CN219439383U

CN219439383U - Auxiliary reduction fixing frame for children humeral supracondylar fracture operation

Info

Publication number: CN219439383U
Application number: CN202320544503.XU
Authority: CN
Inventors: 汤池; 岳思彤; 赵宁
Original assignee: Individual
Current assignee: Individual
Priority date: 2023-03-20
Filing date: 2023-03-20
Publication date: 2023-08-01
Anticipated expiration: 2033-03-20

Abstract

The utility model discloses an auxiliary reduction fixing frame for a child humeral supracondylar fracture operation, which comprises a support main plate, wherein a plurality of operation bed fixing frame connecting holes are formed in the surface of the support main plate in a penetrating manner, a baffle is arranged in the support main plate in a matched manner, a tracer fixing support is arranged on one side of the baffle, two carbon rod slide ways are fixedly connected to one end of the support main plate, a lower clamping and pushing bolt is arranged on the carbon rod slide way, a lower Fang Keshi needle fixing clamp pushing and pulling bolt is arranged on one side of the lower clamping and pulling bolt, a kirschner needle lower fixing clamp is connected to the lower Fang Keshi needle fixing clamp pushing and pulling bolt, the kirschner needle is directly fixed to the proximal humerus through the kirschner needle fixing clamp, the fixing strength is higher, the risk that skin and soft tissue ischemic necrosis can be caused if the operation time is overlong is avoided, the upper clamping and the lower clamping are both connected with the kirschner needle pushing and pulling bolts, and pulling of the proximal humerus can be well controlled through the synergistic effect of the upper pushing and lower pushing and pulling bolts.

Description

Auxiliary reduction fixing frame for children humeral supracondylar fracture operation

Technical Field

The utility model relates to the field of medical appliances, in particular to an auxiliary reduction fixing frame for a child humeral supracondylar fracture operation.

Background

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

the auxiliary reduction fixing frame for the children humeral epicondylitis fracture operation used in the prior art has the following defects: 1. the upper clip fixes the humerus through the skin and the muscle, the fixation strength is limited, and if the operation time is too long, the risk of ischemia necrosis of the skin and the soft tissue exists; 2. rotation of the proximal humerus is not well controlled; 3. the positions of the side pushing bolts are relatively fixed, so that the side pushing bolts cannot be well adapted to different limb lengths and different types of fractures; 4. the joint of the traction bow and the Kirschner wire is designed to be straight so as to influence the needle threading operation; 5. the tracer mount is connected with last clamping, and the position is relatively unfixed, leads to easily that the robot wears the needle location inaccurate.

Disclosure of Invention

The utility model aims to provide an auxiliary reduction fixing frame for a child humeral supracondylar fracture operation, which solves the problems that an upper clamp in the prior art is used for fixing a humerus through skin and muscle, the fixing strength is limited, and if the operation time is too long, the risk of ischemia necrosis of skin and soft tissues exists.

In order to achieve the above purpose, the utility model adopts the following technical scheme that the auxiliary reduction fixing frame for the children humeral epicondylitis fracture operation comprises a bracket main board, wherein a plurality of operation bed fixing frame connecting holes are formed in the surface of the bracket main board in a penetrating manner, a baffle is arranged in the bracket main board in a matched manner, one side of the baffle is provided with a tracer fixing bracket, one end of the bracket main board is fixedly connected with two carbon rod slide ways, and a lower clamping is arranged on each carbon rod slide way;

one side of the lower clamp is provided with a lower Fang Keshi needle fixing clamp push-pull bolt, and the lower Fang Keshi needle fixing clamp push-pull bolt is connected with a Kirschner wire lower fixing clamp.

As a further description of the above technical solution: one side of the lower clamping is provided with an upper clamping, and an upper Fang Keshi needle fixing clamp push-pull bolt is connected in a rotating mode in the upper clamping.

As a further description of the above technical solution: the push-pull bolt of the upper Fang Keshi needle fixing clamp is connected with the upper Kirschner wire fixing clamp through threads.

As a further description of the above technical solution: the upper part of the carbon rod slide way is also connected with an ejection supporting base in a sliding manner, and an ejection bolt is connected with the lower part of the ejection supporting base in a threaded manner.

As a further description of the above technical solution: one side of the push supporting base is provided with a side push supporting frame, and one side of the side push supporting frame is connected with a side push bolt in a threaded manner.

As a further description of the above technical solution: the other end of the carbon rod slide way is provided with a traction base, a lifting table fixing frame is arranged above the traction base, and a traction lifting table is arranged on one side of the lifting table fixing frame.

