CN206979709U - Fracture of lower leg sterilizes sterile uplifting device - Google Patents
Fracture of lower leg sterilizes sterile uplifting device Download PDFInfo
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- CN206979709U CN206979709U CN201720082961.0U CN201720082961U CN206979709U CN 206979709 U CN206979709 U CN 206979709U CN 201720082961 U CN201720082961 U CN 201720082961U CN 206979709 U CN206979709 U CN 206979709U
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- 210000003423 ankle Anatomy 0.000 claims abstract description 20
- 210000000689 upper leg Anatomy 0.000 claims abstract description 16
- 244000309466 calf Species 0.000 claims abstract description 10
- 210000002683 foot Anatomy 0.000 claims abstract description 5
- 239000000725 suspension Substances 0.000 claims description 9
- 210000002414 leg Anatomy 0.000 description 19
- 206010017076 Fracture Diseases 0.000 description 11
- 238000004659 sterilization and disinfection Methods 0.000 description 11
- 210000003141 lower extremity Anatomy 0.000 description 10
- 230000006378 damage Effects 0.000 description 9
- 208000027418 Wounds and injury Diseases 0.000 description 6
- 208000014674 injury Diseases 0.000 description 6
- 208000010392 Bone Fractures Diseases 0.000 description 4
- 230000003028 elevating effect Effects 0.000 description 3
- 210000002082 fibula Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000000399 orthopedic effect Effects 0.000 description 3
- 208000006670 Multiple fractures Diseases 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 210000002303 tibia Anatomy 0.000 description 2
- 208000024779 Comminuted Fractures Diseases 0.000 description 1
- 206010061213 Iatrogenic injury Diseases 0.000 description 1
- 206010061225 Limb injury Diseases 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 206010010121 compartment syndrome Diseases 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 210000001699 lower leg Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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Abstract
一种小腿骨折消毒无菌抬起装置,包括底座,底座上固定有支撑架,支撑架上安装有对大腿根部固定的大腿固定机构、对脚踝向外拉伸的脚踝拉伸机构和对脚部支撑的抬起机构,支撑架的顶部固定有横向支撑杆,大腿固定机构安装在横向支撑杆的内端,脚踝拉伸机构安装在支撑架上,抬起机构分布在横向支撑杆上;脚踝拉伸机构包括设置在支撑架上并上下滑动的滑动套,滑动套上安装有紧固螺丝,滑动套的侧边安装有旋转头,旋转头上开有安装孔,安装孔内安装有滑动拉杆,旋转头上安装有对滑动拉杆定位的定位螺栓,滑动拉杆的内端固定有支撑板,支撑板的支撑面呈横向下凹,支撑板的左右两侧固定有侧板,支撑板的端部安装有对患者脚踝固定的固定环。
A sterilized and aseptic lifting device for calf fractures, comprising a base on which a support frame is fixed, a thigh fixing mechanism for fixing the root of the thigh, an ankle stretching mechanism for stretching the ankle outward, and a support for the foot are installed on the support frame. Supported lifting mechanism, the top of the support frame is fixed with a horizontal support rod, the thigh fixing mechanism is installed on the inner end of the horizontal support rod, the ankle stretching mechanism is installed on the support frame, and the lifting mechanism is distributed on the horizontal support rod; the ankle pull The extension mechanism includes a sliding sleeve set on the support frame and slides up and down. Fastening screws are installed on the sliding sleeve. A rotating head is installed on the side of the sliding sleeve. A mounting hole is opened on the rotating head, and a sliding pull rod is installed in the mounting hole. The positioning bolts for positioning the sliding rod are installed on the rotating head. The inner end of the sliding rod is fixed with a support plate. The support surface of the support plate is horizontally concave. The left and right sides of the support plate are fixed with side plates. There is a fixation ring for the patient's ankle.
Description
技术领域technical field
本实用新型涉及骨科手术用具领域,尤其涉及一种小腿骨折消毒无菌抬起装置。The utility model relates to the field of orthopedic surgical appliances, in particular to a sterilized and aseptic lifting device for calf fractures.
背景技术Background technique
目前,胫腓骨是长管状骨中最常发生骨折的部位,约占全身骨折的8%-10%。交通伤最为常见,而跌倒伤较为少见,最严重的损伤出现在交通伤。At present, the tibia and fibula are the most frequently fractured parts of long tubular bones, accounting for about 8%-10% of systemic fractures. Traffic injuries are the most common, while falls are less common and the most serious injuries occur in traffic injuries.
