CN104323834B - A postoperative bone corrector - Google Patents
A postoperative bone corrector Download PDFInfo
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- CN104323834B CN104323834B CN201410572471.XA CN201410572471A CN104323834B CN 104323834 B CN104323834 B CN 104323834B CN 201410572471 A CN201410572471 A CN 201410572471A CN 104323834 B CN104323834 B CN 104323834B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
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Abstract
Description
技术领域technical field
本发明涉及一种术后骨骼矫正器,具有涉及一种采用线缆和固定节配合进行术后骨骼脚掌的固定器。The invention relates to a postoperative bone corrector, which relates to a fixator for the postoperative bone sole by cooperating with a cable and a fixation joint.
背景技术Background technique
在骨折等骨科治疗过程中,术后经常通过各种支架穿透皮表,对骨骼进行固定对其进行矫正和恢复,在恢复后,再通过创伤手术,将支架进行拆除,整个过程需要进行多次手术,对人体肌肉和表皮部分带来的创伤比较大,而且术后恢复期也比较长,同时传统的支架对骨部带来的压迫和创伤都比较大;In the process of orthopedic treatment such as fractures, various brackets are often used to penetrate the skin surface after surgery, and the bones are fixed to correct and restore them. After recovery, the brackets are removed through trauma surgery. The whole process requires multiple procedures. This operation will cause relatively large trauma to the human muscle and epidermis, and the postoperative recovery period will be relatively long. At the same time, the traditional bracket will cause relatively large compression and trauma to the bone;
对此现在市场上,提供了很多能一定程度上降低手术时创伤程度和减少手术次数,同时又可以加快愈合的骨科固定器,如专利号为ZL201120537796.6的发明,其中提出了一种用于骨骼部包裹的钢丝,这种钢丝通过在钢丝表面设置可吸收材料保护套来降低对骨骼的损伤,降低骨骼缺血坏死的几率,但其本身还是通过多次缠绕的方式实现骨部的固定,在骨骼恢复后,拆除钢丝手术所带来的皮肤和肌肉创伤还是很大,需要比较长的时间进行恢复;In this regard, on the market now, many orthopedic fixators that can reduce the degree of trauma during surgery and reduce the number of operations to a certain extent, and can accelerate healing at the same time, such as the invention of ZL201120537796.6, which proposes a method for The steel wire wrapped around the bone part, this kind of steel wire reduces the damage to the bone and reduces the chance of bone ischemia and necrosis by setting a protective sheath of absorbable material on the surface of the steel wire. After the bone recovers, the skin and muscle trauma caused by the steel wire removal operation is still very large, and it takes a long time to recover;
再如同ZL201420132756.7名称为一种髌骨外固定架的发明专利,其中也提出了一种微创的骨骼外部的固定架,此结构比较比较类似于现在普遍使用的钢钉固定式的结构,其主要目的是实现多方位的骨部固定,同时细钢钉对人体带来的创伤也比较小,可以避免二次取出手术对人体带来的伤害和感染,但在其技术方案中,钢钉起主要的支撑作用,为了保证其一定的支撑性能(即抗弯强度)所以钢钉本身无法做的像针灸针那样细,所以其钢钉对人体表皮和肌肉创伤程度的减小还是比较有限的,而且钢钉本身因为其体积缘故和特殊的生物性能缘故,如果使用钛合金等材料制作的话,加工难度和成本都比较高,如果使用一些生物性能较好的聚合物制作的话,其强度又无法保证,同时该发明的主支撑器为一个环形金属板,安装时,会对待手术的肢体部带来遮挡,安装会比较困难,也无法实现在X光照下的准确安装;Another example is the invention patent of ZL201420132756.7 titled a patella external fixator, which also proposes a minimally invasive bone external fixator. This structure is more similar to the commonly used steel nail-fixed structure. The main purpose is to achieve multi-directional bone fixation. At the same time, the trauma caused by the thin steel nails to the human body is relatively small, which can avoid the injury and infection caused by the second removal operation to the human body. However, in its technical plan, the steel nails The main support function, in order to ensure a certain support performance (ie, bending strength), the steel nail itself cannot be made as thin as acupuncture needles, so the reduction of the degree of trauma to the human epidermis and muscles by the steel nail is still relatively limited. Moreover, due to its volume and special biological properties, if the steel nail itself is made of titanium alloy and other materials, the processing difficulty and cost are relatively high. If it is made of some polymers with better biological properties, its strength cannot be guaranteed. At the same time, the main support of the invention is an annular metal plate, which will block the limbs to be operated during installation, making installation more difficult, and accurate installation under X-rays cannot be realized;
所以综上所述,现有技术中的骨骼外部固定器具还是存在着许多的不足,例如:安装带来的创伤、二次取出手术创伤、成本无法降低、安装难度大。Therefore, in summary, there are still many deficiencies in the external bone fixation devices in the prior art, for example: trauma caused by installation, secondary removal surgery trauma, cost cannot be reduced, and installation is difficult.
