Positioning auxiliary clamp and resetting set for fracture operation
Technical Field
The invention relates to the technical field of medical appliances, in particular to a positioning auxiliary clamp and a reduction set for fracture surgery.
Background
In fracture reduction surgery, an anatomic plate is generally used to fix the distal end and the proximal end of the fractured bone, respectively, so that the bone is accurately reduced and fixed.
The specific operation flow of the operation is that the head end of the anatomical plate is fixed at the distal end of the bone by the screw, and then the tail end of the anatomical plate is fixed at the proximal end of the bone by the screw, so that the bone is restored and fixed at the original position.
The tool for clinically performing fracture reduction operation is mainly a reduction forceps, but the reduction forceps can only clamp and fix the proximal end of a bone, and when an anatomic plate swings on the bone around the head end of the anatomic plate, the anatomic plate is difficult to detect by naked eyes. At this time, after the tail end of the anatomical plate is fixed to the proximal end of the bone, the distal and proximal ends of the bone are offset and cannot be restored to the original position before fracture.
Disclosure of Invention
The invention aims to provide a positioning auxiliary clamp and a reduction kit for fracture surgery, which are helpful for assisting in observing and keeping an anatomical plate from swinging and displacing when clamping and fixing the proximal end of a bone, and further ensuring that the distal end and the proximal end after fracture of the bone can be fixed and restored to the original positions.
The invention is realized in the following way:
The positioning auxiliary clamp comprises a first clamp arm, a second clamp arm, a positioning mechanism and a guiding mechanism, wherein the first clamp arm and the second clamp arm are mutually hinged, the first clamp arm and the second clamp arm are respectively connected with the positioning mechanism, the guiding mechanism is arranged on the positioning mechanism, and a drill bit can always point to the midpoint position between the first clamp arm and the second clamp arm through the guiding mechanism in the swinging process of the second clamp arm relative to the first clamp arm.
When the positioning auxiliary forceps are used, the head end of the anatomical plate is fixed at the distal end of the bone, and then the tail end of the anatomical plate is extended to a proper position on the proximal end of the bone. At this time, the proximal end of the bone is gripped by the first and second jawarms, and then the positioning mechanism is used to determine the position and angle of the guide mechanism so that the drill bit, after passing through the guide mechanism, is directed precisely at the midpoint between the first and second jawarms. That is, the position of the tail end of the anatomic plate on the proximal end of the bone can be accurately located, and even if the anatomic plate undergoes a slight displacement, correction can be clearly found and quickly repositioned.
The positioning mechanism comprises a first sling and a second sling, wherein two ends of the first sling are respectively hinged to the outer walls of the first clamp arm and the guide mechanism, two ends of the second sling are respectively hinged to the outer walls of the second clamp arm and the guide mechanism, and the length of the first sling is equal to that of the second sling. The first sling and the second sling with equal lengths can ensure that the guide mechanism is positioned in the symmetrical plane of the first forceps arm and the second forceps arm after the first sling and the second sling are straightened respectively.
Alternatively, the first sling and the second sling may be rigid straight rods, which are respectively hinged with the forceps arms and the guiding mechanism.
Further, the first sling is detachably connected with the first jawarm, and the second sling is detachably connected with the second jawarm. The drill bit has the technical effects that slings with different lengths can be selected for different bones and different locking pin sleeves (used for guiding drill bits). For example, the sling length used for the large-size locking nail sleeve is 10 cm, the sling length used for the medium-size locking nail sleeve is 6 cm, and the sling length used for the small-size locking nail sleeve is 5-8 cm. Optionally, the first sling may be detachably mounted in the mounting hole of the first clamp arm through an elastic hook, and the second sling may be detachably mounted in the mounting hole of the second clamp arm through an elastic hook.
Further, the first sling is detachably connected with the guide mechanism, and the second sling is detachably connected with the guide mechanism. The novel nail locking sleeve has the technical effects that the guiding mechanism with different calibers can be selected for different bones and different nail locking sleeves. For example, the caliber of the guide mechanism used by the large-size locking pin sleeve is 4.8 mm, the caliber of the guide mechanism used by the medium-size locking pin sleeve is 2.8 mm, and the caliber of the guide mechanism used by the small-size locking pin sleeve is 1.8 mm-2.0 mm. Alternatively, the first sling may be inserted into the slot of the guiding mechanism through an anchor structure with a large end size, and the second sling may be inserted into the slot of the guiding mechanism through an anchor structure with a large end size.
Further, a first hook tooth is arranged on the first clamp arm, a second hook tooth is arranged on the second clamp arm, the extending direction of the first hook tooth is opposite to that of the first sling, and the extending direction of the second hook tooth is opposite to that of the second sling. The hook tooth structure has the technical effects that the contact surface of the clamping section and the bone can be changed from a complete plane or a curved surface into a plurality of points to points contact, and the clamping and fixing effect of the clamping section on the bone can be further enhanced.
