CN211560325U - Resetting device in atlantoaxial dislocation - Google Patents
Resetting device in atlantoaxial dislocation Download PDFInfo
- Publication number
- CN211560325U CN211560325U CN202020154680.3U CN202020154680U CN211560325U CN 211560325 U CN211560325 U CN 211560325U CN 202020154680 U CN202020154680 U CN 202020154680U CN 211560325 U CN211560325 U CN 211560325U
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- pulley
- bracing piece
- vertebral plate
- supporting rod
- reduction device
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Abstract
The utility model relates to a resetting means in atlantoaxial dislocation art, it has the bedplate, a column, hank reel and bracing piece, the stand is fixed on the bedplate, the bracing piece is fixed on the stand and is kept parallel with the bedplate, hank reel installs on the stand, install the pulley on the bracing piece, hank reel is rolled up there is the traction steel wire, it draws pincers to be connected with atlas to pull around the pulley to pull the steel wire, the vertebral plate roof pressure ware still is equipped with on the bracing piece, but the stand direct mount is fixed at the operation head of a bed or surgical instruments platform, all there is the elasticity screw on the roof pressure ware regulating part between bracing piece between stand and bracing piece and vertebral plate roof pressure ware, the pipe of wearing wherein can slide when loosening, can fix when turning round, install adjusting nut on the roof pressure ware regulating part, the vertebral plate roof pressure ware reciprocates in. The utility model discloses the structure is retrencied, easy operation, and extensive region dentata resets fast accurately, has greatly improved the extensive region dentata rate of resetting in the art, and reduces complications such as nerve blood vessel damage, has improved clinical curative effect.
Description
Technical Field
The utility model relates to a medical instrument, in particular to a resetting device in atlantoaxial dislocation.
Background
The atlantoaxial dislocation refers to the pathological change that the joint surfaces of the first cervical vertebra and the second cervical vertebra lose the normal involution relationship and joint dysfunction and/or nerve compression occur. The causes of atlantoaxial dislocation are congenital malformation, trauma, degeneration, tumor, infection, inflammation, operation, etc. The patients with atlantoaxial dislocation show neck and occipital pain, restricted movement of torticollis and neck, upper spinal cord injury, muscle tension of the whole body, weakness of hand-held objects, walking weakness, weakness of stool and urine, atrophy and paralysis of muscles of limbs, and the like.
The atlantoaxial reposition is to correct the dislocated atlas and axis by surgical operation to restore them to normal anatomical relationship. At present, the atlantoaxial reposition lacks necessary positioning instrument equipment, is temporarily positioned by mainly depending on the manual and the operation clamp lifting and pressing modes, and then is fixed by passing a nail between the atlantoaxial bones, wastes time and labor, and is difficult to position accurately, so that the operation efficiency and the operation quality are not high.
Disclosure of Invention
The utility model aims at the above problem, provide a resetting means in extensive region dentata dislocation art, make the device can make extensive region vertebra and dentata bone reposition fast accurately to this solves not enough among the prior art.
The utility model provides a resetting means in extensive region dentata dislocation art, it has bedplate, stand, reel and bracing piece, and its characterized in that stand is fixed on the bedplate, and the bracing piece is fixed on the stand and keeps parallel with the bedplate, and the reel is installed on the stand, installs the pulley on the bracing piece, and the reel is rolled up there is the traction wire, and the traction wire walks around the pulley and carries the pincers with the extensive region vertebra to be connected, still is equipped with the vertebral plate roof pressure ware on the bracing piece.
The seat board can be an operating table or an operating instrument table, namely, the upright posts are directly installed and fixed on an operating table head or an operating instrument table.
The fixing mode between the upright post and the seat plate can be fixing clamp fixing, welding fixing, inserting sleeve fixing or thread fixing.
The upright post can be formed by stretching two or more sections of sleeves, and adjusting nuts are arranged among the pipe sections. Can be lengthened or shortened when loosened, and can be fixed when tightened, so that the height of the upright post can be conveniently adjusted.
The reel is installed on the stand through the reel seat, and the reel has twist grip and elasticity switch.
The pulley passes through the pulley seat to be installed on the bracing piece, and the pulley seat is worn and can be slided adjustment and fixed position on the bracing piece.
