CN211433226U - Elastic periosteum distraction system - Google Patents

Elastic periosteum distraction system Download PDF

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Publication number
CN211433226U
CN211433226U CN201922260845.5U CN201922260845U CN211433226U CN 211433226 U CN211433226 U CN 211433226U CN 201922260845 U CN201922260845 U CN 201922260845U CN 211433226 U CN211433226 U CN 211433226U
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China
Prior art keywords
periosteum
elastic
stretching
distraction
bone
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Expired - Fee Related
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CN201922260845.5U
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Chinese (zh)
Inventor
曾宇阳
曾纳新
游艺
甘萌
徐威
曹政
许进军
吴文皋
彭新宇
陈琼
汤银魁
周齐
刘湘峰
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Abstract

The invention discloses an elastic periosteum stretching system which comprises two stretching plates and an elastic component, wherein the two stretching plates are arranged in parallel, the elastic component is arranged between the two stretching plates, and in the use state, the elastic component is in a compression state to generate outward tension, so that the two stretching plates are mutually far away to generate periosteum stretching. The invention has small volume and simple structure; the periosteum stretching can be performed only by placing the stretching system into the gap between the cortical bone and the periosteum through a minimally invasive surgery, so that the operation is easy and the nursing is convenient; the traction can be carried out only by stripping periosteum, the artificial fracture is not needed, the load bearing is not influenced, and the risk of the postoperative diaphysis fracture is small; when in use, only a small minimally invasive incision is needed, the wound is small, and the infection rate is low. The invention utilizes the tension of the elastic component to generate periosteum stretch, has simple operation, does not need to keep a screw in vitro at all, and does not need to adjust (screw) the screw for a long time to achieve periosteum stretch.

