CN106037924B - Skeletal traction through tibial tubercle nail merging guider - Google Patents

Skeletal traction through tibial tubercle nail merging guider Download PDF

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Publication number
CN106037924B
CN106037924B CN201610537152.4A CN201610537152A CN106037924B CN 106037924 B CN106037924 B CN 106037924B CN 201610537152 A CN201610537152 A CN 201610537152A CN 106037924 B CN106037924 B CN 106037924B
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China
Prior art keywords
tibial
pedestal
nail
connecting rod
tubercle
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CN201610537152.4A
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CN106037924A (en
Inventor
文涛
涂意辉
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Shanghai Yangpu Central Hospital
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Shanghai Yangpu Central Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

A kind of skeletal traction through tibial tubercle nail merging guider, including tibial tubercle pedestal, distal tibial pedestal, connecting rod, tibial tubercle pedestal, distal tibial pedestal are individually fixed on tibial crest and constitute line of force holder by connecting rod, and line of force holder is parallel with tibial crest;Distal tibial pedestal is fixing device;Tibial tubercle pedestal includes visual level instrument, transverse holes, transverse link, connecting rod;The exact position of traction nail is checked and approved when being used to set nail in the top that visual level instrument is installed on tibial tubercle pedestal;Transverse holes are the cross through hole of tibial tubercle pedestal, and transverse link is freely slid by the transverse holes and keeps perpendicular with line of force holder;When needing fixed then by the fixed screw fixed lateral connecting rod in transverse holes in tibial tubercle pedestal in lateral position.It is final to obtain that best traction nail is longitudinally perpendicular with shin bone, and then perfect screw way parallel with it in the horizontal direction.

