CN211131955U - Angle-adjustable lower limb fixing device for knee joint replacement surgery in orthopedics department - Google Patents
Angle-adjustable lower limb fixing device for knee joint replacement surgery in orthopedics department Download PDFInfo
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Abstract
Description
技术领域technical field
本实用新型属于医疗技术领域,具体涉及一种角度可调型骨科膝关节置换手术用下肢固定装置。The utility model belongs to the technical field of medical treatment, in particular to an angle-adjustable lower limb fixing device for orthopaedic knee joint replacement surgery.
背景技术Background technique
膝关节是下肢重要的负重关节,其结构和功能是人体关节中最复杂者。膝关节退行性骨关节病是老年人的常见疾病,据报道50岁以上存在症状的膝关节骨关节病男性发病率35%,女性高达74%。严重膝关节骨关节病需要进行人工膝关节置换术的患者越来越多。膝关节置换术可解除膝关节疼痛,改善膝关节功能,纠正膝关节畸形和获得长期稳定,目前患者在进行膝关节置换手术时,在手术过程中需要最大程度地弯曲下肢,病人和医务人员都无法长时间保持下肢最大程度的弯曲,这十分影响手术效果,也耗费医务人员体力,针对上述问题,有必要进行改进。The knee joint is an important weight-bearing joint of the lower limbs, and its structure and function are the most complex among the human joints. Degenerative osteoarthropathy of the knee is a common disease of the elderly, and the reported incidence of symptomatic knee osteoarthritis is 35% in men over the age of 50 and as high as 74% in women. More and more patients with severe knee osteoarthritis require artificial knee replacement. Knee replacement can relieve knee pain, improve knee function, correct knee deformity and achieve long-term stability. At present, when patients undergo knee replacement surgery, they need to bend their lower limbs to the greatest extent during the operation. Both patients and medical staff are concerned. It is impossible to maintain the maximum bending of the lower limbs for a long time, which greatly affects the effect of the operation, and also consumes the physical strength of the medical staff. It is necessary to improve the above problems.
实用新型内容Utility model content
本实用新型解决的技术问题:提供一种角度可调型骨科膝关节置换手术用下肢固定装置,通过在活动板上设置脚部支撑装置,并由设于活动板底部的驱动装置驱动脚部支撑装置沿活动板长度方向移动后,实现脚部定位于脚部支撑装置上的患者下肢弯曲固定或松开伸展,由设于活动板右端板面上的大腿支撑装置将患者大腿支撑定位后,将患者腿部前后定位,避免手术过程中患者腿部前后晃动的现象,同时可对活动板与固定板的角度进行调整,实现患者膝盖角度的调节,便于医生手术,提高手术质量。The technical problem solved by the utility model is to provide an angle-adjustable lower limb fixation device for orthopaedic knee replacement surgery. The foot support device is arranged on the movable plate, and the foot support is driven by the driving device arranged at the bottom of the movable plate. After the device moves along the length direction of the movable plate, the lower limbs of the patient whose feet are positioned on the foot support device can be bent, fixed or stretched. The patient's legs are positioned back and forth to avoid the phenomenon of the patient's legs shaking back and forth during the operation. At the same time, the angle between the movable plate and the fixed plate can be adjusted to realize the adjustment of the patient's knee angle, which is convenient for doctors to operate and improve the quality of the operation.
本实用新型采用的技术方案:角度可调型骨科膝关节置换手术用下肢固定装置,具有手术床板,所述手术床板由活动板和固定板角度可调式连接而成,所述固定板左侧板面上设有定位凸垫且位于定位凸垫右侧的固定板板面上设有支撑垫,所述活动板右侧板面上设有高度可调的大腿支撑装置,所述活动板板面上设有脚部支撑装置且脚部支撑装置与设于活动板底面的驱动装置连接,并在驱动装置的驱动下使脚部支撑装置沿活动板的长度方向左移或右移,实现脚部定位于脚部支撑装置上的患者下肢弯曲固定或松开伸展。The technical scheme adopted by the utility model: an angle-adjustable lower limb fixing device for orthopaedic knee replacement surgery, which has an operating bed board, which is formed by connecting a movable board and a fixed board in an adjustable angle. There is a positioning convex pad on the surface and a support pad is provided on the fixed plate on the right side of the positioning convex pad, and a height-adjustable thigh support device is provided on the right side of the movable plate. There is a foot support device on the upper part and the foot support device is connected with the driving device arranged on the bottom surface of the movable plate, and under the driving of the driving device, the foot support device is moved left or right along the length direction of the movable plate to realize the foot part. The patient's lower extremity, positioned on the foot support, is flexed for immobilization or release for extension.
