KR20180041349A

KR20180041349A - A surgical procedure kit for inosculation of ankle joint ligament

Info

Publication number: KR20180041349A
Application number: KR1020160133373A
Authority: KR
Inventors: 홍승환
Original assignee: 홍승환
Priority date: 2016-10-14
Filing date: 2016-10-14
Publication date: 2018-04-24
Also published as: WO2018070833A3; WO2018070833A2; KR101959961B1

Abstract

The present invention relates to an ankle ligament joining operation kit, and more particularly, to an ankle ligament joining operation kit for ankle ligament ligament joining, in which an ankle ligament ligament of a human ankle ligament ligament is ligated, The present invention relates to a surgical procedure kit for bonding.
According to the present invention, an anchor is used in which a suture used for suturing a ligament to a bone is elongated from one end, and an insert is implanted into a bone to fix the position of the suture; A punching tool for use in perforating an anchor insertion hole for insertion of the anchor into a predetermined region of a bone in which the ligament is stitched; And an insert tool used to insert the anchor into the anchor insertion hole through the puncturing tool while inserting the anchor into the ligament.

Description

TECHNICAL FIELD [0001] The present invention relates to an operation kit for ankle joint ligament,

The present invention relates to an ankle ligament joining operation kit, and more particularly, to an ankle ligament joining operation kit for ankle ligament ligament joining, in which an ankle ligament ligament of a human ankle ligament ligament is ligated, The present invention relates to a surgical procedure kit for bonding.

In modern society, sports are becoming more and more active, and due to increased public interest in health, regardless of age and gender, sport is regarded as a means of health as well as a part of life, It is growing exponentially.

Especially, the sprain of the ankle joint is known to be the most common type of injury occurring in sports activities. Among them, the lateral ligament is vulnerable to damage, .

The ankle joints of the tibia, tibia, talus, and talus are connected to the ankle joints of the three bones by the external ligaments and medial ligaments that connect these joints The lateral ligament consists of the anterior talofibular ligament (ATFL), the posterior talofibular ligament, and the calcaneofibular ligament. Among these, the inferior ankle is the inversion of the ankle Are most often damaged because they are primarily resistive structures.

On the other hand, the stability of ankle joints is very important factor for weight gain during standing, as well as for gait and leap. In case of external ligament rupture, radiological and functional stability can be achieved by early treatment, Chronic lateral ankle i instability and secondary degenerative arthritis that can be prevented.

Therefore, it is very important that the ankle ligament tissue is damaged immediately after injury, if it is injured, the severity of the ligament rupture should be clearly diagnosed and properly treated.

In this regard, various ligament sutures are provided, and if surgical treatment is required due to the severity of the rupture, a ligament that ligates the ligament that has been severed using a bioabsorbable suture wire The repair is mainly performed.

Here, the ligament suture using the above-mentioned suture screw is largely a conventional incision method and a method using a joint endoscope. Recently, in the development of ultrasonic technique in musculoskeletal diseases, numerous procedures as well as diagnosis have been performed under ultrasonic intervention.

The procedure of ultrasonically guided ligament suture is described as follows. First, the injured area is examined (and diagnosed) using an ultrasonic probe, and the injured area is incised. Then, the ligament is drilled at a proper position of the broken bone, , Anchors are inserted into the anchor insertion holes, and anchors are inserted into the anchor insertion holes to insert the anchors into the bone, and the ligaments ruptured with the suture extending from the anchors are bundled to connect the broken bone with the ligament.

However, since the above-described procedure is performed by a person (practitioner), it is difficult to clearly predict and diagnose the procedure time as well as the post-operative prognosis (post-operative / post-operative progress). Particularly, according to the skill of the practitioner in the process of tying ligaments to the bones with the sutures, the degree of completion of the procedure and the satisfaction of the procedure to be experienced by the patient after the procedure is inevitable.

For this reason, there is a need for a surgical instrument for ultrasound-guided ankle ligament joint which can shorten the procedure time and improve the completeness of the procedure through the uniformity of the procedure of the ligament suture using the suture screw, And / or equipment research and development are urgently needed.

Korean Patent Laid-Open Publication No. 10-2016-0042099 (Published Date: 2016. 04. 18.) Korean Patent Laid-Open No. 10-2014-0011303 (Published date: 2014. 01. 28.)