Description

Elastic periosteum distraction system
Technical Field
The invention belongs to the technical field of medical use, and particularly relates to an elastic periosteum stretch system for treating diseases such as diabetic foot, arteriosclerotic obliteration, nonunion, bone defect, nerve injury and the like.
Background
With the improvement of the living standard of people, the incidence rate of diabetes and peripheral vascular diseases tends to rise year by year. The cases of limb ischemia, pain and necrosis caused by diseases such as diabetic foot, arteriosclerotic obliteration, thromboangiitis obliterans and the like are more and more common, many patients have amputation or risk of amputation, even more patients have wound surfaces which are not healed after amputation, and the disability rate is extremely high. With the popularization of motor vehicles, motor vehicle accidents are frequent, and the risk of ischemic nonunion of fracture patients caused by the high-energy injury is obviously increased compared with the prior art. It has long treatment period, high cost and poor curative effect.
For limb far-end ischemia caused by vascular diseases, treatment modes such as microcirculation improvement, thrombolysis, thrombus removal, vascular stent and the like are mostly adopted in the past, but most of the treatment modes can only temporarily relieve symptoms, the condition of limb ischemia caused by peripheral vascular diseases is not obviously improved, the current curative effect of ischemic nonunion is required to be improved, and the problem can be really solved only by reconstructing limb tissue microcirculation.
In recent years, the proposed technique of lateral bone migration based on the "tension-stress principle" of Ilizarov has become a focus of research and has achieved significant success in the treatment of such diseases. Saves many limbs and functions which need to be cut off in the past. But the defects of complex structure, large operation wound, fracture risk, high difficulty of postoperative care and the like are gradually shown. For example, chinese utility model patent CN203873847U discloses a "tibia transverse bone moving technology treatment auxiliary device", its disadvantages are: the fracture of the tibial shaft needs to be artificially caused by an operation, the fracture block is cut out to be transversely moved to stimulate the proliferation of the vascular network, the structure is complex, the cost is high, the nursing is inconvenient, and the infection rate and the fracture risk are high; further, as disclosed in chinese invention patent CN108498149A, "a titanium cable traction bone moving device and its using method", it has the following disadvantages: can only carry and treat the long bone large bone defect longitudinally; further, as disclosed in chinese utility model patent CN207886266U, a "horizontal bone-moving external fixation frame" has the following disadvantages: the structure is more complex and heavy, the cost is higher, the nursing difficulty is higher, and the action of the postoperative patient is greatly influenced; further, as disclosed in chinese utility model patent CN2460057Y, a "transverse tibial mobilization revascularization procedure implementation device" has the following disadvantages: the structure is complex, the cost is high, the nursing is difficult, and the infection rate and the fracture risk are high; further, as disclosed in chinese invention patent CN109907786A, "a lateral bone transportation device", has the following disadvantages: the structure is complex, the cost is high, the nursing is difficult, and the infection rate and the fracture risk are high; for another example, chinese utility model patent CN203183002U discloses a "bone-moving microvascular network regeneration device", which has the following disadvantages: complex structure, high cost, difficult nursing, high infection rate and high fracture risk. Further, as disclosed in chinese design patent CN304921104S, a "lateral bone moving rack" has the disadvantages of complex structure, high cost and difficult nursing.
Disclosure of Invention
The invention aims to solve the technical problems that the elastic periosteum tension system is based on the Ilizarov tension-stress principle, depends on elastic components for tension, and is simple in structure, low in cost, simple in nursing, small in wound, low in fracture risk and low in infection risk, and the like in the prior art, and overcomes the defects that the structure is complex, the operation wound is large, the fracture risk exists and the like.
In order to solve the technical problems, the invention adopts the following technical scheme:
an elastic periosteum stretching system comprises two stretching plates and an elastic component, wherein the two stretching plates are arranged in parallel, the elastic component is arranged between the two stretching plates, and in a use state, the elastic component is in a compression state to generate outward tension, so that the two stretching plates are far away from each other to generate periosteum stretching.
In one embodiment, each stretching plate is provided with N bone needle holes, the N bone needles penetrate through the bone needle holes on the two stretching plates to fix the elastic periosteum stretching system on the bone, and N is more than or equal to 1.
In one embodiment, the elastic component is a spring or an elastic metal sheet, the number of the springs is greater than or equal to 1, and the number of the elastic metal sheets is greater than or equal to 2.
In one embodiment, the traction plate is in the shape of a long plate with round corners or round blunt points, and the traction plate can be a straight plate or a long plate with a certain radian to adapt to bone substances at different parts.
In one embodiment, the bone pin holes may be distributed in the center, or at both ends, or at the edges, or at both ends and edges of the retractor plate.
The invention has the advantages and beneficial effects that:
1. the invention only comprises two stretching plates and an elastic component, and has small volume and simple structure; the invention can carry out periosteum stretching only by placing the stretching system into the clearance between the cortical bone and the periosteum through minimally invasive surgery, is easy to operate and is convenient to nurse.
2. The invention can perform traction only by stripping periosteum, does not need to cause artificial fracture, does not influence load bearing, and has small risk of postoperative diaphysis fracture.
3. When the invention is used, only a small minimally invasive incision is needed, the wound is small, and the infection rate is low.
4. The invention utilizes the tension of the elastic component to generate periosteum stretch, has simple operation, does not need to keep a screw in vitro at all, and does not need to adjust (screw) the screw for a long time to achieve periosteum stretch.
Drawings
Fig. 1 is a schematic structural view of embodiment 1.
Fig. 2 is a schematic structural view of the tension plate according to embodiment 1.
Fig. 3 is a schematic structural view of embodiment 2.
Fig. 4 is a schematic structural view of a tension plate according to embodiment 2.
Fig. 5 is a schematic structural view of embodiment 3.
Fig. 6 is a schematic structural view of a tension plate according to embodiment 3.
FIG. 7 is a schematic structural view of example 4.
Fig. 8 is a schematic structural view of a tension plate according to embodiment 4.
Detailed Description
In order to facilitate an understanding of the invention, a full description thereof will be given below with reference to the accompanying drawings. Preferred embodiments of the present invention are shown in the drawings. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete.
