CN202589589U - Minimal invasion tendo calcaneus fixing anastomat - Google Patents
Minimal invasion tendo calcaneus fixing anastomat Download PDFInfo
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- CN202589589U CN202589589U CN 201120558626 CN201120558626U CN202589589U CN 202589589 U CN202589589 U CN 202589589U CN 201120558626 CN201120558626 CN 201120558626 CN 201120558626 U CN201120558626 U CN 201120558626U CN 202589589 U CN202589589 U CN 202589589U
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- heel string
- fixing
- locking pin
- type ring
- calcaneus
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Abstract
The utility model belongs to the utensil for wound anastomosis, and specifically discloses a minimal invasion tendo calcaneus fixing anastomat, including a calcaneus positioning group and a tendo calcaneus positioning group, wherein each positioning group includes U-shaped rings, a main connection rod, universal fixing nuts and fixing pins. The fixing pin is fixedly connected with the U-shaped ring through the universal fixed nuts. The U-shaped rings in the same positioning group are connected by the main connecting rod under the action of the universal fixing nuts; and different positioning groups are fixedly connected by an auxiliary connecting rod. With the adoption of the minimal invasion tendo calcaneus fixing anastomat, the connection stability of the broken end of the heel tendon wound is improved, the blood supply for the tendo calcaneus is not damaged, and the infection and rejection reactions of suture lines are prevented.
Description
Technical field
This utility model belongs to the medical apparatus and instruments of the wound that coincide, and is specifically related to a kind of Wicresoft heel string fixed anastomosis device.
Background technology
Acute rupture of Achilles tendon is a kind of common labor operation, military training, athletic injury, and the common site of fracture is calcaneus stop 2-6cm place, and according to report, rupture of Achilles tendon occupies the 3rd in tendon rupture.Reparation after the rupture of Achilles tendon is usually bad because of adhesion of tendon, the reparation of cicatrix property, healing, infection, sutural rejection etc., makes the heel string healing not reach desirable requirement.Its generation supplies rare relatively relevant with therapeutic modality and the local blood of heel string.It mainly is to be provided by mesotendon that the blood of heel string supplies.Acute rupture of Achilles tendon divides closure and opening; Its common damage of closed rupture ofachilles tendon mechanism is stretched for knee joint and health gravity when falling within front foot; The unexpected unexpected dorsiflex of ankle joint; Or the violent dorsiflex of foot that the sole of the foot is bent when a certain height falls, be in tendon under the contraction state and receive the direct violence effect or tear and cause rupture of Achilles tendon.Normal because the glass incised wound of open rupture of Achilles tendon, cutter are chopped wound, floor tile, ceramics incised wound, hacksaw, iron plate incised wound etc.
Acute rupture of Achilles tendon be as will not treating, and the heel string of fracture is after 1 week, between the heel string broken ends of fractured bone by the scar tissue filling, will be elongated after the healing process of tendons, cause suffering from the limb heel string of can not having stood on tiptoe, activities such as running, jump and stair activity all will be affected.The Therapeutic Method of rupture of Achilles tendon comprises non-operation and operation.Non-operative treatment: it is disconnected to be primarily aimed at the closure heel string, with the heel string of slightly tearing, or older, complication is many, the patient not high to functional requirement usually adopts non-operative treatment.Be that the patient keeps the foot sole of the foot to bend the 20-30 degree, give Gypsum Fibrosum or brace external fixation 3-6 week behind the heel string of reduction fracture, the prevention ankle joint back of the body is stretched complete non-heavy burden.Though non-operative treatment supplies not have to heel string blood and destroys, because rupture of Achilles tendon only depends on Gypsum Fibrosum or the indirect external fixation ankle joint of brace, ankle joint can produce fine motion, makes the instability of involutory connection between the heel string broken ends of fractured bone, influences the heel string healing.The rate of report non-operative treatment recurrent tendon rupture at present is 39%.So conservative non-operative treatment weak effect.
