The special-purpose operating theater instruments of breast latch hook blade plate
Technical field
This utility model relates to technical field of medical instruments, particularly a kind of special-purpose operating theater instruments of breast latch hook blade plate of installing, implanting or taking out breast latch hook blade plate when dislocation before and after the orthopaedics sternoclavicular joint or front and back dislocation merge the bone surgery of clavicle fractured near end that is applicable to.
Background technology
At present, the expectant treatment dislocation of sternoclavicular joint is generally taked in dislocation before and after the sternoclavicular joint, and majority can manual reduction, but the hold reset difficulty.The method of traditional treatment dislocation of sternoclavicular joint is to adopt internal fixations such as steel wire, tension band or Kirschner wire, adopt the method for traditional treatment dislocation of sternoclavicular joint to have the following disadvantages: (1) internal fixation rear stability is poor, and the loosening withdraw of the needle of Kirschner wire and the sternoclavicular joint situation of dislocating again appears in postoperative; (2) Kirschner wire penetrates to penetrate and injures blood vessel.The existing weak point of method at traditional treatment dislocation of sternoclavicular joint, be to adopt breast latch hook blade plate internal fixation to be used for treating dislocation of sternoclavicular joint at present, its mesothorax latch hook blade plate adopts titanium to make, adopt breast latch hook blade plate internal fixation to have following advantage: (1) meets the anatomic characteristic of sternoclavicular joint, the little protuberance that can not cause joint portion of breast latch hook blade plate capacity, thus do not affect the appearance; (2) the fixed ligament repair that is beneficial to, breast latch hook blade plate adopt the fixing back of cancellous bone screw firm, and a stable environment is provided, and help impaired capsula articularis sternoclavicularis and the repair and reconstruction of ligament on every side.Breast latch hook blade plate frequently appears on the clinical treatment at present, but the operating theater instruments that is used for the treatment of dislocation of sternoclavicular joint front and back or front and back dislocation merging clavicle fractured near end so far clinically mainly has been to use the upper limb apparatus, not for the special-purpose operating theater instruments of implanting breast latch hook blade plate, thereby in breast latch hook blade plate implantation process, only allow its anatomy to feel to finish, inconvenient operation, be difficult to realize fast implanting blade plate, the probability that has iatrogenic injury, operating time is long, and patient will bear bigger misery.
Summary of the invention
Task of the present utility model provides a kind of easy to use and can guarantee to receive the special-purpose operating theater instruments of breast latch hook blade plate of installing, implanting or taking out breast latch hook blade plate when dislocation before and after the orthopaedics sternoclavicular joint or front and back dislocation merge the bone surgery of clavicle fractured near end of being used for of better surgical effect, so that reduce iatrogenic injury as far as possible, shorten operating time, alleviate the misery that patient will bear, make operation fast, finish safely.
The technical solution adopted in the utility model is finished in the following way: the special-purpose operating theater instruments of a kind of breast latch hook of this utility model blade plate comprises that drilling director, backguy guider, guiding revolve tool, Upper gasket spanner, spanner, radially reverse spanner, boring depth stop and breastbone depth finder.
Described drilling director comprises handle one, guide pin bushing and cutting ferrule one, cutting ferrule one is c-shaped, guide pin bushing is tubular, guide pin bushing is fixed on the upper plate of cutting ferrule one, handle one is fixed on the guide pin bushing, the detent that one circle is arranged in the lower plate inboard of cutting ferrule one, the center of circle of detent are positioned on the axis of pore of guide pin bushing.
Described backguy guider comprises handle two and cutting ferrule two, cutting ferrule two is c-shaped, handle two is fixed on the end of cutting ferrule two upper plates, on cutting ferrule two upper plates, be provided with the circular hole of band open slot, be provided with screw in cutting ferrule two lower plate inboards, the center of circle of the circular hole of the band open slot on cutting ferrule two upper plates is positioned on the axis of screw.
Described guiding is revolved tool and is comprised the cross nut, revolves tool bar, line and pearl, revolve on the tool bar central axis through hole is arranged, the head that revolves the tool bar is provided with criss-cross mouthful that matches with the cross nut, the afterbody that revolves the tool bar is provided with screw handle, be provided with on the screw handle and revolving the hole that the through hole on the tool bar connects, line passes the through hole that revolves on the tool bar, one end and the cross nut of line join, the other end and the pearl of line are joined, wherein, the cross nut is positioned at the head that revolves the tool bar, and pearl is positioned at the afterbody that revolves the tool bar, and the diameter of pearl is greater than the diameter in the hole on the screw handle.
Described Upper gasket spanner comprises handle three and bar one, and handle three is fixed on the afterbody of bar one, is provided with open slot at the head of bar one, is the boss that bound pair claims to be provided with two cylinders with the open slot at the end face of bar one head.
Described spanner comprises handle four and bar two, and handle four is fixed on the afterbody of bar two, is provided with the open slot of an inclined plane shape at the head of bar two, and a through hole two is arranged in the open slot inboard.
The described spanner that radially reverses comprises handle five, bar three and bolt, and handle five is fixed on the afterbody of bar three, is provided with four bolts hole and rectangle cavity by axially-aligned on bar three, and bolt hole and rectangle cavity connect, and bolt matches with bolt hole.
Described boring depth stop comprises top cover, locking nut, handle six and drill bushing, handle six joins with drill bushing, is provided with scale on drill bushing, is provided with the locating slot that distributes by all at the head of drill bushing, locking nut and top are sleeved on the drill bushing, and top cover and locking nut can carry out up-down adjustment on drill bushing.
Described breastbone depth finder comprises handle seven, chi bar and scale, wherein, is provided with scale on scale, and the head of chi bar is hook-shaped.
