CN209107727U - Radius far-end fracture reset is fixed to integration brace - Google Patents

Abstract

The utility model discloses a kind of radius far-end fracture resets to be fixed to integration brace.Dorsal fitting splint Fast Installation can will be slapped after the completion of the manipulative reduction of fracture of distal radius, it can maintain to reset and continue to correct displacement with the use of pressure pad, the ligament reduction to be formed effect is more importantly drawn by finger, Wrist fracture can be realized and be automatically reset, and the well maintained distal aspect of the radius height of energy, each joint of hand and wrist joint is allowed to carry out functional training on the basis of maintaining to reset, promote detumescence, also patient's hand and wrist function are remained as much as possible, it ensure that rehabilitation efficacy, simultaneously, the utility model could be applicable to multiple fracture of metacarpal bone, specific type fracture of metacarpal bone, the treatment of ulna Impingement Syndrome and articulatio radiocarpea inflammation.

Description

Radius far-end fracture reset is fixed to integration brace

Technical field

The utility model relates to medical instruments fields more particularly to a kind of radius far-end fracture reset to be fixed to integration branch Tool.

Background technique

Fracture of distal radius is clinically common, and the accounting highest in orthopaedics emergency treatment fracture patient, 17% is more than 50 years old Women fracture of distal radius can occur, mainly that osteoporosis easily occurs with women post menopausal is related.With mankind's life expectancy Continuous extend and to the continuous improvement that quality of life requires, the treatment of fracture of distal radius is more taken seriously.Articulatio radiocarpea Motion frequency is high, and malpractice is easy concurrent chronic ache and anchylosis after damage, extreme influence hand activities function, however How selecting correct therapeutic modality, there are still disputes.Current main treatment method has following 3 kinds: closed reduction gypsum is small It is fixed outside Boards wall, closed reduction Kirschner wire or bracket, it is fixed in open reduction steel plate screw.Gypsum is fixed to be used in section Lei Shi Palmar flexion, ruler deviation fix wrist joint usually after manipulative reduction when fracture, change after 2-3 weeks and fix for neutral position, and plintlet The fixed wrist joint that is typically not greater than is 4-6 weeks fixed, and above-mentioned fixed form is simple and easy to do, almost noninvasive, low-cost because having Advantage, it is often preferred for gerontal patient, but reduction of the fracture loss, articular surface height cannot maintain, (plintlet is solid for the long-term swelling of wrist It is fixed even to cause serious swelling), malunion the case where it is common, it is also difficult to early stage carries out effective efficiency exercise, and final Lead to patient's wrist joint inability, pain, stiff and limitation of activity, although and operative treatment is totally seen in reduction of the fracture rear stability And there is certain advantage, but this species diversity is unobvious in gerontal patient, but also there are blood vessels, mind in terms of functional rehabilitation Through, tendon injury, infection, extended hospital stay and risks or the drawback such as costly.

Try hard to make improvement to conventional gypsum or plintlet technology currently, having some Patent designs, this is that we are liked See, but there are still some defects, such as the Chinese utility model patent of Authorization Notice No. CN 201064510Y are public for these designs It has opened a kind of " Colles's fracture adjustable external fixer ", which, in the hinge arrangement of wrist joint, is realized by clamping plate Wrist joint bends and stretches the adjustment and fixation of angle in difference, but can not carry out the adjustment of ruler oar lateral deviation rake angle；And Granted publication The Chinese utility model patent of number CN205515104U discloses " a kind of controlling type distal radius strap ", and the design is same It is the hinge arrangement by wrist joint while realizes wrist joint palmar flexion, dorsiflexion and ruler is inclined, oar is inclined adjustment, but above-mentioned design It is exactly that distal aspect of the radius height cannot preferably maintain (especially comminuted fracture) there is also a common defect, And the fracture of distal radius overwhelming majority is fragility fractures, is caused by osteoporosis, it is multiple that fracture occurs in traditional fixed form later period The case where bit loss, distal aspect of the radius height reduce is very universal, and such case is very big on wrist joint function recovery influence, Even this is also the main reason for causing postoperative effect bad in internal fixation operation.

