CN202801773U - One-way double-track combined type external skeletal fixing device - Google Patents
One-way double-track combined type external skeletal fixing device Download PDFInfo
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- CN202801773U CN202801773U CN 201220267256 CN201220267256U CN202801773U CN 202801773 U CN202801773 U CN 202801773U CN 201220267256 CN201220267256 CN 201220267256 CN 201220267256 U CN201220267256 U CN 201220267256U CN 202801773 U CN202801773 U CN 202801773U
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Abstract
A one-way double-track combined type external skeletal fixing device comprises a flat rotation bone needle clamp, an L-shaped bone needle clamp, a main guide rail, guide rail nuts, a movable bone needle clamp, a pedal correcting bracket, a metatarsal bone needle adjusting mechanism, a calcaneum bone needle adjusting mechanism, an adjusting pad, a rotating shaft screw, an auxiliary supporting mechanism and bone needles, wherein the flat rotation bone needle clamp (the L-shaped bone needle clamp) is connected with the main guide rail through the rotating shaft screw; the guide rail nuts are respectively screwed on two sides of the movable bone needle clamp on the main guide rail; the pedal correcting bracket is clamped on the main guide rail in place; the metatarsal bone needle adjusting mechanism, as well as the calcaneum bone needle adjusting mechanism, is respectively clamped on a small guide rail and the main guide rail at the corresponding positions; the auxiliary supporting mechanism is clamped on the main guide rail; and the flat rotation bone needle clamp, the L-shaped bone needle clamp and the movable bone needle clamp together clamp the main body of the external skeletal fixing device formed by the bone needles. The device provided by the utility model can be used for external bone fixing, bone extension, bone removal, pedal correction, and correction of O-shaped, X-shaped and K-shaped legs.
Description
Technical field
The present invention relates to the orthopaedics field.Relate in particular to a kind of monolateral double track Combined bone external fixer.
Background technology
In the past long bone fracture or because of bone does not connect, osteomyelitis to cause the diseases such as bone is damaged to adopt in the operation fixing more.Even if adopt outer fixing, have apparatus now or because adjusting range can not reach disposable purpose of curing fully, then also will carry out again hands art; Not in place because of structure, can not once solve the simultaneous two or several above-mentioned diseases of patient and the finishing of will performing the operation several times; For cause because of various reasons intersection point or pigeon-toed patient all to adopt the operation method of soft tissue release to finish in the past; Patient for complexity, for example also be attended by the patient of large section spot and soft tissue contracture when intersection point, the doctor can only take to loosen several times to perform the operation and finish, often because because of secondary insult, after loosening, operation recovers normally very difficult by taking exercise, in case recover undesirable wound and the deformity of also will causing again.The patent that the inventor declares " bone external fixation device that Wicresoft's intersection point, strephenopodia are corrected " is not done to loosen and is waited operation to fix fine treatment and the rectification that has solved above-mentioned various sufferers by Wicresoft outer, but need to be on patient's long bone puncture needle, sometimes very inconvenient, also to consider to avoid nerve, blood vessel, especially use more undesirable to the damaged patient of fracture, the bone of femur position.All very inconvenient when nowadays IIizarof external fixer commonly used uses at positions such as femur, upper arm humerus, the patient is also very uncomfortable.
Summary of the invention
Since bone outward fixing, bone does not connect, bone is damaged even intersection point, these diseases of strephenopodia, adopts fixing in the operation and the operation method such as loosen makes that the patient suffering is large, economic loss is serious, especially resemble intersection point and adopt the method for loosening very easily to cause secondary damage.Existing external fixation device is difficult to again satisfy the demand such as the treatment of the positions such as femur, humerus, and its adjusting range is very undesirable again.In order to solve the technical deficiency that has now the therapeutic device of above-mentioned disease, the treatment of more effective applicable various disease conditions and rectification, this utility model provide a kind of simple in structure, easy to operate, flexible adjustment, fixed, dismounting makes up to be applicable to the monolateral double track Combined bone external fixer of different symptoms, different parts at random.
This utility model is that the technical scheme that its technical barrier of solution adopts is comprised of flat turn moving spicule folder, L spicule folder, main guide rail, guide rail nut, mobile spicule folder, intersection point correction bracket, metatarsal spicule guiding mechanism, calcaneus spicule guiding mechanism, adjusting pad, shaft screw, auxiliary support mechanism and spicule.The moving spicule folder (or L spicule folder) of flatting turn links to each other with main guide rail with shaft screw, the guide rail nut is screwed in respectively on the main guide rail and places the both sides that are installed on the mobile spicule folder on the main guide rail, the intersection point correction bracket is clamped in the appropriate location of main guide rail, metatarsal spicule guiding mechanism is clamped in respectively the little guide rail of intersection point correction bracket and the relevant position of main guide rail, calcaneus spicule guiding mechanism also is clamped in respectively the little guide rail of intersection point correction bracket and the relevant position of main guide rail, auxiliary support mechanism is clamping on main guide rail, the moving spicule of flatting turn presss from both sides, L spicule folder and the clamping of mobile spicule folder spicule and are formed main body of the present invention, adjusting pad is placed on the moving spicule folder of flatting turn when needs are regulated, one side of the spicule that L spicule folder and the clamping of mobile spicule folder.
The moving spicule folder of flatting turn is comprised of hold-down screw, rotation spicule cramping lid, rotation spicule clamp.Rotate spicule cramping lid and be the rectangle sheet shaped piece, four through holes of upper drill with ferrule, side-lower have three V-type notches.Rotating the spicule clamp also is the rectangle sheet shaped piece, it is corresponding with four through holes that rotate spicule cramping lid that the top is designed with four screwed holes, so that with the hold-down screw combination that is connected, it is corresponding with the V-type notch that rotation spicule cramping covers that its side top has three V-type notches, and combination is rear in order to the corresponding spicule of firm grip.
