CN215130374U

CN215130374U - Supplementary mount that resets of children supracondylar fracture of humerus operation

Info

Publication number: CN215130374U
Application number: CN202120084778.0U
Authority: CN
Inventors: 汤池; 岳思彤; 赵宁
Original assignee: Individual
Current assignee: Individual
Priority date: 2021-01-13
Filing date: 2021-01-13
Publication date: 2021-12-14
Anticipated expiration: 2031-01-13

Abstract

The utility model discloses a supplementary mount that resets of children's supracondylar fracture of humerus operation, including the support main part, the surface of support main part is provided with operation table mount connecting hole, the fixed surface of support main part is connected with the baffle, the surface of support main part is provided with the top pressure clamping, the fixed surface of top pressure clamping is connected with the tracer mount, the surface threaded connection of top pressure clamping has side ejector bolt, below ejector bolt hole groove has been seted up on the surface of support main part, below ejector bolt hole groove female connection have below ejector bolt. The utility model discloses, can effectively support through the support main part and suffer from limb and health, when pulling and suffer from the limb, the baffle can effectively confront and pull, plays protection head and trunk, is unlikely to the operating table that drops, makes simultaneously suffer from the limb fully expose in the effective perspective within range of C type arm, has solved because of the short and small inconvenient problem of perspective in the art of infant limb.

Description

Supplementary mount that resets of children supracondylar fracture of humerus operation

Technical Field

The utility model relates to the technical field of medical equipment, especially, relate to a supplementary mount that resets of children's supracondylar fracture of humerus operation.

Background

At present, the treatment of the supracondylar fracture of the humerus of the child mostly adopts a closed reduction Kirschner wire internal fixation technology, the child lies on the back on an operating table, the affected limb is placed under a C-shaped arm for fluoroscopy, a doctor needs to wear a thick radiation-proof lead coat, after the fracture is reduced, the reduction is maintained by an assistant, and an operator fixes the fracture.

The disadvantages in the prior art are: 1. the limbs of the children are short, so that the traction operation in the operation is inconvenient, and the head or the trunk of the children can easily fall off the operating table due to the traction of the limbs in the operation process; 2. short limbs are difficult to be fully exposed in the effective perspective range of the C-shaped arm, so that the image is unclear; 3. the fracture reduction process is completely dependent on manipulations, and is difficult to effectively control the complicated displaced fracture, particularly difficult to control the rotary displacement of the fracture; 4. when the fracture is internally fixed after reduction, an assistant is needed to maintain the reduction state of the fracture, the fracture is difficult to be stably and reliably fixed by manual holding, and the fracture is easy to be displaced in the internal fixation process; 5. the doctor needs to wear a thick radiation-proof lead garment in the operation, so that the burden is heavy and the operation is influenced; 6. when a doctor fixes the fracture, the precise fixation of the fracture is difficult to complete at one time, and sometimes the ideal fixation effect can be achieved only by repeatedly adjusting the position of the puncture needle, so that the operation time is long, and the side injury is large.

SUMMERY OF THE UTILITY MODEL

The utility model aims at solving the defects existing in the prior art and providing an auxiliary reduction fixing frame for the humeral supracondylar fracture operation of children.

In order to achieve the above purpose, the utility model adopts the following technical scheme: an auxiliary reduction fixing frame for a children supracondylar fracture operation of humerus comprises a bracket main body, wherein the surface of the bracket main body is provided with an operating bed fixing frame connecting hole, the surface of the bracket main body is fixedly connected with a baffle plate, the surface of the bracket main body is provided with an upper pressing clamp, the surface of the upper pressing clamp is fixedly connected with a tracer fixing frame, the surface of the upper pressing clamp is in threaded connection with a lateral ejection bolt, a lower ejection bolt hole groove is formed on the surface of the bracket main body, a lower ejection bolt is connected with the lower ejection bolt through internal threads in the lower ejection bolt hole groove, the surface of the bracket main body is fixedly connected with a traction female bracket, a traction sub-bracket is arranged in the traction female bracket, the surface of the traction sub-bracket is movably connected with a traction strip, the surface of the traction strip is movably connected with a traction bow, and the surface of the traction sub-bracket is provided with a traction bolt.

