弹簧固定座,所述手柄包括固定柄和活动柄,所述固定柄与钳体制成一体,所述活动柄与固定柄铰接形成杠杆结构,所述钳口包括活动钳叶,所述活动钳叶与钳体铰接形成杠杆结构,所述牵引索的两端分别与活动柄阻力臂和活动钳叶动力臂相连,所述活动柄通过牵引索对活动钳叶施加拉力,所述弹簧固定座与钳体固定连接,所述牵引索沿纵向贯穿弹簧固定座,所述压缩弹簧的两端分别与活动钳叶的动力臂及弹簧固定座固定连接并对活动钳叶施加压预紧力;手术时,用本髁间棘骨折复位钳夹持住骨折的髁间棘并将其顶回脱落部位,必要时还可采用小锤等辅助设施对钳体施以冲击力,即可实现髁间棘的良好复位;本器械仅钳口部位可以张合,钳体部位为细长结构,应用于小创面手术时,可深入患处并顺利操作,不仅结构简单,操作方便,而且操作省时省力,骨折复位迅速且效果好。The beneficial effect of the utility model is: the intercondylar spine fracture reduction forceps of the utility model comprises jaws, forceps body, handle, traction cable, compression spring and spring fixing seat, and the handle comprises a fixed handle and a movable handle. The fixed handle is integrated with the pliers body, the movable handle is hinged with the fixed handle to form a lever structure, the jaws include movable pliers leaves, the movable pliers leaves are hinged with the pliers body to form a lever structure, and the two ends of the traction rope are respectively It is connected with the resistance arm of the movable handle and the power arm of the movable pliers blade. The movable handle exerts a pulling force on the movable pliers blade through the traction cable, and the spring holder is fixedly connected with the pliers body. The two ends of the compression spring are respectively fixedly connected with the power arm of the movable forceps blade and the spring fixing seat, and apply a pre-tightening force to the movable forceps blade; Push it back to the part where it fell off, and if necessary, use auxiliary facilities such as a small hammer to exert impact force on the pliers, so that a good reduction of the intercondylar spine can be achieved; only the jaws of this instrument can be opened and closed, and the pliers body is The slender structure, when used in small wound surgery, can go deep into the affected area and operate smoothly. Not only the structure is simple, the operation is convenient, but also the operation saves time and effort, and the fracture reduction is rapid and the effect is good.

附图说明Description of drawings

下面结合附图和实施例对实用新型作进一步描述。Below in conjunction with accompanying drawing and embodiment the utility model is described further.

图1为本实用新型的结构示意图;Fig. 1 is the structural representation of the utility model;

图2为图1的局部剖视图;Fig. 2 is a partial sectional view of Fig. 1;

图3为图2中A部的放大图。Fig. 3 is an enlarged view of part A in Fig. 2 .

具体实施方式Detailed ways

图1为本实用新型的结构示意图;图2为图1的局部剖视图;图3为图2中A部的放大图。如图所示:Fig. 1 is a schematic structural view of the utility model; Fig. 2 is a partial sectional view of Fig. 1; Fig. 3 is an enlarged view of part A in Fig. 2 . as the picture shows:

