CN112545734A - External fixation combination device for treating fifth metacarpal neck fracture - Google Patents

External fixation combination device for treating fifth metacarpal neck fracture Download PDF

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Publication number
CN112545734A
CN112545734A CN202011410896.2A CN202011410896A CN112545734A CN 112545734 A CN112545734 A CN 112545734A CN 202011410896 A CN202011410896 A CN 202011410896A CN 112545734 A CN112545734 A CN 112545734A
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CN
China
Prior art keywords
supporting plate
metacarpal
fracture
plate
arc
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Pending
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CN202011410896.2A
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Chinese (zh)
Inventor
孟宪宇
孟平
董礼榤
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Heilongjiang University of Chinese Medicine
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Heilongjiang University of Chinese Medicine
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Priority to CN202011410896.2A priority Critical patent/CN112545734A/en
Publication of CN112545734A publication Critical patent/CN112545734A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/058Splints
    • A61F5/05841Splints for the limbs
    • A61F5/05858Splints for the limbs for the arms
    • A61F5/05866Splints for the limbs for the arms for wrists, hands, fingers or thumbs

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses an external fixation combination device for treating fifth metacarpal neck fracture, which comprises: the upper laminated plate, the side supporting plate, the reset fixing rod for palm holding and the arc supporting plate are arranged on the upper laminated plate; the upper laminated plate is hinged with the side supporting plate, one end of the reset fixing rod is fixedly connected with the inner side of the side supporting plate, and the bottom end of the side supporting plate is vertically and fixedly connected with the arc supporting plate. Go up the lamination board and play the effect that carries out the pressurization fixed to the back of the hand side fifth metacarpal of bone rupture end department according to the characteristics of back of the hand appearance integrality better, the side position backup pad is used for playing the fixed effect in the reinforcing hand outside after carrying out the gimmick and reseing back installation device, the dead lever that resets carries out the gimmick at the fracture and resets the back, reach fixed fifth metacarpal head, avoid its secondary aversion that probably takes place, the arc backup pad has the effect of supporting whole palm, the arc design has the effect of maintaining the hand functional position fixed simultaneously.

