External fixation frame for reduction in pelvic fracture operation
Technical Field
The utility model relates to an external fixation frame technical field that resets in the fracture of pelvis art specifically is an external fixation frame that resets in the fracture of pelvis art.
Background
The pelvic fracture is a very serious and dangerous fracture, if the injury is serious, the patient can be shocked and even die, about 20-37 of every 10 ten thousand of people can have pelvic fractures, the pelvic fractures account for 0.3-6% of all fractures, the fatality rate of pelvic fractures with uncomplexed soft tissues or organ injuries is 10.8%, the fatality rate of complicated pelvic injuries is 31.1%, veins and abnormal abundant venous plexus which accompany the arteries are arranged in the pelvic cavity, and the area of the veins and the venous plexus is 10-15 times of the arteries and are communicated with each other. The early death of patients with severe pelvic multiple injuries mostly occurs from minutes to hours after injuries, which accounts for about 30 percent of the total death, the fracture bleeding is the leading cause of death of patients with pelvic fractures, the more unstable the pelvic fractures are, the larger the corresponding bleeding is, the more dangerous the patients with larger bleeding amount are, so the early reduction and fixation of the fracture are very important, the pelvic fractures are a common disease, the treatment methods are many, and the methods of traction, operation, medicine and the like exist at present.
The premise of minimally invasive surgical treatment is accurate reduction of unstable pelvic fracture displacement, closed reduction of pelvic fracture has the advantages that the risk of vascular nerve injury caused by soft tissue exposure in incision surgery can be reduced to the maximum extent, accurate reduction is one of the most important and difficult links before final fixation of pelvic fracture is carried out, precise closed reduction of pelvis is important to implement due to deep pelvic position and irregular shape, but the traditional closed reduction process completely depends on manual operation of an operator, technical requirements on the operator are high, the whole process needs to be carried out under X-ray monitoring in the operation, and radiation exposure to medical staff is overlarge.
The traditional treatment mode is incision reduction internal fixation, which can look directly at the damaged area and is beneficial to anatomical reduction, but the pelvic surgery approach needs a large incision and wide soft tissue stripping, so that the healing problems of important vascular nerve injury risk, incision infection and the like are increased, the subsequent surgical treatment is very troublesome, the closed reduction pelvic fracture can be realized, the minimally invasive screw fixation technology can avoid the above intraoperative or postoperative complications caused by incision reduction, and the minimally invasive screw fixation technology gradually becomes a method for treating pelvic fracture for orthopedists.
However, in the using process of the external pelvic fixation support in the prior art, in order to realize continuous lower limb traction, an assistant is required to maintain the reset position, the operation is troublesome, the reset position is easy to lose when internal fixation operation and perspective are carried out, and after the reset is completed, related screws are placed, the repeated perspective is still required to ensure the safety and the accuracy.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide an external fixation frame resets in pelvic fracture art, in order to solve the in-process that the external fixation frame of basin bone among the prior art of proposing among the above-mentioned background art uses, pull in order to realize lasting low limbs, need the assistant to maintain the position of resetting, it is comparatively troublesome, when carrying out internal fixation operation and perspective, the position of resetting is lost easily, and after the completion that resets, it still need to relapse perspective assurance security and accuracy to put into relevant screw, there has imported semi-circular starr frame at present, no scale above the frame, inconvenient accurate mobile location's problem.
In order to achieve the above object, the utility model provides a following technical scheme: an external fixing frame for reduction in pelvic fracture surgery comprises a long rod, wherein gram-type needle regulators are arranged on the left side and the right side of the long rod;
the gram-type needle adjuster comprises a first vertical rod, a first cross sleeve, a square plate, a through hole, a first threaded rod and a second cross sleeve;
first montant links to each other with first horizontal pole activity through first cross sleeve pipe, the equal fixedly connected with square plate in first cross sheathed tube top right side and bottom left side, the through-hole has been seted up to the side of square plate, the top right side threaded connection of square plate has first threaded rod, the end of first threaded rod is located the inside of through-hole, the equal clearance fit in the outer wall left and right sides of first horizontal pole has the second cross sleeve pipe.
