CN208769866U - A kind of guiding device used for restoring rupture of heel tendon - Google Patents
A kind of guiding device used for restoring rupture of heel tendon Download PDFInfo
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- CN208769866U CN208769866U CN201721627849.7U CN201721627849U CN208769866U CN 208769866 U CN208769866 U CN 208769866U CN 201721627849 U CN201721627849 U CN 201721627849U CN 208769866 U CN208769866 U CN 208769866U
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Abstract
The utility model belongs to the minimally invasive heel string repair the device of Medical orthopedic, especially a kind of guiding device used for restoring rupture of heel tendon, including double-U-shaped heel string sighting device and with wire casing puncture needle guider, double-U-shaped heel string sighting device includes the first noumenon, the second ontology, and two ontologies include base portion and upwardly extend two interior side gauge bars, the outer side gauge bar to be formed from base portion two sides；The base portion of two ontologies is bolted by adjusting, and is respectively corresponded in four locating rods and is opened up location hole, and band wire casing puncture needle guider includes heel string proximal end sting device, heel string distal end sting device.The utility model makees the effect of suture guider after puncturing by band wire casing puncture needle according to location hole, Kessler and the Bunnell suture of heel string classics are completed by adjusting different angle, so that suture is placed in heel string core, ensure that suture strength and avoids suture exposed to the excitation of surrounding tissue；Surgical procedure is simple, and wound is small, can substantially reduce nervus suralis damage, the complication risks such as cutaneous necrosis, infection.
Description
Technical field
The utility model belongs to the minimally invasive heel string repair the device of Medical orthopedic, especially a kind of rupture of Achilles tendon reparation guiding dress
It sets.
Background technique
Heel string is the most coarse tendon of human body, and one of fracture highest tendon of incidence, and mostly injury gained in sports causes,
It is the common disease of orthopaedics.Treatment method has conservative therapy and operative treatment.The occurrence probability that heel string is broken again after conservative therapy
It is higher, it is easy to appear plantar flexion inability, seriously affects the function of patient.Although traditional cutting operation can carry out heel string reliable
Fixation, but widely appear and biggish destruction caused to the blood of heel string fortune and paratenon, be easy to happen Tendon Adhesion, delay
Heel string healing.Postoperative pain also makes patient that can not be resistant to early function to practice, and need to often fix 8 Zhou Houcai can be carried out rehabilitation instruction
Practice.The complication of non-healing wounds, infection etc. is relatively high after cutting operation.Percutaneous suture method can be larger to avoid open surgery
Notch (about 6-10cm) need multiple percutaneous puncture heel string, be easy to lead but since the Intraoperative position heel string broken ends of fractured bone is relatively difficult
Cause nervus suralis damage.The minimally invasive reparation of Achillon stapler commonly used at present combines open end end to suture and percutaneously repair
The advantages of both multiple sutures, the broken ends of fractured bone can be effectively sutured, while shortening incision length again.But the stapler only has 3 guide pins
Hole often needs a large amount of sutures to be located at heel string periphery, suture strength and tendon week soft tissue excitation are still worth using 8 word sewings
The problem of paying attention to.Kessler method and the suture of Bunnell method treat heel string because of its superior suture strength for open surgery
One of classical suture way of fracture.
Utility model content
The utility model is to solve a kind of above-mentioned technological deficiency, provides a kind of guiding device used for restoring rupture of heel tendon,
The device can ensure that suture strength simultaneously simultaneously using classical Kessler method and the minimally invasive suture heel string of Bunnell method sewing
It avoids a large amount of sutures exposed to tendon week soft tissue excitation, reduces infection rate and wound necrosis rate, nervus suralis is avoided to damage, and
Notch is small, and beautiful, operating time is short, and postoperative rehabilitation is fast.
