CN209966523U - Traction reduction perspective operation plate device for bone surgery PFNA operation - Google Patents

Abstract

A traction reduction perspective operation plate device for a bone surgery PFNA operation comprises a support plate, wherein a columnar protrusion is arranged on the edge of one side of the support plate, and a plurality of fixing holes are formed in the edge of the support plate; the supporting plate is used for being placed on an operating table for use. The utility model discloses simple manufacture, low cost, easy operation has higher popularization nature and practicality.

Description

Traction reduction perspective operation plate device for bone surgery PFNA operation

Technical Field

The utility model belongs to be used for bone surgery PFNA operation medical instrument field, in particular to is used for bone surgery PFNA operation to pull perspective operation board device that resets.

Background

With the increasing aging of society, more and more intertrochanteric femoral fracture patients are secondary to senile osteoporosis, and through years of research and exploration of bone surgeons, PFNA (proximal femur rotation-preventing intramedullary nail system) surgery for treating intertrochanteric femoral fracture obtains consistent good comment of the bone surgery. The fixing device has the advantages of firm fixation, high strength, difficult fracture of internal fixation after operation, difficult loss of restoration, early getting out of bed activity, early recovery of normal life of patients and reduction of disability and death caused by diseases.

In PFNA operation, if a good surgical instrument for traction reduction and convenient fluoroscopy exists, minimally invasive operation can be realized in the operation, and adverse effects of long operation time, much bleeding and slow postoperative recovery in the traditional open operation can be reduced.

However, in the current PFNA surgery, a common operating table is used in combination with an orthopedic traction frame for surgery, and due to the blocking of a metal support at the lower part of a blocking column at the perineum part of the orthopedic traction frame, the accurate placement of a C-arm X-ray machine in the surgery is difficult, and the position of the C-arm X-ray machine needs to be adjusted for many times during front-back perspective, so that repeated perspective is performed, which leads to the disadvantages of prolonged surgery time, increased bleeding in the surgery and increased radiation exposure.

SUMMERY OF THE UTILITY MODEL

In view of the technical problem that the background art exists, the utility model provides a be used for bone surgery PFNA operation to pull perspective operation board device that resets, simple manufacture, low cost, easy operation has higher popularization nature and practicality.

In order to solve the technical problem, the utility model discloses following technical scheme has been taken and has been realized:

a traction reduction perspective operation plate device for a bone surgery PFNA operation comprises a support plate, wherein the edge of one side of the support plate is provided with a columnar protrusion, and a plurality of fixing holes are uniformly distributed on the edge of the support plate; the supporting plate is fixed on the operating table in a mode that the fixing belt penetrates through the fixing hole.

In the preferred scheme, backup pad and column protruding for the wood material, and backup pad and column protruding by the trunk and branch integrated processing of same trees form.

In a preferred scheme, the thickness of the support plate is 3 ~ 4cm, the length of the support plate is 110 ~ 130cm, the width of the support plate is 35 ~ 45cm, and the diameter of the fixing hole is 2 ~ 3 cm.

In a preferred scheme, the height of the columnar protrusion is 15 ~ 25cm, and the diameter of the columnar protrusion is 6 ~ 8 cm.

In the preferred scheme, the edges of the supporting plate are all curved surfaces and have round structures without sharp edges.

This patent can reach following beneficial effect:

1. the device is made of solid wood, can transmit X-rays, a patient is placed on the operating table in PFNA operation, the perineum is propped against by the columnar protrusion, the far end of the limb at the affected side is dragged and reset by the existing orthopedic traction frame (the blocking column of the perineum and the metal bracket thereof are removed), fluoroscopy examination is carried out, and the minimally invasive PFNA fixation is carried out after the reset, so that the purposes of simple reset, convenient fluoroscopy and simple operation are achieved;

2. the supporting plate and the columnar bulges of the device are integrally processed from the trunk and the branch part of the same tree, so that the columnar bulges have great strength and can bear the traction force in the operation without breaking;

3. the fixing holes at the edge of the supporting plate can fix the device on an operating table through fixing belts, so that the device is convenient to pull and see through, and can move back and forth and deflect along with the operating table;

4. the edges of the supporting plates are curved surfaces and are of round structures without sharp edges, so that the patient and medical care personnel can be prevented from being collided and bruised by the device;

5. simple manufacture, low cost, simple operation, higher popularization and practicability.

