The carpal joint exterior fixation bracket
Technical field
This utility model belongs to technical field of medical instruments, is specially to be used for the carpal joint exterior fixation bracket that carpal joint place fracture end is used.
Background technology
The method of treating carpal joint place fracture clinically is divided into non-operative treatment and operative treatment, and non-operative treatment adopts reset clamping plate or Gypsum Fibrosum to carry out external stability, and its shortcoming is that fracture is prone to produce displacement, recovers slower; Operative treatment is to adopt reset plate to carry out internal fixation, needs second operation to take out steel plate, causes suffering to patient, and is prone to and scratches bone and shorten symptom.
The exterior fixation bracket of using at clinical employed wrist fracture external fixation at present is to belong to a kind of monolateral monoplane formula exterior fixation bracket, the basic structure of its product: mainly be made up of connecting rod; The spicule fixture block has the hole slot of 5 splenial bone pins at the connecting rod two ends in the spicule fixture block, be expansion link in the connecting rod stage casing; Can carry out limited drawing type compression, its sphere is connected the connecting rod two ends, discontinuity in clinical manipulation; Utilize this sphere spicule fixture block and connecting rod to connect into a gimbal suspension and be connected, see from mechanics viewpoint, non-parallel spicule is fixing more surely to be leaned on than parallel pin; Can there be 20 ° range of accommodation in the joint at its external fixer two ends, and its single ball carpal joint fixed support is not easily in clinical use, regulates trouble; The dead phenomenon of folder is arranged during the location easily, and its carpal joint exterior fixation bracket device is: eccentric side wheel extrusion structure, and its bulb is connected not necessarily identical with the bowl face; The frictional force that the locking back is produced is little, loses efficacy easily.In fractures, monolateral exterior fixation bracket is because of fixing fracture from a plane, and the plane that is not so good as two plane formulas is fixing reliable, and after the pressurization, causes fracture to separate into the angle easily at offside.
The utility model content
To the problems referred to above that exist in the prior art; The purpose of this utility model is to design the technical scheme that a kind of carpal joint exterior fixation bracket is provided, and it is simple in structure, regulates flexibly; Safe in utilization, convenient; Guarantee the healing of fracture site, make fracture site recover original function and outward appearance rapidly, therapeutic effect is good.
Described carpal joint exterior fixation bracket; Comprise near-end long stent, the short support of far-end; It is characterized in that near-end long stent, the short support of far-end are connected through connecting rod; The left fine steel needle binding clasp that is slidingly matched with its clamping is set on the near-end long stent, on the short support of far-end the right fine steel needle binding clasp that is slidingly matched with its clamping is set.
Described carpal joint exterior fixation bracket, it is characterized in that being spirally connected on the left fine steel needle binding clasp is provided with left bolt, and left chute is set on the near-end long stent, and left bolt and left chute cross-under are slidingly matched, and left bolt bottom is equipped with left locking nut.
Described carpal joint exterior fixation bracket, it is characterized in that being spirally connected on the right fine steel needle binding clasp is provided with right bolt, on the short support of far-end right rail is set, and right bolt and right rail cross-under are slidingly matched, and right bolt bottom is equipped with right locking nut.
Described carpal joint exterior fixation bracket is characterized in that one or more left pull needle clip slots are set on the left fine steel needle binding clasp, and one or more right pull needle clip slots are set on the right fine steel needle binding clasp.
Described carpal joint exterior fixation bracket; It is characterized in that described connecting rod is adjustable connecting rod; Comprise the prolongation vice body; Prolong in the vice body and be equipped with universal adjustment screw rod, Universal-head; Universal adjustment screw rod and prolongation vice body inwall threaded, universal adjustment screw rod flexibly connect with the near-end long stent and cooperate through left lock screw, left locking cap and the locking of near-end long stent locking cap are set, and Universal-head flexibly connects with the short support of far-end and cooperates through right lock screw, right locking cap and the locking of far-end weak point support locking cap are set.
Described carpal joint exterior fixation bracket is characterized in that described connecting rod for can not the mode connecting rod, and ball head structure is arranged at the connecting rod both ends respectively, and the ball head structure at connecting rod two ends flexibly connects with near-end long stent, the short support of far-end respectively.
Described carpal joint exterior fixation bracket is characterized in that near-end long stent, the short rack surface of far-end are provided with graduation mark respectively.
Described carpal joint exterior fixation bracket is characterized in that prolonging middle chute is set on the vice body, and universal adjustment screw rod inner end is provided with screw, and the fixed screw that is slidingly matched with it is set on middle chute, and the fixed screw bottom is spirally connected to lock with screw and cooperates.
Described carpal joint exterior fixation bracket is characterized in that prolonging vice body one end and is equipped with packing ring, nut.