L spicule folder is designed to L-type and is comprised of clamp-screw, L spicule clamp, L spicule folder lid.L spicule folder lid also is that centre position, rectangle sheet shaped piece top has four through holes, two V-type notches of side top design.L spicule clamp is the L-type part, a through hole is bored in order to penetrate spicule in the short side of L-type, top margin designs a screwed hole and penetrates clamp-screw, in order to press solidly the spicule that penetrates in the hole, two V-type notches are also opened in the long limit lower side of the L-type position corresponding with the V-type notch that L spicule folder lid is opened, so that at when combination clamping spicule, its long limit and L spicule folder have covered the corresponding Position Design of four through holes four screwed holes are combined into one in order to clamp-screw L spicule clamp and L spicule folder are covered.
Mobile spicule folder is comprised of gland screw, mobile spicule folder lid, mobile spicule clamp, mobile spicule holder, bearing pin, angle modulation screw.With gland screw mobile spicule folder lid is linked together with mobile spicule clamp, mobile spicule holder and mobile spicule clamp are the chain connection form with the bearing pin combination, and the angle modulation screw is screwed on the mobile spicule holder.Mobile spicule folder lid is a rectangle sheet shaped piece, and the top has two through holes, and lower side is designed with three V-type notches.Mobile spicule clamp is a slightly thick rectangle sheet shaped piece, two through hole corresponding sections of top center line and mobile spicule folder lid are designed with two screwed holes, in order to penetrate gland screw, mobile spicule folder lid is connected with mobile spicule clamp, the corresponding section of upper side and mobile spicule folder lid is designed with three V-type notches, in order to make up rear clamping spicule, outstanding auricle of its middle part, below design, bore a through hole on the auricle in order to penetrate bearing pin, in order to cooperate the formation hinge to make up with mobile spicule holder.Mobile spicule holder is cuboid spare, the notch that matches is opened in the auricle corresponding section at the middle part, below of top centre and mobile spicule clamp, the side is bored a through hole and is penetrated bearing pin when making up, two screwed holes of notch both sides design, can be screwed into the angle modulation screw, two large through-holes of minor face one sidetracking are in order to be installed on mobile spicule folder on the main guide rail.
Intersection point correction bracket clamping screw, segmental support, fixture block, nut, little guide rail form.With clamping screw and nut segmental support and fixture block are fitted together clamping and little guide rail, the opposite side of segmental support is connected with main guide rail with the method for clamping.Segmental support is that a grooved section curves that inboard, U-shaped both sides opens that a through hole is bored in a V-type notch side so that combined with clamping screw and nut with fixture block.Fixture block is the profile piece of a corresponding length, and it is corresponding with the V-type notch of segmental support that side is opened a V-type notch, and it is corresponding with the through hole of segmental support that corresponding side also designs a through hole.
Metatarsal spicule guiding mechanism is pressed nail, can be turned screw and form by screw, briquetting, column, moving block, adjusting nut, metatarsal spicule stayed mast, spicule.Briquetting links to each other with screw with column, and moving block is associated on the column with turning screw, and metatarsal spicule stayed mast is installed on the moving block, and the both sides adjusting nut of screwing on, spicule press nail to be screwed in the termination of metatarsal spicule stayed mast.Briquetting is a cuboid spare, and a side is designed with two through holes, and middle side is opened a V-type notch.Column also is a cuboid spare, and the side has that two screwed holes are corresponding with the through hole of briquetting, and a through hole is opened in the top, also opens a V-type notch with the corresponding position of briquetting.One sidetracking, one through hole of moving block, its side designs a screwed hole.Metatarsal spicule stayed mast is that an end is thicker cylinder, and the other end is the rod member of screw thread, and cylindrical section bores a through hole, so that the metatarsal spicule penetrates, its termination Center one screwed hole is in order to can allow spicule press nail to be screwed into.
Calcaneus spicule guiding mechanism gets structure and the structural similarity that hides bone spicule guiding mechanism, some difference of size just, and it is pressed nail, can be turned screw and form by screw, briquetting, column, moving block, adjusting nut, calcaneus spicule stayed mast, spicule.Briquetting links to each other with screw with column, and moving block is associated on the column with turning screw, and calcaneus spicule stayed mast is installed on the moving block, and the both sides adjusting nut of screwing on, spicule press nail to be screwed in the termination of calcaneus spicule stayed mast.
Main guide rail is the screw thread member of an end band auricle, the auricle end bore a through hole by tip position, in order to allow shaft screw pass, its full thread part one side milling one facet, and in the plane in the mint-mark precision be one millimeter rule.
The guide rail nut is thick six square nuts, goes up in all fields 0,1,2,3,4,5 one arabic numeric characters in the order mint-mark.
Adjusting pad is a semicircle cylinder part, and it bends profound height is 1/4th of diameter.
Auxiliary support mechanism is comprised of hold-down screw, gland, auxiliary guide rail, nut, triangle body.Hold-down screw, gland form a triangular pieces with triangle body and are connected with hold-down screw, and auxiliary guide rail is installed on the triangle body, and nut is being twisted in both sides.Gland is the top body spare of triangular pieces, the middle through hole that bores, and lower side has two V-type notches.Triangle body is triangle, and upside and gland opposite position are opened two V-type notches, and the through hole corresponding section processes a screwed hole on centre and the gland, and side-lower bores a through hole, in order to allow auxiliary guide rail pass.Auxiliary guide rail is the screw thread member of a full thread.
