CN221654530U - Calcaneus fracture reduction device - Google Patents
Calcaneus fracture reduction device Download PDFInfo
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- CN221654530U CN221654530U CN202322818458.5U CN202322818458U CN221654530U CN 221654530 U CN221654530 U CN 221654530U CN 202322818458 U CN202322818458 U CN 202322818458U CN 221654530 U CN221654530 U CN 221654530U
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- 230000009467 reduction Effects 0.000 title claims abstract description 38
- 206010016970 Foot fracture Diseases 0.000 title abstract description 5
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 39
- 230000007246 mechanism Effects 0.000 claims abstract description 19
- 230000000149 penetrating effect Effects 0.000 claims description 3
- 230000008901 benefit Effects 0.000 abstract description 7
- 230000000694 effects Effects 0.000 abstract description 5
- 206010017076 Fracture Diseases 0.000 description 39
- 208000010392 Bone Fractures Diseases 0.000 description 36
- 239000012634 fragment Substances 0.000 description 18
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- 210000000459 calcaneus Anatomy 0.000 description 10
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- 101100012902 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) FIG2 gene Proteins 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技术领域,具体涉及一种跟骨骨折复位装置。The utility model belongs to the technical field of medical instruments, and in particular relates to a calcaneal fracture reduction device.
背景技术Background Art
跟骨骨折是后足常见的骨折,对应跟骨骨折受伤严重,跟骨骨折的骨折块主要分为5大块,包括跟骨结节、后跟距关节面骨块、载距突骨块、前内侧骨块和前外侧骨块,而跟骨骨折受伤较轻,则骨折块越少,可以理解为,当跟骨骨折受伤较严重时,跟骨最多被分裂为5大块,而受伤较轻时,跟骨可能被分裂为4块、3块或者2块。Calcaneus fracture is a common fracture of the hindfoot. If the calcaneal fracture is severe, the fracture fragments are mainly divided into five large pieces, including the calcaneal tuberosity, the posterior talar articular surface bone fragment, the talar bone fragment, the anterior medial bone fragment and the anterolateral bone fragment. If the calcaneal fracture is mild, the fracture fragments are fewer. It can be understood that when the calcaneal fracture is severe, the calcaneus can be split into five large pieces at most, while when the injury is mild, the calcaneus may be split into four, three or two pieces.
目前跟骨骨折的治疗主要包括保守治疗,切开复位钢板螺钉内固定治疗,微创克氏针、螺钉、微型钢板或者髓内钉治疗,以及3D打印导板经皮螺钉固定术治疗。其中,保守治疗通常后足畸形愈合,创伤性关节炎;切开复位钢板螺钉内固定治疗创伤较大,经常出现皮肤的坏死,感染;微创螺钉治疗缺乏良好的固定及复位导向工具,所以经常导致复位不良及固定不良(不能有效地固定所有的5个骨块),并且术中需要透视的次数非常的多,也由于跟骨的解剖复杂性及解剖变异多样,跟骨骨折的病理变化多样,固定的方式也良莠不齐,通常只能应用在骨块较少的简单骨折;3D打印导板经皮螺钉固定术治疗跟骨骨折由于经皮使用导板,导板的准确性经常成问题,其原因包括软组织本身具有滑动性,制作导板的时间至手术时间,软组织会出现肿胀加重或消退,术中对骨折的复位过程中间导致的软组织变形。At present, the treatment of calcaneal fracture mainly includes conservative treatment, open reduction plate screw internal fixation treatment, minimally invasive Kirschner wire, screw, micro plate or intramedullary nail treatment, and 3D printed guide plate percutaneous screw fixation treatment. Among them, conservative treatment usually leads to hindfoot deformity healing and traumatic arthritis; open reduction plate screw internal fixation treatment is more traumatic, and skin necrosis and infection often occur; minimally invasive screw treatment lacks good fixation and reduction guide tools, so it often leads to poor reduction and poor fixation (all 5 bone fragments cannot be effectively fixed), and the number of fluoroscopy required during the operation is very high. Due to the anatomical complexity and anatomical variation of the calcaneus, the pathological changes of calcaneal fractures are diverse, and the fixation methods are also good and bad. It can usually only be applied to simple fractures with fewer bone fragments; 3D printed guide plate percutaneous screw fixation treatment of calcaneal fractures often has problems with the accuracy of the guide plate due to the percutaneous use of the guide plate. The reasons include the sliding nature of the soft tissue itself, the swelling of the soft tissue will increase or disappear from the time of making the guide plate to the time of surgery, and the deformation of the soft tissue caused by the reduction process of the fracture during the operation.
实用新型内容Utility Model Content
本实用新型的目的在于提供一种同时适用于不同跟骨骨折受伤程度的跟骨骨折复位装置,在多个位置均设置了导向功能,能够用于二块至五块骨折块治疗。The utility model aims to provide a calcaneal fracture reduction device which is suitable for different calcaneal fracture injury degrees, has guiding functions arranged at multiple positions, and can be used for treating two to five fracture fragments.
为实现上述目的,本实用新型提供一种跟骨骨折复位装置,包括:To achieve the above object, the utility model provides a calcaneal fracture reduction device, comprising:
第一钳柄,所述第一钳柄包括第一钳柄主体部、与所述第一钳柄主体部连接的第一钳柄延伸部、设置于所述第一钳柄主体部远离所述第一钳柄延伸部一端的固定环、及开设于所述第一钳柄延伸部的第一螺纹孔和第一连接孔;A first pliers handle, the first pliers handle comprising a first pliers handle main body, a first pliers handle extension connected to the first pliers handle main body, a fixing ring disposed at one end of the first pliers handle main body away from the first pliers handle extension, and a first threaded hole and a first connecting hole provided in the first pliers handle extension;
第二钳柄,所述第二钳柄包括第二钳柄主体部、与所述第二钳柄主体部连接的第二钳柄延伸部、及开设于第二钳柄延伸部的第二螺纹孔和第二连接孔,所述第二钳柄主体部用于插入患者的皮肤内,所述第二螺纹孔与所述第一螺纹孔正对设置,所述第二连接孔与所述第一连接孔正对设置;A second clamp handle, the second clamp handle comprising a second clamp handle main body, a second clamp handle extension connected to the second clamp handle main body, and a second threaded hole and a second connecting hole provided in the second clamp handle extension, the second clamp handle main body is used to be inserted into the patient's skin, the second threaded hole is arranged opposite to the first threaded hole, and the second connecting hole is arranged opposite to the first connecting hole;
铰接螺栓,所述铰接螺栓插入所述第一螺纹孔和所述第二螺纹孔内以使所述第一钳柄和所述第二钳柄铰接;A hinge bolt, wherein the hinge bolt is inserted into the first threaded hole and the second threaded hole to hinge the first clamp handle and the second clamp handle;
导向机构,所述导向机构包括与所述固定环螺纹连接的第一空心螺栓、及插入所述第一连接孔和第二连接孔内的导针筒,所述第一空心螺栓用于安装第一螺钉导针,所述第一钳柄主体部与所述第二钳柄主体部之间的夹角通过所述铰接螺栓和所述导针筒共同锁定。The guiding mechanism comprises a first hollow bolt threadedly connected to the fixing ring, and a guide needle cylinder inserted into the first connecting hole and the second connecting hole, the first hollow bolt is used to install a first screw guide needle, and the angle between the first clamp handle main body and the second clamp handle main body is locked by the hinge bolt and the guide needle cylinder.