The technical solution of the utility model is: a kind of guiding device used for restoring rupture of heel tendon, including double-U-shaped heel string sighting device and
Band wire casing puncture needle guider；The double-U-shaped heel string sighting device includes the first noumenon, the second ontology, is in U-shape respectively, first
Body, the second ontology include base portion and upwardly extend two interior side gauge bars, the outer side gauge bar to be formed from base portion two sides；Described
One ontology, the second ontology base portion be bolted by adjusting, the first noumenon and the adjacent two interior side gauge bars of the second ontology
Inclined design, two interior side gauge bars fit V-shaped；It is respectively corresponded in four locating rods and opens up location hole, in which: first
The top of body and the locating rod on the second ontology is equipped with openning shape location hole, and the center of the openning shape location hole is the same as always
On line, elliptical aperture is additionally provided on the interior side gauge bar of the first noumenon and the second ontology, the center of the elliptical aperture is same
On straight line, elliptical aperture is set to the lower section of openning shape location hole；The band wire casing puncture needle guider includes that heel string proximal end punctures dress
It sets, heel string distal end sting device.
Carry out in use, double-U-shaped heel string sighting device be inserted into and by the interior side gauge bar of two ontologies be placed in patient with
Adjusting bolt is tightened and heel string is fixed by tendon two sides, and heel string proximal end sting device horizontal position after tightening bolt is worn
The first noumenon, the openning shape location hole on heel string and the second ontology are crossed, band wire length staight needle is passed through by heel string proximal end sting device,
Rotation heel string proximal end sting device makes suture enter the periphery of heel string proximal end sting device by heel string proximal end sting device, avoids
Cutting fracture when puncturing again, then it is inserted in heel string distal end sting device, it is mutually communicated stream oriented device, pumpback heel string distal end is worn respectively
The openning shape location hole of side gauge bar in thorn device to side ontology is placed in heel string distal end to the distal end pumpback of the heel string broken ends of fractured bone again
Sting device adjusts the angle, and can be punctured by parallel interior side gauge bar direction to heel string section side, extraction heel string distal end punctures
Device, band wire length staight needle are pierced by by heel string proximal end sting device heel string section side, and same method operates heel string distal end,
Complete Kessler suture；From the openning shape location hole of interior side gauge bar to another ontology after being lifted such as heel string distal end sting device
Elliptical aperture is punctured to skin surface below the openning shape location hole of interior side gauge bar, is respectively penetrated two side seam lines, is wiped out sewing needle,
After the extraction of double-U-shaped heel string sighting device, suture is extracted out from skin to heel string two sides, completes Bunnell suture.
Further, openning shape location hole is in match shape, and the circular portion diameter ratio band wire casing of the match shape structure punctures
The elongated portion diameter of the big 2mm of needle guider diameter, match shape structure are 1mm bigger than puncture needle guider diameter.Convenient for band wire casing
Puncture needle guider passes through openning shape location hole and completes suture, and match shape structure enables band wire casing puncture needle guider can be by not
It is punctured with angle, realization is located at suture in heel string, enhances suture strength and avoids a large amount of sutures exposed and swashs to tendon week soft tissue
It invites, reduces infection rate and wound necrosis rate.
Further, the openning shape location hole on the interior side gauge bar of the first noumenon and the second ontology is adjacent to the side of elliptical aperture
To be prominent be in outside 25 degree -35 degree angles circular design.
Preferably, the openning shape location hole on the interior side gauge bar of the first noumenon and the second ontology is adjacent to the side of elliptical aperture
To be prominent be in outside 30 degree of angles circular design.Convenient for band wire casing puncture needle guider free conversion angle to a certain extent
It shuttles, completes Kessler and the Bunnell suture of heel string classics, suture is made to be placed in heel string core.
Further, two guide rods are set between the first noumenon and the second body base, are reinforced adjustable bolt and are fixed.
Further, the first noumenon, the second ontology base surface be respectively equipped with one in 20 degree -40 degree angles for holding
Inclined-plane.