其中,所述大腿支撑装置包括支撑管、丝杆,大腿支撑座和螺母座,所述活动板右侧板面上制有避让孔且与避让孔同心设置的支撑管下端固定于活动板上,所述螺母座下端转动安装于支撑管上端,且与螺母座适配连接的丝杆下端插入支撑管内,所述大腿支撑座前后两侧设有定位板,而左右两侧为开口状结构,所述大腿支撑座的支撑面上设有防护软垫且大腿支撑座底部与丝杆上端活动连接,并通过转动螺母座实现大腿支撑座高度的调节。Wherein, the thigh support device includes a support tube, a screw rod, a thigh support seat and a nut seat, and the lower end of the support tube, which is provided with an escape hole on the right side of the movable plate, and is concentric with the escape hole is fixed on the movable plate, The lower end of the nut seat is rotatably mounted on the upper end of the support tube, and the lower end of the screw rod which is adapted and connected with the nut seat is inserted into the support tube. The support surface of the thigh support seat is provided with a protective soft pad, the bottom of the thigh support seat is movably connected with the upper end of the screw rod, and the height of the thigh support seat is adjusted by rotating the nut seat.
进一步地,所述脚部支撑装置包括导向轮和脚部支撑座,所述活动板长度方向的板面上制有导向槽且导向槽槽面上制有导向长孔,所述导向轮置于导向槽内且固定于导向轮轮轴上的连板上端与脚部支撑座底部转动连接,所述导向轮轮轴与连接架一端固定连接且连接架另一端与设于活动板底面并穿过导向长孔的驱动装置上端固定连接,所述脚部支撑座侧板为弧形定位板且弧形定位板下端制有用于对患者脚部定位的腰形长孔,所述腰形长孔孔壁以及脚部支撑座的支撑面上均设有防护软垫。Further, the foot support device includes a guide wheel and a foot support seat, a guide groove is formed on the board surface in the length direction of the movable plate, and a guide slot is formed on the groove surface of the guide groove, and the guide wheel is placed on the movable plate. The upper end of the connecting plate in the guide groove and fixed on the guide wheel axle is rotatably connected with the bottom of the foot support seat, the guide wheel axle is fixedly connected with one end of the connecting frame, and the other end of the connecting frame is arranged on the bottom surface of the movable plate and passes through the guide length. The upper end of the driving device of the hole is fixedly connected, the side plate of the foot support seat is an arc-shaped positioning plate, and the lower end of the arc-shaped positioning plate is provided with a waist-shaped long hole for positioning the patient's foot, and the wall of the waist-shaped long hole is The supporting surface of the foot support seat is provided with protective soft pads.
进一步地,所述驱动装置包括电动伸缩缸、连接短臂、滚轮和支架,所述电动伸缩缸与活动板平行设置并固定于活动板底面上,所述电动伸缩缸的伸缩杆端部与固定于滚轮轮轴两侧的连接短臂通过销轴连接,所述支架下端与滚轮轮轴固定连接且支架上端中部的连接柱穿过设于活动板板面上的导向长孔后通过连接架与脚部支撑装置连接,所述电动伸缩缸伸缩杆伸缩带动脚部支撑装置沿活动板长度方向左移或右移后实现脚部定位于脚部支撑装置上的患者下肢弯曲固定或松开伸展。Further, the driving device includes an electric telescopic cylinder, a connecting short arm, a roller and a bracket, the electric telescopic cylinder is arranged in parallel with the movable plate and is fixed on the bottom surface of the movable plate, and the end of the telescopic rod of the electric telescopic cylinder is fixed with The connecting short arms on both sides of the roller axle are connected by pins, the lower end of the bracket is fixedly connected with the roller axle, and the connecting column in the middle of the upper end of the bracket passes through the guide long hole provided on the movable plate surface, and then passes through the connecting frame and the foot. The support device is connected, and the telescopic rod of the electric telescopic cylinder telescopically drives the foot support device to move left or right along the length direction of the movable plate to achieve bending, fixing or loosening and stretching of the lower limbs of the patient whose feet are positioned on the foot support device.
