CN102283699B - Combination type ankle joint three-dimensional traction fixing frame - Google Patents
Combination type ankle joint three-dimensional traction fixing frame Download PDFInfo
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- CN102283699B CN102283699B CN 201110178076 CN201110178076A CN102283699B CN 102283699 B CN102283699 B CN 102283699B CN 201110178076 CN201110178076 CN 201110178076 CN 201110178076 A CN201110178076 A CN 201110178076A CN 102283699 B CN102283699 B CN 102283699B
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Abstract
The invention relates to a combination type ankle joint three-dimensional traction fixing frame. The fixing frame mainly comprises a horseshoe-shaped ring and four carbon fiber connecting rods. Three Kirschner pins are locked through pin locking screws, pass through heel bones, shin bones and metatarsal bones three-dimensionally and are fixed on the horseshoe-shaped ring and the four carbon fiber connecting rods; and one or more ejector pins are locked through the pin locking screws to fix an inner ankle, an outer ankle and a rear ankle of an ankle bone. The fixing frame has a compact and stable structure, is convenient to use and detach and has low using cost, ankle joints and fracture blocks are firmly fixed, periosteum is not required to be stripped by a surgery, and the healing of damaged ankle joints is facilitated.
Description
Technical field
The present invention relates to a kind of ankle joint traction fixation supporter, is the combination type ankle joint traction fixation supporter that a kind of three-dimensional is threaded a needle fixing specifically.
Background technology
At present, human health and living standard in the serious threat of ankle joint wound fracture.The bone external fixator refers to penetrate locking pin at the far and near end of fracture percutaneous, to be exposed at the outer pin end of skin with connecting rod and purl screw again couples together, with a kind of therapeutic device that fracture site is fixed, its advantage is and can provides stable fixing for fracture end, do not destroy again local blood circulation, from mechanics and biologys two aspect be that advantage has been created in union of fracture.Domestic and international application has single arm support and ring-like two kinds at the external fixer of ankle joint fracture, and two kinds of external fixers are all to be fixed as major function.Although external fixation devices is more convenient, because be that force arm type dual is fixed, stability in the large and performance-adjustable are poor.General ankle joint toroidal frame is relatively heavy, does not also have to the sclerite thimble stationary device that resets of threading a needle flexibly, to have limited the application of external fixer in ankle fracture.
Summary of the invention
In order to solve ankle joint external fixer structural instability in the prior art, fixing not firm with patient's ankle joint, use, dismantle inconvenience, to complicated ankle joint fracture fix, the deficiency such as therapeutic effect is poor, the purpose of this invention is to provide a kind of compact conformation, stable, fixed with patient's ankle joint three dimensions, it is convenient to use, dismantle, effectively SACHfoot adaptor is fractured, the Combined type three dimensional ankle traction fixing bracket that traction therapeutic is effective.
The technical solution used in the present invention is: a kind of Combined type three dimensional ankle traction fixing bracket, its technical characterstic is mainly to comprise horseshoe type ring and four carbon fiber connecting rod, be provided with a plurality of through holes along arc direction on the described horseshoe type ring, left near horseshoe type ring opening part, first of right two ends, connect respectively first on two through holes, one end of two carbon fiber connecting rod, first, the other end of two carbon fiber connecting rod connects respectively first, two purl screws, the first Kirschner wire pass the first purl screw successively, calcaneus, the second purl screw also is locked at first, on the two purl screws; An end that connects respectively third and fourth carbon fiber connecting rod on third and fourth through hole near horseshoe type ring middle part, the other end of third and fourth carbon fiber connecting rod connects respectively third and fourth purl screw, third and fourth carbon fiber connecting rod lays respectively at left and right two parts of horseshoe type ring, and the second Kirschner wire passes successively the 3rd purl screw, metatarsal, the 4th purl screw and is locked on third and fourth purl screw; Horseshoe type ring left end between the third through-hole and horseshoe type ring right-hand member to the 5th between the fourth hole, clematis stem hole, be respectively equipped with the 7th, eight purl screws, the 3rd Kirschner wire passes successively the 7th purl screw, tibia, the 8th purl screw and by nut check the 7th, eight purl screws the 3rd Kirschner wire is pressed on the horseshoe type ring end face; First and second carbon fiber connecting rod is provided with one or more the 5th purl screws, and locking has the first thimble of bone fixation folded block on the 5th purl screw.The horseshoe type ring is through four carbon fiber they sup-port, first and second purl screw lock of first and second carbon fiber connecting rod is passed the first Kirschner wire of calcaneus, third and fourth purl screw lock of third and fourth carbon fiber connecting rod is passed the second Kirschner wire of metatarsal, first and second purl screw lock on the horseshoe type ring end face is passed the 3rd Kirschner wire of tibia, and fixed mount is fixed ankle joint in three dimensions through first, second and third Kirschner wire; The thimble of the purl screw lock on first and second carbon fiber connecting rod penetrates the ankle joint fracture piece of damage, and the different degree of impairments of internal malleolus, external malleolus, rear ankle according to ankle joint adopt respectively 1-2 root thimble that the sclerite of internal malleolus, external malleolus, rear ankle is fixed.
