CN209203545U - A kind of shoulder joint Scapula glenoid bone positioning device and its component - Google Patents

A kind of shoulder joint Scapula glenoid bone positioning device and its component Download PDF

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Publication number
CN209203545U
CN209203545U CN201820495872.3U CN201820495872U CN209203545U CN 209203545 U CN209203545 U CN 209203545U CN 201820495872 U CN201820495872 U CN 201820495872U CN 209203545 U CN209203545 U CN 209203545U
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China
Prior art keywords
segment
positioning device
shoulder joint
glenoid bone
scapula glenoid
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Expired - Fee Related
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CN201820495872.3U
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Chinese (zh)
Inventor
何耀华
白真龙
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Wen Tai Medical Science And Technology (shanghai) Co Ltd
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Wen Tai Medical Science And Technology (shanghai) Co Ltd
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Abstract

The utility model discloses a kind of shoulder joint Scapula glenoid bone positioning device and its component, described device includes: locating rod and kirschner needle sleeve;Locating rod includes first segment and second section, and first segment is configured for set and holds kirschner needle sleeve, and second section is the strip registration arm gone out from first segment linear extension, and is equipped with location hook in the end of second section;The through-hole of first segment is right against location hook, and then Scapula glenoid bone located space is formed between first segment and location hook;The utility model additionally provides the shoulder joint Scapula glenoid bone positioning device component comprising above-mentioned apparatus.The positioning device and its component of the utility model solve the Scapula glenoid tunnel placement inaccuracy easily occurred in arthroscopic shoulder surgery, and the problem with blindness is established in tunnel.

