CN106388905B - A kind of fracture resetting tongs positioning drilling - Google Patents
A kind of fracture resetting tongs positioning drilling Download PDFInfo
- Publication number
- CN106388905B CN106388905B CN201610826300.4A CN201610826300A CN106388905B CN 106388905 B CN106388905 B CN 106388905B CN 201610826300 A CN201610826300 A CN 201610826300A CN 106388905 B CN106388905 B CN 106388905B
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- Prior art keywords
- scale
- rear sight
- fracture
- sight base
- drilling
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses the fracture resetting tongs that one kind can position drilling, there is the fracture resetting tongs a pair to form hinged pincers leaf using articulated shaft, and the front end for clamping leaf is binding clip, and the tail portion for clamping leaf is connected with handle；It is characterized in that: setting the articulated shaft to the cylinder form with axially extending bore, the binding clip is set as L shape elbow, fracture distal end is clamped down on using the binding clip of the L shape elbow, pincers leaf is set to remain the state parallel with bone face, using the axially extending bore as fixed brill hole location, drill bit can be directly toward bone face by axially extending bore and apply brill and form drilling.The invention enables orthopaedics include children's four limbs, adult small long bone, division of chest disease's fracture of rib open reduction operation when, by reset, stabilization and inner fixing device can be placed be unified in an instrument and complete, so that it is guaranteed that reset effect, simplifying surgical procedure.
Description
Technical field
The present invention relates to fracture operation auxiliary implements, and more specifically especially a kind of apply in orthopaedics includes children four
Limb, adult small long bone；Fracture resetting tongs in the minimally invasive reattachment surgery of open reduction and small notch of division of chest disease's fracture of rib.
Background technique
Orthopaedics children four limbs, adult small long bone, division of chest disease's fracture of rib open reduction operation in, because by surgical field of view with
Surface of a wound exposure is limited, and usually needs to put in the case where interim stabilization (as being fixed temporarily using Kirschner wire) after the reduction of the fracture
Internal fixation material is set, but the movement both in practical operation is usually tangled and is inconvenient together, and therefore affects reset effect,
Extend operating time.
Summary of the invention
The present invention is that it is multiple to provide a kind of fracture that can position drilling to avoid above-mentioned existing deficiencies in the technology
Position pincers, so that can will be resetted when the open reduction of orthopaedics children four limbs, adult small long bone, division of chest disease's fracture of rib is performed the operation,
Stablize and placement inner fixing device is unified in an instrument and completes, strengthens reset effect to reach and simplify surgical procedure
Goal of the invention.
The present invention adopts the following technical scheme that in order to solve the technical problem
The present invention can position the fracture resetting tongs of drilling, and there is a pair to form hinged pincers leaf using articulated shaft, clamp leaf
Front end is binding clip, and the tail portion for clamping leaf is connected with handle；It is structurally characterized in that: setting having axially extending bore for the articulated shaft
Cylinder form, the binding clip are set as L shape elbow, clamp down on fracture distal end using the binding clip of the L shape elbow, make to clamp leaf guarantor
It holds as the state parallel with bone face, using the axially extending bore as fixed brill hole location, drill bit can be directly toward by axially extending bore
It applies brill and forms drilling in bone face.
The design feature that the present invention can position the fracture resetting tongs of drilling is lain also in: setting is by mobile scale and rear sight base structure
At positioning rule, the rear sight base is that the fixing axle protruded out with its bottom surface is inserted in the axially extending bore, makes rear sight base and bone
Face is in parallel state, and the mobile scale is the ruler with scale marker, and mobile scale limit, and can be in rear sight base
It is slid straightly in the rear sight base；Running fix hole is set in one end of the mobile scale, drill bit can pass through the shifting
Dynamic location hole applies brill towards bone face side and forms another drilling.
The design feature that the present invention can position the fracture resetting tongs of drilling is lain also in: the rear sight base, which is with fixing axle, is
The heart is respectively arranged with the through slot of strip in the left and right sides, and mobile scale and rear sight base are two-way cooperation, and the two-way cooperation is
Refer to that running fix hole can be matched with the either side in the through slot of the left and right sides, drill bit passes through phase on running fix hole and rear sight base
The through slot of side is answered to apply brill towards bone face.