本实施例的髁间棘骨折复位钳,包括钳口1、钳体2、手柄、牵引索8、压缩弹簧3和弹簧固定座9,所述手柄包括固定柄4和活动柄5,固定柄4与钳体2制成一体,活动柄5与固定柄4铰接形成杠杆结构,所述钳口包括活动钳叶,所述活动钳叶与钳体铰接形成杠杆结构,牵引索8的两端分别与活动柄5阻力臂相连和活动钳叶动力臂相连,活动柄5通过牵引索8对活动钳叶施加拉力,所述弹簧固定座9与钳体固定设置,压缩弹簧3的两端分别与活动钳叶的动力臂及弹簧固定座9固定连接并对活动钳叶施加压预紧力;手术时,捏拢活动柄与固定柄,与活动柄连接的牵引索对活动钳叶施加向后的拉力使得钳口闭合并夹住待复位的髁间棘,同时,与活动钳叶固定连接的压缩弹簧被压紧,当需要钳口张开时,张开手柄,使牵引索松弛,压缩弹簧回弹,钳口即可打开;通过本器械可十分方便地将骨折的髁间棘钳住并顶回原位,必要时可以采用小锤对本器械的尾端施以冲击力,进一步帮助髁间棘复位,本器械不仅便于术者操作,而且大大提高了髁间棘骨折复位的一次性成功率。The intercondylar spine fracture reduction forceps of the present embodiment comprises a jaw 1, a forceps body 2, a handle, a traction cable 8, a compression spring 3 and a spring holder 9, the handle comprises a fixed handle 4 and a movable handle 5, and the fixed handle 4 It is integrated with the pliers body 2, and the movable handle 5 is hinged with the fixed handle 4 to form a lever structure. The movable handle 5 is connected to the resistance arm of the movable tongs and connected to the power arm of the movable tongs. The movable handle 5 applies a pulling force to the movable tongs through the traction cable 8. The spring holder 9 is fixed with the body of the tongs. The power arm of the leaf and the spring holder 9 are fixedly connected and apply a pre-tightening force to the movable forceps blade; The jaws are closed and clamp the intercondylar spine to be reset. At the same time, the compression spring fixedly connected with the movable forceps leaf is compressed. When the jaws need to be opened, the handle is opened to relax the traction cable, the compression spring rebounds, and the jaws It can be opened; through this instrument, the fractured intercondylar spine can be clamped and pushed back to its original position very conveniently. If necessary, a small hammer can be used to exert impact force on the tail end of the instrument to further help the intercondylar spine to reset. It is not only convenient for the operator to operate, but also greatly improves the one-time success rate of intercondylar spine fracture reduction.

作为进一步改进,本实施例中,还包括定滑轮10,所述定滑轮10、牵引索8、压缩弹簧3和弹簧固定座9均位于钳体内,定滑轮的转轴垂直于活动柄的转动平面并与钳体固定设置,所述牵引索绕过定滑轮形成直角形状;应用时,定滑轮对牵引索起导向作用,让牵引索顺利实现方向调整,更加省力。As a further improvement, in this embodiment, a fixed pulley 10 is also included, and the fixed pulley 10, the traction cable 8, the compression spring 3 and the spring holder 9 are all located in the pliers, and the rotating shaft of the fixed pulley is perpendicular to the rotation plane of the movable handle and Fixed with the caliper body, the traction cable bypasses the fixed pulley to form a right-angle shape; when in use, the fixed pulley acts as a guide for the traction cable, allowing the traction cable to smoothly realize direction adjustment and save labor.

作为进一步改进,本实施例中,钳口上叶6为活动钳叶并与钳体铰接形成杠杆结构,钳口下叶7与钳体制成一体。As a further improvement, in this embodiment, the upper blade 6 of the jaws is a movable blade and is hinged with the pliers body to form a lever structure, and the lower blade 7 of the jaws is integrated with the pliers body.

当然,本实施例中,钳口的结构还可以是以下两种形式:1、钳口的上叶和下叶均为活动钳叶并相互铰接形成杠杆结构,2、钳口下叶为活动钳叶并与钳体铰接形成杠杆结构,钳口上叶与钳体制成一体。Of course, in this embodiment, the structure of the jaws can also be in the following two forms: 1. The upper and lower leaves of the jaws are both movable pincers leaves and are hinged to each other to form a lever structure; 2. The lower leaves of the jaws are movable pincers The leaves are hinged with the pliers to form a lever structure, and the upper leaves of the jaws are integrated with the pliers.

需要说明的是,本实施例中,活动柄位于固定柄的内侧,此处所说的内侧为固定柄的靠近钳口的一侧,当然,活动柄位于固定柄的外侧同样可以实现本实用新型的目的,原理同上,在此不再做赘述。It should be noted that, in this embodiment, the movable handle is located on the inner side of the fixed handle, and the inner side mentioned here is the side near the jaw of the fixed handle. Of course, the movable handle is located on the outside of the fixed handle, which can also realize the utility model. The purpose and principle are the same as above, and will not be repeated here.

最后说明的是,尽管参照较佳实施例对本实用新型进行了详细说明,本领域的普通技术人员应当理解,可以对本实用新型的技术方案进行修改或者等同替换,而不脱离本实用新型技术方案的宗旨和范围,其均应涵盖在本实用新型的权利要求范围当中。Finally, although the utility model has been described in detail with reference to the preferred embodiment, those skilled in the art should understand that the technical solution of the utility model can be modified or equivalently replaced without departing from the technical solution of the utility model. The purpose and scope should be included in the scope of the claims of the present utility model.

