The humeral fracture sofa external spread frame of band traction apparatus
Technical field
This utility model relates to a kind of orthopedic instrument, relates in particular to a kind of humeral fracture sofa external spread frame with traction apparatus.
Background technology
Plaster fixation, polylith clamping plate are fixed after the artificial reduction of the many employings of the treatment of humeral fracture in the past, external fixer is fixed or the method for the internal fixation of performing the operation (steel plate is fixed); And the fixing back hold modes that adopt suspender belt, this mode makes suffers from sagging, the disturbance of blood circulation of limb. moreBe lower than heart owing to suffer from limb; Venous return is not smooth, and the swelling of trouble limb is not disappeared for a long time, has both increased the patient suffering; Prolonged healing time again; Especially because of suffer from limb sagging under action of gravity fracture receive a pulling force to far-end, reduce or lost the compressive stress of fracture axis, explain that from theory of medicine reducing or lose the callus that this compressive stress extremely is unfavorable for knochenbruch generates; Owing to the long-time sagging shoulder joint that makes of limb of suffering from is lifted on recovery from illness future trouble arm is stiff and very difficult, even thin first-class action is limited, and functional rehabilitation is difficulty very; What have also adopts metal rack to support in fixing back, and the patient is very uncomfortable.Especially for wedge-shaped fracture, screw type fracture, adopt that plaster fixation or clamping plate are fixing very easyly again to cause far-end to shrink to near-end, do internal fixation or external fixation like operation, the patient damages greatly, spirit and financial burden weight.
Summary of the invention
In order to solve the deficiency of prior art, the solution humeral fracture is not performed an operation and is directly carried out the abduction support; Carry out supporting treatment behind the reduction by traction for wedge-shaped fracture or screw type fracture; Or done internal fixation or operation for undergoing surgery and done and carry out abduction behind the external fixation and support and then can avoid shoulder joint stiff guaranteeing the motility of shoulder joint function, we have designed the humeral fracture sofa external spread frame of comfortable band traction apparatus simple in structure, easy to loading and unloading, light.
This utility model solves the technical scheme that its technical barrier adopted and is made up of shoulder belt, pectoral girdle, arm band, traction apparatus, wrist strap, sofa body, bandage, belt.The sofa body is the main body of this utility model; Inlaying traction apparatus on the sofa body; Two arm bands and a wrist strap are being sewed up in sofa body top; Shoulder belt one end is sewn to sofa side below, and pectoral girdle and belt are also being sewed up in its side, and bandage is sewed up the humeral fracture sofa external spread frame that relevant position thereunder is combined into the band traction apparatus.
Shoulder belt is formed by colluding part with the thread gluing of synthetic ribbon of multilamellar soft cloth and the design of one of which end.A bandage is also being stitched in the termination.
The thread gluing that pectoral girdle is being sewed up by 8 centimeters wide elastic bands and one of which end is colluded part and is formed.
The thread gluing hair spare that the arm band is designed respectively by banding pattern spare and two ends colludes part with thread gluing to be formed, and to collude part bonding for thread gluing hair spare and thread gluing during synthetic annular.
Waistband structure is identical with pectoral girdle.
The wrist strap structure also is that the thread gluing hair spare sewed up respectively by a strip-type spare and two ends colludes part with thread gluing and forms, and to collude part bonding for thread gluing hair spare and thread gluing during synthetic annular.
Traction apparatus is made up of hook, hold-down screw, accent long slab, body fixed mount.Hook links to each other with transferring long slab with hold-down screw, transfers long slab to use hold-down screw and body fixed mount to make up as screw.The body fixed mount is embedded in the sofa bulk phase and answers the position.Hook is a curved shape plate, and a narrow spring hook is designed in the front, is processed with adjustment hole on the plate, so that regulate overall length when transferring the long slab combination.Transferring long slab also is a plate, and an end is rolled over one 90 degree crimps, is designed with three through holes on the crimp, so that combine with hold-down screw with the body fixed mount.One group of plate that the body fixed mount is made up of crossbeam, bent holder, rivet.One 90 degree crimp is rolled at these plate two ends of crossbeam respectively, is drilled with three screwed holes on the end crimp, so that make up with transferring long slab, three through holes is arranged so that use closing-up with the song holder on the other end crimp.Bent holder is a single degree plate, and the centre is drilled with three through holes.
