CN2334363Y

CN2334363Y - Adjustable multi-function upper extremity extension frame

Info

Publication number: CN2334363Y
Application number: CN 97241309
Authority: CN
Inventors: 罗怀灿; 张喜善; 杜靖远; 夏南平
Original assignee: Tongji Medical College of Huazhong University of Science and Technology
Current assignee: Tongji Medical College of Huazhong University of Science and Technology
Priority date: 1997-09-19
Filing date: 1997-09-19
Publication date: 1999-08-25
Anticipated expiration: 2007-09-19

Abstract

The utility model relates to an adjustable multifunctional upper limb abduction bracket which comprises a triangular frame which is formed by mutually hinging a bearing board (1), an upper arm supporting board (2) and a support board (3). The utility model is characterized in that the utility model is also provided with an extension segment (4), a rotary board (5) and a forearm supporting board (6), wherein, the end of the forearm supporting board (6) is connected with the end of the rotary board (5) in a hinging mode. An angle regulating device (10) and a lengthening board (13) are arranged between the forearm supporting board and the rotary board. The utility model is useful for treating various types of injuries to upper limbs. The utility model has advantages of simple structure, convenient use, stable and reliable treatment effect, portability, comfort, no feel of load and easy acceptance by patients, etc.; the utility model which can regulate the movable angles of shoulder joints and elbow joints can carry out functional exercises and improve the stress of fracture ends.

Description

A kind of adjustable multifunctional upper limb abduction frame

This utility model relates to medical apparatus and instruments, particularly the upper limb external fixer of Orthopeadic Surgery special use.

Upper limb damage is clinical to be seen more, different parts, dissimilar damage, and Therapeutic Method is also different.Acromioclavicular joint complete dislocation or various with the outer 1/3 section treatment of fractures method of clavicle, but therapeutic effect is uncertain.The domestic operation method treatment of adopting, surgical injury is bigger, has increased patient's misery and financial burden more.Macaus Land and Dinesh recommend to adopt a simple adhesive tape to pressurize between elbow joint and clavicle and anti-pressurization expectant treatment method, but therefore method easily causes pressure ulcer and its application is restricted.Dislocation of shoulder merges the patient of greater tubercle fracture, particularly the sclerite displacement is bigger, adopt shoulder herringbone plaster fixation after present be expert at joint, the reduction of the fracture more, not only complex operation, Gypsum Fibrosum heaviness, difficult adjusting, and early stage in damage if swelling is not static as yet, then can cause complication such as pressure ulcer.For the more serious upper limb open injury that merges fracture or nerve injury, Gypsum Fibrosum, the fixing processing that all is unfavorable for wound surface of clamping plate, operative treatment has further increased the chance of damage again, the part blood that periosteum stripping loses the fracture end of ischemia already to rely on periosteum to supply with in the art supplies, it is later particularly to go to a doctor, be not suitable for the patient of debridement internal fixation, or some serious shoulder, the elbow joint damage, relatively more difficult with general processing, though existing common abduction frame can use this class patient, but its fixedly upper limb in functional position, can not be according to the position of fracture, classification of fracture, the situation that whether merges nerve injury and soft tissue injury is adjusted the posture of upper limb, can not take in the treatment of fractures later stage, the functional exercise of elbow joint.

The purpose of this utility model is to provide a kind of adjustable multifunctional upper limb abduction frame that is used for the treatment of the upper limb damage, make its have simple in structure, easy to use, reliable and stable, curative effect is certain, and has an adjustability, can regulate the activity point of view of shoulder, elbow joint at any time, can carry out joint angles adjustment, fracture end para-position and functional exercise at treatment stage, and can increase the pressure of fracture end with characteristics such as promotion union of fracture, to remedy the deficiency of existing Therapeutic Method by shortening pallet length.

Specific embodiments of the present utility model is: this adjustable multifunctional upper limb abduction frame, comprise by length-adjustable force bearing plate, the triangular framing that last arm blaster and gripper shoe are hinged and form, it is characterized in that: arm blaster extension on having outside last arm blaster and the gripper shoe hinged place, this extension is connected with arm-supporting splint by swivel plate, swivel plate links to each other with axis with the extension, the two can axis be that the axle center rotates relatively, on extension and the swivel plate with the axis be the center of circle and etc. be useful on the fixing hole and the fixed screw of securing elongated section and swivel plate relative position on the circumference of radius, arm-supporting splint is held in hinged way with swivel plate and is linked to each other, the also angle regulator of angle promptly and between the last arm blaster of scalable arm-supporting splint and swivel plate is housed between the two, and its angle of regulation range is 60 ° to 180 °.

