CN217772443U - Osteotomy external fixation support for treating ulna impaction syndrome - Google Patents

Osteotomy external fixation support for treating ulna impaction syndrome Download PDF

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CN217772443U
CN217772443U CN202220308165.5U CN202220308165U CN217772443U CN 217772443 U CN217772443 U CN 217772443U CN 202220308165 U CN202220308165 U CN 202220308165U CN 217772443 U CN217772443 U CN 217772443U
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base
block
guide
osteotomy
positioning
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胡枫
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Anhui Provincial Hospital First Affiliated Hospital Of Ustc
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Anhui Provincial Hospital First Affiliated Hospital Of Ustc
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Abstract

The utility model discloses an osteotomy external fixation bracket for treating ulna impaction syndrome, which comprises a base, wherein the base is provided with a fixed positioning block and a movable positioning block, the movable positioning block can move left and right along the base, and each positioning block comprises a positioning base block and a bracket nail; still be equipped with on the base and cut bone direction piece, cut bone direction piece and be located between two location pieces, cut bone direction piece and can remove about the base, cut bone direction piece and include direction base block, and demountable installation cuts the bone guide bar on the direction base block, the leading end of cutting the bone guide bar stretches out outside the direction base block, the leading end of cutting the bone guide bar is opened has the bone guide way of cutting that extends along the radial direction of mounting hole, cut the bone guide bar and pass through the mounting hole rotation and install on the direction base block, cut the bone guide bar and can rotate and lock in the optional position round the axial lead of mounting hole. The utility model discloses the advantage: the osteotomy operation is realized within a limited small incision range, and the osteotomy length can be accurately determined.

Description

Osteotomy external fixation support for treating ulna impaction syndrome
Technical Field
The utility model relates to the field of surgical instruments, in particular to an external osteotomy fixing support for treating ulna impaction syndrome.
Background
Ulna impingement syndrome is a group of clinical syndromes caused by impingement of ulna distal ends and ulnar triangular fibrocartilage complexes of wrist joints and heavy load on ulnar sides of wrist joints. The bones of the wrist, such as the lunate cartilage and the triangular bone, are also pathologically changed due to long-term impact and abrasion, so that the pain of the wrist, the limited movement of the wrist joint and the reduced grip strength of the affected limb appear. With the progress of the disease, the function of the wrist joint will be seriously impaired, which will bring serious impact on the daily life and work of the patient. In the early stage of the disease, conservative treatments such as braking and physical therapy can be selected, but if the symptoms become more severe and the conservative treatment is ineffective, surgical treatment is required. At present, the most fundamental and effective method for clinically correcting the positive variation of the ulna is ulna shortening. The ulna shortening operation shortens the length of an ulna by cutting the bone, so that the normal anatomical structure of the lower ulnar and radial joints is restored, and the ulnar pressure of the wrist joint is correspondingly reduced. Two major technical difficulties of surgery are: osteotomy angle and osteotomy length. Currently, the commonly selected osteotomy angles include: transverse osteotomy and oblique osteotomy. The latter has better anti-shearing and anti-rotation capability than the former, and can shorten the bone healing time due to the increase of the contact area of the osteotomy end. However, oblique osteotomy requires that the planes of the two osteotomies are parallel to each other, otherwise, the force line of the ulna is changed after the ulna is shortened, so that the anatomical structures of the lower ulna, the radius joint and the wrist joint are changed, and a satisfactory treatment effect is difficult to obtain. The osteotomy length should be determined according to the number of positive ulna variations of the preoperative wrist alignment plate, and should be kept between-1 and 1mm after osteotomy. However, in the actual operation process, most surgeons determine the length of the osteotomy by visual inspection, and it is difficult to perform accurate osteotomy, so that the positive variation of the ulna is not completely corrected or over-corrected. To solve the problem, the chinese patent CN211560317U discloses a sliding ulna shortening osteotomy plate. However, in the operation process, the soft tissues around the ulna need to be widely stripped, the operation wound is large, and the blood circulation damage to local tissues is large. And the steel plate has larger volume, is easy to irritate surrounding soft tissues when remaining in a body, causes extensive scar hyperplasia, and has uncomfortable symptoms after partial patients operate. And the internal fixing device is required to be removed when the osteotomy surface is completely healed. The operation of removing the internal fixation needs to be carried out again for soft tissue stripping, so that on one hand, the patient receives secondary trauma, and on the other hand, the mental and economic burden of the patient is increased.
