CN207236887U - A kind of dislocation of hip joint reduction by continuous traction device - Google Patents
A kind of dislocation of hip joint reduction by continuous traction device Download PDFInfo
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- CN207236887U CN207236887U CN201720045610.2U CN201720045610U CN207236887U CN 207236887 U CN207236887 U CN 207236887U CN 201720045610 U CN201720045610 U CN 201720045610U CN 207236887 U CN207236887 U CN 207236887U
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Abstract
The utility model discloses a kind of dislocation of hip joint reduction by continuous traction device, including base assembly and crane component;Base assembly includes base, and the shape of base is horizontal positioned U-shaped, and two U-shaped parallel arms the same ends are connected through base crossbeam, and base crossbeam is equipped with ankle fixation kit;One end that two U-shaped parallel arms are not connected with is equipped with hip and fixes band;Vertical support frame is respectively equipped with two U-shaped parallel arms, vertical support frame is tubular structure, and the tube wall of vertical support frame is equipped with rocking handle sliding slot;The shape of crane component is gate, and two vertical pillars of gate are tubular structure, and two vertical pillars tops of gate are connected through crane crossbeam;You popliteal nest fixation kit on crane crossbeam;Rack sliding slot is respectively equipped with two vertical pillars of gate;Vertical pillars and vertical support frame grafting;Transmission device and locking device are equipped with vertical pillars.The alternative manpower of restorer of the utility model carries out traction reduction to patient, can mitigate the labor intensity of doctor.
Description
Technical field
A kind of dislocation of hip joint reduction by continuous traction device is the utility model is related to, belongs to medical instrument and application method technology
Field.
Background technology
Hip joint is made of acetabular bone and femoral head, and acetabular bone is deep and big, can accommodate the major part of femoral head, both are mutual
It is closely sealed, vacuum is formed, can be attracted each other.Capsular ligament and surrounding ligaments are stronger, form the joint of a quite stable, dislocation
Incidence is relatively low.Capsula articularis coxae antetheca has stronger iliofemoral ligament, and interior upper wall has pubocapsular ligament, and rear upper wall has ischiocapsular ligament
Strengthen.It is more weak but lower inner wall and posterior inferior wall lack ligament, easily dislocate from this at two.Nonjoinder fracture of acetabulum
The pure dislocation of hip joint only has forward and backward two kinds.It is clinically most commonly seen with backward dislocation.Posterior dislocation of hip generally can gimmick
Reset.Repositioning method is more safe reliable along femur axis traction to bend hip enuflex position, and Allis methods are that dorsal position is drawn,
Stimson methods are prostrate traction.Gimmick low persistently using tractive force, should be forbidden violence or turn to suddenly, meet during reset
Having can not more reverse by force during resistance.As traction skill is invalid, rotation question mark formula gimmick can be used instead.But conventional reset method shortcoming
It is:Manipulative reduction operator because in distraction procedure physical demands it is big, tractive force is gradually reduced, and non-constant or tractive force cannot
Patient's muscular strength is resisted, mortality height is resetted under the conditions of without anesthesia, flesh pine, complication is more.
Utility model content
The purpose of this utility model is that, there is provided a kind of simple in structure, easy to operate, safe and reliable, using effect
Good dislocation of hip joint reduction by continuous traction device, and with solve traditional hip-joint repositioning because in distraction procedure physical demands it is big, lead
Gravitation is gradually reduced, and non-constant or tractive force cannot resist patient's muscular strength, the problem of mortality is high is resetted, so as to overcome existing
The deficiency of technology.
What the technical solution of the utility model was realized in:
A kind of dislocation of hip joint reduction by continuous traction device of the utility model, including base assembly and crane component;Bottom
Holder assembly includes base, and to be horizontal positioned U-shaped, two parallel arms the same ends of U types are connected through base crossbeam for the shape of base,
Base crossbeam is equipped with ankle fixation kit;One end that two U-shaped parallel arms are not connected with is equipped with hip and fixes band;U-shaped two are flat
Vertical support frame is respectively equipped with row arm, vertical support frame is tubular structure, and the tube wall of vertical support frame is equipped with rocking handle sliding slot;Crane
The shape of component is gate, and two vertical pillars of gate are tubular structure, and two vertical pillars tops of gate are through crane crossbeam
Connection;You popliteal nest fixation kit on crane crossbeam;Rack sliding slot is respectively equipped with two vertical pillars of gate;Vertical pillars
With vertical support frame grafting;Transmission device and locking device are equipped with vertical pillars.
