CN102641149B - Hip joint dislocation reset traction device - Google Patents
Hip joint dislocation reset traction device Download PDFInfo
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- CN102641149B CN102641149B CN201110040918.5A CN201110040918A CN102641149B CN 102641149 B CN102641149 B CN 102641149B CN 201110040918 A CN201110040918 A CN 201110040918A CN 102641149 B CN102641149 B CN 102641149B
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- spicule
- ilium
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- folder
- hip joint
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Abstract
The invention relates to a hip joint dislocation reset traction device, which consists of an ilium bone needle, an ilium bone needle clamp, a connecting plate, a triangular force application frame, regulating and fixing screw nuts, an auxiliary guide rail, a near end thigh bone needle clamp, a main guide rail, a thigh bone needle, a far end thigh bone needle clamp and a guide sleeve, wherein the ilium bone needle clamp is a plate element with the curvature similar to the curvature of the human body ilium bone and is combined with the ilium bone needle, the lower part of the ilium bone needle clamp is connected with the connecting plate, the connecting plate is screwed with the main guide rail, the triangular force application frame is fixedly clamped on the main guide rail, the auxiliary guide rail is arranged on the triangular force application frame in a penetrating way, and the regulating and fixing screw nuts and screws are respectively used for combination. The far end thigh bone needle clamp and the near end thigh bone needle clamp are respectively arranged at the far end of the main guide rail in a penetrating way, the regulating and fixing screw nuts are respectively screwed on the main guide rail arranged at the two sides, and the thigh bone needle is penetrated and clamped on the near end thigh bone needle clamp and the far end thigh bone needle clamp. The hip joint dislocation reset traction device is applicable to hip joint dislocation reset, is also applicable to hip joint dislocation reset and patients with short sick legs requiring the thigh bone lengthening, is also applicable to hip joint dislocation reset and patients with sick legs requiring thigh bone shortening, and can also be used for femoral head slipped epiphysis correction on juveniles.
Description
Technical field
The present invention relates to orthopaedics field.Relate in particular to a kind of reduction traction device for hip joint dislocation that dislocation of hip joint and slipped femoral epiphysis need reset.
Background technology
Hip joint forms a mobilizable joint by the acetabular bone on femoral head and ilium, when departing from, femoral head and mortar nest just cause dislocation of hip joint, often owing to resetting, become not in time old hip dislocation, the distance of its dislocation reaches several centimetres sometimes, often at de-bit position, forms again a new mortar nest and reaches the several years, affect people's motion, because new acetabular bone is too little, not only support unstable, to a dating there is pain, moving difficulty, also easily causes femoral head distortion or downright bad.Just address this problem and should make its reset.The fresh hip dislocation producing for dislocation mild degree or due to wound, often adopts simple skin to lead or the upper traction of the bed of threading a needle can be gathered effect.But for old, especially dislocation is apart from the reset of large dislocation of hip joint, very difficult by above-mentioned way, even may not complete the task of reset.Adopt the secondary damage of method of operation too large, effect is also undesirable, if child is by affecting the growth in its all one's life and life from now on, for adult, affects its work and motion, has a strong impact on his life quality.The capital epiphysis of the teenage patient place also having is because external force or other reason also easily produce slippage, adopts skin to lead or the common application of force all can not reset.
Summary of the invention
For complete the object of the reliable reset of dislocation of hip joint or slipped femoral epiphysis invented simple in structure, easy to operate, draw adjustable reduction traction device for hip joint dislocation.The patient that this invention is short for hip-joint repositioning future trouble leg length or trouble lower limb is longer than another good lower limb, also can disposablely extend or carry out after cripetura reaches reduction by traction to make the consistent object of two leg lengths with the present invention.That is to say that the present invention is applicable to the reset of dislocation of hip joint; The rectification of slipped femoral epiphysis; Also can when completing dislocation of hip joint reset, complete the short prolongation work of femur, or complete the cripetura task that completes femur length when dislocation of hip joint resets.
The present invention is that the technical scheme that its technical barrier of solution adopts is comprised of ilium spicule, ilium spicule folder, connecting plate, triangle boosting frame, the solid nut of tune, auxiliary guide rail, proximal femurs spicule folder, main guide rail, femur spicule, distal femoral spicule folder, guide pin bushing.
Ilium spicule folder is a plate that curvature is close with human body ilium curvature, and the through hole by its edge combines with ilium spicule, and bottom becomes screw to be connected with connecting plate.Connecting plate is being twisted two main guide rails, clamping two groups of triangle boosting frames on main guide rail, auxiliary guide rail is installed on two groups of triangle boosting frames, respectively with adjusting solid nut and screw association, the far-end of main guide rail is installed with closely, distal femoral spicule folder, closely, on the main guide rail of distal femoral spicule folder both sides, twisting respectively and adjusting solid nut, femur spicule to wear to be clipped near, distal femoral spicule folder.
Ilium spicule folder consists of a plate that curvature is close with human body ilium curvature by rear plate, lock-screw, header board and lock shaft, rear plate and header board are riveted together with lock shaft, the inclination angle that changes junction changes its curvature, top edge at header board, rear plate is drilled with through hole to ilium spicule is penetrated, and is tightened up with lock-screw.Downside at rear plate is processed with screwed hole, in order to be combined with connecting plate.
