CN108143473A - A kind of outer resting guide for being accurately positioned pelvis fracture operation - Google Patents

A kind of outer resting guide for being accurately positioned pelvis fracture operation Download PDF

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Publication number
CN108143473A
CN108143473A CN201711443506.XA CN201711443506A CN108143473A CN 108143473 A CN108143473 A CN 108143473A CN 201711443506 A CN201711443506 A CN 201711443506A CN 108143473 A CN108143473 A CN 108143473A
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CN
China
Prior art keywords
positioning
pelvis
punching machine
positioning device
accurately positioned
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Granted
Application number
CN201711443506.XA
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Chinese (zh)
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CN108143473B (en
Inventor
蒋臻欢
余嘉
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Jiang Zhenhuan
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Yixing Peoples Hospital
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Priority to CN201711443506.XA priority Critical patent/CN108143473B/en
Publication of CN108143473A publication Critical patent/CN108143473A/en
Application granted granted Critical
Publication of CN108143473B publication Critical patent/CN108143473B/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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/62Ring frames, i.e. devices extending around the bones to be positioned
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B2017/603Surgical 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 for external osteosynthesis, e.g. distractors, contractors with three points of contact, e.g. tripod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/105Modelling of the patient, e.g. for ligaments or bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/108Computer aided selection or customisation of medical implants or cutting guides

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

Abstract

The invention discloses a kind of outer resting guides for being accurately positioned pelvis fracture operation, including stent and equipment, equipment includes punching machine and positioning device, stent includes 2 flanks in middle section and left and right, middle section is the isosceles trapezoidal structure to stand upside down, each flank respectively includes the first support chip and the second support chip, and the first support chip and the second support chip are arranged in parallel and jointly fix punching machine;Punching machine is separately positioned on the end of 2 flanks, positioning device is cylindrical needle barrel structure, positioning device is separately positioned on 4 apexes of middle section, and for positioning at patient's pelvis alaossisilii, the positioning device of downside 2 is used to position at tuberculum pubicum the positioning device of upside 2.The present invention sets four positioning devices to realize the positioning to pelvis on stent, makes pelvis support, to realize being accurately positioned in surgical procedure, reduces the pain of patient, increase the chance of success of operation.

