CN208958288U - The outer fixed reset bracket of operation - Google Patents

The outer fixed reset bracket of operation Download PDF

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Publication number
CN208958288U
CN208958288U CN201821045617.5U CN201821045617U CN208958288U CN 208958288 U CN208958288 U CN 208958288U CN 201821045617 U CN201821045617 U CN 201821045617U CN 208958288 U CN208958288 U CN 208958288U
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CN
China
Prior art keywords
pitman
spicule
ring
telescopic sleeve
clamper
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
Application number
CN201821045617.5U
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Chinese (zh)
Inventor
陈愉
刘绍凡
卢卫忠
杨婧
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Chongqing Traditional Chinese Medicine Hospital
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Chongqing Traditional Chinese Medicine Hospital
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Publication date
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Priority to CN201821045617.5U priority Critical patent/CN208958288U/en
Application granted granted Critical
Publication of CN208958288U publication Critical patent/CN208958288U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model relates to medical instruments fields, more particularly to outer fixed reset bracket of performing the operation, it is mainly used for fracture in operation to be fixed temporarily, it resets, including pitman, spicule clamper and, spicule, fixed ring, telescopic sleeve and ring link block, fixed ring is in semicircular arc, semicircular arc path displacement aperture is equipped in fixed ring, the both ends of pitman are mounted between two fixed rings by ring link block, and ring link block is stuck in the displacement aperture of path and moves, pitman is divided into left pitman and right pitman, long bolt is equipped in telescopic sleeve, left pitman and right pitman are separately mounted to the two ends of long bolt;The relative distance being located by connecting between stick and bone by adjusting elasticity nut, it is set to apply corresponding pulling force or tractive force to bone, to pull the bone to misplace toward X, Y direction, the length of shortening pitman can also be extended to help spicule to position, make the bone of this bracket fixed reset human body different parts.