Drawings

The invention will be further explained with reference to the following figures and examples:

FIG. 1 is an overall structure diagram of the present invention;

fig. 2 is a side view of the present invention;

fig. 3 is a top view of the present invention;

FIG. 4 is a schematic view of the present invention in a use configuration, in which the device is placed on an operating table, and a patient is not lying on the operating table;

FIG. 5 is a schematic view of the present invention in a use configuration, wherein the device is placed on an operating table and a patient is lying thereon;

FIG. 6 is a view showing a structure of a conventional apparatus;

FIG. 7 is a block diagram of the prior art device in use, with the patient not lying on the operating table;

fig. 8 is a block diagram of the prior art device in use, with the patient lying on the operating table.

In the figure: the orthopedic traction table comprises a supporting plate 1, a columnar protrusion 2, a fixing hole 3, an operating table 4, a C-arm X-ray machine 5, a traction frame 6, a patient 7, a metal support 8 and an existing orthopedic traction frame 9.

Detailed Description

Example 1:

as shown in fig. 1 to 4, a plate device for traction reduction and fluoroscopy operation in PFNA operation in bone surgery comprises a support plate 1, wherein a columnar protrusion 2 is arranged on the edge of one side of the support plate 1, and 8 fixing holes 3 are arranged on the edge of the support plate 1; the supporting plate 1 is fixed on the operating table in a way that a fixing belt penetrates through the fixing hole 3.

As shown in fig. 1 to 4, the support plate 1 and the columnar protrusions 2 are made of solid wood, and the support plate 1 and the columnar protrusions 2 are integrally processed from a trunk and branches of the same tree.

As shown in FIGS. 1 to 4, the thickness of the support plate 1 is 3 ~ 4cm, the length of the support plate 1 is 110 ~ 130cm, the width of the support plate 1 is 35 ~ 45cm, and the diameter of the fixing hole is 2 ~ 3cm, preferably 3 cm.

Preferably, as shown in fig. 1 to 4, the height of the columnar protrusion 2 is 15 ~ 25cm, and the diameter of the columnar protrusion 2 is 6 ~ 8 cm.

The preferable scheme is as shown in fig. 1 to 4, the edges of the supporting plate 1 are all curved surfaces and round structures, and no sharp edges are formed.

The supporting plate 1 of the device can be made into a plate structure with the thickness of 4cm, the length of 120cm, a slightly concave middle part and a rounded edge by selecting a square plate with the thickness of 120 multiplied by 40 multiplied by 4cm, and the columnar protrusion 2 can be set into a cylinder or an approximate cylinder structure with the height of 20cm and the diameter of 6 ~ 8cm as long as no sharp edges and corners are ensured.

The operation steps of the whole device are as follows:

1. the defects of the prior orthopedic traction frame 9 in the bone surgery PFDA operation are described by combining the attached drawings 6-8:

the metal support 8 can block the traction frame 6 of the C-arm X-ray machine from moving, the C-arm X-ray machine is difficult to accurately place in the operation, the position of the C-arm X-ray machine needs to be adjusted for many times when the front and back perspective is performed, and the repeated perspective causes the defects of prolonged operation time, increased bleeding in the operation and increased radiation exposure.

