CN202376210U - Fixing forceps for treating anklebone fracture disposition and distal tibiofibular diastasis - Google Patents
Fixing forceps for treating anklebone fracture disposition and distal tibiofibular diastasis Download PDFInfo
- Publication number
- CN202376210U CN202376210U CN2011204824642U CN201120482464U CN202376210U CN 202376210 U CN202376210 U CN 202376210U CN 2011204824642 U CN2011204824642 U CN 2011204824642U CN 201120482464 U CN201120482464 U CN 201120482464U CN 202376210 U CN202376210 U CN 202376210U
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- Prior art keywords
- forceps
- fixing
- fracture
- chela
- ankle joint
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Abstract
The utility model discloses a pair of fixing forceps for treating anklebone fracture disposition and distal tibiofibular diastasis, relates to fixing forceps and belongs to the technical field of medical instruments. The fixing forceps comprise forceps handles, a forceps handle tooth buckle and forceps arms, wherein forceps claws are arranged at the end parts of the forceps arms, are bent inwards and are integrally similar to L shapes, and blocking rings are formed at the end parts of the forceps claws. The fixing forceps belong to elastic-blocking-type external fixing forceps, are used for fixing through corresponding clamping force, enable the rotation of a reset rear anklebone fracture part to be difficult by virtue of external force for elastic fixation and balance force of distal tibiofibular posterior ligament, promote the healing of the rear anklebone fracture part through the continuous pressure of the elastic force so as to shorten the course of disease, and have the advantage of minimally invasive application.
Description
Technical field
This utility model relates to a kind of fixation clamps, belongs to technical field of medical instruments.
Background technology
Ankle joint fracture is one of modal intra-articular fracture, accounts for 3.92% of whole body fracture, the easiest generation of person between twenty and fifty, and often merge the lower tibiofibula separation, and different according to the size of outer forced direction, active force with injured posture, can cause dissimilar fracture.How to improve ankle joint fracture dislocation and the isolating curative effect of lower tibiofibula, reduce the generation of traumatic arthritis, improve patient's quality of life, be still one of problem of clinical emphasis investigation.Not to ankle joint fracture dislocation and lower tibiofibula separate private fixation clamps, conventional fixed pincers fixed effect is bad, and damage is bigger at present.
The utility model content
The technical problem that this utility model will solve be overcome existing fixation clamps poor practicability, to the big defective of operative site damage; A kind of ankle joint fracture dislocation and isolating fixation clamps of lower tibiofibula of being exclusively used in is provided, had the effect of practical, auxiliary post-operative recovery.
In order to solve the problems of the technologies described above, this utility model provides following technical scheme:
A kind of ankle joint fracture dislocation and lower tibiofibula separate fixation clamps, comprise pincers handle, pincers handle tooth button, tong arm, and there is chela the end of tong arm, equal inflexion of said chela and global approximation " L " shape, and said chela end is provided with catch ring.
The angular range at said chela inflexion angle is 60
0-80
0
The terminal distance of said catch ring to chela is 1-1.2cm.
The length range of said pincers handle tooth button is 4-10cm.
According to ankle joint fracture dislocation and isolating damage principle of lower tibiofibula and ankle joint special anatomical physiological characteristics, the inventor has designed the dislocation of this ankle joint fracture and lower tibiofibula separates fixation clamps, belongs to elastic barrier formula external fixation pincers.Percutaneous elastic barrier formula external fixation pincers are fixing; Also be that to separate fixation clamps fixedly be that a kind of chucking power of mutual correspondence is fixed for ankle joint fracture dislocation and lower tibiofibula; Being able to good keeping after ankle fracture is resetted, simultaneously, is a kind of blocking type elasticity external fixation (being provided with catch ring); It can unite the physiological need that the back that resets is satisfied lower tibiofibula associating fine motion in stable again keeping isolating lower tibiofibula, makes the ankle joint function of postoperative temper the physiological that more becomes.This blocking type elasticity external force add the equilibrant of lower tibiofibula opisthodetic ligament make reset back back ankle fracture piece rotation just difficult, the persistent pressure of its elastic force has promoted the healing of back ankle fracture piece again, has shortened the course of disease.
