CN102551832B - Minimal invasion heel tendon fixing anastomat - Google Patents
Minimal invasion heel tendon fixing anastomat Download PDFInfo
- Publication number
- CN102551832B CN102551832B CN201110447226.2A CN201110447226A CN102551832B CN 102551832 B CN102551832 B CN 102551832B CN 201110447226 A CN201110447226 A CN 201110447226A CN 102551832 B CN102551832 B CN 102551832B
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- Prior art keywords
- heel
- heel string
- anastomat
- fixing
- shaped ring
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- 210000002435 tendon Anatomy 0.000 title claims abstract description 30
- 230000009545 invasion Effects 0.000 title claims abstract description 15
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 28
- 210000000474 heel Anatomy 0.000 claims description 81
- 210000000459 calcaneus Anatomy 0.000 claims description 10
- 230000000694 effects Effects 0.000 claims description 9
- 230000007246 mechanism Effects 0.000 claims description 3
- 230000003872 anastomosis Effects 0.000 abstract description 7
- 208000015181 infectious disease Diseases 0.000 abstract description 5
- 230000036770 blood supply Effects 0.000 abstract description 2
- 210000001361 achilles tendon Anatomy 0.000 description 16
- 239000008280 blood Substances 0.000 description 10
- 210000004369 blood Anatomy 0.000 description 10
- OSGAYBCDTDRGGQ-UHFFFAOYSA-L calcium sulfate Chemical compound [Ca+2].[O-]S([O-])(=O)=O OSGAYBCDTDRGGQ-UHFFFAOYSA-L 0.000 description 8
- 238000000034 method Methods 0.000 description 8
- 210000002683 foot Anatomy 0.000 description 7
- 206010002091 Anaesthesia Diseases 0.000 description 6
- 208000027418 Wounds and injury Diseases 0.000 description 6
- 230000037005 anaesthesia Effects 0.000 description 6
- 210000000544 articulatio talocruralis Anatomy 0.000 description 6
- 230000035876 healing Effects 0.000 description 6
- 230000006378 damage Effects 0.000 description 4
- 210000001699 lower leg Anatomy 0.000 description 4
- 210000002303 tibia Anatomy 0.000 description 4
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 2
- 206010043248 Tendon rupture Diseases 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- ZMNSRFNUONFLSP-UHFFFAOYSA-N mephenoxalone Chemical compound COC1=CC=CC=C1OCC1OC(=O)NC1 ZMNSRFNUONFLSP-UHFFFAOYSA-N 0.000 description 2
- 229960001030 mephenoxalone Drugs 0.000 description 2
- 230000008439 repair process Effects 0.000 description 2
- 238000009958 sewing Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 208000025978 Athletic injury Diseases 0.000 description 1
- 206010023204 Joint dislocation Diseases 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 229910052602 gypsum Inorganic materials 0.000 description 1
- 239000010440 gypsum Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 229910052742 iron Inorganic materials 0.000 description 1
- 230000008407 joint function Effects 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 238000002690 local anesthesia Methods 0.000 description 1
- 230000033001 locomotion Effects 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000000306 recurrent effect Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 210000002027 skeletal muscle Anatomy 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 238000005728 strengthening Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The invention belongs to an instrument for wound anastomosis and particularly discloses a minimal invasion heel tendon fixing anastomat which comprises a calcaneal bone positioning group and a heel tendon positioning group, wherein each of the two positioning groups comprises U-shaped rings, a main connecting rod, a universal fixing screw cap and a fixing needle; the fixing needle is fixedly connected with the U-shaped ring through the universal fixing screw cap; U-shaped rings in the same positioning group are connected by the main connecting rod under the action of the universal fixing screw cap; and different positioning groups are fixedly connected by an auxiliary connecting rod. With the adoption of the minimal invasion heel tendon fixing anastomat, the connection stability of the broken end of the heel tendon wound is improved, the blood supply to the heel tendon is not damaged, and the infection of suture line and rejection are avoided.
Description
Technical field
The medical apparatus and instruments that the invention belongs to the wound that coincide, is specifically related to a kind of minimal invasion heel tendon fixing anastomat.
Background technology
Fresh Rupture of Achilles Tendons is a kind of common labor operation, military training, athletic injury, and the common site of fracture is calcaneus stop 2-6cm place, and according to report, rupture of Achilles tendon occupies the 3rd in tendon rupture.Reparation after rupture of Achilles tendon usually, because of adhesion of tendon, cicatricial reparation, bad, the infection of healing, sutural rejection etc., makes heel string healing not reach desirable requirement.Its generation supplies relatively rare relevant with therapeutic modality and the local blood of heel string.It is mainly to be provided by mesotendon that the blood of heel string supplies.Fresh Rupture of Achilles Tendons divides closure and opening, its common damage of closed rupture ofachilles tendon mechanism is stretched and when health gravity falls within front foot for knee joint, the unexpected unexpected dorsiflex of ankle joint, or the violent dorsiflex of foot of plantar flexion while falling from a certain height, the tendon under contraction state is subject to direct violence effect or tears and cause rupture of Achilles tendon.Open rupture of Achilles tendon often because glass incised wound, cutter are chopped wound, floor tile, ceramics incised wound, hacksaw, iron plate incised wound etc.