在一种具体的实施方式中,所述导针筒包括插入所述第一连接孔和第二连接孔的连接筒体、及与所述连接筒体连接且相互垂直的导向筒体,所述导向筒体包括圆柱形状的筒体本体、及贯穿所述筒体本体的两个底面形成的导向孔,所述导向孔用于安装第五螺钉导针。In a specific embodiment, the guide needle cylinder includes a connecting cylinder body inserted into the first connecting hole and the second connecting hole, and a guide cylinder body connected to the connecting cylinder body and perpendicular to each other, the guide cylinder body includes a cylindrical cylinder body, and a guide hole formed through two bottom surfaces of the cylinder body, and the guide hole is used to install the fifth screw guide needle.
在一种具体的实施方式中,所述第二钳柄还包括设置于所述第二钳柄主体部靠近所述第二钳柄延伸部的一端的滑槽部,所述滑槽部包括自所述第二钳柄主体部向远离所述第一钳柄方向延伸的基体、及自所述基体的中间部分向远离所述基体方向延伸的凸起。In a specific embodiment, the second pliers handle also includes a slide groove portion arranged at one end of the second pliers handle main body near the second pliers handle extension portion, and the slide groove portion includes a base extending from the second pliers handle main body in a direction away from the first pliers handle, and a protrusion extending from the middle part of the base in a direction away from the base.
在一种具体的实施方式中,所述导向机构还包括可拆卸安装于所述滑槽部的第一连接组件、及与所述第一连接组件连接的第二空心螺栓,所述第一连接组件包括具有第一卡槽的第一滑动部、自所述第一滑动部的一端垂直弯折延伸的第一连接部、自所述第一连接部垂直弯折延伸的第二连接部、与所述第二连接部连接的安装部、及贯穿所述安装部形成的第一安装孔,所述第一卡槽的形状与所述凸起的形状相匹配,所述安装部的长度小于所述第一钳柄主体部长度的一半,所述第二空心螺栓与所述第一安装孔螺纹连接,所述第二空心螺栓用于安装第二螺钉导针。In a specific embodiment, the guide mechanism also includes a first connecting component that can be detachably mounted on the slide groove portion, and a second hollow bolt connected to the first connecting component, the first connecting component includes a first sliding portion having a first slot, a first connecting portion extending vertically from one end of the first sliding portion, a second connecting portion extending vertically from the first connecting portion, a mounting portion connected to the second connecting portion, and a first mounting hole formed through the mounting portion, the shape of the first slot matches the shape of the protrusion, the length of the mounting portion is less than half the length of the first clamp handle main body, the second hollow bolt is threadedly connected to the first mounting hole, and the second hollow bolt is used to install a second screw guide pin.
在一种具体的实施方式中,所述第一连接组件还包括第一螺钉、及贯穿所述第二连接部形成的第一固定孔,所述第一滑动部卡设于所述凸起且能够沿所述凸起进行滑动,所述第一螺钉穿过所述第一固定孔抵接所述基体以将所述第一连接组件固定。In a specific embodiment, the first connecting component also includes a first screw and a first fixing hole formed through the second connecting portion, the first sliding portion is clamped on the protrusion and can slide along the protrusion, and the first screw passes through the first fixing hole to abut the base to fix the first connecting component.
在一种具体的实施方式中,所述导向机构还包括可拆卸安装于所述滑槽部的第二连接组件、及与所述第二连接组件连接的第三空心螺栓,所述第二连接组件包括具有第二卡槽的第二滑动部、自所述第二滑动部远离跟骨的一端垂直弯折延伸的第三连接部、自所述第三连接部垂直弯折延伸的第四连接部、与所述第四连接部固定连接的安装块、及开设于安装块远离所述第二滑动部一端的第二安装孔,所述第二卡槽的形状与所述凸起的形状相匹配,所述安装块的长度大于所述第二钳柄主体部的长度,所述第三空心螺栓与所述第二安装孔螺纹连接,所述第三空心螺栓用于安装第三螺钉导针。In a specific embodiment, the guide mechanism also includes a second connecting component detachably mounted on the slide groove portion, and a third hollow bolt connected to the second connecting component, the second connecting component includes a second sliding portion having a second slot, a third connecting portion vertically bent and extending from an end of the second sliding portion away from the calcaneus, a fourth connecting portion vertically bent and extending from the third connecting portion, a mounting block fixedly connected to the fourth connecting portion, and a second mounting hole opened at an end of the mounting block away from the second sliding portion, the shape of the second slot matches the shape of the protrusion, the length of the mounting block is greater than the length of the second clamp handle main body, the third hollow bolt is threadedly connected to the second mounting hole, and the third hollow bolt is used to install a third screw guide pin.
在一种具体的实施方式中,所述安装块包括与所述第四连接部连接的第一安装块、及设置于所述第一安装块末端且朝向第二钳柄方向倾斜设置的第二安装块,所述第二安装孔开设于所述第二安装块。In a specific embodiment, the mounting block includes a first mounting block connected to the fourth connecting portion, and a second mounting block disposed at the end of the first mounting block and inclined toward the second clamp handle, and the second mounting hole is opened in the second mounting block.
在一种具体的实施方式中,所述第二连接组件还包括第二螺钉、及贯穿所述第四连接部形成的第二固定孔,所述第二滑动部卡设于所述凸起且能够沿所述凸起进行滑动,所述第二螺钉穿过所述第二固定孔抵接所述基体以将所述第二连接组件固定。In a specific embodiment, the second connecting component also includes a second screw and a second fixing hole formed through the fourth connecting portion, the second sliding portion is clamped on the protrusion and can slide along the protrusion, and the second screw passes through the second fixing hole to abut the base to fix the second connecting component.
在一种具体的实施方式中,所述第一空心螺栓包括插入所述固定环内且与所述固定环螺纹连接的第一部分、及与所述第一部分连接的第二部分,所述第二部分的直径大于所述第一部分的直径,所述第一空心螺栓还包括自所述第二部分远离所述第一部分的表面向内凹陷形成的凹槽、纵向贯穿所述凹槽的部分槽底和所述第二部分的中间部分形成的通孔、及环设于所述凹槽周边的多个定位孔。In a specific embodiment, the first hollow bolt includes a first part inserted into the fixing ring and threadedly connected to the fixing ring, and a second part connected to the first part, the diameter of the second part is larger than the diameter of the first part, and the first hollow bolt also includes a groove formed by the surface of the second part away from the first part being recessed inward, a through hole formed by longitudinally penetrating a part of the groove bottom and the middle part of the second part, and a plurality of positioning holes arranged around the groove.