进一步地,所述活动板右端两侧以及固定板左端中部均制有豁口,所述活动板右端插入固定板左端中部的豁口内,与固定板左端两侧凸起转动连接的长丝杆中部与活动板右端固定连接,所述长丝杆一端端部制有六角槽,手柄端部的六方头与六角槽适配并通过转动手柄实现活动板角度的调节。Further, both sides of the right end of the movable plate and the middle part of the left end of the fixed plate are made with gaps, the right end of the movable plate is inserted into the gap in the middle part of the left end of the fixed plate, and the middle part of the filament rod that is rotatably connected with the protrusions on both sides of the left end of the fixed plate is connected to the gap. The right end of the movable plate is fixedly connected, one end of the long screw rod is formed with a hexagonal groove, the hexagonal head at the end of the handle is adapted to the hexagonal groove, and the angle of the movable plate can be adjusted by rotating the handle.
本实用新型与现有技术相比的优点:The advantages of the present utility model compared with the prior art:
1、本技术方案通过在活动板上设置脚部支撑装置,并由设于活动板底部的驱动装置驱动脚部支撑装置沿活动板长度方向移动后,即电动伸缩缸伸缩杆伸长或缩短,带动导向轮沿导向槽左移或右移后,实现脚部定位于脚部支撑装置上的患者下肢弯曲固定或松开伸展,患者下肢的弯曲无须医务人员手动固定,固定位置不会发生移动;1. In this technical solution, a foot support device is arranged on the movable plate, and the foot support device is driven by the driving device at the bottom of the movable plate to move along the length direction of the movable plate, that is, the telescopic rod of the electric telescopic cylinder is extended or shortened, After driving the guide wheel to move left or right along the guide groove, the lower limb of the patient whose feet are positioned on the foot support device can be bent, fixed or loosened and stretched. The bending of the patient's lower limb does not require manual fixation by medical personnel, and the fixed position will not move;
2、本技术方案由设于活动板右端板面上的大腿支撑装置将患者大腿支撑定位后,将患者腿部前后定位,避免手术过程中患者腿部前后晃动的现象,通过转动螺母座对丝杆伸出的高度进行调节,使其适用于身高体型不同的患者使用;2. In this technical scheme, after the thigh support device located on the right end plate of the movable plate supports and positions the patient's thigh, the patient's leg is positioned back and forth to avoid the phenomenon of the patient's leg shaking back and forth during the operation. The height of the rod extension can be adjusted to make it suitable for patients with different heights and shapes;
3、本技术方案通过转动长丝杆对活动板的角度进行调节,从而实现定位固定于活动板上的患者膝盖角度的调节,便于医生手术,提高手术质量;3. This technical solution adjusts the angle of the movable plate by rotating the filament rod, so as to realize the adjustment of the angle of the patient's knee positioned and fixed on the movable plate, which is convenient for doctors to operate and improves the quality of the operation;
4、本技术方案通过在大腿支撑座的支撑面上设置防护软垫,并在腰形长孔孔壁以及脚部支撑座的支撑面上均设置防护软垫,增加了与患者接触部位的舒适度,消除患者下肢支撑固定不适现象;4. In this technical solution, protective cushions are provided on the support surface of the thigh support seat, and protective cushions are provided on the wall of the waist-shaped elongated hole and the support surface of the foot support seat, which increases the comfort of the contact part with the patient to eliminate the discomfort of the patient's lower limb support and fixation;
5、本技术方案通过在固定板左侧板面上设置定位凸垫,对患者平躺位置进行定位,实现对患者下肢的定位固定一次完成,无须在下肢定位固定过程中要求患者多次挪动位置,结构简单,设计新颖,操作方便。5. This technical solution locates the lying position of the patient by setting a positioning convex pad on the left side of the fixing plate, so that the positioning and fixing of the lower limbs of the patient can be completed at one time, and there is no need for the patient to move the position multiple times during the positioning and fixing of the lower limbs. , The structure is simple, the design is novel, and the operation is convenient.
附图说明Description of drawings
图1为本实用新型结构主视图;Fig. 1 is the front view of the structure of the utility model;
图2为本实用新型结构俯视图;Fig. 2 is the top view of the structure of the utility model;
图3为本实用新型驱动装置与去掉脚部支撑座的脚部支撑装置连接结构示意图;3 is a schematic diagram of the connection structure between the drive device of the present invention and the foot support device with the foot support seat removed;
图4为本实用新型脚部支撑座结构示意图简图。FIG. 4 is a schematic diagram of the structure of the foot support seat of the present invention.