Below in conjunction with specific embodiment this utility model is further described.

Fig. 1 is the overall structure sketch map of this utility model embodiment;

Fig. 2 is extension and swivel plate and goes up the upward view of arm blaster portion;

Fig. 3 is extension and swivel plate and goes up the front view of arm blaster portion;

Fig. 4 extension and swivel plate reach goes up the figure of arm blaster portion vertical view;

Fig. 5 is the overall structure sketch map of another embodiment of this utility model.

Each component names is among the figure:

The 1-force bearing plate

The last arm blaster of 2-

The 3-gripper shoe

The last arm blaster of 4-extension

The 5-swivel plate

The 6-arm-supporting splint

The 7-axis

The 8-fixing hole

The 9-fixed screw

The 10-angle regulator

The 11-chute

The 12-hole

13-increases plate

14-frenulum ear frame

This utility model adopts aluminum or aluminum alloy class lightweight material to make force bearing plate 1, goes up arm blaster 2, gripper shoe 3, extension 4, swivel plate 5 and arm-supporting splint 6, all adopt two flute profile sheet nested structure forms, on a flute profile sheet, have chute 11, on another flute profile sheet that combines with it, have hole 12, hole 12 is corresponding with chute 11, links with bolt and nut between them.Force bearing plate 1, on the dorsal surface of the one side that contacts with body of arm blaster 2 and arm-supporting splint 6, be useful on frenulum this support be fixed in the frenulum ear frame 14 that frenulum moves that prevents on the body.

Difference embodiment illustrated in fig. 5 and the foregoing description is to constitute has a flute profile lamellar that is used to increase gripper shoe 3 length to increase plate 13 between two flute profile sheets of gripper shoe 3, the both sides of this growth plate 13 have with original two flute profile sheets that constitute gripper shoe 3 on corresponding hole of chute and hole and chute, and link with bolt and nut with it.

The adjustable multifunctional upper limb abduction frame that this utility model provides can be used for the treatment of polytype upper limb damage, support is fixed on the health by the frenulum earrings on each section of support with frenulum during use, force bearing plate 1 is close to body sidepiece on the oxter, last arm blaster 2 places the upper arm below to hold upper arm, arm-supporting splint 6 places the forearm below to hold forearm, and support plate 3 is used to regulate the angle of force bearing plate 1 and last arm blaster 2 and play a supportive role.Swivel plate 5 can the flexible elbow joinies bend and stretch angle.Angle regulator 10 is the rotation in adjustable shoulder joint both, can adjust the humerus of displacement fracture again, makes fracture end far away to nearly fracture end para-position.Support and physical contact part can fill up with cotton pad, sponge or soft fabric.When the treatment acromioclavicular joint dislocation, to increase plate 13 is connected with gripper shoe 3 and regulates its length, make to suffer from takeing on and be in abduction 120 degree to 130 degree positions, the two vertical axis angle of last arm blaster 2 and swivel plate 5 is 0 degree, angle is fixed in 70 degree positions within arm-supporting splint and the swivel plate, keep and fixed for 4 to 6 weeks, reduce shoulder joint abduction angle then gradually, can remove external spread frame after 2 weeks; For dislocation of shoulder companion fracture of greater tuberosity of the humerus patient, after the success that resets, use this support fixedly shoulder joint in abduction 90 degree position, arm-supporting splint 6 transfers to 90 degree with swivel plate 5 angles, make the trouble shoulder joint be in the outward turning state, rotation swivel plate 5, make between arm-supporting splint 6 and the last arm blaster 2 angle at 60 degree to 90 degree scopes, thereby make elbow joint remain on bent 60 degree of bending to 90 degree scopes, fix get final product in 4 to 6 weeks, this method can be eliminated and frequently in traditional therapy continue be shifted because of muscle contraction causes sclerite.The treatment acromioclavicular joint dislocation with and merge outer 1/3 section when fracturing of clavicle, increase plate 13 and regulate the length that increases plate 13 and gripper shoe 3 by using, increase the interior angle between force bearing plate 1 and the last arm blaster 2, make shoulder joint be in super abduction position, to realize that taking advantage of a situation of acromioclavicular joint resets and fix, not only simple to operate, also solved the problem of pressure ulcer.For simple shoulder joint restitope patient, behind manual reduction, available this fixing trouble is takeed in abduction 20 and is spent to 30 degree positions, can effectively prevent part or all of shoulder joint abduction afunction.This utility model is used for serious shoulder, toggle damage and merges fracture or/and the treatment of the severe open damage of nerve injury, having wound surface exposes, is convenient to handle, is beneficial to reducing swelling and alleviating pain and is beneficial to advantage such as control inflammation, also can correct significant displacement fracture, prevent further nerve injury and the contingent vasospasm that in therapeutic process, takes place and break by adjusting shoulder, the angle of elbow joint and the length of each plate.In addition, this utility model also can be used for treating the serious upper limb closed injury of swelling, brachial plexus tension injury, fracture of scapula, and can be used as the supplementary means of illness such as suppurative arthritis, shoulder elbow joint tuberculosis, also can be used as the external fixation device of upper limb postoperative.The utlity model has simple in structure, easy to use, therapeutic effect is reliable and stable, light comfortable, do not have to bear a heavy burden and feel, easily to accept, can regulate at any time the activity point of view of shoulder, elbow joint and can carry out functional exercise each stage during treating and can pass through the advantages such as compressive stress of shortening pallet length increase fracture end for the patient.