Connecting plate by connecting plate body, hold-down screw forms.Connecting plate body is a rectangle plate, and top is designed with two tapped blind holes and is threaded with main guide rail, and below is drilled with two through holes and penetrates hold-down screw and press from both sides and be connected with ilium spicule.
Main guide rail is two screw thread members.
Triangle boosting frame is comprised of attachment screw, undercarriage piece, upper frame block.Undercarriage piece and upper frame block are combined triangular in shape with attachment screw, design three through holes on three angles, and it respectively accounts for half two through holes of upper frame block and undercarriage piece junction, this two holes clamping main guide rail, and a hole of top is passed auxiliary guide rail.
Auxiliary guide rail is also a screw thread member.
Proximal femurs spicule folder is comprised of hold-down screw, spicule folder upper cover, spicule clamp.There is the rectangular-shaped piece of through hole at spicule folder upper cover Shi Yige center, with trip bolt, is connected with spicule clamp, has through hole on joint face, and in order to clamp femur spicule, the side-lower of spicule clamp is drilled with two through holes, to be installed on main guide rail.
Distal femoral spicule clamping structure is identical with proximal femurs spicule clamping structure.
On the main guide rail of the both sides of triangle boosting frame and near, distal femoral spicule folder and be screwed with respectively on auxiliary guide rail and adjust solid nut.
Guide pin bushing is the T shape ladder cylindrical member that a centre is through hole, as the guiding directional orientation tool of beating spicule hole on ilium or on femur.
(1) while resetting traction for dislocation of hip joint:
According to the solid nut of the tune of doctor's design adjusting triangle boosting frame both sides, make the triangle boosting frame of near-end near connecting plate, the triangle boosting frame of far-end is as much as possible near proximal femurs spicule folder, regulate the solid nut of tune of its both sides to make, after the prestressing force of the anti-inflection of triangular beam structure generation that main guide rail and auxiliary guide rail form, to screw each and adjust solid nut.At main guide rail far-end, installed proximal femurs spicule folder.The present invention is abutted in to patient's ilium side, make ilium spicule folder lean against ilium place and make the through hole that penetrates spicule on ilium spicule folder align the edges such as ilium sour jujube, make the spicule hole of proximal femurs spicule folder align the appropriate location of femoral shaft simultaneously, in the through hole of ilium spicule folder of spicule is squeezed in design, insert guide pin bushing, make drill bit pass through guide pin bushing hole drill to ilium.Take out drill bit and drill bushing, be screwed into ilium spicule.Use the same method required each position iliac bone pin of squeezing into is screwed into, then use the same method, proximal femurs spicule is screwed into the relevant position of femur.Regulate the distance of reduction traction device for hip joint dislocation and human body, tighten the lock-screw at the upper relative ilium spicule of ilium spicule folder place and the hold-down screw on proximal femurs spicule folder after suitable, screw tune on the main guide rail of proximal femurs spicule folder both sides nut admittedly.In the time will drawing, unclamp the solid nut of tune of far-end one side of proximal femurs spicule folder, the solid nut of tune of its near-end one side of turn, proximal femurs spicule folder is moved to far-end, now proximal femurs spicule is carried moving femur spicule secretly and then is driven femur to distal movement, and at this moment femoral head is furthered to acetabular bone place by the place of dislocation, repeats this operation, to make femoral head reset to acetabular bone place, reach the reset object of dislocation of hip joint.After reset, need to keep a period of time, it is no longer rebounded.Remove the present invention and take out each spicule.Complete the reset task of dislocation of hip joint.
(2) for dislocation of hip joint, reset and when large short legs need carry out the patient of femur prolongation:
Due to reasons such as growth promoter, patient not only has the symptom of dislocation of hip joint, and it is also shorter than another one leg after resetting to suffer from lower limb, and such patient is using when of the present invention, far-end multiplex distal femoral spicule folder.Now according to the solid nut of the tune of doctor's design adjusting triangle boosting frame both sides, make the triangle boosting frame of near-end near connecting plate, the triangle boosting frame of far-end is as much as possible near proximal femurs spicule folder, regulate the solid nut of tune of its both sides to make, after the prestressing force of the anti-inflection of triangular beam structure generation that main guide rail and auxiliary guide rail form, to screw each and adjust solid nut.At main guide rail far-end, proximal femurs spicule folder and distal femoral spicule folder have been installed.The present invention is abutted in to patient's ilium side, make ilium spicule folder lean against ilium place and make the through hole that penetrates spicule on ilium spicule folder align the edges such as ilium sour jujube, make the spicule hole of proximal femurs spicule folder align the appropriate location of femoral shaft simultaneously, in the through hole of ilium spicule folder of spicule is squeezed in design, insert guide pin bushing, make drill bit pass through guide pin bushing hole drill to ilium.Take out drill bit and guide pin bushing, be screwed into ilium spicule, use the same method required each position iliac bone pin of squeezing into is screwed into.Then use the same method, the femur spicule of near-end is screwed into the relevant position of femur through the spicule hole of proximal femurs spicule folder, the femur spicule of far-end is screwed into the relevant position of femur through the spicule hole of distal femoral spicule folder, the distance between the spicule of two spicule folders should be greater than 2 centimetres again.Then the femur between the spicule of the spicule of proximal femurs spicule folder and distal femoral spicule folder is blocked.Regulate the distance of ilium reduction of joint dislocation traction apparatus and human body, after suitable, tighten the lock-screw at the upper relative ilium spicule of ilium spicule folder place and the hold-down screw that proximal femurs spicule folder, distal femoral spicule press from both sides, and screw the solid nut of tune on proximal femurs spicule folder, distal femoral spicule folder both sides main guide rail.In the time will drawing, unclamp the solid nut of tune on the main guide rail of distal femoral spicule folder both sides, and unclamp the solid nut of tune of far-end one side of proximal femurs spicule folder, the solid nut of tune of its near-end one side of turn, near, distal femoral spicule folder is synchronously moved to far-end, now near, distal femoral spicule is carried moving respective femur spicule secretly and then is driven femur to distal movement, at this moment femoral head is furthered to acetabular bone place by the place of dislocation, if notice that the solid nut of unadjusted tune has while disturbing above operation, answer turn to adjust accordingly solid nut to disturb to eliminate.Repeat aforesaid operations, will make femoral head reset to acetabular bone place, reach the reset object of dislocation of hip joint.The solid nut of tune on the both sides main guide rail of fastening near, distal femoral spicule folder.The standby phase, 2-3 was after week, the solid nut of tune that unclamps solid its nearside of nut turn of distally tune of distal femoral spicule folder moves to far-end with the speed of one millimeter promotion every day distal femoral spicule folder and then drive femoral far section, thigh is increased, until it is identical with another good leg length to make to suffer from leg length, stops turn and tighten.After fully recovering, remove the present invention and take out each spicule.Complete the task of reset and the prolongation of dislocation of hip joint.
