A kind of external stress stimulator that promotes lower limb bone healing
Technical field
The present invention relates to a kind of external stress stimulator that promotes lower limb bone healing, particularly relate to a kind ofly be applicable to that femoral shaft, the dried fresh fracture of tibia, old fracture, bone are damaged, fracture delayed union, nonunion, complication such as fracture back osteoporosis and hip joint, the early stage external stress stimulator of knee prosthesis postoperative.
Background technology
The lower limb shaft fracture comprises that fracture of shaft of femur, tibia are done, tibiofibula is done fracture.The fracture at these positions often easily causes fracture delayed union, nonunion, fracture end bony defect etc. for various reasons.Bone delay in healing, nonunion are meant the sluggish of fracture healing process and stop.No matter operative treatment or non-operative treatment and hip joint, knee prosthesis postoperative after the fracture, because of the unstressed stimulation of fracture end easily causes knitting speed to slow down and osteoporotic appearance, due to illness the required bed rest time of people is long again, expense is high, patient's misery and burden have been increased, so how to accelerate the process of knitting, treatment bone delay in healing, nonunion, bony defect are very significant problems, also are one of the emphasis of orthopaedics area research and difficult point always.At present, stimulate union of fracture both at home and abroad, the method for treatment fracture delayed union, bone does not connect is a lot, mainly contain mechanical stress stimulation, electromagnetic stimulation, supersonic vibration stimulate, from body bone and allogenic bone transplantation and organizational project etc.Though electromagnetic stimulation is operative treatment not, electromagnetic stimulation has the possibility of guide pin fracture, pin site infection, and externally-applied magnetic field produces eddy-current heating on the metal inside-fixture patient such as do not feel well; Supersonic vibration stimulates the curative effect of knitting also to have many disputes; Though do not have the immunological rejection of xenogenesis bone from the body bone, supply limitedly, and wound is big, the chance that increases the patient suffering and infect for the district; The xenogenesis bone only can play bone conduction effect, makes the speed of growth of bone graft slow; Also studied organizational project in recent years,, search out difficulty of ideal cell source and host material, and immunological rejection may occur though it holds out broad prospects.These methods be because of providing necessary stress stimulation to fracture end, often cause complication such as fracture end osteoporosis to occur because of long-term bed and braking.There is numerous research to support that knitting is regulated and control by local mechanical environment.Many in recent years bases and clinical research confirm that all the controlled small movements of fracture end can promote callus formation and calcification, can the accelerated bone healing.The mechanical stress stimulus method promotes union of fracture to be admitted by Chinese scholars as a kind of Noninvasive therapy.Therefore it is clinical how to stimulate the theoretical research result of union of fracture to be applied to mechanical stress, and by the process of mechanics approach accelerating union of bone fracture, orthopaedics diseases such as treatment fracture delayed union, bone does not connect have very important significance.
At present, stimulate the research of union of fracture all on the zoopery basis, to carry out mostly about mechanical stress, immediate corpse or the femur of just adopting, even if but verity is good, corpse does not have regeneration capacity yet, for considering that the influence of mechanical stress to union of fracture has little significance, that is to say, mechanical stress is to help union of fracture in theory, but temporarily be not used for clinical medicine, fairly perfect instrument also not occurring directly applies in the fracture recovering medical treatment, but mechanical stress promotes the union of fracture theory to obtain general approval, in case the exploitation and the application of the Medical Instruments of fracturing are accordingly achieved success, the research of union of fracture and clinical treatment will obtain important breakthrough.
Summary of the invention
The objective of the invention is to overcome the deficiency of prior art, provide a kind of reasonable in design, operate simple and easy, light, safe stress stimulation promotes the instrument of knitting, can accelerated bone the process of healing, shorten treatment time, treatment fracture delayed union, nonunion, bone are damaged, complication such as control fracture back osteoporosis are avoided the possibility of wound, misery and infection that operative treatment causes.
The technical solution adopted for the present invention to solve the technical problems is: a kind of external stress stimulator that promotes lower limb bone healing, and it comprises the instrument shell, is connected in the horizontal slot carriage of instrument shell one side and is contained in motor, hand hammer in the instrument shell and the control circuit that is used for drive motors; Described motor is connected with a fifth wheel with the top in being fixed on the instrument shell before and after the axis on the machine shaft; Described hand hammer comprise along about to tup that is provided with and the vertical hammer stem that is provided with, an end of hammer stem and tup Joint, the other end are articulated in the interior top of shell; Middle part at hammer stem is provided with slide opening, is with the slide block that can move up and down along slide opening in the slide opening, and slide block is fixed on the eccentric position place of fifth wheel; The front end of described tup is made as circular-arc, is provided with the hammer hole along the move instrument shell in the place ahead of tup, and the hammer hole feeds the level trough of carriage.