Description

The outer fixed reset bracket of operation
Technical field
The utility model relates to medical instruments fields, and in particular to outer fixed reset bracket of performing the operation is mainly used for performing the operation Middle fracture is fixed temporarily, resets.
Background technique
Exterior fixing rack has become the prefered method of the corresponding operative treatment of orthopaedics, and orthopaedics technique for fixing is by percutaneously wearing Box for needle or pin Ligation in vitro device connects adjacent bone section or limbs, and reaches and stablize admittedly after this anatomical reduction of fracture segment end group It is fixed, required biomechanical environment is provided for union, is able to satisfy patient's functional rehabilitation exercise demand, is a kind of good bone Surgical treatment technology.
The exterior fixing rack used in orthopaedics fracture fixing operation is unilateral type exterior fixing rack at present, is suitable for all kinds of The cases such as four limbs open fracture, old fracture, it is divided into linear and two kinds of structures of T-type, and bracket is cantilever beam structure, steel Concentration is compared in spicule distribution processed, relatively limits to the constraint of fracture segment, causes integrally-built stress distribution unbalanced, and is unilateral flat The exterior fixing rack in face can only be fixed, reliably, flexibly, after pressurization from the fixed fracture of a plane not as good as two planes or more planes It is be easy to cause fracture separation and angulation in fixed opposite side, increases its constraint to the bone section freedom degree other than steel needle distribution plane. Additionally due to the mechanical property of unilateral plane exterior fixing rack has asymmetry, in oblique, spiral shape and the shakinesses such as comminuted In fixed length pipe fractures, longitudinal pressure be should not be too large.Otherwise it is easy to appear reduction of the fracture loss, to such fracture in treatment Interruption pressurization can only be implemented using the type exterior fixing rack.
The exterior fixing rack in clinical use includes pitman 1, spicule clamper 2 and spicule 3 at present, as shown in Figure 1, Pitman 1 is equipped with the bent joint device 4 that can be bent, and spicule 3 is mounted on spicule clamper 2, and spicule clamper 2 is connected to On pitman 1, then pitman 1 is fixed on fracture in straight line, and two spicules 3 are to make power toward the same direction, can only Dislocation is fixed toward the extruding of the same direction, pulling;It can only fix the bone toward the same side fracture, be if it is fracture dislocation Two knochenbruch the past X-directions, again past Y direction, then wanting to reset knochenbruch in situ, then just at least needing two groups of resets Spicule pulls return toward former straight line position simultaneously from X, Y-axis, and doctor is during which needed constantly to adjust the fixation of pitman and spicule Position, either fine tuning adjusts angle and strength of adjustment is all difficult to hold.
Summary of the invention
In view of the technical problems existing in the prior art, the utility model provides outer fixed reset bracket of performing the operation, can be with The multi-faceted position for adjusting spicule insertion fracture site, by adjusting elasticity nut be located by connecting between stick and bone it is opposite away from From making it apply corresponding pulling force or tractive force to bone, to pull the bone to misplace toward X, Y direction, can also prolong Length shortens the length of pitman to help spicule to position, and have the exterior fixing rack can with the bone of fixing human different parts There are multi-faceted fixed dislocation bone, the wider array of function of adaptation range.
To realize the above-mentioned technical purpose, the technical solution adopted in the utility model is as follows:
The outer fixed reset bracket of operation, including pitman, spicule clamper and spicule, further include fixed ring, telescopic Pipe and ring link block, the fixed ring are in semicircular arc, and semicircular arc path displacement aperture is equipped in fixed ring, are displaced in path Be interior fixed ring, outside on the inside of hole be outer fixed ring, the both ends of the pitman by ring link block be mounted on two it is solid Determine between ring, and ring link block is stuck in the displacement aperture of path and moves, a connection can be at least installed between two fixed rings Stick, the pitman are divided into left pitman and right pitman, and long bolt, left pitman and right pitman are equipped in telescopic sleeve It is separately mounted in the two ends of long bolt;The spicule clamper includes first half clamper and later half clamper, the first half Clamper and later half clamper are mounted on pitman by pinching screw, and wherein spicule is mounted on first half clamper or later half On clamper, the spicule is equipped with external screw thread, and is cased with tightening nut, and the tightening nut is placed in first half clamper and later half The upper end of clamper.