(3) for dislocation of hip joint, reset and when thigh length need carry out the patient of femur shortening:
There is small number of patients except dislocation of hip joint, and the length of another good lower limb of Length Ratio of trouble lower limb is also long, the different length of two legs after dislocation of hip joint resets, this patient uses when of the present invention, will be according to the solid nut of the tune of doctor's design adjusting triangle boosting frame both sides, make the triangle boosting frame of near-end near connecting plate, the triangle boosting frame of far-end is as much as possible near proximal femurs spicule folder, regulate the solid nut of tune of its both sides to make, after the prestressing force of the anti-inflection of triangular beam structure generation that main guide rail and auxiliary guide rail form, to screw each and adjust solid nut.At main guide rail far-end, proximal femurs spicule folder and distal femoral spicule folder have been installed.The present invention is abutted in to patient's ilium side, make ilium spicule folder lean against ilium place and make the through hole that penetrates spicule on ilium spicule folder align the edges such as ilium sour jujube, make spicule hole near, distal femoral spicule folder align the appropriate location of femoral shaft simultaneously, in the through hole of ilium spicule folder of spicule is squeezed in design, insert guide pin bushing, make drill bit pass through guide pin bushing hole drill to ilium.Take out drill bit and guide pin bushing, be screwed into ilium spicule, use the same method required each position iliac bone pin of squeezing into is screwed into.Then use the same method, the femur spicule of near-end is screwed into the relevant position of femur through the spicule hole of proximal femurs spicule folder, the femur spicule of far-end is screwed into the relevant position of femur through the spicule hole of distal femoral spicule folder, the distance between the spicule of two spicules folders should equal the size that patient's femur need shorten and add more than 2 centimetres again.One section of femur fragment of the size that the femur amputation length between the spicule that the spicule of proximal femurs spicule folder and distal femoral spicule are pressed from both sides need shorten for patient's femoral shaft.Regulate the distance of ilium reduction of joint dislocation traction apparatus and human body, after suitable, tighten the lock-screw at the upper relative ilium spicule of ilium spicule folder place and the hold-down screw that proximal femurs spicule folder, distal femoral spicule press from both sides, and screw the solid nut of tune on proximal femurs spicule folder, distal femoral spicule folder both sides main guide rail.In the time will drawing, unclamp the solid nut of tune of far-end one side of proximal femurs spicule folder, the solid nut of tune of its near-end one side of turn, proximal femurs spicule folder is moved to far-end, now proximal femurs spicule is carried moving respective femur spicule secretly and then is driven Proximal femur to distal movement, at this moment femoral head is furthered to acetabular bone place by the place of dislocation, while noticing that if the solid nut of unadjusted tune (the solid nut of tune that comprises distal femoral spicule folder both sides---this may be because Proximal femur and femoral far section are collided) has the above operation of interference, answer the corresponding nut admittedly of adjusting of turn to disturb to eliminate.Repeat aforesaid operations, will make femoral head reset to acetabular bone place, reach the reset object of dislocation of hip joint.The solid nut of tune on the both sides main guide rail of fastening proximal femurs spicule folder.Unclamp the nearside of distal femoral spicule folder and adjust solid nut, the solid nut of tune in its distally of turn is with the speed of one millimeter promotion every day distal femoral spicule folder and then drive femoral far section to move to near-end, until femoral far section is collided and is made the good lower limb length of thigh length and another read to equate with Proximal femur, shut-down operation.Twist solid all screws, nut.After fully recovering, remove the present invention and take out each spicule.Complete the reset of dislocation of hip joint and the task that femur need shorten.