Description

External fixation combination device for treating fifth metacarpal neck fracture
Technical Field
The invention relates to the technical field of medical instruments, in particular to an external fixation combination device for treating fifth metacarpal neck fracture.
Background
The fracture of the metacarpal bone and the neck is common in clinic, the fracture of the metacarpal bone and the neck is caused by violence during the process of making a fist, the fifth metacarpal bone is bruised by hitting a hard object during making a fist, the fracture is often caused by boxing amateurs, also called as the fracture of boxers, and the fracture of the fifth metacarpal bone and the neck of the right hand is common.
After the fifth metacarpal neck fracture, because the fifth metacarpal head has large displacement, especially has large displacement towards the palm side, has deformity such as angulation, rotation, shortening and the like towards the dorsal and radial sides, and has great difficulty in reduction and fixation, the currently accepted operation modes mainly include cross internal fixation of the kirschner wire and the like, but because the fracture end of the fifth metacarpal head is pulled by the interosseous muscle and the lumbricalis muscle, the dorsocle protrusion angulation occurs, the articular surface is unsmooth in reduction, the fifth metacarpal head is easy to be displaced for the second time after reduction, and the like, the complications such as fracture deformity healing, joint bulge deformity, function loss, interphalangeal arthritis and the like are easily caused. In the clinical treatment process, how to reliably fix the fracture of the cervical metacarpal bone after the fracture of the cervical metacarpal bone is reduced is an urgent problem to be solved.
Therefore, there is a need to provide an external fixation assembly for treating the fifth metacarpal-cervical fracture, which can solve the above problems, make the treatment of the fifth metacarpal-cervical fracture easier, faster and more effective, and avoid complications such as fracture deformity healing, joint bulging deformity, functional loss and interphalangeal arthritis.
Disclosure of Invention
The invention aims to solve the technical problems in the prior art to a certain extent and provides an external fixation combined device for treating fifth metacarpal neck fracture.
Aiming at the defects of the prior art, the invention aims to provide an external fixation combination device for treating the fifth metacarpal-cervical fracture, which can effectively solve the problems, avoid the possibility of complications such as fracture deformity healing, joint bulging deformity, functional loss, interphalangeal arthritis and the like, keep the functions of finger joints and metacarpophalangeal joints, and has the advantages of reliable fixation, low price, easy disassembly, easy popularization and clinical application in primary hospitals and the like.
In order to achieve the purpose, the invention adopts the following technical scheme:
an external fixation assembly for treating a fifth metacarpal-cervical fracture comprising: the upper laminated plate, the side supporting plate, the reset fixing rod for palm holding and the arc supporting plate are arranged on the upper laminated plate; the upper laminated plate is hinged with the side supporting plate, one end of the reset fixing rod is fixedly connected with the inner side of the side supporting plate, and the bottom end of the side supporting plate is vertically and fixedly connected with the arc supporting plate.
Further, still include cotton pad, cotton pad is the triangular prism form, sets up the lower surface of last lamination board and the inboard of side position backup pad for closely laminate with the palm.
By adopting the beneficial effect of the scheme, the effect of buffering and pressurizing the fracture end is achieved.
Furthermore, the cross section of the cotton pad is a right triangle, and the right-angle sides are respectively 6-8cm and 0.5-1 cm.
By adopting the beneficial effects of the proposal, the function of buffering and pressurizing the body surface of the fracture end can be more effectively realized
Furthermore, the section of the upper laminated board is a right trapezoid, the length of a right-angle side a is 6-8cm, the length of a right-angle side b is 0.5-1cm, and the length of a right-angle side c is 1-2 cm.
By adopting the beneficial effects of the scheme, the fifth metacarpal bone on the back side of the hand at the bone fracture end is pressurized and fixed in a better integrity manner according to the characteristics of the appearance of the back of the hand.
Furthermore, the side position backup pad is used for strengthening the fixed of palm outside, the side position backup pad is long for 10cm, wide for the rectangle board of 4cm, and its one end is circular-arc.
Furthermore, the reduction fixing rod is a cylinder, the length of the reduction fixing rod is 9cm, and the diameter of the reduction fixing rod is 2 cm.
By adopting the scheme, according to the characteristic that the fifth metacarpal head is displaced after fracture, the fifth metacarpal head is fixed after the fracture is reset by a manipulation, thereby greatly avoiding possible secondary displacement and avoiding abnormal healing after fracture.
Further, the arc-shaped supporting plate is an arc-shaped wood plate with the width of 8 cm.
Adopt above-mentioned scheme's beneficial effect, have the effect of supporting whole palm, the arc design has the effect of maintaining hand functional position fixed simultaneously.
Through the technical scheme, compared with the prior art, the invention discloses an external fixation combination device for treating fifth metacarpal-cervical fracture, which is simple in structure, convenient in material taking and manufacturing, low in cost and strong in operability, is designed aiming at the characteristics of the fifth metacarpal-cervical fracture and the defect that effective fixation is difficult after traditional manual reduction, overcomes the secondary displacement of the fifth metacarpal bone after fracture reduction and fixation of a boxer treated at home and abroad, and avoids complications such as fracture deformity healing, joint swelling deformity, function loss, interphalangeal arthritis and the like.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the provided drawings without creative efforts.