The sofa body is the core members of this utility model, and it is made up of thread gluing hair spare, overcoat, sofa gallbladder, interior cover, zip.The sofa gallbladder is to process the fabric interior cover of outer housing one deck by the hardware foam, and the opening part of overcoat is made a zip so that unpick and wash overcoat, is sewed with thread gluing hair spare on the corresponding edge of overcoat, so that combine with corresponding band spare.
This utility model can be used for the non-operative reduction external fixation of humeral fracture, and is especially more characteristic to the ectocondyle fracture of cervical vertebra; The humeral fracture that also can be used for performs the operation has done internal fixation or external fixation carries out abduction to be supported to guarantee to take on the recovery of function.
When (one) removing the traction apparatus use, it is applicable to the direct abduction treatment of the lateral condyle neck fracture of need not performing the operation, the horizontal type fracture of humerus (the especially horizontal type fracture at 1/3rd places on the humerus); Be applicable to that also the patient who has done operation internal fixation or external fixation guarantees that the abduction of takeing on functional rehabilitation supports.
To suffer from the limb abduction of the upper limb lifts; The sofa body places suffers from the limb oxter; Walk around from patient's back with pectoral girdle and belt, collude part with thread gluing and stick on the sofa body on the corresponding thread gluing hair spare, again shoulder belt is walked around from patient's offside shoulder; Collude on the thread gluing hair spare that part sticks at sofa body downside with the thread gluing on it, and use the bandage bind.Should under X-ray, observe the reset case of fracture and do corresponding adjustment, the desirable back that resets binds upper arm with the arm band, binds wrist with wrist strap.Often to stretch in the wrong the exercise by hands at ordinary times, open wrist strap often, do the flexion movement of elbow joint in real time, prevent that hands, the stiff phenomenon of elbow joint from taking place, untie all adhesive tapes after the recovery from illness, pull down this utility model.
When (two) being with traction apparatus to use, be applicable to humerus wedge-shaped fracture, the humerus spiral fracture of not performing an operation and needing traction.
Adopt this utility model of band traction apparatus,, two kinds of operations are arranged this moment according to doctor's design; A kind of is to wear a steel wire to do and circularize at elbow olecranon place; Another kind is tied up an elastic band at the elbow place.
To suffer from the limb abduction of the upper limb lifts; The sofa body places suffers from the limb oxter; Walk around from patient's back with pectoral girdle and belt, collude part with thread gluing and stick on the sofa body on the corresponding thread gluing hair spare, again shoulder belt is walked around from patient's offside shoulder; Collude on the thread gluing hair spare that part sticks at sofa body downside with the thread gluing on it, and use the bandage bind.For the patient who penetrates a ring-like steel wire at olecranon, be an elastic band and the hook termination that pulls to traction apparatus on ring like steel wire, and tie up with its hook on; For the patient who ties up an elastic band at the elbow place elastic band is pulled to the hook termination of traction apparatus, and tie up with its hook on.Should under X-ray, observe the reset case of fracture and do corresponding adjustment, the desirable back that resets binds upper arm with the arm band, binds wrist with wrist strap.Often to stretch in the wrong the exercise by hands at ordinary times, open wrist strap often, do the flexion movement of elbow joint constantly, prevent that hands, the stiff phenomenon of elbow joint from taking place, untie all adhesive tapes after the recovery from illness, pull down this utility model.
The angle that upper arm lifts becomes the angle to be advisable greater than 90 degree so that upper arm lifts with human body, when beginning not reach desired angle, can do further adjustment after supporting for 3 weeks, and sticking again once pectoral girdle, belt and shoulder belt, and other are motionless.
The good effect of this utility model is:
1. simple in structure, easy to loading and unloading, the compact conformation and light comfortable of this utility model.
2. it is applicable to the fracture of the various ways of humerus, and need not perform the operation, and alleviates patient's psychic pain and economic pressures.
3. in the therapeutic process of suffering from limb, hands, elbow joint can carry out functional exercise constantly, have effectively avoided hands, the stiff phenomenon of elbow joint to take place.
