CN202568424U - Pressable needle cable fixing system for patellar fracture - Google Patents

Pressable needle cable fixing system for patellar fracture Download PDF

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Publication number
CN202568424U
CN202568424U CN 201220047775 CN201220047775U CN202568424U CN 202568424 U CN202568424 U CN 202568424U CN 201220047775 CN201220047775 CN 201220047775 CN 201220047775 U CN201220047775 U CN 201220047775U CN 202568424 U CN202568424 U CN 202568424U
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CN
China
Prior art keywords
needle
cable fixed
fixed system
pin cable
needle body
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Expired - Fee Related
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CN 201220047775
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Chinese (zh)
Inventor
杨春喜
蔡郑东
李少华
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Shanghai Tenth Peoples Hospital
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Shanghai Tenth Peoples Hospital
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Priority to CN 201220047775 priority Critical patent/CN202568424U/en
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Abstract

The utility model relates to a pressable needle cable fixing system for patellar fracture, which consists of a needle body, a steel cable and a guide needle, wherein the needle body and the guide needle are connected with the two ends of the steel cable; the needle body is a solid metal cylinder; and an annular tail hole is formed at the end of the needle body, which is not connected with the steel cable. The pressable needle cable fixing system has the advantages that compared with the common hollow forcing screws or nail cables sold in the existing market, the pressable needle cable fixing system is simple in assembly and can achieve the purpose of pressing the broken end of a fractured bone in the assembly process; when a tension band conducts fixing, the pressure on all parts of a needle cable is balanced as the needle cable slides, so as to generate an overall pressing effect; as the system is provided with no sharp structures such as threads, incision between implants or incision of the implants to peripheral tissues can be avoided to the greatest extent; as the needle cable is slidable, the tension band of the steel cable conducts the fixing and pressing, the pressure on all the parts of the needle cable are dispersed uniformly; and the cracked risks of the implants are reduced.