Described purl screw is bolt structure, and the purl screw is bolt structure, is equipped with the groove of threading a needle on the end face of purl screw near its bolt part; The bolt of described purl screw passes upper and lower connecting rod folder and is clamped on the carbon fiber connecting rod by nut check; The 7th through hole of described horseshoe type ring middle part connects the L-type Connection Block through bolt, and the bolt of the 6th purl screw passes upper and lower connecting rod folder and is clamped on the connecting rod of L-type Connection Block by nut, and locking has the second thimble that penetrates tibia on the 6th purl screw.When locking Kirschner wire or thimble, will be applied on the locking end face that Kirschner wire in the groove of threading a needle or thimble be pressed in lock-screw by the purl screw, lock-screw compresses firmly, and Kirschner wire or thimble locking effect are good; The purl screws bolts is passed upper and lower connection folder through nut check, upper and lower connecting rod folder can be different angles and clamp carbon fiber connecting rod or L-type Connection Block connecting rod, cooperates the purl screw to thread a needle the locking of groove towards changing the fixing of the ankle joint fracture piece that adapts to various orientation, angle.
On the L-type connecting rod was connected to through hole on the horseshoe type ring, L-type connecting rod one end passed upper and lower connecting rod folder and is clamped on the carbon fiber connecting rod by nut described four carbon fiber connecting rod respectively, the other end through nut check on the through hole on the horseshoe type ring.The horseshoe type ring connects carbon fiber connecting rod through the L-type connecting rod, and carbon fiber connecting rod and horseshoe type ring setting angle can be regulated by the L-type connecting rod, and the installation length of carbon fiber connecting rod can be clamped by upper and lower connecting rod folder the position adjustments of carbon fiber connecting rod.
All through holes are any one or combination in any in circular apertures, the waist-shaped hole on the described horseshoe type ring.During use, according to the different situations of patient's ankle joint, L-type connecting rod or L-type Connection Block fixed position activity change on the horseshoe type ring, applied widely.
Be equipped with the groove of threading a needle on the end face of all purl screws near its bolt part, the groove direction of threading a needle is vertical with the bolt section axial, when lock-screw is locked, when being convenient to nut portion pressing locking face Kirschner wire or thimble is compressed.
