Lower-limb skin traction device and T-shaped shoes
Technical field
This utility model relates to medical instruments field, is specifically related to a kind of lower-limb skin traction device and T-shaped shoes.
Background technology
Orthopaedics is an ancient disease, along with the beginning of mankind's activity, especially in warfare, the fracture patient that trauma brings is countless, along with the appearance of internal fixtion, fracture is more partial to internal fixation, to obtain good therapeutic effect.But still have quite most patient, because underlying diseases or older, fracture is not significantly shifted, and cannot carry out invasive surgery, have to take expectant treatment.For this part patient, traditional Therapeutic Method has plaster fixing, clamping plate, traction etc., but the mode for the treatment of all exists certain defect, leaves sequela unavoidably.
For patients such as Hip Fracture, Fracture of femur, fracture of femoral neck, preoperatively generally need the skin traction of row affected limb to treat, with alleviating pain, avoid fracture redisplacement to cause blood vesssls and nerves injuries.Meanwhile, in therapeutic process, lower limb need maintain a neutral position, prevent lower limb from occurring outward turning due to the impact of gravity, in order to avoid compressing common peroneal nerve, cause common peroneal nerve injury.
The extenal fixation equipment of more use is T-shaped shoes, effectively can prevent lower limb outward rotation, but the traction that patient's lower limb can not be given enough, to resist the cripetura that muscle contraction causes Hip Fracture, Fracture of femur, fracture of femoral neck.
For solving the problem, Chinese utility model patent CN203763317U discloses a kind of anti-outward turning Skin traction devices, comprise the lower limb fixed part, foot fixed part and the tractive unit that set gradually from top to bottom, described foot fixed part comprises bottom substrate and is bonded in the foot fixed cover on bottom substrate, and described bottom substrate offers connecting hole, described tractive unit is fixed on described bottom substrate by described connecting hole.By the way, namely this utility model can prevent lower limb outward rotation, can give certain skin traction again, and keep the neutral position of lower limb, the healing for hip fracture provides effective treatment, prevents patient from leaving sequela.But the tractive unit of this utility model is connected with bottom substrate, first pull strength acts on foot fixed part, then the integral type interconnect function of foot fixed part and lower limb fixed part is passed through on patient's lower limb, so foot fixed cover can produce oppressive force to sufficient face, increase the sense of discomfort of patient, and patients feet's poor blood circulation can be caused after long-time dress, there is the pressure ulcer of sufficient face.
On the other hand, need to change larger-size T-shaped shoes during the socks that dress is thicker when foot's swelling of patient is serious or it is warming to need winter to strengthen, and patient lies in bed for a long time and does not move, poor blood circulation, the long-time compressing by T-shaped shoes easily produces pressure ulcer afterwards, not easily heal, when there is above-mentioned situation, patient is just needed to be taken off by T-shaped shoes, so that replacing or respite T-shaped shoes are to the compressing of foot, and the lower limb fixed part of this utility model and foot fixed part are arranged to one, whole anti-outward turning Skin traction devices is needed to take off when taking off foot fixed part, operation inconvenience, and take off the rehabilitation that lower limb fixed part can affect patient.
Again on the one hand, in this utility model, the bottom substrate of foot fixed part and foot fixed cover bond together, an angle can only be kept between the two, such as common bottom substrate is vertical with foot fixed cover, keep 90 degree of angles, but patient is after finishing hip replacement surgery or lower limb internal fixation operation, doctor can be the different positions of patient selection lower limb according to the different operative incision of patient and modus operandi, be beneficial to the fast quick-recovery of patient, now just need relatively rotate between the bottom substrate of T-shaped shoes and foot fixed cover, adjusting angle.And the situation such as to stand up about client need under, the relatively-stationary words of bottom substrate and foot fixed cover position, T-shaped shoes can only be taken off, too inconvenient, so the relatively-stationary structure of bottom substrate and foot fixed cover position is not suitable for above-mentioned situation in this utility model.
Summary of the invention
This utility model object is to provide a kind of lower-limb skin traction device and T-shaped shoes, skin traction band and T-shaped shoes are relatively independent structure, can take off separately as required, be convenient to the replacing of skin traction band and T-shaped shoes, and for the patient of different surgery situation, by the different positions of adjustment T-shaped shoes angular transformation lower limb, the fast quick-recovery of patient can be beneficial to.
For achieving the above object, the technical solution adopted in the utility model is: a kind of lower-limb skin traction device, comprise skin traction band, T-shaped shoes and tractive unit, described skin traction band and T-shaped shoes are relatively independent structure, described tractive unit comprises traction belt, and the two ends of described traction belt are detachable to be respectively connected on the skin traction band of lower limb both sides;
Described T-shaped shoes comprises bottom substrate, the foot fixed cover be located on bottom substrate, and the left and right end of described bottom substrate offers a groove respectively, and the traction belt of lower limb both sides is erected in two grooves respectively.