The operative treatment of rupture of Achilles tendon at present is behind lumbar anesthesia, to carry out.Surgical repair rupture of Achilles tendon method from simple Bunnell, Kessler end to end anastomosis, is strengthened or artificial tendon transplanting etc. to more complicated fascia, plantaris muscle tendon, the peroneal tendon of utilizing.Operation method is varied.No matter closure or open rupture of Achilles tendon; In order to repair and the involutory heel string broken ends of fractured bone; All need long incision surgery to cut and manifest peeling off of normal heel string part and row paratenon; So that stitching thread is fixed in normal tendon sex organization, unavoidably cause heel string local organization blood fortune is destroyed, the result causes complication such as adhesion of tendon, the reparation of cicatrix property, healing are bad, infection, sutural rejection to take place.Ankle joint function is stiff, thus more than various operation methods treatment rupture of Achilles tendon effects still unsatisfactory.Heel string minimally-invasive treatment new method is like tendon skin sewing, joint endoscopic stapler, Achillon anastomat sewing etc.; Though operative incision obviously reduces; It is stable that the broken ends of fractured bone is connected; But still inevitably exist complication such as the blood fortune damage of heel string, sutural infection rejections, influence the heel string healing.
No matter be at present operation or non-operative treatment, the postoperative ankle all need give Gypsum Fibrosum or brace external fixation 3-6 week, bends the 20-30 degree to keep patient's foot sole of the foot, makes the identical heel string broken ends of fractured bone keep tension-free state, helps the heel string healing.But long-time Gypsum Fibrosum or the compressing of brace external fixation, the one, cause the shank disturbance of blood circulation, the blood that influences heel string supplies; The one, Gypsum Fibrosum or brace external fixation become flexible or fracture can not keep patient's foot sole of the foot to bend 20-30 degree position, and the one, long-time Gypsum Fibrosum or brace external fixation compressing shank patient produce extremely uncomfortable misery.
The utility model content
The stability that the technical problem that this utility model will solve provides a kind of heel string end-to-end anastomosis is high, avoid stitching thread to infect, can keep the foot sole of the foot to bend the 20-30 degree, to the no destructive Wicresoft of heel string blood confession heel string fixed anastomosis device.
In order to solve the problems of the technologies described above; This utility model provides a kind of Wicresoft heel string fixed anastomosis device; Comprise calcaneus location group and heel string location group, two location groups include U type ring, master link, universal hold-doun nut and locking pin, and locking pin is fixedly connected with U type ring through universal hold-doun nut; With connecting under universal hold-doun nut effect through master link between the U type ring in the group of location, be fixedly connected through auxiliary connecting rod between the group of different location.
Adopt Wicresoft's heel string fixed anastomosis utensil of technique scheme that following advantage is arranged: 1; Owing to each have two pieces of cross fixation pins at tibia and calcaneus; Make dislocation of ankle joint be fixed on the 20-30 ° of sole of the foot through U type ring and connecting rod adjusting and bend the position; Avoided conventional gypsum holder or brace external fixation to cause: the one, the shank disturbance of blood circulation, the blood that influences heel string supplies; The one, Gypsum Fibrosum or brace external fixation become flexible or fracture can not keep patient's foot sole of the foot to bend 20-30 degree position, and the one, long-time Gypsum Fibrosum or brace external fixation compressing shank patient produce extremely uncomfortable misery.Tentatively make the involutory and stable raising between the heel string broken ends of fractured bone.2, the far and near end of the heel string broken ends of fractured bone is provided with a U type ring separately and threads a needle arm, and the arm of threading a needle is provided with not in the conplane hole of threading a needle; Make heel string broken ends of fractured bone locking pin pass the distance end of heel string respectively through the hole of threading a needle; Coincide behind the alignment heel string broken ends of fractured bone, the heel string locking pin is fixed on the arm of threading a needle, and the arm of threading a needle is connected fixing with heel string U type ring; Heel string U type interannular forms the relative heel string broken ends of fractured bone through two connecting rods and is fixed into an individual system, coincide reliably and has fixed rupture of Achilles tendon place.Two connecting rods of heel string portion are connected with calcaneus any two connecting rods wherein with tibia again.So complete fixed heel string fixed anastomosis system forms, and makes the heel string end-to-end anastomosis fixing more firm.2, owing to saved the wound of operative incision, there be not peeling off of paratenon, the blood of heel string supplies system not sustain damage, so the heel string healing is carried out under normal blood supplies, has reduced heel string adhesion, the reparation of cicatrix property, malunited generation; 3, saved sutural use, avoided sutural infection and sutural rejection; 4, the arm of threading a needle is provided with not in the conplane hole of threading a needle, and has reduced the cutting damage of heel string locking pin to heel string; 5, the anesthesia of operation can just can be accomplished under local anesthesia, and anesthesia method is simply quick, has reduced the risk of lumbar anesthesia, reduces patient's Anesthetic Fee usefulness, under simple and easy condition, can carry out under the urgent environment.