In foregoing dislocation of hip joint reduction by continuous traction device, the transmission device includes gear, and gear is through transmission shaft with hanging down
Right cylinder is rotatablely connected, and gear is connected with the rack-driving in vertical support frame pore;Transmission shaft one end is equipped with rocking handle.
In foregoing dislocation of hip joint reduction by continuous traction device, the locking device include be installed on transmission shaft on ratchet and
Pawl in vertical pillars pore;Pawl is hinged through pawl axis and pawl base, and pawl axis is equipped with torsional spring;Pawl base with
Vertical pillars pore inner wall is fixedly connected.
In foregoing dislocation of hip joint reduction by continuous traction device, the ankle fixation kit includes being installed on base crossbeam
Ankle tensiometer, ankle tensiometer fix band connection through ankle connect band and ankle.
, Suo Shu popliteal nests fixation kit includes being installed on crane crossbeam in foregoing dislocation of hip joint reduction by continuous traction device
Popliteal nest tensiometer , popliteal nest tensiometer Jing popliteal nest connect band Yu popliteal nest fixes band connection.
By adopting the above-described technical solution, the utility model is compared with prior art, the hip joint of the utility model takes off
The position alternative manpower of reduction by continuous traction device carries out traction reduction to dislocation of hip joint patient, and the work for significantly reducing doctor is strong
Degree.Tractive force is sustainable to be gradually increased, and can resist patient muscle's convergent force completely, and tractive force can be kept constant after reset, is resetted
Success rate is high, can mitigate patient's pain, economical, societal benefits are clearly.So the utility model not only has structure letter
The advantages of single, easy to operate, but also have the advantages that safe and reliable, using effect is good.
Brief description of the drawings
Fig. 1 is the structure diagram of the utility model;
Fig. 2 is the structure diagram of the utility model other direction;
Fig. 3 is transmission device and the partial enlarged view of locking device part in Fig. 1;
Fig. 4 is the structure diagram of base assembly;
Fig. 5 is the structure diagram of crane component.
In figure mark for:10- base assemblies, 11- bases, two parallel arms of 12-U types, 13- base crossbeams, 14- hips
Fixed band, 15- vertical support frames, 16- rocking handles sliding slot, 20- cranes component, 21- vertical pillars, 22- cranes crossbeam, 23- teeth
Bar sliding slot, 30- ankles fixation kit, 31- ankles tensiometer, 32- ankles connect band, 33- ankles fix band, 40- popliteal nests are fixed
Component, 41- popliteal nests tensiometer, 42- popliteal nests connect band, 43- popliteal nest fix band, 50- transmission devices, 51- gears, 52- transmission shafts,
53- racks, 54- rocking handles, 60- locking devices, 61- ratchets, 62- pawls, 63- pawl axis, 64- pawl bases, 65- torsional springs.
Embodiment
The utility model is described in further detail with reference to the accompanying drawings and examples, but not as new to this practicality
Any restrictions of type.
A kind of dislocation of hip joint reduction by continuous traction device of the utility model, as illustrated in fig. 1 and 2.Including base assembly 10
With crane component 20;Base assembly 10 includes base 11, and to be horizontal positioned U-shaped, U-shaped two are parallel for the shape of base 11
12 the same end of arm is connected through base crossbeam 13, and base crossbeam 13 is equipped with ankle fixation kit 30;Two U-shaped parallel arms 12 are not
One end of connection is equipped with hip and fixes band 14;Vertical support frame 15 is respectively equipped with two U-shaped parallel arms 12, vertical support frame 15 is pipe
Shape structure, the tube wall of vertical support frame 15 are equipped with rocking handle sliding slot 16;The shape of crane component 20 is gate, and the two of gate are vertical
Column 21 is tubular structure, and two vertical pillars, 21 top of gate is connected through crane crossbeam 22;Crane crossbeam 22 is equipped with
Popliteal nest fixation kit 40;Rack sliding slot 23 is respectively equipped with two vertical pillars 21 of gate;Vertical pillars 21 and vertical support frame 15
Grafting;Transmission device 50 and locking device 60 are equipped with vertical pillars 21.Ankle fixation kit 30 includes being installed on base crossbeam
Ankle tensiometer 31 on 13, ankle tensiometer 31 are fixed band 33 with ankle through ankle connect band 32 and are connected.Popliteal nest fixation kit
40, which include being installed on 41 , popliteal nests tensiometer of popliteal nests tensiometer, 41 Jing popliteal nests connect band 42 Yu popliteal nest Shang crane crossbeam 22, fixes
Band 43 connects.