Fig. 1 is a schematic structural view of an external fixation assembly for treating a fifth metacarpal-neck fracture according to the present invention.
Fig. 2 is a schematic view of a triangular prism-shaped cotton pad of an external fixation combination device for treating fifth metacarpal-neck fracture according to the present invention.
Wherein: 1-upper laminate; 2-side supporting plate; 3-resetting the fixed rod; 4-arc support plate; 5-cotton pad.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc., indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and thus, are not to be construed as limiting the present invention.
In the present invention, unless otherwise expressly stated or limited, "above" or "below" a first feature means that the first and second features are in direct contact, or that the first and second features are not in direct contact but are in contact with each other via another feature therebetween. Also, the first feature being "on," "above" and "over" the second feature includes the first feature being directly on and obliquely above the second feature, or merely indicating that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature includes the first feature being directly under and obliquely below the second feature, or simply meaning that the first feature is at a lesser elevation than the second feature.
The embodiment of the invention discloses an external fixation combination device for treating fifth metacarpal neck fracture, which is made of willow materials and is mainly suitable for fixation after manual reduction of the fifth metacarpal neck fracture; the method comprises the following steps: the device comprises an upper laminated plate 1, a side supporting plate 2, a reset fixing rod 3 for palm holding and an arc supporting plate 4; go up the lamination board 1 and pass through metal hinge connector articulated together with side position backup pad 2, the one end of dead lever 3 that resets and the inboard fixed connection of side position backup pad 2, the bottom and the perpendicular fixed connection of arc backup pad 4 of side wall backup pad 2.
The palm-shaped cotton cushion is characterized by further comprising a cotton cushion 5, wherein the cotton cushion 5 is triangular prism-shaped, the section of the cotton cushion 5 is a right-angled triangle, the right-angled edges are 6-8cm and 0.5-1cm respectively, the right-angled edges are arranged between the lower surface of the upper laminated plate 1 and the back of a hand, and the inclined surface is attached to the lower surface of the upper laminated plate and used for being tightly attached to a palm.
Specifically, the section of the upper laminated board 1 is a right trapezoid, the length of a right-angle side a is 6-8cm, the length of a right-angle side b is 0.5-1cm, and the length of a right-angle side c is 1-2 cm. The fifth metacarpal bone on the back side of the hand at the bone fracture end is pressed and fixed in a better integrity mode according to the appearance characteristics of the back of the hand; the side supporting plate 2 is used for strengthening the fixation of the outer side of the palm, the side supporting plate 3 is a rectangular plate with the length of 10cm and the width of 4cm, and one end of the side supporting plate is in an arc shape;
the dead lever 3 that resets is the cylinder, and long being 9cm, the diameter is 2cm, and arc backup pad 4 is wide for 8 cm's arc plank, supports whole palm, and the arc design has the effect of maintaining hand function position fixed simultaneously.
In the using process of the invention, taking the fifth metacarpophalangeal neck fracture of the right hand as an example, a patient faces to a doctor, the index finger, the middle finger, the ring and the little finger of the patient are clamped by the index finger, the middle finger and the little finger of the patient, after the metacarpophalangeal joint and the proximal finger joint are respectively bent by about 90 degrees, the left hand slightly draws and lifts the far end of the fracture at the same time, the thumb of the right hand presses the near end of the fracture downwards, and the thumb of the left hand is matched with the metac; after the manual reduction, the right hand is placed in a fixing frame, the large-diameter side of a reduction fixing rod is propped against the body surface of the palm side of a fifth metacarpal head, the palm is in a half fist shape, the index finger, the middle finger and the ring finger hold the small-diameter side of the reduction fixing rod, an arc-shaped supporting plate is tightly attached to the palm to maintain a functional position, the ulnar side of the right hand is tightly attached to a side supporting plate, a triangular prism-shaped cotton pad is placed on the body surface of the back side of the fracture end, an upper laminated board is placed above the cotton pad and tightly attached to the cotton pad, and finally, the combination frame is bound and fixed by. After the fixation is reliable, the aims of pressurizing and fixing the fractured end of the fracture, preventing the fifth metacarpal head from displacing for the second time and preventing the fracture deformity from healing are achieved, and the fracture healing is effectively promoted.
The embodiments in the present description are described in a progressive manner, each embodiment focuses on differences from other embodiments, and the same and similar parts among the embodiments are referred to each other. The device disclosed by the embodiment corresponds to the method disclosed by the embodiment, so that the description is simple, and the relevant points can be referred to the method part for description.
The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

