CN204049946U - A kind of child cubitus varus orthosis - Google Patents

A kind of child cubitus varus orthosis Download PDF

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Publication number
CN204049946U
CN204049946U CN201420157638.1U CN201420157638U CN204049946U CN 204049946 U CN204049946 U CN 204049946U CN 201420157638 U CN201420157638 U CN 201420157638U CN 204049946 U CN204049946 U CN 204049946U
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China
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outside
orthosis
forearm
child
upper arm
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CN201420157638.1U
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Chinese (zh)
Inventor
李盛华
王想福
潘文
叶丙霖
张德宏
李卫平
裴生太
赵军
潘建西
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GANSU PROVINCIAL HOSPITAL OF TRADITIONAL CHINESE MEDICINE
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GANSU PROVINCIAL HOSPITAL OF TRADITIONAL CHINESE MEDICINE
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Abstract

This utility model provides a kind of child cubitus varus orthosis, comprise symmetrically arranged and be in upper arm bracing frame, inner side forearm shaped block, the outside forearm shaped block of both sides inside and outside upper arm, the upper arm bracing frame of inside and outside both sides connects the linkwork of forearm shaped block both sides, medial and lateral medial surface respectively by linkwork is respectively equipped with forcing screw connected vertically, be in the screw distance 2cm place, linkwork axle center outside elbow, the screw be in inside elbow is positioned at linkwork axle center place.This utility model is by after clinical trial, and tool intensity is high, and quality is light, wears easy, fixed, and permeability is good, be convenient to clinical observation and the advantage such as easy to adjust, reaches the dual purpose of the firm fixing and Cubitus varus deformity prevention of fracture end.