It will be understood that when an element is referred to as being "disposed" on another element, it can be directly on the other element or intervening elements may also be present. When an element is referred to as being "connected" to another element, it can be directly connected to the other element or intervening elements may also be present.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention.
Example 1
Referring to fig. 1 and 2, an elastic periosteum distraction system includes two distraction plates 1 and two springs 2, the two distraction plates 1 are disposed in parallel, the two springs 2 are disposed between the two distraction plates 1, and when in use, the two springs 2 are in a compressed state to generate outward tension, so that the two distraction plates 1 are away from each other to generate periosteum distraction.
In this embodiment 1, the drawplate 1 is a long plate with rounded corners 3, and the drawplate 1 is a straight plate.
The working principle and the working process of the embodiment 1 are as follows:
the use method of the elastic periosteum tension system comprises the following steps:
1) the stretching system is arranged between the bone 4 and the periosteum, and at the moment, two springs 2 between two stretching plates 1 are in a compressed state; the distraction system relies on the elasticity of the periosteum itself to fix to the cortical bone 5 and the sub-periosteal space.
2) The periosteum is sutured, and the spring 2 between the two stretching plates 1 generates outward tension to enable the two stretching plates 1 to be away from each other, so that periosteum stretching is generated.
3) After a certain period of distraction, the elastic periosteal distraction system is removed from between the bone 4 and the periosteum.
Example 2
Referring to fig. 3 and 4, an elastic periosteum distraction system includes two distraction plates 1 and two elastic metal sheets 6. The two stretching plates 1 are arranged in parallel. The two elastic metal sheets 6 are arranged between the two stretching plates 1, and as shown in figure 3, the upper part and the lower part between the two stretching plates 1 are respectively provided with one elastic metal sheet 6; and when the elastic metal sheet 6 is in a compressed state in a use state, outward tension is generated, and the two stretching plates 1 are separated from each other to generate periosteum stretching.
In this embodiment 2, the drawplate 1 is a long plate with rounded corners 3, and the drawplate 1 is a straight plate.
The working principle and the working process of the embodiment 2 are as follows:
the use method of the elastic periosteum tension system comprises the following steps:
1) the stretching system is arranged between the bone 4 and the periosteum, and at the moment, the two elastic metal sheets 6 between the two stretching plates 1 are in a compressed state; the traction system is fixed in the cortical bone 5 and the space under the periosteum by the elasticity of the periosteum;
2) suturing periosteum, wherein the elastic metal sheet 6 between the two stretching plates 1 generates outward tension to enable the two stretching plates 1 to be away from each other to generate periosteum stretching;
3) after a certain period of distraction, the elastic periosteal distraction system is removed from between the bone 4 and the periosteum.
Example 3
Referring to fig. 5 and 6, an elastic periosteum distraction system includes two distraction plates 1 and two springs 2, the two distraction plates 1 are disposed in parallel, the two springs 2 are disposed between the two distraction plates 1, and when in use, the two springs 2 are in a compressed state to generate outward tension, so that the two distraction plates 1 are away from each other to generate periosteum distraction.
Specifically, each distraction plate 1 is provided with 1 bone needle hole 7, and one bone needle 8 penetrates through the bone needle holes 8 on the two distraction plates 1 to fix the elastic periosteum distraction system on the bone 4.
In this embodiment 3, the drawplate 1 is a long plate with rounded corners 3, and the drawplate 1 is a straight plate.
In this embodiment 3, the bone pin holes 7 are distributed in the center of the traction plate 1.
The working principle and the working process of the embodiment 3 are as follows:
the use method of the elastic periosteum tension system comprises the following steps:
1) the distraction system of the invention is placed between the bone 4 and the periosteum, at which time the two springs 2 between the two distraction plates 1 are in compression.
2) Drilling a bone needle 8 into the cortical bone 5 through a bone needle hole 7, and fixing the distraction system on the bone 4;
3) suturing periosteum, wherein the spring 2 between the two stretching plates 1 generates outward tension to enable the two stretching plates 1 to be away from each other to generate periosteum stretching;
4) after a certain period of distraction, the elastic periosteal distraction system is removed from between the bone 4 and the periosteum.
Example 4
Referring to fig. 7 and 8, an elastic periosteum distraction system includes two distraction plates 1 and two elastic metal sheets 6. The two stretching plates 1 are arranged in parallel. The two elastic metal sheets 6 are arranged between the two stretching plates 1, and as shown in fig. 7, the upper part and the lower part between the two stretching plates 1 are respectively provided with one elastic metal sheet 6; and when the elastic metal sheet 6 is in a compressed state in a use state, outward tension is generated, and the two stretching plates 1 are separated from each other to generate periosteum stretching.
Each distraction plate 1 is provided with a bone needle hole 7, and a bone needle 8 penetrates through the bone needle holes 7 on the two distraction plates 1 to fix the elastic periosteum distraction system on the bone 4.
In this embodiment 4, the drawplate 1 is a long plate with rounded corners 3, and the drawplate 1 is a straight plate.
In this embodiment 4, the bone pin holes 7 are distributed in the center of the traction plate 1.
The working principle and the working process of the embodiment 4 are as follows:
the use method of the elastic periosteum tension system comprises the following steps:
1) the stretching system is arranged between the bone 4 and the periosteum, and at the moment, the two elastic metal sheets 6 between the two stretching plates 1 are in a compressed state;
2) drilling a bone needle 8 into the cortical bone 5 through a bone needle hole 7, and fixing the distraction system on the bone 4;
3) suturing periosteum, wherein the elastic metal sheet 6 between the two stretching plates 1 generates outward tension to enable the two stretching plates 1 to be away from each other to generate periosteum stretching;
4) after a certain period of distraction, the elastic periosteal distraction system is removed from between the bone 4 and the periosteum.
The invention has the advantages and beneficial effects that:
1. the invention only comprises two stretching plates 1 and an elastic component, and has small volume and simple structure; the invention can carry out periosteum distraction by only inserting the distraction system into the clearance between the cortical bone 5 and the periosteum through a minimally invasive surgery, is easy to operate and is convenient to nurse.
2. The invention can perform traction only by stripping periosteum, does not need to cause artificial fracture, does not influence load bearing, and has small risk of postoperative diaphysis fracture.
3. When the invention is used, only a small minimally invasive incision is needed, the wound is small, and the infection rate is low.
4. The invention utilizes the tension of the elastic component to generate periosteum stretch, has simple operation, does not need to keep a screw in vitro at all, and does not need to adjust (screw) the screw for a long time to achieve periosteum stretch.
The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims (5)

