CN217286017U - A calcaneal distraction device with hemostatic structure - Google Patents
A calcaneal distraction device with hemostatic structure Download PDFInfo
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- CN217286017U CN217286017U CN202220745933.3U CN202220745933U CN217286017U CN 217286017 U CN217286017 U CN 217286017U CN 202220745933 U CN202220745933 U CN 202220745933U CN 217286017 U CN217286017 U CN 217286017U
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- 230000002439 hemostatic effect Effects 0.000 title claims abstract description 34
- 210000000459 calcaneus Anatomy 0.000 claims abstract description 36
- 230000007246 mechanism Effects 0.000 claims abstract description 11
- 235000009161 Espostoa lanata Nutrition 0.000 claims abstract description 9
- 240000001624 Espostoa lanata Species 0.000 claims abstract description 9
- 230000023597 hemostasis Effects 0.000 claims abstract description 8
- 244000309466 calf Species 0.000 claims description 19
- 230000003028 elevating effect Effects 0.000 claims description 11
- 230000036772 blood pressure Effects 0.000 claims description 6
- 238000009423 ventilation Methods 0.000 claims description 3
- 210000004907 gland Anatomy 0.000 abstract 2
- 230000017531 blood circulation Effects 0.000 abstract 1
- 230000000740 bleeding effect Effects 0.000 description 4
- 210000002683 foot Anatomy 0.000 description 4
- 208000010392 Bone Fractures Diseases 0.000 description 3
- 210000000988 bone and bone Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 206010027677 Fractures and dislocations Diseases 0.000 description 1
- 206010049816 Muscle tightness Diseases 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 208000006111 contracture Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000002303 tibia Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型属于医疗器械的技术领域,具体涉及一种具有止血结构的跟骨牵引装置。The utility model belongs to the technical field of medical devices, in particular to a calcaneus traction device with a hemostatic structure.
背景技术Background technique
牵引技术,是骨科常用的治疗方法,通过牵引装置,利用悬垂之重量为牵引力,身体重量为反牵引力,以缓解肌肉紧张和强烈收缩,整复骨折、脱位,预防和矫正软组织挛缩,以及对某些疾病术前组织松解和术后制动的一种治疗方法,多用于四肢和脊柱。牵引疗法有骨牵引、皮肤牵引、布托牵引等。Traction technology is a commonly used treatment method in orthopaedics. Through the traction device, the weight of the suspension is used as the traction force, and the body weight is used as the anti-traction force to relieve muscle tension and strong contraction, restore fractures and dislocations, prevent and correct soft tissue contractures, and treat certain diseases. It is a treatment method of preoperative tissue release and postoperative immobilization for some diseases, mostly used in the extremities and spine. Traction therapy includes bone traction, skin traction, and Bhutto traction.
小腿多为“皮包骨”结构,胫骨发生骨折时,往往会因为骨折端嵌插、出血等导致小腿肿胀较为严重。临床上,通常采用克氏针对跟骨进行固定牵引以使骨折处复位。克氏针置入患者跟骨处会在皮肤破损处流血,而由于牵引装置的存在,很不方便包扎伤口进行止血。The calf is mostly a "skin and bone" structure. When the tibia is fractured, the calf is often swollen due to the insertion and bleeding of the fractured end. In clinical practice, Klinefelter is usually used to fix and distract the calcaneus to reduce the fracture. When the Kirschner wire is inserted into the patient's calcaneus, it will bleed from the damaged skin, and due to the existence of the traction device, it is very inconvenient to bandage the wound for hemostasis.
实用新型内容Utility model content
本实用新型所要解决的技术问题在于提供一种具有止血结构的跟骨牵引装置。The technical problem to be solved by the utility model is to provide a calcaneal traction device with a hemostatic structure.