In addition, the Chinese invention patent of Authorization Notice No. CN 103989546B discloses one kind, " fracture of distal radius is noninvasive Adjustable type plywood support bracket ", the design connect the low temperature thermoplastic plate clamping plate of forearm and palm, it can be achieved that wrist by external fixing rack All directions adjustment, also can preferably maintain distal aspect of the radius height seemingly, but still have the following deficiencies: 1. installation processes Excessively cumbersome, time-consuming；2. two people or more is needed to cooperate for a long time simultaneously, it otherwise not can guarantee reset during the installation process and do not lose It loses；3. if X-ray film discovery reset is bad, and reset installation again, can expend the too many time after need to dismantling check after being installed, Does the form of palmar hand clamping plate need to remold at this time? 4. the maintenance of distal aspect of the radius height needs certain tractive force Amount, the hand clamping plate in the patent are " C " type structure, do not referred in patent document hand clamping plate be from ulnar side or oar side into Row installation, if being open in oar side, since palmar hand is by closely to being far gradually by thick thinning physiological structure, hand clamping plate can be protected Handle the strength to distal end traction? if opening is in ulnar side, clamping plate has certain support at first carpo-metacarpal Joints, works as connecting band Certain traction strength can be maintained after fastening, but the activity of thumb will receive obvious limitation at this time, this is should never to be allowed to Occur；5. low temperature thermo-plastic planking and external fixing rack be not cheap in current domestic price, how many patient can be ready using； 6. when use in winter, how to accomplish to keep warm? so the invention and do not have practicability.

Utility model content

For the various defects of the prior art, the utility model provides a kind of radius far-end fracture reset and is fixed to integration Brace can be carried out Fast Installation after the completion of the manipulative reduction of fracture of distal radius, then remote by carrying out finger traction radius End fracture can also be achieved further reset, both be able to maintain distal aspect of the radius height, moreover it is possible to which according to circumstances variation adjustment is led Draw direction, wrist joint is allowed on the basis of maintaining to reset and its with the activity in remote each joint, remains patient's hand as far as possible Portion's function, to guarantee rehabilitation efficacy.

In order to solve the above-mentioned technical problem, the technical solution adopted in the utility model is: a kind of radius far-end fracture reset It is fixed to integration brace, the traction device including dorsal fitting splint, palmar clamping plate and its connection can be pressed from both sides back side by two groups of bolts Plate is docked with palmar clamping plate, to realize the fast and effective fixation of fracture of distal radius, then passes through the installation tune of traction device Section further promotes the reduction of the fracture by ligament reduction principle to maintain initial stage to reset, can be preferably with the use of pressure pad Promote and maintains to reset.

The dorsal fitting splint main body is medical thermoplastic plate, and the side of distal end is there are two mortise, the other side then symmetrical position Mortise is slid laterally there are two setting.

Described its structure of palmar clamping plate is similar to dorsal fitting splint, the corresponding position of itself and mortise be provided with two pieces it is solid Determine bolt, and the height of fixing bolt is higher than wrist joint thickness, and then equally there are two slide laterally mortise for the other side.

It is provided with sliding rail in the middle part of its proximal end bottom surface of the palmar clamping plate, sliding rail is fixed screw and is fixed on palmar clamping plate.

The traction device is made of finger traction casing, traction bow and T-shape fastener, solid on the cross bar of traction bow distal end Surely there is bail, the two-arm of traction bow is closed up at its proximal end for a bar, the proximal end of bar and T-shape fastener fixing.

" T "！Type fastener and sliding rail are conformal, and can be inserted into sliding rail in slided, can also by fastener screw with Slide rail locking.

The finger traction casing be reticular structure, be made of polyester fiber, distal end with close up button tighten, then with gold Belong to retaining ring to be connected, there is snap switch on metal retaining ring, snap switch can padlock in bail.