具体实施方式Detailed ways
下面结合附图1-4描述本实用新型的一种实施例,从而对技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。An embodiment of the present invention is described below in conjunction with the accompanying drawings 1-4, so as to describe the technical solution clearly and completely. Obviously, the described embodiment is only a part of the embodiment of the present invention, rather than all the embodiments. .
在本实用新型的描述中,需要理解的是,术语“上”、“下”、“前”、“后”、“左”、“右”、“顶”、“底”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位,以特定的方位构造和操作,因此,不能理解为对本实用新型的限制。In the description of the present invention, it should be understood that the terms "upper", "lower", "front", "rear", "left", "right", "top", "bottom", "inside", The orientation or positional relationship indicated by "outside" is based on the orientation or positional relationship shown in the accompanying drawings, which is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the indicated device or element must have a specific orientation , constructed and operated in a specific orientation, and therefore, should not be construed as a limitation of the present invention.
角度可调型骨科膝关节置换手术用下肢固定装置,具有手术床板1,所述手术床板1由活动板2和固定板3角度可调式连接而成,所述固定板3左侧板面上设有定位凸垫7且位于定位凸垫7右侧的固定板3板面上设有支撑垫4,所述活动板2右侧板面上设有高度可调的大腿支撑装置5,所述活动板2板面上设有脚部支撑装置6且脚部支撑装置6与设于活动板2底面的驱动装置8连接,并在驱动装置8的驱动下使脚部支撑装置6沿活动板2的长度方向左移或右移,实现脚部定位于脚部支撑装置6上的患者下肢弯曲固定或松开伸展;具体的,所述大腿支撑装置5包括支撑管5-1、丝杆5-2,大腿支撑座5-3和螺母座5-4,所述活动板2右侧板面上制有避让孔且与避让孔同心设置的支撑管5-1下端固定于活动板2上,所述螺母座5-4下端转动安装于支撑管5-1上端,且与螺母座5-4适配连接的丝杆5-2下端插入支撑管5-1内,所述大腿支撑座5-3前后两侧设有定位板,而左右两侧为开口状结构,所述大腿支撑座5-3的支撑面上设有防护软垫且大腿支撑座5-3底部与丝杆5-2上端活动连接,并通过转动螺母座5-4实现大腿支撑座5-3高度的调节;具体的,所述脚部支撑装置6包括导向轮6-1和脚部支撑座6-2,所述活动板2长度方向的板面上制有导向槽2-2且导向槽2-2槽面上制有导向长孔2-1,所述导向轮6-1置于导向槽2-2内且固定于导向轮6-1轮轴上的连板上端与脚部支撑座6-2底部转动连接,所述导向轮6-1轮轴与连接架9一端固定连接且连接架9另一端与设于活动板2底面并穿过导向长孔2-1的驱动装置8上端固定连接,所述脚部支撑座6-2侧板为弧形定位板且弧形定位板下端制有用于对患者脚部定位的腰形长孔6-3,所述腰形长孔6-3孔壁以及脚部支撑座6-2的支撑面上均设有防护软垫;具体的,所述驱动装置8包括电动伸缩缸8-1、连接短臂8-2、滚轮8-3和支架8-4,所述电动伸缩缸8-1与活动板2平行设置并固定于活动板2底面上,所述电动伸缩缸8-1的伸缩杆端部与固定于滚轮8-3轮轴两侧的连接短臂8-2通过销轴连接,所述支架8-4下端与滚轮8-3轮轴固定连接且支架8-4上端中部的连接柱8-5穿过设于活动板2板面上的导向长孔2-1后通过连接架9与脚部支撑装置6连接,所述电动伸缩缸8-1伸缩杆伸缩带动脚部支撑装置6沿活动板2长度方向左移或右移后实现脚部定位于脚部支撑装置6上的患者下肢弯曲固定或松开伸展;具体的,所述活动板2右端两侧以及固定板3左端中部均制有豁口,所述活动板2右端插入固定板3左端中部的豁口内,与固定板3左端两侧凸起转动连接的长丝杆10中部与活动板2右端固定连接,所述长丝杆10一端端部制有六角槽11,手柄端部的六方头与六角槽11适配并通过转动手柄实现活动板2角度的调节。An angle-adjustable lower limb fixation device for orthopaedic knee replacement surgery has an operating bed board 1, the operating bed board 1 is formed by a