在一种具体的实施方式中,所述导向机构还包括开设有导针孔的连接杆,所述连接杆包括具有多个定位柱的连接端、开设有所述导针孔的导向板、及两端分别与所述连接端和所述导向板连接的杆体,多个所述定位柱插入多个所述定位孔内,所述导针孔用于安装第四螺钉导针。In a specific embodiment, the guide mechanism also includes a connecting rod with a guide pin hole, the connecting rod includes a connecting end with a plurality of positioning columns, a guide plate with the guide pin hole, and a rod body with two ends respectively connected to the connecting end and the guide plate, the plurality of positioning columns are inserted into the plurality of positioning holes, and the guide pin hole is used to install a fourth screw guide pin.
本实用新型的有益效果至少包括:The beneficial effects of the utility model include at least:
一、本实用新型提供的跟骨骨折复位装置包括第一钳柄、与第一钳柄交叉设置的第二钳柄、用于将第一钳柄和第二钳柄的夹角固定的铰接螺栓和导针筒、及第一空心螺栓,所述第二钳柄用于插入患者的皮肤内以夹持骨骼,其中,所述第一钳柄包括第一钳柄主体部、与所述第一钳柄主体部连接的第一钳柄延伸部、设置于所述第一钳柄主体部远离所述第一钳柄延伸部一端的固定环,所述第一空心螺栓与固定环螺纹连接且用于安装第一螺钉导针;这样,通过拧第一空心螺栓能够从螺钉导针植入方向加压使分离的骨折块靠近,再通过第一空心螺栓导向植入第一螺钉导针,可以将分离的两个骨折块复位,一方面,无需再提供额外的加压器件,另一方面,该装置具有结构简单,复位效果好的优点。1. The calcaneal fracture reduction device provided by the utility model comprises a first clamp handle, a second clamp handle arranged crosswise with the first clamp handle, a hinge bolt and a guide needle cylinder for fixing the angle between the first clamp handle and the second clamp handle, and a first hollow bolt, wherein the second clamp handle is used to be inserted into the patient's skin to clamp the bone, wherein the first clamp handle comprises a first clamp handle main body, a first clamp handle extension connected to the first clamp handle main body, and a fixing ring arranged at one end of the first clamp handle main body away from the first clamp handle extension, the first hollow bolt is threadedly connected to the fixing ring and is used to install the first screw guide needle; in this way, by tightening the first hollow bolt, pressure can be applied from the direction of screw guide needle implantation to bring the separated fracture fragments closer, and then the first screw guide needle is implanted through the first hollow bolt to guide the two separated fracture fragments. On the one hand, there is no need to provide an additional pressure device, and on the other hand, the device has the advantages of simple structure and good reduction effect.
二、本实用新型提供的跟骨骨折复位装置的第一连接组件、第二连接组件与第一钳柄可拆卸连接,且均安装于滑槽部,在使用时,若待植入第二螺钉导针,则安装第一连接组件,若待植入第二螺钉导针,则安装第二连接组件,安装完成后,均直接拆除,不会影响其他的螺钉导针的植入,但同时又为两个螺钉导针进行了导向,以使螺钉导针植入至目标位置,保证较好的植入效果。2. The first connecting component and the second connecting component of the calcaneal fracture reduction device provided by the utility model are detachably connected to the first clamp handle and are both installed on the slide groove part. When in use, if the second screw guide needle is to be implanted, the first connecting component is installed, and if the second screw guide needle is to be implanted, the second connecting component is installed. After the installation is completed, both are directly removed without affecting the implantation of other screw guide needles, but at the same time, the two screw guide needles are guided so that the screw guide needles are implanted to the target position, thereby ensuring a better implantation effect.
三、本实用新型提供的跟骨骨折复位装置的连接杆,可拆卸安装于第一空心螺栓,仅待植入第四螺钉导针时,才进行安装,且安装完成后可直接拆除,不会影响其他的螺钉导针的植入,且为第四螺钉导针进行了导向,以使第四螺钉导针植入至目标位置,保证较好的植入效果。3. The connecting rod of the calcaneal fracture reduction device provided by the utility model can be detachably installed on the first hollow bolt, and is installed only when the fourth screw guide needle is to be implanted. After the installation is completed, it can be directly removed without affecting the implantation of other screw guide needles. The fourth screw guide needle is guided to enable the fourth screw guide needle to be implanted to the target position, thereby ensuring a better implantation effect.
四、本实用新型提供的跟骨骨折复位装置,提供了五个螺钉导针植入方向,能够从不同角度植入螺钉导针,且基于本跟骨骨折复位置提供的导向功能,能够将跟骨结节、后跟距关节面骨块、载距突骨块、前内侧骨块和前外侧骨块共五个骨折块进行复位,具有应用范围广、实用性强的优点。4. The calcaneal fracture reduction device provided by the utility model provides five screw guide pin implantation directions, and the screw guide pin can be implanted from different angles. Based on the guiding function provided by the calcaneal fracture reduction position, the five fracture fragments, namely the calcaneal tuberosity, the posterior calcaneal articular surface bone block, the talar process bone block, the anterior medial bone block and the anterolateral bone block, can be reduced, and has the advantages of wide application range and strong practicality.
除了上面所描述的目的、特征和优点之外,本实用新型还有其它的目的、特征和优点。下面将参照图,对本实用新型作进一步详细的说明。In addition to the above-described purposes, features and advantages, the present invention has other purposes, features and advantages. The present invention will be further described in detail with reference to the accompanying drawings.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为本实用新型提供的跟骨骨折复位装置一个方向的立体结构示意图;FIG1 is a schematic diagram of the three-dimensional structure of the calcaneal fracture reduction device provided by the present invention in one direction;
图2为本实用新型提供的跟骨骨折复位装置另一方向的立体结构示意图;FIG2 is a schematic diagram of the three-dimensional structure of the calcaneal fracture reduction device provided by the present invention from another direction;
图3为图1所示跟骨骨折复位装置的第一空心螺栓一个方向的立体结构示意图;FIG3 is a schematic diagram of the three-dimensional structure of the first hollow bolt of the calcaneal fracture reduction device shown in FIG1 in one direction;
图4为图1所示跟骨骨折复位装置的第一空心螺栓另一个方向的立体结构示意图;FIG4 is a schematic diagram of the three-dimensional structure of the first hollow bolt of the calcaneal fracture reduction device shown in FIG1 in another direction;
图5为本实用新型提供的复位装置中第一连接组件一个方向的立体结构示意图;FIG5 is a schematic diagram of the three-dimensional structure of the first connecting component in one direction of the reset device provided by the utility model;
图6为本实用新型提供的复位装置中第二连接组件一个方向的立体结构示意图。FIG. 6 is a schematic diagram of the three-dimensional structure of the second connecting assembly in one direction of the reset device provided by the present invention.
具体实施方式DETAILED DESCRIPTION
以下结合附图对本实用新型实施例进行详细说明,但是本实用新型可以根据权利要求限定和覆盖多种不同实施方式。The following is a detailed description of the embodiments of the present invention in conjunction with the accompanying drawings. However, the present invention can be defined and covered by various different implementations according to the claims.