Preferably, the second cross-shaped sleeve is connected with the long rod through a support frame;
the support frame comprises a three-way sleeve, a second vertical rod, a second cross rod, a third cross rod, a fourth cross sleeve and a T-shaped sleeve;
the tee bend sleeve pipe passes through the bolt and is in the same place with stock fixed connection, the sheathed tube inboard of tee bend is equipped with the second horizontal pole, the tee bend sleeve pipe passes through the bolt and is in the same place with second horizontal pole fixed connection, the outer wall and the sheathed tube inner wall clearance fit of thirty characters of second horizontal pole, and the sheathed tube inner wall of thirty characters and the outer wall top clearance fit of first montant, the sheathed tube bottom of tee bend is passed through the bolt and is in the same place with second montant fixed connection, the outer wall clearance fit of second montant has T type sleeve pipe, two be equipped with the third horizontal pole between the T type sleeve pipe, the third horizontal pole passes through the bolt and is in the same place with T type sleeve pipe is fixed, T type sheathed tube outer wall clearance fit has the forty characters of fourth sleeve pipe, the outer wall below clearance.
Preferably, the top and the bottom of the second vertical rod are both rectangular.
Preferably, a fixing component is arranged below the outer wall of the second vertical rod;
the fixing assembly comprises a U-shaped frame and a second threaded rod;
the inner wall of U type frame and the outer wall clearance fit of second montant, the side threaded connection of U type frame has the second threaded rod, and the side of U type frame is run through to the outer wall of second threaded rod.
Preferably, a spreader is arranged on the side surface of the first vertical rod;
the spreader comprises a threaded pipe, a third threaded rod and a U-shaped plate;
equal threaded connection in the inner wall left and right sides of screwed pipe has the third threaded rod, two the screw thread opposite direction of third threaded rod, two the equal fixedly connected with U template in end of third threaded rod, two the U template offsets tightly with second montant and first montant respectively.
Preferably, the outer wall of the threaded pipe is processed with anti-slip threads.
Compared with the prior art, the beneficial effects of the utility model are that: this external fixation frame resets in pelvis fracture art, whole full mechanical structure, simple structure, easy dismounting, specific beneficial effect as follows:
through the matching among the first vertical rod, the second horizontal rod, the square plate, the through hole and the first threaded rod, the external kirschner wire can be effectively and conveniently fixed, and the operation of operators is facilitated;
and the whole external fixation frame that resets in this pelvic fracture art is made by the material that can transmit X-ray, consequently the external fixation frame that resets in this pelvic fracture art can not influence the use of X-ray equipment, further provides the operation facility for medical personnel.
And the whole external fixation frame that resets in this pelvic fracture art convenient to detach conveniently accomodates foldingly, can practice thrift the space.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the connection structure of the second vertical rod, the U-shaped frame and the second threaded rod in FIG. 1;
FIG. 3 is a schematic view of the connection structure of the first vertical rod, the first horizontal rod and the first threaded rod in FIG. 1;
fig. 4 is a schematic view of the connection relationship between the threaded pipe, the third threaded rod and the U-shaped plate in fig. 1.
In the figure: 1. the support frame, 101, three way sleeve pipe, 102, second montant, 103, second horizontal pole, 104, the sleeve pipe of thirty square, 105, the third horizontal pole, 106, the sleeve pipe of forty square, 107, T type sleeve pipe, 2, gram formula needle regulator, 201, first montant, 202, first horizontal pole, 203, first cross sleeve pipe, 204, square plate, 205, through-hole, 206, first threaded rod, 207, the sleeve pipe of twenty square, 3, fixed subassembly, 301, U type frame, 302, second threaded rod, 4, stock, 5, the ware struts, 501, screwed pipe, 502, third threaded rod, 503, U type board.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
Referring to fig. 1-4, the present invention provides a technical solution: an external reduction fixing frame in pelvic fracture surgery comprises a long rod 4, the structures described in the application are made of materials which can be penetrated by X-rays, the long rod 4 plays a role in connecting and fixing support frames 1 on the left side and the right side, gram-type needle adjusters 2 are arranged on the left side and the right side of the long rod 4, the gram-type needle adjusters 2 comprise first vertical rods 201, first cross rods 202, first cross sleeves 203, square plates 204, through holes 205, first threaded rods 206 and second cross sleeves 207, the first vertical rods 201 are movably connected with the first cross rods 202 through the first cross sleeves 203, the square plates 204 are fixedly connected on the right sides of the tops and the left sides of the bottoms of the first cross sleeves 203, the through holes 205 are formed in the side surfaces of the square plates 204, gram-type needles are inserted into the through holes 205, the first threaded rods 206 are in threaded connection with the right sides of the tops of the square plates 204, when external gram-type needles are inserted into the through holes 205, the first threaded rods 206 can be fixed, the end of the first threaded rod 206 is located inside the through hole 205, and the left and right sides of the outer wall of the first cross bar 202 are in clearance fit with second cross sleeves 207.
