CN208160682U - A kind of abarticulation or the fixed device of ligament reconstructive - Google Patents

A kind of abarticulation or the fixed device of ligament reconstructive Download PDF

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Publication number
CN208160682U
CN208160682U CN201720336094.9U CN201720336094U CN208160682U CN 208160682 U CN208160682 U CN 208160682U CN 201720336094 U CN201720336094 U CN 201720336094U CN 208160682 U CN208160682 U CN 208160682U
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section
ligament
locking head
rack
hole
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CN201720336094.9U
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Chinese (zh)
Inventor
汪滋民
李全
唐昊
肖磊
王一
何崇儒
周至游
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Shanghai Changhai Hospital
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Shanghai Changhai Hospital
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Abstract

The utility model relates to the field of medical instrument technology, it specifically can be used for coracoclavicular ligament reconstruction, dislocation of acromioclavicular joint, knee ligament reconstruction, the abarticulation of intra-articular avulsion fracture or the fixed device of ligament reconstructive, including at least one tie body and at least one main locking head.The utility model has the beneficial effects that, artificial ligament length can be adjusted according to the actual conditions of individual patient difference, it can be used not only for abarticulation or ligament reconstructive fixed, apply also for the reset reconstructions such as dislocation of acromioclavicular joint reset is rebuild, knee ligament is rebuild, the reset of intra-articular avulsion fracture is rebuild.

