CN213787713U - Kirschner wire with wire for treating hammer finger deformity by reconstruction of extensor tendon insertion point - Google Patents

Kirschner wire with wire for treating hammer finger deformity by reconstruction of extensor tendon insertion point Download PDF

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Publication number
CN213787713U
CN213787713U CN202021645372.7U CN202021645372U CN213787713U CN 213787713 U CN213787713 U CN 213787713U CN 202021645372 U CN202021645372 U CN 202021645372U CN 213787713 U CN213787713 U CN 213787713U
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China
Prior art keywords
tendon
suture
wire
extensor
reconstruction
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Expired - Fee Related
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CN202021645372.7U
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Chinese (zh)
Inventor
罗旺林
杨传军
韩爽
戴国强
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SHANGHAI JIADING DISTRICT ANTING HOSPITAL
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SHANGHAI JIADING DISTRICT ANTING HOSPITAL
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Priority to CN202021645372.7U priority Critical patent/CN213787713U/en
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Abstract

The utility model discloses an extensor tendon stop is rebuild and is treated hammer-shaped and indicate stringy ke shi needle of taking line of deformity, including the ke shi needle, ke shi needle is provided with two strands of tendon stylolite in the horizontal middle section, and the tip of each tendon stylolite all is provided with the round needle. The utility model discloses a take line ke shi needle to restore treatment malleus through bone tunnel extensor tendon stop and can correct the malleus and indicate the deformity, and the apparatus device is simple, the operation expense is low, and the operation is easy and simple to handle, and the distal interphalangeal joint that the postoperative is sick to indicate actively bends and stretches home range well, and postoperative complication is few, and is safe effective.

Description

Kirschner wire with wire for treating hammer finger deformity by reconstruction of extensor tendon insertion point
Technical Field
The utility model relates to the technical field of medical equipment, in particular to a stringy kirschner wire for treating malformation of hammered finger by reconstructing extensor tendon stop.
Background
The hammer finger is a bent deformity of the distal interphalangeal joint caused by the limitation of extension of the distal interphalangeal joint of the finger due to the rupture or avulsion of the extensor tendon in the area I of the extensor tendon of the finger. Hammer refers to a common and frequently occurring disease in hand surgery, which is caused by direct violence due to trauma. Because the tendon tissue of the distal interphalangeal joint is weak, the position is superficial, and the peripheral blood supply of the tendon is poor, the healing effect of the tendon after reluctant repair is poor, and the movement limitation or relapse of the distal interphalangeal joint is easy to occur. How to effectively reconstruct the extensor tendon insertion point and reduce postoperative complications becomes a hot spot for research of surgeons.
Treatment with hammer fingers includes both conservative and surgical treatment. Conservative treatment generally adopts splints, brace supports and the like, bends the proximal interphalangeal joint by 60 degrees, slightly stretches the distal interphalangeal joint, and fixes the affected finger for at least 6 weeks. However, it fails to work due to the external fixation brace being easy to loosen, long treatment time, and the retraction of the tendon ends of the extensor muscles. The surgical treatment comprises first-stage surgical repair of the original anatomical structure and restoration of the balance of the flexion and extension forces of the joint, and second-stage surgical repair can be performed if conservative treatment fails. Based on the poor effect of conservative treatment and the improvement of the expectation of the curative effect of patients, with the development of internal fixation, surgical treatment hammer finger gradually becomes the main treatment means. In recent years, the tendon fixing direct suture method, the pure kirschner wire fixing method, the crossed kirschner wire fixing method and the suture anchoring implantation method are commonly used. The direct sewing has poor sewing strength, and is easy to tear off to cause secondary fracture; the kirschner wire fixation is easy to cause risks of loosening, fixation failure, limited back stretching and the like due to improper fixation; the bone anchor has good effect with suture, but is easy to cause postoperative complications such as internal fixation failure caused by postoperative loosening and prolapse.
In view of this, a new and desirable surgical instrument is needed.
SUMMERY OF THE UTILITY MODEL
The utility model aims to solve the technical problem of providing a striae kirschner wire for reconstruction and treatment of the extensor tendon stop point and the hammer finger deformity, which overcomes the defects of the prior art.
The utility model discloses the technical problem that solve is realized through following technical scheme:
the utility model provides an extensor tendon stop point rebuilds and treats take line ke shi needle of hammer finger deformity, includes the ke shi needle, ke shi needle is provided with two strands of tendon sutures in the horizontal middle section, and the tip of each tendon suture all is provided with the round needle.
Preferably, in the above technical solution, the tendon suture is a 3-0 tendon suture.
Preferably, in the above technical solution, the length of the tendon suture is 30 cm.
Preferably, in the above technical solution, the length of the kirschner wire is 3mm, and the diameter is 1 mm.
Preferably, in the above technical solution, the distance between the two tendon suture lines on the kirschner needle is 1mm, and the distance between each of the two tendon suture lines and both ends of the kirschner needle is 1 mm.
Preferably, in the above technical solution, the ends of the two tendon suture threads are embedded in the k-wire.
The above technical scheme of the utility model, following beneficial effect has:
compared with the prior art, the treatment of the hammered finger deformity by the reconstruction of the Kirschner wire with the wire through the tendon insertion point of the extensor muscle of the bone tunnel can correct the hammered finger deformity, the instrument is simple and easy to use, the operation cost is low, the operation is simple and convenient, the active flexion and extension range of the distal interphalangeal joint of the affected finger after the operation is good, the postoperative complication is few, and the method is safe and effective.
Drawings
Fig. 1 is a schematic view of a kirschner wire with a wire for reconstruction of extensor tendon insertion points to treat mallet finger deformities.
Wherein: 1-Kirschner wire, 2-suture and 3-round needle.
Detailed Description
The following detailed description of the present invention is provided to facilitate further understanding of the invention.
Fig. 1 is a schematic view of a kirschner wire with a wire for reconstruction of extensor tendon insertion points to treat mallet finger deformities. As shown in the figure, the utility model discloses a take line ke shi needle, including ke shi needle 1, ke shi needle 1 is provided with two strands of tendon stylolite 2 in the horizontal section, and each tendon stylolite 2's tip all is provided with round needle 3.
Further, the tendon suture is 3-0 tendon suture with a round needle. The preferred tendon suture is 30cm long. The Kirschner wire 1 has a length of 3mm and a diameter of 1 mm. The two tendon suture threads 2 are 1mm apart on the kirschner wire and 1mm apart from the two ends of the kirschner wire.
Further, the ends of the two tendon suture threads 2 are embedded in the k-wire 1.
The utility model discloses a use method of taking line kirschner wire as follows:
(1) punching and establishing a bone tunnel: drilling a Kirschner wire with the common diameter of 1.2mm into the dorsal base of the distal phalanx to penetrate out of the phalanx, and drilling a bone tunnel in an oblique manner;
(2) threading the kirschner wire with the wire from the bone tunnel: penetrating the novel kirschner wire with the wire into the ventral side from the dorsal bone tunnel;
(3) blocking the band wire kirschner wire on the ventral side: the tendon suture is left on the dorsal side and is tensioned to enable the kirschner wire to be in a transverse state and be blocked on the ventral side;
(4) tendon suture extensor tendon proximal end: the tendon suture is used for suturing the proximal end of the extensor tendon to reconstruct a dead point, the two ends of the suture are respectively and symmetrically inserted from the broken end of the tendon to the proximal end, the suture is withdrawn by about 5mm, then passes through the tendon transversely, and the two ends of the suture are knotted at the dorsal side of the tendon. The proximal end of the extensor tendon was sutured and tied off dorsal to the tendon.
(5) The hyperextension of the distal interphalangeal joint is kept at 5-10 degrees by fixing a common kirschner wire with the diameter of 1.0 mm.
Clinical research shows that compared with the traditional treatment method, the application has the advantages of simple operation, firm fixation, lower cost, fewer postoperative complications and better treatment effect.
Although the present invention has been described with reference to the above embodiments, it is not intended to limit the present invention, and various alternatives and modifications can be made by those skilled in the art without departing from the spirit and scope of the present invention.