Preferably, the first noumenon, the second ontology base surface be respectively equipped with one be in 30 degree of angles the inclined-plane for holding.Just
In when carrying out prosthesis, medical staff is easy to operate.
Further, heel string proximal end sting device and heel string distal end sting device can be mutually communicated when in use.Can simultaneously two
Side operation avoids surrounding soft tissue's insertion and nervus suralis damage, realizes a variety of suture ways, convenient and efficient, reduces the time.
Further, heel string proximal end sting device designs for twolip, which is equipped with needle tray, and one end of the needle tray is set
It is fluted.Make puncture heel string when it is quicker, wound is small, with heel string distal end sting device carry out clamping, avoid puncture when abjection,
Guarantee puncture strength.
Further, heel string distal end sting device designs for triconic, including needle core and handle, and the needle core and handle connect
It connects, the needle core is equipped with protrusion close to one end of handle, and heel string distal end sting device can inject heel string proximal end by needle core
The needle tray of sting device, and clamping is carried out by protrusion and groove.By heel string proximal end sting device and heel string distal end sting device
It is mutually communicated when in use, the needle core of heel string distal end sting device is first injected to the needle tray of heel string proximal end sting device, and pass through
Protrusion and the groove of needle tray carry out clamping on needle core, are fastenedly connected heel string proximal end sting device and heel string distal end sting device,
It is easier to puncture when being performed the operation, when reducing wound, especially heel string stop avulsion whereabouts point reconstruction, spikes through tuberosity of calcaneus
It is more convenient.
The beneficial effects of the utility model are: the ontology locating rod width that the utility model passes through double-U-shaped heel string sighting device
It adjusts, to adapt to different in width stump, to preferably can appear and consolidate using mini-invasive incision (2-3cm) in the course of surgery
It is fixed, double-U-shaped sighting device ontology locating rod difference positioning hole is passed through by band wire casing puncture needle guider different angle, according to feelings
Kessler and the Bunnell suture of heel string classics are completed in condition selection, so that suture is placed in heel string core, are avoided suture exposed to week
Enclose the excitation of tissue；Surgical procedure is simple, and operating time shortens, wound is small, can substantially reduce nervus suralis damage, and skin is bad
Extremely, the complication risks such as infection.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of double-U-shaped heel string sighting device.
Fig. 2 is the structural schematic diagram of heel string proximal end sting device.
Fig. 3 is the structural schematic diagram of heel string distal end sting device.
Specific embodiment
The attached figures are only used for illustrative purposes and cannot be understood as limitating the patent；In order to better illustrate this embodiment, attached
Scheme certain components to have omission, zoom in or out, does not represent the size of actual product；To those skilled in the art,
The omitting of some known structures and their instructions in the attached drawings are understandable.Being given for example only property of positional relationship is described in attached drawing
Illustrate, should not be understood as the limitation to this patent.
