No wound compression fracture of the spine orthotic device
Technical field
This utility model relates to the orthopaedics field.The therapeutic device that a kind of back that resets and reset of compression fracture of the spine keeps relates in particular to a kind of no wound compression fracture of the spine orthotic device.
Background technology
Owing to be subjected to the external force effect to cause vertebra (comprising thoracic vertebra or lumbar vertebra) compression fracture, its Therapeutic Method that several different methods such as operation, bed are rested, supported at three point are arranged.The operative treatment wound is big, expense is high, risky, bring mentally and economically very big burden to the patient; For the patient of the compression fracture of the spine of impassivity symptom, the method that can take lies in bed rests, but bed rest time will grow, and recovery effects is undesirable, and complication also takes place easily; Adopting the method for supported at three point is a kind of effective safe correcting method, adopts plaster-of-paris jacket to realize in early days, and this method is born a heavy burden big and can't be adjusted, and goes to change trouble, and the patient is handicapped.I (ZL00235114.5) have reached the function that resets and keep at the patent " the bikini spinal fracture resets and keeper " of design, and the application of force is adjustable, but deficiencies such as apparatus heaviness, accent force mechanisms complexity (ZL01234167.3) are overcome by my patent " board-like spinal fracture resets and keeper ", practice effect is very desirable, but it is perfect not enough, the not enough hommization of brace on it, shoulder belt, afterburning band adopt the thread gluing structure time to grow cohesive force decline, easily come off afterburning band range of accommodation deficiency.
Summary of the invention
For the patient that the solves compression fracture of the spine especially patient of the compression fracture of the spine of impassivity symptom does not perform the operation, ambulation as early as possible also, to compression vertebra joint active homing and rescue, provide a kind of compact conformation, hommization, easy to adjust, adjustable extent big, the fine-tuning no wound compression fracture of the spine orthotic device of afterburning size.This utility model can be used for the resetting of compression fracture of the spine patient of impassivity symptom to be rescued, and the patient who also can be used for postoperative compression fracture of the spine uses, and can make the early stage ambulation of patient.
This utility model is made up of screw assemblies, longeron, hinge-type conjunction, rami pectorales tool, shoulder belt, rear carrier plate, belt, crossbeam, pubic symphysis support plate, protective pad for the technical scheme that solves its technical barrier employing.With screw assemblies longitudinal and cross beam is connected into a cross posture construction package, be body assembly of the present utility model, longeron upper end and hinge-type conjunction riveted, the other end of hinge-type conjunction and rami pectorales tool riveted, make the rami pectorales tool become the hinge combination with longeron, can rotate flexibly, the hinge-type conjunction is also being riveted in the longeron lower end, and its hinge-type conjunction other end is being riveted the pubic symphysis support plate.The upper end riveted of rear carrier plate shoulder belt, and the shoulder belt termination is being sewed up thread gluing and colluded part, and thread gluing hair spare is being sewed up in the appropriate location, and selecting for use of thread gluing is in order to increase the reliability of connection, and shoulder belt penetrates in the cassette connector on the rami pectorales tool; The stage casing riveted of belt is on rear carrier plate, two terminations of belt are being sewed up thread gluing respectively and are being colluded part, thread gluing hair spare is being sewed up in the stage casing, the selection of this thread gluing also is in order to increase the reliability that belt connects, and the termination of belt is passed respectively in the cassette connector that penetrates the crossbeam two ends behind two protective pad again and formed this utility model.
Longeron is made up of last longeron, following longeron, attachment screw.Last longeron is a channel-section steel formula half an arc plate, and an end is drilled with two apertures, uses and hinge-type connector riveted, the other end has three rounds along the design of half bow direction, the centre is for through hole and penetrate crow eye riveted, so that allow attachment screw penetrate, both sides are designed to two row's screwed holes.Following longeron also is a channel-section steel formula half an arc plate, one end is drilled with two apertures and is used for being hinge through with the pubic symphysis support plate again by the hinge-type connector and combines, the other end has three row's screwed holes along the design of half bow direction, and middle row's screwed hole is combined as the yi word pattern longeron so that will go up longeron with attachment screw with following longeron.
