CN215306609U - Universal guider for orthopedic Kirschner wire - Google Patents
Universal guider for orthopedic Kirschner wire Download PDFInfo
- Publication number
- CN215306609U CN215306609U CN202120439779.2U CN202120439779U CN215306609U CN 215306609 U CN215306609 U CN 215306609U CN 202120439779 U CN202120439779 U CN 202120439779U CN 215306609 U CN215306609 U CN 215306609U
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- Prior art keywords
- guide
- kirschner wire
- guider
- handle
- controller
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- 230000000399 orthopedic effect Effects 0.000 title claims description 33
- 230000007935 neutral effect Effects 0.000 claims description 15
- 230000009467 reduction Effects 0.000 abstract description 11
- 210000004872 soft tissue Anatomy 0.000 abstract description 4
- 238000005452 bending Methods 0.000 abstract description 2
- 230000000149 penetrating effect Effects 0.000 abstract description 2
- 206010017076 Fracture Diseases 0.000 description 30
- 208000010392 Bone Fractures Diseases 0.000 description 24
- 210000000988 bone and bone Anatomy 0.000 description 11
- 208000014674 injury Diseases 0.000 description 7
- 238000001356 surgical procedure Methods 0.000 description 6
- 230000008733 trauma Effects 0.000 description 5
- 238000013459 approach Methods 0.000 description 4
- 238000011160 research Methods 0.000 description 3
- 230000000472 traumatic effect Effects 0.000 description 3
- 206010061363 Skeletal injury Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 239000012634 fragment Substances 0.000 description 2
- 230000001788 irregular Effects 0.000 description 2
- 208000011708 Avulsion fracture Diseases 0.000 description 1
- 208000024779 Comminuted Fractures Diseases 0.000 description 1
- 206010053206 Fracture displacement Diseases 0.000 description 1
- 208000028389 Nerve injury Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003099 femoral nerve Anatomy 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000002406 microsurgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000008764 nerve damage Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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Abstract
The utility model provides a Kirschner wire universal guider, which comprises a guider main body, a controller and an elastic component, wherein the elastic component is connected with the guider main body and the controller; the guider main body comprises a guider handle and a plurality of sections of guiding pipes; a certain interval is arranged between the adjacent guide pipes and the upper sides of the guide pipes are connected by hinges; the outer side of the guide pipe at one end is vertically and rigidly connected with a guide handle; the controller is L-shaped and is divided into a controller handle and an elastic control rod; the control sub handle is connected with the guider handle through an elastic component; the tail end of the elastic control rod is hinged with the outer side of the guide pipe at the other end. The adjustable multi-section guide tube is adopted, and the kirschner wire penetrating through the guide tube is endowed with different precession directions by changing the bending degree of the multi-section guide tube, so that the precession direction of the kirschner wire can be adjusted according to the condition of a fracture part in an operation, the shielding of soft tissues in an operation field on the needle inserting point of the kirschner wire is reduced, the accurate internal fixation or the temporary fixation is realized, and the stability of fracture reduction is maintained.
Description
Technical Field
The utility model relates to the field of orthopedic surgical instruments, in particular to an orthopedic Kirschner wire universal guider, which is an adjustable guiding device used in traumatic orthopedic surgery and used for changing the screwing direction of a Kirschner wire.
Background
Trauma orthopedics is a major branch of the bone surgery profession, and research covers injuries to bones, muscles, tendons, blood vessels, nerves of the spine and limbs of the human body. With the gradual deepening and elaboration of professional division, a series of novel disciplines are differentiated and bred in the traditional research field of trauma orthopedics; such as sports medicine, microsurgery, etc. Bone injury remains the main subject of trauma orthopedics.
Skeletal injury can be understood broadly as a fracture, i.e., a break in the integrity, continuity, or lack thereof, of bone mass. Complete fractures and incomplete fractures can be classified according to the degree of injury; stable fractures and unstable fractures can be classified according to fracture stability; it can be classified into horizontal fracture, oblique fracture, spiral fracture, and comminuted fracture according to the form of fracture. Once the fracture displacement is obvious, the soft tissue is embedded, the joint surface is affected or peripheral vascular nerve injury is combined, the fracture incision reduction internal fixation operation treatment is needed.