Fresh Rupture of Achilles Tendons is as treated, and the heel string of fracture is after 1 week, between the heel string broken ends of fractured bone by scar tissue filling, will be elongated after healing process of tendons, cause the suffering limb heel string of can not having stood on tiptoe, the activities such as running, jump and stair activity all will be affected.The Therapeutic Method of rupture of Achilles tendon comprises non-operation and operation.Non-operative treatment: disconnected mainly for closure heel string, with the heel string of slightly tearing, or older, complication is many, the patient not high to functional requirement, usually adopts non-operative treatment.Be that patient keeps foot plantar flexion 20-30 degree, give Gypsum Fibrosum or brace fixing 3-6 week outward after the heel string of reduction fracture, the prevention ankle joint back of the body is stretched, complete non-heavy burden.Although non-operative treatment is to heel string blood for without destroying, because rupture of Achilles tendon only depends on Gypsum Fibrosum or brace outer SACHfoot adaptor indirectly, ankle joint can produce fine motion, makes the unstable of involutory connection between the heel string broken ends of fractured bone, affects heel string and heals.The rate of report non-operative treatment recurrent tendon rupture is at present 39%.So conservative non-operative treatment weak effect.
The operative treatment of rupture of Achilles tendon is at present to carry out after lumbar anesthesia.Surgical repair rupture of Achilles tendon method, from simple Bunnell, Kessler end to end anastomosis, utilizes fascia, plantaris muscle tendon, peroneal tendon strengthening or artificial tendon transplanting etc. to more complicated.Operation method is varied.No matter closure or open rupture of Achilles tendon, in order to repair and the involutory heel string broken ends of fractured bone, all need the incision surgery incision of growing to manifest peeling off of normal heel string part Ji Hang paratenon, so that stitching thread is fixed on to normal tendon tissue, unavoidably cause heel string local organization blood fortune is destroyed, the complication such as result causes adhesion of tendon, cicatricial reparation, it is bad to heal, infection, sutural rejection occur.Ankle joint function is stiff, so above various operation method treatment rupture of Achilles tendon effect is still unsatisfactory.Heel string minimally-invasive treatment new method is as tendon skin sewing, joint endoscopic stapler, Achillon anastomat sewing etc., although operative incision obviously reduces, also can make broken ends of fractured bone stable connection, but still inevitably exist complication such as the blood fortune damage of heel string, sutural infection rejections, affect heel string healing.
No matter be at present operation or non-operative treatment, postoperative ankle all needs to give Gypsum Fibrosum or brace fixing 3-6 week outward, to keep patient's foot plantar flexion 20-30 degree, makes the identical heel string broken ends of fractured bone keep tension-free state, is conducive to heel string healing.But long-time Gypsum Fibrosum or brace be fixing compressing outward, the one, cause shank disturbance of blood circulation, the blood that affects heel string supplies; The one, Gypsum Fibrosum or brace are fixed outward to become flexible or rupture and can not be kept patient's foot plantar flexion 20-30 degree position, and the one, long-time Gypsum Fibrosum or brace are fixed the misery that compressing shank patient produces extreme discomfort outward.
Summary of the invention
Stability that the technical problem to be solved in the present invention is to provide a kind of heel string end-to-end anastomosis is high, avoid stitching thread to infect, can keep foot plantar flexion 20-30 degree, to heel string blood for the minimal invasion heel tendon fixing anastomat without destroying.
In order to solve the problems of the technologies described above, the invention provides a kind of minimal invasion heel tendon fixing anastomat, comprise calcaneus location group and heel string location group, two location groups include U-shaped ring, master link, universal hold-doun nut and locking pin, and locking pin is fixedly connected with U-shaped ring by universal hold-doun nut; With connecting under universal hold-doun nut effect by master link between the U-shaped ring in the group of location, between the group of different location, by auxiliary connecting rod, be fixedly connected with.