Above-mentioned carpal joint exterior fixation bracket; The left fine steel needle binding clasp that the clamping setting is slidingly matched with it on the caliper, right fine steel needle binding clasp; Taken into full account the structural stability of the aspect such as physiological characteristics and biomechanics of wrist joint; Make thoroughly free bend of metacarpophalangeal joints, finger and tendon of wrist and ligament can loosen relatively; But also considered the insertion method of fine steel needle, and its length and stress are to the influence of fine steel needle, and it is whole stressed more even.This supporting structure is simple, reasonable; Through the valid function advantages of simple fixing fracture site, guarantee the healing of fracture site, make fracture site recover original function and outward appearance rapidly; Improve the motor capacity of fixed position; Guarantee to ensure under the prerequisite of therapeutic effect the simplicity and the reliability of operation, be mainly used in the wrist portion treatment of fractures, improve the rectification and the therapeutic effect of fracture widely.This carpal joint exterior fixation bracket also can be used for other position treatment of fractures of human body.
Description of drawings
Fig. 1 is the cross-sectional view of this utility model;
Fig. 2 is the decomposition texture sketch map of this utility model;
Fig. 3 is the axonometric chart of this utility model;
Fig. 4-5 is the structural representation of the different embodiment of connecting rod;
Fig. 6 is the perspective view of connecting rod;
Fig. 7 is the decomposition texture sketch map of connecting rod;
Fig. 8-9 is the user mode reference diagram of the different embodiment of this utility model;
Among the figure: 1-near-end long stent; 1-1 is a near-end long stent locking cap; The short support of 1a-far-end; 1a-1 is short near-end long stent locking cap; 2-left side fine steel needle binding clasp; The right fine steel needle binding clasp of 2a-; 2-1 is left pull needle clip slot; 2a-1 is right pull needle clip slot; 3-left side bolt; The right bolt of 3a-; 4-left side locking nut; The right locking nut of 4a-; 5-left side lock screw; The right lock screw of 5a-; 6-left side locking cap; The right locking cap of 6a-; The 7-connecting rod; 701-universal adjustment screw rod; The 701a-screw; The 702-nut; The 703-packing ring; 704-prolongs vice body; The 705-fixed screw; The 706-Universal-head; Chute among the 707-; 8-left side chute; The 8a-right rail.
The specific embodiment
Below in conjunction with Figure of description this utility model is described further.
As shown in the figure; Near-end long stent 1, the short support 1a of far-end are connected through connecting rod 7; The left fine steel needle binding clasp 2 that is slidingly matched with its clamping is set on the near-end long stent 1, and the short support 1a of far-end goes up the right fine steel needle binding clasp 2a that is slidingly matched with its clamping is set.Through female thread and left bolt 3 threaded are set, left chute 8 is set on the near-end long stent 1 on the left side fine steel needle binding clasp 2, left bolt 3 is slidingly matched with left chute 8 cross-under, and left bolt 3 bottoms are equipped with left locking nut 4.Right fine steel needle binding clasp 2a crosses female thread and right bolt 3a threaded is set, and on the short support 1a of far-end right rail 8a is set, and right bolt 3a and right rail 8a cross-under are slidingly matched, and right bolt 3a bottom is equipped with right locking nut 4a.Left side fine steel needle binding clasp 2 also can adopt other structure to realize that clamping is slidingly matched with the short support 1a of near-end long stent 1, right fine steel needle binding clasp 2a and far-end.Near-end long stent 1, the short support 1a of far-end surface are provided with graduation mark respectively; Be used to identify its sliding distance, its scale helps that certain reference is arranged when fracture traction, when fractures; Help selected operating position and required angle, operation becomes and is more prone to.On the left side fine steel needle binding clasp 2 one or more left pull needle clip slot 2-1 are set; On the right fine steel needle binding clasp 2a one or more right pull needle clip slot 2a-1 are set; Not only improved fine steel needle fixation stability property; Also further prevent the relaxation of left fine steel needle binding clasp 2, right fine steel needle binding clasp 2 and shorten the healing time of fracture, but also dwindled the slit between left fine steel needle binding clasp 2 and the short support 1a of near-end long stent 1, right fine steel needle binding clasp 2 and far-end.The tail end of left side bolt 3, right bolt 3a is equipped with and is used to rotate moving interior hexagonal screw thread.
Described connecting rod 7 is adjustable connecting rod; Comprise and prolong vice body 704; Prolong in the vice body 704 and be equipped with universal adjustment screw rod 701, Universal-head 706; Universal adjustment screw rod 701 and prolongation vice body 704 inwall threaded; Universal adjustment screw rod 701 and near-end long stent 1 flexibly connects and cooperates through left lock screw 5, left locking cap 6 and near-end long stent locking cap 1-1 locking are set, and Universal-head 706 flexibly connects with the short support 1a of far-end and locks and cooperate through right lock screw 5a, right locking cap 6a and far-end weak point support locking cap 1a-1 are set.Prolong middle chute 707 is set on the vice body 704; Universal adjustment screw rod 701 inner ends are provided with screw 701a; On the middle chute 707 fixed screw 705 that is slidingly matched with it is set; Fixed screw 705 bottoms are spirally connected to lock with screw 701a and cooperate, and prolong vice body 704 1 ends and are equipped with packing ring 703, nut 702.The connection end of a left side lock screw 5, right lock screw 5a is pyramidal structure, touches locking and cooperates with left locking cap 6, right locking cap 6a respectively through its tapered end face.The tail end of left side lock screw 5, right lock screw 5a and fixed screw 705 is equipped with and is used to rotate moving interior hexagonal screw thread.Described connecting rod 7 also can be non-adjustable formula connecting rod, and ball head structure is arranged at connecting rod 7 both ends respectively, and the ball head structure at connecting rod 7 two ends flexibly connects with near-end long stent 1, the short support 1a of far-end respectively.
