CN109259876B - Built-in chest deformity correcting instrument - Google Patents
Built-in chest deformity correcting instrument Download PDFInfo
- Publication number
- CN109259876B CN109259876B CN201811304197.2A CN201811304197A CN109259876B CN 109259876 B CN109259876 B CN 109259876B CN 201811304197 A CN201811304197 A CN 201811304197A CN 109259876 B CN109259876 B CN 109259876B
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- China
- Prior art keywords
- mortise
- tenon
- chest
- support plates
- supporting plate
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- 210000000038 chest Anatomy 0.000 claims abstract description 22
- 210000001503 joint Anatomy 0.000 claims abstract description 18
- 208000002325 Funnel Chest Diseases 0.000 claims abstract description 13
- 210000000779 thoracic wall Anatomy 0.000 claims abstract description 9
- 208000032170 Congenital Abnormalities Diseases 0.000 claims abstract description 8
- 241000287828 Gallus gallus Species 0.000 claims abstract 2
- 206010034203 Pectus Carinatum Diseases 0.000 claims description 4
- 208000027418 Wounds and injury Diseases 0.000 abstract description 5
- 230000035807 sensation Effects 0.000 abstract description 4
- 230000014461 bone development Effects 0.000 abstract description 3
- 230000008468 bone growth Effects 0.000 abstract description 3
- 230000000399 orthopedic effect Effects 0.000 abstract description 3
- 208000037816 tissue injury Diseases 0.000 abstract description 3
- 238000003780 insertion Methods 0.000 description 6
- 230000037431 insertion Effects 0.000 description 6
- 210000000481 breast Anatomy 0.000 description 2
- 208000027205 Congenital disease Diseases 0.000 description 1
- 230000002612 cardiopulmonary effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 230000009645 skeletal growth Effects 0.000 description 1
- 230000012488 skeletal system development Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
Landscapes
- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a built-in chest deformity correction device, which comprises a support plate and a locking screw, wherein a mortise and tenon structure consisting of a mortise and tenon joint and a mortise and tenon joint is arranged at one end of two support plates, the mortise and tenon structure of the two support plates is in butt joint, and the mortise and tenon structure is positioned at the approximate middle part of the two support plates which are in butt joint with each other and is fastened by the locking screw; the invention only has one incision when correcting and treating funnel chest and chicken chest patients, and has small wound; the special mortise and tenon structure is adopted to realize binding and fixing of the supporting plate at the middle position of the chest, and the two blunt tail heads extend into the chest walls at the left side and the right side respectively, so that the supporting plate is ensured not to influence the bone growth and development of children; in addition, the invention also has no problem that the traditional funnel chest orthopedic operation needs to pass through the chest by means of the puncher, has small tissue injury and weak foreign body sensation after operation, thereby greatly relieving the pain of patients.
Description
Technical Field
The invention relates to the technical field of medical implantation instruments, in particular to a built-in chest deformity correction instrument.
Background
Funnel chest, chicken breast are congenital diseases, not only influence respiratory system and cardiopulmonary system of patient, still hinder patient's skeletal development and healthy growth simultaneously, and funnel chest adopts minimally invasive surgery to put into correction instrument in the chest to correct the treatment more, and correction instrument of prior art is mostly single backup pad, adopts the mode that both ends are fixed, and the problem that the correction mode that both ends remain can influence skeletal growth to a certain extent to the child of funnel chest, chicken breast disease state high hair population. In addition, during operation, doctors need to open two instrument incisions on two sides of the chest wall of a patient, and additionally need two incisions and three incisions in total, when the correction instrument is inserted, the two ends of the correction instrument are also guided by a puncher, so that the number of incisions is large, the wound area is large, the foreign body sensation in the wound is strong, and the pain of the patient is additionally increased.