The vertebral lamina top pressing device is a straight rod, and the lower end of the vertebral lamina top pressing device is provided with a three-forked opening so as to be matched with the dentata spinous process and the vertebral lamina.
The supporting rod fixing piece between the upright post and the supporting rod and the top press adjusting piece between the supporting rod and the vertebral plate top press are provided with elastic screws, and the pipe penetrating through the supporting rod and the top press adjusting piece can slide when loosened and can be fixed when twisted.
The top press adjusting piece can be provided with a nut mounting seam for mounting an adjusting nut, so that the vertebral plate top press can move up and down in the nut to adjust the top press amplitude.
The atlas lifting forceps are formed by modifying an operation clamp, the operation is convenient, and the traction steel wire and the connection point thereof are arranged at the forceps shaft, so that the clamp is ensured to keep a basic vertical suspension state.
Use the utility model discloses the time, at first fix the stand on bedplate or operating table through fixation clamp or other modes, then through bracing piece mounting fixed support bar, pulley and vertebral plate roof pressure ware are adorned on the bracing piece, and traction wire one end is around on the hank reel, and the other end is fixed on atlas pulling forceps, and the centre is around on the pulley. After the connection of all the parts is finished, the patient lies on the operating bed, the neck part is exposed under the atlas pulling forceps, the soft tissue is cut, the forked end of the vertebral plate jacking device is jacked at the centrum spinous process and the vertebral plate thereof, the threaded end regulates the amplitude of jacking the vertebral plate of the jacking device to be proper through rotating the regulating nut and then the fixation is stable, and for the vertebral plate jacking device without thread regulation, the tightening elastic screw is screwed to be fixed stably after the jacking is proper; then the atlas pulling clamp is used for clamping the atlas posterior arch, the atlas posterior arch is pulled by rotating the winch wheel traction steel wire, and the distraction, pulling and jacking pressure is applied between the atlas posterior arch and the axis until the normal anatomical relationship of the atlas axis is restored, so that the spinal cord compression is relieved. And stable favorable conditions are provided for nail fixing in the following reset state.
The utility model is characterized in that:
simple structure, simple operation, rapid and accurate atlantoaxial reduction, greatly improves the reduction rate of the atlantoaxial in the operation, reduces complications such as nerve and blood vessel damage and the like, and improves the clinical curative effect.
Drawings
Fig. 1 is a front view of the present invention.
Fig. 2 is a left side view.
Fig. 3 is a plan view.
Fig. 4 is a perspective view.
Figure 5 is a schematic front view of the vertebral plate press with nut adjustment integrated with its adjustment members and support rods.
Figure 6 is a schematic left side view of the vertebral plate press with nut adjustment integrated with its adjustment members and support rods.
Figure 7 is a schematic top view of the vertebral plate forcer with nut adjustment integrated with its adjusting member and support rod.
In fig. 1-4, the parts are numbered as follows:
1-a seat board; 2-cervical vertebrae; 3-column fixing parts; 4-upright post; 5-atlas lifting forceps; 6-vertebral lamina top pressing device; 7-a reel; 8-a capstan base; 9-traction steel wires; 10-top pressure regulator regulating part; 11-a pulley; 12-a support bar fixture; 13-a support bar; 14-a pulley block; 15-adjusting the nut; 16-a rotary jack; 17-nut mounting slot; 18, loosening and tightening the screw; 61-thread segment.
Detailed Description
The present invention will be further described with reference to the accompanying drawings, but the scope of the present invention is not limited to the drawings.
As shown in fig. 1-7, the seat plate 1 is a square plate or an operating table, the upright column 4 is made of steel tube, preferably two sections of tubes, and the joint is provided with a loose nut to facilitate lifting or lowering to adjust the height, and the loose nut is screwed and fixed after being adjusted, so that the telescopic function can be realized. A reel 7 is arranged on the upright post in advance through a reel seat 8. The reel is wound with a traction steel wire 9. The lower end of the upright is fixed by an upright fixing part 3 which can be a fixing clamp and can also be replaced by welding, inserting sleeve or screw thread fixing. The support bar is also made of a tube and is fixed to the column by a support bar fixing member 12 so as to be suspended above the seat plate. The supporting rod is provided with a pulley 11 through a pulley seat 14, and the traction steel wire is connected with the atlas pulling forceps 5 by bypassing the pulley. The reel can be directly used for fishing lines on the existing fishing rod or can be modified according to the structure of the existing fishing line reel.
