CN106725817A - Arcuate arm screw press formula reduction forceps - Google Patents
Arcuate arm screw press formula reduction forceps Download PDFInfo
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- CN106725817A CN106725817A CN201611255686.4A CN201611255686A CN106725817A CN 106725817 A CN106725817 A CN 106725817A CN 201611255686 A CN201611255686 A CN 201611255686A CN 106725817 A CN106725817 A CN 106725817A
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- 229910000831 Steel Inorganic materials 0.000 claims abstract description 9
- 239000010959 steel Substances 0.000 claims abstract description 9
- 238000005452 bending Methods 0.000 claims 7
- 239000007787 solid Substances 0.000 claims 2
- 238000009987 spinning Methods 0.000 claims 1
- 206010017076 Fracture Diseases 0.000 description 11
- 210000000689 upper leg Anatomy 0.000 description 10
- 208000010392 Bone Fractures Diseases 0.000 description 9
- 210000000988 bone and bone Anatomy 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 206010020100 Hip fracture Diseases 0.000 description 2
- 238000002592 echocardiography Methods 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
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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
- A61B2017/564—Methods for bone or joint treatment
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Abstract
本发明公开了弓型臂螺旋加压式复位钳,包括弯曲部及直臂部,所述弯曲部的一端为固定端,固定在直臂部的手柄上,另一端为自由端,所述自由端与直臂部的上端部遥遥相对,所述弯曲部的自由端用于实现与需固定的部位接触,所述直臂部包括旋转装置,所述旋转装置的部分旋转臂的外部套有手柄,所述直臂部在旋转装置的旋转加压的作用下通过导向装置实现对需固定的部位进行固定。本发明不仅可以克服加压力度不足,难以固定等问题,而且增加了导向装置,避免了插入钢钉时方向无法固定的问题,减少患者的痛苦。
The invention discloses a bow-shaped arm screw pressurized resetting forceps, which includes a curved part and a straight arm part. One end of the curved part is a fixed end fixed on the handle of the straight arm part, and the other end is a free end. The end is far away from the upper end of the straight arm part, and the free end of the curved part is used to realize contact with the part to be fixed. The straight arm part includes a rotating device, and the outer part of the rotating arm of the rotating device is covered with a handle , the straight arm part realizes fixing the position to be fixed through the guide device under the action of the rotation and pressure of the rotation device. The invention can not only overcome the problems of insufficient pressure and difficulty in fixing, but also increase the guide device, avoid the problem that the direction cannot be fixed when inserting the steel nail, and reduce the pain of the patient.
Description
技术领域technical field
本发明涉及医疗器械技术领域,具体涉及弓型臂螺旋加压式复位钳。The invention relates to the technical field of medical instruments, in particular to a bow-shaped arm screw pressure reset forceps.
背景技术Background technique
目前,股骨粗隆骨折是老年人的常见骨折。复位钳多用于骨折手术中的骨折处固定,有利于骨折处的愈合。但当前市面所用的复位钳为双边进入,股骨粗隆部解剖不平整,手术中皮肤切口在大腿外侧,股骨粗隆周围有很丰厚的肌肉包裹,复位钳固定时,一侧固定端需要通过大腿外侧皮肤切口内有限空间进入,很难直接绕到大腿内侧小粗隆骨折部位固定骨折块,同时复位钳稳定时力度不够,难以维持稳定状态。At present, trochanter fracture is a common fracture in the elderly. Reduction forceps are mostly used for fixation of fractures in fracture surgery, which is conducive to the healing of fractures. However, the reduction forceps currently used in the market are bilateral entry, and the anatomy of the trochanter is uneven. During the operation, the skin incision is on the outside of the thigh, and there is a rich muscle wrap around the femoral tuberosity. When the reduction forceps are fixed, one side of the fixed end needs to pass through the thigh. The limited space in the outer skin incision makes it difficult to go directly around the small trochanteric fracture site on the inner thigh to fix the fracture fragment. At the same time, the reduction forceps are not strong enough to maintain a stable state.