Description

A kind of child cubitus varus orthosis
Technical field
This utility model relates to a kind of child cubitus varus orthosis, belongs to technical field of medical instruments.
Background technology
Supracondylar fracture of the humerus refers to the fracture of 2 ~ 3cm above ectocondyle in distal humerus, the most common with children's, and incidence rate accounts for Elbow Fracture first place, and the Therapeutic Method of supracondylar fracture of the humerus is various, mainly contains closed reduction, open reduction, traction etc.And one of elbow joint varus modal complication that is supracondylar fracture of the humerus, its incidence rate is about 3.3 ﹪ ~ 79.2 ﹪.Have impact on function and the outward appearance of infant ancon greatly, prevention elbow joint varus is the medical science problem that orthopedist needs to solve.
The current Most scholars trend distal fracture broken ends of fractured bone exist after reduction chi partially or chi incline " the disposable generation theory " of angulation, namely Cubitus varus deformity is the malunion because reduction bad (far-end of mainly fracturing tilts to the inside and rotates) causes.Biomechanics Research shows, the axial force deflection ulnar side suffered by humerus, when external applied load increases gradually, exceed a lot, and first ulnar side cortical bone ruptures to the stress at ulnar side edge than oar lateral edges.Show that supracondylar part of humerus ulnar side stress is concentrated, after fracture, ulnar side cortical bone is easily subsided and ulnad inclination angulation and cause cubitus varus.
Brewster (1940) propose due to condylus lateralis humeri and capitulum of humerus skeleton be upset make the ectocondyle speed of growth increase and teratogenic " secondary generation theory ", so far still admit by many scholars.Zhang Dezhou [etc. thinking: cause ancon epiphyseal dysplasia, outside epiphysis Overgrowth, inner side epiphysis hypoevolutism after elbow in children damage, epiphyseal growth imbalance in inside and outside side is Treatment of cubitus varus deformity in children main cause.
The generation of soft tissue factor and cubitus varus is also subject to the people's attention day by day, all there is the damage of soft tissue in any fracture, generally wear out at convex side seam film, and it is complete at recessed side seam film, if supracondylar fracture of the humerus is shifted to the inside, explanation has lateral periosteum or soft tissue " hinge " to be torn, and inner side " hinge " is then complete, makes fracture have introversion be inclined to and cubitus varus occurs due to the tractive of inner side " hinge " ].
The treatment of current children humeral supracondylar fracture still neither one fixing, be all receptible Therapeutic mode of Most scholars, various Therapeutic Method is all both advantageous and disadvantageous, should according to classification of fracture choose reasonable Therapeutic Method, and in whole therapeutic process, all answer pay abundant attention to prevent the generation of cubitus varus, comprise assurance therapic opportunity, select the therapeutic scheme be applicable to, effective inside and outside fixing, appropriate suffering limb position and appropriate functional exercise etc.Along with deepening continuously of Wicresoft's theory and popularizing of professional equipment, utilization wound is little, painful gently, the low minimally-invasive treatment means for characteristic of good effect, expense will be the development trends for the treatment of supracondylar fracture of the humerus and preventing cubitus varus.
The applying date is on March 22nd, 2007, discloses a kind of Multifunctional elbow orthosis, and the patent No. is 200720006577.9, and patentee is Fuzhou No.2 Hospital.The orthosis of this patent disclosure is a kind of orthosis being connected upper arm and forearm by adjusting rod, and in clinical experiment, this orthosis is not good enough for the rectification effect of child's cubitus valgus, and its structure is also rationally firm.
Utility model content
This utility model provides a kind of child cubitus varus orthosis, can effectively correct child's cubitus valgus, and its structure can adjust according to actual needs in many ways.
For solving above technical problem, this utility model provides following technical scheme: described orthosis comprises symmetrically arranged and is in upper arm bracing frame, inner side forearm shaped block, the outside forearm shaped block of both sides inside and outside upper arm, the upper arm bracing frame of inside and outside both sides connects medial and lateral forearm shaped block respectively by linkwork, the medial surface of the linkwork of both sides is respectively equipped with forcing screw connected vertically, be in the screw distance 2cm place, linkwork axle center outside elbow, the screw be in inside elbow is positioned at linkwork axle center place.
Further, support arm, the inner side front support arm being connected to interior outside forearm shaped block and the Lateral Anterior Branch brace on support arm and outside on the inner side that described linkwork also comprises the upper arm bracing frame connecting inside and outside both sides, wherein, on inner side, support arm and inner side front support arm adopt axle center, described inner side screw to be connected, and on outside, support arm and the Lateral Anterior Branch brace adopt axle center, described outside screw to be connected.
Further, described the Lateral Anterior Branch brace is provided with breach, and indentation, there is provided with the banking pin that on restriction the Lateral Anterior Branch brace opposite exterior lateral sides, support arm rotates around axle center.
Further, the forcing screw in described banking pin and outside is structure as a whole.
Further, described forcing screw is scalable pressurization nylon screw.
Further, on described the Lateral Anterior Branch brace opposite exterior lateral sides, the anglec of rotation of support arm is less than or equal to 120 °.
Further, on described inner side, the rear portion of support arm is connected with inner side upper arm fixture block, on outside, the rear portion of support arm connects outside upper arm fixture block, described inner side upper arm fixture block is connected by retractor device with outside upper arm fixture block, and the distance between inner side upper arm fixture block and outside upper arm fixture block can freely be adjusted.