Using the outer fixed reset bracket of operation that this is designed, it is mainly used during surgery, and auxiliary doctor carries out interim The reduction of the fracture can install multiple pitmans between two fixed rings, can rotate adjusting angle, in this way can be from multi-faceted peace Spicule is filled, more spicules are hammered into according to the direction of bone fracture dislocation, spicule, bone are tensed by tightening nut on adjusting spicule The lower end of needle go deep into it is motionless in bone, by the nut above knob by spicule towards its axial direction pull shift, knob pine It is spicule when tight nut relative to bone and first half clamper, later half clamper without rotation, it thus can be in bone The direction of dislocation applies pressure or pulling force, and dislocation bone is drawn to original position and is resetted, spicule can be clamped again by first half Device or later half the clamper adjusting position on pitman can carry out the reduction of the fracture from multiple orientation simultaneously, compared with the existing technology For not only can from X-direction lift dislocation bone, can also from Y direction lift dislocation bone;Also, pitman can be with Elongation can shorten, can be used on the joint of different length, using the exterior fixing rack of the application only need on the skin into The minimally invasive punching of row is the interim reset during mountable spicule is performed the operation, and hand-reset compared with the existing technology or is cut greatly For the positioning of mouth installation steel plate, reset, the wound area of the application is small, and it is next can to rotate the relative angle adjusted between pitman The constant bearing of spicule is adjusted, using flexible is suitable for Minimally Invasive Surgery, the more conducively recovery of patient.
It further limits, telescopic sleeve is divided into left telescopic sleeve and right telescopic sleeve again, wherein the left end of left telescopic sleeve It is connected to left pitman by long bolt, the right end of right telescopic sleeve is connected to right pitman, left telescopic sleeve by long bolt The bent joint device with bulb bearing is connected between right telescopic sleeve, bent joint device makes left pitman and right pitman The angle in approximately the same plane can be converted, for example in wrist position, one of joint ring can be fixed on finger tip, separately Before one joint ring is fixed on forearm bone, can use bent joint device in this way and carry out bending angle adjustment, flexibility ratio and Fitness is higher, and the extension of telescopic arm is carried out in conjunction with left telescopic sleeve and right telescopic sleeve, can be used in more multi-joint portion Position.
Further limit, the left pitman and right pitman are equipped with graduated scale, convenient for doctor adjust distance when It waits and more intuitively reads and quantify the length for needing to stretch, comparatively reduction of the fracture precision is higher.
It further limits, the ring link block is mainly made of threaded end and clamping end head, and screw thread is set in threaded end Hole is connected on left pitman, and clamping end head is equipped with upper groove and lower groove, and clamping end head moves in the displacement aperture of path, Wherein upper groove is connected in outer fixed ring, and lower groove is connected in interior fixed ring.Ring link block mainly plays the work of transition connection With, be connected to pitman and fixed ring, clamping end head in fixed ring after can rotate the angle that pitman adjusts spicule, peace After filling more pitmans Monday circle nail spicule, the fixation ring design of semicircular arc bone half can be surrounded outside bone Week, not only adjustable pitman when positioning spicule can also adjust fixed ring around bone rotation or four solid Determine ring and is half-and-half fixed about bone one week.
Detailed description of the invention
Fig. 1 is the schematic perspective view of background technique;
Fig. 2 is the schematic perspective view of the outer fixed reset bracket of operation;
Fig. 3 is the operation pitman of outer fixed reset bracket and the configuration schematic diagram of telescopic sleeve;
Fig. 4 is the schematic perspective view of ring link block.
Specific embodiment
In order to which those skilled in the art may be better understood, with reference to the accompanying drawings and examples to the utility model Technical solution further illustrates.