因此需要有一种复位钳能够通过皮肤切口轻松滑到大腿内侧的小粗隆然后加压固定。Therefore, there is a need for a reduction forceps that can easily slide to the small tuberosity of the inner thigh through the skin incision and then press and fix it.
发明内容Contents of the invention
为解决现有技术存在的不足,本发明公开了弓型臂螺旋加压式复位钳,本发明的目的是:克服现有的复位钳加压力度不足,难以固定等问题。In order to solve the deficiencies in the prior art, the present invention discloses a bow-shaped arm screw pressurized resetting forceps. The purpose of the present invention is to overcome the problems of insufficient pressing force and difficult fixation of the existing resetting forceps.
为实现上述目的,本发明的具体方案如下:To achieve the above object, the specific scheme of the present invention is as follows:
弓型臂螺旋加压式复位钳,包括弯曲部及直臂部,所述弯曲部的一端为固定端,固定在直臂部的手柄上,另一端为自由端,所述自由端与直臂部的上端部遥遥相对,所述弯曲部的自由端用于实现与需固定的部位接触,所述直臂部包括旋转装置,所述旋转装置的部分旋转臂的外部套有手柄,所述直臂部在旋转装置的旋转加压的作用下通过导向装置实现对需固定的部位进行固定。Bow-shaped arm spiral pressure reset pliers, including a curved part and a straight arm part, one end of the curved part is a fixed end, fixed on the handle of the straight arm part, and the other end is a free end, the free end and the straight arm The upper end of the part is far away from each other, and the free end of the curved part is used to realize the contact with the part to be fixed. The straight arm part includes a rotating device, and a part of the rotating arm of the rotating device is covered with a handle outside. Under the action of the rotation and pressure of the rotation device, the arm can fix the position to be fixed through the guide device.
进一步的,所述弯曲部的靠近自由端的向内的一面设置有锯齿状结构。Further, an inward surface near the free end of the curved portion is provided with a sawtooth structure.
进一步的,所述弯曲部为弓形臂,所述弓形臂为长条状半圆柱弯曲而成。Further, the curved portion is an arcuate arm, and the arcuate arm is bent from a long semi-cylinder.
进一步的,所述弓形臂的自由端与固定端之间的距离为132mm,半圆柱截面半径(弓型臂厚度)为6mm,直径(弓型臂宽度)为1.2mm。Further, the distance between the free end and the fixed end of the arcuate arm is 132 mm, the radius of the semi-cylindrical section (thickness of the arcuate arm) is 6 mm, and the diameter (width of the arcuate arm) is 1.2 mm.
进一步的,所述直臂部还包括弧形结构,所述弧形结构通过轴承固定在旋转装置上。Further, the straight arm part also includes an arc structure, and the arc structure is fixed on the rotating device through a bearing.
进一步的,所述旋转装置包括螺杆,所述螺杆的一端与便于扭动的转子相连,另一端通过轴承与弧形结构相连。Further, the rotating device includes a screw, one end of the screw is connected to the rotor for twisting, and the other end is connected to the arc structure through a bearing.
进一步的,所述手柄的表面设置有增大摩擦的凹凸结构。Further, the surface of the handle is provided with a concave-convex structure that increases friction.
进一步的,所述导向装置包括设置在直臂部的弧形结构上的小孔及设置在弯曲部靠近自由端的截面上的小孔,两个小孔相呼应,用于确定打入钢钉的方向。Further, the guide device includes a small hole set on the arc structure of the straight arm part and a small hole set on the section of the curved part close to the free end. direction.
进一步的,所述直臂部的弧形结构长为45mm,连接弧形结构与螺杆的固定装置长12mm。Further, the length of the arc structure of the straight arm is 45 mm, and the length of the fixing device connecting the arc structure and the screw is 12 mm.