Two groups of bolts are two pieces of on-fixed bolts for another group in addition to two pieces of fixing bolts, and attaching nut is for laterally The fixation of mortise side is slided, the height of on-fixed bolt is higher than wrist joint thickness.

The pressure pad includes palm back side pressure pad and ruler oar side pressure pad, and palm back side pressure pad is made of soft gas permeable material, can It is pasted on the inner face of clamping plate；The bottom of ruler oar side pressure pad is made of plastics, and is C-shaped, top surface is made of soft gas permeable material.

The utility model has the beneficial effects that after the manipulative reduction for completing fracture of distal radius, it can Fast Installation connection Palmar clamping plate and dorsal fitting splint are completed to fix；It can maintain to reset and continue to correct displacement using pressure pad；Shape is drawn by finger At ligament reduction effect, Wrist fracture can realize and automatically reset, and can well maintained distal aspect of the radius height；Work as needs When movable finger-joint, the padlock on finger-stall can be opened to release to the traction referred to, and other fingerstall can then continue Traction strength is maintained, hand function is carried out in the case where keeping tractive force and tempers the effect for also promoting the reduction of the fracture；When need When wanting movable wrist joint, the bolt of clamping plate can be temporarily adjusted to more nervous degree, brace at this time is then equivalent to tradition Plintlet can release all finger tractions at this time；The utility model could be applicable to multiple fracture of metacarpal bone, specific type metacarpal bone bone The treatment of folding, ulna Impingement Syndrome and articulatio radiocarpea inflammation.

Detailed description of the invention

The present invention will be further described with reference to the accompanying drawings and examples.

Fig. 1 is the top view of the utility model dorsal fitting splint；

Fig. 2 is the side top view of the utility model palmar clamping plate；

Fig. 3 is the bottom view of the utility model palmar clamping plate；

Fig. 4 is the bottom view of the utility model traction bow and T-shape fastener；

Fig. 5 is the diagrammatic cross-section that the utility model T-shape fastener is connect with sliding rail；

Fig. 6 is the structure chart of the utility model finger traction casing；

Fig. 7 is the schematic diagram of the utility model ruler oar side pressure pad；

Fig. 8 is that the utility model installs and uses effect picture (not illustrating ruler oar side pressure pad).

Description of symbols

1. dorsal fitting splint；2. palmar clamping plate；4. traction bow；5. finger traction casing；6. ruler oar side pressure pad；7. slapping back side pressure Pad；8. on-fixed bolt；9. self-adhesive elastic bandage；11. air hole；12. mortise；13. sliding laterally mortise；21. fixing bolt； 22. sliding rail；23. fixing screws；41. bail；42. T-shape fastener；43. fastener screw；44. bar；51. closing up button；52. gold medal Belong to retaining ring；53. snap switch；61. cushion；81. nut.

Specific embodiment

The utility model is described in further detail With reference to embodiment.

As shown in Figure 1,1 main body of dorsal fitting splint is thermoplastic plate, air hole 11 is spread on plate, the side of clamping plate distal end has two A mortise 12, there are two slide laterally mortise 13 to other side corresponding position.

As shown in Figure 2 to 3, its structure of palmar clamping plate 2 is similar to dorsal fitting splint 1, in the corresponding position of itself and mortise 12 Place is provided with two pieces of fixing bolts 21, and the other side is then same there are two sliding laterally mortise 13, and at its proximal end in the middle part of bottom surface It is additionally provided with sliding rail 22, sliding rail 22 is fixed screw 23 and is fixed on palmar clamping plate 2.

As shown in Fig. 4~Fig. 6, Fig. 8, traction device is made of finger traction casing 5, traction bow 4 and T-shape fastener 42, is led Draw a bow 4 distal ends cross bar on be fixed with bail 41, the two-arm of traction bow 4 is closed up at its proximal end for a bar 44, the proximal end of bar 44 Fixed with T-shape fastener 42, T-shape fastener 42 is then conformal with sliding rail 22, and can be inserted into sliding rail 22 and slided, and can also pass through Fastener screw 43 and sliding rail 22 lock, and finger traction casing 5 is reticular structure, are made of polyester fiber, and distal end is detained with closing up 51 tightenings, then are connected with metal retaining ring 52, there is snap switch 53 on metal retaining ring 52, snap switch 53 can padlock in bail 41 It is interior.