The principle of AO (Arbeitsgememenchaftfur Osteosynylthesefragen, AO, International Interfixation research society) for surgical treatment of bone fracture is anatomical reduction, strong internal fixation, and early functional exercise. This prompts the operating physician to closely assemble the fracture pieces according to the anatomical landmarks and the fracture line morphology on the surface of the bone; the internal fixing device is installed under the condition that the fracture reduction is not lost; after the internal fixing device is fastened, the fracture reduction can be maintained and the stress applied to the bone can be resisted by functional exercise. How can the reduction of fracture be maintained during operation without affecting the placement of internal fixation devices? A series of special surgical instruments for trauma orthopedics are needed, such as bone holding forceps, reduction forceps and the like; however, the above-mentioned devices have the disadvantages of high cost, unreliable grip, large volume, and inflexibility in use. These disadvantages are particularly pronounced in cases of fractures of irregular bones, such as pubic fractures, iliac fractures, acetabular fractures, and the like. Kirschner wire (Kirschner wire) is used as an internal fixing material commonly used for trauma orthopedics, the length of the Kirschner wire is about 20cm, and the diameter of the Kirschner wire is between 0.5 and 3 mm; kirschner wires, which are typically electrically driven into the bone and through the bone fragments, are used to fix short fractures or avulsion fractures, and are also often used to temporarily fix bone fragments to maintain the fracture in place.
In some complex fracture cases, such as irregular bone fracture or deep fracture with narrow surgical approach, the ideal needle insertion direction of the kirschner wire is often blocked by soft tissues. In this case, the conventional surgical technique requires the surgeon to twist the kirschner wire by bare hands and simultaneously screw in the kirschner wire through the electric drill; in the case of large twists, surgeons often need to place sterile gauze between the kirschner wire and the glove in order to avoid entanglement of the worn sterile gloves with the rotating kirschner wire. The solution has the defects of unstable guide, easy shielding of the operation visual field and the like.
Disclosure of Invention
In order to solve the problems in the prior art, the utility model provides the Kirschner wire universal guider which can adjust the screwing direction of the Kirschner wire according to the specific condition of the fracture part, reduce the shielding of the needle inserting point of the Kirschner wire, realize accurate internal fixation or temporary fixation and maintain the stability of fracture reduction.
The technical scheme of the utility model is as follows:
an orthopedic Kirschner wire universal guider comprises a guider main body, a controller and an elastic component for connecting the guider main body and the controller;
the guider main body comprises a guider handle and a plurality of sections of guiding pipes; a certain interval is formed between the adjacent guide pipes, the upper sides of the guide pipes are connected by hinges, and when the guide pipes are in a neutral position, the guide pipes are in a coaxial state; the outer side of the guide pipe at one end is vertically and rigidly connected with a guider handle, so that the guider handle and the multiple sections of guide pipes are in an L shape in a neutral position;
the controller is L-shaped when in a neutral position and is divided into a controller handle and an elastic control rod; the control sub-handle is connected with the guider handle through the elastic part; the tail end of the elastic control rod is hinged with the outer side of the guide pipe at the other end.
Further, the guide tube has a loop ring at its lower side, and the elastic control rod passes through the loop ring.
Furthermore, the adjacent guide pipes are opposite in inclined surface, and a gap formed between the opposite inclined surfaces is a tapered gap gradually widened from top to bottom.
Further, the elastic component for connecting the guider main body and the controller adopts a U-shaped plate spring.
Further, the guide tube has an inner diameter of 2mm, and a kirschner wire having a diameter of 2mm or less can be inserted therethrough.
Advantageous effects
The Kirschner wire universal guide device provided by the utility model is used in traumatic orthopedic surgery, and is an adjustable guide device capable of changing the screwing direction of a Kirschner wire (Kirschner wire) with the diameter of 2mm or less. The adjustable multi-section guide tube is adopted, and the Kirschner wire penetrating through the guide tube is endowed with different precession directions by changing the bending degree of the multi-section guide tube, so that the precession direction of the Kirschner wire can be adjusted according to the specific condition of a fracture part in an operation, the shielding of soft tissues in an operation field on the needle inserting point of the Kirschner wire is reduced, the accurate internal fixation or temporary fixation is realized, and the stability of fracture reduction is maintained.
Additional aspects and advantages of the utility model will be set forth in part in the description which follows and, in part, will be obvious from the description, or may be learned by practice of the utility model.
