CN207341820U - A kind of shoulder joint Scapula glenoid bone positioner and its component - Google Patents

A kind of shoulder joint Scapula glenoid bone positioner and its component Download PDF

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Publication number
CN207341820U
CN207341820U CN201720030070.0U CN201720030070U CN207341820U CN 207341820 U CN207341820 U CN 207341820U CN 201720030070 U CN201720030070 U CN 201720030070U CN 207341820 U CN207341820 U CN 207341820U
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CN
China
Prior art keywords
segment
needle sleeve
kirschner
section
kirschner needle
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Expired - Fee Related
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CN201720030070.0U
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Chinese (zh)
Inventor
何耀华
白真龙
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Wen Tai Medical Science And Technology (shanghai) Co Ltd
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Wen Tai Medical Science And Technology (shanghai) Co Ltd
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Priority to CN201820495872.3U priority Critical patent/CN209203545U/en
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Publication of CN207341820U publication Critical patent/CN207341820U/en
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Abstract

The utility model discloses a kind of shoulder joint Scapula glenoid bone positioner and its component, described device to include:Locating rod and kirschner needle sleeve;Locating rod includes first segment and second section, and first segment is arranged to set and holds kirschner needle sleeve, and second section is the strip registration arm gone out from first segment linear extension, and is equipped with location hook in the end of second section;The through hole of first segment is right against location hook, and then Scapula glenoid bone located space is formed between first segment and location hook;There is window on the barrel-like structure of first segment, for window axially through barrel-like structure, the width of window is less than the diameter of kirschner needle sleeve, and more than the diameter of Kirschner wire;The utility model additionally provides the shoulder joint Scapula glenoid bone positioner component comprising above device.The positioner and its component of the utility model, solve the Scapula glenoid tunnel placement inaccuracy easily occurred in arthroscopic shoulder surgery, and tunnel building has the problem of blindness.