When carrying out before and after the orthopaedics therapy sternoclavicular joint dislocation or front and back dislocation and merge the operation of clavicle fractured near end, operating procedure is as follows: (1) is that otch is carried out at the center with the sternoclavicular joint, and each makes to prolong the curved incision of 2~3cm to clavicle and presternum both sides; Cut fascia and periosteum, peel off as subperiosteum at sternocleidomastoid and pectoralis major starting point place, and retract, peel off superior border of manubrium (jugular notch place) periosteum, expose presternum with periosteum stripping to both sides; (2) adopt drilling director on presternum, to hole, revolve tool by guiding then and the cross nut is screwed on the screw of backguy guider; (3) withdraw from guiding and revolve tool, the backguy guider leaves presternum; (4) can take out from the cutting ferrule two of backguy guider after the cross nut screws off from the screw of backguy guider; (5) cross nut and breast latch hook blade plate join, and the other end of draught line is introduced in the presternal hole end of breast latch hook blade plate; (6) with Upper gasket spanner and SW6 box spanner pad and nut are inserted on the breast latch hook blade plate successively.
It is little to the utlity model has iatrogenic injury, and operating time is short, safety, can alleviate the characteristics of patient's misery.
Description of drawings
Fig. 1 is the structural representation of drilling director of the present utility model.
Fig. 2 is the structural representation of backguy guider of the present utility model.
Fig. 3 is the vertical view of Fig. 2.
Fig. 4 revolves the structural representation of tool for guiding of the present utility model.
Fig. 5 is the structural representation of this utility model Upper gasket spanner.
Fig. 6 is the structural representation of this utility model spanner.
Fig. 7 radially reverses the structural representation of spanner for this utility model.
Fig. 8 is the structural representation of this utility model boring depth stop.
Fig. 9 is the structural representation of this utility model breastbone depth finder.
The instantiation mode
Contrast accompanying drawing below, the apparatus that is used to implant breast latch hook blade plate of the present utility model is further described by embodiment.
To accompanying drawing 9, a kind of apparatus that is used to implant breast latch hook blade plate of a kind of this utility model comprises that drilling director, backguy guider, guiding revolve tool, Upper gasket spanner, spanner, radially reverse spanner, boring depth stop and breastbone depth finder with reference to accompanying drawing 1.
Described drilling director comprises handle 1, guide pin bushing 2 and cutting ferrule 1, and guide pin bushing 2 is tubular, and guide pin bushing 2 is fixed on the upper plate of cutting ferrule 1, and handle 1 is fixed on the guide pin bushing 2; Cutting ferrule 1 is c-shaped; can snap in superior border of manubrium (jugular notch place) easily, also limit drilling depth, play the position limitation protection effect; the detent 301 that one circle is arranged in the lower plate inboard of cutting ferrule 1, the center of circle of detent 301 are positioned on the axis of pore 201 of guide pin bushing 2.
Described backguy guider comprises handle 24 and cutting ferrule 26, cutting ferrule 26 is c-shaped, can snap in superior border of manubrium (jugular notch place) easily, handle 24 is fixed on the end of cutting ferrule 26 upper plates, be provided with the circular hole 5 of band open slot on cutting ferrule 26 upper plates, be provided with screw 7 in cutting ferrule 26 lower plate inboards, the center of circle of the circular hole 5 of the band open slot on cutting ferrule 26 upper plates is positioned on the axis of screw 7.
Described guiding is revolved tool and is comprised cross nut 8, revolve tool bar 9, line 10 and pearl 11, revolve a through hole 901 is arranged on tool bar 9 central axis, the head that revolves tool bar 9 is provided with criss-cross mouthful that matches with cross nut 8, the afterbody that revolves tool bar 9 is provided with screw handle 902, be provided with on the screw handle 902 and revolving the hole 903 that the through hole 901 on the tool bar 9 connects, line 10 passes the through hole 901 that revolves on the tool bar 9, one end and the cross nut 8 of line 10 join, the other end of line 10 and pearl 11 are joined, wherein, cross nut 8 is positioned at the head that revolves tool bar 9, and pearl 11 is positioned at the afterbody that revolves tool bar 9, and the diameter of pearl 11 is greater than the diameter in the hole on the screw handle 902 903.
Described Upper gasket spanner comprises handle 3 12 and bar 1, and handle 3 12 is fixed on the afterbody of bar 1, is provided with open slot 14 at the head of bar 1, is the boss 15 that bound pair claims to be provided with two cylinders at the end face of bar one 13 heads with open slot 14.
Described spanner comprises handle 4 16 and bar 2 17, and handle 4 16 is fixed on the afterbody of bar 2 17, is provided with the open slot 19 of an inclined plane shape at the head of bar 2 17, in open slot 19 inboards one through hole 2 18 is arranged.
The described spanner that radially reverses comprises handle 5 20, bar 3 21 and bolt 22, handle 5 20 is fixed on the afterbody of bar 3 21, be provided with four bolts hole and rectangle cavity 23 by axially-aligned on bar 3 21, bolt hole and rectangle cavity 23 connect, and bolt 22 matches with bolt hole.
Described boring depth stop comprises top cover 24, locking nut 25, handle 6 26 and drill bushing 27, handle 6 26 joins with drill bushing 27, on drill bushing 27, be provided with scale, head at drill bushing 27 is provided with the locating slot 28 that distributes by all, locking nut 25 and top cover 24 are contained on the drill bushing 27, and top cover 24 and locking nut 25 can carry out up-down adjustment on drill bushing 27.
Described breastbone depth finder comprises handle 7 29, chi bar 30 and scale 31, wherein, is provided with scale on scale 31, and the head of chi bar 30 is hook-shaped.