This utility model is fabricated structure.When each parts is made various combination, can fracture to difference, bone is damaged, the patient of bone does not connect treats and corrects, can be used for bone fixing, bone prolong outward, bone is moved, intersection point rectification and O, X, K type lower limb orthopedic.
When being used for external fixation of fracture: with the hold-down screw of spicule, the moving spicule folder of flatting turn, rotate spicule cramping lid, rotate the spicule clamp, shaft screw, main guide rail, guide rail nut, the gland screw of mobile spicule folder, mobile spicule press from both sides lid, mobile spicule clamp, mobile spicule holder, angle modulation screw association become this utility model.Scheme by the doctor, the V-type notch that presss from both sides along the moving spicule of flatting turn in the nearly section of fracturing after the reduction of the fracture is bored a fracture hole be screwed into a spicule, make second spicule at the far-end of another section folding bone along the V-type notch of mobile spicule folder again, put the present invention, squeeze into again two spicules along the V-type notch of the moving spicule folder of flatting turn and the V-type notch of mobile spicule folder respectively again, adjust the reduction of the fracture, then tighten hold-down screw, gland screw and shaft screw, regulate and tighten the guide rail nut, the angle modulation screw, make fracture firmly fixing, after the fracture recovery from illness, remove this utility model, take out each spicule.
Be used for the bone overtime: with the hold-down screw of spicule, the moving spicule folder of flatting turn, rotate spicule cramping lid, rotate the spicule clamp, shaft screw, main guide rail, guide rail nut, the gland screw of mobile spicule folder, mobile spicule press from both sides lid, mobile spicule clamp, mobile spicule holder, angle modulation screw, bearing pin, auxiliary support mechanism hold-down screw, gland, auxiliary guide rail, nut, triangle body be combined into this utility model.Scheme by the doctor, respectively squeeze into the spicule of right quantity and clamp each spicule to far-end, near-end that need prolong bone along the V-type notch of the moving spicule clamp of flatting turn and the V-type notch of mobile spicule clamp, block in the middle of need prolonging bone, after the success of affirmation osteotomy, tighten each screw and all nuts.The standby phase is unclamped the guide rail nut of mobile spicule holder both sides later, the guide rail nut that spicule clamp seat nearside is moved in turn moves to the greatest extent with the direction that every day, one millimeter speed made mobile spicule holder prolong to bone and makes the distal bone section leave near-end bone section, make whole bone length elongated, until reach design length, twist solid each guide rail nut, after prolonging the desirable calcification of bone, remove this utility model, take out each spicule.
When being used for bone and moving: be mainly used to treatment, to augment bone damaged.With the hold-down screw of spicule, the moving spicule folder of flatting turn, rotate spicule cramping lid, rotate the spicule clamp, shaft screw, main guide rail, guide rail nut, the gland screw of mobile spicule folder, mobile spicule folder lid, mobile spicule clamp, mobile spicule holder, angle modulation screw, bearing pin be combined into this utility model.Predetermined scheme by the doctor, squeeze into each suitable spicule along flat turn the V-type notch of moving spicule clamp and the V-type notch of mobile spicule clamp respectively, at this moment respectively organizing the spicule position will satisfy osteotomy and remove the bone section and get demand, between rotation spicule clamp and adjacent mobile spicule clamp, make osteotomy, move the spicule clamp and another moves the bone section of amputation focus between the spicule clamp at this, sew up and install the present invention, fastening each screw, nut.The standby phase is unclamped the guide rail nut of the mobile spicule clamp both sides in the middle of being positioned at later, this mobile spicule holder of turn by the guide rail nut that rotates spicule clamp one side with every day one millimeter speed promote this and move the spicule holder and move to leaving the direction of rotating the spicule clamp, driving middle removable bone section to the greatest extent moves forward, until the bone section on this removable bone section and opposite is matched, until Regenerated Bone calcification, the bone section that contacts merge then bone damaged replenish and recovery from illness after, remove this utility model, take out each spicule.
Be used for intersection point, during the rectification of strephenopodia (strephexopodia): use spicule, the moving spicule of flatting turn presss from both sides, shaft screw, main guide rail, the guide rail nut, mobile spicule folder, intersection point correction bracket pinching screw, segmental support, fixture block, nut, little guide rail, the screw of metatarsal spicule guiding mechanism, briquetting, column, moving block, adjusting nut, metatarsal spicule stayed mast, spicule is pressed nail, can turn screw, the screw of calcaneus spicule guiding mechanism, briquetting, column, moving block, adjusting nut, calcaneus spicule stayed mast, spicule is pressed nail, can turn screw association and become this utility model.By doctor's predetermined scheme, respectively squeeze into a spicule along the V-type notch of flat turn moving spicule folder and mobile spicule folder respectively in the tibia appropriate location, squeeze into respectively a spicule at metatarsal and calcaneus, it is clamping on the spicule of tibia that the present invention of combination is packed into.At this moment use pinching screw and with nut segmental support is connected clamping appropriate location at main guide rail with fixture block, make its segmental support another side be positioned at the shank offside.The screw of adjusting structure with the metatarsal spicule is connected briquetting rear clamping on main guide rail and little guide rail respectively with column, the screw of same calcaneus spicule guiding mechanism is clamping in the appropriate location of main guide rail and little guide rail respectively after briquetting is connected with column, respectively metatarsal spicule stayed mast is penetrated to press on the spicule of metatarsal and with spicule to follow closely compression again.Fastening each securing member, unclamp the metatarsal spicule during adjustment and adjust adjusting nut on the moving block both sides metatarsal spicule stayed mast of structure, the spicule of the adjusting nut pulling metatarsal of turn moving block nearside moves to near-end, unclamp simultaneously the calcaneus spicule and adjust adjusting nut on the moving block both sides calcaneus spicule stayed mast of structure, the spicule of the adjusting nut pulling calcaneus in turn moving block distally is to distal movement, make tiptoe rotate to correct the intersection point phenomenon to near-end to the greatest extent, until keep a period of time to remove this utility model after correcting fully, take out each spicule.