Claims (7)

1. An external fixation assembly for treating a fifth metacarpal-cervical fracture, comprising: the device comprises an upper laminated plate (1), a side supporting plate (2), a reset fixing rod (3) for palm holding and an arc supporting plate (4); the upper laminated plate (1) is hinged with the side supporting plate (2), one end of the reset fixing rod (3) is fixedly connected with the inner side of the side supporting plate (2), and the bottom end of the side supporting plate (2) is vertically and fixedly connected with the arc supporting plate (4).
2. The external fixation combination for the treatment of fifth metacarpal-cervical fracture according to claim 1, characterized in that it further comprises a cotton pad (5), said cotton pad (5) is triangular prism-shaped, and is disposed on the lower surface of said upper laminate (1) and the inner side of said side support plate (2) for close fitting with the palm.
3. The external fixation combination for the treatment of fracture of metacarpal neck as claimed in claim 1, characterized in that the cross section of the cotton pad (5) is right triangle, the right sides are 6-8cm and 0.5-1cm respectively.
4. An external fixation assembly for the treatment of a fifth metacarpal neck fracture according to claim 1, wherein the cross section of the upper laminate plate (1) is a right trapezoid, the length of the right-angled side a is 5-8cm, the length of the right-angled side b is 0.4-1cm, and the length of the right-angled side c is 1-1 cm.
5. An external fixation assembly for the treatment of fifth metacarpal neck fracture according to claim 1, characterized in that the side support plate (2) is used for strengthening the fixation of the outer side of the palm, the side support plate (2) is a rectangular plate with a length of 10cm and a width of 4cm, and one end of the plate is arc-shaped.
6. An external fixation assembly as claimed in claim 1, wherein the reduction fixation rod (3) is cylindrical, 9cm long and 1cm in diameter.
7. An external fixation assembly for the treatment of fracture of the fifth metacarpal neck as claimed in claim 1, wherein the arc shaped support plate (4) is an arc shaped wooden plate with a width of 8 cm.
CN202011410896.2A 2020-12-03 2020-12-03 External fixation combination device for treating fifth metacarpal neck fracture Pending CN112545734A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202011410896.2A CN112545734A (en) 2020-12-03 2020-12-03 External fixation combination device for treating fifth metacarpal neck fracture

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Application Number Priority Date Filing Date Title
CN202011410896.2A CN112545734A (en) 2020-12-03 2020-12-03 External fixation combination device for treating fifth metacarpal neck fracture

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101708142A (en) * 2009-11-25 2010-05-19 王书军 Mitt type cervix metacarpal fracture fixing support instrument
CN108836604A (en) * 2018-08-17 2018-11-20 许争光 A kind of fracture of metacarpal bone reseting fixture
CN108852595A (en) * 2018-08-28 2018-11-23 佛山市中医院 A kind of medical fixing board and stabilizing brace
CN110251294A (en) * 2019-06-12 2019-09-20 珠海中科先进技术研究院有限公司 A kind of fracture of metacarpal bone and phalanges of fingers external fixer
CN209595990U (en) * 2018-10-17 2019-11-08 重庆市中医骨科医院 A kind of distal radius ambulatory splint
CN210185796U (en) * 2018-12-21 2020-03-27 邓蕴源 Fracture fixing device
CN210784904U (en) * 2019-06-21 2020-06-19 珠海中科先进技术研究院有限公司 Fixing device for metacarpal-phalangeal fracture
CN210784903U (en) * 2019-06-12 2020-06-19 珠海中科先进技术研究院有限公司 Metacarpal-phalangeal fracture external fixation device

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101708142A (en) * 2009-11-25 2010-05-19 王书军 Mitt type cervix metacarpal fracture fixing support instrument
CN108836604A (en) * 2018-08-17 2018-11-20 许争光 A kind of fracture of metacarpal bone reseting fixture
CN108852595A (en) * 2018-08-28 2018-11-23 佛山市中医院 A kind of medical fixing board and stabilizing brace
CN209595990U (en) * 2018-10-17 2019-11-08 重庆市中医骨科医院 A kind of distal radius ambulatory splint
CN210185796U (en) * 2018-12-21 2020-03-27 邓蕴源 Fracture fixing device
CN110251294A (en) * 2019-06-12 2019-09-20 珠海中科先进技术研究院有限公司 A kind of fracture of metacarpal bone and phalanges of fingers external fixer
CN210784903U (en) * 2019-06-12 2020-06-19 珠海中科先进技术研究院有限公司 Metacarpal-phalangeal fracture external fixation device
CN210784904U (en) * 2019-06-21 2020-06-19 珠海中科先进技术研究院有限公司 Fixing device for metacarpal-phalangeal fracture

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