SUMMERY OF THE UTILITY MODEL
The utility model aims to overcome the defects of the prior art and provide an external osteotomy fixing bracket for treating ulna impaction syndrome.
The utility model discloses a realize through following technical scheme:
an osteotomy external fixation support for treating ulna impact syndrome comprises a base, wherein a left positioning block and a right positioning block are arranged on the base, the two positioning blocks are respectively a fixed positioning block and a movable positioning block, the fixed positioning block is fixedly arranged on the base, the movable positioning block is movably arranged on the base and can move left and right along the base, each positioning block comprises a positioning base block and a support pin which is detachably arranged on the positioning base block, and the support pin extends along the front-back direction;
still be equipped with on the base and cut bone direction chunk, cut bone direction chunk and be located between two location chunks, and cut bone direction chunk and can remove about the base, cut bone direction chunk and include direction base piece, and demountable installation cuts the bone guide bar on the direction base piece, cut bone guide bar one end and be the installation end, the other end is the guide end, the installation end of cutting bone guide bar is opened there is the mounting hole, the guide end of cutting bone guide bar stretches out outside the direction base piece, the guide end of cutting bone guide bar is opened there is the osteotomy guide way of bar, the osteotomy guide way extends along the radial direction of mounting hole, cut bone guide bar and rotate through the mounting hole and install on the direction base piece, the axial lead of mounting hole extends along vertical direction, cut bone guide bar can rotate and lock in the optional position round the axial lead of mounting hole.
As the preferred scheme of the external fixing bracket for the osteotomy, two parallel screw rods are arranged on the base, each screw rod extends along the left-right direction, each screw rod is rotatably arranged on the base respectively, one end of each screw rod extends out of the base to form an operating end, a sliding chute extending along the left-right direction is formed in the base, a positioning sliding block in sliding fit with the sliding chute is arranged at the bottom of the positioning base block of the movable positioning block, a guiding sliding block in sliding fit with the sliding chute is arranged at the bottom of the guiding base block of the osteotomy guiding block, threaded holes are formed in the positioning sliding block and the guiding sliding block respectively, the positioning sliding block and the guiding sliding block are in threaded fit with the two screw rods through respective threaded holes respectively, and the corresponding sliding block is moved left and right by rotating the screw rods.
As the preferable scheme of the osteotomy external fixation support, the top of the guide base block is provided with a vertical installation screw hole, and the guide locking screw penetrates through the installation hole of the osteotomy guide rod and then is screwed in the installation screw hole, so that the osteotomy guide rod and the guide base block are locked and installed.
As the preferred scheme of the external fixing bracket for the osteotomy, the angle scale lines are arranged at the top of the guide base block around the installation screw hole, the installation end of the osteotomy guide rod is provided with the avoiding groove, the avoiding groove extends along the radial direction of the installation hole, and the rotation angle of the osteotomy guide rod is judged by the superposition of the avoiding groove and the angle scale lines.
As a preferred scheme of the external fixing bracket for the osteotomy, in the positioning block, a positioning base block is provided with a through hole which is through from front to back, the bracket nail is inserted in the through hole, the top of the positioning base block is provided with a locking screw hole, the bottom of the locking screw hole is communicated with the through hole, and the positioning locking screw is screwed in the locking screw and abuts against the outer side wall of the bracket nail, so that the locking installation of the bracket nail on the positioning base block is realized.