Attention: though be used for bone outward fixing, bone prolong or when moving for the damaged bone of bone, if there is one section bone section size too short, the moving spicule folder of installing, the flat turn position or fixing when insecure of having an injection not, all become finishing the work that L spicule folder like this can be desirable in the relocation of the moving spicule folder of flatting turn, concrete operation method method when moving spicule with flatting turn and press from both sides is identical.
When being used for O (X, K) type lower limb and correcting: the osteotomy of general this rectification all at the end position of bone as far as possible near the termination, so need to be with small distance, the L spicule folder that can fixedly secure.Use spicule, clamp-screw, L spicule clamp, L spicule folder lid, main guide rail, the guide rail nut, mobile spicule folder, shaft screw is combined into this utility model, predetermined scheme by the doctor, the bone section short on the one side of estimating osteotomy squeezed into a spicule, making a spicule than the long bone section again, given a mark on the V-type notch of the V-type notch of not placing L spicule clamp and mobile spicule folder by upper the present invention, V-type notch and parallel with it circular hole along L spicule clamp, so and along mobile spicule folder in addition suitably the V-type notch squeeze into the securing members such as the guide rail nut that tightens up behind the spicule and trip bolt, bone section between L spicule clamp and the mobile spicule folder is made local osteotomy, after a week, unclamp shaft screw, turn the guide rail nut of mobile spicule folder both sides, main guide rail between L spicule clamp and mobile spicule folder is increased on one side, another side shortens, make to the greatest extent L spicule clamp and mobile spicule folder angulation, drive and cut also angulation of two bone sections, then change O (X, K) type lower limb state, adjust gradually and make O (X, K) the type lower limb straightens, until be remedied to ideal position, tighten up each securing member, after the fracture recovery from illness, remove this utility model, take out spicule.
Good effect of the present utility model is:
1. simple in structure, easy to operate, use the present invention after the patient needn't lie in bed, but ambulation at any time;
2. flexible adjustment can be adjusted when mounted, also can adjust after surgery its fracture segment angulation;
3. at random dismounting and being used in combination;
4. one-tenth capable of being combined is used for separately the device of external fixation of fracture;
5. also can form the device that independent bone prolongs, increase auxiliary support structure and avoided bone displacement angulation in the prolongation process;
6. designed adjusting pad and can in therapeutic process, in time add adjusting pad and adjust wide-angle angulation before and after the bone, very convenient;
7, can carry out the rectification of intersection point to independent intersection point patient as required;
8, bone is damaged for having again, the bone cripetura, this utility model that intersection point, a pigeon-toed patient cover capable of being combined satisfies this demand occurs simultaneously and once finish simultaneously above-mentioned treatment, avoided the method for the Repeated Operation that in the past adopted to alleviate patient suffering and economic pressures;
9. move also and can repair soft tissue defects simultaneously as bone with this utility model, saved the operation that skin consuming time, consumptive material is broken off with the fingers and thumb and made skin graft.
Description of drawings
Below in conjunction with width of cloth figure and embodiment this utility model is described further.
Fig. 1 is structural representation of the present utility model
Fig. 2 is the moving spicule clamping structure sketch map of flatting turn of the present utility model
Fig. 3 is L spicule clamping structure sketch map of the present utility model
Fig. 4 is mobile spicule clamping structure sketch map of the present utility model
Fig. 5 is intersection point correction bracket structural representation of the present utility model
Fig. 6 is segmental support structural representation of the present utility model
Fig. 7 is fixture block structural representation of the present utility model
Fig. 8 is metatarsal spicule guiding mechanism structural representation of the present utility model
Fig. 9 is briquette structure sketch map of the present utility model
Figure 10 is pillar construction sketch map of the present utility model
Figure 11 is moving block structural representation of the present utility model
Figure 12 is metatarsal spicule stayed mast structural representation of the present utility model
Figure 13 is calcaneus spicule guiding mechanism structural representation of the present utility model
Figure 14 is main guide rail structural representation of the present utility model
Figure 15 is adjusting pad structural representation of the present utility model
Figure 16 is auxiliary support mechanism structural representation of the present utility model
Figure 17 is the user mode figure that this utility model is used for external fixation of fracture
Figure 18 is that this utility model is used for the user mode figure that bone prolongs
Figure 19 is that this utility model is used for the user mode figure that bone is moved
Figure 20 is that this utility model is used for the pedorthic user mode figure that hangs down
Figure 21 is that this utility model is used for the user mode figure that O (X, K) type lower limb is corrected
The specific embodiment:
As shown in Figure 1, monolateral double track Combined bone external fixer it by the moving spicule folder (1) of flatting turn, L spicule folder (2), main guide rail (8), guide rail nut (3), mobile spicule folder (4), intersection point correction bracket (5), metatarsal spicule guiding mechanism (6), calcaneus spicule guiding mechanism (7), adjusting pad (9), shaft screw 10), auxiliary support mechanism (11) and spicule (12) form.The moving spicule folder (1) (or L spicule folder (2)) of flatting turn links to each other with main guide rail (8) with shaft screw (10), guide rail nut (3) is screwed in respectively main guide rail (8) upward and places the both sides that are installed on the mobile spicule folder (4) on the main guide rail (8), intersection point correction bracket (5) is clamped in the appropriate location of main guide rail (8), metatarsal spicule guiding mechanism (6) is clamped in respectively the relevant position of little guide rail (5-5) and the main guide rail (8) of intersection point correction bracket (5), calcaneus spicule guiding mechanism (7) also is clamped in respectively the relevant position of little guide rail (5-5) and the main guide rail (8) of intersection point correction bracket (5), auxiliary support mechanism (11) is clamping on main guide rail (8), the moving spicule of flatting turn presss from both sides (1), L spicule folder (2) and (4) clamping of mobile spicule folder spicule (12) and are formed main body of the present invention, adjusting pad (9) is placed on the moving spicule folder (1) of flatting turn when needs are regulated, one side of the spicule (12) that L spicule folder (2) and (4) clamping of mobile spicule folder.
