CN206355123U - Fracture of glenoid cavity closed reduction hollow screw fixed guider - Google Patents
Fracture of glenoid cavity closed reduction hollow screw fixed guider Download PDFInfo
- Publication number
- CN206355123U CN206355123U CN201620703014.4U CN201620703014U CN206355123U CN 206355123 U CN206355123 U CN 206355123U CN 201620703014 U CN201620703014 U CN 201620703014U CN 206355123 U CN206355123 U CN 206355123U
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- Prior art keywords
- pedestal
- fracture
- glenoid cavity
- cavity closed
- basic point
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Abstract
The utility model is related to a kind of fracture of glenoid cavity closed reduction hollow screw fixed guider, it is characterised in that including pedestal, and the pedestal is plate-like structure, and the pedestal is provided with least one set of screw pilot hole group;The screw pilot hole group includes the first basic point on the lower surface of the pedestal and multiple spaced second basic points on the upper surface of the pedestal, each second basic point connects first basic point respectively, form the through hole of pedestal upper and lower surface described in multiple insertions, the axis of each through hole and the angle α of coronal-plane are 32~52 °, and the axis of each through hole and the angle of sagittal plane are 53~73 °.The utility model is using human dissection statistics as foundation, avoid to peel off extensively and cause more wounds, and the setting of multigroup screw pilot hole group, the guider is allowd to be adapted to the patient of a variety of builds, a guider each patient need not be manufactured separately, it is easy to use, and success rate of operation is high.
Description
Technical field
The utility model is related to medicine equipment, refers specifically to a kind of fracture of glenoid cavity closed reduction hollow screw fixed guide
Device.
Background technology
The incidence of fracture of scapula is relatively low, accounts for the 3-5% of shoulder fractures, the 0.4-1% of whole body fracture.But it is in shoulder
Portion's function is important, is the important feature for connecting trunk and upper limbs.If dealing with improperly, the maimed person of patient's shoulder can be often caused.For a long time
Since, there is arguement always in the processing of fracture of scapula, the dissection and function mainly due to shoulder blade are more complicated, it is participated in
The mechanism of shoulder activity also has a variety of theories, can be with guiding treatment and prediction still without a more perfect classification of fractures system
As a result.In the treatment, it is to be based on personal experience that operation is more with the determination of No operation, is come without a large-scale clinical research
Compare the difference of the clinical effectiveness of distinct methods processing.Fracture of scapula majority can realize satisfactory results through expectant treatment.But
Intra-articular fracture for involving Scapula glenoid displacement, and the stable fracture of influence shoulder girdle still need to operative treatment.
Conventional surgical screw has an anterior lateral cervical approach and Posterior approach two ways, no matter anterior lateral cervical approach or Posterior approach,
Be required to by 70 ° of shoulder abduction, from acromion along mesoscapula traveling 2cm after, along shoulder broad-mouthed receptacle for holding liquid and omoplate outer rim downwards to shoulder blade
Inferior horn does otch, and glass triangle flesh and is retracted from shoulder blade, appears infraspinous muscle and teres minor muscle, separates spatium intermusculare, exposure shoulder
Shoulder blade and capsular ligament, along shoulder blade sur-face peeling to margin of scapula,external, cut capsula articularis humeri, appear fracture site if necessary.So
Lag screw or Kirschner wire can be just squeezed into afterwards.
Lateral border is relatively thick in shoulder blade, and upper limb sclerotin is thin and short, but has processus coracoideus reinforcement, and this three bone ridges are referred to as " three
Post ".There are brachial plexus, shoulder blood vessel, cephalic vein in front;There are circumflex vessels in lateral border trilateral foramen, Quadrilateral zone, axillary nerve revolves the upper arm
Blood vessel passes through afterwards;There is Suprascapular artery nerve under acromion.These structures add the difficulty and risk of open surgery.
The content of the invention
Technical problem to be solved in the utility model is to provide one kind for the present situation of prior art and need not additionally do
Otch and progress muscle stripping and the high fracture of glenoid cavity closed reduction hollow screw fixed guider of success rate of operation.
