CN211433833U - Pillow for turning over after hip joint replacement - Google Patents
Pillow for turning over after hip joint replacement Download PDFInfo
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- CN211433833U CN211433833U CN201921891215.1U CN201921891215U CN211433833U CN 211433833 U CN211433833 U CN 211433833U CN 201921891215 U CN201921891215 U CN 201921891215U CN 211433833 U CN211433833 U CN 211433833U
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Abstract
Description
技术领域technical field
本实用新型属于外科术后护理的技术领域,具体涉及一种髋关节置换术后翻身枕。The utility model belongs to the technical field of post-surgery nursing, in particular to a turning pillow after hip joint replacement.
背景技术Background technique
骨关节炎(osteoarthritis,OA)是一种以软骨退化、骨重建、骨赘形成、关节炎症和正常关节功能丧失为特征的关节慢性退行性疾病。其临床表现主要为关节的局部疼痛和活动受限。OA是中老年人的常见疾病,好发于55岁以上女性人群及65岁以上男性人群。随着经济的发展和人口老龄化,骨关节炎的患者数量在不断增加。骨关节炎被认为是全球致残的最常见疾病之一。2018年,王斌等人通过对最近20余年数据进行meta分析,发现中国KOA患病率高达18%,且疾病负担较重。临床上通常采取手术治疗,手术的方式一般为人工关节置换手术。Osteoarthritis (OA) is a chronic degenerative disease of the joints characterized by cartilage degeneration, bone remodeling, osteophyte formation, joint inflammation and loss of normal joint function. Its clinical manifestations are mainly local pain and limited mobility of the joints. OA is a common disease among middle-aged and elderly people, and it occurs in women over 55 years old and men over 65 years old. With the development of the economy and the aging of the population, the number of patients with osteoarthritis is increasing. Osteoarthritis is considered to be one of the most common disabling diseases worldwide. In 2018, Wang Bin et al. conducted a meta-analysis of data from the last 20 years and found that the prevalence of KOA in China is as high as 18%, and the disease burden is heavy. Surgery is usually used in clinical practice, and the surgical method is generally artificial joint replacement surgery.
Demos等报道初次THA术后脱位率为3.2%~6.5%,翻修术后脱位率达7.4%~11.4%。其中一部分脱位为体位性脱位:其假体位置正确,软组织平衡,脱位是由于患肢不恰当的活动引起的。Dorr等将THA术后脱位分为四类,I类:体位性脱位:其假体位置正确,软组织平衡,脱位是由于患肢不恰当的活动引起的。Ⅱ类:软组织失衡性脱位,包括高位臼杯、股骨颈截骨过多、股骨颈过短等。Ⅲ类:假体位置不良性脱位。包括臼杯和股骨柄假体位置和方向的放置错误。Ⅳ类:同时存在软组织失衡和假体位置不良性脱位。体位性脱位脱位多由于术后早期不当活动导致。因此如何指导和帮助患者术后早期运动能有效减少髋关节置换术后脱位的几率。Demos et al reported that the dislocation rate after primary THA was 3.2% to 6.5%, and the dislocation rate after revision was 7.4% to 11.4%. Some of these dislocations are orthostatic: the prosthesis is in the correct position, the soft tissue is balanced, and the dislocation is caused by inappropriate movement of the affected limb. Dorr et al. divided dislocations after THA into four categories. Category I: Orthostatic dislocation: The prosthesis is in the correct position, the soft tissue is balanced, and the dislocation is caused by inappropriate movement of the affected limb. Class II: Unbalanced dislocation of soft tissue, including high acetabular cup, excessive femoral neck osteotomy, and short femoral neck. Class III: Improper dislocation of the prosthesis. This includes misplacement of cup and stem component position and orientation. Class IV: There are both soft tissue imbalances and malpositioned dislocations. Orthostatic dislocations are mostly caused by improper activities in the early postoperative period. Therefore, how to guide and help patients with early postoperative exercise can effectively reduce the probability of dislocation after hip replacement.