As shown in Figure 2, flat turn moving spicule folder (1) by hold-down screw (1-1), rotate spicule cramping lid (1-2), rotate spicule clamp (1-3) and form.Rotating spicule cramping lid (1-2) is the rectangle sheet shaped piece, four through holes of upper drill with ferrule, and side-lower has three V-type notches.Rotating spicule clamp (1-3) also is the rectangle sheet shaped piece, it is corresponding with four through holes that rotate spicule cramping lid (1-2) that the top is designed with four screwed holes, so that with hold-down screw (1-1) combination that is connected, the V-type notch that its side top has on three V-type notches and the rotation spicule cramping lid (1-2) is corresponding, and combination is rear in order to the corresponding spicule of firm grip (12).
As shown in Figure 3, L spicule folder (2) is designed to L-type and is comprised of clamp-screw (2-1), L spicule clamp (2-2), L spicule folder lid (2-3).L spicule folder lid (2-3) also is that centre position, rectangle sheet shaped piece top has four through holes, two V-type notches of side top design.L spicule clamp (2-2) is the L-type part, a through hole is bored in order to penetrate spicule (12) in the short side of L-type, top margin designs a screwed hole and penetrates hold-down screw (2-1), in order to press solidly the spicule (12) that penetrates in the hole, two V-type notches are also opened in the long limit lower side of the L-type position corresponding with the V-type notch that L spicule folder lid (2-3) is opened, so that clamping spicule (12) when combination, the Position Design that its long limit is corresponding with L spicule folder lid (2-3) upper four through holes four screwed holes, cover (2-3) and be combined into one in order to clamp-screw (2-1) L spicule clamp (2-2) and L spicule are pressed from both sides.
As shown in Figure 4, mobile spicule folder (4) is comprised of gland screw (4-1), mobile spicule folder lid (4-2), mobile spicule clamp (4-3), mobile spicule holder (4-4), bearing pin (4-5), angle modulation screw (4-6).With gland screw (4-1) mobile spicule folder lid (4-2) and mobile spicule clamp (4-3) are linked together, mobile spicule holder (4-4) is the chain connection form with mobile spicule clamp (4-3) with bearing pin (4-5) combination, and angle modulation screw (4-6) is screwed on the mobile spicule holder (4-4).Mobile spicule folder lid (4-1) is a rectangle sheet shaped piece, and the top has two through holes, and lower side is designed with three V-type notches.Mobile spicule clamp (4-3) is a slightly thick rectangle sheet shaped piece, two through hole corresponding sections of top center line and mobile spicule folder lid (4-2) are designed with two screwed holes, in order to penetrate gland screw (4-1), mobile spicule folder lid (4-2) is connected with mobile spicule clamp (4-3), the corresponding section of upper side and mobile spicule folder lid (4-2) is designed with three V-type notches, in order to make up rear clamping spicule (12), outstanding auricle of its middle part, below design, bore a through hole on the auricle in order to penetrate bearing pin (4-5), in order to cooperate the formation hinge to make up with mobile spicule holder (4-4).Mobile spicule holder (4-4) is cuboid spare, the notch that matches is opened in the auricle corresponding section at the middle part, below of top centre and mobile spicule clamp (4-3), the side is bored a through hole and is penetrated bearing pin (4-5) when making up, two screwed holes of notch both sides design, can be screwed into angle modulation screw (4-6), two large through-holes of minor face one sidetracking are in order to be installed on mobile spicule folder (4) on the main guide rail (8).
As shown in Figure 5, intersection point correction bracket (5) is comprised of clamping screw (5-1), segmental support (5-2), fixture block (5-3), nut (5-4), little guide rail (5-5).With nut (5-4) segmental support (5-2) and fixture block (5-3) are fitted together clamping with clamping screw (5-1) and little guide rail (5-5), the opposite side of segmental support (5-2) is connected with main guide rail (8) with the method for clamping.As shown in Figure 6, segmental support (5-2) is that a grooved section curves that inboard, U-shaped both sides opens that a through hole is bored in a V-type notch side so that combined with clamping screw (5-1) and nut (5-4) with fixture block (5-3).As shown in Figure 7, fixture block (5-3) is the profile piece of a corresponding length, and it is corresponding with the V-type notch of segmental support (5-2) that side is opened a V-type notch, and it is corresponding with the through hole of segmental support (5-2) that corresponding side also designs a through hole.
As shown in Figure 8, the metatarsal spicule is adjusted structure (6) and is pressed nail (6-7), can be turned screw (6-8) and form by screw (6-1), briquetting (6-2), column (6-3), moving block (6-4), adjusting nut (6-5), metatarsal spicule stayed mast (6-6), spicule.Briquetting (6-2) links to each other with screw (6-1) with column (6-3), moving block (6-4) is associated on the column (6-3) with turning screw (6-8), metatarsal spicule stayed mast (6-6) is installed on the moving block (6-4), the both sides adjusting nut (6-5) of screwing on, spicule press nail (6-7) to be screwed in the termination of metatarsal spicule stayed mast (6-6).As shown in Figure 9, briquetting (6-2) is a cuboid spare, and a side is designed with two through holes, and middle side is opened a V-type notch.As shown in figure 10, column (6-3) also is a cuboid spare, and it is corresponding with the through hole of briquetting (6-2) that the side has two screwed holes, and a through hole is opened in the top, also opens a V-type notch with the corresponding position of briquetting (6-2).As shown in figure 11, a sidetracking one through hole of moving block (6-4), its side designs a screwed hole.As shown in figure 12, metatarsal spicule stayed mast (6-6) is that an end is thicker cylinder, and the other end is the rod member of screw thread, cylindrical section bores a through hole, so that the spicule of metatarsal (12) penetrates, its termination Center one screwed hole is in order to can allow spicule press nail (6-7) to be screwed into.