Embodiment 1:
As shown in Figure 1 to Figure 3, a kind of guiding device used for restoring rupture of heel tendon, including double-U-shaped heel string sighting device and worn with wire casing
Puncturing needle guide；Double-U-shaped heel string sighting device includes the first noumenon 1, the second ontology 2, is in U-shape respectively, and the first noumenon 1, second
Body 2 includes base portion and upwardly extends the interior side gauge bar 3 of to be formed two, outer side gauge bar 4 from base portion two sides, the first noumenon 1, the
The base surface of two ontologies 2 be respectively equipped with one be in 30 degree of angles the inclined-plane for holding；The first noumenon 1, the base portion of the second ontology 2 are logical
The connection of bolt 5 is overregulated, two guide rods 11 is set between 2 base portion of the first noumenon 1 and the second ontology, it is solid to reinforce adjustable bolt 5
Fixed, the first noumenon 1 and adjacent two interior 3 inclined designs of side gauge bar of the second ontology 2, two interior side gauge bars 3 fit in V
Shape；It is respectively corresponded in four locating rods and opens up location hole, in which: the top of the first noumenon 1 and the locating rod on the second ontology 2 is equal
Equipped with openning shape location hole 6, openning shape location hole 6 is in match shape, and the circular portion diameter ratio band wire casing of match shape structure punctures
The elongated portion diameter of the big 2mm of needle guider diameter, match shape structure are 1mm bigger than puncture needle guider diameter, openning shape positioning
The center in hole 6 on the same line, is additionally provided with elliptical aperture 7, elliptical aperture on the interior side gauge bar 3 of the first noumenon 1 and the second ontology 2
On the same line, elliptical aperture 7 is set to the lower section of openning shape location hole 6, the inside of the first noumenon 1 and the second ontology 2 at 7 center
The circular design of openning shape location hole 6 in locating rod 3 adjacent to be prominent be in the outside 10 of the side of elliptical aperture 7 30 degree of angles；Band
Wire casing puncture needle guider includes heel string proximal end sting device 8, heel string distal end sting device 9；Heel string proximal end sting device 8 and with
Tendon distal end sting device 9 can be mutually communicated when in use, and heel string proximal end sting device 8 designs for twolip, which is equipped with needle tray
12, one end of needle tray 12 is equipped with groove 13；Heel string distal end sting device 9 designs for triconic, including needle core 14 and handle 15, needle
Core 14 is connect with handle 15, and needle core 14 is equipped with protrusion 16 close to one end of handle 15, and heel string distal end sting device 9 passes through needle core 14
The needle tray 12 of heel string proximal end sting device 8 can be injected, and clamping is carried out by protrusion 16 and groove 13.
Carry out in use, double-U-shaped heel string sighting device be inserted into and by the interior side gauge bar 3 of two ontologies be placed in patient with
Adjusting bolt 5 is tightened and heel string is fixed by tendon two sides, the horizontal position after tightening bolt of heel string proximal end sting device 8
Across the first noumenon 1, openning shape location hole 6 on heel string and the second ontology 2, band wire length staight needle passes through heel string proximal end sting device
8 needle tray 12 passes through, and rotation heel string proximal end sting device 8 makes suture enter the outer of heel string proximal end sting device 8 by needle tray 12
Week cuts fracture, then is inserted in heel string distal end sting device 9 when avoiding puncturing again, first by the needle core of heel string distal end sting device 9
14 inject the needle tray 12 of heel string proximal end sting device 8, and carry out clamping by protrusion 16 on needle core 14 and the groove 13 of needle tray 12,
It is mutually communicated stream oriented device, respectively the openning shape location hole of pumpback heel string distal end sting device 9 to side gauge bar 3 in the ontology of side
6, to the distal end pumpback of the heel string broken ends of fractured bone, it is placed in heel string distal end sting device 9 again, lifts handle 15, adjusts the angle, it can be by parallel
Interior 3 direction of side gauge bar is punctured to heel string section side, extracts heel string distal end sting device 9 out, and band wire length staight needle is close by heel string
The needle tray 12 of end sting device 8 is pierced by from heel string section side, same to method, is operated to heel string distal end, and Kessler seam is completed
It closes；Openning shape location hole 6 after lifting such as the handle 15 of heel string distal end sting device 9 from interior side gauge bar 3 is into another ontology
The 6 lower section elliptical aperture 7 of openning shape location hole of side gauge bar 3 is punctured to skin surface, is respectively penetrated two side seam lines, is wiped out suture
Needle extracts suture from skin to heel string two sides out after the extraction of double-U-shaped heel string sighting device, completes Bunnell suture；If you need to
Tendon stop is rebuild, and the triconic puncture needle core of heel string distal end sting device 9 need to be used, and completes suture after passing through tuberosity of calcaneus.
The operation of the utility model is as follows:
1) patient takes prone position, each pressure position conventional safety, limb elevation, upper tourniquet.