Description

But a kind of Patella fracture Needle with pressure-increasing means cable fixed system
Technical field
This utility model relates to a kind of medical apparatus and instruments, specifically, but is a kind of Patella fracture Needle with pressure-increasing means cable fixed system.
Background technology
Patella is a sesamoid bone maximum in the human body, also is a kneed ingredient.Patella fracture is comparatively common; Good being sent out in the middle age accounts for human fracture's 1-2%, and wherein transecting type and vertical shape fracture accounts for branch apoplexy due to endogenous wind 2/3; Therapeutic Method is a lot of at present; Operative treatment is widely accepted, and ring like steel wire, Magnuson steel wire, tension band wire, AO tension band wire and improvement tension band wire internal fixation etc. are arranged, and adopting hollow forcing screw and tension band wire and D is the most frequently used method.But adopt this method to make the screw horizontal direction force, often bending easily, and the sharp keen tip of screw can produce dissection to wirerope, makes the wirerope fracture easily.
Chinese patent document CN2741523Y discloses a kind of internal fixation draw point, is to be made up of needle body, it is characterized in that the needle body two ends are respectively equipped with fixing hole, and its advantage is firm with this draw point internal fixation behind the Patella fracture, be difficult for sliding, and simple to operate.But but also do not appear in the newspapers at present about a kind of Patella fracture Needle with pressure-increasing means cable fixed system.
Summary of the invention
The purpose of this utility model is, but a kind of Patella fracture Needle with pressure-increasing means cable fixed system is provided.
For realizing above-mentioned purpose; The technical scheme that this utility model is taked is: but a kind of Patella fracture Needle with pressure-increasing means cable fixed system; Described pin cable fixed system is made up of needle body, wirerope and guid needle; Described needle body and guid needle are connected to the two ends of wirerope, and described needle body is a solid metal cylinder, is provided with a circular uropore at an end that does not connect wirerope.
The total length of described needle body is 20-60mm, and the needle body diameter is 1.5-3.5mm.
Described uropore interior diameter 2-6mm, wirerope diameter 1-2mm, length 200-600mm, guid needle diameter 1-3mm.
Described pin cable fixed system also can comprise an optional components sliding sleeve; Described sliding sleeve is the Metallic rod of a hollow; It is outside to be enclosed within needle body and wirerope, and an end of described sliding sleeve is provided with the sleeve head of a nail, and intermediary hollow channel is pin cable fixed system duct.
Ring diameter 1.6-4mm in the sliding sleeve, outer ring diameter is 3.0-6.0mm, the outer ring diameter 4-10mm of the described sleeve head of a nail.
Described sliding sleeve also can replace with packing ring, and described gasket sleeve is on needle body or wirerope, and described packing ring is circular; Outer ring diameter is 4-10mm, and interior ring diameter is 1.6-4mm, and described packing ring also can use the claw type packing ring; Described pawl washer is the four paws type; There is a centre bore at the center, and center-hole diameter is 1-3mm, and the pawl spacing of pawl washer is respectively 2-10mm and 10-20mm.
Described packing ring also can use with sliding sleeve simultaneously, and when using simultaneously, described packing ring is placed on an end of the nearly uropore of needle body.
Described sliding sleeve also can replace with packing ring, comprises two packing rings in the promptly described pin cable fixed system, nearly uropore one end that is placed on needle body, and another is enclosed within on needle body or the wirerope.
Each assembly material of described pin cable fixed system is titanium alloy or rustless steel.
This utility model advantage is:
1, this utility model is compared with common hollow forcing screw of selling in the market or nail cable; Not only install simple; And can reach the purpose of fracture site pressurization in the installation process; And can make the pressure of pin cable various piece obtain equilibrium because of the pin cable slides fixedly the time at tension band, form the effect of entire pressurisation;
2, since native system do not have sharp-pointed structure such as screw thread appearance can avoid between the implant as far as possible or implant to the cutting of surrounding tissue; And the pressure of each several part obtained homodisperse when the slidably property of pin cable made fixing pressurization of row wirerope tension band, had reduced the risk of implant fracture.
Description of drawings
But accompanying drawing 1 is the structural representation of a kind of Patella fracture Needle with pressure-increasing means cable fixed system of this utility model.
Accompanying drawing 2 is operation technique sketch maps of embodiment 1 described pin cable fixed system.
Accompanying drawing 3 is that embodiment 1 described pin cable fixed system adopts the fixed sketch map of 8 word tension bands.
Accompanying drawing 4 is that embodiment 1 described pin cable fixed system adopts ring to prick fixed sketch map.
Accompanying drawing 5 is that embodiment 1 described pin cable fixed system adopts 8 word tension bands and ring to prick combined fixed sketch map.
But accompanying drawing 6 is sectional structure sketch maps of the Patella fracture Needle with pressure-increasing means cable fixed system of band sliding sleeve.
Accompanying drawing 7 is user mode figure of embodiment 2 described pin cable fixed systems.
But accompanying drawing 8 is structural representations of the Patella fracture Needle with pressure-increasing means cable fixed system of belt washer.
Accompanying drawing 9 is user mode figure of embodiment 3 described pin cable fixed systems.
But accompanying drawing 10 is structural representations of the Patella fracture Needle with pressure-increasing means cable fixed system of belt washer and sliding sleeve.
Accompanying drawing 11 is user mode figure of embodiment 4 described pin cable fixed systems.