(4) during for the rectification of minor's slipped femoral epiphysis:
When the needs of patients of minor's slipped femoral epiphysis is corrected, operation when its operational approach resets traction with () for dislocation of hip joint is the same.According to the solid nut of the tune of doctor's design adjusting triangle boosting frame both sides, make the triangle boosting frame of near-end near connecting plate, the triangle boosting frame of far-end is as much as possible near proximal femurs spicule folder, regulate the solid nut of tune of its both sides to make, after the prestressing force of the anti-inflection of triangular beam structure generation that main guide rail and auxiliary guide rail form, to screw each and adjust solid nut.At main guide rail far-end, installed proximal femurs spicule folder.The present invention is abutted in to patient's ilium side, make ilium spicule folder lean against ilium place and make the through hole that penetrates spicule on ilium spicule folder align the edges such as ilium sour jujube, make the spicule hole of proximal femurs spicule folder align the appropriate location of femoral shaft simultaneously, in the through hole of ilium spicule folder of spicule is squeezed in design, insert guide pin bushing, make drill bit pass through guide pin bushing hole drill to ilium.Take out drill bit and drill bushing, be screwed into ilium spicule.Use the same method required each position iliac bone pin of squeezing into is screwed into, then use the same method, proximal femurs spicule is screwed into the relevant position of femur.Regulate the distance of ilium reduction of joint dislocation traction apparatus and human body, tighten the lock-screw at the upper relative ilium spicule of ilium spicule folder place and the hold-down screw on proximal femurs spicule folder after suitable, screw tune on the main guide rail of proximal femurs spicule folder both sides nut admittedly.In the time will drawing, unclamp the solid nut of tune of far-end one side of proximal femurs spicule folder, the solid nut of tune of its near-end one side of turn, proximal femurs spicule folder is moved to far-end, now proximal femurs spicule is carried moving femur spicule secretly and then is driven femur outside the epiphysis at femoral head place to distal movement, at this moment femoral head thigh epiphysis slippage is corrected gradually, repeats this operation, reaches the rectification completely of slipped femoral epiphysis.After rectification, need to keep a period of time, it is no longer rebounded.Remove the present invention and take out each spicule.Complete slipped femoral epiphysis and correct task.Note: 1, each spicule must be twisted offside cortical bone to increase constant intensity;
2, should be not too urgent when drawing, during move operation, during traction, occur that pain should slow down or shut-down operation, if desired can be to reverse operation to alleviate pain.To prevent that especially fiber crops pain phenomenon from occurring.
3, when regulating solid nut to occur that three guide rails have flexural deformation trend, the solid nut of the tune on adjusting triangle boosting frame both sides main guide rail and auxiliary guide rail is corrected in time.
Good effect of the present invention is:
Simple in structure, operate easy to adjust;
2. the large I STOCHASTIC CONTROL of pull strength, meets the afterburning dynamics that human body adapts to theory, and during afterburning traction, patient suffering is little, even in painless situation, is issued to reset object;
3. solve dislocation of hip joint distance and be difficult to greatly the difficult problem with skin leads or the upper traction of bed solves;
4. having avoided that operation brings to patient mentally, sensual misery, alleviated financial burden, avoid the misery that causes the bad sequela such as spot to bring to patient because of operation;
5. applied range of the present invention, can do the reset of dislocation of hip joint; Also can do the rectification of slipped femoral epiphysis etc.;
6. for dislocation of hip joint and suffer from lower limb than another good short legs or long patient, the present invention can complete the object of prolongation or the shortening of lower limb in the reset that completes hip joint;
7, the present invention be one very the collection of hommization draw, extend, shorten, be fixed on reduction traction device for hip joint dislocation all over the body.
Accompanying drawing explanation
Below in conjunction with width figure and embodiment, the present invention will be further described.
Fig. 1 is structural representation of the present invention
Fig. 2 is the structural representation of ilium spicule folder of the present invention
Fig. 3 is the structural representation of connecting plate of the present invention
Fig. 4 is the structural representation of triangle boosting frame of the present invention
Fig. 5 is the structural representation of auxiliary guide rail of the present invention
Fig. 6 is the structural representation of main guide rail of the present invention
Fig. 7 is the structural representation of proximal femurs spicule folder of the present invention
Fig. 8 is the structural representation of guide pin bushing of the present invention
Fig. 9 is the patient's using state schematic diagram that resets and draw for dislocation of hip joint of the present invention
Figure 10 is of the present invention for dislocation of hip joint and suffer from the patient's that short legs need extend using state schematic diagram
Figure 11 is of the present invention for dislocation of hip joint and the long using state schematic diagram that needs the patient of shortening of trouble lower limb
Figure 12 is patient's using state schematic diagram that need draw for slipped femoral epiphysis of the present invention
The specific embodiment:
Reduction traction device for hip joint dislocation is comprised of ilium spicule (1), ilium spicule folder (2), connecting plate (3), triangle boosting frame (4), the solid nut (5) of tune, auxiliary guide rail (6), proximal femurs spicule folder (7), main guide rail (8), femur spicule (9), distal femoral spicule folder (10), guide pin bushing (11) as shown in Figure 1.Ilium spicule folder (2) is a plate that curvature is close with human body ilium curvature, and the through hole by its edge combines with ilium spicule (1), and bottom is connected with connecting plate (3).Connecting plate (3) is being twisted two main guide rails (8), upper clamping the two groups of triangle boosting frames (4) of main guide rail (8), auxiliary guide rail (6) is installed on two groups of triangle boosting frames (4), respectively with adjusting solid nut (5) combination, the far-end of main guide rail (8) is installed with proximal femurs spicule folder (7), on the both sides main guide rail (8) of distal femoral spicule folder (10) proximal femurs spicule folder (7) distal femoral spicule folder (10), twisting respectively and adjusting solid nut (5), femur spicule (9) is worn respectively and is clipped in proximal femurs spicule folder (7), on distal femoral spicule folder (10), guide pin bushing (11) is the steering tool that bores spicule hole.