As shown in Fig. 7~Fig. 8, pressure pad includes palm back side pressure pad 7 and ruler oar side pressure pad 6, slaps back side pressure pad 7 by soft gas permeable Material is made, and Pasting is in the inner face of clamping plate；The bottom of ruler oar side pressure pad 6 is made of plastics, and is C-shaped, top surface is by soft Gas permeable material is made.

As shown in figure 8, brace needs when installing using two groups of bolts, 21 side of fixing bolt is correspondingly connected with mortise 12, Each bolt is fixed using one piece of nut 81, and is then connected using two pieces of on-fixed bolts 8 sliding laterally 13 side of mortise It connects, but each on-fixed bolt 8 needs to fix using 3 pieces of nuts 81, is adapted to the carpal width of Different Individual in this way, It is also convenient for carrying out the adjusting of ruler oar side pressurization, self-adhesive elastic bandage 9 is fixed for clamping plate proximal end, can optionally increase self-adhesion elastic force The quantity of bandage 9.

The specifically used method of the utility model are as follows: palm back side pressure pad 7 is first pasted on by the first step respectively before the reduction of the fracture The distal end inner face of dorsal fitting splint 1 and palmar clamping plate 2；Two pieces of on-fixed bolts 8 are passed through palmar from the bottom to top respectively and pressed from both sides by second step Two of plate 2 slide laterally mortise 13, and are respectively inserted in spare after two pieces of nuts 81；Third step presss from both sides dorsal fitting splint 1 and palmar The proximal part of plate 2, which is immersed in hot water, to be softened, and completes moulding on the forearm of strong side；4th step carries out fracture of distal radius Manipulative reduction；Palmar clamping plate 2 is placed in forearm palmar, then dorsal fitting splint 1 is placed in dorsal forearm by the 5th step, makes two Piece fixing bolt 21 is respectively tentatively fixed with one piece of nut 81 by mortise 12；6th step, by two pieces of on-fixed bolts 8 Two for continuing to be pierced by dorsal fitting splint 1 from the bottom to top slide laterally mortise 13, then are respectively fixed with one piece of nut 81 from top surface；7th Step, is sequentially adjusted in the nut 81 of top surface four, and it is suitable to make fracture segment pressure, then two will be screwed into advance on on-fixed bolt 8 respectively Piece nut 81 moves up and down is close to two clamping plates respectively, stablizes on-fixed bolt 8 and clamping plate and fixes；8th step, with from viscoelastic Power bandage 9 carries out annular pressurization in clamping plate proximal end and fixes；Finger traction casing 5 is inserted in each finger by the 9th step respectively, then by traction bow The T-shape fasteners 42 of 4 proximal ends is inserted into sliding rail 22, and then metal retaining ring 52 is inserted in corresponding bail 41 respectively, with folder Plate forms the distal end of drawing traction bow 4 after confrontation, and the tightening of finger traction casing 5 is made to form appropriate tractive force, lock fastener screw 43 Complete operation.

Brace can carry out taking the photograph piece inspection after being installed, and metalwork will not interfere the imaging of fracture on positive side position, if It was found that fracture end needs actively to correct there is also the displacement of ruler oar side, nut 81 can be unscrewed in the case where keeping finger traction, made Bolt and ruler oar side clearance increase, then two panels ruler oar side pressure pad 6 is inserted into ulnar side and oar side clearance respectively, again adjustment palm back side And each nut 81 is tightened after ruler oar lateral pressure, ruler oar side pressure pads 6 both ends uplift portions by can anti-sliding stop after bolt blocks.