Description

A kind of abarticulation or the fixed device of ligament reconstructive
Technical field
The utility model relates to the field of medical instrument technology, specifically can be used for coracoclavicular ligament reconstruction, dislocation of acromioclavicular joint, Knee ligament is rebuild, the abarticulation of intra-articular avulsion fracture or ligament reconstructive are used and fixes device.
Background technique
Existing coracoclavicular ligament is rebuild, dislocation of acromioclavicular joint resets reconstruction, knee ligament is rebuild, intra-articular avulsion fracture It is ineffective to reset reconstruction.
Application No. is " 201610062942.1 ", application publication number be " CN105640599A ", entitled " one kind is used for beak Lock the device of ligament reconstructive " Chinese invention patent a kind of device rebuild for coracoclavicular ligament is disclosed, it is by bone plate, high-strength Suture composition is spent, bone plate is made of titanium alloy material, and round hole is drilled on bone plate;High-intensitive suture is with poly- to benzene two Formic acid glycol ester material is made;High-intensitive suture is used cooperatively with bone plate;In use, small above clavicle distal end cut Mouthful, marrow road is bored at coracoclavicular ligament clavicle stop, establishes tunnel in coronoid process;High-intensitive suture is passed through into miniature bar shaped synthetism Miniature bar shaped bone plate is placed in below coronoid process under shoulder joint mirror by two circular hole of plate middle section by tunnel, is connect by guide line adjustment Plate placement, both ends are pulled upwardly suture;Acromioclavicular joint is resetted under arthroscope direct-view, miniature parallel is placed above clavicle Bone plate and the knotting fixation after two circular hole of bone plate by high-intensitive suture, composition beak lock overhung construction carry out stationary remote and lock Bone takes out guide line.But after first fix, which can not It adjusts.
It is " CN205286431U ", a kind of entitled " knee joint application No. is " 201521055507.3 ", Authorization Notice No. Ligament reconstructive fix device " Chinese utility model patent disclose a kind of knee ligament reconstruction fixation device, mainly by It absorbs inflating balloon, one-way cock, absorb conduit, pipe size scale, constraint coil, line loop, card slot, miniature steel plate composition; Wherein:Absorbing inflating balloon is in long cylinder shape, absorbs the bottom of inflating balloon equipped with an one-way cock;Miniature steel plate is in thin Laminated structure is set on miniature steel plate there are four channel, and channel is equipped with card slot, and the line loop of structure annular in shape detours in miniature steel plate On the channel of centre two in;Tube at one end is absorbed to connect with one-way cock, channel of the other end on the miniature steel plate with fill Device of air connection;It absorbs and indicates size scale on conduit, the middle part for absorbing conduit will absorb conduit and line loop using constraint coil It is bound together.When in use, absorption inflating balloon is placed on to the proximal end traction side of graft, absorbs conduit through graft head End is drawn, and is drawn together with the logical marrow road that is pulled into of miniature steel plate one, is first overturn miniature steel plate and fix at suspention loop formula, then along shin Epiphysis draws graft and simultaneously maintains tension, and air charging system will be absorbed after inflating balloon fills by absorption conduit forms extruding admittedly It is fixed, to complete the clinical effectiveness of dual fixation.When in use, once fixation is still unadjustable for line loop length for the technology.
The length of existing artificial ligament product is generally 25mm, 30mm, 35mm equal length, if patient's needs is artificial When the length of ligament is 33mm, the product of suitable length can not be just chosen.
Above prior art commercial product living can not adjust artificial ligament according to the actual conditions of individual patient difference Length.
Utility model content
The purpose of the utility model is to overcome the deficiencies in the prior art, and providing one kind can be according to individual patient difference Actual conditions adjust the abarticulation or the fixed device of ligament reconstructive of artificial ligament length, can be used not only for abarticulation or Ligament reconstructive is fixed, and is applied also for dislocation of acromioclavicular joint and is resetted reconstruction, knee ligament reconstruction, the reset of intra-articular avulsion fracture Reconstruction etc. resets reconstruction.
In order to achieve the above object, the utility model provides a kind of abarticulation or the fixed device of ligament reconstructive, packet At least one tie body and at least one main locking head are included,
The tie body is in long strip, and length direction includes sequentially connected head section, the first rack segments, coronoid process fitting Section, the second rack segments and endpiece, wherein rack gear is respectively formed on first rack segments and the second rack segments, the coronoid process fitting Section is in wide and flat shape, which is bonded the width of remaining section in the width G T.GT.GT tie body of section;
The main locking head be it is flat, the main locking head run through in parallel equipped at least two independent rack gears pass through hole, Each rack gear pass through hole in be equipped with rack gear unidirectionally buckle, this several rack gear unidirectionally buckle at least one group be in it is oppositely arranged;
The head section and endpiece pass back through main locking head when being used cooperatively respectively, so that on first rack segments Rack gear on rack gear and the second rack segments is respectively engaged with rack gear of the corresponding rack gear in hole and unidirectionally buckles.
Preferably, ridge tooth is respectively formed on the head section and endpiece;
The locking head further includes secondary locking head, which passes through through the parallel at least two independent ridge teeth that are equipped with Hole, each ridge tooth pass through hole in be equipped with ridge tooth unidirectionally buckle, this several ridge tooth unidirectionally buckle at least one group be in reversely set It sets;