Description

Skeletal traction through tibial tubercle nail merging guider
Technical field
The field of medical instrument technology belonging to the present invention.
Background technology
The femoral shaft and fractured near end of thighbone of displaced generally require emergency treatment carry out skeletal traction through tibial tubercle carry out reset and Fixing process.
Since orthopedist can only be influenced at present with personal experience and by operating condition, nail tends not to standard when setting nail It is true perpendicular to shin bone, directly affect traction effect.Sometimes larger deviation even occurs, leads to traction failure or tibial tubercle Avulsion fracture.
In the prior art, 204931819 U of Chinese utility model patent CN disclosed in 2016.01.06 are a kind of shin bone Tubercle draw operations locator, including fixed frame, sliding side plate, sliding side plate are set in fixed frame;Fixed frame is by square groove And side wall is constituted, side wall is set to square groove one end, and rectangular hollow out is provided on side wall, right on the another two side wall of square groove What is claimed is provided with row slide slot one;Sliding side plate is arranged with pedestal, and screw rod one is provided among pedestal, and screw rod passes through rectangular Slide slot in groove sidewall, screw rod are provided at both ends with nut one, and nut one is set on the outside of slide slot.
2010.11.24CN 201642300 U of disclosed Chinese utility model patent operates for a kind of skeletal traction through tibial tubercle Locator comprising telescoping tube, adjuster and positioning pipe, it is characterized in that:Telescoping tube is made of outer tube and the section of interior bar two, outside Adjuster is equipped between pipe and interior bar, telescoping tube both ends are equipped with holder, and the end of holder is respectively equipped with positioning pipe and scoops out pipe, fixed It is waveform that position, which manages and scoops out the inner termination of pipe,.It can be according to patient when use the case where, is set by adjusting between outer tube and interior bar Some adjusters, the holder spacing that adjustment telescoping tube both ends are equipped with, the positioning pipe for being then respectively equipped with two holder ends and It scoops out pipe, be fixed on the position that patient needs dozen bone traction steel needle, then bone traction steel needle is inserted into positioning pipe, then squeezes into.
Invention content
In order to reduce the irregular situation of nail quality of setting, the present invention discloses a kind of skeletal traction through tibial tubercle nail merging guiding Device can quickly make distracted position of the traction nail below shin bone merging tibial tubercle.Guider of the present invention can be helped Traction nail is placed to satisfied traction screw way when orthopedist being helped to set nail.
Its structural characterization of the technical solution that the present invention takes is:
A kind of skeletal traction through tibial tubercle nail merging guider, which is characterized in that including tibial tubercle pedestal 1, distal tibial base Seat 2, connecting rod 3, the tibial tubercle pedestal 1, distal tibial pedestal 2 are individually fixed on tibial crest and by 3 structures of connecting rod At line of force holder, the line of force holder is parallel with tibial crest.
The distal tibial pedestal 2 is fixing device, it includes ontology 23, the India rubber band in bending tool toughness 21, the hook 22 at ontology both ends, by the binding of India rubber band 21 by 2 bundled fixed of distal tibial pedestal on tibial crest.
The tibial tubercle pedestal 1 is to adjust and be oriented to executing agency, it includes visual level instrument 11, transverse holes 13, cross To connecting rod 12, connecting rod 14,
The accurate position of traction nail is checked and approved when being used to set nail in the top that the visual level instrument 11 is installed on tibial tubercle pedestal 1 It sets;
The transverse holes 13 be tibial tubercle pedestal 1 cross through hole, the transverse link 12 by the transverse holes 13 from It is perpendicular with line of force holder by sliding and keeping;Then by 131 fixed lateral of fixed screw in transverse holes 13 when needing fixed Connecting rod 12 is in tibial tubercle pedestal 1 in lateral position;The outer end of transverse link 12 can be inserted into connecting rod 14, connecting rod 14 keep it is parallel with line of force holder, connecting rod 14 can be free to slide on transverse link 12, when needing by screw into Row fixes it in the position of transverse link 12;
Nail positioning duct 141 is set in 14 end of the connecting rod with one, described to set nail positioning duct 141 and connecting rod 14 ontologies are vertical, and traction nail is squeezed into the nail positioning duct 141 of setting for being oriented to;
Slide each regulating member (i.e.:Connecting rod 14 can free to slide on transverse link 12 and transverse link 12 in the transverse holes 13 by freely sliding), reach desired position, and 11 droplet position of level meter when setting nail positioning duct 141 When center, all screws are tightened, so that two pedestals and connecting rod 3 is become, rigidity is whole, and traction nail is by setting nail positioning duct 141 with transverse link 12 parallel across below tibial tubercle, to obtain best traction nail longitudinally perpendicular with shin bone to final, And then perfect screw way parallel with it in the horizontal direction.
Based on above technical scheme, traction nail has been placed to by guider of the present invention when orthopedist can be helped to set nail Beautiful, satisfied traction screw way.Not only ensure that fine steel needle is vertical with the holding of the shin bone longitudinal axis in sagittal plane, and can guarantee traction Needle is also vertical with tibial shaft holding on coronal-plane and cross section.
Description of the drawings
Fig. 1 is the structural schematic diagram of invention guider after installation.
Fig. 2 is the structural schematic diagram at 1 end of tibial tubercle pedestal.
Fig. 3 is the overall structure diagram of guider of the present invention when unloading.
Fig. 4 is the building block structural schematic diagram of guider of the present invention.
Specific implementation mode
Technical solution of the present invention is described further with attached drawing with reference to embodiments.
Embodiment 1
As shown in Figure 1, Figure 2, Figure 3, Figure 4:
The tibial tubercle pedestal 1 being placed on tibial tubercle divides with the distal tibial pedestal 2 being bundled in below on shank It is not fixed on tibial crest, and line of force holder is constituted by connecting rod 3.The line of force holder is longitudinal parallel with tibial crest.Leg 6 shows Opinion Fig. 1.
Distal tibial pedestal 2 has an India rubber bundling belt 21, and the hook 22 on joint base 2 can be by distal tibial base 2 bundled fixeds of seat are on tibial crest.
There is a visual level instrument 11 on tibial tubercle pedestal 1, inclining for upper and lower directions occurs in traction nail when can prevent from setting nail Tiltedly.
There are one and the perpendicular transverse link 12 of line of force holder, transverse link 12 to pass through pedestal 1 on tibial tubercle pedestal 1 On transverse holes 13 can be free to slide, then by the 131 fixed lateral connecting rod of fixed screw in transverse holes 13 when needing fixed 12.12 one end of transverse link can place hollow connecting rod 14, and nail positioning duct 141, hollow company are set in 14 end of connecting rod Bar 14 can be free to slide on transverse link 12, can be also fixed by screw.
All screws are tightened when 11 droplet of level meter is located at center when setting nail positioning duct 141 arrival desired position, Pedestal and connecting rod 3 is set to be integrally formed, traction nail is by setting nail positioning duct 141 with transverse link 12 parallel across tibial tubercle Lower section, to accomplish that traction nail is longitudinally perpendicular with shin bone, and then perfect screw way parallel with it in the horizontal direction.
Compared with 204931819 U of utility model patent CN, 201642300 U in the prior art, product of the present invention is set It is different to count principle;Utility model patent in the prior art can only ensure that fine steel needle keeps hanging down in sagittal plane with the shin bone longitudinal axis Directly, it can not ensure that pull needle is also vertical with tibial shaft holding on coronal-plane and cross section.

