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CN203303058U - Full-tunnel analog measuring scale for cruciate ligament reconstruction - Google Patents

Full-tunnel analog measuring scale for cruciate ligament reconstruction Download PDF

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Publication number
CN203303058U
CN203303058U CN2013203823656U CN201320382365U CN203303058U CN 203303058 U CN203303058 U CN 203303058U CN 2013203823656 U CN2013203823656 U CN 2013203823656U CN 201320382365 U CN201320382365 U CN 201320382365U CN 203303058 U CN203303058 U CN 203303058U
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tunnel
full
cruciate ligament
memory alloy
alloy wire
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李箭
唐新
李棋
付维力
陈刚
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Abstract

The utility model discloses a dark analog ruler of sounding in full tunnel that cruciate ligament rebuilds, memory alloy wire's one end and miniature steel sheet swing joint, its other end and pulling force shadoof fixed connection, memory steel wire are provided with the scale, and the both ends of miniature steel sheet all are provided with the pull wire. The utility model discloses can carry out accurate measurement under the full tunnel tension that carries out bone tunnel under the tensile condition of maintenance, can also measure the length of thighbone, shin bone tunnel and knee joint intracavity ligament simultaneously for the operation can be more accurate, shortens the operation time, can also reach the purpose of the clothing of tailorring of measuring the body simultaneously, practices thrift raw and other materials.

Description

交叉韧带重建的全隧道模拟量尺Full Tunnel Analog Scale for Cruciate Ligament Reconstruction

技术领域technical field

本实用新型涉及医疗器械领域,尤其涉及一种交叉韧带重建的全隧道测量器具。The utility model relates to the field of medical instruments, in particular to a full-tunnel measuring instrument for cruciate ligament reconstruction.

背景技术Background technique

交叉韧带是维持膝关节稳定的重要结构,损伤后出现膝关节不稳,加速关节软骨以及半月板的退变,增加关节其他结构损伤的发生几率。随着关节镜技术的发展,采用移植肌腱关节镜下重建交叉韧带已成为治疗交叉韧带损伤的主要手段。然而,随着患者的不断增加,术后出现重建韧带的失效的病例也在逐渐增加。文献报道,前交叉韧带重建的失败率约在3.6%和15%之间。导致前交叉韧带重建失效的因素众多,其中移植物在骨隧道内的愈合是成功的关键因素之一。当前的研究显示,移植物在骨隧道内的活动度(雨刷效应及蹦极效应)和移植物在隧道内的长度以及骨隧道的大小以及与肌腱的匹配程度是影响腱骨愈合的重要因素之一。学者们发现,采用钮扣钢板对移植物进行悬吊固定时,骨隧道内悬吊所用的线越长,移植肌腱越短,则移植肌腱所受的张力越高,“蹦极效应”就越大,故建议减少骨隧道吊线的长度来降低“蹦极效应”。The cruciate ligament is an important structure to maintain the stability of the knee joint. After the injury, the knee joint becomes unstable, which accelerates the degeneration of the articular cartilage and meniscus, and increases the probability of damage to other structures of the joint. With the development of arthroscopic technology, arthroscopic reconstruction of cruciate ligament with transplanted tendon has become the main method for the treatment of cruciate ligament injury. However, with the continuous increase of patients, the cases of postoperative failure of reconstructed ligaments are also gradually increasing. The literature reports that the failure rate of ACL reconstruction is between 3.6% and 15%. There are many factors that lead to the failure of ACL reconstruction, among which the healing of the graft in the bone tunnel is one of the key factors for success. Current research shows that the mobility of the graft in the bone tunnel (wiper effect and bungee effect), the length of the graft in the tunnel, the size of the bone tunnel, and the degree of matching with the tendon are one of the important factors affecting tendon-bone healing . Scholars have found that when the graft is suspended and fixed with a button plate, the longer the wire used for suspension in the bone tunnel and the shorter the grafted tendon, the higher the tension on the grafted tendon and the greater the "bungee effect" , so it is recommended to reduce the length of the bone tunnel suspension wire to reduce the "bungee effect".