The head section and endpiece are each passed through ridge tooth when being used cooperatively across hole, so that ridge tooth and tail in the head section Ridge tooth in section is respectively engaged with ridge tooth of the corresponding ridge tooth in hole and unidirectionally buckles.
Preferably, the locking head further includes at least one auxiliary locking head, which, which runs through, is equipped at least One band passes through hole, this band is passed through in hole and unidirectionally buckled equipped with band.
Preferably, first rack segments, which are bonded between section with coronoid process, is equipped with the first ligament analog section;
Second rack segments, which are bonded between section with coronoid process, is equipped with the second ligament analog section;
The first ligament analog section and the second ligament analog section are knitted to form by 3-8 strands of titanium cables.
Preferably, the device further includes a limit buckle, and the limit buckle is mounted on described first when being used cooperatively In ligament analog section and the second ligament analog section, it is in X between the two channels which, which runs through, which is equipped with the independent channel of twice, Type.
Preferably, first rack segments open up the perforation for allowing endpiece to pass through in its length direction.
Preferably, first rack segments are an integral structure with main locking head.
Preferably, the length of the head section is 3.0cm, and the length of first rack segments is 10.0cm, the coronoid process The length for being bonded section is 1.5-2.0cm, and the length of second rack segments is 10.0cm, and the length of the endpiece is 3.0cm.
The present apparatus is applicable not only to coracoclavicular ligament reconstruction, applies also for dislocation of acromioclavicular joint and resets reconstruction, knee ligament It rebuilds, intra-articular avulsion fracture resets reconstruction etc. and resets reconstruction.
The utility model has the beneficial effects that it is long to adjust artificial ligament according to the actual conditions of individual patient difference The fixed device of the abarticulation or ligament reconstructive of degree, can be used not only for abarticulation or ligament reconstructive is fixed, apply also for Dislocation of acromioclavicular joint resets reconstruction, knee ligament is rebuild, intra-articular avulsion fracture resets reconstruction etc. and resets reconstruction.Into When row coracoclavicular ligament is rebuild, tie body can directly be come from coronoid process around circlewise:Can be it is U-shaped, can also coronoid process with Intersect between clavicle, thus will form a word ring-type, doctor's more more options can be given by doctor's unrestricted choice.Reversely set The rack gear set unidirectionally buckles so that it is placed in clavicle position, and compactness is more preferable, does not affect the appearance.Complete coracoclavicular ligament After reconstruction, extra section of the tie body both ends can be used for the reconstruction of acromioclavicular ligament, i.e., fixed acromion and clavicle distal end, first Make a call to two holes on acromion, the both ends of tie body from top to bottom passed through into the two holes respectively, then from the lower surface of acromion around Acromion is crossed, is worn out from the lower surface of clavicle, is punched again on clavicle after returning to clavicle, tie body both ends pass back through clavicle This hole after be fixed by secondary locking head.The reconstruction that secondary locking head is used for acromioclavicular ligament is fixed.
There are two types of different designs for locking head, and initial design is unidirectionally fixed locking head, is fixed on artificial ligament One end, forms the wide artificial ligament of the thin artificial ligament-of locking head-- artificial ligament rack segments structure, and rack segments finally bypass coronoid process Clavicle passes through locking head.There are also the locking head for being exactly bi-directional movable, locking head and tie body do not connect together, band in art Two rack segments bypass coronoid process and clavicle, join forces in clavicle upper surface in bidirectional locking head, such benefit is can be cleverer The tensity of adjusting ligament living.My understanding:This patent should first be divided into integral type unidirectional locking head band design and it is split type The design of bidirectional locking head band.Then the two designs are expanded respectively again.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of tie body in the utility model;
Fig. 2 is the structural schematic diagram of main locking head in the utility model;
Fig. 3 is the main view of main locking head;
Fig. 4 is schematic diagram in A-A direction in Fig. 3;
Fig. 5 is B-B direction schematic diagram in Fig. 3;
Fig. 6 is the structural schematic diagram of tie body in embodiment 2;
Fig. 7 is the structural schematic diagram of secondary locking head in the utility model;
Fig. 8 is the main view of secondary locking head;
Fig. 9 be in Fig. 8 C-C to schematic diagram;
Figure 10 be in Fig. 8 D-D to schematic diagram;
Figure 11 is the structural schematic diagram of tie body in embodiment 3;
Figure 12 is the structural schematic diagram of limit buckle in embodiment 5;
Figure 13 is the structural schematic diagram of tie body in embodiment 6;
Wherein:
1- tie body 11- head section the first rack segments of 12-
13- the first ligament analog section 14- coronoid process is bonded the second ligament of section 15- analog section
The second rack segments of 16- 17- endpiece 18- perforation
The main locking head 21- rack gear of 2- passes through hole 22- rack gear and unidirectionally buckles
3- pair locking head 31- ridge tooth passes through hole 32- ridge tooth and unidirectionally buckles
The channel 5- limit buckle 51- 100- rack gear
101- ridge tooth
Specific embodiment
Below in conjunction with the drawings and specific embodiments, the utility model is described further.
Embodiment 1:
A kind of abarticulation as shown in Figs. 1-5 or ligament reconstructive fixed device, including a tie body 1 and one Main locking head 2, the tie body 1 is in long strip, length direction include sequentially connected head section 11, the first rack segments 12, Coronoid process is bonded section 14, the second rack segments 16 and endpiece 17, wherein distinguishing shape on first rack segments 12 and the second rack segments 16 At rack gear 100, the coronoid process fitting section 14 is in wide and flat shape, which is bonded remaining section in the width G T.GT.GT tie body 1 of section 14 Width;
The main locking head 2 be it is flat, there are two independent rack gears to pass through hole 21 through setting in parallel for the main locking head 2, Each rack gear passes through in hole 21 and unidirectionally buckles 22 equipped with rack gear, the two rack gears unidirectionally buckle 22 in oppositely arranged;
The head section 11 and endpiece 17 pass back through main locking head 2 respectively during operation, so that first rack segments 12 On rack gear 100 and the second rack segments 16 on rack gear 100 be respectively engaged with rack gear of the corresponding rack gear in the hole 21 and unidirectionally block On button 22.
The length of the head section 11 is 3.0cm, and the length of first rack segments 12 is 10.0cm, the coronoid process fitting The length of section 14 is 1.5cm, and the length of second rack segments 16 is 10.0cm, and the length of the endpiece 17 is 3.0cm.
Locking head is similar to steel plate, is stuck on clavicle, tie body can directly be come from coronoid process around circlewise:It can be It is U-shaped, it can also intersect between coronoid process and clavicle, thus will form a 8 words ring-type, can be performed the operation by doctor's unrestricted choice Scheme gives doctor's more more options.Oppositely arranged rack gear unidirectionally buckles 22 and it is placed in clavicle position, and compactness is more It is good, it does not affect the appearance.
Embodiment 2:
If remaining is with embodiment 1, abarticulation or ligament reconstructive fixed device, the head section as shown in figs. 2-10 11 and endpiece 17 on be respectively formed ridge tooth 101;
The locking head further includes secondary locking head 3, and there are two independent ridge teeth to pass through hole through setting in parallel for the pair locking head 3 31, each ridge tooth passes through in hole 31 and unidirectionally buckles 32 equipped with ridge tooth, the two ridge teeth unidirectionally buckle 32 in oppositely arranged;
The head section 11 and endpiece 17 are each passed through ridge tooth across hole 31, so that the ridge tooth in the head section 11 during operation 101 and endpiece 17 on ridge tooth 101 be respectively engaged with ridge tooth of the corresponding ridge tooth in the hole 31 and unidirectionally buckle on 32.
After the reconstruction for completing coracoclavicular ligament, extra section of 1 both ends of tie body can be used for the weight of acromioclavicular ligament It builds, i.e., fixed acromion and clavicle distal end first make a call to two holes on acromion, the both ends of tie body 1 from top to bottom passed through respectively The two holes, then acromion is bypassed from the lower surface of acromion, it wears out from the lower surface of clavicle, is beaten again on clavicle after returning to clavicle Hole, 1 both ends of tie body are fixed after passing back through this hole of clavicle by secondary locking head 3.Secondary locking head 3 is used for shoulder The reconstruction of lock ligament is fixed.
Embodiment 3:
Remaining is with embodiment 1, the abarticulation as shown in Fig. 2-5 and Figure 11 or the fixed device of ligament reconstructive, wherein the One rack segments 12, which are bonded between section 14 with coronoid process, is equipped with the first ligament analog section 13;
Second rack segments 16, which are bonded between section 14 with coronoid process, is equipped with the second ligament analog section 15;
The first ligament analog section 13 and the second ligament analog section 15 are knitted to form by 3-8 strands of titanium cables.Described first is tough Band analog section 13 and the second ligament analog section 15 are designed as 3-8 strands of titanium cables and are knitted to form, and mechanics effect is more preferably.
Embodiment 4:
, with embodiment 2, the locking head further includes at least one auxiliary locking head 4 for remaining, which runs through Hole 41 is passed through equipped with a band, this band passes through in hole 41 and unidirectionally buckles 42 equipped with band.This auxiliary locking head 4 can be with Allow doctor according to clinic needs carry out using.
Embodiment 5:
Remaining is with embodiment 3, and the abarticulation as shown in Fig. 2-10 and Figure 12 or the fixed device of ligament reconstructive are described Device further includes a limit buckle 5, and the limit buckle 5 is mounted on the first ligament analog section 13 and the second ligament mould during operation In quasi- section 15, it is in X-type between the two channels 51 which, which runs through, which is equipped with the independent channel 51 of twice,.Due to the first rack gear Section 12 and the second rack segments 16 can be in contact friction at fork-shaped in active procedure, when by the first rack segments 12 and the second tooth After item section 16 is each passed through the channel 51 in limit buckle 5, the first rack segments 12 and the second rack segments 16 are no longer contacted, and are rubbed It wipes power to reduce, is conducive to the stability of device.
Embodiment 6:
Remaining is with embodiment 1, and the abarticulation as shown in Fig. 2-5 and Figure 13 or the fixed device of ligament reconstructive are described First rack segments 12 open up the perforation 18 for allowing endpiece 17 to pass through in its length direction.Tie body can be directly from coronoid process Come up around circlewise, i.e., intersect between coronoid process and clavicle, thus will form a 8 words ring-type, this modus operandi makes hand Art effect is more stable.
The preferred embodiment created to the utility model above is illustrated, but the utility model is created not It is limited to the embodiment described, those skilled in the art can be under the premise of without prejudice to the utility model creative spirit Various equivalent variation or replacement are made, these equivalent modifications or replacement are all contained in model defined by the claim of this application In enclosing.