As a further description of the above technical solution: the traction lifting platform comprises a traction lifting platform, wherein the other end of the traction lifting platform is connected with a traction support, a traction bolt is rotatably connected in the traction support, the other end of the traction bolt is connected with a traction strip, the other end of the traction strip is connected with a traction bow, and a wrist support is arranged above the traction support.

The utility model has the following beneficial effects:

1. compared with the prior art, the upper clamp of the auxiliary reduction fixing frame for the child humeral epicondylitis fracture surgery fixes the Kirschner wire through the Kirschner wire fixing clamp, the Kirschner wire directly fixes the proximal humerus, the fixing strength is higher, the risk that the ischemia necrosis of skin and soft tissues can be caused if the surgery time is too long does not exist, the upper clamp and the lower clamp are both connected with the Kirschner wire push-pull bolt, and the rotation of the proximal humerus can be well controlled through the synergistic effect of the upper push-pull bolt and the lower push-pull bolt;

2. compared with the prior art, the lateral pushing bolt of the auxiliary reduction fixing frame for the child humeral epicondylitis fracture operation is connected with the lateral pushing support frame, and the lateral pushing support frame can be adjusted up and down and left and right, so that the lateral pushing bolt can be better suitable for different limb lengths and different types of fractures, and meanwhile, the joint of the traction bow and the Kirschner wire is designed into an L shape, so that the needle insertion point for needle penetration fixation is avoided, and the needle penetration operation is not influenced;

3. compared with the prior art, the tracer in the auxiliary reduction fixing frame for the children humeral epicondylitis fracture operation is adjusted to be directly connected with the main board, and the positions are relatively fixed, so that the robot is positioned more accurately.

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 utility model is further illustrated by the following figures and examples;

FIG. 1 is a schematic view of the overall structure of an auxiliary reduction fixing frame for a child humeral supracondylar fracture operation;

fig. 2 is a top view of an auxiliary reduction fixation frame for a child humeral supracondylar fracture surgery according to the present utility model.

Legend description:

1. a bracket main board; 2. a baffle; 3. a tracer fixing bracket; 4. a carbon rod slideway; 5. a lower clamp; 6. a lower Fang Keshi needle fixing clamp push-pull bolt; 7. a k's needle lower fixing clip; 8. clamping; 9. a push-pull bolt is arranged on the Fang Keshi needle fixing clamp; 10. a clamp on the Kirschner wire; 11. pushing and supporting the base; 12. pushing the bolt; 13. side pushing the supporting frame; 14. a side pushing bolt; 15. a traction base; 16. a lifting table fixing frame; 17. traction lifting platform; 18. a traction bracket; 19. a draw bolt; 20. a traction bar; 21. traction bow; 22. a wrist support; 23. and a connecting hole of the operating bed fixing frame.

Detailed Description

Reference will now be made in detail to the present embodiments of the present utility model, examples of which are illustrated in the accompanying drawings, wherein the accompanying drawings are used to supplement the description of the written description so that one can intuitively and intuitively understand each technical feature and overall technical scheme of the present utility model, but not to limit the scope of the present utility model.

Referring to fig. 1-2, one embodiment provided by the present utility model is: the utility model provides an auxiliary reduction mount of operation of fracture on children's humerus condyle, including support mainboard 1, the surface of support mainboard 1 runs through and is provided with a plurality of operation table mount connecting hole 23, the inside cooperation of support mainboard 1 is provided with baffle 2, the surface of support mainboard 1 has operation table mount connecting hole 23 and operation table fixed connection, the surface of support mainboard 1 is connected with baffle 2, support mainboard 1 and baffle 2 constitute supporting part, support mainboard 1 plays the effect of supporting patient's health and suffering from limb, can make suffering from limb fully abduct expose in the effective perspective scope of C type arm, baffle 2 is connected to support mainboard 1, can resist the traction, simultaneously play effectively the effect of protecting head and trunk, avoid dropping in the traction process head and trunk, one side of baffle 2 is provided with tracer fixed bolster 3, the one end fixedly connected with two carbon-rod slide ways 4 of support mainboard 1, be provided with down clip 5 on carbon-rod slide way 4, down clip 5 can slide in front of carbon-rod slide way 4 surface back, and have locking device for adjusting the position that the proximal end of the fixed kirschner bone fracture;

