CN201692033U - Temporomandibular joint dislocation traction repositor - Google Patents

Temporomandibular joint dislocation traction repositor Download PDF

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Publication number
CN201692033U
CN201692033U CN2010201778987U CN201020177898U CN201692033U CN 201692033 U CN201692033 U CN 201692033U CN 2010201778987 U CN2010201778987 U CN 2010201778987U CN 201020177898 U CN201020177898 U CN 201020177898U CN 201692033 U CN201692033 U CN 201692033U
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CN
China
Prior art keywords
screw
bolt
pinching
right clamping
jig arm
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN2010201778987U
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Chinese (zh)
Inventor
陈军
平飞云
严奉国
徐昕
叶国凤
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Zhejiang University ZJU
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Zhejiang University ZJU
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Priority to CN2010201778987U priority Critical patent/CN201692033U/en
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Publication of CN201692033U publication Critical patent/CN201692033U/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

The utility model provides a temporomandibular joint dislocation traction repositor, which comprises a left clamping arm, a right clamping arm, a big bolt, an internal-threaded bolt, an 8-shaped washer, an adjusting screw, adjusting bolts, a right clamping bolt, small bolts and a left clamping bolt, the adjusting bolts are connected with the adjusting screw, the small bolts fix the adjusting bolts, the big bolt, the internal-threaded bolt and the 8-shaped washer are connected together, and fix the left and the right clamping arms, the left clamping arm is connected with the left clamping bolt, the right clamping arm is connected with the right clamping bolt, and the right clamping bolt and the left clamping bolt are fixed on the outer sides of two mandibular rami. The utility model has the advantages of reasonable design, high adjustability, small size, excellent fabrication, safe, simple and convenient use, high practicability, small operation wound and good effect; the traction repositor can be disposable or reused after being disinfected; and when the traction repositor is in use, the mouth-opening exercise can be carried out at the same time, so that the risk of arthrocleisis can be reduced.