Description of drawings
Accompanying drawing is used to provide the further understanding to this utility model, and constitutes the part of description, is used to explain this utility model with the embodiment of this utility model, does not constitute the restriction to this utility model.In the accompanying drawings:
Fig. 1 is that dislocation of this utility model ankle joint fracture and lower tibiofibula separate the structural representation of fixation clamps.
The specific embodiment
Describe below in conjunction with the preferred embodiment of accompanying drawing, should be appreciated that preferred embodiment described herein only is used for explanation and explains this utility model, and be not used in qualification this utility model this utility model.
As shown in Figure 1; A kind of ankle joint fracture dislocation and lower tibiofibula separate fixation clamps, comprise pincers handle 1, pincers handle tooth button 2, tong arm 3, and there is chela 31 end of tong arm 3; Said chela 31 equal inflexions and global approximation " L " shape, said chela 31 ends are provided with catch ring 32.The angular range at said chela 31 inflexion angles is 60
0-80
0Said catch ring 32 to chela 31 terminal distances are 1-1.2cm.The length range of said pincers handle tooth button 2 is 4-10cm.
Application process: prepare assess whole body situation before the art, analyze injured mechanism, clap X-ray film, clear and definite classification of fracture.Eliminating open injury, outmoded injury, the serious osteoporosis of ankle, fibula lower end or tibial medial fracture are comminuted fracture, the isolating lower tibiofibula place of associating is full of soft tissue, advances the cutaneous necrosis person that there is certain area at the pincers place.During operation, the patient gets dorsal position, adopts continuous epidural anesthesia or local anaesthesia, under the X-ray machine perspective; One assistant grips patient's calf, and an assistant grips foot and does countertraction, and the patient imposes contrary ankle injury mechanism maneuver resets fracture dislocation, selects into pincers fixing point according to the medial and lateral malleolus fracture situation; Be advisable with 1.5~2 cm on the shin articular surface, be butted on tibial medial along last with a tooth percutaneous of clamp, slowly the pressurized clamp handle; Be wired to axle with two between cog simultaneously and come and go rotation, crown is penetrated in the cortical bone, catch ring is close to the formation of cortical bone face and is stopped; Avoid loosening, make lower tibiofibula after resetting unite and medial and lateral malleolus fixing more firm, the locking pliers handle.Like back ankle fracture; Other gets pincers tooth anklebone piece after the heel string outside is directed reach apart from facies articularis inferior tibiae 2 cm places entering skin of a clamp; Utilize pushing of tooth of pincers to make the bone piece that moves downward; After reaching anatomical reduction; Top about 1 cm entering skin directes reach the shin bone forward position from the distal tibial antemedial line apart from facies articularis inferior tibiae with another tooth of clamp; Slow pressurized clamp handle; Being wired to round rotation of axle with two between cog simultaneously makes the back ankle fracture piece firmly chimeric; Lock jail pincers handle; Crown is penetrated in the cortex of bone; Catch ring is close to the formation of cortex of bone face and is stopped, avoids loosening.If in the time of can not making the back ankle fracture piece reach anatomical reduction by pushing of pincers tooth, draw point sled capable of using is dialled and is assisted to reset, if the back ankle fracture piece is bigger, and when involving tibia lower end articular surface 1/3, then fixing earlier back ankle.2.3 Strict aseptic operation in the key points for operation art, prevention infection; The inlet point of interior outside pincers tooth is advisable with horizontal lower tibiofibula associating middle part, makes lower tibiofibula unite the best nip stress of acquisition, if the medial and lateral malleolus fracture line just in time involves this horizontal plane, selects into tooth point according to fracture line selection situation; If fracture involves the back ankle, ankle after the then first reduction is because the tractive of lower tibiofibula opisthodetic ligament; Lower tibiofibula associating resets immediately, back ankle and lower tibiofibula unite reset fix after, inside and outside fracture of ankle often resets simultaneously under the pushing of astragalus; Even fixing, need not too much numerous and diverse processing.