目前针对体位性脱位的对症处理主要是通过术后指导活动,和禁止下蹲,跷二郎腿等方法。术后早期翻身时,通常通过在双膝之间垫一个枕头后翻身来避免髋关节过度内旋,从而引起髋关节后脱位。然而因为患者或家属并未完全理解,从而导致枕头放置错误、及枕头放置后仍处于过度内旋姿势,造成髋关节术后脱位。At present, the symptomatic treatment for orthostatic dislocation is mainly through postoperative guidance activities, and prohibition of squatting, cross-legged and other methods. When rolling over early postoperatively, it is common to roll over with a pillow between the knees to avoid excessive internal rotation of the hip, which can cause posterior hip dislocation. However, because the patient or family members did not fully understand, the pillow was incorrectly placed, and the pillow was still in an excessive internal rotation position, resulting in postoperative dislocation of the hip joint.
现有翻身枕采用的是上短下长的梯形设计。主要考虑到膝关节术后,为了防止术后褥疮等并发症,翻身时间可能需要长达半小时以上。而梯形设计的翻身枕,需要病人家属协助(扶住患肢使患者不从翻身枕周围滑出),更适用于过床等短时间操作时的翻身。The existing turning pillow adopts a trapezoidal design with a short top and a long bottom. Mainly considering that after knee surgery, in order to prevent complications such as postoperative bedsores, it may take more than half an hour to turn over. The trapezoidal design of the turning pillow requires the assistance of the patient's family (holding the affected limb so that the patient does not slip out from the surrounding of the turning pillow), and is more suitable for turning over during short-term operations such as bed crossing.
实用新型内容Utility model content
为了解决上述现有技术存在的一些问题,本实用新型的目的是提供一种髋关节置换术后翻身枕,能有效减少因术后不当活动造成的髋关节置换术后体位性脱位。In order to solve some problems existing in the above-mentioned prior art, the purpose of this utility model is to provide a turning pillow after hip arthroplasty, which can effectively reduce post-positional dislocation of hip arthroplasty caused by improper activities after surgery.
为实现上述目的,本实用新型提供一种髋关节置换术后翻身枕,包括柔性材料做成的上顶面、下底面、腿部固定槽及卡扣,卡扣设有多组,每组卡扣的上下部分分别固定在上顶面和下底面上,腿部固定槽在上顶面和下底面之间。In order to achieve the above-mentioned purpose, the present utility model provides a turning pillow after hip joint replacement, which includes an upper top surface, a lower bottom surface, a leg fixing groove and a buckle made of flexible materials. The upper and lower parts of the buckle are respectively fixed on the upper top surface and the lower bottom surface, and the leg fixing groove is between the upper top surface and the lower bottom surface.
进一步地,其竖直截面为“工”字型。Further, its vertical section is "I" shape.
进一步地,腿部固定槽设有两个,其截面为类圆形,类圆形直径为13-18cm。Further, the leg fixing grooves are provided with two, the cross-section of which is quasi-circular, and the quasi-circular diameter is 13-18 cm.
进一步地,上顶面和下底面的长为50-70cm,宽为30-45cm。Further, the length of the upper top surface and the lower bottom surface is 50-70cm, and the width is 30-45cm.
上顶面和下底面的间距为15-25cm。The distance between the upper top surface and the lower bottom surface is 15-25cm.
进一步地,卡扣设有2-5组。Further, there are 2-5 groups of buckles.
进一步地,包括固定绳带,固定绳带交叉缠绕设置。Further, a fixing rope is included, and the fixing rope is cross-wrapped.
与现有技术相比,本实用新型提供的髋关节置换术后翻身枕,腿部固定槽采用类圆形设计更符合人体双腿结构,可以使患肢完全包绕在较为松软的枕面内,不会因为时间过长使病人感受到不适,也不需要人扶住患肢防止患肢从较短一侧滑出。多组卡扣通过固定住双侧大腿及小腿部位,从而限制双膝关节的活动范围,不会因为翻身时的不当活动导致双膝关节交叉,从而造成髋关节过度内旋,引发髋关节后脱位。Compared with the prior art, in the post-hip replacement pillow provided by the present invention, the leg fixing groove adopts a quasi-circular design, which is more in line with the structure of the human body's legs, and the affected limb can be completely wrapped in the relatively soft pillow surface. , it will not make the patient feel uncomfortable for too long, and it does not require a person to support the affected limb to prevent the affected limb from slipping out from the shorter side. Multiple sets of buckles fix the thighs and calves on both sides, thereby limiting the range of motion of the knee joints, and will not cause the knee joints to cross due to improper movement during turning over, resulting in excessive internal rotation of the hip joint and causing posterior dislocation of the hip joint .