SUMMARY OF THE INVENTION It is an object of the present invention to solve the above problems, and it is an object of the present invention to provide a punching tool and an insert tool, which are capable of not only a skilled person but also an anchor insertion hole for joining a torn ligament, And to provide a surgical kit for ankle ligament joining that allows a series of procedures performed in ligament suturing such as ligament suturing using a suture to be easier.

In order to achieve the above object, the present invention provides an anchor for a suture used for suturing a ligament to a bone, the suture being elongated from one end, and inserted and implanted into a bone for fixing the position of the suture; A punching tool for use in perforating an anchor insertion hole for insertion of the anchor into a predetermined region of a bone in which the ligament is stitched; And an insert tool used to insert the anchor into the anchor insertion hole through the puncturing tool while inserting the anchor into the ligament.

In addition, the anchor has a sharp tip with a smooth tip and a smooth end, and a knot is formed on the suture to prevent the tip from being loosened And a pressing part movable along the knot part so as to press the ligament outside from the knot part.

In addition, the punching tool may include a pipe type positioner for selecting a puncturing position and guiding operation, and a puncturing stick used for puncturing the anchor insertion hole in a predetermined portion of the bone in connection with the positioner.

In addition, the knot is a fast and slippery knot that does not loosen after surgery and after surgery because of its internal fixation mechanism.

In addition, the positioner may be provided with at least one wedge protruding at the lowest end for enhancing adhesion with the bone surface, and at the uppermost end corresponding to the wedge, interference with the advancement action of the perforation stick, And an end edge for limiting the formation depth of the anchor insertion hole is protruded from the entire circumferential surface.

As can be clearly understood from the above description, the ankle ligament bonding operation kit of the present invention can be applied to all procedures for ligating a ligament ruptured under ultrasonic wave intervention even if the practitioner does not have a high degree of proficiency, It is possible to perform a series of all the procedures such as the insertion hole insertion, the anchor insertion insertion into the anchor insertion hole, and the ligament suture using the suture extending from the anchor in a uniform and easy manner.

In addition, through the uniformity of the procedure as described above, it is possible not only to dramatically improve the perfection of the operation of the practitioner, but also to improve the patient's satisfaction with the operation after the operation. Thus, And the effect of preventing secondary traumatic osteoarthritis can be obtained.

At the same time, it is a very useful invention that can greatly contribute to the development and activation of related medical technology and medical industry including ankle ligament suture through achievement of the various effects described so far.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1A is a perspective view showing a configuration of an insert tool in an ankle ligament bonding procedure according to the present invention; FIG.
FIG. 1B is an exploded perspective view showing a configuration of a punching tool in an operation kit for ankle ligament joint according to the present invention. FIG.
FIG. 2 is an enlarged perspective view showing a configuration of an anchor provided at a distal end portion of an insert tool and a suture connected to the anchor, in a surgical kit for ankle ligament joint according to the present invention. FIG.
FIGS. 3A through 3G are use state diagrams showing steps of an embodiment of an ankle ligament joining procedure according to the present invention. FIG.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings so that those skilled in the art can easily carry out the present invention. First, in adding reference numerals to the constituents of the drawings, it is to be noted that the same constituents are denoted by the same reference numerals as much as possible even if they are displayed on different drawings. In the following description of the present invention, a detailed description of known functions and configurations incorporated herein will be omitted when it may make the subject matter of the present invention rather unclear.

FIG. 1A is a perspective view showing a configuration of an insert tool in an ankle ligament joining procedure according to the present invention, FIG. 1B is a view showing a constitutional relationship of a punching tool in an operation kit for ankle ligament joining according to the present invention FIG. 2 is an enlarged perspective view showing the configuration of an anchor provided at a distal end of an insert tool and a suture connected to the anchor, in an operation kit for ankle ligament joint according to the present invention, and FIGS. 3A to 3G are enlarged perspective views Fig. 3 is a state diagram showing a step-by-step illustrative embodiment of an ankle ligament joining procedure kit according to the present invention.

