CN203493787U - Manual repositor for calcaneal fracture - Google Patents

Manual repositor for calcaneal fracture Download PDF

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Publication number
CN203493787U
CN203493787U CN201320639342.9U CN201320639342U CN203493787U CN 203493787 U CN203493787 U CN 203493787U CN 201320639342 U CN201320639342 U CN 201320639342U CN 203493787 U CN203493787 U CN 203493787U
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China
Prior art keywords
calcaneus
fracture
action bars
manual
connecting rod
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Withdrawn - After Issue
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CN201320639342.9U
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Chinese (zh)
Inventor
姜宏
龚正丰
陈咏真
李宇卫
朱利民
陈欣
刘锦涛
张志刚
孟祥奇
李红卫
徐坤林
史海新
陈华
李晓春
陈小微
宋奕
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Suzhou Hospital of Traditional Chinese Medicine
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Suzhou Hospital of Traditional Chinese Medicine
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Abstract

The utility model discloses a manual repositor for a calcaneal fracture. The manual repositor comprises two operating rods and a force sensing assembly fixed to the operating rods. The operating rods are connected through a chain in an adjustable hinge mode. The force sensing assembly comprises a fixing plate, a connecting rod and a force measurement sensor, wherein one end of the connecting rod is connected with the fixing plate, the other end of the connecting rod is connected with the force measurement sensor, and the fixing plate is wrapped by an external application layer which is good in compatibility with human tissue characteristics. According to the manual repositor for the calcaneal fracture, the principles of the hinge and the medical sensor are comprehensively utilized, the broadened transverse diameter of a calcaneal can be recovered to the maximum degree, dynamic control and qualitative and quantitative explanations in the operation process can be achieved, and the manual repositor is conveniently and safely controlled, so that traditional Chinese medical manipulation is more standard; in addition, the manual repositor has the advantages that the treatment cost is small, a patient cannot easily relapse, and practicability is high. The manual repositor has high application value in calcaneal fracture expectant treatment and mini-invasive surgical treatment or perioperative operation preoperative phase treatment process for opening internal fixation of reposition steel plate screws.