进一步的,所述螺杆半径为R6,长度为167mm。Further, the radius of the screw is R6, and the length is 167mm.
进一步的,所述手柄半径为R8,长度为108mm。Further, the handle has a radius of R8 and a length of 108 mm.
本发明的复位钳直臂部向前旋扭至贴合股骨,与弓形臂自由端端一起使骨折处复位。该复位钳不仅可以克服加压力度不足,难以固定等问题,螺杆上标有刻度,可以准确测量出所需要的钢钉长度,增加了导向装置,避免了插入钢钉时方向无法固定的问题,减少患者的痛苦。The straight arm of the reduction forceps of the present invention is twisted forward to fit the femur, and together with the free end of the arcuate arm, the fracture is reset. The reset pliers can not only overcome the problems of insufficient pressure and difficulty in fixing, but also the scale is marked on the screw rod, which can accurately measure the length of the steel nail required, and the guide device is added to avoid the problem that the direction cannot be fixed when inserting the steel nail, reducing patient suffering.
本发明的有益效果:Beneficial effects of the present invention:
(1)弓形臂的自由端处与骨的接触面积小,在减少对血管和神经损伤的同时,增加了牢固性。(1) The contact area between the free end of the bow-shaped arm and the bone is small, which increases firmness while reducing damage to blood vessels and nerves.
(2)直臂部顶端弧形处有一直径为6mm的小孔,与上方的弓形臂上的小孔相呼应,可确定打入钢钉的方向。(2) There is a small hole with a diameter of 6mm in the arc at the top of the straight arm, which echoes the small hole on the upper bow arm, and can determine the direction of driving the steel nail.
(3)降低股骨粗隆间骨折切开复位内固定术的难度,减少患者的痛苦。(3) Reduce the difficulty of open reduction and internal fixation for intertrochanteric fractures, and reduce the pain of patients.
(4)以轴向螺旋式加压方式取代传统的剪刀式的加压方式,增加力大小的同时,又可以固定防止滑落。(4) The traditional scissors pressurization method is replaced by the axial spiral pressurization method, which can be fixed to prevent slipping while increasing the force.
附图说明Description of drawings
图1复位钳主视图;Fig. 1 Front view of reset clamp;
图2复位钳剖面图;Fig. 2 cutaway view of reset forceps;
图3复位钳各组成部分的尺寸示意图;Figure 3 is a schematic diagram of the dimensions of the various components of the reset clamp;
图中,1、弧状结构,2、螺杆,3、手柄,4、直臂尾端,5、轴承,6、小孔,7、锯齿,8、弓形臂的自由端。Among the figure, 1, arc structure, 2, screw rod, 3, handle, 4, straight arm tail end, 5, bearing, 6, small hole, 7, sawtooth, 8, the free end of arcuate arm.
具体实施方式:detailed description:
下面结合附图对本发明进行详细说明:The present invention is described in detail below in conjunction with accompanying drawing:
如图1所示,弓型臂螺旋加压式复位钳分为上部分和下部分两部分。As shown in Figure 1, the bow-arm spiral pressure reset forceps is divided into two parts, an upper part and a lower part.
弓型臂螺旋加压式复位钳的上部分为弓形臂。弓形臂先行贴于股骨和肌肉之间,由外侧切口绕到股骨内侧,调整复位钳与骨之间的角度,使弓形臂头部正对需固定的部位,并与复位钳的直臂端遥遥相对。弓形臂头部内侧呈锯齿状,可增大摩擦,防止脱落。待角度调整完毕,直臂螺旋式前推,固定骨折部位。The upper part of the arcuate arm spiral pressure reset forceps is an arcuate arm. The bow-shaped arm is first attached between the femur and the muscle, from the outer incision to the inner side of the femur, and the angle between the reduction forceps and the bone is adjusted so that the head of the bow-shaped arm faces the part to be fixed and is far away from the straight arm end of the reduction forceps. relatively. The inner side of the head of the bow arm is serrated, which can increase friction and prevent falling off. After the angle adjustment is completed, the straight arm is pushed forward in a spiral manner to fix the fracture site.