2) straight cut on the inside of a 1.5-2cm is done centered on the heel string broken ends of fractured bone, cuts skin, subcutaneous tissue, deep fascia and tendon
Film.
3) aponeurosis (aponeuroses) tissue is fixed on by notch both ends with suture.Far and near end tunnel under paratenon is cleared up, in order to double-U-shaped
The merging of heel string sighting device.
4) knee joint extreme buckling, ankle plantar flexion, clamp expose remote, proximal end with key stump.
5) drawing proximal end heel string stump is placed in double-U-shaped heel string sighting device between two interior side gauge bars 3, and tightening can
Adjust the fixed heel string broken ends of fractured bone of bolt 5.
6) heel string proximal end sting device 8 is used, at the match shape hole in four locating rods of sighting device, band wire length
Staight needle is passed through by the needle tray 12 of heel string proximal end sting device 8, rotation heel string proximal end sting device 8 make suture by needle tray 12 into
The periphery for entering heel string proximal end sting device 8 cuts fracture, then is inserted in heel string distal end sting device 9 when avoiding puncturing again, first will
The needle core 14 of heel string distal end sting device 9 injects the needle tray 12 of heel string proximal end sting device 8, and by protrusion 16 on needle core 14 with
The groove 13 of needle tray 12 carries out clamping, is mutually communicated stream oriented device, respectively in pumpback heel string distal end sting device 9 to side ontology
The openning shape location hole 6 of side gauge bar 3 is placed in heel string distal end sting device 9 again, lifts handle to the distal end pumpback of the heel string broken ends of fractured bone
Hand 15 adjusts the angle, and can be punctured by parallel interior 3 direction of side gauge bar to heel string section side, extraction heel string distal end, which punctures, to be filled
9 are set, is pierced by by the needle tray 12 of heel string proximal end sting device 8 from heel string section side with wire length staight needle, same to method, to heel string distal end
It is operated, completes Kessler suture；From the opening of interior side gauge bar 3 after being lifted such as the handle 15 of heel string distal end sting device 9
The 6 lower section elliptical aperture 7 of openning shape location hole of the side gauge bar 3 into another ontology of shape location hole 6 is punctured to skin surface, is worn respectively
Enter two side seam lines, wipe out sewing needle, after the extraction of double-U-shaped heel string sighting device, suture is extracted out from skin to heel string two sides, completed
Bunnell suture.
7) heel string distal stumps can be used the triconic needle core 14 of heel string distal end sting device 9 from calcaneum if stop is broken
It is pierced by tubercle, completes stop and rebuild.
8) next knotting is taken out in heel string center or two side seam lines by suffering limb bending knee, plantar flexion, and silk thread is made to reinforce seam around stump
It closes.
9) it rinses, sew up a wound, the fixed suffering limb of plaster slab.
Obviously, the above embodiments of the present invention is merely examples for clearly illustrating the present invention, and
It is not limitations of the embodiments of the present invention.For those of ordinary skill in the art, in above description
On the basis of can also make other variations or changes in different ways.There is no need and unable to give all embodiments
Exhaustion.Any modifications, equivalent replacements, and improvements made within the spirit and principle of the present invention etc., should be included in
Within the protection scope of the utility model claims.
Claims (10)
1. a kind of guiding device used for restoring rupture of heel tendon, including double-U-shaped heel string sighting device and with wire casing puncture needle guider；It is described double
U-shaped heel string sighting device includes the first noumenon (1), the second ontology (2), is in U-shape respectively, the first noumenon (1), the second ontology (2) packet
It includes base portion and upwardly extends the interior side gauge bar (3) of to be formed two, outer side gauge bar (4) from base portion two sides；The first noumenon
(1), the base portion of the second ontology (2) is by adjusting bolt (5) connection, in the first noumenon (1) and adjacent two of the second ontology (2)
Side gauge bar (3) inclined design, two interior side gauge bars (3) fit V-shaped；It is respectively corresponded in four locating rods and opens up positioning
Hole, it is characterised in that: the top of the first noumenon (1) and the locating rod on the second ontology (2) is equipped with openning shape location hole (6),
The center of the openning shape location hole (6) on the same line, the interior side positioning of the first noumenon (1) and the second ontology (2)
It is additionally provided on bar (3) elliptical aperture (7), on the same line, the elliptical aperture (7) is set to opening at the center of the elliptical aperture (7)
The lower section of shape location hole (6)；The band wire casing puncture needle guider includes heel string proximal end sting device (8), the puncture of heel string distal end
Device (9).