The third cross sleeve 207 is connected with the long rod 4 through the support frame 1, the support frame 1 comprises a three-way sleeve 101, a second vertical rod 102, a second cross rod 103, a third cross sleeve 104, a third cross rod 105, a fourth cross sleeve 106 and a T-shaped sleeve 107, the three-way sleeve 101 is fixedly connected with the long rod 4 through bolts, the inner sides of the two three-way sleeves 101 are provided with the second cross rod 103, the three-way sleeve 101 is fixedly connected with the second cross rod 103 through bolts, the three-way sleeve 101 plays a role in fixing the long rod 4, the second vertical rod 102 and the second cross rod 103, the outer wall of the second cross rod 103 is in clearance fit with the inner wall of the third cross sleeve 104, the inner wall of the third cross sleeve 104 is in clearance fit with the upper part of the outer wall of the first vertical rod 201, the bottom of the three-way sleeve 101 is fixedly connected with the second vertical rod 102 through bolts, the outer wall of the second vertical rod, t type sleeve 107 plays fixed effect to second montant 102 and third horizontal pole 105, be equipped with third horizontal pole 105 between two T type sleeves 107, third horizontal pole 105 passes through the bolt and is in the same place with T type sleeve 107 is fixed, T type sleeve 107's outer wall clearance fit has the fourth sleeve pipe 106 of forty characters, the clearance fit below the outer wall of fourth sleeve pipe 106 and first montant 201, the top and the bottom of second montant 102 all are the rectangle, second montant 102 and then the outer wall of second horizontal pole 103 all processes the scale.
Fixed subassembly 3 is equipped with below the outer wall of second montant 102, and fixed subassembly 3 includes U type frame 301 and second threaded rod 302, and the inner wall of U type frame 301 and the outer wall clearance fit of second montant 102, through the cooperation of U type frame 301 and second threaded rod 302, be convenient for together fixed with the external bed body, the side threaded connection of U type frame 301 has second threaded rod 302, and the side of U type frame 301 is run through to the outer wall of second threaded rod 302.
The side surface of the first vertical rod 201 is provided with the distractor 5, the number of the distractors 5 is not limited, in order to ensure the balance of the kirschner needle, a plurality of distractors 5 should operate simultaneously during operation, the distractor 5 comprises a threaded pipe 501, a third threaded rod 502 and a U-shaped plate 503, the left side and the right side of the inner wall of the threaded pipe 501 are both connected with the third threaded rod 502 in a threaded manner, when the threaded pipe 501 is rotated, the two third threaded rods 502 can be made to approach each other or move away from each other, and when the two third threaded rods 502 move away from each other, the U-shaped plate 503 can prop apart the first vertical rod 201 and the second vertical rod 102, and then play the effect of adjusting gram formula needle position, the screw thread opposite direction of two third threaded rods 502, the equal fixedly connected with U template 503 in the end of two third threaded rods 502, two U templates 503 respectively with second montant 102 and first montant 201 counterbalance tightly, the outer wall processing of screwed pipe 501 has anti-skidding line.
When the external fixing frame for restoration in pelvic fracture surgery is used, the supporting frames 1 on the left side and the right side are fixed with the left side and the right side of an external bed body through the matching of the U-shaped frame 301 and the second threaded rod 302, at the moment, the supporting frames 1 on the left side and the right side are fixed together through the long rod 4 as necessary, an external kirschner pin is inserted into the through hole 205, the kirschner pin is fixed through the first threaded rod 206, then the height of the kirschner pin can be adjusted through the matching of the first cross rod 202 and the first cross sleeve 203, the threaded pipe 501 is rotated, the threaded pipe 501 supports the first vertical rod 201 and the second vertical rod 102 through the matching of the third threaded rod 502, the function of adjusting the position of the kirschner pin is achieved, the kirschner pin can be driven to pull, move and reset on the pelvic bone and the shin end of a patient.
In the description of the present invention, it is to be understood that the terms "coaxial", "bottom", "one end", "top", "middle", "other end", "upper", "one side", "top", "inner", "front", "center", "both ends", and the like, indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, and do not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore, should not be construed as limiting the present invention.
In the present invention, unless otherwise expressly stated or limited, the terms "mounted," "disposed," "connected," "fixed," "screwed" and the like are to be construed broadly, e.g., as meaning fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; they may be directly connected or indirectly connected through an intermediate medium, and may be connected through the inside of two elements or in an interaction relationship between two elements, unless otherwise specifically defined, and the specific meaning of the above terms in the present invention will be understood by those skilled in the art according to specific situations.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.