CN2794450Y - External fixer for coxae - Google Patents

External fixer for coxae Download PDF

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Publication number
CN2794450Y
CN2794450Y CN 200520022923 CN200520022923U CN2794450Y CN 2794450 Y CN2794450 Y CN 2794450Y CN 200520022923 CN200520022923 CN 200520022923 CN 200520022923 U CN200520022923 U CN 200520022923U CN 2794450 Y CN2794450 Y CN 2794450Y
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CN
China
Prior art keywords
joint
abduction
hip
fixing head
fixed
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Expired - Fee Related
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CN 200520022923
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Chinese (zh)
Inventor
侯树勋
李文锋
王庆雷
张伟佳
胡志勇
孙大铭
韦兴
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Individual
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Individual
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Priority to CN 200520022923 priority Critical patent/CN2794450Y/en
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Publication of CN2794450Y publication Critical patent/CN2794450Y/en
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Abstract

The utility model relates to an outer fixer for a hip joint and comprises a hip bone fixing plate, a shaft of femur fixing rod, an inward shrinking and outward unfolding joint, a flexible extension joint, an arc-shaped rod, an inward shrinking and outward unfolding sliding plate, a connecting component, etc., wherein one end of the hip bone fixing plate is connected with the inward shrinking and outward unfolding joint, and the other end of the hip bone fixing plate is connected with the connecting component. The connecting component is connected with the inward shrinking and outward unfolding sliding plate, and the inward shrinking and outward unfolding sliding plate is rigidly connected with the flexible extension joint. The flexible extension joint is rigidly connected with the arc-shaped rod, and the arc-shaped rod is rigidly connected with the inward shrinking and outward unfolding joint to form a closed frame. The hip bone fixing plate is vertically provided with a needle clipping device for fixing a bone needle, and a shaft of the flexible extension joint is connected with the shaft of femur fixing rod. The shaft of femur fixing rod is fixed with the needle clipping device. The outer fixer for a hip joint can reduce the joint force of a femur head and a socket of a hip, allow the hip joint to flexibly extend, inwardly shrink and outwardly unfold and avoid the joint adhesion, the stiffness, the bone loss and the collapse of the femur head. Simultaneously, the outer fixer for a hip joint can fix the hip joint and avoid the joint inner fixation and the large-sized gypsum fixation to achieve the early ambulation.