发明内容Contents of the invention
本发明要解决的技术问题是:克服现有技术中支架安装创伤大、固定手术复杂等技术问题,提供一种对安装者创伤较小,可以减少甚至不需要二次手术的骨科固定支架。The technical problem to be solved by the present invention is to overcome the technical problems of large trauma and complicated fixation operation in the prior art, and provide an orthopedic fixation bracket with less trauma to the installer and less or even no need for secondary surgery.
本发明解决其技术问题所采用的技术方案是:The technical solution adopted by the present invention to solve its technical problems is:
一种术后骨骼矫正器,包括固定框架、调节组件、连接棒组件和固定节组件;A postoperative bone corrector, comprising a fixed frame, an adjustment assembly, a connecting rod assembly and a fixation joint assembly;
所述固定节组件通过连接棒组件直线阵列排布在固定框架内,固定节组件与固定框架之间通过调节组件连接;The fixed section assembly is arranged in a linear array in the fixed frame through the connecting rod assembly, and the fixed section assembly is connected to the fixed frame through an adjustment assembly;
所述固定框架为环形,所述固定节组件包括若干以固定框架中心环形阵列排布的固定节,所述固定节包括体中心顶架、支撑器,所述支撑器包括一个弧形展开面,在弧形展开面的两侧各设置有一个与展开面纵向轴线垂直的镂空槽,所述镂空槽内设置有固定杆,在固定杆上设置有一个固定块,所述固定块之间设置有固定线缆;The fixed frame is ring-shaped, and the fixed section assembly includes several fixed sections arranged in a circular array at the center of the fixed frame. The fixed section includes a body center top frame and a supporter, and the supporter includes an arc-shaped unfolded surface. A hollow groove perpendicular to the longitudinal axis of the unfolded surface is provided on both sides of the arc-shaped unfolded surface, a fixed rod is arranged in the hollowed groove, a fixed block is arranged on the fixed rod, and a fixed block is arranged between the fixed blocks. fixed cable;
所述支撑器的中部设置有一个立柱,所述立柱上设置有体中心顶架,所述体中心顶架包括一个与支撑器的展开面同轴的弧形支撑面;The middle part of the support is provided with a column, and the column is provided with a body-centered top frame, and the body-centered top frame includes an arc-shaped support surface coaxial with the unfolded surface of the support;
所述固定块之间的固定线缆与弧形支撑面之间围成用于固定脊柱的支撑框架;A support frame for fixing the spine is enclosed between the fixed cables between the fixed blocks and the arc-shaped support surface;
所述连接棒组件包括若干个与固定节对应的连接棒,在所述支撑器的立柱内设置有一个与弧形支撑面轴线平行的安装孔,所有固定框架上位于同一直线的固定节之间通过安装在安装孔内的连接棒连接在一起;The connecting rod assembly includes several connecting rods corresponding to the fixed joints, and a mounting hole parallel to the axis of the arc-shaped support surface is provided in the column of the supporter, and all the fixed frames are located between the fixed joints on the same straight line Connected together by connecting rods installed in the mounting holes;
所述调节组件包括调节杆A组件和调节杆B组件,所述调节杆A组件包括固定在支撑器弧形展开面背部的调节螺杆A,所述调节螺杆A的一端与支撑器弧形展开面背部转动连接,调节螺杆A的另一端与固定框架通过螺纹连接;The adjustment assembly includes an adjustment rod A assembly and an adjustment rod B assembly. The adjustment rod A assembly includes an adjustment screw A fixed on the back of the arc-shaped development surface of the support. One end of the adjustment screw A is connected to the arc-shaped development surface of the support. The back is rotated and connected, and the other end of the adjusting screw A is threaded with the fixed frame;
所述调节杆B组件包括若干设置在固定节之间的调节螺杆B,在调节螺杆B的一端转动连接有一个截面为半圆形的压紧块,所述压紧块与相邻两个固定节的弧形展开面背部接触,所述调节螺杆B的另一端与固定框架通过螺纹连接。The adjusting rod B assembly includes several adjusting screw rods B arranged between the fixed joints, and one end of the adjusting screw rod B is rotatably connected with a pressing block with a semicircular cross section, and the pressing block is connected with two adjacent fixed joints. The arc-shaped unfolded surface of the joint is in contact with the back, and the other end of the adjusting screw B is threadedly connected with the fixed frame.
