CN214048948U

CN214048948U - Novel Gift-box knot tying structure

Info

Publication number: CN214048948U
Application number: CN202022796909.6U
Authority: CN
Inventors: 胡超; 潘小明; 吴伟峰; 卢绪; 葛永军
Original assignee: 904th Hospital of the Joint Logistics Support Force of PLA
Current assignee: 904th Hospital of the Joint Logistics Support Force of PLA
Priority date: 2020-11-27
Filing date: 2020-11-27
Publication date: 2021-08-27
Anticipated expiration: 2030-11-27

Abstract

The utility model discloses a novel Gift-box structure of knoing belongs to medical instrument technical field, and the achilles tendon fracture is first section and second section, and first section includes first distal end, and the second section includes the second distal end, including the suture group, the suture group is including several sutures, and the suture is used for the first section and the second section of fixed achilles tendon, and suture one end is tied a knot with an adjacent suture one end, and the suture other end is tied a knot with another adjacent suture one end, and several sutures end to end form a closed ring. The utility model discloses a novel Gift-box knot structure can make and adopt Gift-box to sew up all evenly effective atress of each suture when technique is sewed up, improves the treatment effect of this sewing up technique.

Description

Novel Gift-box knot tying structure

Technical Field

The utility model belongs to the technical field of medical instrument, especially, relate to a novel Gift-box structure of knoing.

Background

In Achillon surgery, the Gift-box suture technology is generally adopted for suturing, the suture technology adopts a circular weaving suture mode, the incision of tendon tissues is small, 6 sutures are adopted to penetrate through the broken-end Achilles tendon, good holding force can be obtained on the Achilles tendon tissues, and the suture technology is widely applied to Achilles tendon rupture treatment. After completion of the Achillon surgical suture, as shown in FIG. 3, the surgeon usually ties both ends of one suture at one broken end to both ends of another suture at the other broken end to form closed rings, so that 6 sutures are tied to form 3 closed rings, thereby fixedly connecting both broken ends. When knotting in the operation, the knotting operation is usually carried out by depending on the experience of an operator, the knotting tightness degree at each position is difficult to be ensured to be consistent, and further the tension on each closed circular ring suture after knotting is difficult to be ensured to be consistent, so that the suture stress of each closed circular ring is uneven, the number of the closed circular rings actually stressed effectively is less than the total number of the closed circular rings, even only one closed circular ring is actually stressed, and the actual treatment effect of the Gift-box suturing technology is influenced.

Disclosure of Invention

The utility model discloses a solve the problem that prior art exists and propose, its purpose provides one kind and can make each suture all evenly effective atress when adopting the Gift-box to sew up the technique and sew up, improves this novel Gift-box knot structure of the treatment of sewing up the technique.

In order to realize the above object, the technical scheme of the utility model a novel Gift-box structure of knoing is provided, and the achilles tendon fracture is first section and second section, and first section includes first distal end, and the second section includes the second distal end, novel Gift-box structure of knoing includes suture group, suture group includes several sutures, the suture is used for fixed achilles tendon's first section and second section, suture one end is knoed with an adjacent suture one end, the suture other end is knoed with another adjacent suture one end, several the suture links to each other end to end in proper order and forms a closed ring.

Further, the suture set includes:

a first upper suture comprising a first upper suture first end and a first upper suture second end, both of the first upper suture first end and the first upper suture second end exiting the skin from the first distal side of the first segment;

a second upper suture comprising a second upper suture first end and a second upper suture second end, both of the second upper suture first end and the second upper suture second end passing out of the skin from the first distal side of the first segment;

a third upper suture comprising a third upper suture first end and a third upper suture second end, both of the third upper suture first end and the third upper suture second end exiting the skin from the first distal side of the first segment;

a first lower suture comprising a first lower suture first end and a first lower suture second end, both the first lower suture first end and the first lower suture second end exiting the skin through the second distal side of the second segment, the first lower suture first end knotted to the first upper suture first end, the first lower suture second end knotted to the second upper suture second end;

a second inferior suture comprising a second inferior suture first end and a second inferior suture second end, both of the second inferior suture first end and the second inferior suture second end exiting the skin from a second distal side of the second segment, the second inferior suture first end knotted to the second superior suture first end, the second inferior suture second end knotted to the third superior suture second end;

a third inferior suture comprising a third inferior suture first end and a third inferior suture second end, both of the third inferior suture first end and the third inferior suture second end exiting the skin from the second distal side of the second segment, the third inferior suture first end knotted to the third superior suture first end, the third inferior suture second end knotted to the first superior suture second end.