本实用新型提供一种跟骨骨折复位装置,该跟骨骨折复位装置提供了五个螺钉导针植入方向,能够应用于骨折严重的情况,具体地,当跟骨骨折后包括跟骨结节、后跟距关节面骨块、载距突骨块、前内侧骨块和前外侧骨块至少两块关键骨折块,则可以采用本实用新型提供的跟骨骨折复位置进行复位。The utility model provides a calcaneal fracture reduction device, which provides five screw guide pin implantation directions and can be applied to severe fracture situations. Specifically, when the calcaneal fracture includes at least two key fracture fragments, namely, the calcaneal tuberosity, the posterior calcaneal articular surface bone fragment, the talar process bone fragment, the anterior medial bone fragment and the anterolateral bone fragment, the calcaneal fracture reduction device provided by the utility model can be used for reduction.
需要说明的是,骨折块的前、后、内侧和外侧等方位描述与人体对足部的描述一致,脚后跟对应的是后,脚趾对应的是前,脚的大拇指所在一侧为内侧,脚的小拇指所在一侧为外侧。It should be noted that the description of the front, back, medial and lateral positions of the fracture fragment is consistent with the human body's description of the foot. The heel corresponds to the back, the toes correspond to the front, the side where the big toe is located is the medial side, and the side where the little toe is located is the lateral side.
为了方便理解,将从5个不同方向植入的螺钉导针命名为第一螺钉导针、第二螺钉导针、第三螺钉导针、第四螺钉导针、第五螺钉导针,其中,第一螺钉导针自前外侧骨块指向前内侧骨块,即用于将分离的前外侧骨块与前内侧骨块复位;所述第二螺钉导针自后跟距关节面骨块指向载距突骨块,即用于将分离的后跟距关节面骨块与载距突骨块复位;所述第三螺钉导针自跟骨结节后外侧指向载距突骨块,即用于将分离的跟骨结节与载距突骨块复位;所述第四螺钉导针自跟骨结节后内侧指向前外侧骨块对应第一螺钉导针入骨处,即用于将分离的跟骨结节与前外侧骨块复位;所述第五螺钉导针自跟骨结节近心端跟腱旁指向前外侧骨块或者前内侧骨块底面,且绕开腓骨长短肌腱,即用于将分离的跟骨结节与前内侧骨块复位。For ease of understanding, the screw guide pins implanted from five different directions are named the first screw guide pin, the second screw guide pin, the third screw guide pin, the fourth screw guide pin, and the fifth screw guide pin, wherein the first screw guide pin points from the anterolateral bone block to the anteromedial bone block, i.e., it is used to reposition the separated anterolateral bone block and the anteromedial bone block; the second screw guide pin points from the posterior talar articular surface bone block to the talar bone block, i.e., it is used to reposition the separated posterior talar articular surface bone block and the talar bone block; the third screw guide pin points from the posterior talar articular surface bone block to the talar bone block; The guide needle points from the posterolateral side of the calcaneal tuberosity to the talar bone block, that is, it is used to reposition the separated calcaneal tuberosity and the talar bone block; the fourth screw guide needle points from the posteromedial side of the calcaneal tuberosity to the anterolateral bone block corresponding to the bone entry point of the first screw guide needle, that is, it is used to reposition the separated calcaneal tuberosity and the anterolateral bone block; the fifth screw guide needle points from the proximal end of the calcaneal tuberosity beside the Achilles tendon to the anterolateral bone block or the bottom surface of the anteromedial bone block, and bypasses the long and short peroneus tendons, that is, it is used to reposition the separated calcaneal tuberosity and the anteromedial bone block.
请结合参阅图1至图6,所述跟骨骨折复位装置包括第一钳柄10、第二钳柄20、铰接螺栓30、以及导向机构,所述第一钳柄10用于安装所述导向机构,所述第二钳柄20用于插入患者的皮肤内夹持骨骼并辅助固定第一钳柄10的位置,以保证与第一钳柄10连接的导向机构安装于目标位置上,所述铰接螺栓30用于铰接第一钳柄10和第二钳柄20,所述导向机构用于为待植入的多个螺钉导针导向。Please refer to Figures 1 to 6. The calcaneal fracture reduction device includes a first clamp handle 10, a second clamp handle 20, a hinge bolt 30, and a guide mechanism. The first clamp handle 10 is used to install the guide mechanism. The second clamp handle 20 is used to be inserted into the patient's skin to clamp the bone and assist in fixing the position of the first clamp handle 10 to ensure that the guide mechanism connected to the first clamp handle 10 is installed at the target position. The hinge bolt 30 is used to hinge the first clamp handle 10 and the second clamp handle 20. The guide mechanism is used to guide multiple screw guide pins to be implanted.
所述第一钳柄10包括第一钳柄主体部11、与所述第一钳柄主体部11连接的第一钳柄延伸部12、设置于所述第一钳柄主体部11靠近所述第一钳柄延伸部12的一端的滑槽部13、设置于所述第一钳柄主体部11远离所述第一钳柄延伸部12一端的固定环14、及开设于所述第一钳柄延伸部12的第一螺纹孔和第一连接孔。The first pliers handle 10 includes a first pliers handle main body 11, a first pliers handle extension 12 connected to the first pliers handle main body 11, a slide groove 13 arranged at one end of the first pliers handle main body 11 close to the first pliers handle extension 12, a fixing ring 14 arranged at one end of the first pliers handle main body 11 away from the first pliers handle extension 12, and a first threaded hole and a first connecting hole opened in the first pliers handle extension 12.
在本实施例中,所述第一钳柄主体部11为弧形弯状结构,其包括逐渐向远离所述第二钳柄主体部方向倾斜的第一段和逐渐向内倾斜的第二段,所述第一段与第一钳柄延伸部连接,且第二段的长度小于第一段长度的二分之一。In this embodiment, the first pliers handle main body 11 is an arc-shaped curved structure, which includes a first section gradually inclined away from the second pliers handle main body and a second section gradually inclined inward, the first section is connected to the first pliers handle extension, and the length of the second section is less than half of the length of the first section.
在本实施例中,所述第一钳柄延伸部12包括自所述第一钳柄主体部11远离所述固定环14的一端向远离所述固定环14方向水平延伸的第一延伸板及所述第一延伸板向外侧弯折延伸的第二延伸板。In this embodiment, the first handle extension portion 12 includes a first extension plate extending horizontally from one end of the first handle body 11 away from the fixing ring 14 in a direction away from the fixing ring 14 and a second extension plate extending outwardly by bending the first extension plate.
在本实施例中,所述第一螺纹孔开设于所述第一延伸板,沿所述第一延伸板的厚度方向贯穿所述第一延伸板形成。所述第一连接孔开设于所述第二延伸板,沿所述第二延伸板的厚度方向贯穿所述第二延伸板形成。In this embodiment, the first threaded hole is formed in the first extension plate and penetrates the first extension plate along the thickness direction of the first extension plate. The first connection hole is formed in the second extension plate and penetrates the second extension plate along the thickness direction of the second extension plate.
所述滑槽部13包括自所述第一钳柄主体部11向远离所述第二钳柄20方向延伸的基体131、及自所述基体131的中间部分向远离所述基体131方向延伸的凸起132。The slide slot 13 includes a base 131 extending from the first clamp handle body 11 toward a direction away from the second clamp handle 20 , and a protrusion 132 extending from a middle portion of the base 131 toward a direction away from the base 131 .
在本实施例中,所述滑槽部13用于与导向机构配合。In this embodiment, the slide groove portion 13 is used to cooperate with a guide mechanism.