Description

A kind of shoulder joint Scapula glenoid bone positioner and its component
Technical field
It the utility model is related to bone surgery set field, more particularly to a kind of shoulder joint positioner.
Background technology
Shoulder joint is the complicated joint of mobility maximum in human body large joint, by 3 pieces of bones (clavicle, shoulder blade and humerus), 4 joints (joint and Glenohumeral joint between acromioclavicular joint, articulatio sternoclavicularis, the omoplate wall of the chest) and connect their muscle, tendon and tough Band composition.Four joint synchronous movement of shoulder under normal circumstances, ensures smooth, the coordination of upper extremity exercise.
Wherein, Glenohumeral joint is physical activity scope maximum, and the minimum joint of bone constraint, it is a bulb (humerus Head) nest (Scapula glenoid) joint." ball " (head of humerus) is relatively large, and " nest " (Scapula glenoid) is relatively very shallow, this and the height on ball seat Your husband is similar, so that Glenohumeral joint joint obtains the mobility of maximum, but this also causes shoulder to be easy to injured and produce It is unstable.Glenohumeral joint relies primarily on the soft tissues such as circumferential cartilage, glenohumeral ligaments, shoulder sleeve and brachial biceps to obtain Stability.
Shoulder Joint Injury refers to because shoulder is respectively organized to include shoulder sleeve, ligament generation degenerative change, or because excessively making repeatedly With damages of shoulder joint surrounding tissue caused by reason such as, wounds, shoulder pain is shown as.Common Shoulder Joint Injury has shoulder Under peak hit disease, rotator cuff injury, frozen shoulder, brachial biceps damage, upper broad-mouthed receptacle for holding liquid lip tear from front to back (SLAP) damage, Shoulder joint is unstable.
The reason for causing Shoulder Joint Injury mainly have including:Age factor, person in middle and old age are the good hair people of Shoulder joint Group.As the age increases, respectively tissue includes shoulder sleeve to shoulder, degenerative change occurs for ligament, its tissue elasticity is progressively lost, and becomes Must be stiff, so as to be more easy to injury;Upper limb excessively is used repeatedly, is another common causative factors of Shoulder joint, is especially engaged in Upper movement is needed repeatedly to make the crowd of occupation and needed to push the sportsman of work, such as baseball, vollyball, tennis and swimming; Wound:It is the primary pathogenic factor of young man's Shoulder joint, the damage as caused by traffic accident.
At present, it is increasingly extensive using arthrocsopic surgery treatment shoulder joint associated injury, have in arthrocsopic surgery big Amount need to establish the operation of Scapula glenoid osseous tunnel, as Bankart damage repairing, the processus coracoideus indexing bone grafting of Scapula glenoid bone defect, The ilium bone piece bone grafting of Scapula glenoid bone defect, the repairing of Scapula glenoid lip, fixation of Scapula glenoid front lower place avulsion bone piece etc..But The locator for being used to establish Scapula glenoid osseous tunnel domestic at present is still in blank stage in design and production field, lacks phase The consequence for closing apparatus is the position inaccurate when establishing Scapula glenoid tunnel, and tunnel building has blindness, and due to human dissection Structure, easily damages important nerve and blood vessel, has not only seriously affected success rate of operation, and cause hand when establishing this tunnel Difficulty and the risk increase of art.
Therefore, those skilled in the art is directed to developing and a kind of can stablize, accurate and safe establish Scapula glenoid bone The device in tunnel.
Utility model content
In order to solve that the technical problem in Scapula glenoid tunnel can not be accurately established in arthroscopic shoulder surgery, the utility model First aspect provides a kind of shoulder joint Scapula glenoid bone positioner, and described device includes:Locating rod and kirschner needle sleeve;
The locating rod includes first segment and second section, has the tubular knot with through hole in the first segment Structure, the tubular structure are arranged to set and hold the kirschner needle sleeve, and the second section is from the first segment straight line The strip registration arm extended, and it is equipped with location hook in the end of the second section;The described of the first segment is led to Hole is right against the location hook, and then Scapula glenoid bone located space is formed between the first segment and the location hook.Make During, the positioner is placed in the side of the Scapula glenoid bone target location, Scapula glenoid bone is hooked using location hook Lateral margin, the kirschner needle sleeve is placed in the first segment, and is moved to the location hook direction, until the kirschner Needle sleeve fits in Scapula glenoid bone surface, and the kirschner needle sleeve and the location hook clamp the Scapula glenoid bone.Then will Kirschner wire is placed in the kirschner needle sleeve, is drilled to the Scapula glenoid bone, so as to fulfill the accurate fixed of bore position Position, ensure that boring direction.
Preferably, there is window, the window is axially through the tubbiness knot on the barrel-like structure of the first segment Structure, the width of the window are less than the diameter of the kirschner needle sleeve, and more than the diameter of Kirschner wire.
Preferably, the internal diameter of the tubular structure of the first segment is just equal to the outside diameter of the kirschner needle sleeve.
Preferably, the location hook towards the side of the through hole of the first segment be plane.
Preferably, it is equipped with groove in the position opposite with the through hole of the first segment of the location hook.