As shown in FIGS. 1A and 1B, a surgical kit for ankle ligament bonding according to the present invention includes a suture used for suturing a ligament to a bone, which is elongated from one end, and fixes the position of the suture 10 An anchor 1 inserted into a bone for punching and a punch used for perforating a hole for insertion of the anchor 1 into a predetermined region of a bone in which the ligament is sutured, An insert tool (3) used for inserting an anchor (1) through a ligament into an anchor insertion hole drilled by the punching tool (2) while the anchor (1) .

As shown in FIG. 2, the anchor 1 is a connecting means for connecting the suture 10 and the bone together for ligament suture. The anchor 1 has a tip with a sharp tip to smooth the bone, (warhead, warhead).

In addition, a knot portion 10-1 including the suture 10 but not to be loosened is formed, and when the knot portion 10-1 is moved, the ligament is pressed from the outside, A pressing member 11 is further provided so as to be movable.

A binding groove 12 for coupling with the tip of the surgical stick of the insert tool 3, which will be described later, and a fastener 13 for fastening the suture 10 are formed on the blunt upper end.

The knot 10-1 has a self-locking mechanism knot (SMC knot) 10, which has an internal locking mechanism and is not loosened during and after the operation, ).

The punching tool 2 is a perforating means for drilling an anchor insertion hole into which the anchor 10 is inserted at a predetermined depth in a predetermined region of a bone to be ligated with the ligament. A positioner 21 having a pipe structure for selecting a position and an operation guide and a perforation stick 22 used for perforating an anchor insertion hole on a part of the bone in connection with the positioner 21. [

The positioner 21 has a tubular structure in which a guide hole 21a for guiding insertion and insertion of the tip end of the perforation stick 22 into the state is penetrated along the longitudinal direction, One or more wedges 211 are formed at the lowermost end to reinforce the adhesion of the wedges.

The upper end portion corresponding to the wedge 211 interferes with the advance operation of the perforation stick 22 so that a rim 212 for limiting the depth of the anchor insertion hole formed by the perforation stick 22 And protruded from the whole.

The puncturing stick 22 is provided with a first head portion 221 which can be struck by a separate punching tool (not shown), and the lower end of the first head portion 221 And an enlarged frame 222 interfering with the frame edge 212 is protruded from the entire peripheral face.

The insert tool 3 is an inserting means for inserting the anchor 1 into an anchor insertion hole formed on a part of the bone by the punching tool 2. The insert tool 3 is inserted into an anchor insertion hole With the surgical stick 31 having an appropriate length, the anchor 1 is mounted successively at the lowermost end.

A coupling protrusion 311 capable of interference fit (insertion) into the coupling groove 12 of the anchor 1 is protruded from the lowermost end and a second head portion 312 capable of being struck by a separate punching tool As shown in Fig.

(L) is a ligament, which is a living tissue, which connects a bone and a bone, (P) is an ultrasound, and (B) is a bone that forms ankle joints of the fibula, tibia, It is an ultrasonic probe used to check the degree of damage to the ligament.

The operation of the ankle ligament joining operation kit according to the present invention will now be described in detail.

First, as shown in FIG. 3A, the degree of ligament injury at the ankle joint region is closely diagnosed using an ultrasonic probe P, and ligament repair is performed to connect the injured ligament to the bone based on the diagnosis result. First, the skin of the procedure site is cut with a separate incision tool.

3B, the anchor insertion hole for the insertion implantation of the anchor 1 is inserted into the predetermined (predetermined) position of the bone B using the punching tool 2, Piercing the site.

The positioner 21 of the punching tool 2 whose tip abuts on the surface of the bone when the anchor insertion hole is punctured by using the perforation stick 22 of the punching tool 2, The wedge 211 formed on the upper surface of the base member 210 exhibits improved adhesion, thereby preventing the flow.

3C, the distal end of the perforation stick 22 is inserted into the guide hole 21a of the positioner 21, so that the pointed end of the perforation stick 22 is inserted into the bone B (FIG. 3B) after passing through the guide hole 21a. The first head portion 221 of the perforation stick 22 is hammered by using a separate punching tool so that the pointed end portion is pierced into the bone B so that the anchor 1 is inserted into the anchor insertion hole.