4. the patient does not have any new wound.
Description of drawings
Below in conjunction with accompanying drawing and embodiment this utility model is further specified.
Fig. 1 is the structural representation of this utility model.
Fig. 2 is the shoulder belt structural representation of this utility model.
Fig. 3 is the pectoral girdle structural representation of this utility model.
Fig. 4 is the arm band structure sketch map of this utility model.
Fig. 5 is the wrist strap structural representation of this utility model.
Fig. 6 is the retractor structures sketch map of this utility model.
Fig. 7 is the pintle hook construction sketch map of this utility model.
Fig. 8 is the adjustable plate structural representation of this utility model.
Fig. 9 is the body fixed rack structure sketch map of this utility model.
Figure 10 is the sofa body structure sketch map of this utility model.
Figure 11 be this utility model remove traction apparatus the time user mode sketch map
Figure 12 is the user mode sketch map when drawing of doing of this utility model.
The specific embodiment
As shown in Figure 1, the humeral fracture sofa external spread frame of band traction apparatus is made up of shoulder belt (1), pectoral girdle (2), arm band (3), traction apparatus (4), wrist strap (5), sofa body (6), bandage (7), belt (8).Sofa body (6) is the main body of this utility model; Inlaying traction apparatus (4) on the sofa body (6); Two arm bands (3) and a wrist strap (5) are being sewed up in sofa body (6) top; Shoulder belt (1) one end is sewn to sofa body (6) side-lower, and pectoral girdle (2) and belt (8) are also being sewed up in its side, and a bandage (7) is sewed up the humeral fracture sofa external spread frame that relevant position thereunder is combined into the band traction apparatus.
As shown in Figure 2, shoulder belt (1) is to form by colluding part (1-2) with the thread gluing of synthetic ribbon of multilamellar soft cloth (1-1) and the design of one of which end.A bandage (7) is also being stitched in the termination.
As shown in Figure 3, pectoral girdle (2) is to collude part (2-2) by the thread gluing that one 8 centimeters wide elastic bands (2-1) and one of which end are being sewed up to form.
As shown in Figure 4, arm band (3) is by banding pattern spare (3-2), and part (3-3) composition is colluded in thread gluing hair spare (3-1) and thread gluing that two ends are designed respectively.To collude part (3-3) bonding for thread gluing hair spare (3-1) and thread gluing during synthetic annular.
Belt (8) structure is identical with pectoral girdle (2).
As shown in Figure 5, wrist strap (5) structure also is that the thread gluing hair spare (5-1) sewed up respectively by a strip-type spare (5-2) and two ends and thread gluing are colluded part (5-3) and formed.To collude part (5-3) bonding for thread gluing hair spare (5-1) and thread gluing during synthetic annular.
As shown in Figure 6, traction apparatus (4) is made up of hook (4-1), hold-down screw (4-2), accent long slab (4-3), body fixed mount (4-4).Hook (4-1) links to each other with transferring long slab (4-3) with hold-down screw (4-2), transfers long slab (4-3) to use hold-down screw (4-2) and body fixed mount (4-4) to be the screw combination again.Body fixed mount (4-4) is embedded in sofa body (6) corresponding site.As shown in Figure 7, hook (4-1) is a curved shape plate, and a narrow spring hook is designed in the front, is processed with adjustment hole on the plate, so that regulate overall length when transferring long slab (4-3) combination.As shown in Figure 8, transferring long slab (4-3) also is a plate, and an end is turned up 90 degree crimps, is designed with three through holes on the crimp, so that combine with hold-down screw (4-2) with body fixed mount (4-4).One group of plate as shown in Figure 9, that body fixed mount (4-4) is made up of crossbeam (4-4-1), bent holder (4-4-2), rivet (4-4-3).One 90 degree crimp is rolled at these plate two ends of crossbeam (4-4-1) respectively, is drilled with three screwed holes on the end crimp, so as with transfer long slab (4-3) combination, three through holes are arranged on the other end crimp so as with song holder (4-4-2) with rivet (4-4-3) riveted.Bent holder is a single degree plate, and the centre is drilled with three through holes.