Description

Fracture of calcaneus manual reduction device
Technical field
This utility model relates to medical instruments field, especially relates to a kind of can coupling with human body heel anatomic form feature best fit, utilizes hinge and medical energy converter principle farthest to recover the manual reduction auxiliary device of the calcaneus transverse diameter of broadening simultaneously.
Background technology
Fracture of calcaneus is orthopedics department one of common disease clinically, and high falling or traffic accident etc. all can damage calcaneus, and under vertical violence effect, posterior articular facet interacts with astragalus, causes calcaneus to compress, subside and pulverize.Its main manifestations is the broadening of calcaneus transverse diameter, and arch of foot changes and to cause foot deformity, affects people's walking function.
Fracture of calcaneus need to be recovered width of calcaneus clinically, corrects valgus calcaneus or Varus deformity, thereby correct the foot line of force, reduces and causes pain under external malleolus, movable unfavorable and Sural nerve compression symptom because of transverse diameter broadening.The free-hand reset of general normal employing or use apparatus and directly carry out rectification and recovery, however free-hand rectification often can not reach satisfied reset due to strength deficiency or soft tissue swelling, or the excessive secondary fracture that causes calcaneus of strength, the complication such as soft tissue injury.We utilize the flexible Bidirectional-squeezing power of hinge in design, can momentary reset, and operation strength can be controlled flexibly, can reduce loss and the damage to soft tissue of reset strength simultaneously.
As shown in Figure 1, existing fracture of calcaneus manual reduction device comprises two folder rods 12 and two block plates 13 that are separately fixed on described folder rod 12 and are oppositely arranged, described steel plate 13 is directly welded on do extruding fulcrum on described folder rod 12, on the surface of described steel plate 13, be enclosed with spongy layer 14, two folder rods 12 include head and afterbody, between the head of two folder rods 12, being bolted device 15 connects, afterbody is all set with polymer sleeve pipe 16, and described bolt connecting device 15 is vertical with folder rod 12.During operation, utilize the parallel adjustment two of bolt connecting device 15 of head with the spacing between folder rod 12, make to be clamped in outside in the below calcaneus of medial and lateral malleolus as two block plates 13 of extruding fulcrum, manually hold with a firm grip and press from both sides the afterbody of rod 12, two extruding fulcrum can produce huge radial pressure, this radial pressure directly acts on outside in calcaneus, makes the calcaneus of broadening recover normal.
Utilize this fracture of calcaneus manual reduction device can solve well the problem of calcaneus posterotransverse diameter broadening, but the raising along with the development of medical skill and people quality of life, people also improve the requirement of medical policy thereupon, free-hand reset or utilize simple resetting means can not meet needs of medical treatment, and lack quantitatively, data declaration qualitatively, make the process of promoting this equipment run into a lot of difficulties.Simultaneously in clinical practice, we also find many problems, for example: mode with bolts, the spacing between can only two action bars of parallel adjusting, the motility that action bars is adjusted is lower; Also have the face in outside in the relative calcaneus of existing fixing head to be designed to plane, can not fit well with outside in calcaneus, can affect the fixed effect of this device; In addition, when using this equipment, for the effect of the relation of calcaneus deformation and pressure in extrusion process, crushing failure at high speed and slowly extruding, whether can cause secondary fracture etc. to lack quantitatively, data explain qualitatively, and then can not carry out to these parameters the regulation and control of a qualitative, quantitative.
Therefore design a kind of simple in structure, flexible and convenient operation, maximum correct deformity, the reset auxiliary appliance that recovers heel anatomic form feature has good medical prospect.
Utility model content
The purpose of this utility model is to overcome the defect of prior art, a kind of fracture of calcaneus manual reduction device is provided, utilize hinge and medical sensing principle, the anatomical features that simultaneously meets lateral surface in heel, make it farthest to recover the calcaneus transverse diameter of broadening, correct calcaneus malformation, reduce because resetting and too cause the damage of second fracture and calcaneus surrounding soft tissue, or the not enough residual deformity that resets.
For achieving the above object, the utility model proposes following technical scheme: a kind of fracture of calcaneus manual reduction device, it comprises action bars and is fixed on the power sensory package on described action bars, between described action bars, by chain, connect, described power sensory package comprises fixing head, complex root connecting rod and force cell, described connecting rod vertically interts and is fixed in described action bars, and all stretch out outside described action bars at two ends, one end of described connecting rod is fixedly connected with described fixing head, and the other end is fixedly connected with described force cell.
Preferably, described action bars includes head and afterbody, between described two heads, by chain, carries out adjustable connection, and described afterbody is set with polymer toggle.
Described action bars aluminium compo pipe.
The head of described action bars all offers for connecting the perforation of described adjustable type chain, and described adjustable type chain stretches out outside described perforation, and two ends connect by hasp respectively.