Drawings
The above and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings of which:
FIG. 1 is a side view of an orthopedic Kirschner wire universal guide in a neutral position.
Fig. 2 is a side view of the handle of the orthopedic k-wire universal guide.
Fig. 3 is a side view of the end of the orthopedic Kirschner wire universal guide tube.
FIG. 4 is a side view partially in section of the orthopedic Kirschner wire universal guide in a neutral position, wherein the multi-section guide tube and the loop ring are in section.
FIG. 5 is a side view partially in section of the orthopedic Kirschner wire universal guide in a neutral position, with the multi-section guide tube and loop ring in section, as the Kirschner wire passes through the guide.
FIG. 6 is a side view of an orthopedic Kirschner wire universal guide changing the guide.
FIG. 7 is a side partial sectional view of the orthopedic Kirschner wire universal guide for changing the direction, wherein the multi-section guide tube and the loop ring are in section.
FIG. 8 is a side view partially in section showing the twisting of the Kirschner wire passing through the orthopedic Kirschner wire universal guide when the guide is changed, wherein the multi-section guide tube and the loop ring are in section.
Detailed Description
Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the drawings are illustrative and intended to be illustrative of the utility model and are not to be construed as limiting the utility model.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like, indicate orientations and positional relationships based on those shown in the drawings, and are used only for convenience of description and simplicity of description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be considered as limiting the present invention.
A side view of the orthopedic k-wire universal guide in a neutral position is shown in fig. 1. The guide handle 1 and the multi-section guide tubes 4, 5, 6, 7 together form a guide body. The control handle 2 and the resilient control rod 13 together form an L-shaped control. The guide body and the control member are connected by a U-shaped leaf spring 3. The end 14 of the elastic control rod 13 is hinged to the guide tube 7. The guide tubes 4, 5, 6 and 7 are connected with a certain interval and through hinges 8, 9 and 10. Loop loops 11, 12 are arranged below the central guide tubes 5, 6.
A side view of the handle of the orthopedic k-wire universal guide is shown in fig. 2. The guide handle 1 is rigidly connected with the guide tube 4, and the guide tube 4 and the guide tubes 5, 6, 7 are provided with guide holes 15 with the diameter of 2 mm.
A side view of the tail end of the orthopedic kirschner wire universal guide tube is shown in figure 3. The end 14 of the elastic control rod 13 is hinged to the guide tube 7.
A side partial cross-sectional view of the orthopedic k-wire gimbal guide in a neutral position is shown in fig. 4. Wherein the multi-section guide tubes 4, 5, 6 and 7 and the loop rings 11 and 12 are in cross section. It can be seen that the axes of the guide tubes are in a straight line in the neutral position, forming the guide holes 15. The elastic control rod 13 of the control device passes through the loop rings 11, 12, and the tail end 14 of the control device is hinged with the tail guide tube 7.
A side partial cross-sectional view of an orthopedic Kirschner wire in its neutral position with the Kirschner wire passing through the guide is shown in FIG. 5. In the neutral position, the Kirschner wire 16 is inserted through the guide hole 15, and the Kirschner wire 16 is not bent.
A side view of an orthopedic Kirschner wire gimbaled guide for changing the guide is shown in FIG. 6. The U-shaped leaf spring 3 is compressed when the control sub-handle 2 approaches the guide handle 1. Meanwhile, the elastic control rod 13 passes through the loop rings 11 and 12 to pull the guide tube 7, so that the gaps among the guide tubes 4, 5, 6 and 7 are changed, and the guide tubes 4, 5, 6 and 7 are deflected to one side of the elastic control rod 13. The flexible control rod 13 is flexible and can deflect with the guide tubes 4, 5, 6, 7.
The side part section view of the orthopedic Kirschner wire universal guide when changing the guide is shown in fig. 7. Wherein the multi-section guide tubes 4, 5, 6 and 7 and the loop rings 11 and 12 are in cross section. As the multi-section guide tubes 4, 5, 6, 7 deflect, the guide holes 15 also deflect.
The cross-sectional side view of the orthopedic Kirschner wire universal guide when the Kirschner wire universal guide changes the guide is shown in fig. 8 when the Kirschner wire passing through the guide is twisted. Wherein the multi-section guide tubes 4, 5, 6 and 7 and the loop rings 11 and 12 are in cross section. As the guide tubes 4, 5, 6, 7 and the guide hole 15 are deflected, the k-wire 16 passing through the guide hole 15 is also bent, thereby changing the screwing direction.
