CN106821480A - Femur pressure self-locked intramedullary needle - Google Patents

Femur pressure self-locked intramedullary needle Download PDF

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Publication number
CN106821480A
CN106821480A CN201710125395.1A CN201710125395A CN106821480A CN 106821480 A CN106821480 A CN 106821480A CN 201710125395 A CN201710125395 A CN 201710125395A CN 106821480 A CN106821480 A CN 106821480A
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CN
China
Prior art keywords
pin
rotary blade
distal
interior
push
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN201710125395.1A
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Chinese (zh)
Inventor
丁大发
林燕
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Individual
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Individual
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Publication date
Application filed by Individual filed Critical Individual
Priority to CN201710125395.1A priority Critical patent/CN106821480A/en
Publication of CN106821480A publication Critical patent/CN106821480A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary pins, nails or other devices
    • A61B17/7233Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/7258Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary pins, nails or other devices
    • A61B17/7233Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/7258Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • A61B17/7266Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with fingers moving radially outwardly
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary pins, nails or other devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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

Abstract

The invention discloses a kind of femur locking intramedullary needle, function with pressurization pairing fracture end, belong to medical instruments field, the anti-rotary blade of distal section two, near-end Push-pull bolt, Distal occlusion bolt that the anti-rotary blade of proximal segment two and the interior pin that specially orthopedic fixation device tool, including outer pin, interior pin are linked with outer pin are linked.Wherein described outer pin, the interior crown are designed as certain radian according to femoral bone cavitas medullaris feature, and the outer wall both sides of outer pin are provided with decompression chase.This intramedullary needle is suitable for the fracture of lower 1/3 to femoral bone tuberosity lower portion in femur.Suitable intramedullary needle is chosen in operation to insert after reset after the disconnected section pulp cavitys of fracture two, twist rotation near-end Push-pull bolt, Push-pull bolt promotes interior pin distal movement, the anti-rotary blade of nearly distal section is promoted to open the incision nearly distal end pulp cavity wall of femur in positive and negative " eight " word, when anti-rotary blade incision pulp cavity wall can not open again, being further continued for stubborn rotation Push-pull bolt can pressurize to fracture site.