On the outer surface of described polymer toggle, be provided with a plurality of projections.
Described fixing head comprises medial surface and lateral surface, and described medial surface is fixedly connected with described connecting rod, and described lateral surface is ovum circle shape, and described fixing head is wrapped with outer application layer.
Described outer application layer is and the good silicone rubber kinds macromolecular material of the tissue compatibility.
Described connecting rod comprises guide post and is located at the force-guided stem between guide post.
Described force cell is selected miniature force cell, and its range is 100N~20KN.
Described force cell and described fixing head are all fixedly welded on described connecting rod.
Also comprise a display device, described display device is connected with described force cell.
The beneficial effects of the utility model are: (1) utilizes mechanics sensor instrument, describe and measure the mechanics curvilinear motion in resetting means therapeutic process, the strength value of safety range etc., make the mechanism quantitative and qualitative of this device, to can realize, this is installed to better safety control; (2) between the head of action bars, adopt adjustable type chain structure to connect, can according to the width of calcaneus, carry out the adjusting of any direction, improved the adjustment motility of action bars; (3) according to the physiology and appearance feature of the anatomical physiology characteristic of calcaneus and foot, the lateral surface of fixing head is set to ovum circle shape, can realize with calcaneus inside and outside the optimum matching of N-Side surf, the transverse diameter that reaches maximum recovery broadening reduces the cutting to soft tissue simultaneously; (4) use the calcaneus reset auxiliary device of this utility model development and in conjunction with patient's manipulation, can realize the Primary Care of all kinds fracture calcaneus, reach the cure rate that improves expectant treatment, for fixing in steel plate screw, or fixing good surgical environments, the minimizing postoperative complication created in gram assorted pin.Make surgical effect better, sequela is few, and practicality is higher, has good clinical prospect.
Accompanying drawing explanation
Fig. 1 is that the master of existing calcaneus reduction device looks schematic diagram;
Fig. 2 is that the master of this utility model fracture of calcaneus manual reduction device looks schematic diagram;
Fig. 3 is the structure enlarged diagram of A portion in Fig. 2;
Fig. 4 is the structure enlarged diagram of B portion in Fig. 2;
Fig. 5 be in Fig. 3 fixing head C to structural representation;
Reference numeral: 1, left action bars, 2, right action bars, 3, power sensory package, 31, fixing head, 311, medial surface, 312, lateral surface, 32, connecting rod, 321, guide post, 322, force-guided stem, 33, force cell, 4, head, 5, afterbody, 51, toggle, 52, projection, 6, chain, 7, perforation, 8, hasp, 9, rotating fulcrum, 10, outer application layer, 12, folder rod, 13, steel plate, 14, spongy layer, 15, bolt connecting device, 16, sleeve pipe.
The specific embodiment
Below in conjunction with accompanying drawing of the present utility model, the technical scheme of this utility model embodiment is carried out to clear, complete description.
This utility model provides a kind of fracture of calcaneus manual reduction device, adopt hinge and lever principle to realize the reset of calcaneus posterotransverse diameter broadening, can effectively reach with osteoplastic object, reduce the generation of complication simultaneously, be mainly used in the expectant treatment, minimally-invasive treatment of fracture of calcaneus or in the process of open reduction steel plate screw internal fixation treatment.
As shown in Figure 2, a kind of fracture of calcaneus manual reduction device that this utility model discloses comprises two action bars in left and right (wherein left and right directions is the left side and the right in Fig. 2 plane) 1,2, power sensory package 3 and display device (not shown).Two action bars 1,2 include head 4 and afterbody 5, between the head 4 of two of described left and right action bars 1,2, by adjustable type chain 6, connect, therefore when chain 6 is under connection status, between described left and right action bars 1,2 and chain 6, just form the space of an end opening, the left and right sides that simultaneously defines left action bars 1 is respectively outside and the inner side of described left action bars 1, and the left and right sides that defines right action bars 2 is respectively inner side and the outside of described right action bars 2.
Shown in Fig. 2 and Fig. 4, the head 4 of two of described left and right action bars 1,2 all offers perforation 7 in corresponding place, the two ends of described chain 6 reach respectively the outside of left action bars 1 and right action bars 2 by described perforation 7, and at the two ends of chain 6, connect hasp 8, described hasp 8 can close and open under manual adjusting.Described chain 6 is connected to form by a plurality of latch closures, and length is generally selected 7~10cm.When needs are adjusted the distance between two action bars 1,2 of left and right, as need dwindle the distance between two action bars 1,2, the outer side stretching to two action bars 1,2 by the two ends of chain 6, when adjusting to suitable distance, just use hasp 8 to carry out locking; On the contrary, when need increase distance between two action bars 1,2, pumpback is carried out to the inner side of two action bars 1,2 in the two ends of chain 6, when adjust to desired apart from time, just use hasp 8 to carry out locking, realized according to the width of calcaneus and carried out free adjustment, improved the operating flexibility of action bars.