胫腓骨在暴力作用下往往容易发生胫腓骨同时发生骨折,并且合并有严重的小腿软组织损伤。目前对于下肢的消毒主要是通过医生人工进行下肢抬脚,通过人工抬脚,有明显的不足之处,人的力量是有限的随着时间的推移,逐渐的会出现疲劳,很难保持对患肢的有效牵拉后上举,对于胫腓骨严重的粉碎性骨折,需要助手同时做出有效的牵拉后上举,那么将是对助手的极大考验,如果不能维持良好的姿势,将会污染创面,严重者将会导致患者的小腿部位的血管神经发生损伤,发生下肢骨筋膜室综合症的概率也会上升。The tibia and fibula are often prone to simultaneous tibiofibular fractures under violent action, and are combined with severe calf soft tissue damage. At present, the disinfection of the lower limbs is mainly carried out by the doctor's manual lifting of the lower limbs. Manual lifting of the feet has obvious shortcomings. Human strength is limited. As time goes by, fatigue will gradually appear, and it is difficult to maintain proper treatment of patients. For severe comminuted fractures of the tibial and fibula, it is necessary for the assistant to pull and lift effectively at the same time, which will be a great test for the assistant. If you cannot maintain a good posture, you will Contaminated wounds, in severe cases, will cause damage to the blood vessels and nerves of the patient's lower legs, and the probability of lower extremity compartment syndrome will also increase.
因此既能减轻医务人员工作负担,又可以减少患者损伤的抬腿方式也是许多临床骨科医生一直探索的重要方向。2013年国内的文亚渊等医生实用新型了一种“下肢消毒支撑器”,专利号“201310389871.3”,其通过滑轨和两个千斤顶来替代人工抬腿;美国科罗拉多州立大学Geisinger医学中心的Hak教授等在2013年7月的JOT杂志上介绍了通过房顶悬吊的方式来悬挂下肢,其方法可以适用于无外伤或下肢力线正常的患者下肢消毒。然而对于小腿严重的多发骨折,如何长期有效的维持力线并完成消毒成为减少医源性损伤的突出临床问题。Therefore, it is an important direction that many clinical orthopedic surgeons have been exploring, which can not only reduce the workload of medical staff, but also reduce the injury of patients. In 2013, domestic doctors such as Wen Yayuan invented a "lower limb disinfection supporter", patent number "201310389871.3", which uses slide rails and two jacks to replace artificial leg lifting; Hak from the Geisinger Medical Center of Colorado State University in the United States In the JOT magazine in July 2013, Professor et al. introduced the method of hanging the lower limbs by hanging from the roof. The method can be applied to disinfection of the lower limbs of patients with no trauma or normal lower limb force lines. However, for severe multiple fractures of the lower leg, how to effectively maintain the line of force and complete disinfection for a long time has become a prominent clinical problem in reducing iatrogenic injuries.
因此骨折后的骨干断裂,有些是多处断裂,在消毒时将骨折部抬起时,容易导致腿部二次损伤,Therefore, the fracture of the backbone after the fracture, some of which are multiple fractures, when the fracture is lifted during disinfection, it is easy to cause secondary damage to the leg.
面对下肢损伤患者多、手术医生相对不足且容易疲劳、很难保持下肢手术消毒的体位等现实问题的困扰,故而实用新型一种可以安全有效的下肢消毒工具,成为广大手骨科医师的共同愿望。Facing the problems of many patients with lower limb injuries, relative shortage of surgeons who are prone to fatigue, and difficult to maintain the posture of lower limb surgery disinfection, the utility model of a safe and effective lower limb disinfection tool has become the common wish of the majority of hand orthopedic surgeons. .
实用新型内容Utility model content
本实用新型要解决上述现有技术存在的问题,提供一种小腿骨折消毒无菌抬起装置,拉伸腿部肌肉,平衡地抬起腿部,减少对腿部的二次损伤。The utility model aims to solve the above-mentioned problems in the prior art, and provides a sterilized and aseptic lifting device for calf fractures, which stretches the leg muscles, lifts the legs in a balanced manner, and reduces secondary damage to the legs.