As a further description of the above technical solution:

the near end of the traction bow is connected with a Kirschner wire.

As a further description of the above technical solution:

the far end of the traction bow is connected with the traction strip to form a ball-and-socket joint.

As a further description of the above technical solution:

the traction sub-bracket is connected with the traction main bracket in a sliding manner and is provided with a locking device.

As a further description of the above technical solution:

the surface of the support main body is fixedly connected with the operating table through the connecting hole of the operating table fixing frame and the fixing frame.

As a further description of the above technical solution:

the far end of the traction bow is spherical.

The utility model discloses following beneficial effect has:

1. compared with the prior art, this supplementary mount that resets of children's supracondylar fracture of humerus operation can effectively support through the support main part and suffer from limb and health, and when drawing the limb that suffers from, the baffle can effectively confront and draw, plays protection head and trunk, is unlikely to the operating table that drops, makes the limb that suffers from fully expose in the effective perspective scope of C type arm simultaneously, has solved because of the short and small inconvenient problem of perspective in the art of infant limb.

2. Compared with the prior art, the auxiliary reduction fixing frame for the supracondylar fracture operation of the humerus of the child can effectively reduce various complicated supracondylar fractures of the humerus of the child, the traction bow can realize longitudinal traction reduction of fractures and can control axial rotation displacement of fracture ends, the lateral ejection bolts can control lateral displacement of the fracture ends in the coronal direction, the lower ejection bolts can effectively control front and back displacement of the fracture ends in the sagittal direction, angular displacement in the coronal direction of the fracture ends can be adjusted by horizontally moving the traction female support, the angular displacement of the fracture ends in the sagittal direction can be adjusted by adjusting the height of the traction sub-support, and after the fracture reduction is satisfied, the support can be effectively temporarily fixed, so that the problem of unreliable temporary fixation through manual control is solved.

3. Compared with the prior art, according to the auxiliary reduction fixing frame for the humeral supracondylar fracture operation of the child, in the operation process, a doctor does not need to wear a thick and heavy lead garment and is exposed to X-rays for operation, the load of the doctor is reduced, and meanwhile, the ray damage of workers is reduced.

4. Compared with the prior art, the auxiliary reduction fixing frame for the humeral supracondylar fracture surgery of the child is used by combining the surgery positioning robot, the tracer of the surgery positioning robot is fixed at the top of the upper pressure clamp, the accuracy of the inner fixing position can be effectively improved, iatrogenic injury caused by repeated puncture due to adjustment of the inner fixing position is avoided, and meanwhile, the surgery time is shortened.

Drawings

Fig. 1 is a schematic view of a first three-dimensional structure of an auxiliary reduction fixation frame for a humeral supracondylar fracture operation of a child according to the present invention;

fig. 2 is a schematic view of a second three-dimensional structure of the auxiliary reduction fixation frame for the humeral supracondylar fracture operation of the child according to the present invention;

fig. 3 is a schematic top view of the auxiliary reduction fixture for the humeral supracondylar fracture surgery of children according to the present invention;

fig. 4 is a third schematic perspective view of the auxiliary reduction fixation frame for the supracondylar fracture operation of children of the present invention.

Illustration of the drawings:

1. a stent body; 2. a baffle plate; 3. pressing the clamp upwards; 4. a tracer fixing frame; 5. a lateral ejection bolt; 6. drawing a bow; 7. a traction bar; 8. a traction sub-bracket; 9. a draw bolt; 10. drawing the female bracket; 11. a bolt hole slot is pushed from the lower part; 12. a lower ejection bolt; 13. connecting holes of the fixing frame of the operating bed.

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.

In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", 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 simplification of description, but do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention; the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance, and furthermore, unless otherwise explicitly stated or limited, the terms "mounted," "connected," and "connected" are to be construed broadly and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those skilled in the art.