As shown in figure 13, the structural similarity of the structure of calcaneus spicule guiding mechanism (7) and metatarsal spicule guiding mechanism (6), some difference of size just, it is pressed nail (7-8), can be turned screw (7-4) and form by screw (7-1), briquetting (7-2), column (7-3), moving block (7-6), adjusting nut (7-5), calcaneus spicule stayed mast (7-7), spicule.Briquetting (7-2) links to each other with screw (7-1) with column (7-3), moving block (7-6) is associated on the column (7-3) with turning screw (7-4), calcaneus spicule stayed mast (7-7) is installed on the moving block (7-6), the both sides adjusting nut (7-5) of screwing on, spicule press nail (7-8) to be screwed in the termination of calcaneus spicule stayed mast (7-7).
As shown in figure 14, main guide rail (8) is the screw thread member of an end band auricle, the auricle end bore a through hole by tip position, in order to allow shaft screw (10) pass, its full thread part one side milling one facet, and in the plane in the mint-mark precision be one millimeter rule.
Guide rail nut (3) is thick six square nuts, goes up in all fields 0,1,2,3,4,5 one arabic numeric characters in the order mint-mark.
As shown in figure 15, adjusting pad (9) is a semicircle cylinder part, and it bends profound height is 1/4th of diameter.
As shown in figure 16, auxiliary support mechanism (11) is comprised of hold-down screw (11-1), gland (11-2), auxiliary guide rail (11-3), nut (11-4), triangle body (11-5).Hold-down screw (11-1), gland (11-2) form a triangular pieces with triangle body (11-5) and are connected with hold-down screw (11-1), and auxiliary guide rail (11-3) is installed on the triangle body, and nut (11-4) is being twisted in both sides.Gland (11-2) is the top body spare of triangular pieces, the middle through hole that bores, and lower side has two V-type notches.Triangle body (11-5) is triangle, upside and gland (11-2) opposite position is opened two V-type notches, the upper through hole corresponding section of middle and gland (11-2) processes a screwed hole, and side-lower bores a through hole, in order to allow auxiliary guide rail (11-3) pass.Auxiliary guide rail (11-3) is the screw thread member of a full thread.
This utility model is fabricated structure.When each parts is made various combination, can fracture to difference, bone is damaged, the patient of bone does not connect treats and corrects, can be used for bone fixing, bone prolong outward, bone is moved, intersection point rectification and O, X, K type lower limb orthopedic.
When being used for external fixation of fracture: as shown in figure 17, with the hold-down screw (1-1) of spicule (12), the moving spicule folder (1) of flatting turn, rotate spicule cramping lid (1-2), rotate spicule clamp (1-3), shaft screw (10), main guide rail (8), guide rail nut (3), the gland screw (4-1) of mobile spicule folder (4), mobile spicule folder cover (4-2), mobile spicule clamp (4-3), mobile spicule holder (4-4), angle modulation screw (4-6) are combined into the present invention.Predetermined scheme by the doctor, to after boring a fracture hole, the V-type notch that the nearly section of fracture is moved spicule folder (1) along flatting turn be screwed into a spicule (12) after the reduction of the fracture, squeeze into second spicule (12) at the far-end of another section folding bone along the V-type notch of mobile spicule folder (4) again, put the present invention, squeeze into again two spicules (12) along the V-type notch of the moving spicule folder (1) of flatting turn and the V-type notch of mobile spicule folder (4) respectively again, adjust the reduction of the fracture, then tighten hold-down screw (1-1), gland screw (4-1) and shaft screw (10), regulate and tighten guide rail nut (3), angle modulation screw (4-6), make fracture firmly fixing, after the fracture recovery from illness, remove the present invention, take out each spicule (12).
Be used for the bone overtime: as shown in figure 18, with spicule (12), the moving spicule of flatting turn presss from both sides the hold-down screw (1-1) of (1), rotate spicule cramping lid (1-2), rotate spicule clamp (1-3), shaft screw (10), main guide rail (8), guide rail nut (3), the gland screw (4-1) of mobile spicule folder (4), mobile spicule folder lid (4-2), mobile spicule clamp (4-3), mobile spicule holder (4-4), angle modulation screw (4-6), bearing pin (4-5), the hold-down screw (11-1) of auxiliary support mechanism (11), gland (11-2), auxiliary guide rail (11-3), nut (11-4), triangle body (11-5) is combined into this utility model.By doctor's scheme, prolong respectively far-end, the spicule (12) that near-end is respectively squeezed into right quantity of bone along the V-type notch of the V-type notch that rotates spicule clamp (1-3) and mobile spicule clamp (4-3) to need and clamp each spicule (12), block in the middle of need prolonging bone, after confirming the osteotomy success, tighten each screw and all nuts.The standby phase is unclamped the guide rail nut (3) of mobile spicule holder (4-4) both sides later, the guide rail nut (3) that spicule holder (4-4) nearside is moved in turn with every day one millimeter speed mobile spicule holder (4-4) is moved to the bone extending direction, make the distal bone section leave near-end bone section, the elongated design length that reaches of whole bone length, twist solid each guide rail nut (3), after prolonging the desirable calcification of bone, remove this utility model, take out each spicule (12).