On described outside, the medial surface of support arm its axle center relative is inclined plane, forms cubitus valgus inclination angle, makes support arm rotating shaft on the rotating shaft opposite exterior lateral sides of the Lateral Anterior Branch brace become 8 oangle.
Further, described inner side forearm shaped block connects the forearm expansion link of inner side by retractor device.
Further, described outside forearm shaped block connects the forearm expansion link in outside by retractor device.
Further, described retractor device comprises expansion link fixed cover and extrusion screw, and expansion link fixed cover lateral surface is connected with extrusion screw, and the surface extruded mutually with extrusion screw afterbody is in indent slideway.
Further, described linkwork is provided with multiple lock hole, and pin inserts in lock hole, and the upper arm bracing frame stoping linkwork to connect is relative with interior outside forearm shaped block to be rotated.
This utility model relates to, and this child cubitus varus orthosis treatment supracondylar fracture of the humerus has that stability is high, anti-rotation effect is strong, adjustability good, joint function recovery is fast, clinical efficacy is good and can effectively prevent the advantages such as the generation of Cubitus varus deformity.Be applicable to the fixing of children humeral supracondylar fracture and support.This orthosis adopts single piece of light aircraft aluminum as orthosis, lighter in weight, and hardness is high, can effectively maintain elbow joint valgus angle, can carry out early functional exercise again; The standing part of forearm, can regulate according to arm length, easy to use; Elbow joint position adopts the design of exposure formula, facilitates Postoperative Dressing and nursing.
Accompanying drawing explanation
Fig. 1 is a kind of orthotic 3-D view of child cubitus varus orthosis (major embodiment overall structure) of this utility model;
Fig. 2 is a kind of orthotic 3-D view of child cubitus varus orthosis (the major embodiment back side) of this utility model;
Fig. 3 is a kind of orthotic 3-D view of child cubitus varus orthosis (major embodiment forearm Telescopic rod structure) of this utility model;
Fig. 4 is the orthotic 3-D view of a kind of child cubitus varus orthosis of this utility model (major embodiment pressurization adjustment member structure);
Fig. 5 is a kind of orthotic 3-D view of child cubitus varus orthosis (major embodiment three-dimension integrally structure) of this utility model;
In figure, labelling is as follows: upper support arm inside 1; Upper arm fixture block inside 2; 3 rivets; 4 upper arm bracing frames; Front support arm inside 5; Upper support arm outside 6; 7 the Lateral Anterior Branch braces; 8 axle center screws; 9 axle center nuts; Upper arm fixture block outside 11; 12 extrusion screws; 13 scalable pressurization nylon screws; 14 fracture site pressure pads; Forearm shaped block inside 15; Forearm shaped block outside 16; 17 forearm expansion links; Forcing screw outside 18 broken ends of fractured bone; 19 expansion link fixed covers; Upper arm fixture block inside 20; 22 upper arm bracing frames; 23 lock holes; 24 inclined planes; 71 breach; Wherein 2,3,4,11,15,16,17,19 is Al-alloy parts, and other are nylon part.
Detailed description of the invention
As Figure 1-Figure 5, orthosis to comprise on the upper support arm 1 in inner side, inner side upper arm fixture block 2, rivet 3, upper arm bracing frame 4, inner side front support arm 5, outside forcing screw 18, expansion link fixed cover 19, inner side upper arm fixture block 20, upper arm bracing frame 22 outside support arm 6, the Lateral Anterior Branch brace 7, axle center screw 8, axle center nut 9, outside upper arm fixture block 11, extrusion screw 12, scalable pressurization nylon screw 13, fracture site pressure pad 14, inner side forearm shaped block 15, outside forearm shaped block 16, forearm expansion link 17, the broken ends of fractured bone; Wherein, upper arm bracing frame 22 is symmetrical arranged, being connected and fixed and being connected upper arm nylon sheet for upper arm; On described inner side, support arm 1 and inner side front support arm 5, inner side front support arm 5 and the Lateral Anterior Branch brace 7, inner side forearm shaped block 15 and outside forearm shaped block 16 are symmetricly set on the left and right sides, connect upper arm bracing frame 22 respectively; Be fixedly connected with the upper support arm 1 in inner side below described upper arm bracing frame 22, the outer concentric rotor plate of support arm 1 i.e. inner side front support arm 5 on inner side, the end that inner side front support arm 5 stretches out is fixedly connected with inner side forearm shaped block 15; Described inner side upper arm fixture block 2 is for connecting support arm 6 on the upper support arm 1 in inner side and outside.
On outside, the lateral surface distance 2cm place, orthosis axle center of support arm 6 vertically connects forcing screw 18 outside the broken ends of fractured bone, and itself and scalable pressurization nylon screw 13 are relative type motor force application structure, both can prevent ulnar drift, has again the fixing rectification effect of broken ends of fractured bone pressurization.
Support arm 6, the inner side front support arm 5 being connected to interior outside forearm shaped block and the Lateral Anterior Branch brace 7 on support arm 1 and outside on the inner side that linkwork comprises the upper arm bracing frame 4,22 connecting inside and outside both sides, wherein, on inner side, support arm 1 and inner side front support arm 5 adopt axle center, described inner side screw to be connected, and on outside, support arm 6 and the Lateral Anterior Branch brace 7 adopt axle center, described outside screw to be connected.
The Lateral Anterior Branch brace 7 is provided with breach, is provided with the banking pin that on restriction the Lateral Anterior Branch brace opposite exterior lateral sides, support arm rotates around axle center in breach.
On described outside, the medial surface of support arm 6 its axle center relative is inclined plane 24, forms cubitus valgus inclination angle, makes support arm rotating shaft on the rotating shaft opposite exterior lateral sides of the Lateral Anterior Branch brace become 8 oangle.
On the Lateral Anterior Branch brace 7 opposite exterior lateral sides, the anglec of rotation of support arm is less than or equal to 120 °.