在本实施例中,所述固定环14用于与导向机构配合。In this embodiment, the fixing ring 14 is used to cooperate with the guide mechanism.
在本实施例中,所述固定环14用于定位第一螺钉导针的植入方向,所述固定环14为圆环结构,且所述固定环14的中心轴线所在方向与第一螺钉导针的植入方向相同。In this embodiment, the fixing ring 14 is used to locate the implantation direction of the first screw guide needle. The fixing ring 14 is a circular ring structure, and the direction of the central axis of the fixing ring 14 is the same as the implantation direction of the first screw guide needle.
在本实施例中,所述固定环14的内壁设置有螺纹。In this embodiment, the inner wall of the fixing ring 14 is provided with threads.
所述第二钳柄20包括第二钳柄主体部21、与所述第二钳柄主体部21连接的第二钳柄延伸部22、及开设于第二钳柄延伸部22的第二螺纹孔和第二连接孔,所述第二钳柄主体部21用于插入患者的皮肤内,所述第二螺纹孔与所述第一螺纹孔正对设置,所述第二连接孔与所述第一连接孔正对设置。The second clamp handle 20 includes a second clamp handle main body 21, a second clamp handle extension 22 connected to the second clamp handle main body 21, and a second threaded hole and a second connecting hole opened in the second clamp handle extension 22. The second clamp handle main body 21 is used to be inserted into the patient's skin, the second threaded hole is arranged opposite to the first threaded hole, and the second connecting hole is arranged opposite to the first connecting hole.
在本实施例中,所述第二钳柄主体部21经皮置入,所述第二钳柄主体部21远离所述第二钳柄延伸部的一端贴合载距突下骨面,这样,可以保证夹持效果。In this embodiment, the second clamp handle body 21 is inserted percutaneously, and one end of the second clamp handle body 21 away from the second clamp handle extension portion is in contact with the bone surface below the talar process, so that the clamping effect can be ensured.
在本实施例中,所述第二钳柄主体部21为弧形弯状结构,包括逐渐向远离所述第一钳柄主体部11方向倾斜的第三段和逐渐向内倾斜的第四段。In this embodiment, the second pliers handle main body 21 is an arc-shaped curved structure, including a third section gradually inclined away from the first pliers handle main body 11 and a fourth section gradually inclined inward.
在本实施例中,自所述第二钳柄延伸部22至第二钳柄主体部21方向,所述第二钳柄主体部21的宽度逐渐减小,所述第四段远离所述第三段的一端为尖形,这样,方便插入患者的皮肤内。In this embodiment, the width of the second handle body 21 gradually decreases from the second handle extension 22 to the second handle body 21, and the end of the fourth section away from the third section is pointed, so that it is convenient to insert into the patient's skin.
所述铰接螺栓30插入所述第一螺纹孔和所述第二螺纹孔内以使所述第一钳柄10和所述第二钳柄20铰接。The hinge bolt 30 is inserted into the first threaded hole and the second threaded hole to hinge the first clamp handle 10 and the second clamp handle 20 .
所述导向机构包括与所述固定环14螺纹连接的第一空心螺栓41、插入所述第一连接孔和第二连接孔内的导针筒42、第一连接组件43、与所述第一连接组件43螺纹连接的第二空心螺栓、第二连接组件45、与所述第二连接组件45螺纹连接的第三空心螺栓、连接杆47、及与所述第二连接组件45螺纹连接的第四空心螺栓。The guide mechanism includes a first hollow bolt 41 threadedly connected to the fixing ring 14, a guide needle tube 42 inserted into the first connecting hole and the second connecting hole, a first connecting component 43, a second hollow bolt threadedly connected to the first connecting component 43, a second connecting component 45, a third hollow bolt threadedly connected to the second connecting component 45, a connecting rod 47, and a fourth hollow bolt threadedly connected to the second connecting component 45.
所述第一空心螺栓41用于安装第一螺钉导针,所述第一空心螺栓41与所述固定环14螺纹连接,朝向跟骨方向拧所述第一空心螺栓41能够对前外侧骨块105与前内侧骨块104进行加压以使两者复位。The first hollow bolt 41 is used to install a first screw guide pin. The first hollow bolt 41 is threadedly connected to the fixing ring 14. Tightening the first hollow bolt 41 toward the calcaneus can pressurize the anterolateral bone block 105 and the anteromedial bone block 104 to reset the two.
在本实施例中,所述第一空心螺栓41包括插入所述固定环14内且与所述固定环14螺纹连接的第一部分411、及与所述第一部分411连接的第二部分412,所述第二部分412的直径大于所述第一部分411的直径,所述第一空心螺栓41还包括自所述第二部分412远离所述第一部分411的表面向内凹陷形成的凹槽413、纵向贯穿所述凹槽413的部分槽底和所述第二部分412的中间部分形成的通孔414、及环设于所述凹槽413周边的多个定位孔415。In this embodiment, the first hollow bolt 41 includes a first portion 411 inserted into the fixing ring 14 and threadedly connected to the fixing ring 14, and a second portion 412 connected to the first portion 411, the diameter of the second portion 412 is larger than the diameter of the first portion 411, and the first hollow bolt 41 also includes a groove 413 formed by a surface of the second portion 412 away from the first portion 411, a through hole 414 formed by longitudinally penetrating a portion of the bottom of the groove 413 and the middle portion of the second portion 412, and a plurality of positioning holes 415 arranged around the groove 413.
可以理解的是,所述第一部分411的外壁设置有螺纹,所述第一部分411插入所述固定环14内,与所述固定环14螺纹连接。It can be understood that the outer wall of the first part 411 is provided with threads, and the first part 411 is inserted into the fixing ring 14 and is threadedly connected with the fixing ring 14 .
在本实施例中,所述第一部分411和所述第二部分412均为圆柱形结构,且所述第一部分411的长度大于所述第二部分412的长度。In this embodiment, both the first portion 411 and the second portion 412 are cylindrical structures, and the length of the first portion 411 is greater than the length of the second portion 412 .
在本实施例中,所述凹槽413的横截面为正六边形,且自所述第二部分412至所述第一部分411的方向,所述凹槽413的口径逐渐减小。In this embodiment, the cross section of the groove 413 is a regular hexagon, and the diameter of the groove 413 gradually decreases from the second portion 412 to the first portion 411 .
所述第一螺钉导针穿过所述通孔414。The first screw guide pin passes through the through hole 414 .
多个所述定位孔415用于与所述导向机构的连接杆连接。The plurality of positioning holes 415 are used to connect with the connecting rod of the guide mechanism.
在本实施例中,所述定位孔415为圆形孔,且所述定位孔415的数量为三个,三个所述定位孔415均匀间隔设置。In this embodiment, the positioning holes 415 are circular holes, and the number of the positioning holes 415 is three, and the three positioning holes 415 are evenly spaced.
优选地,所述第二空心螺栓、所述第三空心螺栓和所述第四空心螺栓的结构与所述第一空心螺栓41的结构相同。需要说明的是,该结构相同指的均由圆柱形的第一部分和第二部分、以及凹槽和通孔组成,但是第一部分和第二部分的直径、以及通孔的直径可以相同也可以不相同。Preferably, the structures of the second hollow bolt, the third hollow bolt and the fourth hollow bolt are the same as the structure of the first hollow bolt 41. It should be noted that the same structure means that they are all composed of a cylindrical first part and a second part, a groove and a through hole, but the diameters of the first part and the second part, and the diameter of the through hole may be the same or different.