附图说明Description of drawings
图1是本实用新型实施例中足踝生物力学加载装置的正视图;Fig. 1 is the front view of the ankle biomechanical loading device in the embodiment of the present invention;
图2是本实用新型实施例中足踝生物力学加载装置的局部放大图;Fig. 2 is a partial enlarged view of the ankle biomechanical loading device in the embodiment of the present invention;
具体实施方式Detailed ways
为了使本实用新型的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本实用新型进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本实用新型,并不用于限定本实用新型。In order to make the purpose, technical solutions and advantages of the present utility model more clearly understood, the present utility model will be further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present invention, and are not intended to limit the present invention.
本实用新型实施例提供一种髋关节置换术后翻身枕,包括柔性材料做成的上顶面1、下底面2、腿部固定槽3及卡扣4,卡扣4设有多组,每组卡扣的4上下部分分别固定在上顶面1和下底面2上,腿部固定槽3在上顶面1和下底面2之间。The embodiment of the present invention provides a turning pillow after hip replacement, comprising an
采用上述结构,上顶面1和下底面2对腿部固定槽3形成固定支撑的作用,可以使患肢完全包裹在柔软的腿部固定槽3内部,不会因为时间过长使病人感受到不适,也不需要其他人扶住患肢防止患肢从较短一侧滑出,导致髋关节收到损伤。多组卡扣4通过固定住双侧大腿及小腿部位,从而限制双膝关节的活动范围,不会因为翻身时的不当活动导致双膝关节交叉,从而造成髋关节过度内旋,引发髋关节后脱位。With the above structure, the
本实施例翻身枕的竖直截面为“工”字型,腿部固定槽3设有两个,其截面为类圆形,类圆形直径为13-18cm,本实施例优选为15cm,可以完美的配合患肢。The vertical cross section of the turning pillow in this embodiment is an "I" shape, and two
上顶面1和下底面2的长为50-70cm,宽为30-45cm,本实施例优选为长60cm,宽37cm。上顶面1和下底面2间距,即本实施例提供的髋关节置换术后翻身枕的高为15-25cm,本实施例优选为19cm。The length of the
这种尺寸设置适用于不同体型的患者,可以对患肢起到良好的固定作用。This size setting is suitable for patients of different body sizes and can play a good role in immobilizing the affected limb.
卡扣设有2-5组,本实施例优选为3组。卡扣3对双腿的进行收紧固定,避免滑出。本实施例还设有固定绳带(未图示),固定绳带交叉缠绕在患肢上,可以固定患肢,配合卡扣,可以对患肢进行有效的固定,可以有效的限制患肢关键活动,避免髋关节过度内旋,引发髋关节后脱位。There are 2-5 sets of buckles, preferably 3 sets in this embodiment. The
以上所述,仅为本实用新型较佳的具体实施方式,但本实用新型的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本实用新型揭露的技术范围内,可轻易想到的变化或替换,都应涵盖在本实用新型的保护范围之内。因此,本实用新型的保护范围应该以权利要求的保护范围为准。The above are only the preferred specific embodiments of the present invention, but the protection scope of the present invention is not limited to this. The changes or replacements should be covered within the protection scope of the present invention. Therefore, the protection scope of the present invention should be based on the protection scope of the claims.
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CN113662778A (en) * | 2021-09-07 | 2021-11-19 | 上海交通大学医学院附属第九人民医院 | A personalized hip joint replacement turning pillow assembly device and accessories |
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CN113662778A (en) * | 2021-09-07 | 2021-11-19 | 上海交通大学医学院附属第九人民医院 | A personalized hip joint replacement turning pillow assembly device and accessories |
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