Claims (6)

1. The utility model provides an extensor tendon stop point rebuilds and treats take line ke shi needle of hammer finger deformity which characterized in that, includes ke shi needle (1), ke shi needle (1) is provided with two strands of tendon stylolite (2) in the horizontal middle section, and the tip of each tendon stylolite (2) all is provided with round needle (3).
2. The extensor tendon insertion reconstruction suture to treat hammer finger deformity of claim 1 wherein the tendon suture (2) is a 3-0 tendon suture.
3. The extensor tendon insertion reconstruction needle with thread for treating hammer finger deformity of claim 1 wherein the tendon suture is 30cm long.
4. Extensor tendon dead center reconstruction suture k-wire for the treatment of hammer finger deformity according to claim 1, characterized by the fact that the k-wire (1) has a length of 3mm and a diameter of 1 mm.
5. The extensor tendon stop reconstruction stringy finger deformity taking kirschner wire as claimed in claim 1, wherein the two tendon suture threads (2) are spaced 1mm apart on the kirschner wire, and each tendon suture thread (2) is spaced 1mm apart from both ends of the kirschner wire.
6. The extensor tendon stop reconstruction suture to treat hammer finger deformity kirschner wire of claim 1 wherein the ends of the two tendon suture (2) are embedded within the kirschner wire (1).
CN202021645372.7U 2020-08-10 2020-08-10 Kirschner wire with wire for treating hammer finger deformity by reconstruction of extensor tendon insertion point Expired - Fee Related CN213787713U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202021645372.7U CN213787713U (en) 2020-08-10 2020-08-10 Kirschner wire with wire for treating hammer finger deformity by reconstruction of extensor tendon insertion point

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202021645372.7U CN213787713U (en) 2020-08-10 2020-08-10 Kirschner wire with wire for treating hammer finger deformity by reconstruction of extensor tendon insertion point

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CN213787713U true CN213787713U (en) 2021-07-27

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111920500A (en) * 2020-08-10 2020-11-13 上海市嘉定区安亭医院 Kirschner wire with wire for treating hammer finger deformity by reconstruction of extensor tendon insertion point

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111920500A (en) * 2020-08-10 2020-11-13 上海市嘉定区安亭医院 Kirschner wire with wire for treating hammer finger deformity by reconstruction of extensor tendon insertion point

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Granted publication date: 20210727