Referring to fig. 1-4, the utility model provides a pair of children supracondylar fracture of humerus operation auxiliary reduction mount: comprises a bracket main body 1, the surface of the bracket main body 1 is provided with an operating bed fixing frame connecting hole 13, the surface of the bracket main body 1 is fixedly connected with an operating bed through the operating bed fixing frame connecting hole 13 and a fixing frame, the surface of the bracket main body 1 is fixedly connected with a baffle 2, the bracket main body 1 and the baffle 2 form a supporting part, the bracket main body 1 plays a role of supporting the body and the affected limb of a patient, the affected limb can be fully exposed in the effective perspective range of a C-shaped arm, the baffle 2 is connected to the bracket main body 1 and can resist traction, meanwhile, the head and the trunk part can be effectively protected, the head and the trunk part can be prevented from falling off in the traction process, the surface of the bracket main body 1 is provided with an upper pressure clamp 3, the surface of the upper pressure clamp 3 is fixedly connected with a tracer fixing frame 4, the upper pressure clamp 3 is a fracture near end and is connected and locked with the bracket main body 1, the fracture proximal end can be effectively fixed, the fracture proximal end is prevented from moving and rotating laterally, a lateral pushing bolt 5 is connected to the surface of an upper pressing clamp 3 in a threaded manner, a lower pushing bolt hole groove 11 is formed in the surface of a bracket main body 1, a lower pushing bolt 12 is connected to the inner portion of the lower pushing bolt hole groove 11 in a threaded manner, a fracture distal end resetting portion is formed by the lateral pushing bolt 5 and the lower pushing bolt 12, the lateral pushing bolt 5 is connected with the upper pressing clamp 3, the pushing bolt is rotated to reset the lateral displacement of the fracture distal end on a coronal position, the lower pushing bolt 12 is connected with the bracket main body 1, the pushing bolt is rotated to reset the lateral displacement of the fracture distal end on a sagittal position, a traction female bracket 10 is fixedly connected to the surface of the bracket main body 1, a traction sub-bracket 8 is arranged inside the traction sub-bracket 10, and a traction strip 7 is movably connected to the surface of the traction sub-bracket 8, the surface of a traction bar 7 is connected with a traction bow 6, the surface of a traction sub-bracket 8 is provided with a traction bolt 9, the near end of the traction bow 6 is connected with a Kirschner wire, the far end of the traction bow 6 is connected with the traction bar 7 to form a ball-socket joint, the traction sub-bracket 8 is connected with a traction female bracket 10 in a sliding manner, the traction bar 7 is provided with a locking device, the far end of the traction bow 6 is spherical, the traction bow 6, the traction bar 7, the traction bracket and the traction bolt 9 form a traction part, the near end of the traction bow 6 is connected with the Kirschner wire ulna olecranon traction, the far end is spherical in design, the far end is connected with the traction bar 7 to form a ball-socket joint which can rotate at 360 degrees, the near end of the traction bar 7 and the traction bow 6 form a ball-socket joint, the locking device is arranged, when the locking device is used, the axial rotation of the far end of a fracture can be effectively controlled, the far end is connected with the traction sub-bracket 8, the traction bar 7 can slide longitudinally in the traction sub-bracket 8, the traction sub-bracket 8 is connected with the traction main bracket 10 and can slide up and down in the traction sub-bracket, a locking device is arranged, the angular displacement of the fracture end at the sagittal position can be adjusted by adjusting the height of the traction sub-bracket 8, the traction main bracket 10 is connected with the bracket main body 1 and can transversely move at the far end of the bracket main body 1, the locking device is arranged, the angular displacement of the fracture end at the coronal position can be adjusted by transversely moving the traction main bracket 10, the near end of a traction bolt 9 is in threaded connection with the far end of a traction strip 7, the far end is fixed at the far end of the traction sub-bracket 8, the traction bolt 9 can axially rotate in the traction sub-bracket 8, and the traction bolt 9 is rotated to drive the traction strip 7 to move to the far end along the traction sub-bracket 8, so that the fracture end is dragged.

