CN207693664U - A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint - Google Patents
A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint Download PDFInfo
- Publication number
- CN207693664U CN207693664U CN201720748070.4U CN201720748070U CN207693664U CN 207693664 U CN207693664 U CN 207693664U CN 201720748070 U CN201720748070 U CN 201720748070U CN 207693664 U CN207693664 U CN 207693664U
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- CN
- China
- Prior art keywords
- guide
- processus coracoideus
- locating rod
- dislocation
- minimally invasive
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
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- 210000000142 acromioclavicular joint Anatomy 0.000 title claims abstract description 34
- 241000135309 Processus Species 0.000 claims abstract description 62
- 210000003323 beak Anatomy 0.000 claims description 6
- 238000013139 quantization Methods 0.000 abstract 1
- 210000003109 clavicle Anatomy 0.000 description 18
- 210000002659 acromion Anatomy 0.000 description 9
- 238000010586 diagram Methods 0.000 description 9
- 238000000034 method Methods 0.000 description 9
- 210000003041 ligament Anatomy 0.000 description 5
- 229910000831 Steel Inorganic materials 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 239000010959 steel Substances 0.000 description 4
- 210000000988 bone and bone Anatomy 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 238000005553 drilling Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 230000000149 penetrating effect Effects 0.000 description 2
- 210000000323 shoulder joint Anatomy 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 208000029549 Muscle injury Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000000852 deltoid muscle Anatomy 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000008450 motivation Effects 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
Abstract
A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint, two wire guides being oriented to Kirschner wire are connected by connecting rod, guide pipe with pilot hole is housed on connecting rod, separately there is the processus coracoideus locating rod moved along pilot hole, the end of the processus coracoideus locating rod is equipped with the positioning hook plate being set to below processus coracoideus, the location hole to overlap respectively with the axis of two wire guide through-holes there are two being opened on hook plate is positioned, the lock that processus coracoideus locating rod is fixed on to a certain position is also equipped on guide pipe.The apparatus structure is simple, and operation facility, wound is small and safe, can effectively reduce the learning curve of operation, improves operation accuracy and safety, traditional operation is evolved into quantization, standardized precise manipulation.
Description
Technical field
The utility model is related to Medical Devices, are filled more particularly to a kind of minimally invasive reparation for treating dislocation of acromioclavicular joint
It sets.
Background technology
Acromioclavicular joint is the plane articulation of shoulders of human body, can do the jogging motion of all directions.As shown in Figure 1, acromioclavicular joint
It is made of the 102 end articular surface of acromion of clavicle 101 and the processus coracoideus 104 of shoulder blade 103.Acromioclavicular joint during exercise can be because
Violence and lead to injury of acromioclavicular joint, be embodied in shoulder blade drop, acromion move down, clavicle distal end upwarp, cause shoulder lock close
Ligament and muscle damage around saving and dislocation of acromioclavicular joint.It can be used for different degrees of injury of acromioclavicular joint different
Therapeutic scheme is fixed for example, by using triangle bandage, drug therapy or is repaired by performing the operation, and common operation method has acromioclavicular joint to cut
Open that redution-in-fixed, coracoclavicular ligament is rebuild or ligamentopexis, Lateral clavicular resection, muscular motivation Reconstruction etc..
Existing internal fixation is mainly using a kind of common internal fixation material of orthopaedics --- Kirschner wire is fixed, the hand
Art process needs first to take clavicle distal end to the arc incision of processus coracoideus, appears acromioclavicular joint, removes intra-articular cartilaginous opereulum, and reduction is de-
Position, first piece of Kirschner wire is crept by acromion compared with low level, enters clavicle distal end through acromioclavicular joint, depth of needle 5cm is pierced with method
2nd piece of Kirschner wire, intersects, backshank is stayed in skin excurvation at an angle of 90 with first piece；Appear processus coracoideus through deltoid muscle inner edge, dissociate beak shoulder
Ligament cuts off ligamentum coracoacromiale extremitas acromialis；Then the ligamentum coracoacromiale broken ends of fractured bone is done into mattress suture with multiply absorbable thread, and beak shoulder is tough
Band dissociates at processus coracoideus for future use；In clavicle distal end away from the cortex of bone drill two holes at acromioclavicular joint 1.5cm, can be inhaled carrying
The ligamentum coracoacromiale for receiving suture tenses ligamentum coracoacromiale by this clavicle hole, after extraction and knots, this ligament is fixed on clavicle.