Description

A kind of outer resting guide for being accurately positioned pelvis fracture operation
Technical field
The present invention relates to the medical equipment field of pelvis fracture operation, specifically one kind is accurately positioned pelvic fracture The outer resting guide of operation.
Background technology
Pelvic fracture is one of damage of most serious in orthopaedic trauma, and being common in traffic accident, to injure high falling wound contour Energy Damage.The pelvic fracture death rate about 1/6 (5-30%), closed fracture merge about 1/4 (10- of the low blood pressure death rate 42%), the open fracture death rate about 1/2.The massive haemorrhage that early stage is difficult to control is the principal element for influencing the death rate.According to going out Blood source needs to take different haemostatic measures, but generally acknowledges that restoring pelvic volume as early as possible is most basic and most effective arranges at present It applies.Restore sheet binding of the method for pelvic volume including giving treatment to the stage before institute (before entering medical institutions), pelvic splint, pelvis Fixed band, the exterior fixing rack in first aid in hospital stage, c-type grips pincers.C-type grips pincers also known as Ganz pelvis grips pincers are to send out at present Hemostatic device is fixed temporarily up to what national emergency department used, is possessed in hospital of several of China.C-type pincers major defect be It operates relative complex, more people is needed to coordinate.Inserting needle point location relative difficulty, position is bad to be needed to need from the beginning during adjustment. Therefore there is an urgent need for have a kind of to assist in art resting guide outside pinpoint pelvis.
Invention content
The technical problem to be solved by the present invention is to overcome the existing defects, for fixed existing for existing pelvis fixing bracket Insecure, the problem of can not being accurately positioned, provide a kind of outer resting guide for being accurately positioned pelvis fracture operation and its user Method.To solve the above-mentioned problems, the present invention adopts the following technical scheme that:
A kind of outer resting guide for being accurately positioned pelvis fracture operation, including stent and rack-mount equipment, institute It states equipment and includes punching machine and positioning device, the stent includes 2 flanks in middle section and left and right, the middle part It is divided into the isosceles trapezoidal structure of handstand, each flank respectively includes the first support chip and the second support chip, described first Blade and the second support chip are arranged in parallel and jointly fix punching machine;The punching machine is separately positioned on 2 sides The end of the wing, the positioning device are cylindrical needle barrel structure, and the positioning device is separately positioned on 4 of the middle section Apex, described 2 positioning devices in upside are for positioning at patient's pelvis alaossisilii, and described 2 positioning devices in downside are for fixed At the tuberculum pubicum of position.
Further, the punching machine includes the first service aisle sleeve, the first soft tissue aside device and the first kirschner Needle sleeve, the first service aisle sleeve are set on the top of the punching machine, and the first service aisle sleeve connection first is soft Ejector is organized, the other end of the first soft tissue aside device connects the first kirschner needle sleeve.
Further, the base center of the middle section is equipped with auxiliary positioning piece, and the auxiliary positioning piece is used to be aligned Pubic symphysis is hit exactly.
The technical effects of the invention are that:
The present invention realizes the positioning to fracture pelvis by setting four positioning devices on stent, for different crowd's systems Make various sizes of pelvis support, and first pass through the angle that simulated experiment operation adjusts punching machine before use, to realize hand Being accurately positioned during art reduces the pain of patient, increases the chance of success of operation.
Description of the drawings
Attached drawing is used to provide further understanding of the present invention, and a part for constitution instruction, the reality with the present invention Example is applied together for explaining the present invention, is not construed as limiting the invention.In the accompanying drawings:
Fig. 1 is the stereogram of the embodiment of the present invention one;
Fig. 2 is the vertical view of the embodiment of the present invention one;
Fig. 3 is the front view of the embodiment of the present invention one;
Fig. 4 is the side view of the embodiment of the present invention one;
Fig. 5 is the punching machine structure chart of the present invention;
Fig. 6 is the vertical view of the embodiment of the present invention two.
Fig. 7 is usage state diagram of the present invention.
Specific embodiment
The preferred embodiment of the present invention is illustrated below in conjunction with attached drawing, it should be understood that preferred reality described herein It applies example to be merely to illustrate and explain the present invention, be not intended to limit the present invention.
Embodiment one:
As shown in Figs 1-4, a kind of outer resting guide for being accurately positioned pelvis fracture operation, including stent 1 and on stent 1 Equipment 2, the equipment 2 include punching machine 21 and positioning device 22, the stent 1 include 11 He of middle section 2 flanks 12 in left and right, the middle section 11 are the isosceles trapezoidal structure to stand upside down, and each flank 12 respectively includes first 121 and second support chip 122 of blade, 121 and second support chip 122 of the first support chip are arranged in parallel punching machine jointly 21 fix;The punching machine 21 is separately positioned on the end of 2 flanks 12, and the positioning device 22 is cylindrical needle Barrel structure, the positioning device 22 are separately positioned on 4 apexes of the middle section 11, described 2 positioning devices in upside 22 for positioning at patient's pelvis alaossisilii, and described 2 positioning devices 22 in downside are used to position at tuberculum pubicum.The perforation dress It puts 21 and includes the first service aisle sleeve 211, the first soft tissue aside device 212 and the first kirschner needle sleeve 213, first work Make the top that channel sleeve 211 is set on the punching machine 21, the first service aisle sleeve 211 connects the first soft tissue aside device 212, the other end of the first soft tissue aside device 212 connects the first kirschner needle sleeve 213.The base of the middle section 11 Center is equipped with auxiliary positioning piece 3, and the auxiliary positioning piece 3 hits exactly for being directed at pubic symphysis.
Application method (such as Fig. 7):
(1)Preoperative simulation:
It is preoperative by CT scan patient's pelvis, obtain the data of its Dicom form and import computer, pass through the softwares such as mimics It rebuilds and obtains 3D printing pelvis model data, recycle 3D printer, print and patient's pelvis 1:1 model.It utilizes simultaneously Mimics softwares according to patient's pelvis model, design and produce out the required personalized pelvis guide plate of the present invention.
(2)It is operated in art:
Patient pelvis major top raised position is directed at the positioning device 22 of upper end two, pubis upper end raised position is directed at lower end Two positioning devices 22, auxiliary positioning piece 3 are directed at pubic symphysis center;Above-mentioned positioning device 22 is fixed on corresponding position after alignment It puts;The punching machine 21 of accurate angle is penetrated bone from both sides hipbone position to be fixedly connected with fracture pelvis, and lock this branch Frame is performed the operation.
Embodiment two:
As shown in fig. 6, difference from Example 1 is, the auxiliary positioning piece 3 is equipped with auxiliary locator 23, described Auxiliary locator 23 is equipped with the Kirschner wire for playing positioning action so that can clearer display and positioning on X-ray.
The foregoing is only a preferred embodiment of the present invention, is not intended to restrict the invention, although with reference to aforementioned reality Example is applied the present invention is described in detail, it for those skilled in the art, still can be to aforementioned each implementation Technical solution recorded in example modifies or carries out equivalent replacement to which part technical characteristic.All essences in the present invention With within principle, any modification, equivalent replacement, improvement and so on should all be included in the protection scope of the present invention god.