The working principle is as follows: when the utility model is used, firstly, the support main body 1 is connected with the operating bed through the connecting hole 13 of the fixing frame of the operating bed, the position of the baffle 2 is selected according to the length of the limbs, the infant lies on the back on the operating table, the affected limb is arranged on the support main body 1 in an outward expansion way, the upper pressing clamp 3 is arranged at the near end of the fracture, the clamp is moved back and forth, the lateral ejection bolts 5 at the two sides are respectively arranged at the left and right sides of the far end and the near end of the fracture, after the upper pressing clamp 3 is pressed and tightly connected and locked with the support main body 1, the limbs are fixed on the support main body 1, a kirschner wire is transversely penetrated at the olecranon the ulna, the near end of the traction bow 6 is connected with the kirschner wire, the far end is sequentially connected with the traction strip 7, the traction sub-support 8, the traction main support 10 and the traction bolt 9, the traction bolt 9 is rotated, the far end of the fracture is longitudinally pulled, the doctor can keep away from the C-shaped arm or can protect the downlink X-ray examination at the lead perspective screen, according to the fracture displacement direction, the transverse displacement of the fracture end at the coronal position is recovered by rotating the lateral ejection bolt 5, the transverse displacement of the fracture end at the sagittal position is recovered by rotating the lower ejection bolt 12, the rotary displacement of the fracture distal end is recovered by axially rotating the traction bow 6, the angular displacement of the fracture end at the sagittal position is recovered by adjusting the height of the traction sub-bracket 8, the angular displacement of the fracture end at the coronal position is recovered by adjusting the position of the traction mother bracket 10 left and right, after the fracture reduction is satisfied, a surgical robot tracer is installed, the position of a surgical robot guide is adjusted, and after the fracture reduction is satisfied, a kirschner wire is inserted along the guide to carry out internal fixation on the fracture.

Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications and variations can be made in the embodiments or in part of the technical features of the embodiments without departing from the spirit and the scope of the invention.

Claims

1. The utility model provides a supplementary mount that resets of children's supracondylar fracture of humerus operation, includes support main part (1), its characterized in that: the surface of the support main body (1) is provided with an operating table fixing frame connecting hole (13), the surface of the support main body (1) is fixedly connected with a baffle (2), the surface of the support main body (1) is provided with an upper pressure clamp (3), the surface of the upper pressure clamp (3) is fixedly connected with a tracer fixing frame (4), the surface of the upper pressure clamp (3) is in threaded connection with a lateral ejector bolt (5), the surface of the support main body (1) is provided with a lower ejector bolt hole groove (11), the lower ejector bolt hole groove (11) is in threaded connection with a lower ejector bolt (12), the surface of the support main body (1) is fixedly connected with a traction female support (10), a traction sub-support (8) is arranged inside the traction female support (10), and the surface of the traction sub-support (8) is movably connected with a traction strip (7), the surface of the traction strip (7) is movably connected with a traction bow (6), and the surface of the traction sub-bracket (8) is provided with a traction bolt (9).

2. The auxiliary reduction fixing frame for the operation of supracondylar fracture of humerus of children of claim 1, wherein: the near end of the traction bow (6) is connected with a Kirschner wire.

3. The auxiliary reduction fixing frame for the operation of supracondylar fracture of humerus of children of claim 1, wherein: the far end of the traction bow (6) is connected with the traction strip (7) to form a ball-and-socket joint.

4. The auxiliary reduction fixing frame for the operation of supracondylar fracture of humerus of children of claim 1, wherein: the traction sub-bracket (8) is connected with the traction main bracket (10) in a sliding way and is provided with a locking device.

5. The auxiliary reduction fixing frame for the operation of supracondylar fracture of humerus of children of claim 1, wherein: the surface of the support main body (1) is fixedly connected with the operating bed through the connecting hole 13 of the fixing frame of the operating bed and the fixing frame.

6. The auxiliary reduction fixing frame for the operation of supracondylar fracture of humerus of children of claim 1, wherein: the far end of the traction bow (6) is spherical.