After adopting above technical scheme, the invention has the beneficial effects as follows:
1, fixed mount adopts carbon fiber connecting rod to support the horseshoe type ring, under the prerequisite that fully satisfies strength of materials requirement, can greatly avoid the photograph occlusion issue of fracture site, improve the diagnosis of postoperative iconography, and the steel connecting rod was light more in the past, the patient burden is light, provides advantage for early functional exercise reaches early stage examination heavy burden;
2, the horseshoe type ring carbon fiber of fixed mount connects and connects the purl screw on purl screw, the horseshoe type ring, Kirschner wire is threaded a needle fixing through purl screw or purl screw lock to calcaneus, tibia, metatarsal three-dimensional, can be from many planes, multi-facetedly provide favourable and lasting bed knife for the part of fracturing, fixed mount three dimensions stability is strong, can patient's ankle joint is fixed;
3, fixed mount is to penetrate successively first, second and third Kirschner wire at calcaneus, tibia and phalanx away from the ankle joint fracture part, destruction to the ankle joint fracture local soft tissue can be reduced away from ankle joint in the position of threading a needle, be conducive to the local blood fortune of protection fracture and the protection of self soft tissue, accelerating bone healing; The horseshoe type ring adopts the L-type connecting rod to connect carbon fiber connecting rod simultaneously, thereby the installation site of scalable L-type connecting rod different through holes on the horseshoe type ring and fixed angle are regulated carbon fiber connecting rod length, satisfying ankle joint is fixed in the back of the body and stretches neutral position and provide best mechanics support for the ankle joint fracture part, can avoid the ankle cave to narrow down, the back of the body is stretched ankle joint and is conducive to posterior joint capsule tractive back ankle fracture block reset simultaneously, and can produce adaptability to changes to fracture end by stable fixing, stimulate the bone growth accelerating union of bone fracture;
4, fixed mount first, two carbon fiber connecting rod are provided with 1-6 purl screw, purl screw screw is movable to be fixed on the carbon fiber connecting rod, according to internal malleolus, external malleolus, the fracture situation of rear ankle and fracture, match 1 to 2 thimble and after the purl screw lock, be diverse location in carbon fiber connecting rod, different angles are fixed the trimalleolar fracture piece respectively, ankle joint local bone folded block realization acupuncture needle is dialled bone, thimble is fixed, need not extensively to peel off periosteum, flexible operation, the operating time section, go out insufficiency of blood, be conducive to growth of spur, union of fracture has reduced infection rate simultaneously;
The using method of this fixed mount is:
1. 2-5mm after the calcaneus routine is threaded a needle a little runs through the first Kirschner wire of squeezing into 3mm from inside to outside, and the two ends of the first Kirschner wire are run through respectively in the groove of threading a needle of first and second purl screw, and by first and second purl screw pressing locking;
2. 10cm place on the tibia ankle joint, inboard the 3rd Kirschner wire of squeezing into 3mm before the rear lateral of tibia, the two ends of the 3rd Kirschner wire pass respectively the 7th, eight purl screws thread a needle groove and through the 7th, eight purl screw in compressions on the end face of horseshoe type ring;
3. at first metatarsal neck place, squeeze into the second Kirschner wire of 2-3mm to the second metatarsal bone direction from first metatarsal, the two ends of the second Kirschner wire are run through respectively in the groove of threading a needle of third and fourth purl screw, and by third and fourth purl screw pressing locking;
4. 8cm or 12cm place on the tibia ankle joint, the 4th Kirschner wire of 3mm is squeezed in the outside backward from the front inboard of tibia, the 4th Kirschner wire one end penetrates the proximal tibia cortical bone to the offside cortical bone, and the other end runs through in the groove of threading a needle of the 6th purl screw, and is locked by the 6th purl screw pressing;
5. according to ankle joint fracture degree of impairment and direction of displacement, select 1-6 the 5th purl screw to be installed on respectively the diverse location of first and second carbon fiber connecting rod, squeeze into the thimble of 1-6 root 3mm from the rightabout of displacement fracture, thimble one end is squeezed in the sclerite of damage and is corrected displacement fracture, the other end runs through the 5th purl screw threads a needle in the groove, and is locked by the 5th purl screw pressing;
6. after ankle joint was fixed, 5-6 removed after week.
Fixed mount of the present invention adopts three Kirschner wires to thread a needle fixing through purl screw or purl screw lock to calcaneus, tibia, metatarsal three-dimensional, and adopt one or more thimble through the purl screw lock internal malleolus, external malleolus, the internal malleolus of anklebone to be fixed, compact overall structure, stable, use, convenient disassembly, use cost is low, fixed to ankle joint and sclerite, need not the peeling operation periosteum, be conducive to the recovery from illness of sprained ankle.
Description of drawings
Fig. 1 is structural representation of the present invention;
Fig. 2 is the top view of Fig. 1;
Fig. 3 is purl bolt structure schematic diagram of the present invention.