The utility model solve the technical scheme that is used of above-mentioned technical problem for:The fracture of glenoid cavity closed reduction is hollow
Screw fixed guider, it is characterised in that including pedestal, the pedestal is plate-like structure, and the pedestal is provided with least one set
Screw pilot hole group;
The screw pilot hole group includes the first basic point being located on the lower surface of the pedestal and positioned at the pedestal
Multiple spaced second basic points on upper surface, each second basic point connects first basic point respectively, is formed multiple
The through hole of pedestal upper and lower surface described in insertion, the axis of each through hole and the angle α of coronal-plane are 32~52 °, each described logical
The axis in hole and the angle β of sagittal plane are 53~73 °.
Preferably, the quantity of the second basic point can be three in each screw pilot hole group, and each through hole
Axis is equal with the angle β of sagittal plane.
In view of practicality and the size of shoulder blade position, the screw pilot hole group can have three groups, phase in each group
The line of corresponding second basic point is parallel to each other, and angle of the axis relative to coronal-plane of three on every line through hole
α is equal.
The width of the pedestal can be 1.5~2.5 centimetres, thickness is 1~1.5 centimetre, length is 3~5 centimetres;It is described
The aperture of through hole 23 is 1~2mm.
The α is preferably 32~52 °, and the β is preferably 58~68 °.
Can also be on the side of the pedestal provided with the handle for facilitating operative doctor to grip.
Compared with prior art, fracture of glenoid cavity closed reduction hollow screw fixed guider provided by the utility model
Using human dissection statistics as foundation, studied by great amount of samples, simulation glenoid cavity is in Coronal and the angulation of sagittal plain
Closed reduction hollow nail, which is fixed, provides guide effect, and success rate of operation is high;And above the shoulder clavicle approach, it is to avoid traditional hand
Art is widely peeled off, and can be prevented effectively from blood vesssls and nerves injuries, and intraoperative hemorrhage is few, wound is small, safe;And grasped by duct
Make, avoid nervus vasculairs, do not destroy the integrality of capsula articularis humeri substantially, the hair of postoperative ankle adhesion complication is reduced to greatest extent
Raw, patient recovers fast;And the setting of multigroup screw pilot hole group so that the guider can be adapted to the patient of a variety of builds, no
Need each patient to be manufactured separately one guider, easy to use, cost is low.
Brief description of the drawings
Fig. 1 is the schematic perspective view of the utility model embodiment;
Fig. 2 is the schematic perspective view of apparent direction after the utility model embodiment;
Fig. 3 is the perspective view of the positive apparent direction of the utility model embodiment;
Fig. 4 is the perspective view (eliminating handle) of the utility model embodiment side-looking direction.
Embodiment
The utility model is described in further detail below in conjunction with accompanying drawing embodiment.
As shown in Figures 1 to 4, the fracture of glenoid cavity closed reduction hollow screw fixed guider includes:
Pedestal 1, is plate-like structure, and the width of the pedestal 1 is 2 centimetres, thickness is 1 centimetre, length is 4 centimetres.
Screw pilot hole group 2, has three groups, every group of screw pilot hole group 2 is included on the lower surface of the pedestal 1
First basic point 21 and multiple spaced second basic points 22 on the upper surface of the pedestal 1, each second basic point
22 are respectively communicated with first basic point 21, form through hole in the through hole 23 of pedestal upper and lower surface described in multiple insertions, the present embodiment
23 aperture is 1mm.The line of the second corresponding basic point is parallel to each other in each group.
The axis of three through holes 23 and the angle α 1 of coronal-plane are 33.269 ° in first group of screw pilot hole group, with arrow
The angle in shape face is followed successively by β 1:61.284°、β2:64.857 ° and β 3:67.842°;
The axis of three through holes 23 and the angle α 2 of coronal-plane are 38.9 ° in second group of screw pilot hole group, with sagittal
The angle in face is followed successively by β 1:61.284°、β2:64.857 ° and β 3:67.842°;
The axis of three through holes 23 and the angle α 3 of coronal-plane are 44.531 ° in 3rd group of screw pilot hole group, with arrow
The angle in shape face is followed successively by β 1:61.284°、β2:64.857 ° and β 3:67.842°.