Wherein, described tractive unit also comprises and struts supporting structure and hook, described in strut supporting structure and be fixed on the interlude of described traction belt, strut in supporting structure described in described hook is fixed on by described traction belt.
Wherein, described skin traction band comprises interior cotton layer and outer cotton layer, is provided with air bag layer in described interior cotton layer and outer cotton layer.Air bag layer in said structure can play massage effect to binding position between period of traction, reduces the occurrence probability of the complication such as venous system of lower extremity thrombosis and pressure ulcer, alleviates patient's misery; And the slippage of skin traction band is effectively overcome by the pressure energy of air bag layer.
Further, one deck spongy layer is also provided with between described interior cotton layer and outer cotton layer.Be provided with at least 3 strip metal stereotype plates outside described outer cotton layer, lay respectively at the rear side of lower limb, left side and right side.
This utility model embodiment also provides a kind of T-shaped shoes, and for above-mentioned lower-limb skin traction device, described T-shaped shoes comprises bottom substrate, the foot fixed cover be located on bottom substrate, and the left and right end of described bottom substrate offers a groove respectively.
Wherein, described bottom substrate is rotatably connected with the heel portion rear end of foot fixed cover, by rotating adjustment bottom substrate relative to the angle of foot fixed cover, meets the demand of different patient to different lower limb body position.
Wherein, described bottom substrate is that the length of described interlude is identical with the width of foot fixed cover, and described left section is connected with interlude folding respectively with right section by left section, interlude and the right section of three stage structure formed.By said structure, the situation such as to stand up about client need under, only left section of bottom substrate and right section need be turned up, and T-shaped shoes need not be taken off, easy to use.
Wherein, described foot fixed cover comprises side vamp and rear vamp, and the front end of described side vamp is uncovered, is provided with a fixing band between the side vamp of both sides, one end of described fixing band is fixedly connected with the side vamp of wherein side, and the other end of described fixing band is connected with the side vamp of opposite side is detachable.In said structure, the front end of side vamp is uncovered, good permeability, is beneficial to the peripheral blood fortune of observing patients feet; Both sides vamp is connected by fixing band, can regulate the elasticity that vamp is fixing.
Wherein, the inner side of described rear vamp is provided with pressure-reducing pad, avoids patient's heel to occur pressure ulcer.
Because technique scheme is used, the advantage that this utility model compared with prior art has is:
1. in this utility model, skin traction band and T-shaped shoes are relatively independent, non-interference when taking off skin traction band or T-shaped shoes, are convenient to the replacing of skin traction band and T-shaped shoes.
2. in this utility model, the traction belt of tractive unit is directly connected with skin traction band, and pull strength is directly acted on patient's lower limb by skin traction band, and patients feet does not stress, T-shaped shoes is comfortable and easy to wear, there will not be sufficient face poor blood circulation, produces the situation of pressure ulcer.
3. the bottom substrate of T-shaped shoes of the present utility model can rotate relatively with foot fixed cover, can convert different position, strong adaptability for different patients by regulating the angle between bottom substrate and foot fixed cover.
4. can turn up for left and right section of bottom substrate of the present utility model, stand up about being convenient to patient.
Accompanying drawing explanation
Fig. 1 is the structural representation of this utility model embodiment one;
Fig. 2 is the profile of skin traction band in embodiment one;
Fig. 3 is the structural representation of guide wheel mechanism in embodiment one;
Fig. 4 is the structural representation of T-shaped shoes in embodiment one;
Fig. 5 is the rearview of T-shaped shoes in embodiment one.
Wherein: 1, skin traction band; 10, interior cotton layer; 11, spongy layer; 12, air bag layer; 13, outer cotton layer; 14, metal stereotype plate;
2, T-shaped shoes; 20, bottom substrate; 200, groove; 201, left section; 202, interlude; 203, right section; 21, foot fixed cover; 210, side vamp; 211, rear vamp; 212, fixing band;
3, tractive unit; 30, traction belt; 31, supporting structure is strutted; 32, hook;
4, Guiding wheel structure; 40, support; 41, idler height governor motion; 410, left support bar; 411, right support bar; 42, guide wheel.
Detailed description of the invention
Below in conjunction with drawings and Examples, this utility model is further described:
Embodiment one: shown in Figure 1, a kind of lower-limb skin traction device, comprise skin traction band 1, T-shaped shoes 2 and tractive unit 3, described skin traction band 1 and T-shaped shoes 2 are relatively independent structure, described tractive unit 3 comprises traction belt 30, and the two ends of described traction belt 30 are detachable to be respectively connected on the skin traction band 1 of lower limb both sides.