Further, the first hook tooth and the second hook tooth are arc-shaped, the free end of the first hook tooth is bent towards the second hook tooth, and the free end of the second hook tooth is bent towards the first hook tooth. The novel bone fracture clamp has the technical effects that the arc-shaped first hook teeth and the arc-shaped second hook teeth can clamp and fix bones in a wrapping mode according to the appearance of the bones, and the proximal ends of the fractured bones are prevented from rolling.
Optionally, the first hook tooth and the second hook tooth are both provided with a plurality of racks, and the racks on the first hook tooth and the racks on the second hook tooth are staggered. The clamping device is not affected when clamping bones with larger sizes, and the racks can be clamped in a dislocation manner when clamping bones with smaller sizes, so that the adaptability of two hook teeth to different bones is improved.
Further, the first hook tooth is positioned at the free end of the first clamp arm, the second hook tooth is positioned at the free end of the second clamp arm, and the distance between the first hook tooth and the second hook tooth is smaller than the maximum distance between the first clamping section and the second clamping section. The surgical incision surgical forceps have the technical effects that as the first hook tooth and the second hook tooth are positioned at the front end, the distance between the first hook tooth and the second hook tooth is smaller than the distance between the first forceps arm and the second forceps arm at the tail end, the first forceps arm and the second forceps arm are preferably arranged to be of an oval structure with an open middle part, the surgical incision is not blocked, and the surgical incision surgical forceps are beneficial to observation of surgical staff.
The first clamp arm comprises a first clamping section and a first clamping handle which are fixedly connected, the second clamp arm comprises a second clamping section and a second clamping handle which are fixedly connected, the first clamp arm is hinged with the second clamp arm through the connection position of the first clamping section and the first clamping handle, the second clamp arm is hinged with the first clamp arm through the connection position of the second clamping section and the second clamping handle, and the locking mechanism is arranged on the first clamping handle and the second clamping handle and used for limiting the first clamp arm to swing around the rotation shaft relative to the second clamp arm. The locking mechanism has the technical effects that after the locking mechanism limits the swinging of the first clamp arm relative to the second clamp arm, an operator can operate with one hand only, the other hand is liberated, and the operation efficiency is improved.
The locking mechanism comprises a first locking strip and a second locking strip, the first locking strip is arranged on the first clamping section, the second locking strip is arranged on the second clamping section, when the first clamp arm swings relative to the second clamp arm, the first locking strip can be attached to and move relative to the second locking strip, a plurality of corresponding clamping teeth are arranged on the first locking strip and the second locking strip, and the first locking strip and the second locking strip are mutually meshed through the clamping teeth. The locking mechanism has the technical effects that the first locking strip and the second locking strip realize occlusion locking through the corresponding clamping teeth, and the realization of the locking function is ensured on the premise that the swinging of the first clamp arm relative to the second clamp arm is not influenced.
The utility model provides a fracture operation is with suit that resets, its includes locking nail sleeve and foretell location auxiliary clamp, locking nail sleeve sets up first tong arm, second tong arm with guiding mechanism between, after the drill bit passes guiding mechanism, can run through locking nail sleeve.
The beneficial effects of the invention are as follows:
According to the positioning auxiliary clamp and the resetting sleeve for fracture surgery, the positioning mechanism is utilized to determine the position of the guide mechanism, so that a drill bit penetrating through the guide mechanism can accurately point to the midpoint position between the first clamp arm and the second clamp arm, the mounting accuracy of an anatomical plate is ensured, and the deviation of the far end and the near end of bones is avoided.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are needed in the embodiments will be briefly described below, it being understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and other related drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a front view of a positioning assistance forceps according to a first embodiment of the invention;
fig. 2 is a bottom view of the positioning auxiliary clamp according to the first embodiment of the present invention;
FIG. 3 is a front view of a positioning assistance clamp according to a second embodiment of the invention;
fig. 4 is a bottom view of a positioning auxiliary clamp according to a second embodiment of the present invention;
fig. 5 is a bottom view of a first jawarm of a positioning assistance-providing a second embodiment of the invention;
FIG. 6 is a front view of a positioning assistance wrench according to a third embodiment of the invention;
fig. 7 is a bottom view of a positioning auxiliary clamp according to a third embodiment of the invention;
fig. 8 is a schematic structural view of a reduction kit for fracture surgery according to a fourth embodiment of the present invention;
fig. 9 is a schematic view of an operation of a reduction kit for fracture surgery according to a fourth embodiment of the present invention.