a lower Fang Keshi needle fixing clamp push-pull bolt 6 is arranged on one side of the lower clamp 5, a Kirschner wire lower fixing clamp 7 is connected to the lower Fang Keshi needle fixing clamp push-pull bolt 6, the lower Fang Keshi needle fixing clamp 7 can slide left and right on the surface of the lower clamp 5 by rotating the lower Fang Keshi needle fixing clamp push-pull bolt 6, an upper clamp 8 is arranged on one side of the lower clamp 5, the upper clamp 8 can slide up and down on the surface of the lower clamp 5, a locking device is arranged, an upper Fang Keshi needle fixing clamp push-pull bolt 9 is rotatably connected to the inside of the upper clamp 8, a Kirschner wire upper fixing clamp 10 is connected to the upper Fang Keshi needle fixing clamp push-pull bolt 9 in a threaded manner, the upper Fang Keshi needle fixing clamp 10 can slide left and right on the surface of the upper clamp 8 by rotating the upper Fang Keshi needle fixing clamp push-pull bolt 9, the rotation of the proximal humerus fracture can be well controlled by the cooperative action of the lower Fang Keshi needle fixing clamp push-pull bolt 6 and the upper Fang Keshi needle fixing clamp push-pull bolt 9, the proximal humerus fracture fixing part is formed by the proximal humerus fracture fixing part, and the proximal humerus fracture proximal rotation is controlled;

the upper part of the carbon rod slideway 4 is also connected with a pushing support base 11 in a sliding way, the pushing support base 11 can slide forwards and backwards on the surface of the carbon rod slideway 4, a pushing bolt 12 is connected with the lower part of the pushing support base 11 in a threaded way, the distal end of a fracture of a humerus can be pushed upwards by rotating the pushing bolt 12, the forward inclination angle of the distal end of the humerus is restored, one side of the pushing support base 11 is provided with a side pushing support frame 13, the side pushing support frame 13 can slide forwards and backwards on the surface of the pushing support base 11, a locking device is arranged on one side of the side pushing support frame 13 so as to adapt to limbs with different lengths and fractures of different types, one side of the side pushing support frame 13 is in threaded connection with a side pushing bolt 14, the distal end and the proximal end of the fracture of the humerus can be well controlled by rotating the side pushing bolt 14, the side displacement of the fracture is corrected, the pushing support base 11, the pushing bolt 12, the side pushing support frame 13 and the side pushing bolt 14 form a pushing part, the carbon rod slideway 4 is connected with a traction base 15, and the traction base 15 can slide forwards and backwards on the surface of the carbon rod slideway 4, and the locking device is provided with a locking device;

the other end of the carbon rod slideway 4 is provided with a traction base 15, a lifting table fixing frame 16 is arranged above the traction base 15, the lifting table fixing frame 16 can slide left and right on the surface of the traction base 15, a locking device is arranged, the traction angle of the distal end of the fracture of the humerus can be adjusted by sliding the lifting table fixing frame 16 left and right, the angular displacement of the fracture is corrected, one side of the lifting table fixing frame 16 is provided with a traction lifting table 17, the traction lifting table 17 can slide up and down on the surface of the lifting table fixing frame 16, and the locking device is arranged, so that the height of the traction lifting table 17 can be adjusted, and the traction rod slideway can be suitable for limbs with different sizes;

the other end of the traction lifting table 17 is connected with a traction bracket 18, a traction bolt 19 is rotatably connected in the traction bracket 18, the other end of the traction bolt 19 is connected with a traction bar 20, the other end of the traction bar 20 is connected with a traction bow 21, a wrist support 22 is arranged above the traction bracket 18, the proximal end of the traction bow 21 is connected with an olecranon through a Kirschner wire, the traction bar 20 can slide back and forth in the traction bracket 18 by rotating the traction bolt 19 to play a role of traction fracture distal end, the traction bow 21 is connected with the traction bar 20 into a ball socket joint and can rotate by 360 degrees, a locking device is arranged, axial rotation of the humerus fracture distal end can be effectively controlled after locking, the wrist support 22 is connected on the surface of the traction bracket 18, and the traction base 15, the lifting table fixing frame 16, the traction lifting table 17, the traction bracket 18, the traction bolt 19, the traction bar 20, the traction bow 21 and the wrist support 22 jointly form a traction part.