在本实施例中,在所述第二空心螺栓、所述第三空心螺栓和所述第四空心螺栓与所述第一空心螺栓41完全相同时,可以理解为采用同一个模具制备时,也可以理解为相互之间可以直接替换,为了方便描述,将具有完全相同结构的四个空心螺栓命名为目标空心螺栓,由于待植入的螺钉导针不用同时植入,则所述跟骨骨折复位装置还可以只包括一个目标空心螺栓,这样,在植入螺钉导针时,将该目标空心螺栓重复使用即可。In this embodiment, when the second hollow bolt, the third hollow bolt and the fourth hollow bolt are exactly the same as the first hollow bolt 41, it can be understood that they are prepared using the same mold, and can also be understood as being directly replaceable with each other. For the convenience of description, the four hollow bolts with exactly the same structure are named target hollow bolts. Since the screw guide pins to be implanted do not need to be implanted at the same time, the calcaneal fracture reduction device can also include only one target hollow bolt. In this way, when the screw guide pin is implanted, the target hollow bolt can be reused.
即,在本实用新型中,所述跟骨骨折复位装置包括的第一空心螺栓、第二空心螺栓、第三空心螺栓和第四空心螺栓,结构完全相同,在任意两个尺寸完全相同的情况下,则可以替代使用,可以理解为第一空心螺栓和第二空心螺栓/第三空心螺栓/第四空心螺栓尺寸完全相同时,第二空心螺栓/第三空心螺栓/第四空心螺栓即指第一空心螺栓。That is, in the utility model, the calcaneal fracture reduction device includes a first hollow bolt, a second hollow bolt, a third hollow bolt and a fourth hollow bolt, which have exactly the same structure and can be used interchangeably when any two of them have exactly the same size. It can be understood that when the first hollow bolt and the second hollow bolt/the third hollow bolt/the fourth hollow bolt have exactly the same size, the second hollow bolt/the third hollow bolt/the fourth hollow bolt refers to the first hollow bolt.
在其他实施例中,所述第二空心螺栓、所述第三空心螺栓和所述第四空心螺栓的结构与所述第一空心螺栓41的结构也可以不相同,所述第二空心螺栓、所述第三空心螺栓4和所述第四空心螺栓只需要外壁具有螺纹,中部具有通孔,即可具有加压和安装螺钉导针的功能。In other embodiments, the structures of the second hollow bolt, the third hollow bolt and the fourth hollow bolt may also be different from the structure of the first hollow bolt 41. The second hollow bolt, the third hollow bolt 4 and the fourth hollow bolt only need to have threads on the outer wall and a through hole in the middle to have the functions of pressurizing and installing screw guide pins.
在本实施例中,所述导针筒42的作用有两个,第一个作用是和所述铰接螺栓30共同将所述第一钳柄主体部11与所述第二钳柄主体部21之间的夹角固定,即将铰接螺栓30插入第一螺栓孔和第二螺栓孔锁定后,再将导针筒42插入第一连接孔和第二连接孔内,则第一钳柄主体部和第二钳柄主体部之间的距离/角度不能再改变;第二个作用是用于为第五螺钉导针导向。In this embodiment, the guide needle tube 42 has two functions. The first function is to fix the angle between the first clamp handle body 11 and the second clamp handle body 21 together with the hinge bolt 30, that is, after the hinge bolt 30 is inserted into the first bolt hole and the second bolt hole and locked, the guide needle tube 42 is inserted into the first connecting hole and the second connecting hole, and the distance/angle between the first clamp handle body and the second clamp handle body cannot be changed; the second function is to guide the guide needle for the fifth screw.
优选地,所述导针筒42包括插入所述第一连接孔和第二连接孔的连接筒体421、及与所述连接筒体421连接的导向筒体422,所述导向筒体422的中心轴线与所述连接筒体421的中心轴线相互垂直。Preferably, the needle guide cylinder 42 comprises a connecting cylinder 421 inserted into the first connecting hole and the second connecting hole, and a guide cylinder 422 connected to the connecting cylinder 421 , and the central axis of the guide cylinder 422 is perpendicular to the central axis of the connecting cylinder 421 .
在本实施例中,所述连接筒体421为圆柱形结构。In this embodiment, the connecting cylinder 421 is a cylindrical structure.
在本实施例中,所述导向筒体422包括圆柱形状的筒体本体、及贯穿所述筒体本体的两个底面形成的导向孔,所述导向孔用于安装第五螺钉导针。In this embodiment, the guide cylinder 422 includes a cylindrical cylinder body and a guide hole formed through two bottom surfaces of the cylinder body, and the guide hole is used to install the fifth screw guide needle.
在本实施例中,所述筒体本体的中心轴线、所述导向孔的中心轴线与所述导向筒体422的中心轴线重合,即筒体本体、导向孔和导向筒体共轴设置。In this embodiment, the central axis of the cylinder body, the central axis of the guide hole and the central axis of the guide cylinder 422 coincide with each other, that is, the cylinder body, the guide hole and the guide cylinder are coaxially arranged.
所述第五螺钉导针穿过所述导向孔,所述第五螺钉导针的植入方向与所述导向筒体422的中心轴线所在方向相同。The fifth screw guide needle passes through the guide hole, and the implantation direction of the fifth screw guide needle is the same as the direction of the central axis of the guide cylinder 422.
在本实施例中,所述第一连接组件43与所述第一钳柄10可拆卸连接,且用于安装第二螺钉导针的第二空心螺栓安装于所述第一连接组件43上,这样,第一钳柄10作为基础支架,通过搭设第一连接组件43以安装第二空心螺栓,且在完成第二螺钉导针植入后,可以将第一连接组件43直接拆卸,具有操作方便的优点。In this embodiment, the first connecting component 43 is detachably connected to the first clamp handle 10, and the second hollow bolt for installing the second screw guide needle is installed on the first connecting component 43. In this way, the first clamp handle 10 serves as a basic bracket, and the second hollow bolt is installed by setting up the first connecting component 43. After the second screw guide needle is implanted, the first connecting component 43 can be directly disassembled, which has the advantage of convenient operation.
所述第一连接组件43包括具有第一卡槽的第一滑动部431、自所述第一滑动部431远离跟骨的一端垂直弯折延伸的第一连接部432、自所述第一连接部432垂直弯折延伸的第二连接部433、与所述第二连接部433连接的安装部434、贯穿所述安装部434形成的第一安装孔435、贯穿所述第二连接部433形成的第一固定孔436、及插入所述第一固定孔436内的第一螺钉,所述第一卡槽的形状与所述凸起132的形状相匹配,所述安装部434的长度小于所述第一钳柄主体部长度的一半。The first connecting component 43 includes a first sliding portion 431 having a first slot, a first connecting portion 432 extending vertically from an end of the first sliding portion 431 away from the calcaneus, a second connecting portion 433 extending vertically from the first connecting portion 432, a mounting portion 434 connected to the second connecting portion 433, a first mounting hole 435 formed through the mounting portion 434, a first fixing hole 436 formed through the second connecting portion 433, and a first screw inserted into the first fixing hole 436, the shape of the first slot matches the shape of the protrusion 132, and the length of the mounting portion 434 is less than half the length of the first clamp handle body.