In the figure, 100-first clamp arms, 110-first clamping sections, 111-first hooked teeth, 120-first clamping handles, 200-second clamp arms, 210-second clamping sections, 211-second hooked teeth, 220-second clamping handles, 300-first slings, 400-second slings, 500-guiding mechanisms, 700-racks, 800-locking mechanisms, 801-first locking strips, 802-second locking strips and 803-clamping teeth.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention more clear, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. It will be apparent that the described embodiments are some, but not all, embodiments of the invention. The components of the embodiments of the present invention, as generally described and illustrated in the figures, can be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the invention, as presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
It should be noted that like reference numerals and letters refer to like items in the following figures, and thus once an item is defined in one figure, no further definition or explanation thereof is necessary in the following figures.
In the description of the present invention, it should be noted that, directions or positional relationships indicated by terms such as "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., are directions or positional relationships based on those shown in the drawings, or are directions or positional relationships conventionally put in use of the inventive product, are merely for convenience of describing the present invention and simplifying the description, and are not indicative or implying that the apparatus or element to be referred to must have a specific direction, be constructed and operated in a specific direction, and thus should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and the like are used merely to distinguish between descriptions and should not be construed as indicating or implying relative importance.
Furthermore, the terms "horizontal," "vertical," "overhang," and the like do not denote a requirement that the component be absolutely horizontal or overhang, but rather may be slightly inclined. As "horizontal" merely means that its direction is more horizontal than "vertical", and does not mean that the structure must be perfectly horizontal, but may be slightly inclined.
In the description of the present invention, it should also be noted that, unless explicitly specified and limited otherwise, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, integrally connected, mechanically connected, electrically connected, directly connected, indirectly connected through an intermediary, or in communication between two elements. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art.
Some embodiments of the present invention are described in detail below with reference to the accompanying drawings. The following embodiments and features of the embodiments may be combined with each other without conflict.
First embodiment:
Fig. 1 is a front view of a positioning assistance forceps according to a first embodiment of the invention, and fig. 2 is a bottom view of the positioning assistance forceps according to the first embodiment of the invention. Referring to fig. 1 and 2, the present embodiment provides a positioning auxiliary clamp, which includes a first clamp arm 100, a second clamp arm 200, a positioning mechanism and a guiding mechanism 500, wherein the first clamp arm 100 and the second clamp arm 200 are hinged to each other, the first clamp arm 100 and the second clamp arm 200 are respectively connected with the positioning mechanism, the guiding mechanism 500 is disposed on the positioning mechanism, and a drill bit can always point to a midpoint position between the first clamp arm 100 and the second clamp arm 200 through the guiding mechanism 500 in a swinging process of the second clamp arm 200 relative to the first clamp arm 100.
Further, as shown in fig. 1 and2, the positioning mechanism comprises a first sling 300 and a second sling 400, wherein two ends of the first sling 300 are respectively hinged with the outer walls of the first clamp arm 100 and the guiding mechanism 500, two ends of the second sling 400 are respectively hinged with the outer walls of the second clamp arm 200 and the guiding mechanism 500, and the length of the first sling 300 is equal to that of the second sling 400.
The working principle and operation method of the positioning auxiliary clamp are as follows:
In use, the positioning aid forceps will first secure the head end of the anatomic plate C to the distal end of the bone B and then extend the tail end of the anatomic plate C to the appropriate location on the proximal end of the bone B. At this time, the proximal end of the bone B is gripped by the first and second jawarms 100, 200. Then, the first sling 300 and the second sling 400 are pulled up, and since the length of the first sling 300 and the length of the second sling 400 are equal, the position and angle of the guide mechanism 500 can be determined, so that the drill bit is accurately directed to the midpoint position between the first jawarms 100 and the second jawarms 200 after passing through the guide mechanism 500, and even if the anatomic plate C is slightly displaced, correction can be clearly found and quickly repositioned.
Alternatively, the first sling 300 and the second sling 400 may be formed with rigid straight rods that are in articulating relation with the jawarms and the guide mechanism 500, respectively.
Wherein, the first sling 300 is detachably connected with the first jawarm 100, and the second sling 400 is detachably connected with the second jawarm 200. Preferably, the first sling 300 may be detachably mounted in the mounting hole of the first jawarm 100 by means of an elastic hook, and the second sling 400 may be detachably mounted in the mounting hole of the second jawarm 200 by means of an elastic hook. Slings of different lengths may be selected for different bones B and different locking pin sleeves a (for guiding the drill bit). For example, the length of a sling used by the large-size locking pin sleeve A is 10 cm, the length of a sling used by the medium-size locking pin sleeve A is 6 cm, and the length of a sling used by the small-size locking pin sleeve A is 5-8 cm.