On handle 3, the side of connecting seat pedestal 1, to facilitate operative doctor to grip.
In the preoperative, to patient's shoulder joint progress CT scan, three-dimensional reconstruction, according to CT results, that calculates lag screw enters nail
Position and angle;Pedestal is directly placed on the clavicle of shoulder, according to the advance results of measuring of CT, in three groups of screw pilot holes
In, lag screw successfully can be driven on Scapula glenoid by the through hole that selected angle is adapted, it is not necessary to peel off capsular ligament and
Separate surrounding vital tissue, it is to avoid wound and risk that open surgery is brought, it is ensured that success rate of operation.
Claims (6)
1. fracture of glenoid cavity closed reduction hollow screw fixed guider, it is characterised in that including pedestal (1), the pedestal (1)
For plate-like structure, the pedestal (1) is provided with least one set of screw pilot hole group (2);
The screw pilot hole group (2) includes the first basic point (21) being located on the lower surface of the pedestal (1) and positioned at described
Multiple spaced second basic points (22) on the upper surface of pedestal (1), each second basic point (22) connects described respectively
First basic point (21), forms the through hole (23) of pedestal upper and lower surface described in multiple insertions, the axis and coronal-plane of each through hole
Angle α be 32~52 °, the axis of each through hole (23) and the angle β of sagittal plane are 53~73 °.
2. fracture of glenoid cavity closed reduction hollow screw fixed guider according to claim 1, it is characterised in that each institute
The quantity for stating the second basic point (22) in screw pilot hole group (2) is three, and the axis and sagittal plane of each through hole (23)
Angle β it is equal.
3. fracture of glenoid cavity closed reduction hollow screw fixed guider according to claim 1 or 2, it is characterised in that institute
Stating screw pilot hole group (2) has three groups, and the line of the second corresponding basic point is parallel to each other in each group, and on every line
The axis of three through holes (23) is equal relative to the angle α of coronal-plane.
4. fracture of glenoid cavity closed reduction hollow screw fixed guider according to claim 3, it is characterised in that described
The width of pedestal (1) is 1.5~2.5 centimetres, thickness is 1~1.5 centimetre, length is 3~5 centimetres;The hole of the through hole (23)
Footpath is 1~2mm.
5. fracture of glenoid cavity closed reduction hollow screw fixed guider according to claim 4, it is characterised in that the α
For 32~52 °, the β is 58~68 °.
6. fracture of glenoid cavity closed reduction hollow screw fixed guider according to claim 5, it is characterised in that described
The side of pedestal (1) is provided with the handle (3) for facilitating operative doctor to grip.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201620703014.4U CN206355123U (en) | 2016-07-01 | 2016-07-01 | Fracture of glenoid cavity closed reduction hollow screw fixed guider |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201620703014.4U CN206355123U (en) | 2016-07-01 | 2016-07-01 | Fracture of glenoid cavity closed reduction hollow screw fixed guider |
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Publication Number | Publication Date |
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CN206355123U true CN206355123U (en) | 2017-07-28 |
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CN201620703014.4U Expired - Fee Related CN206355123U (en) | 2016-07-01 | 2016-07-01 | Fracture of glenoid cavity closed reduction hollow screw fixed guider |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106037918A (en) * | 2016-07-01 | 2016-10-26 | 庞清江 | Scapular glenoid fracture closed reduction hollow screw fixing guide apparatus |
-
2016
- 2016-07-01 CN CN201620703014.4U patent/CN206355123U/en not_active Expired - Fee Related
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106037918A (en) * | 2016-07-01 | 2016-10-26 | 庞清江 | Scapular glenoid fracture closed reduction hollow screw fixing guide apparatus |
CN106037918B (en) * | 2016-07-01 | 2019-03-22 | 庞清江 | Fracture of glenoid cavity closed reduction hollow screw fixed guider |
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Date | Code | Title | Description |
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GR01 | Patent grant | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20170728 Termination date: 20200701 |
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CF01 | Termination of patent right due to non-payment of annual fee |