Particularly in the traumatic bone surgery, when the guider is in a neutral position, the axes of the multi-section guide tubes are on the same straight line; due to the strutting action of the U-shaped plate spring, the distance between the guide handle and the control sub-handle is far; when the kirschner wire passes through the multi-section guide tube, the kirschner wire is not bent, and the screwing direction is consistent with the axial direction of the kirschner wire, namely the multi-section guide tube. When the screwing direction of the kirschner wire needs to be changed in the operation, for example, in the external approach femoral shaft fracture incision reduction internal fixation operation, the fracture end needs to be temporarily fixed from the front to the back; in the anterior approach suprapubic fracture incision reduction internal fixation operation, the femoral arteriovenous sheath or femoral nerve needs to be avoided. At the moment, an operator can hold the guider handle and the control sub-handle by one hand, the U-shaped plate spring is compressed to enable the guider handle and the control sub-handle to be close to each other, the elastic control rod transmits the displacement of the control sub-handle to the other end of each section of guide tube, so that the interval between each section of guide tube is changed, namely, the interval of one side with a hinge is not changed, and the interval of one side without the hinge is narrowed; therefore, the multi-section guide tube can deflect to one side of the elastic control rod, and the kirschner wire positioned in the multi-section guide tube can be simultaneously twisted, so that the screwing direction of the kirschner wire is changed.
Although embodiments of the present invention have been shown and described above, it is understood that the above embodiments are exemplary and should not be construed as limiting the present invention, and that variations, modifications, substitutions and alterations can be made in the above embodiments by those of ordinary skill in the art without departing from the principle and spirit of the present invention.
Claims (5)
1. The utility model provides a universal director of orthopedics kirschner wire which characterized in that: comprises a guider main body, a controller and an elastic component for connecting the guider main body and the controller;
the guider main body comprises a guider handle and a plurality of sections of guiding pipes; a certain interval is formed between the adjacent guide pipes, the upper sides of the guide pipes are connected by hinges, and when the guide pipes are in a neutral position, the guide pipes are in a coaxial state; the outer side of the guide pipe at one end is vertically and rigidly connected with a guider handle, so that the guider handle and the multiple sections of guide pipes are in an L shape in a neutral position;
the controller is L-shaped when in a neutral position and is divided into a controller handle and an elastic control rod; the control sub-handle is connected with the guider handle through the elastic part; the tail end of the elastic control rod is hinged with the outer side of the guide pipe at the other end.
2. The universal guide for the Kirschner wire of the orthopedics department as claimed in claim 1, wherein: the lower side of the guide pipe is provided with a loop ring, and the elastic control rod penetrates through the loop ring.
3. The universal guide for the Kirschner wire of the orthopedics department according to claim 1 or 2, characterized in that: the adjacent guide pipes are opposite in inclined plane, and a gap formed between the opposite inclined planes is a tapered gap gradually widened from top to bottom.
4. The universal guide for the Kirschner wire of the orthopedics department as claimed in claim 3, wherein: the elastic component for connecting the guider main body and the controller adopts a U-shaped plate spring.
5. The universal guide for the Kirschner wire of the orthopedics department according to claim 4, characterized in that: the guide tube has an inner diameter of 2mm, and a Kirschner wire having a diameter of 2mm or less can be inserted therethrough.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202120439779.2U CN215306609U (en) | 2021-03-01 | 2021-03-01 | Universal guider for orthopedic Kirschner wire |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN202120439779.2U CN215306609U (en) | 2021-03-01 | 2021-03-01 | Universal guider for orthopedic Kirschner wire |
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CN215306609U true CN215306609U (en) | 2021-12-28 |
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CN202120439779.2U Expired - Fee Related CN215306609U (en) | 2021-03-01 | 2021-03-01 | Universal guider for orthopedic Kirschner wire |
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CN (1) | CN215306609U (en) |
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2021
- 2021-03-01 CN CN202120439779.2U patent/CN215306609U/en not_active Expired - Fee Related
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GR01 | Patent grant | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20211228 |
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CF01 | Termination of patent right due to non-payment of annual fee |