Claims (1)

1. a kind of skeletal traction through tibial tubercle nail merging guider, which is characterized in that including tibial tubercle pedestal (1), distal tibial base Seat (2), connecting rod (3), the tibial tubercle pedestal (1), distal tibial pedestal (2) are individually fixed on tibial crest and pass through company Extension bar (3) constitutes line of force holder, and the line of force holder is parallel with tibial crest;
The distal tibial pedestal (2) includes the ontology (23), an India rubber band (21), ontology both ends in bending tool toughness It links up with (22), by the binding of India rubber band (21) by distal tibial pedestal (2) bundled fixed on tibial crest;
The tibial tubercle pedestal (1) includes visual level instrument (11), transverse holes (13), transverse link (12), connecting rod (14),
The accurate position of traction nail is checked and approved when being used to set nail in the top that the visual level instrument (11) is installed on tibial tubercle pedestal (1) It sets;
The transverse holes (13) are the cross through hole of tibial tubercle pedestal (1), and the transverse link (12) passes through the transverse holes (13) it freely slides and keeps perpendicular with line of force holder;Then by the fixed screw in transverse holes (13) when needing fixed (131) fixed lateral connecting rod (12) in tibial tubercle pedestal (1) in lateral position;The outer end of transverse link (12) can be inserted into Connecting rod (14), connecting rod (14) keep parallel with line of force holder, and connecting rod (14) can be in transverse link (12) It is upper free to slide, its position in transverse link (12) is fixed by screw when needing;
Nail positioning duct (141) is set in connecting rod (14) end with one, described to set nail positioning duct (141) and hollow company Bar (14) ontology is vertical, it is described set nail positioning duct (141) for be oriented to squeeze into traction nail;
Each regulating member is slided, reaches desired position when setting nail positioning duct (141), and during level meter (11) droplet is located at When the heart, all screws are tightened, so that two pedestals and connecting rod (3) is become, rigidity is whole, and traction nail is by setting nail positioning duct (141) with transverse link (12) parallel across below tibial tubercle.
CN201610537152.4A 2016-07-08 2016-07-08 Skeletal traction through tibial tubercle nail merging guider Active CN106037924B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610537152.4A CN106037924B (en) 2016-07-08 2016-07-08 Skeletal traction through tibial tubercle nail merging guider

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Application Number Priority Date Filing Date Title
CN201610537152.4A CN106037924B (en) 2016-07-08 2016-07-08 Skeletal traction through tibial tubercle nail merging guider

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CN106037924B true CN106037924B (en) 2018-09-07

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1175893A (en) * 1995-02-15 1998-03-11 史密夫及内修有限公司 Tibial resection instrument
CN2662845Y (en) * 2003-08-27 2004-12-15 王庆贤 Improved tibial intramedullary nail aiming instrument
CN201642300U (en) * 2010-03-20 2010-11-24 邢宏文 Tibial tubercle traction operate locator
CN201664336U (en) * 2010-04-16 2010-12-08 邵汝谊 Tibia sight for rebuilding posterior cruciate ligament
CN204931819U (en) * 2015-07-27 2016-01-06 三峡大学 A kind of skeletal traction through tibial tubercle operation localizer

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011133407A2 (en) * 2010-04-20 2011-10-27 Virgina Commonwealth University Tibiotalar arthrodesis guide
US8758354B2 (en) * 2010-10-22 2014-06-24 Zimmer, Inc. Flexible attachment for an extramedullary surgical instrument

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1175893A (en) * 1995-02-15 1998-03-11 史密夫及内修有限公司 Tibial resection instrument
CN2662845Y (en) * 2003-08-27 2004-12-15 王庆贤 Improved tibial intramedullary nail aiming instrument
CN201642300U (en) * 2010-03-20 2010-11-24 邢宏文 Tibial tubercle traction operate locator
CN201664336U (en) * 2010-04-16 2010-12-08 邵汝谊 Tibia sight for rebuilding posterior cruciate ligament
CN204931819U (en) * 2015-07-27 2016-01-06 三峡大学 A kind of skeletal traction through tibial tubercle operation localizer

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SE01 Entry into force of request for substantive examination
GR01 Patent grant
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EE01 Entry into force of recordation of patent licensing contract

Application publication date: 20161026

Assignee: Shanghai Luxi Medical Devices Co., Ltd.

Assignor: Shanghai Yangpu Central Hospital

Contract record no.: 2019310000051

Denomination of invention: Tibial tuberosity traction nail embedding guider

Granted publication date: 20180907

License type: Exclusive License

Record date: 20190722

EE01 Entry into force of recordation of patent licensing contract