CN203315057U - Guide device for coracoclavicular ligament reconstruction - Google Patents

Guide device for coracoclavicular ligament reconstruction Download PDF

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Publication number
CN203315057U
CN203315057U CN2013203683839U CN201320368383U CN203315057U CN 203315057 U CN203315057 U CN 203315057U CN 2013203683839 U CN2013203683839 U CN 2013203683839U CN 201320368383 U CN201320368383 U CN 201320368383U CN 203315057 U CN203315057 U CN 203315057U
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CN
China
Prior art keywords
sleeve
processus coracoideus
rebuild
guider
plate
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN2013203683839U
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Chinese (zh)
Inventor
陈羽
宋烜
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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Priority to CN2013203683839U priority Critical patent/CN203315057U/en
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Publication of CN203315057U publication Critical patent/CN203315057U/en
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Abstract

The utility model relates to a guide device for coracoclavicular ligament reconstruction. The guide device comprises an aiming rack and a sleeve, wherein the aiming rack comprises a guide plate and a positioning plate, a guide hole is formed in the guide plate, the positioning plate comprises a first end and a second end, the first end of the positioning plate is connected with the guide plate, and a coracoid positioning hook is arranged at the second end of the positioning plate; and the sleeve comprises a collarbone positioning end which penetrates through the guide hole and faces the direction of the coracoid positioning hook. During use, the coracoid positioning hook hooks the lower surface of the coracoid, then, the sleeve is inserted into the guide hole of the guide plate, and the sleeve is pushed in the direction of the coracoid along the guide hole until the collarbone positioning end is propped against the surface of the collarbone; and then, a coracoid tunnel construction unit can be inserted into a through hole of the sleeve, so that a coracoid bone tunnel is formed, the thicknesses of two sides of the coracoid bone tunnel are similar, and accordingly, operation failure caused by the fact that the wall of the coracoid bone tunnel is damaged can be effectively prevented.