当前临床对关节镜下重建前交叉韧带骨隧道大小特别是长短的建立均是通过硬尺分节段性(股骨及胫骨隧道)进行,关节腔内韧带需要的长度则仅能通过屈膝位股骨和胫骨足印处的进行关节镜下测量。尽管分节段对股骨隧道到胫骨隧道可能能相对精确的测量,关节腔内膝关节内肌腱的长度则仅能通过屈膝位股骨和胫骨足印处的进行关节镜下测量加上膝关节叉韧带损伤后关节对位关系的不匹配都可能影响到测量的精确度,进而影响到移植物和隧道长短的不匹配。一方面可能因“蹦极效应”影响腱骨愈合,另一方面浪费了肌腱移植物。At present, the size, especially the length, of the bone tunnel of the anterior cruciate ligament under arthroscopy is established segmentally through a hard ruler (femoral and tibial tunnels), and the length required for the intra-articular ligament can only be obtained through the flexion of the femur and the tibial tunnel. Arthroscopic measurements were made at the tibial footprint. Although segmental femoral to tibial tunnel measurements may be relatively accurate, intra-articular tendon lengths in the knee joint can only be measured arthroscopically at the femoral and tibial footprints in flexion plus the fork ligament. The mismatch of joint alignment after injury may affect the accuracy of measurement, which in turn affects the mismatch of graft and tunnel length. On the one hand, the tendon-bone healing may be affected due to the "bungee effect", and on the other hand, the tendon graft is wasted.

实用新型内容Utility model content

本实用新型旨在提供一种交叉韧带重建的全隧道内测深模拟尺,可以在维持张力的情况下进行骨隧道的全隧道张力下进行准确测量,同时还可以测出股骨、胫骨隧道和膝关节腔内韧带的长度,达到量体裁衣的目的,有利于减轻因“蹦极效应”对腱骨愈合的影响,促进腱骨愈合,提高肌腱移植物的利用率。The utility model aims to provide a full-tunnel depth-measuring analog ruler for cruciate ligament reconstruction, which can accurately measure the full-tunnel tension of the bone tunnel under the condition of maintaining tension, and can also measure femur, tibial tunnel and knee The length of the ligament in the joint cavity can be tailored to suit the individual, which is beneficial to reduce the impact of the "bungee effect" on tendon-bone healing, promote tendon-bone healing, and improve the utilization rate of tendon grafts.

为达到上述目的,本实用新型是采用以下技术方案实现的:In order to achieve the above object, the utility model is realized by adopting the following technical solutions:

本实用新型公开的交叉韧带重建的全隧道内测深模拟尺,其特征在于:记忆合金丝的一端与微型钢板活动连接,其另一端与拉力提杆固定连接,所述记忆合金丝设置有刻度,所述微型钢板的两端均设置有牵引线,方便测量时自骨隧道内引出。The full-tunnel depth-measuring analog ruler for cruciate ligament reconstruction disclosed by the utility model is characterized in that one end of the memory alloy wire is movably connected with the miniature steel plate, and the other end is fixedly connected with the tension lifting rod, and the memory alloy wire is provided with a scale , both ends of the micro-steel plate are provided with traction wires, which are convenient to lead out from the bone tunnel during measurement.

优选的,所述记忆合金丝为记忆钢丝。Preferably, the memory alloy wire is a memory steel wire.

优选的,所述微型钢板为endbutton钢板。Preferably, the micro steel plate is an endbutton steel plate.

优选的,所述记忆合金丝与微型钢板之间的活动连接为铰链连接。Preferably, the flexible connection between the memory alloy wire and the micro-steel plate is a hinge connection.

优选的,所述刻度的精度为1mm。Preferably, the accuracy of the scale is 1 mm.

优选的,所述记忆合金丝的直径为3mm。Preferably, the memory alloy wire has a diameter of 3mm.