Described control circuit comprises switching power circuit, signal generator and the motor driver that contains rectification, voltage stabilizing, the input of switching power circuit is connected to the 220V alternating current power supply, the output of switching power circuit is connected to signal generator, motor driver respectively, the output of signal generator is connected to motor driver, and the output of motor driver is connected to motor.
Described motor is a motor.
Vertical being articulated in described hammer stem and the instrument shell to being articulated by a bearing, the end of hammer stem is fixed in the inner ring or the place, outer ring of bearing, and the outer ring of bearing or inner ring are fixed on the top in the instrument shell.
Described slide block is a bearing, and the inner ring of bearing is fixed on the eccentric position of fifth wheel, and the outer ring of bearing is enclosed within the slide opening.
Described hand hammer is that medical stainless steel material is made, and the hand hammer top is made as circular arc.
Described carriage is that medical stainless steel material is made, and is horizontal slot.
External stress stimulator of the present invention, be control circuit and the hand hammer that motor, drive motors running are housed in the instrument shell, by motor power being converted into hand hammer power, make the hand hammer top repeatedly, periodically along the hammer hole outwards hit, patient's lower limb are placed on the carriage, heel portion is near the hammer hole, just can allow the hand hammer top repeatedly, periodicity is perpendicular to the human body heel, act on heel along the lower limb y direction.
Its circuit structure of external stress stimulator of the present invention is not limit, with can control step motor rotation speed, running intermittent time get final product.
Controllable stress intensity of its hand hammer of external stress stimulator of the present invention and stress frequency size all within human body institute energy tolerance scope, can be set at 20N~350N and 0.1Hz~40Hz respectively.
The present invention stimulates according to the osseous tissue counter stress to have good adaptability, the mechanical environment of fracture plays the theory of regulating and controlling effect to knitting, and the principle of utilizing electromechanical integration, the a kind of of development is used to promote union of fracture, the control bone delay in healing, nonunion, bone is damaged, fracture back osteoporosis, quicken hip joint, the stress stimulator of knee prosthesis postoperative knitting, impose suitable stress by this instrument to suffering from the limb heel, make fracture end produce small activity, to excite knitting potential, reach the treatment fracture, bone delay in healing, the purpose of orthopaedics diseases such as nonunion.
In the use, in the level trough that patient's lower limb are placed on, allow the patient heel portion near the hammer hole, after turning on the power switch, motor gets electric rotation, motor has driven the fifth wheel rotation after rotating, after rotating, fifth wheel drives and then rotation together of the fixed slide block of eccentric position on it again, because hammer stem is nested by slide opening and slide block, and the upper end of hammer stem is positioned in the top in the instrument shell, and then the rotation of slide block has driven the swing of hammer stem, certainly will will drive tup after the hammer stem swing and seesaw, thereby make tup repeatedly along the hammer hole, periodically outwards hit and act on patient's heel, reached the effect that stimulates patient's fracture end.
During use, select case according to this instrument indication.Symptomatic treatment such as dewater after being admitted to hospital for fresh lower limb shaft fracture, plaster slab is temporarily fixing, after swelling is disappeared, after the fracture end local anesthesia, the closed manual reduction of row fracture, plaster cast is fixed, and checks reset case the same day; Old lower limb shaft fracture be admitted to hospital the same day row manual reduction and plaster cast fix; The bone delay in healing of intramedullary nail with nail postoperative, the capable release postoperative of nonunion need not be fixed by plaster cast; Plaster cast fixedly case heel position is opened a Gypsum Fibrosum window, and the about 4.5cm of diameter exposes heel portion skin; To suffer from limb and be put on the stress stimulation knitting instrument bracket, heel is aimed at stress stimulation knitting instrument stress delivery outlet.Stress frequency and stress intensity that fracture of shaft of tibia, tibiofibula are done the treatment of fracture case are adjusted to 0.5Hz, 200N respectively, and the stress frequency and the stress intensity of the treatment of fracture of shaft of femur case are adjusted to 0.5Hz, 250N respectively.Treat each treatment time 30min, each 3h at interval every day 3 times.The positive side of check fracture position X-ray film weekly, the amount of assessment growth of spur, and, make fracture end to reach the fastest healing rate and healing quality according to the size of the suitable regulating action stress of amount of callus.