Ilium spicule folder (2) is comprised of rear plate (2-1), lock-screw (2-2), header board (2-3) and lock shaft (2-4) plate that a curvature is close with human body ilium side curvature as shown in Figure 2, rear plate (2-1) is riveted together with lock shaft (2-4) with header board (2-3), the inclination angle that changes junction changes its curvature, at header board (2-3), rear plate) 2-1) top edge is drilled with through hole to ilium spicule (1) is penetrated, and tightened up with lock-screw (2-2).Downside at rear plate (2-1) is processed with screwed hole, in order to connecting plate (3) combination.
Connecting plate (3) is comprised of connection plate body (3-1), hold-down screw (3-2) as shown in Figure 3.Connecting plate body (3-1) is a rectangle plate, and top is designed with two tapped blind holes and is threaded with main guide rail (8), and below is drilled with two through holes and penetrates hold-down screw (3-2) and ilium spicule and press from both sides (2) and be connected and see Fig. 1.
Main guide rail (8) is screw thread member as shown in Figure 6.
Triangle boosting frame (4) is comprised of attachment screw (4-1), undercarriage piece (4-2), upper frame block (4-3) as shown in Figure 4.Undercarriage piece (4-2) is combined triangular in shape with upper frame block (4-3) with attachment screw (4-1), three through holes on three angles, have been designed, it respectively accounts for half two through holes of upper frame block (4-3) and undercarriage piece (4-2) junction, this two hole is used for clamping main guide rail (8), and a hole of top allows auxiliary guide rail (6) pass.
Auxiliary guide rail (6) is also that a screw thread member is shown in Fig. 5.
Proximal femurs spicule folder (7) is comprised of hold-down screw (7-1), spicule folder upper cover (7-2), spicule clamp (7-3) as shown in Figure 7.There is the rectangular-shaped piece of through hole at spicule folder upper cover (7-2) Shi Yige center, with trip bolt (7-1), be connected with spicule clamp (7-3), on joint face, have through hole, in order to clamp femur spicule (9), the side-lower of spicule clamp (7-3) is drilled with two through holes, to be installed on main guide rail (8).
Distal femoral spicule folder (10) is identical with proximal femurs spicule folder (7) structure.
On the both sides main guide rail (8) of triangle boosting frame (4) and proximal femurs spicule folder (7) and distal femoral spicule folder (10) and auxiliary guide rail (6), being screwed with respectively tune consolidates nut (5) and sees Fig. 1.
Guide pin bushing (11) is the T shape ladder cylindrical member that a centre is through hole, as the guiding directional orientation tool of beating spicule hole on ilium or on femur.
The patient that example () is drawn for dislocation of hip joint reset as shown in Figure 9.According to the solid nut (5) of the tune of doctor's design adjusting triangle boosting frame (4) both sides, make the triangle boosting frame (4) of near-end near connecting plate (3), the triangle boosting frame (4) of far-end is as much as possible near proximal femurs spicule folder (7), regulate the solid nut (5) of tune of its both sides to make, after the prestressing force of the anti-inflection of triangular beam structure generation that forms with main guide rail (8) and auxiliary guide rail (6), to screw each and adjust nut (5) admittedly.At main guide rail (8) far-end, installed proximal femurs spicule folder (7).The present invention is abutted in to patient's ilium side, make ilium spicule folder (2) lean against ilium place and make the through hole that penetrates spicule on ilium spicule folder (2) align the edges such as ilium sour jujube, making the spicule hole of proximal femurs spicule folder (7) align the appropriate location of femoral shaft simultaneously.In the through hole of ilium spicule folder (2) of spicule is squeezed in design, insert guide pin bushing (11), make drill bit pass through guide pin bushing (11) hole drill to ilium.Take out drill bit and drill bushing (11), be screwed into ilium spicule (1).Use the same method required each position iliac bone pin (1) of squeezing into is screwed into.Then use the same method, the femur spicule (9) of near-end is screwed into the relevant position of femur.Regulate the distance of reduction traction device for hip joint dislocation and human body, after suitable, tighten the hold-down screw (7-1) on ilium spicule folder (2) lock-screw (2-2) that above relative ilium spicule (1) is located and proximal femurs spicule folder (7), screw the solid nut (5) of tune on proximal femurs spicule folder (7) both sides main guide rails (8) simultaneously.In the time will drawing, unclamp the solid nut (5) of tune of far-end one side of proximal femurs spicule folder (7), the solid nut (5) of tune of its near-end one side of turn, proximal femurs spicule folder (7) is moved to far-end, now proximal femurs spicule folder (7) drives femur spicule (9) and then drives femur to distal movement, and at this moment femoral head is furthered to acetabular bone place by the place of dislocation.Repeat this operation, will make femoral head reset to acetabular bone place, reach the reset object of dislocation of hip joint.After reset, need to keep a period of time, it is no longer rebounded.Remove the present invention and take out each spicule.Complete the reset task of dislocation of hip joint.