Adopt the minimal invasion heel tendon fixing anastomat tool of technique scheme to have the following advantages: 1, owing to intersecting locking pins each own two pieces of tibia and calcaneus, by U-shaped ring and connecting rod, regulate and make dislocation of ankle joint be fixed on 20-30 ° of plantar flexion position, avoided conventional gypsum holder or brace fixedly to cause outward: the one, shank disturbance of blood circulation, the blood that affects heel string supplies; The one, Gypsum Fibrosum or brace are fixed outward to become flexible or rupture and can not be kept patient's foot plantar flexion 20-30 degree position, and the one, long-time Gypsum Fibrosum or brace are fixed the misery that compressing shank patient produces extreme discomfort outward.Tentatively make the involutory and stability between the heel string broken ends of fractured bone improve.2, the far and near end of the heel string broken ends of fractured bone is provided with a U-shaped ring and the arm of threading a needle separately, thread a needle on arm and be provided with not in the conplane hole of threading a needle, by the hole of threading a needle, heel string broken ends of fractured bone locking pin is held respectively through the distance of heel string, coincide after the alignment heel string broken ends of fractured bone, heel string locking pin is fixed on threads a needle on arm, and the U-shaped ring of arm and heel string of threading a needle is connected and fixed, the U-shaped interannular of heel string forms the relative heel string broken ends of fractured bone by two connecting rods and is fixed into an individual system, coincide and has fixed rupture of Achilles tendon place reliably.Two connecting rods of heel string portion are connected with calcaneus any two connecting rods wherein with tibia again.So complete fixing heel string fixed anastomosis system forms, and makes heel string end-to-end anastomosis fixing more firm.2, owing to having saved the wound of operative incision, there is no peeling off of paratenon, the blood of heel string does not sustain damage for system, so heel string healing is carried out under normal blood supplies, has reduced Tendon Adhesion, cicatricial reparation, malunited generation; 3, saved sutural use, avoided sutural infection and sutural rejection; 4, on the arm of threading a needle, be provided with not in the conplane hole of threading a needle, reduced the cutting damage of heel string locking pin to heel string; 5, the anesthesia of operation can just can complete under local anesthesia, and anesthesia method is simple and quick, has reduced the risk of lumbar anesthesia, reduces patient's anesthesia cost, under urgent environment, under simple and easy condition, can carry out.
As a further improvement on the present invention, the present invention also comprises for being fixedly arranged in parallel and through the arm of threading a needle of the locking pin of the heel string broken ends of fractured bone.Locking pin through the heel string broken ends of fractured bone is cross arrangement or is arranged in parallel, and when arranged crosswise, locking pin can directly be fixed on U-shaped ring by universal hold-doun nut, must use the arm of threading a needle and assist the locking pin that departs from U-shaped ring to fix when being arranged in parallel.
Further, through the locking pin arranged crosswise of the heel string broken ends of fractured bone, be fixed on U-shaped ring, because the optional mode of choosing friends fork of different situations of rupture of Achilles tendon fixes.
Further, because the position of patient's rupture of Achilles tendon is different, the fixed position of heel string fixed anastomosis device also can occur to adjust and change, for solving this technical problem, connecting rod is set to slidably mechanism, adapts to the position of the heel string broken ends of fractured bone by the length of slidable adjustment connecting rod.
Accompanying drawing explanation
Below in conjunction with the drawings and specific embodiments, the present invention is further detailed explanation:
Fig. 1 is that minimal invasion heel tendon fixing anastomat of the present invention is fixed on the structural representation on calcaneus;
Fig. 2 is that minimal invasion heel tendon fixing anastomat of the present invention is fixed on the structural representation on heel string;
Fig. 3 is two groups of U-shaped rings schematic diagrams that are connected.
The specific embodiment
As shown in Figure 1, the invention provides a kind of minimal invasion heel tendon fixing anastomat, comprise calcaneus location group and heel string location group, two location groups include U-shaped ring 2, master link 3, universal hold-doun nut 1 and locking pin 4, and locking pin 4 is fixedly connected with U-shaped ring 2 by universal hold-doun nut 1; With connecting under universal hold-doun nut 1 effect by master link 3 between the U-shaped ring 2 in the group of location, between the group of different location, by auxiliary connecting rod 6, be fixedly connected with.
Four of four, required U-shaped ring during use, four of bone locking pins and heel string locking pins, 14 of universal hold-doun nuts, four, the arm of threading a needle, four, the arm nut of threading a needle, five of connecting rods.