The invention has the beneficial effects as follows: owing to adopted instrument shell, carriage, motor, hand hammer and control circuit to come the constituting body external carbuncle to stimulate instrument, this stimulates knitting instrument to produce compressive stress at long bone fracture end or the damaged end of bone, bone delay in healing end, compressive stress has been acknowledged as and can not only have improved the knitting rate, shorten treatment time, and can reduce or the generation of complication such as bone delay in healing, bone does not connect and osteoporosis afterwards that prevents to fracture, thereby shorten patient's hospital stays, alleviate the patient medical expense; It is complete AT Therapeutic Method that the applied ontology external carbuncle stimulates instrument, can avoid the possibility of wound, misery and infection that operative treatment causes; Be not subjected to the local soft tissue condition influence, simple, convenient; The body external carbuncle stimulates the development cost of instrument low, small investment, and damaged, bone delay in healing of bone or fracture patient number are huge in addition, and the body external carbuncle stimulates appearance easily to be promoted in hospitals at different levels, is easy to be accepted by numerous medical personnels and patient.Therefore, in case the body external carbuncle stimulates instrument clinical trial success, practical value and economic worth that this instrument can be created are very considerable.
Description of drawings
Below in conjunction with drawings and Examples the present invention is described in further detail; But a kind of external stress stimulator of lower limb bone healing that promotes of the present invention is not limited to embodiment.
Fig. 1 is a structural map of the present invention;
Fig. 2 is a vertical view of the present invention;
Fig. 3 is the cutaway view along A-A line among Fig. 2;
Fig. 4 is the cutaway view along B-B line among Fig. 2;
Fig. 5 is a circuit diagram of the present invention.
The specific embodiment
Shown in accompanying drawing, a kind of external stress stimulator that promotes lower limb bone healing of the present invention, it comprises instrument shell 1, is connected in the horizontal slot carriage 2 of instrument shell one side and is contained in motor 3, hand hammer 4 in the instrument shell and the control circuit that is used for drive motors.
Carriage 2 is made for medical stainless steel material, is horizontal slot, can be convenient to place patient's lower limb.
Top in the instrument shell 1 is fixed with a support 11 that is used to install motor 3, be provided with hammer hole 12 in instrument shell 1 and carriage 2 joining one sides, hammer hole 12 feeds the level trough of carriage 2, is provided with switch and button in the front of instrument shell 1, is used to control the adjustment of power supply open and close and motor rotation pattern.
Hand hammer 4 comprise along about to tup 41 that is provided with and the vertical hammer stem 42 that is provided with, hand hammer 4 is made for medical stainless steel material, tup 41 tops of hand hammer 4 are made as circular arc.
Motor 3 is a motor, motor 3 is with the top in being fixed on instrument shell 1 before and after the axis, also being about to motor 3 locks on support 11 by screw, motor 3 is fixed in the instrument shell 1, wherein the rotating shaft of motor 3 can be forward, also can be backward, still, during installation, the hammer hole 12 that the tup 41 of the hand hammer of installing after guaranteeing 4 can be aimed at instrument shell 1 gets final product; Its circular arc leading section can pass hammer hole 12 when tup 41 was travelled forward, and hit the heel portion the patient; Be connected with a fifth wheel 31 in motor 3 rotating shafts; Hammer stem 42 1 ends of hand hammer and tup 41 Joints, the other end is articulated in top in the instrument shell 1 by a bearing 52, during pivot joint, it can be the inner ring that the end of hammer stem 42 is fixed in bearing 52, the outer ring of bearing 52 then is fixed on the top in the instrument shell 1, also can be the outer ring that the end of hammer stem 42 is fixed in bearing, the inner ring of bearing 52 then be fixed on the top in the instrument shell 1, and hammer stem 42 can be got final product around itself and vertical interface rotation in the instrument shell 1; Be provided with slide opening 43 at the middle part of hammer stem 42, being with in the slide opening 43 can be along the bearing 51 of slide opening scroll-up/down, and the inner ring of bearing 51 is fixed on the eccentric position of fifth wheel 31, and the outer ring of bearing 51 is enclosed within the slide opening 43.