本实用新型是这样实现的:The utility model is realized in this way:
一种具有止血结构的跟骨牵引装置,包括:抬高装置、跟骨牵引克氏针、牵引弓、拉力机构、止血结构;A calcaneus traction device with a hemostatic structure, comprising: an elevating device, a calcaneal traction Kirschner wire, a traction arch, a tension mechanism, and a hemostatic structure;
所述抬高装置的上表面为符合人体工程学的与人体小腿相匹配的弧面;患者小腿搭在该抬高装置的弧面上;The upper surface of the elevating device is an ergonomic arc surface that matches the human calf; the patient's calf rests on the arc surface of the elevating device;
所述跟骨牵引克氏针,置入患者跟骨处,在跟骨两侧的突出部分别与所述牵引弓的两端相连接;The calcaneal traction Kirschner wire is placed at the patient's calcaneus, and the protrusions on both sides of the calcaneus are respectively connected with both ends of the traction arch;
所述牵引弓,呈“U”形,其尾端连接所述拉力机构;The traction bow is in the shape of "U", and its tail end is connected with the tension mechanism;
所述抬高装置的两侧分别设有一滑座,每个所述滑座内设有一侧板;所述牵引弓的两侧前端分别通过所述侧板与所述跟骨牵引克氏针的两端连接;Two sides of the lifting device are respectively provided with a sliding seat, and each sliding seat is provided with a side plate; the front ends of the two sides of the traction arch are respectively passed through the side plate and the calcaneus traction Kirschner wire. connection at both ends;
所述止血结构为两个,分别套设在跟骨两侧的所述跟骨牵引克氏针上;There are two hemostatic structures, which are respectively sleeved on the calcaneus traction Kirschner wires on both sides of the calcaneus;
每个所述止血结构,包括:止血压盖、内套管、外套管、螺母;Each of the hemostatic structures includes: a blood pressure cap, an inner sleeve, an outer sleeve, and a nut;
所述止血压盖的前端扣在患处的止血棉球,尾端连接所述内套管的一端,所述内套管的另一端套接所述外套管的一端,所述外套管的另一端固定在所述侧板上;所述内套管具有外螺纹,所述外套管具有内螺纹;所述内套管上套设有所述螺母,用于调节所述内套管在所述外套管内前进或后退的距离。The front end of the blood pressure cap is fastened to the hemostatic cotton ball on the affected part, the tail end is connected to one end of the inner sleeve, the other end of the inner sleeve is sleeved with one end of the outer sleeve, and the other end of the outer sleeve is sleeved is fixed on the side plate; the inner sleeve has an outer thread, and the outer sleeve has an inner thread; the inner sleeve is sleeved with the nut, which is used to adjust the inner sleeve on the outer sleeve The distance forward or backward in the tube.
进一步地,所述牵引弓的两侧前端分别通过设置在所述侧板上的圆形孔内的万向球头与所述跟骨牵引克克氏针的一端连接。Further, the front ends of the two sides of the distraction arch are respectively connected with one end of the calcaneal distraction Kirschner wire through the universal ball head arranged in the circular hole on the side plate.
进一步地,所述牵引弓的两侧前端分别通过设置在所述侧板上的卡槽孔与所述跟骨牵引克克氏针的一端连接。Further, the front ends of the two sides of the traction arch are respectively connected to one end of the calcaneus traction Kirschner wire through the slotted holes provided on the side plate.
进一步地,所述止血压盖上设有透气孔。Further, the hemostatic cover is provided with ventilation holes.
进一步地,还设置有一小腿近端牵引克氏针,置入小腿近端处,用于反向牵引;所述近端牵引克氏针的两端分别与设置于所述抬高装置近端两侧的支撑杆的一端相连接。Further, a calf proximal end traction K-wire is also provided, which is placed at the calf proximal end for reverse traction; the two ends of the proximal calf traction Kirschner wire are respectively arranged on the two proximal ends of the elevating device. One end of the side support rod is connected.