Simultaneously, the two ends of chain 6 form respectively rotating fulcrum 9, be that left action bars 1 can rotate adjustment relative to described right action bars 2 in certain space, in like manner right action bars 2 also can rotate adjustment relative to described left action bars 1 in certain space, position relationship between can only parallel adjustment operation bar with bolt connecting mode is before compared, adopt the connected mode of adjustable type chain, the motility of action bars adjustment increases greatly, can realize the accurate location to the calcaneus position of required reset, be conducive to the fast quick-recovery of calcaneus.
Certainly, the connected mode between described chain 6 and two action bars 1,2 is not unique, and the adjustable mode of distance that can realize between two action bars 1,2 all can be applied in this utility model.Such as adopting two independently chains, wherein one end of two chains is separately fixed at the head of left and right action bars 1,2, and the other end carries out adjustable connection by hasp 8.
The length of described action bars 1,2 is 50~60cm, the metal material that material selection quality is lighter, preferential aluminium compo pipe.
The afterbody 5 of described left and right action bars 1,2 is all set with polymer toggle 51, wherein on toggle 51 outer surfaces, is provided with a plurality of protrudingly 52, coordinates staff shape to design, and can allow user have the feel of the most comfortable and well handling.
Shown in Fig. 2 and Fig. 3, described power sensory package 3 is fixedly installed on respectively on two of described left and right action bars 1,2, for realizing gripping patient's calcaneus, and describe and measure the mechanics curvilinear motion in resetting means therapeutic process, the strength value of safety range etc., make the mechanism quantitative and qualitative of this device.
Described power sensory package 3 comprises fixing head 31, complex root connecting rod 32 and force cell 33.Described vertical interting of connecting rod 32 is fixed in described action bars 1,2, and all stretch out outside described action bars 1,2 at two ends, be used for being fixedly connected with described fixing head 31 and described force cell 33, described connecting rod 32 comprises the force-guided stem 322 between two guide posts 321 and two guide posts 321, described guide post 321 is for guaranteeing that the stressed of described force cell 33 is vertical, and the pressure data that described like this force cell 33 collects is only true and reliable.Described connecting rod 32 is positioned on one end of described action bars 1,2 inner sides and is fixedly connected with described fixing head 31, and the other end is fixedly connected with described force cell 33.
Described fixing head 31 is lived patient's calcaneus position for fixed clamp, for irregular cube structure, comprise medial surface 311 and lateral surface 312, described medial surface 311 is fixedly connected with described connecting rod 32, described lateral surface 312 is ovum circle shape, the physiology and appearance feature of laminating human foot, can realize with calcaneus inside and outside the optimum matching of N-Side surf, reach the transverse diameter of maximum recovery broadening.The thickness of described fixing head 31 is 0.3~0.6cm, preferentially selects 0.5cm, as shown in Figure 5, i.e. and the structural representation of described fixing head 31 lateral surface 312, wherein length is 4~6cm, is wherein preferably 6cm, and upper end width is 2~3cm, be preferably 2cm, rear wide be 4~5cm, be preferably 4cm.
As shown in Figure 3, described fixing head 31 is outer is also enclosed with outer application layer 10, and described outer application layer 10 can be selected macromolecular material, as silicone rubber etc.For preventing inhomogeneous extruding and the cutting of 31 pairs of soft tissues of described fixing head, reduced the pain of patient in pressed home process.Both gross thickness of described fixing head 31, outer application layer 10 are set to 3cm.
Described action bars 1,2, fixing head 31 forms holistic operating platform with described outer application layer 10, and wherein, described outer application layer 10 is as the operation planar of this operating platform.
Described force cell 33 is for describing and measure the mechanics curvilinear motion of resetting means therapeutic process, the strength value of safety range etc., the miniature force cell that in the present embodiment, selected range is 100N~20KN, can realize the quantitative and qualitative of the mechanism of this device, so that this device is better improved and better promoted.
Described display device is connected with described force cell 33, for demonstrating intuitively each measured parameter value of force cell 33.
During operation, the width of calcaneus concrete according to patient, adjust chain 6 to suitable width, outside in two fixing heads 31 as stressed fulcrum are placed on the below calcaneus of patient's medial and lateral malleolus, after fixedly completing, the user afterbody of firmly holding with a firm grip, comes closer two action bars 1,2, such two stressed fulcrum can produce huge radial pressure, thereby make the calcaneus of broadening recover normal.The parameters such as force value that operation produces can be gathered by force cell 33, and show by display device, according to the fixed position of the timely adjusting operation person's of the parameter value obtaining active force, fixing head 31 etc., operating process are played to regulation and control.
Technology contents of the present utility model and technical characterictic have disclosed as above; yet those of ordinary skill in the art still may be based on teaching of the present utility model and announcements and are done all replacement and modifications that does not deviate from this utility model spirit; therefore; this utility model protection domain should be not limited to the content that embodiment discloses; and should comprise various do not deviate from replacement of the present utility model and modifications, and contained by present patent application claim.