But accompanying drawing 12 is the structural representations with the Patella fracture Needle with pressure-increasing means cable fixed system of two packing rings.
Accompanying drawing 13 is user mode figure of embodiment 5 described pin cable fixed systems.
Accompanying drawing 14 is structural representations of pawl washer.
Accompanying drawing 15 is front views of pawl washer.
The specific embodiment
Below in conjunction with embodiment and with reference to accompanying drawing this utility model is further described.
The Reference numeral and the ingredient that relate in the accompanying drawing are as follows:
1. needle body 2. wireropes
3. guid needle 11. uropores
4. sliding sleeve 5. packing rings
41. the sleeve head of a nail 6. patellas
61. fracture line 62. needle tracks
7. Kirschner wire 8. bayonet sockets
But embodiment 1 Patella fracture Needle with pressure-increasing means cable fixed system
Please with reference to accompanying drawing 1, but accompanying drawing 1 is the structural representation of a kind of Patella fracture Needle with pressure-increasing means cable fixed system of this utility model.Described pin cable fixed system is made up of needle body 1, wirerope 2 and guid needle 3, and described needle body 1 and guid needle 3 are connected to the two ends of wirerope 2, and the three connects as one.Described needle body 1 is a solid metal cylinder, is provided with an annulus at an end that does not connect wirerope 2, and promptly uropore 11, are used to pass wirerope 2, is convenient to carry out as required 8 font tension bands and fixes, encircles and prick or 8 word tension bands are fixing pricks combination etc. with ring.The total length of described needle body 1 is 20-60mm, and needle body 1 diameter is 1.5-3.5mm.Described uropore 11 interior diameter 2-6mm, wirerope 2 diameter 1-2mm, length 200-600mm, guid needle 3 diameter 1-3mm.
Operation method like embodiment 1 described pin cable fixed system is following: please with reference to accompanying drawing 2, accompanying drawing 2 is operation technique sketch maps of embodiment 1 described pin cable fixed system.During operation, conventional side skin before the patella, subcutaneous, the deep fascia etc. of cutting appear the Patella fracture place, patella 6 and fracture line 61 as shown in Figure 2, cleaning fracture site soft tissue and clot, reduction forceps auxiliary reset.Application is carried out pin cable system like Fig. 2 method and is fixed.Step is following:
1. the Kirschner wire 7 about use diameter 2.0mm (decide by choosing according to pin cable diameter of Kirschner wire; Generally, be convenient to the pin cable through the Kirschner wire duct greater than pin cable diameter) temporary fixed, please with reference to Fig. 2 A; C arm machine perspective is confirmed reduction of the fracture situation and Kirschner wire 7 positions, as all well descending the step;
2. alternately pull out Kirschner wire 7, can stay needle track 62, please with reference to Fig. 2 B;
3. (general recommendations needle body 1 is shorter than the length of needle track 62 in the bone with pin cable 2 to select to have the needle body 1 of appropriate length; Keep needle body 1 and wirerope 2 intersections after pressurization, to be positioned at the needle track 62 of bone as far as possible), penetrate pin cable fixed system (guide pin 3 pro-) along the needle track 62 that stays; Annotate: pin cable fixed system direction of travel can be selected from the patella 6 utmost point or rightabout (transverse fracture) under the best according to concrete classification of fracture, or walks crosswise thread a needle (vertical shape fracture);
4. according to classification of fracture, fixedly needs and patient's preference are carried out 8 word tension bands and are fixed, encircle and prick that fixing or 8 word tension bands are fixing pricks the fixed form of combined suitable type such as fixing with ring.After 8 fonts or ring are pricked, guid needle 3 and wirerope 2 are penetrated locking in the bayonet socket 8, bayonet socket 8 is bayonet sockets that wirerope is locked in solid periodic commonly used being used to of Patella fracture tension band.Please with reference to accompanying drawing 3-5; Accompanying drawing 3 is that embodiment 1 described pin cable fixed system adopts the fixed sketch map of 8 word tension bands; Accompanying drawing 4 is that embodiment 1 described pin cable fixed system adopts ring to prick fixed sketch map, and accompanying drawing 5 is that embodiment 1 described pin cable fixed system adopts 8 word tension bands and ring to prick combined fixed sketch map.
But the Patella fracture Needle with pressure-increasing means cable fixed system of embodiment 2 band sliding sleeves
Also can comprise an optional components sliding sleeve 4 like embodiment 1 described pin cable fixed system, please with reference to accompanying drawing 6, but accompanying drawing 6 is sectional structure sketch maps of the Patella fracture Needle with pressure-increasing means cable fixed system of band sliding sleeve.Described sliding sleeve 4 is Metallic rod of a hollow, ring diameter 1.6-4mm in the sliding sleeve 4, and outer ring diameter is 3.0-6.0mm.Use guid needle 3, wirerope 2 and the needle body 1 of hour hands cable fixed system to pass sliding sleeve 4, can in sliding sleeve 4, slide-shaped become the fracture end pressurization.One end of sliding sleeve 4 is provided with the sleeve head of a nail 41, and intermediary hollow channel is pin cable fixed system duct, the described sleeve head of a nail 41 outer ring diameter 4-10mm.
Please with reference to embodiment 1, only outside needle body 1 and wirerope 2, put sliding sleeve 4 like the operation method of the pin cable fixed system of embodiment 2 described band sliding sleeves, please with reference to accompanying drawing 7, accompanying drawing 7 is user mode figure of embodiment 2 described pin cable fixed systems.
Need to prove that when adopting embodiment 2 described pin cable fixed systems fixedly, the selectable location of bayonet socket 8 is more, preferably shown in Fig. 7 A between the uropore 11 of two needle bodies 1, or the same side that is positioned at two needle bodies 1 shown in Fig. 7 B.