Disclosure of Invention
The invention aims at overcoming the defects of the prior art and provides a built-in chest deformity correcting device, which adopts a mortise and tenon structure formed by a mortise and tenon joint and a mortise and tenon joint to be arranged at one end of two supporting plates, wherein the mortise and tenon structure of the two supporting plates is butted, and the mortise and tenon structure is positioned at the approximate middle part of the two supporting plates butted with each other and fastened by a locking screw; when the funnel chest patient is corrected and treated, only one incision is needed to be formed in the chest of the patient, the blunt tail heads of the two support plates are respectively inserted into the chest walls at the left side and the right side, then the mortise and tenon structures of the two support plates are butted, as the mortise and tenon structures are positioned in the middle parts of the two support plates which are butted mutually, finally the butted support plates are fastened by locking screws, binding ropes are used for binding the breast and the ribs along binding grooves, and the incision is sutured, so that the operation is finished. The invention has only one incision, and the wound is small; the special mortise and tenon structure is adopted to realize binding and fixing of the supporting plate at the middle position of the chest, and the two blunt tail heads extend into the chest walls at the left side and the right side respectively, so that the supporting plate is ensured not to influence the bone growth and development of children; in addition, the invention also has no problem that the traditional funnel chest orthopedic operation needs to pass through the chest by means of the puncher, has small tissue injury and weak foreign body sensation after operation, thereby greatly relieving the pain of patients.
The specific technical scheme for realizing the aim of the invention is as follows:
the utility model provides an internal chest deformity correction appliance which is characterized in that the utility model comprises a support plate and a locking screw, the backup pad is two, and the axis of two backup pads is sharp or pitch arc, and the one end of two backup pads is by the mortise and tenon structure that inserts the mortise and tenon and close the mortise and tenon constitution respectively, and the other end is provided with blunt tail, and the mortise and tenon structure of two backup pads dock each other, and the mortise and tenon structure is located the roughly middle part of two backup pads of dock, and the periphery of mortise and tenon structure is equipped with a plurality of ligature grooves;
be equipped with the through-hole on the mortise and tenon, be equipped with the screw hole on the mortise and tenon, locking screw is through the through-hole on the mortise and tenon and the screw hole meshing on the mortise and tenon with the backup pad fastening of two butt joints.
The mortise and tenon structure is divided into a T-shaped mortise and tenon structure or a return mortise and tenon structure;
the insertion mortise of the T-shaped mortise and tenon structure is a mortise and tenon with a T-shaped tenon section and the insertion mortise and tenon is a mortise and tenon hole with a T-shaped groove section, and the T-shaped tenon of one supporting plate is in butt joint with the mortise and tenon hole of the T-shaped groove of the other supporting plate;
the mortise and tenon of the 'back' mortise and tenon structure is a tenon with a rectangular section, and the mortise and tenon of the 'back' mortise and tenon structure is a mortise and tenon hole with a rectangular section, and the tenon and the mortise and tenon of the 'back' mortise and tenon of one supporting plate are in butt joint.
The invention adopts a mortise and tenon structure formed by a mortise and tenon joint and a mortise and tenon joint to be arranged at one end of two support plates, the mortise and tenon structure of the two support plates is in butt joint, and the mortise and tenon structure is positioned in the middle of the two support plates which are in butt joint with each other and is fastened by a locking screw; when the funnel chest patient is corrected and treated, only one incision is needed to be formed in the chest of the patient, the blunt tail heads of the two support plates are respectively inserted into the chest walls at the left side and the right side, then the mortise and tenon structures of the two support plates are butted, as the mortise and tenon structures are positioned in the middle parts of the two support plates which are butted mutually, finally the butted support plates are fastened by locking screws, binding ropes are used for binding the breast and the ribs along binding grooves, and the incision is sutured, so that the operation is finished. The invention has only one incision, and the wound is small; the special mortise and tenon structure is adopted to realize binding and fixing of the supporting plate at the middle position of the chest, and the two blunt tail heads extend into the chest walls at the left side and the right side respectively, so that the supporting plate is ensured not to influence the bone growth and development of children; in addition, the invention also has no problem that the traditional funnel chest orthopedic operation needs to pass through the chest by means of the puncher, has small tissue injury and weak foreign body sensation after operation, thereby greatly relieving the pain of patients. The axes of the two supporting plates can be in a straight line or an arc for delivery, and the radian of the two supporting plates is adjusted by a surgeon according to clinical needs.
Drawings
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is a schematic structural view of a T-shaped mortise and tenon joint structure of the invention;
FIG. 3 is a top view of FIG. 2;
FIG. 4 is a schematic view of section A-A of FIG. 2;
FIG. 5 is a schematic structural view of the 'Hui' -shaped mortise and tenon joint structure of the invention;
FIG. 6 is a top view of FIG. 5;
fig. 7 is a schematic view of section B-B of fig. 5.