As the preferable scheme of the external fixing bracket for the osteotomy, two bracket nails which are arranged from left to right are arranged on each positioning base block.
As a preferred scheme of the external fixation bracket for osteotomy, each of the outer side walls of the screw rods is provided with a circle of annular limiting grooves, the base is provided with two limiting pins, the inner ends of the two limiting pins are respectively inserted into the limiting grooves of the two screw rods, and the limiting pins are in sliding fit with the corresponding limiting grooves.
As a preferable scheme of the osteotomy external fixation support, a length scale mark is arranged on the front side wall or the rear side wall of the base, a reference line is arranged on the front side wall or the rear side wall of the guide base block, and the distance of the guide base block moving in the left-right direction is read through the matching of the reference line and the length scale mark.
Compared with the prior art, the utility model has the following advantages:
1. the utility model provides a pair of external fixed bolster of osteotomy of treatment ulna striking syndrome compares with current osteotomy steel sheet, has realized cutting the bone operation at limited little incision within range, has reduced the soft tissue and has peeled off the scope, avoids too much destruction periosteum and influence the sclerotin healing, has also effectively reduced postoperative scar scope, avoids forearm activity to be restricted and produces uncomfortable sense.
2. The utility model provides a bone cutting external fixation frame for treating ulna impact syndrome, which can drive the movable positioning block and the bone cutting guiding block to move back and forth along the left and right directions by rotating each screw rod, has convenient and fast operation, does not change the biomechanical line of the ulna at both sides of the bone cutting surface while completing the shortening correction, and avoids the incidence of angulation deformity after the operation to influence the wrist joint movement; the length of the osteotomy can be accurately determined by matching with the length scale marks on the base, so that the optimal surgical curative effect is achieved.
3. The utility model provides a pair of cut bone external fixation support of treatment ulna striking syndrome, it is equipped with the angle scale mark at direction base block top, thereby can accurately judge the turned angle who cuts the bone guide bar through dodging groove and the coincidence of angle scale mark on cutting the bone guide bar, realized cutting the bone angle and can adjust wantonly in the certain limit, increase as far as possible according to particular case in the art cuts bone face area of contact, has reduced and has cut bone behind the bone and delayed the healing or the nonunion probably.
4. The utility model provides a pair of cut bone external fixation support of treatment ulna striking syndrome, it cuts between bone guide bar and the direction base block, realizes installation and locking between them through direction locking screw, simple structure, and convenient operation is swift, has improved operation efficiency.
5. The utility model provides a pair of cut bone external fixation support of treatment ulna striking syndrome, between its support nail and the location basic block, through location locking screw revolve in locking screw and support tightly on support nail lateral wall, realize the installation and the locking of support nail and location basic block, can dismantle and lock according to specific demand in the operation, simple structure has improved the convenience of operation.
Drawings
Fig. 1 is a perspective view of the present invention.
Fig. 2 is a top view of the present invention.
Fig. 3 is a perspective view of the osteotomy guiding block of the present invention.
Fig. 4 is a bottom view of the present invention.
Fig. 5 is a rear view of the present invention.
Reference numbers in the figures: the bone cutting device comprises a base 1, a fixed positioning block 2, a movable positioning block 3, a positioning base block 4, a support nail 5, a positioning locking screw 6, a bone cutting guide block 7, a guide base block 8, a bone cutting guide rod 9, a bone cutting guide groove 10, a guide locking screw 11, a lead screw 12, a limiting groove 13, a limiting pin 14, an operation end 15, a sliding groove 16, a guide sliding block 17, a length scale line 18, a reference line 19, an angle scale line 20 and an avoidance groove 21.
Detailed Description
The embodiments of the present invention will be described in detail below, and the present embodiment is implemented on the premise of the technical solution of the present invention, and a detailed implementation manner and a specific operation process are given, but the scope of the present invention is not limited to the following embodiments.