The outer fixed reset bracket of operation as shown in Figure 2, Figure 3, Figure 4, including pitman 1, spicule clamper 2 and spicule 3, it further include fixed ring 4, telescopic sleeve 5 and ring link block 6, pitman 1 and telescopic sleeve 5 are mainly carbon fiber material, institute Fixed ring 4 is stated in semicircular arc, semicircular arc path displacement aperture 41 is equipped in fixed ring 4, i.e., path displacement aperture 41 is along whole The semicircular arc shape of body fixed ring 4 designs, and is line of demarcation with path displacement aperture 41, and in path, 41 inside of displacement aperture is interior solid Determine ring 42, outside is outer fixed ring 43, the both ends of the pitman 1 by ring link block 6 be mounted on two fixed rings 4 it Between, and ring link block 6 moves in path displacement aperture 41, transition fit between ring link block 6 and fixed ring 4, convenient for rotation It is more labor-saving when pitman 1, also guarantee not generate relative motion between the two when not being rotatablely connected stick 1, two fixed rings 4 it Between a pitman 1 is installed, can also need to install two and more than two pitman 1, the connection according to fracture positioning Stick 1 divides for left pitman 11 and right pitman 12, and long bolt 7, left pitman 11 and right pitman 12 are equipped in telescopic sleeve 5 The two ends of long bolt 7 are separately mounted to, can individually be extended left pitman 11 toward left side, right pitman 12, which is turned right, to be prolonged It stretches;The spicule clamper 2 includes first half clamper 21 and later half clamper 22, the first half clamper 21 and later half clamper 22 are mounted on pitman 1 by pinching screw, and the spicule 3 is equipped with external screw thread, and is cased with tightening nut 31, described elastic Nut 31 is placed in the upper end of first half clamper 21 and later half clamper 22, can arbitrarily left and right adjusting spicule clamper 2 be clamped in Position on left pitman 11 and right pitman 12, adjustable forward and backward binding clasp can rotate adjusting and be mounted on pitman 1 Position, both spicule 3 can be made to install straight down, vertical plane can also be favoured and installed, for example, use when The spicule 3 waited on left pitman 11 can be vertically-mounted, and the spicule 3 on right pitman 12 can tilt installation, can consolidate in this way The fixed bone toward different directions angular misalignment does not have to only adjust pitman 1 when adjusting, and use is more flexible, wherein spicule 3 It is mounted on first half clamper 21 and installs four altogether perhaps on later half clamper 22 or on first half clamper 21 and later half clamper 22 Spicule 3, the upper end of spicule 3 are additionally provided with butterfly shape knob trunnion 32, knob branch can be used when spicule is hammered into bone Ear 32 is assisted, more labor-saving when hammering into spicule, also can be carried out the fine tuning of spicule 3, after spicule 3 is had good positioning, is needed The continuous relative rectilinear for adjusting pitman 1 and bone apart from when can turn tightening nut 31, it is tight when unscrewing outward The distance between pitman 1 and bone are lengthened when nut 31, reduce the pulling force to bone at this time;When twisting tightening nut 31 inside Shorten the distance between pitman 1 and bone, increase the pulling force to bone at this time, doctor according to the misalignment of bone, or Reset recovery situation adjusting elasticity nut 31.
Telescopic sleeve 5 is divided into left telescopic sleeve 51 and right telescopic sleeve 52 again, wherein the left end of left telescopic sleeve 51 passes through Long bolt 7 is connected to left pitman 11, and the right end of right telescopic sleeve 52 is connected to right pitman 12 by long bolt 7, and a left side is flexible The bent joint device 9 with bulb bearing 8 is connected between casing 51 and right telescopic sleeve 52, bulb bearing can make left telescopic Pipe and right telescopic sleeve rotate multiple orientation, and the use principle in background technique is the same as shown in figure 1, adjustable left pitman 11 With the bending angle of right pitman 12, spicule 3 is fixed on two joints that can be bent.
The left pitman 11 and right pitman 12 are equipped with graduated scale 13, and data quantization is utilized when fixing bone It positions, the positioning spicule for helping doctor faster more labor-saving.
The ring link block 6 is mainly made of threaded end 61 and clamping end head 62, and threaded hole company is set in threaded end 61 Connect on left pitman 11 or right pitman 12, enable left pitman 11 and right pitman 12 be connected in threaded end 61 into Row rotation, not only 3 position of spicule can be rotated relative to pitman 1 in this way, and pitman 1 also can be carried out rotation, realize the more of spicule 3 Orientation is mobile, and clamping end head 62 is equipped with upper groove 621 and lower groove 622, and clamping end head 62 is moved in path displacement aperture 41 Dynamic, wherein upper groove 621 is connected in outer fixed ring 43, and lower groove 622 is connected in interior fixed ring 42, upper groove 621 and outer The position that fixed ring 43 contacts is arc, and the position that similarly lower groove 622 is contacted with interior fixed ring 42 is also to be mutually matched Arc, convenient for ring link block 6 can be smooth move in the path displacement aperture 41.
Operation provided by the utility model is described in detail with outer fixed reset bracket above, specific embodiment Illustrate the method and its core concept for being merely used to help understand the utility model.It should be pointed out that for the general of the art For logical technical staff, without departing from the principle of this utility model, several improvement can also be carried out to the utility model And modification, modifications and modifications also fall within the protection scope of the claims of the utility model.