本实用新型公开的交叉韧带重建的全隧道内测深模拟尺,可以在维持张力的情况下进行骨隧道的全隧道张力下进行准确测量,同时还可以测出股骨、胫骨隧道和膝关节腔内韧带的长度,达到量体裁衣的目的,最大化的降低“蹦极效应”,有利于腱骨愈合,提高肌腱移植物的利用率;减少病患的痛苦,节约原材料,具有良好的社会效益和经济效益。The depth-measuring analog ruler in the full tunnel for cruciate ligament reconstruction disclosed by the utility model can accurately measure the full tunnel tension of the bone tunnel under the condition of maintaining the tension, and can also measure the femoral, tibial tunnel and knee joint cavity at the same time. The length of the ligament can be tailored to suit the individual’s needs, minimize the “bungee effect”, facilitate tendon-bone healing, and increase the utilization of tendon grafts; reduce the pain of patients, save raw materials, and have good social and economic benefits.

附图说明Description of drawings

图1为本实用新型结构示意图;Fig. 1 is the structural representation of the utility model;

图中:1-微型钢板、2-记忆合金丝、3-刻度、4-拉力提杆、5-牵引线。In the figure: 1-miniature steel plate, 2-memory alloy wire, 3-scale, 4-pull lifting rod, 5-drawing wire.

具体实施方式Detailed ways

为了使本实用新型的目的、技术方案及优点更加清楚明白,以下结合附图,对本实用新型进行进一步详细说明。In order to make the purpose, technical solution and advantages of the utility model clearer, the utility model will be further described in detail below in conjunction with the accompanying drawings.

如图1所示,本实用新型公开的前交叉韧带重建的全隧道内测深模拟尺,记忆合金丝2的一端与微型钢板1活动连接,其另一端与拉力提杆4固定连接,记忆合金丝2设置有刻度3,微型钢板1的两端均设置有牵引线5。As shown in Figure 1, in the full-tunnel sounding analog scale for anterior cruciate ligament reconstruction disclosed by the utility model, one end of the memory alloy wire 2 is movably connected with the micro-steel plate 1, and the other end is fixedly connected with the tension lifting rod 4, and the memory alloy wire 2 The wire 2 is provided with a scale 3, and both ends of the micro-steel plate 1 are provided with a pulling wire 5.

优选的,记忆合金丝2为记忆钢丝。Preferably, the memory alloy wire 2 is a memory steel wire.

优选的,微型钢板为endbutton钢板。Preferably, the miniature steel plate is an endbutton steel plate.

优选的,记忆合金丝2与微型钢板1之间的活动连接为铰链连接。Preferably, the flexible connection between the memory alloy wire 2 and the micro-steel plate 1 is a hinge connection.

优选的,刻度3的精度为1mm。Preferably, the accuracy of the scale 3 is 1 mm.

优选的,记忆合金丝2的直径为3mm。Preferably, the memory alloy wire 2 has a diameter of 3 mm.

本实用新型的操作如下:在牵引线5的拉动下,微型钢板1自动倾斜与记忆合金丝2平行,牵引线5从股骨隧道外口侧将微型钢板1和记忆合金丝2自胫骨隧道的下由胫骨隧道引出到股骨隧道外口,然后使微型钢板1复位到与记忆合金丝2垂直的位置并固定,再复位膝关节,并提拉位于胫骨端外的拉力提杆4,在维持张力的情况下在带刻度3的记忆合金丝2上依次读出股骨隧道,胫骨隧道和关节腔中韧带各自的精确长度,长度测量完毕后轻拉微型钢板1的一端,使微型钢板1变成与骨隧道平行的方向,再沿骨隧道从胫骨隧道外口退出记忆合金丝2和微型钢板1。The operation of the utility model is as follows: under the pulling of the traction wire 5, the micro-steel plate 1 automatically tilts parallel to the memory alloy wire 2, and the traction wire 5 pulls the micro-steel plate 1 and the memory alloy wire 2 from the lower side of the tibial tunnel to the outside of the femoral tunnel. Lead out from the tibial tunnel to the outer opening of the femoral tunnel, then reset the micro-plate 1 to a position perpendicular to the memory alloy wire 2 and fix it, then reset the knee joint, and pull the tension lifting rod 4 located outside the tibial end. Under normal circumstances, read out the exact lengths of the femoral tunnel, tibial tunnel, and ligaments in the joint cavity sequentially on the memory alloy wire 2 with scale 3. After the length measurement is completed, gently pull one end of the microplate 1 to make the microplate 1 become in line with the bone. In the direction parallel to the tunnel, the memory alloy wire 2 and the micro-steel plate 1 are withdrawn from the outer opening of the tibial tunnel along the bone tunnel.