本实用新型的优点在于:本实用新型采用两对称设置的侧板实现跟骨牵引克氏针的定位,以免在患者不小心左右摆动脚部、小腿内外旋或上下晃动时出现定位偏差。跟骨牵引克氏针的两端通过万向球头或卡槽孔固定到侧板上,两侧板在抬高装置的滑座内可前后移动,而不能左右移动,从而实现跟骨牵引克氏针的定位。为了止血,本实用新型设计了套设在跟骨牵引克氏针上并能控制其左右移动的止血压盖,先将止血棉球敷在流血处,再用止血压盖覆盖到止血棉球处固定,实现止血功能。The advantage of the utility model is that the utility model adopts two symmetrically arranged side plates to realize the positioning of the calcaneal traction Kirschner wire, so as to avoid the positioning deviation when the patient accidentally swings the foot from side to side, rotates the calf in and out or shakes up and down. The two ends of the calcaneal traction Kirschner wire are fixed to the side plate through the universal ball head or the slotted hole. Pin location. In order to stop bleeding, the utility model designs a hemostatic cover that is sleeved on the calcaneal traction Kirschner wire and can control its left and right movement. First, a hemostatic cotton ball is applied to the bleeding place, and then the hemostatic cover is used to cover the hemostatic cotton ball. Fixed to achieve hemostasis.
附图说明Description of drawings
下面参照附图结合实施例对本实用新型作进一步的描述。The present utility model will be further described below with reference to the accompanying drawings and embodiments.
图1是本实用新型的结构示意图。Figure 1 is a schematic structural diagram of the present invention.
图2是本实用新型中的侧板的另一实施例结构示意图。FIG. 2 is a schematic structural diagram of another embodiment of the side plate in the present invention.
图3是本实用新型的纵向剖视图。Figure 3 is a longitudinal sectional view of the present invention.
具体实施方式Detailed ways
如图1至图3所示,一种具有止血结构的跟骨牵引装置,包括:抬高装置1、跟骨牵引克氏针2、牵引弓3、拉力机构4、止血结构6。As shown in FIG. 1 to FIG. 3 , a calcaneal traction device with a hemostatic structure includes: a
所述抬高装置1,为一空心的箱式结构,其上表面为符合人体工程学的与人体小腿相匹配的弧面;患者小腿搭在该抬高装置1的弧面上;The
所述跟骨牵引克氏针2,置入患者跟骨处,在跟骨两侧的突出部分别与所述牵引弓3的两端相连接;The calcaneal traction Kirschner
所述牵引弓3,呈“U”形,其尾端连接所述拉力机构4;The
所述拉力机构4,包括:拉绳41、拉力计42、铰线43、铰盘44;所述铰盘44固定设置在所述抬高装置1的内部,所述铰线43的一端固定缠绕在所述铰盘44上,另一端通过一第一滑轮45固定连接到所述拉力计42的下端,所述拉力计42的上端连接所述拉绳41的一端,所述拉绳41的另一端通过一第二滑轮46固定连接到所述牵引弓3的尾端。(拉力机构不限于本实施例中的结构,也可以是现有技术中采用砝码加重方式等其他的结构。)The pulling force mechanism 4 includes: a
所述抬高装置1的两侧分别设有一滑座11,每个所述滑座11内设有一侧板5;所述牵引弓3的两侧前端分别穿过所述侧板5与所述跟骨牵引克氏针2的两端连接。侧板5的作用是加强跟骨牵引克氏针2对跟骨的定位,不仅能防止左右侧移动,还能防止上下、前后方向上的移动。侧板5在滑座11内只能前后移动,不能横向移动,以免患者不小心左右摆动脚部、小腿内外旋、或上下摆动时,造成跟骨牵引克氏针2的错位。牵引弓3的两侧前端与跟骨牵引克氏针2的两端有两种具体方案可以实现:一、牵引弓3的两侧前端分别通过设在侧板5的圆形孔内的万向球头51与跟骨牵引克氏针2的两端连接;二、牵引弓3的两侧前端分别通过所述侧板5上的卡槽孔52与所述跟骨牵引克氏针2的两端连接。如图2所示,卡槽孔52的形状是上方为大孔、下方为卡槽,跟骨牵引克氏针2先穿入上方大孔,再向下卡入卡槽,卡槽可以将跟骨牵引克氏针2卡入固定,上推则脱离卡槽。Two sides of the