弓型臂螺旋加压式复位钳的下部分为直臂。直臂内有螺杆,螺旋式向上运动。直臂顶端为弧状结构,可增加接触面积,防止滑落,弧形与直臂交界处有固定的轴承,避免任意转动,划伤组织,同时保证弧状结构与骨头精密连接;直臂尾端有旋转把手,可在直臂垂直的平面上旋转,不仅方便手施加切向力,而且由于力臂较长可以有效省力。The lower part of the bow-arm spiral compression forceps is divided into straight arms. There is a screw in the straight arm, which moves upward in a spiral. The top of the straight arm is an arc-shaped structure, which can increase the contact area and prevent slipping. There is a fixed bearing at the junction of the arc and the straight arm to avoid arbitrary rotation and scratch the tissue, and at the same time ensure the precise connection between the arc-shaped structure and the bone; the end of the straight arm has a rotation The handle can be rotated on the plane perpendicular to the straight arm, which is not only convenient for the hand to apply tangential force, but also can effectively save labor due to the longer arm.
弓形臂的横截面设计为半圆形,弧形面向外,减少组织划伤,矩形面向内,增大与骨的接触面积,由于弓型臂设计成半圆柱结构,可以减少一半的质量,减少使用过程中产生的额外负重,方便使用。The cross-section of the bow arm is designed as a semicircle, with the arc facing outward to reduce tissue scratches, and the rectangle facing inward to increase the contact area with the bone. Since the bow arm is designed as a semi-cylindrical structure, the mass can be reduced by half, reducing The extra load generated during use is convenient to use.
直臂向前旋扭至贴合股骨,与弓形臂自由端一起使骨折处复位,螺旋扭动的设计可以保证更大的力度。The straight arm is twisted forward until it fits the femur, and together with the free end of the arched arm, the fracture is reset. The spiral twisting design can ensure greater strength.
弓形臂的自由端8,内侧有锯齿状凸起,可增大摩擦。弧状结构1,弧形而非延续直臂可增大接触面积,防止滑落。螺杆2,可螺旋扭动向前推进。手柄3,凹凸表面的设计可增大摩擦,防止手术中的滑动。直臂尾端4,有一个便于扭动的旋转把手,旋转把手为转子,采用杠杆原理达到省力的目的。轴承5,连接螺杆2和弧状结构1,防止在向前推进时弧形端运动,损伤组织。直径6mm的小孔6,弧状结构1和弓形臂部分上下各一相对,可放置钢钉。弓形臂的自由端8的锯齿7,增大摩擦,防止滑落。The free end 8 of bow-shaped arm has saw-toothed projection inboard, can increase friction. Arc-shaped structure 1, arc-shaped rather than continuous straight arms can increase the contact area and prevent slipping. The screw rod 2 can be screwed and twisted to advance forward. Handle 3, the design of the concave-convex surface can increase the friction and prevent sliding during the operation. The tail end 4 of the straight arm has a rotating handle that is convenient for twisting. The rotating handle is a rotor, and the lever principle is adopted to achieve labor-saving purpose. The bearing 5 connects the screw rod 2 and the arc-shaped structure 1 to prevent the arc-shaped end from moving and damaging the tissue when it is pushed forward. The small holes 6 with a diameter of 6mm, the arc-shaped structure 1 and the bow-shaped arm part are opposite to each other up and down, and steel nails can be placed. The sawtooth 7 of the free end 8 of bow-shaped arm increases friction and prevents slipping.