Wherein, the first sling 300 is detachably connected with the guiding mechanism 500, and the second sling 400 is detachably connected with the guiding mechanism 500. Preferably, the first sling 300 may be inserted into the slot of the guide 500 through an anchor structure having a large end size, and the second sling 400 may be inserted into the slot of the guide 500 through an anchor structure having a large end size. Different caliber guide mechanisms 500 may be used for different bones B and different locking pin sleeves a. For example, the guide mechanism 500 caliber used by the large-sized locking pin sleeve A is 4.8 mm, the guide mechanism 500 caliber used by the medium-sized locking pin sleeve A is 2.8 mm, and the guide mechanism 500 caliber used by the small-sized locking pin sleeve A is 1.8 mm-2.0 mm.
Second embodiment:
Fig. 3 is a front view of a positioning assistance forceps according to a second embodiment of the invention, fig. 4 is a bottom view of the positioning assistance forceps according to the second embodiment of the invention, and fig. 5 is a bottom view of a first forceps arm 100 of the positioning assistance forceps according to the second embodiment of the invention. Referring to fig. 3, 4 and 5, the present embodiment provides a positioning auxiliary pliers which is substantially the same as the positioning auxiliary pliers of the first embodiment, and is different from the positioning auxiliary pliers of the first embodiment in that the first pliers arm 100 is provided with a first hook tooth 111, the second pliers arm 200 is provided with a second hook tooth 211, the extending direction of the first hook tooth 111 is opposite to the extending direction of the first sling 300, and the extending direction of the second hook tooth 211 is opposite to the extending direction of the second sling 400.
Further, the first hooking tooth 111 and the second hooking tooth 211 are both arc-shaped, the free end of the first hooking tooth 111 is bent toward the second hooking tooth 211, and the free end of the second hooking tooth 211 is bent toward the first hooking tooth 111.
Further, each of the first hooking teeth 111 and the second hooking teeth 211 includes a plurality of racks 700, and the racks 700 on the first hooking teeth 111 are staggered with the racks 700 on the second hooking teeth 211.
Further, as shown in fig. 4 and 5, the first hook tooth 111 is located at an end of the first clamping section 110 away from the rotation axis, the second hook tooth 211 is located at an end of the second clamping section 210 away from the rotation axis, and the distance between the first hook tooth 111 and the second hook tooth 211 is smaller than the maximum distance between the first clamping section 110 and the second clamping section 210.
Third embodiment:
fig. 6 is a front view of a positioning assistance forceps according to a third embodiment of the invention, and fig. 7 is a bottom view of the positioning assistance forceps according to the third embodiment of the invention. Referring to fig. 6 and 7, the present embodiment provides a positioning auxiliary clamp, which is substantially the same as the positioning auxiliary clamp of the first embodiment or the second embodiment, and the difference between the two is that the positioning auxiliary clamp of the present embodiment is further provided with a locking mechanism 800, wherein the first clamp arm 100 includes a first clamping section 110 and a first clamping handle 120 that are fixedly connected, the second clamp arm 200 includes a second clamping section 210 and a second clamping handle 220 that are fixedly connected, the first clamp arm 100 is hinged to the second clamp arm 200 through a connection position of the first clamping section 110 and the first clamping handle 120, and the second clamp arm 200 is hinged to the first clamp arm 100 through a connection position of the second clamping section 210 and the second clamping handle 220. A locking mechanism 800 is provided on the first clamp handle 120 and the second clamp handle 220 for limiting the swing of the first clamp arm 100 relative to the second clamp arm 200 about the rotation axis.
The locking mechanism 800 comprises a first locking bar 801 and a second locking bar 802, the first locking bar 801 is arranged on the first clamping section 110, the second locking bar 802 is arranged on the second clamping section 210, when the first clamp arm 100 swings relative to the second clamp arm 200, the first locking bar 801 can be attached to and move relative to the second locking bar 802, a plurality of corresponding clamping teeth 803 are arranged on the first locking bar 801 and the second locking bar 802, and the first locking bar 801 and the second locking bar 802 are mutually meshed through the clamping teeth 803.
Fourth embodiment:
Fig. 8 is a schematic structural view of a reduction kit for fracture surgery according to a fourth embodiment of the present invention, and fig. 9 is a schematic operational view of a reduction kit for fracture surgery according to a fourth embodiment of the present invention. Referring to fig. 8 and 9, the present embodiment provides a reduction kit for fracture surgery, which includes a locking nail sleeve a and the positioning auxiliary forceps of any of the above embodiments, wherein the locking nail sleeve a is disposed between the first sling 300, the second sling 400 and the guiding mechanism 500, and when a drill passes through the guiding mechanism 500, the drill can pass through the locking nail sleeve a.
The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention, but various modifications and variations can be made to the present invention by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.