Description

The hip joint external fixator
Technical field
This utility model relates to the orthopaedics fixed apparatus, particularly a kind of hip joint external fixator.
Background technology
The major function of hip joint is load-bearing and activity.And the disease of any hip joint is decreased the function that all can influence hip joint, even hip joint is invalid, as femur head necrosis.After fracture of the femoral head and dislocation, acetabular bone fracture compound comminuted, neck of femur tumor cause operations such as damage, femur and tibia fracture, intertrochanteric fracture, need reduce or eliminate the joint power of hip joint, need bending and stretching and interior receipts, abduction functional exercise of early stage hip joint simultaneously; Late period the hip joint infectious disease, be not easy after the operation to carry out internal fixation at intralesional, even can not resist hip joint contraction of muscle on every side or the joint power that spasm produces, even also need long-term bed, cause arthrodesis syndromes such as ankylosis, amyotrophy, osteoporosis collapse of the femoral head, be unfavorable for the recovery of function of joint.The external fixator that uses mostly is the external fixator of femur backbone portion fracture at present, only can fix, and the hip joint after fixing can not carry out activity to temper its function; Or can only carry out the limited flexion and extension of hip joint, can not do abduction and in accept orders for repairs or processing moving.And too heavy, the patient is unsuitable for acceptance.
Summary of the invention
The purpose of this utility model is to propose a kind of hip joint external fixator for addressing the above problem, reach the joint power that can reduce or eliminate hip joint, can make hip joint carry out early stage functional exercise of bending and stretching with interior receipts, abduction again, can fixedly carry out hip joint simultaneously again and merge.
This utility model has proposed a kind of hip joint external fixator to achieve these goals, comprises hipbone fixing head, femoral shaft fixed bar, interior receipts abduction joint, bends and stretches joint, bow, interior receipts abduction slide plate, connecting piece and lock(ing) bolt, needle holder and spicule.Wherein, one end of hipbone fixing head is connected with interior receipts abduction joint, the other end connects described connecting piece, described connecting piece is connected with interior receipts abduction slide plate, in receive the abduction slide plate and bend and stretch the joint and be rigidly connected, bend and stretch the joint and bow is rigidly connected, bow and described in receive the abduction joint and be rigidly connected, constitute a closed frame; Be vertically installed with the needle holder of fixed bone spicule on the hipbone fixing head, bend and stretch the joint femoral shaft fixed bar that is coupling, be fixed with needle holder on the femoral shaft fixed bar.
Be fixed with the ilium fixed bar near interior receipts abduction joint one side on the described hipbone fixing head, have the needle holder of fixed bone spicule on the ilium fixed bar.
The two ends of described hipbone fixing head are fixed on the ilium fixing head by two universal adjustment bars, have the needle holder of fixed bone spicule on the ilium fixing head.
The end that described connecting piece is connected with interior receipts abduction slide plate is an open Baltimore groove, and screw is fixed on the ilium fixing head, and the other end of connecting piece has a mesopore, bend and stretch the joint interior receipts abduction slide plate slides be through at wherein, but and screw fix.
Receiving two ends, abduction joint in described is extensible internal and external casing structure.
Described femoral shaft fixed bar can be epimere, stage casing and hypomere three-stage structure, epimere with bend and stretch the joint and be coupling, epimere and stage casing are the inside and outside sleeve structure, the part that hypomere links to each other with the stage casing is a gimbal structure.
Described gimbal structure extends to a platform of described hypomere.
Effect of the present utility model is to reduce the joint power of femoral head and acetabular bone, can allow hip joint to bend and stretch again and avoid joint accretion, stiff, osteoporosis, collapse of the femoral head with the activity of interior receipts, abduction, fixing hip joint again simultaneously, avoid the fixing and large-scale plaster fixation of intraarticular, reach early ambulation.
Description of drawings
Fig. 1 is the schematic perspective view of this utility model embodiment one;
Fig. 2 is the sketch map of this utility model embodiment one;
Fig. 3 is a side view of the present utility model;
Fig. 4 is for connecting piece in this utility model and bend and stretch the sketch map in joint;
Fig. 5 is an interior sketch map of receiving the abduction joint in this utility model;
Fig. 6 is needle holder 1 sketch map in this utility model;
Fig. 7 is the schematic perspective view of another embodiment of this utility model;
Fig. 8 is the sketch map of another embodiment of this utility model.
The specific embodiment