The vertebral plate top press 6 is a straight rod, the lower end of the rod is provided with a three-forked opening, and the rod body penetrates through the top press adjusting part 10. The top press adjusting piece is simultaneously penetrated on the supporting rod and can also adjust the position in a sliding way.
As mentioned above, the supporting rod fixing part and the vertebral plate top pressure device adjusting part are both provided with elastic screws, and are adjusted and fixed through the elastic screws.
As shown in figures 1-4, a loose screw can be arranged between the vertebral plate top pressing device and the adjusting part thereof, and the vertebral plate top pressing device can also move up and down by opening a nut mounting slit 17 on the vertebral plate top pressing device, filling an adjusting nut 15, opening a thread section 61 on the vertebral plate top pressing device and rotating the adjusting nut, thereby realizing the purpose of adjusting the top pressing amplitude. In order to conveniently rotate the adjusting nut, four rotating insertion holes 16 are formed in the adjusting nut, and the spanner can be inserted into the rotating insertion holes to rotate quickly and easily. The surface of the twist is provided with a twist, and the twist is directly rotated by hands when the pressure is low. See fig. 5-7.
The parts and reference numerals not mentioned are as described above.
Claims (9)
1. A resetting device in the atlantoaxial dislocation operation comprises a seat plate, a vertical column, a reel and a supporting rod, and is characterized in that the vertical column is fixed on the seat plate, the supporting rod is fixed on the vertical column and is parallel to the seat plate, the reel is arranged on the vertical column, a pulley is arranged on the supporting rod, a traction steel wire is wound on the reel and is connected with an atlas forceps by bypassing the pulley, and a vertebral plate jacking device is also arranged on the supporting rod.
2. The atlantoaxial dislocation reduction device of claim 1, wherein the seat plate is an operating bed or a surgical instrument table.
3. The reduction device in atlantoaxial dislocation according to claim 1, wherein the fixation between the upright post and the seat plate is fixation by a fixation clamp, a welding fixation, a socket fixation or a screw thread fixation.
4. The reduction device in atlantoaxial dislocation according to claim 1, wherein the upright post is formed by two or more telescopic sleeves, and an adjusting nut is arranged between the two sleeves.
5. The reduction device for atlantoaxial dislocation as claimed in claim 1, wherein the pulley is mounted on the column through a pulley seat, the pulley has a rotating handle and a tightening switch, the pulley is mounted on the support rod through a pulley seat, and the pulley seat is threaded on the support rod.
6. The reduction device in atlantoaxial dislocation according to claim 1, wherein the vertebral plate pressing device is a straight rod with a three-forked opening at the lower end to fit with the spinous process of the atlantoaxial and the vertebral plate.
7. The reduction device in atlantoaxial dislocation according to claim 1, wherein the supporting rod fixing member between the upright post and the supporting rod and the apical press adjusting member between the supporting rod and the vertebral plate apical press are provided with loose screws.
8. The reduction device in atlantoaxial dislocation as claimed in claim 1 or 7, wherein the adjusting piece of the apical press is provided with an adjusting nut by a nut mounting slot, and the vertebral plate apical press is arranged in the adjusting nut to move up and down.
9. The reduction device in atlantoaxial dislocation according to claim 1, characterized in that the connection point of the atlas pulling forceps and the traction wire is at the forceps shaft.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202020154680.3U CN211560325U (en) | 2020-02-07 | 2020-02-07 | Resetting device in atlantoaxial dislocation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202020154680.3U CN211560325U (en) | 2020-02-07 | 2020-02-07 | Resetting device in atlantoaxial dislocation |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN211560325U true CN211560325U (en) | 2020-09-25 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202020154680.3U Active CN211560325U (en) | 2020-02-07 | 2020-02-07 | Resetting device in atlantoaxial dislocation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN211560325U (en) |
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2020
- 2020-02-07 CN CN202020154680.3U patent/CN211560325U/en active Active
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