Further, the thread ends of the suture are all closed end parts.

Further, the suture is a tendon suture.

Further, the tendon suture adopts a No. 2 tendon suture.

The utility model discloses in, several sutures are end to end connection in proper order and are formed a closed ring, and each department's atress is balanced on this closed ring's the suture, and each suture has even power of controlling and anti cutting force to tendon tissue, avoids because the great suture of atress is to the cutting damage of tendon when the suture atress is uneven, reduces the peroneal nerve damage rate, effectively promotes the achilles tendon healing.

Drawings

FIG. 1 is a schematic view of the structure of the Gift-box suture technique prior to knotting;

fig. 2 is a schematic structural diagram of a novel Gift-box knotting structure provided by an embodiment of the present invention;

fig. 3 is a schematic structural diagram of a Gift-box knotting structure provided by the prior art.

Wherein: 1. the Achilles tendon; 11. a first stage; 12. a second stage; 2. a suture group; 21. sewing; 3. a first upper stitch; 31. a first upper suture first end; 32. a first upper suture second end; 4. a second upper stitch; 41. a second upper suture first end; 42. a second upper suture second end; 5. a third upper stitching line; 51. a third superior suture first end; 52. a third upper suture second end; 6. a first lower stitch line; 61. a first lower suture first end; 62. a first lower suture second end; 7. a second lower stitch; 71. a second lower suture first end; 72. a second lower suture second end; 8. a third lower stitch line; 81. a third lower suture first end; 82. and a third lower suture second end.

Detailed Description

The present invention will be described in detail below with reference to the accompanying drawings and examples:

the embodiment of the utility model provides a novel Gift-box knot structure, as shown in fig. 1, fig. 2, the achilles tendon 1 fracture is first section 11 and second section 12, and first section 11 includes first distal end, and second section 12 includes the second distal end, novel Gift-box knot structure includes suture group 2, suture group 2 includes several sutures 21, suture 21 is used for fixed achilles tendon 1 first section 11 and

second section

12, 21 one end of suture is knotted with an adjacent suture 21 one end, the suture 21 other end is knotted with another adjacent suture 21 one end, several the suture 21 links to each other end to end in proper order and forms a closed ring.

In this technical scheme, several sutures 21 form a closed ring in proper order end to end connection, and each department's atress is balanced on the suture 21 of this closed ring, and each suture 21 has even holding power and anti cutting force to the achilles tendon tissue, avoids because the great suture 21 of atress cuts the damage to the tendon when suture 21 atress is uneven, reduces peroneal nerve damage rate, effectively promotes the healing of achilles tendon 1.

Preferably, as shown in fig. 2, the suture set 2 includes a first upper suture 3, a second upper suture 4, a third upper suture 5, a first lower suture 6, a second lower suture 7, a third lower suture 8, wherein: the first upper suture 3 comprises a first upper suture first end 31 and a first upper suture second end 32, both the first upper suture first end 31 and the first upper suture second end 32 exiting the skin from the first distal side of the first segment 11; the second upper suture 4 comprises a second upper suture first end 41 and a second upper suture second end 42, both the second upper suture first end 41 and the second upper suture second end 42 passing out of the skin from the first distal side of the first segment 11; the third upper suture 5 comprises a third upper suture first end 51 and a third upper suture second end 52, both the third upper suture first end 51 and the third upper suture second end 52 exiting the skin from the first distal side of the first segment 11; the first lower suture 6 comprises a first lower suture first end 61 and a first lower suture second end 62, both the first lower suture first end 61 and the first lower suture second end 62 exiting the skin from the second distal side of the second segment 12, the first lower suture first end 61 being tied to the first upper suture first end 31, the first lower suture second end 62 being tied to the second upper suture second end 42; second inferior suture 7 includes second inferior suture first end 71 and second inferior suture second end 72, both of the second inferior suture first end 71 and second inferior suture second end 72 exiting the skin through the second distal side of second segment 12, the second inferior suture first end 71 knotted with the second superior suture first end 41, the second inferior suture second end 72 knotted with the third superior suture second end 52; the third inferior suture 8 includes a third inferior suture first end 81 and a third inferior suture second end 82, both the third inferior suture first end 81 and the third inferior suture second end 82 exiting the skin through the second distal side of the second segment 12, the third inferior suture first end 81 knotted to the third superior suture first end 51, the third inferior suture second end 82 knotted to the first superior suture second end 32. This design makes 6 sutures 21 such as first upward suture 3 to third lower suture 8 form a closed ring in proper order end to end connection, and each department's atress is balanced on the suture of this closed ring, and each suture has even power of controlling and anti cutting force to the tendon tissue, avoids because the great suture 21 of atress reduces peroneal nerve damage rate when the suture atress is uneven to the cutting damage of tendon, effectively promotes the achilles tendon healing.