On inner side, the rear portion of support arm 1 is connected with inner side upper arm fixture block 2, on outside, the rear portion of support arm 6 connects outside upper arm fixture block, described inner side upper arm fixture block is connected by retractor device with outside upper arm fixture block, and the distance between inner side upper arm fixture block and outside upper arm fixture block can freely be adjusted.
Inner side forearm shaped block 15 connects the forearm expansion link 17 of inner side by retractor device.
Outside forearm shaped block 16 connects the forearm expansion link in outside by retractor device.
Retractor device comprises expansion link fixed cover 19 and extrusion screw, expansion link fixed cover lateral surface is connected with extrusion screw 12, the surface extruded mutually with extrusion screw afterbody is in indent slideway, to make this orthosis stable in spacing process, is conducive to orthotic rectification effect.
Described linkwork is provided with multiple lock hole, and pin inserts in lock hole 23, and the upper arm bracing frame stoping linkwork to connect is relative with interior outside forearm shaped block to be rotated.Mainly be provided with two lock holes, 23, two lock hole difference certain angles in figure, make this orthotic range of activity have four gears.
This orthosis is dissected at researching human body and ancon physiological movement track basis has been designed; there is fixing and early exercise dual-use function; elbow joint rotating part have employed nylon66 fiber macromolecule thermoplastic plate, and processes camber angle by Digit Control Machine Tool, can stretch in the wrong 0 o~ 120 oactivity, has 15 when stretching ocarrying angle.
Orthosis is fixed in the pressurization of fracture site: fracture far-end ulnar drift or displacement are the main causes of cubitus varus, and by two power in opposite directions, fracture site is stablized, and stress point is arranged on the upper and lower 1cm right position in outside in the humerus broken ends of fractured bone.And the great efforts of power little adjustable fully to adjust human body stress time comfort level and effectively improve chi and incline.
This orthosis can be used for 3 ~ 14 years old child: can regulate according to child's upper arm and forearm Zhou Jing and length, and effectively fixing fracture also can comply with the natural physiological movement of skeleton.Thinking is analyzed: all adopt aluminium alloy 7050 material to the adjustment material of Zhou Jing and length, regulates hold-down screw to carry out the adjustment of length and width.
The relative motion of orthosis upper arm and forearm: coordinate processing 120 in nylon sheet at two of brace elbow joint olength and width are swivelling chute and the block of 2mm, just achieve 120 oscope relative motion.Bend 90 degree, elbow and 60 degree of position tooling pin nail at arm again, insert pin and can realize locking.
This orthosis has broken away from the design of elbow joint inserted-link type adjusting angle, adopts more advanced chuck regulative mode.This orthosis is adjustable cubitus varus orthosis, and this product is made primarily of aluminum alloy plate materials, high-strength engineering plastic, hair side cloth and the materials processing such as sponge, nylon sheet; This combination can according to everyone size difference adjusting size.This series products can carry out stable to elbow joint and comprehensively fix, and elbow joint joint can be allowed again to carry out flexion and extension within the specific limits.
According to different demand, stretching 0 °, the specific position of flexing 90 ° and 120 ° can limit exercising elbow joint and fixing, and within the scope of 0 ° ~ 120 °, removing pin can freely activity, and simple to operate, angle initialization accurately and reliably; There is provided movable protection, prevent fracture site from misplacing, maintain normal physiological angle, prevention cubitus varus occurs.
Structure, function and advantage:
1, stability is higher.Make upper arm and forearm be in an integrality by the locking device of upper arm and forearm, the adjustable pressure pad of fracture site both sides makes firm fixing can the preventing of fracture end cause fracture redisplacement because exercising elbow joint and forearm rotate, and is more conducive to the stable of fracture end.
2, anti-rotation effect is strong.Both sides aluminium alloy orthosis and distal forearm bandage can control the rotation of forearm, play the Stabilization of dual extenal fixation, and the tractive that effectively can resist forearm muscle causes fracture rotation displacement, and anti-rotation effect is stronger.
3, adjustability is good.This orthosis is provided with forearm and all footpaths retractor device can regulate according to infant upper arm length and Zhou Jing, is applicable to Different age group child and wears.
4, joint function recovery is fast.By joint snap close, locking is carried out to limit joint motion to elbow joint in early days in fracture, snap close can be opened carry out elbow joint flexion and extension after fracture end is relatively stable, joint capsule contracture, adhesion and ankylosis can be prevented, be beneficial to the recovery of function of joint.
5, clinical observation is convenient to.Adopt nylon66 fiber material at nearly joint part, this material can pass through x-ray, the impenetrable drawback of x-ray that can effectively avoid metal device to cause, and wear in early days can routine observation fracture site situation, adjusts at any time.
6, the incidence rate of Cubitus varus deformity is low.Orthosis has been preset the relative upper arm axis of forearm axis and have been turned up 7-9 °, after the reduction of the fracture logical medial and lateral pressure pad pressurization make fracture oar partially, overcome varus stress and inward turning moment loading, eliminate the latency causing Cubitus varus deformity, thus significantly reduce the incidence rate of Cubitus varus deformity.
In sum, cubitus varus orthosis treatment supracondylar fracture of the humerus has that stability is high, anti-rotation effect is strong, adjustability good, joint function recovery is fast, clinical efficacy is good and can effectively prevent the advantages such as the generation of Cubitus varus deformity, should apply clinically as the external fixation for the treatment of children humeral supracondylar fracture first-selection.