Among the figure: horseshoe type ring 1, the first through hole 2, the second through holes 3, third through-hole 4, fourth hole 5, fifth hole 6, clematis stem hole 7, the seven through holes, 8, the first L-type connecting rods 9, the second L-type connecting rod 10, the three L-type connecting rods 11, the four L-type connecting rods 12, L-type Connection Block 13, connecting rod 14, upper connecting rod folder 15, lower link folder 16, the first carbon fiber connecting rods 17, the second carbon fiber connecting rods 18, the 3rd carbon fiber connecting rod 19, the four carbon fiber connecting rods 20, the first purl screws 21, the second purl screw 22, the three purl screws 23, the four purl screws 24, the 5th purl screw 25, the six purl screws 26, the seven purl screws 27, the 8th purl screw 28, the first Kirschner wires 29, the second Kirschner wires 30, the 3rd Kirschner wire 31, the first thimble 32, the second thimbles 33, the groove 34 of threading a needle.
The specific embodiment
The invention will be further described below in conjunction with drawings and embodiments.
Shown in Fig. 1-2, Combined type three dimensional ankle traction fixing bracket mainly comprises shape of a hoof ring 1, four L-type connecting rods 9,10,11,12, L-type Connection Block 13, four carbon fiber connecting rods 17,18,19,20, six purl screws 21,22,23,24,25,26 and two purl screws 27,28.Be provided with a plurality of through holes along arc direction on the horseshoe type ring 1, all through holes are any one or combination in any in circular apertures, the waist-shaped hole, connect first and second L-type connecting rod 9,10 1 ends through nut check respectively near on first and second through hole 2,3 at the left and right two ends of horseshoe type ring 1 opening part, the first L-type connecting rod 9 other ends pass upper and lower connecting rod folder 15,16 and clamp the first carbon fiber connecting rod 17 1 ends by nut, and the first carbon fiber connecting rod 17 other ends connect the first purl screw 21 through upper and lower connecting rod folder 15,16; The second L-type connecting rod 10 other ends pass upper and lower connecting rod folder 15,16 and clamp the first carbon fiber connecting rod 18 1 ends by nut, and the first carbon fiber connecting rod 18 other ends connect the first purl screw 22 through upper and lower connecting rod folder 15,16; Near horseshoe type ring 1 middle part third and fourth through hole 4,5 on connect third and fourth L-type connecting rod 11,12 1 ends through nut check respectively, the 3rd L-type connecting rod 11 other ends pass upper and lower connecting rod folder 15,16 and clamp the 3rd carbon fiber connecting rod 19 1 ends by nut, and the 3rd carbon fiber connecting rod 19 other ends connect the 3rd purl screw 23 through upper and lower connecting rod folder 15,16; The 4th L-type connecting rod 12 other ends pass upper and lower connecting rod folder 15,16 and clamp the 4th carbon fiber connecting rod 20 1 ends by nut, and the first carbon fiber connecting rod 20 other ends connect the first purl screw 24 through upper and lower connecting rod folder 15,16; Horseshoe type ring 1 left end first is respectively equipped with the 7th, eight purl screws 27,28 to the fifth hole 6 between the third through-hole and horseshoe type ring 1 right-hand member second to the clematis stem hole 7 between the fourth hole, be equipped with the groove 34 of threading a needle on the end face of all purl screws near its bolt part; By the nut clamping the 5th purl screw 25 is arranged through upper and lower connecting rod folder 15,16 on the first carbon fiber connecting rod 17; The 7th through hole 8 of horseshoe type ring 1 middle part connects L-type Connection Block 13 through bolt, by the nut clamping the 6th purl screw 26 is arranged through upper and lower connecting rod folder on the connecting rod 14 of L-type Connection Block 13.