作为本发明的进一步创新,所述体中心顶架采用弹性材料制成。As a further innovation of the present invention, the body center top frame is made of elastic material.
作为本发明的进一步创新,所述固定块包括一个用于固定固定线缆的固定孔,所述固定孔的侧壁上设置有锁紧螺钉A。As a further innovation of the present invention, the fixing block includes a fixing hole for fixing the cable, and a locking screw A is provided on the side wall of the fixing hole.
作为本发明的进一步创新,所述固定块包括一个用于与固定框架套接的滑动孔,所述滑动孔的侧壁上设置有锁紧螺钉B。As a further innovation of the present invention, the fixing block includes a sliding hole for socketing with the fixing frame, and a locking screw B is provided on the side wall of the sliding hole.
作为本发明的进一步创新,所述固定线缆包括拉紧线,所述拉紧线的材料具有生物相容性。As a further innovation of the present invention, the fixing cable includes a tension wire, and the material of the tension wire is biocompatible.
作为本发明的进一步创新,所述拉紧线采用脂肪族聚酯制成。As a further innovation of the present invention, the tension wire is made of aliphatic polyester.
作为本发明的进一步创新,所述拉紧线中部设置有强化金属线缆,所述强化金属线缆的材料具有生物相容性。As a further innovation of the present invention, a strengthened metal cable is provided in the middle of the tension wire, and the material of the strengthened metal cable is biocompatible.
作为本发明的进一步创新,所述强化金属线缆采用钛合金制成。As a further innovation of the present invention, the reinforced metal cable is made of titanium alloy.
作为本发明的进一步创新,所述连接棒采用铝合金制成。As a further innovation of the present invention, the connecting rod is made of aluminum alloy.
本发明的有益效果是:The beneficial effects of the present invention are:
1、本发明采用固定框架、调节组件和固定节的配合,在保证微创的情况下,可以对骨骼进行固定和矫正,因为单面仅用四根固定线缆,所以对人体的创伤面较小,同时弹性材质的固定节不仅可以保证固定时的舒适度,同时也可以给肌肉收缩舒张导致的膨胀提供一定的余量,因为弧形支撑面的低弹性,不仅可以保证骨骼的固定,同时也可以防止拉紧线对骨骼表面的过度压迫,造成骨坏死;本发明压紧块可以调节各个固定节弧形展开面的弹性;1. The present invention adopts the cooperation of the fixed frame, the adjustment component and the fixed section, and can fix and correct the bones under the condition of ensuring minimal invasiveness. Because only four fixed cables are used on one side, it is less traumatic to the human body. Small, at the same time, the fixed joint made of elastic material can not only ensure the comfort of the fixation, but also provide a certain margin for the expansion caused by muscle contraction and relaxation, because the low elasticity of the arc-shaped support surface can not only ensure the fixation of the bone, but also It can also prevent the excessive compression of the tension wire on the surface of the bone, resulting in osteonecrosis; the compression block of the present invention can adjust the elasticity of the arc-shaped expansion surface of each fixation segment;
同时本发明也可以用于骨折的术后固定,固定框架还可以提供良好的保护性能,而且本发明的安装手术也比较简单。At the same time, the present invention can also be used for postoperative fixation of fractures, and the fixation frame can also provide good protection performance, and the installation operation of the present invention is relatively simple.