所述止血结构6为两个,分别套设在跟骨两侧的克氏针2上;There are two hemostatic structures 6, which are respectively sleeved on the Kirschner
每个所述止血结构6,包括:止血压盖61、内套管62、外套管63、螺母64。Each of the hemostatic structures 6 includes: a blood pressure cap 61 , an
所述止血压盖61的前端扣在患处的止血棉球,尾端连接所述内套管62的一端,所述内套管62的另一端套接所述外套管63的一端,所述外套管63的另一端固定在所述侧板5上;所述内套管62具有外螺纹,所述外套管63具有内螺纹;所述内套管62上套设有所述螺母64,用于调节所述内套管62在所述外套管63内前进或后退的距离。所述止血压盖61上还设有透气孔。The front end of the hemostatic cap 61 is fastened to the hemostatic cotton ball on the affected area, the tail end is connected to one end of the
另外,本实用新型是将靠近跟骨的断骨向人体的足部远端处施加牵引力,而靠近小腿近端(膝盖)处的断骨仅仅靠人体的重力作为反向牵引力,为了保证更好的手术效果,本实用新型还在所述抬高装置1的前端两侧分别旋旋连接一支撑杆7的一端,所述支撑杆7的另一端安装有小腿近端牵引克氏针8,所述小腿近端牵引克氏针8用于反向牵引。In addition, the present utility model applies traction force to the distal end of the human foot from the broken bone close to the calcaneus, while the broken bone near the proximal end of the calf (knee) only relies on the body's gravity as the reverse traction force, in order to ensure better In the present invention, the two sides of the front end of the
本实用新型采用两对称设置的侧板5实现跟骨牵引克氏针2的定位,以免在患者不小心左右摆动脚部、小腿内外旋或上下摆动时出现定位偏差。跟骨牵引克氏针2的一端置入患者跟骨,另一端通过万向球头51或卡槽孔52固定到侧板5上,两侧板5在抬高装置1的滑座11内可前后移动,而不能左右移动,从而实现跟骨牵引克氏针2的定位。The utility model adopts two symmetrically arranged
本实用新型的跟骨牵引克氏针2置入患者跟骨的一端会在皮肤破损处流血,本实用新型设计了套设在跟骨牵引克氏针2上并能控制其左右移动的止血压盖61,先将止血棉球敷在流血处,再用止血压盖61覆盖到止血棉球处固定,实现止血功能。The end of the calcaneus
本实用新型的拉力机构4布设在抬高装置1的内部空间内,在病人需要离开病床时,将病人连同抬高装置1一起转移到担架上,就可以实现在实施牵引术期间进行检查项目;必要时可以在抬高装置1的中段的两侧设置绑带和卡扣,以进一步增加稳定性。The tension mechanism 4 of the present invention is arranged in the inner space of the elevating
本实用新型采用拉力计42连接铰盘44,医护人员只要轻松旋转铰盘44就可以按照医嘱缓慢且精确地改变施加在跟骨牵引克氏针2的压力,提高了临床操作中的安全性和准确性。The utility model adopts the
以上所述仅为本实用新型的较佳实施用例而已,并非用于限定本实用新型的保护范围。凡在本实用新型的精神和原则之内,所作的任何修改、等同替换以及改进等,均应包含在本实用新型的保护范围之内。The above descriptions are only preferred implementation examples of the present invention, and are not intended to limit the protection scope of the present invention. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present utility model shall be included within the protection scope of the present utility model.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN114886532A (en) * | 2022-04-01 | 2022-08-12 | 福州市第二医院(福建省福州中西医结合医院、福州市职业病医院) | Fixed draw gear of formula is raised to shank |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN114886532A (en) * | 2022-04-01 | 2022-08-12 | 福州市第二医院(福建省福州中西医结合医院、福州市职业病医院) | Fixed draw gear of formula is raised to shank |
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