Detailed Description
Referring to fig. 1, 2 and 5, the invention comprises two support plates 1 and locking screws 2, wherein the two support plates 1 have straight lines or arc lines on the axes, one ends of the two support plates 1 are respectively provided with a mortise and tenon structure 3 formed by a mortise and tenon joint and a mortise and tenon joint, the other ends of the two support plates 1 are provided with blunt tail heads, the mortise and tenon structures 3 of the two support plates 1 are mutually butted, the mortise and tenon structures 3 are positioned in the middle parts of the two butted support plates 1, and a plurality of binding grooves 13 are formed in the periphery of the mortise and tenon structures 3; the mortise and tenon joint is provided with a through hole 11, the mortise and tenon joint is provided with a threaded hole 12, and the locking screw 2 is meshed with the threaded hole 12 on the mortise and tenon joint through the through hole 11 on the mortise and tenon joint to fasten the two butted support plates 1.
Referring to fig. 1, 2 and 5, the mortise and tenon structure 3 is divided into a T-shaped mortise and tenon structure or a return-shaped mortise and tenon structure.
Referring to fig. 1, 2, 3 and 4, the insertion tenon of the "T" shaped tenon-and-mortise structure is a tenon 31 with a "T" shaped section, and the insertion mortise is a mortise 32 with a "T" shaped slot, and the "T" shaped tenon 31 of one support plate 1 is in butt joint with the mortise 32 of the "T" shaped slot of the other support plate 1.
Referring to fig. 1, 5, 6 and 7, the tenon of the "return" mortise and tenon structure is a tenon 33 with a rectangular cross section, and the mortise of the "return" mortise and tenon structure is a mortise 34 with a "return" cross section, and the rectangular tenon 33 of one support plate 1 is in butt joint with the mortise 34 of the "return" mortise of the other support plate 1.
Referring to fig. 1, the two support plates 1 with linear axes are bent into arc-shaped support plates according to clinical needs by a surgeon.
Examples
Referring to fig. 1, 2 and 5, the invention comprises a supporting plate 1 and a locking screw 2, wherein the supporting plate 1 is two pieces, the supporting plate 1 is arc-shaped, an arc line is matched with a thoracic cavity, one end of the two supporting plates 1 is a mortise and tenon structure 3 formed by a mortise and tenon and mortise, and the mortise and tenon structure 3 is positioned in the middle of the two mutually butted supporting plates 1; the mortise and tenon is provided with the through holes 11, the mortise and tenon is provided with the threaded holes 12, and the locking screw 2 is meshed with the threaded holes 12 on the mortise and tenon through the through holes 11 on the mortise and tenon to fasten the two butted supporting plates 1.
When the funnel chest patient is corrected and treated, only one incision is needed to be formed in the front chest of the patient, the blunt tail heads of the two support plates 1 are respectively inserted from the incisions, one faces the chest wall on the left side and the other faces the chest wall on the right side, then the mortise and tenon structures of the two support plates 1 are butted, as the mortise and tenon structures are positioned in the middle parts of the two support plates 1 butted with each other, finally, the butted support plates 1 are fastened through the incisions in the middle of the chest by using the locking screw 2, the butted support plates are bound with the chest and the ribs by using the binding ropes along the binding grooves 13, and the incisions are sutured, so that the operation is finished.
Referring to fig. 1, 2 and 5, in order to ensure the normal butt joint of the mortise and tenon structures of two support plates 1, the mortise and tenon structure 3 is divided into a T-shaped mortise and tenon structure or a return mortise and tenon structure;
referring to fig. 1, 2, 3 and 4, the mortise and tenon of the "T" shaped mortise and tenon structure is a mortise and tenon hole 32 with a "T" shaped tenon 31 and a "T" shaped groove, when in use, the mortise and tenon hole 32 of the "T" shaped groove of the two support plates 1 is only needed to be butted with the "T" shaped tenon 31, finally the two butted support plates 1 are fastened by the locking screw 2, the binding rope is used to bind the chest and ribs along the binding groove 13, and the incision is sewn, thus the operation is completed.
Referring to fig. 1, 5, 6 and 7, the mortise and tenon of the 'back' mortise and tenon structure is a tenon 33 with a rectangular cross section, the mortise and tenon 12 is a mortise and tenon 34 with a 'back' cross section, when the device is used, only the 'back' mortise and tenon 34 of the two support plates 1 are in butt joint with the rectangular tenon 33, finally the two support plates 1 in butt joint are fastened by the locking screw 2, the binding rope is used for binding the chest and ribs along the binding groove 13, and the incision is sewn, and the operation is completed.