本实用新型解决其技术问题采用的技术方案:这种小腿骨折消毒无菌抬起装置,包括底座,底座上固定有支撑架,支撑架上安装有对大腿根部固定的大腿固定机构、对脚踝向外拉伸的脚踝拉伸机构和对脚部支撑的抬起机构,支撑架的顶部固定有横向支撑杆,大腿固定机构安装在横向支撑杆的内端,脚踝拉伸机构安装在支撑架上,抬起机构分布在横向支撑杆上;大腿固定机构包括滑动安装在横向支撑杆内端的升降杆,升降杆的下端转动连接有转动杆,升降杆与转动杆之间安装有紧固螺栓,转动杆下端安装有固定套圈;抬起机构包括设置在横向支撑杆上的滑槽,滑槽内安装有一组滑动轮,滑动轮上安装有顶在滑槽内的定位螺丝,滑动轮下端悬挂有吊环,吊环上连接有一对悬吊架;脚踝拉伸机构包括设置在支撑架上并上下滑动的滑动套,滑动套上安装有紧固螺丝,滑动套的侧边安装有旋转头,旋转头上开有安装孔,安装孔内安装有滑动拉杆,旋转头上安装有对滑动拉杆定位的定位螺栓,滑动拉杆的内端固定有支撑板,支撑板的支撑面呈横向下凹,支撑板的左右两侧固定有侧板,支撑板的端部安装有对患者脚踝固定的固定环。The utility model adopts the technical scheme to solve the technical problem: the sterilized and aseptic lifting device for calf fractures includes a base on which a support frame is fixed, and a thigh fixing mechanism for fixing the root of the thigh is installed on the support frame. The ankle stretching mechanism for external stretching and the lifting mechanism for supporting the feet, the top of the support frame is fixed with a horizontal support rod, the thigh fixing mechanism is installed at the inner end of the horizontal support rod, and the ankle stretching mechanism is installed on the support frame. The lifting mechanism is distributed on the horizontal support rod; the thigh fixing mechanism includes a lifting rod slidingly installed on the inner end of the horizontal supporting rod. The lower end of the lifting rod is rotatably connected with a rotating rod. The lower end is equipped with a fixed ferrule; the lifting mechanism includes a chute arranged on the lateral support rod, a set of sliding wheels are installed in the chute, and positioning screws are installed on the sliding wheels, and the lower end of the sliding wheel is hung with a suspension ring. , a pair of suspension frames are connected to the suspension ring; the ankle stretching mechanism includes a sliding sleeve arranged on the support frame and sliding up and down, fastening screws are installed on the sliding sleeve, and a rotating head is installed on the side of the sliding sleeve, and the opening on the rotating head There is a mounting hole, a sliding rod is installed in the mounting hole, and a positioning bolt for positioning the sliding rod is installed on the rotating head. The inner end of the sliding rod is fixed with a support plate. The support surface of the support plate is horizontally concave. A side plate is fixed on the side, and a fixing ring for fixing the patient's ankle is installed at the end of the support plate.
该主要对骨折手术前的消毒,首先固定大腿根部,再将骨折的腿部放在吊架和支撑板上,吊架间隔分布在腿部支撑在所需位置上,支撑板支撑在脚后跟,通过固定环固定在患者脚踝上,然后通过滑动拉杆向外拉伸腿部,使腿部保持拉伸状态,避免骨干和肌肉挤压在一起,并且使腿部皮肤展开,便于消毒,在消毒第一遍后,更换吊架,将新的吊架支撑在已经消毒的区域,这样达到全面的消毒,并且不会造成腿部损伤。This is mainly for the disinfection before the fracture operation. First, fix the thigh root, and then put the fractured leg on the hanger and the support plate. The fixing ring is fixed on the patient's ankle, and then the leg is stretched outward by sliding the rod to keep the leg in a stretched state, avoiding the extrusion of the backbone and muscles, and expanding the skin of the leg, which is convenient for disinfection. After each pass, replace the hanger and support the new hanger on the area that has been disinfected, so as to achieve comprehensive disinfection without causing leg damage.
为了进一步完善,滑动拉杆的内端连接有套管,套管内安装有连接在滑动拉杆内的弹簧,固定环固定在套管上。这样滑动拉杆在拉动腿部时具有一定弹性空间,避免拉伤腿部。In order to be further improved, a sleeve is connected to the inner end of the sliding rod, and a spring connected to the sliding rod is installed in the sleeve, and the fixing ring is fixed on the sleeve. In this way, the sliding pull rod has a certain elastic space when pulling the legs, so as to avoid straining the legs.
进一步完善,支撑架上设有定位滑块,定位滑块与病床侧边配合,病床侧边开有条形槽,定位滑块卡入条形槽中并与其呈滑动配合。这样可以移动支撑架的位置。Further improvement, the support frame is provided with a positioning slider, which cooperates with the side of the hospital bed, and the side of the hospital bed is provided with a bar-shaped groove, and the positioning slider is snapped into the bar-shaped groove and is slidably matched with it. This moves the position of the support bracket.