The design feature that the present invention can position the fracture resetting tongs of drilling is lain also in: being had in the bottom surface of the mobile scale convex
The cylindrical drum stretched, the cylindrical drum and running fix hole connect to form drill guide bore.
The design feature that the present invention can position the fracture resetting tongs of drilling is lain also in: the rear sight base is to be parallel to each other
A pair of tracks forms track slot, and the mobile scale limit can slide straightly in the track slot along track slot.
The design feature that the present invention can position the fracture resetting tongs of drilling is lain also in: by running fix in the mobile scale
The center in hole is set as " 0 " scale position, and the scale marker on mobile scale is from " 0 " scale position towards the another of mobile scale
One end setting, the center on the rear sight base corresponding to fixing axle, which is provided with, is used to indicate mobile scale moving distance
Pointer.
Clinically using reduction forceps carry out fracture site reset when, be vised with jaw fracture distal end implement reset, if
It is subsequent absent-mindedness reduction forceps, then will makes to reset failure；But if the reset state of reduction forceps is kept, pole can be formed to subsequent operation
Big interference can not be normally carried out because of the visual field or due to other operation instruments are blocked.Application of the invention is unremittingly
Under situation, it is changed without instrument, the drilling position directly with via hole on reduction forceps corresponding to fracture proximal end inside-fixture, is keeping resetting
Clamp it is unremittingly under the premise of implement drilling, and using drilling progress steel plate or screw fixation, enormously simplify surgical procedure.
Compared with the prior art, the invention has the advantages that:
1, application of the invention can make in orthopaedics children four limbs, adult small long bone；The opening of division of chest disease's fracture of rib is multiple
When the operation of position, reset, stabilization and placement inner fixing device are unified in an instrument and are completed, reset effect can be effectively strengthened
Fruit simplifies surgical procedure, greatly shortens operating time.
2, the present invention makes homing action and is fixed temporarily to act more to link up, and then makes reduction of the fracture better reliability, letter
Change surgical procedures, amount of bleeding and infection of incisional wound rate are decreased while shortening operating time, there is important clinical meaning.
Detailed description of the invention
Fig. 1 is schematic structural view of the invention；
Fig. 2 is use state floor map of the present invention；
Fig. 3 is use state elevational schematic view of the present invention；
Fig. 4 a and Fig. 4 b are respectively the plane signal and schematic side view of rear sight base in the present invention；
Fig. 5 a and Fig. 5 b are respectively the plane signal and schematic side view of mobile scale in the present invention；
Fig. 6 is that the present invention is rear sight base and mobile scale is slidably matched schematic diagram；
Figure label: 1 pincers leaf, 2 binding clips, 3 handles, 4 articulated shafts, 5 through-holes, 6a fracture distal end, 6b fracture proximal end, 7 drill bits,
8 rear sight bases, 8a fixing axle, 8b through slot, 8c track, 8d pointer, 9 mobile scales, 9a running fix hole, 9b cylindrical drum.
Specific embodiment
Referring to figure 1, figure 2 and figure 3, there is the fracture resetting tongs that drilling can be positioned in the present embodiment a pair to utilize articulated shaft 4
Hinged pincers leaf 1 is formed, the front end of pincers leaf 1 is binding clip 2, and the tail portion of pincers leaf 1 is connected with handle 3.
The present embodiment sets articulated shaft 4 to the cylinder form with axially extending bore 5, and binding clip 2 is set as L shape elbow,
In the open reduction operation of the small long bone of orthopaedics, division of chest disease's fracture of rib, fracture distal end is clamped down on using the binding clip 2 of L shape elbow, is made
Pincers leaf 1 remains the state parallel with bone face, and with axially extending bore 5 for fixed brill hole location, drill bit can be direct by axially extending bore 5
Brill is applied towards bone face and forms the first drilling.
Acropathy long bone fractures, fracture of rib are that clinically common fracture, some patientss need operative reduction to treat.Operation includes
Open reduction, minimally invasive replacement and fixation and exterior fixing rack are fixed, and in this reseting procedure, require the interim of an auxiliary
Fixing means, the reduction forceps provided in the present embodiment are the auxiliary tool of this fixing means, reset it and fixation procedure
Orderly and effective linking can be obtained, pilot process has been reduced or remitted, operation is allowed to become more succinct and effective rapidly.