Claims (3)

1. a kind of outer resting guide for being accurately positioned pelvis fracture operation, including stent and rack-mount equipment, It is characterized in that:The equipment includes punching machine and positioning device, and the stent includes 2 sides in middle section and left and right The wing, the middle section are the isosceles trapezoidal structure to stand upside down, and each flank respectively includes the first support chip and the second support Piece, first support chip and the second support chip are arranged in parallel and jointly fix punching machine;The punching machine is set respectively It puts in the end of 2 flanks, the positioning device is cylindrical needle barrel structure, and the positioning device is separately positioned on described 4 apexes of middle section, for described 2 positioning devices in upside for positioning at patient's pelvis alaossisilii, the downside 2 is fixed Position device is used to position at tuberculum pubicum.
2. a kind of outer resting guide for being accurately positioned pelvis fracture operation according to claim 1, it is characterized in that:It is described to wear Aperture apparatus includes the first service aisle sleeve, the first soft tissue aside device and the first kirschner needle sleeve, first service aisle Sleeve be set on the punching machine top, first service aisle sleeve connection the first soft tissue aside device, described first soft group The other end for knitting ejector connects the first kirschner needle sleeve.
3. a kind of outer resting guide for being accurately positioned pelvis fracture operation according to claim 1, it is characterized in that:In described Between part base center be equipped with auxiliary positioning piece, the auxiliary positioning piece for be aligned pubic symphysis center.
CN201711443506.XA 2017-12-27 2017-12-27 External fixation guide plate for accurate positioning pelvis fracture operation Expired - Fee Related CN108143473B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201711443506.XA CN108143473B (en) 2017-12-27 2017-12-27 External fixation guide plate for accurate positioning pelvis fracture operation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711443506.XA CN108143473B (en) 2017-12-27 2017-12-27 External fixation guide plate for accurate positioning pelvis fracture operation

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CN108143473A true CN108143473A (en) 2018-06-12
CN108143473B CN108143473B (en) 2020-04-10

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Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2300378Y (en) * 1997-04-29 1998-12-16 何向阳 Multi-function pelvis external fixator
CN2446961Y (en) * 2000-09-01 2001-09-12 石文元 Reduction fixator for fracture of pelvis
CN201012125Y (en) * 2007-03-26 2008-01-30 孙鲁伟 Adjustable pelvis rack
CN101785692A (en) * 2010-01-28 2010-07-28 贾恩鹏 Adjustable pelvic fracture external fixator
CN203417249U (en) * 2013-08-16 2014-02-05 复旦大学附属金山医院 Pelvis external fixation operation positioning device
CN204379421U (en) * 2014-12-15 2015-06-10 庄岩 The special guider of a kind of pelvis
CN205094563U (en) * 2015-11-05 2016-03-23 钟红刚 Bionical motion hip joint external fixation ware
CN205322459U (en) * 2015-12-14 2016-06-22 厦门大学附属第一医院 Pelvis external fixation frame
CN205493973U (en) * 2015-11-26 2016-08-24 中国人民解放军第三军医大学第三附属医院 It is interim fixed with pelvis annular pincers
CN106859751A (en) * 2017-04-07 2017-06-20 张群 For the external fixer of pelvis

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2300378Y (en) * 1997-04-29 1998-12-16 何向阳 Multi-function pelvis external fixator
CN2446961Y (en) * 2000-09-01 2001-09-12 石文元 Reduction fixator for fracture of pelvis
CN201012125Y (en) * 2007-03-26 2008-01-30 孙鲁伟 Adjustable pelvis rack
CN101785692A (en) * 2010-01-28 2010-07-28 贾恩鹏 Adjustable pelvic fracture external fixator
CN203417249U (en) * 2013-08-16 2014-02-05 复旦大学附属金山医院 Pelvis external fixation operation positioning device
CN204379421U (en) * 2014-12-15 2015-06-10 庄岩 The special guider of a kind of pelvis
CN205094563U (en) * 2015-11-05 2016-03-23 钟红刚 Bionical motion hip joint external fixation ware
CN205493973U (en) * 2015-11-26 2016-08-24 中国人民解放军第三军医大学第三附属医院 It is interim fixed with pelvis annular pincers
CN205322459U (en) * 2015-12-14 2016-06-22 厦门大学附属第一医院 Pelvis external fixation frame
CN106859751A (en) * 2017-04-07 2017-06-20 张群 For the external fixer of pelvis

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Effective date of registration: 20200313

Address after: No. 75, tongzhenguan Road, Yicheng street, Yixing City, Wuxi City, Jiangsu Province

Applicant after: Jiang Zhenhuan

Address before: 214200 Jiangsu city of Wuxi province Yixing Yicheng town Tong Zhen Guan Road No. 75

Applicant before: YIXING PEOPLE'S Hospital

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Granted publication date: 20200410