Referring to fig. 1 to 5, the present embodiment discloses an osteotomy external fixation frame for treating ulna impact syndrome, including a base 1, two positioning blocks on the left and right are arranged on the base 1, the two positioning blocks are respectively a fixed positioning block 2 and a movable positioning block 3, the fixed positioning block 2 is fixedly mounted on the base 1, the movable positioning block 3 is movably mounted on the base 1 and can move left and right along the base 1, each positioning block includes a positioning base block 4 and a support pin 5 detachably mounted on the positioning base block 4, and the support pin 5 extends along the front and back direction. Two bracket nails 5 which are arranged left and right are arranged on each positioning base block 4. The positioning base block 4 is provided with a through hole which is through from front to back, the support nail 5 is inserted into the through hole, the top of the positioning base block 4 is provided with a locking screw hole, the bottom of the locking screw hole is communicated with the through hole, the positioning locking screw 6 is screwed in the locking screw and tightly abuts against the outer side wall of the support nail 5, and the locking installation of the support nail 5 on the positioning base block 4 is realized.
The base 1 is further provided with a bone cutting guide block 7, the bone cutting guide block 7 is located between the two positioning blocks, the bone cutting guide block 7 can move left and right along the base 1, the bone cutting guide block 7 comprises a guide base block 8 and a bone cutting guide rod 9 detachably mounted on the guide base block 8, one end of the bone cutting guide rod 9 is a mounting end, the other end of the bone cutting guide rod is a guide end, the mounting end of the bone cutting guide rod 9 is provided with a mounting hole, the guide end of the bone cutting guide rod 9 extends out of the guide base block 8, the guide end of the bone cutting guide rod 9 is provided with a strip-shaped bone cutting guide groove 10, the bone cutting guide groove 10 extends along the radial direction of the mounting hole, the bone cutting guide rod 9 is rotatably mounted on the guide base block 8 through the mounting hole, the axis of the mounting hole extends along the vertical direction, and the bone cutting guide rod 9 can rotate around the axis of the mounting hole and is locked at any position. The top of the guide base block 8 is provided with a vertical installation screw hole, and a guide locking screw 11 penetrates through the installation hole of the osteotomy guide rod 9 and then is screwed in the installation screw hole, so that the osteotomy guide rod 9 and the guide base block 8 are locked and installed.
Be equipped with two parallel lead screws 12 on the base 1, every lead screw 12 extends along the left and right direction, every lead screw 12 rotates respectively and sets up on base 1, it has annular spacing recess 13 of round to open on every lead screw 12 lateral wall, be equipped with two spacer pins 14 on the base 1, two spacer pins 14 the inner inserts respectively to the spacing recess 13 of two lead screws 12, and spacer pin 14 and the spacing recess 13 sliding fit that corresponds, spacer pin 14 can adopt the screw, through spacer pin 14 and spacing recess 13 cooperation, make lead screw 12 can only circumferential direction and can not the axis drunkenness. One end of each of the two lead screws 12 extends out of the base 1 to form an operating end 15, a sliding groove 16 extending along the left-right direction is formed in the base 1, a positioning sliding block in sliding fit with the sliding groove 16 is arranged at the bottom of the positioning base block 4 of the movable positioning block 3, a guiding sliding block 17 in sliding fit with the sliding groove 16 is arranged at the bottom of the guiding base block 8 of the osteotomy guiding block 7, threaded holes are formed in the positioning sliding block and the guiding sliding block 17 respectively, the positioning sliding block and the guiding sliding block 17 are in threaded fit with the two lead screws 12 through respective threaded holes respectively, and left-right movement of the corresponding sliding blocks is achieved by rotating the lead screws 12.
The length scale marks 18 are arranged on the front side wall or the rear side wall of the base 1, the datum line 19 is arranged on the front side wall or the rear side wall of the guide base block 8, and the distance of the guide base block 8 moving in the left-right direction is read through the cooperation of the datum line 19 and the length scale marks 18.
