CN208942414U - Anterior cruciate ligament Anatomical Reconstruction approach guides locator - Google Patents
Anterior cruciate ligament Anatomical Reconstruction approach guides locator Download PDFInfo
- Publication number
- CN208942414U CN208942414U CN201820857143.8U CN201820857143U CN208942414U CN 208942414 U CN208942414 U CN 208942414U CN 201820857143 U CN201820857143 U CN 201820857143U CN 208942414 U CN208942414 U CN 208942414U
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- CN
- China
- Prior art keywords
- kirschner wire
- locator
- location hole
- arch
- sleeve
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- 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.)
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Abstract
The utility model discloses a kind of anterior cruciate ligament Anatomical Reconstruction approaches to guide locator, it includes the arch locator ontology (1) of fixed angle, there are abutment sleeve (7) in arch locator ontology (1) tail portion, abutment sleeve (7) side is equipped with control handle (8), the Kirschner wire pilot sleeve (2) passed through for Kirschner wire (9) to be oriented to it is equipped in abutment sleeve (7), there are location hole (3) in the front end of arch locator ontology (1), eccentric location hook (4) is equipped in front of location hole (3), the top of the front end of location hole (3) is communicated equipped with the positioning pipe (5) of diameter 2mm long 10mm with location hole, Kirschner wire (9) are positioned in clinical manipulation just to pass through from location hole (3) and positioning pipe (5) through Kirschner wire pilot sleeve (2).The utility model structure is simple, easy to operate, quick and precisely positions through shin bone to femur end tunnel, shortens operating time, mitigates patient's pain.
Description
Technical field
Intersection before quickly being rebuild the utility model relates to sports medical science medical instruments field more particularly to Anatomical Reconstruction approach
The positioning and guiding instrument in ligament tibiofemoral end tunnel.
Background technique
Cross ligament damage is the most common damage in orthopedic sports medicine, and Healing in Anterior Cruciate Ligament Reconstruction is performed the operation under arthroscope
It is also one of most common operation in orthopedic sports medicine.The purpose of Healing in Anterior Cruciate Ligament Reconstruction is to restore kneed stability
And kinestate, Healing in Anterior Cruciate Ligament Reconstruction most popular method have isometric reconstruction and Anatomical Reconstruction.After isometric reconstruction, although can take
Backward stability before obtaining preferably, rotational stabilization are still poor.Therefore, in recent years most scholars think to abandon it is isometric heavy
It builds, pursues Anatomical Reconstruction.The mainstream that Anatomical Reconstruction technology increasingly becomes reconstruction at home at present is established in Anatomical Reconstruction
Femoral bone tunnel pathway is broadly divided into through anterior-medial approach and through tibial tunnel approach.There are two types of preceding fork positioner is current: point-to-point
Preceding fork positioner, put the preceding fork positioner of device to hole.Wherein, common with point-to-point preceding fork positioner.Existing preceding fork positioner
It often first establishes after tibial tunnel and establishes femoral bone tunnel through anterior-medial approach again, operating time is longer, using with eccentricity
Femur locator needs extreme buckling knee joint when positioning, and is easy to damage condyle cartilage in femur, the femoral bone tunnel total length got
It is shorter, it is unfavorable for belt loop steel plate and turns over loop, as misoperation is easy to explode femoral bone tunnel rear wall.
Summary of the invention
In view of the deficiency in the presence of the prior art, the purpose of this utility model is to design a kind of anterior cruciate ligament dissection weight
It is built into pass and leads locator, femur end tunnel is quick and precisely positioned through shin bone, shorten operating time, mitigate patient's pain.
For this purpose, the utility model uses following technical solution: the anterior cruciate ligament Anatomical Reconstruction enters pass
The arch locator ontology that locator includes fixed angle is led, has abutment sleeve, abutment sleeve in arch locator body tail section
Side is equipped with control handle, is equipped in abutment sleeve and passes through Kirschner wire pilot sleeve to be oriented to it for diameter 2mm Kirschner wire,
There is location hole in the front end of arch locator ontology, the location hook of 2mm bias, the top of the front end of location hole are equipped in front of location hole
Portion is communicated equipped with the positioning pipe of diameter 2mm long 10mm with location hole, and Kirschner wire is positioned in clinical manipulation and is just oriented to through Kirschner wire
Sleeve passes through from location hole and positioning pipe.
Further, arch locator ontology is connected with knop, operates with convenient for patient.
Further, Kirschner wire from the Kirschner wire pilot sleeve in the abutment sleeve of arch locator body tail section into
Enter, right up to the positioning holes center of the distal end of arch locator ontology, then drawn from the positioning pipe at top, guidance Kirschner wire is fixed
Position.