Preferably, when the kirschner needle sleeve is placed in the first segment, the longitudinal central axis of the kirschner needle sleeve Line is parallel with the longitudinal central axis line of the second section.
Preferably, the distance d of second section described in the longitudinal central axis linear distance of the kirschner needle sleeve is 5mm-15mm, If d can be 5mm, 8mm, 10mm, 12mm, so as to fulfill the Scapula glenoid tunnel for establishing different pore size.
Preferably, the first segment and the second section do not have crooked radian.
Preferably, be equipped with detent mechanism between the first segment and the kirschner needle sleeve, the detent mechanism by with Be set to be used for realization being relatively fixed between the kirschner needle sleeve and the first segment (during avoiding use, Kirschner wire Sleeve is relative to the first segment longitudinal sliding motion).
Preferably, detent mechanism includes the internal thread set inside the first segment through hole, and the kirschner needle sleeve The external screw thread that outside is set, the internal thread and the external screw thread are engaged.
Preferably, the positioner further includes handle, and the handle is connected to the side wall of the first segment.
Preferably, the handle is vertical with the first segment, and is located at the side opposite with the location hook.
Preferably, there is the limit hole for penetrating side wall on the side wall of the first segment, there is interior spiral shell in the limit hole Line, the end of the handle have screw rod, and the screw rod is engaged with the limit hole.So as to fulfill one side by the hand Handle is fixed in the first segment, on the other hand, can be by the screw top described if handle is tightened by screw rod In kirschner needle sleeve, being relatively fixed between the kirschner needle sleeve and the first segment is realized, and then realize and accurately determine Position.
The second aspect of the utility model, there is provided a kind of shoulder joint Scapula glenoid bone positioner component, it is included at least Shoulder joint Scapula glenoid bone positioner described in the utility model first aspect of two kinds of different sizes.
Preferably, in the shoulder joint Scapula glenoid bone positioner component, including at least two practicalities selected from the group below Shoulder joint Scapula glenoid bone positioner described in new first aspect:Described in the longitudinal central axis linear distance of the kirschner needle sleeve The distance d of second section is the shoulder joint Scapula glenoid bone positioner of 5mm, 8mm, 10mm and 12mm.
Technique effect
The shoulder joint Scapula glenoid bone positioner of the utility model, solves the omoplate easily occurred in arthroscopic shoulder surgery Broad-mouthed receptacle for holding liquid tunnel placement is inaccurate, and tunnel building has the problem of blindness.At the same time will be in tunneling process be established to nerve and blood vessel The possibility of damage is caused to minimize.In addition the shoulder joint Scapula glenoid bone positioner component of the utility model, can meet Establish the demand in different pore size tunnel, while can be to avoid the tunnel deviation of directivity caused by when expanding tunnel aperture.Greatly The success rate of operation is improved, reduces the risk of operative failure.
Make furtherly below with reference to the technique effect of design of the attached drawing to the utility model, concrete structure and generation It is bright, to be fully understood from the purpose of this utility model, feature and effect.
Brief description of the drawings
Fig. 1 is the shoulder joint Scapula glenoid bone positioner stereochemical structure signal of a preferred embodiment of the utility model Figure;
Fig. 2 is the structure diagram of the shoulder joint Scapula glenoid bone positioner of a preferred embodiment of the utility model;
Fig. 3 is A portions enlarged diagram in Fig. 2;
Fig. 4 is the handle and first segment connection diagram of another preferred embodiment of the utility model;
Fig. 5 is the shoulder joint Scapula glenoid bone positioner using the utility model, and spacing operation is carried out to Scapula glenoid bone Schematic diagram.
Fig. 6 is the structural representation of the shoulder joint Scapula glenoid bone positioner of another preferred embodiment of the utility model Figure.
Fig. 7 is that the shoulder joint Scapula glenoid bone positioner stereochemical structure of another preferred embodiment of the utility model is shown It is intended to.
Fig. 8 is that the shoulder joint Scapula glenoid bone positioner stereochemical structure of another preferred embodiment of the utility model is shown It is intended to.
Embodiment
Embodiment 1
As shown in Figure 1, 2, the shoulder joint Scapula glenoid bone positioner of this example, including:Locating rod 1 and kirschner needle sleeve 2;Journey strip, the locating rod 1 include first segment 11 and second section 12, the first segment to the locating rod on the whole Section 11 has the tubular structure 111 with through hole, and the tubular structure 111 of the first segment 11 is arranged to set and holds The kirschner needle sleeve 2, the second section 12 are the strip registration arm gone out from 11 linear extension of first segment, and And it is equipped with location hook 121 in the end of the second section 12;The through hole of the first segment 11 is right against the positioning Hook 121, and then Scapula glenoid bone located space is formed between the first segment 11 and the location hook 121.Use process In, the positioner is placed in the side of the Scapula glenoid bone target location, Scapula glenoid bone side is hooked using location hook 121 Edge, the kirschner needle sleeve 2 is placed in the first segment 11, and is moved to 121 direction of location hook, until described Kirschner needle sleeve 2 fits in Scapula glenoid bone surface, and the kirschner needle sleeve 2 and the location hook 121 press from both sides the Scapula glenoid bone Tightly.Then Kirschner wire 3 is placed in the kirschner needle sleeve 2, drilled to the Scapula glenoid bone, so as to fulfill drilling position That puts is accurately positioned, and ensure that boring direction.