As shown in figure 3, including gear 51, gear 51 is rotatablely connected transmission device 50 through transmission shaft 52 and vertical pillars 21,
Gear 51 is sequentially connected with the rack 53 in 15 pore of vertical support frame;52 one end of transmission shaft is equipped with rocking handle 54.Locking dress
60 are put as shown in figure 3, including the ratchet 61 on transmission shaft 52 and the pawl 62 in 21 pore of vertical pillars;Spine
Pawl 62 is hinged through pawl axis 63 and pawl base 64, and pawl axis 63 is equipped with torsional spring 65;In pawl base 64 and 21 pore of vertical pillars
Wall is fixedly connected.
A kind of application method for above-mentioned dislocation of hip joint reduction by continuous traction device is to continue using the dislocation of hip joint
When traction restorer carries out hip-joint repositioning to patient, fixing band 14 by the hip of dislocation of hip joint reduction by continuous traction device will
Patient's hip is fixed, and is then adjusted crane component 20 according to patient thigh's length and is adapted to height;And Tong Guo popliteal nest fixation groups
Part 40 fixes Huan person's popliteal nests portion, and then the suffering limb of patient is gone down on one's knees, and by ankle fixation kit 30 by patient's suffering limb
Ankle fix;Hip, popliteal nest, ankle when fixed in patient pad cotton pad protection;Then slowly shaking rocking handle 54 makes crane
Component 20 is raised above, after hearing reset sound and confirming reset, slow Xie Chu popliteal nests fixation kit 40, ankle fixation kit
30 and hip fix band 14 and withdraw from after dislocation of hip joint reduction by continuous traction device i.e. end of operation.
Embodiment
This example as illustrated in fig. 1 and 2, including base assembly 10 and crane component 20, base assembly 10 and crane component
20 are slidably connected, and transmission device 50 and locking device 60 are equipped with junction.Base assembly 10 and crane component 20 can use
Stainless steel rectangular steel pipe manufacturing.Base assembly 10 is equipped with hip and fixes band 14 and ankle fixation kit 30, crane component 20
Upper You popliteal nest fixation kit 40.The vertical support frame 15 on 21 inserted base component 10 of vertical pillars on crane component 20
Interior, the pore inner wall of vertical support frame 15 is equipped with rack 53, and gear 51, drive of the gear 51 in rocking handle 54 are equipped with vertical pillars 21
Under crane component 20 is moved up generation tractive force.Crane component 20 glides in distraction procedure in order to prevent, and this example is set
There is locking device 60.Locking device 60 is as shown in figure 3, including the ratchet 61 that is fixed on transmission shaft 52 and withstand on spine on ratchet 61
Pawl 62 between tooth, pawl 62 are connected through torsional spring 65 with pawl axis 63, pawl 62 is close to Ratchet slide all the time, it is ensured that
Ratchet 61 can only rotate forward in distraction procedure, it is impossible to reversely rotate, that is to say, that crane component 20 can only rise and cannot
Glide.
Resetting apparatus should be also equipped with this example, at the end of traction, pawl 62 is released to ratchet by resetting apparatus
61 reversion limitation, can make 20 slide downward of crane component, release traction.
The clinical practice example of the utility model
During clinical practice, patient lies supine, patient is located at Ipsilateral, takes the present apparatus to assemble this product as shown in Figure 1, makes patient's suffering limb
Go down on one's knees, bend hip, adjusted according to patient's long length and be adapted to initial height, added in hip, Huan Ce popliteal nest, Ipsilateral ankle protected with cotton pad respectively
Shield, corresponding that hip fixation Dai, popliteal nest fixation band, ankle are fixed band by relevant position is put in, it is appropriate to may be selected when having ready conditions
Anaesthetize (lumbar anesthesia or general anesthesia), make of flaccid muscles and make to reset at painless lower progress, can be closed during unconditional anesthesia before basic hospital, institute
Injection local anaesthesia medicine in section, mitigates patient suffering when resetting as far as possible.Slowly rotary gemel handle counterclockwise, is shown in lifting U-typed arm
Slowly stretch out upwards.Sound can be heard during reset.The present apparatus is slowly withdrawn from after reset, you can complete this operation.With taut after reset
Band temporarily ties together double ankles, is stretched in hip joint by patient transporting to bed under position, suffering limb makees skin traction or wears T-shaped
Footwear 2~3 weeks.Need not gypsum fix.It need to lie up 4 weeks.Make quadriceps muscle of thigh contractive action during bed, start after 2~3 weeks
Turning joint, need to help crutches Go to ground activity in 4 weeks.Can complete load-bearing after 3 months.