在本实施例中,所述第一滑动部431为U形结构,其能够卡设于所述凸起132,并能够沿所述凸起132进行滑动,以改变其位置。当所述第一滑动部431的位置确定后,通过第一螺钉固定。In this embodiment, the first sliding portion 431 is a U-shaped structure, which can be clamped on the protrusion 132 and can slide along the protrusion 132 to change its position. When the position of the first sliding portion 431 is determined, it is fixed by a first screw.
在本实施例中,所述第一连接部432与所述滑槽部13的基体131朝向所述凸起132的上表面抵接。In this embodiment, the first connection portion 432 abuts against an upper surface of the base 131 of the slide groove portion 13 that faces the protrusion 132 .
在本实施例中,所述第二连接部433与所述滑槽部13的基体远离跟骨的侧面抵接,所述第一固定孔436沿所述第二连接部433的厚度方向贯穿其设置,所述第一螺钉穿过所述第一固定孔436抵接所述基体以将所述第一连接组件43与所述第一钳柄10的位置固定。In this embodiment, the second connecting portion 433 abuts against the side of the base of the slide groove portion 13 away from the calcaneus, the first fixing hole 436 penetrates the second connecting portion 433 along the thickness direction, and the first screw passes through the first fixing hole 436 and abuts against the base to fix the position of the first connecting component 43 and the first clamp handle 10.
在本实施例中,所述安装部434为块状结构,包括朝向跟骨的安装部下表面和与安装部下表面相对设置的安装部上表面,所述第一安装孔435贯穿所述安装部上表面和安装部下表面形成。In this embodiment, the mounting portion 434 is a block-shaped structure, including a mounting portion lower surface facing the calcaneus and a mounting portion upper surface arranged opposite to the mounting portion lower surface, and the first mounting hole 435 is formed through the mounting portion upper surface and the mounting portion lower surface.
所述第二空心螺栓安装于所述第一安装孔435内且与所述第一安装孔435螺纹连接,所述第二空心螺栓用于安装第二螺钉导针,所述第二螺钉导针的植入方向与所述第二空心螺栓的中心轴线所在方向相同。The second hollow bolt is installed in the first mounting hole 435 and is threadedly connected to the first mounting hole 435. The second hollow bolt is used to install a second screw guide pin. The implantation direction of the second screw guide pin is the same as the direction of the central axis of the second hollow bolt.
在本实施例中,所述第二连接组件45与所述第一钳柄10可拆卸连接,且用于安装第三螺钉导针的第三空心螺栓安装于所述第二连接组件45上,这样,第一钳柄10作为基础支架,通过搭设第二连接组件45以安装第三空心螺栓,且在完成第三螺钉导针植入后,可以将第二连接组件45直接拆卸,具有操作方便的优点。In this embodiment, the second connecting component 45 is detachably connected to the first clamp handle 10, and the third hollow bolt for installing the third screw guide pin is installed on the second connecting component 45. In this way, the first clamp handle 10 serves as a basic bracket, and the second connecting component 45 is set up to install the third hollow bolt. After the third screw guide pin is implanted, the second connecting component 45 can be directly disassembled, which has the advantage of convenient operation.
所述第二连接组件45包括具有第二卡槽的第二滑动部451、自所述第二滑动部451远离跟骨的一端垂直弯折延伸的第三连接部452、自所述第三连接部452垂直弯折延伸的第四连接部453、与所述第四连接部453固定连接的安装块454、开设于安装块454远离所述第二滑动部451一端的第二安装孔455、贯穿所述第四连接部453形成的第二固定孔456、插入所述第二固定孔456内的第二螺钉、及开设于所述安装块454靠近所述第二滑动部451一端的第三安装孔457,所述第二卡槽的形状与所述凸起132的形状相匹配,所述安装块454的长度大于所述第一钳柄主体部11的长度。The second connecting component 45 includes a second sliding portion 451 having a second slot, a third connecting portion 452 extending vertically from an end of the second sliding portion 451 away from the calcaneus, a fourth connecting portion 453 extending vertically from the third connecting portion 452, a mounting block 454 fixedly connected to the fourth connecting portion 453, a second mounting hole 455 opened at an end of the mounting block 454 away from the second sliding portion 451, a second fixing hole 456 formed through the fourth connecting portion 453, a second screw inserted into the second fixing hole 456, and a third mounting hole 457 opened at an end of the mounting block 454 close to the second sliding portion 451, the shape of the second slot matches the shape of the protrusion 132, and the length of the mounting block 454 is greater than the length of the first clamp handle body 11.
在本实施例中,所述第二滑动部451为U形结构,其能够卡设于所述凸起132,并能够沿所述凸起132进行滑动,以改变其位置。当所述第二滑动部451的位置确定后,通过第二螺钉固定。In this embodiment, the second sliding portion 451 is a U-shaped structure, which can be clamped on the protrusion 132 and can slide along the protrusion 132 to change its position. When the position of the second sliding portion 451 is determined, it is fixed by a second screw.
在本实施例中,所述第三连接部452与所述滑槽部13的基体131朝向所述凸起132的上表面抵接。In this embodiment, the third connection portion 452 abuts against an upper surface of the base 131 of the slide groove portion 13 facing the protrusion 132 .
在本实施例中,所述第四连接部453与所述滑槽部13的基体远离跟骨的侧面抵接,所述第二固定孔456沿所述第四连接部453的厚度方向贯穿其设置,所述第二螺钉穿过所述第二固定孔456抵接所述基体以将所述第二连接组件45与所述第一钳柄10的位置固定。In this embodiment, the fourth connecting portion 453 abuts against the side of the base of the slide groove portion 13 away from the calcaneus, the second fixing hole 456 is arranged through the fourth connecting portion 453 along the thickness direction, and the second screw passes through the second fixing hole 456 and abuts against the base to fix the position of the second connecting component 45 and the first clamp handle 10.
优选地,所述安装块454包括与所述第四连接部45连接的第一安装块、及设置于所述第一安装块末端且朝向第二钳柄方向倾斜设置的第二安装块。Preferably, the mounting block 454 includes a first mounting block connected to the fourth connecting portion 45 , and a second mounting block disposed at the end of the first mounting block and inclined toward the second clamp handle.
在本实施例中,所述第二安装块的中心轴线方向与所述第三螺钉导针的植入方向相同。In this embodiment, the central axis direction of the second mounting block is the same as the implantation direction of the third screw guide pin.
所述第二安装孔455开设于所述第二安装块,沿所述第二安装块的厚度方向贯穿其设置。The second mounting hole 455 is formed in the second mounting block and penetrates the second mounting block along a thickness direction thereof.
所述第三空心螺栓安装于所述第二安装孔455内且与所述第二安装孔455螺纹连接,所述第三空心螺栓用于安装第三螺钉导针,所述第三螺钉导针的植入方向与所述第三空心螺栓的中心轴线所在方向相同。The third hollow bolt is installed in the second mounting hole 455 and is threadedly connected to the second mounting hole 455. The third hollow bolt is used to install a third screw guide pin. The implantation direction of the third screw guide pin is the same as the direction of the central axis of the third hollow bolt.