The rami pectorales tool is made up of rami pectorales plate, connecting band, cassette connector, rivet assembly.The rami pectorales plate is designed to pisiform to be made up of surface, elasticity liner plate, carpet cushion, infantees, can curvedly more attach human body presternum place build, and have elasticity, makes design have more hommization.But the cassette connector is the branch component of plug, and plug-in mounting is convenient, and an end links to each other with the rami pectorales plate by connecting band, and the other end penetrates by shoulder belt, because of design has arbitrarily degree of tightness of edge structure, and therefore afterburning firm, the convenience of loosening.
The hinge-type connector exactly like hinge structure by last slice, rotating shaft, down sheet is formed.Last slice, down the sheet design has through hole and is Hinge joint so that make up with rivet and corresponding component.
Shoulder belt is that a termination is sewed with thread gluing and colludes part, and in position be sewed with the strap-like member of thread gluing hair spare, the one end is fixed on rear carrier plate top, the band thread gluing is colluded in the cassette connector that part one end penetrates the rami pectorales tool, at any time strain or loosen and be adhesively fixed, the one, adopt the cassette connector, the 2nd, the bonding double insurance of fastener is to guarantee fixation.
Rear carrier plate is made up of infantees, carpet cushion, riveted assembly, elastic skeleton, surface.Elastic skeleton top be drilled with through hole in case with the rivet assembly with shoulder belt and its riveted, intermediate phase answer Position Design through hole be used for passing through rivet assembly riveted with belt.
Belt is that two ends are sewed with thread gluing and collude part, and the strap-like member of thread gluing hair spare is being sewed up in the stage casing, and its stage casing is combined with rivet assembly and rear carrier plate, and two ends penetrates respectively in the corresponding cassette connector of crossbeam, can strain with the need or loosens the purpose of finishing reinforcing.Its fastness is by the design and the dual assurance of fastener of cassette connector.
Crossbeam is made up of cassette connector, connecting band, left crossbeam, hold-down screw, nut, right crossbeam, connecting plate, rivet assembly.Left side crossbeam, right crossbeam are in the same place by hold-down screw and nut combinations.The termination riveted of left side crossbeam and right crossbeam connecting plate, and the cassette connector is connected with the connecting plate riveted with connecting band.Left side crossbeam is made up of crow eye, left cross girder, surface, and left cross girder is half arcuate slots template spare, is processed with through hole in the middle of half bow direction, the crow eye outside surface by the through hole riveted, partly arc termination design three through holes are arranged in case with the connecting plate riveted.Right beam structure is similar to left beam structure.
Protective pad colludes part, carpet cushion, surface, thread gluing hair spare by infantees, thread gluing and forms.Protective pad puts into that part is colluded with thread gluing in the belt appropriate location and thread gluing hair spare is bonding.
The rivet assembly is made up of die, the shaft of rivet.