In order to realize porous positioning, the positioning rule that setting is made of mobile scale and rear sight base in the present embodiment.
As shown in figures 4 a and 4b, rear sight base 8 is that the fixing axle 8a protruded out with its bottom surface is inserted in articulated shaft 4 on reduction forceps
In axially extending bore 5 in, make rear sight base 8 and bone face in parallel state, mobile scale 9 is the ruler with scale marker, is moved
The dynamic limit of scale 9 can slide straightly in rear sight base 8 in rear sight base 8；It is mobile fixed in one end setting of mobile scale 9
Position hole 9a, running fix hole 9a are the axially extending bore through mobile scale thickness, and drill bit 7 can be by running fix hole 9a towards bone
It applies brill and forms another drilling in face side.
Rear sight base 8 shown in Fig. 4 a is to be respectively arranged with the through slot of strip in the left and right sides centered on fixing axle 8a
8b, mobile scale 9 and rear sight base 8 are two-way cooperation, and two-way cooperation refers to that running fix hole 9a can be with left and right sides through slot 8b
In any side through slot match, drill bit 7 is by the through slot 8b of side corresponding on running fix hole 9a and rear sight base 8 towards bone
Apply brill in face.
There are the cylindrical drum 9b protruded out, cylindrical drum 9b and running fix hole 9 in the bottom surface of mobile scale 9 shown in Fig. 5 a and Fig. 5 b
It connects to form drill guide bore, is conducive to drill bit and accurately applies brill in hole location.
Rear sight base 8 shown in Fig. 6 is that track slot is formed with a pair of tracks 8c being parallel to each other, and mobile scale 9 limits in track slot,
And it can be slid straightly along track slot.
In order to accurately move moving distance of the scale 9 on rear sight base 8, by running fix hole 9a in mobile scale 9
Center be set as " 0 " scale position, the direction from " 0 " scale position ing of the scale marker on mobile scale 9 moves the another of scale 9
One end setting, on rear sight base 8, the center corresponding to fixing axle 8a, which is provided with, is used to indicate mobile 9 moving distance of scale
Pointer 8d, Fig. 4 a shown in；Scale value on the mobile scale 9 of reading pointer meaning, you can learn that the movement of mobile scale 9 away from
From, by the movement of mobile scale 9, the accurate position that running fix hole 9a is set, and then other each drillings are formed one by one；At this
During one, remain that reduction forceps clamp down on reset state for as shown in Figure 2；
Work as movement using the two-way cooperation between mobile scale 9 and rear sight base 8 by Fig. 2 and reset state shown in Fig. 3
When mobile location hole 9a is in the left side of rear sight base 8 on scale 9, running fix hole 9a can be positioned in fracture proximal end 6b,
And the porous positioning on fracture proximal end 6b can be obtained in the position on rear sight base 8 by sliding mobile scale 9；When will move
Scale 9 turns 180 degree, and when running fix hole 9a being made to be in the right side of rear sight base 8, running fix hole 9a can be in fracture distal end 6a
It is positioned, equally, it is porous fixed on fracture distal end 6a to be obtained by sliding mobile scale 9 in the position on rear sight base 8
Position.
Claims (5)
1. one kind can position the fracture resetting tongs of drilling, the fracture resetting tongs have a pair of hinged using articulated shaft (4) formation
Pincers leaf (1), pincers leaf (1) front end be binding clip (2), pincers leaf (1) tail portion be connected with handle (3)；It is characterized in that: by the hinge
Spindle (4) is set as the cylinder form with axially extending bore (5), and the binding clip (2) is set as L shape elbow, utilizes " L "
The binding clip (2) of shape elbow clamps down on fracture distal end, so that pincers leaf (1) is remained the state parallel with bone face, with the axially extending bore (5)
For fixed brill hole location, drill bit can be directly toward bone face by axially extending bore (5) and apply brill and form drilling；Setting is by mobile scale
(9) and the positioning rule of rear sight base (8) composition, the rear sight base (8) are described in the fixing axle (8a) protruded out with its bottom surface is inserted in
In axially extending bore (5), make rear sight base (8) with bone face in parallel state, the mobile scale (9) is straight with scale marker
Ruler, mobile scale (9) limit can slide straightly in rear sight base (8) in the rear sight base (8)；In the mobile mark
Running fix hole (9a) is arranged in one end of ruler (9), and drill bit (7) can apply brill towards bone face side by the running fix hole (9a)
And form another drilling.
