CN2776324Y - Three dimensional location scale plate for internal fixation of fomur neck bone fracture through skin closure - Google Patents

Three dimensional location scale plate for internal fixation of fomur neck bone fracture through skin closure Download PDF

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Publication number
CN2776324Y
CN2776324Y CNU2005200253590U CN200520025359U CN2776324Y CN 2776324 Y CN2776324 Y CN 2776324Y CN U2005200253590 U CNU2005200253590 U CN U2005200253590U CN 200520025359 U CN200520025359 U CN 200520025359U CN 2776324 Y CN2776324 Y CN 2776324Y
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CN
China
Prior art keywords
scale
scale plate
internal fixation
swing arm
elbow
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
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CNU2005200253590U
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Chinese (zh)
Inventor
齐俊宏
王林森
张俊琪
刘洪英
马宝通
张亚非
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TIANJIN HOSPITAL TIANJIN CITY
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TIANJIN HOSPITAL TIANJIN CITY
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Priority to CNU2005200253590U priority Critical patent/CN2776324Y/en
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Publication of CN2776324Y publication Critical patent/CN2776324Y/en
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Expired - Fee Related legal-status Critical Current

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Abstract

The utility model discloses a three dimensional location scale plate for the inner fixation of femur neck fracture through skin closure and belongs to a device for treating fracture fixation or a measuring device for measuring the dimension of parts of a human body with diagnostic purpose. The three dimensional location scale plate comprises a bottom seat, an upright rod and a straight rim scale plate which has one end provided with a semicircular angle measuring ruler, wherein the other end of a telescopic rod on the upright rod is fixedly connected with a horizontal arm. The other end of the horizontal arm is successively, respectively and axially connected with a swinging arm and a swinging arm elbow through an upright shaft rod, and the other end of the swinging arm elbow is hinged with an elbow connected component capable of rotating in 0-90 DEG. The elbow connected component is connected with a cross coordinate type supporting rack, and a circular center of the semicircular angle measuring ruler is respectively screwed on a sliding groove of the coordinate type supporting rack. The intercross straight rim scale plate with a scribed line hole is formed. The three dimensional location scale plate can be used on the positive position or the side position and provides the scientific reference for the operative treatment. The three dimensional location scale plate reduces the blindness of inserting a needle, raises the accuracy, shortens the time of the operation and lightens the pain of a patient and the X-ray irradiation dose of an operator. The three dimensional location scale plate also causes a C-shaped arm television X-ray device to be effectively protected.