The elasticity pressurization that dislocation of the utility model fracture of ankle joint and lower tibiofibula separate fixation clamps helps union; Can bear a heavy burden from bed in early days; Help functional training; According to damage mechanism and displacement fracture characteristics; Advancing to clamp fixing point can be vertical with the backbone or inclination and flexible Application reaches the best effect that grips, and skin advances the pincers point and only gets final product with 1 0.5 cm osculum of sharp knife point; Need not to peel off periosteum, reach the minimally-invasive treatment of real meaning.And Therapeutic Method is simple, can make various types of back ankle fracture pieces be able to perfectly reset, and avoids because of treating loaded down with trivial details many complication of bringing.In addition, clamp is fixed as flexible fastening, meets ankle joint elasticity physiological standard, greatly reduces the scorching incidence rate of ankle joint.Therefore ankle joint fracture is dislocated, and also the lower tibiofibula separation method is simple, wound is little, the course of disease is short in also lower tibiofibula separation fixation clamps treatment ankle joint fracture dislocation, and patient economy burden is light, worth clinical application.
What should explain at last is: the above is merely the preferred embodiment of this utility model; Be not limited to this utility model; Although this utility model has been carried out detailed explanation with reference to previous embodiment; For a person skilled in the art, it still can be made amendment to the technical scheme that aforementioned each embodiment put down in writing, and perhaps part technical characterictic wherein is equal to replacement.All within the spirit and principle of this utility model, any modification of being done, be equal to replacement, improvement etc., all should be included within the protection domain of this utility model.
Claims (4)
1. an ankle joint fracture is dislocated and lower tibiofibula separation fixation clamps, comprises pincers handle, pincers handle tooth button, tong arm, and there is chela the end of tong arm, it is characterized in that: equal inflexion of said chela and global approximation " L " shape, said chela end is provided with catch ring.
2. ankle joint fracture dislocation according to claim 1 and lower tibiofibula separate fixation clamps, and it is characterized in that: the angular range at said chela inflexion angle is 60
0-80
0
3. ankle joint fracture dislocation according to claim 1 and 2 and lower tibiofibula separate fixation clamps, it is characterized in that: the terminal distance of said catch ring to chela is 1-1.2cm.
4. ankle joint fracture dislocation according to claim 1 and 2 and lower tibiofibula separate fixation clamps, and it is characterized in that: the length range of said pincers handle tooth button is 4-10cm.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN2011204824642U CN202376210U (en) | 2011-11-28 | 2011-11-28 | Fixing forceps for treating anklebone fracture disposition and distal tibiofibular diastasis |
Applications Claiming Priority (1)
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CN2011204824642U CN202376210U (en) | 2011-11-28 | 2011-11-28 | Fixing forceps for treating anklebone fracture disposition and distal tibiofibular diastasis |
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CN202376210U true CN202376210U (en) | 2012-08-15 |
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CN2011204824642U Expired - Fee Related CN202376210U (en) | 2011-11-28 | 2011-11-28 | Fixing forceps for treating anklebone fracture disposition and distal tibiofibular diastasis |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107468325A (en) * | 2017-08-17 | 2017-12-15 | 冯建书 | A kind of rear ankle suitable for Minimally Invasive Surgery dissects locking steel plate |
-
2011
- 2011-11-28 CN CN2011204824642U patent/CN202376210U/en not_active Expired - Fee Related
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107468325A (en) * | 2017-08-17 | 2017-12-15 | 冯建书 | A kind of rear ankle suitable for Minimally Invasive Surgery dissects locking steel plate |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
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: 20120815 Termination date: 20121128 |