Add described sliding sleeve 4, be convenient to fracture end is pressurizeed, avoid the dissection of 2 pairs of bones of wirerope simultaneously, also make wirerope 2 be not easy fracture.
But the Patella fracture Needle with pressure-increasing means cable fixed system of embodiment 3 belt washers
Like embodiment 2 described pin cable fixed systems, described sliding sleeve 4 also can use packing ring 5 to replace, and please with reference to accompanying drawing 8, but accompanying drawing 8 is structural representations of the Patella fracture Needle with pressure-increasing means cable fixed system of belt washer.Described packing ring 5 substitutes the position of sliding sleeve 4, is enclosed within on needle body 1 or the wirerope 2, and described packing ring 5 is circular, and outer ring diameter is 4-10mm, and interior ring diameter is 1.6-4mm.
Please with reference to embodiment 2, the sliding sleeve among the embodiment 24 is replaced with packing ring 5 like the operation method of the described pin cable fixed system that has only packing ring of embodiment 3.Please with reference to accompanying drawing 9, accompanying drawing 9 is user mode figure of embodiment 3 described pin cable fixed systems.
Need to prove that the effect of packing ring 5 mainly is the pressurization of being convenient to fracture site, avoid the dissection of wirerope simultaneously bone.
But the Patella fracture Needle with pressure-increasing means cable fixed system of embodiment 4 belt washers and sliding sleeve
Like embodiment 2 and 3 described pin cable fixed systems, described packing ring 5 also can use with sliding sleeve 4 simultaneously, and please with reference to accompanying drawing 10, but accompanying drawing 10 is structural representations of the Patella fracture Needle with pressure-increasing means cable fixed system of belt washer and sliding sleeve.When packing ring 5 used with sliding sleeve 4 simultaneously, described packing ring 5 was placed on an end of the nearly uropore 11 of needle body 1.
Like the operation method of the pin cable fixed system of embodiment 4 described belt washers and sliding sleeve please with reference to embodiment 2, at the end cover upper gasket 5 of the nearly uropore 11 of needle body 1.Please with reference to accompanying drawing 11, accompanying drawing 11 is user mode figure of embodiment 4 described pin cable fixed systems.
Need to prove that the effect of packing ring 5 mainly is the pressurization of being convenient between fracture site, avoid the dissection of wirerope simultaneously bone.
But embodiment 5 is with the Patella fracture Needle with pressure-increasing means cable fixed system of two packing rings
In the pin cable fixed system described in embodiment 4; Sliding sleeve 4 also can use packing ring 5 to replace; Be to comprise two packing rings 5 in the described pin cable fixed system, please with reference to accompanying drawing 12, but accompanying drawing 12 is the structural representations with the Patella fracture Needle with pressure-increasing means cable fixed system of two packing rings.When two packing rings 5 use simultaneously, an end (identical) that is placed on the nearly uropore 11 of needle body 1 with the packing ring position among the embodiment 4, another is enclosed within (identical with the packing ring position among the embodiment 3) on needle body 1 or the wirerope 2.The effect of packing ring 5 mainly is the pressurization of being convenient between fracture site, avoids the dissection of wirerope to bone simultaneously.
Like the operation method of the pin cable fixed system of embodiment 5 described belt washers and sliding sleeve please with reference to embodiment 3, at the end cover upper gasket 5 of the nearly uropore 11 of needle body 1.Please with reference to accompanying drawing 13, accompanying drawing 13 is user mode figure of embodiment 5 described pin cable fixed systems.
Need to prove, but each assembly material of the Patella fracture Needle with pressure-increasing means cable fixed system of the arbitrary described this utility model of embodiment 1-5 is titanium alloy or rustless steel.The arbitrary described packing ring 5 of embodiment 3-5 also can be selected pawl washer; Please with reference to accompanying drawing 14 and 15; Accompanying drawing 14 is structural representations of pawl washer; Accompanying drawing 15 is front views of pawl washer, and adopting the advantage of pawl washer is except that the effect of plain washer, can have the effect of better controlling to sclerite.Described pawl washer is the four paws type, and there is a centre bore at the center, and center-hole diameter is 1-3mm, and the pawl spacing of pawl washer is respectively 2-10mm and 10-20mm, and the four paws face is towards the patella of fracture during use.The arbitrary described pin cable fixed system of embodiment 1-5 can be used as medical apparatus and instruments and in treatment Patella fracture, olecranal fracture, radius far-end fracture, ulna far-end fracture, ankle joint fracture, fracture of talus, fracture of the sacrum, fracture of pelvis, uses.
This utility model is compared with common hollow forcing screw of selling in the market or nail cable; Not only install simple; And can reach the purpose of fracture site pressurization in the installation process; And can make the pressure of pin cable various piece obtain equilibrium because of the pin cable slides fixedly the time at tension band, form the effect of entire pressurisation; Can not produce the cutting between implant because native system has sharp-pointed structure such as screw thread appearance, and the slidably property of pin cable when making the fixing pressurization of row wirerope tension band the pressure of each several part obtain homodisperse, reduced the risk of implant fracture.
The above only is the preferred implementation of this utility model; Should be pointed out that for those skilled in the art, under the prerequisite that does not break away from this utility model principle; Some improvement be can also make and these improvement and the additional protection domain that also should be regarded as this utility model replenished.