进一步完善,支撑板上安装有立板,立板的下端转动安装在支撑板上,立板的上端内侧安装有扣在脚尖的扣环,立板的上端外侧连接有将立板向外拉的弹性拉绳。这个配合固定环的固定,该扣环固定脚尖部分,并将脚尖向外拉动,避免脚尖向上勾起。Further improvement, a vertical plate is installed on the support plate, the lower end of the vertical plate is rotated and installed on the support plate, a buckle on the toe is installed on the inner side of the upper end of the vertical plate, and a hook for pulling the vertical plate outward is connected to the outer side of the upper end of the vertical plate. Elastic drawcord. This cooperates with the fixing of the retaining ring, which fixes the toe part and pulls the toe outward to prevent the toe from hooking up.
本实用新型有益的效果是:本实用新型针对严重骨折的患者提供消毒辅助装置,将骨折的腿部固定并抬起,同时将腿部拉直,对腿部全面消毒,对腿部固定支撑到位,避免二次损伤,且拉直腿部,不仅减轻医护人员的工作量,而且也便于对腿部手术,有利于广泛推广。The beneficial effects of the utility model are: the utility model provides a disinfection auxiliary device for patients with severe fractures, fixes and lifts the fractured legs, and at the same time straightens the legs, fully disinfects the legs, and fixes and supports the legs in place , to avoid secondary injury, and straighten the legs, not only reduce the workload of medical staff, but also facilitate the operation on the legs, which is conducive to widespread promotion.
附图说明Description of drawings
图1为本实用新型左侧的结构示意图;Fig. 1 is the structural representation of the left side of the utility model;
图2为本实用新型右侧的结构示意图;Fig. 2 is the structural representation of the right side of the utility model;
图3为本实用新型中加装了立板的结构示意图。Fig. 3 is the structural schematic diagram of installing vertical board additional in the utility model.
附图标记说明:底座1,支撑架2,横向支撑杆3,升降杆3-1,转动杆3-2,紧固螺栓3-3,固定套圈3-4,滑槽3-5,滑动轮4,定位螺丝5,吊环6,吊架7,滑动套8,紧固螺丝9,旋转头10,安装孔10-1,滑动拉杆11,定位螺栓12,支撑板13,侧板13-1,固定环14,套管15,弹簧16,病床18,条形槽19,立板20,扣环21,弹性拉绳22。Description of reference signs: base 1, support frame 2, lateral support rod 3, lifting rod 3-1, rotating rod 3-2, fastening bolt 3-3, fixed collar 3-4, chute 3-5, sliding Wheel 4, positioning screw 5, lifting ring 6, hanger 7, sliding sleeve 8, fastening screw 9, swivel head 10, mounting hole 10-1, sliding rod 11, positioning bolt 12, support plate 13, side plate 13-1 , Fixed ring 14, casing 15, spring 16, hospital bed 18, strip groove 19, vertical plate 20, buckle 21, elastic pull cord 22.
具体实施方式detailed description
下面结合附图对本实用新型作进一步说明:Below in conjunction with accompanying drawing, the utility model is further described:
参照附图:本实施例中小腿骨折消毒无菌抬起装置,包括底座1,底座1上固定有支撑架2,支撑架2上安装有对大腿根部固定的大腿固定机构、对脚踝向外拉伸的脚踝拉伸机构和对脚部支撑的抬起机构,支撑架2的顶部固定有横向支撑杆3,大腿固定机构安装在横向支撑杆3的内端,脚踝拉伸机构安装在支撑架2上,抬起机构分布在横向支撑杆3上;With reference to the accompanying drawings: in the present embodiment, the sterilized and aseptic lifting device for calf fractures includes a base 1, on which a support frame 2 is fixed, and a thigh fixing mechanism for fixing the thigh root is installed on the support frame 2, and the ankle is pulled outwards. Stretched ankle stretching mechanism and lifting mechanism for supporting the feet, the top of the support frame 2 is fixed with a horizontal support rod 3, the thigh fixing mechanism is installed on the inner end of the horizontal support rod 3, and the ankle stretching mechanism is installed on the support frame 2 , the lifting mechanism is distributed on the transverse support rod 3;
大腿固定机构包括滑动安装在横向支撑杆3内端的升降杆3-1,升降杆3-1的下端转动连接有转动杆3-2,升降杆3-1与转动杆3-2之间安装有紧固螺栓3-3,转动杆3-2下端安装有固定套圈3-4;The thigh fixation mechanism comprises the elevating rod 3-1 that is slidably installed on the inner end of the lateral support rod 3, and the lower end of the elevating rod 3-1 is rotatably connected with a rotating rod 3-2, and between the elevating rod 3-1 and the rotating rod 3-2, a Fasten the bolt 3-3, and the lower end of the rotating rod 3-2 is equipped with a fixed collar 3-4;