Description

A kind of dislocation of temporomandibular joint traction restorer
Technical field
This utility model belongs to armarium, relates generally to the dislocation of temporomandibular joint traction restorer.
Background technology
Oral and maxillofacial surgery wound mandibular bone chin portion fracture, cause mandibular bone body width to increase, bilateral bilateral condyle shape is prominent outwards to be deviate from articular fossa of temporal bone, cause the bilateral remporomandibular joint to dislocate outward, the part patient is because of the combined injury with craniocerebral trauma or other positions simultaneously, the wait conditions of patients is stablized when going to the Oral and Maxillofacial Surgery treatment, time was generally after the wound after two weeks, even the patient in March goes to a doctor to Oral and Maxillofacial Surgery because of occluding relation disorder and limitation of mouth opening after the wound, on clinical the reaching, mandibular bone CT 3-D scanning resurfacing can be clarified a diagnosis and be dislocated outward for mandibular bone chin portion's old fracture and bilateral remporomandibular joint old, part patient is with one-sided or bilateral fracture of condylar process, the Therapeutic Principle is that mandibular bone chin portion old fracture open reduction adds the titanium plate and fixes, making every effort to chin portion fracture when operation resets fully, titanium plate intensity must be enough simultaneously, sometimes the essential reconstruction titanium plate that uses, with the occluding relation is under the prerequisite, with prominent the resetting in the articular fossa of temporal bone of the outer condyle shape of dislocating of bilateral, there is the condyle shape of fracture need fix the prominent same period, but in the process of operation, because of the 1. chin portion fracture time longer, difficulty fully resets, the mandibular bone width changes, can't determine the 2. patient's upper jaw occluding relation change of its normal width, can't rely on upper jaw interlock recover the lower jaw occluding relation with reach determine the normal purpose of mandibular bone 3. the wound time long, soft tissue influence of various factors such as grow in the articular fossa of temporal bone, prominent being difficult to of the condyle shape of outer dislocation resets in the articular fossa of temporal bone fully, still there is the prominent outer dislocation of bilateral condyle shape to a certain degree in part patient's postoperative, need in this case a kind ofly can play the dislocate apparatus of reduction by traction of the auxiliary remporomandibular joint of postoperative outward, and the patient of the outer dislocation of part remporomandibular joint can be by simple operation, just can reach the purpose that the outer dislocation of remporomandibular joint resets by regulating traction, the dislocation of temporomandibular joint traction restorer is a kind of medical apparatus and instruments that adapts to this requirement exploitation, has more wide clinical use prospect.
Summary of the invention
The purpose of this utility model provides a kind of dislocation of temporomandibular joint traction restorer, be achieved through the following technical solutions: this utility model is by left jig arm 1, right jig arm 2, big screw 3, female thread screw 4, Eight characters pad 5, adjusting screw(rod) 6, adjustment screw 7, right pinching screw 8, Screw 9, left side pinching screw 10 is formed, adjustment screw 7 links to each other with adjusting screw(rod) 6, Screw 9 adjustment screw 7, big screw 3, female thread screw 4, Eight characters pad 5 links to each other, big screw 3, female thread screw 4, Eight characters pad 5 fixing left jig arm 2 and right jig arm 1, left side jig arm 1 links to each other with left pinching screw 10, right jig arm 2 links to each other with right pinching screw 8, and right pinching screw 8 and left pinching screw 10 are fixed on the lateral surface of two mandibular ramus.
During use, left and right pinching screw is fixed in the lateral surface of bilateral mandibular ramus in operation process, outwards or can change the width of adjustment screw to the internal rotation adjusting screw(rod), transduction by big screw, Eight characters pad, female thread screw, regulate left and right sides jig arm, reach the width of regulating between two pinching screws, the bilateral pinching screw produces inside strength, with prominent the resetting in glenoid fossa of condyle shape of dislocating outside articular fossa of temporal bone.The tight screw of double fastener is fixed in the condylar lateral surface of bilateral in the operation process, the multiple factors such as judgement that cooperate the prominent position of condyle shape in recovery of chin portion's reduction of the fracture and occluding relation and the art, cooperate the temporomandibular joint dislocation positor, the rotation adjusting screw(rod), when the condyle shape is prominent when resetting in articular fossa of temporal bone secured adjusted screw rod, the condyle shape is dashed forward to remain in the glenoid fossa under the effect of persistence extruding force, and in glenoid fossa, do not deviate from, the postoperative set time was three weeks, three week backs are at the prerequisite backspin modulations joint screw rods of local anesthesia, take off the dislocation of temporomandibular joint positor after loosening pinching screw.Though also can be used for having lower jaw chin portion fracture and dislocate outward with the bilateral remporomandibular joint, particularly young patient, can adopt the less modus operandi of damage, only two pinching screws are fixed in the lateral surface of mandibular bone ascending branch, progressively regulate adjusting screw(rod), whether got back in the glenoid fossa by check mandibular bone CT monitoring condyle shape is prominent, when the condyle shape is prominent got back in the glenoid fossa fully after, the secured adjusted screw rod, the condyle shape is dashed forward to remain in the glenoid fossa under the effect of persistence extruding force, and in glenoid fossa, do not deviate from, the postoperative set time was three weeks, same three week backs are at the prerequisite backspin modulation joint screw rod of local anesthesia, take off the dislocation of temporomandibular joint positor after loosening pinching screw, thereby have guaranteed the surgical effect that the outer dislocation of remporomandibular joint resets.
The utlity model has following characteristics:
1. this utility model utilizes the translation function of X type double wall, reached by the rotation adjusting screw(rod) and changed width between the bilateral pinching screw, thereby produce inside extruding force and act on the condylar lateral surface of bilateral, reach the prominent purpose that resets in glenoid fossa of condyle shape of will dislocate outside articular fossa of temporal bone, reasonable in design, prominent being difficult to of condyle shape that has solved the outer dislocation of Oral and Maxillofacial Surgery old resets in the articular fossa of temporal bone fully, and still there is the difficult problem of the prominent outer dislocation of bilateral condyle shape to a certain degree in part patient's postoperative.Though also can be used for having lower jaw chin portion fracture and dislocate outward with the bilateral remporomandibular joint, particularly young patient, can adopt the less modus operandi of damage, only two pinching screws are fixed in the lateral surface of mandibular bone ascending branch, progressively regulate adjusting screw(rod), whether got back in the glenoid fossa by check mandibular bone CT monitoring condyle shape is prominent, when the condyle shape is prominent got back in the glenoid fossa fully after, secured adjusted screw rod, thereby wound and the complication of having avoided chin portion open reduction and bilateral articular fossa of temporal bone open operation to bring.
1, this utility model controllability is strong, and volume is small and exquisite, and is perfect in workmanship, safe in utilization, simple, convenient, practical.
2, three weeks of postoperative loosen and can take off the dislocation of temporomandibular joint positor after screwing out pinching screw under the condition of local anesthesia, and operation wound is little, but definite effect.
3, the dislocation of temporomandibular joint positor can disposablely use, and the back of also can sterilizing is reused.
4, the dislocation of temporomandibular joint positor in use simultaneously can Open mouth training, can reduce the risk of ankylosis.
Description of drawings
Fig. 1 is this utility model structural representation.
The specific embodiment
The left in conjunction with the accompanying drawings and embodiments further instruction of this utility model.
Embodiment 1
This utility model is made up of left jig arm 1, right jig arm 2, big screw 3, female thread screw 4, Eight characters pad 5, adjusting screw(rod) 6, adjustment screw 7, right pinching screw 8, Screw 9, left pinching screw 10,
Can increase width between the adjustment screw to the external rotation adjusting screw(rod), transduction by big screw, Eight characters pad, female thread screw, regulate left and right sides jig arm, reduce the width between two pinching screws, the bilateral pinching screw produces inside strength, with prominent the resetting in glenoid fossa of condyle shape of dislocating outside articular fossa of temporal bone, in the process of implementing, determine that the prominent articular fossa of temporal bone normal position of whether having got back to of condyle shape must be in conjunction with the synthetic determinations such as judgement of the prominent anatomical position of condyle shape in the reduction of the fracture of chin portion, occluding relation recovery and the art.When definite condyle shape is prominent when whether having got back to the articular fossa of temporal bone normal position, the secured adjusted screw rod, thus reach the effect that fixes to clamp screw, the condyle shape is dashed forward under the effect of persistence extruding force, remain in the glenoid fossa, and in glenoid fossa, do not deviate from, the postoperative set time was three weeks.Though also can be used for having lower jaw chin portion fracture and dislocate outward with the bilateral remporomandibular joint, particularly young patient, can adopt the less modus operandi of damage, only two pinching screws are fixed in the lateral surface of mandibular bone ascending branch, progressively regulate adjusting screw(rod), by prominent whether having got back in the glenoid fossa of check mandibular bone CT monitoring condyle shape, when the condyle shape is prominent got back in the glenoid fossa fully after, the secured adjusted screw rod, the same set time was 3 weeks.
Implement 2
Three weeks of postoperative, under the condition of local anesthesia, can reduce width between the adjustment screw to the internal rotation adjusting screw(rod), transduction by big screw, Eight characters pad, female thread screw, regulate left and right sides jig arm, increase the width between two pinching screws, loosen pinching screw and pinching screw is screwed out from the prominent lateral surface of condyle shape, take off the dislocation of temporomandibular joint positor.