2. the fracture resetting tongs according to claim 1 for positioning drilling, it is characterized in that: the rear sight base (8) is with solid
Centered on dead axle (8a), it is respectively arranged with the through slot (8b) of strip in the left and right sides, mobile scale (9) are with rear sight base (8)
Two-way cooperation, the two-way cooperation refer to that running fix hole (9a) can match with the either side in left and right sides through slot (8b)
It closes, drill bit (7) applies brill towards bone face by the through slot (8b) of side corresponding on running fix hole (9a) and rear sight base (8).
3. the fracture resetting tongs according to claim 1 for positioning drilling, it is characterized in that: in the mobile scale (9)
There is the cylindrical drum (9b) protruded out in bottom surface, and the cylindrical drum (9b) and running fix hole (9a) connect to form drill guide bore.
4. the fracture resetting tongs according to claim 1 for positioning drilling, it is characterized in that: the rear sight base (8) is with phase
Mutually parallel a pair of tracks forms track slot, and mobile scale (9) limit can slide straightly in the track slot along track slot.
5. the fracture resetting tongs according to claim 1 for positioning drilling, it is characterized in that: by the mobile scale (9)
The center in running fix hole (9a) is set as " 0 " scale position, and the scale marker on mobile scale (9) is from " 0 " scale position
Towards the other end setting of mobile scale (9), the center on the rear sight base (8) corresponding to fixing axle (8a) is provided with
It is used to indicate the pointer of mobile scale (9) moving distance.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610826300.4A CN106388905B (en) | 2016-09-14 | 2016-09-14 | A kind of fracture resetting tongs positioning drilling |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610826300.4A CN106388905B (en) | 2016-09-14 | 2016-09-14 | A kind of fracture resetting tongs positioning drilling |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106388905A CN106388905A (en) | 2017-02-15 |
| CN106388905B true CN106388905B (en) | 2019-08-16 |
Family
ID=57997216
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610826300.4A Expired - Fee Related CN106388905B (en) | 2016-09-14 | 2016-09-14 | A kind of fracture resetting tongs positioning drilling |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106388905B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109938814B (en) * | 2019-02-27 | 2023-12-22 | 陈伟 | Reduction holding device for refractory intertrochanter fracture |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1184410A (en) * | 1995-05-17 | 1998-06-10 | 阿斯特拉公司 | Drill guide instrument |
| CN2464259Y (en) * | 2001-02-20 | 2001-12-12 | 罗雁如 | Protective forceps for guiding drill |
| EP1772106A1 (en) * | 2005-10-06 | 2007-04-11 | Zimmer GmbH | Instrument for preparing and/or working the femur head |
| CN206303946U (en) * | 2016-09-14 | 2017-07-07 | 合肥市第二人民医院 | A kind of fracture resetting tongs for positioning drilling |
-
2016
- 2016-09-14 CN CN201610826300.4A patent/CN106388905B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1184410A (en) * | 1995-05-17 | 1998-06-10 | 阿斯特拉公司 | Drill guide instrument |
| CN2464259Y (en) * | 2001-02-20 | 2001-12-12 | 罗雁如 | Protective forceps for guiding drill |
| EP1772106A1 (en) * | 2005-10-06 | 2007-04-11 | Zimmer GmbH | Instrument for preparing and/or working the femur head |
| CN206303946U (en) * | 2016-09-14 | 2017-07-07 | 合肥市第二人民医院 | A kind of fracture resetting tongs for positioning drilling |
Also Published As
| Publication number | Publication date |
|---|---|
| CN106388905A (en) | 2017-02-15 |
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Granted publication date: 20190816 Termination date: 20200914 |