Description

A kind of shoulder joint Scapula glenoid bone positioning device and its component
The application be on 01 11st, 2017 the applying date, application No. is 201720030070.0, invention and created name is The divisional application of the utility application of " a kind of shoulder joint Scapula glenoid bone positioning device and its component ".
Technical field
The utility model relates to bone surgery set field more particularly to a kind of shoulder joint positioning devices.
Background technique
Shoulder joint is the maximum complicated joint of mobility in human body large joint, by 3 pieces of bones (clavicle, shoulder blade and humerus), 4 A joint (joint and Glenohumeral joint between acromioclavicular joint, articulatio sternoclavicularis, the omoplate wall of the chest) and the muscle, tendon and ligament for connecting them Composition.Four joint synchronous movement of shoulder under normal circumstances guarantees smooth, the coordination of upper extremity exercise.
Wherein, Glenohumeral joint is that physical activity range is maximum, and bone constrains the smallest joint, it is a bulb (humerus head) Nest (Scapula glenoid) joint." ball " (humerus head) is relatively large, and " nest " (Scapula glenoid) is relatively very shallow, this and the golf on ball seat Similar, so that Glenohumeral joint joint obtains maximum mobility, but this is but also shoulder is easy to injured and generates unstable It is fixed.Glenohumeral joint relies primarily on the soft tissues such as circumferential cartilage, glenohumeral ligaments, rotator cuff and brachial biceps to obtain stabilization Property.
Shoulder Joint Injury refer to because shoulder respectively organize include rotator cuff, ligament occur degenerative change, or because repeatedly excessively use, The damage of shoulder joint surrounding tissue, shows as shoulder pain caused by the reasons such as wound.Common Shoulder Joint Injury has under acromion Shock disease, rotator cuff injury, congealed shoulder, brachial biceps damage, upper broad-mouthed receptacle for holding liquid lip tear (SLAP) damage, shoulder joint from front to back It is unstable.
It includes: age factor that the reason of causing Shoulder Joint Injury, which mainly has, and person in middle and old age are the good hair crowds of Shoulder joint. As the age increases, shoulder is respectively organized to include rotator cuff, ligament generation degenerative change, and tissue elasticity is gradually lost, and becomes stiff Firmly, to be easier to injury;Upper limb is excessively used repeatedly, is another common causative factors of Shoulder joint, is especially engaged in needs Upper movement makees the crowd of occupation and needed to push the sportsman of work, such as baseball, vollyball, tennis and swimming repeatedly;Wound: It is the primary pathogenic factor of young man's Shoulder joint, is damaged as caused by traffic accident.
Currently, it is increasingly extensive using arthrocsopic surgery treatment shoulder joint associated injury, have in arthrocsopic surgery big Amount needs to establish the operation of Scapula glenoid osseous tunnel, such as the repairing that Bankart is damaged, the coronoid process indexing bone grafting of Scapula glenoid bone defect, The ilium bone block bone grafting of Scapula glenoid bone defect, the repairing of Scapula glenoid lip, the fixation etc. of Scapula glenoid front lower place avulsion bone block.But mesh The preceding domestic locator for establishing Scapula glenoid osseous tunnel is still in blank stage in design and production field, lacks correlator The consequence of tool is the position inaccurate when establishing Scapula glenoid tunnel, and tunnel, which is established, has blindness, and due to human anatomic structure, Important nerve and blood vessel are easily damaged when establishing this tunnel, has not only seriously affected success rate of operation, and lead to the difficulty of operation Degree and risk increase.
Therefore, those skilled in the art is dedicated to developing and a kind of can stablize, accurate and safe establish Scapula glenoid bone The device in tunnel.
Utility model content
In order to solve the technical issues of can not accurately establishing Scapula glenoid tunnel in arthroscopic shoulder surgery, the of the utility model On the one hand a kind of shoulder joint Scapula glenoid bone positioning device is provided, described device includes: locating rod and kirschner needle sleeve;
The locating rod includes first segment and second section, has the tubular knot with through-hole in the first segment Structure, the tubular structure are configured for set and hold the kirschner needle sleeve, and the second section is from the first segment straight line The strip registration arm extended, and location hook is equipped in the end of the second section;The described of the first segment is led to Hole is right against the location hook, and then Scapula glenoid bone located space is formed between the first segment and the location hook.Make With in the process, the positioning device is placed in the side of Scapula glenoid bone target position, hooks Scapula glenoid bone using location hook The kirschner needle sleeve is placed in the first segment by lateral margin, and mobile to the location hook direction, until the Kirschner wire Sleeve fits in Scapula glenoid bone surface, and the kirschner needle sleeve and the location hook clamp the Scapula glenoid bone.Then general gram Family name's needle is placed in the kirschner needle sleeve, is drilled to the Scapula glenoid bone, to realize the accurate positioning of bore position, is protected Boring direction is demonstrate,proved.
Preferably, there is window, the window is axially through the tubbiness knot on the barrel-like structure of the first segment Structure, the width of the window is less than the diameter of the kirschner needle sleeve, and is greater than the diameter of Kirschner wire.
Preferably, the internal diameter of the tubular structure of the first segment is just equal to the outer diameter of the kirschner needle sleeve.
Preferably, the side of the through-hole of the location hook towards the first segment is plane.
Preferably, groove is equipped in the position opposite with the through-hole of the first segment of the location hook.