As shown in Figure 2, described skin traction band 1 comprises the interior cotton layer 10, spongy layer 11, air bag layer 12 and the outer cotton layer 13 that set gradually from inside to outside.Be provided with at least 3 strip metal stereotype plates 14 outside described outer cotton layer 13, lay respectively at the rear side of lower limb, left side and right side.
Air bag layer in said structure can play massage effect to binding position between period of traction, reduces the occurrence probability of the complication such as venous system of lower extremity thrombosis and pressure ulcer, alleviates patient's misery; And the slippage of skin traction band is effectively overcome by the pressure energy of air bag layer.
Wherein, skin traction band 1 can be the one-part form structure of only parcel thigh or shank, also can be the two-part structure simultaneously comprising thigh and shank, can be connected between two sections by diminishing line parts.During use, doctor can select according to the difference of patients with fractures position and operation.
Described T-shaped shoes 2 comprises bottom substrate 20, the foot fixed cover 21 be located on bottom substrate 20, and the left and right end of described bottom substrate 20 offers a groove 200 respectively, and the traction belt 30 of lower limb both sides is erected in two grooves 200 respectively.
Described tractive unit 3 also comprises and struts supporting structure 31 and hook 32, described in strut supporting structure 31 and be fixed on the interlude of described traction belt 30, strut in supporting structure 31 described in described hook 32 is fixed on by described traction belt 30.
This utility model can by the Guiding wheel structure 4 being located at the sick bed head of a bed, Guiding wheel structure 4 as shown in Figure 3, comprise the support 40 be arranged on bed head frame, idler height governor motion 41 and guide wheel 42, described idler height governor motion 41 comprises left support bar 410 and right support bar 411, one end of described left support bar 410 is fixedly connected with support 40, described guide wheel 42 is located on one end of right support bar 411, the other end of left support bar 410 and the other end of right support bar 411 are arranged on same bolt, and both relative end faces are serrated face.
During use, first skin traction band is wrapped in outside patient's lower limb, and to the airbag aeration of air bag layer to the acceptable pressure of patient; Then patients feet puts on T-shaped shoes, and connect traction belt and the skin traction band of tractive unit, the traction belt of lower limb both sides is erected in the groove at bottom substrate two ends simultaneously; Get a pull rope, be fixedly connected with its one end with hook, the other end is connected with weight block after walking around guide wheel, realizes patient's skin traction of lower extremity.
This utility model embodiment one also provides a kind of T-shaped shoes as shown in Figure 4, for above-mentioned lower-limb skin traction device, described T-shaped shoes 2 comprises bottom substrate 20, the foot fixed cover 21 be located on bottom substrate 20, and the left and right end of described bottom substrate 20 offers a groove 200 respectively.
Described bottom substrate 20 is rotatably connected with the heel portion rear end of foot fixed cover 21, and is provided with improved mat between bottom substrate 20 and foot fixed cover 21, prevents both without autorotation under External Force Acting.Rotate adjustment bottom substrate under external force relative to the angle of foot fixed cover, meet the demand of different patient to different lower limb body position.
Described bottom substrate 20 is by left section 201, interlude 202 and right section 203 three stage structure formed, the length of described interlude 202 is identical with the width of foot fixed cover 21, described left section 201 is connected with interlude 202 folding respectively with right section 203, as shown in Figure 5.By said structure, the situation such as to stand up about client need under, only left section of bottom substrate and right section need be turned up, and T-shaped shoes need not be taken off, easy to use.
Described foot fixed cover 21 comprises side vamp 210 and rear vamp 211, the front end of described side vamp 210 is uncovered, fixing band 212 is provided with between the side vamp 210 of both sides, one end of described fixing band 212 is fixedly connected with the side vamp of wherein side, the other end is connected with the side vamp of opposite side is detachable, such as utilizes VELCRO bonding.In said structure, the front end of side vamp is uncovered, good permeability, is beneficial to the peripheral blood fortune of observing patients feet; Both sides vamp is connected by fixing band, can regulate the elasticity that vamp is fixing.
The inner side of described rear vamp 211 is provided with pressure-reducing pad, avoids patient's heel to occur pressure ulcer.
In this utility model, skin traction band and T-shaped shoes are relatively independent, non-interference when taking off skin traction band or T-shaped shoes, are convenient to the replacing of skin traction band and T-shaped shoes.
In this utility model, the traction belt of tractive unit is directly connected with skin traction band, and pull strength is directly acted on patient's lower limb by skin traction band, and patients feet does not stress, T-shaped shoes is comfortable and easy to wear, there will not be sufficient face poor blood circulation, produces the situation of pressure ulcer.
The above is preferred implementation of the present utility model; should be understood that; for those skilled in the art; under the prerequisite not departing from principle described in the utility model; can also make some improvement or replacement, these improve or replace and also should be considered as protection domain of the present utility model.