In the present embodiment, the location hook 121 towards the side of the through hole of the first segment 11 be plane, and And groove is equipped with this plane, which is engaged with Kirschner wire 3, in order to the positioning of Kirschner wire 3.
In the present embodiment, when the kirschner needle sleeve 2 is placed in the first segment 11, the kirschner needle sleeve 2 Longitudinal central axis line is parallel with the longitudinal central axis line of the second section 12.
As shown in figure 3, second section described in the longitudinal central axis linear distance of kirschner needle sleeve described in the present embodiment 2 away from It is 5mm-15mm from d, if d can be 5mm, 8mm, 10mm and 12mm, so as to fulfill the Scapula glenoid for establishing different pore size Tunnel.
In the present embodiment, the first segment 11 and the second section 12 do not have crooked radian, in other implementations In mode, the second section 12 can be the arcuate structure with certain radian.
In the present embodiment, detent mechanism, the positioning are equipped between the first segment 11 and the kirschner needle sleeve 2 Mechanism is configurable for realizing that being relatively fixed between the kirschner needle sleeve 2 and the first segment 11 (avoids using Cheng Zhong, kirschner needle sleeve 2 is relative to 11 longitudinal sliding motion of first segment).
Detent mechanism in the present embodiment includes the internal thread set inside 11 through hole of first segment, and described gram The external screw thread that the outside of family name's needle sleeve 2 is set, the internal thread and the external screw thread are engaged, so that during avoiding use, gram Family name's needle sleeve 2 is relative to 11 longitudinal sliding motion of first segment.
In the present embodiment, the positioner further includes handle 4, and the handle 4 is connected to the side of the first segment 11 Wall.The handle 4 is vertical with the first segment 11, and is located at the side opposite with the location hook 121.
As shown in figure 4,11 111 inner wall of barrel-like structure sets internal thread in the first stage, in the barrel-like structure 111 Outer end set a caging bolt 112, the caging bolt 112 have with the internal thread of the barrel-like structure 111 it is matched External screw thread, the inner of the caging bolt 112 withstands on the outer end of kirschner battle array sleeve 2, so as to fulfill the limit to kirschner battle array sleeve 2 Position.
In other embodiments, there is the limit hole for penetrating side wall on the side wall of the first segment 11, it is described spacing There is internal thread, the end of the handle has screw rod, and the screw rod is engaged with the limit hole in hole.So as to fulfill one The handle is fixed in the first segment by aspect, on the other hand, can be by described in if handle is tightened by screw rod Screw top realizes being relatively fixed between the kirschner needle sleeve 2 and the first segment 11 in the kirschner needle sleeve 2, And then realize and be accurately positioned.
Application method
As shown in figure 5, the shoulder joint Scapula glenoid bone positioner application method of the utility model is as follows, first by hand After art knife opening, by the locating rod of the positioner from opening tripping in, the one of the Scapula glenoid bone target location is placed in Side, hooks Scapula glenoid bone lateral margin using location hook 121, the kirschner needle sleeve 2 is placed in the first segment 11, and to 121 direction of the location hook movement, until the kirschner needle sleeve 2 fits in Scapula glenoid bone surface, the kirschner needle sleeve 2 The Scapula glenoid bone is clamped with the location hook 121.Then Kirschner wire 3 is placed in the kirschner needle sleeve 2, to described Scapula glenoid bone drills, so as to fulfill being accurately positioned for bore position.After Kirschner wire drill mouth, kirschner needle sleeve 2 is removed, Drilled using the drill bit of setting specification along Kirschner wire, you can obtain the Scapula glenoid tunnel in setting aperture.
Embodiment 2
As shown in fig. 6, the shoulder joint Scapula glenoid bone positioner in the present embodiment, basic structure is identical with embodiment 1, Difference is, the length of the inner side of first segment 11 is added, to strengthen guiding stability.Lengthen the length of kirschner needle sleeve 2 Degree, can approach location hook 121 to greatest extent, match the bone of different-thickness.
In one preferably embodiment, as shown in fig. 6, the head end of the location hook 121 is taper.It is more conducive to pull out Soft tissue is opened, facilitates going deep into for locator.
In one preferably embodiment, as shown in Figure 7, Figure 8, have on the barrel-like structure 111 of the first segment 11 There is window 1111, the window 1111 is axially through the barrel-like structure 111, and the width of the window 1111 is less than described The diameter of kirschner needle sleeve 2, and more than the diameter of the Kirschner wire (guide pin) 3.In use, when Kirschner wire has been squeezed into Cheng Hou, kirschner needle sleeve 2 is extracted out, you can is backed off locating rod 1 from the window 1111.Avoid and secondary squeeze into Kirschner wire pair The destruction of shoulder blade, greatly reduces the risk of operation and the difficulty of operation, shortens operating time.
The preferred embodiment of the utility model described in detail above.It should be appreciated that the ordinary skill people of this area Member according to the present utility model can conceive without creative work makes many modifications and variations.Therefore, all this technology necks Technical staff passes through logic analysis, reasoning or limited on the basis of existing technology according to the design of the utility model in domain Available technical solution is tested, all should be in the protection domain being defined in the patent claims.