The top of the guide base block 8 is provided with angle scale lines 20 around the installation screw hole, the installation end of the osteotomy guide rod 9 is provided with an avoiding groove 21, the avoiding groove 21 extends along the radial direction of the installation hole, and the rotation angle of the osteotomy guide rod 9 is judged by the superposition of the avoiding groove 21 and the angle scale lines 20. The rotation angle of the osteotomy guide rod 9 can be accurately judged by overlapping the avoiding groove 21 on the osteotomy guide rod 9 with the angle scale line 20, so that the osteotomy angle can be adjusted at will within a certain range.
The application method of the osteotomy external fixation bracket provided by the embodiment is as follows:
firstly, determining the length L of an ulna osteotomy;
secondly, after the distance between the two positioning blocks is adjusted, the base 1 is placed on the body surface along the axis of the ulna, four support nails 5 are placed in the base 1 along the direction vertical to the ulna through four through holes in the two positioning blocks, then the base 1 is moved to a proper position in the direction far away from the axis of the ulna, and the positioning locking screws 6 are screwed down to lock the base 1 with the four support nails 5, so that the base 1 is fixed on the ulna;
thirdly, adjusting an included angle between the osteotomy guide rod 9 and the base 1, and screwing the osteotomy guide rod 9 in a mounting screw hole after a guide locking screw 11 penetrates through a mounting hole of the osteotomy guide rod 9 so as to fix the osteotomy guide rod 9 at a proper angle. The operating end 15 of one screw rod 12 is rotated to drive the guide base block 8 to move along the axis of the ulna, so that the osteotomy guide groove 10 of the osteotomy guide rod 9 is aligned with a first sawing point of the ulna, and the ulna is sawed along the osteotomy guide groove 10;
fourthly, rotating the operating end 15 of the screw rod 12 to enable the guide base block 8 to move on the base 1 for a distance L, and sawing off the ulna along the osteotomy guide slot 10 after the osteotomy guide slot 10 is aligned with a second sawing point;
and fifthly, taking out the fractured bones, rotating the operating end 15 of the other screw rod 12 to enable the movable positioning block 3 to slide along the base 1 towards the direction close to the fixed positioning block 2 until the fractured bone surfaces at the two sides are butted with each other, and then placing a screw perpendicular to the fractured bone surfaces to connect and fix the two fractured bones.
The above description is only exemplary of the present invention and should not be construed as limiting the present invention, and any modifications, equivalents and improvements made within the spirit and principles of the present invention are intended to be included within the scope of the present invention.

Claims (8)

1. An external osteotomy fixing support for treating ulna impaction syndrome, comprising a base (1), and is characterized in that: the positioning device comprises a base (1), a left positioning block and a right positioning block, wherein the base (1) is provided with the left positioning block and the right positioning block, the two positioning blocks are respectively a fixed positioning block (2) and a movable positioning block (3), the fixed positioning block (2) is fixedly arranged on the base (1), the movable positioning block (3) is movably arranged on the base (1) and can move left and right along the base (1), each positioning block comprises a positioning base block (4) and a support nail (5) which is detachably arranged on the positioning base block (4), and the support nail (5) extends along the front-back direction;
still be equipped with on base (1) and cut bone guide block (7), cut bone guide block (7) and be located between two location chunks, and cut bone guide block (7) and remove about along base (1), cut bone guide block (7) including guide base piece (8), and demountable installation cuts bone guide bar (9) on guide base piece (8), cut bone guide bar (9) one end and be the installation end, the other end is the guide end, the installation end of cutting bone guide bar (9) is opened there is the mounting hole, the guide end of cutting bone guide bar (9) stretches out outside guide base piece (8), cut bone guide way (10) that the guide end of cutting bone guide bar (9) was opened the bar, cut bone guide way (10) and extend along the radial direction of mounting hole, cut bone guide bar (9) and rotate through the mounting hole and install on guide base piece (8), the axial lead of mounting hole extends along vertical direction, cut bone guide bar (9) can rotate and lock the optional position round the axial lead of mounting hole.