当然,本实用新型还可有其它多种实施例,在不背离本实用新型精神及其实质的情况下,熟悉本领域的技术人员可根据本实用新型作出各种相应的改变和变形,但这些相应的改变和变形都应属于本实用新型所附的权利要求的保护范围。Certainly, the utility model also can have other various embodiments, under the situation of not departing from the spirit and essence of the utility model, those skilled in the art can make various corresponding changes and distortions according to the utility model, but these Corresponding changes and deformations should all belong to the scope of protection of the appended claims of the utility model.

Claims (6)

1.一种交叉韧带重建的全隧道内测深模拟尺,其特征在于:记忆合金丝(2)的一端与微型钢板(1)活动连接,其另一端与拉力提杆(4)固定连接,所述记忆合金丝(2)设置有刻度(3),所述微型钢板(1)的两端均设置有牵引线(5)。1. A full-tunnel sounding analog ruler for cruciate ligament reconstruction, characterized in that: one end of the memory alloy wire (2) is flexibly connected to the miniature steel plate (1), and the other end is fixedly connected to the tension lifting rod (4), The memory alloy wire (2) is provided with scales (3), and both ends of the miniature steel plate (1) are provided with traction wires (5). 2.根据权利要求1所述的交叉韧带重建的全隧道内测深模拟尺,其特征在于:所述记忆合金丝(2)为记忆钢丝。2. The full-tunnel sounding analog ruler for cruciate ligament reconstruction according to claim 1, characterized in that: the memory alloy wire (2) is a memory steel wire. 3.根据权利要求1所述的交叉韧带重建的全隧道内测深模拟尺,其特征在于:所述微型钢板(1)为endbutton钢板。3. The full-tunnel sounding analog ruler for cruciate ligament reconstruction according to claim 1, characterized in that: the miniature steel plate (1) is an endbutton steel plate. 4.根据权利要求1所述的交叉韧带重建的全隧道内测深模拟尺,其特征在于:所述记忆合金丝(2)与微型钢板(1)之间的活动连接为铰链连接。4. The full-tunnel sounding analog ruler for cruciate ligament reconstruction according to claim 1, characterized in that: the movable connection between the memory alloy wire (2) and the micro-steel plate (1) is a hinge connection. 5.根据权利要求1所述的交叉韧带重建的全隧道内测深模拟尺,其特征在于:所述刻度(3)的精度为1mm。5. The full-tunnel sounding analog ruler for cruciate ligament reconstruction according to claim 1, characterized in that: the accuracy of the scale (3) is 1mm. 6.根据权利要求1所述的交叉韧带重建的全隧道内测深模拟尺,其特征在于:所述记忆合金丝(2)的直径为3mm。6. The full-tunnel sounding analog ruler for cruciate ligament reconstruction according to claim 1, characterized in that: the memory alloy wire (2) has a diameter of 3mm.
CN2013203823656U 2013-06-28 2013-06-28 Full-tunnel analog measuring scale for cruciate ligament reconstruction Expired - Lifetime CN203303058U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103284726A (en) * 2013-06-28 2013-09-11 四川大学华西医院 Full-tunnel analog measuring scale for cruciate ligament reconstruction
CN105078467A (en) * 2015-09-06 2015-11-25 上海凯利泰医疗科技股份有限公司 Intra-cavity measurement apparatus and measurement method

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103284726A (en) * 2013-06-28 2013-09-11 四川大学华西医院 Full-tunnel analog measuring scale for cruciate ligament reconstruction
CN105078467A (en) * 2015-09-06 2015-11-25 上海凯利泰医疗科技股份有限公司 Intra-cavity measurement apparatus and measurement method
CN105078467B (en) * 2015-09-06 2018-01-12 上海凯利泰医疗科技股份有限公司 Intracavitary measurement apparatus and measuring method

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