Claims (14)

1. a kind of shoulder joint Scapula glenoid bone positioner, it is characterised in that described device includes:Locating rod and kirschner needle sleeve; The locating rod includes first segment and second section, and the first segment has the tubular structure with through hole, the tubular Structure is arranged to set and holds the kirschner needle sleeve, and the second section is the strip gone out from the first segment linear extension Shape registration arm, and it is equipped with location hook in the end of the second section;The through hole of the first segment is right against described Location hook, and then Scapula glenoid bone located space is formed between the first segment and the location hook;The first segment There is window, the window is less than the kirschner axially through the barrel-like structure, the width of the window on barrel-like structure The diameter of needle sleeve, and more than the diameter of Kirschner wire.
2. device as claimed in claim 1, it is characterised in that the internal diameter of the tubular structure of the first segment is just etc. In the outside diameter of the kirschner needle sleeve.
3. device as claimed in claim 1, it is characterised in that the location hook is towards the through hole of the first segment Side is plane, and is equipped with groove on the plane.
4. device as claimed in claim 1, it is characterised in that when the kirschner needle sleeve is placed in the first segment, The longitudinal central axis line of the kirschner needle sleeve is parallel with the longitudinal central axis line of the second section.
5. such as claim 1-4 any one of them devices, it is characterised in that the longitudinal central axis linear distance of the kirschner needle sleeve The distance d of the second section is 5mm-15mm.
6. device as claimed in claim 5, it is characterised in that second described in the longitudinal central axis linear distance of the kirschner needle sleeve The distance d of segment is 5mm, 8mm, 10mm or 12mm.
7. such as claim 1-4 any one of them devices, it is characterised in that the first segment and the second section are not With crooked radian.
8. device as claimed in claim 1, it is characterised in that it is fixed to be equipped between the first segment and the kirschner needle sleeve Position mechanism, the detent mechanism is configurable for realizing relatively solid between the kirschner needle sleeve and the first segment It is fixed.
9. device as claimed in claim 8, it is characterised in that the detent mechanism includes setting inside the first segment through hole The internal thread put, and the external screw thread that the Kirschner wire cartridge exterior is set, the internal thread and the external screw thread are engaged.
10. device as claimed in claim 1, it is characterised in that the positioner further includes handle, and the handle is connected to The side wall of the first segment.
11. device as claimed in claim 10, it is characterised in that the handle is vertical with the first segment, and positioned at The opposite side of the location hook.
12. device as claimed in claim 10, it is characterised in that there is the limit for penetrating side wall on the side wall of the first segment Position hole, the limit hole is interior to have internal thread, and the end of the handle has screw rod, and the screw rod matches with the limit hole Close.
13. device as claimed in claim 10, it is characterised in that when the kirschner needle sleeve is placed in the first segment When, the longitudinal central axis line of the kirschner needle sleeve is parallel with the longitudinal central axis line of the second section.
14. a kind of shoulder joint Scapula glenoid bone positioner component, it is characterised in that it is included described at least two claims 6 Shoulder joint Scapula glenoid bone positioner.
CN201720030070.0U 2016-01-31 2017-01-11 A kind of shoulder joint Scapula glenoid bone positioner and its component Expired - Fee Related CN207341820U (en)

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Application Number Priority Date Filing Date Title
CN201820495872.3U CN209203545U (en) 2016-01-31 2017-01-11 A kind of shoulder joint Scapula glenoid bone positioning device and its component

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Application Number Priority Date Filing Date Title
CN2016201012072 2016-01-31
CN201620101207 2016-01-31

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CN201720030070.0U Expired - Fee Related CN207341820U (en) 2016-01-31 2017-01-11 A kind of shoulder joint Scapula glenoid bone positioner and its component

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Publication number Priority date Publication date Assignee Title
CN110327096A (en) * 2019-08-13 2019-10-15 孙鲁宁 A kind of Scapula glenoid bone grafting guider

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