Description

Coracoclavicular ligament is rebuild guider
Technical field
This utility model relates to medical instruments field, particularly relates to a kind of coracoclavicular ligament and rebuilds guider.
Background technology
It is the operation a kind of commonly used for the treatment of acromioclavicular joint dislocation that coracoclavicular ligament is rebuild, and the coracoclavicular ligament that it ruptures by reconstruction has been recovered the stable of acromioclavicular joint, thereby obtained good therapeutic effect.Along with the understanding to the coracoclavicular ligament importance, this operation becomes goldstandard gradually.
Yet, follow the extensive use of this operation, the case of operative failure also constantly occurs.The main cause of operative failure is there is no the correct osseous tunnel of setting up, especially processus coracoideus osseous tunnel in operation.Because processus coracoideus is the elliptical cylinder-shape structure that a kind of width only has 1.5cm left and right thickness 1.2cm left and right, eccentric processus coracoideus osseous tunnel will cause the cortical bone of tunnel one side sharply to reduce, make the patient when being subject to larger external force, its weak tunnel wall is destroyed and cause operative failure.
The utility model content
The purpose of this utility model be to provide a kind of simple in structure, easy to use, cost is low, can prevent that the coracoclavicular ligament of processus coracoideus osseous tunnel bias from rebuilding guider.
For solving the problems of the technologies described above, as an aspect of the present utility model, provide a kind of coracoclavicular ligament to rebuild guider, comprising: diopter, diopter comprises guide plate and location-plate, offers pilot hole on guide plate; Location-plate comprises first end and the second end, and the first end of location-plate is connected with guide plate, and the second end of location-plate has the processus coracoideus location hook; Sleeve, sleeve comprises the clavicle positioning end, the clavicle positioning end is through pilot hole, and the clavicle positioning end is towards the direction of processus coracoideus location hook.
Further, the axis of sleeve is through the processus coracoideus location hook.
Further, there is angle between guide plate and location-plate.
Further, angle is 90 degree.
Further, sleeve also comprises positive stop end, and positive stop end is positioned at the side away from the processus coracoideus location hook of guide plate.
Further, the positive stop end place is provided with spacing bead.
Further, be provided with scale on the outer surface of sleeve.
Further, coracoclavicular ligament is rebuild guider and is also comprised processus coracoideus building tunnel unit, and processus coracoideus building tunnel unit is located in sleeve.
Further, processus coracoideus building tunnel unit is Kirschner wire.
Further, be provided with anti-slip veins on the inner surface of processus coracoideus location hook and/or on the end face of clavicle positioning end.
During use, the processus coracoideus location hook is hooked to the lower surface of processus coracoideus, then, sleeve is inserted to the pilot hole of guide plate, and the direction along pilot hole to processus coracoideus promotes by sleeve, until conflict in the surface of clavicle positioning end and clavicle.Then, processus coracoideus building tunnel unit can be inserted in the through hole of sleeve, and be passed down through the centre of clavicle and processus coracoideus, thereby form clavicle osseous tunnel and processus coracoideus osseous tunnel, and the thickness of the both sides of processus coracoideus osseous tunnel is close, thereby can effectively prevent that the wall of processus coracoideus osseous tunnel is destroyed and the operative failure that causes.
The accompanying drawing explanation
Fig. 1 has schematically shown structural representation of the present utility model;
Fig. 2 has schematically shown the structural representation of diopter;
Fig. 3 has schematically shown the left view of Fig. 2;
Fig. 4 has schematically shown the top view of Fig. 2;
Fig. 5 has schematically shown the structural representation of sleeve; And
Fig. 6 has schematically shown using state figure of the present utility model.
Reference numeral in figure: 10, diopter; 11, guide plate; 12, location-plate; 13, pilot hole; 14, processus coracoideus location hook; 20, sleeve; 21, clavicle positioning end; 22, positive stop end; 23, spacing bead; 24, scale; 30, processus coracoideus building tunnel unit; 40, clavicle; 50, processus coracoideus.
The specific embodiment
Below embodiment of the present utility model is elaborated, but the multitude of different ways that this utility model can be defined by the claims and cover is implemented.
Please refer to Fig. 1 to Fig. 5, the coracoclavicular ligament in this utility model is rebuild guider, comprising: diopter 10, and diopter 10 comprises guide plate 11 and location-plate 12, offers pilot hole 13 on guide plate 11; Location-plate 12 comprises first end and the second end, and the first end of location-plate 12 is connected with guide plate 11, and the second end of location-plate 12 has processus coracoideus location hook 14, and especially, the surface of processus coracoideus location hook 14 forms the recess of arc; Sleeve 20, sleeve 20 comprises clavicle positioning end 21, clavicle positioning end 21 is through pilot hole 13, and clavicle positioning end 21 is towards the direction of processus coracoideus location hook 14.