1. An elastic periosteum stretching system is characterized by comprising two stretching plates and an elastic component, wherein the two stretching plates are arranged in parallel, the elastic component is arranged between the two stretching plates, and in a use state, the elastic component is in a compressed state to generate outward tension, so that the two stretching plates are mutually far away to generate periosteum stretching.
2. The elastic periosteum distraction system of claim 1, wherein each distraction plate is provided with N bone needle holes, the N bone needles penetrate through the bone needle holes on the two distraction plates to fix the elastic periosteum distraction system on the bone, and N is more than or equal to 1.
3. The elastic periosteal distraction system of claim 1, wherein the elastic members are springs or elastic metal sheets, the number of springs is greater than or equal to 1, and the number of elastic metal sheets is greater than or equal to 2.
4. The elastic periosteal distraction system of claim 1, wherein the distraction plate is in the shape of a long plate with rounded corners or blunt corners, and the distraction plate can be a straight plate or a long plate with a certain curvature to adapt to bone substances at different parts.
5. The elastic periosteal distraction system of claim 2, wherein the bone pin holes are distributed in the center of the distraction plate, or at both ends of the distraction plate, or at the edges of the distraction plate, or at both the center and the edges of the distraction plate.
CN201922260845.5U 2019-12-17 2019-12-17 Elastic periosteum distraction system Expired - Fee Related CN211433226U (en)

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CN201922260845.5U CN211433226U (en) 2019-12-17 2019-12-17 Elastic periosteum distraction system

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Application Number Priority Date Filing Date Title
CN201922260845.5U CN211433226U (en) 2019-12-17 2019-12-17 Elastic periosteum distraction system

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112972061A (en) * 2021-02-04 2021-06-18 胡军 Novel anti-infection periosteum stretching device and application
CN116509523A (en) * 2023-03-23 2023-08-01 中南大学 Temperature control side square bone membrane stretching device

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112972061A (en) * 2021-02-04 2021-06-18 胡军 Novel anti-infection periosteum stretching device and application
CN116509523A (en) * 2023-03-23 2023-08-01 中南大学 Temperature control side square bone membrane stretching device
CN116509523B (en) * 2023-03-23 2024-04-16 中南大学 Temperature control side square bone membrane stretching device

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Granted publication date: 20200908

Termination date: 20211217