Description

The closed internal fixation three-dimensional localization of fracture of femoral neck percutaneous scale
Technical field
This utility model relates to the device of handling fracture fixation, or is used for the measuring device that diagnostic purpose is measured the human body parts size, specifically is the closed internal fixation three-dimensional localization of a kind of fracture of femoral neck percutaneous scale.
Background technology
Fracture of femoral neck is the orthopaedic trauma commonly encountered diseases, clinical more options internal fixation treatment, closed in the past internal fixation is just or side position single direction perspective location inserting needle with patient's experience, as do not meet anatomy or internal fixation requirement, then need readjust entry point, direction and the degree of depth and repeatedly repeat inserting needle, cause patient's sclerotin to form porous tunnel, locking pin is easily loosening, and is unfavorable to internal fixation.Therefore, inserting in the neck of femur through body surface sign guiding Internal fixation pin is the clinical problem that needs solution of orthopaedics.
Chinese patent 2451065 discloses a kind of " Femoral Neck Needle Penetration Navigator ", it comprises base plate, column, handle, one end of column is fixed on the base plate, the other end is connected with handle, proprietary stationary positioned needle track between base plate and column, characteristics are to have the navigation needle track on the base plate to stretch out the hole, and universal adjustment mechanism is equipped with on the navigation needle track in this hole even the navigation needle track is arranged.The directed location of threading a needle and the problem of object of reference and three-dimensional localization have been solved with this.
Chinese patent 1032289 discloses a kind of " level-meter type of guide pin locator for neck of femur ", form with vertical mark two parts by the angle guide instrument, it can clearly determine the ideal space orientation of guide pin by the skiagram of X first after resetting, and can insert guide pin by this orientation exactly.
Chinese patent 2079487 discloses a kind of " neck of femur guide pin chi ", and the one end is an acute angle, and all there is the length scale on acute angle two contained sides (claiming hypotenuse and long limit) two sides, and the every face in long limit is carved with along bar and marks two kinds.
Chinese patent 2187048 discloses a kind of " fracture of femoral neck internal fixation multifunctional guide device ", by link to each other with the bent limit leading truck of one of a straight flange, pilot hole is arranged in Qu Bianti, it is 50-55 ° that the extension line of the centrage of pilot hole and straight flange body intersects angle α, before fracture internal fixation inserting needle, along guide pipe endoporus inserting needle, because the internal diameter of guide pipe is bigger than corresponding locking pin, so certain adjusting leeway is arranged, this apparatus left and right sides is general, adopts adapter sleeve and vertical bar connector can make the closed internal fixation of percutaneous and uses.
Chinese patent 2075069 discloses a kind of " frame-type neck of femur guide pin finder ", employing is respectively two trianglees of 30 °, 60 °, 90 ° and encloses frame, two trianglees enclose between the sharp corner of frame cross bar of seam respectively, be with a sideslip cover on the cross bar, the hinged articulated body in side at the sideslip cover, a hole is arranged on the articulated body, be inserted with the guide pin pipe in the hole, above-mentioned each upright sliding sleeve, sideslip cover, articulated body, ball pivot body side surface are equipped with jackscrew respectively, are respectively equipped with the angle groove in cross bar and three vertical rods.
Chinese patent 2354096 discloses a kind of " neck of femur and intertrochanteric fracture drift bolt localizer ", and it is to adopt on body by the fixing upper sleeve body of trip bolt, and drill bushing is housed on upper sleeve body, and two drill bushings are housed on body.On body and upper sleeve body, respectively be equipped with one with the vertical column of body, the body surface locating rod is housed on column, on upper sleeve body by universal spheroid with can adjust a bulk phase and be connected, can adjust the tightening of adjustment nail is arranged on the body, can adjust on the body distance between 2 parallel pins, blindness that this device has fundamentally solved operation easier in the art of drift bolt treatment neck of femur and intertrochanteric fracture and threaded a needle has realized that the optimal spatial that three pieces nails echo biomechanics distributes.
Summary of the invention
This utility model is exactly in order to deal with problems, and the closed internal fixation three-dimensional localization of a kind of fracture of femoral neck percutaneous scale is provided.
This utility model designs by following technical scheme.
The closed internal fixation three-dimensional localization of a kind of fracture of femoral neck percutaneous scale, comprise the straight flange scale that the vertical rod that is vertically set on the base and an end are semicircle bevel protractor, it is characterized in that vertical rod top mouthful the affixed horizontal arm of the expansion link other end through the clamping screw connection, the horizontal arm other end is successively respectively through vertical shaft bar be coupling swing arm and swing arm elbow, but the knuckle joint spare of the hinged 0-90 of the swing arm elbow other end ° rotation, the knuckle joint spare other end is connected with " ten " font co-ordinate-type support, the center of circle of 2 semicircle bevel protractors is screwed onto on the chute of co-ordinate-type support by bevel protractor axle bolt respectively, has formed the straight flange scale that has the hole of ruling and has intersected mutually.
Like this its scale of She Ji this utility model, bevel protractor within the specific limits can sagittal, crown and transverse section along chute move, rotate, fixing.
This utility model provides scientific basis for operative treatment, reduces the blindness of inserting needle, improves accuracy, has shortened operation time, alleviates patient's misery and patient's roentgen radiation x dosage, also makes C type arm TV Roentgen apparatus obtain effective protection.