When implementing to use, at first adjust longeron length by patient's height, the rami pectorales tool is positioned at patient's presternum corresponding position, and the pubic symphysis support plate is positioned at patient's pubic symphysis place, will go up longeron with attachment screw and be connected firmly with following longeron.According to the wide adjusting crossbeam of patient's body length,, do not hit both sides of the chest and be advisable when belt is strained, not press if the patient has fracture of rib etc. can make crossbeam long; As do not have a both sides of the chest malaise symptoms, and crossbeam can be transferred shortly, with patient's comfortable being advisable of lying on one's side, after length was determined, usefulness hold-down screw, nut were with left crossbeam, right crossbeam fixation.Allow the patient lie on one's side, rear carrier plate is placed patient's back compression fracture position, shoulder belt is walked around from patient's shoulder, protective pad is walked around and put on to belt from the patient both sides, allowing the patient change by lying on one's side then lies on the back, longeron is put in the patient shirtfront, make the rami pectorales tool place patient's presternum appropriate location, the pubic symphysis support plate is positioned at patient's pubic symphysis place, again the crossbeam that makes up is placed and become an angle of 90 degrees on the longeron, it is vertical with longeron to move up and down the loop wire that crossbeam makes the cassette connector be connected with belt, respective through hole is screwed in the longeron respective screws hole in the middle of passing crossbeam with screw assemblies this moment, twists solid.Respectively belt is penetrated in the corresponding cassette connector of crossbeam and strain, it is bonding that tightening force can be adjusted suitable back at random.Shoulder belt is penetrated in the cassette connector of rami pectorales tool and strains, finish the tightening force adjustment after the patient can be from bed motion.
Attention: patient's tightening force from bed motion the time wants big, and during bed, especially being in can be with the tightening force pine when lying on the back.The suggestion reinforcing is carried and was a surname in 3 months, the recovery so that the compression vertebra resets.
Positive role of the present utility model is:
1. use of the present utility model can make patient's ambulation immediately, with the complication of avoiding causing because of long-term bed.
2. the rami pectorales tool is pisiform and patient's chest bodily form of can curvedly then more fitting, and structure is more humane.
3. supporting point part all uses the blanket type liner softer, comfortable.
4. adopted cassette connector and thread gluing combination, accomplished that reinforcing is adjustable at random, the adjustment of size is very convenient, accomplishes to adjust fixedly dual fail-safe of back.
5. this utility model adjusting range is wide, can adapt to the adjustment constantly at different builds, different compressions position.
6. this utility model can make the patient perform the operation and be free movable from bed early, makes patient's spinal column guarantee compression under the natural curvature recovery that resets by the supported at three point principle.
7. this utility model is applicable to that promptly the patient that do not perform the operation uses, and also can use to reduce bed rest time and the reinforcement recovery that resets patient's postoperative of having performed the operation.
Description of drawings
Below in conjunction with accompanying drawing enforcement of the present utility model is done and to be described in further detail:
Fig. 1 is a structural representation of the present utility model
Fig. 2 is a longitudinal beam structure sketch map of the present utility model
Fig. 3 is the longitudinal beam structure sketch map of going up of the present utility model
Fig. 4 is the rami pectorales of the present utility model structure sketch map of signing an undertaking
Fig. 5 is a rami pectorales plate structure sketch map of the present utility model
Fig. 6 is a rear carrier plate structural representation of the present utility model
Fig. 7 is a hinge-type conjunction structural representation of the present utility model
Fig. 8 is a beam structure sketch map of the present utility model
Fig. 9 is a left beam structure sketch map of the present utility model
Figure 10 is a protective pad structural representation of the present utility model
Figure 11 is a rivet assembly structural representation of the present utility model
Figure 12 is a user mode sketch map of the present utility model
The specific embodiment
As shown in Figure 1, no wound compression fracture of the spine orthotic device is made up of screw assemblies (1), longeron (2), hinge-type conjunction (3), rami pectorales tool (4), shoulder belt (5), rear carrier plate (6), belt (7), crossbeam (8), pubic symphysis support plate (9), protective pad (10).With screw assemblies (1) longeron (2) and crossbeam (8) are connected into a cross rack and panel construction and become body assembly of the present utility model, longeron (2) upper end and hinge-type conjunction (3) riveted, the other end of hinge-type conjunction (3) and rami pectorales tool (4) riveted, make rami pectorales tool (4) become the hinge combination with longeron (2), can rotate flexibly, hinge-type conjunction (3) is also being riveted in longeron (2) lower end, and hinge-type conjunction (3) other end is being riveted pubic symphysis support plate (9).The upper end riveted of rear carrier plate (6) shoulder belt (5), and shoulder belt (5) termination is being sewed up thread gluing and colluded part, and thread gluing hair spare is being sewed up in the appropriate location, and selecting for use of thread gluing is in order to increase the reliability of connection.Shoulder belt (5) penetrates in the cassette connector (4-3) on the rami pectorales tool (4), the middle riveted of rear carrier plate (6) belt (7), the stage casing riveted of belt (7) is on rear carrier plate (6), two terminations of belt (7) are being sewed up thread gluing respectively and are being colluded part, thread gluing hair spare is being sewed up in the stage casing, the selection of this thread gluing also is in order to increase the reliability that belt (7) connects, and the termination of belt (7) is passed respectively in the cassette connector (4-3) that penetrates crossbeam (8) two ends behind two protective pad (10) again and formed this utility model.