Claims (10)

1. a fracture of calcaneus manual reduction device, it is characterized in that, comprise action bars and be fixed on the power sensory package on described action bars, between described action bars, by chain, connect, described power sensory package comprises fixing head, complex root connecting rod and force cell, and described connecting rod vertically interts and is fixed in described action bars, and all stretch out outside described action bars at two ends, one end of described connecting rod is fixedly connected with described fixing head, and the other end is fixedly connected with described force cell.
2. fracture of calcaneus manual reduction device according to claim 1, is characterized in that, described action bars comprises two, and two action bars include head and afterbody, between described two heads, by chain, carries out adjustable connection.
3. fracture of calcaneus manual reduction device according to claim 2, is characterized in that, two head part of described action bars do not offer for connecting the perforation of described adjustable type chain, and described adjustable type chain stretches out outside described perforation, and two ends are connected with respectively hasp.
4. fracture of calcaneus manual reduction device according to claim 2, is characterized in that, described afterbody is set with polymer toggle, is provided with a plurality of projections on the outer surface of described polymer toggle.
5. fracture of calcaneus manual reduction device according to claim 1, is characterized in that, described fixing head comprises medial surface and lateral surface, and described medial surface is fixedly connected with described connecting rod, the outer application layer of described lateral surface parcel.
6. fracture of calcaneus manual reduction device according to claim 5, is characterized in that, described lateral surface is ovum circle shape.
7. fracture of calcaneus manual reduction device according to claim 1, is characterized in that, described connecting rod comprises guide post and is located at the force-guided stem between guide post.
8. fracture of calcaneus manual reduction device according to claim 1, is characterized in that, described force cell is selected miniature force cell, and its range is 100N~20KN.
9. fracture of calcaneus manual reduction device according to claim 1, is characterized in that, described force cell and described fixing head are all fixedly welded on described connecting rod.
10. fracture of calcaneus manual reduction device according to claim 1, is characterized in that, also comprises a display device, and described display device is connected with described force cell.
CN201320639342.9U 2013-10-16 2013-10-16 Manual repositor for calcaneal fracture Withdrawn - After Issue CN203493787U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103479455A (en) * 2013-10-16 2014-01-01 苏州市中医医院 Calcaneal fracture manual repositor
CN106691659A (en) * 2017-01-03 2017-05-24 中国科学院苏州生物医学工程技术研究所 Wireless calcaneus clamp with real-time pressure monitoring structure

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103479455A (en) * 2013-10-16 2014-01-01 苏州市中医医院 Calcaneal fracture manual repositor
CN106691659A (en) * 2017-01-03 2017-05-24 中国科学院苏州生物医学工程技术研究所 Wireless calcaneus clamp with real-time pressure monitoring structure

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