Further, the Kirschner wire pilot sleeve being inserted into from the tail portion abutment sleeve of arch locator ontology can be back and forth
The front end of sliding, Kirschner wire pilot sleeve is the dentalation with 50 degree of inclined-planes, and there is control in the tail portion of arch locator ontology
Knob prevents abutment sleeve from skidding off when operating in art.
The utility model have the advantages that the 1, anterior cross ligament location guide include arch locator ontology and gram
Family name's needle pilot sleeve is equipped with the Kirschner wire passed through for Kirschner wire to position to it in arch locator body tail section abutment sleeve
Pilot sleeve is equipped with location hook in the front end of arch locator with the direction of the better stable osseous tunnel in drilling；2, and it is fixed
The positioning pipe that position hole communicates, is directed toward femoral lateral condyle medial surface anterior cruciate ligament footmark area anatomical center point, for establishing femur tunnel
Road direction, so that it is determined that the position of tibial tunnel internal orifice, so that tibial tunnel and femoral bone tunnel are established simultaneously, a step is completed, into
And operating time has been saved, reduce the damage of blood vessel, nerve and cartilage, and can be improved operation accuracy；3, this is practical
It is novel to reduce operating time, operation accuracy is improved, extreme buckling knee joint is not necessarily to, the anxiety of condyle cartilage in not damaged femur,
Femoral bone tunnel moderate length, more preferably, on patellofemoral joint without influence, the overturning for being more advantageous to miniature steel plate is fixed for outlet port, and
And make the surgical procedure of clinician more safe and simple.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the utility model.
Fig. 2 uses schematic diagram for the utility model.
In figure: 1 arch locator ontology；2 Kirschner wire pilot sleeves；3 location holes；4 location hooks；5 positioning pipes；6 round handles
Hand；7 abutment sleeves；8 control handles；9 Kirschner wires；10 dentalations.
Specific embodiment
The technical solution of the utility model is further illustrated with reference to the accompanying drawing, but is not to be construed as to technical solution
Limitation, improvement on this basis come under the protection scope of the utility model.
As shown in Figure 1, 2, anterior cruciate ligament Anatomical Reconstruction approach guidance locator includes the arch positioning of fixed angle
Device ontology 1 has abutment sleeve 7 in 1 tail portion of arch locator ontology, and 7 side of abutment sleeve is equipped with control handle 8, abutment sleeve 7
In be equipped with and pass through Kirschner wire pilot sleeve 2 to be oriented to it for diameter 2mm Kirschner wire 9, in the front end of arch locator ontology 1
There is location hole 3, the location hook 4 of 2mm bias is equipped in front of location hole 3, the top of the front end of location hole 3 is equipped with diameter 2mm long
The positioning pipe 5 of 10mm is communicated with location hole, and Kirschner wire 9 is positioned in clinical manipulation just through Kirschner wire pilot sleeve 2 from location hole 3
Pass through with positioning pipe 5.
Further, arch locator ontology 1 is connected with knop 6, operates with convenient for patient.
Further, Kirschner wire 9 is from the Kirschner wire pilot sleeve 2 in the abutment sleeve 7 of 1 tail portion of arch locator ontology
Into, right up to 3 center of location hole of the distal end of arch locator ontology 1, then drawn from the positioning pipe 5 at top, guidance gram
The positioning of family name's needle.
Further, the Kirschner wire pilot sleeve 2 being inserted into from the tail portion abutment sleeve 7 of arch locator ontology 1 can
It slidably reciprocates, the front end of Kirschner wire pilot sleeve 2 is the dentalation 10 with 50 degree of inclined-planes, the tail of arch locator ontology 1
Portion has control handle 8 to prevent abutment sleeve from skidding off when operating in art.
When operation, patient takes dorsal position after anaesthetizing successfully, and routine disinfection paving is single, and tourniquet inflated suffers from 90 degree of knee buckling；Often
Outside and preceding inner incision before establishing are advised, articular cavity situation is detected, checks cross ligament damage situation, however, it is determined that preceding intersection is tough
Band damage need to rebuild treatment, exit arthroscope, be derived from body semitendinosus and gracilis braiding suture is spare；It is inserted into from anterior-medial approach
Anterior cross ligament location guide, the ordinate that location hook 4 is positioned at the outer side slope of the intercondylar ridge in inside are swum with parallel lateral meniscus
The crosspoint (anchor point of tibial tunnel) of horizontal line from edge 2mm afterwards, the Kirschner wire got is just from the anchor point of tibial tunnel
Out；The positioning pipe 5 at the top of locator is directed toward femoral lateral condyle medial surface anterior cruciate ligament footmark area anatomical center point and is used to simultaneously
Femoral bone tunnel direction is established, so that it is determined that the position of tibial tunnel internal orifice；At this moment the abutment sleeve 7 of locator and shin bone sagittal plane
About 40 degree of angulation, and about 55 degree of shin bone longitudinal axis angulation, femoral bone tunnel can be directly got by tibial tunnel in this way；The method is to art
Person's space orientation sense requirement is high, certainly can not Anatomical orientation femur through tibial tunnel if tibial tunnel fixed point orientation is improper
Tunnel, but by appropriate training, it is not difficult matter through tibial tunnel Anatomical orientation femoral bone tunnel using this locator；Foundation is done again
The diameter of natural ligament out establishes the osseous tunnel of reasonable diameter using suitable drill bit reaming, is brought into guide pin with holes guidance is tough
Enter tunnel, completes to rebuild after both ends are fixed.