Description

Femur pressure self-locked intramedullary needle
Technical field
The invention belongs to medical instruments field, specially a kind of new-type femur locking intramedullary needle, with pressurization pairing bone Roll over the function at end.
Background technology
Femur is the most thick long bone of human body, adheres to and stretches in the wrong, interior receipts, abduction, interior outward turning muscle group, various stress concentrations, and Femoral fracture is the common fracture of Orthopeadic Surgery, and modern Orthopeadic Surgery is fixed for femoral fracture first-selection intramedullary nail with nail, with powerful Anti- rotation, the function of anti-folding.But intramedullary nail with nail there is also certain defect, specially:(1), the radian of intramedullary needle is impossible The pulp cavity radian of all fracture patients is adapted to, when the radian of intramedullary needle and the pulp cavity radian of patient are not suitable with, intramedullary needle is inserted, Fracture site occurs separation, then inserts 4 self-locking nails, and fracture end will be fixed on released state, be unfavorable for union, When check fracture site of being made film after the clinical first half of the year has no substantially healing sign, take and intramedullary nail with nail near-end pinning is taken out real Existing motorization, encourages patient's weight-bearing activities, and the extruding pairing of fracture end is realized by body weight, and effect is all undesirable.(2), femur bone After folding inserts intramedullary needle, when radian and the pulp cavity radian of intramedullary needle are not suitable with, intramedullary needle occurs different degrees of deformation, causes Intramedullary needle distal locking nail aims at difficult, increases operating difficulty, delays operating time.Clinically also used various self-lockings Intramedullary needle, because its nearly distal section self-locking fin strut it is limited, it is anti-rotation function it is too poor, no longer use now.
The content of the invention
The present invention is a kind of femur pressure self-locked intramedullary needle provided to solve above prior art deficiency.
The present invention is for the solution technical scheme that is used of above technical problem:A kind of femur locking intramedullary needle, with plus Press the function of pairing fracture end.The distal section of the anti-rotary blade of proximal segment two and interior needle pin chain including outer pin, interior pin and outer needle pin chain Two anti-rotary blades, near-end Push-pull bolt, Distal occlusion bolt.It is characterized in that:The described outer crown sets according to femoral bone cavitas medullaris feature Certain radian is calculated as, two side is provided with decompression chase.The outer nearly distal section internal diameter of pin is all higher than middle part, is respectively equipped with certain distance Internal tapping, is Push-pull bolt work department, Distal occlusion bolt fixed part, and proximal segment external diameter is larger, and afterbody outer wall is provided with part and attacks The inserting of silk, extraction portion, then to have the nearly distal section two side of outer pin to be equipped with symmetrical(Or it is antisymmetric)Anti- rotary blade chute, it is preceding Rear wall is provided with anti-rotary blade pin chain hole perpendicular to chute plane correct position.
Described interior pin is divided into three parts, and the top coronal-plane of distal section is provided with the anti-rotary blade gap in distal end, perpendicular to gap Correct position is provided with the anti-rotary blade pin chain hole in distal end, and remaining part is nut portions;The distal end in stage casing is shorter threaded shank, can be with distal section Nut portions tighten fixation, and remaining part is the elongated rod shape of certain radian;Proximal segment is integrated with stage casing, is the tubular being relatively large in diameter, inside and outside Side wall correct position is provided with the anti-rotary blade chute of symmetrical near-end, and front and rear wall correct position is provided with symmetrical anti-rotary blade pin and slides Groove.
Described near-end Push-pull bolt is divided into two parts of rotary movable connection, anterior to be fixed with interior backshank end, rear portion Rotation portion is twisted to be provided with interior hexagon bolt, feature can promote interior pin to pass in and out when being and twisting supination portion, and interior pin will not be rotated.
Described Distal occlusion bolt front end after internal and external pin assembling, is screwed into outer needle distal for coniform, front end cone with it is remote Hold anti-rotary blade to offset, when interior pin is promoted by Push-pull bolt, counter can push away anti-rotary blade and open incision DF pulp cavity wall.
The anti-rotary blade handing-over of described nearly distal end is divided into scissor and two kinds of jaw type, when anti-rotary blade is designed as scissor outside The anti-rotary blade chute in the nearly distal section two side of pin should be designed as skew symmetry, and anti-rotary blade is designed as outer pin nearly distal section two side during jaw type Anti- rotary blade chute should be designed as symmetrically.
The invention is reasonable in design, easy to use.
Accompanying drawing 1 is structural representation profile of the invention.
Accompanying drawing 2 is plan of the invention.
Specific embodiment
The present invention is described in detail below with reference to Figure of description:
As shown in Figure 1 and Figure 2, the anti-rotary blade 3, distal section of a kind of femur pressure self-locked intramedullary nail, including outer pin 1, interior pin 2, proximal segment Anti- rotary blade 4, near-end Push-pull bolt 5, Distal occlusion bolt 6;The anti-rotary blade pin in the outer anti-rotary blade pin chain hole 7, distal section of pin proximal segment Chain hole 8.
Described outer pin 1 is set with interior pin 2, and the described near-end of interior pin 2 is fixed with Push-pull bolt 5, described Distal occlusion Bolt 6 is twisted with the distal end of outer pin 1 after internal and external pin assembling and is rotated with fixed, the anti-rotary blade 4 of described distal section and the cone of Distal occlusion bolt 6 Offset.
After described anti-rotary blade 3 inserts outer pin 1 and the anti-rotary blade chute of the proximal segment of interior pin 2, by pin by pin chain hole 7 and The proximal segment pin chute of interior pin 2 and the proximal segment pin chain of outer pin 1.
After described anti-rotary blade 4 inserts the anti-rotary blade gap of the anti-rotary blade chute of the distal section of outer pin 1 and the distal end of interior pin 2, by By pin chain hole 8 and the distal pin chain hole of interior pin 2 and the distal section pin chain of interior pin 2, cotter length should not influence interior pin 2 to pass in and out fortune to pin It is dynamic.