Claims (10)

1. but Patella fracture Needle with pressure-increasing means cable fixed system; It is characterized in that; Described pin cable fixed system is made up of needle body, wirerope and guid needle; Described needle body and guid needle are connected to the two ends of wirerope, and described needle body is a solid metal cylinder, is provided with a circular uropore at an end that does not connect wirerope.
2. pin cable fixed system according to claim 1 is characterized in that the total length of described needle body is 20-60mm, and the needle body diameter is 1.5-3.5mm.
3. pin cable fixed system according to claim 1 is characterized in that, described uropore interior diameter 2-6mm, wirerope diameter 1-2mm, length 200-600mm, guid needle diameter 1-3mm.
4. pin cable fixed system according to claim 1; It is characterized in that; Described pin cable fixed system also comprises sliding sleeve, and described sliding sleeve is the Metallic rod of a hollow, is enclosed within needle body and wirerope outside; One end of described sliding sleeve is provided with the sleeve head of a nail, and intermediary hollow channel is pin cable fixed system duct.
5. pin cable fixed system according to claim 4 is characterized in that, ring diameter 1.6-4mm in the sliding sleeve, and outer ring diameter is 3.0-6.0mm, the outer ring diameter 4-10mm of the described sleeve head of a nail.
6. pin cable fixed system according to claim 1 is characterized in that, described pin cable fixed system also comprises packing ring, and described gasket sleeve is on needle body or wirerope, and described packing ring is circular, and outer ring diameter is 4-10mm, and interior ring diameter is 1.6-4mm.
7. pin cable fixed system according to claim 1 is characterized in that, described pin cable fixed system also comprises packing ring; Described gasket sleeve is on needle body or wirerope; Described packing ring is the claw type packing ring, and described pawl washer is the four paws type, and there is a centre bore at the center; Center-hole diameter is 1-3mm, and the pawl spacing of pawl washer is respectively 2-10mm and 10-20mm.
8. pin cable fixed system according to claim 6; It is characterized in that described pin cable fixed system also comprises sliding sleeve, described sliding sleeve is the Metallic rod of a hollow; It is outside to be enclosed within needle body and wirerope; One end of described sliding sleeve is provided with the sleeve head of a nail, and intermediary hollow channel is pin cable fixed system duct, and described packing ring is placed on an end of the nearly uropore of needle body.
9. pin cable fixed system according to claim 6 is characterized in that, comprises two packing rings in the described pin cable fixed system, nearly uropore one end that is placed on needle body, and another is enclosed within on needle body or the wirerope.
10. according to the arbitrary described pin cable fixed system of claim 1-9, it is characterized in that each assembly material of described pin cable fixed system is titanium alloy or rustless steel.
CN 201220047775 2012-02-15 2012-02-15 Pressable needle cable fixing system for patellar fracture Expired - Fee Related CN202568424U (en)

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Application Number Priority Date Filing Date Title
CN 201220047775 CN202568424U (en) 2012-02-15 2012-02-15 Pressable needle cable fixing system for patellar fracture

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 201220047775 CN202568424U (en) 2012-02-15 2012-02-15 Pressable needle cable fixing system for patellar fracture

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102579119A (en) * 2012-02-15 2012-07-18 上海市第十人民医院 Pressurization needle cable fixed system for patella fracture and application thereof
CN114515187A (en) * 2022-03-17 2022-05-20 航天中心医院 Patella fracture hollow nail cable locking system
CN114533233A (en) * 2022-02-24 2022-05-27 盛晓磊 Kirschner wire for patellar fracture and using method thereof

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102579119A (en) * 2012-02-15 2012-07-18 上海市第十人民医院 Pressurization needle cable fixed system for patella fracture and application thereof
CN114533233A (en) * 2022-02-24 2022-05-27 盛晓磊 Kirschner wire for patellar fracture and using method thereof
CN114515187A (en) * 2022-03-17 2022-05-20 航天中心医院 Patella fracture hollow nail cable locking system

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GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20121205

Termination date: 20150215

EXPY Termination of patent right or utility model