When needs activity finger-joint, the snap switch 53 on finger traction casing 5 can be opened, this is referred to release Traction, and other fingerstall can equally maintain traction strength；When needs activity wrist joint, can temporarily adjusting nut 81 make at clamping plate In more nervous degree, at this moment, what integrated brace played the role of be it is identical with traditional plintlet, allow wrist under the state Joint appropriateness activity；Some cases may no longer be drawn after 2~3 weeks, can individually remove traction device at this time.One

Above-described embodiment only is used to further illustrate that a kind of radius far-end fracture reset of the utility model is fixed to integration Brace, but the utility model is not limited to embodiment, and all foundation the technical essence of the utility model are to above embodiments institute Any simple modification, equivalent change and modification of work, each fall in the protection scope of technical solutions of the utility model.

Claims (9)

1. a kind of radius far-end fracture reset is fixed to integration brace, it is characterised in that: including dorsal fitting splint (1), palmar clamping plate (2) and its connection traction device, dorsal fitting splint (1) can be docked with palmar clamping plate (2) by two groups of bolts, to realize oar The fast and effective fixation of bone fracture of distal, then maintains initial stage to reset, and pass through ligament by the installation and adjustment of traction device Reduction principle further promotes the reduction of the fracture, can advantageously promote and maintain with the use of pressure pad to reset.

2. radius far-end fracture reset according to claim 1 is fixed to integration brace, it is characterised in that: the back side Clamping plate (1) main body is medical thermoplastic plate, and the side of distal end is there are two mortise (12), and there are two laterally sliding for other side corresponding position Dynamic mortise (13).

3. radius far-end fracture reset according to claim 1 is fixed to integration brace, it is characterised in that: the palmar Clamping plate (2) its structure is similar to dorsal fitting splint (1), and the corresponding position of itself and mortise (12) is provided with two pieces of fixing bolts (21), and the height of fixing bolt (21) is higher than wrist joint thickness, and then equally there are two slide laterally mortise (13) for the other side.

4. radius far-end fracture reset according to claim 1 is fixed to integration brace, it is characterised in that: the palmar It is provided with sliding rail (22) in the middle part of its proximal end bottom surface of clamping plate (2), sliding rail (22) is fixed screw (23) and is fixed on palmar clamping plate (2).

5. radius far-end fracture reset according to claim 1 is fixed to integration brace, it is characterised in that: the traction Device is made of finger traction casing (5), traction bow (4) and T-shape fastener (42), is fixed on the cross bar of traction bow (4) distal end Bail (41), the two-arm of traction bow (4) are closed up at its proximal end for a bar (44), the proximal end and T-shape fastener (42) of bar (44) It is fixed.

6. radius far-end fracture reset according to claim 5 is fixed to integration brace, it is characterised in that: " T " Type fastener (42) and sliding rail (22) are conformal, and can be inserted into sliding rail (22) and slided, can also be by fastener screw (43) and sliding Rail (22) locking.

7. radius far-end fracture reset according to claim 5 is fixed to integration brace, it is characterised in that: the finger Traction casing (5) be reticular structure, be made of polyester fiber, distal end with close up button (51) tightening, then with metal retaining ring (52) Be connected, have on metal retaining ring (52) snap switch (53), snap switch (53) can padlock in the bail (41).

8. radius far-end fracture reset according to claim 1 is fixed to integration brace, it is characterised in that: described two groups Bolt is two pieces of on-fixed bolts (8) for another group in addition to two pieces of fixing bolts (21), and attaching nut (81) is for sliding laterally the fourth of the twelve Earthly Branches The height of the fixation of hole (13) side, on-fixed bolt (8) is higher than wrist joint thickness.

9. radius far-end fracture reset according to claim 1 is fixed to integration brace, it is characterised in that: the pressure pad Including palm back side pressure pad (7) and ruler oar side pressure pad (6), palm back side pressure pad (7) is made of soft gas permeable material, and Pasting is in clamping plate Inner face；The bottom of ruler oar side pressure pad (6) is made of plastics, and is C-shaped, top surface is made of soft gas permeable material.