When Combined type three dimensional ankle traction fixing bracket uses, the first Kirschner wire 29 passes the first purl screw 21 thread a needle groove and being locked on first and second purl screw 21,22 of groove, model of human ankle calcaneus, the second purl screw 22 of threading a needle successively, and the second Kirschner wire 30 passes the 3rd purl screw 23 the thread a needle groove and being locked on third and fourth purl screw 23,24 of groove, model of human ankle metatarsal, the 4th purl screw 24 of threading a needle successively; The 3rd Kirschner wire 31 passes the groove and the 3rd Kirschner wire 31 is pressed on horseshoe type ring 1 end face by nut check the 7th, eight purl screws 27,28 of threading a needle of the groove of threading a needle, model of human ankle tibia, the 8th purl screw 28 of the 7th purl screw 27 successively; The thread a needle locking on the groove of the 5th purl screw 25 has the first thimble 32 of directed fixing human ankle joint fracture piece; The 6th purl screw 26 is threaded a needle, and locking has orientation to penetrate the second thimble 33 of model of human ankle tibia on the groove.
Shown in Figure 3, the purl screw is bolt structure, and the nut portion of lock-screw is provided with the groove 34 of threading a needle towards the plane of bolt part, and the groove direction of threading a needle is vertical with the bolt section axial, when lock-screw is locked, when being convenient to nut portion pressing locking face Kirschner wire or thimble are compressed.
When this Combined type three dimensional ankle traction fixing bracket uses:
At first 2-5mm after the calcaneus routine of model of human ankle is threaded a needle a little runs through the first Kirschner wire of squeezing into 3mm from inside to outside, and the two ends of the first Kirschner wire are run through respectively in the groove of threading a needle of first and second purl screw, and by first and second purl screw pressing locking;
10cm place on the tibia ankle joint of model of human ankle again, inboard the 3rd Kirschner wire of squeezing into 3mm before the rear lateral of tibia, the two ends of the 3rd Kirschner wire pass respectively the 7th, eight purl screws thread a needle groove and through the 7th, eight purl screw in compressions on the end face of horseshoe type ring;
At first metatarsal neck place, squeeze into the second Kirschner wire of 2-3mm to second metatarsal bone from first metatarsal again, the two ends of the second Kirschner wire are run through respectively in the groove of threading a needle of third and fourth purl screw, and by third and fourth purl screw pressing locking;
Then, 8cm or 12cm place on the tibia ankle joint of model of human ankle, the 4th Kirschner wire of 3mm is squeezed in the outside backward from the front inboard of tibia, the 4th Kirschner wire one end penetrates the proximal tibia cortical bone to the offside cortical bone, the other end runs through in the groove of threading a needle of the 6th purl screw, and is locked by the 6th purl screw pressing;
At last, can be according to ankle joint fracture degree of impairment and direction of displacement, select 1-6 the 5th purl screw to be installed on respectively the diverse location of first and second carbon fiber connecting rod, squeeze into the thimble of 1-6 root 3mm from the rightabout of displacement fracture, thimble one end is squeezed in the sclerite of damage and is corrected displacement fracture, the other end runs through in the groove of threading a needle of the 5th purl screw, and is locked by the 5th purl pressing; After ankle joint was fixing, general 5-6 removed after week.
Claims (5)
1. Combined type three dimensional ankle traction fixing bracket, it is characterized in that: mainly comprise horseshoe type ring (1) and four carbon fiber connecting rod (17,18,19,20), be provided with a plurality of through holes along arc direction on the described horseshoe type ring, left near horseshoe type ring opening part, first of right two ends, two through holes (2,3) connect first through the L-type connecting rod respectively, two carbon fiber connecting rod (17,18) a end, first, the other end of two carbon fiber connecting rod connects respectively first, two purl screws (21,22), the first Kirschner wire (29) passes the first purl screw (21) successively, calcaneus, the second purl screw (22) also is locked at first, on the two purl screws; Third and fourth through hole (4 near horseshoe type ring middle part, 5) connect third and fourth carbon fiber connecting rod (19 through the L-type connecting rod respectively, 20) a end, the other end of third and fourth carbon fiber connecting rod connects respectively third and fourth purl screw (23,24), third and fourth carbon fiber connecting rod lays respectively at left and right two parts of horseshoe type ring, and the second Kirschner wire (30) passes successively the 3rd purl screw (23), metatarsal, the 4th purl screw (24) and is locked on third and fourth purl screw; A described L-type connecting rod respectively end passes upper and lower connecting rod folder and is clamped on the corresponding carbon fiber connecting rod by nut, the other end through nut check on through hole corresponding to horseshoe type ring; Horseshoe type ring left end between the third through-hole (4) and horseshoe type ring right-hand member to the 5th between the fourth hole (5), clematis stem hole (6,7) be respectively equipped with the 7th, eight purl screws (27 on, 28), the 3rd Kirschner wire (31) passes successively the 7th purl screw, tibia, the 8th purl screw and by nut check the 7th, eight purl screws the 3rd Kirschner wire is pressed on the horseshoe type ring end face; First and second carbon fiber connecting rod is provided with one or more the 5th purl screws (25), and locking has first thimble (32) of bone fixation folded block on the 5th purl screw.