Claims (1)

1. dislocation of temporomandibular joint traction restorer, it is characterized in that, be achieved through the following technical solutions: by left jig arm (1), right jig arm (2), big screw (3), female thread screw (4), Eight characters pad (5), adjusting screw(rod) (6), adjustment screw (7), right pinching screw (8), Screw (9), left side pinching screw (10) is formed, adjustment screw (7) links to each other with adjusting screw(rod) (6), Screw (9) adjustment screw (7), big screw (3), female thread screw (4), Eight characters pad (5) links to each other, big screw (3), female thread screw (4), fixing left jig arm (2) of Eight characters pad (5) and right jig arm (1), left side jig arm (1) links to each other with left pinching screw (10), right jig arm (2) links to each other with right pinching screw (8), and right pinching screw (8) and left pinching screw (10) are fixed on the lateral surface of two mandibular ramus.
CN2010201778987U 2010-04-30 2010-04-30 Temporomandibular joint dislocation traction repositor Expired - Fee Related CN201692033U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2010201778987U CN201692033U (en) 2010-04-30 2010-04-30 Temporomandibular joint dislocation traction repositor

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2010201778987U CN201692033U (en) 2010-04-30 2010-04-30 Temporomandibular joint dislocation traction repositor

Publications (1)

Publication Number Publication Date
CN201692033U true CN201692033U (en) 2011-01-05

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103300900A (en) * 2013-04-08 2013-09-18 孙晋客 Facet joint retractor
CN103655114A (en) * 2012-09-26 2014-03-26 李超 Adjustable mouth opening trainer
WO2015006989A1 (en) * 2013-07-19 2015-01-22 深圳市华星光电技术有限公司 Object position correction apparatus
CN105342735A (en) * 2015-11-16 2016-02-24 李睿嘉 Temporomandibular joint repositor
CN108175637A (en) * 2017-12-20 2018-06-19 上海微创骨科医疗科技有限公司 Temporomandibular joint tractor and temporomandibular joint press device

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103655114A (en) * 2012-09-26 2014-03-26 李超 Adjustable mouth opening trainer
CN103655114B (en) * 2012-09-26 2015-09-16 李超 Adjustable openings training aids
CN103300900A (en) * 2013-04-08 2013-09-18 孙晋客 Facet joint retractor
WO2015006989A1 (en) * 2013-07-19 2015-01-22 深圳市华星光电技术有限公司 Object position correction apparatus
CN105342735A (en) * 2015-11-16 2016-02-24 李睿嘉 Temporomandibular joint repositor
CN108175637A (en) * 2017-12-20 2018-06-19 上海微创骨科医疗科技有限公司 Temporomandibular joint tractor and temporomandibular joint press device
WO2019120075A1 (en) * 2017-12-20 2019-06-27 上海微创骨科医疗科技有限公司 Temporomandibular joint distractor and temporomandibular joint pressing device
CN108175637B (en) * 2017-12-20 2023-11-21 锐可医疗科技(上海)有限公司 Temporomandibular joint tractor and temporomandibular joint pressing device

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C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20110105

Termination date: 20130430