Claims

Claim 1: a kind of adjustable multifunctional upper limb abduction frame, comprise by length-adjustable force bearing plate (1), the triangular framing that last arm blaster (2) and gripper shoe (3) are hinged and form, it is characterized in that: there is last arm blaster extension (4) in the outside in last arm blaster (2) and gripper shoe (3) hinged place, this extension (4) is connected with arm-supporting splint (6) by swivel plate (5), swivel plate (5) links to each other with axis (7) with extension (4), the two can rotate for the axle center by axis (7) relatively, on extension (4) and the swivel plate (5) with axis (7) be the center of circle and etc. be useful on the fixing hole (8) and the fixed screw (9) of securing elongated section (4) and swivel plate (5) relative position on the circumference of radius, arm-supporting splint (6) is held in hinged way with swivel plate (5) and is linked to each other, the also angle regulator (10) of angle promptly and between the last arm blaster (2) of scalable arm-supporting splint (6) and swivel plate (5) is housed between the two, and its angular adjustment model is 60 ° to 180 ° admittedly.
Claim 2: adjustable multifunctional upper limb abduction frame according to claim 1, it is characterized in that said force bearing plate (1), last arm blaster (2), gripper shoe (3), extension (4), swivel plate (5) and arm-supporting splint (6) all adopt two flute profile sheet nested structure forms, on a flute profile sheet, have chute (11), on another flute profile sheet that combines with it, have hole (12), hole (12) is corresponding with chute (11), links with bolt and nut between them.
Claim 3: adjustable multifunctional upper limb abduction frame according to claim 1 and 2, it is characterized in that: a flute profile lamellar growth plate (13) that is used to increase gripper shoe (3) length is arranged between two flute profile sheets of said formation gripper shoe (3), its both sides have with original two flute profile sheets that constitute gripper shoe (3) on corresponding hole of chute and hole and chute, and link with bolt and nut with it.
Claim 4: adjustable multifunctional upper limb abduction frame according to claim 1 and 2 is characterized in that at force bearing plate (1), goes up to have on the dorsal surface simultaneously that contacts with health of arm blaster (2) and arm-supporting splint (6) and utilize frenulum that this support is fixed in the frenulum ear frame (14) that prevents the frenulum displacement on the health.
Claim 5: adjustable multifunctional upper limb abduction frame according to claim 3 is characterized in that at force bearing plate (1), goes up to have on the dorsal surface simultaneously that contacts with health of arm blaster (2) and arm-supporting splint (6) and utilize frenulum that this support is fixed in the frenulum ear frame (14) that prevents the frenulum displacement on the health.