During use, confirm the position that undergos surgery, cut, confirm fracture site, hole, insert fine steel needle, be used the described carpal joint exterior fixation bracket of this utility model again.Concrete operations in the use are described below: move left fine steel needle binding clasp 2, right fine steel needle binding clasp 2a slides into select location; According to actual needs the fine steel needle of different model is connected to respectively in left pull needle clip slot 2-1, the right pull needle clip slot 2a-1 then, more respectively through left bolt 3 and left locking nut 4, right bolt 3a and right locking nut 4a locking positioning; Regulate the angle of connecting rods 7 and Universal-head 706 through rotating universal adjustment screw rod 701, Universal-head 706, respectively through left lock screw 5, right lock screw 5a locking positioning.
Above-mentioned carpal joint exterior fixation bracket also has following beneficial effect:
1. the setting of left pull needle clip slot 2-1, right pull needle clip slot 2a-1; Not only improved fine steel needle fixation stability property; Also further prevent the relaxation of left fine steel needle binding clasp 2, right fine steel needle binding clasp 2 and shorten the healing time of fracture, but also dwindled the slit between left fine steel needle binding clasp 2 and the short support 1a of near-end long stent 1, right fine steel needle binding clasp 2 and far-end.
2. left lock screw 5 is regulated lock screw for the inclined-plane; Left side locking cap 6 has a bowl face degree of tightness block structure; The bowl face degree of tightness piece of left side locking cap 6 contacts and matches each other with the sphere of the universal ball end of universal adjustment screw rod 701; Left side lock screw 5 contacts with the bowl face degree of tightness piece of left locking cap 6, and its structure is a kind of extrusion connecting device.Right lock screw 5a is that lock screw is regulated on the inclined-plane; Right locking cap 6a has a bowl face degree of tightness block structure; The bowl face degree of tightness piece of right locking cap 6a contacts and matches each other with the sphere of the universal ball end of Universal-head 706; The bowl face degree of tightness piece of right lock screw 5a, right locking cap 6a contacts, and its structure is a kind of extrusion connecting device.Though also be that universal ball end is connected with bowl face degree of tightness piece apparently, change eccentric side wheel extrusion structure into the extrusion structure connection, so bulb is just more identical comparatively speaking with bowl face degree of tightness piece, and the whole stressed of it just compares evenly, is not easy to lose efficacy.It can solve the limitation of traditional exterior fixation bracket restriction carpal joint motion, but also has taken into full account the insertion method of fine steel needle, and its length and stress are to the influence of fine steel needle.
3. this carpal joint exterior fixation bracket can provide simpler, various radius far-end fracture reset way; Realizing that bone reduction simultaneously can be according to neutral gear and prolongation space; Thereby make thoroughly free bend of metacarpophalangeal joints, finger and tendon of wrist and ligament can loosen relatively.Owing to taken into full account the key element of mechanicalness aspect, can improve rectification and therapeutic effect widely to fracture.According to the virtual condition of fracture site, can also select the exterior fixation bracket and the supporting use of above-mentioned carpal joint exterior fixation bracket of different size for use, to improve therapeutic effect to fracture site.
4. the left fine steel needle binding clasp 2 of near-end long stent 1, the right fine steel needle binding clasp 2a on the short support 1a of far-end is embedded in the rack body, and all has the structure of screw rod to compare in the two stands of existing carpal joint exterior fixation bracket, and it presses close to fracture site more; Adjustable type connecting rod two ends are the universal ball end structure, can 360 ° of angular turn, make the wrist fracture anatomical reduction more easily, and regulate flexibly; Near-end long stent 1, the short support 1a of far-end surface all indicate scale, Yi Bian be fixed on the palm back, do Yi Bian be fixed on radius, help the pressue device of an end; Along with the rehabilitation of patients situation, need skeleton be extended to Len req, left fine steel needle binding clasp 2, right fine steel needle binding clasp 2 on mobile near-end long stent 1 that at this moment will be suitable, the short support 1a of far-end; When adjusting, strict, guarantee corrigent accuracy and respectively correct the position stability of loading to external world with reference to the scale on near-end long stent 1, the short support 1a of far-end; After selected operating position and the required angle, the pressurized fracture broken ends of fractured bone is easier, and it is also more convenient to advance fine steel needle; Help growth of spur; What operation became is more prone to, and improves the motor capacity of fixed position, ensures the simplicity and the reliability of operation simultaneously.In order to improve therapeutic effect and the patient convenience when taking action, can increase the use number of left fine steel needle binding clasp 2, right fine steel needle binding clasp 2a.Above-mentioned carpal joint exterior fixation bracket can be used in different fracture patients and produce the different fixed mode, more meets the biomechanics of bone, has reduced the harmful effect of exterior fixation bracket to the patient to greatest extent.