Determined body surface indicates, and matches with neck of femur anatomy angle index, indicates the guiding Internal fixation pin through body surface and inserts the accuracy rate height, has very high clinical value.
Description of drawings
Fig. 1 is a scale plumbness perspective view in this utility model;
Fig. 2 is a scale level perspective view in this utility model;
Fig. 3 is swing arm elbow and a knuckle joint spare normotopia decomposition texture schematic perspective view in this utility model;
Fig. 4 is swing arm elbow and a knuckle joint spare side position decomposition texture schematic perspective view in this utility model.
Among the figure: 1. co-ordinate-type support 2. chutes
3. swing arm elbow 4. swing arms
5.5a. vertical shaft bar 6. expansion links
7.7a.7b.7c.7d. clamping screw 8. bases
9. hole 10.10a scale is propped up in conversion
11. line hole 12.12a. bevel protractor
13.13a. bevel protractor axle bolt 14. knuckle joint spares
15. bolt 16. horizontal arms
17. vertical rod 18.18a. protuberance
19.19a. cancave cambered surface 20. positioning shaft holes
21. radiopaque tinsel
Arrow is represented rotation or flexible direction.
The specific embodiment
Below in conjunction with drawings and Examples this utility model is described in detail.
The closed internal fixation three-dimensional localization of a kind of fracture of femoral neck percutaneous scale comprises the straight flange scale 10.10a that the vertical rod that is vertically set on the base 8 and an end are semicircle bevel protractor; And at the vertical rod 17 tops mouthful affixed horizontal arm 16 of expansion link 6 other ends through clamping screw 7 connections, horizontal arm 16 other ends are successively respectively through vertical shaft bar 5,5a be coupling swing arm 4 and swing arm elbow 3, but the knuckle joint spare 14 of the hinged 0-90 of swing arm elbow 3 other ends ° rotation, knuckle joint spare 14 other ends are connected with " ten " font co-ordinate-type support 1, the center of circle of 2 semicircle bevel protractor 12.12a. is screwed onto on the chute 2 of co-ordinate-type support 1 by bevel protractor axle bolt 13.13a. respectively, has formed the straight flange scale 10.10a that has the hole 11 of ruling and has intersected mutually.
The closed internal fixation three-dimensional localization of described percutaneous scale, its swing arm elbow 3 other ends are semicircle protuberances 18 of establishing cancave cambered surface 19 and band positioning shaft hole 20; The semicircle protuberance 18a of clamping screw 7b and the cancave cambered surface 19a that rotates for the protuberance of swing arm elbow 3 have been installed in the corresponding side that is provided with hinged knuckle joint spare 14 1 ends of swing arm elbow 3.
The closed internal fixation three-dimensional localization of described percutaneous scale, its co-ordinate-type support 1 are 2 and have chute 2 at centrage that the one end is provided with the straight plate in a conversion hole 9, and vertically affixed in conversion 9 inboard, hole, or integrally formed.A conversion hole is used for adjusting, the fixed coordinates cribbing towards.
The closed internal fixation three-dimensional localization of described percutaneous scale, its line hole 11 evenly is provided with scale mark on straight flange scale 10.10a.
The closed internal fixation three-dimensional localization of described percutaneous scale, the scale mark on its straight flange scale 10, the 10a is the radiopaque tinsel of inlaying thereon 21.
This utility model can be respectively the normotopia use or use the side position, art is preceding according to neck of femur collodiaphyseal angle, top rake anatomy angle, regulate swing arm elbow and knuckle joint spare, carry out conversion location, positive side position, and according to throw according to after picture data, determine body surface line of positive side position and entry point.Make two lines a bit guide Internal fixation pin to rule on same vertical plane by entry point and the determined body surface of normotopia; With the determined body surface in the side position inserting needle at grade of ruling, indicate the target that the guiding Internal fixation pin is inserted thereby reach through body surface.
Should illustrate that this kind location technology should be carried out under the state preferably in trouble limb traction, fracture two ends para-position, if para-position is not good, directly influences the neck of femur anatomical angulation, then can not embody the effect of three-dimensional localization scale.
Co-ordinate-type support 1 of the present utility model adopts aluminum alloy material, and swing arm elbow 3 and knuckle joint spare 14 range of activity are the 0-90 degree, and it is fixing to be used for the conversion of positive side position.
The swing arm rotational angle is the 0-180 degree, and it is fixing to carry out the multi-angle rotation.
Inlay the radiopaque tinsel 21 of long 30cm along the scale centrage, every interval 1cm vertically inlays short metal wire, and every interval 10cm vertically inlays long slightly tinsel, and this kind is spaced according to throwing according to the back rod reading can determine that body surface indicates.
Establish 6 line holes on the scale altogether, every interval 5cm establishes 1 hole, and as the preceding anchor point of body surface line, routine remakes line after determining at 2 with this.
Bevel protractor adopts the lucite material, and rotational angle 0-90 degree is used to regulate the scale angle.
This utility model coupling mobile x-ray unit and PHILIPS BV25 type C type arm TV Roentgen apparatus, application choice hollow nail, screw needle are finished fracture of femoral neck in the closed internal fixation experimental stage of fracture of femoral neck percutaneous and are indicated guiding positioning operation 22 examples through body surface, woman's 14 examples, man's 8 examples, in age 56-72 year, once guiding success rate is more than 95%.All case guides success rate such as subordinate list successively:
Subordinate list neck of femur Internal fixation pin is through body surface guiding positioning result statistics
The example number
Once guide successfully 21 95
The secondary boot success 1 5