抬起机构包括设置在横向支撑杆3上的滑槽3-5,滑槽3-5内安装有一组滑动轮4,滑动轮4上安装有顶在滑槽3-5内的定位螺丝5,滑动轮4下端悬挂有吊环6,吊环6上连接有一对悬吊架7;Lifting mechanism comprises the chute 3-5 that is arranged on the transverse support bar 3, and a group of sliding wheels 4 is installed in the chute 3-5, and the positioning screw 5 in the chute 3-5 is installed on the sliding wheel 4, A suspension ring 6 is suspended from the lower end of the sliding wheel 4, and a pair of suspension frames 7 are connected to the suspension ring 6;
脚踝拉伸机构包括设置在支撑架2上并上下滑动的滑动套8,滑动套8上安装有紧固螺丝9,滑动套8的侧边安装有旋转头10,旋转头10上开有安装孔10-1,安装孔10-1内安装有滑动拉杆11,旋转头10上安装有对滑动拉杆11定位的定位螺栓12,滑动拉杆11的内端固定有支撑板13,支撑板13的支撑面呈横向下凹,支撑板13的左右两侧固定有侧板 13-1,支撑板13的端部安装有对患者脚踝固定的固定环14。滑动拉杆11的内端连接有套管15,套管15内安装有连接在滑动拉杆11内的弹簧16,固定环14固定在套管15上。The ankle stretching mechanism includes a sliding sleeve 8 that is arranged on the support frame 2 and slides up and down. Fastening screws 9 are installed on the sliding sleeve 8. A rotating head 10 is installed on the side of the sliding sleeve 8, and a mounting hole is opened on the rotating head 10. 10-1, the sliding rod 11 is installed in the mounting hole 10-1, the positioning bolt 12 for positioning the sliding rod 11 is installed on the rotating head 10, the inner end of the sliding rod 11 is fixed with a support plate 13, and the supporting surface of the support plate 13 It is horizontally concave, and the left and right sides of the support plate 13 are fixed with side plates 13-1, and the end of the support plate 13 is equipped with a fixing ring 14 for fixing the patient's ankle. A sleeve 15 is connected to the inner end of the sliding rod 11 , and a spring 16 connected to the sliding rod 11 is installed in the sleeve 15 , and the fixing ring 14 is fixed on the sleeve 15 .
其中支撑架2上设有定位滑块,定位滑块与病床18侧边配合,病床18侧边开有条形槽19,定位滑块卡入条形槽19中并与其呈滑动配合。Wherein support frame 2 is provided with positioning slide block, and positioning slide block cooperates with sick bed 18 sides, and sick bed 18 sides have strip groove 19, and positioning slide block snaps in the strip groove 19 and is sliding fit with it.
如附图3所示,其中支撑板13上安装有立板20,立板20的下端转动安装在支撑板13上,立板20的上端内侧安装有扣在脚尖的扣环21,立板20的上端外侧连接有将立板20向外拉的弹性拉绳22。As shown in accompanying drawing 3, wherein support plate 13 is equipped with vertical plate 20, and the lower end of vertical plate 20 is rotatably installed on the support plate 13, and the inner side of the upper end of vertical plate 20 is equipped with buckle 21 that buckles on tiptoe, vertical plate 20 The outer side of the upper end is connected with an elastic stay cord 22 that pulls the vertical plate 20 outwards.
虽然本实用新型已通过参考优选的实施例进行了图示和描述,但是,本专业普通技术人员应当了解,在权利要求书的范围内,可作形式和细节上的各种各样变化。Although the present invention has been illustrated and described with reference to preferred embodiments, it will be understood by those skilled in the art that various changes in form and details may be made within the scope of the claims.
Claims (4)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720082961.0U CN206979709U (en) | 2017-01-20 | 2017-01-20 | Fracture of lower leg sterilizes sterile uplifting device |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112245142A (en) * | 2020-11-12 | 2021-01-22 | 鲁淼 | Orthopedic rehabilitation nursing device |
| CN112957204A (en) * | 2021-02-08 | 2021-06-15 | 青岛大学附属医院 | Shank wound nursing device |
-
2017
- 2017-01-20 CN CN201720082961.0U patent/CN206979709U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112245142A (en) * | 2020-11-12 | 2021-01-22 | 鲁淼 | Orthopedic rehabilitation nursing device |
| CN112957204A (en) * | 2021-02-08 | 2021-06-15 | 青岛大学附属医院 | Shank wound nursing device |
| CN112957204B (en) * | 2021-02-08 | 2022-03-04 | 青岛大学附属医院 | A calf trauma care device |
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| GR01 | Patent grant | ||
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| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180209 Termination date: 20190120 |