2. Combined type three dimensional ankle traction fixing bracket according to claim 1, it is characterized in that: described purl screw is bolt structure, is equipped with the groove of threading a needle (34) on the end face of purl screw near its bolt part.
3. Combined type three dimensional ankle traction fixing bracket according to claim 2 is characterized in that: the bolt of described purl screw passes upper and lower connecting rod folder (15,16) and is clamped on the carbon fiber connecting rod by nut check.
4. Combined type three dimensional ankle traction fixing bracket according to claim 2, it is characterized in that: the 7th through hole (8) of described horseshoe type ring (1) middle part connects L-type Connection Block (13) through bolt, the bolt of the 6th purl screw (26) passes upper and lower connecting rod folder (15,16) be clamped on the connecting rod (14) of L-type Connection Block by nut, locking has the second thimble (33) that penetrates tibia on the 6th purl screw.
5. Combined type three dimensional ankle traction fixing bracket according to claim 1 is characterized in that: all through holes are any one or combination in any in circular apertures, the waist-shaped hole on the described horseshoe type ring.
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CN 201110178076 CN102283699B (en) | 2011-06-29 | 2011-06-29 | Combination type ankle joint three-dimensional traction fixing frame |
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CN 201110178076 CN102283699B (en) | 2011-06-29 | 2011-06-29 | Combination type ankle joint three-dimensional traction fixing frame |
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CN102283699B true CN102283699B (en) | 2013-01-16 |
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Families Citing this family (7)
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CN102551854B (en) * | 2012-01-17 | 2014-05-07 | 张英泽 | Three-dimensional fracture repositor |
CN103445842B (en) * | 2013-09-06 | 2015-05-13 | 江苏广济医疗科技有限公司 | Talipes equines orthosis |
CN103622736B (en) * | 2013-12-12 | 2016-02-03 | 游硕 | For the fracture reduction fixator of extremity long diaphysis |
CN106073871B (en) * | 2016-07-06 | 2017-06-13 | 张群 | It is applied to the external fixator that fibula is laterally moved |
TR201617639A1 (en) * | 2016-12-01 | 2018-06-21 | Univ Yeditepe | AN EXTERNAL FIXER |
CN110251219A (en) * | 2019-07-17 | 2019-09-20 | 昆明青莲医疗器械有限公司 | A kind of calcaneum ring and with bone external fixation device and calcaneum orthodontic device |
CN113288381B (en) * | 2021-05-31 | 2022-08-26 | 河北省胸科医院 | Combined external fixing frame for fracture and using method thereof |
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US20040073212A1 (en) * | 2002-10-15 | 2004-04-15 | Kim Jung Jae | Extracorporeal fixing device for a bone fracture |
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SU1769871A1 (en) * | 1990-11-28 | 1992-10-23 | Oganes V Oganesyan | Apparatus for treatment of angle joint |
RU2229270C2 (en) * | 2002-02-04 | 2004-05-27 | Саратовский государственный медицинский университет | Fixation method for treating the cases of hindfoot and crus injuries and deformities |
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CN202146352U (en) * | 2011-06-29 | 2012-02-22 | 成永忠 | Combined type three dimensional ankle traction fixing bracket |
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