Control circuit comprises switching power circuit 61, signal generator 62 and the motor driver 63 that contains rectification, voltage stabilizing, the rectification of switching power circuit 61 by inside, voltage stabilizing components and parts are converted into required unidirectional current with the 220V alternating current of input and offer circuit and use, simultaneously, the switch in it comprises switch that power supply is controlled and the button that is used for conditioning signal; Signal generator 62 is used to produce square-wave signal, sends the pulse speed with control; Motor driver 63 is used for the drive motors running.The input of switching power circuit 61 is connected to the 220V alternating current power supply, and the output of switching power circuit 61 is connected to signal generator 62, motor driver 63 respectively, and the output of signal generator 62 is connected to motor driver 63, and the output of motor driver 63 is connected to motor 3.The structure of control circuit can be not limited to kind of a mode, with can control step motor rotation speed, the running intermittent time gets final product.
External stress stimulator of the present invention, be control circuit and the hand hammer 4 that motor 3, drive motors running are housed in instrument shell 1, by motor 3 power are converted into hand hammer 4 power, tup 41 tops that make hand hammer 4 repeatedly, periodically outwards hit along hammer hole 12, patient's lower limb are placed on the carriage 2, heel portion is near hammer hole 12, just can allow hand hammer 4 tup 41 tops repeatedly, periodicity is perpendicular to the human body heel, act on heel along the lower limb y direction.
Its hand hammer 4 controllable stress intensities of external stress stimulator of the present invention and stress frequency size all within human body institute energy tolerance scope, can be set at 20N~350N and 0.1Hz~40Hz respectively.
The present invention stimulates according to the osseous tissue counter stress to have good adaptability, the mechanical environment of fracture plays the theory of regulating and controlling effect to knitting, and the principle of utilizing electromechanical integration, the a kind of of development is used to promote union of fracture, the control bone delay in healing, nonunion, bone is damaged, fracture back osteoporosis, quicken hip joint, the stress stimulator of knee prosthesis postoperative knitting, impose suitable stress by this instrument to suffering from the limb heel, make fracture end produce small activity, to excite knitting potential, reach the treatment fracture, bone delay in healing, the purpose of orthopaedics diseases such as nonunion.
In the use, in the level trough that patient's lower limb are placed on, allow the patient heel portion near the hammer hole 12, after turning on the power switch, motor 3 gets electric rotation, having driven fifth wheel 31 after motor 3 rotates rotates, after rotating, fifth wheel 31 drives and then rotation together of the fixed bearing 51 of eccentric position on it again, because hammer stem 42 is nested by slide opening 43 and bearing 51, and the upper end of hammer stem 42 is positioned in the top in the instrument shell 1, then the rotation of bearing 51 has driven the swing of hammer stem 42, certainly will will drive tup 41 after hammer stem 42 swings seesaws, thereby make tup 41 repeatedly along hammer hole 12, periodically outwards hit and act on patient's heel, reached the effect that stimulates patient's fracture end.
During use, select case according to this instrument indication.Symptomatic treatment such as dewater after being admitted to hospital for fresh lower limb shaft fracture, plaster slab is temporarily fixing, after swelling is disappeared, after the fracture end local anesthesia, the closed manual reduction of row fracture, plaster cast is fixed, and checks reset case the same day; Old lower limb shaft fracture be admitted to hospital the same day row manual reduction and plaster cast fix; The bone delay in healing of intramedullary nail with nail postoperative, the capable release postoperative of nonunion need not be fixed by plaster cast; Plaster cast fixedly case heel position is opened a Gypsum Fibrosum window, and the about 4.5cm of diameter exposes heel portion skin; To suffer from limb and be put on the stress stimulation knitting instrument bracket, heel is aimed at stress stimulation knitting instrument stress delivery outlet.Stress frequency and stress intensity that fracture of shaft of tibia, tibiofibula are done the treatment of fracture case are adjusted to 0.5Hz, 200N respectively, and the stress frequency and the stress intensity of the treatment of fracture of shaft of femur case are adjusted to 0.5Hz, 250N respectively.Treat each treatment time 30min, each 3h at interval every day 3 times.The positive side of check fracture position X-ray film weekly, the amount of assessment growth of spur, and, make fracture end to reach the fastest healing rate and healing quality according to the size of the suitable regulating action stress of amount of callus.