Sofa body (6) is the core members of this utility model, and is shown in figure 10, and it is made up of thread gluing hair spare (6-1), overcoat (6-2), sofa gallbladder (6-3), interior cover (6-4), zip (6-5).Sofa gallbladder (6-3) is to process the fabric interior cover of outer housing one deck (6-4) by the hardware foam, and the opening part of overcoat (6-2) is made a zip (6-5) so that unpick and wash overcoat (6-2), is sewed with thread gluing hair spare (6-1) on the corresponding edge of overcoat (6-2), so that combine with corresponding band spare.
This utility model can be used for the non-operative reduction external fixation of humeral fracture, and is especially more characteristic to the ectocondyle fracture of cervical vertebra; The humeral fracture that also can be used for performs the operation has done internal fixation or external fixation carries out abduction to be supported to guarantee to take on the recovery of function.
When (one) removing the traction apparatus use, it is applicable to the direct abduction treatment of not performing an operation to ectocondyle fracture of cervical vertebra, the horizontal type fracture of humerus (the especially horizontal type fracture at 1/3rd places on the humerus); Be applicable to that also the patient who has done operation internal fixation or external fixation guarantees that the abduction of takeing on functional rehabilitation supports.
Shown in figure 11; To suffer from the limb abduction of the upper limb and lift, sofa body (6) places suffers from the limb oxter, walks around from patient's back with pectoral girdle (2) and belt (8); Colluding part (2-2) with thread gluing sticks on the last corresponding thread gluing hair spare (6-1) of sofa body (6); Again shoulder belt (1) is walked around from patient's offside shoulder, colluded on the thread gluing hair spare (6-1) that part (1-2) sticks at sofa body (6) downside with the thread gluing on it, and with bandage (7) bind.Should under X-ray, observe the reset case of fracture and do corresponding adjustment, the desirable back that resets binds upper arm with arm band (3), binds wrist with wrist strap (5).Often to stretch in the wrong the exercise by hands at ordinary times, open wrist strap (5) often, do the flexion movement of elbow joint in real time, prevent that hands, the stiff phenomenon of elbow joint from taking place, untie all adhesive tapes after the recovery from illness, pull down this utility model.
When (two) being with traction apparatus to use, be applicable to humerus wedge-shaped fracture, the humerus spiral fracture of not performing an operation and needing traction.
Adopt this utility model of band traction apparatus (4),, two kinds of operations are arranged this moment according to doctor's design; A kind of is to wear a steel wire to do and circularize at elbow olecranon place; Another kind is tied up an elastic band at the elbow place.
Shown in figure 12; To suffer from the limb abduction of the upper limb and lift, sofa body (6) places suffers from the limb oxter, walks around from patient's back with pectoral girdle (2) and belt (8); Colluding part (2-2) with thread gluing sticks on the last corresponding thread gluing hair spare (6-1) of sofa body (6); Again shoulder belt (1) is walked around from patient's offside shoulder, colluded on the thread gluing hair spare (6-1) that part (1-2) sticks at sofa body (6) downside with the thread gluing on it, and with bandage (7) bind.For the patient who penetrates a ring-like steel wire at olecranon, be an elastic band and hook (4-1) termination that pulls to traction apparatus (4) on ring like steel wire, and tie up with its hook on; For the patient who ties up an elastic band at the elbow place elastic band is pulled to hook (4-1) termination of traction apparatus (4), and tie up with its hook on.Should under X-ray, observe the reset case of fracture and do corresponding adjustment, the desirable back that resets binds upper arm with arm band (3), binds wrist with wrist strap (5).Often to stretch in the wrong the exercise by hands at ordinary times, open wrist strap often, do the flexion movement of elbow joint constantly, prevent that hands, the stiff phenomenon of elbow joint from taking place, untie all adhesive tapes after the recovery from illness, pull down this utility model.
The angle that upper arm lifts becomes the angle to be advisable greater than 90 degree so that upper arm lifts with human body, when beginning not reach desired angle, can do further adjustment after supporting for 3 weeks, and sticking again once pectoral girdle (2), belt (8) and shoulder belt (1), and other are motionless.