Please refer to Fig. 6, during use, processus coracoideus location hook 14 is hooked to the lower surface of processus coracoideus 50, then, sleeve 20 is inserted to the pilot hole 13 of guide plate 11, and along pilot hole 13 to processus coracoideus, 50 direction promotes by sleeve 20, until the lower end of sleeve 20 (being clavicle positioning end 21) conflicts with the surface of clavicle 40.Then, processus coracoideus building tunnel unit (such as Kirschner wire etc.) can be inserted in the through hole of sleeve 20, and be passed down through the centre of clavicle 40 and processus coracoideus 50, thereby form the processus coracoideus osseous tunnel, and the processus coracoideus osseous tunnel is formed on the Centromedian position of processus coracoideus 50.Simultaneously, the lower end of processus coracoideus building tunnel unit is blocked by processus coracoideus location hook 14, avoids further passing processus coracoideus 50, and damages the nervus vasculairs tissue below it.Like this, just the centre in processus coracoideus 50 has formed the processus coracoideus osseous tunnel, and the thickness of the both sides of processus coracoideus osseous tunnel close (avoid eccentric), thereby can effectively prevent that the wall of processus coracoideus osseous tunnel is destroyed and the operative failure that causes.
Preferably, the axis of sleeve 20 is through processus coracoideus location hook 14.Like this, can guarantee that sleeve 20 moves along the direction towards processus coracoideus 50, and can offset direction.Simultaneously, also can make processus coracoideus building tunnel unit more accurately pass the central authorities of processus coracoideus 50.
Preferably, there is angle between guide plate 11 and location-plate 12.Preferably, angle is 90 degree, can certainly be other angle.Like this, form a stable triangular structure between guide plate 11, location-plate 12 and sleeve 20, so that operation technique.
Preferably, sleeve 20 also comprises positive stop end 22, and positive stop end 22 is positioned at the side away from processus coracoideus location hook 14 of guide plate 11.Preferably, positive stop end 22 places are provided with spacing bead 23.By positive stop end 22, can make sleeve 20 under obsolete state, with diopter 10, keep together reliably.As shown in Figure 1, when not in use, the lower end of sleeve 20 (being clavicle positioning end 21) is supported on processus coracoideus location hook 14, and its upper end (being positive stop end 22) is carried on guide plate 11, to prevent it, comes off.Please refer to Fig. 3, be provided with anti-slip veins on the inner surface of processus coracoideus location hook 14 and/or on the end face of clavicle positioning end 21, like this, both can make the phenomenon of not skidding between the surface of processus coracoideus location hook 14 and processus coracoideus 50, also can make clavicle positioning end 21 be supported on reliably on processus coracoideus location hook 14, prevent that it from sliding.
Preferably, please refer to Fig. 5, be provided with scale 24 on the outer surface of sleeve 20.By scale 24, can read the lower edge of processus coracoideus 50 to the distance between the surface of clavicle 40, utilize this reading, can help the doctor to determine to use with ligament substitute how long when operation.Especially, scale 24 can be formed in the indenture on sleeve 20 surfaces, can be also printed layers be printed on sleeve 20 surfaces etc.
Preferably, coracoclavicular ligament is rebuild guider and is also comprised processus coracoideus building tunnel unit 30, and processus coracoideus building tunnel unit 30 is located in sleeve 20.Preferably, processus coracoideus building tunnel unit 30 is Kirschner wire (for example, the diameter of Kirschner wire can be 2.0 millimeters), certainly, can be also other device.
This utility model provides a kind of and has rebuild guider for the coracoclavicular ligament of using coracoclavicular ligament reconstruction technique treatment acromioclavicular joint dislocation operation, it can be simply, accurately and fast set up processus coracoideus osseous tunnel and clavicle osseous tunnel, and can measure accurately the distance between surface to the bottom in processus coracoideus tunnel in clavicle tunnel, overcome and can't measure the problem of the length in tunnel in the prior art, can help the doctor when operation determine use with how long the ligament substitute is rebuild coracoclavicular ligament, there are simple to operate, characteristics fast.Use bone marrow road that this utility model sets up accurately, not eccentric; The range data of its measurement is accurate, has increased greatly accuracy and the safety of operation, has reduced operating time, has dwindled operative incision, and the difficulty of this operation is reduced greatly, is convenient to the popularization of this technology to basic hospital and young doctor.
The foregoing is only preferred embodiment of the present utility model, be not limited to this utility model, for a person skilled in the art, this utility model can have various modifications and variations.All within spirit of the present utility model and principle, any modification of doing, be equal to replacement, improvement etc., within all should being included in protection domain of the present utility model.