Claims (5)

1. a kind of abarticulation or the fixed device of ligament reconstructive, which is characterized in that including at least one tie body (1) and extremely A few main locking head (2),
The tie body (1) is in long strip, length direction include sequentially connected head section (11), the first rack segments (12), Coronoid process is bonded section (14), the second rack segments (16) and endpiece (17), wherein first rack segments (12) and the second rack segments (16) it is respectively formed on rack gear (100), coronoid process fitting section (14) is in wide and flat shape, which is bonded the width G T.GT.GT institute of section (14) State the width of remaining section on tie body (1);
The main locking head (2) be it is flat, the main locking head (2) in parallel through be equipped at least two independent rack gears pass through hole (21), each rack gear passes through in hole (21) and unidirectionally buckles (22) equipped with rack gear, this several rack gear unidirectionally buckles in (22) at least It is in oppositely arranged for having one group;
The head section (11) and endpiece (17) pass back through main locking head (2) when being used cooperatively respectively, so that first tooth The rack gear (100) on rack gear (100) and the second rack segments (16) in item section (12) is respectively engaged with corresponding rack gear across hole (21) rack gear in unidirectionally buckles on (22);
First rack segments (12), which are bonded between section (14) with coronoid process, is equipped with the first ligament analog section (13);
Second rack segments (16), which are bonded between section (14) with coronoid process, is equipped with the second ligament analog section (15);
The first ligament analog section (13) and the second ligament analog section (15) are knitted to form by 3-8 strands of titanium cables;
The device further includes a limit buckle (5), and the limit buckle (5) is mounted on the first ligament mould when being used cooperatively On quasi- section (13) and the second ligament analog section (15), which, which runs through, is equipped with the independent channel of twice (51), the two are logical It is in X-type between road (51);
First rack segments (12) open up the perforation (18) for allowing endpiece (17) to pass through in its length direction.
2. abarticulation according to claim 1 or the fixed device of ligament reconstructive, which is characterized in that the head section (11) and on endpiece (17) it is respectively formed ridge tooth (101);
The locking head further includes secondary locking head (3), which wears through the parallel at least two independent ridge teeth that are equipped with Via hole (31), each ridge tooth pass through in hole (31) and unidirectionally buckle (32) equipped with ridge tooth, this several ridge tooth unidirectionally buckles in (32) At least one group is in oppositely arranged;
The head section (11) and endpiece (17) are each passed through ridge tooth when being used cooperatively across hole (31), so that the head section (11) On ridge tooth (101) and endpiece (17) on ridge tooth (101) to be respectively engaged with ridge tooth of the corresponding ridge tooth in hole (31) unidirectional It buckles on (32).
3. abarticulation according to claim 1 or the fixed device of ligament reconstructive, which is characterized in that the locking head It further include at least one auxiliary locking head, which, which runs through, is equipped at least one band across hole, this band passes through Band is equipped in hole unidirectionally to buckle.
4. abarticulation according to claim 1 or the fixed device of ligament reconstructive, which is characterized in that first tooth Item section (12) is an integral structure with main locking head (2).
5. abarticulation according to claim 1 or the fixed device of ligament reconstructive, which is characterized in that the head section (11) length is 3.0cm, and the length of first rack segments (12) is 10.0cm, and the length of coronoid process fitting section (14) is 1.5-2.0cm, the length of second rack segments (16) are 10.0cm, and the length of the endpiece (17) is 3.0cm.
CN201720336094.9U 2017-03-31 2017-03-31 A kind of abarticulation or the fixed device of ligament reconstructive Active CN208160682U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201720336094.9U CN208160682U (en) 2017-03-31 2017-03-31 A kind of abarticulation or the fixed device of ligament reconstructive

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201720336094.9U CN208160682U (en) 2017-03-31 2017-03-31 A kind of abarticulation or the fixed device of ligament reconstructive

Publications (1)

Publication Number Publication Date
CN208160682U true CN208160682U (en) 2018-11-30

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Country Status (1)

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