Preferably, when the kirschner needle sleeve is placed in the first segment, the longitudinal central axis of the kirschner needle sleeve Line is parallel with the longitudinal central axis line of the second section.
Preferably, the distance d of second section described in the longitudinal central axis linear distance of the kirschner needle sleeve is 5mm-15mm, such as D can be 5mm, 8mm, 10mm, 12mm, to realize the Scapula glenoid tunnel for establishing different pore size.
Preferably, the first segment and the second section do not have crooked radian.
Preferably, positioning mechanism is equipped between the first segment and the kirschner needle sleeve, the positioning mechanism is matched It is set to and (is avoided in use process, Kirschner wire for realizing relatively fixed between the kirschner needle sleeve and the first segment Sleeve is relative to the first segment longitudinal sliding motion).
Preferably, positioning mechanism includes the internal screw thread being arranged inside the first segment through-hole and the kirschner needle sleeve The external screw thread of outside setting, the internal screw thread and the external screw thread match.
Preferably, the positioning device further includes handle, and the handle is connected to the side wall of the first segment.
Preferably, the handle is vertical with the first segment, and is located at the side opposite with the location hook.
Preferably, there is the limit hole for penetrating side wall on the side wall of the first segment, there is interior spiral shell in the limit hole The end of line, the handle has screw rod, and the screw rod is matched with the limit hole.To realize the handle on the one hand It is fixed in the first segment, it on the other hand, can be by the screw top at described gram if tightening handle by screw rod In family name's needle sleeve, realize it is relatively fixed between the kirschner needle sleeve and the first segment, and then realize be accurately positioned.
The second aspect of the utility model provides a kind of shoulder joint Scapula glenoid bone positioning device component comprising at least Shoulder joint Scapula glenoid bone positioning device described in the utility model first aspect of two kinds of different sizes.
Preferably, in the shoulder joint Scapula glenoid bone positioning device component, including it is selected from the group below at least two it is practical Shoulder joint Scapula glenoid bone positioning device described in novel first aspect: described in the longitudinal central axis linear distance of the kirschner needle sleeve The distance d of two segments is the shoulder joint Scapula glenoid bone positioning device of 5mm, 8mm, 10mm and 12mm.
Technical effect
The shoulder joint Scapula glenoid bone positioning device of the utility model, solves the Scapula glenoid easily occurred in arthroscopic shoulder surgery The problem with blindness is established in tunnel placement inaccuracy, tunnel.Nerve and blood vessel will be made in establishing tunneling process simultaneously It is minimized at a possibility that damage.In addition the shoulder joint Scapula glenoid bone positioning device component of the utility model, can satisfy and build The demand in vertical different pore size tunnel, while can be to avoid the tunnel deviation of directivity caused by when expanding tunnel aperture.Greatly mention The high success rate of operation, reduces the risk of operative failure.
Make furtherly below with reference to technical effect of the attached drawing to the design of the utility model, specific structure and generation It is bright, to be fully understood from the purpose of this utility model, feature and effect.
Detailed description of the invention
Fig. 1 is the shoulder joint Scapula glenoid bone positioning device stereochemical structure signal of a preferred embodiment of the utility model Figure;
Fig. 2 is the structural schematic diagram of the shoulder joint Scapula glenoid bone positioning device of a preferred embodiment of the utility model;
Fig. 3 is the portion A enlarged diagram in Fig. 2;
Fig. 4 is the handle and first segment connection schematic diagram of another preferred embodiment of the utility model;
Fig. 5 is the shoulder joint Scapula glenoid bone positioning device using the utility model, the operation limited to Scapula glenoid bone Schematic diagram.
Fig. 6 is the structural representation of the shoulder joint Scapula glenoid bone positioning device of another preferred embodiment of the utility model Figure.
Fig. 7 is the shoulder joint Scapula glenoid bone positioning device stereochemical structure signal of another preferred embodiment of the utility model Figure.
Fig. 8 is the shoulder joint Scapula glenoid bone positioning device stereochemical structure signal of another preferred embodiment of the utility model Figure.
Specific embodiment
Embodiment 1
As shown in Figure 1, 2, the shoulder joint Scapula glenoid bone positioning device of this example, comprising: locating rod 1 and kirschner needle sleeve 2; Journey strip, the locating rod 1 include first segment 11 and second section 12, the first segment to the locating rod on the whole 11 have a tubular structure 111 with through-hole, the tubular structure 111 of the first segment 11 be configured for set hold it is described Kirschner needle sleeve 2, the second section 12 are the strip registration arm gone out from 11 linear extension of first segment, and in institute The end for stating second section 12 is equipped with location hook 121;The through-hole of the first segment 11 is right against the location hook 121, And then Scapula glenoid bone located space is formed between the first segment 11 and the location hook 121.It, will be described in use process Positioning device is placed in the side of Scapula glenoid bone target position, hooks Scapula glenoid bone lateral margin using location hook 121, will be described gram Family name's needle sleeve 2 is placed in the first segment 11, and mobile to 121 direction of location hook, until the kirschner needle sleeve 2 is pasted Together in Scapula glenoid bone surface, the kirschner needle sleeve 2 and the location hook 121 clamp the Scapula glenoid bone.Then by kirschner Needle 3 is placed in the kirschner needle sleeve 2, is drilled to the Scapula glenoid bone, to realize the accurate positioning of bore position, is protected Boring direction is demonstrate,proved.