The patient that example (two) resets for dislocation of hip joint and large short legs need carry out femur prolongation as shown in figure 10.Due to reasons such as growth promoter, patient not only has the symptom of dislocation of hip joint, and also shorter than another good lower limb after the reset of trouble lower limb.Such patient is using when of the present invention, far-end multiplex distal femoral spicule folder (10).Now according to the solid nut (5) of the tune of doctor's design adjusting triangle boosting frame (4) both sides, make the triangle boosting frame (4) of near-end near connecting plate (3), the triangle boosting frame (4) of far-end is as much as possible near proximal femurs spicule folder (7), regulate the solid nut (5) of tune of its both sides to make, after the prestressing force of the anti-inflection of triangular beam structure generation that main guide rail (8) and auxiliary guide rail (6) form, to screw each and adjust nut (5) admittedly.Far-end at main guide rail (8) has installed proximal femurs spicule folder (7) and distal femoral spicule folder (10).The present invention is abutted in to patient's ilium side, make ilium spicule folder (2) lean against ilium place and make the through hole that penetrates spicule on ilium spicule folder (2) align the edges such as ilium sour jujube, making spicule hole that proximal femurs spicule folder (7) and distal femoral spicule press from both sides (10) align the appropriate location of femoral shaft simultaneously.In the through hole of ilium spicule folder (2) of spicule is squeezed in design, insert guide pin bushing (11), make hole drill that drill bit passes through guide pin bushing (11) to ilium, take out drill bit and guide pin bushing (11), be screwed into ilium spicule (1).Use the same method required each position iliac bone pin (1) of squeezing into is screwed into.Then use the same method, the femur spicule (9) of near-end is screwed into the relevant position of femur through the spicule hole of proximal femurs spicule folder (7), the femur spicule (9) of far-end is screwed into the relevant position of femur through the spicule hole of distal femoral spicule folder (10), the distance between the spicule of two spicule folders should be greater than 2 centimetres again.Femur between the femur spicule (9) of the femur spicule (9) of proximal femurs spicule folder (7) and distal femoral spicule folder (10) is blocked.Regulate the distance of reduction traction device for hip joint dislocation and human body, after suitable, tighten lock-screw that the upper relative ilium spicule (1) of ilium spicule folder (2) locates (hold-down screw (7-1) on (2-2) and proximal femurs spicule folder (7), distal femoral spicule folder (10), and screw tune on proximal femurs spicule folder (7), distal femoral spicule folder (10) both sides main guide rails (8) nut (5) admittedly.In the time will drawing, unclamp the solid nut (5) of tune on distal femoral spicule folder (10) both sides main guide rails (8), and unclamp the solid nut (5) of tune of far-end one side of proximal femurs spicule folder (7), the solid nut (5) of tune of its near-end one side of turn, proximal femurs spicule folder (7) and distal femoral spicule folder (10) are synchronously moved to far-end, now proximal femurs spicule folder (7), distal femoral spicule folder (10) drive respective femur spicule (1) and then drive femur to distal movement, and at this moment femoral head is furthered to acetabular bone place by the place of dislocation.If notice that the solid nut (5) of unadjusted tune has while disturbing above operation, answer turn to adjust accordingly solid nut (5) to eliminate interference.Repeat aforesaid operations, will make femoral head reset to acetabular bone place, reach the reset object of dislocation of hip joint.The solid nut (5) of tune on the main guide rail (8) of the both sides of fastening proximal femurs spicule folder (7) and distal femoral spicule folder (10).The standby phase, 2-3 was after week, the solid nut (5) of tune that unclamps solid nut (5) its nearside of turn of distally tune of distal femoral spicule folder (10) moves to far-end with the speed of one millimeter promotion distal femoral spicule folder every day (10) and then drive femoral far section, thigh is increased, until it is identical with another good leg length to make to suffer from leg length, stops turn and tighten up.After fully recovering, remove the present invention and take out each spicule.Complete the task of reset and the prolongation of dislocation of hip joint.