2、本发明的拉紧线采用夹紧式固定,这种结构可以提高安装的便利性,同时拉紧线也可以以一个更高的预紧力安装。2. The tension wire of the present invention is fixed by clamping. This structure can improve the convenience of installation, and at the same time, the tension wire can also be installed with a higher pre-tightening force.
3、本发明的固定块与固定框架之间为滑动固定,可以更加方便的调整固定块之间的位置,从而方便的根据具体的骨骼状况,调整拉紧线的固定位置,极大增加了泛用性。3. The fixed block and the fixed frame of the present invention are fixed by sliding, and the position between the fixed blocks can be adjusted more conveniently, so that the fixed position of the tension wire can be adjusted conveniently according to the specific bone condition, which greatly increases the pan usability.
4、具有生物相容性的脂肪族聚酯材质制成的拉紧线,因为其低生物排斥性,在恢复后,可以留在人体的体内,可以降低二次拆除手术的创伤程度,如果骨骼本身破坏程度不大的话,可以不进行二次拆除手术。4. The tension thread made of biocompatible aliphatic polyester material, because of its low bio-repellency, can stay in the body after recovery, which can reduce the trauma of the second removal operation. If the bone If the degree of damage itself is not large, it is not necessary to perform a second removal operation.
、本发明的拉紧线缆中还加入了一个钛合金制成的强化线缆以防止拉紧过度导致的拉紧线断裂的情况,在恢复后可以直接将钛合金的强化线缆抽出,部分留在体内也不会存在太大的排异问题。1. In the tightening cable of the present invention, a strengthening cable made of titanium alloy is also added to prevent the tensioning wire from breaking due to excessive tension. After recovery, the strengthening cable of titanium alloy can be directly pulled out, and some There will not be too much rejection problem if it stays in the body.
、本发明的连接棒采用可塑性较强的铝合金制成,可以根据患者具体点脊椎形状进行相应的调整,提高本发明的适用程度。. The connecting rod of the present invention is made of aluminum alloy with strong plasticity, which can be adjusted accordingly according to the specific point of the patient's spine shape, so as to improve the applicability of the present invention.
附图说明Description of drawings
下面结合附图和实施例对本发明进一步说明。The present invention will be further described below in conjunction with the accompanying drawings and embodiments.
图1是本发明使用状态1的示意图;Fig. 1 is the schematic diagram of using state 1 of the present invention;
图2是本发明使用状态2的示意图;Fig. 2 is the schematic diagram of using state 2 of the present invention;
图3是本固定节的剖面示意图;Fig. 3 is the sectional schematic diagram of this fixing section;
图4是固定块的横向剖面图;Fig. 4 is a transverse sectional view of a fixed block;
图中:1、固定块;2、调节螺杆A;3、调节调节螺杆B;4、压紧块;5、弧形展开面;6、固定杆;7、立柱;8、连接棒;9、中心顶架;10、固定线缆;11、骨骼;12、固定框架;In the figure: 1. Fixed block; 2. Adjusting screw A; 3. Adjusting adjusting screw B; 4. Compression block; Center top frame; 10, fixed cable; 11, skeleton; 12, fixed frame;
1-1、固定孔;1-2、滑动孔。1-1, fixing hole; 1-2, sliding hole.
具体实施方式detailed description
现在结合附图对本发明作进一步详细的说明。这些附图均为简化的示意图,仅以示意方式说明本发明的基本结构,因此其仅显示与本发明有关的构成。The present invention is described in further detail now in conjunction with accompanying drawing. These drawings are all simplified schematic diagrams, which only illustrate the basic structure of the present invention in a schematic manner, so they only show the configurations related to the present invention.