Claims (10)

1. a coracoclavicular ligament is rebuild guider, it is characterized in that, comprising:
Diopter (10), described diopter (10) comprises guide plate (11) and location-plate (12), offers pilot hole (13) on described guide plate (11); Described location-plate (12) comprises first end and the second end, and the first end of described location-plate (12) is connected with described guide plate (11), and the second end of described location-plate (12) has processus coracoideus location hook (14);
Sleeve (20), described sleeve (20) comprises clavicle positioning end (21), described clavicle positioning end (21) is through described pilot hole (13), and described clavicle positioning end (21) is towards the direction of described processus coracoideus location hook (14).
2. coracoclavicular ligament according to claim 1 is rebuild guider, it is characterized in that, the axis of described sleeve (20) is through described processus coracoideus location hook (14).
3. coracoclavicular ligament according to claim 1 is rebuild guider, it is characterized in that having angle between described guide plate (11) and described location-plate (12).
4. coracoclavicular ligament according to claim 3 is rebuild guider, it is characterized in that, described angle is 90 degree.
5. coracoclavicular ligament according to claim 1 is rebuild guider, it is characterized in that, described sleeve (20) also comprises positive stop end (22), and described positive stop end (22) is positioned at the side away from described processus coracoideus location hook (14) of described guide plate (11).
6. coracoclavicular ligament according to claim 5 is rebuild guider, it is characterized in that, described positive stop end (22) locates to be provided with spacing bead (23).
7. coracoclavicular ligament according to claim 1 is rebuild guider, it is characterized in that, is provided with scale (24) on the outer surface of described sleeve (20).
8. coracoclavicular ligament according to claim 1 is rebuild guider, it is characterized in that, described coracoclavicular ligament is rebuild guider and is also comprised processus coracoideus building tunnel unit (30), and described processus coracoideus building tunnel unit (30) is located in described sleeve (20).
9. coracoclavicular ligament according to claim 8 is rebuild guider, it is characterized in that, described processus coracoideus building tunnel unit (30) is Kirschner wire.
10. coracoclavicular ligament according to claim 8 is rebuild guider, it is characterized in that, on the inner surface of described processus coracoideus location hook (14) and/or on the end face of described clavicle positioning end (21), is provided with anti-slip veins.
CN2013203683839U 2013-06-25 2013-06-25 Guide device for coracoclavicular ligament reconstruction Expired - Fee Related CN203315057U (en)

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CN2013203683839U CN203315057U (en) 2013-06-25 2013-06-25 Guide device for coracoclavicular ligament reconstruction

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Application Number Priority Date Filing Date Title
CN2013203683839U CN203315057U (en) 2013-06-25 2013-06-25 Guide device for coracoclavicular ligament reconstruction

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105411657A (en) * 2015-12-23 2016-03-23 雷俊虎 Orthopedic shoulder joint glenoid labrum repairing and reconstructing tool system
CN107080562A (en) * 2017-05-18 2017-08-22 南京明基医院有限公司 A kind of positioner
CN107157618A (en) * 2017-05-26 2017-09-15 王俊 Coracoclavicular ligament titanium cable rebuilds the method for reconstructing of guider and coracoclavicular ligament
CN116747001A (en) * 2023-06-07 2023-09-15 江苏省苏北人民医院 Positioning, drilling and threading integrated guide for coracoid process and use method

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105411657A (en) * 2015-12-23 2016-03-23 雷俊虎 Orthopedic shoulder joint glenoid labrum repairing and reconstructing tool system
CN105411657B (en) * 2015-12-23 2018-06-05 雷俊虎 Orthopaedics glenoid lip of articulation of humerus fix tool system
CN107080562A (en) * 2017-05-18 2017-08-22 南京明基医院有限公司 A kind of positioner
CN107157618A (en) * 2017-05-26 2017-09-15 王俊 Coracoclavicular ligament titanium cable rebuilds the method for reconstructing of guider and coracoclavicular ligament
CN107157618B (en) * 2017-05-26 2023-09-15 王俊 Coracoid ligament titanium cable reconstruction guide and coracoid ligament reconstruction method
CN116747001A (en) * 2023-06-07 2023-09-15 江苏省苏北人民医院 Positioning, drilling and threading integrated guide for coracoid process and use method
CN116747001B (en) * 2023-06-07 2023-12-15 江苏省苏北人民医院 Positioning, drilling and threading integrated guide for coracoid process and use method

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20131204

Termination date: 20140625

EXPY Termination of patent right or utility model