The patient that example (three) resets for dislocation of hip joint and thigh length need shorten femur as shown in figure 11.There is small number of patients except dislocation of hip joint, the length of another good lower limb of Length Ratio of trouble lower limb is also long, dislocation of hip joint reset after the different length of two legs, this patient uses when of the present invention, according to the solid nut (5) of the tune of doctor's design adjusting triangle boosting frame (4) both sides, make the triangle boosting frame (4) of near-end near connecting plate (3), the triangle boosting frame (4) of far-end is as much as possible near proximal femurs spicule folder (7), regulate the solid nut (5) of tune of its both sides to make after the prestressing force with the anti-inflection of triangular beam structure generation of main guide rail (8) and auxiliary guide rail (6) composition, screw each and adjust solid nut (5).Far-end at main guide rail (8) has installed proximal femurs spicule folder (7) and distal femoral spicule folder (10).The present invention is abutted in to patient's ilium side, make ilium spicule folder (2) lean against ilium place and make the through hole that penetrates spicule on ilium spicule folder (2) align the edges such as ilium sour jujube, make spicule hole that proximal femurs spicule folder (7) and distal femoral spicule press from both sides (10) align the appropriate location of femoral shaft simultaneously, in squeezing into the through hole of ilium spicule folder (2) of spicule, design inserts guide pin bushing (11), make hole drill that drill bit passes through guide pin bushing (11) to ilium, take out drill bit and guide pin bushing (11), be screwed into ilium spicule (1).Use the same method required each position iliac bone pin (1) of squeezing into is screwed into.Then use the same method, the femur spicule (9) of near-end is screwed into the relevant position of femur through the spicule hole of proximal femurs spicule folder (7), the femur spicule (9) of far-end is screwed into the relevant position of femur through the spicule hole of distal femoral spicule folder (10), the distance between the spicule of two spicules folders should equal the size that patient's femur need shorten and add more than 2 centimetres again.The femur spicule (9) of proximal femurs spicule folder (7) and distal femoral spicule are pressed from both sides to one section of femur fragment of the size that femur amputation length between the femur spicule (9) of (10) need shorten for patient's femoral shaft.Regulate the distance of reduction traction device for hip joint dislocation and human body, after suitable, tighten lock-screw (2-2) that the upper relative ilium spicule (1) of ilium spicule folder (2) locates and the hold-down screw (7-1) on proximal femurs spicule folder (7) and distal femoral spicule folder (10), and screw proximal femurs spicule folder (7), distal femoral spicule and press from both sides tune on (10) both sides main guide rails (8) nut (5) admittedly.In the time will drawing, unclamp the solid nut (5) of tune of far-end one side of proximal femurs spicule folder (7), the solid nut (5) of tune of its near-end one side of turn, proximal femurs spicule folder (7) is moved to far-end, now proximal femurs spicule folder (7) drives respective femur spicule (9) and then drives Proximal femur to distal movement, and at this moment femoral head is furthered to acetabular bone place by the place of dislocation.If notice that the solid nut (5) of unadjusted tune (the solid nut (5) of tune that comprises distal femoral spicule folder (10) both sides---this may be because Proximal femur is collided with femoral far section) has and disturbs above operation, answer the corresponding nut (5) of adjusting admittedly of turn to eliminate interference.Repeat aforesaid operations, will make femoral head reset to acetabular bone place, reach the reset object of dislocation of hip joint.The solid nut (5) of tune on the both sides main guide rail (8) of fastening proximal femurs spicule folder (7).Unclamp the solid nut (5) of tune of distal femoral spicule folder (10) nearside, the solid nut (5) of tune in its distally of turn is with the speed of one millimeter promotion distal femoral spicule folder every day (10) and then drive femoral far section near section of movement, until femoral far section and Proximal femur are collided and are made to suffer from leg length and equate with another good leg length, shut-down operation.Twist solid all screws, nut.After fully recovering, remove the present invention and take out each spicule.Complete the reset of dislocation of hip joint and the task that femur need shorten.
Example (four) for the patient of the rectification of minor's slipped femoral epiphysis as shown in figure 12.When the needs of patients of minor's slipped femoral epiphysis is corrected, its operational approach is the same with the operation of ().According to the solid nut (5) of the tune of doctor's design adjusting triangle boosting frame (4) both sides, make the triangle boosting frame (4) of near-end near connecting plate (3), the triangle boosting frame (4) of far-end is as much as possible near proximal femurs spicule folder (7), regulate the solid nut (5) of tune of its both sides to make, after the prestressing force of the anti-inflection of triangular beam structure generation that main guide rail (8) and auxiliary guide rail (6) form, to screw each and adjust nut (5) admittedly.At main guide rail (8) far-end, installed proximal femurs spicule folder (7).The present invention is abutted in to patient's ilium side, make ilium spicule folder (2) lean against ilium place and make the through hole that penetrates spicule on ilium spicule folder (2) align the edges such as ilium sour jujube, make the spicule hole of proximal femurs spicule folder (7) align the appropriate location of femoral shaft simultaneously, in squeezing into the through hole of ilium spicule folder (2) of spicule, design inserts guide pin bushing (11), make drill bit pass through guide pin bushing (11) hole drill to ilium, take out drill bit and drill bushing (11), be screwed into ilium spicule (1).Use the same method required each position iliac bone pin (1) of squeezing into is screwed into.Then use the same method, the femur spicule (9) of near-end is screwed into the relevant position of femur.Regulate the distance of reduction traction device for hip joint dislocation and human body, after suitable, tighten the hold-down screw (7-1) on ilium spicule folder (2) lock-screw (2-2) that above relative ilium spicule (1) is located and proximal femurs spicule folder (7), screw the solid nut (5) of tune on proximal femurs spicule folder (7) both sides main guide rails (8) simultaneously.In the time will drawing, unclamp the solid nut (5) of tune of far-end one side of proximal femurs spicule folder (7), the solid nut (5) of tune of its near-end one side of turn, proximal femurs spicule folder (7) is moved to far-end, now proximal femurs spicule folder (7) drives femur spicule (9) and then drives femur to distal movement, and at this moment femoral head epiphysis place is corrected to normal position by slippage position.Repeat this operation, will make femoral head epiphysis place correct completely, after rectification, need to keep a period of time, it is no longer rebounded.Remove the present invention and take out each spicule.Complete the rectification task of slipped femoral epiphysis.