Form by last longeron (2-1), following longeron (2-2), attachment screw (2-3) as Fig. 2, longeron shown in Figure 3 (2).Last longeron (2-1) is a channel-section steel formula half an arc plate, one end is drilled with two apertures, with with hinge-type connector (3) riveted, the other end has three rounds along the design of half bow direction, the centre is for through hole and penetrate crow eye (2-1-1) riveted, so that allow attachment screw (2-3) penetrate, both sides are designed to two row's screwed holes.Following longeron (2-2) also is a channel-section steel formula half an arc plate, the one end be drilled with two apertures use with hinge-type connector (3) riveted after be hinge through with pubic symphysis support plate (9) again and combine, the other end has three row's screwed holes along the design of half bow direction.Middle row's screwed hole is combined as yi word pattern longeron (2) so that will go up longeron (2-1) with attachment screw (2-3) with following longeron (2-2).
As Fig. 4, shown in Figure 5, rami pectorales tool (4) is made up of rami pectorales plate (4-1), connecting band (4-2), cassette connector (4-3), rivet assembly (4-4).Rami pectorales plate (4-1) is designed to pisiform to be made up of surface (4-1-1), elasticity liner plate (4-1-2), carpet cushion (4-1-3), infantees (4-1-4), can carry out curvedly more attaching human body presternum place build, and have elasticity, makes design have more hommization.Cassette connector (4-3) but be the branch component of plug, plug-in mounting is convenient, an end links to each other with rami pectorales plate (4-1) by connecting band (4-2), the other end penetrates by shoulder belt (5), because of its design has arbitrarily degree of tightness of edge structure, therefore firm, the convenience of loosening of reinforcing.
As shown in Figure 7, hinge-type connector (3) exactly likes hinge structure by last slice (3-1), rotating shaft (3-2), sheet (3-3) is formed down.Last slice (3-1), sheet (3-3) design has through hole so that be combined to form Hinge joint with rivet and corresponding component down.
Shoulder belt (5) is that a termination is sewed with thread gluing and colludes part, and in position is sewed with the strap-like member of thread gluing hair spare, and the one end is fixed on the top of rear carrier plate (6), and the band thread gluing is colluded in the cassette connector (4-3) that part one end penetrates rami pectorales tool (4), sees Fig. 1.At any time strain or loosen and be adhesively fixed, the one, adopt cassette connector (4-3), the 2nd, with the bonding double insurance of accomplishing of fastener to guarantee fixation.
As Fig. 1, rear carrier plate shown in Figure 6 (6) by infantees (6-1), carpet cushion (6-2), riveted assembly (4-4)), elastic skeleton (6-3), surface (6-4) form.Elastic skeleton (6-3) top is drilled with through hole so that with rivet assembly (4-4)) with shoulder belt (5) and its riveted, intermediate phase answer Position Design through hole be used for passing through rivet assembly (4-4) with belt (7)) riveted.