Claims (4)

1. outer fixed reset bracket of performing the operation, including pitman, spicule clamper and spicule, it is characterised in that: further include fixing Ring, telescopic sleeve and ring link block, the fixed ring are in semicircular arc, and semicircular arc path displacement aperture is equipped in fixed ring, It is interior fixed ring, outside on the inside of the displacement aperture of path is outer fixed ring, the both ends of the pitman are pacified by ring link block Between two fixed rings, and ring link block is stuck in the displacement aperture of path and moves, and at least installs one between two fixed rings A pitman, the pitman are divided into left pitman and right pitman, and long bolt, left pitman and the right side are equipped in telescopic sleeve Pitman is separately mounted in the two ends of long bolt;
The spicule clamper includes first half clamper and later half clamper, and the first half clamper and later half clamper pass through folder Tight screw is mounted on pitman, and wherein spicule is mounted on first half clamper or later half clamper, and the spicule is equipped with External screw thread, and it is cased with tightening nut, the tightening nut is placed in the upper end of first half clamper and later half clamper.
2. the outer fixed reset bracket of operation according to claim 1 again, it is characterised in that: telescopic sleeve is divided into left flexible Casing and right telescopic sleeve, wherein the left end of left telescopic sleeve is connected to left pitman, the right side of right telescopic sleeve by long bolt End is connected to right pitman by long bolt, and the bending with bulb bearing is connected between left telescopic sleeve and right telescopic sleeve and is closed Save device.
3. the outer fixed reset bracket of operation according to claim 2, it is characterised in that: the left pitman and right connection Stick is equipped with graduated scale.
4. the outer fixed reset bracket of operation according to claim 1, it is characterised in that: the ring link block is mainly by spiral shell Line end and clamping end head composition, set threaded hole in threaded end and are connected on pitman, clamping end head be equipped with upper groove and Lower groove, clamping end head move in the displacement aperture of path, and wherein upper groove is connected in outer fixed ring, and lower groove is connected to interior In fixed ring.
CN201821045617.5U 2018-07-03 2018-07-03 The outer fixed reset bracket of operation Expired - Fee Related CN208958288U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201821045617.5U CN208958288U (en) 2018-07-03 2018-07-03 The outer fixed reset bracket of operation

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Application Number Priority Date Filing Date Title
CN201821045617.5U CN208958288U (en) 2018-07-03 2018-07-03 The outer fixed reset bracket of operation

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110584761A (en) * 2019-09-29 2019-12-20 淮安市第二人民医院(淮安仁慈医院) Fracture reduction device
CN111772821A (en) * 2020-07-23 2020-10-16 川北医学院附属医院 Orthopedics fixing forceps of restoreing of accurate location upper limbs wound
CN111920501A (en) * 2020-08-19 2020-11-13 北京大学第三医院(北京大学第三临床医学院) Adjustable intraoperative temporary fixing device
CN112354735A (en) * 2020-11-06 2021-02-12 株洲瑞尔泰机电科技有限公司 Paint spraying apparatus is used in new energy automobile charging pile production
CN113288381A (en) * 2021-05-31 2021-08-24 河北省胸科医院 Combined external fixing frame for fracture and using method thereof
CN113974805A (en) * 2021-12-09 2022-01-28 河北医科大学第三医院 External fixator for tibiofibula

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110584761A (en) * 2019-09-29 2019-12-20 淮安市第二人民医院(淮安仁慈医院) Fracture reduction device
CN111772821A (en) * 2020-07-23 2020-10-16 川北医学院附属医院 Orthopedics fixing forceps of restoreing of accurate location upper limbs wound
CN111920501A (en) * 2020-08-19 2020-11-13 北京大学第三医院(北京大学第三临床医学院) Adjustable intraoperative temporary fixing device
CN112354735A (en) * 2020-11-06 2021-02-12 株洲瑞尔泰机电科技有限公司 Paint spraying apparatus is used in new energy automobile charging pile production
CN112354735B (en) * 2020-11-06 2023-03-17 株洲瑞尔泰机电科技有限公司 Paint spraying apparatus is used in new energy automobile charging pile production
CN113288381A (en) * 2021-05-31 2021-08-24 河北省胸科医院 Combined external fixing frame for fracture and using method thereof
CN113974805A (en) * 2021-12-09 2022-01-28 河北医科大学第三医院 External fixator for tibiofibula

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20190611

Termination date: 20210703

CF01 Termination of patent right due to non-payment of annual fee