Claims (6)
1. a reduction traction device for hip joint dislocation, it is by ilium spicule, ilium spicule folder, connecting plate, triangle boosting frame, adjust solid nut, auxiliary guide rail, proximal femurs spicule folder, main guide rail, femur spicule, distal femoral spicule folder, guide pin bushing forms, it is characterized in that: ilium spicule folder is a plate that curvature is close with human body ilium curvature, through hole by its edge combines with ilium spicule, bottom becomes screw to be connected with connecting plate, connecting plate is being twisted two main guide rails, clamping two groups of triangle boosting frames on main guide rail, auxiliary guide rail is installed on two groups of triangle boosting frames, respectively with adjusting solid nut and screw association, the far-end of main guide rail is installed with closely, distal femoral spicule folder, closely, on the main guide rail of distal femoral spicule folder both sides, twisting respectively and adjusting solid nut, femur spicule is worn and is clipped in closely, on distal femoral spicule folder.
2. reduction traction device for hip joint dislocation according to claim 1, it is characterized in that: ilium spicule folder consists of a plate that curvature is close with human body ilium curvature by rear plate, lock-screw, header board and lock shaft, rear plate and header board are riveted together with lock shaft, the inclination angle that changes junction changes its curvature, top edge at header board, rear plate is drilled with through hole to ilium spicule is penetrated, and tightened up with lock-screw, at the downside of rear plate, be processed with screwed hole, in order to be combined with connecting plate.
3. reduction traction device for hip joint dislocation according to claim 1, it is characterized in that: connecting plate by connecting plate body, hold-down screw forms, connecting plate body is a rectangle plate, top is designed with two tapped blind holes and is threaded with main guide rail, and below is drilled with two through holes and penetrates hold-down screw and press from both sides and be connected with ilium spicule.
4. reduction traction device for hip joint dislocation according to claim 1, it is characterized in that triangle boosting frame is comprised of attachment screw, undercarriage piece, upper frame block, undercarriage piece and upper frame block are combined triangular in shape with attachment screw, on three angles, design three through holes, these three through holes on each angle each one, it respectively accounts for half two through holes of upper frame block and undercarriage piece junction, this two holes clamping main guide rail, and a hole of top is passed auxiliary guide rail.
5. reduction traction device for hip joint dislocation according to claim 1, it is characterized in that: proximal femurs spicule folder is comprised of hold-down screw, spicule folder upper cover, spicule clamp, there is the rectangular-shaped piece of through hole at spicule folder upper cover Shi Yige center, with hold-down screw, be connected with spicule clamp, on joint face, have through hole, in order to clamp femur spicule, the side-lower of spicule clamp is drilled with two through holes, to be installed on main guide rail.
6. reduction traction device for hip joint dislocation according to claim 1, is characterized in that: guide pin bushing is the T shape ladder cylindrical member that a centre is through hole.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201110040918.5A CN102641149B (en) | 2011-02-21 | 2011-02-21 | Hip joint dislocation reset traction device |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201110040918.5A CN102641149B (en) | 2011-02-21 | 2011-02-21 | Hip joint dislocation reset traction device |
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| CN102641149A CN102641149A (en) | 2012-08-22 |
| CN102641149B true CN102641149B (en) | 2014-10-08 |
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| CN109692021A (en) * | 2019-01-28 | 2019-04-30 | 青岛大学附属医院 | A kind of hip joint retractor |
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| CN85200828U (en) * | 1985-04-01 | 1986-07-09 | 谢良尧 | External fixator for fracture reducing |
| CN2062610U (en) * | 1990-01-06 | 1990-09-26 | 刘贵启 | Fixator for fracture reduction |
| CN2265169Y (en) * | 1996-07-05 | 1997-10-22 | 山东省文登市整骨医院 | Fixator for femur fracture reduction |
| CN2324977Y (en) * | 1998-01-22 | 1999-06-23 | 张树桧 | External fixation implement for distraction of ilium with femur |
| CN2794450Y (en) * | 2005-04-20 | 2006-07-12 | 侯树勋 | External fixer for coxae |
| CN101249015A (en) * | 2007-02-13 | 2008-08-27 | 德普伊产品公司 | Orthopedic trauma bone plate kit |
| CN201939480U (en) * | 2011-02-21 | 2011-08-24 | 汤福刚 | Reduction traction device for hip joint dislocation |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| IT1391222B1 (en) * | 2008-09-11 | 2011-12-01 | Orthofix Srl | ORTHOPEDIC DEVICE TO BE ASSOCIATED WITH A BONE |
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2011
- 2011-02-21 CN CN201110040918.5A patent/CN102641149B/en not_active Expired - Fee Related
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN85200828U (en) * | 1985-04-01 | 1986-07-09 | 谢良尧 | External fixator for fracture reducing |
| CN2062610U (en) * | 1990-01-06 | 1990-09-26 | 刘贵启 | Fixator for fracture reduction |
| CN2265169Y (en) * | 1996-07-05 | 1997-10-22 | 山东省文登市整骨医院 | Fixator for femur fracture reduction |
| CN2324977Y (en) * | 1998-01-22 | 1999-06-23 | 张树桧 | External fixation implement for distraction of ilium with femur |
| CN2794450Y (en) * | 2005-04-20 | 2006-07-12 | 侯树勋 | External fixer for coxae |
| CN101249015A (en) * | 2007-02-13 | 2008-08-27 | 德普伊产品公司 | Orthopedic trauma bone plate kit |
| CN201939480U (en) * | 2011-02-21 | 2011-08-24 | 汤福刚 | Reduction traction device for hip joint dislocation |
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