Claims (5)

1. a kind of femur locking intramedullary needle, the function with pressurization pairing fracture end, including outer pin, interior pin are linked with outer pin The anti-rotary blade of distal section two, near-end Push-pull bolt, Distal occlusion bolt that the anti-rotary blade of proximal segment two is linked with interior pin;Its feature exists In:The described outer crown is designed as certain radian according to femoral bone cavitas medullaris feature, and two side is provided with decompression chase, in the outer nearly distal section of pin Footpath is all higher than middle part, is respectively equipped with the internal tapping of certain distance, is Push-pull bolt work department, Distal occlusion bolt fixed part, and Proximal segment external diameter is larger, and afterbody outer wall is provided with the inserting of part tapping, extraction portion, then to have the nearly distal section left and right sidewall of outer pin to be equipped with right Claim(Or it is antisymmetric)The anti-rotary blade chute of nearly distal section, front-rear side walls are provided with anti-rotary blade perpendicular to chute plane correct position Pin chain hole.
2. femur pressure self-locked intramedullary needle according to claim 1, it is characterised in that:Interior pin is divided into three parts, distal section Top coronal-plane is provided with the anti-rotary blade gap in distal end, and the anti-rotary blade pin chain hole in distal end, remaining part are provided with perpendicular to gap correct position It is nut portions;The distal end in stage casing is shorter threaded shank, can tighten fixation with distal section nut portions, and remaining part is the stock of certain radian Shape;Proximal segment is integrated with stage casing, is the tubular being relatively large in diameter, and left and right sidewall correct position is provided with the anti-rotary blade of symmetrical near-end and slides Groove, front-rear side walls correct position is provided with symmetrical anti-rotary blade pin chute.
3. femur pressure self-locked intramedullary needle according to claim 1, it is characterised in that:Near-end Push-pull bolt is divided into rotatable Two parts of flexible connection, anterior to be fixed with interior backshank end, rotation portion is twisted in rear portion to be provided with interior hexagon bolt, and feature is to twist supination Interior pin can be promoted to pass in and out during portion, and interior pin will not be rotated.
4. femur pressure self-locked intramedullary needle according to claim 1, it is characterised in that:Distal occlusion bolt front end is circular cone Shape, after internal and external pin assembling, is screwed into outer needle distal, and front end cone offsets with the anti-rotary blade in distal end, when interior pin is promoted by Push-pull bolt, Counter can push away anti-rotary blade and open and cut into DF pulp cavity wall.
5. femur pressure self-locked intramedullary needle according to claim 1, it is characterised in that:The nearly anti-rotary blade interlinkage in distal end is divided into Scissor and two kinds of jaw type, the anti-rotary blade chute in the outer nearly distal section two side of pin should be designed as tiltedly when anti-rotary blade is designed as scissor Symmetrically, the anti-rotary blade chute in the outer nearly distal section two side of pin should be designed as symmetrically when anti-rotary blade is designed as jaw type.
CN201710125395.1A 2017-03-04 2017-03-04 Femur pressure self-locked intramedullary needle Withdrawn CN106821480A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710125395.1A CN106821480A (en) 2017-03-04 2017-03-04 Femur pressure self-locked intramedullary needle

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710125395.1A CN106821480A (en) 2017-03-04 2017-03-04 Femur pressure self-locked intramedullary needle

Publications (1)

Publication Number Publication Date
CN106821480A true CN106821480A (en) 2017-06-13

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CN201710125395.1A Withdrawn CN106821480A (en) 2017-03-04 2017-03-04 Femur pressure self-locked intramedullary needle

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111481282A (en) * 2020-06-08 2020-08-04 上海市浦东新区公利医院(第二军医大学附属公利医院) Self-locking intramedullary nail device for proximal fibula fracture
CN113397676A (en) * 2021-07-08 2021-09-17 王欣欣 Anti-rotation orthopedic internal fixture
CN113606232A (en) * 2021-06-29 2021-11-05 中建七局建筑装饰工程有限公司 Double-end expansion connecting part

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111481282A (en) * 2020-06-08 2020-08-04 上海市浦东新区公利医院(第二军医大学附属公利医院) Self-locking intramedullary nail device for proximal fibula fracture
CN113606232A (en) * 2021-06-29 2021-11-05 中建七局建筑装饰工程有限公司 Double-end expansion connecting part
CN113397676A (en) * 2021-07-08 2021-09-17 王欣欣 Anti-rotation orthopedic internal fixture

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Application publication date: 20170613