When being used for bone and moving: as shown in figure 19, be mainly used to treatment, to augment bone damaged.With spicule (12), the moving spicule of flatting turn presss from both sides the hold-down screw (1-1) of (1), rotate spicule cramping lid (1-2), rotate spicule clamp (1-3), shaft screw (10), main guide rail (8), guide rail nut (3), the gland screw (4-1) of mobile spicule folder (4), mobile spicule folder lid (4-2), mobile spicule clamp (4-3), mobile spicule holder (4-4), angle modulation screw (4-6), bearing pin (4-5) is combined into this utility model.Predetermined scheme by the doctor, squeeze into suitable each spicule (12) along the V-type notch that rotates spicule clamp (1-3) and the V-type notch of mobile spicule clamp (4-3) respectively, at this moment the position of respectively organizing spicule (12) will be satisfied osteotomy and remove the bone section and got demand, between rotation spicule clamp (1-3) and adjacent mobile spicule clamp (4-3), make osteotomy, move spicule clamp (4-3) and another moves the bone section of amputation focus between the spicule clamp (4-3) at this, sew up and install the present invention, fastening each screw, nut.The standby phase is unclamped the guide rail nut (3) of mobile spicule clamp (4-3) both sides in the middle of being positioned at later, this mobile spicule holder (4-4) of turn by the guide rail nut (3) that rotates spicule clamp (1-3) side with every day one millimeter speed promote this and move spicule holder (4-3) and move to leaving the direction of rotating spicule clamp (1-3), driving middle removable bone section to the greatest extent moves forward, until the bone section on this removable bone section and opposite is matched, treat the Regenerated Bone calcification, the bone section that contacts merge then bone damaged replenish and recovery from illness after, remove this utility model, take out each spicule (12).
Be used for intersection point, during the rectification of strephenopodia (strephexopodia): as shown in figure 20, with spicule (12), the moving spicule of flatting turn presss from both sides (1), shaft screw (10), main guide rail (8), guide rail nut (3), mobile spicule folder (4), the pinching screw (5-1) of intersection point correction bracket (5), segmental support (5-2), fixture block (5-3), nut (5-4), little guide rail (5-5), the metatarsal spicule is adjusted the screw (6-1) of structure (6), briquetting (6-2), column (6-3), moving block (6-4), adjusting nut (6-5), metatarsal spicule stayed mast (6-6), spicule is pressed nail (6-7), can turn screw (6-8), the screw (7-1) of calcaneus spicule guiding mechanism (7), briquetting (7-2), column (7-3), moving block (7-6), adjusting nut (7-5), calcaneus spicule stayed mast (7-7), spicule is pressed nail (7-8), can turn screw (7-4) and be combined into this utility model.Predetermined scheme by the doctor, respectively squeeze into a spicule (12) along the V-type notch of moving spicule folder (1) and the mobile spicule folder (4) of flatting turn respectively in the tibia appropriate location, squeeze into respectively a spicule (12) at metatarsal and calcaneus, pack into the spicule (12) of tibia of the present invention of combination is upper clamping.At this moment use pinching screw (5-1) and with nut (5-4) segmental support (5-2) is connected clamping appropriate location in main guide rail (8) with fixture block (5-3), make its segmental support (5-2) another side be positioned at the shank offside.The screw (6-1) of adjusting structure (6) with the metatarsal spicule is connected 6-3 with briquetting (6-2) with column) connect clamping on main guide rail (8) and little guide rail (5-5) respectively afterwards, the screw (7-1) of same calcaneus spicule guiding mechanism (7) is connected 7-3 with briquetting (7-2) with column) clamping in the appropriate location of main guide rail (8) and little guide rail (5-5) respectively after connecting, it is upper and follow closely (6-7) compression with the spicule pressure respectively metatarsal spicule stayed mast (6-6) to be penetrated the spicule (12) of metatarsal again.Fastening each securing member, unclamp the metatarsal spicule during adjustment and adjust adjusting nut (6-5) on moving block (6-4) the both sides metatarsal spicule stayed masts (6-6) of structure (6), the spicule (12) of adjusting nut (6-5) the pulling metatarsal of turn moving block (6-4) nearside moves to near-end, unclamp simultaneously the calcaneus spicule and adjust adjusting nut (7-5) on moving block (7-6) the both sides calcaneus spicule stayed masts (7-7) of structure (7), the spicule (12) of adjusting nut (7-5) the pulling calcaneus in turn moving block (7-6) distally is to distal movement, make tiptoe rotate to correct the intersection point phenomenon to near-end to the greatest extent, until keep a period of time to remove this utility model after correcting fully, take out each spicule.
Attention: though be used for bone outward fixing, bone prolong or when moving for the damaged bone of bone, if there is one section bone section size too short, installation is flatted turn moving spicule folder (1) when having an injection not the position, all become finishing the work that L spicule folder (2) like this can be desirable in the relocation of the moving spicule folder (1) of flatting turn, concrete operation method method when moving spicule with flatting turn and press from both sides (1) is identical.