Another method is to cut clavicle distal end, is fixed using clavicular hook plate, and this method damage is larger and tough without rebuilding beak lock
The structures such as band, therapeutic effect owe ideal.Recently as the universal of arthroscopic techniques, in the minimally invasive coracoclavicular ligament of shoulder joint mirror downlink
It rebuilds, good effect is achieved, but this method operating process is complex, to the individual skill level requirement pole of surgical doctor
Height, and the growth cycle needed for learning art is longer, is difficult to grasp in a short time, meanwhile, still lack special acromioclavicular joint at present
Fix tool causes operating difficulty huge, and time-consuming, and is difficult to effectively control and hold, and is unfavorable for progress and the patient of operation
Rehabilitation.
Utility model content
The utility model is intended to provide a kind of minimally invasive prosthetic device for treating dislocation of acromioclavicular joint, difficult to reduce operation
Degree and raising operation precision are high.
The minimally invasive prosthetic device of dislocation of acromioclavicular joint described in the utility model, including two needles that Kirschner wire is oriented to
Conduit, axially extending bore is provided on wire guide, and the axis direction of two wire guide through-holes is directed toward extremitas acromialis claviculae and shoulder blade beak simultaneously
It is prominent；The middle part of two wire guides is connected by connecting rod, and guide pipe is housed on connecting rod, pilot hole, the side of pilot hole are provided on guide pipe
To positioned at the outside of extremitas acromialis claviculae and processus coracoideus；Separately there is the processus coracoideus locating rod moved along pilot hole, processus coracoideus locating rod
Bottom end is equipped with positioning hook plate, and positioning hook plate is located at below processus coracoideus, and location hole there are two opening thereon, the axis of two location holes
Axis of the line respectively with two wire guide through-holes overlaps；It is also equipped on guide pipe and processus coracoideus locating rod is fixed on a certain position
Lock.
The minimally invasive prosthetic device of dislocation of acromioclavicular joint described in the utility model, two wire guides, connecting rod and guide pipe mutually interconnect
Be connected in entirety, wherein two wire guides can be oriented to Kirschner wire, and guide pipe then with processus coracoideus locating rod mutual orientation and limit,
Two Kirschner wires are respectively penetrating after sequentially passing through clavicle acromion and processus coracoideus in two location holes positioned on hook plate.Make
When carrying out acromioclavicular joint reparation with the device, first penetrated from extremitas acromialis with one piece of Kirschner wire to be fixed temporarily acromioclavicular joint, then
An about notch is done at the flat horizontal place of processus coracoideus on clavicle, which is close between clavicle leading edge and processus coracoideus lateral border, then in shoulder joint
Processus coracoideus locating rod is stretched into from notch under mirror monitoring, until the positioning hook plate of its end is positioned over below processus coracoideus, and it is fixed
Location hole on the hook plate of position is located at required suitable position；Then, the pilot hole of guide pipe is placed in processus coracoideus locating rod so that
Guide pipe slides into along processus coracoideus locating rod, until being close to clavicle upper limb bone face with the end of the wire guide of guide pipe connection hits exactly position
It sets, then guide pipe and processus coracoideus locating rod is mutually locked using lock；And then, it is pierced successively along the through-hole of two wire guides
Kirschner wire is drilled using Kirschner wire on clavicle acromion and processus coracoideus, and lock is unclamped after drilling, removes reparation dress
It sets；It finally traditionally can successively thread to bring belt loop steel plate into, then knot solid from the roads Kirschner wire Suo Zuangu
Determine steel plate, then remove to the Kirschner wire being fixed temporarily at acromion, that is, completes the operation entirely performed the operation.The minimally invasive prosthetic device knot
Structure is simple, only includes wire guide, the diopter of connecting rod and guide pipe composition and the processus coracoideus locating rod with positioning hook plate, operates pole
For facility, wound is small and safe, can also be operated safely, is effectively increased in surgical procedure without special experience person
Accuracy and safety, shorten operating time；The learning curve for also shortening operation simultaneously, eliminates because of doctor's individual skill
Surgical effect difference caused by difference；The incidence that can also greatly reduce postoperative complications, by the traditional operation amount of being evolved into
Precise manipulation change, standardized provides a kind of new method for quick in operative doctor art, accurate positionin, reduces different
The difference of medical institutions' such surgical technic level, thus to a certain extent, to solve China at present because of difference of technology level
The Medical problems such as the concentrations of caused medical resource provide a new approaches.
Description of the drawings
Fig. 1 is the skeletal structure schematic diagram of acromioclavicular joint.
Fig. 2 is the structural schematic diagram of the minimally invasive prosthetic device of dislocation of acromioclavicular joint described in the utility model.