Referring to fig. 1, 2 and 5, the design of the T-shaped mortise and tenon structure or the return-shaped mortise and tenon structure can ensure that the mortise and tenon structure 3 is inserted simply, conveniently and quickly, whether the mortise 32 of the T-shaped groove is in butt joint with the T-shaped tenon 31 or the rectangular tenon 33 is in butt joint with the return-shaped mortise 34, the radial movement of the T-shaped tenon 31 or the rectangular tenon 33 is limited by the mortise 32 of the T-shaped groove or the return-shaped mortise 34, and only axial insertion is allowed, so that during a doctor operation, as long as the two support plates 1 are in butt joint insertion, the mortise and tenon structure 3 of the two support plates 1 is automatically positioned, the ends of the two support plates 1 are automatically aligned, the dislocation phenomenon can not occur, and the doctor operation is convenient.
Claims (3)
1. The utility model provides a built-in funnel chest or chicken breast deformity correction appliance which is characterized in that, it includes backup pad (1) and locking screw (2), backup pad (1) are two, and the axis of two backup pads (1) is sharp or pitch arc, and one end of two backup pads (1) is by mortise and tenon fourth of twelve earthly branches structure (3) that plug-in tenon and plug-in mortise fourth of twelve earthly branches constitute respectively, and the other end is provided with blunt tail, and mortise and tenon fourth of twelve earthly branches structure (3) of two backup pads (1) dock each other, and mortise and tenon fourth of twelve earthly branches structure (3) are located the middle part of two backup pads (1) of dock, and the periphery of mortise and tenon fourth of twelve earthly branches structure (3) is equipped with several ligature grooves (13);
the mortise and tenon is provided with a through hole (11), the mortise and tenon is provided with a threaded hole (12), and the locking screw (2) is meshed with the threaded hole (12) on the mortise and tenon through the through hole (11) on the mortise and tenon to fasten the two butted supporting plates (1);
the blunt tail heads of the two support plates (1) are respectively inserted into chest walls at the left side and the right side, mortise and tenon joints of the two support plates (1) are butted, the support plates are fastened by locking screws (2), and binding ropes are used for binding the support plates with the chest and the ribs along binding grooves (13).
2. The internal funnel chest or chicken chest deformity correction device according to claim 1, wherein said mortise and tenon structure (3) is divided into a "T" shaped mortise and tenon structure or a "return" shaped mortise and tenon structure;
the mortise and tenon of the T-shaped mortise and tenon structure is a mortise and tenon hole (32) with a T-shaped tenon head (31) and a T-shaped groove, and the T-shaped tenon head (31) of one supporting plate (1) is in butt joint with the mortise and tenon hole (32) of the T-shaped groove of the other supporting plate (1);
the mortise and tenon of the 'back' mortise and tenon structure is a tenon (33) with a rectangular cross section, the mortise and tenon is a mortise and tenon hole (34) with a 'back' cross section, and the rectangular tenon (33) of one supporting plate (1) is in butt joint with the 'back' mortise and tenon hole (34) of the other supporting plate (1).
3. The appliance for correcting the internal funnel chest or chicken breast deformity according to claim 1, wherein the axis is a straight two-piece supporting plate (1), and the radian of the two-piece supporting plate is bent by a surgeon according to clinical needs to form a solitary supporting plate.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201811304197.2A CN109259876B (en) | 2018-11-03 | 2018-11-03 | Built-in chest deformity correcting instrument |
Applications Claiming Priority (1)
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CN201811304197.2A CN109259876B (en) | 2018-11-03 | 2018-11-03 | Built-in chest deformity correcting instrument |
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CN109259876A CN109259876A (en) | 2019-01-25 |
CN109259876B true CN109259876B (en) | 2024-01-30 |
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CN201811304197.2A Active CN109259876B (en) | 2018-11-03 | 2018-11-03 | Built-in chest deformity correcting instrument |
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Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN110185478B (en) * | 2019-05-31 | 2020-10-09 | 中国铁建重工集团股份有限公司 | Splicing device, steel arch frame section and steel arch frame |
CN112057155B (en) * | 2020-08-28 | 2022-02-18 | 中南大学湘雅医院 | Funnel chest orthopedic system |
CN112545682B (en) * | 2020-12-07 | 2021-10-01 | 南京医科大学附属口腔医院 | Intelligent functional corrector |
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