In some embodiments, the thread ends of the suture 21 are all closed end portions, and the two free ends of the suture 21 can form the closed end portions through high-temperature hardening treatment, glue bonding, weaving fixation and the like, so that loosening of the thread ends in the using process can be avoided, the knotting firmness is affected, and adverse effects on the healing of the achilles tendon 1 are avoided.

Further, the suture 21 is a tendon suture, which can bear large tension and has small injury to tendon tissue. Preferably, in order to meet the use requirement of the Achilles tendon 1 fixation, a No. 2 tendon suture can be adopted as the tendon suture.

Use the utility model discloses a when novel Gift-box knot structure, can knot according to following process:

after the Achillon operation adopts the Gift-box suture technology to suture the heel keys, respectively knotting a first end 31 of a first upper suture and a first end 61 of a first lower suture, knotting a first end 41 of a second upper suture and a first end 71 of a second lower suture, and knotting a first end 51 of a third upper suture and a first end 81 of a third lower suture, so that one end of each suture 21 of a first section 11 of the Achillon tendon 1 is connected with one end of each suture 21 of a second section 12 of the Achillon tendon 1 through knotting, and the number of free ends of all the sutures 21 is reduced from 12 to 6;

the first lower suture line second end 62 and the second upper suture line second end 42 are respectively knotted, the second lower suture line second end 72 and the third upper suture line second end 52 are knotted, and the third lower suture line second end 82 and the first upper suture line second end 32 are knotted, so that the suture lines 21 are further connected end to form 1 closed circular ring, all the parts of the suture lines 21 of the closed circular ring are stressed in a balanced way, all the suture lines 21 have uniform holding force and tensile force resistance to the achilles tendon tissue, and the healing of the achilles tendon 1 can be effectively promoted.

Adopt this novel Gift-box structure of knoing to 13 cases of achilles tendon 1 fracture case to have knotted fixedly, resume in-process tendon cutting damage, peroneal nerve damage scheduling problem and be less than traditional structure of knoing, and have reduced the patient and have healed the back and leave over the problem than traditional structure of knoing.

In the description of the present invention, it should be noted that the terms "upper", "lower", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, which are only for convenience of description and simplification of description, but do not indicate or imply that the device or element referred to must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention.

The above description is only exemplary of the present invention and should not be taken as limiting the scope of the present invention, as any modifications, equivalents, improvements and the like made within the spirit and principles of the present invention are intended to be included within the scope of the present invention.

Claims

1. The utility model provides a novel Gift-box structure of knoing, the achilles tendon fracture is first section and second section, and first section includes first distal end, and the second section includes the second distal end, its characterized in that, novel Gift-box structure of knoing includes suture group, suture group includes several sutures, the suture is used for fixed achilles tendon's first section and second section, suture one end is knotted with an adjacent suture one end, the suture other end is knotted with another adjacent suture one end, several the suture links to each other end to end in proper order and forms a closed ring.

2. The novel Gift-box knotted structure of claim 1, wherein the set of suture lines comprises:

3. The novel Gift-box knot structure of claim 1 wherein the ends of the suture are closed ends.

4. The novel Gift-box knotted structure of claim 1, wherein said suture is a tendon suture.

5. The novel Gift-box knot structure of claim 4 wherein the tendon suture is a # 2 tendon suture.