实施例1Example 1
具体如图1、图3和图4所示,本产品主要包括包括固定框架、调节组件、连接棒组件和固定节组件;Specifically as shown in Figure 1, Figure 3 and Figure 4, this product mainly includes a fixed frame, an adjustment component, a connecting rod component and a fixed joint component;
一种术后骨骼11矫正器,包括固定框架12、调节组件、连接棒8组件和固定节组件;A postoperative bone 11 corrector, comprising a fixed frame 12, an adjustment assembly, a connecting rod 8 assembly and a fixation joint assembly;
固定节组件通过连接棒8组件直线阵列排布在固定框架12内,固定节组件与固定框架12之间通过调节组件连接;The fixed section assembly is arranged in a linear array in the fixed frame 12 through the connecting rod 8 assembly, and the fixed section assembly and the fixed frame 12 are connected through an adjustment assembly;
固定框架12为环形,固定节组件包括若干以固定框架12中心环形阵列排布的固定节,固定节包括体中心顶架9、体内骨面固定器和支撑器,支撑器包括一个弧形的展开面,在弧形的展开面的两侧各设置有一个与展开面纵向轴线垂直的镂空槽,镂空槽内设置有固定杆6,在固定杆6上设置有一个固定块1,固定块1之间设置有固定线缆10;The fixation frame 12 is ring-shaped, and the fixation segment assembly includes several fixation segments arranged in a circular array at the center of the fixation frame 12. The fixation segment includes a body center top frame 9, a bone surface fixer in the body, and a supporter. The supporter includes an arc-shaped expansion On the surface, a hollow groove perpendicular to the longitudinal axis of the unfolded surface is provided on both sides of the arc-shaped unfolded surface. A fixed rod 6 is arranged in the hollowed groove, and a fixed block 1 is arranged on the fixed rod 6. Between the fixed block 1 A fixed cable 10 is arranged between them;
支撑器的中部设置有一个立柱7,立柱7上设置有体中心顶架9,体中心顶架9包括一个与支撑器的展开面同轴的弧形支撑面;The middle part of the supporter is provided with a column 7, and the column 7 is provided with a body center top frame 9, and the body center top frame 9 includes an arc-shaped support surface coaxial with the unfolded surface of the supporter;
固定块1之间的固定线缆10与弧形支撑面之间围成用于固定脊柱的支撑框架;A support frame for fixing the spine is formed between the fixed cables 10 between the fixed blocks 1 and the arc-shaped support surface;
连接棒8组件包括若干个与固定节对应的连接棒8,在支撑器的立柱7内设置有一个与弧形支撑面轴线平行的安装孔,同一直线阵列上的固定节通过安装在安装孔内的连接棒8连接在一起;The connecting rod 8 assembly includes several connecting rods 8 corresponding to the fixed joints. A mounting hole parallel to the axis of the arc-shaped support surface is provided in the column 7 of the support. The fixed joints on the same linear array are installed in the mounting holes The connecting rods 8 are connected together;
调节组件调节杆A组件和调节杆B组件,调节杆A组件包括固定在支撑器弧形展开面5背部的调节螺杆A2,调节螺杆A2的一端与支撑器弧形展开面5背部转动连接,调节螺杆A2的另一端与固定框架12通过螺纹连接;Adjusting components Adjusting rod A assembly and adjusting rod B assembly, the adjusting rod A assembly includes an adjusting screw A2 fixed on the back of the arc-shaped development surface 5 of the supporter, and one end of the adjustment screw A2 is rotationally connected with the back of the arc-shaped expansion surface 5 of the supporter. The other end of the screw rod A2 is threadedly connected with the fixed frame 12;