Functional hip joint external fixator is that a kind of to be used for hip joint external by locking pin and ilium, femoral shaft stationary device, see Fig. 1, Fig. 2 and Fig. 3, mainly comprise: the needle holder 1 of fixed bone spicule 12, ilium fixed bar 11, hipbone fixing head 2, femoral shaft fixed bar 3, vertical shape needle holder 4, interior receipts abduction joint 5, bend and stretch joint 6, bow 13, interior receipts abduction slide plate 7, connecting piece 8 and lock(ing) bolt 9 etc.Leave a plurality of through holes on the hipbone fixing head 2, place the needle-fixing device 4 of fixed bone spicule 10 in the through hole, one end of hipbone fixing head 2 is connected with interior receipts abduction joint 5, the other end with a connecting piece 8 with bend and stretch joint 6 and receive abduction slide plates 7 in rigidly connected and be connected, bending and stretching joint 6 is rigidly connected with bow 13, bow 13 is rigidly connected with interior receipts abduction joint 5, hipbone fixing head 2, interior receipts abduction slide plate 7 and, bow 13, interior receipts abduction joint 5 constitute a tetragon closed frame on front view.The end that connecting piece 8 is connected with interior receipts abduction slide plate 7 is an open Baltimore groove, can be fixed on the ilium fixing head with screw, the other end of connecting piece 8 has a mesopore, and the interior receipts abduction slide plate 7 that bends and stretches joint 6 is through at wherein slidably, and available screw is fixed on a certain position.See Fig. 4.Be fixed with ilium fixed bar 11 near interior receipts abduction joint 5 one sides on the hipbone fixing head 2, have the needle holder 1 of a fixed bone spicule 12 on the ilium fixed bar 11, three fixedly through holes of 6mm spicule are arranged on the needle holder.Needle holder 1 can carry out universal adjustment by two circular sawtooth connections.
Also be vertically installed with the vertical shape needle holder 4 of fixed bone spicule 10 on the hipbone fixing head 2, fix a long 4cm by an interior hexagonal jackscrew on the needle holder 4, diameter is the medical stainless steel spicule 10 of 5mm.Receive simultaneously abduction joint 5 by the bow 13 that can regulate length with bend and stretch joint 6 and be connected.Along with connecting piece 8 in interior receipts, bend and stretch that slide plate 7 slides up and down and receive abduction joint 5 in making and change angles automatically.
And see Fig. 5, the part 51 that interior receipts abduction joint 5 links to each other with hipbone fixing head 2 is extensible internal and external casing 51,52 structures, and the part 54 that links to each other with bow 13 also can be the internal and external casing structure of prolongation, and can fix in position with screw 53,55, the length in interior receipts abduction joint 5 can adapt to different individual patients.
Bend and stretch the joint 6 femoral shaft fixed bar 3 that is coupling, femoral shaft fixed bar 3 can be epimere 35, stage casing 31 and hypomere 32 three-stage structures, sees Fig. 1 and Fig. 3, and among Fig. 1 and Fig. 3, epimere 35 and stage casing 31 are the inside and outside sleeve structure, epimere 35 with bend and stretch joint 6 and be coupling.Epimere 35 and stage casing 31 can be carried out telescopic extendable as required like this, and fix by hex socket set screws 34.The part that hypomere 32 links to each other with stage casing 31 is a gimbal structure 33, it is a platform 36 (Fig. 3) that this gimbal structure 33 stretches out, platform 36 and needle holder 14 are combined into hypomere 32, pass through fixedly needle holder 14 of hex socket set screws 37 on the platform 36, needle holder 14 can fixed lateral screw thread spicule 38.Epimere 35 with bend and stretch joint 6 and be coupling.Hypomere 32 sides and front elevation have drawn respectively among Fig. 1 and Fig. 3.
The medical stainless steel screw thread nail 10 vertical hipbone fixing heads 2 of the long 4cm diameter of stricture of vagina 5cm are inserted 1.0cm on the acetabular bone, and fixed bone spicule 10 usefulness needle holders 4 are fixed on the hipbone portion fixing head 2.Medical stainless steel spicule 12 nails of the two long 4cm diameter of screw thread 5mm are implanted on the iliac spine, are fixed on adjustable fixed bar 11 with universal its at external locking pin.At the outside of femoral shaft implanted diameter 6mm horizontal thread spicule 14 and be fixed on the femoral shaft fixed bar 3.
Under the guiding of C type arm X-ray machine, make and bend and stretch joint 6 and place on capital center and the trochiterian line (hip joint bend and stretch axle), interior receipts abduction joint 5 places on the sagittal axis of capital center, utilize in the valgus arm lockable receive, the abduction joint.Can make and bend and stretch the joint and bend 90 degree and stretch 30 degree, in other words, after this utility model and femur were fixed, thigh can swing.Reconcile ilium fixing head and interior receipts abduction sliding panel and can realize interior 25 degree of receiving, abduction 30 degree.
Fig. 6 is needle holder 1 sketch map in this utility model, needle holder 1 comprises three parts: U jacket tube 61, the L type turns to body 62, clamp 63, U jacket tube 61 is enclosed within on the ilium fixed bar 11, and U jacket tube 61 and L type turn between the body 62 and connect by a round tooth, can relatively rotate, the L type turns between body 62 and the clamp 63 by a round tooth and connects, and can relatively rotate, with the direction of the universal adjustment spicule of realizing needle holder 1.But, in many external fixators, all use, do not give unnecessary details at this because this needle holder 1 is a prior art.
In addition, this utility model also discloses another embodiment, see Fig. 2 and Fig. 8, ilium fixed bar 11 on the hipbone fixing head 2 is changed to ilium fixing head 15, the two ends of this ilium fixing head 15 are fixed on the hipbone fixing head 2 by two universal adjustment bars 18 and 19, can adapt to the individual variation of ala of ilium by the gradient of regulating ilium fixing head 15.Ilium fixing head 15 is provided with many through holes, can be fixed for the needle holder 16 of fixed bone spicule 17 in the through hole.The medical stainless steel spicule 16 of long 4cm diameter 5mm is implanted on the ilium.