Claims (4)
1. anterior cruciate ligament Anatomical Reconstruction approach guides locator, it is characterized in that: it includes the arch locator sheet of fixed angle
Body (1) has abutment sleeve (7) in arch locator ontology (1) tail portion, and abutment sleeve (7) side is equipped with control handle (8), fixed
It is equipped in position sleeve (7) for diameter 2mm Kirschner wire (9) across the Kirschner wire pilot sleeve (2) to be oriented to it, is positioned in arch
The front end of device ontology (1) has location hole (3), location hook (4) of location hole (3) front equipped with 2mm bias, before location hole (3)
The top at end is communicated equipped with the positioning pipe (5) of diameter 2mm long 10mm with location hole, positions Kirschner wire (9) just in clinical manipulation
Pass through from location hole (3) and positioning pipe (5) through Kirschner wire pilot sleeve (2).
2. anterior cruciate ligament Anatomical Reconstruction approach according to claim 1 guides locator, it is characterized in that: arch locator
Ontology (1) is connected with knop (6), operates with convenient for patient.
3. anterior cruciate ligament Anatomical Reconstruction approach according to claim 1 guides locator, it is characterized in that: Kirschner wire (9)
Enter from the Kirschner wire pilot sleeve (2) in the abutment sleeve (7) of arch locator ontology (1) tail portion, right up to arch is fixed
Location hole (3) center of the distal end of position device ontology (1), then drawn from the positioning pipe (5) at top, guidance Kirschner wire positioning.
4. anterior cruciate ligament Anatomical Reconstruction approach according to claim 1 guides locator, it is characterized in that: being positioned from arch
The Kirschner wire pilot sleeve (2) being inserted into the tail portion abutment sleeve (7) of device ontology (1) can slidably reciprocate, Kirschner wire pilot sleeve
(2) front end is the dentalation (10) with 50 degree of inclined-planes, and the tail portion of arch locator ontology (1) has control handle (8) to exist
Prevent abutment sleeve from skidding off when operating in art.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201820857143.8U CN208942414U (en) | 2018-06-05 | 2018-06-05 | Anterior cruciate ligament Anatomical Reconstruction approach guides locator |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201820857143.8U CN208942414U (en) | 2018-06-05 | 2018-06-05 | Anterior cruciate ligament Anatomical Reconstruction approach guides locator |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN208942414U true CN208942414U (en) | 2019-06-07 |
Family
ID=66730897
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201820857143.8U Expired - Fee Related CN208942414U (en) | 2018-06-05 | 2018-06-05 | Anterior cruciate ligament Anatomical Reconstruction approach guides locator |
Country Status (1)
| Country | Link |
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| CN (1) | CN208942414U (en) |
Cited By (5)
| 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 |
| CN110623719A (en) * | 2019-09-23 | 2019-12-31 | 深圳市第二人民医院 | Medial patella ligament surgery access positioning device and method |
| CN112370115A (en) * | 2020-11-16 | 2021-02-19 | 中国人民解放军海军军医大学第一附属医院 | Front fork positioner |
| CN112426221A (en) * | 2020-11-25 | 2021-03-02 | 北京骨外固定技术研究所 | Needle guiding device and needle guiding body thereof |
| CN113081158A (en) * | 2021-03-30 | 2021-07-09 | 重庆市急救医疗中心 | Tibia tunnel locator for posterior cruciate ligament reconstruction operation |
-
2018
- 2018-06-05 CN CN201820857143.8U patent/CN208942414U/en not_active Expired - Fee Related
Cited By (5)
| 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 |
| CN110623719A (en) * | 2019-09-23 | 2019-12-31 | 深圳市第二人民医院 | Medial patella ligament surgery access positioning device and method |
| CN112370115A (en) * | 2020-11-16 | 2021-02-19 | 中国人民解放军海军军医大学第一附属医院 | Front fork positioner |
| CN112426221A (en) * | 2020-11-25 | 2021-03-02 | 北京骨外固定技术研究所 | Needle guiding device and needle guiding body thereof |
| CN113081158A (en) * | 2021-03-30 | 2021-07-09 | 重庆市急救医疗中心 | Tibia tunnel locator for posterior cruciate ligament reconstruction operation |
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| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20190607 Termination date: 20200605 |
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| CF01 | Termination of patent right due to non-payment of annual fee |