调节杆B组件包括若干设置在固定节之间的调节螺杆B3,在调节螺杆B3的一端转动连接有一个截面为半圆形的压紧块4,压紧块4与相邻两个固定节的弧形展开面5背部接触,调节螺杆B3的另一端与固定框架12通过螺纹连接;The adjusting rod B assembly includes a number of adjusting screw rods B3 arranged between the fixed sections, and one end of the adjusting screw rod B3 is rotatably connected with a compression block 4 with a semicircular cross section, and the compression block 4 is connected to two adjacent fixed sections. The arc-shaped unfolding surface 5 is in contact with the back, and the other end of the adjusting screw B3 is threadedly connected with the fixed frame 12;
其中固定块1包括一个用于将固定块1套接到固定杆62上的滑动孔1-2,在滑动孔1-2的内壁上设置有锁紧螺钉B,同时固定块1上还设置有一个用于穿过固定线缆103的固定孔1-1,同样的在固定孔1-1的侧壁上设置有一个用于固定固定线缆103的锁紧螺钉A;Wherein the fixed block 1 includes a sliding hole 1-2 for connecting the fixed block 1 to the fixed rod 62, a locking screw B is arranged on the inner wall of the sliding hole 1-2, and the fixed block 1 is also provided with A fixing hole 1-1 for passing through the fixing cable 103, and a locking screw A for fixing the fixing cable 103 is also provided on the side wall of the fixing hole 1-1;
其中固定线缆10包括具有生物相容性的脂肪族聚酯材质制成的拉紧线,在拉紧线中部设置有同样为生物相容性材料的钛合金制成的强化金属线;Wherein the fixed cable 10 comprises a tension wire made of a biocompatible aliphatic polyester material, and in the middle of the tension wire, a reinforced metal wire made of a titanium alloy that is also a biocompatible material is arranged;
具有生物相容性的脂肪族聚酯材质制成的拉紧线,因为其低生物排斥性,在恢复后,可以留在人体的体内,可以降低二次拆除手术的创伤程度,如果骨骼11本身破坏程度不大的话,可以不进行二次拆除手术;The tension thread made of biocompatible aliphatic polyester material, because of its low bio-repellency, can stay in the body after recovery, which can reduce the degree of trauma of the second removal operation. If the bone 11 itself If the degree of damage is not large, the second demolition operation may not be performed;
钛合金制成的强化线缆以防止拉紧过度导致的拉紧线断裂的情况,在恢复后可以直接将钛合金的强化线缆抽出,部分留在体内也不会存在太大的排异问题;The reinforced cable made of titanium alloy is used to prevent the tension wire from breaking due to excessive tension. After recovery, the reinforced cable made of titanium alloy can be pulled out directly, and part of it remains in the body without too much rejection. ;
在用于骨骼矫正时,如图1所示,首先将固定节组件通过连接棒组件连接安装到人体手臂上,随后将八角形的固定框架12套接到固定节组件上,每个固定节组件包括4个固定节,在固定框架12套入到固定节组件之后,将调解螺杆A顶压到固定节背部,将调解螺杆B通过压紧块顶压到相邻两个固定节之间,同时通过固定线缆,每个固定节上的两个固定块之间固定了一个固定线缆,通过固定线缆与中心顶架的配合,实现骨骼11相对平面上单个方向的固定,随后旋转调节螺杆A和调节螺杆B,可以改变每个固定节组件在各个方向上对骨骼的拉紧力,从而实现对骨骼的调节。When used for bone correction, as shown in Figure 1, the fixed section assembly is first connected and installed on the human arm through the connecting rod assembly, and then the octagonal fixed frame 12 is sleeved on the fixed section assembly, each fixed section assembly It includes 4 fixed sections. After the fixed frame 12 is inserted into the fixed section assembly, the adjustment screw A is pressed against the back of the fixed section, and the adjustment screw B is pressed between the two adjacent fixed sections through the pressing block, and at the same time Through the fixed cable, a fixed cable is fixed between the two fixed blocks on each fixed section, through the cooperation of the fixed cable and the center top frame, the bone 11 is fixed in a single direction on the relative plane, and then the adjustment screw is rotated A and the adjustment screw B can change the tension force of each fixation joint assembly on the bone in various directions, thereby realizing the adjustment of the bone.