Fig. 3 is the attachment structure schematic diagram of conduit, connecting rod and guide pipe.
Fig. 4,5 be the minimally invasive prosthetic device of dislocation of acromioclavicular joint state change schematic diagram.
Fig. 6,7,8 are the use state diagrams of the minimally invasive prosthetic device of dislocation of acromioclavicular joint.
Fig. 9 is the trepanning schematic diagram of acromioclavicular joint.
Figure 10 is the structural schematic diagram of guide pipe.
Figure 11 is the structural schematic diagram of processus coracoideus locating rod.
Figure 12 is the structural schematic diagram of lock.
Specific implementation mode
A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint, including two wire guides 1 that Kirschner wire 200 is oriented to, needle
Axially extending bore is provided on conduit, the axis direction of two wire guide through-holes is directed toward extremitas acromialis claviculae and processus coracoideus simultaneously；Two needles
The middle part of conduit is connected by connecting rod 2, and guide pipe 3 is housed on connecting rod, pilot hole 4, the direction position of pilot hole are provided on guide pipe
In the outside of extremitas acromialis claviculae and processus coracoideus；Separately there are the processus coracoideus locating rod 5 moved along pilot hole, the bottom end of processus coracoideus locating rod
Equipped with positioning hook plate 6, positioning hook plate is located at below processus coracoideus, and location hole 7 there are two opening thereon, the axis of two location holes
The axis with two wire guide through-holes overlaps respectively；The lock that processus coracoideus locating rod is fixed on to a certain position is also equipped on guide pipe
Button 8.
As in Figure 3-5, two wire guides, connecting rod and guide pipe are connected to the diopter of an entirety, wherein two needles
Conduit can be oriented to Kirschner wire, and guide pipe, then with processus coracoideus locating rod mutual orientation and limit, two Kirschner wires sequentially pass through
In two location holes after clavicle acromion and processus coracoideus on respectively penetrating positioning hook plate.Shoulder lock is being carried out using the device
When joint repair, first penetrated from extremitas acromialis with one piece of Kirschner wire to be fixed temporarily acromioclavicular joint, then flat processus coracoideus is horizontal on clavicle
Place does about notch, the notch and is close between clavicle leading edge and processus coracoideus lateral border, then stretches into processus coracoideus locating rod from notch, directly
Positioning hook plate to its end is positioned over below processus coracoideus, and the location hole positioned on hook plate is located at required suitable position
It sets, as shown in Figure 6；Then, the pilot hole of guide pipe is placed in processus coracoideus locating rod so that guide pipe along processus coracoideus locating rod slide into,
Until be close to clavicle upper limb bone face center position with the end of wire guide of guide pipe connection, then using lock by guide pipe with
Processus coracoideus locating rod is mutually locked, as shown in Figure 7；And then, the through-hole along two wire guides pierces Kirschner wire successively, utilizes kirschner
Needle drills on clavicle acromion and processus coracoideus, forms hole position 105, as shown in Figure 8,9；Lock is unclamped after drilling, is removed
Prosthetic device is removed, finally can traditionally be threaded successively to bring belt loop steel plate into, so from the roads Kirschner wire Suo Zuangu
After knot fixation steel plate, then remove to the Kirschner wire being fixed temporarily at acromion, that is, complete the operation entirely performed the operation.
The minimally invasive prosthetic device of the dislocation of acromioclavicular joint, as shown in Figure 10,11, the pilot hole 4 of guide pipe 3 includes axis
The guide through hole 41 and guide chute 42 that direction is mutually parallel, the side of guide chute and the side of guide through hole are interconnected；
Processus coracoideus locating rod 5 includes being equipped with and guide chute with the matched guide rod 51 of guide through hole, the side of guide rod towards positioning hook plate 6
Matched gag lever post 52；The length of gag lever post 52 is less than guide rod 51, and the both ends of gag lever post are set at the top of guide rod and middle part
Position.The structure of the pilot hole and processus coracoideus locating rod is relatively simple and coordinates intensity high and is extremely convenient for opposite shifting between the two
It is dynamic, gag lever post is set to upper, the middle part of guide rod so that the cross section smaller of processus coracoideus locating rod lower part, to processus coracoideus of being more convenient for
Locating rod is adjacent to bone placement, can also improve its operation ease.