After anesthesia, affected part routine disinfection paving is single, check out the disconnected place of heel string, first determine the position of thrusting of tibia and calcaneus locking pin, with electric drill, respectively bone locking pin is intersected and squeezes into tibia and calcaneus, U-shaped ring is placed on to bone locking pin position, make bone locking pin through the universal hold-doun nut on U-shaped ring, adjust U-shaped ring and tighten universal hold-doun nut, bone locking pin is integrally connected, on U-shaped ring by universal hold-doun nut and U-shaped ring, connecting rod is installed, in the plantar flexion position of ankle joint 20-30 degree, regulate the bar that is slidably connected, make the length of connecting rod be satisfied with position to reach; Peaceful tight universal hold-doun nut, the bar that makes to be slidably connected is connected with U-shaped ring is stable.Again determine heel string broken ends of fractured bone position, from proximal end, broken ends of fractured bone 1cm left and right, placing the U-shaped ring of heel string, both sides install respectively the arm of threading a needle, adjust the arm position of threading a needle, make to thread a needle arm and heel string direction one to, by the arm of the threading a needle hole of threading a needle, locking pin is penetrated to heel string, will penetrate heel string locking pin and fix by nut with the arm of threading a needle; Same method is being nested into relevant position from the U-shaped ring of broken ends of fractured bone 1cm left and right far-end placement heel string by U-shaped ring, both sides install respectively the arm of threading a needle, adjust the arm position of threading a needle, make to thread a needle arm and heel string direction one to, by the arm of the threading a needle hole of threading a needle, locking pin is penetrated to heel string, will penetrate heel string locking pin and fix by nut with the arm of threading a needle; Make the heel string broken ends of fractured bone in order, confirm that the heel string broken ends of fractured bone is involutory intact, the fastening nut arm that makes to thread a needle is fixing tight with the U-shaped ring of heel string, the U-shaped bar that is slidably connected of installation heel string, the length of adjusting the bar that is slidably connected by adjusting hold-doun nut, to reach heel string broken ends of fractured bone tight connecting, can complete the operation of heel string fixed anastomosis.Heel string connected system and bone connected system are fixed together by universal hold-doun nut and connecting rod, form one firmly, minimal invasion heel tendon fixing anastomat that stability is high, apply this anastomat simple to operation, fixing reliable, do not destroy heel string blood and supply, avoid stitching thread to infect and rejection, reduced Tendon Adhesion, cicatricial reparation.
Above-described is only the preferred embodiment of the present invention, should be understood that for a person skilled in the art, not departing under the prerequisite of structure of the present invention, can also make some distortion and improvement, these can not affect effect of the invention process and practical applicability.
Claims (3)
1. a minimal invasion heel tendon fixing anastomat, is characterized in that: comprise calcaneus location group and heel string location group, two location groups include U-shaped ring, master link, universal hold-doun nut and locking pin, and locking pin is fixedly connected with U-shaped ring by universal hold-doun nut; With connecting under universal hold-doun nut effect by master link between the U-shaped ring in the group of location, between the group of different location, by auxiliary connecting rod, be fixedly connected with, described master link is telescopic mechanism.
2. minimal invasion heel tendon fixing anastomat according to claim 1, is characterized in that: also comprise for being fixedly arranged in parallel and through the arm of threading a needle of the locking pin of the heel string broken ends of fractured bone.
3. minimal invasion heel tendon fixing anastomat according to claim 1, is characterized in that: the locking pin arranged crosswise through the heel string broken ends of fractured bone is fixed on U-shaped ring.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110447226.2A CN102551832B (en) | 2011-12-28 | 2011-12-28 | Minimal invasion heel tendon fixing anastomat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110447226.2A CN102551832B (en) | 2011-12-28 | 2011-12-28 | Minimal invasion heel tendon fixing anastomat |
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| Publication Number | Publication Date |
|---|---|
| CN102551832A CN102551832A (en) | 2012-07-11 |
| CN102551832B true CN102551832B (en) | 2014-02-12 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201110447226.2A Expired - Fee Related CN102551832B (en) | 2011-12-28 | 2011-12-28 | Minimal invasion heel tendon fixing anastomat |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109567914B (en) * | 2018-11-16 | 2021-03-02 | 四川大学华西医院 | Scalable defective bone restoration external fixation device |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2708857Y (en) * | 2004-06-01 | 2005-07-13 | 左中男 | Regulatable bone fracture replacement external fixator |
| CN201734738U (en) * | 2010-08-25 | 2011-02-09 | *** | Tendon approximator |
| CN202589589U (en) * | 2011-12-28 | 2012-12-12 | 任小宝 | Minimal invasion tendo calcaneus fixing anastomat |
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2011
- 2011-12-28 CN CN201110447226.2A patent/CN102551832B/en not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2708857Y (en) * | 2004-06-01 | 2005-07-13 | 左中男 | Regulatable bone fracture replacement external fixator |
| CN201734738U (en) * | 2010-08-25 | 2011-02-09 | *** | Tendon approximator |
| CN202589589U (en) * | 2011-12-28 | 2012-12-12 | 任小宝 | Minimal invasion tendo calcaneus fixing anastomat |
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| Publication number | Publication date |
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| CN102551832A (en) | 2012-07-11 |
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Effective date of registration: 20200616 Address after: Chongqing city Shapingba street 400038 gaotanyan No. 30 Patentee after: NANFANG Hospital Address before: Chongqing city Shapingba street 400038 gaotanyan No. 29 Patentee before: Ren Xiaobao |
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Granted publication date: 20140212 Termination date: 20201228 |