2. The device is applied to practical use:

as shown in fig. 5: during operation, a fixing band penetrates through a fixing hole to be bound and fixedly placed on an operating table, an existing orthopedic traction frame 9 on an original operating table and a metal support 8 at the lower part of the orthopedic traction frame are completely removed, only a far-end ankle traction device and a ground base are reserved, a patient lies on the back on the operating table, an injured lower limb is horizontally straightened by using a bandage, the bandage is fixed on a traction frame 6, a healthy lower limb lithotomy position is fixed, a knee is expanded outwards to perform traction and reset, the right side of a C-shaped arm X-ray machine is subjected to perspective, traction is adjusted, and the reset is satisfied after the perspective is confirmed; then disinfecting and paving a towel, making an incision of about 6cm near the femoral greater trochanter at the affected side, exposing the greater trochanter, opening the front part of the greater trochanter, implanting a guide pin into a femoral medullary cavity, performing perspective confirmation, expanding marrow along the guide pin, implanting a PFNA main nail with proper size and length, performing perspective judgment on the position of a femoral neck anti-rotation blade, adjusting as appropriate, adjusting the front inclination angle of the femoral neck, installing a proximal end locking rod, drilling the guide pin into the femoral neck under the instruction of the proximal end locking rod, observing the position of the guide pin at the right side, measuring the length of the femoral neck anti-rotation blade, drilling the femoral neck into the femoral neck by using a hollow drill along the guide pin, taking out the hollow drill, driving the femoral neck anti-rotation blade with proper length, performing screwing and pressurizing after the perspective is in place, removing the proximal end locking rod, installing a distal end locking rod after drilling, confirming;

counting instruments after the internal fixation is finished, cleaning the incision and suturing;

on the next day after the operation, the patient can get out of the bed to support the double crutches or walk with the walking aid under the protection of the accompanying person, and then the activity is gradually increased to guide the accompanying person to pay attention to the protection and prevent falling injury; after the operation, the X-ray film is rechecked for 1, 3, 6, 12 and 24 months, and the fracture can be taken out and fixed internally after healing.

The device is fixedly arranged on an operating table by binding a fixing belt through a fixing hole, a perineum blocking column of the existing orthopedic traction frame 9 and a metal bracket at the lower part of the perineum blocking column are completely removed, and only a far-end ankle traction device and a ground base are reserved;

in the operation, the buttocks of a patient are placed on the X-ray permeable wood plate, nothing is shielded below the buttocks, the perineum blocking column is also of a wood structure, the perspective is not influenced, the perspective of the right side position of the hip joint can be easily completed in the operation, the perspective times, the operation time and the bleeding in the operation are obviously reduced, and the requirement of PFNA minimally invasive operation is really realized.

The above-mentioned embodiments are merely preferred embodiments of the present invention, and should not be considered as limitations of the present invention, and the protection scope of the present invention should be defined by the technical solutions described in the claims, and includes equivalent alternatives of technical features in the technical solutions described in the claims. Namely, equivalent alterations and modifications within the scope of the invention are also within the scope of the invention.

Claims (5)

1. A traction reduction perspective operation plate device for bone surgery PFNA operation is characterized in that: the novel fixing device comprises a supporting plate (1), wherein a columnar protrusion (2) is arranged on the edge of one side of the supporting plate (1), and a plurality of fixing holes (3) are uniformly distributed in the edge of the supporting plate (1).

2. The plate device for traction reduction and fluoroscopy operation of bone surgery PFNA operation of claim 1, wherein: the supporting plate (1) and the columnar protrusions (2) are made of solid wood, and the supporting plate (1) and the columnar protrusions (2) are integrally processed by a trunk and branches of the same tree.

3. The surgical plate device for traction reduction and fluoroscopy in PFNA operation in bone surgery as per claim 1, wherein the thickness of the supporting plate (1) is 3 ~ 4cm, the length of the supporting plate (1) is 110 ~ 130cm, the width of the supporting plate (1) is 35 ~ 45cm, and the diameter of the edge fixing hole is 2 ~ 3 cm.

4. The surgical plate device for traction reduction in bone surgery PFNA is characterized in that the height of the columnar protrusion (2) is 15 ~ 25cm, and the diameter of the columnar protrusion (2) is 6 ~ 8 cm.

5. The plate device for traction reduction and fluoroscopy operation of bone surgery PFNA operation of claim 1, wherein: the edges of the supporting plate (1) are curved surfaces and are of a round structure, and sharp edges and corners do not exist.

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