As shown in Figure 10,12, lock 8 includes the Button Block 81 being fixedly installed on guide pipe 3, and the card being articulated on Button Block
Button 82, is provided with torsional spring between Button Block and buckle, torsional spring has the trend for driving buckle end to press to processus coracoideus locating rod 5.Pass through
Guide pipe and processus coracoideus locating rod can be mutually located by buckle and the cooperation of processus coracoideus locating rod, strong in order to improve positioning between the two
Degree, can in the side of processus coracoideus locating rod 5, compartment of terrain opens up several card slots being recessed inwardly in the axial direction, latch 8 directions
One end of pilot hole 4 can be caught in or exit card slot and be fixed to each other with processus coracoideus locating rod；And because lock is located in human body, in order to carry
The convenience of its high operation can set the side of processus coracoideus locating rod 5 and buckle 82 to band towards the end face of 4 one end of pilot hole
There is the monodirectional locking face of certain taper so that guide pipe only slides into along processus coracoideus locating rod and cannot reversely skid off, thus by two
Person locks, until when needing to release locking between the two, presses lock, this kind simple in structure and easily operated, can reduce
To the possibility of injury of human, unnecessary mistake phase between guide pipe and processus coracoideus locating rod is avoided by the setting of this kind of structure
To movement, ensure that the safety of operation carries out.
Claims (6)
1. a kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint, it is characterised in that：The needle being oriented to Kirschner wire including two is led
Pipe（1）, axially extending bore is provided on wire guide, the axis direction of two wire guide through-holes is directed toward extremitas acromialis claviculae and shoulder blade beak simultaneously
It is prominent；Pass through connecting rod in the middle part of two wire guides（2）It connects, guide pipe is housed on connecting rod（3）, pilot hole is provided on guide pipe（4）, lead
It is located at the outside of extremitas acromialis claviculae and processus coracoideus to the direction in hole；Separately there is the processus coracoideus locating rod moved along pilot hole（5）, beak
The bottom end of prominent locating rod is equipped with positioning hook plate（6）, positioning hook plate is located at below processus coracoideus, and location hole there are two opening thereon
（7）, the axis of the axis of two location holes respectively with two wire guide through-holes overlaps；It is also equipped on guide pipe by processus coracoideus locating rod
It is fixed on the lock of a certain position（8）.
2. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 1, it is characterised in that：Guide pipe（3）Guiding
Hole（4）The guide through hole being mutually parallel including axis direction（41）And guide chute（42）, the side of guide chute and guiding are logical
The side in hole is interconnected；Processus coracoideus locating rod（5）Including with the matched guide rod of guide through hole（51）, guide rod direction positioning hook plate
（6）Side be equipped with and the matched gag lever post of guide chute（52）.
3. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 2, it is characterised in that：Gag lever post（52）Length
Less than guide rod（51）, and the both ends of gag lever post are set at the top of guide rod and medium position.
4. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 1, it is characterised in that：Lock（8）Including fixation
It is installed on guide pipe（3）On Button Block（81）, and the buckle that is articulated on Button Block（82）, torsion is provided between Button Block and buckle
Spring, torsional spring, which has, drives buckle end to press to processus coracoideus locating rod（5）Trend.
5. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 1 or 4, it is characterised in that：Processus coracoideus locating rod（5）
Compartment of terrain opens up several card slots being recessed inwardly in the axial direction for side, lock（8）Towards pilot hole（4）One end can block
Enter or exits card slot and be fixed to each other with processus coracoideus locating rod.
6. the minimally invasive prosthetic device of dislocation of acromioclavicular joint according to claim 4, it is characterised in that：Processus coracoideus locating rod（5）'s
Side and buckle（8）Towards pilot hole（4）The end face of one end is set as the monodirectional locking face with certain taper.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720748070.4U CN207693664U (en) | 2017-06-26 | 2017-06-26 | A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720748070.4U CN207693664U (en) | 2017-06-26 | 2017-06-26 | A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN207693664U true CN207693664U (en) | 2018-08-07 |
Family
ID=63020723
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201720748070.4U Expired - Fee Related CN207693664U (en) | 2017-06-26 | 2017-06-26 | A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN207693664U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107174324A (en) * | 2017-06-26 | 2017-09-19 | 吴宇峰 | A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint |
-
2017
- 2017-06-26 CN CN201720748070.4U patent/CN207693664U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107174324A (en) * | 2017-06-26 | 2017-09-19 | 吴宇峰 | A kind of minimally invasive prosthetic device of dislocation of acromioclavicular joint |
| CN107174324B (en) * | 2017-06-26 | 2023-10-31 | 吴宇峰 | Minimally invasive repairing device for dislocation of acromioclavicular joint |
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| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180807 |
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| CF01 | Termination of patent right due to non-payment of annual fee |