As the further improvement of this utility model, this utility model also comprises and is used for fixing the arm of threading a needle that is arranged in parallel and passes the locking pin of the heel string broken ends of fractured bone.The locking pin that passes the heel string broken ends of fractured bone is to intersect to be arranged or is arranged in parallel, and locking pin can directly be fixed on the U type ring through universal hold-doun nut when arranged crosswise, when being arranged in parallel, must use the locking pin that the arm of threading a needle assists to depart from U type ring and fix.
Further, the locking pin arranged crosswise of passing the heel string broken ends of fractured bone is fixed on the U type ring, because the optional mode of choosing friends fork of different situations of rupture of Achilles tendon fixes.
Further; Because the position of patient's rupture of Achilles tendon is different, adjustment also can take place and change in the fixed position of heel string fixed anastomosis device, for solving this technical problem; Connecting rod is set to slidably mechanism, adapts to the position of the heel string broken ends of fractured bone through the length of slidable adjustment connecting rod.
Description of drawings
Below in conjunction with the accompanying drawing and the specific embodiment this utility model is done further detailed explanation:
Fig. 1 is that this utility model Wicresoft heel string fixed anastomosis device is fixed on the structural representation on the calcaneus;
Fig. 2 is that this utility model Wicresoft heel string fixed anastomosis device is fixed on the structural representation on the heel string;
Fig. 3 is two groups of U type rings sketch maps that are connected.
The specific embodiment
As shown in Figure 1; This utility model provides a kind of Wicresoft heel string fixed anastomosis device; Comprise calcaneus location group and heel string location group, two location groups include U type ring 2, master link 3, universal hold-doun nut 1 and locking pin 4, and locking pin 4 is fixedly connected with U type ring 2 through universal hold-doun nut 1; With connecting under universal hold-doun nut 1 effect through master link 3 between the U type ring 2 in the group of location, be fixedly connected through auxiliary connecting rod 6 between the group of different location.
Four of four on required U type ring during use, four of bone locking pins and heel string locking pins, 14 of universal hold-doun nuts, 5 four on the arm of threading a needle, four on arm 5 nuts of threading a needle, five of connecting rods.
After the anesthesia, routine disinfection shop in affected part is single, checks out the disconnected place of heel string; Confirm the position of thrusting of tibia and calcaneus locking pin earlier, respectively the bone locking pin is intersected with electric drill and squeeze into tibia and calcaneus, U type ring is placed on bone locking pin position; Make the bone locking pin pass the universal hold-doun nut on the U type ring, adjustment U type ring is tightened universal hold-doun nut, makes the bone locking pin be connected one through universal hold-doun nut with U type ring; On the U type ring, connecting rod is installed, is bent the position at the sole of the foot of ankle joint 20-30 degree; The adjusting bar that is slidingly connected, the length that makes connecting rod is to reach satisfied position; Peaceful tight universal hold-doun nut makes the bar that is slidingly connected be connected with U type ring is stable.Confirm heel string broken ends of fractured bone position once more; Placing heel string U type ring from proximal end, the broken ends of fractured bone 1cm left and right sides; Both sides install the arm of threading a needle respectively, adjust the arm position of threading a needle, make thread a needle arm and heel string direction one to; Through the arm of the threading a needle hole of threading a needle locking pin is penetrated heel string, will penetrate the heel string locking pin and pass through fixed by nut with the arm of threading a needle; With quadrat method from the broken ends of fractured bone 1cm left and right sides far-end place heel string U type ring U type ring be nested into the relevant position; Both sides install the arm of threading a needle respectively; Adjust the arm position of threading a needle; Make thread a needle arm and heel string direction one to, through the arm of the threading a needle hole of threading a needle locking pin is penetrated heel string, will penetrate the heel string locking pin and pass through fixed by nut with the arm of threading a needle; Make the heel string broken ends of fractured bone in order; Confirm that the heel string broken ends of fractured bone is involutory intact, fastening nut makes the arm of threading a needle fixing tight with heel string U type ring, the installation heel string U type bar that is slidingly connected; Through regulating length that hold-doun nut adjusts the bar that is slidingly connected, can accomplish the operation of heel string fixed anastomosis to reach heel string broken ends of fractured bone tight connecting.Heel string connected system and bone connected system are fixed together through universal hold-doun nut and connecting rod; Form Wicresoft's heel string fixed anastomosis device firm, that stability is high; It is simple to operation to use this anastomat; Fixing reliable, do not destroy heel string blood and supply, avoid stitching thread to infect and rejection, reduced heel string adhesion, the reparation of cicatrix property.