When the perforation of the anchor insertion hole is completed through the above-described procedure, the anchor 1 is inserted into the anchor insertion hole, The anchor 1 can be inserted and implanted using the insert tool 3 in which the anchor 1 is successively mounted at the lowermost end and the suture 10 and the suture 10 connected to the rear end of the anchor 1 It is possible to more easily perform the ligament suturing that connects the ligament ligament that has been broken by using the squeeze tool 11 provided in the suture 10.

More specifically, the anchor 1 mounted on the tip of the insert tool 3 is inserted into the anchor insertion hole, and the ligament L that has been previously broken is placed in the anchor insertion hole, The suture thread 10 extending from the rear end of the anchor 1 is made to pass through the ligament by inserting the anchor 1 into the anchor insertion hole so that the suture thread 10 extending from the rear end of the anchor 1 passes through the ligament, The procedure stick 31 is detached from the anchor 1, as shown in Fig.

As shown in FIG. 3F, the suture 10 is pulled by pulling one side of the suture 10 so that the knot formed on the other side The knot 10-1 is moved to the side of the anchor 1 and the knot 10-1 moving in the process pushes the knot 11 in the same direction so that the knot 11 presses the knot And the bone (B) and the ligaments are kept in a state of mutually hard and firmly bonded through the external pressurization.

Next, after the ligament is stuck to the bone B using the knot portion 10-1, as shown in Fig. 3G, the knot portion 10-1 is extended from the knot portion 10-1 The process of ligament fusion is completed by cutting the suture 10 with a separate cutting tool.

Finally, after completing the procedure of the ligamentous joint through the procedure described so far, the incised skin can be sutured and finally the ankle ligament suture procedure can be completed.

In summary, according to the operation kit for ankle ligament joining according to the present invention, in the ligament suturing operation for joining the ruptured ligaments, it is possible to solve the chronic problems that have been inevitably accompanied by a degree of completeness and a satisfactory procedure according to the skill of the practitioner .

For example, it is possible not only to puncture the anchor insertion hole using the punching tool 2, but also to uniformly perform the procedure of insertion of the anchor 1 using the insert tool 3 and ligament suturing, Thereafter, the patient's satisfaction with the procedure can be improved.

It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit and scope of the invention as defined by the appended claims. will be. Therefore, the embodiments disclosed in the present invention and the accompanying drawings are intended to illustrate and not to limit the technical spirit of the present invention, and the scope of the technical idea of the present invention is not limited by these embodiments and the accompanying drawings . The scope of protection of the present invention should be construed according to the following claims, and all technical ideas within the scope of the claims should be construed as being included in the scope of the present invention.

A: Procedure kit, 1: Anchor, 2: Punching tool
3: insert tool, 10: suture, 10-1:
11: a pressing part, 12: a binding groove, 13: a hook
21: Positioner, 21a: Guide ball, 22: Perforation stick
31: procedure stick, 211: wedge, 212:
221: first head part, 222: expansion frame, 311: binding projections
312: second head portion

Claims

An anchor for extending the suture used for suturing the ligament to the bone, the anchor being inserted into the bone for fixing the position of the suture;
A punching tool for use in perforating an anchor insertion hole for insertion of the anchor into a predetermined region of a bone in which the ligament is stitched; And
And an insert tool used to insert the anchor into the anchor insertion hole while inserting the anchor into the ligament through the anchor insertion hole drilled by the punching tool.

The method according to claim 1,
Wherein the anchor has a sharp tip with a slit in the bone and a blunt rear end, the suture is connected long from the rear end,
Wherein the knot is provided with a knot for preventing the knot from being loosened and a pressing part for moving the knot when the knot is moved so as to press the knot from the outside.

The method according to claim 1,
The punching tool includes a pipe-type positioner for selecting a punching position and guiding operation,
And a perforation stick used to perforate the anchor insertion hole at a predetermined portion of the bone in cooperation with the positioner.

3. The method of claim 2,
Wherein the knot portion is an internal fixation mechanism and is not loosened during the operation and after the operation, and the knot is a fast and smooth slit knot.

The method of claim 3,
The positioner is provided with one or more wedges protruding at the lowermost end for reinforcing the adhesion with the bone surface,
And an upper end portion corresponding to the wedge is protruded from an entire circumferential surface to interfere with the advance operation of the perforation stick to limit the depth of the anchor insertion hole formed by the perforation stick. Procedure kit.