In the present embodiment, the side of the through-hole of the location hook 121 towards the first segment 11 is plane, and It is equipped with groove on this plane, which matches with Kirschner wire 3, in order to the positioning of Kirschner wire 3.
In the present embodiment, when the kirschner needle sleeve 2 is placed in the first segment 11, the kirschner needle sleeve 2 Longitudinal central axis line is parallel with the longitudinal central axis line of the second section 12.
As shown in figure 3, the distance of second section described in the longitudinal central axis linear distance of kirschner needle sleeve described in the present embodiment 2 D is 5mm-15mm, if d can be 5mm, 8mm, 10mm and 12mm, to realize the Scapula glenoid tunnel for establishing different pore size Road.
In the present embodiment, the first segment 11 and the second section 12 do not have crooked radian, in other implementations In mode, the second section 12 can be the arcuate structure with certain radian.
In the present embodiment, positioning mechanism, the localization machine are equipped between the first segment 11 and the kirschner needle sleeve 2 What structure was configurable for realizing between the kirschner needle sleeve 2 and the first segment 11 relatively fixed (avoids use process In, kirschner needle sleeve 2 is relative to 11 longitudinal sliding motion of first segment).
Positioning mechanism in the present embodiment includes the internal screw thread being arranged inside 11 through-hole of first segment and the kirschner The external screw thread being arranged outside needle sleeve 2, the internal screw thread and the external screw thread match, to avoid in use process, kirschner Needle sleeve 2 is relative to 11 longitudinal sliding motion of first segment.
In the present embodiment, the positioning device further includes handle 4, and the handle 4 is connected to the side of the first segment 11 Wall.The handle 4 is vertical with the first segment 11, and is located at the side opposite with the location hook 121.
As shown in figure 4, internal screw thread is arranged in 11 111 inner wall of barrel-like structure in the first stage, in the barrel-like structure 111 A caging bolt 112 is arranged in outer end, and the caging bolt 112 is outer with what is matched with the internal screw thread of the barrel-like structure 111 Screw thread, the inner end of the caging bolt 112 withstand on the outer end of kirschner battle array sleeve 2, to realize the limit to kirschner battle array sleeve 2.
In other embodiments, there is the limit hole for penetrating side wall, the limit on the side wall of the first segment 11 There is internal screw thread, the end of the handle has screw rod, and the screw rod is matched with the limit hole in hole.To realize a side The handle is fixed in the first segment by face, on the other hand, can be by the spiral shell if tightening handle by screw rod Bar is withstood in the kirschner needle sleeve 2, realize it is relatively fixed between the kirschner needle sleeve 2 and the first segment 11, into And it realizes and is accurately positioned.
Application method
As shown in figure 5, the shoulder joint Scapula glenoid bone positioning device application method of the utility model is as follows, first using operation After knife opening, by the locating rod of the positioning device from the tripping in that is open, it is placed in the side of Scapula glenoid bone target position, is made Scapula glenoid bone lateral margin is hooked with location hook 121, the kirschner needle sleeve 2 is placed in the first segment 11, and to described fixed Position 121 direction of hook is mobile, until the kirschner needle sleeve 2 fits in Scapula glenoid bone surface, the kirschner needle sleeve 2 and described fixed Position hook 121 clamps the Scapula glenoid bone.Then Kirschner wire 3 is placed in the kirschner needle sleeve 2, to the Scapula glenoid bone into Row drilling, to realize the accurate positioning of bore position.After Kirschner wire drill mouth, kirschner needle sleeve 2 is removed, uses setting specification Drill bit drill along Kirschner wire, can be obtained setting aperture Scapula glenoid tunnel.
Embodiment 2
As shown in fig. 6, the shoulder joint Scapula glenoid bone positioning device in the present embodiment, basic structure is same as Example 1, no It is same to be, the length of 11 inside of first segment is increased, to enhance guiding stability.The length for lengthening kirschner needle sleeve 2, makes It can approach location hook 121 to greatest extent, match the bone of different-thickness.
In one preferably embodiment, as shown in fig. 6, the head end of the location hook 121 is taper.It is more conducive to unplug Soft tissue facilitates going deep into for locator.
In one preferably embodiment, as shown in Figure 7, Figure 8, have on the barrel-like structure 111 of the first segment 11 There is window 1111, the window 1111 is less than described gram axially through the barrel-like structure 111, the width of the window 1111 The diameter of family name's needle sleeve 2, and it is greater than the diameter of the Kirschner wire (guide pin) 3.In use, when Kirschner wire squeezes into completion Afterwards, kirschner needle sleeve 2 is extracted out, can back off locating rod 1 from the window 1111.Secondary Kirschner wire of squeezing into is avoided to omoplate The destruction of bone greatly reduces the risk of operation and the difficulty of operation, shortens operating time.
The preferred embodiments of the present invention have been described in detail above.It should be appreciated that the ordinary skill people of this field Member according to the present utility model can conceive without creative work makes many modifications and variations.Therefore, all this technology necks Technical staff passes through logic analysis, reasoning or limited reality according to the design of the utility model on the basis of existing technology in domain Available technical solution is tested, it all should be within the scope of protection determined by the claims.