Claims (5)

1. the closed internal fixation three-dimensional localization of fracture of femoral neck percutaneous scale, comprise the straight flange scale (10) that the vertical rod that is vertically set on the base (8) and an end are semicircle bevel protractor, (10a), it is characterized in that vertical rod (17) top mouthful the affixed horizontal arm of expansion link (6) other end (16) through clamping screw (7) connection, horizontal arm (16) other end is successively respectively through vertical shaft bar (5), (5a) be coupling swing arm (4) and swing arm elbow (3), swing arm elbow (3) but the knuckle joint spare (14) of the hinged 0-90 of the other end ° rotation, knuckle joint spare (14) other end is connected with " ten " font co-ordinate-type support (1), 2 semicircle bevel protractors (12), (12a). the center of circle is respectively by bevel protractor axle bolt (13), (13a) be screwed onto on the chute (2) of co-ordinate-type support (1), formed the straight flange scale (10) that has line hole (11), (10a) intersect mutually.
2. the closed internal fixation three-dimensional localization of percutaneous according to claim 1 scale is characterized in that swing arm elbow (3) other end is a semicircle protuberance (18) of establishing cancave cambered surface (19) and band positioning shaft hole (20); The semicircle protuberance (18a) of clamping screw (7b) and the cancave cambered surface (19a) that rotates for the protuberance of swing arm elbow (3) have been installed in the corresponding side that is provided with hinged knuckle joint spare (14) one ends of swing arm elbow (3).
3. the closed internal fixation three-dimensional localization of percutaneous according to claim 1 scale, it is characterized in that co-ordinate-type support (1) is 2 and has chute (2) at centrage, the one end is provided with the straight plate in a conversion hole (9), and vertically affixed in a conversion inboard, hole (9), or integrally formed.
4. the closed internal fixation three-dimensional localization of percutaneous according to claim 1 scale, the hole (11) that it is characterized in that ruling is gone up and evenly is provided with scale mark at straight flange scale (10), (10a).
5. according to claim 1 or the closed internal fixation three-dimensional localization of 4 described percutaneous scale, it is characterized in that the scale mark on straight flange scale (10), (10a) is the radiopaque tinsel of inlaying thereon 21.
CNU2005200253590U 2005-03-07 2005-03-07 Three dimensional location scale plate for internal fixation of fomur neck bone fracture through skin closure Expired - Fee Related CN2776324Y (en)

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Application Number Priority Date Filing Date Title
CNU2005200253590U CN2776324Y (en) 2005-03-07 2005-03-07 Three dimensional location scale plate for internal fixation of fomur neck bone fracture through skin closure

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNU2005200253590U CN2776324Y (en) 2005-03-07 2005-03-07 Three dimensional location scale plate for internal fixation of fomur neck bone fracture through skin closure

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102988056A (en) * 2012-11-28 2013-03-27 丽水市人民医院 Measurer for measuring femoral offset in orthopedic operation
CN104771213A (en) * 2015-04-02 2015-07-15 南方医科大学南方医院 Angle plate and corollary tool for osteotomy for dysplasia of the hip
CN105266868A (en) * 2015-10-09 2016-01-27 郝明仲 Limb bone cutting navigation device capable of realizing accurate locating
CN105726135A (en) * 2016-01-28 2016-07-06 佛山市乙太医疗用品有限公司 Elbow joint rotation center guider applied to clinical operation
CN107550539A (en) * 2017-10-16 2018-01-09 合肥市骨科医院 Neck bone punches alignment system
CN112034047A (en) * 2020-08-20 2020-12-04 海南大学 Rock sample wave speed test auxiliary fixture
CN112762912A (en) * 2021-02-02 2021-05-07 长江大学 Section shooting scale support for deposition physical simulation experiment
CN113558738A (en) * 2021-06-04 2021-10-29 北京达芬奇视界医疗科技发展有限公司 Multifunctional positioning and guiding device for orthopedic surgery

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102988056A (en) * 2012-11-28 2013-03-27 丽水市人民医院 Measurer for measuring femoral offset in orthopedic operation
CN104771213A (en) * 2015-04-02 2015-07-15 南方医科大学南方医院 Angle plate and corollary tool for osteotomy for dysplasia of the hip
CN105266868A (en) * 2015-10-09 2016-01-27 郝明仲 Limb bone cutting navigation device capable of realizing accurate locating
CN105266868B (en) * 2015-10-09 2017-11-10 郝明仲 One kind realizes pinpoint Limb bone osteotomy guider
CN105726135A (en) * 2016-01-28 2016-07-06 佛山市乙太医疗用品有限公司 Elbow joint rotation center guider applied to clinical operation
CN107550539B (en) * 2017-10-16 2024-02-23 合肥市骨科医院 Cervical vertebra bone positioning system that punches
CN107550539A (en) * 2017-10-16 2018-01-09 合肥市骨科医院 Neck bone punches alignment system
CN112034047A (en) * 2020-08-20 2020-12-04 海南大学 Rock sample wave speed test auxiliary fixture
CN112034047B (en) * 2020-08-20 2022-01-18 海南大学 Rock sample wave speed test auxiliary fixture
CN112762912B (en) * 2021-02-02 2023-03-21 长江大学 Section shooting scale support for deposition physical simulation experiment
CN112762912A (en) * 2021-02-02 2021-05-07 长江大学 Section shooting scale support for deposition physical simulation experiment
CN113558738A (en) * 2021-06-04 2021-10-29 北京达芬奇视界医疗科技发展有限公司 Multifunctional positioning and guiding device for orthopedic surgery
CN113558738B (en) * 2021-06-04 2024-01-26 北京达芬奇视界医疗科技发展有限公司 Multifunctional positioning and guiding device for orthopedic operation

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GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20060503