The device reset stability of this example is reliable, one can complete to operate, time saving, laborsaving.Mitigate medical work significantly
Person's labor intensity, mitigates patient because of the pain resetted repeatedly.With simple in structure, of low cost, basic hospital, outpatient service and rescue
Room is adapted to promote by it, easy to storage after use, has significant social benefit.
Claims (5)
- A kind of 1. dislocation of hip joint reduction by continuous traction device, it is characterised in that:Including base assembly(10)With crane component (20);Base assembly(10)Including base(11), base(11)Shape be horizontal positioned two U-shaped, U-shaped parallel arms(12) The same end is through base crossbeam(13)Connection, base crossbeam(13)It is equipped with ankle fixation kit(30);Two U-shaped parallel arms(12) Not connected one end is equipped with hip and fixes band(14);Two U-shaped parallel arms(12)On be respectively equipped with vertical support frame(15), vertically Stent(15)For tubular structure, vertical support frame(15)Tube wall be equipped with rocking handle sliding slot(16);Crane component(20)Shape For gate, two vertical pillars of gate(21)For tubular structure, two vertical pillars of gate(21)Top is through crane crossbeam (22)Connection;Crane crossbeam(22)Upper You popliteal nest fixation kit(40);Two vertical pillars of gate(21)On be respectively equipped with Rack sliding slot(23);Vertical pillars(21)With vertical support frame(15)Grafting;Vertical pillars(21)It is interior to be equipped with transmission device(50)With Locking device(60).
- 2. dislocation of hip joint reduction by continuous traction device according to claim 1, it is characterised in that:The transmission device(50)Bag Include gear(51), gear(51)Through transmission shaft(52)With vertical pillars(21)Rotation connection, gear(51)Propped up with installed in vertical Frame(15)Rack in pore(53)It is sequentially connected;Transmission shaft(52)One end is equipped with rocking handle(54).
- 3. dislocation of hip joint reduction by continuous traction device according to claim 1, it is characterised in that:The locking device(60)Bag Include and be installed on transmission shaft(52)On ratchet(61)With installed in vertical pillars(21)Pawl in pore(62);Pawl(62)Through Pawl axis(63)With pawl base(64)It is hinged, pawl axis(63)It is equipped with torsional spring(65);Pawl base(64)With vertical pillars(21) Pore inner wall is fixedly connected.
- 4. dislocation of hip joint reduction by continuous traction device according to claim 1, it is characterised in that:The ankle fixation kit (30)Including installed in base crossbeam(13)On ankle tensiometer(31), ankle tensiometer(31)Through ankle connect band(32)With Ankle fixes band(33)Connection.
- 5. dislocation of hip joint reduction by continuous traction device according to claim 1, it is characterised in that:Suo Shu popliteal nest fixation kits (40)Including installed in crane crossbeam(22)Shang popliteal nest tensiometer(41), popliteal nest tensiometers(41)Jing popliteal nest connect bands(42) Yu popliteal nest fixation band(43)Connection.
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CN201720045610.2U CN207236887U (en) | 2017-01-13 | 2017-01-13 | A kind of dislocation of hip joint reduction by continuous traction device |
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CN201720045610.2U CN207236887U (en) | 2017-01-13 | 2017-01-13 | A kind of dislocation of hip joint reduction by continuous traction device |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN106667641A (en) * | 2017-01-13 | 2017-05-17 | 遵义医学院附属医院 | Continuous traction repositor for hip joint dislocation and usage method thereof |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN106667641A (en) * | 2017-01-13 | 2017-05-17 | 遵义医学院附属医院 | Continuous traction repositor for hip joint dislocation and usage method thereof |
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