Belt (7) is that a two ends is sewed with thread gluing and colludes part, and the strap-like member of thread gluing hair spare is being sewed up in the stage casing, and its stage casing is combined with rivet assembly (4-4) and rear carrier plate (6), and two ends penetrates respectively in the corresponding cassette connector (4-3) of crossbeam (8), sees Fig. 1.Can strain with the need or loosen and finish afterburning purpose.Its fastness is by the design and the dual assurance of fastener of cassette connector (4-3).
As Fig. 8, shown in Figure 9, crossbeam (8) is by cassette connector (4-3), connecting band (8-1), left crossbeam (8-2), hold-down screw (8-3), nut (8-4), right crossbeam (8-5), connecting plate (8-6), rivet assembly (4-4)) form.The termination riveted of left side crossbeam (8-2) and right crossbeam (8-5) connecting plate (86), and cassette connector (4-3) is connected with connecting plate (86) riveted with connecting band (8-1).Left side crossbeam (8-2) is made up of crow eye (8-3-1), left cross girder (8-3-2), surface (8-3-3), left side cross girder (8-3-2) is half arcuate slots template spare, in the middle of half bow direction, be processed with through hole, crow eye (8-3-1) from surface (8-3-3) outside by the through hole riveted, half arc termination design three through holes are arranged in case with connecting plate (86) riveted.Right beam structure (8-5) and left crossbeam (8-2) structural similarity.
As shown in figure 10, protective pad (10) colludes part (10-2), carpet cushion (103), surface (10-4), thread gluing hair spare (10-5) by infantees (10-1), thread gluing and forms.Protective pad (10) is put into belt (7) appropriate location, and to collude part (10-2) and thread gluing hair spare (10-5) with thread gluing bonding.
As shown in figure 11, rivet assembly (4-4) is made up of die (4-4-1), the shaft of rivet (4-4-2).
When implementing to use, as shown in figure 12, at first adjust longeron (2) length by patient's height, rami pectorales tool (4) is positioned at patient's presternum corresponding position, pubic symphysis support plate (9) is positioned at patient's pubic symphysis place, will go up longeron (2-1) with attachment screw (2-3) and be connected firmly with following longeron (2-2).According to the wide adjusting crossbeam of patient's body (8) length, if the patient has fracture of rib etc., crossbeam (8) can be transferred longly, to hit both sides of the chest be a surname not press when belt is strained; Do not have uncomfortable symptom as both sides of the chest, crossbeam (8) can be transferred shortly, with patient comfortable be a surname that lies on one's side, after length was definite, usefulness hold-down screw (8-3), nut (8-4) were with left crossbeam (8-2), right crossbeam (8-5) fixation.Allow the patient lie on one's side, rear carrier plate (6) is placed patient's back compression fracture position, shoulder belt (5) is walked around from patient's shoulder, protective pad (10) walked around and puts on by belt (7) from the patient both sides, allowing the patient change by lying on one's side then lies on the back, longeron (2) is put in the patient shirtfront, make rami pectorales tool (4) place patient's presternum appropriate location, pubic symphysis support plate (9) is positioned at patient's pubic symphysis place, again the crossbeam (8) that makes up is placed on the longeron (2) and become an angle of 90 degrees, moving up and down crossbeam (8) makes the cassette connector (4-3) on it vertical with longeron (2) with the loop wire that belt (7) is connected, respective through hole is screwed in longeron (2) the respective screws hole in the middle of passing crossbeam (8) with screw assemblies (1) this moment, twists solid.Respectively belt (7) is penetrated the middle tension of corresponding cassette connector (4-3) of crossbeam (8), it is bonding that tightening force can be adjusted suitable back at random.Shoulder belt (5) is penetrated tension in the cassette connector (4-3) of rami pectorales tool (4), finish tight power adjustment after the patient can be from bed motion.
Attention: patient's tightening force from bed motion the time wants big, and during bed, especially being in can be with the tightening force pine when lying on the back.The suggestion reinforcing is carried and was advisable in 3 months, the recovery so that the compression vertebra resets.