Claims (12)

1. a child cubitus varus orthosis, described orthosis comprises symmetrically arranged and is in upper arm bracing frame, inner side forearm shaped block, the outside forearm shaped block of both sides inside and outside upper arm, the upper arm bracing frame of inside and outside both sides connects medial and lateral forearm shaped block respectively by linkwork, it is characterized in that, the medial surface of the linkwork of both sides is respectively equipped with forcing screw connected vertically, be in the forcing screw distance 2cm place, linkwork axle center outside elbow, the forcing screw be in inside elbow is positioned at linkwork axle center place.
2. a kind of child cubitus varus according to claim 1 orthosis, it is characterized in that, support arm, the inner side front support arm being connected to interior outside forearm shaped block and the Lateral Anterior Branch brace on support arm and outside on the inner side that described linkwork also comprises the upper arm bracing frame connecting inside and outside both sides, wherein, on inner side, support arm and inner side front support arm adopt axle center, described inner side screw to be connected, and on outside, support arm and the Lateral Anterior Branch brace adopt axle center, described outside screw to be connected.
3. a kind of child cubitus varus according to claim 2 orthosis, it is characterized in that, described the Lateral Anterior Branch brace is provided with breach, and indentation, there is provided with the banking pin stopping that on the Lateral Anterior Branch brace opposite exterior lateral sides, support arm rotates around axle center.
4. a kind of child cubitus varus according to claim 3 orthosis, it is characterized in that, the forcing screw in described banking pin and outside is structure as a whole.
5. a kind of child cubitus varus according to claim 1 orthosis, is characterized in that, described forcing screw is scalable pressurization nylon screw.
6. a kind of child cubitus varus according to claim 3 orthosis, is characterized in that, on described the Lateral Anterior Branch brace opposite exterior lateral sides, the anglec of rotation of support arm is less than or equal to 120 °.
7. a kind of child cubitus varus according to claim 2 orthosis, it is characterized in that, on described inner side, the rear portion of support arm is connected with inner side upper arm fixture block, on outside, the rear portion of support arm connects outside upper arm fixture block, described inner side upper arm fixture block is connected by retractor device with outside upper arm fixture block, and the distance between inner side upper arm fixture block and outside upper arm fixture block can freely be adjusted.
8. a kind of child cubitus varus according to claim 2 orthosis, is characterized in that, on described outside, the medial surface of support arm its axle center relative is inclined plane, forms cubitus valgus inclination angle, makes support arm rotating shaft on the rotating shaft opposite exterior lateral sides of the Lateral Anterior Branch brace become 8 oangle.
9. a kind of child cubitus varus according to claim 1 orthosis, is characterized in that, described inner side forearm shaped block connects the forearm expansion link of inner side by retractor device.
10. a kind of child cubitus varus according to claim 1 orthosis, is characterized in that, described outside forearm shaped block connects the forearm expansion link in outside by retractor device.
11. a kind of child cubitus varus orthosiss according to claim 7 or 9, it is characterized in that, described retractor device comprises expansion link fixed cover and extrusion screw, and expansion link fixed cover lateral surface is connected with extrusion screw, and the surface extruded mutually with extrusion screw afterbody is in indent slideway.
12. a kind of child cubitus varus according to claim 1 orthosiss, it is characterized in that, described linkwork is provided with multiple lock hole, and pin inserts in lock hole, and the upper arm bracing frame stoping linkwork to connect is relative with interior outside forearm shaped block to be rotated.
CN201420157638.1U 2014-04-02 2014-04-02 A kind of child cubitus varus orthosis Expired - Fee Related CN204049946U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103948461A (en) * 2014-04-02 2014-07-30 甘肃省中医院 Cubitus varus orthotics for children

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103948461A (en) * 2014-04-02 2014-07-30 甘肃省中医院 Cubitus varus orthotics for children
CN103948461B (en) * 2014-04-02 2016-05-04 甘肃省中医院 A kind of children's cubitus varus KAFO

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Granted publication date: 20141231

Termination date: 20180402