Above-described only is the preferred implementation of this utility model; Should be understood that for a person skilled in the art; Under the prerequisite that does not break away from this utility model structure, can also make some distortion and improvement, these can not influence effect and practical applicability that this utility model is implemented.
Claims (4)
1. Wicresoft's heel string fixed anastomosis device, it is characterized in that: comprise calcaneus location group and heel string location group, two location groups include U type ring, master link, universal hold-doun nut and locking pin, and locking pin is fixedly connected with U type ring through universal hold-doun nut; With connecting under universal hold-doun nut effect through master link between the U type ring in the group of location, be fixedly connected through auxiliary connecting rod between the group of different location.
2. Wicresoft according to claim 1 heel string fixed anastomosis device is characterized in that: also comprise being used for fixing the arm of threading a needle that is arranged in parallel and passes the locking pin of the heel string broken ends of fractured bone.
3. Wicresoft according to claim 1 heel string fixed anastomosis device is characterized in that: the locking pin arranged crosswise of passing the heel string broken ends of fractured bone is fixed on the U type ring.
4. Wicresoft according to claim 2 heel string fixed anastomosis device, it is characterized in that: described drawing-off bar is telescopic mechanism.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201120558626 CN202589589U (en) | 2011-12-28 | 2011-12-28 | Minimal invasion tendo calcaneus fixing anastomat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201120558626 CN202589589U (en) | 2011-12-28 | 2011-12-28 | Minimal invasion tendo calcaneus fixing anastomat |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN202589589U true CN202589589U (en) | 2012-12-12 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201120558626 Expired - Lifetime CN202589589U (en) | 2011-12-28 | 2011-12-28 | Minimal invasion tendo calcaneus fixing anastomat |
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| CN (1) | CN202589589U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102551832A (en) * | 2011-12-28 | 2012-07-11 | 任小宝 | Minimal invasion heel tendon fixing anastomat |
| RU2638764C2 (en) * | 2016-05-30 | 2017-12-15 | Государственное бюджетное учреждение Санкт-Петербургский научно-исследовательский институт скорой помощи им. И.И. Джанелидзе | Device for external fixation of abdominal wall for compartment syndrome treatment in case of tertiary peritonitis |
-
2011
- 2011-12-28 CN CN 201120558626 patent/CN202589589U/en not_active Expired - Lifetime
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102551832A (en) * | 2011-12-28 | 2012-07-11 | 任小宝 | Minimal invasion heel tendon fixing anastomat |
| CN102551832B (en) * | 2011-12-28 | 2014-02-12 | 任小宝 | Minimal invasion heel tendon fixing anastomat |
| RU2638764C2 (en) * | 2016-05-30 | 2017-12-15 | Государственное бюджетное учреждение Санкт-Петербургский научно-исследовательский институт скорой помощи им. И.И. Джанелидзе | Device for external fixation of abdominal wall for compartment syndrome treatment in case of tertiary peritonitis |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20121212 Effective date of abandoning: 20140212 |
|
| RGAV | Abandon patent right to avoid regrant |