在本实施例中,所述第三安装孔457开设于所述第一安装块远离所述第二安装块的一端。In this embodiment, the third mounting hole 457 is formed at an end of the first mounting block away from the second mounting block.
在本实施例中,所述第三安装孔457用于安装第四空心螺栓,可以将待植入的镙钉导针穿过所述第四空心螺栓,并通过第四空心螺栓进行导向,所述第四空心螺栓的中心轴线重直于皮肤表面。In this embodiment, the third mounting hole 457 is used to install the fourth hollow bolt. The screw guide needle to be implanted can be passed through the fourth hollow bolt and guided by the fourth hollow bolt. The central axis of the fourth hollow bolt is perpendicular to the skin surface.
需要说明的,所述第一连接组件43和第二连接组件45均安装于滑槽部13,两者不会同时安装,待植入第二螺钉导针时,将第一连接组件43安装于所述滑槽部13,并在植入完成后,将第一连接组件43拆除;待植入第三镙钉导针时,将第二连接组件45安装于所述滑槽部13,并在植入完成后,将第二连接组件45拆除。It should be noted that the first connecting component 43 and the second connecting component 45 are both installed in the slide groove portion 13, and the two will not be installed at the same time. When the second screw guide needle is to be implanted, the first connecting component 43 is installed in the slide groove portion 13, and after the implantation is completed, the first connecting component 43 is removed; when the third screw guide needle is to be implanted, the second connecting component 45 is installed in the slide groove portion 13, and after the implantation is completed, the second connecting component 45 is removed.
在本实用新型中,第一连接组件43和第二连接组件45均以可拆卸的方式安装于滑槽部13,使得所述跟骨骨折复位装置能够多角度植入螺钉导针,且结构简单。In the present invention, the first connecting component 43 and the second connecting component 45 are both detachably mounted on the slide groove portion 13, so that the calcaneal fracture reduction device can implant screw guide pins at multiple angles and has a simple structure.
在本实用新型中,所述连接杆47可拆卸安装于所述第一空心螺栓41,所述连接杆47用于为第四螺钉导针导向。In the present invention, the connecting rod 47 is detachably mounted on the first hollow bolt 41 , and the connecting rod 47 is used to guide the fourth screw guide pin.
所述连接杆47包括具有多个定位柱的连接端471、与所述连接端471间隔设置的导向板472、贯穿所述导向板472形成的导针孔473、及两端分别与所述连接端471和所述导向板472连接的杆体474,所述定位柱插入所述第一空心螺栓的定位孔内。The connecting rod 47 includes a connecting end 471 having a plurality of positioning columns, a guide plate 472 spaced apart from the connecting end 471, a guide pin hole 473 formed through the guide plate 472, and a rod body 474 whose two ends are respectively connected to the connecting end 471 and the guide plate 472, and the positioning columns are inserted into the positioning holes of the first hollow bolts.
在本实施例中,所述连接端471包括与所述杆体474连接的连接主体、自所述连接主体延伸的多个定位柱,多个定位柱插入所述定位孔内,使所述连接杆47与与所述第一空心螺栓形成可拆卸连接,同时,也将与所述连接端471连接的其他部分位置固定。In this embodiment, the connecting end 471 includes a connecting body connected to the rod body 474 and a plurality of positioning columns extending from the connecting body. The plurality of positioning columns are inserted into the positioning holes, so that the connecting rod 47 forms a detachable connection with the first hollow bolt, and at the same time, the position of other parts connected to the connecting end 471 is fixed.
在本实施例中,定位柱的数量为三个,与定位孔的数量相同。In this embodiment, the number of the positioning posts is three, which is the same as the number of the positioning holes.
在本实施例中,所述导向板472的形状不受限制,可以为具有一定厚度的矩形板,也可以为具有一定厚度的圆形板,也可以为不规则形状,只要其能够开设导针孔473即可。In this embodiment, the shape of the guide plate 472 is not limited, and can be a rectangular plate with a certain thickness, a circular plate with a certain thickness, or an irregular shape, as long as it can open the guide pin hole 473.
在本实施例中,所述导针孔473沿所述导向板472的厚度方向贯穿所述导向板472,所述导针孔473为圆形孔,所述导针孔473的中心轴线与所述第四螺钉导针的植入方向位于同一直线上。In this embodiment, the guide pin hole 473 penetrates the guide plate 472 along the thickness direction of the guide plate 472, the guide pin hole 473 is a circular hole, and the central axis of the guide pin hole 473 is located on the same straight line as the implantation direction of the fourth screw guide pin.
在本实施例中,所述杆体474的作用是用于连接所述连接柱471和所述导向板472,其形状不作限定,可以为L形,可以为W形,也可以为一条直线杆体。In this embodiment, the rod body 474 is used to connect the connecting column 471 and the guide plate 472. The shape of the rod body 474 is not limited and can be L-shaped, W-shaped, or a straight rod body.
在本实施例中,所述杆体474为L形,且横向设置的杆体和竖向设置的杆体为弧形过渡连接。In this embodiment, the rod body 474 is L-shaped, and the rod body arranged horizontally and the rod body arranged vertically are connected by an arc-shaped transition.
待植入第四螺钉导针时,将所述连接杆47的定位柱插入所述第一空心螺栓41的定位孔内,这样,所述连接杆47与所述第一钳柄10形成连接关系,且位置固定,第四螺钉导针穿过所述导针孔473以固定植入方向。When the fourth screw guide needle is to be implanted, the positioning column of the connecting rod 47 is inserted into the positioning hole of the first hollow bolt 41, so that the connecting rod 47 forms a connection relationship with the first clamp handle 10 and the position is fixed, and the fourth screw guide needle passes through the guide needle hole 473 to fix the implantation direction.
在本实用新型中,提供了五个螺钉导针植入方向,且所述第一连接组件43、第二连接组件45和连接杆47均与第一钳柄10可拆卸连接,这样,植入螺钉导针时,跟骨骨折复位装置的结构比较简单,没有多余的组件影响,操作比较方便。In the present invention, five screw guide pin implantation directions are provided, and the first connecting component 43, the second connecting component 45 and the connecting rod 47 are all detachably connected to the first clamp handle 10. In this way, when the screw guide pin is implanted, the structure of the calcaneal fracture reduction device is relatively simple, without the influence of redundant components, and the operation is relatively convenient.
以上内容是结合具体的优选实施方式对本实用新型作的进一步详细说明,不能认定本实用新型的具体实施只局限于这些说明。对于本实用新型所属技术领域的普通技术人员来说,在不脱离本实用新型构思的前提下,还可以做出若干简单推演和替换,都应当视为属于本实用新型的保护范围。The above contents are further detailed descriptions of the present invention in combination with specific preferred implementations, and the specific implementation of the present invention cannot be considered to be limited to these descriptions. For ordinary technicians in the technical field to which the present invention belongs, several simple deductions and substitutions can be made without departing from the concept of the present invention, which should be regarded as falling within the protection scope of the present invention.
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