实施例2Example 2
如图4所示,本发明在应急状态下,也可以用于手臂和腿部的固定;As shown in Figure 4, the present invention can also be used to fix arms and legs in an emergency state;
主要具体如图1、图2、图3所示,一种术后骨骼11矫正器,包括固定框架12、调节组件、连接棒8组件和固定节组件;Mainly as shown in Fig. 1, Fig. 2 and Fig. 3, a postoperative bone 11 corrector includes a fixed frame 12, an adjustment component, a connecting rod 8 component and a fixed joint component;
固定节组件通过连接棒8组件直线阵列排布在固定框架12内,固定节组件与固定框架12之间通过调节组件连接;The fixed section assembly is arranged in a linear array in the fixed frame 12 through the connecting rod 8 assembly, and the fixed section assembly and the fixed frame 12 are connected through an adjustment assembly;
固定框架12为环形,固定节组件包括若干以固定框架12中心环形阵列排布的固定节,固定节包括体中心顶架9、体内骨面固定器和支撑器,支撑器包括一个弧形的展开面,在弧形的展开面的两侧各设置有一个与展开面纵向轴线垂直的镂空槽,镂空槽内设置有固定杆6,在固定杆6上设置有一个固定块1,固定块1之间设置有固定线缆10;The fixation frame 12 is ring-shaped, and the fixation segment assembly includes several fixation segments arranged in a circular array at the center of the fixation frame 12. The fixation segment includes a body center top frame 9, a bone surface fixer in the body, and a supporter. The supporter includes an arc-shaped expansion On the surface, a hollow groove perpendicular to the longitudinal axis of the unfolded surface is provided on both sides of the arc-shaped unfolded surface. A fixed rod 6 is arranged in the hollowed groove, and a fixed block 1 is arranged on the fixed rod 6. Between the fixed block 1 A fixed cable 10 is arranged between them;
支撑器的中部设置有一个立柱7,立柱7上设置有体中心顶架9,体中心顶架9包括一个与支撑器的展开面同轴的弧形支撑面;The middle part of the supporter is provided with a column 7, and the column 7 is provided with a body center top frame 9, and the body center top frame 9 includes an arc-shaped support surface coaxial with the unfolded surface of the supporter;
固定块1之间的固定线缆10与弧形支撑面之间围成用于固定脊柱的支撑框架;A support frame for fixing the spine is formed between the fixed cables 10 between the fixed blocks 1 and the arc-shaped support surface;
连接棒8组件包括若干个与固定节对应的连接棒8,在支撑器的立柱7内设置有一个与弧形支撑面轴线平行的安装孔,同一直线阵列上的固定节通过安装在安装孔内的连接棒8连接在一起;The connecting rod 8 assembly includes several connecting rods 8 corresponding to the fixed joints. A mounting hole parallel to the axis of the arc-shaped support surface is provided in the column 7 of the support. The fixed joints on the same linear array are installed in the mounting holes The connecting rods 8 are connected together;
调节组件调节杆A组件和调节杆B组件,调节杆A组件包括固定在支撑器弧形展开面5背部的调节螺杆A2,调节螺杆A2的一端与支撑器弧形展开面5背部转动连接,调节螺杆A2的另一端与固定框架12通过螺纹连接;Adjusting components Adjusting rod A assembly and adjusting rod B assembly, the adjusting rod A assembly includes an adjusting screw A2 fixed on the back of the arc-shaped development surface 5 of the supporter, and one end of the adjustment screw A2 is rotationally connected with the back of the arc-shaped expansion surface 5 of the supporter. The other end of the screw rod A2 is threadedly connected with the fixed frame 12;
调节杆B组件包括若干设置在固定节之间的调节螺杆B3,在调节螺杆B3的一端转动连接有一个截面为半圆形的压紧块4,压紧块4与相邻两个固定节的弧形展开面5背部接触,调节螺杆B3的另一端与固定框架12通过螺纹连接;The adjusting rod B assembly includes a number of adjusting screw rods B3 arranged between the fixed sections, and one end of the adjusting screw rod B3 is rotatably connected with a compression block 4 with a semicircular cross section, and the compression block 4 is connected to two adjacent fixed sections. The arc-shaped unfolding surface 5 is in contact with the back, and the other end of the adjusting screw B3 is threadedly connected with the fixed frame 12;