Claims (5)

1. an intercondyloid spine reduction of the fracture clamps, it is characterized in that: comprise jaw, caliper, handle and hauling rope, described handle comprises fixed handle and movable handle, described fixed handle and caliper are made one, the hinged formation lever construction of described movable handle and fixed handle, described jaw comprises the adjustable clamp leaf, the hinged formation lever construction of described adjustable clamp leaf and caliper, the two ends of described hauling rope link to each other with adjustable clamp leaf power arm with movable handle resistance arm respectively, and described movable handle adds pulling force by hauling rope to the adjustable clamp foliar spray;
Also comprise compression spring and spring fixed seat, described spring fixed seat is fixedlyed connected with caliper, described hauling rope longitudinally runs through spring fixed seat, and the two ends of described compression spring are respectively with adjustable clamp leaf power arm and spring fixed seat is fixedlyed connected and to adjustable clamp foliar spray pressurization pretightning force.
2. intercondyloid spine reduction of the fracture pincers according to claim 1, it is characterized in that: also comprise fixed pulley, described fixed pulley, hauling rope, compression spring and spring fixed seat all are positioned at caliper, the rotating shaft of described fixed pulley is perpendicular to the rotational plane of movable handle, and described hauling rope is walked around fixed pulley and formed rectangular shaped.
3. intercondyloid spine reduction of the fracture pincers according to claim 2, it is characterized in that: the last leaf of described jaw and inferior lobe are the adjustable clamp leaf and the formation lever construction that is hinged.
4. the intercondyloid spine reduction of the fracture according to claim 2 pincers is characterized in that: on the described jaw leaf be the adjustable clamp leaf and with the hinged formation lever construction of caliper, described jaw inferior lobe and caliper are made one.
5. the intercondyloid spine reduction of the fracture according to claim 2 pincers is characterized in that: described jaw inferior lobe be the adjustable clamp leaf and with the hinged formation lever construction of caliper, leaf and caliper are made one on the described jaw.
CN200920206558XU 2009-09-29 2009-09-29 Intercondylar spine fracture reduction forceps Expired - Fee Related CN201551378U (en)

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103070721A (en) * 2010-09-03 2013-05-01 张强 Minimally-invasive thoracolumbar vertebral fracture repositor
CN104783877A (en) * 2015-04-03 2015-07-22 吴松 Tibia intercondyloid spine fracture reduction fixing device
CN105748138A (en) * 2014-12-26 2016-07-13 林仲可 Anterior dislocation reduction fixator for atlantoaxial joint
CN108814693A (en) * 2018-04-19 2018-11-16 刘陈邦 A kind of obstetric forceps of high-performance far-end operation
CN110123420A (en) * 2019-06-01 2019-08-16 青岛大学附属医院 A kind of digestive endoscopy Minimally Invasive Surgery knife system
CN111493978A (en) * 2020-03-27 2020-08-07 单国华 Tendon guide forceps
CN113229876A (en) * 2021-04-07 2021-08-10 苏州法兰克曼医疗器械有限公司 Cavity mirror cutting anastomat with adjustable direction of keeping silent

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103070721A (en) * 2010-09-03 2013-05-01 张强 Minimally-invasive thoracolumbar vertebral fracture repositor
CN105748138A (en) * 2014-12-26 2016-07-13 林仲可 Anterior dislocation reduction fixator for atlantoaxial joint
CN104783877A (en) * 2015-04-03 2015-07-22 吴松 Tibia intercondyloid spine fracture reduction fixing device
CN108814693A (en) * 2018-04-19 2018-11-16 刘陈邦 A kind of obstetric forceps of high-performance far-end operation
CN110123420A (en) * 2019-06-01 2019-08-16 青岛大学附属医院 A kind of digestive endoscopy Minimally Invasive Surgery knife system
CN111493978A (en) * 2020-03-27 2020-08-07 单国华 Tendon guide forceps
CN113229876A (en) * 2021-04-07 2021-08-10 苏州法兰克曼医疗器械有限公司 Cavity mirror cutting anastomat with adjustable direction of keeping silent
CN113229876B (en) * 2021-04-07 2022-04-12 苏州法兰克曼医疗器械有限公司 Cavity mirror cutting anastomat with adjustable direction of keeping silent

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