2. An osteotomy external fixation bracket for treating ulnar impaction syndrome according to claim 1, wherein: be equipped with lead screw (12) of two parallels on base (1), every lead screw (12) extend along left right direction, every lead screw (12) rotates respectively and sets up on base (1), wherein one end of two lead screws (12) stretches out base (1) and forms operation end (15), it has spout (16) along left right direction extension to open on base (1), the location base block (4) bottom of activity location chunk (3) is equipped with the location slider with spout (16) looks sliding fit, direction base block (8) bottom of cutting bone direction chunk (7) is equipped with direction slider (17) with spout (16) looks sliding fit, threaded hole has been opened respectively on location slider and direction slider (17), location slider and direction slider (17) are respectively through respective threaded hole and two lead screw (12) screw-thread fit, realize moving about corresponding the slider through rotating lead screw (12).
3. An osteotomy external fixation bracket for treating ulnar impaction syndrome according to claim 1, wherein: the top of the guide base block (8) is provided with a vertical installation screw hole, and the guide locking screw (11) penetrates through the installation hole of the osteotomy guide rod (9) and then is screwed in the installation screw hole, so that the locking installation of the osteotomy guide rod (9) and the guide base block (8) is realized.
4. An osteotomy external fixation support for treating ulnar impaction syndrome according to claim 3, wherein: the angle scale mark (20) are arranged on the periphery of the installation screw hole at the top of the guide base block (8), the installation end of the osteotomy guide rod (9) is provided with an avoiding groove (21), the avoiding groove (21) extends along the radial direction of the installation hole, and the rotation angle of the osteotomy guide rod (9) is judged by means of coincidence of the avoiding groove (21) and the angle scale mark (20).
5. An osteotomy external fixation bracket for treating ulnar impaction syndrome according to claim 1, wherein: in the positioning block, a through hole which is through from front to back is formed in the positioning base block (4), the support nail (5) is inserted in the through hole, a locking screw hole is formed in the top of the positioning base block (4), the bottom of the locking screw hole is communicated with the through hole, the positioning locking screw (6) is screwed in the locking screw and abuts against the outer side wall of the support nail (5), and locking installation of the support nail (5) on the positioning base block (4) is achieved.
6. An osteotomy external fixation bracket for treating ulnar impaction syndrome according to claim 1, wherein: two bracket nails (5) which are arranged left and right are arranged on each positioning base block (4).
7. An osteotomy external fixation support for treating ulnar impaction syndrome according to claim 2, wherein: each outer side wall of the screw rod (12) is provided with a circle of annular limiting grooves (13), two limiting pins (14) are arranged on the base (1), the inner ends of the two limiting pins (14) are respectively inserted into the limiting grooves (13) of the two screw rods (12), and the limiting pins (14) are in sliding fit with the corresponding limiting grooves (13).
8. An osteotomy external fixation support for treating ulnar impaction syndrome according to claim 1, wherein: the length scale marks (18) are arranged on the front side wall or the rear side wall of the base (1), the datum line (19) is arranged on the front side wall or the rear side wall of the guide base block (8), and the distance of the guide base block (8) moving in the left-right direction is read through the cooperation of the datum line (19) and the length scale marks (18).
CN202220308165.5U 2022-02-15 2022-02-15 Osteotomy external fixation support for treating ulna impaction syndrome Active CN217772443U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202220308165.5U CN217772443U (en) 2022-02-15 2022-02-15 Osteotomy external fixation support for treating ulna impaction syndrome

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202220308165.5U CN217772443U (en) 2022-02-15 2022-02-15 Osteotomy external fixation support for treating ulna impaction syndrome

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CN217772443U true CN217772443U (en) 2022-11-11

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