其中固定块1包括一个用于将固定块1套接到固定杆62上的滑动孔1-2,在滑动孔1-2的内壁上设置有锁紧螺钉B,同时固定块1上还设置有一个用于穿过固定线缆103的固定孔1-1,同样的在固定孔1-1的侧壁上设置有一个用于固定固定线缆103的锁紧螺钉A;Wherein the fixed block 1 includes a sliding hole 1-2 for connecting the fixed block 1 to the fixed rod 62, a locking screw B is arranged on the inner wall of the sliding hole 1-2, and the fixed block 1 is also provided with A fixing hole 1-1 for passing through the fixing cable 103, and a locking screw A for fixing the fixing cable 103 is also provided on the side wall of the fixing hole 1-1;
其中固定线缆10包括具有生物相容性的脂肪族聚酯材质制成的拉紧线,在拉紧线中部设置有同样为生物相容性材料的钛合金制成的强化金属线;Wherein the fixed cable 10 comprises a tension wire made of a biocompatible aliphatic polyester material, and in the middle of the tension wire, a reinforced metal wire made of a titanium alloy that is also a biocompatible material is arranged;
具有生物相容性的脂肪族聚酯材质制成的拉紧线,因为其低生物排斥性,在恢复后,可以留在人体的体内,可以降低二次拆除手术的创伤程度,如果骨骼11本身破坏程度不大的话,可以不进行二次拆除手术;The tension thread made of biocompatible aliphatic polyester material, because of its low bio-repellency, can stay in the body after recovery, which can reduce the degree of trauma of the second removal operation. If the bone 11 itself If the degree of damage is not large, the second demolition operation may not be performed;
钛合金制成的强化线缆以防止拉紧过度导致的拉紧线断裂的情况,在恢复后可以直接将钛合金的强化线缆抽出,部分留在体内也不会存在太大的排异问题;The reinforced cable made of titanium alloy is used to prevent the tension wire from breaking due to excessive tension. After recovery, the reinforced cable made of titanium alloy can be pulled out directly, and part of it remains in the body without too much rejection. ;
在用于骨骼固定时,如图2所示,首先将固定节组件通过连接棒组件连接安装到人体手臂上,随后将八角形的固定框架12套接到固定节组件上,每个固定节组件包括4个固定节,在固定框架12套入到固定节组件之后,将调解螺杆A顶压到固定节背部,将调解螺杆B通过压紧块顶压到相邻两个固定节之间,同时通过固定线缆,每个固定街上的固定块上固定线缆如图2所示的交叉连接,组成若干用于固定骨骼的固定框,通过固定线缆与中心顶架的配合,双向的固定,随后旋转调节螺杆A和调节螺杆B,可以改变每个固定节组件在各个方向上对骨骼的压紧力,从而实现对骨骼外形的调整,在恢复过程中,也可以根据具体骨骼恢复的状况,即时的通过旋转调节螺杆A和调节螺杆B实现对骨骼外形的矫正;When used for bone fixation, as shown in Figure 2, the fixed section assembly is first connected and installed on the human arm through the connecting rod assembly, and then the octagonal fixed frame 12 is sleeved on the fixed section assembly, each fixed section assembly It includes 4 fixed sections. After the fixed frame 12 is inserted into the fixed section assembly, the adjustment screw A is pressed against the back of the fixed section, and the adjustment screw B is pressed between the two adjacent fixed sections through the pressing block, and at the same time Through the fixed cables, the fixed cables on the fixed blocks on each fixed street are cross-connected as shown in Figure 2 to form several fixed frames for fixing the bones. Through the cooperation of the fixed cables and the center top frame, two-way fixation , and then rotate the adjusting screw A and adjusting screw B to change the compressive force of each fixation joint assembly on the bone in all directions, thereby realizing the adjustment of the bone shape. During the recovery process, it can also be adjusted according to the specific bone recovery condition , real-time correction of the bone shape by rotating the adjusting screw A and adjusting screw B;
以上述依据本发明的理想实施例为启示,通过上述的说明内容,相关工作人员完全可以在不偏离本项发明技术思想的范围内,进行多样的变更以及修改。本项发明的技术性范围并不局限于说明书上的内容,必须要根据权利要求范围来确定其技术性范围。Inspired by the above-mentioned ideal embodiment according to the present invention, through the above-mentioned description content, relevant workers can make various changes and modifications within the scope of not departing from the technical idea of the present invention. The technical scope of the present invention is not limited to the content in the specification, but must be determined according to the scope of the claims.
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