Claims (10)

1. a kind of shoulder joint Scapula glenoid bone positioning device, which is characterized in that described device includes: locating rod and kirschner needle sleeve; The locating rod includes first segment and second section, and the first segment has the tubular structure with through-hole, the tubular Structure is configured for set and holds the kirschner needle sleeve, and the second section is the strip gone out from the first segment linear extension Shape registration arm, and location hook is equipped in the end of the second section;The through-hole of the first segment is right against described Location hook, and then Scapula glenoid bone located space is formed between the first segment and the location hook;The first segment and The second section does not have crooked radian;When the kirschner needle sleeve is placed in the first segment, the Kirschner wire The longitudinal central axis line of sleeve is parallel with the longitudinal central axis line of the second section, and the head end of the location hook is taper.
2. a kind of shoulder joint Scapula glenoid bone positioning device as described in claim 1, which is characterized in that the institute of the first segment The internal diameter for stating tubular structure is just equal to the outer diameter of the kirschner needle sleeve;There is window on the barrel-like structure of the first segment Mouthful, for the window axially through the barrel-like structure, the width of the window is less than the diameter of the kirschner needle sleeve, and big In the diameter of Kirschner wire.
3. a kind of shoulder joint Scapula glenoid bone positioning device as described in claim 1, which is characterized in that the location hook is towards institute The side for stating the through-hole of first segment is plane, and is equipped with groove on the plane.
4. a kind of shoulder joint Scapula glenoid bone positioning device as described in any one of claims 1-3, which is characterized in that the kirschner The distance d of second section described in the longitudinal central axis linear distance of needle sleeve is 5mm-15mm.
5. a kind of shoulder joint Scapula glenoid bone positioning device as claimed in claim 4, which is characterized in that the kirschner needle sleeve The distance d of second section described in longitudinal central axis linear distance is 5mm, 8mm, 10mm or 12mm.
6. a kind of shoulder joint Scapula glenoid bone positioning device as described in claim 1, which is characterized in that the first segment and institute It states and is equipped with positioning mechanism between kirschner needle sleeve, the positioning mechanism is configurable for realizing the kirschner needle sleeve and described It is relatively fixed between first segment.
7. a kind of shoulder joint Scapula glenoid bone positioning device as claimed in claim 6, which is characterized in that the positioning mechanism includes The external screw thread of the internal screw thread being arranged inside the first segment through-hole and Kirschner wire cartridge exterior setting, the internal screw thread It is matched with the external screw thread.
8. a kind of shoulder joint Scapula glenoid bone positioning device as described in claim 1, which is characterized in that the positioning device is also wrapped Handle is included, the handle is connected to the side wall of the first segment.
9. a kind of shoulder joint Scapula glenoid bone positioning device as claimed in claim 8, which is characterized in that the side of the first segment There is the limit hole for penetrating side wall on wall, there is internal screw thread in the limit hole, the end of the handle has screw rod, the spiral shell Bar is matched with the limit hole.
10. a kind of shoulder joint Scapula glenoid bone positioning device component, which is characterized in that it includes described at least two claims 5 Shoulder joint Scapula glenoid bone positioning device.
CN201820495872.3U 2016-01-31 2017-01-11 A kind of shoulder joint Scapula glenoid bone positioning device and its component Expired - Fee Related CN209203545U (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CN201620101207 2016-01-31
CN2016201012072 2016-01-31
CN201720030070.0U CN207341820U (en) 2016-01-31 2017-01-11 A kind of shoulder joint Scapula glenoid bone positioner and its component

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CN201720030070.0U Expired - Fee Related CN207341820U (en) 2016-01-31 2017-01-11 A kind of shoulder joint Scapula glenoid bone positioner and its component

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Cited By (1)

* Cited by examiner, † Cited by third party
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

Cited By (1)

* Cited by examiner, † Cited by third party
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

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Granted publication date: 20190806