使用时,是患者脚部置于脚部支撑座6-2的支撑面上,且患者脚部穿过脚部支撑座6-2侧壁上的腰形长孔6-3,直到患者小腿前侧与脚部支撑座6-2一侧的弧形定位板接触,启动电动伸缩缸8-1,电动伸缩缸8-1收缩后驱动导向轮6-1沿导向槽2-2向右移动至患者下肢弯曲的合适位置后,电动伸缩缸8-1关闭,转动螺母座5-4对丝杆5-2伸出的高度进行调节,调节至大腿支撑座5-3的支撑面抵于患者大腿即可,患者下肢定位固定完成,需要调整患者膝盖的角度位置时,转动端部的六方头与六角槽11适配的手柄,使长螺杆10带动活动板2转动后,实现患者膝盖的角度的调节。When in use, the patient's foot is placed on the support surface of the foot support seat 6-2, and the patient's foot passes through the waist-shaped long hole 6-3 on the side wall of the foot support seat 6-2 until the front of the patient's calf. The side is in contact with the arc-shaped positioning plate on the side of the foot support seat 6-2, and the electric telescopic cylinder 8-1 is activated. After the patient's lower limbs are bent to the proper position, the electric telescopic cylinder 8-1 is closed, and the nut seat 5-4 is turned to adjust the height of the screw rod 5-2 until the support surface of the thigh support seat 5-3 touches the patient's thigh. That is, the positioning and fixing of the patient's lower limbs is completed. When the angle position of the patient's knee needs to be adjusted, rotate the handle that fits the hexagonal head at the end and the hexagonal groove 11, so that the
本技术方案通过在活动板2上设置脚部支撑装置6,并由设于活动板2底部的驱动装置8驱动脚部支撑装置6沿活动板2长度方向移动后,即电动伸缩缸8-1伸缩杆伸长或缩短,带动导向轮6-1沿导向槽2-2左移或右移后,实现脚部定位于脚部支撑装置6上的患者下肢弯曲固定或松开伸展,患者下肢的弯曲无须医务人员手动固定,固定位置不会发生移动,由设于活动板2右端板面上的大腿支撑装置5将患者大腿支撑定位后,将患者腿部前后定位,避免手术过程中患者腿部前后晃动的现象,通过转动螺母座5-4对丝杆5-2伸出的高度进行调节,使其适用于身高体型不同的患者使用,通过转动长丝杆10对活动板2的角度进行调节,从而实现定位固定于活动板2上的患者膝盖角度的调节,便于医生手术,提高手术质量,通过在大腿支撑座5-3的支撑面上设置防护软垫,并在腰形长孔6-3孔壁以及脚部支撑座6-2的支撑面上均设置防护软垫,增加了与患者接触部位的舒适度,消除患者下肢支撑固定不适现象,通过在固定板左侧板面上设置定位凸垫7,对患者平躺位置进行定位,实现对患者下肢的定位固定一次完成,无须在下肢定位固定过程中要求患者多次挪动位置,结构简单,设计新颖,操作方便。In this technical solution, the
上述实施例,只是本实用新型的较佳实施例,并非用来限制本实用新型实施范围,故凡以本实用新型权利要求所述内容所做的等效变化,均应包括在本实用新型权利要求范围之内。The above-mentioned embodiments are only preferred embodiments of the present utility model, and are not intended to limit the scope of implementation of the present utility model. Therefore, all equivalent changes made based on the contents described in the claims of the present utility model shall be included in the present utility model rights. within the requirements.
Claims (5)
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113229956A (en) * | 2021-05-19 | 2021-08-10 | 谢庆云 | Lower limb fixing device for orthopedic knee joint replacement surgery |
| CN116570456A (en) * | 2023-06-08 | 2023-08-11 | 赵芳芳 | Leg support device in operation |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113229956A (en) * | 2021-05-19 | 2021-08-10 | 谢庆云 | Lower limb fixing device for orthopedic knee joint replacement surgery |
| CN116570456A (en) * | 2023-06-08 | 2023-08-11 | 赵芳芳 | Leg support device in operation |
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