When being used for O (X, K) type lower limb and correcting: as shown in figure 21, the osteotomy of general this rectification is all at the end position of bone, so need to be with small distance, the L spicule folder (2) that can fixedly secure.With spicule (12), the clamp-screw (2-1) of L spicule folder (2), L spicule clamp (2-2), L spicule folder lid (2-3), main guide rail (8), guide rail nut (3), mobile spicule folder (4), shaft screw (10) is combined into this utility model, scheme by the doctor, squeeze into a spicule (12) in the bone section that one side of osteotomy is short, making a spicule (12) than the long bone section again, V-type notch and the mobile spicule of spicule (12) being placed respectively L spicule clamp (2) press from both sides on the V-type notch of (4), V-type notch and parallel with it circular hole along L spicule clamp (2-2), along mobile spicule folder (4) in addition suitably the V-type notch squeeze into spicule (12) thus after the securing members such as the guide rail nut (3) that tightens up and trip bolt (2-1), bone section between L spicule clamp (2-2) and the mobile spicule folder (4) is made local osteotomy, after a week, unclamp shaft screw (10), turn the guide rail nut (3) of mobile spicule folder (4) both sides, the main guide rail (8) that is positioned between L spicule clamp (2) and the mobile spicule folder (4) is increased on one side, another side shortens, make to the greatest extent L spicule clamp (2) and mobile spicule folder (4) angulation, drive by section two bone sections also angulation and then change O (X, K) type lower limb state, adjust gradually and make O (X, K) the type lower limb straightens, until be remedied to ideal position, tighten up each securing member, after the fracture recovery from illness, remove this utility model, take out spicule.
Claims (6)
1. monolateral double track Combined bone external fixer, by the moving spicule folder of flatting turn, L spicule folder, main guide rail, the guide rail nut, mobile spicule folder, the intersection point correction bracket, metatarsal spicule guiding mechanism, calcaneus spicule guiding mechanism, adjusting pad, shaft screw, auxiliary support mechanism and spicule form, it is characterized in that: the moving spicule folder of flatting turn, and L spicule folder links to each other with main guide rail with shaft screw, the guide rail nut is screwed in respectively on the main guide rail and places the both sides that are installed on the mobile spicule folder on the main guide rail, the intersection point correction bracket is clamped in the appropriate location of main guide rail, metatarsal spicule guiding mechanism is clamped in respectively the little guide rail of intersection point correction bracket and the relevant position of main guide rail, calcaneus spicule guiding mechanism also is clamped in respectively the little guide rail of intersection point correction bracket and the relevant position of main guide rail, auxiliary support mechanism is clamping on main guide rail, the moving spicule of flatting turn presss from both sides, L spicule folder and the clamping of mobile spicule folder spicule and are formed main body of the present invention, adjusting pad is placed on the moving spicule folder of flatting turn when needs are regulated, one side of the spicule that L spicule folder and the clamping of mobile spicule folder.
2. monolateral double track Combined bone external fixer according to claim 1, it is characterized in that: the moving spicule folder of flatting turn is comprised of hold-down screw, rotation spicule cramping lid, rotation spicule clamp, rotate spicule cramping lid and be the rectangle sheet shaped piece, four through holes of upper drill with ferrule, side-lower has three V-type notches, rotating the spicule clamp also is the rectangle sheet shaped piece, it is corresponding with four through holes that rotate spicule cramping lid that the top is designed with four screwed holes, and it is corresponding with the V-type notch that rotation spicule cramping covers that its side top has three V-type notches.
3. monolateral double track Combined bone external fixer according to claim 1, it is characterized in that: L spicule folder is designed to L-type by clamp-screw, L spicule clamp, L spicule folder lid forms, L spicule folder lid also is that centre position, rectangle sheet shaped piece top has three through holes, two V-type notches of side top design, L spicule clamp is the L-type part, a through hole is bored in the short side of L-type, top margin designs a screwed hole, two V-type notches are also opened in the corresponding position of V-type notch that the long limit lower side of L-type and L spicule folder lid is opened, and its long limit and L spicule press from both sides three screwed holes that covered the corresponding Position Design of three through holes.
4. monolateral double track Combined bone external fixer according to claim 1, it is characterized in that: mobile spicule folder is by gland screw, mobile spicule folder lid, mobile spicule clamp, mobile spicule holder, bearing pin, the angle modulation screw forms, mobile spicule folder lid is a rectangle sheet shaped piece, the top has two through holes, lower side is designed with three V-type notches, mobile spicule clamp is a slightly thick rectangle sheet shaped piece, two through hole corresponding sections of top center line and mobile spicule folder lid are designed with two screwed holes, the corresponding section of upper side and mobile spicule folder lid is designed with three V-type notches, outstanding auricle of its middle part, below design, bore a through hole on the auricle, mobile spicule holder is cuboid spare, the notch that matches is opened in the auricle corresponding section at the middle part, below of top centre and mobile spicule clamp, a through hole is bored in the side, two screwed holes of notch both sides design, two large through-holes of minor face one sidetracking.
5. monolateral double track Combined bone external fixer according to claim 1, it is characterized in that: intersection point correction bracket clamping screw, segmental support, fixture block, nut, little guide rail form, segmental support is that a grooved section curves inboard, U-shaped both sides and opens a V-type notch side and bore a through hole, fixture block is the profile piece of a corresponding length, it is corresponding with the V-type notch of segmental support that side is opened a V-type notch, and it is corresponding with the through hole of segmental support that corresponding side also designs a through hole.
6. monolateral double track Combined bone external fixer according to claim 1 is characterized in that: metatarsal spicule guiding mechanism is pressed nail, can be turned screw and form briquetting by screw, briquetting, column, moving block, adjusting nut, metatarsal spicule stayed mast, spicule
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| Application Number | Priority Date | Filing Date | Title |
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| CN 201220267256 CN202801773U (en) | 2012-06-07 | 2012-06-07 | One-way double-track combined type external skeletal fixing device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201220267256 CN202801773U (en) | 2012-06-07 | 2012-06-07 | One-way double-track combined type external skeletal fixing device |
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| CN202801773U true CN202801773U (en) | 2013-03-20 |
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| CN 201220267256 Expired - Lifetime CN202801773U (en) | 2012-06-07 | 2012-06-07 | One-way double-track combined type external skeletal fixing device |
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