Claims (7)

1. hip joint external fixator, it is characterized in that, comprise hipbone fixing head (2), femoral shaft fixed bar (3), interior receipts abduction joint (5), bend and stretch joint (6), bow (13), interior receipts abduction slide plate (7), connecting piece (8) and lock(ing) bolt (9), needle holder (4) and spicule (10); Wherein, one end of hipbone fixing head (2) is connected with interior receipts abduction joint (5), the other end connects described connecting piece (8), described connecting piece (8) is connected with interior receipts abduction slide plate (7), in receive abduction slide plates (7) and bend and stretch joint (6) and be rigidly connected, bend and stretch joint (6) and be rigidly connected with bow (13), bow (13) is rigidly connected with the described interior abduction joints (5) of receiving, and constitutes a closed frame; Be vertically installed with the needle holder (4) of fixed bone spicule (10) on the hipbone fixing head (2), bend and stretch joint (6) the femoral shaft fixed bar (3) that is coupling, be fixed with needle holder (14) on the femoral shaft fixed bar (3).
2. hip joint external fixator as claimed in claim 1 is characterized in that, described hipbone fixing head (2) is gone up near interior receipts abduction joint (5) one sides and is fixed with ilium fixed bar (11), has the needle holder (1) of fixed bone spicule (12) on the ilium fixed bar (11).
3. hip joint external fixator as claimed in claim 1, it is characterized in that, the two ends of described hipbone fixing head (2) are fixed on the ilium fixing head (15) by two universal adjustment bars (18,19), have the needle holder (16) of fixed bone spicule (17) on the ilium fixing head (11).
4. hip joint external fixator as claimed in claim 1, it is characterized in that, the end that described connecting piece (8) is connected with interior receipts abduction slide plate (7) is an open Baltimore groove, screw is fixed on the ilium fixing head, the other end of connecting piece (8) has a mesopore, the interior receipts abduction slide plate (7) that bends and stretches joint (6) is through at wherein slidably, but and screw fix.
5. hip joint external fixator as claimed in claim 1 is characterized in that, described interior receipts two ends, abduction joint (5) are extensible internal and external casing structure.
6. hip joint external fixator as claimed in claim 1, it is characterized in that, described femoral shaft fixed bar (3) can be epimere (35), stage casing (31) and hypomere (32) three-stage structure, epimere (35) with bend and stretch joint (6) and be coupling, epimere (35) and stage casing (31) are the inside and outside sleeve structure, and the part that hypomere (32) links to each other with stage casing (31) is a gimbal structure (33).
7. hip joint external fixator as claimed in claim 6 is characterized in that, described gimbal structure (33) extends to a platform (36) of described hypomere (32).
CN 200520022923 2005-04-20 2005-04-20 External fixer for coxae Expired - Fee Related CN2794450Y (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 200520022923 CN2794450Y (en) 2005-04-20 2005-04-20 External fixer for coxae

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Application Number Priority Date Filing Date Title
CN 200520022923 CN2794450Y (en) 2005-04-20 2005-04-20 External fixer for coxae

Publications (1)

Publication Number Publication Date
CN2794450Y true CN2794450Y (en) 2006-07-12

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102641149A (en) * 2011-02-21 2012-08-22 汤福刚 Hip joint dislocation reset traction device
CN104887301A (en) * 2015-06-26 2015-09-09 陈伟 Pelvic fracture microinvasive intramedullary fixation device
CN106923895A (en) * 2015-12-29 2017-07-07 香港中文大学 Hip stretch device
CN107080580A (en) * 2017-04-28 2017-08-22 徐永清 Adjustable shelf is fixed outside a kind of modular hip prosthesis
CN107518935A (en) * 2017-09-02 2017-12-29 潍坊君泰安德医疗科技有限公司 Femoral head rebuilds exterior fixing rack device
CN108670392A (en) * 2018-05-29 2018-10-19 陈金凤 A kind of therapeutic device for orthopaedics buttocks thigh bone fracture
CN111449738A (en) * 2020-05-19 2020-07-28 王昶 Keep hip joint's extraarticular artificial joint structure

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102641149A (en) * 2011-02-21 2012-08-22 汤福刚 Hip joint dislocation reset traction device
CN102641149B (en) * 2011-02-21 2014-10-08 汤福刚 Hip joint dislocation reset traction device
CN104887301A (en) * 2015-06-26 2015-09-09 陈伟 Pelvic fracture microinvasive intramedullary fixation device
CN104887301B (en) * 2015-06-26 2017-03-01 陈伟 A kind of minimally invasive Medullary fixation device of fracture of pelvis
CN106923895A (en) * 2015-12-29 2017-07-07 香港中文大学 Hip stretch device
CN107080580A (en) * 2017-04-28 2017-08-22 徐永清 Adjustable shelf is fixed outside a kind of modular hip prosthesis
CN107518935A (en) * 2017-09-02 2017-12-29 潍坊君泰安德医疗科技有限公司 Femoral head rebuilds exterior fixing rack device
CN108670392A (en) * 2018-05-29 2018-10-19 陈金凤 A kind of therapeutic device for orthopaedics buttocks thigh bone fracture
CN111449738A (en) * 2020-05-19 2020-07-28 王昶 Keep hip joint's extraarticular artificial joint structure

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C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20060712

Termination date: 20110420