如图2-3所示,弓形臂自由端与固定端之间的距离为132mm,半圆柱截面半径(弓型臂厚度)为6mm;弧状结构1长为45mm,连接弧状结构与螺杆的固定装置长12mm;直臂内部螺杆半径为R6,长度为167mm,外部手柄半径为R8,长度为108mm。As shown in Figure 2-3, the distance between the free end and the fixed end of the bow-shaped arm is 132mm, the radius of the semi-cylindrical section (thickness of the bow-shaped arm) is 6mm; the length of the arc-shaped structure 1 is 45mm, and the fixing device connecting the arc-shaped structure and the screw 12mm long; straight arm internal screw radius R6, length 167mm, external handle radius R8, length 108mm.
弓形臂先行贴于股骨和肌肉之间,由外侧切口绕到股骨内侧,调整角度,使弓形臂头部正对需固定的部位,并与复位钳的直臂弧状结构1遥遥相对。待角度调整完毕,直臂前推,固定骨折部位。The bow-shaped arm is first attached between the femur and the muscle, and is wound around the inside of the femur from the outside. The angle is adjusted so that the head of the bow-shaped arm faces the part to be fixed, and is far away from the arc-shaped structure 1 of the straight arm of the reset forceps. After the angle adjustment is completed, the straight arm is pushed forward to fix the fracture site.
如果需要钢钉固定,直臂顶端弧形处有一直径为6mm的小孔,与上方的弓形臂上的小孔相呼应,可确定打入钢钉的方向。通过该孔穿入钢钉,固定骨折处。If steel nails are required, there is a small hole with a diameter of 6mm in the arc at the top of the straight arm, which echoes the small hole on the upper bow arm, and can determine the direction of the steel nail. A steel nail is inserted through the hole to fix the fracture.
上述虽然结合附图对本发明的具体实施方式进行了描述,但并非对本发明保护范围的限制,所属领域技术人员应该明白,在本发明的技术方案的基础上,本领域技术人员不需要付出创造性劳动即可做出的各种修改或变形仍在本发明的保护范围以内。Although the specific implementation of the present invention has been described above in conjunction with the accompanying drawings, it does not limit the protection scope of the present invention. Those skilled in the art should understand that on the basis of the technical solution of the present invention, those skilled in the art do not need to pay creative work Various modifications or variations that can be made are still within the protection scope of the present invention.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112704553A (en) * | 2020-12-24 | 2021-04-27 | 洛阳市中心医院(郑州大学附属洛阳中心医院) | Nail locking device with positioning function for orthopedics department |
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| US20130116733A1 (en) * | 2011-11-07 | 2013-05-09 | Edward Jordan Stoll, JR. | Bone Clamp and Method |
| CN202426606U (en) * | 2012-01-12 | 2012-09-12 | 任飞 | Minimal invasive reduction clamp for bone fractures |
| CN203400194U (en) * | 2013-07-08 | 2014-01-22 | 周军 | Thighbone lesser trochanter reposition fixer with guide device |
| CN103519875A (en) * | 2013-10-28 | 2014-01-22 | 韩文冬 | Femur small tuberosity fracture reduction fixator |
| CN204072285U (en) * | 2014-10-07 | 2015-01-07 | 侯玉波 | Powerful axial reduction forceps |
| CN204683741U (en) * | 2015-05-23 | 2015-10-07 | 封华 | Reduction of the fracture clamper |
| CN104921778A (en) * | 2015-07-02 | 2015-09-23 | 王维山 | Guiding type patella reduction forceps |
| CN205667577U (en) * | 2016-04-21 | 2016-11-02 | 贾新奎 | A kind of synthetism Wicresoft's bone holding forceps |
| CN206651868U (en) * | 2016-12-30 | 2017-11-21 | 山东大学 | Arcuate arm screw press formula reduction forceps |
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| CN112704553A (en) * | 2020-12-24 | 2021-04-27 | 洛阳市中心医院(郑州大学附属洛阳中心医院) | Nail locking device with positioning function for orthopedics department |
| CN112704553B (en) * | 2020-12-24 | 2022-03-01 | 洛阳市中心医院(郑州大学附属洛阳中心医院) | An orthopedic nail locking device with positioning function |
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