Working principle: when the arm support is used, firstly, the support main board 1 is connected with an operation table through the operation table fixing frame connecting hole 23, the position where the baffle 2 is placed is selected according to the length of limbs, the infant is positioned on the operation table in a supine mode, the affected limb is placed on the support main board 1 in an abduction mode, a kirschner wire is penetrated into the proximal end of a fracture of the humerus from front to back to fix the proximal end of the fracture of the humerus, two ends of the kirschner wire are respectively fixed on the lower Fang Keshi wire fixing clamp 7 and the upper Fang Keshi wire fixing clamp 10, the lower clamp 5 and the upper clamp 8 are adjusted to a proper position and locked, the position of the push supporting base 11 is adjusted front and back, the push bolt 12 is positioned below an olecranon, the side push supporting frame 13 is adjusted front and back, the side push bolt 14 is respectively positioned on two sides of the distal end and the proximal end of the fracture of the humerus, a kirschner wire is penetrated into the position of the olecranon, two ends of the kirschner wire are connected with the traction bow 21 and locked, the traction base 15 is adjusted front and back, the lifting table fixing frame 16 is adjusted left and right, the lifting table 17 is adjusted up and down, the position is adjusted and locked, and the wrist is placed and fixed at the wrist position. The doctor can keep away from the C-shaped arm or conduct X-ray fluoroscopy downwards under the protection of lead shield wind, according to the fracture displacement direction, the traction bolt 19 is rotated firstly to longitudinally traction the far end of the fracture, the shrinkage displacement of the fracture is corrected, the lateral pushing bolt 14 is rotated, the lateral displacement of the fracture at the coronal position is corrected, the lateral displacement of the fracture at the sagittal position is corrected through rotating the pushing bolt 12, the left and right sliding of the lifting table fixing frame 16 is adjusted, the traction direction of the traction bow 21 at the coronal position is corrected, the angulation displacement of the fracture end at the coronal position is corrected, the height of the lifting table 17 is adjusted, the traction direction of the traction bow 21 at the sagittal position is adjusted, the angulation displacement of the fracture end at the sagittal position is corrected, the push-pull bolt 6 is clamped through rotating a Fang Keshi needle fixing clamp and the push-pull bolt 9 is clamped by a Fang Keshi needle, the rotation of the near end of the humerus fracture is controlled under the cooperative action of the rotation of the traction bow 21, the axial rotation displacement of the fracture end is corrected, after the fracture is reset, the surgical robot tracer 3 is installed, the position of the surgical robot guider is adjusted, and after the fracture penetrates into a patient's body, and the fracture is fixed in a patient's face.

The embodiments of the present utility model have been described in detail with reference to the accompanying drawings, but the present utility model is not limited to the above embodiments, and various changes can be made within the knowledge of one of ordinary skill in the art without departing from the spirit of the present utility model.

Claims

1. The utility model provides an auxiliary reduction mount of operation of fracture on children's humerus condyle, includes support mainboard (1), its characterized in that, the surface of support mainboard (1) runs through and is provided with a plurality of operation table mount connecting hole (23), the inside cooperation of support mainboard (1) is provided with baffle (2), one side of baffle (2) is provided with tracer fixed bolster (3), the one end fixedly connected with of support mainboard (1) two carbon-point slides (4), be provided with down clamping (5) on carbon-point slide (4);

one side of the lower clamp (5) is provided with a lower Fang Keshi needle fixing clamp push-pull bolt (6), and a Kirschner wire lower fixing clamp (7) is connected to the lower Fang Keshi needle fixing clamp push-pull bolt (6).

2. The auxiliary reduction fixing frame for the child humeral epicondylitis fracture surgery according to claim 1, wherein an upper clamp (8) is arranged on one side of the lower clamp (5), and an upper Fang Keshi needle fixing clamp push-pull bolt (9) is connected to the upper clamp (8) in a rotating mode.

3. The auxiliary reduction fixing frame for the children humeral epicondylitis fracture surgery according to claim 2 is characterized in that a Kirschner wire upper fixing clip (10) is connected to the upper Fang Keshi needle fixing clip push-pull bolt (9) through threads.

4. The auxiliary reduction fixing frame for the children humeral epicondylitis fracture surgery according to claim 1, wherein an ejection supporting base (11) is connected to the carbon rod slide way (4) in a sliding mode, and an ejection bolt (12) is connected to the lower portion of the ejection supporting base (11) in a threaded mode.

5. The auxiliary reduction fixing frame for the child humeral epicondylitis fracture surgery according to claim 4, wherein a side pushing support frame (13) is arranged on one side of the pushing support base (11), and a side pushing bolt (14) is connected to one side of the side pushing support frame (13) in a threaded mode.

6. The auxiliary reduction fixing frame for the child humeral epicondylitis fracture surgery according to claim 1, characterized in that a traction base (15) is arranged at the other end of the carbon rod slide way (4), a lifting table fixing frame (16) is arranged above the traction base (15), and a traction lifting table (17) is arranged on one side of the lifting table fixing frame (16).

7. The auxiliary reduction fixing frame for the child humeral epicondylitis fracture surgery according to claim 6, characterized in that the other end of the traction lifting table (17) is connected with a traction support (18), the inside of the traction support (18) is rotationally connected with a traction bolt (19), the other end of the traction bolt (19) is connected with a traction bar (20), the other end of the traction bar (20) is connected with a traction bow (21), and a wrist support (22) is arranged above the traction support (18).