2. a kind of guiding device used for restoring rupture of heel tendon according to claim 1, which is characterized in that the openning shape location hole
It (6) is in match shape, the circular portion diameter ratio band big 2mm of wire casing puncture needle guider diameter of the match shape structure, match shape
The elongated portion diameter of structure is 1mm bigger than puncture needle guider diameter.
3. a kind of guiding device used for restoring rupture of heel tendon according to claim 1 or 2, which is characterized in that the first noumenon (1) and
The outside (10) of the side of openning shape location hole (6) neighbouring elliptical aperture (7) on the interior side gauge bar (3) of second ontology (2) is
Prominent is in the circular design at 25 degree -35 degree angles.
4. a kind of guiding device used for restoring rupture of heel tendon according to claim 3, which is characterized in that the first noumenon (1) and
The outside (10) of the side of openning shape location hole (6) neighbouring elliptical aperture (7) on the interior side gauge bar (3) of two ontologies (2) is prominent
It is out in the circular design at 30 degree of angles.
5. a kind of guiding device used for restoring rupture of heel tendon according to claim 1, which is characterized in that the first noumenon (1)
And second set that there are two guide rod (11) between ontology (2) base portion.
6. a kind of guiding device used for restoring rupture of heel tendon according to claim 1, which is characterized in that the first noumenon (1), second
The base surface of ontology (2) be respectively equipped with one be in 20 degree -40 degree angles the inclined-plane for holding.
7. a kind of guiding device used for restoring rupture of heel tendon according to claim 6, which is characterized in that the first noumenon (1), second
The base surface of ontology (2) be respectively equipped with one be in 30 degree of angles the inclined-plane for holding.
8. a kind of guiding device used for restoring rupture of heel tendon according to claim 1, which is characterized in that heel string proximal end sting device
(8) it can be mutually communicated when in use with heel string distal end sting device (9).
9. a kind of guiding device used for restoring rupture of heel tendon according to claim 8, which is characterized in that the heel string proximal end punctures
Device (8) designs for twolip, which is equipped with needle tray (12), and one end of the needle tray (12) is equipped with groove (13).
10. a kind of guiding device used for restoring rupture of heel tendon according to claim 9, which is characterized in that wear the heel string distal end
Thorn device (9) designs for triconic, including needle core (14) and handle (15), and the needle core (14) connect with handle (15), described
Needle core (14) is equipped with raised (16) close to the one end of handle (15), and heel string distal end sting device (9) can by needle core (14)
The needle tray (12) of heel string proximal end sting device (8) is injected, and carries out clamping by raised (16) and groove (13).
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| CN201721627849.7U CN208769866U (en) | 2017-11-29 | 2017-11-29 | A kind of guiding device used for restoring rupture of heel tendon |
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| CN201721627849.7U CN208769866U (en) | 2017-11-29 | 2017-11-29 | A kind of guiding device used for restoring rupture of heel tendon |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107802301A (en) * | 2017-11-29 | 2018-03-16 | 广东医科大学附属医院 | A kind of guiding device used for restoring rupture of heel tendon |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107802301A (en) * | 2017-11-29 | 2018-03-16 | 广东医科大学附属医院 | A kind of guiding device used for restoring rupture of heel tendon |
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